S06 36C26025Q0798 0001.docx
DOCX document 44 KB Posted
- Attached to
- 6540--Eye Lane Equipment
- Solicitation number
- 36C26025Q0798
About this file
This document is an Amendment (Standard Form 30) for Solicitation 36C26025Q0798 for eye lane equipment for the Department of Veterans Affairs, specifically for the Boise VA Medical Center and Spokane Valley CBOC. The amendment updates line-item quantities and details the specific medical and ophthalmic equipment to be purchased, including items such as Lombart CS-6 Chairs, Marco TRS-6100 Automated Refraction Systems, Welch Allyn ophthalmoscopes, Volk lenses, trial lens sets, and various diagnostic instruments. The equipment is categorized into two main sections: one for Boise Caldwell CBOC (with 1 eye lane) and another for Spokane Valley CBOC, with detailed line items specifying quantities, manufacturer part numbers, and NAICS codes.
Delivery is specified as 90 days After Receipt of Order (ARO) for both locations, with shipments to be made to the Department of Veterans Affairs facilities in Boise, ID and Spokane, WA. The solicitation is issued by the 36C260 NCO 20 Network Contracting Office in Vancouver, WA, and covers a comprehensive set of ophthalmic equipment designed to fully equip new exam rooms in eye clinics, with an emphasis on ensuring equipment compatibility for proper functionality. The equipment falls under NAICS code 339112 for Surgical and Medical Instrument Manufacturing, with a product service code of 6540 for Ophthalmic Instruments, Equipment, and Supplies.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C26025Q0798 0003.docx | DOCX document | |
| S06 36C26025Q0798 0002.docx | DOCX document | |
| S02 RFQ 36C26025Q0798 Combined Eye Lane Equipment.docx | DOCX document |
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36C26025Q0798
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) 08-01-2025 531-25-3-9961-0132 668-25-4-1826-0045 36C260 NCO 20 Network Contracting Office
ATTN: V4CONT
1601 E. Fourth Plain Blvd Bldg.17, Suite B428 Vancouver WA 98661 36C260 NCO 20 Network Contracting Office
ATTN: V4CONT
1601 E. Fourth Plain Blvd Bldg.17, Suite B428 Vancouver WA 98661 To all Offerors/Bidders
36C26025Q0798 08-01-2025
X X X See CONTINUATION Page X The purpose of this amendment is to update line-item quantities to reflect additional quantities needed at the Boise VA Medical Center. Please note, the updated line items are BOLDED.
Tracy Heath Contracting Officer
CONTINUATION PAGE
A.1 PRICE/COST SCHEDULE
ITEM INFORMATION
| ITEM NUMBER |
| DESCRIPTION OF SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
0.00
| __________________ |
| __________________ |
Boise Caldwell CBOC
0001AA
| 1.00 |
| EA |
| __________________ |
| __________________ |
Lombart CS-6 Chair & stand combination PRINCIPAL NAICS CODE: 339112 - Surgical and Medical Instrument Manufacturing PRODUCT/SERVICE CODE: 6540 - Ophthalmic Instruments, Equipment, and Supplies
MANUFACTURER PART NUMBER (MPN): CS0LOCS6FG
0001AB
| 1.00 |
| EA |
| __________________ |
| __________________ |
Lombart CS-6 Chair upholstery only (provide color options)
MANUFACTURER PART NUMBER (MPN): CS0LOCS6UCH
0001AC
| 3.00 |
| EA |
| __________________ |
| __________________ |
MARCO TRS-6100 Automated Refraction System with Membox
MANUFACTURER PART NUMBER (MPN): RT-6100-M
0001AD
| 3.00 |
| EA |
| __________________ |
| __________________ |
SC-1600 LCD Acuity Chart System w/ Remote
MANUFACTURER PART NUMBER (MPN): 6060R
0001AE
| 3.00 |
| EA |
| __________________ |
| __________________ |
Marco LM-1800PD Automated Lensmeter
MANUFACTURER PART NUMBER (MPN): LM-1800PD
0001AF
| 3.00 |
| EA |
| __________________ |
| __________________ |
RB to CP Cable, 7 to 7, 50 ft
MANUFACTURER PART NUMBER (MPN): TRS-50-0707
0001AG
| 3.00 |
| EA |
| __________________ |
