SF_30_Amd_0002_w_continuation_page_5-9-13.pdf

(x)

HT9402-12-R-0005

x x

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 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.

x

HT9402

AURORA CO 80011-9066

16401 E CENTRETECH PARKWAY

TRICARE MANAGEMENT ACTIVITY COD

DEPARTMENT OF DEFENSE

HT9402

AURORA CO 80011-9066

16401 E CENTRETECH PARKWAY

TRICARE MANAGEMENT ACTIVITY COD

DEPARTMENT OF DEFENSE

05/09/20130002

13. THIS ITEM ONLY APPLIES TO MODIFICATION OF CONTRACTS/ORDERS. IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

12. ACCOUNTING AND APPROPRIATION DATA (If required) is not extended.is extended, Items 8 and 15, and returning

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

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

FACILITY CODE CODE

10B. DATED (SEE ITEM 13)

10A. MODIFICATION OF CONTRACT/ORDER NO.

9B. DATED (SEE ITEM 11)

9A. AMENDMENT OF SOLICITATION NO.

CODE

8. NAME AND ADDRESS OF CONTRACTOR (No., street, county, State and ZIP Code)

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

PAGE OF PAGES

4. REQUISITION/PURCHASE REQ. NO.3. EFFECTIVE DATE2. AMENDMENT/MODIFICATION NO. 5. PROJECT NO. (If applicable)

1. CONTRACT ID CODE

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

04/05/2013

CHECK ONE A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER (Specify type of modification and authority) appropriation date, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

E. IMPORTANT: Contractor is not, is required to sign this document and return __________________ copies to the issuing office.

ORDER NO. IN ITEM 10A.

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

The purpose of this Amendment 0002 is to revise Section C, DESCRIPTION/SPECIFICATIONS/WORK

STATEMENT, Section E, INSPECTION AND ACCEPTANCE, Section L, INSTRUCTIONS, CONDITIONS, AND

NOTICES TO OFFERORS, and Attachment J-1, Draft TRICARE Operations Manual, Chapter 20; and replace CDRL M050, Monthly Workload Report, and CDRL M130, Productivity Report.

Continued on next page.

16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)15A. NAME AND TITLE OF SIGNER (Type or print)

15C. DATE SIGNED 16B. UNITED STATES OF AMERICA 15B. CONTRACTOR/OFFEROR 16C. DATE SIGNED

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

Scott Lamond

STANDARD FORM 30 (REV. 10-83)

Prescribed by GSA

FAR (48 CFR) 53.243

NSN 7540-01-152-8070

Previous edition unusable

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.

scott.lamond@tma.osd.mil

303.676.3649

HT9402-12-R-0005 Amendment 0002 Page 2 of 2

AMENDMENT 0002, SOLICITATION HT9402-12-R-0005

Continuation Page

1. Section C, Description/Specifications/Work Statement, was revised as follows:

a. Paragraph 2.0. DOCUMENTS was revised to read:

TRICARE Policy Manual (TPM) 6010.57-M, February 1, 2008; through Change No. 87 TRICARE Reimbursement Manual (TRM) 6010.58-M, February 1, 2008; through Change No. 79

TRICARE Systems Manual (TSM) 7950.2-M, February 1, 2008; through Change No. 48

TRICARE Operations Manual (TOM) 6010.56-M, February 1, 2008; through Change No. 99

b. Paragraph 7.3.6. was added. It states: “The contractor shall refer to TMA Program Integrity, cases that involve $75,000 or more in potential losses to the Government or any loss with patient harm following the procedures prescribed in the TOM, Chapter 13, Section, Paragraph 4.0..”

2. Section E, Inspection and Acceptance, paragraph E.4. INSPECTION LOCATION, was revised to correct the referenced paragraph from Section C. “Also see Section C, Work Statement, paragraph 7.3.5.”

3. Section L, Instructions, Conditions and Notices to Offerors, was revised as follows

a. Table 1, Proposal Volumes, was revised as follows: Volume III, Past Performance, Past Performance Narrative.

b. Paragraph L.7.3 was revised to add “Past Performance Summaries:”

4. Attachment J-1, Draft TRICARE Operations Manual, Chapter 20, Paragraph 5.3.2 was deleted.

5. CDRL M050, Monthly Workload Report, was replaced in its entirety.

6. CDRL M130, Productivity Report, was replaced in its entirety.