W81K00-23-Q-0162-03_Final.pdf

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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

This amendment is issued to add the Updated Equipment List and Vendor Questions and Answ ers.

1. CONTRACT ID CODE PAGE OF PAGES

J 1 9

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

16C. DATE SIGNED

BY 06-Sep-2023

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 W81K0023Q0162

X 9B. DATED (SEE ITEM 11)

24-Aug-2023

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-Sep-2023

CODE

W40M USA HCA

MEDICAL READINESS CONTR OFFICE WEST

3160 MCINDOE BLDG 1103

JBSA FT SAM HOUSTON TX 78234-4504

W81K00 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

W81K0023Q0162

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 1449 - CONTINUATION SHEET

The following have been added by full text:

QUESTIONS AND ANSWERS

CT Unit Question: What coverage does the customer need on tubes? As an example Axiom Luminos Agile Max (4460698) says tubes are included. What specifics underline what is covered or excluded?

Answer: Replacement if tube stops working correctly. All tubes are included in coverage for replacement for improper func�on or non‐ func�on.

Question: If tubes are to be covered please help us understand the usage/ age of the tubes currently onsite.

Answer: Tubes are used regularly to cover our pa�ent load, all tubes are original to equipment non have been replaced.

Question: What hours of coverage are needed for imaging devices and what type of response �me is necessary?

Answer: 0800‐1700, MON‐FRI, excluding Federal holidays.

Question: What type of detector coverage are they looking for? Inclusive of drop coverage or just standard?

Answer: Standard

Question: Please review tag item detail. For instance there are 2 tag IDs 4460960 for a Somatom Defini�on.

Answer: Dis‐regard tag numbers also see new updated excel list on go by serial numbers tag number are from different vendor

Question: believes there is only 1 CT based on the serial number, please confirm.

Answer: Only 1 ct

Question: As noted on 1 of the CT lines "X‐ray Tubes; Service must be performed by a designated vendor; Final coverage and pricing pending approval a�er pre Inspec�on; 12*24 hour response �me"

Question: Please confirm who is to be�er assess this requirement?

Answer: Vendor can assess this disregard the 12/24 response this was from other vendor

Question: will not be able to include a quote that covers pre‐inspec�on without knowledge of the service history.

Question: Can a service history be provided for the CT unit?

Answer: yes

Question: How should we consider pricing?

Answer: Price according to your need to cover the equipment for both scheduled PMs and calibra�ons and or unscheduled repairs.

Question: Please also confirm the vendor, this appears to be a Lab services and Consul�ng company. I don't believe they have a credentaling program.

Answer: 3rd part vendors are acceptable if they have been cer�fied in servicing the equipment and or have 5 years of experience working on the equipment.

Other Please see new attached equipment list, updated should not have any duplicates for serial numbers if you see a duplicate serial number disregard.

UPDATED EQUIPMENT LIST

Manufacturer Model Quantity Description Serial Number Canon Transducer 118LX5 Canon Transducer 11C3 Canon Transducer 11MC4 Canon Transducer 177LX3 Canon Transducer 17LH7 Canon Aplio i900 1 Washer HND1922047 Canon Aplio i900 1 Ultrasound HND1922049 Canon Transducer l24LX8 Canon Transducer PVJ-475BX Canon Sub Items:

Canon Sub Items Canon Sub Items 1 17LH7 Canon Transducer 1 I24LX8 Canon Transducer 1 11MC4 Canon Transducer 1 IBCXl Canon Transducer Canon Included Coverage: Repair/Exchange only on listed transducer must be sourced

Canon Sub Items Canon Transducer 1 111LX3 Canon Transducer 1 118LX5 Canon Transducer 1 11C3

Carl Zeiss Medltec HFA3 860 1 HFA3 860 860-10932 Dell OptiPlex XE2 1 Desktop 30298 Draeger JM-105 1 Bilirubinometer, Cutaneous 82001643

