HT0011-25-R-0044_GNAL-NG_0006.pdf
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- Solicitation number
- HT0011-25-R-0044
- Issued by
-
Defense Health Agency
About this file
This document is a Standard Form 30 (SF-30) Amendment of Solicitation/Modification of Contract for Solicitation Number HT0011-25-R-0044, specifically Amendment 0006 issued on 04-Jun-2025. The amendment's primary purpose is to provide Attachment 20 Clarification on Call Data (Question No. 354), and it updates multiple attachments to the original solicitation, including the Performance Work Statement, Quality Assurance Surveillance Plan, CDRL Portfolio, Wage Determination, Price Sheet, and various other supplementary documents.
The amendment modifies 20 different attachments with updated dates ranging from 18-APR-2025 to 04-JUN-2025, covering documents such as GNAL Data, Small Business Commitment, Contractor CAC Request Process, Annual Training List, Welcome Book, and additional Questions & Answers. These updates appear to be part of the ongoing refinement process for the Global Nurse Advice Line - Next Generation (GNAL-NG) contract, which provides telehealth registered nurse services for Military Health System beneficiaries, including triage, self-care advice, customer service, and care coordination support.
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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 amendment 0006 is to provide Attachment 20 Clarif ication on Call Data (Question No. 354).
1. CONTRACT ID CODE PAGE OF PAGES
J 1 2
16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)
16C. DATE SIGNED
BY 04-Jun-2025
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 HT001125R0044
X 9B. DATED (SEE ITEM 11)
25-Apr-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 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 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.
2. AMENDMENT/MODIFICATION NO. 5. PROJECT NO.(If applicable)
6. ISSUED BY
3. EFFECTIVE DATE
04-Jun-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:
HT001125R0044
SECTION SF 30 BLOCK 14 CONTINUATION PAGE
SUMMARY OF CHANGES
SECTION SF 1449 - CONTINUATION SHEET
The following have been modified:
EXHIBIT/ATTACHMENT TABLE
DOCUMENT TYPE DESCRIPTION PAGES DATE
Exhibit A GNAL Data 9 18-APR-2025 Attachment 1 Performance Work Statement 78 03-JUN-2025 Attachment 2 Quality Assurance Surveillance Plan 18 16-MAY-2025 Attachment 3 CDRL Portfolio (CDRLs A001 - A021) 16-MAY-2025 Attachment 4 Wage Determination No. 2015-4281 Rev.
11 23-DEC-2024
Attachment 5 GNAL Price Sheet 20-MAY-2025 Attachment 6 Small Business Commitment 2 18-APR-2025 Attachment 7 OCI Contract-Task Order List 18-APR-2025 Attachment 8 PII PHI Federal Information Requirement 10 27-OCT-2020 Attachment 9 DoD Business Associate Agreement 9 30-AUG-2021 Attachment 10 PWS 7.1.1 - Contractor CAC Request
Process
8 01-JUL-2024
Attachment 11 PWS 7.1.1 - DMDC_MP ICAM_ApplicationFor CAC
01-JUL-2024
Attachment 12 PWS 7.1.2 - DHA FY25 Contractor Annual Training List
14 26-MAR-2025
Attachment 13 PWS 7.1.3 - DHA Welcome Book V1.2 40 28-MAY-2021 Attachment 14 PWS 7.2 - DHA Contractor Non-
Disclosure Agreement
2 22-MAR-2019
Attachment 15 Questions & Answers 16-MAY-2025 Attachment 16 Past Performance Questionnaire 5 16-MAY-2025 Attachment 17 Additional Questions & Answers (345 -
352)
23-MAY-2025
Attachment 18 Monthly Volume and AHT V2 02-JUN-2025 Attachment 19 Clarification on Questions & Answers 02-JUN-2025 Attachment 20 Clarification on Call Data (Question No.
354)
04-JUN-2025
(End of Summary of Changes)
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