Amendment FA301021R00140001 SF 30.pdf
PDF 570 KB Posted
- Attached to
- Warfighter/Ophthalmology Clinic Staffing Federal contract opportunity
- Solicitation number
- FA301021R0014
About this file
This amendment modifies a federal solicitation for ophthalmic staffing services. The amendment corrects an attachment by changing the due date for the Past Performance Questionnaire to July 29, 2021 at 3:00pm CST. The original solicitation seeks one full-time equivalent Refractive Surgery Optometrist, five Ophthalmic Technicians, one Clinic Manager, and two Medical Records Clerks to provide ophthalmology services at Keesler Medical Center on Keesler Air Force Base from October 1, 2021 through September 30, 2022, with options to extend the contract an additional four years. Offerors must monitor the website for any changes, amendments, or closing date updates, as no paper copies will be distributed and no verbal responses accepted. Questions must be submitted in writing to the two points of contact listed.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| FA301021R0014 Questions_Answers.pdf | ||
| Attach 4-Past Performance Questionnaire Rev 1.docx | DOCX document | |
| Solicitation - FA301021R0014.pdf | ||
| Attach 3-Past Performance List of References.pdf | ||
| Attach 1-PWS Warfighter Opthamology Clinic 1 Jun 2021.pdf | ||
| Attach 4-Past Performance Questionnaire.docx | DOCX document | |
| Attach 2-WD 15-5147 Rev 13.pdf |
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Text version
R
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.
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 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 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 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.
12. ACCOUNTING AND APPROPRIATION DATA (If required)
13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS.
IT MODIFIES THE CONTRACT/ORDER NUMBER 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
NUMBER IN ITEM 10A.
B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, appropriation data, 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.)
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) 16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)
15B. CONTRACTOR/OFFEROR
(Signature of person authorized to sign)
15C. DATE SIGNED 16B. UNITED STATES OF AMERICA
(Signature of Contracting Officer)
16C. DATE SIGNED
Previous edition unusable STANDARD FORM 30 (REV. 11/2016) Prescribed by GSA FAR (48 CFR) 53.243
AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT 1. CONTRACT ID CODE PAGE OF PAGES
2. AMENDMENT/MODIFICATION NUMBER 3. EFFECTIVE DATE 4. REQUISITION/PURCHASE REQUISITION NUMBER 5. PROJECT NUMBER (If applicable)
6. ISSUED BY CODE 7. ADMINISTERED BY (If other than Item 6) CODE
8. NAME AND ADDRESS OF CONTRACTOR (Number, street, county, State and ZIP Code) (X) 9A. AMENDMENT OF SOLICITATION NUMBER
9B. DATED (SEE ITEM 11)
10A. MODIFICATION OF CONTRACT/ORDER NUMBE
10B. DATED (SEE ITEM 13)
CODE FACILITY CODE
SECTION SF 30 BLOCK 14 CONTINUATION PAGE
SUMMARY OF CHANGES
Supplies or Services & Prices or Costs
The following CLIN(s) / SLIN(s) / ELIN(s) were modified:
INFORMATION FROM TO
CIN 00000000000006507966
INFORMATION FROM TO
CIN 00000000000006507967
INFORMATION FROM TO
CIN 00000000000006507968
INFORMATION FROM TO
CIN 00000000000006507969
INFORMATION FROM TO
CIN 00000000000006507970
INFORMATION FROM TO
CIN 00000000000006507971
INFORMATION FROM TO
CIN 00000000000006507972
INFORMATION FROM TO
CIN 00000000000006507973
INFORMATION FROM TO
CIN 00000000000006507974
INFORMATION FROM TO
CIN 00000000000006507975
INFORMATION FROM TO
CIN 00000000000006507977
List of Attachments
FA301021R00140001
The following attachments were added:
Attach 4-Past Performance Questionnaire Rev 1
FA301021R00140001
| IDCode: |
| Page: 1 |
| Pages: 3 |
| AmendNo: 0001 |
| EffDate: 13 Jul 2021 |
| ReqNo: |
| ProjNo: |
| IssCode: FA3010 |
| AdmCode: |
| IssuedBy: FA3010 81 CONS CC |
310 M ST BLDG 4605
CP 228 377 3230
KEESLER AFB, MS 39534-2701
UNITED STATES
Samantha Conger, Email: samantha.conger@us.af.mil Telephone: 228-377-1832
| AdminBy: |
| ContractorNameAdd: |
| Code: |
| FacCode: |
| SolChg: 1 |
| SolNo: FA301021R0014 |
| SolDate: 13 Jul 2021 |
| AwardChg: Off |
| AwardNo: |
| AwardDate: |
| Amended: 1 |
| OffrExt: Off |
| OffrNoEx: 1 |
| NoCopies: 1 |
| ApprData: See Section G |
| ChgeOrd: Off |
| ChgeOrder: |
| Modify: Off |
| SuppAgre: Off |
| SuppAuth: |
| ModOthr: Off |
| OthrSpec: |
| NoReq: Off |
| Require: Off |
| Copies: |
| Descript: The purpose of this amendment is to correct Attachment 4-Past Performance Questionnaire. The correct due date is 29 Jul 21 @ 3:00pm CST. All other terms and conditions remain unchanged. |
| ContNameTitle: |
| CoNameTitle: Jason Burdett |
Email: jason.burdett.2@us.af.mil Telephone: 597-1809
| ContDate: |
| CODate: |
File details come from the government source that posted it. Updated .