36C25618Q0128-00001000.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 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 11-20-2017 520-18-1-131-0003 None 00502
ALEXANDRIA VA HEALTH CARE SYSTEM
NETWORK CONTRACTING OFFICE 16
ALEXANDRIA VA HEALTH CARE SYSTEM
PO BOX 69004
ALEXANDRIA
LA
71306-9004 00502
DEPARTMENT OF VETERANS AFFAIRS
NETWORK CONTRACTING OFFICE 16
ALEXANDRIA VA HEALTH CARE SYSTEM
2495 SHREVEPORT HIGHWAY
PINEVILLE
LA
71360-4004 To all Offerors/Bidders
36C25618Q0128 11-20-2017
X X See CONTINUATION Page
NOT APPLICABLE
THE PURPOSE OF THIS AMENDMENT IS TO CORRECT AN ERROR IN THE PRICE/COST SCHEDULE. THE CHANGES ARE AS FOLLOW:
1. SF 1449, B.3 Price/Cost Schedule, page 18 of 59, Item Number 0092 is hereby changed from "H74939032504010-CATHETER, BALLOON, STERLING OWT 5.0X40/135 MANUFACTURER PART (MPN): H74939032504010" to read "H74939171051070-MUSTANG (TM) BALLOON CATHETER 5.0 X 100, 75CM".
2. All other terms and conditions remain unchanged.
CONTINUATION PAGE
A.1 PRICE/COST SCHEDULE
ITEM INFORMATION
| ITEM NUMBER |
| DESCRIPTION OF SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
| 0001 |
| M001314591 - CATH,ANGIOGRAPHY,VISC SEL,5FR,L 65CM,0.035IN GW DIA,STER |
MANUFACTURER PART NUMBER (MPN): M001314591
LOCAL STOCK NUMBER: M001314591
| 2.00 |
| BX |
| __________________ |
| __________________ |
| 0002 |
| H74939239018131 - CATHETER,SUPPORT,RUBICON,18,135CM |
MANUFACTURER PART NUMBER (MPN): H74939239018131
LOCAL STOCK NUMBER: H74939239018131
| 2.00 |
| BX |
| __________________ |
| __________________ |
| 0003 |
| H74939240035061 - CATHETER,CROSSING,RUBICON,35/65M |
MANUFACTURER PART NUMBER (MPN): H74939240035061
LOCAL STOCK NUMBER: H74939240035061
| 2.00 |
| BX |
| __________________ |
| __________________ |
| 0004 |
| H74939240035131 - CATHETER,SUPPORT,RUBICON,35,135 |
MANUFACTURER PART NUMBER (MPN): H74939240035131
LOCAL STOCK NUMBER: H74939240035131
| 2.00 |
| BX |
| __________________ |
| __________________ |
| 0005 |
| H74939202100540 - CATHETER,OFFROAD,RE,ENTRY,SYSTEM,LONG |
MANUFACTURER PART NUMBER (MPN): H74939202100540
LOCAL STOCK NUMBER: H74939202100540
| 2.00 |
| EA |
| __________________ |
| __________________ |
| 0006 |
| H74939208181650 - DEVICE,CROSSING,TRUEPATH,CTO |
MANUFACTURER PART NUMBER (MPN): H74939208181650
LOCAL STOCK NUMBER: H74939208181650
| 2.00 |
| EA |
| __________________ |
| __________________ |
| 0007 |
| H74939171040470 - CATHETER,BALLOON,MUSTANG(TM),4.0X40,75CM |
MANUFACTURER PART NUMBER (MPN): H74939171040470
LOCAL STOCK NUMBER: H74939171040470
| 2.00 |
| EA |
| __________________ |
| __________________ |
| 0008 |
| H74939171041070 - CATHETER,BALLOON,MUSTANG(TM),4.0X100,75CM |
MANUFACTURER PART NUMBER (MPN): H74939171041070
LOCAL STOCK NUMBER: H74939171041070
| 2.00 |
| EA |
| __________________ |
| __________________ |
| 0009 |
| H74939171050470 - CATHETER,BALLOON,MUSTANG(TM),5.0X40,75CM |
MANUFACTURER PART NUMBER (MPN): H74939171050470
LOCAL STOCK NUMBER: H74939171050470
| 2.00 |
| EA |
| __________________ |
| __________________ |
| 0010 |
| H74939171060470 - CATHETER,BALLOON,MUSTANG(TM),6.0X40,75CM |
MANUFACTURER PART NUMBER (MPN): H74939171060470
LOCAL STOCK NUMBER: H74939171060470
| 2.00 |
| EA |
| __________________ |
| __________________ |
| 0011 |
| H74939171061070 - CATHETER,BALLOON,MUSTANG(TM),6.0X100,75CM |
MANUFACTURER PART NUMBER (MPN): H74939171061070
