Amendment_00004.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

HSCG23-17-R-P1C000

A00004 Schedule of Changes

1. The following positions are added to the solicitation:

Certified Medical Assistants located at:

One Each at Base Kodiak, AK One Each at Base Seattle, WA

One Each at Base Alameda, CA One Each at Base Portsmouth, VA One Each at Base New Orleans, LA One Each at Base Miami, FL

2. Attachment 9 – Manning Levels Services Breakdown Rates

3. Complete Questions_Government Response with all previously unanswered

Questions/Response in yellow.

4. Attachment 1 – PWS is edited with the following changes:

a. 1.0(b) Introduction, “Flight Surgeon” added to list of positions

b. 2.1(a) Mission:

i. Reference to retired military personnel removed

ii. ”in limited circumstances” added after dependents.

c. 5.2.3 is removed in its entirety with no replacement.

d. 5.2.9 Acceptance and Start Work,

i. Second sentence is deleted in its entirety and replaced with “Any approved permanent provider shall begin working at the site designated within sixteen (16) calendar days after completion of the security screening process.”

ii. Last sentence is deleted in its entirety and replaced with “The Contractor shall provide complete application packages for replacement personnel for vacated positions within 30 days, unless the KO waives/modifies this requirement in writing.”

e. 7.2.6.(b) Healthcare Provider Background Investigation is deleted in it entirety and replaced with “The process for completing a NACLC BI for contract personnel is through the Defense Security Service (DSS). By policy, contract healthcare workers may not begin work until successful adjudication of fingerprints is completed and a background investigation is in process. This process may require some months to complete.

5. Attachment 3(a) Certified Medical Assistants is deleted in its entirety and replaced.

6. Attachment 3(d) General Dentistry is deleted in its entirety and replaced with General

Dentistry/Dentist with Exodontias.

7. Attachment 3(s) Independent Duty Dentist is added.

See attached Schedule of Changes

Commandant (CG-9121) US Coast Guard Stop 7828 2703 Martin Luther King Jr Ave, SE Washington DC 20593-7828