TAB 12 - Sol_75H71025Q00319 - 0001.pdf

(x)

75H71025Q00319 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

Kayenta AZ 86033

Highway 160, Mile Post 394.3 PO Box 368 Acquisition Department Kayenta Health Center

08/25/20250001

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

08/25/2025

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.)

Solicitation No. 75H71025Q00319 is hereby amended to reflect the following changes:

1. Correct Statement of Work attached

Period of Performance: 09/01/2025 to 08/31/2026

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)

JERLYN R. BEGAY

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 .

Statement of Work Kayenta Service Unit LanSweeper Software

Background Kayenta Service Unit (KSU) represents three outpatient health center facilities, Kayenta Health Center, Inscription House Health Center, and the Dennehotso Health Station – all located in the remote northeast region of Arizona and the Navajo Nation. KSU is staffed and maintained by the U.S. Federal government, KSU is also a member of a larger organization called the Navajo Area Indian Health Service (NAIHS).

Scope This project will acquire the LanSweeper software that will be utilized by Kayenta Division of Information Department (DIT) to track asset inventory, ability to do analytical data finding, view risks and view network topology diagrams to secure the Kayenta Service Unit network. Software will be provided by vendor, but the installation and maintenance will be maintained by DIT.

Objectives Objective of this project is for the DIT to minimize the risks, improve efficiencies and optimize IT asset management and software management.

Delivery Kayenta Service Unit Division of Information Technology will download the software and vendor will provide software support to KSU DIST.

Government-Furnished Property/Equipment The Kayenta Health Center will provide the hardware needed to install LanSweeper. No other government-furnished property/equipment will be made available to them.

Security Requirements The contractor will require checking in with acquisitions and security for badge requirements, as needed.

Place and Period of Performance Kayenta Health Center Division of Information Technology PO Box 368 / HWY 160 M.P. 394.3 Kayenta, Arizona 86033

The period of performance will commence upon date of contract award.