36C25618Q0128-00001001.pdf

5. PROJECT NUMBER (if applicable)

CODE 7. ADMINISTERED BY

2. AMENDMENT/MODIFICATI ON 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 amen dment 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 CONTRAC T 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 chan ge 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, rema ins 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

x

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

NUM

BER

DESCRIPTION OF

SUPPLIES/SERVICES

QUAN

TITY

UN

IT

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,18,135

CM

MANUFACTURER PART NUMBER

(MPN): H74939239018131

LOCAL STOCK NUMBER:

H74939239018131

0003 H74939240035061 -

CATHETER,CROSSING,RUBICON,35/65

M

MANUFACTURER PART NUMBER

(MPN): H74939240035061

H74939240035061

0004 H74939240035131 -

CATHETER,SUPPORT,RUBICON,35,135

MANUFACTURER PART NUMBER

(MPN): H74939240035131

H74939240035131

0005 H74939202100540 -

CATHETER,OFFROAD,RE,ENTRY,SYST

EM,LONG

MANUFACTURER PART NUMBER

(MPN): H74939202100540

LOCAL STOCK NUMBER:

H74939202100540

2.00 EA ___________

0006 H74939208181650 -

DEVICE,CROSSING,TRUEPATH,CTO

MANUFACTURER PART NUMBER

(MPN): H74939208181650

H74939208181650

2.00 EA ___________

0007 H74939171040470 -

CATHETER,BALLOON,MUSTANG(TM),

4.0X40,75CM

MANUFACTURER PART NUMBER

(MPN): H74939171040470

H74939171040470

0008 H74939171041070 -

CATHETER,BALLOON,MUSTANG(TM),

4.0X100,75CM

MANUFACTURER PART NUMBER

(MPN): H74939171041070

H74939171041070

0009 H74939171050470 -

CATHETER,BALLOON,MUSTANG(TM),

5.0X40,75CM

MANUFACTURER PART NUMBER

(MPN): H74939171050470

H74939171050470

0010 H74939171060470 -

CATHETER,BALLOON,MUSTANG(TM),

6.0X40,75CM

MANUFACTURER PART NUMBER

(MPN): H74939171060470

H74939171060470

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

H74939171070470

0013 H74939171071070 -

CATHETER,BALLOON,MUSTANG(TM),

7.0X100,75CM

MANUFACTURER PART NUMBER

(MPN): H74939171071070

H74939171071070

H74939171080470 -

CATHETER,BALLOON,MUSTANG(TM),

8.0X40,75CM

MANUFACTURER PART NUMBER

(MPN): H74939171080470

H74939171080470

0015 H74939171081070 -

CATHETER,BALLOON,MUSTANG(TM),

8.0X100,75CM

MANUFACTURER PART NUMBER

(MPN): H74939171081070

H74939171081070

0016 H74939171090470 -

CATHETER,BALLOON,MUSTANG(TM),

9.0X40,75CM

MANUFACTURER PART NUMBER

(MPN): H74939171090470

H74939171090470

0017 H74939171100470 -

CATH,DILATATION,PTA BLN,RENAL /

LOWER EXTREM;SUBCLAVIAN,STER

MANUFACTURER PART NUMBER

(MPN): H74939171100470

LOCAL STOCK NUMBER:

