Q525--MO - Mobile Lithotripsy Laser Equipment and Services - 621 POP 05/01/2021 - 04/30/2022 - UDC 04/30/2026
Contract Opportunity Combined Synopsis/Solicitation Notice * * * * * * * PRODUCT SERVICE CODE SUBJECT CONTRACTING OFFICE'S ZIP-CODE SOLICITATION NUMBER RESPONSE DATE/TIME/ZONE ARCHIVE DAYS AFTER THE RESPONSE DATE RECOVERY ACT FUNDS SET-ASIDE NAICS CODE CONTRACTING OFFICE ADDRESS POINT OF CONTACT (POC Information Automatically Filled from User Profile Unless Entered) DESCRIPTION * See Attachment AGENCY'S URL URL DESCRIPTION AGENCY CONTACT'S EMAIL ADDRESS EMAIL DESCRIPTION ADDRESS POSTAL CODE COUNTRY ADDITIONAL INFORMATION GENERAL INFORMATION PLACE OF PERFORMANCE * = Required Field Contract Opportunity Combined Synopsis/Solicitation Notice Q525 Mobile Lithotripsy Laser Equipment and Services 37129 36C24921Q0195 03-31-2021 3PM CENTRAL TIME, CHICAGO, USA 60 N 621512 Department of Veterans Affairs Network Contracting Office 9 (90C) NCO 9 1639 Medical Center Parkway, Suite 400 Murfreesboro TN 37129 Dewana Raynor dewana.raynor@va.gov James H. Quillen VA Medical Center Corner of Lamont & Veterans Way Mtn Home, TN 37684 USA Combined Synopsis-Solicitation for Commercial Items Mobile Lithotripsy Laser Equipment and Services Page 21 of 21 Description This is a combined synopsis/solicitation for commercial items prepared in accordance with the format in Federal Acquisition Regulation (FAR) subpart 12.6, Streamlined Procedures for Evaluation and Solicitation for Commercial Items, as supplemented with additional information included in this notice. This announcement constitutes the only solicitation; quotes are being requested, and a written solicitation document will not be issued. This solicitation is issued as an RFQ. The solicitation document and incorporated provisions and clauses are those in effect tough Federal Acquisition Circular, FAC 2021-04 effective 01/19/2021. The associated North American Industrial Classification System (NAICS) code for this procurement is 621512, with a small business size standard of $16.5 million. The FSC/PSC is Q525. The James H. Quillen VA Medical Center, Corner of Lamont & Veterans Way, Mtn Home, TN 37684 is seeking Mobile Lithotripsy Laser Equipment and Services. All interested companies shall provide quotations for the following: Price/Cost Schedule: Base Ordering Period: May 1, 2021 April 30, 2022 Line Item Description Estimated Quantity Unit of Measure Unit Price Total Price 0001 Certified Medical Laser Safety Officer(s) 240 Hours 0002 Holman Laser Systems 77 Hours 0003 Laser Fibers 106 Each 0004 Standby/Cancellation Fee 35 Hours TOTAL ESTIMATED FOR BASE ORDERING PERIOD: $___________________ Ordering Period 1: May 1, 2022 April 30, 2023 Line Item Description Estimated Quantity Unit of Measure Unit Price Total Price 1001 Certified Medical Laser Safety Officer(s) 240 Hours 1002 Holman Laser Systems 77 Hours 1003 Laser Fibers 106 Each 1004 Standby/Cancellation Fee 35 Hours TOTAL ESTIMATED FOR ORDERING PERIOD 1: $___________________ Ordering Period 2: May 1, 2023 April 30, 2024 Line Item Description Estimated Quantity Unit of Measure Unit Price Total Price 1001 Certified Medical Laser Safety Officer(s) 240 Hours 1002 Holman Laser Systems 77 Hours 1003 Laser Fibers 106 Each 1004 Standby/Cancellation Fee 35 Hours TOTAL ESTIMATED FOR ORDERING PERIOD 2: $___________________ Ordering Period 3: May 1, 2024 April 30, 2025 Line Item Description Estimated Quantity Unit of Measure Unit Price Total Price 1001 Certified Medical Laser Safety Officer(s) 240 Hours 1002 Holman Laser Systems 77 Hours 1003 Laser Fibers 106 Each 1004 Standby/Cancellation Fee 35 Hours TOTAL ESTIMATED FOR ORDERING PERIOD 3: $___________________ Ordering Period 4: May 1, 2025 April 30, 2026 Line Item Description Estimated Quantity Unit of Measure Unit Price Total Price 1001 Certified Medical Laser Safety Officer(s) 240 Hours 1002 Holman Laser Systems 77 Hours 1003 Laser Fibers 106 Each 1004 Standby/Cancellation Fee 35 Hours TOTAL ESTIMATED FOR ORDERING PERIOD 4: $___________________ TOTAL ESTIMATED PRICE FOR ALL ORDERING PERIODS: $__________________ The contract period of performance is May 1, 2021 tough April 30, 2026. One base ordering period plus 4 one-year ordering periods. This contract is a fixed price Indefinite Delivery Indefinite Quantity contract. The guaranteed contact minimum is $350,000.00 and the contract maximum is $2,140,000.00. ORDERS: This is a Firm Price (FP) Indefinite Delivery/Indefinite Quantity (IDIQ) contract (see FAR 52.216-22). The Task Order for the base ordering period will be awarded at the time of contract and all other Task Orders will be awarded annually. The Task Orders shall specify the estimated quantities of services for each period of performance and shall comply with FAR 52.216-18 and 52.216-19. A funded Task Orders (TO) may only be awarded and issued by a warranted Contracting Officer (CO). Any changes to this contract may only be made by a written modification which is formally executed between the contractor and the CO. Task Order Procedures a. This contract type allows the Veteran Affairs Network Contracting Office (NCO 9) contracting officers to place orders with the contractor on an as needed basis. In accordance with the Federal Acquisition Regulation (FAR) Clauses 52.216-18, Ordering. NCO 9 will obligate the funding and order the services by issuing a Task Order which will cover individual performance periods. b. A Task Order shall be issued to the contractor when mobile lithotripsy laser equipment and services are required. One task order may be issued for all line items if necessary or the Government may issue a task order for only one-line item depending on the Government s need. c. The contractor shall initiate work when so directed by a Task Order issued by the Contracting Officer. No work shall be performed unless specifically authorized by the contracting officer. The contractor shall not exceed the estimated task order amount or change the task order without prior written approval of the Contracting Officer. d. In event the contractor is unable to fulfill the task order requirements; the government reserves the right to fulfill its need outside of this contract. A written confirmation from the contractor indicating the inability to fulfill the task order is immediately required. The estimated dollar amount on the unfilled task order will be applied to the minimum quantity. The government s right to fulfill its need outside this contract does not waive its right to the issuance of a cure notice nor does it waive its right to terminate for default. Task Order Issuance Procedure. The terms that apply to the issuance of Task Orders under this contract are set forth below: Task Order Pricing Task Order prices shall be Fixed-Price (FP) as agreed to in the IDIQ pricing schedule and individually funded. The Unit Price is an all-inclusive cost. Task Order Performance Period When mobile lithotripsy laser equipment and services are needed and a Task Order is issued, each Task Order shall have an established period of performance or delivery date. Individual Task Orders shall not exceed a 12-month period. PERFORMANCE WORK STATEMENT MOBILE LITHOTRIPSY LASER EQUIPMENT & SERVICES JAMES H. QUILLEN VA MEDICAL CENTER MOUNTAIN HOME, TENNESSEE James H. Quillen VAMC has a need for the provision of Urological Services. Contractor shall provide rental of surgical subspecialty laser equipment, factory-trained Certified Medical Laser Safety Officer (CLSO or CLSO-M), and laser fibers for all lasers for the Operating Room and Emergency Room at James H. Quillen VA Medical Center (JHQVAMC), Corner of Veterans Way & Lamont Street, Mountain Home, TN 37684. The required equipment shall be as follows: a) Holmium: Lasers (both 20 watt & 100 watt) as back-up units in the event the VA-owned Holmium Laser is unavailable; b) Green Light XPS Laser System (180 watt); c) Aura XP Laser System; d) CO2 Flex Fiber Laser System; and e) CO2 Laser System Free Beam. The CLSO/CLSO-M shall be required to use the VA-owned Holmium Laser (100 watt) and fibers manufactured specifically for use with this laser. In the event the VA-owned Holmium Laser is not available (e.g., out for preventative maintenance or repair), The CLSO/CLSO-M shall be required to use the contractor-owned Holmium Lasers with the manufacturer-specified fibers. The contractor will provide the laser fibers for all procedures. Under no circumstances are third-party manufactured fibers to be used at JHQVAMC with either the VA-owned or contractor-owned Holmium Lasers in accordance with all terms, conditions, provisions, and the schedule of this solicitation A. SCHEDULE OF SUPPLIES/SERVICES a. SCOPE OF WORK: The contractor shall provide the following equipment, or approved equal, on a case-by-case, as needed, basis: Holmium Laser System, 20-watt: Laser, medium beam, 2100 nm wavelength, beam-focusing mechanism, 650 nm wavelength diode laser visible red-aiming beam, American National Standards Institute (ANSI)-standard laser safety glasses and goggles, laser safety signs, delivery and set-up system, CLSO/CLSO-M to operate system. Holmium Laser System, 100-watt: Laser, medium beam, 2100 nm wavelength, beam-focusing mechanism, 650 nm wavelength diode laser visible red-aiming beam, ANSI-standards laser safety glasses and goggles, laser safety signs, delivery and set-up system, CLSO/CLSO-M to operate system. Green Light XPS Laser System, 180-watt: Laser with XPS Fiber, ANSI-standard laser safety glasses, laser safety signs and goggles, delivery and set-up system, CLSO/CLSO-M to operate system. Aura XP Laser System, 15-watt: Laser, 532 nm pulsed wavelength, fiber delivery system, ANSI-standard laser safety glasses and goggles, laser safety signs, delivery and set-up system, CLSO/CLSO-M to operate system. CO2 (Carbon Dioxide) Flex Fiber Laser System, 40-watt: Laser with 10.6 micron infrared wavelength, up to 5mW red diode laser, 635 nm, fiber delivery system, ANSI-standard laser safety glasses and goggles, laser safety signs, delivery and set-up system, CLSO/CLSO-M to operate system. CO2 (Carbon Dioxide) Laser System: Laser, free beam, 10,650 nm wavelength, continuous wave, ANSI-standard laser safety glasses and goggles, laser safety signs, delivery and set-up system, CLSO/CLSO-M to operate system. CLSO/CLSO-M to operate VA-owned 100-watt Holmium Laser with VA-purchased fibers. Stand-by/Cancellation charges for items 1-7, above. If VA physician performing procedure determines that the use of the laser is not required, a stand-by/cancellation charge will be incurred when CLSO/CLSO-M and laser are in the Operating Room. One or more types of laser with associated CLSO/CLSO-M may be requested by the facility for procedures scheduled at the same time on the same date. The Contractor will be expected to notify the facility as soon as possible if they are unable to provide more than one CLSO/CLSO-M and laser for procedures scheduled at the same time. b. PERSONNEL QUALIFICATIONS/EXPERIENCE CRITERIA: CLSO/CLSO-M(s) performing the services covered by this contract shall be factory-trained and shall present a record of credentials and competencies for approval, to be placed on file in the Operating Room. The qualifications of the CLSO/CLSO-M(s) shall be subject to review by the JHQVAMC Attending, and approval by the JHQVAMC Chief of Surgery Service. The Contracting Officer will be notified prior to any changes in personnel. VA reserves the right to approve or disapprove the assignment of individual personnel furnished by the contractor to perform the functions specified in