W90VN7-18-T-0004-0001.pdf

F2L4MG8110AW01

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

A. The purpose of this amendment is to delete “Value of Contract” from Sub factor 3. Medical Coding Auditor’s Prior Experience of Evaluation Factor on this solicitation and extend the offer due date and time of 1300hours, 18 June 2018.

B. All other terms and conditions remain the same.

1. CONTRACT ID CODE PAGE OF PAGES

J 1 9

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

16C. DATE SIGNED

BY 08-Jun-2018

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 W90VN718T0004

X 9B. DATED (SEE ITEM 11)

30-May-2018

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 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

08-Jun-2018

CODE

411TH CONTRACTING SUPPORT BRIGADE, KOREA

RCO KUNSAN, UNIT #2112

APO AP 96264-2112

UNITED STATES

W90VN7 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

W90VN718T0004

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION A - SOLICITATION/CONTRACT FORM

The required response date/time has changed from 14-Jun-2018 01:00 PM to 18-Jun-2018 01:00 PM.

SECTION L - INSTRUCTIONS, CONDITIONS AND NOTICES TO BIDDERS

The following have been modified:

ADDENDUM TO FAR 52.212-1

ADDENDUM TO FAR 52.212-1 INSTRUCTION TO OFFEROR – COMMERCIAL ITEMS

1. CONTRACT AWARD

1.1. The Government intends to execute a firm fixed price CLIN contract for Medical Coding Auditor for 8th Medical Group for Kunsan AB. Award will be made to the responsible Offeror submitting the most competitively price offer IAW Federal Acquisition Regulation (FAR) Parts 12 and 13 " Simplified Acquisition Procedures" that satisfies all terms and conditions of the solicitation. Offers will be evaluated for acceptability, but not ranked using the non-cost factors/subfactors. All non-cost factors and subfactors will be rated as either "acceptable" or "unacceptable". In order to be considered for award, there must be an “acceptable” rating in every non- price factor/subfactor. In other words, a rating of “unacceptable” for any factor or subfactor will result in the entire offer being rated “unacceptable”.

1.2. The Government intends to evaluate offers and award a contract without discussions with offerors in accordance with FAR 52.212-1(g). Therefore, the offeror’s initial offer should contain the offeror’s best terms from a price and technical standpoint. However, the Government reserves the right to conduct discussions if later determined by the Contracting Officer to be necessary. The Government may reject any or all offers if such action is in the public interest; accept other than the lowest offer; and waive informalities and minor irregularities in offers received.

2. SUBMISSION REQUIREMENTS:

(a) These instructions are designed to ensure submission of essential information in order for the Government to understanding and evaluate proposals. Offerors are cautioned to follow the detailed instructions fully and carefully, as the Government reserves the right to make award based on initial offers received, without discussions with Offerors.

(b) Offerors are cautioned to submit adequate information to enable the Government team to fully ascertain each Offeror’s capability to perform all of the requirements identified in the solicitation. All commitments made in the proposal shall become a part of the resultant contract.

(c) Offerors are required to submit the following information requirements through Federal Business Opportunities (FBO) https://www.fbo.gov by 1300 hours Local Standard Time. Award will be made on the basis of the lowest evaluated price of proposals meeting or exceeding the acceptability standards for non-cost factors.

(d) The Government intends to evaluate and make award without discussion with the offerors (other than minor clarifications), unless discussions are determined to be necessary. If discussions are determined to be necessary, then the Contracting Officer reserves the right to limit the competitive range for the purposes of efficiency.

3. Signed Solicitation and Amendment: Signed first page of the solicitation (SF1449) and each amendment (SF30) (if any amendment were issued)

NOTE: Questions will be addressed to Ms. Ko, Kyong Ok, Contract Specialist at kyong.o.ko.ln@mail.mil and Mr. Song, Kil Chae, Contracting Officer at kilchae.song.ln@mail.mil. All questions must be received no later than 13:00 hours within 10 days after the solicitation is issued. Questions received after this date and time may not be answered.

