36C10A18R0175-001.pdf

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. DUNS: DUNS+4:

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. 2/2012)

PREVIOUS EDITION IS NOT USABLE Prescribed by GSA - FAR (48 CFR) 53.212

7. FOR SOLICITATION

INFORMATION CALL:

STANDARD FORM 1449

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

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS 94

TAC-Austin

36C10A18R0175 5/23/2018

Daniel Winterroth 512 981 4418 05-31-2018

3:00 PM CST

Department of Veterans Affairs Office of Acquisition Operations Technology Acquisition Center - Austin 1701 Directors Blvd, Suite 600 Austin TX 78744

541519

150 Employees

X

N/A

X

Office of Acquisition Operations Technology Acquisition Center - Austin 1701 Directors Blvd, Suite 600 Austin TX 78744

Y

Department of Veterans Affairs Office of Acquisition Operations Technology Acquisition Center - Austin 1701 Directors Blvd, Suite 600 Austin TX 78744

Y

Department of Veteran Affairs Financial Services Center P.O. Box 149971

Austin TX 78714-8971

(877) 353-9791

See CONTINUATION Page

SEE SECTION B

See CONTINUATION Page

X X

LINO VERA

36C10A18R0175

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.2 PRICE/COST SCHEDULE

ITEM

NUMBER

Description of Supplies/Services

Quantity Unit Unit Price Amount

0001 Brand Name Censitrac surgical instrumentation tracking solution for IIIiana Health Care System, Danville, IL

0001AA Subscription - This recurring annual, all-inclusive fee includes

1) all application usage, maintenance, updates, and enhancements, 2) all system maintenance and enhancements,

3) all database management, 4) back-up and recovery services, 5) training on enhancements, 6) customer support, and 7) documentation for all workstations regardless of use.

Part Number: SUT301 Subscription Tier 3 Instrument Trac

All services shall be completed in accordance with Performance Work Statement entitled “Sterile Processing Workflow and Inventory Management System” dated June 24, 2017

IFCAP PO #: TBD

Inspection/Acceptance/FOB:

Destination

Period of Performance:

12 months from completion of implementation services under

CLIN 0001AC

Deliver electronic copy to:

Illiana Health Care System 1900 East Main Street Danville, IL 61832-5198 Eric.Powell4@va.gov

1 EA $_________ $__________

mailto:Eric.Powell4@va.gov

(217) 554-5491 0001AB Hardware – Censis Technologies shall provide the products and provide pricing in the attached excel pricing sheet and submit as an attachment to the RFP.

See attached excel pricing sheet

IFCAP PO #: TBD

Inspection/Acceptance/FOB:

Destination

Period of Performance:

45 days after award

Deliver to:

Illiana Health Care System 1900 East Main Street Danville, IL 61832-5198 Eric Powell

(217) 554-5491

1 JB $________ $_________

0001AC Implementation Services –

Censis Technologies Responsibilities 1) Provide a project plan and manage the implementation, 2) Install and manage the on-site Censitrac Server software, 3) Convert and load count sheet data into the Censitrac application prior to the on-site implementation, 4) Provide on-site training for hospital staff in the effective use of Censitrac, 5) Provide on-site training for the instrument marking process, 6) Provide on-going support for the Censitrac application. Travel and Expenses included.

All services shall be completed in accordance with Performance Work Statement entitled “Sterile Processing Workflow and

Inventory Management System” dated June 24, 2017.

IFCAP PO #: TBD

Inspection/Acceptance/FOB:

Destination

Period of Performance:

June 1 – December 31, 2018

Deliver to:

Illiana Health Care System 1900 East Main Street Danville, IL 61832-5198 Eric Powell

0001AD Marking Services - Censis Technologies is responsibilities for the overall execution of the marking process, to include management of equipment/personnel and communication and reporting to each VA facility. There are three primary tasks associated with Instrument Marking 1) Management of the Marking Operation 2) Mobile Marking System Technical Administration

3) Marking and Commissioning of Instruments at each facility. A minimum of 200 markable instruments must be made available to be marked per day.

Travel and Expenses included.

All services shall be completed in accordance with Performance Work Statement entitled “Sterile Processing Workflow and Inventory Management System” dated June 24, 2017.

IFCAP PO #: TBD

Inspection/Acceptance/FOB:

1 JB $_________ $__________

Destination

Period of Performance:

June 1 – December 31, 2018

Deliver to:

Illiana Health Care System 1900 East Main Street Danville, IL 61832-5198 Eric Powell

Description of Supplies/Services

Quantity Unit Unit Price Amount

0002 Brand Name Censitrac surgical instrumentation tracking solution for Oscar G.

Johnson VA Medical Center, Iron Mountain, MI

0002AA Subscription - This recurring

1) all application usage, maintenance, updates, and enhancements, 2) all system maintenance and enhancements,

3) all database management, 4) back-up and recovery services, 5) training on enhancements, 6) customer support, and 7) documentation for all workstations regardless of use.

Part Number: SUT301 Subscription Tier 3 Instrument Trac

All services shall be completed in accordance with Performance Work Statement entitled “Sterile Processing Workflow and Inventory Management System” dated June 24, 2017

IFCAP PO #: TBD

Inspection/Acceptance/FOB:

Destination

Period of Performance:

12 months from completion of implementation services under

CLIN 0002AC

Deliver electronic copy to:

Oscar G. Johnson VA Medical Center 325 East H Street Iron Mountain, MI 49801 Attn: Barry O’Brien Barry.O’Brien@va.gov 608 372-3971 x61783

0002AB Hardware – Censis Technologies shall provide the products and provide pricing in the attached excel pricing sheet and submit as an attachment to the RFP.

