36C26018Q0265-A00006000.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 ITE M 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 r eference 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

BY

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) A00006 09-20-2018

NONE

36C260 Department of Veterans Affairs Network Contracting Office 20 5115 NE 82nd Ave, Suite 102 Vancouver WA 98662 36C260 Department of Veterans Affairs Network Contracting Office 20 5115 NE 82nd Ave, Suite 102 Vancouver WA 98662 To all Offerors/Bidders

36C26018Q0265 09-06-2018

X X X ** HOUR & DATE for Receipt of Offers is EXTENDED to:

The purpose of this Amendment is to answer vendor questions and revise Attachment A - Revised WSNC Facilities and Pricing Schedule.

See continuation page and Attachment A.

Erik K. Berg Contracting Officer

NCO2015L3-0041

Continuation page

Pricing schedule answers:

Under VISN 17

1. For Dallas VA: The Calibration Gas, Balanced Nitrogen, 10PPM Ethylon Oxide should read “10PPM Nitric Oxide Balance, Nitrogen EPA Protocol Gas Mixture”, Size 17 Liters

2. For Dallas VA: The Carbon Dioxide Dip Tube tank line item can be deleted.

Under VISN 20

3. For Portland VA: The 0.3% Carbon Dioxide, 10% Helium, 21% Oxygen Balance Nitrogen should read “0.3% Carbon Monoxide, 10% Helium, 21% Oxygen, Balance Nitrogen.” The tank size can be K.

4. For Puget Sound VA: The Medical Gas Mixture for Pulmonary Function should read

a. Lung Diffusion: 3% Carbon Monoxide, 3% Methane, 21% Oxygen, Balance Nitrogen

b. Lung Diffusions Gas Certified 0.3% Carbon Monoxide, 0.5% Neon, 21% Oxygen, Balance Nitrogen

Under VISN 21

5. For VA Sierra Nevada (Reno): The first line item “H” shall be deleted.

6. For VA Central California (Fresno): The Liquid Nitrogen Medical Grade size is 10Liter Dewars. This can be priced per Liter. If pricing by Dewar, please notate on your proposal.

Under VISN 22

7. For Loma Linda: The 4.92% Oxygen, 0.22% Carbon Dioxide, balance Nitrogen (campy Gas Packs) should read “5% Carbon Dioxide, 1% Oxygen, balance Nitrogen”.

8. For Loma Linda: The Lung Diffusion mix should read 0.3% Carbon Monoxide, 0.3% Methane, 21% Oxygen, balance Nitrogen. The cylinder material should be the industry standard, if steel is not the appropriate vessel.

9. For Phoenix VA: The Calibration Gas Mixture line item shall be deleted.

10. For Phoenix VA: The Blood Gas Mixture should read “CO2/ O2/ N2 Medical Gas (5% carbon dioxide, 21% oxygen balance nitrogen size 200 clinical blood gas CGA 500)”

11. For Prescott VA: The Helium Medical Grade should read “4.8 Grade Helium, Size 200 Cylinder.”

12. For Prescott VA: The Arong/CO2 mixture should read “25% Carbon Dioxide Balance Argon Industrial Shielding Gas Mixture, Size 80 Cylinder.”

13. For Prescott VA: The NI/OX mixture should read “Medical Gas Mixture Nitrogen 50% and Oxygen 50%.”

14. For Tucson VA: The 100% Carbon Dioxide line item shall be deleted.

See attached document: Attachment A - Revised WSNC Facilities and Pricing Schedule.