36C24621Q0483.docx

36C24621Q0483

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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

36C24621Q0483 03-26-2021

JOHN HARMSEN

757 722 9961 X 7961 04-02-2021

4PM

EDT

Department of Veterans Affairs Network Contracting Office 6 100 Emancipation Drive Hampton

VA

23667 X 339113 N/A Department of Veterans Affairs Network Contracting Office 6 100 Emancipation Drive Hampton

VA

23667 Department of Veterans Affairs Network Contracting Office 6 100 Emancipation Drive Hampton

VA

23667

Department of Veterans Affairs Financial Services Center

PO BOX 149971

Austin

TX

78714-9971 See CONTINUATION Page

SOURCES SOUGHT BRAND NAME OR EQUAL

the information in the RFI is to assist in determining if your product meets the minimum requirement.

Since this is a sources sought RFI it is unrestricted John Harmsen john.harmsen@va.gov See CONTINUATION Page 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 36C246 John Harmsen

Department of Veterans Affairs Network Contracting Office 6 100 Emancipation Drive Hampton VA 23667

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 Financial Services Center

PO BOX 149971

Austin TX 78714-9971 ACKNOWLEDGMENT OF AMENDMENTS: The offeror acknowledges receipt of amendments to the Solicitation numbered and dated as follows:

Page 1 of Page 1 of

STATEMENT OF WORK

Wound Care Rental Hampton VAMC 100 Emancipation Drive Hampton, VA 23667

Buildings 135, 110, 110B, 137 & 148

Nursing Service

Hampton VA Medical Center

1. General. Special Requirement--The Contractor will provide all transportation and materials to deliver Wound Care Devices (Rental) for Buildings the Hampton VA Medical Center (VAMC).

2. Coordination. The Wound Care Nurses will serve as the focal point and Contracting Officer Representative (COR) for this contract.

2.1. The Contractor must pre-coordinate delivery and if needed, associated Wound Care Devices (Rentals) for replacement with the Wound Care Nurse. The delivery of the units must occur within 24 hours as requested by the user. This request can be made during normal and off duty hours (24 hours).

2.2. The COR will be immediately notified whenever the Wound Care system is no longer needed.

3. Specific Requirements. The Contractor will provide all devices in the following locations, 4 East, ICU/SDU, CLC, & SCI. The Contractor will be responsible for all. All initiated Wound Care rentals will be fully operational and must have documentation of monthly safety checks. The Contractor will provide all connectors for each wound care device:

3.1. The following will be accomplished in the Nursing Hampton VAMC:

3.1.1Contact company via telephone to request use of a wound care device.

3.1.2 Will notify vendor immediately when use of equipment is no longer needed

NOTE: The Contractor will provide all associated equipment.

3.2. The Contractor will be responsible for ensuring all connections for equipment are available.

3.3. Deliver product within 24 hours of request.

3.4. Picking up returned equipment within 72 hours of notification.

3.5. Ensure all invoicing documents are submitted in-accordance with the instructions provided in the formal contract.

3.6. The contractor will maintain a per lever of 3 wound care vacuums in storage at all times.

4. Other Station Rules and Guidelines. The Contractor will adhere to the following station rules.

4.1. All work will be accomplished to industry standards and compliant with all current CODE requirements (Life Safety, NFPA, Electrical and Building). All Dept. of Veteran Affairs, Federal, Commonwealth of Virginia laws, regulations and codes will be complied with.

4.2. This is a hospital environment. The Contractor and his personnel are expected to be appropriately dressed (preferably uniformed) and to conduct themselves professionally.

4.3. This is a federal facility as well as a medical center. As such, there is NO tobacco usage allowed inside any federal building or on the grounds. Failure to follow these regulations can result in removal of the worker or Contractor from the facility and/or a US Magistrate’s ticket and fine.

4.4. Parking will be in designated lots. Consult with the COR as to allowable parking and material drop-off.

4.5. Any work requiring a shutdown or utility outage will be requested in advance and scheduled by the COR prior to the work being accomplished.

4.6. The Contractor will coordinate his activities with the COR to identify any smoke or fire barriers that must be penetrated or disrupted because of this contract and will restore the fire barrier to its rating using firestopping. The Contractor and his personnel will be trained and certified to use and apply firestopping prior to its application and at the Contractor’s expense.

4.7. The Contractor will exercise extreme care while working to maintain the integrity of the roof in his/her work. Damage to the wound care rentals by the Contractor due to negligence will become the responsibility of the Contractor to repair. The COR and Contractor will inspect the work site together to establish a record of preexisting faults or damage prior to the Contractor commencing work.

