36C24126Q0681 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)

08-18-2026 n/a

Department of Veterans Affairs VAMC Bedford

200 Springs Road Bedford MA 01730

36C518 Department of Veterans Affairs VAMC Bedford

200 Springs Road Bedford MA 01730 To all Offerors/Bidders

36C24126Q0681

X

X

** HOUR & DATE for Receipt of Offers is EXTENDED to: 09-09-2026 07:00 EDT See CONTINUATION Page

In accordance with section 11, the RFQ deadline is extended to September 9, 2026, at 7:00 AM EST.

An updated Statement of Work is attached, and starts on page 3.

Please reach out at your earliest convenience if you need to schedule a site visit before the extended close date.

Manases Cabrera Contracting Officer

CONTINUATION PAGE

A.1 PRICE/COST SCHEDULE

ITEM INFORMATION

8048-T PortaCount Model 8048-T; w/ Tablet Respirator Fit Tester Includes: Carry Case; AC Adapter with Universal Plug Set; 8026 Particle Generator (115 VAC); Alcohol Cartridge; Alcohol Fill Capsule; Storage Cap; (2) Zero Check Filters; 3/16" and 1/4" Hose Adapters; (2) Spare Alcohol Wicks; (100) Sampling Probes; (100) Lock Washers;Probe Insertion Tool; Neck Strap; 8016 Alcohol Supply containing (16) 30mL Bottles of Reagent Grade Isopropyl Alcohol; FitPro Ultra Fit Test Software; Microsoftr Surface Gor Tablet; WiFi USB Adapter; USB-A & USB-C Cable; and 2-Year Warranty THIS WILL NEED TO BE TAGGED BY NX BEFORE LEAVING THE WAREHOUSE.

Contract Period: Base POP Begin: 09-21-2026 POP End: 11-20-2026 PRINCIPAL NAICS CODE: 334510 - Electromedical and Electrotherapeutic Apparatus Manufacturing PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

MANUFACTURER PART NUMBER (MPN): 8048-T

NATIONAL STOCK NUMBER: 8048-T

LOCAL STOCK NUMBER: 8048-T

A.2 DELIVERY SCHEDULE

421 North Main Street b16 tag items Leeds, MA 01053 9764

USA

413-377-8385 rick.rumplik@va.gov

Items added to Statement of work.

Under 2. Scope of Work:

· Information and data from the respirator fit-tester must be able to communicate with information and data from previous quantitative fit-tests conducted on the TSI Porta-Count Pro+ 8038 that is at end of life. Information and data must be compatible with the TSI Porta-Count 8048.

· Software in respirator fit tester must be VA TRM pre-approved and be able to link to the VA computer.

Edward P. Boland

STATEMENT OF WORK

Porta Count

A. GENERAL INFORMATION

1. Title of Project: Quantitative Fit Testing Equipment

2. Scope of Work: VA Central Western MA is seeking two quantitative fit testing devices to be used to ensure compliance with the annual fit testing requirements outlined in 29 CFR 1910.134. The quantitative respirator fit-tester shall include a fit-testing protocol with exercises and exercise procedures that shall be in compliance with OSHA and ANSI for tight-fitting respirators.

The quantitative respirator fit-tester at a minimum must be capable of fit-testing the following respirators:

· Full-face elastomeric

· Half-face elastomeric

· NIOSH series-100 filtering-facepiece

· NIOSH series-99 filtering-facepiece

· NIOSH series-95 filtering-facepiece, including disposable N95 respirators

· Series FFP1, FFP2, FFP3 respirators The respiratof fit tester must be capable of providing immediate feedback on respirator fit by measuring partical concentrations indis and outside of the mask during various exercises, allowing for real-time measurement.

The respirator fit-tester must have a maximum fit factor of 10,000; and a maximum fit factor of 200 for disposable N95 respirators.

The respirator fit-tester shall complete the test in 2-5 minutes. N95 respirators should be able to be fit tested in less than 3 minutes using this device.

The respirator fit-tester must have an on board touch screen and the option to connect to an external tablet or laptop. The respirator fit-tester should have its own internal memory capability for the storage of conducted tests.

Information and data from the respirator fit-tester must be able to communicate with information and data from previous quantitative fit-tests conducted on the TSI Porta-Count Pro+ 8038 that is at end of life. Information and data must be compatible with the TSI Porta-Count 8048.

Software in respirator fit-tester must be VA TRM pre-approved, and be able to link to the VA computer.

The respirator fit-tester needs to be capable of storing fit-test results. Fit test results should identify the name of the person tested, fit test date, respirator type, and a pass or fail result.

The respirator fit-tester needs to be portable for transport to different workplace locations within a hospital as well as to off-site patient clinics and other locations, with a weight limit of 8 pounds for the unit and 16 pounds for the unit and accessories is required.

Mask sampling adapter kits enabling fit testing of an employee’s personal respirator need to be available.

The respirator fit-tester needs to have the capability to train new users and to troubleshoot failed fit tests. Training can be done via access to on-line videos.

3. Background: The Medical Center currently uses two Portacount Pro+ 8038 fit testing devices to conduct fit testing at the Medical Center. These products that have reached their end of service life. The manufacturer discontinued these devices in December 2022.

4. Performance Period: Within 30 days

5. Type of Contract: Firm-Fixed-Price (Equipment Purchase)

B. SPECIFIC MANDATORY TASKS AND ASSOCIATED DELIVERABLES

Description of Tasks and Associated Deliverables: The contractor shall provide the specific deliverables described below within the performance period stated in Section A.4 of this SOW

Task One: Equipment

Deliverable One: Two PortaCount Model 8048-T; w/ Tablet (each unit includes: Carry Case; AC Adapter with Universal Plug Set; 8026 Particle Generator (115 VAC); Alcohol Cartridge;Alcohol Fill Capsule; Storage Cap; (2) Zero Check Filters; 3/16" and 1/4" Hose Adapters; (2) Spare Alcohol Wicks; (100) Sampling Probes; (100) Lock Washers; Probe Insertion Tool; Neck Strap; 8016 Alcohol Supply containing (16) 30mL Bottles of Reagent Grade Isopropyl Alcohol; FitPro Ultra Fit TestSoftware; Microsoft® Surface Go® Tablet; WiFi USB Adapter;USB-A & USB-C Cable; and 2-Year Warranty)

C. CHANGES TO STATEMENT OF WORK

Any changes to this SOW shall be authorized and approved only through written correspondence from the CO. A copy of each change will be kept in a project folder along with all other products of the project. Costs incurred by the contractor through the actions of parties other than the CO shall be borne by the contractor.

D. ELECTRONIC AND INFORMATION TECHNOLOGY STANDARDS

· Internet/Intranet

Attachment A Deliverable No.

One Item

PortaCount Model 8048-T; w/ Tablet (includes: Carry Case; AC Adapter with Universal Plug Set;

8026 Particle Generator (115 VAC); Alcohol Cartridge; Alcohol Fill Capsule; Storage Cap; (2) Zero Check Filters; 3/16" and 1/4" Hose Adapters; (2) Spare Alcohol Wicks; (100) Sampling Probes; (100) Lock Washers; Probe Insertion Tool; Neck Strap; 8016 Alcohol Supply containing (16) 30mL Bottles of Reagent Grade Isopropyl Alcohol; FitPro Ultra Fit Test Software; Microsoft® Surface Go® Tablet; WiFi USB Adapter; USB-A & USB-C Cable; and 2-Year Warranty) Quantity

Delivery Date

Within 30 calendar days after award

Schedule of Deliverables