2.00 EA ___________

H74939171100470

H74939171120470 -

CATHETER,BALLOON,MUSTANG(TM),

12.0X40,75CM

MANUFACTURER PART NUMBER

(MPN): H74939171120470

H74939171120470

0019 H74939171040210 - CATHETER,

BALLOON, MUSTANG 4.0X20

MANUFACTURER PART NUMBER

(MPN): H74939171040210

H74939171040210

0020 H74939171040410 - CATHETER,

BALLOON, MUSTANG 4.0X40,135CM

MANUFACTURER PART NUMBER

(MPN): H74939171040410

H74939171040410

0021 H74939171040610 - CATHETER,

BALLOON, MUSTANG 4.0X60,135CM

MANUFACTURER PART NUMBER

(MPN): H74939171040610

H74939171040610

0022 H74939171040810 - CATHETER,

BALLOON, MUSTANG 4.0X80, 135CM

MANUFACTURER PART NUMBER

(MPN): H74939171040810

H74939171040810

0023 H74939171041010 - CATHETER,

BALLOON, MUSTANG 4.0X100, 135CM

MANUFACTURER PART NUMBER

(MPN): H74939171041010

H74939171041010

3.00 EA ___________

0024 H74939171041510 - CATHETER, 4.00 EA ___________ ___________

BALLOON, MUSTANG 4.0X150, 135 CM

MANUFACTURER PART NUMBER

(MPN): H74939171041510

H74939171041510

0025 H74939171042010 - CATHETER,

BALLOON, MUSTANG 5.0X20, 135CM

MANUFACTURER PART NUMBER

(MPN): H74939171042010

H74939171042010

4.00 EA ___________

0026 H74939171050210 - CATHETER,

BALLOON, MUSTANG 5.0X20, 135CM

MANUFACTURER PART NUMBER

(MPN): H74939171050210

H74939171050210

0027 H74939171050410 - CATHETER,

BALLOON, MUSTANG 5.0X40, 135CM

MANUFACTURER PART NUMBER

(MPN): H74939171050410

H74939171050410

0028 H74939171050610 - CATHETER,

BALLOON, MUSTANG 5.0X60, 135CM

MANUFACTURER PART NUMBER

(MPN): H74939171050610

H74939171050610

0029 H74939171050810 - CATHETER,

BALLOON, MUSTANG 5.0X80, 135CM

MANUFACTURER PART NUMBER

(MPN): H74939171050810

H74939171050810

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

H74939171051510

0032 H74939171052010 - CATHETER,

BALLOON, MUSTANG 5.0X200, 135CM

MANUFACTURER PART NUMBER

(MPN): H74939171052010

H74939171052010

0033 H74939171060210 - CATHETER,

BALLOON, MUSTANG 6.0X20, 135CM

MANUFACTURER PART NUMBER

(MPN): H74939171060210

H74939171060210

0034 H74939171060410 - CATHETER,

BALLOON, MUSTANG 6.0X40, 135CM

MANUFACTURER PART NUMBER

(MPN): H74939171060410

H74939171060410

0035 H74939171060610 - CATHETER,

BALLOON, MUSTANG 6.0X60, 135CM

MANUFACTURER PART NUMBER

(MPN): H74939171060610

H74939171060610

0036 H74939171061010 - CATHETER,

BALLOON, MUSTANG 6.0X100, 135CM

MANUFACTURER PART NUMBER

(MPN): H74939171061010

H74939171061010

0037 H74939171060810 - CATHETER,

BALLOON, MUSTANG 6.0X100, 135 CM

MANUFACTURER PART NUMBER

(MPN): H74939171060810

2.00 EA ___________

H74939171060810

0038 H74939171061510 - CATHETER,

BALLOON, MUSTANG 6.0X150, 135CM

MANUFACTURER PART NUMBER

(MPN): H74939171061510

H74939171061510

0039 H74939171062010 - CATHETER,

BALLOON, MUSTANG 6.0X200, 135CM

MANUFACTURER PART NUMBER

(MPN): H74939171062010

H74939171062010

0040 M001491451 -

GUIDEWIRE,VASCULAR,BENTSON,L

150CM,TAPER 15CM TIP L,STR,STER

MANUFACTURER PART NUMBER

(MPN): M001491451

LOCAL STOCK NUMBER: M001491451

0041 M00146156B1 -

GUIDEWIRE,STRAIGHT,TIP

MANUFACTURER PART NUMBER

(MPN): M00146156B1

LOCAL STOCK NUMBER: M00146156B1

M00146152B1 -

GUIEDWIRE,ZIPWIRE,ANGLED,TIP

MANUFACTURER PART NUMBER

(MPN): M00146152B1

LOCAL STOCK NUMBER: M00146152B1

0043 M00146159B1 -

GUIDEWIRE,ZIPWIRE,STRAIGHT,035/2

MANUFACTURER PART NUMBER

(MPN): M00146159B1

LOCAL STOCK NUMBER: M00146159B1

0044 M00146317B1 -

GUIDEWIRE,ZIPWIRE,STIFF,STR

,035/260

2.00 BX ___________

(MPN): M00146317B1

LOCAL STOCK NUMBER: M00146317B1

