36C25525Q0175 0002.pdf

5. PROJECT NUMBER (if applicable)

CODE 7. ADMINISTERED BY

2. AMENDMENT/MODIFICATION NUMBER

CODE

6. ISSUED BY

8. NAME AND ADDRESS OF CONTRACTOR

4. REQUISITION/PURCHASE REQ. NUMBER 3. EFFECTIVE DATE

9A. AMENDMENT OF SOLICITATION NUMBER

9B. DATED

PAGE OF PAGES

10A. MODIFICATION OF CONTRACT/ORDER NUMBER

10B. DATED

BPA NO. 1. CONTRACT ID CODE

FACILITY CODE CODE

Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods:

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers

E. IMPORTANT:

is extended,

(a) By completing Items 8 and 15, and returning __________ copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted; or (c) By separate letter or electronic communication which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY is not extended.

12. ACCOUNTING AND APPROPRIATION DATA

(REV. 11/2016)

is required to sign this document and return ___________ copies to the issuing office. is not, A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER NO. IN ITEM 10A.

15C. DATE SIGNED

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by letter or electronic communication, provided each letter or electronic communication makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER

Contractor

16C. DATE SIGNED

14. DESCRIPTION OF AMENDMENT/MODIFICATION

16B. UNITED STATES OF AMERICA

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

15A. NAME AND TITLE OF SIGNER 16A. NAME AND TITLE OF CONTRACTING OFFICER

15B. CONTRACTOR/OFFEROR

STANDARD FORM 30 PREVIOUS EDITION NOT USABLE

Prescribed by GSA - FAR (48 CFR) 53.243

(Type or print) (Type or print)

(Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

(Number, street, county, State and ZIP Code)

(If other than Item 6)

(Specify type of modification and authority)

(such as changes in paying office, appropriation date, etc.)

(If required)

(SEE ITEM 11)

(SEE ITEM 13)

(X)

CHECK

ONE

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS,

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

(Signature of person authorized to sign) (Signature of Contracting Officer)

1 25

0002 02-26-2025

657-25-1-3755-6726

36C255

Department of Veterans Affairs Network Contracting Office (NCO) 15 3450 S 4th Street Trafficway

Leavenworth KS 66048

36C255

Department of Veterans Affairs Network Contracting Office (NCO) 15 3450 S 4th Street Trafficway

Leavenworth KS 66048

To all Offerors/Bidders

36C25525Q0175

X

X X

** HOUR & DATE for Receipt of Offers is EXTENDED to: 03-10-2025 10:00am CDT

X 1

This amendment is to provide:

1. a revised Statement of Work

2. a revised Price/Cost Schedule

3. two clauses have been added

4. Answers to questions asked.

Please see Continuation Pages for details.

The due date has been extended to Monday, March 10, 2025 10:00am CST.

POC: Denise Maynard, denise.maynard@va.gov, 913-946-1978

Denise Maynard Contracting Officer

CONTINUATION PAGE

B.2 STATEMENT OF WORK

1. SCOPE:

1.1. The John J. Pershing VA Medical Center, Poplar Bluff, MO and the Cape Girardeau VA Health Care Center require a contractor to provide medical gases. The contractor shall be responsible for the filling, transporting, handling, delivering, pick up and storing of medical cylinders gases. This is for a base plus 4 option year contract.

1.2. All supplies of medical cylinder gases shall be delivered to the John J Pershing VAMC and the Cape Girardeau Health Care Center. The amount of deliveries is included in the Price/Cost Schedule and the contractor must comply with amount of deliveries specified. If there is emergent need, the response time will be within 2 hours. Through a bilateral modification, the Government may add additional delivery locations or remove any delivery locations any time during the specified period of performance. All rates, contract terms and conditions shall remain the same and the Contractor shall accept any additional locations if delivery will be available within 2 hours. The addresses for delivery are as follows:

a) John J. Pershing VA Medical Center, 1500 N. Westwood Blvd, Poplar Bluff, MO 63901

b) Cape Girardeau Health Care Center, 711 S Mount Auburn Road, Cape Girardeau, MO 63703

1.3. The quantities shown in the Price/Cost Schedule, are estimates of the requirement. There is no express or implied guarantee that these quantities will be purchased. The Government is anticipating awarding an Indefinite Delivery Indefinite Quantity (IDIQ) Firm Fixed Price (FFP) contract with one base year and four (4) option years. The period of performance shall be from September 30, 2025, through September 29, 2030. A 10% increase or decrease of usage may be anticipated annually by the Government. Adding or removing medical gasses on the list at any location is based on station needs of usage.

1.4. The Contractor will be provided with the name and contact information of the primary Contracting Officer Representative (COR) within 20 days after award of the Contract. The following information applies to all deliveries, regardless of the time or day of execution: Cylinders shall be filled to the maximum functional capacity during each refilling procedure unless otherwise specified in the facility requirements or as agreed upon in a written document signed and dated by the Contracting Officer (CO);

The Contractor shall provide a legible signed and dated written or online document that identifies the number of cylinders at the ordering facility prior to delivery, the number of cylinders being delivered, the number of cylinders being picked-up, and the number of cylinders at the ordering facility after the delivery has been made. This document must be counter-signed by the facility representative supervising the delivery.

