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 14 0001 Department of Veterans Affairs Overton Brooks VA Medical Center (90C) 510 East Stoner Avenue Shreveport LA 71101 Department of Veterans Affairs Overton Brooks VA Medical Center (90C) 510 East Stoner Avenue Shreveport LA 71101 To all Offerors/Bidders 36C25623Q0254 01-06-2023 X X X 1 10:00 AM, 01/19/2023 See CONTINUATION Page The purpose of this amendment is to submit responses to questions submitted and revise CLINs unit quantities. See continuation pages for additional information. CONTINUATION PAGE Are you able to obtain the Model numbers and Serial numbers for the two Centra R120 s, I noticed it was not included, and we need to ensure we have the correct consumables for these two systems built into the PM.    Model and serial numbers for the Centra R120 s. Model #: BIOPURE 120, Serial #MBIO120J2732321. This is for both units. Could you please provide the internal DI pack consumables exchange frequency? We are not sure of the DI pack usage. Please follow manufacture specifications.   What size and type of filters housings are installed prior to the Flex and Centra units? Please provide photos or any information available. We would like to get clarification on what filters they may be using if possible but minimally what size filter housing and the quantity they have at each location.     There is only 1 prefilter at each location for the flex Units. There is an illustration of the filter below. The PURELAB Flex 3 s come with optional Points of Use filters, do you know if these are being utilized?  See photo below, these connect to the dispenser at the point of use. A. Yes, there are point of use filters and they are being used. Please refer to manufacture specifications for changing filters. The Solicitation in section 7 under protection of property, this suggests that the venders should take precaution against damage to the Building(s), grounds, and furnishings: Do you know if these systems are all equipped with a leak detection/isolation kit, and if not, is this something you would like to see included in this bid? No, the system is not equipment with a leak detection/isolation kit. I do not want to include this device.  It is unclear what is being asked for in the section B.2 Price/Cost schedule for each line item. Can you please confirm our understanding of the below summary of each line item: 0001 this is the parts only for a comprehensive PM service coverage of the collective set of 17 total systems for a full year, delivered at one time? Please follow SOW and manufacture specifications on frequencies of PMs and parts needed for PM s. 0002 This is the price per individual system s service visit for the labor to provide the PM of that one system---if we suggest 2 visits per year to align with the suggested consumables exchange frequency this would be a total of 34 visits billable at this unit price and the amount is the overall total. Please follow SOW and manufacture specifications. This quote was based on 2 visits per year. 0003 What does the Travel Zone 2 line item pertain to?  Should the amount column reflect a travel charge for the full estimated service visit quantity? Travel charge per visit. Please follow SOW and manufacture specifications. 0004 This is the cost for labor for an emergency unscheduled service visit only? Yes, for emergency unscheduled visits only. Please follow SOW and manufacture specifications. Is it possible to arrange for a site visit for better clarity? A site visit will be scheduled for January 11th at 0900. Section B.3 Delivery Schedule: Line items 0004 the Emergency Services dates would be unknown as will the frequency, Can we use a to be determined (TBD) in this section for both quantity and Delivery date? Specify the emergency cost for visit if required. Is Pretreatment (carbon, filters) being utilized before the Lab units? If so please provide photos or any information available. Please clarify on what filters may be using-or minimally what size filter housing they have. Yes, a prefilter is being used prior to entering the Lab Unit. Please refer to #3 for illustration of prefilter pic. Are "optional" Point of Use filters