36C25225Q0080.docx

36C25225Q0080

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.

UEI:

EFT:

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. NOV 2021)

PREVIOUS EDITION IS NOT USABLE

Prescribed by GSA - FAR (48 CFR) 53.212

7. FOR SOLICITATION

INFORMATION CALL:

STANDARD FORM 1449

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES

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

None 36C25225Q0080 12-30-2024 Broacha, Laura 414-844-4896 01-17-2025

10:00AM

CST

Department of Veterans Affairs

GLAC (69D)

115 South 84th Street, Suite 101 Milwaukee WI 53214-1476 X 238220 $19 Million N/A X Jesse Brown VA Medical Center 820 S. Damen Avenue Chicago IL 60612-4223 Department of Veterans Affairs

GLAC-MILWAUKEE (69D)

Great Lakes Acquisition Center - HC 115 South 84th Street, Suite 101 Milwaukee WI 53214-1476

Department of Veterans Affairs Financial Services Center PO Box 149971 Austin TX 78714-9971 X See CONTINUATION Page The Veteran's Administration Jesse Brown VA Medical Center seeks a contractor to perform Dialysis and Reverse Osmosis System Testing and Maintenance services at its Chicago, IL, facility.

See attached schedule and Statement of Work for requirements.

See CONTINUATION Page 537-3650160-1120-825500-2543 010050100 X X Ashley Johnson Contracting Officer

SECTION B - CONTINUATION OF SF 1449 BLOCKS

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

OFFERORS SHALL 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:

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

a. CONTRACTOR:

2. ACQUISITION OF COMMERCIAL ITEMS:

This Request for Quote (RFQ) solicitation is issued under the authority of FAR Part 13.5 Simplified Procedures for Certain Commercial Items in which simplified acquisition procedures in FAR Part 13 will be used. FAR Part 14 and 15 will not be used. From this RFQ, the Government intends to award a firm fixed price contract where the contractor provides a price that is not subject to any adjustment on the basis of the contractor’s cost experience in performing the contract. (Note: The terms “offeror” and “quoter” are both used in this Solicitation. For the purposes of this Solicitation, these terms are interchangeable; there is no difference in meaning between the two.)

3. SET-ASIDE (If any): See box 10 of STANDARD FORM 1449

4. SOLICITATION TIMELINE SUMMARY:

A. RFQ QUESTIONS:

In order to maintain integrity of this solicitation and subsequent award date, all offerors are advised that any question-and-answer requests shall be submitted in a written form via e-mail to the Contracting Officer Laura.Broacha@va.gov no later than MONDAY, JANUARY 13, AT 10:00AM LOCAL TIME. Contracting will issue a consolidated response via solicitation amendment to https://sam.gov Contract Opportunities within 2 business days to all parties.

B. SOLICITATION CLOSES/QUOTES DUE:

See box 8 of STANDARD FORM 1449 or most recent Amendment.

C. SUBMISSION OF QUOTE:

See 52.212-1 Instructions to Offerors—Commercial Products and Commercial Services and addendum for specific instructions to offerors.

5. CONTRACTING OFFICER AUTHORITY:

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.

6. INVOICES:

a. All payments by the Government to the contractor will be made in accordance with: FAR 52.232-33 PAYMENT BY ELECTRONIC FUNDS TRANSFER – SYSTEM FOR AWARD MANAGEMENT (OCT 2018)

b. Invoices shall be submitted monthly in arrears in accordance with: 852.232-72 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS (NOV 2018)

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

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

e. 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 shall register with Tungsten Network by submitting an email to VA.Registration@Tungsten-Network.com or calling 1-877-489-6135 for Enrollment.

f. 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.

g. 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.

h. VA’s Electronic Invoice Presentment and Payment System – The Veterans Affairs Financial Services Center (VAFSC) 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/veteransaffairs/ to begin submitting electronic invoices, free of charge.

i. As of July 1, 2020, the VA10091 form has been eliminated and the VAFSC is requiring our vendors to update and add their information in the Customer Engagement Portal (CEP) at https://www.cep.fsc.va.gov/. This is for new vendors being added to FMS only.

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

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

* Tungsten Network e-Invoice email: VA.Registration@Tungsten-Network.com

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

* FSC e-invoice email: vafsccshd@va.gov

7. FACILITY REQUIREMENTS: In addition to any other requirements set forth in this Contract, the Contractor, including its employees, agents, and subcontractors (collectively “the Contractor”), shall comply with the following facility requirements. Failure to comply with these requirements shall be considered a material breach of this Contract and may be a violation of Federal law resulting in charges answerable in the United States District Court.

a. Contractor is responsible to follow all on site facility policies.

b. All VA property is considered Federal property, and all Federal laws are applicable.

c. 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 VA will not invalidate or make reimbursement for parking violations of the Contractor under any conditions.

d. All VA facilities are drug free. Possession of drugs, to include Marijuana and all Marijuana biproducts are 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.

e. All contractor personnel are required to adhere to all VA rules and regulations.

f. Smoking is prohibited on the entire campus, both inside and outside the VA Facility

g. 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.

h. VHA DIRECTIVE 1192: This Veterans Health Administration (VHA) directive establishes policy and provides guidance for the prevention of seasonal influenza in VHA facilities through the vaccination or masking of health care personnel (HCP). AUTHORITY: Title 38 United States Code (U.S.C.) 7301(b), 7318(b). Contractor is responsible in ensuring that all aspects of this directive are implemented, including providing face masks and influenza vaccines for all employees working at a VA facility.

