36C26326Q0928 0004.docx

DOCX document 21 KB Posted

Attached to
W065--Mobile CT Scanner Lease - VA IOWA CITY
Solicitation number
36C26326Q0928
Issued by

About this file

This is Amendment 0004 to Request for Quote (RFQ) No. 36C26326Q0928, issued by the Department of Veterans Affairs Network Contracting Office 23 (VA Black Hills HCS Fort Meade Campus) on July 22, 2026. The amendment cancels the entire RFQ in its entirety. The solicitation originally sought a Mobile CT Scanner lease for Iowa City VA Health Care System, located at 601 Highway 6 West, Iowa City, Iowa 52246.

The cancelled solicitation included six line items covering a four-month base period of performance from August 3, 2026 through December 2, 2026: Mobile CT monthly rental (4 months), delivery fee (4 months), return fee (4 months), Mobile CT applications training for three days, cleaning service (4 months), and hard drive replacement (4 months). All deliverables were scheduled for delivery on December 2, 2026 with FOB Destination terms. The principal NAICS code is 532490 (Other Commercial and Industrial Machinery and Equipment Rental and Leasing), and the Product/Service Code is W065 (Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies). The solicitation contact is Dennis Salmonsen (VA-VHA-RPOC-2025-0018).

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Other files

File Type Posted
36C26326Q0928 0003.docx DOCX document
36C26326Q0928 0002.docx DOCX document
Mobile_CT_Task_Breakdown_Worksheet.docx DOCX document
CONTOURS Model.pdf PDF
SITE PLAN of UTILITIES.pdf PDF
36C26326Q0928 0001.docx DOCX document
Task Breakdown Worksheet.docx DOCX document
P07 - Wage Determination No. 2015-4983.pdf PDF
36C26326Q0928.docx DOCX document

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Text version

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) 07-22-2026

36C263-26-AP-2954

636-26-4-4022-1052 None 36C568

DEPARTMENT OF VETERANS AFFAIRS

NETWORK CONTRACTING OFFICE 23

VA BLACK HILLS HCS FORT MEADE CAMPUS

113 COMANCHE RD

FORT MEADE

SD

57741 36C568

DEPARTMENT OF VETERANS AFFAIRS

NETWORK CONTRACTING OFFICE 23

VA BLACK HILLS HCS FORT MEADE CAMPUS

113 COMANCHE RD

FORT MEADE

SD

57741 To all Offerors/Bidders

36C26326Q0928

X X X See CONTINUATION Page x (0)

The purpose of this amendment is to cancel the Request for Quote (RFQ) No. 36C26326Q0928 in its entirety.

Dennis Salmonsen

VA-VHA-RPOC-2025-0018

A.1 PRICE/COST SCHEDULE

ITEM INFORMATION

ITEM NUMBER
DESCRIPTION OF SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
4.00
MO
__________________
__________________

Mobile CT - Monthly Rental Contract Period: Base POP Begin: 08-03-2026 POP End: 12-02-2026 PRINCIPAL NAICS CODE: 532490 - Other Commercial and Industrial Machinery and Equipment Rental and Leasing PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

4.00
MO
__________________
__________________

Mobile CT Delivery Fee

POP Begin: 08-03-2026 POP End: 12-02-2026 PRINCIPAL NAICS CODE: 532490 - Other Commercial and Industrial Machinery and Equipment Rental and Leasing PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

4.00
MO
__________________
__________________

Mobile CT Return Fee

POP Begin: 08-03-2026 POP End: 12-02-2026 PRINCIPAL NAICS CODE: 532490 - Other Commercial and Industrial Machinery and Equipment Rental and Leasing PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

3.00
JB
__________________
__________________

Mobile CT Apps Training per Day - Three (3) Days

POP Begin: 08-03-2026 POP End: 12-02-2026 PRINCIPAL NAICS CODE: 532490 - Other Commercial and Industrial Machinery and Equipment Rental and Leasing PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

4.00
MO
__________________
__________________

Mobile CT Cleaning

POP Begin: 08-03-2026 POP End: 12-02-2026 PRINCIPAL NAICS CODE: 532490 - Other Commercial and Industrial Machinery and Equipment Rental and Leasing PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

4.00
MO
__________________
__________________

Mobile CT Hard Drive Replacement

POP Begin: 08-03-2026 POP End: 12-02-2026 PRINCIPAL NAICS CODE: 532490 - Other Commercial and Industrial Machinery and Equipment Rental and Leasing PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

GRAND TOTAL
__________________

A.2 DELIVERY SCHEDULE

ITEM NUMBER
SHIPPING INFORMATION
QUANTITY
DELIVERY DATE
0001
SHIP TO:
Iowa City VA Health Care System

601 Highway 6 West Iowa City, IA 52246

USA

4.00
12/02/2026
MARK FOR:
TBD
FOB:
DESTINATION
0002
SHIP TO:
Iowa City VA Health Care System

601 Highway 6 West Iowa City, IA 52246

USA

4.00
12/02/2026
MARK FOR:
TBD
FOB:
DESTINATION
0003
SHIP TO:
Iowa City VA Health Care System

601 Highway 6 West Iowa City, IA 52246

USA

4.00
12/02/2026
MARK FOR:
TBD
FOB:
DESTINATION
0004
SHIP TO:
Iowa City VA Health Care System

601 Highway 6 West Iowa City, IA 52246

USA

3.00
12/02/2026
MARK FOR:
TBD
FOB:
DESTINATION
0005
SHIP TO:
Iowa City VA Health Care System

601 Highway 6 West Iowa City, IA 52246

USA

4.00
12/02/2026
MARK FOR:
TBD
FOB:
DESTINATION
0006
SHIP TO:
Iowa City VA Health Care System

601 Highway 6 West Iowa City, IA 52246

USA

4.00
12/02/2026
MARK FOR:
TBD
FOB:
DESTINATION

END OF AMENDMENT 0003

END OF SOLICITATION

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