See attached excel pricing sheet

IFCAP PO #: TBD

Inspection/Acceptance/FOB:

Destination

Period of Performance:

45 days after award

Deliver to:

Oscar G. Johnson VA Medical Center 325 East H Street Iron Mountain, MI 49801 Attn: Barry O’Brien

0002AC Implementation Services –

Censis Technologies Responsibilities 1) Provide a project plan and manage the implementation, 2) Install and manage the on-site Censitrac

Server software, 3) Convert and load count sheet data into the Censitrac application prior to the on-site implementation, 4) Provide on-site training for hospital staff in the effective use of Censitrac, 5) Provide on-site training for the instrument marking process, 6) Provide on-going support for the Censitrac application. Travel and Expenses included.

All services shall be completed in accordance with Performance Work Statement entitled “Sterile Processing Workflow and Inventory Management System” dated June 24, 2017.

IFCAP PO #: TBD

Inspection/Acceptance/FOB:

Destination

Period of Performance:

June 1 – December 31, 2018

Deliver to:

Oscar G. Johnson VA Medical Center 325 East H Street Iron Mountain, MI 49801 Attn: Barry O’Brien

0002AD Marking Services - Censis the overall execution of the marking process, to include management of equipment/personnel and communication and reporting to each VA facility. There are three primary tasks associated with Instrument Marking 1) Management of the Marking Operation 2) Mobile Marking

System Technical Administration

3) Marking and Commissioning of Instruments at each facility. A minimum of 200 markable instruments must be made available to be marked per day.

Travel and Expenses included.

All services shall be completed in accordance with Performance Work Statement entitled “Sterile Processing Workflow and Inventory Management System” dated June 24, 2017.

IFCAP PO #: TBD

Inspection/Acceptance/FOB:

Destination

Period of Performance:

June 1 – December 31, 2018

Deliver to:

Oscar G. Johnson VA Medical Center 325 East H Street Iron Mountain, MI 49801 Attn: Barry O’Brien

Description of Supplies/Services

Quantity Unit Unit Price Amount

0003 Brand Name Censitrac surgical instrumentation tracking solution for Chicago

– Jesse Brown, Chicago, IL

0003AA Subscription - This recurring

1) all application usage, maintenance, updates, and enhancements, 2) all system maintenance and enhancements,

3) all database management, 4) back-up and recovery services, 5) training on enhancements, 6) customer support, and 7) documentation for all workstations regardless of use.

Part Number: SUT301 Subscription Tier 3 Instrument Trac

All services shall be completed in accordance with Performance Work Statement entitled “Sterile Processing Workflow and Inventory Management System” dated June 24, 2017

IFCAP PO #: TBD

Inspection/Acceptance/FOB:

Destination

Period of Performance:

12 months from completion of implementation services under

CLIN 0003AC

Deliver electronic copy to:

Chicago - Jesse Brown 820 South Damen Avenue Chicago, IL 60612 Jewel Givens Jewel.Givens@va.gov 312-469-4866

0003AB Hardware – Censis Technologies provide pricing in the attached excel pricing sheet and submit as an attachment to the RFP.

See attached excel pricing sheet

IFCAP PO #: TBD

Inspection/Acceptance/FOB:

Destination

Period of Performance:

45 days after award

Deliver to:

Chicago - Jesse Brown mailto:Jewel.Givens@va.gov

820 South Damen Avenue Chicago, IL 60612 Jewel Givens

0003AC Implementation Services –

Censis Technologies Responsibilities 1) Provide a project plan and manage the implementation, 2) Install and manage the on-site Censitrac Server software, 3) Convert and load count sheet data into the Censitrac application prior to the on-site implementation, 4) Provide on-site training for hospital staff in the effective use of Censitrac, 5) Provide on-site training for the instrument marking process, 6) Provide on-going support for the Censitrac application. Travel and Expenses included.

All services shall be completed in accordance with Performance Work Statement entitled “Sterile Processing Workflow and Inventory Management System” dated June 24, 2017.

IFCAP PO #: TBD

Inspection/Acceptance/FOB:

Destination

Period of Performance:

June 1 – December 31, 2018

Deliver to:

Chicago - Jesse Brown 820 South Damen Avenue Chicago, IL 60612 Jewel Givens

0003AD Marking Services - Censis Technologies is responsibilities for the overall execution of the marking process, to include management of equipment/personnel and communication and reporting to each VA facility. There are three primary tasks associated with Instrument Marking 1) Management of the Marking Operation 2) Mobile Marking System Technical Administration

3) Marking and Commissioning of Instruments at each facility. A minimum of 200 markable instruments must be made available to be marked per day.

Travel and Expenses included.

All services shall be completed in accordance with Performance Work Statement entitled “Sterile Processing Workflow and Inventory Management System” dated June 24, 2017.

IFCAP PO #: TBD

Inspection/Acceptance/FOB:

Destination

Period of Performance:

June 1 – December 31, 2018

Deliver to:

Chicago - Jesse Brown 820 South Damen Avenue Chicago, IL 60612 Jewel Givens

Description of Supplies/Services

Quantity Unit Unit Price Amount

0004 Brand Name Censitrac surgical instrumentation tracking solution for Edward Hines Jr. VA Hospital, Hines, IL

0004AA Subscription - This recurring

1) all application usage, maintenance, updates, and enhancements, 2) all system maintenance and enhancements,

3) all database management, 4) back-up and recovery services, 5) training on enhancements, 6) customer support, and 7) documentation for all workstations regardless of use.

Part Number: SUT301 Subscription Tier 3 Instrument Trac

All services shall be completed in accordance with Performance Work Statement entitled “Sterile Processing Workflow and Inventory Management System” dated June 24, 2017

IFCAP PO #: TBD

Inspection/Acceptance/FOB:

Destination

Period of Performance:

12 months from completion of implementation services under

CLIN 0004AC

Deliver electronic copy to:

Edward Hines, Jr. VA Hospital 5000 South 5th Ave Hines, IL 60141 Sherry Lewis Sherry.Lewis@va.gov 906 774-3300 x32124

0004AB Hardware – Censis Technologies shall provide the products and provide pricing in the attached excel pricing sheet and submit as an attachment to the RFP.

