B.08. AMENDMENT 0001_W91YTZ21R0054 AMBULANCE TRANSPORT.pdf

W91YTZ21R0054

0011644353

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

1. This amendment is issued to notify vendors that the Contract Type specified in the Request for Proposal is hereby amended from a Firm Fixed Price to an Indefinite Delivery/Indefinite Quantity (IDIQ) contract.

2. The closing date of this notice is 23 August 2021 at 12:00PM EST. Interested vendors can submit a proposal in response to this amendment notice by the revised closing date. Vendors that submitted a proposal under the original solicitation must resubmit a revised proposal reflecting the revised CLIN structure and Ordering Period.

3. The follow ing FAR and DFAR clauses are hereby incorporated into the Request for Proposal by reference and/or full text: 52.204-15, 52.232-37, 252.216-7006, 52.216-19, 52.216-22, and 52.232-19. The follow ing FAR provisions have been amended: 52.216-1 and Addendum to 52.212-1.

4. All other terms and conditions of the solicitation remain the same. See summary of changes for complete details.

1. CONTRACT ID CODE PAGE OF PAGES

J 1 22

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

16C. DATE SIGNED

BY 11-Aug-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 W91YTZ21R0054

X 9B. DATED (SEE ITEM 11)

22-Jul-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

11-Aug-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

See Item 6

FACILITY CODECODE

EMAIL:TEL:

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 05-Aug-2021 12:00 PM to 23-Aug-

2021 12:00 PM.

SUPPLIES OR SERVICES AND PRICES

CLIN 0001

The IDC type has changed from N/A to Indefinite Quantity.

The CLIN description has changed from Advanced Life Support (Base) to Advanced Life Support.

The CLIN extended description has changed from:

Base Period of Performance: 1 October 2021 - 30 September 2022. Advance Life Support: Ambulance Transportation Services to support the Womack Army Medical Center (WAMC) and surrounding areas within the WAMC area of responsibility. Payment will be made for runs and mileage as per PWS.

To:

Five Year Ordering Period: 1 October 2021 - 30 September 2026. Advance Life Support: Ambulance Transportation Services to support the Womack Army Medical Center (WAMC) and surrounding areas within the WAMC area of responsibility. Payment will be made for runs and mileage as per PWS and specified in individual task orders.

The pricing detail quantity has increased by 5,130.00 from 1,282.50 to 6,412.50.

CLIN 0002

The CLIN description has changed from Basic Life Support (Base) to Basic Life Support.

The CLIN extended description has changed from:

Base Period of Performance: 1 October 2021 - 30 September 2022. Basic Life Support: Ambulance Transportation Services to support the Womack Army Medical Center (WAMC) and surrounding areas within the WAMC area of responsibility. Payment will be made for runs and mileage as per PWS.

Five Year Ordering Period: 1 October 2021 - 30 September 2026. Basic Life Support: Ambulance Transportation Services to support the Womack Army Medical Center (WAMC) and surrounding areas within the WAMC area of responsibility. Payment will be made for runs and mileage as per PWS and specified in individual task orders.

The pricing detail quantity has increased by 5,130.00 from 1,282.50 to 6,412.50.

CLIN 0003

The CLIN description has changed from Mileage (Base) to Mileage.

The CLIN extended description has changed from:

Base Period of Performance: 1 October 2021 - 30 September 2022. Mileage: Ambulance Transportation Services to support the Womack Army Medical Center (WAMC) and surrounding areas within the WAMC area of responsibility. Payment will be made for runs and mileage beyond 20 miles.

Five Year Ordering Period: 1 October 2021 - 30 September 2026. Mileage: Ambulance Transportation Services to support the Womack Army Medical Center (WAMC) and surrounding areas within the WAMC area of responsibility. Payment will be made for runs and mileage beyond 20 miles.

The pricing detail quantity has increased by 48,000.00 from 12,000.00 to 60,000.00.

CLIN 0004

The CLIN description has changed from Contractor Manpower Reporting (Base) to Contractor Manpower Reporting.

The CLIN extended description has changed from:

CMR: Upon award, proof of data input and acceptance into the ContractorManpower Reporting application shall be provided to the Contracting Officer's Representative and Contract Administrator by: 31 October 2022.

