36C25720Q1270 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 4

504-20-3-967-0044

36C25720Q0840

Department of Veterans Affairs

VISN17 Network Contracting Activity

7400 Merton Minter Blvd. (10N17/90C)

San Antonio TX 78229

Department of Veterans Affairs

VISN17 Network Contracting Activity

7400 Merton Minter Blvd. (10N17/90C)

San Antonio TX 78229

To all Offerors/Bidders

36C25720Q1270

09-10-2020

X

X X

09/18/2020 3pm CST.

See CONTINUATION Page

X 1

This amendment is changing the due date for solicitation # 36C25720Q0515 from 09/11/2020 to 09/18/2020, effective today

09/10/2020.

This Modification also includes an Updated Statement of Work (SOW). Please see attachment and refer to the New SOW.

For questions or concerns please contact: Ognian.ivanov@va.gov

MICHAEL J. TUSINGER

CONTINUATION PAGE

STATEMENT OF WORK (SOW)

1. Contracting Officer’s Representative (COR).

Name: Dawn Lott

Section: Acquisition and Utilization Specialist

Address: 6010 Amarillo Blvd. West, Amarillo Texas 79106

Phone Number: (806) 355-9703 X-4331

Fax Number:

E-Mail Address: Dawn.Lott@va.gov

2. Contract Title.

Dental Treatment chairs to include accessories and instruments necessary for the Lubbock dental clinic processes.

3. Background.

The Thomas E Creek VA Medical Center is requesting additional dental treatment chairs with accessories for the activation of the new Lubbock Clinic.

4. Scope.

The Thomas E Creek VA Medical Center is seeking to purchase 3 Dental Chairs, provider stools, assistant stools with instruments and installation for three chairs in Lubbock. The dental hand pieces must be validated to use for KaVo Quattrocare Lubrication System. All Dental hand pieces and all other reusable medical equipment requiring sterilization must have pre-vacuum steam sterilization parameters of a minimum of 3 minutes at 134°C -1°C/+4°C (273°F -1.6°F/+7.4°F). The accessories will not utilize reusable curing lights. The request shall have two instruction manuals for Bio-medical Service. The vendor will provide In-service and training for reprocessing of reusable medical equipment must be provided to Sterile Processing Service staff.

5. Specific Technical requirements

Must be ADEC Brand name or equivalent:

Dental chairs must have ultra-thin back rest that flexes enabling the staff to tuck knees under the chair must have upholstery to cradle patient, double articulating gliding headrest that moves with the patient due to our veteran needs and mobility issues, be able to adjust headrest with one hand, hydraulic left system to ensure smooth transitions of patient treatment heights, shall provide 300-watt power supply for the system, expandable height range of 13.5 inches to 31.5 inches, 60 degree swivel with brakes, shall have multi-position armrest that rotate out of the way to allow for patient access and exit, cut a-way cast iron baseplate that provides six contact points for added stability to provider.

Delivery Systems shall have four position control block design to all air driven component with corrosion-resistant materials and a water flow system that eliminates stagnant water for infection control safety issues. Shall have left/right pivoting chair mount for ergonomic positioning of control head, shall have pivoting mounted control head for positioning of instruments and tubing, shall have 2 liter contained water bottle to allow for pickup tube and a quick disconnecting fitting, shall have reliable 2-way communication between circuit boards that detects new modules, shall have wet/dry foot control with chip blower

Assistant Instrumentation Provides secondary control of chair, dental light, and cuspidor (or accessory) functions; serves as a sturdy handle for positioning the assistant's arm. Easy left/right conversion that allows both left- and right-handed operators to assist the dentist with patient care. Shall have a Vacuum tower that Rotates to improve HVE and saliva ejector tubing management to includes a large-capacity solids collector to simplify routine cleaning and shall have adjustable holders that rotate as a group and pivot independently customizing instrument positioning.

Dental Monitors shall have glide tracking to ensure monitor movement, shall have an ergonomic grip handle to maneuver and tilt monitor with one hand, shall be VESA compatible and accommodate 15, 17, or 19-inch medical grade monitors.

Provider stools shall have tilt seats, with five castors that allow for stability for dentist on hard flooring, shall have contoured backrests, vinyl upholstery.

Assistant Stools shall have tilt seating, cradled back rest, standard foot ring

Dental hand pieces shall have ceramic bearing, miniature head (15 watt), multiflex LUX connection, push button auto chuck, 1,3,5 port spray, ADEC ELECTRIC HANDPIECES.

Synea 500 Electric High-speed Handpiece WK-93LT Standard Length, 1:4:5 gear ratio, Gear push button chuck, 1.6mm friction grip burs, Maximum speed 180,000rpm, LED illumination, 5 port penta-spray, ultra-low sound levels, ceramic ball bearings

Synea 500 Electric Slow speed handpiece WK-56LT Standard length, 1:1 gear ratio, Push button chuck, 2.35mm latch burs, Maximum speed 40,000rpm, LED lighting, single port spray ultra-low sound levels, ceramic ball bearings

Purchase shall include two user manuals, 2 technical menus, and training of sterilization process for all SPS staff in and Lubbock, Texas. All equipment shall be blanket wrapped to ensure equipment arrives in new condition. Installation of equipment being purchased and uninstall of current equipment shall be quoted.

Dental Chairs, stools, water and air lines must be able to be low level disinfected by being wiped with a quat or alcohol based low level disinfectant.

6. Place of Installation.

Lubbock VA Outpatient Clinic

3510 4th St. Lubbock, TX 79415

7. Hours of operation: Monday through Friday, 8am to 4pm