36C24218Q9841-0002000.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 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) 528-19-2-8655-0002 None Department of Veterans Affairs Network Contracting Office (NCO) 2 2875 Union Road Suite 3500 Cheektowaga NY 14227 Department of Veterans Affairs Network Contracting Office (NCO) 2 2875 Union Road Suite 3500 Cheektowaga NY 14227 To all Offerors/Bidders

36C24218Q9841 09-07-2018

X X X

528-3690160-8655-828100 0100K0DQ3

X One The purpose of the Amendment 0002 is to provide all prospective offerors a revised B.3 Price Schedule and a revised B.4 Price Worksheet; each to be completed and submittied with their RFQ response to this solicitation as instructed in Section E of the RF Q.

*All other terms and conditions remain unchanged.

Michelle A. Harsch Contracting Officer

B.3 PRICE SCHEDULE

Base Period: 1/1/2019-12/31/2019

Oxygen Compressed, USP - Size E (24 & 25 cubic feet) 660 liters)

Carbon Dioxide USP – Size E (24 cubic feet) and Size H (254 cubic feet)

Air Compressed – Size H (254 cubic feet)

Nitrogen Compressed NF – Size H (254 cubic feet)

Helium compressed USP – Size H (254 cubic feet)

Compressed Gas, Oxidizing, NGS – Size M tank (4500 liters)

Compressed Gas, NDS – Size M (209 cubic feet)

Nitrous Oxide, USP – Size E tank (24 Cubic feet and H tank (254 Cubic feet)

Liquid Nitrogen Dewar tanks refill per month

Mixture Gas (0.3% CO/0.3% Methane/21% 02/Balance Nitrogen) size H for Respiratory Therapy refills per month

E-Size tank RENTALS for CBOCS

Option Period 1: 1/1/2020-12/31/2020

Oxygen Compressed, USP - Size E (24 & 25 cubic feet) 660 liters)

Carbon Dioxide USP – Size E (24 cubic feet) and Size H (254 cubic feet)

Air Compressed – Size H (254 cubic feet)

Nitrogen Compressed NF – Size H (254 cubic feet)

Helium compressed USP – Size H (254 cubic feet)

Compressed Gas, Oxidizing, NGS – Size M tank (4500 liters)

Compressed Gas, NDS – Size M (209 cubic feet)

Nitrous Oxide, USP – Size E tank (24 Cubic feet and H tank (254 Cubic feet)

Liquid Nitrogen Dewar tanks refill per month

Mixture Gas (0.3% CO/0.3% Methane/21% 02/Balance Nitrogen) size H for Respiratory Therapy refills per month

E-Size tank RENTALS for CBOCS

Option Period 2: 1/1/2021-12/31/2021

Oxygen Compressed, USP - Size E (24 & 25 cubic feet) 660 liters)

Carbon Dioxide USP – Size E (24 cubic feet) and Size H (254 cubic feet)

Air Compressed – Size H (254 cubic feet)

Nitrogen Compressed NF – Size H (254 cubic feet)

Helium compressed USP – Size H (254 cubic feet)

Compressed Gas, Oxidizing, NGS – Size M tank (4500 liters)

Compressed Gas, NDS – Size M (209 cubic feet)

Nitrous Oxide, USP – Size E tank (24 Cubic feet and H tank (254 Cubic feet)

Liquid Nitrogen Dewar tanks refill per month

Mixture Gas (0.3% CO/0.3% Methane/21% 02/Balance Nitrogen) size H for Respiratory Therapy refills per month

E-Size tank RENTALS for CBOCS

Option Period 3: 1/1/2022-12/31/2022

Oxygen Compressed, USP - Size E (24 & 25 cubic feet) 660 liters)

Carbon Dioxide USP – Size E (24 cubic feet) and Size H (254 cubic feet)

Air Compressed – Size H (254 cubic feet)

Nitrogen Compressed NF – Size H (254 cubic feet)

Helium compressed USP – Size H (254 cubic feet)

Compressed Gas, Oxidizing, NGS – Size M tank (4500 liters)

Compressed Gas, NDS – Size M (209 cubic feet)

Nitrous Oxide, USP – Size E tank (24 Cubic feet and H tank (254 Cubic feet)

Liquid Nitrogen Dewar tanks refill per month

Mixture Gas (0.3% CO/0.3% Methane/21% 02/Balance Nitrogen) size H for Respiratory Therapy refills per month

E-Size tank RENTALS for CBOCS

Option Period 4: 1/1/2023-12/31/2023

Oxygen Compressed, USP - Size E (24 & 25 cubic feet) 660 liters)

Carbon Dioxide USP – Size E (24 cubic feet) and Size H (254 cubic feet)

Air Compressed – Size H (254 cubic feet)

Nitrogen Compressed NF – Size H (254 cubic feet)

Helium compressed USP – Size H (254 cubic feet)

Compressed Gas, Oxidizing, NGS – Size M tank (4500 liters)

Compressed Gas, NDS – Size M (209 cubic feet)

Nitrous Oxide, USP – Size E tank (24 Cubic feet and H tank (254 Cubic feet)

Liquid Nitrogen Dewar tanks refill per month

Mixture Gas (0.3% CO/0.3% Methane/21% 02/Balance Nitrogen) size H for Respiratory Therapy refills per month

E-Size tank RENTALS for CBOCS

B.4 PRICE WORKSHEET

This worksheet is intended for price evaluation purposes only.

