AMENDMENT OF SOLICITATION/MODIFIC:I· ~F-C-O-N-T-R-A-C-T-----r.-1"'C""O"'N:::TRA""""C~T~ID=C"'O"'DE.,e 2 

2. AMENDMENTIMODIFICA TiON NO J EF<FCTIVE CAT!' 1 4 REQUISITION/PURCHASE·REO. NO. ;,iiPROJECT NO. (If applicable)

000011 : 2/14/2:::n .'f z. (}lJ 2 2.. ! l <fiJ '-/ Z01)2Zl/5 6. ISSUED BY C(JOE GRC 7. ADM;NISTERED BY (/lotJ>erlh8n Item 6) CODE IGRe

ft. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOUCITATIONS 

,The above numbered solicitation is amended 3I; ~et fOl1h In Ilern 14, 11,0 hour allt! date speclfllHJ fOf receipt of Offerl '..Jis 9)(tended. ._~1s not extended, 

Offers fT'Itimt acknowledgo receipt of this smendir1en[ ptior to the hour and datu specified In lhe fiuHcilaljcn 01 as amended, by ooe of the foUowit'\g method.: (a) By completing 

Items 8 and 1~. and feloming copies of lhe aml~nGJl,e.I~I; (b) 6'1 adl.nowl~)(j~ir.g receipt of this arnendmenl on eKh copy of the offer SUbmtUed; or (e) 8y 

separattSlefter QI telegram ',Nhich Includes a refc:1 cnCf.' 10 the solicitation imd amendment llurnhcrs. FAILURE OF YOUR ACKNOV'IlEDGEMENl TO BE RECEIVED AT 

THE PLACE DESIGNATFO FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DArE SPECIFIED MAY RESULT IN REJECTION OF YOUR OFFER. Wby 

virtue of thie amendmenl you de!ure to change ,IfI offer already Subfllitted. such change rrw)" be made by telegram or lettef', provfded each telegram or letter fT'I8k.. 

reference to the soUdlalion and this iJmel1drnell~ rmd is received prior!o1 the openIng how and 11;)10 spccil\od 

12. ACCOUNTING AND APPROPRIATION DATA;II roquirea} ~)S t Increa se : $ 52, 000. 00 

See Schedule 

13. THIS ITEM ONLY APPLIES TO MODIFICATION 01' CONTRACTS/ORDERS. IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRISED IN ITEM 14. 

CHECK ONE A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Speci/y auIMrff/) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT 

ORDER NO. IN ITEM 10A. 

X 

B. THE ABOVE NUMBERED COl< [RACT/ORDER IS MODIFIED TO REFl.ECT THE ADMINISTRATIVE CHANGES(such •• chsng8S inpay;ng office. 8ppropriation dale. elc.} SeT fORTH IN ITEM 14. I'lJ"SlJANT TO THE AUTHORITY OF FAR 43.1D3(b). 

C. THIS SUPPLEMENTAL AGREr'IJEN[ IS ENTEREO il<1O PUflSUANT 10 AI! fHORtTY OF: 

o OTHER (SpeCify Iype ofmodiflti.lliofl and authoritYi 

Cost Pi.us fixed F.:e (CPE'F); ,·Af' :"2. 2J:-'-2J. :'lmitation of funds 

E. IMPORTANT: Conlfiu.lar X.lli 1',,1. .Is required :'~ ,..ign mis docunu....r'\ ;:md ~"':tu:r:.:n..::.=======~COIl'::·:.:. :lo::'::he:.:is:'~U.,~g~o:me.::. _ 

14. OESCRIPTIO~ OF AMENOMENT/MODiFICA' ,ON IOrgan,zed by UCF 5f'i.fl0f1 head;ng.'<i, ,ndUl1,ng 50liC:fationlconuad svbjflr;/ matt'" where f••sible.) 

LIST OF CHANGE3: 

1. Pursuant ~':: the LimititiGn of E'uLds Clau,;", '··AR 52.232-22, total funding is hereby 

increased by $52,CGO fran $2,282,28~.81 to $2,J3~,2E6.81.

2. Contract 'J.l':'I.~I~ remain 'l:ic'hanqed ,lt ~4,30~~,l-"''J.GO.

Delivery Local~0r Code: G,~

NASA/Glenn Re:""d r .~·h Cente' 

21000 Brookpa~~ Rsad 

Cleveland OH ~~:3~-J127 ~:~

Continued 

Excepf as pravidQd hereIn ;.iil tern-$ and COf!dJUOI " or tbH ·10CLI'lef!l rdel, liC;:·/j 'I: r~(:m 9A "r ;Gt. ,IS hort:!!ofOfe changed, remains urcJ'lal'ged and in hJ4I force and effect.
 

l5A. NAME AND TITLE OF .',GNER {Type Of pm leA .~AME AND TITLE OF CONTRACTING OFFICER (Type Ofprlnl)
 

ICili::WtL liAS HAM 

15B. CONTRACTORiOFfEi·:.JR T~ DATE S'G'" D l6C. DATE SIGNED 

/2~ ILl- 07 I ~SN 7540·01.152-8070 

Previous &<:1ihon Uf10sabte 

STANDARD FORM 30 (REV. 10-83) 

PrelCtibed by GSA 

FAR (48 eFR) 53.243 

NASA/Glenn Resear<2h Center'
 

Procurement Di'/ isicn, MS ::,0IJ-313
 

21000 Brookpark Eoad
 

Cleveland OH 44135-3127
 

8. NAME AND ADDRESS OF CONTRACTOR (No .~!Tt'C.'. ,:ouolfy. Still" 'I/i/I ;'IP (;11.,j8) 

SINGLETON HEAL7H Se:RVrCES 

A ttn: Kenneth B. Singleto;~, !-lD 

8501 LaSalle Road, Suite 10 

T ow,son MD 2121]6 

coDe FACILITY CODF

NASA/Glenn Research Center 

Procurement Division, MS 500-313 

21000 Brookpark Road 

Cleveland OH 44135-3127 

x 

9A. AMENDMENT OF SOLICITATION NO. 

96. DATED (SEe ITEM II) 

10A. MODIFICATION OF CONTRACT/ORDER NO. 

NNC06CB70C 

lOB. DAlEO (SEE/TEM II} 

03/31/2006 
2 

NAME OF OFFEROR OR CONTRACTOR 

SINGLETON HEALTH SERVICE~

ITEM NO SUPPLIESISER',ICES QUANTITY UNIT UNIT PRICE AI.lOUNT 

(A) (81 (e) (0) (E) (F) 

OPTIONAl. fORM 3Jll14-8llJ 

S_byGSA 

fNlI4lCfRl53."O 
x 

11. CONTRACT 10 CO IPAGE OF PAGES AMENDMENT OF SOLICITATION/MOOlFIC~.. ~~F CONTRACT 

1 I 2 

15. PROJECT NO. (If appllce/lllJl 

CODE IGRC 

2. AMENDMENTIMODIFICAnON NO. J. EFFECTIVE DATE 4. REOUISITIONiPURCHASE REO. NO.

~200233131 000012 01/23/2008 

6. ISSUED BY CODE ~RC 7. ADMINISTERED BY (lfolhfH than nem 81

NASA/Glenn RI~"<?drch Cent;,.'· r NASA/Glenn Research Center 

Procurement D~vis~on, MS ~:OO-313 Procurement DiVision, MS 500-313 

21000 Brookpal:k Road 2:000 Brookpark Road 

Cleveland CH ·1 '; 135 - 312 7 Cleveland OH 44135-3127 

B. NAME AND ADDRESS OF CONTRACTOR IN., .!ff1i.ttft. coon/y, St." .:In,111P COiM} 

INGLETON HEALTH SERVICES 

ttn: Kenneth B. :3ingletc:" MD 

501 LaSalle ROdd, Suite _~ 1 C 

owson MD 21286 

S 

A 

8 

T 

,w. 

X 

CODE IFACiliTY CODE 

91'.. AMENDMENT OF SOliCITATION NO. 

98 DATED (SEE ITf:M 11) 

lOA. MODIFICATION OF CONTRACT/ORDER NO. 

NNC06CB70C 

lOB. DATED (SEE ITEM' 11 

03/31/2006 

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOUCITATlONS 

.. .. '.•.. The above numbered 50rkitation is amended a:> ::i~t forth In Item 14 The hour and date specIfied fOf recetpt of Off.. c._ is extended. ••JIa not extended 

OfflKS must aclmowfedge receipt 01 this amenClllent prior to the hour find date specified In ttle solicitation or as amended. by one of the foIIowtng meltlods: ra) By completing 

lie"'" 8 and 15. and relurnlng • . copi•• oIl11e amendment; (b) By ad<nllwlcdging receipt 0I111ia a_on each oopy 01 the oIIerlUbmilled; Of (e) By 

.eparate letter OIlehtgram wt-ich IndJd"s .. rerorenctllo the soltcUation and aOiendrnell( r:umbers. FAILURE OF YOUR ACKNOVVLEOGEMENT 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. Ifby 

virtue 01 fhfa amendmenl you desire to ctUlflge ;411 offor already 5ubmlllttd, such d'lange may be madtJ by telegram 01 leitef'. provided each •••warn or leU.- m.... 

reference 10 the solicitation and this amendmefll and is received prta. to the opening hour and dale specified. 

12. ACCOUNTING ANO APPROPRIATION DATA (1/ roqwffldl Net I nc rea se : S2 40,000.00 

I~ THIS ITEM ONLY APPLIES TO MOOIFICATlON OF CONTRACTllIOROERS. IT MODifiES THE CONTRACTIORDER NO. AS DESCRIBED IN ITEM 14. 

ClEeK ONE .... THIS CHANGE ORDER IS ISSUED PURSUANT TO' (Specifya"lhortlyj THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER NO. IN ITEM lOA. 

B. THE ABOVE NUMBEREO CO,'HRACTIORDER IS MODIFIED TO RefLECT TilE ADMINISTRATIVE CHANGES ('lJCh a. change. III peying_. 

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

C. THIS SUPPLEMENTAL AGR(EMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF: 

O. OTHER ,Spocify type of rrkJdl(,l:atiOI1 and Buthority)
 

Cost PlUG Fixed Fee (CPF?); "'AR 52.2:32-::2 :"imitation of Funds
 

Eo IMPORTANT: ConlracllJr ".: Is required to sign this OOCtJlTlcpl dr'11 rdurn 0 copies &0 lhe issuing office. 

14. DESCRIPTION OF AMENOMENTiMQOIFiC/,.liON (Organizod by UCF section h"admr,s. ,llr;t'Ul1Ing .so/lcitalionJconltBct sub;ecl matte' whe,. feaible.) 

LIST OF CHANGSS: 

Pursuant to t~le Limitaticn 'ct Funds Clause, f,'.P. ~2.232-22, total funding is hereby 

increased by S 24 1;,000 from 52,282,286.81 to $2,574.286.81. 

Contract value remains unc~J~ged dt :4~3C8,17~.~~.

ALL OTHER l'ER'1S M;D CONDJ rr,::Js F.EI1Jl.:~; UNCHANGED 

Delivery LOC3t-:",:r; r::cdr.:>: r;~,,_'

NASA/Glenn ~es0~rch Cent~r

Continued ••• 

E.. cep' as provtded here,r, dii :cm'~ and CQt1dl!kw" 01 :'l'~ (JOCul"";ont re~~r<;I),ed in ,tem gJ'... ,~~ 1(:.,\. ,.;, l~l'!l1l()fOfe chaog6d. rematn! unchanged and tn tun 'orce Ind elfeet. 

lSA NAME AND TITLE CF c.ONER :TyP8 or pm.') , loA NA!>4E AND TiTLE OF CONTRACTING OFFICER (Type orprinI) 

C!-iE,,'1L WASHAM 

15B. CONTRACTORiOFFEI;()R I~~C. DATE srG~~EO 1U~/LJN::ED STATES OF AMER,CA 16C. DATE SIGNeD 

CI~U~ to~ fJ.. ')J4:JIL ,(·l~ I ilgnMUi. of Coolrar..bflg Cme.J

NSN 1540·01-152-8070 STANDARD FORM 30 (REV. lQ.ll3) 

Previous edrbon unu:sabla Prescnbed by GSA 

FAR (48 CFR) 53243 
2 

-------~--~::j~$~-------------j REFERENCE NO~::Wfi:,' MENT BEING CON' INUED
 

CONTINUATION SHEET NNCOiCB1GC/OC0012
 

NAME OF OFFEROR OR CONTRACTOR 

SINGLETON HEAI~H SERVICES 

ITEUNO. SUPPI)ESISERVICES 

(A) (B) 

21000 Brcokpark P.oad 

Cle'Je 1;; '10 OH 44:35-J127 USA 

QUANTITY ~NIT UNIT PRICE AMOUNT 

(C) (0) (E) (F) 

OPllOPW. FORII J3Ii \HEl 

-l>y~

FAR r&l CFR' $3. t 10 
x 

It 1 CONTRACT 10 CooE OF PAGES 

AMENDMENT OF SOLICITATION/MODIFICALJ.i"OF CONTRACT IPA~E 1 I 1 

2. AMENDMENTtMODIFICATION NO 4 REQUI5ITION;PURCHASE REO NO. 5 PROJECT NO. (1/ applicable)

4:' I) 0236./ 47 000013 

3 EFFECTI'jE DATE 

';2/=:0/:'008 

'-;RC 

1 

6. ISSUED BY CODE 7 ADMiNISTERED BY (II other than 119m e) CODE IGRC

NASA/Glenn Resc,'i, ::h Cen LC, l,liSA/Glenn Research Center 

Procurement: Dl ~J l~: ion I MS :)0(,-31.3 Fr-oc~rement Division, MS 500-313 

21000 Brookpa rk "oad 210CO Brookpark Road 

Cleveland OH 441.15-3127 Cl'3ve1and Oil 44135-3127 

8 NAME AND ADDRESS OF CONTRACTOR (No . Slft'"f. ~G<Jnl);. 51.'" imd lIP Code) (x) !9A. AMENDMENT OF SOLICITATION NO. 

S INGLETON HEALTh SERVICES
 

A ttn; Kenneth B. Singletc;~.
 98. OATED (SEE ITEM II) 

8501 LaSalle Roan, Suite 

Towson MD 21286 10A. MODIFICATION OF CONTRACTIORDER NO. 

NNC06CB70C 

lOB. DATED (SEE ITEM I I) 

CODE 0"/31/2006 

r-"­

(·;r; 

:ll 0 

x 

r ACIU IY COOE 

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS 

.- . The above numbered so~citalll)O is amended a" set forlh in Item 14 The hour and date specified for receipt of Of1e1' c.~la eiICtended. i _.'lI; not ellClended. 

Offers must acknow'edge recL'lpl or this amendllltHlt prior to the hour and date specified in the solicitalion or as amended. by 0"8 of the 'oMow6ng methods: (a) By oompletl"G 

Items 8 and 15. and reluming copitls oIlhe aml!ndfTlCflt; (b) By acknowledgJ/"19 r~ceipt 0' thi. amendment on each copy of the otrw submitted: 01 (e) 8y 

separate loUer or leM::gram whIch includes 8 reference 10 lhe solicitation and amenc,1menlnumOOrs. FAJLURE OF YOUR ACKNOWLEDGEMENT 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. Nby 

virtue at 1M atnendmenl you desire to change an otter illroady subm,tted. such change ma~ be made b'1 telegram or letter, provM1ad each telegram or leU. makeI 

reference 10 ltW!J solicitation ~111f1 this ameru1mer,\, ..oct is rtlcelvcd prlor 10 the opening hOI,r and d;lle specified. 

12. ACCOUNTING AND APPROPRIATION DATA I/lroq"irod) Net Increase: $ 600.000. 00 

13. THiS ITEM ONLY APPLIES TO MODIFICATION OF CONTRACTS/ORDERS. IT MODIFIES THE CONTRACTIORDER NO. AS DESCRIBED IN 1TE.,14. 

CHECK ONE A. THIS CHANGE ORDER is ISSUED PURSUANT TO: (Spoclfy."">Drily) THE CHANGI'.S SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT 

ORDER NO. 1"1 IrEM lOA. 

B. THE ABOVE NUMBERED CONTRACT;ORDER IS MODIFIED TO REH Ecr THE ADMINISTRATIVE CIiANGES(ouch.o chsnr1eo in payInQ oIIIe8, 

opproprialiun date. ote.) SET FORni 'N ITEM 14. PURSUANT TO THE AUTHORITY OF FAR 43. 103{b). 

C. THIS SUPPLEMENTAL AGRHMENT IS ENTERioO INTO PURSUANT ro AU rHarmy OF: 

0. On-fER (SpC'cify type of modifl':,llion ifPI1 authority) 

Cost Plus Fixed [ce (CPFF); FAR 52.2:;.;·'-2:, V .. IT,itation of Funds 

E.IMPORTANT: COfluactor i.s requlrerJ to sign this dtJcurnent and rnhUfl _ a coptel to lhe issuing otr'tce. 

14. DESCRIPTION OF AMENDMENTIMODIFICA liON (C~!1antz~dby UCF s6ctit1fll;eadJflgs, mcll,dl/:g so/jcl18lion/contmct subject matler whem ffl851b1f1.j 

LIST OF CHANGES: 

Pursuant to the Limi taLio," of Fl~nd~ Claus;", FAR ':2 .. 232-22, Lotal funding is hereby
 

increased by S6'JJ,OOO fro~l S2,574,2~6.81 t_~ $3,1~·1,286.81.
 

Contract value r-'_'~ains ur>:,~:,~::;qed ,Jt $4,308,179.0C.
 

15A NAME AND TITLE cr SV.EH (TIPO or prll'; : 1i,f, ;;AME ANO TITLE OF CONTRACTING OFFICER (T~orpnnt)

I" "'-" 'J <: ;"r:"" {L f.A_H;'.M 

158. CONTRACTORlOFFlOflCR 115C. DATE S;GNUJ 160. DATE SIGNED 

2-l0--[Jf I NSN 7540·01.152·8070 STANOARD FORM 30 (REV. 1l'-8J) 

Pre\llous edition unusable P,esctibad by GSA 

FAR (48 CFR) 63.243 
1./',~20~0:!c2f.;5~4~J~O~9~44-2~OO~2~S~·t.pL..---1;;=:-r::::::::------

r 06126-;08 08: 4·1 FAX 41!l ~~)(i 0650 KE\NETH SI\GLETON MD .- --=-~--_._-- --_._~! .. --- -~~.~-.--- IilJ 004 

i " CONmAcT to CODE 

AltlENDNENT Of SOLICITATION/MODIFICATION OF CONTRACT : .. 

