36C25919Q0217-0001000.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 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) 03-20-2019 None 36C259 Department of Veterans Affairs Network Contracting Office

NCO 19

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

NCO 19

1011 Honor Height Dr Muskogee OK 74401 To all Offerors/Bidders

36C25919Q0217

X

See CONTINUATION Page

The purpose of this amendment is to adjust (replace) the Performance Work Statement (PWS) with the (PWS) below.

Ensure you submit all prices using below list of line items.

Lance Davis

CONTINUATION PAGE

A.1 Performance Work Statement Sanitization and Sterilization Equipment PM sterilizers, washers, dryers VA Medical Center Sheridan WY 82801

The Contractor for the Sheridan VA Medical Center in Sheridan, Wyoming shall provide the Sheridan VAMC preventative maintenance (PM) and repair on sanitization and sterilization equipment with a Full Service Turn-Key Solution to include all equipment for the system.

(1) Contractor must be an authorized service representative for the Steris Reliance 444 washer, Amsco Eagle 3043 sterilizer, Steris Caviwave-11-DRW ultrasonic cleaner, and the Steris FX0021 Washer.

(1) Contractor SHALL be an authorized service representative for the following:

Steris RACK LOAD MODULE Washer Motorized feed-in Steris RACK LOAD MODULE Washer Non-Motorized feed-out

AMSCO 400 48 PVAC SD HINGE LH CAB STM STERILIZER 480V

Steris Washer Sanitizer Steris Ultrasonic Cleaner Steris Ultrasonic Cleaner

(2) Contractor is responsible for the expense of all parts, excluding consumables, for the sanitization and sterilization equipment. Contractor is responsible for all priority parts delivery expenses.

(3) Contractor is responsible for all labor and travel expenses to provide all services covered, including preventive maintenance, emergency repair, maintenance credit for equipment malfunction, and replacement of equipment and parts, during the term of the agreement.

(4) Preventive Maintenance (PM) is to be scheduled at the convenience of the Sheridan VA Medical Center, and will consist of thorough and comprehensive electrical and mechanical checks to identify needed service or maintenance, minor repairs, and calibrations. PMs are performed according to the OEM recommendations (unless otherwise stated), starting 30 days following the start of the contract agreement.

(5) Emergency repairs shall be performed after one (1) initial telephone notification that the equipment is inoperative. The contractor shall provide the Government with a designated point of contact and telephone number and shall make arrangements to enable the maintenance representative to receive such notification.

(6) The contractor shall be on-site at the Sheridan VA Medical Center in Sheridan, Wyoming to perform emergency repair services during the week within twenty-four (24) hours after receipt of initial telephone notification of a malfunction. Contractor shall provide weekday on-site technical representative maintenance, troubleshooting, and repair coverage from 8:00am – 5:00pm MST., Monday thru Friday (excluding holidays). Preferred rates for labor and travel outside the principle period of coverage will be required. Federal Holidays observed by the Sheridan VA Medical Center are:

Christmas Day

(7) Contractor shall provide telephone technical support service to assist in troubleshooting 24 hour per day, seven days per week, including Federal holidays.

(8) The contractor shall furnish a malfunction incident report to the institution upon completion of each repair call. The report shall include, at a minimum, the following:

a) Date and time notified;

b) Date and time of arrival;

c) Serial number, type, and model number(s) of equipment;

d) Time spent for repair;

e) Description of malfunction and repair; and

f) Proof of repair that includes documentation of a sample run with acceptable performance.

(9) During the term of the Service Contract, should the repair record of any individual piece of equipment covered reflect a downtime of 4% or greater of the normal working days in one calendar month, a determination will be made by the designated representative of the Government at the Sheridan VA Medical Center to replace the initial equipment with new equipment. The responsibility of maintaining the equipment furnished in good condition in accordance to the manufacturer’s instruction, shall be solely that of the contractor. All equipment covered in this Service Contract shall maintain an uptime of 96% in each month of the term of the agreement.

(10) The contractor shall treat each notification for an emergency/repair service call from the Government as a separate and new service call.

(11) A full system inspection shall be performed prior to execution of the agreement. Any service determined necessary from the inspection must be completed prior to execution of the agreement upon which a system site number will be assigned.

(12) The service contract agreement will run during the term of the contract for one (1) year, followed by four (4) option years, with the ability to cancel with 60 days notice by the Government.

a) All licenses, inspections, adjustments, calibrations, and certifications must be current at all times. VA shall be provided copies of these documents within ten days of award and within ten days of inspection/adjustments/calibrations/change of personnel after award.

b) For any loss in Equipment sterilization time at site due to Contractor unable to perform its duties, the time lost will be deducted from contractor reimbursement based on a calculated hourly rate for the contractor’s services (weekly rate quoted divided by 40 hour week times number of hours lost).

