Amend_2.pdf

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

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 (Type or print)

30-105-04EXCEPTION TO SF 30

APPROVED BY OIRM 11-84

STANDARD FORM 30 (Rev. 10-83) Prescribed by GSA

FAR (48 CFR) 53.243

The purpose of this amendment is to update the PWS and Solicitation information, the period of performance and to incorporate the latest w aged determination.

1. CONTRACT ID CODE PAGE OF PAGES

J 1 6

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

16C. DATE SIGNED

BY 17-Jan-2018

16B. UNITED STATES OF AMERICA15C. DATE SIGNED15B. CONTRACTOR/OFFEROR

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

8. NAME AND ADDRESS OF CONTRACTOR (No., Street, County, State and Zip Code) X FA301018R0002

X 9B. DATED (SEE ITEM 11)

13-Dec-2017

10B. DATED (SEE ITEM 13)

9A. AMENDMENT OF SOLICITATION NO.

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

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

Offer 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 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 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 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.

12. ACCOUNTING AND APPROPRIATION DATA (If required)

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

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

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)

E. IMPORTANT: Contractor is not, is 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.)

10A. MOD. OF CONTRACT/ORDER NO.

2. AMENDMENT/MODIFICATION NO. 5. PROJECT NO.(If applicable)

6. ISSUED BY

3. EFFECTIVE DATE

17-Jan-2018

CODE

81ST CONTRACTING SQUADRON

CYNTHIA LEE

310 M STREET, RM 102

KEESLER AFB MS 39534-2701

FA3010 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

FA301018R0002

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

The following items are applicable to this modification:

QUESTIONS

DEADLINE FOR SUBMISSION OF QUESTIONS

All parties have until COB 18 January 18 to submit written questions in reference to the revised solicitation, its accompanying attachments, and/or any other matters referencing the requirement to Ms. Cynthia C Lee, cynthia.lee.2@us.af.mil. Answers to questions shall be posted to www.fbo.gov.

SUMMARY OF CHANGES

SECTION SF 1449 - CONTINUATION SHEET

SUPPLIES OR SERVICES AND PRICES

Global Changes

CLIN 0001 -- CLIN 4001

The FSC code has changed from R699 to Q801.

CLIN 0001

The CLIN extended description has changed from:

To supply all necessary patient appointing service personnel to conduct appointment services for Keesler Medical Center in accordance with (IAW) attached Performance Work Statement (PWS) Dated 6 December 2017.Base Period of Performance 24 January 2018 - 31 January 2018.

To:

To supply all necessary patient appointing service personnel to conduct appointment services for Keesler Medical Center in accordance with (IAW) attached Performance Work Statement (PWS) Dated 6 December 2017.Base Period of Performance 24 April 2018 - 30 April 2018.

CLIN 0002

The CLIN extended description has changed from:

To supply all necessary patient appointing service personnel to conduct appointment services for Keesler Medical

Period of Performance 1 February 2018 - 30 September 2018.

mailto:cynthia.lee.2@us.af.mil http://www.fbo.gov/

To supply all necessary patient appointing service personnel to conduct appointment services for Keesler Medical

Period of Performance 1 May 2018 - 30 September 2018.

The pricing detail quantity has decreased by 3.00 from 8.00 to 5.00.

DELIVERIES AND PERFORMANCE

The following Delivery Schedule item for CLIN 0001 has been changed from:

DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

POP 24-JAN-2018 TO

31-JAN-2018

N/A N/A

FOB: Destination

DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

POP 24-APR-2018 TO

30-APR-2018

The following Delivery Schedule item for CLIN 0002 has been changed from:

CAGE

POP 01-FEB-2018 TO

30-SEP-2018

CAGE

POP 01-MAY-2018 TO

30-SEP-2018

The following have been modified:

ADDENDUM TO 52.212-1

ADDENDUM TO FAR 52.212-1 INSTRUCTION TO OFFERORS—COMMERCIAL ITEMS

The following paragraphs of this provision are tailored as follows:

