19-Q-0011_Amendment_0002_SF30.pdf

0011354196

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 clarify services required in CLINs 0009 and 0016. And to add a CLIN for an additional event on September 22, 2019. See summary of Changes. All other terms and conditions remain unchanged. The closing date is extended to Thursday, June 27, 2019 at 11:59 PM Pacific Time.

1. CONTRACT ID CODE PAGE OF PAGES

J 1 4

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

16C. DATE SIGNED

BY 26-Jun-2019

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 W9124X19Q0011

X 9B. DATED (SEE ITEM 11)

31-May-2019

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 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

26-Jun-2019

CODE

PURCHASING AND CONTRACTING

2452 FAIRVIEW DR.

CARSON CITY NV 89701

W9124X 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

W9124X19Q0011

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 30 - BLOCK 14 CONTINUATION PAGE

The following have been deleted:

AMENDMENT 0001 QS & AS

SECTION SF 1449 - CONTINUATION SHEET

SOLICITATION/CONTRACT FORM

The required response date/time has changed from 24-Jun-2019 11:59 PM to 27-Jun-

2019 11:59 PM.

SUPPLIES OR SERVICES AND PRICES

CLIN 0009

The CLIN description has changed from Plumb Lane Armory Services 7-8 Sept 2019 to Plumb Lane Armory Services 7 Sept 2019.

The CLIN extended description has changed from:

Two day PHA/SRP event at the Nevada Army National Guard Plumb Lane Armory, 685 E. Plumb Lane. Reno, NV 89502. The Contractor shall provide one (1) Flight Provider each day in accordance with the Performance Work Statement.

To:

Single day PHA/SRP event at the Nevada Army National Guard Plumb Lane Armory, 685 E. Plumb Lane. Reno, NV 89502. The Contractor shall provide one (1) Flight Provider in accordance with the Performance Work Statement.

CLIN 0016

The CLIN extended description has changed from:

Single day PHA/SRP event at the Nevada Army National Guard Plumb Lane Armory, 685 E. Plumb Lane. Reno, NV 89502. The Contractor shall provide one (1) 2-OP Mobile Practice, one (1) Treatment Dentist, one (1) Dental Event Manager, one (1) Audiology Vehicle, and one (1) Physician Assistant in accordance with the Performance Work Statement. The Treatment Dentist will obtain approval from the State Dental Officer prior to any extractions.

Note: This is in addition to the specified requirements in ITEMS 0014 & 0015 for this same single day event.

Single day PHA/SRP event at the Nevada Army National Guard Plumb Lane Armory, 685 E. Plumb Lane. Reno, NV 89502. The Contractor shall provide one (1) 2-OP Mobile Practice, one (1) Portable Pano, one (1) Treatment Dentist, one (1) Dental Event Manager, one (1) Live DENCLASS, one (1) Audiology Vehicle, and one (1) Physician Assistant in accordance with the Performance Work Statement. The Treatment Dentist will obtain approval from the State Dental Officer prior to any extractions. Note: This is in addition to the specified requirements in ITEMS 0014 & 0015 for this same single day event.

CLIN 0017

This CLIN has been renumbered to CLIN 0018.

CLIN 0017 is added as follows:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0017 1 Job Plumb Lane Armory Services 22 Sept 2019

FFP

Single day PHA/SRP event at the Nevada Army National Guard Plumb Lane Armory, 685 E. Plumb Lane. Reno, NV 89502. The Contractor shall provide one

(1) Flight Provider, one (1) Audiology Vehicle, one (1) Hearing Conservationist, one (1) Portable Pano, and one (1) Dental Assistant in accordance with the Performance Work Statement.

FOB: Destination

PSC CD: Q403

NET AMT

DELIVERIES AND PERFORMANCE

The following Delivery Schedule item for CLIN 0009 has been changed from:

DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

POP 07-SEP-2019 TO

08-SEP-2019

N/A N/A

DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

POP 07-SEP-2019 TO

07-SEP-2019

The following Delivery Schedule for CLIN 0017 has been added:

DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

POP 22-SEP-2019 TO

22-SEP-2019

INSPECTION AND ACCEPTANCE

The following Acceptance/Inspection Schedule was added for CLIN 0017:

INSPECT AT INSPECT BY ACCEPT AT ACCEPT BY

Destination Government Destination Government

(End of Summary of Changes)