W81K0223Q0091-0002.pdf

W40M RHCO PACIFIC

REGIONAL HEALTH CONTR OFC PACIFIC

POC: CHARIS K. NAITO

BLDG 339 CLARK ROAD

FORT SHAFTER HI 96858-5098

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 provide answ ers to questions received. See Summary of Changes.

1. CONTRACT ID CODE PAGE OF PAGES

J 1 3

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

16C. DATE SIGNED

BY 20-Jun-2023

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 W81K0223Q0091

X 9B. DATED (SEE ITEM 11)

06-Jun-2023

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

20-Jun-2023

CODE

W40M RHCO PACIFIC

MEDICAL READINESS CONTR OFC PACIFIC

BLDG 339 CLARK ROAD

FORT SHAFTER HI 96858-5098

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

4. REQUISITION/PURCHASE REQ. NO.

CODE W81K02

FACILITY CODECODE

EMAIL:TEL:

W81K0223Q0091

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 1449 - CONTINUATION SHEET

The following have been modified:

QUESTIONS & ANSWERS

Question 1:

Para 5,1,3,3, Experience , Page 52 of 103, Notice ID W81K0223Q0091 is follows:

5.1.3.3 Experience: The IMRN shall have at least three (3) years of nursing experience including one (1) year at an Outpatient Family Practice Clinic within the last five (5) years.

Could you revise it from “nursing experience including one (1) year at an Outpatient Family Practice Clinic” to "a minimum of one (1) year of nursing experience at a hospital capable of administering care equivalent to that of an Outpatient Family Practice Clinic"?

Answer 1:

No change will be made.

Question 2:

Could you please provide the incumbent name, as well as the contract number?

Answer 2:

Incumbent name is Medic-Hu Service. Incumbent contract number is W91QVN18C0012.

Question 3:

On the SF 1449, do I need to fill 12, 23, 24?

Answer 3:

No.

Question 4:

Page 77, VOLUME 1-ADMINISTRATIVE -> b. Acknowledged and signed copies of amendment if applicable.

The number of copies required will be shown on the SF 30.

In my understanding, if there's nothing I want to change on the given contract, I don't need to submit amendment copies right?

Answer 4:

On page 77 of the solicitation, in the ADDENDUM TO 52.212-1, VOLUME I – ADMINISTRATIVE, b. it states, “Acknowledged and signed copies of amendment(s) if applicable. The number of copies required will be shown on the SF 30.”

Solicitation amendment 0001 was posted on sam.gov on 12 June 2023. Solicitation amendment 0002 was posted on sam.gov on 20 June 2023. In block 11 of these SF 30s, it specifies 1 copy must be completed (blocks 8 and 15) and returned.

W81K0223Q0091

(End of Summary of Changes)