S06_ 36C24125Q0365 0004.pdf

PDF 277 KB Posted Jun 5, 2025

Attached to: 6530--Liko Patient Lifts
Solicitation number: 36C24125Q0365
Issued by: Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 1

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Written by GovTribe AI · Jun 5, 2025

This document is a Standard Form 30 (Amendment of Solicitation/Modification of Contract) for Solicitation Number 36C24125Q0365, issued by the Department of Veterans Affairs Network Contracting Office 1. The amendment extends the response due date to 06/12/2025 at 10:00 AM EDT and updates the Price/Cost Schedule and Sole Source Justification Documentation.

The solicitation is for Hill-Rom Liko Lift Systems to be installed in patient bedrooms at the Brockton VA Medical Center. The delivery schedule shows 28 line items of various lift system components, including end covers, sling bars, lift motors, pendants, rails, and other accessories, all to be delivered to the Brockton VA Medical Center on 07/30/2025. The items are categorized under NAICS Code 339113 for Surgical Appliance and Supplies Manufacturing, with Product/Service Code 6530 for Hospital Furniture, Equipment, Utensils, and Supplies. The contract period is from 06/16/2025 to 09/15/2025, focusing on the CLC Building Renovation - Phase 1 (C Side).

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Other files

File	Type	Posted
P03_ SIngle Source Justification AP-3099 V3 CD.pdf	PDF	Jun 5, 2025
S06_ 36C24125Q0365 0003.pdf	PDF	May 29, 2025
S06_ 36C24125Q0365 0002.docx	DOCX document	May 13, 2025
P03_ Sole Source Justification Redacted 36C24125Q0365.pdf	PDF	May 12, 2025
36C24125Q0365 0001.docx	DOCX document	May 9, 2025
36C24125Q0365.docx	DOCX document	May 7, 2025
Document A - Parts Summary.pdf	PDF	May 7, 2025

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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)

1 16

0004 06-05-2025

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 X

** HOUR & DATE for Receipt of Offers is EXTENDED to: 06-12-2025 10AM EDT

See CONTINUATION Page

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

1. The response due date has been extended to 06/12/2025 at 10AM.

2. Updated item information in the Price/Cost Schedule herein.

3. Updated Sole Source Justification Documentation.

Except as herein modified all other solicitation terms and conditions remain unchanged.

CONTRACTING OFFICER

CONTINUATION PAGE

A.1 PRICE/COST SCHEDULE

ITEM INFORMATION

ITEM

NUMBER

DESCRIPTION OF

SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

180.00

End Cover H140, white

Contract Period: Base POP Begin: 06-16-2025 POP End: 09-15-2025 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing PRODUCT/SERVICE CODE: 6530 - Hospital Furniture, Equipment, Utensils, and Supplies

MANUFACTURER PART NUMBER (MPN): 3101057

16.00

End Cover H160, white

132.00

End Stop Set

68.00

Assembly Parts for Slimline Upright Support

Contract Period: Base POP Begin: 06-16-2025 POP End: 09-15-2025 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies

Manufacturing PRODUCT/SERVICE CODE: 6530 - Hospital Furniture, Equipment, MANUFACTURER PART NUMBER (MPN): 3101661

108.00

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

54.00

Pendant Cover Ø 45 mm (1.8 in.)

42.00

Traverse Rail Carrier, raised (4") / standard

2.00

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

36.00

Carriage (2 pcs) without Brake LR Contract Period: Base POP Begin: 06-16-2025 POP End: 09-15-2025 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing PRODUCT/SERVICE CODE: 6530 - Hospital Furniture, Equipment, MANUFACTURER PART NUMBER (MPN): 3126012

HandControl LR S, ES, 2 buttons

Hook for SlingBar

Parking Panel 600, LR/MR

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

Contract Period: Base POP Begin: 06-16-2025 POP End: 09-15-2025 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies

MANUFACTURER PART NUMBER (MPN): 3126133

Universal SlingBar 450 with Quick-release Hook™

8.00

LikoGuard™ XL Lift Motor (800 lbs Max)

Wall Charger for LikoGuard™

HandControl for LikoGuard™ - 2 Button

Carriage for LikoGuard™ - Standard

POP Begin: 06-16-2025 POP End: 09-15-2025 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing PRODUCT/SERVICE CODE: 6530 - Hospital Furniture, Equipment, MANUFACTURER PART NUMBER (MPN): 3307010

SlingGuard™ Slingbar 450, with Quick-Release Hook

Slimline Upright Support, 3.0 m (118 in), white

44.00

Weight Limit Decal - Quantity of 1

42.00

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

Contract Period: Base POP Begin: 06-16-2025 POP End: 09-15-2025 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies

MANUFACTURER PART NUMBER (MPN): 31013430V

6.00

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

44.00

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

Assembly Parts for Suspended Rail System, incl. Bayonet Rail 1.0 m

(39 in), white. Fits rails H140, H160, H180.

40.00

Straight Rail H160, 5.6 m (220 in), white

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

Likorall 250 ES, white (includes Lift Motor w/Quick-Release

Connection for Slingbar) Contract Period: Base POP Begin: 06-16-2025 POP End: 09-15-2025 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing PRODUCT/SERVICE CODE: 6530 - Hospital Furniture, Equipment, MANUFACTURER PART NUMBER (MPN): 3122502NA

GRAND TOTAL __________________

A.2 DELIVERY SCHEDULE

ITEM

NUMBER SHIPPING INFORMATION QUANTITY DELIVERY DATE

0001 SHIP TO: Brockton VA Medical Center CLC Building Renovation - Phase 1 (C Side) 940 Belmont Street Brockton Brockton, MA 02301 5596

USA

180.00 07/30/2025

MARK FOR: Gregory Meyer 774-826-3023 gregory.meyer2@va.gov

FOB: DESTINATION

0002 SHIP TO: Brockton VA Medical Center CLC Building Renovation - Phase 1 (C Side) 940 Belmont Street Brockton

16.00 07/30/2025

0003 SHIP TO: Brockton VA Medical Center