36C77622Q0388 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) 662-22-2-7455-0014 662-22-2-7455-0017 SR 017 and 046 36C776 Department of Veterans Affairs Program Contracting Activity Central 6100 Oak Tree Blvd, Suite 490 Independence

OH

44131 36C776 Department of Veterans Affairs Program Contracting Activity Central 6100 Oak Tree Blvd, Suite 490 Independence

OH

44131

36C77622Q0388 08-18-2022

X X X ** HOUR & DATE for Receipt of Offers is EXTENDED to:

08/31/2022 at 23:59 Eastern See CONTINUATION Page The purpose of Amendment 0001 to Solicitation 36C77622Q0388 is to provide the Question(s) and Answer(s). As a result the Price/Cost Schedule at Section B.2 and Delivery Schedule at Section B.3 is revised. An revised SOW and the Question(s) and Answer(s) are attached.

Responses are now due Wednesday, August 31st, 2022 at 23:59 Eastern.

All other terms and conditions of the RFQ remain unchanged and in full force and effect.

Grace Kelly Contracting Officer

CONTINUATION PAGE

A.1 PRICE/COST SCHEDULE

ITEM INFORMATION

1096 Madsen Zodiac PC Clinical Including Classic Probe (US ONLY)/ Part# 8-04-16033 Contract Period: Base POP Begin:

POP End:

PRINCIPAL NAICS CODE: 334510 - Electromedical and Electrotherapeutic Apparatus Manufacturing PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

MANUFACTURER PART NUMBER (MPN): 8-04-16033

1096 Zodiac Probe wallmount/ Part # 8-35-48100

POP Begin:

POP End:

PRINCIPAL NAICS CODE: 334510 - Electromedical and Electrotherapeutic Apparatus Manufacturing

MANUFACTURER PART NUMBER (MPN): 8-35-48100

1096 Probe, Quick Check/ Part# 8-66-10000

POP Begin:

POP End:

PRINCIPAL NAICS CODE: 334510 - Electromedical and Electrotherapeutic Apparatus Manufacturing

MANUFACTURER PART NUMBER (MPN): 8-66-10000

1096 Zodiac Insert Phone/ Part # 8-75-85400

POP Begin:

POP End:

PRINCIPAL NAICS CODE: 334510 - Electromedical and Electrotherapeutic Apparatus Manufacturing

MANUFACTURER PART NUMBER (MPN): 8-75-85400

Basic Care Service Contract - 2yrs/ Part# 901-BC002

POP Begin:

POP End:

PRINCIPAL NAICS CODE: 334510 - Electromedical and Electrotherapeutic Apparatus Manufacturing

MANUFACTURER PART NUMBER (MPN): 901-BC002

1066 Madsen Astera2 / 8-04-13102

POP Begin:

POP End:

PRINCIPAL NAICS CODE: 334510 - Electromedical and Electrotherapeutic Apparatus Manufacturing

MANUFACTURER PART NUMBER (MPN): 8-04-13102

1066 CD Quicksin Material

POP Begin:

POP End:

PRINCIPAL NAICS CODE: 334510 - Electromedical and Electrotherapeutic Apparatus Manufacturing

MANUFACTURER PART NUMBER (MPN): 8-49-91300

Basic Care Service contract warranty - 2yrs

POP Begin:

POP End:

PRINCIPAL NAICS CODE: 334510 - Electromedical and Electrotherapeutic Apparatus Manufacturing

MANUFACTURER PART NUMBER (MPN): 901-BC002

Installation

POP Begin:

POP End:

PRINCIPAL NAICS CODE: 334510 - Electromedical and Electrotherapeutic Apparatus Manufacturing

MANUFACTURER PART NUMBER (MPN): INSTALL

A.2 DELIVERY SCHEDULE

2285 Challenger Wa Santa Rosa, CA 95407

USA

707-494-8794 Alex.Tannehill@va.gov

2285 Challenger Wa Santa Rosa, CA 95407

USA

2285 Challenger Wa Santa Rosa, CA 95407

USA

2285 Challenger Wa Santa Rosa, CA 95407

USA

2285 Challenger Wa Santa Rosa, CA 95407

USA

2285 Challenger Wa Santa Rosa, CA 95407

USA

2285 Challenger Wa Santa Rosa, CA 95407

USA

2285 Challenger Wa Santa Rosa, CA 95407

USA

See attached document: S06 - Natus Audiometer and Tympanometer - Salient Characteristics Worksheet 08242022.

See attached document: S06 - Amend 0001 - Q_A.

End of Document Santa Rosa Pk 17 and 46 – Natus Tympanometer and Audiometer