36C25018Q9660-001.docx

36C25018Q9660

PAGE 1 OF

1. REQUISITION NO.

2. CONTRACT NO.

3. AWARD/EFFECTIVE DATE

4. ORDER NO.

5. SOLICITATION NUMBER

6. SOLICITATION ISSUE DATE

a. NAME

b. TELEPHONE NO. (No Collect Calls)

8. OFFER DUE DATE/LOCAL

TIME

9. ISSUED BY

CODE

10. THIS ACQUISITION IS

UNRESTRICTED OR

SET ASIDE:

% FOR:

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

8(A)

NAICS:

SIZE STANDARD:

11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

13b. RATING

14. METHOD OF SOLICITATION

RFQ

IFB

RFP

15. DELIVER TO

CODE

16. ADMINISTERED BY

CODE

17a. CONTRACTOR/OFFEROR

CODE

FACILITY CODE

18a. PAYMENT WILL BE MADE BY

CODE

TELEPHONE NO.

DUNS:

DUNS+4:

PHONE:

FAX:

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER 18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW IS CHECKED

SEE ADDENDUM

19.

20.

21.

22.

23.

24.

ITEM NO.

SCHEDULE OF SUPPLIES/SERVICES

QUANTITY

UNIT

UNIT PRICE

AMOUNT

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

25. ACCOUNTING AND APPROPRIATION DATA

26. TOTAL AWARD AMOUNT (For Govt. Use Only) 27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA

ARE

ARE NOT ATTACHED.

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA

ARE

ARE NOT ATTACHED

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN _______________

29. AWARD OF CONTRACT: REF. ___________________________________ OFFER

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

DATED ________________________________. YOUR OFFER ON SOLICITATION

DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY

(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED

SET FORTH HEREIN IS ACCEPTED AS TO ITEMS:

30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER) 30b. NAME AND TITLE OF SIGNER (TYPE OR PRINT) 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (TYPE OR PRINT) 31c. DATE SIGNED

AUTHORIZED FOR LOCAL REPRODUCTION

(REV. 2/2012)

PREVIOUS EDITION IS NOT USABLE

Prescribed by GSA - FAR (48 CFR) 53.212

7. FOR SOLICITATION

INFORMATION CALL:

STANDARD FORM 1449

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

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

506-18-3-952-1281 36C25018Q9660 09-08 -2018 Chuck Lakin 734-845-5633 09-17 -2018

4:30 PM

Department of Veterans Affairs Ann Arbor Healthcare System Network Contracting Office 10 2215 Fuller Road Ann Arbor MI 48105 X 339115 1000 Employees N/A X Department of Veterans Affair VA Ann Arbor Healthcare System

WAREHOUSE

2215 Fuller Road Ann Arbor MI 48105 Y Department of Veterans Affair Ann Arbor Healthcare System Network Contracting Office 10 2215 Fuller Road Ann Arbor MI 48105

Department of Veterans Affairs Financial Management System PO Box 149971 Austin TX 78714-9971 877-353-9791 512-460-5540 See CONTINUATION Page Solicitation for Ophthalmic Lenses for the VA VISN 10/12 Optical Laboratory in Indianapolis, IN.

See CONTINUATION Page X Charles P. Lakin Contracting Officer Table of Contents

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

1. Contract Administration: All contract administration matters will be handled by the following individuals:

a. CONTRACTOR: ____________________________________________________

POC: ____________________________________________________

POC Phone#: ____________________________________________________ POC E-mail: ____________________________________________________

b. GOVERNMENT: Contracting Officer 36C250 Chuck Lakin, 734-845-5633, Charles.lakin2@va.gov Department of Veterans Affairs Ann Arbor Healthcare System Network Contracting Office 10 2215 Fuller Road Ann Arbor MI 48105

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

3. INVOICES: Invoices shall be submitted in arrears:

4. GOVERNMENT INVOICE ADDRESS: All Invoices from the contractor shall be submitted electronically in accordance with VAAR Clause 852.232-72 Electronic Submission of Payment Requests.