CMR: Upon award, proof of data input and acceptance into the ContractorManpower Reporting application shall be provided to the Contracting Officer's Representative and Contract Administrator.

The pricing detail quantity has increased by 4.75 from 0.25 to 5.00.

CLIN 1001

The CLIN description Advance Life Support (1st Option) has been deleted.

The CLIN extended description has changed from:

Option 1, Period of Performance: 1 October 2022 - 30 September 2023. Advance Life Support: Ambulance Transportation Services to support the Womack Army Medical Center (WAMC) and surrounding areas within the

The pricing detail quantity has decreased by 1,282.50 from 1,282.50 to 0.00.

The unit of issue Each has been deleted.

The option status has changed from Option to No Status.

CLIN 1002

The CLIN description Basic Life Support (1st Option) has been deleted.

The CLIN extended description has changed from:

Option 1, Period of Performance: 1 October 2022 - 30 September 2023. Basic Life Support: Ambulance Transportation Services to support the Womack Army Medical Center (WAMC) and surrounding areas within the

CLIN 1003

The CLIN description Mileage (1st Option) has been deleted.

The CLIN extended description has changed from:

Option 1, Period of Performance: 1 October 2022 - 30 September 2023. Mileage: Ambulance Transportation Services to support the Womack Army Medical Center (WAMC) and surrounding areas within the WAMC area of

The pricing detail quantity has decreased by 12,000.00 from 12,000.00 to 0.00.

CLIN 1004

The CLIN description Contractor Manpower Reporting (1st Opt) has been deleted.

The CLIN extended description has changed from:

CMR: Upon award, proof of data input and acceptance into the ContractorManpower Reporting application shall be provided to the Contracting Officer's Representative and Contract Administrator by: 31 October 2023.

The pricing detail quantity has decreased by 0.25 from 0.25 to 0.00.

CLIN 2001

The CLIN description Advance Life Support (2nd Option) has been deleted.

The CLIN extended description has changed from:

Option 2, Period of Performance: 1 October 2023 - 30 September 2024. Advance Life Support: Ambulance Transportation Services to support the Womack Army Medical Center (WAMC) and surrounding areas within the

CLIN 2002

The CLIN description Basic Life Support (2nd Option) has been deleted.

The CLIN extended description has changed from:

Option 2, Period of Performance: 1 October 2023 - 30 September 2024. Basic Life Support: Ambulance Transportation Services to support the Womack Army Medical Center (WAMC) and surrounding areas within the

CLIN 2003

The CLIN description Mileage (2nd Option) has been deleted.

The CLIN extended description has changed from:

Option 2, Period of Performance: 1 October 2023 - 30 September 2024. Mileage: Ambulance Transportation Services to support the Womack Army Medical Center (WAMC) and surrounding areas within the WAMC area of

CLIN 2004

The CLIN description Contractor Manpower Reporting (2nd Opt) has been deleted.

The CLIN extended description has changed from:

CMR: Upon award, proof of data input and acceptance into the ContractorManpower Reporting application shall be provided to the Contracting Officer's Representative and Contract Administrator by: 31 October 2024.

CLIN 3001

The CLIN description Advance Life Support (3rd Option) has been deleted.

The CLIN extended description has changed from:

Option 3, Period of Performance: 1 October 2024 - 30 September 2025. Advance Life Support: Ambulance Transportation Services to support the Womack Army Medical Center (WAMC) and surrounding areas within the

CLIN 3002

The CLIN description Basic Life Support (3rd Option) has been deleted.

The CLIN extended description has changed from:

Option 3, Period of Performance: 1 October 2024 - 30 September 2025. Basic Life Support: Ambulance Transportation Services to support the Womack Army Medical Center (WAMC) and surrounding areas within the

CLIN 3003

The CLIN description Mileage (3rd Option) has been deleted.

The CLIN extended description has changed from:

Option 3, Period of Performance: 1 October 2024 - 30 September 2025. Mileage: Ambulance Transportation Services to support the Womack Army Medical Center (WAMC) and surrounding areas within the WAMC area of

CLIN 3004

The CLIN description Contractor Manpower Reporting (3rd Opt) has been deleted.

