36C10G24R0016 0002.docx

DOCX document 16 KB Posted

Attached to
R499--State Veterans Home (SVH) Nursing Homes
Solicitation number
36C10G24R0016
Issued by

About this file

This is an Amendment to Solicitation/Modification of Contract (Standard Form 30) issued by the U.S. Department of Veterans Affairs, OPAL Strategic Acquisition Center in Fredericksburg, Virginia. The amendment extends the closing date for solicitation 36C10G24R0016 for "Survey of State Veterans Homes (SVH) Nursing Homes" from June 30, 2026 to July 10, 2026 at 15:00 EDT. This is the second amendment (0002) to the solicitation.

The solicitation requires comprehensive survey services for State Veterans Homes, including nursing homes, domiciliary facilities, and adult day health care occupancies. Offerors must acknowledge receipt of this amendment prior to the extended closing date through one of three methods: completing and returning copies of the amendment, acknowledging receipt on each copy of the offer submitted, or submitting a separate letter or electronic communication referencing the solicitation and amendment numbers. The amendment includes attachments such as survey schedules, corrective action procedures, observation records, life safety checklists for various facility types, VA forms, pricing templates, and required business associate agreements. All other terms and conditions of the original solicitation remain unchanged and in full force and effect.

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Other files

File Type Posted
Attachment U_ Final Survey Report Format 01.pdf PDF
36C10G24R0016 SVH.pdf PDF
Past Performance Questionnaire Fillable.pdf PDF
Attachment Z_Survey Deficiency Summary Report Format 01.pdf PDF
Attachment A_SVH Master Survey Schedule Listing 01.pdf PDF
36C10G24R0016 0001.docx DOCX document
Attachment C Observation Record - informational.pdf PDF
Answers Amendment 1 SVH.pdf PDF
Attachment Z_Survey Deficiency Summary Report Format.pdf PDF
Attachment Y_Quick Reference Guide_ADHC.pdf PDF
Attachment R_Existing Day Care Occupancy Checklist.pdf PDF
Attachment Q_SVH DOM Small Board and Care Life Safey Checklist.pdf PDF
Attachment G_VA Form 10-0144.pdf PDF
Attachment E_VA Form 10-0143.pdf PDF
Attachment A_SVH Master Survey Scheduling Listing.pdf PDF
36C10G24R0016.pdf PDF
36C10G24R0016.docx DOCX document
Attachment CC Detailed Price Cost Sheet.xlsx XLSX spreadsheet
Attachment BB Estimated Pricing Sheet.xlsx XLSX spreadsheet
Attachment W_Quick Reference Guide_Nursing Home.pdf PDF
Attachment P_SVH DOM Large Board and Care Life Safety Checklist.pdf PDF
Attachment O_SVH_DOM_Family Dwellings.pdf PDF
Attachment N_SVH NH_DOM_ADHC_Combine Life Safety Checklist.pdf PDF
Attachment M_SVH NH_DOM_Combine Life Safety Checklist.pdf PDF
Attachment K_VA NFPA Interpretation for the SVH Program.pdf PDF
Attachment I_ VA Form 10-3567 Staffing Profile.pdf PDF
Attachment F_VA Form 10-0143A.pdf PDF
Attachment D_Table of Surveyor Component Guide.pdf PDF
Attachment X_Quick Reference Guide_Domiciliary.pdf PDF
Attachment S_Scope and Severity Matrix.pdf PDF
Attachment H_VA Form 10-0144A.pdf PDF
Attachment C_Observation Record.pdf PDF
Attachment AA -Business Associate Agreement.docx DOCX document
Attachment V_Life Safety Code Headings.pdf PDF
Attachment U_ Final Survey Report Format.pdf PDF
Attachment T_IJ Template.pdf PDF
Attachment L_SVH NH_Life Safety Checklist.pdf PDF
Attachment J_VA Form 10-3567 Staffing Profile Reference.pdf PDF
Attachment B_Corrective Action Request Procedure and Form.pdf PDF
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Text version

5. PROJECT NUMBER (if applicable)

CODE

7. ADMINISTERED BY

2. AMENDMENT/MODIFICATION NUMBER

CODE

6. ISSUED BY

8. NAME AND ADDRESS OF CONTRACTOR

4. REQUISITION/PURCHASE REQ. NUMBER

3. EFFECTIVE DATE

9A. AMENDMENT OF SOLICITATION NUMBER

9B. DATED

PAGE OF PAGES

10A. MODIFICATION OF CONTRACT/ORDER NUMBER

10B. DATED

BPA NO.

1. CONTRACT ID CODE

FACILITY CODE

CODE

Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods:

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

E. IMPORTANT:

is extended,

(a) By completing Items 8 and 15, and returning __________ copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted; or (c) By separate letter or electronic communication which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY is not extended.

12. ACCOUNTING AND APPROPRIATION DATA

(REV. 11/2016)

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

is not, A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER NO. IN ITEM 10A.

15C. DATE SIGNED

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by letter or electronic communication, provided each letter or electronic communication makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

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

D. OTHER

Contractor

16C. DATE SIGNED

14. DESCRIPTION OF AMENDMENT/MODIFICATION

16B. UNITED STATES OF AMERICA

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

15A. NAME AND TITLE OF SIGNER

16A. NAME AND TITLE OF CONTRACTING OFFICER

15B. CONTRACTOR/OFFEROR

STANDARD FORM 30

PREVIOUS EDITION NOT USABLE

Prescribed by GSA - FAR (48 CFR) 53.243 (Type or print) (Type or print) (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

(Number, street, county, State and ZIP Code) (If other than Item 6) (Specify type of modification and authority) (such as changes in paying office, appropriation date, etc.)

(If required)

(SEE ITEM 11)

(SEE ITEM 13)

(X)

CHECK

ONE

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

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

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

(Signature of person authorized to sign) (Signature of Contracting Officer) 06-25-2026 36C10G U.S. Department of Veterans Affairs OPAL | Strategic Acquisition Center 10300 Spotsylvania Ave | STE 400 Fredericksburg

VA

22408-2697 36C10G U.S. Department of Veterans Affairs OPAL | Strategic Acquisition Center 10300 Spotsylvania Ave | STE 400 Fredericksburg

VA

22408-2697 To all Offerors/Bidders

36C10G24R0016

X X X ** HOUR & DATE for Receipt of Offers is EXTENDED to: 07-10-2026 15:00 EDT X The purpose of this amendment is to extend the closing date from June 30, 2026 to July 10, 2026.

File details come from the government source that posted it. Updated .