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5. PROJECT NUMBER (if applicable)CODE7. ADMINISTERED BY2. AMENDMENT/MODIFICATION NUMBERCODE6. ISSUED BY8. NAME AND ADDRESS OF CONTRACTOR4. REQUISITION/PURCHASE REQ. NUMBER3. EFFECTIVE DATE9A. AMENDMENT OF SOLICITATION NUMBER9B. DATEDPAGEOF PAGES10A. MODIFICATION OF CONTRACT/ORDER NUMBER10B. DATEDBPA NO.1. CONTRACT ID CODEFACILITY CODECODE Offers 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:The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of OffersE. IMPORTANT:is extended, (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 electronic communication 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 MAYis not extended.12. ACCOUNTING AND APPROPRIATION DATA(REV. 11/2016)is required to sign this document and return ___________ copies to the issuing office.is not,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.15C. DATE SIGNEDB. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b). 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 letter or electronic communication, provided each letter or electronic commuication makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:D. OTHERBYContractor16C. DATE SIGNED14. DESCRIPTION OF AMENDMENT/MODIFICATION16B. UNITED STATES OF AMERICAExcept 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 SIGNER16A. NAME AND TITLE OF CONTRACTING OFFICER15B. CONTRACTOR/OFFERORSTANDARD FORM 30 PREVIOUS EDITION NOT USABLEPrescribed by GSA - FAR (48 CFR) 53.243(Type or print)(Type or print)(Organized by UCF section headings, including solicitation/contract subject matter where feasible.)(Number, street, county, State and ZIP Code)(If other than Item 6)(Specify type of modification and authority)(such as changes in paying office, appropriation date, etc.)(If required)(SEE ITEM 11)(SEE ITEM 13)(X)CHECKONE13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS,IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONSAMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT(Signature of person authorized to sign)(Signature of Contracting Officer)19A0000203-21-2017672-17-1-103-0001672-17-1-103-0003Department of Veterans AffairsWest Palm Beach VA Medical Center7305 North Military TrailPalm Beach Gardens FL 33410-640000548Department of Veterans AffairsNetwork Contracting Office 8 (NCO 8)West Palm Beach VA Medical Center7305 North Military TrailPalm Beach Gardens FL 33410-6400To all Offerors/Bidders VA248-17-Q-052803-13-2017 Xxx11. Vendor's Questions and Answers: "1. Difference between Line Item 32 and 33 for the Gastrointestinal section?"Ans: Item 33. has higher definition, higher resolution and dual focus, 32.brand name model GIF-H190 EVIS EXERA III HIGHvs 33. brand name model GIF-HQ190 EVIS EXERA III HIGH. "2. The quantities required for the Bronchoscopy section?" Ans: See amendment. 2. The RFQ is amended with quantities of Bronchoscopes and equipment, line items 1-43 on pages 18-24.3. The RFQ is amended with "Disposition and disposal of bronchoscopes and associated equipment" after "Disposition anddisposal of endoscopes and associated equipment" and before the Business Associate Agreement(BAA).Due to document size limitations by FBO, the quantities of requested bronchoscopes and the equipment list fordisposition is attached versus submission of an entire RFQ. Terry EmoryContracting Officer CONTINUATION PAGELINE ITEMQUANTITYDESCRIPTION12Video System CenterNarrow Band Imaging. Waterproof One-Touch Connector: waterproof connector enables a one-step connection to the light source and does not require a separate video cable for connection to the video processor. Reduced time during procedure setup and dismantling.Cooling Fan: Reduced operating noise.Link Connection: Link connection to peripheral devices, such as Scope Guide and flushing pumps, un-complicated cable connections and accelerated transmission speed.22High Intensity 300 W Xenon Light SourceBright powerful imaging: Narrow Band Imaging (NBI) provides brightness as well as twice the viewable distance in the lumen.Easy connection and fast transmission speed: Waterproof connector to allow one-step connection to the light source. A link connection to the peripheral devices, such as scope guide or flushing pumps, un-complicated cable configurations.Reduced operating noise: Cooling fan that reduces operating noise.32Videoscope CableVideoscope cable for CV-165, -1804226" LCD HD TV flat panel monitor26-inch full-HD 26-inch full-HD LCD monitor with a 16:9 aspect ratio, high brightness, high contrast, and high gradation images.FLIP functionFLIP function (such as mirror and 180° rotation) which provides a suitable display pattern and monitor layout for the procedure.Multimodality display capabilityAt least a 26” monitor with a variety of display modes including picture-in-picture (PIP), picture-out-picture (POP), and clone out with various image-size combinations.Various input/output terminalsA back panel for multiple HD and SD inputs including 3G/HD/SD SDI (2×), DVI-I (2×), HD15, Y/C, and Composite.Image multiple enhancer.51Endoscopic ultrasound processor compatible with the GF-UM160, GF-UM130/Q130 and GF-UM2061ConverterVGA/RGBS/YPBPR/SOG INPUT UNIT 90T001371cable connector82MAJ-1951 Cable