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Combined Synopsis-Solicitation for Commercial Items Mobile Lithotripsy Laser Equipment and Services Contract Opportunity Amendment to a Previous Combined Solicitation
PRODUCT SERVICE CODE
SUBJECT
CONTRACTING OFFICE'S
ZIP-CODE
SOLICITATION NUMBER
BASE NOTICE TYPE
RESPONSE DATE/TIME/ZONE
ARCHIVE
DAYS AFTER THE RESPONSE DATE
RECOVERY ACT FUNDS
SET-ASIDE
NAICS CODE
CONTRACTING OFFICE
ADDRESS
POINT OF CONTACT
(POC Information Automatically Filled from User Profile Unless Entered)
DESCRIPTION
See Attachment
AGENCY'S URL
URL DESCRIPTION
AGENCY CONTACT'S EMAIL
ADDRESS
EMAIL DESCRIPTION
ADDRESS
POSTAL CODE
COUNTRY
ADDITIONAL INFORMATION
GENERAL INFORMATION
PLACE OF PERFORMANCE
* = Required Field Contract Opportunity Amendment to a Previous Combined Solicitation Q525 Mobile Lithotripsy Laser Equipment and Services - 621
POP 05/01/2021 - 04/30/2022 - UDC 04/30/2026
37129 36C24921Q0195 03-31-2021
3:00 PM
CENTRAL TIME, CHICAGO, USA
N 621512 Department of Veterans Affairs Network Contracting Office 9 (90C)
NCO 9
1639 Medical Center Parkway, Suite 400 Murfreesboro TN 37129 Dewana Raynor dewana.raynor@va.gov James H. Quillen VA Medical Center Corner of Lamont & Veterans Way Mtn Home, TN
37684
USA
The purpose of this amendment is to update the PRICE/COST SCHEDULE and SCOPE of WORK.
Description This is a combined synopsis/solicitation for commercial items prepared in accordance with the format in Federal Acquisition Regulation (FAR) subpart 12.6, “Streamlined Procedures for Evaluation and Solicitation for Commercial Items,” as supplemented with additional information included in this notice. This announcement constitutes the only solicitation; quotes are being requested, and a written solicitation document will not be issued.
This solicitation is issued as an RFQ. The solicitation document and incorporated provisions and clauses are those in effect through Federal Acquisition Circular, FAC 2021-04 effective 01/19/2021.
The associated North American Industrial Classification System (NAICS) code for this procurement is 621512, with a small business size standard of $16.5 million.
The FSC/PSC is Q525.
The James H. Quillen VA Medical Center, Corner of Lamont & Veterans Way, Mtn Home, TN 37684 is seeking Mobile Lithotripsy Laser Equipment and Services.
All interested companies shall provide quotations for the following:
Price/Cost Schedule:
The Contractor shall provide Mobile Lithotripsy Services, to include rental of surgical subspecialty laser equipment, Extracorporeal Shock Wave Lithotripsy equipment, and factory-trained Certified Medical Laser Safety Officer (CLSO or CLSO-M) necessary to perform on-site Mobile Lithotripsy Services to eligible beneficiaries of the Department of Veterans Affairs, James H. Quillen VA Medical Center (hereinafter referred to as VAMC or JHQ VAMC). The services provided would be same as those provided in a state-of-the-art civilian medical treatment facility and the standard of care shall be of a quality, meeting or exceeding, currently recognized national standards as established by the American Registry of Radiologic Technologists (ARRT).
Place of Performance: Services shall be provided on-site at the James H. Quillen VA Medical Center, 99 Veteran’s Way, Mountain Home, TN 37684 Pricing Instructions: The offeror is instructed to edit the number of SUB-LINS to correspond with the number of key personnel submitted for each Line Item Number (LIN). Affiliate Offerors shall include the “title” of the personnel submitted. Other commercial health care Offerors shall identify by title/position or level of experience the key personnel submitted. Also, renumber SUB-LINs if adding or removing Key Personnel.
The Contractor shall propose a minimum of five (5) key personnel to be credentialed and be available for scheduling to meet the requirements of the contract.
One FTE is defined by VA as a minimum of 80 hours every two weeks, 2,080 hours per year, and does not include holidays.
Base Ordering Period: May 1, 2021 – April 30, 2022
| LIN |
| SUB-LIN |
| Description |
| Est. Qty. |
| Unit |
| Unit Cost |
| Total |
Annual Cost
| 0001 |
| None |
| Certified Medical Laser Safety Officer (CLSO or CLSO-M assistant to operate Extracorporeal Shock Wave Lithotripsy with C-Arm |
| 200 Hours / Year |
| DO NOT PRICE |
| DO NOT PRICE |
| DO NOT PRICE |
| 0001a |
| Certified Medical Laser Safety Officer (CLSO or CLSO-M) assistant to operate Laser systems |
Name:
| 40 |
| hours |
| 0001b |
| Certified Medical Laser Safety Officer (CLSO or CLSO-M) assistant to operate Laser systems |
Name:
| 40 |
| hours |
| 0001c |
| Certified Medical Laser Safety Officer (CLSO or CLSO-M) assistant to operate Laser systems |
Name:
| 40 |
| hours |
| 0001d |
| Certified Medical Laser Safety Officer (CLSO or CLSO-M) assistant to operate Laser systems |
Name:
| 40 |
| hours |
| 0001e |
| Certified Medical Laser Safety Officer (CLSO or CLSO-M) assistant to operate Laser systems |
Name:
| 40 |
| hours |
LITHOTRIPSY SERVICES
| Lithotripsy Services for one-year period of performance |
| DO NOT PRICE |
| DO NOT PRICE |
| DO NOT PRICE |
| DO NOT PRICE |
| 0002a |
| Holmium Laser System, 20 watt: Laser, medium beam, 2100 nm wavelength, beam focusing mechanism, 650 nm wavelength diode laser visible red-aiming beam, American National Standards Institute (ANSI)-standard laser safety glasses and goggles, laser safety signs, delivery and set-up system, CLSO/CLSO-M-certified assistant to operate system. |
| 15 |
| Hour |
| $_______ |
| $_______ |
| 0002b |
| Holmium Laser System, 100 watt: Laser, medium beam, 2100 nm wavelength, beam focusing mechanism, 650 nm wavelength diode laser visible red-aiming beam, ANSI standards laser safety glasses and goggles, laser safety signs, delivery and set-up system, CLSO/CLSO-M-certified assistant to operate system. |
| 7 |
| Hour |
| $_______ |
| $_______ |
| 0002c |
