36C24120R0014 0001.docx

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 NUMBERE

D 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 amendmen t, 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) None Department of Veterans Affairs

VAMC

Providence 830 Chalkstone Avenue Providence RI 02908 Department of Veterans Affairs VAMC Providence 830 Chalkstone Avenue Providence RI 02908 To all Offerors/Bidders

36C24120R0014 01-31-2022

X X X

X The above referenced solicitation as identified in block 9a is hereby amended to provide the attachments specified in original announcement, provide updated links and respond to vendor questions.

Any RFIs are due 10 calendar days from issuance of this amendment.

All other terms and conditions remain unchanged.

---------------------------------------------------END------------------------------------------------------------------

Attachment A2- Disposable Supplies - Ancillary Supplies List 3-29- 21 is hereby incorporated into the solicitation and resulting contract.

AL18-01 Use of Thermal Fuses which is listed under the patient safety alert is hereby incorporated into the solicitation and resulting contract.

https://www.jointcommission.org/assets/1/6/NPSG_Chapter_OME_Jan2018.pdf is hereby replaced by the PDF document: HAP NPSG goals 101921 http://www.nfpa.org/~/media/files/news-and-research/fire-statistics/major-causes/osoxygen.pdf?la=en is hereby replaced by PDF documents: oxygen fact sheet, Oxygen Safety and Smoking Safety

All PDFs as identified in Attachment F are hereby incorporated into the solicitation and resulting contract.

NOTE: The Privacy and Release of Information document is hereby replaced with the general VHA Privacy Program document.

The Business Associate Agreement Template is hereby incorporated into the solicitation and resulting contract.

See attached document: VISN 1 Home Oxygen DME Services Solicitation 36C24120R0014 Questions 2-4-22.

See attached document: Attachment A2 - Disposable Supplies - Ancillary Supplies List 3-29-21 03.

See attached document: 1605_D_2017-09-01.

See attached document: 2006-021 VHA Policy on Smoking.

See attached document: 2016-1116-2 SPS Directive.

See attached document: AL18-01 - Use of thermal Fuses.

See attached document: BAA Template.

See attached document: Certificate for Privacy Training.

See attached document: HomeO2-ClinicalIndications-08-28-2020 (002).

See attached document: Oxygen Fact Sheet.

See attached document: Oxygen Safety.

See attached document: Rule Of Behavior.

See attached document: Simple_2022 HAP NPSG goals 101921.

See attached document: Smoking Safety.

See attached document: VA Privacy and Information Security Awareness 2018.

See attached document: VA Privacy HIPAA-Training-2018.

See attached document: VHA Directive 1173_13_Home Oxygen Program D_2020-08-05.