36C25619Q0896-0002000.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) 06-13-2019 629-19-3-106-0659 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

36C25619Q0896 06-13-2019

X X X ** HOUR & DATE for Receipt of Offers is EXTENDED to:

See CONTINUATION Page Not Applicable

THE PURPOSE OF THIS AMENDMENT IS TO EXTEND THE OFFER DUE DATE TO JULY 2, 2019.

THE CHANGE IS AS FOLLOW:

A. SF 1449, block 8. Offer Due Date is hereby changed from "06-17-2019" to read "07-02-2019".

B. All other terms and conditions remain unchanged.

CONTINUATION PAGE

A.1 PRICE/COST SCHEDULE

ITEM INFORMATION

18" X 36" CHROME PLUS SUTURE SHELF

LOCAL STOCK NUMBER: T6-H1836BSK-ST

37.5" X 21.5" X 74" - 36" SINGLE SIDED STARTER FRAME

LOCAL STOCK NUMBER: T6-H-S3674

4" X 1.25" MED-GLIDE CASTER WITH BRACKET

LOCAL STOCK NUMBER: T6-H-4CB-MED

36" PEDESTAL FRAME HANG BAR

LOCAL STOCK NUMBER: T6-H36HB

18" X 36" DUST SHELF / COVER

LOCAL STOCK NUMBER: T6-H36DC

18" X 48" X 80" BASKET WITH SOLID BASE UNIT

LOCAL STOCK NUMBER: T6-MBSK1848CH-5-SLD

36 X 72 STAINLESS STEEL WORKTABLE WITH UNDERSHELF ADD CASTERS AT FACTORY

LOCAL STOCK NUMBER: E1-T3672SE

4 CASTERS- (2) SWIVEL AND (2) BRAKE (PRICING IS FOR COMPLETE SET) ADD CASTERS AT FACTORY

LOCAL STOCK NUMBER: E1-CAHP4-SB

CHROME BASKET DIVIDER

LOCAL STOCK NUMBER: T6-DV1810

SHORT DIVIDER - VERTICAL

LOCAL STOCK NUMBER: KIT-T6-CUSTOM-KIT

BASKET LABEL HOLDER- 48" CLEAR

LOCAL STOCK NUMBER: T6-TLB48CL

BASKET LABEL HOLDER- 36" CLEAR

LOCAL STOCK NUMBER: T6-TLB36CL

FULL LENGTH LABEL HOLDER- 18" CLEAR

LOCAL STOCK NUMBER: T6-LHB18CL

48" DSI-BASKET CART - DOUBLE CUSTOM CONFIGURATION

LOCAL STOCK NUMBER: D1-CUSTOM

48" DSI-BASKET CART - SINGLE CUSTOM CONFIGURATION

LOCAL STOCK NUMBER: D2-CUSTOM

36' DSI-BASKET CART - SINGLE CUSTOM CONFIGURATION

LOCAL STOCK NUMBER: P1-CUSTOM

18" DSI BASKET CART - DOUBLE CUSTOM CONFIGURATION

LOCAL STOCK NUMBER: P2-CUSTOM

LONG DIVIDER - VERTICAL

LOCAL STOCK NUMBER: T6-CUSTOM

T6 ASSEMBLY FOR SMARTCELL UNITS & METRO SHELVES

LOCAL STOCK NUMBER: T6-ASSEM-SMART

A.2 DELIVERY SCHEDULE

Southwest Louisiana Veterans Health Care System 2400 Canal Street New Orleans, LA 70161 000 United States

504-507-2000 Ext 62504 jennifer.loudermilk@va.gov

6.00

24.00

62.00

6.00

10.00

1.00

1.00

100.00

2,583.00

448.00

861.00

21.00

56.00

64.00

11.00

3.00

1,792.00

1.00