36C24820Q0175-00002001.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

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 6

00002 12-20-2019

672-20-1-512-0011

N/A

36C248

Department of Veterans Affairs

Network Contracting Office 8 (NCO 8)

VA Caribbean HCS (Admin Bldg)

#10 Calle Casia Suite #4M440

San Juan PR 00921-3201

36C248

Department of Veterans Affairs

Network Contracting Office 8 (NCO 8)

VA Caribbean HCS (Admin Bldg)

#10 Calle Casia Suite #4M440

San Juan PR 00921-3201

To all Offerors/Bidders

36C24820Q0175

12-10-2019

X

X X

12/27/2019, 11:59 PM

See CONTINUATION Page

X 1

Amendment A00002 is issued to modify Performance Work Statement (PWS) and to modify the Price/Cost Schedule.

i. On item 3.5 of the PWS, the exact amount of medical gas terminals, alarms, and valves was added.

ii. Item 3.7 was added on the PWS, which addresses the addition or deletion of terminals, alarms or valves.

iii. Item 3.8 was added to the PWS, which includes the addresses of the places of performance.

iv. Contact Line Items (CLINs) regarding anesthetic devices and vaporizers were eliminated.

v. CLINs were added for the performance of services at the Mayaguez and Ponce Outpatient Clinics.

vi. Quote submission date is changed to December 27, 2019 at 11:59 PM (EST).

vii. Updated PWS is attached.

Javier Medina-Velazquez

Contracting Officer

VA-VHA-SAOE-2019-DD6C9C71

CONTINUATION PAGE

A.1 PRICE/COST SCHEDULE

ITEM INFORMATION

ITEM

NUMBE

R

DESCRIPTION OF

SUPPLIES/SERVI

CES

QUANTI

TY

UNI

T UNIT PRICE AMOUNT

1.00 EA _______________

NECESSARY SERVICES TO CONDUCT INSPECTION,

EVALUATION AND CERTIFIATION OF MEDICAL GASES

AND VACUUM SYSTEMS AT VACHS

Contract Period: Base POP Begin: 01-03-2020 POP End: 01-02-2021

NECESSARY SERVICES TO CONDUCT INSPECTION,

EVALUATION AND CERTIFIATION OF MEDICAL GASES

AND VACUUM SYSTEMS AT MOPC

Contract Period: Base

NECESSARY SERVICES TO CONDUCT INSPECTION,

EVALUATION AND CERTIFIATION OF MEDICAL GASES

AND VACUUM SYSTEMS AT POPC

Contract Period: Base

NECESSARY SERVICES TO CONDUCT INSPECTION,

EVALUATION AND CERTIFIATION OF MEDICAL GASES

AND VACUUM SYSTEMS AT VACHS

Contract Period: Option 1 POP Begin: 01-03-2021 POP End: 01-02-2022

NECESSARY SERVICES TO CONDUCT INSPECTION,

EVALUATION AND CERTIFIATION OF MEDICAL GASES

AND VACUUM SYSTEMS AT MOPC

Contract Period: Option 1

NECESSARY SERVICES TO CONDUCT INSPECTION,

EVALUATION AND CERTIFIATION OF MEDICAL GASES

AND VACUUM SYSTEMS AT POPC

Contract Period: Option 1

NECESSARY SERVICES TO CONDUCT INSPECTION,

EVALUATION AND CERTIFIATION OF MEDICAL GASES

AND VACUUM SYSTEMS AT VACHS

Contract Period: Option 2 POP Begin: 01-03-2022 POP End: 01-02-2023

NECESSARY SERVICES TO CONDUCT INSPECTION,

EVALUATION AND CERTIFIATION OF MEDICAL GASES

AND VACUUM SYSTEMS AT MOPC

Contract Period: Option 2

NECESSARY SERVICES TO CONDUCT INSPECTION,

EVALUATION AND CERTIFIATION OF MEDICAL GASES

AND VACUUM SYSTEMS AT POPC

Contract Period: Option 2

NECESSARY SERVICES TO CONDUCT INSPECTION,

EVALUATION AND CERTIFIATION OF MEDICAL GASES

AND VACUUM SYSTEMS AT VACHS

Contract Period: Option 3 POP Begin: 01-03-2023 POP End: 01-02-2024

NECESSARY SERVICES TO CONDUCT INSPECTION,

EVALUATION AND CERTIFIATION OF MEDICAL GASES

AND VACUUM SYSTEMS AT MOPC

Contract Period: Option 3

NECESSARY SERVICES TO CONDUCT INSPECTION,

EVALUATION AND CERTIFIATION OF MEDICAL GASES

AND VACUUM SYSTEMS AT POPC

Contract Period: Option 3

NECESSARY SERVICES TO CONDUCT INSPECTION,

EVALUATION AND CERTIFIATION OF MEDICAL GASES

AND VACUUM SYSTEMS AT VACHS

Contract Period: Option 4 POP Begin: 01-03-2024 POP End: 01-02-2025

NECESSARY SERVICES TO CONDUCT INSPECTION,

EVALUATION AND CERTIFIATION OF MEDICAL GASES

AND VACUUM SYSTEMS AT MOPC

Contract Period: Option 4

NECESSARY SERVICES TO CONDUCT INSPECTION,

EVALUATION AND CERTIFIATION OF MEDICAL GASES

AND VACUUM SYSTEMS AT POPC

Contract Period: Option 4

GRAND TOTAL _______________

A.2 DELIVERY SCHEDULE

ITEM NUMBER QUANTITY

DELIVERY

DATE

1.00