36C26118Q9179-0001000.docx
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- 36C26118Q9179
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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 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)
VA261-18-AP-8683
640-18-3-522-0010 Department of Veterans Affairs VA Sierra Pacific Network (VISN 21) VA Palo Alto Health Care System (90/NCA) 3801 Miranda Ave Palo Alto CA 94304-1207 Department of Veterans Affairs VA Sierra Pacific Network (VISN 21) VA Palo Alto Health Care System (90/NCA) 3801 Miranda Ave Palo Alto CA 94304-1207 To all Offerors/Bidders
36C26118Q9179 07-11-2018
X X X See CONTINUATION Page X THE PURPOSE OF THIS AMENDMENT IS TO MAKE THE FOLLOWING CHANGES AND/OR CLARIFICATIONS TO THE SOLICITATION:
1. CONTRACT LINE
ITEM NUMBER (CLIN) 0014 HAS BEEN CORRECTED. SEE ATTACHED REVISED CLIN.
2. SOLICITATION DUE DATE REMAINS JULY 13, 2018 AT 12:00 PM PST
3. ALL OTHER TERMS AND OCNDITIONS REMAIN UNCHANGED AND IN EFFECT.
MANDY THOMPSON
CONTRACTING OFFICER
CONTINUATION PAGE
A.1 PRICE/COST SCHEDULE
ITEM INFORMATION
| ITEM NUMBER |
| DESCRIPTION OF SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
| 98.00 |
| EA |
| __________________ |
| __________________ |
Sealsafe Plus Rack, DGM80, complete with the following components: 98 pcs Sealsafe Plus DGM Rack, single sided, sized for 80 cages (DGM80) includes: 7840 pcs Polysulfone Cage Body with autowatering grommet (GM500SUED); 7840 pcs Stainless Steel Wire Half Lid with integrated food hopper (GM500LID); 7840 pcs Polysulfone Sealsafe Plus Top with depression for use with Hydopac (large) (flat and bottle top styles available at same price), .2 micron Microbiological Filter and Filter Retainer(GM500TOPHYSULG); 7840 pcs Green Plastic Universal card holder (ACPCP24GM)
LOCAL STOCK NUMBER: DGM80
| 196.00 |
| EA |
| __________________ |
| __________________ |
Flexible Hose with 2 Silicone Sleeves - 0.5 meter (dia 76-76 mm) (ACSCVF70M05GM)
LOCAL STOCK NUMBER: ACSCVF70M05GM
| 98.00 |
| EA |
| __________________ |
| __________________ |
Auto Watering manifold (UQTN001) Edstom Autowatering Quick Disconnect Manifold for DGM80 racks
LOCAL STOCK NUMBER: UQTN001
| 6.00 |
| EA |
| __________________ |
| __________________ |
Sealsafe Plus Rack, DGM70, complete with the following components: 6 pcs Sealsafe Plus DGM Rack, single sided, sized for 70 cages (DGM70) includes: 420 pcs Polysulfone Cage Body with autowatering grommet (GM500SUED); 420 pcs Stainless Steel Wire Half Lid with integrated food hopper (GM500LID); 420 Polysulfone Sealsafe Plus Top with depression for use with Hydopac (large) (other top styles available at same price), .2 micron Microbiological Filter and Filter Retainer (GM500TOPHYSULG); 7840 pcs Green Plastic Universal card holder(ACPCP24GM)
LOCAL STOCK NUMBER: DGM70
| 6.00 |
| EA |
| __________________ |
| __________________ |
Auto Watering manifold (UQTN001) Edstrom Autowatering Quick Disconnect Manifold for DGM70 racks
| 12.00 |
| EA |
| __________________ |
| __________________ |
"Sealsafe Plus Rack, 2GR28, complete with the following components: 12 pcs Sealafe Plus Rat Rack, sized for 28 cages, single sided (2GR28) includes: 336 pcs Polysulfone Cage Body with autowatering grommet (GR900SUED); 336 pcs Stainless Steel Wire Lid (GR900LID); 336 pcs Polysulfone Sealsafe Plus Top withTwo Bottle Depressions, Microbiological Filter and Filter Retainer (GR900TOPSEALSU); (other top styles available at same price); 672 pcs Polysulfone Water Bottle withSilicone Ring (340 ml) (ACBT0312SU); 672 pcs Stainless Steel Bottle Cap with Green Seal (ACCP3421GM); 336 pcs Green Plastic Universal card holder (ACPCP24GM)"
