36C25220Q0093-001.docx

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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

695-20-2-133-0295 36C25220Q0093 11-07-2019

MEYER,EILEEN

414-844-4800 EXT 43232

11-22-2019 Noon Local Time 36C252 Department of Veterans Affairs Great Lakes Acquisition Center (GLAC) 115 S 84th Street, Suite 101 Milwaukee WI 53214-1476 X 811219 $22 Million N/A X 36C252 Edward Hines, Jr. VA Hospital 5000 South 5th Avenue Hines IL 60141-5000 36C252 Department of Veterans Affairs Great Lakes Acquisition Center (GLAC) 115 S 84th Street, Suite 101 Milwaukee WI 53214-1476

Department of Veterans Affairs Financial Services Center PO Box 149971 Austin TX 78714-9971 877-353-9791 512-460-5540 Preventative maintenance and emergency (unscheduled) repair of the anesthesia and ventilator machines identified in the attached equipment list VA COR Ryan Kammerer CS Eileen Meyer 695-3600160-133-825500-2520 0100555Y1 X X X Susan Pasholk Contracting Officer

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA (continuation from Standard Form 1449)

1. CONTRACT ADMINISTRATION: All contract administration matters will be handled by the following individuals:

DUNS NUMBER NO. ______________________________________

b. GOVERNMENT: EILEEN MEYER, CONTRACT SPECIALIST

DEPARTMENT OF VETERANS AFFAIRS

GREAT LAKES ACQUISITION CENTER

115 S. 84TH ST., STE 100

MILWAUKEE WI 53214

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

a. FAR 52.232-33 PAYMENT BY ELECTRONIC FUNDS TRANSFER SYSTEM – SYSTEM FOR AWARD

3. INVOICES: Invoices shall be submitted in arrears in accordance with:

a. 852.232-72 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS (NOV 2018)

4. GOVERNMENT INVOICE ADDRESS (See SF1449 Block 18):

a. All invoices from the contractor shall be submitted electronically in accordance with 852.232-72 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS (NOV 2018)

b. Facsimile, e-mail, and scanned documents are not acceptable forms of submission for payment requests.

c. VA’s Electronic Invoice Presentment and Payment System – The FSC uses a third-party contractor, Tungsten Network e-Invoice, to transition vendors from paper to electronic invoice submission. Please go to this website: http://www.tungsten-network.com/customer-campaigns/veterans-affairs-us/ to begin submitting electronic invoices, free of charge.

d. For assistance setting up e-Invoice, the below information is provided:

i. * Tungsten Network e-Invoice Setup Information: 1-877-489-6135

* Tungsten Network e-Invoice email: VA.Registration@ob10.com <http://VA.Registration@ob10.com/>

* FSC e-Invoice Contact Information: 1-877-353-9791

* FSC e-invoice email: vafsccshd@va.gov <http://va.gov/>

5. INVOICES:

a. Payments shall be made in arrears upon receipt of a properly prepared invoice.

b. In order to comply with the Improper Payment Elimination and Recovery Act of 2010 (IPERA), the VA has mandated electronic invoice submission to the Veterans Affairs Financial Services Center (VAFSC). VAFSC has partnered with Tungsten Network e-Invoicing network, for submissions of all electronic invoices to VA. Tungsten Network electronic invoicing is free to all VA vendors. In order to submit electronic invoices, all VA vendors must register with Tungsten Network by submitting an email to VA.Registration@Tungsten-Network.com or calling 1-877-752-0900 option 2 for Enrollment.

c. Contractor shall submit an electronic invoice by the tenth (10th) of the following month services were performed to the Veterans Affairs Financial Services Center (VAFSC) e-Invoice through the website at https://portal.Tungsten-Network.com/Login.aspx. For questions regarding the submission of VA electronic invoices, Tungsten Network customer service may be contacted at 1-877-489-6135.

d. All invoices shall reference the vendor name and address, customer name, contract number, appropriate obligation/funding order number, description of services provided, quantity, unit price, and total invoice amount (any additional info). Invoices shall also include any payment discount terms.

e. For questions regarding invoice receipt or payment, please call VAFSC directly at 1-877-353-9791 or email vafsccshd@va.gov

OFFERORS MUST COMPLETE AND RETURN ALL INFORMATION DESIGNATED HEREIN PRIOR TO THE TIME SPECIFIED IN BLOCK 8 OF SF 1449 IN ORDER TO BE CONSIDERED FOR AWARD.

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

Offers may be submitted by e-mail to eileen.meyer@va.gov. A signed and dated 1449 must be included along with all other information requested herein by the due date and time. Offers must be received by the date and time specified in Block 8. CAUTION - LATE Submissions, Modifications, and Withdrawals: See provision 52.212-1. All offers are subject to all terms and conditions of this solicitation REQUIRED DOCUMENTATION: Contractor shall e-mail complete quote package with pricing information completed to eileen.meyer@va.gov:

1. Solicitation document with:

0. Contractor shall fill in the SF 1449 blocks 17a, 30a, 30b, and 30c.

0. Contractor shall fill in Pg. 2, 1(a).

0. Contractor shall fill in all unit and total costs under the PRICE/COST SCHEDULE or submit separately the spreadsheet with line items costs filled in.

1. Insurance, certifications, and documentation in accordance with the requirements within the performance work statement.

