Amendment_01_ HT001426QE043.pdf

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11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers is extended. is not extended.

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.

12. ACCOUNTING AND APPROPRIATION DATA (If required)

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS.

IT MODIFIES THE CONTRACT/ORDER NUMBER AS DESCRIBED IN ITEM 14.

CHECK ONE A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER

NUMBER IN ITEM 10A.

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, appropriation data, etc.) 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 (Specify type of modification and authority)

E. IMPORTANT: Contractor is not is required to sign this document and return copies to the issuing office.

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

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 (Type or print) 16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)

15B. CONTRACTOR/OFFEROR

(Signature of person authorized to sign)

15C. DATE SIGNED 16B. UNITED STATES OF AMERICA

(Signature of Contracting Officer)

16C. DATE SIGNED

Previous edition unusable STANDARD FORM 30 (REV. 11/2016) Prescribed by GSA FAR (48 CFR) 53.243

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT 1. CONTRACT ID CODE PAGE OF PAGES

2. AMENDMENT/MODIFICATION NUMBER 3. EFFECTIVE DATE 4. REQUISITION/PURCHASE REQUISITION NUMBER 5. PROJECT NUMBER (If applicable)

6. ISSUED BY CODE 7. ADMINISTERED BY (If other than Item 6) CODE

8. NAME AND ADDRESS OF CONTRACTOR (Number, street, county, State and ZIP Code) (X) 9A. AMENDMENT OF SOLICITATION NUMBER

9B. DATED (SEE ITEM 11)

10A. MODIFICATION OF CONTRACT/ORDER NUMBE

10B. DATED (SEE ITEM 13)

CODE FACILITY CODE

Created On:

11 Sep 2026, 10:38 AM Eastern Daylight Time

SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

Solicitation/Contract Form

The following modifications were made:

Information From To Response Due Date 11 Sep 2026 16 Sep 2026

List of Attachments

Header Miscellaneous Text (Modified):

STATEMENT OF WORK (SOW)Procurement, Delivery, and Installation of a Sterile Processing Critical Water System -- TignorDental Clinic, Fort Eustis, VA

1. Purpose

This Statement of Work (SOW) establishes the requirements for the procurement, delivery, installation, and commissioning of a critical water purification system to support sterile processing operations at Tignor Dental Clinic, 669 Monroe Ave, Fort Eustis, VA 23604. The system should produce and deliver purified water meeting applicable water quality standards for dental instrument reprocessing and sterile processing equipment.

2. Background

Tignor Dental Clinic requires a dedicated water purification system to support its sterile processing department (SPD). The system must reliably supply purified water for instrument washing, rinsing, and steam sterilization equipment, consistent with applicable infection-control and water-quality requirements for dental treatment facilities.

3. Scope

The Contractor shall furnish all labor, equipment, materials, supervision, delivery, and installation services necessary to provide a complete, operational sterile processing critical water system as described herein, on a firm-fixed-price basis. This is a standalone commercial equipment purchase; it does not include ongoing operations, maintenance services, or consumables replenishment beyond initial installation and training.

4. Equipment to be Provided

The Contractor shall furnish and install the following equipment, at minimum meeting the specifications below (or Government-approved equal):

Component Quantit y

Description/Key Specifications

Reverse Osmosis (RO) System 1

Model SRB800-115-FT (or Equal); 800 gpd nominal product output (0.56 gpm @ 77F); qty (2) high-rejection thin film composite membranes (2.5"x21"); qty (2) stainless steel membrane housings; microprocessor controller with in-line permeate TDS/conductivity reading; integrated pretreatment (sediment and carbon filtration) with pre/post filter pressure gauges; hot/cold mixing valve; manual bypass; wall mountable; includes 8"x44" activated carbon exchange unit

Storage Tank / Distribution Pump / Post-Treatment Assembly

Model 00CT055-10 (or Equal); 55-gallon polyethylene storage tank with sealed lid and cone bottom drain; storage tank vent filter (0.5u, 2.5"x10");

distribution loop flowmeter assembly; low-level warning float switch (for standard alarm panel); CM pump (10 GPM at 30 PSIG); 20" endotoxin filter housing with 0.2u 222-style cartridge; ozone disinfection port

Phosphate Cartridge Filter Feed System

Model 0021039 (or Equal); polyphosphate cartridge filter assembly for buffering of RO feedwater to carbon steel boilers/steam generators

HT001426QE0430001

Ultraviolet (UV) Disinfection System

Model 001-014-0010 (Or Equal); 254nm UV wavelength for microbiological disinfection; polished 304 stainless steel reactor chambers; quartz sleeves; LED display for lamp life/running time; rated flow 10-18 GPM

High Purity Mixed Resin (Deionization) Exchange Units

2 Part# VW-844MB (Or Equal); high-purity ion exchange units

Installation Materials and Labor 1 Part# VWM-SPD (or Equal); all materials and labor required to install and commission the system

5. Tasks

5.1 Delivery

5.1.2 The Contractor shall deliver all equipment listed in Section 4 to the project site (Tignor Dental Clinic, 669 Monroe Ave, Fort Eustis, VA 23604)

5.1.3 The Contractor shall coordinate delivery scheduling with the Government point of contact (POC)

5.2 Installation

5.1.1 The Contractor shall install, connect, and commission all system components identified in Section 4 within the designated equipment area at the project site.

5.1.2 The Government shall provide the pure water loop and utility connections (electrical power, feedwater supply, and drain) terminated within five (5) feet of the equipment area; the Contractor shall make final tie-in connections from the equipment to those termination points.

5.1.2.3 The Contractor shall verify proper operation of all system components following installation, including RO permeate quality (TDS/conductivity), UV system function, distribution loop flow, and alarm/low-level float switch operation.

5.1.2.4 The Contractor shall be responsible for removal and proper disposal of all packaging materials and installation debris.

5.3 Testing and Commissioning

6. The Contractor shall perform system startup, functional testing, and water-quality verification to confirm the system meets the performance specifications in Section 4.

7. The Contractor shall document commissioning results and provide a written commissioning report to the Government

POC.

7. Government-Furnished Property/Information

8.1 Access to the installation site during normal business hours or as coordinated with the Government POC.

8.2 Pure water loop and utility connections (electrical, feedwater, drain) terminated within 5 feet of the designated equipment area.

8.3 A designated point of contact for scheduling, site access, and technical coordination.

9. Period of Performance / Delivery Schedule

9.1 Delivery: Within 60 days after Contractor's receipt of order/notice to proceed.

9.2 Training: Concurrent with or immediately following installation.

10. Warranty

10.1 All equipment shall be covered by the manufacturer's standard warranty. The Contractor shall provide the Government with all applicable manufacturer warranty documentation upon completion of installation.

11 Place of Performance

11.1 Tignor Dental Clinic, 669 Monroe Ave, Fort Eustis, VA 23604

HCD NORTHEAST, 8111 GATEHOUSE ROAD, 2ND FLOOR

FALLS CHURCH, VA 22042

UNITED STATES

Justin Balster, Email: justin.balster2.civ@health.mil Telephone: 7578695995 AdminBy:

SCD: PAS: