W81K00-17-T-0484-01.pdf

0011090835

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 include the Salient Characteristics and the Item List. See Summary of Changes.

1. CONTRACT ID CODE PAGE OF PAGES

J 1 7

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

16C. DATE SIGNED

BY 20-Sep-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 W81K00-17-T-0484

X 9B. DATED (SEE ITEM 11)

19-Sep-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 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

20-Sep-2017

CODE

W40M USA HLTH CONTRACTING ACT

SOUTHERN REG CONTR OFC

3551 ROGER BROOK DR BLDG 3600

FORT SAM HOUSTON TX 78234-6200

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

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

W81K00-17-T-0484

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 1449 - CONTINUATION SHEET

The following have been added by full text:

ITEM LIST

Item Id Item Description (Short) Price

078102 FOOT UP LARGE

1972434 CLEVER BONE STICK;XL 1 METER IN LENGTH

2000KNEE TOTAL KNEE 2000

2070S FULLY ASSEMBLED EXTENSION ASSIST

2100TK TOTAL KNEE 2100

2150OSS KNEE CAP BLACK HIGH ACTIVITY

A122300 EURO 4-HOLE ADAPTER

A245300 PYRAMID 4 HOLE WITH ROTATION

A345100 FEMALE PYR TUBE CLAMP TITANIUM

A445100 FEMALE SINGLE ADAPTER TITANIUM

A545110 FEMALE DOUBLE ADAPTER 32MM TITANIUM

A545120 FEMALE DBL ADAPT TITANIUM 45MM

A545130 FEMALE DOUBLE ADAPTOR TI 60MM

A545140 FEMALE DBL ADAPTOR TI 75MM

A717020 TUBE CARBON LONG

A746010 FEMALE PYLON TITANIUM/CARBON-SHORT

A746020 FEMALE PYLON LONG TITANIUM/CARBON

B217510104 BRACE KNEE FUNCTIONAL OSTEOARTHRITIS RT

B217520104 GII UNLOADER LATERAL RIGHT LG

B217610103 BRACE KNEE FUNCTIONAL OSTEOARTHRITIS LT

CHX0324 CHEETAH EXPLORER JUNIOR CAT. 3

CJX0300 CHEETAH JUNIOR RUN FOOT CAT. 3

CJX0400 CHEETAH JUNIOR CAT. 4

CM100068 SHOE HORN

CM130605 NUT M6 X 10 STAINLESS

CM130711 WASHER COUNTERSINK

CM150162 KIT F/PYR ADAPTOR W/HW CAT 7-9

CM150163 NIKE SOLE

ELP0025LBR ELATION FOOT SIZE 25 LEFT BROWN

ELP0025RBR ELATION FOOT SIZE 25 RIGHT BROWN

FCA022L FOOT SHELL SIZE 22CM LEFT CAUCASIAN

FCA029R FOOT COVER BEIGE SZ 29 RIGHT

FCE63007 SOCKS

FCEA22L KIT FOOT COVER W/EVO 22CM L

FCEA22R FOOT SHELL SIZE 22 RIGHT CAUCASIAN

FCEA23L KIT FOOT COVER W/EVO 23CM L

FCEA24L KIT FOOT COVER W/EVO 24CM L BR

FCEA25LBR KIT, EVO FOOT COVER 25CM LEFT, BROWN

FCEA25RBR COVER FOOT EVO, INCLUDES EVO SOCK AND AT

FCEA26R FOOTSHELL

FCEA27L EVO FOOT COVER 27CM LT CAUCASIAN

FCEA27R PROSTHETIC FOOT SHELL

FCEA28L VARI-FLEX EVO FOOT SHELL 28CM LEFT

FCEA28LBR FOOT SHELL 28CM LEFT BROWN

FCEA28R VERI-FLEX EVO FOOT SHELL 28CM RIGHT

FCEA28RBR EVO FOOT COVER KIT, INCLUDES EVO SOCK AN

FCEA29L EVO FOOTSHELL CAUCASIAN 29CM LEFT

FCEA29LBR EVO FOOT SHELL SIZE 29 COLOR BROWN

FCEA29R EVO FOOTSHELL CAUCASIAN 29CM RIGHT

FCEA30L FOOTSHELL W/EVO

FCT022LBR FLEXFOOT COVER KIT 22CM SANDAL TOE LEFT

FCT027L FOOTSHELL 27 L

FCX63006 FLEX-FOOT SPECTRA SOCKS 22-25CM

