PAGE AMENDMENT OF SOLICITATIONlr~ JIFICATION OF CONTRACT 1 I''TRACT 10 CODE I 1 of 1 

-2-.-1Ii"'O"D"'I~F"'IC-A""'T"IO"'N~N"O-------'!"'I:"-' -E:"'F""""£F~CTIVE DATE 14 REQUISITIONiPURCHA~ c: NO 15. PROJECT NO (If applicable) 

1 See Block 16C Below 4200157734 

6. ISSUED BY CODE I CHEJCAW 7. ADMINISTERED BY (If other than /lem 6) CODE I

'------­

NASA Glenn Research Center Same as Block 6 

Attn: Cheryl A.Washarn 

Services and Construction Branch 

21000 Brookpark Road, Mail Stop 500-312 

Cleveland,OH 44135-3191 

8. NAME AND ADDRESS OF CONTRACTOR rNo. :;treef, county State and Zip Code) o 9A AMENDMENT OF SOLICITATION NO. 

Singleton Hearth Services, LL.C. 

8501 LaSalle Road, Suite 310 9B. DATED (SEE ITEM 11)

Towson, Maryland 21286 -=­ r2J 1-:­ 1O=-A:-.~M--O~D:-IF=:I"':C~A=:T--IO:-N':'""O""'F::-:C-=O":""NT=RA"':"C=:T=-;=O-=R-=D-=E-=R"":"N-'O:-.-

Telephone: 410-296-3737 NNC06CB70C 

Fax: 41 0-296-0650 lOB. DATED (SEE ITEM 13) 

March 21, 2006 CODE	 IFACILITY CODE 

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOUCITATIONS 

D The above numbered solicitation is amended as Silt forth in Item 14. The hour and date specified for receipi of Offers D is el<!ended, D is not extended. 

Oltet's must acknowledge receipt of (hi,; ,Ullendment prior to the hour and date specified in the solicitation or as amende<:l, by one of the following methods: 

(a) By completing Items 8 and 15, and I"tum;I") __ c"ples of the amendment; (b) By acknowledging receipt 01 thiS amendment 011 each copy 01 the after submitted; or 

(e) By separate letter or telegram which Irlclud... ,; a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED 

AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN REJECTION OF YOUR OFFeR. II 

by virl1Je 01 this amendment you desire to chr.nlje all olter already submitted, such change may be made by telegram or letter, provided each telegram or lelter maJ<es 

reference to the solicitation and this flIl1%Cment, and is received prior to the opening hour Ill\d elate specified. 

12. ACCOUNTING AND APPROPRIATiON JATA (I( required) 

420000157734 ($298,286.81) 

13. THIS ITEM APPLIES ONLY TO MODiFICATIONS OF CONTRACTSJDADERS,IT MODIFIES THE CONTRACTIORDER NO. AS DESCRIBED IN ITEM 14. 

;, * * St3!ect ,~,:-;:; SIt',,fCL i:; /1,10ST 1f..1PORTANT action for th~' nlod, Specil.'l Authority (8S 1J~'!pjJcsblf3) t'.y SsltX":tion. 1< 1< "' 

0 A trHIS CHANGE ORDER IS ISSUED PURSUANT TO (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE 

~ONTRACTORDER NO. IN ITEM lOA. 

THE ABOVE NUMBERED CCNTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (Such as changes in paying 

office, appropriation date, e(c.; SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b). 

r-H1S SUPPLEMENTAL ,·\GREE'M.oNT IS ENTERED INTO PURSUANT TO AUTHORITY OF: 

D 

~'

,. 

B 

1--.•. 

0 C 

IZl 0 OTHER (Specify type 01 modlllcCltian and authority) 

Cost Plus Fixed Fee (Cf-~FF); FAR 52.232-22 Limitation of Funds 

E. IMPORTANT: Contractor C8J is not, 0 is required 10 sign this document and return copies to the Issuing office. 

14. DESCRIPTION OF AMENCMENTi~,10CtF:CATION(organized IJy UCF section headings, including solicitation/contract SUbject matter wharF) f!'EJsible.) 

Contract No. NNC06C870C is hereby modified to reflect the following: 

1.	 Pursuant to the Limitation of Funds Clause, FAR 52.232-22, total funding is hereby increased by $298,286.81 from 

$515,000 to $813,286.81. The funded through date for lhese funds is estimated to be September 30, 2006 

2.	 Contract value remains unchanged at $4,305,779.00.
 

ALL OTHER TERMS AND CONDITIONS REMAIN UNCHANGED
 

Excect as provided herem. al tdrms dnd ,', ., ",.' .W:'Jl"nonr reler"n~ed m Item SA Qr 10A. as heretofore 'Jhanned. remams unchanQed and in full "'tee and "ftect. 

15A. NAME AND TITLE OF SIGNER 16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or prim) 

Cheryl A.Washam, Contracting Officer 

15B. CONTRACTOR/OFFERCR 15C. DATE SIGNED 16B. )U1iTED STATES OF;~EAICA

BY { fir J

(Sig/Jature 

ALA!... .J1 

of Contracting 

.~Officer) 

16C. DATE SIGNED 

May 23,2006 

rlSN 75<0-01 1528070	 '30-106 STANDARD FORM 30 (REV. 10-.!3) (GRC Overprint 02/05) PREVIOUS EDITION NOT USA8LE P,eocri>od by GSA 

FAR (48 CI'RJ 63.243 

-: ~''''r':p'";;' 'I 'l'~ .~''1''~' O'·...&i....... iIIh! Ji'l l ~,/:.,l·'·~+,·;}~~~~"\ ~,F1 ·~~-1.\~.NA
-_. --,..__..... --­ dii-"-~

AMENDMENT OF SOllCni\Tlor(;l;VDtr-IC.~TION

.--­

OF Cm~TAACT

1~TRACT10 CODE 

V . 

/PAGE 

. 1 of 1 

? MODifiCAT,ON !iiI). 

o gAo AMENDMENT OF SOLICITATION NO. 

Telephone: 410-296-3737 

Fax: 41 0-296-0650 

CODE IFACILITY CODE 

98. DATED (SEE ITEM 1t) 

-=-f-----------------­ 10A. MODIFICATION OF CONTRACT/ORDER NO 

NNC06CB70C 

10B DATED (SEE ITEM 13) 

March 21, 2006 

11. THIS ITEM ONLY APf>L1ES TO AMENDMENTS OF SOLICITATIONS 

o The above numbered solicitation is amended as set lorth in Item 14. The hour and date specified tor receipt of Otters 0 is extended, 0 is not extended. 

Offers must acknowledge roceipt of this amendrnem prior to tile hour and dale specified In the solicitation or 85_amended, by one of tile following methods: 

(a) By completing Items a and 15. aneJ ,.,lumin,, __ copies 01 the amendment; (b) By aoknowtedl/ing receipt at ttlis amendment on each copy of the otter submitted; or 

(c) By separate letter or telegram whic~', includes a reference to the solicitation and amendment numbers. FAIl..URE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED 

AT THE Pl..ACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATe SPECIFIED MAY ReSULT IN REJeCTION OF YOUR OFFER. If 

by virtue of this amendment you desiw to change an oHer already submitted, such change may be made by telegram or letter, provided each telegnarn or letter makes 

reference to the SOlicitation and this aI1lt'"0rn"m, ilnd I~ received prior to the opening hour and date specified. 

12. ACCOUNTING AND APPROPRIATION DATA (If required) 

PR 4200179122 ($45,000) 

13. THIS ITEM APPl..IES ONLY TO MODIFICATIONS OF CONTRACTS/ORDeRS, IT MODIRES THE CONTRACTIORDER NO~ AS DESCRIBED IN ITEM 14: 

* * SeJecr Ih" SINGLE MOST IMPORTANT action tor this mod. Specify Aurf10rlty (as applicable) by selec6on. '*	 * * * 

0 A !THIS CHANGE ORDER IS ISSUED PURSUANT TO (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE 

!CONTRACT ORDER NO. IN ITEI..1 lOA 

THE ABOVE NUM6ERED CONTRACTIORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (Sud! as changes in paying 

office, appropriation d ..li!, e:e.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b) 

!THIS SUPPLEMENTAL AGREEr'A,:::r~TIS ENTERED INTO PURSUANT TO AUTHORITY OF: 

0 8 

0 C 

Il?J D OTHER (Specify type r;i modif,cD/'on and authority) 

Cost PluS Fixed Fee (CPFF): FAR 52.232-22 Limitation of Funds 

E. IMPORTANT: Contractor ['gJ is not. 0 is required to sign this document and return copies to the Issuing office. 

14. DESCRIPTION OF AMENDMEkTt.10DI"I·::.-. TION (Organized by UCF section headings, including solicltation/con!r8ct subject matter where feasible.) 

Contract No. NNC06CB70C IS hernbi modified to reflect the following: 

1.	 Pursuant to the Limitatic.n of Fclnds Clause. FAR 52.232-22, total funding is hereby increased by $45,000 from
 

S813,286.81 to $858.2i)6.81. The funded through date for these funds is estimated to be November 30,2006.
 

2.	 Contract value remuins :.mchanoed at $4,305,779.00.
 

ALL OTHER TERMS AND CONDITIONS REMAIN UNCHANGED
 

15A. NAME AND TIT'..E OF SIC'-.",P ,/c.c,.- ~:'::':I	 116A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)
 

I Cheryl A.Washam, Contracting Officer
 

156. CON! RACTORIOFFERGP. j 15C I' 68Jryr,ED STATE~OF ~.?}. F~·-::D:-:A-=T=E""S"'tG="'N=E=D

2'{ .__ .__ i !3Y_U!.J,'~tl., v .-U)vt.--n:-.-/_: SeOlember28, 2006 

~Wa~ro~~~~~m~~:~-. __~' ~~~_~' ~~.~".~~~t~~~~~a~f~c~a~n~~~a~~~m~g~~~,~;~~~r~;__~~I~~__~~~ ;;~.~~~~C~;,~~;'~~~cc VS~2_[	 3c ~:;5 STANDARD FORM 30 (MEV. lli·eJ) (GRC Overprint 02105) FrescriOf!C by GSA 

FAA 14f, CFR) ~3.:::4S
1. 9RACT 10 CODE IPAGE AMENDMENT OF SOLICITATION (~IFICATION OF CONTRACT 1 of 2 

2. MODIFICATION NO. 1'1 EF:::ECTIVE DA TE /4. REQUISITiON/PURCHASE NO. 15. PROJECT NO. (If applicable) 

3 r See Block 16C Below N/A 

6. ISSUED BY CODEI CHEJCAW
 7. ADMINISTERED BY (It other than /lem 6) CODE I

NASA Glenn Research Center Same as Block 6
 

Attn: Cheryl A.Washam
 

Services and Construction Branerl
 

21000 Brookpark Road, Mail Stop 500-312
 

Cleveland, OH 44135-319' -'--_. 

B. NAME AND ADDRESS OF cmJTRACOP, I ,'in , sneer, county, Slate and Zip Code) 0 

Singleton Health Services, L.LC
 

8501 LaSalle Road, Suite 310
 

Towson, Maryland 21286
 

Telephone: 410-296-3737
 

Fax: 410-296-0650
 -

CODE IIOACIUTY CODE 

9A. AMENDMENT OF SOLICITATION NO. 

98. DA TED (SEE ITEM II)
 

lOA. MODIFICATION OF CONTRACT/ORDER NO.
 

NNC06C870C 

lOB. DATED (SEE ITEM 13) 

March 21 , 2006 

11, ntiS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS 

o The above numbered solicitatroll is "mun,l"d 3" set forth in Item 14. The hour ana date specified for receipt 01 Offers 0 is extended, 0 is not extended 

Offers must acknowledge receipt of thiS ~I11CI·';I1l.:nl :lnOr :0 !he hour and date specified in the solicitation or as amendeo, by one 01 the following methods; 

(a) By completing Items 8 ard 15, and ".,turn,,!; __ ':oples 01 the amendment; (b) By acknowledging receipt 01 this amendment on each copy of the offer submitted: or 

(c) By separate letter or telegram '1I11ICf1 ,I1CILd,j,; d rderence 10 the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED 

AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN REJECTION OF YOUR OFFER. If 

by virtue of this amendment you des;f e 10 cha"1]" an ·)lfer already submitted, such change may be made by telegram or letter, provided each telegram or letter makes 

reference to the solici1ation and thiS am"ndmpnt, emU is received prior to the opering hour and date specified. 

