36C25018Q9764-0001002.docx

36C25018Q9764

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) 11-14-2018 None Department of Veterans Affairs Network Contracting Office 10 8888 Keystone Crossing Suite 1100 Indianapolis IN 46240 Department of Veterans Affairs Network Contracting Office 10 8888 Keystone Crossing Suite 1100 Indianapolis IN 46240 To all Offerors/Bidders

36C25018Q9764 10-30-2018

X X X 583-3690162-669-855100-2543 010055590 X The purpose of this amendment is to correct the number of elevators on the price schedule.

Please see attchent for new price schedule

All terms and conditions remains uncha nged.

Kristina L. Gandy Contracting Officer B.4 Price Schedule:

Contractor shall provide all labor, tools, materials, equipment and supervision necessary to provide maintenance for the elevators / lifts / dumbwaiters at Veterans Health Indiana (VHI), Richard L. Roudebush VA Medical Center (RLRVAMC), located at 1481 West 10th Street, Indianapolis, IN 48202. The period of service shall be from January 1, 2019 through December 31, 2019, with four (4) one (1) year option periods to be exercised at the discretion of the Government. The Contractor shall provide maintenance in a manner which ensures the safe and continuous operation of all equipment listed (in attachment A) in accordance with this document and commercial practices and / or manufacturer's specifications American National Standards Institute/American Society of Mechanical Engineers (ANSI / ASME A17).

Base Year: January 1, 2019 through December 31, 2019:

Building 9 ADA Lift

Option Year One (1): January 1, 2020 through December 31, 2020:

Building 9 ADA Lift

Option Year Two (2): January 1, 2021 through December 31, 2021:

Building 9 ADA Lift

Option Year Three (3): January 1, 2022 through December 31, 2022:

Building 9 ADA Lift

Option Year Four (4): January 1, 2023 through December 31, 2023:

Building 9 ADA Lift

Base Year Total: $_________________________________ Option Year One (1) Total: $_________________________ Option Year Two (2) Total: $_________________________ Option Year Three (3) Total: $________________________ Option Year Four (4) Total: $_________________________ Aggregate Total: $__________________________________ (Base + All Options if exercised)