Base Period: 1/1/2019-12/31/2019

Oxygen Compressed, USP - Size E (24 & 25 cubic feet) 660 liters)

117,797

Carbon Dioxide USP – Size E (24 cubic feet) and Size H (254 cubic feet)

517,824

Air Compressed – Size H (254 cubic feet)

43,152

Nitrogen Compressed NF – Size H (254 cubic feet)

690,432

Helium compressed USP – Size H (254 cubic feet)

14,384

Compressed Gas, Oxidizing, NGS – Size M tank (4500 liters)

1,800

Compressed Gas, NDS – Size M (209 cubic feet)

Nitrous Oxide, USP – Size E tank (24 Cubic feet and H tank (254 Cubic feet)

360,868

Liquid Nitrogen Dewar tanks refill per month

Mixture Gas (0.3% CO/0.3% Methane/21% 02/Balance Nitrogen) size H for Respiratory Therapy refills per month

Total Base Period

Option Period 1: 1/1/2020-12/31/2020

Oxygen Compressed, USP - Size E (24 & 25 cubic feet) 660 liters)

Carbon Dioxide USP – Size E (24 cubic feet) and Size H (254 cubic feet)

Air Compressed – Size H (254 cubic feet)

Nitrogen Compressed NF – Size H (254 cubic feet)

Helium compressed USP – Size H (254 cubic feet)

Compressed Gas, Oxidizing, NGS – Size M tank (4500 liters)

Compressed Gas, NDS – Size M (209 cubic feet)

Nitrous Oxide, USP – Size E tank (24 Cubic feet and H tank (254 Cubic feet)

Liquid Nitrogen Dewar tanks refill per month

Mixture Gas (0.3% CO/0.3% Methane/21% 02/Balance Nitrogen) size H for Respiratory Therapy refills per month

Total Option Period 1

Option Period 2: 1/1/2021-12/31/2021

Oxygen Compressed, USP - Size E (24 & 25 cubic feet) 660 liters)

Carbon Dioxide USP – Size E (24 cubic feet) and Size H (254 cubic feet)

Air Compressed – Size H (254 cubic feet)

Nitrogen Compressed NF – Size H (254 cubic feet)

Helium compressed USP – Size H (254 cubic feet)

Compressed Gas, Oxidizing, NGS – Size M tank (4500 liters)

Compressed Gas, NDS – Size M (209 cubic feet)

Nitrous Oxide, USP – Size E tank (24 Cubic feet and H tank (254 Cubic feet)

Liquid Nitrogen Dewar tanks refill per month

Mixture Gas (0.3% CO/0.3% Methane/21% 02/Balance Nitrogen) size H for Respiratory Therapy refills per month

Total Option Period 2

Option Period 3: 1/1/2022-12/31/2022

Oxygen Compressed, USP - Size E (24 & 25 cubic feet) 660 liters)

Carbon Dioxide USP – Size E (24 cubic feet) and Size H (254 cubic feet)

Air Compressed – Size H (254 cubic feet)

Nitrogen Compressed NF – Size H (254 cubic feet)

Helium compressed USP – Size H (254 cubic feet)

Compressed Gas, Oxidizing, NGS – Size M tank (4500 liters)

Compressed Gas, NDS – Size M (209 cubic feet)

Nitrous Oxide, USP – Size E tank (24 Cubic feet and H tank (254 Cubic feet)

Liquid Nitrogen Dewar tanks refill per month

Mixture Gas (0.3% CO/0.3% Methane/21% 02/Balance Nitrogen) size H for Respiratory Therapy refills per month

Total Option Period 3

Option Period 4: 1/1/2023-12/31/2023

Oxygen Compressed, USP - Size E (24 & 25 cubic feet) 660 liters)

Carbon Dioxide USP – Size E (24 cubic feet) and Size H (254 cubic feet)

Air Compressed – Size H (254 cubic feet)

Nitrogen Compressed NF – Size H (254 cubic feet)

Helium compressed USP – Size H (254 cubic feet)

Compressed Gas, Oxidizing, NGS – Size M tank (4500 liters)

Compressed Gas, NDS – Size M (209 cubic feet)

Nitrous Oxide, USP – Size E tank (24 Cubic feet and H tank (254 Cubic feet)

Liquid Nitrogen Dewar tanks refill per month

Mixture Gas (0.3% CO/0.3% Methane/21% 02/Balance Nitrogen) size H for Respiratory Therapy refills per month

Total Option Period 4

TOTAL BASE PERIOD plus 4 OPTION PERIODS: $_______________________________