12. ACCOUNTING AND APPROPRI,\TION DAT/\ (If required) 

PR 4200179122 ($45,000) 

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS; IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14. 

S"Jc'U :;'1..' SiNGLE ;~!OST IMPORTANT aCliOn tor !/liS mod. Sp,xify Autl1Cflly (as applicabiel by s..lactioll, 

0 A ~HIS CHANGE ORDER IS ISSUED !'!JRSU.",NT TO (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE 

CONTRACT ORDER NO. IN ITEM 1IJA. 

THE ABOVE NUMBERED CO.'HRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (Such as changes in paying 

office, appropriation UJtu. clc.j SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43,103(b). 

Administrative Chi.ln('l~ - /\ciditiOI\ of Clause 

'rHIS SUPPLEMENT/\l,\GRf:'::MENT IS ENTERED iNTO PURSUANT TO AUTHORITY OF: 

[8J B 

0 C 

0 D OTHER (Specify Iypo c,' n:ocJfu'aliofi and ,wtnority) 

E. IMPORTANT: Contractor C2l is not, Cl is required to sign this document and return copies to the issuing office. 

14. DESCRIPTION OF AMENDrJENTiMCU: FICAT10~J (Orgamzed by UCF section headings, includmg solicilation!contract subject maIler where feasible.) 

i:J!eRse see page 2 for contents of this modification: 

15A. NAME AND TITLE OF SrG'1cFiT/(::., .. " ... 

158. CONTRACTOR/OFFEROR 

BY_._. .._. . , , 

(Si nature a/person au!ilOrci',1 10;;':". 

NSN 7540·01·152·8Q70 PREVIOUS EDITION NOT USABLE 

~,;f~'~m ~>::f,::(er:ced (11 item 9A or 1GA. as heretofcre changed, remaIns unchanged and in fuU force anO effect 

loA NAME AND TITLE OF CONTRACTING OFFICER (Type or print) 

Cheryl AWasham, Contracting Officer 

15C. DATE SiGNED 16B. ED STATES OF AM RICA 16C. DATE SIGNED 

December 13, 2006 

30-105 
NNC06CB70C Modificalion No. 1 Page 2 

Contract No, NNCD6CB7QC is hereby modified to reflect the following: 

1. GAC Clause 52.204-96, ,s incorporated in full text as follows: 

PIV CARD ISSUANCE PROCEDURES (GRC 52.204-96) (FEB 2006) 

"PIV Card Issuance Procc,dures", posted on the World Wide Web at 

http://www.grc,nd~a.qo'j)V'v'JI!''iProcure/PIVCardlssuanceProcedures.doc, are incorporated herein by 

reference and made a part hereof. 

These PIV Card Issuance PlOcecJures are in accordance with FAA clause 52.204-9, "Personal Identity 

Verification of Contractor Personnel" and NASA Procurement Information Circular (PIC) 06-01 entitled 

"Personal Identity Verification of Contractors", dated January 18,2006. 

PRESCRIPTION - PIV CARD ISSUANCE PROCEDURES (GRC 52.204-96) (FEB 2006) 

Use with 52.204-9, "Personal Identity Verification of Contractor Personnel", i.e., in solicitations and contracts 

when contractor P(·~rformance requires the contractor to have physical access to a federally-controlled facility 

or access to a Fecerai informatIOn system. 

2. Total funding remains ullchanged at $858,286.81. 

3. Total contract value rem,,:ns unchanged at $4,305,779.00. 

ALL OTHER TERMS AND CONDITIONS REMAIN UNCHANGED 
1. _RACT ID CODE IPAGE AMENDMENT OF SOLICITATION OIFICATION OF CONTRACT 1 of 1 

2 MODIFICATION NO , '1 ~. EFFECTIVE DATE 14. REQUISITION/PURCHASE NO. 15. PROJECT NO. (If applicable)

4 See Block 16C Below 4200183008,4200184255 

6 ISSUED BY CODE I CHEJCAW 7. ADMINISTERED BY (If other than Item 6) CODE I
 

NASA Glenn Research Center Same as Block 6
 

Attn: Cheryl A.Washam
 

Services and Construction Branch
 

21000 Brookpark Road, Mail Stop 500-312
 

Cleveland, OH 441 35-31 91
 

8. NAME AND ADDRESS OF CONTRACTOR (No.• streer, county. Srare and Zip Code) 0 

Singleton Health Services, L.L.C.
 

8501 LaSalle Road, Suite 310
 

Towson, Maryland 21286
 

Telephone: 410-296-3737
 

Fax: 410-296-0650
 

CODE	 IFACILITY CODE 

9A. AMENDMENT OF SOLICITATION NO. 

98. DATED (SEE ITEM 11) 

lOA. MODIFICATION OF CONTRACT/ORDER NO. 

NNC06CB70C 

lOB. DATED (SEE ITEM 13) 

March 21, 2006 

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOUCITATIONS 

o The above numbered solicitation ,s amended a:; set torth in Item 14. The hour and date specified for receipt of Offers 0 is extended. 0 is not extended. 

Offers must acknowledge receIpt of Itlls amen,1m"nl prior io the hour and dale specified in the solicitation or as amended. by one of the follOWing methods: 

(a) By completing Items 8 and 15, and returning Gopies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted; or 

(Cl By separate letter or telegram whlcl1 includes a reference to lhe solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED 

AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DAtE SPECIFlED MAY RESULT IN REJECnON OF YOUR OFFER. II 

by virtue of this amendment you desire to change an offer already submitted, such change may be made by telegram or leltar, provided each telegram or letter makes 

reference to the solicitation and this amendment, .1I1el ;s received prior to the opening hour and date specified. 

12. ACCOUNTING AND APPROPRIATION DATA (If required) 

4200183008 $150,000: 4200184255 S110,000 

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTs/ORDERS; IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14. 

$ure<A iM SINGLE :lOST IMPORTANT action for rhl.'; .770(1. Specify AU/honty (as applicable) by selecliotl. .. * ... 

0 A r-HIS CHANGE OFlDER IS ISSUED PURSUANT TO (Spec:'lyauthority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE 

~ONTRACTORDER NO. IN ITEM 1C/\. 

THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (Such as changes in paying 

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

THIS SUPPLEMENTAL AGREEf..IE1'<T IS ENTERED INTO PURSUANT TO AUTHORITY OF: 

0 B 

0 C 

D OTHER (Specify type 01 mocilicdliun and ;lulhoriry) 

Cost Plus Fixed Fee (CPFF); FAR 52.232-22 Limitation of Funds 

E. IMPORTANT: Contractor is not, D is reqUired to sign this document and return copies to the iSSUing office. 

14. DESCRIPTION OF AMENDMENT/MODIFiCATION (OrganiZed by UCF section headings, inclur::Jing solicdationlcontract subject matter where feasible.) 

Contract No. NNC06CB70C is hembjf modified to reflect the following: 

1.	 Pursuant to the Limitation of F'~nd~ Clause, FAR 52.232-22, total funding is hereby increased by $260,000 from 

$858,286.81 to $1."113.286.81. 

2.	 Contract value remains Jndlar",geu at $4,305,779.00. 

ALL OTHER TERMS AND CONDITIONS REMAIN UNCHANGED 

15A. NAME AND TinE OF SIGi .1::/'1 : Typ,? ,Jr :;n;;: 

158. CONTRACTOR/OFFEROH 

BY ----­ rSi nature of person dutncnzc(i to s:c:n: 

I '5C J; 

I 

DATE SIGNED 

'1$N 7540-01·152·8070	 30·105 PREVIOUS EDITION "OT USABI.E 

,,~ ." .' 
·;~~__ __

	 I' 1. CONTRACT ,0 CODE ~f----I PAGE OF PAGES 

AMENDMENT OF SOLICITATiONiMODIFICATIL .. ;'~C_O_N_T_R_A_C_T_. .,--_-,-_-:-:-...,,-..,.-_-::- ,.-_ 1 I 2­

-::-z.-"':-:/.4-E=-N-O=-M=E:-:N=-T,-::-M-O:-:O""-F-iCA:-'--=,:-O=-N:-.-·'C,-· ..- ....•---. i] .I '·e:CrVE DATE I" REQUlsmON,PURCHASE RE':! NO 15. PROJECT NO. (If.ppiic.bls) 

J'1i~OIJ5 . .. .~ __?c..c.,,'_i~'_,~:...:C +ls-=-e..,.e=~:-:":-:c-=r-=le=;=-d-;::'i;:::.--:~~:;-::.:-;c:_:--.---;:-'7._-_I_-.,..-,--_-_------_ 6 ,SSUED 8'1' C,iDE ' .. .	 I 7 AOMINISTE"-ED BY (I{ other than Itom 6,1 CCDE IGR~ . ·.CC ----------1 1"""-'-'''-, _ 

I SASA/Slenn ~e5eazch Center 

I Prcc~~~me~t Civisi;)~, ~S 50C-313 

2"OGC Brook?ark ~=2 2:COO 5rcokpark ROdd 

C:eveland OH 44:~S- iCleve:a~~ OH 44:3~-3127

i 8. NAME "-NO ADDRESS OF co>n;;;·.·.:, :JR ,N".	 ~9A AMENDMENT OF SOliCITATION NO. 

~:tn: Ke~netn 2. I 198 1 . DATED (SEE ITEM 17)

2328 W :OP?A RJ 3: i 

I 

Ix I

,lOA. MODIFICATION OF CONTRACT/ORDER NO. 

NNC06CB7CC 

I :

U/10B. DATED (SEE ITEM 11) 

I CODE	 I h'\l,;;\' TY CODE .=::-------1 03,1 31 /20 C6 

--------------------'- 11. THIS ITEM ONLY APPLIES TO AMENO:.M=E..N"TS.-;:O"'F"S"O..U...C"""'T"'A"nu:O"'NS;;;---------------------­

C~: The above numbered 5Olicitatlon '~dl""';oed a~ s~t f01111 ;r l~'~;\;! 14, The hour and aa(e specifle<J tOf recetpl 0' OtfSrtI :_ is 8X1endttd. ':;1s not extended. 

Otters must acknowledge receipt oi :: 1-, ,\OlcnOrrellt prlur ~o u.o hour and date spe.cified In the 5OIiotaUon or as amended. by one of thtl' foWewlog method.: (a) By comp4ltting 

Hems 8 ana 15, and retlirmflq cap;,;,:>;.f :1'._' amendment; (b) By acknowll!dgJr'lg re<:eipl of thJs amendment on eadt copy of the orrer 5Ubmlttecl; or (e) By 

separate !et!er or lel8qram which lr,d:,,;{,'~~ a referp.pn~ ;01 tt.L: ;,:hCltation ana amendment numbers. FAILURE OF' YOUR ACKNOWLEDGEMENT TO BE RECEIVED AT 

THE PLACE DESIGNATEO FOR ThE ',CCEIPT OF OF FE I<~ ,'RICR TO THE flOUR AND DATE SPECIFIED MAY RESULT iN REJECTION OF YOUR OFFER. If by 

"irt\Jtt of this amAndment 'tau dcsu~ to ,.r-;jJ\ge ail offer .J:r\.';i.~:. ~ubmi:t8c, sud! change mil',' be made b)' te~9,am 01 letter. proviot<t eact1 telegram OT leltef makes 

refe'8f1C'e to the solicitation and [P.~s Jr·',:n'~r.lent ;;nd ,'; rl~'~ -. """'.,~";.:;rK"')(-'IO"_"'h"'.•~o"'p,,""-":.::n9=hou=("''''''''d=d.''''",."",s",pe",c""~",e,,,d~. _ 

\2. ACCOUNTING ANCAPPROPRIAT,··" DATA (I(rs4,,,,,'·11 Net: Increase: S ~30. 000,00 

22QSOO! 61 00.2560! 2Z-,. :.::~ 00 0 CO ·~L_ 8a ,_01. C3. :)5': aGO /25 60! 22 !ESAX220G70/CMOI 1 12 

13. THIS ITEM ONLY APPLlES TO MOOIFICAm;N OF CONTRACTS/OROERS. IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14. 

CHECK ONE A. THIS CHANGE GliDE Ii IS ISSUED PI;I< U.·\NT roo (Spec.fy a"ulOmYi THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT OROi:R NO. IN lIE.'.,! l(]A. 

