36C25218Q0378-00001000.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

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) 00001 01-05-2018 607-18-1-969-0003 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

36C25218Q0378 01-05-2018

X X X Amendment 00001 is to update the pricing schedule from a Skytron 3602 OR Table to a Skytron 3603 OR table and to update with the current salient characteristics based on the new model.

All other terms and conditions of this solicitation remain the same

Contract administration: Michael J Rosenthal- michael.rosenthal@va.gov

Michael J Rosenthal Contracting Officer

VA-VHA-SAOC-2016- A0427B46

SUMMARY OF CHANGES to OR Tables RFQ 36C25218Q0378 for the William S. Middleton VA Medical Center located in Madison WI:

Please note that the following information has been added to the solicitation, which has been revealed in correspondence with the market for which the solicitation is intended. The following questions and answers are provided:

1. Skytron 3602 table was replaced with table Skytron 3603.

2. Updated salient characteristics The response due date is Wednesday, January 10,2018 at 2:00 p.m. CST.

SCHEDULE OF SUPPLIES/SERVICES AND PRICES/COSTS

(SF 1449, Continuation of Blocks 19 – 24)

Contractor shall provide the following Brand Name or equal item for the William S. Middleton VA Medical Center located in Madison, WI. The following items are known to meet the VA’s needs. Offeror shall provide the following items:

documentation.

TOTAL COST

Memo or correspondence which authorizes distributor to distribute the manufacturer’s products must be included with RFQ response if offeror is not original manufacturer.

Specifications/salient characteristics:

1. Must have a 1,000 lb lift and 800 lb articulating capacity

2. Must have imaging efficiency

3. Required to have surgical positioning flexibility

4. Must have handheld and back up controls for one touch operations

5. Must have removable back and leg sections

6. Adjustable table height min 23" max 41.5"

7. Must have 35 deg lateral tilt

8. Must have 40 deg trendelenburg and 30 deg reverse trendelenburg

9. Self-leveling brakes

10. Overall length not to exceed 82"

11. Overall height not to exceed 41.5"

12. Overall width not to exceed 22"

13. Stainless steel base

14. Top slide minimum 26"

15. Slide to head minimum 10"

16. Slide to foot minimum 16.5"

17. Radiographic top

All Items to be delivered and installed at:

William S. Middleton VA Medical Center Warehouse 2500 Overlook Terrace Madison, WI 53705‐2286

Delivery and installation coordination is TBD. The product will be stored at contractor’s warehouse until the scheduled delivery is determined. Delivery will be during normal working hours, between 7:30am and 4:00pm, Monday through Friday.