36C25221Q1117_1.docx

OM-RFQ: 36C25221Q1117

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 ATTA

CHED

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. SIGNAT

URE 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

695-21-3-969-0210 36C25221Q1117 08-26-2021 Carl Weber 414-844-4873 09-01-2021

11PM

CDT

36C252 Department of Veterans Affairs Great Lakes Acquisition Center (GLAC) 115 S 84th Street, Suite 101 Milwaukee, WI 53214-1476 X X 333318 1000 Employees N/A X 36C695 Department of Veterans Affairs Clement J. Zablocki VA Medical Center 5000 W. National Ave, Bldg. 111 Milwaukee, WI 53295-0001 36C252 Department of Veterans Affairs Great Lakes Acquisition Center (GLAC) 115 S 84th Street, Suite Milwaukee, WI 53214-1476

Department of Veterans Affairs Financial Services Center PO Box 149971 Austin, TX 78714-9971 877-353-9791 512-460-5540 See CONTINUATION Page Brand name Laerdal Medical Corporation only SimCapture AV System for Clement J. Zablocki VA Medical Center located in located in Milwaukee, Wisconsin.

Small business set-aside Award to Lowest Price Technically Acceptable.

See continuation pages.

See CONTINUATION Page X X Thomas H. Chesak

VA-VHA-SAOC-2016-69A44B8A

Table of Contents

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

(Continuation from Standard Form 1449, block 18A.)

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

_____________________________ (Point of Contact/Title) _____________________________ (Phone Number) _____________________________ (Email Address)

_____________________________ (DUNS Number) _____________________________ (Federal Tax ID)

B. GOVERNMENT: Carl Weber Great Lakes Acquisition Center 115 S. 84th Street, Suite 101 Milwaukee, WI 53214 414-384-2000 Ext 44873 carl.weber3@va.gov

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.

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

[X] 52.232-33, Payment by Electronic Funds Transfer – System for Award Management.

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

1. 852.232-72 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS (NOV 2018)

1. UPON ACCEPTANCE OF ITEMS

1. Reference PO IFCAP: *TBD* on all invoices and shipping labels to avoid delay in payment.

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

FACSIMILE, E-MAIL, AND SCANNED DOCUMENTS ARE NOT ACCEPTABLE FORMS OF SUBMISSION FOR PAYMENT REQUESTS.

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

* Vendors must register online at http://www.tungsten-network.com/veteransaffairs/

* Tungsten Network Setup Information: 1-866-340-4980

* Tungsten Network email: VA.Registration@tungsten-network.com

* FSC Vendor Support Section Contact: 1-877-353-9791

* FSC Vendor Support Section email: vafsccshd@va.gov Vendors can inquire on the status of payments by accessing VIS at: https://www.vis.fsc.va.gov/login.aspx?ReturnUrl=%2fDefault.aspx

BASIS OF AWARD:

This request for quote (RFQ) is for brand name Laerdal Medical Corporation only SimCapture AV System that will be set-aside for small business IAW FAR 12, 13, and 19. Award will be presented to lowest price technically acceptable.

SECURITY & PRIVACY CONTROL:

The Certification & Accreditation (C&A) requirements of VHA Handbook 6500.6 do not apply to this requirement; therefore, a Security Accreditation package is not required. No C&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 Program.

For installation and/or on-site training (if applicable), contractor must be escorted and accompanied by VA staff always to ensure the VA sensitive information is protected.

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.

Terms of Warranty:

The Contractor warrants that the items will be free from defects from materials and workmanship under normal use for a period of not less than 12 months for equipment defined herein. Contractor will replace or repair equipment if necessary, to the satisfaction of the Government. Contractor shall provide a copy of the written warranty upon acceptance of the equipment.

B.2 STATEMENT OF WORK (SOW)

Purpose The Clement J. Zablocki VA Medical Center Simulation Center department requires an upgrade/replacement of the Simulation Center AV System, which consists of

(1) Sim View Laerdal (2015) audio/visual equipment utilized by the Simulation Center to provide the ability to view and record, in real time, the patient (manikin) camera(s), room camera(s), vitals monitor and the audio, which, is captured by the ceiling microphone(s), above the corresponding patient (manikin) bed.

(2) Camera selection, control and recording equipment and software that manages the process.

The technology upgrade involves lifecycle replacement of the system as the original Sim View Laerdal audio/visual equipment and the camera selection, control, recording equipment, and software have reached end of life. Consumables and replacement parts for the Simview system will not be available after October 2021. In addition, the current system is standalone and not on the VA network, which is a limitation for system operation. A replacement system/upgrade that is designed to be on the VA network would provide additional functionality and benefits to departmental operations.

