36C24125Q0365 0001.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 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)

None

Department of Veterans Affairs Network Contracting Office 1

950 Campbell Avenue West Haven CT 06516

Department of Veterans Affairs Network Contracting Office 1

950 Campbell Avenue West Haven CT 06516 To all Offerors/Bidders

36C24125Q0365 05-07-2025

X

See CONTINUATION Page

The purpose of this amendment is to make changes to the current solicitation as follows:

1. See corrected line-item schedule. The quantities have been altered and CLINS have been added. Please use Attachment A parts summary for reference.

CONTRACTING OFFICER

CONTINUATION PAGE

A.1 PRICE/COST SCHEDULE

ITEM INFORMATION

36.00

Likorall 250 ES, white (includes Lift Motor w/Quick-Release Connection for Slingbar) Contract Period: Base POP Begin: 05-26-2025 POP End: 07-25-2025 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing PRODUCT/SERVICE CODE: 6530 - Hospital Furniture, Equipment, Utensils, and Supplies

MANUFACTURER PART NUMBER (MPN): 3122502NA

36.00

HandControl LR S, ES, 2 buttons

POP Begin: 05-26-2025 POP End: 07-25-2025 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing

MANUFACTURER PART NUMBER (MPN): 3126050

36.00

Carriage (2 pcs) without Brake LR

POP Begin: 05-26-2025 POP End: 07-25-2025 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing

MANUFACTURER PART NUMBER (MPN): 3126012

36.00

Battery Charger, Likorall 200 US (24V/0.6 A)

POP Begin: 05-26-2025 POP End: 07-25-2025 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing

MANUFACTURER PART NUMBER (MPN): 3126133

36.00

Quick Reference Guide Likorall 242/243/250 , English/Spanish

POP Begin: 05-26-2025 POP End: 07-25-2025 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing

MANUFACTURER PART NUMBER (MPN): 3122100ENES

36.00

Hook for SlingBar

POP Begin: 05-26-2025 POP End: 07-25-2025 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing

MANUFACTURER PART NUMBER (MPN): 3126070

36.00

Parking Panel 600, LR/MR

POP Begin: 05-26-2025 POP End: 07-25-2025 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing

MANUFACTURER PART NUMBER (MPN): 3126075

36.00

Universal SlingBar 450 with Quick-release Hook™

POP Begin: 05-26-2025 POP End: 07-25-2025 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing

MANUFACTURER PART NUMBER (MPN): 3156085

44.00

Weight Limit Decal - Quantity of 1

POP Begin: 05-26-2025 POP End: 07-25-2025 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing

MANUFACTURER PART NUMBER (MPN): 31590013

6.00

Straight Rail H140, 3.4 m (134 in), white

POP Begin: 05-26-2025 POP End: 07-25-2025 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing

MANUFACTURER PART NUMBER (MPN): 31013434V

2.00

Traverse Rail Carrier, raised (4") / parallel / wide

POP Begin: 05-26-2025 POP End: 07-25-2025 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing

MANUFACTURER PART NUMBER (MPN): 3102556

108.00

Pendant, adjustable 500-900 mm (20-35 in), white

POP Begin: 05-26-2025 POP End: 07-25-2025 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing

MANUFACTURER PART NUMBER (MPN): 3102032

54.00

Pendant Cover Ø 45 mm (1.8 in.)

POP Begin: 05-26-2025 POP End: 07-25-2025 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing

MANUFACTURER PART NUMBER (MPN): 3102113

180.00

End Cover H140, white

POP Begin: 05-26-2025 POP End: 07-25-2025 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing

MANUFACTURER PART NUMBER (MPN): 3101057

132.00

End Stop Set

POP Begin: 05-26-2025 POP End: 07-25-2025 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing

MANUFACTURER PART NUMBER (MPN): 3101060

8.00

LikoGuard™ XL Lift Motor (800 lbs Max)

POP Begin: 05-26-2025 POP End: 07-25-2025 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing

MANUFACTURER PART NUMBER (MPN): 3301040

8.00

HandControl for LikoGuard™ - 2 Button

POP Begin: 05-26-2025 POP End: 07-25-2025 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing

MANUFACTURER PART NUMBER (MPN): 3306010

8.00

Carriage for LikoGuard™ - Standard

POP Begin: 05-26-2025 POP End: 07-25-2025 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing

MANUFACTURER PART NUMBER (MPN): 3307010

8.00

Wall Charger for LikoGuard™

POP Begin: 05-26-2025 POP End: 07-25-2025 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing

MANUFACTURER PART NUMBER (MPN): 3305040

8.00

SlingGuard™ Slingbar 450, with Quick-Release Hook

POP Begin: 05-26-2025 POP End: 07-25-2025 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing

MANUFACTURER PART NUMBER (MPN): 3308520

42.00

raverse Rail Carrier, raised (4") / standard

POP Begin: 05-26-2025 POP End: 07-25-2025 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing

MANUFACTURER PART NUMBER (MPN): 3102515

42.00

Straight Rail H140, 3.0 m (118 in), white

POP Begin: 05-26-2025 POP End: 07-25-2025 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing

MANUFACTURER PART NUMBER (MPN): 31013430V

44.00

Straight Rail H140, 4.4 m (173 in), white

POP Begin: 05-26-2025 POP End: 07-25-2025 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing

MANUFACTURER PART NUMBER (MPN): 31013444V

A.2 DELIVERY SCHEDULE

CLC Building Renovation - Phase 1 (C Side) 940 Belmont Street Brockton Brockton, MA 02301 5596

USA

774-826-3023 gregory.meyer2@va.gov

CLC Building Renovation - Phase 1 (C Side) 940 Belmont Street Brockton Brockton, MA 02301 5596

USA

CLC Building Renovation - Phase 1 (C Side) 940 Belmont Street Brockton Brockton, MA 02301 5596

USA

CLC Building Renovation - Phase 1 (C Side) 940 Belmont Street Brockton Brockton, MA 02301 5596

USA

CLC Building Renovation - Phase 1 (C Side) 940 Belmont Street Brockton Brockton, MA 02301 5596

USA

CLC Building Renovation - Phase 1 (C Side) 940 Belmont Street Brockton Brockton, MA 02301 5596

USA

CLC Building Renovation - Phase 1 (C Side) 940 Belmont Street Brockton Brockton, MA 02301 5596

USA

CLC Building Renovation - Phase 1 (C Side) 940 Belmont Street Brockton Brockton, MA 02301 5596

USA

CLC Building Renovation - Phase 1 (C Side) 940 Belmont Street Brockton Brockton, MA 02301 5596

USA

CLC Building Renovation - Phase 1 (C Side) 940 Belmont Street Brockton Brockton, MA 02301 5596

USA

CLC Building Renovation - Phase 1 (C Side) 940 Belmont Street Brockton Brockton, MA 02301 5596

USA

CLC Building Renovation - Phase 1 (C Side) 940 Belmont Street Brockton Brockton, MA 02301 5596

USA

CLC Building Renovation - Phase 1 (C Side) 940 Belmont Street Brockton Brockton, MA 02301 5596

USA

CLC Building Renovation - Phase 1 (C Side) 940 Belmont Street Brockton Brockton, MA 02301 5596

USA

CLC Building Renovation - Phase 1 (C Side) 940 Belmont Street Brockton Brockton, MA 02301 5596

USA

CLC Building Renovation - Phase 1 (C Side) 940 Belmont Street Brockton Brockton, MA 02301 5596

USA

CLC Building Renovation - Phase 1 (C Side) 940 Belmont Street Brockton Brockton, MA 02301 5596

USA

CLC Building Renovation - Phase 1 (C Side) 940 Belmont Street Brockton Brockton, MA 02301 5596

USA

CLC Building Renovation - Phase 1 (C Side) 940 Belmont Street Brockton Brockton, MA 02301 5596

USA

CLC Building Renovation - Phase 1 (C Side) 940 Belmont Street Brockton Brockton, MA 02301 5596

USA

CLC Building Renovation - Phase 1 (C Side) 940 Belmont Street Brockton Brockton, MA 02301 5596

USA

CLC Building Renovation - Phase 1 (C Side) 940 Belmont Street Brockton Brockton, MA 02301 5596

USA

CLC Building Renovation - Phase 1 (C Side) 940 Belmont Street Brockton Brockton, MA 02301 5596

USA

See attached document: Document A - Parts Summary.