DOL089RP20579 AMEND 1.rtf

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Second Medical Opinion - Seattle, Washington
Solicitation number
DOL089RP20579
Issued by

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Amendment 0001

Text of this file

5. PROJECT NO.

CODE

7. ADMINISTERED BY

2. AMENDMENT/MODIFICATION NO.

CODE

6. ISSUED BY

8. NAME AND ADDRESS OF CONTRACTOR

4. REQUISITION/PURCHASE REQ. NO.

3. EFFECTIVE DATE

9A. AMENDMENT OF SOLICITATION NO.

9B. DATED

PAGE OF PAGES

10A. MODIFICATION OF CONTRACT/ORDER NO.

10B. DATED

BPA NO.

1. CONTRACT ID CODE

FACILITY CODE

CODE

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:

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

E. IMPORTANT:

is extended,

(a) By completing Items 8 and 15, and returning __________ copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted; or (c) By separate letter or telegram which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR AC- KNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY is not extended.

12. ACCOUNTING AND APPROPRIATION DATA

(REV. 10-83)

is required to sign this document and return ___________ copies to the issuing office.

is not, 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.

15C. DATE SIGNED

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

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 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.

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER

BY

Contractor

16C. DATE SIGNED

14. DESCRIPTION OF AMENDMENT/MODIFICATION

16B. UNITED STATES OF AMERICA

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.

15A. NAME AND TITLE OF SIGNER

16A. NAME AND TITLE OF CONTRACTING OFFICER

15B. CONTRACTOR/OFFEROR

STANDARD FORM 30

NSN 7540-01-152-8070

PREVIOUS EDITION NOT USABLE

Prescribed by GSA - FAR (48 CFR) 53.243 (Type or print) (Type or print) (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

(No., street, county, State and ZIP Code) (If other than Item 6) (Specify type of modification and authority) (such as changes in paying office, appropriation date, etc.)

(If required) (If applicable)

(SEE ITEM 11)

(SEE ITEM 13)

(X) (X)

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS,

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

(Signature of person authorized to sign) (Signature of Contracting Officer) 1 13 OASAM Office of Procurement Services U. S. Department of Labor

RM S4307

200 Constitution Ave., NW Washington DC 20210 OASAM Office of Procurement Services U. S. Department of Labor

RM S4307

200 Constitution Ave., NW Washington DC 20210 To all Offerors/Bidders

DOL089RP20579

07-29-2009 X x x

THE PURPOSE OF AMENDMENT 0001 TO THIS REQUEST FOR PROPOSAL ARE AS FOLLOWS:

1. IN ADDITION TO THE NUMBER OF COPIES REQUIRED FOR THE BUSINESS MANAGEMENT PROPOSAL, SECTION L.10, PLEASE PROVIDE TWO COPIES ON CDs.

2. IN ADDITION TO THE NUMBER OF COPIES REQUIRED FOR THE TECHNICAL PROPOSAL, SECTION L.12, PLEASE PROVIDE FIVE COPIES ON CDs.

3. INCORPORATE RESPONSES TO QUESTIONS RECEIVED IN REGARDS TO THE REQUEST FOR PROPOSAL.

SHEILA J. THOMPSON

CONTRACTING OFFICER

RFP Section Page Number Comment / Question General n/a Who is the current incumbent, and what is the value of the contract over the past 5 years?

A: The current Contractor is Medical Consultants Network (MCN) of Seattle, Washington; the value of the contract over the past five years is approximately $1,803,700 (unaudited).

C.3.B.(4)b C-5 For claimants who reside in rural areas, outside of Alaska, what is the maximum mileage allowable for the claimant to travel without express permission of the COTR?

A: No mileage limit for travel within Alaska.

F.1 F-2 In the past 12 months, what is the percentage of cases delivered within 35 days from the date of initial referral to the date of delivery?

A: Approximately 75% of SECOP referrals were delivered within 35 days from date of initial referral.

F.1 F-2 In the past 12 months, please provide the number of SECOPS, Schedule Award, Supplemental Report, Follow-up Report and File Review only requested.

