36C24623Q0655 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) 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

36C24623Q0655 05-04-2023

X x x

See CONTINUATION Page This amendment is to correct the Price/Cost Schedule.

Section B.2 Price/Cost Schedule is changed to list/read 48 Philips brand name line items.

The RFQ due date remains the same; Solicitation End Date: 12 May 2023, 1:00PM, Est.

Gordon Burns Contracting Officer

CONTINUATION PAGE

A.1 PRICE/COST SCHEDULE

ITEM INFORMATION

Patient Information Center iX Expand Contract Period: Base POP Begin: 05-20-2023 POP End: 08-31-2023 PRINCIPAL NAICS CODE: 334510 - Electromedical and Electrotherapeutic Apparatus Manufacturing PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

MANUFACTURER PART NUMBER (MPN): 866390

Patient Information Center iX Expand

POP Begin: 05-20-2023 POP End: 08-31-2023 PRINCIPAL NAICS CODE: 334510 - Electromedical and Electrotherapeutic Apparatus Manufacturing

LDB Local Database

POP Begin: 05-20-2023 POP End: 08-31-2023

MED Media Kit

POP Begin: 05-20-2023 POP End: 08-31-2023

NEW New Add On or Expand

POP Begin: 05-20-2023 POP End: 08-31-2023

PRC Pro Rev C

POP Begin: 05-20-2023 POP End: 08-31-2023

1 PCE 0.00/1 PCE 0.00

POP Begin: 05-20-2023 POP End: 08-31-2023

V1C Visibility Rev C

POP Begin: 05-20-2023 POP End: 08-31-2023

PIC iX Hardware

POP Begin: 05-20-2023 POP End: 08-31-2023 PRINCIPAL NAICS CODE: 334510 - Electromedical and Electrotherapeutic Apparatus Manufacturing

MANUFACTURER PART NUMBER (MPN): 866424

NEW Hardware or OS

POP Begin: 05-20-2023 POP End: 08-31-2023

RVC PIC iX C

POP Begin: 05-20-2023 POP End: 08-31-2023

HPS Lithium Ion UPS

POP Begin: 05-20-2023 POP End: 08-31-2023

HS1 PC Hardware with SSD

POP Begin: 05-20-2023 POP End: 08-31-2023

IntelliVue XDS Software

POP Begin: 05-20-2023 POP End: 08-31-2023 PRINCIPAL NAICS CODE: 334510 - Electromedical and Electrotherapeutic Apparatus Manufacturing

MANUFACTURER PART NUMBER (MPN): 867019

X00 XDS connectivity

POP Begin: 05-20-2023 POP End: 08-31-2023

IntelliVue Multi-Measurement Module X3

POP Begin: 05-20-2023 POP End: 08-31-2023 PRINCIPAL NAICS CODE: 334510 - Electromedical and Electrotherapeutic Apparatus Manufacturing

MANUFACTURER PART NUMBER (MPN): 867030

H72 Critical Care Transport SW

POP Begin: 05-20-2023 POP End: 08-31-2023

SP1 FAST SpO2

POP Begin: 05-20-2023 POP End: 08-31-2023

A04 4-waves capability

POP Begin: 05-20-2023 POP End: 08-31-2023

B06 Dual Press and Temp

POP Begin: 05-20-2023 POP End: 08-31-2023

E31 Carrying Handle

POP Begin: 05-20-2023 POP End: 08-31-2023

IntelliVue Microstream Extension

POP Begin: 05-20-2023 POP End: 08-31-2023 PRINCIPAL NAICS CODE: 334510 - Electromedical and Electrotherapeutic Apparatus Manufacturing

MANUFACTURER PART NUMBER (MPN): 867041

IntelliBridge Enterprise

POP Begin: 05-20-2023 POP End: 08-31-2023 PRINCIPAL NAICS CODE: 334510 - Electromedical and Electrotherapeutic Apparatus Manufacturing

MANUFACTURER PART NUMBER (MPN): 866183

A01 ADT System License

POP Begin: 05-20-2023 POP End: 08-31-2023

A04 EMR System License

POP Begin: 05-20-2023 POP End: 08-31-2023

P02 PIIC iX 128 Beds License

POP Begin: 05-20-2023 POP End: 08-31-2023

P03 PIIC Patient ID Matching

POP Begin: 05-20-2023 POP End: 08-31-2023

Reusable Adult SpO2 Sensor

POP Begin: 05-20-2023 POP End: 08-31-2023 PRINCIPAL NAICS CODE: 334510 - Electromedical and Electrotherapeutic Apparatus Manufacturing

MANUFACTURER PART NUMBER (MPN): 989803144381

5 Lead ECG Trunk, AAMI/IEC 2.7m

POP Begin: 05-20-2023 POP End: 08-31-2023 PRINCIPAL NAICS CODE: 334510 - Electromedical and Electrotherapeutic Apparatus Manufacturing

MANUFACTURER PART NUMBER (MPN): 989803145061

5 Leadset, Grabber, AAMI, ICU

POP Begin: 05-20-2023 POP End: 08-31-2023 PRINCIPAL NAICS CODE: 334510 - Electromedical and Electrotherapeutic Apparatus Manufacturing