LOCAL STOCK NUMBER: H74939171061070
| 2.00 |
| EA |
| __________________ |
| __________________ |
| 0012 |
| H74939171070470 - CATHETER,BALLOON,MUSTANG(TM),7.0X40,75CM |
MANUFACTURER PART NUMBER (MPN): H74939171070470
LOCAL STOCK NUMBER: H74939171070470
| 2.00 |
| EA |
| __________________ |
| __________________ |
| 0013 |
| H74939171071070 - CATHETER,BALLOON,MUSTANG(TM),7.0X100,75CM |
MANUFACTURER PART NUMBER (MPN): H74939171071070
LOCAL STOCK NUMBER: H74939171071070
| 2.00 |
| EA |
| __________________ |
| __________________ |
H74939171080470 - CATHETER,BALLOON,MUSTANG(TM),8.0X40,75CM
MANUFACTURER PART NUMBER (MPN): H74939171080470
LOCAL STOCK NUMBER: H74939171080470
| 2.00 |
| EA |
| __________________ |
| __________________ |
| 0015 |
| H74939171081070 - CATHETER,BALLOON,MUSTANG(TM),8.0X100,75CM |
MANUFACTURER PART NUMBER (MPN): H74939171081070
LOCAL STOCK NUMBER: H74939171081070
| 2.00 |
| EA |
| __________________ |
| __________________ |
| 0016 |
| H74939171090470 - CATHETER,BALLOON,MUSTANG(TM),9.0X40,75CM |
MANUFACTURER PART NUMBER (MPN): H74939171090470
LOCAL STOCK NUMBER: H74939171090470
| 2.00 |
| EA |
| __________________ |
| __________________ |
| 0017 |
| H74939171100470 - CATH,DILATATION,PTA BLN,RENAL / LOWER EXTREM;SUBCLAVIAN,STER |
MANUFACTURER PART NUMBER (MPN): H74939171100470
LOCAL STOCK NUMBER: H74939171100470
| 2.00 |
| EA |
| __________________ |
| __________________ |
H74939171120470 - CATHETER,BALLOON,MUSTANG(TM),12.0X40,75CM
MANUFACTURER PART NUMBER (MPN): H74939171120470
LOCAL STOCK NUMBER: H74939171120470
| 2.00 |
| EA |
| __________________ |
| __________________ |
| 0019 |
| H74939171040210 - CATHETER, BALLOON, MUSTANG 4.0X20 |
MANUFACTURER PART NUMBER (MPN): H74939171040210
LOCAL STOCK NUMBER: H74939171040210
| 2.00 |
| EA |
| __________________ |
| __________________ |
| 0020 |
| H74939171040410 - CATHETER, BALLOON, MUSTANG 4.0X40,135CM |
MANUFACTURER PART NUMBER (MPN): H74939171040410
LOCAL STOCK NUMBER: H74939171040410
| 2.00 |
| EA |
| __________________ |
| __________________ |
| 0021 |
| H74939171040610 - CATHETER, BALLOON, MUSTANG 4.0X60,135CM |
MANUFACTURER PART NUMBER (MPN): H74939171040610
LOCAL STOCK NUMBER: H74939171040610
| 2.00 |
| EA |
| __________________ |
| __________________ |
| 0022 |
| H74939171040810 - CATHETER, BALLOON, MUSTANG 4.0X80, 135CM |
MANUFACTURER PART NUMBER (MPN): H74939171040810
LOCAL STOCK NUMBER: H74939171040810
| 2.00 |
| EA |
| __________________ |
| __________________ |
| 0023 |
| H74939171041010 - CATHETER, BALLOON, MUSTANG 4.0X100, 135CM |
MANUFACTURER PART NUMBER (MPN): H74939171041010
LOCAL STOCK NUMBER: H74939171041010
| 3.00 |
| EA |
| __________________ |
| __________________ |
| 0024 |
| H74939171041510 - CATHETER, BALLOON, MUSTANG 4.0X150, 135 CM |
MANUFACTURER PART NUMBER (MPN): H74939171041510
LOCAL STOCK NUMBER: H74939171041510
| 4.00 |
| EA |
| __________________ |
| __________________ |
| 0025 |
| H74939171042010 - CATHETER, BALLOON, MUSTANG 5.0X20, 135CM |
MANUFACTURER PART NUMBER (MPN): H74939171042010
LOCAL STOCK NUMBER: H74939171042010
| 4.00 |
| EA |
| __________________ |
| __________________ |
| 0026 |
| H74939171050210 - CATHETER, BALLOON, MUSTANG 5.0X20, 135CM |
MANUFACTURER PART NUMBER (MPN): H74939171050210
LOCAL STOCK NUMBER: H74939171050210
| 2.00 |
| EA |
| __________________ |
| __________________ |
| 0027 |
