B.08. AMENDMENT RFQ W91YTZ21Q0063-0001.pdf

W40M RHCO-ATLANTIC USAHCA

NORTHERN REG CONTR OFC NRCO

POC: PATRICIA O. AKINROGUNDE

6021 5TH ST BLDG 1467

FORT BELVOIR VA 22060-5580

SEE SCHEDULE

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 reason for this amendment is as follow s:

1. Change the period of performance on all CLINS.

2. See summary of changes for complete details.

1. CONTRACT ID CODE PAGE OF PAGES

J 1 10

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

16C. DATE SIGNED

BY 09-Feb-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 W91YTZ21Q0063

X 9B. DATED (SEE ITEM 11)

04-Feb-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 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

09-Feb-2021

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:

W91YTZ21Q0063

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 1449 - CONTINUATION SHEET

SUPPLIES OR SERVICES AND PRICES

CLIN 0001

The CLIN extended description has changed from:

BASE, Period of Performance: 15 February 2021 through 30 September 2021. Non-Personal Services: Vendor shall provide mobile on-site AND off-site support for sharpening, repair, and maintenance of various surgical instruments on a monthly basis. Services to be provided on-site at Keller Army Community Hospital, West Point, New York.

The cost of the off-site repairs are included in the firm fixed price and are not priced separately. All work will be performed in accordance with the attached Performance Work Statement.

To:

BASE, Period of Performance: 15 February 2021 through 14 February 2022. Non-Personal Services: Vendor shall provide mobile on-site AND off-site support for sharpening, repair, and maintenance of various surgical instruments on a monthly basis. Services to be provided on-site at Keller Army Community Hospital, West Point, New York.

The cost of the off-site repairs are included in the firm fixed price and are not priced separately. All work will be performed in accordance with the attached Performance Work Statement.

CLIN 0002

BASE, Period of Performance: 15 February 2021 through 30 September 2022. Contract Manpower Reporting.

Annual Data Reporting in accordance with the Performance Work Statement (PWS), paragraph 1.12.2. Reporting shall be for the period of performance not to exceed 12 months ending September 30 of each government fiscal year and must be reported by October 31 of each calendar year.

BASE, Period of Performance: 15 February 2021 through 14 February 2022. Contract Manpower Reporting. Annual Data Reporting in accordance with the Performance Work Statement (PWS), paragraph 1.12.2. Reporting shall be for the period of performance not to exceed 12 months ending September 30 of each government fiscal year and must be reported by October 31 of each calendar year.

CLIN 1001

OPTION 1, Period of Performance: 01 October 2021 through 30 September 2022. Non-Personal Services: Vendor shall provide mobile on-site AND off-site support for sharpening, repair, and maintenance of various surgical instruments on a monthly basis. Services to be provided on-site at Keller Army Community Hospital, West Point, New York. The cost of the off-site repairs are included in the firm fixed price and are not priced separately. All work will be performed in accordance with the attached Performance Work Statement.

OPTION 1, Period of Performance: 15 February 2022 through 14 February 2023. Non-Personal Services: Vendor shall provide mobile on-site AND off-site support for sharpening, repair, and maintenance of various surgical instruments on a monthly basis. Services to be provided on-site at Keller Army Community Hospital, West Point, New York. The cost of the off-site repairs are included in the firm fixed price and are not priced separately. All work

CLIN 1002

OPTION 1, Period of Performance: 1 October 2021 through 30 September 2022. Contract Manpower Reporting.

Annual Data Reporting in accordance with the Performance Work Statement (PWS), paragraph 1.12.2. Reporting shall be for the period of performance not to exceed 12 months ending September 30 of each government fiscal year

OPTION 1, Period of Performance: 15 February 2022 through 14 February 2023. Contract Manpower Reporting.

Annual Data Reporting in accordance with the Performance Work Statement (PWS), paragraph 1.12.2. Reporting shall be for the period of performance not to exceed 12 months ending September 30 of each government fiscal year

CLIN 2001

OPTION 2, Period of Performance: 01 October 2022 through 30 September 2023. Non-Personal Services: Vendor shall provide mobile on-site AND off-site support for sharpening, repair, and maintenance of various surgical instruments on a monthly basis. Services to be provided on-site at Keller Army Community Hospital, West Point, New York. The cost of the off-site repairs are included in the firm fixed price and are not priced separately. All work

OPTION 2, Period of Performance: 15 February 2023 through 14 February 2024. Non-Personal Services: Vendor shall provide mobile on-site AND off-site support for sharpening, repair, and maintenance of various surgical instruments on a monthly basis. Services to be provided on-site at Keller Army Community Hospital, West Point, New York. The cost of the off-site repairs are included in the firm fixed price and are not priced separately. All work

CLIN 2002

OPTION 2, Period of Performance: 1 October 2022 through 30 September 2023. Contract Manpower Reporting.

