36C26124Q0381 0001 Part Number Amendment.pdf

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)

00261

Department of Veterans Affairs Network Contracting Office 21 VA Southern Nevada Healthcare System 6900 N. Pecos Road, Building 6 North Las Vegas NV 89086

00261

Department of Veterans Affairs Network Contracting Office 21 Southern Nevada Healthcare System 6900 N. Pecos Road, Building 6 North Las Vegas NV 89086

To all Offerors/Bidders

36C26124Q0381

02-23-2024

X

See CONTINUATION Page

The purpose of this amendment is to update the following within the request for quote

A. Correct part number in line item 0007 from CS-EN-V4.1 to CS-EN-V4.2-EL B. Correct part number in line item 0008 from UYVP-11 to UYCP-11

CONTINUATION PAGE

A.1 PRICE/COST SCHEDULE

ITEM INFORMATION

ITEM

NUMBE

R

DESCRIPTION OF

SUPPLIES/SERVIC

ES

QUANTIT

Y

UNI

T UNIT PRICE AMOUNT

1.00 EA ________________

BX46 frame with 6-position nosepiece; Part# BX46-NP6;

MFR: Evident Scientific, Inc Includes Shipping.

Please indicate Delivery Timeframe:_________________

LOCAL STOCK NUMBER: BX46-NP6

U-LHLEDC-1-2; TRANSMITTED WHITE LED FOR BX43,

BX46, BX63; Part#5-UL3152; MFR: Evident Scientific, Inc Includes Shipping.

LOCAL STOCK NUMBER: 5-UL3152

3.00 EA ________________

Eyepiece for BX/IX, 10x Focusing w/ =24mm t=1.5mm Retical Shelf, FN22; Part#WHN10X-H-1-8; MFR: Evident Scientific, Inc Includes Shipping.

LOCAL STOCK NUMBER: WHN10X-H-1-8

Eyepiece for BX/IX, 10x w/ =24mm t=1.5mm Retical Shelf, FN22;Part#WHN10X-1-8; MFR: Evident Scientific, Inc Includes Shipping.

LOCAL STOCK NUMBER: WHN10X-1-8

DP23 1/1.8" 6.4MP color CMOS, 2.4um, 45fps, incl. USB3.1 cable (2.9m) Part#DP23-CU-1-2 ; MFR: Evident Scientific, Inc Includes Shipping.

LOCAL STOCK NUMBER: DP23-CU-1-2

U-TV0.5XC-3-8; CCD CAMERA ADAPTER,0.5X LENS,C-

MOUNT; Part#U-V105C48; MFR: Evident Scientific, Inc Includes Shipping.

LOCAL STOCK NUMBER: U-V105C48

cellSens Entry Version 4.1 Part#CS-EN-V4.2-EL; MFR:

Evident Scientific, Inc Includes Shipping.

LOCAL STOCK NUMBER: CS-EN-V4.2-EL

2.00 EA ________________

UYCP-11;US STYLE 3-PRONG POWER CORD; Part#UYCP- 11; MFR: Evident Scientific, Inc Includes Shipping.

LOCAL STOCK NUMBER: UYCP-11

U-TTR-2;TILTING TRINOC HEAD

50:50,100:0,0:100%POSITIONS; Part#3-U330; MFR: Evident Scientific, Inc Includes Shipping.

LOCAL STOCK NUMBER: 3-U330

GRAND TOTAL ________________

A.2 DELIVERY SCHEDULE

ITEM

NUMBER SHIPPING INFORMATION QUANTITY

DELIVERY

DATE

0001 SHIP TO: VAMC Mather 10535 Hospital Way Mather, CA 95655 4200

USA

1.00

FOB: DESTINATION

0002 SHIP TO: VAMC Mather 10535 Hospital Way

0003 SHIP TO: VAMC Mather

3.00

0004 SHIP TO: VAMC Mather

0005 SHIP TO: VAMC Mather

0006 SHIP TO: VAMC Mather

0007 SHIP TO: VAMC Mather

0008 SHIP TO: VAMC Mather

2.00

0009 SHIP TO: VAMC Mather