36C24818Q9634-0001001.pdf

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

BY

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)

1 1

0001 08-17-2018

Department of Veterans Affairs

Network Contracting Office 8 (248)

Room 315, Bldg. 2

10,000 Bay Pines Blvd

Bay Pines FL 33744

00516

Department of Veterans Affairs

Network Contracting Office 8 (NCO 8)

C.W. Bill Young VA Medical Center

10000 Bay Pines Blvd. Room 315, Bldg. 2

Bay Pines FL 33744

To all Offerors/Bidders

36C24818Q9634

08-17-2018

X x x

See CONTINUATION Page

Change the following on the solicitation to read as follows.

1. Delete the ADA kit for the Club Car Villager 6 on line item 1

2. Change the responds date to read as follows August 23, 2018 at 2PM EST

3. Change the salient characteristics on the solicitation to read as follows: attached.

4. Change Line items 16 - 23 should read 5 each in lieu of 7ea.

5. The following are added after line item 30; Tail Lights, Brake Lights, Turn Signals and Horn - Gasoline P/N:105122806

White Canopy, Front Seats Only P/N:105063301, Hinged Windshield and Installation/Setup

6. The following are added after line item 34; White Canopy, Front Seats Only P/N:10506330, Tail Lights, Brake Lights, Turn

Signals and Horn - Gasoline P/N:105122806, Hinged Windshield P/N:105109101 and Installation/Setup

CONTINUATION PAGE

A.1 PRICE/COST SCHEDULE

ITEM INFORMATION

ITEM

NUMBE

R

DESCRIPTION OF

SUPPLIES/SERVIC

ES

QUANTIT

Y

UNI

T UNIT PRICE AMOUNT

1.00 EA ________________

#105032001 CLUB CAR VILLAGER 6 GASOLINE -ALL

ALUMINUM RUST PROOF CHASSIS -WHITE SEAT -WHITE

FIXED REAR SEAT -SILVER WHEELS STANDARD TREAD

8.5" 6 PLY TIRES -STANDARD LIGHTING (HEADLIGHTS,

TAILLIGHTS, BRAKELIGHTS & HORN) -SCORECARD

HOLDER W/CLIP -STANDARD NAMEPLATE -STANDARD

LIGHTS -12 SPOKE WHEEL COVER INSTALLATION -LIGHT

DUTY FRONT BUMPER -14HP (404CC) EFI OVERHEAD CAM

ENGINE, KEY-START -FUEL GAUGE/HOUR METER

LOCAL STOCK NUMBER: 105032001

CLASSIC BLUE, GAS

LOCAL STOCK NUMBER: 105024704

WHITE CANOPY (FOR REAR SEAT)

LOCAL STOCK NUMBER: 101816701

HINGED WINDSHIELD

LOCAL STOCK NUMBER: 105077801

5 PANEL REAR VIEW WINK MIRROR

LOCAL STOCK NUMBER: 105288901

DELUXE LIGHTS, GAS

LOCAL STOCK NUMBER: 103712502

ENCLOSURE WHITE 3-SIDED

LOCAL STOCK NUMBER: 101844701

LOCAL DEALER (JEFFREY ALLEN) SEYUP/INSTALLATION

6.00 EA ________________

#104030501 CLUB CAR Carryall 500 Gasoline: **14 hp (404 cc)

EFI Overhead Cam Engine, Pedal Start, 4-wheel brakes White

Cowl (rustproof, corrosion-resistant, aircraft-grade aluminum frame and body) Gra

#105122102 Cargo Box

#105122806 Tail Lights, Brake Lights, Turn Signals and Horn

Electric

#105063301 White Canopy, Front Seats Only

#105288801 5 Panel Rear View Mirror

#105109101 Hinged Windshield

LOCAL DEALERSHIP SETUP/INTALLATION

5.00 EA ________________

#104030501 CLUB CAR Carryall 500 Gasoline: **14 hp (404 cc)

EFI Overhead Cam Engine, Pedal Start, 4-wheel brakes White

Cowl (rustproof, corrosion-resistant, aircraft-grade aluminum frame and body) Gray Seat Premium Tire 6-ply rated - 20x10-10 Four

Wheel Brakes 12V Powerpoint Halogen Headlights Heavy Duty

Front Suspension Standard Keyswitch IQPlus Drive System w/ 500 amp Motor Controller On-Board Hi-Freq Charger with 15 foot

(4.6m) Cord Reel Hour Meter DC-DC Converter, 16A

#105122102 Cargo Box

#105122806 Tail Lights, Brake Lights, Turn Signals and Horn

Electric

#105063301 White Canopy, Front Seats Only

#105288801 5 Panel Rear View Mirror

#105109101 Hinged Windshield

#101837502 Aluminum Toolbox, Cargo Box

LOCAL DEALERSHIP SETUP/INTALLATION

#104031201 CLUB CAR Carryall 700 Gasoline White Cowl Gray

Seat Premium Tire 6-ply rated - 20x10-10 Four Wheel Brakes 12V

Powerpoint Standard Keyswitch Electric Bed Lift Halogen

Headlights Heavy Duty Front Suspension Fuel Gauge/Hour Meter

**rating at 3600 rpm per SAE J1940

#SVP1153605 White Van Box

#SVP1161801 LED Interior Light Kit

#SVP12275001 High Mount Brake Light and Reverse Lights

#SVP1154701 Heavy Guage Aluminum Shelf (optional)

#105098501 Cab Driver Side Mirror Kit

#105098502 Cab Passenger Side Mirror Kit

5.00 ea ________________

Tail Lights, Brake Lights, Turn Signals and Horn – Gasoline

P/N:105122806

White Canopy, Front Seats Only

P/N: 105063301

Hinged Windshield

P/N: 105109101

Setup/Installation

#104030101 CLUB CAR Carryall 300 Gasoline: **14 hp (404 cc)

EFI Overhead Cam Engine, Pedal Start, 2-wheel brakes

#105120001 Dark Green Cowl Gray Seat Premium Tire 6-ply rated

- 20x10-10 12V Powerpoint Standard Front Suspension Standard two wheel brakes Halogen Headlights Fuel Gauge/Hour Meter

**rating at 3600 rpm per SAE J1940

#105122201 Flat Bed

White Aluminum Van Box (OPEN MARKET)

Oversize Side Mounted Mirrors (OPEN MARKET)

1.00 ea ________________

White Canopy, Front Seats Only

P/N:105122806

Tail Lights, Brake Lights, Turn Signals and Horn

P/N: 105122806

Hinged Windshield

P/N: 105109101

Setup/Installation

GRAND TOTAL ________________

A.2 DELIVERY SCHEDULE