36C24626Q0747.pdf

PAGE 1 OF 1. REQUISITION NO.

2. CONTRACT NO. 3. AWARD/EFFECTIVE DATE 4. ORDER NO. 5. SOLICITATION NUMBER 6. SOLICITATION ISSUE DATE

a. NAME b. TELEPHONE NO. (No Collect Calls) 8. OFFER DUE DATE/LOCAL

TIME

9. ISSUED BY CODE 10. THIS ACQUISITION IS UNRESTRICTED OR SET ASIDE: % FOR:

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

8(A)

NAICS:

SIZE STANDARD:

11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

13b. RATING

14. METHOD OF SOLICITATION

RFQ IFB RFP

15. DELIVER TO CODE 16. ADMINISTERED BY CODE

17a. CONTRACTOR/OFFEROR CODE FACILITY CODE 18a. PAYMENT WILL BE MADE BY CODE

TELEPHONE NO. UEI: EFT:

PHONE: FAX:

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW IS CHECKED

SEE ADDENDUM

19. 20. 21. 22. 23. 24.

ITEM NO. SCHEDULE OF SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

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

25. ACCOUNTING AND APPROPRIATION DATA 26. TOTAL AWARD AMOUNT (For Govt. Use Only)

27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA ARE ARE NOT ATTACHED.

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA ARE ARE NOT ATTACHED

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN _______________ 29. AWARD OF CONTRACT: REF. ___________________________________ OFFER COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DATED ________________________________. YOUR OFFER ON SOLICITATION DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY (BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED SET FORTH HEREIN IS ACCEPTED AS TO ITEMS:

30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

30b. NAME AND TITLE OF SIGNER (TYPE OR PRINT) 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (TYPE OR PRINT) 31c. DATE SIGNED

AUTHORIZED FOR LOCAL REPRODUCTION (REV. NOV 2021)

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

7. FOR SOLICITATION

INFORMATION CALL:

STANDARD FORM 1449

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES

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

652-26-2-088-0050

36C24626Q0747 07-15-2026

Stephen Nassan 7573152910 08-10-2026 12:00pm EDT

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

X

339113

800 Employees

NET30

N/A

X

Richmond VA Medical Center 1201 Broad Rock Blvd, Richmond

Richmond VA 23249

Network Contracting Office 6

Financial Services Center

PO BOX 149971

Austin TX 78714-9971

512-460-5049 512-460-5221

X

See CONTINUATION Page

Tower and Scope Lease, Onsite Endoscopy Specialist, Preventive Maintenance, and Repair for Richmond VA Medical Center Surgery Department.

This solicitation is issued as a Full and Open Competition in accordance with RFO 6.1.

Revolutionary Far Overhaul (RFO) Part 12 procedures are being used for this acquisition.

Please see section B for the Salient Characteristics, Statement of Work, and Schedule.

Please review the Instructions to Offerors located in Section D.

An optional site visit has been scheduled for 07/21/2026 at 12:00pm.

Please email stephen.nassan@va.gov before 07/20/2026 at 09:00am to reserve a visit.

See CONTINUATION Page

X X

36C24626Q0747

Table of Contents

SECTION A

A.1 SF 1449 SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

B.2 STATEMENT OF WORK

B.3 SALIENT CHARACTERISTICS

B.4 PRICE/COST SCHEDULE

ITEM INFORMATION

SECTION C - CONTRACT CLAUSES

C.1 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

C.2 52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR 2000) ... 17

C.3 52.222-90 ADDRESSING DEI DISCRIMINATION BY FEDERAL CONTRACTORS (DEVIATION

APR 2026)

C.4 52.240-91 SECURITY PROHIBITIONS AND EXCLUSIONS (NOV 2025) (DEVIATION) 18

C.5 VAAR 852.204-72 PERSONNEL VETTING AND CREDENTIALING (DEVIATION) (MAR 2026)

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

SECTION E - SOLICITATION PROVISIONS

E.1 INSTRUCTIONS TO QUOTERS

E.2 BASIS FOR AWARD

E.1 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB 1998) 34

E.2 52.240-90 SECURITY PROHIBITIONS AND EXCLUSIONS REPRESENTATIONS AND

CERTIFICATIONS (NOV 2025) (DEVIATION)

E.3 52.225-6 TRADE AGREEMENTS CERTIFICATE (FEB 2021)

E.4 52.209-7 INFORMATION REGARDING RESPONSIBILITY MATTERS (OCT 2018)38

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: TBD

b. GOVERNMENT: Contracting Officer 36C246

Department of Veterans Affairs Network Contracting Office 6

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

[X] 52.232-33, Payment by Electronic Funds Transfer—System For Award Management, or

[] 52.232-36, Payment by Third Party

3. INVOICES: Invoices shall be submitted in arrears:

a. Quarterly []

b. Semi-Annually []

c. Other [X] Monthly 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.

VA Financial Service Center (FSC) Electronic Invoice Presentment and Payment System https://www.fsc.va.gov/einvoice.asp

B.2 STATEMENT OF WORK

4K/ICG/3D Surgical Endoscopy Video Platform, Onsite Endoscopy Specialist, Custom Service Agreement, Preventative Maintenance, and Repair Services

The objective of this Statement of Work (SOW) is to outline the requirements and expectations for a comprehensive surgical tower system, including instruments and scopes, to enhance surgical precision, efficiency, and patient outcomes. The system must support various surgical procedures across multiple service lines, ensure seamless integration with existing equipment, and provide robust support and maintenance to ensure continuous operational efficiency.