the task order. The personnel assigned by the contractor must complete VA credentialing process as required. Personnel assigned by the contractor to perform the services must be U.S. Citizens and have current licensure/certification in good standing with the U.S. Personnel assigned by the contractor to perform the services covered by this task order shall be proficient in written and spoken English (38 USC 7402). Services shall be provided immediately after notice of contract award and upon completion of all required Credentialing and Background Investigations (as applicable). The contracted individual will be required to show two proofs of identification on their first day of work. Acceptable proof of identification is as follows: Acceptable PICTURE IDs: State-Issued Driver s License State DMV-Issued ID Card US Passport Military ID/Dependents Card Foreign Passport Permanent Resident Card/Alien Registration Card w/Photo Acceptable NON-PICTURE IDs: Social Security Card Certified Birth Certificate State Voter Registration Card Native American Tribal Document Certificate of U.S. Citizenship Certificate of Birth Abroad Issued by Department of State Credentials Requested: The CLSO/CLSO-M will be required to complete credentialing during this assignment. An application package will be provided by the VA to be completed by the candidate. This includes curriculum vitae, current references, signed release of information from candidate and statement that candidate does not have any physical or mental health condition that would adversely affect his/her ability to carry out assigned duties, and additional credentialing forms. Candidate will also be required to make application tough the VETPRO Internet process. Candidate shall need to be enrolled in VETPRO by VA personnel. The website address is: https://fcp.vetpro.org. Our facility ID number is: 0621 c. PERSONNEL QUALIFICATION SUBMITTAL: The contractor will submit the qualifications of the CLSO/CLSO-M(s) proposed to perform services under this contract. The Contracting Officer shall notify the contractor of acceptance or unacceptability within five (5) calendar days of receipt of submittal, based on the contents evidencing that all qualification requirements are met. The contractor shall ensure that all qualifying criteria outlined in this section have been met, to include current and valid licenses and certifications. The submittal shall consist of: (1) Name, social security number, date of birth, and copy of the Curriculum Vitae; (2) documentation of education and training; (3) copy of any license(s) which includes number and expiration date; (4) copy of certifications; and (5) Infection Control test results as specified in Section h. d. PERSONNEL POLICY: The parties agree that the contractor s CLSO/CLSO-M(s) shall not be considered JHQVAMC employees for any purpose and shall be considered to be employed by the contractor. The Contractor shall be responsible for providing the following for their own protection: (1) Worker s Compensation Insurance (2) Professional Liability Insurance (3) Health Examinations (4) Income Tax Withholding (5) Social Security Payments CONTRACTOR RESPONSIBILITY: The Contractor shall perform services under the direction of the JHQVAMC Chief of Staff, the Chief of Surgery Service, and JHQVAMC Attending Surgeon. In the event laser equipment and services have to be provided on an urgent or emergent basis during off-duty hours or national holidays, the contractor is required to respond telephonically within 15 minutes of receiving the call and must be in-house within two (2) hours of the original page or telephone call to provide laser equipment and services at JHQVAMC. JHQVAMC will make every attempt to notify the Contractor within 24 hours when procedures are cancelled and/or rescheduled to release the contract employee. Contractor will make every effort to maintain consistency of assigned staff at the VA at all times for training, security, and continuity purposes. The CLSO/CLSO-M must self-enroll in the Talent Management System (TMS) at www.tms.va.gov and notify the COR when self-enrollment is complete. Contracted employees annually complete the following mandatory TMS modules: - TMS Module 10203, Privacy and HIPAA Focused Training - TMS Module 10176, VA Privacy and Information Security Awareness and Rules of Behavior. - TMS Module 7318, VHA CO Compliance and Business Integrity (CBI) Awareness Training - TMS Module 3855743, Code Blue Procedures - TMS Module 3978416, Occupational Safety, Health and Fire Protection Program - TMS Module 3844813, Bloodborne Pathogens and Tuberculosis Exposure Training - TMS Module 3836886, Emergency Operations - TMS Module 3870605, VHA Minimizing Risk for Fluoroscopic X-Ray - TMS Module 3890386, Fire Safety in the OR The Contractor shall provide scheduled services toughout the contract period. The Contractor shall follow all existing local, state, federal and/or union laws/regulations. Patient Safety incidents must be reported immediately (within 24 hours) to the Patient Safety Officer. The Government reserves the right to refuse acceptance of the Contractor if personal or professional conduct jeopardizes patient care or interferes with the regular and ordinary operation of JHQVAMC. Breaches of conduct include intoxication or debilitation resulting from drug use, theft, patient abuse, dereliction or negligence in performing directed tasks, or other conduct resulting in formal complaints by patient or other staff members to designated Government representative. Standards for conduct shall mirror those prescribed by current federal personnel regulations. The Contracting Officer and COR shall deal with issues raised concerning contract personnel s conduct. The final arbiter on questions of acceptability is the Contracting Officer. The Contracting Officer shall resolve complaints concerning Contractor relations with the Government employees or patients. The Contracting Officer is the final authority on validating complaints. In the event that the Contractor is involved and named in a validated patient complaint, the Government reserves the right to refuse acceptance of the services of such personnel. This does not preclude refusal in the event of incidents involving physical or verbal abuse. QUALITY ASSURANCE: The Contract laser assistant shall be subject to the same quality assurance standards meeting or exceeding current recognized national standards as established by The Joint Commission (TJC). The contractor shall perform services in accordance with established principles and ethics of the nursing profession established by TJC and Veterans Health Administration (VHA) regulations. The Contractor shall be technically proficient in the skills necessary to fulfill the Government s requirements, to include the ability to speak, understand, read and write English fluently. The Contractor shall be responsible for compliance with all applicable JHQVAMC written policies and procedures. The Contractor shall not introduce new procedures or services without prior recommendation to, and approval of, JHQVAMC or authorized representative and the Contracting Officer Representative (COR). INFECTION CONTROL REQUIREMENTS: (1) Health Tests: Upon JHQVAMC request, contractor personnel shall provide proof of the following tests within five (5) days prior to first duty shift. Tests shall be current within the past year: Tuberculosis Testing - All contractor personnel shall provide proof of a negative reaction to Purified Protein Derivative (PPD) testing. A negative chest radiographic report for active tuberculosis shall be provided in cases of positive PPD results. The PPD test shall be repeated annually. Rubella Tests - All contractor personnel shall provide proof of immunization for varicella, measles, mumps, and rubella or a rubella titer of 1.8 or greater. If the titer is less than 1.8, a rubella immunization must be administered with follow-up documentation to the COR. (2) OSHA Regulation Concerning Occupational Exposure to Bloodborne Pathogens: The contractor shall provide the Hepatitis B vaccination series at no cost to its personnel who elect to receive it; maintain and distribute an exposure determination and control plan to its personnel; maintain required records; and ensure that proper follow-up evaluation is provided following an exposure incident. (3) Communicable Disease Exposure: JHQVAMC shall notify the Contractor of any significant communicable disease exposures as appropriate. The Contractor shall adhere to current CDC/HICPAC Guideline for Infection Control in health care personnel (AJIC 1998; 26:289-354) for disease control. The Contractor shall provide follow-up documentation of clearance to return to the workplace prior to their return. h. RECORD KEEPING: JHQVAMC shall establish and maintain a record-keeping system that shall record the services performed by the Contractor. The Contractor shall report to the COR or designee upon arrival at JHQVAMC. i. CERTIFICATIONS: Annually at the time of issuance of the Task Order for the next performance period, contractor will provide to the COR the following documents for all assistants performing services under this contract: Current copy of their Laser Certification. Current copy of their Laser Competency Form. Current company background check. Current drug test certification. Current infection control requirement test results. QUALITY IMPROVEMENT: The Government may evaluate the quality of professional and administrative services provided, but retains no control over the medical, professional aspects of services rendered, e.g., professional judgments, diagnosis for specific medical treatment, in accordance with Federal Acquisition Regulation (FAR) 37.401(b). TERM OF CONTRACT: This contract is effective May 1, 2021 tough April 30, 2026 with (4) 1-year ordering periods. The contract is subject to the availability of VA funds. The Contractor shall perform no services after April 30, each year until the contracting office authorizes such services in writing. VA RESPONSIBILITY: JHQVAMC personnel shall brief Contractor on JHQVAMC policies and procedures on the first scheduled duty day. The Contractor rendering services is subject to professional or technical direction from the Attending Surgeon, OR staff and COR. The VA shall provide the Contractor the name, title, and telephone number of the COR at the time of contract award. The Contractor shall, in writing, keep the Contracting Officer informed of any unusual circumstances in conjunction with the contract. Contract rate is all-inclusive of all incidental costs including housing, transportation and premium payments for applicable malpractice insurance coverage for all required services for the contract period. INSPECTION: The JHQVAMC Biomedical Engineering staff will inspect the laser equipment upon each set-up in the OR, prior to the first procedure. The contractor staff is to have a current Preventative Maintenance (PM) inspection sheet with them when they arrive with the equipment. If they do not, then a copy must be faxed to JHQVAMC Surgery Service prior to the first case (FAX number: 423-979-2696). BADGES: The Contractor is required to wear I.D. badge during the entire time they are on JHQVAMC grounds. I.D. badge MUST have an identification picture and shall be issued by JHQVAMC. NO SMOKING POLICY: Smoking is strictly prohibited on VA property. PERSONAL IDENTIFIABLE INFORMATION: Contractor shall not remove personal identifiable information (e.g., full name, social security number, date of birth, etc.) from JHQVAMC. Limited