36C24423Q0217 0001.docx
DOCX document 34 KB Posted
- Solicitation number
- 36C24423Q0217
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| File | Type | Posted |
|---|---|---|
| 36C24423Q0217.docx | DOCX document | |
| Attachment 1 Single Source Justification MPT to SAT_Redacted.pdf | ||
| Attach 02B Price Cost Schedule--.xlsx | XLSX spreadsheet |
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Text version
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 NUMBERE
D 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 amendmen t, 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) 12-16-2022 693-23-1-711-0001 None 00244 Department of Veterans Affairs Network Contracting Office 4 100 S. Independence Mall West 5th FL Philadelphia PA 19106 00244 Department of Veterans Affairs Network Contracting Office 4
To all Offerors/Bidders
36C24423Q0217 12-16-2022
X
See CONTINUATION Page X The purpose of this Modification is to change Line Items 12, 13, 19 Part Numbers.
Line item 12 DATA LOG GETING GI STERILIZER Part No. changed from DCY24 to TDCY24 Line Item 13 PROCESS DATA EXPORT MODULE Part No. changed from 1837.47 to TDCY32.
Line item 19 DISPOSAL P ER PIECE 1 Part No. changed from ZSUSDISPOSAL 1 PC to ZSUSDISPOSAL-1PC There are no other changes to the terms and conditions of this purchase order as a result of this modification.
Allan Tabliago Contracting Officer
CONTINUATION PAGE
A.1 PRICE/COST SCHEDULE
ITEM INFORMATION
| ITEM NUMBER |
| DESCRIPTION OF SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
| 1.00 |
| EA |
| __________________ |
| __________________ |
STEAM STERILIZER PART NUMBER 602845770 GSS67N 51 INCH VACUUM SINGLE DOOR STERILIZER 208V LEFT SIDE SERVICE HIGH CAPACITY STEAM STERILIZER PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies
MANUFACTURER PART NUMBER (MPN): 6028457770
LOCAL STOCK NUMBER: 6028457770
| 1.00 |
| EA |
| __________________ |
| __________________ |
STEAM STERILIZER PART NUMBER 602845770 GSS67N 51 INCH VACUUM SINGLE DOOR STERILIZER 208V LEFT SIDE SERVICE HIGH CAPACITY STEAM STERILIZER
PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies
MANUFACTURER PART NUMBER (MPN): 6028457770
LOCAL STOCK NUMBER: 6028457770
| 2.00 |
| EA |
| __________________ |
| __________________ |
RAILS FOR SHELF RACK 66/67X13
PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies
MANUFACTURER PART NUMBER (MPN): 564600470
LOCAL STOCK NUMBER: 564600470
| 3.00 |
| EA |
| __________________ |
| __________________ |
SHELF RACK 67X13
PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies
MANUFACTURER PART NUMBER (MPN): 564603470
LOCAL STOCK NUMBER: 564603470
| 6.00 |
| EA |
| __________________ |
| __________________ |
PAIR OF SHELVES 67X13
PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies
MANUFACTURER PART NUMBER (MPN): 564604470
LOCAL STOCK NUMBER: 564604470
| 3.00 |
| EA |
| __________________ |
| __________________ |
LOADING TROLLEY SMART FHT 67X13
PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies
MANUFACTURER PART NUMBER (MPN): 6020720674
LOCAL STOCK NUMBER: 6020720674
| 2.00 |
| EA |
| __________________ |
| __________________ |
CPRSR,AIR, 2.0HP, 5.0CFM,AT
PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies
MANUFACTURER PART NUMBER (MPN): P0010301
LOCAL STOCK NUMBER: P0010301
| 2.00 |
| EA |
| __________________ |
| __________________ |
VALVE DRAIN, 25 NPT, 25 AMP
PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies
MANUFACTURER PART NUMBER (MPN): P0010302
LOCAL STOCK NUMBER: P0010302
| 2.00 |
| EA |
| __________________ |
| __________________ |
GETINGE ONLINE SUBSCRIPTION
PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies
MANUFACTURER PART NUMBER (MPN): ZSRSONLINEPREM10
LOCAL STOCK NUMBER: ZSRSONLINEPREM10
| 2.00 |
| EA |
| __________________ |