| Green Light XPS Laser System, 180 watt: Laser with XPS Fiber, ANSI-standard laser safety glasses, laser safety signs and goggles, delivery and set-up system, CLSO/CLSO-M-certified assistant to operate system. |
| 25 |
| Hour |
| $_______ |
| $_______ |
| 0002d |
| Aura XP Laser System, 15 watt: Laser, 532 nm pulsed wavelength, fiber delivery system, ANSI-standard laser safety glasses and goggles, laser safety signs, delivery and set-up system, CLSO/CLSO-M-certified assistant to operate system. |
| 5 |
| Hour |
| $_______ |
| $_______ |
| 0002e |
| CO2 (Carbon Dioxide) Flex Fiber Laser System, 40 watt: Laser with 10.6 micron infrared wavelength, up to SmW red diode laser, 635 nm, fiber delivery system, ANSI standard laser safety glasses and goggles, laser safety signs, delivery and set-up system, CLSO/CLSO-M-certified assistant to operate system. |
| 5 |
| Hour |
| $_______ |
| $_______ |
| 0002f |
| CO2 (Carbon Dioxide) Laser System: Laser, free beam, 10,650 nm wavelength, continuous wave, ANSI-standard laser safety glasses and goggles, laser safety signs, delivery and set-up system, CLSO/CLSO-M-certified assistant to operate system. |
| 5 |
| Hour |
| $_______ |
| $_______ |
| 0002g |
| Extracorporeal Shock Wave Lithotripsy with C-Arm, CLSO/CLSO-M-certified assistant to operate system and appropriate fibers for this equipment |
| 15 |
| Hour |
| $_______ |
| $_______ |
HOLMIUM FIBERS
| Single use Holmium Fibers |
| DO NOT PRICE |
| DO NOT PRICE |
| DO NOT PRICE |
| DO NOT PRICE |
| 0003a |
| 150 – 300 Single use Holmium Fibers |
| 10 |
| Each |
| 0003b |
| 300 - 400 Single use Holmium Fibers |
| 10 |
| Each |
| 0003c |
| 550 Single use Holmium Fibers |
| 8 |
| Each |
| 0003d |
| 900 – 1,000 Single use Holmium Fibers |
| 8 |
| Each |
| 0003e |
| Holmium Fibers for the GreenLight XPS Laser System |
| 35 |
| Each |
| 0003f |
| Holmium Fibers for the Aura XP Laser System |
| 8 |
| Each |
| $_______ |
| 0003g |
| Holmium Fibers for the CO2 Flex Fiber Laser System |
| 7 |
| Each |
| $_______ |
| 0003h |
| Boston Scientific Xpeeda 550 DSL Fiber, Side-firing, Holmium Fiber |
| 20 |
| Each |
| $_______ |
| 0003i |
| Other Holmium Fiber approved for use during the term of this contract |
| 0 |
| Each |
| TBD |
| TBD |
| STAND BY REQUIREMENT |
| DO NOT PRICE |
| DO NOT PRICE |
| DO NOT PRICE |
| DO NOT PRICE |
| 0004 |
| None |
| Stand-by/Cancellation charges for items 1-7, above. If VA staff performing procedure determines that the use of the laser is not required, a stand-by/cancellation charge will be incurred when CLSO/CLSO-M- certified laser assistant and laser are in the Operating Room. |
| 35 |
| Night |
| $_______ |
| $_______ |
TOTAL ESTIMATED FOR BASE ORDERING PERIOD:
Ordering Period 1: May 1, 2022 – April 30, 2023
| LIN |
| SUB-LIN |
| Description |
| Est. Qty. |
| Unit |
| Unit Cost |
| Total |
Annual Cost
| 1001 |
| None |
| Certified Medical Laser Safety Officer (CLSO or CLSO-M assistant to operate Extracorporeal Shock Wave Lithotripsy with C-Arm |
| 200 Hours / Year |
| DO NOT PRICE |
| DO NOT PRICE |
| DO NOT PRICE |
| 1001a |
| Certified Medical Laser Safety Officer (CLSO or CLSO-M) assistant to operate Laser systems |
Name:
| 40 |
| hours |
| 1001b |
| Certified Medical Laser Safety Officer (CLSO or CLSO-M) assistant to operate Laser systems |
Name:
| 40 |
| hours |
| 1001c |
| Certified Medical Laser Safety Officer (CLSO or CLSO-M) assistant to operate Laser systems |
Name:
| 40 |
| hours |
| 1001d |
| Certified Medical Laser Safety Officer (CLSO or CLSO-M) assistant to operate Laser systems |
Name:
| 40 |
| hours |
| 1001e |
| Certified Medical Laser Safety Officer (CLSO or CLSO-M) assistant to operate Laser systems |
Name:
| 40 |
| hours |
| Lithotripsy Services for one-year period of performance |
| DO NOT PRICE |
| DO NOT PRICE |
| DO NOT PRICE |
| DO NOT PRICE |
| 1002a |
| Holmium Laser System, 20 watt: Laser, medium beam, 2100 nm wavelength, beam focusing mechanism, 650 nm wavelength diode laser visible red-aiming beam, American National Standards Institute (ANSI)-standard laser safety glasses and goggles, laser safety signs, delivery and set-up system, CLSO/CLSO-M-certified assistant to operate system. |
| 15 |
| Hour |
| $_______ |
| $_______ |
| 1002b |
| Holmium Laser System, 100 watt: Laser, medium beam, 2100 nm wavelength, beam focusing mechanism, 650 nm wavelength diode laser visible red-aiming beam, ANSI standards laser safety glasses and goggles, laser safety signs, delivery and set-up system, CLSO/CLSO-M-certified assistant to operate system. |
| 7 |
| Hour |
| $_______ |
| $_______ |
| 1002c |
| Green Light XPS Laser System, 180 watt: Laser with XPS Fiber, ANSI-standard laser safety glasses, laser safety signs and goggles, delivery and set-up system, CLSO/CLSO-M-certified assistant to operate system. |
| 25 |
| Hour |
| $_______ |
| $_______ |
| 1002d |
| Aura XP Laser System, 15 watt: Laser, 532 nm pulsed wavelength, fiber delivery system, ANSI-standard laser safety glasses and goggles, laser safety signs, delivery and set-up system, CLSO/CLSO-M-certified assistant to operate system. |
| 5 |
| Hour |
| $_______ |
| $_______ |
| 1002e |
| CO2 (Carbon Dioxide) Flex Fiber Laser System, 40 watt: Laser with 10.6 micron infrared wavelength, up to SmW red diode laser, 635 nm, fiber delivery system, ANSI standard laser safety glasses and goggles, laser safety signs, delivery and set-up system, CLSO/CLSO-M-certified assistant to operate system. |
| 5 |
| Hour |
| $_______ |
| $_______ |
| 1002f |
| CO2 (Carbon Dioxide) Laser System: Laser, free beam, 10,650 nm wavelength, continuous wave, ANSI-standard laser safety glasses and goggles, laser safety signs, delivery and set-up system, CLSO/CLSO-M-certified assistant to operate system. |
| 5 |
| Hour |
| $_______ |
| $_______ |
| 1002g |
| Extracorporeal Shock Wave Lithotripsy with C-Arm, CLSO/CLSO-M-certified assistant to operate system and appropriate fibers for this equipment |
