36C24625Q0557 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) 04-03-2025 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

36C24625Q0557

X X X See CONTINUATION Page X The purpose of this amendment is to implement the following changes pursuant to the Class Deviation from the Federal Acquisition Regulation (FAR) Regarding Executive Orders 14173 and 14168.

See attachment

The items on the list are brand name or equal.

John Harmsen

1. The following FAR Clauses are hereby removed: FAR 52.222-21, Prohibition of Segregated Facilities and FAR 52.222-26, Equal Opportunity.

1. FAR 52.212-3 Offeror Representations and Certifications—Commercial Products and Commercial Services (MAY 2024) is hereby replaced with 52.212-3 Offeror Representations and Certifications—Commercial Products and Commercial Services (MAY 2024) (DEVIATION FEB 2025).

1. FAR 52.212-5 Contract Terms and Conditions Required To Implement Statutes or Executive Orders—Commercial Products and Commercial Services (JAN 2025) is hereby replaced with FAR 52.212-5 Contract Terms and Conditions Required To Implement Statutes or Executive Orders—Commercial Products and Commercial Services (JAN 2025) (DEVIATION FEB 2025).

1. System updates may lag policy updates. The System for Award Management (SAM) may continue to require entities to complete representations based on provisions that are not included in agency solicitations. Examples include 52.222-25, Affirmative Action Compliance, and paragraph (d) of 52.212-3, Offeror Representations and Certifications—Commercial Products and Commercial Services. Contracting officers will not consider these representations when making award decisions or enforce requirements. Entities are not required to, nor are they able to, update their entity registration to remove these representations in SAM.

A.1 VAAR 852.219-76 VA NOTICE OF LIMITATIONS ON SUBCONTRACTING—CERTIFICATE OF COMPLIANCE FOR SUPPLIES AND PRODUCTS (JAN 2023) (DEVIATION)

(a) Pursuant to 38 U.S.C. 8127(l)(2), the offeror certifies that—

(1) If awarded a contract (see FAR 2.101 definition), it will comply with the limitations on subcontracting requirement as provided in the solicitation and the resultant contract, as follows:

(i) [ ] In the case of a contract for supplies or products (other than from a nonmanufacturer of such supplies), it will not pay more than 50% of the amount paid by the government to it to firms that are not certified SDVOSBs listed in the SBA certification database as set forth in 852.219–73 or certified VOSBs listed in the SBA certification database as set forth in 852.219–74. Any work that a similarly situated certified SDVOSB/VOSB subcontractor further subcontracts will count towards the 50% subcontract amount that cannot be exceeded. Cost of materials are excluded and not considered to be subcontracted.

(ii) [ ] In the case of a contract for supplies from a nonmanufacturer, it will supply the product of a domestic small business manufacturer or processor, unless a waiver as described in 13 CFR 121.406(b)(5) is granted. The offeror understands that, as provided in 13 CFR 121.406(b)(7), such a waiver has no effect on requirements external to the Small Business Act, such as the Buy American Act or the Trade Agreements Act.

(2) Manufacturer or nonmanufacturer representation and certification. [Offeror fillin—check each applicable box below. The offeror must select the applicable provision below, identifying itself as either a manufacturer or nonmanufacturer]:

(i) [] Manufacturer or producer. The offeror certifies that it is the manufacturer or producer of the end item being procured, and the end item is manufactured or produced in the United States, in accordance with paragraph (a)(1)(i).

(ii) [ ] Nonmanufacturer. The offeror certifies that it qualifies as a nonmanufacturer in accordance with the requirements of 13 CFR 121.406(b) and paragraph (a)(1)(ii). The offeror further certifies it meets each element below as required in order to qualify as a nonmanufacturer.

[ ] The offeror certifies that it does not exceed 500 employees (or 150 employees for the Information Technology Value Added Reseller exception to NAICS code 541519, which is found at 13 CFR 121.201, footnote 18).

[ ] The offeror certifies that it is primarily engaged in the retail or wholesale trade and normally sells the type of item being supplied.

[ ] The offeror certifies that it will take ownership or possession of the item(s) with its personnel, equipment, or facilities in a manner consistent with industry practice.

(iii) [ ] The offeror certifies that it will supply the end item of a small business manufacturer, processor, or producer made in the United States, unless a waiver as provided in 13 CFR 121.406(b)(5) has been issued by SBA. This requirement must be included for a single end item. The SBA has not issued an applicable waiver of the nonmanufacturer rule for the end item, if an offer does not meet the small business manufacturer requirement and is considered acceptable the contracting officer will request an individual waiver.

[ ] If this is a multiple item acquisition, the offeror certifies that at least 50% of the estimated contract value is composed of items that are manufactured by small business concerns. The SBA has not issued an applicable waiver of the nonmanufacturer rule for the end item, if an offer does not meet the small business manufacturer requirement and is considered acceptable the contracting officer will request an individual waiver.

