S06_RFQ_36C77025Q0215_ AMENDMENT 0001.pdf

5. PROJECT NUMBER (if applicable)

CODE7. ADMINISTERED BY

2. AMENDMENT/MODIFICATION NUMBER

CODE

6. ISSUED BY

8. NAME AND ADDRESS OF CONTRACTOR

4. REQUISITION/PURCHASE REQ. NUMBER3. 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 CODECODE

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, 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).

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)

NCO 15 Contracting Ofc - CMOP

1 3

0001 06-05-2025 764-25-2-078-0251

36C770

Department of Veterans Affairs NCO 15 Contracting Ofc - CMOP 3450 S. 4th St. Trafficway

Leavenworth KS 66048-5012

36C770

Department of Veterans Affairs NCO 15 Contracting Ofc - CMOP 3450 S. 4th St. Trafficway

Leavenworth KS 66048-5012

To all Offerors/Bidders 36C77025Q0215

05-14-2025 X

X X 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:

(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 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. ** HOUR & DATE for Receipt of Offers is EXTENDED to: 06-10-2025 3:00PM CDT

See CONTINUATION Page 764-3650160-078-822400-26

X 1

The purpose of this amendment is:

1. The RFQ has herby been extended and will now close on 06/10/2025 at 3:00 PM CST.

2. The set-aside for this solicitation is changed from SDVOSB to Small Business.

3. Remove the requirement C.5 VAAR 852.219-73 VA NOTICE OF TOTAL SET-ASIDE FOR CERTIFIED

SERVICE-DISABLED VETERAN-OWNED SMALL BUSINESSES (JAN 2023) (DEVIATION)

and C.6 VAAR 852.219-76 VA NOTICE OF LIMITATIONS ON SUBCONTRACTING-CERTIFICATE OF COMPLIANCE

FOR SUPPLIES AND PRODUCTS (JAN 2023) (DEVIATION)

4. Update delivery dates in Section B.4 Delivery Schedule All other terms and conditions remain unchanged.

Larry Zaritz Contracting Officer

CONTINUATION PAGE

A.1 PRICE/COST SCHEDULE

ITEM INFORMATION

ITEM

NUMBER

DESCRIPTION OF

SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0001 2,304.00 RO ___________ ______________

10X13, 2.5MIL, W/S COEX ROLLBAG MAILER, VENTED

ELAM FARMS

MANUFACTURER PART NUMBER (MPN): MP1013RB

LOCAL STOCK NUMBER: 988-000083

0002 384.00 RO _____________ ______________

10X13, 2.5MIL, W/S COEX ROLLBAG MAILER, VENTED

SAM JARED

MANUFACTURER PART NUMBER (MPN): MP1013RB

LOCAL STOCK NUMBER: 988-000083

GRAND TOTAL ______________

A.2 DELIVERY SCHEDULE

ITEM

NUMBER SHIPPING INFORMATION QUANTITY

DELIVERY

DATE

0001 SHIP TO: Department of Veterans Affairs VA CMOP Murfreesboro - 3209 Elam Farms Parkway Murfreesboro, TN 37127

USA

2,304.00 06/18/2025- 11/3/2025

MARK FOR: Stacey Blades

(615) 620-8409 stacey.blades@va.gov

INSTRUCTIONS: Elam Farms location requires:

6 pallets, 384 rolls per month, First delivery to be delivered on or before 18 June 2025 then the first Wednesday of every month starting July 2, 2025, and continuing until November 3rd, 2025.

FOB: DESTINATION

0002 SHIP TO: Department of Veterans 384.00 06/18/2025-

Affairs VA CMOP Murfreesboro - 5171 Sam Jared Drive Murfreesboro, TN 37130

USA

11/03/2025

MARK FOR: Stacey Blades

(615) 620-8409 stacey.blades@va.gov

INSTRUCTIONS: 1 pallet of 64 rolls per month First delivery to be delivered on or before 18 June 2025 then the first Wednesday of every month starting July 2, 2025, and continuing until November 3rd, 2025.

FOB: DESTINATION