See attached excel pricing sheet

IFCAP PO #: TBD

Inspection/Acceptance/FOB:

Destination

Period of Performance:

45 days after award

Deliver to:

Edward Hines, Jr. VA Hospital 5000 South 5th Ave Hines, IL 60141 Sherry Lewis

0004AC Implementation Services –

Censis Technologies Responsibilities 1) Provide a project plan and manage the implementation, 2) Install and manage the on-site Censitrac Server software, 3) Convert and load count sheet data into the Censitrac application prior to the on-site implementation, 4) Provide on-site training for hospital staff in the effective use of Censitrac, 5) Provide on-site training for the instrument marking process, 6) Provide on-going support for the Censitrac application. Travel and Expenses included.

All services shall be completed in accordance with Performance Work Statement entitled “Sterile Processing Workflow and

Inventory Management System” dated June 24, 2017.

IFCAP PO #: TBD

Inspection/Acceptance/FOB:

Destination

Period of Performance:

June 1 – December 31, 2018

Deliver to:

Edward Hines, Jr. VA Hospital 5000 South 5th Ave Hines, IL 60141 Sherry Lewis

0004AD Marking Services - Censis the overall execution of the marking process, to include management of equipment/personnel and communication and reporting to each VA facility. There are three primary tasks associated with Instrument Marking 1) Management of the Marking Operation 2) Mobile Marking System Technical Administration

3) Marking and Commissioning of Instruments at each facility. A minimum of 200 markable instruments must be made available to be marked per day.

Travel and Expenses included.

All services shall be completed in accordance with Performance Work Statement entitled “Sterile Processing Workflow and Inventory Management System” dated June 24, 2017.

IFCAP PO #: TBD

Inspection/Acceptance/FOB:

Destination

June 1 – December 31, 2018

Deliver to:

Edward Hines, Jr. VA Hospital 5000 South 5th Ave Hines, IL 60141 Sherry Lewis

Description of Supplies/Services

Quantity Unit Unit Price Amount

0005 Brand Name Censitrac surgical instrumentation tracking solution for William S. Middleton Memorial Veterans Hospital, Madison, WI

0005AA Subscription - This recurring

1) all application usage, maintenance, updates, and enhancements, 2) all system maintenance and enhancements,

3) all database management, 4) back-up and recovery services, 5) training on enhancements, 6) customer support, and 7) documentation for all workstations regardless of use.

Part Number: SUT301 Subscription Tier 3 Instrument Trac

All services shall be completed in accordance with Performance Work Statement entitled “Sterile Processing Workflow and Inventory Management System” dated June 24, 2017

IFCAP PO #: TBD

Inspection/Acceptance/FOB:

Destination

12 months from completion of implementation services under

CLIN 0005AC

Deliver electronic copy to:

William S. Middleton Memorial Veterans Hospital 2500 Overlook Terrace Madison, WI 53705-22864 Rhonda Reals

(608) 372-3971 x61783 Rhonda.Reals@va.gov

0005AB Hardware – Censis Technologies provide pricing in the attached excel pricing sheet and submit as an attachment to the RFP.

See attached excel pricing sheet

IFCAP PO #: TBD

Inspection/Acceptance/FOB:

Destination

Period of Performance:

45 days after award

Deliver to:

William S. Middleton Memorial Veterans Hospital 2500 Overlook Terrace Madison, WI 53705-22864 Rhonda Reals

0005AC Implementation Services –

Censis Technologies Responsibilities 1) Provide a project plan and manage the implementation, 2) Install and manage the on-site Censitrac Server software, 3) Convert and load count sheet data into the Censitrac application prior to the

1 JB $________ $_________

mailto:Rhonda.Reals@va.gov on-site implementation, 4) Provide on-site training for hospital staff in the effective use of Censitrac, 5) Provide on-site training for the instrument marking process, 6) Provide on-going support for the Censitrac application. Travel and Expenses included.

All services shall be completed in accordance with Performance Work Statement entitled “Sterile Processing Workflow and Inventory Management System” dated June 24, 2017.

IFCAP PO #: TBD

Inspection/Acceptance/FOB:

Destination

Period of Performance:

June 1 – December 31, 2018

Deliver to:

William S. Middleton Memorial Veterans Hospital 2500 Overlook Terrace Madison, WI 53705-22864 Rhonda Reals

0005AD Marking Services - Censis the overall execution of the marking process, to include management of equipment/personnel and communication and reporting to each VA facility. There are three primary tasks associated with Instrument Marking 1) Management of the Marking Operation 2) Mobile Marking System Technical Administration

3) Marking and Commissioning of Instruments at each facility. A minimum of 200 markable instruments must be made available to be marked per day.

Travel and Expenses included.

All services shall be completed in accordance with Performance Work Statement entitled “Sterile Processing Workflow and Inventory Management System” dated June 24, 2017.

IFCAP PO #: TBD

Inspection/Acceptance/FOB:

Destination

Period of Performance:

June 1 – December 31, 2018

Deliver to:

William S. Middleton Memorial Veterans Hospital 2500 Overlook Terrace Madison, WI 53705-22864 Rhonda Reals

Description of Supplies/Services

Quantity Unit Unit Price Amount

0006 Brand Name Censitrac surgical instrumentation tracking solution for Milwaukee VA Medical Center, Milwaukee, WI

0006AA Subscription - This recurring

1) all application usage, maintenance, updates, and enhancements, 2) all system maintenance and enhancements,

3) all database management, 4) back-up and recovery services, 5) training on enhancements, 6) customer support, and 7) documentation for all workstations regardless of use.