0045 M00146316B1 -

GUIDEWIRE,ZIPWIRE,STIFF,ANGLE,03

5/260

MANUFACTURER PART NUMBER

(MPN): M00146316B1

LOCAL STOCK NUMBER: M00146316B1

0046 M001465251 - WIRE-AMPLATZ

CURVED GUIDE WIRE, 180CM

LOCAL STOCK NUMBER: M001465251

M001465261 -

GUIDEWIRE,AMPLATZ,STIFF,XCH/035/

MANUFACTURER PART NUMBER

(MPN): M001465261

LOCAL STOCK NUMBER: M001465261

0048 M001468600 -

GUIEDWIRE,CONTROL,WIRE,V-

18,V18-06

MANUFACTURER PART NUMBER

(MPN): M001468600

LOCAL STOCK NUMBER: M001468600

0049 H74939216730020 -

GUIDEWIRE,CONTROL,WIRE,V-14,300

MANUFACTURER PART NUMBER

(MPN): H74939216730020

H74939216730020

0050 M001492831 -

GUIDEWIRE,THRUWAY,300CM,SHORT

,TAPER,STR

MANUFACTURER PART NUMBER

(MPN): M001492831

LOCAL STOCK NUMBER: M001492831

0051 M001151062 -

DEVICE,INFLATION,ENCORE,26

MANUFACTURER PART NUMBER

2.00 BX ___________

(MPN): M001151062

LOCAL STOCK NUMBER: M001151062

0052 M001442011 - FLOWSWITCH,HP

(MPN): M001442011

LOCAL STOCK NUMBER: M001442011

0053 M001153223 -

ADAPTER,GATEWAY,MEDI

MANUFACTURER PART NUMBER

(MPN): M001153223

LOCAL STOCK NUMBER: M001153223

0054 M00115710B1 -

SHEATH,INTRODUCER,SUPERSHEATH

,4FR

MANUFACTURER PART NUMBER

(MPN): M00115710B1

LOCAL STOCK NUMBER: M00115710B1

0055 M00115711B1 -

CATHETER,VASCULAR,SUPER,SHEAT

H,5FR,11CM,.035

MANUFACTURER PART NUMBER

(MPN): M00115711B1

LOCAL STOCK NUMBER: M00115711B1

0056 M00115712B1 -

CATHETER,VASCULAR,SUPER,SHEAT

H,6FR,11CM,.035

MANUFACTURER PART NUMBER

(MPN): M00115712B1

LOCAL STOCK NUMBER: M00115712B1

0057 M00115713B1 -

SHEATH,INTRODUCER,SUPERSHEATH

,7FR

MANUFACTURER PART NUMBER

(MPN): M00115713B1

LOCAL STOCK NUMBER: M00115713B1

0058 M00115714B1 -

CATHETER,VASCULAR,SUPER,SHEAT

H,8FR,11CM,.035

MANUFACTURER PART NUMBER

(MPN): M00115714B1

2.00 BX ___________

LOCAL STOCK NUMBER: M00115714B1

M001314091 -

CATHETER,ANGIO,IMAGER,II,5,BERN,

65,035

MANUFACTURER PART NUMBER

(MPN): M001314091

LOCAL STOCK NUMBER: M001314091

0060 M001314061 -

CATHETER,ANGIO,IMAGER,II,5,BERN,

100,035

MANUFACTURER PART NUMBER

(MPN): M001314061

LOCAL STOCK NUMBER: M001314061

0061 M001315191 -

CATHETER,ANGIO,PIGTAIL,65,035

MANUFACTURER PART NUMBER

(MPN): M001315191

LOCAL STOCK NUMBER: M001315191

0062 M001145120 -

BALLOON,ANGIOPLASTY,PTA

DILATATION,14MM X 2CM X

75CM,STER

MANUFACTURER PART NUMBER

(MPN): M001145120

LOCAL STOCK NUMBER: M001145120

0063 M001145130 -

BALLOON,ANGIOPLASTY,DILATATIO

N,XXL,14-2,5.8,

MANUFACTURER PART NUMBER

(MPN): M001145130

LOCAL STOCK NUMBER: M001145130

0064 M001145140 -

CATHETER,BALLOON,LG

VESSEL,XXL/14-4/5.8/75

MANUFACTURER PART NUMBER

(MPN): M001145140

LOCAL STOCK NUMBER: M001145140

0065 M001145150 -

BALLOON,ANGIOPLASTY,XXL,14-

2.00 EA ___________

4,5.8,120

(MPN): M001145150

LOCAL STOCK NUMBER: M001145150

M001145300 -

BALLOON,ANGIOPLASTY,XXL,12-

6,5.8,75

MANUFACTURER PART NUMBER

(MPN): M001145300

LOCAL STOCK NUMBER: M001145300

M001145320 -

BALLOON,ANGIOPLASTY,XXL,14-

6,5.8,75

MANUFACTURER PART NUMBER

(MPN): M001145320

LOCAL STOCK NUMBER: M001145320

0068 M001145500 -

BALLOON,ANGIOPLASTY,DILATATIO

N,16MM X 2CM X 75CM,GW 0.035IN

MANUFACTURER PART NUMBER

(MPN): M001145500

LOCAL STOCK NUMBER: M001145500

0069 M001145510 -

BALLOON,ANGIOPLASTY,XXL,16-

2,5.8,120

MANUFACTURER PART NUMBER

(MPN): M001145510

LOCAL STOCK NUMBER: M001145510

0070 M001145520 -

BALLOON,ANGIOPLASTY,XXL,16-

4,5.8,75

MANUFACTURER PART NUMBER

(MPN): M001145520

LOCAL STOCK NUMBER: M001145520

M001145530 -

BALLOON,ANGIOPLASTY,XXL,16-

4,5.8,120.