being utilized or will they need to be included? See photo below, these connect to the dispenser. Point of use filters are connected to all Lab Units. Please change as per the manufacture specifications. Are there any current Leak Detectors in operation or will this need to be included as well? We do not want to install leak detectors on any of the units. A site visit is scheduled for January 11, 2023/09:00 AM at the location listed below. Contractors wishing to view the buildings that are identified for sample pricing are encouraged to attend this site visit. However, attendance is not mandatory, but quotes could be affected. This responsibility is on the Contractor. The Contracting POC for the site visit is Veronica Maskell and can be reached via e-mail at veronica.maskell@va.gov . SLVHCS COR for the site visit is Josh Blackman and can be reached at 1-800-935-8387 x77888 on the scheduled site visit. Confirmations are required to be provided to both Contracting POCs at least 24 hours prior to the site visit schedule.  SITE VISIT INFORMATION: Meeting location for the site visit is: Southeast Louisiana Veterans Health Care System 2400 Canal Street New Orleans, LA. 70119 ***All contractors attending the site visit will be required to park in the patient/visitor garage. Confirmation is required, Security requires a 24-hour notice of the name of the company attending***. Address to the patient/visitor parking garage is as follows: Southeast Louisiana Veterans Health Care System 321 South Galvez Street New Orleans, LA 70119 ***This will bring you directly to the patient/visitor garage. Contractors will need to park on the 5th floor and come down to the 1st floor lobby. (POC) (COR) will be waiting in the Lobby. After everyone arrives, all contractors will be escorted to the (location where the meeting will be held first for Site Visit Meeting and then will be escorted to the location of the required services. ***  **Special Instructions due to COVID-19: *** Upon entering the facility be prepared to answer screening questions. If the contractor is symptomatic, you will not be allowed in the facility. It would be advisable to bring your own surgical mask, or mask of your preference. A.1 PRICE/COST SCHEDULE ITEM INFORMATION ITEM NUMBER DESCRIPTION OF SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0001 12.00 MO __________________ __________________ All parts included for the PM of the Equipment Contract Period: Base POP Begin: 01-26-2023 POP End: 01-25-2024 PRINCIPAL NAICS CODE: 221310 - Water Supply and Irrigation Systems PRODUCT/SERVICE CODE: J046 - Maintenance, Repair, and Rebuilding of Equipment - Water Purification and Sewage Treatment Equipment Purelab Flex FLC00006782- QTY: 1 Purelab Flex FLC00006781- QTY: 1 Purelab Flex FLC00007066- QTY: 1 Purelab Flex FLC00007040- QTY: 1 Purelab Flex FLC00007068- QTY: 1 Purelab Flex FLC00006792- QTY: 1 Purelab Flex FLC00006791- QTY: 1 Purelab Flex FLC00006887- QTY: 1 Purelab Flex FLC00007273- QTY: 1 Purelab Flex FLC00006765- QTY: 1 Purelab Flex FLC00006886- QTY: 1 Purelab Flex FLC00006768- QTY: 1 Purelab Flex FLC00006671- QTY: 1 Purelab Flex FLC00007042- QTY: 1 Purelab Flex FLC00006885- QTY: 1 Centra R120- BIOPURE 120, Serial #MBIO120J2732321- QTY: 2 0002 2.00 EA __________________ __________________ PM Visits : Two (2) per year Contract Period: Base POP Begin: 01-26-2023 POP End: 01-25-2024 PRINCIPAL NAICS CODE: 221310 - Water Supply and Irrigation Systems PRODUCT/SERVICE CODE: J046 - Maintenance, Repair, and Rebuilding of Equipment - Water Purification and Sewage Treatment Equipment 0003 1.00 JB __________________ __________________ Travel Cost for PM Visit Contract Period: Base POP Begin: 01-26-2023 POP End: 01-25-2024 PRINCIPAL NAICS CODE: 221310 - Water Supply and Irrigation Systems PRODUCT/SERVICE CODE: J046 - Maintenance, Repair, and Rebuilding of Equipment - Water Purification and Sewage Treatment Equipment 0004 1.00 JB __________________ __________________ Emergency Service Visit Insurance on as needed basis. Contract Period: Base POP Begin: 01-26-2023 POP End: 01-25-2024 PRINCIPAL NAICS CODE: 221310 - Water Supply and Irrigation Systems PRODUCT/SERVICE CODE: J046 - Maintenance, Repair, and Rebuilding of Equipment - Water Purification and Sewage Treatment Equipment 1001 12.00 MO __________________ __________________ All parts included for the PM of the Equipment Contract Period: Option 1 POP Begin: 01-26-2024 POP End: 02-25-2025 PRINCIPAL NAICS CODE: 221310 - Water Supply and Irrigation Systems PRODUCT/SERVICE CODE: J046 - Maintenance, Repair, and Rebuilding of Equipment - Water Purification and Sewage Treatment Equipment Purelab Flex FLC00006782- QTY: 1 Purelab Flex FLC00006781- QTY: 1 Purelab Flex FLC00007066- QTY: 1 Purelab Flex FLC00007040- QTY: 1 Purelab Flex FLC00007068- QTY: 1 Purelab Flex FLC00006792- QTY: 1 Purelab Flex FLC00006791- QTY: 1 Purelab Flex FLC00006887- QTY: 1 Purelab Flex FLC00007273- QTY: 1 Purelab Flex FLC00006765- QTY: 1 Purelab Flex FLC00006886- QTY: 1 Purelab Flex FLC00006768- QTY: 1 Purelab Flex FLC00006671- QTY: 1 Purelab Flex FLC00007042- QTY: 1 Purelab Flex FLC00006885- QTY: 1 Centra R120- BIOPURE 120, Serial #MBIO120J2732321- QTY: 2 1002 2.00 EA __________________ __________________ PM Visits : Two (2) per year Contract Period: Option 1 POP Begin: 01-26-2024 POP End: 01-25-2025 PRINCIPAL NAICS CODE: 221310 - Water Supply and Irrigation Systems PRODUCT/SERVICE CODE: J046 - Maintenance, Repair, and Rebuilding of Equipment - Water Purification and Sewage Treatment Equipment 1003 1.00 JB __________________ __________________ Travel Cost for PM Visit Contract Period: Option 1 POP Begin: 01-26-2024 POP End: 01-25-2025 PRINCIPAL NAICS CODE: 221310 - Water Supply and Irrigation Systems PRODUCT/SERVICE CODE: J046 - Maintenance, Repair, and Rebuilding of Equipment - Water Purification and Sewage Treatment Equipment 1004 1.00 JB __________________ __________________ Emergency Service Visit Insurance on as needed basis. Contract Period: Option 1 POP Begin: 01-26-2024 POP End: 02-25-2025 PRINCIPAL NAICS CODE: 221310 - Water Supply and Irrigation Systems PRODUCT/SERVICE CODE: J046 - Maintenance, Repair, and Rebuilding of Equipment - Water Purification and Sewage Treatment Equipment 2001 12.00 MO __________________ __________________ All parts included for the PM of the Equipment Above Contract Period: Option 2 POP Begin: 01-26-2025 POP End: 01-25-2026 PRINCIPAL NAICS CODE: 221310 - Water Supply and Irrigation Systems PRODUCT/SERVICE CODE: J046 - Maintenance, Repair, and Rebuilding of Equipment - Water Purification and Sewage Treatment Equipment Purelab Flex FLC00006782- QTY: 1 Purelab Flex FLC00006781- QTY: 1 Purelab Flex FLC00007066- QTY: 1 Purelab Flex FLC00007040- QTY: 1 Purelab Flex FLC00007068- QTY: 1 Purelab Flex FLC00006792- QTY: 1 Purelab Flex FLC00006791- QTY: 1 Purelab Flex FLC00006887- QTY: 1 Purelab Flex FLC00007273- QTY: 1 Purelab Flex FLC00006765- QTY: 1 Purelab Flex FLC00006886- QTY: 1 Purelab Flex FLC00006768- QTY: 1 Purelab Flex FLC00006671- QTY: 1 Purelab Flex FLC00007042- QTY: 1 Purelab Flex FLC00006885- QTY: 1 Centra R120- BIOPURE 120, Serial #MBIO120J2732321- QTY: 2 2002 2.00 EA __________________ __________________ PM Visits : Two (2) per year Contract Period: Option 2 POP Begin: 01-26-2025 POP End: 01-25-2026 PRINCIPAL NAICS CODE: 221310 - Water Supply and Irrigation Systems PRODUCT/SERVICE CODE: J046 - Maintenance, Repair, and Rebuilding of Equipment - Water Purification and Sewage Treatment Equipment 2003 1.00 JB __________________ __________________ Travel Cost for PM Visit Contract Period: Option 2 POP Begin: 01-26-2025 POP End: 01-25-2026 PRINCIPAL NAICS CODE: 221310 - Water Supply and Irrigation Systems PRODUCT/SERVICE CODE: J046 - Maintenance, Repair, and Rebuilding of Equipment - Water Purification and Sewage Treatment Equipment 2004 1.00 JB __________________ __________________ Emergency Service Visit Insurance Per Visit Contract Period: Option 2 POP Begin: 01-26-2025 POP End: 01-25-2026 PRINCIPAL NAICS CODE: 221310 - Water Supply and Irrigation Systems PRODUCT/SERVICE CODE: J046 - Maintenance, Repair, and Rebuilding of Equipment - Water Purification and Sewage Treatment Equipment 3001 12.00 MO __________________ __________________ All parts included for the PM of the Equipment Above Contract Period: Option 3 POP Begin: 01-26-2026 