8. 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.

Visitor Passes:

Issuance of visitor passes is the responsibility and at the discretion of each Facility Director. Visitor passes may be issued to individuals requiring short-term access to a VA facility for a period not to exceed 15 days in a 365-day period. Visitor passes are issued on a daily basis and expire at the end of the day of issuance. Visitor passes are issued following, at a minimum, review of one valid and current State or Federal government issued photo ID. Visitors shall be escorted in areas restricted to the general public.

B.2 STATEMENT OF WORK/PWS

STATEMENT OF WORK

Dialysis and Reverse Osmosis System Testing and Maintenance Services

1. OVERVIEW

Contractor shall provide all tools, permitting, materials, components, labor, and supervision for service of Reverse Osmosis and Dialysis water system testing and maintenance located at Jesse Brown VA Medical Center, Chicago, IL.

Maintenance and testing services including but not limited to regular preventative maintenance of the CWP Dialysis Reverse Osmosis (3) and portable Reverse Osmosis machines (14); routine water quality laboratory testing including LAL endotoxin, AAMI metal, and bacterial testing, and weekly chemical disinfection of CWP Reverse Osmosis systems. Services to occur on routine basis (annually, Semi-annually, quarterly, monthly, weekly, etc.) as per manufacturer guidelines/recommendations/specifications. Recommended maintenance shall be followed per the Millenium HX Reverse Osmosis System Operation and Maintenance Manual.

2. SCOPE OF WORK:

Task 1: Preventative Maintenance and Repair of Reverse Osmosis Water Systems Provide routine preventative maintenance for the 3 CWP – Reverse Osmosis systems for Dialysis (located: Taylor 1247, Damen 3454, Bed Pavilion 3603) based on manufacturer specifications and any applicable VA policy VHA Handbook 1042.01.

Maintenance and Repair of RO Water Systems Schedule

*Systems Performance Review shall include Inspecting and Recording Reverse Osmosis Control Panel Data, System Readings Data, Carbon Tanks Data, Reverse Osmosis Remote Alarms Data, Reverse Osmosis Distribution Loop Flows. Chloramine Level and Booster Pump Make/Model shall also be recorded.

Chemical disinfections shall only be completed after Dialysis Operating hours (Saturdays after 8:30pm or Sundays 7:00am to 6:00pm) local time.

Vendor shall be proactive in scheduling each required test and maintenance per the schedule. Semi-annual and annual tests shall be scheduled at least 2-4 weeks prior to due date.

Monthly tests shall be performed within the first 2 weeks of the scheduled month.

Annual and Semi-Annual maintenance tasks must be completed by the end of the month in which the last semi-annual or annual testing period for that system concludes (example: if Semi-Annual maintenance was performed October 31, 2025, the next Semi-Annual maintenance shall be performed by April 30, 2026. If annual maintenance was done on November 30, 2025, the next annual maintenance shall be performed by November 30, 2026).

Task 2: Preventative Maintenance and Repair – Portable Reverse Osmosis Machines Contractor shall provide routine maintenance for fourteen (14) Millenium HX portable Reverse Osmosis units based on manufacturer specifications and any applicable VA policy – VHA Handbook 1042.01

· SN 1353133-

· SN 1355386-

· SN 1355384-

· SN 1353134-

· SN 1352287-

· SN 1353381-

· SN 1352791-

· SN 1352328-

· SN 1353764-

· SN 1352286-

· SN 1352329-

· SN 1389314-

· SN 1389639-

· SN 1389457-

Preventative Maintenance and Repair – Portable Reverse Osmosis Machines Schedule

Vendor shall be proactive in scheduling each required test and maintenance per the schedule. Semi-annual and annual tests shall be scheduled at least 2-4 weeks prior to due date.

Chemical disinfections shall only be done after Dialysis Operating hours (Saturdays after 8:30pm or Sundays 7:00am to 6:00pm) local time.

Monthly tests shall be performed within the first 2 weeks of the scheduled month.

Annual and Semi-Annual maintenance tasks must be completed by the end of the month in which the last semi-annual or annual testing period for that system concludes (example: if Semi-Annual maintenance was performed October 31, 2025, the next Semi-Annual maintenance shall be performed by April 30, 2026. If annual maintenance was done on November 30, 2025, the next annual maintenance shall be performed by November 30, 2026).

Task 3: Weekly Chemical Disinfect – 3 CWP (Dialysis) Reverse Osmosis Systems

Contractor shall provide sterilant and labor to chemically disinfect the central CPW Reverse Osmosis Systems for each dialysis clinic (3 clinics - Damen, Bed Pavilion, Taylor) on a weekly basis, following manufacturer recommended disinfection process. Additionally, Contractor shall perform litmus test at the beginning of disinfection cycle to verify proper concentration of sterilant. At the end of disinfection cycle, Contractor shall perform litmus test of Reverse Osmosis and the end-user ports to verify sterilant is not present in the Reverse Osmosis or distribution loop.

Disinfection of all 3 Reverse Osmosis shall occur on a weekly basis and can take place only after hours (Saturdays after 8:30pm or Sundays 7:00am to 6:00pm) local time.

