36C24618Q0763-00001000.docx

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Attached to
ScriptPro Pharmacy Service Portal Federal contract opportunity
Solicitation number
36C24618Q0763
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 6

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36C24618Q0763 00001 36C24618Q0763 00001.docx

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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

BY

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) 00001 05-30-2018 558-18-3-122-0150 None Department of Veterans Affairs Network Contracting Office 6 100 Emancipation Drive Hampton

VA

23667 Department of Veterans Affairs Network Contracting Office 6 100 Emancipation Drive Hampton

VA

23667 To all Offerors/Bidders

36C24618Q0763 05-29-2018 36C24618Q0763

X X X See CONTINUATION Page X This solicitation is hereby amended to reflect adustment in the line item quantities.

See Schedule and deliv on page two(2). Offerors must acknowledge receipt of the amendment per section

11(b) or(c).

All other terms anc conditions of theis solicitation remains the same.

PAUL O. WAITE

CONTRACTING OFFICER

NCO616L1-81239

CONTINUATION PAGE

A.1 PRICE/COST SCHEDULE

ITEM INFORMATION

ITEM NUMBER
DESCRIPTION OF SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
0001
ScriptPro Pharmacy Services Portal
1.00
EA
__________________
__________________
0002
Pharmacy Data Terminal
6.00
EA
__________________
__________________
0003
Prescription Notification Board XL (1 Welcome Notice Board, 1 Now Serving, 1 Ticket Stats)
3.00
EA
__________________
__________________
0004
Pharmacy Patient Kiosk
2.00
EA
__________________
__________________
0005
Terminal Emulation/Service/KVM Setup (initial device)
1.00
EA
__________________
__________________
0006
Terminal KVM Device Add-On (per device)
5.00
EA
__________________
__________________
0007
Rx Paperwork Printer
4.00
EA
__________________
__________________
0008
Rx Barcode Card for Rx Printer (AW est)
4.00
EA
__________________
__________________
0009
Smart Card Scanner
24.00
EA
__________________
__________________
0010
Ticket Window Display
4.00
EA
__________________
__________________
0011
SP Kiosk Stand
1.00
EA
__________________
__________________
0012
Audio Package Speaker
2.00
EA
__________________
__________________
0013
Audio Package Setup/System Integration for Notice Board
2.00
EA
__________________
__________________
0014
Standard Interface (RX Paperwork Printing)
1.00
EA
__________________
__________________
0015
Installation fee
1.00
EA
__________________
__________________
0016
Initial 12 Months of Support
1.00
EA
__________________
__________________
GRAND TOTAL
__________________

A.2 DELIVERY SCHEDULE

ITEM NUMBER
QUANTITY
DELIVERY DATE
0001
SHIP TO:
Durham VA Medical Center

508 Fulton Street Durham, NC 27705 1.00

INSTRUCTIONS:
CLIN 0001 through CLIN 0016 are all inclusive to the same buy with delivery to the same location.

6.00

3.00

2.00

1.00

5.00

4.00

4.00

24.00

4.00

1.00

2.00

2.00

1.00

1.00

0016
SHIP TO:
Durham VA Medical Center

5508 FUlton Street Durham, NC 27705 1.00

INSTRUCTIONS:
CLIN 0001 through CLIN 0016 are all inclusive to the same buy with delivery to the same location.

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