POP End: 01-25-2027 PRINCIPAL NAICS CODE: 221310 - Water Supply and Irrigation Systems PRODUCT/SERVICE CODE: J046 - Maintenance, Repair, and Rebuilding of Equipment - Water Purification and Sewage Treatment Equipment Purelab Flex FLC00006782- QTY: 1 Purelab Flex FLC00006781- QTY: 1 Purelab Flex FLC00007066- QTY: 1 Purelab Flex FLC00007040- QTY: 1 Purelab Flex FLC00007068- QTY: 1 Purelab Flex FLC00006792- QTY: 1 Purelab Flex FLC00006791- QTY: 1 Purelab Flex FLC00006887- QTY: 1 Purelab Flex FLC00007273- QTY: 1 Purelab Flex FLC00006765- QTY: 1 Purelab Flex FLC00006886- QTY: 1 Purelab Flex FLC00006768- QTY: 1 Purelab Flex FLC00006671- QTY: 1 Purelab Flex FLC00007042- QTY: 1 Purelab Flex FLC00006885- QTY: 1 Centra R120- BIOPURE 120, Serial #MBIO120J2732321- QTY: 2 3002 2.00 EA __________________ __________________ PM Visits : Two (2) per year Contract Period: Option 3 POP Begin: 01-26-2026 POP End: 01-25-2027 PRINCIPAL NAICS CODE: 221310 - Water Supply and Irrigation Systems PRODUCT/SERVICE CODE: J046 - Maintenance, Repair, and Rebuilding of Equipment - Water Purification and Sewage Treatment Equipment 3003 1.00 JB __________________ __________________ Travel Cost for PM Visit Contract Period: Option 3 POP Begin: 01-26-2026 POP End: 01-25-2027 PRINCIPAL NAICS CODE: 221310 - Water Supply and Irrigation Systems PRODUCT/SERVICE CODE: J046 - Maintenance, Repair, and Rebuilding of Equipment - Water Purification and Sewage Treatment Equipment 3004 1.00 JB __________________ __________________ Emergency Service Visit Insurance on as needed basis. Contract Period: Option 3 POP Begin: 01-26-2026 POP End: 01-25-2027 PRINCIPAL NAICS CODE: 221310 - Water Supply and Irrigation Systems PRODUCT/SERVICE CODE: J046 - Maintenance, Repair, and Rebuilding of Equipment - Water Purification and Sewage Treatment Equipment 4001 12.00 MO __________________ __________________ All parts included for the PM of the Equipment Above Contract Period: Option 4 POP Begin: 01-26-2027 POP End: 01-25-2028 PRINCIPAL NAICS CODE: 221310 - Water Supply and Irrigation Systems PRODUCT/SERVICE CODE: J046 - Maintenance, Repair, and Rebuilding of Equipment - Water Purification and Sewage Treatment Equipment Purelab Flex FLC00006782- QTY: 1 Purelab Flex FLC00006781- QTY: 1 Purelab Flex FLC00007066- QTY: 1 Purelab Flex FLC00007040- QTY: 1 Purelab Flex FLC00007068- QTY: 1 Purelab Flex FLC00006792- QTY: 1 Purelab Flex FLC00006791- QTY: 1 Purelab Flex FLC00006887- QTY: 1 Purelab Flex FLC00007273- QTY: 1 Purelab Flex FLC00006765- QTY: 1 Purelab Flex FLC00006886- QTY: 1 Purelab Flex FLC00006768- QTY: 1 Purelab Flex FLC00006671- QTY: 1 Purelab Flex FLC00007042- QTY: 1 Purelab Flex FLC00006885- QTY: 1 Centra R120- BIOPURE 120, Serial #MBIO120J2732321- QTY: 2 4002 2.00 EA __________________ __________________ PM Visits : Two (2) per year Contract Period: Option 4 POP Begin: 01-26-2027 POP End: 01-25-2028 PRINCIPAL NAICS CODE: 221310 - Water Supply and Irrigation Systems PRODUCT/SERVICE CODE: J046 - Maintenance, Repair, and Rebuilding of Equipment - Water Purification and Sewage Treatment Equipment 4003 1.00 JB __________________ __________________ Travel Cost for PM Visit Contract Period: Option 4 POP Begin: 01-26-2027 POP End: 01-25-2028 PRINCIPAL NAICS CODE: 221310 - Water Supply and Irrigation Systems PRODUCT/SERVICE CODE: J046 - Maintenance, Repair, and Rebuilding of Equipment - Water Purification and Sewage Treatment Equipment 4004 1.00 JB __________________ __________________ Emergency Service Visit Insurance on as needed basis. Contract Period: Option 4 POP Begin: 01-26-2027 POP End: 01-25-2028 PRINCIPAL NAICS CODE: 221310 - Water Supply and Irrigation Systems PRODUCT/SERVICE CODE: J046 - Maintenance, Repair, and Rebuilding of Equipment - Water Purification and Sewage Treatment Equipment GRAND TOTAL __________________ A.2 DELIVERY SCHEDULE ITEM NUMBER QUANTITY DELIVERY DATE 0001 SHIP TO: Southeast Louisiana Veterans Health Care System 2400 Canal Street New Orleans, LA 70119 USA 12.00 0002 2.00 0003 1.00 0004 1.00 1001 12.00 1002 2.00 1003 1.00 1004 1.00 2001 12.00 2002 2.00 2003 1.00 2004 1.00 3001 12.00 3002 2.00 3003 1.00 3004 1.00 4001 12.00 4002 2.00 4003 1.00 4004 1.00