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36C24822Q1775

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

09-09-2022 David Griganavicius 813-972-2000 x2819 09-14-2022 14:00

EDT

36C248 Department of Veterans Affairs Network Contracting Office 8 (NCO 8)

8875 Hidden River Pkwy Suite 525 Tampa FL 33637

X

339112 1000 Employees

N/A

Department of Veterans Affairs James A. Haley Veterans Hospital (90C) 13000 Bruce B. Downs Blvd

Tampa FL 33612 36C248 Department of Veterans Affairs Network Contracting Office 8 (NCO 8)

8875 Hidden River Pkwy Tampa FL 33637

Financial Services Center

P.O. Box 149971 Austin TX 78714-9971

See CONTINUATION Page Complete and submit all items listed in section E.

submit a letter from the OEM confirming that the company is a Certified/Registered Distributor and Authorized to provide the OEM products.

Question in response to this solicitation may be emailed to david.griganavicius@va.gov by 10:00am ET on 9/12/22

See CONTINUATION Page

Cynthia Gregg Contracting Officer

Table of Contents

SECTION A1
A.1 SF 1449 SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES1
SECTION B - CONTINUATION OF SF 1449 BLOCKS3
B.1 CONTRACT ADMINISTRATION DATA3
B.2 PRICE/COST SCHEDULE4
B.3 DELIVERY SCHEDULE9
B.4 STATEMENT OF NEED9
SECTION C - CONTRACT CLAUSES21
C.1 VAAR 852.212-70 PROVISIONS AND CLAUSES APPLICABLE TO VA ACQUISITION OF COMMERCIAL ITEMS (APR 2020)21
C.2 VAAR 852.219-74 LIMITATIONS ON SUBCONTRACTING—MONITORING AND COMPLIANCE (JUL 2018)22
C.3 VAAR 852.219-78 VA NOTICE OF LIMITATIONS ON SUBCONTRACTING—CERTIFICATE OF COMPLIANCE FOR SUPPLIES AND PRODUCTS (SEP 2021) (DEVIATION)23
C.4 VAAR 852.247-73 PACKING FOR DOMESTIC SHIPMENT (OCT 2018)25
C.5 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)25
C.6 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT STATUTES OR EXECUTIVE ORDERS—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (MAY 2022) (JUL 2020) (DEVIATION)26
SECTION E - SOLICITATION PROVISIONS34
E.1 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (NOV 2021)34
E.2 52.204-24 REPRESENTATION REGARDING CERTAIN TELECOMMUNICATIONS AND VIDEO SURVEILLANCE SERVICES OR EQUIPMENT (NOV 2021)38
E.3 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB 1998)41
E.4 52.212-2 EVALUATION—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (NOV 2021)41
E.5 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (MAY 2022) (JUL 2020) (DEVIATION)42

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 36C248

Network Contracting Office 8 (NCO 8) 8875 Hidden River Pkwy Suite 525 Tampa FL 33637

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] After delivery of all items

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.

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

AMENDMENT NO
DATE

B.2 PRICE/COST SCHEDULE

ITEM NUMBER
DESCRIPTION OF SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
11.00
EA
__________________
__________________

Welch Allyn 41100 3.5v Halogen Finnoff Transilluminator w/ Welch Allyn 71670 3.5v NiCad Well Handle (HI0WA41100HAL & HI0WA71670NI) PRINCIPAL NAICS CODE: 339112 - Surgical and Medical Instrument Manufacturing PRODUCT/SERVICE CODE: 6540 - Ophthalmic Instruments, Equipment, and Supplies

MANUFACTURER PART NUMBER (MPN): HI0WA41100HAL & HI0WA71670NI

7.00
EA
__________________
__________________

Topcon CL-300 Computerized - Lensmeter with Printer (LE0TOCL300P)

MANUFACTURER PART NUMBER (MPN): LE0TOCL300P

4.00
EA
__________________
__________________

Luxcision LM-700 Lensometer (SL0TOSLD701UFG)

MANUFACTURER PART NUMBER (MPN): SL0TOSLD701UFG

10.00
EA
__________________
__________________

OMEGA 500 - Heine Omega 600 Binocular Indirect Ophthalmoscope Set with Wall Charger (IO0HEOMEGA600WALLFG)

MANUFACTURER PART NUMBER (MPN): IO0HEOMEGA600WALLFG

10.00
EA
__________________
__________________

BETA 200S Heine Beta 200S Ophthalmoscope - 3.5v, Xenon, with Additional - Apertures and Extended Range w/ Heine Beta Well Handle, 3.5v (HI0HE0230120 & HI0HE0299411FG)

MANUFACTURER PART NUMBER (MPN): HI0HE0230120 & HI0HE0299411FG

11.00
EA
__________________
__________________

Marco Prism Exophthalmometer (EX0MAEX)

MANUFACTURER PART NUMBER (MPN): EX0MAEX

4.00
EA
__________________
__________________

TONO-PEN AVIA Reichert AVIA Tonopen (TO0RE230650)

MANUFACTURER PART NUMBER (MPN): TO0RE230650

10.00
EA
__________________
__________________

Heine Beta 200 Streak - Retinoscope, 3.5v w/ Heine Beta Well Handle, 3.5v (HI0HE0215353 & HI0HE0299411FG)

MANUFACTURER PART NUMBER (MPN): HI0HE0215353

12.00
EA
__________________
__________________

Lombart Full Diameter Trial - Lens Set with Plus and Minus Cylinders in Case and Lombart Metal Trial Frame (TL0LOFDTLSPMFG & TF0LOMTF)

MANUFACTURER PART NUMBER (MPN): TL0LOFDTLSPMFG & TF0LOMTF

2.00
EA
__________________
__________________

Essilor Digital Pupilometer - with Case (DA0SISILORDFG)

MANUFACTURER PART NUMBER (MPN): DA0SISILORDFG

13.00
EA
__________________
__________________

Gulden Ophthalmic Horizontal and Vertical Prism Bar (PR0ZZB14 & PR0ZZB15)

MANUFACTURER PART NUMBER (MPN): PR0ZZB14 & PR0ZZB15

2.00
EA
__________________
__________________

Lombart Air Frame Warmer #2500 (DA0LOFW)

