36C26123Q1036_2.docx

Brand Name or Equal Worksheet (“Salient Characteristics”)

GENERAL INFORMATION

SET-ASIDE

Network Contracting Office 21 VA Southern Nevada Healthcare System 6900 N. Pecos Road, Building 6 North Las Vegas NV 89086

POINT OF CONTACT*

Contracting Officer Richard H Leistiko Richard.Leistiko@va.gov 702-791-9000

PLACE OF PERFORMANCE

ADDRESS

POSTAL CODE

COUNTRY

ADDITIONAL INFORMATION

AGENCY’S URL

URL DESCRIPTION

AGENCY CONTACT’S EMAIL ADDRESS

EMAIL DESCRIPTION

DESCRIPTION

Combined Synopsis/Solicitation Notice Combined Synopsis/Solicitation Notice

LEFT BLANK INTENTIONALLY

Combined Synopsis/Solicitation Notice

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. SIGNAT

URE OF OFFEROR/CONTRACTOR

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

AUTHORIZED FOR LOCAL REPRODUCTION

(REV. 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

36C26123Q1036 08-11-2023 Richard Leistiko 702-791-9000 08-25-2023 14:00 00261 Department of Veterans Affairs Network Contracting Office 21 VA Southern Nevada Healthcare System 6900 N. Pecos Road, Building 6 North Las Vegas NV 89086 X 335132 600 Employees N/A X Surgery Department North Las Vegas VAMC 6900 N. Pecos Road, Building 6 North Las Vegas NV 89086 00261 Department of Veterans Affairs Network Contracting Office 21 Southern Nevada Healthcare System 6900 N. Pecos Road, Building 6 North Las Vegas NV 89086

Department of Veterans Affairs Financial Services Center P.O. Box 149971 Austin TX 78714-9971 See CONTINUATION Page This RFQ is for brand name or equal Surgical Lights and Boom in support of the VA Las Vegas.

Please fill in the unit price on ALL CLINS Please provide delivery timeframes in terms of number of days after receipt of order Please send information to richard.leistiko@va.gov Please submit all inquiries and comments to richard.leistiko@va.gov with "Solicitation 36C26123Q1036 " NLV Surgical Lights Replacement" in the subject line **Deadline for questions is 08/25/2023 @ 2PM PST** ALL submissions must be submitted NLT 09/01/2023 at 2PM to be considered for this award.

See CONTINUATION Page X Richard Leistiko Contracting Officer Page 1 of

A.2 CONTRACT ADMINISTRATION DATA

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

a. CONTRACTOR:

b. GOVERNMENT: Contracting Officer 36C261 Richard Leistiko Department of Veterans Affairs Network Contracting Office 21 VA Southern Nevada Healthcare System 6900 N. Pecos Road, Building 6 North Las Vegas NV 89086

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

3. INVOICES: Invoices shall be submitted in arrears:

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

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

Table of Contents

SECTION B - CONTINUATION OF SF 1449 BLOCKS

Veterans Affairs Southern Nevada Healthcare System

STATEMENT OF WORK

2237#: 593-23-2-136-0080

· CONTRACT TITLE: Stryker OR Upgrade

· REQUIREMENTS/SCOPE:

· Coordination with all departments, personnel, and Stryker staff.

· Provide on-site supervisor throughout project.

· Provide a complete schedule.

· Schedule all deliveries.

· Infection Control, Provide mobile HEPA cart for hallway work from ORs to technology closets.

· Prep ORs & IT Closet for installation of IP Solution.

· Provide and install fiber and cables from router closet to ORs utilizing existing hospitals cable trays and/or hooks or conduit. o NOTE: If hooks, trays, or conduit are not in place from technology closet to ORs, additional charges may apply.

· Provide and run cabling for Stryker Remote IP Router, per OR. o Four (4) Type C, 24 Fiber OM4, MTP cables terminated into the Stryker provided patch panels, per OR. o Run lengths must be a maximum of 250' or less. Four (4) Cat6 Ethernet cables from each OR to the router closet. Two (2) Belden 9451P cables for speaker audio from each OR to the router closet.

· Validate all fiber and cable terminations/connections. o Provide validation report. • Provide three (3) 51U four post racks on castors. Move to technology closet.

· Demo existing casework

· Remove to GC/Hospital provided dumpster.

· Repair wall behind existing casework

· Repair Acrovyn wall covering behind existing casework.

· Replace all end-of-life/ end of service booms

· Replace all end-of-life/ end of service lights

· SPECIFIC TASKS:

· Replace all OR lights

· Replace all OR Booms

· Replace all integration

· PERIOD OF PERFORMANCE/SCHEDULE:

A. The POP for this contract shall be: During normal business hours with a maximum of two weeks per OR and in conjunction with flooring project.

