Amendment 2 July 21 2011.docx
DOCX document 19 KB Posted
- Solicitation number
- SUG500-11-R-002
- Issued by
-
Department of State US Embassy Kampala
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Ammendment 2 July 21 2011
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AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT
1. CONTRACT ID CODE
PAGE OF PAGES
2. AMENDMENT/MODIFICATION NO.
A002
3. EFFECTIVE DATE
July 21, 2011
4. REQUISITION/PURCHASE REQ. NO.
5. PROJECT NO. (If applicable)
6. ISSUED BY CODE
7. ADMINISTERED BY (If other than Item 6) CODE
Department of State American Embassy
8. NAME AND ADDRESS OF CONTRACTOR (NO., street,city,county,State,and ZIP Code)
| X |
| 9a. AMENDMENT OF SOLICITATION NO. |
SUG500-11-R-0002
9b. DATED (SEE ITEM 11) July 3, 2011
10a. MODIFICATION OF CONTRACT/ORDER NO.
10b. DATED (SEE ITEM 13)
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 Offers [ ] is extended, [X] is not extended 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 Items 8 and 15, and returning _-2-___ 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.)
The purpose of this solicitation amendment is to modify C.1.1.7 and C.1.18 in order to reflect the maximum annual limit as Ug. Shs.400,000/= per patient per contract term. The Dental and Optical Limits are Ug. Shs. 400,000/= each or its equivalent in US dollars.
Attached please find replacement page 8 for the solicitation.
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)
16A. NAME OF CONTRACTING OFFICER
15B. NAME OF CONTRACTOR/OFFEROR
| BY |
| (Signature of person authorized to sign) |
| 15C.DATE SIGNED |
| 16B. UNITED STATES OF AMERICA |
| BY |
| (Signature of Contracting Officer) |
| 16C.DATE SIGNED |
| NSN 7540-01-152-8070 | Standard Form 30 (revised 10/83) |
| Previous edition unusable | Prescribed by GSA FAR (48 CFR) 53.243 |
C.1.1.4 For employees and dependents: 100% reimbursement for medications to suppress opportunistic infections, such as tuberculosis and toxoplasmosis for employees and their dependents who have HIV/AIDS; as well as brief courses of anti-retroviral drugs during childbirth to prevent the transmission of HIV to the employee's child. The duration of this treatment is to be determined by the employee's physician following WHO or CDC guidelines.
C.1.1.5 Obstetrical care: 100% reimbursement of obstetrical related medical expenses including prenatal and postnatal care. Caesarean is covered if medically is required.
C.1.1.6 Hearing aids: None.
C.1.1.7 Optical care: 100% reimbursement for eye examination and treatment and prescription eyeglass or contact lenses and frames. Limited to one set of lenses/frame per patient every 24 months. No reimbursement for nonprescription lenses or tinting.
The maximum annual limit per patient per contract year for expenses covered under C.1.1.7 is Ug. Shs. 400,000/= or equivalent in US dollars.
C.1.1.8 Dental care: 100% of expenses for dental services including dentists' fees, x-rays, examination and treatment, cleaning, fillings, extractions.
The maximum annual limit per patient per contract year for expenses covered under C.1.1.8 is Ug. Shs. 400,000/= or equivalent in US dollars.
C.1.1.9 Psychiatric treatment: 60% reimbursement.
C.1.1.110 Physical Therapy: 100% reimbursement
C.1.1.11 Expenses not covered No reimbursement for elective cosmetic surgery; spa cures; rejuvenation cures; massage; exercise therapy; long term rehabilitative therapy; non-medical hospital charges such as telephones or television; home help, family help, or similar household assistance; fees of persons who are not licensed physicians or nurses; or services or supplies which have not been prescribed or approved by a physician or nurse.
No reimbursement for expenses that will be reimbursed or paid directly under a host country medical program, the U.S. workers compensation program, or posts LE Staff workers compensation program.
No reimbursement for expenses related to an illness or injury that is a result of an unlawful action on the part of the patient; the practice of a dangerous sport; excessive or illegal use of alcohol or drugs; a self-inflicted wound; or service in the armed forces of any country.
Medical expenses incurred out of country will not be covered.
C.1.1.12 Transportation for Out of Country Treatment
Transportation for out of country treatment is not a covered expense.
Replacement page 8
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