36C25718Q0185-00006000.docx

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On-Call Cardiology Consultation Services (504)
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36C25718Q0185
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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 ITE M 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 r eference 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

BY

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) ne 00006 08-03-2018 504-18-3-470-0001

VA257-17-AP-10429

None 36C257 Department of Veterans Affairs SAO West NCO 17 Medical Sharing Branch II 11495 Turner Road El Paso TX 79936-1372 Carlos Jaquez, Contract Specialist carlos.jaquez@va.gov 36C257 Same as Block # 6

To all Offerors/Bidders

36C25718Q0185 03-02-2018

X X X ** HOUR & DATE for Receipt of Offers is EXTENDED to:

7:00 PM ET, 8/6/2018

See CONTINUATION Page X The purpose for this amendment is to extend the due date and update Schedule of Services.

a. The solicitation due date has been extended until Friday, August 3, 2018 at 2:00 PM ET.

b. See updated Schedule of Services on continuationpage.

c. All terms and conditions remain unchanged and in full force and effect.

Marisela Galarza

A.1 SCHEDULE OF SERVICES

The awarded contract will be a fixed price, indefinite delivery indefinite quantity (IDIQ) contract. Whenever an order is requested the Contracting Officer will execute a bilateral task order against this IDIQ contract.

Quantities on the Schedule of Services are the yearly projected amounts for each contract line item. These projected quantities are for bidding purposes only. Unit prices for the contract line item numbers (CLINs) on the Schedule of Services are fixed prices. These fixed prices will govern regardless of quantities ordered under any subsequent task order(s).

“Grand Total Projected Price” will be used only for the purpose of determining the lowest price offeror.

The guaranteed minimum contract amount, including the base year and any option years exercised, is $1,000.00 and the maximum contract amount, including the base year and any option years exercised, shall not exceed $1,100,000.00. The Government will only pay for the actual number of hours worked.

On-Call is defined as a physician being required to carry a pager to be available for consultation relative to specific specialty. While on-call the physician must remain within 30-mile radius of the facility that is being covered.

* As part of price evaluation, the Government will evaluate its option to extend services (see FAR Clause 52.217-8). The evaluation will assume that the prices for any option exercised under FAR 52.217-8 will be at the same rates as those in effect under the contract at the time the option is exercised. The evaluation will therefore assume that the addition of the price or prices of any possible extension or extensions under FAR 52.217-8 to the total price for the basic requirement and the total price for the priced options has the same effect on the total price of all quotes relative to each other, and will not affect the ranking of quotes based on price, unless, after reviewing the quotes, the Government determines that there is a basis for finding otherwise. This evaluation will not obligate the Government to exercise any option under FAR 52.217-8.

Period of Performance:

Base Year: October 1, 2018 through September 30, 2019

CLIN No.
Description
Est. Qty.
Unit
Unit Cost
Total

Estimated Cost

0001
Board Certified /Board Eligible Cardiologist Services

On-Call Weekdays

6240
Hour (HR)
$_____/HR
$
0002
Board Certified /Board Eligible Cardiologist Services

On-Call Weekends

2520
Hour (HR)
$_____/HR
$
0003
Board Certified /Board Eligible Cardiologist Services

Call-Back Weekdays

260
Hour (HR)
$_____/HR
$
0004
Board Certified /Board Eligible Cardiologist Services

Call-Back Weekends

105
Hour (HR)
$_____/HR
$

Base Year Grand Total: $

Option Year One: October 1, 2019 through September 30, 2020

CLIN No.
Description
Est. Qty.
Unit
Unit Cost
Total

Estimated Cost

1001
Board Certified /Board Eligible Cardiologist Services

On-Call Weekdays

6288
Hour (HR)
$_____/HR
$
1002
Board Certified /Board Eligible Cardiologist Services

On-Call Weekends

2496
Hour (HR)
$_____/HR
$
1003
Board Certified /Board Eligible Cardiologist Services

Call-Back Weekdays

260
Hour (HR)
$_____/HR
$
1004
Board Certified /Board Eligible Cardiologist Services

Call-Back Weekends

105
Hour (HR)
$_____/HR
$

Option Year One Grand Total: $

Option Year Two: October 1, 2020 through September 30, 2021

CLIN No.
Description
Est. Qty.
Unit
Unit Cost
Total

Estimated Cost

2001
Board Certified /Board Eligible Cardiologist Services

On-Call Weekdays

6264
Hour (HR)
$_____/HR
$
2002
Board Certified /Board Eligible Cardiologist Services

On-Call Weekends

2496
Hour (HR)
$_____/HR
$
2003
Board Certified /Board Eligible Cardiologist Services

Call-Back Weekdays

261
Hour (HR)
$_____/HR
$
2004
Board Certified /Board Eligible Cardiologist Services

Call-Back Weekends

104
Hour (HR)
$_____/HR
$

Option Year Two Grand Total: $

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

CLIN No.
Description
Est. Qty.
Unit
Unit Cost
Total

Estimated Cost

3001
Board Certified /Board Eligible Cardiologist Services

On-Call Weekdays

6264
Hour (HR)
$_____/HR
$
3002
Board Certified /Board Eligible Cardiologist Services

On-Call Weekends

2496
Hour (HR)
$_____/HR
$
3003
Board Certified /Board Eligible Cardiologist Services

Call-Back Weekdays

261
Hour (HR)
$_____/HR
$
3004
Board Certified /Board Eligible Cardiologist Services

Call-Back Weekends

104
Hour (HR)
$_____/HR
$

Option Year Three Grand Total: $

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

CLIN No.
Description
Est. Qty.
Unit
Unit Cost
Total

Estimated Cost

4001
Board Certified /Board Eligible Cardiologist Services

On-Call Weekdays

6264
Hour (HR)
$_____/HR
$
4002
Board Certified /Board Eligible Cardiologist Services

On-Call Weekends

2496
Hour (HR)
$_____/HR
$
4003
Board Certified /Board Eligible Cardiologist Services

Call-Back Weekdays

261
Hour (HR)
$_____/HR
$
4004
Board Certified /Board Eligible Cardiologist Services

Call-Back Weekends

104
Hour (HR)
$_____/HR
$

Option Year Four Grand Total: $

Grand Total (includes base and all option years): $

End of Document

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