Draeger JM-105 1 Bilirubinometer, Cutaneous

82001646

Draeger JM-105 1 Bilirubinometer, Cutaneous

82001793

Draeger JM-105 1 Bilirubinometer, Cutaneous

82001795

Draeger D-Vapor 1 Vaporizer ASHL-0143 Draeger D-Vapor 1 Vaporizer ASHL-0144

Draeger D-Vapor 1 Vaporizer ASHL-0145 Draeger D-Vapor 1 Vaporizer ASHL-0146 Draeger D-Vapor 1 Vaporizer ASHL-0147 Draeger Vapor 2000 1 Vaporizer ASHN-0098 Draeger Vapor 2000 1 Vaporizer ASHN-0657 Draeger Vapor2000 1 Vaporizer ASHN-0781 Draeger Vapor2000 1 Vaporizer ASHN-0784 Draeger Vapor2000 1 Vaporizer ASHN-0858 Draeger Vapor 2000 1 V.iporizer ASHN-0859 Draeger Vapor2000 1 Vaporizer ASHN-0860 Draeger Vapor 2000 1 Vaporizer ASHN-1118 Draeger Apollo 1 Anesthesia Unit ASJA0042 Draeger Anesthesia Unit 1 Apollo ASJA0042 Draeger JM-105 1 Bilirubinometer, Cutaneous B2001713

Draeger JM-105 1 Bilirubinometer, Cutaneous

B2001792

Draeger Bilirubinometer, Cutaneous

B2001795

Manufacturer Model Quantity Description Serial Number Draeger Calibration performed during PM visit, Service must be performed by designated Vendor

Draeger Included Coverage: Depot service, Battery replacement

Draeger Included Coverage: Depot service, Battery replacement Draeger Included Coverage: Depot service, Battery replacement Draeger Included Coverage: Depot service, Battery replacement Draeger Included Coverage: Depot service, Battery replacement Draeger Included Coverage: Depot service, Battery replacement Draeger Apollo 1 Anesthesia Unit ASJAOOlB Draeger Apollo 1 Vaporizer ASHL-0782 Draeger Vapor 2000 1 Vaporizer ASHN-1117 Draeger Apollo 1 Anesthesia Unit ASJA0019 Draeger Apollo 1 Vaporizer ASJA0029 Draeger Apollo 1 Anesthesia Unit ASJADD36 General Electric Proteus XR/a 1 X-ray 1BB7PY2 General Electric Proteus XR/a 1 X-ray 74562HLO General Electric Included Coverage: X-ray Tubes General Electric Included Coverage: X-ray Tubes Getinge 46-4 1 Washer W50036056 Getinge 2460UC Ultrasonic Cleaner KSK14070

Getinge 2460UC 1 Ultrasonic Cleaner KSK14071 Getinge Sterilizer 1 733HC URA053357 Getinge 733HC 1 Sterilizer URA053358 Getinge 733HC 1 Sterilizer URAOS3357 Getinge Washer 1 46-4 W50036056 Getinge 46-4 1 Washer W50036081 Getinge Washer 1 46-4 W50036081 Getinge 9125 1 Washer WAAOS3232 Getinge 8668 1 Washer WS0049076 Getinge 8668 1 Washer WS0049076 Getinge Included Coverage: 2 cleanings per year to be performed during the PM visit

Getinge Included Coverage: 2 cleanings per year to be performed during the PM visit