| H74939171050410 - CATHETER, BALLOON, MUSTANG 5.0X40, 135CM |
MANUFACTURER PART NUMBER (MPN): H74939171050410
LOCAL STOCK NUMBER: H74939171050410
| 2.00 |
| EA |
| __________________ |
| __________________ |
| 0028 |
| H74939171050610 - CATHETER, BALLOON, MUSTANG 5.0X60, 135CM |
MANUFACTURER PART NUMBER (MPN): H74939171050610
LOCAL STOCK NUMBER: H74939171050610
| 2.00 |
| EA |
| __________________ |
| __________________ |
| 0029 |
| H74939171050810 - CATHETER, BALLOON, MUSTANG 5.0X80, 135CM |
MANUFACTURER PART NUMBER (MPN): H74939171050810
LOCAL STOCK NUMBER: H74939171050810
| 2.00 |
| EA |
| __________________ |
| __________________ |
| 0030 |
| H74939171051010 - CATHETER, BALLOON, MUSTANG 5.0X100, 135CM |
MANUFACTURER PART NUMBER (MPN): H74939171051010
LOCAL STOCK NUMBER: H74939171051010
| 3.00 |
| EA |
| __________________ |
| __________________ |
| 0031 |
| H74939171051510 - CATHETER, BALLOON, MUSTANG 5.0X150, 135CM |
MANUFACTURER PART NUMBER (MPN): H74939171051510
LOCAL STOCK NUMBER: H74939171051510
| 4.00 |
| EA |
| __________________ |
| __________________ |
| 0032 |
| H74939171052010 - CATHETER, BALLOON, MUSTANG 5.0X200, 135CM |
MANUFACTURER PART NUMBER (MPN): H74939171052010
LOCAL STOCK NUMBER: H74939171052010
| 4.00 |
| EA |
| __________________ |
| __________________ |
| 0033 |
| H74939171060210 - CATHETER, BALLOON, MUSTANG 6.0X20, 135CM |
MANUFACTURER PART NUMBER (MPN): H74939171060210
LOCAL STOCK NUMBER: H74939171060210
| 2.00 |
| EA |
| __________________ |
| __________________ |
| 0034 |
| H74939171060410 - CATHETER, BALLOON, MUSTANG 6.0X40, 135CM |
MANUFACTURER PART NUMBER (MPN): H74939171060410
LOCAL STOCK NUMBER: H74939171060410
| 2.00 |
| EA |
| __________________ |
| __________________ |
| 0035 |
| H74939171060610 - CATHETER, BALLOON, MUSTANG 6.0X60, 135CM |
MANUFACTURER PART NUMBER (MPN): H74939171060610
LOCAL STOCK NUMBER: H74939171060610
| 2.00 |
| EA |
| __________________ |
| __________________ |
| 0036 |
| H74939171061010 - CATHETER, BALLOON, MUSTANG 6.0X100, 135CM |
MANUFACTURER PART NUMBER (MPN): H74939171061010
LOCAL STOCK NUMBER: H74939171061010
| 3.00 |
| EA |
| __________________ |
| __________________ |
| 0037 |
| H74939171060810 - CATHETER, BALLOON, MUSTANG 6.0X100, 135 CM |
MANUFACTURER PART NUMBER (MPN): H74939171060810
LOCAL STOCK NUMBER: H74939171060810
| 2.00 |
| EA |
| __________________ |
| __________________ |
| 0038 |
| H74939171061510 - CATHETER, BALLOON, MUSTANG 6.0X150, 135CM |
MANUFACTURER PART NUMBER (MPN): H74939171061510
LOCAL STOCK NUMBER: H74939171061510
| 4.00 |
| EA |
| __________________ |
| __________________ |
| 0039 |
| H74939171062010 - CATHETER, BALLOON, MUSTANG 6.0X200, 135CM |
MANUFACTURER PART NUMBER (MPN): H74939171062010
LOCAL STOCK NUMBER: H74939171062010
| 4.00 |
| EA |
| __________________ |
| __________________ |
| 0040 |
| M001491451 - GUIDEWIRE,VASCULAR,BENTSON,L 150CM,TAPER 15CM TIP L,STR,STER |
MANUFACTURER PART NUMBER (MPN): M001491451
LOCAL STOCK NUMBER: M001491451
| 2.00 |
| BX |
| __________________ |
| __________________ |
| 0041 |
| M00146156B1 - GUIDEWIRE,STRAIGHT,TIP |
MANUFACTURER PART NUMBER (MPN): M00146156B1
LOCAL STOCK NUMBER: M00146156B1
| 2.00 |
| BX |
| __________________ |
| __________________ |
M00146152B1 - GUIEDWIRE,ZIPWIRE,ANGLED,TIP
MANUFACTURER PART NUMBER (MPN): M00146152B1
LOCAL STOCK NUMBER: M00146152B1
| 2.00 |
