36C24223R0094 0001.docx

SUBJECT*

Amendment 561A4-23R-101 - Replace Flooring WTU Lounge

GENERAL INFORMATION

CONTRACTING OFFICE ADDRESS

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

POINT OF CONTACT*

Dayna Dickson-Miller Contract Specialist Dayna.Dickson-Miller@va.gov 518-626-6649

PLACE OF PERFORMANCE

NJ Healthcare System

Lyons Campus

151 Knollcroft Rd

Lyons NJ

ADDITIONAL INFORMATION

AGENCY’S URL

URL DESCRIPTION

DESCRIPTION

Amendment to a Previous Combined Solicitation

Amendment to a Previous Combined Solicitation Please see statement of work on page 5.

Page 1 of

Amendment to a Previous Combined Solicitation

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 f or 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. I

f 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 OFFIC

ER

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) 561A4-23R-101 36C528 Department of Veterans Affairs Samuel S . Stratton VA Medical Center 113 Holland Avenue (2-90NCA) Albany NY 12208-3410 36C528 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

36C24223R0094 06-29-2023

X x x

See CONTINUATION Page x Amendment 0001 to Information for Bid 36C24223R0094.

This amendment is to provide a updated statement of work. Please see highlighted section for changes.

Proposals are due 07/21/2023 by 3:00pm EST.

All other terms and conditions of the original solicitation shall remain unchanged.

Dayna Dickson-Miller Contracting Officer Page 1 of Page 1 of

CONTINUATION PAGE

FOR OFFICIAL USE ONLY

Memorandum Subj: SOW Project # 561A4-23R-101 Title: Replace Flooring - B143 WTU

Statement of Work Provide all labor, equipment, and material to install new flooring and cove base in Building 143 Room E333 +/- 576 s.f., 22’1 ¼” X 23”-8 5/8”.

1. Provide dust barrier at the room entrance.

2. Submit all products to be used with SDS information.

3. Submit safety plan for review and approval.

4. Secure PIV badges before starting work.

5. Provide OSHA 30 credentials for competent person and 10 hr. OSHA certification for all workers.

6. Demo existing flooring and cove base and dispose of existing flooring and cove base.

7. Prep/level floor to accept new flooring.

8. Install new flooring and cove base as per manufactures recommendations.

9. Clean area for final inspection and acceptance.

Security All contractors staff are to clear with the units’ supervisors before entering the Woman’s unit.

Products to be used Mannington, Luxury Vinyl plank, 4"x36", 20mil wear layer. Spacia Collection; Color: Sun Bleached/ Oak. Johnsonite 6-inch cove base / 80 Fawn Period of Performance 30 calendar days from Notice to Proceed (NTP).

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