W9124C-24-R-0017-0001.pdf

0012098784

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

Correction of CLIN verbiage (CLIN 0001 - CLIN 4003)

1. CONTRACT ID CODE PAGE OF PAGES

J 1 6

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

16C. DATE SIGNED

BY 07-May-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 W9124C24R0017

X 9B. DATED (SEE ITEM 11)

26-Apr-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

07-May-2024

CODE

MICC - FT JACKSON

4340 CENTURY DIVISION AVENUE

FORT JACKSON SC 29207

W9124C 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION B - SUPPLIES OR SERVICES AND PRICES

CLIN 0001

The CLIN extended description has changed from:

EDUCATOR/FACULTY FEES

To:

Non-Personal Services - Provide Annual 2024 National Accreditation fees for Clinical Pastoral Education Course pricing, includes (6) each Certified Educator dues, (3) Spiritual Care Professional, (4) CEC/Fellows.

Accreditations/Certification Reviews are for the following locations: USACHS, Fort Jackson, SC.

CLIN 0002

CERTIFICATION REVIEW FEES

Non-Personal Services - Provide Annual 2024 National Certification Fees includes: (3) each for Supervisor Review Fee, (1) each for CEC Application Fee, (6) each for Certified Educator Registration Fees are for the following locations: USACHS, Fort Jackson, SC.

CLIN 0003

The CLIN description has changed from SYSTEM ACCREDIATION FEES to SYSTEM

ACCREDITATION FEES.

SYSTEM ACCREDIATION FEES

Non-Personal Services - Provide Annual 2024 System Accreditation Fees includes: (1) each System Center Fee, (3) each for System Site Fees, and (200) each for Accreditation System Fees are for the following locations: USACHS, Fort Jackson, SC.

CLIN 1001

Non-Personal Services - Provide Annual 2025 National Accreditation fees for Clinical Pastoral Education Course pricing, includes (6) each Certified Educator dues, (3) Spiritual Care Professional, (4) CEC/Fellows.

CLIN 1002

Non-Personal Services - Provide Annual 2025 National Certification Fees includes: (3) each for Supervisor Review Fee, (1) each for CEC Application Fee, (6) each for Certified Educator Registration Fees are for the following

CLIN 1003

ACCREDITATION FEES.

Non-Personal Services - Provide Annual 2025 System Accreditation Fees includes: (1) each System Center Fee, (3) each for System Site Fees, and (200) each for Accreditation System Fees are for the following locations: USACHS, CLIN 2001

Non-Personal Services - Provide Annual 2026 National Accreditation fees for Clinical Pastoral Education Course pricing, includes (6) each Certified Educator dues, (3) Spiritual Care Professional, (4) CEC/Fellows.

CLIN 2002

Non-Personal Services - Provide Annual 2026 National Certification Fees includes: (3) each for Supervisor Review Fee, (1) each for CEC Application Fee, (6) each for Certified Educator Registration Fees are for the following

CLIN 2003

ACCREDITATION FEES.

Non-Personal Services - Provide Annual 2026 System Accreditation Fees includes: (1) each System Center Fee, (3) each for System Site Fees, and (200) each for Accreditation System Fees are for the following locations: USACHS, CLIN 3001

Non-Personal Services - Provide Annual 2027 National Accreditation fees for Clinical Pastoral Education Course pricing, includes (6) each Certified Educator dues, (3) Spiritual Care Professional, (4) CEC/Fellows.

CLIN 3002

Non-Personal Services - Provide Annual 2027 National Certification Fees includes: (3) each for Supervisor Review Fee, (1) each for CEC Application Fee, (6) each for Certified Educator Registration Fees are for the following

CLIN 3003

ACCREDITATION FEES.

Non-Personal Services - Provide Annual 2027 System Accreditation Fees includes: (1) each System Center Fee, (3) each for System Site Fees, and (200) each for Accreditation System Fees are for the following locations: USACHS, CLIN 4001

Non-Personal Services - Provide Annual 2028 National Accreditation fees for Clinical Pastoral Education Course pricing, includes (6) each Certified Educator dues, (3) Spiritual Care Professional, (4) CEC/Fellows.

CLIN 4002

Non-Personal Services - Provide Annual 2028 National Certification Fees includes: (3) each for Supervisor Review Fee, (1) each for CEC Application Fee, (6) each for Certified Educator Registration Fees are for the following

CLIN 4003

ACCREDITATION FEES.

Non-Personal Services - Provide Annual 2028 System Accreditation Fees includes: (1) each System Center Fee, (3) each for System Site Fees, and (200) each for Accreditation System Fees are for the following locations: USACHS, Fort Jackson, SC.

(End of Summary of Changes)