36C24121Q0355 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 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) 04-15-2021 36C241 Department of Veterans Affairs VA Boston Healthcare System Contracting Officer (90C) 940 Belmont Street Brockton

MA

02301 36C241 Department of Veterans Affairs VA Boston Healthcare System Contracting Officer (90C) 940 Belmont Street Brockton

MA

02301 To all Offerors/Bidders

36C24121Q0355

X X X

April 20, 2021 at 5 PM EST time.

See CONTINUATION Page The purpose of this amendment is to replace the original Statement of Work with the one included in this Amendment.

The due date for bids has been extended to April 20, 2021 at 5pm EST time.

CONTINUATION PAGE

Ice Machine Cleaning and Sanitation Statement of Work (SOW) Boston Healthcare System

BACKGROUND:

This work covers the services to clean and sanitize ice machines at the 3 Boston VA facilities:

· Brockton Division, 940 Belmont Street, Brockton, MA

· Jamaica Plain Division, 150 Huntington Avenue, Boston, MA

· West Roxbury Division, 1400 VFW Parkway, West Roxbury, MA

STATEMENT OF WORK:

· Provide 2 semi-annual site visits (approximately 6 months apart) to complete all required manufactures procedures for 69 ice machines identified below.

· Internal clean and sanitize of ice machines.

· Wipe down external surfaces, clean drip tray, flush drain line.

· Vacuum/wash air filters.

· Replace water filters (filters provided by VA).

· For each machine listed, provide a certificate and written report with photographs showing before and after conditions to validate the cleaning process.

Brockton

C110-02-BR

C211-02-BR

B311-02-BR

C311-03-BR

CANTEEN SODA MACHINE

A415-03-BR

Urgent Care

STARBUCKS

C200-04-BR

210C-20-BR

210C-20-BR

B126-08-BR

C114-07-BR

B212-07-BR

GREEN HOUSE

B113-07-BR

112E-22-BR

221-22-BR

TBD

Jamaica Plain

1st floor Med Room

3rd Floor Med Room

Hoshizaki

3rd Floor Patriots Cafe Closet

Hoshizaki

3rd Floor Patriots Cafe Soda

West Roxbury

Period of Performance: One base year plus four option years. The options may or not be exercised. The period of performance start date is May 1, 2021.

Places of Performance:

· Brockton Division, 940 Belmont Street, Brockton, MA

· Jamaica Plain Division, 150 Huntington Avenue, Boston, MA

· West Roxbury Division, 1400 VFW Parkway, West Roxbury, MA