To meet specific procedural needs, the system must provide a Mediastinascope Video Camera for performing mediastinoscopy and be capable of supporting a 3D/4K Exoscope for certain neurosurgery and ENT procedures. It must support flexible video, fiber-optic, and disposable scopes for Airway, ENT, and Urology procedures, ensuring versatility and comprehensive functionality across different surgical disciplines. The Camera Control Unit (CCU) must enhance visualization through software that dynamically brightens dark areas without overexposing bright parts of the image and increases red color contrast to highlight vascular visibility. Additionally, the system should enhance the visibility, ensuring appropriate diagnosis and treatment using blue light technology.

A design that prioritizes hygiene with easy-to-clean surfaces is essential to maintaining a sterile environment and reducing the risk of infection. Ergonomically designed components are necessary to reduce operator fatigue and enhance comfort, enabling efficient performance during prolonged procedures. Comprehensive service, maintenance, and training are critical for the efficient operation of the surgical equipment. An on-site technician must be available to provide immediate troubleshooting, guidance, and education.

Continuous education and support provided by the technician must ensure that all staff members remain well-informed about the latest functionalities and best practices, contributing to improved patient outcomes and operational excellence. The selected vendor should support technological upgrades and advancements, ensuring that all accessories remain compatible. Such support is crucial for maintaining up-to-date and efficient medical equipment.

The contractor shall deliver and install all equipment, ensuring it is fully operational according to the specified requirements. On-site training for staff must be provided to ensure proper use and maintenance of the equipment.

Acceptance of the system will be based on successful installation, integration, and verification that the system meets all outlined criteria and functions as intended.

PLACE OF PERFROMANCE: Richmond VA Medical Center, 1201 Broad Rock Blvd, Richmond, VA 23249

REQUIRED EQUIPMENT AND THEIR RELATED KEY CHARACTERISTICS:

QUANTITY

EQUIPMENT

DESCRIPTION KEY CHARACTERISTICS

4K/ICG/3D compatible Video Systems:

High-quality surgical cameras are essential tools in modern surgical practices, offering a range of advanced features to enhance precision and efficiency. These cameras support high-definition (HD) and 4K resolution, delivering clear and detailed images that significantly aid in the accuracy of surgical procedures. They are equipped with advanced CMOS sensor technology, known for providing excellent image clarity and performance in various lighting conditions.

Designed for seamless integration with endoscopic and surgical systems, these cameras ensure consistent performance and

QUANTITY

EQUIPMENT

DESCRIPTION KEY CHARACTERISTICS

compatibility across a wide range of devices.

Enhanced light sensitivity is another key feature, allowing the cameras to maintain superior image quality even in low-light conditions, which is crucial for minimally invasive procedures. The user-friendly interface with intuitive control options allows for easy adjustments and operation, streamlining workflow and enhancing the usability for the surgical team. Integrated recording capabilities enable the capturing of HD and 4K videos, providing valuable documentation and review opportunities for surgical procedures.

True-color reproduction technology ensures accurate visualization, aiding in the precise identification of tissues and anatomical structures. The wide field of view options offer comprehensive visualization necessary for various types of surgical procedures. These cameras are compatible with a wide range of rigid, flexible, and exoscopic scopes, providing versatility and adaptability for different surgical applications.

The Camera Control Unit (CCU) should be backwards and forwards compatible, giving users the ability to utilize their current inventory of camera heads and flexible video scopes, as well as future iterations of cameras and flexible video scopes. The CCU enhances the visualization of 4K images and use software that, which dynamically identifies and brightens dark areas in real time without overexposing the bright parts of the image, as well as enhancing the visibility of vascularity by increasing red color contrast. Additionally, the system should enhance the visibility, ensuring appropriate diagnosis and treatment using blue light technology.

Ergonomically designed to be lightweight, these cameras reduce fatigue and enhance ease of use, allowing the surgical team to operate comfortably for extended periods. They are constructed for high durability and regular sterilization, ensuring long-term reliability and consistent performance under demanding conditions. Advanced imaging features, such as narrow-band imaging and fluorescence imaging, enhance diagnostic capabilities and surgical precision.

A comprehensive service and support network provides timely and effective maintenance services, along with on-site training and resources to ensure proper use and upkeep. Customizable settings allow for tailoring the camera’s performance to specific surgical

QUANTITY

EQUIPMENT

DESCRIPTION KEY CHARACTERISTICS

needs, offering flexibility and control to the surgical team.

Additionally, these cameras should integrate with operating room control systems, enhancing overall OR efficiency and coordination, ensuring a well-organized and streamlined workflow.

2 Video Mediastinascope

The Video Mediastinoscope is a vital tool designed for thoracic surgeons to perform delicate lung cancer staging procedures with utmost precision and safety. Compatible with the 4K/ICG/3D Surgical Endoscopy Video System, it ensures high-definition visualization and advanced imaging capabilities that significantly enhance procedural accuracy. The ergonomic all-in-one design facilitates ease of use, enabling surgeons to conduct complex procedures efficiently and comfortably. By integrating seamlessly with cutting-edge imaging technologies, the Video Mediastinoscope provides thoracic surgeons with the necessary clarity and diagnostic detail required for effective patient care. The thoughtfully engineered design prioritizes both functionality and user comfort, ensuring that surgical interventions are conducted safely and effectively. The combination of advanced compatibility and ergonomic excellence makes this device an indispensable asset in the thoracic surgical suite, ultimately contributing to improved patient outcomes and surgical success.

