36C26023Q0247 0002.docx

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V226--Wheelchair Transportation Services - 692
Solicitation number
36C26023Q0247
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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 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 36C260 Network Contracting Office 20

ATTN: V4CONT

1601 E. Fourth Plain Blvd Bldg.17, Suite B428 Vancouver WA 98661 36C260 Network Contracting Office 20

ATTN: V4CONT

1601 E. Fourth Plain Blvd Bldg.17, Suite B428 Vancouver WA 98661 To all Offerors/Bidders

36C26023Q0247 02-24-2023

X X X New Quote Due Date: 03/02/2023 16:00 PT X One (01) The purpose of Amendment 002 is to make updates to the Price Schedule formula.

Please see Continuation Pages for revised Price Schedule when submitting quotes.

All Quoters shall utilize this new Price Schedule when submitting quotes.

New Quote Due Date: 03/02/2023 16:00 Pacific Time.

VA Contracting POC is Andrew O'Neal at Andrew.O'Neal@va.gov

Ross Byrne Contracting Officer

B.2 PRICE/COST SCHEDULE

Ordering Period One 5/1/2023 – 4/30/2024

CLIN
Description Of Services – Services Non-personal
Estimated QTY
UNIT
UNIT PRICE
TOTAL COST
0001
Stretcher/Gurney transport trips within the 50 mile threshold.
75
TRIP
$
$
0002
Stretcher/Gurney mileage per mile outside the 50 mile threshold (51+)
3,750
MILE
$
$
0003
Wheelchair transport trips within the 50 mile threshold.
600
TRIP
$
$
0004
Wheelchair mileage per mile outside the 50 mile threshold (51+)
8,000
MILE
$
$
0005
Additional Contractor transport aide when authorized by VA Program Office for wheelchair or stretcher/gurney transport services.
100
EA
$
$
0006
Oxygen, E-Cylinder with minimum two (2) hour run time
10
EA
$
$
0007
Wait Time for Wheelchair or Stretcher/Gurney transport (15 Minute increments each)
50
EA
$
$

TOTAL

Ordering Period Two 5/1/2024 – 4/30/2025

CLIN
Description Of Services – Services Non-personal
Estimated QTY
UNIT
UNIT PRICE
TOTAL COST
0001
Stretcher/Gurney transport trips within the 50 mile threshold.
75
TRIP
$
$
0002
Stretcher/Gurney mileage per mile outside the 50 mile threshold (51+)
3,750
MILE
$
$
0003
Wheelchair transport trips within the 50 mile threshold.
600
TRIP
$
$
0004
Wheelchair mileage per mile outside the 50 mile threshold (51+)
8,000
MILE
$
$
0005
Additional Contractor transport aide when authorized by VA Program Office for wheelchair or stretcher/gurney transport services.
100
EA
$
$
0006
Oxygen, E-Cylinder with minimum two (2) hour run time
10
EA
$
$
0007
Wait Time for Wheelchair or Stretcher/Gurney transport (15 Minute increments each)
50
EA
$
$

Ordering Period Three 5/1/2025 – 4/30/2026

CLIN
Description Of Services – Services Non-personal
Estimated QTY
UNIT
UNIT PRICE
TOTAL COST
0001
Stretcher/Gurney transport trips within the 50 mile threshold.
75
TRIP
$
$
0002
Stretcher/Gurney mileage per mile outside the 50 mile threshold (51+)
3,750
MILE
$
$
0003
Wheelchair transport trips within the 50 mile threshold.
600
TRIP
$
$
0004
Wheelchair mileage per mile outside the 50 mile threshold (51+)
8,000
MILE
$
$
0005
Additional Contractor transport aide when authorized by VA Program Office for wheelchair or stretcher/gurney transport services.
100
EA
$
$
0006
Oxygen, E-Cylinder with minimum two (2) hour run time
10
EA
$
$
0007
Wait Time for Wheelchair or Stretcher/Gurney transport (15 Minute increments each)
50
EA
$
$

Ordering Period Four 5/1/2026 – 4/30/2027

CLIN
Description Of Services – Services Non-personal
Estimated QTY
UNIT
UNIT PRICE
TOTAL COST
0001
Stretcher/Gurney transport trips within the 50 mile threshold.
75
TRIP
$
$
0002
Stretcher/Gurney mileage per mile outside the 50 mile threshold (51+)
3,750
MILE
$
$
0003
Wheelchair transport trips within the 50 mile threshold.
600
TRIP
$
$
0004
Wheelchair mileage per mile outside the 50 mile threshold (51+)
8,000
MILE
$
$
0005
Additional Contractor transport aide when authorized by VA Program Office for wheelchair or stretcher/gurney transport services.
100
EA
$
$
0006
Oxygen, E-Cylinder with minimum two (2) hour run time
10
EA
$
$
0007
Wait Time for Wheelchair or Stretcher/Gurney transport (15 Minute increments each)
50
EA
$
$

Ordering Period Five 5/1/2027 – 4/30/2028

CLIN
Description Of Services – Services Non-personal
Estimated QTY
UNIT
UNIT PRICE
TOTAL COST
0001
Stretcher/Gurney transport trips within the 50 mile threshold.
75
TRIP
$
$
0002
Stretcher/Gurney mileage per mile outside the 50 mile threshold (51+)
3,750
MILE
$
$
0003
Wheelchair transport trips within the 50 mile threshold.
600
TRIP
$
$
0004
Wheelchair mileage per mile outside the 50 mile threshold (51+)
8,000
MILE
$
$
0005
Additional Contractor transport aide when authorized by VA Program Office for wheelchair or stretcher/gurney transport services.
100
EA
$
$
0006
Oxygen, E-Cylinder with minimum two (2) hour run time
10
EA
$
$
0007
Wait Time for Wheelchair or Stretcher/Gurney transport (15 Minute increments each)
50
EA
$
$

Ordering Period One Total

Ordering Period Two Total

Ordering Period Three Total

Ordering Period Four Total

Ordering Period Five Total

GRAND TOTAL

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