FSS-621-I - North Texas Investors Group, Inc. - 36F79720D0006

A M E N D M E NT OF SOLI CITATION/M O DIFICATION OF CONTRACT

I BPA NO.

1 - CONTRACT ID CODE

I

PAG

OF PAGES

2. AMENDMEN T/MODIFICAT ION NUMBER 3. EFFECTIVE DATE 4. REQUISITION/PURCHASE REQ. NUMBER 5. PROJECT NUMBER (if applicable) P O O O O S

6 . ISSUED BY CODE

U . S . DE PARTMEN T OF VETERANS AFFA I RS

OPAL / NAT I O N�_L ACQU I S ITION CENTER

1 ST AVE , OKE BLK NORTH OF CERMAK RD

1 1 - 0 1 - 2 02 4

0 0 3B6B 7 . ADMINISTERED BY (If other than Item 6)

Dep a r tment o f V e t e r a n s Af f a i r s

OPAL / NATI ONAL AC QU I S I T I ON CENTER

Building 37

2 5 - 0 2 8 4

CODE I 0 0 3B6B

P . O . BOX 7 6 ( BLDG 3 7 ) 1 s t Avenue , One Bloc k N o r t h of Cermak H I N E S I L 6 C l 4 1 H i n e s I L 6 0 1 4 1

6. NAME AND AOORESS OF CONT RACTOR (Number . ..,eel. county, Stata and ZIP Code) (X) 9A. AMENDMENT OF SOLIC ITATION NUMBER

NORT H TEXAS I NVESTORS GROU P , INC .

WH I TEHAWK WORLDW I DE □ 98. DATED (SEE ITEM 1 1 )

1 2 7 1 3 W I LDCA T WAY N . 10A. MOOIFICATION OF CONTRACT/ORDER NUMBER

3 6 F7 9 7 2 0 D0 0 0 6

BURLE S ON T X 7 6 0 2 8 El

108. DATED (SEE ITEM 13)

CODE 6 0 ZG 3 FACILI T Y COOE

1 1 . THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

0 T he above numbered solicitation is amended as set forth in Item 14 . The hour and date specified for receipt of Offers O is extended, 0 is not extended.

Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the foll owing methods:

(a) By completing I tems 8 and 1 5 , and returning _ ____ copies of the am endment; {b) By acknowledging receipt of this ame ndment on each copy of the o ffer subm itted ; or (c) By sepa rate letter or e lectronic communication which includes a referen ce to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMEN T TO BE RECEIVE D AT THE PLACE DESIGNATED FOR THE RECEIPT OF OF FERS PRIOR TO THE H OUR AND DATE SPECIF IED M AY RESUL T IN REJEC TION 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 com munication , provided each l etter or electronic communica tion makes reference to the solicitation and this amendment, and is received prior to the ope n ing hour and date specified .

1 2. ACCOUN TING AND APPROPRIATION DATA (If requi red)

1 3. THIS ITEM APPLIES ON LY TO MODIFICATIONS OF CONTRACTS/ORDERS,

I T MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITE M 14.

c��? 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 1 0A.

TI

B. THE ABOVE NUMBERED CONTRAC T/ORDER IS MODIFIED TO REFLECT THE ADM INIS TRATIVE CHANGES SE T FORTH IN I TEM 14, PURSUAN T TO TH E AU THORITY OF FAR 43. 1 03(b).

(such as changes in paying offic e, appropriation date, etc.)

EJ

C. THIS SUPPLEMEN TAL AGREEMEN T IS EN TERED INTO PURSUANT TO AUTHORITY OF:

D. O THER (Specify type of modification and authority)

5 2 . 2 1 2 - 1 ( c ) C on t rac t Te rms and Condi t i on s Commerc ia l I t ems ( Ch ange s )

E. IMPORTANT: Cont ractor D is not, 0 is required to sign this document and return 1 ( ONE ) copies to the issuing office.

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including soticltatlon/contract subject matter where feasible.)