information for invoicing purposes only (first initial, last name) may be removed. PAYMENT: Contractor s employee must be present at the VA facility and must be actually performing the required services for the period specified within the contract. The contractor may only bill for services rendered and performed at the VA facility during each billing cycle. The payment for any applicable leave, to include sick leave, annual leave, administrative leave, and holidays, are the responsibility of the Contractor. Contractor will be required to furnish an itemized invoice listing each contract employee for the period of service covered. Invoices may be submitted as of the last day of each month, but no later than the 10th day of the following month services were provided. All invoices shall include: Name and Address of Contractor Invoice Date and Invoice Number FSS Contract Number and Purchase/Task Order Number Date of Service Name of Lithotripsy Technologist(s) (Contractor s employee(s)) Hourly Rate (if applicable) Quantity of hours worked Total price Patient procedure performed on and date of procedure Vendor Electronic Invoice Submission Methods Facsimile, e-mail, and scanned documents are not acceptable forms of submission for payment requests. Electronic form means an automated system transmitting information electronically according to the accepted electronic data transmission methods as follows: VA s Electronic Invoice Presentment and Payment System The VA Financial Service Center (FSC) uses a third-party contractor, OB10, to transition vendors from paper to electronic invoice submission. Please go to this website: http://ob10.com/us/en/veterans-affairs-us/ to begin submitting electronic invoices, free of charge. A system that conforms to the X12 electronic data interchange (EDI) formats established by the Accredited Standards Center (ASC) chartered by the American National Standards Institute (ANSI).The X12 EDI Web site (http://www.x12.org). The Contractor may contact FSC at the phone number or email address listed below with any questions about the e-invoicing program or OB10: OB10 e-Invoice Setup Information: 1-877-489-6135 OB10 e-Invoice email: VA.Registration@ob10.com FSC e-Invoice Contact Information: 1-877-353-9791 FSC e-invoice email: vafsccshd@va.gov Place of Performance/Place of Delivery Address: Corner of Lamont & Veterans Way, Mtn Home, TN Postal Code: 37684 Country: UNITED STATES The full text of FAR provisions or clauses may be accessed electronically at http://acquisition.gov/comp/far/index.html. The following solicitation provisions apply to this acquisition: FAR 52.212-1, Instructions to Offerors Commercial Items JUN 2020 Addendum to 52.212-1 INSTRUCTIONS TO OFFERORS - COMMERCIAL All quoters shall submit the following: A. Contract Administration Data B. Price/Cost Schedule C. Training and CLSO/CLSO-M certifications D. Current copy of Laser Certification. E. Current copy of Laser Competency form. F. Current company background check. G. Current drug test certification. H. Current infection control requirement test results. I. Past Performance Survey FAR 52.212-2, Evaluation Simplified Acquisition Procedures OCT 2014 52.212-2 EVALUATION SIMPLIFIED ACQUISITION PROCEDURES Basis for Award. The Government will issue a purchase order to the responsible quoter whose quotation conforming to the solicitation will be most advantageous to the Government, price and other factors considered. The following factors shall be used to evaluate quotations: (1) Technical or Quality (2) Past Performance (3) Price Evaluation Approach. The Government will evaluate quotations using the comparative evaluation process outlined in FAR 13.106-2 (b) (3), where quotations will be compared to one another to determine which provides the best benefit to the Government. The Government reserves the right to consider a quotation other than the lowest price that provides additional benefit(s). Quotations may exceed minimum requirements of the solicitation. The Government reserves the right to select a quotation that provides benefit to the Government that exceeds the minimum requirements of the solicitation but is not required to do so. Each response must meet the minimum requirements of the solicitation. The Government is not requesting or accepting alternate quotations. The evaluation will consider the following: FACTOR 1: Technical or Quality The quotation will be evaluated to the extent to which it can meet and/or exceed the Government s requirements as outlined in the solicitation. In support of the requirements of the Performance Work Statement, offerors are instructed to provide the following documentation for evaluation: Current copy of Laser Certification. Current copy of Laser Competency Form. Current company background check. Current drug test certification. Current infection control requirement test results. FACTOR 2: Past Performance The past performance evaluation will assess the relative risks associated with a quoter s likelihood of success in fulfilling the solicitation s requirements as indicated by the quoter s record of past performance. The past performance evaluation may be based on the contracting officer s knowledge of and previous experience with the supply or service being acquired; Customer surveys, and past performance questionnaire replies; Contractor Performance Assessment Reporting System (CPARS) at http://www.cpars.gov/; or any other reasonable basis. Offeror s are reminded to provide the Past Performance sheets to tee (3) business references who have first-hand knowledge of performance relative to the same type of services, dates of contract performance, and a total contract amount. Your current, within 3 years, business reference should send this form to Dewana Raynor, Contracting Officer, at dewana.raynor@va.gov, no later than March 8, 2021. FACTOR 3: Price The Government will evaluate the price by adding the total of all line item prices, including all options. The Total Evaluated Price will be that sum. Ordering Periods. The Government will evaluate quotations for award purposes by adding the total price for all ordering periods to the total price for the basic requirement. The Government may determine that an offer is unacceptable if the ordering period prices are significantly unbalanced. Evaluation of ordering periods shall not obligate the Government to execute a task order. A written notice of award or acceptance of an offer, mailed or otherwise furnished to the successful offeror within the time for acceptance specified in the offer, shall result in a binding contract without further action by either party. Before the offer s specified expiration time, the Government may accept an offer (or part of an offer), whether or not there are negotiations after its receipt, unless written notice of withdrawal is received before award. (End of Provision) FAR 52.212-3, Offerors Representations and Certifications Commercial Items JAN 2021 Offerors must complete annual representations and certifications electronically via the System for Award Management (SAM) website located at https://www.sam.gov/portal in accordance with FAR 52.212-3, Offerors Representations and Certifications Commercial Items. If paragraph (j) of the provision is applicable, a written submission is required. The following contract clauses apply to this acquisition: FAR 52.212-4, Contract Terms and Conditions Commercial Items OCT 2018 FAR 52.212-5, Contract Terms and Conditions Required to Implement Statutes or Executive Orders JAN 2021 The following subparagraphs of FAR 52.212-5 are applicable: 52.203-6, Restrictions on Subcontractor Sales to the Government (JUN 2020), with Alternate I (OCT 1995) (41 U.S.C. 4704 and 10 U.S.C. 2402); 52.203-15, Whistleblower Protections under the American Recovery and Reinvestment Act of 2009 (JUN 2010) (Section 1553 of Pub. L. 111-5). (Applies to contracts funded by the American Recovery and Reinvestment Act of 2009); 52.204-10, Reporting Executive Compensation & First-Tier Subcontract Awards (JUN 2020) (Pub. L. 109-282) (31 U.S.C. 6101 note); 52.204-14, Service Contract Reporting Requirements (OCT 2016) (Pub. L. 111-117, section 743 of Div. C); 52.204-15, Service Contract Reporting Requirements for Indefinite-Delivery Contracts (OCT 2016) (Pub. L. 111-117, section 743 of Div. C); 52.209-6, Protecting the Government s Interest When Subcontracting with Contractors Debarred, Suspended, or Proposed for Debarment (JUN 2020) (31 U.S.C. 6101 note); 52.219-8, Utilization of Small Business Concerns (OCT 2018) (15 U.S.C. 637(d)(2) and (3)); 52.219-9, Small Business Subcontracting Plan (JUN 2020) (15 U.S.C. 637(d)(4)); 52.219-16, Liquidated Damages Subcontracting Plan (JAN 1999) (15 U.S.C. 637(d)(4)(F)(i)); 52.219-28, Post Award Small Business Program Re-representation (NOV 2020) (15 U.S.C. 632(a)(2)); 52.222-3, Convict Labor (JUN 2003) (E.O. 11755); 52.222-21, Prohibition of Segregated Facilities (APR 2015); 52.222-26, Equal Opportunity (SEP 2016) (E.O. 11246); 52.222-35, Equal Opportunity for Veterans (JUN 2020) (38 U.S.C. 4212); 52.222-36, Equal Opportunity for Workers with Disabilities (JUN 2020) (29 U.S.C. 793); 52.222-37, Employment Reports on Veterans (JUN 2020) (38 U.S.C. 4212); 52.222-40, Notification of Employee Rights Under the National Labor Relations Act (DEC 2010) (E.O. 13496); 52.222-50, Combating Trafficking in Persons (OCT 2020) (22 U.S.C. chapter 78 and E.O. 13627); 52.222-54, Employment Eligibility Verification (OCT 2015). (Executive Order 12989). (Not applicable to the acquisition of commercially available off-the-shelf items or certain other types of commercial items as prescribed in 22.1803); 52.224-3, Privacy Training (JAN 2017) (5 U.S.C. 552a); 52.232-33, Payment by Electronic Funds Transfer - System for Award Management (OCT 2018) (31 U.S.C. 3332); 52.242-5, Payments to Small Business Subcontractors (JAN 2017) (15 U.S.C. 637(d)(13)); 52.222-43, Fair Labor Standards Act and Service Contract Labor Standards - Price Adjustment (Multiple Year and Option Contracts) (AUG 2018) (29 U.S.C. 206 and 41 U.S.C. chapter 67); 52.222-55, Minimum Wages Under Executive Order 13658 (NOV 2020). All quotes shall be sent to: Network Contracting Office (NCO) 9 Dewana Raynor dewana.raynor@va.gov Award will be based upon a comparative evaluation of quotes in accordance with the Simplified Acquisition Procedures of FAR 13. Comparative evaluation is the side by side pairwise comparison of quotes based on factors resulting in a Contracting Officer decision for the quote most favorable to the Government. Options will be evaluated at the time of award. The award will be made to the response most advantageous to the Government. Responses should contain your best terms, conditions. To facilitate the award process, all quotes must include a statement regarding the terms and conditions herein as follows: "The terms and conditions in the solicitation are acceptable to be included in the award document without modification, deletion, or addition." OR "The terms and conditions in the solicitation are acceptable to be included in the award document with the exception, deletion, or addition of the following:" Quoters shall list exception(s) and rationale for the exception(s), if any. Submission of your response shall be received not later than 3:00PM CT, Monday, March 31, 2021 at dewana.raynor@va.gov. Questions shall be submitted no later than 3PM CT, Thursday, March 26, 2021. Late submissions shall be treated in accordance with the solicitation provision at FAR 52.212-1(f). Any questions or concerns regarding this solicitation should be forwarded in writing via e-mail to the Point of Contact listed below. Point of Contact Dewana Raynor dewana.raynor@va.gov 615-225-5498 Attachment 1 - Contract Administration Data. Attachment 2 - Past Performance Survey. Attachment 3 - Wage Determination. Attachment 4 - Contractor Certification of Immigration. Attachment 5 - Contractor Rules of Behavior. Attachment 6 - Organizational Conflicts of Interest.