B. Normal daytime working hours will be adhered to. Normal daytime work hours are 0730 to 1600 Monday through Friday. If the contractor wishes to work at nighttime or during other unscheduled times, they must first get permission from the Contracting Officer.

· PARTICIPATING FACILITY: : VA SOUTHERN NEVADA Healthcare, 6900 North Pecos Rd North Las Vegas, NV 89086

· CONTRACTING OFFICER REPRESENTATIVE:

The Contracting Officer Representative (COR) shall provide general instructions and shall be responsible for administrating the contract and ensuring invoices are certified for payment in a timely manner.

· CONTRACTOR POINT OF CONTACT:

a. Contractor shall designate one employee as the Point of Contact (POC) responsible for administrative matters in the performance of services under this contract. The POC shall have full authority to act for the Contractor on all matters relating to the daily performance of this contract.

b. The POC shall be available by telephone Monday through Friday, between 7:30 a.m. and 4:00 p.m. excluding national holidays.

c. Contractor shall provide the name and telephone number of the person designated as Point of Contact, Alternate Point of Contact, and the name, location and telephone number of the office where normal and emergency service calls are to be placed:

· U.S. GOVERNMENT FURNISHED MATERIALS AND SERVICES:

The contractor shall be responsible for the receipt and handling of all equipment and materials. The contractor shall coordinate proposed delivery areas with the Engineer.

· CONTRACTOR FURNISHED ITEMS AND SERVICES:

The contractor shall furnish all necessary supplies, fuels, lubricants, solvents, parts, materials, equipment, products, tools, and any other items and services to perform all delivery and pick-up operations required by this statement of work.

The contractor shall provide fully qualified on-site personnel who shall be responsible for the performance of the work. The name of the person and all alternates shall be designated in writing to the Contracting Officer. The project manager shall be on-site during normal work hours and for contingencies requiring work beyond normal work hours.

The contractor shall certify in writing that all employees operating equipment are trained and qualified.

10. CONTRACTOR RESPONSIBILITIES:

Contractor Employees. The contractor shall not employ personnel for work on this contract if such employee is identified to the contractor as a potential threat to the health, safety, security, general well-being or operational mission of the installation and its population.

The Contractor shall furnish service manuals and/or test equipment for the performance of this contract. It is the responsibility of the Contractor to bring the appropriate equipment, parts and/or supplies necessary to complete the work as required. The Contractor shall be familiar and follow maintenance guidelines contained in current technical service manuals for all equipment and sub-assemblies listed. Manuals shall include but not be limited to schematics, diagrams, written procedures and parts lists.

All work shall be performed, and equipment shall function in conformance with all VA safety standards, manufacturer’s/industry standards, the latest published edition of NFPA-99, FDA, OSHA, Joint Commission, and other applicable national standards. The COR may facilitate a copy of VA safety standards to the Contractor upon request.

Contractor personnel shall present a neat appearance and be easily recognized as contractor employees. This may be accomplished by wearing distinctive clothing bearing the name of the company or company ID badge. Contractor field service personnel shall be dressed to present a clean, neat appearance at all times when performing under this contract.

Personnel performing maintenance and repair services must be fully qualified, competent, technicians. “Fully qualified and competent” is defined as factory trained and verified by Polar Leasing.

11. SERVICE RESPONSE TIMES:

The following service response times shall be adhered to at all times identified below. Polar Leasing assumes all costs associated with any service or maintenance performed during or after hours or on the weekends. Hours cited below are Pacific Standard Time.

a. Two hour maximum callback for service calls made during normal work hours, Monday through Friday. Normal work hours are between the hours of 7:30AM and 4:00 PM.

b. Two hour maximum callback for service calls made after 4:00PM, Monday through Friday.

c. Two hour telephone callback required for calls made on weekends or national holidays (Friday after 4:00PM through 7:30AM of the next working day).

d. On site response shall be within 12 hours of first call for service, Monday through Friday, including after 4:00PM.

e. On site response for calls received during weekend hours and holidays shall be within 12 hours.