MANUFACTURER PART NUMBER (MPN): 989803125841

Adult NIBP Air Hose 3.0m

POP Begin: 05-20-2023 POP End: 08-31-2023 PRINCIPAL NAICS CODE: 334510 - Electromedical and Electrotherapeutic Apparatus Manufacturing

MANUFACTURER PART NUMBER (MPN): 989803104341

Dual IBP Adapter

POP Begin: 05-20-2023 POP End: 08-31-2023 PRINCIPAL NAICS CODE: 334510 - Electromedical and Electrotherapeutic Apparatus Manufacturing

MANUFACTURER PART NUMBER (MPN): 989803199741

MXU0130 IBE System Integration Services

POP Begin: 05-20-2023 POP End: 08-31-2023 PRINCIPAL NAICS CODE: 334510 - Electromedical and Electrotherapeutic Apparatus Manufacturing

MANUFACTURER PART NUMBER (MPN): MXU0130

A02 ADT License/Configuration

POP Begin: 05-20-2023 POP End: 08-31-2023

P02 PIICix Pat.Identity Match

POP Begin: 05-20-2023 POP End: 08-31-2023

P12 PIIC/PIIC iX 128 Bed Confg

POP Begin: 05-20-2023 POP End: 08-31-2023

Display: 27" Acer, Touch/Non-Touch, 2560

POP Begin: 05-20-2023 POP End: 08-31-2023 PRINCIPAL NAICS CODE: 334510 - Electromedical and Electrotherapeutic Apparatus Manufacturing

MANUFACTURER PART NUMBER (MPN): 989805710006

MXU0523

POP Begin: 05-20-2023 POP End: 08-31-2023 PRINCIPAL NAICS CODE: 334510 - Electromedical and Electrotherapeutic Apparatus Manufacturing

MANUFACTURER PART NUMBER (MPN): MXU0523

Labor: Standard Time

POP Begin: 05-20-2023 POP End: 08-31-2023 PRINCIPAL NAICS CODE: 334510 - Electromedical and Electrotherapeutic Apparatus Manufacturing

MANUFACTURER PART NUMBER (MPN): 989805710138

Cable: Patch Cable, Copper, up to 10'

POP Begin: 05-20-2023 POP End: 08-31-2023 PRINCIPAL NAICS CODE: 334510 - Electromedical and Electrotherapeutic Apparatus Manufacturing

MANUFACTURER PART NUMBER (MPN): 989805710074

VHM-25: X3-MX100, Wall

POP Begin: 05-20-2023 POP End: 08-31-2023 PRINCIPAL NAICS CODE: 334510 - Electromedical and Electrotherapeutic Apparatus Manufacturing

MANUFACTURER PART NUMBER (MPN): 989805710321

Wall Channel: 19" Seismic

POP Begin: 05-20-2023 POP End: 08-31-2023 PRINCIPAL NAICS CODE: 334510 - Electromedical and Electrotherapeutic Apparatus Manufacturing

MANUFACTURER PART NUMBER (MPN): MXU0175

Mount: CPU, 4.5" to 7", Wall Channel

POP Begin: 05-20-2023 POP End: 08-31-2023 PRINCIPAL NAICS CODE: 334510 - Electromedical and Electrotherapeutic Apparatus Manufacturing

MANUFACTURER PART NUMBER (MPN): 989805710247

Cable: HW, Mats, Labor, Test

POP Begin: 05-20-2023 POP End: 08-31-2023 PRINCIPAL NAICS CODE: 334510 - Electromedical and Electrotherapeutic Apparatus Manufacturing

MANUFACTURER PART NUMBER (MPN): 989803208621

PSN: Direct Connect Services

POP Begin: 05-20-2023 POP End: 08-31-2023 PRINCIPAL NAICS CODE: 334510 - Electromedical and Electrotherapeutic Apparatus Manufacturing

MANUFACTURER PART NUMBER (MPN): 989803208311

Project Management: Integrated

POP Begin: 05-20-2023 POP End: 08-31-2023 PRINCIPAL NAICS CODE: 334510 - Electromedical and Electrotherapeutic Apparatus Manufacturing

MANUFACTURER PART NUMBER (MPN): 989803208701

IBE: New Implementation Package

POP Begin: 05-20-2023 POP End: 08-31-2023 PRINCIPAL NAICS CODE: 334510 - Electromedical and Electrotherapeutic Apparatus Manufacturing

MANUFACTURER PART NUMBER (MPN): 989803208111

Clin Config & Imp: 1 Standard Shift

POP Begin: 05-20-2023 POP End: 08-31-2023 PRINCIPAL NAICS CODE: 334510 - Electromedical and Electrotherapeutic Apparatus Manufacturing

MANUFACTURER PART NUMBER (MPN): 989803216591

A.2 DELIVERY SCHEDULE

1201 BROAD ROCK BLVD

RICHMOND, VA 23249

USA

1.00

10.00

10.00

1.00

1.00

10.00

1.00

10.00

1.00

1.00

1.00

1.00

1.00

1.00

1.00

10.00

10.00

10.00

10.00

10.00

10.00

5.00

1.00

1.00

1.00

1.00

1.00

10.00

10.00

10.00

10.00

5.00

1.00

1.00

1.00

1.00

1.00

10.00

32.00

20.00

10.00

10.00

1.00

12.00

1.00

24.00

1.00

2.00

MX 800 BEDSIDE MONITORS