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) 0001 36C241 NCO 1 VA Connecticut 950 Campbell Avenue West Haven CT 06516 36C241 NCO 1 VA Connecticut 950 Campbell Avenue West Haven CT 06516 To all Offerors/Bidders 36C24124Q0533 05-21-2024 X X X See CONTINUATION Page The purpose of this amendment is to include price schedule. CONTINUATION PAGE A.1 PRICE/COST SCHEDULE ITEM INFORMATION ITEM NUMBER DESCRIPTION OF SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0001 12.00 MO __________________ __________________ The Contractor shall provide all labor, materials, and equipment to perform full elevator preventative maintenance and repairs at West Haven IAW the PWS. Services are inclusive of maintenance, repairs, after hours coverage, emergency calls and travel. Contract Period: Base POP Begin: 06-01-2024 POP End: 05-31-2025 0002 12.00 MO __________________ __________________ The Contractor shall provide all labor, materials, and equipment to perform full elevator preventative maintenance and repairs at Newington IAW the PWS. Services are inclusive of maintenance, repairs, after hours covrage, emergency calls and travel. Contract Period: Base POP Begin: 06-01-2024 POP End: 05-31-2025 0003 50.00 HR __________________ __________________ The Contractor shall provide all labor, materials and equipment to perform Contingency 3rd party damage repairs or installation of new equipment not covered in the preventative maintenance during REGULAR business hours. Contract Period: Base POP Begin: 06-01-2024 POP End: 05-31-2025 0004 50.00 HR __________________ __________________ The Contractor shall provide all labor, materials and equipment to perform 3rd party damage repairs or installation of new equipment not covered in the preventative maintenance during NON-STANDARD business hours, weekends and holidays. Contract Period: Base POP Begin: 06-01-2024 POP End: 05-31-2025 0005 1.00 YR __________________ __________________ The Contractor shall provide parts a needed for elevator repairs or installation. A supplier quote shall be furnished with the invoice. The Contractor shall provide a maxium of 20% markup for parts Contract Period: Base POP Begin: 06-01-2024 POP End: 05-31-2025 1001 12.00 MO __________________ __________________ The Contractor shall provide all labor, materials, and equipment to perform full elevator preventative maintenance and repairs at West Haven IAW the PWS. Services are inclusive of maintenance, repairs, after hours coverage, emergency calls and t ravel. Contract Period: Option 1 POP Begin: 06-01-2025 POP End: 05-31-2026 1002 12.00 MO __________________ __________________ The Contractor shall provide all labor, materials, and equipment to perform full elevator preventative maintenance and repairs at Newington IAW the PWS. Services are inclusive of maintenance, repairs, after hours covrage, emergency calls and travel. Contract Period: Option 1 POP Begin: 06-01-2025 POP End: 05-31-2026 1003 50.00 HR __________________ __________________ The Contractor shall provide all labor, materials and equipment to perform Contingency 3rd party damage repairs or installation of new equipment not covered in the preventative maintenance during REGULAR business hours. Contract Period: Option 1 POP Begin: 06-01-2025 POP End: 05-31-2026 1004 50.00 HR __________________ __________________ The Contractor shall provide all labor, materials and equipment to perform 3rd party damage repairs or installation of new equipment not covered in the preventative maintenance during NON-STANDARD business hours, weekends and holidays. Contract Period: Option 1 POP Begin: 06-01-2025 POP End: 05-31-2026 1005 1.00 YR __________________ __________________ The Contractor shall provide parts a needed for elevator repairs or installation. A supplier quote shall be furnished with the invoice. The Contractor shall provide a maximum of 20% markup for parts Contract Period: Option 1 POP Begin: 06-01-2025 POP End: 05-31-2026 2001 12.00 MO __________________ __________________ The Contractor shall provide all labor, materials, and equipment to perform full elevator preventative maintenance and repairs at West Haven IAW the PWS. Services are inclusive of maintenance, repairs, after hours coverage, emergency calls and travel. Contract Period: Option 2 POP Begin: 06-01-2026 POP End: 05-31-2027 2002 12.00 MO __________________ __________________ The Contractor shall provide all labor, materials, and equipment to perform full elevator preventative maintenance and repairs at Newington IAW the PWS. Services are inclusive of maintenance, repairs, after hours covrage, emergency calls and travel. Contract Period: Option 