1. Quote documentation in accordance with 52.212-1; Instruction to Offerors:

Technical Capability: Offeror must submit the following (will be used for evaluation under the Technical Capability factor in 52.212-2):

A. Proof that Offeror has been providing the type of service listed in the Statement of Work. Proof shall include three (3) points of contact at other medical centers with which they are, or have been, contracted to service high risk/life support equipment of the same or similar models as those listed in Attachment A within the last three (3) years.

B. Proof that Offeror has a field service representative that has been trained by the Original Equipment Manufacturer (OEM) on the specific model of equipment he/she is being asked to work on. Offerors must provide documentation of factory certified service/maintenance training on the specific equipment under the terms of this contract. See Attachment A.

C. Proof that field service representative(s) who will be performing under this contract have had a minimum of two (2) years of experience performing this service.

A signed, dated and scanned 1449 must be included along with all other information requested herein by the due date and time. Offers may also be submitted through the regular mail and must be received by the date and time specified in Block 8. CAUTION - LATE Submissions, Modifications, and Withdrawals: See provision 52.212-1. All offers are subject to all terms and conditions of this solicitation.

TYPE OF CONTRACT: Firm Fixed Price

ACQUISITION OF COMMERCIAL ITEMS:

This Request for Quote (RFQ) solicitation is issued under the authority of FAR Part 12 Acquisition of Commercial Items and FAR Part 13 Simplified Acquisition Procedures. FAR Part 15 will not be used. The procedures in Part 12 used in conjunction with Part 13 allow the Government to procure services resembling those in the commercial marketplace and streamline the procurement process.

The Lowest Price Technically Acceptable source selection process will be used for this procurement. This means award will be made on the basis of the lowest evaluated price of quotes meeting or exceeding the acceptability standards for non-cost factors. See 52.212-2 Evaluation – Commercial Items (Section E) for a description of the factors in addition to price that the Government will use to evaluate offers. Prospective contractors must furnish the information listed herein with their quotations to ensure they receive full consideration.

SECURITY & PRIVACY CONTROL:

The Authorization & Accreditation (A&A) requirements of VHA Handbook 6500.6 do not apply to this requirement, therefore, a Security Accreditation Package is not required. No A&A or MOU/ISA is required. Sensitive information exposure as part of this contract involves applicable security controls within the facility as part of the VA Information Security If there are any questions related to privacy, please have a member of your staff contact the VA Privacy Service at (202) 461-6309. If there are any questions related to the information security, please have a member of your staff contact the Office of Cyber Security at (304) 262-7733.

SPECIAL NOTES

In order to maintain integrity of this solicitation and subsequent award date, all offerors are advised that any question and answer requests must be submitted in a written form via e-mail to the Contract Specialist eileen.meyer@va.gov no later than NOON LOCAL TIME FRIDAY NOVEMBER 22, 2019. Contracting will issue a consolidated response via solicitation amendment posted to www.fedbizops.gov within 2 business days to all parties.

The Contracting Officer is the only person authorized to approve changes or modify any of the requirements under this contract. The Contractor shall communicate with the Contracting Officer on all matters pertaining to contract administration. Only the Contracting Officer is authorized to make commitment or issue changes that will affect price, quantity or quality of performance of this contract. In the event the Contractor effects any such change at the direction of any person other than the Contracting Officer, the change shall be considered to have been made without authority and no adjustment will be made in the contract price to cover any increase in cost incurred thereof.

SITE VISIT

The offeror may inspect the campus to be serviced to fully understand the nature of the work and the conditions under which the work is to be performed. In no case shall failure to inspect the campus constitute grounds for a claim after contract award. SITE VISITS MUST TAKE PLACE PRIOR TO NOVEMBER 18, 2019. TO SCHEDULE A SITE VISIT, CONTACT BIOMEDICAL ENGINEERING AT (708) 202-8387, ext. 21167 or RYAN.KAMMERER@VA.GOV.

PREVENTIVE MAINTENANCE/EMERGENCY SERVICE

FOR ANESTHESIA AND VENTILATOR MACHINES

SUPPLIES OR SERVICES AND PRICES/COSTS

The contractor shall furnish all labor, transportation, parts, and expertise necessary to provide preventive maintenance and emergency (unscheduled) repair of the anesthesia and ventilator machines at the Hines VA Hospital as identified on the attached equipment list (Attachment A).

PRICE/COST SCHEDULE

ITEM INFORMATION

Contractor shall furnish all labor, transportation, parts per SOW APOLLO Anesthesia Units Serial Numbers: ASDJ-0278, ASDJ-0279, ASDJ-0275 Contract Period: Base POP Begin: 01-01-2020 POP End: 12-31-2020

Contractor shall furnish all labor, transportation, parts per SOW D-Vapor 2000 Vaporizors Serial Numbers: ASEC-0396, ASEC-0397, ASEC-0398, ASEC-0399, ASEC-0400, ASEC-0401, ASEC-0402, ASEC-0403, ASEC-0404 Contract Period: Base

Contractor shall furnish all labor, transportation, parts per SOW D-Vapor 3000 Vaporizors Serial Numbers: ASFD-0017, ASFD-0021, ASFD-0033, ASKJ-0291 Contract Period: Base

Contractor shall furnish all labor, transportation, parts per SOW EVITA INFINITY V500 Ventilators Serial Numbers: ASLK-0159, ASLK-0160, ASLK-0161, ASLK-0162, ASLK-0163, ASLK-0164, ASLK-0165, ASLK-0166, ASLK-0167, ASLK-0168 Contract Period: Base

Contractor shall furnish all labor, transportation, parts per SOW FABIUS GS PREM Anesthesia Units Serial Numbers: ASDK-0108, ASDK-0109, ASDK-0110, ASDK-0111, ASDK-0112, ASDK-0113 Contract Period: Base

