Hi-Tech_Optical_Contract_Amendment_1_-_Assignment.doc.pdf
PDF 396 KB Posted
- Attached to
- Prescription Safety Glasses
- Contract number
- 505ENT-M22-SFTGLASSES-01
- Issued by
- Wisconsin
About this file
This is Amendment No. 1 to Contract No. 505ENT-M22-SFTGLASSES-01, a contract amendment executed between the State of Wisconsin Department of Administration and Hoya Optical Labs of America, Inc. dba Hoya Vision Care, SafeVision. The contractor is located in Lewisville, Texas, with principal officer Thomas M. Ryan. The amendment was signed by Cheryl Edgington from the Wisconsin Bureau of Procurement on March 7, 2023, and by Bruce Scott, VP of HOYA Global Safety, on February 21, 2023.
The contract amendment pertains to prescription safety glasses services. The primary change implemented by this amendment is the formal contractor name change to "Hoya Optical Labs of America, dba Hoya Vision Care, SafeVision." The amendment references the original Request for Bid #28368-JB and related bid #28323-JB with their respective appendices, which contain the state's requirements and pricing structure. All other terms, conditions, rights, and obligations from the original contract remain unchanged except for the contractor name modification. The document maintains that Wisconsin's procurement requirements and pricing are governed by the referenced RFB documents and appendices.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 2025 Wisconsin Price List.xlsx | XLSX spreadsheet | |
| 2024-SafeVision-Frame-Group-Guide.pdf | ||
| Prescription Safety Glasses User Guide 20250122.doc | DOC document | |
| Hi-Tech Optical Contract 505ENT-M22-SFTGLASSES-01.doc | DOC document | |
| RFB 28368-JB Prescription Safety Glasses 11192021.docx | DOCX document | |
| Prescrip Safety Glasses Policy Letter 02012022.docx | DOCX document |
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Text version
WISCONSIN DEPARTMENT OF ADMINISTRATION
DIVISION OF ENTERPRISE OPERATIONS
DOA-3051 (R 07/2015)
S. 51.01(5) WIS. STATS.; AND
S. 111.32(13M) WIS. STATS
STATE BUREAU OF PROCUREMENT
101 EAST WILSON STREET, 6TH FLOOR
POST OFFICE BOX 7867
MADISON, WI 53707-7867
FAX (608) 267-0600
TTY (608) 267-9629
HTTP://VENDORNET.STATE.WI.US
Contract Amendment
Contract No.: 505ENT-M22-SFTGLASSES-01 Amendment No.: 1
Contract Title: Prescription Safety Glasses
This Amendment is entered into by and between the State of Wisconsin, Department of Administration, and the Contractor, whose name, address and principal officer appears below.
Contractor Name Hoya Optical Labs of America, Inc. dba Hoya Vision Care, SafeVision
Contractor Address 397 State Highway 121 ByPass
City: Lewisville State: TX Zip: 75067-4051
Principal Officer: Thomas M. Ryan
The parties wish to change the terms of the above-referenced Contract in the following manner:
Contractor is changed to Hoya Optical Labs of America, dba Hoya Vision Care, SafeVision.
The terms and conditions of this Contract, terms of (RFB) # 28368-JB, including any amendments thereto, and the terms of Contractor’s Bid, including any exceptions to the RFB if accepted by the State in writing, continue to apply as previously agreed. The State of Wisconsin’s requirements and pricing are provided in its Request for Bid # 28323-JB and Appendices.
Except as expressly changed by this Amendment, the terms, conditions, rights and obligations of Contract No.:
505ENT-M22-SFTGLASSES-01 shall remain in effect unchanged. In the event of any inconsistency or conflict in the Contract and this Amendment, the provision of this Amendment shall control.
To Be Completed by Contractor
For State of Wisconsin Department of Administration Cheryl Edgington Bureau of Procurement
For
Company Name
Address
Signature
City State Zip
Date By
Printed Name
Signature
Title
Date
This document can be made available in alternate formats to individuals with disabilities upon request.
DocuSign Envelope ID: 420DB91D-33CA-4BBA-AC32-55D84E1F240E
Lewisville, TX 75067
VP, HOYA Global Safety
397 TX-121
2/21/2023 | 11:32 AM PST
Bruce Scott
SafeVision by HOYA
DocuSign Envelope ID: F326CD72-F175-44CE-B3FF-69E9FA79771C
3/7/2023 | 2:39 PM CST
| 2023-03-08T07:28:21-0800 | |
| Digitally verifiable PDF exported from www.docusign.com |
File details come from the government source that posted it. Updated .