36C10G24R0018.docx

SUBJECT*

NX EQ Cardiopulmonary Diagnostic Systems

GENERAL INFORMATION

SET-ASIDE

OPAL | Strategic Acquisition Center

10300 Spotsylvania Ave | STE 400 Fredericksburg VA 22408-2697

POINT OF CONTACT*

Contract Specialist Lisa Thompson Lisa.thompson10@va.gov 720-793-5907

PLACE OF PERFORMANCE

POSTAL CODE

ADDITIONAL INFORMATION

Combined Synopsis/Solicitation Notice Combined Synopsis/Solicitation Notice

DESCRIPTION

Solicitation Number: 36C10G24R0018

Notice Type: Combined Synopsis/Solicitation

Synopsis: COMBINED SYNOPSIS/SOLICITATION

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; proposals are being requested and a written solicitation will not be issued.

Solicitation number 36C10G24R0018 is issued for this combined synopsis/solicitation; this solicitation is being issued as a Request for Proposal (RFP). This combined synopsis/solicitation incorporates provisions and clauses in effect through Federal Acquisition Circular 2024-06, dated 29August 2024.

Requirement Description:

The Veterans Health Administration (VHA) Non-Expendable Equipment National Program has identified the Cardiopulmonary Diagnostic Systems product line as a candidate for a VA-wide (otherwise referred to as “national”) single Requirements contract award.

This requirement will be IAW FAR clause 52.211-6, “Brand Name or Equal” which requires the quoter indicate that each product being offered as an “equal” product to the Vyaire® Cardiopulmonary Diagnostic Systems. For each equal product, the offeror must include a description reflecting the salient characteristics (SC) and level of quality that will satisfy the salient physical, functional, or performance characteristics of the equal product(s) specified in the solicitation. The quoter must also clearly identify the item by brand name (if any) and make/model number. Finally, the quoter must include descriptive literature, such as illustrations, drawings, or a clear reference to previously furnished descriptive data or information available to the Contracting Officer, and clearly describe any modifications it plans to make to a product to make it conform to the solicitation requirements.

A Brand Name or Equal (BNOE) single award Requirements contract will be awarded IAW FAR 13.303 by all terms, conditions, provisions, specifications, and schedule of this solicitation herein.

The associated North American Industrial Classification System (NAICS) code for this procurement is 339112 – Surgical Appliance and Supplies Manufacturing, Product Service Code: 6515 – Medical and Surgical Instruments, Equipment, and Supplies, and the associated size standard is 800 employees. This procurement action is issued as full and open competition.

All interested companies shall provide a quote for all Contract Line-Item Numbers (CLINs) listed in ATTACHMENT A – PRICE COST SCHEDULE - NX EQ CARDIOPULMONARY DIAGNOSTIC SYSTEM.

The proposed acquisition is for a Requirements Contract with Firm-Fixed Price (FFP) orders IAW FAR 16.503, Requirements Contract.

The type of Cardiopulmonary Diagnostic Systems required for this program has been identified as most advantageous to the Government to be incorporated into a national Requirements Contract. The salient characteristics (SC) for these commercial items are identified in the NX EQ Cardiopulmonary Function Diagnostic Systems Product Description.

The period of performance is for a base of 12 months with four 12-month option periods. Delivery is FOB destination. Firm-fixed price Orders will be placed against this Requirements contract in writing and will provide the delivery locations, delivery dates, and exact quantities.

The FAR provision at 52.212-1, Instructions to Offerors – Commercial, applies to this acquisition including the attached addenda to the provision.

The FAR provision at 52.212-2, Evaluation -- Commercial Items, and the specific evaluation criteria as attached addenda also apply to this acquisition.

The Offeror is to include a completed copy of the provision at 52.212-3, Offeror Representations and Certifications -- Commercial Items, with its offer.

Clause 52.212-4, Contract Terms and Conditions -- Commercial Items, applies to this acquisition and a statement regarding any addenda to the clause. The addendum is attached.

Clause 52.212-5, Contract Terms and Conditions Required to Implement Statutes or Executive Orders -- Commercial Items, applies to this acquisition and a statement regarding which, if any, of the additional FAR clauses cited in the clause apply to the acquisition. The addendum is attached.

All interested offerors must be registered in the System for Award Management (SAM) prior to submitting a proposal. You may access SAM at https://sam.gov/SAM/. Proposals shall contain the terms for cost/price and technical capabilities of the equipment. The Government reserves the right to award without discussions. You may access SAM at https://sam.gov/SAM/.