36C24921Q0195 Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 9
3/17/21, 3:28 PM Q525--Mobile Lithotripsy Laser Equipment and Services - 621 Amendment to update Price Schedule and Scope of Work
Contract Opportunity Amendment to a Previous Combined Solicitation PRODUCT SERVICE CODE * SUBJECT * CONTRACTING OFFICE'S * ZIP-CODE SOLICITATION NUMBER * BASE NOTICE TYPE RESPONSE DATE/TIME/ZONE ARCHIVE DAYS AFTER THE RESPONSE DATE RECOVERY ACT FUNDS SET-ASIDE NAICS CODE * CONTRACTING OFFICE ADDRESS POINT OF CONTACT * (POC Information Automatically Filled from User Profile Unless Entered) DESCRIPTION * See Attachment AGENCY'S URL URL DESCRIPTION AGENCY CONTACT'S EMAIL ADDRESS EMAIL DESCRIPTION ADDRESS POSTAL CODE COUNTRY ADDITIONAL INFORMATION GENERAL INFORMATION PLACE OF PERFORMANCE * = Required Field Contract Opportunity Amendment to a Previous Combined Solicitation Q525 Mobile Lithotripsy Laser Equipment and Services - 621 POP 05/01/2021 - 04/30/2022 - UDC 04/30/2026 37129 36C24921Q0195 03-31-2021 3:00 PM CENTRAL TIME, CHICAGO, USA 60 N 621512 Department of Veterans Affairs Network Contracting Office 9 (90C) NCO 9 1639 Medical Center Parkway, Suite 400 Murfreesboro TN 37129 Dewana Raynor dewana.raynor@va.gov James H. Quillen VA Medical Center Corner of Lamont & Veterans Way Mtn Home, TN 37684 USA Combined Synopsis-Solicitation for Commercial Items Mobile Lithotripsy Laser Equipment and Services Page 31 of 31 The purpose of this amendment is to update the PRICE/COST SCHEDULE and SCOPE of WORK. Description This is a combined synopsis/solicitation for commercial items prepared in accordance with the format in Federal Acquisition Regulation (FAR) subpart 12.6, Streamlined Procedures for Evaluation and Solicitation for Commercial Items, as supplemented with additional information included in this notice. This announcement constitutes the only solicitation; quotes are being requested, and a written solicitation document will not be issued. This solicitation is issued as an RFQ. The solicitation document and incorporated provisions and clauses are those in effect tough Federal Acquisition Circular, FAC 2021-04 effective 01/19/2021. The associated North American Industrial Classification System (NAICS) code for this procurement is 621512, with a small business size standard of $16.5 million. The FSC/PSC is Q525. The James H. Quillen VA Medical Center, Corner of Lamont & Veterans Way, Mtn Home, TN 37684 is seeking Mobile Lithotripsy Laser Equipment and Services. All interested companies shall provide quotations for the following: Price/Cost Schedule: The Contractor shall provide Mobile Lithotripsy Services, to include rental of surgical subspecialty laser equipment, Extracorporeal Shock Wave Lithotripsy equipment, and factory-trained Certified Medical Laser Safety Officer (CLSO or CLSO-M) necessary to perform on-site Mobile Lithotripsy Services to eligible beneficiaries of the Department of Veterans Affairs, James H. Quillen VA Medical Center (hereinafter referred to as VAMC or JHQ VAMC). The services provided would be same as those provided in a state-of-the-art civilian medical treatment facility and the standard of care shall be of a quality, meeting or exceeding, currently recognized national standards as established by the American Registry of Radiologic Technologists (ARRT). Place of Performance: Services shall be provided on-site at the James H. Quillen VA Medical Center, 99 Veteran s Way, Mountain Home, TN 37684 Pricing Instructions: The offeror is instructed to edit the number of SUB-LINS to correspond with the number of key personnel submitted for each Line Item Number (LIN). Affiliate Offerors shall include the title of the personnel submitted. Other commercial health care Offerors shall identify by title/position or level of experience the key personnel submitted. Also, renumber SUB-LINs if adding or removing Key Personnel. The Contractor shall propose a minimum of five (5) key personnel to be credentialed and be available for scheduling to meet the requirements of the contract. One FTE is defined by VA as a minimum of 80 hours every two weeks, 2,080 hours per year, and does not include holidays. Base Ordering Period: May 1, 2021 April 30, 2022 LIN SUB-LIN Description Est. Qty. Unit Unit Cost Total Annual Cost 0001 None Certified Medical Laser Safety Officer (CLSO or CLSO-M assistant to operate Extracorporeal Shock Wave Lithotripsy with C-Arm 200 Hours / Year DO NOT PRICE DO NOT PRICE DO NOT PRICE 0001a Certified Medical Laser Safety Officer (CLSO or CLSO-M) assistant to operate Laser systems Name: 40 hours $_______ $______ 0001b Certified Medical Laser Safety Officer (CLSO or CLSO-M) assistant to operate Laser systems Name: 40 hours $_______ $______ 0001c Certified Medical Laser Safety Officer (CLSO or CLSO-M) assistant to operate Laser systems Name: 40 hours $_______ $______ 0001d Certified Medical Laser Safety Officer (CLSO or CLSO-M) assistant to operate Laser systems Name: 40 hours $_______ $______ 0001e Certified Medical Laser Safety Officer (CLSO or CLSO-M) assistant to operate Laser systems Name: 40 hours $_______ $______ LITHOTRIPSY SERVICES 0002 Lithotripsy Services for one-year period of performance DO NOT PRICE DO NOT PRICE DO NOT PRICE DO NOT PRICE 0002a Holmium Laser System, 20 watt: Laser, medium beam, 2100 nm wavelength, beam focusing mechanism, 650 nm wavelength diode laser visible red-aiming beam, American National Standards Institute (ANSI)-standard laser safety glasses and goggles, laser safety signs, delivery and set-up system, CLSO/CLSO-M-certified assistant to operate system. 15 Hour $_______ $_______ 0002b Holmium Laser System, 100 watt: Laser, medium beam, 2100 nm wavelength, beam focusing mechanism, 650 nm wavelength diode laser visible red-aiming beam, ANSI standards laser safety glasses and goggles, laser safety signs, delivery and set-up system, CLSO/CLSO-M-certified assistant to operate system. 7 Hour $_______ $_______ 0002c Green Light XPS Laser System, 180 watt: Laser with XPS Fiber, ANSI-standard laser safety glasses, laser safety signs and goggles, delivery and set-up system, CLSO/CLSO-M-certified assistant to operate system. 25 Hour $_______ $_______ 0002d Aura XP Laser System, 15 watt: Laser, 532 nm pulsed wavelength, fiber delivery system, ANSI-standard laser safety glasses and goggles, laser safety signs, delivery and set-up system, CLSO/CLSO-M-certified assistant to operate system. 5 Hour $_______ $_______ 0002e CO2 (Carbon Dioxide) Flex Fiber Laser System, 40 watt: Laser with 10.6 micron infrared wavelength, up to SmW red diode laser, 635 nm, fiber delivery system, ANSI standard laser safety glasses and goggles, laser safety signs, delivery and set-up system, CLSO/CLSO-M-certified assistant to operate system. 5 Hour $_______ $_______ 0002f CO2 (Carbon Dioxide) Laser System: Laser, free beam, 10,650 nm wavelength, continuous wave, ANSI-standard laser safety glasses and goggles, laser safety signs, delivery and set-up system, CLSO/CLSO-M-certified assistant to operate system. 5 Hour $_______ $_______ 0002g Extracorporeal Shock Wave Lithotripsy with C-Arm, CLSO/CLSO-M-certified assistant to operate system and appropriate fibers for this equipment 15 Hour $_______ $_______ HOLMIUM FIBERS 0003 Single use Holmium Fibers DO NOT PRICE DO NOT PRICE DO NOT PRICE DO NOT PRICE 0003a 150 300 Single use Holmium Fibers 10 Each $_______ $______ 0003b 300 - 400 Single use Holmium Fibers 10 Each $_______ $______ 0003c 550 Single use Holmium Fibers 8 Each $_______ $______ 0003d 900 1,000 Single use Holmium Fibers 8 Each $_______ $______ 0003e Holmium Fibers for the GreenLight XPS Laser System 35 Each $_______ $______ 0003f Holmium Fibers for the Aura XP Laser System 8 Each $_______ $______ 0003g Holmium Fibers for the CO2 Flex Fiber Laser System 7 Each $_______ $______ 0003h Boston Scientific Xpeeda 550 DSL Fiber, Side-firing, Holmium Fiber 20 Each $_______ $______ 0003i Other Holmium Fiber approved for use during the term of this contract 0 Each TBD TBD STAND BY REQUIREMENT DO NOT PRICE DO NOT PRICE DO NOT PRICE DO NOT PRICE 0004 None Stand-by/Cancellation charges for items 1-7, above. If VA staff performing procedure determines that the use of the laser is not required, a stand-by/cancellation charge will be incurred when CLSO/CLSO-M- certified laser assistant and laser are in the Operating Room. 35 Night $_______ $_______ TOTAL ESTIMATED FOR BASE ORDERING PERIOD: $_______________ Ordering Period 1: May 1, 2022 April 30, 2023 LIN SUB-LIN Description Est. Qty. Unit Unit Cost Total Annual Cost 1001 None Certified Medical Laser Safety Officer (CLSO or CLSO-M assistant to operate Extracorporeal Shock Wave Lithotripsy with C-Arm 200 Hours / Year DO NOT PRICE DO NOT PRICE DO NOT PRICE 1001a Certified Medical Laser Safety Officer (CLSO or CLSO-M) assistant to operate Laser systems Name: 40 hours $_______ $______ 1001b Certified Medical Laser Safety Officer (CLSO or CLSO-M) assistant to operate Laser systems Name: 40 hours $_______ $______ 1001c Certified Medical Laser Safety Officer (CLSO or CLSO-M) assistant to operate Laser systems Name: 40 hours $_______ $______ 1001d Certified Medical Laser Safety Officer (CLSO or CLSO-M) assistant to operate Laser systems Name: 40 hours $_______ $______ 1001e Certified Medical Laser Safety Officer (CLSO or CLSO-M) assistant to operate Laser systems Name: 40 hours $_______ $______ LITHOTRIPSY SERVICES 1002 Lithotripsy Services for one-year period of performance DO NOT PRICE DO NOT PRICE DO NOT PRICE DO NOT PRICE 1002a Holmium Laser System, 20 watt: Laser, medium beam, 2100 nm wavelength, beam focusing mechanism, 650 nm wavelength diode laser visible red-aiming beam, American National Standards Institute (ANSI)-standard laser safety glasses and goggles, laser safety signs, delivery and set-up system, CLSO/CLSO-M-certified assistant to operate system. 15 Hour $_______ $_______ 1002b Holmium Laser System, 100 watt: Laser, medium beam, 2100 nm wavelength, beam focusing mechanism, 650 nm wavelength diode laser visible red-aiming beam, ANSI standards laser safety glasses and goggles, laser safety signs, delivery and set-up system, CLSO/CLSO-M-certified assistant to operate system. 7 Hour $_______ $_______ 1002c Green Light XPS Laser System, 180 watt: Laser with XPS Fiber, ANSI-standard laser safety glasses, laser safety signs and goggles, delivery and set-up system, CLSO/CLSO-M-certified assistant to operate system. 25 Hour $_______ $_______ 1002d Aura XP Laser System, 15 watt: Laser, 532 nm pulsed wavelength, fiber delivery system, ANSI-standard laser safety glasses and goggles, laser safety signs, delivery and set-up system, CLSO/CLSO-M-certified assistant to operate system. 5 Hour $_______ $_______ 1002e CO2 (Carbon Dioxide) Flex Fiber Laser System, 40 watt: Laser with 10.6 micron infrared wavelength, up to SmW red diode laser, 635 nm, fiber delivery system, ANSI standard laser safety glasses and goggles, laser safety signs, delivery and set-up system, CLSO/CLSO-M-certified assistant to operate system. 5 Hour $_______ $_______ 1002f CO2 (Carbon Dioxide) Laser System: Laser, free beam, 10,650 nm wavelength, continuous wave, ANSI-standard laser safety glasses and goggles, laser safety signs, delivery and set-up system, CLSO/CLSO-M-certified assistant to operate system. 