36C25621R0114 0002.pdf

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)

1 3

8/9/2021

580-18-111

Department of Veterans Affairs Network Contracting Office 16 Michael E. DeBakey VA Medical Center 2002 Holcombe BLVD Houston TX 77030 4298

Department of Veterans Affairs Network Contracting Office 16 Michael E. DeBakey VA Medical Center 2002 Holcombe BLVD Houston TX 77030 4298

To all Offerors/Bidders

36C25621R0114

08-09-2021

X

X X

RE: 580-18-111 Site Prep for Cath Lab #2 and EP Lab

A. Offerors shall use the revised price sheet attached. Only change was made to the formula on Line Item #5.

B. SOW Paragraph 6.1 is hereby changed to: "All contract personnel, including subcontractor employees, that needs to perform work onsite may require a VA issued identification badge. There is no charge for the badges; however, each person may need to make multiple trips to the facility to obtain the badge. At the project’s completion, all VA issued badges are required to be turned over to the COR before final payment is made."

Tabitha Contreras Contracting Officer

VA-VHA-2020-FB33BFA2

vhahouContrT Typewritten Text 8/9/2021

36C25621R0114 0002

CONTINUATION OF SF 1442 BLOCK # 17 CONTINUED

DESCRIPTION OF WORK: Contractor shall furnish all supervision, labor, material, tools, and equipment to prepare the site for Cath Lab #2 and EP Lab for new interventional x-ray equipment located on the 3rd Floor of Building 100 as specified herein at the Michael E. DeBakey VA Medical Center located at 2002 Holcombe Boulevard, Houston, Texas 77030. All work shall be performed in accordance with the project plans and specifications.

BASIS OF AWARD: A single award will be made on Line Item No. 1, but in the event the offer exceeds the funds available, a single award will be made on Line Item No. 2, Line Item No. 3, Line Item No. 4, or Line Item No. 5 in that order, based on available funding. The line items are listed in descending order of importance. Offerors shall provide a total contract price on each line item listed. The project’s period of performance is reflected in each bid line item.

LINE ITEM NO. 1: Base - Includes all work as indicated on the drawings and the specifications for EP Lab and Cath Lab #2 Site Prep. The project period of performance is 510 calendar days.

TOTAL NO. 1: $______________________________*

*Offeror shall complete a price breakdown by Specification Divisions as shown on page # 5

LINE ITEM NO. 2: Alternate #1 – Includes all work as indicated on the drawings and the specifications for EP Lab and Cath Lab #2 Site Prep except eliminate Cath Lab #2’s casework under viewing window.

Refer to Sheet I-101-Phase II-Cath Lab #2. The project period of performance is 510 calendar days.

TOTAL NO. 2 (Base - Alternate 1): $__________________________________

LINE ITEM NO. 3: Alternate #2 – Includes all work as indicated on the drawings and the specifications for EP Lab and Cath Lab #2 Site Prep except items listed in Line Item No.2, and contractor shall reuse the existing doors and door hardware in both phases; Phase I – EP Lab and Phase II – Cath Lab #2. Refer to Sheet A-601. The project period of performance is 510 calendar days.

TOTAL NO. 3 (Base - (Alternate 1 + Alternate 2)): $____________________________

LINE ITEM NO. 4: Alternate #3 – Includes all work as indicated on the drawings and the specifications for EP Lab and Cath Lab #2 Site Prep except items listed in Line Item No.2, Line Item No. 3, and the contractor shall install welded sheet flooring in lieu of epoxy resinous flooring in both phases; Phase I – EP Lab and Phase II – Cath Lab #2. Refer to Sheet I-101, Finish Schedule, for designated spaces. The project period of performance is 510 calendar days.

TOTAL NO. 4 (Base - (Alternate 1 + Alternate 2 + Alternate 3)): $___________________________

36C25621R0114 0002

LINE ITEM NO. 5: Alternate #4 – Includes all work as indicated on the drawings and the specifications for EP Lab and Cath Lab #2 Site Prep except items listed in Line Item No.2, Line Item No. 3, Line Item No. 4, and eliminate Phase II – Cath Lab #2 site prep in its entirety. The project period of performance is 450 calendar days.

TOTAL NO. 5 (Base - (Alternate 1 + Alternate 2 + Alternate 3 + Alternate 4)): $________________

CONTINUATION OF SF 1442 BLOCK # 17 CONTINUED