AMENDMENTS 5&6 RE HANSENS DISEASE.PDF

AMENDMENT OF SOUCITATI0N1MODIFICATION OF CONTRACT I. CON1RAC 10 CODE PAGE OF PAGES
2. AMENDMENT/MODIFICATION NO. 3. EFFECTIVE DATE 4. 1 3
REQUISITION/PURCHASE REQ. NO. S. PROJECT Na wgcablel
0005 07/01/2013 HRS113759
6. ISSUED BY
COO NHDP 7. ADMINISTERED (frother itrars Hein 01) CODE
National Hansens Disease Program
Contracts And Procurement
1770 Physicians Park Drive
Baton Rouge LA 70816
6. NAME AND ADDRESS OF CONTRACTOR frk, street, ix,Vedy, rMte ars1 ZIP c. SA. AMENOME
Cx) T OF SOLICITATION Nip,
1.'0UNTY OF MARICOPA 151577
1:00NTY OF MARICOPA 1645 5 ROO BB. DATED (SEE ITEM I')
L645 E ROOSEVELT
?.H.OENIX AZ 850063638
IDA, MODIFICATION OF CONTRACT/ORDER ND.
HRS8258201000006C
10B. DATED (SEE ITEM lay
CODE 151577 FACILITY CODE
05/07/2010
II. THIS ITE-M ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS
0 The above numbered solicitation is amended as eet forth in Item 14. The hour and date specified for receipt of Offers
Offers must acknowledge receipt el this amendment prior to the hour and date specified In the solicitation or es amended, by one of T.3 extended. Dia not extended.
Items & and 15, and returning copies of the amendment: (h) By acknowledgIng the foltowing methods: rt.) By cop in
separate letter orlelegram which includes recetpt st Ints amendment on cinch copy of the offer submitted; or (0) By
THE a miasma lc the sollcitatIen and amendment numbers FAILURE OF YOUR ACKNOWLE.DCEMENT TO DE RECEIVED AT
PLACE DESIGNATED FOR THE RECEIPT OP OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT
virtue el this amendment you desire to change an offer elyeady submified, such change may be made by IN REJECTION OF YOUR OFFER. If by
reference lo doe soficitalion mid this amendment, and to received crier to the ooenino teregram or Jailer, prodded eaoh telegram or loiler makes
12, ACCOUNTING AND APPROPRIATION DATA hear and dale opecifind,
(11 reqngid) Net Increase.,
2013.3280075.25627 $3,209,08
12. THIS ITEM ONLY APPLIES TO MODIFICATION OF CONIRACTS/ORDERS. IT MODIFIES THE CONTRACT/ORDER
NO. AS DESCRIBED IN ITEM 14,
CHEN ONE A THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify auttron'ty) THE CHANGES SET
X ORDER NO. IN ITEM 10A. FORTH IN ITEM 14 ARE MADE IN THE CONTRACT
FAR 52.217- 8 - Option to Extend Services (NOV 19991
8. THE appmptielion ABOVE NUMBERED dare, eta) SET CONTRACT/OMER FORTH IN ITEM 14, IS PURSUANT MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (mob as changes In paying office.
TO THE AUTHORITY OF FAR 43.1113(h).
C. THIS SUPPLEMENTAL AGREEMENT LE ENTERED INTO puRsuANT TO AUTHORITY OF:
D. OTHER (Specify type of modigcaffro cod aulhanly)
E. IMPORTANT; Contractor Els not. 0 is reegred to sign this document and return 0
copies to the issuing aloe,
14. DESCRIPTION OF AMENDMENTIMODIFICATION (Organised by UCF section headings, including solicitellonIconlres1 subject mallet where
Tax ID Number: 86-6000472 feasible,)
DUNS Number: 602062515
The purpose of this modification is to exend the Period of
to make a new award. Performance to allow ample time
1. The total estimated cost of this contract is $128,363.33.
2. The total obligated amount is increased by the sum of $3,209.06
from $125,154.25 to
$128,363,33.
3. The total funds currently available for payment and allotted
to this contract are
Continued
Except as provided hereln, all terms arid conditions of the document referenced in Item SA or 10A, es heretofore changed, romoiris
15A NAME AND TITLE OF SIGNER 17'yp. orprini) unchanged and in full force and effect,
16A NA NO TITLE CF CONTRACTING OFFICER (Type or orbit)
DI 5 5. cpGER
158. CONTRACTORtOFFEROR 150, DATE SIGNED 168, II1E0 5 ATES OFAME LA
160. DATE iGNED,,
(Signotate eget-non aulhaeized la sign) i ...--- iSignaltan o ca 1,9
NSN 7540-01-152-8070 a ng •ilk rdI
Previous edition unusable STANDARD FORM 20MS410-53)
FAR OS CFR) 53.243