MANUFACTURER PART NUMBER

(MPN): M001145530

2.00 EA ___________

LOCAL STOCK NUMBER: M001145530

0072 M001145540 -

BALLOON,ANGIOPLASTY,XXL,16-

6,5.8,75

MANUFACTURER PART NUMBER

(MPN): M001145540

LOCAL STOCK NUMBER: M001145540

0073 M001145550 -

BALLOON,ANGIOPLASTY,XXL,18-

2,5.8,75

MANUFACTURER PART NUMBER

(MPN): M001145550

LOCAL STOCK NUMBER: M001145550

0074 M001145560 -

BALLOON,ANGIOPLASTY,XXL,18-

2,5.8,120

MANUFACTURER PART NUMBER

(MPN): M001145560

LOCAL STOCK NUMBER: M001145560

M001145570 -

CATHETER,BALLOON,LG

VESSEL,XXL/18-4/5.8/75

MANUFACTURER PART NUMBER

(MPN): M001145570

LOCAL STOCK NUMBER: M001145570

0076 M001145580 -

BALLOON,ANGIOPLASTY,XXL,18-

4,5.8,120

MANUFACTURER PART NUMBER

(MPN): M001145580

LOCAL STOCK NUMBER: M001145580

0077 M001145590 -

BALLOON,ANGIOPLASTY,XXL,18-

6,5.8,75

MANUFACTURER PART NUMBER

(MPN): M001145590

LOCAL STOCK NUMBER: M001145590

0078 104834-0021 -

CATHETER,ANGIOJET,ULTRAPOWER,

2.00 BX ___________

PULSE,KIT

(MPN): 104834-0021

LOCAL STOCK NUMBER: 104834-0021

0079 105039-001 -

CATHETER,ANGIJET,AVX,US

MANUFACTURER PART NUMBER

(MPN): 105039-001

LOCAL STOCK NUMBER: 105039-001

0080 111303-001 -

CATHETER,ANGIOJET,SOLENT,DISTA

L,US

MANUFACTURER PART NUMBER

(MPN): 111303-001

LOCAL STOCK NUMBER: 111303-001

0081 109681-001 -

CATHETER,ANGIOJET,SOLENT,OMNI,

US

MANUFACTURER PART NUMBER

(MPN): 109681-001

LOCAL STOCK NUMBER: 109681-001

0082 109676-001 -

CATHETER,ANGIOJET,SOLENT,PROXI,

US

MANUFACTURER PART NUMBER

(MPN): 109676-001

LOCAL STOCK NUMBER: 109676-001

0083 114610-001 -

CATHETER,ANGIOJET,ZELANTE,DVT,

US

MANUFACTURER PART NUMBER

(MPN): 114610-001

LOCAL STOCK NUMBER: 114610-001

0084 H74939171070210 - CATHETER,

BALLOON, MUSTANG 7.0X20, 135CM

MANUFACTURER PART NUMBER

(MPN): H74939171070210

H74939171070210

0085 H74939171070410 - CATHETER, 2.00 EA ___________ ___________

BALLOON, MUSTANG 7.0X40, 135CM

(MPN): H74939171070410

H74939171070410

0086 H74939171070610 - CATHETER,

BALLOON, MUSTANG 7.0X60, 135 CM

MANUFACTURER PART NUMBER

(MPN): H74939171070610

H74939171070610

0087 H74939171070810 - CATHETER,

BALLOON, MUSTANG 7.0X80, 135CM

MANUFACTURER PART NUMBER

(MPN): H74939171070810

H74939171070810

0088 74939171071010 - CATHETER,

BALLOON, MUSTANG 7.0X100, 135CM

MANUFACTURER PART NUMBER

(MPN): H74939171071010

74939171071010

0089 H74939171071510 - CATHETER,

BALLOON, MUSTANG 7.0X150, 135CM

MANUFACTURER PART NUMBER

(MPN): H74939171071510

H74939171071510

0090 H74939171072010 - CATHETER,

BALLOON, MUSTANG 7.0X200, 135CM

MANUFACTURER PART NUMBER

