36C25618Q0757-0001000.docx

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OR Bariatric Supplies Federal contract opportunity
Solicitation number
36C25618Q0757
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 16

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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) 580-18-3-167-0297 None Department of Veterans Affairs Gulf Coast Veterans Health Care System Network Contracting Office 16 400 Veterans Avenue Biloxi

MS

39531 Department of Veterans Affairs Gulf Coast Veterans Health Care System Network Contracting Office 16 400 Veterans Avenue Biloxi

MS

39531 To all Offerors/Bidders

36C25618Q0757

X X X June 25, 2018

The purpose of this modification is to correct the statement of work so that it coincides with the line items in Section B.5 of the solictation.

please see below for the correct statement of work for section B.4.

All responses are still due June 25, 2018, 12Pm CST. All questions are due by June 18, 2018, 12PM CST via email to tina.harris3@va.gov.

CONTINUATION PAGE

SCOPE OF WORK AND GENERAL SPECIFICATIONS

FOR OR Supplies

1. Background:

The Operating Room is requesting OR supplies, such as instrument trays, adjustable steel stands, bariatric supplies, etc. to replace aging items and outfit three new operating rooms.

2. Supply Specifications – Requirements: One company but be able to provide brand name or equal items, to include the same material and size for all items requested.

3.

Item #
Description/Part Number*
Qty
937852
Bariatric Pivoting Armboard
4
930957
Freedom OR Armband Holder 4in
4
934726
Socket Combo Post Alimed 2/CS
1
931978
PICKET FENCE LEG PREPPER STAINLESS STEEL
4
932471
RHINO−BOARD REC. HAND TBL 7 LT
2
95-930
PAD TBL FULL 1PC 20X72X.5IN (3 WEEK LEAD TIME)
1
712681
5 LEG STOOL WITH CAL 133, BLACK W/ SAFE CASTRS
1
935564
ERGO−STEP STOOL 2 TOPS 2 BOTTMS, 4/CS
5
935567
STP STOOL CART − HLD MAX 6 1/CS
2
935939
GLOVE DISPENSER QUAD 2/CS
4
937056
HEAVY DUTY APRON HANGERS 3/PK
12
934800
MAYO STAND BENJAMIN 16 X 21 TRAY
6
95-761
STAND SOLUTION DOUBLE BOWL SHELF
12
920834
STAND SOLUTION MRI SAFE SHELF
2
95-732
FERGUSON UTILITY TABLE
2
95-118
DONUT ALIGEL ADULT
10
91-388
CHEST ROLL 4"X16"
10
91-389
CHEST ROLL 4"X20"
6
936673
ALIMED CLARK SOCKET STAINLESS STEEL
12
95-196
SIDE RAIL SOCKET MATTE FINISH IF B/O SUGGEST 930749
15
923524
TABLE: CARPA INCLUDES PAD MFG# O−AHMPT−A2
2
923571
TABLE HAND SURGERY CLINICAL RAIL MOUNT (2 WEEK LEAD TIME)
2
930967
TABLEPAD FOR MODEL 2000/2100 (3 WEEK LEAD TIME)
2
925470
STRAP NONMETAL BARIATRIC
6
95-081
O.R. POSITIONING STRAP SGF
6
937678
BARIATRIC VERICLEAN OR TABLE STRAP
2
937068
VERICLEAN HIGH LEVEL DISINFECTABLE AMSCO STYLE STRAP 132"
2
95-760
STAND SOLUTION BAKER SINGLE BOWL SHELF
12
934801
MAYO STAND JUMBO BENJAMIN DOUBLE POST 20 X 25 TRAY
8
930639
CART WIRE UTIL 2SH 24X48
2
921069
BARRIER CLEAR SS JUMBO
4
936668
CASTER GUARD UP TO 5", GREY, SET OF 4
1
95-946
ALIGEL BODY POSITIONER 14X4.5X2
10
91-392
CHEST ROLL 6"X20"
4
9-999
SG−80−B−SS SPECIAL ORDER UTILITY TABLE W/SHELF & DRAWER
6
FREIGHT
FREIGHT TO BE DETERMINED
1

4. Warranty and Support:

The warranty and support must cover all components for a minimum period of 12 months.

5. Delivery Location:

Michael R. DeBakey VA Medical Center Warehouse 2002 Holcombe Boulevard Houston, TX 77030

End of Document

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