Contractor shall sign written log posted at each Reverse Osmosis and provide weekly reports that contain all gauges and pressures to be checked, description of the gauge/test, normal ranges and pass or fail with comments. Email the combined report for all 3 Reverse Osmosis to the COR/VA designated contact(s) not later than 1 pm the next working day (Monday).

Task 4: Water Quality Testing – Laboratory Services

Contractor shall provide routine services to collect water samples and provide laboratory testing in compliance with current AAMI/ANSI/ISO technical standards for water analysis. [Reference: AAMI TIR 58, AAMI 11663, AAMI 13959 for Dialysis].

Testing includes but not limited to: Bacterial Colony Count, Endotoxin, pH, AAMI elements.

Damen Dialysis CWP – Reverse Osmosis

supply and loop return Every 6 months

supply and loop return Every 6 months

Taylor Dialysis CWP - Reverse Osmosis: colony count

LAL Endotoxin **Monthly on loop supply and loop return Every 6 months

Wall Boxes (29 locations)

Bacteria, Endotoxin Monthly (VA will collect samples)

30 Fresenius Machine

(VA will collect samples)

**Samples for Colony Count and Endotoxin shall be performed within the first two weeks of the month.

EMERGENCY RESPONSE TIME: For issue deemed emergencies by VA and approved by Contracting Officer’s Representative (COR) or the Alternate Contracting Officer’s Representative (ACOR) (such as work stoppage that requires diversion/cancellation of patient care). Contractor shall provide a verbal response within 30 minutes and an on-site response within four hours.

REPORTS: For all services described in Task 1 – 4, the Contractor shall provide service reports per each site visit and each service report shall be signed by a designated VA representative.

Upon completion of work performed during each service call, the contractor shall submit to the COR a complete service report with detailed descriptions of the scheduled maintenance procedures performed to maintain the equipment in accordance with conformance standards. Each report shall, at a minimum, document the information listed below. Reports shall be submitted in original copy.

a. Name of contractor

b. Name of person who performed services.

c. Date, time (starting and ending), equipment downtime and # of hours on-site for service call.

d. VA purchase order number covering the call.

e. Description of problem reported by COR or standard maintenance service.

f. Identification of equipment serviced: ID number, manufacturers name, model and serial numbers, room location, and any other manufacturer's identification numbers.

g. Itemized description of service performed including Name of equipment, parts replaced (including part numbers) materials, location of equipment and repairs completed.

h. Signatures of Field Service Engineer who performed the services and the VA employee who witnessed services described.

3. SECURITY

Site Access/Jesse Brown VAMC Additional Site-Specific Requirements:

3. The Contractor shall check in (in person) with the Ogden Security Desk which is located on the Ogden Entrance main lobby for any work and site visit. Contractor shall present their ID to get a Vendor’s Day Pass.

3. The contractor's employees shall wear visible identification and company uniforms.

3. The Contractor is required to report his presence to the COR whenever on VA grounds for the purpose of equipment maintenance/repair during regular business hours. Normal business hours are 7:30 AM to 4 PM local time, excluding holidays. After business hours, the Contractor shall check-in (in person) with the Administrative Officer of the Day (AOD) which is in Patient Admitting for any work between 4:00 PM to 7:30 AM local time, Monday through Friday, and any time on weekends.

3. The AOD will contact engineering upon their arrival and engineering will escort Contractor service technician to designated areas after work hours. At the completion of the workday, the contractor service technician shall check out with the AOD.

d. Deliveries, Parking, Elevators:

· Deliveries that are too large for hand carry; the Contractor shall use only at the Polk Street dock, and coordinated with the COR. At time of delivery: provide vehicle information to the VA Police and remove the vehicle as soon as delivery is complete. Move materials in public corridors during low patient time and performed between 6 pm through midnight concluding by 6 am on the following day.

· No on-site parking. Utilize street parking or park in the Cook County Juvenile Parking Garage at their daily rate. The existing JB VAMC parking garage is at capacity and reserved for patients and staff. It is the responsibility of the contractor to park in the appropriate designated parking areas. Additional information on parking is available from the VA Police or from the COR. The VA will not invalidate or make reimbursement for parking violations of the contractor under any conditions.

· Contractor shall use Freight Elevators. Do not move materials and employees in passenger elevators unless written approval by COR.

4. GENERAL INFORMATION

Service hours and Federal Holidays

a. Normal hours of coverage are Monday through Friday from 7:30 AM to 4 PM local time, excluding holidays. All work shall be performed during normal hours of coverage unless otherwise requested or approved by the COR or their designee.

b. All contract work shall be on a date and time mutually agreed upon between the Contractor and the COR.

c. Federal Holidays observed by the VAMC are:

B.3 PRICE/COST SCHEDULE

ITEM INFORMATION

Weekly System Performance Review - Dialysis CWP Systems (Taylor, Bedtower, Damen), (W3TSP7312), Part #SI0002 Contract Period: Base POP Begin: 03-01-2025 POP End: 02-28-2026 PRINCIPAL NAICS CODE: 238220 - Plumbing, Heating, and Air-Conditioning Contractors PRODUCT/SERVICE CODE: H146 - Quality Control - Water Purification and Sewage Treatment Equipment

Weekly CWP Membrane Disinfection - Dialysis CWP Systems (Taylor, Bedtower, Damen), (W3TSP4644) (3029765, (.75), 3029795 (.25), 3029796 (1), LABOR (2.5 HR)) Part #4000-0137