Helmer iLR125 1 Refrigerator, Laboratory 978007 Helmer iLR12S 1 Refrigerator, Laboratory 978008 Helmer iLR125 1 Refrigerator, Laboratory 978009 Helmer iLR256 1 Refrigerator, Pharmacy 978220 Helmer iLR125 1 Refrigerator, Pharmacy 980858 Helmer IPR245 1 Refrigerator, Pharmacy 992513 Helmer IPR245 1 Refrigerator, Pharmacy 992713 Helmer iPR245 1 Refrigerator 993500 Helmer iLR125 1 Refrigerator, Laboratory 2012439 Helmer iLR125 1 Refrigerator, Laboratory 2016270 Helmer iLR256 1 Refrigerator, Pharmacy 2024426 Manufacturer Model Quantity Description Serial Number Helmer IPR256 1 Refrigerator, Pharmacy 2026226 Helmer Horizon HLR125 1 Refrigerator 2041920 Helmer IPR256 1 Refrigerator, Pharmacy 2054927 Helmer IPR256 1 Refrigerator, Pharmacy 2064763 Helmer IPR256 1 Refrigerator, Pharmacy 2064928 Helmer IPR256 1 Refrigerator, Pharmacy 2068524 Hologic Selenia Dimensions 20 1 Mammography 81010143980 Hologic lnSight FD 1 C-Arm 20-1114-24 Hologic lnSight FD 1 C-Arm 20-1114-2S Hologic 1 Acq uisitionWorkstation ASY-01418 Hologic Sub-Items 1 Gantry AY-01626 Hologic 1 Computer Sun Ultra45 Hologic Included Coverage: X-ray Tubes, Detector, Paddle replacement

Hologlc Included Coverage: : X-ray tubes Detector Hologlc C-Arm lnSight FD Hologlc Included Coverage: : X-ray tubes Detector Medrad Stellant 1 Injector 204159 Medrad MRXPERION 1 Injector 84284254103829.00 Medrad Service must be performed by designated vendor Samsung GM85 1 X-ray 52VUM31KA0000BM

(SN#SMA1880350}

Samsung GM85 1 X-ray 5628M3HN500005E

Samsung Included Coverage: : X-ray tube, Batteries Samsung Included Coverage: : X-ray tube, Batteries Siemens YsioMax 1 Digital Radiography

System 11249

Siemens Asiom Luminos Agile Fixed Detector

1 R/F Unit Wireless Detector

11297

Siemens Digital Radiography System

1 Ysio Max 11524

Siemens Ysio Max 1 Digital Radiography System

11524 /SID 27806

Siemens Ysio Max 1 Digital Radiography System

1655(SN4007)

Siemens SOMATOM Definition 1 CT 7388(SN#92056) AS Siemens Digital Radiography

System 1 Ysia Max

Siemens Included Coverage: X-ray Tube, Fixed Detector, Wall Stand Siemens X-ray Tubes; Service must be performed by Reml designated vendor; Final coverage and pricing pending Reml approval after pre- Inspection; 12ꞏ24 hour response time Siemens Included Coverage: X-ray tube, Fixed Detector, Wall Stand Siemens Included Coverage: X-ray tube, Fixed Detector, Wall Stand Siemens Included Coverage: X-ray Tubes, Fixed Detector Stryker Corp Cordless Driver 1 Cordless Driver 4 1421905233 Stryker Corp Included Coverage: Onslte Preventative maintenance

Included Coverage: Depot service only for corrective maintenance, Onslte service as required, Loaners based on av a Ila blllty, Shipping charges

Stryker Corp Included Coverage: Onsite Preventative maintenance, Depot service only for corrective ma intenance, Onsite service as required, Loaners based on availability, Shipping charges

Stryker Corp. Cordless Driver 1 Cordless Driver 1336101823 Stryker Corp. Cordless Driver 1 Cordless Driver 4 1419902043 Stryker Corp. Cordless Driver 1 Cordless Driver 1421905203 Canon Transducer 118LX5 Canon Transducer 11C3 Manufacturer Model Quantity Description Serial Number Canon Transducer 11MC4 Canon Transducer 177LX3 Canon Transducer 17LH7 Canon Aplio i900 1 Washer HND1922047 Canon Aplio i900 1 Ultrasound HND1922049 Canon Transducer l24LX8 Canon Transducer PVJ-475BX Canon Sub Items:

Canon Sub Items Canon Sub Items 1 17LH7 Canon Transducer 1 I24LX8 Canon Transducer 1 11MC4 Canon Transducer 1 IBCXl Canon Transducer