2.~OUE"'''''()Olf'CArIO.'< C\>0014 " I.'''''''''''''' , See B 10 C k 16C
 '--1'~O"""""'~O ,.lSSUEOBV ------c-o·:i'-i~~~~_, .._ 7 ADM'NlS'ERrD8Y(~cUr.dh,..,''''''8)
 

N~SA/Glenn Rcsc~r:h Center NhSA/Gl~"n Research Center 

P;rccULement DivlS:"Ql', 11;5 ,Ce'3:3 Procurement DiV:l.SJ.on, MS 500-313 

2~OOO Brookpark ROdd tZ:OJO Bro~kpark Road 

':1 e'J e lar.d 0:1 44 l 3 5 - 3127 c i =1_a-,:n,,"d=O=H=4:::4;-:l:::3::;5-;c-=3~17:2,::7 _ 

8JNAME AND ADORES S OF ~()"I 'RAe,OR (No .,,;,:;-,:;;;;;S;;';:::; 'If" Cd., rx: f9A. A",r"'OI/.ENT OF SOI.lcrr....,'o"" ""0 

S;<NGLETON HEALT:i .'3ERVICES .~=====:: . _ Attn: KenneLh e. Sinslecc", Me 

8$01 !-aSali .. ROd;), Sdte . ~ ~I] r 

,9B DATE[):SEElTEl.ltt, I 

TOlW son !'iD 2128 6 ~-t',0:... ucD,F'c••.nON-o"'F=cc::QN=m.a.==c":;T,"'·o"'qo=ER:=':NQ=.------------­

x NNCQ6CH70C 

ClClDE .._-­ -TiACll.IH CODE 

I'D8. OAT f;D (SEE /1ELI 13) I0)13 112006 

-:j_-.-._-..-_-,-..::.=-.~==::::::-..==============_--' ___.:'::.1..:.:.=_:.:'r.:E=IlI:..:o::.:N.:;I.::Y:..:...::"..:P..:L:::'£ll=-T::.:O::.-::...M=E"'::D=-"'=EN~T:.:$:.O:::...F .:SO.:;:UCTT:.::.:..:.I':.:i1IS.;:;;N.::I:-.__-::- -::::­ _ 

:bn.e Abel.... r.WT\berNf ~;cit:.3(;on If: atMAd.d a!=. SoD! fort1 1'\ I'llm 14. T!",e hour an~ <leta IP«iII.d rOl '~c:elpl of otfwn. (~ .. eltllf'ld«f. [ill not eJl1Mded.. 

; Often. n"\Ilt acknOtMedye reCGlpl of ItIfs Imel'!Orr...-r,l pt'lOf ta the hoc.r l'nQ date t~·h.d In t't aoliclbllm or u amende. b,'ar.e"'''' follMtftG ",.."Dds: r.l e, . "'e"", I."d 15. &ncI nztt.t"1'rlr,Q t.."1l'llas of the amondment tb) 8'( lIckro-..Af~ing ~tp' CffU1is amend""*,, on..ad! c.DPV of"" oftw 1UbnIlItM: or(~}8J

..pa,... leIlM fY l...gr.a1T1 !n~~"nu. to It'le ao~fiof'\ aM ~"d""ent n;;rr.berJ. FAiLURE OF YOUR ACK).¥JWLax:ifMEHT TO 8E R.Ecerveo A1 

7HE PlACE DES,GNATO fOFl fHE RECEIP~ OF Cll'ERS PR,OH TO 7H1: HOUR ,,~O DA7E SPECifiED MAY RESULT '''' REJECTION or YOUR OFFER. "bI' 

W1Ue oflhil .,..,eN:ment )'0..1 l'le.sir. '0 dlangtll ~n off.r ltitMdt s:ubfT'lttsd. d1=-r:g. t1la~ hit mads by "'eogl'lm cr ill..,. ~vicf.d.~f~OIlener""'•• 

rtl~'loIn. solb!ot~"_l!-'1(f this amenome t. aM Is rKBhrl!l;' prtOJ 'to ltl. 2P.nl~!."nO dil: ..."."ee<="""'e6= _ 12.....CCOUN7'NG""'OAPPRC?RlATION 0.....,. ilf",q"lr.rij Net :ncrease: $400,000.00 

, 420~~_~~~ril~~~~200255494 (SlOOK) 

13, nils If"'" ONI.Y APPI.IU ro MOOlFIC....TlON OF CONTAACTSIOROERS. tT NOOIAES THE CON7AACTiORDER NO. AS DESCRlIIED IN rrEM '4• 

..... !HIS CtiA'GE ORDER IS IS5

QRD£ R ''0 '''IITEII '0". ~EO

8 ___

PURSUANr TO' 'Spadly 'L~'Orl1y) TME CllANGES sn FORltt IN ITEM 14 ....RE I.IADE IN THE CONl1lACT 

r"E ABove "'UMaEneO COI.1RJ-e'IOROER ,S "ODIFIED m ilEFI£C~ ThF. Ml'..lINISTAAnve CAAl,jGES(• ...,h.~ <:ttMlge.1Il ""1'*lCI om<e. JI"".,'o" 0"'.•Ie) SET r ORTH .r- 'TEM 1<. PURWMlTTO rHE AUfHO"lIn< OF FA/l<3 IC3(b). 

----+-,o;:-Oo"'r"H7'1"'·RC'I~,;;r.f)f'.J~ l~ oImer1,f:;.:;-rt-n;'-:rlt# ".I11lc;;:;ry;---..--~-_._------------------------------

X COS'C. ;;:'.$ ri_xed !<'l~~ (CFFf'j; rt;~ 52.Z:':L>-22 :":mit:.-,tlon cf rur,d5 

copt.. II) ... 11tUIr'Q 0_. 

,. Prc~~~e a .::en~Ed Au.lio:ogl5t =0 ~evj~w ~rrplGyee dudlomctric da~a in accordance with 

~he attached 5:·!te~ent o! W~~k.

~. The cost :r.!)~ct asso,:.ated wlt}- ~~is ~ew rcq~ire~enc is SlOe per review. The 

~~ticipated cr:,~.t dnnlJa~ly 1.'. ,12CO '~,.Jr ilpprc)(~",.",;..,ly 10-12 rev.ielOs • 

.J. !'urS'..1aClt v' '.he l:.i"'i ~,,~j uns uf f·ur.ds clause, :!,R 52.232-19, total (",nding .is hereby 

'lr.creased by >;::G,OOO £rr',;; '2,31~.C.O to $7,7:J,6IJC. 

(4. 'focal COf'.:r·.:;-=:-t vel\..;e 15 :r.crea~·(·d ~y S".2CC frc:n $4,308 1 l79 to 54,309,379. 

Concinucd , 

l b:ap, is pt"tJ'Adld t'ltHP-I;'. _.~_:.~-=::.~_::.~~:.~~::~:::~~·~rf~~~ '0.4,:"$ f'l""ollf"'{ry", l;";"~~ed. ten"ans "'tlchw1;ed at\d in r.;J (area *'lid ."ec:l 

i lSA.. MMf. AND TI7"'..E C; '. -,'.if ... (T)J.l. or 1l'1 '''.1 1 eA .\iAME: A.',I.C TInE OF CO,lo(1RACnNG OFF fCE Ft (Type orprinfJ 

t§Ni-JdA E. S/~Ie.h/~ I-"',J /"Xr.srrit.-v! ~IJERYL WASHAM 

;58 CON~AAcrCRiC""'(;",:~I -' -,L--. ,'5C ':JA-t-il~.,lC-'---;n-..,..-:rr-:E-:O-5T-;-A-=TE=S-Of'---".E"'fi-,-=~-::--------_..1,1lC D....re SIG~EO

L~~;.~~ h-~ "(:l-]fl1~ IULk "';'oJC"';;~ U-Z.3--0f NSN 7~O·01.'S2-&c1'Q ST","O..RD FORM 3D IRE'll ,a·Ai
 

PflWiCUJ Btl/tun v:~u::;,zt' 6'
 ""'..,.be<l lly GSA 

FAJ'lI" CFR) 53.2.3 
06126/08 as :.11 FA.\ 41 0 :!~JG 0650 )\1:\,\1: l'H SL\GLETON MD --.'...-.._-~._..-... III 005 

.~~ 't"# 

RE.H~.R.£N(:t: NO -nF nOCutlUJT I3Elf\tG CCN.Tl"JiJf~C A20E Of2 

FOlllT1NUATION SHEET I,NCO 6C\7 nO Geco '_,1 _ 

,E Of OFFEI'OR OR co... HlAC~(JR

INGLETON HEA ;"i":~': -=-S:..~R~V.:I.:::.E~S:._ . :r::=:::::r:=r-_:::;;:::;:;Ir---__:~;:;;-__ :-rIEM NO. SeJPPUESlS'.TIVICES aUANTIlYtJNIT UOjlTPfllCE AMOUNT 

(Al tBl Ie) (D) leI (Fl 

:Jellvery Loca'C.io!": Code; GRC 

NASA/G~f21,n Research 2enter
 

il000 P·rookp",rk !"G ..d
 

Clevc:d"d OH 441 J~-3~27 1;5,\ 

80P'llC.J>W. __OrIOlA FOIlM S3II (~

FAA'f.I CfAI $3..1'10 
----------------------------------

---------------------------

06/26/08 08:~1 ~AX 410 296 0650 __!~E\\a';TH s I ~GLETON MD I4J 002 

AMENDMENT OF SOLICITATION/MOOIFiCATlON OF CONTRACT I', CONTRACT 10 COOE 

] , 

PAae 

1 

OF PAGES 

I 2 2,!M4ENOt>.,rNTIMCDIF ICA'r:&:--':;' -. --3 U fE', ,'1M-' -. ~'~----F:-::aLw":C\sc':I-:1::' "O:-N:::PIJ::-':ft~CI::-:':-::!'.S=E-=IU:~Q~N:;:;O:-, ---'S·,npROJECT NO, IN """"'/lIt} 

C~OC15 L- I -----:---:::---'==,..-------­ eJI!>SuEO BV CODE ~-- 7, ADMINISTERED 8Y (llo/l>.,/ll,.'1."" III 

~SA/Glen~ Res~urch ~ente. '~ASA/G1enn Research Center 

8rocur.ement D:vlSlon, I'S 5CO-313 I?rOCUTement Division, MS 500-313 

;!lOOO S.t:Dokcarlc :zo6d 12~OOO Brookpuk Rcad 

qleveland OH 44:35 J127 I C:aveland OH 44135-3121 

, I 

8. ~A.Mr AND ,.,.OORESS Of C>1Nrf{ACTOR 1·"*'.. ~,)'-C.". ,,"(JW'\~. rl.~;;(;(' l:~ ---'-b9-A-,A""IoI(=":-O"'M"c"/'/"'r=O"'f-::S"'O.,.l'C:'C::IT=/o."'T::IO=N=NQ=-.----------~---- ! 

SINGL~TON HEALTH SERV:C8S 

~tn: Kenneth R, Sc~g1eccr.. ~ID 9B, OATED (SEE ITfW 11) 

a~Ol LaSalle Rond, 3uite 31C 

'::!owson MD 2l2S6 x ~~&~g~~B~ OF CONT?lACTIORDER NO, 

, I I\OB_OATEOiSfffT£M'3} 

=r~"CIUTYCCDE ~-.I 03/)1/2006 

-------------- --rCfius-fTLU ON~ y APPUES TO AMEt:-~O"'M"'£H=T"'6"Q"f"'I",O:rU"'CfT="''''Tl'''O ..Ntir'-~---------------

n. nus ITE" O"LY APPLIES TO MODIFIC.t.1I0N OF CClNTlllCTSIORDERS. IT MODfF\iS TIlEi CONTRACTroRDE~ NO. AS Desc",enlN rrEI!'" 

---,....,------, ---,---------------------------------­ , C,,",CI( o~e i I\, THIS ChN.GE ORDER ,s ISSUfD f'U~SlJANTTO: rSl'ociIyeuU1orilYJ lIiECHA"GES SET FORTH 'N ITEM ,,, ARE MAOE ,Pol llie CONTRACT 

Of(utR r-oo. IN ITEM 10Jr... 

8, T~E AIl:Jv, NUMOEREO COt. TRACT'OROER I~ VJOlFlfD TO REfLecr THEADlilNISTRAnllE CHAHGES(OJ.if:JI ••I:/IMJge...,..rtng 

al:pffJpri.!;nr. dJlf., ltfo.) SETfORtl-llN ItEM 14, PURSUANT TO !'H[ AlJT1.,ORrTV Of FAA 43.103(b). 

----hC"'TH=,S"'S"'U""r-"_EMENTAL AGRH f/.ENT :5 eN, "Rl[~UAN r :C Aun,"',"',Q"'R"'rrv="'O"'F-:------------------------­

X CO:lt P~'J5 Fixed F'cc ICPfE',; f'AR 52,232-22 Li:nitaticn of funds -:::----~--------- , I!. lIo1PORTIloNT: -. it re({UIlllj Ie ilgr Ihis. C,D(IJ(r,prl i\1'\d ruNrn a Wplat to the lsIuin,g amU. 

I 14. OliSCA.IP,.,ON OF A..vr .~r:'Jt",rrr~OOIFIC;nCN :l)r7;.. tNz~dt~~n".aaJl1l/5, ftk.-tlJdlli' $GJClIMIQI1/~rrwct $lIbif;cr m_ttw wn.,. ,....b-W.J 

,LIST CF CHANC~S:

I 

IModification ~c. :4 "e chang~d as toilGws:

'1. 1tem nco ~l ~.S cr~Lir,ged tc r.~ad I'Fursuant t,<.: (he L.u!l.itatians of Funds clause, FAR
 

,52.232-19. tat.l [~nding ~3 ~c=e~y ~ncreased by $400,000 fro~ ~3,l74,286.B1 to
 

;S3, 57~,286.81,
 

: 2. Block no. ;;r.o' .. ~c rCdG l;G(J;E: E .:;:;10: lEe".
 

'3. B:oc~ r.,:). is ':"r!se='~I~d '.·;~th :>.~:::·~4309 2:-.c! ~2:::C25SS494.
 

ALL ()7HER TERr-;;-: .'i~: CC~J~:'":'"r:.:-:~;:_, F,:~;<.: .. :~: :,;~:,:;{;.,~:(;.;:~

Contln)~ed

410 296 0650 PAGE. 02 
06/26/08 

141003 

2 

08: 'i~ F.\X UO 2% 0650 KE.~\ETll SI\GLETO'-l MD 

REFERENce NO 0' DXU"'~"~I.lE'~G Cn'l~INUV;

~ONTlNUATIONSHEET :-J~JCO ECH70Ci :;,)CC; J 

.Mt: OF OfFEROR OR CON; RAe TOf< 

S~NGLETO!l1 H£AL'j i; S':IW:CES 

~T('" NO.
 S~r'PUE5.'S[I~V:CES OUANTrrY i<JNIT UNIT PRICE
 

(A) (E) eel (01 (EI 

Cclive.y ~oDation Co~~: GF~

NASA!G:c~n Research Ctr.~cr

21000 f'r~0Kpar:<. B''''d 

Cle"c.L,':71d DH 441JS-J~27 'lD!·, 

I ~/lI.'QRlA_I""1

'~"GSA F"R I" Cf'lIl S1.1,. 

410 296 05513 PAGE. 03 
~~
 11. CONTRACT 10 CODE PA PAGES AMENDMENT OF SOLICITATION/MODIFICATI'~:::<.(6F CONTRACT	 70

rI 1 1 2. AMENDMENT/MODIFICATION NO. 3 U'FECj,'/E DATE 4. REQUISITION/PURCHASE REa. NO. PROJECT NO. (If BppbalbIeJ 

4200259964 000016 Sf'e "" , ),.:k 16C 

6. ISSUED BY	 COIJE GH.C 7. ADMINISTERED BY (If olhIK//lan /16m 5J CODE IGRC

- NASA/Glenn Hesl".:-';; r~ch Center
 

Procurement Di"v' _~"lcn, r·jS 5C:}-3~3
 

210CO Brookpark ['.oad
 

Cleveland OH 4,;' 35-3121
 

e. NAIIAE AND ADDRESS OF cmHRACToR INc. lot,.fOeI. (:(lu"/y, S(il(~ ·'r;u lIe Code) 

S INGLETON HEALTH SER'iICE:S 

A ttn: Kenneth B. Si:lqletoTi , 1'1D 

6 501 LaSalle RC~tc: , 3u i tl~ 3~O

T owson MD 21286 

CODE rACILITY CODE 

r-;f,SA/Glenn Research Center 

Procurement Division, MS 500-313 

21000 Brookpark Road 

Cleveland OH 44135-3127 

~9A. AMENDMENT OF SOLICITATION NO. 

19B. DATED (SEE ITEM t 1) 

lOA. MODIFICATION OF CONTRACT/ORDER NO. x NNC06CB70C
 

lOB. DATED (SEE ITEM 13)
 

03131/2006 

". THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOUCITATlONli 

---. ~". The above numbet'Bd SoJiCltd~I'.}fl IS <u~lel1tJed as set forth I{I [fern 14. 1I1e hour and t~ate sper.Jfied for receipt of Offen ;_.;l8 exteoded. : .. ,. not extended. 

Offers must acknO'tVledgo receipt of tt"is arnendml,nt prior to the huur and dale specified in the .solie,dation or B.lllmended. by one of the following me'hod.: (8) By completing 

lIems 8 and 15. and relumil1G ~____ copies of Ule fl,ll1elH:tllt~nt; (b) By admliwledging receipl or this amendment on each copy of the Offer !lubmlttad; or (e) ey 

separate letter or telegram WI,lCtllllCkJ(1cs a referl;nce te tile sotlCil<lfrOn llnd amcndmenl r~ufllbor8. FAILURE OF YOUR ACKNO'v\\.EDGEMENT TO BE RECEIVED AT 

THE PLACE DESIGNATED ~OR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT II'l REJECTION OF YOUR OfFER. Ifby 

vIrtue of this Bmendmenl you \!csire 10 change an offer aln'ady slJbl',illcd, 5Uch dlange mety be made by telegram or leltel. provided asd'l tetegqm or iett... make. 

reference !u lhe s~icitatiof1 ;If',j lhis <JCT1(wdrncn: nnd IS fW,nived pno(.:.:'c'-.'",h"o-"o",pe",n",ln",s...I:.:;'o"u"-,,,,a:.:;,d,-d,,,a,,,I,,,e."'.pe9="'·tied=.e- f _ 

12. ACCOUNTING AND APPllOPRIATION DATA (/lraq""e,!) Ne t I ncrea se : $100.00 

4200259964 

1], THIS ITEM ONLY APPLIES TO MODIFICATION OF CONTRACTS/ORDERS. IT MODIFIES THE CONTRACTIORDER NO. AS DESCRIBED IN ITElll•• 

CHECK ONE A.	 THIS CHANCE. ORDER IS iSSUED PUr<i>UANT TO. (Spac,fy aulhofl'y) THE CHANGES SET FORTH IN ITEM 14 ARE '""'DE IN THE CONTRACT ORDER NO. IN ITEM lOA. 

