W9124D-17-T-00097-0001_AMENDMENT_0001.pdf

W9124D-17-T-0097

0011026289

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

PROVIDE WEEKLY DRY ICE DELIVERY

1. CONTRACT ID CODE PAGE OF PAGES

J 1 4

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

16C. DATE SIGNED

BY 11-Sep-2017

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 W9124D-17-T-0097

X 9B. DATED (SEE ITEM 11)

28-Aug-2017

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, 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

11-Sep-2017

CODE

MISSION AND INSTALLATION CONTRACTING CMD

MICC FORT KNOX

BLDG 1109B STE 373

199 6TH AVE

FORT KNOX KY 40121-5720

W9124D 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 SF 30 - BLOCK 14 CONTINUATION PAGE

The following have been added by full text:

AMENDMENT 0001

AMENDMENT TO CHANGE THE OFFER DUE DATE/LOCAL TIME BLOCK 8:

25 SEPTEMBER 2017 AT 2:00 PM EASTERN

STATEMENT OF WORK

FOR WEEKLY DELIVERY OF

DRY ICE

1. GENERAL REQUIREMENTS: The contractor shall provide all 350 pounds of dry ice delivered to Ireland Army Community Hospital once per week.

2. SPECIFIC TASKS:

2.1. DESCRIPTION: The contractor shall provide delivery of 350 pounds of dry ice to the laboratory shipping area once per week. The vendor will also provide a container to store the dry ice.

2.1.1. Contractor must be able to make weekly deliveries 52 weeks per year to the following location:

Ireland Army Community Hospital Pathology Laboratory 1st Floor 851Ireland Avenue Fort Knox, KY 40121

2.1.2. Dry ice must be delivered in a manner that will preserve the proper storage temperature during transportation and be delivered on time at the appropriate storage temperature.

2.1.3. Contractor must make replacement storage containers available to the lab in the event of a problem with the existing container.

3. MAINTENANCE AND SERVICE

3.I . SERVICE: RESERVED

4. APPLICABLE TECHNICAL ORDERS, SPECIFICATIONS, REGULATIONS, AND

MANUALS.

4.1. GENERAL. In case of differences between local and national regulations, the regulations containing the most stringent requirements shall govern. Contractor will comply with all U.S. laws pertaining to medical FDA approved equipment. Contractor will also comply with all Department of Defense (DOD), Department of Army (DA), U.S. Army Europe (USAREUR), US Army Medical Command (USAMEDCOM), European Regional Medical Command and Landstuhl Regional Medical Center regulations and policies pertaining to med ical equipment. Current issues of many DA publications can be accessed at http://www.usapa.army.mil/gils. Current issues of many forms can be accessed at http://www.usapa.army.mil/forms. Publications and forms not on the internet can be obtained from the MTF. These regulations include, but are not limited to, the following:

4.2. The Publications have been coded as mandatory or advisory. The contractor is obligated to follow those coded as mandatory only to the extent that they apply to this contract. Supplements, amendments, or changes to these mandatory publications may be issued during the life of the contract. Advisory pu blications may be used for information and guidance but are not binding for compliance.

4.3. Publications:

6.3. l. Mandatory:

Public Law 91-596 29 Dec 70 Occupational Safety and Health Administration Public Law 104-191 (Aug 1996) Health Insurance Portability and Accountability Act of 1996 Current Edition Joint Commission for Accreditation of Healthcare Organizations (JCAHO)

Manual

AR 40-1

AR 40-2

AR 40-4

AR 40-68

AR 340-21

AR 380-19

AR 380-76

Composition, Mission, and Functions of the Army Medical Department Army Medical Treatment Facilities and General Administration Army Medical Department Facilities/Activities Quality Assurance Administration The Army Privacy Program (05 Jul 85) Information Systems Security The Department of the Army Personnel Security Program

AFIP PAMPHLET 40-24; Clinical Laboratory Improvement Program (CLIP) policy mandated by DODI 6440.2 N FPA 99, Chapter 7.

4.3.2. Advisory

AR 310-25

MEDCOM Pam 25-3 I

Dictionary of United States Army Tenns Index of Command Administrative Publications ( 15 AUG 01)

5. ACCOUNTING FOR CONTRACT SERVICES/CONTRACTOR MANPOWER

REPORTING (UNCLASSIFIED).: RESERVED

(End STATEMENT OF WORK

SECTION SF 1449 - CONTINUATION SHEET

SOLICITATION/CONTRACT FORM

The required response date/time has changed from 11-Sep-2017 02:00 PM to 25-Sep-2017 02:00 PM.

(End of Summary of Changes)