W81K0221Q0089-0001.pdf

W40M REGIONAL HEALTH CONTRACTING OF

REGIONAL HEALTH CONTR OFC PACIFIC

POC: RONNIE SAKATA

142 CLARK STREET

FORT SHAFTER HI 96858-5098

0011561348

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 as follow s:

1. Provide response to a question received

2. Remove the term "scheduled to be" in CLIN x001 Description

3.Change CLIN x002 to hourly, and update CLIN x002 Description

4. Quoters shall use the Conformed copy of the Solicitation, w hich includes the changes made in this Amendment, to submit their pricing.

See Question and Response Section and Summary of Changes. The offer due date and time remain unchanged. All other terms and conditions remain unchanged

1. CONTRACT ID CODE PAGE OF PAGES

J 1 6

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

16C. DATE SIGNED

BY 05-May-2021

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 W81K0221Q0089

X 9B. DATED (SEE ITEM 11)

29-Apr-2021

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 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

05-May-2021

CODE

W40M REGIONAL HEALTH CONTRACTING OF

REGIONAL HEALTH CONTR OFC PACIFIC

BLDG 339 CLARK ROAD

FT SHAFTER HI 96858-5098

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

4. REQUISITION/PURCHASE REQ. NO.

CODE W81K02

FACILITY CODECODE

EMAIL:TEL:

W81K0221Q0089

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

The following items are applicable to this modification:

SUMMARY OF CHANGES

SUMMARY OF CHANGES

SECTION SF 30 - BLOCK 14 CONTINUATION PAGE

The following have been added by full text:

QUESTION AND RESPONSE

Question: What is the difference between on call hours and emergency services? Is it simply the same services provided on an hourly basis vs on a daily 24h basis? It seems that this would be the same service requirement where a physician needs to be available to respond by phone and/or in person for an emergency call.

Response: CLIN x001, On-call (PWS paragraph 3.7.1.2) and CLIN x002, Emergency on-call (PWS paragraph 3.7.1.2.4) provides the same service. CLIN x001, On-call is paid at an hourly rate. CLIN x002, Emergency on-call as a result of this Amendment 0001 is also paid at an hourly rate and CLIN x002 Description has been updated.

SECTION SF 1449 - CONTINUATION SHEET

SUPPLIES OR SERVICES AND PRICES

CLIN 0001

The CLIN extended description has changed from:

Base Period: 1 Jun 2021 - 30 Nov 2021On-Call Interventional Cardiologist Services for Tripler Army Medical Center (TAMC), Hawaii. Non-personal services in accordance with the Performance Work Statement (PWS).On- Call Hours will be paid for each Hour the contract Interventional Cardiologist is scheduled to be on-call. In accordance with PWS Paragraph 3.7.1.5, the contract Interventional Cardiologist shall provide telephone consulation services to TAMC staff cardiologists in conjunction with on-call coverage.

To:

Base Period: 1 Jun 2021 - 30 Nov 2021On-Call Interventional Cardiologist Services for Tripler Army Medical Center (TAMC), Hawaii. Non-personal services in accordance with the Performance Work Statement (PWS).On- Call Hours will be paid for each Hour the contract Interventional Cardiologist is on-call. In accordance with PWS Paragraph 3.7.1.5, the contract Interventional Cardiologist shall provide telephone consultation services to TAMC staff cardiologists in conjunction with on-call coverage.

CLIN 0002

The CLIN description has changed from Emergency Services, 24 hours/day to Emergency On-Call Hours & Phone Consults.

The CLIN extended description has changed from:

Base Period: 1 Jun 2021 - 30 Nov 2021On-Call Interventional Cardiologist Services for Tripler Army Medical Center (TAMC), Hawaii. Non-personal services in accordance with the Performance Work Statement (PWS).1 Each = 1 Day. Emergency Services will be paid at the firm fixed priced daily rate.