B.	 THE ABOVE C"JMBEREO CONTRACTIGR£>ER IS MODIFIED TO REFI.ECT THE ADMINISTRATIVE CHANGES (..",h 48 ch4nQ68 In P4Ying oIfIoB. appropriatIon d"I". elc.) SET FOlnH IN ,,10M "\, I'UflSUANT TO [HE (,UTlIORITY OF FAR 43.103(b). . 

----+-;C~.·T"H;;oIS""'SU"P",.P;L'MFNTAL AGREU.f!'NT IS 'ENTEI<f lJ iN fO PUHSUANT T;;O"'P"',U"'T'"H"'C"'R"'I"'rv=QF=;--------------------------­

x Cost Pl '.I.i L.xed F"e (C~~F); FAR 52.232-22 Limitation of Funds ---'--------_._---­

E.IMPORTANT: Contrac(or '1 IS not '~"Jq\JIlr~IJ I'l 5'911 thi~ dl)r.\lO'iel't rind re:um a copitts to the isautng office. 

14. DESCRIPTION OF AMEND,'.IF:NTiMOOJFlCAT;ON (Or:;d::lzod vi' uCF .~ction hCiJdlflgs. IfIClufJing solicitation/contract subject matter where felJliblfJ.j 

Contract No. N;,;:,j,,::B70C ie, h'~J:,'by ",·,;.jified t'c r,~flect tr.e following changes: 

1. Pursuant tc "iw Li.,nitdtlcl1 ,~f ;:':u;s Clause, Ff,R 52.232-22, total Eunding is hereby 

increased by $1 ):) fr:~rn ~3r~:·11~~E6.,::·1 to .$3,:)74,32G,81. 

ALL OTHER TERMS ~~C

Except as t:lroviced hcr~lIl. 0I:1;r ",~ .:I~I LLJ'l; !:...w-, '-' ~h:. -j .,," ; '>!':I'~l'r:F.d in ifCf":' 'iI, 01 10t., il:i tlerelulore chaf\li,jed, remslI1s unchanged and W'I ful force a"d effect. 

15A. NAME AND TITLE OF-:-~~ .. t:H ('-lpe or prlr.O--- .----------- I ~6A. NA.ME AND TITLE OF CONTRACTING OFFICER (TYJHI or print) 

--~---"--'--"	 c:cC'.:::C =-=S"/G"'N"'E"'O:--­ 158 CONTRACTOR/OFFERc;;'	 e 7 TE '-';c..--.-D-A~T-£o 5~5NlO ----t=7":r::=:::-::==;:-;:;:-===---------"'T:,c: DA

08/28/2008 

NSN 7540·0',152,8070 STANDARD FORM 30 (REV. llJ-83) 

Pr8vioos edition ul1lJ~"hlf! Prescribed by GSA 

FAR (48 CFRJ 53.243 
x 

j~

AMENDMENT OF SOLICITATIONjMODIFICA:'::::w.~ ul: CONTRACT 

2. AMENDMENT/MOD/FICA I ION NO 3 EFFEC TlVE DATE 

000017 ~_'I.·e "Leek 1 ()I':

6. ISSUED 8Y	 CODE C:::ZC
 

NASA/Glenn ReS~~.l rch Cent"r
 

Procurement Oi './ i s ien, MS 500-J13
 

21000 Brookpark Road
 

Cleveland CH 'i<l135-3l27
 

6. NAME AND ADDRESS OF CONTRACTOR I"'" ~hf>lJf. r:r·',nl'l. SI,lftJ s"d lIP Code} 

S INGLETON HEAL':'fj SER'jIJ:SS
 

Attn: Kenneth lL Sinqll~t0:1, M[;
 

8 501 LaSalle ROdd J Suite 310
 

lowson MD 212S{)
 

II. CONTRACT to CODE '~ OF PAGES IPA:E I 1 

4 REQUISITION/PURCHASE REO. NO. rPROJECT NO. (If app/ic<JIW)

4200269824 

I. ADMINISTERED 8Y (If oIMrth." If.", B) COOE /GRC 

NASA/Glenn Research Center
 

Procurement Division, MS 500-313
 

21000 Brookpark Road
 

Cleveland OH 44135-3127
 

9A. AMENDMENT OF SOLICITATION NO. 

9B.OATEO(SEEITEM'~

lOA. MOOIFICAnON OF CONTRACT/ORDER NO, x NNC06CB70C 

108. OATED /SEE ITEM 13) 

CODE f'CIL~rY CODE 03131/2006 

II. HIS ITEM ONlY APPUES TO Af,lENDMI'Nl S O~ 1I0UCIIAnO_ 

- i .­ ~.J Th4J abow rombered 'oliclt.JtiOll is amended- as tot rorth In Item 14. The hou' and date specified'OI receipl 0' Orferl uta exblnded. '-..: .. noI: •• • 

orr.,.. mus' .cknowfedge (f~'-;c;p( 01 thit; ~mondmenf pnor to the 110tJ( and date $oeciliec in lne solidlatlof1 Of aa amended. by one of ItII fololMng melhacN: C.) By l;UrIp""" It.". 8 and 15. and relumir'Q cople:'f, of tt"le amendmont: (b) By ao:nowfedging receipt of this amendment: on each copy of the off. MIbmMIed: or (e) By 

H!parat.lerter 01 teiegrowl..,."ich includes a reftlfenC41 to the solio'fat/{]n and arr.endmenf numbor•. FAilURE OF YOUR ACKNOWlEDGEMENT TO BE RECEIVED AT 

THE Pl.ACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR I\ND DATE SPECIFIED MAY RESULT IN REJECTION OF YOUR OFFER. Wby 

vVtlJ8 or tn't .",endmenf you desire 10 charge lin offer already ~\lbmiUed. sue" chAfTge may bo made by telegram at len-'. provkMdaach leJeg,.", 0I1e1tw m•• 

reference to ,,,. solJcltlilicn !nlfj ttl'S arne-nJmof1t, and i~ ~eceivl~rl,-"p,-,rio""-,to"-"lh",e,-,o",p",.,-,n;,-,ng"-,,ho,,,c"'-,""=d"'d"'.te""'."'pec=itle""'d .... ,	 ~-:-:'-:-:'_-- -­

12. ACCOUNTI>«;ANDAPf'Il0PR!ATION DATA (If ",quuudj Net Increase:	 $100.00 

PR 4200269824 (Obligate SlOO) 

13. THIS ITEII QNlY APPLIES TO MODIFICATioN OF CONTRACTS/ORDERS. IT MODIFIEI THE CONTRACTIORDER NO. AS Dl!aCRtHD IN 1TI!IlI14. 

C!iEGK ONE A. THIS CHANGE ORDER :S ISSUED PUHSUAN r	 TO, (Spoe</y "utho,ily) rHE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER .~O. IN ITEM IDA. 

8. THE ABOVE NUMBERED CONTRACT,CROER IS ",DOlFI ED TO REFLECT THE ADMINISTRATIVE CHANGES/ouch 00 cIIJf9Jo ... pajllng <JIfft». 

appmp,,,,I,o,, d.le, a/c.; SET FORTH IN ,TEM 1<. PURSUANT TO THE AUTHORITY OF fAR 43.lOJ(b). 

C. THIS SUPPLEMENTAL AGREEMENT :S EN fi'lED INTO PURSUANT ;';rO"'""A7'U"'r""H"'O"'R"'ITY=OF=:--------------------------­

D. OfHER iSpecdy l}'po ofmocifi::ation and .1uflllifity) 

;PF~); FAR 52.232-22 Limitation of Funds 

E. IMPORTANT: Contr.i,:l'".lf .( IS not a cqHol 10 Ihe i..utng 0_.

1. Pursuant t':) !:r.e Li:nit:,l::i.Oll o( I"unds C1du~0. FAR 52.232-22, total funding is hereby 

increased by ~'~:)'J trcm $3,574,38(;.81 to S 3, 5 -....1, 4 8 6 . 8 1 . 

E:xccpt 3S prO'.lded ,",(relf'. ,!, '(,II"'; "i": " ,~t,.... r s. ,:f ltlf' :':(,-'.(1:. ,~~ f(il'rr;r:,:eu In ~lcrr 9A ¥ leA. ,)$ t'teralo!ore r:-hilf1ged, r8f"!'1aint Ul1c~anged and '" flail to,C8 and effect
 

1 1M.....AME AND TITLE OF CONTRACT;NG OFFICER tTw- typnnlJ
 

/ :::HE?YL ~';ASHAM

._----_.__._-----,-.,---_. 

'5accNrRA:,::::F~"~::_"._._,.._"'_,-.,... LI1_';c_c_A_1E_:_:C_••_[._D_-L-',;_C_/_;i_l_-~_~_~_·~.:;;i.:..(.::~.:::.::.{;:.A.::L:;;.::.;~.::?.::~...~:.:.me.q.::J-.::/'-l_I(_-_t_J_._ .. _...L_I_:C_9_~_:T_:_,~_~GN_o_:_: _

~SN 1540·01·15Z·~a70 STANDARD FORM JO (REV 10-83) 

Pre"WIOU' OIj}lion 1.Jri\J~JtJle Pre5Cribed by GSA 

FAA (48 CFR)53243 
1. CONTRACT III cooe IPAGE Of PAGES AMENDMENT OF SOLICITATIONlMODIFICAl10N OF CONTRACT 

1 1 I 2 

2. AMENDtoIENTIMoD'F'CAl:":'OC':N:"":':N'C:'J------'3-E-Ff-·E-eJiVE D'-,A-:::T=E-----r4:-::Rc::E-:::OL,U:-::'S:::IT:c,O=:N,-::'!'U=~R:cC::::HAS=c::E:-:R"'E:-:a:-."'Nc: ----r.1i5'"".=PR::!-o=JE==er==NQ-d-.-:::(If:-~""':-Nble/~-:---

000018 : ~ e e "'" OC;.:;k~lc.:6:.;C::- __+4-=-2--:0-:::0:_:2:-7-::1-:::8::-:r;:::9:-::-:~::-_,.---,---::: __..JI=::::-,- _ 6 ISSUED 8'1' CODE r:.;RC 7. ADM'N'SRRED BY (ffOlhorltl<tn Nom 6) COOE IGRe '"------­

NASA/Glenn R'!~·:arctl C~r'ter NASAiGle~n Research Center 

Procureme:1t C':"'-'_:::iCIi, ~lS 500-.313 Procure~ent Civision, MS 500-313 

21000 Bcookpar~ ~cad i 21JOO Brookpark Road 

Cleveland CH ~":35-31~7 Cleveland OH 44135-3127

1!2. IlA AMENDMENT OF SOUCITATlON NO. 

SINGLETON HEALTH SER.VEES 

Attn: Kenne~h B. Singlc:o~, M~ 98. DATEO (SEE/TEAl II) 

8501 LaSalle I".(:~)(i, $t,;l ':8 31.0 

Towson MD 212,oF, x lOA. MODifICATION OF CONTRACT/OfltlER NO. 

NNC06CE-70C 

108 DATED (SEE ITEM 13) 

COllE IfACIUTY COOE 03/31/2006 

11. Tft'S rEM ONLY APPUU 0 AMeHDMENTS Of SO 

'~~;lhe lbove nurrbered &cL(j'IJ:)l)f\ J.!. Ilmended 8$ sel fQc'th in ttem 14 The hour and date 1Peem.c:' b receipt d orterI Cis elttllnded. :..Jis I'd eld.-.ded. 

Ofle.. _ ~g. ;occ'lll 01 \hi••".",M""lnt p<ior to the ,.)(8 .nd dolo Ipl>Clf;ed '" 1110 ooIicIt.1Ian at .. on>eflded. b')' OlIO of!he -.0__, (a) By 

IIIIms Band 15, lItl<l re'U"Hng copi<1 of the .mo"dmon~ <b) By ._odgO-lg '«*pl 01 ItO 0_on eech 0ClP\I o(!he -1CJIlmIllod; or l~) By _Ie_, or ,_gr.", wt10ch ""Jud••• r.I.."ra 10 the 1O"'""I,on snd smendm<lnt rwmbera. FAIlURE OF '(OUR ACKHOWlEDGEUENT TO BE RECEIVED ...T 

THE PlACE DESIGNATED FOR THE RECEIPT OF OFFERS PRiOR TO THE HOURANO DATESPEClflEO MAY RESUlT IN REJECTION OFYOOR OFfeR. rb')' 

W'ClMI 01 ttU amendmont,.'XI ooa;r. to eJ1lU\Qe B" after already Iit,OOld':ed, avd1 dlanqe may be mild. by tektgram 01 .u.r. provi:Ied • ..., or __mIIkee 

......nc» to ht soIdta~ ar~ ltlis aFn",,"'fJrrlifrot. and is '&ceivlKJ ptiof to the OI?!f'}tr'9 flOUr !~d 9ate !p!dfi!d. 

12. ACCOUNTING AND AFPROPRJAnON DATA (IfmqwoaJ Net Increase: $544.000.00 

PR 4200271889 (:;:544, O'jO) 

13. TIM .TEM ONLYAPPUES TO MODIFICAnON OF CONT1IACTSIORDERa. IT MODIFIES THE COHTRACTIOItD£R NO. AS DI8CRlII£IlIH ITEM 14­

C>£CK ONE A. THIS CHANGE OROER IS ISSUED PURSUAN r TO, (SpocJ1'f e<nnatitYJ THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN TliE CONTRACT ORDER NO. IN ITEM 10A. 

----frC

8. THE AAO,'E NUMDERtD CONTRACT 'oRDER IS MODIFIED TO REFLECT THE ADMINiSTRATIVE CHANGES (flUdIU dwtJgN ..paiMQ_. 

opprrl{J<i."on d• ." elcj SET FORTH ", ITEM 14. PURSUANT TO THE AUTHORITY OF FAR 43.103(b). 

""'.T"'Ii:;;I"'S"S'"LJPPLEMENT,6,L AGREEMENTS ENTE'Hi"'E"D"'N"'T1:'O"P"'U"R"S"U"AUNTT"T"O'AUT7O'Tli uOR=,crTYv;;OF:r.------------------------­

D. OTHHi ($p<K.tfy 1)""" or maddic.rion.' d 8Uth,,""y) 

X Cost ~1l.us Fj:·u~d Fee (CPf:o""F); FAR 5.2.232.°22 Li.mi~.:aticn of Funds 

'-IMPORTANT; Ca',tHFIOf ,o·_]i:.-> not (.. re<j\li,9Id" to tJgnl.h. do~umeflt;tnc;J retum 1 c:q::Mee 110 ... omc.e. 

14. DESCRIPTION Of .""'U<D"ENTIMO'.',!FICATJON r(~9.·';"" Oy UCF.&etIan h.ddrlll'••ncJuSrng .oIk:d.lrOOi""ntrvd wb1&d _..".."'-.) 

Contract No. :·n;'::l:6C137,,>": is h[~["eby ch,lnged as fGllows: 

1. Pursuant '." ::l1e L:~il:ati,)il c~ c'unds cliluse, FAR 52.232-22, total funding 1s hereby 

increased by $~}~1,(JOO from $3,574,486.81 to $4,118,486.81. 

2. The hours f~~ the EAF Co~n5el~r have been changed as reflected in the attached 

Staternen~ ~f ~,~~.

3. T~e S~ak!~n Cessarian Pr~1rare has been deleted [rom the actached Statement of Work. 

4. Paragraph 3,3 and dny ot~~r r·ference :Q Ca~j~ac Rehab has been deleted from the 

attacr.ed Sta~>::~'J::·.t i~f "";0,Li<. 

5. Payment t,·'~:1'.~ ar'~ ,:ha;;'~e::: frc;:" :<,"_"t 15 ·~o N€:: 30. 

6. Tr.e Ccr.tL,-~·;:-:':r,q '):-~·.:.c~= i~; I:t. ;~';t];-,d fro];"; Cht.:r:y: t:asha:n :0 cor.ald Hoffman. 

Continued , .. 

EJc:e.. oM pl"(Widoe fl6fe.1 .dt :,:"'Tr'~ arid (~I' :r'J,:~~:! A ;.h.~ !()o'....mt: t l-:ft::r6frt.eClln rtl3n: 9A or ~GA 81 hel"etol[)fe cha:-l1ed, r~.. unchllflgeCf.nd in fuI force lind etIiIct.
 

'SA. NAME AND TiTLE CF ';~",E~ ITYFr'~p;~----' 1€A. NAME "NO TITLE OF CONTRACTING OFFICER (7}pe orprW)
 

~NlJill)i /. '':>I,,~,/,,/t:j ... ' i .h, D-J~,ALD H(;FFHAN 

158. CONTRA~TORiOF.,;'EI'·,)R_ _.' 'SC. O"TE SIGNED 

kf#~~[;." :/;~;,2J(F:~~ vh lJ I Ii J ) J 8 i<SN 7S4o-01·152-eD7C 

I 16C. DATE SIGNal 
2 

REf EfiEN':E NO. OF OOCl,!.lENT BEiNO CONTINULD 

CONTINUATION SHEET 11NCc",:,no'~/iJOO:12

NAME OF OFFEROR OF. CUN1RI\CTOR 

SINGLETON HEld.,'" ~SRV::C:E:3

ITEI.lNO. QUANTITY ~rr U,.'TPRfCE AMOUNT 

(A} (C) 10; IE) IF) 

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Attachment A 

NASA Glenn Research Center 

Occupational Health Services 

Statement of Work 

1.0 Health Services Program 

1.1 Purpose 

It is NASA Glenn Research Center (GRC) policy to provide a comprehensive Health Services Program to 

on-site personnel. These services consist of Occupational Heath, Medical, Physical Fitness, and 

Employee Assistance services. 

1.2 Goal 

The goal of the Health Services Program is to promote health and wellness, minimize absenteeism, 

maximize individual productivity, promote and maintain the physical and mental well being of employees, 

comply with all applicable regulatory requirements, and to implement program components to the 

maximum extent practicable. 

2.0 Scope of Work - General 

The Contractor shall provide the necessary personnel, supervision, equipment. and material, to effectively 

operate the GRC Health Services Program in accordance with the Statement of Work and the NASA 

Policy Directive and NASA Procedural Requirements referenced in Section 8.0. Additionally, the 

Contractor shall comply with any related NASA Standard Operating Procedures contained in the GRC 

Business Management System (BMS). 

The Contractor shall maintain an environment conducive to the successful operation of all services 

provided in the performanco of t11is contract. The Contractor shall maintain all facilities and equipment in 

a safe and operating mannnr. The Contractor shall perform period inspections, equipment maintenance, 

and minor repairs. 

The Contr3ctor's Medical Director shall be responsible for the overall operation of all contractor related 

activities. The Medical Director sl1all serve as the Center Medical Review Officer. 