Questions regarding this combined synopsis/solicitation are due via email by 11:59 PM EST on October 29, 2024, to Contract Specialist, Lisa Thompson at Lisa.Thompson10@va.gov and Contracting Officer, Sharon Redman at Sharon.Redman@va.gov. No calls will be accepted.

Proposals are due via email by 11:59 PM EST on November 6, 2024, to Contract Specialist, Lisa Thompson at Lisa.Thompson10@va.gov and Contracting Officer, Sharon Redman at Sharon.Redman@va.gov.

1. SCOPE OF WORK

The Cardiopulmonary Diagnostic Systems are a diagnostic modality used to evaluate a patient's functional capacity. Cardiopulmonary Diagnostic Systems can identify cardiac or pulmonary disease in patients with marginally abnormal diagnostics or in those who appear more clinically disabled than their diagnostic tests indicate. Collected data allows the clinician to assess a patient’s overall cardiopulmonary function. This can be useful in pre-operative risk assessment, the diagnosis of various cardiopulmonary diseases, the evaluation of post-operative recovery, or more general assessment of an individual’s exercise capacity. The test can provide a wealth of knowledge about both cardiac and pulmonary disease processes, while also aiding in the development of individualized therapy and rehabilitation programs.

The Contractor must demonstrate the ability to meet all requirements for the solicitation. The objective is to provide Cardiopulmonary Diagnostic Systems to be used by clinicians throughout the VA medical centers and facilities. The period of performance is for a base of 12 months with four 12-month option periods.

2. REQUIREMENT

This requirement will be IAW FAR clause 52.211-6, “Brand Name or Equal” which requires the quoter to indicate that each product being offered is an “equal” product to the Vyaire Cardiopulmonary Diagnostic Systems. For each equal product, the offeror must include a description reflecting the salient characteristics (SC) and level of quality that will satisfy the salient physical, functional, or performance characteristics of the equal product(s) specified in the solicitation. The offeror must also clearly identify the item by brand name (if any) and make/model number. Finally, the quoter must include descriptive literature, such as illustrations, drawings, or a clear reference to previously furnished descriptive data or information available to the Contracting Officer, and clearly describe any modifications it plans to make to a product to make it conform to the solicitation requirements.

plethysmograph with 551-pound patient bench and 25 inches telescoping arm, breathing circuit (including Ultrasonic sensor, Flow Path Valve, and Demand Valve), SentrySuite software, validated WIN 10 PC with sanitizable medical keyboard/mouse, 27-inch flat panel monitor, Office Jet printer, 3-L manual syringe, DLCO pressure regulator, 6-cylinder gas stand, box of 80 MicroGard IIB filters. Tests performed: Spirometry (FVC, SVC, MVV), Lung subdivisions (VTG, FRCpl, RV, TLC, Raw, Conductance and specific resistance and Resistance Volume Loops), Real-time DLCO (both Single Breath and Intrabreath, MIP/MEP, and pre/post bronchodilator. Standard software includes: Guidance and Stabilitrac instructional applications, preformatted reports, and reference sets with design tools for modification, automated interpretation algorithms, QA checks and physician interpretation templates. 1st year warranty included. Vyntus Standard Cart (V-859140-13) is not included.

adjustable up/down height, left/right mousepad, monitor mount, mounting mechanism for arm, isolation transformer, and cable management spine.

forehead and ear clip sensors included), 2 Hans Rudolph 7450 Oro Nasal face masks (S and M), SentrySuite software, standard cart and arm with adjustable height and left/right mousepad, validated WIN 10 PC with sanitizable medical keyboard/mouse, 34 inch flat panel monitor, Office Jet printer, 3-L manual syringe, O2, DLCO and calibration gas regulators, 6 cylinder gas stand, 1 box of MicroGard IIB and IIC (80 each) filters. Tests performed: Spirometry (FVC, SVC, MVV), Lung subdivisions (FRC-N2, RV, TLC), Real-time DLCO (both Single Breath and Intrabreath, MIP/ MEP, pre/post bronchodilator, and CPET (O2, CO2, VE, thresholds, and slopes, compare tests). Standard software includes: Guidance and Stabilitrac instructional applications, preformatted reports and reference sets with design tools for modification, automated interpretation algorithms, QA checks and physician interpretation templates, CPET screen layout and protocol editor. 1st year warranty included. Not included: Cardiosoft 12 lead ECG (29838-001), Ergometer (30244-001) and/or treadmill (25382-001), and Automated blood pressure cuff (25384-001).