(MPN): H74939171072010

H74939171072010

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

H74939032504010

0093 H74939032506010 - CATHETER,

BALLOON, STERLING,OTW 5.0X60/135

MANUFACTURER PART NUMBER

(MPN): H74939032506010

H74939032506010

0094 H74939032508010 - CATHETER,

BALLOON, STERLING OTW 5.0X80/135

MANUFACTURER PART NUMBER

(MPN): H74939032508010

H74939032508010

0095 H74939032501010 - CATHETER,

BALLOON, STERLING OTW

5.0X100/135

MANUFACTURER PART NUMBER

(MPN): H74939032501010

H74939032501010

0096 H74939032501210 - CATHETER,

BALLOON,STERLING OTW 5.0X120/150

MANUFACTURER PART NUMBER

(MPN): H74939032501210

H74939032501210

0097 H74939032501510 - CATHETER,

BALLOON,STERLING OTW 5.0X150/150

MANUFACTURER PART NUMBER

(MPN): H74939032501510

H74939032501510

0098 H74939032502210 - CATHETER,

BALLOON, STERLING OTW

5.0X220/150

4.00 EA ___________

(MPN): H74939032502210

H74939032502210

0099 H74939032602010 - CATHETER,

BALLOON, STERLING OTW 6.0X20/135

MANUFACTURER PART NUMBER

(MPN): H74939032602010

H74939032602010

0100 H74939032604010 - CATHETER,

BALLOON, STERLING OTW 6.0X40/135

MANUFACTURER PART NUMBER

(MPN): H74939032604010

H74939032604010

0101 H74939032606010 - CATHETER,

BALLOON, STERLING OTW 6.0X60/135

MANUFACTURER PART NUMBER

(MPN): H74939032606010

H74939032606010

0102 H74939032608010 - CATHETER,

BALLOON, STERLING OTW 6.0X80/135

MANUFACTURER PART NUMBER

(MPN): H74939032608010

H74939032608010

0103 H74939032601010 - CATHETER,

BALLOON, STERLING OTW

6.0X100/135

MANUFACTURER PART NUMBER

(MPN): H74939032601010

H74939032601010

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

H74939032601510

0106 H74939032602210 - CATHETER,

BALLOON, STERLING OTW

6.0X220/150

MANUFACTURER PART NUMBER

(MPN): H74939032602210

H74939032602210

0107 H74939032702010 - CATHETER,

BALLOON, STERLING OTW 7.0X20/135

MANUFACTURER PART NUMBER

(MPN): H74939032702010

H74939032702010

0108 H74939032704010 - CATHETER,

BALLOON, STERLING OTW 7.0X40/135

MANUFACTURER PART NUMBER

(MPN): H74939032704010

H74939032704010

0109 H74939032706010 - CATHETER,

BALLOON, STERLING OTW 7.0X60/135

MANUFACTURER PART NUMBER

(MPN): H74939032706010

H74939032706010

0110 H74939032708010 - CATHETER,

BALLOON, STERLING OTW 7.0X80/135

MANUFACTURER PART NUMBER

(MPN): H74939032708010

H74939032708010

0111 H749939032701010 - CATHETER,

BALLOON, STERLING OTW

3.00 EA ___________

7.0X100/135

(MPN): H749939032701010

H749939032701010

0112 H74939032701210 - CATHETER,

BALLOON, STERLING OTW

7.0X120/150

MANUFACTURER PART NUMBER

(MPN): H74939032701210

