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: A M E N D M E N T O F S O L I C I T A T I O N / M O D I F I C A T I O N O F C O N T R A C T 1 . C O N T R A C T I D C O D E
F O R M T E X T P A G E S O F P A G E S F O R M T E X T 1 F O R M T E X T 4 2 . A M E N D M E N T / M O D I F I C A T I O N N O .
F O R M T E X T M a s s M o d 0 0 0 1 3 . E F F E C T I V E D A T E
F O R M T E X T 4 . R E Q U I S I T I O N / P U R C H A S E R E Q . N O .
F O R M T E X T 5 . P R O J E C T N O . ( I f a p p l i c a b l e ) 6 . I S S U E D B Y : C O D E : F O R M T E X T 7 . A D M I N I S T E R E D B Y ( I f o t h e r t h a n I t e m 6 ) C O D E : F O R M T E X T D e p a r t m e n t o f V e t e r a n s A f f a i r s
N a t i o n a l A c q u i s i t i o n C e n t e r
P . O . B o x 7 6 , B l d g . 3 7
H i n e s , I L 6 0 1 4 1 F O R M T E X T 8 . N A M E A N D A D D R E S S O F C O N T R A C T O R ( N o . , s t r e e t , c o u n t y , S t a t e a n d Z I P C o d e )
F O R M T E X T
( X )
F O R M T E X T
F O R M T E X T 9 A . A M E N D M E N T O F S O L I C I T A T I O N N O .
F O R M T E X T 9 B . D A T E D ( S E E I T E M 1 1 )
F O R M T E X T
F O R M T E X T
1 0 A . M O D I F I C A T I O N O F C O N T R A C T / O R D E R N O .
F O R M T E X T 1 0 B . D A T E D ( S E E I T E M 1 3 )
F O R M T E X T C O D E F A C I L I T Y C O D E 1 1 . T H I S I T E M O N L Y A P P L I E S T O A M E N D M E N T S O F S O L ICITATIONS FORMCHECKBOX The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers FORMCHECKBOX is extended FORMCHECKBOX 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 FORMTEXT c o p i e s o f t h e a m e n d m e n t ; ( b ) B y a c k n o w l e d g i n g r e c e i p t o f t h i s a m e n d m e n t o n e a c h c o p y o f t h e o f f e r s u b m i t t e d ;
o r ( c ) B y s e p a r a t e l e t t e r o r t e l e g r a m w h i c h i n c l u d e s a r e f e r e n c e t o t h e s o l i c i t a t i o n a n d a m e n d m e n t n u m b e r s . F A I L U R E O F Y O U R A C K N O W L E D G E M E N T T O 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 telegram or letter, provided each telegram or letter 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)
FORMTEXT 1 3 . T H I S I T E M A P P L I E S O N L Y T O M O D I F I C A T I O N S O F C O N T R A C T S / O R D E R S , I T M O D I F I E S T H E C O N T R A C T / O R D E R N O . A S D E S C R I B E D I N I T E M 1 4 . ( x )
F O R M T E X T A . T H I S C H A N G E O R D E R I S I S S U E D P U R S U A N T T O : ( S p e c i f y a u t h o r i t y ) T H E C H A N G E S S E T F O R T H I N I T E M 1 4 A R E M A D E I N T H E C O N T R A C T O R D E R N O . I N I T E M 1 0 A .
F O R M T E X T
F O R M T E X T B . T H E A B O V E N U M B E R E D C O N T R A C T / O R D E R I S M O D I F I E D T O R E F L E C T T H E A D M I N I S T R A T I V E C H A N G E S ( s u c h a s c h a n g e s i n p a y i n g o f f i c e , a p p r o p r i a t i o n d a t e , e t c . ) S E T F O R T H I N I T E M 1 4 , P U R S U A N T T O T H E A U T H O R I T Y O F F A R 4 3 . 1 0 3 ( b ) .
