W81K00-16-T-0036_Amendment_00003.pdf

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Emergency Room Physician and RN Templates
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W81K00-16-T-0036
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Amendment 0003

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SEE SCHEDULE

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

A. Remove delivery addresses from line items.The government is contemplating an IDIQ type contract in w hich individual delivery orders w ill be issued against the basic IDIQ contract.

B. Provide Questions and Answ ers.

C. Clarify line item language.

See summary of changes for details.

1. CONTRACT ID CODE PAGE OF PAGES

J 1 10

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

16C. DATE SIGNED

BY 06-Sep-2016

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 W81K00-16-T-0036

X 9B. DATED (SEE ITEM 11)

30-Jun-2016

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, 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

06-Sep-2016

CODE

W40M USA HLTH CONTRACTING ACT

SOUTHERN REG CONTR OFC

3551 ROGER BROOK DR BLDG 3600

FORT SAM HOUSTON TX 78234-6200

W81K00 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

W81K00-16-T-0036

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 30 - BLOCK 14 CONTINUATION PAGE

The following have been added by full text:

QUESTIONS AND ANSWERS

1. Please confirm that the annual ED visits for each site is as follows:

· San Antonio Military Medical Center = 88,000

· Carl R. Darnall Army Medical Center = 80,000

· General Leonard Wood Army Community Hospital = 30,000

· Evans Army Community Center = 53, 000

ANSWER: The line item format has been changed to better reflect the government’s intent to award a single IDIQ contract where delivery orders can be issued for the regions medical facilities/departments listed on page 22 of amendment 2. The requirement for all facilities has been consolidated into the CLINs now listed, at the quantities now listed (0001 - 0001AC).

2. Are there other sites (not listed on page 22 of the Amendment issued) that will be included (are there other facilities in the US Army Medical Command’s Central Region)?

ANSWER: No. The requirements and facilities listed in the solicitation are firm at this time. The answer to the second part of the question “are there other facilities in the US Army Medical Command’s Central Region)?” is yes.

3. If the answer to question 2 is yes, please provide a list of the sites along with their annual ED visits. Has the census/annual visits information from these additional sites been included in the maximum quantities listed?

ANSWER: Not applicable. The answer to the first part of the question is no.

4. Please confirm that the maximum quantities quoted are for the 5 year period.

ANSWER: Yes. The delivery period contemplated for this requirement is for a 5 year period.

5. Is 0001AA – Maximum Quantity 1,150,000 as listed on page 21 of the Amendment issued for the 5 year period (not 1,150,000 patient visits per year for Physician Templates as noted on page 2 of the same document)?

ANSWER: The line item language has been clarified to state “Physician Paper Templates to support up to 230,000 patient visits per year, for five years for the United States Army Medical Command’s Central Region Health Care

Treatment Facilities. The ordering period for this requirement is 1 October 2016 to 30 September 2021.The minimum guarantee is set at $5000.00.”

6. Is 0001AB = Maximum Quantity is 750,000 as listed on page 21 of the Amendment issued for the 5 year period (not 750,000 patient visits per month for Nursing Templates as noted on page 3 of the same document)?

ANSWER: The line item language has been clarified to state “Nursing Paper Templates to support up to

150,000.00 patient visits per year, for five years for the United States Army Medical Command’s Central Region

Health Care Treatment Facilities. The ordering period for this requirement is 1 October 2016 to 30 September

2021.”

7.Will the government accept paper templates only?

ANSWER: The government's requirement is for paper templates. Vendors are advised to make a business decision based on whether they believe their product or solution meets the requirements as stated in the solicitation.

SECTION SF 1449 - CONTINUATION SHEET

SUPPLIES OR SERVICES AND PRICES

SUBCLIN 0001AA

The CLIN extended description has changed from:

Physician Paper Templates to support up to 1,150,000.00 patient visits per year for the United States Army Medical

Command’s Central Region Health Care Treatment Facilities. The ordering period for this requirement is 1 October

2016 to 30 September 2021.The minimum guarantee is set at $5000.00..

To:

Physician Paper Templates to support up to 230,000 patient visits per year, for five years for the United States

Army Medical Command’s Central Region Health Care Treatment Facilities. The ordering period for this requirement is 1 October 2016 to 30 September 2021.The minimum guarantee is set at $5000.00...

SUBCLIN 0001AB

The CLIN extended description has changed from:

Nursing Paper Templates to support up to 750,000.00 patient visits per month for the United States Army Medical

Command’s Central Region Health Care Treatment Facilities.The ordering period for this requirement is 1 October

2016 to 30 September 2021.

