36C24922Q0374 0001.docx

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) 596-23-1-035-0001 N/A Department of Veterans Affairs Network Contracting Office 9 (90C) c/o Jack Hagopian, Contract Specialist 1639 Medical Center Parkway, Suite 400 Murfreesboro

TN

37129 90C Network Contracting Office 9 Department of Veterans Affairs c/o Jack Hagopian, Contract Specialist 1639 Medical Center Parkway Suite 400 Murfreesboro

TN

37129 To all Offerors/Bidders

36C24922Q0374

X X X

X This amendment to Solicitation 36C24922Q0374 updates the language in the Cost Pricing Schedule The amended Pricing Schedule is included on p.2 of this Amendment.

Dewana Raynor Contracting Officer

B.2 SCHEDULE OF SERVICES

The contractor shall provide 30 day looping cardiac event recording and cardiac mobile telemetry services to patients of the VA Medical Center, Lexington, Kentucky. These external cardiac monitoring services shall be available to both male and female patients. As equipment nor permanent staff are available to perform these services, the contract is necessary and mandatory in order to carry out the objectives of providing the VA Medical Center, Lexington, Kentucky. Professional cardiac monitoring coverage 24/7/365 for patient calls and ECG transmissions during each patient study. Critical data is communicated immediately to the Lexington VAMC. A final written cardiac summary report is provided at the competition of each test study. The vendor is responsible for all monitoring equipment and maintenance.

Place of Performance: Services shall be provided on site, VAMC 1101 Veterans Dr., Lexington, KY 40502 Base Period: October 1, 2022 – September 30, 2023

CLIN

No.

Total for Option Base Period

Ordering Period 1: October 1, 2023 – September 30, 2024

CLIN

No.

Total for Ordering Period 1

Ordering Period 2: October 1, 2024 – September 30, 2025

CLIN

No.

Total for Option Base Period

Ordering Period 3: October 1, 2025 – September 30, 2026

CLIN

No.

Total for Option Base Period

Ordering Period 4: October 1, 2026 – September 30, 2027

CLIN

No.

Total for Option Base Period

Total for Period of Performance $ _____________ A.1. ORDERS: This is a Firm Fixed Price (FFP) Indefinite Delivery/Indefinite Quantity (IDIQ) contract (see FAR 52.216-22). Task Orders shall be placed against this IDIQ contract at the time of contract award. The Task Orders shall specify the estimated quantities of services for each period of performance and shall comply with FAR 52.216-18 and 52.216-19.

A.2. MINIMUM and MAXIMUM GUARANTEE: All quantities are estimates and all quoted prices shall be firm fixed prices. The Government’s guaranteed minimum during the life of the contract is $10,000.00. The Government’s contract ceiling amount during the life of the contract is $100,00.00. A funded Delivery/Task Orders (DO/TO) may only be awarded and issued by a warranted Contracting Officer (CO). Any changes to this contract may only be made by a written modification which is formally executed between the contractor and the CO.

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