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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) 00003 03-02-2018 564-18-114 Department of Veterans Affairs Veterans Health Administration Network Contracting Office 16 2575 Keystone Crossing Fayetteville AR 72703 Department of Veterans Affairs Veterans Healthcare System of the Ozarks Network Contracting Office 16 Keystone Crossing Fayetteville AR 72703 To all Offerors/Bidders

36C25618R0158 03-02-2018

X X X

****SEE ATTACHED PAGE FOR INFECTION CONTROL CLARIFICATION****

SONYA D TRENTHAM

CONTRACTING OFFICER

36C25618R0158 A00003

Clarification for Project 564-18-114 Replace OR Lights: The Statement of Work (SOW) for Infection Control (Section P on page 5 of 10). Item # i. under p. Infection Control is Not Applicable. Item ii. Is applicable.

p.Infection Control:
i.(Not Applicable) Contractor must be responsible to develop a phasing and Infection Control Risk Assessment (ICRA) that incorporates requirements of 01 00 00 General Requirements specification to meet the requirements of the VHSO. Contractor must install and create temporary dust barriers with the follow products: ZipWall® ZIP POLES FOUR PACK (Includes 4 Spring Loaded Steel Zip Poles, 4 GripDisk™ Slide Stoppers, 2 standard zippers, 1 carry bag) or equal, construction film must be white, fire retardant polyethylene, antistatic, 12 x 100 Ft x minimum 6 mil thickness, imprinted with fire retardant labeling. Zippers must be straight or curved heavy duty ZipWall® Zippers or equal. Sticky mat must be STICKY MAT Flat Store Clean Mat or equal, tacky mat, white, 24 x 45-inch minimum. Construction traffic through the facility must be coordinated with the COR. Construction workers, materials, and clothing must be transported through the hospital dust free. Any dusty, dirty, odorous or wet materials must be transported in sealed clean bags. Traffic routes will be at the discretion of the COR.
ii.Contractor must be responsible to develop a phasing and ICRA that incorporates requirements of 01 00 00 General Requirements and meets the requirements of the VHSO and VHSO ICRA. Contractor must furnish and install a temporary dust barriers with the following products: Edge-Guard Panel Transparent Infection Control Wall Partitions with a 42 inch door and associated components or equal to the entrance of the OR; Edge-Guard Panel Transportation Cart(s) or equal; STICKY MAT Flat Store Clean Mat or equal, tacky mat, 24 x 45 inch minimum, ZipWall® (construction film must be white, fire retardant polyethylene, antistatic, 6 mil thickness, imprinted with fire retardant labeling) or equal for entrance to sterile room and each OR must maintain negative air pressure when job site activities are in progress. Ball-in-the-Wall or equal must be installed for each OR when job site activities are in progress. Construction traffic through the facility must be coordinated with the COR. Construction works, materials, and clothing must be transported through the hospital dust free. Any dust, dirty, odorous, or wet materials must be transported in sealed clean bags or in clean sealed containers. Traffic routes will be at the discretion of the COR.”

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