36C25623Q0223 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) N/A 36C256 Department of Veterans Affairs Network Contracting Office 16 5075 Westheimer Road, Suite 750 Houston

TX

77056-5643 36C256 Department of Veterans Affairs Network Contracting Office 16 5075 Westheimer Road, Suite 750 Houston

TX

77056-5643 To all Offerors/Bidders

36C25623Q0223

X

See CONTINUATION Page X The purpose of this Amendment is to change the location the requested Optometrist on the Price Schedule. The line item numbers that are updated are 1002, 1002a, 2002, 2002a, 3002, 3002a, 4002, 4002a, 5002 and 5002a. The location has been changed to New Orleans, LA.

This Amendment also provides the updated price schedule which reflects the location change to New Orleans, LA.

**No other changes are being implemented via this Amendment**

Melanie Hawley Contracting Officer

CONTINUATION PAGE

PRICE/COST SCHEDULE

ITEM INFORMATION

Ophthalmology Health Tech/Certified Op A (COA) – SLVHCS- New Orleans –1st Ordering Period Header Only - Not to be Priced Contract Period:

POP Begin: 03-01-2023 POP End: 02-29-2024 PRINCIPAL NAICS CODE: 561320 - Temporary Help Services PRODUCT/SERVICE CODE: Q512 - Medical - Optometry

1001A

Ophthalmology Health Tech/Certified Op A (COA) – SLVHCS- New Orleans –1st Ordering Period

Please list Ophthalmology Health Tech/Certified Op A (COA) Key Personnel:

Name: __________________________ Title: __________________________ Contract Period:

POP Begin: 03-01-2023 POP End: 02-29-2024

1001B

Ophthalmology Health Tech/Certified Op A (COA) – SLVHCS- New Orleans –1st Ordering Period

Name: __________________________ Title: __________________________ Contract Period:

POP Begin: 03-01-2023 POP End: 02-29-2024

Optometrist –New Orleans – 1st Ordering Period

Contract Period:

POP Begin: 03-01-2023 POP End: 02-29-2024

1002A

2,080.00

Optometrist – New Orleans – 1st Ordering Period

Please list Optometrist Key Personnel:

Name: __________________________ Title: __________________________ Contract Period:

POP Begin: 03-01-2023 POP End: 02-29-2024

Ophthalmology Health Tech/Certified Op A (COA) – SLVHCS- New Orleans, LA –1st Ordering Period

Contract Period:

POP Begin: 03-01-2023 POP End: 02-29-2024

1003A

2,080.00

Ophthalmology Health Tech/Certified Op A (COA) – SLVHCS- New Orleans, LA –1st Ordering Period

Name: __________________________ Title: __________________________ Contract Period:

POP Begin: 03-01-2023 POP End: 02-29-2024

Optometrist – Baton Rouge CBOC – 1st Ordering Period

Contract Period:

POP Begin: 03-01-2023 POP End: 02-29-2024

1004A

2,080.00

Optometrist – Baton Rouge, LA – 1st Ordering Period

Name: __________________________ Title: __________________________ Contract Period:

POP Begin: 03-01-2023 POP End: 02-29-2024

Ophthalmology Health Tech/Certified Op A (COA) – SLVHCS- New Orleans –2nd Ordering Period

Contract Period:

POP Begin: 03-01-2024 POP End: 02-28-2025

2001A

Ophthalmology Health Tech/Certified Op A (COA) – SLVHCS- New Orleans –2nd Ordering Period

Name: __________________________ Title: __________________________ Contract Period:

POP Begin: 03-01-2024 POP End: 02-28-2025

2001B

Ophthalmology Health Tech/Certified Op A (COA) – SLVHCS- New Orleans –1st Ordering Period

Name: __________________________ Title: __________________________ Contract Period:

POP Begin: 03-01-2024 POP End: 02-28-2025

Optometrist – New Orleans– 2nd Ordering Period

Contract Period:

POP Begin: 03-01-2024 POP End: 02-28-2025

2002A

2,080.00

Optometrist – New Orleans – 2nd Ordering Period

Name: __________________________ Title: __________________________ Contract Period:

POP Begin: 03-01-2024 POP End: 02-28-2025

Ophthalmology Health Tech/Certified Op A (COA) – SLVHCS- New Orleans, LA –2nd Ordering Period

Contract Period:

POP Begin: 03-01-2024 POP End: 02-28-2025

2003A

2,080.00

Ophthalmology Health Tech/Certified Op A (COA) – SLVHCS- New Orleans, LA –2nd Ordering Period

Name: __________________________ Title: __________________________ Contract Period:

POP Begin: 03-01-2024 POP End: 02-28-2025

Optometrist – Baton Rouge CBOC – 2nd Ordering Period

Contract Period:

POP Begin: 03-01-2024 POP End: 02-28-2025

2004A

2,080.00

Optometrist – Baton Rouge, LA – 2nd Ordering Period

Name: __________________________ Title: __________________________ Contract Period:

POP Begin: 03-01-2024 POP End: 02-28-2025

Ophthalmology Health Tech/Certified Op A (COA) – SLVHCS- New Orleans –3rd Ordering Period

Contract Period:

POP Begin: 03-01-2025 POP End: 02-28-2026

3001A

Ophthalmology Health Tech/Certified Op A (COA) – SLVHCS- New Orleans –3rd Ordering Period

Name: __________________________ Title: __________________________ Contract Period:

POP Begin: 03-01-2025 POP End: 02-28-2026

3001B

Ophthalmology Health Tech/Certified Op A (COA) – SLVHCS- New Orleans –3rd Ordering Period

