36C10X18Q0164-A00001000.docx

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 ITE

M 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 r eference 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) A00001 None Strategic Acquisition Center - Frederick Department of Veterans Affairs 321 Ballenger Center Drive, Suite 125 Frederick MD 21703 Strategic Acquisition Center - Frederick Department of Veterans Affairs 321 Ballenger Center Drive, Suite 125 Frederick MD 21703 To all Offerors/Bidders

36C10X18Q0164

X x x x

The purpose of this Amendment is to increase the quantity of cameras from 1 to 2 and update the Price/Cost Schedule.

As a res ult of this Amendment, the due date for submission of quotes has been extended through June 26, 2018.

Please See CONTINUATION PAGE for Revised Statement of Need and Updated Price/Cost Schedule for details.

Allen L. Smith Contracting Officer

CONTINUATION PAGE

A. REVISED STATEMENT OF NEED

REQUIREMENTS:

· Two (2) true-color non-mydriatic/mydriatic fundus camera with simultaneous optical coherence tomography (OCT) and fundus auto-fluorescence capability, wheelchair accessible table w/top

· Two (2) Photo Review Software with FORUM Archive with Viewer Support, 3X Viewer Licenses and Viewer Capability for 5 PC’s

1. Background: The Atlanta VA Health Care System (VAHCS) and VISN 7 has a requirement for two (2) true-color non-mydriatic/mydriatic fundus camera with simultaneous optical coherence tomography (OCT) and fundus auto-fluorescence capability, wheelchair accessible table w/top that uses the same normative database and algorithms as current existing Eye Clinic diagnostic equipment and will connect to Zeiss Forum, the Atlanta VAHCS image management system.

The requirement also includes two (2) Photo Review Software with FORUM Archive with Viewer Support, 3X Viewer Licenses and Viewer Capability for 5 PC’s

2. Scope of Work: The vendor/contractor shall deliver, install, and provide appropriate user level training for the true-color non-mydriatic/mydriatic fundus camera with simultaneous optical coherence tomography (OCT) and fundus auto-fluorescence capability, wheelchair accessible table w/top that uses the same normative database and algorithms and Photo Review Software with FORUM Archive with Viewer Support; meeting all applicable codes and regulations, drawings, and one DICOM connectivity licenses.

3. Delivery: The contractor shall complete delivery, installation and training for the required commodities under this PD no later than 60 calendar days or less from date of award, unless otherwise directed by the Contracting Officer (CO). If the contractor proposes an earlier completion date, and the Government accepts the contractor’s proposal, the contractor’s proposed completion date shall prevail. Work at the Government site shall not take place on Federal holidays or weekends unless directed by the CO. Each end item shall be delivered and installed at the following locations:

Ship To and Mark For:

Primary: TBD (will be added at time of award) 1670 Clairmont Road Decatur GA 30033 Email: TBD Voice: TBD

Alternate: TBD Address: 1670 Clairmont Road Decatur GA 30033 Voice: TBD Email: TBD

Special Shipping Instructions:

Prior to shipping, Contractor shall notify Site POCs, by phone followed by email, of all incoming deliveries including line-by-line details for review of requirements. Contractor cannot make any changes to the delivery schedule at the request of Site POC.

Contractors must coordinate deliveries with Site POCs before shipment of combo Fundus and OCT camera/imaging workstation/wheelchair table hardware to ensure sites have adequate storage space.

All shipments, either single or multiple container deliveries, will bear the VA Purchase Order number on external shipping labels and associated manifests or packing lists. In the case of multiple container deliveries, a statement readable near the VA PO number will indicate total number of containers for the complete shipment (ex. “Package 1 of 2”), clearly readable on manifests and external shipping labels.

Packing Slips/Labels and Lists shall include the following:

IFCAP PO # ____________ (PO Number provided with award) Total number of Containers: Package ___ of ___. (i.e., Package 1 of 3)

4. Type of Contract: Firm-Fixed-Price

SALIENT CHARACTERISTICS

The following are the salient characteristics for the fundus photo/OCT capability camera Technology

0. DICOM compliant as per the DICOM Conformance Statement

0. The image must be captured using a DICOM interface for transfer into VistA Imaging

0. Should be on approved VA list: a listing of teleretinal image acquisition systems that have been validated by the VA is located at below website link on page 29 (ophthalmic photography) http://www.va.gov/HEALTH/imaging/docs/VistA_Imaging_DICOM_Modality_Interfaces.pdf

0. Mydriatic and non-mydriatic color camera

0. Able to take ocular coherence tomography images of nerve, macula, and corneal thickness

0. Able to perform Fundus Auto-flourescence

0. All 3 functions (OCT, fundus photos, and fundus auto-flourescence) can occur in a single integrated and compact system

0. Use of advanced algorithms to measure and display layers

0. Uses accurate centering software to ensure that pictures are taken in the same place each time.

0. Ability to automatically register data cubes with prior patient visit data

0. Precise registration and display of OCT scans with color fundus image

0. Macular Thickness and Change Analysis

0. Macular Thickness Normative Data

0. ONH & RNFL OU Analysis with normative data

0. Can perform a guided progression analysis after a set number of scans.

0. Efficient cross-modality analysis to switch between fundus images registered with OCT scans and maps.

0. Connects to Zeiss Forum and allows Zeiss Forum to perform a high-level manipulation of data at the raw data level.

0. Photo review software with FORUM Archive

1. Power/control

1. System shall connect to AC 100 to 240 V +- 10% 50/60 Hz

1. System mechanical

2. System shall be mounted on the automatic wheelchair accessible table.

1. Maintenance

3. Systems shall require minimum maintenance.

3. Systems shall be field serviceable and routine maintainable by VAHCS Atlanta Biomedical engineering personnel.

Review Software with FORUM Archive with Viewer Support, 3X Viewer Licenses and Viewer Capability for 5 PC’s with remote installation and training.

Table, computer, printer, DICOM licenses Includes 12 months warranty on all products and 24 months warranty on lasers

INFORMATION SECURITY CONSIDERATIONS:

The Certification and Accreditation (C&A) requirements do not apply and a Security Accreditation Package is not required.

POINT(S) OF CONTACT:

Decatur GA 30033 Voice: TBD Email: TBD

Name: TBD Address: 1670 Clairmont Road, MC OOTH, Decatur GA 30033 Voice: TBD Email: TBD

Decatur GA 30033 Voice: TBD Email: TBD

B. PRICE/COST SCHEDULE

Delivery date: 60 calendar days from date of award.

Delivery date: 60 calendar days from date of award.

Delivery date: 60 calendar days from date of award.

Table, computer, printer, DICOM licenses Includes 12 months warranty on all products and 24 months warranty on lasers

Delivery date: 60 calendar days from date of award.