36C24826R0088 0003.pdf

PDF 191 KB Posted Aug 17, 2026

Attached to: 6515--Tampa Home Oxygen Solicitation is active
Solicitation number: 36C24826R0088
Issued by: Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 8

About this file

Written by GovTribe AI · Aug 17, 2026

This document is Standard Form 30 Amendment 0003 to solicitation 36C24826R0088, issued by the Department of Veterans Affairs Network Contracting Office 8 (NCO 8) at the Orlando VA Healthcare System. The amendment revises government requirements to include government-furnished concentrator equipment that the contractor must manage, track, maintain, and account for. The hour and date for receipt of offers is extended to September 2, 2026, 4:00 PM EDT. Offerors must submit revised price/cost proposals using the new B.2 (A0003) Revised Price/Cost Schedule by the extended deadline. Previously submitted past-performance questionnaires need not be resubmitted unless revised or replaced. Questions are due by August 21, 2026, 3:00 PM EST, submitted in writing to the contracting officer in bulleted format identifying relevant Statement of Work sections.

The revised B.4 (A0003) Tampa Oxygen Statement of Work details the contractor's comprehensive responsibilities for providing home oxygen delivery services to veterans in the Tampa area served by James A. Haley Veterans Hospital. Services include furnishing all labor, materials, equipment, supplies, supervision, permits, and transportation for liquid and cylinder oxygen delivery, setup, maintenance, equipment tracking and inventory management, and 24/7 emergency support. The contractor must manage all VA-issued equipment, monitor its full lifecycle, maintain accurate tracking information including current equipment location and veteran assignment, and provide loaner or rental equipment if VA equipment becomes unavailable. Monthly reports detailing equipment and supply issuance, device counts, and device types are required. The contract includes a one-year base period (October 1, 2026 – September 30, 2027) with four one-year option periods. The revised B.2 (A0003) Price/Cost Schedule lists 20 line items for the base period and corresponding option periods (items 1001–1019 for Option 1, 2001–2019 for Option 2, 3001–3019 for Option 3, and 4001–4019 for Option 4) covering initial setup of liquid oxygen reservoirs, pickups, liquid pound refills, H-tank delivery and rental, tank refills, ultrasonic examinations, emergency/after-hours service, regulator supplies, equipment maintenance, inventory tracking, and concentrator rentals. The estimated quantities are non-guaranteed but include 100–150 liquid reservoir rentals monthly, 700–800 H-tank rentals monthly, approximately 10,000 cylinder refills monthly, and concentrator rentals. Delivery shall be FOB Destination to the Home Respiratory Care Program (HRCP) at 5910-E Breckenridge Park, Tampa, Florida 33610, with home deliveries to veteran residences within the HRCP service area as directed by the government. The solicitation is set aside for Service-Disabled Veteran-Owned Small Businesses (SDVOSB).

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Other files

File	Type	Posted
36C24826R0088 0006.pdf	PDF	Sep 9, 2026
36C24826R0088 0005.pdf	PDF	Sep 1, 2026
D.2 Updated Combined Wage Rates.pdf	PDF	Aug 31, 2026
36C24826R0088 0004.pdf	PDF	Aug 31, 2026
36C24826R0088 0002.pdf	PDF	May 12, 2026
36C24826R0088 0001.pdf	PDF	May 1, 2026
D.2 Wage Rates Tampa Counties.pdf	PDF	Apr 3, 2026
36C24826R0088.docx	DOCX document	Apr 3, 2026
36C24826R0088_1.docx	DOCX document	Mar 19, 2026

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5. PROJECT NUMBER (if applicable)

CODE7. ADMINISTERED BY

2. AMENDMENT/MODIFICATION NUMBER

CODE

6. ISSUED BY

8. NAME AND ADDRESS OF CONTRACTOR

4. REQUISITION/PURCHASE REQ. NUMBER3. EFFECTIVE DATE

9A. AMENDMENT OF SOLICITATION NUMBER

9B. DATED

PAGE OF PAGES

10A. MODIFICATION OF CONTRACT/ORDER NUMBER

10B. DATED

BPA NO. 1. CONTRACT ID CODE

FACILITY CODECODE

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.

