RFQ_N68908-18-Q-0006_AMENDMENT_01.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 OF THIS RFQ AMENDMENT IS TO CORRECT QUANTITY & UNIT FROM QUARTERLY TO BI-ANNUAL.

SEE ATTACHED CORRECTIONS.

THE QUOTE DUE DATE REAINS THE SAME AND IS NOT EXTENDED.

NME POC: RAY HINMAN, 1-757-593-3201, ray.a.hinman.civ@mail.mil

1. CONTRACT ID CODE PAGE OF PAGES

J 1 10

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

16C. DATE SIGNED

BY 06-Dec-2018

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 N6890819Q0006

X 9B. DATED (SEE ITEM 11)

03-Dec-2018

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 is extended, X 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

06-Dec-2018

CODE

NAVY MEDICINE EAST

ATTN: RAY HINMAN

SUITE 1400

620 JOHN PAUL JONES CIRCLE

PORTSMOUTH VA 23708-2106

N68908 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

N6890819Q0006

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 1449 - CONTINUATION SHEET

SUPPLIES OR SERVICES AND PRICES

Global Changes

CLIN 0001 -- CLIN 0002

The CLIN description has changed from ANNUAL EQUIPMENT SERVICE & MAINT. to BI-ANNUAL

EQUIPMENT SERVICE & MAINT..

The pricing detail quantity has decreased by 2.00 from 4.00 to 2.00.

The unit of issue has changed from Quarter (Time) to Each.

CLIN 0001

The CLIN extended description has changed from:

NAVAL HOSPITAL GB & VET CLINICQUARTERLY SERVICE & MAINTENANCE. VENDOR

AUTHORIZED QUARTERLY BILLING/INVOICING.

To:

NAVAL HOSPITAL GB & VET CLINICUNIT OF ISSUE EA = 6 MONTH PERIODBI-ANNUAL SERVICE &

MAINTENANCE. VENDOR AUTHORIZED BI-ANNUAL BILLING/INVOICING.

CLIN 0002

The CLIN extended description has changed from:

JTF FACILITYQUARTERLY SERVICE & MAINTENANCE. VENDOR AUTHORIZED QUARTERLY

BILLING/INVOICING.

JTF FACILITYUNIT OF ISSUE EA = 6 MONTH PERIODBI-ANNUAL SERVICE & MAINTENANCE.

VENDOR AUTHORIZED BI-ANNUAL BILLING/INVOICING.

DELIVERIES AND PERFORMANCE

The following Delivery Schedule item for CLIN 0001 has been changed from:

DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

POP 15-JAN-2019 TO

14-JAN-2020

N/A NAVAL HOSPITAL GUANTANAMO BAY

MATERIAL MANAGEMENT

COMMANDING OFFICER

USNH BOX 36

FPO AE 09589-0002

011-53-99-72621 FOB: Destination

N61564

CAGE

POP 15-JAN-2019 TO

14-JAN-2020

N/A NAVAL HOSPITAL GUANTANAMO BAY

MATERIAL MANAGEMENT

COMMANDING OFFICER

USNH BOX 36

FPO AE 09589-0002

011-53-99-72621

The following Delivery Schedule item for CLIN 0002 has been changed from:

CAGE

POP 15-JAN-2019 TO

14-JAN-2020

N/A NAVAL HOSPITAL GUANTANAMO BAY

MATERIAL MANAGEMENT

COMMANDING OFFICER

USNH BOX 36

FPO AE 09589-0002

011-53-99-72621

CAGE

POP 15-JAN-2019 TO

14-JAN-2020

N/A NAVAL HOSPITAL GUANTANAMO BAY

MATERIAL MANAGEMENT

COMMANDING OFFICER

USNH BOX 36

FPO AE 09589-0002

011-53-99-72621

The following have been modified:

