Amendment_36C24523Q1220_0001.pdf

5. PROJECT NUMBER (if applicable)

CODE7. ADMINISTERED BY

2. AMENDMENT/MODIFICATION NUMBER

CODE

6. ISSUED BY

8. NAME AND ADDRESS OF CONTRACTOR

4. REQUISITION/PURCHASE REQ. NUMBER3. 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 CODECODE

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)

1 5

Department of Veterans Affairs, VISN 05 RPO-East, Network Contracting Office 5 Satellite Office 50 Irving Street NW Washington DC 20422

To all Offerors/Bidders

36C24523Q1220

09-27-2023

X

X X

See CONTINUATION Page

X 1

The purpose of this amendment is to address the following for solicitation number 36C24523Q1220:

Revise Statement of Work to reflect the removal of criteria "ability to provide both illumination characteristics (LED Halogen)" since filters and light source were already listed.

Update item descriptions to include brand name or equal product names.

All other terms and conditions remain the same.

<End of Amendment>

Joseph J. Krupa Contracting Officer

STATEMENT OF WORK

SLIT LAMP AND IMAGING MODULE: BRAND NAME OR EQUAL TO ZEISS SL800

Purpose

The Martinsburg VAMC requires the purchase of new slit lamps and imaging module for the eye clinic. Slit lamps are used for routine eye examinations, inspect injuries, identify diseases and aid in minor eye surgeries. The current slit lamps at the hospital are nearing end of life and should be replaced. The hospital also requires three additional slit lamps to support the additional eye lanes that are being built for the workload expansion the eye clinic is experiencing.

Hours of Operation

Normal hours of coverage are Monday through Friday, 7:00 AM to 4:30 PM Eastern Standard Time excluding national holidays. All services shall be performed during normal hours unless otherwise scheduled with the VA designated POC or his/her designee. Contractor shall always be professional and shall take all necessary precautions to maintain a safe environment for the occupants. Contractor shall fully minimize noise possible while working in all buildings.

Note: Hardware/software update/upgrade installations, where applicable, will be scheduled and performed outside normal hours of coverage at no additional charge to the Government (unless it would be detrimental to equipment up-time; to be determined by the VA designated POC).

Federal Holidays observed by VA Martinsburg are:

New Year’s Day Labor Day

Martin Luther King Day Columbus Day

Presidents’ Day Veterans’ Day

Memorial Day Thanksgiving Day

Independence Day Christmas Day

Juneteenth Day

Selection Criteria

Brand Name or Equal – Zeiss SL800 slit lamps with SL Imaging – Qty (14)

Clinic requirements

Quality optics for viewing both the anterior and posterior segment of the eye, as well as performing contact lens fittings, and minor eye surgeries.

Magnification 6-40x.

White light with red/green/blue filters and diffuser.

Ability to attach to imaging system (anterior segment camera - photos and videos) for patient education, documentation, and student/resident education.

Imaging system must contain a supported operating system of windows 10 or higher

Imaging must be FIPS compliant if wireless network is mandatory

Wheelchair accessible design; to be used in conjunction with Reliance ophthalmic instrument stand and Reliance patient examination chair.

Goldmann applanation tonometer attaches for measuring intraocular pressure.

LED light source for whiter light and fewer bulb replacements.

Technical requirements

Equipment must be compatible with Zeiss forum

Equipment must be capable of pulling DICOM worklist

Equipment must have maximum dimensions of (330mm x 670mm x 410mm) (w x h x d)

Equipment must use no more than 120VAC

Equipment must provide an electronic break

Equipment must have to ability to offer live video feed

Ability to take high-definition anterior photos and utilize green/blue/red filter and warm and cold light

Semi-automatic and fully automated shock delivery options

Multi layered anti-reflective coatings

Slit width: At minimum continuously 0 – 12 mm

Slit length: At minimum continuously 0 – 12 mm with scale index; variable in steps 0.2/1/3/5/9/12 mm

Slit diameter: At minimum 0.2/1/3/5/9/12 mm

Slit rotation: At minimum continuously 0° – 180°; click stop at 45°/90°/135°

Swivel range of slit projector: At minimum 180° with scale; click stop at 0°/±45°/±60°

Interpupillary distance: At minimum convergent tube 50 – 84 mm; Parallel tube 52 – 78 mm

Contractor deliverables

Contractor must be installed slit lamps with imaging module on VA provided booms and eye clinic chairs

Contractor must fill out enterprise risk assessment (ERA) documents found in section D. of solicitation (also attached in solicitation) no later than thirty days after award

Deliverables or Delivery Schedule

The contractor shall deliver and install the product. After contacting the designated VA POC at the medical center, a specific time will be scheduled for the delivery of the product and the installation within the agreed delivery timeframe after award. All quantities are listed above that should be delivered.

They shall be delivered to the following address:

Attn: Surgical Services – Eye Clinic

Martinsburg VA Medical Center Building 500, warehouse

510 Butler Ave.

Martinsburg, WV, 25405

Place of Performance

The place of performance will be at the Martinsburg VA Medical Center in Martinsburg, WV.

Period of Performance

All hardware and software shall have a full warranty period of 12 months

PRICE/COST SCHEDULE

ITEM INFORMATION

ITEM

NUMBER

DESCRIPTION OF

SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0001 14.00 EA __________________ __________________

Slit Lamp - Brand Name or Equal to: Zeiss SL 800 Contract Period: Base POP Begin:

POP End:

PRINCIPAL NAICS CODE: 339112 - Surgical and Medical Instrument Manufacturing PRODUCT/SERVICE CODE: 6540 - Ophthalmic Instruments, Equipment, and Supplies

0002 14.00 EA __________________ __________________

Imaging Module - Brand Name or Equal to: Zeiss SL Cam Compact Imaging with SL Imaging Software Contract Period: Base POP Begin:

POP End:

PRINCIPAL NAICS CODE: 339112 - Surgical and Medical Instrument Manufacturing PRODUCT/SERVICE CODE: 6540 - Ophthalmic Instruments, Equipment, and Supplies

0003 14.00 EA __________________ __________________

Measuring Prisms - Brand Name or Equal to: Zeiss Applanation tonometer AT 030 Contract Period: Base POP Begin:

POP End:

PRINCIPAL NAICS CODE: 339112 - Surgical and Medical Instrument Manufacturing PRODUCT/SERVICE CODE: 6540 - Ophthalmic Instruments, Equipment, and Supplies

0004 14.00 EA __________________ __________________

DICOM License Contract Period: Base POP Begin:

POP End:

0005 1.00 JB __________________ __________________

Installation Contract Period: Base POP Begin:

POP End:

GRAND TOTAL __________________