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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) 00001 None 36C255 Department of Veterans Affairs Network Contracting Office (NCO) 15 3450 S 4th Street Trafficway Leavenworth KS 66048 36C255 Department of Veterans Affairs Network Contracting Office (NCO) 15 3450 S 4th Street Trafficway Leavenworth KS 66048 To all Offerors/Bidders

36C25518Q0379 04-12-2018

X See CONTINUATION Page The pupose of this amendment is to update the Statement of Requirements and Requirements to clarify;

1) Finishes and styles @ each Community Based Outreach Clinics(CBOCs)

2) Time Frame specified for Estimated Start Date

3) Reconfiguration of of Waynesvil le CBOC from 3 persons to 4 persons..

See Section A.1 Updated Statement of Requirements and A.2 Updated Price / Cost Schedule

Zaritz, Larry Contracting Officer

A.1 STATEMENT OF REQUIREMENTS

Harry S Truman Memorial Veterans Hospital CBOC’s Integrated Module Medical Support check in station reconfigurations.

Based on requirements this is a Brand Specific Need for Herman Miller furniture Harry S. Truman VA Hospital, Columbia, MO is requesting to furnish all labor, materials, tools, equipment, and installation services for all components of Integrated Modular Medical Support System (IMMSS) as indicated, in accordance with provisions of this specification. There are four CBOC’S that will be receiving reconfigurations in total.

Due to PACT requirements, additional staff at this CBOC will require a third workstation in the existing checking area. The reconfiguration will require a third locking window and tack boards, additional/replacement work surfaces for efficient and private check in of Veterans. The redesign will use existing Herman Miller parts and structure, counters, workspace, and requires additional Herman Miller parts, locking window, and acryovyn. All additional parts shall be in the same finishes and style as the original check in station associated within each CBOC, to keep the cohesive standard design and look at that location.

Design of the station shall be as approved attached layout and quoted (see last pages for exact products) and not deviated.

The following locations will receive reconfiguration of the existing check in window:

· Sedalia CBOC located at 3320 West 10th street, Sedalia Mo. 65301.

· Osage Beach/Lake Ozarks CBOC located at 940 Executive Drive Osage Beach MO. 65065

· Fort Leonard Wood CBOC located at 700 GW Lane Waynesville, MO. 65583

· Mexico CBOC located at 3460 South Clark Street Mexico, MO. 65265

The contractor shall design, furnish, deliver and install the Herman Miller product, parts and accompanying items with an estimated start date of May 1st 2018.

Work shall be scheduled with (TBD) minimum of two (2) weeks prior to installation.

The project completion date for all four locations will be August 1, 2018.

To reduce patient care impact and ensure patient and employee safety, installation will be scheduled for Friday, Saturday and if required, Sunday. Work shall not begin until Friday at 4:00 pm.

Finish colors of the existing check in station are as follows:

· Glass frames, connectors, and cable management- Warm grey neutral (Herman Miller)

· Worksurface laminate- Classic linen (Herman Miller)

· Panel frames, Metal tiles, and Rail tiles-Champaign Metallic (Herman Miller)

· Tack able tiles fabric-Grasscloth Pampas (Herman Miller)

· Dura Wrap Tile-Honey Maple (Herman Miller)

Installation/ Protection and Acceptance:

Installation:

· Install furniture must be specific according to the approved redesign layout. See attached.

· Clean up any debris and mess caused by the installation process.

· The installation will be completed on a prearranged date that is determined by the Interior Design, Facilities Management who will work in conjunction with Administrative Officer of Primary Care Service at Harry S. Truman VA Hospital.

· The install must be completed in consecutive working days Friday, Saturday, and Sunday if required on no less than 8 hour work days.

· Ensure furniture is not damaged at completion of the installation.

Acceptance:

· Furniture shall be installed neat, and level and without damage.

· Furniture will be installed and meet the requirements listed.

Warranty of all furniture parts-

· Warranty for all products is for a period of 12 years, with a 24 hour-per day, 7 days a week usage for clinical product and 12 years with a 24 hour-per day for administrative product and seating.

Shipping-

· Freight to be prepaid to vendor’s site for storage until items are scheduled for installation. No drop shipping of items to the CBOC site or to the Harry S. Truman VA Hospital.

Delivery, Storage and Handling Information

· Deliver material in original package marked to identify the contents and P.O. assigned to the order must be displayed on the packaging by the manufacturer.

· Prior and during transit: Storage is to be in dry and protected location, and maintain integrity of the product.

· Point of Contact will be (TBD)

SITE VISIT:

Location:Date:
See CBOC Addresses aboveApril 16th-20th 2018

Please Contact Larry Zaritz, larry.zaritz@va.gov 913-946-1977 to Pre-Schedule the site visit appointment NLT Monday April 16th 12:00 pm eastern.

VA Security clause:

Authorization requirements do not apply and a security accreditation package is not required.

A.2 PRICE/COST SCHEDULE

ITEM INFORMATION

CLIN #
DESCRIPTION OF SUPPLIES/SERVICES
QNTY
UNIT
UNIT PRICE
AMOUNT
0001
Reconfiguration The Msa Check In Station In Sedalia CBOC in Sedalia, MO.

Increase from 2 Persons to 3 Persons

1.00
JB
__________
__________
0002
Reconfiguration The MSA Check In Station In Sedalia CBOC in Osage Beach, MO.

Increase from 2 Persons to 3 Persons

1.00
JB
__________
__________
0003
Reconfiguration of The MSA Check In Window At Fort Leonard Wood CBOC in Waynesville, MO.

Increase from 3 Persons to 4 Persons

1.00
JB
__________
__________
0004
Reconfiguration of The MSA Check In Window At Mexico CBOC In Mexico, Mo.

Increase from 2 Persons to 3 Persons

1.00
JB
__________
__________
GRAND TOTAL
___________

DELIVERY SCHEDULE

LOCATION OF SERVICES:
QUANTITY
DELIVERY DATE

3320 West 10th Street Sedalia, MO 65301

ALL
NLT Aug. 1st 2018

940 Executive Dr.

Osage Beach, MO 65065

ALL
NLT Aug. 1st 2018

700 GW Lane Waynesville, MO 65583

ALL
NLT Aug. 1st 2018

3460 South Clark Street Mexico, MO 65265

ALL
NLT Aug. 1st 2018

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