36C25721Q0743 0001.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) 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

36C25721Q0743 04-27-2021

X

See CONTINUATION Page The purpose of this amendment is to remove all the prices that populated from a previous contract on the delivery schedule.

CONTINUATION PAGE

A.1 PRICE/COST SCHEDULE

ITEM INFORMATION

M1801I COMPUTER WORKSTATION, TECH INCLUDING THE FOLLOWING ITEMS: PART# STD-WKS500DW10D, STANDARD WORKSTATION, QTY 9, PART# SCR100, SMART CARD READER, QTY 9, LOCAL STOCK NUMBER: STD-WKS500DW10D

PART# SCR100, SMART CARD READER, QTY 11,

LOCAL STOCK NUMBER: SCR100

JSN# X4110B MONITOR, PACS, DUAL TECH TO INCLUDE THE FOLLOWING: PART# MON213B, BARCO SINGLE 2MPIXEL COLOR 24" DISPLAY, QTY 18, LOCAL STOCK NUMBER: MON213B

PART# VID240B, BARCO DIAGNOSTIC DISPLAY CONTROLLER, QTY 10,

LOCAL STOCK NUMBER: VID240B

PART# NASTWKSW10, NA RAD SUPPORT TOOLS WORKSTATION, QTY 11,

LOCAL STOCK NUMBER: NASTWKSW10

JSN M1801H COMPUTER, WORKSTATION, FUSION TO INCLUDE THE FOLLOWING ITEMS: PART# STD-WKS800DW10D, STANDARD WORKSTATION SUITABLE FOR DIAGNOSTIC USE 64GB, QTY 1, LOCAL STOCK NUMBER: STD-WKS800DW10D

JSN# X4110E MONITOR, PACS, FUSION TO INCLUDE THE FOLLOWING ITEM: PART# DDC610B, BARCO CORONIS FUSION SINGLE 6 MPIXEL COLOR 30", QTY 1, LOCAL STOCK NUMBER: DDC610B

JSN# 4110F MONITOR, PACS, DUAL, AUX TO INCLUDE THE FOLLOWING ITEM: PART# MON213EF, EIZO SINGLE 2.3 MPIXEL COLOR 24" DISPLAY, QTY 4, LOCAL STOCK NUMBER: MON213EF

JSN# M1801J COMPUTER, WORKSTATION, UNITI TO INCLUDE THE FOLLOWING ITEM: PART# ADV-WKS900DW10D, ADVANCED WORKSTATION SUITABLE FOR DIAGNOSTIC USE 128GB, QTY 1, LOCAL STOCK NUMBER: ADV-WKS900DW10D

JSN# X4110D MONITOR, PACS, MAMMO TO INCLUDE THE FOLLOWING ITEM: PART# DDC1210B, VARCO CORONIS UNITI SINGLE 12 MPIXEL COLOR 33" DIAGNOSTIC DISPLAY, QTY 1, LOCAL STOCK NUMBER: DDC1210B

PART# VID400B, BARCO HIGH-END DISPLAY CONTROLLER FOR DIAGNOSTIC DISPLAYS, QTY 1,

LOCAL STOCK NUMBER: VID400B

PART# KBD100, ILLUMINATED KEYBOARD, QTY 1,

LOCAL STOCK NUMBER: KBD100

PART# MAM100, SHUTTLEPRO FOR MAMMOGRAPHY WORKSTATIONS, QTY 1,

LOCAL STOCK NUMBER: MAM100

JSN# M0430 MEDIA WRITER TO INCLUDE THE FOLLOWING ITEM PART# PER9104, LEXMARK HEALTHCARE PACSGEAR MEDIAWRITER D200 SYSTEM, QTY 1, LOCAL STOCK NUMBER: PER9104

PART# IMP338, CHANGE HEALTHCARE RADIOLOGY SOLUTIONS REMOTE REGULATORY COMPLIANCE VALIDATIN SERVICES, QTY 11, LOCAL STOCK NUMBER: IMP338

PART# WSA150, CHANGE HEALTHCARE RADIOLOGY SOLUTIONS SOFTWARE, QTY 1,

LOCAL STOCK NUMBER: WSA150

A.2 DELIVERY SCHEDULE

9.00

11.00

18.00

10.00

11.00

1.00

1.00

4.00

1.00

1.00

1.00

1.00

1.00

1.00

11.00

1.00