36C24118R0304-0004000.docx

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CLC Patient Privacy Improvements Project 523A5-CSI-303 Brockton VAMC
Solicitation number
36C24118R0304
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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 ITE

M 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 r eference 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

BY

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) 523A5-18-303 Department of Veterans Affairs Network Contracting Office 1 VAMC Manchester 718 Smyth Road, BST Suite 105 Manchester NH 03104 Department of Veterans Affairs Network Contracting Office 1 VAMC Manchester 718 Smyth Road, BST Suite 105 Manchester NH 03104 To all Offerors/Bidders

36C24118R0304 05-24-2018

X X X

06-11-2018 3:00 PM EST

X Amendment to solicitation to answer vendor questions Please see Continuation Page

Due date remains the same. Due time has been extended from12:00 to 3:00 PM EST

CONTINUATION PAGE

CLC Questions and Answers

Q: Question regarding Insulation – Spec Section 23 07 011 HVAC & Boiler Plant Insulation – please clarify – there is no mention of Duct Insulation only Piping Insulation – please supply the Spec Section if the Duct Work is to be insulated. A: Part 2 – Products, 2.1 Mineral Fiber or Fiber Glass - Section A (board, block) is for rigid duct external insulation and section B (blanket, flexible) is for flexible indoor insulation. Thickness and Minimum R value shall be maintained per current International Energy Conservation Code

Q: The specifications have an automatic operator section, however, there are no operators on the hardware sets, door schedule, and plans. Please confirm if there are automatic operators on this project. A: Specification Section 08 71 13 shall be deleted from the contract drawings since it does not apply to this project.

Q: There is reference to use the Pre-Award Contractor Evaluation Form for Safety. There does not seem to be one included in the Solicitation. Can you supply or is it ok to use a similar form? A: Attached

EMR FORM OFFEROR COMPLETE TO SUBMIT WITH PROPOSAL

Pre-Award Contractor Evaluation Form

Company Name:

Address:

Telephone:

Fax:

Email:

Contact:

Utilizing your OSHA 300 Forms, please complete the following information:

Category
2014
2015
2016
2017

Number of man hours (jobsite and office).

Number of cases involving days away from work, restricted activity or both (Column H and I of OSHA 300).

Days away, restricted, or transferred rate (# of days away, restricted or transferred cases x 200,000/# of man hours) (DART Rate).

Number of serious, willful, or repeat violations from OSHA within the last 3 years. Please attach explanation for any violations. (Four serious, one repeat, or one willful disqualifies the contractor.)

Please attach copies of the following documents: OSHA 300 and 300a Forms. These forms can be accessed through the OSHA publications search page: http://www.osha.gov/pls/publications/publication.html.

Provide your six-digit North American Industrial Classification System (NAICS) Code for this acquisition:

Who administers your company’s Safety and Health Program?

Company’s Insurance Experience Modification Rate (EMR) for the past 3 years (an EMR of greater than 1.0 disqualifies the contractor):

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