36C26118Q0565-0001000.docx

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Ergonomic Evaluations and training services VA Northern California Health Care System
Solicitation number
36C26118Q0565
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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

BY

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) 06-21-2018 none Department of Veterans Affairs Network Contracting Office (NCO21) VA Northern California HealthCare System 5342 Dudley Blvd. Bldg 209 (90/NCO) McClellan

CA

95652-1012 Department of Veterans Affairs Network Contracting Office (NCO21) VA Northern California HealthCare System 5342 Dudley Blvd. Bldg 209 (90/NCO) McClellan

CA

95652-1012 To all Offerors/Bidders

36C26118Q0565 01-29-2018

X X X x

a. The purpose of this amendment is to answer questions form interested offeror. See next page for Q&A

b. No more question will be addressed or accepted after this amendment. The due date to submit offers is extended to 06/26/2018: 1:00PM PST instead of 06/25/2018: 1:00PM PST.

c. All other terms and condition remain unchanged.

Mark J. Mikus Contracting Officer

Q & A

Q-Under the price schedule where it states the estimated employees per site visit, is this number correlate with the number of site visits to give us the total site cost.?

A- The Price Schedule is changed (below) to replace the previous price schedule.

Please use the below Price Schedule when submitting your price proposal.

PRICE SCHEDULE

The Contractor shall furnish all labor, supervision, materials, supplies, equipment, transportation, and resources necessary to provide Ergonomic Evaluations and training for employees within the Department of Veterans Affairs – Northern California Region (VANCHCS). The proposal is inclusive of the all the above necessary to provide the service.

This will be accomplished with multiple visits to the VANCHCS sites throughout each 1-year period.

*The number of employees requesting ergonomic evaluations may increase or decrease between 5-10%.

The contractor will only be reimbursed for actual number of Ergonomic Evaluations and training performed.

Period of Performance

Base Period – 16 Sep 2018- 15 Sep 2019

CLINS
*Est. Site Employees

Per Year

Cost per Ergo Eval/per employee
Total Amount
0001-Mather
80
$
$
0002-McClellan
35
$
$
0003-Martinez
50
$
$
0004-Mare Island
10
$
$
0005-Fairfield
15
$
$
0006-Oakland
15
$
$
0007-Yuba City
5
$
$
0008-Chico
10
$
$
0009-Redding
30
$
$
TOTAL
250
$
$

First Option Year – 16 Sep 2019- 15 Sep 2020

CLINS
Est. Site Employees

Per Year

Cost per Ergo Eval/per employee
Total Amount
1001-Mather
80
$
$
1002-McClellan
35
$
$
1003-Martinez
50
$
$
1004-Mare Island
10
$
$
1005-Fairfield
15
$
$
1006-Oakland
15
$
$
1007-Yuba City
5
$
$
1008-Chico
10
$
$
1009-Redding
30
$
$
TOTAL
250
$
$

Second Option Year – 16 Sep 2020- 15 Sep 2021

CLINS
Est. Site Employees

Per Year

Cost per Ergo Eval/per employee
Total Amount
2001-Mather
80
$
$
2002-McClellan
35
$
$
2003-Martinez
50
$
$
2004-Mare Island
10
$
$
2005-Fairfield
15
$
$
2006-Oakland
15
$
$
2007-Yuba City
5
$
$
2008-Chico
10
$
$
2009-Redding
30
$
$
TOTAL
250
$
$

Third Option Year – 16 Sep 2021- 15 Sep 2022

CLINS
Est. Site Employees

Per Year

Cost per Ergo Eval/per employee
Total Amount
3001-Mather
80
$
$
3002-McClellan
35
$
$
3003-Martinez
50
$
$
3004-Mare Island
10
$
$
3005-Fairfield
15
$
$
3006-Oakland
15
$
$
3007-Yuba City
5
$
$
3008-Chico
10
$
$
3009-Redding
30
$
$
TOTAL
250
$
$

Fourth Option Year – 16 Sep 2022- 15 Sep 2023

CLINS
Est. Site Employees

Per Year

Cost per Ergo Eval/per employee
Total Amount
4001-Mather
80
$
$
4002-McClellan
35
$
$
4003-Martinez
50
$
$
4004-Mare Island
10
$
$
4005-Fairfield
15
$
$
4006-Oakland
15
$
$
4007-Yuba City
5
$
$
4008-Chico
10
$
$
4009-Redding
30
$
$
TOTAL
250
$
$

Summary

Period of Performance
Amount
Base Period – 16 Sep 2018- 15 Sep 2019
$
First Option Year - 16 Sep 2019- 15 Sep 2020
$
Second Option Year - 16 Sep 2020- 15 Sep 2021
$
Third Option Year - 16 Sep 2021- 15 Sep 2022
$

Fourth Option Year - 16 Sep 2022- 15 Sep 2023

Aggregate Amount
$

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