36C26121Q0412 0001.docx

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)

To all Offerors/Bidders

36C26121Q0412 03-10-2021

X X X

12:00 PM, 03/23/2021

A.

The purpose of this amendment is to extend the closing date from 19 March 2021 12:00 PM to 23 March 2021 12:00 PM.

B. This amendment is to change the terms of the Schedule of Services on Page 6, changes are reflected on the continuation page.

C. This amendment is to change the terms of the Performance Work Statement on Page 11, changes are reflected on the continuation page.

E. Offerors are expected to provide signed copies of all SF30 Amendments.

D. All remaining terms and conditions remain the same.

Charles Dutkevitch Contracting Officer

CONTINUATION PAGE

A. Schedule Changes Reads As:

Period 1: April 1, 2021 through March 31, 2022

Key Personnel

0001a

0001b

0001c

Sub Total:

Period 2: April 1, 2022 through March 31, 2023

Key Personnel

1001a

1001b

1001c

Sub Total:

Period 3: April 1, 2023 through March 31, 2024

Key Personnel

2001a

2001b

2001c

Sub Total:

Period 4: April 1, 2024 through March 31, 2025

Key Personnel

3001a

3001b

3001c

Sub Total:

Period 5: April 1, 2025 through March 31, 2026

Key Personnel

4001a

4001b

4001c

Sub Total:

Amended to:

Period 1: April 1, 2021 through March 31, 2022

Key Personnel

0001a

0001b

0001c

Sub Total:

Period 2: April 1, 2022 through March 31, 2023

Key Personnel

1001a

1001b

1001c

Sub Total:

Period 3: April 1, 2023 through March 31, 2024

Key Personnel

2001a

2001b

2001c

Sub Total:

Period 4: April 1, 2024 through March 31, 2025

Key Personnel

3001a

3001b

3001c

Sub Total:

Period 5: April 1, 2025 through March 31, 2026

Key Personnel

4001a

4001b

4001c

Sub Total:

*Note- Services shall be available from the Contractor for the 2.0 FTE, Monday – Wednesday and Friday from 7:00AM – 5:00PM, 10 hours per day. Call hours are any hours to fulfill coverage 24 hours per day, seven days per week, including weekends and federal holidays. Contractor must provide coverage for all required shifts, including nights, weekends, and holidays. Sunday through Saturday, including federal holidays.

B. Performance Work Statement Changes Reads As:

1.5.47. VetPro: a federal web-based credentialing program for healthcare providers.

1.1.1. Veterans Affairs Medical Center (VAMC): Unless identified with the name of a different VA Medical Center, for the purpose of this contract, this term shall mean the VA Palo Alto re System (VAPAHCS).

Amend to:

1.5.47. VetPro: a federal web-based credentialing program for healthcare providers.

1.1.1. Veterans Affairs Medical Center (VAMC): Unless identified with the name of a different VA Medical Center, for the purpose of this contract, this term shall mean the VA San Francisco Health Care System (VASFHCS).

Reads As:

3.1.2. Work Schedule: Services shall be available from the Contractor 24 hours per day, seven days per week, including weekends and federal holidays. Contractor must provide coverage for all required shifts, including nights, weekends, and holidays. Sunday through Saturday, including federal holidays as outlined in 3.2.

3.1.3. Off-hours Coverage: Contractor must make the Contractor’s perfusionist(s) available on-call during all hours when the VAPAHCS OR and Cath Lab are closed, including evenings, weekends and holidays.

Amend to:

3.1.2. Work Schedule: Services shall be available from the Contractor for the 2.0 FTE, Monday – Wednesday and Friday from 7:00AM – 5:00PM, 10 hours per day. Call hours are any hours to fulfill coverage 24 hours per day, seven days per week, including weekends and federal holidays. Contractor must provide coverage for all required shifts, including nights, weekends, and holidays. Sunday through Saturday, including federal holidays as outlined in 3.2.

3.1.3. Off-hours Coverage: Contractor must make the Contractor’s perfusionist(s) available on-call during all hours when the VASFHCS OR and Cath Lab are closed, including evenings, weekends and holidays.

Read As:

4.6.4.7 Measure: Mandatory Training

Performance Requirement: Contractor shall complete all required training on time per VAPAHCS policy.

Amend to:

4.6.4.7 Measure: Mandatory Training

Performance Requirement: Contractor shall complete all required training on time per VASFHCS policy.

Read As:

4.6.4.8 Mandatory Privacy, Confidentiality and HIPAA

Performance Requirement: Contractor perfusionist (s) shall complete all required training on time per VAPAHCS policy. Contractor perfusionist (s) is aware of all laws, regulations, policies and procedures relating to Privacy, Confidentiality, and HIPAA and complies with all standards Zero breaches of privacy or confidentiality.

4.6.4.8 Mandatory Privacy, Confidentiality and HIPAA

Performance Requirement: Contractor perfusionist (s) shall complete all required training on time per VASFHCS policy. Contractor perfusionist (s) is aware of all laws, regulations, policies and procedures relating to Privacy, Confidentiality, and HIPAA and complies with all standards Zero breaches of privacy or confidentiality.

Read As:

4.6.4.8 Mandatory Privacy, Confidentiality and HIPAA

Performance Requirement: Contractor perfusionist (s) shall complete all required training on time per VAPAHCS policy. Contractor perfusionist (s) is aware of all laws, regulations, policies and procedures relating to Privacy, Confidentiality, and HIPAA and complies with all standards Zero breaches of privacy or confidentiality.

Standard: All (100%) contractor perfusionist (s) shall comply with all laws, regulations, policies and procedures relating to Privacy, Confidentiality, and HIPAA.

Acceptable Quality Level: 100% completions Surveillance Method: Periodic sampling and Periodic Inspection; Contractor shall provide evidence of annual training required by VAPAHCS, reports violations per VA Directive 6500.6.

4.6.4.8 Mandatory Privacy, Confidentiality and HIPAA

Performance Requirement: Contractor perfusionist (s) shall complete all required training on time per VASFHCS policy. Contractor perfusionist (s) is aware of all laws, regulations, policies and procedures relating to Privacy, Confidentiality, and HIPAA and complies with all standards Zero breaches of privacy or confidentiality.

Standard: All (100%) contractor perfusionist (s) shall comply with all laws, regulations, policies and procedures relating to Privacy, Confidentiality, and HIPAA.

Acceptable Quality Level: 100% completions Surveillance Method: Periodic sampling and Periodic Inspection; Contractor shall provide evidence of annual training required by VASFHCS, reports violations per VA Directive 6500.6.

End of Amendment