36C77623B0062 0005.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 2

557-20-105

36C776

Department of Veterans Affairs Program Contracting Activity Central

6100 Oak Tree Blvd, Suite 490 Independence OH 44131

36C776

Department of Veterans Affairs Program Contracting Activity Central

6100 Oak Tree Blvd, Suite 490 Independence OH 44131

To all Offerors/Bidders

36C77623B0062

X

X X

"SEE CONTINUATION PAGE"

AMENDMENT OF SOLICITATION

DATE SIGNED PAGE OF PAGES

SEE BLOCK 16C 2 2

SOLICITATION NUMBER: 36C77623B0062

AMENDMENT NUMBER: 0005

CONTRACT TITLE: “EHRM Infrastructure Data Center Upgrades – Dublin, GA”

LOCATION: Carl Vinson VA Medical Center, 1826 Veterans Blvd., Dublin, GA 31021

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Continued)

A. SCOPE OF WORK:

i. Additional Attachments

The VA hereby submits the following for consideration:

1. Attachment 13 – Technical Questions and Answers

A COMPREHENSIVE LIST OF ALL ATTACHMENTS FOLLOWS:

1. Attachment 01 – Specifications – EHRM Data Center – Dublin GA

2. Attachment 02 – Drawings – EHRM Data Center – Dublin GA

3. Attachment 03 – Statement of Work – EHRM Data Center – Dublin GA

4. Attachment 04 – Limitations on Subcontracting – Construction

5. Attachment 05 – Contractor Safety – Evaluation Form

6. Attachment 06 – Wage Rates – Laurens County

7. Attachment 07 – Controls Specifications – 23 09 23

8. Attachment 08 – Control Spec - Bldg. 16

9. Attachment 09 – UPS Panel

10. Attachment 10 – Panel A

11. Attachment 11 – ATS Panel

12. Attachment 12 – 26 33 53 – Static UPS

13. Attachment 13 – Technical Questions and Answers

B. CLOSING STATEMENT:

The changes represented in this amendment constitute a change to the solicitation.

Changes to the solicitation are limited to the terms expressed herein.

All other terms and conditions of the solicitation remain the same.

End of Document