36C25019Q0913-0003000.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) 08-21-2019 None Department of Veterans Affairs Ann Arbor Healthcare System Network Contracting Office 10 2215 Fuller Road Ann Arbor MI 48105 Y Department of Veterans Affair Ann Arbor Healthcare System Network Contracting Office 10 2215 Fuller Road Ann Arbor MI 48105 To all Offerors/Bidders

36C25019Q0913 08-12-2019

X X X

See CONTINUATION Page X

1. The purpose of this amendment is to clarify the Statement of Work and the Price/Cost Schedule.

a. The original Section B.2 Statement of Work is hereby replaced by the Statement of Work in this amendement.

b. The original Section B.3 Price/Cost Schedule is hereby replaced by the Price/Cost Schedule in this amendement.

2. All other terms and conditions remain unchanged by this amendment.

NOTE: If the offeror chooses to use their own Pricing structure all CLINS shall be easily identified. Failure to identify CLINS may result in a nonresponsive offer.

B.2 STATEMENT OF WORK (SOW)

I. SCOPE

a. Contractor shall uninstall and separate parts to be retained/reused (as GFE) from parts handed back for disposal/recycling by the VA. Supply all parts and labor required to install. Commission and test the new TV displays after installation. Provide all final documentation deliverables including original operator manuals, source code and “as-built” CAD drawings for the completed system.

b. NOTE: The Price/Cost Schedule below is a full breakdown off all equipment requirements.

II. LOCATIONS

a. 6 South - 2215 Fuller Road, Ann Arbor, MI 48105

i. The contractor shall provide the following commercial grade 4K Smart TVs, Web OS 4.0 commercial grade TV’s with tilt mounts as follows:

ii. In the 30 patient rooms, the contractor shall provide 30 Hospital Grade 43” 4K Smart TV, Web OS 3.5 or 4.0 (43UV770M) or equal based on the salient characteristics below.

iii. In the Patient waiting room, provide 1 Commercial Grade 55” 4K Smart TV, Web OS 3.5 or 4.0 (55UU770H) or equal based on the salient characteristics below, with Tilt Mount.

iv. NOTE: The patient rooms currently have mounts installed, so new mounts are not needed. All cabling is currently in place in all these locations but two. Mounting televisions and running the coax cable to these two locations will not be the responsibility of the contractor.

b. Interventional Radiology - 2215 Fuller Road, Ann Arbor, MI 48105

i. The contractor shall provide and install 12, 19” Smart Touch Screen IPTV with Ceiling Mounts. Data cabling to nearest telecom closet (approx. 150’) and power over coax will need to be supplied by the contractor. Installation shall occur when the Radiology department is closed (typically evenings and weekends). Data cabling to nearest telecom closet (approx. 150’) in this location will be the responsibility of the contractor.

ii. The contractor shall provide the following commercial grade 4K Smart TVs, Web OS 4.0 commercial grade TV’s with tilt mounts as follows:

Mounting televisions and running the coax cable to these two locations will not be the responsibility of the contractor.

c. Digital Signage throughout Ann Arbor VA Medical Center – 2215 Fuller Road, Ann Arbor, MI 48105

i. The contractor shall provide the following commercial grade 4K Smart TVs, Web OS 4.0 commercial grade TV’s with tilt mounts as follows:

ii. The contractor shall provide 12 hours of design work shall be supplied by the contractor. Running coax cable to these locations will not be the responsibility of the contractor.

III. ADDITIONAL REQUIREMENTS

a. The contractor shall notify the COR immediately if any government furnished equipment is found to be not functional or incompatible. The government will either provide replacement equipment, negotiate a modification to the contract to require the contractor to provide replacement equipment, or provide direction to resolve the issue.

b. Within 10 business days of award, the contractor shall arrange a meeting (kickoff) to introduce the project team and review/confirm with VA key personnel, SOW, and project plan prior to ordering parts.

c. Following the initial meeting and in accordance with the delivery schedule and normal manufacturer lead times, required parts will be ordered. Unless otherwise stated, parts are shipped to a contractor-owned, climate-controlled commercial property for off-site storage, integration, and staging. Once project is started, VA will provide locked storage in a climate-controlled area, this area will be large enough for anything that the contractor will need to store during this project. The storage area will be located in the same building as the project locations.

d. Any and all parts/supplies provided by contractor shall be new, sourced from the manufacturer or authorized channel/reseller/distributor, and convey to the government with original manufacturer warranty rights, accessories, and manuals. Contractor will re-use parts as designated/directed by the VA and reinstall and integrate GFP with the newly supplied commercial items to be supplied by Contractor to form a complete, functional system. Contractor will uninstall prior equipment, cabling etc. that will not get reused and remove from premises for recycling/disposal.

e. Installing company shall be able to respond within one hour and be on site to troubleshoot within four hours during the one-year warranty period. The project will need a project manager identified, a project engineer and a lead installer identified. A proposed installation schedule along with installing company address, and at least two jobs that are similar in size and scope with reference phone numbers shall be submitted with proposals.

(End of Statement of Work)

B.3 PRICE/COST SCHEDULE

ITEM INFORMATION

MANUFACTURER PART NUMBER: APL-UCYPT48PRO

*PREFERRED BRAND, NOT REQUIRED

*SALIENT CHARACTERISTICS*

- Smart TV with WebOS 3.5 or higher

- Compatible with eVideon application/software

- minimum of (2) HDMI inputs, (1) COAX Input, (1) LAN Input

MANUFACTURER PART NUMBER: 32LV760M

*SALIENT CHARACTERISTICS*

- Compatible with eVideon application/software

- minimum of (2) HDMI inputs, (1) COAX Input, (1) LAN Input

- Pillow Speaker Compatibility

MANUFACTURER PART NUMBER: 43UV77OM

*SALIENT CHARACTERISTICS*

- Compatible with eVideon application/software

MANUFACTURER PART NUMBER: 49UU770H

*SALIENT CHARACTERISTICS*

- Compatible with eVideon application/software

MANUFACTURER PART NUMBER: 55UU770H

*SALIENT CHARACTERISTICS*

- Compatible with eVideon application/software

MANUFACTURER PART NUMBER: 65UU770H

*SALIENT CHARACTERISTICS*

- Compatible with eVideon application/software

MANUFACTURER PART NUMBER: 75UU770H

NSP

*Separately Priced in Sub-Line Items

NSP

*Separately Priced in Sub-Line Items

MANUFACTURER PART NUMBER: PDI-P19A-BB2H-C

*See details in SOW.

NOTE: INCLUDES DATA CABLING TO NEAREST TELECOM CLOSET (APPROX. 150’) AND POWER OVER COAX HARDWARE