| BX |
| __________________ |
| __________________ |
| 0043 |
| M00146159B1 - GUIDEWIRE,ZIPWIRE,STRAIGHT,035/260 |
MANUFACTURER PART NUMBER (MPN): M00146159B1
LOCAL STOCK NUMBER: M00146159B1
| 2.00 |
| BX |
| __________________ |
| __________________ |
| 0044 |
| M00146317B1 - GUIDEWIRE,ZIPWIRE,STIFF,STR ,035/260 |
MANUFACTURER PART NUMBER (MPN): M00146317B1
LOCAL STOCK NUMBER: M00146317B1
| 2.00 |
| BX |
| __________________ |
| __________________ |
| 0045 |
| M00146316B1 - GUIDEWIRE,ZIPWIRE,STIFF,ANGLE,035/260 |
MANUFACTURER PART NUMBER (MPN): M00146316B1
LOCAL STOCK NUMBER: M00146316B1
| 2.00 |
| BX |
| __________________ |
| __________________ |
| 0046 |
| M001465251 - WIRE-AMPLATZ CURVED GUIDE WIRE, 180CM |
LOCAL STOCK NUMBER: M001465251
| 2.00 |
| BX |
| __________________ |
| __________________ |
M001465261 - GUIDEWIRE,AMPLATZ,STIFF,XCH/035/260
MANUFACTURER PART NUMBER (MPN): M001465261
LOCAL STOCK NUMBER: M001465261
| 2.00 |
| BX |
| __________________ |
| __________________ |
| 0048 |
| M001468600 - GUIEDWIRE,CONTROL,WIRE,V-18,V18-06 |
MANUFACTURER PART NUMBER (MPN): M001468600
LOCAL STOCK NUMBER: M001468600
| 4.00 |
| EA |
| __________________ |
| __________________ |
| 0049 |
| H74939216730020 - GUIDEWIRE,CONTROL,WIRE,V-14,300 |
MANUFACTURER PART NUMBER (MPN): H74939216730020
LOCAL STOCK NUMBER: H74939216730020
| 4.00 |
| EA |
| __________________ |
| __________________ |
| 0050 |
| M001492831 - GUIDEWIRE,THRUWAY,300CM,SHORT,TAPER,STR |
MANUFACTURER PART NUMBER (MPN): M001492831
LOCAL STOCK NUMBER: M001492831
| 4.00 |
| EA |
| __________________ |
| __________________ |
| 0051 |
| M001151062 - DEVICE,INFLATION,ENCORE,26 |
MANUFACTURER PART NUMBER (MPN): M001151062
LOCAL STOCK NUMBER: M001151062
| 2.00 |
| BX |
| __________________ |
| __________________ |
| 0052 |
| M001442011 - FLOWSWITCH,HP |
MANUFACTURER PART NUMBER (MPN): M001442011
LOCAL STOCK NUMBER: M001442011
| 2.00 |
| BX |
| __________________ |
| __________________ |
| 0053 |
| M001153223 - ADAPTER,GATEWAY,MEDI |
MANUFACTURER PART NUMBER (MPN): M001153223
LOCAL STOCK NUMBER: M001153223
| 2.00 |
| BX |
| __________________ |
| __________________ |
| 0054 |
| M00115710B1 - SHEATH,INTRODUCER,SUPERSHEATH,4FR |
MANUFACTURER PART NUMBER (MPN): M00115710B1
LOCAL STOCK NUMBER: M00115710B1
| 2.00 |
| BX |
| __________________ |
| __________________ |
| 0055 |
| M00115711B1 - CATHETER,VASCULAR,SUPER,SHEATH,5FR,11CM,.035 |
MANUFACTURER PART NUMBER (MPN): M00115711B1
LOCAL STOCK NUMBER: M00115711B1
| 2.00 |
| BX |
| __________________ |
| __________________ |
| 0056 |
| M00115712B1 - CATHETER,VASCULAR,SUPER,SHEATH,6FR,11CM,.035 |
MANUFACTURER PART NUMBER (MPN): M00115712B1
LOCAL STOCK NUMBER: M00115712B1
| 2.00 |
| BX |
| __________________ |
| __________________ |
| 0057 |
| M00115713B1 - SHEATH,INTRODUCER,SUPERSHEATH,7FR |
MANUFACTURER PART NUMBER (MPN): M00115713B1
LOCAL STOCK NUMBER: M00115713B1
| 2.00 |
| BX |
| __________________ |
| __________________ |
| 0058 |
| M00115714B1 - CATHETER,VASCULAR,SUPER,SHEATH,8FR,11CM,.035 |
MANUFACTURER PART NUMBER (MPN): M00115714B1
LOCAL STOCK NUMBER: M00115714B1
| 2.00 |
| BX |
| __________________ |
| __________________ |
M001314091 - CATHETER,ANGIO,IMAGER,II,5,BERN,65,035
MANUFACTURER PART NUMBER (MPN): M001314091
LOCAL STOCK NUMBER: M001314091
| 2.00 |
| BX |
| __________________ |
| __________________ |
