36A79726Q0001_1.docx

PAGE 1 OF

1. REQUISITION NO.

2. CONTRACT NO.

3. AWARD/EFFECTIVE DATE

4. ORDER NO.

5. SOLICITATION NUMBER

6. SOLICITATION ISSUE DATE

a. NAME

b. TELEPHONE NO. (No Collect Calls)

8. OFFER DUE DATE/LOCAL

TIME

9. ISSUED BY

CODE

10. THIS ACQUISITION IS

UNRESTRICTED OR

SET ASIDE:

% FOR:

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

8(A)

NAICS:

SIZE STANDARD:

11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

13b. RATING

14. METHOD OF SOLICITATION

RFQ

IFB

RFP

15. DELIVER TO

CODE

16. ADMINISTERED BY

CODE

17a. CONTRACTOR/OFFEROR

CODE

FACILITY CODE

18a. PAYMENT WILL BE MADE BY

CODE

TELEPHONE NO.

UEI:

EFT:

PHONE:

FAX:

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER 18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW IS CHECKED

SEE ADDENDUM

19.

20.

21.

22.

23.

24.

ITEM NO.

SCHEDULE OF SUPPLIES/SERVICES

QUANTITY

UNIT

UNIT PRICE

AMOUNT

(Use Reverse and/or Attach Additional Sheets as Necessary)

25. ACCOUNTING AND APPROPRIATION DATA

26. TOTAL AWARD AMOUNT (For Govt. Use Only) 27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA

ARE

ARE NOT ATTACHED.

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA

ARE

ARE NOT ATTACHED

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN _______________

29. AWARD OF CONTRACT: REF. ___________________________________ OFFER

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

DATED ________________________________. YOUR OFFER ON SOLICITATION

DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY

(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED

SET FORTH HEREIN IS ACCEPTED AS TO ITEMS:

30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER) 30b. NAME AND TITLE OF SIGNER (TYPE OR PRINT) 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (TYPE OR PRINT) 31c. DATE SIGNED

AUTHORIZED FOR LOCAL REPRODUCTION

(REV. NOV 2021)

PREVIOUS EDITION IS NOT USABLE

Prescribed by GSA - FAR (48 CFR) 53.212

7. FOR SOLICITATION

INFORMATION CALL:

STANDARD FORM 1449

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

36A79726Q0001 11-05-2025 03-11-2026

11:59 PM

CDT

36A797 Department of Veterans Affairs National Acquisition Center Building 37 1st Avenue, One Block North of Cermak Hines

IL

60141 X 334517 1200 Employees N/A X

36A797 Department of Veterans Affairs National Acquisition Center Building 37 1st Avenue, One Block North of Cermak Hines

IL

60141

36A797 Department of Veterans Affairs National Acquisition Center Building 37 1st Avenue, One Block North of Cermak Hines

IL

60141 See CONTINUATION Page SEP 2025 Consolidation - HTME with Extended Installation Services (includes Turnkey Services).

(SEE CONTINUATION PAGES)

Vendor Total Michael Kuchyak Contracting Officer 19.

20.

21.

22.

23.

24.

ITEM NO.

SCHEDULE OF SUPPLIES/SERVICES

QUANTITY

UNIT

UNIT PRICE

AMOUNT

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED

INSPECTED

ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED: _______________________________________________________ 32b. SIGNATURE OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32c. DATE 32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

33. SHIP NUMBER

34. VOUCHER NUMBER

35. AMOUNT VERIFIED CORRECT

36. PAYMENT

37. CHECK NUMBER

FOR

PARTIAL

FINAL

COMPLETE

PARTIAL

FINAL

38. S/R ACCOUNT NUMBER

39. S/R VOUCHER NUMBER

40. PAID BY

41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT 42a. RECEIVED BY (Print) 41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER 41c. DATE 42b. RECEIVED AT (Location) 42c. DATE REC'D (YY/MM/DD) 42d. TOTAL CONTAINERS

STANDARD FORM 1449 (REV. NOV 2021) BACK

Delivery Order/Receiving Report Instructions

1. This delivery order form may be used to complete the receiving information. See Blocks 32a-32g. Other VA authorized systems/forms may be used that evidence receipt of the equipment.

2. When the Equipment is delivered to the receiving service, acknowledgment of having received the item(s) awarded hereunder is required and will constitute official receipt of those items.

3. Receiving reports may be provided as follows:

(a) If using the delivery order form, receivers shall return page 2 (SF 1449 back) to the Contracting Officer (CO) with Blocks 32a-32g completed; this shall be accomplished within seven (7) business days of receiving the equipment. (b) All other types of receiving methods must be evidenced and provided to the CO within seven (7) business days of receiving the equipment.

4. If confirmation is not received within seven (7) business days from the equipment being received, the vendor's commercial proof of delivery will be accepted in lieu of customer's receiving report. The 80% interim payment will be authorized.

5. Final acceptance of the equipment will be based upon the government's inspection and testing of the equipment.

6. The vendor shall provide written notification to the NAC when the equipment is ready for the final acceptance inspection,and shall provide a courtesy copy to the local facility.The final 20% payment will then be authorized following an acceptable inspection (local/SDC/3rd party).

7. For patient safety, we highly recommend that the system be tested by the local Medical Physicist and that Applications Training on the system be completed prior to first clinical use.

SEP 2025 Consolidation - HTME with Extended Installation Services (includes Turnkey Services) See attached document: SEP 2025 Extended Install and Turnkey Consolidation - RFO.

See attached document: SEP 2025 TKY Consolidation Schedule.

See attached document: SEP 2025 TKY Schedule of Requirements - Updated 11-5-25.

See attached document: 402B51212 - 520B50007.

See attached document: 528B50468.

See attached document: 528B53026.

See attached document: 548B50012 - 573B55025.

See attached document: 573B55036 - 590B59010.

See attached document: 598B50012 - 607B50004.

See attached document: 608B51001 - 653B53004.

See attached document: 654B50039.

See attached document: 658B59012 - 667B59036.

See attached document: 668B53003.

See attached document: 672FC5006 - 691B50070.

See attached document: Vendor Folders.

See attached document: Vendor Workup Spreadsheet - 36A79726Q0001.

See attached document: VA Directive 6550 - New Appendix A - published Jun. 2023.

See attached document: NAC Turnkey Rubric - MAR 2025.

See attached document: Memorandum for Training.