36C26223Q0557 0001.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 3

None

36C262

Department of Veterans Affairs

NCO 22 - Network Contracting

3601 S. 6th Avenue

Tucson AZ 85723

36C262

Department of Veterans Affairs

NCO 22 - Network Contracting

3601 S. 6th Avenue

Tucson AZ 85723

To all Offerors/Bidders

36C26223Q0557

X

X

See Continuation Page

Michael Williams

Contracting Specialist

CONTINUATION PAGE

The purpose of this amendment is to add “Technician certifications shall be reviewed annually” in Section 2.1, Compliance of the SOW, extend the solicitation to March 28, 2023 at 7 am PST, and to answer the following questions and requests:

1. Is the ASSE 6010 Medical installer Certificate required?

The awardee shall have the ability to obtain certification or sub-contract out if there is a need to cut into the distribution system.

2. If the awardee does not have their ASSE 6040 Medical Gas Certification or ASSE

6010 Medical Gas Installer Certification at time of award, can the vendor be awarded the contract with the condition that they will have all certifications within

30 days of award?

Yes

3. Vendor would like to request information on the air and vacuum systems at the

Tucson VA to accurately quote preventative and emergency maintenance services. For each system we will need the model and serial number off the control panel. Unfortunately, the manufacturers require the model and serial from the control panel for part quotes as there are many different variations of each system.

Below is the revised equipment list, adding the model numbers requested (If the list does not have a model number, it was unable to be found. The revised equipment list is now incorporated as part of the SOW. Note: #15 has been added.

Attachment A: List of Equipment affected by this Contract. (Mar 2023)

1. Medical Vacuum #1 Bldg 57 Beacon M/N 4107108468 SN: D17110063 Quarterly

2. Medical Vacuum #2 Bldg 57 Beacon M/N 4107108468 SN: D17110071 Quarterly

3. Medical Vacuum #3 Bldg 57 Beacon M/N 4107108468 SN: 29299600 Quarterly

4. Medical Air Bldg 57 Power-X M/N SPL2929296 SN: 2929296 00 Bi-monthly

5. Dental Air set #1 Bldg 57 Beacon M/N 4107005607 SN: HOP404441 Quarterly

6. Dental Air set #2 Bldg 57 Beacon M/N 4107005607 SN: HOP401441 Quarterly

7. Industrial Air Bldg 57 Champion EE41816 SN: DM022643 Quarterly

8. Industrial Air (control) Bldg 57 Quincy M/N BM325QRBDT SN: UTY951386 Annual

9. Prosthetics Vac #1 Bldg 57 Becker M/NSCS-KRF25-2TAW SN: 2630996 Semi-annual

10. Prosthetics Vac #2 Bldg 57 Becker M/NSCS-KRF25-2TAW SN: 3625904 Semi-annual

11. Dental Vac #1 Bldg 57 Spencer M/N 524208B SN: 805368 A05 Semi-annual

12. Dental Vac #2 Bldg 57 Spencer M/N 524208B SN: 805369 A05 Semi-annual

13. Industrial Air Bldg 57 Speed Air M/N 5Z696 SN: L7/29/97-01018 Semi-annual

14. Industrial Air (SPD) #1 Bldg 57 Beacon M/N SAS10D-120V DCDX SN: 214944-1 Semi-annual

15. Industrial Air (SPD) #2 Bldg 57 Beacon M/N SAS10D-120V DCDX SN: 214944-1 Semi-annual

16. Med Air (Blood Lab) Bldg 57 Champion M/N H5MTO11D-12 SN: D146331 Semi-annual

17. Industrial Air (M&O shop) Bldg 2 Speed Air M/N 4ME99 SN: 1395973 Semi-annual

18. Medical Vacuum #1 Bldg 60 Beacon M/N 410704655515 SN: U175100460 Quarterly

19. Medical Vacuum #2 Bldg 60 Beacon M/N 410704655515 SN: U180200455 Quarterly

20. Medical Vacuum #3 Bldg 60 Beacon M/N 410704655515 SN: U180200609 Quarterly

21. Medical Air #1 Bldg 60 Beacon M/N 4107005173 SN: 212401-2 Monthly

22. Medical Air #2 Bldg 60 Beacon M/N 4107005173 SN: 212401-2 Monthly

23. Medical Vacuum #1 Bldg 80 Beacon M/N LTV-2D-L80-DC000001 SN: 2295097 Quarterly

24. Medical Vacuum #2 Bldg 80 Beacon M/N LTV-2D-L80-DC000001 SN: 2295098 Quarterly

25. Medical Air #1 Bldg 80 Beacon M/N LPS-3D-SD80-DC00003 SN: GJ63 Monthly

26. Medical Air #2 Bldg 80 Beacon M/N LPS-3D-SD80-DC00003 SN: FC35 Monthly

27. Medical Vacuum #1 Bldg 38 Beacon M/N 4107102900 SN: 2799034 Bi-monthly

28. Medical Vacuum #2 Bldg 38 Beacon M/N 4107102900 SN: 2828760 Bi-monthly

29. Medical Vacuum #3 Bldg 38 Beacon M/N 4107102900 SN: 2815882 Bi-monthly

30. Medical Air Set #1 Bldg 38 Beacon M/N LPS-15QSD200-QCY SN: Z1-90/Z1-29 Bi-monthly

31. Medical Air Set #2 Bldg 38 Beacon M/N N LPS-15QSD200-QCY SN: Z1-27/Z1-36 Bi-monthly

32. Medical Air Set #3 Bldg 38 Beacon M/N N LPS-15QSD200-QCY SN: Z1-53/Z1-97 Bi-monthly

33. Medical Air Set #4 Bldg 38 Beacon M/N N LPS-15QSD200-QCY SN: Z1-60/Z1-46 Bi-monthly

34. Endoscope Air (SPS) Bldg 38 Atlas Capco M/N SF6+FF SN: AP1761721 Bi-monthly

35. Industrial Air Bldg 78 PowerX M/N 07D030302 SN: 3661583-06 Annual

36. Medical Vacuum Bldg 78 Rieshule M/N ??? SN: 31480705 Semi-annual

37. Industrial Air (Grd shop) Bldg 15 Speed Air M/N ??? SN: D064949 Semi-annual

38. Industrial Air (control) Bldg 43 Bel Aire M/N 3312D SN: HOP250385 Annual

39. Industrial Air (control) Bldg 30 Champion M/N HR5D8 SN: R0013035 Annual