Name: __________________________ Title: __________________________ Contract Period:

POP Begin: 03-01-2025 POP End: 02-28-2026

Optometrist – New Orleans – 3rd Ordering Period

Contract Period:

POP Begin: 03-01-2025 POP End: 02-28-2026

3002A

2,080.00

Optometrist – New Orleans – 3rd Ordering Period

Name: __________________________ Title: __________________________ Contract Period:

POP Begin: 03-01-2025 POP End: 02-28-2026

Ophthalmology Health Tech/Certified Op A (COA) – SLVHCS- New Orleans, LA –3rd Ordering Period

Contract Period:

POP Begin: 03-01-2025 POP End: 02-28-2026

3003A

2,080.00

Ophthalmology Health Tech/Certified Op A (COA) – SLVHCS- New Orleans, LA –3rd Ordering Period

Name: __________________________ Title: __________________________ Contract Period:

POP Begin: 03-01-2025 POP End: 02-28-2026

Optometrist – Baton Rouge CBOC – 3rd Ordering Period

Contract Period:

POP Begin: 03-01-2025 POP End: 02-28-2026

3004A

2,080.00

Optometrist – Baton Rouge, LA – 3rd Ordering Period

Name: __________________________ Title: __________________________ Contract Period:

POP Begin: 03-01-2025 POP End: 02-28-2026

Ophthalmology Health Tech/Certified Op A (COA) – SLVHCS- New Orleans –4th Ordering Period

Contract Period:

POP Begin: 03-01-2026 POP End: 02-28-2027

4001A

Ophthalmology Health Tech/Certified Op A (COA) – SLVHCS- New Orleans –4th Ordering Period

Name: __________________________ Title: __________________________ Contract Period:

POP Begin: 03-01-2026 POP End: 02-28-2027

4001B

Ophthalmology Health Tech/Certified Op A (COA) – SLVHCS- New Orleans –4th Ordering Period

Name: __________________________ Title: __________________________ Contract Period:

POP Begin: 03-01-2026 POP End: 02-28-2027

Optometrist – New Orleans – 4th Ordering Period

Contract Period:

POP Begin: 03-01-2026 POP End: 02-28-2027

4002A

2,080.00

Optometrist – New Orleans – 4th Ordering Period

Name: __________________________ Title: __________________________ Contract Period:

POP Begin: 03-01-2026 POP End: 02-28-2027

Ophthalmology Health Tech/Certified Op A (COA) – SLVHCS- New Orleans, LA –4th Ordering Period

Contract Period:

POP Begin: 03-01-2026 POP End: 02-28-2027

4003A

2,080.00

Ophthalmology Health Tech/Certified Op A (COA) – SLVHCS- New Orleans, LA –4th Ordering Period

Name: __________________________ Title: __________________________ Contract Period:

POP Begin: 03-01-2026 POP End: 02-28-2027

Optometrist – Baton Rouge CBOC – 4th Ordering Period

Contract Period:

POP Begin: 03-01-2026 POP End: 02-28-2027

4004A

2,080.00

Optometrist – Baton Rouge, LA – 4th Ordering Period

Name: __________________________ Title: __________________________ Contract Period:

POP Begin: 03-01-2026 POP End: 02-28-2027

Ophthalmology Health Tech/Certified Op A (COA) – SLVHCS- New Orleans –5th Ordering Period

Contract Period:

POP Begin: 03-01-2027 POP End: 02-29-2028

5001A

Ophthalmology Health Tech/Certified Op A (COA) – SLVHCS- New Orleans –5th Ordering Period

Name: __________________________ Title: __________________________ Contract Period:

POP Begin: 03-01-2027 POP End: 02-29-2028

5001B

Ophthalmology Health Tech/Certified Op A (COA) – SLVHCS- New Orleans –5th Ordering Period

Name: __________________________ Title: __________________________ Contract Period:

POP Begin: 03-01-2028 POP End: 02-29-2028

Optometrist – New Orleans – 5th Ordering Period

Contract Period:

POP Begin: 03-01-2027 POP End: 02-29-2028

5002A

2,080.00

Optometrist – New Orleans– 5th Ordering Period

Name: __________________________ Title: __________________________ Contract Period:

POP Begin: 03-01-2027 POP End: 02-29-2028

Ophthalmology Health Tech/Certified Op A (COA) – SLVHCS- New Orleans, LA –5th Ordering Period

Contract Period:

POP Begin: 03-01-2027 POP End: 02-28-2028

5003A

2,080.00

Ophthalmology Health Tech/Certified Op A (COA) – SLVHCS- New Orleans, LA –5th Ordering Period

Name: __________________________ Title: __________________________ Contract Period:

POP Begin: 03-01-2027 POP End: 02-29-2028

Optometrist – Baton Rouge CBOC – 5th Ordering Period

Contract Period:

POP Begin: 03-01-2027 POP End: 02-29-2028

5004A

2,080.00

Optometrist – Baton Rouge, LA – 5th Ordering Period

Name: __________________________ Title: __________________________ Contract Period:

POP Begin: 03-01-2027 POP End: 02-29-2028

Amendment to Solicitation – 36C25623Q0223 0001 The solicitation (36C25623Q0223) is being amended due to a location change for a needed Optometrist in New Orleans. Please refer to the attached schedule with changes to the location (only) in line items:

1002a 2002a 3002a 4002a 5002a

All items that are highlighted in yellow, reflect the new corrected change. Please include this amendment in your submission to RFQ – 36C25623Q0223.

If you have any questions about the RFQ or amendment, please contact Michaela Brown at michaela.brown@va.gov by Thursday, 19 January 2023.