12. ACCOUNTING AND APPROPRIATION DATA

(REV. 11/2016)

is required to sign this document and return ___________ copies to the issuing office.is not, A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER NO. IN ITEM 10A.

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

14. DESCRIPTION OF AMENDMENT/MODIFICATION

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

15B. CONTRACTOR/OFFEROR

STANDARD FORM 30 PREVIOUS EDITION NOT USABLE

Prescribed by GSA - FAR (48 CFR) 53.243

(Type or print) (Type or print)

(Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

(Number, street, county, State and ZIP Code)

(If other than Item 6)

(Specify type of modification and authority)

(such as changes in paying office, appropriation date, etc.)

(If required)

(SEE ITEM 11)

(SEE ITEM 13)

(X)

CHECK

ONE

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS,

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

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 24

0003 08-17-2026 None

36C248

Department of Veterans Affairs Network Contracting Office 8 (NCO 8) Orlando VA Healthcare System 13800 Veterans Way Orlando FL 32827

36C248

Department of Veterans Affairs Network Contracting Office 8 (NCO 8) Orlando VA Healthcare System 13800 Veterans Way Orlando FL 32827

To all Offerors/Bidders

36C24826R0088

04-07-2022

X X

** HOUR & DATE for Receipt of Offers is EXTENDED to: 09-02-2026 4PM EDT

See CONTINUATION Page

X 1

- This amendment revises the Government’s requirements. The contractor shall use Government-furnished concentrator equipment to provide services to Veterans and shall manage, track, maintain, and account for the equipment, as detailed in the revised Section B.4 Statement of Work. The solicitation is hereby amended as follows: B.2 (A0001) Price/Cost Schedule, is deleted in its entirety and replaced with the attached Section B.2 (A0003) Revised Price/Cost Schedule dated 8/12/2026. The B.4 (A0001) Revised Tampa Oxygen Statement of Work is deleted in its entirety and replaced with the attached B.4 (A0003) Revised Tampa Oxygen Statement of Work dated 8/12/2026. Offerors shall submit a revised price/cost proposal by 09/02/2026, 4:00 PM EST, using the B.2 (A0003) Revised Price/Cost Schedule. Previously submitted past-performance questionnaires need not be resubmitted unless revised or or replaced. Offerors shall acknowledge this amendment with their revised proposal. Questions are due by 08/21/2026, 3:00 PM EST. Submit questions in writing to CO in bulleted format and identify Statement of Work section. Government responses, if any, will be issued by amendment.

Camille Alderman Contracting Officer

CONTINUATION PAGE

B.2 (A0003) REVISED PRICE/COST SCHEDULE

ITEM INFORMATION

ITEM

NUMBER

DESCRIPTION OF

SUPPLIES/SERVICES

ESTIMATED

QUANTITY UNIT UNIT PRICE AMOUNT

0001 1,200.00 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 __________________ __________________

Liquid Pounds refill for 100- pound reservoir.

0004 400.00 EA __________________ __________________

Regular Hours: Delivery and set-up H tanks including tank stand and regulator (stand and regulator provided by VA).

0005 8,000.00 EA __________________ __________________

H Tank Rentals.

0006 400.00 EA __________________ __________________

Regular Hours Pick up: H-Tank.

0007 35,000.00 EA __________________ __________________

Average tank refills at VA warehouse and Veterans homes. This is an estimated quantity.

0008 3,000.00 EA __________________ __________________

Ultrasonic Examination to include cleaning, testing, and stamping the cylinder with the new retest date.

0009 20.00 EA __________________ __________________

Emergency/After- Hour/Weekend/Holiday Hours: set-up of two (2) 100-pound liquid oxygen reservoirs and 2-3 portable reservoirs or equal.

0010 10.00 EA __________________ __________________

For H-tanks that are non-retrievable 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

0011 10.00 EA __________________ __________________

For tanks that are non- retrievable: Liquid 100 # Res 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

0012 10.00 EA __________________ __________________

For portable liquid oxygen cylinders that are non-retrievable 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

0013 20.00 EA __________________ __________________

Regulator: Oxygen Conserving Regulator, small light weight 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

0014 10.00 EA __________________ __________________

Regulator: CF 8LPM GB 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

0015 1,500.00 EA __________________ __________________

Maintenance of VAMC Equipment Monthly 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

0016 1,200.00 EA __________________ __________________

Monthly Inventory and Tracking 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

0017 500.00 EA __________________ __________________

Concentrator 5L Monthly Rental (E,B,C) Tanks up to 12 tanks of veterans choice and Pickup.