2. MEDICAL GAS SPECIFICATION AND REQUIREMENTS:

2.1. All medical gases under the Contract shall be medical-grade and shall meet or exceed the standards cited in the current edition of the United States Pharmacopoeia/National Formulary (U.S.P.). The Contractor shall be registered with the FDA and all medical gases shall be manufactured, processed, packaged, transported, and stored according to the FDA’s CGMP regulations and Labeling Section 21, Code of Federal Regulations, parts 820.80(b), 820.70(f), 820.120 or most current codes as they update during the period of the contract. All products, equipment and services provided under this contract shall follow all applicable Federal, State and Local regulations.

2.2. In addition, the following specifications are incorporated into the contract or most current codes as they update during the period of the contract.: 2.2.1. BB-A-1034B, FEDERAL SPECIFICATION:

COMPRESSED AIR, BREATHING (20 DEC 1985) http://everyspec.com/FED_SPECS/B/BB-A- 1034B_9157/

2.2.2. BB-C-101D, FEDERAL SPECIFICATION: CARBON DIOXIDE (CO2): TECHNICAL AND

USP (07 MAR 2011) http://everyspec.com/FED_SPECS/B/BB-C-101D_31791/

2.2.3. Compressed Gas Association (CGA) Publication G-7 – Compressed Air for Human Respiration, dated 08-04-2003 and ANSI/CGA G-7.1 Commodity Specification for Air, dated 08-27-2004.

http://www.cganet.com.

2.3. Material Safety Data Sheets shall be provided to the facility COR upon request. VA may request training on procedures associated with safety data and maintaining medical gas cylinders while on VA facilities.

2.4. A copy of all inspection reports shall be provided to the facility COR upon the completion of any contractor-owned or government-owned system inspections that are required by regulation.

2.5. State of Missouri Board of Pharmacy Drug Distributor Compliance & Licensing Requirements Guide (in accordance with Chapter 338, RSMo, 20 CSR 2220

3. CYLINDERS AND ASSOCIATED COMPONENTS:

3.1. Laws and regulations: Cylinders and other containers for gaseous and liquid forms of gas shall comply with the most current codes as they update during the period of performance of the contract and based on best and most current industry standards, policy and regulations. Not limited to the following addressed below:

3.2. DOT specifications and shall be maintained, filled, marked, labeled, and shipped to comply with current DOT regulations (Title 49 – Transportation, Code of Federal Regulations). Filling, packaging, and labeling for medical gases shall also comply with the Federal Food, Drug, and Cosmetics Act, and the

FDA.

3.3. Marking: In addition to marking required by the laws and regulations, marking shall comply with the most current codes as they update during the period of performance of the contract CGA Publication C-7

– Guide to Preparation of precautionary Labeling and Marking of Compressed Gas Containers, dated January 01, 2014 https://www.cganet.com/.

3.4. Color Coding: Cylinders shall be color coded in accordance with the most current codes as they update during the period of performance of the contract CGA Publication C-9 – Standard Color Marking of Compressed Gas Containers Intended for Medical Use, dated September 2013 https://www.cganet.com/.

3.5. Valves: Valves shall comply with the most current codes as they update during the period of performance of the contract with CGA Safety Bulletin SB-26 dated August 2014 and CGA Publication V- 1 -Compressed Gas Association Standard for Compressed Gas Cylinder Valve Outlet and Inlet Connections, dated September 2019. Valve protection caps for cylinders designed to receive such caps shall be securely attached to the cylinders in a manner to protect the valves from injury during transit and delivery to the purchaser’s receiving area. For cylinders, all fittings must be permanently brazed to prevent their removal. In addition, each container should contain a 360-degree cryoband applied to the top of the container with the drug product name repeated around the entire container.

https://www.cganet.com/.

3.6. Hydrostatic Testing:

3.6.1. Retest Date: If applicable the contractor shall comply with the most current codes as they update during the period of performance of the contract of DOT regulations require retesting of cylinder(s) within three (3) months after scheduled date of shipment to a continental U.S. destination or within six (6) months after scheduled date of shipment to an overseas destination, the cylinder(s) shall be retested. The Contractor will be required to retest any government-owned cylinder when requested by ordering facility, regardless of scheduled retest date . NOTE: Government-owned cylinders have both a 5-Year and a 10- Year Hydrostatic Testing requirement.

3.6.2. Method: Government-owned cylinders, which are eligible for extended hydrostatic retesting by a modified hydrostatic method or by visual inspection in lieu of hydrostatic testing, shall be serviced by the most economical means and shall comply with the most current codes as they update during the period of performance of the contract of DOT regulations (49 CFR 173) unless otherwise specified by the ordering facility. When modified or reduced DOT test requirements are contingent upon past usage of the cylinders, a written statement from the ordering activity indicating that the cylinders have been used exclusively for a specific gas may be considered acceptable evidence of the cylinders’ eligibility for modified testing or inspection.

3.6.3. Hydrostatic testing shall comply with the most current codes as they update during the period of performance of the contract be performed in accordance with CGA’s Publication – C-q, Methods for Hydrostatic Testing of Compressed Gas Cylinders, dated June 24, 2019 https://www.cganet.com/.

3.6.4. Visual inspection shall comply with the most current codes as they update during the period of performance of the contract be performed in accordance with the applicable CGA publications C-6 – Standards for Visual Inspection of Steel Compressed Gas Cylinders, dated January 1, 2013 or as applicable C-6.1 – Standards for Visual Inspection of High-Pressure Aluminum Compressed Gas Cylinders, dated January 1, 2013 https://www.cganet.com/.