BEST VALUE JUSTIFICATION:

Selection Criteria

HARDWARE AND SOFTWARE PROPOSAL:

FIPS 140-2 certification for any components using wifi Hardware proposal feasibility Network feasibility and security evaluation Software capabilities, including export/download and editing Warranty and customer support plan Portable AV solution

INSTALLATION PLAN:

General feasibility of approach Evaluation of contractor responsibilities and facility responsibilities for site prep and installation Proven implementation at other VA sites (provide contacts) Past performance (provide contacts, VA preferred) Training plan Project Scope The Simulation Center AV system upgrade/replacement shall consist of customer consulting and design services, hardware and cabling, installation, and performance testing to ensure proper communication of the system after the work has been completed. The requirement shall include all travel, labor, and parts including onsite delivery, installation, setup, and configuration. The project shall also include updated documentation deliverables relating to the Simulation AV system.

1. Overall System Functionality Requirements:

Dedicated workstations (VA owned/furnished computers) are needed for real time viewing and debriefing of recorded simulation sessions.

Each workstation shall have the ability to observe and record the patient camera, room camera, vitals monitor and audio from the ceiling microphone above the associated patient bed. Camera selection, control and recording shall be managed by the software provided in this proposal.

The Sim Center Instructors require the ability to listen and also observe the Sim Theaters, Procedure Rooms, Debriefing Room at any of the workstations (in real time or recorded).

6 concurrent licenses (if necessary) for computers (VA owned/furnished) that are able to remote view (real time streaming and recording) simulations in Sim Theaters, Procedure Rooms and Debriefing Room required from:

· Control Room (2)

· Procedure Room

· Multipurpose Room (2)

· Debriefing Room Cost associated with any additional concurrent licenses shall be outlined in the proposal.

Export/download and editing functionality is desired as a value add to be able to share recordings for presentations and other applications.

2. Sim Control Room Functionality Description The Sim Control Room functions to provide Simulation Center Instructors the ability to observe and interact with students training in the Sim Theaters or observe the Procedure, Debriefing Rooms.

A dedicated workstation (VA owned/furnished) will be associated with each of the Sim Theater instructor stations (2 total). Two Instructor control stations shall be located in the Sim Control Room, one for each Sim Theater. The control stations need headphones (wired) and microphones (wired) to allow the instructor to switch between different speaker/mic options:

· Listen into the sim theater/mic mute

· Listen into the sim theater and speaking through ceiling speaker (1 per sim theater)

· Listen into the sim theater and speaking through wall speakers (2 per sim theater) Each instructor control station needs a second headphone audio output with splitter and 4 headphones (wired with extra length) for other facilitators to listen into the sim theater while observing the scenario. For example: if there are procedures being conducted in each Sim Theater, the audio system must be able to support 4 headphones enabled to listen to Sim Theater 1 while the other 4 headphones listen to Sim Theater 2 as two separate feeds.

The Sim Center Instructors require the ability to not only listen to any of the Sim Theaters at any of the Instructor Stations through two headphone outputs, but also observe the Procedure, Debriefing and Multi-Purpose Rooms. This increased functionality will require a different method of controlling the audio routing.

Local controller at each Instructor Station.

Microphones and headphones (both wired) for instructor needed to talk into the sim theaters at each Instructor Station and controller will route audio from any of the Simulation Theaters, Procedure, and Debriefing Rooms, to dual headphone outputs at each Instructor Station. The headphones shall have the ability to adjust the volume for each headset individually. The controller will also allow the Instructor to

· Act as either the patient where the Instructor’s voice would come through the wall speaker at the patient bed

· Have the instructor’s voice come from the ceiling mounted speaker in each Sim Theater

· Be mute The controller shall allow the user to select either computer audio or the sim theatres audio directly from the room. This is to minimize any audio delay through the software. (This only applies to the Sim Theatres.) Other room audio will only be heard using the software on the control room computer.

3. Sim Theater (1&2) Each Simulation Theater shall provide an interactive learning experience for students. Cameras will be located above each simulation mannequin as well as a camera between the patient beds for student observation. The cameras will be used for recording as well as student interaction with Sim Instructors. A flush ceiling microphone (ceiling lift in place which does not allow use of drop-down mic) above each patient bed will be used for recording as well as student interaction with Sim Instructors.

Existing cameras, microphones and speakers need replacement.

Real time streaming from up to 3 cameras and one monitor (manikin vital signs or image input) needs to be captured and remotely viewable without audio-video time delay in remote location (debriefing room, procedure rooms, multipurpose rooms.

