36C26119Q0911-0001000.docx

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Emergency Residential Treatment Services in Washoe County
Solicitation number
36C26119Q0911
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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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