| __________________ |
GETING ONLINE INSTALLATION 1-30 UNITS
PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies
MANUFACTURER PART NUMBER (MPN): ZSUSONLINEINST10
LOCAL STOCK NUMBER: ZSUSONLINEINST10
| 2.00 |
| EA |
| __________________ |
| __________________ |
UTILITY CONNECTION PACKAGE .75
PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies
MANUFACTURER PART NUMBER (MPN): CONNKIT0002
LOCAL STOCK NUMBER: CONNKIT0002
| 2.00 |
| EA |
| __________________ |
| __________________ |
DATA LOG GETING GI STERILIZER
PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies
MANUFACTURER PART NUMBER (MPN): TDCY24
LOCAL STOCK NUMBER: TDCY24
| 2.00 |
| EA |
| __________________ |
| __________________ |
PROCESS DATA EXPORT MODULE
PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies
MANUFACTURER PART NUMBER (MPN): TDCY32
LOCAL STOCK NUMBER: TDCY32
| 2.00 |
| EA |
| __________________ |
| __________________ |
T-DOC INSTALLATION PER HOUR
PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies
MANUFACTURER PART NUMBER (MPN): ZSUSTDOCINSTALL
LOCAL STOCK NUMBER: ZSUSTDOCINSTALL
| 2.00 |
| EA |
| __________________ |
| __________________ |
T-DOC INSTALLATION PER HOUR EXLUDING EXPENSES
PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies
MANUFACTURER PART NUMBER (MPN): ZSUSTDOCINSTALL
LOCAL STOCK NUMBER: ZSUSTDOCINSTALL
| 2.00 |
| EA |
| __________________ |
| __________________ |
NETCOM INSTALLATION 3 HOURS
PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies
MANUFACTURER PART NUMBER (MPN): ZSUSLUA-I-NETCOM
LOCAL STOCK NUMBER: ZSUSLUA-I-NETCOM
| 2.00 |
| EA |
| __________________ |
| __________________ |
T-DOC PLUS SLA DL
PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies
MANUFACTURER PART NUMBER (MPN): J60016
LOCAL STOCK NUMBER: J60016
| 2.00 |
| EA |
| __________________ |
| __________________ |
INSTALL/REMOVE GSS67 STERILIZER
PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies
MANUFACTURER PART NUMBER (MPN): ZSUS15626-IR-GSS67
LOCAL STOCK NUMBER: ZSUS15626-IR-GSS67
| 2.00 |
| EA |
| __________________ |
| __________________ |
DISPOSAL PER PIECE 1
PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies
MANUFACTURER PART NUMBER (MPN): ZSUSDISPOSAL-1PC
LOCAL STOCK NUMBER: ZSUSDISPOSAL-1PC
| 2.00 |
| EA |
| __________________ |
| __________________ |
FINAL CONNECTIONS LEVEL 1
PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies
MANUFACTURER PART NUMBER (MPN): ZSUSFINAL-CONN-LVI
LOCAL STOCK NUMBER: ZSUSFINAL-CONN-LVI
| 2.00 |
| EA |
| __________________ |
| __________________ |
WEEKEND/AFTERNOURS PER PIECE
PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies
MANUFACTURER PART NUMBER (MPN): ZSUSINSTAL-WKD-XHR
LOCAL STOCK NUMBER: ZSUSINSTAL-WKD-XHR
| 2.00 |
| EA |
| __________________ |
| __________________ |
CUSTOM TRIM 1 MAX 5IN TRIM 20 FEET MAX
PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies
MANUFACTURER PART NUMBER (MPN): ZSUS-CTRIM-1-20
LOCAL STOCK NUMBER: ZSUS-CTRIM-1-20
| 2.00 |
| EA |
| __________________ |
| __________________ |
CUSTOM TRIM 1 MAX 5IN TRIM 20 FEET MAX
PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies
MANUFACTURER PART NUMBER (MPN): ZSUS-CTRIM-1-20
LOCAL STOCK NUMBER: ZSUS-CTRIM-1-20
| GRAND TOTAL |
| __________________ |
A.2 DELIVERY SCHEDULE
| ITEM NUMBER |
| QUANTITY |
| DELIVERY DATE |
| 0001 |
| SHIP TO: |
| Wilkes-Barre VAMC (693) |
Attn: RCV, PO # 1111 E. End Blvd Wilkes-Barre, PA 18711 0030
USA
| 1.00 |
| ______________ |
| MARK FOR: |
| Tami Schiel |
570-824-3521x27363 Tami.Schiel@va.gov
| 0002 |
| SHIP TO: |
| Wilkes-Barre VAMC (693) |
Attn: RCV, PO # 1111 E. End Blvd Wilkes-Barre, PA 18711 0030
USA
| 1.00 |
| ______________ |
| MARK FOR: |
| Tami Schiel |
| 0003 |
| SHIP TO: |
| Wilkes-Barre VAMC (693) |
