HT940723Q0001 - Amendment 0001.pdf

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) Revise CLIN titles and descriptions for clarity,

2) Revise Attachment 01 (PWS) for clarity (revised areas are highlighted yellow ),

3) Revise Attachment 03 (Pricing Worksheet) to match updated CLIN titles, and

3) Add provisions and clauses related to Government Furnished Property.

See summary of changes. All other terms and conditions remain unchanged.

1. CONTRACT ID CODE PAGE OF PAGES

J 1 4

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

16C. DATE SIGNED

BY 08-Jun-2023

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 HT940723Q0001

X 9B. DATED (SEE ITEM 11)

30-May-2023

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 X is extended, 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

08-Jun-2023

CODE

DHA CONTRACTING OFFICE CO SPRINGS HT9407

7700 ARLINGTON BLVD

FALLS CHURCH VA 22042

HT9407 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

HT940723Q0001

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION A - SOLICITATION/CONTRACT FORM

The required response date/time has changed from 08-Jun-2023 02:00 PM to 09-Jun-2023 02:00 PM.

SECTION B - SUPPLIES OR SERVICES AND PRICES

CLIN 0001

The CLIN extended description has changed from:

The Contractor shall provide 24 hour services for two (2) dedicated ambulances in accordance with Attachment 01 - Performance Work Statement.

To:

The Contractor shall provide 24 hour services for the North Cadet area and Roving area in accordance with Attachment 01 - Performance Work Statement.

CLIN 0002

The CLIN description has changed from Ground Ambulance Services (Roving) to Ground Ambulance Services (Flight Line).

The CLIN extended description has changed from:

The Contractor shall provide roving services for one (1) dedicated ambulance in accordance with Attachment 01 -

The Contractor shall provide services at the Flight Line area in accordance with Attachment 01 - Performance Work Statement.

CLIN 1001

The Contractor shall provide 24 hour services for two (2) dedicated ambulances in accordance with Attachment 01 -

The Contractor shall provide 24 hour services for the North Cadet area and Roving area in accordance with

CLIN 1002

Services (Flight Line).

The CLIN extended description has changed from:

The Contractor shall provide roving services for one (1) dedicated ambulance in accordance with Attachment 01 -

The Contractor shall provide services at the Flight Line area in accordance with Attachment 01 - Performance Work

CLIN 2001

The Contractor shall provide 24 hour services for two (2) dedicated ambulances in accordance with Attachment 01 -

The Contractor shall provide 24 hour services for the North Cadet area and Roving area in accordance with

CLIN 2002

Services (Flight Line).

The CLIN extended description has changed from:

The Contractor shall provide roving services for one (1) dedicated ambulance in accordance with Attachment 01 -

The Contractor shall provide services at the Flight Line area in accordance with Attachment 01 - Performance Work

SECTION I - CONTRACT CLAUSES

The following have been added by reference:

52.245-1 Government Property SEP 2021 52.245-9 Use And Charges APR 2012 252.245-7001 Tagging, Labeling, and Marking of Government-Furnished

Property

APR 2012

252.245-7002 (Dev) Reporting Loss of Government Property (DEVIATION 2020- O0004)

JAN 2021

252.245-7003 Contractor Property Management System Administration APR 2012 252.245-7004 (Dev) Reporting, Reutilization, and Disposal (DEVIATION 2022-

O0006)

NOV 2021

The following have been modified:

52.252-6 AUTHORIZED DEVIATIONS IN CLAUSES (NOV 2020)

(a) The use in this solicitation or contract of any Federal Acquisition Regulation (48 CFR Chapter 1) clause with an authorized deviation is indicated by the addition of "(DEVIATION)" after the date of the clause.

(b) The use in this solicitation or contract of any Defense FAR Supplement (48 CFR Chapter 2) clause with an authorized deviation is indicated by the addition of "(DEVIATION)" after the name of the regulation.

(End of clause)

(End of Summary of Changes)