A.09.03_W81K02-16-T-0207-0001.pdf

W40M PACIFIC RGNL CNTRG OFC

US MEDCOM HCAA

POC: LEE H. MIYASHIRO

160 KRUKOWSKI RD BLDG 160

HONOLULU HI 96819-1552

0010856216

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 execute the follow ing:

1. Revise the hour and date specified for receipt of offer from 10:00 AM (HST) 1 September 2016 to 10:00 AM (HST) 9 September 2016.

2. Add CLINs 0006, 1006, 2006, 3006, and 4006 for Zika IND Testing in accordance w ith the Performance Work Statement.

3. Revise the Performance Work Statement as show n on the attached Summary of Changes.

1. CONTRACT ID CODE PAGE OF PAGES

J 1 6

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

16C. DATE SIGNED

BY 30-Aug-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 W81K02-16-T-0207

X 9B. DATED (SEE ITEM 11)

26-Aug-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 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 1 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

30-Aug-2016

CODE

W40M PACIFIC RGNL CNTRG OFC

USA MEDCOM HCAA

160 KRUKOWSKI RD BLDG 160

HONOLULU HI 96819-1552

W81K02 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE W81K02

FACILITY CODECODE

EMAIL:TEL:

W81K02-16-T-0207

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

The following items are applicable to this modification:

SOC

SUMMARY OF CHANGES

SECTION SF 1449 - CONTINUATION SHEET

SOLICITATION/CONTRACT FORM

The required response date/time has changed from 01-Sep-2016 10:00 AM to 09-Sep-2016 10:00 AM.

SUPPLIES OR SERVICES AND PRICES

CLIN 0006 is added as follows:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0006 6,000 Each Zika IND Testing

FFP

Base Period: 1 October 2016 - 30 September 2017

Provide Zika IND testing services for the Department of Pathology, Tripler Army Medical Center, HI. Contractor will provide labor, materials, and equipment necessary to perform services in accordance with the attached Performance Work Statement.

***SUBJECT TO THE AVAILABILITY OF FY17 FUNDS***

FOB: Destination

NET AMT

CLIN 1006 is added as follows:

1006 6,000 Each OPTION Zika IND Testing

FFP

Option I: 1 October 2017 - 30 September 2018

Provide Zika IND testing services for the Department of Pathology, Tripler Army Medical Center, HI. Contractor will provide labor, materials, and equipment necessary to perform services in accordance with the attached Performance Work Statement.

CLIN 2006 is added as follows:

2006 6,000 Each OPTION Zika IND Testing

FFP

Option II: 1 October 2018 - 30 September 2019

Provide Zika IND testing services for the Department of Pathology, Tripler Army Medical Center, HI. Contractor will provide labor, materials, and equipment necessary to perform services in accordance with the attached Performance Work

CLIN 3006 is added as follows:

3006 6,000 Each OPTION Zika IND Testing

FFP

Option III: 1 October 2019 - 30 September 2020

Provide Zika IND testing services for the Department of Pathology, Tripler Army Medical Center, HI. Contractor will provide labor, materials, and equipment necessary to perform services in accordance with the attached Performance Work

CLIN 4006 is added as follows:

4006 6,000 Each OPTION Zika IND Testing

FFP

Option IV: 1 October 2020 - 30 September 2021

Provide Zika IND testing services for the Department of Pathology, Tripler Army Medical Center, HI. Contractor will provide labor, materials, and equipment necessary to perform services in accordance with the attached Performance Work

DELIVERIES AND PERFORMANCE

The following Delivery Schedule item has been added to CLIN 0006:

DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC

POP 01-OCT-2016 TO

30-SEP-2017

N/A W40M PACIFIC RGNL CNTRG OFC

PLACE OF PERFORMANCE

USA MEDCOM HCAA

160 KRUKOWSKI RD BLDG 160

HONOLULU HI 96819-1552

W81K02

The following Delivery Schedule item has been added to CLIN 1006:

DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC

POP 01-OCT-2017 TO

30-SEP-2018

N/A W40M PACIFIC RGNL CNTRG OFC

PLACE OF PERFORMANCE

USA MEDCOM HCAA

160 KRUKOWSKI RD BLDG 160

HONOLULU HI 96819-1552

The following Delivery Schedule item has been added to CLIN 2006:

POP 01-OCT-2018 TO

30-SEP-2019

N/A W40M PACIFIC RGNL CNTRG OFC

PLACE OF PERFORMANCE

USA MEDCOM HCAA

160 KRUKOWSKI RD BLDG 160

HONOLULU HI 96819-1552

The following Delivery Schedule item has been added to CLIN 3006:

POP 01-OCT-2019 TO

30-SEP-2020

N/A W40M PACIFIC RGNL CNTRG OFC

PLACE OF PERFORMANCE

USA MEDCOM HCAA

160 KRUKOWSKI RD BLDG 160

HONOLULU HI 96819-1552

The following Delivery Schedule item has been added to CLIN 4006:

POP 01-OCT-2020 TO

30-SEP-2021

N/A W40M PACIFIC RGNL CNTRG OFC

PLACE OF PERFORMANCE

USA MEDCOM HCAA

160 KRUKOWSKI RD BLDG 160

HONOLULU HI 96819-1552

The following have been modified:

PERFORMANCE WORK STATEMENT

5.0. DESCRIPTION OF SERVICES.

Antibody Identification *REMOVED*

Zika IND - All Zika testing must be performed using the Roche cobas® Zika test for use with the cobas® 6800/8800 System as mandated by the Armed Services Blood Program. Furthermore, blood donor samples for Zika testing must be tested individually and cannot be tested in pools, as with some other viruses. Given that FDA has mandated this testing on extremely short notice, the testing provider can refer this testing to another laboratory in the short-term as long as they can provide this testing in-house by no later than 18 Nov 2016. By 18 Nov 2016, testing provider must be able to provide 20 hour turnaround of test results on any given day, from the time testing samples were shipped from TAMC.

(End of Summary of Changes)