Amendment 0001_75H701-20-R-00038.docx

2. AMENDMENT/MODIFICATION NUMBER

6. ISSUED BY CODE

11. (

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

1. CONTRACT ID CODE

PAGE

OF

PAGES

Indian Health Service - DES 701 Fifth Avenue, Suite 1600 MS/24 Seattle, WA 98104

SEE BLOCK 6

8. NAME AND ADDRESS OF CONTRACTOR

(Number, street, county, State and ZIP Code) (X)

9A. AMENDMENT OF SOLICITATION NUMBER

75H701-20-R-00038 9B

. DATED

(SEE ITEM

11) 05/28/2020

10A. MODIFICATION OF CONTRACT/ORDER NUMBER

10B. DATED

(SEE ITEM 13)

CODE

FACILITY CODE

)THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

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

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 following methods:

(a) By completing items 8 and 15, and returning 1 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 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.

12. ACCOUNTING AND APPROPRIATION DATA (If required)

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS.

IT MODIFIES THE CONTRACT/ORDER NUMBER AS DESCRIBED IN ITEM 14.

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, appropriation data, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER (Specify type of modification and authority)

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

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

SUMMARY OF CHANGES:

The purpose of this amendment is to: (1) Revise Subsection L.11. "Proposal Submission Documentation" to require documented evidence for the Quality Assurance and Past Performance evaluation factors. The proposal due date remains unchanged. See continuation page.

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.

Andrew E. Hart, Contracting Officer

15B. CONTRACTOR/OFFEROR

(Signature of person authorized to sign)

(Signature of Contracting Officer)

16C. DATE SIGNED

Previous edition unusable

STANDARD FORM 30 (REV. 11/2016)

Prescribed by GSA FAR (48 CFR) 53.243

Section L is revised as follows, see changes in BOLD:

L.11. PROPOSAL SUBMISSION DOCUMENTATION

The Offeror shall complete the following in order to submit a complete proposal:

(a) Standard Form 1442, Page 2, Blocks 14-20c.

1. Solicitation amendments issued require acknowledgement in Block 19 of the SF 1442.

(b) Section B, Prices; a price for each of the line items and Offer Total must be filled in.

1. Price Proposal. In addition to the listed prices in Section B, the Offeror shall provide an itemized price breakdown in sufficient detail to permit an analysis of all materials, labor, equipment and overhead at both the prime and subcontractor levels and must cover all work involved. (IAW FAR 15.403-3(a)(ii), Requiring Data Other Than Certified Cost or Pricing Data and FAR provision 52.215-20 Requirements for Certified Cost or Pricing Data and Data Other Than Certified Cost or Pricing Data).

(c) Section M, Non-Cost Factors

1. Evaluation factors. Submit documented evidence for the Quality Assurance and Past Performance evaluation factors.

· Quality Assurance: documented evidence of at least three membrane-type roofing contracts completed within the past five years; and

· Past Performance: In accordance with FAR 42.1503(e), past performance will be evaluated using the Past Performance Information Retrieval System (PPIRS). If no relevant past performance history is available for the offeror’s DUNS number, the offeror may utilize the attached Past Performance Questionnaire (PPQ) (Section J, Attachment J04) which will be used for evaluation, but are not required. The Government will evaluate up to five (5) PPQs combined for the prime contractor. Government databases will be checked and previous customers and/or evaluators may be contacted as references or verification of performance. Only those performance ratings for contracts ongoing or completed within the past five (5) years from proposal due date will be considered. The Government reserves the right to evaluate past performance information on proposals submitted in response to this solicitation from any available source.

All projects submitted on a PPQ must be at least 75% construction progress complete or completed within five (5) years preceding the proposal due date. The PPQ included as an attachment in Section J (Attachment J04) is provided for the offeror to submit to their customer for each project the offeror includes in its proposal. Ensure correct phone numbers and email addresses are provided for the customer point of contact. Completed PPQs shall be submitted by the customer point of contact directly to the Government via email to Rita.Langager@ihs.gov prior to proposal closing date. Offerors should follow-up with customer’s/references to ensure timely submittal of questionnaires. Offerors shall not incorporate by reference into their proposal PPQs previously submitted for other solicitations. This does not preclude the Government from utilizing previously submitted PPQ information in the past performance evaluation. While the Government may elect to consider data from any and all other sources, the burden of providing detailed, current, accurate and complete past performance information rests with the offeror.

