36C25919R0058-0004000.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) 04-01-2019 N/A 36C259 Department of Veterans Affairs Network Contracting Office

NCO 19

6162 South Willow Drive, Suite 300 Greenwood Village

CO

80111 36C259 Department of Veterans Affairs Network Contracting Office

NCO 19

6162 South Willow Drive, Suite 300 Greenwood Village

CO

80111 To all Offerors/Bidders

36C25919R0058

X X X ** HOUR & DATE for Receipt of Offers is EXTENDED to:

X The purpose of this amendment is to update the performance period reflected in Sections B.1 Contract Administration Data and B.3 Hazardous/Non-Hazardous Waste Disposal Schedule.

a. The new period of performance is April 22, 2019 through April 21, 2020 with 4 option year periods,

b. All other terms and conditions remain the same.

Ronnie R. Jones Contracting Officer

NCO1915L2-3411

CONTINUATION PAGE

B.1 CONTRACT ADMINISTRATION DATA

(continuation from Standard Form 1449, block 18A.)

B.1.1. Contract Administration: All contract administration matters will be handled by the following individuals:

B.1.1.2. GOVERNMENT: Francisco Velazquez, Contract Specialist Department of Veterans Affairs Rocky Mountain Network

NCO 19

6162 South Willow Drive, Suite 300 Greenwood Village, CO 80111 Telephone: 303-712-5723

FAX: 303-712-5824

B.1.2. CONTRACTOR REMITTANCE ADDRESS: All payments by the Government to the contractor will be made in accordance with:

B.1.3. GOVERNMENT INVOICE ADDRESS: Invoices shall be submitted in arrears:

c. Other [MONTHLY IN ARREARS] B.1.4. GOVERNMENT INVOICE ADDRESS: All invoices from the contractor shall be submitted electronically to the VA Financial Services Center for payment processing, free of charge. For any questions about the e-invoicing program, please contact the FSC at the phone number or email address listed below:

· OB10/Tungsten e-Invoice Setup Information: (877) 752-0900

· OB10/Tungsten e-Invoice email: USClientServices@ob10.com

· FSC e-Invoice Contact Information: (877) 353-9791

· FSC e-invoice email: vafsccshd@va.gov

· The following two codes will be required when creating a vendor profile in OB10:

OB10 Buyer Number AAA544240062 Promo Code: VAPC7Y18

B.1.5. DUNS NUMBER: Please provide the Dun and Bradstreet Number assigned to your firm in the space provided: _______________________________________________.

B.1.6. TAX IDENTIFICATION NUMBER: Please provide the tax identification number to be utilized for this contract: _________________________________________________.

B.1.7. PERIOD OF PERFORMANCE: Services required herein shall be for the following time period:

B.1.8. DEPARTMENT OF LABOR WAGE DETERMINATION: Department of Labor Wage Determination Numbers:

B.3 HAZARDOUS/NON-HAZARDOUS WASTE ESTIMATED DISPOSAL SCHEDULE

These estimates of waste types, amounts, and pickup frequencies are based on past history for planning purposes at the Denver and Aurora facilities. Actual amounts, types, and pick up requirements may vary with facility activity. The process for pick-ups at the VA facility generally starts when the vendor collects hazardous wastes from the Central Accumulation Point (CAP) on a monthly basis. The vendor takes the hazardous wastes from the Central Accumulation Point (CAP) to the vendor’s federal and state certified Treatment, Storage and Disposal Facility (TSDF) for compliant disposal. All containers used to transport and dispose hazardous and non-hazardous waste shall be Department of transportation (DOT) rated for their intended contents.

BASE YEAR: Period of Performance April 22, 2019 through April 21, 2020 CLIN 0001A Rocky Mountain Regional VAMC Monthly CAP pick-up frequency unless otherwise stated.