Contractor shall furnish all labor, transportation, parts per SOW FABIUS TIRO Anesthesia Units Serial Numbers: ARXK-0026, ARXK-0027, ARXK-0028, ARYK-0065 Contract Period: Base

Contractor shall furnish all labor, transportation, parts per SOW PERSEUS A500 Anesthesia Units Serial Numbers: ASMH-0228, ASMH-0229, ASMH-0230, ASMH-0231 Contract Period: Base

Contractor shall furnish all labor, transportation, parts per SOW Vapor 2000 - ISO Vaporizors Serial Numbers: ASED-0055, ASED-0056, ASED-0057, ASED-0058, ASED-0059, ASED-0060, ASDJ-0974, ASDJ-0977, ASDJ-0978 Contract Period: Base

Contractor shall furnish all labor, transportation, parts per SOW Vapor 2000 - SEVO Vaporizors Serial Numbers: ASED-0261, ASED-0262, ASED-0263, ASED-0264, ASED-0265, ASED-0266, ASED-0267, ASED-0268, ASED-0269 Contract Period: Base

Contractor shall furnish all labor, transportation, parts per SOW Vapor 3000 - SEVO Vaporizors Serial Numbers: ASFD-1545, ASFE-0862, ASFE-0869, ASFE-0873 Contract Period: Base

Contractor shall furnish all labor, transportation, parts per SOW

Serial Numbers: ASDJ-0278, ASDJ-0279, ASDJ-0275 Contract Period: Option 1 POP Begin: 01-01-2021 POP End: 12-31-2021

Contractor shall furnish all labor, transportation, parts per SOW

Serial Numbers: ASEC-0396, ASEC-0397, ASEC-0398, ASEC-0399, ASEC-0400, ASEC-0401, ASEC-0402, ASEC-0403, ASEC-0404 Contract Period: Option 1

Contractor shall furnish all labor, transportation, parts per SOW

Serial Numbers: ASFD-0017, ASFD-0021, ASFD-0033, ASKJ-0291 Contract Period: Option 1

Contractor shall furnish all labor, transportation, parts per SOW

Serial Numbers: ASLK-0159, ASLK-0160, ASLK-0161, ASLK-0162, ASLK-0163, ASLK-0164, ASLK-0165, ASLK-0166, ASLK-0167, ASLK-0168 Contract Period: Option 1

Contractor shall furnish all labor, transportation, parts per SOW

Serial Numbers: ASDK-0108, ASDK-0109, ASDK-0110, ASDK-0111, ASDK-0112, ASDK-0113 Contract Period: Option 1

Contractor shall furnish all labor, transportation, parts per SOW

Serial Numbers: ARXK-0026, ARXK-0027, ARXK-0028, ARYK-0065 Contract Period: Option 1

Contractor shall furnish all labor, transportation, parts per SOW

Serial Numbers: ASMH-0228, ASMH-0229, ASMH-0230, ASMH-0231 Contract Period: Option 1

Contractor shall furnish all labor, transportation, parts per SOW

Serial Numbers: ASED-0055, ASED-0056, ASED-0057, ASED-0058, ASED-0059, ASED-0060, ASDJ-0974, ASDJ-0977, ASDJ-0978 Contract Period: Option 1

Contractor shall furnish all labor, transportation, parts per SOW

Serial Numbers: ASED-0261, ASED-0262, ASED-0263, ASED-0264, ASED-0265, ASED-0266, ASED-0267, ASED-0268, ASED-0269 Contract Period: Option 1

Contractor shall furnish all labor, transportation, parts per SOW

Serial Numbers: ASFD-1545, ASFE-0862, ASFE-0869, ASFE-0873 Contract Period: Option 1

Contractor shall furnish all labor, transportation, parts per SOW

Serial Numbers: ASDJ-0278, ASDJ-0279, ASDJ-0275 Contract Period: Option 2 POP Begin: 01-01-2022 POP End: 12-31-2022

Contractor shall furnish all labor, transportation, parts per SOW

Serial Numbers: ASEC-0396, ASEC-0397, ASEC-0398, ASEC-0399, ASEC-0400, ASEC-0401, ASEC-0402, ASEC-0403, ASEC-0404 Contract Period: Option 2

Contractor shall furnish all labor, transportation, parts per SOW

Serial Numbers: ASFD-0017, ASFD-0021, ASFD-0033, ASKJ-0291 Contract Period: Option 2

Contractor shall furnish all labor, transportation, parts per SOW

Serial Numbers: ASLK-0159, ASLK-0160, ASLK-0161, ASLK-0162, ASLK-0163, ASLK-0164, ASLK-0165, ASLK-0166, ASLK-0167, ASLK-0168 Contract Period: Option 2

Contractor shall furnish all labor, transportation, parts per SOW

Serial Numbers: ASDK-0108, ASDK-0109, ASDK-0110, ASDK-0111, ASDK-0112, ASDK-0113 Contract Period: Option 2

Contractor shall furnish all labor, transportation, parts per SOW

Serial Numbers: ARXK-0026, ARXK-0027, ARXK-0028, ARYK-0065 Contract Period: Option 2

Contractor shall furnish all labor, transportation, parts per SOW

Serial Numbers: ASMH-0228, ASMH-0229, ASMH-0230, ASMH-0231 Contract Period: Option 2