F O R M T E X T
F O R M T E X T X C . T H I S S U P P L E M E N T A L A G R E E M E N T I S E N T E R E D I N T O P U R S U A N T T O A U T H O R I T Y O F :
F O R M T E X T M o d i f i c a t i o n C l a u s e 5 5 2 . 2 4 3 - 7 2
F O R M T E X T D . O T H E R ( S p e c i f y t y p e o f m o d i f i c a t i o n a n d a u t h o r i t y )
F O R M T E X T E . I M P O R T A N T : C o n t r a c t o r F O R M C H E C K B O X i s n o t , F O R M C H E C K B O X i s r e q u i r e d t o s i g n t h i s d o c u m e n t a n d r e t u r n F O R M T E X T 1 c o p i e s t o t h e i s s u i n g o f f i c e .
1 4 . D E S C R I P T I O N O F A M E N D M E N T / M O D I F ICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)
SOLICITATION CLAUSES UPDATE
This modification is issued to incorporate the attached clause changes into the above-referenced contract. These changes are the result of the June 2011 refreshment of 65IIC solicitation number 797-652C-04-0001-R1 (now issued as 797-652C-04-0001-R2) and Amendment 0001 issued under the refreshed solicitation. See attached pages 2 4 for a complete listing of all clauses added, deleted, and updated. For the full text of added and updated clauses, please go to the 65IIC solicitation link under VA Schedule Programs on the VAs FSS web page at HYPERLINK "http://www.fss.va.gov" www.fss.va.gov. You will be directed to the refreshed solicitation on FedBizOpps.
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 pr i n t ) 1 6 A . N A M E A N D T I T L E O F C O N T R A C T I N G O F F I C E R ( T y p e o r p r i n t )
F O R M T E X T 1 5 B . C O N T R A C T O R / O F F E R O R
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
( S i g n a t u r e o f p e r s o n a u t h o r i z e d t o s i g n ) 1 5 C . D A T E S I G N E D 1 6 B . U N I T E D S T A T E S O F A M E R I C A
_ _ _ _ _ ______________________________________
(Signature of Contracting Officer)16C. DATE SIGNEDEXCEPTION TO SF 30 30-105 STANDARD FORM 30 (REV. 10-83)
APPROVED BY OIRM 11-84 Prescribed by GSA FAR (48 CFR) 53.243 Clauses Removed:
52.219-6 Notice of Total Small Business Set-Aside (Jun 2003)
52.222-39 Notification of Employee Rights Concerning Payment of Union Dues or Fees (Dec 2004)
52.224-1 Privacy Act Notification (Apr 1984)
52.224-2 Privacy Act (Apr 1984)
52.232-17 Interest (Jun 1996, Deviation May 2003)
52.232-19 Availability of Funds for the Next Fiscal Year (Apr 1984, Deviation May 2003)
52.252-1 Solicitation Provisions Incorporated by Reference (Feb 1998)
52.252-2 Clauses Incorporated by Reference (Feb 1998)
552.211-74 Charges for Marking (Feb 1996)
552.216-72 Placement of Orders (Sep 1999, Alternate IV Feb 2007, Variation)
552.223-72 Hazardous Material Information (No date listed previously)
552.232-77 Payment by Government-wide Commercial Purchase Card (Mar 2000, Alternate I Mar 2000)
552.232-78 Payment Information (Jul 2000)
552.232-8 Discounts for Prompt Payment (Apr 1989, Deviation & Alternate I May 2003)
552.246-73 Warranty Multiple Award Schedule (Mar 2000, Alternate I May 2003)
852.211-70 Service Data Manuals (Nov 1984, Deviation)
852.270-4 Commercial Advertising (Nov 1984)
A-FSS-31 Notice of Total Small Business Set Aside (Dec 2000, Variation)
A-FSS-35 Exceptions to Clause 52.225-5 Trade Agreements (Nov 2002)
AS216 Manufacturing Facilities/Place of Performance (Mar 2005)
AS908 Delivery (May 2004)
AS1506 Chargeback Arrangements (Mar 1997)
CP-FSS-30 (Apr 1993)
D-FSS-468 Non-Manufactured Wood Packaging Materials for Export (May 2004)