CLIN 0001 EQUIP. LIST & PRICE

CLIN 0001 EQUIPMENT LIST & PRICE SHEET

Location ECN Nomenclature Manufacturer M/N S/N FY-19

USNH 3607 Steam Bulk Sterilizer - Amsco E3053-PD

Amsco E3053PD 0123397-02

USNH 7041 Prevac Steam Sterilizer - Steris V120

Steris V120 0322106-06

USNH 7681 AUTO-REFRACTER NIDEK ARK 560-A 920041

USNH 7732 VOLUSON ULTRASOUND Voluson A4182

USNH 7999 ANALYZER, PHYSIOLOGIC ZIESS 7601 7601-12699

USNH 8317 Dental X-Ray Planmeca Promax RPX239386

USNH 8318 STERILIZING UNIT, SCOPE MEDIVATOR SSD-102 642439-014

USNH 8328 LASER SCANNER ZIESS CIRRUS HD-4000 4000-6309

USNH 8649 Dental X-Ray Planmeca OY ITHC80613

USNH 8898 INFORMATION

SYSTEM,DATA

MANAGEMENT,MONITOR

OHMEDA M10019PN6490093

USNH 8904 E-NMT-00, EEG Module 6169086

USNH 8906 E-NMT-00, EEG Module 6244285

USNH 8911 E-NMT-00, EEG Module 6172134

USNH 9315 Dental X-Ray Planmeca Promax RPX240010

USNH 9316 Dental X-Ray Planmeca Intra-Oral IXRF-090621

USNH 9358 Flurscan Insite2 Hologic Fluoroscan Insite2 09-1010-41

USNH 9476 Dental X-Ray Aribex Nomad XA-110906-05

USNH 9742 STEAM STERILIZER STERIS CORP AMSCO

CENTURY V-148H

0330910-24

USNH 9743 WASHER-STERILIZER UNIT STERIS RELIANCE

GENFORE

3631210003

USNH 10231 MOBIL X-RAY GE OPTIMA 1028984WK1

USNH 10245 VENTILATOR, TRANSPORT LIFE SUPPORT

PRODUCTS

AUTOVENT 3000

2.0

20130813 0117

USNH 10321 FUMEHOOD

W/BIOLOGICALS

NUAIRE PHARMAGARD

797ES

15988510313

USNH 10350 STEAM BOILER STERIS CORP POWER PACK

ELECTRIC

41798

USNH 10433 FUMEHOOD

W/BIOLOGICALS

NUAIRE NU-425-200 16285804 1814

USNH 10469 ULTRASONIC WASHER

CLEANER

STERIS RELIANCE 1010C0917

USNH 10738 DISENFECTOR, VAPOR NONOSONICS TROPHN EPR 47085-009

USNH 10886 VENTILATORS HAMILTON G5 10685

USNH 10887 VENTILATORS HAMILTON G5 10667

USNH 10888 VENTILATORS HAMILTON G5 10574

USNH 10889 VENTILATORS HAMILTON G5 10498

USNH 10953 SCANNING SYSTEM SIEMENS SONOSITE 04589Y

USNH 10959 ANESTHESIA UNIT DRAGER APOLLO ASHK-0337

USNH 10960 BEDSIDE MONITOR GE CARESCAPE

B650

SK41634114HA

USNH 10961 VAPORIZER,

SEVOFLURANE

DRAGER VAPOR 2000 ASHK-0421

USNH 10962 VAPORIZER, DESFLURANE DRAGER D-VAPOR ASHJ-0107

USNH 10963 VAPORIZER, ISOFLURANE DRAGER VAPOR 2000 ASHK-1218

USNH 10986 BEDSIDE MONITOR GE CARESCAPE

B650

SK41634110HA

USNH 10987 BEDSIDE MONITOR GE CARESCAPE

B650

SK41634111HA

USNH 10988 BEDSIDE MONITOR GE CARESCAPE

B650

SK416341113HA

USNH 11320 STERILIZER STERIS GENFORE

STAGE 3

3618913011

USNH 11321 ANESTHESIA UNIT DRAGER APOLLO ASDH0239

USNH 11322 ANESTHESIA UNIT DRAGER APOLLO ASDH0230

USNH 11323 VAPORIZERS DRAGER ASDF0087

USNH 11324 VAPORIZERS DRAGER ASDF0259

USNH 11326 VAPORIZERS DRAGER ASDF0083

USNH 11327 VAPORIZERS DRAGER ASDH0843

USNH 11328 VAPORIZERS DRAGER ASDF0264

USNH 11385 SCANNING SYSTEM SIEMENS SONOSITE Q4Q55Q

USNH E-P-00, INVASIVE BP

MODULE

GE 6065451

USNH E-ENTROPHY-00

PHYSIO;OGIC MONITOR

GE 6244007

USNH ES-CAIOV-00, ANESTHETIC

GAS MONITOR MODULE

GE SGV16330129HA

USNH ES-CAIOV-00, ANESTHETIC

GAS MONITOR MODULE

GE SGV16330163HA

USNH

HOSPITAL ANNUALIZED MEDICAL EQUIPMENT PM TOTALS SUB-TOTAL:

USNH 000007 POWER METER,

ULTRASOUND,

DIAGNOSTIC UNIT

BIO-TEK INSTRUMENTS INC 111366

USNH 005586 SYRINGE, PLUNGER,

CALIBRATION,

SPIROMETER/PULMONARY

FUNCTION ANALYZER

HANS RUDOLPH INC 5530 553-24147

USNH 006439 MULTIMETER, DIGITAL FLUKE BIOMEDICAL RMS

MULTIMETER

80130315

USNH 006715 SIMULATOR, CARDIAC,

ELECTROCARDIOGRAPHY

DNI NEVADA INC 217A 7167

USNH 006961 TESTER, VENTILATOR PURITAN BENNETT CORP 4150632003

USNH 007145 SYRINGE, 3.0 L

CALIBRATION

FERRRARIS

MEDICAL INC

EAGLET 2007SY210

USNH 007960 SIMULATOR, NONINVASIVE

BLOOD PRESSURE

FLUKE BIOMEDICAL BP PUMP 2 1041008

USNH 007961 TESTER,

ELECTROSURGICAL UNIT

FLUKE BIOMEDICAL RF 303 1055018

USNH 007962 TESTER,

ELECTROSURGICAL UNIT

FLUKE BIOMEDICAL RF 303 1056035

USNH 007963 SIMULATOR, CARDIAC,

ELECTROCARDIOGRAPHY

FLUKE BIOMEDICAL PS415 1027018

USNH 007964 SIMULATOR, CARDIAC,

ELECTROCARDIOGRAPHY

FLUKE BIOMEDICAL PS415 1021028

USNH 007966 TESTER, PULSE OXIMETRY

MONITOR

FLUKE BIOMEDICAL INDEX 2 1050007

USNH 007967 PRESSURE METER,

DIGITAL

FLUKE BIOMEDICAL DPM2PLUS 1033040

USNH 008139 PHOTOTACHOMETER EXTECH

INSTRUMENTS

CORP

461920 09034658

USNH 008142 MULTIMETER, DIGITAL FLUKE BIOMEDICAL 287 95660029

USNH 008143 MULTIMETER, DIGITAL FLUKE BIOMEDICAL 287 95740311

USNH 008144 OSCILLOSCOPE FLUKE BIOMEDICAL 124 DM9740170

USNH 008145 OSCILLOSCOPE FLUKE BIOMEDICAL 124 DM9770184

USNH 008627 WEIGHT, BALANCE,

PRECISION

OHAUS CORP WEIGHT-1/32OZ-

2#

97001-02

USNH 008628 THERMOMETER,

ELECTRONIC, INFRARED,

SKIN

EXERGEN CORP TAT 5000 A41969

USNH 009083 BILI-METER SENSOR NATUS MEDICAL INC MODEL 22 F-2815

USNH 009097 PHOTOHERAPY

RADIOMETER

NATUS MEDICAL INC MODEL 22 6898

USNH 009313 SIMULATOR, NONINVASIVE

BLOOD PRESSURE

PRONK

TECHNOLOGIES INC

SC-5 4666

USNH 009423 SYRINGE, 3.0 L

CALIBRATION

NSPIRE HEALTH INC 3LTR VOL CAL

SYR

2011SY418

USNH 009424 SYRINGE, 3.0 L

CALIBRATION

NSPIRE HEALTH INC 3LTR VOL CAL

SYR

2011SY419

USNH 009452 TESTER,

ELECTROSURGICAL UNIT

FLUKE BIOMEDICAL RF 303 1810060

USNH 009834 SIMULATOR, NONINVASIVE

BLOOD PRESSURE

PRONK

TECHNOLOGIES INC

SIMCUBE SC-5 5373

USNH 009835 SIMULATOR, NONINVASIVE

BLOOD PRESSURE

PRONK

TECHNOLOGIES INC

SIMCUBE SC-5 5374

USNH 009878 ANALYZER, ELECTRICAL

SAFETY

DALE TECHNOLOGY

INC

LT544D PLUS 2181051

USNH 009879 ANALYZER, ELECTRICAL

SAFETY

DALE TECHNOLOGY

INC

LT544D PLUS 2182109

USNH 009892 ANALYZER, ELECTRICAL

SAFETY

DALE TECHNOLOGY

INC

LT544D PLUS 2181053

USNH 010355 THERMOMETER, DIGITAL REO TEMO

INSTRUMENT

TM99A 102209005

USNH 010383 TESTER,

ELECTROSURGICAL UNIT

BC GROUP

INTERNATIONAL INC

ESU-2400 73781572

USNH 010390 SIMULATOR,

MULTIPARAMETER

FLUKE PS320 2751030

USNH 010391 SIMULATOR,

MULTIPARAMETER

FLUKE PS320 2751031

USNH 010394 TESTER, DEFIBRILLATOR FLUKE BIOMEDICAL IMPULSE 7000DP 2755029

USNH 010395 TESTER, DEFIBRILLATOR FLUKE BIOMEDICAL IMPULSE 7000DP 2755030

USNH 010446 SCALE, CLINICAL,

PRECISION

SARTORIUS LAB

INSTRUMENTS

ENTRIS822-1S 31610850

USNH 010447 SCALE, CLINICAL,

PRECISION

SARTORIUS LAB

INSTRUMENTS

ENTRIS822-1S 31611207

USNH 010568 METER, PRESSURE BC GROUP

INTERNATIONAL INC

DPM-2001 PLUS 73261394

USNH 010569 METER, PRESSURE BC GROUP

INTERNATIONAL INC

DPM-2001 PLUS 73261395

USNH 010591 TESTER, DEFIBRILLATOR ZOLL MEDICAL

CORP

AED PLUS SIM Q14H31783

USNH 010619 THERMOMETER,

ELECTRONIC

FLUKE 52 II 28400413WS

USNH 010620 THERMOMETER,

ELECTRONIC

FLUKE 52 II 28400414WS

USNH 010625 SIMULATOR,

MULTIPARAMETER

PRONK

TECHNOLOGIES INC

SL-8 3536

USNH 010639 ANALYZER, ELECTRICAL

SAFETY

BC GROUP

INTERNATIONAL INC

SA2010S 73382718

USNH 010640 ANALYZER, ELECTRICAL

SAFETY

BC GROUP

INTERNATIONAL INC

SA2010S 73382719

USNH 010641 ANALYZER, ELECTRICAL

SAFETY

BC GROUP

INTERNATIONAL INC

SA2010S 73382720

USNH 010643 POWER METER,

ULTRASOUND,

DIAGNOSTIC UNIT

BC GROUP

INTERNATIONAL INC

USP-100A 901165701020

USNH 010648 SIMULATOR,

MULTIPARAMETER

FLUKE BIOMEDICAL INCU

INCUBATOR

60501267

USNH 010706 WEIGHT SET,

CALIBRATION

BC GROUP

INTERNATIONAL INC

5 LB WEIGHT 66NZ

USNH 010707 WEIGHT SET,

CALIBRATION

BC GROUP

INTERNATIONAL INC

5 LB WEIGHT 66P0

USNH 010708 WEIGHT SET,

CALIBRATION

BC GROUP

INTERNATIONAL INC

10 LB WEIGHT 66P1

USNH 010709 WEIGHT SET,

CALIBRATION

BC GROUP

INTERNATIONAL INC

10 LB WEIGHT 66P2

USNH 010710 WEIGHT SET,

CALIBRATION

BC GROUP

INTERNATIONAL INC

25 LB WEIGHT 66P3

USNH 010711 WEIGHT SET,

CALIBRATION

BC GROUP

INTERNATIONAL INC

25 LB WEIGHT 66P4

USNH 010712 WEIGHT SET,

CALIBRATION

BC GROUP

INTERNATIONAL INC

25 LB WEIGHT 66P5

USNH 010713 WEIGHT SET,

CALIBRATION

BC GROUP

INTERNATIONAL INC

25 LB WEIGHT 66P6

USNH 010714 WEIGHT SET,

CALIBRATION

BC GROUP

INTERNATIONAL INC

50 LB WEIGHT 66P7

USNH 010715 WEIGHT SET,

CALIBRATION

BC GROUP

INTERNATIONAL INC

50 LB WEIGHT 66P9

USNH 010716 WEIGHT SET,

CALIBRATION

BC GROUP

INTERNATIONAL INC

50 LB WEIGHT 66P8

USNH 010717 WEIGHT SET,

CALIBRATION

BC GROUP

INTERNATIONAL INC

50 LB WEIGHT 66PA

USNH 010905 SIMULATOR,

MULTIPARAMETER

