W9114F21Q00220001.pdf

W91FVL165071

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 amendment is to complete the follow ing:

1. Correct ADDENDUM TO 52.212-4 # 8.

2. Enter the Destination Address in 52.212-2, Sub-Factor 3.

1. CONTRACT ID CODE PAGE OF PAGES

J 1 4

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

16C. DATE SIGNED

BY 14-Jan-2021

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 W9114F21Q0022

X 9B. DATED (SEE ITEM 11)

12-Jan-2021

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 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

14-Jan-2021

CODE

W40M RHCO USAHCA EUROPE

REGIONAL HEALTH CONTR OFC EUROPE

CMR 402

APO AE 09180

W9114F 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

W9114F21Q0022

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 1449 - CONTINUATION SHEET

The following have been modified:

ADDENDUM TO 52.212-4

Amend Paragraph 52.212-4(a) to include - The contractor shall provide the following, and by returning a signed copy of your quote, the contractor affirms that its quote meets the eight (8) items:

(1) Electrical requirements voltage output of 240 VAC 50Hz or dual voltage 110/240 VAC 50/60Hz.

(2) Include appropriate power cord, 2-prong, male, European style.

(3) Two paper copies and one electronic copy of Operator's Manual in English.

(4) Two paper copies and one electronic copy of Maintenance Manual in English.

(5) Display and control labels shall be in English.

(6) A Statement from vendor of the warranty terms and conditions in English.

(7) The delivered equipment shall be new and not a used or re-manufactured product.

(8) Statement from Vendor that the Equipment possesses Agency of State Regulation of Medical Activity of Luthuanian requirements.

Add paragraph 52.212-4(w) - The non-FAR Part 12 discretionary FAR, DFARS, AFARS, and LOCAL clauses included herein are incorporated into this contract either by reference or in full text. If incorporated by reference, see clause 52.252-2 herein for locations where full text can be found.

Add paragraph 52.212-4(x) - SHARP - Advisory publications Army Regulation 600-20, Army Command Policy, 6 November 2014.

OTSG/MEDCOM Policy Memo 19-019, Policy for Reporting Incidents of Sexual Assault and Sexual Harassment under the Sexual Assault Prevention and Reponses Program (SHARP), 21 Mar 2019.

End of Addendum 52.212-4

52.212-2 EVALUATION--COMMERCIAL ITEMS (OCT 2014)

Paragraph (a) is hereby replaced with the following:

(a) Evaluation. Award will be made using the Lowest Price Technically Acceptable (LPTA) evaluation process.

Award will be made to the responsible quoter on the basis of the lowest evaluated price of quotes meeting or exceeding the acceptability standards for technical factors. The Government intends to make an award without conducting discussions. After the initial evaluation of quotations is completed, if one or more quotations are rated Acceptable Technical, the initial evaluation will become the final evaluation of quotations and award will be made without discussions to the lowest priced quote. If any one (1) technical subfactor is rated Unacceptable after the initial evaluation, the technical factor will be rated Unacceptable and the quote will no longer be considered for award. If all quotations submitted result in an unacceptable technical evaluation, then clarifications may be necessary. In that event, the Government evaluation team will evaluate the quoter's response to the Government exchanges with each quoter.

FACTOR 1 - Technical: The Technical Factor has four (4) sub-factors. Quoters shall explain how they will comply with the requirements in the RFQ by submitting narratives that demonstrate their capability to provide non personal services, facilities, personnel, transportation, materials, equipment, and supplies required to provide the requsted items, as follows:

Factor I – Technical Evaluation Criteria Standard Standard Adjectival Rating: Acceptable Unacceptable Sub-factor 1: The delivered equipment shall be new and not a used or remanufactured product.

Sub-Factor 2: The delivered equipment must meet all salient characteristics, as well as, in Addendum to FAR 52.212-4.

Sub-factor 3: The Contractor's shall demonstrate capability to ship door-to-door to:

Destination Address:

US Embassy (Attn: ODC) Akmenu street 6 Vilnius, LT-03106 Lithuania

POC: Marius Zelvys Alt POC: Liudas Jasaitsi

Sub-factor 4: Quoter’s quote shall submit Statement indicating that offered items are in compliance with Agency of State Regulation of Medical Activity of Vilnius requirements.

EVALUATION STANDARDS. The quoter’s technical quote will be evaluated using the following standards for a final rating:

ACCEPTABLE: A quote that meets the Government’s technical requirements identified in the Request for Quotation.

UNACCEPTABLE: A quote that fails to meet the Government’s technical requirements identified in the Request for Quotation.

FACTOR 2 - Price: The Government will select quotes for any itembased upon the lowest evaluated price, technically acceptable quote.

NOTE: Multiple purchase orders may be issued to various vendors based on the Lowest Price Technically Acceptable quote for any item listed in Salient Characteristics.

(b) A quotation is not an offer and, consequently, cannot be accepted by the Government to form a binding contract. Therefore, issuance by the Government of an order in response to a supplier’s quotation does not establish a contract. The order is an offer by the Government to the supplier to buy certain supplies or services upon specified terms and conditions. A contract is established when the supplier accepts the offer.

(c) The word "quoter" shall be substituted for the word "offeror" wherever it appears in FAR 52.212-3, Alternate I and DFARS 252.212-7000.

NOTE: QUOTERS SHALL COMPILE FAR PROVISIONS 52.204-24 AND 52.204-26.

(End of provision)

(End of Summary of Changes)