36C25024Q5411 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

36C25024Q5411 07-10-2024

X X X

4:30 PM, 7/12/2024

See CONTINUATION Page X The purpose of this amendment is the following:

1) Re-open the solicitation with an extension. response to RFQ NLT 7/12/2024 4:30 PM EST

2) Amend the Cost schedule to fix an error in quantities.

All other Terms and conditions to remain unchanged.

Robert J. Bolcavage III Contracting Officer

VA-VHA-RCPO-2024-0081

A.1 PRICE/COST SCHEDULE

ITEM INFORMATION

QUANTITY

7.00

Trp

(A0422) Advanced Life Support, Emergency Transport, Level 1 (ALS 1) (base rate to include first 40 miles) One-way trip is equivalent to one each for the unit of issue Contract Period: Base POP Begin: 09-01-2024 POP End: 12-31-2024

346.00

(A0429) Basic Life Support, Non-Emergency Transport, (base rate, to include first 40 miles) One-Way trip is equivalent to one each for the unit of issue

0.00

(A0426) Non-Emergent Advance Life Support Transport, Level 1 (ALS 1) ((base rate to include first 40 miles) One-way trip is equivalent to one each for the unit of issue

(A0434) Critical Care Transport (Upper-Level Care) specialized care of patients with life-threatening conditions, requiring comprehensive care and constant monitoring by appropriately trained individuals

5,000.00

Mi

(A0380) Mileage Trip Outside the Base Rate

EA

(A0435) Waiting Time (more than 30 minutes shall be paid in 30-minute increments).

21.00

(A0422) Advanced Life Support, Emergency Transport, Level 1 (ALS 1) (base rate to include first 40 miles) One-way trip is equivalent to one each for the unit of issue Contract Period: Option 1 POP Begin: 01-01-2025 POP End: 12-31-2025

1,040.00

(A0429) Basic Life Support, Non-Emergency Transport, (base rate, to include first 40 miles) One-Way trip is equivalent to one each for the unit of issue

(A0426) Non-Emergent Advance Life Support Transport, Level 1 (ALS 1) ((base rate to include first 40 miles) One-way trip is equivalent to one each for the unit of issue

(A0434) Critical Care Transport (Upper-Level Care) specialized care of patients with life-threatening conditions, requiring comprehensive care and constant monitoring by appropriately trained individuals

15,000.00

(A0380) Mileage Trip Outside the Base Rate

(A0435) Waiting Time (more than 30 minutes shall be paid in 30-minute increments).

21.00

(A0422) Advanced Life Support, Emergency Transport, Level 1 (ALS 1) (base rate to include first 40 miles) One-way trip is equivalent to one each for the unit of issue Contract Period: Option 2 POP Begin: 01-01-2026 POP End: 12-31-2026

1,040.00

(A0429) Basic Life Support, Non-Emergency Transport, (base rate, to include first 40 miles) One-Way trip is equivalent to one each for the unit of issue

POP Begin: 09-01-2025

(A0426) Non-Emergent Advance Life Support Transport, Level 1 (ALS 1) ((base rate to include first 40 miles) One-way trip is equivalent to one each for the unit of issue

(A0434) Critical Care Transport (Upper-Level Care) specialized care of patients with life-threatening conditions, requiring comprehensive care and constant monitoring by appropriately trained individuals

15,000.00

(A0380) Mileage Trip Outside the Base Rate

(A0435) Waiting Time (more than 30 minutes shall be paid in 30-minute increments).

GRAND TOTAL

CONTINUATION PAGE

Due to an administration error, quantities on 36C25024Q5411 must be edited. The Cost/Price Schedule on Amendment 0003 will be used to evaluate pricing. Pervious Cost/Price Schedule from initial RFQ will not be evaluated.

The CO reminds offerors that the following will be required for each quote to be considered complete. Any offer not considered complete will not be considered for Award.

1) Submit offeror’s proof of EMFTS license at the time of the offer. Must be under the offeror’s name. All primes and subcontractors are required to have an active EMFTS license.

2) Submit proof of insurance to perform requirement listed in the PWS.

3) Signed copy of attachment D.4 FAR 52.219-75 Statement of compliance of the Limitations on Subcontracting.

4) Signed copy of attachment D.1, DoL WD Compliance Memorandum.

5) Signed copy of the SF1449.

6) Signed copy of each Amendment. As of 7/10/2024, there is 3 amendments.

7) Technical approach which shows (provided in narrative):

i. The equipment to be used to provide services listed in the PWS.

ii. How the contractor will meet the required schedule.

iii. Reporting of issues and corrective actions.

iv. Contingency Plan: Government will evaluate the offeror’s plan to fill requirement when situations arise that create hardship(s) in providing that service to include employee shortage and/or a short term/long term influx in contract utilization. Also, contingency plan will cover hardship(s) of vehicle downtime due to but limited to maintenance or out of commission.

8) Past Performance evaluation or Past Performance questionnaire.

a. Past Performance will be limited to past 3 years of evaluations.

b. Past Performance will be for PCS V225 or equivalent.

Government will be evaluation utilizing comparative evaluation in order to find the best value to the government where Technical and Past performance when combined are approximately equal to cost of price.