36C25518Q0395-00001000.docx

36C25518Q0395 00001

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

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 05-17-2018 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

36C25518Q0395 05-17-2018

X X X X one(1) The Dept. of Veterans Affairs RFQ 36C25518Q0395 is hereby amended to include revised Statement of Work and Price & Delivery Schedule.

(See attached)

The closing date of this solicitation is also amended. The new closing date is 2:00pm CDT 23 May 2018.

Paul A. Landry Contracting Officer

NCO1516L2-81282

STATEMENT OF WORK

Bottled Water I. General Information

(a) Requirement: The Poplar Bluff VA Medical Center has a requirement for cold-water coolers and purified bottled water at its secure facility in Poplar Bluff, MO.

(b) Scope of Work: The contractor shall deliver and set up on multiple floors of the John J. Pershing VA Medical Center cold-water coolers; and thereafter deliver on demand bottles of purified water and paper cups to the medical center. The contractor shall provide all labor, materials, equipment, maintenance, and supervision.

(c) Performance Period: Period of performance shall begin on the effective date of award and end with the successful completion and acceptance of services.

(d) Type of contract: Fixed-Price Requirements contract.

II. Delivery and set up

(a) 24 top-load 5-gallon capacity cold-water coolers.

(b) 48 5-gallon water bottles, first delivery; thereafter, deliver quantities ordered (approximately 20 per week).

(c) 24 pull-type water cup dispensers.

(d) 50 sleeves of 100 white 7 oz. flat-bottom paper water cups, first delivery; thereafter, deliver quantities ordered (approximately 10 sleeves per week).

(e) At least 4 5-gallon water bottle storage racks (10 bottle capacity).

III. Services

(a) The contractor shall be required to set up water coolers, storage racks, and deliver bottled water and paper cups on demand.

(b) Contractor shall be responsible for the maintenance, repair or replacement of broken water coolers.

(c) Contractor shall respond within 24 hours after notification of a broken cooler.

(d) Contractor shall not charge deposit on bottles of water, with the proviso that the Government will pay the deposit fee for any unreturned 5-gallon water bottle, damaged or missing water cup dispenser, water cooler, or water bottle storage rack, at the end of the contract period.

IV. Standard

(a) Water equipment must meet NSF/ANSI Standard 61

(b) International Bottled Water Association (IBWA) standards

(c) Federal Food, Drug, and Cosmetic Act (FFDCA) (21 U.S.C. §§ 301 et seq.)

V. Hours of Coverage

(a) The contractor shall provide all required services during normal business hour – 8:00 AM to 5:00 PM CT M-F.

VI. Federal holidays observed by the VA Medical Center:

New Year’s Day, Martin Luther King, Jr. Day, President’s Day (Washington’s birthday), Memorial Day, Independence Day, Labor Day, Columbus Day, Veterans Day, Thanksgiving Day, Christmas Day, and any other day specifically designated by the President of the United States.

VII. The contractor must report to the VA Medical Center police upon arrival and departure.

VIII. Parking, Smoking, and VA Regulations

(a) It is the responsibility of the contractor to park in the appropriate designated parking areas. Information on parking is available from the VA Police. The VA will not invalidate or reimburse contractor for parking violations.

(b) Possession of weapons is prohibited. Enclosed containers may be subject to search. Violations of VA regulations may result in a court summons to appear in a U.S. federal court.

(c) Smoking is prohibited inside all VA buildings.

IX. IT Security Requirements

(a) VA information technology certification and accreditation requirements do not apply to this contract and a security accreditation package is not required.

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

See attached document: Price _ Delivery Schedule.

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