36C24826R0088 0001.pdf

5. PROJECT NUMBER (if applicable)

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2. AMENDMENT/MODIFICATION NUMBER

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Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods:

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers

E. IMPORTANT:

is extended,

(a) By completing Items 8 and 15, and returning __________ copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted; or (c) By separate letter or electronic communication which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY is not extended.

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15C. DATE SIGNED

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by letter or electronic communication, provided each letter or electronic communication makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER

Contractor

16C. DATE SIGNED

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16B. UNITED STATES OF AMERICA

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

15A. NAME AND TITLE OF SIGNER 16A. NAME AND TITLE OF CONTRACTING OFFICER

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(If other than Item 6)

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ONE

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11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

(Signature of person authorized to sign) (Signature of Contracting Officer)

1 32

0001 04-30-2026 None

36C248

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

8875 Hidden River Pkwy Ste 160A Tampa FL 33637

36C248

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

8875 Hidden River Pkwy Tampa FL 33637

To all Offerors/Bidders

36C24826R0088

04-03-2026

X

X X

** HOUR & DATE for Receipt of Offers is EXTENDED to: 05-15-2026 3pm EDT

See CONTINUATION Page x 1

- The purpose of this amendment is (1) to answer vendor questions; (2) provide B.4 Revised Statement of Work; (3) provide B.2 Revised Price/Cost Schedule; and to provide new proposal due date of Friday 05/15/2026 3:00 PM EST.

All offerors must acknowledge this amendment.

Camille Alderman Contracting Officer

RFP: 36C24826R0088 Tampa Home Oxygen

CONTINUATION PAGE

Amendment A0001 Questions and answers:

# QUESTION ANSWER

1 B.4 (4) Place of Performance: Home

Respiratory Care Program (HRCP) 5910-E Breckenridge Park Tampa, FL 33610.

Home deliveries will occur at Veteran residences within the HRCP service area as directed by the Government (Reference Wage Rates Tampa Counties Attachment under Section D). Question: Is there a county listing for the service area of this contract? Can this be included in the SOW?

The James A. Haley Veterans’ Hospital provides services to veterans residing in Hillsborough, Pasco, Polk, Hernando, Citrus, and Pinellas counties. This service-area description has been added to B.4 (4) of the Statement of Work

(SOW).

2 B.4 (5) Estimated Quantities (Non- Guaranteed): The quantities below are estimates only and do not constitute a guarantee of purchase. Question: Please clarify the current approximate number of Veterans receiving home oxygen services under this contract and the anticipated average patient census.

The James A. Haley Veterans’ Hospital has approximately 1,000 Veterans receiving home oxygen services. 60 of which receive active liquid oxygen.

3 B.4 (7) Annual tank testing (hydrostatic or pressure testing per NFPA standards) shall be coordinated with the COR.

Question 1: The FDA/DOT requirement for H tank hydrostatic testing is every 5 years for aluminum tanks and every 10 years for steel tanks. What is the annual testing requirement referring to?

Question 2: Can this requirement be changed to reflect the current FDA requirements for hydrostatic testing of tanks which is every 5 years for aluminum tanks and every 10 years for steel tanks.?

Question 3: If the H tanks are contractor owned, what coordination for hydrostatic testing must be done with the COR?

1. The annual testing annual requirement does not refer to hydrostatic re-testing.

Instead, it refers to the required visual inspections and leak checks conducted each year under DOT regulations— specifically 49 CFR 180.407.

2. No—the annual requirement cannot be changed to match hydrostatic testing intervals. They serve different regulatory purposes: Hydrostatic re-testing is prescribed by 49 CFR 180.209, defining intervals (5 years for aluminum, 10 years for steel) and procedures for full-pressure testing and marking. Annual inspections are set by 49 CFR 180.407, which mandates yearly checks and condition-based inspections regardless of hydrostatic test date.

3. Coordination with the COR involves providing them with documentation that verifies the hydrostatic testing has been completed. The Statement of

Work has been updated

4 B.4 (9) Standard delivery hours: Monday– Friday, 7:30 a.m.–3:00 p.m. Weekend delivery shall be provided when needed to support patient discharges.

Question 1: Is any delivery after 3:00pm considered to be an after-hours delivery?

Question 2: There does not appear to be information in the Statement of Work (SOW) regarding the expected frequency of visits for equipment maintenance. Please clarify the Government’s expectations for preventative maintenance visits and whether specific equipment types (e.g., concentrators, liquid oxygen equipment, compressors, or ventilators) require scheduled maintenance visits during the contract period.

1. Standard delivery hours have been modified in the Statement of Work B4.

Section 9 to 8:00 – 5:00pm. Any delivery after 5:00pm will be considered after hours.

2. The VA facility will be responsible for performing preventive maintenance on the equipment.

5 B.4 (9-d) Delivery Terms: FOB Destination, Contractor shall bear all transportation costs and risk of loss until acceptance at the point of delivery (veterans’ homes and VA facilities). Question: What VA facilities is this referring to?

Place of Performance: Home Respiratory Care Program (HRCP) 5910-E Breckenridge Park Tampa, FL 33610.

