36C25718R0379 0003.docx
DOCX document 26 KB Posted
- Attached to
- Greenville, TX CBOC Federal contract opportunity
- Solicitation number
- 36C25718R0379
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Text version
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 NUMBERE
D 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 amendmen t, 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) none
GRE2018
36C257 Department of Veterans Affairs Contracting Office (138C) 12495 Turner Road El Paso TX 79936 36C257 El Paso Contracting Office Department of Veterans Affairs 11495 Turner Road El Paso TX 79936-1372 To all Offerors/Bidders
36C25718R0379
X X X
03/04/2021 @ 12:00 ET
This amendment replaces the schedule of services in its entirety.
Also, a couple of clarifications to questions are included here. The closing date is extended as per block #
11. No other changes
Carlos Leon Contracting Officer
CONTINUATION PAGE
| B.2 | SCHEDULE OF SERVICES | |
| Contract Minimum _$_5,840,000 | _Contract Maximum __22,000,000 |
PMPM includes cost of unassigned patient visits, contractor shall not bill separately or propose an additional CLIN or bill separately for these costs.
Any construction/build cost must be included in CLIN 0001 PMPM.
BASE YEAR – May 1, 2021 through April 30, 2022
| CLIN No. |
| Services |
| Unit |
| Estimated Quantity |
| Price Per Unit |
Total Estimated Cost
| 0001 |
| Primary Care Services at capitation rates per member per month (PMPM) |
| PMPM |
| 3000 |
| $ |
| $ |
Total for Base Year $________________________
OPTION YEAR 1 – May 1, 2022 through April 30, 2023
| CLIN No. |
| SUB CLIN No. |
| Services |
| Unit |
| Estimated Quantity |
| Price Per Unit |
Total Estimated Cost
| 1001 |
| None |
| Primary Care Services at capitation rates per member per month (PMPM) |
| PMPM |
| 3050 |
Total for Option Year 1 $________________________
OPTION YEAR 2 – May 1, 2023 through April 30, 2024
| CLIN No. |
| SUB CLIN No. |
| Services |
| Unit |
| Estimated Quantity |
| Price Per Unit |
| Total Estimated Cost |
| 2001 |
| None |
| Primary Care Services at capitation rates per member per month (PMPM) |
| PMPM |
| 3100 |
Total for Option Year 2 $________________________
OPTION YEAR 3 – May 1, 2024 through April 30, 2025
| CLIN No. |
| SUB CLIN No. |
| Services |
| Unit |
| Estimated Quantity |
| Price Per Unit |
Total Estimated Cost
| 3001 |
| None |
| Primary Care Services at capitation rates per member per month (PMPM) |
| PMPM |
| 3150 |
Total for Option Year 3 $________________________
OPTION YEAR 4 – May 1, 2025 through April 30, 2026
| CLIN No. |
| SUB CLIN No. |
| Services |
| Unit |
| Estimated Quantity |
| Price Per Unit |
Total Estimated Cost
| 4001 |
| None |
| Primary Care Services at capitation rates per member per month (PMPM) |
| PMPM |
| 3200 |
Total for Option Year 4 $________________________
TOTAL FOR BASE AND OPTION YEARS $___________________________
The specified rates for use if FAR Clause 52.217-8 is exercised by the Government will be those rates in effect under the contract/task order preceding this option.
All quantities are estimated, the government will pay for services performed as certified by the COR.
Clarifications/ Corrections Question # 23. Please confirm the government does not require a mail room or a loading dock for this CBOC.
Answer- The government does not require a mail room or a loading dock for this CBOC.
Question # 36. Can the Women’s health room be counted as one of the patient care rooms?
The answer is no, this room must always be available for its specific purpose Question # 37. Can the Procedure room serve a dual purpose and also be used as the Women’s health room?
Answer- Yes End of Document
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