The file's text, extracted by GovTribe without its formatting.
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 |
| 8 |
| MP |
| A |
| Angio1 WEST 1D44 4100 IQ |
| 1 |
| 57204 |
| 9 |
| MP |
| A |
| Angio2 EAST 1D42 4100 |
| 1 |
| 40402 |
| 21 |
| MP |
| A |
| C-ARM1 HOLOGIC MINI |
| 1 |
| 44596 |
| 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 |
| 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 |
| 134 |
| MP |
| Q |
| Quarterly review of dossimeter report |
| 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 |
| 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 |
| 114 |
| RSO |
| A |
| TBM-3S Wievel 7922 |
| 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 |
| 122 |
| RSO |
| A |
| LUDLUM L-26 Pancake Frisker PF005794 |
| 128 |
| MP |
| A |
| CT dose reduction committee |
| 131 |
| MP |
| A |
| Medtronics OARM |
| 1 |
| 133 |
| MP |
| Q |
| Quarterly Radiation Committee Meeting |
| 135 |
| MP |
| Q |
| MRI safety committee |
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.