MANUFACTURER PART NUMBER (MPN): DA0LOFW

10.00
EA
__________________
__________________

Clear (50mm) Volk 78D Small Aspheric Lens, - Clear (31mm)Volk 90D Small Aspheric Lens, - Clear (21.5mm) w/ case (IL0VO20LGC, IL0VO78SMC, IL0VO90SMC)

MANUFACTURER PART NUMBER (MPN): IL0VO20LGC, IL0VO78SMC, IL0VO90SMC

11.00
EA
__________________
__________________

Gulden Ophthalmic Occluder and Maddox Rod (OC0ZZMRO)

MANUFACTURER PART NUMBER (MPN): OC0ZZMRO

11.00
EA
__________________
__________________

Lorgnette / Dalaur Pinhole Occluder (OC0ZZPL)

MANUFACTURER PART NUMBER (MPN): TL1ZZJCC25

11.00
EA
__________________
__________________

Bernell Corp Hand-held +/-.25 Jackson - Cross Cylinder (TL1ZZJCC25)

MANUFACTURER PART NUMBER (MPN): OC0ZZPL

11.00
EA
__________________
__________________

Luneau Retinoscopy Rack (RR0LU122084)

MANUFACTURER PART NUMBER (MPN): RR0LU122084

11.00
EA
__________________
__________________

Bernell Corp Contemporary Near Point Eye - Chart, English (TC0ZZCNPE)

MANUFACTURER PART NUMBER (MPN): TC0ZZCNPE

11.00
EA
__________________
__________________

Rosenbaum Pocket Vision Screener 1234-1 (TC0ZZROSEN)

MANUFACTURER PART NUMBER (MPN): TC0ZZROSEN

11.00
EA
__________________
__________________

Lombart S-22 Loose Prism Set (TC0ZZROSEN)

MANUFACTURER PART NUMBER (MPN): PR0ZZS22

11.00
EA
__________________
__________________

Gulden Ophthalmic Stereo Fly Test (RA0SOFLY)

MANUFACTURER PART NUMBER (MPN): RA0SOFLY

11.00
EA
__________________
__________________

Gulden Ophthalmic Stereo Fly Test (RA0SOFLY)

MANUFACTURER PART NUMBER (MPN): RA0ZZW4T

11.00
EA
__________________
__________________

Gulden Ophthalmic Clip-On Occluder (OC0ZZCLIP)

MANUFACTURER PART NUMBER (MPN): OC0ZZCLIP

11.00
EA
__________________
__________________

Eyecare and Cure Amsler Grip (PE0ZZAMSLER)

MANUFACTURER PART NUMBER (MPN): PE0ZZAMSLER

11.00
EA
__________________
__________________

Eschenbach 20' Snellen Eye Test Chart (TC0ZZSNE20)

MANUFACTURER PART NUMBER (MPN): TC0ZZSNE20

11.00
EA
__________________
__________________

Keeler Halberg Trial Clips - with Case (TL1KEHALBERG)

MANUFACTURER PART NUMBER (MPN): TL1KEHALBERG

13.00
EA
__________________
__________________

Gulden Ophthalmic Ishihara 24 Plate Book Test - Chart (CT0ZZISH24)

MANUFACTURER PART NUMBER (MPN): CT0ZZISH24

1.00
EA
__________________
__________________

Keeler 4 Sight Accutome, Box Only (US0AC248000ABPUFG)

MANUFACTURER PART NUMBER (MPN): US0AC248000ABPUFG

1.00
EA
__________________
__________________

Reichert iPac Pachymeter with Case (US0RE16040FG)

MANUFACTURER PART NUMBER (MPN): US0RE16040FG

1.00
EA
__________________
__________________

Lombart 300 Instrument Table (TA0LO3INST)

MANUFACTURER PART NUMBER (MPN): TA0LO3INST

GRAND TOTAL
__________________

B.3 DELIVERY SCHEDULE

ITEM NUMBER
QUANTITY
DELIVERY DATE
0001-0030
SHIP TO:
New Port Richey Community Based Outpatient Clinic

7900 Little Rd.

New Port Richey, FL 34654 5405

USA

See B.2
45 Days ARO
MARK FOR:
Janeth Lopez

(813) 614-7601 janeth.lopez@va.gov

Page 1 of Page 1 of

B.4 STATEMENT OF NEED

Ophthalmology Clinic Equipment

1. GENERAL: The Eye Clinic Section of the newly constructed leased consolidation project at New Port Richey Community Based Outpatient Clinic (NPR CBOC) at 7900 Little Road, New Port Richey, FL 34654-3419. The facility is combining and expanding its services.

2. BACKGROUND: The NPR CBOC is expanding services in the new facility and has requirements for additional diagnostic and treatment equipment. The procurement of the below listed equipment is required for the activation of the newly constructed CBOC.

3. SCOPE: The Eye Equipment will be utilized in the eye clinic for routine and emergent exams completed by the NPR CBOC and local providers. The equipment being requested is currently being used and/or is approved for use in the existing and surrounding James A. Haley CBOCs (Community Based Outpatient Clinics) Brand Name or Equal request. No need to stock consumable supplies that are not currently being used, and no requirement for additional clinical staff and maintenance staff training.

4. ESTIMATED QUANTATIES:

Model Number
Qty
Equipment Name
HI0WA41100HAL & HI0WA71670NI
11
OCULAR TRANSILLUMINATOR Welch Allyn 41100 3.5v

Halogen Finnoff Transilluminator w/Welch Allyn 71670 3.5v NiCad Well Handle or Equal

LE0TOCL300P
7
HLM-1 EQUAL - Topcon CL-300 Computerized -Lensmeter

with Printer or Equal

SL0TOSLD701UFG
4
LM-700 EQUAL : Topcon SL-D701 LED Slit Lamp, - Unit Model or Equal
IO0HEOMEGA600WALLFG
10
OMEGA 500 - Heine Omega 600 Binocular Indirect Ophthalmoscope Set with Wall Charger or Equal
HI0HE0230120 & HI0HE0299411FG
10
BETA 200S Heine Beta 200S Ophthalmoscope -3.5v, Xenon,

with Additional - Apertures and Extended Range w/ Heine Beta Well Handle, 3.5v or Equal

EX0MAEX
11
PRISM EXOPHTHALMOMETER Marco Prism

Exophthalmometer or Equal

TO0RE230650
4
TONO-PEN AVIA Reichert AVIA Tonopen or Equal
HI0HE0215353 & HI0HE0299411FG
10
BETA 200 RETINOSCOPE Heine Beta 200 Streak - Retinoscope, 3.5v w/ Heine Beta Well Handle, 3.5v - or Equal
TL0LOFDTLSPMFG & TF0LOMTF
12
TRIAL LENS SET, FULL DIAMETER Lombart Full