4. Addtional Submittals

FACTOR A. TECHNICAL

SUBFACTOR 1. MEDICAL CODING AUDITOR'S LICENSE/CERTIFICATION:

The offeror shall provide current and valid a copy of at least one accreditation from a nationally recognized in the United States accrediting medical coding body to include, Certified Coding Specialist (CCS), Certified Coding Specialist-Physician Based (CCS-P), Certified Professional Coder (CPC), Certified Professional Coder-Hospital (CPC-H), Registered Health Information Technician (RHIT), or Registered Health Information Administrator

(RHIA).

SUBFACTOR 2. MEDICAL CODING AUDITOR'S EDUCATION:

The offeror shall provide a copy of Associates Degree in Healthcare

SUBFACTOR 3. MEDICAL CODING AUDITOR'S PRIOR EXPERIENCE:

The offeror shall provide Medical Coding Auditor’s résumé with evidence at least two (2) years of experience in medical coding auditor within the last five (5) years from the issuance date of this solicitation. The offeror shall provide evidence of prior experience in the following format:

- Full name of Medical Coding Auditor (s)

- A detail description of work completed

- Length of contract/Project (year/month/date – year/month/date)

- Complete name, phone number, and E-mail address of employer and validating personnel

FACTOR B. PAST PERFORMANCE

The past performance factor considers the offeror’s demonstrated recent and relevant record of performance in supplying services that meet the contract requirements. Past performance will be evaluated on an acceptable/unacceptable basis. The offerors are required to identify contracts, both commercial and Government contracts for the same service. The Government may ascertain past performance information on the offeror from sources other than the contracts/ references provided. In the case of an offeror without a record of relevant past performance or for whom information on past performance is not available or so sparse that no meaningful past performance rating can be reasonably assigned, the offeror may not be evaluated favorably or unfavorably on past performance (see FAR 15.305 (a)(2)(iv)). Therefore, the offeror shall be determined to have unknown past performance. In the context of acceptability/unacceptability, “unknown” shall be considered “acceptable”

The offeror shall provide recent and relevant past performance in Medical Coding Service within the last five (5) years from the issuance date of this solicitation.. Relevant past performance of same services based on size, scope, complexity, and contract type. Offerors’ recent and relevant past performance may consist Government and/or commercial contracts for the prime offeror and/or for each major subcontractor who performed during the past five

(5) years from the closing date of this solicitation.

The offeror shall provide the following information for each past performance reference:

- Title of the contract/Project and Name of Client Organization

- A description of work completed.

- Complete name, telephone number of point of contact at Client Organization

FACTOR C. PRICE

The Offeror shall provide complete price proposal to include:

(a) Schedule of Services (CLINs) of the RFP

Tax Exemptions- Republic of Korea

As prescribed in 29.402-1.b, insert the following clause:

(a) This clause implements Articles IX and XVI of the Status of Forces Agreement between the Republic of Korea and the United States of America granting contractors’ exemption from certain Republic of Korea taxes and other such charges when performing in support of United States Forces Korea (USFK). To obtain proper exemptions, the Contractor shall follow the procedures in paragraphs (a)(1) through (a)(4) of this clause and submit the information required in paragraph (b) for to the Contracting Officer or an authorized representative.

(1) TAX EXEMPTION CUSTOMS, REPUBLIC OF KOREA

(i) This paragraph is in implementation of Article IX of the Status of Forces Agreement between the

