36C24419Q0236-0002000.docx
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- Solicitation number
- 36C24419Q0236
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36C24419Q0236 0002 36C24419Q0236 0002.docx
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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) 01-29-2019 642-19-1-449-0004 00244 Department of Veterans Affairs Network Contracting Office 4
00244 Department of Veterans Affairs Network Contracting Office 4
To all Offerors/Bidders
36C24419Q0236 01-29-2019
X x x ** HOUR & DATE for Receipt of Offers is EXTENDED to:
February 1, 2019 at 12 noon Eastern x
This amendment to the RFQ (see block 9a) provides the following information:
1. CLIN 003, 1003, 2003, 3003, 4003 has been updated to include additional language updated wording to this CLIN: PET/CT Annual Performance Evaluation Inspection for 'PET, and PET-CT fused' image quality
2. The closing date and time has been extended to now be on: Friday, February 1, 2019 at 12 noon Eastern
Base Year Period of Performance:
February 2019 thru February 2020
PRICE/COST SCHEDULE | ITEM INFORMATION
| ITEM NO. |
| DESCRIPTION of SERVICES |
| QTY |
UNIT
| UNIT PRICE |
| Total Amount |
| 0001 |
| Annual Performance Evaluation Inspection of MRI scanner |
| 2 |
| JOB |
| $ |
| $ |
| 0002 |
| CT Annual Performance Inspection testing to determine compliance with VA and vendor performance specifications, with ACR-AAPM and Joint Commission performance, dose and image quality standards |
| 3 |
| JOB |
| $ |
| $ |
| 0003 |
| PET/CT Annual Performance Evaluation Inspection for PET, and PET-CT fused image quality and dose evaluation and compliance with VA , vendor specifications, ACR-AAPM and Joint Commission performance, CT dose and image quality standards |
| 1 |
| JOB |
| $ |
| $ |
| 0004 |
| Bi-Annual Gamma Camera performance testing of SPECT devices |
| 8 |
| JOB |
| $ |
| $ |
| 0005 |
| Bi-Annual Gamma Camera performance testing of non-SPECT devices. |
| 2 |
| JOB |
| $ |
| $ |
| 0006 |
| SPECT Acceptance testing performed according to VA and vendor specifications, SNM and NEMA standards. |
| 2 |
| JOB |
| $ |
| $ |
| 0007 |
| SPECT-CT Acceptance Testing performed to determine compliance with VA and Vendor performance specifications, ACR-AAPM and Joint Commission performance, CT dose and image quality standards |
| 2 |
| JOB |
| $ |
| $ |
| 0008 |
| CT performance testing inspection following a CT tube replacement for compliance with VA , vendor specifications, ACR-AAPM and Joint Commission performance, dose and image quality standards |
| 3 |
| JOB |
| $ |
| $ |
| 0009 |
| Performance Testing of Gamma Camera after device has been relocated. Testing to be comparable to acceptance testing |
| 1 |
| JOB |
| $ |
| $ |
| 0010 |
| Performance Testing of SPECT Gamma Camera after device has been relocated. . Testing to be comparable to acceptance testing |
JOB
| $ |
| $ |
Base year period TOTAL:
| $ |
| $ |
1st Option Year Period of Performance:
February 2020 thru February 2021
PRICE/COST SCHEDULE | ITEM INFORMATION
| ITEM NO. |
| DESCRIPTION of SERVICES |
| QTY |
UNIT
| UNIT PRICE |
| Total Amount |
| 1001 |
| Annual Performance Evaluation Inspection of MRI scanner |
| 2 |
| JOB |
| $ |
| $ |
| 1002 |
| CT Annual Performance Inspection testing to determine compliance with VA and vendor performance specifications, with ACR-AAPM and Joint Commission performance, dose and image quality standards |
| 3 |
| JOB |
| $ |
| $ |
| 1003 |
