36C25724Q0575 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 11

549-24-2-083-0121

36C671

Department Of Veterans Affairs Network Contracting Office 17

5441 Babcock Road Ste. 302 San Antonio TX 78240

36C671

Department Of Veterans Affairs Network Contracting Office 17

5441 Babcock Road Ste. 302 San Antonio TX 78240

To all Offerors/Bidders

36C25724Q0575

03-26-2024

X

See CONTINUATION Page x 1

The purpose of this amendment is to extend solicitation until May 2, 2024 at 11:00am CST.

All quotes must be submitted by this date and time.

Tammy Wilson Contracting Officer

CONTINUATION PAGE

A.1 PRICE/COST SCHEDULE

ITEM INFORMATION

ITEM

NUMBE

R

DESCRIPTION OF

SUPPLIES/SERVIC

ES

QUANTIT

Y

UNI

T UNIT PRICE AMOUNT

1.00 EA ________________

STENT PRB35-05-040-080 PROTEGE EF

PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

MANUFACTURER PART NUMBER (MPN): PRB35-05-040-

LOCAL STOCK NUMBER: PRB35-05-040-080

STENT BIL 5MM .079IN 120MM 120CM OTW

PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

MANUFACTURER PART NUMBER (MPN): PRB35-05-120-

LOCAL STOCK NUMBER: PRB35-05-120-120

STENT BIL 9MM .079IN 40MM 120CM OTW

PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

MANUFACTURER PART NUMBER (MPN): SERB65-09-40-

LOCAL STOCK NUMBER: SERB65-09-40-120

STENT BIL 10MM .079IN 20MM 120CM LG DIA

PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

MANUFACTURER PART NUMBER (MPN): SERB65-10-20-

LOCAL STOCK NUMBER: SERB65-10-20-120

SYSTEM BILIARY STENT METAL SELF-EXPANDING

PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

MANUFACTURER PART NUMBER (MPN): SERB65-10-80-

LOCAL STOCK NUMBER: SERB65-10-80-120

STENT BIL 12MM .079IN 40MM 120CM OTW

PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

MANUFACTURER PART NUMBER (MPN): SERB65-12-40-

LOCAL STOCK NUMBER: SERB65-12-40-120

SYSTEM BILIARY STENT METAL SELF-EXPANDING

PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

MANUFACTURER PART NUMBER (MPN): SERB65-12-80-

LOCAL STOCK NUMBER: SERB65-12-80-120

STENT BIL 5MM 17MM 80CM RADOPQ BLN XPD

PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing

PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

MANUFACTURER PART NUMBER (MPN): PXB35-05-17-080

LOCAL STOCK NUMBER: PXB35-05-17-080

VISI-PRO

PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

MANUFACTURER PART NUMBER (MPN): PXB35-06-57-080

LOCAL STOCK NUMBER: PXB35-06-57-080

VISI-PRO

PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

MANUFACTURER PART NUMBER (MPN): PXB35-09-17-080

LOCAL STOCK NUMBER: PXB35-09-17-080

STENT EVERFLEX 6X40 C1877

PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing PRODUCT/SERVICE CODE: 6515 - Medical and Surgical

LOCAL STOCK NUMBER: EVD35-06-040-150

STENT VASC 6MM 60MM 150CM SLF XPD 1 HND

PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

MANUFACTURER PART NUMBER (MPN): EVD35-06-060-

LOCAL STOCK NUMBER: EVD35-06-060-150

1.00 EA ________________ ________________

STENT,EVERFLEX,6X80X150

PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing PRODUCT/SERVICE CODE: 6515 - Medical and Surgical

LOCAL STOCK NUMBER: EVD35-06-080-150

STENT,EVERFLEX,6XX150

PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing PRODUCT/SERVICE CODE: 6515 - Medical and Surgical

LOCAL STOCK NUMBER: EVD35-06-100-150

STENT,EVERFLEX 7X40MM C1877

PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing PRODUCT/SERVICE CODE: 6515 - Medical and Surgical

LOCAL STOCK NUMBER: EVD35-07-040-150

2.00 EA ________________

STENT,PERIPHERAL,EVERFLEX,7MM X 60MM,150CM

PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing PRODUCT/SERVICE CODE: 6515 - Medical and Surgical

LOCAL STOCK NUMBER: EVD35-07-060-150

STENT,COMPLETE,VASC,7X80MM C1877

PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

MANUFACTURER PART NUMBER (MPN): EVD35-07-080-

LOCAL STOCK NUMBER: EVD35-07-080-150

STENT VASC 8MM 40MM 150CM SLF XPD 1 HND

PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

MANUFACTURER PART NUMBER (MPN): EVD35-08-040-

LOCAL STOCK NUMBER: EVD35-08-040-150

GRAND TOTAL ________________

A.2 DELIVERY SCHEDULE

ITEM

NUMBER SHIPPING INFORMATION QUANTITY

DELIVERY

DATE

0001 SHIP TO: DEPARTMENT OF

VETERANS AFFAIRS

VA North Texas Health Care System 4500 S. Lancaster Rd. Bldg.

Dallas, TX 75216

USA

1.00

MARK FOR: Cynthia Ramos 214-857-4311 Cynthia.Ramos1@va.gov

0002 SHIP TO: DEPARTMENT OF

VETERANS AFFAIRS

VA North Texas Health Care System 4500 S. Lancaster Rd. Bldg.

0003 SHIP TO: DEPARTMENT OF

VA North Texas Health Care System 4500 S. Lancaster Rd. Bldg.

0004 SHIP TO: DEPARTMENT OF

VA North Texas Health Care System 4500 S. Lancaster Rd. Bldg.

0005 SHIP TO: DEPARTMENT OF

VA North Texas Health Care System 4500 S. Lancaster Rd. Bldg.

0006 SHIP TO: DEPARTMENT OF

VA North Texas Health Care System 4500 S. Lancaster Rd. Bldg.

0007 SHIP TO: DEPARTMENT OF

VA North Texas Health Care System 4500 S. Lancaster Rd. Bldg.

0008 SHIP TO: DEPARTMENT OF

VA North Texas Health Care System 4500 S. Lancaster Rd. Bldg.

0009 SHIP TO: DEPARTMENT OF

VA North Texas Health Care System 4500 S. Lancaster Rd. Bldg.

0010 SHIP TO: DEPARTMENT OF

VA North Texas Health Care System 4500 S. Lancaster Rd. Bldg.

0011 SHIP TO: DEPARTMENT OF

VETERANS AFFAIRS

VA North Texas Health Care System 4500 S. Lancaster Rd. Bldg.

0012 SHIP TO: DEPARTMENT OF

VA North Texas Health Care System 4500 S. Lancaster Rd. Bldg.

0013 SHIP TO: DEPARTMENT OF

VA North Texas Health Care System 4500 S. Lancaster Rd. Bldg.

0014 SHIP TO: DEPARTMENT OF

VA North Texas Health Care System 4500 S. Lancaster Rd. Bldg.

0015 SHIP TO: DEPARTMENT OF

VA North Texas Health Care System 4500 S. Lancaster Rd. Bldg.

0016 SHIP TO: DEPARTMENT OF

VA North Texas Health Care System 4500 S. Lancaster Rd. Bldg.

2.00

0017 SHIP TO: DEPARTMENT OF

VA North Texas Health Care System 4500 S. Lancaster Rd. Bldg.

0018 SHIP TO: DEPARTMENT OF

VA North Texas Health Care System 4500 S. Lancaster Rd. Bldg.

Dallas, TX 75216

A.2 DELIVERY SCHEDULE