5 Hour $_______ $_______ 1002g Extracorporeal Shock Wave Lithotripsy with C-Arm, CLSO/CLSO-M-certified assistant to operate system and appropriate fibers for this equipment 15 Hour $_______ $_______ HOLMIUM FIBERS 1003 Single use Holmium Fibers DO NOT PRICE DO NOT PRICE DO NOT PRICE DO NOT PRICE 1003a 150 300 Single use Holmium Fibers 10 Each $_______ $______ 1003b 300 - 400 Single use Holmium Fibers 10 Each $_______ $______ 1003c 550 Single use Holmium Fibers 8 Each $_______ $______ 1003d 900 1,000 Single use Holmium Fibers 8 Each $_______ $______ 1003e Holmium Fibers for the GreenLight XPS Laser System 35 Each $_______ $______ 1003f Holmium Fibers for the Aura XP Laser System 8 Each $_______ $______ 1003g Holmium Fibers for the CO2 Flex Fiber Laser System 7 Each $_______ $______ 1003h Boston Scientific Xpeeda 550 DSL Fiber, Side-firing, Holmium Fiber 20 Each $_______ $______ 1003i Other Holmium Fiber approved for use during the term of this contract 0 Each TBD TBD STAND BY REQUIREMENT DO NOT PRICE DO NOT PRICE DO NOT PRICE DO NOT PRICE 1004 None Stand-by/Cancellation charges for items 1-7, above. If VA staff performing procedure determines that the use of the laser is not required, a stand-by/cancellation charge will be incurred when CLSO/CLSO-M- certified laser assistant and laser are in the Operating Room. 35 Night $_______ $_______ TOTAL ESTIMATED FOR ORDERING PERIOD 1: $_____________ Ordering Period 2: May 1, 2023 April 30, 2024 LIN SUB-LIN Description Est. Qty. Unit Unit Cost Total Annual Cost 2001 None Certified Medical Laser Safety Officer (CLSO or CLSO-M assistant to operate Extracorporeal Shock Wave Lithotripsy with C-Arm 200 Hours / Year DO NOT PRICE DO NOT PRICE DO NOT PRICE 2001a Certified Medical Laser Safety Officer (CLSO or CLSO-M) assistant to operate Laser systems Name: 40 hours $_______ $______ 2001b Certified Medical Laser Safety Officer (CLSO or CLSO-M) assistant to operate Laser systems Name: 40 hours $_______ $______ 2001c Certified Medical Laser Safety Officer (CLSO or CLSO-M) assistant to operate Laser systems Name: 40 hours $_______ $______ 2001d Certified Medical Laser Safety Officer (CLSO or CLSO-M) assistant to operate Laser systems Name: 40 hours $_______ $______ 2001e Certified Medical Laser Safety Officer (CLSO or CLSO-M) assistant to operate Laser systems Name: 40 hours $_______ $______ LITHOTRIPSY SERVICES 2002 Lithotripsy Services for one-year period of performance DO NOT PRICE DO NOT PRICE DO NOT PRICE DO NOT PRICE 2002a Holmium Laser System, 20 watt: Laser, medium beam, 2100 nm wavelength, beam focusing mechanism, 650 nm wavelength diode laser visible red-aiming beam, American National Standards Institute (ANSI)-standard laser safety glasses and goggles, laser safety signs, delivery and set-up system, CLSO/CLSO-M-certified assistant to operate system. 15 Hour $_______ $_______ 2002b Holmium Laser System, 100 watt: Laser, medium beam, 2100 nm wavelength, beam focusing mechanism, 650 nm wavelength diode laser visible red-aiming beam, ANSI standards laser safety glasses and goggles, laser safety signs, delivery and set-up system, CLSO/CLSO-M-certified assistant to operate system. 7 Hour $_______ $_______ 2002c Green Light XPS Laser System, 180 watt: Laser with XPS Fiber, ANSI-standard laser safety glasses, laser safety signs and goggles, delivery and set-up system, CLSO/CLSO-M-certified assistant to operate system. 25 Hour $_______ $_______ 2002d Aura XP Laser System, 15 watt: Laser, 532 nm pulsed wavelength, fiber delivery system, ANSI-standard laser safety glasses and goggles, laser safety signs, delivery and set-up system, CLSO/CLSO-M-certified assistant to operate system. 5 Hour $_______ $_______ 2002e CO2 (Carbon Dioxide) Flex Fiber Laser System, 40 watt: Laser with 10.6 micron infrared wavelength, up to SmW red diode laser, 635 nm, fiber delivery system, ANSI standard laser safety glasses and goggles, laser safety signs, delivery and set-up system, CLSO/CLSO-M-certified assistant to operate system. 5 Hour $_______ $_______ 2002f CO2 (Carbon Dioxide) Laser System: Laser, free beam, 10,650 nm wavelength, continuous wave, ANSI-standard laser safety glasses and goggles, laser safety signs, delivery and set-up system, CLSO/CLSO-M-certified assistant to operate system. 5 Hour $_______ $_______ 2002g Extracorporeal Shock Wave Lithotripsy with C-Arm, CLSO/CLSO-M-certified assistant to operate system and appropriate fibers for this equipment 15 Hour $_______ $_______ HOLMIUM FIBERS 2003 Single use Holmium Fibers DO NOT PRICE DO NOT PRICE DO NOT PRICE DO NOT PRICE 2003a 150 300 Single use Holmium Fibers 10 Each $_______ $______ 2003b 300 - 400 Single use Holmium Fibers 10 Each $_______ $______ 2003c 550 Single use Holmium Fibers 8 Each $_______ $______ 2003d 900 1,000 Single use Holmium Fibers 8 Each $_______ $______ 2003e Holmium Fibers for the GreenLight XPS Laser System 35 Each $_______ $______ 2003f Holmium Fibers for the Aura XP Laser System 8 Each $_______ $______ 2003g Holmium Fibers for the CO2 Flex Fiber Laser System 7 Each $_______ $______ 2003h Boston Scientific Xpeeda 550 DSL Fiber, Side-firing, Holmium Fiber 20 Each $_______ $______ 2003i Other Holmium Fiber approved for use during the term of this contract 0 Each TBD TBD STAND BY REQUIREMENT DO NOT PRICE DO NOT PRICE DO NOT PRICE DO NOT PRICE 2004 None Stand-by/Cancellation charges for items 1-7, above. If VA staff performing procedure determines that the use of the laser is not required, a stand-by/cancellation charge will be incurred when CLSO/CLSO-M- certified laser assistant and laser are in the Operating Room. 35 Night $_______ $______ TOTAL ESTIMATED FOR ORDERING PERIOD 2: $_______________ Ordering Period 3: May 1, 2024 April 30, 2025 LIN SUB-LIN Description Est. Qty. Unit Unit Cost Total Annual Cost 3001 None Certified Medical Laser Safety Officer (CLSO or CLSO-M assistant to operate Extracorporeal Shock Wave Lithotripsy with C-Arm 200 Hours / Year DO NOT PRICE DO NOT PRICE DO NOT PRICE 3001a Certified Medical Laser Safety Officer (CLSO or CLSO-M) assistant to operate Laser systems Name: 40 hours $_______ $______ 3001b Certified Medical Laser Safety Officer (CLSO or CLSO-M) assistant to operate Laser systems Name: 40 hours $_______ $______ 3001c Certified Medical Laser Safety Officer (CLSO or CLSO-M) assistant to operate Laser systems Name: 40 hours $_______ $______ 3001d Certified Medical Laser Safety Officer (CLSO or CLSO-M) assistant to operate Laser systems Name: 40 hours $_______ $______ 3001e Certified Medical Laser Safety Officer (CLSO or CLSO-M) assistant to operate Laser systems Name: 40 hours $_______ $______ LITHOTRIPSY SERVICES 3002 Lithotripsy Services for one-year period of performance DO NOT PRICE DO NOT PRICE DO NOT PRICE DO NOT PRICE 3002a Holmium Laser System, 20 watt: Laser, medium beam, 2100 nm wavelength, beam focusing mechanism, 650 nm wavelength diode laser visible red-aiming beam, American National Standards Institute (ANSI)-standard laser safety glasses and goggles, laser safety signs, delivery and set-up system, CLSO/CLSO-M-certified assistant to operate system. 15 Hour $_______ $______ 3002b Holmium Laser System, 100 watt: Laser, medium beam, 2100 nm wavelength, beam focusing mechanism, 650 nm wavelength diode laser visible red-aiming beam, ANSI standards laser safety glasses and goggles, laser safety signs, delivery and set-up system, CLSO/CLSO-M-certified assistant to operate system. 7 Hour $_______ $______ 3002c Green Light XPS Laser System, 180 watt: Laser with XPS Fiber, ANSI-standard laser safety glasses, laser safety signs and goggles, delivery and set-up system, CLSO/CLSO-M-certified assistant to operate system. 25 Hour $_______ $______ 3002d Aura XP Laser System, 15 watt: Laser, 532 nm pulsed wavelength, fiber delivery system, ANSI-standard laser safety glasses and goggles, laser safety signs, delivery and set-up system, CLSO/CLSO-M-certified assistant to operate system. 5 Hour $_______ $______ 3002e CO2 (Carbon Dioxide) Flex Fiber Laser System, 40 watt: Laser with 10.6 micron infrared wavelength, up to SmW red diode laser, 635 nm, fiber delivery system, ANSI standard laser safety glasses and goggles, laser safety signs, delivery and set-up system, CLSO/CLSO-M-certified assistant to operate system. 5 Hour $_______ $______ 3002f CO2 (Carbon Dioxide) Laser System: Laser, free beam, 10,650 nm wavelength, continuous wave, ANSI-standard laser safety glasses and goggles, laser safety signs, delivery and set-up system, CLSO/CLSO-M-certified assistant to operate system. 5 Hour $_______ $______ 3002g Extracorporeal Shock Wave Lithotripsy with C-Arm, CLSO/CLSO-M-certified assistant to operate system and appropriate fibers for this equipment 15 Hour $_______ $______ HOLMIUM FIBERS 3003 Single use Holmium Fibers DO NOT PRICE DO NOT PRICE DO NOT PRICE DO NOT PRICE 3003a 150 300 Single use Holmium Fibers 10 Each $_______ $______ 3003b 300 - 400 Single use Holmium Fibers 10 Each $_______ $______ 3003c 550 Single use Holmium Fibers 8 Each $_______ $______ 3003d 900 1,000 Single use Holmium Fibers 8 Each $_______ $______ 3003e Holmium Fibers for the GreenLight XPS Laser System 35 Each $_______ $______ 3003f Holmium Fibers for the Aura XP Laser System 8 Each $_______ $______ 3003g Holmium Fibers for the CO2 Flex Fiber Laser System 7 Each $_______ $______ 3003h Boston Scientific Xpeeda 550 DSL Fiber, Side-firing, Holmium Fiber 20 Each $_______ $______ 3003i Other Holmium Fiber approved for use during the term of this contract 0 Each TBD TBD STAND BY REQUIREMENT DO NOT PRICE DO NOT PRICE DO NOT PRICE DO NOT PRICE 3004 None Stand-by/Cancellation charges for items 1-7, above. If VA staff performing procedure determines that the use of the laser is not required, a stand-by/cancellation charge will be incurred when CLSO/CLSO-M- certified laser assistant and laser are in the Operating Room. 35 Night $_______ $______ TOTAL ESTIMATED FOR ORDERING PERIOD 3: $ _______________ Ordering Period 4: May 1, 2025 April 30, 2026 LIN SUB-LIN Description Est. Qty. Unit Unit Cost Total Annual Cost 4001 None Certified Medical Laser Safety Officer (CLSO or CLSO-M assistant to operate Extracorporeal Shock Wave Lithotripsy with C-Arm 200 Hours / Year DO NOT PRICE DO NOT PRICE DO NOT PRICE 4001a Certified Medical Laser Safety Officer (CLSO or CLSO-M) assistant to operate Laser systems Name: 40 hours $_______ $______ 4001b Certified Medical Laser Safety Officer (CLSO or CLSO-M) assistant to operate Laser systems Name: 40 hours $_______ $______ 4001c Certified Medical Laser Safety Officer (CLSO or CLSO-M) assistant to operate Laser systems Name: 40 hours $_______ $______ 4001d Certified Medical Laser Safety Officer (CLSO or CLSO-M) assistant to operate Laser systems Name: 40 hours $_______ $______ 4001e Certified Medical Laser Safety Officer (CLSO or CLSO-M) assistant to operate Laser systems Name: 40 hours $_______ $______ LITHOTRIPSY SERVICES 4002 Lithotripsy Services for one-year period of performance DO NOT PRICE DO NOT PRICE DO NOT PRICE DO NOT PRICE 4002a Holmium Laser System, 20 watt: Laser, medium beam, 2100 nm wavelength, beam focusing mechanism, 650 nm wavelength diode laser visible red-aiming beam, American National Standards Institute (ANSI)-standard laser safety glasses and goggles, laser safety signs, delivery and set-up system, CLSO/CLSO-M-certified assistant to operate system. 