LOCAL STOCK NUMBER: 2GR28
| 12.00 |
| EA |
| __________________ |
| __________________ |
Auto Watering manifold (UQTN001) Edstrom Autowatering Quick DisconnectManifold for 2GR28 racks
| 42.00 |
| EA |
| __________________ |
| __________________ |
SKY110 - Sky Flow Wall Mounted Air Handling Units, with Sky Flow Control. Sky Flow to be controlled through ONE 2 ONE. Includes power suppy cable (PSCABLE30110). GATEWAYSKYEVO - Gateway Linux-based Machine SA-62 , for the wireless web-based ONE 2 ONE control via portable device. Inclues power suppy cabel (PSCABLE30110)
LOCAL STOCK NUMBER: SKY110
| 116.00 |
| EA |
| __________________ |
| __________________ |
Unit filtration on board for DGM single sided rack (DGMSPFBOX)
LOCAL STOCK NUMBER: DGMSPFBOX
| 6.00 |
| EA |
| __________________ |
| __________________ |
Fish Racks - ZB Active Blue SA 115V/60Hz 6LEV 10COL LHS Complete Rack (ZB3060SAABSX4)
LOCAL STOCK NUMBER: ZB3060SAABSX4
| 240.00 |
| EA |
| __________________ |
| __________________ |
"Complete 3.5 L tanks:
? 240 pcs Zebrafish tank body - 3.5 liter (ZB30TK) ? 240 pcs Zebrafish lid for 3.5 liter tank (ZB30LD) ? 240 pcs Baffle for adult fish (ZBUNBF) ? 240 pcs Zebtech Siphon Hole 2 mm Complete (ZBUNSPPL) ? 240 pcs Blue silicone spring (ZBUNSR)"
LOCAL STOCK NUMBER: N/A
| 50.00 |
| EA |
| __________________ |
| __________________ |
Baffle with fine net - 300 micron - Zebrafish tank (ZB300BF)
LOCAL STOCK NUMBER: ZB300BF
| 50.00 |
| EA |
| __________________ |
| __________________ |
Baffle with fine net - 800 micron - Zebrafish tank (ZB800BF)
LOCAL STOCK NUMBER: ZB800BF
| 3.00 |
| EA |
| __________________ |
| __________________ |
Yellow net, 100 micron mesh, 3,5 liter tank - (10 per pack) (ZB30NET100Y)
LOCAL STOCK NUMBER: ZB30NET100Y
| 2.00 |
| EA |
| __________________ |
| __________________ |
Blue net, 100 micron mesh, 8 liter tank - (5 per pack) (ZB80NET100B)
LOCAL STOCK NUMBER: ZB80NET100B
| 60.00 |
| EA |
| __________________ |
| __________________ |
"Complete 8.0 liter Tanks:
? 60 pcs Zebrafish tank body - 8.0 liter (ZB80TK) ? 60 pcs Zebrafish lid for 8.0 liter tank (ZB80LD) ? 120 pcs Baffle for adult fish (ZBUNBF) ? 120 pcs Zebtech Siphon Hole 2 mm Complete (ZBUNSPPL) ? 120 pcs Blue silicone spring (ZBUNSR)"
LOCAL STOCK NUMBER: N/A
| 120.00 |
| EA |
| __________________ |
| __________________ |
Blue silicone spring (ZBUNSR)
LOCAL STOCK NUMBER: ZBUNSR
| 120.00 |
| EA |
| __________________ |
| __________________ |
ZEBTECH SIPHON HOLE 2 mm COMPLETE (ZBUNSPPL)
LOCAL STOCK NUMBER: ZBUNSPPL
| 20.00 |
| EA |
| __________________ |
| __________________ |
External breeding tank - solid bottom (PC) (ZB10BTE)
LOCAL STOCK NUMBER: ZB10BTE
| 1.00 |
| EA |
| __________________ |
| __________________ |
Oversight of installation LOCAL STOCK NUMBER: n/a
| 1.00 |
| EA |
| __________________ |
| __________________ |
Handling and packaging LOCAL STOCK NUMBER: n/a
| GRAND TOTAL |
| __________________ |
A.2 DELIVERY SCHEDULE
| ITEM NUMBER |
| QUANTITY |
| DELIVERY DATE |
| 0001-0021 |
| SHIP TO: |
| Department of Veterans Affairs |
VA Palo Alto Health Care System 3801 Miranda Ave., Building 710 Palo Alto, CA 94304
USA
| 98.00 |
| 12/01/2018 |
| MARK FOR: |
| Dina Cheyette |
650-493-5000 x62453 dina.cheyette@va.gov
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