B.	 THE ABOVE NU>.I[JEI'ED CCNTRAC r.r::r<r;ER 'S MODIFiED TO REFLECT THE ADMINISTRATIVE CHANGES (sudl .s changes in paying otrlC8. 

'PIY""n••on aafe. 'w! SET ~ORTH !,'J I;"\1 ". PURSUANT TO THE AUTHORITY OF FAR 43.103(b). 

C. THIS SUPPLEM~'n ,\c !-GR£EMENT ., r:;''·E"'R:rE:rD"'I~Nc;:T;::;D-;P;;'U~R~S;;U"A,-;:N"T,.,-;:, O::;-;'A~Uc;:TH=O:;;R'"ll''''(~O=F.--------------------------

x Pursuan'C .',"'" :'-:":j of Funes 

Eo IMPORT>\NT' Contractor (:is not ,'l:,~,red to sign ttllS cocumel!t nnd relum copies to t/'le !.Sluing office, 

14. DESCRIPTION OF AMENDMENr.~.. ·' I·.F:C.~T'ON ,,,I; .•···,1 by UCF section nSddings. IffClUiJl/lg SOliCltatlolVcontract sub;&c1 matter where feD$l1)/8.) 

Dell~ery Lcca~~sn

NASA/Glenn Resea=:~

2=.000 BrooKpark Rc -i" 

Cleveland CH 44i35-~ L: Sr. 

Cost Center: 22Q£2: 

15A NAME AND TiTLE GF S;G~jE:.:· 'f ;;rir:l)	 16A. ~AME AND TITLE OF CONTRACT:NG OFFICER {Type or pnn'J 

153. CONTRAC'7"CRiOFF'E:o.CR	 5(:. DA-I:: S:GNED i165, I'TED STATES OF~~ 16C. DATE SIGNED 

~{._.d~I&~_ 2,23-07 (S';gnilrw9cf~ls",::)0,/',-',,:, ,: '_"_",-' _	 ~-;''::;:;,fI ofCor.tr.cr;ng C."l"kwt 

NSN 7540-oH52·ii010 STANDARD FORM 30 (REV. 10-83) 

Previous edrhon 1.;n",s2ble Prescnbe<i by GSA 

FAR (48 CFR) 53.243 
NNC06CB70C Modification NO.5 Page 2 

Contract No. N~'JC06CB70C ;s hereby modified to reflect the following: 

1.	 Pursuant ~o the Liml:alion of Funds Clause, FAR 52.232·22, total funding is hereby increased by 

$130,000 from $1,118,286.81 to $1,248,286.81. 

2.	 Contrac: '/alue remcllns unchanged at $4,305,779.00. 

ALL OTHER TERMS AND CONDITIONS REMAIN UNCHANGED 
X 

.,. AMENDMENT OF SOLICITA TIONIMODIFICA TION J~~C'-O-N-T-RA-C-T----"""L-1-:"CO""N-:T::-R-AC""T:-ID~CO::-D""E:--­ -----:-J-ic-'FEC:VE O:-Ac::T=E,-----'1c::4:-.R:::E=.QUISITIONiPURCHASE REO. NO. 2. AMENDMENT/MOOIFICATION NG I 

COGe O_~=-=- _ 420019:'492 f;": Block 16C I B ISSUED BY	 CODE 7 ADJ.AINISTERED BY (If Qllwlr than Ilem~) CODE ~~ --	 NASA/Glenn Res@arch dlter Ni"-.SA/Glenn Research Center 

Procurement D~vis:"Q[; :v1S StJC'-::12 Prccurement :).1. v:'sion, MS 500-313 

21000 Brookpark Road 21000 Brookpark Road ; .. Cleveland OH 44:35-3 . .-	 CleveLwd OH 44135-3127 

_._----_._---_. B. NAJ.AE AND ADDRESS OF CCNTRAl:TOR INc., she" ~·.:JlMltf, St8hJ NK1 ZIP ;,1'*) 

I~

SINGLETON HEALTH SER,I :CES 

Attn: Kenneth B. Sine: ~e":Or"f ~E)

8501 LaSalle Road, S\.'<I-. te 310 

Towson MD 21286 

X 

9A. AMENDMENT OF SOUCITATION NO 

9B DATED (SEE ITEM 11) 

lOA. MODIFICATION OF CONlRACTiORDER NO. 

NNCC6CB70C 

11OB. DATED (SEE ITEM (1) 

CODE	 IFACILITY CODE 03131/2006 

11. TltlS ITEM ONLY APPLIES TO AMENOMENTS OF SOlICITATIONS 

CJThII abOve I"AJmbered salk:tt8t1on;s arr.cnded. .. set fann In Item 14. The hour and date specified forrecetpt at Off.. CII e~. ""']il nee axtanded. 

OIrers muol aclrl1<lWlodQe receipt of ~h,' dmendmenl prior 10 lh. hour and date opeofiod ,n the sol,alJlllOn or as _ended, by one 011118 followtng m_.: (a) lly oompIeIlng 

Items e and 15, iI/ld r.llJm'"II ccpie. or Ihe omendmen,; (b) By admowtedging receipl at "". arne_rnan ...eIl COP'( alltte oII'er_;at (e) By 

MPa"l!lIlletter at 1Il1_..,hH:h ,ndu'!." a reference to 111. >elidt.llon and illMndmenl nu_. FAILURE OF YOUR ACI<NOV'oU:DGEMENT TO BE RECEIVED AT 

THE PLACE DESiGNATED FOR THE I~ECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESUlT IN REJECTION OF YOUR OFFER. Ifby 

vtrtue of (hie amendment you deSIre to clHJl1i]8 an offer alreilcy sutlmlned, such dlange m.y be made by Ielegrwn Of' 'etter, providad 8-=t1leMgrwn or letter m••• 

rl!lfer!or;:! to the IONcniltOO and this ar;'~.!fldment and I' received priCK to the opening ON ana date specified 

12. ACCOUNTING AND APPROPRIATICN DATA (lfreculled) Net Increase;	 S2, <l00. 00 

U. nilS ITEM ONLY APPLIES TO MQOIFICAnON OF CONTRACTS/ORDERS. IT MODIFIES TliE CONTlIACTlORlIER NO. AS DESCRIBED IN ITEM 14. 

CHECK ONE A.	 THIS CHANGE ORDE·l IS iSSUED PURSuANT ,0: (Specify authorfly) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONIRACT ORDER NO. iN ITEM. GA. 

B.	 THE ABOVE NUMBERED CONTRACTICRD[R IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (lIUch as chang. In "eying office.
 appmpMrIon date. elc.) SET FORTH IN I1D~ 14. PURSUANT TO THE AUTHORITY OF FAR 43.103(b).
 

C. THIS SUPPLEMEN'AI. AGREEMENT IS U, n'RED INTO PURSUANT TO AUTHORITY OF 

Mutual Agreerr.ent Bet',.,recn :he Parties 

o OTHER ,Speafy type ';i mOdlllcatton and d~;";jnty:-j;'-""":'-'-'=--=-C:"':;---------------------------------­

E. IMPORTANT: Contracior .= IS not. :i IS U!'.jIlIl8::1 to sign ttlt. dCicument iIl'1Q retum _.to the IIIllinQ oIIice. 

14. DESCRIPTION OF AMENOMENTIM~ DIFICATION (O'!J.clzod by UCF 3IlCtJOn headings. InCluding .oidlalroniCOnlfac:l IlUb/fId t1IIftmr _ "'...~.l

Contract No. NNC06C8~JC is he~0by modified to reflect the following: 

1. The Statement .~f Nork (SOW) is changed as follows (an updated SOW, Attachment A, dated 

March 20, 2007 is at:~ched) : 

Delete from Bullet 3, a'.ltCIT\'j~,,·i '~xterr'.al defibrillator (AED). 

- Delete from Buliet Cvers~l~ :he Ce~ter-wlde AED ?~og=3m {responsibility cf the Medical 

DlrEctor), ar.d r:1.eCl'- . _ J';ersi']:~~"'::e':iew for any emerge!lcy medical services programs. 

Ccnt"-r.ued .. , 

Except at prcvkJed Mretn, aillerms ail,j :; - 'Miens t)f !he ,jQC:.,··t!J'1 referenced l.n It8fM SA or 10A• .u 1"WI!III"810for1! ~anoed. remBU1J" uncrtanged and in fuI fOl'ClJ and effect, 

•5A NAME AND ~ITLE CF SIGNER 'i;;') :r peel) - ..	 I ·M NAI';E ANC nn.E OF CONTRACTING OI'FICER (Type or prfnt) 

)(l.'" 1"1 -e. R. .f,.., ") &:.1-7/", / P·,-xf('oZ-.-T ICHEP.YL WASHl'~"'l

7~~~hRORbLLC: __ . '5;1~;;Z; )-(!);1--:;:-._-lT-ED-S-~-A-TE-S-C-F-AJ.A-.ER-~----·---_--IIr-,-:-3-~-2T-:-:2-1:-:-:--­

{Signal"'""t_•• """",",,,'.'.,· ·",nj	 /; I ~CornctngOrtlC!f/ NSN 7S40-01·152-l1070 STANDARD FORM JO (REV. 10-&3) 

Prev<oua _ion unusable P~lIa1bad by GSA 

FAR (48 CFR) S3.2~
3 

------.----(~'-----------;~ ;~IJE:RENCE NO Of- ... :}~MENT BEING CONTINUEO ..

CONTINUATION SHEET 

NAME OF OFFEROR OR CONTRACT,.;,­

,SINGLETON HEALTH SES";:Cr:S 

ITEM NO, QUANTITY UNIT UNIT PRICE AMOUNT

(A) (C: (01 (E) IF)

- Del~t,._~ fr ::r: 3u::let 1 ~, ~;)sure the Center'-wide
 

AED Pro,;r.-JI:1 ~s '''Ll.t~eL lr,(1 meets the requirGn1flnts
 

of the NASA AEJ ?roqr.j~ Gu~delines
 

(respens:'blLty of tr.," ~':edical Director;.
 

Provide trai':l~g and eJ:~;u~e ffidintenance is
 

performed as required.
 

- Add: The ~ontractc::: :;hall be responsible for 

all medical ,:;rotocals ':.,Llted t,J AED use at the 

Glenn Rese.1r:h Cen te:: ,l;,d P1 urn Brook Sta t~cn.

Sectien 3.:.~.2 Other Health Services: 

- Delete frem Bullet B, the ward AED and CPR in
 

the sentence "Provide ~jult CPR, AED, and first
 

aid trainir..; in accor:!lf1Ce with the American Red
 

Cross or ~cc~can Hear~ Association training
 

requirements". Changc she next statemenb to
 

read: The CJntractcJ: sl:all provide ten 4-hour
 

sessions inc_uding app=~priate tests to have
 

employees receive cert.L:icaticn.
 

- Delete f=C:1 Bullet 8, T~e Contractor's Medioal
 

Director she,.'.l have PCC:Cd=Y techniCal oversight
 

for the Cent,'::'s AED pQ~isy and its
 

implementati0n at the Center.
 

- Oelet~ ;;i'lJ:,lgraph 10 ::, its entiJ:ety, Manage the 

AED trainir..J pJ:oqraIn, ~r,c:"uding the use of a 

third part)· ,"ED managpl1\.'nt system provided by the 

Center. Th~:; includ",; =eccrdkeeping f,Jr the AED 

equipmen~ Ij.:S lccati~:~ 3nd ma~ntenance

requirement,;: . 

2. Provide :Lasses 'Jl: :-!.onaging T::ansitior.s Using
 

Relaxati'Jn '·'chniques .::, specified in Attachment
 

B, Statem~n:: ·~f :I'crk, 'Ll":ed December 4, 2006 in
 

the amount ,;= S100.00 ~~ class/session. There
 

J~s/session per week 

3. P1.Jr.::E~,_!;;.t ':J :::-te :.. .._~lL.:. :_l':lon of f!J11ds Cla'Jse, 

'fl.R ~2.2:3.-_-. tGt3.'::" -: ::-::::ii:1q loS ~er>~by increased 

o y $ 2 C!J ..>~ :- c;rr. $:',.2 , =:36. 81 to $::',:: SO, 686. 8 1 . 