H74939032701210

0113 H74939032701510 - CATHETER,

BALLOON, STERLING OTW

7.0X150/150

MANUFACTURER PART NUMBER

(MPN): H74939032701510

H74939032701510

0114 H74939032702210 - CATHETER,

BALLOON, STERLING OTW

7.0X220/150

MANUFACTURER PART NUMBER

(MPN): H74939032702210

H74939032702210

0115 M001PCB5020900 -

BALLOON,CUTTING,PERIPHERAL,OT

W,5.00MM/2.0CM/90CM

MANUFACTURER PART NUMBER

(MPN): M001PCB5020900

M001PCB5020900

0116 M001PCB6020900 -

BALLOON,CUTTING,PERIPHERAL,OT

W,6.00MM/2.0CM/90CM

MANUFACTURER PART NUMBER

(MPN): M001PCB6020900

M001PCB6020900

0117 M001PCB7020900 -

BALLOON,CUTTING,PERIPHERAL,OT

2.00 EA ___________ ___________

W,7.00MM/2.0CM/90CM

(MPN): M001PCB7020900

M001PCB7020900

0118 M001PCB8020900 -

BALLOON,CUTTING,PERIPHERAL,OT

W,8.00MM/2.0CM/90CM

MANUFACTURER PART NUMBER

(MPN): M001PCB8020900

M001PCB8020900

0119 112260-001 -

CATHETER,JETSTREAM,XC,1.6

MANUFACTURER PART NUMBER

(MPN): 112260-001

LOCAL STOCK NUMBER: 112260-001

0120 112264-001 -

CATHETER,JETSTREAM,2.1

MANUFACTURER PART NUMBER

(MPN): 112264-001

LOCAL STOCK NUMBER: 112264-001

0121 112266-001 -

CATHETER,JETSTREAM,XC,2.4

MANUFACTURER PART NUMBER

(MPN): 112266-001

LOCAL STOCK NUMBER: 112266-001

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

0002 2.00

0003 2.00

0004 2.00

0005 2.00

0006 2.00

0007 2.00

0008 2.00

0009 2.00

0010 2.00

0011 2.00

0012 2.00

0013 2.00

0014 2.00

0015 2.00

0016 2.00

0017 2.00

0018 2.00

0019 2.00

0020 2.00

0021 2.00

0022 2.00

0023 3.00

0024 4.00

0025 4.00

0026 2.00

0027 2.00

0028 2.00

0029 2.00

0030 3.00

0031 4.00

0032 4.00

0033 2.00

0034 2.00

0035 2.00

0036 3.00

0037 2.00

0038 4.00

0039 4.00

0040 2.00

0041 2.00

0042 2.00

0043 2.00

0044 2.00

0045 2.00

0046 2.00

0047 2.00

0048 4.00

0049 4.00

0050 4.00

0051 2.00

0052 2.00

0053 2.00

0054 2.00

0055 2.00

0056 2.00

0057 2.00

0058 2.00

0059 2.00

0060 2.00

0061 2.00

0062 2.00

0063 2.00

0064 3.00

0065 2.00

0066 2.00

0067 2.00

0068 2.00

0069 2.00

0070 3.00

0071 2.00

0072 2.00

0073 2.00

0074 2.00

0075 3.00

0076 2.00

0077 2.00

0078 2.00

0079 2.00

0080 2.00

0081 2.00

0082 2.00

0083 2.00

0084 2.00

0085 2.00

0086 2.00

0087 2.00

0088 3.00

0089 4.00

0090 4.00

0091 2.00

0092 2.00

0093 2.00

0094 2.00

0095 3.00

0096 4.00

0097 2.00

0098 4.00

0099 2.00

0100 2.00

0101 2.00

0102 2.00

0103 3.00

0104 4.00

0105 4.00

0106 4.00

0107 2.00

0108 2.00

0109 2.00

0110 2.00

0111 3.00

0112 4.00

0113 4.00

0114 4.00

0115 2.00

0116 2.00

0117 2.00

0118 2.00

0119 2.00

0120 4.00

0121 3.00