Sol_75H70626Q00028_Amd_0001.pdf

(x)

75H70626Q00028 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

Aberdeen SD 57401

115 4th Ave SE Federal Building Division of Acquisition Management

INDIAN HEALTH SERVICE

Great Plains Area

11/14/20250001

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

11/14/2025

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.)

Amendment Number One (1) hereby answers the following questions.

a. Is there an incumbent contractor currently performing these services? If so, please provide the contract number.

Answer: This is no contract performing at this time.

b. Can we assume the historic data of the X-rays being 3600 per year and ultrasounds 360 in the last one year?

Answer: Last year there was 1115 total x-rays and 170 total ultrasounds. However, due to provider shortage and a remedy to fix that, they may increase.

Continued ...

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)

NICHOLE R. LEREW

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 .

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

2 2

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

75H70626Q00028/0001

c. Who is the current PACS provider, and if managed internally, who will oversee image transfers?

Answer: The current PACS provider is SMAART

Medical along with the local IT personnel.

d. The solicitation does not list HL7 integration. We request the Government add a one-time HL7 integration cost in the first year.

Answer: This would be a cost that the contractor would add to their quote.

e. We request inclusion of a credentialing-by-proxy agreement in the solicitation, as this will significantly reduce the administrative burden for both IHS and the contractor.

Answer: This may be considered "too restrictive" and will not be added to this solicitation.

f. Will this contract allow for any subcontracting or partnership opportunities, or is performance strictly limited to the prime contractor?

Answer: This solicitation does not allow for subcontracting.

g. The solicitation states that STAT study reading time is set at 15 minutes. Traditionally, STAT studies are read within a 60-minute window, and there is typically a price differential associated with expediated 15-minute turnaround times. With this in mind, is there any flexibility to extend this window to one hour, or is the 15-minute requirement firm?

Answer: The requirement is set by the service unit and will remain.

h. What are the most commonly done Xray studies?

what are the most commonly done Ultrasound studies?

Answer: X-rays: chest, abdomen, pelvis, extremities, spines, skull, mandibles, facial bones, etc.

Ultrasound: OB, gyn, abdomen, thyroid

There will no other changes by reason of this amendment.

Period of Performance: 12/29/2025 to 12/28/2030

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

Sponsored by GSA

FAR (48 CFR) 53.110