AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT
Page 1 of Page 5
1. CONTRACT ID CODE
2. AMENDMENT/MODIFICATION NO.: P00004
3. EFFECTIVE DATE: 01/29/98
4. REQUISITION/PURCHASE REQ. NO.: YMEC00-5226-6911
5. PROJECT NO. (if applicable)
6. ISSUED BY: DIR OF CONTRACTING WALTER REED AMC CODE: DADA15
ATTN MCHL Z BLDG T 20
6825 16TH STREET NW
WASHINGTON, DC 20307-5000
7. ADMINISTERED BY (if other than item 6): MARY L. POOL CODE: K29
TEL: (202) 782-1416
8. NAME AND ADDRESS OF CONTRACTOR
(No., street, county, State and ZIP Code)
INTEGRAMED AMERICA, INC. VENDOR ID: 00030356
ONE MANHATTANVILLE ROAD
PURCHASE, NY 105772100
(X) 9A. AMENDMENT OF SOLICITATION NO.:
9B. DATED (SEE ITEM 11):
(X) 10A. MODIFICATION OF CONTRACT/ORDER NO.: DADA15-96-C-0009
10B. DATED (SEE ITEM 13): 12/06/95
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CODE FACILITY CODE
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11. THIS ITEM ONLY APPLIED TO AMENDMENTS OF SOLICITATIONS
|_|The above numbered solicitation is amended as set forth in Item 14. The
hour and date specified for receipt of Offers |_| is extended, |_| is not
extended. Offers must acknowledge receipt of this amendment prior to the
hour and date specified in the solicitation or as amended, by one of the
following methods: (a) By completing Items 8 and 15, and returning
___copies of the amendment; (b) By acknowledging receipt of this amendment
on each copy of the offer submitted; or (c) By separate letter or telegram
which includes a reference to the solicitation and amendment numbers.
FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR
THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN
REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to
change an offer already submitted, such change may be made by telegram
letter, provided each telegram or letter makes reference to the
solicitation and this amendment, and is received prior to the opening hour
and date specified.
12. ACCOUNTING AND APPROPRIATION DATA
(if required): Mod Obligated Amount US $ 0.00
NO COST TO THE GOVERNMENT EFT: T
13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS,
IT MODIFIED THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.
(X) A. THIS CHANGE ORDER IS ISSUED PURSUANT TO:(Specify authority)
THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT
ORDER NO. IN ITEM 10A
B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE
ADMINISTRATIVE CHANGES (such as changes in paying office, appropriation
date, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR
43.103(b)
(X) C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:
FAR 52.243.1
D. OTHER (Specify type of modification and authority)
E. IMPORTANT: Contractor | |is not,
|X|is required to sign this document and return
2 copies to the issuing office.
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DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings,
including solicitation/contract subject matter where feasible.)
Subject modification is issued to reflect the following changes:
1. In accordance with Section-H, Paragraph H-3, FAR 52.217-9 "Option To
Extend The Terms Of Contract." The Government elects to exercise its
second option of the contract.
Except as provided herein, all terms and conditions of the document referenced
in item 9A or 10A, as heretofore changed, remains unchanged and in full force
and effect.
15A. NAME AND TITLE OF SIGNER (Type or print):
Donald S. Wood, Ph.D.
IntegraMed America, Inc.
15B. CONTRACTOR/OFFEROR
/s/Donald S. Wood
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(Signature of person authorized to sign)
15C. DATE SIGNED: 4/15/98
16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print):
Roland Thomas K63
16B. UNITED STATES OF AMERICA
By: /s/Roland Thomas
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(Signature of Contracting Officer)
16C. DATE SIGNED: 4/16/98
SF 30 CONTINUATION SHEET
2. Line items #0003 thru 0003AG for the option period 01 January 1998 thru
December 1998.
3. The statement of work is revised as follows:
C. 1.a2. The Contractor must meet a 50% pregnancy rate for ICSI
(Intracytoplasmic sperm injection) a clinical pregnancies with TESA and MESA
(epidyimal sperm aspiration), and a >40% ongoing delivered pregnancy rate
overall. A >30% pregnancy rate for (FET) frozen embryo transfer cycles. Must
meet HCLA board certified and have CLIA and CAP certification for the
laboratory. Must have twenty (20) or more peer reviewed publications.
Documentation of involvement in a fellow thesis in Reproductive Endocrinology
and Infertility. Must be capable of performing all micromanipulation
techniques ICSI (Intracytoplasmic Sperm Injection) Assisted embryo hatching,
partial zona drilling and support two research protocols per year. Must have
Applied to the Society for Assisted Reproductive Technologies (SART) for
membership and paid required fees, to support SART data collection and input.
Changed: C. 1.a2. The pregnancy rates refer to pregnancies per embryo
transfer for women under age 39 and the rates are to be established over the
one-year contract period for 1998. The Government and the Contractor
recognize that the pregnancy rates are the result of a combined effort that
includes the Contractor and the Government. In addition, the Government and
the Contractor recognize that the pregnancy rates may be affected by
situations such as the air quality over which the Contractor has no control.
Accordingly, if one or more of the pregnancy rates for a given category of
patient do not meet or exceed those in the Statement of Work, the military
and the Contractor agree to cooperate and use their best efforts to improve
the rates to the levels agreed to. Best efforts means that the Contractor and
the Government shall mutually agree to a written plan approved by the
Contracting Officer for improving rates over a reasonable period of time.
C. 1.a3. The Contractor must provide full service cryobiology program to
include storage of embryos and sperm all laboratory equipment and staffing as
work load requires. Capability to move to an outside facility if the military
is unable to provide on-site space.