Republic of Korea and the United States of America granting contractors exemption from Republic of Korea customs duties and other such charges. At the time this contract is awarded, the Contractor shall certify to the Contracting Officer that all materials, supplies, and equipment to be imported for the contract have been proposed to the Government exclusive of customs duties and other such charges and;

further, that the contract price includes no customs duty whatsoever. It shall indicate to the Contracting Officer the total amount of customs duties excluded from the contract price. The USFK Contracting Officer will verify the amount of customs duty that would otherwise be applicable to the contract and will issue USFK Form(s) 75 to the Contractor. The contractor will submit the original USFK Form 75 to the governing ROK Customs Office at the time of import declaration. The Chief of the Customs Office will review the USFK Form 75 and will exempt the Contractor from customs duties and other such charges. During the review process the customs office will post on the Contractor's Import Permit the anticipated submission date for a completed USFK Form 76, which will be prepared by the Contracting Officer and given to the contractor immediately after contract performance. The Contractor will submit the original USFK Form 76 to the governing ROK Customs Office no later than the date posted on the Import Permit. If the USFK Form 76 is not submitted by the anticipated date, the ROK Customs Office will immediately collect the customs duties and other such charges previously exempted.

(ii) If for any reason the Contractor has paid customs duties on materials, supplies, or equipment prior to award of this contract and desires to use such materials, supplies, or equipment for performance of this contract, the Contractor must exclude such duties from the contract price and may obtain refund of such previously paid duties by submitting a completed USFK Form 76 to the governing ROK Customs Office.

(iii) Refund: Any Contractor that requires refund of customs duties and other such charges on items used for USFK contracts, can claim refund of such charges by submitting a copy of a completed USFK Form 76 to the governing ROK Customs Office

(iv) This entire clause is inapplicable to contracts, or any portions of contracts, funded by the Republic of Korea.

(2) TAX EXEMPTION SPECIAL EXCISE TAX, REPUBLIC OF KOREA

This paragraph is in implementation of Article XVI of the Status of Forces Agreement between the Republic of Korea and the United States, granting Contractors exemption from Republic of Korea Special Excise Taxes. At the time this contract is awarded the Contractor shall indicate to the Contracting Officer which items will be purchased for the contract that are subject to Special Excise Tax. The contractor shall indicate the name of the item, the number of units to be purchased, the cost per unit without tax, the percentage of tax, the tax amount per unit, the total tax, and the manufacturer of the item. The Contracting Officer will verify the reasonableness of the quantities claimed and ensure that the Contractor has certified that the contract price excludes Special Excise Tax on those items subject to the tax. The contractor shall purchase the special-excise-taxed items from the manufacturer, tax-inclusive. For construction and single-delivery type supply and service contracts, the contractor shall employ the following procedure: At the time it purchases the items it shall present the manufacturer with a notification letter requesting refund of the Special Excise Tax. (Copies of this letter can be obtained from the 411th CSB, Korea Contracting Officer.) The manufacturer will endorse the letter to the manufacturer's District Tax Office which will make refund to the manufacturer. The manufacturer will make subsequent refund to the Contractor. Requests for refund under requirements-type contracts will be submitted monthly and will be accompanied by copies of the USFK delivery orders issue.

(3) TAX EXEMPTION VALUE ADDED TAX (VAT), REPUBLIC OF KOREA

This paragraph implements Article XVI of the Status of Forces Agreement between the Republic of Korea and the United States of America, which exempts contractors from paying the Republic of Korea Value-Added Taxes.

When the contractor submits an offer, it shall certify to the Contracting Officer that all the costs in the offer will be exclusive of any Value-Added Tax; and further, that the proposed contract price includes no Value-Added Tax. The contractor shall also indicate the amount and type of Value-Added Taxes excluded from the contract price. If supplies and/or services which the contractor purchases for this contract include Value-Added Taxes, it can obtain a full refund for the amount of the Value-Added Tax by submitting to the ROK District Tax Office tax invoices which the contractor receives when it purchases materials and/or services for this contract. The contractor must submit a copy of the USFK contract with its first tax invoice submission. Subsequent tax invoice submissions must be accompanied by a letter which references the USFK contract submitted with the first tax invoice submission.

