AMDT_36C26123Q0374 0001 - Medical Gas.pdf

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)

1 18

0001 04-26-2023

612-23-3-6133-0017

None

612MCP

Department of Veterans Affairs

Network Contracting Office (NCO) 21

5342 Dudley Blvd., Bldg. 209

McClellan CA 95652-2609

612MCP

Department of Veterans Affairs

Network Contracting Office (NCO) 21

3230 Peacekeeper Way, Bldg. 209

McClellan CA 95652-1012

To all Offerors/Bidders

36C26123Q0374

02-27-2023

X

X X

May 02, 2023, 3:00 PM PST

See CONTINUATION Page

X 1

Solicitation 36C26123Q0374 is amended as follows:

a. The purpose of this Amendment is change the Period of Performance from 04/11/2023 - 04/10/2028 to

05/15/2023 - 05/14/2028.

b. Quote due date and time has been changed to no later than 05/02/2023 at 3:00 PM PST, please submit all the required information/documents in the revised quote see the solicitation instructions FAR 52.212-1 and evaluation factors

FAR 52.212-2.

Angela Gerlitzki

Contracting Officer

A.1 PRICE/COST SCHEDULE

ITEM

NUMBER

DESCRIPTION OF

SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

11.00 EA __________________ __________________

Formal Document Report

Contract Period: Base

POP Begin: 05-15-2023

POP End: 05-14-2024

PRINCIPAL NAICS CODE: 541690 - Other Scientific and Technical

Consulting Services

PRODUCT/SERVICE CODE: H365 - Inspection - Medical, Dental, and

Veterinary Equipment and Supplies

Laminar Flow Unit - Airflow Visualization Study

Laminar Flow Unit - Particle Count

Laminar Flow Unit – Test

Contract Period: Option 1

0005 18.00 EA __________________ _________________

Pharmacy – Particle Count

25.00 EA __________________ __________________

Room Air Exchange Rate Calculation

24.00 EA __________________ __________________

Room Pressure Readings

28.00 EA __________________ __________________

TAF – Test

506.00 EA __________________ __________________

Viable Sampling, Airborne: with Colony ID

Viable Sampling, Surface: with Colony ID

Biosafety Cabinet - Airflow Visualization Study

Biosafety Cabinet - Particle Count

Biosafety Cabinet – Test

3.00 EA __________________ __________________

Supply Register - Velocity Profile Only

PRODUCT/SERVICE CODE: H365 - Inspection - Medical, Dental, and

1.00 YR __________________ __________________

Airflow Visualization Study

Unscheduled Maintenance and Repairs (refer to PWS)

POP Begin: 05-15-2024

POP End: 05-14-2025

PRODUCT/SERVICE CODE: H365 - Inspection - Medical, Dental, and

18.00 EA __________________ __________________

Pharmacy - Particle Count

1008 28.00 EA __________________ __________________

9.00 EA __________________ __________________

Contract Period: Option 2

POP Begin: 05-15-2025

POP End: 05-14-2026

PRODUCT/SERVICE CODE: H365 - Inspection - Medical, Dental, and

PRODUCT/SERVICE CODE: H365 - Inspection - Medical, Dental, and

PRODUCT/SERVICE CODE: H365 - Inspection - Medical, Dental, and

Contract Period: Option 3

POP Begin: 05-15-2026

POP End: 05-14-2027

3003 11.00 EA __________________ __________________

PRODUCT/SERVICE CODE: H365 - Inspection - Medical, Dental, and

Contract Period: Option 4

POP Begin: 05-15-2027

POP End: 05-14-2028

PRODUCT/SERVICE CODE: H365 - Inspection - Medical, Dental, and

4006 25.00 EA __________________ __________________

PRODUCT/SERVICE CODE: H365 - Inspection - Medical, Dental, and

GRAND TOTAL

Summary:

Period of Performance Amount

Base Year – 05/15/2023 – 05/14/2024 $

Option Year 1 – 05/15/2024 – 05/14/2025 $

Option Year 2 – 05/15/2025 – 05/14/2026 $

Option Year 3 – 05/15/2026 – 05/14/2027 $

Option Year 4 – 05/15/2027 – 05/14/2028 $

Aggregate Amount $