Diameter Trial - Lens Set with Plus and Minus Cylinders in Case and Lombart Metal Trial Frame or Equal

DA0SISILORDFG
2
ESSILOR DIGITAL PUPILOMTER WITH CA Essilor

Digital Pupilometer - with Case

PR0ZZB14 & PR0ZZB15
13
HORIZONTAL AND VERTICAL PRISM BAR Vertical

Prism Bar / Horizontal Prism Bar or Equal

DA0LOFW
2
HOT BOX FRAME WARMER #2500 Lombart Air Frame Warmer or Equal
IL0VO20LGC, IL0VO78SMC, IL0VO90SMC
10
LOOSE LENSES, HAND HELD, 20D 78D & Volk 20D Large

Aspheric Lens, - Clear (50mm) Volk78D Small Aspheric Lens,

- Clear (31mm)Volk 90D Small Aspheric Lens, - Clear (21.5mm) w/case or Equal

OC0ZZMRO
11
OCCULDER AND MADDOX ROD Maddox Rod and

Occluder or Equal

TL1ZZJCC25
11
JACKSON CROSSED CYLINDERS Hand-held +/-.25

Jackson - Cross Cylinder or Equal

OC0ZZPL
11
LORGNETTE PINHOLE OCCLUDER Lorgnette / Dalaur Pinhole Occluder or Equal
RR0LU122084
11
LUNEAU RETINOSCOPY RACK Luneau Retinoscopy Rack

or Equal

TC0ZZCNPE
11
NEAR POINT TEST CARD (BC11981) Contemporary Near Point Eye - Chart, English or Equal
TC0ZZROSEN
11
ROSENBAUM POCKET CARD Rosenbaum PocketVision -

Screener 1243-1 or Equal

PR0ZZS22
11
S-22 LOOSE PRISM SET S-22 Loose Prism Set or Equal
RA0SOFLY
11
STEREO ACUITY TEST Stereo Fly Test or Equal
RA0ZZW4T
11
WORTH 4 DOT TEST (BCBS538) Worth Four Dot Test or Equal
OC0ZZCLIP
11
CLIP ON PINHOLE OCCLUDER (12127) Clip-On Occluder

or Equal

PE0ZZAMSLER
11
EXPANDED AMSLER CHART SET (98058) Amsler Grid or

Equal

TC0ZZSNE20
11
DISTANCE READING CHART 20' Snellen Eye Test Chart

or Equal

TL1KEHALBERG
11
HALBERG TRIAL CLIPS W/ CASE Keeler HalbergTrial

Clips - with Case (pair) or Equal

CT0ZZISH24
13
ISHISHARA COLOR TESTING BOOK (24 PL) Ishihara 24

Plate Book Test – Chart or Equal

US0AC248000ABPUFG
1
4 SIGHT Accutome 4Sight Box Only, - with Software, A Scan, B Scan, Pach & UMB Probes or Equal
US0RE16040FG
1
Reichert iPac Pachymeter with - Case, USB Wall Charger,Cradle or Equal
TA0LO3INST
1
Multi Instrument Ophthalmic Table - Lombart300 Instrument Table or Equal

5. SPECIFIC NEED/ SALIENT CHARACTERISTIC’S

5.1 Transilluminator, Unit Quantity: 11

Basis of Design: Welch Allyn 41100 3.5v Halogen Finnoff Transilluminator w/Welch Allyn 71670 3.5v NiCad Well Handle (HI0WA41100HAL & HI0WA71670NI) or Equal Salient Characteristics:

a. Dimensions: (within 1”) 3.6”L x 1.4”W x 1.9”

b. Weight: .09 lbs

c. Power Source: Lithium Ion or Nicad 3.5V Handle

d. 3.5V handle should be internally powered with a class II charging unit

e. Transport and storage temp should be no more than -20oC – 50oC

f. Halogen Fibre-Optic

g. The fibre-optic light transmission should produce cool distal light

5.2 Lensmeter

Quantity: 7 Basis of Design: Topcon CL-300 Computerized -Lensmeter with Printer (LE0TOCL300P) or Equal Salient Characteristics:

a. Dimensions: (within ½”) 7.5”(W) X 8.7”(D) X 15.9”(H)

b. Weight: 8.4 lbs

c. Measurement Range (must be close):

· Sphere – Oto ±25 D (0.0l/0.12/0.25D steps)

· Cylinder – 0 to ±70 D (0.0l/0.72/0.25D steps)

· Axis – 0 to 180°(1°step)

· Addition – (0.0l/0.72/0.25D steps)

· Prism – 0 to l0L'.

d. Cylinder Mode: MIX / - / +

e. Prism Mode: X-Y (Orthogonal Coordinates), P-B (Polar Coordinates),No Display

f. UV Transmittance: 0 - 100% (1% / 5% steps)

g. Lens Detection: Auto for single & progressive lenses

h. Contact Lens Measurement: Hard/Soft contact lens

i. Light Source:

· Refractive Measurement - Green LED 540±5nm

· UV Measurement - UV LED 365±5nm

j. Wavelength Criterion: e-line/d-line with ABBE compensation

k. Lens Diameter: </JS to 100 mm

l. Screen (within 1”): 5.7” Color touch screen

m. PD Measurement Range (within ½”): 1.9” – 3.5”

n. External Interface: RS-232C, LAN

o. Power Supply: 700-240V / 50/60Hz 1.2A (AC Adapter): AUTO power save

5.3 Lensometer, Manual Quantity: 4

Basis of Design: Luxcision LM-700 Lensometer (SL0TOSLD701UFG) or Equal Salient Characteristics:

a. Type: Ocular type; external reading

b. Target: American Cross-line

c. Vertex Power (at least): Range: +20 to -20 diopters; Step: 0.125 diopters up to +3 diopters 0.25 diopters beyond +3 diopters

d. Cylinder Axis (at least): Range: 0 to 180 degrees; Step: 1 degree

e. Prismatic Power (at least): Range: 5 prism diopters in a viewfield (20 prism diopters by prism compensator); Step: 1 prism diopter

f. Must have eyepiece focusing of +5 to -5 diopters

g. Diameter of Lenses Accommodated (within 5mm): 30 to 90mm

h. Lamp: AC100V to AC120V; 25W

i. Tilting Angle: 0 to90 degrees Color/ Finish: Black or White Weight: Approximately 14 lbs.