| 15 |
| Hour |
| $_______ |
| $_______ |
| Single use Holmium Fibers |
| DO NOT PRICE |
| DO NOT PRICE |
| DO NOT PRICE |
| DO NOT PRICE |
| 1003a |
| 150 – 300 Single use Holmium Fibers |
| 10 |
| Each |
| 1003b |
| 300 - 400 Single use Holmium Fibers |
| 10 |
| Each |
| 1003c |
| 550 Single use Holmium Fibers |
| 8 |
| Each |
| 1003d |
| 900 – 1,000 Single use Holmium Fibers |
| 8 |
| Each |
| 1003e |
| Holmium Fibers for the GreenLight XPS Laser System |
| 35 |
| Each |
| 1003f |
| Holmium Fibers for the Aura XP Laser System |
| 8 |
| Each |
| 1003g |
| Holmium Fibers for the CO2 Flex Fiber Laser System |
| 7 |
| Each |
| 1003h |
| Boston Scientific Xpeeda 550 DSL Fiber, Side-firing, Holmium Fiber |
| 20 |
| Each |
| 1003i |
| Other Holmium Fiber approved for use during the term of this contract |
| 0 |
| Each |
| TBD |
| TBD |
| STAND BY REQUIREMENT |
| DO NOT PRICE |
| DO NOT PRICE |
| DO NOT PRICE |
| DO NOT PRICE |
| 1004 |
| None |
| Stand-by/Cancellation charges for items 1-7, above. If VA staff performing procedure determines that the use of the laser is not required, a stand-by/cancellation charge will be incurred when CLSO/CLSO-M- certified laser assistant and laser are in the Operating Room. |
| 35 |
| Night |
| $_______ |
| $_______ |
TOTAL ESTIMATED FOR ORDERING PERIOD 1:
Ordering Period 2: May 1, 2023 – April 30, 2024
| LIN |
| SUB-LIN |
| Description |
| Est. Qty. |
| Unit |
| Unit Cost |
| Total |
Annual Cost
| 2001 |
| None |
| Certified Medical Laser Safety Officer (CLSO or CLSO-M assistant to operate Extracorporeal Shock Wave Lithotripsy with C-Arm |
| 200 Hours / Year |
| DO NOT PRICE |
| DO NOT PRICE |
| DO NOT PRICE |
| 2001a |
| Certified Medical Laser Safety Officer (CLSO or CLSO-M) assistant to operate Laser systems |
Name:
| 40 |
| hours |
| 2001b |
| Certified Medical Laser Safety Officer (CLSO or CLSO-M) assistant to operate Laser systems |
Name:
| 40 |
| hours |
| 2001c |
| Certified Medical Laser Safety Officer (CLSO or CLSO-M) assistant to operate Laser systems |
Name:
| 40 |
| hours |
| 2001d |
| Certified Medical Laser Safety Officer (CLSO or CLSO-M) assistant to operate Laser systems |
Name:
| 40 |
| hours |
| 2001e |
| Certified Medical Laser Safety Officer (CLSO or CLSO-M) assistant to operate Laser systems |
Name:
| 40 |
| hours |
| Lithotripsy Services for one-year period of performance |
| DO NOT PRICE |
| DO NOT PRICE |
| DO NOT PRICE |
| DO NOT PRICE |
| 2002a |
| Holmium Laser System, 20 watt: Laser, medium beam, 2100 nm wavelength, beam focusing mechanism, 650 nm wavelength diode laser visible red-aiming beam, American National Standards Institute (ANSI)-standard laser safety glasses and goggles, laser safety signs, delivery and set-up system, CLSO/CLSO-M-certified assistant to operate system. |
| 15 |
| Hour |
| $_______ |
| $_______ |
| 2002b |
| Holmium Laser System, 100 watt: Laser, medium beam, 2100 nm wavelength, beam focusing mechanism, 650 nm wavelength diode laser visible red-aiming beam, ANSI standards laser safety glasses and goggles, laser safety signs, delivery and set-up system, CLSO/CLSO-M-certified assistant to operate system. |
| 7 |
| Hour |
| $_______ |
| $_______ |
| 2002c |
| Green Light XPS Laser System, 180 watt: Laser with XPS Fiber, ANSI-standard laser safety glasses, laser safety signs and goggles, delivery and set-up system, CLSO/CLSO-M-certified assistant to operate system. |
| 25 |
| Hour |
| $_______ |
| $_______ |
| 2002d |
| Aura XP Laser System, 15 watt: Laser, 532 nm pulsed wavelength, fiber delivery system, ANSI-standard laser safety glasses and goggles, laser safety signs, delivery and set-up system, CLSO/CLSO-M-certified assistant to operate system. |
| 5 |
| Hour |
| $_______ |
| $_______ |
| 2002e |
| CO2 (Carbon Dioxide) Flex Fiber Laser System, 40 watt: Laser with 10.6 micron infrared wavelength, up to SmW red diode laser, 635 nm, fiber delivery system, ANSI standard laser safety glasses and goggles, laser safety signs, delivery and set-up system, CLSO/CLSO-M-certified assistant to operate system. |
| 5 |
| Hour |
| $_______ |
| $_______ |
| 2002f |
| CO2 (Carbon Dioxide) Laser System: Laser, free beam, 10,650 nm wavelength, continuous wave, ANSI-standard laser safety glasses and goggles, laser safety signs, delivery and set-up system, CLSO/CLSO-M-certified assistant to operate system. |
| 5 |
| Hour |
| $_______ |
| $_______ |
| 2002g |
| Extracorporeal Shock Wave Lithotripsy with C-Arm, CLSO/CLSO-M-certified assistant to operate system and appropriate fibers for this equipment |
| 15 |
| Hour |
| $_______ |
| $_______ |
| Single use Holmium Fibers |
| DO NOT PRICE |
| DO NOT PRICE |
| DO NOT PRICE |
| DO NOT PRICE |
| 2003a |
| 150 – 300 Single use Holmium Fibers |
| 10 |
| Each |
| 2003b |
| 300 - 400 Single use Holmium Fibers |
| 10 |
| Each |
| 2003c |
| 550 Single use Holmium Fibers |
| 8 |
| Each |
| 2003d |
| 900 – 1,000 Single use Holmium Fibers |
| 8 |
| Each |
| 2003e |
| Holmium Fibers for the GreenLight XPS Laser System |
| 35 |
| Each |
| 2003f |
| Holmium Fibers for the Aura XP Laser System |
| 8 |
| Each |
| 2003g |
| Holmium Fibers for the CO2 Flex Fiber Laser System |
| 7 |
| Each |
| 2003h |
| Boston Scientific Xpeeda 550 DSL Fiber, Side-firing, Holmium Fiber |
| 20 |
| Each |
| 2003i |
| Other Holmium Fiber approved for use during the term of this contract |
| 0 |
| Each |
| TBD |
| TBD |
| STAND BY REQUIREMENT |
| DO NOT PRICE |
| DO NOT PRICE |
| DO NOT PRICE |
| DO NOT PRICE |
| 2004 |
| None |
| Stand-by/Cancellation charges for items 1-7, above. If VA staff performing procedure determines that the use of the laser is not required, a stand-by/cancellation charge will be incurred when CLSO/CLSO-M- certified laser assistant and laser are in the Operating Room. |
| 35 |
| Night |
| $_______ |
| $______ |
TOTAL ESTIMATED FOR ORDERING PERIOD 2:
Ordering Period 3: May 1, 2024 – April 30, 2025
| LIN |
| SUB-LIN |
| Description |