6 B.4 (12-F) The Contractor shall participate in quarterly QA meetings held at the VA or the Contractor’s location. The Contractor shall provide required quarterly reports per the QA program. During each meeting, the Contractor shall provide:

• Inventory of all equipment

• Detailed list of disposed equipment and supplies Question: Can clarification be provided on what type of equipment if GFP (government furnished property) and the quantities of each one?

The Government Furnished Property is listed in Request for Proposal (RFP) Section D.4 Tampa Home Oxygen Government-Furnished Property (GPF) page 80 of 116. Currently the Government does not have finalized quantities for the GFP. Offerors should prepare their proposals based on the current solicitation requirements and any reasonable assumptions. If additional information becomes available, it will be shared with all offerors.

7 B.4 (25) Security and Background Checks:

The Contractor shall bear the cost of all background investigations and comply with VA security procedures. Costs for OPM investigations may be deducted from the first invoice.

Question: Does every contractor employee have to undergo an OPM investigation? If so, what is the cost of this that will be deducted from the invoice?

The cost associated with background investigations is contingent upon the investigation tier assigned to the position and may vary accordingly. Specific pricing will be determined in accordance with applicable federal investigative service rates.

8 B.4 Question 1: There does not appear to be information in the Statement of Work (SOW) regarding procedures for Veterans who travel outside of the contractor’s defined service area. Please clarify the

(1) The VA will arrange services through the destination VA facility.

(2) Services provided for traveling Veterans is not required and will not be billed under this contract.

Government’s expectations for providing oxygen services to Tampa VA Veterans who are traveling outside of the service area, including whether the Contractor is expected to coordinate services with another vendor or if the VA will arrange services through the destination VA facility.

Question 2: Please clarify how services provided for traveling Veterans should be authorized and billed under this contract.

9 CLIN 0001 – 4001: Regular Hours: Initial set-up and monthly rental of two (2) 100-pound liquid oxygen reservoirs and 2-3 portable Helios reservoirs or equal.

Question 1: Would the Government consider separating this CLIN into two individual line items: (1) Liquid Oxygen Reservoirs and (2) Liquid Oxygen Portable Systems?

Liquid oxygen patients often require varying quantities of stationary reservoirs and portable systems depending on their prescribed oxygen flow rates and usage needs. Separating these components into individual line items would allow the Contractor to bill per unit when quantities differ from the standard package configuration.

This would help ensure billing accurately reflects the equipment being provided to the Veteran and would provide greater flexibility in situations where additional reservoirs or portable systems are medically necessary.

Question 2: This CLIN references the initial set-up only. How should billing be handled if a revision to the Veteran’s therapy requires additional liquid oxygen equipment after the initial set-up (e.g., additional reservoirs or portable systems due to increased oxygen needs)?

Should the Contractor bill the additional equipment under the same CLIN, or does the Government intend for additional units to be billed separately? If the intent is for the CLIN to function as a package, please clarify how revisions requiring quantities beyond the standard configuration should be invoiced.

(1) The package setup fee is intended to cover the complete setup of the liquid oxygen reservoir and portable system as a single unit. For this reason, the Government requires this CLIN to remain combined, as the setup is billed as one unit cost rather than separate line items.

(2) This CLIN covers the initial setup only.

If a Veteran’s therapy is revised and requires additional liquid oxygen equipment beyond the original configuration, those items should be billed separately under the applicable equipment CLINs. The initial setup CLIN functions as a one-time package, and any additional units will be determined by the VA clinicians and invoiced separately.

10 CLIN 0002 – 4002: Regular Hours: Pick-up of two Portables Helios reservoir or equal and two 100-pound liquid oxygen reservoirs. This is an Question 1: This CLIN references the pick-up of two (2) portable Helios reservoirs and two (2) 100-pound liquid oxygen reservoirs.

Please clarify whether this CLIN is intended to be billed as a single package pick-up or if the Government intends for pick-up services to be billed per unit of equipment retrieved.

Additionally, please clarify how the Contractor should invoice if the Veteran has fewer or greater quantities of equipment than the configuration listed in this CLIN at the time of pick-up.

Question 2: Additional Clarification: The CLIN description appears to end with “This is an…”. Please confirm whether the full CLIN description is complete in the solicitation.

(1) The pickup billed per package not per unit.

(2) The incomplete sentence has been removed. Reference B.2 Revised Price/Cost Schedule.

11 CLIN 0003 – 4003: Liquid Pounds refill for 100- pound reservoir. Question: Please clarify the unit of measure for CLIN 0003 (Liquid Pounds refill for 100-pound reservoir) and how the Contractor is expected to bill for liquid oxygen refills (e.g., per pound delivered or per refill event).

Per pound.

12 CLIN 0004 – 4004: Regular Hours: Delivery and set-up H tanks including tank stand and regulator (stand and regulator provided by VA). Question: Is this fee used for every H Tank delivery, including primary and backup?

Yes.

13 CLIN 0005 – 4005: H Tank Rentals.

Question: Is this line item intended for every H tank, including primary and backup?

This line item is for every H tank.

14 CLIN 0007 – 4007: Average tank refills at VA warehouse and Veterans homes. This is an estimated quantity.

Question 1: Please clarify what type of tanks are being referenced in this CLIN (e.g., portable oxygen cylinders such as E, D, or M6/B cylinders).

