36C25720Q0225-008.docx

36C25720Q0225

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) none 03-30-2020 n/a 36C257 Department of Veterans Affairs VHA RPO West - NCO 17 Health Care Resources Branch I 11495 Turner Road El Paso TX 79936 Christine Bennett, Contract Specialist christine.bennett2@va.gov

To all Offerors/Bidders

36C25720Q0225 03-02-2020

X X X

SEE Block

The purpose of this amendment is to extend the due date and to update the contemplated Period of Performance .

1. Solicitation due date has been changed to April 20, 2020 at 11:

59 PM

EST.

2. See continuation page for updated Period of Performance in the Schedule of Service.

All other Terms and Conditions remain in full force and effect.

Marisela Galarza Contracting Officer Schedule of Services / Pricing Data

BASE YEAR: May 1, 2020 – April 30, 2021

CLIN 0001

To provide telehealth services (secure video) to eligible veterans in selected rural areas as stipulated in the Performance Work Statement.

TOTAL: __________________________

OPTION YEAR 1: May 1, 2021 – April 30, 2022

CLIN 1001

To provide telehealth services (secure video) to eligible veterans in selected rural areas as stipulated in the Performance Work Statement.

TOTAL: _________________________

OPTION YEAR 2: May 1, 2022 – April 30, 2023

CLIN 2001

To provide telehealth services (secure video) to eligible veterans in selected rural areas as stipulated in the Performance Work Statement.

TOTAL: _________________________

OPTION YEAR 3: May 1, 2023 – April 30, 2024

CLIN 3001

To provide telehealth services (secure video) to eligible veterans in selected rural areas as stipulated in the Performance Work Statement.

TOTAL: __________________________

OPTION YEAR 4: May 1, 2024 – April 30, 2025

CLIN 4001

To provide telehealth services (secure video) to eligible veterans in selected rural areas as stipulated in the Performance Work Statement.

TOTAL: ________________________

GRAND TOTAL: _________________

NOTE: 52.217-8 “Option to Extend Services” is included as part of this solicitation and any contract that may result. For the purposes of this solicitation and any possible future contract that may result, the Government intends to evaluate the option to extend services under FAR 52.217-8 as follows:

The evaluation will consider the possibility that the option can be exercised at any time and can be exercised in increments of one to six months, but not for more than a total of six months during the life of the contract. 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 Offers relative to each other, and will not affect the ranking of Offers based on price, unless, after reviewing the Offers, 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.

End of Document

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