36C25921Q0433 0001.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 NUMBERE

D 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 amendmen t, 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) 05-10-2021 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 Heights Dr Muskogee Ok 74401 To all Offerors/Bidders

36C25921Q0433 05-04-2021

X X

See CONTINUATION Page x

ONE

The purpose of this amendment is to notify all prospective offerors of the below changes to the request for quote.

1. The below Price/Cost Schedule replaces Price/Cost Schedule in RFQ

2. The below updated PWS replaces PWS in the RFQ

All other terms and conditions remain unchanged.

Lance Davis

CONTINUATION PAGE

B.2 Performance Work Statement

Performance Work Statement

1.0 General Intent

1.1 The contractor must provide all personnel, equipment, tools, materials, supervision, and other items and services necessary to conduct chiller maintenance on chillers located at 921 NE 13th Street, Oklahoma City, OK, 73104

1.2 The contractor must perform to the standards in this contract. This project shall take no longer than 45 calendar days from date of award to complete.

1.3 This project shall be coordinated with the appointed COR to insure minimal impact to resident’s day to day activities and minimal noise. Scheduling of work shall be at the convenience of the Oklahoma City VA Health Care System.

2.0 General Information and Requirements

2.1 The objective of this project is to conduct chiller repairs on chillers located at 921 NE 13th Street, Oklahoma City, OK, 73104.

2.2 The contractor shall provide operation and maintenance instructions, and manufacturer documentation at the completion of the project. Manufacturer documentation and maintenance schedule to be provided in close out documents.

2.3 The contractor shall provide a one-year full parts and labor warranty on the newly installed chiller parts in addition to the manufacturer’s warranty.

2.4 The contractor shall provide all tools, equipment, and personal protective equipment necessary to complete this project as deemed by industry standards, this SOW, all related specifications, applicable code requirements, and site policy.

2.5 The contractor shall provide daily cleanup and securing of work site, including securing tools and equipment. Disposal of all waste and debris is at the contractor’s own expense.

2.6 The contractor shall provide quality control of all work conducted and the individual appointed shall be competent and educated/experienced in the field of work this scope encompasses.

2.7 All work shall be coordinated with the COR assigned to this project and only commence once approved.

2.8 Security: The contractor and their personnel shall be subject to the same Federal laws, regulations, standards, and VA policies as VA personnel regarding information and information system security.

2.9 Schedule: Normal work hours will be 8:00am – 4:30 pm Monday-Friday excluding Government holidays unless otherwise approved by the COR. It is the intent of the Oklahoma City VA Medical Center that the work is to be completed within 45 calendar days from the date of Award. Any request to utility shutdowns must be requested in writing at a minimum of 5 days prior to the requested day of shutdown.

2.10 Codes and Standards: The Contractor shall follow all applicable codes and standards to this type of work including but not limited to Health Care System Memorandums (HCSM), OSHA Guidelines, Lock-out-Tag-out, Rules of Station, NFPA, and etcetera. If any code/standard is found to be contradictory; the authority having jurisdiction (COR) shall make the final determination and work shall proceed at no additional cost to the Government.

3.0 Specific Tasks

3.1 The contractor shall provide all supervision, administrative and technical support, labor, subcontractors, tools, transportation, materials, supplies and equipment. The contractor shall plan, schedule, and ensure effective completion of chiller maintenance

3.2 The contractor will ensure the following tasks are met:

York 600 Ton Chiller Model #: YKGQEP8 Serial #: SAXM-831760

1. Schedule with VA Personnel to perform the repairs. Perform necessary LOTO.

2. Remove the oil from the sump. Pressurize the chiller with nitrogen and test chiller for leaks.

3. Contractor to investigate leak or leaks with corrective action plan report and estimated repair cost for the corrective action.

4. Replace the failed VDG motor.

5. Evacuate the Chiller to below 400 microns. Add new oil to charge the chiller. Add approximately 1990 lbs. of new 134A refrigerant to the chiller.

6. Remove LOTO. Start and test the chiller for proper operation.

7. Clean and remove debris from site.

York 600 Ton Chiller Model #: YKGQEP8 Serial #: SAXM-831910

1. Schedule with VA Personnel to perform the repairs. Perform necessary LOTO.

2. Rig refrigerant recovery tanks and equipment to basement.

3. Recover the refrigerant from the chiller and weigh the charge.

4. Remove and replace the angle valve on the evaporator scavenger oil line from Evaporator. Remove and place the leaking vane motor. Remove and replace the VDG motor.

5. Pressure test the chiller with nitrogen and check for leaks. Report if additional leaks are found. Evacuate the chiller to below 400 microns.

6. Re-install the recovered refrigerant. Provide and install up to 500#'s of additional new R134a refrigerant. If additional refrigerant is needed an additional proposal will be submitted.

7. Remove heads on Condenser and work to remove blockage from tubes. Chemically clean scaled condenser tubes located on second pass of Chiller. Brush condenser tubes again after cleaning and re-install the condenser heads.

8. Remove LOTO's. Start and test the chiller for proper operation.

9. Clean and remove debris from site

A.1 PRICE/COST SCHEDULE

ITEM INFORMATION

Chiller #3 has Freon leaks and a bad VDG motor. Complete service repairs and commission system per the PWS. Provide detailed report of all issues found and provide estimate to repair system

Chiller #4 Remove and replace the angle valve on the evaporator scavenger oil line from Evaporator. Remove and place the leaking vane motor. Remove and replace the VDG motor. Complete service repairs and commission system per the PWS.