Department of Veterans Affairs Financial Management System PO Box 149971 Austin TX 78714-9971 ACKNOWLEDGMENT OF AMENDMENTS: The offeror acknowledges receipt of amendments to the Solicitation numbered and dated as follows:

B.2 LIMITATIONS ON SUBCONTRACTING-- MONITORING AND COMPLIANCE (JUN 2011)

This solicitation includes FAR 52.219-4 Notice of Price Evaluation Preference for HubZone Small Business Concerns. Accordingly, any contract resulting from this solicitation will include this clause. The contractor is advised in performing contract administration functions, the CO may use the services of a support contractor(s) retained by VA to assist in assessing the contractor's compliance with the limitations on subcontracting or percentage of work performance requirements specified in the clause. To that end, the support contractor(s) may require access to contractor's offices where the contractor's business records or other proprietary data are retained and to review such business records regarding the contractor's compliance with this requirement. All support contractors conducting this review on behalf of VA will be required to sign an “Information Protection and Non-Disclosure and Disclosure of Conflicts of Interest Agreement” to ensure the contractor's business records or other proprietary data reviewed or obtained in the course of assisting the CO in assessing the contractor for compliance are protected to ensure information or data is not improperly disclosed or other impropriety occurs. Furthermore, if VA determines any services the support contractor(s) will perform in assessing compliance are advisory and assistance services as defined in FAR 2.101, Definitions, the support contractor(s) must also enter into an agreement with the contractor to protect proprietary information as required by FAR 9.505-4, obtaining access to proprietary information, paragraph (b). The contractor is required to cooperate fully and make available any records as may be required to enable the CO to assess the contractor's compliance with the limitations on subcontracting or percentage of work performance requirement.

B.3 SUBCONTRACTING COMMITMENTS--MONITORING AND COMPLIANCE (JUN 2011)

This solicitation includes VAAR 852.215-70, Service-Disabled Veteran-Owned and Veteran-Owned Small Business Evaluation Factors, and VAAR 852.215-71, Evaluation Factor Commitments. Accordingly, any contract resulting from this solicitation will include these clauses. The contractor is advised in performing contract administration functions, the CO may use the services of a support contractor(s) to assist in assessing contractor compliance with the subcontracting commitments incorporated into the contract. To that end, the support contractor(s) may require access to the contractor's business records or other proprietary data to review such business records regarding contract compliance with this requirement. All support contractors conducting this review on behalf of VA will be required to sign an “Information Protection and Non-Disclosure and Disclosure of Conflicts of Interest Agreement” to ensure the contractor's business records or other proprietary data reviewed or obtained in the course of assisting the CO in assessing the contractor for compliance are protected to ensure information or data is not improperly disclosed or other impropriety occurs. Furthermore, if VA determines any services the support contractor(s) will perform in assessing compliance are advisory and assistance services as defined in FAR 2.101, Definitions, the support contractor(s) must also enter into an agreement with the contractor to protect proprietary information as required by FAR 9.505-4, obtaining access to proprietary information, paragraph (b). The contractor is required to cooperate fully and make available any records as may be required to enable the CO to assess the contractor compliance with the subcontracting commitments.

36C25018Q9660

Page 1 of Page 1 of B.4 Statement of Work (SOW)

STATEMENT OF WORK

EYEGLASS OPTHALMIC LENSES for VISN 10/12 Optical Lab

Background:

It is anticipated that the VISN 10 Optical Laboratory shall manufacture an estimated (EST) 140,000 pairs of eyeglasses per year. The Department of Veterans Affairs (VA) does not guarantee or imply that any fixed number of orders shall be placed under this contract. The quantities identified herein are estimates only. The actual quantities shall be based upon the number of patients who are determined eligible by the VA to receive eyeglasses.

The Contractor shall specify which eyeglass ophthalmic lenses they are bidding on in this solicitation. Required lens type is listed below.

All eyeglass ophthalmic lenses shall be in accordance with Food and Drug Administration (FDA) Regulation (21 CFR, Parts 3 and 4) for impact resistance. The FDA Regulations can be located at the following website: www.fda.gov.

3. ORDERING:

The Optical Lab will place orders against the awarded contracts according to availability, price, and estimated delivery time thus satisfying the fair opportunity requirement of FAR 16.505(b)(1). Exceptions to the fair opportunity process are:

The agency need for the supplies or services is so urgent that providing a fair opportunity would result in unacceptable delays.

Only one awardee is capable of providing the supplies or services required at the level of quality required because the supplies or services ordered are unique or highly specialized.

The order must be issued on a sole-source basis in the interest of economy and efficiency because it is a logical follow-on to an order already issued under the contract, provided that all awardees were given a fair opportunity to be considered for the original order.

It is necessary to place an order to satisfy a minimum guarantee.

For orders exceeding the simplified acquisition threshold, a statute expressly authorizes or requires that the purchase be made from a specified source.

