36C24120R0014_1.docx

36C24120R0014

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. 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

36C24120R0014 01-31-2022 Karla Rotondo 4014594760x21558 03-01-2022 12:00pm

EST

Department of Veterans Affairs Regional Procurement Office East Network Contracting Office 1 (NE) 830 Chalkstone Ave Providence RI 02908 X 532283 $35 Million N/A X See Delivery Schedule Pursuant to each order placed

Department of Veterans Affairs Regional Procurement Office East Network Contracting Office 1 (NE) 830 Chalkstone Ave Providence RI 02908

Department of Veterans Affairs VISN 01 Prosthetics Government Purchase Card

See CONTINUATION Page

HOME RESPIRATORY CARE AND DURABLE MEDICAL EQUIPMENT (DME)

SERVICES TO ELIGIBLE VETERAN PATIENTS SERVED BY THE EIGHT

MEDICAL CENTERS WITHIN VISN 1 AND ITS ASSOCIATED

CBOCS PURSUANT TO THE PERFORMANCE WORK STATEMENT DESCRIBED

HEREIN.

OFFERORS SHALL SUBMIT ALL TECHNICAL QUESTIONS REGARDING THIS

SOLICITATION TO THE CONTRACTING OFFICER IN WRITING WITHIN 10

DAYS OF SOLICITATION POSTING. QUESTIONS RECEIVED AFTER THE

10 CALENDAR DAYS MAY NOT BE CONSIDERED.

THE GOVERNMENT INTENDS TO AWARD AN INDEFINITE DELIVERY,

INDEFINITE QUANTITY (IDIQ) CONTRACT WITH FUNDING OBLIGATED

THROUGH PROSTHETIC ORDERS. THE MINIMUM GUARANTEE WILL BE

MET WITH THE FIRST $2,000 IN ORDERS.

THE FIVE YEAR PERIOD OF PERFORMANCE IS JUNE 7, 2022

THROUGH JUNE 6, 2027.

OFFERORS SHOULD CAREFULLY FOLLOW INSTRUCTIONS INCLUDED IN

52.212-1.

PRICING SHOULD BE INDENTIFIED ON PRICE/COST SCHEDULE AND

ANCILLARY SUPPLY LIST ATTACHMENT A2.

See CONTINUATION Page To be identified on each order placed X X Table of Contents

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

1. Contract Administration: All contract administration matters will be handled by the following individuals:

a. CONTRACTOR:

b. GOVERNMENT: Contracting Officer 36C241 Karla Rotondo Department of Veterans Affairs Regional Procurement Office East Network Contracting Office 1 (NE) 830 Chalkstone Ave Providence RI 02908

2. CONTRACTOR REMITTANCE ADDRESS: All payments by the Government to the contractor will be made in accordance with:

3. INVOICES: Invoices shall be submitted in arrears:

4. GOVERNMENT INVOICE ADDRESS: All Invoices from the contractor shall be submitted electronically in accordance with VAAR Clause 852.232-72 Electronic Submission of Payment Requests.

Department of Veterans Affairs VISN 01 Prosthetics Government Purchase Card

ACKNOWLEDGMENT OF AMENDMENTS: The offeror acknowledges receipt of amendments to the Solicitation numbered and dated as follows:

B.2 PRICE/COST SCHEDULE

ITEM INFORMATION

Maintain beneficiaries on RENTED Concentrator Systems (includes free emergency back-up H/M cylinder(s) that meets liter flow, distance & time requirements to cover for loss of power):

VAMC Bedford – Estimated Qty. 125 per Month for 5 years VA Boston HS– Estimated Qty. 415 per month for 5 years VA Connecticut HS - Estimated Qty. 720 per month for 5 years VAMC Manchester – Estimated Qty. 350 per month for 5 years VA Central Western HS - Estimated Qty. 240 per month for 5 years VAMC Providence – Estimated Qty. 325 per month for 5 years VA Maine HS – Estimated Qty. 920 per month for 5 years VAMC White River Junction – Estimated Qty. 350 per month for 5 years Contract Period: Base POP Begin: 06-07-2022 POP End: 06-06-2027 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

Maintain beneficiaries on RENTED Helios Liquid Oxygen System (LOX) Portable:

VAMC Bedford – Estimated Qty. 10 per Month for 5 years VA Boston HS – Estimated Qty. 90 per month for 5 years VA Connecticut HS – Estimated Qty. 40 per month for 5 years VAMC Manchester – Estimated Qty. 10 per month for 5 years VA Central Western HS – Estimated Qty. 10 per month for 5 years VAMC Providence – Estimated Qty. 35 per month for 5 years VA Maine HS – Estimated Qty. 20 per month for 5 years VAMC White River Junction – Estimated Qty. 1 per month for 5 years Contract Period: Base POP Begin: 06-07-2022 POP End: 06-06-2027

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

Maintain beneficiaries on RENTED Liquid Oxygen Systems (LOX) with liter flow less than 4 LPM:

VAMC Bedford – Estimated Qty. 27 per Month for 5 years VA Boston HS – Estimated Qty. 75 per month for 5 years VA Connecticut HS – Estimated Qty. 75 per month for 5 years VAMC Manchester – Estimated Qty. 22 per month for 5 years VA Central Western HS – Estimated Qty. 10 per month for 5 years VAMC Providence – Estimated Qty. 15 per month for 5 years VA Maine HS – Estimated Qty. 20 per month for 5 years VAMC White River Junction – Estimated Qty. 3 per month for 5 years Contract Period: Base POP Begin: 06-07-2022 POP End: 06-06-2027

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

Maintain beneficiaries on RENTED Liquid Oxygen Systems (LOX) with liter flow 4 LPM or greater:

VAMC Bedford – Estimated Qty. 2 per Month for 5 years VA Boston HS – Estimated Qty. 8 per month for 5 years VA Connecticut HS – Estimated Qty. 8 per month for 5 years VAMC Manchester – Estimated Qty. 3 per month for 5 years VA Central Western HS – Estimated Qty. 2 per month for 5 years VAMC Providence – Estimated Qty. 5 per month for 5 years VA Maine HS – Estimated Qty. 8 per month for 5 years VAMC White River Junction – Estimated Qty. 1 per month for 5 years Contract Period: Base POP Begin: 06-07-2022 POP End: 06-06-2027

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

Additional RENTED liquid portable unit for patients requiring 2 portable units:

VAMC Bedford – Estimated Qty. 1 per Month for 5 years VA Boston HS – Estimated Qty. 8 per month for 5 years VA Connecticut HS – Estimated Qty. 4 per month for 5 years VAMC Manchester – Estimated Qty. 2 per month for 5 years VA Central Western HS – Estimated Qty. 1 per month for 5 years VAMC Providence – Estimated Qty. 2 per month for 5 years VA Maine HS – Estimated Qty. 3 per month for 5 years VAMC White River Junction – Estimated Qty. 1 per month for 5 years Contract Period: Base POP Begin: 06-07-2022 POP End: 06-06-2027

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

Contractor to deliver, set-up & ensure proper functioning of the VA purchased CPAP, BiPAP, APAP &/or ASV unit:

VAMC Bedford – Estimated Qty. 3 per Month for 5 years VA Boston HS – Estimated Qty. 20 per month for 5 years VA Connecticut HS – Estimated Qty. 10 per month for 5 years VAMC Manchester – Estimated Qty. 15 per month for 5 years VA Central Western HS – Estimated Qty. 1 per month for 5 years VAMC Providence – Estimated Qty. 20 per month for 5 years VA Maine HS – Estimated Qty. 30 per month for 5 years VAMC White River Junction – Estimated Qty. 1 per month for 5 years Contract Period: Base POP Begin: 06-07-2022 POP End: 06-06-2027

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

Maintain beneficiaries on Rented 50 PSI compressor or suction machine:

VA Boston HS – Estimated Qty. 2 per month for 5 years VA Connecticut HS – Estimated Qty. 1 per month for 5 years VAMC Manchester – Estimated Qty. 2 per month for 5 years VA Central Western HS – Estimated Qty. 2 per month for 5 years VAMC Providence – Estimated Qty. 1 per month for 5 years VA Maine HS – Estimated Qty. 2 per month for 5 years VAMC White River Junction – Estimated Qty. 2 per month for 5 years Contract Period: Base POP Begin: 06-07-2022 POP End: 06-06-2027

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

Refills of portable oxygen cylinders (B, C, D, E) by patient number:

VAMC Bedford – Estimated Qty. 200 per Month for 5 years VA Boston HS – Estimated Qty. 2,000 per month for 5 years VA Connecticut HS – Estimated Qty. 2,500 per month for 5 years VAMC Manchester – Estimated Qty. 1,500 per month for 5 years VA Central Western HS – Estimated Qty. 1,000 per month for 5 years VAMC Providence – Estimated Qty. 1,500 per month for 5 years VA Maine HS – Estimated Qty. 3,700 per month for 5 years VAMC White River Junction – Estimated Qty. 1,500 per month for 5 years Contract Period: Base POP Begin: 06-07-2022 POP End: 06-06-2027

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

Refills of H & M cylinder oxygen tanks. (This excludes the free emergency back-up cylinder oxygen tanks.):

VA Boston HS – Estimated Qty. 5 per month for 5 years VA Connecticut HS – Estimated Qty. 4 per month for 5 years VAMC Manchester – Estimated Qty. 3 per month for 5 years VA Central Western HS – Estimated Qty. 2 per month for 5 years VAMC Providence – Estimated Qty. 3 per month for 5 years VA Maine HS – Estimated Qty. 7 per month for 5 years VAMC White River Junction – Estimated Qty. 3 per month for 5 years Contract Period: Base POP Begin: 06-07-2022 POP End: 06-06-2027

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

Prescribed in-home respiratory therapist visits for CPAPs and BiPAPs:

VAMC Bedford – Estimated Qty. 5 per Month for 5 years VA Boston HS – Estimated Qty. 50 per month for 5 years VA Connecticut HS – Estimated Qty. 25 per month for 5 years VAMC Manchester – Estimated Qty. 3 per month for 5 years VA Central Western HS – Estimated Qty. 1 per month for 5 years VAMC Providence – Estimated Qty. 50 per month for 5 years VA Maine HS – Estimated Qty. 100 per month for 5 years VAMC White River Junction – Estimated Qty. 1 per month for 5 years Contract Period: Base POP Begin: 06-07-2022 POP End: 06-06-2027

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

In-home nocturnal (continuous) pulse oximetry:

VA Boston HS – Estimated Qty. 7 per month for 5 years VA Connecticut HS – Estimated Qty. 3 per month for 5 years VAMC Manchester – Estimated Qty. 2 per month for 5 years VA Central Western HS – Estimated Qty. 2 per month for 5 years VAMC Providence – Estimated Qty. 2 per month for 5 years VA Maine HS – Estimated Qty. 20 per month for 5 years VAMC White River Junction – Estimated Qty. 3 per month for 5 years Contract Period: Base POP Begin: 06-07-2022 POP End: 06-06-2027

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

Liquid Oxygen refills:

VAMC Bedford – Estimated Qty. 5,100 LB per Month for 5 years VA Boston HS – Estimated Qty. 60,400 LB per month for 5 years VA Connecticut HS – Estimated Qty. 30,000 LB per month for 5 years VAMC Manchester – Estimated Qty. 7,750 LB per month for 5 years VA Central Western HS – Estimated Qty. 1,500 LB per month for 5 years VAMC Providence – Estimated Qty. 11,000 LB per month for 5 years VA Maine HS – Estimated Qty. 33,000 LB per month for 5 years VAMC White River Junction – Estimated Qty. 100 LB per month for 5 years Contract Period: Base POP Begin: 06-07-2022 POP End: 06-06-2027

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

Prescribed in-home respiratory therapist visits with pulmonary assessment:

VAMC Bedford – Estimated Qty. 135 per Month for 5 years VA Boston HS – Estimated Qty. 450 per month for 5 years VA Connecticut HS – Estimated Qty. 650 per month for 5 years VAMC Manchester – Estimated Qty. 100 per month for 5 years VA Central Western HS – Estimated Qty. 150 per month for 5 years VAMC Providence – Estimated Qty. 275 per month for 5 years VA Maine HS – Estimated Qty. 625 per month for 5 years VAMC White River Junction – Estimated Qty. 325 per month for 5 years Contract Period: Base POP Begin: 06-07-2022 POP End: 06-06-2027

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

Maintain beneficiaries on Rented Ventilators and respiratory therapist visits:

VA Boston HS – Estimated Qty. 2 per month for 5 years VA Connecticut HS – Estimated Qty. 2 per month for 5 years VAMC Manchester – Estimated Qty. 1 per month for 5 years VA Central Western HS – Estimated Qty. 1 per month for 5 years VAMC Providence – Estimated Qty. 1 per month for 5 years VA Maine HS– Estimated Qty. 2 per month for 5 years VAMC White River Junction – Estimated Qty. 3 per month for 5 years Contract Period: Base POP Begin: 06-07-2022 POP End: 06-06-2027

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

Contractor to deliver, set-up & ensure proper functioning of beneficiaries on VA-purchased Ventilators with respiratory therapist visits:

VA Boston HS – Estimated Qty. 25 per month for 5 years VA Connecticut HS – Estimated Qty. 17 per month for 5 years VAMC Manchester – Estimated Qty. 3 per month for 5 years VA Central Western HS – Estimated Qty. 4 per month for 5 years VAMC Providence – Estimated Qty. 8 per month for 5 years VA Maine HS – Estimated Qty. 3 per month for 5 years VAMC White River Junction – Estimated Qty. 13 per month for 5 years

This is for set-up and recurring monthly visit for existing patients.

Contract Period: Base POP Begin: 06-07-2022 POP End: 06-06-2027

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

Maintain beneficiaries on Rented Liquid Low Loss Portable Systems with the Concentrator as the primary delivery system:

VA Boston HS – Estimated Qty. 6 per month for 5 years VA Connecticut HS – Estimated Qty. 3 per month for 5 years VAMC Manchester – Estimated Qty. 2 per month for 5 years VA Central Western HS – Estimated Qty. 2 per month for 5 years VAMC Providence – Estimated Qty. 2 per month for 5 years VA Maine HS – Estimated Qty. 2 per month for 5 years VAMC White River Junction – Estimated Qty. 1 per month for 5 years Contract Period: Base POP Begin: 06-07-2022 POP End: 06-06-2027

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

Maintain beneficiaries on a Rented Concentrator with the ability to fill cylinders for use as a portable system, based on their liter flow:

VA Boston HS – Estimated Qty. 24 per month for 5 years VA Connecticut HS – Estimated Qty. 12 per month for 5 years VAMC Manchester – Estimated Qty. 2 per month for 5 years VA Central Western HS – Estimated Qty. 4 per month for 5 years VAMC Providence – Estimated Qty. 10 per month for 5 years VA Maine HS – Estimated Qty. 7 per month for 5 years VAMC White River Junction – Estimated Qty. 2 per month for 5 years Contract Period: Base POP Begin: 06-07-2022 POP End: 06-06-2027