Contractor shall furnish all labor, transportation, parts per SOW

Serial Numbers: ASED-0055, ASED-0056, ASED-0057, ASED-0058, ASED-0059, ASED-0060, ASDJ-0974, ASDJ-0977, ASDJ-0978 Contract Period: Option 2

Contractor shall furnish all labor, transportation, parts per SOW

Serial Numbers: ASED-0261, ASED-0262, ASED-0263, ASED-0264, ASED-0265, ASED-0266, ASED-0267, ASED-0268, ASED-0269 Contract Period: Option 2

Contractor shall furnish all labor, transportation, parts per SOW

Serial Numbers: ASFD-1545, ASFE-0862, ASFE-0869, ASFE-0873 Contract Period: Option 2

Contractor shall furnish all labor, transportation, parts per SOW

Serial Numbers: ASDJ-0278, ASDJ-0279, ASDJ-0275 Contract Period: Option 3 POP Begin: 01-01-2023 POP End: 12-31-2023

Contractor shall furnish all labor, transportation, parts per SOW

Serial Numbers: ASEC-0396, ASEC-0397, ASEC-0398, ASEC-0399, ASEC-0400, ASEC-0401, ASEC-0402, ASEC-0403, ASEC-0404 Contract Period: Option 3

Contractor shall furnish all labor, transportation, parts per SOW

Serial Numbers: ASFD-0017, ASFD-0021, ASFD-0033, ASKJ-0291 Contract Period: Option 3

Contractor shall furnish all labor, transportation, parts per SOW

Serial Numbers: ASLK-0159, ASLK-0160, ASLK-0161, ASLK-0162, ASLK-0163, ASLK-0164, ASLK-0165, ASLK-0166, ASLK-0167, ASLK-0168 Contract Period: Option 3

Contractor shall furnish all labor, transportation, parts per SOW

Serial Numbers: ASDK-0108, ASDK-0109, ASDK-0110, ASDK-0111, ASDK-0112, ASDK-0113 Contract Period: Option 3

Contractor shall furnish all labor, transportation, parts per SOW

Serial Numbers: ARXK-0026, ARXK-0027, ARXK-0028, ARYK-0065 Contract Period: Option 3

Contractor shall furnish all labor, transportation, parts per SOW

Serial Numbers: ASMH-0228, ASMH-0229, ASMH-0230, ASMH-0231 Contract Period: Option 3

Contractor shall furnish all labor, transportation, parts per SOW

Serial Numbers: ASED-0055, ASED-0056, ASED-0057, ASED-0058, ASED-0059, ASED-0060, ASDJ-0974, ASDJ-0977, ASDJ-0978 Contract Period: Option 3

Contractor shall furnish all labor, transportation, parts per SOW

Serial Numbers: ASED-0261, ASED-0262, ASED-0263, ASED-0264, ASED-0265, ASED-0266, ASED-0267, ASED-0268, ASED-0269 Contract Period: Option 3

Contractor shall furnish all labor, transportation, parts per SOW

Serial Numbers: ASFD-1545, ASFE-0862, ASFE-0869, ASFE-0873 Contract Period: Option 3

Contractor shall furnish all labor, transportation, parts per SOW

Serial Numbers: ASDJ-0278, ASDJ-0279, ASDJ-0275 Contract Period: Option 4 POP Begin: 01-01-2024 POP End: 12-31-2024

Contractor shall furnish all labor, transportation, parts per SOW

Serial Numbers: ASEC-0396, ASEC-0397, ASEC-0398, ASEC-0399, ASEC-0400, ASEC-0401, ASEC-0402, ASEC-0403, ASEC-0404 Contract Period: Option 4

Contractor shall furnish all labor, transportation, parts per SOW

Serial Numbers: ASFD-0017, ASFD-0021, ASFD-0033, ASKJ-0291 Contract Period: Option 4

Contractor shall furnish all labor, transportation, parts per SOW

Serial Numbers: ASLK-0159, ASLK-0160, ASLK-0161, ASLK-0162, ASLK-0163, ASLK-0164, ASLK-0165, ASLK-0166, ASLK-0167, ASLK-0168 Contract Period: Option 4

Contractor shall furnish all labor, transportation, parts per SOW

Serial Numbers: ASDK-0108, ASDK-0109, ASDK-0110, ASDK-0111, ASDK-0112, ASDK-0113 Contract Period: Option 4

Contractor shall furnish all labor, transportation, parts per SOW

Serial Numbers: ARXK-0026, ARXK-0027, ARXK-0028, ARYK-0065 Contract Period: Option 4

Contractor shall furnish all labor, transportation, parts per SOW

Serial Numbers: ASMH-0228, ASMH-0229, ASMH-0230, ASMH-0231 Contract Period: Option 4

Contractor shall furnish all labor, transportation, parts per SOW

Serial Numbers: ASED-0055, ASED-0056, ASED-0057, ASED-0058, ASED-0059, ASED-0060, ASDJ-0974, ASDJ-0977, ASDJ-0978 Contract Period: Option 4

Contractor shall furnish all labor, transportation, parts per SOW

Serial Numbers: ASED-0261, ASED-0262, ASED-0263, ASED-0264, ASED-0265, ASED-0266, ASED-0267, ASED-0268, ASED-0269 Contract Period: Option 4

Contractor shall furnish all labor, transportation, parts per SOW

Serial Numbers: ASFD-1545, ASFE-0862, ASFE-0869, ASFE-0873 Contract Period: Option 4

STATEMENT OF WORK

Edward Hines, JR. VA Hospital Anesthesia Unit and Ventilator Service Contract

1. SCOPE: Contractor shall furnish all labor, transportation, parts, and expertise necessary to provide preventive maintenance and emergency (unscheduled) repair of the imaging equipment at the Hines VA Hospital as identified on the attached equipment list (Attachment A). No access to sensitive information or the VA network will be required as part of this service.