Ceiling speakers (1 in each sim theater) are used to talk directly into the sim theaters from the control room for overhead paging and other directions. Wall speakers (2 in each sim theater) are used to simulate patient voice behind the patient bed. Control to switch to between different speaker output needs to be controlled by equipment and simple selector knob or touch panel from the control room at the instructor stations.

4. Procedure Rooms (2) Functionality Description:

The Procedure Rooms are used by students to practice methods not requiring the use of the Simulation Theaters.

A dedicated workstation (VA owned/furnished) will be associated with the Procedure Rooms needed for real time viewing and debriefing of recorded simulation sessions.

Each procedure room can be observed and recorded by any of the Sim Control Room workstations (VA owned/furnished).

Existing cameras and flush ceiling microphones need replacement.

Real time streaming from up to 3 cameras and one monitor (manikin vital signs or image input) needs to be remotely viewable without audio-video time delay from the Sim Theaters to the Procedure Rooms for debriefing to be displayed on the existing 70’’ TV screen monitors.

There are 2 TV screen monitors wall mounted in the Procedure rooms (one in each room). The Monitors need to be able to function both independently to show different content or synchronized to display the same content when the rooms are used to accommodate large groups.

5. Debriefing Room Functionality Description The Debriefing Room is used by students and instructors to review Sim session recordings as well as for meetings and conferencing. The Debriefing Room can be observed and recorded by any of the Sim Theater Instructor Stations.

A dedicated workstation (VA owned/furnished) will be associated with the Debriefing Room needed for real time viewing and debriefing of recorded simulation sessions.

The Debriefing room can be observed and recorded by any of the Sim Control Room workstations (VA owned/furnished).

Existing camera and flush ceiling microphone need replacement.

Real time streaming from up to 3 cameras and one monitor (manikin vital signs or image input) needs to be remotely viewable without audio-video time delay from the Sim Theaters to the Debriefing Room for debriefing to be displayed on the existing 70’’ TV screen monitors.

There is one TV screen monitor wall mounted in the Debriefing Room.

6. Multipurpose Rooms (2) Functionality Description The Multipurpose Rooms is used by students and instructors to view active Sim sessions and review Sim session recordings as well as for meetings and conferencing. The Multipurpose Rooms will not be observed or recorded by any of the Sim Control Instructor workstations.

Existing ceiling speakers may need replacement.

Two dedicated workstations (VA owned/furnished) will be associated with the Multi-Purpose Rooms needed for real time viewing and debriefing of recorded simulation sessions to be displayed on the existing 70’’ TV screen monitors.

There are 2 TV screen monitors wall mounted in the Multipurpose rooms (one in each room). The Monitors need to be able to function both independently to show different content or synchronized to display the same content when the rooms are used to accommodate large groups.

7. Portable AV solution Portable 3 input camera capture, microphone, and debriefing system (laptop or tablet, 2-3 cameras, mounts and other (vital sign/image) input with durable case and necessary software to take to “in situ” simulation training and record scenarios. This solution shall be compatible with the audio/visual software that is proposed for the Sim Center. Ideal state would be to be able to review the portable solution recordings from the Sim Center.

Summary:

Sim Control Room

· 2 Control stations to switch mic/audio options

· 2 Wired microphones and headphones to listen into Sim Theater and speak into Sim Theater (ceiling or wall speakers)

· 2 Wired headphone output with splitter and 4 wired headsets each

· 2 licenses (if required by product/solution) for VA owned/furnished computer workstation Sim Theater (1&2)

· 6 PTZ cameras (3 in each sim theater)

· 4 flush ceiling microphones (2 in each sim theater)

· 2 ceiling speakers (1 in each sim theater)

· 4 wall speakers (2 in each sim theater) Procedure Rooms (2)

· 2 PTZ cameras (2 in each procedure room)

· 2 microphones (1 in each procedure room)

· Ability to view and hear scenarios in sim theaters 1&2 remotely in real time via existing displays (TV).

· 1 license (if required by product/solution for VA owned/furnished computer workstation Debriefing Room

· 1 PTZ camera

· Ability to view and hear scenarios in sim theaters 1&2 remotely in real time via existing display (TV).

· 1 (if required by product/solution license for VA owned/furnished workstation Multipurpose Rooms (2)

· Ability to view and hear scenarios in sim theaters 1&2 remotely in real time via existing displays (TV).