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

Maintain beneficiaries on a 10 liter Rented Concentrator:

VA Boston HS – Estimated Qty. 10 per month for 5 years VA Connecticut HS – Estimated Qty. 10 per month for 5 years VAMC Manchester – Estimated Qty. 5 per month for 5 years VA Central Western HS – Estimated Qty. 2 per month for 5 years VAMC Providence – Estimated Qty. 10 per month for 5 years VA Maine HS – Estimated Qty. 10 per month for 5 years VAMC White River Junction – Estimated Qty. 5 per month for 5 years Contract Period: Base POP Begin: 06-07-2022 POP End: 06-06-2027

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

Maintain beneficiaries on VA-purchased Cough Assist Devices:

VA Boston HS – Estimated Qty. 25 per month for 5 years VA Connecticut HS – Estimated Qty. 10 per month for 5 years VAMC Manchester – Estimated Qty. 3 per month for 5 years VA Central Western HS – Estimated Qty. 2 per month for 5 years VAMC Providence – Estimated Qty. 7 per month for 5 years VA Maine HS – Estimated Qty. 3 per month for 5 years VAMC White River Junction – Estimated Qty. 8 per month for 5 years Contract Period: Base POP Begin: 06-07-2022 POP End: 06-06-2027

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

Maintain beneficiaries on Rented Cough Assist Devices:

VA Boston HS – Estimated Qty. 2 per month for 5 years VA Connecticut HS – Estimated Qty. 3 per month for 5 years VAMC Manchester – Estimated Qty. 1 per month for 5 years VA Central Western HS – Estimated Qty. 3 per month for 5 years VAMC Providence – Estimated Qty. 2 per month for 5 years VA Maine HS – Estimated Qty. 3 per month for 5 years VAMC White River Junction – Estimated Qty. 1 per month for 5 years Contract Period: Base POP Begin: 06-07-2022 POP End: 06-06-2027

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

Maintain beneficiaries on a Rented Portable Oxygen Concentrator for travel oxygen patients, including required supplies & batteries sufficient to meet/exceed airline safety requirements:

VAMC Bedford – Estimated Qty. 3 per Month for 5 years VA Boston HS – Estimated Qty. 8 per month for 5 years VA Connecticut HS – Estimated Qty. 8 per month for 5 years VAMC Manchester – Estimated Qty. 3 per month for 5 years VA Central Western HS – Estimated Qty. 3 per month for 5 years VAMC Providence – Estimated Qty. 5 per month for 5 years VA Maine HS – Estimated Qty. 8 per month for 5 years VAMC White River Junction – Estimated Qty. 5 per month for 5 years Contract Period: Base POP Begin: 06-07-2022 POP End: 06-06-2027

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

Contractor to deliver, set-up & ensure proper functioning and preventative maintenance of a VA purchased Stationary Concentrator (includes free emergency back-up H/M cylinder(s) that meet liter flow, distance & time requirements). This is for the initial set-up and the continuing months that patient's prescription requires the specific equipment:

VA Boston HS – Estimated Qty. 3 per month for 5 years VA Connecticut HS – Estimated Qty. 3 per month for 5 years VAMC Manchester – Estimated Qty. 1 per month for 5 years VA Central Western HS – Estimated Qty. 1 per month for 5 years VAMC Providence – Estimated Qty. 2 per month for 5 years VA Maine HS – Estimated Qty. 1 per month for 5 years VAMC White River Junction – Estimated Qty. 2 per month for 5 years Contract Period: Base POP Begin: 06-07-2022 POP End: 06-06-2027

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

Contractor to deliver, set-up & ensure proper functioning and preventative maintenance of a VA purchased Portable Oxygen Concentrator:

VAMC Bedford – Estimated Qty. 4 per Month for 5 years VA Boston HS – Estimated Qty. 50 per month for 5 years VA Connecticut HS – Estimated Qty. 15 per month for 5 years VAMC Manchester – Estimated Qty. 20 per month for 5 years VA Central Western HS – Estimated Qty. 5 per month for 5 years VAMC Providence – Estimated Qty. 4 per month for 5 years VA Maine HS – Estimated Qty. 1 per month for 5 years VAMC White River Junction – Estimated Qty. 5 per month for 5 years Contract Period: Base POP Begin: 06-07-2022 POP End: 06-06-2027

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

Contractor to deliver, set-up & ensure proper functioning and preventative maintenance of a VA purchased Self-Fill Cylinder System (includes free emergency back-up H/M cylinder(s) that meet liter flow, distance & time requirements):

VAMC Bedford – Estimated Qty. 1 per month for 5 years VA Boston HS – Estimated Qty. 1 per month for 5 years VA Connecticut H S – Estimated Qty. 1 per month for 5 years VAMC Manchester – Estimated Qty. 1 per month for 5 years VA Central Western HS – Estimated Qty. 1 per month for 5 years VAMC Providence – Estimated Qty. 1 per month for 5 years VA Maine HS – Estimated Qty. 1 per month for 5 years VAMC White River Junction – Estimated Qty. 1 per month for 5 years Contract Period: Base POP Begin: 06-07-2022 POP End: 06-06-2027