| Est. Qty. |
| Unit |
| Unit Cost |
| Total |
Annual Cost
| 3001 |
| None |
| Certified Medical Laser Safety Officer (CLSO or CLSO-M assistant to operate Extracorporeal Shock Wave Lithotripsy with C-Arm |
| 200 Hours / Year |
| DO NOT PRICE |
| DO NOT PRICE |
| DO NOT PRICE |
| 3001a |
| Certified Medical Laser Safety Officer (CLSO or CLSO-M) assistant to operate Laser systems |
Name:
| 40 |
| hours |
| 3001b |
| Certified Medical Laser Safety Officer (CLSO or CLSO-M) assistant to operate Laser systems |
Name:
| 40 |
| hours |
| 3001c |
| Certified Medical Laser Safety Officer (CLSO or CLSO-M) assistant to operate Laser systems |
Name:
| 40 |
| hours |
| 3001d |
| Certified Medical Laser Safety Officer (CLSO or CLSO-M) assistant to operate Laser systems |
Name:
| 40 |
| hours |
| 3001e |
| Certified Medical Laser Safety Officer (CLSO or CLSO-M) assistant to operate Laser systems |
Name:
| 40 |
| hours |
| Lithotripsy Services for one-year period of performance |
| DO NOT PRICE |
| DO NOT PRICE |
| DO NOT PRICE |
| DO NOT PRICE |
| 3002a |
| Holmium Laser System, 20 watt: Laser, medium beam, 2100 nm wavelength, beam focusing mechanism, 650 nm wavelength diode laser visible red-aiming beam, American National Standards Institute (ANSI)-standard laser safety glasses and goggles, laser safety signs, delivery and set-up system, CLSO/CLSO-M-certified assistant to operate system. |
| 15 |
| Hour |
| $_______ |
| $______ |
| 3002b |
| Holmium Laser System, 100 watt: Laser, medium beam, 2100 nm wavelength, beam focusing mechanism, 650 nm wavelength diode laser visible red-aiming beam, ANSI standards laser safety glasses and goggles, laser safety signs, delivery and set-up system, CLSO/CLSO-M-certified assistant to operate system. |
| 7 |
| Hour |
| $_______ |
| $______ |
| 3002c |
| Green Light XPS Laser System, 180 watt: Laser with XPS Fiber, ANSI-standard laser safety glasses, laser safety signs and goggles, delivery and set-up system, CLSO/CLSO-M-certified assistant to operate system. |
| 25 |
| Hour |
| $_______ |
| $______ |
| 3002d |
| Aura XP Laser System, 15 watt: Laser, 532 nm pulsed wavelength, fiber delivery system, ANSI-standard laser safety glasses and goggles, laser safety signs, delivery and set-up system, CLSO/CLSO-M-certified assistant to operate system. |
| 5 |
| Hour |
| $_______ |
| $______ |
| 3002e |
| CO2 (Carbon Dioxide) Flex Fiber Laser System, 40 watt: Laser with 10.6 micron infrared wavelength, up to SmW red diode laser, 635 nm, fiber delivery system, ANSI standard laser safety glasses and goggles, laser safety signs, delivery and set-up system, CLSO/CLSO-M-certified assistant to operate system. |
| 5 |
| Hour |
| $_______ |
| $______ |
| 3002f |
| CO2 (Carbon Dioxide) Laser System: Laser, free beam, 10,650 nm wavelength, continuous wave, ANSI-standard laser safety glasses and goggles, laser safety signs, delivery and set-up system, CLSO/CLSO-M-certified assistant to operate system. |
| 5 |
| Hour |
| $_______ |
| $______ |
| 3002g |
| Extracorporeal Shock Wave Lithotripsy with C-Arm, CLSO/CLSO-M-certified assistant to operate system and appropriate fibers for this equipment |
| 15 |
| Hour |
| $_______ |
| $______ |
| Single use Holmium Fibers |
| DO NOT PRICE |
| DO NOT PRICE |
| DO NOT PRICE |
| DO NOT PRICE |
| 3003a |
| 150 – 300 Single use Holmium Fibers |
| 10 |
| Each |
| 3003b |
| 300 - 400 Single use Holmium Fibers |
| 10 |
| Each |
| 3003c |
| 550 Single use Holmium Fibers |
| 8 |
| Each |
| 3003d |
| 900 – 1,000 Single use Holmium Fibers |
| 8 |
| Each |
| 3003e |
| Holmium Fibers for the GreenLight XPS Laser System |
| 35 |
| Each |
| 3003f |
| Holmium Fibers for the Aura XP Laser System |
| 8 |
| Each |
| 3003g |
| Holmium Fibers for the CO2 Flex Fiber Laser System |
| 7 |
| Each |
| 3003h |
| Boston Scientific Xpeeda 550 DSL Fiber, Side-firing, Holmium Fiber |
| 20 |
| Each |
| 3003i |
| Other Holmium Fiber approved for use during the term of this contract |
| 0 |
| Each |
| TBD |
| TBD |
| STAND BY REQUIREMENT |
| DO NOT PRICE |
| DO NOT PRICE |
| DO NOT PRICE |
| DO NOT PRICE |
| 3004 |
| None |
| Stand-by/Cancellation charges for items 1-7, above. If VA staff performing procedure determines that the use of the laser is not required, a stand-by/cancellation charge will be incurred when CLSO/CLSO-M- certified laser assistant and laser are in the Operating Room. |
| 35 |
| Night |
| $_______ |
| $______ |
TOTAL ESTIMATED FOR ORDERING PERIOD 3:
Ordering Period 4: May 1, 2025 – April 30, 2026
| LIN |
| SUB-LIN |
| Description |
| Est. Qty. |
| Unit |
| Unit Cost |
| Total |
Annual Cost
| 4001 |
| None |
| Certified Medical Laser Safety Officer (CLSO or CLSO-M assistant to operate Extracorporeal Shock Wave Lithotripsy with C-Arm |
| 200 Hours / Year |
| DO NOT PRICE |
| DO NOT PRICE |
| DO NOT PRICE |
| 4001a |
| Certified Medical Laser Safety Officer (CLSO or CLSO-M) assistant to operate Laser systems |
Name:
| 40 |
| hours |
| 4001b |
| Certified Medical Laser Safety Officer (CLSO or CLSO-M) assistant to operate Laser systems |
Name:
| 40 |
| hours |
| 4001c |
| Certified Medical Laser Safety Officer (CLSO or CLSO-M) assistant to operate Laser systems |
Name:
| 40 |
| hours |
| 4001d |
| Certified Medical Laser Safety Officer (CLSO or CLSO-M) assistant to operate Laser systems |
Name:
| 40 |
| hours |
| 4001e |
| Certified Medical Laser Safety Officer (CLSO or CLSO-M) assistant to operate Laser systems |
Name:
| 40 |
| hours |
| Lithotripsy Services for one-year period of performance |
| DO NOT PRICE |
| DO NOT PRICE |
| DO NOT PRICE |
| DO NOT PRICE |
| 4002a |
| Holmium Laser System, 20 watt: Laser, medium beam, 2100 nm wavelength, beam focusing mechanism, 650 nm wavelength diode laser visible red-aiming beam, American National Standards Institute (ANSI)-standard laser safety glasses and goggles, laser safety signs, delivery and set-up system, CLSO/CLSO-M-certified assistant to operate system. |
