W91YTZ23R0017P00001.pdf

W40M RHCO-ATLANTIC USAHCA

NORTHERN REG CONTR OFC NRCO

POC: ASHLEY V. REYES

6000 MACARTHUR BLVD

BETHESDA MD 20816

0011890772

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. The purpose of the amendment is to amend the response by date from 13 February 2023 to 24 February 2023

2. All other terms and conditions remain unchanged.

3. See summary of changes.

1. CONTRACT ID CODE PAGE OF PAGES

J 1 3

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

16C. DATE SIGNED

BY 14-Feb-2023

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 W91YTZ23R0017

X 9B. DATED (SEE ITEM 11)

27-Jan-2023

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

14-Feb-2023

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:

W91YTZ23R0017

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:

Lab Courier Services for Dunham Army Health Cllinic, Carlisle Barracks, PA. Base Period of performance: 14 May 2022 to 13 May 2023. Vendor shall provide all personnel, equipment, tool, materials, facilities, supervision, transportation and other necessary services to perform requested services in accordance with the Statement of Work Statement (SOW).

To:

Lab Courier Services for Dunham Army Health Cllinic, Carlisle Barracks, PA. Base Period of performance: 14 May 2022 to 13 May 2023. Vendor shall provide all personnel, equipment, tool, materials, facilities, supervision, transportation and other necessary services to perform requested services in accordance with the Statement of Work Statement (SOW).

Delivery: Walter Reed Medical Center 8930 Brown Drive Building 9 Rm 759 (Basement) Bethesda, MD 20889

CLIN 1001

Option Period 1 Period of performance: 14 May 2023 to 13 May 2024. Vendor shall provide all personnel, equipment, tool, materials, facilities, supervision, transportation and other necessary services to perform requested services in accordance with the Statement of Work Statement (SOW).

Option Period 1 Period of performance: 14 May 2023 to 13 May 2024. Vendor shall provide all personnel, equipment, tool, materials, facilities, supervision, transportation and other necessary services to perform requested services in accordance with the Statement of Work Statement (SOW).

Delivery: Walter Reed Medical Center 8930 Brown Drive Building 9 Rm 759 (Basement)

W91YTZ23R0017

CLIN 2001

Option Period 2 Period of performance: 14 May 2024 to 13 May 2025. Vendor shall provide all personnel, equipment, tool, materials, facilities, supervision, transportation and other necessary services to perform requested

Option Period 2 Period of performance: 14 May 2024 to 13 May 2025. Vendor shall provide all personnel, equipment, tool, materials, facilities, supervision, transportation and other necessary services to perform requested services in accordance with the Statement of Work Statement (SOW).

Delivery: Walter Reed Medical Center 8930 Brown Drive Building 9 Rm 759 (Basement)

CLIN 3001

Option Period 3 Period of performance: 14 May 2025 to 13 May 2026. Vendor shall provide all personnel, equipment, tool, materials, facilities, supervision, transportation and other necessary services to perform requested

Option Period 3 Period of performance: 14 May 2025 to 13 May 2026. Vendor shall provide all personnel, equipment, tool, materials, facilities, supervision, transportation and other necessary services to perform requested services in accordance with the Statement of Work Statement (SOW).

Delivery: Walter Reed Medical Center 8930 Brown Drive Building 9 Rm 759 (Basement) Bethesda, MD 20889

(End of Summary of Changes)