S06 Amendment 36C24824Q15290001.pdf

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)

1 3

36C248

Department of Veterans Affairs Network Contracting Office 8 (NCO 8)

8875 Hidden River Pkwy, Suite 160A Tampa FL 33637

36C248

Department of Veterans Affairs Network Contracting Office 8 (NCO 8)

8875 Hidden River Pkwy Tampa FL 33637

To all Offerors/Bidders

36C24824Q1529

08-22-2024

X

X X

X 1

The purpose of this modification is to:

A. Remove CLIN 0002-Reichert 11637 Plus Cylinder Black Illuminated Ultramatic RxMaster Phoroptor Refractor (BRAND NAME) B. Renumber CLIN 0003 to CLIN 0002-Reichert iPac Pachymeter with Case, USB Wall Charger, Cradle (BRAND NAME) C. Revise Statement of Need to remove all language pertaining to a Reichert Black Illuminated Phoroptor.

////////////////////LAST ITEM///////////////////////

Marcus Lewis Contracting Officer

B.2 PRICE/COST SCHEDULE

ITEM INFORMATION

ITEM

NUMBER

DESCRIPTION OF

SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

9.00 EA

Reichert AVIA Tono-Pen Tonometer (BRAND NAME ONLY)

MANUFACTURER PART NUMBER (MPN): TO0RE230650

1.00 EA

Reichert iPac Pachymeter with Case, USB Wall Charger, Cradle (BRAND

NAME ONLY)

MANUFACTURER PART NUMBER (MPN): US0RE16040FG

GRAND TOTAL

B.3 DELIVERY SCHEDULE

ITEM NUMBER SHIPPING INFORMATION QUANTITY DELIVERY DATE

0001 - 0002 SHIP TO: Lakeland Community Based Outpatient Clinic (CBOC) 2080 Meadowland Park Blvd Lakeland, FL 33803 U.S.

9.00 30 Days ARO

FOB: DESTINATION

B.4 STATEMENT OF NEED

Lakeland VA Community Based Outpatient Clinic Eye Lane Instruments

GENERAL: The VA’s Community Based Outpatient Clinic in Lakeland, FL located at 2080 Meadowbrook Park Blvd, Lakeland, FL 33803 (part of the James A. Haley Veterans’ Hospital Network), has a requirement for Eye Lane instruments throughout the newly built Lakeland CBOC facility. These units have been proven to be reliable throughout the VA Network.

BACKGROUND: The current Lakeland VA CBOCs will combine into one new facility and expand services to better serve the local veteran community. This new facility requires Eye Lane Instruments.

The procurement of the items listed below and in this package is required for the activation of the new facility.

SCOPE: Vendor shall provide Reichert Tono-Pen AVIA Handheld Tonometers and associated equipment (BRAND NAME ONLY) to include a Handheld Pachymeter. The equipment will be used to provide optometry care to veterans in the local community.

PHYSICAL CHARACTERISTICS: Equipment shall be Reichert Tono-Pen AVIA Handheld Tonometers and associated equipment (BRAND NAME ONLY). The following equipment shall be 'Brand Name Only':

Line 001 || M5575 || Rooms: 2200, 2201, 2202, 2203, 2204, 2213, 2212, 2214

Part Number Nomenclature Quantity

TO0RE230650 Reichert AVIA Tono-Pen 9

US0RE16040FG Reichert iPac Pachymeter w/ Case, USB Wall Charger, Cradle 1

PLACE OF DELIVERY AND PERFORMANCE:

Department of Veterans’ Affairs Lakeland VA CBOC 2080 Meadowland Park Blvd Lakeland, FL 33803

Point of Contact – All deliveries shall be scheduled 48-72 hours in advance. Point of Contact information will be provided upon contract award.

DELIVERY SCHEDULE: All units to be delivered 30 days After Receipt of Order (ARO).

WARRANTY OF EQUIPMENT: Vendor shall provide standard manufacturer warranty of all Eye Lane Equipment listed above.

(End of Statement of Need)