HHSM-500-2016-RFP-0003_Amendment_000004.pdf

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Attached to
Recovery Audit Contract (RAC) Federal contract opportunity
Solicitation number
HHSM-500-2016-RFP-0003
Issued by
Department of Health and Human Services Centers for Medicare and Medicaid Services

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Amendment 000004

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Text version

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

, 1. CONTRACT ID CODE I PAGE OF PAGES

1 I 1

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

000004 12/29/2015

6. ISSUED BY CODE ASG - DPIFMC 7. ADMINISTERED BY (If other than Item 6) CODE IAGG I JM

CMS,OAGM,ASG,DPIFMC Justin Menefee 7500 SECURITY BLVD. , MS: B3-30-03 Contract Specialist

BALTIMORE MD 21244-1850

8. NAME AND ADDRESS OF CONTRACTOR(No., street, county, StateandZIPCOcte)

9A. AMENDMENT OF SOLICITATION NO.

HHSM-500-2016-RFP-0003

x 98. DATED (SEE ITEM 11)

11/06/2015

10A. MODIFICATION OF CONTRACT/ORDER NO.

108. DATED (SEE ITEM 13)

CODE FACILITY CODE

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

lRJ The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers [ZJ is extended. Dis 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 telegram which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGEMENT 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(/frequired)

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)

E. IMPORTANT: Contractor D is not. D 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.)

Amendment 000003 dated 11-25-2015 indicated that CMS would release the answers to the solicitation questions on December 28, 2015; however, The responses to the questions are not yet completed. At this time, a revised date for which responses to the questions will be provided is not being made. When the answers to the questions are provided, an amended due date for submission of proposals will be provided at that time.

Except as provided herein, all terms and conditions of the document referenced in Item 9 A or 1 DA, 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)

158. CONTRACTOR/OFFEROR

(Signature of person authorized to sign)

NSN 7540-01-152-8070

Previous edition unusable

Nieolo Meoy 7HE£ESA

15C. DATE SIGNED

SC,HULTL

16C. DATE SIGNED

STANDARD FORM 30 (REV. 10-83)

Prescribed by GSA

FAR (48 CFR) 53.243

File details come from the government source that posted it. Updated .