(b) Submission of Offers: Offerors will submit one original, hard copy proposal to include all items requested in this paragraph, and as stated in the solicitation. Proposals may be hand-carried or mailed to the address listed in solicitation block 9, page 1. Proposals may be submitted electronically in-lieu of hard copy by emailing to:

cynthia.lee.2@us.af.mil. Proposals must be signed/dated in blocks 30a-30c of the solicitation with the company’s name/address/phone number and cage code provided in block 17a. Proposals must include completed copies of the SF1449 to include all provisions and clauses, as well as completed copies of all attachments identified in the solicitation. All pages requiring fill-in information must be returned with the offeror’s proposal and must be received by the date/time provided in solicitation block 8, page 1, unless otherwise changed via solicitation amendment. Solicitation amendments must be acknowledged in writing or the proposal may be considered non-responsive. It is the offeror’s responsibility to check www.fbo.gov for amendments issued against this solicitation and respond accordingly.

(b)(10) PAST PERFORMANCE INFORMATION (PPI)

a. Performance Surveys: Provide a list of no more than three (3), of the most relevant contracts performed for Federal agencies or commercial customers within the last three (3) years. For the purpose of this solicitation, recent contracts are defined as those on which some portion of performance occurred during the last three (3) years from date of receipt of proposal. Relevant performance includes present/past performance effort involving similar scope and magnitude of effort of this solicitation. The offeror shall submit references by completing Attachment 3, PAST PERFORMANCE LIST OF REFERENCES, for contracts that you consider relevant in demonstrating your ability to perform the requirements in this solicitation. The completed PAST PERFORMANCE LIST OF REFERENCES must be submitted with your offer and received by the RFP closing date and time. The offeror shall ensure that the references listed in Attachment 3 are provided the Past Performance Questionnaire (Attachment 4) for completion. Completed questionnaires shall be sent by the reference completing the questionnaires directly to the Government Contract Specialist at the address shown in Block 9 of the SF 1449. THIS OFFICE STRONGLY

RECOMMENDS ALL OFFERORS REQUEST THEIR REFERENCES TO SUBMIT THEIR PAST

PERFORMANCE QUESTIONNAIRES IMMEDIATELY TO THE 81ST CONTRACTING SQUADRON, 81

CONS/LGCB, 310 M STREET, KEESLER AFB, MS 39534-2701.

b. The evaluation of PPI will take into account past performance information regarding predecessor companies, key personnel who have relevant experience, or subcontractors that will perform major or critical aspects of the requirement when such information is relevant to this solicitation. The type of past performance information (PPI) identified under Attachment 3 will determine which of the remaining paragraphs apply.

(1) For PPI where the offeror was the prime contractor; comply with paragraph c.

(2) For PPI where the offeror was a subcontractor; comply with paragraphs c. & d.

(3) For PPI where the offeror is using a subcontractor’s PPI; comply with paragraph c. & e.

(4) For PPI where the offeror is part of a teaming arrangement; comply with paragraph f.

(5) For PPI where the offeror key personnel; comply with paragraph g.

c. Furnish the following information for each contract listed:

(i) Company Name

(ii) Contract Number

(iii) Description of work performed

(iv) Period of Performance

(v) Contracting Agency POC/Customer, Verified, up-to-date name, telephone number and email

(vi) Total Contract Dollar Value and Annual Contract Values

d. If offeror is using PPI from work they performed as a subcontractor listed in Attachment 3, in addition to information requested in paragraph c. above, furnish the following information:

(i) What function(s)/task(s) did offeror perform on the Atch 3 contract?

(ii) What percentage of the total contract value/annual value did the offeror perform on the Atch 3 contract?