(3) The offeror acknowledges that this certification concerns a matter within the jurisdiction of an Agency of the United States. The offeror further acknowledges that this certification is subject to Title 18, United States Code, Section 1001, and, as such, a false, fictitious, or fraudulent certification may render the offeror subject to criminal, civil, or administrative penalties, including prosecution.

(4) If VA determines that an SDVOSB/ VOSB awarded a contract pursuant to 38 U.S.C. 8127 did not act in good faith, such SDVOSB/VOSB shall be subject to any or all of the following:

(i) Referral to the VA Suspension and Debarment Committee;

(ii) A fine under section 16(g)(1) of the Small Business Act (15 U.S.C. 645(g)(1)); and

(iii) Prosecution for violating 18 U.S.C. 1001.

(b) The offeror represents and understands that by submission of its offer and award of a contract it may be required to provide copies of documents or records to VA that VA may review to determine whether the offeror complied with the limitations on subcontracting requirement specified in the contract or to determine whether the offeror qualifies as a manufacturer or nonmanufacturer in compliance with the limitations on subcontracting requirement. Contracting officers may, at their discretion, require the contractor to demonstrate its compliance with the limitations on subcontracting at any time during performance and upon completion of a contract if the information regarding such compliance is not already available to the contracting officer. Evidence of compliance includes, but is not limited to, invoices, copies of subcontracts, or a list of the value of tasks performed.

(c) The offeror further agrees to cooperate fully and make available any documents or records as may be required to enable VA to determine compliance. The offeror understands that failure to provide documents as requested by VA may result in remedial action as the Government deems appropriate.

(d) Offeror completed certification/fill-in required. The formal certification must be completed, signed and returned with the offeror’s bid, quotation, or proposal. The Government will not consider offers for award from offerors that do not provide the certification, and all such responses will be deemed ineligible for evaluation and award.

Certification I hereby certify that if awarded the contract, [insert name of offeror] will comply with the limitations on subcontracting specified in this clause and in the resultant contract. I further certify that I am authorized to execute this certification on behalf of [insert name of offeror].

Printed Name of Signee: ___________ Printed Title of Signee: _____________ Signature: ____________ Date: ______________ Company Name and Address: _______________ (End of Clause)

A.2 PRICE/COST SCHEDULE

ITEM INFORMATION

EcoFlex DC Power Cables ENDC0002L and Bix Tip kit

LOCAL STOCK NUMBER: ENDCTIPKIT-6

Envoy Zebra DS8178 Upright Scanner Bracket

LOCAL STOCK NUMBER: ENVA0089

Tape, Dual-Lock (Priced in 1'' increments)

LOCAL STOCK NUMBER: P0000050

Seal Shield Silver Storm Washable Mouse, White, USB, Optical

LOCAL STOCK NUMBER: 3117102

Seal Shield White Keyboard with Backlight feature, true touch

LOCAL STOCK NUMBER: UNV00031

Envoy 2.0 Corded Workstation, Hybrid EcoFlex, SightLine

LOCAL STOCK NUMBER: ENV2-1DCAC0-AB0

Envoy 2.0 Four Tier Locking Drawer, 12 small bins

LOCAL STOCK NUMBER: EV2D4001

ViewSonic Ergonomic VG2448-PF - 1080p Monitor with Built-In Privacy Filter 40 Degree Tilt, HDMI, DP - 250 cd/m2 - 24"

LOCAL STOCK NUMBER: VG2448-PF

Zebra DS8178-HC - Healthcare - barcode scanner

LOCAL STOCK NUMBER: DS8178-HCBU210MS5W

Dell OptiPlex 7020 Plus - micro Core i7 i7-14700 2.1 GHz - 16GB - SSD 512 GB

LOCAL STOCK NUMBER: K8TX5

EcoFlex DC Power Cables ENDC0002L and Bix Tip kit

Envoy Zebra DS8178 Upright Scanner Bracket

Tape, Dual-Lock (Priced in 1'' increments)

Seal Shield Silver Storm Washable Mouse, White, USB, Optical

Seal Shield White Keyboard with Backlight feature, true touch

Envoy 2.0 Corded Workstation, Hybrid EcoFlex, SightLine

Envoy 2.0 Two Tier Locking Drawer, 3 small bins, 2 medium bins

LOCAL STOCK NUMBER: EV2D2002

ViewSonic Ergonomic VG2448-PF - 1080p Monitor with Built-In Privacy Filter 40 Degree Tilt, HDMI, DP - 250 cd/m2 - 24"

Zebra DS8178-HC - Healthcare - barcode scanner

Dell OptiPlex 7020 Plus - micro Core i7 i7-14700 2.1 GHz - 16GB - SSD 512 GB

EcoFlex DC Power Cables ENDC0002L and Bix Tip kit

Envoy Zebra DS8178 Upright Scanner Bracket

Tape, Dual-Lock (Priced in 1'' increments)