In accordance with section 1331 of Public Law 111-240 (15 U.S.C. 644(4)), contracting offers may, at their discretion, set aside orders for any of the small business concerns identified in 19.000(a)(3). When setting aside orders for small business concerns, the specific small business program eligibility requirements identified in part 19 apply.

The Contractor shall notify the Government within two (2) business days of any removal, recall or modification of supplies required under this contract and the Contractor shall also notify the government of a suitable substitute for the effected products.

6.d. Items must be shipped second day at no cost to the Government.

7. ADJUSTMENTS:

All necessary adjustments (i.e., material defects, distortions, and back orders) shall be made by the Contractor at no charge to the Government and delivered within 2 days of notification by the VISN 10/12 Optical Laboratory. Monthly invoices shall state and reflect all credit from returns and adjustments. Payments on the following month’s invoice shall be withheld for those credits not reflected.

Authorized representatives of the Government shall have the right during regular business hours or other agreed upon scheduled times to make on-site reviews of the Contractor’s facilities and services to (1) examine records and (2) make any other analysis required to determine the quality of services or supplies provided and submitted to the Department of Veterans Affairs participating facilities.

10. GOVERNMENT HOLIDAYS:

Listed below are legal Government Holidays:

When one of the holidays falls on a Sunday, the following Monday shall be observed as a legal holiday. When a holiday falls on a Saturday, the preceding Friday is observed as a legal holiday by the U.S. Government agencies.

11. CONTRACTOR’S QUARTERLY REPORT OF ORDERS RECEIVED:

Contractor shall provide the Contracting Officer Representative (COR) a report of sales (rounded to the nearest whole dollar) for each quarter of the contract period, within fifteen (15) calendar days after the close of each quarter’s business. The report shall consist of total dollars spent and sales of all items under contract.

YEAR 1

VISN 10 OPHTHALMIC EYEGLASS LENSES - EST. QTYs.

Description

LINE ITEM 0001: SINGLE VISION

LINE ITEM 0002: BIFOCAL FT28

PAIR

LINE ITEM 0003: BIFOCAL FT35

PAIR

0003-F: HI-INDEX PHOTOCHROMATIC (index 1.55 or greater) (adds 0.75 - 4.00)

LINE ITEM 0005: TRIFOCAL, 7X28

0005-G: HI-INDEX PHOTOCHROMATIC (index 1.55 or greater) (adds 1.50-4.00)

Polycarbonate Photochromatic 7x28 313

LINE ITEM 0006: TRIFOCAL, 8X35

PAIR

LINE ITEM 0007: PROGESSIVE

PAIR

YEAR 2

Description

LINE ITEM 0001: SINGLE VISION

LINE ITEM 0002: BIFOCAL FT28

PAIR

LINE ITEM 0003: BIFOCAL FT35

PAIR

0003-F: HI-INDEX PHOTOCHROMATIC (index 1.55 or greater) (adds 0.75 - 4.00)

LINE ITEM 0005: TRIFOCAL, 7X28

0005-G: HI-INDEX PHOTOCHROMATIC (index 1.55 or greater) (adds 1.50-4.00)

Polycarbonate Photochromatic 7x28 313

LINE ITEM 0006: TRIFOCAL, 8X35

PAIR

LINE ITEM 0007: PROGESSIVE

PAIR

YEAR 3

Description

LINE ITEM 0001: SINGLE VISION

LINE ITEM 0002: BIFOCAL FT28

PAIR

LINE ITEM 0003: BIFOCAL FT35

PAIR

0003-F: HI-INDEX PHOTOCHROMATIC (index 1.55 or greater) (adds 0.75 - 4.00)

LINE ITEM 0005: TRIFOCAL, 7X28

0005-G: HI-INDEX PHOTOCHROMATIC (index 1.55 or greater) (adds 1.50-4.00)

Polycarbonate Photochromatic 7x28 313

LINE ITEM 0006: TRIFOCAL, 8X35

PAIR

LINE ITEM 0007: PROGESSIVE

PAIR

YEAR 4

Description

LINE ITEM 0001: SINGLE VISION

LINE ITEM 0002: BIFOCAL FT28

PAIR

LINE ITEM 0003: BIFOCAL FT35

PAIR

0003-F: HI-INDEX PHOTOCHROMATIC (index 1.55 or greater) (adds 0.75 - 4.00)

Description

LINE ITEM 0005: TRIFOCAL, 7X28

0005-G: HI-INDEX PHOTOCHROMATIC (index 1.55 or greater) (adds 1.50-4.00)

Polycarbonate Photochromatic 7x28 313

LINE ITEM 0006: TRIFOCAL, 8X35

PAIR

LINE ITEM 0007: PROGESSIVE

PAIR

OPTION YEAR 5

VISN 10 OPHTHALMIC EYEGLASS LENSES - EST. QTY.

