36C25718Q0200-00001001.docx
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- Attached to
- Amarillo VA Health Care System Medication Carts Federal contract opportunity
- Solicitation number
- 36C25718Q0200
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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)
00001 none 00519 Department of Veterans Affairs Contracting Section (90C)
707 East 3rd Street Big Spring TX 79720
00519 Department of Veterans Affairs Contracting Section (90C)
707 East 3rd Street Big Spring TX 79720 To all Offerors/Bidders
36C25718Q0200 12-08-2017
X x x
See CONTINUATION Page
The purpose of this amendment is: To correct the Price/Cost Schedule.
a. An updated Price/Cost Schedules is available below.
Michael J. Tusinger Contracting Officer
NCO1815L2-4195
CONTINUATION PAGE
A.1 PRICE/COST SCHEDULE
ITEM INFORMATION
| ITEM NUMBER |
| DESCRIPTION OF SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
| 0001 |
| Large medication cart for the CLC with 20 patient medication drawers/bins that are minimum 8" wide, a narcotic locking drawer and storage drawers. Sharp's container bracket/cradle that will hold facility sharp's, large waste/trash bin |
| 5.00 |
| EA |
| __________________ |
| __________________ |
| 0002 |
| Large medication cart for the CLC - 22 patient medication drawers/bins that are minimum 8" wide, a narcotic locking drawer and storage drawers. Sharp's container bracket/cradle that will hold facility sharp's, large waste/trash bin |
| 1.00 |
| EA |
| __________________ |
| __________________ |
| 0003 |
| Transfer cart that has the same number/configuration patient bins for 2 of the large medication carts with 20 patient bins and the 1 cart with 22 patient bins. (identical to 0001 & 0002) |
| 1.00 |
| EA |
| __________________ |
| __________________ |
| 0004 |
| Transfer cart with the same number/configuration patient bins as 3 of the large medication carts with the 20 patient bins. (identical to 0001) |
| 1.00 |
| EA |
| __________________ |
| __________________ |
| 0005 |
| Medication cart with 14 medication drawers that are a minimum 8" wide to be kept in ICU medication room |
| 1.00 |
| EA |
| __________________ |
| __________________ |
| 0006 |
| Medication cart with 1 tier with 5" medication drawers and 1 ties with 8" medication drawers to be used at ICU bedside |
| 14.00 |
| EA |
| __________________ |
| __________________ |
| 0007 |
| Medication cart with 1 tier with 5" medication drawers and 1 ties with 8" medication drawers to be used at ICU bedside |
| 6.00 |
| EA |
| __________________ |
| __________________ |
| 0008 |
| Medication cart for Medical-Surgical medication rooms, each with combination of 5" patient medication bins and a storage drawer for Pharmacy to re-stock daily patient medications |
| 2.00 |
| EA |
| __________________ |
| __________________ |
| 0009 |
| Transfer cart for Pharmacy to re-stock ICU and Medical-Surgical medications carts in medication rooms; must have the same patient bin configurations as the ICU and Medical-Surgical medication carts in the medication rooms. (identical to 0005 & 0007) |
| 1.00 |
| EA |
| __________________ |
| __________________ |
| 0010 |
| Mobile WOWs for Endoscopy (no drawers) |
| 8.00 |
| EA |
| __________________ |
| __________________ |
| 0011 |
| Mobile WOWs for CLC A (no drawers) |
| 3.00 |
| EA |
| __________________ |
| __________________ |
| 0012 |
| Mobile WOWs for CLC B (no drawers) |
| 3.00 |
| EA |
| __________________ |