CO2, Multigas), breathing circuit (including Ultrasonic sensor, Flow Path Valve, and Demand Valve), SentrySuite software, standard cart and arm with adjustable height and left/right mousepad, validated WIN 10 PC with sanitizable medical keyboard/mouse, 27 flat panel infinity-edge monitor, Office Jet printer, 3-L manual syringe, O2, DLCO and calibration gas regulators, 6 cylinder gas stand, 1 box of MicroGard IIB and IIC (80 each) filters. Tests performed: Spirometry (FVC, SVC, MVV), Lung subdivisions (FRC-N2, RV, TLC), Real-time DLCO (both Single Breath and Intrabreath), MIP/MEP, pre/post bronchodilator. Standard software includes: Guidance and Stabilitrac instructional applications, pre-formatted reports, and reference sets with design tools for modification, automated interpretation algorithms, QA checks and physician interpretation templates. 1st year warranty included.

System will connect to shared computer and license of SentrySuite. Includes: 1110L body plethysmograph with 551 pound patient bench and 25 inch telescoping arm, breathing circuit (including Ultrasonic sensor, Flow Path Valve, and Demand Valve), SentrySuite software, 3-L manual syringe, DLCO pressure regulator. On board analyzers to perform in box: Spirometry (FVC, SVC, MVV), Lung subdivisions (VTG, FRCpl, RV, TLC, Raw, Conductance and specific resistance and Resistance Volume Loops), Real-time DLCO (both Single Breath and Intrabreath), MIP/MEP, and pre/post bronchodilator. 1st year warranty included.

USS Module with polytube adapter, Flow Path Valve, Shutter, and 1 pk of 5 Silicone Valves.

(O2, CO2, Multigas), breathing circuit (including Ultrasonic sensor, Flow Path Valve, and Demand Valve), SentrySuite software, mobile cart (including adjustable arm, supplies drawer, and integrated 3-cylinder gas tank holder), validated WIN 10 laptop, Office Jet printer, 3-L manual syringe, O2, DLCO and calibration gas regulators, 1 box of MicroGard IIB and IIC (80 each) filters. Tests performed: Spirometry (FVC, SVC, MVV), Lung subdivisions (FRC-N2, RV, TLC), Real-time DLCO (both Single Breath and Intrabreath), MIP/MEP, pre/post bronchodilator. Standard software includes: Guidance and Stabilitrac instructional applications, pre-formatted reports and reference sets with design tools for modification, automated interpretation algorithms, QA checks and physician interpretation templates. 1st year warranty included.

breathing circuit (including Ultrasonic sensor, Flow Path Valve, and Demand Valve), SentrySuite software, standard cart and arm with adjustable height and left/right mousepad, validated WIN 10 PC with sanitizable medical keyboard/mouse, 27 flat panel infinityedge monitor, Office Jet printer, 3-L manual syringe, DLCO and calibration gas regulators, 6-cylinder gas stand, 1 box of MicroGard IIB and IIC (80 each) filters. Tests performed:

Spirometry (FVC, SVC, MVV), Real-time DLCO (both Single Breath and Intrabreath), MIP/MEP, pre/post bronchodilator.

Standard software includes: Guidance and Stabilitrac instructional applications, pre-formatted reports and reference sets with design tools for modification, automated interpretation algorithms, QA checks and physician interpretation templates. 1 year warranty included.

1 box of MicroGard IIB and IIC (80 each) filters. Tests performed: Spirometry (FVC, SVC, MVV), Real-time DLCO (both Single Breath and Intrabreath), MIP/MEP, pre/post bronchodilator. Standard software includes: Guidance and Stabilitrac instructional applications, pre-formatted reports and reference sets with design tools for modification, automated interpretation algorithms, QA checks and physician interpretation templates. 1 year warranty included.

