S02 36C26325Q0237 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 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)

Department of Veterans Affairs

NETWORK 23 CONTRACTING OFFICE

1303 5th St Suite 300 Coralville IA 52241

Department of Veterans Affairs

NETWORK 23 CONTRACTING OFFICE

1303 5th St, Suite 300 Coralville IA 52241

36C26325Q0237 12-10-2024

X

X X

** HOUR & DATE for Receipt of Offers is EXTENDED to: 01-22-2025 12:00 CST See CONTINUATION Page

The purpose of this amendment is to update the delivery locations and quantities as well as salient characteristics in the Statement of Work and change the quantity in Line Item 0001 from 20 to 23.

All changes to the Statement of Work are highlighted.

The offer deadline has been extended. See box 11.

Jeffrey Brown Contracting Officer

VA-VHA-RPOC-2024-0033

CONTINUATION PAGE

A.1 PRICE/COST SCHEDULE

ITEM INFORMATION

Crash Carts in accordance with the Statement of Work

Contract Period: Base POP Begin: 01-31-2025 POP End: 04-30-2025 PRINCIPAL NAICS CODE: 339112 - Surgical and Medical Instrument Manufacturing PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

B.3 STATEMENT OF WORK

1. Description of supplies being requested:

23 pre-assembled crash carts, any assembly of the crash carts by the Veterans Health Administration (VHA) must be noted, with the following salient characteristics:

Antimicrobial top, ergonomic push handles (one side), ball-bearing casters, full-extension drawer slides, drawer pulls, protective stabilizing pontoon bumpers.

Cart with 30" of vertical drawer space.

9 Drawers: Eight 3-inch drawers and one 6-inch drawer.

Top drawer will be 3 inches with a non-locking latch.

Bottom drawer will be 6 inches with a breakaway lock.

The 7 remaining middle drawers will be 3 inches each drawer with a breakaway lock.

Exterior color of the cart to include the exterior of the drawers: Red.

Defibrillator shelf, inside 12 inches x 20 inches.

Shelf with corner bumpers for suction unit 16.9 inches W x 9.5 inches D.

Oxygen cylinder holder, aluminum or steel, for D/E Cylinders.

External mounted cardiac board.

2 Prong IV pole.

Electrical strip, 6 outlet receptacles with covers, Hospital Grade, UL1363A Compliant, 15 ft. AC power cord. NEMA 5-15P-HG hospital grade plug & 6 NEMA 5-15RHG hospital grad receptacle, includes Cord Wraps.

Notebook holder 12.5 inches H X 12 inches W X 5 inches D directly mounts to cart.

Sharps holder, locking with a 5 Qt. sharps container.

Glove box holder on exterior of cart.

Pull through top mount shelf.

Rear mounted cardiac assist stool, aluminum and/or steel construction, supports up to 500 lbs.

2. Standard Warranty

· The products shall be covered by vendor’s standard warranty terms and provisions. It should be noted however that the warranty coverage shall be no less than 1 year per Veterans Administration policy.

· The warranty period set forth therein shall be for one year following the date of delivery at the VHA Black Hills Health Care System.

· The vendor shall warrant the products against defects in material and workmanship under normal use and service, repair or replace at vendor’s cost any defective Product (or issue a credit or refund, as the case may be, based on the purchase price paid therefor); and

· The vendor shall pay (or refund the amount of) all freight and shipping charges for any defective Products returned under this paragraph.

3. Delivery Requirements – for all supplies:

Delivery shall be coordinated with the Black Hills Health Care System point of contact listed below prior to shipping:

Name: ___TBD_________ Phone Number: _________TBD_____ Email: _______TBD___________

Delivery Locations:

9 Crash Carts to:

Hot Springs VA 500 North 5th Street Hot Springs, SD 57747

14 Crash Carts to:

Fort Meade VA 113 Comanche Road Fort Meade, SD 57741 Delivery hours:

Monday through Friday from 8:00-17:30 CT. Deliveries are not accepted on the federal holidays listed below:

Observed Federal Holidays:

Christmas Day