2. CONTRACT PERIOD: Base contract period shall be 01/01/2020-12/31/2020

3. QUALIFICATIONS: To be considered eligible for consideration, offerors must have a field service representative that has been trained by the Original Equipment Manufacturer (OEM) on the specific model of equipment he/she is being asked to work on. Offerors must provide, upon request, documentation of factory certified service/maintenance training on the specific equipment under the terms of this contract. Offerors must also provide points of contact at three other medical centers with which they are or have been contracted to service surgical equipment of the same or similar models as those listed in Attachment A in the last three years. Subcontracting of any ensuing award of this solicitation will not be allowed without written permission of the Contracting Officer.

4. SERVICES TO BE PROVIDED:

A. General:

1) Contractor will provide the necessary manpower and supervision to properly execute the preventative maintenance of the equipment listed in Attachment A.

2) A “Field Service Report” (FSR) must be generated and a copy given to the Hines VA Hospital’s Contracting Officer’s Representative (COR) or designee after completion of the preventative maintenance. It is preferred that this FSR be provided electronically, if possible.

B. Repair:

2. All maintenance will be performed during normal VA business hours, 8:00am to 4:30pm, Monday thru Friday, excluding Federal and National Holidays, as listed below:

New Year's Day Birthday of Martin Luther King, Jr.

Washington's Birthday

Memorial Day

Independence Day

Labor Day

Columbus Day

Veterans Day

Thanksgiving Day

Christmas Day

If emergency work must be performed outside of normal business hours, the contractor must obtain prior approval from the COR. If such work falls on a National Holiday (Christmas, New Year’s Day, Memorial Day, Independence Day, Labor Day or Thanksgiving), service will be paid separate from this contract and a purchase order shall be obtained prior to commencement of service.

1) If the contractor’s telephones are not answered by technical personnel, a technical maintenance representative will respond by telephone to the VA within 4 hours of a maintenance call from the Hines VA.

2) Contractor must furnish all tools and materials (e.g. service manuals, diagnostic software, etc.) required to maintain the equipment in top operating condition. Equipment must be operational 90% of normal business hours.

C. Preventive Maintenance:

1) Preventive Maintenance will be performed by the contractor at the intervals that are in accordance with the manufacturer’s recommendations, but no less than annually.

2) Contractor will furnish any required parts, supplies, or “PM kits” needed to perform Preventive Maintenance.

3) At the conclusion of each repair and maintenance visit, the contractor will provide a written service report indicating the date of service, the model, serial number, and location of equipment serviced; the name of the representative, and the services performed, and parts replaced. The reports will be delivered to the Biomedical Engineering Office, Building 228, Room B1024 or electronically to the COR/designee.

D. Documentation: A documentation package acceptable for Joint Commission purposes will be maintained by the contractor and made available to the Hines VA Hospital. Documentation shall include, at a minimum:

1) Serial Number of equipment serviced

2) Any and all work performed on a particular date

3) Model, serial number and location of equipment serviced.

4) Details of preventative maintenance including the name of the representative, steps that were performed during the PM to include test and performance results as well as any parts replaced.

5. FACILITY CHECK IN/CHECK OUT REQUIREMENTS:

A. Vendor shall check in with the COR or designated representative, prior to beginning any work. Due to the nature of working at a Government facility, the Contractor's staff shall be required to sign in and out each day at Bldg. 228, Biomedical Engineering. This sign-in is MANDATORY.

COR: Ryan Kammerer Location: Building 228 Room B1024 Telephone Number & Extension(s): (708) 202-8387, ext. 21167

6. TERMS AND CONDITIONS:

A. User Responsibility: The contractor will not be held responsible under the terms of this contract for repairs to equipment necessitated by user abuse and/or misuse of equipment.

B. Exclusions: Service does not include electrical work external to the equipment.

7. IDENTIFICATION, PARKING, SMOKING, AND VA REGULATIONS:

A. No contractor or sub-contractor employee shall be permitted to perform work or access non-public areas unescorted without an ID card obtained from the VA Police. Contractor's and any Subcontractor's employees will be required to provide 2 forms of ID and be accompanied by the COR to obtain ID.

B. It is the responsibility of the Contractor to park in the appropriate designated parking areas. Information on parking is available from the VA Police Section. The VAMC will not invalidate or make reimbursement for parking violations of the Contractor under any conditions.

C. Effective January 1, 2019, smoking is prohibited both inside and outside (entire campus) at the VAMC.

D. Possession of weapons is prohibited. Enclosed containers, including tool kits, shall be subject to search. Violations of VA regulations may result in citation answerable in the United States (Federal) District Court, not a local district, state, or municipal court.

8. DEFINITIONS/ACRONYMS:

SECTION C - CONTRACT CLAUSES

C.1 FAR 52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL ITEMS (OCT 2018) is incorporated by reference.

