36C25020Q0585 Amendment 0003.pdf

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)

1 3

0003 07-01-2020

N/A

36C250

Department of Veterans Affairs Network Contracting Office (NCO) 10 Chalmers P. Wylie Ambulatory Care Center 420 North James Road Columbus OH 43219-1834

36C250

Department of Veterans Affairs Network Contracting Office (NCO) 10 Chalmers P. Wylie Outpatient Clinic 420 North James Road Columbus OH 43219-1834

To all Offerors/Bidders

36C25020Q0585

05-22-2020

X

X X

** HOUR & DATE for Receipt of Offers is EXTENDED to: July 8, 2020 at 2:00 EST.

The purpose of this amendment is to reduce the estimated quantity of beds required per year on the pricing schedule From: 10,585 for the Base and each Option Year To: 8,760 for the Base and each Option Year The revised B.1 Price Schedule is attached.

The closing date is extended from July 6, 2020 to July 8, 2020.

Karen M. Williams Contracting Officer

B.2 PRICE SCHEDULE

The Contractor shall provide services to homeless Veterans as part of the Healthcare for Homeless Veteran (HCHV) Contract Emergency Residential Services (CERS) program services for the Roudebush VA Medical Center in Indianapolis, IN. Contractors will provide short-term residential treatment to Veterans who need an immediate housing placement as they seek permanent housing and/or additional care services.

The total minimum, or guaranteed minimum, for the resultant contract is one (1) bed per day for 365 days. The contract maximum, inclusive of all options exercised, shall not exceed 58,220 days.

Reimbursement will be made to the contractor by issuance of individual task orders for the base year and each option year, if exercised. Only the Contracting Officer is authorized to place annual task orders against this contract for the estimated amount of services for the specific timeframe.

Pricing Instructions: Fill in the Unit Cost and Total Cost for the Base Year and each Option Year. Add the aggregate total for the base and option years at the bottom of the pricing schedule in the space provided. In addition to pricing for normal operations, due to the uncertainty of the COVID-19 pandemic, it is requested that quoters also submit a separate estimated per diem rate to cover the costs related to COVID-19 if isolation measures are determined necessary by the Contracting Officer. (See ADDENDUM TO FAR 52.212-1, INSTRUCTIONS TO OFFERORS – COMMERCIAL ITEMS for the isolation options.)

The regular rate for normal operations will be utilized when it is determined by the Contracting Officer that isolation options are not necessary. The estimated COVID-19 per diem rate will be utilized when the Contracting Officer determines it is necessary to implement isolation options. For costs related to COVID-19, supporting documentation will be required to ensure fair and reasonable pricing.

Accordingly, any change to the per diem rate on the resultant contract will be made via a bi-lateral modification.

Base Year: October 1, 2020 through September 30, 2021

CLIN Description Unit Estimated Quantity

Unit Cost Estimated Total Cost

HCHV Contract Emergency Residential Services – normal operations

Days 8,760 $ $

0002 Estimated per diem rate to cover related COVID-19 costs Days As

Needed $

Option Year 1: October 1, 2021 through September 30, 2022

CLIN Description Unit Estimated Quantity

Unit Cost Estimated Total Cost

HCHV Contract Emergency Residential Services – normal operations

Days 8,760 $ $

1002 Estimated per diem rate to

Option Year 2: October 1, 2022 through September 30, 2023

Quantity

Unit Cost Estimated Total Cost

HCHV Contract Emergency Residential Services – normal operations

Days 8,760 $ $

2002 Estimated per diem rate to

Option Year 3: October 1, 2023 through September 30, 2024

Quantity

Unit Cost Estimated Total Cost

HCHV Contract Emergency Residential Services – normal operations

Days 8,760 $ $

3001 Estimated per diem rate to

Option Year 4: October 1, 2024 through September 30, 2025

Quantity

Unit Cost Estimated Total Cost

HCHV Contract Emergency Residential Services – normal operations

Days 8,760 $ $

4002 Estimated per diem rate to

Aggregate Total to include base and all option years: $_____________________

B.2 PRICE SCHEDULE