POP Begin: 03-01-2025 POP End: 02-28-2026

Monthly Inspect & Replace RO Pre Filter (W3TSP4603) Part #SI5000

POP Begin: 03-01-2025 POP End: 02-28-2026

Monthly - FILTER,DEPTH,SW,PP,1M,4-1/2"X20",DOE (W2T913146 Part #ME42007

POP Begin: 03-01-2025 POP End: 02-28-2026

Monthly - LAL Water Test (W3TSP7171)

POP Begin: 03-01-2025 POP End: 02-28-2026

Monthly - Bacteria Water Test (48 Hour) (W3TSP7170)

POP Begin: 03-01-2025 POP End: 02-28-2026

Monthly - CHEM,LIQ,MINNCARE HD,4X1GAL (W2T912234) Part #3029764

POP Begin: 03-01-2025 POP End: 02-28-2026

Monthly - Portable Performance Review (W3TSP7037) Part # 4000-0089 MHX Portable RO's (14) Contract Period: Base POP Begin: 03-01-2025 POP End: 02-28-2026

Monthly - Inspect & Replace RO Pre Filter (W3T577756) Part #SI5000

Contract Period: Base POP Begin: 03-01-2025 POP End: 02-28-2026

Monthly - FILTER,5M,9-7/8IN (W2T913469) Part #ME40696

Contract Period: Base POP Begin: 03-01-2025 POP End: 02-28-2026

Monthly - LAL Water Test (48 Hour) (W3TSP7171)

Contract Period: Base POP Begin: 03-01-2025 POP End: 02-28-2026

Monthly - Bacteria Water Test (48 Hour) (W3TSP7170)

Contract Period: Base POP Begin: 03-01-2025 POP End: 02-28-2026

Monthly - LAL Water Test (48 Hour) customer to pull (W3TSP7171) (Wall boxes) 27416-SAMP Water Samples Contract Period: Base POP Begin: 03-01-2025 POP End: 02-28-2026

Monthly - Bacteria Water Test (48 Hour) customer to pull (W3TSP7170)(Wall boxes)

Contract Period: Base POP Begin: 03-01-2025 POP End: 02-28-2026

Quarterly - Portable Chemical Disinfection (Multiple) (W3TSP4644) (3029765 (.1), 3029795 (.1), 3029796 (.25), LABOR (1 HR)) Part #4000-0083

Contract Period: Base POP Begin: 03-01-2025 POP End: 02-28-2026

Quarterly - Inspect & Replace 1 Carbon Block PTG-520® Filter (W3TSP4763) Part #4000-0073

Contract Period: Base POP Begin: 03-01-2025 POP End: 02-28-2026

Quarterly - Carbon Block PTG (W2T912087) Part# 3027145

Contract Period: Base POP Begin: 03-01-2025 POP End: 02-28-2026

Semi-Annually (every 6-months) - Clean Membranes (W3TSP4638) (1228653 (.25), 3035301 (.25), LABOR (4 HR)) Part # 4000-0136 Dialysis (3) CWP Systems (Taylor, Bedtower, Damen) Contract Period: Base POP Begin: 03-01-2025 POP End: 02-28-2026

Semi-Annually (every 6-months) Inspect & Replace Post Filter (W3TSP4602) Part # SI5120

Contract Period: Base POP Begin: 03-01-2025 POP End: 02-28-2026

Semi-Annually (every 6-months) Filter, ETRF, RenaPure, 20", 222, FLAT (W3T590100) Part # W3T590100 Dialysis (3) CWP Systems (Taylor, Bedtower, Damen) Contract Period: Base POP Begin: 03-01-2025 POP End: 02-28-2026

Semi-Annually (every 6-months) AAMI RO Product (W3TSP7119)

Contract Period: Base POP Begin: 03-01-2025 POP End: 02-28-2026

Semi-Annually (every 6-months) AAMI (W3TSP7119)

Contract Period: Base POP Begin: 03-01-2025 POP End: 02-28-2026

Semi-Annually (every 6-months) Bacteria Water Test (Customer to pull) (Fresenius Machines) (W3TSP7170)

Contract Period: Base POP Begin: 03-01-2025 POP End: 02-28-2026

Annually - Rebuild Tank Head (2850,NHWBP) (W3TSP7034) (W2T913251 & W2T132346) Part # SRV1001 Dialysis (3) CWP Systems (Taylor, Bedtower, Damen) Contract Period: Base POP Begin: 03-01-2025 POP End: 02-28-2026

Annually - Carbon Filter Rebed, 7 cu.ft. (W3T572487) (ME50097 (7), 1237819 (4), ME41146 (1), ME41153 (1), ME41492 (1), LABOR (3 HR)) Part #SRV1010