The services will be gener311y performed onsite in Government provided facilities during normal business 

hours of 700 a.m. to 4:00 p.m. Monday thru Friday, unless otherwise indicated. 

The Contr3ctor sh311 be required to procure and maintain adequate malpractice liability insurance for all 

services under this contract. 

3.0 Scope of Wor~ - Specific; 

3.1 Medical Services Clinic 

The Medical Services Clinic provides services for NASA civil servants and support service contractors,
 

and includes the provision of errergency medical, occupational health, preventative health services, and
 

workman compens;Jtion progr3nl. All services shall be in compliance with State and Federal
 

requirements.
 

The Medici1! Services Clinic shOll be available during normal Center hours of operation, eXcluding Federal 

holidays. The hours of operatiO!1 shall be as follows: Medical Services Clinic, 7:00 a.m. to 11 :30 a.m. 

and 12:30p.m. to 4:00 p.m .. Mond3ythrougtl Friday. At a minimum, a certified health profession (e.g. 
2 

registered nurse) shall be on duty at all times. The clinic is closed for lunch 11 :30 a.m. to 12:30 p.m. but 

opened only for emergencies during this time. 

3.1.1 Emergency Medical Services 

Limited emergency medical services shall be provided to onsite employees. These services are limited in 

nature and designed to coincide with other aspects of the GRC Health Services Program. 

The Contractor ShD!I: 

•	 Provide emergency care and assist in emergency preparedness and response 

•	 If requested by the Center's Emergency Preparedness Coordinator, respond and provide 

assistance nnd support during Center emergencies. Provides emergency medical care, triage, 

crisis intervention, and any other service that may be required, if within the scope of the 

Contractor's expertise. 

•	 Conducts training in accordance with the Center's Emergency Preparedness Plan (to be provided 

by the Government after award), cardiopulmonary resuscitation (CPR), and first-aid. 

•	 Provide acute medical care of work related illness and injury. 

•	 Provide initial emergency response, medical diagnosis, and treatment for civ~ servants, support 

service contractors, or visitors who become ill or who are injured at the Center during business 

hours. 

•	 Determine the appropriate means of safe patient transport. 

•	 Integrate Occupational Health Acute Care capabilities into the Center-wide emergency response 

plall. 

•	 Participate in Center emergency response table top exercises and drills. 

•	 Prepare a plan for emergency situations to include the potential for natural disasters and 

incidents involving biological, chemical, radiation, and nuclear agents, weapons of mass 

destruction, mass-casualty events, and support required under the Emergency Preparedness 

PI,]/l and Continuity of Operations Plan. 

•	 The Contractor shall be responsible for all medical protocols related to AED use at the Glenn 

Research Center and Plum Brook Station. 

3.1.2 Occupational Health Program 

The NASA Occupational Health Program provides care for NASA employees and contractors who 

become acutely ill. The Occupational Health Program also provides occupational and preventative health 

services to maintain and im prove the health of NASA employees with a focus on the prevention, 

diagnosis, treatment, and CDre of illness and injuries caused or aggravated by the work environment 

All services shall be provided onsite, except the EAP and the mammography services. 

The Contractor Sh:lll arrange for reimbursement of costs for services provided to employees of GRC 

support serVice contractors (see paragraph 7). No emergency or first aid services shall be denied for lack 

of insurance cover;:ge. 

The Contaclor shall: 

• Provice car~; of illness and occupational injury. 

• Provi(~e c1inicll and environmental laboratory analysis (e.g., mercury, cadmium. etc.). 

• Provl(;e retin:] testing for laser safety operations. 

• Provl(:e eduC:Jtioni11 services such as education on human immunodeficiency virus, first aid, CPR, 

nutr:tion, a'~d stress management. 

• Coorc!nate with referrals to the GRC EAP 

• ProVIC:e safety glasses and supply services for prescription safety glasses as directed by the 

COTR The scvices shaH consist of dispensing, fitting, displaying, repairing, and adjustment of such 

glasses. (Note necessary optical equipment not provided as GRP). Civil servants must have a work 

order <:lI'd a nUl prescription to take advantage of this program. Three-day emergency service shall 

be prOVided w!l~n required. This emergency service is not expected to exceed 2 percent of the total 
3 

quantity of orders for the contract period. All safety glasses provided shall meet or exceed the 

America!) Natiollal Standards Institute Section 287.1-2003 Standard for Frames and Lens. The 

Contractor shall provide and maintain records of all safety glasses provided. 

• Provide medical surveillance and medical monitoring programs in accordance with OSHA
 

regulatory requirements for exposure to toxic chemicals, such as asbestos, lead, mercury, and
 

cadmium.
 

• Conduct medical surveillance for each employee in the Respirator Program on a yearly basis per 

29 CFR 1910.134. The employee (civil servant and support service contractor) is responsible for 

contacting the ~.ledical Services Clinic to schedule the testing. Testing should be completed during 

the annual health screening which is offered to civil servants in the Respirator Program. Alternate 

arrangements for testino will be made at the time the employee notifies Medical Services Clinic as to 

whether or not tl1ey elect to participate in the annual health screening program. The test will included 

a spirometry te,;t, and check of ears, nOise, and heart to ensure that the person is physically fit for a 

respirator. 

• Implement an effective ergonomics program aimed at the identification and prevention of 

musculoskelel<ll disorders for civil servant and support service contractors (no charge to support 

service contractors. The Program shall include survey of work areas, ergonomic assessments, 

assess ergonomics issues relating to employees work area and/or processes, prOVide 

recommendations to the employee being assessed, and maintain all government furnished 

ergonomic equipment clild devices. The Contractor shall perform these assessments at the 

employee's work area. The program shall include a written program, engineering controls, 

administrative controls, exposure assessment, and employee awareness in accordance with NPR 

1800.1. The Contractor shall use the guidance on ergonomics as outlined by the National Institute of 

Occupational Safety and Health. The Contractor serves as the focal point of contact for the COTR for 

matters pertaining to the Center's Ergonomic Program and maintains logs and records, and 

associ~ted equipment. 

• Provide audi(Jmetric testing services, in accordance with 29 CFR 1910.95 (Occupational Safely and 

Health Administration (OSHA) Standard on Occupational Noise Exposure), NASA NPR 1820.1, 

Hearing Conservation, and the Hearing Conservation Program Policy (Chapter 11 of the 

Environmental Programs Manual). The Audiometric Monitoring Program, as part of the Hearing 

Conservation Program shall be administered by the Contractor and coordinated with the Noise 

Exposure Mani1gemenl Program (NEMP) of the SHED. 

• Serve as the advisor for the Hearing Conservation Program and shall be responsible for evaluating 

abnormal audiograms ,md for making referrals to outside specialists. as needed. 

• Administer tl:'1 Audiometric Testing Program. All audiometric tests shall be conducted by persons 

currently certified by the Council for Accreditation of Occupational Hearing Conservation or under the 

directlOIl of the Medica! Services Clinic physician. The Government will be provided with a list of 

employees enrdled in lile Hearing Conservation Program. Enrolled individuals will responsible for 

contacting the r.ledical Services Clinic to schedule testing. 

The auuiometrlc monltnring program shall Include baseline, annual, and exit audiometric tests for 

Governr,lent ernployce, enrolled in the Hearing Conservation Program. Each audiometric exam shall 

also include a :)rief medical exam of the employee's ears, nose, and throat conducted by or under the 

gUidance of a p!lysicran. 

The CO:ltractor shall provide audiometric test data to NEMP on a monthly basis for all Hearing 

Conser'/,Jlion ~)~ografll participants and as requested by NEMP. 

• Provlc:e Trav':! Coun ;eling and Immunization to civil servants who travel internationally for work 

related :lctivitic:,. The (~ontractor shall Issue a medical clearance to international travelers. The 

Contracor sh8: review the medical and immunization history and determine if further evaluation, 
4 

testing, medicDtion, or immunizations are needed. A travel kit stocked with a variety of over the 

counter lJ1edicLltions for use during travel shall be provided to international travelers as required. The 

kits shall be distributed 1 to 2 weeks prior to departure and returned by the civil servant within 1 week 

of their return Ilome. Returned kits are to be restocked and prepared for subsequent travelers. 

• Provide flu shots to civil servants annually as supplies allow. Flu shots may also be offered to 

support service contractors for a fee. The Contractor shall follow the Center for Disease Control 

recommendations for tile current year in establishing an order of eligibility. 

• Provide job related FAA flight physicals for civil servants and support service contractors. Flight 

physicals shall be us r(~quired by the FAA Guide for Aviation Medical Examiner for applicable 

standards and cxamin,ition procedures. The physician performing the examinations shall be a 

certified Aviation Medical Examiner. 

• Provide civil servant crane operators with physicals in accordance with NPR 1800.1 and OSHA 

requirements. 

• Conduct an ,mnual B·hour Occupational Health Fair and an annual 8-hour Safety Fair for the 

purpose of promoting tlie health and safety of GRC employees. 

• Review drug lesting results performed on civil servants in test designated positions. Positive test 

results si1all be discussed with the affected employee to confirm positive or false positive results. 

• Provide physical thcr:lpy to reduce lost-time injury time. 

3.1.3 Incident Reporting Information System 

The Contractor shull support the Agency's mishap reporting system - Incident Reporting Information 

System (IRIS). This is a comprehensive NASA agency wide web based system that tracks information 

on all Occup<1tional and non-occupational (personal) injuries and illnesses and manages information about 

events or conditions of environmental, health or safety significance. 

The Contr3cwr shall input [J;)sic information on work related injuries for employees that go to the 

contractor for medical care The contractor initiates the employee injUry process using IRIS. In addition, 

the contractor will n-:eet witll Safety and Mission Assurance personnel to validate employee injury data, 

OWCP data and mishap rcports to ensure Agency's and OSHA requirements are met. 

In addition, t:le Contractor ~.h;]11 report employee mishaps and close calls within 24 hours using the Quick
 

Incident But:on in the IRIS.
 

A NASA misilap is defined <1S an unplanned event that results in at least one of the following: 

•	 Injury to non-NASA rersonnel, caused by NASA operations 

•	 Damage to public or pri'Jate property (including foreign property), caused by NASA operations or 

NASA funded rlevclop:ncnt or research projects 

•	 OCcup3!onal injury or rccupational illness to NASA personnel 

•	 Destruction of. or carn:'Qc to, NASA property except for a malfunction or failure of component parts 

that arc normally sub;!) to fair wear and tear and have a fixed useful life that is less than the fixed 

useful life of the comp:de system or uni! of equipment, provided that the follOWing are true: (1) there 

was adequate preveI1::tive maintenance: and (2) the malfunction or failure was the only damage and 

the sale action is to rC';:ace or repair that component. 

A NASA c!o:,e cal: is ddillC:d 3S an occurrence or a condition of employee concern in which there is no 

injury or oniy minor injury r,]quiring first aid ;Jnd no significant equipment/property damage/mission failure 

(less than S, 000), but wr.:ch possesses a potential to cause a mishap. 

3.1.4 Prevclltive He3!th ScrJices 
5
 

3.1.4.1 PhY,;lcal Examinations 

The Contractor shall administer physical examinations for all civil servants who choose to participate in 

the employee, Health Screening Program. The Contractor shall establish a system of employee 

notification Ll!1d ap[Joinlment scheduling and for rescheduling of missed appointments. 

The physical examinations protocol shall be in accordance with enclosure 1. A partial physical 

examination shall be provided each year and a complete physical examination once every 3 years. The 

examinee has the right to decline any or all of the procedures. The offered examinations shall consist of 

the following procedures: 

3.1.4.2 Other Health Services 

The Contractor shall: 

• Provided routine blood pressure monitoring to civil servants 

• Provide seasonal allergy injections to civil servants under the care of an allergist with environmental 

seasonal allerC)ies 

• Provide a MommogrClphy Screening Program through approved providers to all civil 

servants based on the guidelines established by the American Cancer Society. This service shall 

provide baseline mammography screening and annual mammography screening. The facilities 

providinfj these services must be accredited by the American College of Radiologist. 

• Provide a program of nutritional awareness, individual counseling, and education programs to 

maintain good health, encourage behavioral change, prevent disease, and encourage an 

environment that emphasizes good health practices, and healthy food choices. 

• Conduct individual nutrition counseling for diabetes, high blood pressure, weight loss, high 

cholesterol or triglyceride levels, cancer prevention, vitamin, minerals or herbal supplements, 

concerns about quality of diet. and other nutrition questions or problems. 

• Conduct monthly inspections of the cafeterias to determine that the proper level of cleanliness is 

attained ;md maintained. Additionally, those duties such as checking foods for freshness, proper 

temperature, and cX[Jir;11ion dates shall be Included in these inspections. 

• Provide technical gUidance on areas of emergency care, adult CPR, AED. and
 

first aid.
 

• Provide first aid training in accordance with American Red Cross or American Heart Association 

training requirements as well as support Organization and Branch needs through program review and 

training at staff meetiw;s, assistance in resupplying kits, and advisory role for departmental first aid 

needs. The Contr;lctor shall provide throufjh these vehicles which includes, where appropriate, 

testing to allo':,: empioy,"cs to receive cerlification. 

• Provide he;ilth and -:.c:ness training on a variety of topics not limited to physical fitness, nutrition, 

stress m:magement, er'.;onomics, etc. A minimum of 12 1-hour sessions shall be provided per year. 

Civil servants shali be Given priority enro!irnent Health and wellness training shall be provided at no 

charge to support ser/ice contractors. 

3.2 Workers CClmpc;nsLl':on Program 

The Contractor sl1;:,11 suppey( the Worker's Compensation Program Officer. The Medical Director shall be 

responsible for the; meCIC1' ;Jspects of civil servant worker's compensation cases. This shall include 
6 

initiating and providing medical evidence to NASA compensation personnel for claims that do not appear 

to be work related and sllolJld be refuted. Tile respective Compensation Claims Officer shall assist as 

required. 

The Contactor shall obtain history, assesses Injury or illness, and provides treatment. The Contractor 

shall ensure treatment options are available for any employee with an occupationally related injury or 

illness during and after normal business hours. The Contractor shall prOVide ongoing care and follow-up 

until issue is resolved or maximum medical improvement has been reached. 

After the determination of the civil servant's physician for clearance to return to duty, the Contractor shall 

provide a verification of fitness for duty and tile need for job modifications or accommodations. 

The Contractor shall provide assistance to the GRC Compensation Claims Officer as needed. 

3.3 Physical Fitness Prouram and Associoted Services 

The Contractor shall conduct a Physical Fitness Program in conjunction with 'the Medical Services Clinic 

with the purpose of maint~,ning and improving participants' fitness for duty. The program shall consist of 

physical and rehabilitative tllerapy and exercise programs, stress management. special health 

enhancement programs, aerobic exercise to improve cardiovascular tone, anaerobic exercise, and other 

programs. The Contractor's Physical Fitness Program shall comply with the NASA Occupational Health 

Programs guidance. 

The Physical Fitness Program is to be operated onsite in Building 341 from 6:00 a.m. to 7:00 p.m. week 

days, excluding holidays. The locker room will remain open until 7:30 p.m. daily. 

Fitness Center services '1r(.~ available to civil servants so as to assure no interference with employee work 

responsibilities, but conSOllant with flexible work schedules. The Fitness Center services are also 

available to civil servant retirees and support service contractors for a fee to be reimbursed to the 

Government. 

Prior to beginning an exercise program, it is reqUired that a person undergo medical screening. The 

purpose of the medical screening is to provide a baseline for the medical and exercise professional to 

make recommendations concerning personal exercise program. 

All individuals applying for membership are required to be screened for fitness prior to joining the Fitness 

Center. The Contractor sl1311 determine the minimum level of fitness and screening required to participate 

in the Fitness Center and provided any medical screening requirements to civil servants. The Contractor 

shall provide civil servant mlirees and support service contractors with the required screening 

requirements for ::1 fee to !)() credited to the Government. Upon being medically cleared, the requestors 

will be granted Fitness Ceder membership status. The Contractor shall ensure medical clearances are 

up to date for all particip811lS. 

The Contractor shall: 

• Provide services cI'f'lp;]tible with the st,lIldards promulgated by the American College of Sports 

Medicine. 

• Provide ba~ic fitnes~ classes such as Intermediate step, step and tone, interval conditioning, 

healthy back. toning. l1nd muscle conditioning at no charge to members. Fees may be charged for 

specialized c!asses 0:' :h as yoga and F'lIaies. Civil servants shall be given priority enrollment. 

• Develop arid implr- ' '.'fit individual and ~FOLJP fitness programs based on emerging national level 

trends as we'! as cu~:' 'ncr d3ta. 

• Provid,~ instruction Ofl the proper use of equipment upon their entry into the program and as needed 

thereafter. 
7 

• Implement, ;(e,se ;Jrcscriptions as ordered by the Medical Services Clinic. The Contractor shall 

provide one Ci' 'lilC <3' "!,hon and service to personnel who undertake medically pre-scribed fitness 

programs or r, 'non::;, 

• Provide infu: ':;~ltiorl ,1Jld education to the onsite community through a variety of venues including 

pamphlets, [ws'etters, Ilealth screenings, lectures, and personal training, with the underlying 

message th<lIJi 1:'l11al health and fitness are achievable, in part, through regular physical exercise and 

screenings fer {-<lrly d' ;I~cfjon of disease. 

• Integrate tlwlrloc;, (,;l1ter's program with all other aspects of the Occupational Health Program 

such as envir;, ii ;,en~;,i health, medicine, nutrition, and rehabilitation services. 

• Promote sf"',,' ;1C: .::,s such as the Slimathon, Employee Step Out, and the Summer Volleyball 

League. 

• Maintain all :).1:1icip;1IlIS' records which shall be used for monitoring employee progress, to study 

outcome mC):, c.C;S ,j/,j program effectiveness, and to track, publicize, and promote the program. 

• Implement ;:,"~ :;fic fitl ,ess programs and fitness screening/testing. Examples may include fitness 

,'Issessmcnt,; ':.l;i'Jht In ;i) blood pressure normalization, strength conditioning, rehabilitation, and 

group 8ctivili(~>

• Monitor pr!, ;,"J " ,r :cii'Jidual participants in terms of physiological responses and modify their 

activity presUiption as requested by the participant. 

• Develop a p:c';ram ~(' ;.ttract new members and to encourage a regular pattern of participation by 

current and fI" . ,'jcn' :)crs. 

• PrOVide plr. ,I II:Ir1f 'I to civil servants who have been diagnosed for the need of this therapy. 

• Administer: .; ':181 i, .. :ces as appropriate, such as CPR, AED, and first aid. 