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

NioV (Non-Invasive Open Ventilation) Ventilator Rental - includes purge tube, 72in oxygen hose, oxygen regular 50 psi, 40 lpm, E-size cylinders, NioV AC charger/cord and two interface pillows w/each new start. Rentals also include home set up by Respiratory Therapist with in-home training. One week follow up with 6 min oxygen walk titration on device, then in-home follow up in 30, 60 and 90 days, ALL RESPIRATORY THERAPIST VISITS INCLUDED IN MONTHLY RENTAL PRICE AT NO ADDITIONAL CHARGE. Patient receives a minimum of 2 nasal pillows with new startup then 1 replacement every 6 months if requested at no additional cost.

VA Boston HS – Estimated Qty. 4 per month for 5 years VA Connecticut H S – Estimated Qty. 3 per month for 5 years VAMC Manchester – Estimated Qty. 1 per month for 5 years VA Central Western HS – Estimated Qty. 1 per month for 5 years VAMC Providence – Estimated Qty. 1 per month for 5 years VA Maine HS – Estimated Qty. 3 per month for 5 years VAMC White River Junction – Estimated Qty. 1 per month for 5 years Contract Period: Base POP Begin: 06-07-2022 POP End: 06-06-2027

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

Delivery/Setup Rates – Any delivery/setup performed within the normal delivery zone (100 mile radius of VA Medical Center; except 125 mile radius of White River Jct. & VA Maine HCS).

VAMC Bedford – Estimated Qty. 6 per month for 5 years VA Boston Healthcare System - Estimated Qty. 13 per month for 5 years VA Connecticut Healthcare System - Estimated Qty. 25 per month for 5 years VAMC Manchester – Estimated Qty. 12 per month for 5 years VA Central Western Healthcare System – Estimated Qty. 8 per month for 5 years VAMC Providence – Estimated Qty. 10 per month for 5 years VA Maine Healthcare System – Estimated Qty. 20 per month for 5 years VAMC White River Junction – Estimated Qty. 7 per month for 5 years Contract Period: Base POP Begin: 06-07-2022 POP End: 06-06-2027

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

Delivery/Setup Rates – Any delivery/setup performed beyond the normal delivery zone (100 mile radius of VA Medical Center; except 125 mile radius of White River Jct. & VA Maine HCS).

VA Boston Healthcare System - Estimated Qty. 2 per month for 5 years VA Connecticut Healthcare System – Estimated Qty. 1 per month for 5 years VAMC Manchester – Estimated Qty. 2 per month for 5 years VA Central Western Healthcare System – Estimated Qty. 1 per month for 5 years VAMC Providence – Estimated. Qty. 1 per month for 5 years VA Maine Healthcare System – Estimated Qty. 4 per month for 5 years VAMC White River Junction – Estimated Qty. 3 per month for 5 years Contract Period: Base POP Begin: 06-07-2022 POP End: 06-06-2027

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

Pickup Rates – Any pickups, inspections, cleaning and return to the VAMC, or for disposal within normal delivery or pickup zone (100 mile radius of VA Medical Center; except 125 mile radius of White River Jct. & VA Maine HCS). The cost of the cleaning and sanitizing the durable medical equipment will be included in the pickup and storage charges.

VAMC Bedford – Estimated Qty. 4 per month for 5 years VA Boston Healthcare System - Estimated Qty. 12 per month for 5 years VA Connecticut Healthcare System – Estimated Qty. 15 per month for 5 years VAMC Manchester – Estimated Qty. 8 per month for 5 years VA Central Western Healthcare System – Estimated Qty. 6 per month for 5 years VAMC Providence – Estimated Qty. 8 per month for 5 years VA Maine Healthcare System – Estimated Qty. 15 per month for 5 years VAMC White River Junction – Estimated Qty. 12 per month for 5 years Contract Period: Base POP Begin: 06-07-2022 POP End: 06-06-2027

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

Pickup Rates – Any pickups, inspections, cleaning and return to the VAMC, or for disposal beyond normal delivery or pickup zone (100 mile radius of VA Medical Center; except 125 mile radius of White River Jct. & VA Maine HCS). The cost of the cleaning and sanitizing the durable medical equipment will be included in the pickup and storage charges.

VA Boston Healthcare System - Estimated Qty. 2 per month for 5 years VA Connecticut Healthcare System – Estimated Qty. 1 per month for 5 years VAMC Manchester – Estimated Qty. 1 per month for 5 years VA Central Western Healthcare System – Estimated Qty. 1 per month for 5 years VAMC Providence – Estimated Qty. 1 per month for 5 years VA Maine Healthcare System – Estimated Qty. 3 per month for 5 years VAMC White River Junction – Estimated Qty. 2 per month for 5 years Contract Period: Base POP Begin: 06-07-2022 POP End: 06-06-2027

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

Labor cost per hour to repair VA purchased equipment. Payment for this item shall be based on quarter hour increments.

