36C25725Q0552 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

0002 06-02-2025

36C257

Department of Veterans Affairs NCO 17 North Texas Healthcare System Regional Procurement Office West (RPO-W) 124 E. Hwy 67, Suite 100 Duncanville TX 75137

36C257

NCO 17

Department of Veterans Affairs North Texas Veterans Health Care Center 124 E. Hwy 67, Suite 100 Duncanville TX 75137

36C25725Q0552

X

X X

** HOUR & DATE for Receipt of Offers is EXTENDED to: 06-13-2025 12PM CDT

See CONTINUATION Page

X 1

The purpose of this amendment is to make changes to the terms and conditions of the solicitation 36C25725Q0552.

1. A site visit is hereby added to the solicitation. See continuation page for further information.

2. Please see updated Characteristics for changes in Yellow on the statement of work.

3. The solicitation is hereby extended until June 13, 2025 @ 12PM CST.

4. There are no other changes to the terms and conditions of the solicitation.

CONTINUATION PAGE

Site Visit

Audiology Sound Booth

RFQ# 36C25725Q0552

Site Visit

A site visit is scheduled for 6/06/2025 at 10:00AM CT.

This will be the ONLY site visit for this requirement.

Contact Contract Specialist Lesley Kitchen at Lesley.kitchen@va.gov if your company intends to show up for the site visit. Failure to communicate with CS prior to your arrival could result in your company not seeing the project site.

Please ensure RFQ# 36C24725Q0552 along with title is in email Subject line.

Location:

El Paso Veterans Healthcare Facility 5001 N. Piedras St.

El Paso TX 79930

POC: Melissa Silva Office Phone 915-564-6100 Ext 6549; work cell 915-337-7518 Melissa.Silva@va.gov

Please note: During the site visit please ask any questions you may have during that time with the technical experts. If there are any additional questions after the site visit, please forward those question to the Contract Specialist.

SOW Changes:

The product shall be equal or exceed the below salient characteristics to be considered:

Configuration: Audiometric booths must be one of the following configurations:

1.Double Suite with a patient side and examiner side 2.Size: Audiometric booths shall have the following minimum LD. (inner dimensions):

a.Double Wall Exam Booth I.D.: 16'0" x 10'0" x 6'6" high or 90 S.F A maximum four-inch tolerance is allowed on length and width to permit booth to fit into standard footages of space. Heights specified in section are without ventilating units or discharge silencers, roof or wall mounted.

b.Exterior Enclosure Dimensions: Outside dimension of enclosure will be determined by the specified interior enclosure dimensions, the enclosure configuration, and the thickness of the enclosure panels and airspaces required to meet the specified acoustical performance criteria.

c.Exterior Dimensions of Suites with Common Outer Shells: Installations requiring multiple audiometric booths may be installed in common outer shells to conserve floor space. Installations involving common outer shells shall be designed such that the acoustical isolation between enclosures at least equal the specified for double wall enclosures as defined below:

This specification addresses prefabricated audiometric examination booths and rooms/suites suitable for the use in testing, calibration, and recording of aural acuity. A booth is defined as a free-standing double walled examination room. A suite is defined as a combination of a single or double walled control room and a double walled examination room (rooms are parts of suites). Henceforth, the term "audiometric booth" will be used generically when referring to booth, room, or suite.

An audiometric booth covered by this specification includes all enclosure panels, components, wiring, lighting fixtures (including dimmers), ventilation silencers, and installation to make the booth completely operable.

End of Document