ADDENDUM to FAR 52.212-4 CONTRACT TERMS AND CONDITIONS--COMMERCIAL ITEMS:

C.2 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

This contract incorporates one or more clauses by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. Also, the full text of a clause may be accessed electronically at this/these address(es):

http://www.acquisition.gov/far/index.html http://www.va.gov/oamm/oa/ars/policyreg/vaar/index.cfm

C.3 The following clauses are incorporated by reference:

52.204-13 SYSTEM FOR AWARD MANAGEMENT (OCT 2018)

MAINTENANCE

52.204-18 COMMERCIAL AND GOVERNMENT ENTITY (JUL 2016)

CODE MAINTENANCE

52.232-40 PROVIDING ACCELERATED PAYMENTS (DEC 2013)

TO SMALL BUSINESS SUBCONTRACTORS

(End of clause)

C.4 52.217-8 OPTION TO EXTEND SERVICES (NOV 1999)

The Government may require continued performance of any services within the limits and at the rates specified in the contract. These rates may be adjusted only as a result of revisions to prevailing labor rates provided by the Secretary of Labor. The option provision may be exercised more than once, but the total extension of performance hereunder shall not exceed 6 months. The Contracting Officer may exercise the option by written notice to the Contractor within 15 calendar days prior to contract expiration.

(End of Clause)

C.5 52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR 2000)

(a) The Government may extend the term of this contract by written notice to the Contractor within 15 calendar days prior to contract expiration; provided that the Government gives the Contractor a preliminary written notice of its intent to extend at least 15 calendar days before the contract expires. The preliminary notice does not commit the Government to an extension.

(b) If the Government exercises this option, the extended contract shall be considered to include this option clause.

(c) The total duration of this contract, including the exercise of any options under this clause, shall not exceed FIVE (5) years.

(End of Clause)

C.6 52.219-4 NOTICE OF PRICE EVALUATION PREFERENCE FOR HUBZONE SMALL BUSINESS CONCERNS (DEVIATION 2019-01)

(a) Definitions. As used in this clause— “HUBZone small business concern” means a small business concern, certified by the Small Business Administration (SBA), that appears on the List of Qualified HUBZone Small Business Concerns maintained by the SBA (13 CFR 126.103).

“Similarly situated entity” means a first-tier subcontractor, including an independent contractor, that has the same small business program status as that which qualified the prime contractor for the award, and that is considered small for the NAICS code the prime contractor assigned to the subcontract the subcontractor will perform. An example of a similarly situated entity is a first-tier subcontractor that is a HUBZone small business concern for a HUBZone set-aside or sole source award under the HUBZone Program.

(b) Evaluation preference.

(1) Offers will be evaluated by adding a factor of 10 percent to the price of all offers, except—

(i) Offers from HUBZone small business concerns that have not waived the evaluation preference; and

(ii) Otherwise successful offers from small business concerns.

(2) The factor of 10 percent shall be applied on a line item basis or to any group of items on which award may be made. Other evaluation factors described in the solicitation shall be applied before application of the factor.

(3) When the two highest rated offerors are a HUBZone small business concern and a large business, and the evaluated offer of the HUBZone small business concern is equal to the evaluated offer of the large business after considering the price evaluation preference, award will be made to the HUBZone small business concern.

(c) Waiver of evaluation preference. A HUBZone small business concern may elect to waive the evaluation preference, in which case the factor will be added to its offer for evaluation purposes. The agreements in paragraphs (e) and (f) of this clause do not apply if the offeror has waived the evaluation preference.

[ ] Offeror elects to waive the evaluation preference.

(d) Independent contractors. An independent contractor shall be considered a subcontractor.

(e) Agreement. By submission of an offer and execution of a contract, a HUBZone small business concern agrees that, in the case of a contract for—

(1) Services (except construction), it will not pay more than 50 percent of the amount paid by the Government for contract performance to subcontractors that are not similarly situated entities. Any work that a similarly situated entity further subcontracts will count toward the 50 percent subcontract amount that cannot be exceeded;

(2) Supplies (other than procurement from a nonmanufacturer of such supplies), it will not pay more than 50 percent of the amount paid by the Government for contract performance, excluding the cost of materials, to subcontractors that are not similarly situated entities. Any work that a similarly situated entity further subcontracts will count toward the 50 percent subcontract amount that cannot be exceeded;

(3) General construction, it will not pay more than 85 percent of the amount paid by the Government for contract performance, excluding the cost of materials, to subcontractors that are not similarly situated entities. Any work that a similarly situated entity further subcontracts will count toward the 85 percent subcontract amount that cannot be exceeded; or

(4) Construction by special trade contractors, it will not pay more than 75 percent of the amount paid by the Government for contract performance, excluding the cost of materials, to subcontractors that are not similarly situated entities. Any work that a similarly situated entity further subcontracts will count toward the 75 percent subcontract amount that cannot be exceeded.

(f) A HUBZone joint venture agrees that the aggregate of the HUBZone small business concerns to the joint venture, not each concern separately, will perform the applicable requirements specified in paragraph (e) of this clause.

(g)(1) Unless SBA has waived the requirements of paragraphs (g)(1)(i) through (iii) of this clause in accordance with 13 CFR 121.1204, a HUBZone small business concern that provides an end item it did not manufacture, process, or produce, shall—

(i) Provide an end item that a small business has manufactured, processed, or produced in the United States or its outlying areas;

(ii) Be primarily engaged in the retail or wholesale trade and normally sell the type of item being supplied; and

(iii) Take ownership or possession of the item(s) with its personnel, equipment, or facilities in a manner consistent with industry practice; for example, providing storage, transportation, or delivery.

(2) Paragraphs (g)(1) of this clause does not apply to construction or service contracts, or when the price evaluation preference is waived by the offeror.