Canon Sub Items

Canon Transducer 1 111LX3 Canon Transducer 1 118LX5 Canon Transducer 1 11C3

Carl Zeiss Medltec HFA3 860 1 HFA3 860 860-10932 Dell OptiPlex XE2 1 Desktop 30298 Draeger JM-105 1 Bilirubinometer, Cutaneous 82001643

Draeger JM-105 1 Bilirubinometer, Cutaneous

82001646

Draeger JM-105 1 Bilirubinometer, Cutaneous

82001793

Draeger JM-105 1 Bilirubinometer, Cutaneous

82001795

Draeger D-Vapor 1 Vaporizer ASHL-0143 Draeger D-Vapor 1 Vaporizer ASHL-0144 Draeger D-Vapor 1 Vaporizer ASHL-0145 Draeger D-Vapor 1 Vaporizer ASHL-0146 Draeger D-Vapor 1 Vaporizer ASHL-0147 Draeger Vapor 2000 1 Vaporizer ASHN-0098 Draeger Vapor 2000 1 Vaporizer ASHN-0657 Draeger Vapor2000 1 Vaporizer ASHN-0781 Draeger Vapor2000 1 Vaporizer ASHN-0784 Draeger Vapor2000 1 Vaporizer ASHN-0858 Draeger Vapor 2000 1 V.iporizer ASHN-0859 Draeger Vapor2000 1 Vaporizer ASHN-0860 Draeger Vapor 2000 1 Vaporizer ASHN-1118 Draeger Apollo 1 Anesthesia Unit ASJA0042 Draeger Anesthesia Unit 1 Apollo ASJA0042 Draeger JM-105 1 Bilirubinometer, Cutaneous B2001713

Draeger JM-105 1 Bilirubinometer, Cutaneous

B2001792

Draeger Bilirubinometer, Cutaneous

B2001795

Draeger Calibration performed during PM visit, Service must be performed by designated Vendor Draeger Calibration performed during PM visit, Service must be performed by designated Vendor Manufacturer Model Quantity Description Serial Number Draeger Calibration performed during PM visit, Service must be performed by designated Vendor Draeger Calibration performed during PM visit, Service must be performed by designated Vendor Draeger Calibration performed during PM visit, Service must be performed by designated Vendor Draeger Included Coverage: Depot service, Battery replacement Draeger Included Coverage: Depot service, Battery replacement Draeger Included Coverage: Depot service, Battery replacement Draeger Included Coverage: Depot service, Battery replacement Draeger Included Coverage: Depot service, Battery replacement

