36C24519Q0441-0001000.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) 688-19-4-034-0441

NA

Department of Veterans Affairs VA Maryland Health Care System Contracting Officer, Carl L. Henderson 209 W. Fayette Street Baltimore MD 21201 Department of Veterans Affairs VA Maryland Health Care System Contracting Officer, Carl L. Henderson 209 W. Fayette Street Baltimore MD 21201 To all Offerors/Bidders

36C24519Q0441 07-25-2019

X X X

X Amendment Notice - Amendment of RFQ 36C24519Q0441 to replace Statement of Work (SOW) and extend response time.

Solicitation number 36C24519Q0441 is hereby amended to replace the current SOW and extend the date for submission.

Amendment number 36C24519Q0441-0001 provides a revised SOW and extends the date for submission to 8/2/2019 @ 12noon est.

Please see attached revised statement of work a nd box 11 of this SF30 for guidance on acknowledgement of this amendment.

All other terms and Conditions outlined in the original solicitation remain unchanged.

POC for this action is Carl.Henderson3@va.gov - All correspondence and responses should be sent to this email address.

Carl L. Henderson Contracting Officer Statement of Work (SOW) - Revised Bulk Oxygen Liquid

The Washington DC. VA Medical Center intends to secure (2) bulk tanks and medical oxygen gases. The period of performance for this Statement of Work is from:

Base Plus: October 1, 2019 through September 30, 2020 Option 1: October 1, 2020 through September 30, 2021 Option 2: October 1, 2021 through September 30, 2022 Option 3: October 1, 2022 through September 30, 2023 Option 4: October 1, 2023 through September 30, 2024

All options are excised at the discretion of the Government.

We serve a patient population with multiple risk factors as wells as clinical procedures that requires medical oxygen gases during and after procedures. In our efforts to meet the routine and non-routine needs of the veteran as well as compliance with Medical Oxygen Gas directives a one vendor specialty supplier is needed to maintain patient safety.

The overall scope of services is for only two oxygen supply systems, (BULK Tanks) and to provide oxygen as needed to the medical center.

Tank rental Requirement: Tank provided at no cost. (2) tanks are required, this includes:

· Main tank 269 inches to fill- 6,006 gal.

· Reserve tank 120 inches to fill- 901 gal.

Installation and Removal will be at fair market price.

Delivery Schedule: Medical Oxygen will be filled monthly – approximately 5 times a month. Oxygen level must be monitored by a telemetry remote monitoring system.

Main oxygen tank will be filled when it reaches half full. Therefore, emergency deliveries not needed due to telemetry system.

· The COR, Charles Washington is authorized to place orders as needed based on the needs of the medical staff.

· A standard Par volume of oxygen will always be maintained.

· The Oxygen will be provided in Bulk Oxygen requirements as well as meet labeling requirements when requested by the medical center.

ADMINISTRATIVE ITEMS

Clinic Operating Hours:

The contractor will provide services (deliveries) on Tuesdays, Wednesday and Fridays. The hours for deliveries will be 0700-1730 hours.

Status Meetings: Contractor, Contracting Officer and COR will meet on an as needed basis to evaluate overall effectiveness of the contract, resolve problems and improve policies and procedures.

Medical Center Contact Information:

Calvin Neal, Chief Logistic Service (202) 745 8000 ext. 55339 Charles Washington, Acquisition Utilization Specialist (202) 745-8000 ext. 56464 Dan McClendon, Supervisor (202) 745-8000 ext. 58405

Personnel:

Personnel Policy:

1. The Contractor will always demonstrate a high level of courtesy and consideration when providing services to the patient/primary caregiver.

1. All Contractors performing work under this contract will be a minimum of eighteen (18) years of age or older, as required by law.

1. All Contractor assigned by the contractor to work on this contract will be physically able to safely and adequately perform their duties.

Personnel/Equipment/Supplies/Forms: Contractor shall provide all personal equipment or other personal items in sufficient quantities to perform their assigned tasks during the delivery and pick-up process.

Organizational Relationship:

The parties agree that the Contractor shall not be considered VA employees for any purpose. Further, the Contractor shall be responsible for protecting their personnel while furnishing services under this contract.

Invoicing:

The invoice shall contain the contractors name, address, and telephone number, name of the type of medical oxygen gas, amount of each type of gas delivered, and charge amount for each item delivered.

The invoice will provide a breakdown of all services provided for the previous week.

The contractor shall not invoice until all required documentation is complete.

If the supporting documentation has not been completed before the invoice is received by the COR at the medical center, the invoice shall be considered incomplete and will be returned.

The invoice may be resubmitted after completion of all required documentation. However, for computing interest under the prompt payment act, invoice receipt date shall be the date the resubmitted invoice is received by the COR at medical center or at the payment processing center in Austin Texas.

Payment:

All payments made under the contract will be made monthly, in arrears, upon submission of a properly prepared invoice for the services furnished in the previous month. No advance payments will be authorized.

Contractor shall contact the Purchasing Agent at medical facility should they not receive payment within 60 calendar days of submission of a proper invoice.

Contractor shall submit invoices to the VA payment offices in Austin Texas. Invoices without proper documentation will be returned.

Payments under this contract will be made in accordance FAR 52.232-34, Payment by Electronic Funds Transfer—Other Than Central Contractor Registration. The Company will provide the appropriate form and account information for electronic transfer.

Payments made by the medical center under this contract shall constitute the total cost of services provided by the Company. The Company hereby agrees that in no event shall the Company bill, charge, collect a deposit from, seek compensation, remuneration, or reimbursement from, or have any recourse against the beneficiary, the beneficiary’s family, private insurer, Medicare or any other entity acting on the beneficiary’s behalf, for services provided pursuant to this contract. Billings rendered by the Company to the medical facility for services furnished to VA beneficiary under the terms of this contract shall be billings in full.

ADP Security Responsibilities:

If contractor has access to printed and/or electronic files containing sensitive information in the performance of official duties, all information or data must be protected under the provision of the Privacy Act of 1974 and other applicable laws and regulations.

The contractor is responsible for:

1) Protecting the information from unauthorized release, from loss, alteration or unauthorized deletion; and

2) Following applicable regulations and instructions regarding access to computerized files, release of access codes, etc. as set out in the computer access agreement and VA Policy Memorandums.

Amendments:

In accordance with FAR 52.212-4 the services specified in this contract may be changed only by written modification to this agreement. The VA Contracting Officer will prepare the modification and have both parties approve the modification.

Abbreviations and Definitions:

Contracting Officer (CO): The representative of the Washington DC VA Medical Center who has the authority to enter into, administer, terminate, modify, approve changes, or otherwise represent and bind the DCVAMC in all matters arising under or relating to this agreement.

Contracting Officer’s Representative (COR): Individual(s) who furnishes technical guidance and advice or generally supervises the work performed under the contract. Designations will be in writing and will define the scope and limitation of the representative's authority.

(END OF STATEMENT OF WORK)