0018 30.00 EA __________________ __________________

Concentrator 10L Monthly Rental (E,B,C) Tanks up to 12 tanks of veterans choice and Pickup.

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

0019 200.00 EA __________________ __________________

O2 Supplies including Conservers, regulators, Disposables (Cannulas, Connectors, Fire Safe Valves, Racks, Stands, Carry bags / Carts etc 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

1001 1,200.00 EA __________________ __________________

Regular Hours: Initial set-up of two (2) 100-pound liquid oxygen reservoirs and 2-3 portable reservoirs or equal Contract Period: Option 1 POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

1002 50.00 EA __________________ __________________

Regular Hours: Pick-up of two Portables reservoir or equal and two 100-pound liquid oxygen reservoirs. This is an Contract Period: Option 1 POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

1003 100,000.00 EA __________________ __________________

Liquid Pounds refill for 100- pound reservoir.

Contract Period: Option 1 POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

1004 400.00 EA __________________ __________________

Regular Hours: Delivery and set-up H tanks including tank stand and regulator (stand and regulator provided by VA).

1005 8,000.00 EA __________________ __________________

H Tank Rentals.

Contract Period: Option 1 POP Begin: 10-01-2027

POP End: 09-30-2028 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

1006 400.00 EA __________________ __________________

Regular Hours Pick up: H-Tank.

1007 35,000.00 EA __________________ __________________

Average tank refills at VA warehouse and Veterans homes. This is an estimated quantity.

1008 3,000.00 EA __________________ __________________

Ultrasonic Examination to include cleaning, testing, and stamping the cylinder with the new retest date.

1009 20.00 EA __________________ __________________

Emergency/After- Hour/Weekend/Holiday Hours: set-up of two (2) 100-pound liquid oxygen reservoirs and 2-3 portable reservoirs or equal.

1010 10.00 EA __________________ __________________

For H-tanks that are non-retrievable Contract Period: Option 1 POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

1011 10.00 EA __________________ __________________

For tanks that are non- retrievable: Liquid 100 # Res Contract Period: Option 1 POP Begin: 10-01-2027 POP End: 09-30-2028

PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

1012 10.00 EA __________________ __________________

For portable liquid oxygen cylinders that are non-retrievable Contract Period: Option 1 POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

1013 20.00 EA __________________ __________________

Regulator: Oxygen Conserving Regulator, small light weight Contract Period: Option 1 POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

1014 10.00 EA __________________ __________________

Regulator: CF 8LPM GB Contract Period: Option 1 POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

1015 1,500.00 EA __________________ __________________

Maintenance of VAMC Equipment Monthly Contract Period: Option 1 POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

1016 1,200.00 EA __________________ __________________

Monthly Inventory and Tracking Contract Period: Option 1 POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

1017 500.00 EA __________________ __________________

Concentrator 5L Monthly Rental (E,B,C) Tanks up to 12 tanks of veterans choice and Pickup.

Contract Period: Option 1 POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental

1018 30.00 EA __________________ __________________

Concentrator 10L Monthly Rental (E,B,C) Tanks up to 12 tanks of veterans choice and Pickup.

1019 200.00 EA __________________ __________________

O2 Supplies including Conservers, regulators, Disposables (Cannulas, Connectors, Fire Safe Valves, Racks, Stands, Carry bags / Carts etc Contract Period: Option 1 POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

2001 1,200.00 EA __________________ __________________

Regular Hours: Initial set-up of two (2) 100-pound liquid oxygen reservoirs and 2-3 portable reservoirs or equal Contract Period: Option 2 POP Begin: 10-01-2028 POP End: 09-30-2029 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

2002 50.00 EA __________________ __________________

Regular Hours: Pick-up of two Portables reservoir or equal and two 100-pound liquid oxygen reservoirs. This is an Contract Period: Option 2 POP Begin: 10-01-2028 POP End: 09-30-2029 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

2003 100,000.00 EA __________________ __________________

Liquid Pounds refill for 100- pound reservoir.