3.6.5. Cylinder Sizes: Cylinder sizes shown in the Item Description chart below, indicates product capacity of the cylinder(s) currently being used. All capacities are approximate, and the government shall be billed only for the actual amount of gas delivered. In accordance with the most current codes as they update during the period of performance of the contract Federal Food, Drug, and Cosmetic Act, the actual contents of the container must appear on the label.

Cylinder Size Outer Diameter (inches) Height (inches) B 3 5/16 - 3 1/2 13 - 13 1/4 C 3 1/2 8 D 4 3/16-4 1/2 16 3/4 - 19 E 4 3/16 - 4 1/2 24 3/4 - 30 F 4 1/4 17 G 8 1/2 51 - 51 3/4 H 9 - 9 1/4 51 J 9 - 9 1/4 51 - 51 3/4 K 9 56 M 7 43 Q 7 - 7 1/2 32 - 49 S 7 1/4 - 7 1/2 46 T 9 1/4 - 10 55 - 61 230 LT Nitrogen (on wheels) 26 57 100 LT Helium 24 59

3.6.6. E-Sized oxygen cylinder – fixed regulator system requirements: lightweight aluminum construction; easy-to-carry wide permanent handle to make it easy to lift; minimum flow of 15 Liters Per Minute (LPM); flow rates ranging from 0.25 LPM minimum to 25 LPM; a Diameter Index Safety System (DISS) 50 PSI fitting for transport ventilator hook-up, magnetic resonance imaging (MRI) compatibility and easy to read contents gauge and utilize single-stage valves only.

3.6.7. Method of Shipment: Empty government-owned cylinders that are picked up from an ordering facility for re-fill or service shall be transported in accordance with the most current codes as they update during the period of performance of the contract DOT Regulations, using normal commercial practice to prevent damage to cylinders.

4. GOVERNMENT OWNED-MEDICAL GAS CYLINDERS:

4.1. Government-owned medical gas cylinders and appurtenances shall be maintained by the Contractor in a manner that will ensure compliance with applicable regulations, and standards. Expenses that occur (i.e.: valve replacements) shall be paid for by the Government via purchase card.

4.2. Government-owned medical gas cylinders and appurtenances that do not meet compliance requires the contractor to inform the Contracting Officers’ Representative (COR) at the facility. The COR will provide a disposition slip to the contractor to dispose of the specific government-owned medical gas cylinders. Government owned property also includes abandoned medical gas cylinders from other vendors to be disposed.

4.3. Individual Agency Ownership of Cylinders: Government-owned cylinders shall remain the property of the individual ordering (owning) agency and shall not be exchanged for other cylinders, either government-owned or contractor-owned, without authorization of the ordering facility.

4.4. The contractor is required to pick up government-owned medical gas cylinders and appurtenances shall be filled to the maximum functional capacity during each refilling procedure unless otherwise specified in the facility requirements. Each Government-owned medical gas cylinders and appurtenances shall be returned one for one to match the pick-up number.

4.5. The contractor is required to provide a legible signed and/or electronic delivery slip that has been signed by the deliverer as well as the countersigned by the facility representative supervising the delivery.

The delivery slip must include:

4.5.1.1. The number of cylinders at the ordering facility prior to delivery

4.5.1.2. The number of cylinders being delivered

4.5.1.3. The number of cylinders being picked-up

4.6. The facilities will identify government owned cylinders and will perform delivery audits every delivery date and if one for one matching is not accurate, missing cylinder quantities will be identified and documented on the delivery slip of government owned cylinders. A quarterly audit by the government will determine if the contractor lost any government-owned medical gas cylinders and appurtenances. The contractor will be responsible to pay for lost government-owned medical gas cylinders and appurtenances at agreed upon rates as identified on Attachment 2, Schedule of Items.

5. NON-REPAIRABLE GOVERNMENT OWNED MEDICAL CYLINDERS:

5.1. Prior to disposing of non-repairable government-owned cylinders, parts, fittings, and appurtenances, the Contractor shall contact the ordering (owning) facility COR. The Contractor shall also list reason for disposition. Contractor shall make disposition in accordance with ordering activity’s instructions.

5.2. Contractor shall be paid for all services performed and authorized by the ordering activity in accordance with the price schedule.

5.3. Contractor shall not charge any additional fees for the return of non-repairable cylinders to the ordering activity.

6. CONTRACTOR-FURNISHED MEDICAL CYLINDERS:

6.1. Contractor shall install and maintain cylinders with appropriate back-up systems, if applicable, with approval from the COR. Through the duration of the Contract, the Contractor shall be liable for the integrity, suitability, and safety of contractor-owned cylinder(s) that will ensure compliance with applicable regulations and standards.

6.2. Contractor-owned equipment shall be installed, inspected and maintained by the Contractor at the Contractor’s expense (i.e., all med gas cylinder tracking, electronic access to information, installation, inspection and maintenance costs shall be included in the Contract’s monthly fee for the applicable facility).

6.3. Contractor-owned equipment shall be kept in good operating condition, clean, rust free, labels and appearance must be in accordance with applicable regulations and standards. Each station shall provide the Contractor reasonable access to the facilities they are responsible for.