Contract Period: Base POP Begin: 03-01-2025 POP End: 02-28-2026

Annually - CWP Annual Preventative Maintenance Kit (W3T577722) Part # 4000-0092

Contract Period: Base POP Begin: 03-01-2025 POP End: 02-28-2026

Annually - AAMI City Feed (W3TSP7119) AAMI TEST

Contract Period: Base POP Begin: 03-01-2025 POP End: 02-28-2026

Annually - CWP Extended Coverage (W3TSP3048 ) Part # 4000-1092

Contract Period: Base POP Begin: 03-01-2025 POP End: 02-28-2026

Annually - Inspect and Replace MHX PM Kit (W3T577756) Part # 4000-1093

Contract Period: Base POP Begin: 03-01-2025 POP End: 02-28-2026

Annually - MHX PM Kit (W3T577756) Part # 3035238

Contract Period: Base POP Begin: 03-01-2025 POP End: 02-28-2026

Annually - Inspect & Replace Membrane(s) (W3TSP4643) Part #4000-0147

Contract Period: Base POP Begin: 03-01-2025 POP End: 02-28-2026

Annually - KIT,ELEM REPL/UPGRD,HSRO 4118,MHX (W3T577754) Part # 3035020

Contract Period: Base POP Begin: 03-01-2025 POP End: 02-28-2026

Annually - Millenium HX Extended Coverage (W3TSP3048 ) Part # 4000-1087

Contract Period: Base POP Begin: 03-01-2025 POP End: 02-28-2026

Annually - LAL Water Test (Retests) (W3TSP7171)

Contract Period: Base POP Begin: 03-01-2025 POP End: 02-28-2026

Annually - Bacteria Water Test (Retests) (W3TSP7170)

Contract Period: Base POP Begin: 03-01-2025 POP End: 02-28-2026

Annually - LAL Water Test (Customer to pull) Fresenius Machines) (W3TSP7171)

Contract Period: Base POP Begin: 03-01-2025 POP End: 02-28-2026

Weekly System Performance Review - Dialysis CWP Systems (Taylor, Bedtower, Damen), (W3TSP7312), Part #SI0002 Contract Period: Option 1 POP Begin: 03-01-2026 POP End: 02-28-2027

Weekly CWP Membrane Disinfection - Dialysis CWP Systems (Taylor, Bedtower, Damen), (W3TSP4644) (3029765, (.75), 3029795 (.25), 3029796 (1), LABOR (2.5 HR)) Part #4000-0137

POP Begin: 03-01-2026 POP End: 02-28-2027

Monthly Inspect & Replace RO Pre Filter (W3TSP4603) Part #SI5000

POP Begin: 03-01-2026 POP End: 02-28-2027

Monthly - FILTER,DEPTH,SW,PP,1M,4-1/2"X20",DOE (W2T913146 Part #ME42007

POP Begin: 03-01-2026 POP End: 02-28-2027

Monthly - LAL Water Test (W3TSP7171)

POP Begin: 03-01-2026 POP End: 02-28-2027

Monthly - Bacteria Water Test (48 Hour) (W3TSP7170)

POP Begin: 03-01-2026 POP End: 02-28-2027

Monthly - CHEM,LIQ,MINNCARE HD,4X1GAL (W2T912234) Part #3029764

POP Begin: 03-01-2026 POP End: 02-28-2027

Monthly - Portable Performance Review (W3TSP7037) Part # 4000-0089

Contract Period: Option 1 POP Begin: 03-01-2026 POP End: 02-28-2027

Monthly - Inspect & Replace RO Pre Filter (W3T577756) Part #SI5000

Contract Period: Option 1 POP Begin: 03-01-2026 POP End: 02-28-2027

Monthly - FILTER,5M,9-7/8IN (W2T913469) Part #ME40696

Contract Period: Option 1 POP Begin: 03-01-2026 POP End: 02-28-2027

Monthly - LAL Water Test (48 Hour) (W3TSP7171)

Contract Period: Option 1 POP Begin: 03-01-2026 POP End: 02-28-2027

Monthly - Bacteria Water Test (48 Hour) (W3TSP7170)

Contract Period: Option 1 POP Begin: 03-01-2026 POP End: 02-28-2027

Monthly - LAL Water Test (48 Hour) customer to pull (W3TSP7171) (Wallboxes)

Contract Period: Option 1 POP Begin: 03-01-2026 POP End: 02-28-2027

Monthly - Bacteria Water Test (48 Hour) customer to pull (W3TSP7170)(Wallboxes)

Contract Period: Option 1 POP Begin: 03-01-2026 POP End: 02-28-2027

Quarterly - Portable Chemical Disinfection (Multiple) (W3TSP4644) (3029765 (.1), 3029795 (.1), 3029796 (.25), LABOR (1 HR)) Part #4000-0083

Contract Period: Option 1 POP Begin: 03-01-2026 POP End: 02-28-2027

Quarterly - Inspect & Replace 1 Carbon Block PTG-520® Filter (W3TSP4763) Part #4000-0073

Contract Period: Option 1 POP Begin: 03-01-2026 POP End: 02-28-2027

Quarterly - Carbon Block PTG (W2T912087) Part# 3027145

Contract Period: Option 1 POP Begin: 03-01-2026 POP End: 02-28-2027

Semi-Annually (every 6-months) - Clean Membranes (W3TSP4638) (1228653 (.25), 3035301 (.25), LABOR (4 HR)) Part # 4000-0136

Contract Period: Option 1 POP Begin: 03-01-2026 POP End: 02-28-2027

Semi-Annually (every 6-months) Inspect & Replace Post Filter (W3TSP4602) Part # SI5120

Contract Period: Option 1 POP Begin: 03-01-2026 POP End: 02-28-2027

Semi-Annually (every 6-months) Filter, ETRF, RenaPure, 20", 222, FLAT (W3T590100)

Dialysis (3) CWP Systems (Taylor, Bedtower, Damen) Contract Period: Option 1 POP Begin: 03-01-2026 POP End: 02-28-2027