PRONK

TECHNOLOGIES INC

SL-8 2458

USNH 010906 SIMULATOR,

MULTIPARAMETER

PRONK

TECHNOLOGIES INC

SL-8 2460

USNH 010907 SIMULATOR, TRANSDUCER

OUTPUT, PULSE OXIMETRY

PRONK

TECHNOLOGIES INC

OX-1 OX 4370

USNH 010908 SIMULATOR, TRANSDUCER

OUTPUT, PULSE OXIMETRY

PRONK

TECHNOLOGIES INC

OX-1 OX 5223

USNH 010909 SIMULATOR, TRANSDUCER

OUTPUT, PULSE OXIMETRY

PRONK

TECHNOLOGIES INC

OX-1 OX 5221

NAVAL HOSPITAL ANNUALIZED TEST EQUIPMENT CALIBRATION TOTALS SUB-TOTAL:

Location ECN Nomenclature Manufacturer M/N S/N FY-19

BASE YEAR

VET

CLINIC

7485 Sterlizer Midmark M11 V1097979

VET

CLINIC

7487 Anesthesia Unit - Webster Veterinary - MDS Matrix

MDS Matrix 13617

VET

CLINIC

7489 Del X Ray Image Digitizer Dell B10067-0302

VET

CLINIC

7490 Utrasonic Scanning System Sonosite 039GH 039GH

VET

CLINIC

7492 Anesthesia Unit - Midmark Midmark 94305370 82407

VET

CLINIC

11370 VET. X-RAY MINXRAY INNOVET VERSA BGA6130716

VET

CLINIC

35007 DENTAL X-RAY ARIBEX NOMAD 23599

VET

CLINIC

36806 ULTRASOUND SONOSITE M-

TURBO

SONOSITE M-

TURBO

040X0L

VET CLINIC SUB-TOTAL:

CLIN 0001 PRICE SHEET

USNH MEDICAL EQUIPMENT PM SUB-TOTAL: $_____________________

USNH TEST EQUIPMENT CALIBATION SUB-TOTAL: $_____________________

USNH TOTAL: $_____________________

VET CLINIC SUB-TOTAL: $_____________________

GRAND TOTAL: $_____________________

INFORMATION SHEET

THIS IS FULL & OPEN SOLICITATION

ALL INTERESTED VENDORS MUST BE REGISTERED IN www.sams.gov

ALL VENDORS MUST COMPLETE THE SUBMIT THE BELOW INFORMATION

VENDOR NAME: _____________________________________________

CAGE CODE: _____________________

DUNS NUMBER: _____________________

EIN/TIN: _____________________

VENDOR POC: _____________________________________________

PHONE: _____________________

EMAIL: _____________________

BI‐ANNUAL INSPECTION PER YEAR.

BI‐ANNUAL BILLING/INVOICING AUTHORIZERD.

PRODUCT/SERVICES FOR: NAVAL HOSPITAL GUANTANAMO BAY, CUBA w/

VET CLINIC & JTF – JOINT DETAINEE FACILITY

NAVY MEDICINE EAST CONTRACTING OFFICE

POC: RAY HINMAN, CONTRACT SPECIALIST

PHONE: 757‐953‐3201

EMAIL: ray.a.hinman.civ@mail.mil

NOTE: Vendor is required to provide billing electronically via the WAWF Electronic Invoicing method. For additional information, a review of the following web sites may be required:

https://wawf.eb.mil http://wawftraining

Prompt Payment: For Prompt Payment Act Purposes, this contract is: Subject to the 7‐ Calender Day Constructive Acceptance Period. Payment in Arrears.

(End of Summary of Changes)