36C25026Q0293 0003.docx

36C25026Q0293 0003

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) 610-27-1-6062-0001 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

36C25026Q0293 04-06-2026

X X X 610-3670162-6062-856100-2542 010056100 X One (1) The purpose of this amendment is to include the revised cleaning frequency matrix.

Kristina L. Peart Contracting Officer A.1 Cleaning Frequency Chart The following schedule of cleaning shall be followed in patient care areas. An Environmental Protection Agency (EPA)-registered hospital cleaner/disinfectant will be used unless otherwise indicated. Surfaces must be cleaned of any dirt/debris before they can be properly disinfected. The "one glove" method is always in effect when moving throughout the facility with covered waste containers or other contaminated items. "One glove" involves the employee washing their hands and donning only one glove. The gloved hand is used to move the covered waste container or contaminated items. The non-gloved hand is used to open doors and press elevator buttons to avoid contaminating other surfaces.

*All items may also require cleaning on an as needed basis EMS Responsibility and Frequency of Cleaning Matrix

Administrative Spaces

Inner Offices

Remove dirty linen and replace clean linen hamper liner

Employee Break Room

Floor/baseboards

Daily

Wet mop floors and around equipment Clean baseboards, corners and edges following facility procedure

Move boxes to designated area

Remove trash and reline waste receptacles

Quarterly After Hours 4:30 p.m. – 11:00 p.m.

Scrub floors using approved germicide Strip and refinish floors with wax coating

*Must be approved and scheduled with COR and facility

Sterile Processing Service (SPS) Preparation/Sterilization

Clean baseboards, corners and edges following facility procedure

Floor Maintenance and Mats Once a Month On weekends and Holidays Removes and cleans floor mats Scrub floors using approved germicide Strip and refinish floors with wax coating

SPS Decontamination Area

Decontamination Area

*Scrub machine, mop, cleaning bucket must be dedicated to this room and not used elsewhere in the medical center.

Clean vents

Remove and cleans floor mats

Wet mop the tile floor using approved germicide Clean sink area Remove / Replace Biohazard Sharps containers when 3/4 full Remove dirty linen and replace clean linen hamper liner

Patient Care and General Public Areas

Clean baseboards, corners and edges following facility procedure.

Ceiling tiles showing visible signs of mold, stains, cracks, or holes shall be reported to your immediate supervisor who shall coordinate replacement with Engineering Service.

Negative air isolation rooms

Refer to local policy for the timeframe of room closure to allow proper airflow exchange and turnover.

Isolation rooms

Isolation rooms shall be cleaned according to the procedures found in this EMS SOP