3.4 Employee A~t;;riCC ProDram (EAP) 

EAP is a confide :. (";1" ~. 'c, and educational program providing assessment, short-term counseling, 

and referral ser', , . r', l: .r r;!13rge for civil servants, their immediate family members within the same 

household. EAr> 'Irr .' ::J S("'~ JrlS for grief counseling/crisis management shall be prOVided free of charge 

to support servic,' ;;'U',' 

The EAP coord in : .r ;;11all ~J() onsite 3 days per week. The hours of operation are Monday and 

Wednesday frori .r (') :1.~'~ t, 4:30 p.m. and Thursday from 10:00 a.m. to 2:00 p.m. When Federal 

holidays fallon a :.:,·icLlY, the EAP counselor will be onsite on Tuesdays from 8:00 a.m. to 4:30 p.m. 

Offsite counseli:l i :(r( Ices :;i!!1 be available through a network of providers in the Northeast Ohio area 

and offer wecke>. "",.ke:'!, :1r1d evening appointments. 

3.41 ManC1gerr> C ,,' .nn, Group Consultation, and Education 

The Contractor: 

• Provide emc' . ',) I:AD r:onsultations 24 hours per day, 7 days a week. This will include access to a 

psychiatriSt. 

• FJrovide ser. : Jr (:n;~':lee or family self-referral, management referral, or Medical Services Clinic 

referral. 

• Offer SI'lorl,: ., )un '_' "1 limited to three visits per problem for civil servants and their families. 

The Ef,P co ,C ,r c~nes the appropriate number of visits on a case-by-case basis, and may 
8 

determine tI·" " ';JrOIJ:;,lkness of greater than three visits. Should the need arise for more than three 

sessions; the ';:I:jJloyoe! v.'ill be assisted in finding a provider under the employee's medical plan. 

•	 rarticipate or' cOI'lmil',,' clnd in meetings to clarify and promote the EAP. 

•	 Provide a 'I, ., ,'81 ,ge vi appropriate educational materials for distribution and posting. 

•	 Provide mforilltional sessions, workshops and seminars on a wide range of topics. 

•	 Provide mana~,;rl lent cOllsultation in a variety of areas such as violence in the workplace, stress, and 

conflict. 

•	 Provide con~;ult;lti()n Ie 'nanagement on the Drug-Free Workplace Program. 

•	 Consult and lJi'wide e(:L: :Jtion on violence prevention to management and organizations. 

•	 Facilitate and! .r coordi:l' 'e the implementation and scheduling of health related support group
 

meetings.
 

•	 Provide bimol ;,1,/ (1 hnur in length) onsite seminars addressing a variety of workplace issues
 

facing emph .\, rncil,;ding, but not limited to, stress management, workplace issues, elder care,
 

•	 Increase emp J)U~ a:. lrness of the availability, nature, and scope of EAP services through periodic 

training. 

•	 Review H1C! : ,I L:, SClJjJC ,II id accessibility of the EAP services 

•	 Assist cmp:')J"c~; :n rell!, d,ng to their position and job duties at the level required in their job
 

(!escription
 

•	 Provide managers with periodic training and education to:
 

- Review r'1811,J\.jm's : ,';;ponsibilities to employees
 

- Review !O':' to ~1(k:' s issues such as identifying poor work performance and confronting a
 

troubled ern: 'v ,\~
 

- Discuss U'" !J(;nefits of early detection and referral emphasize their role in using EAP as a
 

manaoenll' ,'~ullo ; ,,;~;ist employees with job performance issues, behavioral problems, or
 

excessive '.i,lec".iITI
 

Crisis Man8gerl'::rt 

The Contractor "I' 

•	 f,1 rovide crisis rr~:J:l,lgcr:' "nt for disaster and emergency situations, as directed by the COTR.
 

AdditionZlI r"sc:' ',"0<; r ~ritisallncident Stress Debriefing in the community will be identified and
 

made ovarl::)!(' ,; :'D' ")ri,~te.
 

•	 Support the ,:: r(;, 1C/ Preparedness Plan and participate in one table top exercise per year 

consislil1g o~ '(1','.1' I,ecting that will last up to 4 hours. This exercise will prepare for and support 

emergency::' : .[1;' :,ph/de the potential for natural disasters and incidents involving biological, 

chemical, Ii . ", ~,r : nuccar agents, weapons of mass destruction, mass-casualty events, and 

:;upport req'!' :0 unc~cr thl Emergency Preparedness Plan and Continuity of Operations Plan. 

•	 Support tile " ,clew,: re;)aredness plan and participate in one drill per year consisting of a 

simulated c' nc'/ : "~ v.:lliast up to 4 hours. This drill will pre-pare for and support emergency 

;;ituations te "I,je the I"'ential for natural disasters and incidents involving biological, chemical, 

radiation, arid : ':.1' :Iear <le],;r its, weapons of mass destruction, mass casualty events, and support 

required under til'" EfT' ';cncy Preparedness Plan and Continuity of Operations Plan. 

3.4.3 Refelral 

The EAP helps i ' ",,' t' 'lir spouses, family members liVing in the employee's household, and other 

legal deper'l'('J't , "~'J :n the areas of: 

•	 'Nork-rl<:Jlc; .3l:',· 

•	 ram:~y cr po' t In<:·~ r" It t:~. "'J issues

•	 S,re:s-r'::a' lin 

•	 :\]CO)' o! ;!l(' 1$ ,flce .J problems 

•	 Psycho'I'Cli' , ;LJ\ ';,' 'c c: isorders 

• (~rier 31' I Ie .,
 

• LugaJ or fin-'ne
 

• Othm i:'.:d£; \ CJ r (( ( ;.:~rly parents, retirement)
 
9
 

•	 Coworkl'r Cf "'ct 

•	 Depres:: ,on J( rJ anxiety 

•	 Domest::: vi,'le'lce 

•	 Stress 

•	 Associate W' ,lnd have ClCCCSS to a detoxification care unit. Several facilities in a variety of cost 

categom:s s 'be,ientificJ in order to place the employee in a treatment plan that best meets their 

health inc;ur;lr ", fillancial status, and social situation needs. 

•	 Select 8r~d n,iltain a cornli1unity referral list. with a wide range of professional providers and
 

professllJnal "rviccs, for, :r;ployee and family referrals.
 

•	 Periodicll1y r" :iey.,'/cva'we outside services rendered and update the referral list. 

•	 Provide dep· ' dent care services by childcare and eldercare specialists who will be available via 

telephonp. tcork one-on-one with employees and their families to assist them with dependent care 

issues sllch findinCj ;') lJ;:ckup daycare when their primary provider no longer can perform these 

servicw; or ;;;:oistin~ .V,tll fimjing the support necessary for an aging parent. 

•	 Provide;1 3(;'inute telephone consultation on legal issues to assist employees with a variety of
 

commOI, prc-lJi,:ms illc!W,W] divorce, elder care estate planning, taxes, etc.
 

•	 Provide ;1 6Cnutc con':u,LUon with a Financial Planner where financial difficulty is determined
 

during tlle c' '1It8!ion ~' ,ud,
 

3.4.4 Follov/up 

The Contractor f' 'II: 

•	 Maintarll a foll'lw-up pni''';S to monitor the employee's progress. 

•	 Conduct retl r I; to v. n : k in~· rvicws on all cases that were referred by management. 

•	 Consult or n1:'( emiL,) (:C'I t,) Medical Services Clinic physician when the return to work involves
 

medic;ll :55"'.".
 

•	 Provide: follr:.-Ip 01 i mo,,: icment-referred cases to assist employee with effective readjustment to 

the work;)lcv" Atcr rcc":' !reatment for problems such as mental health, personal and social 

c,djustrn()llt, .. ! I aV,",i ','" '; lance abuse. 

3.5 Materials nd Suppt:.;s 

The Contracor : ! ProViJl: fficG supplies, medical supplies, eyewear material, laundry services, lab 

services, prcsCrrJl,on olld no -prescription drugs, service and maintenance agreements. software 

licenses not pro ie' ';d b/ 0~'!~:, and equipment under $5000, 

3.6 Reim ') JrS("Twnt f'r '11'T 

The Contr~w:or : [';1/1 eS'lb1i

c ', :wd implement a Reimbursement Program for all services provided under 

this contrar;' io r,--GO'.i(''''''ne: ,I r;rnployees. Any fees collected shall be fUlly credited to the Government 

on a monthiv 1);' iwd "J,;,';('I Ull the monthly financial report and invoice. Fees include: full cost for 

flu shots, F,;: '8S:: ·;nter r:, ;.Ical screening, Fitness Center costs, FAA flight physicals, safety glasses, 

Hep,ltitis A :i'~d l ,lm'wiL"ons. tuberculosis immunizations, and any other services rendered. 

The Contr~J<'(Jr ,',~I! irlC'l! "; 1 ~r('(Jram offering civil servants who are private pilot hobbyists a FAA flight 

phY';lcal 8:< ,'lin 11 ,,:f'/e' 0 rr,wirements for annual physical examinations (Section 3.3) for a fee to 

be reimbur, ::e1' t .--' (~n. "fI' ,ent. 

The Contr'dor 'I ,W· 'n f, "\ Qua!ified personnel for all aspects of the Health Services Program. The 

Coniractor ;. hal: . :'('S;. ' ,.:'r certifying that they meet all personnel qualifications/certifications 

specified, 

Dur:ng the ;; Jfc . 'ncr' ,-,' ., ']rk 0:1 this contract individual credentials, such as resumes, licenses, and 

certification ,SSe vi<:l~ed ::.,1" ,II 'Je f.rovided to the Government upon request. 
10
 

4,1 Physician!' 

The Medic;J] Dirc-:tor for ~: 's con:rilct shall be a physician. Physician(s) must be licensed to practice in 

the state of ()hio in ;It leJs: Oi") r,:lecialty recognized by the American Medical Association. 

The physici;~I;(s\ ,ust be "<lr>:,b'e uf performing thorough physical examinations including EKG and basic 

x-ray interprl:ldtl()IJS, 

The physici,m(s) must be c::' ::Ic of performing emergency procedures such as suturing; cardiac 

resliscitation; en"i r, :enC'1 ' CIt i ient of hypovolemic. cardiogenic. and neurogenic shock; treatment of 

convulsions, hyr: " erm,'J, and rrostbite; and initial treatment of fractures and other such conditions. 

The physici:m(r, '!iust be c:tpable of evaluating occupational exposures in areas such as noise. lasers, 

radiation, m:crO'.', d'/(~;; alJu inlJ313tion. contact, and ingestion oftoxic materials. 

The physici:m(s) 'nust bi~ (-" 1b'" of providing coordination with and referral services for the EAP. 

A physician Sh3~ ":1'/e CI ~r,pr't c"rlification for FAA examiner for Class I. II, and III. Shall be accredited by 

either the kiso, :''In or ~,ledic31 Review Offices or the American College of Occupational and 

Environmental ~,1 cd icine. 

4.2 Physician i ';";<:1,"'; '; i,ee Practitioner(s) 

Physician assisL Ii i 's) ,111<1 nurse practitioner(s) must be a graduate of accredited nursing program and 

possess a Certi r ,·t,) to "Ieser;!;" The physician assistant(s)/nurse praclitioner(s) must be licensed to 

practice in tile ~;' ,le 0f 0' ,1 

4.3 Nurses 

Nurses shall be ,,,·"ter,,(l nr I'''ne 'x licensed practical nurses. All nurse(s) shall be licensed or registered 

in the state of (1 ( 

4.4 X-Ray,Medical Tccilric:,~ln(s)

The x-ray/mcdic';ill' ;" <'.~ \::IJ<311 be registered and licensed in the state of Ohio and in good standing 

with the Amcric;i~,~:;' of I "';'llogic Technologists. The x-ray/medical technician shall be a graduate 

of an accrediter' ',[, ~C:'''l of r," " 'oOic technology, with experience in a medical clinic or hospital environment, 

4.5 Physical 'i:lcr;lpisl 

4.6 Optici,lfJ 

The optician ~h; , be ;] I: ' llir; optician and licensed in the state of Ohio. 

4.7 Dietiti, 1Il 

The dietitian 51- f,) a I;[":;':c:<,;(; Uietilian (RD). An RD has a bachelor degree in nutrition or a related 

field, complete", ,J c;.detlc;;tcrns::p or supervised practice experience and passed an examination to 

beccone regd(., 'rJ ThrJ F-:) c,I' .! ')e skilled in individual and group counseling, and possess the ability 

pror~ote the we ,ess pro':' ",11 

4,8 ErgonurJ't 
11
 

Con!ractor parsunr~el shoi: he lr~lillcd and experienced in conducting ergonomics surveys and providing 

recornmendatio:' ::1 concuns Cit the industrial and/or research site. 

4.9 Hearing C~nservZltion

Contractor personnel S~);ll: "(3 trained and experienced in supporting of the Hearing Conservation 

Program. 

4.10 Respiratory !Jro!ecli, In 

Contractor pClrS"r1flcl sha'l 'll; tr<lined and experienced in support of the Respiratory Protection Program. 

4.11 FitnessC"I",rSt',' 

Fitness Center' I; ,if ~;ilall kJVC 3 Bachelor's degree in exercise physiology or related field, or at least 

4 years of relate ! I:Xi~cri 'l·C. All staff members shall be certified by either the Aerobic Fitness 

Association of /\merica, Anwrican Council on Exercise, National Exercise Trainers Association, or 

equivalent ccrli::cation, 

Fitness Center staff sholl be certified in CPR, AEDs, and first aid. 

Fitness Center ti1ff stlall pn';sf'SS the physical ability to be able to demonstrate and instruct the proper 

use of exercise "r~1 ji"rm"" , '1d 11cr(orm routine maintenance on the equipment. 

4.12 EAP Sta:r 

EAP counselor:' 'rf h;".'I' ; I"'rlil'lal education level of a Masters degree in an accredited mental health 

field (e.g., clinic :ls'.r:br '(,", : '.;cial work). All counselors shall be licensed in the state of Ohio. 

Experience in e'lil1sl'i<ll(!, !' ,n'ljement consultation, and drug and alcohol assessment expertise is 

required. Cert:'catior as ;,! En Iployee Assistance Professional is a preferred credential. 

5.0 RecorcL;, Rcpor's, ~i:ld p", (ormance Metrics 

All r~cords, repr ,I. ~'''~ rl,ta shil be maintained by the Contractor according to NPR 1441.1 NASA 

Reccrds Ret,;r" '" ~cher'lh an r! tile Privacy Act of 1974, and are the property of the Agency. All 

records (bottl h. ,I U cupy LJI ,d eleclfunic) shall be available for Agency medical quality control review. 

5.1 Medical f·.)~urrJs

The Contractor ,; ,iI! hi' "'r ')on~I>Ic:l for the maintenance of accurate and complete medical records of all 

patients and fit; 'i 1':1 : ,Ineml',c:rs. Records shall be used to support required treatments, verifICation 

of medical clc~" Incc' r" 'gam i;llalysis. compilation of statistical data, determination of individual 

baseline heat! I and PII)g, leSS, ai',J summary of any incidents occurring during facility use including the 

res[Jonse and p,tienl r',' Ikr '''le. 

The Contractor' I :1 ' . '" "'n al' :Iccurate and complete electronic database of patient records as may be 

directed by tl1c~ 'T, 

The Contraclur :",1 be [("'r 'Jnsibie for assuring employee medical records are secured and confidentially 

maii1tained. f~ 'J,; be m,lirltained in accordance to the follOWing (most current revision): 

Privacy Ac: ,',I 

r'JPD 13,:t? l~r ;\ct ,,"';tenl of Records (NASA 10HIMS) 

~~PD 18'-::] npk1(~ Assistance Program 

OSHA ru '~r,e' ,;,' , 'lgUi: tions 

Health Ir:,wll'lce !~(rj":bility and Accountability Act Regulations 
12
 

Access to all,! i ",lies Ii: I )Ioyces' medical records are permitted upon receipt of a signed release by 

the employee ,: :'lee,; i :.J noLirized designation by the employee or third party. 

Records shari also be ill:1idained for maintenance, calibration, repair, and replacement of all equipment. 

All medical reeo- :5 (I'iri\\en and electronic) developed during the contract shall be transferred to any 

follow on Cor~tl;l 'ir ,mel :;!nll be subject to the contract clause entitled "Installation Provided Government 

Property". 

5.2 f'<.eports an'.. Perforrn;or1ce t,,1etrics 

All nocessary re~orts/rT1ct" 's shall be communicated through the chain of command to the appropriate 

source. The C>, 'ra~,," ,! h:"ic a system in place to trend any emerging patterns. Reports may be 

narrative or ~;t;" 'iCi:")", 'Jro ind are generally required on a monthly and annual basis. The 

Contractor and t: Ie COTi{ shall periodically review the required tracking elements. Reports shall be 

prep<Jred in <1Cc"j;'ne,; '.'.'h laws, policies and regulations concerning confidentiality. 

The Contractor ," :1!1 ('('il,'d Clnd report data and metrics on a monthly basis. The information shall 

summarize perf· 'm;lnr-!' ,. '~acll service area of the SOW and include patient satisfaction information. 

The final meille ';;;hall be submitted for the COTR for concurrence, 

5.2.1 Monthly T chnie d r;:""nrf 

The Contractor ~'l-jall rrn\'i('(~ monthly reporting in accordance with the Reports of Work clause of this 

contact. Thl~ I) 'nit- ': ';: "irC] "Imll include both monthly technical and financial reports. This technical 

report shall COl ;t (", ' ': :ru '/ of the Contractor's performance for each of the service areas of the 

SOw. A narr", 'J ~W i ;,'yeJ: j statistical data shall be provided. 

The report siral! (I,clu,:rc. LJut is not limited to, customer satisfaction, number of patients seen for each type 

of eX3m, immur'l"·'I'''. h"nlth screening checks/exams, medical monitoring, injury reports, laboratory, 

x-relY, physic;! ':;~~:" prr" "1m~, and mental health and counseling services, etc. 

The report slrall ,,150 Ii :elude suggested efficiencies of operation and innovative approaches for cost 

savings, and ii!, -tific:"'i",~ f cnntract operational concerns. 

The r=AP shall t, '1ck 0';1''1' 'raphics, cases, referrals, and outcome data for individuals and groups. 

,

I , 

The Contractu ~,!Iall IJr()vi'ie mcnth!y financial information in accordance with the Reports of Work clause 

of tlliS cont3':~ '1£' ,,,,. ,elor ,!lall include an itemized breakdown of reimbursement for services 

provided to ~"I': 'rt ,~. :IV!('" con"actors. The breakdown shall separate by civil servants, civil servant 

retirees, and:: (", " (;,", tf;lctors. 

, r~· ,rt 

The ContraeL){,nali pi ,', .c 3,\ anl1ual statistical summary of all monthly reports and analysis of the data. 

6.0 Goverr',il ,:t-fun" J b:! iilllent 

The Contrac ::r'c JS(; (Covernment-furnished equipment to the greatest extent possible. 