4. Ccnt.':-,lC··, ·73.':".l~ r·~·::;.:. ~_:'j .1nchanged Jot 

$4,305,77," 

:'\LL OT;;2?, ~. ~.: :1S ."<1D :: -;:: ':::r ,JNS FEMAIN ~jNCHANGED

Cor.t.lnued 

OPTIONI\l FORM ...(...., 

--....byGS.\. 

PAR l4lCFIU ".11DI· 
3 

004 

A~r---- _ I't ,teRENCE NO. 'J~ Lv:JINT BENG CCN,INUED 

CONTINUATION SHEET ~J::COGCB"'OC",;';:jOJ6

~ME OF OFFEROR vR CCNTRACT'~"

SINGLETON HEALTH SES·.·~CES

ITEM NO. ~:Ui'P!. i::SiSERVICES QUANTIn' UNIT UNIT PRICE AMOU'lf 

(}\.) (8) (e) (D) (E) (f) 

Managinq f:.-._:. sitions 2,4CO.OO 

Cbligdted Aj~<·~.~nt: $2,·iG~).r)O

0I"Tl00IAl. FOAIl3:ll1 (4-11) 

S_OyGllA 

FAA /... CFRI u.". 
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 parformance of this contract. The Contractor shall maintain all facilities and equipment in 

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

and minor repairs. 

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

activities. The ~1edical Director shall serve as the Center Medical Review Officer.
 

The services wiil be generally performed onsite in Government provided facilities during normal business 

hours of 7:00 a.m. to 4:00 p.m. Monday thru Friday, unless otherwise indicated. 

The Contractor :0110.11 be required to procure and maintain adequate malpractice liability insurance for all
 

services under this contract.
 

3.0 Scope of IN'elk - Specific 

3.1 Medical SEW, ces Clinic 

The ~Iedlcal Ser. ces Clinic provides services for NASA Civil servants and support service contractors,
 

and includes the ;:.rcvision of emergency medical, occupational health, preventative health serVices, and
 

workman compo,'sation program. All services shall be in compliance with State and Federal
 

requirements.
 

The Medical Sel',ces CliniC sha!l be available during normal Center hours of operation, exclUding Federal 

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

and 12:30p.m. to ·~:OO p.m., Monday through Friday. At a minimum, a certified health profession (e.g. 
2
 

registered nursel shall be on duty at all times. "Phe clinic is closed for lunch 1130 a.m. to 12:30 p.m. but 

opened only for I~mergencies during this time. 

3.1.1 Emerge:l/c/ Medical Services 

Limited emerger:I:Y medical services shall be provided to onsite employees. These services are limited In 

nature and deslSjlOed to cOincide with other aspects of the GRC Health Services Program. 

The Contractor Silall: 

•	 Provide (emergency care and assist in emergency preparedness and response 

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

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

crisis intervention, and any other service that may be required, jf 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 civil 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 

plan. 

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

•	 Prepare ,I 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 

Plan 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 Occupatioi1al 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 improve the health of NASA employees with a focus on the prevention, 

diagnosis, treatml)r.t, and care 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 ~i;<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 cov,;rage. 

The Contactor s!:ai!: 

• Provice <::";;0 of illness dnd occupational injury. 

• Provide d'ical and environmental laboratory analysis (e.g., mercury, caejmium, etc.). 

• Provice ri:;:':la testing for laser safety operations. 

• Provide elJc.catlonal services such as education on human immunodeficiency virus, first aid, CPR, 

nutr:ticn ,wd stress management. 

• Coordirdte with referrals !o the GRC EAP 

• Provide Si,fJty glasses and supply services for prescription safety glasses as directed by the 

COTR. The services shall consist of dispensing, fitting, displaying, repairing, and adjustment of such 

glasses. (~J:,e: necessa,y eJptical equipment not provided as GRP). Civil servants must have a work 

order and 8 !'JW prescnption to take advantage of this program. Three-day emergency service shall 

be providec :,lIen required. This emergency service is not expected to exceed 2 percent of the total 

. -. ~, . 
3
 

quantity of l)f(~crs for the contract period. All safety glasses provided shall meet or exceed the 

Amer:can nJtional Stardards Institute Section Z87.1-2003 Standard for Frames and Lens. The 

Contractor ~;hall provide and maintain records of all safety glasses provided. 

• Provide rr0cical surveillance and medica! monitoring programs in accordance with OSHA
 

regulatory r':quirements 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 tor 

contacting ihe Medical 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 

arrangemerts for testing will be made at the time the employee notifies Medical Services Clinic as to 

whether or pot they elect to participate in the annual health screening program. The test will included 

a spirometry :est, and check of ears, noise, and heart to ensure that the person is physically fit for a 

respirator. 

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

musculoskeletal disorders for civil servant and support service contractors (no charge to support 

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

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

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

ergonomic (.'quipment and 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 

associated equipment. 

• Provide audiometric testing services, in accordance with 29 CFR 1910.95 (Occupational Safety and 

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

Hearing Ccns(:Hvation, and the Hearing Conservation Program Policy (Chapter 11 of the 

Environm',)l1tiJi Programs ~Jlanual). The Audiometric Monitoring Program, as part of the Hearing 

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

Exposure r.·ianagement Program (NEMP) of the SHED. 

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

abnormal i1li(jiograms and for making referrals to outside specialists, as needed. 

• Administer t1~e Audiometric Testing Program. All audiometric tests shall be conducted by persons 

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

direction of t:,e Medical Services Clinic physician. The Government will be provided with a list of 

employees ';'lrolled in the Hearing Conservation Program. Enrolled individuals will responsible for 

contactin\j r'-r-" Medical Ser'fices Clinic to schedule testing. 

The aUdiomd':c monitor!ns program shall include baseline, annual, and exit audiometric tests for 

Governm..,~: ,}rnployees enroiled in the Hearing Conservation Program. Each audiometric exam shall 

also inclu(;c ,J ::mef medica exam of the employee's ears, nose, and throat conducted by or under the 

guidance 0' Ii ;Jhysician. 

The Ccntr,lt:cr shaH provlce audiometric test data to NEMP on a monthly basis for all Hearing 

ConservaLcr' Program participants and as requested by NEMP. 

• Provide T'avel Counseling and Immunization to civil servants who travellinternationally for work 

reiated actr,,:iGS. The Con:ractor shall issue a medical clearance to international travelers. The 

Contractor ~;nail review the medical and immunization history and determine if further evaluation, 

....... ":.
 
4 

testing, medication, or ,rr:muniz3.tions are needed. A travel kit stocked with a variety of over the 

COl.nter m,)(J:cations for '.:S8 during travel shall be provided to International travelers as required. The 

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

of their reLm home. Returned kits are to be restocked and prepared for subsequent travelers. 

• Provice tiL; shots to CiVil servants annually as supplies allow. Flu shots may also be offered to 

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

recommenl~ations for the current year in establishing an order of eligibility. 

• Provide 'ob related FA;\ flight physicals for civil servants and support service contractors. Flight 

physicals shall be as required by the FAA Guide for Aviation Medical Examiner for applicable 

standards and examination 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 annual 8-hour Occupational Health Fair and an annual 8-hour Safety Fair for the 

purpose of promoting the health and safety of GRC employees. 

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

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

• Provide physical therapy to reduce lost-time injury lime. 

3.1.3 Incident Fleporting Information System 

The Contractor shall support tile Agency's mishap reporting system· Incident Reporting Information 

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

on all occupational and non-occupational (personal) injuries and illnesses and manages information about 

events or conditions of environmental, health or safety significance. 

The Contractor shall input basic information on work related injuries for employees that go to the
 

contractor for rrudical care. Ttle contractor initiates the employee injury process using IRIS. In addition,
 

the contractor wiil meet with Safety and Mission Assurance personnel to validate employee injury data,
 

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

In addition, the Contractor shail report employee mishaps and close calls within 24 hours using the Quick 

Incident Button ,n the IRIS. 

A NASA mishap is defined as an unplanned event that results in at least one of the following: 

•	 Injury to ;lon-NASA persor~rle!, caused by NASA operations 

•	 Damage to pUl)lic or privatI} property (including foreign property), caused by NASA operations or 

NASA funded development or research projects 

•	 Occupationalnjury or occ:.;patior;al illness to NASA personnel 

•	 Destruction of, or damage :0, NASA property except for a malfunction or failure of component parts 

that are nom:,,;lly subject to tair \/Jear and tear and have a fixed useful life that is less than the fixed 

useful life of the compleTe "ys~em or unit of equipment, provided that the following are true: (1) there 

was adequa'o} Drevenlatl'-() maln~enance; and (2) the malfunction or failure was the only damage and 

the sale action 'S ~o repla,;'" or repair that component. 

A NASA close cz,i ,s defined as an occurrence or a condition of employee concern in which there is no 

injury or only minor Injury requIring first aid and no significant equipment/property damage/mission failure 

(less than $1 ODC i. :Jut Which possesses a potential to cause a mishap. 

3.1.4 PreventivfJ Health Sen/ices 
5
 

3.1.4.1 Physical Examinatlon~;

The Contractor Sh311 administor physical examinations for all civill:iervants who choose to participate in 

the employee Hua:th Screening Program. The Contractor shall establish a system of employee 

notification and appointment scheduling and tor rescheduling of missed appointments. 

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

examination shall be providec l~ach year and a complete physical examination once every 3 years. The
 

examinee has trw 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: 

• Providod routine blood pressure monitoring to civil servants 

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

seasonal alleruies 

• Provide a Mammography Screening Program through approved providers to a!1 civil 

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

provide basoline mammography screening and annual mammography screening. The facilities 

providing 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 l1iet, and other nutrition questions or problems. 

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

attained and maintained. /\dditionally, those duties such as checking foods for freshness, proper 

temperature. and expiration dates shall be included in these inspections. 

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

first aid.
 

• Provice auu't CPR and ;irst aid training in accordance with American Red Cross or American 

Heart "'\s<.;oc:<1t1on traininG mquirements. The Contractor shall provide ten 4·hour sessions including 

appropriate ~ests to have "mployees ~eceive certification. 

• prOVide, a s:roklr.g ces~;;:tlon program at a minimum semi-annually. 

• Provicc hr;;] Ith and wel:ness training on a variety of tOPiCS not limited to physical fitness, nutrition, 

stress m;,nLit;ement, ergcr;omics, etc. A minimum of 12 1-hour sessions shall be provided per year. 

Civil servants shall be given priority enroilment. Health and wellness training shall be provided at no 

charge to SL8!=ort service (;omractors. 

3.2 Worker's Co'npensatior. Program 

The Contractor Sh~lil support :~'e 'Harker's Compensation Program Officer. The Medical Director shall be 

responsible for Uw medical aspects of civil servant worker's compensation cases. This shall include 

initiating and prcvicing medbi[ 8'Jidence to NASA compensation personnel for claims that do not appear 
6 

to be work re.al(,C: and stloulu be refuted. The respective Compensation Claims Officer shall assist as 

required. 

The Contactar sh;;11 obtain history, assesses injury or illness, and provides treatment. The Contractor 

shall ensure rre~ltrnent option,; are available for any employee with an occupationally related Injury or 

illness during and after normal busir,ess hours. The Contractor shall provide ongoing care and follow-up 

until issue is resolved or max.mum 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 fitnes~; for duty and the need for job modifications or accommodations. 

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

3.3 Physical FitnGss Program and Associated Services 

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

with the purpose of maintalnlr,g and improving participants' fitness for duty. The program shall consist of 

physical and rehaDilitative therapy and exercise programs, Phase '" Cardiac Rehabilitation, 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 sGrvices are a'iailable to civil servants so as to assure no interference with employee work 

responsibilities, bur consonant with flexible work schedules. The Fitness Center services are also 

available to civil servant retirens 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 m'Jdical screer Ing is to provide a baseline for the medical and exercise professional to 

make recolllrnemi;Jlions conc"rning personal exercise program. 

