36C24622Q0388 0001.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) 558-22-2-6184-0038 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

36C24622Q0388 03-05-2022

X X

18 March 2022 at 03:00Pm EST See CONTINUATION Page 558-3620162-6184-854100-2543 010055590 X The purpose of this modification is to correct an administrative error.

See corrected Price and Cost schedule with Line Item Numbering breakout for base year performance and four

(4) one-year option periods.

Paul O. Waite Contracting Officer

VHA-VHA-SAOE-2018-A9C5BA2D

CONTINUATION PAGE

A.1 PRICE/COST SCHEDULE

ITEM INFORMATION

Semi-Annual Preventive Maintenance service in accordance with Performance Work Statement (PWS) .

Contract Period: Base POP Begin: 04-01-2022 POP End: 03-31-2023 PRINCIPAL NAICS CODE: 238290 - Other Building Equipment Contractors PRODUCT/SERVICE CODE: J043 - Maintenance, Repair, and Rebuilding of Equipment - Pumps and Compressors

Emergency service in accordance with PWS section 7.0 Amount NTE $30, 000 per performance period.

POP Begin: 04-01-2022 POP End: 03-31-2023

PRODUCT/SERVICE CODE: J043 - Maintenance, Repair, and Rebuilding of Equipment - Pumps and Compressors

Hydrocarbon testing quarterly as per Performance Work Statement.

NFPA Chapter 5.1.3.6.3.12. (E)

Contract Period: Base POP Begin: 04-01-2022 POP End: 03-31-2023

PRODUCT/SERVICE CODE: J043 - Maintenance, Repair, and Rebuilding of Equipment - Pumps and Compressors

Med Gas annually inspections as per the Performance Work Statement.

POP Begin: 04-01-2022 POP End: 03-31-2023 PRINCIPAL NAICS CODE: 238290 - Other Building Equipment Contractors PRODUCT/SERVICE CODE: J043 - Maintenance, Repair, and Rebuilding of Equipment - Pumps and Compressors Inspect the existing medical piped gas systems for compliance with applicable JCAHO, NFPA 99, CGA, and AHA specifications and recommendations. The inspection will include: evaluation of patient terminal performance, emergency shut-off controls, all medical gas alarm systems (push button testing), and an evaluation of all source supply equipment.

Semi-Annual Preventive Maintenance service in accordance with Performance Work Statement (PWS).

Contract Period: Option 1 POP Begin: 04-01-2023 POP End: 03-30-2024

PRODUCT/SERVICE CODE: J043 - Maintenance, Repair, and Rebuilding of Equipment - Pumps and Compressors

Emergency service in accordance with PWS section 7.0 Amount NTE $30, 000 per performance period

POP Begin: 04-01-2023 POP End: 03-30-2024

PRODUCT/SERVICE CODE: J043 - Maintenance, Repair, and Rebuilding of Equipment - Pumps and Compressors

Hydrocarbon testing quarterly as per Performance Work Statement.

Contract Period: Option 1 POP Begin: 04-01-2023 POP End: 03-30-2024

PRODUCT/SERVICE CODE: J043 - Maintenance, Repair, and Rebuilding of Equipment - Pumps and Compressors

Med Gas annually inspections as per the Performance Work Statement.

POP Begin: 04-01-2023 POP End: 03-30-2024 PRINCIPAL NAICS CODE: 238290 - Other Building Equipment Contractors PRODUCT/SERVICE CODE: J043 - Maintenance, Repair, and Rebuilding of Equipment - Pumps and Compressors Inspect the existing medical piped gas systems for compliance with applicable JCAHO, NFPA 99, CGA, and AHA specifications and recommendations. The inspection will include: evaluation of patient terminal performance, emergency shut-off controls, all medical gas alarm systems (push button testing), and an evaluation of all source supply equipment.

Semi-Annual Preventive Maintenance service in accordance with Performance Work Statement (PWS) Contract Period: Base.

Contract Period: Option 2 POP Begin: 03-31-2024 POP End: 03-30-2025

PRODUCT/SERVICE CODE: J043 - Maintenance, Repair, and Rebuilding of Equipment - Pumps and Compressors

Emergency service in accordance with PWS section 7.0 Amount NTE $30, 000 per performance period.

