36C24619Q0876-A0002000.docx

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Patient Lodging
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36C24619Q0876
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36C24619Q0876 A0002 36C24619Q0876 A0002.docx

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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 ADM

INISTRATIVE 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 d ate 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 3

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) A0002 None Department of Veterans Affairs Network Contracting Office 6 100 Emancipation Drive Hampton VA 23667 Department of Veterans Affairs Network Contracting Office 6 100 Emancipation Drive Hampton VA 23667 To all Offerors/Bidders

36C24619Q0876

X X X 09/02/2019 10:00am EST The purpose of this amendment is the following:

A) Attached is the Subcontractor Verification SDVOSB-VOSB Work form that is required to be filled out and submitted along with your submission.

B) Extend the solicitation response date to 09/02/2019 10:00am EST.

The response to your questions will be posted in amendment A0003 COB Monday 8/26/2019.

Leah Trossen Contracting Officer

August xx, 2019

Contractor Point of Contact Business Name Address Address

Subject:Confirmation of Percentage of Work Performed by Contractor
Solicitation Number 36C24619Q0876

Dear POC:

The VA Inspector General Office in a recent audit noted that there is no indication //whether subcontractors are performing contract work /or what percentage(%) of work is performed by subcontractors// under subject contract. If subcontractors are being used, please complete the enclosed overview of contractor and subcontractor work and provide copies of the signed subcontractor agreements.

Please complete and return this overview to the undersigned via //FAX/ e-mail/ hard-copy mail//if no subcontractors are utilized in performing services under this contract, complete the below certification and return this letter to the undersigned within 5 business days of receipt.

My employees perform 100% of the work required on this contract.

Signature Date

Should you have questions regarding this request please contact the undersigned contracting officer.

Sincerely, Contracting Officer Network Contract Office

Enclosure: Overview of Contractor and Subcontractor Work

Overview of Contractor and Subcontractor Work

Reference: Contract No. Title:

SDVOSB/VOSB Company:

Please provide the following information to identify and calculate the cost of the work self-performed and what is subcontracted.

Clearly describe the work self-performed and the work to be subcontracted. Description to include trade descriptions, equipment, equipment maintenance, percentage of personnel, percentage of supervision, etc, and work to be performed. For each subcontractor provide their business name, address, phone number, and DUNs Number if available.

Percentage of Description of Work Contractor Contract Services

Total percentage of work performed by (prime contractor) Total percentage of work performed by subcontractors

Calculation of self-performed contract personnel costs:

1. Total personnel costs* both prime and all subcontractors: $____________________

2. Subtract all subcontractor personnel costs* that will perform work on this contract

3. Remainder is ‘Total amount of work to be self-performed under the Contract’

4. Self-performed work = Line 3/Line 1 X 100 = _____%

*personnel costs include laborers, mechanics, other tradesmen, and office personnel directly charged to the contract.

I certify the above representations are true and correct to the best of my knowledge.

Contractor Signature: ____________________________________ Date: ______________ Title: ____________________________________

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