6.4. Stations have a right to refuse cylinders that do not meet applicable regulations and standards.

Contractor shall legibly document, date and sign any written delivery issues and include images of the number of cylinders rejected. The contractor must replace rejected cylinders within 24 hours at no cost to the government.

6.5. The contractor is required to provide a legible signed and/or electronic delivery slip that has been signed by the deliverer as well as the countersigned by the facility representative supervising the delivery.

The delivery slip must include: 6.5.1.1. The number of cylinders at the ordering facility prior to delivery

6.5.1.2. The number of cylinders being delivered

6.5.1.3. The number of cylinders being picked-up

6.5.1.4. Liquid Nitrogen fill (if applicable)

7. TRANSITION/IMPLEMENTATION OF CONTRACTOR FURNISHED MEDICAL GAS

CYLINDERS:

7.1. Phase In: Upon receipt of an order via COR and/or alternate COR, the incoming contractor shall be responsible for replacing all appropriate VA authorized (incumbent contractor-owned) equipment presently located at each facility with the incoming contractor’s equipment as soon as possible after award, but not to exceed forty-five (45) days from date of contract award. Incoming contractor shall coordinate with the incumbent contractor during the transition period relating to the removal of the incumbent contractor’s equipment form each facility. The change shall include delivery, setup, and instructions as further specified herein, and shall be accomplished without disruption in supplies and services. The billing period shall begin on the noted transition date. Upon completion of phase in transition, payments shall be assessed based on the provider’s established rate and prorated from setup date. Prorated monthly rates are based on a 30-day month.

7.2. Unless otherwise directed by the ordering facility, contractor-owned equipment shall be installed by the effective date of the Contract provided that the Contractor shall be allowed a maximum of forty-five

(45) days, after receipt of notice of award, to complete installation. If the Contractor replaces equipment already in use, the exchange of equipment shall be accomplished without interruption of gas supply to the ordering agency. Contractor-installed equipment shall remain the property of the Contractor and shall be removed upon termination of the Contract, when directed by the ordering facility and in full cooperation with the succeeding Contractor to avoid interruption of gas supply.

7.3. To permit orderly transition from one contractor to another, the Contractor shall continue to honor the Contract’s monthly equipment rental fee and gas contract price for a maximum of sixty days (60) days beyond the scheduled expiration of the contract period), unless transition from one contractor to another is completed prior to the 60th day of the transition period. For any partial month, the Contractor shall prorate the monthly equipment rental fee accordingly. The Contractor shall continue to provide and maintain its equipment during the transition period.

7.4. Phase Out: The Contractor realizes that the supplies being provided under this Contract are vital and must be continued uninterrupted. The outgoing contractor shall not remove any equipment from the facility until replacement equipment has been installed. The outgoing contractor shall coordinate the transition of equipment/services with the incoming contractor as soon as possible, but not to exceed sixty

(60) days from date of contract expiration. If additional transition time is required beyond contract expiration, a separate Purchase Order shall be issued to the Contractor for payment of services on a prorated basis. Prorated monthly rates are based on a 30-day month.

7.5. During transition of both Phase In and Phase Out from one contractor to another, the Contractor must reconcile in conjunction with the Government and the incoming contractor, in writing, the accuracy of the cylinder count for each type of gas listed in the Schedule of Items. During the transition period, both Contractors, incoming and outgoing, shall separately conduct an inventory audit that documents the number of contractor-owned and government-owned cylinders. All auditing documents must be approved and signed by all parties involved during the transition periods as emphasized above.

8. MEASUREMENT AND CONVERSION COMPUTATION, ATMOSPHERIC GASES AND

HYDROGEN:

8.1. Density data and volume measurement equivalents printed in CGA Publication P-6 – Standard Density Data, Atmospheric Gases and Hydrogen, dated October 2012 shall be used when necessary to convert measurement of these gases from one form to another; for example, from cubic feet to gallons https://www.cganet.com/.

9. ORDERING PROCESSES:

9.1. The Contractor will be provided with names and contact information of the primary Contracting Officer Representatives (CORs) within 20 days after award of the contract for each ordering facility.

9.2. An Authorized Customer may place orders that are emergency or routine. The Contractor must designate a central location for Authorized Customer orders to be sent. The Contractor is required to have the capability to receive, manage, and fulfill manual orders in instances where there are power outages, security breaches or other electronic systems issues.

9.3. Confirmation: The Contractor must respond to the facility by electronic commerce on the same day after receipt of order for non-emergency deliveries. Orders shall be accepted until 12:00pm for next day deliveries. If the day following the order falls on a federal holiday, then the delivery confirmation shall be the next business day following the federal holiday.

9.4. Emergent Confirmation: Contractor must respond to the facility by either telephone or email within one (1) hour to confirm receipt of emergency notification and to ascertain the nature of the emergency.

10. DELIVERY REQUIREMENTS:

10.1. The following information applies to all deliveries, regardless of the time or day of execution:

Cylinders shall be filled to the maximum functional capacity during each refilling procedure unless otherwise specified in the facility requirements or as agreed upon in a written document signed and dated by the Contracting Officer (CO); The Contractor shall provide a legible signed and dated written document that identifies the number of cylinders at the ordering facility prior to delivery, the number of cylinders being delivered, the number of cylinders being picked-up, and the number of cylinders at the ordering facility after the delivery has been made. This document must be counter-signed by the facility representative supervising the delivery.