Contract Period: Option 2 POP Begin: 10-01-2028 POP End: 09-30-2029 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

2004 400.00 EA __________________ __________________

Regular Hours: Delivery and set-up H tanks including tank stand and regulator (stand and regulator provided by VA).

Contract Period: Option 2 POP Begin: 10-01-2028 POP End: 09-30-2029 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental

2005 8,000.00 EA __________________ __________________

H Tank Rentals.

2006 400.00 EA __________________ __________________

Regular Hours Pick up: H-Tank.

2007 35,000.00 EA __________________ __________________

Average tank refills at VA warehouse and Veterans homes. This is an estimated quantity.

2008 3,000.00 EA __________________ __________________

Ultrasonic Examination to include cleaning, testing, and stamping the cylinder with the new retest date.

2009 20.00 EA __________________ __________________

Emergency/After- Hour/Weekend/Holiday Hours: set-up of two (2) 100-pound liquid oxygen reservoirs and 2-3 portable reservoirs or equal.

2010 10.00 EA __________________ __________________

For H-tanks that are non-retrievable Contract Period: Option 2 POP Begin: 10-01-2028 POP End: 09-30-2029 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental

2011 10.00 EA __________________ __________________

For tanks that are non- retrievable: Liquid 100 # Res Contract Period: Option 2 POP Begin: 10-01-2028 POP End: 09-30-2029 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

2012 10.00 EA __________________ __________________

For portable liquid oxygen cylinders that are non-retrievable Contract Period: Option 2 POP Begin: 10-01-2028 POP End: 09-30-2029 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

2013 20.00 EA __________________ __________________

Regulator: Oxygen Conserving Regulator, small light weight Contract Period: Option 2 POP Begin: 10-01-2028 POP End: 09-30-2029 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

2014 10.00 EA __________________ __________________

Regulator: CF 8LPM GB Contract Period: Option 2 POP Begin: 10-01-2028 POP End: 09-30-2029 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

2015 1,500.00 EA __________________ __________________

Maintenance of VAMC Equipment Monthly Contract Period: Option 2 POP Begin: 10-01-2028 POP End: 09-30-2029 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

2016 1,200.00 EA __________________ __________________

Monthly Inventory and Tracking Contract Period: Option 2 POP Begin: 10-01-2028 POP End: 09-30-2029 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

2017 500.00 EA __________________ __________________

Concentrator 5L Monthly Rental (E,B,C) Tanks up to 12 tanks of veterans choice and Pickup.

Contract Period: Option 2 POP Begin: 10-01-2028

POP End: 09-30-2029 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

2018 30.00 EA __________________ __________________

Concentrator 10L Monthly Rental (E,B,C) Tanks up to 12 tanks of veterans choice and Pickup.

2019 200.00 EA __________________ __________________

O2 Supplies including Conservers, regulators, Disposables (Cannulas, Connectors, Fire Safe Valves, Racks, Stands, Carry bags / Carts etc Contract Period: Option 2 POP Begin: 10-01-2028 POP End: 09-30-2029 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

3001 1,200.00 EA __________________ __________________

Regular Hours: Initial set-up of two (2) 100-pound liquid oxygen reservoirs and 2-3 portable reservoirs or equal Contract Period: Option 3 POP Begin: 10-01-2029 POP End: 09-30-2030 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

3002 50.00 EA __________________ __________________

Regular Hours: Pick-up of two Portables reservoir or equal and two 100-pound liquid oxygen reservoirs. This is an Contract Period: Option 3 POP Begin: 10-01-2029 POP End: 09-30-2030 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

3003 100,000.00 EA __________________ __________________

Liquid Pounds refill for 100- pound reservoir.

Contract Period: Option 3 POP Begin: 10-01-2029 POP End: 09-30-2030 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

3004 400.00 EA __________________ __________________

Regular Hours: Delivery and set-up H tanks including tank stand and regulator (stand and regulator provided by VA).