Seal Shield Silver Storm Washable Mouse, White, USB, Optical

Seal Shield Silver Storm Washable Mouse, White, USB, Optical

Envoy 2.0 Corded Workstation, Hybrid EcoFlex, SightLine

Envoy 2.0 Four Tier Locking Drawer, 3 small bins, 2 medium bines, 1 large drawer

LOCAL STOCK NUMBER: EV2D4012

ViewSonic Ergonomic VG2448-PF - 1080p Monitor with Built-In Privacy Filter 40 Degree Tilt, HDMI, DP - 250 cd/m2 - 24"

Zebra DS8178-HC - Healthcare - barcode scanner

Dell OptiPlex 7020 Plus - micro Core i7 i7-14700 2.1 GHz - 16GB - SSD 512 GB

EcoFlex DC Power Cables ENDC0002L and Bix Tip kit

Envoy Zebra DS8178 Upright Scanner Bracket

Tape, Dual-Lock (Priced in 1'' increments)

Seal Shield Silver Storm Washable Mouse, White, USB, Optical

Seal Shield White Keyboard with Backlight feature, true touch

Envoy 2.0 Corded Workstation, Hybrid EcoFlex, SightLine

Envoy 2.0 Four Tier Locking Drawer, 2 large drawer

LOCAL STOCK NUMBER: EV2D4004

ViewSonic Ergonomic VG2448-PF - 1080p Monitor with Built-In Privacy Filter 40 Degree Tilt, HDMI, DP - 250 cd/m2 - 24"

Zebra DS8178-HC - Healthcare - barcode scanner

Dell OptiPlex 7020 Plus - micro Core i7 i7-14700 2.1 GHz - 16GB - SSD 512 GB

EcoFlex DC Power Cables ENDC0002L and Bix Tip kit

Envoy Zebra DS8178 Upright Scanner Bracket

Tape, Dual-Lock (Priced in 1'' increments)

Seal Shield Silver Storm Washable Mouse, White, USB, Optical

Seal Shield White Keyboard with Backlight feature, true touch

Envoy 2.0 Corded Workstation, Hybrid EcoFlex, SightLine

Envoy 2.0 Four Tier Locking Drawer, 9 small bins, 2 medium bins

LOCAL STOCK NUMBER: EV2D4005

ViewSonic Ergonomic VG2448-PF - 1080p Monitor with Built-In Privacy Filter 40 Degree Tilt, HDMI, DP - 250 cd/m2 - 24"

Zebra DS8178-HC - Healthcare - barcode scanner

Dell OptiPlex 7020 Plus - micro Core i7 i7-14700 2.1 GHz - 16GB - SSD 512 GB

Silver Service Plan: Shared resource 1 day/8hrs, comprehensive fleet management

LOCAL STOCK NUMBER: SVC-GLTR-2-01

Factory Integration (excludes monitor)

LOCAL STOCK NUMBER: SVC-IH1-INSTALL-01

White Glove Delivery (unloading, unboxing, etc)

LOCAL STOCK NUMBER: SVC-WGLV-A-01

A.3 DELIVERY SCHEDULE

VA MEDICAL CENTER

1970 ROANOKE BLVE

SALEM, VA 24153

USA

All

540-982-2463 Ext. 4157 Benjamin.Sackett@va.gov

CONTINUATION PAGE

VAMC Salem VA is looking for 38 medical carts that meet the following Salient Characteristics.

Salient Characteristics

· Push Button motorized adjustment.

· Motorized Adjustment from seated to standing position.

· Minimally, Keyboard must lower to 26.25" with all drawer configurations

· Minimally, Keyboard must raise to 44" with all drawer configurations

· Keyboard and Mouse Adjustment

· At a minimum the display must adjust down, forward and tilt up and down

· Rotation of display to rotate

· Steering system

· Cart must have touchscreen display

· Lightweight power system minimally no larger than 3lbs

· Battery capacity must meet or exceed 51.4AH

· Power system must have WiFi and Bluetooth capability and be FIPS 140-2 Listed

· Power system must not be located in the base of the cart

· At a minimum the power system must be able to reboot PC with the push of a cart touchscreen display button

· Power system must be able to send a ticket into the hospital IT service management system

· Power system must be located under the worksurface

· Must have hospital grade plastics that can be cleaned with hospital cleaners

· At a minimum the product must contain a 6-year mechanical and electrical warranty, 4 year battery performance and defect warranty

· Medication bins must be interchangeable and removable

· Medication bins must be electronic locking

· At a minimum the medication bin configuration must be able to be reprogrammed to accept and properly display different bin configurations

· Cart must alarm audibly and visually to indicate any drawers left open

· Drawer access must accept PIN codes for security

John Harmsen John.harmsen@va.gov