36C24425Q0845 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) 09-05-2025 460-24-3-3384-0277 00244 Department of Veterans Affairs Network Contracting Office 4 1010 Delafield Road Pittsburgh

PA

15240 00244 Department of Veterans Affairs Network Contracting Office 4 1010 Delafield Road Pittsburgh

PA

16001 To all Offerors/Bidders

36C24425Q0845 09-05-2025

X X X See CONTINUATION Page X Eye Lanes - Wilmington VA Medical Center (Atlantic County VA Clinic)

This amendment removes Line Items 0005 Haag Streit BQ 900 LED Slip Lamp (SL0HS900BQLEDU) and 0006 Haag-Streit BP/BQ/BX Applanation Tonometer (TO0HS0016)

The Wilmington VA currently owns one eye lanes system that will be moved to the clinic The delivery schedule will be updated on the purchase order to match the address in the Statement of Work Atlantic County VA Clinic 1201 New Road Linwood, NJ 08221 Andrew Taylor

CONTINUATION PAGE

A.1 PRICE/COST SCHEDULE

ITEM INFORMATION

Reliance FX-920-L Exam Chair (#20 Pearl) - Add Upholstery Color-BLACK / CS0RLFX920L20

LOCAL STOCK NUMBER: CS0RLFX920L20

Reliance FX-920 Cushion Set, #206 Charcoal; CS0RLFX920UCH

LOCAL STOCK NUMBER: CS0RLFX920UCH

Reliance 7900-IC Instrument Stand with Instrument Wells and Wheelchair Modification (#20 Pearl); CS0RL7900ICW20FG

LOCAL STOCK NUMBER: CS0RL7900ICW20FG

(2)Reliance 5346 Pneumatic Stool, #206 Charcoal; ST0RL5346CH

LOCAL STOCK NUMBER: ST0RL5346CH

Removed

Removed

Marco CP-9 Auto Chart Projector; CP0MACP9

LOCAL STOCK NUMBER: CP0MACP9

Wall Mount for Marco CP-9/CP-600/670/690/770; CP0MACP600WLFG

LOCAL STOCK NUMBER: CP0MACP600WLFG

(1)Marco RT-700 Illuminated Manual Refractor (-cyl, Black); RE0MART700M

LOCAL STOCK NUMBER: RE0MART700M

(1) Keeler Vantage Plus LED Wireless Indirect with Slimline Charging System; IO0KEVANPLWS

LOCAL STOCK NUMBER: IO0KEVANPLWS

Welch Allyn 11720 3.5v Coaxial Ophthalmoscope with 04900-LED; HI0WA11720LED

LOCAL STOCK NUMBER: HI0WA11720LED

Welch Allyn 41100 3.5v Halogen Finnoff Transilluminator; HI0WA41100HAL

LOCAL STOCK NUMBER: HI0WA41100HAL

Welch Allyn 18245 Elite Streak Retinoscope; HI0WA18245HAL

LOCAL STOCK NUMBER: HI0WA18245HAL

Welch Allyn 71670 3.5v NiCad Well Handle; HI0WA71670NI

LOCAL STOCK NUMBER: HI0WA71670NI

Full Diameter Trial Lens Set with Plus and Minus Cylinders, Tray and Case; TL0MA8408

LOCAL STOCK NUMBER: TL0MA8408

Exam Lane Installation; SVRAEINSTALLLANE

LOCAL STOCK NUMBER: SVRAEINSTALLLANE

940 Reliance Chair Glide for ADA Compliance

LOCAL STOCK NUMBER: CS1RL940

A.2 DELIVERY SCHEDULE

1201 New Road Linwood, NJ 08221

302-994-2511 x 5240 dwayne.dixon@va.gov

End of Document