Semi-Annually (every 6-months) AAMI RO Product (W3TSP7119)

Contract Period: Option 1 POP Begin: 03-01-2026 POP End: 02-28-2027

Semi-Annually (every 6-months) AAMI (W3TSP7119)

Contract Period: Option 1 POP Begin: 03-01-2026 POP End: 02-28-2027

Semi-Annually (every 6-months) Bacteria Water Test (Customer to pull) (Fresenius Machines) (W3TSP7170)

Contract Period: Option 1 POP Begin: 03-01-2026 POP End: 02-28-2027

Annually - Rebuild Tank Head (2850,NHWBP) (W3TSP7034) (W2T913251 & W2T132346)

Dialysis (3) CWP Systems (Taylor, Bedtower, Damen) Contract Period: Option 1 POP Begin: 03-01-2026 POP End: 02-28-2027

Annually - Carbon Filter Rebed, 7 cu.ft. (W3T572487) (ME50097 (7), 1237819 (4), ME41146 (1), ME41153 (1), ME41492 (1), LABOR (3 HR)) Part #SRV1010

Contract Period: Option 1 POP Begin: 03-01-2026 POP End: 02-28-2027

Annually - CWP Annual Preventative Maintenance Kit (W3T577722) Part # 4000-0092

Contract Period: Option 1 POP Begin: 03-01-2026 POP End: 02-28-2027

Annually - AAMI City Feed (W3TSP7119) AAMI TEST

Contract Period: Option 1 POP Begin: 03-01-2026 POP End: 02-28-2027

Annually - CWP Extended Coverage (W3TSP3048 ) Part # 4000-1092

Contract Period: Option 1 POP Begin: 03-01-2026 POP End: 02-28-2027

Annually - Inspect and Replace MHX PM Kit (W3T577756) Part # 4000-1093

Contract Period: Option 1 POP Begin: 03-01-2026 POP End: 02-28-2027

Annually - MHX PM Kit (W3T577756) Part # 3035238

Contract Period: Option 1 POP Begin: 03-01-2026 POP End: 02-28-2027

Annually - Inspect & Replace Membrane(s) (W3TSP4643) Part #4000-0147

Contract Period: Option 1 POP Begin: 03-01-2026 POP End: 02-28-2027

Annually - KIT,ELEM REPL/UPGRD,HSRO 4118,MHX (W3T577754) Part # 3035020

Contract Period: Option 1 POP Begin: 03-01-2026 POP End: 02-28-2027

Annually - Millenium HX Extended Coverage (W3TSP3048 ) Part # 4000-1087

Contract Period: Option 1 POP Begin: 03-01-2026 POP End: 02-28-2027

Annually - LAL Water Test (Retests) (W3TSP7171)

Contract Period: Option 1 POP Begin: 03-01-2026 POP End: 02-28-2027

Annually - Bacteria Water Test (Retests) (W3TSP7170)

Contract Period: Option 1 POP Begin: 03-01-2026 POP End: 02-28-2027

Annually - LAL Water Test (Customer to pull) Fresenius Machines) (W3TSP7171)

Contract Period: Option 1 POP Begin: 03-01-2026 POP End: 02-28-2027

Weekly System Performance Review - Dialysis CWP Systems (Taylor, Bedtower, Damen), (W3TSP7312), Part #SI0002 Contract Period: Option 2 POP Begin: 03-01-2027 POP End: 02-29-2028

Weekly CWP Membrane Disinfection - Dialysis CWP Systems (Taylor, Bedtower, Damen), (W3TSP4644) (3029765, (.75), 3029795 (.25), 3029796 (1), LABOR (2.5 HR)) Part #4000-0137

POP Begin: 03-01-2027 POP End: 02-29-2028

Monthly Inspect & Replace RO Pre Filter (W3TSP4603) Part #SI5000

POP Begin: 03-01-2027 POP End: 02-29-2028

Monthly - FILTER,DEPTH,SW,PP,1M,4-1/2"X20",DOE (W2T913146 Part #ME42007

POP Begin: 03-01-2027 POP End: 02-29-2028

Monthly - LAL Water Test (W3TSP7171)

POP Begin: 03-01-2027 POP End: 02-29-2028

Monthly - Bacteria Water Test (48 Hour) (W3TSP7170)

POP Begin: 03-01-2027 POP End: 02-29-2028

Monthly - CHEM,LIQ,MINNCARE HD,4X1GAL (W2T912234) Part #3029764

POP Begin: 03-01-2027 POP End: 02-29-2028

Monthly - Portable Performance Review (W3TSP7037) Part # 4000-0089

Contract Period: Option 2 POP Begin: 03-01-2027 POP End: 02-29-2028

Monthly - Inspect & Replace RO Pre Filter (W3T577756) Part #SI5000

Contract Period: Option 2 POP Begin: 03-01-2027 POP End: 02-29-2028

Monthly - FILTER,5M,9-7/8IN (W2T913469) Part #ME40696

Contract Period: Option 2 POP Begin: 03-01-2027 POP End: 02-29-2028

Monthly - LAL Water Test (48 Hour) (W3TSP7171)

Contract Period: Option 2 POP Begin: 03-01-2027 POP End: 02-29-2028

Monthly - Bacteria Water Test (48 Hour) (W3TSP7170)

Contract Period: Option 2 POP Begin: 03-01-2027 POP End: 02-29-2028

Monthly - LAL Water Test (48 Hour) customer to pull (W3TSP7171) (Wallboxes)

