Solicitation Amendment W81K0025QA1350001 SF 30.pdf

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers is extended. 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 copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted;

or (c) By separate letter or electronic communication 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 letter or electronic communication, provided each letter or electronic communication 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 NUMBER AS DESCRIBED IN ITEM 14.

CHECK ONE A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER

NUMBER IN ITEM 10A.

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, appropriation data, 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.)

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 AND TITLE OF CONTRACTING OFFICER (Type or print)

15B. CONTRACTOR/OFFEROR

(Signature of person authorized to sign)

15C. DATE SIGNED 16B. UNITED STATES OF AMERICA

(Signature of Contracting Officer)

16C. DATE SIGNED

Previous edition unusable STANDARD FORM 30 (REV. 11/2016) Prescribed by GSA FAR (48 CFR) 53.243

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT 1. CONTRACT ID CODE PAGE OF PAGES

2. AMENDMENT/MODIFICATION NUMBER 3. EFFECTIVE DATE 4. REQUISITION/PURCHASE REQUISITION NUMBER 5. PROJECT NUMBER (If applicable)

6. ISSUED BY CODE 7. ADMINISTERED BY (If other than Item 6) CODE

8. NAME AND ADDRESS OF CONTRACTOR (Number, street, county, State and ZIP Code) (X) 9A. AMENDMENT OF SOLICITATION NUMBER

9B. DATED (SEE ITEM 11)

10A. MODIFICATION OF CONTRACT/ORDER NUMBER

10B. DATED (SEE ITEM 13)

CODE FACILITY CODE

J 1 2

0001 08 JUL 2025

W81K00

W40M MRC0 WEST

MEDICAL READINESS CONTR OFFICE WEST, 3160 MCINDOE BLDG1103

JBSA FT SAM HOUSTON, TX 78234-4504

UNITED STATES

JAMES DAVIS, EMAIL: JAMES.M.DAVIS1.CIV@HEALTH.MIL TELEPHONE: (210) 221-

SCD: PAS:

W81K0025QA135

02 JUL 2025

SEE CONTINUATION

THE AMENDMENT IS TO PROVIDE THE SOLICITATION QUESTION AND ANSWER AT ATTACHMENT 6.

SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

List of Contract Documents, Exhibits, or Attachments

The attachments table has changed from:

Identifier Document Name Document Description Reference Identifier

Date Line Item Page Numbers

Document Type

Provided Under Separate Cover

ATTACHMENT 1-

Instructions to Offerors and Evaluation Criteria

ATTACHMENT 1-Instructions to Offerors and Evaluation Criteria

01 Jul 2025 Attachment No

ATTACHMENT 3

- Statement of Work

- Trauma Registry Services

ATTACHMENT 3 - Statement of Work

- Trauma Registry Services

01 Jul 2025 Attachment No

ATTACHMENT 4

- Past Performance Information Sheet

(PPI)

ATTACHMENT 4 - Past Performance Information Sheet (PPI)

01 Jul 2025 Attachment No

ATTACHMENT 5

- Past Performance Questionnaire

ATTACHMENT 5 - Past Performance Questionnaire

01 Jul 2025 Attachment No

To:

Identifier Document Name Document Description Reference Identifier

Date Line Item Page Numbers

Document Type

Provided Under Separate Cover

ATTACHMENT 1-

Instructions to Offerors and Evaluation Criteria

ATTACHMENT 1-Instructions to Offerors and Evaluation Criteria

01 Jul 2025 Attachment No

ATTACHMENT 3

- Statement of Work

- Trauma Registry Services

ATTACHMENT 3 - Statement of Work

- Trauma Registry Services

01 Jul 2025 Attachment No

ATTACHMENT 4

- Past Performance Information Sheet

(PPI)

ATTACHMENT 4 - Past Performance Information Sheet (PPI)

01 Jul 2025 Attachment No

ATTACHMENT 5

- Past Performance Questionnaire

ATTACHMENT 5 - Past Performance Questionnaire

01 Jul 2025 Attachment No

W81K0025QA135

Trauma Registras Question and Answer 8 July 2025

JMD

Attachment 6 Q&A 08 Jul 2025 2 Attachment No

The following contract documents were added:

W81K0025QA135 Trauma Registras Question and Answer 8 July 2025 JMD

The following contract documents Page Counts were changed:

DOCUMENT PAGE COUNTS

DOCUMENT NAME FROM TO

W81K0025QA135 Trauma Registras Question and Answer 8 July 2025 JMD none 2

W81K0025QA1350001