Nursing Paper Templates to support up to 150,000.00 patient visits per year, for five years for the United States

Army Medical Command’s Central Region Health Care Treatment Facilities.The ordering period for this requirement is 1 October 2016 to 30 September 2021..

DELIVERIES AND PERFORMANCE

The following Delivery Schedule item for SUBCLIN 0001AA has been changed from:

DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC

POP 01-OCT-2016 TO

30-SEP-2017

N/A BROOKE ARMY MEDICAL CENTER

BROOKE ARMY MEDICAL CENTER

3551 ROBER BROOKE DRIVE

JBFT SAM HOUSTON, TX TX 78234

FOB: Destination

W81NTE

N/A N/A

The following Delivery Schedule item for SUBCLIN 0001AB has been changed from:

N/A W2M5 CARL R DARNELL ARMY MED C

DIRECT DELIVERY

MEDICAL SUPPLY OFFICER DACH

BLDG 36000 RM 0002

FORT HOOD TX 76544-5063

W45XTR

The following Delivery Schedule item for SUBCLIN 0001AC has been changed from:

N/A W2M5 CARL R DARNELL ARMY MED C

DIRECT DELIVERY

MEDICAL SUPPLY OFFICER DACH

BLDG 36000 RM 0002

FORT HOOD TX 76544-5063

The following Delivery Schedule Item has been deleted from SUBCLIN 0001AD:

31-OCT-2016 0 W2M5 CARL R DARNELL ARMY MED C

W2M5 CARL R DARNALL ARMY MED C

MEDICAL SUPPLY OFFICER DACH

BLDG 36065 SANTE FE AVE

FORT HOOD TX 76544-5063

210-221-7141

The following Delivery Schedule Item has been deleted from SUBCLIN 0001AE:

N/A GENERAL LEONARD WOOD ARMY

COMMUNITY HOSP

GENERAL LEONARD WOOD ARMY

COMMUNITY

4430 MISSO FORT LEONARD WOOD

FORT LEONARD WOOD MO 65473

W58XTU

The following Delivery Schedule Item has been deleted from SUBCLIN 0001AF:

N/A GENERAL LEONARD WOOD ARMY

COMMUNITY HOSP

GENERAL LEONARD WOOD ARMY

COMMUNITY

4430 MISSO FORT LEONARD WOOD

FORT LEONARD WOOD MO 65473

The following Delivery Schedule Item has been deleted from SUBCLIN 1001AA:

POP 01-OCT-2017 TO

30-SEP-2018

N/A BROOKE ARMY MEDICAL CENTER

BROOKE ARMY MEDICAL CENTER

3551 ROBER BROOKE DRIVE

JBFT SAM HOUSTON, TX TX 78234

The following Delivery Schedule Item has been deleted from SUBCLIN 1001AB:

N/A W2M5 CARL R DARNELL ARMY MED C

DIRECT DELIVERY

MEDICAL SUPPLY OFFICER DACH

BLDG 36000 RM 0002

FORT HOOD TX 76544-5063

The following Delivery Schedule Item has been deleted from SUBCLIN 1001AC:

N/A W2M5 CARL R DARNELL ARMY MED C

DIRECT DELIVERY

MEDICAL SUPPLY OFFICER DACH

BLDG 36000 RM 0002

FORT HOOD TX 76544-5063

The following Delivery Schedule Item has been deleted from SUBCLIN 1001AE:

N/A GENERAL LEONARD WOOD ARMY

COMMUNITY HOSP

GENERAL LEONARD WOOD ARMY

COMMUNITY

4430 MISSO FORT LEONARD WOOD

FORT LEONARD WOOD MO 65473

The following Delivery Schedule Item has been deleted from SUBCLIN 1001AF:

N/A GENERAL LEONARD WOOD ARMY

COMMUNITY HOSP

GENERAL LEONARD WOOD ARMY

COMMUNITY

4430 MISSO FORT LEONARD WOOD

FORT LEONARD WOOD MO 65473

The following Delivery Schedule Item has been deleted from SUBCLIN 2001AA:

POP 01-OCT-2018 TO

30-SEP-2019

N/A BROOKE ARMY MEDICAL CENTER

BROOKE ARMY MEDICAL CENTER

3551 ROBER BROOKE DRIVE

JBFT SAM HOUSTON, TX TX 78234

The following Delivery Schedule Item has been deleted from SUBCLIN 2001AB:

N/A W2M5 CARL R DARNELL ARMY MED C

DIRECT DELIVERY

MEDICAL SUPPLY OFFICER DACH

BLDG 36000 RM 0002

FORT HOOD TX 76544-5063

The following Delivery Schedule Item has been deleted from SUBCLIN 2001AC:

N/A W2M5 CARL R DARNELL ARMY MED C

DIRECT DELIVERY

MEDICAL SUPPLY OFFICER DACH

BLDG 36000 RM 0002

FORT HOOD TX 76544-5063

The following Delivery Schedule Item has been deleted from SUBCLIN 2001AE:

N/A GENERAL LEONARD WOOD ARMY

COMMUNITY HOSP

GENERAL LEONARD WOOD ARMY

COMMUNITY

4430 MISSO FORT LEONARD WOOD

FORT LEONARD WOOD MO 65473

The following Delivery Schedule Item has been deleted from SUBCLIN 2001AF:

N/A GENERAL LEONARD WOOD ARMY

COMMUNITY HOSP

GENERAL LEONARD WOOD ARMY

COMMUNITY

4430 MISSO FORT LEONARD WOOD

FORT LEONARD WOOD MO 65473

The following Delivery Schedule Item has been deleted from SUBCLIN 3001AA:

N/A BROOKE ARMY MEDICAL CENTER

BROOKE ARMY MEDICAL CENTER

3551 ROBER BROOKE DRIVE

JBFT SAM HOUSTON, TX TX 78234

The following Delivery Schedule Item has been deleted from SUBCLIN 3001AB:

POP 01-OCT-2019 TO

30-SEP-2020

N/A W2M5 CARL R DARNELL ARMY MED C

DIRECT DELIVERY

MEDICAL SUPPLY OFFICER DACH

BLDG 36000 RM 0002

FORT HOOD TX 76544-5063

The following Delivery Schedule Item has been deleted from SUBCLIN 3001AC:

N/A W2M5 CARL R DARNELL ARMY MED C

DIRECT DELIVERY

MEDICAL SUPPLY OFFICER DACH

BLDG 36000 RM 0002

FORT HOOD TX 76544-5063

The following Delivery Schedule Item has been deleted from SUBCLIN 3001AE:

N/A GENERAL LEONARD WOOD ARMY

COMMUNITY HOSP

GENERAL LEONARD WOOD ARMY

COMMUNITY

4430 MISSO FORT LEONARD WOOD

FORT LEONARD WOOD MO 65473

The following Delivery Schedule Item has been deleted from SUBCLIN 3001AF:

N/A GENERAL LEONARD WOOD ARMY

COMMUNITY HOSP

GENERAL LEONARD WOOD ARMY

COMMUNITY

4430 MISSO FORT LEONARD WOOD

FORT LEONARD WOOD MO 65473

The following Delivery Schedule Item has been deleted from SUBCLIN 4001AA:

POP 01-OCT-2020 TO

30-SEP-2021

N/A BROOKE ARMY MEDICAL CENTER

BROOKE ARMY MEDICAL CENTER

3551 ROBER BROOKE DRIVE

JBFT SAM HOUSTON, TX TX 78234

The following Delivery Schedule Item has been deleted from SUBCLIN 4001AB:

N/A W2M5 CARL R DARNELL ARMY MED C

DIRECT DELIVERY

MEDICAL SUPPLY OFFICER DACH

BLDG 36000 RM 0002

FORT HOOD TX 76544-5063

The following Delivery Schedule Item has been deleted from SUBCLIN 4001AC:

N/A W2M5 CARL R DARNELL ARMY MED C

DIRECT DELIVERY

MEDICAL SUPPLY OFFICER DACH

BLDG 36000 RM 0002

FORT HOOD TX 76544-5063

The following Delivery Schedule Item has been deleted from SUBCLIN 4001AE:

N/A GENERAL LEONARD WOOD ARMY

COMMUNITY HOSP

GENERAL LEONARD WOOD ARMY

COMMUNITY

4430 MISSO FORT LEONARD WOOD

FORT LEONARD WOOD MO 65473

The following Delivery Schedule Item has been deleted from SUBCLIN 4001AF:

N/A GENERAL LEONARD WOOD ARMY

COMMUNITY HOSP

GENERAL LEONARD WOOD ARMY

COMMUNITY

4430 MISSO FORT LEONARD WOOD

FORT LEONARD WOOD MO 65473

(End of Summary of Changes)

File details come from the government source that posted it. Updated .