36C25226Q0368 0002.pdf

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)

1 6

0002 05-05-2026

Department of Veterans Affairs 36C252 115 South 84th Street, Suite 101

Milwaukee WI 53214-1476

Department of Veterans Affairs 36C252 Great Lakes Acquisition Center - HC 115 South 84th Street, Suite 101 Milwaukee WI 53214-1476

To all Offerors/Bidders

36C25226Q0368

X

X X

See CONTINUATION Page

X 1

The purpose of this amendment is to address questions received in response to the Solicitation and to post an inventory list of equipment.

See Continuation Pages.

Robert Ruska Contracting Officer

Amendment 0002 for Solicitation 36C25226Q0368 for Medical Gas System Inspection and Testing for the Captain James A. Lovell Federal Health Care Center in North Chicago, IL.

Questions and Answers:

1. Could you please provide the outlet count?

A: See Medical Gas Inventory list below.

2. Can you please provide us with an inventory or count of all items to be tested: the number of source equipment, alarms, outlets/inlets, zone valves, etc.? If available, a previous inspection report would be helpful as it would contain these items.

A: See Medical Gas Inventory list below.

Captain James A. Lovell Federal Health Care Center

Medical Gas Inventory

ZONE VALVES FOR BUILDINGS 133/133-CA/133-EF

Building Area Type Gases critical or non-critical

133 A - Ward PR (patient rooms) O2, MA, VAC Non-critical care

133 A - Ward PR O2, MA, VAC Non-critical care

133 A - Ward PR O2, MA, VAC Non-critical care

133 A - SIDE ONCOLOGY O2, MA, VAC Non-critical care

133 B - SIDE GI PRE/POST O2, MA, VAC Non-critical care

133 B - SIDE GI O2, MA, N2O, N2, VAC Non-critical care

133 B - SIDE GI O2, MA, CO2, VAC Non-critical care

133 B - SIDE GI O2, MA, CO2, VAC Non-critical care

133 A - SIDE Pre-Op O2, MA, VAC Critical Care

133 C - SIDE Anesthesia work room O2, MA, VAC Non-critical care

A-B SIDE Pre-Op O2, MA, VAC Non-critical care

133 SURGERY O2, MA, N2O, N2, WAGD, VAC Critical Care

133 SURGERY O2, MA, N2O, N2, WAGD, VAC Critical Care

133 SURGERY O2, MA, N2O, N2, WAGD, VAC Critical Care

133 SURGERY O2, MA, N2O, N2, WAGD, VAC Critical Care

133 Hemodialysis O2, MA, VAC Non-critical care

133-CA RADIOLOGY O2, MA, VAC Non-critical care

133-CA RADIOLOGY O2, VAC Non-critical care

133-CA RADIOLOGY O2, MA, VAC Non-critical care

133-CA RADIOLOGY O2, VAC Non-critical care

133-CA RADIOLOGY O2, MA Non-critical care

133-CA RADIOLOGY O2, MA, VAC Non -critical care

133-CA CCU O2, MA, VAC Critical Care

133-CA ECT & PROC ROOM O2, MA, VAC Critical Care

133-CA ER O2, MA, VAC Critical Care

133CA-BD REHAB O2, MA, VAC Non-critical care

133-CA D OUTPATIENT CLINIC O2, MA, VAC Non-critical care

133-CA BA DENTAL; BIOMED DENTAL A, O2, MA, VAC Non-critical care

133CA-BA DENTAL; BIOMED DENTAL A, O2, MA, VAC Non-critical care

133-EF VASCULAR O2, MA, VAC Non-critical care

133-EF EXAM O2, MA, VAC Non-critical care

133-EF TRTMN RM VEST FNCT O2, MA, VAC Non-critical care

