R408-- Tumor Registry - Abstractor OBVAMC

5. PROJECT NUMBER (if applicable)

CODE

7. ADMINISTERED BY

2. AMENDMENT/MODIFICATION NUMBER

CODE

6. ISSUED BY

8. NAME AND ADDRESS OF CONTRACTOR

4. REQUISITION/PURCHASE REQ. NUMBER

3. EFFECTIVE DATE

9A. AMENDMENT OF SOLICITATION NUMBER

9B. DATED

PAGE OF PAGES

10A. MODIFICATION OF CONTRACT/ORDER NUMBER

10B. DATED

BPA NO.

1. CONTRACT ID CODE

FACILITY CODE

CODE

Offers 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:

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers

E. IMPORTANT:

is extended,

(a) By completing Items 8 and 15, and returning __________ copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the

offer submitted; or (c) By separate letter or electronic communication 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

is not extended.

12. ACCOUNTING AND APPROPRIATION DATA

(REV. 11/2016)

is required to sign this document and return ___________ copies to the issuing office.

is not,

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.

15C. DATE SIGNED

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES

SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

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 letter

or electronic communication, provided each letter or electronic communication makes reference to the solicitation and this amendment, and is received prior to

the opening hour and date specified.

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER

Contractor

16C. DATE SIGNED

14. DESCRIPTION OF AMENDMENT/MODIFICATION

16B. UNITED STATES OF AMERICA

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

16A. NAME AND TITLE OF CONTRACTING OFFICER

15B. CONTRACTOR/OFFEROR

STANDARD FORM 30

PREVIOUS EDITION NOT USABLE

Prescribed by GSA - FAR (48 CFR) 53.243

(Type or print)

(Type or print)

(Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

(Number, street, county, State and ZIP Code)

(If other than Item 6)

(Specify type of modification and authority)

(such as changes in paying office, appropriation date, etc.)

(If required)

(SEE ITEM 11)

(SEE ITEM 13)

(X)

CHECK

ONE

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS,

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

(Signature of person authorized to sign)

(Signature of Contracting Officer)

1

3

0002

667-21-3-049-0383

Department of Veterans Affairs

Overton Brooks VA Medical Center (90C)

510 East Stoner Avenue

Shreveport LA 71101

Department of Veterans Affairs

Overton Brooks VA Medical Center (90C)

510 East Stoner Avenue

Shreveport LA 71101

To all Offerors/Bidders

36C25621Q1514

08-11-2021

X

x

X

1

8/17/2021 @ 9am CST

See CONTINUATION Page

x

1

The purpose of this amendment is to extend RFQ 36C25621Q1514.

The Solicitation is hereby extended from 8/13/2021 @ 10am CST to 8/17/2021 @ 9am CST.

All other terms and conditions remain unchanged.

CONTINUATION PAGE

A.1 PRICE/COST SCHEDULE

ITEM INFORMATION

ITEM NUMBER

DESCRIPTION OF SUPPLIES/SERVICES

QUANTITY

UNIT

UNIT PRICE

AMOUNT

0001

1,875.00

EA

__________________

__________________

Case Abstraction

Contract Period: Base

POP Begin: 09-15-2021

POP End: 09-14-2022

0002

1,875.00

EA

__________________

__________________

Case Findings

Contract Period: Base

POP Begin: 09-15-2021

POP End: 09-14-2022

0003

1,875.00

EA

__________________

__________________

Follow-up

Contract Period: Base

POP Begin: 09-15-2021

POP End: 09-14-2022

1001

500.00

EA

__________________

__________________

Case Abstraction

Contract Period: Option 1

POP Begin: 09-15-2022

POP End: 09-14-2023

1002

500.00

EA

__________________

__________________

Case Findings

Contract Period: Option 1

POP Begin: 09-15-2022

POP End: 09-15-2023

1003

500.00

EA

__________________

__________________

Follow-up

Contract Period: Option 1

POP Begin: 09-15-2022

POP End: 09-15-2023

GRAND TOTAL

__________________

A.2 DELIVERY SCHEDULE

ITEM NUMBER

QUANTITY

DELIVERY DATE

0001

1,875.00

0002

1,875.00

0003

1,875.00

1001

500.00

1002

500.00

1003

500.00

5. PROJECT NUMBER (if applicable)

CODE

7. ADMINISTERED BY

2. AMENDMENT/MODIFICATION NUMBER

CODE

6. ISSUED BY

8. NAME AND ADDRESS OF CONTRACTOR

4. REQUISITION/PURCHASE REQ. NUMBER

3. EFFECTIVE DATE

9A. AMENDMENT OF SOLICITATION NUMBER

9B. DATED

PAGE OF PAGES

10A. MODIFICATION OF CONTRACT/ORDER NUMBER

10B. DATED

BPA NO.

1. CONTRACT ID CODE

FACILITY CODE

CODE

Offers 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:

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers

E. IMPORTANT:

is extended,

(a) By completing Items 8 and 15, and returning __________ copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the

offer submitted; or (c) By separate letter or electronic communication 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

is not extended.