Question 2: Would the Government consider separating these into individual line items by cylinder size to ensure pricing accurately reflects the equipment being refilled or exchanged? This would help

(1) List of oxygen cylinders include M6, M9, E, C, and A

(2) Refills for VA owned cylinders are charged at a flat rate.

(3) Per tank

(4) The Contractor is expected to refill the tanks at their own facilities. No cylinder refills will be done at the Veteran’s home.

ensure pricing accurately reflects the equipment being provided.

Question 3: Please confirm whether the unit of measure for this CLIN is intended to be per tank refill/exchange.

Question 4: The CLIN references tank refills occurring at both VA warehouse locations and Veterans’ homes. Please clarify whether the Contractor is expected to perform oxygen tank refills at VA facilities and, if so, what equipment or infrastructure will be provided by the Government to support this service.

15 CLIN 0008 – 4008: Ultrasonic Examination to include cleaning, testing, and stamping the cylinder with the new retest date.

Question 1: Please clarify whether this CLIN applies to Government-owned cylinders.

Question 2: Please clarify which cylinder types this CLIN applies to (e.g., portable cylinders such as E, D, or M6/B cylinders, or larger cylinders such as H tanks).

Because the cost and process for ultrasonic examination and retesting can vary significantly based on cylinder size, would the Government consider separating this requirement into separate line items by cylinder type (e.g., portable cylinders and H cylinders)? This would help ensure pricing accurately reflects the equipment being tested.

(1) Yes, government owned cylinders.

(2) The Government intends for this CLIN to be applied to government owned cylinders as a single, standardized requirement across all cylinder types;

therefore, it will not be divided into separate line items.

16 CLIN 0009 – 4009: Emergency/After- Hour/Weekend/Holiday Hours: Initial set-up and monthly rental of two (2) 100-pound liquid oxygen reservoirs and 2-3 portable Helios reservoirs or equal. Pick–up of H – Tank Question 1: This CLIN appears to include multiple services, including the initial setup and monthly rental of liquid oxygen reservoirs and portable Helios systems, as well as the pickup of an H tank, all under an emergency/after-hours service designation.

Please clarify whether this CLIN is intended to cover after-hours service for the initial setup of liquid oxygen equipment, monthly rental, H tank pickup, or a combination of these services.

Question 2: Would the Government consider separating these services into individual line items (e.g., emergency setup, Liquid Oxygen Reservoir, Liquid

1. This CLIN is to cover any initial set-ups that occur after standard work hours.

“Pick up of H-tank” and “initial set-up” has been removed from CLINs 0009, 1009, 2009, 3009, 4009 and replaced with “replacement of equipment”.

There is a separate CLIN for monthly H-tank rentals. There will be no need for after-hour pick-ups of H-tanks.

2. The Government does not intend to separate these services into individual line items. We appreciate the feedback and understand the rationale; however, the requirement will remain as currently structured.

Oxygen Portable System and equipment pickup)? Separating these services would help ensure billing accurately reflects the specific service being provided during emergency or after-hours situations.

17 CLIN 0010 – 4010: For tanks that are non-retrievable:

Question 1: Please clarify whether this CLIN applies to Contractor-owned cylinders or Government Furnished Property (GFP).

Question 2: Please clarify which types of tanks this CLIN applies to (e.g., portable cylinders such as E, D, or M6/B cylinders, or larger cylinders such as H tanks) Question 3: Because the replacement cost varies significantly depending on the cylinder size, would the Government consider separating this requirement into individual line items by cylinder type to ensure pricing accurately reflects the equipment being replaced when tanks cannot be retrieved?

Question 4: Please clarify what documentation or process the Government requires for determining that tanks are considered non-retrievable prior to billing under this CLIN.

1. CLINs 0010, 1010, 2010, 3010, 4010) applies specifically to Contractor-owned H-tanks.

2. This CLIN pertains to Contractor-owned cylinders only.

3. CLIN 0010 covers non-retrievable H-tanks; all tanks under this CLIN are the same size.

4. The Contractor should provide the VA with the delivery ticket along with a brief explanation documenting the circumstances that resulted in the tank being non-retrievable.

18 CLIN 0011 – 4011: For tanks that are non-retrievable: Liquid 100 # Res Question 1: Please clarify whether this CLIN applies to Contractor-owned liquid oxygen reservoirs or Government Furnished Property (GFP).

Question 2: Please clarify what documentation or process the Government requires for determining that a 100-pound liquid oxygen reservoir is considered non-retrievable prior to billing under this CLIN.

1. CLINs 0011, 1011, 2011, 3011, 4011 applies to Contractor-owned liquid oxygen reservoirs.

2. The Contractor should provide the Government with the delivery ticket along with a brief explanation detailing the circumstances that rendered the 100-pound liquid oxygen reservoir non-retrievable prior to billing under this CLIN.

19 CLIN 0012 – 4012: For tanks that are non-retrievable:

Question 1: Please clarify how this CLIN differs from CLIN 0010, which also references non-retrievable tanks.

Question 2: Please clarify which types of tanks this CLIN applies to (e.g., portable cylinders such as E, D, or M6/B cylinders, or larger cylinders such as H tanks).