2 4K/3D Exscope System

The 4K Exoscope System is a cutting-edge tool designed to enhance the precision and efficiency of intricate ENT and neurosurgery cases.

Compatible with the 4K/ICG/3D Video System, it offers exceptional high-definition visualization, allowing surgeons to achieve detailed and accurate imaging that is crucial for complex procedures. By enabling the use of a camera and monitor, the 4K Exoscope System eliminates the need for traditional microscopes in many delicate surgical interventions. The advanced visualization capabilities empower surgeons to operate with greater confidence and precision, ensuring optimal outcomes for patients. This system not only enhances the clarity and quality of the surgical field but also improves ergonomics by providing a more comfortable working posture for the surgical team. The integration of 4K resolution with advanced imaging technologies like ICG and 3D further elevates the exoscope's functionality, making it an indispensable asset in modern surgical suites. Its transformative impact on surgical practice highlights the

QUANTITY

EQUIPMENT

DESCRIPTION KEY CHARACTERISTICS

importance of leveraging advanced technology to improve both procedural effectiveness and patient care.

The following were procured by the government through a separate contract (36C24622P1808) in which the CO intends to merge with this lease agreement.

QUANTITY

EQUIPMENT

DESCRIPTION

KEY CHARACTERISTICS

IMAGE1 S CONNECT II

MODULE KIT,

CCU, MODULAR,

IMAGE1 S X-LINK, US,HN

IMAGE1 S HX, CAMERA

HEAD, 1080P HD, HN

ADAPTER, XLINK,

VIDEOENDOSCOPE

HD VIDEO-RHINO-

LARYNGOSCOPE,3.7MM

TELE PACK +

1. Camera Control Unit is modular video system, making this adaptable, and multi-specialty. This mix and match architecture provides technology choice that meets our needs today and allows for future upgrade when needed.

2. Camera Control Unit (CCU) should be backwards and forwards compatible, so we are able to utilize current inventory of flexible video rhino-laryngoscopes as well as future iterations of flexible video rhino-laryngoscopes.

3. CCU should be able to offer a hybrid architecture that supports reusable flexible video rhino-laryngoscopes as well as disposable rhino-laryngoscopes.

4. CCU enhances the visualization of high definition (HD) images with the following proprietary software:

a. CLARA identifies and brightens up dark areas in an otherwise bright image. It does this dynamically and in real time without overexposing the bright part of the image.

b. CHROMA enhances the visibility of vascularity by increasing red color contrast• NIR (near-infrared) imaging, used in conjunction with indocyanine (ICG)

Compact Endoscopy Stand, HN

SCOPE HOLDER, FOR

XUSM0001/XUSM0013

Camera Head/ Irrigation Bottle Holder

SINGLE USE SCOPE

HOLDER, FOR

XUMS0001/13

STROBOSCOPY SET,

F/U/W KARL

ADAPTER, X-LINK, E-BOX

fluorescing dye enhances the visibility of blood vessels (perfusion).

5. HD Video Rhino-Laryngoscope, HD Image Quality with enhanced visualization including proprietary technology Clara and Chroma. HD Video Rhino-Laryngoscope that can offer Stroboscopy. Finally, HD Video Rhino-Laryngoscopes should be compatible with both the Clinic video towers as well as Compact Endoscopy Video Tower used for bedside consult.

6. Compact Video Endoscopy that offers all-in-one video salutation: Integrates High-Definition touchscreen monitor, LED light source, Camera Control Unit, and Image Capture.

All-in-One Compact Endoscopy Unit should be able to use both rigid and flexible endoscopes.

7. Compact Video Endoscopy is a comprehensive solution for endoscopy in the clinic setting or at the patient bedside. It enables advanced diagnosis and treatment at the same site of care. The Compact Video Endoscopy utilizes the same video architecture and software that is currently being used in the RICHMOND VA ENT Clinic and will allow for ease of use with minimal additional education required for staff and continuity of care from Clinic to the Bedside for providers.

This will improve the overall patient and clinician experience, as well create efficiency and maximize throughput in the ENT clinic.

8. Compact Endoscopy that offers a hybrid video architecture that supports digital flexible rhino-laryngoscopes as well as disposable rhino-laryngoscopes.

9. Compact Endoscopy that can be provide EHR integration functionality which makes it easy to document, track patient progress and seamlessly transfer images into patient record.

Richmond VAMC already owns StreamConnect software needed to implement this functionality.

SERVICES INCLUDED:

The contractor is required to provide a comprehensive plan to minimize equipment service downtime from the start of the contract. This plan should include anticipated training dates for clinicians, OR personnel, and SPS personnel. Training sessions must cover the use, handling, and cleaning of the leased equipment. Additionally, any quick troubleshooting information should be addressed during the in-service training. Onsite training shall be provided by the contractor, along with full access to educational courses. All training sessions must be scheduled with the Contracting Officer’s Representative (COR) within 48 hours of the request and completed within seven days.

The contractor must repair and service the equipment according to the Original Equipment Manufacturers (OEM) specifications to ensure the warranty remains valid. Full preventative maintenance and repair service coverage for all contracted equipment is required. These services must be performed by OEM-certified service personnel. The contractor shall submit equipment service reports to COR, confirming the completion of the repair or maintenance service provided. Contractor performance will be monitored using these reports, which will indicate the timeliness of the repair, the completion of services, and verification that the repaired equipment is operational, including all required ancillary supplies and attachments. All maintenance activities must be scheduled with COR and BIOMED for approval.