FCX63007 FLEX-FOOT SPECTRA SOCKS 26-30CM

FSX0047 CHEETAH FOOT CATEGORY 7

FSX0049 FOOT CHEETAH CATEGORY 9

FSX0075 FLEX RUN JUNIOR CAT. 5

FSX0085HI FLEX-RUN W/NIKE SOLE CAT 5 HIGH

FSX0086LO FLEX RUN WITH SOLE CAT 6 LOW

FSX0087HI FLEX RUN WITH NIKE SOLE CAT 7 HIGH

FSX0087LO FLEX RUN WITH NIKE SOLE CATEGORY 7

FSX0095 CHEETAH XPLORE CAT. 5

FSX0096 CHEETAH EXPLORE RUN FOOT CAT.6

FSX0097 CHEETAH EXPLORE RUN FOOT CAT. 7

FSX0098 CHEETAH XPLORE CAT. 8

FSX40001 PLATE ATTACHMENT

FSX40003 CONN FS 5 DEGRESS W/O INS

FSX50001 KIT CONN BK LAM FS CAT 1-6

FTUPR FOOT UP REGULAR

FWX00030 KIT M/PYR ADPTR W/HW CAT 1-6

FWX0030 MALE PYRAMID

I300020 DISTAL CUP WHITE 20

I300022 DISTAL CUP DERMO

I300026 DISTAL CUP DERMO SZ 26

I401325 ICEROSS DERMO LOCK 3MM 25

I401326 ICEROSS DERMO LOCKING LINER 3MM TAPERED

I401630 ICEROSS SZ 30 LINER DERMO STD 6MM

I444323 SEAL-IN X-LINER SIZE 23.5

I444325 SEAL-IN X-LINER SIZE 25

I444332 LINER SEAL IN X32

I444334 LINER SEAL IN X34

I4613235 ICEROSS SEAL-IN DERMO SZ 23.5 STD 3MM

I471325 SEAL-IN V LINER SIZE 25

I471330 SEAL-IN V LINER SIZE 30

I471332 SEAL-IN V LINER SIZE 32

I472330 SEAL-IN V LINER SIZE 30

I600326 ICEROSS SYNERGY 26.5

I713236 ICEROSS TF CONICAL 36

I713238 ICEROSS TF CONICAL 38

I753228 ICEROSS SEAL-IN TF STANDARD 28

I753230 ICEROSS SEAL-IN TF STANDARD 30

I753236 ICEROSS TRANSFEM SEAL-IN 36

I753238 ICEROSS TRANSFEM STD SEAL-IN SZ 38

I753240 ICECROSS TRANSFEM SEAL-IN SZ40 STD

I753245 ICECROSS TRANSFEM SEAL-IN SZ45 STD

I763228 ICEROSS SEAL-IN TF CONICAL 28

I763232 ICEROSS SEAL-IN TF CONICAL 32

I813120 ICEROSS UPPER X 20

I853225 CONICAL SIZE 25 SEAL-IN X-TF LINER

I853226 ICEROSS SIZE 26.5 SEAL-IN X-TF LINER

I853228 ICEROSS SIZE 28 SEAL-IN X-TF LINER

I853230 ICEROSS SIZE 30 SEAL-IN X-TF LINER

I853232 ICEROSS SIZE 32 SEAL-IN X-TF LINER

I853234 ICEROSS SIZE 34 SEAL-IN X-TF LINER

I853238 ICEROSS SIZE 38 SEAL-IN X-TF LINER

I853240 ICEROSS SIZE 40 SEAL-IN X-TF LINER

I853245 ICEROSS SIZE 45 SEAL-IN X-TF LINER

I853250 ICEROSS SIZE 50 SEAL-IN X-TF LINER

I863225 SEAL-IN X TF LINER CONICAL SIZE 25

I863226 SEAL-IN X TF LINER CONICAL SIZE 26

I863228 SEAL-IN X TF LINER CONICAL SIZE 28

I863230 SEAL-IN X TF LINER CONICAL SIZE 30

I863232 CONICAL SIZE 32 SEAL-IN X-TF LINER

I863236 SEAL-IN X TF LINER CONICAL SIZE 36

I863238 SEAL-IN X TF LINER CONICAL SIZE 38

I863240 SEAL-IN X TF LINER CONICAL SIZE 40

ISXF028 SEAL-IN X TF LINER CONICAL SIZE 28

ISXF030 SEAL-IN X TF LINER RING SIZE 30

ISXF032 SEAL-IN X TF LINER RING SIZE 32

ISXF035 SEAL-IN X TF LINER RING SIZE 35

ISXF038 SEAL-IN X TF LINER RING SIZE 38

ISXF041 SEAL-IN X TF LINER RING SIZE 41

ISXF044 SEAL-IN X TF LINER RING SIZE 44

ISXF051 X-TF RING FOR LINER SIZE 51

ISXF055 X-TF RING SIZE 55

ISXT035 SEAL-IN X SEAL RING SIZE 35

ISXT038 SEAL-IN X SEAL RING SIZE 38

ISXT041 SEAL-IN X SEAL RING SIZE 41

ITF67828 ICEROSS SEAL-IN X5 CONICAL 28

K531113 ICEROSS SEAL-IN SOCKS, SIZE 13, ICEROSS

K531116 ICEROSS SZ 36-45 SEAL-IN SOCK SZ 16 1-PL

