36C26122Q0136 0001.docx
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- Solicitation number
- 36C26122Q0136
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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 NUMBERE
D 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 amendmen t, 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)
36C261-21-AP-6195
640-22-1-040-0007
612MCP
Department of Veterans Affairs Network Contracting Office 21 VA Northern California HealthCare System 5342 Dudley Blvd, Bldg 209 McClellan CA 95652-2609
612MCP
Department of Veterans Affairs Network Contracting Office 21 VA Northern California HealthCare System 3230 Peacekeeper Way, Bldg. 209 McClellan CA 95652-1012 To all Offerors/Bidders
36C26122Q0136 02-23-2022
X x x ** HOUR & DATE for Receipt of Offers is EXTENDED to: Friday February 25 2022 at 5:00 p.m. PST See CONTINUATION Page x
1. The purpose of this amendment is to make the following changes and/or clarifications to the solicitation.
2. NAICS Code changed from 541519 - Other Computer Related Services to now be 511210 - Software Publishers.
3. Add contract line-items 0002, 1001, 1002, 2001, 2002, 3001, 3002, 4001, and 4002. Pleas e see Price/Cost Schedule for details.
4. The solicitation is extended to Friday February 25 2022 at 5:00 p.m. PST.
5. All other terms and conditions shall remain the same.
Mandy Thompson Contract Officer
CONTINUATION PAGE
A.1 PRICE/COST SCHEDULE
ITEM INFORMATION
| ITEM NUMBER |
| DESCRIPTION OF SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
| 1.00 |
| EA |
| __________________ |
| __________________ |
AvaNET Support Agreement Renewal: Support renewal for 1 server license, 1 client license and 10 ceiling devices.
Contract Period: Base POP Begin: 03-01-2022 POP End: 02-28-2023 PRINCIPAL NAICS CODE: 511210 - Software Publishers PRODUCT/SERVICE CODE: 7A21 - IT and Telecom - Business Application Software (Perpetual License Software)
SIC CODE: 7379 - COMPUTER RELATED SERVICES, NEC
MANUFACTURER PART NUMBER (MPN): AVA-SERV-0120
| 1.00 |
| EA |
| __________________ |
| __________________ |
ORNA Subscription Renewal - ORNA Online Reporting of Nursing Analytics Subscription Contract Period: Base POP Begin: 03-01-2022 POP End: 02-28-2023 PRINCIPAL NAICS CODE: 511210 - Software Publishers PRODUCT/SERVICE CODE: 7A21 - IT and Telecom - Business Application Software (Perpetual License Software)
MANUFACTURER PART NUMBER (MPN): AVA-E-SUPP1
| 1.00 |
| EA |
| __________________ |
| __________________ |
AvaNET Support Agreement Renewal: Support renewal for 1 server license, 1 client license and 10 ceiling devices.
Contract Period: Option 1 POP Begin: 03-01-2023 POP End: 02-28-2024 PRINCIPAL NAICS CODE: 511210 - Software Publishers PRODUCT/SERVICE CODE: 7A21 - IT and Telecom - Business Application Software (Perpetual License Software)
| 1.00 |
| EA |
| __________________ |
| __________________ |
ORNA Subscription Renewal - ORNA Online Reporting of Nursing Analytics Subscription Contract Period: Option 1 POP Begin: 03-01-2023 POP End: 02-28-2024 PRINCIPAL NAICS CODE: 511210 - Software Publishers PRODUCT/SERVICE CODE: 7A21 - IT and Telecom - Business Application Software (Perpetual License Software)
| 1.00 |
| EA |
| __________________ |
| __________________ |
AvaNET Support Agreement Renewal: Support renewal for 1 server license, 1 client license and 10 ceiling devices.
Contract Period: Option 2 POP Begin: 03-01-2024 POP End: 02-28-2025 PRINCIPAL NAICS CODE: 511210 - Software Publishers PRODUCT/SERVICE CODE: 7A21 - IT and Telecom - Business Application Software (Perpetual License Software)
| 1.00 |
| EA |
| __________________ |
| __________________ |
ORNA Subscription Renewal - ORNA Online Reporting of Nursing Analytics Subscription Contract Period: Option 2 POP Begin: 03-01-2024 POP End: 02-28-2025 PRINCIPAL NAICS CODE: 511210 - Software Publishers PRODUCT/SERVICE CODE: 7A21 - IT and Telecom - Business Application Software (Perpetual License Software)
| 1.00 |
| EA |
| __________________ |
| __________________ |
AvaNET Support Agreement Renewal: Support renewal for 1 server license, 1 client license and 10 ceiling devices.
