H--ANALYSIS & TESTING DIALYSIS WATER SOURCE SERVICES

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 BY 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 4 00001 03-20-2018 673-18-1-077-0002 NONE Y Department of Veterans Affairs Network Contracting Office 8 (NCO 8) 8875 Hidden River Pkwy Suite 525 Tampa FL 33637 36C248 Department of Veterans Affairs Network Contracting Office 8 (NCO 8) 8875 Hidden River Pkwy Tampa FL 33637 To all Offerors/Bidders 36C24818Q0203 03-08-2018 X X 1 THIS AMENDMENT IS TO ADDRESS CONTRACTOR QUESTIONS & TO ADD SITE VISIT. 1. PLEASE SEE ATTACHMENT TO REVIEW ALL Q&As & SITE VISIT INFORMATION. 2. ALL QUOTES ARE DUE NO LATER THAN 12PM NOON ON APRIL 15, 2018. MARIA C. FERRER CONTRACTING OFFICER NCO816L1-78509 Page 3 of 4 AMENDMENT 36C24818Q0203 0001 QUESTION #1: Can you please forward a copy of the AAMI standards and methods for compliance? RESPONSE #1: The link for the AAMI Standards: http://vaww.ceosh.med.va.gov/01BE/02BE_AAMI/AAMI_Standards/dialysis.html Compliance is measured by the quality of the final product of water and the equipment use to purified it. The measurement is performed by biological (endotoxins and colony count with action item define by AMMI standards. Daily evaluation and set off alarms and action algorithms of valve pressures, pH, temperature, conductivity after RO, chlorine /chloramine, chemical per and post dialysis, maintenance contract of the water plant for new beddings or resin exchangersor exchanges of RO filters, endotoxin filter water softener, carbon tanks, UV batteries or sensors with machines according to manufactory disinfection process. We keep a log in the dialysis unit of all thisevaluation items to ensure deliver of AAMI standard quality of water to dialysis patients. QUESTION #2: Can you please clarify the frequency to test Endotoxin monthly? We calculated about 17 per month based on 204 tests per year. RESPONSE #2: Appendix 1 is as follows: (This Appendix replaces the one in the SOW) Item Description Frequency Annual Total Water analysis to AAMI Standards 1 Main Unit 6 Portable Mini-Units 1 Unexpected Testing Estimated: (Eight (8) Tests bi-annually) 16 Tests Endotoxin Test 16 Machines Monthly Tests 2 Unexpected Tests Estimated: (16-18 Tests Monthly) Estimated between: 192 216 Tests Water/Dialysate Colony Count 16 Machines Monthly Tests 2 Unexpected Tests Estimated: (16-18 Tests Monthly) Estimated between: 192 216 Tests QUESTION #3: Can you please confirm the meaning/methods of "Water/Dialysate Colony Count" testing? Are we referring to the Heterotrophic Plate Count testing or are we looking for specific organisms? RESPONSE #3: Colony count with action items >50. Looking for colony counts, not specification. QUESTION #4: Appendix 1 states there is a need for ~72 carrier pickups, 6 per month for a year. However, "Water Analysis to AAMI standards" is only bi-annually with 16 total, and "Endotoxin" and "Water/Dialysate Colony Count" is 204 per year monthly. Can you please clarify which testing will require us to provide a courier pick up service and collection supplies? RESPONSE #4: All require courier to pick up. AAMI standards for chemical analysis is relatively low volume. The main RO system and the bedside units. It s the bacterial count and endotoxin that constitutes the bulk of the volume. The common carrier overnight shipping is to be included in the services of the water testing. Contractor is responsible for all shipping materials to include the following: The list of shipping supplies: Ice Pack Sample Tubes Fed Ex Bag Shipping Box (Styrofoam with foam padding {egg carton}) Shipping Label Ziploc Bag with Requisition QUESTION #5: Any specific certifications need? RESPONSE #5: Yes. Please include copies of your certificates of compliance & AAMI standard certifications. These certificates are a requirement and must be submitted with the final quote. Pricing schedule will not change. Please make sure you fill out the pricing page and include it with your final quote as well. SITE VISIT: Location: James A. Haley VA Medical Center 13000 Bruce B. Downs Blvd. Tampa, FL 33612 (Meeting area will be at the main entrance of hospital, near the valet.) We will then walk to the designated area. Date: 03/28/2018 Time: 2pm SOLICITATION DEADLINE: Closing Date of solicitation: 04/15/2018 by 12pm noon