12. RE-PERFORMANCE:

a. If performance does not conform to the contract specifications, the VA Healthcare Center’s COR or the Contracting Officer shall require the Contractor to perform the service again to conform to the contract specifications, at no cost to the Government. When the defects in service cannot be corrected by re-performance, the VA Medical facility may require the Contractor to call in a senior technical engineer from the manufacturer or from a different company. The Contractor shall incur and absorb all expenses for consultation outside the Contractor’s organization.

b. Repeated malfunctions of any system component or subsection more than three (3) times within one (1) quarter is not acceptable. The Contractor is responsible for repairing all faulty equipment and identifying the nature and cause of repeated failures. The Contractor in this situation must either:

1. Make repairs in such a manner that the identified problems are corrected to the extent that repeated failures are eliminated.

2. Prove that the equipment is not faulty and an external cause for the problem exists and provide recommendations for resolution.

3. Provide repair services from the original equipment manufacturer at the Contractor’s expense.

13 CHECK–IN AND OUT ON SERVICE CALLS AT THE VA FACILITIES:

ACCESS: Access to work areas, and performance monitoring, will be provided by VA Energy Plant maintenance personnel. After hours response will be monitored by VA Central Energy Plant operators, 702-791-9000 Extension 16900. In all cases, VA Central Energy Plant operator shall be notified of any changes which may affect the response time of vital equipment.

For repairs or services required on weekends, holidays or after normal working hours, the Contractor’s repairman is required to check-in and check-out upon arrival and departure at Security Service and with COR, if available, or the on-duty Supervisor of the department, prior to effecting repairs. The procedures defined above are mandatory and will be strictly enforced.

14 NATIONAL HOLIDAYS:

The Contractor is not required to provide delivery or pick up services on the following National Holidays.

When a holiday falls on a Sunday, the following Monday shall be observed as a legal holiday by U.S. Government agencies. When a holiday falls on a Saturday, the preceding Friday shall be observed as a legal holiday by U.S. Government agencies. Also included would be any other day specifically declared by the President of the United States as a National Holiday.

15 OVERTIME AND HOLIDAYS:

Any overtime or holiday pay that may be entitled to Contractor personnel performing under this contract shall be the sole responsibility of the Contractor and shall not be billed to nor reimbursed by the Government.

16 PARKING POLICY:

It is the responsibility of Contractor personnel to park only in designated parking areas. Parking information is available from the VA Police. The VA shall not invalidate or make reimbursement for parking violations of Contractor's personnel under any circumstances.

17 SMOKING POLICY:

Contractor personnel may not smoke on VA property.

18 ORDERING ACTIVITY:

Contractor shall not accept any instructions issued by any person other than the CO or COR acting within the limits of his/her authority.

19 CHANGES TO CONTRACT:

Only those services specified herein are authorized. Before performing any service of a non-contractual nature, Contractor shall advise the CO of the reason(s) for the additional work and/or service.

20 COMPLAINTS:

Contractor shall promptly and courteously respond to complaints within 3 working days. Including complaints brought to Contractor’s attention by the CO. Contractor shall maintain a written record of all complaints, both written and oral showing the identity of the individual, the nature of the complaint, and Contractor’s response. Contractor shall permit the Government to inspect such records upon reasonable notice.

21 BADGES:

All Contractor personnel shall be required to wear company ID badges.

22 INVOICE REQUIREMENTS:

a. Payments will be broken out into four quarterly payments and paid in arrears.

b. No advance payments will be authorized.

c. The Government shall pay the Contractor, upon the submission of a properly prepared invoice for prices stipulated in this contract for services and supplies delivered and accepted.

d. Payment of invoices may be delayed if appropriate field service reports are not completed and submitted as specified herein.

e. The invoice shall be itemized to include the following minimum information:

1) Invoice Number and Date.

2) Contract Number.

3) Purchase Order/Obligation Number (to be assigned upon task order award).

4) Date of service.

5) Line item from Schedule of Service associated with each charge.

23 POST-AWARD PERFORMANCE CONFERENCE: The CO may schedule a post-award performance conference with Contractor, if deemed necessary, for contract orientation purposes.

24 SECURITY REQUIRMENTS:

A. Contractors, contractor personnel, subcontractors, and subcontractor personnel shall be subject to the same Federal laws, regulations, standards, and VA Directives and Handbooks as VA and VA personnel regarding information and information system security.

B. A prohibition on unauthorized disclosure: "Information made available to the contractor or subcontractor by VA for the performance or administration of this contract or information developed by the contractor in performance or administration of the contract shall be used only for those purposes and shall not be used in any other way without the prior written agreement of the VA." See VA Handbook 6500.6, Appendix C, paragraph 3.a.

