36C25024Q0763 0001.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 ITEM 10A.

15C. DATE SIGNED

B. THE ABOVE NUMBERE

D 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 amendmen t, 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) 506-24-3-1354-0415 None 36C250 Department of Veteran Affairs Network Contracting Office 10 Battle Creek VA Medical Center 5500 Armstrong Rd.

Battle Creek MI 49037 36C250 Department of Veteran Affairs Network Contracting Office 10 Battle Creek VA Medical Center 5500 Armstrong Road Battle Creek MI 49037 To all Offerors/Bidders

36C25024Q0763 07-29-2024

X X X

See CONTINUATION Page X The purpose of this amendment is to address questions concerning the acceptable dry ice pellet size and the days and times of delivery. The attached revised statement of work is hereby applicable to this procurement.

Jeffrey P. Rozema Contracting Officer

CONTINUATION PAGE

Statement of Work (SOW) for LTC Charles S. Kettles VA Medical Center Research Lab Dry Ice Delivery

The Contractor shall provide all necessary labor, materials, and transportation as necessary to deliver dry ice to the government for the period of one (1) base year plus four (4) option years. The purpose of the dry ice is to keep the collected samples from labs cold for shipping and to hold the specimens of the many experiments being done in building 31.

The anticipated contract base year and option periods are as follows:

The Contractor must choose ONE of the following methods of delivery and items for the entire period of performance (base year and 4 option years):

Delivery Option 1

a. Deliver 50 pounds of dry ice every Monday. Ice must be in the shape of ½”-1” pellets.

b. Deliver 50 pounds of dry ice every Wednesday. Ice must be in the shape of ½”-1” pellets.

c. Deliver 50 pounds of dry ice every Friday. Ice must be in the shape of ½”-1” pellets.

Delivery Option 2

a. Deliver 150 pounds of dry ice on one day each week. Contractor must select a day Monday – Friday and deliver on that same day for the entire period of performance. Ice must be in the shape of ½”-1” pellets.

Transportation: Transportation via refrigerated truck shall be included.

Storage: The VA will supply a refrigerated container sufficient to contain 150 pounds of dry ice.

Delivery:

a. Location: Deliveries will be made to the Ann Arbor VA Medical Center, building 31, located at 2215 Fuller Road, Ann Arbor, MI, 48105. A dock is available for delivery. Contractor will call the designated Government POC upon arrival and will be met at the building entry and escorted by research staff to the appropriate room inside the building where contractor will place dry ice into the refrigerated storage container.

b. Receiving hours: All deliveries must be made between the hours of 8:00 a.m. and 2:00 p.m. regardless of which delivery option is selected. These delivery days are excluding any day declared an official federal holiday. Holidays observed by the VA Medical Center are:

c. If a government holiday falls on a Monday, then scheduled delivery will be on Tuesday of that week. If a government holiday falls on a Wednesday, then scheduled delivery will be on Tuesday of that week. If a government holiday falls on a Friday, then scheduled delivery will be on Thursday of that week.

VA has the option to increase, decrease, or cancel any delivery. Contractor shall receive one (1) day advance notice in any of these situations.

Safety requirements: In the performance of this contract, the contractor shall take such safety precautions as the Contracting Officer, or his designee, may determine to be reasonably necessary to protect the lives and health of occupants of the building.

A.1 PRICE/COST SCHEDULE

ITEM INFORMATION

Contractor will provide dry ice pellets in accordance with the statement of work.

Contract Period: Base POP Begin: 09-01-2024 POP End: 08-31-2025 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: 6830 - Gases: Compressed and Liquefied

Contractor will provide dry ice pellets in accordance with the statement of work.

Contract Period: Option 1 POP Begin: 09-01-2025 POP End: 08-31-2026

Contractor will provide dry ice pellets in accordance with the statement of work.

Contract Period: Option 2 POP Begin: 09-01-2026 POP End: 08-31-2027

Contractor will provide dry ice pellets in accordance with the statement of work.

Contract Period: Option 3 POP Begin: 09-01-2027 POP End: 08-31-2028

Contractor will provide dry ice pellets in accordance with the statement of work.

Contract Period: Option 4 POP Begin: 09-01-2028 POP End: 08-31-2029

A.2 DELIVERY SCHEDULE

VA Ann Arbor Healthcare System 2215 Fuller Road Ann Arbor, MI 48105

USA

TBD

VA Ann Arbor Healthcare System 2215 Fuller Road Ann Arbor, MI 48105

USA

VA Ann Arbor Healthcare System 2215 Fuller Road Ann Arbor, MI 48105

USA

VA Ann Arbor Healthcare System 2215 Fuller Road Ann Arbor, MI 48105

USA

VA Ann Arbor Healthcare System 2215 Fuller Road Ann Arbor, MI 48105

USA

Dry Ice Pellets for the Ann Arbor VAMC