36C25722Q0105 0001_1(R1) AvaSure (C-Synopsis).docx

SUBJECT*

NEW AvaSure Support Services 671-22-2-037-0003(VA-22-00019913) - Brand Name or Equal

GENERAL INFORMATION

NCO 17 North Texas Healthcare System Regional Procurement Office West (RPO-W) 124 E. Hwy 67, Suite 100 Duncanville TX 75137

POINT OF CONTACT*

Contract Specialist Alexander Koshy alexander.koshy@va.gov 972-708-0899

PLACE OF PERFORMANCE

7400 Merton Minter

San Antonio TX

COUNTRY

ADDITIONAL INFORMATION

DESCRIPTION

Amendment to a Previous Combined Solicitation

Amendment to a Previous Combined Solicitation See document.

Page 1 of

Amendment to a Previous Combined Solicitation

Contracting Officer Matthew Clements continuation pages.

originally issued in the solicitation. No further questions will be addressed before closing date. Please see attached for potential offerors. The attached document replaces in full the B.2 Statement of work & B.3 Price/Cost Schedule The purpose of this Amendment to Solicitation 36C25722Q0105 is to update Statement of Work & Price/Cost Schedule

See CONTINUATION Page ** HOUR & DATE for Receipt of Offers is EXTENDED to: N/A x

X

X

01-26-2022 36C25722Q0105

North Texas Veterans Health Care Center Department of Veterans Affairs

NCO 17

36C257

NCO 17 Network Contracting Activity NCO 17 North Texas Healthcare System Department of Veterans Affairs 36C257

See Block#16c

(Signature of Contracting Officer) (Signature of person authorized to sign)

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS,

ONE

CHECK

(X)

(SEE ITEM 13)

(SEE ITEM 11)

(If required) (such as changes in paying office, appropriation date, etc.)

(Specify type of modification and authority) (If other than Item 6) (Number, street, county, State and ZIP Code) (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

(Type or print) (Type or print) Prescribed by GSA - FAR (48 CFR) 53.243

PREVIOUS EDITION NOT USABLE

STANDARD FORM 30

15B. CONTRACTOR/OFFEROR

16A. NAME AND TITLE OF CONTRACTING OFFICER

15A. NAME AND TITLE OF SIGNER

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.

16B. UNITED STATES OF AMERICA

14. DESCRIPTION OF AMENDMENT/MODIFICATION

16C. DATE SIGNED

Contractor

D. OTHER

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

the opening hour and date specified.

or electronic communication, provided each letter or electronic communication makes reference to the solicitation and this amendment, and is received prior to 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 SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES

15C. DATE SIGNED

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.

is not, is required to sign this document and return ___________ copies to the issuing office.

(REV. 11/2016)

12. ACCOUNTING AND APPROPRIATION DATA

is not extended.

ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY offer submitted; or (c) By separate letter or electronic communication which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR

(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 is extended, E. IMPORTANT:

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers 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:

CODE

FACILITY CODE

1. CONTRACT ID CODE

BPA NO.

10B. DATED

10A. MODIFICATION OF CONTRACT/ORDER NUMBER

PAGE OF PAGES

9B. DATED

9A. AMENDMENT OF SOLICITATION NUMBER

3. EFFECTIVE DATE

4. REQUISITION/PURCHASE REQ. NUMBER

8. NAME AND ADDRESS OF CONTRACTOR

6. ISSUED BY

CODE

2. AMENDMENT/MODIFICATION NUMBER

7. ADMINISTERED BY

CODE

5. PROJECT NUMBER (if applicable)

CONTINUATION PAGE

B.2 Statement of work

4. Period of Performance

B.3 PRICE/COST SCHEDULE

ITEM INFORMATION

Base Year -Support renewal for 1 server license, Client license and 20 Mobile Wired FIPS

Option Year 1-Support renewal for 1 server license, Client license and 20 Mobile Wired FIPS

Option Year 2- Support renewal for 1 server license, 1 client license and 20 Mobile Wired FIPS

Option Year 3- Support renewal for 1 server license, 1 client license and 20 Mobile Wired FIPS

End of Document End of Document Page 1 of