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

Center. The Contr;lctor shall c:nlermlne the minimum level of fitness and screening required to participate 

in the Fitness Cer1 ter and provided any medical screening requirements to civil servants. The Contractor 

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

requirements for a foe to be crl.edited to the Government. Upon being medically cleared, the requestors 

will be granted Fitnl3ss Center mernb(3rship status. The Contractor shall ensure medical clearances are 

up to date for all o;crticipants. 

The Contractor sr,;lIl: 

• PrOVide ser',ces compa:ble with the standards promulgated by the American College of Sports 

Mediclr.e. 

• Provlue OdS,1: 'Itness clesses sl"ch <is :ntermeciate step, step and tone, Interval conditioning, 

healthy ()ilck. :i;rlirg, and iq;scle .:;onoitloning at no charge to members. Fees may be charged for 

spec'<11Iz(~d CI;)!;ses Such 2'; joga 2nd Pirates. Civil serJants shall be given priOrity enrollment. 

• Oe'Ju;up ill~(: :nplemimt ",(iivldual and group fitness programs based on emerging national level 

trends 25 '.veil as customer Cata. 

• Provice ;nstrL,ction on th.; proper use of equipment upon their entry into the program and as needed 

thereafter. 

• Implernl"nt e~ercjse prescriptions as ordered by the Medical Services Clinic. The Contractor shall 
7 

provide one or, one attention and service to personnel who undertake medically pre-scribed fitness 

prograns or regimens. 

• Providl3 information ane! education to the onsite community through a variety of venues including 

pamphlets, ne'/islelters, hoalth screenings, lectures, and personal training, with the underlying 

message that optimal he~dth and fitness are achievable, in part, through regular physical exercise and 

screenings for early dotection of disease. 

• Integrate the Fitness Conter's program with all other aspects of the Occupational Health Program 

such as environmental health, medicine, nutrition, and rehabilitation services. 

• Promote special activities such as the Slimathon, Employee Step Out, and the Summer Volleyball 

League. 

• Maintain all participants' records which shall be used for monitoring employee progress, to study 

outcome moasures and program effectiveness, and to track, publicize, and promote the program. 

• Implement specific fitness programs and fitness screening/testing. Examples may include fitness 

assessments, weight loss, blood pressure normalization, strength conditioning, rehabilitation, and 

group activities. 

• Monitor progress of individual participants in terms of physiological responses and modify their 

activity preSCription as requested by the participant. 

• Develop a program to attract new members and to encourage a regular pattern of participation by 

current and new members. 

• Provide physical therapy and Phase III Cardiac Rehabilitation to civil servants who have been 

diagnosed for the need of these therapies. 

• Administer medical servces as appropriate, such as CPR, AED, and first aid. 

3.4 Employee ASsistance Prcgram (EAP) 

EAP is a confidential, diagnoslic, and educational program providing assessment, short·term counseling, 

and referral servicDs free of charge for civil servants, their immediate family members within the same 

household. EAP group sessions for grief counseling/crisis management shall be provided free of charge 

to support service contractors. 

The EAP coordinator shall be onsite 5 days per week. The hours 01 operation are Monday through 

Friday, 8:00 <:l.m. to 12:00 p.m. 

01lsite cOLJ:lseling services shall be available through a network of providers in the Northeast Ohio area 

and offer weekday, weekend, :md evening appointments. 

3.4.1 Manc:Gcment, Organizat,on, GrcLp Consuitat:on, and Education 

• Provl\~l) .'rner:jnr:cy EAP V);~SLJltalions 24 hours per day, 7 days a week. This will include access to a 

psychiatriSt. 

• Provide ser';:CI~s for emplviee or family self-referral, management referral, or Medical Services Clinic 

referral. 

• Offer shcrt-tmrn counselinJ limited to three visits per problem for civil servants and their families. 

The EAP counselor determines the appropriate number of visits on a case-by-case basis, and may 

..' 
8
 

determ ine the apprOprlatl:ness of greater than three visits. Should the need arise for more than three 

sessions: the employee will be assisted in finding a provider under the employee's medical plan. 

•	 Participate or. committee:; and In meetings to clarify and promote the EAP. 

•	 Provide a wide range of ;\ppropriate educational materials for distribution and posting. 

•	 Provide informationai se~;slons, workshops and seminars on a wide range of topics. 

•	 Provide management consultation in a variety of areas such as violence in the workplace, stress, and 

conflict. 

•	 Provide consultatiOn to n'anagement on the Drug-Free Workplace Program. 

•	 Consult and provide education on violence prevention to management and organizations. 

•	 Facilitate and/or coordin ..,te the implementation and scheduling of health related support group
 

meetings.
 

•	 Provide bimonthly (1 hour in length) onsite seminars addressing a variety of workplace issues
 

facing employees including, but not limited to, stress management, workplace issues, elder care,
 

•	 Increase employee awareness of the availability, nature, and scope of EAP services through periodic 

training. 

•	 Review the nature, scope, and accessibility of the EAP services 

•	 Assist employees in returning to their position and Job duties at the level required in their job
 

description
 

•	 Provide managers with periodic training and education to:
 

- Review manager's responsibilities to employees
 

- Review how to address issues such as identifying poor work performance and confronting a
 

troubled employee
 

- Discuss the benefits of early detection and referral emphasize their role in using EAP as a
 

management tool to assist employees with job performance issues, behavioral problems, or
 

excessive absenteeism
 

Crisis Management 

The Contractor shall: 

•	 Provide crisis management for disaster and emergency situations, as directed by the COTR.
 

Additional resources for Critical Incident Stress Debriefing in the community will be identified and
 

made ;wailarJle, as appropnate.
 

•	 Suppor: the Emergency Preparedness Plan and participate in one table top exercise per year 

consisting of a Sit down meeting lilat will last up to 4 hours. This exercise will prepare for and support 

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 roquired under thQ Emergency Preparedness Plan and Continuity of Operations Plan. 

•	 Support tile emergency preparedness plan and participate in one drill per year consisting of a
 

simulated emergency that will last up to 4 hours. This drill will pre-pare for and support 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 Emerg':llcy Preparedness Plan and Continuity of Operations Plan.
 

3.4.3 Referra I 

The EAP hC:0~; ump!cyees, th·.}ir spOl,ses, family members liVing in the employee's household, and other 

legal depend"nts '.'ilth assistance ,n tr18 areas of: 

•	 Work-related Issues 

•	 Family 'Jr pers:jnal relatior ship issues 

•	 Stress-rel,ited ;,Iness 

•	 Aicohol ana sLbstance abuse problems 

•	 Psychoo~;ca and psychi8lr,c disorders 

•	 Grief ar.d :OS5 

•	 Legal or finanCial concerns 

•	 Other issues I:e.g., care of elderly parents. retirement) 
9 

•	 Coworkor c()rlfl/ct 

•	 Depression ,1nd anxiety 

•	 Domest,c violence 

•	 Stress 

•	 ASSOCLlte ,viii, and have access to a detoxification care unit. Several facilities in a variety of cost 

categoriu; shall be Identified In order to place the employee In a treatment plan that best meets their 

health Insurance, financial status, and social situation needs. 

•	 Select and ~a,ntain a community referral list, with a wide range of professional providers and
 

professionLlI services, for employee and family referrals.
 

•	 Periodically review/evaluate outside services rendered and update the referra/list. 

•	 Providn dependent care services by childcare and eldercare specialists who will be available via 

telephone to work one-on-one with employees and their families to assist them with dependent care 

issues such as finding a b<lckup daycare when their primary provider no longer can perform these 

services or assisting with finding the support necessary for an aging parent. 

•	 Provide a 30-minute telephone consultation on legal Issues to assist employees with a variety of
 

com men problems Including divorce, elder care estate planning. taxes. etc.
 

•	 Provide a GO-minute consultation WIth a Financial Planner where financial difficulty is determined
 

during the consultation period.
 

3.4.4 Follow-up 

The Contractor shc-JII: 

•	 Maintain i1 follow-up process to monitor the employee's progress. 

•	 Conduct return to work intorviews on all cases that were referred by management. 

•	 Consult or refer employees to Medical Services Clinic physician when the return to work involves
 

medicai Issues.
 

•	 Provide loHow-up on management-referred cases to assist employee with effective readjustment to
 

the workplace after receiving treatment for problems such as mental health, personal and social
 

adjustment, and alcohol/substance abuse.
 

3.5 Materials and Supplies 

The Contractor shall provide office supplies. medical supplies. eyewear material. laundry services, lab 

services, prescription and non-prescription drugs, service and maintenance agreements, software 

licenses not provided by ODIN, and equipment under $5000. 

3.6 Rei~lJursement Program 

The Contr,lctcr shall establish and implement a Reimbursement Program for all services provided under 

this contract to non-Government employees. Any fees collected shall be fully credited to the Government 

on a month I,,! baSIS and indicated on the monthly financial report and Invoice. Fees include: full cost for 

flu shots, Fir-,OSS Center medica! screening, Fitness Center costs, FAA flight physicals. safety glasses, 

Hepatlts Po aneJ B irnmunizaticns, tUCGrculosis immunizations, and any other services rendered. 

The Ccr.tral;tor sraii institute a program offering civil servants who are private pilot hobbyists a FAA flight 

physical,c:x.l'nlna:"Jn ~bove the roqLdrements for annual physical examinations (Section 3.3) for a fee to 

be reimtJur~;,x~ to :r-e Government. 

4.0 Persorwol 'Jualificatlons 

The Ccr:rrac:or shal! prOVide fully qualified personnel for all aspects of the Health Services Program. The 

Contractor ,,:'.:111 blJ responsible :or certifying that they meet all personnel qualifications/certifications 

specified. 

During the ;Jl:fforrnance of work en thiS contract individual credentials, such as resumes, licenses, and 

certification 2SS0Gii:!telj shall btl prov:ced to the Government upon request. 
'D
 ;~" 

The Medic.il Direc10r for this contract shall be a physician. Physician(s) must be licensed to practice in 

the state of Chlo :n at least one specialty recognized by the American Medical Association. 

The physiciC1n(s) must be capable of performing thorough physical examinations including EKG and basic 

x-ray interpretations. 

The physlc~an(s) must be capable of performing emergency procedures such as suturing; cardiac 

resuscitation: emdrgency treatment of hypovolemic, cardiogenic, and neurogenic shock; treatment of 

convulsions, hypothermia, and frostbite; and initial treatment of fractures and other such conditions. 

The physiclan(s) must be capable of evaluating occupational exposures in areas such as noise, lasers, 

radiation, microwaves; and inhalation, contact, and Ingestion of toxic materials. 

The physlcian(s) must be capable of providing coordination with and referral services for the EAP. 

A physician shall have current certification for FAA examiner for Class I, II, and III. Shall be accredited by 

either the Association of Medical Review Offices or the American College of Occupational and 

Environmental Medicine. 

4.2 Physician Assistant(s)/Nurse Practitioner(s) 

Physician assistant(s) and nurse practitioner(s) must be a graduate of accredited nursing program and
 

possess a Curtific:lte to Prescl'ibe. The physician asslstant(s)/nurse practitioner(s) must be licensed to
 

practice in the state of Ohio.
 

4.3 Nurses 

Nurses shall be registered nurses or licensed practical nurses. All nursers) shall be licensed or registered 

in the state of Ohio. 

4.4 X-Ray. MOllical Technician(s) 

The x-ray/rnl;dical ~echnician(s) shall be registered and licensed in the state of Ohio and in good standing 

with the Amerlcar', Registry of RadiologiC Technologists. The x-ray/medical technician shall be a graduate 

of an accreai!cd program of radiologic technology, with experience in a medical clinic or hospital environment. 

4.5. Phys,cal Thorapist
 

The physical t!ll:rapist shall be licensed in the state ot Ohio.
 

4.6 Opiic.;l[l 

The optICI<l~ 'ira:: be a dispensing optician and licensed in the state of Ohio. 

4.7 Dieti\:;,', 

The Cietl[,<H~ 3:1.:11: iJe a Registered Dietitian (RD). An RD has a bachelor degree in nutrition or a related 

iieid, cornpic"d a (j:etet:c inter:lshlp ur supervised practice experience and passed an examination to 

become resi~>:l,rGd. The AD shall be skilled in individual and group counseling, and possess the ability 

promote thei;el!noss program. 

