The file's text, extracted by GovTribe without its formatting.
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) 10-17-2018 none Department of Veterans Affairs Network Contracting Office (NCO) 10 6150 Oak Tree Blvd., Suite 300 Independence OH 44131 Department of Veterans Affairs Network Contracting Office (NCO) 10 6150 Oak Tree Blvd., Suite 300 Independence OH 44131 To all Offerors/Bidders
36C25019Q0016 10-17-2018
X X Please note the following modification to Solicitation 36C25019Q0016:
1. Attached to this modification is the updated Pricing-Cost Schedule for this solicitation.
2. Added is the number of Curtains for the McCafferty CBOC. The number of Curtains is 10.
3. Please remember a site visit wil l take place on October 19, 2018 at 10 am. Located at 10701 East Blvd Cleveland, Ohio 44106 in the Atrium, Lobby Area. If interested in attending, please show up by 10 am.
4. Quotes are due by 11-2-2018 by 3 pm est.
5. Please continue to look on FBO for any potential updates or changes.
Roman Savino Contracting Officer
CONTINUATION PAGE
B.2 PRICE/COST SCHEDULE
Performance Schedule:
Base Year: 12-1-2018 through 11-30-2019 Option Year One: 12-1-2019 through 11-30-2020 Option Year Two: 12-1-2020 through 11-30-2021 Option Year Three: 12-1-2021 through 11-30-2022 Option Year Four: 12-1-2022 through 11-30-2023
A. Base Year: 12-1-2018 through 11-30-2019 CBOC number of cubicle curtains CBOCs Number of cubicle Curtains and Price
| Location |
| # of Curtains |
| Price per Curtain |
| Total |
| Grand Total CBOCs |
| 397 |
| $ |
| $ |
Cubicle Curtains for the Main Hospital and the Cares Tower Cubicle Curtains for the Main Hospital and the Cares Tower
| Department |
| # Of Curtains |
| Frequency |
| Price per Curtain |
| Total |
| BASEMENT-MAIN HOSP |
| 20 |
| QUARTERLY |
| $ |
| $ |
| 1ST FLOOR-MAIN HOSP |
| 116 |
| QUARTERLY |
| $ |
| $ |
| 2ND FLOOR-MAIN HOSP |
| 248 |
| QUARTERLY |
| $ |
| $ |
| 3RD FLOOR-MAIN HOSP |
| 55 |
| QUARTERLY |
| $ |
| $ |
| 4TH FLOOR-MAIN HOSP |
| 139 |
| QUARTERLY |
| $ |
| $ |
| 5TH FLOOR-MAIN HOSP |
| 170 |
| QUARTERLY |
| $ |
| $ |
| 6TH FLOOR-MAIN HOSP |
| 98 |
| QUARTERLY |
| $ |
| $ |
| BASEMENT CARES TOWER |
| 46 |
| QUARTERLY |
| $ |
| $ |
| 3RD FLOOR CARES TOWER |
| 77 |
| QUARTERLY |
| $ |
| $ |
| 4TH FLOOR CARES TOWER |
| 77 |
| QUARTERLY |
| $ |
| $ |
| 5TH FLOOR CARES TOWER |
| 77 |
| QUARTERLY |
| $ |
| $ |
| Dialysis Center |
| 18 |
| QUARTERLY |
| $ |
| $ |
| Outpatient Surgery Center |
| 12 |
| QUARTERLY |
| $ |
| $ |
B. Option Year One: 12-1-2019 through 11-30-2020 CBOC number of cubicle curtains CBOCs Number of cubicle Curtains and Price
| Location |
| # of Curtains |
| Price per Curtain |
| Total |
| Grand Total CBOCs |
| 397 |
| $ |
| $ |
Cubicle Curtains for the Main Hospital and the Cares Tower
| Department |
| # Of Curtains |
| Frequency |
| Price per Curtain |
| Total |
| BASEMENT-MAIN HOSP |
| 20 |
| QUARTERLY |
| $ |
| $ |
| 1ST FLOOR-MAIN HOSP |
| 116 |
| QUARTERLY |
| $ |
| $ |
| 2ND FLOOR-MAIN HOSP |
| 248 |
| QUARTERLY |
| $ |
| $ |
| 3RD FLOOR-MAIN HOSP |
| 55 |
| QUARTERLY |
| $ |
| $ |
| 4TH FLOOR-MAIN HOSP |
| 139 |
| QUARTERLY |
| $ |
| $ |
| 5TH FLOOR-MAIN HOSP |
| 170 |
| QUARTERLY |
| $ |
| $ |
| 6TH FLOOR-MAIN HOSP |
| 98 |
| QUARTERLY |
| $ |
| $ |
| BASEMENT CARES TOWER |
| 46 |
| QUARTERLY |
| $ |
| $ |
| 3RD FLOOR CARES TOWER |
| 77 |
| QUARTERLY |
| $ |
| $ |
| 4TH FLOOR CARES TOWER |
| 77 |
| QUARTERLY |
| $ |
| $ |
| 5TH FLOOR CARES TOWER |
| 77 |
| QUARTERLY |
| $ |
| $ |
| Dialysis Center |
| 18 |
| QUARTERLY |
| $ |
| $ |
| Outpatient Surgery Center |
| 12 |
| QUARTERLY |
| $ |
| $ |
C. Option Year Two: 12-1-2020 through 11-30-2021
CBOCs Number of cubicle Curtains and Price
| Location |
| # of Curtains |