10.2. All orders shall be delivered to the individual ordering facility on the specified delivery date or within twenty-four (24) hours after confirmation if emergent. It is the responsibility of the awardee to ensure that the station receives their orders on the specified delivery dates.

10.3. Backorder Notification shall be provided to the COR or designated POC immediately when back order is known. Contractor must also provide estimated lead time of medical gas and provide details of the shortage in marketplace. Any medical gases that can be identified as difficult to fill, must be identified to the COR as soon as possible. Each week the back order is not filled, a status update must be provided to the COR or designated POC.

10.4. The Government retains the right to investigate the backorder situation to determine the cause of the backorder and to aid during the backorder period.

10.5. Cancellation of back order by the Contractor is considered a failure to perform and may be considered grounds for adverse action.

10.6. All medical gas deliveries shall be made per each state’s Department of Transportation (DOT) Regulations. Empty government owned cylinders that are picked up from an ordering facility for re-fill or servicing shall be transported according to DOT Regulations, using normal commercial practices to prevent damage to cylinders.

10.7. Upon delivery, the delivery driver and facility POC will conduct a cylinder delivery count.

Cylinders will be logged in on a paper or electronic delivery slip with the delivery date and driver ID specified. The delivery slip shall be signed by both the facility POC and delivery driver. This information will be given to the COR.

10.8. Upon delivery, the delivery driver and facility POC will conduct an empty cylinder delivery count.

Empty cylinders will be logged in on a paper or electronic delivery slip with the delivery date and driver ID specified. The delivery slip shall be signed by both the facility POC and delivery driver. This information will be given to the COR.

10.9. Deliveries shall be completed weekly on Mondays between the hours of 8:00am – 4:00pm Local Standard Time, unless that day is a Federal Holiday, in which case the delivery shall be completed on the following day. The Contractor and ordering facility COR may adjust the delivery day and/or time upon mutual written agreement. All deliveries shall be coordinated with the facility POCPOC.

10.10. Routine orders shall be accepted by the Contractor until 12:00 PM, facility local time, 24 hours before the next regularly scheduled delivery.

10.11. All transportation charges for delivering/picking up cylinders shall be included in the price of the medical gas. Additional charges such as delivery fees, hazardous material fees, fuel surcharges, shall NOT be billed to, or collected from, the facilities for orders received under this Contract.

10.12. Emergency deliveries shall be delivered within twenty-four (24) hours after receipt of government notification. Emergency status is determined by the Government when conditions warrant, such as an actuated imminent alarm condition, or system leak. Failure of the Contractor to remain current with the agreed delivery schedule and requirements does not constitute an “emergency” for purposes of charging an emergency delivery fee.

11. EMERGENCY DELIVERY REQUIREMENTS:

This facility is designated as a Federal Emergency Medical Facility with significant contingency and emergency response roles. Accordingly, the Contractor shall offer strategies to provide emergency supply support during major catastrophic events. These strategies shall include additional methods of contacting for ordering medical gas and offering Federal Emergency Medical Facilities, at no cost, the option to pre-prepare order lists tailored to potential catastrophic events likely to occur in their area (fire, mass contamination, epidemic, earthquake, tornados, typhoons, etc.). Because of the emergency nature of these orders Contractor must perform with full delivery to the facility of the required quantities of 90% or more of the order within 24 hours of callout by the facility or their geographical location.

12. DELIVERY TICKETS:

Each delivery must contain a legible delivery ticket covering the following:

12.1.1. Contract Number,

12.1.2. Facility Purchase Order Number

12.1.3. Delivery Order Number

12.1.4. Date of Order

12.1.5. Date of Delivery

12.1.6. Item number(s) and/or product identification number(s)

12.1.7. The number of cylinders being delivered

12.1.8. The number of cylinders being picked up

13. PRICE OF SERVICES FOR GOVERNMENT OWNED/CONTRACTOR OWNED

CYLINDERS:

13.1. Services Included in the Price of Gas (Both Government and Contractor-Owned Cylinders): The Contractor’s price for the gas shall include the following, at no additional cost, of all services which are required at each filling of a cylinder to comply with applicable regulations, and specifications. Such services shall include but may not be limited to: tags indicating cylinders as “Full”, “In Use”, or “Empty”;

inspection, testing, and evaluation required at each filling; pin-indexing, when required, and attachment of government-furnished warning tags, when required. Attaching oxygen cylinders to manifold systems, when required, shall also be performed by the Contractor at no additional cost. In addition to services listed in this paragraph, the Contractor shall be responsible for all maintenance and testing of contractor-owned cylinders.

13.2. The Contractor shall ensure all cylinders are clean, free from dirt/rust, and in acceptable use for both inpatient/outpatient Health Care Environments.

14. MONTHLY RENTAL OF CONTRACTOR-OWNED MEDICAL GAS CYLINDERS:

14.1. When gases are ordered in contractor-owned cylinders, monthly rental rates shall apply to those cylinders in the possession of the ordering facility on a specific day of the month (e.g. 15th, 25th, last day).

NOTE: Please indicate the day of the month that rental charges will be applied (see 12.1).

____________________ (e.g. 15th, 25th, last day)

15. LOST OR DAMAGED CONTRACTOR-OWNED CYLINDERS:

The Contractor shall submit a list of replacement costs for all individual lost or damaged cylinders in the possession of the facility. These cylinders shall become government property. If the facility elects to self-certify missing cylinders at their CBOC locations, the facility will be responsible for paying for these missing cylinders prior to having rental fees removed.

