FA462018QA074P00001_Amendment_Revenue_Cycle_Support.pdf

EXCEPTION OF SF 30, APPROVED BY NARS 5/79

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

1. CONTRACT ID CODE PAGE OF PAGES

2. AMENDMENT/MODIFICATION NO.

3. EFFECTIVE DATE

10 Aug 2018

4. REQUISITION/PURCHASE REQ. NO. 5. PROJECT NO. (If applicable)

6. ISSUED BY

CODE

7. ADMINISTERED BY (If other than Item 6)

CODE

92nd Contracting Sq./PKA 110 W Ent St., Suite 200 SAME AS BLOCK 6

Fairchild AFB, WA 99011 Attn: william.richardson.23@us.af.mil

8. NAME AND ADDRESS OF CONTRACTOR (No., street, county, State and ZIP Code) () 9A. AMENDMENT OF SOLICITATION NO.

FA4620-18-Q-A074

9B. DATED (SEE ITEM 11)

10A. MODIFICATION OF CONTRACT/ORDER

NO.

10B. DATED (SEE ITEM 13)

CODE FACILITY CODE

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 Offers [] is extended, [X] 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 __1___ 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 hour and date specified.

12. ACCOUNTING AND APPROPRIATION DATA (If required)

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACT/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, [X ] is required to sign this document and return 1 copy to the issuing office.

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

The purpose of this amendment is to add a pricing line item for 10 hours of overtime to the solicitation.

POCs:

SrA William Richardson; 509-247-4868; william.richardson.23@us.af.mil Heather Rogers, 509-247-4403; heather.rogers.9@us.af.mil

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10 A, 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

BY

(Signature of Contracting Officer)

16C. DATE SIGNED

NSN 7540-01-152-8070 30-105-03 STANDARD FORM 30 (REV. 10-83)

PREVIOUS EDITION UNUSABLE Prescribed by GSA

Base Year (17 Sep 2018 to 16 Sep 2019)

ITEM

NO

SUPPLIES/

SERVICES

QUANTITY UNIT

UNIT

PRICE

EXTENDED

AMOUNT

MDG Revenue Cycle

Support *1920 Hours

MDG Revenue Cycle

Support Overtime 10 Hours

NET

AMOUNT

*Invoicing will be based on Actual Hours Worked and verified by the Contract Manager.

Option Year One (17 Sep 2019 to 16 Sep 2020)

ITEM

NO

SUPPLIES/

SERVICES

QUANTITY UNIT

UNIT

PRICE

EXTENDED

AMOUNT

MDG Revenue Cycle

Support *1920 Hours

1002 MDG Revenue Cycle Support Overtime

NET

AMOUNT

*Invoicing will be based on Actual Hours Worked and verified by the Contract Manager.