Contract Period: Option 3

POP Begin: 10-01-2029 POP End: 09-30-2030 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

3005 8,000.00 EA __________________ __________________

H Tank Rentals.

3006 400.00 EA __________________ __________________

Regular Hours Pick up: H-Tank.

3007 35,000.00 EA __________________ __________________

Average tank refills at VA warehouse and Veterans homes. This is an estimated quantity.

3008 3,000.00 EA __________________ __________________

Ultrasonic Examination to include cleaning, testing, and stamping the cylinder with the new retest date.

3009 20.00 EA __________________ __________________

Emergency/After- Hour/Weekend/Holiday Hours: set-up of two (2) 100-pound liquid oxygen reservoirs and 2-3 portable reservoirs or equal.

3010 10.00 EA __________________ __________________

For H-tanks that are non-retrievable Contract Period: Option 3 POP Begin: 10-01-2029

POP End: 09-30-2030 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

3011 10.00 EA __________________ __________________

For tanks that are non- retrievable: Liquid 100 # Res Contract Period: Option 3 POP Begin: 10-01-2029 POP End: 09-30-2030 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

3012 10.00 EA __________________ __________________

For portable liquid oxygen cylinders that are non-retrievable Contract Period: Option 3 POP Begin: 10-01-2029 POP End: 09-30-2030 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

3013 20.00 EA __________________ __________________

Regulator: Oxygen Conserving Regulator, small light weight Contract Period: Option 3 POP Begin: 10-01-2029 POP End: 09-30-2030 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

3014 10.00 EA __________________ __________________

Regulator: CF 8LPM GB Contract Period: Option 3 POP Begin: 10-01-2029 POP End: 09-30-2030 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

3015 1,500.00 EA __________________ __________________

Maintenance of VAMC Equipment Monthly Contract Period: Option 3 POP Begin: 10-01-2029 POP End: 09-30-2030 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

3016 1,200.00 EA __________________ __________________

Monthly Inventory and Tracking Contract Period: Option 3 POP Begin: 10-01-2029 POP End: 09-30-2030 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental

3017 500.00 EA __________________ __________________

Concentrator 5L Monthly Rental (E,B,C) Tanks up to 12 tanks of veterans choice and Pickup.

3018 30.00 EA __________________ __________________

Concentrator 10L Monthly Rental (E,B,C) Tanks up to 12 tanks of veterans choice and Pickup.

3019 200.00 EA __________________ __________________

O2 Supplies including Conservers, regulators, Disposables (Cannulas, Connectors, Fire Safe Valves, Racks, Stands, Carry bags / Carts etc Contract Period: Option 3 POP Begin: 10-01-2029 POP End: 09-30-2030 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

4001 1,200.00 EA __________________ __________________

Regular Hours: Initial set-up of two (2) 100-pound liquid oxygen reservoirs and 2-3 portable reservoirs or equal Contract Period: Option 4 POP Begin: 10-01-2030 POP End: 09-30-2031 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

4002 50.00 EA __________________ __________________

Regular Hours: Pick-up of two Portables reservoir or equal and two 100-pound liquid oxygen reservoirs. This is an Contract Period: Option 4 POP Begin: 10-01-2030 POP End: 09-30-2031 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

4003 100,000.00 EA __________________ __________________

Liquid Pounds refill for 100- pound reservoir.

Contract Period: Option 4 POP Begin: 10-01-2030 POP End: 09-30-2031 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental

4004 400.00 EA __________________ __________________

Regular Hours: Delivery and set-up H tanks including tank stand and regulator (stand and regulator provided by VA).

Contract Period: Option 4 POP Begin: 10-01-2030 POP End: 09-30-2031 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

4005 8,000.00 EA __________________ __________________

H Tank Rentals.

4006 400.00 EA __________________ __________________

Regular Hours Pick up: H-Tank.

4007 35,000.00 EA __________________ __________________

Average tank refills at VA warehouse and Veterans homes. This is an estimated quantity.

4008 3,000.00 EA __________________ __________________

Ultrasonic Examination to include cleaning, testing, and stamping the cylinder with the new retest date.