C. A requirement for data breach notification: Upon discovery of any known or suspected security/privacy incidents, or any unauthorized disclosure of sensitive information, including that contained in system(s) to which the contractor/subcontractor has access, the contractor/subcontractor shall immediately and simultaneously notify the COR, the designated ISO, and Privacy Officer for the contract. The term 'security incident' means an event that has, or could have, resulted in unauthorized access to, loss or damage to VA assets, or sensitive information, or an action that breaches VA security procedures. See VA Handbook 6500.6, Appendix C, paragraph 6.a.

D. A requirement to pay liquidated damages in the event of a data breach: "In the event of a data breach or privacy incident involving any SPI the contractor processes or maintains under this contract, the contractor shall be liable to VA for liquidated damages for a specified amount per affected individual to cover the cost of providing credit protection services to those individuals." See VA Handbook 6500.6, Appendix C, paragraph 7.a., 7.d.

E. A requirement for annual security/privacy awareness training: "Before being granted access to VA information or information systems, all contractor employees and subcontractor employees requiring such access shall complete on an annual basis either: (i) the VA security/privacy awareness training (contains VA's security/privacy requirements) within 1 week of the initiation of the contract, or (ii) security awareness training provided or arranged by the contractor that conforms to VA's security/privacy requirements as delineated in the hard copy of the VA security awareness training provided to the contractor. If the contractor provides their own training that conforms to VA's requirements, they will provide the COR or CO, a yearly report (due annually on the date of the contract initiation) stating that all applicable employees involved in VA's contract have received their annual security/privacy training that meets VA's requirements and the total number of employees trained. See VA Handbook 6500.6, Appendix C, paragraph 9.

F. A requirement to sign VA's Rules of Behavior: "Before being granted access to VA information or information systems, all contractor employees and subcontractor employees requiring such access shall sign on an annual basis an acknowledgment that they have read, understand, and agree to abide by VA's Contractor Rules of Behavior which is attached to this contract." See VA Handbook 6500.6, Appendix C, paragraph 9, Appendix D. Note: If a medical device vendor anticipates that the services under the contract will be performed by 10 or more individuals, the Contractor Rules of Behavior may be signed by the vendor's designated representative. The contract must reflect by signing the Rules of Behavior on behalf of the vendor that the designated representative agrees to ensure that all such individuals review and understand the Contractor Rules of Behavior when accessing VA's information and information systems.

G. Bio-Medical devices and other equipment or systems containing media (hard drives, optical disks, etc.) with VA sensitive information must not be returned to the vendor at the end of lease, for trade-in, or other purposes." See VA Handbook 6500.6, Appendix C, paragraph 5.h., for the specific options.

RECORDS MANAGEMENT LANGUAGE

Contractor shall comply with all applicable records management laws and regulations, as well as National Archives and Records Administration (NARA) records policies, including but not limited to the Federal Records Act (44 U.S.C. Chapters. 21, 29, 31, 33), NARA regulations at 36 CFR Chapter XII Subchapter B, and those policies associated with the safeguarding of records covered by the Privacy Act of 1974 (5 U.S.C. 552a). These policies include the preservation of all records, regardless of form or characteristics, mode of transmission, or state of completion.

In accordance with 36 CFR 1222.32, all data created for Government use and delivered to, or falling under the legal control of, the Government are Federal records subject to the provisions of 44 U.S.C. chapters 21, 29, 31, and 33, the Freedom of Information Act (FOIA) (5 U.S.C. 552), as amended, and the Privacy Act of 1974 (5 U.S.C. 552a), as amended and must be managed and scheduled for disposition only as permitted by statute or regulation.

In accordance with 36 CFR 1222.32, the contractor shall maintain all records created for Government use or created while performing the contract and/or delivered to, or under the legal control of the Government and must be managed in accordance with Federal law. Electronic records and associated metadata must be accompanied by sufficient technical documentation to permit understanding and use of the records and data.

The VA Southern Nevada Healthcare System (VASNHS) and its contractors are responsible for preventing the alienation or unauthorized destruction of records, including all forms of mutilation. Records may not be removed from the legal custody of VASNHS or destroyed except for in accordance with the provisions of the agency records schedules and with the written concurrence of the Head of the Contracting Activity. Willful and unlawful destruction, damage or alienation of Federal records is subject to the fines and penalties imposed by 18 U.S.C. 2701.

In the event of any unlawful or accidental removal, defacing, alteration, or destruction of records, the contractor must report to VASNHS. The agency must report promptly to NARA in accordance with 36 CFR 1230.

