36C25519Q0363-0001000.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

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) 04-11-2019 589-19-2-7317-0018 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

36C25519Q0363

X X X

See CONTINUATION Page The purpose of this amendment is to remove and replace SOW, B.3 PRICE/COST SCHEDULE, and B.4 DELIVERY

SCHEDULE.

1. SOW is hereby replaced with attached SOW for CVX-300 Excimer Laser System.

2. B.3 PRICE/COST SCHEDULE & B.4 DELIIVERY SCHDULE is hereby replaced with A.1 PRICE/COST SCHEDULE & A.2 DELIVERY

SCHDULE.

Paul Dixon, Jr.

Contracting Officer

CONTINUATION PAGE

A.1 STATEMENT OF WORK

Network 15 Contracting Office (NCO 15), Excimer Laser System (Columbia, MO)

OBJECTIVE: Harry S. Truman Veterans’ Memorial Hospital to purchase Atherectomy Laser System for use in Cath Lab

This uses a Brand Name or Equal Description of the product required CVX-300 Excimer Laser System. This permits prospective vendors to offer products other than those specifically referenced by brand name. Vendors of equal to products shall include equipment brochures which clearly define the equal product, or offer will not be considered. Any information submitted by an offeror for consideration will not be returned and will remain the property of the VA. All costs associated with submitting the above are the responsibility of the vendor and all information provided must be submitted to the Contracting Officer. All equal to products must work with existing equipment that has already been purchased and is currently in use at the station to meet standardization requirements throughout the hospital.

BACKGROUND: The cardiac Cath lab is requesting a laser system to treat more complex conditions in vascular intervention and lead management procedures, including coronary atherectomy, peripheral atherectomy and lead extraction. Only available product on market is the Philips CVX-300 Excimer laser system

GENERAL SCOPE:

Laser system must contain the following criteria:

· ELCA laser atherectomy catheter-ability to perform coronary atherectomy (in-stent restenosis, moderately calcified lesions, ostial lesions, lesions that previously failed PTCA, CTO traversable by a guidewire, occluded SVG, and long lesions (>20mm))

· Turbo-Power laser atherectomy catheter-ability to perform peripheral atherectomy (fem-pop ISR)

· Guidelight laser sheath-ability to perform lead extraction

HARDWARE REQUIREMENTS:

· Power requirements 208-230 VAC single phase power

Delivery, Storage and Handling Information:

Deliver material in original package marked to identify the contents and Purchase Order Number assigned to the order must be displayed on the packaging by the manufacturer. Prior and during transit: Storage is to be in dry and protected location and maintain integrity of the product.

A.2 PRICE/COST SCHEDULE

ITEM INFORMATION

CVX-300 Excimer Laser System

LOCAL STOCK NUMBER: CVX-300

Operators Manual.

A.3 DELIVERY SCHEDULE

Harry S. Truman Memorial Veterans' Hospital 800 Hospital Drive Columbia, MO 65201 5275

USA

913-946-1980 paul.dixon@va.gov

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