Base Period: 1 Jun 2021 - 30 Nov 2021On-Call Interventional Cardiologist Services for Tripler Army Medical Center (TAMC), Hawaii. Non-personal services in accordance with the Performance Work Statement (PWS).Emergency On-Call Hours will be paid for each Hour the contract Interventional Cardiologist is on-call for emergencies. In accordance with PWS Paragraph 3.7.1.5, the contract Interventional Cardiologist shall provide telephone consultation services to TAMC staff cardiologists in conjunction with on-call coverage.

The pricing detail quantity has increased by 345.00 from 15.00 to 360.00.

The unit of issue has changed from Each to Hours.

CLIN 1001

Option I: 1 Dec 2021 - 30 Nov 2022On-Call Interventional Cardiologist Services for Tripler Army Medical Center (TAMC), Hawaii. Non-personal services in accordance with the Performance Work Statement (PWS).On-Call Hours will be paid for each Hour the contract Interventional Cardiologist is scheduled to be on-call. In accordance with PWS Paragraph 3.7.1.5, the contract Interventional Cardiologist shall provide telephone consulation services to TAMC staff cardiologists in conjunction with on-call coverage.

Option I: 1 Dec 2021 - 30 Nov 2022On-Call Interventional Cardiologist Services for Tripler Army Medical Center (TAMC), Hawaii. Non-personal services in accordance with the Performance Work Statement (PWS).On-Call Hours will be paid for each Hour the contract Interventional Cardiologist is on-call. In accordance with PWS Paragraph 3.7.1.5, the contract Interventional Cardiologist shall provide telephone consultation services to TAMC

CLIN 1002

& Phone Consults.

The CLIN extended description has changed from:

Option I: 1 Dec 2021 - 30 Nov 2022On-Call Interventional Cardiologist Services for Tripler Army Medical Center (TAMC), Hawaii. Non-personal services in accordance with the Performance Work Statement (PWS).1 Each = 1 Day. Emergency Services will be paid at the firm fixed priced daily rate.

Option I: 1 Dec 2021 - 30 Nov 2022On-Call Interventional Cardiologist Services for Tripler Army Medical Center (TAMC), Hawaii. Non-personal services in accordance with the Performance Work Statement (PWS).Emergency On-Call Hours will be paid for each Hour the contract Interventional Cardiologist is on-call for emergencies. In accordance with PWS Paragraph 3.7.1.5, the contract Interventional Cardiologist shall provide telephone consultation services to TAMC staff cardiologists in conjunction with on-call coverage.

The pricing detail quantity has increased by 690.00 from 30.00 to 720.00.

CLIN 2001

Option II: 1 Dec 2022 - 30 Nov 2023On-Call Interventional Cardiologist Services for Tripler Army Medical Center (TAMC), Hawaii. Non-personal services in accordance with the Performance Work Statement (PWS).On-Call Hours will be paid for each Hour the contract Interventional Cardiologist is scheduled to be on-call. In accordance with PWS Paragraph 3.7.1.5, the contract Interventional Cardiologist shall provide telephone consulation services to

Option II: 1 Dec 2022 - 30 Nov 2023On-Call Interventional Cardiologist Services for Tripler Army Medical Center (TAMC), Hawaii. Non-personal services in accordance with the Performance Work Statement (PWS).On-Call Hours will be paid for each Hour the contract Interventional Cardiologist is on-call. In accordance with PWS Paragraph 3.7.1.5, the contract Interventional Cardiologist shall provide telephone consultation services to TAMC

CLIN 2002

& Phone Consults.

The CLIN extended description has changed from:

Option II: 1 Dec 2022 - 30 Nov 2023On-Call Interventional Cardiologist Services for Tripler Army Medical Center (TAMC), Hawaii. Non-personal services in accordance with the Performance Work Statement (PWS).1 Each = 1

Option II: 1 Dec 2022 - 30 Nov 2023On-Call Interventional Cardiologist Services for Tripler Army Medical Center (TAMC), Hawaii. Non-personal services in accordance with the Performance Work Statement (PWS).Emergency On-Call Hours will be paid for each Hour the contract Interventional Cardiologist is on-call for emergencies. In accordance with PWS Paragraph 3.7.1.5, the contract Interventional Cardiologist shall provide telephone consultation services to TAMC staff cardiologists in conjunction with on-call coverage.