K531313 SEAL-IN LINER SOCK 3 PLY SZ 13

K531316 ICEROSS SEAL-IN SOCKS, SZ 16, ICEROSS

L211000 ICELOCK CLUTCH 211

L214000 CLUTCH ICE LOCK 4H 214

L292003 ATTACH PIN CLTCH SH W/CAP 22MM 7 NOTCH

L292005 ATTACH PIN CLUTCH LONG W/CAP L= 52MM

L292011 LOCK BODY 4-HOLE W/GUIDE

L292125 ICELOCK 214 RING

L293045 SILICONE SEAL

MDX00021 ALUMINUM T KIT, CATEGORY 7-9

O102016 AFO DYNAMIC RIGHT LARGE

O102024 AFO DYNAMIC LEFT MEDIUM

O102026 AFO DYNAMIC LEFT LARGE

PXC0427L PRO-FLEX XC W/EVO, CAT 4,SZ.27CM,LEFT

PXC0527L PRO-FLEX W/ EVO CAT5,SZ.27CM LEFT

PXC0528L PRO-FLEX XC W/ EVO, CAT 5, SIZE 28CM,LF

PXC0627R PRO-FLEX XC WITH EVO, CAT 6,SZ.27CM,RT

QAP12504 QUICK ALIGN ADAPTER

RKN120007 RHEO KNEE

RRP040 ROTATE MALE SHOCK KIT CAT. 4

RRP050 ROTATE MALE SHOCK KIT C5

RRP060 SHOCK ROTATE MALE

RSP060 RE-FLEX MAKE SHOCK KIT CAT 6

RSPE5280 REFLEX ROTATE FOOT

RSPE6280 REFLEX ROTATE FOOT

RSPE8300 REFLEX ROTATE FOOT WITH EVO, STANDARD PR

SSPE3270 RE-FLEX SHOCK WITH EVO STANDARD PROFILE

SSPE4260 RE-FLEX SHOCK FOOT W/EVO CAT 4 26CM

SSPE5270 VSP SHOCK FOOT STANDARD CAT 5- 27CM

SSPE6270 VSP FOOT STANDARD CAT 6 - 27CM

SSPE6280 VSP FOOT STANDARD CAT 6 - 28CM

SSPE6290 RE-FLEX SHOCK WITH EVO STANDARD PROFILE

SSPE8290 VSP FOOT STANDARD CAT 8 - 29CM

TLX01013 CARBON FIBER TUBE KIT 15" CAT 6

TLX0327L TALUX FOOT

UNE21242 EVO HEEL UNI CAT 1 22-24 HHST

UNE23302 EVO HEEL UNI CAT 3 28-30 HHST

UNE25270 EVO HEEL UNI CAT 5 25-27 ST

UNE25302 HEEL SET 5

UNE26300 EVO HEEL UNI CAT 6 28-30

UNE27302 EVO HEEL MODULE

UNE28302 EVO HEEL UNI CAT 8 28-30 HHST

UPC0027 XC UNITY PUMP

UXC0022 XC UNITY PUMP

UXC0028 XC UNITY PUMP

VFPE3280 VARI-FLEX EVO FOOT WITH PYRAMID, CATEGOR

VFPE5282 FOOT, VARIFLEX EVO W/ PYRAMID, CAT5 SZ28

VFX00007 KIT TUBE GRAPH 15 IN CAT 7-9

VLPE3250 LP VARI-FLEX

VLPE3280 LP VARI-FLEX EVO FOOT CAT3 28CM

VLPE4250 LP VARI-FLEX EVO FT PYRAMID CAT 4 SZ 25

VLPE4260 VARIFLEX FOOT EVO 26CM RIGHT CAT4

VLPE6292 LP VARI-FLEX EVO FOOT WITH PYRAMID, CATE

VLPE6300 LP VARIFLEX EVO FOOT WPYRAMID CAT 6 30CM

VLPE8280 LP VARI-FLEX EVO FOOT WITH PYRAMID, CATE

XCPE2220 XC VARUFLEX FOOT CAT. 2 SIZE 22

XCPE6280 REFLEX FOOT XC

XCPE8280 XC VARUFLEX FOOT CAT. 8 SIZE 28

XCPEXXX2 VARIFLEX XC WITH EVO, CATEGORY 5 SIZE 27

XCPU5260 XC VARIFLEX FOOT FOR UNITY SIZE 26 CAT.

XCPU6280 XC VARIFLEX FOOT FOR UNITY SIZE 28 CAT.

XCPU8280 XC VARIFLEX FOOT FOR UNITY SIZE 28 CAT.

PYRAMID FEMALE 4 HOLE

SALIENT CHARACTERISTICS

Externally Powered Hands

A. Hands must be capable of myoelectric or switch control B. Hands must have individual articulations of each finger and thumb C. Individual digits must be clinician replaceable D. Each digit must have individual motor driven control E. Hand must be available in multiple sizes F. Hands must be programmable in up to 24 grip patterns.

G. Hands must be capable of gesture control H. Touch screen capable fingertips must be available I. Powered thumb positioning must be available

(End of Summary of Changes)