Question 3: Does this CLIN apply to Contractor-owned equipment or Government Furnished Property (GFP)?

Question 4: If this CLIN is intended to address a specific tank type, would the Government consider defining the

1. CLINs 0012, 1012, 2012, 3012, 4012 apply to portable liquid oxygen tanks, whereas CLIN 0010 applies specifically to H-tanks.

2. CLINs 0012, 1012, 2012, 3012, 4012 cover portable liquid oxygen gas tanks.

3. CLINs 0012, 1012, 2012, 3012, 4012 refer to Government Furnished Property (GFP).

4. CLINs 0010,1010, 2010, 3010, 4010 description has been changed from “For tanks that are non-retrievable” to applicable cylinder type or separating non-retrievable equipment into distinct line items by tank type to ensure clarity in billing?

“For H-tanks that are non-retrievable”.

20 CLIN 0013 – CLIN 4013: Concentrator 5L (30 day Patient) Monthly Rental Includes 30-day rental, (E, B, C) Tanks up to 12 tanks of veterans choice and Pickup.

Question 1: The CLIN references a “Concentrator 5L (30 day Patient) Monthly Rental.” Please confirm that the “30 day” reference is intended to indicate the monthly billing period, and not a limitation on the duration of therapy for the Veteran.

Question 2: Please clarify how the Contractor should bill if the Veteran’s prescription requires more than 12 cylinders during the rental period, as there does not appear to be a separate CLIN for additional cylinder quantities.

Question 3: Would the Government consider adding a separate line item for additional cylinders beyond the 12 included in this CLIN, broken out by cylinder size?

Question 4 Does this indicate that the Contractor provides the concentrator for an initial 30-day rental period, after which the VA would provide a VA-owned concentrator for the patient?

1. The “30-day” reference is meant to indicate a one-month period during which the Veteran is expected to schedule an appointment with the VA Respiratory Department for evaluation and an updated prescription. Any additional need for equipment needed after the 30 day therapy will be charged at pro-rated basis.

2. CLINs 0014,1014, 2014, 3014, 4014 description has been changed from “Tanks up to 12 tanks” to “cylinders up to 16 cylinders”

3. No.

4. Yes. The 30-day rental period is intended to cover the Veteran until they can be seen by VA clinicians. After that appointment, the VA will provide the patient with a government-owned concentrator.

21 CLIN 0014 – 4014: Concentrator 10L (30 day Patient) Monthly Rental Includes 30 day rental, (E,B,C) Tanks up to 12 tanks of veterans choice and Pickup.

Question 1: The CLIN references a “Concentrator 10L (30 day Patient) Monthly Rental.” Please confirm that the “30 day” reference is intended to indicate the monthly billing period, and not a limitation on the duration of therapy for the Veteran.

Question 2: Please clarify how the Contractor should bill if the Veteran’s prescription requires more than 12 cylinders during the rental period, as there does not appear to be a separate CLIN for additional cylinder quantities.

Question 3: Would the Government consider adding a separate line item for additional cylinders beyond the 12 included in this CLIN, broken out by cylinder size?

1. The “30-day” reference is meant to indicate a one-month period during which the Veteran is expected to schedule an appointment with the VA Respiratory Department for evaluation and an updated prescription. Any additional need for equipment needed after the 30 day therapy will be charged at pro-rated basis.

2. CLINs 0014,1014, 2014, 3014, 4014 description has been changed from “Tanks up to 12 tanks” to “cylinders up to 16 cylinders”.

3. CLINs 0014,1014, 2014, 3014, 4014 description has been changed from “Tanks up to 12 tanks” to “cylinders up to 16 cylinders”.

22 CLIN 0015 – 4015: O2 Supplies including Conservers, regulators, Disposables (Cannulas, Connectors, Fire Safe Valves, Racks, Stands, Carry bags / Carts etc Question 1: Please clarify what the unit of

1. The unit of measure (EA) represents the package of accessories that accompany oxygen related supplies

2. No. The government will keep the measure (EA) represents for this CLIN.

Question 2: Because this CLIN includes a variety of oxygen-related supplies and equipment, including both disposable items (e.g., cannulas, connectors, fire safe valves) and durable items (e.g., conservers, regulators, racks, stands, and carry bags/carts), would the Government consider separating these items into individual CLINs to ensure pricing and billing accurately reflect the equipment or supplies being provided?

oxygen-related supplies as a single package charge.

23 Section 6: Equipment Requirements Rental liquid oxygen equipment shall be no more than two (2) years old at installation. For each Veteran on liquid oxygen, the Contractor shall provide two (2) 100 lb companion reservoirs and two portable systems with nasal cannula and carrying bag or portable transport cart. H tanks, regulators, and stands shall be provided as required; regulators and stands are Government furnished property (GFP). All GFP equipment must be managed per FAR 52.245-1 and the GFP Transfer Log (Reference GFP Attachment under Section D). All Government-furnished and rented oxygen tanks shall be labeled according to any applicable FDA, DOT, OSHA, or other requirements.

