N0018320Q0075 Amendment 0001.pdf

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

The purpose for this amendment is to:

1. Remove Coherent Medical model Encore UP5000 serial number E1226621 from CLIN 0001 and 1001

2. Remove AMS USA model Aura XP 00108118 serial number A1877 from CLIN 0001 and 1001

3. Extend the Closing date to 10:00am on 30 June 2020.

All other Terms and Conditions remain the same.

POC is Paula Poe at paula.m.poe.civ@mail.mil

1. CONTRACT ID CODE PAGE OF PAGES

J 1 5

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

16C. DATE SIGNED

BY 24-Jun-2020

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 N0018320Q0075

X 9B. DATED (SEE ITEM 11)

15-Jun-2020

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 1 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-2020

CODE

NAVAL MEDICAL CENTER

MMD/CONTRACTING DIVISION

ATTN: PAULA POE

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

EMAIL:TEL:

N0018320Q0075

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION B - SUPPLIES OR SERVICES AND PRICES

Global Changes

CLIN 0001 -- CLIN 1001

The CLIN description has changed from FY21 Maintenance -22 Lasers to FY21 Maintenance -20 Lasers.

The CLIN extended description has changed from:

Maintenance for Lasers to be performed in accordance with Performanc eWork Statemennt (PWS) in Section C.Please see below table for Equipment and Pricing.

To:

Maintenance for Lasers to be performed in accordance with Performance Work Statemennt (PWS) in Section C.Please see below table for Equipment and Pricing.

The following have been modified:

FY21 TABLE

L N

ECN NMCP Dept. Equipment Nomenclature

Mft Name Serial No.

Nameplate Model

Cost Extended Cost

1 10473

Cross Sectional

RAD

Laser, Diode, Surgical

Angiodynamics Inc DELTA1 5004132

DELTA15 $ $

2 12963

Dental Clinic Laser, ND:YAG, Dental

Millennium Dental Technologies Inc

PL172075 PERIOLASE

MVP-7

3 12963

Dental Services Bldg

2- NMCP

Laser, ND:YAG, Dental

Millennium Dental Technologies Inc

PL172078 PERIOLASE

MVP-7

4 13483

Dental Services Bldg

2- NMCP

Laser, ND:YAG Lumenis Ltd 21216 M22 $ $

5 76909 Dermatology O/P

Laser, ND:YAG, Dermatologic

Candela Corp 99140400

Gentlemax

6 76917 Dermatology O/P

Laser, Alexandrite, Dermatologic

Candela Corp 99140400

Alex Trivantage

7 12149

Dermatology O/P

Laser, DYE, Dermatologic

Candela Corp 99140300

Vbeam Perfecta CTA

8 11147

Dermatology O/P

Laser, Carbon Dioxide, Surgical/ Dermatologic

Lumenis Inc 585 GA0000530 $ $

9 76774 Dermatology O/P

Laser, ND:YAG, Frequency- Doubled, Dermatologic

Palomar Medical Technologies Inc

550337 STARLUX50

10 10522

Dermatology O/P

Laser, Excimer Ra Medical Systems 471 EX308 $ $

11 11784

Dermatology O/P

Laser, ER:YAG, Dermatologic

Sciton Inc 14483460

JOULE7 $ $

12 12843

Dermatology O/P

Laser, Dual;