POP Begin: 03-31-2024 POP End: 03-30-2025

PRODUCT/SERVICE CODE: J043 - Maintenance, Repair, and Rebuilding of Equipment - Pumps and Compressors

Hydrocarbon testing quarterly as per Performance Work Statement.

Contract Period: Option 2 POP Begin: 03-31-2024 POP End: 03-30-2025

PRODUCT/SERVICE CODE: J043 - Maintenance, Repair, and Rebuilding of Equipment - Pumps and Compressors

Med Gas annually inspections as per the Performance Work Statement.

POP Begin: 03-31-2024 POP End: 03-30-2025 PRINCIPAL NAICS CODE: 238290 - Other Building Equipment Contractors PRODUCT/SERVICE CODE: J043 - Maintenance, Repair, and Rebuilding of Equipment - Pumps and Compressors Inspect the existing medical piped gas systems for compliance with applicable JCAHO, NFPA 99, CGA, and AHA specifications and recommendations. The inspection will include: evaluation of patient terminal performance, emergency shut-off controls, all medical gas alarm systems (push button testing), and an evaluation of all source supply equipment.

Semi-Annual Preventive Maintenance service in accordance with Performance Work Statement (PWS).

Contract Period: Option 3 POP Begin: 03-31-2025 POP End: 03-30-2026

PRODUCT/SERVICE CODE: J043 - Maintenance, Repair, and Rebuilding of Equipment - Pumps and Compressors

Emergency service in accordance with PWS section 7.0 Amount NTE $30, 000 per performance period.

POP End: 03-30-2026

PRODUCT/SERVICE CODE: J043 - Maintenance, Repair, and Rebuilding of Equipment - Pumps and Compressors

Hydrocarbon testing quarterly as per Performance Work Statement.

POP End: 03-30-2026

PRODUCT/SERVICE CODE: J043 - Maintenance, Repair, and Rebuilding of Equipment - Pumps and Compressors

Med Gas annually inspections as per the Performance Work Statement.

POP End: 03-30-2026 PRINCIPAL NAICS CODE: 238290 - Other Building Equipment Contractors PRODUCT/SERVICE CODE: J043 - Maintenance, Repair, and Rebuilding of Equipment - Pumps and Compressors Inspect the existing medical piped gas systems for compliance with applicable JCAHO, NFPA 99, CGA, and AHA specifications and recommendations. The inspection will include: evaluation of patient terminal performance, emergency shut-off controls, all medical gas alarm systems (push button testing), and an evaluation of all source supply equipment.

Semi-Annual Preventive Maintenance service in accordance with Performance Work Statement (PWS).

Contract Period: Option 4 POP Begin: 03-31-2026 POP End: 03-30-2027

PRODUCT/SERVICE CODE: J043 - Maintenance, Repair, and Rebuilding of Equipment - Pumps and Compressors

Emergency service in accordance with PWS section 7.0 Amount NTE $30, 000 per performance period.

POP End: 03-30-2027

PRODUCT/SERVICE CODE: J043 - Maintenance, Repair, and Rebuilding of Equipment - Pumps and Compressors

Hydrocarbon testing quarterly as per Performance Work Statement.

POP End: 03-30-2027

PRODUCT/SERVICE CODE: J043 - Maintenance, Repair, and Rebuilding of Equipment - Pumps and Compressors

Med Gas annually inspections as per the Performance Work Statement.

POP End: 03-30-2027 PRINCIPAL NAICS CODE: 238290 - Other Building Equipment Contractors PRODUCT/SERVICE CODE: J043 - Maintenance, Repair, and Rebuilding of Equipment - Pumps and Compressors Inspect the existing medical piped gas systems for compliance with applicable JCAHO, NFPA 99, CGA, and AHA specifications and recommendations. The inspection will include: evaluation of patient terminal performance, emergency shut-off controls, all medical gas alarm systems (push button testing), and an evaluation of all source supply equipment.

Correction to Price/ Cost Schedule.