36C77626Q0002 0004.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) 10-07-2025 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

36C77626Q0002

X X X See CONTINUATION Page X The above referenced solicitation in block 9A for the required services of the Baton Rouge Outpatient Clinic is hereby amended as follows:

1. Section B.2 Price/Cost Schedule has been revised.

Mercedes Blanton Contracting Officer

VA-VHA-RPOE-2022-221832

CONTINUATION PAGE

A.1 PRICE/COST SCHEDULE

ITEM INFORMATION

IOTA Services - IAW PWS Sections 16.1 through 16.8

*Period of Performance is based on an estimated date of award - date will be finalized at time of award.

Contract Period: Base POP Begin: 11-14-2025 POP End: 03-13-2029 PRINCIPAL NAICS CODE: 541614 - Process, Physical Distribution, and Logistics Consulting Services PRODUCT/SERVICE CODE: Q702 - Technical Medical Support - Medical logistics, biomedical equipment, occupational/public health, medical supply, medical readiness

MANUFACTURER PART NUMBER (MPN): N/A

Travel - Cost Reimbursable

*Period of Performance is based on an estimated date of award - will be finalized at time of award.

Contract Period: Base POP Begin: 11-14-2025 POP End: 03-13-2029 PRINCIPAL NAICS CODE: 541614 - Process, Physical Distribution, and Logistics Consulting Services PRODUCT/SERVICE CODE: Q702 - Technical Medical Support - Medical logistics, biomedical equipment, occupational/public health, medical supply, medical readiness

Optional Task: Warehouse & Warehousing Management Services PWS Section 17.1

*Optional Tasks are exercised at time of need according to the project schedule. The Period of Performance begin date is estimated.

Contract Period: Base POP Begin: 05-31-2028 POP End: 01-30-2029 PRINCIPAL NAICS CODE: 541614 - Process, Physical Distribution, and Logistics Consulting Services PRODUCT/SERVICE CODE: Q702 - Technical Medical Support - Medical logistics, biomedical equipment, occupational/public health, medical supply, medical readiness

End of Document Amendment 0004