Question: Currently, CAIRE is the only manufacturer producing liquid oxygen equipment in the United States. Due to the industry's overall shift away from liquid oxygen systems, new equipment orders often have extended lead times, sometimes several months. As a result, refurbished liquid oxygen equipment from qualified aftermarket sources is frequently utilized within the industry. Would the VA consider revising this requirement to state that all liquid oxygen equipment must be patient-ready, properly maintained, and in good working condition, rather than requiring the equipment to be no more than two (2) years old at the time of installation?

Section 6 of the Statement of Work has been revised to reflect the recommended change, ensuring that liquid oxygen equipment requirements now align with current industry availability and patient-ready standards. See B.4 Revised Statement of Work.

24 Section 7: Contractor Responsibilities Section 7 states that the Contractor shall:

Complete H tank transition within 2–3 weeks of award without service interruption Question 1: Can the VA confirm whether all H tanks are VA or Vendor owned?

Question 2: If the Contractor is responsible

1. All H tanks utilized under this requirement are vendor-owned.

2. The VA requires a 2–3 week transition period to ensure continuity of services without interruption.

for supplying H tanks for a large patient population, procurement and delivery timelines may exceed the 2–3 week transition period identified in the solicitation.

For large-volume transitions, a 90-day transition period is more consistent with typical VA contract implementation timelines. Would the VA consider revising the transition timeframe to up to 90 days following contract award to ensure adequate time for equipment procurement and patient transition without disruption of services?

25 Will you consider adding a CLIN to cover valve replacement on Government-owned cylinders?

CLINs 0016, 1016, 2016, 3016, 4016 has been added to cover the valve replacements. Reference B.2 Revised Price/Cost Schedule.

26 Will you consider changing the verbiage in paragraph 6 "Rental liquid oxygen equipment shall be no more than two (2) years old at installation." to "Rental liquid oxygen equipment will be recertified within two (2) years old at installation."

Rationale: 100-pound liquid oxygen reservoirs have a service life of 20-30 years, and the cost of these reservoirs is over $1,000 each. Portable liquid reservoirs have a service life of 5-10 years.

Section 6 of the Statement of Work has been revised to reflect the recommended change, ensuring that liquid oxygen equipment requirements now align with current industry availability and patient-ready standards.

27 Will you consider adding a CLIN for emergency deliveries (as defined as after 4:00 PM on workdays, weekends, and holidays). This will allow to cover the additional costs related to call back and overtime?

Emergencies deliveries are under CLIN 0009. After hour deliveries on weekdays begin at 5:00pm. B.4 Revised Statement of Work Section 9.

28 Will you specify the time expectations for installation for initial setups and routine deliveries?

The Contractor shall respond to unscheduled service requests within two

(2) hours.

B.4 (A0001) REVISED TAMPA HOME OXYGEN STATEMENT OF WORK

1. General: The Department of Veterans Affairs, VISN 08, James A. Haley Veterans Hospital (JAHVH) located at 13000 Bruce B. Downs Blvd. Tampa, Florida requires home oxygen delivery to Veterans participating in the home oxygen program in the Tampa area.

2. Scope: The Contractor shall furnish all labor, materials, equipment, supplies, supervision, permits, and transportation necessary to provide home oxygen (liquid and cylinder) delivery, set-up, maintenance, and emergency support for Veterans served by the James A. Haley Veterans’ Hospital’s Home Respiratory Care Program (HRCP). For purposes of this Statement of Work (SOW), all requirements that refer to the Contractor shall be understood to also apply to any subcontractors performing work under this contract. The Contractor is responsible for ensuring that all subcontractors comply with all terms, conditions, responsibilities, and performance requirements contained herein.

3. Period of Performance and Options: The contract shall include one (1) base year and four (4) one-year option periods. Rates shall cover normal business hours and after-hours service. The Contractor shall respond to unscheduled service requests within two (2) hours.

4. Place of Performance: Home Respiratory Care Program (HRCP) 5910-E Breckenridge Park Tampa, FL 33610. Home deliveries will occur at Veteran residences within the HRCP service area as directed by the Government (Reference Wage Rates Tampa Counties Attachment under Section D). The James A. Haley Veterans’ Hospital provides services to veterans residing in Hillsborough, Pasco, Polk, Hernando, Citrus, and Pinellas counties.

5. Estimated Quantities (Non-Guaranteed): The quantities below are estimates only and do not constitute a guarantee of purchase:

Liquid Reservoir Rentals: 100–150 per month Liquid Portable Units: 100–150 per month Liquid Oxygen (by weight): ~9,000 pounds per month H-Tank Rentals: 700–800 per month (includes switch-out from outgoing vendor) Average Cylinder Refills: ~10,000 per month Delivery and Set-Up: H-tanks and liquid systems as ordered Hurricane Season Readiness: Maintain 400 Aluminum E Oxygen Cylinders from June 1–

November 30.

6. Equipment Requirements: Rental liquid oxygen equipment shall be all liquid oxygen equipment must be patient-ready, properly maintained, and in good working condition. For each Veteran on liquid oxygen, the Contractor shall provide two (2) 100-lb companion reservoirs and two portable systems with nasal cannula and carrying bag or portable transport cart. H-tanks, regulators, and stands shall be provided as required; regulators and stands are Government-furnished property (GFP). All GFP equipment must be managed per FAR 52.245-1 and the GFP Transfer Log (Reference GFP Attachment under Section D). All Government-furnished and rented oxygen cylinders shall be labeled according to any applicable FDA, DOT, OSHA, or other requirements.

