36C77622Q0494 0003.docx

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6515--Corpus Christi Package U - Midmark Exam Chairs "Brand Name or Equal"
Solicitation number
36C77622Q0494
Issued by

About this file

This document is a federal solicitation for medical examination chairs and related accessories to be installed at a Veteran's Affairs outpatient clinic in Corpus Christi, Texas. The solicitation seeks quotes for 37 barrier-free examination chairs with digital scales, wireless controls, and other features priced individually as Item 0001, along with upholstery tops as Item 0002, patient support rails as Items 0003 and 0004, and smaller quantities of the same items as Items 0005 through 0008. The solicitation also includes stainless steel treatment pans as Item 0009, articulating knee crutch kits as Item 0010, and line items for delivery, installation, and training as Items 0011 and 0012. Quotes are due by September 19, 2022 and products must be delivered by January 30, 2023. The Department of Veterans Affairs Technology Acquisition Center in Austin is the contracting agency.

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36C77622Q0494 0004.docx DOCX document
ATTACHMENT 1 - FINAL SOW.docx DOCX document
36C77622Q0494 0001.docx DOCX document
ATTACHMENT 1 - REVISED SOW.docx DOCX document
S02 - ATTACHMENT 2 - Trade Act Agreements Cert - Manufactured Outside US.docx DOCX document
S02 - ATTACHMENT 1 - SOW Package U.docx DOCX document
36C77622Q0494.docx DOCX document
S02 - ATTACHMENT 3 - Previous Contracts and Compliance Reports Provision.docx DOCX document

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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 NUMBERE

D 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 amendmen t, 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) 9/14/2022 740-22-3-2510-0056 Corpus C Pkg. U 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 To all offerors/bidders

36C77622Q0494 09-14-2022

X X X

See CONTINUATION Page 740-3620160-2510-820100 Medical-3131 Medical, Dental, \T\ Scient-SPY007054 X The purpose of this modification is to extend the due date of RFQ responses, update the delivery schedule, and to also notify potential bidders/offerors that an additional amendment answering vendor questions will be forthcoming.

* Please note, we anticipate extending the due date of quotes until Monday, September 19, 2022 and hope to have an amendment answering vendor questions posted NLT September 15, 2022.

** Please note, although this amendment is numbered as 003, it is the actual second (002) written amendment.

Michelle Rhodes Contracting Officer

CONTINUATION PAGE

A.1 PRICE/COST SCHEDULE

ITEM INFORMATION

ITEM NUMBER
DESCRIPTION OF SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
37.00
EA
__________________
__________________

Barrier-Free Examination Chair w/Clean Assist Roller System, Digital Scale, Receptacles, Drawer heater, Pelvic tilt, wireless controls, w/o top Contract Period: Base POP Begin: 09-22-2022 POP End: 01-30-2023 PRINCIPAL NAICS CODE: 339112 - Surgical and Medical Instrument Manufacturing PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

MANUFACTURER PART NUMBER (MPN): 626-003

37.00
EA
__________________
__________________

Upholstery Top - 626 32" Premium

POP Begin: 09-22-2022 POP End: 01-30-2023 PRINCIPAL NAICS CODE: 339112 - Surgical and Medical Instrument Manufacturing

MANUFACTURER PART NUMBER (MPN): 002-2002-XXX

37.00
EA
__________________
__________________

Patient Support Rails Plus, Field Installed

POP Begin: 09-22-2022 POP End: 01-30-2023 PRINCIPAL NAICS CODE: 339112 - Surgical and Medical Instrument Manufacturing

MANUFACTURER PART NUMBER (MPN): 9A600002

37.00
EA
__________________
__________________

Patient Support Rails Receiver Extension, Field Installed

POP Begin: 09-22-2022 POP End: 01-30-2023 PRINCIPAL NAICS CODE: 339112 - Surgical and Medical Instrument Manufacturing

MANUFACTURER PART NUMBER (MPN): 9A582001

6.00
EA
__________________
__________________

Barrier-Fre Examination Chair w/Clean Assist Roller System, Digital Scale, Receptacles, DrawerHeater, Pelvic Tilt, Wireless Controls, W/O Top

POP Begin: 09-22-2022 POP End: 01-30-2023 PRINCIPAL NAICS CODE: 339112 - Surgical and Medical Instrument Manufacturing

MANUFACTURER PART NUMBER (MPN): 626-003

6.00
EA
__________________
__________________

Upholstery Top - 626 32" Premium

POP Begin: 09-22-2022 POP End: 01-30-2023 PRINCIPAL NAICS CODE: 339112 - Surgical and Medical Instrument Manufacturing

MANUFACTURER PART NUMBER (MPN): 002-2002-XXX

6.00
EA
__________________
__________________

Patient Support Rails Puls, Field Installed

POP Begin: 09-22-2022 POP End: 01-30-2023 PRINCIPAL NAICS CODE: 339112 - Surgical and Medical Instrument Manufacturing

