36C24621Q1409 A0001.docx

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Attached to
Q522--Physicist Services Radiation Safety Program (VA-21-00065576) Federal contract opportunity
Solicitation number
36C24621Q1409
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 6

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36C24621Q1409 A0001

5. PROJECT NUMBER (if applicable)

CODE

7. ADMINISTERED BY

2. AMENDMENT/MODIFICATION NUMBER

CODE

6. ISSUED BY

8. NAME AND ADDRESS OF CONTRACTOR

4. REQUISITION/PURCHASE REQ. NUMBER

3. EFFECTIVE DATE

9A. AMENDMENT OF SOLICITATION NUMBER

9B. DATED

PAGE OF PAGES

10A. MODIFICATION OF CONTRACT/ORDER NUMBER

10B. DATED

BPA NO.

1. CONTRACT ID CODE

FACILITY CODE

CODE

Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods:

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers

E. IMPORTANT:

is extended,

(a) By completing Items 8 and 15, and returning __________ copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted; or (c) By separate letter or electronic communication which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY is not extended.

12. ACCOUNTING AND APPROPRIATION DATA

(REV. 11/2016)

is required to sign this document and return ___________ copies to the issuing office.

is not, A. THIS CHANGE ORDER IS ISSUED PURSUANT TO

Specify authority) THE

CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER NO. IN ITEM 10A.

15C. DATE SIGNED

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by letter or electronic communication, provided each letter or electronic communication makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER

Contractor

16C. DATE SIGNED

14. DESCRIPTION OF AMENDMENT/MODIFICATION

16B. UNITED STATES OF AMERICA

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

15A. NAME AND TITLE OF SIGNER

16A. NAME AND TITLE OF CONTRACTING OFFICER

15B. CONTRACTOR/OFFEROR

STANDARD FORM 30

PREVIOUS EDITION NOT USABLE

Prescribed by GSA - FAR (48 CFR) 53.243 (Type or print) (Type or print) (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

(Number, street, county, State and ZIP Code) (If other than Item 6) (Specify type of modification and authority) (such as changes in paying office, appropriation date, etc.)

(If required)

(SEE ITEM 11)

(SEE ITEM 13)

(X)

CHECK

ONE

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS,

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

(Signature of person authorized to sign) (Signature of Contracting Officer) A0001 10/04/2021 Department of Veterans Affairs Network Contracting Office 6 100 Emancipation Drive Hampton VA 23667 Department of Veterans Affairs Network Contracting Office 6 100 Emancipation Drive Hampton VA 23667 To all Offerors/Bidders

36C24621Q1409

X X X 10/06/2021 4:00pm EDST X

1. This amendment is to correct typographical errors on the line items listed on the solicitation price schedule section which does not accurately describe the government need in section B.2 Price/Cost schedule. Please see attached corrected price schedule and submit revised pricing accordingly.

2. Closing date and time have been extended to 10/06/2021 4:00pm EDST

3. All other terms and conditions remain the same.

Mario L. Santiago Contracting Officer

B.2 PRICE/COST SCHEDULE OF SERVICES (Corrected)

BASE PERIOD

Period of Performance: October 1, 2021 – September 30, 2022

ITEM
DESCRIPTION
QTY
UNIT
UNIT COST
TOTAL COST
0001
Physicists Services for Radiation Safety Program in accordance with the Performance Work Statement for the Salem VA Medical Center
4
QR
$
$
On –Call Emergency Services (Telephonic Only)
1
YR
No Charge
No Charge
0003
Emergency Site Visit
1
YR
NTE $1,500.00
NTE $1,500.00
TOTAL COST FOR BASE PERIOD:
$

OPTION YEAR 1

Period of Performance: October 1, 2022 – September 30, 2023

ITEM
DESCRIPTION
QTY
UNIT
UNIT COST
TOTAL COST
1001
Physicists Services for Radiation Safety Program in accordance with the Performance Work Statement for the Salem VA Medical Center
4
QR
$
$
On –Call Emergency Services (Telephonic Only)
1
YR
No Charge
No Charge
1003
Emergency Site Visit1
1
YR
NTE $1,500.00
NTE $1,500.00
TOTAL COST FOR OPTION YEAR ONE (1)
$

OPTION YEAR 2

Period of Performance: October 1, 2023 – September 30, 2024

ITEM
DESCRIPTION
QTY
UNIT
UNIT COST
TOTAL COST
2001
Physicists Services for Radiation Safety Program in accordance with the Performance Work Statement for the Salem VA Medical Center
4
QR
$
$
On –Call Emergency Services (Telephonic Only)
1
YR
No Charge
No Charge
2003
Emergency Site Visit
1
YR
NTE $1,500.00
NTE $1,500.00
TOTAL COST FOR OPTION YEAR TWO (2)
$

OPTION YEAR 3

Period of Performance: October 1, 2024 – September 30, 2025

ITEM
DESCRIPTION
QTY
UNIT
UNIT COST
TOTAL COST
3001
Physicists Services for Radiation Safety Program in accordance with the Performance Work Statement for the Salem VA Medical Center
4
QR
$
$
On –Call Emergency Services (Telephonic Only)
1
YR
No Charge
No Charge
3003
Emergency Site Visit
1
YR
NTE $1,500.00
NTE $1,500.00
TOTAL COST FOR OPTION YEAR THREE (3)
$

OPTION YEAR 4

Period of Performance: October 1, 2025– September 30, 2026

ITEM
DESCRIPTION
QTY
UNIT
UNIT COST
TOTAL COST
4001
Physicists Services for Radiation Safety Program in accordance with the Performance Work Statement for the Salem VA Medical Center
4
QR
$
$
On –Call Emergency Services (Telephonic Only)
1
YR
No Charge
No Charge
4003
Emergency Site Visit
1
YR
NTE $1,500.00
NTE $1,500.00
TOTAL COST FOR OPTION YEAR FOUR (4)
$
TOTAL CONTRACT COST (Base + Options)
$

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