| PET/CT Annual Performance Evaluation Inspection for PET and PET-CT fused image quality and dose evaluation and compliance with VA , vendor specifications, ACR-AAPM and Joint Commission performance, CT dose and image quality standards |
| 1 |
| JOB |
| $ |
| $ |
| 1004 |
| Bi-Annual Gamma Camera performance testing of SPECT devices |
| 8 |
| JOB |
| $ |
| $ |
| 1005 |
| Bi-Annual Gamma Camera performance testing of non-SPECT devices. |
| 2 |
| JOB |
| $ |
| $ |
| 1006 |
| SPECT Acceptance testing performed according to VA and vendor specifications. |
| 2 |
| JOB |
| $ |
| $ |
| 1007 |
| SPECT-CT Acceptance Testing performed to determine compliance with VA and Vendor performance specifications, ACR-AAPM and Joint Commission performance, CT dose and image quality standards |
| 2 |
| JOB |
| $ |
| $ |
| 1008 |
| CT performance testing inspection following a CT tube replacement for compliance with VA , vendor specifications, ACR-AAPM and Joint Commission performance, dose and image quality standards |
| 3 |
| JOB |
| $ |
| $ |
| 1009 |
| Performance Testing of Gamma Camera after device has been relocated. Testing to be comparable to acceptance testing |
| 1 |
| JOB |
| $ |
| $ |
| 1010 |
| Performance Testing of SPECT Gamma Camera after device has been relocated. . Testing to be comparable to acceptance testing |
JOB
| $ |
| $ |
Option year #1 period TOTAL:
| $ |
| $ |
2nd Option Year Period of Performance:
February 2021 thru February 2022
PRICE/COST SCHEDULE | ITEM INFORMATION
| ITEM NO. |
| DESCRIPTION of SERVICES |
| QTY |
UNIT
| UNIT PRICE |
| Total Amount |
| 2001 |
| Annual Performance Evaluation Inspection of MRI scanner |
| 2 |
| JOB |
| $ |
| $ |
| 2002 |
| CT Annual Performance Inspection testing to determine compliance with VA and vendor performance specifications, with ACR-AAPM and Joint Commission performance, dose and image quality standards |
| 3 |
| JOB |
| $ |
| $ |
| 2003 |
| PET/CT Annual Performance Evaluation Inspection for PET and PET-CT fused image quality and dose evaluation and compliance with VA , vendor specifications, ACR-AAPM and Joint Commission performance, CT dose and image quality standards |
| 1 |
| JOB |
| $ |
| $ |
| 2004 |
| Bi-Annual Gamma Camera performance testing of SPECT devices |
| 8 |
| JOB |
| $ |
| $ |
| 2005 |
| Bi-Annual Gamma Camera performance testing of non-SPECT devices. |
| 2 |
| JOB |
| $ |
| $ |
| 2006 |
| SPECT Acceptance testing performed according to VA and vendor specifications. |
| 2 |
| JOB |
| $ |
| $ |
| 2007 |
| SPECT-CT Acceptance Testing performed to determine compliance with VA and Vendor performance specifications, ACR-AAPM and Joint Commission performance, CT dose and image quality standards |
| 2 |
| JOB |
| $ |
| $ |
| 2008 |
| CT performance testing inspection following a CT tube replacement for compliance with VA , vendor specifications, ACR-AAPM and Joint Commission performance, dose and image quality standards |
| 3 |
| JOB |
| $ |
| $ |
| 2009 |
| Performance Testing of Gamma Camera after device has been relocated. Testing to be comparable to acceptance testing |
| 1 |
| JOB |
| $ |
| $ |
| 2010 |
| Performance Testing of SPECT Gamma Camera after device has been relocated. . Testing to be comparable to acceptance testing |
JOB
| $ |
| $ |
Option year #2 period TOTAL:
| $ |
| $ |
3rd Option Year Period of Performance:
February 2022 thru February 2023
PRICE/COST SCHEDULE | ITEM INFORMATION
| ITEM NO. |
| DESCRIPTION of SERVICES |
| QTY |
UNIT
| UNIT PRICE |
| Total Amount |
| 3001 |
| Annual Performance Evaluation Inspection of MRI scanner |
| 2 |
| JOB |
| $ |
| $ |
| 3002 |