Part Number: SUT301 Subscription Tier 3 Instrument Trac

All services shall be completed in accordance with Performance Work Statement entitled “Sterile Processing Workflow and Inventory Management System” dated June 24, 2017

IFCAP PO #: TBD

Inspection/Acceptance/FOB:

Destination

Period of Performance:

12 months from completion of implementation services under

CLIN 0006AC

Deliver electronic copy to:

5000 West National Avenue Milwaukee, WI 53295-1000 Gwynne Roberts Gwynne.Roberts@va.gov 414 384-2000 x44071

0006AB Hardware – Censis Technologies provide pricing in the attached excel pricing sheet and submit as an attachment to the RFP.

See attached excel pricing sheet

IFCAP PO #: TBD

Inspection/Acceptance/FOB:

Destination

Period of Performance:

45 days after award

Deliver to:

5000 West National Avenue Milwaukee, WI 53295-1000 Gwynne Roberts mailto:Gwynne.Roberts@va.gov

0006AC Implementation Services –

Responsibilities 1) Provide a project plan and manage the implementation, 2) Install and manage the on-site Censitrac Server software, 3) Convert and load count sheet data into the Censitrac application prior to the on-site implementation, 4) Provide on-site training for hospital staff in the effective use of Censitrac, 5) Provide on-site training for the instrument marking process, 6) Provide on-going support for the Censitrac application. Travel and Expenses included.

All services shall be completed in accordance with Performance Work Statement entitled “Sterile Processing Workflow and Inventory Management System” dated June 24, 2017.

IFCAP PO #: TBD

Inspection/Acceptance/FOB:

Destination

Period of Performance:

June 1 – December 31, 2018

Deliver to:

5000 West National Avenue Milwaukee, WI 53295-1000 Gwynne Roberts

0006AD Marking Services - Censis Technologies is responsibilities for the overall execution of the marking process, to include

1 JB $_________ $__________

management of equipment/personnel and communication and reporting to each VA facility. There are three primary tasks associated with Instrument Marking 1) Management of the Marking Operation 2) Mobile Marking System Technical Administration

3) Marking and Commissioning of Instruments at each facility. A minimum of 200 markable instruments must be made available to be marked per day.

Travel and Expenses included.

All services shall be completed in accordance with Performance Work Statement entitled “Sterile Processing Workflow and Inventory Management System” dated June 24, 2017.

IFCAP PO #: TBD

Inspection/Acceptance/FOB:

Destination

Period of Performance:

June 1 – December 31, 2018

Deliver to:

5000 West National Avenue Milwaukee, WI 53295-1000 Gwynne Roberts

Description of Supplies/Services

Quantity Unit Unit Price Amount

0007 Brand Name Censitrac surgical instrumentation tracking solution for Milwaukee VA Medical Center, Green Bay, WI

0007AA Subscription - This recurring

1) all application usage, maintenance, updates, and enhancements, 2) all system maintenance and enhancements,

3) all database management, 4) back-up and recovery services, 5) training on enhancements, 6) customer support, and 7) documentation for all workstations regardless of use.

Part Number: SUT301 Subscription Tier 3 Instrument Trac

All services shall be completed in accordance with Performance Work Statement entitled “Sterile Processing Workflow and Inventory Management System” dated June 24, 2017

IFCAP PO #: TBD

Inspection/Acceptance/FOB:

Destination

Period of Performance:

12 months from completion of implementation services under

CLIN 0007AC

Deliver electronic copy to:

Green Bay Health Care Center 2851 University Avenue Green Bay, WI 54311 Gwynne Roberts

0007AB Hardware – Censis Technologies provide pricing in the attached excel pricing sheet and submit as an attachment to the RFP.

See attached excel pricing sheet

IFCAP PO #: TBD

Inspection/Acceptance/FOB:

Destination

45 days after award

Deliver to:

Green Bay Health Care Center 2851 University Avenue Green Bay, WI 54311 Gwynne Roberts

0007AC Implementation Services –

Responsibilities 1) Provide a project plan and manage the implementation, 2) Install and manage the on-site Censitrac Server software, 3) Convert and load count sheet data into the Censitrac application prior to the on-site implementation, 4) Provide on-site training for hospital staff in the effective use of Censitrac, 5) Provide on-site training for the instrument marking process, 6) Provide on-going support for the Censitrac application. Travel and Expenses included.

All services shall be completed in accordance with Performance Work Statement entitled “Sterile Processing Workflow and Inventory Management System” dated June 24, 2017.

IFCAP PO #: TBD

Inspection/Acceptance/FOB:

Destination

Period of Performance:

June 1 – December 31, 2018

Deliver to:

Green Bay Health Care Center 2851 University Avenue Green Bay, WI 54311 Gwynne Roberts

0007AD Marking Services - Censis the overall execution of the marking process, to include management of equipment/personnel and communication and reporting to each VA facility. There are three primary tasks associated with Instrument Marking 1) Management of the Marking Operation 2) Mobile Marking System Technical Administration

3) Marking and Commissioning of Instruments at each facility. A minimum of 200 markable instruments must be made available to be marked per day.

Travel and Expenses included.

All services shall be completed in accordance with Performance Work Statement entitled “Sterile Processing Workflow and Inventory Management System” dated June 24, 2017.

IFCAP PO #: TBD

Inspection/Acceptance/FOB:

Destination

Period of Performance:

June 1 – December 31, 2018

Deliver to:

Green Bay Health Care Center 2851 University Avenue Green Bay, WI 54311 Gwynne Roberts

Description of Supplies/Services

Quantity Unit Unit Price Amount

0008 Brand Name Censitrac surgical instrumentation tracking solution for Captain James A. Lovell Federal Health Care Center, North Chicago, IL

0008AA Subscription - This recurring

1) all application usage, maintenance, updates, and enhancements, 2) all system maintenance and enhancements,

3) all database management, 4) back-up and recovery services, 5) training on enhancements, 6) customer support, and 7) documentation for all workstations regardless of use.