CONTINUATION SHEET REFERENCE NO. OF DOCUMENT BEING CONTINUED FAGE OF
HHSH2582010000060/0005 2 I 3
NAME OF OFFEROR OR CONTRACTOR
COUNTY OF MARICOPA 151577
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNITPR10E AMOUNT
(A) (B) . (C) (D) (E) (F)
$38,509.00 for the period of April 1, 2010
through March 31, 2011; $38,509.00 for the period
April 1, 2011 through March 31, 2012; $38,509.00
for the period April 1, 2012 through March 31,
2013; 96,412.17 for the period April 1, 2013
through May 31, 2013; $3,209.02 for the period
June 1, 2013 through June 30, 2013; and $3,209.08
for the period July 1, 2013 through July 31,
2013. For further provisions on funding, see
Limitations of Costs clause (FAR 52.232-20).
4. The Contracting . Officer may allot additional
funds to the contract without concurrence of the
contractor.
5. Section F.1—, Period of Performance, is hereby
changed to read April 1, 2010 through July 31,
2013.
Contracting Officer Representative:
Irma Guerra
HRSA/NHDP
1770 Physicians Park Drive
Baton Rouge, LA 70816
Telephone: (225) 756-3764
Email: iguerra@trsa.gov
Contracts Office Point of Contact:
Charisse Whitney (225) 756-3785
cwhitney@hrsa.gov
DENS Receiver:
Dean Hooker (225) 756-3744 dhooker@hrsa.gov
Delivery Location Code: N_HDP/ADM/CONTRACTS
National Hansen's Disease Program A
1770 Physicians Park Drive
Baton Rouge LA 70216 US
Payment:
NHDP/FM0
1770 Physicians Park Drive
Financial Management Office
Baton Rouge LA 70816
Appr. Yr.: 2013 CAN: 3280075 Object Class: 25627
FOB: Destination
Period of Performance: 04/01/2010 to 07/31/2013
6 NHDP 191 C 2656 Extend Contract
3,209.08
AHSH250201000006C for HD Clinical Services for
Continued ...
NON 7540, 01.152 8067
OPTIONAL FORM 336 (4e6)
Sponsored by GSA
FAR (48 CFR) 53.110

REFERENCE NO. OF DOCUMENT BEING CONTINUED
CONTINUATION SHEET RAGE OF
BHSH258201000008C/0005
3
NAME OF OFFEROR OR CONTRACTOR
COUNTY OF MARTCOP2.), 151577
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE
AMOUNT
(A) (B)
( ) {E) (F)
the period July 1 2013 through July 31 2013
Obligated Amount: $3,209.08
NSW 754331-152-8067
OPTIONAL FORM 338 (4-85)
Sponsored ty GSA
FARM° CFR) 53 110

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT 1. CONTRACT ID CODE PAR OF PAGES
3
2, AMENGMENT/M=FICATION NO. 3. EFFECTIVE DATE 4. REQUISITION/PURCHASE REQ. NO. 5. PROJECT NO. (If applicabfe)
0006 08/01/2013 HRS116483
ISSUED NY CODE NHDP 7. ADMINISTERED B Y (If othur than item N CODE
National Hansens Disease Program
Contracts And Procurement
1770 Physicians Park Drive
Paton Rouge LA 70816
8. NAME AND ADDRESS OF CONTRACTOR sow, coudy, State and ZIP cacret A. AMEN ME T OF SOLICITATION NO.
COUNTY OF MAKICOPA 151577
COUNTY OF MARICOPA 1645 E ROO GB. DATED (SEE ITEM In
1645 E ROOSEVELT
PHOENIX AZ 850063638
10A. MODIFICATION OF CONTRACTIORDER NO.
HHSH258201000006C
-MB. DATED (SEE ITEM IN
CODE 1 51577 FACQITy CODE
05/07/2010
11. TtifS ITEM ONLY APpLIES TO AMENDMENTS OF SOLICITATIONS
n The above numbered solicitation is amended an not fbab in Bern 14. The hour end date specned for receipt al Offers pis extended. Ds not extended.
Offers roust acknowledge receipt of this amendment prior to the hour end data specified in the sollottelion area amended, by one of the following methods: (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 letterer telegram which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOINLEDGENIENT TO BE RECEIVED AT
THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN REJEC7ION OF YOUR OFFER. If by
virtue of this amendment you desire to change en offer already submitted, such change may be made by telegram or latter, provided each telegram or letter makes
reference to the solicitation and this amendment and Is received orlor Is the opening hour end date specified.
12. ACCOUNTING AND APPROPRIATION DATA (If requIredi Net Increase:
$3 ) 209.08
2013,3280075.25627
13. THIS lTEM ONLY APPLIES 10 MODIFICATION OF CONTRACTS/ORDERS. IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.
CHECK LINE A. THIS CHANGE ORDER IS ISSUED PURSLIANTTO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE iN11-fE CONTRACT
X ORDER NO. IN ITEM 10A.
FAR 52.217 — 8 — Option to Extend Services (NOV 1999)
S. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT ME ADMINISTRATIVE CHANGES (such as changes In paying office,
appropriation oate, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43,103(b).
C. THIS SUPPLEMENTAL AGREEMENTS ENTERED INTO PURSUANT TO AUTHORITY
R OTHER (Specify type at modification end authority)
E. IMPORTANT: Contractor Ells not. 1:)1s required to sign this document sod return 0 copies to the issuing office.
14. DESCRIPTION OF AMENOMENT/MODIFICAPON {Organized by LICE section headings, including solicitaWnicontract sobject matter where feasible,}
Tax ID Number: 86-6000472
DUNS Number: 602062515
The purpose of this modification is to extend the Period of Performance to allow ample time
to make a new award.
1. The total estimated cost of this contract is $131,572.41.
2. The total obligated amount is increased by the sum of $3,209.08 from $128,363.33 to
$131,572.41,
3. The total funds currently available for payment and allotted to this contract are
Continued
Except as provided heroin, all terms and conditions of the document referenced in item NA or 10A, as heretofore changed, remains 'Aachen and in fult force and effecL
15A. NAME AND -17TL E OF SIGNER (Type or print) 16A. NAME 0 TITLE OF CoNTRACTING OFFICER (Type or print)
DIAN. L. 000ER
158. CONTRACTOR/OFFEROR INC. DATE SIGNED 168. TED ST TEE OF MEW A 160. DATE SIGNED
—,-
(SIgneura of pv.son salhv,35d to d,tgei $;gneluna ar Cankaceng OtaCer} 71(2-.6 (1---
NEW 754C-3i-i 62-8072 STANDARD FORM 3 (REV, 10.6
Previous edition enusoble Prescribed by GSA
FAR (48 CFR) 63.243