| 0060 |
| M001314061 - CATHETER,ANGIO,IMAGER,II,5,BERN,100,035 |
MANUFACTURER PART NUMBER (MPN): M001314061
LOCAL STOCK NUMBER: M001314061
| 2.00 |
| BX |
| __________________ |
| __________________ |
| 0061 |
| M001315191 - CATHETER,ANGIO,PIGTAIL,65,035 |
MANUFACTURER PART NUMBER (MPN): M001315191
LOCAL STOCK NUMBER: M001315191
| 2.00 |
| BX |
| __________________ |
| __________________ |
| 0062 |
| M001145120 - BALLOON,ANGIOPLASTY,PTA DILATATION,14MM X 2CM X 75CM,STER |
MANUFACTURER PART NUMBER (MPN): M001145120
LOCAL STOCK NUMBER: M001145120
| 2.00 |
| EA |
| __________________ |
| __________________ |
| 0063 |
| M001145130 - BALLOON,ANGIOPLASTY,DILATATION,XXL,14-2,5.8, |
MANUFACTURER PART NUMBER (MPN): M001145130
LOCAL STOCK NUMBER: M001145130
| 2.00 |
| EA |
| __________________ |
| __________________ |
| 0064 |
| M001145140 - CATHETER,BALLOON,LG VESSEL,XXL/14-4/5.8/75 |
MANUFACTURER PART NUMBER (MPN): M001145140
LOCAL STOCK NUMBER: M001145140
| 3.00 |
| EA |
| __________________ |
| __________________ |
| 0065 |
| M001145150 - BALLOON,ANGIOPLASTY,XXL,14-4,5.8,120 |
MANUFACTURER PART NUMBER (MPN): M001145150
LOCAL STOCK NUMBER: M001145150
| 2.00 |
| EA |
| __________________ |
| __________________ |
M001145300 - BALLOON,ANGIOPLASTY,XXL,12-6,5.8,75
MANUFACTURER PART NUMBER (MPN): M001145300
LOCAL STOCK NUMBER: M001145300
| 2.00 |
| EA |
| __________________ |
| __________________ |
M001145320 - BALLOON,ANGIOPLASTY,XXL,14-6,5.8,75
MANUFACTURER PART NUMBER (MPN): M001145320
LOCAL STOCK NUMBER: M001145320
| 2.00 |
| EA |
| __________________ |
| __________________ |
| 0068 |
| M001145500 - BALLOON,ANGIOPLASTY,DILATATION,16MM X 2CM X 75CM,GW 0.035IN |
MANUFACTURER PART NUMBER (MPN): M001145500
LOCAL STOCK NUMBER: M001145500
| 2.00 |
| EA |
| __________________ |
| __________________ |
| 0069 |
| M001145510 - BALLOON,ANGIOPLASTY,XXL,16-2,5.8,120 |
MANUFACTURER PART NUMBER (MPN): M001145510
LOCAL STOCK NUMBER: M001145510
| 2.00 |
| EA |
| __________________ |
| __________________ |
| 0070 |
| M001145520 - BALLOON,ANGIOPLASTY,XXL,16-4,5.8,75 |
MANUFACTURER PART NUMBER (MPN): M001145520
LOCAL STOCK NUMBER: M001145520
| 3.00 |
| EA |
| __________________ |
| __________________ |
M001145530 - BALLOON,ANGIOPLASTY,XXL,16-4,5.8,120.
MANUFACTURER PART NUMBER (MPN): M001145530
LOCAL STOCK NUMBER: M001145530
| 2.00 |
| EA |
| __________________ |
| __________________ |
| 0072 |
| M001145540 - BALLOON,ANGIOPLASTY,XXL,16-6,5.8,75 |
MANUFACTURER PART NUMBER (MPN): M001145540
LOCAL STOCK NUMBER: M001145540
| 2.00 |
| EA |
| __________________ |
| __________________ |
| 0073 |
| M001145550 - BALLOON,ANGIOPLASTY,XXL,18-2,5.8,75 |
MANUFACTURER PART NUMBER (MPN): M001145550
LOCAL STOCK NUMBER: M001145550
| 2.00 |
| EA |
| __________________ |
| __________________ |
| 0074 |
| M001145560 - BALLOON,ANGIOPLASTY,XXL,18-2,5.8,120 |
MANUFACTURER PART NUMBER (MPN): M001145560
LOCAL STOCK NUMBER: M001145560
| 2.00 |
| EA |
| __________________ |
| __________________ |
M001145570 - CATHETER,BALLOON,LG VESSEL,XXL/18-4/5.8/75
MANUFACTURER PART NUMBER (MPN): M001145570
LOCAL STOCK NUMBER: M001145570
| 3.00 |
| EA |
| __________________ |
| __________________ |
| 0076 |
| M001145580 - BALLOON,ANGIOPLASTY,XXL,18-4,5.8,120 |
MANUFACTURER PART NUMBER (MPN): M001145580
LOCAL STOCK NUMBER: M001145580
| 2.00 |
| EA |
| __________________ |
| __________________ |