4.8. The Contractor will responsible for ensuring that all the employees and other personnel visiting the work site have and are using the appropriate Personal Protective Equipment (PPE) that addresses the hazards found at the site. The Contractor will be responsible for the upkeep, issue, and training for the PPE used and maintaining all required documentation

4.9. Since the incidents of September 11, 2001, the Federal Government has begun to implement new security measures to help protect federal facilities. The Contractor will provide to the COR a list of employees expected to work on this contract. This list will be on company letterhead and contain the employees’ name, driver’s license number, address and nationality. This list will be verified and signed by a corporate officer. These personnel are subject to a background check and fingerprinting to be eligible to receive a security badge.

4.10. Security badges will be picked up from the Police Office in Building 135 and will be returned daily by 3:30PM unless other arrangements are made with the COR and the Police Office. Loss Badges can result in administrative fees and fines not to exceed $50.00 USD to replace the loss badge.

BRAND NAME OR EQUAL. Currently in use is KCI per a consignment agreement, VAMC HAMPTON would like the NPWT to be at this level as a minimum.

1 ULTDEV01/US.P V.A.C.UltaTM Therapy Unit (Rental) with V.A.C. VerafloTM Therapy Physical specifications: 22 cm (8.55") x 26 cm (10.25") x 19 cm (7.50") Weight : 3.35 kg (7.4 lbs) with 500cc empty canister and no solution in bag

2 LTDEV01/US.P V.A.C.UltaTM Therapy Unit (Rental) with V.A.C. VerafloTM Therapy Physical specifications: 22 cm (8.55") x 26 cm (10.25") x 19 cm (7.50") Weight : 3.35 kg (7.4 lbs)

Salient Points 1-7 in support of the V.A.C. Ulta Rental Unit:

1. SensaT.R.A.C.™ Technology provides continuous feedback for enhanced negative pressure accuracy, monitors pressure at the wound site, and adjusts accordingly for optimal healing outcomes.

2. Seal Check™ Leak Detector offers instant feedback to help identify leaks

3. Audible and visual alarms

4. Negative Pressure Wound Therapy with customizable dwell time installation

5. Dynamic Pressure Control™ The evolution of intermittent therapy that maintains minimum negative pressure levels (-25mmHg) between cycles, helping to prevent leaks and fluid

6. Ability to manage and administer 4 therapies- Negative Pressure Wound Therapy, Abdominal Negative Pressure Wound Therapy, Negative Pressure Wound Therapy with fluid installation, Incision Management therapy.

7. Physical specifications: 22 cm (8.55") x 26 cm (10.25") x 19 cm (7.50") Weight: 3.35 kg (7.4 lbs) with 500cc empty canister and no solution in bag

Product Description:

The Fourth Generation V.A.C.Ulta™ Negative Pressure Wound Therapy System is the evolution of V.A.C.® Therapy. The easy to use unit provides negative pressure for four therapies when used with the appropriate dressings: V.A.C® Therapy, ABThera™Open Abdomen Negative Pressure Therapy, Prevena™ Incision Management and V.A.C. VeraFlo™ Instillation Therapy. The V.A.C.Ulta™ 4 is designed for use with trusted V.A.C.® Therapy accessories and compatible with all V.A.C.® Therapy Dressings and INFOV.A.C.™ Canisters, the V.A.C.ULTA™ Therapy System also features:

Features Include:

· • Enhanced Graphic User Interface o Intuitive touch screen menu

· o Simple therapeutic programming

· o Informative audible and visual alarms

· o Seal Check™ Leak Detector offers instant feedback to help identify leaks

· • NPWT Feedback System o SensaT.R.A.C.™ Technology provides continuous feedback for enhanced negative pressure accuracy, monitors pressure at the wound site, and adjusts accordingly for optimal healing outcomes.

· • Seal Check™ Feature

· o Helps clinicians identify and troubleshoot negative pressure leaks

· o Provides real-time feedback with audible and visible cues for leak location

· o Guides clinicians to achieve a proper seal

· • Negative Pressure Wound Therapy with customizable dwell time installation

· o Installation of solution into the wound bed

· o Allows users to set a dwell time between soaking and NPWT

· • History Reports

· o Allows clinicians to monitor alarm history, patient history, and therapy history.

· • Customized Pressure Algorithms o Continuous negative pressure (from -25 to -200mmHg)

· o Dynamic Pressure Control™ The evolution of intermittent therapy that maintains minimum negative pressure levels (-25mmHg) between cycles, helping to prevent leaks and fluid

Physical specifications: 22 cm (8.55") x 26 cm (10.25") x 19 cm (7.50") Weight: 3.35 kg (7.4 lbs) with 500cc empty canister and no solution in bag

B.2 DELIVERY SCHEDULE

SPINAL CORD UNIT

100 EMANCIPATION DR

HAMPTON, VA 23667

USA

1.00

757 722 9961 X 3580 Elizabeth.Williams5@va.gov

SECTION C - CONTRACT CLAUSES

C.1 VAAR 852.212-70 PROVISIONS AND CLAUSES APPLICABLE TO VA ACQUISITION OF COMMERCIAL ITEMS (APR 2020)

(a) The Contractor agrees to comply with any provision or clause that is incorporated herein by reference to implement agency policy applicable to acquisition of commercial items or components. The following provisions and clauses that have been checked by the Contracting Officer are incorporated by reference.