| __________________ |
RB to AR/LM Cable, 8 to 8, 50ft
MANUFACTURER PART NUMBER (MPN): TRS-50-0808
0001AH
| 1.00 |
| EA |
| __________________ |
| __________________ |
Front Surface Mirror Set - Limestone, 12 in x 12 in
MANUFACTURER PART NUMBER (MPN): CP1ZZMIRLFG
0001AI
| 1.00 |
| EA |
| __________________ |
| __________________ |
Welch Allyn 11720 3.5v Coaxial Ophthalmoscope with 04900-LED
MANUFACTURER PART NUMBER (MPN): HI0WA11720LED
0001AJ
| 1.00 |
| EA |
| __________________ |
| __________________ |
Welch Allyn 18245 Elite Streak Retinoscope
MANUFACTURER PART NUMBER (MPN): HI0WA18245HAL
0001AK
| 1.00 |
| EA |
| __________________ |
| __________________ |
Welch Allyn 41100 3.5v Halogen Finnoff Transilluminator
MANUFACTURER PART NUMBER (MPN): HI0WA41100HAL
0001AL
| 3.00 |
| EA |
| __________________ |
| __________________ |
Welch Allyn 71670 3.5v NiCad Well Handle
MANUFACTURER PART NUMBER (MPN): HI0WA71670NI
0001AM
| 1.00 |
| EA |
| __________________ |
| __________________ |
Volk 90D Small Aspheric Lens, - Clear (21.5mm), with Black Ring
MANUFACTURER PART NUMBER (MPN): IL0VO90SMC
0001AN
| 1.00 |
| EA |
| __________________ |
| __________________ |
Volk 78D Small Aspheric Lens, Clear (31mm), with Black Ring
MANUFACTURER PART NUMBER (MPN): IL0VO78SMC
0001AO
| 1.00 |
| EA |
| __________________ |
| __________________ |
Volk 20D Large Aspheric Lens, - Clear (50mm), with Black
MANUFACTURER PART NUMBER (MPN): IL0VO20LGC
0001AP
| 1.00 |
| EA |
| __________________ |
| __________________ |
Ishihara 14 Plate Book Test - Chart
MANUFACTURER PART NUMBER (MPN): CT0ZZISH14
0001AQ
| 1.00 |
| EA |
| __________________ |
| __________________ |
Reliance 942 Chair Glide
MANUFACTURER PART NUMBER (MPN): CS1RL942
0001AR
| 1.00 |
| EA |
| __________________ |
| __________________ |
Marco 43-6MS Full Diameter Trial Lens Set with Plus and Minus Cylinders, Tray and Case
MANUFACTURER PART NUMBER (MPN): TL0MA8408
0001AS
| 1.00 |
| EA |
| __________________ |
| __________________ |
Lombart Metal Trial Frame
MANUFACTURER PART NUMBER (MPN): TF0LOMTFFG
0001AT
| 1.00 |
| EA |
| __________________ |
| __________________ |
Horizontal Prism Bar
MANUFACTURER PART NUMBER (MPN): PR0ZZB15
0001AU
| 1.00 |
| EA |
| __________________ |
| __________________ |
Lorgnette / Dalaur Pinhole Occluder
MANUFACTURER PART NUMBER (MPN): OC0ZZPL
0001AV
| 1.00 |
| EA |
| __________________ |
| __________________ |
Jaegar Reading Card
MANUFACTURER PART NUMBER (MPN): TC0LOJAEGAR
0001AW
| 1.00 |
| EA |
| __________________ |
| __________________ |
Stereo Distance Randot Stereo - Test
MANUFACTURER PART NUMBER (MPN): RA0SODRANDOT
0001AX
| 1.00 |
| EA |
| __________________ |
| __________________ |
Exam Lane Installation Boise Caldwell CBOC (Qty 1 Eye Lane)
MANUFACTURER PART NUMBER (MPN): SVRAEINSTALLLANE
0001AY
| 1.00 |
| EA |
| __________________ |
| __________________ |
Installation Boise VA (Qty2 Refractors)
MANUFACTURER PART NUMBER (MPN): INSTALL
0.00
| __________________ |
| __________________ |
Spokane Valley CBOC
0002AA
| 2.00 |
| EA |
| __________________ |
| __________________ |
Reichert Tono-Pen AVIA Handheld Tonometer
MANUFACTURER PART NUMBER (MPN): TO0RE230650
0002AB
| 10.00 |
| EA |
| __________________ |
| __________________ |
Welch Allyn 71670 3.5v NiCad Well Handle
MANUFACTURER PART NUMBER (MPN): HI0WA71670NI
0002AC
| 2.00 |
| EA |
| __________________ |
| __________________ |
Welch Allyn 11720 3.5v Coaxial Ophthalmoscope with 04900-LED
MANUFACTURER PART NUMBER (MPN): HI0WA11720LED
0002AD
| 2.00 |
| EA |
| __________________ |
| __________________ |
Welch Allyn 18245 Elite Streak Retinoscope
MANUFACTURER PART NUMBER (MPN): HI0WA18245HAL
0002AE
| 2.00 |
| EA |
| __________________ |
| __________________ |
Welch Allyn 41100 3.5v Halogen Finnoff Transilluminator
MANUFACTURER PART NUMBER (MPN): HI0WA41100HAL