j. Dimensions (within ½”): At O degrees: 6.7”(W) x 17.7”(D) x 8.8”(H) At 90 degrees: 6.7”(W) x 13.5”(D) x 18.5”(H)

k. Must have Discriminating Optics

l. Must have Prism Compensator

m. Must have External Power and axis reading

5.4 Ophthalmoscope, Binocular, Indirect Quantity: 10

Basis of Design: OMEGA 500 - Heine Omega 600 Binocular Indirect Ophthalmoscope Set with Wall Charger (IO0HEOMEGA600WALLFG) or Equal Salient Characteristics:

a. Dimensions: (within 1”) 12.6” x 11.8” x 7.9”

b. Weight: 1.04 lbs

c. Power Source: Equivalent to Li-Po Cell (internal batter)

d. Power Consumption: 6W

e. Operating Time

· Standard Battery – typically 4 hours

· Standard Battery (boost mode) – typically 1.5 hours

f. Optical Type: Heine LED Illumination

g. Must have aspherical illumination optics

h. Illuminance

· Typically 560lx at 400 mm distance

· With boost – Typically 1380lx at 400 mm distance

· Illuminated field (large spot): 400mm distance (housing front) 0 62.5 ± 2.5mm

· Illuminated field (medium spot): 400mm distance (housing front) 0 33 ± 2mm

· Illuminated field (small spot): 400mm distance (housing front) 0 16.5 ± 1.5mm

i. Color Temperature: Typically 3000K

j. Field view with 160 lens: At least 43’

k. Field view with 200 lens: At least 53’

l. Field view with 300 lens: At least 63’

m. Need to have red-free, cobalt blue, and yellow filters

n. Need at least 3 sizes of apertures and diffuser

o. Brightness Control: Continuous between 3 % and 100 % (boost: 100 % to 245 %)

p. Vertical Adjustment: Vertical adjustment of illumination between -4° and +T'

q. Needs to have stereoscopic adjustment technology for use in dialated and undialated pupils.

r. Needs to have exchangeable diopter (OD and +20 eyepiece)

s. Material: Plastic, metal, glass, and synthetic leather

t. Operating Elements must include: Height adjustment, width adjustment, adjustment lever, brightness control, filter selection lever, aperture selection lever, illumination height adjustment, stereoscopic adjustment lever, eyepieces, flip-up of optics unit

5.5 Ophthalmoscope, Direct Quantity: 10

Basis of Design: BETA 200S Heine Beta 200S Ophthalmoscope -3.5v, Xenon, with Additional - Apertures and Extended Range w/ Heine Beta Well Handle, 3.5v (HI0HE0230120 & HI0HE0299411FG) or Equal Salient Characteristics:

a. Exclusive Aspherical Optical System or an equivalent system

b. LEDH0

c. Must have optical interface to precisely integrate the LED illumination with the optical system to ensure bright light during examinations.

d. Must accommodate higher refractive errors with a 28 single lenses Rekoss Disc

e. Must have dimming from 3% to 100% with one-finger-operation.

f. Must have no stray light

g. Ergonomic precise one-hand control

h. Needs to accommodate large as well as small or undilated pupils.

i. Ergonomic design

j. Full functionality of the BETA 200S LED is guaranteed with BETA Rechargeable Handles and the EN 200 / EN 200-1 Wall Transformers.

5.6 Exophthalometer Quantity: 11

Basis of Design: Marco Prism Exophthalmometer (EX0MAEX) or Equal Salient Characteristics:

a. Should be made of clear plastic

b. Should have easy-to-read millimeter lines

c. Eye should be seen through the lower half and the scale is on the upper half

d. Finish: Silver hammer-tone with a storage case with velvet liner

5.7 Tonometer, Noncontact Quantity: 4

Basis of Design: TONO-PEN AVIA Reichert AVIA Tonopen (TO0RE230650) or Equal Salient Characteristics:

a. Dimensions: (within ¼”) 6.25” x 0.75” x 1.75”

b. Weight: 2.4 oz

c. Power Source: 2 x 3V Lithium Manganese Dioxide Batteries

d. IOP can measured reliably by medical professionals

e. Portable

f. Measurements must correlate strongly with Goldmann applanation tonometry and direct measurements of IOP

g. Should be suitable for office, clinics, hospital bedsides, remote locations, etc.

h. Should include the following features:

· Tonometer tip

· Transducer Assembly

· LCD Display

· LED Lights in applanation mode

· Battery

· Activation button including mode selecting buttons

i. Operational Environment:

· Ambient Temperature range: 15° to 35°C (59° to 95°F)

· Relative Humidity range: 30 to 75%

· Atmospheric Pressure range: 80 kPa to106 kPa (23.6 to 31.3 in.Hg)

j. Transport and Storage Environment:

· Ambient Temperature range: -10° to60°C (14° to 140°F)

· Relative Humidity range: 10 to 80%(non-condensing)

· Atmospheric Pressure range: 50 kPa to106 kPa (14.8 to 31.3 in.Hg)

k. Range of IOP Measurements:

Measurement (mmHg) I Accuracy (mmHg)

5-25 I ± 1.2

26-39 I ± 1.5

40-55 I ± 2.4

l. Accessories Should Include:

· Tona-Pen AVIA POWERCEL Battery

· Ocu-Film® + Tip Covers (150 per box)Carrying Case

· User's Guide

· Quick Reference Guide

5.8 Retinoscope, Streak Quantity: 10

Basis of Design: Heine Beta 200 Streak -Retinoscope, 3.5v w/ Heine Beta Well Handle, 3.5v (HI0HE0215353 & HI0HE0299411FG) or Equal Salient Characteristics:

a. Bright homogenous light for precise diagnosis

b. Must have stepless dimming from 3% to 100% with one-finger operation

c. Should include fixation cards with holder

d. Should have dustproof housing

e. Polarization filter

f. Should promote precise streak image

g. Accurate color rendering index

h. Consistent light output

i. Should have efficient rechargeable handle

5.9 Frame Set, Lens, Trail Quantity: 12

Basis of Design: Lombart Full Diameter Trial - Lens Set with Plus and Minus Cylinders in Case and Lombart Metal Trial Frame (TL0LOFDTLSPMFG &TF0LOMTF) or Equal Salient Characteristics:

a. Should include plus and minus cylinders

b. Should be set in a tray within a case

c. Should also include a 0.25 Jackson Cross Cylinder and cleaning cloth

d. Should include both full diameter sphere lens’ at +0.37 and -0.37

5.10 Gauge, Distance, Pupilary Quantity: 2

Basis of Design: Essilor Digital Pupilometer - with Case (DA0SISILORDFG) or Equal Salient Characteristics:

a. Digital read out with measurements of at least 0.5 mm

b. Should have monocular and binocular measurements

c. Should include occlude

d. Is able to manually adjust to unlimited visual distances from 35 mm to infinity

e. Has automatic on/off

f. Should include case

5.11 Horizontal and Vertical Prism Bar Quantity: 13

Basis of Design: Gulden Ophthalmic Horizontal and Vertical Prism Bar (PR0ZZB14 & PR0ZZB15) or Equal Salient Characteristics:

a. Should include:

· Horizontal sizes: 1, 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 25, 30, 35, 40, and 45 diopters

· Vertical sizes: 1, 2, 3, 4, 5, 6, 8, 10, 12, 14, 16, 18, 20, 25, and 30 diopters

b. Vertical prism bar should be calibrated for use in the prentice position

c. Horizontal bar should be calibrated for use in the frontal plane position

d. Hard case should be included

5.12 Warmer, Spectacle, Plastic Quantity: 2

Basis of Design: Lombart Air Frame Warmer #2500 (DA0LOFW) or Equal Salient Characteristics:

a. Dimensions:

· Overall Dimensions: 10 5/8”W x 4 ¼”H x 6 ½”D

· Inner Pan Dimensions: 9”W x 2 ¾”H x 5”D

b. Maximum temperature should be no more than 350oF

c. Recessed pan should be sealed in place to avoid glass bead spillage

d. Electrical components should be shielded from glass bead spillage

e. Adjustable temperature control

f. Indicator Light

g. 4’ grounded power cord and rubber feet

h. 115V

i. 200w

5.13 Loose Lenses, Hand Held Quantity: 10

Basis of Design: Clear (50mm) Volk 78D Small Aspheric Lens, - Clear (31mm)Volk 90D Small Aspheric Lens, - Clear (21.5mm) w/case (IL0VO20LGC, IL0VO78SMC, IL0VO90SMC) or Equal Salient Characteristics:

a. 78D Clear

· Field of View: must be 81 degrees / 97 degrees

· Image magnification must be 93x

· Lasor Spot Magnification Factor must be at least 1.08x

· Working distance must be 8mm

b. 20D Clear

· Field of View: must be 46 degrees / 60 degrees

· Image magnification must be 3.13

· Lasor Spot Magnification Factor must be at least .32x

· Working distance must be 50mm

c. 90D Clear

· Field of View: must be 74 degrees / 89 degrees

· Image magnification must be 76x

· Lasor Spot Magnification Factor must be at least 1.32x

· Working distance must be 7mm

5.14 Set, Occluders Quantity: 11

Basis of Design: Gulden Ophthalmic Occluder and Maddox Rod (OC0ZZMRO) or Equal Salient Characteristics:

a. At least 25cm long

b. Should be made from ABS plastic with cleaning gloss finish

c. Should be cupped to a 70mm radius

d. Should be used in conjunction with prisms measuring lateral and vertical phoria in both near and distant vision

e. Can be used without phoropter

5.15 Jackson Crossed Cylinders Quantity: 11

Basis of Design: Bernell Corp Hand-held +/-.25 Jackson - Cross Cylinder (TL1ZZJCC25) or Equal Salient Characteristics:

a. Handheld cylinders for working with children, wheelchair, or low vision patients

b. Must be available in: +/- 0.25D, +/- 0.37D, +/- 0.50D, +/- 0.75D, +/- 1.00D & +/- 2.00D

c. Should be at least 35mm

d. Should include case

5.16 Lorgnette Pinhole Occluder Quantity: 11

Basis of Design: Lorgnette / Dalaur Pinhole Occluder (OC0ZZPL) or Equal Salient Characteristics:

a. Pinhole drop-in must include at least 17 pinholes

b. Should be able to be used in testing visual acuity in Mydriatic patients

c. Material: ABS Plastic

5.17 Luneau Retinoscopy Rack Quantity: 11

Basis of Design: Luneau Retinoscopy Rack (RR0LU122084) or Equal Salient Characteristics:

a. Must have 2 racks containing acrylic lenses from +/- 0.5 diopters to +/- -15 diopters

b. One should be black and one should be red

5.18 Near Point Test Card Quantity: 11

Basis of Design: Bernell Corp Contemporary Near Point Eye – Chart, English (TC0ZZCNPE) or Equal Salient Characteristics:

a. To be used for performing the MEM (Monocular Estimate Method) test

b. Front of card should have a cross-cylinder grid and reduced Snellen Chart

c. Back of the card should provide additional reading material of various type sizes

d. Material: Plastic

5.19 Rosenbaum Pocket Card Quantity: 11

Basis of Design: Rosenbaum Pocket Vision Screener 1234-1 (TC0ZZROSEN) or Equal Salient Characteristics:

a. Material: Plastic with a matte finish

b. Dimensions 6 3/8: x 3 ½”

c. Pocket Vision Screener

5.20 22 Loose Prism Set Quantity: 11 Basis of Design: Lombart S-22 Loose Prism Set (TC0ZZROSEN) or Equal Salient Characteristics:

a. Should include 22 prisms

b. Should include a red lens

c. Should come in a case

5.21 Stereo Acuity Test Quantity: 11

Basis of Design: Gulden Ophthalmic Stereo Fly Test (RA0SOFLY) or Equal Salient Characteristics:

a. Is used to test for gross and fine stereopsis

b. 4800 – 20 sec of arc

c. Graded Circle test from 400 sec – 20 sec

d. Should include adult and pediatric polarized viewers

e. Answer key should be on the back cover

5.22 Worth 4 Dot Test Quantity: 11

Basis of Design: Bernell Corp Worth Four Dot Test (RA0ZZW4T) or Equal Salient Characteristics:

a. Should include flashlight

b. Should include new age Red/Green goggles

c. Requires a 1D battery that is not included

d. LED flashlight should have improved cancellation

5.23 Clip-on Pinhole Occluder Quantity: 11

Basis of Design: Gulden Ophthalmic Clip-On Occluder (OC0ZZCLIP) or Equal Salient Characteristics:

a. Material: ABS Plastic

b. Designed to fit any pair of glasses

5.24 Expanded Amsler Chart Set Quantity: 11

Basis of Design: Eyecare and Cure Amsler Grip (PE0ZZAMSLER) or Equal Salient Characteristics:

a. 7 Styrene Plates which should include

b. Standard

c. Central

d. Red-on-black

e. No lines (dots)

f. Metamorphopsia (parallel lines)

g. Metamorphopsia reading

h. Juxta-central (standard with small central squares

5.25 Distance Reading Chart

Quantity: 11 Basis of Design: Eschenbach 20’ Snellen Eye Test Chart (TC0ZZSNE20) or Equal Salient Characteristics:

a. Dimensions: 10.5” x 20”

b. Material: Plastic

c. Should be mounted on the wall

d. Measurement range: 20/10 – 20/200

5.26 Halberg Trial Clips with Case Quantity: 11

Basis of Design: Keeler Halberg Trial Clips – with Case (TL1KEHALBERG) or Equal Salient Characteristics:

a. Should come in a set of 2

b. Should be able to fit over adult or child’s frame

c. Should hold two 38mm trial lens

5.27 Color Test Book, 24 Plate Quantity: 13

Basis of Design: Gulden Ophthalmic Ishihara 24 Plate Book Test – Chart (CT0ZZISH24) or Equal Salient Characteristics:

a. Comes as an album-type book

b. Includes 24 testing plates

c. Can test for red and green blindness in both complete and incomplete forms (protanomaly and deuteranomaly)

5.28 Scanner, Ultrasound, Ophthalmic Quantity: 1

Basis of Design: Keeler 4 Sight Accutome, Box Only (US0AC248000ABPUFG) or Equal Salient Characteristics:

a. Dimensions: (within 10 mm) 381 mmL x 50.8 mmD x279.4 mmH

b. Weight: 3.18 Kg

c. Should have touchscreen

d. Should have HDMI and ethernet connections with 5 USB ports

e. Should be able to connect to A-Scan and Pachymeter

f. Should be portable

g. Integrated DICOM Accessories:

· A-Scan

· Dimensions: (within 10mm) 44.45 mm L x 5.08 mm W

· Weight: 2.23 g

· Frequency should be at least 10Hz

· Electronic resolution must be at least 0.016 mm

· IOL formulas should include Hoffer Q, Holladay I, SRK/T, Haigis, SRK II, Binkhorst II

· Should be immersion or contact

· Default eye type settings should include: phakic, dense cataract, silicone filled, pseudo PMMA, pseudo silicone, pseudo acrylic, aphakic

· Should be able to measure ACD, lens thickness, VCD, and axial length

· B-Scan

· Dimensions: (within 10mm) 177.8 mm L x 31.75 mm W

· Weight: .17 Kg

· Frequency should be at least 12 MHz or 15 MHz

· Axial resolution at least .015 mm Electronic

· Lateral resolution at least .085 mm Electronic

· Should have adjustable gamma: Linear, s-curve, log, color

· Scanning angle must be 60o

· 2x optical zoom

· Max number of frames per scan at least 256

· Should have at least 12 measuring calipers including: 6 lines, 2 areas, 2 angles, and 2 arrows

· Pachy

· Dimensions: 44.5 mm l x 5.08 mm W x 2.5 mm D

· Weight: 19 g

· Sample rate should be 65 MHz

· Measurement range should be 300-999

· IOP adjustment must be automated

· UMB

· Dimensions: (within 10mm) 177.8 mm L x 31.75 mm W

· Weight: .17 Kg

· Frequency should be at least 48 MHz

· Axial resolution at least .015 mm Electronic

· Lateral resolution at least .05 mm Electronic

· Should have adjustable gamma: Linear, s-curve, log, color

· Scanning angle must be 30o

· 2x optical zoom

· Max number of frames per scan at least 256

· Should have at least 12 measuring calipers including: 6 lines, 2 areas, 2 angles, and 2 arrows

· Connection should be USB cable with power isolator

· Wireless mouse

· Wireless keyboard

· Probe holders

· Power supply

· A-scan immersion shell

· Manual

· Quick reference guide

· Test blocks

· Foot switch

5.29 Pachymeter, Ultrasound, Corneal, Handheld Quantity: 1

Basis of Design: Reichert iPac Pachymeter with Case (US0RE16040FG) or Equal Salient Characteristics:

a. Dimensions: (within ½”) 7.05”L x 1.46”W x 2.20”H

b. Weight: 3.53 oz

c. Tip Diameter: .08”

d. Measurement for the tip ultrasound frequency should be 10.5 MHz straight probe

e. A/C adaptor Input Voltage: 100-240 Vac, 50-50 Hz, .16 A max

f. A/C adaptor Output: 5Vdc, 1.2A max

g. Power Source: 3.7V LI-ION battery pack

h. Operational Environment:

· Ambient Temperature range: 50° to 95°F

· Relative Humidity range: 20 to 80% RH

· Atmospheric Pressure range: 70 kPa to106 kPa

i. Transport and Storage Environment:

· Ambient Temperature range: 41° to 113°F

· Relative Humidity range: 10 to 90% RH (non-condensing)

· Atmospheric Pressure range: 50 kPa to106 kPa

j. Range of measurements should be at least: 200 to 1000

5.30 Table, Instrument, Ophthalmic, Adjustable Quantity: 1

Basis of Design: Lombart 300 Instrument Table (TA0LO3INST) or Equal Salient Characteristics:

a. Dimensions: (within 1”)

· Table top: 36”L x 19.2”D (at corner) x 25.6”D overall

· From top of table to bottom of base: 25” (not raised)

· Width of base: 22.75”

· Vertical Range: 25” to 48.42”

b. Should be able to facilitate three instruments at once

c. Has dual lift for wheelchair accessibility according to ADA compliance

6. PERFORMANCE MONITORING: Training is not required as the end users are utilizing this equipment at the current facility. Equipment will be maintained by trained local medical maintenance technicians.

7. PLACE OF PERFORMANCE: New Port Richey Community Based Outpatient Clinic, 7900 Little Rd, Eye Clinic Section, New Port Richey, FL 34654-3419.

