AMEND 1 - 75H71021R00003 - NAIHS CLINICAL LAB TESTING SERVICES.pdf

(x)

75H71021R00003 x x

4 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

Window Rock AZ 86515 PO Box 9020 Navajo Area Office

03/05/20210001

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

03/05/2021

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.)

***********************Description of this amendment begins on page 2****************

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)

MARGARET J. SHIRLEY-DAMON

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 .

Amendment No. 0001 - SF 30, Block 14 (Cont’d) 75H71021R00003 - 0001

SUMMARY OF CHAGES:

The solicitation is hereby amended to address the following:

1. STANDARD FORM 1449 – Block 19, Item No. 1, Base Period has been modified FROM April 1, 2021 through March 31, 2022 TO DATE OF AWARD through March 31, 2022.

2. Section B.2 FEE SCHEDULE: CLIN 0001, Description of Services, Period of Performance has been modified

FROM

Begin: April 1, 2021 End: March 31, 2022

TO

Begin: DATE OF AWARD End March 31, 2022

B.2 FEE SCHEDULE: The Contractor shall be compensated at a fixed unit price for each referral clinical laboratory testing service performed in accordance with the Performance Based Requirements.

2.0 Provide pricing of each testing specimen in Attachment D.1. The total annual cost from

Attachment D.1 Fee Schedule – Unit Price per Testing Specimen shall reflect the cost for each Contract Line Item Number (CLIN) listed below.

2.1 Guaranteed Minimum and Contract Maximum:

The Guaranteed Minimum is applicable during the base period of the fiscal year in which award was made.

The Guaranteed Minimum is $1,000.00.

Annual Contract Ceiling: $6,000,000.00 (Any unordered value below the annual ceiling will be rolled over and cumulated to the following year, if exercised)

The Contract Maximum is $30,000,000.00, if all options are exercised.

CLIN DESCRIPTION OF SERVICES QTY UNIT TOTAL ANNUAL AMOUNT

0001 Laboratory Testing Services Contract Period: Base Period of Performance:

Begin: 4/1/2021 DATE OF

AWARD

End: 3/31/2022

1 YR $___________________

Amendment No. 0001 - SF 30, Block 14 (Cont’d) 75H71021R00003 - 0001

0002 Laboratory Testing Services Contract Period: Option 1 Period of Performance:

Begin: 4/1/2022 End: 3/31/2023

1 YR $___________________

0003 Laboratory Testing Services Contract Period: Option 2 Period of Performance:

Begin: 4/1/2023 End: 3/31/2024

1 YR $___________________

0004 Laboratory Testing Services Contract Period: Option 3 Period of Performance:

Begin: 4/1/2024 End: 3/31/2025

1 YR $___________________

0005 Laboratory Testing Services Contract Period: Option 4 Period of Performance:

Begin: 4/1/2025 End: 3/31/2026

1 YR $___________________

TOTAL AMOUNT (BASE PLUS OPTION YEARS) $___________________

ALL OTHER TERMS AND CONDITIONS REMAIN UNCHANGED.