The contractor shall immediately notify the appropriate Contracting Officer (CO) upon discovery of any inadvertent or unauthorized disclosures of information, data, documentary materials, records, or equipment. Disclosure of non-public information is limited to authorized personnel with a need-to-know as described in the contract documents. The contractor shall ensure that the appropriate personnel, administrative, technical, and physical safeguards are established to ensure the security and confidentiality of this information, data, documentary material, records and/or equipment is properly protected. The contractor shall not remove material from Government facilities or systems, or facilities or systems operated or maintained on the Government’s behalf, without the express written permission of the Head of the Contracting Activity. When information, data, documentary material, records and/or equipment is no longer required, it shall be returned to VASNHS control, or the contractor must hold it until otherwise directed. Items returned to the Government shall be hand carried, mailed, emailed, or securely electronically transmitted to the CO or address prescribed in the contract documents. Destruction of records is EXPRESSLY PROHIBITED unless in accordance with Paragraph (4).

The contractor is required to obtain the CO's approval prior to engaging in any contractual relationship (sub-contractor) in support of this contract requiring the disclosure of information, documentary material and/or records generated under, or relating to, contracts. The contractor (and any sub-contractor) is required to abide by Government and VASNHS guidance for protecting sensitive, proprietary information, classified, and controlled unclassified information.

The contractor shall only use Government IT equipment for purposes specifically tied to or authorized by the contract and in accordance with VASNHS policy.

The contractor shall not create or maintain any records containing any non-public VASNHS information that are not specifically tied to or authorized by the contract.

The contractor shall not retain, use, sell, or disseminate copies of any deliverable that contains information covered by the Privacy Act of 1974 or that which is generally protected from public disclosure by an exemption to the FOIA.

VASNHS owns the rights to all data and records produced as part of this contract. All deliverables under the contract are the property of the U.S. Government for which VASNHS shall have unlimited rights to use, dispose of, or disclose such data contained therein as it determines to be in the public interest. Any contractor rights in the data or deliverables must be identified as required by FAR 52.227-11 through FAR 52.227-20.

Training. All contractor employees assigned to this contract who create, work with, or otherwise handle records are required to take VHA-provided records management training. The contractor is responsible for confirming training has been completed according to agency policies, including initial training and any annual or refresher training.

Flow down of requirements to Subcontractors:

The contractor shall incorporate the substance of this clause, its terms and requirements including this paragraph, in all subcontracts under this contract document, and require written subcontractor acknowledgment of same.

Violation by a subcontractor of any provision set forth in this clause will be attributed to the contractor.

25 COVID-19 SUPPLEMENT:

VHA Supplemental Contract Requirements for Ensuring Adequate COVID-19 Safety Protocols for Federal Contractors statement inclusion to Statement of Work (SOW).

1. Contractor employees who work in or travel to VHA locations must comply with the following:

1. Documentation requirements:

0. If fully vaccinated, shall show proof of vaccination

0. NOTE: Acceptable proof of vaccination includes a signed record of immunization from a health care provider or pharmacy, a copy of the COVID-19 Vaccination Record Card (CDC Form MLS-319813_r, published on September 3, 2020), or a copy of medical records documenting the vaccination

0. If unvaccinated and granted a medical or religious exception, shall show negative COVID-19 test results dated within three calendar days prior to desired entry date. Test must be approved by the Food and Drug Administration (FDA) for emergency use or full approval. This includes tests available by a doctor’s order or an FDA approved over-the-counter test.

0. Documentation cited in this section shall be digitally or physically maintained on each contractor employee while in a VA facility and is subject to inspection prior to entry to VA facilities and after entry for spot inspections by Contracting Officer Representatives (CORs) or other hospital personnel.

0. Documentation will not be collected by the VA; contractors shall, at all times, adhere to and ensure compliance with federal laws designed to protect contractor employee health information and personally identifiable information.

1. Contractor employees are subject to daily screening for COVID-19 and may be denied entry to VA facilities if they fail to pass screening protocols. As part of the screening process contractors may be asked screening questions found on the following website: COVID-19 Screening Tool. Regularly check the website for updates.

1. Contractor employees who work away from VA locations, but who will have direct patient contact with VA patients shall self-screen utilizing the COVID-19 Screening Tool, in advance each day that they will have direct patient contact and in accordance with their person or persons who coordinate COVID-19 workplace safety efforts at covered contractor workplaces. Contractors shall, at all times, adhere to and ensure compliance with federal laws designed to protect contractor employee health information and personally identifiable information.

1. Contractor must immediately notify their COR or Contracting Officer if contract performance is jeopardized due to contractor employees being denied entry into VA Facilities.”

1. For indefinite delivery contracts: Contractor agrees to comply with FAR 52.232-99 and VHA Supplemental Contract Requirements for any task or delivery orders issued prior to this modification when performance has already commenced.