16. REVIEW/AUDITS:

16.1. The COR or Facility POC will conduct at a minimum, an annual review of inventory to reconcile the number of cylinders on hand in comparison to the number of cylinders held on the delivery ticket. An inventory report will be provided to the COR, CO and Contractor.

16.2. Annual inventory audits will be conducted jointly with facility and contractor representatives. Due to the size of the main facility, the audit can be expected to take approximately two days (based on a single audit team).

16.3. Contractor must be present until audit is completed in its entirety. Audits that are conducted may be performed outside of normal business hours. The COR will only sign complete audits that are mutually agreed upon.

16.4. Upon concurrence and signed audit, facility will be authorized one (1) year to pay for the audited missing cylinders. Upon payment, the rental fees are to be removed from total cylinder count. If discrepancies continue, the Contractor must return at a mutually agreed upon date to redo the audit. If the facility is unable to reschedule with 90 days, the facility must honor initial audit findings

17. REPORTS:

17.1. A tracking system will be provided and maintained by the Contractor and access to the CORs will be provided for each station to review whenever needed. The tracking system shall provide the ability to:

17.1.1.1. Review all legible delivery tickets that have been countersigned by the facility

17.1.1.2. Review all past invoices

17.1.1.3. Review all countersigned and mutually agreed audits

17.1.1.4. Current cylinder counts

18. PERSONNEL:

18.1. The Contractor shall provide one (1) representative who shall act as the primary liaison between the facility and the contractor in regard to this contract.

18.2. The representative shall be available regardless of ordering method. No later than 30 days after contract start date, the VA shall be provided with the name, phone, and email of the representative.

18.3. The name of the person shall be designated in writing to the Contracting Officer. The contractor’s liaison shall have full authority to act for the contractor on all matters related to:

18.3.1.1. Daily operations of the contract

18.3.1.2. Assist in resolving invoice issues

18.3.1.3. Assist in resolving delivery issues,

18.3.1.4. Main point of contact for arranging annual auditing of medical gases

19. CONDUCT OF CONTRACTOR PERSONNEL:

19.1. Contractor employees shall conduct themselves in a manner socially acceptable. Loudness, vulgarity, rudeness, or other similar offensive conduct by an employee of the Contractor will be grounds for denying the employee further access to the VA premises.

19.2. Contractor employees shall always wear visible identification while on the premises of the VA medical facility, warehouse, CBOC, etc.

(END OF SOW)

B.3 PRICE/COST SCHEDULE

ITEM INFORMATION

ITEM

NUMBER

DESCRIPTION OF

SUPPLIES/SERVICES QTY UNIT UNIT PRICE AMOUNT

144.00 CY

Demurrag -H- Cylinder-Tanks

Contract Period: Base POP Begin: 09-30-2025 POP End: 09-29-2026 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing PRODUCT/SERVICE CODE: Q201 - Medical - Managed Healthcare

854.00 CY

Oxygen-E-Tank Refill

Contract Period: Base POP Begin: 09-30-2025 POP End: 09-29-2026 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

64.00 CY

Gas, Liquid Nitrogen, Medical Bulk

Contract Period: Base POP Begin: 09-30-2025 POP End: 09-29-2026 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

20.00 CY

CO2-Size E

Contract Period: Base POP Begin: 09-30-2025 POP End: 09-29-2026 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

2.00 CY

Refil Oxygen D Cylinder

Contract Period: Base POP Begin: 09-30-2025 POP End: 09-29-2026 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

10.00 CY

Refill H Tanks

Contract Period: Base POP Begin: 09-30-2025 POP End: 09-29-2026 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

Refill on Air Compressed E Tank

Contract Period: Base POP Begin: 09-30-2025 POP End: 09-29-2026 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

Valve Replacement

Contract Period: Base POP Begin: 09-30-2025 POP End: 09-29-2026 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

Test, Hydrostatic

Contract Period: Base POP Begin: 09-30-2025 POP End: 09-29-2026 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

Emergency Delivery

Contract Period: Base POP Begin: 09-30-2025 POP End: 09-29-2026 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

Disposal Fee for GFE Contract Period: Base POP Begin: 09-30-2025 POP End: 09-29-2026 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

Contract Period: Option 1 POP Begin: 09-30-2026 POP End: 09-29-2027 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

Contract Period: Option 1 POP Begin: 09-30-2026 POP End: 09-29-2027 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

Contract Period: Option 1 POP Begin: 09-30-2026 POP End: 09-29-2027 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

Contract Period: Option 1 POP Begin: 09-30-2026 POP End: 09-29-2027 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

Contract Period: Option 1 POP Begin: 09-30-2026

POP End: 09-29-2027 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

Contract Period: Option 1 POP Begin: 09-30-2026 POP End: 09-29-2027 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

Contract Period: Option 1 POP Begin: 09-30-2026 POP End: 09-29-2027 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

Contract Period: Option 1 POP Begin: 09-30-2026 POP End: 09-29-2027 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

Contract Period: Option 1 POP Begin: 09-30-2026 POP End: 09-29-2027 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

Contract Period: Option 1 POP Begin: 09-30-2026 POP End: 09-29-2027

Contract Period: Option 1 POP Begin: 09-30-2026 POP End: 09-29-2027 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

