W9128A22Q0020 Amendment 0002 TJC Consultant.pdf
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- Attached to
- The Joint Commission Triannual Accreditation Consultant Services for Tripler Army Medical Center
- Solicitation number
- W9128A22Q0020
About this file
This amendment to a federal solicitation modifies the delivery addresses and contract line item numbers for consultant services to support The Joint Commission triannual accreditation for Tripler Army Medical Center. The services include providing model management plans and sample annual evaluations for seven environment of care and emergency management areas electronically. Onsite support is required to update the required management plans and annual evaluations through individual meetings with plan owners for safety, security, hazardous materials and waste, life/fire safety, medical equipment, utility systems, and emergency management. An environment of care overview presentation and staff knowledge education session are also included. The delivery addresses were updated for all contract line items to the Department of Defense Support Branch at Tripler Army Medical Center.
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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
Amendment 0002 adds delivery address and updates CLIN information. No other changes are made or implied.
1. CONTRACT ID CODE PAGE OF PAGES
J 1 5
16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)
16C. DATE SIGNED
BY 11-Aug-2022
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 W9128A22Q0020
X 9B. DATED (SEE ITEM 11)
10-Aug-2022
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
11-Aug-2022
CODE
CONTRACTING DIVISION
BLDG 230 OTAKE ST.
FORT SHAFTER HI 96858
W9128A 7. ADMINISTERED BY (If other than item 6)
4. REQUISITION/PURCHASE REQ. NO.
CODE
See Item 6
FACILITY CODECODE
EMAIL:TEL:
W9128A22Q0020
SECTION SF 30 BLOCK 14 CONTINUATION PAGE
SUMMARY OF CHANGES
SECTION SF 1449 - CONTINUATION SHEET
SOLICITATION/CONTRACT FORM
The order period end date 29-Sep-2023 has been deleted.
The order period start date 30-Sep-2022 has been deleted.
SUPPLIES OR SERVICES AND PRICES
Global Changes
CLIN 0001 -- CLIN 1004
The PSC code R499 has been added.
The PROG code S10 has been added.
The WSC Equipment code 000 has been added.
The MDAP/MAIS Code 000 has been added.
The NAICS code 541611 has been added.
DELIVERIES AND PERFORMANCE
The following Delivery Schedule item for CLIN 0001 has been changed from:
DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /
CAGE
POP 30-SEP-2022 TO
29-SEP-2023
N/A N/A
FOB: Destination
To:
DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /
CAGE
POP 30-SEP-2022 TO
29-SEP-2023
N/A PPM,DEPT OF DEF SUPPORT BRANCH
USAED, HONOLULU BLDG 230
FORT SHAFTER HI 96858-5440
J3H0800
The following Delivery Schedule item for CLIN 1001 has been changed from:
CAGE
POP 30-SEP-2023 TO
29-SEP-2024
CAGE
POP 30-SEP-2023 TO
29-SEP-2024
N/A PPM,DEPT OF DEF SUPPORT BRANCH
USAED, HONOLULU BLDG 230
FORT SHAFTER HI 96858-5440
The following Delivery Schedule item for CLIN 1002 has been changed from:
CAGE
POP 30-SEP-2024 TO
29-SEP-2025
CAGE
POP 30-SEP-2024 TO
29-SEP-2025
N/A PPM,DEPT OF DEF SUPPORT BRANCH
USAED, HONOLULU BLDG 230
FORT SHAFTER HI 96858-5440
The following Delivery Schedule item for CLIN 1003 has been changed from:
CAGE
POP 30-SEP-2025 TO
29-SEP-2026
CAGE
POP 30-SEP-2025 TO
29-SEP-2026
N/A PPM,DEPT OF DEF SUPPORT BRANCH
USAED, HONOLULU BLDG 230
FORT SHAFTER HI 96858-5440
The following Delivery Schedule item for CLIN 1004 has been changed from:
CAGE
POP 30-SEP-2026 TO
29-SEP-2027
CAGE
POP 30-SEP-2026 TO
29-SEP-2027
N/A PPM,DEPT OF DEF SUPPORT BRANCH
USAED, HONOLULU BLDG 230
FORT SHAFTER HI 96858-5440
INSPECTION AND ACCEPTANCE
The Acceptance/Inspection Schedule for CLIN 0001 has been changed from:
INSPECT AT INSPECT BY ACCEPT AT ACCEPT BY
N/A N/A N/A Government
To:
INSPECT AT INSPECT BY ACCEPT AT ACCEPT BY
Destination Government Destination Government
The Acceptance/Inspection Schedule for CLIN 1001 has been changed from:
N/A N/A N/A Government
To:
The Acceptance/Inspection Schedule for CLIN 1002 has been changed from:
N/A N/A N/A Government
To:
The Acceptance/Inspection Schedule for CLIN 1003 has been changed from:
N/A N/A N/A Government
To:
The Acceptance/Inspection Schedule for CLIN 1004 has been changed from:
N/A N/A N/A Government
(End of Summary of Changes)
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