AMEND 0002 RFP 75H70924R00002.pdf

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT 1

1. CONTRACT ID CODE

I

PA

E OF PAGES

I 4

5. PROJECT NUMBER (If applicable)

CODE

3. EFFECTIVE DA TE

08/02/2024

224 CODE I

4. REQUISITION/PURCHASE REQUISITION NUMBER

7. ADMINISTERED BY (If other than Item 6)

2. AMENDMENT/MODIFICATION NUMBER

6. ISSUED BY

Billings Area Indian Health Services 2900 4th Avenue North P.O. Box 36600 Billings MT59101

8. NAME AND ADDRESS OF CONTRACTOR (Number, street, county, State and ZIP Code) (X) 9A. AMENDMENT OF SOLICITATION NUMBER

75H70924R00002

9B. DATED (SEE ITEM 11)

07/02/2024

10A. MODIFICATION OF CONTRACT/ORDER NUMBE

10B. DATED (SEE ITEM 13)

CODE I FACILITY CODE

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

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

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)

E. IMPORTANT: Contractor Dis not Dis 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.)

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 1 0A, as heretofore changed, remains unchanged and in full force and effect.

15A. NAME AND TITLE OF SIGNER (Type or print) 16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)

15B. CONTRACTOR/OFFEROR 15C. DATE SIGNED 16B. UNITED STATES OF AMERICA 16C. DATE SIGNED

(Signature of person authorized to sign) (Signature of Contracting Officer)

R

Previous edition unusable STANDARD FORM 30 (REV.11/2016) Prescribed by GSA FAR (48 CFR) 53.243

XX

75H70924R00002 Area-Wide Pharmacist Staffing Services

Description of this Amendment begins on page 2.

X

75H70924R00002

AMENDMENT 0002

The purpose of this amendment is to:

1.) Submit revised SF1449 Solicitation/Contract/Order for Commercial Items, page 2. Changed is submitted for blocks #20 and 21 Quantities and Locations.

2.) Submit revised Section B – Overview, B-2 Price Schedule.

3.) Remove: Wind River Service Unit – Fort Washakie Health Center in its entirety. Service unit is hereby removed from the SF1449, page 2; Section B - Overview for Service Units; Price Schedule;

Statement of Work and Performance Work Statement.

4.) Clarify FTE: One (1) FTE is equal to 2080 hours for a 12-month performance period.

All other paragraphs, provisions, and conditions to the solicitation remain unchanged.

The date and time for receipt of proposal is not extended; due date remains August 12, 2024 at 2:00

P.M., (PST).

THE OFFEROR MUST ACKNOWLEDGE RECEIPT OF ALL AMENDMENTS ON THE OFFER SCHEDULE.

FAILURE TO ACKNOWLEDGE RECEIPT OF ALL AMENDMENTS MAY RESULT IN THE PROPOSAL BEING

REJECTED AS NON-RESPONSIVE.

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

0001 Base Year, Area-Wide Pharmacist Staffing Services 18,720 HR

6 (7 locations, see below) 27,040

0002 Option Year One (1), Area-Wide Pharmacist Staffing Srvcs 18,720 27,040

HR

0003 Option Year Two (2), Area-Wide Pharmacist Staffing Srv 18,720 27,040

HR

0004 Option Year Three (3), Area-Wide Pharmacist Staffing Srv 18,720 27,040

HR

0005 Option Year Four (4), Area-Wide Pharmacist Staffing Srv

** (Locations) **

Blackfeet Service Unit (7 FTE 4 FTE); 7,280 8320 Qty

Crow Service Unit (2 FTE); 2,080 4160 Qty

Fort Belknap Service Unit (2 FTE); 2,080 4160 Qty

Northern Cheyenne Service Unit (3 FTE 2 FTE); 3,120 4160 Qty

Fort Peck Service Unit (2 FTE); 2,080 4160 Qty

Wind River Service Unit (1 FTE); 1,040 Qty

Little Shell Service Unit (1 FTE); 1,040 Qty 2,080 Qty

18,720 27,040

HR

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED:

32b. SIGNATURE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32c. DATE 32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32f. TELPHONE NUMBER OF AUTHORZED GOVERNMENT REPRESENTATIVE

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

33. SHIP NUMBER 34. VOUCHER NUMBER 35. AMOUNT VERIFIED

CORRECT FOR

36. PAYMENT

COMPLETE PARTIAL FINAL

37. CHECK NUMBER

PARTIAL FINAL

38. S/R ACCOUNT NO. 39. S/R VOUCHER NUMBER 40. PAID BY

41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT 42a. RECEIVED BY (Print)

41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER 41c. DATE

42b. RECEIVED AT (Location)

42c. DATE REC'D (YY/MM/DD) 42d. TOTAL CONTAINERS

STANDARD FORM 1449 (REV. 2/2012) BACK

AREA-WIDE PHARMACIST STAFFING SERVICES SOLICITATION NO.: 75H70924R00002

Schedule of Charges for the Area-Wide Pharmacist Staffing Services (7 6 Locations / Service Unit)

CLIN Description Quantity Unit Unit Price Total Price

Area - Wide Pharmacist Staffing Services, Base Year

0001 Pharmacist Staffing Services 18,720

Hour

Total Price for Base Year:

Area - Wide Pharmacist , Option Year One (1)

0002 Pharmacist Staffing Services 18,720

Hour

Total Price for Option Year One (1):

Area - Wide Pharmacist, Option Year Two (2)

0003 Pharmacist Staffing Services 18,720

Hour

Total Price for Option Year Two (2):

Area – Wide Pharmacist, Option Year Three (3)

0004 Pharmacist Staffing Services 18,720

Hour

Total Price for Option Year Three (3):

Area – Wide Pharmacist, Option Year Four (4)

0005 Pharmacist Staffing Services 18,720

Hour

Total Price for Option Year Four (4):

Total Price (Base + 4 Option Years):

Breakdown of Quantity (18,720):

Service Unit FTE Quantity

Blackfeet Service Unit 7 7,280

Crow Service Unit 2 2,080

Fort Belknap Service Unit 2 2,080

Northern Cheyenne Service Unit 3 3,120

Fort Peck Service Unit 2 2,080

Wind River Service Unit 1 1,040

Little Shell Service Unit 1 1,040

Note: Unit price shall be an all-inclusive rate of all other fees including travel expenses, per diem, lodging and all city, state, federal and local taxes; to include miscellaneous costs associated with the above services.

27,040

27,040

27,040

27,040

27,040

27,040

4 8,320 4,160 4,160 4,160 4,160

2,080 aadrian Cross-Out aadrian Cross-Out aadrian Cross-Out aadrian Cross-Out aadrian Cross-Out aadrian Cross-Out aadrian Cross-Out aadrian Cross-Out aadrian Cross-Out aadrian Cross-Out aadrian Cross-Out aadrian Cross-Out aadrian Cross-Out aadrian Cross-Out aadrian Cross-Out aadrian Cross-Out