The Contra,·'·r I~, lintain, and/or replace equipment to ensure that all equipment is 

sef'JIGOable 

Prior to rep!;; ,';t u , . r { c:quiprnenl, the Contractor shall provide to the COTR a best value 

ana;j'sis for : r'! • . 'x .r'lc:c/buy requests. 
13 

The Contract;' shall dcvr'r[} a repiclCcment plan for all Government-furnished equipment, both tagged
 

and unlamJcc
 

Equipment pl;;:,asecJ at $:")00 ur :nore and with a service life of 2 or more years is considered tagged
 

equipment.
 

The Contractor " h~l:i h~lve n i:1,,1, ',':lIlce and calibration agreements for the x-ray equipment and other
 

eqUipment, ZIS rl;quirLd, Th' C"dractor shall have software licensing agreements.
 

Periodic equ:;~lTlent wztinlenancc of the exercise equipment shall be performed by the Contractor staff or 

through a m:l!"!"":':"" ,'1"'r'nrY\p"L 

8.0 Referc! ",:cs 

http://ohp,ksc,I::lS8_CloV/pollcies!''ldex.html 

NASA Policy [Jir'~ctivf's ('\Jr''') 

•	 NPD.1 p0f) ";>'. ~II',,::, '.c" 'r' l[Jational Health Program
 

N~[) 1'Ll,:'.'; ~~i' .:' (r;Jational Medicine Program
 

•	 NPO 1(320.1 B~\: f\ Erl'lironmental Health Program 

•	 tJED 'f,t'.QJ.f'.L',i' ' FI',:~~)'Qe Assistance Program 

•	 .tJJ~U 1[' .:~_"..:'---~~ '.}I' ~:-'.'I 'i(ers' Compensation Program 

NASA Pro-:.:e:-:tJr ,I Rcquirclncn!s UJPR) 

NPR 180~:.; r~r'\::;A G, ,;IJf,i': ullal Health Program Procedures 

•	 NPR 181 U.1 Health Sf"vices for International Travel or Assignment w/Change 2 (3/29/04). 

•	 NPR 1821i.: iicur:n:; :.:",1J:rv<Jtion 

•	 NPR 184U.l M;'Jml~c n ;nt of Workers' Compensation Injuries and Illnesses 

•	 NPR 871 Ii' r, , ~;, ' . "lual, Appendices 

NASA Occu; ;n:l! ,',e,' ,J"", , ::cnls, Guidelines and Checklists 

•	 AEO G,',,,, ,'-'~

•	 CritiC:ll i:!·x'ent SIre''''' ~1:1'::' 'rement Services Guidelines 

•	 Credell! .Ill[ ,a: . ~I" jO' J

•	 EmerrJci'c)' ,.~r:,:l-l Car' 

•	 ErnerC;uI.'y I.J, ';rJ~"re( '.' 'oJ '.'je~Jpons of Mass Destruction 

•	 EnvironrT:',:"lt of Care 

•	 Infcct:on (>:: il; 

•	 Legioneli,1 [';1""';) lion of Potable Water 

•	 Medical;(;" 

•	 Med,calO ill I i Jram 

•	 Nutr;~ior")' 'I 

•	 Outdo(): ".' '), "--J 

•	 Solar:' "d:1 

Miscellar~'

http/!",/..v ... c;;~u

http://ww\':,o:, 'j)'!' 

hltp:l!v/':r.'I.u: c, . e-: ):. ~'s~'jt.htm

httpl/vI'NN·S: -cctives/1332.1.htm 
14 

9.0 Aero:l"II)': 

AED AU")':llted Exter:: ,I "c~ribrillator

CO C(lI:lr" ~ling Offic,'r 

COTR COl:::acling Officer's Tc:llnical Representative 

CPR C:~ '. !opulmonary RC:~LJscitation

EAP E'

.;);()j'ee Assist<lnc0 Program 

EKG U :{L()cardiograll~
 

FA/\ r:( :"ral Aviation / cL'nistration
 

GRC Glenn r~esearch r.,::,:er 

MRO M,:dic,i1 Review Officer 

NEMP r'~ulsc Exposure t;l'.lrklgement Program 

OSHA DCC1!"ational S:lf'ly emd Health Administration 

PAP Pap:]. ,colaou 

SHED Seli,:" , Health,~; / I-""ronrnental Division 
15
 

Enclosure 1 - Pilysical Examine F~equiremenls.

Minimum rOI;' 'crments for ,1 c_omplete physical examination given every 3 years: 

- Update F,JI:l:ly and Past History.
 

- Height, W l;~~]l1t, and Vital Signs.
 

- Complete l3:Jdy Examination
 

- Hemoccult, over age 45 every year or at any age with significant risk factor history
 

- 12 Lead Eiectrocardiogr8rT1 I FKG) - baseline and as needed according to risk factors
 

- Basic Met3bolic and Lipid ,j els (complete blood count with differential, urinalysis with microscopy,
 

and thyroxin level).
 

- Visual Acuity Test and TOllomr:try.
 

- Testing off,,, ,;(1 during the :;~::l:le examination includes an audiogram, chest x-ray, and pulmonary
 

function te~ t Pulmonary function testing includes Forced Vital Capacity, Forced Expiratory Volume 1. 

- A Screenirv) I:xercise Carr1:;,c Stress (if indicated by significant personal history or family history and 

examinat;;, findings) should be offered (within the clinic, if NASA standards are met). Follow-up will be 

recommcl;·:('d if clinically ;'riic:lted. 

- Papanicol; ,f}' I (PAP) test ;'1 conjunction with a female pelvic exam 

Minimum r['(L'H"ments for :"'!l:-::Lphvsical examinations every year: 

For Women: Over 40 Women: All Ages 

- Lab work - Vital signs, height, weight 

- Visual <JClIl!'! - PAP, pelVic, breast, vital signs 

- Tonometry 

- EKG yearly, '/,~h risk facto", 

- Hemoccu!ld, over arw <1') nr enrlier with significant personaVfamily history 

-PAP, pelv' :·;tal, and Lv".,: ':\:Jl11ination 

For Men: O'.r ,:0 Men: All Ages 

- Lab work - Vital signs, height, weight 

- Vital signs, /;r';ght, weigl". - EKG, with risk factors 

Visual ac~;:ly - Testicular examination
 

Tonometry
 

EKG yearly, \vith risk fach ."
 

Rectal eX~"ll
 

Hemoccu1t C:<rd, over age, 'E; I( earlier with significant personal/family history
 

Testicul<1' " 'nination
 

Prostate c fic antigen Ie' t, over age 50 (over 40 jf family history)
 

Additional F- ;, ;,i'rements fc·r :'!lyslcnl Examinations: 

The followi r:, dJditional pru '-- Jures shall be offered only under conditions when necessary or 

determined "J I.e advisab'> [.'1 the examining physician, or dictated by existing standard medical testing 

protocols: 

- Baseline r:.:t x-ray, bot")1 c,',Jrior anterior and lateral, shall be offered at the time of the employee's 

first health ~~, 'c.:cning in Meo,c;JI Services. Subsequent x-rays shall be provided when deemed advisable 

by the eX3ii "'1 physicia" 

- Provide ~j" I exercise :"" •. s "sts as appropriate to the patient. 

- Pre-emp:,. 1t physic: ,;'dii~:Jtes as requested by the COTR. 

- Prepare ;' ((ive repe' '" ", ~0tient file, which contains all the information in the exam and test 

results, Ti "ltactor sl-' Ii ,ide the patient a copy of the examination results. 

Updated NoV( 'J !,,~r 5, 2008 
------------'.;:::>::::--------T"':"""";==;:-;;:;-::~ 11. CONTRACT iO CCCE PAGE OF PAGES AMENDMENT OF SOllCITATION/MODIFICA, .-'.iN OF CONTRACT I 1 I 2 

2 AMENDMENT/MODiFICATION NO. I.' ." ECTPJE CI,TE 4. Hl.QUISITIONiPURCHASE KEQ. NO. 15. PROJECT NO. (If applicable)

4~:0275067 OOO'J 19	 I :' i .; 5 J ;' ':)8

---------/--::-' 6 ISSUED BY	 CQUE ,	 ADMINISTERED BY (If 0"'" than /10m 6) CODE IGRC

'--------­ NA~A/Glenn Resp~rch Center
 

Procuremert Di·\lision, :;:~ 500-.':3
 

~U,SA/Glenn Resc:·arch C. ,',' r 

P:ccurement Div.sion. MS 500-313
 

21000 Brookpark Road
 2:COO Brookpark Road
 

Cleveland OH 4~135-3;~~
 Ci~vela~d OH 44:35-3127 

NAME AND ADDRESS o~ CONTRACT ()i) lNO, Slf"'P( (' 9"A. "'<IENDMENT OF SOliCITATION NO. 

SINGLETON l'EALTiJ SER'J!""~;

Attn: Kenneth B. Sinqi,::>:n, fB. DATED (SEE ITEM 11) 

8S01 LaSade Rc:.,d, Su:;. ::'= 310 

Towson MD :2 ~_26 C :-'1' 'OA. MODIFICATION OF CONTRACT/ORDER NO " :,~K06CB70C

I...".",...."....,=~==,..,.--,,-------------------- ilOB. DATED (SEE ITEM 1J) 

CODE	 '---r:LlT~~()DE I J0 3 /31/2006 

-----'----;'''1-.TY.:HIS ITEM ONLY APPLIES TO AME~D"M"'E"N"'T"'S;-O=F·S"'O"L"'C"'ITT'''''n'''''O'''N"'S~-------------------

The above nlimbered tlohc:lation is amendl;IJ as set fGIll Ll1 Item 14, Tho hour ,md date specified k>l receipt of orrer'l .. is elflonded. " .-.is noI .xle,\ded. 

Offers must acknowledge receipl of Ihls ~r·1f!r.drnent pr, :: the b,'111 M'!d date spcdricd in the sOljl'~;ltjDn or 89 8fT1~lnded, by ant"! of tho followlny methods' (a) By col"llPleUng 

lIemsBand 1S,andrelurnir'g ~_._... __ c::: 'I', .,e·, ;',~Incnl; lb) By acknowlecJgil\U rc<.eipt of thl$ 3fT\C!ndment on each copy at lhe offer submitted; Of ee) By 

sepi:trate letter Of telegram which inducl!':> •.1Il::derence '. , ..nHcitalinl1 and amendment numbers. FAILURE OF YOUR ACKNOWLEDGEMENT TO BE RECEIVED AT 

THE PLACE DESIGNATED FOR TIIF I~' .. I>~ OF Ci I ." PRIO" TO THE HOUR AND DATE ::PECIFiED MAY RESULT IN REJECTION OF YOUR OFFER. by 

virtue 01 this amendmetll you desu-e to ' .,. ;'II ulh r" .Id, .'iul.Jl';ilttld. 51.Jch change may be fT1U~I~ by telegram or ~lter. pro\'IIJcd each telegram or letter makes
 

rer9f'cncc to f.ht, 50IiCII;tIi<1I1 and thi$ al'""}1 >l'~!~~_~.~~." n'!':~~)':..!f) ~hp. opp.r:ing ~our and datl~ "peemed.
 

12. ACCOUNTING AND APPIlOPRIA11CIl ..",1,\ (If ro.; .. Net ;'::crease:	 $770.00 

-'--C-...C'-'---'--'-'-''-- See Schedule .__. 

13. THIS ITEM ONLY APellt's TO Mr.I :ATION OF CONTRACTS/ORDERS. IT MODIFIES THE CONTRACTIOROER NO. AS DESCRIBED IN ITEM 14. 

CH£CI< ONE A.	 THIS CHA:;GE ORDER" ,SUED PUfC,IJANT TO: (Spoc,(y Hulhon/y) THE CII"~~GES SET FORTH IN iTEM 14 ARE MADE IN T'HE CONTRACT 

ORDER NO IN iTEM I:: 

B. THE ABOVE NUMBEi:: ':ONJ H/,C:. r ·Dr'· .: '."~!J:rEr) TO RI'FlECT TilL I.DMINISTRATIVE CHANGES ("uen as Chang". in paying 0"""', 

approprlt1l1Ondate,F.k, .;·1 FOHlll" ~ll::::r..l·· l'I)HSUA."'ITTOTHEAUTHO!.'.'IYOFFAR43.103{b). 

':-,.' .'JIOPURSUANrTOAUrlI""'-r"'ll"'TY"...,O"'F"':---------------------------­

o OTHER (Specdy iypl: ')()Iy' 

x Cost Pi us 

E.IMPORTANT: Coolr;tclur 

::'­ :") ;',\l'. 52.232-22 : imit.j.ticn of ._---­ F'mds 

--------------­

r:OPICS to Ihe iSSUing office. 

~14:-:D::::-E::::SC:::-R:=:,PT:::10:::N-::O"..f AM:-:-:::-E'-::JD-:-CME::-N=-TI:::M(]I~:;:""CA n-O-N ; -':d t / ",CI= 58clion headings, inc/mi, \. solicdHliCJnlconlract subject mattor where feasibkt.) 

LIST OF CHANGS~:

Add PR 4200275C67 for :;}: .. r light ~h'jsica':'II. 

Obligated Amo~ ,: fQ~ 3770.0:::: 

New Total Culi';._lted r; ;\'I,'arJ: ~;4,]}9/ -;?J.Sl 

Increm~ntal F~, ~eo A: :~o:~

$3,257,800.00 "0 $3,. 

CHANGSS FIJI' L=::'~ IT,_:: 

Obligated Amc~: fo 

')J,25·~/.3C':~. ~. t"l S3,258,5'7J.-]0 

Cor,tinued ... 

E.lcr~pl as prO'flded t ('(elf:.•-,1 terr.1s rind C"J' ".r(~rer·u~d III !tern ,'IA or 10A. d', ' ':fc:lofl)re changed, rema,r.s l..r\changc-d and in hAl rorco and effect.. 

15A. NAME AND TITLE Of :~C'~ER I TlPC :, NAME AND TITLE OF CONTRACTING OFFICER IType Of print) 

'5B CONTRACTOR,OFFFI·:GR 16C. DATE SIGNED 

12/C5/2008 

NSN 7540·01·152·BC'G	 ./ STANDARD FOR". 30 (REV. 10~1

PrevIOus editIOn urL~"lt,le Prescnbcd by GSA 

FAR (48 CFR) 53.243 
;'-·,-·,- ...-·.'-N-\-U-E-,N-G-C-O-N-l-·;N-U-E-D----------....~l:l:~~----------lA2G. E Rli ',() L OF 

________

CONTINUATION SHEET NNe...)I.:U;/ --L_ .. .. .co n19 _ l2­ NAME OF OFFEROR OR CONTRACTOR 

SINGLETON HEAL~H S~RV

ITEM NO. 

(A) 

NEW j\(~:-~CUNT;'

ACt::OUl.~. ce'-!·'· 

22R.BC i),.','jlOr: .. 

Cost t'>'nte::- :.' 

GI i\cc::~:n:- 6J 

Order :'\~"':O(J()OC

Quunt.LI:'i: :) 

Arne t..: n '~.: S7 ~/ I~ . 

Percc.~llL: 1::2. 

Subje·.~:c To l:'L. 

Poymt:n~~ !·Hi·;'_ ........ 

ERVII;ES QUANTITY IuNIT UNIT PRICE AMOUNT 

(e') (el iD) (El 

'/009866.02.0:.aJ.Ol/OO 

;'.' '. ,.j 3 

~. :lC;: 

OPT'ONAl FORM 338 (4-86}
 

Sponeorod by as..
 FAA '.. Cf'R153.110
 
--

ct..­ CONTRACT iD CODE	 OF PAGES 

AMENDMENT OF SOLlCITATION/MOOIFICAi~" OF CONTRACT	 IPA~E I'	 I 1 

2 AMENDMENT/MOOIFICATION NO 3. EFFECTIVE DATE 4. HEQUISITIONiPURCHASE REO. NO 15. PROJECT NO. (II applicabla) 

000020 12/11/2008

6. (' ~\OMIN!STEREO OY {If ofhor thal1 jtflm 6) ISSUED BY	 CODE GRC CODE IGRC

NASA/r;lenn Rccsea rch Center r~AS,n./Gll·nn Research Center 

Procurement Division, MS 500-313 P r(;'.:''; rerne:1 t Divlsion, MS 500-313 

21000 Brookpark Road 2:COa Brookpark Road 

Clevela.nd OH t,H35-3127 Cleveland OH -14135-3127 

8. NAME. AND ADDRESS CF CONfRACTOR {No., J(re..,t. CO<ll'lty, :"(..111 aM ZIP Co.-:~j 9A AMENDMENT OF SOLICITATION NO.

SINGLF~TON HEALTH SERVICES 

Attn: Kenneth 8. Si:1qleton, !'olD 9[3. DATED (SEE /TEM 11) 

8501 La Salle Road, Suite 310 

rawson MD 21206 1101< '~OOIFICAT-ON OF CONTRAC1/ORDER NO x Cl~:':O 6CB 70C 

,1(){1 DATED (SEE ITEM 13) 

I ,~ 1 '"' ..... CODE	 [FACiliTY CODE ~/j~/Lu06

C~ 11. THIS ITEM ONLY APPL,ES TO AMENDMENTS OF SOUCITATIONS 

The above numbered ~licJtation is allWloded B'I set forth in item 1~. The hour and diJ!f~ spC'cified klr (u:.mpt of Offers , ..:Is extended. :·.Ji, not8.ld8nded. 

OH~ rTlusl ackn~lp.dge recolpt ot lhis amendment priOf to the hou' and date IioP8(llif:d In lhe sG!IGltalior or as amended, by one of the tollowffiq methods: (a) By cOfTlPletJng 

Items 8 and 15, and returning copias of tt',P. amendment; lb) 13'1 HLkr'J"",It.!(lging recf·.pt or t~i5 a,nendment on each copy of the offer submitted; Of' (e) By 

separale leiter or teleyram wh~ lndudes. a ref8f8nCe to the solicftaUon and amenLlllh!t'l nun ;lj€r~. FAiLURE OF YOUR ACKNOWLEDGEMENT TO BE RECEIVED AT 

THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUr< ,\ND DATE SPECiFIED MAY RESULT IN REJECTION OF YOUR OFFER. IIby 

vlrtue of thili amendment.,.oo desire to change an oHer already submitted. such channe It',:\y tie /T'.iil~e by telegratn or Iener. pro"tded eilCh telegram or letter O"'.akel 

reference to tho solit..;ita!ion and this: amendmenl. and is "lceived Pftoilo the oponing h,'l,r :tllrj G;w!e "pl~(iHed

12. ACCOUNTING AND APPROPRIATION DATAilfrequi"'dj 

See Schedule 

13_ nus ItEM ONLY APPLIES TO MODIFICATION OF CONTRACTS/ORDERS. IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM t... 

