36C26224Q0173 0001.pdf
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This is an amendment to a solicitation for a five-year contract to provide lift truck and material handling equipment preventative maintenance and inspection services at multiple Department of Veterans Affairs medical centers in Veterans Integrated Service Network 22. The amendment corrects the equipment location chart in the statement of work, listing the model, serial number, and description of various lift trucks and pallet jacks located at the Loma Linda, Redlands 1, and Redlands 2 VA facilities that will require maintenance under the contract. Services are to commence in 2023 for material handling equipment including electric and propane forklifts, electric pallet jacks, a scissor lift, and a tow tractor.
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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
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 2
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
36C26224Q0173
12-12-2023
X
X X
X 1
The purpose of this amendment is to correct the equipment location chart on the Statement of Work. Please see the following page.
Koby Thiel
Contracting Specialist
Location Address Model SN Description Notes
ACC
26001
REDLANDS
BLVD.
REDLANDS, CA
92373
WAVE50-84 9A227377 WAVE LIFT EE67333
WAVE50-84 9A227378 WAVE LIFT EE67334
WP3035-45 5A813591
ELECTRIC PALLET
JACK
EE67331
WP3035-45 5A813593
ELECTRIC PALLET
JACK
EE67332
PDR-30-130 4612843 BIG JOE EE67303
C51000-60 9A237340
PROPANE CROWN
FORKLIFT
EE68195
REDLANDS
10390
ENTERPRISE DR,
REDLANDS, CA
92374
7HBW23 7HBW23-46660
ELECTRIC PALLET
JACK (TOYOTA)
EE58415
7HBW23 7HBW23-46656
ELECTRIC PALLET
JACK (TOYOTA)
EE58419
MPB040-
EN24T2748
B3827N53094L
ELECTRIC PALLET
JACK (YALE)
EE58896
PDR-30-130 7201310058 BIG JOE EE60871
WAVE50-118 9A197264 WAVE LIFT EE59155
18FGCU30 U12Z815
PROPANE FORKLIFT
(TOYOTA)
EE58357
B3/30AC-200S
B3/30AC/D5-1411A-
ELECTRIC
FORKLIFT(BENDI
3000)
EE62683
REDLANDS
10418
ENTERPRISE DR,
REDLANDS, CA
92374
MPB040-
EN24T2748
B3827N53093L
ELECTRIC PALLET
JACK (YALE)
EE58893
PDR-30-130 7201310059 BIG JOE EE60872
159-5 NK-00148
PROPANE FORKLIFT
(DOOSAN)
EE59155
MAIN
HOSPITAL
11201 BENTON
ST. LOMA
LINDA, CA 92357
WAVE50-118 9A197265 WAVE LIFT EE59156
MPB040-
EN24T2748
B3827N53095L
ELECTRIC PALLET
JACK (YALE)
EE58895
MPB040-
EN24T2748
B3827N53092L
ELECTRIC PALLET
JACK (YALE)
EE58894
7HBW23 7HBW23-46655
ELECTRIC PALLET
JACK (TOYOTA)
EE58411
WP3035-45 5A810017
ELECTRIC PALLET
JACK (CROWN)
EE67330
WAVE50-118 9A197266 WAVE LIFT EE59157
PDR-30-130 4523391 BIG JOE EE60870
HYSTER TYPE E A935NO1903L ELECTRIC FORKLIFT EE59134
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