8. DELIVERY SCHEDULE: All items to be delivered within 45 days after receipt of order. They will be delivered To New Port Richey Community Based Outpatient Clinic, 7900 Little Rd, New Port Richey, FL 34654-3419 FOB destination pricing. Delivery will be coordinated with the following POCs: Janeth Lopez: Janeth.lopez@va.gov and Alex Duranalvarado email: aduranalvarado@renglobalservices.com.

NPR049 Eye Equipment

9. WARRANTY OF EQUIPMENT: Contractor must provide manufacturer(s) warranty on all provided supplies.

Page 1 of Page 1 of

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.

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

[] 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.

[X] 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.

[X] 852.246–71, Rejected Goods.

[] 852.246–72, Frozen Processed Foods.

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

[] 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 852.219-74 LIMITATIONS ON SUBCONTRACTING—MONITORING AND COMPLIANCE (JUL 2018)

(a) This solicitation includes VAAR 852.219-10 VA Notice of Total Service-Disabled Veteran-Owned Small Business Set-Aside.

(b) Accordingly, any contract resulting from this solicitation is subject to the limitation on subcontracting requirements in 13 CFR 125.6, or the limitations on subcontracting requirements in the FAR clause, as applicable. The Contractor is advised that in performing contract administration functions, the Contracting Officer may use the services of a support contractor(s) retained by VA to assist in assessing the Contractor's compliance with the limitations on subcontracting or percentage of work performance requirements specified in the clause. To that end, the support contractor(s) may require access to Contractor's offices where the Contractor's business records or other proprietary data are retained and to review such business records regarding the Contractor's 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's compliance with the limitations on subcontracting or percentage of work performance requirement.

(End of Clause) C.3 VAAR 852.219-78 VA NOTICE OF LIMITATIONS ON SUBCONTRACTING—CERTIFICATE OF COMPLIANCE FOR SUPPLIES AND PRODUCTS (SEP 2021) (DEVIATION)

(a) Pursuant to 38 U.S.C. 8127(k)(2), the offeror certifies that—

(1) If awarded a contract (see F(a)FAR 2.101 definition), it will comply with the limitations on subcontracting requirement as provided in the solicitation and the resultant contract, as follows: [Offeror check the appropriate box]

(i) [ ] In the case of a contract for supplies or products (other than from a non-manufacturer of such supplies), it will not pay more than 50% of the amount paid by the government to it to firms that are not VIP-listed SDVOSBs as set forth in 852.219-10 or VOSBs as set forth in 852.219-11. Any work that a similarly situated VIP-listed subcontractor further subcontracts will count towards the 50% subcontract amount that cannot be exceeded. Cost of materials are excluded and not considered to be subcontracted.

(ii) [ ] In the case of a contract for supplies from a nonmanufacturer, it will supply the product of a domestic small business manufacturer or processor, unless a waiver as described in 13 CFR 121.406(b)(5) is granted. The offeror understands that, as provided in 13 CFR 121.406(b)(7), such a waiver has no effect on requirements external to the Small Business Act, such as the Buy American Act or the Trade Agreements Act.

(2) Manufacturer or nonmanufacturer representation and certification. [Offeror fill-in—check each applicable box below. The offeror must select the applicable provision below, identifying itself as either a manufacturer or nonmanufacturer]:

(i) [ ] Manufacturer or producer. The offeror certifies that it is the manufacturer or producer of the end item being procured, and the end item is manufactured or produced in the United States, in accordance with paragraph (a)(1)(i).

(ii) [ ] Nonmanufacturer. The offeror certifies that it qualifies as a nonmanufacturer in accordance with the requirements of 13 CFR 121.406(b) and paragraph (a)(1)(ii). The offeror further certifies it meets each element below as required to qualify as a nonmanufacturer. [Offeror fill-in—check each box below.] [ ] The offeror certifies that it does not exceed 500 employees (or 150 employees for the Information Technology Value Added Reseller exception to NAICS code 541519, which is found at 13 CFR 121.201, footnote 18).

[ ] The offeror certifies that it is primarily engaged in the retail or wholesale trade and normally sells the type of item being supplied.

[ ] The offeror certifies that it will take ownership or possession of the item(s) with its personnel, equipment, or facilities in a manner consistent with industry practice.

(3) The offeror acknowledges that this certification concerns a matter within the jurisdiction of an Agency of the United States. The offeror further acknowledges that this certification is subject to Title 18, United States Code, Section 1001, and, as such, a false, fictitious, or fraudulent certification may render the offeror subject to criminal, civil, or administrative penalties, including prosecution.

(4) If VA determines that an SDVOSB/VOSB awarded a contract pursuant to 38 U.S.C. 8127 did not act in good faith, such SDVOSB/VOSB shall be subject to any or all of the following:

(i) Referral to the VA Suspension and Debarment Committee;

(ii) A fine under section 16(g)(1) of the Small Business Act (15 U.S.C. 645(g)(1)); and

(iii) Prosecution for violating section 1001 of title 18.

(b) The offeror represents and understands that by submission of its offer and award of a contract it may be required to provide copies of documents or records to VA that VA may review to determine whether the offeror complied with the limitations on subcontracting requirement specified in the contract or to determine whether the offeror qualifies as a manufacturer or nonmanufacturer in compliance with the limitations on subcontracting requirement. Contracting Officer may, at their discretion, require the Contractor to demonstrate its compliance with the limitations on subcontracting at any time during performance and upon completion of a contract if the information regarding such compliance is not already available to the Contracting Officer. Evidence of compliance includes, but is not limited to, invoices, copies of subcontracts, or a list of the value of tasks performed.

(c) The offeror further agrees to cooperate fully and make available any documents or records as may be required to enable VA to determine compliance. The offeror understands that failure to provide documents as requested by VA may result in remedial action as the Government deems appropriate.

(d) Offeror completed certification/fill-in required. The formal certification must be completed, signed, and returned with the offeror’s bid, quotation, or proposal. The Government will not consider offers for award from offerors that do not provide the certification, and all such responses will be deemed ineligible for evaluation and award.

Certification:

I hereby certify that if awarded the contract, [insert name of offeror] qualifies as a manufacturer or nonmanufacturer as stated herein and that if awarded the contract, [insert name of offeror] will comply with the limitations on subcontracting requirement specified in the resultant contract, unless a waiver as described in 13 CFR 121.406(b)(5) is granted. I further certify that I am authorized to execute this certification on behalf of [insert name of offeror].