Part Number: SUT301 Subscription Tier 3 Instrument Trac

All services shall be completed in accordance with Performance Work Statement entitled “Sterile Processing Workflow and Inventory Management System” dated June 24, 2017

IFCAP PO #: TBD

Inspection/Acceptance/FOB:

Destination

Period of Performance:

12 months from completion of implementation services under

CLIN 0008AC

Deliver electronic copy to:

Captain James A. Lovell Federal Health Care Center 3001 Green Bay Road North Chicago, IL 60064 Sam Thorell Samuel.Thorell@va.gov 708 202-4734 mailto:Samuel.Thorell@va.gov

0008AB Hardware – Censis Technologies provide pricing in the attached excel pricing sheet and submit as an attachment to the RFP.

See attached excel pricing sheet

IFCAP PO #: TBD

Inspection/Acceptance/FOB:

Destination

Period of Performance:

45 days after award

Deliver to:

Captain James A. Lovell Federal Health Care Center 3001 Green Bay Road North Chicago, IL 60064 Sam Thorell Samuel.Thorell@va.gov 708 202-4734

0008AC Implementation Services –

Censis Technologies Responsibilities 1) Provide a project plan and manage the implementation, 2) Install and manage the on-site Censitrac Server software, 3) Convert and load count sheet data into the Censitrac application prior to the on-site implementation, 4) Provide on-site training for hospital staff in the effective use of Censitrac, 5) Provide on-site training for the instrument marking process, 6) Provide on-going support for the Censitrac application. Travel and Expenses included.

All services shall be completed in accordance with Performance Work Statement entitled “Sterile Processing Workflow and

Inventory Management System” dated June 24, 2017.

IFCAP PO #: TBD

Inspection/Acceptance/FOB:

Destination

Period of Performance:

June 1 – December 31, 2018

Deliver to:

Captain James A. Lovell Federal Health Care Center 3001 Green Bay Road North Chicago, IL 60064 Sam Thorell

0008AD Marking Services - Censis the overall execution of the marking process, to include management of equipment/personnel and communication and reporting to each VA facility. There are three primary tasks associated with Instrument Marking 1) Management of the Marking Operation 2) Mobile Marking System Technical Administration

3) Marking and Commissioning of Instruments at each facility. A minimum of 200 markable instruments must be made available to be marked per day.

Travel and Expenses included.

All services shall be completed in accordance with Performance Work Statement entitled “Sterile Processing Workflow and Inventory Management System” dated June 24, 2017.

IFCAP PO #: TBD

Inspection/Acceptance/FOB:

Destination

Period of Performance:

June 1 – December 31, 2018

Deliver to:

Captain James A. Lovell Federal Health Care Center 3001 Green Bay Road North Chicago, IL 60064 Sam Thorell

Description of Supplies/Services

Quantity Unit Unit Price Amount

0009 Brand Name Censitrac surgical instrumentation tracking solution for Tomah VA Medical Center, Tomah, IL

0009AA Subscription - This recurring

1) all application usage, maintenance, updates, and enhancements, 2) all system maintenance and enhancements,

3) all database management, 4) back-up and recovery services, 5) training on enhancements, 6) customer support, and 7) documentation for all workstations regardless of use.

Part Number: SUT301 Subscription Tier 3 Instrument Trac

All services shall be completed in accordance with Performance Work Statement entitled “Sterile Processing Workflow and Inventory Management System” dated June 24, 2017

IFCAP PO #: TBD

Inspection/Acceptance/FOB:

Destination

12 months from completion of implementation services under

CLIN 0009AC

Deliver electronic copy to:

Tomah VA Medical Center 500 E. Veterans Street Tomah, WI 54660 Kelley Lecy Kelley.Lecy@va.gov

0009AB Hardware – Censis Technologies provide pricing in the attached excel pricing sheet and submit as an attachment to the RFP.

See attached excel pricing sheet

IFCAP PO #: TBD

Inspection/Acceptance/FOB:

Destination

Period of Performance:

45 days after award

Deliver to:

Tomah VA Medical Center 500 E. Veterans Street Tomah, WI 54660 Kelley Lecy

0009AC Implementation Services –

Censis Technologies Responsibilities 1) Provide a project plan and manage the implementation, 2) Install and manage the on-site Censitrac Server software, 3) Convert and load count sheet data into the Censitrac application prior to the on-site implementation, 4)

Provide on-site training for hospital staff in the effective use of Censitrac, 5) Provide on-site training for the instrument marking process, 6) Provide on-going support for the Censitrac application. Travel and Expenses included.

All services shall be completed in accordance with Performance Work Statement entitled “Sterile Processing Workflow and Inventory Management System” dated June 24, 2017.

IFCAP PO #: TBD

Inspection/Acceptance/FOB:

Destination

Period of Performance:

June 1 – December 31, 2018

Deliver to:

Tomah VA Medical Center 500 E. Veterans Street Tomah, WI 54660 Kelley Lecy

0009AD Marking Services - Censis the overall execution of the marking process, to include management of equipment/personnel and communication and reporting to each VA facility. There are three primary tasks associated with Instrument Marking 1) Management of the Marking Operation 2) Mobile Marking System Technical Administration

3) Marking and Commissioning of Instruments at each facility. A minimum of 200 markable instruments must be made available to be marked per day.

Travel and Expenses included.

All services shall be completed in accordance with Performance Work Statement entitled “Sterile Processing Workflow and Inventory Management System” dated June 24, 2017.