Description

LINE ITEM 0001: SINGLE VISION

LINE ITEM 0002: BIFOCAL FT28

PAIR

LINE ITEM 0003: BIFOCAL FT35

PAIR

0003-F: HI-INDEX PHOTOCHROMATIC (index 1.55 or greater) (adds 0.75 - 4.00)

LINE ITEM 0005: TRIFOCAL, 7X28

0005-G: HI-INDEX PHOTOCHROMATIC (index 1.55 or greater) (adds 1.50-4.00)

Polycarbonate Photochromatic 7x28 313

LINE ITEM 0006: TRIFOCAL, 8X35

PAIR

LINE ITEM 0007: PROGESSIVE

PAIR

B.3 Pricing Schedule

YEAR 1

PRICE SCHEDULE: VISN 10 OPHTHALMIC EYEGLASS LENSES - BASED ON EST. QTY.

CONTRACT GUARANTEED MINIMUM IS $1,000.00

LINE ITEM 0001: SINGLE VISION

LINE ITEM 0002: BIFOCAL FT28

PAIR

LINE ITEM 0003: BIFOCAL FT35

PAIR

0003-F: HI-INDEX PHOTOCHROMATIC (index 1.55 or greater) (adds 0.75 - 4.00)

LINE ITEM 0005: TRIFOCAL, 7X28

0005-G: HI-INDEX PHOTOCHROMATIC (index 1.55 or greater) (adds 1.50-4.00)

Polycarbonate Photochromatic 7x28 313

LINE ITEM 0006: TRIFOCAL, 8X35

PAIR

LINE ITEM 0007: PROGESSIVE

PAIR

YEAR 2

Description

LINE ITEM 0001: SINGLE VISION

LINE ITEM 0002: BIFOCAL FT28

PAIR

LINE ITEM 0003: BIFOCAL FT35

PAIR

0003-F: HI-INDEX PHOTOCHROMATIC (index 1.55 or greater) (adds 0.75 - 4.00)

Description

LINE ITEM 0005: TRIFOCAL, 7X28

0005-G: HI-INDEX PHOTOCHROMATIC (index 1.55 or greater) (adds 1.50-4.00)

LINE ITEM 0006: TRIFOCAL, 8X35

PAIR

LINE ITEM 0007: PROGESSIVE

PAIR

YEAR 3

Description

LINE ITEM 0001: SINGLE VISION

LINE ITEM 0002: BIFOCAL FT28

PAIR

LINE ITEM 0003: BIFOCAL FT35

PAIR

0003-F: HI-INDEX PHOTOCHROMATIC (index 1.55 or greater) (adds 0.75 - 4.00)

LINE ITEM 0005: TRIFOCAL, 7X28

0005-G: HI-INDEX PHOTOCHROMATIC (index 1.55 or greater) (adds 1.50-4.00)

LINE ITEM 0006: TRIFOCAL, 8X35

PAIR

LINE ITEM 0007: PROGESSIVE

PAIR

YEAR 4

Description

LINE ITEM 0001: SINGLE VISION

LINE ITEM 0002: BIFOCAL FT28

PAIR

LINE ITEM 0003: BIFOCAL FT35

PAIR

0003-F: HI-INDEX PHOTOCHROMATIC (index 1.55 or greater) (adds 0.75 - 4.00)

LINE ITEM 0005: TRIFOCAL, 7X28

0005-G: HI-INDEX PHOTOCHROMATIC (index 1.55 or greater) (adds 1.50-4.00)

LINE ITEM 0006: TRIFOCAL, 8X35

PAIR

LINE ITEM 0007: PROGESSIVE

PAIR

YEAR 5

Description

LINE ITEM 0001: SINGLE VISION

LINE ITEM 0002: BIFOCAL FT28

PAIR

LINE ITEM 0003: BIFOCAL FT35

PAIR

0003-F: HI-INDEX PHOTOCHROMATIC (index 1.55 or greater) (adds 0.75 - 4.00)

LINE ITEM 0005: TRIFOCAL, 7X28

0005-G: HI-INDEX PHOTOCHROMATIC (index 1.55 or greater) (adds 1.50-4.00)

LINE ITEM 0006: TRIFOCAL, 8X35

PAIR

LINE ITEM 0007: PROGESSIVE

PAIR