Draeger Apollo 1 Anesthesia Unit ASJAOOlB Draeger Apollo 1 Vaporizer ASHL-0782 Draeger Vapor 2000 1 Vaporizer ASHN-1117 Draeger Apollo 1 Anesthesia Unit ASJA0019 Draeger Apollo 1 Vaporizer ASJA0029 Draeger Apollo 1 Anesthesia Unit ASJADD36 General Electric Proteus XR/a 1 X-ray 1BB7PY2 General Electric Proteus XR/a 1 X-ray 74562HLO General Electric Included Coverage: X-ray Tubes General Electric Included Coverage: X-ray Tubes Getinge 46-4 1 Washer W50036056 Getinge 2460UC Ultrasonic Cleaner KSK14070 Getinge 2460UC 1 Ultrasonic Cleaner KSK14071 Getinge Sterilizer 1 733HC URA053357 Getinge 733HC 1 Sterilizer URA053358 Getinge 733HC 1 Sterilizer URAOS3357 Getinge Washer 1 46-4 W50036056 Getinge 46-4 1 Washer W50036081 Getinge Washer 1 46-4 W50036081 Getinge 9125 1 Washer WAAOS3232 Getinge 8668 1 Washer WS0049076 Getinge 8668 1 Washer WS0049076 Getinge Included Coverage: 2 cleanings per year to be performed during the PM visit Getinge Included Coverage: 2 cleanings per year to be performed during the PM visit Helmer iLR125 1 Refrigerator, Laboratory 978007 Helmer iLR12S 1 Refrigerator, Laboratory 978008 Helmer iLR125 1 Refrigerator, Laboratory 978009 Helmer iLR256 1 Refrigerator, Pharmacy 978220 Helmer iLR125 1 Refrigerator, Pharmacy 980858 Helmer IPR245 1 Refrigerator, Pharmacy 992513 Helmer IPR245 1 Refrigerator, Pharmacy 992713 Helmer iPR245 1 Refrigerator 993500 Helmer iLR125 1 Refrigerator, Laboratory 2012439 Helmer iLR125 1 Refrigerator, Laboratory 2016270 Helmer iLR256 1 Refrigerator, Pharmacy 2024426 Helmer IPR256 1 Refrigerator, Pharmacy 2026226 Helmer Horizon HLR125 1 Refrigerator 2041920 Helmer IPR256 1 Refrigerator, Pharmacy 2054927 Helmer IPR256 1 Refrigerator, Pharmacy 2064763 Helmer IPR256 1 Refrigerator, Pharmacy 2064928 Helmer IPR256 1 Refrigerator, Pharmacy 2068524 Hologic Selenia Dimensions 20 1 Mammography 81010143980 Hologic lnSight FD 1 C-Arm 20-1114-24 Manufacturer Model Quantity Description Serial Number Hologic lnSight FD 1 C-Arm 20-1114-2S Hologic 1 Acq uisitionWorkstation ASY-01418 Hologic Sub-Items 1 Gantry AY-01626 Hologic 1 Computer Sun Ultra45

Hologic Included Coverage: X-ray Tubes, Detector, Paddle replacement Hologlc Included Coverage: : X-ray tubes Detector Hologlc C-Arm lnSight FD Hologlc Included Coverage: : X-ray tubes Detector Medrad Stellant 1 Injector 204159 Medrad MRXPERION 1 Injector 84284254103829.00 Medrad Service must be performed by designated vendor Samsung GM85 1 X-ray 52VUM31KA0000BM

(SN#SMA1880350}

Samsung GM85 1 X-ray 5628M3HN500005E Samsung Included Coverage: : X-ray tube, Batteries Samsung Included Coverage: : X-ray tube, Batteries Siemens YsioMax 1 Digital Radiography

System 11249

Siemens Asiom Luminos Agile Fixed Detector

1 R/F Unit Wireless Detector

11297

Siemens Digital Radiography System

1 Ysio Max 11524

Siemens Ysio Max 1 Digital Radiography System

11524 /SID 27806

Siemens Ysio Max 1 Digital Radiography System

1655(SN4007)

Siemens SOMATOM Definition 1 CT 7388(SN#92056) AS Siemens Digital Radiography

System 1 Ysia Max

Siemens Included Coverage: X-ray Tube, Fixed Detector, Wall Stand Siemens X-ray Tubes; Service must be performed by Reml designated vendor; Final coverage and pricing pending Reml approval after pre- Inspection; 12ꞏ24 hour response time Siemens Included Coverage: X-ray tube, Fixed Detector, Wall Stand Siemens Included Coverage: X-ray tube, Fixed Detector, Wall Stand Siemens Included Coverage: X-ray Tubes, Fixed Detector Stryker Corp Cordless Driver 1 Cordless Driver 4 1421905233 Stryker Corp Included Coverage: Onslte Preventative maintenance

Included Coverage: Depot service only for corrective maintenance, Onslte service as required, Loaners based on av a Ila blllty, Shipping charges

Stryker Corp Included Coverage: Onsite Preventative maintenance, Depot service only for corrective ma intenance, Onsite service as required, Loaners based on availability, Shipping charges

Stryker Corp. Cordless Driver 1 Cordless Driver 1336101823 Stryker Corp. Cordless Driver 1 Cordless Driver 4 1419902043 Stryker Corp. Cordless Driver 1 Cordless Driver 1421905203

The following have been deleted:

EQUIPMENT LIST

(End of Summary of Changes)