75FCMC18R0017_SF-30.pdf

(x)

75FCMC18R0017

x x 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 ACKNOWLEDGEMENT TO BE

RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY 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.

x

ASG - DPIFMC

BALTIMORE MD 21244-1850

7500 SECURITY BLVD., MS: B3-30-03

CMS,OAGM,ASG,DPIFMC

13. THIS ITEM ONLY APPLIES TO MODIFICATION OF CONTRACTS/ORDERS. IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

12. ACCOUNTING AND APPROPRIATION DATA (If required) is not extended.is extended, Items 8 and 15, and returning

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: (a) By completing

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

FACILITY CODE CODE

10B. DATED (SEE ITEM 13)

10A. MODIFICATION OF CONTRACT/ORDER NO.

9B. DATED (SEE ITEM 11)

9A. AMENDMENT OF SOLICITATION NO.

CODE

8. NAME AND ADDRESS OF CONTRACTOR (No., street, county, State and ZIP Code)

7. ADMINISTERED BY (If other than Item 6)CODE 6. ISSUED BY

PAGE OF PAGES

4. REQUISITION/PURCHASE REQ. NO.3. EFFECTIVE DATE

see block 16C.

2. AMENDMENT/MODIFICATION NO. 5. PROJECT NO. (If applicable)

1. CONTRACT ID CODE

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

09/28/2018

CHECK ONE A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER (Specify type of modification and authority) appropriation data, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

E. IMPORTANT: Contractor is not is required to sign this document and return __________________ copies to the issuing office.

ORDER NO. IN ITEM 10A.

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

75FCMC18R0017, Medical Record Review Contractor (MRRC A and MRRC B), is hereby amended as follows:

16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)15A. NAME AND TITLE OF SIGNER (Type or print)

15C. DATE SIGNED 16B. UNITED STATES OF AMERICA 15B. CONTRACTOR/OFFEROR 16C. DATE SIGNED

(Signature of person authorized to sign) (Signature of Contracting Officer)

Michael Connors

STANDARD FORM 30 (REV. 11/2016)

Prescribed by GSA FAR (48 CFR) 53.243

Previous edition unusable

1) On the Standard Form 33, Block 9 is hereby revised to extend the solicitation closing date to 12:00 noon ES on 10/31/2018.

2) In Section B, Subsection B.3 has been revised to update the title of the Subsection as indicated in the attached revised solicitation.

3) In Section F, Subsection F.2, Period of

Continued ...

Except as provided herein, all terms and conditions of the document referenced in Item 9 A or 10A, as heretofore changed, remains unchanged and in full force and effect .

X

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

2 3

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

75FCMC18R0017/0001

Performance, has been revised to correct the period of performance for the Base Period as indicated in the attached revised solicitation.

4) In Section G, Subsection G.15, Accounting System Requirement, has been incorporated in full text as indicated in the attached revised solicitation.

5) In Section H, Subsection H.1, Business Ethics, Conflict of Interest and Compliance, has been revised to update the Significant Potential

Conflicts of Interest as indicated in the attached revised solicitation.

6) In Section I, Subsection I.7, FAR 52.219-18 – Notification of Competition Limited to Eligible

8(a) Participants, has been revised to accurately reflect the full text of this clause as indicated in the attached revised solicitation.

7) In Section J, Subsection J.1, Medical Record Review Contractor (MRRC) A Statement of Work

(SOW), is removed in its entirety and replaced with the attached Medical Record Review

Contractor (MRRC) A Statement of Work (SOW), dated 10/22/2018. (Attached)

8) In Section J, Subsection J.2, Medical Record Review Contractor (MRRC) B Statement of Work

(SOW), is removed in its entirety and replaced with the attached Medical Record Review

Contractor (MRRC) B Statement of Work (SOW), dated 10/22/2018. (Attached)

9) In Section J, Subsection E.1, MRRC Business Proposal Template, is removed in its entirety and replaced with the attached MRRC Business Proposal

Template. (Attached)

10) In Section J, Subsection E.3, MRRC A and B Questions and Answers, is hereby incorporated to provide the Questions and Answers submitted in response to this RFP.

11) In Section L, Subsection L.2, FAR 52.215-20 – Requirements for Cost or Pricing Data and Data other than Certified Cost or Pricing Data, has been revised to correct item “(b)” as indicated in the attached revised solicitation.

12) In Section L, Subsection L.6, Solicitation Questions, has been revised to correct the email address of Janet Alvanzo as indicated in the attached revised solicitation.

13) In Section L, Subsection L.9, Technical Proposal Instructions, has been corrected to reflect the accurate subsection number as indicated in the attached revised solicitation.

Continued ...

NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)

Sponsored by GSA

FAR (48 CFR) 53.110

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

3 3

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

75FCMC18R0017/0001

14) In Section L, Subsection L.10, Business Proposal Instructions, has been corrected to reflect the accurate subsection number as indicated in the attached revised solicitation.

15) In Section L, Subsection L.10, Business Proposal Instructions, Section D.4 – Adequate

Accounting System, has been revised as indicated in the attached revised solicitation.

16) In Section L, Subsection L.11, Business Ethics, Conflicts of Interest and Compliance

Proposal Submission Instructions, has been corrected to reflect the accurate subsection number as indicated in the attached revised solicitation.

17) In Section L, Subsection L.12, FAR 52.204-22

– Alternative Line Item Proposal, has been corrected to reflect the accurate subsection number as indicated in the attached revised solicitation.

18) In Section M, Subsection M.5, Conflict of Interest Evaluation Factors for Award, item “2.”

has been revised as indicated in the attached revised solicitation.

All other terms and conditions remain unchanged.

Period of Performance: 03/01/2019 to 02/28/2020

NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)

Sponsored by GSA

FAR (48 CFR) 53.110