· 2 licenses (if required by product/solution) for VA owned/furnished computer workstations

Network Implementation and Security If solution software is not currently approved to operate by the VA in the cloud environment, the contractor must provide an on-premises solution until approval is obtained and outline that on-premises solution and eventual transition in their proposal. If the solution is cloud capable and that is the proposed implementation, the contractor must comply with the attached security language for Software as a service (SaaS):

Guidance and templates available at https://www.fedramp.gov/ If cloud environment is not part of the proposed solution, the vendor shall submit a Special Purpose Systems questionnaire for technical review.

Software approval on the VA Technical Reference Manual (TRM) - https://trm.oit.va.gov/ - is highly desired so that the software can be installed on VA “Gold image” workstations.

Planning and Installation:

Project Management Vendor shall examine all drawings and read all divisions of this project in order to avoid omissions or duplications and to ensure complete job.

It shall be the responsibility of the vendor to report any design or installation irregularities to the VA immediately. Coordination is required among the AV contractor and VA personnel to ensure just in time delivery of equipment (staging space needs), proper installation of all AV elements, equipment, accessories, 120V and low-voltage wiring needs. Project team must have project kickoff meeting or call with a proposed timeline for completion of user interface programming, shipping, on-site setup, calibration, installation and training.

A schematic with details of the original AV system from the Simulation Center construction has been provided with this solicitation, including original equipment and cable information.

As part of the project, the contractor shall perform a site walkthrough within 20 days of award to assess current system layout and cables. Contractor shall provide plan within 45 days of award that refines their proposed installation approach. Contractor may reuse existing cables and cable runs if they meet the requirements of the new system being installed. If new cabling is required, contractor shall include in proposal who shall be responsible for new cable pulls/runs, which will be taken into account in proposal evaluation. Installation may require use of barriers or filtration to meet interim construction risk assessment (ICRA) requirements for drilling or above ceiling work as determined by Infection Control. Contractor will be responsible for furnishing any required equipment or PPE to meet ICRA requirements during installation for work performed by contractor or subcontractors.

Vendor may propose work on weekends or after hours to accomplish installation. Cost of any such work shall be included in installation.

Contractor shall remove existing cameras and microphones that are no longer required. Deinstalled equipment shall be turned over to VA for disposal or other use. If the existing placement/location is no longer to be used with the new system, contractor shall alert project manager to coordinate removal of the device(s) with placement of new intact ceiling tile or other patch/paint work required to make the space intact. Similarly, if an additional hardware placement is required that is not present in the existing space, work for that installation shall be coordinated with the VA for any required additional power or ceiling work.

After installation of new hardware, contractor shall perform configuration and testing of the system to confirm full functionality as described in the Statement of Work. Testing shall be performed in coordination with VA Simulation Center personnel, who will determine if system functionality is acceptable. Contractor shall be responsible for any additional work to bring system up to full functionality if the system is found to not meet functional requirements in the acceptance testing.

System Documentation A deliverable item shall be an updated schematic of the new AV system.

Two physical and an electronic copy of a user manual shall be provided. A simple guide to be used by the VA shall be produced to include descriptions of using the system with defined instructions for separate applications. If additional questions or items are identified during the warranty period, the vendor shall make additions or expansions to this system guide to cover those questions and topics.

Training The vendor shall provide on-site, complete and thorough training to up to 8 VA designated personnel, totaling a minimum of 48 hours.

Vendor shall also provide 1 day of follow-up training, to be scheduled with VA for 3-6 months post installation. The training shall be onsite.

Deliverables or Delivery Schedule The contractor shall deliver and install the product. After contacting project manager at the VA, a specific time will be scheduled for the delivery of the product and the installation within 120 days of award. All deliverables shall be delivered to the following address:

Department of Veterans Affairs Clement J. Zablocki VA Medical Center 5000 W. National Ave, Bldg. 111, warehouse Attn: Biomedical Engineering Milwaukee, WI 53295-0001

The Vendor shall confine all operations (including storage of materials) on Government premises to areas authorized and approved by the Contracting Officer. Working space and space available shall be as determined by the project manager.

Workmen are subject to rules of the Medical Center applicable to their conduct. All personal automobiles and contractor trucks shall be parked at the contractor's staging area or offsite of the VA premises.

Execute work so as to interfere as little as possible with normal functioning of the Medical Center as a whole, including operations of utility services, fire protection systems and any existing equipment, with work being done by others. Do not store materials and equipment in other than the designated contractor storage areas.

Daily, Vendor shall keep work, storage, and staging areas clean and neat.

Hours of Operation Normal hours of coverage are Monday through Friday, 7:00 AM to 4:30 PM Central Standard Time excluding national holidays. All services shall be performed during normal hours unless otherwise scheduled with the COTR or his/her designee. Contractor shall always be professional and shall take all necessary precautions to maintain a safe environment for the occupants. Contractor shall fully minimize noise possible while working in all buildings and wear all required Personal Protective Equipment (PPE).

