36C25220Q0909 0001.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 NUMBERE

D 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 amendmen t, 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) 09-24-2020 Medrad MRXperion 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

36C25220Q0909 09-23-2020

X X X X 09/28/2020 at 4PM EST See CONTINUATION Page X This is an amendment to the RFQ number of 36C25220Q0909. This must be signed and returned with the RFQ before the closing date (now extended) of 9/28/2020 @4pm EST.

This amendment adds option years of Bayer Service Agreements on the equipment, making it easier for the end user to maintain yearly service agreements.

The origional line items needed and required for the base year have been updated, since the equipment being ordered already carries with it an existing 12-month contract.

Numbers 1000, 2000, 3000, and 4000 are option years and cannot be obligated until that option year becomes effective.

Shari L Lee

CONTINUATION PAGE

A.1 PRICE/COST SCHEDULE

ITEM INFORMATION

84219843 - CDM app, Tier 1

LOCAL STOCK NUMBER: ME-84219843

84220396 - CDM-PACS-1 - Outbound PACS Interface, Tier 1

LOCAL STOCK NUMBER: ME-84220396

84568414 - INS MRXP INF - INSTALL, MRXperion w/informatics

LOCAL STOCK NUMBER: ME-84568414

59941260 - MIS SVS INT-1D - SERVICES, CERTEGRA, INTEGRATION, 1D

LOCAL STOCK NUMBER: ME-59941260

84219584 - CDM-PS - Installation and Implementation services

LOCAL STOCK NUMBER: ME-84219584

84200085 - MRXP 200 SYSTEM, INJECTOR, MRXPERION **PRICE INCLUDES TRADE IN DISCOUNT FOR ONE SPECTRIS S/N 31070**

LOCAL STOCK NUMBER: ME-84200085

84656909 - CDM-SU-1 - 1 yr POS CDM software support

LOCAL STOCK NUMBER: ME-84656909

84663395 - MR Point of Care Software

LOCAL STOCK NUMBER: ME-84663395

84284033 - Service Manual (English)

LOCAL STOCK NUMBER: ME-84284033

84284114 - MRXPERION MANUAL, OPERATORS, ENGLISH

LOCAL STOCK NUMBER: ME-84284114

84587966 - (Option Yr 1) DCB-MRXP-1W DIRECTCARE BASIC MRXperion 1 YR WX

LOCAL STOCK NUMBER: ME-84587966

84587966 - (Option Yr 2) DCB-MRXP-1W DIRECTCARE BASIC MRXperion 1 YR WX

84587966 - (Option Yr 3) DCB-MRXP-1W DIRECTCARE BASIC MRXperion 1 YR WX

84587966 - (Option Yr 4) DCB-MRXP-1W DIRECTCARE BASIC MRXperion 1 YR WX

A.2 DELIVERY SCHEDULE

2.00

2.00

2.00

2.00

1.00

2.00

1.00

2.00

1.00

1.00

2.00

2.00

2.00

2.00