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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)

01
xxxx

N/A
0001
656-24-2-1003-0097
36C263
Department of Veterans Affairs
NETWORK 23 CONTRACTING OFFICE
Contract Officer
4801 Veterans Drive
St. Cloud MN 56303
36C263
Department of Veterans Affairs
NETWORK 23 CONTRACTING OFFICE
Contract Officer
4801 Veterans Drive
St. Cloud MN 56303
To all Offerors/Bidders



36C26324Q0454
03-04-2024


X

X
X

1

See CONTINUATION Page
656-3640160-1003-820400-3131-010034175
656-24-2-1003-0097




X

0
This is solicitation amendment P0001 to RFQ 36C26324Q0454.
The purpose of this amendment is to extned the solcitation closing date to 3/15 and to correct the naics size standard
from NAICS 541519 SBA size standard $34million to NAICS 541519 size standard 150 employees



JESSE SWEESY
Contracting Officer
VA-VHA-RPOC-2023-0042

CONTINUATION PAGE
A.1 PRICE/COST SCHEDULE
ITEM INFORMATION
ITEM NUMBER
DESCRIPTION OF SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
0001

20.00
EA
__________________
__________________

V5000 Smartbadge P/N: 220-02100-23
Contract Period: Base
POP Begin: 05-01-2024
POP End: 07-01-2024
PRINCIPAL NAICS CODE: 541519 - Other Computer Related Services
PRODUCT/SERVICE CODE: 5810 - Communications Security Equipment and Components
MANUFACTURER PART NUMBER (MPN): 220-02100-23
LOCAL STOCK NUMBER: 220-02100-23
0002

20.00
EA
__________________
__________________

V5000, FIPS-140-2 Device License Ver. 1.0 P/N: 261-01950-23
Contract Period: Base
POP Begin: 05-01-2024
POP End: 07-01-2024
PRINCIPAL NAICS CODE: 541519 - Other Computer Related Services
PRODUCT/SERVICE CODE: 5810 - Communications Security Equipment and Components
MANUFACTURER PART NUMBER (MPN): 261-01950-23
LOCAL STOCK NUMBER: 261-01950-23
0003

40.00
EA
__________________
__________________

V5000 Battery P/N: 230-02150-23
Contract Period: Base
POP Begin: 05-01-2024
POP End: 07-01-2024
PRINCIPAL NAICS CODE: 541519 - Other Computer Related Services
PRODUCT/SERVICE CODE: 5810 - Communications Security Equipment and Components
MANUFACTURER PART NUMBER (MPN): 230-02150-23
LOCAL STOCK NUMBER: 230-02150-23
0004

3.00
EA
__________________
__________________

V5000 Charger 8-Bay Universal P/N: 230-02158-23
Contract Period: Base
POP Begin: 05-01-2024
POP End: 07-01-2024
PRINCIPAL NAICS CODE: 541519 - Other Computer Related Services
PRODUCT/SERVICE CODE: 5810 - Communications Security Equipment and Components
MANUFACTURER PART NUMBER (MPN): 230-02158-23
LOCAL STOCK NUMBER: 230-02158-23
0005

1.00
EA
__________________
__________________

V5000 Grip Clip (25 pack) P/N: 230-02155-23
Contract Period: Base
POP Begin: 05-01-2024
POP End: 07-01-2024
PRINCIPAL NAICS CODE: 541519 - Other Computer Related Services
PRODUCT/SERVICE CODE: 5810 - Communications Security Equipment and Components
MANUFACTURER PART NUMBER (MPN): 230-02155-23
LOCAL STOCK NUMBER: 230-02155-23
0006

1.00
EA
__________________
__________________

V5000 Lanyard Holster (25 pack)
Contract Period: Base
POP Begin: 05-01-2024
POP End: 07-01-2024
PRINCIPAL NAICS CODE: 541519 - Other Computer Related Services
PRODUCT/SERVICE CODE: 5810 - Communications Security Equipment and Components
0007

1.00
EA
__________________
__________________

V5000 C1000 Adaptor, 10W, Charger Universal P/N: 230-01930-23
Contract Period: Base
POP Begin: 05-01-2024
POP End: 07-01-2024
PRINCIPAL NAICS CODE: 541519 - Other Computer Related Services
PRODUCT/SERVICE CODE: 5810 - Communications Security Equipment and Components
MANUFACTURER PART NUMBER (MPN): 230-01930-23
LOCAL STOCK NUMBER: 230-01930-23
0008

20.00
EA
__________________
__________________

V5000 Warranty 2-year extension P/N: 920-05002-23
Contract Period: Base
POP Begin: 05-01-2024
POP End: 07-01-2024
PRINCIPAL NAICS CODE: 541519 - Other Computer Related Services
PRODUCT/SERVICE CODE: 5810 - Communications Security Equipment and Components
MANUFACTURER PART NUMBER (MPN): 920-05002-23
LOCAL STOCK NUMBER: 920-05002-23
0009

3.00
EA
__________________
__________________

V5000 8-Bay Warranty 2-year extension P/N: 920-05082-23
Contract Period: Base
POP Begin: 05-01-2024
POP End: 07-01-2024
PRINCIPAL NAICS CODE: 541519 - Other Computer Related Services
PRODUCT/SERVICE CODE: 5810 - Communications Security Equipment and Components
MANUFACTURER PART NUMBER (MPN): 920-05082-23
LOCAL STOCK NUMBER: 920-05082-23


GRAND TOTAL
__________________

A.2 DELIVERY SCHEDULE

ITEM NUMBER
SHIPPING INFORMATION
QUANTITY
DELIVERY DATE
0001
20.00

0002
20.00

0003
40.00

0004
3.00

0005
1.00

0006
1.00

0007
1.00

0008
20.00

0009
3.00

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