36C25218Q0233-0001000.docx

Continuation Pages

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 ITE M 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 r eference 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

BY

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) 09-07-2018 None 36C252 Department of Veterans Affairs Great Lakes Acquisition Center (GLAC) 115 S 84th Street, Suite 101 Milwaukee WI 53214-1476 36C252 Department of Veterans Affairs Great Lakes Acquisition Center (GLAC) 115 S 84th Street, Suite 101 Milwaukee WI 53214-1476 To all Offerors/Bidders

36C25218Q0233 09-06-2018

X X X X The purpose of this amendment is to include additional technical requirements for the required beds.

See continuation pages for details.

Daniel Rasmussen

CLIN 0001 BED, HOSPITAL ADVANTA II SYSTEM WITH

P500 THERAPY SURFACE WITH BLOWER

Required Capabilities:

· SlideGuard Frame Technology Audible "Brake Not Set" Alarm

· 15.75" Low Chair Deck Height

· "Dampened" Instant CPR

· Smart Bed Ready

· Battery Backup

· Lo-Lo Indicator Electric Vascular Foot

· Night Light

· Adjustable Height

· Head and Knee

· Point-of-Care Siderail Controls with Lockouts

· Line-of-Site Angle Indicators

· Four Corner Central Brake and Steer 4 Dual-Locking Casters

· Electric Trendelenburg

· Imbedded Patient Controls in Siderail

· Patient Egress Handle

· Integrated Line Management in Siderail

· Patient Storage in Siderail

· Auto Contour

· Integrated Bed Extender

· Removable Headboard and Footboard/CPR Board

· 6 Patient Strap Holders and Drainage Bag Holders

· Cord Wrap Clips with IV Pole Storage

· English Language Labels

· Voltage: 120

· In Bed-Scale Point of Display Both Sides

· Patient Position Monitoring

· Corner Steer

· Patient Helper Adapter-Headend

· Light Neutral End Panels Color: Medium Oak

· IV Pole

· Digital HOB Display and Alarm

· AD155 Base Frame

· AD-P5 P500 Therapy Surface w/blower

· AD-NUL Nurse Call

· Univ TV & Lighting

· AD-L Stowable Pendant Left Side

· AD-LM1 Accent Color: Medium Oak

· Warranty: 1 Year

CLIN 0002 BED, HOSPITAL ADVANTA II SYSTEM WITH

ACCUMAX QUANTUM VPC SURFACE

Required Capabilities:

· SlideGuard Frame Technology Audible "Brake Not Set" Alarm

· 15.75" Low Chair Deck Height

· “Dampened" Instant CPR

· Smart Bed Ready

· Battery Backup

· Lo-Lo Indicator Electric Vascular Foot

· Night Light Adjustable Height

· Head and Knee

· Point-of-Care Siderail Controls with Lockouts

· Line-of-Site Angle Indicators

· Four Corner Central Brake and Steer

· 4 Dual-Locking Casters

· Electric Trendelenburg

· Imbedded Patient Controls in Siderail

· Patient Egress Handle

· Integrated Line Management in Siderail

· Patient Storage in Siderail

· Auto Contour

· Integrated Bed Extender

· Removable Headboard and Footboard/CPR Board

· 6 Patient Strap Holders and Drainage Bag Holders

· Cord Wrap Clips with IV Pole Storage

· Dartex Ticking

· English Language Labels

· Voltage: 120

· In Bed-Scale

· Point of Display Both Sides

· Patient Position Monitoring

· Corner Steer

· Patient Helper Adapter-Headend Light

· Neutral End Panels Color: Medium Oak

· IV Pole

· Digital HOB Display and Alarm

· AD155 Base Frame

· AD-ACM Accumax Quantum VPC Surface

· AD-NUL Nurse Call

· Univ TV & Lighting

· AD-L Stowable Pendant - Left Side

· AD-LM1 Accent Color Medium Oak

· Warranty: 1 Year