B.1 PRICE/COST SCHEDULE

ITEM INFORMATION

SLX Surgical Light ROOM: OR 1-4 SFP / LIGHT / LIGHT Contract Period: Base POP Begin: 09-07-2023 POP End: 09-06-2024 PRINCIPAL NAICS CODE: 335132 - Commercial, Industrial, and Institutional Electric Lighting Fixture Manufacturing PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

MANUFACTURER PART NUMBER (MPN): FT 3203

LOCAL STOCK NUMBER: FT 3203

LIGHT OR FLAT PANEL HANDLE

POP Begin: 09-07-2023 POP End: 09-06-2024

MANUFACTURER PART NUMBER (MPN): CY 9000150

LOCAL STOCK NUMBER: CY 9000150

UDM INTERSTITIAL AND SUSPENSION CABLES

POP Begin: 09-07-2023 POP End: 09-06-2024

MANUFACTURER PART NUMBER (MPN): CY 9000103

LOCAL STOCK NUMBER: CY 9000103

Multi Color Touch wall control display for single, dual or triple F-Generation light configuration

POP Begin: 09-07-2023 POP End: 09-06-2024

MANUFACTURER PART NUMBER (MPN): CY 1008104

LOCAL STOCK NUMBER: CY 1008104

STERILE CONTROL PREP

POP Begin: 09-07-2023 POP End: 09-06-2024

MANUFACTURER PART NUMBER (MPN): CY 9000122

LOCAL STOCK NUMBER: CY 9000122

STERILE CONTROL+ LIGHT HANDLE

POP Begin: 09-07-2023 POP End: 09-06-2024

MANUFACTURER PART NUMBER (MPN): CY 9000123

LOCAL STOCK NUMBER: CY 9000123

SLX Surgical Light ROOM: OR 1-4, 6,7 SFP

POP Begin: 09-07-2023 POP End: 09-06-2024

MANUFACTURER PART NUMBER (MPN): FS 1203

LOCAL STOCK NUMBER: FS 1203

UDM INTERSTITIAL AND SUSPENSION CABLES

POP Begin: 09-07-2023 POP End: 09-06-2024

S-Series Standard Equipment Management System ROOM: OR 1-4, 6,7 S-SERIES, STANDARD POWERED, 3 ROW, 2 A

POP Begin: 09-07-2023 POP End: 09-06-2024

MANUFACTURER PART NUMBER (MPN): SPS-3-T

LOCAL STOCK NUMBER: SPS-3-T

ASSEMBLY, HD-15/S-VIDEO/BNC PLATE AND

POP Begin: 09-07-2023 POP End: 09-06-2024

MANUFACTURER PART NUMBER (MPN): P38063

LOCAL STOCK NUMBER: P38063

ASSEMBLY, SINGLE DVI PLATE AND CABLE

POP Begin: 09-07-2023 POP End: 09-06-2024

MANUFACTURER PART NUMBER (MPN): P38064

LOCAL STOCK NUMBER: P38064

ASM, HANDLE AND SHELF WITH FAIRFIELD R

POP Begin: 09-07-2023 POP End: 09-06-2024

MANUFACTURER PART NUMBER (MPN): P40075

LOCAL STOCK NUMBER: P40075

ASM, SHELF MOUNT HDW

POP Begin: 09-07-2023 POP End: 09-06-2024

MANUFACTURER PART NUMBER (MPN): P36143

LOCAL STOCK NUMBER: P36143

ASM, SHELF WITH FAIRFIELD RAILS, 750

POP Begin: 09-07-2023 POP End: 09-06-2024

MANUFACTURER PART NUMBER (MPN): P40238

LOCAL STOCK NUMBER: P40238

ASM, SHELF WITH FAIRFIELD RAILS, 515

POP Begin: 09-07-2023 POP End: 09-06-2024

MANUFACTURER PART NUMBER (MPN): P40237

LOCAL STOCK NUMBER: P40237

S-Series Standard Equipment Management System ROOM: OR 1-8 S-SERIES, STANDARD POWERED, 2 ROW, 2A

