S02-2nd Ammendment 36C26223Q1430 0002.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 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)

691-23-3-5685-0124

36C262

NCO 22

Department of Veterans Affairs NCO 22 - Gilbert Network Contracting 335 East Germann Road Gilbert AZ 85297

36C262

NCO 22

Department of Veterans Affairs NCO 22 - Gilbert Network Contracting 335 East Germann Road Gilbert AZ 85297 To all Offerors/Bidders

36C26223Q1430 07-28-2023

X

See CONTINUATION Page 691-3630162-5685-855100-3151 0100C1075

This Amendment(2nd)is to increase quantity of Carts and specifythe delivery location of carts.

Initial request was for 16 carts to one location. 19 more carts are being requested for a total of 35.

15 Carts will be delivered to Veterans Affairs (Bldg. 44) 16111 Plummer St. North Hills, CA 91343.

20 Carts to VA Greater Los Angeles Healthcare System 11301 Wilshire Blvd, Los Angeles, CA 90073

There are no other changes to the terms and conditions of this task order as a result of this amendment.

Peter Kim

CONTINUATION PAGE

A.1 PRICE/COST SCHEDULE

ITEM INFORMATION

PART NUMBER: ETOP2 DC_HEATER EXV2_DASH_KIT EC19INLET_LITHIUM FLAT_BUMPER EFLIC_FLAT ESTRIM PICTURE_WINDOW NONE_EWWK CA_DECAL_KIT ELITHIUM EBALM ELADE FOBDESTINATION

LOCAL STOCK NUMBER: EXV2AC

Full Length Aluminum Topper

LOCAL STOCK NUMBER: ETOP2

Standard DC Heater/Defroster Assembly

LOCAL STOCK NUMBER: DC_HEATER

EXV2 Dash Kit

LOCAL STOCK NUMBER: EXV2_DASH_KIT

Standard inlet for lithium equipped vehicles

LOCAL STOCK NUMBER: EC19INLET_LITHIUM

Flat Bumper Kit

LOCAL STOCK NUMBER: FLAT_BUMPER

Front License Plate Kit - FLAT BUMPERS

LOCAL STOCK NUMBER: EFLIC_FLAT

15" Steel Wheels

LOCAL STOCK NUMBER: ESTRIM

Rear Picture Window

LOCAL STOCK NUMBER: PICTURE_WINDOW

Wiper Arm Kit W/O Washer

LOCAL STOCK NUMBER: NONE_EWWK

California Decal Kit

LOCAL STOCK NUMBER: CA_DECAL_KIT

100 AH Lithium Ion Battery System w/ 3.3KW Charge

LOCAL STOCK NUMBER: ELITHIUM

Back-up alarm

LOCAL STOCK NUMBER: EBALM

Patriot Enclosure Aluminum Ladder Rack

LOCAL STOCK NUMBER: ELADE

FOB Destination - Freight Included in price $0

LOCAL STOCK NUMBER: FOBDESTINATION

A.2 DELIVERY SCHEDULE

35.00

35.00

35.00

35.00

35.00

35.00

35.00

35.00

35.00

35.00

35.00

35.00

35.00

35.00

35.00

The VA Greater Los Angeles Healthcare System, 11301 Wilshire Blvd, Los Angeles, CA 90073-100 is seeking a contractor to provide EXV2 Patriot Electric Vehicle. The prospective contractor must be Brand Name or Equal to EXV2 Patriot Electric Vehicle specifications:

PERFORMANCE:

• Max Speed: 25mph (40km/h)

• Range -Up to 30mi (48.3km) w/ 100 AH Single Lithium-ion Battery Pack

DIMENSIONS & WEIGHT:

• LxWxH: 155" x 61.5" x 69" (393.7 x 156.2 x 175.3 cm)

• Wheel Base: 102.15" (259.46 cm)

• Ground Clearance: 8.5" (21.6cm)

• Cargo Deck Area: 71" x 58" (180.3 x 147.3 cm)

• Cargo Deck (from ground): 32" (86.4 cm)

POWER SYSTEM:

• Motor & Controller:

-Standard: 72Volt, 16.5hp DC Sep. Ex Motor w/ 400 Amp DC Drive Controller

• Batteries:

100 AH Lithium Ion Battery System w/ 3.3KW Charge Standard inlet for lithium equipped

BODY & CHASSIS:

• Colors: White

• Frame: Riveted Aluminum Unibody

• Seating: Two Passenger Adjustable Seats

• Hood: Fiberglass, Molded Composite

• Doors: Steel Framed Rollup Window w/Fiberglass, Molded Composite Outer & Plastic ABS Inner Panels.

-Lockable w/Matching Keys Full Length Aluminum Topper EXV2 Dash Kit Flat Bumper Kit

· Front License Plate Kit

STEERING:

• Rack-and-Pinion Steering

• 14" Steering Wheel on Tilt Column

• Turn radius is about 18.5’

TIRES & WHEELS:

• 215/70 R15 Radial Passenger Vehicle Tires

• Mounted on 15" x 6" Steel Wheels

DRIVETRAIN:

• Rear Wheel Direct Drive 12.49:1 Gear Ratio

SUSPENSION:

• Front: Dual A-Arm Independent Suspension with Coil-Over Shocks

• Rear: Leaf Springs over Axle with Gas Shocks

BRAKES:

• Four Wheel Hydraulic Disc Brakes

• Hand Actuated Lever Parking Brake

LIGHTING:

• High/Low Beam Headlights

• Turn Signals

• Brake Lights

• License Plate Light

• Interior

• Side Reflectors

HEATING:

• Standard 72VDC Electric 1500 Watt Heater/Defroster

OTHER FEATURES:

• Auto Safety Glass Windshield

• Battery Discharge Indicator

• Horn

• Hour Meter

• Rear & Side View Mirrors

• Safety Belts, Three-point

• Speedometer

• Windshield Wipers Rear Picture Window

· Patriot Enclosure Aluminum Ladder Rack

· Back-up alarm

· California Decal Kit

Shipping:

15 Carts Shipped to:

Veterans Affairs Bldg. 44 16111 Plummer St.

North Hills, CA 91343

20 Carts Shipped to:

WLA BLDG 297 (WAREHOUSE)

11301 Wilshire Blvd Los Angeles, CA 90073