36C24521R0047 0002.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)

06-21-2021

NA

36C512 Department of Veterans Affairs VA Maryland Health Care System Crystal Hinton, Contracting Officer 209 West Fayette Street, Suite 611 Baltimore MD 21201

36C512 Department of Veterans Affairs VA Maryland Health Care System Crystal Hinton, Contracting Officer 209 West Fayette Street Baltimore MD 21201 To all Offerors/Bidders

36C24521R0047

X

See CONTINUATION Page

X The purpose of this amendment is to inform offerors of the revisions to solicitation sections B.3. pages 46-51 See the Continuation Pages for the revised sections.

The solicitation closing date is extended to 14:00 PM EST, 06/21/2021.

(a) Rental concentrator with backup system consisting of compressed gas source, regulator, stand, (nasal cannula or mask and humidifier when specified). Concentrator will have flow rate capacity up to 5LPM.

(b) Rental concentrator with backup system consisting of compressed gas source, regulator, stand, (nasal cannula or mask and humidifier when specified). Concentrator must have flow rate capacity up to 10 LPM.

Cylinder, size M or H set-up consisting of regulator, flow meter, safety stand, humidifier, and disposable supplies as primary)

Cylinder, size M or H refill /Primary)

Portable system for new set ups consists of “E”, “D”, or “B” (M6) size aluminum (or equivalent eight metal) cylinder with regulator, flow meter, handcart, pouch and disposable supplies.

Cylinder, size “E” refill for #00004 above. Aluminum (or metal of equivalent weight) tanks required.

Cylinder, size “D” refill for #00004 above. Aluminum (or metal of equivalent weight) tanks required.

Cylinder, size “B” (M6) refill for #00004 above. Aluminum (or metal of equivalent weight) tanks required.

Demand Nasal Cannula (e.g. Oximyzer) Reservoir or pendant/equivalent/oxyplus mask. VA111

Rental demand Pulse Conserver Device; no less than a 5:1 ratio or 60 ML/pulse.

Rental “E” cylinders (aluminum, each) complete portable system (e.g. tank, regulator, etc.) for each Medical Center for availability to issue home oxygen beneficiaries who deplete their portable units during appointments or to send home with new start-up (e.g. discharged from inpatient).

Rental liquid oxygen system (90 –100 lbs) with stationary reservoir per beneficiary.

Rental portable liquid oxygen system per beneficiary.

Liquid oxygen per pound for item #012

Delivery for re-supply and/or relocation of equipment due to change in beneficiary’s residence.

Delivery, set-up and PT instruction for VA owned Electric Air Compressor

Pulse Oximetry (Not part of routine assessment)

Overnight Pulse Oximetry

Follow-up visit (after initial set-up). This is done by a RRT for patient evaluation and instruction. The # of pts is 700 so there could be 2800 quarterly visits a year

Delivery, set-up and PT instruction for VA owned Suction machines.

Delivery, set-up and PT instruction for VA owned Nebulizers.

Administrative reimbursement for renewal, shipping to resupply of current PTS and PTS transferring to the Baltimore VA from an outside source.

Phone call follow up performed by respiratory therapist for PAP therapy patients.

Ventilators: includes a primary and a backup vent (if necessary), disposables, necessary battery backup, initial PT & family education and monthly assessments by a Credentialed Respiratory Therapist. Offeror shall Insert a monthly Rate.

Delivery and set-up of VA owned CPAP machines

Delivery and set-up of VA owned BiPAP machines

Battery operated portable concentrator for traveling PTS. This requires the approval of the Home 02 Coordinator(s). Offeror shall insert a weekly Rate.

Battery operated portable concentrator for PTS with special needs as determined by the Home 02 Coordinator(s). Offeror shall insert a monthly rate.

Concentrator with Home Fill capabilities for PTS with special needs as determined by the Home 02 Coordinator(s). Offeror shall insert a monthly rate.

(a) Rental concentrator with backup system consisting of compressed gas source, regulator, stand, (nasal cannula or mask and humidifier when specified). Concentrator will have flow rate capacity up to 5LPM.

(b) Rental concentrator with backup system consisting of compressed gas source, regulator, stand, (nasal cannula or mask and humidifier when specified). Concentrator must have flow rate capacity up to 10 LPM.

Cylinder, size M or H set-up consisting of regulator, flow meter, safety stand, humidifier, and disposable supplies as primary)

Cylinder, size M or H refill /Primary)

Portable system for new set ups consists of “E”, “D”, or “B” (M6) size aluminum (or equivalent eight metal) cylinder with regulator, flow meter, handcart, pouch and disposable supplies.

Cylinder, size “E” refill for #00004 above. Aluminum (or metal of equivalent weight) tanks required.

Cylinder, size “D” refill for #00004 above. Aluminum (or metal of equivalent weight) tanks required.

Cylinder, size “B” (M6) refill for #00004 above. Aluminum (or metal of equivalent weight) tanks required.

Demand Nasal Cannula (e.g. Oximyzer) Reservoir or pendant/equivalent/oxyplus mask. VA111

Rental demand Pulse Conserver Device; no less than a 5:1 ratio or 60 ML/pulse.

Rental “E” cylinders (aluminum, each) complete portable system (e.g. tank, regulator, etc.) for each Medical Center for availability to issue home oxygen beneficiaries who deplete their portable units during appointments or to send home with new start-up (e.g. discharged from inpatient).

Rental liquid oxygen system (90 –100 lbs) with stationary reservoir per beneficiary.

Rental portable liquid oxygen system per beneficiary.

Liquid oxygen per pound for item #012

Delivery for re-supply and/or relocation of equipment due to change in beneficiary’s residence.

Delivery, set-up and PT instruction for VA owned Electric Air Compressor

Pulse Oximetry (Not part of routine assessment)

Overnight Pulse Oximetry

Follow-up visit (after initial set-up). This is done by a RRT for patient evaluation and instruction. The # of pts is 700 so there could be 2800 quarterly visits a year

Delivery, set-up and PT instruction for VA owned Suction machines.

Delivery, set-up and PT instruction for VA owned Nebulizers.

Administrative reimbursement for renewal, shipping to resupply of current PTS and PTS transferring to the Baltimore VA from an outside source.

Phone call follow up performed by respiratory therapist for PAP therapy patients.

Ventilators: includes a primary and a backup vent (if necessary), disposables, necessary battery backup, initial PT & family education and monthly assessments by a Credentialed Respiratory Therapist. Offeror shall Insert a monthly Rate.

Delivery and set-up of VA owned CPAP machines

Delivery and set-up of VA owned BiPAP machines

Battery operated portable concentrator for traveling PTS. This requires the approval of the Home 02 Coordinator(s). Offeror shall insert a weekly Rate.

Battery operated portable concentrator for PTS with special needs as determined by the Home 02 Coordinator(s). Offeror shall insert a monthly rate.

Concentrator with Home Fill capabilities for PTS with special needs as determined by the Home 02 Coordinator(s). Offeror shall insert a monthly rate.