All cylinders must meet U.S. Food & Drug Administration (FDA), U.S. Department of Labor, Occupational Safety and Health Administration (OSHA), and Department of Transportation (DOT) labeling requirements. The Contractor shall ensure all equipment and related materials comply with all applicable Federal, State, and local safety requirements. Contractor personnel shall have full working knowledge of these requirements.

7. Contractor Responsibilities: Contractor shall:

Provide 24/7 emergency service for delivery and repair Ensure all cylinders meet Federal and State testing requirements Provide all supplies necessary for contract performance Complete H-tank transition within 2–3 weeks of award without service interruption

Annual tank testing documentation shall be submitted the COR.

The Contractor shall ensure compliance with all applicable regulations, including:

21 CFR Parts 210 and 211 (CGMP for medical-grade oxygen) 49 CFR (transportation of oxygen) Joint Commission (JC) standards

All compliance costs shall be included in the contract price.

8. Installation Standards: All Contractor-owned equipment shall be installed in accordance with installed in accordance with NFPA 55 (Compressed Gases and Cryogenic Fluids Code) and NFPA 99 (Health Care Facilities Code); applicable OSHA and DOT requirements and Current Good Manufacturing Practices (CGMP). requirements. Deliveries, setups, and pickups shall comply with OSHA requirements and shall be coordinated with the HRCP Operations Manager and COR.

9. Delivery and Service Requirements: The Contractor shall provide all equipment and materials necessary to perform contract requirements. Upon receipt of a consultation, HRCP will notify the COR and forward the prescription to the Contractor for delivery. The Contractor shall deliver medical-grade oxygen that meets United States Pharmacopoeia/National Formulary (U.S.P.)

standards. Standard delivery hours: Monday–Friday, 8:00 a.m.–5:00 p.m. Weekend delivery shall be provided when needed to support patient discharges. The Contractor shall provide at least twelve (12) hours’ notice when unable to meet an agreed-upon delivery window. All deliveries shall be monitored by authorized VA personnel. These requirements apply to all deliveries, regardless of time or day.

a) Patient Identification: The Contractor shall verify Veteran identity using at least two (2) identifiers (full name and date of birth). When the patient is unable to provide this information, a caregiver may verify and present the VA ID card.

The Contractor shall reassess the need for patient education at each delivery and shall complete and document a home safety assessment (fall risk, smoking hazards, smoke detectors, “No Smoking” signage, and all JC-required elements).

b) Cylinder and Tank Refill Requirements: All H-tanks, E cylinders, M9 BA, and M6 AA cylinders shall be filled to maximum functional capacity unless otherwise specified in writing and approved by the CO.

c) Refill Delivery Schedule: Refill deliveries shall occur Monday–Friday, excluding Federal holidays, between 8:00 a.m. and 5:00 p.m. Weekend delivery shall be provided as required for discharges.

d) Delivery Terms: FOB Destination, Contractor shall bear all transportation costs and risk of loss until acceptance at the point of delivery (veterans’ homes and VA facilities).

e) Delivery Documentation: Each delivery requires signed and dated documentation, countersigned by the facility representative. Prosthetics will audit monthly invoices against prescriptions.

f) Storage and handling at VA sites shall comply with NFPA 55 separation distances and NFPA 99 medical gas storage requirements, as applicable to the equipment supplied.

10. Emergency response plan: The Contractor shall maintain a 24/7 emergency response program capable of providing emergency oxygen delivery within six (6) hours of notification. The plan shall be submitted on the date of contract award.

11. Handling of Government and Patient-Home Deliveries: The Contractor shall handle, transport, deliver, install, and remove all equipment with due care to prevent loss, damage, or injury. Any incident involving Government property or patient injury shall be reported to the COR immediately.

12. Quality Assurance (QA) Specifications and Requirements: The Contractor shall comply with all requirements listed in sections (a) through (h), including safety reporting, regulatory compliance, Certificate of Analysis (COA) requirements, Safety Data Sheets (SDS) submission, regulatory inspection reporting, transition planning, QA reporting, infection control, and influenza vaccination program standards.

a) Safety Conditions in the Home: The Contractor shall notify the VA designee and/or COR by telephone or email within two (2) hours if any unsafe conditions are observed in the patient’s home that prevent installation or continuation of oxygen services. Unsafe conditions include, but are not limited to:

• Fire safety hazards

• Oxygen safety hazards

• Suspected patient abuse by family or caregivers

• Any condition that places the patient or Contractor staff in immediate danger The Contractor shall provide written documentation of the safety hazard to the VA designee and/or COR within one (1) business day of the incident.

b) Medical Gas Regulatory Compliance: All medical gas manufacturers and fillers shall be registered with the FDA as drug manufacturers. All oxygen must be manufactured, processed, packed, transported, and stored in accordance with FDA CGMP regulations.

All labeling shall comply with FDA labeling regulations (21 CFR Part 201).

c) COA: A valid Certificate of Analysis shall accompany each delivery of oxygen. At a minimum, the COA shall include:

• Supplier’s name and complete address

• Product name (e.g., Oxygen U.S.P.)