QUANTITY

Total Cost:

CLIN 0001B PFC Floyd K. Lindstrom Clinic at Colorado Springs Estimate 3 pick-ups per year

QUANTITY

Total Cost:

CLIN 0001C Pueblo Outpatient Clinic

QUANTITY

Total Cost:

CLIN 0001D Pueblo Community Living Center

QUANTITY

Total Cost:

CLIN 0001E Golden Outpatient Clinic

QUANTITY

Total Cost:

CLIN 0001F Denver VA Medical Center Outpatient Clinic

QUANTITY

Total Cost:

CLIN 0001G Valor Point Domiciliary Estimate 1 pick-up per year

QUANTITY

Total Cost:

BASE YEAR TOTAL: ________________________________

OPTION YEAR ONE: Period of Performance April 22, 2020 through April 21, 2021 CLIN 1001A Rocky Mountain Regional VAMC Monthly CAP pick-up frequency unless otherwise stated.

QUANTITY

Total Cost:

CLIN 1001B PFC Floyd K. Lindstrom Clinic at Colorado Springs

QUANTITY

Total Cost:

CLIN 1001C Pueblo Outpatient Clinic

QUANTITY

Total Cost:

CLIN 1001D Pueblo Community Living Center

QUANTITY

Total Cost:

CLIN 1001E Golden Outpatient Clinic

QUANTITY

Total Cost:

CLIN 1001F Denver VA Medical Center Outpatient Clinic

QUANTITY

Total Cost:

CLIN 1001G Valor Point Domiciliary

QUANTITY

Total Cost:

OPTION YEAR ONE TOTAL: ________________________________

OPTION YEAR TWO: Period of Performance April 22, 2021 through April 21, 2022 CLIN 2001A Rocky Mountain Regional VAMC Monthly CAP pick-up frequency unless otherwise stated.

QUANTITY

Total Cost:

CLIN 2001B PFC Floyd K. Lindstrom Clinic at Colorado Springs

QUANTITY

Total Cost:

CLIN 2001C Pueblo Outpatient Clinic

QUANTITY

Total Cost:

CLIN 2001D Pueblo Community Living Center

QUANTITY

Total Cost:

CLIN 2001E Golden Outpatient Clinic

QUANTITY

Total Cost:

CLIN 2001F Denver VA Medical Center Outpatient Clinic

QUANTITY

Total Cost:

CLIN 2001G Valor Point Domiciliary

QUANTITY

Total Cost:

OPTION YEAR TWO TOTAL: ________________________________

OPTION YEAR THREE: Period of Performance April 22, 2022 through April 21, 2023 CLIN 3001A Rocky Mountain Regional VAMC Monthly CAP pick-up frequency unless otherwise stated.

QUANTITY

Total Cost:

CLIN 3001B PFC Floyd K. Lindstrom Clinic at Colorado Springs

QUANTITY

Total Cost:

CLIN 3001C Pueblo Outpatient Clinic

QUANTITY

Total Cost:

CLIN 3001D Pueblo Community Living Center

QUANTITY

Total Cost:

CLIN 3001E Golden Outpatient Clinic

QUANTITY

Total Cost:

CLIN 3001F Denver VA Medical Center Outpatient Clinic

QUANTITY

Total Cost:

CLIN 3001G Valor Point Domiciliary

QUANTITY

Total Cost:

OPTION YEAR THREE TOTAL: ________________________________

OPTION YEAR FOUR: Period of Performance April 22, 2023 through April 21, 2024 CLIN 4001A Rocky Mountain Regional VAMC Monthly CAP pick-up frequency unless otherwise stated.

QUANTITY

Total Cost:

CLIN 4001B PFC Floyd K. Lindstrom Clinic at Colorado Springs

QUANTITY

Total Cost:

CLIN 4001C Pueblo Outpatient Clinic

QUANTITY

Total Cost:

CLIN 4001D Pueblo Community Living Center

QUANTITY

Total Cost:

CLIN 4001E Golden Outpatient Clinic

QUANTITY

Total Cost:

CLIN 4001F Denver VA Medical Center Outpatient Clinic

QUANTITY

Total Cost:

CLIN 4001G Valor Point Domiciliary

QUANTITY

Total Cost:

OTION YEAR FOUR TOTAL: ________________________________