In the event of a system failure, the contractor is obligated to provide a loaner system immediately to reduce downtime in the OR. The loaner system must be of the same generation and model as the one specified in this Statement of Work.

If the contractor needs the loaner system back, the leased equipment must be repaired within 48 hours, and the repaired equipment shall be shipped with next-day priority at no additional charge. The contractor must provide online repair tracking information and history to the COR. Additionally, accidental damage coverage shall be provided at no extra cost.

Onsite repair services must be available during normal business hours from 7 am to 6 pm. Technical telephone support services for troubleshooting and related equipment must be accessible 24 hours a day, seven days a week.

B.3 SALIENT CHARACTERISTICS

A. Functions to be Performed / Performance Requirements

• Configuration & Integration o Surgical towers must support multiple configuration options suitable for various OR layouts.

o Towers and components must be modular and allow for future expansion and upgrades.

o Complete integration with current/future VA systems (VistA, Cerner) and StreamConnect.

o Systems must interface with a broad range of endoscopic and surgical devices.

o Scopes, cameras, and instruments must be interchangeable and cross-compatible with the tower and software.

• Stability & Ergonomics o Tower arms and supports must be able to stably hold devices and monitors weighing up to 66 lbs.

o Equipment must include multiple monitor/light mounting points.

o All user interfaces and control panels must be accessible from standing position and operable with gloved hands.

o Systems must be ergonomic to reduce staff fatigue (e.g., lightweight cameras ≤ 350 grams.

• Cable Management o Tower must include integrated cable management system minimizing visible cables to ≤ 2.

o Cables must be accessible for adjustments or repairs within 5 minutes.

• Hygiene & Safety o Surfaces must be non-porous and able to be cleaned/disinfected in compliance with CDC/VA standards in under 5 minutes.

o Equipment must have built-in locks or safety features to prevent accidental movement or dislodgement.

• Imaging & Compatibility o Cameras must support HD and 4K video (≥3840x2160 resolution).

o Must support 3D/4K exoscopes for neurosurgery/ENT.

o Camera Control Unit (CCU) must be backward and forward compatible with all existing/future VA camera heads and scopes.

o Must support rigid, flexible, exoscopic, and disposable scopes for airway, ENT, and urology.

o Imaging enhancement features required: Dynamic brightness adjustment, red contrast enhancement, near-infrared (NIR) with ICG fluorescence, narrow-band imaging.

o True-color reproduction and wide field of view (≥ XX degrees – specify).

o Integrated image/video recording with seamless data transfer to StreamConnect.

• Durability o Instruments and scopes must be fully autoclave-compatible in accordance with the requirements specified in VA Directive 1116.

• Service & Support o Must provide 24/7 on-site or on-call technical support.

o On-site technician during regular hours for training and troubleshooting. (7am – 6pm) o Replacement equipment (scopes, instruments) must be provided within 24 hours after request.

o Comprehensive initial and ongoing training for all OR and clinical staff.

o Technical telephone support services for troubleshooting and related equipment must be accessible 24 hours a day, seven days a week.

• Additional Accessories o Support for mounting and integrating additional VA-approved OR accessories and add-ons.

B. Physical/Dimensional Requirements

• Towers must be mounted to ceiling booms so that floor space is clear.

• Carts/towers must fit through standard VA doorways (≤36” wide).

• Mediastinoscope video camera must be included.

• Must support all listed scopes/instruments within manufacturer’s recommended weight limits and dimensions.

B.4 PRICE/COST SCHEDULE

ITEM INFORMATION

ITEM

NUMBER

DESCRIPTION OF

SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

12.00 MO __________________ __________________

UROLOGY Tower and Scope Lease

Contract Period: Base POP Begin: 09-01-2026 POP End: 08-31-2027 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

SURGICAL Tower and Scope Lease

Contract Period: Base POP Begin: 09-01-2026 POP End: 08-31-2027 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing

AIRWAY Tower and Scope Lease

Contract Period: Base POP Begin: 09-01-2026 POP End: 08-31-2027

PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing

ENT Tower and Scope Lease

Contract Period: Base POP Begin: 09-01-2026 POP End: 08-31-2027 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing

PM Servicing Tower and Scope Lease for all equipment

Contract Period: Base POP Begin: 09-01-2026 POP End: 08-31-2027 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing

On-Site Specialist OES

Contract Period: Base POP Begin: 09-01-2026 POP End: 08-31-2027 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing

7.00 MO __________________ __________________

ENT Tower and Scope Lease merging of separate contract

Contract Period: Base POP Begin: 01-15-2027 POP End: 08-31-2027 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing

Contract Period: Option 1 POP Begin: 09-01-2027 POP End: 08-31-2028 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing

1.00 MO __________________ __________________

SURGICAL Tower and Scope Lease Contract Period: Option 1 POP Begin: 09-01-2027 POP End: 08-31-2028 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing

Contract Period: Option 1 POP Begin: 09-01-2027 POP End: 08-31-2028 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing

Contract Period: Option 1 POP Begin: 09-01-2027 POP End: 08-31-2028 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing

Contract Period: Option 1 POP Begin: 09-01-2027 POP End: 08-31-2028 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing

Contract Period: Option 1 POP Begin: 09-01-2027 POP End: 08-31-2028 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing

Contract Period: Option 1 POP Begin: 09-01-2027 POP End: 08-31-2028 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing

Contract Period: Option 2 POP Begin: 09-01-2028 POP End: 08-31-2029 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing

Contract Period: Option 2 POP Begin: 09-01-2028 POP End: 08-31-2029 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing

Contract Period: Option 2 POP Begin: 09-01-2028 POP End: 08-31-2029 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing

Contract Period: Option 2 POP Begin: 09-01-2028 POP End: 08-31-2029 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing

Contract Period: Option 2 POP Begin: 09-01-2028 POP End: 08-31-2029 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing

Contract Period: Option 2

POP Begin: 09-01-2028 POP End: 08-31-2029 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing

Contract Period: Option 2 POP Begin: 09-01-2028 POP End: 08-31-2029 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing

Contract Period: Option 3 POP Begin: 09-01-2029 POP End: 08-31-2030 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing

Contract Period: Option 3 POP Begin: 09-01-2029 POP End: 08-31-2030 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing

Contract Period: Option 3 POP Begin: 09-01-2029 POP End: 08-31-2030 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing

Contract Period: Option 3 POP Begin: 09-01-2029 POP End: 08-31-2030 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing

Contract Period: Option 3 POP Begin: 09-01-2029 POP End: 08-31-2030 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing

Contract Period: Option 3 POP Begin: 09-01-2029 POP End: 08-31-2030 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing

Contract Period: Option 3 POP Begin: 09-01-2029 POP End: 08-31-2030 PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing

GRAND TOTAL __________________

SECTION C - CONTRACT CLAUSES

ADDENDUM to FAR 52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES

Clauses that are incorporated by reference (by Citation Number, Title, and Date), have the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available.

The following clauses are incorporated into 52.212-4 as an addendum to this contract:

C.1 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

This contract incorporates one or more clauses by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. Also, the full text of a clause may be accessed electronically at this/these address(es):

https://www.acquisition.gov/browse/index/far https://www.va.gov/oal/library/vaar/

(End of Clause)

FAR

Number

Title Date

52.203-6 RESTRICTIONS ON SUBCONTRACTOR SALES TO THE

GOVERNMENT ALTERNATE I (NOV 2021)

JUN 2020

52.203-17 CONTRACTOR EMPLOYEE WHISTLEBLOWER RIGHTS NOV 2023

52.203-19 PROHIBITION ON REQUIRING CERTAIN INTERNAL

CONFIDENTIALITY AGREEMENTS OR STATEMENTS

JAN 2017

52.204-9 PERSONAL IDENTITY VERIFICATION OF CONTRACTOR

PERSONNEL

JAN 2011

52.204-13 SYSTEM FOR AWARD MANAGEMENT—MAINTENANCE

(DEVIATION)

NOV 2025

52.209-6 PROTECTING THE GOVERNMENT'S INTEREST WHEN

SUBCONTRACTING WITH CONTRACTORS DEBARRED,

SUSPENDED, PROPOSED FOR DEBARMENT, OR

VOLUNTARILY EXCLUDED

JAN 2025

52.209-9 UPDATES OF PUBLICLY AVAILABLE INFORMATION

REGARDING RESPONSIBILITY MATTERS

OCT 2018

52.209-10 PROHIBITION ON CONTRACTING WITH INVERTED

DOMESTIC CORPORATIONS

NOV 2015

52.222-19 CHILD LABOR—COOPERATION WITH AUTHORITIES

AND REMEDIES (DEVIATION)

MAR 2026

52.222-35 EQUAL OPPORTUNITY FOR VETERANS (DEVIATION) NOV 2025

52.222-36 EQUAL OPPORTUNITY FOR WORKERS WITH

DISABILITIES (DEVIATION)

NOV 2025

52.222-37 EMPLOYMENT REPORTS ON VETERANS (DEVIATION) NOV 2025

52.222-40 NOTIFICATION OF EMPLOYEE RIGHTS UNDER THE

NATIONAL LABOR RELATIONS ACT (DEVIATION)

NOV 2025

52.222-50 COMBATING TRAFFICKING IN PERSONS (DEVIATION) NOV 2025

52.223-23 SUSTAINABLE PRODUCTS (DEVIATION) NOV 2025

52.225-5 TRADE AGREEMENTS NOV 2023

52.226-8 ENCOURAGING CONTRACTOR POLICIES TO BAN TEXT

MESSAGING WHILE DRIVING

MAY 2024

52.232-40 PROVIDING ACCELERATED PAYMENTS TO SMALL

BUSINESS SUBCONTRACTORS

MAR 2023

52.233-3 PROTEST AFTER AWARD AUG 1996

52.233-4 APPLICABLE LAW FOR BREACH OF CONTRACT CLAIM OCT 2004

52.244-6 SUBCONTRACTS FOR COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES (DEVIATION)

APR 2026

852.201-70 CONTRACTING OFFICER'S REPRESENTATIVE DEC 2022

852.203-70 COMMERCIAL ADVERTISING MAY 2018

852.204-70 PERSONAL IDENTITY VERIFICATION OF CONTRACTOR

PERSONNEL (DEVIATION)

MAR 2026

852.219-70 VA SMALL BUSINESS SUBCONTRACTING PLAN

MINIMUM REQUIREMENTS (DEVIATION)

JAN 2023

852.232-72 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS NOV 2018

852.242-71 ADMINISTRATIVE CONTRACTING OFFICER OCT 2020

C.2 52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR 2000)

(a) The Government may extend the term of this contract by written notice to the Contractor within 60 days;

provided that the Government gives the Contractor a preliminary written notice of its intent to extend at least 30 days before the contract expires. The preliminary notice does not commit the Government to an extension.