IFCAP PO #: TBD

Inspection/Acceptance/FOB:

Destination

Period of Performance:

June 1 – December 31, 2018

Deliver to:

Tomah VA Medical Center 500 E. Veterans Street Tomah, WI 54660 Kelley Lecy Kelley.Lecy@va.gov

BASE YEAR TOTAL AMOUNT $__________

Option Period Number One: Option for an additional 12 months IAW FAR 52.217-9, Option to Extend the Term of the Contract

ITEM

Description of Supplies/Services Quantity Unit Unit Price Amount

1001AA Subscription - This recurring annual, all-inclusive fee includes 1) all application usage, maintenance, updates, and enhancements, 2) all system maintenance and enhancements,

3) all database management, 4) back-up and recovery services, 5) training on enhancements, 6) customer support, and 7) documentation for all workstations regardless of use.

Part Number: SUT302

All services shall be completed in accordance with Performance Work Statement entitled “Sterile Processing Workflow and Inventory Management System” dated June 24, 2017

IFCAP PO #: TBD

Inspection/Acceptance/FOB:

Destination

Period of Performance:

12 months starting from completion of CLIN 0001AA

Deliver electronic copy to:

lliana Health Care System 1900 East Main Street Danville, IL 61832-5198

1002AA Subscription - This recurring all application usage, maintenance, updates, and enhancements, 2) all system maintenance and enhancements,

3) all database management, 4) back-up and recovery services, 5) training on enhancements, 6) customer support, and 7) documentation for all workstations regardless of use.

Part Number: SUT302

All services shall be completed in accordance with Performance Work Statement entitled “Sterile Processing Workflow and Inventory Management System” dated June 24, 2017

IFCAP PO #: TBD

Inspection/Acceptance/FOB:

Destination

12 months starting from completion of CLIN 0002AA

Deliver electronic copy to:

Oscar G. Johnson VA Medical Center 325 East H Street Iron Mountain, MI 49801 Attn: Barry O’Brien

1003AA Subscription - This recurring all application usage, maintenance, updates, and enhancements, 2) all system maintenance and enhancements,

3) all database management, 4) back-up and recovery services, 5) training on enhancements, 6) customer support, and 7) documentation for all workstations regardless of use.

Part Number: SUT302

All services shall be completed in accordance with Performance Work Statement entitled “Sterile Processing Workflow and Inventory Management System” dated June 24, 2017

IFCAP PO #: TBD

Inspection/Acceptance/FOB:

Destination

Period of Performance:

12 months starting from completion of CLIN 0003AA

Deliver electronic copy to:

Chicago - Jesse Brown 820 South Damen Avenue Chicago, IL 60612

Jewel Givens

1004AA Subscription - This recurring all application usage, maintenance, updates, and enhancements, 2) all system maintenance and enhancements,

3) all database management, 4) back-up and recovery services, 5) training on enhancements, 6) customer support, and 7) documentation for all workstations regardless of use.

Part Number: SUT302

All services shall be completed in accordance with Performance Work Statement entitled “Sterile Processing Workflow and Inventory Management System” dated June 24, 2017

IFCAP PO #: TBD

Inspection/Acceptance/FOB:

Destination

Period of Performance:

12 months starting from completion of CLIN 0004AA

Deliver electronic copy to:

Edward Hines, Jr. VA Hospital 5000 South 5th Ave Hines, IL 60141 Sherry Lewis

1005AA Subscription - This recurring annual, all-inclusive fee includes 1) all application usage, maintenance, updates, and enhancements, 2) all system maintenance and enhancements,

3) all database management, 4) back-up and recovery services, 5) training on enhancements, 6) customer support, and 7) documentation for all workstations regardless of use.

Part Number: SUT302

All services shall be completed in accordance with Performance Work Statement entitled “Sterile Processing Workflow and Inventory Management System” dated June 24, 2017

IFCAP PO #: TBD

Inspection/Acceptance/FOB:

Destination

Period of Performance:

12 months starting from completion of CLIN 0005AA

Deliver electronic copy to:

Edward Hines, Jr. VA Hospital 5000 South 5th Ave Hines, IL 60141 Sherry Lewis

1006AA Subscription - This recurring all application usage, maintenance, updates, and enhancements, 2) all system maintenance and enhancements,

3) all database management, 4) back-up and recovery services, 5) training on enhancements, 6) customer support, and 7) documentation for all workstations regardless of use.

Part Number: SUT302

All services shall be completed in accordance with Performance Work Statement entitled “Sterile Processing Workflow and Inventory Management System” dated June 24, 2017

IFCAP PO #: TBD

Inspection/Acceptance/FOB:

Destination

Period of Performance:

12 months starting from completion of CLIN 0006AA

Deliver electronic copy to:

5000 West National Avenue Milwaukee, WI 53295-1000 Gwynne Roberts

1007AA Subscription - This recurring all application usage, maintenance, updates, and enhancements, 2) all system maintenance and enhancements,

3) all database management, 4) back-up and recovery services, 5) training on enhancements, 6) customer support, and 7) documentation for all workstations regardless of use.

Part Number: SUT302

All services shall be completed in accordance with Performance Work Statement entitled “Sterile Processing Workflow and Inventory Management System” dated June 24, 2017

IFCAP PO #: TBD

Inspection/Acceptance/FOB:

Destination

Period of Performance:

12 months starting from completion of CLIN 0007AA

Deliver electronic copy to:

Green Bay Health Care Center 2851 University Avenue Green Bay, WI 54311 Gwynne Roberts

1008AA Subscription - This recurring all application usage, maintenance, updates, and enhancements, 2) all system maintenance and enhancements,

3) all database management, 4) back-up and recovery services, 5) training on enhancements, 6) customer support, and 7) documentation for all workstations regardless of use.