VA Maine Healthcare System – VAMC Manchester – VAMC White River Junction – VAMC Bedford – VA Boston Healthcare System- VA Connecticut Healthcare System – VA Central West MA HCS – VAMC Providence – Contract Period: Base POP Begin: 06-07-2022 POP End: 06-06-2027

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

Temporary Replacement for Home Oxygen and Durable Medical Equipment for Eligible Veterans and Beneficiaries.

Must be approved by COR.

Contract Period: Base POP Begin: 06-07-2022 POP End: 06-06-2027

Ancillary Price Schedule (for evaluation purposes only) Contract Period: Base POP Begin: 06-07-2022 POP End: 06-06-2027

B.3 CONTRACT MINIMUM/MAXIMUM VALUE

The Veterans Integrated Service Network Region (VISN) 1 has a requirement for Home Respiratory Services and Durable Medical Equipment (DME) services. The intent is for an Indefinite Delivery/Indefinite Quantity Contract with a performance period of 5 Years from the Effective Date.

The guaranteed minimum award amount for this contract is $2,000.00. This minimum guarantee will be met with the first $2,000.00 in orders. The maximum aggregate value of orders under this contract is $56,431,500.00. The Government does not guarantee that it will place any orders under this contract in excess of the guaranteed minimum award amount.

B.4 INVOICING INSTRUCTIONS

1.1 Business Guidelines for the VISN 1 Network Home Oxygen & DME Contract are stated below.

1.2 PAYMENT: Payment to the Contractor shall be made utilizing the Government wide Purchase Card (Purchase Card) primarily, however other methods (e.g. Purchase Orders) for payment may be used. Method of processing and acceptance may include the Government-wide Purchase Card, or obligation of Care in the Community funds (otherwise known as “1358” funds).

1.2.1 Government Wide Purchase Card, Level II. Contractor shall accept the Government wide Purchase Card for payment in full of any payments made. The Purchase Card shall be accepted over the phone and/or in person. Minimum Level II data transmission is recommended. The Purchase Card shall be accepted regardless of dollar amount. Credit Card usage fees will not be added onto the contract prices for purchases made by Government wide Purchase Card.

The contractor must be capable of submitting invoices via electronic encryption transmission to the appropriate VA facility. If this involves additional machinery or computer equipment/software, this will be at the contractor’s expense.

A list of authorized prosthetics purchasing staff will be issued to the Contractor at time of award.

1.2.2 Fuel Surcharges. Fuel surcharges shall not be added to any invoice or contract prices.

1.3 BILLING PROCEDURES:

For Home Oxygen: Billing will be on a monthly basis, within ten (10) days after the end of month. Separate obligations will be issued; one for solely services provided and another for solely supplies. Contractors shall separate and track all labor vs. supply. All bills shall be properly invoiced and contain, at minimum: an itemized listing of services rendered (including number of specific items, pounds of liquid, type of container – H, M, B/C/D/E, etc.), dates of service, charges for each service, Veteran patient’s name and social security number, address, month of service, and total of bill. The Contractor will provide written documentation for services provided to the Veteran patient with each billing.

In an Excel format, the monthly billing format is the following:

For DME: A purchase order is generated and provided to the Contractor for the requested service. Upon completion of the requested service, the Contractor will charge the appropriate purchase card and provide an invoice to the VAMC Prosthetics Service within 24 hours/one business day of the date of service preferably electronically or on paper. Proof of delivery/ completion of service will be forwarded to the ordering VAMC Prosthetics Service at the time that the purchase card is processed for payment. An invoice will be provided and will contain, at minimum: an itemized listing of services rendered (including number of specific items, etc.), dates of service, charges for each service with the purchase order numbers for each service, contract number, Veteran patient’s name and social security number, address, month of service, total of bill, a copy of the simplified purchase order, appropriate HCPCSS Codes, and proof of Veteran’s acceptance of service delivery/pick-up, the model and serial number of the equipment delivered and/or picked up and whether the equipment is new or used.

Proof of Delivery. As a condition of payment, the Contractor must provide with the initial invoice for equipment delivered, a receipt bearing the signature of the VA beneficiary, family member, or legal custodian and date of delivery. Subsequent monthly invoices shall list names for the invoice period, with a certification signed by the Contractor stating that the equipment was in place for use by or services were delivered to the listed VA beneficiaries for the invoice period. Invoice for oxygen cylinders delivered or liquid refills made must be accompanied by a receipt bearing the signature of the VA beneficiary or family member and date of delivery. Payments made by the VAMC under this contract shall constitute the total cost of services provided by the contractor. The Contractor shall not seek reimbursement from the beneficiary’s family, private insurer, Medicare, or any other entity acting on behalf of the beneficiary.

1.3.1 Contacting and Tracking new starts:

1.3.1.1 A minimum of three attempts will be made to contact the Veteran/his-her family to coordinate the delivery within the contract timeframe. If the Contractor is unable to reach the Veteran or family after three attempts, the Contractor is to contact the VAMC for an alternate phone number and order disposition. The VAMC retains the right to request the Contractor to continue additional attempts, depending on the individual Veteran’s circumstances and/or cancel the order.

