36C26122Q0602 0003.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 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) 06/02/2022 Department of Veterans Affairs VA Sierra Pacific Network (VISN 21) VA Central California Health Care System 855 M Street, Suite 1020 Fresno CA 93721 Department of Veterans Affairs VA Sierra Pacific Network (VISN 21) VA Central California Health Care System 855 M Street, Suite 1020 Fresno CA 93721 To all Offerors/Bidders

36C26122Q0602 06/02/2022

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

06/07 /2022 at 15:00 EST See CONTINUATION Page X

1. THIS AMENDMENT CLARIFIES THE STATEMENT OF WORK AND EXTENDS THE SOLICITATION TO 06/07 /2022.

2. PLEASE SEE THE BELOW REVISED

STATEMENT OF WORK WITH CHANGES MARKED IN RED. OFFERORS ARE REQUIRED TO RETURN A SIGNED

COPY OF THIS AMENDMENT IN ORDER TO BE CONSIDERED FOR AWARD.

3. THE DEPARTMENT OF VETERANS AFFAIRS NOW REQUIRES 2 UNITS OF THE REQUESTED PROBE. PLEASE SEE BELOW SC

HEDULE.

4. THERE ARE NO OTHER CHANGES TO THIS SOLICITATION.

MANDY THOMPSON

CONTRACTING OFFICER

Statement of Work For transaction 640-22-2-500-0704 Revised 06/02/2022

Purpose: To Supply, A new Ultrasound probe from Philip APM, type X8-2t, for usage in the operating rooms, request a trade-in credit,.

Specification: This accessory is used for locating and imaging of the anatomy to be operated on so no mistake may happen during operation. It must be a new items, not refurbished.

urgency: The situation, not having the probe, causes cancellations of operations, then sending patients to outside facilities at a great cost to the VA.

SOW: Only the specified probe should be obtained, directly from the manufacturer, Philips APM.

THIS PART DOES NOT COMMUNICATE THROUGH THE NETWORK!.

Transaction: 640-22-2-500-0704.

INFORMATION SECURITY: THE C & A REQUIREMENTS DO NOT APPLY AND A SECURITY ACCREDITATION PACKAGE IS NOT REQUIRED. CONTRACTORS, CONTRACTOR PERSONNEL, SUBCONTRACTORS, AND SUBCONTRACTOR PERSONNEL SHALL BE SUBJECT TO THE SAME FEDERAL LAWS, REGULATIONS, STANDARDS, AND VA DIRECTIVES AND HANDBOOKS AS VA AND VA PERSONNEL REGARDING INFORMATION AND INFORMATION SYSTEM SECURITY AS PER VA HANDBOOK 6500.6, CONTRACT SECURITY, AND APPENDIX C.

CONTINUATION PAGE

A.1 PRICE/COST SCHEDULE

ITEM INFORMATION

Ultrasound probe X8-2t

LOCAL STOCK NUMBER: 453561842276

Please include the following:

MPN:________________________________

Country of Origin:___________________________