Contract Period: Option 2 POP Begin: 09-30-2027 POP End: 09-29-2028 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

Contract Period: Option 2 POP Begin: 09-30-2027 POP End: 09-29-2028 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

Contract Period: Option 2 POP Begin: 09-30-2027 POP End: 09-29-2028 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

Contract Period: Option 2 POP Begin: 09-30-2027 POP End: 09-29-2028 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

Contract Period: Option 2 POP Begin: 09-30-2027 POP End: 09-29-2028 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

Contract Period: Option 2 POP Begin: 09-30-2027 POP End: 09-29-2028 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

Contract Period: Option 2 POP Begin: 09-30-2027 POP End: 09-29-2028 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

Contract Period: Option 2 POP Begin: 09-30-2027 POP End: 09-29-2028 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

Contract Period: Option 2 POP Begin: 09-30-2027 POP End: 09-29-2028 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

Contract Period: Option 2

POP Begin: 09-30-2027 POP End: 09-29-2028 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

Contract Period: Option 2 POP Begin: 09-30-2027 POP End: 09-29-2028 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

Contract Period: Option 3 POP Begin: 09-30-2028 POP End: 09-29-2029 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

Contract Period: Option 3 POP Begin: 09-30-2028 POP End: 09-29-2029 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

Contract Period: Option 3 POP Begin: 09-30-2028 POP End: 09-29-2029 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

Contract Period: Option 3 POP Begin: 09-30-2028 POP End: 09-29-2029

Contract Period: Option 3 POP Begin: 09-30-2028 POP End: 09-29-2029 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

Contract Period: Option 3 POP Begin: 09-30-2028 POP End: 09-29-2029 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

Contract Period: Option 3 POP Begin: 09-30-2028 POP End: 09-29-2029 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

Contract Period: Option 3 POP Begin: 09-30-2028 POP End: 09-29-2029 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

Contract Period: Option 3 POP Begin: 09-30-2028 POP End: 09-29-2029 PRINCIPAL NAICS CODE: 325120 - Industrial Gas

Contract Period: Option 3 POP Begin: 09-30-2028 POP End: 09-29-2029 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

Contract Period: Option 3 POP Begin: 09-30-2028 POP End: 09-29-2029 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

Contract Period: Option 4 POP Begin: 09-30-2029 POP End: 09-29-2030 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

Contract Period: Option 4 POP Begin: 09-30-2029 POP End: 09-29-2030 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

Contract Period: Option 4 POP Begin: 09-30-2029 POP End: 09-29-2030 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

Contract Period: Option 4 POP Begin: 09-30-2029 POP End: 09-29-2030 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

Contract Period: Option 4 POP Begin: 09-30-2029 POP End: 09-29-2030 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

Contract Period: Option 4 POP Begin: 09-30-2029 POP End: 09-29-2030 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

Contract Period: Option 4 POP Begin: 09-30-2029 POP End: 09-29-2030 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

Contract Period: Option 4 POP Begin: 09-30-2029 POP End: 09-29-2030 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

Contract Period: Option 4 POP Begin: 09-30-2029

POP End: 09-29-2030

Manufacturing

Contract Period: Option 4 POP Begin: 09-30-2029 POP End: 09-29-2030 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

Contract Period: Option 4 POP Begin: 09-30-2029 POP End: 09-29-2030 PRINCIPAL NAICS CODE: 325120 - Industrial Gas Manufacturing

GRAND TOTAL

A.2 52.212-2 EVALUATION—COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES (NOV 2021)

(a) The Government will award a contract resulting from this solicitation to the responsible offeror whose offer conforming to the solicitation will be most advantageous to the Government, price and other factors considered. The following factors shall be used to evaluate offers:

Technical Capability Offeror must conform to the Statement of Work – Section B.2 Past Performance Price

(End of Provision)

A.3 52.228-5 INSURANCE—WORK ON A GOVERNMENT INSTALLATION

(JAN 1997)

(a) The Contractor shall, at its own expense, provide and maintain during the entire performance of this contract, at least the kinds and minimum amounts of insurance required in the Schedule or elsewhere in the contract.

(b) Before commencing work under this contract, the Contractor shall notify the Contracting Officer in writing that the required insurance has been obtained. The policies evidencing required insurance shall contain an endorsement to the effect that any cancellation or any material change adversely affecting the Government's interest shall not be effective—

(1) For such period as the laws of the State in which this contract is to be performed prescribe; or

(2) Until 30 days after the insurer or the Contractor gives written notice to the Contracting Officer, whichever period is longer.

(c) The Contractor shall insert the substance of this clause, including this paragraph (c), in subcontracts under this contract that require work on a Government installation and shall require subcontractors to provide and maintain the insurance required in the Schedule or elsewhere in the contract. The Contractor shall maintain a copy of all subcontractors' proofs of required insurance, and shall make copies available to the Contracting Officer upon request.

(End of Clause)

Answers to questions asked are below:

1. As the NAICS for this RFQ is 325210 Industrial Gas Manufacturing, please confirm whether this is a Service Contract or a Supply Contract.

The Service Code is Q201.

2. What is the current Contract # for this same requirement, and who is the current supplier?

36C25520P0689 OzArc Gas Equipment & Supply, Inc.

3. What are the estimated annual fill and rental quantities, broken down by each facility (between John J. Pershing VAMC & Girardeau HCC)? Estimated 641 total. Estimate PB-500. Estimate Cape -141.

