36C24720Q0177-0001000.docx

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J065--Anesthesia Service (PM) Contract Federal contract opportunity
Solicitation number
36C24720Q0177
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 7

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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

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) 02-24-2020 N/A Department of Veterans Affairs VISN 7 Network Contracting Office LaVista Business Park - Bldg A 2008 Weems Road Tucker

GA

30084 Department of Veterans Affairs VISN 7 Network Contracting Office LaVista Business Park - Bldg A 2008 Weems Road Tucker

GA

30084 To all Offerors/Bidders

36C24720Q0177 02-24-2020

X X X

X This amendment to this solicitation is to do the following:

1. Remove serial # AMTN00151 from GE AP Gas Unit / Module and place under GE Aestiva MRI (see attached) for a quantity of two (2).

2. All Other Terms and condtions will remain the same.

Quentin Deloney Contracting Officer GE Avance CS2

VA Asset #
EE #
Manufacturer
Serial #
Location
Install Date
PM Frequency
PM ID #
1332031
509 EE82514
GE HEALTHCARE
APKV02256
3A126-801
2/21/17
Semi-Annual
256643
1316829
509 EE82515
GE HEALTHCARE
APKV02258
3A117-801
2/21/17
Semi-Annual
256647
1502086
509 EE82516
GE HEALTHCARE
APKV02257
3D142H-801
2/21/17
Semi-Annual
256644
1316860
509 EE82517
GE HEALTHCARE
APKV02259
3A121-801
2/21/17
Semi-Annual
256641
1387501
509 EE82518
GE HEALTHCARE
APKV02260
3A115-801
2/21/17
Semi-Annual
256638
1454704
509 EE82519
GE HEALTHCARE
APKV02261
3A128-801
2/21/17
Semi-Annual
256637
1332036
509 EE82520
GE HEALTHCARE
APKV02264
3A128-801
2/21/17
Semi-Annual
256648
1375573
509 EE82522
GE HEALTHCARE
APKV02263
3A123-801
2/21/17
Semi-Annual
256652
1529327
509 EE82523
GE HEALTHCARE
APKV02265
3A122-801
2/21/17
Semi-Annual
256649
1441509
509 EE82567
GE HEALTHCARE
APKV02262
3A119-801
2/21/17
Semi-Annual
256645

a) GE Aestiva MRI Anesthesia Machine (quantity 2):

GE Aestiva MRI

VA Asset #
EE #
Manufacturer
Serial #
Location
Install Date
PM Frequency
PM ID #
1506385
58710
GE HEALTHCARE
AMTN00151
6C145-801
6/3/09
Semi-Annual
213084
1424698
82513
GE HEALTHCARE
AMTV00315
3A117-801
2/21/17
Semi-Annual
256653

b) GE Carescape E-sCAiO Modules:

GE E-sCAiO Modules

VA Asset #
EE #
Manufacturer
Serial #
Model #
Location
Install Date
PM Frequency
PM ID #
1441563
509 EE82547
GE HEALTHCARE
SGV16320084HA
E-SCAIO
3A119-801
2/21/17
Semi-Annual
256630
1405303
509 EE82548
GE HEALTHCARE
SGV16370099HA
E-SCAIO
3A117-801
2/21/17
Semi-Annual
256629
1485022
509 EE82549
GE HEALTHCARE
SGV16370159HA
E-SCAIO
3D142-801
2/21/17
Semi-Annual
256636
1384535
509 EE82550
GE HEALTHCARE
SGV16370222HA
E-SCAIO
3A128-801
2/21/17
Semi-Annual
256635
1332020
509 EE82551
GE HEALTHCARE
SGV16370224HA
E-SCAIO
3A128-801
2/21/17
Semi-Annual
256632
1502059
509 EE82552
GE HEALTHCARE
SGV16370226HA
E-SCAIO
3A128-801
2/21/17
Semi-Annual
256627
1487304
509 EE82553
GE HEALTHCARE
SGV16370231HA
E-SCAIO
3A128-801
2/21/17
Semi-Annual
256628
1424661
509 EE82554
GE HEALTHCARE
SGV16370253HA
E-SCAIO
3A123-801
2/21/17
Semi-Annual
256625
1371236
509 EE82555
GE HEALTHCARE
SGV16370232HA
E-SCAIO
3A128-801
2/21/17
Semi-Annual
256631
1533818
509 EE82556
GE HEALTHCARE
SGV16380020HA
E-SCAIO
3A123-801
2/21/17
Semi-Annual
256633

c) Vaporizers (Quantity 39):