| Price per Curtain |
| Total |
| Grand Total CBOCs |
| 397 |
| $ |
| $ |
Cubicle Curtains for the Main Hospital and the Cares Tower
| Department |
| # Of Curtains |
| Frequency |
| Price per Curtain |
| Total |
| BASEMENT-MAIN HOSP |
| 20 |
| QUARTERLY |
| $ |
| $ |
| 1ST FLOOR-MAIN HOSP |
| 116 |
| QUARTERLY |
| $ |
| $ |
| 2ND FLOOR-MAIN HOSP |
| 248 |
| QUARTERLY |
| $ |
| $ |
| 3RD FLOOR-MAIN HOSP |
| 55 |
| QUARTERLY |
| $ |
| $ |
| 4TH FLOOR-MAIN HOSP |
| 139 |
| QUARTERLY |
| $ |
| $ |
| 5TH FLOOR-MAIN HOSP |
| 170 |
| QUARTERLY |
| $ |
| $ |
| 6TH FLOOR-MAIN HOSP |
| 98 |
| QUARTERLY |
| $ |
| $ |
| BASEMENT CARES TOWER |
| 46 |
| QUARTERLY |
| $ |
| $ |
| 3RD FLOOR CARES TOWER |
| 77 |
| QUARTERLY |
| $ |
| $ |
| 4TH FLOOR CARES TOWER |
| 77 |
| QUARTERLY |
| $ |
| $ |
| 5TH FLOOR CARES TOWER |
| 77 |
| QUARTERLY |
| $ |
| $ |
| Dialysis Center |
| 18 |
| QUARTERLY |
| $ |
| $ |
| Outpatient Surgery Center |
| 12 |
| QUARTERLY |
| $ |
| $ |
D. Option Year Three: 12-1-2021 through 11-30-2022
CBOCs Number of cubicle Curtains and Price
| Location |
| # of Curtains |
| Price per Curtain |
| Total |
| Grand Total CBOCs |
| 397 |
| $ |
| $ |
Cubicle Curtains for the Main Hospital and the Cares Tower
| Department |
| # Of Curtains |
| Frequency |
| Price per Curtain |
| Total |
| BASEMENT-MAIN HOSP |
| 20 |
| QUARTERLY |
| $ |
| $ |
| 1ST FLOOR-MAIN HOSP |
| 116 |
| QUARTERLY |
| $ |
| $ |
| 2ND FLOOR-MAIN HOSP |
| 248 |
| QUARTERLY |
| $ |
| $ |
| 3RD FLOOR-MAIN HOSP |
| 55 |
| QUARTERLY |
| $ |
| $ |
| 4TH FLOOR-MAIN HOSP |
| 139 |
| QUARTERLY |
| $ |
| $ |
| 5TH FLOOR-MAIN HOSP |
| 170 |
| QUARTERLY |
| $ |
| $ |
| 6TH FLOOR-MAIN HOSP |
| 98 |
| QUARTERLY |
| $ |
| $ |
| BASEMENT CARES TOWER |
| 46 |
| QUARTERLY |
| $ |
| $ |
| 3RD FLOOR CARES TOWER |
| 77 |
| QUARTERLY |
| $ |
| $ |
| 4TH FLOOR CARES TOWER |
| 77 |
| QUARTERLY |
| $ |
| $ |
| 5TH FLOOR CARES TOWER |
| 77 |
| QUARTERLY |
| $ |
| $ |
| Dialysis Center |
| 18 |
| QUARTERLY |
| $ |
| $ |
| Outpatient Surgery Center |
| 12 |
| QUARTERLY |
| $ |
| $ |
E. Option Year Four: 12-1-2022 through 11-30-2023
CBOCs Number of cubicle Curtains and Price
| Location |
| # of Curtains |
| Price per Curtain |
| Total |
| Grand Total CBOCs |
| 397 |
| $ |
| $ |
Cubicle Curtains for the Main Hospital and the Cares Tower
| Department |
| # Of Curtains |
| Frequency |
| Price per Curtain |
| Total |
| BASEMENT-MAIN HOSP |
| 20 |
| QUARTERLY |
| $ |
| $ |
| 1ST FLOOR-MAIN HOSP |
| 116 |
| QUARTERLY |
| $ |
| $ |
| 2ND FLOOR-MAIN HOSP |
| 248 |
| QUARTERLY |
| $ |
| $ |
| 3RD FLOOR-MAIN HOSP |
| 55 |
| QUARTERLY |
| $ |
| $ |
| 4TH FLOOR-MAIN HOSP |
| 139 |
| QUARTERLY |
| $ |
| $ |
| 5TH FLOOR-MAIN HOSP |
| 170 |
| QUARTERLY |
| $ |
| $ |
| 6TH FLOOR-MAIN HOSP |
| 98 |
| QUARTERLY |
| $ |
| $ |
| BASEMENT CARES TOWER |
| 46 |
| QUARTERLY |
| $ |
| $ |
| 3RD FLOOR CARES TOWER |
| 77 |
| QUARTERLY |
| $ |
| $ |
| 4TH FLOOR CARES TOWER |
| 77 |
| QUARTERLY |
| $ |
| $ |
| 5TH FLOOR CARES TOWER |
| 77 |
| QUARTERLY |
| $ |
| $ |
| Dialysis Center |
| 18 |
| QUARTERLY |
| $ |
| $ |
| Outpatient Surgery Center |
| 12 |
| QUARTERLY |
| $ |
| $ |
Total Price for Base Year: _________________________________________________ Total Price for Option Year 1: ________________________________________________ Total Price for Option Year 2: ________________________________________________ Total Price for Option Year 3: ________________________________________________ Total Price for Option Year 4: ________________________________________________ Total Price for Base Year Plus Four Option Years: ______________________ *Please note: Any potential new cubicles will be priced at the same rate for that area in case of expansion during the contract