Part Number: SUT302

All services shall be completed in accordance with Performance Work Statement entitled “Sterile Processing Workflow and Inventory Management System” dated June 24, 2017

IFCAP PO #: TBD

Inspection/Acceptance/FOB:

Destination

Period of Performance:

completion of CLIN 0008AA

Deliver electronic copy to:

Captain James A. Lovell Federal Health Care Center 3001 Green Bay Road North Chicago, IL 60064

Sam Thorell

1009AA Subscription - This recurring all application usage, maintenance, updates, and enhancements, 2) all system maintenance and enhancements,

3) all database management, 4) back-up and recovery services, 5) training on enhancements, 6) customer support, and 7) documentation for all workstations regardless of use.

Part Number: SUT302

All services shall be completed in accordance with Performance Work Statement entitled “Sterile Processing Workflow and Inventory Management System” dated June 24, 2017

IFCAP PO #: TBD

Inspection/Acceptance/FOB:

Destination

Period of Performance:

12 months starting from completion of CLIN 0009AA

Deliver electronic copy to:

Tomah VA Medical Center 500 E. Veterans Street Tomah, WI 54660 Kelley Lecy

Total Option Year 1 $__________

Option Period Number Two: Option for an additional 12 months IAW FAR 52.217-9, Option to Extend the Term of the Contract

ITEM

Description of Supplies/Services Quantity Unit Unit Price Amount

2001AA Subscription - This recurring all application usage, maintenance, updates, and enhancements, 2) all system maintenance and enhancements,

3) all database management, 4) back-up and recovery services, 5) training on enhancements, 6) customer support, and 7) documentation for all workstations regardless of use.

Part Number: SUT303

All services shall be completed in accordance with Performance Work Statement entitled “Sterile Processing Workflow and Inventory Management System” dated June 24, 2017

IFCAP PO #: TBD

Inspection/Acceptance/FOB:

Destination

Period of Performance:

12 months starting from completion of CLIN 1001AA

Deliver electronic copy to:

lliana Health Care System 1900 East Main Street Danville, IL 61832-5198

2002AA Subscription - This recurring annual, all-inclusive fee includes 1) all application usage, maintenance, updates, and enhancements, 2) all system maintenance and enhancements,

3) all database management, 4) back-up and recovery services, 5) training on enhancements, 6) customer support, and 7) documentation for all workstations regardless of use.

Part Number: SUT303

All services shall be completed in accordance with Performance Work Statement entitled “Sterile Processing Workflow and Inventory Management System” dated June 24, 2017

IFCAP PO #: TBD

Inspection/Acceptance/FOB:

Destination

Period of Performance:

12 months starting from completion of CLIN 1002AA

Deliver electronic copy to:

Oscar G. Johnson VA Medical Center 325 East H Street Iron Mountain, MI 49801 Attn: Barry O’Brien

2003AA Subscription - This recurring all application usage, maintenance, updates, and enhancements, 2) all system maintenance and enhancements,

3) all database management, 4) back-up and recovery services, 5) training on enhancements, 6) customer support, and 7) documentation for all workstations regardless of use.

Part Number: SUT303

All services shall be completed in accordance with Performance Work Statement entitled “Sterile Processing Workflow and Inventory Management System” dated June 24, 2017

IFCAP PO #: TBD

Inspection/Acceptance/FOB:

Destination

Period of Performance:

12 months starting from completion of CLIN 1003AA

Deliver electronic copy to:

Chicago - Jesse Brown 820 South Damen Avenue Chicago, IL 60612 Jewel Givens

2004AA Subscription - This recurring all application usage, maintenance, updates, and enhancements, 2) all system maintenance and enhancements,

3) all database management, 4) back-up and recovery services, 5) training on enhancements, 6) customer support, and 7) documentation for all workstations regardless of use.

Part Number: SUT303

All services shall be completed in accordance with Performance Work Statement entitled “Sterile Processing Workflow and Inventory Management System” dated June 24, 2017

IFCAP PO #: TBD

Inspection/Acceptance/FOB:

Destination

Period of Performance:

12 months starting from completion of CLIN 1004AA

Deliver electronic copy to:

Edward Hines, Jr. VA Hospital 5000 South 5th Ave Hines, IL 60141 Sherry Lewis

2005AA Subscription - This recurring all application usage, maintenance, updates, and enhancements, 2) all system maintenance and enhancements,

3) all database management, 4) back-up and recovery services, 5) training on enhancements, 6) customer support, and 7) documentation for all workstations regardless of use.

Part Number: SUT303

All services shall be completed in accordance with Performance Work Statement entitled “Sterile Processing Workflow and Inventory Management System” dated June 24, 2017

IFCAP PO #: TBD

Inspection/Acceptance/FOB:

Destination

Period of Performance:

12 months starting from completion of CLIN 1005AA

Deliver electronic copy to:

Edward Hines, Jr. VA Hospital 5000 South 5th Ave Hines, IL 60141

Sherry Lewis

2006AA Subscription - This recurring all application usage, maintenance, updates, and enhancements, 2) all system maintenance and enhancements,

3) all database management, 4) back-up and recovery services, 5) training on enhancements, 6) customer support, and 7) documentation for all workstations regardless of use.

Part Number: SUT303

All services shall be completed in accordance with Performance Work Statement entitled “Sterile Processing Workflow and Inventory Management System” dated June 24, 2017

IFCAP PO #: TBD

Inspection/Acceptance/FOB:

Destination

Period of Performance:

12 months starting from completion of CLIN 1006AA

Deliver electronic copy to:

5000 West National Avenue Milwaukee, WI 53295-1000 Gwynne Roberts

2007AA Subscription - This recurring annual, all-inclusive fee includes 1) all application usage, maintenance, updates, and enhancements, 2) all system maintenance and enhancements,

3) all database management, 4) back-up and recovery services, 5) training on enhancements, 6) customer support, and 7) documentation for all workstations regardless of use.