E-FSS-522 Inspection at Destination (Mar 1996)
F-FSS-202-F Delivery Prices (Apr 1984)
G-FSS-907 Order Acknowledgement (Apr 1984)
I-FSS-95 Representation of Size Status for Option Periods (Jun 2003)
I-FSS-103 Scope of Contract Worldwide (Jul 2002)
I-FSS-109 English Language and U.S. Dollar Requirements (Mar 1998)
I-FSS-542-A Warranty (Apr 1984)
I-FSS-546 Guarantee (Express Warranty) (Apr 1984, Variation)
Clauses Added:
52.203-13 Contractor Code of Business Ethics and Conduct (Apr 2010)
52.203-15 Whistleblower Protections under the American Recovery and Reinvestment Act of 2009 (Jun 2010)
52.204-9 Personal Identity Verification of Contractor Personnel (Jan 2011)
52.204-10 Reporting Executive Compensation and First-Tier Subcontract Awards (Jul 2010)
52.204-11 American Recovery and Reinvestment Act Reporting Requirements (Jul 2010)
52.209-6 Protecting the Government's Interest when Subcontracting with Contractors Debarred, Suspended, or Proposed for Debarment (Dec 2010)
52.209-7 Information Regarding Responsibility Matters (Jan 2011)
52.209-9 Updates of Publicly Available Information Regarding Responsibility Matters (Jan 2011)
52.214-34 Submission of Offers in the English Language (Apr 1991)
52.214-35 Submission of Offers in U.S. Currency (Apr 1991)
52.222-40 Notification of Employee Rights under the National Labor Relations Act (Dec 2010)
52.222-51 Exemption from Application of the Service Contract Act to Contracts for Maintenance, Calibration, or Repair of Certain EquipmentRequirements (Nov 2007, Note)
52.222-54 Employment Eligibility Verification (Jan 2009, Note)
52.223-3 Hazardous Material Identification and Material Safety Data (Jan 1997, Alternate I July 1995)
52.223-18 Encouraging Contractor Policies to Ban Text Messaging while Driving (Aug 2011)
52.229-1 State and Local Taxes (Apr 1984, Note)
552.211-89 Non-Manufactured Wood Packaging Material for Export (Jan 2010)
852.203-70 Commercial Advertising (Jun 2008)
852.219-71 VA Mentor-Protg Program (Dec 2009)
852.273-76 Electronic Invoice Submissions (Interim Oct 2008, Note)
AS3001 Application Software and Operating System Requirements (Apr 2011)
AS3006 Acceptance / Installation / Training (Aug 1998)
AS1110 Contact for Sales Administration (Mar 2011)
AS5001 Med-Surge Prime Vendor Participation (Mar 2011)
C-FSS-412 Characteristics of Electric Current (May 2000)
C-FSS-427 ANSI Standards (Jul 1991)
CI-FSS-056 Federal Acquisition Regulations (FAR) Part 51 Deviation Authority (Federal Supply Schedules) (Jan 2010)
D-FSS-440 Preservation, Packaging, Packing, and Marking and Labeling of Hazardous Materials (Hazmat) for Surface Shipment (May 1997)
I-FSS-594 Parts and Service (Oct 1988)
American Recovery and Reinvestment Act Program Participation Election
Designation of Geographic Areas/Countries/Zones (Worldwide Delivery)
Designation of F.O.B. Shipping Terms (Worldwide Delivery)
Notice of Additional Requirements Ordering Level
Notice Regarding Distribution and Pricing Agreements (DAPA)
Public Health Emergencies Participation Election
Updated Clauses (New clause date/version or explanatory notes added/removed):
52.203-12 Limitation on Payments to Influence Certain Federal Transactions (Oct 2010)
52.212-1 Instructions to Offerors Commercial Items (Jun 2008, Note)
52.212-3 Offeror Representations and Certifications Commercial Items (May 2011)
52.212-4 Contract Terms and Conditions Commercial Items (Jun 2010, Variation, Note)
52.212-5 Contract Terms & Conditions Required to Implement Statutes or Executive Orders Commercial Items (Aug 2011 & Alternate II Dec 2010)