4.8 Ergoncl1ics 
:1 

Contractor r,,:rscnnel shall be trained and experienced in conducting ergonomics surveys and providing 

recommercc:tiollS to concerns at the industrial and/or research site. 

4.9 Hearing Conservation 

Contractor perscnnel shall be trained and experienced in supporting of the Hearing Conservation 

Program. 

4.10 Respiriltory Protection 

Contractor personnel shall be tramed and experienced in support of the Respiratory Protection Program. 

4.11 Fitness Center Staff 

Fitness Cer~lcr staff shall havo a Bachelor's degree in exercise physiology or related field, or at least 

4 years of reiated experience. All staff members shall be certified by either the Aerobic Fitness 

Associat;on of America, American Council on Exercise. National Exercise Trainers Association, or 

equivalent certlficiltior. 

Fitness Cenlt" s:aff shall be certified in CPR, AEDs, and first aid. 

Fitness Centm staff shall possess the physical ability to be able to demonstrate and instruct the proper 

use of exercise equipment and perform routine maintenance on the equipment. 

4.12 EAP Staff 

EAP counselors shall have a minimal education level of a Masters degree in an accredited mental health 

field (e.g .. clinical psychology. social work). All counselors shall be licensed in the state of Ohio. 

Experience ill counseling, management consultation, and drug and alcohol assessment expertise is 

required. C"rtif,calion as an Employee Assistance Professional is a preferred credential. 

5.0 Records, Reports. and f"erformance Metrics 

All records, r'~'ports, and data shall be maintained by the Contractor according to NPR 1441.1 NASA 

Records Retention Schedule Gnd the Privacy Act of 1974, and are the property of the Agency. All 

records (both hard copy and electronic) shall be available for Agency medical quality control review. 

5.1 Medical Records 

The Contractor sf1all t)8 responsible for the maintenance 01 accurate and complete medical records of all 

patients and iltness certer members. Records shall be used to support required treatments, verification 

of medical c!uarClrlCeS, program analySIS, compilation of statistical data, determination of indiVidual 

baseline huclth dnd progress. and Summary of any incidents occurring during facility use including the 

response 3n,,: paLent cutcomn. 

The Con:r::lct'Jr sr~all maintain an accurate and complete electronic database of patient records as may be 

directed by :"0 CiJTR. 

The Cor,lr;:~::;r:.ill De '8spcn'iib!e for assuring employee medical records are secured and confidentially 

malntair10C ill,ccrds shail be mailltalned in accordance to the tallowing (most current revision): 

PrJVL1GII"'l~t ~974

NPD 1313;~. ~:'E PIi'Jacy Act System of Records (NASA 1OHIMS) 

NPD 18:3'J.1 5, NASA Employee Assistance Program 

aSH/I, r'),:oro keeoing regulations 

Health 1":;l.;r:1110:;e Portability and Accountability Act Regulations 
12 

Access to awl copies of employees' medical records are permitted upon receipt of a signed release by 

the emplo'lul) or receipt of a 110talizeci deSignation by the employee or third party. 

Records sr::!!1 :lisa be maintained for maintenance, calibration, repair, and replacement of all equipment. 

All medical rl)corc~s (written ar1d elec!;onic) developed dUring the contract shall be transferred to any 

follow on cCI~tractor and shall be SUDj8ct to the contract clause entitled "Installation Provided Government 

Property". 

5.2 Reports and Perfurmanco Metrics 

All necessar'l reports/metrics shall be communicated through the chain of command to the appropriate 

source. The Contractor shall have a system In place to trend any emerging patterns. Reports may be 

narrative or ~t~ltl~;tlca: :n nature and are generally required on a monthly and annual basis. The 

Contractor and the COTR shall periodically review the required tracking elements. Reports shall be 

prepared in accor(jance with laws, policies and regulations concerning confidentiality. 

The Contrac'or shall collect and report data and metrics on a monthly basis. The information shall 

summarize performance in each service area of the SOW and include patient satisfaction information. 

The final1l18!ric categories shall be submitted for the COTR for concurrence. 

5.2.1 Monthly Technical Report 

The Contructor shall provide monthly reporting in accordance with the Reports of Work clause of this 

contact. The monthly reporting shall Include both monthly technical and financial reports. This technical 

report shall consist of a sumrr.ary of the Contractor's performance for each of the service areas of the 

SOW. A narrative summruy ;tnd statistical data shall be provided. 

The report sr1all include, but i~3 not limited to, customer satisfaction, number of patients seen for each type 

of exam, immunizutions, health screening checks/exams, medical monitoring, injury reports, laboratory, 

x-ray, physical fitness programs, and mental health and counseling services, etc. 

The report sball also include suggested efficiencies of operation and innovative approaches for cost 

savings, and ;,jcnlification of contract operational concerns. 

The EAP sh~,11 track dernograflhlcs, cases, referrals, and outcome data for individuals and groups. 

5.2.2 Monthly Fin;Jncial Report 

The Contractor 311311 pl'Ovide monthly financial information in accordance with the Reports of Work clause 

of this contact. The Contracter shall include an itemized breakdown of reimbursement for services 

provided to S'Jpport service ccntractors. The breakdown shall separate by civil servants, civil servant 

retirees, ane support sorvlce contractors. 

5.2.3 Anm;d: COlilrClcl Report 

The Contri:c.:)r ~;'.,i,1 proV!lJe ,'n annr..,·!1 statistical summary of all monthly reports and analysis of the data. 

6.0 Govc!i-n:er't-fr..r:lshed [:qUlpmont 

The Contrilcer ';~:;L1 rTelke us" of GO'.ernment-furlllshed equipment to the greatest extent possible. 

The Contrac::;r ';I1'.!d c;~dibrate. maintel/n, and/or replace equipment to ensure that all equipment is 

serviceable. 

Prior to rf:?p:a,Yrn')!lt or repalr)f equipment, the Contractor shall prOVide to the COTR a best value 

analysis for all repa;mep!ace cr lease:buy requests. 
13 

The Contr3dor ,;;,211 develop a replacement plan for all Government-furnished equipment, both tagged 

and untagguJ. 

Equipment ~,urch~:sed at $5000 or more and with a service life of 2 or more years is considered tagged 

equipment. 

7.0 1I.lair,ll:nanc'3 AgreemE::lts 

The Contractor shall have maintenance and calibration agreements for the x-ray equipment and other
 

equipment, CiS required. The Contractor shall have software licensing agreements.
 

Periodic equprnent mainten;:mce ot the exercise equipment shall be performed by the Contractor staff or 

through a rnainttmance agreE:ment. 

8.0 References 

http://ohp.ksc.nasa.gov/polic:eslindex.htmI 

NASA Policy Directives (NPO) 

•	 f\JPD 130(;.28 NASA Occup8tional Health Proqram 

•	 NPD 181028 NASA Occupational Medicine Program 

•	 ~·JPD 1820.18 NASA En'Jircnmental Health Program 

•	 r-.JPD 1830 18 NASA Employee Assistance Program 

•	 NPD 1840.1 B NASA Workers' Compensation Program 

NASA Procedural Requirements (NPR) 

NPR 1800.1 NASA Occupational Health Program Procedures 

•	 NPR 1810.1 Health Services for international Travel or ASSignment w/Change 2 (3/29/04).
 

NPR 18;)0.1 Hearing Conservation
 

NPR 18'10.1 rvlanagement of Workers' Compensation Injuries and Illnesses
 

NPR 8715.3, NASA Safely Manual, Appendices
 

NASA Occupational Health Documents. Guidelines and Checklists 

AED GUlueiines
 

Critical Ir;ciden! Stress Managen1ent Services Guidelines
 

Credentialing ~lnd Privile£iing
 

Emergency Crash Cart
 

Emergency Preparedness for WrJapons of Mass Destruction
 

Environr;~ont o! Care
 

Infection Control
 

Legione:.a Bactena ContC'minatlon of Potable Water
 

Medication Mc,:;agement
 

Medical Quaiity Assuranc3 Program
 

Nutrition Tocr.nical Bulletr,l
 

Outdoor l.ascr Policy
 

Solar S«f(j prO~Jram
 

http://WWW.G;.JO;.lCCOSS.go.J!cfrretrieve.htmI 

http://www.c;;ha.go'J! 

http://www.u;jc:oJ·00v/04fola/prwstat.[1tm 

http://www·urc .r;asa.gov/VVW.///Directlves/1382.1.htm 
14 

9.0 Acronyms 

AED Automated External Defibrillator 

CO CO'ltri1cting Officer 

COTR Cor1tract:ng Officer's Technical Representative 

CPR Ca:diopuimon"ry Resusciti1t!on 

EAP En-,ployeo Assistance Program 

EKG Electrocardiogram 

FAA Federal f\viation Administration 

GRC Glenn Research Center 

MRO Medical neview Officer 

NEMP NOise Exposure Management Program 

OSHA Occupational Si1fety and Health Administration 

PAP Papanicolaou 

SHED Safety, Health. and Environmental Division 
15
 

Enclosure 1 - Physical Examine Requirements. 

Minimum requirements for a complete physical examination given every 3 years: 

Update Family and Past History.
 

- Height, Welg~lt, and Vital Signs.
 

• Complete Body Examination 

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

12 Lead Elf~ctrocardiogram (EKG) - baseline and as needed according to risk factors 

Basic Metabolic and Lipid Panels Icomplete blood count with differential, unnalysis with microscopy, 

and thyroxin level). 

Visual Acuity Test and Tonometry. 

Testing offered during the baseline examination includes an audiogram, chest x-ray, and pulmonary 

function tes!. Pulmonary function testing includes Forced Vital Capacity, Forced Expiratory Volume 1, 

A Screening Exercise Cardiac Stress (if indicated by significant personal history or family history and 

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

recommended if clinically indicated. 

- Papanicolaou (PAP) test in conjunction with a female pelvic exam 

Minimum requirements for partial physical examinations every year: 

For Women: Over 40 Women: All Ages
 

- Lab work - Vital signs, height, weight
 

- Visual acuity • PAP, pelvic, breast, vital signs
 

. Tonometry
 

• EKG yearly. with risk factors
 

- Hemoccult Card, over age 45 or earlier with significant personal/family history
 

- PAP, pelvic. rectal, and breast examination
 

For Men: Over 40 Men: All Ages 

- Lab work - Vital signs, height, weight
 

Vital signs. ~leight, weight . EKG, with risk factors
 

Visual acuity - Testicular examination
 

Tonometry
 

EKG yearly. With risk factors
 

Rectal exam
 

Hemoccult Card, over age 45 or earlier with significant personal/family history
 

Testicular examination
 

Prostate specific antigen test, over age 50 (over 40 if family history)
 

Additional ReqLmements for Physical Examinations: 

The followinu additional procecures sllall be offered only under conditions when necessary or 

determined to be advisable by the examining >Jhysician, or dictated by eXisting standard medical testing 

protocois: 

- Baseline C~'(}st x-ray, beth posterior Clntenor di1d lateral, shall be offered at the time of the employee's 

first health s,;reening in ~;ledical Ser'/ices. Subsequent x-rays shall be provided when deemed advisable 

by the examw,ing physician . 

• PrOVide grril:ed exercise stress tests as appropriate to the patient. 

- Pre-ernplojmnnt physicals for canoidates as requested by the COTR. 

• Prepare a <'arrati"e report for the pat:ent file. which contains all the information in the exam and test 

results. The Contactor shall provide the patient a copy of the examination results. 

Updated March 20, 2007 
Attachment B 

Attachment B 

Statement of Work
 

Managing Transitions Using Relaxation Techniques
 

Introduction 

NASA is in the process of a major transformation designed to realign the Agency and implement 

the President's Vision for Space Exploration. To achieve the vision, NASA faces many 

challenges. Our primary challenge is re-shaping the NASA workforce to successfully meet its 

new mission requirements. There is an over whelming number of people, process and 

technology change initiatives currently facing Glenn Research Center. These changes have put 

an increasing number of stresses on employees. Relaxation techniques using the breath and 

stretching have shown to be very helpful in reducing stress and anxiety in the workforce ­

ultimately improving productivity. 