CLIN 3001

Option III: 1 Dec 2023 - 30 Nov 2024On-Call Interventional Cardiologist Services for Tripler Army Medical Center (TAMC), Hawaii. Non-personal services in accordance with the Performance Work Statement (PWS).On-Call Hours will be paid for each Hour the contract Interventional Cardiologist is scheduled to be on-call. In accordance with PWS Paragraph 3.7.1.5, the contract Interventional Cardiologist shall provide telephone consulation services to

Option III: 1 Dec 2023 - 30 Nov 2024On-Call Interventional Cardiologist Services for Tripler Army Medical Center (TAMC), Hawaii. Non-personal services in accordance with the Performance Work Statement (PWS).On-Call Hours will be paid for each Hour the contract Interventional Cardiologist is on-call. In accordance with PWS Paragraph 3.7.1.5, the contract Interventional Cardiologist shall provide telephone consultation services to TAMC

CLIN 3002

& Phone Consults.

The CLIN extended description has changed from:

Option III: 1 Dec 2023 - 30 Nov 2024On-Call Interventional Cardiologist Services for Tripler Army Medical Center (TAMC), Hawaii. Non-personal services in accordance with the Performance Work Statement (PWS).1 Each = 1

Option III: 1 Dec 2023 - 30 Nov 2024On-Call Interventional Cardiologist Services for Tripler Army Medical Center (TAMC), Hawaii. Non-personal services in accordance with the Performance Work Statement (PWS).Emergency On-Call Hours will be paid for each Hour the contract Interventional Cardiologist is on-call for emergencies. In accordance with PWS Paragraph 3.7.1.5, the contract Interventional Cardiologist shall provide telephone consultation services to TAMC staff cardiologists in conjunction with on-call coverage.

CLIN 4001

Option IV: 1 Dec 2024 - 30 Nov 2025On-Call Interventional Cardiologist Services for Tripler Army Medical Center (TAMC), Hawaii. Non-personal services in accordance with the Performance Work Statement (PWS).On-Call Hours will be paid for each Hour the contract Interventional Cardiologist is scheduled to be on-call. In accordance with PWS Paragraph 3.7.1.5, the contract Interventional Cardiologist shall provide telephone consulation services to

Option IV: 1 Dec 2024 - 30 Nov 2025On-Call Interventional Cardiologist Services for Tripler Army Medical Center (TAMC), Hawaii. Non-personal services in accordance with the Performance Work Statement (PWS).On-Call Hours will be paid for each Hour the contract Interventional Cardiologist is on-call. In accordance with PWS Paragraph 3.7.1.5, the contract Interventional Cardiologist shall provide telephone consultation services to TAMC

CLIN 4002

& Phone Consults.

The CLIN extended description has changed from:

Option IV: 1 Dec 2024 - 30 Nov 2025On-Call Interventional Cardiologist Services for Tripler Army Medical Center (TAMC), Hawaii. Non-personal services in accordance with the Performance Work Statement (PWS).1 Each = 1

Option IV: 1 Dec 2024 - 30 Nov 2025On-Call Interventional Cardiologist Services for Tripler Army Medical Center (TAMC), Hawaii. Non-personal services in accordance with the Performance Work Statement (PWS).Emergency On-Call Hours will be paid for each Hour the contract Interventional Cardiologist is on-call for emergencies. In accordance with PWS Paragraph 3.7.1.5, the contract Interventional Cardiologist shall provide telephone consultation services to TAMC staff cardiologists in conjunction with on-call coverage.

(End of Summary of Changes)