36C25620R0148 0002.docx

36C25620R0148 0002

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) 02-24-2021

NA

629-18-140 00502

ALEXANDRIA VA HEALTH CARE SYSTEM

NETWORK CONTRACTING OFFICE 16

ALEXANDRIA VA HEALTH CARE SYSTEM

PO BOX 69004

ALEXANDRIA

LA

71306-9004 00502

DEPARTMENT OF VETERANS AFFAIRS

NETWORK CONTRACTING OFFICE 16

ALEXANDRIA VA HEALTH CARE SYSTEM

2495 SHREVEPORT HIGHWAY

PINEVILLE

LA

71360-4004 To all Offerors/Bidders

36C25620R0148 02-01-2021

X X X

NA

X The purpose of this amendment is to provide Solicitation RFI's and an additional paragraph to the SOW.

1) Please see next page.

All other terms and conditions remain unchanged.

William A. Geary Contracting Officer-NCO 16

Sherwin Williams OC-17 White Dove Interior Promar 200 zero VOC LATEX EGGSGELL Finish

5D sink wall:

Sherwin Williams high gloss Water base Epoxy Pro Industrial Interior /Exterior AF-100 Pashmina. The adjacent wall to the sink is the Sherwin Williams Interior/ Exterior water base high gloss Epoxy Pro Industrial OC-17 White Dove.

Dal Tile Color Wheel Linear - 4” x 12” Artic White Matte

· Be mindful when coming in the door to the unit. The door should be closed quickly and not held open.

· Notify nursing if someone wants to open a door.

· Only clinical unit staff may allow people in or out of the unit.

· If you are working a room, ensure the door is locked while you are in the room and if you leave the room.

· Working outside of the rooms in the common area is at least a two person job: One person doing the job and the other watching the tools and equipment for safety.

· Never leave tools, equipment, gloves, plastic bags, cords etc. unattended.

· Always keep any keys in your possession.

· Clean up all tools, nails, screws, washers, bolts and other remnants of your job before you leave.

· Please do not exchange money, goods, or food with patients.

· Do not engage patients in conversation. Refer them to staff on the unit.

· All information is confidential, even the fact that someone is on the psychiatric unit. If you see someone you know, you cannot talk about this after you leave the unit.

· Add Special Paragraph below to the original Scope of Work.

1. COVID PROCEDURES

0. Transitional Living Building

0. The contractor shall present an initial negative COVID PCR (Polymerase Chain Reaction) test to VA Employee Health, not older than 4 days, prior to starting work in this building.

0. The COVID PCR test must be taken at a facility/organization that is authorized to administer the test.

0. The contractor will be required to be COVID PCR tested twice weekly while working in this building

2. The first test is to be administered Monday thru Wednesday

2. The second test is to be administered Thursday thru Saturday.

0. The contractor will provide the results of the COVID PCR tests to VA Employee Health upon the return of the test results.

0. If a COVID test comes back with a positive reading for COVID, the contractor must immediately notify VA Employee Health and exit the Transitional Living Building.

0. The contractor may return to this building after VA Employee Health has determined it is appropriate.

0. Inpatient Wards 2C and 3C – these two units house our COVID positive patients

1. The contractor must dress out in the following personal protective equipment (PPE) before entering either Ward:

0. Face shield and/or eye goggles