connector 291EU-ME1 keyboard integration USB cable102WM-NP2 Workstation GI/SI BasicCV Interface Converter Device112Remote cable for peripheral1.8M for CV-190122Universal storage container132Workstation GI/SI/BasicMobile endoscopic workstation with access to all devices that are needed in surgical and medical endoscopy.142Swing keyboard arm Side Mounted152Sliding keyboard arm162Flat panel swing arm flat panel172Scope pole kit182Swing keyboard arm191Ultrasound connector holder attachable to endoscope pole.202Diagnostic Bronchoscope Channel Width:?2.0 mmWorking Length:?600 mmField of View:?110°Direction of View:?0° Forward ViewingDepth of Field:?2-50 mmOuter Diameter:?4.2 mm Distal EndOuter Diameter Insertion Tube:?4.1 mmMax Angulation Up:?210°Max Angulation Down:?130°Max Angulation Right:?120° with Rotary FunctionMax Angulation Left:?120° with Rotary Function211Diagnostic BronchoscopeChannel Width:?2.0 mmWorking Length:?60 cmField of View:?120°Direction of View:?0° Forward ViewingDepth of Field:?3-100 mmOuter Diameter:?4.8 mm Distal EndOuter Diameter Insertion Tube:?4.9 mmMax Angulation Up:?210°Max Angulation Down:?130°Max Angulation Right:?120° with Rotary FunctionMax Angulation Left:?120° with Rotary Function222Therapeutic BronchoscopeChannel Width:?2.8 mmWorking Length:?60 cmField of View:?120°Direction of View:?0° Forward ViewingDepth of Field:?3-100 mmOuter Diameter:?6.2 mm Distal EndOuter Diameter Insertion Tube:?6.0 mmMax Angulation Up:?180°Max Angulation Down:?130°Max Angulation Right:?120° with Rotary FunctionMax Angulation Left:?120° with Rotary Function231Diagnostic BronchoscopeChannel Width:?2.0 mmWorking Length:?600 mmField of View:?120°Direction of View:?0° Forward ViewingDepth of Field:?3-100 mmOuter Diameter:?5.5 mm Distal EndOuter Diameter Insertion Tube:?5.1 mmMax Angulation Up:?210°Max Angulation Down:?130°Max Angulation Right:?120° with Rotary FunctionMax Angulation Left:?120° with Rotary Function241EBUS BronchoscopeChannel Width:?2.2Working Length:?600Field of View:?80Direction of View:?35 degree forward obliqueDepth of Field:?2-50Outer Diameter:?6.9Outer Diameter Insertion Tube:?6.2Max Angulation Up:?120Max Angulation Down:?90251BALLOON FOR BF‐UC160F‐OL8 PACKAGE OF 20262Channel cleaning brushBronchoscopes: OES 20, 30, 40, 60, EVIS 160, 180, 190, 200, 240, 260 Ultrasonic bronchoscopes: BF-UC160F, -UC180F Pleuroscopes: LTF-160 Ultrasonic rectal probes: RU-75M-R1, -12M-R1 Choledochoscopes: CHF-P20, -T20, -P20Q For instrument channel of cystoscopes: CYF-5, -5A, -V, -VA, CYF-V2, -VA2, -VH Tracheal intubation scopes: LF-T, -TP Rhinolaryngoscopes: ENF-VT, -T3, -VT2272Semi-disposable suction valveBronchoscopes: OES 30, 40, 60, E2, EVIS 160, 180, 190, 240, 260, MAF-TM, MAF-GM Ultrasonic bronchoscopes: BF-UC160F, -UC180F Pleuroscopes: LTF-160 Rhinolaryngoscopes: ENF-VT Cystoscopes: CYF-5, -5A, -V, -VA282Single-use, sterile biopsy valveBronchoscopes: OES 20, 20D, 30, 40, 60, E2, EVIS 160, 180, 170, 190, 200, 240, 260, 290, MAF-TM Ultrasonic bronchoscopes: BF-UC160F, -UC180F Pleuroscopes: LTF-160 Single-use, sterile biopsy valve 291Single-Use EBUS-TBNA Aspiration Needles 21G 5 Needle 5 biopsy valves 5 syringes301Single-Use EBUS-TBNA Aspiration Needles 22G 5 Needle 5 biopsy valves 5 syringes311Manual Leakage TestingAll OES and EVIS endoscopes Maintenance unit321Water-leakage testerAll OES and EVIS endoscopes331A6 Analog and Digital Black and White Thermal PrinterA6 medical grade black and white digital printer that can accept analogue video as well as PC-friendly digital USB signal inputs.341Remote cable 351Sony UPP-110HG 110 mm high gloss black & white thermal imaging paper 10 Rolls/pk 361Probe driving unit37120 MHz frequency, radial scanning, for direct contact or EBUS guide sheath procedure381Ultrasonic miniature probeDisplay modeB-mode Scanning methodMechanical radial scanning Scanning direction360° circumferential, in perpendicular direction with respect to probe insertion direction Working length2,050 mm Total length2,140 mm Insertion tube1.7 mm (distal end 850 mm)2.0 mm (on connector side) Maximum diameter2.0 mm Compatible scope2.2 mm or more Contact method for ROIDirect Contact Method Balloon-sheath compatibility391Miniature probeDisplay ModeB-mode Scanning methodMechanical radial scanning Scanning direction360° circumferential, in perpendicular direction with respect to probe insertion direction Ultrasonic Frequency20 MHz Working length2.050 mm Total length2,140 mm Insertion tube2.5 mm maximum diameter2.6 mm Compatible scope2.8 mm or more Contact method for ROIBalloon Contact Method Guide-sheath compatibility401Guide Sheath Kit411Probe Driving UnitUnit power a wide variety of ultrasound miniature probes with frequency ranges of 7.5 to 20 MHz.421WM-P2 arm mount431Connector cable for EUS-CV-190 Disposition and Disposal of Bronchoscopes and EquipmentCLV-180 Serial Number 7015206, 7902235 QTY. 2?????????????? CV-180 Serial Number 7006847, 7983420 QTY. 2? OEV-191 Serial number 7925615, 7924224 QTY.2 BF-1T180 Serial Number 2043135, 2043233 QTY. 2????????????? BF-Q180 Serial Number 2043203 QTY. 1? BF-P160 2501718 QTY. 1 BF-P180?Serial number 2941907 QTY.1 ................
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