36C26220Q0029-0001000.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 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) 10-10-2019 600-20-1-5667-0006 None 36C262

DEPARTMENT OF VETERANS AFFAIRS

Network Contracting Office (NCO) 22 4811 Airport Plaza Drive, Suite 600 Long Beach CA 90815 36C262

DEPARTMENT OF VETERANS AFFAIRS

Network Contracting Office (NCO) 22 4811 Airport Plaza Drive, Suite 600 Long Beach CA 90815 To all Offerors/Bidders

36C26220Q0029 10-07-2019

X X X N/A

AMENDMENT 0001

IS ISSUED TO PROVIDE THE FOLLOWING:

1) JOB WALK-SITE VISIT SIGN-IN SHEET

2) SUBMIT A REVISED STATEMENT OF WORK FOR INCLUSION WITH RFQ 36C26220Q0029. CHANGES ARE INDENTIFIED BY BOLD

TEXT,

ITALICIZED, AND HIGHLIGHTED.

NICHOLS, CECIL S.

Contracting Officer

VA-VHA-RPOW-2019-0259A6E1

CONTINUATION PAGE

STATEMENT OF WORK (SOW) revised SERVICE TO Perform roof repairs at buildings 7, 126, 128, and 136 tibor rubin VA long beach HEALTHCARE SYSTEM 600-20-1-5667-0006

1. TITLE:

SERVICE to PERFORM Roof Repairs at Buildings 7, 126, 128, and 136.

2. PLACE OF PERFORMANCE:

Tibor Rubin VA Long Beach Healthcare System

3. PERIOD OF PERFORMANCE:

Ninety (90) calendar days.

4. CONTRACT TYPE:

Firm Fixed Price (FFP).

5. BACKGROUND:

Several roofs need repair work throughout the campus in Buildings 7, 126, 128, and 136. Water leaks have been reported at these locations. Treatments and patchwork are needed to mitigate wear and tear before inclement weather can penetrate roofs and cause internal building damage.

6. OBJECTIVES / SCOPE:

Contractor shall provide all manner, means, methods, equipment, expertise, incidentals, labor, materials, parts, services, supervision, supplies, tools, transportation, and qualified personnel necessary to perform required roof repairs at Buildings 7, 126, 128, and 136 in accordance / compliance with current code(s), directives, regulations, industry guidelines / standards, and this statement of work (SOW) at/for the Tibor Rubin VA Long Beach Healthcare System.

GENERAL REQUIREMENTS:

A. Contractor shall conduct a thorough walkthrough of each area with the VA COR prior to performing any work.

B. Contractor will be responsible for providing all prep work and cleaning entire surface area of each location prior to conducting repairs.

C. Contractor will provide VA COR with an electronic digital schedule prior to starting any work.

D. Contractor shall check-in with the VA COR or Carpenter Shop Supervisor every day prior to performing any work.

E. All damages incurred during the performance of work will be repaired by Contractor at no additional cost to the Government (VA).

F. Building 7, Room 300:

I. Remove all gravel and debris from damaged sections of roof.

II. Transport and dispose of all scrap and unused material at a City / County / State authorized landfill.

III. Install one (1) approximately 16’ x 35’ LF section of roofing using three (3) course application process.

IV. Apply modified mastic and fiberglass webbing to the entire section of the existing roof cracks / splits and damaged areas.

V. Apply cold adhesive and imbed the existing material into the adhesive.

VI. Once complete, Contractor will restore existing gravel to match décor on remaining surface of roof.

G. Building 126, Room 1W138:

7. NOTIFICATION:

Contractor shall notify and coordinate ALL work activities / site access with the VA POC / COR – LIAM BOCCIA (562) 826-8000 x3306.

8. PERFORMANCE MONITORING, INSPECTION AND ACCEPTANCE:

Routine inspections to include acceptance / certification work was completed in accordance with the SOW will be performed by VA POC / COR – LIAM BOCCIA and Facilities Personnel. The VA POC / COR can perform inspection of the work performed without the Contractor presence and determine whether or not work performed is within standards expressed in this scope of work. It is the VA’s prerogative to hire an independent qualified third party to check the validity of the work conducted.

9. CHANGES:

10. SECURITY REQUIREMENTS:

N/A. Contractor WILL NOT have access to patient records, data, or VA computer systems.

11. GOVERNMENT FURNISHED EQUIPMENT (GFE) / GOVERNMENT FURNISHED INFORMATION (GFI):

N/A. NO GFE or GFI will be provided to or used by the Contractor.

12. RISK CONTROL:

Submission of VA “Infection Control Risk Assessment” (ICRA) permit(s) NOT REQUIRED. Medical services / support services at the designated locations will remain operational during the execution of this work. Contractor shall take all precautions to minimize disruption to daily routine tasks performed in those services. Patient care shall remain a top concern for the Contractor and their employees while performing contracted work.

13. IDENTIFICATION, PARKING, SMOKING, AND VA REGULATIONS:

14. POINT OF CONTACT (POC):

TIBOR RUBIN VA LONG BEACH HEALTHCARE SYSTEM POC / COR:

15. WORK HOURS:

Work will be performed during normal business hours EXCEPT FOR Building 126, Room – 1W138, which will be completed on weekends only between the hours of 7:00AM to 4:30PM.

16. OVERTIME AND NATIONAL FEDERAL HOLIDAYS:

Any overtime or holiday pay that may be entitled to the Contractor’s employees shall be the sole responsibility of the Contractor and shall not be billed to nor reimbursed by the Government. When one of the holidays fall on a Sunday, the following Monday will be observed as a National Federal Holiday. When one of the holidays fall on a Saturday, the preceding Friday will be observed as a National Federal Holiday. National Federal Holiday schedule:

17. INFORMATION SECURITY:

In accordance with Appendix A, Handbook 6500.6 Checklist blocks 7, the C&A requirements DO NOT apply to this requirement, and a Security Accreditation Package IS NOT required. The nature of this requirement is technical; however, there is no information to be protected.

18. INVOICE AND PAYMENT:

A. Vendor will be paid monthly upon submission of a proper invoice for work completed and accepted. Final payment will be withheld until all noted discrepancies are corrected and as-build drawings are approved by the Government (VA). VA-FSC processes / pays all associated transactions for / on VA orders. To successfully submit an invoice to VA-FSC please review “How to Create an Invoice” within the how to guides. All invoices submitted to the VA-FSC should mirror your current submission of invoice, with the below items required. The VA-FSC requires specific information in compliance with the Prompt Pay Act and Business Requirements.

1. Your firm’s Tax Payer ID Number (TIN)

2. Your firm’s “Remit Address” information

3. The VA Purchase Order (PO) number

4. Your firm’s contact information: (Personal Name, Email, and Phone)

5. Your VA point of contact information: (Personal Name, Email, and Phone)

6. The Period of Performance dates (Beginning and Ending)

- - - END STATEMENT OF WORK - - -

See attached document: Job Walk-Site Visit sign-in sheet_2019.10.10.