36C25625Q1190 0001.pdf

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)

1 1 J-FFP

0001 08-25-2025

N/A

N/A

36C256

Department of Veterans Affairs Network Contracting Office 16 Galleria Financial Center 5075 Westheimer Road, Suite 750 Houston TX 77056-5643 Robert Arabie, Contract Specialist robert.arabie@va.gov

36C256

Department of Veterans Affairs Network Contracting Office 16 Galleria Financial Center 5075 Westheimer Road, Suite 750 Houston TX 77056-5643

To all Offerors/Bidders

36C25625Q1190

08-19-2025

X

X X

X One (1)

The purpose of Amendment 0001 is to remove the below requirements from the Statement of Work (SOW).

• The system must be able to expand to 72 unique ports for optional input/output in the future while maintaining the same control system.

• The platform should provide a Biomed dashboard that lets the support team diagnose the issues in the rooms remotely.

Please see the attached revised SOW.

Steven Berkeley Contracting Officer

VA-VHA-RPOC-2022-170886

SCOPE OF WORK AND GENERAL SPECIFICATIONS

FOR 4K HD VIDEO INTEGRATION FOR SACC A AND B

1. Background: The Michael E. DeBakey VA Medical Center (MEDVAMC) has upgraded all video integration to 4K. Our current integration in the OR was previously purchased, but it excluded SACC A and B. The video monitoring system needs to be updated to 4K to enhance surgical capabilities for the providers.

2. Period of Performance (POP}: 90 days from date of award.

3.

LINE ITEM QUANITY

OR 1 - Boom Room WUISK13 OR1® 4K Boom Room 1.0 SACC A & B – OR1 Air

WUISK11 OR1® AIR 2.0

Streaming WUISK22 Additional Material 1.0 WUISK14 StreamConnect® 1.0 Construction WUIS- CUSTOM Custom System 1.0

4. Supply Specifications – Requirements:

Physical Characteristics

Karl Storz 4K Video Upgrade for the Operating Rooms

• The New 4K Integration platform should be compatible with the existing video platform at VA

• The new system should be a plug-&-play with the instruments and medical equipment

• The System needs to route SD/HD/4K video sources.

• It should allow OR staff to control endoscopy equipment from the nurse touch panel

• The new 4K infrastructure should be all fiber and based on a network-based IP platform.

• Must be compatible with the existing network Image archive and live streaming server at

VA Houston.

• Should have potential to communicate and live stream to anywhere in the facility

• MP3 Players Audio System shall include a means of connecting an MP3 player to speakers.

• The system should automatically get patient demographics and send images back to Vista using the existing interface/server/storage

• All display in the room should support SD/HD/4K and has to be 27”/32”/55”

• The system should have the same clinical user interface the current systems have to avoid additional user training.

• Video platform should be compatible with the existing Image S solution and add 4K and ICG capabilities to the rooms.

5. Warranty and Support:

Karl Storz guarantees their installation and set-up for two years AFTER the day of installation.

Equipment warranties are facilitated through Karl Storz upon purchase of the equipment for utilization in the OR.

Delivery Location:

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