FSC 62 1 1 � P ro fe s s i onal an d Al l ied He a l thcare S t af f i ng Se rvi ce s - ECONOM I C PRICE ADJUSTMENT

Th i s bi la cera modi fica tio n i s be ing i ss ued to i nco rpora te the a ttached economi c price adj u stmen t ( s ) , Tracking Cus tomer , and the T rac ki ng Cu s tomer and Tra cking Cus tomer Ra t i os in t o the con t rac t li s ted in block 1 0a he re in .

Re fer to the Page 2 fo r aw a rded pr i c in g adj u s tmen ts and C P I Us .

Re fer to the Page 3 for Aw arded S IN s , Labor Ca tegor i es , Tracki ng Cu s tomer , and Tra cking Customer Ra ti os .

Except as p rovided herein. el tenns and conditions of the docu m e nt referenced In Item 9A or 1 OA. as heretofore changed, remains unchanged and in fuD force and effect

15A. NAME AND TI TLE OF SIGNER

Al Rudin Pres ide n t

( Type "' print)

158. CON T RAC TOR/OFFE

(Signature of person authorized to sign}

PREVIOUS EDI TION NOT USABLE

15C. DATE SIGNED

1 0/25/2024

16A. NAME AND TITLE OF CONTRACTING OFFICER

Tho:nas Pe ttis Con tra c ling Offi cer

(Type Of print)

166. UNITED STATES OF AMERICA 16C. DATE SIGNED

THQMAS PETTIS

Digitally signed by THOMAS P�"f;IS

(Signature of (',oniP.�-28 15.31.46 6566 1 0/29/2024

STANDARD FORM 30 (REV. 11/2016) Presalbad by GSA · FAR (48 CFR) 53.243 r

FSS/621I

North Texas Investors Group, Inc dba Whitehawk Worldwide

36F79720D0006

P0000S/T#25-0284

FSS Economic Pricing Adjustments

SIN Labor Category Old NTE New NTE

Price with Price with

IFF IFF

621-025 Registered Nurse-General-MedSurg $55.64 $63.29

621-025 Registered Nurse-Specialized-Emergency Room $66.66 $80.84

621-038 Licensed Practical Nurse $36.53 $50.12

621-040 (NA/Patient Care $25.60 $33.83

All prices awarded shown above are based on commercial non-catalog pricing and is subject to Clause

I-FSS-969, Economic Price Adjustment. The base index factor for determining price adjustment annually is identified as 427.8160, representing the CPIU DOL ID CUUROOOOSEMC, CUUSOOOOSEMC for August 2024.

Current Department of Labor SCA Wage Determinations under 12000 series by state/county and

Health and Welfare applies to the above SINs "not to exceed" rates.

Pursuant to clause 552.238-77 Submission & Distribution of Authorized FSS Schedule Pricelist, Contractor is required to provide a draft version of the FSS pricelist that incorporates the change(s) outlined in this modification for review and approval by the Contracting Officer (CO) prior to dissemination. The revision may be in the form of a supplement or cumulative edition. The revised/updated pricelist shall identify the supplement number, effective date (see block 3 of SF30) and must conform to the required format.

The draft copy of the pricelist is shall be submitted to the CO within 14 days from the modification effective date. Once the FSS pricelist has been approved by the CO, Contractor shall upload the pricelist to GSA Advantage in accordance with clause 552.238-88 GSA Advantage! The website is

(http://vsc.gsa.gov).

Note: NTE - Not to Exceed Rate

All terms and conditions of the basic contract remains unchanged and in full force and effect.

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Awarded SINs, Labor Categories, Tracking Customer, and Tracking Customer Ratios

Tracking Customer (TC) Name FSS Ceiling FSS Ceiling

Labor Category Description (Job Title) & Basis of Award Location Price without Price with Red "A"=

SIN Including Subcategory, If Applicable (City) TC Ratio IFF IFF Awarded

621-025 RN GENERAL/MedSurg Houston, TX 1.00 $62.66 $63.29 A

621-025 RN SPECIAL TY /Emergency Room Houston, TX 1.00 $80.03 $80.84 A

621-038 LICENSED PRACTICAL NURSE Houston, TX 1.00 $49.62 $50.12 A

621-040 CNA/Patient Care Houston, TX 1.00 $33.49 $33.83 A

Awarded Pricing 1 of 1