36C25626Q1005 0002.docx

DOCX document 16 KB Posted

Attached to
Z2JZ--Wellness Center Flooring Install / Service
Solicitation number
36C25626Q1005
Issued by

About this file

This document is a quotation response template for a Request for Quote (RFQ) issued by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 16 (VISN 16) for wellness center flooring installation and service at Building 108. The solicitation number is 36C25626Q1005, and the Government intends to award a single purchase order to the responsible vendor offering the best value, with price and non-price factors considered equally.

The evaluation criteria include three primary factors: (1) Technical Acceptability (Pass/Fail), which requires quoters to submit a schedule based on a Notice to Proceed of October 1, 2026, demonstrating ability to meet completion dates while minimizing disruption, along with a detailed technical approach addressing demolition (if required), subfloor preparation, moisture mitigation, new flooring installation, adjacent finish protection, and cleanup; (2) Quality Assurance and Safety Plan (Pass/Fail), requiring submission of inspection procedures, manufacturer installation compliance, OSHA safety procedures, and housekeeping protocols; and (3) Product Sample (Pass/Fail), mandating submission of a minimum 3" x 3" sample of the actual proposed flooring or a manufacturer color chart for the requested color. A quotation receiving a failing rating on any technical element may be deemed ineligible for award. The scope involves correction of fitness center flooring at the VA facility, with specific requirements for schedule, technical approach, quality assurance, safety compliance, and product verification.

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Other files

File Type Posted
36C25626P1018 Award notice.docx DOCX document
36C25626Q1005 0003.docx DOCX document
36C25626Q1005 0001.docx DOCX document
WD 2015-5233.pdf PDF
090516-2026-02 Subsurface Prep for Floor Finishes.docx DOCX document
36C25626Q1005.docx DOCX document
Flooring Specifications 096519-2018-05.docx DOCX document

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Text version

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) 08-05-2026 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 2575 Keystone Crossing Fayetteville

AR

72703 To all Offerors/Bidders

36C25626Q1005

X X X X The purpose of this amendment is to correct the measurements listed in the SOW.

The fitness center is 66ft x 36ft with two entryways for a estimated total of 2,392 sq ft.

All measurements listed in the PWS are estimates. Vendors were to verify measurements at the offered site visit.

Failure to attend the site visit or inspect the site shall not constitute grounds for requesting any additional costs or price adjustments related to performance of the requirement.

THIS IS 100% SDVOSB SETASIDE. OFFERS THAT ARE NOT VERFIED SDVOSB AT TIME OF OFFER WILL NOT BE CONSIDERED.

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