• Air liquefaction statement, where applicable

• Lot number or unique identification number

• Actual analytical results for all U.S.P. monograph testing (general purity statements alone are not acceptable)

• Test method used for analysis (statements such as “Meets U.S.P. specifications” or “Tested via Servomex” without model number are not acceptable)

• Signature and date from an authorized supplier representative

d) Material Safety Data Sheets (MSDS/SDS): The Contractor shall submit MSDS/SDS for all applicable supplies used under this contract no later than seven (7) business days after contract award.

e) Regulatory Inspection Reports: The Contractor shall submit to the facility COR, HRCP Operations Manager, or designee a copy of all inspection reports conducted by OSHA, Joint Commission, or any other regulatory authority following required oxygen system inspections.

f) Initial Transition and Ongoing Quality Assurance: The Contractor shall begin providing service within 2 to 3 weeks of contract award to replace or purchase 500–550 H tanks owned by the outgoing contractor. No interruption of oxygen service to Veterans is permitted during this transition.

The Contractor shall participate in quarterly QA meetings held at the VA or the Contractor’s location. The Contractor shall provide required quarterly reports per the QA program. During each meeting, the Contractor shall provide:

• Inventory of all equipment

• Detailed list of disposed equipment and supplies

• Quarterly patient satisfaction survey results, including thresholds and improvement plans where thresholds are not met

• Current QA plan

• Hand hygiene monitoring results

• Influenza vaccination program documentation

• Documentation of all employee training and competencies related to servicing liquid oxygen

• Reports of any known patient incidents including death, accident, injury, or infection related to equipment

• Reports of accidents, safety hazards, or injuries

g) Infection Control Requirements: The Contractor shall maintain a hand hygiene program compliant with CDC guidelines. The program must include:

• A written hand hygiene policy

• A culture that supports hand hygiene compliance

• A process for monitoring compliance and providing feedback

• Defined thresholds and improvement plans when thresholds are not met The Contractor shall provide quarterly hand hygiene compliance documentation to the

COR.

h) Influenza Vaccination Program: The Contractor shall maintain an influenza vaccination program for staff, including:

• Incremental goals toward meeting a 90% vaccination target

• Measurement and continuous improvement of vaccination rates for staff and licensed independent practitioners

• Defined thresholds and corrective action plans when thresholds are not met The Contractor shall provide quarterly documentation of influenza vaccination program performance to the COR.

13. Safety Requirements: The Contractor shall take all safety precautions determined by the Contracting Officer, COR, and/or designee to be reasonably necessary to protect the lives and health of all persons affected by this contract. The Contracting Officer or COR shall notify the Contractor of any noncompliance with safety requirements and identify corrective actions to be taken. Upon receipt of such notice, the Contractor shall immediately correct the cited conditions.

Notice provided to the Contractor or its on-site representative shall be deemed sufficient. Failure to correct safety deficiencies may result in action under FAR 52.212-4 or FAR 52.249.The Contractor shall provide the following emergent patient safety reports within the timeframes specified below:

i) Sentinel Events: The Contractor shall notify the VA designee and/or COR within one (1) business day of any sentinel event, as defined by the Joint Commission (JC), that occurs during contract performance and involves a patient. The Contractor shall conduct a Root Cause Analysis (RCA) and submit a written report to the VA designee and/or COR within thirty (30) days of the initial notification. The report shall include a corrective action plan.

The Contractor shall provide monthly status updates on corrective actions for a minimum of twelve (12) months or until all actions are completed.

j) Refusal of Service Against Medical Advice (AMA): Patients have the right to refuse service. If a patient refuses service (oxygen delivery, equipment pick-up, or setup), or instructs that equipment be removed from the home, the Contractor shall comply and report the circumstances of the refusal to the VA designee and/or COR within one (1) business day.

k) Reports of Abuse or Neglect: The Contractor shall report any suspected incidents of abuse or neglect involving the patient or caregivers. Reports shall be made within one

(1) business day to the VA designee and/or COR and to the appropriate adult protective services agency. The Contractor shall comply with all applicable Federal, State, and local laws governing mandatory reporting.

14. Qualifications and Training: All personnel must complete required training and demonstrate competency prior to assignment. Training documentation shall be provided to the COR and HRCP Operations Manager.

15. Competency Of Personnel Servicing Equipment: The Contractor shall maintain a staffed office with fully qualified Service Representatives who meet all training and experience requirements. Training records and certifications must be provided prior to award. The VA will assist with competency folders and position descriptions as needed.

16. Service Manuals: The Contractor shall provide service manuals, when applicable, for all equipment furnished or serviced. All operational and technical documentation necessary for installation, delivery, servicing, and performance shall be maintained and made available to

HRCP.

17. Government Roles and COR Authority: The COR will be designated in writing. The COR may provide technical direction within scope but cannot change contract terms, price, or schedule. The Contractor shall contact the COR within ten (10) days of award for coordination.

18. Deliverables and Invoicing: Delivery tickets with serial numbers and quantities dispensed shall be signed at each delivery. Monthly invoices shall be submitted for audit and payment.

19. Federal Holidays: Standard Federal holidays apply. HRCP will notify the Contractor when refills are not required. Emergency service must remain available 24/7.