2 POP Begin: 06-01-2026 POP End: 05-31-2027 2003 50.00 HR __________________ __________________ The Contractor shall provide all labor, materials and equipment to perform Contingency 3rd party damage repairs or installation of new equipment not covered in the preventative maintenance during REGULAR business hours. Contract Period: Option 2 POP Begin: 06-01-2026 POP End: 05-31-2027 2004 50.00 HR __________________ __________________ The Contractor shall provide all labor, materials and equipment to perform 3rd party damage repairs or installation of new equipment not covered in the preventative maintenance during NON-STANDARD business hours, weekends and holidays. Contract Period: Option 2 POP Begin: 06-01-2026 POP End: 05-31-2027 2005 1.00 YR __________________ __________________ The Contractor shall provide parts a needed for elevator repairs or installation. A supplier quote shall be furnished with the invoice. The Contractor shall provide a maxium of 20% markup for parts Contract Period: Option 2 POP Begin: 06-01-2026 POP End: 05-31-2027 3001 12.00 MO __________________ __________________ The Contractor shall provide all labor, materials, and equipment to perform full elevator preventative maintenance and repairs at West Haven IAW the PWS. Services are inclusive of maintenance, repairs, after hours coverage, emergency calls and t ravel. Contract Period: Option 3 POP Begin: 06-01-2027 POP End: 05-31-2028 3002 12.00 MO __________________ __________________ The Contractor shall provide all labor, materials, and equipment to perform full elevator preventative maintenance and repairs at Newington IAW the PWS. Services are inclusive of maintenance, repairs, after hours covrage, emergency calls and travel. Contract Period: Option 3 POP Begin: 06-01-2027 POP End: 05-31-2028 3003 50.00 HR __________________ __________________ The Contractor shall provide all labor, materials and equipment to perform Contingency 3rd party damage repairs or installation of new equipment not covered in the preventative maintenance during REGULAR business hours. Contract Period: Option 3 POP Begin: 06-01-2027 POP End: 05-31-2028 3004 50.00 HR __________________ __________________ The Contractor shall provide all labor, materials and equipment to perform 3rd party damage repairs or installation of new equipment not covered in the preventative maintenance during NON-STANDARD business hours, weekends and holidays. Contract Period: Option 3 POP Begin: 06-01-2027 POP End: 05-31-2028 3005 1.00 YR __________________ __________________ The Contractor shall provide parts a needed for elevator repairs or installation. A supplier quote shall be furnished with the invoice. The Contractor shall provide a maxium of 20% markup for parts Contract Period: Option 3 POP Begin: 06-01-2027 POP End: 05-31-2028 4001 12.00 MO __________________ __________________ The Contractor shall provide all labor, materials, and equipment to perform full elevator preventative maintenance and repairs at West Haven IAW the PWS. Services are inclusive of maintenance, repairs, after hours coverage, emergency calls and t ravel. Contract Period: Option 4 POP Begin: 06-01-2028 POP End: 05-31-2029 4002 12.00 MO __________________ __________________ The Contractor shall provide all labor, materials, and equipment to perform full elevator preventative maintenance and repairs at Newington IAW the PWS. Services are inclusive of maintenance, repairs, after hours coverage, emergency calls and travel. Contract Period: Option 4 POP Begin: 06-01-2028 POP End: 05-31-2029 4003 50.00 HR __________________ __________________ The Contractor shall provide all labor, materials and equipment to perform Contingency 3rd party damage repairs or installation of new equipment not covered in the preventative maintenance during REGULAR business hours. Contract Period: Option 4 POP Begin: 06-01-2028 POP End: 05-31-2029 4004 50.00 HR __________________ __________________ The Contractor shall provide all labor, materials and equipment to perform 3rd party damage repairs or installation of new equipment not covered in the preventative maintenance during NON-STANDARD business hours, weekends and holidays. Contract Period: Option 4 POP Begin: 06-01-2028 POP End: 05-31-2029 4005 1.00 YR __________________ __________________ The Contractor shall provide parts a needed for elevator repairs or installation. A supplier quote shall be furnished with the invoice. The Contractor shall provide a maximum of 20% markup for parts Contract Period: Option 4 POP Begin: 06-01-2028 POP End: 05-31-2029 GRAND TOTAL __________________ Elevator Maintenance and Repair in support of Connecticut HCS.