| 0077 |
| M001145590 - BALLOON,ANGIOPLASTY,XXL,18-6,5.8,75 |
MANUFACTURER PART NUMBER (MPN): M001145590
LOCAL STOCK NUMBER: M001145590
| 2.00 |
| EA |
| __________________ |
| __________________ |
| 0078 |
| 104834-0021 - CATHETER,ANGIOJET,ULTRAPOWER,PULSE,KIT |
MANUFACTURER PART NUMBER (MPN): 104834-0021
LOCAL STOCK NUMBER: 104834-0021
| 2.00 |
| BX |
| __________________ |
| __________________ |
| 0079 |
| 105039-001 - CATHETER,ANGIJET,AVX,US |
MANUFACTURER PART NUMBER (MPN): 105039-001
LOCAL STOCK NUMBER: 105039-001
| 2.00 |
| EA |
| __________________ |
| __________________ |
| 0080 |
| 111303-001 - CATHETER,ANGIOJET,SOLENT,DISTAL,US |
MANUFACTURER PART NUMBER (MPN): 111303-001
LOCAL STOCK NUMBER: 111303-001
| 2.00 |
| EA |
| __________________ |
| __________________ |
| 0081 |
| 109681-001 - CATHETER,ANGIOJET,SOLENT,OMNI,US |
MANUFACTURER PART NUMBER (MPN): 109681-001
LOCAL STOCK NUMBER: 109681-001
| 2.00 |
| EA |
| __________________ |
| __________________ |
| 0082 |
| 109676-001 - CATHETER,ANGIOJET,SOLENT,PROXI,US |
MANUFACTURER PART NUMBER (MPN): 109676-001
LOCAL STOCK NUMBER: 109676-001
| 2.00 |
| EA |
| __________________ |
| __________________ |
| 0083 |
| 114610-001 - CATHETER,ANGIOJET,ZELANTE,DVT,US |
MANUFACTURER PART NUMBER (MPN): 114610-001
LOCAL STOCK NUMBER: 114610-001
| 2.00 |
| EA |
| __________________ |
| __________________ |
| 0084 |
| H74939171070210 - CATHETER, BALLOON, MUSTANG 7.0X20, 135CM |
MANUFACTURER PART NUMBER (MPN): H74939171070210
LOCAL STOCK NUMBER: H74939171070210
| 2.00 |
| EA |
| __________________ |
| __________________ |
| 0085 |
| H74939171070410 - CATHETER, BALLOON, MUSTANG 7.0X40, 135CM |
MANUFACTURER PART NUMBER (MPN): H74939171070410
LOCAL STOCK NUMBER: H74939171070410
| 2.00 |
| EA |
| __________________ |
| __________________ |
| 0086 |
| H74939171070610 - CATHETER, BALLOON, MUSTANG 7.0X60, 135 CM |
MANUFACTURER PART NUMBER (MPN): H74939171070610
LOCAL STOCK NUMBER: H74939171070610
| 2.00 |
| EA |
| __________________ |
| __________________ |
| 0087 |
| H74939171070810 - CATHETER, BALLOON, MUSTANG 7.0X80, 135CM |
MANUFACTURER PART NUMBER (MPN): H74939171070810
LOCAL STOCK NUMBER: H74939171070810
| 2.00 |
| EA |
| __________________ |
| __________________ |
| 0088 |
| 74939171071010 - CATHETER, BALLOON, MUSTANG 7.0X100, 135CM |
MANUFACTURER PART NUMBER (MPN): H74939171071010
LOCAL STOCK NUMBER: 74939171071010
| 3.00 |
| EA |
| __________________ |
| __________________ |
| 0089 |
| H74939171071510 - CATHETER, BALLOON, MUSTANG 7.0X150, 135CM |
MANUFACTURER PART NUMBER (MPN): H74939171071510
LOCAL STOCK NUMBER: H74939171071510
| 4.00 |
| EA |
| __________________ |
| __________________ |
| 0090 |
| H74939171072010 - CATHETER, BALLOON, MUSTANG 7.0X200, 135CM |
MANUFACTURER PART NUMBER (MPN): H74939171072010
LOCAL STOCK NUMBER: H74939171072010
| 4.00 |
| EA |
| __________________ |
| __________________ |
| 0091 |
| H74939032504010 - CATHETER, BALLOON, STERLING OTW 5.0X20/135 |
MANUFACTURER PART NUMBER (MPN): H74939032504010
LOCAL STOCK NUMBER: H74939032504010
| 2.00 |
| EA |
| __________________ |
| __________________ |
| 0092 |
| H74939171051070 - MUSTANG (TM) BALLON CATHETER, 5.0 X 100, 75CM |
MANUFACTURER PART NUMBER (MPN): H74939032504010
LOCAL STOCK NUMBER: H74939032504010
| 2.00 |
| EA |
| __________________ |
| __________________ |
| 0093 |
