36C25519Q0069-0001000.docx

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) 589-19-1-5695-0007 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

36C25519Q0069

X X X The purpose oif this amdendment is to change Statement of Work (SOW).

1. The original SOR is hereby replaced with SOW - Rev1. The Clinic Exam Rooms wall mount PC holders were changed.

PAUL DIXON, JR.

Contracting Officer

A.1 STATEMENT OF WORK

Harry S. Truman Veterans’ Memorial Hospital (Columbia, MO)

PROJECT SCOPE OF WORK:

The Veterans Health Administration (VHA) has a requirement for healthcare furniture and the modular check in window for a new construction CBOC located at 3430 W Edgewood Dr. Jefferson City Mo., that meets the VHA specifications and high-quality threshold while integrating excellent environmental stewardship. This building is currently under construction and has an expected activation date of January 7, 2019.

Healthcare furnishings to meet VA standards will include: Modular check in station to include laminate free standing base, glass doors, sliding locking windows with transaction counters and privacy glass, dividers, ergonomic administrative electric height adjustable desk, ergonomic wall mount work stations, swing arm attachments , ergonomic office task chairs, ergonomic medical task chairs, LED task lights, tack boards, filing and storage systems, ergonomic waiting room seating, side tables, team room tables and ergonomic meeting room task chairs, side chairs, guest seating.

The contractor shall provide all labor, materials, equipment, transportation, and supervision necessary to satisfy the needs of each ordering activity. Vendor must bring any discrepancies to the VA Point of Contact’s (POC) attention prior to placing orders with the manufacturer(s) of furniture.

All final colors shall be decided after award with the Interior Designer for VA.

This solicitation uses a Brand Name or Equal Description of the product required. This permits prospective contractors to offer products other than those specifically referenced by brand name. All offers must work with existing equipment that has already been purchased and is currently in use at the station.

SCHEDULE OF WORK

Installation for furniture is anticipated as follows:

Delivery Date:

January 2nd thru January 4th, 2019. January 5th and 6th could be required to complete the installation job and have the clinic ready for Monday January 7th opening.

Installation of the Check in station requires work to be completed between 12/21, 2018th thru December 26th 2018.

The Government maintains the option to modify the normal work week schedule, days and hours to include weekends and Holiday’s as necessary to accomplish the VHA mission.

Furniture may need to be stored as the facility does not have storage space on site.

The contractor shall:

Provide all necessary materials, equipment, labor, supervision, and Management to:

· Coordinate delivery

· Load and unload

· Place/install in designated rooms/locations

· Assemble items as required

· Secure as designated

· Properly dispose of all associated packing/crating materials outside the VA premises.

· Provide and install systems/modular furniture and freestanding furniture including accessories and components, electrical receptacles, etc. for a fully functional system.

TECHNICAL

· quantity of man hours for labor/installation

· product literature, manufacturer's product data for each item and finish including specific model numbers and fabrics quoted.

· confirmation and approval for color and texture. Actual samples will be made available to the POC on award of contract for final finish selections.

PRICING

· Price quote with separate line for labor/installation

ENVIRONMENTAL DATA

Certifications: BIFMA level certified.

PRODUCT REQUIREMENTS AND CHARACHTERISTICS FOR CHECK IN STATION:

· The modular reception desk shall be designed and installed exactly as the attached layout shows to meet the space/functionality and safety requirements. The station shall be floor to the 9’ ceiling, attached to the wall in two locations and comprise of modular furniture pieces with MS Silver.

· The solid panels shall be covered with a acrovyn, or laminate or comparable product to produce a pleasing design and provide long term protection.

· Glass panels will be from approximately 36” to 42” above the floor to the ceiling for visual observation of waiting room area.

· (4) Four acrovyn and glass paneled walls shall protrude to create patient privacy between the five windows on the waiting room side. See attached pictures for previous design of check in station.

· Floor anchors may be required for stability.

· All glass shall be tempered.

· (5) five check in windows shall slide vertically and have locking mechanism on the administrative side.

· The transaction counter shall be 48:W x 15:D, X 1 ¼”H.

· (5) Five transaction windows with free standing laminate desking on inner side.

· Transaction counter shall be grey ash laminate with Folkstone grey grommets. Fabric inner side with clear glass above transaction counter.

· All transaction counters must meet ADA compliance.

· Panel Fabric to be selected by Interior designer after award.

GENERAL

All finished surfaces shall be free of scratches, marks, dents, or blemishes, and withstand staining, and exhibit to flaking, cracking, or loss or adhesion.

Furnishings shall have smooth finishes with no hazardous projections, sharp corners, or detail, which can be hazardous and cause personal injury or damage to clothing.

Design Contract Tasks/Requirements

· The Vendor shall be responsible for providing all sample materials for awarded product (2-Day Delivery) as requested by VA Interior Designer.

· The product must not be placed into production without clearance from the VA POC.

· The Vendor shall track manufacturing schedule and notify VA Interior Designer with updates of estimated completion date by email.

PRODUCT REFERENCES AND CHARACTERISTICS OF FURNITURE:

101 Check in station

See drawing below for design details

· All windows and work surfaces shall face the waiting room.

