36C25722Q0265 001.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) 4/2 /2022 36C257 Department of Veterans Affairs NCO 17 North Texas Healthcare System Regional Procurement Office West (RPO-W) 124 E. Hwy 67, Suite 100 Duncanville TX 75137 36C257

NCO 17

Department of Veterans Affairs North Texas Veterans Health Care Center 124 E. Hwy 67, Suite 100 Duncanville TX 75137

36C25722Q0 02-04-2022

X X X /2022 X The purpose of this amendment is to update the solicitation and to extend the response due date as indicated below.

Section B.3 Delivery Schedule is updated to reflect the required delivery timeframe. See continuation page.

-The solicitation is hereby reopened and extended until May 2 , 2022, and will close at :00PM Central Time.

All other terms and conditions remain unchanged.

Danise Burt Contracting Officer

CONTINUATION PAGE

A.1 PRICE/COST SCHEDULE

ITEM INFORMATION

S2601 Surgery Table, 4 Motor, Mobile Base, Art HR, Putty

LOCAL STOCK NUMBER: 100-2652

Upholstery: Surgical Table, S2601, UL Pro, Mem Foam

LOCAL STOCK NUMBER: 69-2601MF

Headrest: LL-62 Lever Lock, Prosthetic, Forearm, UL Pro, Std Foam, Putty

LOCAL STOCK NUMBER: 67-1562UL

Arm Board: IV-123 Multi Position, Rail Mount, UL Pro, Std Foam, Putty

LOCAL STOCK NUMBER: 68-6271UL

Installation Charge: Dental Office Equipment

LOCAL STOCK NUMBER: 800-0101

A.2 DELIVERY SCHEDULE

SHIP TO: Veterans Healthcare Northwest Health care OPC 9939 State HWY 151 San Antonio, TX 78251

ATTN: Mark Goldstein

SHIP TO: Veterans Healthcare Northwest Health care OPC 9939 State HWY 151 San Antonio, TX 78251

ATTN: Mark Goldstein

SHIP TO: Veterans Healthcare Northwest Health care OPC 9939 State HWY 151 San Antonio, TX 78251

ATTN: Mark Goldstein

SHIP TO: Veterans Healthcare Northwest Health care OPC 9939 State HWY 151 San Antonio, TX 78251

ATTN: Mark Goldstein

SHIP TO: Veterans Healthcare Northwest Health care OPC 9939 State HWY 151 San Antonio, TX 78251

ATTN: Mark Goldstein

End of Document