Wavelength System, Dermatologic

Solta Medical J0592 FRAXELRES

TOREEDUA

13 10067

Main Operating Room /SU

Laser, Carbon Dioxide, Surgical/ Dermatologic

Lumenis Inc 1475912 64240701 $ $

14 10332

Oceana Primary Care

Laser, Diode, Dental

Sirona Usa 3587 6088749 $ $

15 53646 Ophthalmolog y O/P

Laser, Diode, Ophthalmic

Iridex Corp 1622 Oculight SL $ $

16 76798 Ophthalmolog y O/P

LASER, DIODE,

Ophthalmic

Iridex Corp GL16477 C30

Oculight

GLX

17 11690

Ophthalmolog y O/P

Laser, ND:YAG, Frequency- Doubled Ophthalmic

Lumenis Inc 10376 SelectAII $ $

18 67022 Plastic Surgery O/P

Laser, ER:YAG, Dermatologic

Asclepion Laser Technologies

16240021

1624 $ $

19 66732 Plastic Surgery O/P

Laser, Ruby, Dermatologic

Lumenis Inc 950236 Lumensone $ $

20 10068

Plastic Surgery O/P

Laser, Carbon Dioxide, Surgical/ Dermatologic

Lumenis Inc 1475913 64240701 $ $

Total $ $

FY22 TABLE

L N

ECN NMCP Dept. Equipment Nomenclature

Mft Name Serial No. Nameplate Model

Cost Extended Cost

1 10473

Cross Sectional

RAD

Laser, Diode, Surgical

Angiodynamic s Inc

DELTA15004

DELTA15 $ $

2 12963

Dental Clinic Laser, ND:YAG, Dental

Millennium Dental Technologies Inc

PL172075 PERIOLASE

MVP-7

3 12963

Dental Services Bldg

2- NMCP

Laser, ND:YAG, Dental

Millennium Dental Technologies Inc

PL172078 PERIOLASE

MVP-7

4 13483

Dental Services Bldg

2- NMCP

Laser, ND:YAG Lumenis Ltd 21216 M22 $ $

5 76909 Dermatology O/P

Laser, ND:YAG, Dermatologic

Candela Corp 991404000106 Gentlemax 755 $ $

6 76917 Dermatology O/P

Laser, Alexandrite, Dermatologic

Candela Corp 991404000074 Alex Trivantage $ $

7 12149

Dermatology O/P

Laser, DYE, Dermatologic

Candela Corp 991403001998 Vbeam Perfecta

CTA

8 11147

Dermatology O/P

Laser, Carbon Dioxide, Surgical/ Dermatologic

Lumenis Inc 585 GA0000530 $ $

9 76774 Dermatology O/P

Laser, ND:YAG, Frequency- Doubled, Dermatologic

Palomar Medical Technologies Inc

550337 STARLUX500 $ $

10 10522

Dermatology O/P

Laser, Excimer Ra Medical Systems

471 EX308 $ $

11 11784

Dermatology O/P

Laser, ER:YAG, Dermatologic

Sciton Inc 1448346068 JOULE7 $ $

12 12843

Dermatology O/P

Laser, Dual;

Wavelength System, Dermatologic

Solta Medical J0592 FRAXELREST

OREEDUA

13 10067

Main Operating Room /SU

Laser, Carbon Dioxide, Surgical/ Dermatologic

Lumenis Inc 1475912 64240701 $ $

14 10332

Oceana Primary Care

Laser, Diode, Dental

Sirona Usa 3587 6088749 $ $

15 53646 Ophthalmolo gy O/P

Laser, Diode, Ophthalmic

Iridex Corp 1622 Oculight SL $ $

16 76798 Ophthalmolo gy O/P

LASER, DIODE,

Ophthalmic

Iridex Corp GL16477C30 Oculight GLX $ $

17 11690

Ophthalmolo gy O/P

Laser, ND:YAG, Frequency-Doubled Ophthalmic

Lumenis Inc 10376 SelectAII $ $

18 67022 Plastic Surgery O/P

Laser, ER:YAG, Dermatologic

Asclepion Laser Technologies

162400216 1624 $ $

19 66732 Plastic Surgery O/P

Laser, Ruby, Dermatologic

Lumenis Inc 950236 Lumensone $ $

20 10068

Plastic Surgery O/P

Laser, Carbon Dioxide, Surgical/ Dermatologic

Lumenis Inc 1475913 64240701 $ $

Total $ $

(End of Summary of Changes)