N0018317Q0108-0002.pdf

N0018317RCGE065

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

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 (Type or print)

30-105-04EXCEPTION TO SF 30

APPROVED BY OIRM 11-84

STANDARD FORM 30 (Rev. 10-83)

Prescribed by GSA

FAR (48 CFR) 53.243

Amendment is issued to revise the list of items in Section C (1) (a).

The closing date has been changed to 29 Jun 17 at 1600.

1. CONTRACT ID CODE PAGE OF PAGES

1 6

16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)

16C. DATE SIGNED

BY 24-Jun-2017

16B. UNITED STATES OF AMERICA15C. DATE SIGNED15B. CONTRACTOR/OFFEROR

(Signature of Contracting Officer)(Signature of person authorized to sign)

8. NAME AND ADDRESS OF CONTRACTOR (No., Street, County, State and Zip Code) X N0018317Q0108

X 9B. DATED (SEE ITEM 11)

12-Jun-2017

10B. DATED (SEE ITEM 13)

9A. AMENDMENT OF SOLICITATION NO.

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

X The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offer X is extended, is not extended.

Offer 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:

(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 telegram 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 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 telegram or letter, provided each telegram or letter makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

12. ACCOUNTING AND APPROPRIATION DATA (If required)

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS.

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

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.

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, appropriation date, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(B).

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER (Specify type of modification and authority)

E. IMPORTANT: Contractor is not, is required to sign this document and return copies to the issuing office.

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

10A. MOD. OF CONTRACT/ORDER NO.

2. AMENDMENT/MODIFICATION NO. 5. PROJECT NO.(If applicable)

6. ISSUED BY

3. EFFECTIVE DATE

24-Jun-2017

CODE

NAVAL MEDICAL CENTER

MMD/CONTRACTING DIVISION

ATTN: PEGGY KLINGENSMITH

54 LEWIS MINOR STREET

PORTSMOUTH VA 23708-2297

N00183 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

peggy.k.klingensmith.civ@mail.milEMAIL:757-953-7547TEL:

PEGGY K. KLINGENSMITH / CONTRACTING OFFICER

N0018317Q0108

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION A - SOLICITATION/CONTRACT FORM

The required response date/time has changed from 22-Jun-2017 05:00 PM to 29-Jun-2017 05:00 PM.

SECTION C - DESCRIPTIONS AND SPECIFICATIONS

The following have been modified:

CONSIGNMENT VERBIAGE:

“Name of awardee” (hereinafter “Vendor”) agrees to the following terms of Blanket Purchase Agreement (BPA)

“number to be determined at time of award” with the Naval Medical Center, Portsmouth, VA (NMCP). Both parties agree to the following terms:

(1) Consignment Agreement Program. A consignment agreement is an agreement under which a vendor provides an item to the Government with reimbursement to be made if and when the Government uses the item. The parties intend to enter into a consignment agreement with the following terms and conditions:

(a) Vendor will deliver to NMCP and have the following Endoscopy RX Biliary Systems and Metal Stents on hand at NMCP during the consignment period:

Part Number

Item Quantity Unit Issue

4582 RX Tandem Cannula 5 Each

4577 RX Tapered ERCP Cannula 0.35 5 Each

4576 RX Standard ERCP Cannula 0.35 5 Each

5684 RX Jagwire .035/260 (2/BX) 10 Each

4517 RX Autotome 44 20mm x4.4Fr 20 Each

4519 RX Autotome 39 20mmx4.4Fr 4 Each

4584 RX Needleknife 2 Each

4700 Extractor Balloon 9-12mm 9 Each

4701 Extractor Balloon 12-15mm 11 Each

4702 Extractor Balloon 15-18mm 11 Each

4589 HurricaneTM Rx balloon dilation 4mm x 2cm 5 Each

4590 HurricaneTM Rx balloon dilation 4mm x 4cm 5 Each

4591 HurricaneTM Rx balloon dilation 6mm x 2cm 5 Each

4592 HurricaneTM Rx balloon dilation 6mm x 4cm 5 Each

4593 HurricaneTM Rx balloon dilation 8mm x 2cm 5 Each

4594 HurricaneTM Rx balloon dilation 8mm x 4cm 5 Each

4595 HurricaneTM Rx balloon dilation 10mm x 2cm 5 Each

4596 HurricaneTM Rx balloon dilation 10mm x 4cm 5 Each

3420 Plastic Biliary Stent RX 7fr/5cm 4 Each

3421 Plastic Biliary Stent RX 7fr/7cm 4 Each

3422 Plastic Biliary Stent RX 7fr/9cm 4 Each

3423 Plastic Biliary Stent RX 7fr/12cm 4 Each

3424 Plastic Biliary Stent RX 7fr /15cm 4 Each

3432 Plastic Biliary Stents RX 10fr/5cm 4 Each

3433 Plastic Biliary Stents RX 10fr/7cm 4 Each

3434 Plastic Biliary Stents RX 10fr/9cm 4 Each

3435 Plastic Biliary Stents RX 10fr/12cm 4 Each

3436 Plastic Biliary Stents RX 10fr/15cm 4 Each

5623 NaviPro Standard Angle .035x260cm 8 Each

1333 Radial Jaw (Large) 7 Each

4500 Combo Cath RX Cytology Brush 10 Each

2123 Resolution 360 Clip (10/Bx) 10 Each

6269 Sensation Small oval 5 Each

6124 Sensation Stiff 5 Each

3372 Forceps Jumbo 8 Each

6267 Sensation Snare (Medium) (10/Bx) 20 Each

6268 Sensation Snare (Large) (10/Bx) 20 Each

6269 Sensation Snare (Small-Oval Flexible) (10/Bx) 20 Each

6265 Snare Large Oval (10/Bx) 10 Each

1836 Schlerotherapy Needles (5/Bx) 20 Each

4627 Spybite biopsy forceps (1.2mm x286cm) 5 Each

4623 SpyScope 2 Each

5551 EUS Expect Slimline 22ga 10 Each

5552 EUS Expect Slimline 25ga 10 Each

5450 Rigiflex Achalasia Balloon (30x10cm) 2 Each

5451 Rigiflex Achalasia Balloon (35x10cm) 2 Each

5452 Rigiflex Achalasia Balloon (40x10cm) 2 Each

5364 Axios Stent 2 Each

5866 CRE Pro (6-8) 30 Each

5867 CRE Pro (8-10) 30 Each

5847 CRE Pro (10-12) 30 Each

5869 CRE Pro (12-15) 30 Each

5849 CRE Pro (15-18) 15 Each

5871 CRE Pro (18-20) 15 Each

1670 Esophageal Stent (18mmx103cm) 2 Each

1671 Esophageal Stent (18mmx123cm) 2 Each

1672 Esophageal Stent (18mmx15cm) 2 Each

1673 Esophageal Stent FC (23mmx105cm) 2 Each

1674 Esophageal Stent FC (23mmx 100cm) 2 Each

1675 Esophageal Stent FC (28mmx100cm) 2 Each

6007 Gold Probe (7FR) (5/Bx) 5 Each

6010 Gold Probe (10FR) (5/Bx) 5 Each

4526 RX Locking Device & Biopsy Cap (10/Bx) 30 Each

5063 Steriflate 40 Each

6667 Encore 26 Inflation Device 20 Each

4225 Super 7 Bander (10/Bx) 10 Each

5554 Acquire 20 Each

6160 Captivator EMR 4 Each

8400 Dreamtomes RX 49 (.035x 260cm) 20 Each

8402 Dreamtomes RX 49 (.035x450cm) 20 Each

4520 Autotome RX 39 (30mm) 10 Each

8404 Dreamtome RX44 (.035x260cm) 15 Each

4584 RX Needleknife 5.5Fr 10 Each

5159 Pathfinder Guidewire (.018x 450cm) 5 Each

5610 Dreamwire Guidewire ST (.035x450cm) 12 Each

5611 Dreamwire Guidewire AT (.035x260cm) 12 Each

5614 Dreamwire Guidewire ST (.035x450cm) 12 Each

5646 HydraJagwire ST (.035x450cm) 10 Each

5600 HydraJagwire ST (.035x260cm) 5 Each

5604 HydraJagwire ST (.035x450cm) 15 Each

5685 Jagwire AT (.035x450cm) 15 Each

5658 Jagwire 450 10 Each

5659 Jagwire 450 AT (.035x450cm) 10 Each

5690 Jagtail (.035x200cm) 10 Each

1690 WallFlex UC Esophageal 1 Each

1691 WallFlex UC Esophageal 1 Each

1692 WallFlex UC Esophageal 1 Each

7052 Wallflex Biliary FC (10mmx40cm) 1 Each

7053 Wallflex Biliary FC (10mmx60cm 1 Each

7054 Wallflex Biliary FC (10mmx80cm) 1 Each

7064 Wallflex Biliary UC (10mmx60cm) 1 Each

7065 Wallflex Biliary UC (10mmx80cm) 1 Each

7089 Wallflex Biliary UC (10mmx40cm) 1 Each

7060 Wallflex Biliary UC (8mmx40cm) 1 Each

7061 Wallflex Biliary UC (8mmx60cm) 1 Each

7072 Wallflex Biliary PC (10mmx40mm) 1 Each

7073 Wallflex Biliary PC (10mmx60mm) 1 Each

7074 Wallflex Biliary PC (10mmx80mm) 1 Each

6504 Wallflex Colonic Stent (25mmx60mm) 1 Each

6505 Wallflex Colonic Stent (25mmx90mm) 1 Each

6506 Wallflex Colonic Stent(25mmx120mm) 1 Each

6501 Wallflex Duodenal Stent (22mmx60mm) 1 Each

6502 Wallflex Duodenal Stent (22mmx90mm) 1 Each

6503 Wallflex Duodenal Stent (22mmx129mm) 1 Each

3737 Single Pigtail Biliary Stents 4 Each

1086 Trapezoid RX Retrieval Basket, 1.5cm 3 Each

1087 Trapezoid RX Retrieval Basket, 2.0cm 3 Each

1088 Trapezoid RX Retrieval Basket, 2.5cm 3 Each

1089 Trapezoid RX Retrieval Basket, 3.0cm 3 Each

(b) Unused items are returned to the vendor at the end of the effective period of agreement without reimbursement or other expense to the Government.

(c) Vendor will deliver to NMCP consignment specified products to be used by NMCP. NMCP may change the type and quantity of products on consignment by written or oral request to Vendor or its authorized representative and after receiving Vendor’s approval. The only person authorized to make these changes at NMCP is the Contracting Officer.

(d) The vendor agrees to maintain the specified quantities of products set forth under the schedule at all times during the term of the agreement by promptly replacing like quantities of items that may be used, thus assuring instant availability of all such products specified by this BPA.

(e) Payment for products furnished under this agreement are applicable only when such products are used, and Vendor retains title to the products until the package is opened. At that time, title will transfer to NMCP and the terms become Net 30 days. The balance of the cost of the products used will be due and payable after the use and receipt of a properly executed invoice (monthly in arrears).

(f) Vendor will replace unopened consigned products stocked at NMCP at least six (6) months prior to expiration of product.

(g) All items furnished under this consignment arrangement remain the property of the Vendor and NMCP assumes no responsibility for such items until such time as the requirement for the consigned products exists.

NMCP will issue a BPA call for estimated monthly or quarterly consigned product usage and all products used during a monthly period will be chargeable to the BPA call issued for the applicable month. Billing via Wide Area

Workflow (WAWF); monthly in arrears).

(h) NMCP may terminate agreement in whole or in part by providing 30 days written notice to Vendor, without additional cost to the Government. When so directed, the Vendor shall remove all unused products furnished for stock at NMCP immediately upon termination of the agreement. Such termination will be at no additional cost to the Government except that NMCP will be billed for any shortages of the consignment inventory at the current prices. Vendor may terminate agreement by providing 30 days written notice to NMCP, without additional cost to the Government except as stated above.

(i) The Vendor shall replace all damaged and defective products. The Vendor’s liability is expressly limited to the replacement of goods damaged as a result of shipping or goods with manufacturing defects.

(j) The Vendor and NMCP agree to comply with all applicable state and federal laws, rules, and regulations that pertain to the use of these products.

(k) NMCP shall be responsible for all lost or damaged products that occur while in their possession.

NMCP will be responsible for all shortages of consignment stock.

(l) It shall be the responsibility of NMCP to notify the Vendor within 10 days when an item is used, lost, damaged, or expired. NMCP will furnish to Vendor the appropriate call number covering the purchase of stock used. Vendor agrees to furnish replacement product at the agreed upon price as referenced in this section.

(m) Upon receipt of notification by NMCP of the use of an item, the Vendor will make appropriate arrangements to promptly replace with an item of same size and model. Delivery of replacement products to maintain specified stock quantities is required within two (2) business days after the time of receipt of notification by NMCP to the Vendor. Standard shipping is via Federal Express Overnight at vendor expense.

(n) A representative of Vendor will provide a complete and on-going in-service education program for

NMCP staff.

(o) Technical Support is available by calling 800-471-3226. Representatives will assist in providing technical assistance as required and coordinate customer service activities to resolve other issues if necessary.

(p) NMCP agrees to maintain the consignment inventory in a single location and to give vendor representatives all reasonable access thereto in order to conduct periodic (no more frequently than monthly) audits to verify the quantity, composition, and condition of the consignment inventory. In the event such audit reveals that the actual inventory of unexpired, undamaged products in what is represented to be the consignment inventory does not conform to the products and quantities as shown above, NMCP shall promptly issue a purchase order to Vendor to pay for the products representing the shortfall, and execute an appropriate Consignment Transaction Form as requested by Vendor.

(End of Summary of Changes)