If an offeror does not have a history of relevant contract experience, or if past performance information is not available, the offeror will receive a neutral past performance rating.

END OF SECTION

(END SUMMARY OF CHANGES)

Attachment J04. Past Performance Questionnaire (PPQ) Form PPQ-0

Volume I – Factor 2 – Past Performance

FOR OFFICIAL USE ONLY, SOURCE SELECTION INFORMATION (FAR 3.104)

Response to Solicitation 75H701-20-R-00038

(Cover page not required in submission)

ATTACHMENT J04 SOLICITATION 75H701-20-R-00038

COMPANY EXPERIENCE FORM (PAST PERFORMANCE)

PAST PERFORMANCE QUESTIONNAIRE (Form PPQ-0)

CONTRACT INFORMATION (Contractor to complete Blocks 1-4)

Phone Number:

Email Address:

Point of Contact: Contact Phone Number:

2. Work Performed as: |_| Prime Contractor |_| Sub Contractor |_| Joint Venture |_| Other (Explain) Percent of project work performed:

If subcontractor, who was the prime (Name/Phone #):

3. Contract Information Contract Number:

Delivery/Task Order Number (if applicable):

Contract Type: |_| Firm Fixed Price |_| Cost Reimbursement |_| Other (Please specify):

Contract Title:

Contract Location:

Award Date (mm/dd/yy):

Contract Completion Date (mm/dd/yy):

Actual Completion Date (mm/dd/yy):

Explain Differences:

Original Contract Price (Award Amount):

Final Contract Price (to include all modifications, if applicable):

Explain Differences:

4. Project Description:

Complexity of Work |_| High |_| Med |_| Routine How is this project relevant to project of submission? (Please provide details such as similar equipment, requirements, conditions, etc.)

CLIENT INFORMATION (Client to complete Blocks 5-8)

5. Client Information Name:

Title:

Phone Number:

Email Address:

6. Describe the client’s role in the project:

7. Date Questionnaire was completed (mm/dd/yy):

8. Client’s Signature:

NOTE: IHS DES REQUESTS THAT THE CLIENT COMPLETES THIS QUESTIONNAIRE AND SUBMITS DIRECTLY BACK TO THE OFFEROR. THE OFFEROR WILL SUBMIT THE COMPLETED QUESTIONNAIRE TO IHS WITH THEIR PROPOSAL, AND MAY DUPLICATE THIS QUESTIONNAIRE FOR FUTURE SUBMISSION ON IHS SOLICITATIONS. CLIENTS ARE HIGHLY ENCOURAGED TO SUBMIT QUESTIONNAIRES DIRECTLY TO THE OFFEROR. HOWEVER, QUESTIONNAIRES MAY BE SUBMITTED DIRECTLY TO IHS. PLEASE CONTACT THE OFFEROR FOR IHS POC INFORMATION. THE GOVERNMENT RESERVES THE RIGHT TO VERIFY ANY AND ALL INFORMATION ON THIS FORM.

ADJECTIVE RATINGS AND DEFINITIONS TO BE USED TO BEST REFLECT

YOUR EVALUATION OF THE CONTRACTOR’S PERFORMANCE

RATING DEFINITION NOTE

TO BE COMPLETED BY CLIENT

PLEASE CIRCLE THE ADJECTIVE RATING WHICH BEST REFLECTS

YOUR EVALUATION OF THE CONTRACTOR’S PERFORMANCE.

1. QUALITY:

2. SCHEDULE/TIMELINESS OF PERFORMANCE:

3. CUSTOMER SATISFACTION:

4. MANAGEMENT/ PERSONNEL/LABOR

5. COST/FINANCIAL MANAGEMENT

6. SAFETY/SECURITY

7. GENERAL

Please provide responses to the questions above (if applicable) and/or additional remarks. Furthermore, please provide a brief narrative addressing specific strengths, weaknesses, deficiencies, or other comments which may assist our office in evaluating performance risk (please attach additional pages if necessary):