36C26119Q0911-0001000.docx
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- Solicitation number
- 36C26119Q0911
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36C26119Q0911 0001 36C26119Q0911 0001.docx
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36C26119Q0911 0001
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 ADM
INISTRATIVE 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 d ate 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 3
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) 08-21-2019 N/A
612MCP
Department of Veterans Affairs VA Sierra Pacific Network (VISN 21) VA Northern California HealthCare System 5342 Dudley Blvd, Bldg McClellan CA 95652-2609
612MCP
Department of Veterans Affairs Department of Veterans Affairs VA Northern California HealthCare System 3230 Peacekeeper Way, Bldg. 209 McClellan CA 95652-1012 To all Offerors/Bidders
36C26119Q0911
X X X
See CONTINUATION Page
a. Solicitation Number 36C26119Q0911 HCHV services fro VASNHCS has been extended from August 21, 2019 at 3:00PM PST to August 28, 2019 at 3:00PM PST
b. Please replace Schedule of Services and Price with the incorporated Schedule of Services and Price on pages 2 - 4
c. There are no other changes to the terms and conditions of the RFQ as result of this modification.
Durell Salaz Contracting Officer
REPLACED WITH
B.2 SCHEDULE OF PRICE AND SERVICES
Contractor shall provide Emergency Residential Treatment Services to Homeless Veterans in a community-based housing facility, offering a safe and secure environment that supports their goals for recovery for the VA Sierra Nevada Health Care System. The “day” unit is defined as room and board to accommodate one (1) Veteran per bed/per night (DAY is considered 24 hours). All services shall be provided in accordance with Performance Work Statement (PWS) contained herein.
The guaranteed minimum award amount for this contract is $1,000. The maximum aggregate value of orders that can be placed under this contract is $1,500,000.00. The Government does not guarantee that it will place any orders under this contract more than the guaranteed minimum award amount.
ORDERING PERIOD ONE: October 1, 2019 – September 30, 2020
| CLIN NO. |
| DESCRIPTION |
| EST. QTY |
| UNIT |
| UNIT PRICE |
| TOTAL PRICE |
| 1001 |
| Provide 7 beds per day to Homeless Veterans on a per diem basis in accordance with the PWS |
| 2,555 |
| DY |
| $ |
| $ |
(7 Beds x 365 day = 2,555)
| Grand Total for Ordering Period One |
| $ |
ORDERING PERIOD TWO: October 1, 2020 – September 30, 2021
| CLIN NO. |
| DESCRIPTION |
| EST. QTY |
| UNIT |
| UNIT PRICE |
| TOTAL PRICE |
| 2001 |
| Provide 7 beds per day to Homeless Veterans on a per diem basis in accordance with the PWS |
| 2,555 |
| DY |
| $ |
| $ |
(7 Beds x 366 day = 2,562)
| Grand Total for Ordering Period Two |
| $ |
ORDERING PERIOD THREE: October 1, 2021 – September 30, 2022
| CLIN NO. |
| DESCRIPTION |
| EST. QTY |
| UNIT |
| UNIT PRICE |
| TOTAL PRICE |
| 3001 |
| Provide 7 beds per day to Homeless Veterans on a per diem basis in accordance with the PWS |
| 2,555 |
| DY |
| $ |
| $ |
(7 Beds x 365 day = 2,555)
| Grand Total for Ordering Period Three |
| $ |
ORDERING PERIOD FOUR: October 1, 2022 – September 30, 2023
| CLIN NO. |
| DESCRIPTION |
| EST. QTY |
| UNIT |
| UNIT PRICE |
| TOTAL PRICE |
| 4001 |
| Provide 7 beds per day to Homeless Veterans on a per diem basis in accordance with the PWS |
| 2,555 |
| DY |
| $ |
| $ |
(7 Beds x 365 day = 2,555)
| Grand Total for Ordering Period Four |
| $ |
ORDERING PERIOD FIVE: October 1, 2023 – September 30, 2024
| CLIN NO. |
| DESCRIPTION |
| EST. QTY |
| UNIT |
| UNIT PRICE |
| TOTAL PRICE |
| 5001 |
| Provide 7 beds per day to Homeless Veterans on a per diem basis in accordance with the PWS |
| 2,562 |
| DY |
| $ |
| $ |
(7 Beds x 366 day = 2,562)
| Grand Total for Ordering Period Five |
| $ |
| ORDERING PERIOD ONE: | $ | ||
| ORDERING PERIOD TWO: | $ | ||
| ORDERING PERIOD THREE: | $ | ||
| ORDERING PERIOD FOUR: | $ | ||
| ORDERING PERIOD FIVE: | $__________________ | ||
| TOTAL AMOUNT FOR ALL ORDERING PERIODS: | $ |
Note: If 52.217-8 if utilized, the period immediately preceding ordering Period Five pricing will be utilized for the duration of the extension.
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