4. Is Monday the current delivery day at both facilities per PG 11 of 75, para 10.9? Every Monday is the current delivery day for Poplar Bluff and every other Friday for Cape Girardeau.

5. CLIN clarification

a. CLIN 0002, Oxygen E-Tank Refill: Is this Integrated Valve (regulator already attached) or Post Valve (no regulator)? Are these steel or aluminum? Post Valve. Both Aluminum and Steel. (We have 22 E tanks with Integrated valves.)

b. CLIN 0003, Gas, Liquid Nitrogen, Medical Bulk:

Please confirm this is not for “Bulk” but for cylinders? NO – this is not for Bulk usage.

Is this for a Liquid Nitrogen Open Mouth Dewar (e.g., 10L, 25L, 30L, or 50L) or is this a Vertical Gas Liquid (“VGL”; e.g., 160L, 180L, 230L)? Could this possibly be related to the 230 LT Nitrogen notated in the Size Table on PG 7 of 75? Open mouth 10L tank. There is one at each location.

What is the Size (Liters) of this and what is the PSI? 10L

c. CLIN 0006, Refill H Tanks: What is the specific gas required for these H Tanks and confirm Medical Grade is the level of purity? UN 1072

d. Rental for Size D tanks: Will the GOV add a Rental CLIN to account for Rental of Size D tanks (CLIN 0005) as there is no rental CLIN currently? A Rental Line Item will not be added.

e. COMMENT: CLIN 0008 appears to be a typo. It says “Value replacement” when it should say “Valve replacement.”

See revised Price/Cost Schedule.

f. COMMENT: The Industry Standard Unit/Issue for Cylinder Gas fills is per “CYLINDER (CY)” and not “EACH (EA).”

See revised Price/Cost Schedule.

6. Are there any VA owned Cylinders utilized by either facility given there is a CLIN for Valve Replacement and Hydrostatic Testing? If so, how many many GFE’s are owned on the VA’s property books, by line item? VA owned cylinders are referenced throughout the RFQ, however there are no Fill CLINs specified for VA Owned Cylinders (if there are a mix between GFE & rentals for like cylinders, these are typically notated in separate Fill CLINs).

7. LICENSING REQUIREMENTS OF THE OFFEROR TO COMPLY WITH

FEDERAL REGULATIONS: Please confirm that the offeror must comply with FDA/Code of Federal Regulations at the time of bid submission in order to meet the requirements of the Statement of Work in this RFQ (wholesale distribution of medical grade oxygen/compressed gases which medical grade oxygen is defined by the FDA as a prescription drug) as the bid states that the offeror must be compliant with federal, state, and local regulations?

The offeror must be compliant with federal, state, and local regulations at submission of bid.

Statement Work has been amended to add:

2.5. State of Missouri Board of Pharmacy Drug Distributor Compliance & Licensing Requirements Guide (in accordance with Chapter 338, RSMo, 20 CSR

8. How is the GOV going to validate that offerors are properly insured for NAICS 325120/221210 – the actual requirement for this work to comply with the RFQ?

How do offerors confirm to the GOV that they have the correct type of Liability Insurance, and does this need to be affirmed at the time of bid submission?

Clause 52.228-5 Insurance—Work on a Government Installation has been added.

9. Disposal Fee for GFE: Will the GOV please add a CLIN for this service or is the preference to pay for this service via Purchase Card at the time of need?

Line Item has been added.

10. How do the (5) other Outpatient Clinics listed on va.gov within the HCS receive gases currently? Delivery from the main facility.

11. Is the Cape Girardeau facility an HCC or an Outpatient Clinic? Per va.gov, this is notated as Cape Girardeau HCC.

12. What are the Evaluation Metrics / Basis for Award (typically notated in 52.212-2 Evaluation)?

13. Does either facility utilize Integrated Valve Oxygen E Cylinders (regulator already attached)? Yes both have them, but rarely refilled.

14. Does either facility utilize Lung Diffusion mixture gas? Yes but it purchased separately as needed.

15. Is there any Helium required as notated on PG 7 of 75 (100 LT Helium)? No.

16. Please confirm the emergency delivery/response requirements as there are contradictions in the SOW. Industry standard is to respond within (2) hours, and delivery within (24) hours.

17. Emergency Delivery Requirements: Please confirm the emergency delivery/response requirements as there are contradictions in the SOW.

Response time refers to time to deliver to facility. ie: 2 hours to deliver the product.)

Transition Timeline: Confirm if the Transition Timeline is (45) days or (60) days?

VA would prefer 45 DAYS.

18. Is there any Bulk Gas requirement as there are references specific to Bulk Gases in the RFQ? No.

19. Annual Audit CLIN: Will the GOV please add a CLIN for Annual Audit, charged per VAMC audited (CBOCs typically self-audit unless on-hand balances are higher than average), as there are real world costs associated with having the SDVOSB Prime Contractor send a POC to the VAMC each every contract year to perform this (travel, lodging, etc.) potentially totaling in (10) audits over the life of the contract?

No – there will be no additional charge for annual audits.

20. Attaching Oxygen Cylinders to Manifolds: PG 12 of 75, para 13.1, “Attaching oxygen cylinders to manifold systems, when required, shall also be performed by the Contractor at no additional cost.”

There should be no need to attach oxygen cylinders to manifold systems under this contract.