SF-30 Amendment 0005 HT001125R0020.pdf

PDF 223 KB Posted

Attached to
Remote Health Readiness Program 4 (RHRP-4) Federal contract opportunity
Solicitation number
HT001125R0020
Issued by
Defense Health Agency

About this file

This document is a Standard Form 30 (SF-30) Amendment to Solicitation/Modification of Contract, specifically Amendment 0005 for Solicitation Number HT001125R0020. The amendment, effective 17-Apr-2025, is issued by the DHA Contracting Office located in Falls Church, VA, and its primary purpose is to revise Attachment E, the Pricing Sheet for RHRP Services. The amendment indicates that any revisions to attachments will result in the entire document being replaced.

The amendment is part of the Remote Health Readiness Program-4 (RHRP-4) contract, which aims to provide medical and dental readiness services to Reserve Components, Active Components enrolled in TRICARE Prime Remote, DoD Service Civilians, and Department of Homeland Security members. The document follows standard federal contracting procedures, allowing for modifications to the solicitation while maintaining the original contract's core terms and conditions. No specific changes are detailed in the Summary of Changes section, suggesting the modification is primarily administrative in nature.

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Other files for this federal contract opportunity

Other files attached to Remote Health Readiness Program 4 (RHRP-4), newest first.
File Type Posted
SF-30 Amendment 0008 HT001125R0020.pdf PDF
SF-30 Amendment 0007 HT001125R0020.pdf PDF
Attachment E_Pricing Sheet_RHRP Services_4.21.25.xlsx XLSX spreadsheet
Attachment E_Pricing Sheet_RHRP Services_4.17.25.xlsx XLSX spreadsheet
SF-30 Amendment 0004 HT001125R0020.pdf PDF
SF-30 Amendment 0003 HT001125R0020.pdf PDF
Attachment G_RFP Proposal Worksheetv3.xlsx XLSX spreadsheet
52.212-1_2.28.25_v3.docx DOCX document
A070_DEERS_SM_Eligibility_Checks.pdf PDF
Exhibit E2_Emergency Notification FlowV2.pdf PDF
Exhibit T_RHRP-DP_Services_Supplement 2025V2.docx DOCX document
SF-30 Amendment 0002 HT0011-25-R-0020.pdf PDF
A010_Data_Infringement_Notification.pdf PDF
A050_Credential_Audit_Corrective_Action_Plan.pdf PDF
A110_Appointment_Cancellation_Notice.pdf PDF
A090_Call_and_Chat_Data_Report.pdf PDF
Exhibit H_Service Appointment RequestV2.docx DOCX document
Exhibit F1_ SM location by ZipCode 20250304.xlsx XLSX spreadsheet
Attachment E_Pricing Sheet_RHRP Services_3.7.25.xlsx XLSX spreadsheet
Exhibit Q_DRC Data Flow 2024.pdf PDF
Exhibit R_Call Data.pdf PDF
Exhibit S_RHRP Customer Concern Form (2025).docx DOCX document
A040_Vendor_Network_Provider_Directory.pdf PDF
A120_Abnormal_Diagnostic_Procedure_Result_Notice.pdf PDF
Attachment F_RFP_RHRP4_QA form_Responses_4.2.25.pdf PDF
ATTACHMENT G_SCA_Wage-Determination.pdf PDF
Exhibit G_User Roles.pdf PDF
Exhibit N_DNA Collection Instructions.pdf PDF
Exhibit P_Optometry Data Flow.pptx PPTX presentation
Exhibit S_RHRP Customer Concern Form (5-2023).pdf PDF
HT001125R0020 RHRP4 RFP.pdf PDF
Attachment A_Performance Based Milestone Payment.pdf PDF
Attachment B_RHRP-4 Group Event Weekend Scenario.xlsx XLSX spreadsheet
Attachment C_Small Business Commitment RHRP4.docx DOCX document
Attachment D_HT0011-R-25-0020 RHRP4 PPQ.docx DOCX document
Attachment E_Pricing Sheet_RHRP Services.xlsx XLSX spreadsheet
Exhibit A_RHRP-3 Systems Map.pdf PDF
Exhibit B1_RHRP Services.xlsx XLSX spreadsheet
Exhibit C1_Group Event Location Data.xlsx XLSX spreadsheet
Exhibit H_Service Appointment Request.docx DOCX document
Exhibit I_GE Planning Template.pdf PDF
Exhibit K_DA Form 3024 - PHA.pdf PDF
Attachment F_RFP_RHRP4_QA form.xlsx XLSX spreadsheet
Exhibit E1_Incident Report.docx DOCX document
Exhibit E2_Emergency Notification Flow.pdf PDF
Exhibit F3_RHRP-2 FY22 Services by Modality State Zip.xlsx XLSX spreadsheet
Exhibit J_PHA Flow.pdf PDF
Exhibit M_HIV Provider Testing Key Resources.pdf PDF
Exhibit T_RHRP-DP_Services_Supplement 2025.docx DOCX document
Exhibit XX_DHA CAC Request Process.pdf PDF
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Text version

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

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)

30-105-04EXCEPTION TO SF 30

APPROVED BY OIRM 11-84

STANDARD FORM 30 (Rev. 10-83) Prescribed by GSA

FAR (48 CFR) 53.243

The purpose of this amendment is to:

1) 1) Revise Attachment E_Pricing Sheet_RHRP Services 04.17.25xlsx Revisions to any attachments w ill result in the document being replaced in its entirety.

1. CONTRACT ID CODE PAGE OF PAGES

S 1 2

16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)

16C. DATE SIGNED

BY

16B. UNITED STATES OF AMERICA15C. DATE SIGNED15B. CONTRACTOR/OFFEROR

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

8. NAME AND ADDRESS OF CONTRACTOR (No., Street, County, State and Zip Code) X HT001125R0020

X 9B. DATED (SEE ITEM 11)

18-Feb-2025

10B. DATED (SEE ITEM 13)

9A. AMENDMENT OF SOLICITATION NO.

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 Offer is extended, X is not extended.

Offer 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 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 CONTRACTS/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, 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.)

10A. MOD. OF CONTRACT/ORDER NO.

U0005

2. AMENDMENT/MODIFICATION NO. 5. PROJECT NO.(If applicable)

6. ISSUED BY

3. EFFECTIVE DATE

17-Apr-2025

CODE

DHA CONTRACTING OFFICE-(PS-CD) HT0011

7700 ARLINGTON BLVD

FALLS CHURCH VA 22042

HT0011 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

HT001125R0020

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

(End of Summary of Changes)

2025-04-17T13:23:59-0400
YUSUF.NAKAURA.CHANTE.1056926441

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