Federal Holidays observed

Christmas Day

Place of Performance Department of Veterans Affairs Clement J. Zablocki VA Medical Center 5000 W. National Ave, Bldg. 111, 10th floor, Simulation center Milwaukee, WI 53295-0001 Period of Performance The Contractor warrants that the items will be free from defects from materials and workmanship under normal use for a period of not less than one (1) year for equipment defined herein. Contractor will replace or repair equipment if necessary to the satisfaction of the Government. Contractor shall provide a copy of the written warranty upon acceptance of the equipment.

All labor, time, materials, equipment, travel and supplies necessary to keep equipment operational during the warranty period shall be included. Phone response to warranty issues within 1 hour and on-site response with 24-hours is required.

B.3 PRICE/COST SCHEDULE

(Continuation from Standard Form 1449, block 19-24)

ITEM INFORMATION

SimCapture Node Enterprise (1-9)

LOCAL STOCK NUMBER: SCNODEE(1-9)

SimCapture Ultraportable Enterprise (1-9)

LOCAL STOCK NUMBER: SCUPE(1-9)

Additional PTZ Camera

LOCAL STOCK NUMBER: 227-31250

Standard AV Package

LOCAL STOCK NUMBER: 227-32650

Standard AV Package (1 PTZ)

LOCAL STOCK NUMBER: 227-32450

SimCapture Enterprise On-Premise Installation

LOCAL STOCK NUMBER: 227-83050E

Prepaid Annual Support: SimCapture Tier 1

LOCAL STOCK NUMBER: PPASSC-T1-910

Control Station

LOCAL STOCK NUMBER: 227-36050

Headphone Station

LOCAL STOCK NUMBER: 227-31750

This request for quote is for brand name only. Equipment listed in the schedule above is known to meet the needs of Clement J. Zablocki VA Medical Center, located in Milwaukee, Wisconsin. Offerors are requested to provide a quote for the exact equipment listed in the schedule above and meet the statement of work (SOW).

If offering equipment as a non-manufacturer (i.e. distributor) the vendor is also required to submit with their quote proof (letter, etc.) from the manufacturer that shows they are authorized as a distributor of the equipment.

B.4 DELIVERY SCHEDULE

(Continuation from Standard Form 1449, block 15) The product should be delivered during normal working hours, between 8:00am and 4:00pm, Monday through Friday.

Clement J. Zablocki VA Medical Center 5000 W. National Ave, Bldg. 111 Milwaukee, WI 53295 0001

USA

***Please indicate how long it would take to complete procurement after receiving order, i.e. 30-Days ARO***

Page 1 of Page 1 of

SECTION C - CONTRACT CLAUSES

C.1 52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL ITEMS (OCT 2018)

(a) Inspection/Acceptance. The Contractor shall only tender for acceptance those items that conform to the requirements of this contract. The Government reserves the right to inspect or test any supplies or services that have been tendered for acceptance. The Government may require repair or replacement of nonconforming supplies or reperformance of nonconforming services at no increase in contract price. If repair/replacement or reperformance will not correct the defects or is not possible, the Government may seek an equitable price reduction or adequate consideration for acceptance of nonconforming supplies or services. The Government must exercise its post-acceptance rights—

(1) Within a reasonable time after the defect was discovered or should have been discovered; and

(2) Before any substantial change occurs in the condition of the item, unless the change is due to the defect in the item.

(b) Assignment. The Contractor or its assignee may assign its rights to receive payment due as a result of performance of this contract to a bank, trust company, or other financing institution, including any Federal lending agency in accordance with the Assignment of Claims Act (31 U.S.C. 3727). However, when a third party makes payment (e.g., use of the Governmentwide commercial purchase card), the Contractor may not assign its rights to receive payment under this contract.

(c) Changes. Changes in the terms and conditions of this contract may be made only by written agreement of the parties.

(d) Disputes. This contract is subject to 41 U.S.C. chapter 71, Contract Disputes. Failure of the parties to this contract to reach agreement on any request for equitable adjustment, claim, appeal or action arising under or relating to this contract shall be a dispute to be resolved in accordance with the clause at FAR 52.233-1, Disputes, which is incorporated herein by reference. The Contractor shall proceed diligently with performance of this contract, pending final resolution of any dispute arising under the contract.

(e) Definitions. The clause at FAR 52.202-1, Definitions, is incorporated herein by reference.

