36C25519Q0289-0002000.docx
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- Retinal Imaging System - CO 589A93043
- Solicitation number
- 36C25519Q0289
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36C25519Q0289 0002 36C25519Q0289 0002.docx
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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 ADM
INISTRATIVE 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 d ate 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 3
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) 03-25-2019 589-18-4-8874-0177 None 36C255 Department of Veterans Affairs Network Contracting Office (NCO) 15 3450 S 4th Street Trafficway Leavenworth
KS 66048
36C255 Department of Veterans Affairs Network Contracting Office (NCO) 15 3450 S 4th Street Trafficway Leavenworth KS 66048 To all Offerors/Bidders
36C25519Q0289
X X X ** HOUR & DATE for Receipt of Offers is EXTENDED to: 03/28/2019 10:00 AM CST.
See CONTINUATION Page The purpose of this amendment is to change set aside and extend closing date.
1. The set aside is hereby changed from VOSB to Small Business.
2. Closing date is hereby changed from 03/28/2019 10:00 AM CST to 03/25/2019 10:00 AM C
ST.
Paul Dixon, Jr.
Contracting Officer
CONTINUATION PAGE
A.1 PRICE/COST SCHEDULE
ITEM INFORMATION
| ITEM NUMBER |
| DESCRIPTION OF SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
| 1.00 |
| EA |
| __________________ |
| __________________ |
Micron IV Retinal Imaging System Includes-retinal imaging micro-scope, objective lens for rodent, micro-adjust stage for rodent, light source, filters for fluorescein angiog-raphy & near infrared, computer, 22 inch monitor, and software. Shipping and Handling included.
LOCAL STOCK NUMBER: 40-2200
| 1.00 |
| EA |
| __________________ |
| __________________ |
Objective Lens for Mice-Micron IV
LOCAL STOCK NUMBER: 40-1014
| 1.00 |
| EA |
| __________________ |
| __________________ |
Objective Lens for Rat-Micron IV
LOCAL STOCK NUMBER: 40-1050
| 1.00 |
| EA |
| __________________ |
| __________________ |
Anterior Segment Lens for OCT
LOCAL STOCK NUMBER: 40-1069
| 1.00 |
| EA |
| __________________ |
| __________________ |
Image Guided OCT2 System Includes: -Laser & Power source engine, -Scanning head for rodent, -Software & InSight Analysis Software (interdependent component of Micron)
LOCAL STOCK NUMBER: 40-2255
| 1.00 |
| EA |
| __________________ |
| __________________ |
Objective Lens for Mice-OCT2
LOCAL STOCK NUMBER: 40-1067
| 1.00 |
| EA |
| __________________ |
| __________________ |
Objective Lens for Rat-OCT2
LOCAL STOCK NUMBER: 40-1068
| 1.00 |
| EA |
| __________________ |
| __________________ |
Anterior Segment Slit Lamp System Includes-high resolution objective for mice and rats, variable intensity LED, and two back fill lamps
LOCAL STOCK NUMBER: 40-1007
| 1.00 |
| EA |
| __________________ |
| __________________ |
Ganzfeld System Includes-Ultra-sensitive ERG amplifier, LED light source, electrodes, computer, monitor, keyboard, MAAS rodent stand, install kit & accessory kit.
LOCAL STOCK NUMBER: 40-2227
| 1.00 |
| EA |
| __________________ |
| __________________ |
Image Guided Focal ERG System Includes-Ultra-sensitive ERG amplifier, advanced analysis software, ERG injector and electrode connectors (interdependent component of Micron
LOCAL STOCK NUMBER: 40-1066
| 1.00 |
| EA |
| __________________ |
| __________________ |
Objective Lens for Rat-fERG
LOCAL STOCK NUMBER: 40-1058
| 1.00 |
| EA |
| __________________ |
| __________________ |
Objective Lens for Mice-fERG
LOCAL STOCK NUMBER: 40-1057
| 1.00 |
| EA |
| __________________ |
| __________________ |
Image Guided Laser System Includes- Image Guided laser attachment, a Merilas 532alpha laser source and a laser check meter (interdependent component of Micron)
LOCAL STOCK NUMBER: 40-1071
| 1.00 |
| EA |
| __________________ |
| __________________ |
Objective Lens for Mice-Laser
LOCAL STOCK NUMBER: 40-1061
| 1.00 |
| EA |
| __________________ |
| __________________ |
Objective Lens for Rat-Laser
LOCAL STOCK NUMBER: 40-1062
| 1.00 |
| EA |
| __________________ |
| __________________ |
Installation & Training-Domestic
LOCAL STOCK NUMBER: 40-5000
| 1.00 |
| EA |
| __________________ |
| __________________ |
Insight 3D OCT Software
LOCAL STOCK NUMBER: 60-1008
| GRAND TOTAL |
| __________________ |
A.2 DELIVERY SCHEDULE
| ITEM NUMBER |
| QUANTITY |
| DELIVERY DATE |
| 0001-0017 |
| SHIP TO: |
| Department of Veterans Affairs |
Harry S. Truman Memorial Veterans' Hospital 800 Hospital Drive Columbia, MO 65201 5275
USA
| ALL |
| 45 Days ARO |
| MARK FOR: |
| Paul Dixon, Jr. |
913-946-1980 paul.dixon@va.gov
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