49100421Q0078 Amendment 0001.pdf

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)

1 6

0001 06-08-2021

National Science Foundation Div. of Acq. & Cooperative Support 2415 Eisenhower Ave.

Alexandria VA 22314

DACS

National Science Foundation Div. of Acq. & Cooperative Support 2415 Eisenhower Ave.

Alexandria VA 22314

To all Offerors/Bidders 49100421Q0078

X

X X

28 JUNE 2021 1:00PM EST

See CONTINUATION Page

The purpose of this amendment is to do the following:

1. Establish CLINs capturing travel costs associated with performance.

2. Include language in the statement of work relating to anticipated travel requirements.

3. Extend the offer due date FROM 14 June 2021 TO 28 June 2021 (1:00pm EST).

4. FAR 52.212-1 Instruction to Offerors has been amended to reflect that signed SF1449 and SF30 documents are required to be submitted with the offeror’s response.

Note: Offerors must complete section 8 above and sign in section 15 below and include this page in their offer.

This is to ensure that they have read and understood the changes in this amendment.

William Engelhart, Contracting Officer

49100421Q0078 0001

A.1 PRICE/COST SCHEDULE

ITEM INFORMATION

ITEM

NUMBER

DESCRIPTION OF

SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

600.00 HR __________________ __________________

Physician Support Services Contract Period: Base POP Begin: 08-02-2021 POP End: 08-01-2022

Physician Support Services - Option Period One Contract Period: Option 1 POP Begin: 08-02-2022 POP End: 08-01-2023

Physician Support Services - Option Period Two Contract Period: Option 2 POP Begin: 08-02-2023 POP End: 08-01-2024

Physician Support Services - Option Period Three Contract Period: Option 3 POP Begin: 08-02-2024 POP End: 08-01-2025

Physician Support Services - Option Period Four Contract Period: Option 4 POP Begin: 08-02-2025 POP End: 08-01-2026

300.00 HR __________________ __________________

Physician Support Services - Six Month Extension under Clause 52.217-8.

Contract Period: Option 5 POP Begin:

POP End:

0001T

1.00 EA $5,500.00 $5,500.00

Physician Support Services - Travel Contract Period: Base POP Begin: 08-02-2021 POP End: 08-01-2022

0002T

Physician Support Services - Travel (Option Period One) Contract Period: Option 1 POP Begin: 08-02-2022 POP End: 08-01-2023

0003T

Physician Support Services - Travel (Option Period Two) Contract Period: Option 2 POP Begin: 08-02-2023 POP End: 08-01-2024

0004T

Physician Support Services - Travel (Option Period Three) Contract Period: Option 3 POP Begin: 08-02-2024 POP End: 08-01-2025

0005T

Physician Support Services - Travel (Option Period Four) Contract Period: Option 4 POP Begin: 08-02-2025 POP End: 08-01-2026

0006T

1.00 EA $2,250.00 $2,250.00

Physician Support Services - Travel (Six Month Extension under Clause 52.217-8) Contract Period: Option 5 POP Begin:

POP End:

GRAND TOTAL __________________

CONTINUATION PAGE

STATEMENT OF WORK

The NSF Office of Polar Programs (OPP), Safety and Occupational Health Officer has a need for physician support to OPP due to the COVID-19 pandemic and for other medical concerns.

In order to successfully provide this support, the following needs to be understood:

• This position falls within the Supervisory Safety and Occupational Health Officers oversight and is a member of the Safety and Occupational Health team. As such, is a Front Office position falling directly under the Director, Office of Polar Programs.

• This could involve late night calls for medical emergencies that need a physician’s oversight and during the day, urgent medical consultation as needed. Flexibility with support will be needed with prior notification for times when vacation and other matters may prohibit contract execution so that other coverage for medical support can be secured as able. It is understood emergent situations may arise where limited to no notification can occur.

• Medical support for waiver and other related matters requires compliance with 45 CFR 675- Medical Clearance Process for Deployment to Antarctica.

