36C25024Q0787 0001.docx

36C25024Q0787 0001

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) 583-24-4-669-0074 Department of Veterans Affairs Network Contracting Office (NCO) 10 6100 Oak Tree Blvd., Suite 490 Independence OH 44131 Department of Veterans Affairs Network Contracting Office (NCO) 10 6100 Oak Tree Blvd., Suite 490 Independence OH 44131 To all Offerors/Bidders

36C25024Q0787 07-09-2024

X X X 7/17/2024 at 12:00 PM EST X 1 (one) The purpose of this amendment is to clarify the size of the Deionizing Tank and the Carbon Tank for this project. The Deionizing Tank for this project is 1.2 cu ft and the Carbon Tank is 3.6 cu ft. This clarification has been made to the attached Statement of Work (SOW) attached below.

No other changes have been made to this solicitation at this time and offers are due by 7/17/2024 at 12:00 PM EST

Kristina Peart Contracting Officer

A.1 STATEMENT OF WORK

STATEMENT OF WORK (SOW)

Contract Title: Maintenance for Critical Water System Background: The medical center is required to complete maintenance on Reverse Osmosis water systems utilized in the reprocessing of reusable medical devices. Water impurities can have adverse effects on medical devices and patient outcomes. The requirements of Association for the Advancement of Medical Instrumentation (AAMI) ST108: Water for the Processing of Medical Devices are intended to mitigate the risks associated with water identified to be of improper quality.

Scope: The Richard L Roudebush Veterans Affairs (VA) Medical Center, Indianapolis, requires maintenance in meeting with the criteria of AAMI ST108 Reprocessing of Reusable Medical Equipment at the Richard L Roudebush VA Medical Center, located at 1481 W. 10th Street, Indianapolis, IN 46202. Services shall be in accordance with the terms, conditions, provisions and schedule of the contract.

Specifics for Routine Maintenance- Deliverable Products Contractor shall provide all labor, materials, equipment, transportation, lodging and supervision necessary to provide proper routine maintenance suggested by manufacturer of NuStream PG 44 Reverse Osmosis system. The Deionizing Tank for this project is 1.2 cu ft and the Carbon Tank is 3.6 cu ft.

Table 1: Deliverable Products

Performance: The Government shall document performance. Any report shall become a part of the supporting documentation for any contractual action.

Security Requirements Vendor will not have access to VA Sensitive Information, patient records, or data.

General Requirements

1. All on site work shall be coordinated with Leroney Bond, Administrative Officer, SPS, 317-955-9845 A-B109, Leroney.Bond@va.gov, or Sean Rosenfeld 317-988-2515, sean.rosenfeld@va.gov, at least seven (7) days prior to performance of services.

2. For routine maintenance services performed during normal working hours, 7:30 a.m. to 4:00 p.m. at the Richard L. Roudebush VA Medical Center, contractor’s service technician shall report to Engineering Maintenance and Operations Supervisor, Building 1, RM A-B117, 317-988-2515.

3. For routine maintenance services performed outside normal working hours report to the Chiller Plant, 317-988-2329 at Richard L Roudebush VA Medical Center.

4. The contractor shall respond to routine communications within 48 hours.

5. The contractor shall provide emergency response, including a site visit if requested, within 4 hours of the request, 24 hours a day, and 365 days per year.

6. Contractor shall not perform any extra cost work without written authorization from the contracting officer.

7. Any deficiencies or problems noted with VA test results or with the water treatment system test results are to be reported immediately to the COR. If problems are identified, the contractor shall recommend corrective actions immediately.

Contracting Officer’s Representative (COR:.

Deliverables

1. A summary report shall be submitted within 3 business days of completed maintenance.

2. Summary report shall document work completed including disinfection time and duration.

3. For any products utilized in the maintenance process, the following shall be documented on the report: name, ingredients, control range, test procedures, physical state (liquid, powder, etc.), container size, method of delivery, compatibility with present materials being used, catalog data, Safety Data Sheets (SDS) sheets.

Government-Furnished Equipment (GFE)/Government-Furnished Information (GFI).

The Richard L Roudebush VA Medical Center will not furnish parts and/or test equipment for the performance of this contract. It is the responsibility of the contractor to bring the appropriate equipment and/or supplies necessary to complete the work as required within the SOW.

Other Pertinent Information or Special Considerations.

All work shall be performed by personnel qualified to work on the specific equipment. All work performed shall be compliant with AAMI ST108 guidelines and shall be designed to assure that the Richard L Roudebush VA Medical Center is providing the best possible water to process reusable medical equipment.

Place of Performance.

The Richard L Roudebush Department of Veterans Affairs Medical Center located at 1481 W. 10th Street, Indianapolis, IN 46202. AAMI ST108 testing shall take place in Sterile Processing department, Reverse Osmosis mechanical room, and GI Decontamination processing.