(h) Notice. The HUBZone small business offeror acknowledges that a prospective HUBZone awardee must be a HUBZone small business concern at the time of award of this contract. The HUBZone offeror shall provide the Contracting Officer a copy of the notice required by 13 CFR 126.501 if material changes occur before contract award that could affect its HUBZone eligibility. If the apparently successful HUBZone offeror is not a HUBZone small business concern at the time of award of this contract, the Contracting Officer will proceed to award to the next otherwise successful HUBZone small business concern or other offeror.

C.7 VAAR 852.203-70 COMMERCIAL ADVERTISING (MAY 2008)

The bidder or offeror agrees that if a contract is awarded to him/her, as a result of this solicitation, he/she will not advertise the award of the contract in his/her commercial advertising in such a manner as to state or imply that the Department of Veterans Affairs endorses a product, project or commercial line of endeavor.

(End of Clause)

C.8 852.232-72 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS (NOV 2018)

(a) Definitions. As used in this clause—

(1) Contract financing payment has the meaning given in FAR 32.001.

(2) Designated agency office has the meaning given in 5 CFR 1315.2(m).

(3) Electronic form means an automated system transmitting information electronically according to the Accepted electronic data transmission methods and formats identified in paragraph (c) of this clause. Facsimile, email, and scanned documents are not acceptable electronic forms for submission of payment requests.

(4) Invoice payment has the meaning given in FAR 32.001.

(5) Payment request means any request for contract financing payment or invoice payment submitted by the contractor under this contract.

(b) Electronic payment requests. Except as provided in paragraph (e) of this clause, the contractor shall submit payment requests in electronic form. Purchases paid with a Government-wide commercial purchase card are considered to be an electronic transaction for purposes of this rule, and therefore no additional electronic invoice submission is required.

(c) Data transmission. A contractor must ensure that the data transmission method and format are through one of the following:

(1) VA’s Electronic Invoice Presentment and Payment System. (See Web site at http://www.fsc.va.gov/einvoice.asp.)

(2) Any system that conforms to the X12 electronic data interchange (EDI) formats established by the Accredited Standards Center (ASC) and chartered by the American National Standards Institute (ANSI). The X12 EDI Web site (http://www.x12.org) includes additional information on EDI 810 and 811 formats.

(d) Invoice requirements. Invoices shall comply with FAR 32.905.

(e) Exceptions. If, based on one of the circumstances below, the contracting officer directs that payment requests be made by mail, the contractor shall submit payment requests by mail through the United States Postal Service to the designated agency office. Submission of payment requests by mail may be required for:

(1) Awards made to foreign vendors for work performed outside the United States;

(2) Classified contracts or purchases when electronic submission and processing of payment requests could compromise the safeguarding of classified or privacy information;

(3) Contracts awarded by contracting officers in the conduct of emergency operations, such as responses to national emergencies;

(4) Solicitations or contracts in which the designated agency office is a VA entity other than the VA Financial Services Center in Austin, Texas; or

(5) Solicitations or contracts in which the VA designated agency office does not have electronic invoicing capability as described above.

(End of Clause)

C.9 VAAR 852.270-1 REPRESENTATIVES OF CONTRACTING OFFICERS (JAN 2008)

The contracting officer reserves the right to designate representatives to act for him/her in furnishing technical guidance and advice or generally monitor the work to be performed under this contract. Such designation will be in writing and will define the scope and limitation of the designee’s authority. A copy of the designation shall be furnished to the contractor.

(End of Clause)

(End of Addendum to 52.212-4)

C.10 52.212-5 Contract Terms and Conditions Required to Implement Statutes or Executive Orders-Commercial Items (OCT 2019) Contract Terms and Conditions Required to Implement Statutes or Executive Orders-Commercial Items (Oct 2019)

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

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

(2) 52.204-23, Prohibition on Contracting for Hardware, Software, and Services Developed or Provided by Kaspersky Lab and Other Covered Entities (Jul 2018) (Section 1634 of Pub. L. 115-91).

(3) 52.204-25, Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment. (Aug 2019) (Section 889(a)(1)(A) of Pub. L. 115-232).

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

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

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

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

[Contracting Officer check as appropriate.] __ (1) 52.203-6, Restrictions on Subcontractor Sales to the Government (Sept 2006), with Alternate I (Oct 1995) (41 U.S.C. 4704 and 10 U.S.C. 2402).

__ (2) 52.203-13, Contractor Code of Business Ethics and Conduct (Oct 2015) (41 U.S.C. 3509)).

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

X (4) 52.204-10, Reporting Executive Compensation and First-Tier Subcontract Awards (Oct 2018) (Pub. L. 109-282) (31 U.S.C. 6101 note).

__ (5) [Reserved].

__ (6) 52.204-14, Service Contract Reporting Requirements (Oct 2016) (Pub. L. 111-117, section 743 of Div. C).

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

X (8) 52.209-6, Protecting the Government’s Interest When Subcontracting with Contractors Debarred, Suspended, or Proposed for Debarment. (Oct 2015) (31 U.S.C. 6101 note).

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

__ (10) [Reserved].

__ (11) (i) 52.219-3, Notice of HUBZone Set-Aside or Sole-Source Award (Nov 2011) (15 U.S.C.657a).

__ (ii) Alternate I (Nov 2011) of 52.219-3.

(12) (i) 52.219-4, Notice of Price Evaluation Preference for HUBZone Small Business Concerns (Oct 2014) (if the offeror elects to waive the preference, it shall so indicate in its offer) (15 U.S.C. 657a).