(f) Excusable delays. The Contractor shall be liable for default unless nonperformance is caused by an occurrence beyond the reasonable control of the Contractor and without its fault or negligence such as, acts of God or the public enemy, acts of the Government in either its sovereign or contractual capacity, fires, floods, epidemics, quarantine restrictions, strikes, unusually severe weather, and delays of common carriers. The Contractor shall notify the Contracting Officer in writing as soon as it is reasonably possible after the commencement of any excusable delay, setting forth the full particulars in connection therewith, shall remedy such occurrence with all reasonable dispatch, and shall promptly give written notice to the Contracting Officer of the cessation of such occurrence.

(g) Invoice.

(1) The Contractor shall submit an original invoice and three copies (or electronic invoice, if authorized) to the address designated in the contract to receive invoices. An invoice must include—

(i) Name and address of the Contractor;

(ii) Invoice date and number;

(iii) Contract number, line item number and, if applicable, the order number;

(iv) Description, quantity, unit of measure, unit price and extended price of the items delivered;

(v) Shipping number and date of shipment, including the bill of lading number and weight of shipment if shipped on Government bill of lading;

(vi) Terms of any discount for prompt payment offered;

(vii) Name and address of official to whom payment is to be sent;

(viii) Name, title, and phone number of person to notify in event of defective invoice; and

(ix) Taxpayer Identification Number (TIN). The Contractor shall include its TIN on the invoice only if required elsewhere in this contract.

(x) Electronic funds transfer (EFT) banking information.

(A) The Contractor shall include EFT banking information on the invoice only if required elsewhere in this contract.

(B) If EFT banking information is not required to be on the invoice, in order for the invoice to be a proper invoice, the Contractor shall have submitted correct EFT banking information in accordance with the applicable solicitation provision, contract clause (e.g., 52.232-33, Payment by Electronic Funds Transfer—System for Award Management, or 52.232-34, Payment by Electronic Funds Transfer—Other Than System for Award Management), or applicable agency procedures.

(C) EFT banking information is not required if the Government waived the requirement to pay by EFT.

(2) Invoices will be handled in accordance with the Prompt Payment Act (31 U.S.C. 3903) and Office of Management and Budget (OMB) prompt payment regulations at 5 CFR part 1315.

(h) Patent indemnity. The Contractor shall indemnify the Government and its officers, employees and agents against liability, including costs, for actual or alleged direct or contributory infringement of, or inducement to infringe, any United States or foreign patent, trademark or copyright, arising out of the performance of this contract, provided the Contractor is reasonably notified of such claims and proceedings.

(i) Payment.—

(1) Items accepted. Payment shall be made for items accepted by the Government that have been delivered to the delivery destinations set forth in this contract.

(2) Prompt payment. The Government will make payment in accordance with the Prompt Payment Act (31 U.S.C. 3903) and prompt payment regulations at 5 CFR part 1315.

(3) Electronic Funds Transfer (EFT). If the Government makes payment by EFT, see 52.212-5(b) for the appropriate EFT clause.

(4) Discount. In connection with any discount offered for early payment, time shall be computed from the date of the invoice. For the purpose of computing the discount earned, payment shall be considered to have been made on the date which appears on the payment check or the specified payment date if an electronic funds transfer payment is made.

(5) Overpayments. If the Contractor becomes aware of a duplicate contract financing or invoice payment or that the Government has otherwise overpaid on a contract financing or invoice payment, the Contractor shall—

(i) Remit the overpayment amount to the payment office cited in the contract along with a description of the overpayment including the—

(A) Circumstances of the overpayment (e.g., duplicate payment, erroneous payment, liquidation errors, date(s) of overpayment);

(B) Affected contract number and delivery order number, if applicable;

(C) Affected line item or subline item, if applicable; and

(D) Contractor point of contact.

(ii) Provide a copy of the remittance and supporting documentation to the Contracting Officer.

(6) Interest.

(i) All amounts that become payable by the Contractor to the Government under this contract shall bear simple interest from the date due until paid unless paid within 30 days of becoming due. The interest rate shall be the interest rate established by the Secretary of the Treasury as provided in 41 U.S.C. 7109, which is applicable to the period in which the amount becomes due, as provided in (i)(6)(v) of this clause, and then at the rate applicable for each six-month period as fixed by the Secretary until the amount is paid.

(ii) The Government may issue a demand for payment to the Contractor upon finding a debt is due under the contract.

(iii) Final decisions. The Contracting Officer will issue a final decision as required by 33.211 if—

(A) The Contracting Officer and the Contractor are unable to reach agreement on the existence or amount of a debt within 30 days;

(B) The Contractor fails to liquidate a debt previously demanded by the Contracting Officer within the timeline specified in the demand for payment unless the amounts were not repaid because the Contractor has requested an installment payment agreement; or

(C) The Contractor requests a deferment of collection on a debt previously demanded by the Contracting Officer (see 32.607-2).