· (5) Persons check in windows

· (5) Free standing laminate desking work stations on employee side

· (5) transaction counters to meet ADA compliance on approach side

· Wall to be 108” for floor to ceiling division

· Vertical sliding galss lockable windows for security

· Must be floor to 9” ceiling

· Clear tempered glass above check in stations

· Frosted tempered glass on privacy panels on Veteran side and Employee side

· Accronyyn or Laminate wall wrap and panels

· Color to be determined after award

· Floor anchors may be required for stability

· Acroyyn panel wall or comparable to produce a pleasing and cohesive design.

· Inside wall shall have tackable fabric

· LED lighting attached to work surface

102 Waiting room

(30) Carolina Silver Ion Metal Waiting room chair Overall dimension: 25” w x 26” d x 46”h Metal frame, Silver Ion Antimicrobial Powder coat on all exposed metal, Luster Grey Upholstered seat and back Non- marring adjustable glides Moisture barrier

Non- Marring adjustable glides Moisture barrier

101 Reception/Check in

Dark frame

103 Conference/Team room

Dark frame

(1) Knoll Tone with casters /Sapper Electric height adjustable table Rectangle 46”w x 23”d No grommet Laminate top Grey laminate top Dark frame

Clinic Exam rooms 106, 107,109,111,113,114,115,116,117,119,120,121,132,133,138,148,149,150,151

Ergonomic comfort fits multi users.

One handed repositioning Flex mount included 6 mounting options Powder coated steel and aluminuim Color: Black

Medium seat Height adjustable arms Soft casters Adjustable lumbar support Black frame Swivel tilt control with seat slide Back recline tension adjust Waterfall edge seat Syncro Adjustable height Standard arm cap Fabric: Krypton Hospital grade 2 Momentum canter

(1) Sidero side chair with arms Wallsaver 25.5”W x 24”D x 33”H 4 legged base Tungsten frame Black polypropylene foot, non marking glide Standard metal fgrame patient side chair with arms Upholstered seat and back Moisture bearrier fabric on seat, impervious to fluids Hospital grade 2 GC linen Color: Navy marine

(1) Global bariatric Sidero side chair with arms Wallsaver 36.5”W x 26”D x 33.5”H 4 legged base Tungsten frame Black polypropylene foot, non marking glide Standard metal fgrame patient side chair with arms Upholstered seat and back Moisture bearrier fabric on seat, impervious to fluids Hospital grade 2 GC linen Color: Navy marine

Clinic Exam rooms, 125, 126, 134

(1) Knoll Tone Dividends with casters /Sapper Electric height adjustable table Rectangle 46”w x 23”d No grommet Laminate top Adjustable dual monitor mounts Grey laminate top Dark frame Wire management Pencil tray

(1) Mobile pedestal series 2 steel front Box/file 22-3/4”d with lock Recessed pull Full extension box drawer slides Set of keys Locked: Keyes alike

Medium seat Height adjustable arms Soft casters Adjustable lumbar support Black frame Swivel tilt control with seat slide Back recline tension adjust Waterfall edge seat Syncro Adjustable height Standard arm cap Fabric: Krypton Hospital grade 2 Momentum canter

(1) Sidero side chair with arms Wallsaver 25.5”W x 24”D x 33”H 4 legged base Tungsten frame Black polypropylene foot, non marking glide Standard metal fgrame patient side chair with arms Upholstered seat and back Moisture bearrier fabric on seat, impervious to fluids Hospital grade 2 GC linen Color: Navy marine

(1) Global bariatric Sidero side chair with arms Wallsaver 36.5”W x 26”D x 33.5”H 4 legged base Tungsten frame Black polypropylene foot, non marking glide Standard metal fgrame patient side chair with arms Upholstered seat and back Moisture bearrier fabric on seat, impervious to fluids Hospital grade 2 GC linen Color: Navy marine

RN/LPN room 108, 112, 130

(18) Knoll Tone Dividends with casters /Sapper Electric height adjustable table Rectangle 48”w x 29”d No grommet Laminate top Adjustable dual monitor mounts Grey laminate top Dark frame Wire management Pencil tray Preconfigured panel Full view Monolithic/monolithic Fabric raceway side 1 & 2 with knockouts 50” high panels for privacy x 48”W 50” high End assembly x 48” W Metal flat 50” high Back privacy panel x 48” W Panel power module 3+1 Fabric board Color: TBD

(18) Mobile pedestal series 2 steel front Box/file 22-3/4”d with lock Recessed pull Full extension box drawer slides

Medium seat Height adjustable arms Soft casters Adjustable lumbar support Black frame Swivel tilt control with seat slide Back recline tension adjust Waterfall edge seat Syncro Adjustable height

Room 131 Breakroom

Laminate top Molded edge No cutouts Locking casters Gange brackets on all 4 corners

Room 142 Audiology booth testing room

(1) Knoll Tone Dividends with casters /Sapper Electric height adjustable table Rectangle 70”w x 29”d No grommet Laminate top Adjustable dual monitor mounts Grey laminate top Dark frame Wire management Pencil tray