(4) TAX EXEMPTION POL PRODUCTS, REPUBLIC OF KOREA

(i) This clause is in implementation of Article XVI of the Status of Forces Agreement between the Republic of Korea and the United States of America granting Contractors exemption from Republic of Korea taxes for petroleum products (POL) utilized on USFK acquisitions in the Republic of Korea. At the time this contract is awarded, the Contractor shall make a final nomination in writing of its point of purchase for POL products to be used on this contract. If the Contractor intends to purchase directly from an oil company refinery, it may nominate any of the three ROK oil companies below which have agreed to sell to Contractor FOB refinery at a fixed exempt price.

List of Oil Companies and their Respective Tax Offices

(1) Hyundai Oil Refinery Co., Ltd.: Dong-Inchon District Tax ATTN: POL Tax Administrator Inchon City, Korea

(2) SK Corporation: Ulsan District Tax Office

Ulsan City, Kyongsang Nam Do, Korea

(3) LG Caltex Company: Yeosu District Tax Office

Yeosu City, Cholla Nam Do, Korea

(ii) If the contractor instead intends to purchase its POL products from an individual gasoline station, the Contracting Officer will advise the contractor as to which individual gasoline stations will sell to it at the fixed exempt price. The contractor shall specify from which of those stations it will purchase. In addition to specifying the oil company/gas station, the Contractor shall state the estimated quantity and the amount of POL to be purchased from each refinery/gas station.

The USFK Contracting Officer will verify the reasonableness of the amounts of POL products claimed for use on the contract and, based on this verification, the USFK Responsible Officer will issue USFK POL Tax Exemption Coupons. If the Contractor wishes to purchase from an individual gas station, it will be required to make advance payment for the amount of POL covered by the coupons. Advance payment will be at the fixed-exempt price and will be made to the gas station(s) previously nominated. Representatives from the nominated gas station(s) shall be present at the issuing session. They will collect the advance payments; marks “paid” on the back of the original copy of the coupons issued, and provide the purchasing Contractor with tax invoices to be used by the Contractor to obtain a refund from its governing ROK District Tax Office. All coupons for construction contracts will be issued at the time of award. Coupons for requirements-type contracts will be issued on a delivery order increment basis or on a monthly basis. Pre-selected oil company refineries will sell their POL products at the fixed exempted prices upon presentation of the coupons. Individual gas stations, which have previously collected POL payment in advance will accept the pre-paid USFK POL Tax Exemption Coupons from contractors and will provide the POL amounts reflected on tendered coupons without any further charge.

(5) TAXES:

i. References:

1. Contract clause entitled "FAR 52.229-06 Taxes—Foreign Fixed-Price Contracts (Jan 1991)."

2. US-ROK Status of Forces Agreement (SOFA), Articles IX and XVI.

3. ROK Customs Law, Law No. 1976, promulgated on 29 November 1967, as amended.

4. ROK Value Added Tax Law, Law No. 2934, promulgated on 22 December 1976 (effective date 1 July 1977), as amended.

5. ROK Special Excise Tax Law, Law No. 2935, promulgated on 22 December 1976 (effective date 1 July 1977), as amended.

ii. Contractor shall state the types and estimated amount of taxes that would normally apply to such transactions but are excluded from this proposal.

Customs Tax (except for ROK MND-funded contracts or delivery orders):

Name Number Cost/Unit of Item of Units w/o Tax % of Tax Tax/Unit Tax Total

This item will be imported specifically for this contract? Yes _____ No _____ Special Excise Tax:

Name Number Cost/Unit of Item of Units w/o Tax % of Tax Tax/Unit Tax Total

Name of item manufacturer

Value Added Tax (VAT):

Input VAT on materials purchased for this contract. 10% _____ Input VAT on transportation leased/rented for this contract.10% _____ Input VAT on equipment leased/rented for this contract. 10% _____ Input VAT on services purchased for this contract. 10% _____ Output VAT on total contract amount. 10% _____

Special Excise (Petroleum) Tax:

No. of U/P Liters w/o Tax Tax/Unit Total Tax Amount Regular Gasoline ________ (L) ________ w________ w_____________ Premium Gasoline ________ (L) ________ w________ w_____________ Diesel ________ (L) ________ w________ w_____________ Other ________ (L) ________ w________ w_____________

Education Tax.