Annual Data Reporting in accordance with the Performance Work Statement (PWS), paragraph 1.12.2. Reporting shall be for the period of performance not to exceed 12 months ending September 30 of each government fiscal year

OPTION 2, Period of Performance: 15 February 2023 through 14 February 2024. Contract Manpower Reporting.

Annual Data Reporting in accordance with the Performance Work Statement (PWS), paragraph 1.12.2. Reporting shall be for the period of performance not to exceed 12 months ending September 30 of each government fiscal year

CLIN 3001

OPTION 3, Period of Performance: 01 October 2023 through 30 September 2024. Non-Personal Services: Vendor shall provide mobile on-site AND off-site support for sharpening, repair, and maintenance of various surgical instruments on a monthly basis. Services to be provided on-site at Keller Army Community Hospital, West Point, New York. The cost of the off-site repairs are included in the firm fixed price and are not priced separately. All work

OPTION 3, Period of Performance: 15 February 2024 through 14 February 2025. Non-Personal Services: Vendor shall provide mobile on-site AND off-site support for sharpening, repair, and maintenance of various surgical instruments on a monthly basis. Services to be provided on-site at Keller Army Community Hospital, West Point, New York. The cost of the off-site repairs are included in the firm fixed price and are not priced separately. All work

CLIN 3002

OPTION 3, Period of Performance: 01 October 2023 through 30 September 2024. Contract Manpower Reporting.

Annual Data Reporting in accordance with the Performance Work Statement (PWS), paragraph 1.12.2. Reporting shall be for the period of performance not to exceed 12 months ending September 30 of each government fiscal year

OPTION 3, Period of Performance: 15 February 2024 through 14 February 2025. Contract Manpower Reporting.

Annual Data Reporting in accordance with the Performance Work Statement (PWS), paragraph 1.12.2. Reporting shall be for the period of performance not to exceed 12 months ending September 30 of each government fiscal year

CLIN 4001

OPTION 4, Period of Performance: 01 October 2024 through 30 September 2025. Non-Personal Services: Vendor shall provide mobile on-site AND off-site support for sharpening, repair, and maintenance of various surgical instruments on a monthly basis. Services to be provided on-site at Keller Army Community Hospital, West Point, New York. The cost of the off-site repairs are included in the firm fixed price and are not priced separately. All work

OPTION 4, Period of Performance: 15 February 2025 through 14 February 2026. Non-Personal Services: Vendor shall provide mobile on-site AND off-site support for sharpening, repair, and maintenance of various surgical instruments on a monthly basis. Services to be provided on-site at Keller Army Community Hospital, West Point, New York. The cost of the off-site repairs are included in the firm fixed price and are not priced separately. All work

CLIN 4002

OPTION 4, Period of Performance: 01 October 2024 through 30 September 2025. Contract Manpower Reporting.

Annual Data Reporting in accordance with the Performance Work Statement (PWS), paragraph 1.12.2. Reporting shall be for the period of performance not to exceed 12 months ending September 30 of each government fiscal year

OPTION 4, Period of Performance: 15 February 2025 through 14 February 2026. Contract Manpower Reporting.

Annual Data Reporting in accordance with the Performance Work Statement (PWS), paragraph 1.12.2. Reporting shall be for the period of performance not to exceed 12 months ending September 30 of each government fiscal year and must be reported by October 31 of each calendar year.

DELIVERIES AND PERFORMANCE

The following Delivery Schedule item for CLIN 0001 has been changed from:

DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

POP 15-FEB-2021 TO

30-SEP-2021

N/A KELLER ARMY COMMUNITY HOSPITAL

KELLER ARMY COMMUNITY HOSPITAL

900 WASHINGTON ROAD

WEST POINT, NY NY 10996

FOB: Destination

W16SLD

CAGE

POP 15-FEB-2021 TO

14-FEB-2022

N/A KELLER ARMY COMMUNITY HOSPITAL

KELLER ARMY COMMUNITY HOSPITAL

900 WASHINGTON ROAD

WEST POINT, NY NY 10996

The following Delivery Schedule item for CLIN 0002 has been changed from:

CAGE

31-OCT-2021 1 KELLER ARMY COMMUNITY HOSPITAL

KELLER ARMY COMMUNITY HOSPITAL

900 WASHINGTON ROAD

WEST POINT, NY NY 10996

CAGE

31-OCT-2023 1 KELLER ARMY COMMUNITY HOSPITAL

KELLER ARMY COMMUNITY HOSPITAL

900 WASHINGTON ROAD

WEST POINT, NY NY 10996

The following Delivery Schedule item for CLIN 1001 has been changed from:

CAGE

POP 01-OCT-2021 TO

30-SEP-2022

N/A KELLER ARMY COMMUNITY HOSPITAL

KELLER ARMY COMMUNITY HOSPITAL

900 WASHINGTON ROAD

WEST POINT, NY NY 10996

CAGE

POP 15-FEB-2022 TO

14-FEB-2023

N/A KELLER ARMY COMMUNITY HOSPITAL

KELLER ARMY COMMUNITY HOSPITAL

900 WASHINGTON ROAD

WEST POINT, NY NY 10996

The following Delivery Schedule item for CLIN 1002 has been changed from:

CAGE

31-OCT-2022 1 KELLER ARMY COMMUNITY HOSPITAL

KELLER ARMY COMMUNITY HOSPITAL

900 WASHINGTON ROAD

WEST POINT, NY NY 10996

CAGE

31-OCT-2023 1 KELLER ARMY COMMUNITY HOSPITAL

KELLER ARMY COMMUNITY HOSPITAL

900 WASHINGTON ROAD

WEST POINT, NY NY 10996

The following Delivery Schedule item for CLIN 2001 has been changed from:

CAGE

POP 01-OCT-2022 TO

30-SEP-2023

N/A KELLER ARMY COMMUNITY HOSPITAL

KELLER ARMY COMMUNITY HOSPITAL

900 WASHINGTON ROAD

WEST POINT, NY NY 10996

POP 15-FEB-2023 TO

14-FEB-2024

N/A KELLER ARMY COMMUNITY HOSPITAL

KELLER ARMY COMMUNITY HOSPITAL

900 WASHINGTON ROAD

WEST POINT, NY NY 10996

The following Delivery Schedule item for CLIN 2002 has been changed from:

CAGE

31-OCT-2023 1 KELLER ARMY COMMUNITY HOSPITAL

KELLER ARMY COMMUNITY HOSPITAL

900 WASHINGTON ROAD

WEST POINT, NY NY 10996

CAGE

31-OCT-2024 1 KELLER ARMY COMMUNITY HOSPITAL

KELLER ARMY COMMUNITY HOSPITAL

900 WASHINGTON ROAD

WEST POINT, NY NY 10996

The following Delivery Schedule item for CLIN 3001 has been changed from:

CAGE

POP 01-OCT-2023 TO

30-SEP-2024

N/A KELLER ARMY COMMUNITY HOSPITAL

KELLER ARMY COMMUNITY HOSPITAL

900 WASHINGTON ROAD

WEST POINT, NY NY 10996

CAGE

POP 15-FEB-2024 TO

14-FEB-2025

N/A KELLER ARMY COMMUNITY HOSPITAL

KELLER ARMY COMMUNITY HOSPITAL

900 WASHINGTON ROAD

WEST POINT, NY NY 10996

The following Delivery Schedule item for CLIN 3002 has been changed from:

CAGE

31-OCT-2024 1 KELLER ARMY COMMUNITY HOSPITAL

KELLER ARMY COMMUNITY HOSPITAL

900 WASHINGTON ROAD

WEST POINT, NY NY 10996

CAGE

31-OCT-2025 1 KELLER ARMY COMMUNITY HOSPITAL

KELLER ARMY COMMUNITY HOSPITAL

900 WASHINGTON ROAD

WEST POINT, NY NY 10996

The following Delivery Schedule item for CLIN 4001 has been changed from:

CAGE

POP 01-OCT-2024 TO

30-SEP-2025

N/A KELLER ARMY COMMUNITY HOSPITAL

KELLER ARMY COMMUNITY HOSPITAL

900 WASHINGTON ROAD

WEST POINT, NY NY 10996

CAGE

POP 15-FEB-2025 TO

14-FEB-2026

N/A KELLER ARMY COMMUNITY HOSPITAL

KELLER ARMY COMMUNITY HOSPITAL

900 WASHINGTON ROAD

WEST POINT, NY NY 10996

The following Delivery Schedule item for CLIN 4002 has been changed from:

31-OCT-2025 1 KELLER ARMY COMMUNITY HOSPITAL

KELLER ARMY COMMUNITY HOSPITAL

900 WASHINGTON ROAD

WEST POINT, NY NY 10996

CAGE

31-OCT-2026 1 KELLER ARMY COMMUNITY HOSPITAL

KELLER ARMY COMMUNITY HOSPITAL

900 WASHINGTON ROAD

WEST POINT, NY NY 10996

(End of Summary of Changes)