The CLIN extended description has changed from:

CMR: Upon award, proof of data input and acceptance into the ContractorManpower Reporting application shall be provided to the Contracting Officer's Representative and Contract Administrator by: 31 October 2025.

CLIN 4001

The CLIN description Advance Life Support (4th Option) has been deleted.

The CLIN extended description has changed from:

Option 4, Period of Performance: 1 October 2025 - 30 September 2026. Advance Life Support: Ambulance Transportation Services to support the Womack Army Medical Center (WAMC) and surrounding areas within the

CLIN 4002

The CLIN description Basic Life Support (4th Option) has been deleted.

The CLIN extended description has changed from:

Option 4, Period of Performance: 1 October 2025 - 30 September 2026. Basic Life Support: Ambulance Transportation Services to support the Womack Army Medical Center (WAMC) and surrounding areas within the

CLIN 4003

The CLIN description Mileage (4th Option) has been deleted.

The CLIN extended description has changed from:

Option 4, Period of Performance: 1 October 2025 - 30 September 2026. Mileage: Ambulance Transportation Services to support the Womack Army Medical Center (WAMC) and surrounding areas within the WAMC area of

CLIN 4004

The CLIN description Contractor Manpower Reporting (4th Opt) has been deleted.

The CLIN extended description has changed from:

CMR: Upon award, proof of data input and acceptance into the ContractorManpower Reporting application shall be provided to the Contracting Officer's Representative and Contract Administrator by: 31 October 2026.

The option status has changed from Option to No Status.

DELIVERIES AND PERFORMANCE

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

DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

POP 01-OCT-2021 TO

30-SEP-2022

N/A W2L6 WOMACK ARMY MED CTR

W2L6 WOMACK ARMY MED CTR

2817 REILLY ROAD

BLDG 4

FORT BRAGG NC 28310-5000

210-808-2837 FOB: Destination

W36XTM

DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

POP 01-OCT-2021 TO

30-SEP-2026

N/A W2L6 WOMACK ARMY MED CTR

W2L6 WOMACK ARMY MED CTR

2817 REILLY ROAD

BLDG 4

FORT BRAGG NC 28310-5000

210-808-2837

The following Delivery Schedule for CLIN 0002 has been deleted:

CAGE

POP 01-OCT-2021 TO

30-SEP-2022

N/A W2L6 WOMACK ARMY MED CTR

W2L6 WOMACK ARMY MED CTR

2817 REILLY ROAD

BLDG 4

FORT BRAGG NC 28310-5000

210-808-2837

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

CAGE

POP 01-OCT-2021 TO

30-SEP-2022

N/A W2L6 WOMACK ARMY MED CTR

W2L6 WOMACK ARMY MED CTR

2817 REILLY ROAD

BLDG 4

FORT BRAGG NC 28310-5000

210-808-2837

CAGE

POP 01-OCT-2021 TO

30-SEP-2026

N/A W2L6 WOMACK ARMY MED CTR

W2L6 WOMACK ARMY MED CTR

2817 REILLY ROAD

BLDG 4

FORT BRAGG NC 28310-5000

210-808-2837

The following Delivery Schedule for CLIN 0004 has been deleted:

CAGE

31-OCT-2022 0.25 N/A

The following Delivery Schedule for CLIN 1001 has been deleted:

CAGE

POP 01-OCT-2022 TO

30-SEP-2023

N/A W2L6 WOMACK ARMY MED CTR

W2L6 WOMACK ARMY MED CTR

2817 REILLY ROAD

BLDG 4

FORT BRAGG NC 28310-5000

210-808-2837

The following Delivery Schedule for CLIN 1002 has been deleted:

POP 01-OCT-2022 TO

30-SEP-2023

N/A W2L6 WOMACK ARMY MED CTR

W2L6 WOMACK ARMY MED CTR

2817 REILLY ROAD

BLDG 4

FORT BRAGG NC 28310-5000

210-808-2837

The following Delivery Schedule for CLIN 1003 has been deleted:

CAGE

POP 01-OCT-2022 TO

30-SEP-2023

N/A W2L6 WOMACK ARMY MED CTR

W2L6 WOMACK ARMY MED CTR

2817 REILLY ROAD

BLDG 4

FORT BRAGG NC 28310-5000

210-808-2837

The following Delivery Schedule for CLIN 1004 has been deleted:

CAGE

31-OCT-2023 0.25 N/A

The following Delivery Schedule for CLIN 2001 has been deleted:

CAGE

POP 01-OCT-2021 TO

30-SEP-2022

N/A W2L6 WOMACK ARMY MED CTR

W2L6 WOMACK ARMY MED CTR

2817 REILLY ROAD

BLDG 4

FORT BRAGG NC 28310-5000

210-808-2837

The following Delivery Schedule for CLIN 2002 has been deleted:

POP 01-OCT-2021 TO

30-SEP-2022

N/A W2L6 WOMACK ARMY MED CTR

W2L6 WOMACK ARMY MED CTR

2817 REILLY ROAD

BLDG 4

FORT BRAGG NC 28310-5000

210-808-2837

The following Delivery Schedule for CLIN 2003 has been deleted:

CAGE

POP 01-OCT-2021 TO

30-SEP-2022

N/A W2L6 WOMACK ARMY MED CTR

W2L6 WOMACK ARMY MED CTR

2817 REILLY ROAD

BLDG 4

FORT BRAGG NC 28310-5000

210-808-2837

The following Delivery Schedule for CLIN 2004 has been deleted:

CAGE

31-OCT-2024 0.25 N/A

The following Delivery Schedule for CLIN 3001 has been deleted:

CAGE

POP 01-OCT-2024 TO

30-SEP-2025

N/A W2L6 WOMACK ARMY MED CTR

W2L6 WOMACK ARMY MED CTR

2817 REILLY ROAD

BLDG 4

FORT BRAGG NC 28310-5000

210-808-2837

The following Delivery Schedule for CLIN 3002 has been deleted:

POP 01-OCT-2024 TO

30-SEP-2025

N/A W2L6 WOMACK ARMY MED CTR

W2L6 WOMACK ARMY MED CTR

2817 REILLY ROAD

BLDG 4

FORT BRAGG NC 28310-5000

210-808-2837

The following Delivery Schedule for CLIN 3003 has been deleted:

CAGE

POP 01-OCT-2024 TO

30-SEP-2025

N/A W2L6 WOMACK ARMY MED CTR

W2L6 WOMACK ARMY MED CTR

2817 REILLY ROAD

BLDG 4

FORT BRAGG NC 28310-5000

210-808-2837

The following Delivery Schedule for CLIN 3004 has been deleted:

CAGE

31-OCT-2025 0.25 N/A

The following Delivery Schedule for CLIN 4001 has been deleted:

CAGE

POP 01-OCT-2025 TO

30-SEP-2026

N/A W2L6 WOMACK ARMY MED CTR

W2L6 WOMACK ARMY MED CTR

2817 REILLY ROAD

BLDG 4

FORT BRAGG NC 28310-5000

210-808-2837

The following Delivery Schedule for CLIN 4002 has been deleted:

POP 01-OCT-2025 TO

30-SEP-2026

N/A W2L6 WOMACK ARMY MED CTR

W2L6 WOMACK ARMY MED CTR

2817 REILLY ROAD

BLDG 4

FORT BRAGG NC 28310-5000

210-808-2837

The following Delivery Schedule for CLIN 4003 has been deleted:

CAGE

POP 01-OCT-2025 TO

30-SEP-2026

N/A W2L6 WOMACK ARMY MED CTR

W2L6 WOMACK ARMY MED CTR

2817 REILLY ROAD

BLDG 4

FORT BRAGG NC 28310-5000

210-808-2837

The following Delivery Schedule for CLIN 4004 has been deleted:

CAGE

31-OCT-2026 0.25 N/A

INSPECTION AND ACCEPTANCE

The Acceptance/Inspection Schedule for CLIN 1001 has been changed from:

INSPECT AT INSPECT BY ACCEPT AT ACCEPT BY

Destination Government Destination Government

To:

INSPECT AT INSPECT BY ACCEPT AT ACCEPT BY

Destination Government Destination N/A

The following have been added by reference:

52.204-15 Service Contract Reporting Requirements for Indefinite-

Delivery Contracts

OCT 2016

52.232-37 Multiple Payment Arrangements MAY 1999

The following have been added by full text:

52.216-18 ORDERING. (AUG 2020)

(a) Any supplies and services to be furnished under this contract shall be ordered by issuance of delivery orders or task orders by the individuals or activities designated in the Schedule. Such orders may be issued from 1 October 2021 through 30 September 2026.