Name of the oil company from which POL products will be purchased:

Oil Company: _________________________________________ (Name only) I certify by this submission that all supplies and services to be purchased for this contract have been proposed exclusive of Value Added Tax, applicable Customs Tax (except ROK MND-funded contracts and delivery orders), Special Excise Tax, and Education Tax.

Signed (Chop)

CERTIFICATIONS AND REPRESENTATIONS

By submitting an offer, each offeror agrees to be bound by all certifications and representations in this solicitation. The Government reserves the right to require any and all certifications and representations to be completed and signed in hard copy by the successful offeror prior to contract award. Failure of an offeror to complete the certifications and representations within the time directed by the Contracting Officer may result in a determination that the contractor is not a responsible offeror for this acquisition.

------------End of Addendum to FAR 52.212-1 Instruction to Offeror-Commercial Items (JAN 2017) --------

(End of provision)

SECTION M - EVALUATION FACTORS FOR AWARD

The following have been modified:

BASIS OF AWARD

The Government will award a contract resulting from this solicitation to the responsible offeror whose offer, conforming to the solicitation, will be most advantageous to the Government, price and other factors considered. Award will be made to the lowest priced technically acceptable (LPTA) offeror.

The following factors will be used to evaluate offers:

FACTOR A. TECHNICAL

SUBFACTOR 1. MEDICAL CODING AUDITOR'S LICENSE/CERTIFICATION:

The offeror shall provide current and valid a copy of at least one accreditation from a nationally recognized in the United States accrediting medical coding body to include, Certified Coding Specialist (CCS), Certified Coding Specialist-Physician Based (CCS-P), Certified Professional Coder (CPC), Certified Professional Coder-Hospital (CPC-H), Registered Health Information Technician (RHIT), or Registered Health Information Administrator

(RHIA).

SUBFACTOR 2. MEDICAL CODING AUDITOR'S EDUCATION:

The offeror shall provide a copy of Associates Degree in Healthcare

SUBFACTOR 3. MEDICAL CODING AUDITOR'S PRIOR EXPERIENCE:

The offeror shall provide Medical Coding Auditor’s résumé with evidence at least two (2) years of experience in medical coding auditor within the last five (5) years from the issuance date of this solicitation. The offeror shall provide evidence of prior experience in the following format:

- Full name of Medical Coding Auditor (s)

- A detail description of work completed

- Complete name, phone number, and E-mail address of employer and validating personnel

FACTOR B. PAST PERFORMANCE

The past performance factor considers the offeror’s demonstrated recent and relevant record of performance in supplying services that meet the contract requirements. Past performance will be evaluated on an acceptable/unacceptable basis. The offerors are required to identify contracts, both commercial and Government contracts for the same service. The Government may ascertain past performance information on the offeror from sources other than the contracts/ references provided. In the case of an offeror without a record of relevant past performance or for whom information on past performance is not available or so sparse that no meaningful past performance rating can be reasonably assigned, the offeror may not be evaluated favorably or unfavorably on past performance (see FAR 15.305 (a)(2)(iv)). Therefore, the offeror shall be determined to have unknown past performance. In the context of acceptability/unacceptability, “unknown” shall be considered “acceptable”

The offeror shall provide recent and relevant past performance in Medical Coding Service within the last five (5) years from the issuance date of this solicitation.. Relevant past performance of same services based on size, scope, complexity, and contract type. Offerors’ recent and relevant past performance may consist Government and/or commercial contracts for the prime offeror and/or for each major subcontractor who performed during the past five

(5) years from the closing date of this solicitation.

The offeror shall provide the following information for each past performance reference:

- Title of the contract/Project and Name of Client Organization

- A description of work completed.

- Complete name, telephone number of point of contact at Client Organization

FACTOR C. PRICE

The Offeror shall provide complete price proposal to include:

(a) Schedule of Services (CLINs) of the RFP

(End of Summary of Changes)