| H74939032506010 - CATHETER, BALLOON, STERLING,OTW 5.0X60/135 |
MANUFACTURER PART NUMBER (MPN): H74939032506010
LOCAL STOCK NUMBER: H74939032506010
| 2.00 |
| EA |
| __________________ |
| __________________ |
| 0094 |
| H74939032508010 - CATHETER, BALLOON, STERLING OTW 5.0X80/135 |
MANUFACTURER PART NUMBER (MPN): H74939032508010
LOCAL STOCK NUMBER: H74939032508010
| 2.00 |
| EA |
| __________________ |
| __________________ |
| 0095 |
| H74939032501010 - CATHETER, BALLOON, STERLING OTW 5.0X100/135 |
MANUFACTURER PART NUMBER (MPN): H74939032501010
LOCAL STOCK NUMBER: H74939032501010
| 3.00 |
| EA |
| __________________ |
| __________________ |
| 0096 |
| H74939032501210 - CATHETER, BALLOON,STERLING OTW 5.0X120/150 |
MANUFACTURER PART NUMBER (MPN): H74939032501210
LOCAL STOCK NUMBER: H74939032501210
| 4.00 |
| EA |
| __________________ |
| __________________ |
| 0097 |
| H74939032501510 - CATHETER, BALLOON,STERLING OTW 5.0X150/150 |
MANUFACTURER PART NUMBER (MPN): H74939032501510
LOCAL STOCK NUMBER: H74939032501510
| 2.00 |
| EA |
| __________________ |
| __________________ |
| 0098 |
| H74939032502210 - CATHETER, BALLOON, STERLING OTW 5.0X220/150 |
MANUFACTURER PART NUMBER (MPN): H74939032502210
LOCAL STOCK NUMBER: H74939032502210
| 4.00 |
| EA |
| __________________ |
| __________________ |
| 0099 |
| H74939032602010 - CATHETER, BALLOON, STERLING OTW 6.0X20/135 |
MANUFACTURER PART NUMBER (MPN): H74939032602010
LOCAL STOCK NUMBER: H74939032602010
| 2.00 |
| EA |
| __________________ |
| __________________ |
| 0100 |
| H74939032604010 - CATHETER, BALLOON, STERLING OTW 6.0X40/135 |
MANUFACTURER PART NUMBER (MPN): H74939032604010
LOCAL STOCK NUMBER: H74939032604010
| 2.00 |
| EA |
| __________________ |
| __________________ |
| 0101 |
| H74939032606010 - CATHETER, BALLOON, STERLING OTW 6.0X60/135 |
MANUFACTURER PART NUMBER (MPN): H74939032606010
LOCAL STOCK NUMBER: H74939032606010
| 2.00 |
| EA |
| __________________ |
| __________________ |
| 0102 |
| H74939032608010 - CATHETER, BALLOON, STERLING OTW 6.0X80/135 |
MANUFACTURER PART NUMBER (MPN): H74939032608010
LOCAL STOCK NUMBER: H74939032608010
| 2.00 |
| EA |
| __________________ |
| __________________ |
| 0103 |
| H74939032601010 - CATHETER, BALLOON, STERLING OTW 6.0X100/135 |
MANUFACTURER PART NUMBER (MPN): H74939032601010
LOCAL STOCK NUMBER: H74939032601010
| 3.00 |
| EA |
| __________________ |
| __________________ |
| 0104 |
| H74939032601210 - CATHETER, BALLOON, STERLING OTW 6.0X120/150 |
MANUFACTURER PART NUMBER (MPN): H74939032601210
LOCAL STOCK NUMBER: H74939032601210
| 4.00 |
| EA |
| __________________ |
| __________________ |
| 0105 |
| H74939032601510 - CATHETER, BALLOON, STERLING OTW 6.0X150/150 |
MANUFACTURER PART NUMBER (MPN): H74939032601510
LOCAL STOCK NUMBER: H74939032601510
| 4.00 |
| EA |
| __________________ |
| __________________ |
| 0106 |
| H74939032602210 - CATHETER, BALLOON, STERLING OTW 6.0X220/150 |
MANUFACTURER PART NUMBER (MPN): H74939032602210
LOCAL STOCK NUMBER: H74939032602210
| 4.00 |
| EA |
| __________________ |
| __________________ |
| 0107 |
| H74939032702010 - CATHETER, BALLOON, STERLING OTW 7.0X20/135 |
MANUFACTURER PART NUMBER (MPN): H74939032702010
LOCAL STOCK NUMBER: H74939032702010
| 2.00 |
| EA |
| __________________ |
| __________________ |
| 0108 |
| H74939032704010 - CATHETER, BALLOON, STERLING OTW 7.0X40/135 |