MANUFACTURER PART NUMBER (MPN): 9A600002

6.00
EA
__________________
__________________

Patient Support Rail Receiver Extensions, Field Installed

POP Begin: 09-22-2022 POP End: 01-30-2023 PRINCIPAL NAICS CODE: 339112 - Surgical and Medical Instrument Manufacturing

MANUFACTURER PART NUMBER (MPN): 9A582001

6.00
EA
__________________
__________________

Stainless Steel Treatment Pan

POP Begin: 09-22-2022 POP End: 01-30-2023 PRINCIPAL NAICS CODE: 339112 - Surgical and Medical Instrument Manufacturing

MANUFACTURER PART NUMBER (MPN): 9A610001

6.00
EA
__________________
__________________

Articulating Knee Crutch Kit w/Acc. Receiver for 224/225/626/627, Field Installed

POP Begin: 09-22-2022 POP End: 01-30-2023 PRINCIPAL NAICS CODE: 339112 - Surgical and Medical Instrument Manufacturing

MANUFACTURER PART NUMBER (MPN): 9A641001

1.00
EA
__________________
__________________

Delivery and Installation

POP Begin: 09-22-2022 POP End: 01-30-2023 PRINCIPAL NAICS CODE: 339112 - Surgical and Medical Instrument Manufacturing

1.00
EA
__________________
__________________

Training

POP Begin: 09-22-2022 POP End: 01-30-2023 PRINCIPAL NAICS CODE: 339112 - Surgical and Medical Instrument Manufacturing

GRAND TOTAL
__________________

A.2 DELIVERY SCHEDULE

ITEM NUMBER
QUANTITY
DELIVERY DATE
0001
SHIP TO:
Corpus Christi CBOC

925 South Padre Island Dr.

Corpus Christi, TX 78416

USA

37.00
1/30/2023
INSTRUCTIONS:
DELIVERY APPOINTMENT REQUIRED
0002
SHIP TO:
Corpus Christi CBOC

925 South Padre Island Dr.

Corpus Christi, TX 78416

USA

37.00
1/30/2023
INSTRUCTIONS:
DELIVERY APPOINTMENT REQUIRED
0003
SHIP TO:
Corpus Christi CBOC

925 South Padre Island Dr.

Corpus Christi, TX 78416

USA

37.00
1/30/2023
INSTRUCTIONS:
DELIVERY APPOINTMENT REQUIRED
0004
SHIP TO:
Corpus Christi CBOC

925 South Padre Island Dr.

Corpus Christi, TX 78416

USA

37.00
1/30/2023
INSTRUCTIONS:
DELIVERY APPOINTMENT REQUIRED
0005
SHIP TO:
Corpus Christi CBOC

925 South Padre Island Dr.

Corpus Christi, TX 78416

USA

6.00
1/30/2023
INSTRUCTIONS:
DELIVERY APPOINTMENT REQUIRED
0006
SHIP TO:
Corpus Christi CBOC

925 South Padre Island Dr.

Corpus Christi, TX 78416

USA

6.00
1/30/2023
INSTRUCTIONS:
DELIVERY APPOINTMENT REQUIRED
0007
SHIP TO:
Corpus Christi CBOC

925 South Padre Island Dr.

Corpus Christi, TX 78416

USA

6.00
1/30/2023
INSTRUCTIONS:
DELIVERY APPOINTMENT REQUIRED
0008
SHIP TO:
Corpus Christi CBOC

925 South Padre Island Dr.

Corpus Christi, TX 78416

USA

6.00
1/30/2023
INSTRUCTIONS:
DELIVERY APPOINTMENT REQUIRED
0009
SHIP TO:
Corpus Christi CBOC

925 South Padre Island Dr.

Corpus Christi, TX 78416

USA

6.00
1/30/2023
INSTRUCTIONS:
DELIVERY APPOINTMENT REQUIRED
0010
SHIP TO:
Corpus Christi CBOC

925 South Padre Island Dr.

Corpus Christi, TX 78416

USA

6.00
1/30/2023
INSTRUCTIONS:
DELIVERY APPOINTMENT REQUIRED
0011
SHIP TO:
Corpus Christi CBOC

925 South Padre Island Dr.

Corpus Christi, TX 78416

USA

1.00
1/30/2023
INSTRUCTIONS:
DELIVERY APPOINTMENT REQUIRED
0012
SHIP TO:
Corpus Christi CBOC

925 South Padre Island Dr.

Corpus Christi, TX 78416

USA

1.00
1/30/2023
INSTRUCTIONS:
DELIVERY APPOINTMENT REQUIRED

End of Document Corpus Christi Package U – Exam Chairs

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