SF 30 - Amendment_3.30.2021.pdf

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 or (c) By separate letter or telegram 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 your desire to change an offer already submitted, such change may be made by telegram or letter, provided each telegram or letter makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

E. IMPORTANT: Contractor is not, is required to sign this document and return copies to the issuing office.

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT 1. CONTRACT ID CODE

2. AMENDMENT/MODIFICATION NO. 3. EFFECTIVE DATE 4. REQUISITION/PURCHASE REQ. NO. 5. PROJECT NO. (If applicable)

7. ADMINISTERED BY (If other than Item 6) CODE

STANDARD FORM 30 (REV. 10-83)

Prescribed by GSA FAR (48 CFR) 53.243

FACILITY CODE

9A. AMENDMENT OF SOLICITATION

NO.

9B. DATED (SEE ITEM 11)

10A. MODIFICATION OF CONTRACT/ORDER NO.

10B. DATED (SEE ITEM 13)

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers is extended, is not extended.

12. ACCOUNTING AND APPROPRIATION DATA (If required) copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted;

13. THIS ITEM ONLY APPLIES TO MODIFICATION OF CONTRACTS/ORDERS.

IT MODIFIES THE CONTRACT/ORDER NO. 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 NO.

IN ITEM 10A.

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, appropriation date, 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)

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

15C. DATE SIGNED

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

16C. DATE SIGNED

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

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

PAGE OF PAGES

6. ISSUED BY CODE

8. NAME AND ADDRESS OF CONTRACTOR (No., street, county, State and ZIP Code) (X)

CODE

15B. CONTRACTOR/OFFEROR

(Signature of person authorized to sign)

16B. UNITED STATES OF AMERICA

(Signature of Contracting Officer)

NSN 7540-01-152-8070

Previous edition unusable

84-21-Q-DPR020

United States Coast Guard

Pacific Area

Scope of Work

The United States Coast Guard requires 2,500 Hair Sample Collection Kits for subsequent drug testing. The collection kits shall be provided upon request and shipped to various Coast Guard units worldwide.

This contract shall be a Firm Fixed Price Purchase Order (FFPPO) and payment of services shall be Electronic Funds Transfer (EFT) paid by the US Coast guard Finance Center (FINCEN).

Contractor must meet the requirements in FAR 52.204-7, SAM Registration, and FAR 52.212-4 contract terms and conditions.

The Contractor will provide guidance on testing procedures within 10 business days after contract is in place to ensure proper collection of testable sample by the agency.

REQUIREMENTS:

The cost of shipping Hair Sample Collection Kits to the Coast Guard shall be at no cost to the

Coast Guard. At the Coast Guard’s request, the Contractor will provide overnight shipment of

Hair Sample Collection Kits to the Coast Guard. The Coast Guard will ship hair samples to the

Contractor at the Coast Guard’s expense.

The Coast Guard requires guidance from the Contractor regarding the collection of hair samples as necessary to ensure the collection of testable samples by the agency.

The Coast Guard requires drug testing for 2,500 hair samples collected by the agency. The

Contractor will analyze and subsequently report the results of the hair test for at least the following drugs: amphetamines, Adderall, benzodiazepines, cocaine, fentanyl; opioids, phencyclidine, and marijuana.

The Coast Guard requires application of extensive wash criteria and procedures to eliminate or account for potential external contamination on the hair. Hair drug test kits must be cleared by the Food and Drug Administration (FDA). The tests shall occur upon receipt by the Contractor following intended collection, and within sufficient time to report results to the Coast Guard within seven business days.

The Coast Guard requires that the results of such drug testing be securely delivered to a U. S.

Government designated program coordinator within seven business days of hair sample receipt by the Contractor, and all personal identifiable information about sampled members will be held confidential to all other inquires.

The Coast Guard requires that the results of all tests conducted be of sufficient quality for introduction and acceptance by military, Federal, and state courts, as well as by the Coast Guard for appropriate criminal and administrative purposes. In addition, the Coast Guard requires that the Contractor provide support for any such criminal or administrative actions.

The Coast Guard requires multiple client “sub-accounts” under this contract, each with designated representatives who are authorized to order supplies or receive results.

DOL 94

Coast Guard Island, Bldg 54C Alameda, CA 94501-5100

Same as Block 6.