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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 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) 528-23-1-6893-0012 Network Contracting Office 2 Department of Veterans Affairs Samuel S . Stratton VA Medical Center 113 Holland Avenue (2-90NCA) Albany

NY

12208-3410 Department of Veterans Affairs Samuel S . Stratton VA Medical Center Network Contracting Activity 113 Holland Avenue (2-90NCA) Albany

NY

12208-3410 To all Offerors/Bidders

36C24223Q0139 12-19-2022

X X X

See CONTINUATION Page 528-3630162-6893-854100-2543-0100C1B92 X The purpose of this amendment 0001 is to correct the period of performance dates located at section B.3 for all line items. The amended section B.3 with the corrected dates is included herewith.

All other terms and conditions remain unchanged.

Michael Estep Contracting Officer

VA-VHA-RPOE-2023-0015

CONTINUATION PAGE

A.1 PRICE/COST SCHEDULE

ITEM INFORMATION

ITEM NUMBER
DESCRIPTION OF SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
12.00
MO
__________________
__________________

Monthly SPS Critical Water System Testing to determine acceptability of Bacteria, Total Organic Carbon and PH Level as prescribed in AAMI TIR 34 and VA Directive 1116. Monthly testing shall consist of: Bacteria- 10 samples and Total Organic Carbon - 10 samples.

Contract Period: Base POP Begin: 02-01-2023 POP End: 01-31-2024 PRINCIPAL NAICS CODE: 541620 - Environmental Consulting Services PRODUCT/SERVICE CODE: H346 - Inspection - Water Purification and Sewage Treatment Equipment

1.00
YR
__________________
__________________

Annual SPS Critical Water System Testing to determine acceptability of Endotoxin, Water Harness and Ionic Containment levels as prescribed in AAMI TIR 34 and VA Directive 1116. Annual testing shall consist of: Endotoxin- 10 samples

POP Begin: 02-01-2023 POP End: 01-31-2024

1.00
JB
__________________
__________________

Initial in-person training to between five (5) and seven (7) VA employees on proper sampling and shipping procedures

POP Begin: 02-01-2023 POP End: 01-31-2024

12.00
MO
__________________
__________________

Monthly SPS Critical Water System Testing to determine acceptability of Bacteria, Total Organic Carbon and PH Level as prescribed in AAMI TIR 34 and VA Directive 1116. Monthly testing shall consist of: Bacteria- 10 samples and Total Organic Carbon - 10 samples.

Contract Period: Option 1 POP Begin: 02-01-2024 POP End: 01-31-2025

1.00
YR
__________________
__________________

Annual SPS Critical Water System Testing to determine acceptability of Endotoxin, Water Harness and Ionic Containment levels as prescribed in AAMI TIR 34 and VA Directive 1116. Annual testing shall consist of: Endotoxin- 10 samples

POP Begin: 02-01-2024 POP End: 01-31-2025

1.00
JB
__________________
__________________

Annual sampling and shipping refresher training for VA SPS Staff.

POP Begin: 02-01-2024 POP End: 01-31-2025

12.00
MO
__________________
__________________

Monthly SPS Critical Water System Testing to determine acceptability of Bacteria, Total Organic Carbon and PH Level as prescribed in AAMI TIR 34 and VA Directive 1116. Monthly testing shall consist of: Bacteria- 10 samples and Total Organic Carbon - 10 samples.

Contract Period: Option 2 POP Begin: 02-01-2025 POP End: 01-31-2026

1.00
YR
__________________
__________________

Annual SPS Critical Water System Testing to determine acceptability of Endotoxin, Water Harness and Ionic Containment levels as prescribed in AAMI TIR 34 and VA Directive 1116. Annual testing shall consist of: Endotoxin- 10 samples

POP Begin: 02-01-2025 POP End: 01-31-2026

1.00
JB
__________________
__________________

Annual sampling and shipping refresher training for VA SPS Staff.

POP Begin: 02-01-2025 POP End: 01-31-2026

12.00
MO
__________________
__________________

Monthly SPS Critical Water System Testing to determine acceptability of Bacteria, Total Organic Carbon and PH Level as prescribed in AAMI TIR 34 and VA Directive 1116. Monthly testing shall consist of: Bacteria- 10 samples and Total Organic Carbon - 10 samples.

Contract Period: Option 3 POP Begin: 02-01-2026 POP End: 01-31-2027

1.00
YR
__________________
__________________

Annual SPS Critical Water System Testing to determine acceptability of Endotoxin, Water Harness and Ionic Containment levels as prescribed in AAMI TIR 34 and VA Directive 1116. Annual testing shall consist of: Endotoxin- 10 samples

POP Begin: 02-01-2026 POP End: 01-31-2027

1.00
JB
__________________
__________________

Annual sampling and shipping refresher training for VA SPS Staff.

POP Begin: 02-01-2026 POP End: 01-31-2027

12.00
MO
__________________
__________________

Monthly SPS Critical Water System Testing to determine acceptability of Bacteria, Total Organic Carbon and PH Level as prescribed in AAMI TIR 34 and VA Directive 1116. Monthly testing shall consist of: Bacteria- 10 samples and Total Organic Carbon - 10 samples.

Contract Period: Option 4 POP Begin: 02-01-2027 POP End: 01-31-2028

1.00
YR
__________________
__________________

Annual SPS Critical Water System Testing to determine acceptability of Endotoxin, Water Harness and Ionic Containment levels as prescribed in AAMI TIR 34 and VA Directive 1116. Annual testing shall consist of: Endotoxin- 10 samples

POP Begin: 02-01-2027 POP End: 01-31-2028

1.00
JB
__________________
__________________

Annual sampling and shipping refresher training for VA SPS Staff.

POP Begin: 02-01-2027 POP End: 01-31-2028

GRAND TOTAL
__________________

A.2 DELIVERY SCHEDULE

ITEM NUMBER
QUANTITY
DELIVERY DATE

12.00

1.00

1.00

12.00

1.00

1.00

12.00

1.00

1.00

12.00

1.00

1.00

12.00

1.00

1.00

This amendment 0001 is issued to correct the period of performance dates within the line items at section B.3. The updated section B.3 is included in the attachment.

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