POP Begin: 09-07-2023 POP End: 09-06-2024

MANUFACTURER PART NUMBER (MPN): SPS-2

LOCAL STOCK NUMBER: SPS-2

ASSEMBLY, SINGLE VGA PLATE AND CABLE

POP Begin: 09-07-2023 POP End: 09-06-2024

MANUFACTURER PART NUMBER (MPN): P38059

LOCAL STOCK NUMBER: P38059

ASSEMBLY, HD-15/S-VIDEO/BNC PLATE AND

POP Begin: 09-07-2023 POP End: 09-06-2024

MANUFACTURER PART NUMBER (MPN): P38063

LOCAL STOCK NUMBER: P38063

ASSEMBLY, SINGLE DVI PLATE AND CABLE

POP Begin: 09-07-2023 POP End: 09-06-2024

MANUFACTURER PART NUMBER (MPN): P38064

LOCAL STOCK NUMBER: P38064

Connected OR IP Integration System ROOM: OR 1-8 CONNECTED OR IP REMOTE BASE KIT

POP Begin: 09-07-2023 POP End: 09-06-2024

MANUFACTURER PART NUMBER (MPN): 1678100101

LOCAL STOCK NUMBER: 1678100101

CONNECTED OR IP STRYKER 4K DISPLAY FAIL-SAFE KIT

POP Begin: 09-07-2023 POP End: 09-06-2024

MANUFACTURER PART NUMBER (MPN): P45670

LOCAL STOCK NUMBER: P45670

Cable, Duplex-LC-M to Duplex-LC-M, OM3, 2.0M

POP Begin: 09-07-2023 POP End: 09-06-2024

MANUFACTURER PART NUMBER (MPN): P39292

LOCAL STOCK NUMBER: P39292

Connected OR IP Double HD Video-Plate Install Kit

POP Begin: 09-07-2023 POP End: 09-06-2024

MANUFACTURER PART NUMBER (MPN): P45665

LOCAL STOCK NUMBER: P45665

CONNECTED OR IP 2 CEILING SPEAKER PKG

POP Begin: 09-07-2023 POP End: 09-06-2024

MANUFACTURER PART NUMBER (MPN): P45673

LOCAL STOCK NUMBER: P45673

COMP, SELF-AMPLIFIED, MASTER IN-CEILING SPEAKER PAIR

POP Begin: 09-07-2023 POP End: 09-06-2024

MANUFACTURER PART NUMBER (MPN): P45160

LOCAL STOCK NUMBER: P45160

CONNECTED OR IP VIDEO COMPOSITOR PKG

POP Begin: 09-07-2023 POP End: 09-06-2024

MANUFACTURER PART NUMBER (MPN): P45654

LOCAL STOCK NUMBER: P45654

COMPONENT, BARCO MNA 240 1U SHELF

POP Begin: 09-07-2023 POP End: 09-06-2024

MANUFACTURER PART NUMBER (MPN): P43761

LOCAL STOCK NUMBER: P43761

Connected OR IP Mobile Phone Connectivity Pkg

POP Begin: 09-07-2023 POP End: 09-06-2024

MANUFACTURER PART NUMBER (MPN): P45644

LOCAL STOCK NUMBER: P45644

CABLE, NORTH AMERICA, MEDICAL GRADE, IEC 60320 C13 TO NEMA 5-15, 120 VAC, 10 A, 3FT

POP Begin: 09-07-2023 POP End: 09-06-2024

MANUFACTURER PART NUMBER (MPN): P47593

LOCAL STOCK NUMBER: P47593

COMP, 4-POST 1U UNIVERSAL ADJUSTABLE RACK-MOUNT SHELF KIT

POP Begin: 09-07-2023 POP End: 09-06-2024

MANUFACTURER PART NUMBER (MPN): P44930

LOCAL STOCK NUMBER: P44930

Comp, 2U Shelft, 19"