(b) If the Government exercises this option, the extended contract shall be considered to include this option clause.

(c) The total duration of this contract, including the exercise of any options under this clause, shall not exceed 4 years.

(End of Clause)

C.3 52.222-90 ADDRESSING DEI DISCRIMINATION BY FEDERAL CONTRACTORS

(DEVIATION APR 2026)

(a)Definitions. As used in this clause—

Program participation means membership or participation in, or access or admission to: training, mentoring, or leadership development programs; educational opportunities; clubs; associations; or similar opportunities that are sponsored or established by the contractor or subcontractor.

Racially discriminatory diversity, equity, and inclusion (DEI) activities means disparate treatment based on race or ethnicity in the recruitment, employment (e.g., hiring, promotions), contracting (e.g., vendor agreements), program participation, or allocation or deployment of an entity's resources.

(b) In connection with the performance of work under this contract, the Contractor agrees as follows:

(1) The Contractor will not engage in any racially discriminatory DEI activities;

(2) The Contractor will furnish all information and reports, including providing access to books, records, and accounts, as required by the Contracting Officer, for purposes of ascertaining compliance with this clause;

(3) In the event of the Contractor's or a subcontractor's noncompliance with this clause, this contract may be canceled, terminated, or suspended in whole or in part, and the Contractor or subcontractor may be declared ineligible for further Government contracts;

(4) The Contractor will report any subcontractor's known or reasonably knowable conduct that may violate this clause to the Contracting Officer and take any appropriate remedial actions directed by the Contracting Officer; and

(5) The Contractor will inform the Contracting Officer if a subcontractor sues the Contractor and the suit puts at issue, in any way, the validity of this clause.

(6) The Contractor recognizes that compliance with the requirements of this clause are material to the Government's payment decisions for purposes of 31 U.S.C. 3729(b)(4).

(c) The Contractor must include the substance of this clause, including this paragraph (c), in subcontracts at any tier, including those for commercial products and commercial services, except those where the place of delivery or performance is outside the United States.

(End of Clause)

C.4 52.240-91 SECURITY PROHIBITIONS AND EXCLUSIONS (NOV 2025) (DEVIATION)

(a) Definitions. As used in this clause—

American Security Drone Act-covered foreign entity means an entity included on a list that the Federal Acquisition Security Council (FASC) develops and maintains and publishes in the System for Award Management (SAM) at https://www.sam.gov (section 1822 of Pub. L. 118-31, 41 U.S.C. 3901 note prec.).

Backhaul means intermediate links between the core network, or backbone network, and the small subnetworks at the edge of the network (e.g., connecting cell phones/towers to the core telephone network).

Backhaul can be wireless (e.g., microwave) or wired (e.g., fiber optic, coaxial cable, Ethernet).

Covered application means the social networking service TikTok or any successor application or service developed or provided by ByteDance Limited or an entity owned by ByteDance Limited.

Covered article, as defined in 41 U.S.C. 4713(k), means:

(1) Information technology, as defined in 40 U.S.C. 11101, including cloud computing services of all types;

(2) Telecommunications equipment or telecommunications service, as those terms are defined in section 3 of the Communications Act of 1934 (47 U.S.C. 153);

(3) The processing of information on a Federal or non-Federal information system, subject to the requirements of the Controlled Unclassified Information program (see 32 CFR part 2002); or

(4) Hardware, systems, devices, software, or services that include embedded or incidental information technology.

Covered foreign country means The People’s Republic of China.

Covered telecommunications equipment or services means—

(1) Telecommunications equipment produced by Huawei Technologies Company or ZTE Corporation (or any subsidiary or affiliate of such entities);

(2) For the purpose of public safety, security of Government facilities, physical security surveillance of critical infrastructure, and other national security purposes, video surveillance and telecommunications equipment https://www.sam.gov produced by Hytera Communications Corporation, Hangzhou Hikvision Digital Technology Company, or Dahua Technology Company (or any subsidiary or affiliate of such entities);

(3) Telecommunications or video surveillance services provided by such entities or using such equipment; or

(4) Telecommunications or video surveillance equipment or services produced or provided by an entity that the Secretary of Defense, in consultation with the Director of National Intelligence or the Director of the Federal Bureau of Investigation, reasonably believes to be an entity owned or controlled by, or otherwise connected to, the government of a covered foreign country.

Critical technology means—

(1) Defense articles or defense services included on the United States Munitions List set forth in the International Traffic in Arms Regulations under subchapter M of chapter I of title 22, Code of Federal Regulations;

(2) Items included on the Commerce Control List set forth in Supplement No. 1 to part 774 of the Export Administration Regulations under subchapter C of chapter VII of title 15, Code of Federal Regulations, and controlled—

(i) Pursuant to multilateral regimes, including for reasons relating to national security, chemical and biological weapons proliferation, nuclear nonproliferation, or missile technology; or

(ii) For reasons relating to regional stability or surreptitious listening;

(3) Specially designed and prepared nuclear equipment, parts and components, materials, software, and technology covered by part 810 of title 10, Code of Federal Regulations (relating to assistance to foreign atomic energy activities);

(4) Nuclear facilities, equipment, and material covered by part 110 of title 10, Code of Federal Regulations (relating to export and import of nuclear equipment and material);

(5) Select agents and toxins covered by part 331 of title 7, Code of Federal Regulations, part 121 of title 9 of such Code, or part 73 of title 42 of such Code; or

(6) Emerging and foundational technologies controlled pursuant to section 1758 of the Export Control Reform Act of 2018 (50 U.S.C. 4817).