CPX metabolic cart system for the measurement of O2, CO2 and associated parameters combined with Cardiosoft Stress 12-lead ECG. System includes: 1 Vmax Vyntus CPX analyzer module, 1 Cardiosoft 12-Lead ECG, 1 Nonin SpO2 (with reflectance, ear clip, and adult and pediatric finger sensors), 1 3.0 cart with medical grade isolation transformer, 1 validated Win 10 PC, 1 34 inch curved monitor, 1 Dell color laser printer kit, 1 receiver for Polar HR (Polar belt not included), 1 ambient module, 1 regulator, 2 complete DVT volume sensors (transducer and volume sensor insert), 2 additional volume sensor inserts, 4 Twin Tube bxb sample lines, 2 Hans Rudolph 7450 Oro Nasal face masks (S and M), 1 SentrySuite software with MS SQL Server Software 2014 and license code sheet, nose clips, and 2 boxes MicroGard 2 filters (50 ea.). 2 years Premium Care warranty. Not included: Ergometer (30244-001) and/or treadmill (25382-001) and Automated blood pressure cuff (25384-001).

with integrated blood pressure. Load 20-999 watts, revolution range 30-130 rpm, and integrated isolation transformer. 3 cuff sized are supplied- small, standard, and large. Blood pressure may be initiated via software or manually from display unit head.

Manual adjustment of saddle height from 120-210 cm and adjustable handlebar. Dimensions (L 35.4-inch x W 18.1-inch x H 52.4 inch), bike weight 134.5 lbs., power supply 90-264V. The ergometer is certified for a maximum weight of 308 lbs.

treadmill with Programmable controller. User Weight capacity of 500lbs, 22-inch x 63 inch running surface. Electrical Requirements: 208-240Vm 50/60 Hz, dedicated 15A service.

monitor for resting and exercise stress testing BP. Includes Tango with ECG, 4 adult cuff sizes, and all cables necessary for connection with the Vmax Encore stress testing systems and PC.

Vyntus CPX metabolic cart system for the measurement of O2, CO2 and associated parameters. System includes: 1 Vmax Vyntus CPX analyzer module, 1 Nonin SpO2 (with reflectance, ear clip, and adult and pediatric finger sensors), 1 3.0 cart with medical grade isolation transformer, 1 validated Win 10 PC, 1 Dell 24 inch monitor, 1 Dell color printer, 1 receiver for Polar HR (Polar belt not included), 1 ambient module, 1 regulator, 2 complete DVT volume sensors (transducer and volume sensor insert), 2 additional volume sensor inserts, 4 Twin Tube bxb sample lines, 2 Hans Rudolph 7450 Oro Nasal face masks (S and M), 1 SentrySuite software with MS SQL Server Software 2014 and license code sheet, nose clips, and 2 boxes MicroGard 2 filters (50 ea.). 2 years Premium Care warranty. Not included: 12 lead ECG (29838-001), Ergometer (30244-001) and/or treadmill (25382-001), and Automated blood pressure cuff (25384-001).

Invasive BP Monitor

Includes: drawer for paper or other small items, syringe holder, transport handle, mouse tray that will accommodate the mouse on left or right side, basket for filters, shelf on bottom for optional printer. Unpacking and setup by our field service team can be purchased separately.

connectivity such as Sentry.Net and SentryConnect. Box of 80 Microgard filters included. 1-year complete warranty included. Not included: Printer (29225-001), Syringe 3 Liter Manual Calibration (720254), USB Ambient module (V-378560), Vyntus Basic Cart (V-859142-13), Laptop Lock-keyed (34571-001), and Installation (34588-101).

direct USB connection to Desktop PC. Validated Windows 10 Desktop PC, 22" MONITOR and Sound Bar Included. Vmax Vyntus Spiro performs all the essential spirometry tests; FVC with Flow Volume Loop, Slow Vital Capacity (SVC), Maximum Voluntary Ventilation (MVV). Pre and Post Bronchodilator testing levels and Bronchial Challenge Testing software also included. SentrySuite software provides user guidance and feedback regarding test quality according to ATS/ERS or other author's standards. Other software features included; powerful report designer, 10 parameter-linked animated incentives, interactive guided calibration, customizable reference modules, and offline data entry. Device can be used as standalone or can take advantage of our growing family of SentrySuite solutions for workflow and connectivity such as Sentry.Net and SentryConnect. Box of 80 Microgard filters included. 1-year complete warranty included. Not included: Printer (29225-001), Syringe 3 Liter Manual Calibration (720254), USB Ambient module (V-378560), and Installation (34588-101).

Training

This 3-day course is designed to teach PFT operators how to perform quality diagnostic tests using the Vyntus™ pulmonary function testing devices. Provides training at a single customer location for up to 4 participants. Provides 21 AARC CRCE contact hours for 4 participants when training is purchased in conjunction with a new device.