(1) Mobile pedestal series 2 steel front Box/Box/File 22-3/4”d with lock Recessed pull

(1) Sidero side chair with arms

25.5”W x 24”D x 33”H 4 legged base Tungsten frame Black polypropylene foot, non marking glide Standard metal fgrame patient side chair with arms Upholstered seat and back Moisture bearrier fabric on seat, impervious to fluids Hospital grade 2 GC linen Color: Navy marine

(1) Global bariatric Sidero side chair with arms Wallsaver 36.5”W x 26”D x 33.5”H 4 legged base Tungsten frame Black polypropylene foot, non marking glide Standard metal frame patient side chair with arms Upholstered seat and back Moisture bearrier fabric on seat, impervious to fluids

Medium seat Height adjustable arms Soft casters Adjustable lumbar support Black frame Swivel tilt control with seat slide Back recline tension adjust Waterfall edge seat Syncro Adjustable height

Laminate top white Hole pattern design Locking Casters Height adjustable shelf

Room 143 Audiologist Office

(3) Knoll Tone Dividends with casters /Sapper Electric height adjustable table Rectangle 46”w x 29”d No grommet Laminate top Adjustable dual monitor mounts Grey laminate top Dark frame

(3) Mobile pedestal series 2 steel front Box/Box/File 22-3/4”d with lock Recessed pull

Medium seat Height adjustable arms Soft casters Adjustable lumbar support Black frame Swivel tilt control with seat slide Back recline tension adjust Waterfall edge seat Syncro Adjustable height

Room 144 Audiology storage

Room 145 Hearing Aid room

(3) Knoll Tone Dividends with casters /Sapper Electric height adjustable table Rectangle 48”w x 30”d No grommet Laminate top Adjustable dual monitor mounts Grey laminate top Dark frame

(3) Mobile pedestal series 2 steel front Box/ File 22-3/4”d with lock Recessed pull

Medium seat Height adjustable arms Soft casters Adjustable lumbar support Black frame Swivel tilt control with seat slide Back recline tension adjust Waterfall edge seat Syncro Adjustable height

Room 146 Audiology Repair room

(1) Knoll Tone Dividends with casters /Sapper Electric height adjustable table Rectangle 48”w x 30”d No grommet Laminate top Adjustable dual monitor mounts Grey laminate top Dark frame

(1) Mobile pedestal series 2 steel front

Recessed pull

Medium seat Height adjustable arms Soft casters Adjustable lumbar support Black frame Swivel tilt control with seat slide Back recline tension adjust Waterfall edge seat Syncro Adjustable height

(1) Sidero side chair with arms

25.5”W x 24”D x 33”H 4 legged base Tungsten frame Black polypropylene foot, non marking glide Standard metal fgrame patient side chair with arms Upholstered seat and back Moisture bearrier fabric on seat, impervious to fluids Hospital grade 2 GC linen Color: Navy marine

(1) Global bariatric Sidero side chair with arms Wallsaver 36.5”W x 26”D x 33.5”H 4 legged base Tungsten frame Black polypropylene foot, non marking glide Standard metal frame patient side chair with arms Upholstered seat and back Moisture bearrier fabric on seat, impervious to fluids

(1) Mobile pedestal series 2 steel front

Recessed pull

Room 147 Audiology Modification room

(1) Knoll Tone Dividends with casters /Sapper Electric height adjustable table Rectangle 46”w x 30”d No grommet Laminate top Adjustable dual monitor mounts Grey laminate top Dark frame

(1) Mobile pedestal series 2 steel front

Recessed pull

Medium seat Height adjustable arms Soft casters Adjustable lumbar support Black frame Swivel tilt control with seat slide Back recline tension adjust Waterfall edge seat Syncro Adjustable height

(1) Sidero side chair with arms

25.5”W x 24”D x 33”H 4 legged base Tungsten frame Black polypropylene foot, non marking glide Standard metal fgrame patient side chair with arms Upholstered seat and back Moisture bearrier fabric on seat, impervious to fluids Hospital grade 2 GC linen Color: Navy marine

(1) Global bariatric Sidero side chair with arms Wallsaver 36.5”W x 26”D x 33.5”H 4 legged base Tungsten frame Black polypropylene foot, non marking glide Standard metal frame patient side chair with arms Upholstered seat and back Moisture bearrier fabric on seat, impervious to fluids

(1) Mobile pedestal series 2 steel front

Recessed pull

Room 153 Managers office

(1) Knoll Tone Dividends with casters /Sapper Electric height adjustable table Rectangle 58”w x 29”d No grommet Laminate top Adjustable dual monitor mounts Grey laminate top Dark frame Wire management Pencil tray With casters

(1) Horizon Credenza Single depth Sliding door Laminate top 72”W With lock Color: TBD Lock: keyed alike Set of keys

(1) Mobile pedestal series 2 steel front Box/ File 22-3/4”d with lock Recessed pull

Dark frame

Rooms 101, 103, 108, 413, 156

(5) Printer table Knoll Dividends 36” x 24” Metal supports

Room 134 tele retinal

Room 154 MSA Storage

VA Security clause:

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

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