Solicitation_N0017418R0027_Amendment_0003_Executed_Document_.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.) extend the proposal due date to June 5, 2018 at 4:00 p.m; 2.) revise Section C Performance Work

Statement; and 3.) update Section J to include the Past Performance Matrix and Past Performance Questionnaire.

1. CONTRACT ID CODE PAGE OF PAGES

J 1 2

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

16C. DATE SIGNED

BY 17-May-2018

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 N0017418R0027

X 9B. DATED (SEE ITEM 11)

24-Apr-2018

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 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

17-May-2018

CODE

NSWC IHEODTD N

4081 N. JACKSON RD

BLDG 841

INDIAN HEAD MD 20640-5116

N00174 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

N0017418R0027

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

The following items are applicable to this modification:

SUMMARY OF CHANGES

The purpose of this amendment is to: 1.) extend the proposal due date to June 5, 2018 at 4:00 p.m; 2.) revise Section

C Performance Work Statement; and 3.) update Section J to include the Past Performance Matrix and Past

Performance Questionnaire.

1.) SECTION A - SOLICITATION/CONTRACT FORM

The required response date/time has changed from 29-May-2018 04:00 PM to 05-Jun-2018 04:00 PM.

2.) SECTION C - DESCRIPTIONS AND SPECIFICATIONS

The following have been modified:

PERFORMANCE WORK STATEMENT

FROM:

3.9.3 Contractor shall maintain optimal network utilization and best experience for members and customers, as well as continuous quality improvements and feedback.

TO:

3.9.3 Contractor shall manage its network of purchased care providers to achieve continuous quality improvements and feedback.

3.) SECTION J - LIST OF DOCUMENTS, EXHIBITS AND OTHER ATTACHMENTS

The following have been modified:

HQ J-2-0002 CONTRACT LANGUAGE FOR SECTION J

FROM:

The following attachments and exhibit form a part of this contract:

Attachment 1 – Contract Administration Plan (CAP)

Attachment 2 – Quality Assurance Surveillance Plan (QASP)

Exhibit A – Contract Data Requirements List (CDRL), DD Form 1423 – A001-A002, 2 pages

TO:

The following attachments and exhibit form a part of this contract:

Attachment 1 – Contract Administration Plan (CAP)

Attachment 2 – Quality Assurance Surveillance Plan (QASP)

Attachment 3 – Past Performance Matrix

Attachment 4 – Past Performance Questionnaire

Exhibit A – Contract Data Requirements List (CDRL), DD Form 1423 – A001-A002, 2 pages

4.) All other terms and conditions remain unchanged. Direct any questions to Kelly Gragan at 301-744-6605, or kelly.gragan@navy.mil.

(End of Summary of Changes)