36C24818Q9790-0001000.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 ITE M 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 r eference 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)

NONE

Y Department of Veterans Affairs Network Contracting Office 8 (NCO 8) 8875 Hidden River Pkwy Suite 525 Tampa FL 33637 00248 Department of Veterans Affairs Network Contracting Office 8 (NCO 8) 8875 Hidden River Pkwy Tampa FL 33637 To all Offerors/Bidders

36C24818Q9790 09-13-2018

X X X x The purpose of this amendment is remove option years in the solicitation. Quote shall only be for CLC as stated in the attached corrected Price/Cost/Schedule. Quoters shall submit a quote for CLC located at James A. Haley.

Leonora Simmons Contracting Officer Price / Cost Schedule: Period of Performance 10/28/2018 CLIN# Stock# Manufacturer Descriptions Qty U/I Price Ext. Price

Installation, removal of existing lift system and disposal, cleaning or removal of debris & dust.

Delivery and installation area:

Community Living Center (CLC) Coconut Drive (16 rooms-13 semi-private and 3 private) Brand Name or Equal

EA

JB

CLIN# Stock# Manufacturer Descriptions Qty U/I Price Ext. Price

Installation, removal of existing lift system and disposal, cleaning or removal of debris & dust.

Installation, removal of existing lift system and disposal, cleaning or removal of debris & dust.

Delivery and installation area:

Community Living Center (CLC) Sandy Blvd (17 rooms-14 semi-private and 3 private)

EA

CLIN# Stock# Manufacturer Descriptions Qty U/I Price Ext. Price

Installation, removal of existing lift system and disposal, cleaning or removal of debris & dust.

Installation, removal of existing lift system and disposal, cleaning or removal of debris & dust.

Delivery and installation area:

Community Living Center (CLC) Sandy Harbor (15 rooms-12 semi-private and 3 private)

EA

CLIN# Stock# Manufacturer Descriptions Qty U/I Price Ext. Price

XL Lift Motor

Specifications:

Ceiling Mounted Patient Lift Traverse Rail System Max 800lb weight capacity Full room coverage (H/XY Track) allowing patient lifting and repositioning in ALL directions of the room Scales on the motor to weigh patient, Sling bar that keeps loops in place inside the sling bar hooks-eliminate sling coming out of the hook, Wall charging for 2-button hand control used in a hospital setting, with charging indicator lights and warning for low battery, Motors accessories and rail components support, Manual emergency lowering and emergency stop function for safe lowering without power, no ladder or tool needed, strap reachable from the floor, easy to use, low force to operate, no need to reset after use Industrial twin drive motor design and gearbox will lift and hold weight under all conditions-will not drift downward or slowly as motor ages, or if electrical failure or emergency stop is activated, and prevents slow decent or motor drift when power supply removed, Lithium ion battery-longer warranted life, no lead, complies with RoHS, withstand deep discharge without losing capacity, protected from self-discharge if left uncharged/unplugged, with sleep mode, prevents damage from discharge while not charging.

Installation, removal of existing lift system and disposal, cleaning or removal of debris & dust.

Delivery and installation area:

Community Living Center (CLC) Starfish (10 rooms- all semi-private)

EA

CLIN# Stock# Manufacturer Descriptions Qty U/I Price Ext. Price

CLIN#

Specifications:

Ceiling Mounted Patient Lift Traverse Rail System Max 800lb weight capacity Full room coverage (H/XY Track) allowing patient lifting and repositioning in ALL directions of the room Scales on the motor to weigh patient, Sling bar that keeps loops in place inside the sling bar hooks-eliminate sling coming out of the hook, Wall charging for 2-button hand control used in a hospital setting, with charging indicator lights and warning for low battery, Motors accessories and rail components support, Manual emergency lowering and emergency stop function for safe lowering without power, no ladder or tool needed, strap reachable from the floor, easy to use, low force to operate, no need to reset after use Industrial twin drive motor design and gearbox will lift and hold weight under all conditions-will not drift downward or slowly as motor ages, or if electrical failure or emergency stop is activated, and prevents slow decent or motor drift when power supply removed, Lithium ion battery-longer warranted life, no lead, complies with RoHS, withstand deep discharge without losing capacity, protected from self-discharge if left uncharged/unplugged, with sleep mode, prevents damage from discharge while not charging.

Installation, removal of existing lift system and disposal, cleaning or removal of debris & dust.

Community Living Center (CLC) Ocean Blvd (14 rooms-11 semi-private and 3 private) Brand name or equal

EA

CLIN# Stock# Manufacturer Descriptions Qty U/I Price Ext. Price

Specifications:

Ceiling Mounted Patient Lift Traverse Rail System Max 800lb weight capacity Full room coverage (H/XY Track) allowing patient lifting and repositioning in ALL directions of the room Scales on the motor to weigh patient, Sling bar that keeps loops in place inside the sling bar hooks-eliminate sling coming out of the hook, Wall charging for 2-button hand control used in a hospital setting, with charging indicator lights and warning for low battery, Motors accessories and rail components support, Manual emergency lowering and emergency stop function for safe lowering without power, no ladder or tool needed, strap reachable from the floor, easy to use, low force to operate, no need to reset after use Industrial twin drive motor design and gearbox will lift and hold weight under all conditions-will not drift downward or slowly as motor ages, or if electrical failure or emergency stop is activated, and prevents slow decent or motor drift when power supply removed, Lithium ion battery-longer warranted life, no lead, complies with RoHS, withstand deep discharge without losing capacity, protected from self-discharge if left uncharged/unplugged, with sleep mode, prevents damage from discharge while not charging.

Installation, removal of existing lift system and disposal, cleaning or removal of debris & dust.

Community Living Center (CLC) Pineapple Lane (14 rooms-11 semi-private and 3 private) Brand name or equal

EA

BASE YEAR TOTAL$