133-EF CYSTO O2, MA, VAC Non-critical care

133-EF CYSTO O2, MA, VAC Non-critical care

133-EF NEUROLOGY O2, MA, VAC Non-critical care

133-EF CARDIOLOGY O2, MA, VAC Non-critical care

133-EF CARDIOLOGY O2, MA, VAC Non-critical care

133-EF PEDS: PROC & TREATMENT O2, MA, VAC Non-critical care

133-EF WOMENS: ULTRASOUND &

MAMMOGRAPHY

O2, MA, VAC Non-critical care

133-EF INTERNAL MEDICINE PROCEDURE

ROOM

O2, MA, VAC Non-critical care

133-EF INTERNAL MEDICINE TRMENT RM,

PROC RM

O2, MA, VAC Non-critical care

133-EF IMMUNIZATION O2, VAC Non-critical care

133-EF TREATMENT ROOM O2, MA, VAC Non-critical care

133-EF TREATMENT ROOM O2, MA, VAC Non-critical care

133-EF OFFICE O2, MA, VAC Non-critical care

133-EF CAST ROOM O2, MA, VAC Non-critical care

133-EF OPTHAMOLOGY: LASER, FIELD, OFC O2, MA, VAC Non-critical care

COMBINATION ALARM/ZONE VALVE BOX (BUILDING 133)

Description

VALVE BOX (VB-1/AAP-1)

VALVE BOX (VB-2/AAP-2)

COMBINATION ALARM/ZONE VALVE BOX (BUILDING 134)

Building only has OXYGEN and feed is from a medical gas cylinder room

Description Manufacturer/Model

COMBINATION ALARM/ZONE

VALVE BOX

BEACON MEDAES / SSB-825-01

COMBINATION ALARM/ZONE

VALVE BOX

BEACON MEDAES / SSB-825-01

AREA ALARM PANEL VALVE

BOX

BEACON MEDAES / SSB-825-01

SOURCE

Floor & building

Description Comment

133-EF, 2nd floor

N2 Beacon Lifeline Manifold: 1X1

Serves Urology

133, 2nd floor N2 Amico Manifold: 2X2 Serves Ors & Cath Labs 133, 2nd floor N2O Amico Manifold: 3X3 Serves Ors & Cath Labs 133, 2nd floor CO2 Amico Manifold: 2X2 Serves Ors & Cath Labs 133, 3rd floor N2O Amico Manifold: 2X2 Serves GI 133, 3rd floor CO2 Amico Manifold: 2X2 Serves GI

134, Loading dock O2 Beacon Manifold: 3X3 131, basement Duplex Vacuum System: 2 Hp/460V, lubed sliding vane pumps

131, basement

Duplex Medical air system: 10 Hp/460V reciprocating compressors with duplex desiccant dryers

133, basement

Duplex Vacuum System: 10 Hp/460V, 133, basement

Duplex Medical air system: 10

Duplex Medical air system: 20 with duplex refrigerant dryers

Used as a backup

133 Duplex Vacuum System: 10 Hp/460V, Duplex Medical air system: 20

133-EF Duplex Vacuum System: 3 Hp/460V, 133-EF Duplex Medical air system: 3 Hp/460V reciprocating compressors with duplex desiccant dryers

MASTER ALARMS

Location Description Comment Police

Station 1A- 100A

Beacon Infinity two alarm panels

188 Rm

Beacon Infinity two alarm panels

PATIENT TERMINAL OUTLET TOTAL

Approximately 872 (Based on current construction / remodel)

MEDICAL GAS SHUTOFF VALVE TOTAL

Approximately 131 (Based on current construction / remodel)

BULK OXYGEN FARM

TYPE OF SYSTEM INSTALLED:

1. Respiratory only

2. Messer Company owned

3. Dual Liquid Primary / Liquid Reserve

EQUIPMENT INFORMATION:

1. Primary Tank Size: 1500

2. Reserve Tank Size: 260

MEDICAL AIR COMPRESORS 4

8 EACH (as separate compressors heads)

MEDICAL VACUUM PUMPS 4

8 EACH (as separate pump heads)

DENTAL VACUUM PUMPS

3 EACH

DENTAL AIR COMPRESSORS

3 EACH