Printed Name of Signee:________________________________________ Printed Title of Signee:_________________________________________ Signature:___________________________________________________ Date:_____________________ Company Name and Address: ________________________________________ (End of Clause)

C.4 VAAR 852.247-73 PACKING FOR DOMESTIC SHIPMENT (OCT 2018)

Material shall be packed for shipment in such a manner that will insure acceptance by common carriers and safe delivery at destination. Containers and closures shall comply with regulations of carriers as applicable to the mode of transportation.

(End of Clause)

C.5 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):

http://www.acquisition.gov/far/index.html http://www.va.gov/oal/library/vaar/

(End of Clause)

FAR Number
Title
Date
52.204-13
SYSTEM FOR AWARD MANAGEMENT MAINTENANCE
OCT 2018
52.204-18
COMMERCIAL AND GOVERNMENT ENTITY CODE MAINTENANCE
AUG 2020
52.212-4
CONTRACT TERMS AND CONDITIONS—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES
NOV 2021
52.232-40
PROVIDING ACCELERATED PAYMENTS TO SMALL BUSINESS SUBCONTRACTORS
NOV 2021

C.6 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT STATUTES OR EXECUTIVE ORDERS—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (MAY 2022) (JUL 2020) (DEVIATION)

(a) The Contractor shall comply with the following Federal Acquisition Regulation (FAR) clauses, which are incorporated in this contract by reference, to implement provisions of law or Executive orders applicable to acquisitions of commercial products and commercial services:

(1) 52.203-19, Prohibition on Requiring Certain Internal Confidentiality Agreements or Statements (JAN 2017) (section 743 of Division E, Title VII, of the Consolidated and Further Continuing Appropriations Act, 2015 (Pub. L. 113-235) and its successor provisions in subsequent appropriations acts (and as extended in continuing resolutions)).

(2) 52.204–23, Prohibition on Contracting for Hardware, Software, and Services Developed or Provided by Kaspersky Lab and Other Covered Entities (NOV 2021) (Section 1634 of Pub. L. 115–91).

(3) 52.204–25, Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment. (NOV 2021) (Section 889(a)(1)(A) of Pub. L. 115–232).

(4) 52.209-10, Prohibition on Contracting with Inverted Domestic Corporations (NOV 2015).

(5) 52.233-3, Protest After Award (Aug 1996) (31 U.S.C. 3553).

(6) 52.233-4, Applicable Law for Breach of Contract Claim (Oct 2004) (Public Laws 108-77 and 108-78 (19 U.S.C. 3805 note)).

(b) The Contractor shall comply with the FAR clauses in this paragraph (b) that the Contracting Officer has indicated as being incorporated in this contract by reference to implement provisions of law or Executive orders applicable to acquisitions of commercial products and commercial services:

[] (1) 52.203–6, Restrictions on Subcontractor Sales to the Government (JUN 2020), with Alternate I (NOV 2021) (41 U.S.C. 4704 and 10 U.S.C. 2402).

[] (2) 52.203–13, Contractor Code of Business Ethics and Conduct (NOV 2021) (41 U.S.C. 3509).

[] (3) 52.203–15, Whistleblower Protections under the American Recovery and Reinvestment Act of 2009 (JUN 2010) (Section 1553 of Pub. L. 111-5). (Applies to contracts funded by the American Recovery and Reinvestment Act of 2009.)

[X] (4) 52.204–10, Reporting Executive Compensation and First-Tier Subcontract Awards (JUN 2020) (Pub. L. 109–282) (31 U.S.C. 6101 note).

[] (5) [Reserved] [] (6) 52.204–14, Service Contract Reporting Requirements (OCT 2016) (Pub. L. 111–117, section 743 of Div. C).

[] (7) 52.204–15, Service Contract Reporting Requirements for Indefinite-Delivery Contracts (OCT 2016) (Pub. L. 111–117, section 743 of Div. C).

[X] (8) 52.209–6, Protecting the Government’s Interest When Subcontracting with Contractors Debarred, Suspended, or Proposed for Debarment. (NOV 2021) (31 U.S.C. 6101 note).

[] (9) 52.209-9, Updates of Publicly Available Information Regarding Responsibility Matters (Oct 2018) (41 U.S.C. 2313).

[] (10) [Reserved] [] (11) 52.219–3, Notice of HUBZone Set-Aside or Sole-Source Award (SEP 2021) (15 U.S.C. 657a).

[] (12) 52.219–4, Notice of Price Evaluation Preference for HUBZone Small Business Concerns (SEP 2021) (if the offeror elects to waive the preference, it shall so indicate in its offer) (15 U.S.C. 657a).

[] (13) [Reserved] [] (14)(i) 52.219-6, Notice of Total Small Business Set-Aside (NOV 2020) (15 U.S.C. 644).

[] (ii) Alternate I (MAR 2020) of 52.219-6.

[] (15)(i) 52.219-7, Notice of Partial Small Business Set-Aside (NOV 2020) (15 U.S.C. 644).

[] (ii) Alternate I (MAR 2020) of 52.219-7.

[] (16) 52.219-8, Utilization of Small Business Concerns (Oct 2018) (15 U.S.C. 637(d)(2) and (3)).

[] (17)(i) 52.219–9, Small Business Subcontracting Plan (NOV 2021) (15 U.S.C. 637(d)(4)).

[] (ii) Alternate I (NOV 2016) of 52.219-9.

[] (iii) Alternate II (NOV 2016) of 52.219-9.

[] (iv) Alternate III (JUN 2020) of 52.219–9.

[] (v) Alternate IV (SEP 2021) of 52.219–9.

[] (18)(i) 52.219-13, Notice of Set-Aside of Orders (MAR 2020) (15 U.S.C. 644(r)).

[] (ii) Alternate I (MAR 2020) of 52.219-13.

[] (19) 52.219–14, Limitations on Subcontracting (SEP 2021) (15 U.S.C. 657s).

[] (20) 52.219-16, Liquidated Damages—Subcontracting Plan (SEP 2021) (15 U.S.C. 637(d)(4)(F)(i)).

[X] (21) 52.219–27, Notice of Service-Disabled Veteran-Owned Small Business Set-Aside (SEP 2021) (15 U.S.C. 657f).

[X] (22) (i) 52.219–28, Post-Award Small Business Program…

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