| 15 |
| Hour |
| $_______ |
| $_______ |
| 4002b |
| Holmium Laser System, 100 watt: Laser, medium beam, 2100 nm wavelength, beam focusing mechanism, 650 nm wavelength diode laser visible red-aiming beam, ANSI standards laser safety glasses and goggles, laser safety signs, delivery and set-up system, CLSO/CLSO-M-certified assistant to operate system. |
| 7 |
| Hour |
| $_______ |
| $_______ |
| 4002c |
| Green Light XPS Laser System, 180 watt: Laser with XPS Fiber, ANSI-standard laser safety glasses, laser safety signs and goggles, delivery and set-up system, CLSO/CLSO-M-certified assistant to operate system. |
| 25 |
| Hour |
| $_______ |
| $_______ |
| 4002d |
| Aura XP Laser System, 15 watt: Laser, 532 nm pulsed wavelength, fiber delivery system, ANSI-standard laser safety glasses and goggles, laser safety signs, delivery and set-up system, CLSO/CLSO-M-certified assistant to operate system. |
| 5 |
| Hour |
| $_______ |
| $_______ |
| 4002e |
| CO2 (Carbon Dioxide) Flex Fiber Laser System, 40 watt: Laser with 10.6 micron infrared wavelength, up to SmW red diode laser, 635 nm, fiber delivery system, ANSI standard laser safety glasses and goggles, laser safety signs, delivery and set-up system, CLSO/CLSO-M-certified assistant to operate system. |
| 5 |
| Hour |
| $_______ |
| $_______ |
| 4002f |
| CO2 (Carbon Dioxide) Laser System: Laser, free beam, 10,650 nm wavelength, continuous wave, ANSI-standard laser safety glasses and goggles, laser safety signs, delivery and set-up system, CLSO/CLSO-M-certified assistant to operate system. |
| 5 |
| Hour |
| $_______ |
| $_______ |
| 4002g |
| Extracorporeal Shock Wave Lithotripsy with C-Arm, CLSO/CLSO-M-certified assistant to operate system and appropriate fibers for this equipment |
| 15 |
| Hour |
| $_______ |
| $_______ |
| Single use Holmium Fibers |
| DO NOT PRICE |
| DO NOT PRICE |
| DO NOT PRICE |
| DO NOT PRICE |
| 4003a |
| 150 – 300 Single use Holmium Fibers |
| 10 |
| Each |
| 4003b |
| 300 - 400 Single use Holmium Fibers |
| 10 |
| Each |
| 4003c |
| 550 Single use Holmium Fibers |
| 8 |
| Each |
| 4003d |
| 900 – 1,000 Single use Holmium Fibers |
| 8 |
| Each |
| 4003e |
| Holmium Fibers for the GreenLight XPS Laser System |
| 35 |
| Each |
| 4003f |
| Holmium Fibers for the Aura XP Laser System |
| 8 |
| Each |
| 4003g |
| Holmium Fibers for the CO2 Flex Fiber Laser System |
| 7 |
| Each |
| 4003h |
| Boston Scientific Xpeeda 550 DSL Fiber, Side-firing, Holmium Fiber |
| 20 |
| Each |
| 4003i |
| Other Holmium Fiber approved for use during the term of this contract |
| 0 |
| Each |
| TBD |
| TBD |
| STAND BY REQUIREMENT |
| DO NOT PRICE |
| DO NOT PRICE |
| DO NOT PRICE |
| DO NOT PRICE |
| 4004 |
| None |
| Stand-by/Cancellation charges for items 1-7, above. If VA staff performing procedure determines that the use of the laser is not required, a stand-by/cancellation charge will be incurred when CLSO/CLSO-M- certified laser assistant and laser are in the Operating Room. |
| 35 |
| Night |
| $_______ |
| $_______ |
TOTAL ESTIMATED FOR ORDERING PERIOD 4:
TOTAL ESTIMATED PRICE FOR ALL ORDERING PERIODS: $__________________
The contract period of performance is May 1, 2021 through April 30, 2026. One base ordering period plus 4 one-year ordering periods.
This contract is a fixed price Indefinite Delivery – Indefinite Quantity contract. The guaranteed contact minimum is $350,000.00 and the contract maximum is $2,140,000.00.
ORDERS: This is a Firm Price (FP) Indefinite Delivery/Indefinite Quantity (IDIQ) contract (see FAR 52.216-22). The Task Order for the base ordering period will be awarded at the time of contract and all other Task Orders will be awarded annually. The Task Orders shall specify the estimated quantities of services for each period of performance and shall comply with FAR 52.216-18 and 52.216-19. A funded Task Orders (TO) may only be awarded and issued by a warranted Contracting Officer (CO). Any changes to this contract may only be made by a written modification which is formally executed between the contractor and the CO.
Task Order Procedures
a. This contract type allows the Veteran Affairs Network Contracting Office (NCO 9) contracting officers to place orders with the contractor on an as needed basis. In accordance with the Federal Acquisition Regulation (FAR) Clauses 52.216-18, Ordering. NCO 9 will obligate the funding and order the services by issuing a Task Order which will cover individual performance periods.
b. A Task Order shall be issued to the contractor when mobile lithotripsy laser equipment and services are required. One task order may be issued for all line items if necessary or the Government may issue a task order for only one-line item depending on the Government’s need.
c. The contractor shall initiate work when so directed by a Task Order issued by the Contracting Officer. No work shall be performed unless specifically authorized by the contracting officer. The contractor shall not exceed the estimated task order amount or change the task order without prior written approval of the Contracting Officer.
d. In event the contractor is unable to fulfill the task order requirements; the government reserves the right to fulfill its need outside of this contract. A written confirmation from the contractor indicating the inability to fulfill the task order is immediately required. The estimated dollar amount on the unfilled task order will be applied to the minimum quantity. The government’s right to fulfill its need outside this contract does not waive its right to the issuance of a cure notice nor does it waive its right to terminate for default.
Task Order Issuance Procedure. The terms that apply to the issuance of Task Orders under this contract are set forth below:
Task Order Pricing Task Order prices shall be Fixed-Price (FP) as agreed to in the IDIQ pricing schedule and individually funded. The Unit Price is an all-inclusive cost.
