HDQMWR-15-R-0021_Mod_No__0001.pdf

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT 1. CONTRACT ID CODE PAGE OF PAGES 1 2

2. AMENDMENT/MODIFICATION NO. 3. EFFECTIVE DATE 4. REQUISITION/PURCHASE REQ. NO. 5. PROJECT NO. (If applicable)

0001 2015 Aug 4

6. ISSUED BY CODE 7. ADMINISTERED BY (If other than Item 6) CODE

COMMANDER NAVY INSTALLATIONS

MILLINGTON DETACHMENT

5720 INTEGRITY DRIVE, BLDG 457

MILLINGTON, TN 38055-6500

POC: Jackie Primer Email: Jackie.Primer@navy.mil Telephone No.: 901-874-6900

SAME AS BLOCK 6

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

HDQMWR-15-R-0021

X 9B. DATED (SEE ITEM 11)

10 JULY 2015

Modification of Contract/Order

10B. DATED (SEE ITEM 13)

CODE FACILITY CODE

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 ext-.

Ended

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 ONE (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 opening 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 IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CON-

TRACT 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.)

Solicitation HDQMWR-15-R-0021 is being modified as follows:

1. The Contract Line Items (CLINs) 0004, 1004, 2004, 3004 and 4004 is changed from Super Region Southeast and replaced with Super Region OCONUS.

2. Performance Work Statement Paragraph 14.4.1 is amended. See page 2 for details.

3. Section J is amended to add Attachment # 9: FFSP Certification Standards

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 15C. DATE SIGNED 16B. UNITED STATES OF AMERICA 16C. DATE SIGNED

BY

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

NSN 7540-01-152-8070

PREVIOUS EDITION UNUSABLE

30-105 STANDARD FORM 30 (REV. 10-83)

Prescribed by GSA

FAR (48 CFR) 53.243

mailto:Jackie.Primer@navy.mil

HDQMWR-15-5-0020

Amendment 0001

Performance Work Statement, Paragraph 14.4.1, is amended to read as follows:

14.4.1 Clinical Counselor: Clinical counselors must meet or exceed the requirements for Tier II qualified clinical practitioners, as described in SECNAVINST 1754.7A. Minimum educational qualifications include a master’s degree in social work accredited by the Counsel on Social Work Education, a master’s degree in marriage and family therapy accredited by the Commission on Accreditation of Marriage and Family Therapy Education, or a doctoral degree in clinical or counseling psychology accredited by the American Psychological Association. Minimum professional qualifications include a current, valid and unrestricted clinical license or certification from a state or U.S. territory authorizing independent clinical practice in the fields of clinical social work, marriage and family therapy or clinical/counseling psychology. Each clinical counselor must maintain current clinical credentials and privileges throughout their FFSP assignment. Minimum experience includes two years, including at least 2000 hours, of full-time post-master’s supervised clinical experience. Counselors must meet the standards of professional and ethical conduct prescribed by their particular discipline or licensing board and demonstrate current clinical competence through at least periodic, direct service clinical experience during the 2 years preceding hire. Counselors must have a minimum of two years’ experience working in the field of child abuse and domestic abuse. Clinical Counselors may provide the programs and services identified in Tasks 4.3.1, 4.3.2, 4.3.4, and 4.2.14. They may provide programs and services identified in 4.3.3 if the time permits after completion of clinical tasks identified in 4.3.1, 4.3.2, and 4.3.4.

End of Modification

10 JULY 2015