1.3.1.2 All Oxygen & DME patients will be tracked on a weekly basis via a new start list generated by the Contractor and provided to the VAMC COR’s by the Tuesday of the following week. The document will be updated weekly and all patient information from previous weeks will be maintained. This will be provided to the VA CORs through PKI encryption. If the contractor uses another form of e-mail encryption and requests its use, it must be user-friendly in all e-mail communications with the VA. The VA Contracting Officer will determine if the alternate encryption method requires additional costs and time for VA staff and will approve or disapprove its use prior to implementation.

1.3.2 If oxygen equipment in use on any VA beneficiary is changed upon request of the CORs, the cost of these systems will be pro-rated for the time installed.

1.3.3 When the CORs discover that the VA oxygen beneficiary under this contract has been admitted to a hospital, the Contractor will be notified if a discontinue order is indicated; not all admissions will require Contractor notification. At that time, the removal of the oxygen equipment from the VA beneficiary’s place of residence will be determined by the VA provider - a VA consult may not be generated or a consult to change/modify/discontinue services may be initiated. Each patient admission and discharge are unique.

1.3.4 When applicable, the CORs/VAMC Clinical Lead will notify the Contractor in advance of discharge and equipment will be re-delivered and services resumed as ordered by the CORs/VAMC Clinical Lead.

1.3.5 If the Contractor learns that a VA beneficiary has expired or moves before notification by the VA, the Contractor is responsible for notifying the COR. Charges will be pro-rated for the time period involved. This will also apply to services that are discontinued before the end of any month.

1.4 SETUP PROCEDURES:

For Oxygen: The Contractor shall provide the initial set-up within 24 hours of receipt of the request from the COR or designee, to include weekends and holidays; this shall also apply to service calls.

Oxygen, Ventilator, Cough Assist, 50 PSI Compressor (HO), Suction Machine, Small & Large Volume Nebulizers, Airvo or other high flow oxygen (humidification) delivery devices, Non-invasive ventilation device, Percussive Vest, and other respiratory equipment (as deemed necessary) initial set-ups are completed within 24 hours of receipt of the prescription. (The Contractor will provide documentation to the COR that all initial set-ups are completed within 24 hours), CPAP/BiPAP/ASV/APAP initial set-ups maximum within 7 days of receipt of the prescription, unless specified by the plan of care that requires an urgent set-up prior to this time frame (e.g. within 24 hours).

For DME: The Contractor will provide a statement of training and education regarding the equipment that should also be signed and forwarded with the receipt. Additional data to be included: name of contractor and date of invoice; contract number; dates of service performed or supplies furnished; description, model number, serial number, price breakdown, and quantity of services performed; name, address and social security number (SSN) of the Veteran beneficiary. Subsequent invoices shall list names for the invoice period.

For emergencies, the Contractor must make the delivery within 4 hours.

The Contractor will contact the patient and/or patient’s family for equipment delivery/pick-up/repair within 24 hours of receipt of the purchase order being faxed to the Contractor. The delivery/pick-up/repair will be completed within 72 hours, unless the patient and/or family request additional time. All equipment picked up from or delivered to the beneficiary’s address constitutes one pickup or delivery and shall be charged at the rate awarded regardless of the number of items delivered.

1.5 Contractor:

The Contractor shall assume full responsibility for the protection of its personnel furnishing services under this contract, in accordance with the personnel policy of the Contractor, such as providing worker’s compensation, professional liability insurance, health examinations, income tax withholding, and social security payments. The parties agree that the Contractor, its employees, agents, and subcontractors shall not be considered VA employees for any purpose.

The Contractor will provide a weekly update via e-mail on staffing levels of delivery and office staff for all locations serving VISN 1, VA New England Healthcare System VAMC facilities. This includes existing and anticipated staffing changes and the plan to recruit for these vacant positions The Contractor shall be staffed and have sufficient supplies to render satisfactory and courteous service at all times to the beneficiary. The Contractor shall be responsible for the acts, discussions and omissions of his/her employees, his/her subcontractors or satellite offices and their employees. Any sub-contractors are required to adhere to the requirements of this contract.

1.6 INVOICES: Invoices should be mailed (or e-mailed via encryption) to the addresses specified below:

VAMC Bedford, MA ATTN: Prosthetics Representative (518/121) 200 Springs Road Bedford, MA 01730

VA Boston Healthcare System ATTN: Prosthetics Manager (523/121) 150 South Huntington Avenue Boston, MA 02130

VA Central Western Massachusetts Healthcare System (VAMC Northampton, MA) ATTN: Prosthetics Representative (631/121) 421 North Main Street Leeds, MA 01053

VA Connecticut Healthcare System ATTN: Prosthetics Manager (689/121) 950 Campbell Avenue West Haven, CT 06516

VA Maine Healthcare System (VAMC Togus, ME) ATTN: Prosthetics Manager (402/121) 1 VA Center Togus, ME 04330

VAMC Manchester, NH ATTN: Prosthetics Manager (603/121) 718 Smyth Road Manchester, NH 03104

VAMC Providence, RI ATTN: Prosthetics Manager (650/121) 830 Chalkstone Avenue Providence, RI 02908

VAMC White River Junction, VT ATTN: Prosthetics Manager (405/121) 215 North Main Street White River Junction, VT 05009

B.5 STATEMENT OF WORK

III. HOME OXYGEN/RESPIRATORY CARE SERVICES

STATEMENT OF WORK: VISN 1 – VA New England Healthcare System has an ongoing requirement for Home Respiratory Care services to Veteran patients served by its eight medical centers and its associated outpatient clinics. Offeror shall ensure that in its proposal all transportation, labor, fuel, parts, ancillary supplies and supervision are inclusive in its offer. The total number of home respiratory care patients at each VA site is subject to change. The Home Respiratory Care Program, Pulmonary Section, Medical Service, at all VISN 1 facilities admits patients into the Home Respiratory Care Program after performing assessment of their clinical condition. The offeror will furnish home oxygen and respiratory equipment, conduct in-home pulmonary assessments and re-assessments by Registered Respiratory Therapists, set-up/complete overnight oximetries and provide documentation of patient education. The offeror will transact business only with the appropriate officials of VISN 1, VA New England Healthcare System, Department of Veterans Affairs, and in no case solicit services from VA beneficiaries, except to contact the VA beneficiary for delivery and/or pick up arrangements as ordered by the VAMC.

3.1. From time-to-time, the number of Veterans being served by this agreement will change. VISN 1 currently serves an estimated 3,923 Home Oxygen patients and 27,491 CPAP/BiPAP/ ASV/APAP respiratory care patients (Attachment B – several patients are in the Facility VAMC PAP Clinics/non-vendor). The volumes or amounts shown in the solicitation are estimates only and impose no obligation on the VA either minimum or maximum. The resulting contract shall be for the actual requirements of the VA as ordered by the VA during the life of the contract. The Contracting Officer’s Representative (COR) or designee will provide the Contractor with notification to initiate individual beneficiary service requirements, including the beneficiary’s oxygen prescription, equipment, supplies and services to be provided including date and place of delivery, the Contractor will confirm receipt of the request within two working hours of notification; the COR or designee will also provide notification if VA owned equipment is provided; the COR or designee will also provide notification of VA initiated discontinuance of service. The notification may be made orally but will be confirmed in writing within two (2) working days. The written documents will include the authorizing official’s signature.

Standards of Performance:

3.2. Veterans with a prescription for an oxygen concentrator shall be provided with an appropriate backup system consisting of a compressed gas source and regulator with stand or a supply to cover – at a minimum – four times the travel time to the patient’s home from the distribution site, humidifiers, all disposable supplies (e.g. cannulas/mask, tubing, connectors, etc.) for use during the event of a power failure or mechanical problem and necessitating the use of the backup cylinder. (During seasonal times when power failures increase – such as during intense winter/snowstorm and summer/hurricane storms and/or areas of New England that have weak power grids, the Contractor is responsible for providing additional back-up oxygen to those patients to cover up to 3-days of back-up oxygen – at no cost to the VA.) The minimum supply will consider each patient’s prescription flow-rate and distance from the Contractors location, and so actual supply levels may differ from patient to patient, as long as each patient has oxygen supply to last a minimum of four times the Contractors’ response time. The cost for the above-mentioned backup system would be borne by the Contractor. The cost of replacement of equipment damaged, lost or misplaced not through beneficiary’s negligence shall be borne by the Contractor. Documentation is required if the patient declines the oxygen back-up system.

Disposable Supplies – VA is not required to purchase these supplies from the Contractor. Any required, mandated VA/federal contracts or supply arrangements through the VA DLC/Denver Logistics Center will take priority over VISN supply agreements.

3.3. In accordance with the prescription received from the VAMC, the Contractor shall provide the beneficiary with the following items:

3.3.1 Humidifiers and water traps when deemed necessary. The number of humidifiers must be sufficient to ensure that they are not depleted between re-supply visits. The number of traps will be based on the patient’s flow rate.

3.3.2 Disposable oxygen cannulas on hand for a change every two weeks with a supply in reserve at all times until the Contractor’s next scheduled visit.

3.3.3 Disposable masks for change every two weeks with a supply in reserve at all times (when masks are prescribed in lieu of nasal cannulas).

3.3.4 50 ft.+ of oxygen connecting tubing shall be replaced every 3 months with an equivalent section of tubing in reserve at all times (to be included in initial setup) until the Contractor’s next scheduled visit.

3.3.5 Trach Collar and accessories (e.g. tubing and large volume nebulizer) with a supply on hand allowing for change every three (3) days and a supply in reserve at all times until the Contractors next scheduled visit.

3.3.6 The Contractor will provide and install two fire safe cannula valves (also known as thermal fuses) during the oxygen set-up on the cannula near the patient and near the oxygen device for all new and existing oxygen patients and every 6 months at minimum thereafter (unless prescribed at a different time interval). Two thermal fuses will also be installed on each and every stationary and portable oxygen delivery system and cannula in the patient’s possession and future devices delivered to the home.