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This document is an amendment to Solicitation W81K0224Q0090 for a personal services contract for a Primary Care Behavioral Health (PCBH) Clinical Social Worker for the 51st Medical Group at Osan Air Base, Korea. The amendment adds "Hours" as the unit of measure for several contract line items and adds new contract line items for a relocation bonus. The relocation bonus will be paid in accordance with the Performance Work Statement. The solicitation period is from September 1, 2024 through August 31, 2029, with four option periods. Services will be inspected and accepted by the government at the destination. The contracting office is the Medical Command within the Department of the Army.

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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. Add "Hours" as the Unit of Measure for CLINs 0001, 1001, 2001, 3001 and 4001.

2. Add CLINs 0002, 1002, 2002, 3002 and 4002 for the Relocation Bonus.

1. CONTRACT ID CODE PAGE OF PAGES

J 1 7

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

16C. DATE SIGNED

BY 24-Jun-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 W81K0224Q0090

X 9B. DATED (SEE ITEM 11)

20-Jun-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 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

24-Jun-2024

CODE

W40M MRCO 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

See Item 6

FACILITY CODECODE

EMAIL:TEL:

W81K0224Q0090

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 1449 - CONTINUATION SHEET

SUPPLIES OR SERVICES AND PRICES

CLIN 0001

The unit of issue Hours has been added.

CLIN 1001

CLIN 2001

CLIN 3001

CLIN 4001

CLIN 0002 is added as follows:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0002 12 Months Relocation Bonus

FFP

Base Period: 01 September 2024 - 31 August 2025

DO NOT SUBMIT PRICING FOR THIS CLIN. THIS IS A RELOCATION

BONUS CLIN. Relocation Bonus will be paid IAW PWS paragraph 3.7.4.1.

FOB: Destination

PSC CD: Q528

NET AMT

CLIN 1002 is added as follows:

1002 12 Months OPTION Relocation Bonus

FFP

Option Period I: 01 September 2025 - 31 August 2026

DO NOT SUBMIT PRICING FOR THIS CLIN. THIS IS A RELOCATION

BONUS CLIN. Relocation Bonus will be paid IAW PWS paragraph 3.7.4.1.

CLIN 2002 is added as follows:

2002 12 Months OPTION Relocation Bonus

FFP

Option Period II: 01 September 2026 - 31 August 2027

DO NOT SUBMIT PRICING FOR THIS CLIN. THIS IS A RELOCATION

BONUS CLIN. Relocation Bonus will be paid IAW PWS paragraph 3.7.4.1.

CLIN 3002 is added as follows:

3002 12 Months OPTION Relocation Bonus

FFP

Option Period III: 01 September 2027 - 31 August 2028

DO NOT SUBMIT PRICING FOR THIS CLIN. THIS IS A RELOCATION

BONUS CLIN. Relocation Bonus will be paid IAW PWS paragraph 3.7.4.1.

CLIN 4002 is added as follows:

4002 12 Months OPTION Relocation Bonus

FFP

Option Period IV: 01 September 2028 - 31 August 2029

DO NOT SUBMIT PRICING FOR THIS CLIN. THIS IS A RELOCATION

BONUS CLIN. Relocation Bonus will be paid IAW PWS paragraph 3.7.4.1.

DELIVERIES AND PERFORMANCE

The following Delivery Schedule for CLIN 0002 has been added:

DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

POP 01-SEP-2024 TO

31-AUG-2025

N/A F3J4MD 51 MDG

F3J4MD 51 MDG

AF BPN NO MILSBILLS PROCESSES

UNIT 2060 BLDG 777

APO AP 96278-2060

011-82-31-661-2273/258

F3J4MD

The following Delivery Schedule for CLIN 1002 has been added:

DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

POP 01-SEP-2025 TO

31-AUG-2026

N/A F3J4MD 51 MDG

F3J4MD 51 MDG

AF BPN NO MILSBILLS PROCESSES

UNIT 2060 BLDG 777

APO AP 96278-2060

011-82-31-661-2273/258

The following Delivery Schedule for CLIN 2002 has been added:

CAGE

POP 01-SEP-2026 TO

31-AUG-2027

N/A F3J4MD 51 MDG

F3J4MD 51 MDG

AF BPN NO MILSBILLS PROCESSES

UNIT 2060 BLDG 777

APO AP 96278-2060

011-82-31-661-2273/258

The following Delivery Schedule for CLIN 3002 has been added:

CAGE

POP 01-SEP-2027 TO

31-AUG-2028

N/A F3J4MD 51 MDG

F3J4MD 51 MDG

AF BPN NO MILSBILLS PROCESSES

UNIT 2060 BLDG 777

APO AP 96278-2060

011-82-31-661-2273/258

The following Delivery Schedule for CLIN 4002 has been added:

CAGE

POP 01-SEP-2028 TO

31-AUG-2029

N/A F3J4MD 51 MDG

F3J4MD 51 MDG

AF BPN NO MILSBILLS PROCESSES

UNIT 2060 BLDG 777

APO AP 96278-2060

011-82-31-661-2273/258

INSPECTION AND ACCEPTANCE

The following Acceptance/Inspection Schedule was added for CLIN 0002:

INSPECT AT INSPECT BY ACCEPT AT ACCEPT BY

Destination Government Destination Government

The following Acceptance/Inspection Schedule was added for CLIN 1002:

The following Acceptance/Inspection Schedule was added for CLIN 2002:

The following Acceptance/Inspection Schedule was added for CLIN 3002:

The following Acceptance/Inspection Schedule was added for CLIN 4002:

(End of Summary of Changes)

File details come from the government source that posted it. Updated .