MANUFACTURER PART NUMBER (MPN): H74939032704010
LOCAL STOCK NUMBER: H74939032704010
| 2.00 |
| EA |
| __________________ |
| __________________ |
| 0109 |
| H74939032706010 - CATHETER, BALLOON, STERLING OTW 7.0X60/135 |
MANUFACTURER PART NUMBER (MPN): H74939032706010
LOCAL STOCK NUMBER: H74939032706010
| 2.00 |
| EA |
| __________________ |
| __________________ |
| 0110 |
| H74939032708010 - CATHETER, BALLOON, STERLING OTW 7.0X80/135 |
MANUFACTURER PART NUMBER (MPN): H74939032708010
LOCAL STOCK NUMBER: H74939032708010
| 2.00 |
| EA |
| __________________ |
| __________________ |
| 0111 |
| H749939032701010 - CATHETER, BALLOON, STERLING OTW 7.0X100/135 |
MANUFACTURER PART NUMBER (MPN): H749939032701010
LOCAL STOCK NUMBER: H749939032701010
| 3.00 |
| EA |
| __________________ |
| __________________ |
| 0112 |
| H74939032701210 - CATHETER, BALLOON, STERLING OTW 7.0X120/150 |
MANUFACTURER PART NUMBER (MPN): H74939032701210
LOCAL STOCK NUMBER: H74939032701210
| 4.00 |
| EA |
| __________________ |
| __________________ |
| 0113 |
| H74939032701510 - CATHETER, BALLOON, STERLING OTW 7.0X150/150 |
MANUFACTURER PART NUMBER (MPN): H74939032701510
LOCAL STOCK NUMBER: H74939032701510
| 4.00 |
| EA |
| __________________ |
| __________________ |
| 0114 |
| H74939032702210 - CATHETER, BALLOON, STERLING OTW 7.0X220/150 |
MANUFACTURER PART NUMBER (MPN): H74939032702210
LOCAL STOCK NUMBER: H74939032702210
| 4.00 |
| EA |
| __________________ |
| __________________ |
| 0115 |
| M001PCB5020900 - BALLOON,CUTTING,PERIPHERAL,OTW,5.00MM/2.0CM/90CM |
MANUFACTURER PART NUMBER (MPN): M001PCB5020900
LOCAL STOCK NUMBER: M001PCB5020900
| 2.00 |
| EA |
| __________________ |
| __________________ |
| 0116 |
| M001PCB6020900 - BALLOON,CUTTING,PERIPHERAL,OTW,6.00MM/2.0CM/90CM |
MANUFACTURER PART NUMBER (MPN): M001PCB6020900
LOCAL STOCK NUMBER: M001PCB6020900
| 2.00 |
| EA |
| __________________ |
| __________________ |
| 0117 |
| M001PCB7020900 - BALLOON,CUTTING,PERIPHERAL,OTW,7.00MM/2.0CM/90CM |
MANUFACTURER PART NUMBER (MPN): M001PCB7020900
LOCAL STOCK NUMBER: M001PCB7020900
| 2.00 |
| EA |
| __________________ |
| __________________ |
| 0118 |
| M001PCB8020900 - BALLOON,CUTTING,PERIPHERAL,OTW,8.00MM/2.0CM/90CM |
MANUFACTURER PART NUMBER (MPN): M001PCB8020900
LOCAL STOCK NUMBER: M001PCB8020900
| 2.00 |
| EA |
| __________________ |
| __________________ |
| 0119 |
| 112260-001 - CATHETER,JETSTREAM,XC,1.6 |
MANUFACTURER PART NUMBER (MPN): 112260-001
LOCAL STOCK NUMBER: 112260-001
| 2.00 |
| EA |
| __________________ |
| __________________ |
| 0120 |
| 112264-001 - CATHETER,JETSTREAM,2.1 |
MANUFACTURER PART NUMBER (MPN): 112264-001
LOCAL STOCK NUMBER: 112264-001
| 4.00 |
| EA |
| __________________ |
| __________________ |
| 0121 |
| 112266-001 - CATHETER,JETSTREAM,XC,2.4 |
MANUFACTURER PART NUMBER (MPN): 112266-001
LOCAL STOCK NUMBER: 112266-001
| 3.00 |
| EA |
| __________________ |
| __________________ |
| GRAND TOTAL |
| __________________ |
A.2 DELIVERY SCHEDULE
| ITEM NUMBER |
| QUANTITY |
| DELIVERY DATE |
| 0001 |
| SHIP TO: |
| DEPARTMENT OF VETERANS AFFAIRS |
VA Gulf Coast Health Care System 400 Veterans Ave.
Biloxi, MS 39531
USA
| 2.00 |
| 10 Days ARO |
| MARK FOR: |
| 228-523-4570 |
leo.gruba@va.gov
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See attached document: 36C25618Q0128 00001.
File details come from the government source that posted it.