Amendment_2_W91YTZ18Q0129.pdf

W40M RHCO-ATLANTIC USAHCA

WOMACK ARMY MEDICAL CENTER

POC: NAOMI R. MARIANI

BLDG 4-2817 REILLY RD

FORT BRAGG NC 28310

0011149571-0001

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

a. The reason for this amendment is to change the closing date and separate the CLINs for the nurse case managers as show n on the summary of changes.

1. CONTRACT ID CODE PAGE OF PAGES

J 1 15

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

16C. DATE SIGNED

BY 25-Jun-2018

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 W91YTZ18Q0129

X 9B. DATED (SEE ITEM 11)

15-Jun-2018

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

25-Jun-2018

CODE

W40M RHCO-ATLANTIC USAHCA

NORTHERN REG CONTR OFC NRCO

6021 5TH ST BLDG 1467

FORT BELVOIR VA 22060-5580

W91YTZ 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE W91YTZ

FACILITY CODECODE

EMAIL:TEL:

W91YTZ18Q0129

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 28-Jun-2018 02:00 PM to 03-Jul-

2018 12:30 PM.

SUPPLIES OR SERVICES AND PRICES

CLIN 0003

The CLIN description has changed from Nurse Case Managers to Nurse Case Managers SC.

The CLIN extended description has changed from:

This is a Non-personal services CLIN for 8 FTE RN Case Managers for the United States Army Reserve Command Fort Bragg, NC . Contractor is to perform IAW the terms and conditions of this contract and included in the Performance Work Statement (PWS). Overtime is not authorized. Period of Performance is 29 September 2018 thru 28 September, 2019

To:

This is a Non-personal services CLIN for 2 FTE RN Case Managers for the United States Army Reserve Command Fort Bragg, NC . Contractor is to perform IAW the terms and conditions of this contract and included in the Performance Work Statement (PWS). Overtime is not authorized. Period of Performance is 29 September 2018 thru 28 September, 2019 The pricing detail quantity has decreased by 11,520.00 from 15,360.00 to 3,840.00.

CLIN 0004

This CLIN has been renumbered to CLIN 0007.

CLIN 0005

This CLIN has been renumbered to CLIN 0008.

CLIN 0006

This CLIN has been renumbered to CLIN 0009.

CLIN 1002

The CLIN description has changed from Director of Psychological Healht to Director of Psychological Health.

CLIN 1003

The CLIN extended description has changed from:

This is a Non-personal services CLIN for 8 FTE RN Case Managers for the United States Army Reserve Command Fort Bragg, NC . Contractor is to perform IAW the terms and conditions of this contract and included in the Performance Work Statement (PWS). Overtime is not authorized. Period of Performance is 29 September 2019 thru 28 September, 2020

This is a Non-personal services CLIN for 2 FTE RN Case Managers for the United States Army Reserve Command Fort Bragg, NC . Contractor is to perform IAW the terms and conditions of this contract and included in the Performance Work Statement (PWS). Overtime is not authorized. Period of Performance is 29 September 2019 thru 28 September, 2020

CLIN 1004

This CLIN has been renumbered to CLIN 1007.

CLIN 1005

This CLIN has been renumbered to CLIN 1008.

CLIN 1006

This CLIN has been renumbered to CLIN 1009.

CLIN 2003

The CLIN extended description has changed from:

This is a Non-personal services CLIN for 8 FTE RN Case Managers for the United States Army Reserve Command Fort Bragg, NC . Contractor is to perform IAW the terms and conditions of this contract and included in the Performance Work Statement (PWS). Overtime is not authorized. Period of Performance is 29 September 2020 thru 28 September, 2021

This is a Non-personal services CLIN for 2 FTE RN Case Managers for the United States Army Reserve Command Fort Bragg, NC . Contractor is to perform IAW the terms and conditions of this contract and included in the

Performance Work Statement (PWS). Overtime is not authorized. Period of Performance is 29 September 2020 thru 28 September, 2021

CLIN 2004

This CLIN has been renumbered to CLIN 2007.

CLIN 2005

This CLIN has been renumbered to CLIN 2008.

CLIN 2006

This CLIN has been renumbered to CLIN 2009.