Scope 

Specifically, the workshop will consist of breathing techniques, stretching and restorative
 

poses. Various approaches to meditation with an emphasis on sitting meditation. Meditation
 

is the practice of mindfulness which develops skills in attentiveness, concentration and the
 

ability to rest in the present moment. Emphasis will also be put on increasing concentration,
 

improving flexibility and improving breathing. Special topics may include techniques you
 

can do at your desk and how using these techniques can relieve tension and stress to
 

reduce injury risk Including back pain, neck tension, eye strain, carpel tunnel syndrome or
 

headache.
 

Objectives 

Fosters employee's health by: 

•	 Reducing stress and anxiety 

•	 Providing approachos to better neuotiate stress & anger 

•	 Providing counter balance to physical demands associated with the workplace (sitting at 

a computer, repetitious & Ilmlterl body movements, long hours) which may lead to 

backache, carpal tunnel syndrome, Insomnia, headaches, osteoarthritis etc. 

•	 increasing concentration 

•	 Improved flexibility 

•	 Improving breathing 

Period of Performance 

These \"iorkshops will be for 45 minutes once a week geared to all levels. The sessions will 

be once a week effective April 2007 

No. of StUdents 

Up to 50 Partlcpants; Civil Servants and Support Service Contractors. 

," .~'.. '",. 
Attachment B 

Place of Performance:
 

TBD - GRC onslte location
 

Course Materials:
 

To be provided by instructor.
 

AudiolVisual Equipment:
 

N/A 

Deliverable 

Evaluations or a summary of evaluations are to be given to NASA Glenn 

Research Center's Organization Development & Training Office with 30 days after 

class. 

: ..: :,-,"':"." "." . 
OF PAGES 

I 

1. CONT RACT ID CODE 

NASA/Glenn Research Center 

Procu~ement Division, MS 500-313 

21000 B~0akpark ROed 

Cleveland OH 44135-31?? 

4 REQUISITION/PURCHASE REQ. NO 

;JF CONTRACT 

2 AMENDMENTIMODlr ICAT10N NO 

AMENDMENT OF SOLICITATION/MODIFICATI 

NASA/Glenr, R~SAa~ch Cen~cr

ProcuremenL iJiv:i;Ji.cn, MS 50C-3L3 

21000 Brookpark Road 

Cleveland GS 44l35-3127 

::O:.:0":·(':;-"O=C::77::­ -::c=:-f-"---'.L.-=2~.'_,'__":)~'~ .. --+_.;_2_0_0_1_S_'L_;_3_c_·,;_'__.,.­ -,­ -'-_-,r­ _ 

6. ISSUED BY CODE 7 ADM,NISTERED BY (If ()(/ler than Item 6) 

8 NAME A."lD ADDRESS OF CONTRACTOR (M; s{m~t, COW1'y. Sln!1-' .1fU.! ;:./1 C.OclCl) (x) 9.0. AMENDMENT OF SOLIenATION NO. 

9B. DATED (SEE /TEU 11) 

x 10.0.. MODIFICATION OF COIIITR.ACTIORDER NO 

NNCC6C870C 

SINGLETON HEALT~ SERVlCES 

Attn: Kenneth F~. Sing,let.of:, HD 

8501 L.aSal1e Koad, Suite 310 

Towson M:> 2i236 

I 110B DATED (SEE ITEU 11) 

CODE IFACILITY GODF nj_103/31./2006 

------------------ 11. THI5 ITEM ON~Y APP~IE5 TO AMEND"'M=EN'"'T"'S"""""O"'F""'S"O'"'U."C'"'I"'TA·T;:IO=N"'S,.....-------------------­

. The above n\Jrnbered solicitatIon IS amenaed as. set forth in Item 14 1t1~ hour and dale -;pt:'Cllied for receipt of Offen ~'is ftxlended, Is not extended. 

OffeR mUll ackno.....lc<Jge recelpf 01 thl:S amenl:lmenl prior to the hour allrj {~ale speCified In the solicitatIon or es amended. by one 01 roe rollowg methods: (a) By completing 

Items 8 and 15, and rClurnlng copies'of IhB amendmcr.L (b) By ad.nowltJdglng rcc..eipl of this amendment on eaOl copy of lhe otfer submitted; or (el By 

separate letter or telegram wturn induces a reference \0 the salkllallon oJnd amer.dment r,umbers. FAILURE 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. ~by

virtueo( this amendme,~l you desire to change iin offer already su~nltlC:J, such dlangt: may be made by lclegram or tener, provk:led each teJegram Of' letter makes 

rererence to the sollutation aM this amendment and is recell/ed pder tu O'le opening hour and dal~ !iipeCified. 

12. ACCOUNTING AND APPROPRIATION DATA rllraqui!8d) !Jet Inc~ease: $750, 000.00 

13. TlitS ITE'" ONLY APPUES TO "'ODIFICATION OF CONTRACT5/0RDER5. IT "'ODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14. 

CHEeKONE' A THIS CHANGE ORDER IS ISSUED PURSUANT TO 

ORDER NO. IN ITEM lOA. 

(Spec,ft a"rho"'t) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT 

x 

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such •• change. '" paytngoff"",•• 

8ppropriOllan data, elc.) SET FORTH IN ITEM 14, PUI<SUANT TO THE p.UTHORITY OF FAR 43.103Ib). 

c. THIS SUPPLEMENTAL AGREEMENT IS ENTERED ".TO PURSUANT 10 AUTHORITY OF 

D. OTHEH (SpeC/l} type of modif/cdtion and aulMrity) 

E. IMPORTANT: Conlra<:lar x is i~f)'. ,is required to ',Igl1 this document and return copie5 to the iswng o(fjee. 

14. DESCRIPTtON OF AMENO~1ENTiMODIFICATION (Orgamzed LJy vet"' :,ection ne~dll1:F" ,ncluding schcllafJorVconlract subject matter where fea,slbJs.) 

Contract No. NNC:-)6;:B7CC i.s hf:~rf2by ~,.·clfied ~,:,. reflec"c the following: 

1. Pursuant to the i..lmitation ot F·",os '__ '"'.:5e, f'F-.F. :52232-22, total funding is hereby 

increased by S7~0,OGO.OO from Sl,2S.,686.Si tc $2,000,686.81. 

2. Increme!"1;:,'iL f fu,..,deci t!":rouc;h ':1a-," chan-··,;::: from 03/30/2007 to 09/]0/2007. 

3. Mod~f:C2~ion No. 6 CC~l~rac~ '!~~ is 1~creQ5ed by 52,400.00 from 53,305,179.00 to 

54,308,179. :JC. 

15A NAME A~D TITLE ,::::r S:Gr"ER (Type C'f p;-:',I) I ",A NAME AND TITLE OF CmlTRACTtNG OFFiCER (Type Of pnnr)

i 

iC:iER·,L ,·i.!\SH;'.:vJ 

158. CONTRACTOfi;OFFEROR :. C 

II; /1:~~S:ATESOF;;?;; , ~.'.. ) lOC. DATE SIGNED 

u:. "J,. J 'JY/L-G..-IC..-I(, rtt-./ C4/ 2 4/2. 0 G7 is';;:::,,, 01 C(;rJ!r:aar.g OffY;«j 

IIISN 7540·0101 52·807-) STANDARD FORIA 30 (REV. 10·83; 

Pre\liolJs l:!CilJcn ur'u5a:.:le Prescribed bV GSA 

FAR (48 CFR) 53 243 
AMENDMENT OF SOLICITATION/MOOIFICATIC:". F CONTRACT 

2. AMENDMENTiMOD:FiCAT'ON NO 

DOOODe 

6 ISSUED BY ceOE 

Procurement ::iv:~~on, MS 5CC-3:3 

21000 BrocKFa~k 20ao 

:leveland OH 44:3S-jl2~

1 CONT MCT rD CODE 

3 EFHCT:VE :'~-,\T-E-----~--'--4-.-=R:-:E:-:Q""U--"rS=rT--":0:-N-'-=P-U-R-C-H-A-S-=E-R-E·-=a:-.-=N-O:-----,--~---'"--~--:--'----

7. ,'DM'NISTERED BY (If o'I'.r IMn Ifom 6) 

NASA/Glenn Research Cerl~er

Procurement ~iv~3ion, MS 500-313 

2:000 3ro':JkpdIK 8.oad 

C12velana OH 4~J3~-3127

At.tn: Ken~)f~ til B. : _ng 1£-: ':OC, ;',;D 

8501 LaSall.c F\otJ.d, SU:.te 3:·J 

Towson He 2.12 ') 

8. NAME AND ADDRESS CF CuNTRACTOR :'0'-1.-. .,trf!'1::'1 W,,"{y, Sr;,(~ /)",1 ;'ii-' ~(X:eJ H9A AMENDMENT OF SOl.lCITATION NO. 

SINGLETON HEAL7H SERVICES I 96. DATED (SEE ITEM 11) 

x lOA. MODIFICATION OF CONTRACT/ORDER NO 

NNC06CB70C 

106. DATED (SEE ITEM II) 

CODE =rFACWYC~~ 0313li 2006 

---------------- 11. THIS ITEM ONLY APPLIES rC'O'AAM!;;;E"N~OM""e"N"TsO;;O;;;F'S;;O"'U';;C"'I"TA'TY;IO=N;;;S'---------------------

The above numbered solicltahr)(l IS amendea a:; set fOlth Ifl Item 14 1 ~- i: hOllr dnt: dale spc(".lHcd for receipt 01 0"«'5 is e:.tended. "Is 8xlended.
 

Off&f1; musl acknowledge receipt of 'his ii!mcndn':enl prkJr 10 the h,)Ij( a' d (~ale '-'Pf:ClfICd In the solicitation or as amended. by One uf the foMowing methods: (a) By completing
 

Itoms 8 and 15, and ro!uflllng copies of lhe am.::nel)'~N, ib) By "';;"i ,o......l(.·oglng rt:lcaipt of this ii1mendmont on Bitch copy of the offer submitted: or (c) By
 

separoillelellor Of teieglam w!ld~ inc.iudl:ls a lef",rel1ce (0 Ule SoJiClI.J!JOI: ,lnt! amooamor! r.l.irr:bers. FAILURE OF YOUR. ACKNOWLEDGEMENT TO BE RECEIVED AT
 

THE PLACe DESIGNATED FOR THE RECEIFT OF OFFERS PRIOR '0 THE HOUR AND DATE SPECiFIED MAY RESUlT IN REJECTION OF YOUR OFFER. by
 

virtue 01 thi5 amendmonl you desire 10 change an oHer atrf3ady SllbntIH.!I.!, such c11~n'Je fTj;j'{ be moot" by :olegram Of' lefler. provided each tckJgram or Iener makes
 

reference 10 the 5chLifaiion apoj this ,/;1Il1endmBJlI ape IS re<t.!i\led pllor !~~_~""",-,o"pe",.",n",ln",9""""nt",jf-,"",n"d"d-"al",.-,s",p,,,oa"'·fi"'l<l"'d'- _ 

12 ACCOUNTING AND APPROPRIATION DATA (II ",quir.d) 

13, THIS ITEM ONLY APPLIES TO MOOIFICATION OF CONTRACTSIOROERS, IT MOOIFIES THe CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14. 

CHECK ONE A THIS CHANGE ORDER IS ISSUED PURSUANT TO: ,Sp:cify autl"".:y) THE CHANGES SET FORTH IN ITEM ,4 ARE MADE IN THE CONTRACT 

ORDER NO. IN ITEM lilA 

x 

B. THE A90VE NUMBERED CONTRACTiOROER :S MODIFiED TO REEcECT THE ADMINISTRATiVE CHANGES (such •• chanl/o. in psy;ng off/Cfl, 

appropriation dalo, &Ie,) SET FORTH!N iTEM '4. PU,"SUANT TO THE AUTHORITY OF FAR 43.'03(b), 

C. THIS SUPPLEMENTAL AGREEMENT IS ENTlJi-m ,,"-'0 PURSUf,N 1'-;:'O"""',,"Uc;T"'H"'O"'R"'ITccY"'O=F:--------------------------­

E, IMPORTANT: COI~!rac'.r)' x is ;\<)( is IflqUlrt~d:' oI~n thIS dI)ClIll,f;r',1 dn(~ return copies to rho iSSUing o{ftce.

