36C77026Q0075 0001.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) NCO 15 Contracting Ofc - CMOP 02-02-2026 763-26-1-228-0089 N/A 36C770 Department of Veterans Affairs Network Contracting Office 15 (NCO 15) - 3450 S. 4th St. Trafficway Leavenworth

KS

66048-5012 36C770 Department of Veterans Affairs Network Contracting Office 15 (NCO 15) - 3450 S. 4th St. Trafficway Leavenworth

KS

66048-5012 To all Offerors/Bidders

36C77026Q0075 02-02-2026

X X X Amendment shall reflect the following changes:

1. This solicitation remains SDVOSB

2. All Service Disabled Veteran Owned SB vendors that are interested in submitting a quote may do so.

3. Statement of Requirements amended.

Item 2, Copy Paper, 30% maximum recycled content.

Item 2, Copy Paper, is not mandatory from AbilityOne.

ALL OTHER TERMS OF THIS SOLICIATION REMAIN UNCHANGED.

McAlhaney, Michael W.

Contracting Officer

A.1 STATEMENT OF REQUIREMENTS

Background The Lancaster Consolidated Mail Outpatient Pharmacy (CMOP) has a need for imaging units, copy paper, and toner in support of new semi-automated packers (SAP’s) prescription fulfillment to continue production on prescriptions with patient information for our Veteran patients.

Deliverables 1 ITEM ID NO. 21235 KIT, IMAGING KIT, LEXMARK M5270, #58D0Z00, SAP FOR CMOP 763 PKG: 1 per UN 2 ITEM ID NO. 21336 PAPER, COPY (BRAND ASPEN 30) 8.5X11, 20LB 92 BRIGHT PKG: 5000 per CS 3 ITEM ID NO. 21236 TONER, LEXMARK M5270, BLACK, #25B3074, SAP FOR CMOP 763 PKG: 1 per EA

Specifications Imaging Kit

· CMOP Item ID: 21235

· Description: Imaging Kit for Lexmark M5270 printer, Part Number 58D0Z00.

· Packaging: 1 kit per unit.

· Purpose: Required for printer maintenance and imaging functionality in CMOP operations.

Copy Paper

· CMOP Item ID: 21336

· Description: Copy paper, white, size 8.5 x 11 inches, 20 lb. weight, 92 brightness, 30% maximum recycled content, Part Number CAS054901.

· Compatibility: High-speed copiers, laser printers, fax machines

· Features: Free from jamming, acid-free, Elemental Chlorine Free (ECF) bleached, smooth uncoated finish

· Packaging: 5,000 sheets per case/40 cases per pallet.

· Purpose: Copy paper for high-speed laser printing and documentation within CMOP facilities.

· *** COPY PAPER – This item DOES NOT meet definition of covered product and is NOT mandatory from an AbilityOne Authorized Distributor. *** Toner Cartridge

· CMOP Item ID: 21236

· Description: Black toner cartridge for Lexmark M5270 printer, Part Number 25B3074.

· Packaging: 1 cartridge per unit.

· Purpose: Essential for printing operations at CMOP 763 to ensure continuous workflow.

Estimated Usage Based on historical information, it is estimated that the CMOP will utilize an estimated:

· Imaging Kit, 20 units per month;

· Copy Paper, 640 cases, or 16 pallets per month; and

· Toner Cartridge, 80 toner units per month, or 20 each weekly.

Delivery This request is for a 6-month period, and delivery will be coordinated by the program office Point of Contact, and/or Contracting Officer, with the vendor upon acceptance of award.

Deliveries shall be weekly or monthly, preferably on the same day of the week, based on the estimated usage above.

Imaging Kits and Toner Cartridges first delivery will be 10 days ARO, approximately 2/13/2026 or sooner.

Copy Paper first delivery will be the week of 2/23/2026.

Administration All deliveries must be accompanied by a packing slip that must contain the following information below as a minimum:

· Name of contractor

· Contract number

· Purchase order number (Very important)

· Model or part number

· Quantity of cases, unit price and extension of the item

· Date of purchase

· Date of shipment

Period of Performance The anticipated period of performance for this requirement is six (6) months.

Place of Performance VA CMOP Lancaster 2962 S. Longhorn Dr.

Lancaster, TX 75134-2118

CMOP Point of Contact (POC) Pendley, Kristi Kristi.Pendley@va.gov

Gray Market Prevention Language In accordance with VAAR 852.212- 1 Gray Market and Counterfeit Items.

(a) No used, refurbished, or remanufactured supplies or equipment/parts shall be provided. This procurement is for new Original Equipment Manufacturer (OEM) items only. No gray market items shall be provided. Gray market items are OEM goods intentionally or unintentionally sold outside an authorized sales territory or sold by non-authorized dealers in an authorized sales territory.

(b) No counterfeit supplies or equipment/parts shall be provided. Counterfeit items include unlawful or unauthorized reproductions, substitutions, or alterations that have been mismarked, misidentified, or otherwise misrepresented to be an authentic, unmodified item from the original manufacturer, or a source with the express written authority of the original manufacturer or current design activity, including an authorized aftermarket manufacturer. Unlawful or unauthorized substitutions include used items represented as new, or the false identification of grade, serial number, lot number, date code, or performance characteristics.

(c) Vendor shall be an OEM, authorized dealer, authorized distributor, or authorized reseller for the proposed equipment/system, verified by an authorization letter or other documents from the OEM. All software licensing, warranty and service associated with the equipment/system shall be in accordance with the OEM terms and conditions.