CLIN 0004 is added as follows:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0004 3,840 Hours Nurse Case Managers CA

FFP

This is a Non-personal services CLIN for 2 FTE RN Case Managers for the United States Army Reserve Command Fort Bragg, NC . Contractor is to perform IAW the terms and conditions of this contract and included in the Performance Work Statement (PWS). Overtime is not authorized. Period of Performance is 29 September 2018 thru 28 September, 2019 FOB: Destination

PSC CD: 6910

NET AMT

CLIN 0005 is added as follows:

0005 3,840 Hours Nurse Case Managers WI

FFP

This is a Non-personal services CLIN for 2 FTE RN Case Managers for the United States Army Reserve Command Fort Bragg, NC . Contractor is to perform IAW the terms and conditions of this contract and included in the Performance Work Statement (PWS). Overtime is not authorized. Period of Performance is 29 September 2018 thru 28 September, 2019

CLIN 0006 is added as follows:

0006 3,840 Hours Nurse Case Managers NJ

FFP

This is a Non-personal services CLIN for 2 FTE RN Case Managers for the United States Army Reserve Command Fort Bragg, NC . Contractor is to perform IAW the terms and conditions of this contract and included in the Performance Work Statement (PWS). Overtime is not authorized. Period of Performance is 29 September 2018 thru 28 September, 2019

CLIN 1004 is added as follows:

1004 3,840 Hours Nurse Case Managers CA

FFP

This is a Non-personal services CLIN for 2 FTE RN Case Managers for the United States Army Reserve Command Fort Bragg, NC . Contractor is to perform IAW the terms and conditions of this contract and included in the Performance Work Statement (PWS). Overtime is not authorized. Period of Performance is 29 September 2019 thru 28 September, 2020

CLIN 1005 is added as follows:

1005 3,840 Hours Nurse Case Managers WI

FFP

This is a Non-personal services CLIN for 2 FTE RN Case Managers for the United States Army Reserve Command Fort Bragg, NC . Contractor is to perform IAW the terms and conditions of this contract and included in the Performance Work Statement (PWS). Overtime is not authorized. Period of Performance is 29 September 2019 thru 28 September, 2020

CLIN 1006 is added as follows:

1006 3,840 Hours Nurse Case Managers NJ

FFP

his is a Non-personal services CLIN for 2 FTE RN Case Managers for the United States Army Reserve Command Fort Bragg, NC . Contractor is to perform IAW the terms and conditions of this contract and included in the Performance Work Statement (PWS). Overtime is not authorized. Period of Performance is 29 September 2019 thru 28 September, 2020

CLIN 2004 is added as follows:

2004 3,840 Hours Nurse Case Managers CA

FFP

This is a Non-personal services CLIN for 2 FTE RN Case Managers for the United States Army Reserve Command Fort Bragg, NC . Contractor is to perform IAW the terms and conditions of this contract and included in the Performance Work Statement (PWS). Overtime is not authorized. Period of Performance is 29 September 2020 thru 28 September, 2021

CLIN 2005 is added as follows:

2005 3,840 Hours Nurse Case Managers WI

FFP

This is a Non-personal services CLIN for 2 FTE RN Case Managers for the United States Army Reserve Command Fort Bragg, NC . Contractor is to perform IAW the terms and conditions of this contract and included in the Performance Work Statement (PWS). Overtime is not authorized. Period of Performance is 29 September 2020 thru 28 September, 2021

CLIN 2006 is added as follows:

2006 3,840 Hours Nurse Case Managers NJ

FFP

This is a Non-personal services CLIN for 2 FTE RN Case Managers for the United States Army Reserve Command Fort Bragg, NC . Contractor is to perform IAW the terms and conditions of this contract and included in the Performance Work Statement (PWS). Overtime is not authorized. Period of Performance is 29 September 2020 thru 28 September, 2021

DELIVERIES AND PERFORMANCE

The following Delivery Schedule item for CLIN 0003 has been changed from:

DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

POP 29-SEP-2018 TO

28-SEP-2019

N/A W47A US ARMY RESERVE COMMAND

W47A US ARMY RESERVE COMMAND

816 SOUTH EASTERN BLVD

FORT BRAGG NC 28310-5000

404-469-7788

W81PNH

DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

POP 29-SEP-2018 TO

28-SEP-2019

N/A W47A US ARMY RESERVE COMMAND

W47A US ARMY RESERVE COMMAND

816 SOUTH EASTERN BLVD

FORT BRAGG NC 28310-5000

404-469-7788

The following Delivery Schedule for CLIN 0004 has been deleted:

CAGE

POP 29-SEP-2018 TO

28-SEP-2019

N/A W47A US ARMY RESERVE COMMAND

W47A US ARMY RESERVE COMMAND

816 SOUTH EASTERN BLVD

FORT BRAGG NC 28310-5000

404-469-7788

The following Delivery Schedule for CLIN 0005 has been deleted:

CAGE

POP 29-SEP-2018 TO

28-SEP-2019

N/A W47A US ARMY RESERVE COMMAND

W47A US ARMY RESERVE COMMAND

816 SOUTH EASTERN BLVD

FORT BRAGG NC 28310-5000

404-469-7788

The following Delivery Schedule for CLIN 0006 has been deleted:

CAGE

31-OCT-2019 1 W47A US ARMY RESERVE COMMAND

W47A US ARMY RESERVE COMMAND

816 SOUTH EASTERN BLVD

FORT BRAGG NC 28310-5000

404-469-7788

The following Delivery Schedule for CLIN 0007 has been added:

CAGE

POP 29-SEP-2019 TO

28-SEP-2020

N/A W47A US ARMY RESERVE COMMAND

W47A US ARMY RESERVE COMMAND

816 SOUTH EASTERN BLVD

FORT BRAGG NC 28310-5000

404-469-7788

The following Delivery Schedule for CLIN 0008 has been added:

CAGE

POP 29-SEP-2018 TO

28-SEP-2019

N/A W47A US ARMY RESERVE COMMAND

W47A US ARMY RESERVE COMMAND

816 SOUTH EASTERN BLVD

FORT BRAGG NC 28310-5000

404-469-7788

The following Delivery Schedule for CLIN 0009 has been added:

CAGE

31-OCT-2019 1 W47A US ARMY RESERVE COMMAND

W47A US ARMY RESERVE COMMAND

816 SOUTH EASTERN BLVD

FORT BRAGG NC 28310-5000

404-469-7788

The following Delivery Schedule item for CLIN 1003 has been changed from:

CAGE

POP 29-SEP-2019 TO

28-SEP-2020

N/A W47A US ARMY RESERVE COMMAND

W47A US ARMY RESERVE COMMAND

816 SOUTH EASTERN BLVD

FORT BRAGG NC 28310-5000

404-469-7788

POP 29-SEP-2019 TO

28-SEP-2020

N/A W47A US ARMY RESERVE COMMAND

W47A US ARMY RESERVE COMMAND

816 SOUTH EASTERN BLVD

FORT BRAGG NC 28310-5000

404-469-7788

The following Delivery Schedule for CLIN 1004 has been deleted:

CAGE

POP 29-SEP-2019 TO

28-SEP-2020

N/A W47A US ARMY RESERVE COMMAND

W47A US ARMY RESERVE COMMAND

816 SOUTH EASTERN BLVD

FORT BRAGG NC 28310-5000

404-469-7788

The following Delivery Schedule for CLIN 1005 has been deleted:

CAGE

POP 29-SEP-2019 TO

28-SEP-2020

N/A W47A US ARMY RESERVE COMMAND

W47A US ARMY RESERVE COMMAND

816 SOUTH EASTERN BLVD

FORT BRAGG NC 28310-5000

404-469-7788

The following Delivery Schedule for CLIN 1006 has been deleted:

CAGE

31-OCT-2020 1 W47A US ARMY RESERVE COMMAND

W47A US ARMY RESERVE COMMAND

816 SOUTH EASTERN BLVD

FORT BRAGG NC 28310-5000

404-469-7788

The following Delivery Schedule for CLIN 1007 has been added:

POP 29-SEP-2019 TO

28-SEP-2020

N/A W47A US ARMY RESERVE COMMAND

W47A US ARMY RESERVE COMMAND

816 SOUTH EASTERN BLVD

FORT BRAGG NC 28310-5000

404-469-7788

The following Delivery Schedule for CLIN 1008 has been added:

CAGE

POP 29-SEP-2019 TO

28-SEP-2020

N/A W47A US ARMY RESERVE COMMAND

W47A US ARMY RESERVE COMMAND

816 SOUTH EASTERN BLVD

FORT BRAGG NC 28310-5000

404-469-7788

The following Delivery Schedule for CLIN 1009 has been added:

CAGE

31-OCT-2020 1 W47A US ARMY RESERVE COMMAND

W47A US ARMY RESERVE COMMAND

816 SOUTH EASTERN BLVD

FORT BRAGG NC 28310-5000

404-469-7788

The following Delivery Schedule item for CLIN 2003 has been changed from:

CAGE

POP 29-SEP-2020 TO

28-SEP-2021

N/A W47A US ARMY RESERVE COMMAND

W47A US ARMY RESERVE COMMAND

816 SOUTH EASTERN BLVD

FORT BRAGG NC 28310-5000

404-469-7788

POP 29-SEP-2020 TO

28-SEP-2021

N/A W47A US ARMY RESERVE COMMAND

W47A US ARMY RESERVE COMMAND

816 SOUTH EASTERN BLVD

FORT BRAGG NC 28310-5000

404-469-7788

The following Delivery Schedule for CLIN 2004 has been deleted:

CAGE

POP 29-SEP-2020 TO

28-SEP-2021

N/A W47A US ARMY RESERVE COMMAND

W47A US ARMY RESERVE COMMAND

816 SOUTH EASTERN BLVD

FORT BRAGG NC 28310-5000

404-469-7788

The following Delivery Schedule for CLIN 2005 has been deleted:

CAGE

POP 29-SEP-2020 TO

28-SEP-2021

N/A W47A US ARMY RESERVE COMMAND

W47A US ARMY RESERVE COMMAND

816 SOUTH EASTERN BLVD

FORT BRAGG NC 28310-5000

404-469-7788

The following Delivery Schedule for CLIN 2006 has been deleted:

CAGE

31-OCT-2021 1 W47A US ARMY RESERVE COMMAND

W47A US ARMY RESERVE COMMAND

816 SOUTH EASTERN BLVD

FORT BRAGG NC 28310-5000

404-469-7788

The following Delivery Schedule for CLIN 2007 has been added:

POP 29-SEP-2020 TO

28-SEP-2021

N/A W47A US ARMY RESERVE COMMAND

W47A US ARMY RESERVE COMMAND

816 SOUTH EASTERN BLVD

FORT BRAGG NC 28310-5000

404-469-7788

The following Delivery Schedule for CLIN 2008 has been added:

CAGE

POP 29-SEP-2020 TO

28-SEP-2021

N/A W47A US ARMY RESERVE COMMAND

W47A US ARMY RESERVE COMMAND

816 SOUTH EASTERN BLVD

FORT BRAGG NC 28310-5000

404-469-7788

The following Delivery Schedule for CLIN 2009 has been added:

CAGE

31-OCT-2021 1 W47A US ARMY RESERVE COMMAND

W47A US ARMY RESERVE COMMAND

816 SOUTH EASTERN BLVD

FORT BRAGG NC 28310-5000

404-469-7788

INSPECTION AND ACCEPTANCE

The following Acceptance/Inspection Schedule was added for CLIN 0004:

INSPECT AT INSPECT BY ACCEPT AT ACCEPT BY

Destination Government Destination Government

The following Acceptance/Inspection Schedule was added for CLIN 0005:

The following Acceptance/Inspection Schedule was added for CLIN 0006:

The following Acceptance/Inspection Schedule was added for CLIN 1004:

The following Acceptance/Inspection Schedule was added for CLIN 1005:

The following Acceptance/Inspection Schedule was added for CLIN 1006:

The following Acceptance/Inspection Schedule was added for CLIN 2004:

The following Acceptance/Inspection Schedule was added for CLIN 2005:

The following Acceptance/Inspection Schedule was added for CLIN 2006:

(End of Summary of Changes)