36C24419Q0673-0001000.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 ADM

INISTRATIVE 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 d ate 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 3

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) 05-29-2019 460-19-3-3384-0093 None 00244 Department of Veterans Affairs Network Contracting Office 4

00244 Department of Veterans Affairs Network Contracting Office 4

To all Offerors/Bidders

36C24419Q0673 05-29-2019

X X X

Blue Light Endoscope

The purpose of this amendment is to update the schedule.

See Attached Scedule of Items

ITEM INFORMATION

SCHEDULE

HOPKINS II 30° PDD TELESCOPE WITH

ENLARGED VIEW, 4MM X 30CM, AUTOCLAVABLE

* Manufacturer's Warranty - 3 years

EA

HOPKINS II 70° PDD TELESCOPE WITH

ENLARGED VIEW, 4MM X 30CM, AUTOCLAVABLE

* Manufacturer's Warranty - 3 years

TRADE PROMO-27026CA 20FR CYSTO

URETHROSCOPE SHEATH AND OBTURATOR

The kit part number is composed of the following products:

27026CAK 20FR CYSTO-URETHROSCOPE SHEATH WITH

27026CO OBTURATOR, 27026CA SHEATH

* Manufacturer's Warranty - 1 year

TRADE PROMO-RIGID CYSTO ACCESSORIES

27028C 20FR VISUAL OBTURATOR F/27026DA

The kit part number is composed of the following products:

27028C 20FR VISUAL OBTURATOR ONLY FOR 27026C/CB

AND 27027C CYSTO-URETHROSCOPE SHEATHS

TRADE PROMO-27025GA BRIDGE W/1

CURVED INSTRUMENT CHANNEL, 17-25FR

The kit part number is composed of the following products:

27025GA TELESCOPE BRIDGE WITH 1 CURVED

INSTRUMENT CHANNEL

TRADE PROMO, 27026EG,DEFLECTOR, CATHETER

W/DBL INSTRUMENT CHANNELS,W/O RATCHET

The kit part number is composed of the following products:

27026EG CATHETER DEFLECTING MECHANISM WITH 2

INSTRUMENT CHANNELS, WITHOUT RATCHET

TRADE PROMO-27040EB BIPOLAR WORKING

ELEMENT, SPRING ACTION

The kit part number is composed of the following products:

27040EB BIPOLAR WORKING ELEMENT ONLY WITH SPRING

ACTION AND MOVABLE THUMB SUPPORT

TRADE PROMO-27050SL 26FR CONT FLOW

RESECTOSCOPE,OBLIQUE,ROTATING INNER TUBE

The kit part number is composed of the following products:

27050SLK 26FR CONTINUOUS FLOW RESECTOSCOPE SHEATH

W/OBLIQUE BEAK AND ROTATABLE INNER TUBE

TRADE PROMO-27050BE ESHGI VISUAL

OBTURATOR, 24/26FR

The kit part number is composed of the following products:

27050BE ESHGI VISUAL OBTURATOR FOR 24/26FR

SHEATHS

CONNECTOR WITH TUBE AND LOCKING DEVICE

FOR 27224 ELLIK EVACUATOR

COMBINED CYSTO/RESECTION STERILIZATION

TRAY: 20.5" X 9.5" X 5"

The kit part number is composed of the following products:

39312E TRAY, COMBINED CYSTO & RESECTION S

DM: 20.5" X 9.5" X 5"

TRICAM SLII CCU FOR RIGID PDD ONLY

INCLUDES KEYBOARD

* Manufacturer's Warranty - 2 years

TRICAM PDD PENDULUM CAMERA HEAD,

NTSC,CE

FLUID LIGHT CABLE, 2MM X 220CM (7.2')

The kit part number is composed of the following products:

495FS FLUID LIGHT CABLE, 2MM X 220CM (7.2')

PDD FLEX VIDEO CYSTOSCOPE, 16FR X 37CM

CHNL:6.5FR, REV DEFLECTION:210ºU/140ºD

UPGRADE PROMO IMAGE1 S CONNECT W/X LINK

FOR HIGH DEFINITION IMAGE 1 CCU

The kit part number is composed of the following products:

TC200US IMAGE1 S CONNECT, CONNECT MODULE

* Manufacturer's Warranty - 2 years

20040240US SILICONE KEYBOARD WITH US CHARACTERS

FOR USE WITH IMAGES1 S AND TELE PACK X

* Manufacturer's Warranty - 1 year

TC301US IMAGE1 S X-LINK, LINK MODULE

FOR FLEX VIDEOENDOSCOPES, D1, HX, HX-P

* Manufacturer's Warranty - 2 years

TC009 ADAPTER, USB TO ACC FOR AIDA CONTROL

INCLUDES ACCESSORY CABLES

KARL STORZ D-LIGHT C HIGH POWER LIGHT

UNIT F/PDD, WITH 300 WATT XENON BULB

ENDOMAT LC, SUCTION PUMP ONLY,DR

WITH SCB MODULE

Based on availability

* Manufacturer's Warranty - 90 days

9805T-20-UG

OFFICE CART,T-POST,KEYBOARD TRAY,IV POLE

1 SHELF, 5" DRAWER AND TRANSFORMER

9805T-20-UG

Please order 400A, 8 ft power cable for CCU.

Cart ships separately via ground with estimated lead time of 2-3 days. Please contact sales representative for estimated shipping fee.

The kit part number is composed of the following products:

9805T-20 OFFICE CART,T-POST,KEYBOARD TRAY,IV POLE

1 SHELF, 5" DRAWER AND TRANSFORMER

TELECAM SL II FI SCB CCU F/FLEXIBLE PDD

ONLY, NTSC, CE, INCLUDES KEYBOARD

19" RADIANCE FLAT PANEL DISPLAY

The kit part number is composed of the following products:

9419A 19" RADIANCE FLAT PANEL DISPLAY

GRAND TOTAL

End of Document