W91YTZ22Q0134-0001.pdf

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W40M RHCO-ATLANTIC USAHCA

NORTHERN REG CONTR OFC NRCO

POC: FRANK A. WHORTON

6000 MACARTHUR BLVD

BETHESDA MD 20816

0011795127-0002

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 purpose of this amdendment is to revise the Statement of Need to clarify the annual amount of dry ice required and to extend the due date for quotes.

1. CONTRACT ID CODE PAGE OF PAGES

J 1 3

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

16C. DATE SIGNED

BY 17-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 W91YTZ22Q0134

X 9B. DATED (SEE ITEM 11)

09-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 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

17-Aug-2022

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:

W91YTZ22Q0134

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 17-Aug-2022 04:00 PM to 19-Aug-2022 04:00 PM.

The following have been modified:

STATEMENT OF NEED

STATEMENT OF

NEED

DRY ICE

PELLETS

McDonald Army Health Center Fort Eustis, VA

1 Request establishment of contract with any vendor or distributor of dry ice pellets in order to ship laboratory specimen to reference laboratories outside the local area for the Department of Pathology, McDonald Army Health Center (MCAHC).

2 Vendor will supply dry ice pellets at regular scheduled intervals.

3 Vendor will provide the following support service within the cost of the contract as follows:

a. Provide 315 pounds of dry ice pellets on a weekly basis, totaling 16,380 pounds annually.

b. Deliveries will be NLT 1200hrs every Monday and Wednesday.

c. Vendor will deliver 215 pounds of dry ice pellets on Monday and 100 pounds of dry ice pellets on Wednesday.

d. Delivery to the Department of Pathology, McDonald Army Health Center (MCAHC) will be provided by the vendor

5. The method of payment is WAWF 2-in1-Invoice.

6. The following individuals are authorized to sign for delivery under this contract: The McDonald Army Health Center Laboratory Manager and assigned personnel.

7. The following individuals are authorized to contact the vendor for delivery of dry ice the assigned Contract Officer Representative.

8. Department of Laboratory Services will provide an invoice to the Department of Logistics promptly once delivery is complete.

(End of Summary of Changes)

W91YTZ22Q0134