W912QR21R0021 00001 (3).pdf

CIVIL/OPS/ENVIRONMENTAL BR

ATTN: MARCIE BILLOTTO

600 DR M L KING JR PL RM 821

LOUISVILLE KY 40202-2236

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 Solicitation W912QR21R0021 to provide Occupational Health Nurse services for Government employees as directed by the government nurse in the U.S. Army Corps of Engineers, Louisville District Occupational Health Unit is hereby amended as follows:

a. Requirement section of the attached Scope of Work is hereby revised and replaced in its entirety.

b. Submissions of quotes is hereby extended from 2 February 2021, 1:00pm to 2 March 2021, 11:00 am Eastern Time.

c. All other terms and conditions remain unchanged.

1. CONTRACT ID CODE PAGE OF PAGES

1 4

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

16C. DATE SIGNED

BY

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 W912QR21R0021

X 9B. DATED (SEE ITEM 11)

12-Jan-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 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

19-Feb-2021

CODE

U. S. ARMY ENGINEER DISTRICT, LOUISVILLE

600 DR. MARTIN LUTHER KING, JR. PLACE

ROOM 821

LOUISVILLE KY 40202-2239

W912QR 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE 964860

FACILITY CODECODE

EMAIL:TEL:

W912QR21R0021

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 1449 - CONTINUATION SHEET

SOLICITATION/CONTRACT FORM

The required response date/time has changed from 02-Feb-2021 01:00 PM to 02-Mar-2021 11:00 AM.

SCOPE OF WORK

SCOPE OF WORK - PRN NURSE

AMENDMENT 0001 - 16 February 2021

GENERAL

The Contractor shall provide Occupational Health Nurse services for Government employees as directed by the government nurse in the U.S. Army Corps of Engineers, Louisville District Occupational Health Unit.

Located in the Ron Mazzoli Federal Building:

600 Dr. Martin Luther King Jr. Place Room 138 Louisville, KY 40202

The Contractor shall work under the technical direction of the government nurse and under the administrative control of the Occupational Health and Safety Office, U.S. Army Corps of Engineers, Louisville District.

Point of Contact:

Christine Tomlin, RN Occupational Health Nurse Manager Phone: 502-315-7071

WORKING HOURS

Services shall be performed on an as-needed basis for up to eight (8) hours per day. The hours are from 8:00 a.m. to 4:30 p.m. Eastern Time, Monday – Friday. However, office hours may vary at any time on an “As-Needed” basis;

opening as early as 7:30 a.m. The contractor will not need to report during Federal Holidays, or when the Occupational Health Unit is closed.

Holiday Work The ten Federal holidays observed are:

New Year's Day (January 1st) Martin Luther King Day (3rd Monday in January) President's Day (3rd Monday in February) Memorial Day (Last Monday in May) Independence Day (July 4th) Labor Day (1st Monday in September) Columbus Day (2nd Monday in October) Veterans Day (November 11th) Thanksgiving Day (4th Thursday in November) Christmas Day (December 25th)

When one of the above designated holidays falls on a Sunday, the following Monday is observed as a legal holiday.

When a legal holiday falls on a Saturday, the preceding Friday is observed as a holiday. Work shall be scheduled around the above listed Federal holidays except as specified herein or as approved by the POC.

Payment will be made for actual hours worked with no accumulation of sick leave, annual leave or holiday compensation. Contractor must agree to be paid electronically and be responsible for all taxes, worker’s compensation, social security, professional liability and health insurance.

The Government is obligated only to the extent of such requests as are actually made against this contract. The Government will give the Contractor a reasonable notice, except under extreme emergency conditions, prior to when service is required to be performed. If the Contractor cannot perform when notified under an emergency condition, services will be procured elsewhere.

Quantities shall not exceed 1,500 hours per year. The contract will be for the base period of one (1) year from date of award and include options to extend the period of services for four (4) one-year periods for a maximum of five (5) years

The one-year option periods are as follows:

Option Year One: 1 April 2022 through 31 March 2023 Option Year Two: 1 April 2023 through 31 March 2024 Option Year Three: 1 April 2024 through 31 March 2025 Option Year Four: 1 April 2025 through 31 March 2026

NOTE: The dates provided are only estimates and are subject to change based on when an award is made.

*******************************AMENDMENT 0001*************************************

REQUIREMENTS

All Offerors shall provide documentation as proof for the following requirements or their offer will NOT be considered:

Education:

Shall have a minimum educational requirement of a Bachelors of Science in Nursing (BSN) degree.

Experience:

Minimum of five (5) years working as a Registered Nurse in an ER, Critical / Urgent / Ambulatory Care Unit.

Shall have been employed as a registered nurse for a minimum of one year in an Occupational Health

Clinic

License and Certifications:

Current, active, and unrestricted license as a Registered Nurse in the Commonwealth of Kentucky.

Current/Valid American Heart Association Basic Life Support (BLS) Card.

American Heart Association BLS Instructor certification, or the ability to obtain within the first year of service in the Louisville District Occupational Health Unit

Current/Valid Advanced Cardiac Life Support Certification (ACLS)

Certified Health Coach with the ability to provide Health and Wellness consultation and training to include Health & Life Coaching with a holistic approach, or the ability to obtain within the first year of service in the Louisville District Occupational Health Unit

*******************************AMENDMENT 0001************************************

RESPONSIBILITIES

1. Triage and provide appropriate care for employee injuries and illnesses following medical protocols.

2. Conduct screenings for comprehensive wellness and medical surveillance exams.

3. Ability to provide Health and Wellness consultation and training.

4. Perform diagnostic tests such as electrocardiograms (EKG), eye exams (Snellen,Titmus or Stereo Optical), hearing tests, glucose testing, phlebotomy, strep screens, urine dip tests, hemoccult testing.

5. Administer vaccinations, over the counter medications and allergy injections per medical protocols. Recognize clinical abnormalities and follow up with appropriate action per medical protocols.

6. Counsel employees on preventative health measures and procedures.

7. Ability to provide first aid and CPR in emergency situations following BLS protocols.

8. Report and follow-up on needle stick and body fluid exposures, including detailed record of occurrences. Provide consultations to employees regarding physical examination results.

9. Collect and document employee data and information according to empirical data, history and clinical findings.

10. Maintain employee medical files within federal guidelines, ensuring confidentiality and privacy of health and personal information.

11. Transcription of physician recorded dictated encounters.

12. Schedule comprehensive employee health maintenance examinations.

13. Maintain a daily census and a log of activities including medical service or assistance rendered.

14. Coordinate with the physician and government nurse to provide high quality patient care in a caring and professional manner.

(End of Summary of Changes)