(iii) What was the value of the subcontract for each year and total amount on the Atch 3 contract?

e. If using PPI from subcontractors as part of list in Attachment 3, in addition to information requested in paragraph b. above, furnish the following information:

(i) What function(s)/task(s) did the subcontractor perform on the Atch 3 contract?

(ii) What function(s)/task(s) will the subcontractor perform on this contract?

(iii) What percentage of the total contract value/annual value did the subcontractor perform on the Atch 3 contract?

(iv) What percentage of the total contract value/annual value will the subcontractor perform on this contract?

f. If a teaming arrangement or JV is proposed, the offerors shall provide complete information as to the arrangement, including any relevant and recent past/present performance information on previous teaming or JVs with same partner. In addition to information requested in paragraph (c) above for each team/JV member, furnish the following information:

(i) What function(s)/task(s) will each team or JV member perform on this contract?

(ii) What approximate percentage of the total contract value/annual value will each team or JV member perform on this contract?

(h) If using PPI from key personnel as part of list in Attachment 3, in addition to information requested in paragraph (c) above, furnish the following information:

(i) What function(s)/task(s) did the key personnel perform on the Atch 3 contract?

(ii) What function(s)/task(s) would the key personnel perform on this contract?

(iii) What percentage of the total contract value/annual value did the key personnel perform on the Atch 3 contract?

(iv) What percentage of the total contract value/annual value will the key personnel perform on this contract?

g. If using PPI from key personnel as part of list in Attachment 3, in addition to information requested in paragraph c. above, furnish the following information:

(i) What function(s)/task(s) did the key personnel perform on the Atch 3 contract?

(ii) What function(s)/task(s) would the key personnel perform on this contract?

(iii) What percentage of the total contract value/annual value did the key personnel perform on the Atch

3 contract?

(iv) What percentage of the total contract value/annual value will the key personnel perform

(c) Period of Acceptance of Offers. The offeror agrees to hold the prices in its offer firm for 90 calendar days from the date specified for receipt of offers, unless another time period is specified in an addendum to the solicitation.

(e) Deleted.

ADDITIONAL INFORMATION

DEADLINE FOR SUBMISSION OF QUESTIONS

All parties have until 19 December 17, 12:00 PM Central to submit written questions in reference to the solicitation, its accompanying attachments, and/or any other matters referencing the requirement to Ms. Cynthia C Lee, cynthia.lee.2@us.af.mil. Answers to questions shall be posted to www.fbo.gov.

PERFORMANCE CONFERENCE

Offerors are hereby advised if they are awarded a contract as a result of this solicitation, they may be required to appear at the 81st Contracting Squadron, 310 M Street, Bldg 4605, Keesler AFB, MS, to attend a Preperformance Conference prior to commencement of any work on the military installation.

mailto:cynthia.lee.2@us.af.mil

BACKGROUND CHECK

The contractor shall forward all background check information to the Hospital Security Manager (upon acceptance of candidate) prior to on-base performance. The Hospital Security Manager may be reached at 228-376-5018/4918.

Note: Hospital Security will no longer be able to process "walk-ins."

Contract Employees are expected to arrive with all required documents IAW the PWS and First Day Reporting instructions. The average initial appointment will take about 2 hours, this will be followed by finger printing on established date/time.

PREVIOUS CONTRACT INFORMATION

This is a follow on requirement. See current contract information below. There are incumbent personnel.

Incumbent Contractor and contract number:

Health Partners Mgmt Group

FA8053-12-D-0043-RC08.

ATTACHMENTS

SOLICITATION DOCUMENTS, EXHIBITS OR ATTACHMENTS

Attachment 1 Performance Work Statement 32 pages dated 6 December 2017

Attachment 2 U.S. Department of Labor Wage 11 pages Determination 2015-5147, Rev 4 dated 26 December 2017

Attachment 3 Past Performance List of References 2 pages

Attachment 4 Past Performance Questionnaire 4 pages

Attachment 5 Historical Data 1 page

(End of Summary of Changes)