20. Permits and Licenses: The Contractor shall maintain all required Federal, State, and local permits and licenses throughout the period of performance and provide copies at award. Failure to provide such permits, licenses, or evidence of appropriate progress toward receipt of such permits, licenses shall be grounds to terminate the contract. In addition, contract termination shall result if the required documents are subsequently denied or withdrawn by the local authorities. Application, justification, fees, and certifications for any licensure required are entirely the responsibility of the Contractor. Contractor shall ensure that all employees receive the mandatory training, if applicable to this contract, as required by OSHA, JC, and shall comply with all standards and/or requirements.

21. Insurance: The Contractor shall maintain Workers’ Compensation and Public Liability insurance in accordance with State of Florida requirements. Provide proof of insurance within ten (10) calendar days after award. The contractor will notify the CO immediately of any changes in insurance coverage. Failure to submit documentation regarding the above insurance requirement shall be grounds to terminate the contract.

22. Personnel and Conduct: Contractor personnel shall be qualified, wear visible identification, maintain professional appearance and behavior, and comply with all VA property and patient interaction requirements. Contractor employees shall be well-groomed, and neat in appearance.

Contractor employees shall be in uniform with nametags. Contractor employees shall not wear any offensive clothing with slogans, drawings, or language which could be construed as being lewd, obscene, profane, racially offensive, sexually suggestive, and anti-American or which advocates the use of illegal drugs or other unlawful conduct. Contractor employees shall conduct themselves in a socially acceptable manner. Loudness, vulgarity, rudeness, or other similar offensive conduct by an employee of the Contractor will be grounds for denying the employee further access to the VA premises. Contractor employees shall not consume alcohol or illegal drugs during working hours or at any other time the employees are performing work under this SOW.

23. Personnel Identification: The Contractor shall provide ID badges at its own expense. Badges must be worn at all times and collected upon employee departure. Personnel are subject to inspection while on VA premises.

24. Vehicles and Markings: Vehicles shall be fully operational and marked with the Contractor’s name, phone number, state license tag, and required regulatory identifiers.

25. Security and Background Checks: The Contractor shall bear the cost of all background investigations and comply with VA security procedures. Costs for OPM investigations may be deducted from the first invoice.

26. Health Insurance Portability and Accountability (HIPAA) and Confidentiality: The Contractor shall comply with all applicable requirements of HIPAA and the VA’s protected health information (PHI) and shall execute a Business Associate Agreement (BAA), and comply with VAAR 824.103-70 and 852.204-71, prior to the start of any performance involving PHI (Reference BAA Attachment under Section D). Confidentiality agreements shall be signed before work begins. The Contractor’s personnel shall comply with the Privacy Act of 1974 and all applicable Federal laws, regulations, VA policies, and directives governing the protection of sensitive information during and after performance of this contract. Because confidential medical information may be accessible or visible to Contractor personnel during the performance of their duties, the Contractor shall obtain a signed confidentiality certificate from each employee prior to allowing them to begin work under this contract. Any information about an individual that is maintained by the VA including, but not limited to, education, financial transactions, medical history, criminal or employment history, or any record containing the individual’s name, identifying number, symbol, or other unique identifier shall be treated as confidential at all times. A copy of each employee’s signed confidentiality certificate shall be provided to the COR upon request.

27. Non-Personal Services Statement: This is a non-personal services contract. Contractor personnel are not VA employees and shall be supervised solely by the Contractor. Government quality assurance monitoring does not constitute supervision.

28. Review and Acceptance: The CO or COR may review services and records at any time.

Payment may be withheld for unsupported or improper services.

29. Contractor Management: The Contractor shall designate a Point of Contact (POC) and an authorized alternate available during all hours of contract performance.

30. Key Personnel: Key personnel include the Contract Manager and any individuals designated by the offeror and approved by the Government. The Contractor shall notify the CO within two

(2) business days of any changes.

31. Post-Award/Kick Off Conference: A Post-Award Conference may be held at a time and place designated by the CO.

32. Reviews: The CO or COR may conduct on-site surveys, record reviews, or other evaluations. Records must be provided upon request. Payment may be denied for unnecessary or unsupported services.

33. Performance: The Government will monitor performance in accordance with the Quality Assurance Surveillance Plan (Reference QASP Attachment under Section D).

34. Contract Award and Administration: Only the Contracting Officer may modify contract terms.

Unauthorized changes made at the direction of non-CO personnel will not result in price adjustments. Entities listed on the HHS/OIG Exclusions List are ineligible for contract award or payment.

B.2 (A0001) REVISED PRICE/COST SCHEDULE

ITEM INFORMATION

ITEM

NUMBER

DESCRIPTION OF

SUPPLIES/SERVICES

ESTIMATED

QUANTITY UNIT UNIT PRICE AMOUNT

0001 600.00 EA __________________ ________________

Regular Hours: Initial set-up of two (2) 100-pound liquid oxygen reservoirs and 2-3 portable reservoirs or equal Contract Period: Base POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

0002 50.00 EA __________________ ________________

Regular Hours: Pick-up of two Portables reservoir or equal and two 100-pound liquid oxygen reservoirs.

Contract Period: Base POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

0003 100,000.00 EA __________________…