--,-------,--------­ 14. DESCRIPTION OF AMENDMENTIMOD1FiCA ;ION :OrgaI1l1&d by UCi 5l;i(:(lOr: ,'llJiJdl!j'ls. ,n,:ludsng scl/cltaflon/contract !JJJtj&CI matf"r where f6B3ibJe.) 

LIS":' Of CHA;~GES:

Modification ~o. 7 COntr~c~ value 1 :orre~:2d from $4,308 r 179.00 to $3,308,179.00. 

~his modificati.on. 

TotaL Arno~~~~ tcr ,-. ,..:. S C~, .00 

E;.:cepf as provided here·n. eli. (Eflns ::lnc conalticr.'j of t."e _~()(wnePr ·i?!CI· ~F.'d ill ::t-fn ''-';, .r 10A. a~ her~lofQ(e changed. remulf'IS unchanged and in fulJ force and affect. .._------­ 15A NAME AND TITLE 'JE SiGNER II ypo or P'··.:; i16A. NAME AND TiTlE OF CONTRACTiNG OFFICER (Typa OF pnnr) 

15B CONTRACTOR,CFH,I;QFi CA. 1"1:: ::.G~.£:C
----------------

x 

§. 

AMENDMENT OF SOLlCITATIONIMODIFICAn<J', F CONTRACT 

000009 

6 ISSUED BY 

NASA / G.1 er~ r: 

P"ocureme,:, -"...;". 

C:€"veland ()!! 

SINGLETON HEA[~H SERVICES 

Attn: K~rlrleth B. S~ngie~c~, M~

8501 LaSa,l':c ::"/),-}iJ, SUJ te -;.In 

T()\,son MD 21::2'0 

1. CONTRACT 'D COOE 

~I applICable) 

:~ev81.and DH 44135-3127 

)

x 

9A. AMENDMENT OF SOLICITATION NO, 

9B, DATED (SEE ITEl./l1) 

lOA. MODIFICATlON OF CONTRACT/ORDER NO, 

NNCO::.CB70C 

--JI lOB. DATED (SEE ITEM II) 

CODE --~~-- =E'LlTY_C~~~l-==__LJ O:J / .J 1/2006 

---------------- 11. THIS ITEM ONLY APPLIES TO AMEN~DM=EN=TS=O"F·S;;;O..~"IC;;;,;oT'OATTlO;O"'N"'S;--------------------

- The abovtl numbered sollatahofl IS amended LIS ~ttt (erthln :lem 1-1. T: t~ hr)ur lInd rlall: "pecifled fo' receipt of Oth,r5 is extended. is not extended.
 

Offers must acknowledge fecP.lpt or this amen(J:~lAnt prior to lhe hOL.r i,: "l date ~peOnerj ,n 'he 5oltcltatron of 85 am"ndcd, by ooe of the r~owing methods: (a) By completing
 

Items 8 and 15. and re:l~rnlf\g copies of the ,lmf:I1,:ll1(:10t: (b) By ;lcl;I":,)w!e:lglog receipt ()1 this amendl'11ant on each copy or ttle offer 8lIbmiUed; Of (c) By
 

separate Ieltor or leleyr;Hll which n(;ludes a ret,:rence to the solicr;ilt.or. ,:lnl:! aJr.e(ldrnent nurnbers. t=AILURE OF YOUR ACKNOWLEDGEME.NT TO ee RECEIVED AT
 

THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS P'<I0R TO THE HOUR AND DATE SPECIFIED MAY RESULT IN REJECTION OF YOUR OFFER, If by
 

....irtue 01 this amendrn~n! yau deSire 10 change d.1\ offel already !iul.Hnil',,-!(l, ~uch change Illay be made by telegram Of letter, pro....tded each leJegram Dr letter makes
 

raterence to the solidtdllon and this aml!'ndpl(!./:\ and IS rec.eived i,'IIOI ii.~ lh~ 0pt.'.cn"-"l",g-,-h",o""r"..",l",cj-,-u",.",!e,-,s,.p",e,"ci",r,,,~O,-- _ 

12 ACCOUNTING AND APPROPRIAliON DATA (If "',<,,;rod) 

13. HilS ITEM ONLY APPUES TO MODIFICATION OF CONTRACTS/OROERS, IT MODIFIES THE CONTRACT/ORDER NO, AS DESCRIBED IN ITEM 14. 

CHEGKONE A.	 THIS CHANGE ORDER IS IS~UED PURSUANT TO ,''-.-.H,ly""tho,,'y} THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT 

ORDER NO. IN ITEM IDA, 

B THE ABeVE NUMBERED CC"HRACT.-ORI1ER ':; l-.ldIJIF'ED TO REF .EeT THE ADMINISTRATIVe CHANGES (.uch as changes in paYInfJ office, 

approp,;aMn da'e, etc.) SET fCORTH iN ITEM 14, PU"~UANT TO THE AUiHORITY OF FAR 43,103Ib)_ 

E.IMPOIlTANT: Cor;trac:or X IS or.. 150 requlrt"o ~,. '-,1(1" thIS r;,)(u:l).:·)t ,1Ilt1 relum copies to the IssU',"g office. 

14. OESCRIPTtON OF AMfNCMENT!MCOlf,Cf~:iON (OrgiJnrzed I)y UC,· ,':QC~;()11 t;t!<1d~r-'.J'S, ,nci!Jding sOllCilaflOn/conlracl subjec' matter whe", teas/bro,) 

~lue to $4,308.179.00, This modification 

15A. NAME AND TlTl E cr ':;:C,NE"R !Tv~f.' r;r c;n'	 , "iA 'MME AND TiTlE OF CONTRACTING OFFICER (lype 0' pn"') 

iCrlER~L ~'jASHhrv!

-------l--:-·~:~-"'GATE:si~3:';~O

I ~tr~7ED~ SZATS OF. ,A,MER7Y1~... . ) 16C, DATE SIGNED 

1l.-AU't-{ ~. t<. jl~.L~ s:- tl-t7 J__ • 'SIfJI:afure;;>/ C;)ntiaGt"p Offlcer) 

NSN 7540-01·1~2-<l<J10 STANDARD FORM 30 (REV. 10·83) 

Previous edition uf'lusabliJ Prescribed by GSA 

FAR (48 CFR) 53,243 
AMENDMENT OF SOLIC ITA TION/MO 0 IFIG A TI~1I:'-~-C-O-N-T-R-A-C-T-----"I"':'"1~C~O:-:-N~T~RA7C::-:T~I~D-::C:-::O~D-;:'E----1i "2-.A""""l-=E"N-=D"M:::E:::N:::T:-:;\""'O=D:::,F:--'l"CI-,·=-,·...,C-·;->;-...,O-.-------i-l-~-_'-"E'-C-, -:;:-[-~---.,---------i:;--c=R-=E-=aLU"'s=-:-=TI--=O:--N...,;P"U...,R=-C::--crlA=S=E-:R-=E:-:a:-:-N:-:O,------,---!-::-:::-:-:=-:'-=-,,-,.:----­

i 

13(>,--,	 j r., l-i20GL05049

G iSSUED BY	 : - _. . : 7 ADMiNISTE'RE'D BY (If ofho, (han 118m 6) ~- .__ J 

.>1",	 !NASA/G10rln Researc}\ Center '~', . , - 3 ., PrOCGrer"cnt D:vision, MS 500-313 

21000 3:00~P6~k ~oad

- -~ - :~ . ,,"~(~·,;f.:'.;.2nc GH ·1(;1 :5-3~_L~7

H9A AME'jDMEcNT OF SOLICITATION NO_ 

r.--"" ,'.	 19B. DATED (SEE/TEM 11) 

I 

lOA, MODIFICATION OF CONTRACT/ORDER NO. 

N>;C06CB70C 

: 0313112005 

1CB. DATED (SEE I rEM 11) 

-=C::;O-=l1-=E,,-------- ------·---rF'AC·UTY :_:Oi~L··----·---,

1 

""-',THiS-,TE\fONLY APPLIES TO A;:;r;.J"EN~D;;;M=E"'NT"S;-;;O:;;F·S:;O"'U..C::;I"TA·T"I:;O"N;;;S;--------------------­

"Th;l ~llft)v,~ numberc<.J ~OIKlt.l!.OI\ I~ amended h • SI;,IIl,rth In :It::Jn 104 T'l" l'Ol.i( .Gn(! uat:J ~pf"l.:i!:etJ for receipt of Offers is extended. .. :IS noC extcndod. 

Ofh~rs mlJsl ClcknowJeoQe ,.}n~lpl of t"IS amcnl:I,~ent pnor to lhe h';u ;1;'~1 Ij;ile ~"l:N.lfjed In lll~ soficHf!tian or as amended. by one of the foUowlng methods: (a) By completing 

ltel1ls Sand 15. i:ll1d ft2!I.. lll1n!J . CC:PT(;>S at :ha ;ln~f'n,!Il).::nI. \bj By ackl.o'Jo':t::,:aing receipl of U\is amendment on each copy of lhe offer subndlted: or (c) By 

separate let!cr or tC:o!J';-:;nl ...~t·:cr ~ncludcs a re:u:t::l1CfJ to 11':(: 50!i(")\auoJ\ ;_~~d arncndJ~en: nI.:rn;-l;!rs. FAILURE OF YOUR ACKNOWLEDGEMENT TO BE RECEIVED AT 

THE PLACE DEsrc;'J"'ED F·JR THE RECE'F - OF OFFEf,S PROf< 1U THE HQUR NW CATE SPECIFIED MAY RESULT IN REJECTION OF YOUR OFFER by 

virtue of (his ame(ldmC;1~ ·,'.X.. ,~C""ile to cr.ar.ge ,Hl oifer alre~~dy SIJ~;;:'i",'d, ::,u;,;h Ch~111~..;o '11ay h' made by telegram or leiter. prOVided each lelegram or leiter makes 

re1cnJ1lce (0 the soh(~~~:~~' :~i':.d W:,,> ar""cndrT1{"1 ',-and:$ r~!:'"I.L~.£J.:.!.'~:~)..J!15t.:d:2.':nIPgrll).,",.,,-,."'!I'-"'_:'-',~""a"'lc'- ...u"'e"cl""fie"'d'-, ' _ 

12 ACCOUNT:NGAND APf'fwpr;'ATION OAT;, ,if ",,;,,ired: th,L lr.c:-ease: $281,600.00 

13. THIS I1[M ONL Y APPLIES 10 MQOIFICATfON OF CONTRACTS/ORDERS, IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRfSED IN ITEM 14. 

----1----_._-._--_._------_... B	 ·'H!:. AfC'iE 0,':J'.lBfREO CC.'~ iRACTiOP1?ER IS \I;CPIf"I[O TJ REFl_ECT fHE ADMINiSTRATIVE CHANGES (SIJCh AS cnangosin PBymg offlce. <I;';P'(.(:.";/!")/· :;..,11. (·fe J SE 1 ! ')RT\--i il\,l 11 t=.M 1,1 f'~.jl';SIJJ~.~~T -:-0 1t'l: NJl hORlTY OF FAR 43.1 O:J(b), 

-J-::.GPI'LU/E;';TAC AGR:- :\~E~H rs E'HEr;~c :"lTO PI)RSIJANl TO I-,UTHORTY QF:
 

I 0 01 HER ',,,,- '1 'YFt! C'/I1I:..1<.1 . -'1,-0'-'.-,n-d-L-,,-.rl-'O-(,:y.l-·-------~---------------------------------

c~Ptes to the ISSuing office. 

:..i.rr.l tat.lon of f'u"ds

E. IMPORTANT: COl1tr" ,;:01 X r; ;;I.

X I C:'J~I__ ~'~Xc'd

i: C', ,'jl,«, 52.232-22, toeal flJnding is heceoy 

:.. ~1,::; .t"(-;-.:::J.,Sec r'.'.; $2,282,286.81. 

: .; 9.00. 

1e..\. ~~AME

:~''i.:<I''.·" , '._ ",;,,0:, ~J'

":'UJ TiTLE OF CONTRACTrNQ OFFICER (Type or f;rid) 

!'IS~ .7>1\;-0'1 i5~·.j07G STANDARD FORl,t 30 (REV 10·63) 

Pre..,I'':t..os eQ::IDll '_j{:u~d,;;,~ Prescnbed ty GSA 

FAR (48 CFRi 53143