36C25622Q0129 0002.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) None Department of Veterans Affairs Overton Brooks VA Medical Center (90C) 510 East Stoner Avenue Shreveport

LA

71101 Department of Veterans Affairs Overton Brooks VA Medical Center (90C) 510 East Stoner Avenue Shreveport

LA

71101 To all Offerors/Bidders

36C25622Q0129

X x x

01/18/2022 @ 3:00pm CDT N/A x

SEE PAGE 2 CONTINUATION

Contracting Officer

14. DESCRIPTION OF AMENDMENT/MODIFICATION (CON’T):

a. The purpose of this amendment is to extend time to submit quotes, change ordering period dates, and add to contractor’s responsibility for services required.

b. Date and time to submit quotes is changed from 28 December 2021 @ 10:00am CDT to 18 January 2022 @ 3:00pm CDT. See Block 11 of this SF30.

c. B.2 Price/Cost Schedule, Page 5, ordering period dates are CHANGED FROM 15 December 2021 to 14 December 2026 TO READ 01 February 2022 to 31 January 2027 for CLINs 0001, 1001, 2001, 3001, and 4001.

d. Performance Work Statement, Page 15, Item 4, Contractor Responsibilities, 4.1. Services Required is CHANGED FROM:

TO READ:

4.1.1. The Contractor shall make available the following lasers, supplies, labor, and certified technician available to VHSO in accordance with a schedule mutually agreed upon by both the VA Medical Center and the Contractor.

4.1.1.1. Lithotripsy (Extracorporeal Shock Wave Lithotripsy (ESWL))

4.1.1.2. Green Light Laser

4.1.1.3. Holmium Low and High Watt lasers

4.1.1.4. Cryoablation of the prostate

4.1.1.5. Disposable Flex Ureteroscopy

4.1.1.6. Thulium laser

4.1.1.7. Provide portable, state of the art, digital equipment that can be easily moved into operating rooms at the VHSO. Equipment must meet or exceed the following:

4.1.1.8. Treats all stones anywhere in the urinary tract.

or without moving the patient.

4.1.1.12. Will accommodate patients up to 400 pounds.

e. Page 41, C.3(a) Change last sentence from “Such orders may be issued from 15 December 2021 through 14 December 2026” TO READ “Such orders may be issued from 1 February 2022 through 31 January 2027”.

f. ALL OTHER TERMS & CONDITIONS REMAIN UNCHANGED.