RFQ AMENDMENT - 36C26226Q1282 0001 - CYSTOSCOPY.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 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- -2026 N/A 36C262 Department of Veterans Affairs Network Contracting Office 22 4811 Airport Plaza Drive Suite 600 Long Beach CA 90815 Department of Veterans Affairs Network Contracting Office 22 4811 Airport Plaza Drive Suite 600 Long Beach CA 90815 To all Offerors/Bidders

36C26226Q1282

X X X See CONTINUATION Page x This solicitation is hereby amended for the following reason;

Section B.2 Price schedule is revised to change t he quantities of line items 0001 and 0003

- Quantity for

LI 0001

HOPKINS II 30° PDD TELESCOPE WITH ENLARGED VIEW, 4MM X 30CM, AUTOCLAVABLE is revised from to

- Quantity for

LI 0003

LIGHT CABLE, 3.5MM X 230CM (7.6') AUTOCLAVABLE, WITH LOCKING MECHANISM is revised from to

CONTINUATION PAGE

B.2 PRICE SCHEDULE

ITEM INFORMATION

HOPKINS II 30° PDD TELESCOPE

PN# 27005BIA

Contract Period: Base

HOPKINS II 70° PDD TELESCOPE

PN# 27005CIA

LIGHT CABLE, 3.5MM X 230CM (7.6')

AUTOCLAVABLE PN# 495NAC-UG

IMAGE1 S™ HX-P SAPHIRA ONE-CHIP

FULL HD PENDULUM CAMERA HEAD

PN# TH113US

HIGH-DEFINITION CAMERA STERILIZATION

CONTAINER PN# KSZ-39301HCTS-ZBZ

IMAGE1 S™ SAPHIRA CONNECT

II KIT PN# TC205US-KT

IMAGE1 S™ SAPHIRA LINK,

LINK MODULE PN# TC305US

POWER LED SAPHIRA™, OPAL1® PDD,

COLD LIGHT FOUNTAIN POWER LED

SAPHIRA™ PN# TL410US

32" 4K UHD LED MONITOR

PN# TM343

SONY UP-DR80MD MEDICAL GRADE

PRINTER PN# WU1333

SLIM DESIGN SURGICAL CART

PN# UG130U-KT

LETTER SIZE COLOR PRINT PACK

PN# WU1278