W81K0024R0025 P0001.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. Update CLIN description.

2. Update PWS

No other changes have been made.

1. CONTRACT ID CODE PAGE OF PAGES

J 1 3

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

16C. DATE SIGNED

BY 21-Aug-2024

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 W81K0024R0025

X 9B. DATED (SEE ITEM 11)

20-Aug-2024

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, X 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

21-Aug-2024

CODE

W40M USA HCA

MEDICAL READINESS CONTR OFFICE WEST

3160 MCINDOE BLDG 1103

JBSA FT SAM HOUSTON TX 78234-4504

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

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

W81K0024R0025

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 1449 - CONTINUATION SHEET

SUPPLIES OR SERVICES AND PRICES

CLIN 0001

The CLIN description has changed from 0001 ESO ANNUAL USERS SUBSCRIPTION to 0001 EMS Scheduling softwareSUBSCRIPTION.

The CLIN extended description has changed from:

0001 ESO ANNUAL USERS SUBSCRIPTION

To:

0001 EMS Scheduling software SUBSCRIPTION

CLIN 1001

The CLIN description has changed from 1001 ESO ANNUAL USERS SUBSCRIPTION SAF to 1001 EMS Scheduling softwareSUBSCRIPTION.

1001 ESO ANNUAL USERS SUBSCRIPTION SAF

1001 EMS Scheduling software SUBSCRIPTION

CLIN 2001

The CLIN description has changed from 2001 ESO ANNUAL USERS SUBSCRIPTION SAF to 2001 EMS Scheduling softwareSUBSCRIPTION.

2001 ESO ANNUAL USERS SUBSCRIPTION SAF

2001 EMS Scheduling softwareSUBSCRIPTION

W81K0024R0025

CLIN 3001

The CLIN description has changed from 3001 ESO ANNUAL USERS SUBSCRIPTION SAF to 3001 EMS Scheduling softwareSUBSCRIPTION.

3001 ESO ANNUAL USERS SUBSCRIPTION SAF

3001 EMS Scheduling softwareSUBSCRIPTION

CLIN 4001

The CLIN description has changed from 4001 ESO ANNUAL USERS SUBSCRIPTION SAF to 4001 EMS Scheduling softwareSUBSCRIPTION.

4001 ESO ANNUAL USERS SUBSCRIPTION SAF

4001 EMS Scheduling softwareSUBSCRIPTION

The following have been modified:

PWS

PERFORMANCE WORK STATEMENT

PERFORMANCE WORK STATEMENT

Contractor shall provide EMS Scheduling software maintenance and servicing to Womack Army Medical Center Department of Emergency Medicine-Ambulance Service. The requirement includes on-call customer service and assistance, as well as assistance in set-up and maintenance of all aspects of the EMS scheduling software.

Base Year 1 Sep 2024 through 31 Aug 2025 1st Option Year 1 Sep 2025 through 31 Aug 2026 2nd Option Year 1 Sep 2026 through 31 Aug 2027 3rd Option Year 1 Sep 2027 through 31 Aug 2028 4th Option Year 1 Sep 2028 through 31 Aug 2029

CONTRACTOR’S RESPONSIBILITIES.

(h) Contractor shall provide all required updates and upgrades. However, WAMC will provide Microsoft and Antivirus updates per their requirements.

(i) Contractor notifies the Contracting Officer’s Representative (COR) of all updates and upgrades.

(j) Contractor shall perform updates/upgrades after the mutually agreed upon date with the COR during the entire performance of the contract.

(End of Summary of Changes)