A: SECOP – 495

Schedule Award – 84 Supplemental – 24 Follow-up -- 21 File Review Only -- 8 F.1 F-2 For the last 12 month reporting period, how many evaluations were performed, in which locations, (by state/population center) and by which specialties? Please provide this breakdown by state/population center. If specific numbers are not available, please provide estimates.

A: Estimates only:

Alaska – 25 Idaho – 60 Oregon – 140 Washington – 350

Our best estimates with respect to our future needs by medical specialty are given in Section L of the RFP document.

L.12 L-3, L-5 To conserve on paper, is it acceptable to provide one set of the physician resume’s and qualifications volume for review, rather than an original and 5 copies?

A: Yes that is acceptable.

M.1(5) M-5 Please provide the zip codes for each of the Metropolitan Statistical Areas identified in the RFP.

A: See below (p. 2-3) for ZIP Code clusters.

ZIP Codes by MSA

Anchorage, AK:

99501, 99502, 99503, 99504, 99505, 99506, 99507, 99508, 99509, 99510, 99511, 99512, 99513, 99514, 99515, 99516, 99517, 99518, 99519, 99520, 99521, 99522, 99523, 99524, 99529, 99530, 99540, 99567, 99577, 99587, 99599, 99645, 99652, 99654, 99667, 99674, 99676, 99683, 99687, 99688, 99694, 99695

Boise City-Nampa, ID:

83602, 83604, 83605, 83606, 83607, 83616, 83617, 83622, 83624, 83626, 83628, 83629, 83630, 83631, 83634, 83636, 83637, 83639, 83641, 83642, 83644, 83646, 83650, 83651, 83652, 83653, 83656, 83657, 83660, 83666, 83669, 83670, 83676, 83680, 83686, 83687, 83701, 83702, 83703, 83704, 83705, 83706, 83707, 83708, 83709, 83711, 83712, 83713, 83714, 83715, 83716, 83717, 83719, 83720, 83721, 83722, 83723, 83724, 83725, 83726, 83727, 83728, 83729, 83730, 83731, 83732, 83733, 83735, 83744, 83756, 83757, 83788, 83799

Idaho Falls, ID:

83401, 83402, 83403, 83404, 83405, 83406, 83415, 83425, 83427, 83428, 83431, 83434, 83435, 83442, 83443, 83444, 83449, 83450, 83454

Pocatello, ID:

83201, 83202, 83204, 83205, 83206, 83209, 83211, 83212, 83214, 83234, 83245, 83246, 83250, 83271, 83281

Corvallis, OR:

97324, 97326, 97330, 97331, 97333, 97339, 97370, 97456

Eugene-Springfield, OR:

97401, 97402, 97403, 97404, 97405, 97408, 97409, 97412, 97413, 97419, 97424, 97426, 97427, 97430, 97431, 97434, 97437, 97438, 97439, 97440, 97448, 97451, 97452, 97453, 97454, 97455, 97461, 97463, 97472, 97477, 97478, 97480, 97482, 97487, 97488, 97489, 97490, 97492, 97493

Medford, OR:

97501, 97502, 97503, 97504, 97520, 97522, 97524, 97525, 97530, 97535, 97536, 97537, 97539, 97540, 97541

Portland-Vancouver-Beaverton, OR-WA:

97004, 97005, 97006, 97007, 97008, 97009, 97010, 97011, 97013, 97015, 97016, 97017, 97018, 97019, 97022, 97023, 97024, 97027, 97028, 97030, 97034, 97035, 97036, 97038, 97042, 97045, 97048, 97049, 97051, 97053, 97054, 97055, 97056, 97060, 97062, 97064, 97067, 97068, 97070, 97075, 97076, 97077, 97078, 97080, 97086, 97089, 97101, 97106, 97109, 97111, 97113, 97114, 97115, 97116, 97117, 97119, 97123, 97124, 97125, 97127, 97128, 97132, 97133, 97140, 97144, 97148, 97201, 97202, 97203, 97204, 97205, 97206, 97207, 97208, 97209, 97210, 97211, 97212, 97213, 97214, 97215, 97216, 97217, 97218, 97219, 97220, 97221, 97222, 97223, 97224, 97225, 97227, 97228, 97229, 97230, 97231, 97232, 97233, 97236, 97238, 97239, 97240, 97242, 97251, 97253, 97254, 97255, 97256, 97258, 97259, 97266, 97267, 97268, 97269, 97271, 97272, 97280, 97281, 97282, 97283, 97286, 97290, 97291, 97292, 97293, 97294, 97296, 97298, 97299, 97378, 97396, 98601, 98604, 98606, 98607, 98610, 98622, 98629, 98639, 98642, 98648, 98651, 98660, 98661, 98662, 98663, 98664, 98665, 98666, 98667, 98668, 98671, 98675, 98682, 98683, 98684, 98685, 98686, 98687