(iv) If a demand for payment was previously issued for the debt, the demand for payment included in the final decision shall identify the same due date as the original demand for payment.

(v) Amounts shall be due at the earliest of the following dates:

(A) The date fixed under this contract.

(B) The date of the first written demand for payment, including any demand for payment resulting from a default termination.

(vi) The interest charge shall be computed for the actual number of calendar days involved beginning on the due date and ending on—

(A) The date on which the designated office receives payment from the Contractor;

(B) The date of issuance of a Government check to the Contractor from which an amount otherwise payable has been withheld as a credit against the contract debt; or

(C) The date on which an amount withheld and applied to the contract debt would otherwise have become payable to the Contractor.

(vii) The interest charge made under this clause may be reduced under the procedures prescribed in 32.608-2 of the Federal Acquisition Regulation in effect on the date of this contract.

(j) Risk of loss. Unless the contract specifically provides otherwise, risk of loss or damage to the supplies provided under this contract shall remain with the Contractor until, and shall pass to the Government upon:

(1) Delivery of the supplies to a carrier, if transportation is f.o.b. origin; or

(2) Delivery of the supplies to the Government at the destination specified in the contract, if transportation is f.o.b. destination.

(k) Taxes. The contract price includes all applicable Federal, State, and local taxes and duties.

(l) Termination for the Government's convenience. The Government reserves the right to terminate this contract, or any part hereof, for its sole convenience. In the event of such termination, the Contractor shall immediately stop all work hereunder and shall immediately cause any and all of its suppliers and subcontractors to cease work. Subject to the terms of this contract, the Contractor shall be paid a percentage of the contract price reflecting the percentage of the work performed prior to the notice of termination, plus reasonable charges the Contractor can demonstrate to the satisfaction of the Government using its standard record keeping system, have resulted from the termination. The Contractor shall not be required to comply with the cost accounting standards or contract cost principles for this purpose. This paragraph does not give the Government any right to audit the Contractor's records. The Contractor shall not be paid for any work performed or costs incurred which reasonably could have been avoided.

(m) Termination for cause. The Government may terminate this contract, or any part hereof, for cause in the event of any default by the Contractor, or if the Contractor fails to comply with any contract terms and conditions, or fails to provide the Government, upon request, with adequate assurances of future performance. In the event of termination for cause, the Government shall not be liable to the Contractor for any amount for supplies or services not accepted, and the Contractor shall be liable to the Government for any and all rights and remedies provided by law. If it is determined that the Government improperly terminated this contract for default, such termination shall be deemed a termination for convenience.

(n) Title. Unless specified elsewhere in this contract, title to items furnished under this contract shall pass to the Government upon acceptance, regardless of when or where the Government takes physical possession.

(o) Warranty. The Contractor warrants and implies that the items delivered hereunder are merchantable and fit for use for the particular purpose described in this contract.

(p) Limitation of liability. Except as otherwise provided by an express warranty, the Contractor will not be liable to the Government for consequential damages resulting from any defect or deficiencies in accepted items.

(q) Other compliances. The Contractor shall comply with all applicable Federal, State and local laws, executive orders, rules and regulations applicable to its performance under this contract.

(r) Compliance with laws unique to Government contracts. The Contractor agrees to comply with 31 U.S.C. 1352 relating to limitations on the use of appropriated funds to influence certain Federal contracts; 18 U.S.C. 431 relating to officials not to benefit; 40 U.S.C. chapter 37, Contract Work Hours and Safety Standards; 41 U.S.C. chapter 87, Kickbacks; 41 U.S.C. 4712 and 10 U.S.C. 2409 relating to whistleblower protections; 49 U.S.C. 40118, Fly American; and 41 U.S.C. chapter 21 relating to procurement integrity.

(s) Order of precedence. Any inconsistencies in this solicitation or contract shall be resolved by giving precedence in the following order:

(1) The schedule of supplies/services.

(2) The Assignments, Disputes, Payments, Invoice, Other Compliances, Compliance with Laws Unique to Government Contracts, and Unauthorized Obligations paragraphs of this clause;

(3) The clause at 52.212-5.

(4) Addenda to this solicitation or contract, including any license agreements for computer software.

(5) Solicitation provisions if this is a solicitation.

(6) Other paragraphs of this clause.

(7) The Standard Form 1449.

(8) Other documents, exhibits, and attachments

(9) The specification.

(t) [Reserved]

(u) Unauthorized Obligations.