Part Number: SUT303

All services shall be completed in accordance with Performance Work Statement entitled “Sterile Processing Workflow and Inventory Management System” dated June 24, 2017

IFCAP PO #: TBD

Inspection/Acceptance/FOB:

Destination

Period of Performance:

12 months starting from completion of CLIN 1007AA

Deliver electronic copy to:

Green Bay Health Care Center 2851 University Avenue Green Bay, WI 54311 Gwynne Roberts

2008AA Subscription - This recurring all application usage, maintenance, updates, and enhancements, 2) all system maintenance and enhancements,

3) all database management, 4) back-up and recovery services, 5) training on enhancements, 6) customer support, and 7) documentation for all workstations regardless of use.

Part Number: SUT303

All services shall be completed in accordance with Performance

Work Statement entitled “Sterile Processing Workflow and Inventory Management System” dated June 24, 2017

IFCAP PO #: TBD

Inspection/Acceptance/FOB:

Destination

Period of Performance:

12 months starting from completion of CLIN 1008AA

Deliver electronic copy to:

Captain James A. Lovell Federal Health Care Center 3001 Green Bay Road North Chicago, IL 60064 Sam Thorell

2009AA Subscription - This recurring all application usage, maintenance, updates, and enhancements, 2) all system maintenance and enhancements,

3) all database management, 4) back-up and recovery services, 5) training on enhancements, 6) customer support, and 7) documentation for all workstations regardless of use.

Part Number: SUT303

All services shall be completed in accordance with Performance Work Statement entitled “Sterile Processing Workflow and Inventory Management System” dated June 24, 2017

IFCAP PO #: TBD

Inspection/Acceptance/FOB:

Destination completion of CLIN 1009AA

Deliver electronic copy to:

Tomah VA Medical Center 500 E. Veterans Street Tomah, WI 54660 Kelley Lecy

Total Option Year 2 $__________

TOTAL VALUE TO INCLUDE OPTIONS

GOVERNING LAW:

Federal law and regulations, including the Federal Acquisition Regulations (FAR), shall govern this Contract/Order. Commercial license agreements may be made a part of this Contract/Order but only if both parties expressly make them an addendum hereto. If the commercial license agreement is not made an addendum, it shall not apply, govern, be a part of or have any effect whatsoever on the Contract/Order; this includes, but is not limited to, any agreement embedded in the computer software (clickwrap), any agreement that is otherwise delivered with or provided to the Government with the commercial computer software or documentation (shrinkwrap), or any other license agreement otherwise referred to in any document. If a commercial license agreement is made an addendum, only those provisions addressing data rights regarding the Government’s use, duplication and disclosure of data (e.g., restricted computer software) are included and made a part of this Contract/Order, and only to the extent that those provisions are not duplicative or inconsistent with Federal law, Federal regulation, the incorporated FAR clauses and the provisions of this Contract/Order;

those provisions in the commercial license agreement that do not address data rights regarding the Government’s use, duplication and disclosure of data shall not be included or made a part of the Contract/Order. Federal law and regulation including, without limitation, the Contract Disputes Act (41 U.S.C. § 7101 et seq.), the Anti- Deficiency Act (31 U.S.C. § 1341 et seq.), the Competition in Contracting Act (41 U.S.C.

§ 3301 et seq.), the Prompt Payment Act (31 U.S.C. §3901 et seq.), Contracts for Data Processing or Maintenance (38 USC § 5725), and FAR clauses 52.212-4, 52.227-14, 52.227-19 shall supersede, control, and render ineffective any inconsistent, conflicting, or duplicative provision in any commercial license agreement. In the event of conflict between this Clause and any provision in the Contract/Order or the commercial license agreement or elsewhere, the terms of this Clause shall prevail. Claims of patent or copyright infringement brought against the Government as a party shall be defended by the U.S. Department of Justice (DOJ). 28 U.S.C. § 516. At the discretion of DOJ, the Contractor may be allowed reasonable participation in the defense of the litigation. Any additional changes to the Contract/Order must be made by contract/order modification (Standard Form 30) and shall only be effected by a warranted Contracting

Officer. Nothing in this Contract/Order or any commercial license agreement shall be construed as a waiver of sovereign immunity.

SOFTWARE LICENSE, MAINTENANCE AND TECHNICAL SUPPORT:

(1) Definitions.

(a) Licensee. The term “licensee” shall mean the U.S. Department of Veterans Affairs (“VA”) and is synonymous with “Government.”

(b) Licensor. The term “licensor” shall mean the contractor having the necessary license or ownership rights to deliver license, software maintenance and support of the computer software being acquired. The term “contractor” is the party identified in Block 17a on the SF1449. If the contractor is a reseller and not the Licensor, the contractor remains responsible for performance under this order.

(c) Software. The term “software” shall mean the licensed computer software product(s) cited in the Schedule of Supplies/Services.

(d) Maintenance. The term “maintenance” is the process of enhancing and optimizing software, as well as remedying defects. It shall include all new fixes, patches, releases, updates, versions and upgrades, as further defined below.

(e) Technical Support. The term “technical support” refers to the range of services providing assistance for the software via the telephone, email, a website or otherwise.

(f) Release or Update. The term “release” or “update” are terms that refer to a revision of software that contains defect corrections, minor enhancements or improvements of the software’s functionality. This is usually designated by a change in the number to the right of the decimal point (e.g., from Version 5.3 to 5.4). An example of an update is the addition of new hardware.

(g) Version or Upgrade. The term “version” or “upgrade” are terms that refer to a revision of software that contains new or improved functionality. This is usually designated by a change in the number to the left of the decimal point (e.g., from Version 5.4 to 6).

(2) Software License

(a) Unless otherwise stated in the…