(b) All delivery orders or task orders are subject to the terms and conditions of this contract. In the event of conflict between a delivery order or task order and this contract, the contract shall control.

(c) A delivery order or task order is considered "issued" when--

(1) If sent by mail (includes transmittal by U.S. mail or private delivery service), the Government deposits the order in the mail;

(2) If sent by fax, the Government transmits the order to the Contractor's fax number; or

(3) If sent electronically, the Government either--

(i) Posts a copy of the delivery order or task order to a Government document access system, and notice is sent to the Contractor; or

(ii) Distributes the delivery order or task order via email to the Contractor's email address.

(d) Orders may be issued by methods other than those enumerated in this clause only if authorized in the contract.

(End of clause)

52.216-19 ORDER LIMITATIONS (OCT 1995)

(a) Minimum order. When the Government requires supplies or services covered by this contract in an amount of less than $1,000.00, the Government is not obligated to purchase, nor is the Contractor obligated to furnish, those supplies or services under the contract.

(b) Maximum order. The Contractor is not obligated to honor -

(1) Any order for a single item in excess of TBD;

(2) Any order for a combination of items in excess of TBD; or

(3) A series of orders from the same ordering office within 30 days that together call for quantities exceeding the limitation in paragraph (b) (1) or (2) of this section.

(c) If this is a requirements contract (i.e., includes the Requirements clause at subsection 52.216-21 of the Federal Acquisition Regulation (FAR)), the Government is not required to order a part of any one requirement from the Contractor if that requirement exceeds the maximum-order limitations in paragraph (b) of this section.

(d) Notwithstanding paragraphs (b) and (c) of this section, the Contractor shall honor any order exceeding the maximum order limitations in paragraph (b), unless that order (or orders) is returned to the ordering office within 10 days after issuance, with written notice stating the Contractor's intent not to ship the item (or items) called for and the reasons. Upon receiving this notice, the Government may acquire the supplies or services from another source.

52.216-22 INDEFINITE QUANTITY. (OCT 1995)

(a) This is an indefinite-quantity contract for the supplies or services specified, and effective for the period stated, in the Schedule. The quantities of supplies and services specified in the Schedule are estimates only and are not purchased by this contract.

(b) Delivery or performance shall be made only as authorized by orders issued in accordance with the Ordering clause. The Contractor shall furnish to the Government, when and if ordered, the supplies or services specified in the Schedule up to and including the quantity designated in the Schedule as the "maximum". The Government shall order at least the quantity of supplies or services designated in the Schedule as the "minimum".

(c) Except for any limitations on quantities in the Order Limitations clause or in the Schedule, there is no limit on the number of orders that may be issued. The Government may issue orders requiring delivery to multiple destinations or performance at multiple locations.

(d) Any order issued during the effective period of this contract and not completed within that period shall be completed by the Contractor within the time specified in the order. The contract shall govern the Contractor's and Government's rights and obligations with respect to that order to the same extent as if the order were completed during the contract's effective period; provided, that the Contractor shall not be required to make any deliveries under this contract after 30 September 2026.

52.232-19 AVAILABILITY OF FUNDS FOR THE NEXT FISCAL YEAR (APR 1984)

Funds are not presently available for performance under this contract beyond 1 October 2021. The Government's obligation for performance of this contract beyond that date is contingent upon the availability of appropriated funds from which payment for contract purposes can be made. No legal liability on the part of the Government for any payment may arise for performance under this contract beyond 1 October 2021, until funds are made available to the Contracting Officer for performance and until the Contractor receives notice of availability, to be confirmed in writing by the Contracting Officer.