CONTINUATION SHEET REFERENCE NO OF DOCUMENT BEING CONTINUED PAGE OF
HHSH2522010000060/0006 2 I 3
NAME OF OFFEROR OR CONTRACTOR
COUNTY OF MARICOPA 151577
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
P1 ) (B) (C) (0) (B) (F)
$38,509.00 for the period of April 1, 2010
through March 31, 2011; $38,509.00 for the period
April 1, 2011 through March 31, 2012; $38,509.00
for the period April 1, 2012 through March 31,
2013; $6,418.17 for the period April 1, 2013
through May 31, 2013; $3,209.08 for the period
June 1, 2013 through June 30, 2013; $3,209.08 for
the period July 1, 2013 through July 31, 2013;
and $3,209.08 for the period August 1, 2013
through August 31, 2013. For further provisions
on funding, see Limitations of Costs clause (FAR
52.232-20).
4. The Contracting Officer may allot additional
funds to the contract without concurrence of the
contractor.
. Section F.1., Period of Performance, is hereby
changed to read April 1, 2010 through August 31,
2013.
Contracting Officer Representative:
Irma Guerra
HRSA/NHDP
1770 Physicians Park Drive
Baton Rouge, LA 70816
Telephone: (225) 756-3764
Email: iguerraOhrsa.gov
Contracts Office Point of Contact:
Charisse Whitney (225) 756-37e5
owhitney@hrsa.gov
UFMS Receiver:
Dean Hooker (225) 756-3744 dhooker@hrsa.gov
Delivery Location Code: NHDP/ADM/CONTRACTS
National Hansen's Disease Program A
1.770 Physicians Park Drive
Baton Rouge LA 70816 US
Payment:
NHDP/FMC
1770 Physicians Park Drive .
Financial Management Office
Baton Rouge LA. 70816
Appr. Yr.: 2013 CAN: 3280075 Object Class: 25627
FOB: Destination
Period of Performance: 04/01/2010 to 08/31/2013
Continued
NSN 7.540-D1.1 52 6067 OPTIONAL FORM. an (4-56)
Sponsored by GSA
FAR ma CFR! i.l IO

REFERENCE NO. OF DOCUMENT BEING CONTINUED pAGE OF
CONTINUATION SHEET HH3H258201008006C/0006 3 1 3
NAME OF OFFEROR OR CONTRACTOR
COUNTY OF MARICOPA 151577
ITEM NO. SUPPLIES/SERVICES QUANTITY FAIT UNIT PRICE AMOUNT
(A) (B) (C) (1)) (E) (F)
7 NHDP 181 C 1886 Extend Contract 3,209.08
HHSH258201000006C for HO Clinical Services for
the period August 1, 2013 through August 31, 2013
Obligated Amount: $3,209.08
NSN 7540-01-162 8067 OPTIONAL FORM 036 (4-86)
Sponsored Sy GSA
FAR (48 CFR} 53 110