15 Hour $_______ $_______ 4002b Holmium Laser System, 100 watt: Laser, medium beam, 2100 nm wavelength, beam focusing mechanism, 650 nm wavelength diode laser visible red-aiming beam, ANSI standards laser safety glasses and goggles, laser safety signs, delivery and set-up system, CLSO/CLSO-M-certified assistant to operate system. 7 Hour $_______ $_______ 4002c Green Light XPS Laser System, 180 watt: Laser with XPS Fiber, ANSI-standard laser safety glasses, laser safety signs and goggles, delivery and set-up system, CLSO/CLSO-M-certified assistant to operate system. 25 Hour $_______ $_______ 4002d Aura XP Laser System, 15 watt: Laser, 532 nm pulsed wavelength, fiber delivery system, ANSI-standard laser safety glasses and goggles, laser safety signs, delivery and set-up system, CLSO/CLSO-M-certified assistant to operate system. 5 Hour $_______ $_______ 4002e CO2 (Carbon Dioxide) Flex Fiber Laser System, 40 watt: Laser with 10.6 micron infrared wavelength, up to SmW red diode laser, 635 nm, fiber delivery system, ANSI standard laser safety glasses and goggles, laser safety signs, delivery and set-up system, CLSO/CLSO-M-certified assistant to operate system. 5 Hour $_______ $_______ 4002f CO2 (Carbon Dioxide) Laser System: Laser, free beam, 10,650 nm wavelength, continuous wave, ANSI-standard laser safety glasses and goggles, laser safety signs, delivery and set-up system, CLSO/CLSO-M-certified assistant to operate system. 5 Hour $_______ $_______ 4002g Extracorporeal Shock Wave Lithotripsy with C-Arm, CLSO/CLSO-M-certified assistant to operate system and appropriate fibers for this equipment 15 Hour $_______ $_______ HOLMIUM FIBERS 4003 Single use Holmium Fibers DO NOT PRICE DO NOT PRICE DO NOT PRICE DO NOT PRICE 4003a 150 300 Single use Holmium Fibers 10 Each $_______ $______ 4003b 300 - 400 Single use Holmium Fibers 10 Each $_______ $______ 4003c 550 Single use Holmium Fibers 8 Each $_______ $______ 4003d 900 1,000 Single use Holmium Fibers 8 Each $_______ $______ 4003e Holmium Fibers for the GreenLight XPS Laser System 35 Each $_______ $______ 4003f Holmium Fibers for the Aura XP Laser System 8 Each $_______ $______ 4003g Holmium Fibers for the CO2 Flex Fiber Laser System 7 Each $_______ $______ 4003h Boston Scientific Xpeeda 550 DSL Fiber, Side-firing, Holmium Fiber 20 Each $_______ $______ 4003i Other Holmium Fiber approved for use during the term of this contract 0 Each TBD TBD STAND BY REQUIREMENT DO NOT PRICE DO NOT PRICE DO NOT PRICE DO NOT PRICE 4004 None Stand-by/Cancellation charges for items 1-7, above. If VA staff performing procedure determines that the use of the laser is not required, a stand-by/cancellation charge will be incurred when CLSO/CLSO-M- certified laser assistant and laser are in the Operating Room. 35 Night $_______ $_______ TOTAL ESTIMATED FOR ORDERING PERIOD 4: $_________________ TOTAL ESTIMATED PRICE FOR ALL ORDERING PERIODS: $__________________ The contract period of performance is May 1, 2021 tough April 30, 2026. One base ordering period plus 4 one-year ordering periods. This contract is a fixed price Indefinite Delivery Indefinite Quantity contract. The guaranteed contact minimum is $350,000.00 and the contract maximum is $2,140,000.00. ORDERS: This is a Firm Price (FP) Indefinite Delivery/Indefinite Quantity (IDIQ) contract (see FAR 52.216-22). The Task Order for the base ordering period will be awarded at the time of contract and all other Task Orders will be awarded annually. The Task Orders shall specify the estimated quantities of services for each period of performance and shall comply with FAR 52.216-18 and 52.216-19. A funded Task Orders (TO) may only be awarded and issued by a warranted Contracting Officer (CO). Any changes to this contract may only be made by a written modification which is formally executed between the contractor and the CO. Task Order Procedures a. This contract type allows the Veteran Affairs Network Contracting Office (NCO 9) contracting officers to place orders with the contractor on an as needed basis. In accordance with the Federal Acquisition Regulation (FAR) Clauses 52.216-18, Ordering. NCO 9 will obligate the funding and order the services by issuing a Task Order which will cover individual performance periods. b. A Task Order shall be issued to the contractor when mobile lithotripsy laser equipment and services are required. One task order may be issued for all line items if necessary or the Government may issue a task order for only one-line item depending on the Government s need. c. The contractor shall initiate work when so directed by a Task Order issued by the Contracting Officer. No work shall be performed unless specifically authorized by the contracting officer. The contractor shall not exceed the estimated task order amount or change the task order without prior written approval of the Contracting Officer. d. In event the contractor is unable to fulfill the task order requirements; the government reserves the right to fulfill its need outside of this contract. A written confirmation from the contractor indicating the inability to fulfill the task order is immediately required. The estimated dollar amount on the unfilled task order will be applied to the minimum quantity. The government s right to fulfill its need outside this contract does not waive its right to the issuance of a cure notice nor does it waive its right to terminate for default. Task Order Issuance Procedure. The terms that apply to the issuance of Task Orders under this contract are set forth below: Task Order Pricing Task Order prices shall be Fixed-Price (FP) as agreed to in the IDIQ pricing schedule and individually funded. The Unit Price is an all-inclusive cost. Task Order Performance Period When mobile lithotripsy laser equipment and services are needed and a Task Order is issued, each Task Order shall have an established period of performance or delivery date. Individual Task Orders shall not exceed a 12-month period. PERFORMANCE WORK STATEMENT MOBILE LITHOTRIPSY LASER EQUIPMENT & SERVICES JAMES H. QUILLEN VA MEDICAL CENTER MOUNTAIN HOME, TENNESSEE James H. Quillen VAMC has a need for the provision of Urological Services. Contractor shall provide rental of surgical subspecialty laser equipment, factory-trained Certified Medical Laser Safety Officer (CLSO or CLSO-M), and laser fibers for all lasers for the Operating Room and Emergency Room at James H. Quillen VA Medical Center (JHQVAMC), Corner of Veterans Way & Lamont Street, Mountain Home, TN 37684. The required equipment shall be as follows: a) Holmium: Lasers (both 20 watt & 100 watt) as back-up units in the event the VA-owned Holmium Laser is unavailable; b) Green Light XPS Laser System (180 watt); c) Aura XP Laser System; d) CO2 Flex Fiber Laser System; and e) CO2 Laser System Free Beam. The CLSO/CLSO-M shall be required to use the VA-owned Holmium Laser (100 watt) and fibers manufactured specifically for use with this laser. In the event the VA-owned Holmium Laser is not available (e.g., out for preventative maintenance or repair), The CLSO/CLSO-M shall be required to use the contractor-owned Holmium Lasers with the manufacturer-specified fibers. The contractor will provide the laser fibers for all procedures. Under no circumstances are third-party manufactured fibers to be used at JHQVAMC with either the VA-owned or contractor-owned Holmium Lasers in accordance with all terms, conditions, provisions, and the schedule of this solicitation A. SCHEDULE OF SUPPLIES/SERVICES a. SCOPE OF WORK: The contractor shall provide the following equipment, or approved equal, on a case-by-case, as needed, basis: (1) Mobile Lithotripsy Services, to include rental of surgical subspecialty laser equipment, Extracorporeal Shock Wave Lithotripsy equipment, and factory-trained Certified Medical Laser Safety Officer (CLSO or CLSO-M) necessary to perform on-site Mobile Lithotripsy Services to eligible beneficiaries of the Department of Veterans Affairs, James H. Quillen VA Medical Center (hereinafter referred to as VAMC or JHQ VAMC). The services provided would be same as those provided in a state-of-the-art civilian medical treatment facility and the standard of care shall be of a quality, meeting or exceeding, currently recognized national standards as established by the American Registry of Radiologic Technologists (ARRT) (2) Holmium Laser System, 20-watt: Laser, medium beam, 2100 nm wavelength, beam-focusing mechanism, 650 nm wavelength diode laser visible red-aiming beam, American National Standards Institute (ANSI)-standard laser safety glasses and goggles, laser safety signs, delivery and set-up system, CLSO/CLSO-M to operate system. (3) Holmium Laser System, 100-watt: Laser, medium beam, 2100 nm wavelength, beam-focusing mechanism, 650 nm wavelength diode laser visible red-aiming beam, ANSI-standards laser safety glasses and goggles, laser safety signs, delivery and set-up system, CLSO/CLSO-M to operate system. (4) Green Light XPS Laser System, 180-watt: Laser with XPS Fiber, ANSI-standard laser safety glasses, laser safety signs and goggles, delivery and set-up system, CLSO/CLSO-M to operate system. (5) Aura XP Laser System, 15-watt: Laser, 532 nm pulsed wavelength, fiber delivery system, ANSI-standard laser safety glasses and goggles, laser safety signs, delivery and set-up system, CLSO/CLSO-M to operate system. (6) CO2 (Carbon Dioxide) Flex Fiber Laser System, 40-watt: Laser with 10.6 micron infrared wavelength, up to 5mW red diode laser, 635 nm, fiber delivery system, ANSI-standard laser safety glasses and goggles, laser safety signs, delivery and set-up system, CLSO/CLSO-M to operate system. (7) CO2 (Carbon Dioxide) Laser System: Laser, free beam, 10,650 nm wavelength, continuous wave, ANSI-standard laser safety glasses and goggles, laser safety signs, delivery and set-up system, CLSO/CLSO-M to operate system. (8) CLSO/CLSO-M to operate VA-owned 100-watt Holmium Laser with VA-purchased fibers. (9) Stand-by/Cancellation charges for items 1-7, above. If VA physician performing procedure determines that the use of the laser is not required, a stand-by/cancellation charge will be incurred when CLSO/CLSO-M and laser are in the Operating Room. (10) One or more types of laser with associated CLSO/CLSO-M may be requested by the facility for procedures scheduled at the same time on the same date. The Contractor will be expected to notify the facility as soon as possible if they are unable to provide more than one CLSO/CLSO-M and laser for procedures scheduled at the same time. b. PERSONNEL QUALIFICATIONS/EXPERIENCE CRITERIA: CLSO/CLSO-M(s) performing the services covered by this contract shall be factory-trained and shall present a record of credentials and competencies for approval, to be placed on file in the Operating Room. The qualifications of the CLSO/CLSO-M(s) shall be subject to review by the JHQVAMC Attending, and approval by the JHQVAMC Chief of Surgery Service. The Contracting Officer will be notified prior to any changes in personnel. VA reserves the right to approve or disapprove the assignment of individual personnel furnished by the contractor to perform the functions specified in the task order. The personnel assigned by the contractor must complete VA credentialing process as required. Personnel assigned by the contractor to perform the services must be U.S. Citizens and have current licensure/certification in good standing with the U.S. Personnel assigned by the contractor to perform the services covered by this task order shall be proficient in written and spoken English (38 USC 7402). Services shall be provided immediately after notice of contract award and upon completion of all required Credentialing and