The following have been modified:

52.212-1 ADDENDUM

Proposal Submission Instructions:

Offeror shall submit signed and dated proposals to arrive no later than the date and time specified in Block 8, SF 1449. Offeror shall submit copies of their proposal via email to Ms. Angela Brown at angela.brown10.civ@mail.mil) and Ms. Cheryl Ricker at (cheryl.a.ricker2.civ@mail.mil). Hard copies of the proposal are not required. Proposals submitted after the deadline and time will be considered untimely and will not be considered for award. Questions shall be submitted via email to Ms. Angela Brown at angela.brown10.civ@mail.mil) and Ms. Cheryl Ricker (cheryl.a.ricker2.civ@mail.mil) no later than 16 August 2021. Answers to questions received by the timeline shall be provided by an amendment to this solicitation.

Administrative. Within the Administrative section, offerors shall ensure that the original solicitation's SF 1449, Blocks 12, 17A, and 30A – C, are completed in their entirety. Offerors shall also acknowledge each amendment by completing each SF 30, Blocks 8 and 15A - C. The proposal shall also have a title page identifying the offeror;

offeror's CAGE code and DUNS number; the full address, phone, and facsimile numbers of the offeror; points of contact (POCs) authorized to negotiate with the Government on the offeror's behalf; the solicitation number; a statement confirming the offeror is willing to hold its prices firm for at least 120 days from the date specified for receipt of offers; and the proposal contents (which may be included on a second page, if necessary). Past performance references (see paragraph 2 below) shall also be identified in this section, and may be included on a second page.

Offeror shall be registered in the System for Award Management (SAM) with the appropriate NAICS Code and shall not have any Active Exclusions listed within SAM. If the offeror is currently registered in SAM with completed representations and certifications, an affirmation on the title page (or second page) that these representations and certificates are current, complete, and accurate as of the date proposals are due shall suffice.

Otherwise, the offeror shall include one (1) copy of the following provisions located within this solicitation shall be completed and included with the proposal: FAR Provision 52.204-24, Representation Regarding Certain Telecommunications And Video Surveillance Services Or Equipment; FAR Provision 52.204-26, Covered Telecommunications Equipment Or Services—Representation; FAR Provision 52.212-3, Offeror Representations and Certifications Alternate I; FAR Provision 52.209-7, Information Regarding Responsibility Matters; plus any other provisions herein.

Offerors shall submit proposals in accordance with the following format. Each section addressed below (i.e., Technical Capability, Past Performance, and Pricing) shall be its own volume, and identified as separate attachments with company name within the emailed submission (ex: Technical Capability (Volume I)_ABC Company).

1. Technical Capability (Volume I)

These parts of the technical proposal shall be addressed in sufficient written detail for the Government to determine if the offeror understands this aspect of the Government’s requirement. Statements that the offeror understands, can or will comply with all specifications, or statements paraphrasing the specifications of parts thereof, or phrases such as “standard procedures will be used” or “well-known techniques will be used” will be considered unacceptable.

Insufficient explanations may result in your offer receiving an UNACCEPTABLE rating. The technical proposal shall not exceed 10 pages.

a. Must provide proof of North Carolina Department of Health and Human Services Certification with control number and North Carolina of Authorization and License issued by the Department of Health.

b. Submission of current EMT / Paramedic license and EMT certification for all personnel -Emergency Medical Technician Basic (EMT-B) and Emergency Medical Technician Paramedic (EMT-P).

c. Description of fully operational Type III ambulance, both primary and back-up as established by the North Carolina Office of Emergency Medical Services.

2. Past Performance (Volume II)

a. Provide a copy of the attached Past Performance Questionnaire (PPQ) (Past Performance Attachment) to at least two references (no more than three) with instructions to return the PPQ via email to Ms. Angela Brown at angela.brown10.civ@mail.mil) and Ms. Cheryl Ricker (cheryl.a.ricker2.civ@mail.mil). Past Performance Questionnaires shall be received by the specified due date for receipt of offers. It is the offeror’s responsibility to ensure the reference submits the PPQ directly via email.

b. Provide a list of references with company name, contract value, period of performance, point of contact, and phone number. Reference list should include at least three and no more than five references. All references shall be residing in the United States and shall include relevant experience (within the past three years and similar in scope) regarding ambulance transportation services.

The Regional Health Contracting Office-Atlantic is conducting a Small Business Set-Aside, Competitive Award. The offeror has identified you as a reference to validate past performance.