Vaporizers

VA Asset #
EE#
Manufacturer
Model #
Serial #
Install Date
PM Frequency
PM ID #
1386425
509 EE50406
BAXTER HEALTHCARE CORP
TEC 6
AETM16109
1/8/08
Semi-Annual
284039
1400503
509 EE50405
BAXTER HEALTHCARE CORP
TEC 6 PLUS
AESS16090
1/8/08
Semi-Annual
277948
1461143
509 EE50411
BAXTER HEALTHCARE CORP
TEC 6 PLUS
AETL39010
1/8/08
Semi-Annual
277947
1458269
509 EE82504
GE HEALTHCARE USA
TEC 6 PLUS
AESV38015
2/21/17
Semi-Annual
256675
1537648
509 EE82505
GE HEALTHCARE USA
TEC 6 PLUS
AESV40044
2/21/17
Semi-Annual
256673
1327770
509 EE82506
GE HEALTHCARE USA
TEC 6 PLUS
AESV43003
2/21/17
Semi-Annual
256665
1506047
509 EE82507
GE HEALTHCARE USA
TEC 6 PLUS
AESV43016
2/21/17
Semi-Annual
256668
1421334
509 EE82508
GE HEALTHCARE USA
TEC 6 PLUS
AESV43019
2/21/17
Semi-Annual
256670
1453676
509 EE82509
GE HEALTHCARE USA
TEC 6 PLUS
AESV43028
2/21/17
Semi-Annual
256660
1426159
509 EE82510
GE HEALTHCARE USA
TEC 6 PLUS
AESX09003
2/21/17
Semi-Annual
258425
1531247
509 EE82511
GE HEALTHCARE USA
TEC 6 PLUS
AESV43033
2/21/17
Semi-Annual
256657
1519972
509 EE82512
GE HEALTHCARE USA
TEC 6 PLUS
AESV43034
2/21/17
Semi-Annual
256678
1402679
509 EE82521
GE HEALTHCARE USA
TEC 6 PLUS
AESV43047
2/21/17
Semi-Annual
256681
1525302
509 EE66755
BAXTER HEALTHCARE CORP
TEC 7
BEJF00165
1/8/08
Semi-Annual
277944
1367441
509 EE66758
BAXTER HEALTHCARE CORP
TEC 7
BEJN00713
1/8/08
Semi-Annual
277946
1415289
509 EE66759
BAXTER HEALTHCARE CORP
TEC 7
BEGN01389
1/8/08
Semi-Annual
277951
1343815
509 EE66762
BAXTER HEALTHCARE CORP
TEC 7
BEGF00327
1/8/08
Semi-Annual
277952
1384565
509 EE82524
GE HEALTHCARE USA
TEC 7
BEGV02134
2/21/17
Semi-Annual
256669
1394622
509 EE82525
GE HEALTHCARE USA
TEC 7
BEGV02136
2/21/17
Semi-Annual
256658
1429351
509 EE82526
GE HEALTHCARE USA
TEC 7
BEGV02140
2/21/17
Semi-Annual
256666
1458245
509 EE82527
GE HEALTHCARE USA
TEC 7
BEGV02141
2/21/17
Semi-Annual
256679
1478295
509 EE82528
GE HEALTHCARE USA
TEC 7
BEGV02143
2/21/17
Semi-Annual
256671
1542800
509 EE82529
GE HEALTHCARE USA
TEC 7
BEGV02144
2/21/17
Semi-Annual
256676
1517568
509 EE82530
GE HEALTHCARE USA
TEC 7
BEGV02152
2/21/17
Semi-Annual
256661
1485011
509 EE82531
GE HEALTHCARE USA
TEC 7
BEGV02154
2/21/17
Semi-Annual
256705
1444361
509 EE82532
GE HEALTHCARE USA
TEC 7
BEJV04723
2/21/17
Semi-Annual
258427
1360948
509 EE82533
GE HEALTHCARE USA
TEC 7
BEJVO5716
2/21/17
Semi-Annual
256707
1429235
509 EE82534
GE HEALTHCARE USA
TEC 7
BEJV06190
2/21/17
Semi-Annual
256667
1487285
509 EE82535
GE HEALTHCARE USA
TEC 7
BEJV06192
2/21/17
Semi-Annual
258438
1510606
509 EE82536
GE HEALTHCARE USA
TEC 7
BEJV06261
2/21/17
Semi-Annual
256706
1468971
509 EE82537
GE HEALTHCARE USA
TEC 7
BEJV06278
2/21/17
Semi-Annual
256659
1409140
509 EE82538
GE HEALTHCARE USA
TEC 7
BEJV06282
2/21/17
Semi-Annual
256662
1379442
509 EE82539
GE HEALTHCARE USA
TEC 7
BEJV06313
2/21/17
Semi-Annual
256677
1375635
509 EE82540
GE HEALTHCARE USA
TEC 7
BEGV02138
2/21/17
Semi-Annual
258428
1538556
509 EE82541
GE HEALTHCARE USA
TEC 7
BEJV06314
2/21/17
Semi-Annual
256680
1450559
509 EE82542
GE HEALTHCARE USA
TEC 7
BEGV02132
2/21/17
Semi-Annual
256674
1485016
509 EE82543
GE HEALTHCARE USA
TEC 7
BEGV02148
2/21/17
Semi-Annual
256703
1476007
509 EE82544
GE HEALTHCARE USA
TEC 7
BEJV06325
2/21/17
Semi-Annual
256672
1510663
509 EE82545
GE HEALTHCARE USA
TEC 7
BEJV04869
2/21/17
Semi-Annual
256704

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