This 4-day course is designed to teach PFT operators how to perform quality diagnostic tests using the Vyntus™ pulmonary function testing devices. The fourth day of training provides participants with a supplemental training day for additional side-by- side practice with the Clinical Educator. This Program provides training at a single customer location for up to 4 participants and 28 AARC CRCE contact hours for each of the 4 participants when training is purchased in conjunction with a new device.

Gases/Regulators

IOS

SentrySuite software, validated WIN 10 laptop computer, color desk jet printer included. Tests performed- quiet breathing Airways Resistance, Forced Vital Capacity, Slow Vital Capacity and Maximum Voluntary Ventilation, pre/post bronchodilator. Standard software includes: Guidance and Stabilitrac instructional applications, pre-formatted reports and reference sets with design tools for modification, automated interpretation algorithms, QA checks and physician interpretation templates, Patient Data management, multiformat output, SeS SQL DB interface for queries. Device can be used as standalone or can take advantage of our growing family of SentrySuite solutions for workflow and connectivity such as Sentry.Net and SentryConnect. 3-liter calibration syringe included. Box of 80 Microgard filters included. 1-year complete warranty.

Network

license to connect to SentryConnect gateway- SentrySuite instrument, SentrySuite reading station, Sentry.NET remote access.

Provides a Vyaire Professional Services resource to create custom reports within the existing environment. Limited to a single round of customization/revisions with final sign off by customer. Once the customized reports are signed off by the facility, future revisions to those same reports will be subject to additional charges.

SentrySuite/Vmax software application on workstation(s);

provides proactive notification of maintenance package releases for bug fixes and cybersecurity updates; provides software upgrades when available; provides direct phone line into Professional Services; provides priority response and resolution for calls into Professional Services; supports report and predicted set customization.

Maintains SentrySuite/Vmax application services and databases (including IT test environment, administrative, and reading stations); maintains Mobile Review; maintains bi-directional interface with EMR system; supports issue resolution and testing requirements due to EMR system updates; support server migration; provides administrative maintenance web-based training for super users; provides proactive notification of maintenance package releases for bug fixes and cybersecurity updates; provides software upgrades when available; provides direct phone line into Professional Services; provides priority response and resolution for calls into Professional Services;

supports report and predicted set customization.

Accessories

The Department of Veterans Affairs (VA) is seeking vendors who can provide Vyaire® Cardiopulmonary Diagnostic Systems or equal as listed above which meet all of the salient characteristics listed below. Vendors may quote any product solution or configuration so long as they meet the salient characteristics. Products quoted in the technical volume must be captured on the Vendor’s pricing volume (Attachment A, Price Cost Schedule) of the solicitation. Vendors may quote any additional ancillary products which they deem to be essential to the functionality of the proposed solution; these items must be captured in the Vendor’s pricing volume with a quantity of zero.

Vendors may propose any product solution or configuration so long as they meet the salient characteristics. Products proposed in the technical volume must be captured on the Vendor’s pricing volume (Attachment A - Price Cost Schedule) of the solicitation. Vendors may propose any additional ancillary products which they deem to be essential to the functionality of the proposed solution; these items must be captured in the Vendor’s pricing volume with a quantity of zero.

INSTALLATION

Not Applicable for this requirement. Stand-alone equipment doesn’t require installation.

SOFTWARE INSTALLATION AND UPDATES

SERVICE-SES-INTERFACE WORKFLOW SUPPORT-1 YEAR. Maintains Sentry Suite/Vmax application services and databases (including IT test environment, administrative, and reading stations); maintains Mobile Review; maintains bi-directional interface with EMR system; supports issue resolution and testing requirements due to EMR system updates; support server migration; provides administrative maintenance web-based training for super users; provides proactive notification of maintenance package releases for bug fixes and cybersecurity updates; provides software upgrades when available; provides direct phone line into Professional Services; provides priority response and resolution for calls into Professional Services; supports report and predicted set customization.

Coverage exclusions:

Windows upgrades, hardware replacements, spare parts, on-site service, field service repair, work performed outside normal business hours (7 am to 7 pm CT), IT support for problems not caused by or the result of an issue with Vyaire equipment or software, and requests for customization outside contract scope (e.g., custom database scripts and discrete data filters).

Customers should have their contract number ready when they call. Calls will be returned on the same day by the next available resource if a voicemail is left. For hardware related assistance, customer must continue to contact Technical Support at 800.231.2466. Calls into the Professional Services contract line are limited to support for contract benefits.