Task Order Performance Period When mobile lithotripsy laser equipment and services are needed and a Task Order is issued, each Task Order shall have an established period of performance or delivery date. Individual Task Orders shall not exceed a 12-month period.
PERFORMANCE WORK STATEMENT
MOBILE LITHOTRIPSY LASER EQUIPMENT & SERVICES
JAMES H. QUILLEN VA MEDICAL CENTER
MOUNTAIN HOME, TENNESSEE
James H. Quillen VAMC has a need for the provision of Urological Services. Contractor shall provide rental of surgical subspecialty laser equipment, factory-trained Certified Medical Laser Safety Officer (CLSO or CLSO-M), and laser fibers for all lasers for the Operating Room and Emergency Room at James H. Quillen VA Medical Center (JHQVAMC), Corner of Veterans Way & Lamont Street, Mountain Home, TN 37684.
The required equipment shall be as follows: a) Holmium: Lasers (both 20 watt & 100 watt) as back-up units in the event the VA-owned Holmium Laser is unavailable; b) Green Light XPS Laser System (180 watt); c) Aura XP Laser System; d) CO2 Flex Fiber Laser System; and e) CO2 Laser System Free Beam. The CLSO/CLSO-M shall be required to use the VA-owned Holmium Laser (100 watt) and fibers manufactured specifically for use with this laser. In the event the VA-owned Holmium Laser is not available (e.g., out for preventative maintenance or repair), The CLSO/CLSO-M shall be required to use the contractor-owned Holmium Lasers with the manufacturer-specified fibers. The contractor will provide the laser fibers for all procedures. Under no circumstances are third-party manufactured fibers to be used at JHQVAMC with either the VA-owned or contractor-owned Holmium Lasers in accordance with all terms, conditions, provisions, and the schedule of this solicitation
A. SCHEDULE OF SUPPLIES/SERVICES
a. SCOPE OF WORK: The contractor shall provide the following equipment, or approved equal, on a case-by-case, as needed, basis:
(1) Mobile Lithotripsy Services, to include rental of surgical subspecialty laser equipment, Extracorporeal Shock Wave Lithotripsy equipment, and factory-trained Certified Medical Laser Safety Officer (CLSO or CLSO-M) necessary to perform on-site Mobile Lithotripsy Services to eligible beneficiaries of the Department of Veterans Affairs, James H. Quillen VA Medical Center (hereinafter referred to as VAMC or JHQ VAMC). The services provided would be same as those provided in a state-of-the-art civilian medical treatment facility and the standard of care shall be of a quality, meeting or exceeding, currently recognized national standards as established by the American Registry of Radiologic Technologists (ARRT)
(2) Holmium Laser System, 20-watt: Laser, medium beam, 2100 nm wavelength, beam-focusing mechanism, 650 nm wavelength diode laser visible red-aiming beam, American National Standards Institute (ANSI)-standard laser safety glasses and goggles, laser safety signs, delivery and set-up system, CLSO/CLSO-M to operate system.
(3) Holmium Laser System, 100-watt: Laser, medium beam, 2100 nm wavelength, beam-focusing mechanism, 650 nm wavelength diode laser visible red-aiming beam, ANSI-standards laser safety glasses and goggles, laser safety signs, delivery and set-up system, CLSO/CLSO-M to operate system.
(4) Green Light XPS Laser System, 180-watt: Laser with XPS Fiber, ANSI-standard laser safety glasses, laser safety signs and goggles, delivery and set-up system, CLSO/CLSO-M to operate system.
(5) Aura XP Laser System, 15-watt: Laser, 532 nm pulsed wavelength, fiber delivery system, ANSI-standard laser safety glasses and goggles, laser safety signs, delivery and set-up system, CLSO/CLSO-M to operate system.
(6) CO2 (Carbon Dioxide) Flex Fiber Laser System, 40-watt: Laser with 10.6 micron infrared wavelength, up to 5mW red diode laser, 635 nm, fiber delivery system, ANSI-standard laser safety glasses and goggles, laser safety signs, delivery and set-up system, CLSO/CLSO-M to operate system.
(7) CO2 (Carbon Dioxide) Laser System: Laser, free beam, 10,650 nm wavelength, continuous wave, ANSI-standard laser safety glasses and goggles, laser safety signs, delivery and set-up system, CLSO/CLSO-M to operate system.
(8) CLSO/CLSO-M to operate VA-owned 100-watt Holmium Laser with VA-purchased fibers.
(9) Stand-by/Cancellation charges for items 1-7, above. If VA physician performing procedure determines that the use of the laser is not required, a stand-by/cancellation charge will be incurred when CLSO/CLSO-M and laser are in the Operating Room.
(10) One or more types of laser with associated CLSO/CLSO-M may be requested by the facility for procedures scheduled at the same time on the same date. The Contractor will be expected to notify the facility as soon as possible if they are unable to provide more than one CLSO/CLSO-M and laser for procedures scheduled at the same time.
b. PERSONNEL QUALIFICATIONS/EXPERIENCE CRITERIA: CLSO/CLSO-M(s) performing the services covered by this contract shall be factory-trained and shall present a record of credentials and competencies for approval, to be placed on file in the Operating Room. The qualifications of the CLSO/CLSO-M(s) shall be subject to review by the JHQVAMC Attending, and approval by the JHQVAMC Chief of Surgery Service. The Contracting Officer will be notified prior to any changes in personnel. VA reserves the right to approve or disapprove the assignment of individual personnel furnished by the contractor to perform the functions specified in the task order. The personnel assigned by the contractor must complete VA credentialing process as required.
Personnel assigned by the contractor to perform the services must be U.S. Citizens and have current licensure/certification in good standing with the U.S.
Personnel assigned by the contractor to perform the services covered by this task order shall be proficient in written and spoken English (38 USC 7402).
Services shall be provided immediately after notice of contract award and upon completion of all required Credentialing and Background Investigations (as applicable).
The contracted individual will be required to show two proofs of identification on their first day of work. Acceptable proof of identification is as follows:
Acceptable PICTURE IDs:
· State-Issued Driver’s License
· State DMV-Issued ID Card
· US Passport
· Military ID/Dependents Card
· Foreign Passport
· Permanent Resident Card/Alien
· Registration Card w/Photo Acceptable NON-PICTURE IDs:
· Social Security Card
· Certified Birth Certificate
· State Voter Registration Card
· Native American Tribal Document
· Certificate of U.S. Citizenship
· Certificate of Birth Abroad Issued by Department of State
Credentials Requested: The CLSO/CLSO-M will be required to complete credentialing during this assignment. An application package will be provided by the VA to be completed by the candidate. This includes curriculum vitae, current references, signed release of information from candidate and statement that candidate does not have any physical or mental health condition that would adversely affect his/her ability to carry out assigned duties, and additional credentialing forms. Candidate will also be required to make application through the VETPRO Internet process. Candidate shall need to be enrolled in VETPRO by VA personnel. The website address is: https://fcp.vetpro.org. Our facility ID number is: 0621
c. PERSONNEL QUALIFICATION SUBMITTAL: The contractor will submit the qualifications of the CLSO/CLSO-M(s) proposed to perform services under this contract. The Contracting Officer shall notify the contractor of acceptance or unacceptability within five (5) calendar days of receipt of submittal, based on the contents evidencing that all qualification requirements are met. The contractor shall ensure that all qualifying criteria outlined in this section have been met, to include current and valid licenses and certifications. The submittal shall consist of: (1) Name, social security number, date of birth, and copy of the Curriculum Vitae; (2) documentation of education and training; (3) copy of any license(s) which includes number and expiration date; (4) copy of certifications; and (5) Infection Control test results as specified in Section h.
