36C25619Q1046-0001000.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) 07-15-2019 667-19-3-132-0369 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

36C25619Q1046 07-15-2019

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 AND INCLUDE AS AN ATTACHMENT A "BRAND NAME JUSTIFICATION

DOCUMENT". THE CHANGES ARE AS FOLLOW:

A. The SF 1449, Block 8. Offer Due date is hereby changed from "07-02-2019" to read "07-22-2019".

B. Justification for Brand Name is hereby attached to the amendment.

C. All other terms and conditions remain unchanged.

A.1 PRICE/COST SCHEDULE

ITEM INFORMATION

CAVITRON JET PLUS

LOCAL STOCK NUMBER: 70365684

JET-MATE HPC

LOCAL STOCK NUMBER: 72739910

USONIC INSERT #10 PRO+ 30K

LOCAL STOCK NUMBER: 73747805

UL TRSNC INSRT SWVL FLOW 10 UNIV 30KHZ

LOCAL STOCK NUMBER: 73749066

USONIC INSERT UNIV #1000-30K

LOCAL STOCK NUMBER: 73747342

SCALER TIP FSI/SLI 1000 30K

LOCAL STOCK NUMBER: 72723559

CAVITRON 30K SOFTIP IMPLANT

LOCAL STOCK NUMBER: 72739852

SOFTIP DISP PROPHY TIPS

LOCAL STOCK NUMBER: 74948204

SURGITRON DUAL RF 120

LOCAL STOCK NUMBER: 101589518

SWIVEL 4L F/430KSW TITAN SW

LOCAL STOCK NUMBER: 70472092

SWIVEL O RING KIT 2SM/2LG

LOCAL STOCK NUMBER: 76597249

INSTRUMENT CASSETTE SER 7 14

LOCAL STOCK NUMBER: 74980066

INSTRUMENT CASSETTE SER 14 14

LOCAL STOCK NUMBER: 74980108

SURGICAL CASSETTE MEDIUM

LOCAL STOCK NUMBER: STDBOM

EXCAVATOR ENDO & GLICK DE#2

LOCAL STOCK NUMBER: 73700911

BUCHANAN HAND PLUGGER #2

LOCAL STOCK NUMBER: 71135755

BUCHANAN HAND PLUGGER #1

LOCAL STOCK NUMBER: 71135748

BUCHANAN HAND PLUGGER SZ 0

LOCAL STOCK NUMBER: 74218442

RUBBER DAM CLAMP SATIN FINISH 1

LOCAL STOCK NUMBER: 73726536

RUBBER DAM CLAMP SATIN FINISH 56S

LOCAL STOCK NUMBER: 73726932

RUBBER DAM CLAMP SATIN FINISH 3

LOCAL STOCK NUMBER: 73726593

RUBBER DAM CLAMP SATIN FINISH 26

LOCAL STOCK NUMBER: 73726841

RUBBER DAM CLAMP SATIN FINISH 13A

LOCAL STOCK NUMBER: 73726775

RUBBER DAM CLAMP SATIN FINISH 12A

LOCAL STOCK NUMBER: 73726767

RUBBER DAM CLAMP SATIN FINISH 212SA

LOCAL STOCK NUMBER: 73726973

RUBBER DAM CLAMP SATIN FINISH 00

LOCAL STOCK NUMBER: 73726510

RUBBER DAM CLAMP FORCEP IVORY

LOCAL STOCK NUMBER: 70476432

MIRROR HANDLE OCT CS W/RULE

LOCAL STOCK NUMBER: 74983706

EXPLORER ENDO REAL WORLD POSTERIOR

LOCAL STOCK NUMBER: 75775770

SCALER U-15 TOWNER SE

LOCAL STOCK NUMBER: 70927608

ELEVATOR SURG 80S ROOT TIP PICK

LOCAL STOCK NUMBER: 75771910

ELEVATOR SURG 80

LOCAL STOCK NUMBER: 75772751

ELEVATOR SURG SCHMKBR APEXO #E-5

LOCAL STOCK NUMBER: 73698289

ELEVATOR SURG SCHMKBR APEXO #E-4

LOCAL STOCK NUMBER: 73698271

ELEVATOR SURG WOODWARD #15

LOCAL STOCK NUMBER: 73693512

ELEVATOR SURG CRYER E25

LOCAL STOCK NUMBER: 73695160

ELEVATOR SURG CRYER E26

LOCAL STOCK NUMBER: 73695178

LUXATING ELEVATOR 3MM CURVED

LOCAL STOCK NUMBER: 73711926

LUXATING ELEVATOR 5MM CURVED

LOCAL STOCK NUMBER: 73711942

FORCEPS SURG ROOT #301

LOCAL STOCK NUMBER: 73709136

FORCEPS SURG EXTRACTING BBL

LOCAL STOCK NUMBER: 70864264

FORCEPS SURG EXTRACTING 88R

LOCAL STOCK NUMBER: 70864256

FORCEPS SURG EXTRACTING 53R

LOCAL STOCK NUMBER: 70864181

FORCEPS SURG EXTRACTING 53L

LOCAL STOCK NUMBER: 70864199

APICAL FORCEPS UPR ANTERIOR

LOCAL STOCK NUMBER: 73705712

FORCEPS SURG EXTRACTING ENGL 13

LOCAL STOCK NUMBER: 47