__ (ii) Alternate I (Jan 2011) of 52.219-4.

__ (13) [Reserved] __ (14) (i) 52.219-6, Notice of Total Small Business Set-Aside (Nov 2011) (15 U.S.C.644).

__ (ii) Alternate I (Nov 2011).

__ (iii) Alternate II (Nov 2011).

__ (15) (i) 52.219-7, Notice of Partial Small Business Set-Aside (June 2003) (15 U.S.C. 644).

__ (ii) Alternate I (Oct 1995) of 52.219-7.

__ (iii) Alternate II (Mar 2004) of 52.219-7.

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

__ (17) (i) 52.219-9, Small Business Subcontracting Plan (Aug 2018) (15 U.S.C. 637(d)(4)) __ (ii) Alternate I (Nov 2016) of 52.219-9.

__ (iii) Alternate II (Nov 2016) of 52.219-9.

__ (iv) Alternate III (Nov 2016) of 52.219-9.

__ (v) Alternate IV (Aug 2018) of 52.219-9 __ (18) 52.219-13, Notice of Set-Aside of Orders (Nov 2011) (15 U.S.C. 644(r)).

__ (19) 52.219-14, Limitations on Subcontracting (Jan 2017) (15 U.S.C.637(a)(14)).

__ (20) 52.219-16, Liquidated Damages-Subcontracting Plan (Jan 1999) (15 U.S.C. 637(d)(4)(F)(i)).

__ (21) 52.219-27, Notice of Service-Disabled Veteran-Owned Small Business Set-Aside (Oct 2019) (15 U.S.C. 657f).

X (22) 52.219-28, Post Award Small Business Program Rerepresentation (Jul 2013) (15 U.S.C. 632(a)(2)).

__ (23) 52.219-29, Notice of Set-Aside for, or Sole Source Award to, Economically Disadvantaged Women-Owned Small Business Concerns (Dec 2015) (15 U.S.C. 637(m)).

__ (24) 52.219-30, Notice of Set-Aside for, or Sole Source Award to, Women-Owned Small Business Concerns Eligible Under the Women-Owned Small Business Program (Dec 2015) (15 U.S.C. 637(m)).

X (25) 52.222-3, Convict Labor (June 2003) (E.O.11755).

X (26) 52.222-19, Child Labor-Cooperation with Authorities and Remedies (Oct 2019) (E.O.13126).

__ (27) 52.222-21, Prohibition of Segregated Facilities (Apr 2015).

__ (28) (i) 52.222-26, Equal Opportunity (Sept 2016) (E.O.11246).

__ (ii) Alternate I (Feb 1999) of 52.222-26.

X (29) (i) 52.222-35, Equal Opportunity for Veterans (Oct 2015) (38 U.S.C. 4212).

__ (ii) Alternate I (July 2014) of 52.222-35.

X (30) (i) 52.222-36, Equal Opportunity for Workers with Disabilities (Jul 2014) (29 U.S.C.793).

__ (ii) Alternate I (July 2014) of 52.222-36.

X (31) 52.222-37, Employment Reports on Veterans (Feb 2016) (38 U.S.C. 4212).

__ (32) 52.222-40, Notification of Employee Rights Under the National Labor Relations Act (Dec 2010) (E.O. 13496).

X (33) (i) 52.222-50, Combating Trafficking in Persons (Jan 2019) (22 U.S.C. chapter 78 and E.O. 13627).

__ (ii) Alternate I (Mar 2015) of 52.222-50 (22 U.S.C. chapter 78 and E.O. 13627).

__ (34) 52.222-54, Employment Eligibility Verification (Oct 2015). (Executive Order 12989). (Not applicable to the acquisition of commercially available off-the-shelf items or certain other types of commercial items as prescribed in 22.1803.)

__ (35) (i) 52.223-9, Estimate of Percentage of Recovered Material Content for EPA–Designated Items (May 2008) (42 U.S.C. 6962(c)(3)(A)(ii)). (Not applicable to the acquisition of commercially available off-the-shelf items.)

__ (ii) Alternate I (May 2008) of 52.223-9 (42 U.S.C. 6962(i)(2)(C)). (Not applicable to the acquisition of commercially available off-the-shelf items.)

__ (36) 52.223-11, Ozone-Depleting Substances and High Global Warming Potential Hydrofluorocarbons (Jun 2016) (E.O. 13693).

__ (37) 52.223-12, Maintenance, Service, Repair, or Disposal of Refrigeration Equipment and Air Conditioners (Jun2016) (E.O. 13693).

__ (38) (i) 52.223-13, Acquisition of EPEAT®-Registered Imaging Equipment (Jun 2014) (E.O.s 13423 and 13514).

__ (ii) Alternate I (Oct 2015) of 52.223-13.

__ (39) (i) 52.223-14, Acquisition of EPEAT®-Registered Televisions (Jun 2014) (E.O.s 13423 and 13514).

__ (ii) Alternate I (Jun 2014) of 52.223-14.

__ (40) 52.223-15, Energy Efficiency in Energy-Consuming Products (Dec 2007) (42 U.S.C. 8259b).

__ (41) (i) 52.223-16, Acquisition of EPEAT®-Registered Personal Computer Products (Oct 2015) (E.O.s 13423 and 13514).

__ (ii) Alternate I (Jun 2014) of 52.223-16.

X (42) 52.223-18, Encouraging Contractor Policies to Ban Text Messaging While Driving (Aug 2011) (E.O. 13513).

__ (43) 52.223-20, Aerosols (Jun 2016) (E.O.