Changed: C. 1.a3. The Contractor will use its best efforts to move to an
outside facility if the Government is unable to provide on-site space in
support of a cryobiology program. The Government agrees that it will work
cooperatively with the Contractor to agree that it will work cooperatively
with the Contractor to relocate to an outside space and will provide
Contractor with at least 120 days notice that a move of the cryobiology
program to an outside space is necessary. Cooperation includes, but is not
limited to, providing a secure space in which to store all cryobiology
equipment and materials, providing Contractor with access to patient records
for the purpose of notifying patients that a move of the cryobiology program
will take place.
SF 30 CONTINUATION SHEET
C 1.a4. The Contractor must provide a backup alarm system. All laboratory
employees must carry a beeper and be able to respond to alarm twenty-four
(24) hours a day 365 days per year. C. 1.a9. The Contractor must provide two
(2) nurse coordinators and two (2) full time administrators.
Changed: C. 1.a9. The Contractor is hiring two (2) nurse coordinators and
two (2) full time administrators with the understanding from the Government
that the Statement of Work will be changed as follows:
C. 1.b3. The Government will provide sheltered on-site parking for all
Contractors nursing, administrative and laboratory personnel.
C. 1.b6. Zit is estimated that there will be 350 to 450 procedures per
year.
Added: C. 1.a10. The patients undergoing intrauterine insemination will
be charged an additional $50.00 for sperm washing prepared by the Contractor
for each sample.
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SUPPLIES OR SERVICES AND PRICES/COSTS
Contractor to supply all labor, materials, equipment, and supervision for
developing and staffing an In Vitro Fertilization/Gamete Intra Fallopian
Transfer Laboratory at Walter Reed Army Medical Center. All work shall be
performed in accordance with the Statement of Work and all terms and conditions
of the Contract.
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ITEM DESCRIPTION QUANTITY U/I UNIT PRICE AMOUNT
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0001 BASE YEAR
01 JANUARY 1996 THRU 31 DECEMBER 31
0001AA BASIC IN VITRO FERTILIZATION (IVF) 300.00 EA 0.000000 0.000000
0001AB BASIC IVF PLUS INTRACYTOPLASMIC 30.00 EA 0.000000 0.000000
INJECTION (ICSI)
0001AC GAMETE INTRAFALLOPIAN TRANSFER (GIFT) 60.00 EA 0.000000 0.000000
0001AD BASIC IVF PLUS ASSISTED HATCHING 100.00 EA 0.000000 0.000000
0001AE CRYOPRESERVATION OF EMBRYOS 200.00 EA 0.000000 0.000000
0001AF STORAGE OF CRYOPRESERVED EMBRYOS 200.00 EA 0.000000 0.000000
0001AG THAWING OF CRYOPRESERVED EMBRYOS 200.00 EA 0.000000 0.000000
0002 FIRST OPTION PERIOD 1 JANUARY 1997
THRU 31 DECEMBER 1997
0002AA BASIC IVF 300.00 EA 0.000000 0.000000
0002AB BASIC IVF PLUS INTRACYTOPLASMIC 30.00 EA 0.000000 0.000000
INJECTION (ICSI)
0002AC GAMETE INTRAFALLOPIAN TRANSFER (GIFT) 60.00 EA 0.000000 0.000000
0002AD BASIC IVF PLUS ASSISTED HATCHING 100.00 EA 0.000000 0.000000
0002AE CRYOPRESERVATION OF EMBRYOS 200.00 EA 0.000000 0.000000
0002AF STORAGE OF CRYOPRESERVED EMBRYOS 200.00 EA 0.000000 0.000000
0002AG THAWING OF CRYOPRESERVED EMBRYOS 200.00 EA 0.000000 0.000000
0003 SECOND OPTION PERIOD 01 JANUARY 1998
THRU 31 DECEMBER 1998
0003AA BASIC IVF 300.00 EA 0.000000 0.000000
0003AB BASIC IVF PLUS INTRACYTOPLASMIC 30.00 EA 0.000000 0.000000
INJECTION (ICSI)
0003AC GAMETE INTRAFALLOPIAN TRANSFER (GIFT) 60.00 EA 0.000000 0.000000
0003AD BASIC IVF PLUS ASSISTED HATCHING 100.00 EA 0.000000 0.000000
0003AE CRYOPRESERVATION OF EMBRYOS 200.00 EA 0.000000 0.000000
0003AF STORAGE OF CRYOPRESERVED EMBRYOS 200.00 EA 0.000000 0.000000
0003AG THAWING OF CRYOPRESERVED EMBRYOS 200.00 EA 0.000000 0.000000
0004 THIRD OPTION PERIOD 01 JANUARY 1999
THRU 31 DECEMBER 1999
0004AA BASIC IVF 300.00 EA 0.000000 0.000000
0004AB BASIC IVF PLUS INTRACYTOPLASMIC 30.00 EA 0.000000 0.000000
INJECTION (ICSI)
0004AC GAMETE INTRAFALLOPIAN TRANSFER (GIFT) 60.00 EA 0.000000 0.000000
0004AD BASIC IVF PLUS ASSISTED HATCHING 100.00 EA 0.000000 0.000000
0004AE CRYOPRESERVATION OF EMBRYOS 200.00 EA 0.000000 0.000000
0004AF STORAGE OF CRYOPRESERVED EMBRYOS 200.00 EA 0.000000 0.000000
0004AG THAWING OF CRYOPRESERVED EMBRYOS 200.00 EA 0.000000 0.000000