Seattle-Tacoma-Bellvue, WA:

98001, 98002, 98003, 98004, 98005, 98006, 98007, 98008, 98009, 98010, 98011, 98012, 98013, 98014, 98015, 98019, 98020, 98021, 98022, 98023, 98024, 98025, 98026, 98027, 98028, 98029, 98030, 98031, 98032, 98033, 98034, 98035, 98036, 98037, 98038, 98039, 98040, 98041, 98042, 98043, 98045, 98046, 98047, 98050, 98051, 98052, 98053, 98054, 98055, 98056, 98057, 98058, 98059, 98062, 98063, 98064, 98065, 98068, 98070, 98071, 98072, 98073, 98074, 98075, 98077, 98082, 98083, 98087, 98089, 98092, 98093, 98101, 98102, 98103, 98104, 98105, 98106, 98107, 98108, 98109, 98111, 98112, 98113, 98114, 98115, 98116, 98117, 98118, 98119, 98121, 98122, 98124, 98125, 98126, 98127, 98129, 98131, 98132, 98133, 98134, 98136, 98138, 98139, 98141, 98144, 98145, 98146, 98148, 98151, 98154, 98155, 98158, 98160, 98161, 98164, 98165, 98166, 98168, 98170, 98171, 98174, 98175, 98177, 98178, 98181, 98184, 98185, 98188, 98190, 98191, 98194, 98195, 98198, 98199, 98201, 98203, 98204, 98205, 98206, 98207, 98208, 98213, 98223, 98224, 98241, 98251, 98252, 98256, 98258, 98259, 98270, 98271, 98272, 98275, 98287, 98288, 98290, 98291, 98292, 98293, 98294, 98296, 98303, 98304, 98321, 98323, 98327, 98328, 98329, 98330, 98332, 98333, 98335, 98338, 98344, 98348, 98349, 98351, 98352, 98354, 98360, 98371, 98372, 98373, 98374, 98375, 98385, 98387, 98388, 98390, 98391, 98394, 98395, 98396, 98397, 98398, 98401, 98402, 98403, 98404, 98405, 98406, 98407, 98408, 98409, 98411, 98412, 98413, 98415, 98416, 98417, 98418, 98419, 98421, 98422, 98424, 98430, 98431, 98433, 98438, 98439, 98442, 98443, 98444, 98445, 98446, 98447, 98448, 98450, 98455, 98460, 98464, 98465, 98466, 98467, 98471, 98477, 98481, 98490, 98492, 98493, 98496, 98497, 98498, 98499, 98558, 98580

Spokane, WA:

99001, 99003, 99004, 99005, 99006, 99009, 99011, 99012, 99014, 99015, 99016, 99018, 99019, 99020, 99021, 99022, 99023, 99025, 99026, 99027, 99030, 99031, 99036, 99037, 99039, 99201, 99202, 99203, 99204, 99205, 99206, 99207, 99208, 99209, 99210, 99211, 99212, 99213, 99214, 99215, 99216, 99217, 99218, 99219, 99220, 99223, 99224, 99228,

Other files

File Type Posted
CA-1332.pdf PDF
CA-17.pdf PDF
OWCP-1500.pdf PDF
OWCP-957.pdf PDF
OWCP-5c.pdf PDF
DOL089RP20579.doc DOC document
OWCP-5b.pdf PDF
OWCP-5a.pdf PDF

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