Background Investigations (as applicable). The contracted individual will be required to show two proofs of identification on their first day of work. Acceptable proof of identification is as follows: Acceptable PICTURE IDs: State-Issued Driver s License State DMV-Issued ID Card US Passport Military ID/Dependents Card Foreign Passport Permanent Resident Card/Alien Registration Card w/Photo Acceptable NON-PICTURE IDs: Social Security Card Certified Birth Certificate State Voter Registration Card Native American Tribal Document Certificate of U.S. Citizenship Certificate of Birth Abroad Issued by Department of State Credentials Requested: The CLSO/CLSO-M will be required to complete credentialing during this assignment. An application package will be provided by the VA to be completed by the candidate. This includes curriculum vitae, current references, signed release of information from candidate and statement that candidate does not have any physical or mental health condition that would adversely affect his/her ability to carry out assigned duties, and additional credentialing forms. Candidate will also be required to make application tough the VETPRO Internet process. Candidate shall need to be enrolled in VETPRO by VA personnel. The website address is: https://fcp.vetpro.org. Our facility ID number is: 0621 c. PERSONNEL QUALIFICATION SUBMITTAL: The contractor will submit the qualifications of the CLSO/CLSO-M(s) proposed to perform services under this contract. The Contracting Officer shall notify the contractor of acceptance or unacceptability within five (5) calendar days of receipt of submittal, based on the contents evidencing that all qualification requirements are met. The contractor shall ensure that all qualifying criteria outlined in this section have been met, to include current and valid licenses and certifications. The submittal shall consist of: (1) Name, social security number, date of birth, and copy of the Curriculum Vitae; (2) documentation of education and training; (3) copy of any license(s) which includes number and expiration date; (4) copy of certifications; and (5) Infection Control test results as specified in Section h. d. PERSONNEL POLICY: The parties agree that the contractor s CLSO/CLSO-M(s) shall not be considered JHQVAMC employees for any purpose and shall be considered to be employed by the contractor. The Contractor shall be responsible for providing the following for their own protection: (1) Worker s Compensation Insurance (2) Professional Liability Insurance (3) Health Examinations (4) Income Tax Withholding (5) Social Security Payments CONTRACTOR RESPONSIBILITY: The Contractor shall perform services under the direction of the JHQVAMC Chief of Staff, the Chief of Surgery Service, and JHQVAMC Attending Surgeon. In the event laser equipment and services have to be provided on an urgent or emergent basis during off-duty hours or national holidays, the contractor is required to respond telephonically within 15 minutes of receiving the call and must be in-house within two (2) hours of the original page or telephone call to provide laser equipment and services at JHQVAMC. JHQVAMC will make every attempt to notify the Contractor within 24 hours when procedures are cancelled and/or rescheduled to release the contract employee. Contractor will make every effort to maintain consistency of assigned staff at the VA at all times for training, security, and continuity purposes. The CLSO/CLSO-M must self-enroll in the Talent Management System (TMS) at www.tms.va.gov and notify the COR when self-enrollment is complete. Contracted employees annually complete the following mandatory TMS modules: - TMS Module 10203, Privacy and HIPAA Focused Training - TMS Module 10176, VA Privacy and Information Security Awareness and Rules of Behavior. - TMS Module 7318, VHA CO Compliance and Business Integrity (CBI) Awareness Training - TMS Module 3855743, Code Blue Procedures - TMS Module 3978416, Occupational Safety, Health and Fire Protection Program - TMS Module 3844813, Bloodborne Pathogens and Tuberculosis Exposure Training - TMS Module 3836886, Emergency Operations - TMS Module 3870605, VHA Minimizing Risk for Fluoroscopic X-Ray - TMS Module 3890386, Fire Safety in the OR The Contractor shall provide scheduled services toughout the contract period. The Contractor shall follow all existing local, state, federal and/or union laws/regulations. Patient Safety incidents must be reported immediately (within 24 hours) to the Patient Safety Officer. The Government reserves the right to refuse acceptance of the Contractor if personal or professional conduct jeopardizes patient care or interferes with the regular and ordinary operation of JHQVAMC. Breaches of conduct include intoxication or debilitation resulting from drug use, theft, patient abuse, dereliction or negligence in performing directed tasks, or other conduct resulting in formal complaints by patient or other staff members to designated Government representative. Standards for conduct shall mirror those prescribed by current federal personnel regulations. The Contracting Officer and COR shall deal with issues raised concerning contract personnel s conduct. The final arbiter on questions of acceptability is the Contracting Officer. The Contracting Officer shall resolve complaints concerning Contractor relations with the Government employees or patients. The Contracting Officer is the final authority on validating complaints. In the event that the Contractor is involved and named in a validated patient complaint, the Government reserves the right to refuse acceptance of the services of such personnel. This does not preclude refusal in the event of incidents involving physical or verbal abuse. QUALITY ASSURANCE: The Contract laser assistant shall be subject to the same quality assurance standards meeting or exceeding current recognized national standards as established by The Joint Commission (TJC). The contractor shall perform services in accordance with established principles and ethics of the nursing profession established by TJC and Veterans Health Administration (VHA) regulations. The Contractor shall be technically proficient in the skills necessary to fulfill the Government s requirements, to include the ability to speak, understand, read and write English fluently. The Contractor shall be responsible for compliance with all applicable JHQVAMC written policies and procedures. The Contractor shall not introduce new procedures or services without prior recommendation to, and approval of, JHQVAMC or authorized representative and the Contracting Officer Representative (COR). INFECTION CONTROL REQUIREMENTS: (1) Health Tests: Upon JHQVAMC request, contractor personnel shall provide proof of the following tests within five (5) days prior to first duty shift. Tests shall be current within the past year: Tuberculosis Testing - All contractor personnel shall provide proof of a negative reaction to Purified Protein Derivative (PPD) testing. A negative chest radiographic report for active tuberculosis shall be provided in cases of positive PPD results. The PPD test shall be repeated annually. Rubella Tests - All contractor personnel shall provide proof of immunization for varicella, measles, mumps, and rubella or a rubella titer of 1.8 or greater. If the titer is less than 1.8, a rubella immunization must be administered with follow-up documentation to the COR. (2) OSHA Regulation Concerning Occupational Exposure to Bloodborne Pathogens: The contractor shall provide the Hepatitis B vaccination series at no cost to its personnel who elect to receive it; maintain and distribute an exposure determination and control plan to its personnel; maintain required records; and ensure that proper follow-up evaluation is provided following an exposure incident. (3) Communicable Disease Exposure: JHQVAMC shall notify the Contractor of any significant communicable disease exposures as appropriate. The Contractor shall adhere to current CDC/HICPAC Guideline for Infection Control in health care personnel (AJIC 1998; 26:289-354) for disease control. The Contractor shall provide follow-up documentation of clearance to return to the workplace prior to their return. h. RECORD KEEPING: JHQVAMC shall establish and maintain a record-keeping system that shall record the services performed by the Contractor. The Contractor shall report to the COR or designee upon arrival at JHQVAMC. i. CERTIFICATIONS: Annually at the time of issuance of the Task Order for the next performance period, contractor will provide to the COR the following documents for all assistants performing services under this contract: Current copy of their Laser Certification. Current copy of their Laser Competency Form. Current company background check. Current drug test certification. Current infection control requirement test results. QUALITY IMPROVEMENT: The Government may evaluate the quality of professional and administrative services provided, but retains no control over the medical, professional aspects of services rendered, e.g., professional judgments, diagnosis for specific medical treatment, in accordance with Federal Acquisition Regulation (FAR) 37.401(b). TERM OF CONTRACT: This contract is effective May 1, 2021 tough April 30, 2026 with (4) 1-year ordering periods. The contract is subject to the availability of VA funds. The Contractor shall perform no services after April 30, each year until the contracting office authorizes such services in writing. VA RESPONSIBILITY: JHQVAMC personnel shall brief Contractor on JHQVAMC policies and procedures on the first scheduled duty day. The Contractor rendering services is subject to professional or technical direction from the Attending Surgeon, OR staff and COR. The VA shall provide the Contractor the name, title, and telephone number of the COR at the time of contract award. The Contractor shall, in writing, keep the Contracting Officer informed of any unusual circumstances in conjunction with the contract. Contract rate is all-inclusive of all incidental costs including housing, transportation and premium payments for applicable malpractice insurance coverage for all required services for the contract period. INSPECTION: The JHQVAMC Biomedical Engineering staff will inspect the laser equipment upon each set-up in the OR, prior to the first procedure. The contractor staff is to have a current Preventative Maintenance (PM) inspection sheet with them when they arrive with the equipment. If they do not, then a copy must be faxed to JHQVAMC Surgery Service prior to the first case (FAX number: 423-979-2696). BADGES: The Contractor is required to wear I.D. badge during the entire time they are on JHQVAMC grounds. I.D. badge MUST have an identification picture and shall be issued by JHQVAMC. NO SMOKING POLICY: Smoking is strictly prohibited on VA property. PERSONAL IDENTIFIABLE INFORMATION: Contractor shall not remove personal identifiable information (e.g., full name, social security number, date of birth, etc.) from JHQVAMC. Limited information for invoicing purposes only (first initial, last name) may be removed. PAYMENT: Contractor s employee must be present at the VA facility and must be actually performing the required services for the period specified within the contract. The contractor may only bill for services rendered and performed at the VA facility during each billing cycle. The payment for any applicable leave, to include sick leave, annual leave, administrative leave, and holidays, are the responsibility of the Contractor. Contractor will be required to