FA5000-16-T-0153-0002.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

PERFORMANCE WORK STATEMENT

Document Shredding Service Contract As of: 25 August, 2016

PERFORMANCE WORK STATEMENT

DIVISION 1 - GENERAL REQUIREMENTS

1. DESCRIPTION: Contractor shall provide weekly document shredding/destruction services on site at JBER Medical Group facilities.

2. PERFORMANCE PERIOD: 01 October 2016

3. WORK HOURS: During normal duty hours from 7:30 AM through 4:30 PM, Monday through Friday, except holidays observed at the Government installation.

4. REQUIRED SERVICES:

a. Quantity estimate: 70 ea. 32 gallon containers to be serviced weekly.

b. Initial drop off and delivery of secure storage containers. Deliver secure/lockable storage containers to each duty section or clinic as directed by hospital facility management personnel. Provide keys to locks as required by Facility Management.

c. Recurring weekly gathering and destruction of material. Contractor shall gather all containers throughout buildings 5955, 5975, 5800 (satellite pharmacy only), 6974, 8497, 5250 (WRM only), and 604, and shred material on-site. Destroyed materials shall be removed from campus by contractor. At no point shall material leave the campus without being destroyed first.

d. Protected Health Information (PHI) protection. The contractor is to appropriately safeguard the PHI throughout collection and destruction processes IAW all HIPAA requirements. Contractor shall immediately inform the government of any security incident of which it becomes aware, including breaches of unsecured protected health information.

e. Initial quantity adjustments. As clinic shredding demands are initially gauged, the government reserves the right to update the quantity and/or location of containers required throughout the facilities.

5. WORK LOCATION: Buildings 5955, 5975, 5800 (satellite pharmacy only), 6974, 8497, 5250 (WRM only), and 604; 673 Medical Group, JBER, AK 99506.

Attachment 1 Performance Work Statement

Paper Shredding Site Visit

Below represents answers to questions as posed by potential vendors:

I. Delivery date, as listed in section (vii) COMBINED SYNOPSIS/SOLICIATION ‘COMBO’, page 1, which is now changed to 01 October 2016, represents the date that services are to begin.

II. The technical acceptability narrative shall address the performance work statement, along with any amendments to it, to ensure that all requirements will be met.

III. The successful contractor is allowed to store a maximum of three (3) 96 gallon collection bins in the main hospital to facilitate consolidation of smaller bin’s fill.

IV. The successful contractor shall have JBER access as well as special badging as required and provided by the facility. This badging has no security clearance wait time.

V. The loading dock at the main facility shall be used to load and unload containers for shredding services. Shredding services are to be conducted with the vehicle remaining outdoors.

VI. All elevators are available for the successful contractor to use in the course of completing the requirements.

VII. Shredding services shall occur at a time as negotiated by the customer.

Attachment 2 Additional Information

II) The Performance Work Statement dated 25 August 2016 is attached as attachment 1 and replaces the performance work statement dated 11 August 2016.

III) A list of answers to potential vendor's questions is attached as attachment 2.

10480 Sijan Ave

JBER AK, 99506-2501