0002AF
| 3.00 |
| EA |
| __________________ |
| __________________ |
Full Diameter Trial Lens Set with Plus and Minus Cylinders, Tray and Case
MANUFACTURER PART NUMBER (MPN): TL0MA8408
0002AG
| 2.00 |
| EA |
| __________________ |
| __________________ |
Lombart Metal Trial Frame
MANUFACTURER PART NUMBER (MPN): TF0LOMTFFG
0002AH
| 8.00 |
| EA |
| __________________ |
| __________________ |
Marco Brightness Acuity Tester Head Only
MANUFACTURER PART NUMBER (MPN): BAT-2000
0002AI
| 3.00 |
| EA |
| __________________ |
| __________________ |
Marco LM-1800PD Automated Lensmeter
MANUFACTURER PART NUMBER (MPN): LM0NKLM1800PD
0002AJ
| 1.00 |
| EA |
| __________________ |
| __________________ |
OPD-Scan III Wavefront Aberrometer/Corneal Analyzer W10, For Connecting To EMR
MANUFACTURER PART NUMBER (MPN): AR0NKOPDIIIW10INC
0002AK
| 1.00 |
| EA |
| __________________ |
| __________________ |
Topcon AIT-250W Wheelchair Accessible Table
MANUFACTURER PART NUMBER (MPN): TA0TOAIT250W
0002AL
| 1.00 |
| EA |
| __________________ |
| __________________ |
IC Card Reader/Writer EPIC, RT21, RT9, AR, ARK, LM
MANUFACTURER PART NUMBER (MPN): AR1NKICCARD00RW
0002AM
| 2.00 |
| EA |
| __________________ |
| __________________ |
IC Card Kit, 5 per kit AR, ARK, LM, EPIC, RT
MANUFACTURER PART NUMBER (MPN): EYECARE-CARD
0002AN
| 2.00 |
| EA |
| __________________ |
| __________________ |
Marco LM-101 Manual Lensmeter
MANUFACTURER PART NUMBER (MPN): LM0MA101
0002AO
| 2.00 |
| EA |
| __________________ |
| __________________ |
Marco TRS-6100 Automated Refraction System with Membox
MANUFACTURER PART NUMBER (MPN): RT-6100-M
0002AP
| 2.00 |
| EA |
| __________________ |
| __________________ |
RT-6100 Stand
MANUFACTURER PART NUMBER (MPN): RE9NKRT6100STAND
0002AQ
| 4.00 |
| EA |
| __________________ |
| __________________ |
RT-5100/6100 Stand Casters
MANUFACTURER PART NUMBER (MPN): RT-CASTER
0002AR
| 8.00 |
| EA |
| __________________ |
| __________________ |
RT-5100/6100 Stand Casters
MANUFACTURER PART NUMBER (MPN): RT-CASTER
0002AS
| 3.00 |
| EA |
| __________________ |
| __________________ |
6060R Pkg Incl: SC-1600 LCD Acuity Chart System w/Remote
MANUFACTURER PART NUMBER (MPN): 6060R
0002AT
| 1.00 |
| EA |
| __________________ |
| __________________ |
Cable, Communication (Pigtail) pin 9 to 8 - for RT/EPIC Comm or EMR
MANUFACTURER PART NUMBER (MPN): OPD-EA01
0002AU
| 2.00 |
| EA |
| __________________ |
| __________________ |
Reliance 940 Chair Glide System
MANUFACTURER PART NUMBER (MPN): CS1RL940
0002AV
| 1.00 |
| EA |
| __________________ |
| __________________ |
Exam Lane Installation & training if equal to items at Spokane Valley CBOC
MANUFACTURER PART NUMBER (MPN): None
| GRAND TOTAL |
| __________________ |
A.2 DELIVERY SCHEDULE
| ITEM NUMBER |
| SHIPPING INFORMATION |
| QUANTITY |
| DELIVERY DATE |
| 0001AA– 0001AY |
| SHIP TO: |
| Department of Veterans Affairs |
Boise VA Medical Center 500 W. Fort St.
Boise, ID 83702
USA
| See Above |
| 90 Days ARO |
| 0002AA-0002AV |
| SHIP TO: |
| Department of Veterans Affairs |
4815 N. Assembly St.
Bldg. 14 Spokane, WA 99205
USA
| See Above |
| 90 Days ARO |
“System updates may lag policy updates. The System for Award Management (SAM) may continue to require entities to complete representations based on provisions that are not included in agency solicitations. Examples include 52.222-25, Affirmative Action Compliance, and paragraph (d) of 52.212-3, Offeror Representations and Certifications—Commercial Products and Commercial Services. Contracting officers will not consider these representations when making award decisions or enforce requirements. Entities are not required to, nor are they able to, update their entity registration to remove these representations in SAM.”
Eye Lane Equipment
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