Solicitation Number W91YTZ-21-R-0054, is for the non-personal services for Medical Transport (Ambulance) to support the Womack Army Medical Center (WAMC), Fort Bragg, NC.

Please complete the following questionnaire to assist our evaluation of the contractor’s past performance, and return email no later than 12:00 pm EST on 23 August 2021 to Ms. Angela Brown at angela.brown10.civ@mail.mil and Ms. Cheryl Ricker at cheryl.a.ricker2.civ@mail.mil.

c. The Government may also consider any additional information from its own files, databases such as the Past Performance Information Retrieval System (PPIRS), or from any other source it deems appropriate.

The Government may survey references to verify the information provided.

3. Price (Volume III)

a. Submit proposed pricing for all contract line item numbers identified in the Request for Proposal (Form

1449), unless otherwise noted. Include the "Unit Price" and total "Amount" for each line item (base and all option years).

(m) Protests received at a level higher than the contracting officer will be referred to the contracting officer.

Protestor may request a review by the contracting officer or an independent review at a level higher than the contracting officer. Requests for appeals or independent review will be addressed to the contracting officer for referral to the review authority. Questions on this process will be referred to the cognizant contracting officer identified in the solicitation.

(n) The non-FAR Part 12 discretionary FAR and DFARS provisions included herein are incorporated into this solicitation either by reference or in full text. If incorporated by reference, see provision 52.252-1 herein for locations where full text can be found.

(End of Provision)

PAST PERFORMANCE QUESTIONNAIRE

ATTACHMENT 1

PAST PERFORMANCE QUESTIONNAIRE

Name of Contractor being evaluated:

1. How long has your company had a contract with this contractor?

2. Type of service being provided?

3. Where is the location of this service?

4. What is the contract amount?

5. How many Type III ambulance vehicles are being provide on contract?

6. Have there been late deliveries or other unsatisfactory performance resulting in additional contractual or administrative costs?

Yes No

If “Yes,” explain:

The last three items will discuss schedule performance, quality of service, and customer relations. Please refer to the following Rating System:

1. Schedule Performance – Please rate overall compliance with reliability and timeliness of scheduled performance.

(1) Exceptional (2) Very Good (3) Satisfactory (4) Marginal (5) Unsatisfactory

If other than “Satisfactory,” explain how the overall performance exceeds or does not meet contractual requirements:

2. Quality of Service – Please rate overall compliance with contract statement of work requirement.

If other than “Satisfactory,” explain how the overall performance exceeds or does not meet contractual requirements:

3. Business/Customer Relations – Please rate overall effective management; successfully managed services; reasonable/ cooperative behavior; flexibility; business-like concern for customer’s interest.

If other than “Satisfactory,” explain how the overall performance exceeds or does not meet contractual requirements:

1. Exceptional - Performance meets contractual requirements and exceeds many to the contractor’s benefit. The contractual performance of the element being assessed was accomplished with few minor problems for which corrective actions taken were highly effective.

2. Very Good - Performance meets contractual requirements and exceeds some to the Contractor’s benefit. The contractual performance of the element being assessed was accomplished with some minor problems for which corrective actions taken were effective.

3. Satisfactory - Performance meets the contractual requirements. The contractual performance of the element being assessed contains some minor problems for which corrective actions taken appear or were satisfactory.

4. Marginal - Performance does not meet some contractual requirements. The contractual performance of the element being assessed reflects a serious problem for which the contractor has not yet identified corrective actions. The proposed actions appear only marginally effective or were not fully implemented.

5. Unsatisfactory - Performance does not meet most contractual requirements and recovery is not likely in a manner. The contractual performance of the element contains serious problem(s) for which corrective actions appear or were ineffective.

Signature: Date:

Print Name: Company:

Title: Telephone:

Thank you for your participation in providing a detailed and accurate history of past performance for this offeror.

52.216-1 TYPE OF CONTRACT (APR 1984)

The Government contemplates award of a Indefinite Delivery/Indefinite Quantity (IDIQ) contract resulting from this solicitation.

(End of provision)

The following have been deleted:

52.204-14 Service Contract Reporting Requirements OCT 2016

(End of Summary of Changes)