36C25919Q0101-0001000.docx

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 ADM

INISTRATIVE 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 d ate 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 3

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) 03-20-2019 None 36C259 Department of Veterans Affairs Network Contracting Office

NCO 19

1011 Honor Heights Drive Muskogee OK 74401 36C259 Department of Veterans Affairs Network Contracting Office

NCO 19

1011 Honor Heights Drive Muskogee OK 74401 To all Offerors/Bidders

36C25919Q0101 03-19-2019

X X X

See CONTINUATION Page

This amendment is implemented to update the PWS.

Changes to the PWS include adding addresses for the Cheyenne VAMC and its entities.

See page four (4) of this Amendment, Place of Performance, for Included Changes.

All other items remain unchanged.

CONTINUATION PAGE

Performance Work Statement (PWS) Moving Services - Cheyenne VAMC

This is the guaranteed minimum amount for the life of this IDIQ contract.

The minimum order for Moving Services is 100 hours during the first ordering period.

The maximum aggregate ceiling value for this IDIQ contract is 3,000 hours over the five (5) year ordering period.

The Government does not guarantee that it will place any order under this contract in excess of the guaranteed minimum award amount.

1. Description of Services

This Performance Work Statement (PWS) defines the requirement to provide Moving Services. A moving contract is required to facilitate moves throughout the facility and its entities.

1. Scope of Work

The contractor shall provide all personnel, equipment, tools, materials, vehicles, supervision, certifications, and other services to provide moving services. The contractor shall perform to the standards in accordance with this SOW.

Requirements:

2.1. Moving staff and equipment will be scheduled when services are required, no less than 1 day a month. The moving contractor can anticipate approximately 4-8 hours of service work per month during the VA business hours of 8 a.m. and 4:30 p.m.

2.2 The COR shall provide the contractor with a list and location of items to be moved, a minimum of one hundred sixty-eight (168) hours in advance of every move. The list will include the location of identified items, the designated area in which items will be moved, and the placement of said items in the designated area. The Contractor will provide a plan of action to corroborate with COR instructions seventy-two (72) hours prior to all scheduled moves.

2.3 Contractor shall move all items (desks, file cabinets, chairs, etc.) as outlined in the list provided by the Contractor Officer Representative (COR).

2.4 Contractor will determine the number of personnel and the type of equipment needed to handle all moving requirements, while ensuring proper safety. If a move detail has already been scheduled, the Cheyenne VAMC reserves the right to cancel the move request and will provide a forty-eight (48) hour notification of cancellation.

2.5 The Cheyenne VAMC estimates (400) hours per ordering period of scheduled work. Pay rate will be hourly and the schedule of these man hours will be determined by the Cheyenne VAMC using the notification guidelines set forth above. Currently there are two anticipated move dates per month with additional moves added as needed.

1. Specific Tasks Contractor is required to furnish the following items:

3.1 All tools needed to properly move a variety of items. These tools include, although are not limited to: pallet jacks, desk jacks, dolly, moving skates/traps, and a moving truck(s).

3.2 All tools to perform minor tear down and reconstruction of identified items to better facilitate the identified items to be moved.

3.3 All personal protective equipment (PPE), i.e.: safety boots, gloves, etc. for movers are to be worn when moving identified items.

3.4 All personnel shall have working knowledge of moving tools being utilized and knowledge of proper moving safety techniques.

3.5 The Cheyenne VAMC will relocate and stage large items via forklift that cannot be moved by moving personnel. Any items that needs to be transported by vehicle will be loaded and unloaded by contractor. Contractor will provide the truck(s) for moving. The Cheyenne VAMC will provide a forklift and an operator for the forklift when applicable.

1. Performance Monitoring

The COR or a POC (designee) will be present for each facility move. The COR/POC will ONLY observe the moves in the facility and at Cheyenne VAMC entities. Performance is measured by direct observation of movers. Any negative performance will be reported to the moving organizations management to be addressed and to allow for correction at the contractor’s discretion.

1. Security Requirements

Contractors may be required at times to enter sensitive areas in the process of moving furniture and other items. At no time will contractors have access to patient records, data or VA computer systems. All patient sensitive information is to be secured by staff prior to movers entering any area. Contractors will check-in with VA police to get visitor badges for each move day.

1. Government-Furnished Equipment (GFE)/Government-Furnished Information (GFI).

There will be no Government-Furnished Equipment (GFE) or Government-Furnished Information (GFI) used by contractors.

1. Inspection and Acceptance Criteria

The COR is responsible for certifying all work done under the contract is performed on-time and in accordance with standards. The COR is also responsible to assure the inspection and acceptance of products provided incidental to services.

1. Property Damage

The contractor shall take all necessary precautions to prevent damage to any government property and will notify the Contracting Officer immediately if damages occur. The Contracting Officer will authorize the contractor to remedy the situation in one of the following ways: be assessed current replacement costs for damaged property, replace damaged property in a timely manner, or correct the damages with like materials at no additional cost.

1. Price/Cost Quote Interested vendors shall include the following information in their quotes:

An hourly rate for the Employee(s) while loading and unloading at the Cheyenne VAMC and/or its entities and while moving items within any of the facilities listed below.

An hourly rate for the Truck(s) while loading/unloading at the Cheyenne VAMC and/or its entities.

A round trip mileage rate between the Cheyenne VAMC and its entities. Mileage rate shall include 2 employees, truck rental, and fuel costs. Mileage between facilities are 102, 114, 200, and 300 miles.

Travel (mileage) to/from Ft. Collins (102 miles) Travel (mileage) to/from Loveland (114 miles) Travel (mileage) to/from Sidney (200 miles) Travel (mileage) to/from Rawlins (300 miles) Additional Mileage

An additional cost per mile will be added if multiple stops are required at any VA facility. All additional miles must be verified prior to invoicing.

Place of Performance

Cheyenne VAMC - 2360 East Pershing Blvd. Cheyenne, WY 82001 and it’s entities:

Sidney, NE – 1116 10th Avenue Sidney, NE 69162 Rawlins, WY – 1809 East Daley Street Rawlins, WY 82301 Fort Collins, CO – 2509 Research Boulevard Fort Collins, CO 80526 Loveland, CO – 5200 Hahns Peak Drive Loveland, CO 80538