Inactive

5. PROJECT NUMBER (if applicable) CODE 7. ADMINISTERED BY 2. AMENDMENT/MODIFICATION NUMBER CODE 6. ISSUED BY 8. NAME AND ADDRESS OF CONTRACTOR 4. REQUISITION/PURCHASE REQ. NUMBER 3. EFFECTIVE DATE 9A.... 5. PROJECT NUMBER (if applicable) CODE 7. ADMINISTERED BY 2. AMENDMENT/MODIFICATION NUMBER CODE 6. ISSUED BY 8. NAME AND ADDRESS OF CONTRACTOR 4. REQUISITION/PURCHASE REQ. NUMBER 3. EFFECTIVE DATE 9A. AMENDMENT OF SOLICITATION NUMBER 9B. DATED PAGE OF PAGES 10A. MODIFICATION OF CONTRACT/ORDER NUMBER 10B. DATED BPA NO. 1. CONTRACT ID CODE FACILITY CODE CODE 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 Offers E. 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 MAY is 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 SIGNED B. 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 communication 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. OTHER Contractor 16C. DATE SIGNED 14. DESCRIPTION OF AMENDMENT/MODIFICATION 16B. UNITED STATES OF AMERICA 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 16A. NAME AND TITLE OF CONTRACTING OFFICER 15B. CONTRACTOR/OFFEROR STANDARD FORM 30 PREVIOUS EDITION NOT USABLE Prescribed 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) CHECK ONE 13. 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 SOLICITATIONS AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT (Signature of person authorized to sign) (Signature of Contracting Officer) 1 3 0001 N/A 00261 Department of Veterans Affairs Network Contracting Office 21 VA Southern Nevada Healthcare System 6900 N. Pecos Road, Building 6 North Las Vegas NV 89086 00261 Department of Veterans Affairs Network Contracting Office 21 Southern Nevada Healthcare System 6900 N. Pecos Road, Building 6 North Las Vegas NV 89086 To all Offerors/Bidders 36C26121Q0910 08-02-2021 X X X 1 See CONTINUATION Page NO LINE OF ACCOUNTING IS ATTACHED X The purpose of this amendment is to make the following changes: 1. Issue quantities required, this was missing in the original RFQ 2. See page 2 for a list of items and quantities 3. This is the only change made 4. All other terms and condition remain in full effect Richard Leistiko Contracting Officer CONTINUATION PAGE Quantities required Item # Description/Part Number* Qty 1 A-SEATTWGDC-S-TAA / Seated Sling, Washable, Tight Weave Fabric Gray, Head Support, Dual Clip Series, SMALL, SWL 454kg/1000lb. 5 2 A-SEATTWGDC-M-TAA / Seated Sling, Washable, Tight Weave Fabric Gray, Head Support, Dual Clip Series, MEDIUM, SWL 454kg/1000lb. 35 3 A-SEATTWGDC-L-TAA / Seated Sling, Washable, Tight Weave Fabric Gray, Head Support, Dual Clip Series, LARGE, SWL 454kg/1000lb. 45 4 A-SEATTWGDC-X-TAA / Seated Sling, Washable, Tight Weave Fabric Gray, Head Support, Dual Clip Series, EXTRA LARGE,SWL 454kg/1000lb. 35 5 A-SEATTWGDC-XX-TAA / Seated Sling, Washable, Tight Weave Fabric Gray, Head Support, Dual Clip Series, EXTRA EXTRA LARGE, SWL 454kg/1000lb 10 6 A-SEATTWGDC-F8-S-TAA / Seated Sling, Washable, Tight Weave Fabric Gray, Head Support, Figure-8 Numerical Straps, SMALL, SWL 454kg/1000lb. 5 7 A-SEATTWGDC-F8-M-TAA / Seated Sling, Washable, Tight Weave Fabric Gray, Head Support, Figure-8 Numerical Straps, MEDIUM, SWL 454kg/1000lb. 35 8 A-SEATTWGF8-L-TAA / Seated Sling, Washable, Tight Weave Fabric Gray, Head Support, Figure-8 Numerical Straps, LARGE, SWL 454kg/1000lb. 46 9 A-SEATTWGF8-X-TAA / Seated Sling, Washable, Tight Weave Fabric Gray, Head Support, Figure-8 Numerical Straps, EXTRA LARGE,SWL 454kg/1000lb. 35 10 A-SEATTWGF8-XX-TAA / Seated Sling, Washable, Tight Weave Fabric Gray, Head Support, Figure-8 Numerical Straps, EXTRA EXTRA LARGE, SWL 454kg/1000lb. 5 11 ASITSTANDWEDC-S-TAA / SitStand Belt Dual Clips S SWL 300kg Blue/each Small ( Red ) Inner Safety Belt 29 -46 3 12 ASITSTANDWEDC-M-TAA / SitStand Belt Dual Clips M SWL 300kg Blue/each Medium ( Yellow ) Inner Safety Belt 38 -55 20 13 ASITSTANDWEDC-L-TAA / SitStand Belt Dual Clips L SWL 300kg Blue/each Large ( Green ) Inner Safety Belt 45 -64 20 14 ASITSTANDWEDC-X-TAA / SitStand Belt Dual Clips X SWL 300kg Blue/each X-Large ( Purple ) Inner Safety Belt 55 -73 15 15 A-TSLIT-F8-45-TAA / Flat sling blue integrated top sheet- wicking- woven antimicrobial F8 straps SWL 454 kg 45 W x 86 L 150 16 A-TSLIT-F8-60-TAA / Flat Sling Grey integrated top sheet- wicking- woven antimicrobial Purple Trim Figure-8 Numerical straps SIZE 60" W x 86" L, SWL 454 kg/1,000 lb 19 17 A-Custom-Logo-TAA / Custom Feature Size Varies Labels for both Washable or Wipeable series slings, Client dictates text and Logo - Latex Free, Included free with every sling purchased. 483