B05 Amdnment A0001-75H70126R00001 TIPCAP.pdf

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MONITORING OF THE TRIBAL INJURY PREVENTION COOPERATIVE AGREEMENT PROGRAM (TIPCAP)
Solicitation number
75H70126R00001
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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 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.

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

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT 1. CONTRACT ID CODE

2. AMENDMENT/MODIFICATION NUMBER 3. EFFECTIVE DATE 4. REQUISITION/PURCHASE REQUISITION NUMBER 5. PROJECT NUMBER (If applicable)

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

STANDARD FORM 30 (REV. 11/2016)

Prescribed by GSA FAR (48 CFR) 53.243

FACILITY CODE

9A. AMENDMENT OF SOLICITATION NUMBER

9B. DATED (SEE ITEM 11)

10A. MODIFICATION OF CONTRACT/ORDER NUMBER

10B. DATED (SEE ITEM 13)

11. 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.

12. ACCOUNTING AND APPROPRIATION DATA (If required) copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted;

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

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

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

NUMBER IN ITEM 10A.

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)

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.

15C. DATE SIGNED

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

16C. DATE SIGNED

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

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

PAGE OF PAGES

6. ISSUED BY CODE

8. NAME AND ADDRESS OF CONTRACTOR (Number, street, county, State and ZIP Code) (X)

CODE

15B. CONTRACTOR/OFFEROR

(Signature of person authorized to sign)

16B. UNITED STATES OF AMERICA

(Signature of Contracting Officer)

Previous edition unusable

A0001

Andrew Hart, Contracting Officer

See next page.

Indian Health Service - DES Seattle 701 5th Avenue, Suite 1600 Seattle, WA 98104

75H70126R00001

1 3

09/30/2025

09/26/2025

SF30 Continuation Page

A. The purpose of this amendment is for the followings;

1. Section L.2. Cover Letter (2). Remove “GSA Contract number of the Offeror”

2. Second Paragraph on Page 35, under Section L.2., Replace One for Volume I (Price) and one for Volume II (Technical) to One for Volume I (Technical) and one for Volume II (Non-Technical).

3. Provide a Q&A as of September 30, 2025.

B. All other terms and conditions of this solicitation remain unchanged.

Amend No.

Item

Date Submitted

Question Type

(Technical or Admin)

Question Response Date Response Responded By

EXAMPLE 0 11/23/2020 Technical Please provide drawings or plans for ??? 11/23/2020 IHS Response IHS POC

A0001 1 9/30/2025 Technical

Solicitation Page #6 / Section C.3. / Title Organization Page 6, Section C.3 states: “For Part I – Injury Prevention Program cooperative agreements, Tribal programs are required to hire a full-time program coordinator.

For Part II – Injury Prevention Program Projects, the tribal project coordinator may be a staff member from a Tribe or Tribal organization.”

Please clarify whether this requirement applies to TIPCAP grantees only, or if the contractor must also provide a program coordinator as part of its proposed staffing.

09/30/2025

The TIPCAP coordinator position applies to TIPCAP grantees only.

The contractor does not provide and is not involved in the grantee staffing and they do not need to provide the program coordinators as part of their staffing.

IHS RA Rep

ADPD3F8.tmp
SF30 Continuation Page
A. The purpose of this amendment is for the followings;
1. Section L.2. Cover Letter (2). Remove “GSA Contract number of the Offeror”
2. Second Paragraph on Page 35, under Section L.2., Replace One for Volume I (Price) and one for Volume II (Technical) to One for Volume I (Technical) and one for Volume II (Non-Technical).
3. Provide a Q&A as of September 30, 2025.
B. All other terms and conditions of this solicitation remain unchanged.
ADPF014.tmp
PPI Log

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