FASC-prohibited unmanned aircraft system means an unmanned aircraft system manufactured or assembled by an American Security Drone Act—covered foreign entity.

FASCSA order means any of the following orders issued under the Federal Acquisition Supply Chain Security Act (FASCSA) requiring removing covered articles from executive agency information systems or excluding one or more named sources or named covered articles from executive agency procurement actions, as described in 41 CFR 201-1.303(d) and (e):

(1) The Secretary of Homeland Security may issue FASCSA orders that apply to civilian agencies, to the extent not covered by paragraph (2) or (3) of this definition. This type of FASCSA order may be referred to as a Department of Homeland Security (DHS) FASCSA order.

(2) The Secretary of Defense may issue FASCSA orders that apply to the Department of Defense (DoD) and national security systems other than sensitive compartmented information systems. This type of FASCSA order may be referred to as a DoD FASCSA order.

(3) The Director of National Intelligence (DNI) may issue FASCSA orders that apply to the intelligence community and sensitive compartmented information systems, to the extent not covered by paragraph (2) of this definition. This type of FASCSA order may be referred to as a DNI FASCSA order.

Information technology, as defined in 40 U.S.C. 11101(6)—

(1) Means any equipment or interconnected system or subsystem of equipment, used in the automatic acquisition, storage, analysis, evaluation, manipulation, management, movement, control, display, switching, interchange, transmission, or reception of data or information by the executive agency, if the equipment is used by the executive agency directly or is used by a contractor under a contract with the executive agency that requires the use—

(i) Of that equipment; or

(ii) Of that equipment to a significant extent in the performance of a service or the furnishing of a product;

(2) Includes computers, ancillary equipment (including imaging peripherals, input, output, and storage devices necessary for security and surveillance), peripheral equipment designed to be controlled by the central processing unit of a computer, software, firmware and similar procedures, services (including support services), and related resources; but

(3) Does not include any equipment acquired by a Federal contractor incidental to a Federal contract.

Intelligence community, as defined by 50 U.S.C. 3003(4), means the following—

(1) The Office of the Director of National Intelligence;

(2) The Central Intelligence Agency;

(3) The National Security Agency;

(4) The Defense Intelligence Agency;

(5) The National Geospatial-Intelligence Agency;

(6) The National Reconnaissance Office;

(7) Other offices within the Department of Defense for the collection of specialized national intelligence through reconnaissance programs;

(8) The intelligence elements of the Army, the Navy, the Air Force, the Marine Corps, the Coast Guard, the Federal Bureau of Investigation, the Drug Enforcement Administration, and the Department of Energy;

(9) The Bureau of Intelligence and Research of the Department of State;

(10) The Office of Intelligence and Analysis of the Department of the Treasury;

(11) The Office of Intelligence and Analysis of the Department of Homeland Security; or

(12) Such other elements of any department or agency as may be designated by the President, or designated jointly by the Director of National Intelligence and the head of the department or agency concerned, as an element of the intelligence community.

Interconnection arrangement means arrangements governing the physical connection of two or more networks to allow the use of another’s network to hand off traffic where it is ultimately delivered (e.g., connecting a customer of telephone provider A to a customer of telephone company B) or sharing data and other information resources.

Kaspersky Lab-covered article means any hardware, software, or service that—

(1) Is developed or provided by a Kaspersky Lab-covered entity;

(2) Includes any hardware, software, or service developed or provided in whole or in part by a Kaspersky Lab-covered entity; or

(3) Contains components using any hardware or software developed in whole or in part by a Kaspersky Lab-covered entity.

Kaspersky Lab-covered entity means—

(1) Kaspersky Lab;

(2) Any successor entity to Kaspersky Lab, including any change in name, e.g., “Kaspersky”;

(3) Any entity that controls, is controlled by, or is under common control with Kaspersky Lab; or

(4) Any entity of which Kaspersky Lab has a majority ownership.

National security system, as defined in 44 U.S.C. 3552, means any information system (including any telecommunications system) used or operated by an agency or by a contractor of an agency, or other organization on behalf of an agency—

(1) The function, operation, or use of which involves intelligence activities; involves cryptologic activities related to national security; involves command and control of military forces; involves equipment that is an integral part of a weapon or weapons system; or is critical to the direct fulfillment of military or intelligence missions, but does not include a system that is to be used for routine administrative and business applications (including payroll, finance, logistics, and personnel management applications); or

(2) Is protected at all times by procedures established for information that have been specifically authorized under criteria established by an Executive order or an Act of Congress to be kept classified in the interest of national defense or foreign policy.

Roaming means cellular communications services (e.g., voice, video, data) received from a visited network when unable to connect to the facilities of the home network either because signal coverage is too weak or because traffic is too high.

Sensitive compartmented information means classified information concerning or derived from intelligence sources, methods, or analytical processes, which is required to be handled within formal access control systems established by the Director of National Intelligence.