Contract Period: Option 2 POP Begin: 03-01-2027 POP End: 02-29-2028

Monthly - Bacteria Water Test (48 Hour) customer to pull (W3TSP7170)(Wallboxes)

Contract Period: Option 2 POP Begin: 03-01-2027 POP End: 02-29-2028

Quarterly - Portable Chemical Disinfection (Multiple) (W3TSP4644) (3029765 (.1), 3029795 (.1), 3029796 (.25), LABOR (1 HR)) Part #4000-0083

Contract Period: Option 2 POP Begin: 03-01-2027 POP End: 02-29-2028

Quarterly - Inspect & Replace 1 Carbon Block PTG-520® Filter (W3TSP4763) Part #4000-0073

Contract Period: Option 2 POP Begin: 03-01-2027 POP End: 02-29-2028

Quarterly - Carbon Block PTG (W2T912087) Part# 3027145

Contract Period: Option 2 POP Begin: 03-01-2027 POP End: 02-29-2028

Semi-Annually (every 6-months) - Clean Membranes (W3TSP4638) (1228653 (.25), 3035301 (.25), LABOR (4 HR)) Part # 4000-0136

Contract Period: Option 2 POP Begin: 03-01-2027 POP End: 02-29-2028

Semi-Annually (every 6-months) Inspect & Replace Post Filter (W3TSP4602) Part # SI5120

Contract Period: Option 2 POP Begin: 03-01-2027 POP End: 02-29-2028

Semi-Annually (every 6-months) Filter, ETRF, RenaPure, 20", 222, FLAT (W3T590100)

Dialysis (3) CWP Systems (Taylor, Bedtower, Damen) Contract Period: Option 2 POP Begin: 03-01-2027 POP End: 02-29-2028

Semi-Annually (every 6-months) AAMI RO Product (W3TSP7119)

Contract Period: Option 2 POP Begin: 03-01-2027 POP End: 02-29-2028

Semi-Annually (every 6-months) AAMI (W3TSP7119)

Contract Period: Option 2 POP Begin: 03-01-2027 POP End: 02-29-2028

Semi-Annually (every 6-months) Bacteria Water Test (Customer to pull) (Fresenius Machines) (W3TSP7170)

Contract Period: Option 2 POP Begin: 03-01-2027 POP End: 02-29-2028

Annually - Rebuild Tank Head (2850,NHWBP) (W3TSP7034) (W2T913251 & W2T132346)

Dialysis (3) CWP Systems (Taylor, Bedtower, Damen) Contract Period: Option 2 POP Begin: 03-01-2027 POP End: 02-29-2028

Annually - Carbon Filter Rebed, 7 cu.ft. (W3T572487) (ME50097 (7), 1237819 (4), ME41146 (1), ME41153 (1), ME41492 (1), LABOR (3 HR)) Part #SRV1010

Contract Period: Option 2 POP Begin: 03-01-2027 POP End: 02-29-2028

Annually - CWP Annual Preventative Maintenance Kit (W3T577722) Part # 4000-0092

Contract Period: Option 2 POP Begin: 03-01-2027 POP End: 02-29-2028

Annually - AAMI City Feed (W3TSP7119) AAMI TEST

Contract Period: Option 2 POP Begin: 03-01-2027 POP End: 02-29-2028

Annually - CWP Extended Coverage (W3TSP3048 ) Part # 4000-1092

Contract Period: Option 2 POP Begin: 03-01-2027 POP End: 02-29-2028

Annually - Inspect and Replace MHX PM Kit (W3T577756) Part # 4000-1093

Contract Period: Option 2 POP Begin: 03-01-2027 POP End: 02-29-2028

Annually - MHX PM Kit (W3T577756) Part # 3035238

Contract Period: Option 2 POP Begin: 03-01-2027 POP End: 02-29-2028

Annually - Inspect & Replace Membrane(s) (W3TSP4643) Part #4000-0147

Contract Period: Option 2 POP Begin: 03-01-2027 POP End: 02-29-2028

Annually - KIT,ELEM REPL/UPGRD,HSRO 4118,MHX (W3T577754) Part # 3035020

Contract Period: Option 2 POP Begin: 03-01-2027 POP End: 02-29-2028

Annually - Millenium HX Extended Coverage (W3TSP3048 ) Part # 4000-1087

Contract Period: Option 2 POP Begin: 03-01-2027 POP End: 02-29-2028

Annually - LAL Water Test (Retests) (W3TSP7171)

Contract Period: Option 2 POP Begin: 03-01-2027 POP End: 02-29-2028

Annually - Bacteria Water Test (Retests) (W3TSP7170)

Contract Period: Option 2 POP Begin: 03-01-2027 POP End: 02-29-2028

Annually - LAL Water Test (Customer to pull) Fresenius Machines) (W3TSP7171)

Contract Period: Option 2 POP Begin: 03-01-2027 POP End: 02-29-2028

Weekly System Performance Review - Dialysis CWP Systems (Taylor, Bedtower, Damen), (W3TSP7312), Part #SI0002 Contract Period: Option 3 POP Begin: 03-01-2028 POP End: 02-28-2029

Weekly CWP Membrane Disinfection - Dialysis CWP Systems (Taylor, Bedtower, Damen), (W3TSP4644) (3029765, (.75), 3029795 (.25), 3029796 (1), LABOR (2.5 HR)) Part #4000-0137

