75H70626Q00205 RFQ amendment 1.pdf
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- Solicitation number
- 75H70626Q00205
About this file
This document is Amendment 0001 to a Request for Quote (RFQ) for CT Technician services at Belcourt PHS Indian Hospital in Belcourt, North Dakota. The amendment was issued on August 28, 2026, with an effective date of August 21, 2026, and extends the RFQ closing date to September 4, 2026. The solicitation number is 75H70626Q00205, issued by and administered by Belcourt PHS Indian Hospital (Facility Code 163). The base period of performance runs from October 1, 2026, through September 30, 2029.
The amendment corrects line items to reflect the type and quantity of hours required and adds line items for two option periods. The base period and each option period require CT Tech services specified by three hour categories: Regular Hours (6,240 hours), Overtime Hours (624 hours), and On-Call Hours (208 hours). Option Period One covers October 1, 2027, through September 30, 2028, with a due date of September 1, 2027. Option Period Two covers October 1, 2028, through September 30, 2029, with a due date of September 1, 2028. The contracting officer is Nichole R. Lerew. The amendment indicates that attached Questions & Answers are incorporated by reference, though these are not included in the provided document pages.
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Other files
| File | Type | Posted |
|---|---|---|
| Questions-FINAL Amendment 1.docx | DOCX document | |
| 75H70626Q00205 RFQ.pdf | ||
| 2015-5377 Wage Determinations.pdf | ||
| 26Q000205-Combined Synopsis.docx | DOCX document | |
| IHS IEE Representation Form.pdf |
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Text version
(x)
75H70626Q00205 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
Belcourt ND 58316 PO Box 160 1300 Hospital Road Belcourt PHS Indian Hospital
Belcourt ND 58316 P.O. Box 160 1300 Hospital Road Belcourt PHS Indian Hospital
08/28/20260001
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
08/21/2026
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 one (1) as follow:
A. Correct line items to reflect type of hours and quantity of hours.
B. Add line items for option periods.
C. See attached Questions & Answers.
D. Closing date of this RFQ will be extended to 09/04/2026.
There are no other changes made by reason of this amendment.
Period of Performance: 10/01/2026 to 09/30/2029
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 3
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
75H70626Q00205/0001
4 Option Period One: 10/01/2027 - 09/30/2028
CT Tech Regular Hours, 6,240 hours
(Option Line Item)
09/01/2027
Period of Performance: 10/01/2027 to 09/30/2028
5 Option Period One: 10/01/2027 - 09/30/2028
CT Tech Overtime Hours, 624 hours.
(Option Line Item)
09/01/2027
Period of Performance: 10/01/2027 to 09/30/2028
6 Option Period One: 10/01/2027 - 09/30/2028
CT Tech On-Call Hours, 208 hours
(Option Line Item)
09/01/2027
Period of Performance: 10/01/2027 to 09/30/2028
7 Option Period Two: 10/01/2028 - 09/30/2029
CT Tech Regular Hours, 6,240 hours
(Option Line Item)
09/01/2028
Period of Performance: 10/01/2028 to 09/30/2029
8 Option Period Two: 10/01/2028 - 09/30/2029
CT Tech Overtime Hours, 624 hours.
(Option Line Item)
09/01/2028
Period of Performance: 10/01/2028 to 09/30/2029
9 Option Period Two: 10/01/2028 - 09/30/2029
CT Tech On-Call Hours, 208 hours
(Option Line Item)
09/01/2028
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)
75H70626Q00205/0001
Period of Performance: 10/01/2028 to 09/30/2029
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
Sponsored by GSA
FAR (48 CFR) 53.110
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