c) List of Equipment

1. Steris RACK LOAD MODULE Washer Motorized feed-in Ser# 3628612004

2. Steris RACK LOAD MODULE Washer Non-Motorized feed-out Ser# 3628612005

3. AMSCO 400 48 PVAC SD HINGE LH CAB STM STERILIZER 480V

Model # AMSCO 400 ser# 030181310

4. Steris Washer Sanitizer Model # VISSCFH050XX RELIANCE VISION Ser# 3603513025

5. Steris Ultrasonic Cleaner Model # Caviwave Ser# 1016TC0025

6. Steris Ultrasonic Cleaner Model # Caviwave Ser# 0119TC0061

A.2 PRICE/COST SCHEDULE

ITEM INFORMATION

Preventative Maintenance, Parts, and Repair for Steris RACK LOAD MODULE Washer Motorized feed-in Ser# 3628612004 Contract Period: Base POP Begin: 04-01-2019 POP End: 03-31-2020

Preventative Maintenance, Parts, and Repair for Steris RACK LOAD MODULE Washer Non-Motorized feed-out Ser# 3628612005

Preventative Maintenance, Parts, and Repair for AMSCO 400 48 PVAC SD HINGE LH CAB STM STERILIZER 480V Model # AMSCO 400 Ser# 030181310

Preventative Maintenance, Parts, and Repair for Steris Washer Sanitizer Model # VISSCFH050XX RELIANCE VISION Ser# 3603513025

Preventative Maintenance, Parts, and Repair for Steris Ultrasonic Cleaner Model # Caviwave Ser# 1016TC0025

Preventative Maintenance, Parts, and Repair for Steris Ultrasonic Cleaner Model # Caviwave Ser# 0119TC0061

Preventative Maintenance, Parts, and Repair for Steris RACK LOAD MODULE Washer Motorized feed-in Ser# 3628612004 Contract Period: Option 1 POP Begin: 04-01-2020 POP End: 03-31-2021

Preventative Maintenance, Parts, and Repair for Steris RACK LOAD MODULE Washer Non-Motorized feed-out Ser# 3628612005

Preventative Maintenance, Parts, and Repair for AMSCO 400 48 PVAC SD HINGE LH CAB STM STERILIZER 480V Model # AMSCO 400 Ser# 030181310

Preventative Maintenance, Parts, and Repair for Steris Washer Sanitizer Model # VISSCFH050XX RELIANCE VISION Ser# 3603513025

Preventative Maintenance, Parts, and Repair for Steris Ultrasonic Cleaner Model # Caviwave Ser# 1016TC0025

Preventative Maintenance, Parts, and Repair for Steris Ultrasonic Cleaner Model # Caviwave Ser# 0119TC0061

Preventative Maintenance, Parts, and Repair for Steris RACK LOAD MODULE Washer Motorized feed-in Ser# 3628612004 Contract Period: Option 2 POP Begin: 04-01-2021 POP End: 03-31-2022

Preventative Maintenance, Parts, and Repair for Steris RACK LOAD MODULE Washer Non-Motorized feed-out Ser# 3628612005

Preventative Maintenance, Parts, and Repair for AMSCO 400 48 PVAC SD HINGE LH CAB STM STERILIZER 480V Model # AMSCO 400 Ser# 030181310

Preventative Maintenance, Parts, and Repair for Steris Washer Sanitizer Model # VISSCFH050XX RELIANCE VISION Ser# 3603513025

Preventative Maintenance, Parts, and Repair for Steris Ultrasonic Cleaner Model # Caviwave Ser# 1016TC0025

Preventative Maintenance, Parts, and Repair for Steris Ultrasonic Cleaner Model # Caviwave Ser# 0119TC0061

Preventative Maintenance, Parts, and Repair for Steris RACK LOAD MODULE Washer Motorized feed-in Ser# 3628612004 Contract Period: Option 3 POP Begin: 04-01-2022 POP End: 03-31-2023

Preventative Maintenance, Parts, and Repair for Steris RACK LOAD MODULE Washer Non-Motorized feed-out Ser# 3628612005

Preventative Maintenance, Parts, and Repair for AMSCO 400 48 PVAC SD HINGE LH CAB STM STERILIZER 480V Model # AMSCO 400 Ser# 030181310

Preventative Maintenance, Parts, and Repair for Steris Washer Sanitizer Model # VISSCFH050XX RELIANCE VISION Ser# 3603513025

Preventative Maintenance, Parts, and Repair for Steris Ultrasonic Cleaner Model # Caviwave Ser# 1016TC0025

Preventative Maintenance, Parts, and Repair for Steris Ultrasonic Cleaner Model # Caviwave Ser# 0119TC0061

Preventative Maintenance, Parts, and Repair for Steris RACK LOAD MODULE Washer Motorized feed-in Ser# 3628612004 Contract Period: Option 4 POP Begin: 04-01-2023 POP End: 03-31-2024

Preventative Maintenance, Parts, and Repair for Steris RACK LOAD MODULE Washer Non-Motorized feed-out Ser# 3628612005

Preventative Maintenance, Parts, and Repair for AMSCO 400 48 PVAC SD HINGE LH CAB STM STERILIZER 480V Model # AMSCO 400 Ser# 030181310

Preventative Maintenance, Parts, and Repair for Steris Washer Sanitizer Model # VISSCFH050XX RELIANCE VISION Ser# 3603513025

Preventative Maintenance, Parts, and Repair for Steris Ultrasonic Cleaner Model # Caviwave Ser# 1016TC0025

Preventative Maintenance, Parts, and Repair for Steris Ultrasonic Cleaner Model # Caviwave Ser# 0119TC0061