12. ACCOUNTING AND APPROPRIATION DATA

(REV. 11/2016)

is required to sign this document and return ___________ copies to the issuing office.

is not,

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.

15C. DATE SIGNED

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES

SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

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 letter

or electronic communication, provided each letter or electronic communication makes reference to the solicitation and this amendment, and is received prior to

the opening hour and date specified.

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER

Contractor

16C. DATE SIGNED

14. DESCRIPTION OF AMENDMENT/MODIFICATION

16B. UNITED STATES OF AMERICA

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

16A. NAME AND TITLE OF CONTRACTING OFFICER

15B. CONTRACTOR/OFFEROR

STANDARD FORM 30

PREVIOUS EDITION NOT USABLE

Prescribed by GSA - FAR (48 CFR) 53.243

(Type or print)

(Type or print)

(Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

(Number, street, county, State and ZIP Code)

(If other than Item 6)

(Specify type of modification and authority)

(such as changes in paying office, appropriation date, etc.)

(If required)

(SEE ITEM 11)

(SEE ITEM 13)

(X)

CHECK

ONE

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS,

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

(Signature of person authorized to sign)

(Signature of Contracting Officer)

1

3

0001

667-21-3-049-0383

Department of Veterans Affairs

Overton Brooks VA Medical Center (90C)

510 East Stoner Avenue

Shreveport LA 71101

Department of Veterans Affairs

Overton Brooks VA Medical Center (90C)

510 East Stoner Avenue

Shreveport LA 71101

To all Offerors/Bidders

36C25621Q1514

08-03-2021

X

x

x

1

See CONTINUATION Page

x

1

The purpose of this amendment is to correct line item pricing sheet for RFQ 36C25621Q1514.

Please see attached cost/price schedule for corrected line items and quantities for each.

All other terms and conditions remain unchanged.

CONTINUATION PAGE

A.1 PRICE/COST SCHEDULE

ITEM INFORMATION

ITEM NUMBER

DESCRIPTION OF SUPPLIES/SERVICES

QUANTITY

UNIT

UNIT PRICE

AMOUNT

0001

1,875.00

EA

__________________

__________________

Case Abstraction

Contract Period: Base

POP Begin: 09-15-2021

POP End: 09-14-2022

0002

1,875.00

EA

__________________

__________________

Case Findings

Contract Period: Base

POP Begin: 09-15-2021

POP End: 09-14-2022

0003

1,875.00

EA

__________________

__________________

Follow-up

Contract Period: Base

POP Begin: 09-15-2021

POP End: 09-14-2022

1001

500.00

EA

__________________

__________________

Case Abstraction

Contract Period: Option 1

POP Begin: 09-15-2022

POP End: 09-14-2023

1002

500.00

EA

__________________

__________________

Case Findings

Contract Period: Option 1

POP Begin: 09-15-2022

POP End: 09-15-2023

1003

500.00

EA

__________________

__________________

Follow-up

Contract Period: Option 1

POP Begin: 09-15-2022

POP End: 09-15-2023

GRAND TOTAL

__________________

A.2 DELIVERY SCHEDULE

ITEM NUMBER

QUANTITY

DELIVERY DATE

0001

1,875.00

0002

1,875.00

0003

1,875.00

1001

500.00

1002

500.00

1003

500.00

This is a COMBINED SYNOPSIS/SOLICITATION for commercial items prepared in accordance with format in Subpart 12.6- Streamline Procedures for Evaluation and Solicitation for Commercial Item. This solicitation is issued under authority of FAR 13, Simplified Procedures for Certain Commercial Items, and the conduct of the procurement will be in accordance with FAR Parts 12 and 13 or some combination thereof.

The solicitation number is 36C25621Q1514 and is issued as a Request for Quotation (RFQ).

The proposed contract action is for Tumor Registry Services for Overton Brooks VAMC the for which the Government intends to solicit competitive quotes. Interested persons may submit quotes, and all eligible quotes must be received prior to the response date listed on FBO to be considered by the Government. This solicitation is 100% SDVOSB set-aside. Must be registered in VIP and SAM prior to award.

Applicable NAICS: 518210 Data processing, hosting, and related services

This solicitation document and incorporated provisions and clauses are those in effect through Federal Acquisition Circular (FAC 2021-05 03/10/2021). Only emailed requests received directly from the requester will be accepted.

RESPONSES ARE DUE Thursday, August 13, 2020, by 10:00 a.m. Central Standard Time (CST). Quotes are due electronically to tiffany.conner@va.gov no later than the response date listed on FBO. Only electronic quotes will be considered.

Phone calls will not be accepted, all question and or concerns must be submitted via email to

tiffany.conner@va.gov by 3PM CST August 3, 2021!

Point of contact for this solicitation is Tiffany Conner at tiffany.conner@va.gov.

All Inquires must be submitted electronically.