MAINTENANCE, REPAIRS AND REPLACEMENT

Preventative Maintenance will be performed as prescribed by the manufacturer’s specifications. Maintenance, repairs and replacement will be performed by authorized technicians and will be coordinated through the designated facility POC.

PRODUCT REFRESH

Product refresh is when a current CLIN is no longer being manufactured due to obsolescence and the product item is being replaced with a newer, and more often, a superior version of the same item. The current CLIN product will be revised to reflect the refreshed product information, manufacturer’s part number, IDIQ price (inclusive of Service Level Agreement (SLA) fee), etc.

The Government reserves the right to not accept the products offered under product refresh. The contractor will be notified in writing if a product refresh is not accepted. All products offered shall be provided with the warranty that is agreed upon for this contract.

The contractor agrees to ensure that all upgraded improved/replaced products meet American with Disabilities Act (ADA) and Health Information Portability and Accountability Act (HIPAA) Federal requirements, see attachment 5.

The contractor shall provide the COR and CO the following information for product refresh:

(1) A list of specific awarded item(s) being refreshed in the Price/Cost Schedule (to include commercial pricing, discount offered, and IDIQ price (inclusive of SLA fee));

(2) Product literature for the item(s) refreshed.

(3) A detailed description of the differences or benefits of refreshed as compared to the item(s) being discontinued or added.

(4) Proper identification of any product requirements and/or procedures related to those product(s) proposed to be refreshed or upgraded.

(5) FDA approval, if applicable

(6) Provide historical sales to VA by item(s), if applicable

(7) Copy of Commercial Warranty.

The request shall be submitted to the COR, copy to the Contract Specialist and Contract Officer, for review and recommendation of approval to be submitted to the CO. The CO shall prepare a bilateral modification for execution.

PRODUCT REMOVAL OR RECALL

For any product awarded under this contract removed or recalled by the manufacturer due to defects in the product or potential dangers to patients, or if any required removal or recall is suggested or mandated by a regulatory or official agency, the manufacturer shall resolve any defects or potential dangers by repairing or replacing the product at no cost to the government. The manufacturer agrees to take following steps immediately:

Notify the Contracting Officer (CO) at the Strategic Acquisition Center in writing, by the most expeditious manner possible.

Provide copies of the notification to CO, Contracting Specialist, Contracting Officer Representative, and Manager at Product Recall Office, all Agencies and VA Facilities who purchased the product, which include, but not be limited to the following:

(1) Complete item description and/or identification, order numbers from customers and the contract number assigned as a result of an issuance on the solicitation;

(2) Reasons for modifications, removal or recall; and

(3) Necessary instructions for return for credit, replacement or corrective action.

A copy of the notification will be provided to:

Manager, Product Recall Office National Center for Patient Safety Veterans Health Administration 24 Frank Lloyd Wright Drive, Lobby M Ann Arbor, MI 48106 The following attachments are incorporated by reference. All criteria outlined in the attachments are applicable to this Combined Synopsis/Solicitation Notice.

See attached document: ATTACHMENT A - PRICE COST SCHEDULE - NX EQ CARDIOPULMONARY DIAGNOSTIC SYSTEMS.

See attached document: ATTACHMENT B - CONTRACT ADMINISTRATION - NX EQ CARDIOPULMONARY DIAGNOSTIC SYSTEMS.

See attached document: ATTACHMENT C - CONTRACT CLAUSES - NX EQ CARDIOPULMONARY DIAGNOSTIC SYSTEMS.

See attached document: ATTACHMENT D - SOLICITATION PROVISIONS - NX EQ CARDIOPULMONARY DIAGNOSTIC SYSTEMS.

See attached document: ATTACHMENT E – SALES REPORTING TOOL - NX EQ CARDIOPULMONARY DIAGNOSTIC SYSTEMS.

See attached document: ATTACHMENT F - PAST PERFORMANCE REFERENCE - NX EQ CARDIOPULMONARY DIAGNOSTIC SYSTEMS.

See attached document: ATTACHMENT G - PAST PERFORMANCE QUESTIONAIRE - NX EQ CARDIOPULMONARY DIAGNOSTIC SYSTEMS.

See attached document: Attachment 1 Cardiopulmonary Diagnostic Systems CLINs Structure See attached document: Attachment 2 VA Handbook 6500.6