| CT Annual Performance Inspection testing to determine compliance with VA and vendor performance specifications, with ACR-AAPM and Joint Commission performance, dose and image quality standards |
| 3 |
| JOB |
| $ |
| $ |
| 3003 |
| PET/CT Annual Performance Evaluation Inspection for PET and PET-CT fused image quality and dose evaluation and compliance with VA , vendor specifications, ACR-AAPM and Joint Commission performance, CT dose and image quality standards |
| 1 |
| JOB |
| $ |
| $ |
| 3004 |
| Bi-Annual Gamma Camera performance testing of SPECT devices |
| 8 |
| JOB |
| $ |
| $ |
| 3005 |
| Bi-Annual Gamma Camera performance testing of non-SPECT devices. |
| 2 |
| JOB |
| $ |
| $ |
| 3006 |
| SPECT Acceptance testing performed according to VA and vendor specifications. |
| 2 |
| JOB |
| $ |
| $ |
| 3007 |
| SPECT-CT Acceptance Testing performed to determine compliance with VA and Vendor performance specifications, ACR-AAPM and Joint Commission performance, CT dose and image quality standards |
| 2 |
| JOB |
| $ |
| $ |
| 3008 |
| CT performance testing inspection following a CT tube replacement for compliance with VA , vendor specifications, ACR-AAPM and Joint Commission performance, dose and image quality standards |
| 3 |
| JOB |
| $ |
| $ |
| 3009 |
| Performance Testing of Gamma Camera after device has been relocated. Testing to be comparable to acceptance testing |
| 1 |
| JOB |
| $ |
| $ |
| 3010 |
| Performance Testing of SPECT Gamma Camera after device has been relocated. . Testing to be comparable to acceptance testing |
JOB
| $ |
| $ |
Option year #3 period TOTAL:
| $ |
| $ |
4th Option Year Period of Performance:
February 2023 thru February 2024
PRICE/COST SCHEDULE | ITEM INFORMATION
| ITEM NO. |
| DESCRIPTION of SERVICES |
| QTY |
UNIT
| UNIT PRICE |
| Total Amount |
| 4001 |
| Annual Performance Evaluation Inspection of MRI scanner |
| 2 |
| JOB |
| $ |
| $ |
| 4002 |
| CT Annual Performance Inspection testing to determine compliance with VA and vendor performance specifications, with ACR-AAPM and Joint Commission performance, dose and image quality standards |
| 3 |
| JOB |
| $ |
| $ |
| 4003 |
| PET/CT Annual Performance Evaluation Inspection for PET and PET-CT fused image quality and dose evaluation and compliance with VA , vendor specifications, ACR-AAPM and Joint Commission performance, CT dose and image quality standards |
| 1 |
| JOB |
| $ |
| $ |
| 4004 |
| Bi-Annual Gamma Camera performance testing of SPECT devices |
| 8 |
| JOB |
| $ |
| $ |
| 4005 |
| Bi-Annual Gamma Camera performance testing of non-SPECT devices. |
| 2 |
| JOB |
| $ |
| $ |
| 4006 |
| SPECT Acceptance testing performed according to VA and vendor specifications. |
| 2 |
| JOB |
| $ |
| $ |
| 4007 |
| SPECT-CT Acceptance Testing performed to determine compliance with VA and Vendor performance specifications, ACR-AAPM and Joint Commission performance, CT dose and image quality standards |
| 2 |
| JOB |
| $ |
| $ |
| 4008 |
| CT performance testing inspection following a CT tube replacement for compliance with VA , vendor specifications, ACR-AAPM and Joint Commission performance, dose and image quality standards |
| 3 |
| JOB |
| $ |
| $ |
| 4009 |
| Performance Testing of Gamma Camera after device has been relocated. Testing to be comparable to acceptance testing |
| 1 |
| JOB |
| $ |
| $ |
| 4010 |
| Performance Testing of SPECT Gamma Camera after device has been relocated. . Testing to be comparable to acceptance testing |
JOB
| $ |
| $ |
Option year #4 period TOTAL:
| $ |
| $ |
Total Contract Value:
Base year; plus 4 option years
End of Document
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