36C25024Q5392 0003.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) Department of Veterans Affairs Dayton VA Medical Center 3140 Governor’s Place Blvd. Suite 210 Kettering OH 45409-1337 36C250 Network Contracting Office (NCO) 10 Department of Veterans Affairs 3140 Governors Place Blvd. Suite 210 Kettering OH 45409-1337 To all Offerors/Bidders

36C25024Q5392

X X X ** HOUR & DATE for Receipt of Offers is EXTENDED to: 09/30 /2024 at 1:00 PM EST See CONTINUATION Page X The purpose of this Amendment is as follows:

1) Re-open and re-issue the RFQ with a response date of 9/30

/2024, 1:00 PM EST

2) Adjust the Period of Performance(s).

3) Publish instructions to submit offer (see page 2 of thisamendment)

4) Update Dept of labor Wage Determination, D.5 WD 2015-4719 Rev 27 Cincinnati 22 July 2024

All other terms and conditions remain unchanged.

Robert J. Bolcavage III Warrant Officer

VA-VHA-RPOC-2024-0084

CONTINUATION PAGE

Instructions to interested parties.

Due to an RFQ protest, investigation as to the need of an Emergency Medical and Fire Transportation Service (EMFTS) license is requirement. Also, additional market research was required to determine competition. It has been determined that an EMFTS license is a minimum need to conduct wheelchair transport service in Ohio. A sources sought notice was published to evaluate the market to determine the set-aside. It has been determined by market research that to ensure adequate competition a total small business set-aside is required.

To remain in competition for this award the following information shall be completed and submitted. Any quote submissions before the publish date of Amendment 0003 will not be considered for award.

Items to be submitted are listed in RFQ under section E.11 (pp. 71-72)

A.1 PRICE/COST SCHEDULE

ITEM INFORMATION

BASE RATE \F\ Wheelcahir Transport ONE-WAY Trip Rate: The BASE RATE \F\ (ONE-WAY) is for authorized one-way patient transports with a point-to-point (one-way) travel distance of 20 miles or less from the designated VA Medical Center as specified in the PWS. The contractor is NOT authorized to invoice for MILEAGE RATE (ONE-WAY) in addition to the BASE RATE (ONE-WAY) for patient transports with a point-to-point (one- way) travel distance radius of 20 miles or less from the designated VA Medical Center. For patient transports with a point-to-point (one-way) travel distance radius which exceeds 20 miles from the designated VA Medical Center, the BASE RATE (ONE-WAY) plus MILEAGE RATE (ONE-WAY) may be authorized.

Contract Period: Base POP Begin: 11-01-2024 POP End: 10-31-2025

LOCAL STOCK NUMBER: 0001

MILEAGE RATE \F\ Wheelchair Transport Mileage Rate: The MILEAGE RATE \F\ (ONE-WAY) shall only be authorized for patient transports which exceed the BASE RATE (ONE-WAY) travel distance radius of 20 miles from the designated VA Medical Center as specified in the PWS. The contractor shall ensure that all invoices submitted with a point-to- point (one-way) travel distance radius which exceeds 20 miles from the designated VA Medical Center include the MILEAGE RATE (ONE-WAY) plus BASE RATE (ONE-WAY) which shall be calculated based on the total travel distance (one-way) minus 20 miles. The MILEAGE RATE (ONE-WAY) is not authorized for any patient transport that does not have a VA approved passenger onboard.

POP Begin: 11-01-2024

LOCAL STOCK NUMBER: 0002

WAIT TIME RATE \F\ 15-minute Increments: This rate shall only be authorized \F\ for patient transports which exceed the "wait time grace period" upon approval by the COR or authorized government representative designed in writing by the COR and/or CO as specified in this PWS.

POP Begin: 11-01-2024

LOCAL STOCK NUMBER: 0003

BASE RATE \F\ Wheelcahir Transport ONE-WAY Trip Rate: The BASE RATE \F\ (ONE-WAY) is for authorized one-way patient transports with a point-to-point (one-way) travel distance of 20 miles or less from the designated VA Medical Center as specified in the PWS. The contractor is NOT authorized to invoice for MILEAGE RATE (ONE-WAY) in addition to the BASE RATE (ONE-WAY) for patient transports with a point-to-point (one- way) travel distance radius of 20 miles or less from the designated VA Medical Center. For patient transports with a point-to-point (one-way) travel distance radius which exceeds 20 miles from the designated VA Medical Center, the BASE RATE (ONE-WAY) plus MILEAGE RATE (ONE-WAY) may be authorized.

Contract Period: Option 1 POP Begin: 11-01-2025 POP End: 10-31-2026

LOCAL STOCK NUMBER: 0001

MILEAGE RATE \F\ Wheelchair Transport Mileage Rate: The MILEAGE RATE \F\ (ONE-WAY) shall only be authorized for patient transports which exceed the BASE RATE (ONE-WAY) travel distance radius of 20 miles from the designated VA Medical Center as specified in the PWS. The contractor shall ensure that all invoices submitted with a point-to- point (one-way) travel distance radius which exceeds 20 miles from the designated VA Medical Center include the MILEAGE RATE (ONE-WAY) plus BASE RATE (ONE-WAY) which shall be calculated based on the total travel distance (one-way) minus 20 miles. The MILEAGE RATE (ONE-WAY) is not authorized for any patient transport that does not have a VA approved passenger onboard.

POP Begin: 11-01-2025

LOCAL STOCK NUMBER: 0002

WAIT TIME RATE \F\ 15-minute Increments: This rate shall only be authorized \F\ for patient transports which exceed the "wait time grace period" upon approval by the COR or authorized government representative designed in writing by the COR and/or CO as specified in this PWS.

POP Begin: 11-01-2025

LOCAL STOCK NUMBER: 0003

GRAND TOTAL

See attached document: D.5 WD 2015-4719 Rev 27 Cincinnati 22 July 2024.

See attached document: 36C25024Q5392 RFQ re-issue.