| d. PERSONNEL POLICY: The parties agree that the contractor’s CLSO/CLSO-M(s) shall not be considered JHQVAMC employees for any purpose and shall be considered to be employed by the contractor. The Contractor shall be responsible for providing the following for their own protection: | |
| (1) Worker’s Compensation Insurance | |
| (2) Professional Liability Insurance | |
| (3) Health Examinations | |
| (4) Income Tax Withholding | |
| (5) Social Security Payments |
e. CONTRACTOR RESPONSIBILITY: The Contractor shall perform services under the direction of the JHQVAMC Chief of Staff, the Chief of Surgery Service, and JHQVAMC Attending Surgeon.
In the event laser equipment and services have to be provided on an urgent or emergent basis during off-duty hours or national holidays, the contractor is required to respond telephonically within 15 minutes of receiving the call and must be in-house within two (2) hours of the original page or telephone call to provide laser equipment and services at JHQVAMC. JHQVAMC will make every attempt to notify the Contractor within 24 hours when procedures are cancelled and/or rescheduled to release the contract employee. Contractor will make every effort to maintain consistency of assigned staff at the VA at all times for training, security, and continuity purposes.
The CLSO/CLSO-M must self-enroll in the Talent Management System (TMS) at www.tms.va.gov and notify the COR when self-enrollment is complete. Contracted employees annually complete the following mandatory TMS modules:
- TMS Module 10203, Privacy and HIPAA Focused Training
- TMS Module 10176, VA Privacy and Information Security Awareness and Rules of Behavior.
- TMS Module 7318, VHA CO Compliance and Business Integrity (CBI) Awareness Training
- TMS Module 3855743, Code Blue Procedures
- TMS Module 3978416, Occupational Safety, Health and Fire Protection Program
- TMS Module 3844813, Bloodborne Pathogens and Tuberculosis Exposure Training
- TMS Module 3836886, Emergency Operations
- TMS Module 3870605, VHA Minimizing Risk for Fluoroscopic X-Ray
- TMS Module 3890386, Fire Safety in the OR
| The Contractor shall provide scheduled services throughout the contract period. |
| The Contractor shall follow all existing local, state, federal and/or union laws/regulations. |
| Patient Safety incidents must be reported immediately (within 24 hours) to the Patient Safety Officer. |
The Government reserves the right to refuse acceptance of the Contractor if personal or professional conduct jeopardizes patient care or interferes with the regular and ordinary operation of JHQVAMC. Breaches of conduct include intoxication or debilitation resulting from drug use, theft, patient abuse, dereliction or negligence in performing directed tasks, or other conduct resulting in formal complaints by patient or other staff members to designated Government representative. Standards for conduct shall mirror those prescribed by current federal personnel regulations. The Contracting Officer and COR shall deal with issues raised concerning contract personnel’s conduct. The final arbiter on questions of acceptability is the Contracting Officer.
The Contracting Officer shall resolve complaints concerning Contractor relations with the Government employees or patients. The Contracting Officer is the final authority on validating complaints. In the event that the Contractor is involved and named in a validated patient complaint, the Government reserves the right to refuse acceptance of the services of such personnel. This does not preclude refusal in the event of incidents involving physical or verbal abuse.
f. QUALITY ASSURANCE: The Contract laser assistant shall be subject to the same quality assurance standards meeting or exceeding current recognized national standards as established by The Joint Commission (TJC). The contractor shall perform services in accordance with established principles and ethics of the nursing profession established by TJC and Veterans Health Administration (VHA) regulations. The Contractor shall be technically proficient in the skills necessary to fulfill the Government’s requirements, to include the ability to speak, understand, read and write English fluently. The Contractor shall be responsible for compliance with all applicable JHQVAMC written policies and procedures. The Contractor shall not introduce new procedures or services without prior recommendation to, and approval of, JHQVAMC or authorized representative and the Contracting Officer Representative (COR).
g. INFECTION CONTROL REQUIREMENTS:
(1) Health Tests: Upon JHQVAMC request, contractor personnel shall provide proof of the following tests within five (5) days prior to first duty shift. Tests shall be current within the past year:
(a) Tuberculosis Testing - All contractor personnel shall provide proof of a negative reaction to Purified Protein Derivative (PPD) testing. A negative chest radiographic report for active tuberculosis shall be provided in cases of positive PPD results. The PPD test shall be repeated annually.
(b) Rubella Tests - All contractor personnel shall provide proof of immunization for varicella, measles, mumps, and rubella or a rubella titer of 1.8 or greater. If the titer is less than 1.8, a rubella immunization must be administered with follow-up documentation to the COR.
(2) OSHA Regulation Concerning Occupational Exposure to Bloodborne Pathogens: The contractor shall provide the Hepatitis B vaccination series at no cost to its personnel who elect to receive it; maintain and distribute an exposure determination and control plan to its personnel; maintain required records; and ensure that proper follow-up evaluation is provided following an exposure incident.
(3) Communicable Disease Exposure: JHQVAMC shall notify the Contractor of any significant communicable disease exposures as appropriate. The Contractor shall adhere to current CDC/HICPAC Guideline for Infection Control in health care personnel (AJIC 1998; 26:289-354) for disease control. The Contractor shall provide follow-up documentation of clearance to return to the workplace prior to their return.
h. RECORD KEEPING: JHQVAMC shall establish and maintain a record-keeping system that shall record the services performed by the Contractor. The Contractor shall report to the COR or designee upon arrival at JHQVAMC.
i. CERTIFICATIONS: Annually at the time of issuance of the Task Order for the next performance period, contractor will provide to the COR the following documents for all assistants performing services under this contract:
1. Current copy of their Laser Certification.
2. Current copy of their Laser Competency Form.
3. Current company background check.
4. Current drug test certification.
5. Current infection control requirement test results.
j. QUALITY IMPROVEMENT: The Government may evaluate the quality of professional and administrative services provided, but retains no control over the medical, professional aspects of services rendered, e.g., professional judgments, diagnosis for specific medical treatment, in accordance with Federal Acquisition Regulation (FAR) 37.401(b).
k. TERM OF CONTRACT: This contract is effective May 1, 2021 through April 30, 2026 with
(4) 1-year ordering periods. The contract is subject to the availability of VA funds. The Contractor shall perform no services after April 30, each year until the contracting office authorizes such services in writing.
l. VA RESPONSIBILITY: JHQVAMC personnel shall brief Contractor on JHQVAMC policies and procedures on the first scheduled duty day.