(1) Except as stated in paragraph (u)(2) of this clause, when any supply or service acquired under this contract is subject to any End User License Agreement (EULA), Terms of Service (TOS), or similar legal instrument or agreement, that includes any clause requiring the Government to indemnify the Contractor or any person or entity for damages, costs, fees, or any other loss or liability that would create an Anti-Deficiency Act violation (31 U.S.C. 1341), the following shall govern:

(i) Any such clause is unenforceable against the Government.

(ii) Neither the Government nor any Government authorized end user shall be deemed to have agreed to such clause by virtue of it appearing in the EULA, TOS, or similar legal instrument or agreement. If the EULA, TOS, or similar legal instrument or agreement is invoked through an “I agree” click box or other comparable mechanism (e.g., “click-wrap” or “browse-wrap” agreements), execution does not bind the Government or any Government authorized end user to such clause.

(iii) Any such clause is deemed to be stricken from the EULA, TOS, or similar legal instrument or agreement.

(2) Paragraph (u)(1) of this clause does not apply to indemnification by the Government that is expressly authorized by statute and specifically authorized under applicable agency regulations and procedures.

(v) Incorporation by reference. The Contractor’s representations and certifications, including those completed electronically via the System for Award Management (SAM), are incorporated by reference into the contract.

(End of Clause) ADDENDUM to FAR 52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL ITEMS Clauses that are incorporated by reference (by Citation Number, Title, and Date), have the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available.

The following clauses are incorporated into 52.212-4 as an addendum to this contract:

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/oal/library/vaar/

(End of Clause)

C.3 52.219-33 NONMANUFACTURER RULE (MAR 2020)

(a) This clause does not apply to the unrestricted portion of a partial set-aside.

(b) Applicability. This clause applies to—

(1) Contracts that have been set aside, in total or in part;

(2) Orders under multiple-award contracts as described in 8.405-5 and 16.505(b)(2)(i)(F) that have been set aside for any of the small business concerns identified in 19.000(a)(3); and

(3) Orders issued directly to any of the small business concerns identified in 19.000(a)(3) under multiple-award contracts as described in 19.504(c)(1)(ii).

(c)(1) The Contractor shall— (i)(A) Provide the end item of a small business manufacturer, or if set aside or awarded on a sole source basis to a HUBZone small business, provide the end item of a HUBZone small business manufacturer, that has been manufactured or produced in the United States or its outlying areas; or

(B) If this procurement is an order as described in 8.405-5 or 16.505(b)(2)(i)(F) or processed under simplified acquisition procedures (see part 13), and the total amount does not exceed $25,000, provide the end item of any domestic manufacturer;

(ii) Not exceed 500 employees;

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

(iv) Take ownership or possession of the item(s) with its personnel, equipment, or facilities in a manner consistent with industry practice.

(2) In addition to the requirements set forth in paragraph (c)(1) of this clause, when the end item being acquired is a kit of supplies or other goods, 50 percent of the total value of the components of the kit shall be manufactured in the United States or its outlying areas by small business concerns. Where the Government has specified an item for the kit which is not produced by U.S. small business concerns, such items shall be excluded from the 50 percent calculation. See 13 CFR 121.406(c) for further information regarding nonmanufacturers.

(3) For size determination purposes, there can be only one manufacturer of the end product being acquired. For the purposes of the nonmanufacturer rule, the manufacturer of the end product being acquired is the concern that transforms raw materials and/or miscellaneous parts or components into the end product. Firms which only minimally alter the item being procured do not qualify as manufacturers of the end item, such as firms that add substances, parts, or components to an existing end item to modify its performance, will not be considered the end item manufacturer, where those identical modifications can be performed by and are available from the manufacturer of the existing end item. See 13 CFR 121.406 for further information regarding manufacturers.

(End of Clause) C.4 52.222-19 CHILD LABOR—COOPERATION WITH AUTHORITIES AND REMEDIES (JAN 2020) (JUL 2020) (DEVIATION)

(a) Applicability. This clause does not apply to the extent that the Contractor is supplying end products mined, produced, or manufactured in—

(1) Israel, and the anticipated value of the acquisition is $50,000 or more;

(2) Mexico, and the anticipated value of the acquisition is $83,099 or more; or

(3) Armenia, Aruba, Australia, Austria, Belgium, Bulgaria, Canada, Croatia, Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hong Kong, Hungary, Iceland, Ireland, Italy, Japan, Korea, Latvia, Liechtenstein, Lithuania, Luxembourg, Malta, Moldova, Montenegro, Netherlands, New Zealand, Norway, Poland, Portugal, Romania, Singapore, Slovak Republic, Slovenia,…