36C77619Q0072-0001000.docx
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- 'Rural Health Simulation HES Coordinator
- Solicitation number
- 36C77619Q0072
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FedBizOpps Amendment to a Previous Combined Solicitation
CLASSIFICATION CODE
SUBJECT
CONTRACTING OFFICE'S
ZIP-CODE
SOLICITATION NUMBER
BASE NOTICE TYPE
RESPONSE DATE (MM-DD-YYYY)
ARCHIVE
DAYS AFTER THE RESPONSE DATE
RECOVERY ACT FUNDS
SET-ASIDE
NAICS CODE
CONTRACTING OFFICE
ADDRESS
POINT OF CONTACT
(POC Information Automatically Filled from User Profile Unless Entered)
DESCRIPTION
See Attachment
AGENCY'S URL
URL DESCRIPTION
AGENCY CONTACT'S EMAIL
ADDRESS
EMAIL DESCRIPTION
ADDRESS
POSTAL CODE
COUNTRY
ADDITIONAL INFORMATION
GENERAL INFORMATION
PLACE OF PERFORMANCE
* = Required Field FedBizOpps Amendment to a Previous Combined Solicitation Rev. March 2010 R 'Rural Health Simulation HES Coordinator 63123 36C77619Q0072 03-19-2019 N 561210 Department of Veteran Affairs
PCAC-ST. LOUIS
11152 South Towne Square Saint Louis MO 63123
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) 777-19-2-6702-0015
NONE
00776 Department of Veteran Affairs
PCAC-ST. LOUIS
11152 South Towne Square Saint Louis MO 63123 00776 Department of Veterans Affairs
PCAC-ST. LOUIS
11152 South Towne Square St. Louis MO 63123 To all Offerors/Bidders
36C77619Q0072 03-05-2019
X X X
See CONTINUATION Page The purpose of the amendment is to designate this as a SDVOSB Set Aside and attach a schedule.
All other terms and condition remain unchanged.
CONTINUATION PAGE
A.1 PRICE/COST SCHEDULE
ITEM INFORMATION
| ITEM NUMBER |
| DESCRIPTION OF SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
| 12.00 |
| JB |
| __________________ |
| __________________ |
TRACE CODE: 19.SIM.MA.RH.HES.CONTRACT.A
ONE RURAL HEALTH SIMULATION HEALTH EDUCATION SPECIALIST (RuHSES) TO PERFORM ALL LABOR, SUPERVISION, AND OTHER RESURCES REQUIRED TO SUPPORT PLANNING, EXECUTION, EVALUATION, AND PROCESS IMPROVEMENT FOR THE OPERATIONAL OVERVIEW FOR RUAL HEALTH SUPPORTED SIMULATION TRAINING FACILITIES.
| 6.00 |
| EA |
| __________________ |
| __________________ |
Travel IAW the Federal Travel Regulation.
“Travel and per diem is a cost reimbursable item and shall be reimbursed in accordance with VA/Federal Travel Regulations (FTR). Each contractor invoice must include copies of ALL receipts that support the travel costs claimed in the invoice. The contractor is only entitled to actual cost spent while on travel that falls within the perimeters as set forth within the FTR, to include food. Travel must be priced separately in the price schedule. Local travel within a 50-mile radius from the contractor’s facility is considered the cost of doing business and will not be reimbursed. This includes travel, subsistence, and associated labor charges for travel time. Travel performed for personal convenience and daily travel to and from work at the contractor’s facility will not be reimbursed. Travel, subsistence, and associated labor charges for travel time for travel beyond a 50-mile radius of the contractor’s facility are authorized on a case-by-case basis and must be pre-approved by the COR.”
The contractor shall invoices for payment no later than 30 days after training event to include copies of ALL receipts that support travel costs (air fare, baggage, lodging, taxi, etc) claimed in the invoice.
| GRAND TOTAL |
| __________________ |
A.2 DELIVERY SCHEDULE
| ITEM NUMBER |
| QUANTITY |
| DELIVERY DATE |
| 0001 |
| SHIP TO: |
| DEPARTMENT OF VETERANS AFFAIRS |
SIMLEARN NATIONAL CENTER
6490 HAZELTINE NATIONAL DRIVE SUITE 120
ORLANDO, FL 32822
USA
12.00
| MARK FOR: |
| PEGGY CIVILETTI |
(407) 631-9536 Peggy.Civiletti@va.gov
| 0002 |
| SHIP TO: |
| DEPARTMENT OF VETERANS AFFAIRS |
SIMLEARN NATIONAL CENTER
6490 HAZELTINE NATIONAL DRIVE SUITE 120
ORLANDO, FL 32822
USA
6.00
| MARK FOR: |
| PEGGY CIVILETTI |
(407) 631-9536 Peggy.Civiletti@va.gov
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