[X] 852.203–70, Commercial Advertising.

[] 852.209–70, Organizational Conflicts of Interest.

[] 852.211–70, Equipment Operation and Maintenance Manuals.

[] 852.214–71, Restrictions on Alternate Item(s).

[] 852.214–72, Alternate Item(s). [Note: this is a fillable clause.] [] 852.214–73, Alternate Packaging and Packing.

[] 852.214–74, Marking of Bid Samples.

[X] 852.215–70, Service-Disabled Veteran-Owned and Veteran-Owned Small Business Evaluation Factors.

[X] 852.215–71, Evaluation Factor Commitments.

[] 852.216–71, Economic Price Adjustment of Contract Price(s) Based on a Price Index.

[] 852.216–72, Proportional Economic Price Adjustment of Contract Price(s) Based on a Price Index.

[] 852.216–73, Economic Price Adjustment—State Nursing Home Care for Veterans.

[] 852.216–74, Economic Price Adjustment—Medicaid Labor Rates.

[] 852.216–75, Economic Price Adjustment—Fuel Surcharge.

[] 852.219–9, VA Small Business Subcontracting Plan Minimum Requirements.

[] 852.219–10, VA Notice of Total Service-Disabled Veteran-Owned Small Business Set-Aside.

[] 852.219–11, VA Notice of Total Veteran-Owned Small Business Set-Aside.

[] 852.222–70, Contract Work Hours and Safety Standards—Nursing Home Care for Veterans.

[] 852.228–70, Bond Premium Adjustment.

[] 852.228–71, Indemnification and Insurance.

[] 852.228–72, Assisting Service-Disabled Veteran-Owned and Veteran-Owned Small Businesses in Obtaining Bonds.

[X] 852.232–72, Electronic Submission of Payment Requests.

[] 852.233–70, Protest Content/Alternative Dispute Resolution.

[] 852.233–71, Alternate Protest Procedure.

[] 852.237–70, Indemnification and Medical Liability Insurance.

[] 852.246–71, Rejected Goods.

[] 852.246–72, Frozen Processed Foods.

[] 852.246–73, Noncompliance with Packaging, Packing, and/or Marking Requirements.

[X] 852.270–1, Representatives of Contracting Officers.

[] 852.271–72, Time Spent by Counselee in Counseling Process.

[] 852.271–73, Use and Publication of Counseling Results.

[] 852.271–74, Inspection.

[] 852.271–75, Extension of Contract Period.

[] 852.273–70, Late Offers.

[] 852.273–71, Alternative Negotiation Techniques.

[] 852.273–72, Alternative Evaluation.

[] 852.273–73, Evaluation—Health-Care Resources.

[] 852.273–74, Award without Exchanges.

(b) All requests for quotations, solicitations, and contracts for commercial item services to be provided to beneficiaries must include the following clause:

[] 852.237–74, Nondiscrimination in Service Delivery.

(End of Clause) C.2 VAAR 852.219-75 SUBCONTRACTING COMMITMENTS MONITORING AND COMPLIANCE (JUL 2018)

(a) This solicitation includes the clause: 852.215-70 Service-disabled veteran-owned and veteran-owned small business evaluation factors. Accordingly, any contract resulting from this solicitation will include the clause 852.215-71 Evaluation factor commitments.

(b) The Contractor is advised that in performing contract administration functions, the Contracting Officer may use the services of a support contractor(s) to assist in assessing Contractor compliance with the subcontracting commitments incorporated into the contract. To that end, the support contractor(s) may require access to the Contractor's business records or other proprietary data to review such business records regarding contract compliance with this requirement.

(c) All support contractors conducting this review on behalf of VA will be required to sign an “Information Protection and Non-Disclosure and Disclosure of Conflicts of Interest Agreement” to ensure the Contractor's business records or other proprietary data reviewed or obtained in the course of assisting the Contracting Officer in assessing the Contractor for compliance are protected to ensure information or data is not improperly disclosed or other impropriety occurs.

(d) Furthermore, if VA determines any services the support contractor(s) will perform in assessing compliance are advisory and assistance services as defined in FAR 2.101, Definitions, the support contractor(s) must also enter into an agreement with the Contractor to protect proprietary information as required by FAR 9.505-4, Obtaining access to proprietary information, paragraph (b). The Contractor is required to cooperate fully and make available any records as may be required to enable the Contracting Officer to assess the Contractor compliance with the subcontracting commitments.

(End of Clause)

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SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

SECTION E - SOLICITATION PROVISIONS