The Contractor rendering services is subject to professional or technical direction from the Attending Surgeon, OR staff and COR.
The VA shall provide the Contractor the name, title, and telephone number of the COR at the time of contract award.
The Contractor shall, in writing, keep the Contracting Officer informed of any unusual circumstances in conjunction with the contract.
Contract rate is all-inclusive of all incidental costs including housing, transportation and premium payments for applicable malpractice insurance coverage for all required services for the contract period.
m. INSPECTION: The JHQVAMC Biomedical Engineering staff will inspect the laser equipment upon each set-up in the OR, prior to the first procedure. The contractor staff is to have a current Preventative Maintenance (PM) inspection sheet with them when they arrive with the equipment. If they do not, then a copy must be faxed to JHQVAMC Surgery Service prior to the first case (FAX number: 423-979-2696).
n. BADGES: The Contractor is required to wear I.D. badge during the entire time they are on JHQVAMC grounds. I.D. badge MUST have an identification picture and shall be issued by JHQVAMC.
o. NO SMOKING POLICY: Smoking is strictly prohibited on VA property.
p. PERSONAL IDENTIFIABLE INFORMATION: Contractor shall not remove personal identifiable information (e.g., full name, social security number, date of birth, etc.) from JHQVAMC. Limited information for invoicing purposes only (first initial, last name) may be removed.
q. PAYMENT: Contractor’s employee must be present at the VA facility and must be actually performing the required services for the period specified within the contract. The contractor may only bill for services rendered and performed at the VA facility during each billing cycle. The payment for any applicable leave, to include sick leave, annual leave, administrative leave, and holidays, are the responsibility of the Contractor. Contractor will be required to furnish an itemized invoice listing each contract employee for the period of service covered. Invoices may be submitted as of the last day of each month, but no later than the 10th day of the following month services were provided.
All invoices shall include:
· Name and Address of Contractor
· Invoice Date and Invoice Number
· FSS Contract Number and Purchase/Task Order Number
· Date of Service
· Name of Lithotripsy Technologist(s) (Contractor’s employee(s))
· Hourly Rate (if applicable)
· Quantity of hours worked
· Total price
· Patient procedure performed on and date of procedure Vendor Electronic Invoice Submission Methods Facsimile, e-mail, and scanned documents are not acceptable forms of submission for payment requests. Electronic form means an automated system transmitting information electronically according to the accepted electronic data transmission methods as follows:
VA’s Electronic Invoice Presentment and Payment System – The VA Financial Service Center (FSC) uses a third-party contractor, OB10, to transition vendors from paper to electronic invoice submission. Please go to this website: http://ob10.com/us/en/veterans-affairs-us/ to begin submitting electronic invoices, free of charge.
A system that conforms to the X12 electronic data interchange (EDI) formats established by the Accredited Standards Center (ASC) chartered by the American National Standards Institute (ANSI).The X12 EDI Web site (http://www.x12.org).
The Contractor may contact FSC at the phone number or email address listed below with any questions about the e-invoicing program or OB10:
OB10 e-Invoice Setup Information: 1-877-489-6135 OB10 e-Invoice email: VA.Registration@ob10.com FSC e-Invoice Contact Information: 1-877-353-9791 FSC e-invoice email: vafsccshd@va.gov Place of Performance/Place of Delivery
| Address: |
| Corner of Lamont & Veterans Way, |
Mtn Home, TN
| Postal Code: |
| 37684 |
| Country: |
| UNITED STATES |
The full text of FAR provisions or clauses may be accessed electronically at http://acquisition.gov/comp/far/index.html.
The following solicitation provisions apply to this acquisition:
1. FAR 52.212-1, Instructions to Offerors–Commercial Items JUN 2020 Addendum to 52.212-1 INSTRUCTIONS TO OFFERORS - COMMERCIAL All quoters shall submit the following:
A. Contract Administration Data B. Price/Cost Schedule C. Training and CLSO/CLSO-M certifications D. Current copy of Laser Certification.
E. Current copy of Laser Competency form.
F. Current company background check.
G. Current drug test certification.
H. Current infection control requirement test results.
I. Past Performance Survey
2. FAR 52.212-2, Evaluation – Simplified Acquisition Procedures OCT 2014
52.212-2 EVALUATION—SIMPLIFIED ACQUISITION PROCEDURES
(a) Basis for Award. The Government will issue a purchase order to the responsible quoter whose quotation conforming to the solicitation will be most advantageous to the Government, price and other factors considered.
(b) The following factors shall be used to evaluate quotations:
| (1) | Technical or Quality |
| (2) | Past Performance |
| (3) | Price |
(c) Evaluation Approach. The Government will evaluate quotations using the comparative evaluation process outlined in FAR 13.106-2 (b) (3), where quotations will be compared to one another to determine which provides the best benefit to the Government. The Government reserves the right to consider a quotation other than the lowest price that provides additional benefit(s). Quotations may exceed minimum requirements of the solicitation. The Government reserves the right to select a quotation that provides benefit to the Government that exceeds the minimum requirements of the solicitation but is not required to do so. Each response must meet the minimum requirements of the solicitation. The Government is not requesting or accepting alternate quotations.
The evaluation will consider the following:
FACTOR 1: Technical or Quality The quotation will be evaluated to the extent to which it can meet and/or exceed the Government’s requirements as outlined in the solicitation. In support of the requirements of the Performance Work Statement, offerors are instructed to provide the following documentation for evaluation:
· Current copy of Laser Certification.
· Current copy of Laser Competency Form.
· Current company background check.
· Current drug test certification.
· Current infection control requirement test results.
FACTOR 2: Past Performance The past performance evaluation will assess the relative risks associated with a quoter’s likelihood of success in fulfilling the solicitation’s requirements as indicated by the quoter’s record of past performance. The past performance evaluation may be based on the contracting officer’s knowledge of and previous experience with the supply or service being acquired; Customer surveys, and past performance questionnaire replies; Contractor Performance Assessment Reporting System (CPARS) at http://www.cpars.gov/; or any other reasonable basis.
Offeror’s are reminded to provide the Past Performance sheets to three (3) business references who have first-hand knowledge of performance relative to the same type of services, dates of contract performance, and a total contract amount. Your current, within 3 years, business reference should send this form to Dewana Raynor, Contracting Officer, at dewana.raynor@va.gov, no later than March 31, 2021.
FACTOR 3: Price The Government will evaluate the price by adding the total of all line item prices, including all options. The Total Evaluated Price will be that sum.
(d) Ordering Periods. The Government will evaluate quotations for award purposes by adding the total price for all ordering periods to the total price for the basic requirement. The Government may determine that an offer is unacceptable if the ordering period prices are significantly unbalanced. Evaluation of ordering periods shall not obligate the Government to execute a task order.
(e) A written notice of award or acceptance of an offer, mailed or otherwise furnished to the successful offeror within the time for acceptance specified in the offer, shall result in a binding contract without further action by either party.
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