FORCEPS SURG CRYER #151

LOCAL STOCK NUMBER: 73709003

APICAL FORCEPS UPR UNIV

LOCAL STOCK NUMBER: 73705720

FORCEPS SURG SPLIT BK 150AS

LOCAL STOCK NUMBER: 73708955

FORCEPS SURG EXTRACTING 16

LOCAL STOCK NUMBER: 70864074

FORCEPS SURG EXTRACTING 17

LOCAL STOCK NUMBER: 74978813

PERIOSTEAL SURG HOURIGAN #1

LOCAL STOCK NUMBER: 73721446

SCISSORS IRIS CVD

LOCAL STOCK NUMBER: 75437512

HEMOSTAT KELLY CURVED

LOCAL STOCK NUMBER: 75432588

SCISSORS CRN&GOLD CVD

LOCAL STOCK NUMBER: 73738168

CROWN REMOVER N134 DE

LOCAL STOCK NUMBER: 75430715

SCALER TOWNER #U15 SE #24 HDL

LOCAL STOCK NUMBER: 73734068

MATRIX RETAINER TOFF UNIV

LOCAL STOCK NUMBER: 73365921

SPATULA CEMENT #24 FLEXIBLE

LOCAL STOCK NUMBER: 70895706

CORD PACK INST #122 NS DE

LOCAL STOCK NUMBER: 75433610

COMPOSITE INST DURALITE RD #1

LOCAL STOCK NUMBER: 75430186

EXCAVATOR DE 42/43 15-8-14

LOCAL STOCK NUMBER: 73166899

AMALGAM WELL SHALLOW

LOCAL STOCK NUMBER: 70838144

CARRIER AMALGAM TARN

LOCAL STOCK NUMBER: 73678034

PLUGGER AMALGAM BLACK 2/3 N-SERR

LOCAL STOCK NUMBER: 70925719

CAVITY LINER PLACER 02-540

LOCAL STOCK NUMBER: 70843359

BURNISHER DE 26/28 BALL-FOOTBALL

LOCAL STOCK NUMBER: 73165826

BURNISHER #28/29 DE

LOCAL STOCK NUMBER: 75430459

BURNISHER #27/29 TITANIUM DE

LOCAL STOCK NUMBER: 73683299

CARVER DISCOID/CLEOID DE 4/5

LOCAL STOCK NUMBER: 73684305

CARVER HOLLENBACK #3

LOCAL STOCK NUMBER: 73596681

UNI-TIP SYR TIPS

LOCAL STOCK NUMBER: 71592492

ART PAPER FORCEP ECN 08-300

LOCAL STOCK NUMBER: 70838748

PLIERS COLLEGE 317B

LOCAL STOCK NUMBER: 70894691

EXPLORER DE TU-17/23

LOCAL STOCK NUMBER: 70924712

MOUTH PROPS RUBBER ADULT

LOCAL STOCK NUMBER: 70854281

RONGEURS HUFRIEDY #1

LOCAL STOCK NUMBER: 73729274

NDL HOLDER DERF

LOCAL STOCK NUMBER: 73715760

FORCEPS HALSTED-MOSQUIT CVD.12

LOCAL STOCK NUMBER: 70476200

SCISSORS LOCKLIN CVD 6 1/4"

LOCAL STOCK NUMBER: 74996922

BONE FILE MILLER #64

LOCAL STOCK NUMBER: 73682994

CURETTE SURG LUCAS DE #88

LOCAL STOCK NUMBER: 73685849

MIRROR SIMPLE STEM

LOCAL STOCK NUMBER: 70406330

MIRROR HANDLE RD SS

LOCAL STOCK NUMBER: 70406371

PERIOSTEAL DE MOLT 9

LOCAL STOCK NUMBER: 75432968

PROBE SE CC PCP 12 3-6-9-12

LOCAL STOCK NUMBER: 70926022

PLIER TISSUE ADSON #42

LOCAL STOCK NUMBER: 73752615

PROBE PERIOWISE 3-5-7-10

LOCAL STOCK NUMBER: 75822523

SYR ASPIRATING CW TYPE

LOCAL STOCK NUMBER: 73941275

RETRACTOR CHEEK U OF MINN

LOCAL STOCK NUMBER: 75435284

PLIER CLASP ADJUST 3 JAW SS

LOCAL STOCK NUMBER: 74991220

PERIOTOME KIT WI CASSETTE

LOCAL STOCK NUMBER: 71018159

A.2 DELIVERY SCHEDULE

Overton Brooks VA Medical Center 510 E. Stoner Ave.

Shreveport, LA 71101

USA

318-990-5930 theodis.pickett@va.gov

20.00

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70.00

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3.00

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2.00

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3.00

38.00

6.00

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27.00

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55.00

18.00

8.00

15.00

15.00

13.00

13.00

14.00

7.00

58.00

14.00

52.00

12.00

42.00

26.00

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CONTINUATION PAGE

See attached document: Brand Name Justification.

See attached document: 36C25619Q1046 0001.