POP Begin: 03-01-2028 POP End: 02-28-2029

Monthly Inspect & Replace RO Pre Filter (W3TSP4603) Part #SI5000

POP Begin: 03-01-2028 POP End: 02-28-2029

Monthly - FILTER,DEPTH,SW,PP,1M,4-1/2"X20",DOE (W2T913146 Part #ME42007

POP Begin: 03-01-2028 POP End: 02-28-2029

Monthly - LAL Water Test (W3TSP7171)

POP Begin: 03-01-2028 POP End: 02-28-2029

Monthly - Bacteria Water Test (48 Hour) (W3TSP7170)

POP Begin: 03-01-2028 POP End: 02-28-2029

Monthly - CHEM,LIQ,MINNCARE HD,4X1GAL (W2T912234) Part #3029764

POP Begin: 03-01-2028 POP End: 02-28-2029

Monthly - Portable Performance Review (W3TSP7037) Part # 4000-0089

Contract Period: Option 3 POP Begin: 03-01-2028 POP End: 02-28-2029

Monthly - Inspect & Replace RO Pre Filter (W3T577756) Part #SI5000

Contract Period: Option 3 POP Begin: 03-01-2028 POP End: 02-28-2029

Monthly - FILTER,5M,9-7/8IN (W2T913469) Part #ME40696

Contract Period: Option 3 POP Begin: 03-01-2028 POP End: 02-28-2029

Monthly - LAL Water Test (48 Hour) (W3TSP7171)

Contract Period: Option 3 POP Begin: 03-01-2028 POP End: 02-28-2029

Monthly - Bacteria Water Test (48 Hour) (W3TSP7170)

Contract Period: Option 3 POP Begin: 03-01-2028 POP End: 02-28-2029

Monthly - LAL Water Test (48 Hour) customer to pull (W3TSP7171) (Wallboxes)

Contract Period: Option 3 POP Begin: 03-01-2028 POP End: 02-28-2029

Monthly - Bacteria Water Test (48 Hour) customer to pull (W3TSP7170)(Wallboxes)

Contract Period: Option 3 POP Begin: 03-01-2028 POP End: 02-28-2029

Quarterly - Portable Chemical Disinfection (Multiple) (W3TSP4644) (3029765 (.1), 3029795 (.1), 3029796 (.25), LABOR (1 HR)) Part #4000-0083

Contract Period: Option 3 POP Begin: 03-01-2028 POP End: 02-28-2029

Quarterly - Inspect & Replace 1 Carbon Block PTG-520® Filter (W3TSP4763) Part #4000-0073

Contract Period: Option 3 POP Begin: 03-01-2028 POP End: 02-28-2029

Quarterly - Carbon Block PTG (W2T912087) Part# 3027145

Contract Period: Option 3 POP Begin: 03-01-2028 POP End: 02-28-2029

Semi-Annually (every 6-months) - Clean Membranes (W3TSP4638) (1228653 (.25), 3035301 (.25), LABOR (4 HR)) Part # 4000-0136

Contract Period: Option 3 POP Begin: 03-01-2028 POP End: 02-28-2029

Semi-Annually (every 6-months) Inspect & Replace Post Filter (W3TSP4602) Part # SI5120

Contract Period: Option 3 POP Begin: 03-01-2028 POP End: 02-28-2029

Semi-Annually (every 6-months) Filter, ETRF, RenaPure, 20", 222, FLAT (W3T590100)

Dialysis (3) CWP Systems (Taylor, Bedtower, Damen) Contract Period: Option 3 POP Begin: 03-01-2028 POP End: 02-28-2029

Semi-Annually (every 6-months) AAMI RO Product (W3TSP7119)

Contract Period: Option 3 POP Begin: 03-01-2028 POP End: 02-28-2029

Semi-Annually (every 6-months) AAMI (W3TSP7119)

Contract Period: Option 3 POP Begin: 03-01-2028 POP End: 02-28-2029

Semi-Annually (every 6-months) Bacteria Water Test (Customer to pull) (Fresenius Machines) (W3TSP7170)

Contract Period: Option 3 POP Begin: 03-01-2028 POP End: 02-28-2029

Annually - Rebuild Tank Head (2850,NHWBP) (W3TSP7034) (W2T913251 & W2T132346)

Dialysis (3) CWP Systems (Taylor, Bedtower, Damen) Contract Period: Option 3 POP Begin: 03-01-2028 POP End: 02-28-2029

Annually - Carbon Filter Rebed, 7 cu.ft. (W3T572487) (ME50097 (7), 1237819 (4), ME41146 (1), ME41153 (1), ME41492 (1), LABOR (3 HR)) Part #SRV1010

Contract Period: Option 3 POP Begin: 03-01-2028 POP End: 02-28-2029

Annually - CWP Annual Preventative Maintenance Kit (W3T577722) Part # 4000-0092

Contract Period: Option 3 POP Begin: 03-01-2028 POP End: 02-28-2029

Annually - AAMI City Feed (W3TSP7119) AAMI TEST

Contract Period: Option 3 POP Begin: 03-01-2028 POP End: 02-28-2029

Annually - CWP Extended Coverage (W3TSP3048 ) Part # 4000-1092

Contract Period: Option 3 POP Begin: 03-01-2028 POP End: 02-28-2029

Annually - Inspect…