furnish an itemized invoice listing each contract employee for the period of service covered. Invoices may be submitted as of the last day of each month, but no later than the 10th day of the following month services were provided. All invoices shall include: Name and Address of Contractor Invoice Date and Invoice Number FSS Contract Number and Purchase/Task Order Number Date of Service Name of Lithotripsy Technologist(s) (Contractor s employee(s)) Hourly Rate (if applicable) Quantity of hours worked Total price Patient procedure performed on and date of procedure Vendor Electronic Invoice Submission Methods Facsimile, e-mail, and scanned documents are not acceptable forms of submission for payment requests. Electronic form means an automated system transmitting information electronically according to the accepted electronic data transmission methods as follows: VA s Electronic Invoice Presentment and Payment System The VA Financial Service Center (FSC) uses a third-party contractor, OB10, to transition vendors from paper to electronic invoice submission. Please go to this website: http://ob10.com/us/en/veterans-affairs-us/ to begin submitting electronic invoices, free of charge. A system that conforms to the X12 electronic data interchange (EDI) formats established by the Accredited Standards Center (ASC) chartered by the American National Standards Institute (ANSI).The X12 EDI Web site (http://www.x12.org). The Contractor may contact FSC at the phone number or email address listed below with any questions about the e-invoicing program or OB10: OB10 e-Invoice Setup Information: 1-877-489-6135 OB10 e-Invoice email: VA.Registration@ob10.com FSC e-Invoice Contact Information: 1-877-353-9791 FSC e-invoice email: vafsccshd@va.gov Place of Performance/Place of Delivery Address: Corner of Lamont & Veterans Way, Mtn Home, TN Postal Code: 37684 Country: UNITED STATES The full text of FAR provisions or clauses may be accessed electronically at http://acquisition.gov/comp/far/index.html. The following solicitation provisions apply to this acquisition: FAR 52.212-1, Instructions to Offerors Commercial Items JUN 2020 Addendum to 52.212-1 INSTRUCTIONS TO OFFERORS - COMMERCIAL All quoters shall submit the following: A. Contract Administration Data B. Price/Cost Schedule C. Training and CLSO/CLSO-M certifications D. Current copy of Laser Certification. E. Current copy of Laser Competency form. F. Current company background check. G. Current drug test certification. H. Current infection control requirement test results. I. Past Performance Survey FAR 52.212-2, Evaluation Simplified Acquisition Procedures OCT 2014 52.212-2 EVALUATION SIMPLIFIED ACQUISITION PROCEDURES Basis for Award. The Government will issue a purchase order to the responsible quoter whose quotation conforming to the solicitation will be most advantageous to the Government, price and other factors considered. The following factors shall be used to evaluate quotations: (1) Technical or Quality (2) Past Performance (3) Price Evaluation Approach. The Government will evaluate quotations using the comparative evaluation process outlined in FAR 13.106-2 (b) (3), where quotations will be compared to one another to determine which provides the best benefit to the Government. The Government reserves the right to consider a quotation other than the lowest price that provides additional benefit(s). Quotations may exceed minimum requirements of the solicitation. The Government reserves the right to select a quotation that provides benefit to the Government that exceeds the minimum requirements of the solicitation but is not required to do so. Each response must meet the minimum requirements of the solicitation. The Government is not requesting or accepting alternate quotations. The evaluation will consider the following: FACTOR 1: Technical or Quality The quotation will be evaluated to the extent to which it can meet and/or exceed the Government s requirements as outlined in the solicitation. In support of the requirements of the Performance Work Statement, offerors are instructed to provide the following documentation for evaluation: Current copy of Laser Certification. Current copy of Laser Competency Form. Current company background check. Current drug test certification. Current infection control requirement test results. FACTOR 2: Past Performance The past performance evaluation will assess the relative risks associated with a quoter s likelihood of success in fulfilling the solicitation s requirements as indicated by the quoter s record of past performance. The past performance evaluation may be based on the contracting officer s knowledge of and previous experience with the supply or service being acquired; Customer surveys, and past performance questionnaire replies; Contractor Performance Assessment Reporting System (CPARS) at http://www.cpars.gov/; or any other reasonable basis. Offeror s are reminded to provide the Past Performance sheets to tee (3) business references who have first-hand knowledge of performance relative to the same type of services, dates of contract performance, and a total contract amount. Your current, within 3 years, business reference should send this form to Dewana Raynor, Contracting Officer, at dewana.raynor@va.gov, no later than March 31, 2021. FACTOR 3: Price The Government will evaluate the price by adding the total of all line item prices, including all options. The Total Evaluated Price will be that sum. Ordering Periods. The Government will evaluate quotations for award purposes by adding the total price for all ordering periods to the total price for the basic requirement. The Government may determine that an offer is unacceptable if the ordering period prices are significantly unbalanced. Evaluation of ordering periods shall not obligate the Government to execute a task order. A written notice of award or acceptance of an offer, mailed or otherwise furnished to the successful offeror within the time for acceptance specified in the offer, shall result in a binding contract without further action by either party. Before the offer s specified expiration time, the Government may accept an offer (or part of an offer), whether or not there are negotiations after its receipt, unless written notice of withdrawal is received before award. (End of Provision) FAR 52.212-3, Offerors Representations and Certifications Commercial Items JAN 2021 Offerors must complete annual representations and certifications electronically via the System for Award Management (SAM) website located at https://www.sam.gov/portal in accordance with FAR 52.212-3, Offerors Representations and Certifications Commercial Items. If paragraph (j) of the provision is applicable, a written submission is required. The following contract clauses apply to this acquisition: FAR 52.212-4, Contract Terms and Conditions Commercial Items OCT 2018 FAR 52.212-5, Contract Terms and Conditions Required to Implement Statutes or Executive Orders JAN 2021 The following subparagraphs of FAR 52.212-5 are applicable: 52.203-6, Restrictions on Subcontractor Sales to the Government (JUN 2020), with Alternate I (OCT 1995) (41 U.S.C. 4704 and 10 U.S.C. 2402); 52.203-15, Whistleblower Protections under the American Recovery and Reinvestment Act of 2009 (JUN 2010) (Section 1553 of Pub. L. 111-5). (Applies to contracts funded by the American Recovery and Reinvestment Act of 2009); 52.204-10, Reporting Executive Compensation & First-Tier Subcontract Awards (JUN 2020) (Pub. L. 109-282) (31 U.S.C. 6101 note); 52.204-14, Service Contract Reporting Requirements (OCT 2016) (Pub. L. 111-117, section 743 of Div. C); 52.204-15, Service Contract Reporting Requirements for Indefinite-Delivery Contracts (OCT 2016) (Pub. L. 111-117, section 743 of Div. C); 52.209-6, Protecting the Government s Interest When Subcontracting with Contractors Debarred, Suspended, or Proposed for Debarment (JUN 2020) (31 U.S.C. 6101 note); 52.219-8, Utilization of Small Business Concerns (OCT 2018) (15 U.S.C. 637(d)(2) and (3)); 52.219-9, Small Business Subcontracting Plan (JUN 2020) (15 U.S.C. 637(d)(4)); 52.219-16, Liquidated Damages Subcontracting Plan (JAN 1999) (15 U.S.C. 637(d)(4)(F)(i)); 52.219-28, Post Award Small Business Program Re-representation (NOV 2020) (15 U.S.C. 632(a)(2)); 52.222-3, Convict Labor (JUN 2003) (E.O. 11755); 52.222-21, Prohibition of Segregated Facilities (APR 2015); 52.222-26, Equal Opportunity (SEP 2016) (E.O. 11246); 52.222-35, Equal Opportunity for Veterans (JUN 2020) (38 U.S.C. 4212); 52.222-36, Equal Opportunity for Workers with Disabilities (JUN 2020) (29 U.S.C. 793); 52.222-37, Employment Reports on Veterans (JUN 2020) (38 U.S.C. 4212); 52.222-40, Notification of Employee Rights Under the National Labor Relations Act (DEC 2010) (E.O. 13496); 52.222-50, Combating Trafficking in Persons (OCT 2020) (22 U.S.C. chapter 78 and E.O. 13627); 52.222-54, Employment Eligibility Verification (OCT 2015). (Executive Order 12989). (Not applicable to the acquisition of commercially available off-the-shelf items or certain other types of commercial items as prescribed in 22.1803); 52.224-3, Privacy Training (JAN 2017) (5 U.S.C. 552a); 52.232-33, Payment by Electronic Funds Transfer - System for Award Management (OCT 2018) (31 U.S.C. 3332); 52.242-5, Payments to Small Business Subcontractors (JAN 2017) (15 U.S.C. 637(d)(13)); 52.222-43, Fair Labor Standards Act and Service Contract Labor Standards - Price Adjustment (Multiple Year and Option Contracts) (AUG 2018) (29 U.S.C. 206 and 41 U.S.C. chapter 67); 52.222-55, Minimum Wages Under Executive Order 13658 (NOV 2020). All quotes shall be sent to: Network Contracting Office (NCO) 9 Dewana Raynor dewana.raynor@va.gov Award will be based upon a comparative evaluation of quotes in accordance with the Simplified Acquisition Procedures of FAR 13. Comparative evaluation is the side by side pairwise comparison of quotes based on factors resulting in a Contracting Officer decision for the quote most favorable to the Government. Options will be evaluated at the time of award. The award will be made to the response most advantageous to the Government. Responses should contain your best terms, conditions. To facilitate the award process, all quotes must include a statement regarding the terms and conditions herein as follows: "The terms and conditions in the solicitation are acceptable to be included in the award document without modification, deletion, or addition." OR "The terms and conditions in the solicitation are acceptable to be included in the award document with the exception, deletion, or addition of the following:" Quoters shall list exception(s) and rationale for the exception(s), if any. Submission of your response shall be received not later than 3:00PM CT, Monday, March 31, 2021 at dewana.raynor@va.gov. Questions shall be submitted no later than 3PM CT, Thursday, March 26, 2021. Late submissions shall be treated in accordance with the solicitation provision at FAR 52.212-1(f). Any questions or concerns regarding this solicitation should be forwarded in writing via e-mail to the Point of Contact listed below. Point of Contact Dewana Raynor dewana.raynor@va.gov 615-225-5498 Attachment 1 - Contract Administration Data. Attachment 2 - Past Performance Survey. Attachment 3 - Wage Determination. Attachment 4 - Contractor Certification of Immigration. Attachment 5 - Contractor Rules of Behavior. Attachment 6 - Organizational Conflicts of Interest.
36C24921Q0195 Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 9
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