36C25026Q0926 0001.docx

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Attached to
6515--MANOSCAN - HIGH RESOLUTION MANOMETRY SYSTEM, Cleveland
Solicitation number
36C25026Q0926
Issued by

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This is an Amendment/Modification (SF 30) to Solicitation 36C25026Q0926 issued by the Department of Veterans Affairs, Network Contracting Office 10, Louis Stokes Cleveland VA Medical Center. The amendment extends the receipt deadline for offers from September 10, 2026 to September 14, 2026 at 2:00 PM EDT and adds two additional line items to the original Request for Quotation (RFQ).

The solicitation seeks to procure medical equipment for the Gastroenterology Endoscopy Department. The original requirement consists of two line items: (1) 2 units of GVI 2192 MANOSCAN AR CATH REG X1 catheters, and (2) 2 units of GVI SRV-HRMARCATH-EXW AR CATHETER EXTENDED WARRANTY covering one year. The amendment adds two new line items: (3) 2 units of 3890 Manoscan ESO Z CATH X1, and (4) 2 units of 80372 HRM CATHETER EXTENDED WARRANTY 1 YEAR. All supplies are to be delivered via FOB Destination to Louis Stokes Cleveland VA Medical Center, 10701 East Boulevard, Cleveland, Ohio 44106, marked for Jennifer A. Tisdale, Contract Specialist. This is a brand-name-only procurement for commercial medical instruments under FAR Part 12, designated as a Small Business or SDVOSB/VOSB set-aside (NAICS 339112, FSC/PSC 6515).

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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) 09-10-2026 541-26-4-250-0583

TBD

36C250 Department of Veterans Affairs Network Contracting Office 10 6100 Oak Tree Boulevard Suite 490 Cleveland OH 44131-6969 36C250 Department of Veterans Affairs Network Contracting Office 10 6100 Oak Tree Boulevard Suite 490 Cleveland OH 44131-6969 To all Offerors/Bidders

36C25026Q0926

X X X ** HOUR & DATE for Receipt of Offers is EXTENDED to: 09-14-2026 2:00PM EDT See CONTINUATION Page Attached The purpose of this modification is to extend the date of the solicitation of 36C25026Q0926 from 9/10/2026 - 9/14/2026, 2:00PM, Eastern Standard Time.

Two additional cathethers are requested to be added to thisorder. Two esophageal catheters;

1. 3890 Manoscan ESO Z CATH X1, 2 EA

2. 80372 HRM CATHETER EXTENDED WARRANTY 1 YEAR, 2 EA

Reference 36C25026Q0926, 0001 in Contract Opportunities/SAMfor the RFQ-Amended Solicitation.

Jennifer A. Tisdale Contract Specialist

CONTINUATION PAGE

A.1 PRICE/COST SCHEDULE

ITEM INFORMATION

ITEM NUMBER
DESCRIPTION OF SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
2.00
EA
__________________
__________________

GVI 2192 MANOSCAN AR CATH REG X1

LOCAL STOCK NUMBER: 2192

2.00
EA
__________________
__________________

GVI SRV-HRMARCATH-EXW AR CATHETER EXTENDED WARRANTY 1 YEAR

LOCAL STOCK NUMBER: SRV-HRMARCATH-EXW

2.00
EA
__________________
__________________

**3890 Manoscan ESO Z CATH X1

2.00
EA
__________________
__________________

**80372 HRM CATHETER EXTENDED WARRANTY, 1 YEAR

GRAND TOTAL
__________________

A.2 DELIVERY SCHEDULE

ITEM NUMBER
SHIPPING INFORMATION
QUANTITY
DELIVERY DATE
0001
SHIP TO:
Department of Veterans Affairs

Louis Stokes Cleveland VA Med Center 10701 East Blvd.

Cleveland, OH 44106

USA

2.00

MARK FOR:
Jennifer A. Tisdale

216-447-8010 jennifer.tisdale@va.gov

INSTRUCTIONS:
RFQ-Amend, 36C25026q0926, 0001: 9/10/2026 - 9/14/2026 BY 2:00PM, EST
FOB:
DESTINATION

2.00

2.00

2.00

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