• The NSF OPP work environments are extreme and can involve riding on military aircraft (C130s and C17s), helicopters, research vessels/ships on rough seas, and of course in extreme cold weather. The NSF OPP will provide extreme cold weather gear to include boots (minus underwear and socks). Due to this, NSF OPP requires that all personnel traveling to research stations in the Antarctic and Arctic program pass a medical PQ (Physical Qualification) process.

The services to be provided are:

1. Medical support for waiver and other related matters requires compliance with 45 CFR 675- Medical Clearance Process for Deployment to Antarctica.

2. Attendance at formal, reoccurring meetings and informal meetings (as able).

3. Ability to be available for contact with a response within a reasonable amount of time (two hours).

4. Review complicated medical waivers and recommend approval or denial to the Safety and

Occupational Health Officer in a written format with justification.

5. Provide consultation on serious medical concerns such as, but not limited to, infection control and medical response plans being developed for COVID-19 by both the Arctic and Antarctic Programs.

6. Act as the NSF OPP liaison with the Medical Review Panel (MRP), attending the annual meeting, as well as any formal and informal meetings throughout the year. Provide an expert review of any MRP recommendation for appropriateness developing an ultimate written recommendation for concurrence or non-concurrence sent through the Safety and Occupational Health Officer to the Director, Office of Polar Programs.

7. Provide any other medical review/support requested or advise on any medical concern identified on own accord that could be value-add to the OPP mission.

Travel:

There are anticipated travel requirements to visit NSF’s headquarters in Alexandria, Virginia on an annual basis to attend the MRP. The MRP is a two-day event held between the end of May and middle of June.

Every two to three years there are anticipated travel requirements to visit McMurdo Station in Antarctica and Summit Station in Greenland. Transportation, lodging, and cold weather apparel and equipment will be provided by NSF and will be coordinated with the contractor prior to travel.

Incurred travel costs are allocated to specific travel CLINs and all costs will be captured in accordance with FAR 31.205-46. Per 31.205-46(a)(2)(i), the Federal Travel Regulations’ (FTR) rates will be used for travel in the contiguous United States. The most up-to-date copy of the FTR can be found on the US General Services Administration (GSA) website. The current allowable per diem rates are also available on GSA’s website. Travel to McMurdo and Summit will be handled separately and in coordination with

NSF.

ADDITIONAL PROVISIONS/TERMS AND CONDITIONS

ADDENDUM to FAR 52.212-1 Instructions to Offerors—Commercial Items

Provisions that are incorporated by reference (by Citation Number, Title, and Date), have the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available.

The following provisions are incorporated into 52.212-1 as an addendum to this solicitation:

NOTICE TO OFFERORS

In order to be considered responsive to this solicitation and eligible for award, each offeror must provide the following:

1) A completed Med Advisor Evaluation Sheet. This is an excel document provided with the solicitation. It may be submitted as an excel sheet, no need to convert to PDF.

2) A resume detailing pertinent career history. Format, length, and detail is at the offeror’s discretion.

• At minimum, the resume should be detailed enough to capture work experience substantiating the offeror’s claims of work experience provided in the Evaluation Sheet above.

3) A signed copy of this solicitation’s SF1449 cover sheet as well as a signed SF30 cover sheet of any amendments. These documents convey your acceptance of all terms and conditions.

A NOTE ON PRICING and LEVEL OF EFFORT

• NSF expects one (1) advisor to perform the above duties. For the sake of effective communication NSF does not desire multiple individuals fulfilling the requirement.

• The 600 hours per year is fixed, as in quotes for fewer or more hours will not be considered acceptable. It is not guaranteed that all 600 hours in a given year will be used.

• This is not intended to be a full-time-equivalent position, IE, it will not fill a 40-hour work week.

o Efforts may involve late night calls for medical emergencies that need a physician’s oversight and during the day, urgent medical consultation as needed. Flexibility with support will be needed with prior notification for times when vacation and other matters may prohibit contract execution so that other coverage for medical support can be secured as able. It is understood that emergent situations may arise where limited to no notification can occur.

Date2_af_date: 6/8/21