36C24719Q0462-0001002.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 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) 05-29-2019 544-19-3-5063-0066

NONE

Department of Veterans Affairs Columbia VA Healthcare System 6439 Garners Ferry Road Columbia SC 29209 Department of Veterans Affairs Columbia VA Healthcare System 6439 Garners Ferry Road Columbia SC 29209 To all Offerors/Bidders

36C24719Q0462 05-29-2019

X X

JUNE 10, 2019 AT 1600 EST

See CONTINUATION Page X

THE PURPOSE OF THIS AMENDMENT TO 36C24719Q0462 IS:

1. TO CHANGE THE SET ASIDE CODE FROM SDVOSB TO VOSB.

2. TO RE-ISSUE AND UPDATE THE DATE/TIME OFFERS ARE DUE.

3. TO RE-ATTACH DOCUMENTS RELEVANT TO REQUIREMENT.

4. TO ADD CLIN 5 ON THE PRICE/COST SCHEDULE.

NOCHELLE ELLIOTT

CONTRACTING OFFICER

CONTINUATION PAGE

A.1 PRICE/COST SCHEDULE

ITEM INFORMATION

PM SERVICE FOR JLG LIFT MODEL 600AJ, S/N 0300086385. SERVICE TWICE PER YEAR.

Contract Period: Base POP Begin:

POP End:

PM SERVICE ON SELLICK FORKLIFT, MODEL 3634-1-131-2475XR, S/N 9072404. SERVICE TWICE PER YEAR.

PM SERVICE ON JOHN DEERE FORKLIFT MODEL JD482C-2155, S/N T0482CM7300016. SERVICE TWICE PER YEAR.

SERVICE ON SCISSOR LIFT, SERVICE TWICE PER YEAR.

ADDITIONAL PARTS AND SERVICE NOT COVERED, IF REQUIRED.

(MUST BE AUTHORIZED BY THE CO)

PM SERVICE FOR JLG LIFT MODEL 600AJ, S/N 0300086385. SERVICE TWICE PER YEAR.

Contract Period: Option 1

PM SERVICE ON SELLICK FORKLIFT, MODEL 3634-1-131-2475XR, S/N 9072404. SERVICE TWICE PER YEAR.

PM SERVICE ON JOHN DEERE FORKLIFT MODEL JD482C-2155, S/N T0482CM7300016. SERVICE TWICE PER YEAR.

SERVICE ON SCISSOR LIFT, SERVICE TWICE PER YEAR.

ADDITIONAL PARTS AND SERVICE NOT COVERED, IF REQUIRED.

PM SERVICE FOR JLG LIFT MODEL 600AJ, S/N 0300086385. SERVICE TWICE PER YEAR.

Contract Period: Option 2 POP Begin: 05-01-2021 POP End: 04-30-2022

PM SERVICE ON SELLICK FORKLIFT, MODEL 3634-1-131-2475XR, S/N 9072404. SERVICE TWICE PER YEAR.

PM SERVICE ON JOHN DEERE FORKLIFT MODEL JD482C-2155, S/N T0482CM7300016. SERVICE TWICE PER YEAR.

SERVICE ON SCISSOR LIFT, SERVICE TWICE PER YEAR.

ADDITIONAL PARTS AND SERVICE NOT COVERED, IF REQUIRED.

Contract Period: Option 2

PM SERVICE FOR JLG LIFT MODEL 600AJ, S/N 0300086385. SERVICE TWICE PER YEAR.

Contract Period: Option 3

PM SERVICE ON SELLICK FORKLIFT, MODEL 3634-1-131-2475XR, S/N 9072404. SERVICE TWICE PER YEAR.

PM SERVICE ON JOHN DEERE FORKLIFT MODEL JD482C-2155, S/N T0482CM7300016. SERVICE TWICE PER YEAR.

SERVICE ON SCISSOR LIFT, SERVICE TWICE PER YEAR.

ADDITIONAL PARTS AND SERVICE NOT COVERED, IF REQUIRED.

Contract Period: Option 3

PM SERVICE FOR JLG LIFT MODEL 600AJ, S/N 0300086385. SERVICE TWICE PER YEAR.

Contract Period: Option 4

PM SERVICE ON SELLICK FORKLIFT, MODEL 3634-1-131-2475XR, S/N 9072404. SERVICE TWICE PER YEAR.

PM SERVICE ON JOHN DEERE FORKLIFT MODEL JD482C-2155, S/N T0482CM7300016. SERVICE TWICE PER YEAR.

SERVICE ON SCISSOR LIFT, SERVICE TWICE PER YEAR.

ADDITIONAL PARTS AND SERVICE NOT COVERED, IF REQUIRED.

Contract Period: Option 4

A.2 VAAR 852.219-11 VA NOTICE OF TOTAL VETERAN-OWNED SMALL BUSINESS SET-ASIDE (JUL 2016)(DEVIATION)

(a) Definition. For the Department of Veterans Affairs, “Veteran-owned small business or VOSB.”—

(1) Means a small business concern—

(i) Not less than 51 percent of which is owned by one or more veterans or, in the case of any publicly owned business, not less than 51 percent of the stock of which is owned by one or more veterans;

(ii) The management and daily business operations of which are controlled by one or more veterans;

(iii) The business meets Federal small business size standards for the applicable North American Industry Classification System (NAICS) code identified in the solicitation document;

(iv) The business has been verified for ownership and control pursuant to 38 CFR 74 and is so listed in the Vendor Information Pages database, (https://www.vip.vetbiz.gov): and

(v) The business will comply with subcontracting limitations in 13 CFR 125.6, as applicable

(2) “Veteran” is defined in 38 U.S.C. 101(2).

(b) General.

(1) Offers are solicited only from verified veteran-owned small business concerns. All service-disabled veteran-owned small businesses are also determined to be veteran-owned small businesses if they meet the criteria identified in paragraph (a)(1) of this section. Offers received from concerns that are not veteran-owned small business concerns shall not be considered.

(2) Any award resulting from this solicitation shall be made to a verified veteran-owned small business concern.

(c) Agreement. A veteran-owned small business concern agrees that in the performance of the contract, the concern will comply with the limitation on subcontracting requirements in 13 CFR §125.6.

(d) A joint venture may be considered a veteran-owned small business concern if the joint venture complies with the requirements in 13 CFR 125.15, provided that any reference therein to SDVO SBC is to be construed to apply to a VA verified SDVOSB and/or VOSB as appropriate.

(e) Any veteran-owned small business concern (non-manufacturer) must meet the requirements in 19.102(f) of the Federal Acquisition Regulation to receive a benefit under this program.

(End of Clause)