CHECK ONE 

x 

A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify Bulhonly) THe CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT 

ORDER NO. IN ITEM lOA. 

8. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO HFFLFC r TilE AD'.lINISTRATiVE CHANGES (such a. chango. In paying ollie•• appropnat",n da'o, .,c.) SET FORTH IN ITEM 14. PURSUANT TO T/iE AUlIiORm' OF FAR 43.I03(b}. 

C THiS SUPPLEMENtAL AGREEMENT IS fONTERED INTO PURSU,\"TT()-AUTi,~;O::;lc;,,7IY"""O"'F~:--------------------------­

0, OrHER jSP9Clly type of rnodi(Jcal;on Bod authority) 

E. IMPORTANT: Contractor .X is not.	 o copies 10 the 15SUtng ottice. 

14, DESCRIPTION OF I\MENOMENT/MOUIFICATION (Organized by UCF sectio,., hl'.-,.:,r~'1', i,n:ltj(II,1Cj :,'-;iICJraiion/,;untraGl sub/fief martor where loasible,) 

LIST 0" CEAi:G£S 

This JI-Iodificat ion chO]r~ges the, pajlf,ent t~rl'nS :.) ··;C;'f ~,0 2.n ':he NASA ir.ternal accounting 

system. 

Exce~t as plQ"lded ht'It..::I;. d!f terms dO", ";;"'1110"5 of q.~, d,X:lJfT1t:nt referencea jf'; ;tl'.·P· '/' -/"	 "s I'.; 1;:Gfcre r.:J~3nGc(j. rema1l1:'i unchanli:ed and m to" force and effoct, 

ISA NAMEANOllLE (;I SIGNER/Ttl'" Grpnn')	 !'i,A 'IMAE AND ~ITLE OF CONTRACTING OFFICER (Typ" or print) j 

NSN 7540-0' -152-60 ,,)	 

10C. DATE SIGNED 

12/11/2008 

STANDARD FORM 30 (REV. 10-83) 

Pmv,QUS ed';(~ ur.usab(e Prescribed by GSA 

fAR (0«1 CFR) 53.243 
11. CONTRACT 10 CODE PA e 0, PAGES 

AMENDMENT OF SOLICITATION!MOOIFJCATION'~~ ONTRACT I : 2 2. AMENDMENT/MODIFICATION NO. 4. REQUISiTiON/PURCHASE REa. NO. IS' PROJECT NO. (If oppIica/JIe) 

420U;,82631 

3. EFFECTIVE DATE 

000021 02/04/2009 

8 ISSUED BY	 CODE GRC 7 t,D"l,~ISTERED BY (If other than Itam 8) CODE /GRC

NASA/Glenn R(~3earch Ccenter Nl"Sl'\ /Gl eon Research Center 

Procurement Division, MS 500-313 :.~ ["\_"-'cu remen t Division, MS 500-313 

21000 Brookpark Road 21'J:~C Brookpat-k Road 

Cleveland 011 44135-3,27 (_~ 1c' 1,'~:~ 1a. nd OH 44135-3127 

8. NAME AND ADDRESS OF CONTRAC TOR (No., &1"01, fount;'. St..,. and l1P Co..19J 

INGL8TON HEALTH SERVICES 

ttn: Kenneth 13. Sin'Jl.'~ton, ~'1lJ

501 LaSalle Road, Suit:e 310 

owson MD 21286 

S 

A 

8 

T 

-­

~.

,x 

CODE FACILITY CODE 

1,\ AMENDMENT OF SOLICITATION NO. 

'i0 DIITED (SEE ITEM 11) 

1'J,\ MODIFICATION OF CONTRACTIOROER NO. 

>i:rC06CB70C 

1013 DATED (SEE ITEM 13) 

03/31/2006 

11. THIS ITEM ONLY APPLIES TO AMEND MEN S OF SOLICITATIONS 

:TIle above numbered solidtaUon 15 amended liS'" forth in Item 14. The hour and date SPlKlr1ed fiJr r.:ceip(. of otren ~~_1is .danded. :.:..-Ja. noI u1ended. 

Offers must acll;nowIedgc receipt of this amcndmenl prior 10 the hour and ds(o Spe-clliC:ll in \110 solicl!;llmn or as amended, by one of Ihe foUowi1g method,: (.) By c:ornpa.ting 

Itema 8 Ind 15. and relurning cop:ns of ~he amendment: (bJ By ,,;(:.kno.......1adglf1g 7ccc\p1 of thi. amendment on .ach copy 01 the off. submitced; or (c) By 

separate kJtterof teleuram Yllhich inckJdeR a reterenco (0 Ihe solidlation and afnondrl't'nt flulT~bers 1-- Ad.URE OF YOUR ACKNOWlEDGEMENT TO BE RECEIVED AT
 

THE PlACE DESIGNATED FOR THE RECEIPT OF 01 FERS PRIOR TO THE HOUI' A~O DATE SPfCIFIED MAY RESULT IN REJECTION OF YOUR OFFER. K by
 

vktue of lhle amendmont 'IOU desire 10 ct:<.mge In offel lJlready wbmltted, such dlflnqa mtly be made hy toJegram or leU.... provided each telegram 01" letlei' m_..
 

reference 10 the solicitation and this arT'~:.!..;!.!men( ."d I~ f€cei\led prior to the openinq h)lJr ;lnr1 d;dc ~Ft~ified.
 

12. ACCOUNTING AND APPROPRIATIO': DATA ("18qu;rod) Nc t Inc r8a se: $10, 000 • 00 

See Schedule 

13. nus ITEM ONLY APPUE8 TO MODIFICATION OF CON TRACTS!ORDERS. IT MODIFIES THI: CONTRACT/ORDER NO. AS DESCRIIED IN ITt.. , .. 

CHECK ONe A. TH\5 CHANGE ORDER IS ISSUED PURSUANT TO: (SpaClfy."then'Y) THE CHANCES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER NO. IN ITEM lOA. 

B	 THE ABOVE NUMBERED CONTRACT;OROER IS MODIFIED TO HU'LEC T HE ADr,l'NiSTRATIVE CHANGES (."ch a. chang.... ill paylnl1oi1J1:41. 

appropnalion dais. ole) SET FOR1 H IN iTEM 14. PURSUANT lomE AU1 HORITY OF FAR 43.103(b). 

C. THIS SUPPLEMENTAL AGREEMEN r :5 ENTERED INTO P~RSUNJ r 10 AuliTC5TT: TY OF' 

D. OTIIER ($p<>cify lyP<J "I modificotion .•·d .OOlDn'ty) 

X 52.219-9 Option to Ex~end the Term )[ th~ ~:nt~act

_E._IM_PO_R_T_A_NT_:__C_OO_I'_"_cl_or ._._)t.__IS_"_ol_._.__is_'_C'_iU_i'_O_d_lo_.i_gn_'h_,"_d<_,_o_,,_,,_er_,,_,,_n_d_"_"_j.rn-======:O==-,:co=PI::·e:s,::,o~t::"":'::''';:UIn:;lI~oIllc8=:.:.... _ 14. DESCRIPTION OF AMENOMENT/PI,·1COlFICATION (vfg.'lnizlJd by UCF sect/01 h/;;'l.J.nqs, /nc!IJd;ng .~\;I:Ctt8tionlcontract £ubjf1Ct matter where fe.Jible.) 

LIST OF CHA~GLS:

This Modific,ltion No. 21 eXl'::ciscs the Cpt!Or1 ?crio,: in 8.1 8STIMAT8D COST AND FIXED F88 

for twO (2) years i:1c~easinq :.he contract 'J,'.~,:," t)/ ;'.,.807,865 as follows: 

Base Pericd Option Period Toeal 

Est. Cost .~;,1::'O,308 $7,057,998 

Fixed Fee 195,471 1";~:r175 335,646 

Total $7,393,644 

Per~od ot End Drl' 31-MAR-ll. 

Continued 

15A. NAME AND TI1 LE '"' S:GNER Oy; e. or priM) 

15B. CONTRACTCR,Orr~cR.OR 16C. DATE SIGNED 

03/13/2009 

NSN 7540-01-152-8070 STANDARD FORM 30 (R£V. 10-83. 

Previous edition utll;silOic Pretulbed by GSA 

FAR (48 CFR) 53.243 
2 

----------.,...-------...:ir,·~ REFERENCE NO OF Dd::" ~-------------------l .NT BEING COOl "NUEO 

CONTINUATION SHEET Nt.;C06CB70C/oorl021 

NAME OF OFFEROR OR CONTRACTOR 

SINGLETON HEALTH SERVICES 

ITEIANO. 

(AI 

SLJI'PliES/SERVICES 

(B) 

QUANTITY IuNIT 

(Cl (0) 

UNIT PRICE 

(E) 

AhIOlINT 

(F) 

Total Amount for this 1"lodifjcaUon: 33,08·',865.00 

New Total Amount for this Version: S3.D87.B65.CO 

New 'l'otal Ar.:Gunt fer tl1i~) Award: $·,',397, 2(l t;. 00 

The Obli<Jated Amou;,t f:Jr: this ).:Jcd~E~cdL~on:

$10,000.00 from PR4)00282631. 

New Total Ob:igated !,;"ount for thi:; !,·.·;<,r(i; 

$4,P'?,256.81 

In(:!.",,~rnental ~'unded i\;T,<,:ur~t i:1crea:::Je(:~ b~i $1U,COO.OO 

from $4,119,256.81 to $4129,256.81. 

All other terms and cOllditions rem21i:l llnct~all~ed.

Accounting Info: 

22QSOO/G100.2560/22/FCOOOOOO/736166.0:.09.03.02.0/ 

2/000/2560/22!CASX220C9D/361N/1/2 Cost Center: 

22Q500 GI Account: 6100.2560 Order: F(OOOOOa WBS 

Element1: 736466.01.09.03.02.0 WBS Elemcnt2: 2 

Item Number: 000 Corn:citment Item: 2:::6G r'unds 

Center: 22 }~nd: CA~X22009D Functional Area: 361N 

005 Medical Ser:v~ces Opticn 

Fully Funded ObligQtion AmountSJ,OE1,865.00 

10,000.00 

NSN 7540-Q1·\52·8OF.7 OPTIONAl. fORJ,l33e (4-161 

~l>l'OSA

FAR ,.. CfRI ~.110
,. CONTRIICT 10 CODE AMENDMENT OF SOLICITATIONIMODIFICATION O~TRACT I 

2. AMENOMENTiMODIFICI,TION NO. J. EFFECTIVE OATE '--"--~~:CUiSiTiON(PURCHASE REO. NO, 

000022	 CJ4/0:'.l2009 _t~:..:_);Jan81 ~6:':.I:.,S:.S::.U..:E:,:O:.B-Y------------C.."O.."O-e.-+,...::;....:R:..:C....::.:::...:.....::...:..:=---· 7 A:;''''-1-''-''-ST-E-R-E-O-B-Y-I'-'-ot-h-er-'-h-an-lte-m-6-i----...lC-O-O-E-"'"[G-t<-C--------­ L:.:...:.:.. _	 ,

DATED (S£'I: ITEM II) 

8501 LaSalle ROdd, S~,te 310 

Towson t-1D 21:",6 

Attn: Kennet~ J. Slng:eton • .... l... 

NASA/Glenn Re3earch Center 

Procurement Jivisicn, MS 50]-313 

21000 Brookpa,k Road 

Cleveland OH ~4135-3127

I·:i'~)f\/Glenn Research Center 

Prc~urernent Division, MS 500-313 

21000 3rookpark Road 

Cleveland OH 44135-3127 

8. NAME AND ADDRESS or CONTRAClOR (No. """P'. eo,,",/y. Sl.t• ."d ZIF'Cod.i ( ) 9A. f,MENDMENT OF SOLICITATION NO, 

>L 

IDe 

SINGLETON HEA~,TH SERV1CES 

I." t"itCOi'~B'fRg'" 0' ,oo,~,~,O<.~.

-J lCH.DA1EDiSffITEMIJ) 

CODE 1::"1"A"'C:-:I"'l'=TYc:-=C::"OO=-E:::----- : i ] i 3 ! 2006 

-----------------'-.I.,.'T"Hfuls;;;;IT'EeilM;';o'"N"L"Y"A"P"'P"'UETIo AME"OM'<E"NTCTS.-r;O'iFF~S"O;CLI"'C"ITFiA:'in;;O"Nr.s"-------------------

:~_.' The above numbereo sl.::lcitation is alr"~J1ded as set f'jllh in ttem 104. The haUl iU"j dilll! ~pe()fi~c. fur rc<;eipl of Offers ;Is. evtonded. [-Jla not extef1ded. 

Offer. must ackoowtedgo rscsipl 01 tillS amendment priQr (0 the hom and dato spcdfi.~d in rhi~ ~)ojlcll,,~IOIl or as 8mBr.d8d. by one or the foUowing methods: (8) By compteting 

"ems 8 and 15. and ralumlng COPll!S of Ihe amendment: {b} 8y H' know11!cgi"9 rl?utipt of lhis amendrnenl on each copy of lhe offer It.lbrnKled; or (c) By 

Sep8f11W letter or fcleg(Hl1llNhich i~du~~cs a referencu to the .al/citation and all1andtTl,~nt m,11',t)crs. FAiLURE OF YOUR ACKNOWLEDGEMENT TO BE RECEIVED AT 

THE PlACE DESIGNA lED FOR lHE flECEIPT OF OFFERS PRIOR TO THE HOUl, AND DATE SPECiFI~O MAY RESULT IN REJECTION OF YOUR OFFER. by 

Vittue of thnI8me~m(}rllyou desire to ~·hangQ an alhlr already submitted, such d'Hm£il~ 1T~;'l't La mad(; by tell::!gram or letter, provided each le~ram or letter""" 

reference to the sol;CttnLnn and tl'1is <ll'~'r:dmof'lt, and i.. rocetvad prior 10 the 02e'2_i!1.9}:_(~ur:..'.I~~~_»j"Ec';("'''";ifi,,,e.d,,-- _ 

12. ACCOUNTING AND f,PPROPRIATICN DATA (lff"'luirOO) ~)(. t : n,: rea :;e : $150, 000.00 

See Schedu ie' 

13. THIS ITEM ONL Y APPLIES TO MODIFICATION OF CONTRACT5,'QRDERS. 11 MODIFIES THE CONTRACTIOROER NO. AS DESCRJ8ED IN ITEM 1•• 

CHECKO~E A, THIS CIIANGE ORDEilIS ISSUED PURSUANT TO; (Specify ,ulhodyl lilE CHANGES SET FORTH IN ITEM 14 ARE MADE IN TliE CONTRACT ORD~R NO. IN ITEM lOA. 

B. THE ABOVE NUMBEREO CONTRIIC fiORDER IS MODIFIED TO I<UlECl T'jf ADMINIS1 RIITIVE CHANGES (.uch •• chongea In paying ",""", 

appropnalion da'e, .te! SET FOR1H iN ITEM 14. PURSUANT TO 1HE AU I HOR" Y OF FAR 4J.l03(b). 

C. THIS S!":PPlEMENrA;~ AGREEMEN IS ENTEHEO INTO PUf~su}\,~il-:-roAUT! io'Hcc,.r~Y;-O"'F"'"--------------------------

O. OlHEJ< (Sp8cjfy typo (if modlficafion and authority) 

X 52 .. 2:Q-9 Op~'an to Extend the Term ~; -hG Ccctract ._--~----------- E.. IUPORTANT, Cor,l, ,Iclor )( i~ not. is requirod' 10 sign lI~i$ dO(,LI :l(;nt ,n_1/ ' JI"II' -======:O=~~CO~P:i.:'~I:o~th:e~i~.S\J::'n~g~O~ffi:ICIl:'. _ 

14, DESCRIPTiON OF f..'.~[~DME~ TJV,i)IFJCATION iCrgarNred by UCF 51K(;::'/I 11(.''/'-' .'i:;S. /!7,;i"dd'.l slJ'iciliJliQlllcor,lracl."lJj&ct mattor wl'te,e feasibl.,) 

LI ST OF CHI-.tI(;':S: 

Add: PR420Q22~j81 ~a: ~150,0CJ.OO.

Obligated M,,:/;;:t [.:, this t-;.'iific"tion: ':;:5 lcc=emental Funded Amount changed: from 

$ 4, 129, 256 . ,~l ': 0 $'~':' ',' 9 , 256 . .'~. 1 . 

NEW ACCOUNT=:.~ COD2 )DSD:
 

Account co':;,-:
 

Conti"ued .
 

Except as ~ro..tded 1'1.'11;.:' .d (t:mns .... 1,1; .(',j,ti<Jrs of :~'I~ :focurr:f::"l r~ft~r€f1ced .['. ("r· ,< 1,',\, ,1$ :,. 1O~,'.. kl": ~hal1,;e-d. remain3 urcranged and irlluM (orce and effect 

ISA. NAME AND lin F i, ;.. S,GNEf, '.:, " oc pcocl)	 , "c;' ',WE ANO TiTLE OF CONTRIICTING OFFICER (Type 01" print) 

156, CONTRACTOF.CH',"OR 

NSN 7540·01 .. 152-<lCiO	 STANDARD FORM JO (REV. 10..83) 

P,eombed by GSA 

FAR [48 CFR) 53.243 
2 

...'::~,

-----------r--------:~;.::~------------------I f~1 "ERENCE NO, OF Doc0:t.:W BEING cer" INUlcl) 

CONTINUATION SHEET N'J:06cB7:JClOOI'022 

NAME OF OFFEROR OR CONTRAcroH 

SINGLETON liEAI.'i'H S[i,':;CES 

ITEM NO SUPPllE~iSF.RVICES QUANTITY ~N1T UNIT PRICE AMOUNT 

(A) (B) (C) (D) (E) (F) 

2 2·~.3 ()l:, / 61 0 t) • . .5 60 / 2 ;;: / Fe 0 0 0 CCC;' 7 3 6 4 6 6 . J . C'j . \~ ,L Co;~ • G/ 

2/ DOC /2560':;',' /CASX2 2:)090/ 36] N/ 1/2 

Cost Center /2QSOO 

GI ?,'c,:ount <::00,25(C 

Order fCOOOr;;o 

QUilntlty: G 

AnL)Unr~: $l~j(;, COO.OQ 

Percont: 4,8~773

Subj':,;l Te, ; ';rding; 

Pi:;ymc:lt Ad,l[ ·ss: 

De:iv0ry L~c,tion (~r,je: GRC 

NASA/Glenn ~~search Center 

2100() Brook!)\rk RO.ld 

Cl"'vccand ';/: 4-1135-:1127 US!, 

AccolJ;;ting I:'fo: 

22CSOJ/610iJ. ,"56012?/fCOOC000I736466. 01. OJ ,J:'" 1)2 .0/ 

2/00Ci2560/2~/CASX22009D/361N/l/2Cast C0~"~r;

22QSl)O GI Ac~ount: 6100.2560 Order: FCOOOOOO was 

El(~m(':it1: 'i"'J466.0J.iJ9.03.02.0 WBS iclemenU: ., 

Item :Jumber: 000 Com:nitment Item: 2~~60 E'UI1IJ:5 

CentE~'r: 22 F"lrd: Ci\:::X22009D Functi':'r~<.1J i'lrca: 3C:'N 

OPTIONAL. FORU 336 (4.all) 

_byGSA 

FAR '" CFRl 53, I10 
1 I 2 

1. AMENDMENT/MOD FICATION NO 3, EFFECTIve: DATE REOU;SITIONIPURCHASE REO. NO. rPROJECT NO. (If .pplicable)

I I' PAGE OF PAGES CONTRACT 10 CODE AMENDMENT OF SOLlCITATIO~</MODIFICATlo.~1. CONTRACT 

.. ~~ ():):2 90074 000023 04/2;'/2009 

6. ISSUED BY COOf !~RC 7 t.. C\1:NISTERED BY (If other than Itom 6) CODE 1..­ IGRe _ 

'------------1 

NASA/Gle:ln F,E:,;.~arch .:' 'ntc~r ~A~Aj~lc~n Research Center 

Procurement ~ivisicn, ~S 51n-313 ?'0~U,emE:nt Division, MS 500-313 

21000 Brockp", k ROd" :' >;';C Groo:':park Foad 

Cleveland eli .:.; 135-, ;:''7 C;~~0:and OH 44135-3127 

8, NAME AND ADDRfSS CF CQNIRAC I OR INo sl:",/>/, rnw;ry. Sfaf.~ <lmJZJPCodfIj ) j'i,' AMENDMENT OF SOl/CITATION NO. 

~,

SINGLETON fi[Ai::'H SEI,';: CES f-.-:c--=-:-.,---:c:--=-:-,..,.....-----------------­

'liJ :),'T£O (SEE ITEM 11) 

8501 LaSall,'· i'>.J a '::: , :>;: (e 31C 

Towson ~D 2 J ?;: i~

Attn: Ker,np:::'n h. Sin"';. (~tcn,

" ][Jf, '.'O::JIFICAnON OF CONTRACTtOROER NO. "I;;" :~6C,170C

l

J( 13 OM ED (SEE ITEM 13) 

COOE r=-CA::-C"'IL-,TY=C=-O::-O::-E=-------- '.'.): 12 0 0 6 

----------------------- 11. THIS ITEM ONLY APPLIES TOAMENOME"'N"T"'S"O""""S"'O"'L"I"'C"'IT"A"'T"IO"'N"'S.--------------------­

: T"e above numbered s,:k.tation is :in~( I;dcd as set l()rth In Item 1-1. Ihe hour and dale spl~ciried lor rt'I:('I~1 of OHers ,_,',is o:dended. :Jia nol extended. 

Offers musl ecknowledyt~ ICcetpl of 11-:1'- :unem1rncnl pria to the tlour and date specified In Ir,o solki:<Jtion or as amended, by one ot the following method': (a) By comptellng 

Itema 8 end 15. antl returnIng _." (;'1Pl(~5 of tho amendment: (b) By actlnowlr.·,1ginq Tl'ceipl ul this amendment on each copy of the offer submitted; or (e) By 

separate letter Of It:legram which jnc:lJ(~' s it roference- 10 the solicitalion and amend'rr:e,",! numbe{~. r- AL UHE m: YOUR ACKNOVILEOGEMENT TO BE RECEJVED AT 

THE PLACE DESIGNATED FOR THF "ECE'PT OF OFFERS PHIOR TO THE HOUR AND DATE SI'EC'F'ED MAY RESULT IN REJECTION OF YOUR OFFER. Wby 

virtue of tmsamendrnell f yOtJ rjes~6 to ,Jl;mqe an offer 111ready 5ubrtli1ted, such change may be maUl: by lp.lcgram or Iettor, provided each teJ6gram or letter mak.. 

refereoce to the sol!r:~Ii8~n ~nd this ;,:~_~. ~1rJment, ;vld is recel...ed prior to the opening hQur rtnJ dale Si:eC;lr1c:d. 

12. ACCOUNTING AND M'f'HOPRIAT'(.'1 DATA (ifnnuirod) Net J ".:::f;dse: $300,000.00 

See Schedule 

n. THIS ITEM ONLY ",'PLIES TO MODIFiCATION OF CONTRACTSJOROERS. IT MODIFIES THE CONTRACTfORDER NO, AS DESCRIBED IN 1TE1il14. 

x 

CHECKQN£ A. TH,S CI'ANGE OWll, ,.: IS ISSUE!) PURSUANT TO, (Sp60ty authorily) THF CHANGES SET fORTH IN ITEM 14 ARE '-AADE IN THE CONTRACT 

ORDEf<NO.INIIHI ")A 

B. THE AOOVE NUMO[l',L 0 CONTRACT ;ORDER IS MOOIFIED TO REftECT THI: MWINtSTRATiVE CHANCES (such.s chang.sln paying 01/1<;., appropr,'fJlion dare, '}:::,: SET FOR fr-+ IN ITEM 14, PURSUANT TO THE AU1HOR:-:Y ,::F FAR 43.103(bJ. 

C. TH:S SUI'PLEMENlI:,.· AGREEMf·'/T IS ENTERED INTO PURSUANT TOAUTT;(;'~;.~jyOr():"F"":--------------------------­

~L~ation at ~unds

o copres to the issuing OtrtC8. 

14. DESCRIPTION OF M.\~:.NDMEN f .~.' .:::rf ;CAT'Qr-l ((,)rganlzod III UCF section nSHdu:gs, ':;(llJ'JII~:J .,-,,I:(.li.,(Jofl/r;;of1lraCl subject mailer whot'e feasible.) 

LIST OF CHA~::::::..:: 

Add: PR 420(2)~a7~ .. n ac, ': CD, 0 I] , 

Pursuant tv t.i'" Lirr; ':':~':HT c:: ?ur.ds Clause, FAR ',2.: <,-:'2. the total funding is hereby 

increased by . GJ £ r ·:.::r. S <} I ~:. ';' 'j, 2.5 6.81 t: C .S 6. 81 . 

Obligated Amcuut !~r ~h~3
 

The Con(ract '],,1'.:'" .,; ~:,. :;/, :')'7,244.CO,
 

Ccn(inued '"
 

Except as prO'J)(Jed h!I~:r; ,i) Jew)!! .l '~.:,;i'7f'S ·~t '!"C ,kcumcf't fcf~renG6d 1ft Item '3/\ ,;, r .'I', ."[1 lui ,~C' C.lltlt"ljf;d, remalr.$ Ul'1<.hllnged and In ~JlI torce and effect. 

15A. NAME AND T:TLE 01 ",G~"R. c.- [.0,;1) .•( r. ·",'.'.E "'.0 TITLE OF CONTRACTING OFFICER (Type or prinI) 

158 CONTRACTOH;CITU;OR 16C, DATE SIGNED 

04/22/2009 ____-'-is,,,;'''"''' .•''',,''' ....:.'':.:c.( ,;•• >;.;-r dlJ~I".· .:. '. •._.,_.,'_; __

NSN 7540·01· 152·aOlC STANDARD FOR'-A 3C (REV. 10-a3) 

Previous edition unl.sabie Prescribed by GSA 

FAR (48 CFR) 53.143 

'/ 
2 

---------,---------.4~,.------------------l i', 'ERENCE ',:) Of LW~"'ENT BEINGCONT:NULlJ
 

CONTINUATION SHEET ~;':C06cR'~r:lOO()i)n
 

NAME OF OFFEROR OR CQNTRAC1 ~i"

SINGLETON iiEA::'H SSi' feES 

ITEM NO, SUPPllES,SERV1CES QUANTiTY UNIT UNIT PRICE AMOUNT

(A) (B) (e) (D) (E: ) (F)

New '~'ctal CL .. igate~.: Amount for this !\,,:'~I::-J:

$4, 57:·.l,256.~:

CHNi',3E:S F:~;;' SINE :TE:H !JUl·18ER: 5 

OblicF[ed r-" llJnt :':',' thi:; roodificatjor::
 

$ J 0 a•:-' 00 . aI;
 

Incrc;::',~nt()_: ;··undeci F":noun[ cr.:lnged f:r-J;T
 

5160,000.0(0 $4E~.JCO.oa
 

NEW i\r::COUN'~': ';G COU,., ,;DDEG: 

ACCOUf',t co'::" 

22QSO /610C '560/:~;'/f'COODCOO/736466.'··,1):,,',' ,:)2,0/
 

2 I {) CO:' 2:' 60 ;':;/ CA S;< : ;: 'j 0 9C,/ 36 1N/1 I 2
 

Cost Center ,'2QSOO
 

GI Ac,:olJnt ( 00.2°,",0
 

Order "'COOC' )0
 

Quanti ty: C
 

/I.moun : $3(:':,000.0:'
 

Perc"r~t: 9,',',545
 

SUbject To ;';ndinq:
 

Payme::t Adu: :ss:
 

Accoul1ting : ~fo:
 

22Q50[: 1 6l0D, 560 /2,:'/ ;'"COC ecoc n 364 66, IJl . OJ, Gi . :)2.0/
 

2/000/25601: ,/CA:,X,:'J09D/361N/l/2 CO:3t C""'."r:
 

22Q50[' GIl,,' :aunt: \,100 ..'560 Order: "'CGCCOC) "!as
 

Eleme:'tl: '; ;466,0·... 09.03.02.0 WBS E:l"'r'if.'nt::: 2
 

Ttem t<I.lmb~·r 000 C(~p'mitment Item: 25,)0 E'l':~l(':;:;
 

Center: 22 ':nd: C.t.;«22()()9D runctiOc,;-l: !\,-':C:<1: ~61N
 

N$N 7540..o1·'~4-8C67 s_oPnoow. FOIU.l J3e (......) .. by GSA 

FAA .41 CFRI 53,110 
x 

----------------.$."'l;---------"T":"-.,.,=-;::-:-;~~=:--_, PI'IGE OF PAGES AMENDMENT OF SOLICITATIOniMODIFICAT10~:WCONTRACT 11. CONTRACT 10 CODE I	 1 I 2 

4. R~(;\jis;nONIPURCHASE REa NO. 15. PROJECT NO. (lfapp/lCBbIt) 

I;?!) l.":} :j:: 9 6 

.i HFECTIVE DATE 

000024	 i

\ ,;4/3012009 . ---~_.

6 ISSUED BY	 CODL ~RC 7. N:",,.NISTERED BY (/1 olhor thBn II"", 6) CODE IGRC ------------1	 '---------­ tL~";:~.:',.':Glenn Resea~ch Center
 

Procuremenc Divis~c. MS .• ,c··3l3
 

NASA/Glenn Research ',!nter 

Prc~u::emellt Division, MS 500-313
 

21000 Brockpark Ro~
 ?,':-() Brookpark Road
 

Cleveland OH 44135­ Cl·'/,land OH 44135-3127 

::8~N"A.,.,lA=E-:A-:-N:::O:-A:-:D"'D"'R"'E::cS::cS::-::O::-F-::C:::O::N-;;T:;R:c-i,C:;;-O-R-IN-O-.";"~:I·:,~,-.,,-,y-. -St-"'-"-..-'d-l-tP-C_-I~----i~-(X-)..,.,',-;"'-,-'M-:-EI:-~"D:-M"'E.,N=T-:O:-:F:-:S:-O=lI"'C"iT:-:A:-::T:-:,O:-N:77N::O:-:.----------------­

, SINGLETON HSt\LTiJ SSF':': CE5 

Attn: Kennec:: B. 5_[, '.<etoe, ru;-i- DATED /SEE IrEM 11) 

I 8501 L",Sa] le K(lad, :" .. te 31
 

Towson !'ID 21286 _L_.~=====:_:_===::__------­ v	 " ,:,\ MODIFiCATION OF CONTRACT/OROER NO. 

.,	 ~;j;;'~O fJCS-l OC 

n, DATED (SEE/TEM 13) 

CODE -I FACILITY CODE 3/31/2006 

11, TIllS ITEM ONI.Y APPl.IES TO AMENO~M."E"'NT~S"""O"'f-,S"O"I.T.IC..I"'TA"'T..I,.ON-=S--------------------­

-: The abow numbered soOC.llatiQn iii LW' I'ded as set Il~r(h In Item 1-4. The hour and dale spodrfed t,)! mccirJI of OtfelS "~~is .':del\ded. "'J- nd extended. 

Offen: must Bcknawiedge receipt of '.l~I" amendml3rll prier to the hour and date spedf.ed in the soIiCit'~:JrJn cr as amp.l\ded, by o~e of the following melhods: (8) By cornpteung 

lterM 8 and 15, and returning ~~.____ cCipi('s Qllt"1o aOlsndment (bl By acknowledgicg rl''---l~ipt of f"is amendment 00 each copy of the off.r submitted; or (e) 8y 

separate lettar or telegram which incI ,d"S a reference IQ Ihe sOI;cltatlon and 8Inendmonl numbers. !";\;l.URE OF YOUR ACKNOWLEDGEMENT TO BE RECErvEDAT 

THE PLACE DESIGNATED FOR TH', leCEIPT O~ UTrERS PRiOR TO THE HOUR AND DATE SPECIFiED MAY RESULT IN REJECTION Of YOUR OfFER. Kby 

virtue of this amendment you desire Ii" (~lanQe aTi ()(f(~r a,roady !\ubmitted. Sl.Jcn chango may be fl1'H~jJ by telegram 01' lett.., pro"Vided each IDIogram or letler make. 

reference 10 the SOllCII.:=)t!on and this ;'.!..':'.rH:!ment, i1l'd 1~•..:;m"',c"'e"'i,"'e_"rl_"pn"'·"'0<_'I,.O.::'h"a'_'oP=en"'"'n...9,,ho"'u,,'.:"""'.,.d"'d"'al"'e"'Sl:.p''''-:<.'''.,fi''',"'''d	 _ 

12. ACCOUNTING AND APPROPRIA'". 'j DATA 1;( '0.""."0(1) Ne t r ,,:::C ,3 se: S 315, 945.00 

See Schedule 

13. THIS ITEII ONLY APPl.lE8 TO MOOlFICAnON Of CONTRACTS/ORDERS. IT MODIFIES THE CONTRACT/ORDER NO, AS DESCRIBED lH ITEII14. 

CHECI<ONE A. THIS CHANGE om'!." IS ISSUED I'UHSUAN TTO: (Speci/y authOrity) THE CHA"CES SET FORTH IN ITEI,I 14 ARE MADE IN THE CONTRACT 

ORDER NO. IN iTEI·., ,,~ .... 

B	 THE ABOVE NUMBf '.,00 CONTR,\CTIORDER IS MODifiED TO REflECT THE,,[l~"'~'STRATIVECHANGES (such a. chanl/6'" payi"flollb, 

appropriation <Iale, '/' i SET FOR11· IN IfEM 14, PURSUANT TO THE AUTHQn" , OF FAR 4Jl03(bj. 

C. THIS SUPPLEMEN To, ~AGREEMENT ,s ENTLI~ED INTO PUflSUANT TO AUTHc)'<I Tv OF: 

Conlractor 

14. DESCRIPTION OF AMENDMlN1	 

,. 

~'itdtion ~f Funds 

E.IMPORTANT: o copies to the issuing oftk:e. 

LI ST OF CHl,NGES:
 

Add PR42G0232598 to :)15,J~~,GC,
 

Pursuant to the L:iT,: ,tioo 'C '.'""ds Claus,:> tAR 52.:':-:0.22, the total funding is increased by
 

5315,945.00 fom $';,'},256." LO S4, 895,201.81. 

Obligated i\mount :01 '~his 'i~,ficdtion: $3l5r945.C,~.
 

The Contract Val.u~
 

Continued '"
 

fxcopt aa provk:ed !l.t=.'1I::r:, aI,' :~Tr'.:;- 0" : nJ:LiQn.,> ,',! 'i,',,:,wf'j'n! rer~rt:m:cd in :~t'm ':fA or 1OA "~ "":~ J-,Je Chan!1f'ld, re~ains uncl'>af1ged and in tuft force and effed.
 

15A NAME AND TITLE OF c,G"'Er< r· c, print) , ,.... 'u'"e AND TiTLE OF CONTRACTING OFfiCER (Type evpniJl)
 

158. CONTRACTORfO,FERGR	 15C. DA1E SIGNED lOC. DATE SIGNED 

04/30/2009 

~.----~'--------'---------'-----:T7'''--''--.J.'--------'---------­ NSN 7540-01-152·8070 STANDARD FORM 30 (REV. 10·83) 

Prev'o-us e4ifiOl' UOi.,s:Jc:e Prescribed by GSA 

FAR 148 CFR) 53.243 
2 

F, ENT BEING CDNTINUED 

CONTINUATION SHEET, 

NAME OF OFFEROR OR CO'JTRAC1C' 

SINGLETON ~SALTH ~E~ :CES 

ITEM NO. ~';U~}PLIESISERVICES QUANTITY UNIT UNIT PRICE AMOUNT

(A) (B) (C) (0) (E) (f)

All ot:ler :> ;-:ns an(~ ,:)r.ditions remain unch,i.::r~;i~d.

CHANGES f0~ LINE I 2EM NUMBER: 

Accoun t cedI
 

22QSOO/61CC .. 5.JO/2:~'" ~,"~ccnOOO/736466.01. O~1. "::'j. ;)2.0;
 

2/GCO/:'560/: /:M;Y.:·: ';')l:i36IN/l/:,
 

Cost C,nU,,· ::')58";
 

GI :\cc::,u;~t iJO. 2S t
 

Quanti l: y': j
 

Amuun:: S3~~,9~5.0(
 

Ppt<:enL: le. 318.'
 

Scbject Tc i' :ndir~(~:
 

Paymen', Ad,~:, 53:
 

Ac,:ounting :: Eo:
 

2 2l;JS 0 0:' 6 1 <) (: •. 5 I;°/;',;: ::.: c:: 0000/7364 6 E . 01 . 09 . D', . (] 2 . 0,1
 

2/000/;'560,-: /eAS>:.; :~'"C/361NIl/2 Cost Cer.~,,,r:
 

220:300 GI t·"·::llmt: ·:'!00.2560 Order: FCOOOCr]() i'ISS 

Elemenrl: 73 166.0\.C9.03.02.0 vms Element:2: 2 

Item Number-: 000 C"T:"it~:ent Item: 2560 Fur.d:; 

Cecter: 22 I 'nd: ::,\:I>':'2009D F"unct:icnal An',~: J61N 

0PTJ0I<.6.l FQRIj 33614-1161 

S_btGSA 

FAR ,"CFR] 53.110