| __________________ |
| 0013 |
| Mobile WOWs for Operating Room/Day Surgery Unit (no drawers) |
| 8.00 |
| EA |
| __________________ |
| __________________ |
| 0014 |
| Mobile WOWs for Med-Surg (no drawers) |
| 6.00 |
| EA |
| __________________ |
| __________________ |
| 0015 |
| Mobile WOWs for Emergency Department (no drawers) |
| 6.00 |
| EA |
| __________________ |
| __________________ |
| 0016 |
| In-Service Training |
| 1.00 |
| JB |
| __________________ |
| __________________ |
| 0017 |
| Delivery/Installation |
| 1.00 |
| JB |
| __________________ |
| __________________ |
| 0018 |
| Training manual (paper) and 1 CD/DVD, UTube Video for continued training |
| 1.00 |
| EA |
| __________________ |
| __________________ |
| GRAND TOTAL |
| __________________ |
A.2 DELIVERY SCHEDULE
| ITEM NUMBER |
| QUANTITY |
| DELIVERY DATE |
| 0001 |
| SHIP TO: |
| Amarillo VA Health Care System (AVAHCS) |
6010 Amarillo Blvd. West Amarillo, TX 79106 1991
USA
| 5.00 |
| 90 Days ARO |
| 0002 |
| SHIP TO: |
| Amarillo VA Health Care System (AVAHCS) |
6010 Amarillo Blvd. West Amarillo, TX 79106 1991
USA
| 1.00 |
| 90 Days ARO |
| 0003 |
| SHIP TO: |
| Amarillo VA Health Care System (AVAHCS) |
6010 Amarillo Blvd. West Amarillo, TX 79106 1991
USA
| 1.00 |
| 90 Days ARO |
| 0004 |
| SHIP TO: |
| Amarillo VA Health Care System (AVAHCS) |
6010 Amarillo Blvd. West Amarillo, TX 79106 1991
USA
| 1.00 |
| 90 Days ARO |
| 0005 |
| SHIP TO: |
| Amarillo VA Health Care System (AVAHCS) |
6010 Amarillo Blvd. West Amarillo, TX 79106 1991
USA
| 1.00 |
| 90 Days ARO |
| 0006 |
| SHIP TO: |
| Amarillo VA Health Care System (AVAHCS) |
6010 Amarillo Blvd. West Amarillo, TX 79106 1991
USA
| 14.00 |
| 90 Days ARO |
| 0007 |
| SHIP TO: |
| Amarillo VA Health Care System (AVAHCS) |
6010 Amarillo Blvd. West Amarillo, TX 79106 1991
USA
| 6.00 |
| 90 Days ARO |
| 0008 |
| SHIP TO: |
| Amarillo VA Health Care System (AVAHCS) |
6010 Amarillo Blvd. West Amarillo, TX 79106 1991
USA
| 2.00 |
| 90 Days ARO |
| 0009 |
| SHIP TO: |
| Amarillo VA Health Care System (AVAHCS) |
6010 Amarillo Blvd. West Amarillo, TX 79106 1991
USA
| 1.00 |
| 90 Days ARO |
| 0010 |
| SHIP TO: |
| Amarillo VA Health Care System (AVAHCS) |
6010 Amarillo Blvd. West Amarillo, TX 79106 1991
USA
| 8.00 |
| 90 Days ARO |
| 0011 |
| SHIP TO: |
| Amarillo VA Health Care System (AVAHCS) |
6010 Amarillo Blvd. West Amarillo, TX 79106 1991
USA
| 3.00 |
| 90 Days ARO |
| 0012 |
| SHIP TO: |
| Amarillo VA Health Care System (AVAHCS) |
6010 Amarillo Blvd. West Amarillo, TX 79106 1991
USA
| 3.00 |
| 90 Days ARO |
| 0013 |
| SHIP TO: |
| Amarillo VA Health Care System (AVAHCS) |
6010 Amarillo Blvd. West Amarillo, TX 79106 1991
USA
| 8.00 |
| 90 Days ARO |
| 0014 |
| SHIP TO: |
| Amarillo VA Health Care System (AVAHCS) |
6010 Amarillo Blvd. West Amarillo, TX 79106 1991
USA
| 6.00 |
| 90 Days ARO |
| 0015 |
| SHIP TO: |
| Amarillo VA Health Care System (AVAHCS) |
6010 Amarillo Blvd. West Amarillo, TX 79106 1991
USA
| 6.00 |
| 90 Days ARO |
| 0016 |
| SHIP TO: |
| Amarillo VA Health Care System (AVAHCS) |
6010 Amarillo Blvd. West Amarillo, TX 79106 1991
USA
| 1.00 |
| 90 Days ARO |
| 0017 |
| SHIP TO: |
| Amarillo VA Health Care System (AVAHCS) |
6010 Amarillo Blvd. West Amarillo, TX 79106 1991
USA
| 1.00 |
| 90 Days ARO |
| 0018 |
| SHIP TO: |
| Amarillo VA Health Care System (AVAHCS) |
6010 Amarillo Blvd. West Amarillo, TX 79106 1991
USA
| 1.00 |
| 90 Days ARO |
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