4009 20.00 EA __________________ __________________

Emergency/After- Hour/Weekend/Holiday Hours: set-up of two (2) 100-pound liquid oxygen reservoirs and 2-3 portable reservoirs or equal.

Contract Period: Option 4 POP Begin: 10-01-2030 POP End: 09-30-2031 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental

4010 10.00 EA __________________ __________________

For portable liquid oxygen cylinders that are non-retrievable Contract Period: Option 4 POP Begin: 10-01-2030 POP End: 09-30-2031 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

4011 10.00 EA __________________ __________________

For tanks that are non- retrievable: Liquid 100 # Res Contract Period: Option 4 POP Begin: 10-01-2030 POP End: 09-30-2031 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

4012 10.00 EA __________________ __________________

For H-tanks that are non-retrievable Contract Period: Option 4 POP Begin: 10-01-2030 POP End: 09-30-2031 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

4013 20.00 EA __________________ __________________

Regulator: Oxygen Conserving Regulator, small light weight Contract Period: Option 4 POP Begin: 10-01-2030 POP End: 09-30-2031 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

4014 10.00 EA __________________ __________________

Regulator: CF 8LPM GB Contract Period: Option 4 POP Begin: 10-01-2030 POP End: 09-30-2031 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

4015 1,500.00 EA __________________ __________________

Maintenance of VAMC Equipment Monthly Contract Period: Option 4 POP Begin: 10-01-2030 POP End: 09-30-2031 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

4016 1,200.00 EA __________________ __________________

Monthly Inventory and Tracking Contract Period: Option 4 POP Begin: 10-01-2030

POP End: 09-30-2031 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

4017 500.00 EA __________________ __________________

Concentrator 5L Monthly Rental (E,B,C) Tanks up to 12 tanks of veterans choice and Pickup.

4018 30.00 EA __________________ __________________

Concentrator 10L Monthly Rental (E,B,C) Tanks up to 12 tanks of veterans choice and Pickup.

4019 200.00 EA __________________ __________________

O2 Supplies including Conservers, regulators, Disposables (Cannulas, Connectors, Fire Safe Valves, Racks, Stands, Carry bags / Carts etc Contract Period: Option 4 POP Begin: 10-01-2030 POP End: 09-30-2031 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

GRAND TOTAL __________________

B.3 DELIVERY SCHEDULE

ITEM

NUMBER DELIVERY DATE

0001-

SHIP TO: 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.

FOB Destination

B.4 (A0003) 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, tracking of equipment usage and inventory and emergency support for Veterans served by the James A. Haley Veterans’ Hospital’s Home Respiratory Care Program (HRCP). The Contractor is responsible for the maintenance and overall upkeep of all VA-issued equipment, including monitoring and documenting the full life cycle of each device. This includes maintaining accurate tracking information such as the current location of the equipment and identifying the Veteran to whom each device has been issued. If VA-owned equipment is unavailable or determined to be unserviceable, the Contractor shall provide loaner or rental equipment to ensure uninterrupted oxygen therapy until VA equipment becomes available. The Contractor shall submit monthly reports detailing equipment and supply issuance, including the total number of devices provided and the type of each device issued to Veterans.

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 Concentrators 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 and track, maintain and keep record of current location of all government issued equipment.

Provide accessories and disposable supplies.

Complete H-tank transition within 2–3 weeks of award without service interruption Monthly Rental Concentrators Rental of portable Oxygen Concentrator Refills and delivery of “B” (M6) Cylinders Refills and delivery of “C” Cylinders Refills and delivery of “D” Cylinders Refills and delivery of “E” Cylinders

Annual tank testing documentation shall be submitted to 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.

g) The Contractor shall maintain accurate and up-to-date inventory records for all equipment and supplies provided under this agreement. Inventory for concentrators shall be tracked by serial numbers, and inventory for cylinders shall be tracked by lot number and individual unit count. For all items, the Contractor shall document the current location of each unit, including whether it is assigned to a patient’s residence or held in warehouse stock. Upon request, the Contractor shall furnish a day-by-day inventory report detailing quantities, locations, and status of all tracked equipment.

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 to include use of every aerosol system accessory (oxygen mask, tubing, nasal cannula), O2 cylinders and concentrators

• 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…

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