Attn: RCV, PO # 1111 E. End Blvd Wilkes-Barre, PA 18711 0030
USA
| 2.00 |
| ______________ |
| MARK FOR: |
| Tami Schiel |
| 0004 |
| SHIP TO: |
| Wilkes-Barre VAMC (693) |
Attn: RCV, PO # 1111 E. End Blvd Wilkes-Barre, PA 18711 0030
USA
| 3.00 |
| ______________ |
| MARK FOR: |
| Tami Schiel |
| 0005 |
| SHIP TO: |
| Wilkes-Barre VAMC (693) |
Attn: RCV, PO # 1111 E. End Blvd Wilkes-Barre, PA 18711 0030
USA
| 6.00 |
| ______________ |
| MARK FOR: |
| Tami Schiel |
| 0006 |
| SHIP TO: |
| Wilkes-Barre VAMC (693) |
Attn: RCV, PO # 1111 E. End Blvd Wilkes-Barre, PA 18711 0030
USA
| 3.00 |
| ______________ |
| MARK FOR: |
| Tami Schiel |
| 0007 |
| SHIP TO: |
| Wilkes-Barre VAMC (693) |
Attn: RCV, PO # 1111 E. End Blvd Wilkes-Barre, PA 18711 0030
USA
| 2.00 |
| ______________ |
| MARK FOR: |
| Tami Schiel |
| 0008 |
| SHIP TO: |
| Wilkes-Barre VAMC (693) |
Attn: RCV, PO # 1111 E. End Blvd Wilkes-Barre, PA 18711 0030
USA
| 2.00 |
| ______________ |
| MARK FOR: |
| Tami Schiel |
| 0009 |
| SHIP TO: |
| Wilkes-Barre VAMC (693) |
Attn: RCV, PO # 1111 E. End Blvd Wilkes-Barre, PA 18711 0030
USA
| 2.00 |
| ______________ |
| MARK FOR: |
| Tami Schiel |
| 0010 |
| SHIP TO: |
| Wilkes-Barre VAMC (693) |
Attn: RCV, PO # 1111 E. End Blvd Wilkes-Barre, PA 18711 0030
USA
| 2.00 |
| ______________ |
| MARK FOR: |
| Tami Schiel |
| 0011 |
| SHIP TO: |
| Wilkes-Barre VAMC (693) |
Attn: RCV, PO # 1111 E. End Blvd Wilkes-Barre, PA 18711 0030
USA
| 2.00 |
| ______________ |
| MARK FOR: |
| Tami Schiel |
| 0012 |
| SHIP TO: |
| Wilkes-Barre VAMC (693) |
Attn: RCV, PO # 1111 E. End Blvd Wilkes-Barre, PA 18711 0030
USA
| 2.00 |
| ______________ |
| MARK FOR: |
| Tami Schiel |
| 0013 |
| SHIP TO: |
| Wilkes-Barre VAMC (693) |
Attn: RCV, PO # 1111 E. End Blvd Wilkes-Barre, PA 18711 0030
USA
| 2.00 |
| ______________ |
| MARK FOR: |
| Tami Schiel |
| 0014 |
| SHIP TO: |
| Wilkes-Barre VAMC (693) |
Attn: RCV, PO # 1111 E. End Blvd Wilkes-Barre, PA 18711 0030
USA
| 2.00 |
| ______________ |
| MARK FOR: |
| Tami Schiel |
| 0015 |
| SHIP TO: |
| Wilkes-Barre VAMC (693) |
Attn: RCV, PO # 1111 E. End Blvd Wilkes-Barre, PA 18711 0030
USA
| 2.00 |
| ______________ |
| MARK FOR: |
| Tami Schiel |
| 0016 |
| SHIP TO: |
| Wilkes-Barre VAMC (693) |
Attn: RCV, PO # 1111 E. End Blvd Wilkes-Barre, PA 18711 0030
USA
| 2.00 |
| ______________ |
| MARK FOR: |
| Tami Schiel |
| 0017 |
| SHIP TO: |
| Wilkes-Barre VAMC (693) |
Attn: RCV, PO # 1111 E. End Blvd Wilkes-Barre, PA 18711 0030
USA
| 2.00 |
| ______________ |
| MARK FOR: |
| Tami Schiel |
| 0018 |
| SHIP TO: |
| Wilkes-Barre VAMC (693) |
Attn: RCV, PO # 1111 E. End Blvd Wilkes-Barre, PA 18711 0030
USA
| 2.00 |
| ______________ |
| MARK FOR: |
| Tami Schiel |
| 0019 |
| SHIP TO: |
| Wilkes-Barre VAMC (693) |
Attn: RCV, PO # 1111 E. End Blvd Wilkes-Barre, PA 18711 0030
USA
| 2.00 |
| ______________ |
| MARK FOR: |
| Tami Schiel |
| 0020 |
| SHIP TO: |
| Wilkes-Barre VAMC (693) |
Attn: RCV, PO # 1111 E. End Blvd Wilkes-Barre, PA 18711 0030
USA
| 2.00 |
| ______________ |
| MARK FOR: |
| Tami Schiel |
| 0021 |
| SHIP TO: |
| Wilkes-Barre VAMC (693) |
Attn: RCV, PO # 1111 E. End Blvd Wilkes-Barre, PA 18711 0030
USA
| 2.00 |
| ______________ |
| MARK FOR: |
| Tami Schiel |
| 0022 |
| SHIP TO: |
| Wilkes-Barre VAMC (693) |
Attn: RCV, PO # 1111 E. End Blvd Wilkes-Barre, PA 18711 0030
USA
| 2.00 |
| ______________ |
| MARK FOR: |
| Tami Schiel |
| 0023 |
| SHIP TO: |
| Wilkes-Barre VAMC (693) |
Attn: RCV, PO # 1111 E. End Blvd Wilkes-Barre, PA 18711 0030
USA
| 2.00 |
| ______________ |
| MARK FOR: |
| Tami Schiel |
End of Document Getinge GSS67N 51-inch-deep high capacity Steam Sterilizer (Delivery for VA Wilkes-Barre) This is Brand Name Only.
File details come from the government source that posted it. Updated .