52.215-20 Requirements for Certified Cost or Pricing Data or Information Other than Certified Cost or Pricing Data (Oct 2010, Alternate IV Oct 2010)
52.215-21 Requirements for Certified Cost or Pricing Data or Information Other than Certified Cost or Pricing Data Modifications (Oct 2010, Alternate IV Oct 2010)
52.216-18 Ordering (Oct 1995, Deviation II Feb 2007)
52.216-19 Order Limitations (Oct 1995, Deviation II Feb 2007, Note)
52.216-22 Indefinite Quantity (Deviation I, Jan 1994)
52.219-28 Post-Award Small Business Program Rerepresentation (Apr 2009)
52.219-8 Utilization of Small Business Concerns (Jan 2011)
52.219-9 Small Business Subcontracting Plan (Jan 2011, Alternate II Oct 2001)
52.222-19 Child Labor Cooperation with Authorities and Remedies (July 2010)
52.222-35 Equal Opportunity for Veterans (Sep 2010)
52.222-36 Affirmative Action for Workers with Disabilities (Oct 2010)
52.222-37 Employment Reports Veterans (Sep 2010)
52.222-50 Combating Trafficking in Persons (Feb 2009)
52.225-13 Restrictions on Certain Foreign Purchases (Jun 2008)
52.225-5 Trade Agreements (Aug 2009)
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52.232-36 Payment by Third Party (Feb 2010, Deviation May 2003)
52.232-37 Multiple Payment Arrangements (May 1999, Note)
52.247-34 F.O.B. Destination (Nov 1991, Deviation, May 2003, Note)
52.247-38 F.O.B. Inland Carrier, Point of Exportation (Feb 2006, Deviation Feb 2007)
52.247-39 F.O.B. Inland Point, Country of Importation (Apr 1984, Deviation - July 2008)
552.211-78 Commercial Delivery Schedule (Multiple Award Schedule) (Feb 1996, Note)
552.212-70 Preparation of Offer (Multiple Award Schedule) (Aug 1997, Variation)
552.216-73 Ordering Information (Aug 2010, Variation, Note)
552.217-71 Notice Regarding Options(s) (Nov 1992, Variation)
552.232-83 Contractors Billing Responsibilities (May 2003, Note)
552.238-71 Submission and Distribution of Authorized FSS Schedule Pricelists (Sep 1999, Deviation Dec 2004, Variation)
552.238-74 Industrial Funding Fee and Sales Reporting (Jul 2003, Variation, Note)
552.238-78 Scope of Contract (Eligible Ordering Activity) (May 2004, Alt. I Feb 2007, Note)
552.238-80 Use of Federal Supply Schedule Contracts by Certain Entities Recovery Purchasing (Feb 2007, Variation)
552.243-72 Modifications (Multiple Award Schedule) (Jul 2000, Alternate I Sep 1999, Variation, Notes)
852.233-70 Protest Content/Alternative Dispute Resolution (Jan 2008)
852.233-71 Alternate Protest Procedures (Jan 1998, Variation)
AS214 Product Modification, Removal or Recall (Jan 2008, Tailored)
B-FSS-96 Estimated Sales (Nov 1997, Note)
C-FSS-411 Fire or Casualty Hazards, or Safety or Health Requirements (Oct 1992, Variation)
CP-FSS-4-A Solicitation Copies (Mar 1996, Variation)
D-FSS-477 Transshipments (Apr 1984, Note)
F-FSS-202-G Delivery Prices (Jan 1994, Note)
I-FSS-108 Clauses for Overseas Coverage (May 2000)
I-FSS-140-B Urgent Requirements (Jan 1994, Note)
I-FSS-597 GSA Advantage! (Sep 2000, Variation)
I-FSS-600 Contract Price Lists (Jul 2004, Variation)
I-FSS-644 Dealers and Suppliers (Oct 1988, Note)
L-FSS-101 Final Proposal Revision (Jun 2002, Variation)
CSP-1 (Variation, Notes)
Compliance Confirmation
Continuation of SF 1449, Blocks 19-21 Schedule of Items
Proposed Pricing Required Format
Small Business Subcontracting Plan Template
Supplemental CSP Information
Continuation Page PAGE \* MERGEFORMAT 4 of 4
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