Sensitive compartmented information system means a national security system authorized to process or store sensitive compartmented information.

Source means a non-Federal supplier, or potential supplier, of products or services, at any tier.

Subsidiary means an entity in which more than 50 percent of the entity is owned directly by a parent corporation or through another subsidiary of a parent corporation.

Substantial or essential component means any component necessary for the proper function or performance of a piece of equipment, system, or service.

Unmanned aircraft means an aircraft that is operated without the possibility of direct human intervention from within or on the aircraft (49 U.S.C. 44801(11)).

Unmanned aircraft system means an unmanned aircraft and associated elements (including communication links and the components that control the unmanned aircraft) that are required for the operator to operate safely and efficiently in the national airspace system (49 U.S.C. 44801(12)).

(b) Prohibitions on providing or using specific products or services in performance of contract. Unless a waiver or exception applies, the Contractor is prohibited from providing any products or services to the Government or using in the performance of the contract any of the following:

(1) A covered application on any information technology owned or managed by the Government, or on any information technology used or provided by the Contractor under this contract, including equipment provided by the Contractor’s employees (section 102 of Division R of the Consolidated Appropriations Act, 2023 (Pub. L.

117-328));

(2) A Kaspersky Lab-covered article (Section 1634 of Division A of the National Defense Authorization Act for Fiscal Year 2018 (Pub. L. 115-91));

(3) Covered telecommunications equipment or services used as a substantial or essential component of any system, or as critical technology as part of any system (paragraphs (a)(1)(A) of section 889 of the John S.

McCain National Defense Authorization Act for Fiscal Year 2019 (Pub. L. 115-232)). This does not prohibit contractors from providing—

(i) A service that connects to the facilities of a third-party, such as backhaul, roaming, or interconnection arrangements; or

(ii) Telecommunications equipment that cannot route or redirect user data traffic or cannot permit visibility into any user data or packets that such equipment transmits or otherwise handles.

(c) Prohibition on unmanned aircraft systems manufactured or assembled by American Security Drone Act— covered foreign entities.

(1) Prohibition. The Contractor is prohibited from—

(i) Delivering any FASC-prohibited unmanned aircraft system, which includes unmanned aircraft (i.e., drones) and associated elements (sections 1823 and 1826 of American Security Drone Act of 2023, within the National Defense Authorization Act for Fiscal Year 2024, Pub. L. 118-31, Div. A, Title XVIII, Subtitle B, 41 U.S.C. 3901 note prec.);

(ii) On or after December 22, 2025, operating a FASC-prohibited unmanned aircraft system in the performance of the contract (section 1824 of Pub. L. 118-31); and

(iii) On or after December 22, 2025, using Federal funds to procure or operate a FASC-prohibited unmanned aircraft system (section 1825 of Pub. L. 118-31).

(2) Procedures. The Contractor shall search SAM for the FASC-maintained list of American Security Drone Act—covered foreign entities before proposing, or using in performance of the contract, any unmanned aircraft system. Also, the Contractor shall ensure any effort or expenditure associated with a FASC-prohibited unmanned aircraft system is consistent with a corresponding exemption, exception, or waiver determination expressly stated in the contract.

(3) Exemptions, exceptions, and waivers. The prohibitions in paragraph (c) of this clause do not apply where the agency has determined an exemption, exception, or waiver applies, and the contract indicates that such a determination has been made. See sections 1823 through 1825 and 1832 of Public Law 118-31 for statutory requirements pertaining to exemptions, exceptions, and waivers.

(d) Prohibition on using or providing specific products or services or conducting certain transactions regardless of connection to contract.

(1) Certain telecommunications and video surveillance equipment, systems, or services.

(i) Unless an applicable waiver has been issued by the Government, the Contractor cannot use any equipment, systems, or services that uses covered telecommunications equipment or services as a substantial or essential component of any system, or as critical technology as part of any system (paragraph (a)(1)(B) of section 889 of the John S. McCain National Defense Authorization Act for Fiscal Year 2019 (Pub. L. 115-232)).

(ii) This prohibition applies to using covered telecommunications equipment or services, regardless of whether that use is in performance of work under a Federal contract. This does not prohibit the contractor from using—

(A) A service that connects to the facilities of a third party, such as backhaul, roaming, or interconnection arrangements; or

(B) Telecommunications equipment that cannot route or redirect user data traffic or cannot permit visibility into any user data or packets that such equipment transmits or otherwise handles.

(2) Office of Foreign Assets Control Restrictions.

(i) Except as authorized by the Office of Foreign Assets Control (OFAC) in the Department of the Treasury, the Contractor shall not acquire, for use in the performance of this contract, any supplies or services if any proclamation, Executive order, or statute administered by OFAC, or if OFAC’s implementing regulations at 31 CFR chapter V, would prohibit such a transaction by a person subject to the jurisdiction of the United States.

(ii) Except as authorized by OFAC, most transactions involving Cuba, Iran, and Sudan are prohibited, as are most imports from Burma or North Korea, into the United States or its outlying areas.

(A) For lists of entities and individuals subject to economic sanctions, see OFAC’s List of Specially Designated Nationals and Blocked Persons at https://home.treasury.gov/policy-issues/financial-sanctions/specially-designated-nationals-and-blocked-persons-list-sdn-human-readable-lists.

(B) For more information about these restrictions, as well as updates, see OFAC’s regulations at 31 CFR chapter V and at…