36C25919Q0595-0001000.docx

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Radiation Safety Officer/Medical Physicist
Solicitation number
36C25919Q0595
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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 ADM

INISTRATIVE 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 d ate 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 3

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) 08-28-2019 None 36C259 Department of Veterans Affairs Network Contracting Office

NCO 19

6162 South Willow Drive, Suite 300 Greenwood Village CO 80111 36C259 Department of Veterans Affairs Network Contracting Office

NCO 19

6162 South Willow Drive, Suite 300 Greenwood Village CO 80111 To all Offerors/Bidders

36C25919Q0595 08-28-2019

X X X Offers due 9/12/2019 4pm MT The purpose of this amendment is to:

1) Clarify the correct offer due date is 9-12-2019 at 4pm MT.

2) Add the equipment list located on page 2.

CONTINUATION PAGE

ID
Field1
FREQUENCY
Local ID
x-ray tube
EE #
1
MP
A
Room1 Philips eleva
1
54082
2
MP
A
Room2 Chest Philips eleva
1
37015
3
MP
A
Room3 SIEMEMS Agile
2
40287
4
MP
A
Room4 eleva (GP)
1
44811
5
MP
A
Room5 Siemens 1D58
2
54089
6
MP
A
Room6 Philips Eleva 1D54
1
7
MP
A
Room7 1D48
1
8
MP
A
Angio1 WEST 1D44 4100 IQ
1
57204
9
MP
A
Angio2 EAST 1D42 4100
1
40402
11
MP
A
CT2 VCT
1
47321
21
MP
A
C-ARM1 HOLOGIC MINI
1
44596
22
MP
A
C-ARM2 B
1
37237
24
MP
A
BV-Carm-4 GI
1
48413
25
MP
A
Cardio EAST Philips Alura Clarity FD 20
1
40896
26
MP
A
Cardio WEST EP Philips Alura Clarity FD 10
1
40452
27
MP
A
C-ARM5 C GE E9 2069 8/12 Pain management
1
54674
28
MP
A
IDXA Lunar iDXA BMD
1
52875
30
MP
A
D-1A03
1
32
MP
A
D-1A10
1
44355
33
MP
A
D-1A11
1
34
MP
A
D-1A12
1
44357
35
MP
A
D-1A14
1
36
MP
A
D-1A16
1
37
MP
A
D-1A17
1
71086
38
MP
A
D-1A19
1
44353
39
MP
A
D-1A21
1
44356
40
MP
A
D-1A22
1
44410
41
MP
A
D-1A28
1
44360
42
MP
A
D-1A29
1
43
MP
A
D-1A30
1
44
MP
A
D-1A32
1
45
MP
A
D-1A34
1
46
MP
A
D-1A36
1
47
MP
A
D-1A38
1
48
MP
A
D-1A40
1
49
MP
A
D-1A44
1
50
MP
A
D-1A03-P
1
51
RSO
Q
PET DC
52
RSO
Q
NUC DC
59
MP
A
PET CT
1
56753
60
RSO
Q
Sealed Source Inventory
61
RSO
AX1.5
Sealed Source Ge-68
62
RSO
ON RELOCATION
CAPINTEC-R WELL COUNTER
63
RSO
Q
Quarterly Radiation Safety
65
RSO
A
Annual Review of Radiation Safety Program Report
66
RSO
A
Victroeen 450P #983 HOT LAB
67
RSO
A
Ludlum 14C Source # 267379 OUT FOR CAL
68
RSO
A
Ludlum Model 5 # 44290
70
RSO
A
BICRON MicroRem # B731Q
71
RSO
A
LUDLUM 2221 # 254766
73
RSO
SA
leak test on sealed sources
74
RSO
Q
NM Ventilation test
76
RSO
Q
dosimeters
134
MP
Q
Quarterly review of dossimeter report
77
RSO
Q
ceb quarterly
79
RSO
A
Release to atmosphere
80
RSO
A
Release to sewer
81
RSO
A
NHPP sealed source inventory
84
RSO
M
Nuclear Medicine Monthly
86
MP
A
CARM 6 GE EE 3048 11/12 D
1
63115
87
MP
A
CARM 7 GE 4/14 E
1
63186
93
MP
A
D-1A03-P_2
1
95
MP
A
CARM-8 GE 9900 F
1
96
MP
A
Philips mobile #1 14000087 EE70467
1
97
MP
A
Philips mobile #2 14000088
1
98
MP
A
Philips mobile #3 14000084 EE70475
1
99
MP
A
Philips mobile #4 14000086 EE70473
1
100
MP
A
HOLOGIC InSite mini
1
107
MP
A
SIEMENS CT
1
108
MP
A
SIEMENS MRI
109
MP
A
GE MRI
110
MP
A
Hawkeye ONE
1
111
MP
A
Hawkeye Three
1
113
MP
A
SIEMENS zeego
1
114
RSO
A
TBM-3S Wievel 7922
115
MP
M
MRI MONTHLY
116
RSO
A
LUDLUM 14C #321755 OUT FOR CALIBRATION
117
RSO
A
LUDLUM 14C #321719 PET
118
RSO
Q
Quarterly Radiation Safety Announcement
119
MP
A
Siemens SPECT/CT 9/2016
1
120
RSO
Q
Radiation Safety Committee Meeting agenda
121
MP
BA
Piranha
122
RSO
A
LUDLUM L-26 Pancake Frisker PF005794
128
MP
A
CT dose reduction committee
129
MP
A
MICRO CT
1
131
MP
A
Medtronics OARM
1
132
MP
A
Room8 eleva
1
133
MP
Q
Quarterly Radiation Committee Meeting
135
MP
Q
MRI safety committee
X-ray tubes
57

Test equipment required (MUST be calibrated- NIST tracible)

Light Meter ACR requirement for monitor measurements

Gauss Meter magnetic fields around MRIs

*Inspection due dates for all equipment will be provided to awardee prior to the contract start date.

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