75H70519Q00063.0001.pdf

(x)

75H70519Q00063 x x

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 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

White Earth MN 56591-0358 P.O. Box 358 Indian Health Service

Bemidji MN 56601 522 Minnesota Ave NW Indian Health Service

09/11/20190001

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 DATE2. AMENDMENT/MODIFICATION NO. 5. PROJECT NO. (If applicable)

1. CONTRACT ID CODE

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

09/11/2019

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.)

This amendment corrects Section C(2)-Period of Performance.

Period of Performance: 09/23/2019 to 09/22/2024

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)

WILLIAM F. FISHER

STANDARD FORM 30 (REV. 11/2016)

Prescribed by GSA FAR (48 CFR) 53.243

Previous edition unusable

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 .

SECTION C – ADMINISTRATIVE DATA

1. Contract Type: Firm Fixed Price

2. Period of Performance:

Performance shall be for a period of one (12) month base year plus four (12) month option years. At the discretion of the Government this contract may be extended in accordance with FAR 52.217-9, Option to Extend the Term of the Contract.

3. Method of Payment

a. Payment for services shall be made in arrears.

b. Electronic Funds Transfer (EFT) shall be utilized as the method for processing payment.

c. The Contractor’s rate identified for services described herein is considered to be an all-inclusive rate. All-inclusive is defined to include the cost of days worked paid for services, travel, lodging per diem expenses, liability insurance, and all other fees necessary to provide service.

4. Cost/Pricing

The quantities below are considered estimated based on the number of tubs requested for each location. The Government does not guarantee that all quantities will be used and is hereby providing our best estimate of maximum possible usage.

YEAR DESCRIPTION PERIOD OF PERFORMANCE QUANTITY UNIT OF ISSUE UNIT PRICE TOTAL

BASE YEAR WEHC 2019‐2020 / 12 MONTHS 312 TUB

NHC 2019‐2020 / 12 MONTHS 48 TUB

OPTION YEAR 1 WEHC 2020‐2021 / 12 MONTHS 312 TUB

NHC 2020‐2021 / 12 MONTHS 48 TUB

OPTION YEAR 2 WEHC 2021‐2022 / 12 MONTHS 312 TUB

NHC 2021‐2022 / 12 MONTHS 48 TUB

OPTION YEAR 3 WEHC 2022‐2023 / 12 MONTHS 312 TUB

NHC 2022‐2023 / 12 MONTHS 48 TUB

OPTION YEAR 4 WEHC 2023‐2024 / 12 MONTHS 312 TUB

NHC 2023‐2024 / 12 MONTHS 48 TUB

5. Invoice Instructions

The Contractor shall prepare and submit invoices to the designated billing office specified in the contract. A proper invoice must include the items listed below. If the invoice does not comply with these requirements, the designated billing office will return the invoice within 7 days after receipt with the reasons why it is not a proper invoice. The Government will take into account untimely notification when computing any interest penalty owed the Contractor.

a. Name and address of the Contractor;

b. Invoice date and invoice number. (The Contractor should date invoices as close as possible to the date of the mailing or transmission.);

c. Contract number or other authorization for supplies delivered or services performed (including order number and line item number);

d. Description, quantity, unit of measure, unit price, and extended price of supplies delivered or services performed;

e. Shipping and payment terms (e.g., shipment number and date of shipment, discount for prompt payment terms). Bill of lading number and weight of shipment will be shown for shipments on Government bills of lading;

f. Name and address of Contractor official to whom payment is to be sent (must be the same as that in the contract or in a proper notice of assignment);

g. Name (where practicable), title, phone number, and mailing address of person to notify in the event of a defective invoice;

h. Taxpayer Identification Number (TIN); *

i. Dun & Bradstreet Number (DUNS). * *Shall be the same numbers used to create the company www.sam.gov registration*

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