Amendment 0001 SF30 RFQ W9124X21Q0017.pdf

0011619942

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 answ er questions from industry. All other terms and conditions remain unchanged. The response date for offers is not extended.

1. CONTRACT ID CODE PAGE OF PAGES

J 1 3

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

16C. DATE SIGNED

BY 25-May-2021

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 W9124X21Q0017

X 9B. DATED (SEE ITEM 11)

13-May-2021

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 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

25-May-2021

CODE

USPFO NV P&C

2452 FAIRVIEW DRIVE

CARSON CITY NV 89701-6807

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

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

X 1

W9124X21Q0017

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:

QUESTIONS AND ANSWERS

Q1. Section 1 states 2 locations where Technicians are located. Are the exams to take place at each location, a single location or just some of the locations? How many PAX per location?

A1. The contractor is required to maintain or provide facilities to conduct Physical Health Exams within a 50 mile radius of Reno and Las Vegas (see PWS paragraph 1.4.1). Based on historical data, the government anticipates approximately 200 personnel for exams in the Reno area, and 100 personnel for exams in the Las Vegas area (see PWS technical exhibit 3).

Q2. How many PFTs per location?

A2. The number of PFTs per location is undetermined.

Q3. Section 5.2 states “Full Physical Exam”, Can the government describe which exams are required for those estimated 120 personnel? I.e. vision, vitals, Fit testing, hearing etc.

A3. The Full Physical Exam (H&P) consists of the OSHA Medical Program – Physician’s Report (OSHA-179) and OSHA Medical Program – Employee History (OSHA-178). The OSHA Respirator Medical Evaluation Questionnaire (Mandatory) (FOH-22) if also me completed if needed. A review of the following: head and neck, including visual tests, an examination of the eyes, ears, nose and throat, an examination of the respiratory, cardiovascular and central and peripheral nervous systems, an examination of the abdomen, a voluntary examination of the rectum and genitourinary system, an examination of the spine and other musculoskeletal systems, and an examination of the skin.

A. Height and weight.

B. Temperature, pulse, respiration rate, blood pressure.

C. Eye examination, including:

1. Visual acuity, near and far.

2. Accommodation.

3. Field of vision.

4. Fundoscopic exam.

D. Cardiopulmonary evaluation, which shall include the following:

1. Resting twelve-lead electrocardiogram with interpretation.

2. Pulmonary Function Evaluation:

a. FVC, FEVl, FEVl/FVC ratio.

b. Permanent record of flow curves must be included in the patient’s report.

E. Comprehensive laboratory profile, including:

1. Urinalysis (including microscopic if indicated).

2. Fecal occult blood test - optional unless employee has had exposure at or above the action level to

Acrylonitrile (see Appendix B and 1910.145).

3. CBC (complete blood count).

4. Test groups (done after 12-hour fast):

a. Chloride

b. Sodium

c. Glucose

W9124X21Q0017

d. Blood urea nitrogen

e. Creatinine

f. LDH, AST, GGT, ALT

g. Alkaline phosphatase

h. Bilirubin

i. Total protein

j. Albumin and globulin

k. Lipid Panel, including Triglycerides

l. Potassium

m. Calcium

n. A blood lead when there is a history of lead exposure within the last 12 months

F. Audiometric Testing will be done in accordance with the OSHA Hearing Conservation Program

Q4. Will the government consider a mobile clinic? Can services be provided inside government buildings, with the exception of the hearing?

A4. A mobile clinic capable of providing Occupational Health Exams is permissible. However, the government will not entertain hosting mobile clinics at government facilities.

Q5. Are there outside outlets available for a mobile hearing trailer?

A5. No, the government will not entertain hosting mobile clinics at government facilities.

Q6. Does the government intend for the contractor to complete these exams on a event based schedule, where all personnel needing exams are seen in a 1-2 day span per location or an appointment based schedule over a span of months?

A6. Appointment based scheduling on an as needed basis during a 12 month period. This is why it is difficult to host a mobile clinic.

(end questions and answers)

(End of Summary of Changes)