Contract Period: Option 3 POP Begin: 03-01-2025 POP End: 02-28-2026 PRINCIPAL NAICS CODE: 511210 - Software Publishers PRODUCT/SERVICE CODE: 7A21 - IT and Telecom - Business Application Software (Perpetual License Software)
| 1.00 |
| EA |
| __________________ |
| __________________ |
ORNA Subscription Renewal - ORNA Online Reporting of Nursing Analytics Subscription Contract Period: Option 3 POP Begin: 03-01-2025 POP End: 02-28-2026 PRINCIPAL NAICS CODE: 511210 - Software Publishers PRODUCT/SERVICE CODE: 7A21 - IT and Telecom - Business Application Software (Perpetual License Software)
| 1.00 |
| EA |
| __________________ |
| __________________ |
AvaNET Support Agreement Renewal: Support renewal for 1 server license, 1 client license and 10 ceiling devices.
Contract Period: Option 4 POP Begin: 03-01-2026 POP End: 02-28-2027 PRINCIPAL NAICS CODE: 511210 - Software Publishers PRODUCT/SERVICE CODE: 7A21 - IT and Telecom - Business Application Software (Perpetual License Software)
| 1.00 |
| EA |
| __________________ |
| __________________ |
ORNA Subscription Renewal - ORNA Online Reporting of Nursing Analytics Subscription Contract Period: Option 4 POP Begin: 03-01-2026 POP End: 02-28-2027 PRINCIPAL NAICS CODE: 511210 - Software Publishers PRODUCT/SERVICE CODE: 7A21 - IT and Telecom - Business Application Software (Perpetual License Software)
| GRAND TOTAL |
| __________________ |
A.2 DELIVERY SCHEDULE
| ITEM NUMBER |
| QUANTITY |
| DELIVERY DATE |
| 0001 |
| SHIP TO: |
| VA Palo Alto Healthcare System |
3801 Miranda Ave Palo Alto, CA 94304
USA
| 1.00 |
| 02-28-2023 |
| MARK FOR: |
| Kristina (Kris) C. Kleyer |
6504935000x61839 kristina.kleyer@va.gov
| 0002 |
| SHIP TO: |
| VA Palo Alto Healthcare System |
3801 Miranda Ave Palo Alto, CA 94305
USA
| 1.00 |
| 02-28-2023 |
| MARK FOR: |
| Kristina (Kris) C. Kleyer |
| 1001 |
| SHIP TO: |
| VA Palo Alto Healthcare System |
3801 Miranda Ave Palo Alto, CA 94306
USA
| 1.00 |
| 02-28-2024 |
| MARK FOR: |
| Kristina (Kris) C. Kleyer |
| 1002 |
| SHIP TO: |
| VA Palo Alto Healthcare System |
3801 Miranda Ave Palo Alto, CA 94307
USA
| 1.00 |
| 02-28-2024 |
| MARK FOR: |
| Kristina (Kris) C. Kleyer |
| 2001 |
| SHIP TO: |
| VA Palo Alto Healthcare System |
3801 Miranda Ave Palo Alto, CA 94308
USA
| 1.00 |
| 02-28-2025 |
| MARK FOR: |
| Kristina (Kris) C. Kleyer |
| 2002 |
| SHIP TO: |
| VA Palo Alto Healthcare System |
3801 Miranda Ave Palo Alto, CA 94309
USA
| 1.00 |
| 02-28-2025 |
| MARK FOR: |
| Kristina (Kris) C. Kleyer |
| 3001 |
| SHIP TO: |
| VA Palo Alto Healthcare System |
3801 Miranda Ave Palo Alto, CA 94310
USA
| 1.00 |
| 02-28-2026 |
| MARK FOR: |
| Kristina (Kris) C. Kleyer |
| 3002 |
| SHIP TO: |
| VA Palo Alto Healthcare System |
3801 Miranda Ave Palo Alto, CA 94311
USA
| 1.00 |
| 02-28-2026 |
| MARK FOR: |
| Kristina (Kris) C. Kleyer |
| 4001 |
| SHIP TO: |
| VA Palo Alto Healthcare System |
3801 Miranda Ave Palo Alto, CA 94312
USA
| 1.00 |
| 02-28-2027 |
| MARK FOR: |
| Kristina (Kris) C. Kleyer |
| 4002 |
| SHIP TO: |
| VA Palo Alto Healthcare System |
3801 Miranda Ave Palo Alto, CA 94313
USA
| 1.00 |
| 02-28-2027 |
| MARK FOR: |
| Kristina (Kris) C. Kleyer |
Continuation Page
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