POP Begin: 09-07-2023 POP End: 09-06-2024

MANUFACTURER PART NUMBER (MPN): P39320

LOCAL STOCK NUMBER: P39320

Connected OR IP User Interface Base Kit

POP Begin: 09-07-2023 POP End: 09-06-2024

MANUFACTURER PART NUMBER (MPN): P45614

LOCAL STOCK NUMBER: P45614

Connected OR IP USB 3.1 Extension Pkg

POP Begin: 09-07-2023 POP End: 09-06-2024

MANUFACTURER PART NUMBER (MPN): P45613

LOCAL STOCK NUMBER: P45613

COMP, POWER STRIP, UL 1363 1U RACK MOUNTABLE WITH 12 HOSPITAL-GRADE OUTLETS

POP Begin: 09-07-2023 POP End: 09-06-2024

MANUFACTURER PART NUMBER (MPN): P39357

LOCAL STOCK NUMBER: P39357

COMPONENT, BARCO MNA 420 AND 440 1U SHELF

POP Begin: 09-07-2023 POP End: 09-06-2024

MANUFACTURER PART NUMBER (MPN): P43759

LOCAL STOCK NUMBER: P43759

CONNECTED OR IP STRYKER 4K ENDOCAM INSTALL KIT

POP Begin: 09-07-2023 POP End: 09-06-2024

MANUFACTURER PART NUMBER (MPN): P45619

LOCAL STOCK NUMBER: P45619

Connected OR IP 4K HDMI Boom Source Install Kit

POP Begin: 09-07-2023 POP End: 09-06-2024

MANUFACTURER PART NUMBER (MPN): P45623

LOCAL STOCK NUMBER: P45623

Connected OR IP 4-in-1 Wall-Plate Pkg

POP Begin: 09-07-2023 POP End: 09-06-2024

MANUFACTURER PART NUMBER (MPN): P45663

LOCAL STOCK NUMBER: P45663

CONNECTED OR IP 4K HDMI DISPLAY INSTALL KIT

POP Begin: 09-07-2023 POP End: 09-06-2024

MANUFACTURER PART NUMBER (MPN): P45639

LOCAL STOCK NUMBER: P45639

CONNECTED OR IP BOOM SUSPENSION MNA CABLE KIT

POP Begin: 09-07-2023 POP End: 09-06-2024

MANUFACTURER PART NUMBER (MPN): P45668

LOCAL STOCK NUMBER: P45668

CABLE, CAMERA CONTROL, 1M

POP Begin: 09-07-2023 POP End: 09-06-2024

MANUFACTURER PART NUMBER (MPN): P44942

LOCAL STOCK NUMBER: P44942

CONNECTED OR IP 4K 12G-SDI BOOM SOURCE INSTALL KIT

POP Begin: 09-07-2023 POP End: 09-06-2024

MANUFACTURER PART NUMBER (MPN): P49726

LOCAL STOCK NUMBER: P49726

CONNECTED OR IP MNA POWER SUPPLY KIT

POP Begin: 09-07-2023 POP End: 09-06-2024

MANUFACTURER PART NUMBER (MPN): P49734

LOCAL STOCK NUMBER: P49734

Comp, BARCO 21,5" TP & Power Supply

POP Begin: 09-07-2023 POP End: 09-06-2024

MANUFACTURER PART NUMBER (MPN): P39859

LOCAL STOCK NUMBER: P39859

COMP, 48 PORT 10G SWITCH, ENW X670-48X-FB

POP Begin: 09-07-2023 POP End: 09-06-2024

MANUFACTURER PART NUMBER (MPN): P39267

LOCAL STOCK NUMBER: P39267

CONNECTED OR IP UPS PKG

POP Begin: 09-07-2023 POP End: 09-06-2024

MANUFACTURER PART NUMBER (MPN): P45618

LOCAL STOCK NUMBER: P45618

CONNECTED OR IP 9U INTEGRATION CABINET KIT

POP Begin: 09-07-2023 POP End: 09-06-2024

MANUFACTURER PART NUMBER (MPN): P45675

LOCAL STOCK NUMBER: P45675

COMP, 9U WALL MOUNT 19IN CABINET

POP Begin: 09-07-2023 POP End: 09-06-2024

MANUFACTURER PART NUMBER (MPN): P44931

LOCAL STOCK NUMBER: P44931

COMP, AC UPS, 2KW, MEDICAL GRADE, 8 PORTS

POP Begin: 09-07-2023 POP End: 09-06-2024

MANUFACTURER PART NUMBER (MPN): P39277

LOCAL STOCK NUMBER: P39277

EIZO 4K Diagnostic Display ROOM: OR 5 EIZO, LARGE MONITOR MANAGER FOR RADIFORCE LX600W/LS560W, 27 INPUTS, 21 SIMULTANEOUS WINDOWS

POP Begin: 09-07-2023 POP End: 09-06-2024

MANUFACTURER PART NUMBER (MPN): 0678001176

LOCAL STOCK NUMBER: 0678001176

EIZO, 11 INCH TOUCH SCREEN CONSOLE FOR LAYOUT CONTROL

POP Begin: 09-07-2023 POP End: 09-06-2024

MANUFACTURER PART NUMBER (MPN): 0678001180

LOCAL STOCK NUMBER: 0678001180

EIZO, BRACKET HOLDER FOR CID0100P TOUCH CONTROL INTERFACE DEVICE

POP Begin: 09-07-2023 POP End: 09-06-2024

MANUFACTURER PART NUMBER (MPN): 0678001187

LOCAL STOCK NUMBER: 0678001187

RACK CABINET, 12 RACK UNITS, WHEELED, WITH POWER STRIP

POP Begin: 09-07-2023 POP End: 09-06-2024

MANUFACTURER PART NUMBER (MPN): 0678001026

LOCAL STOCK NUMBER: 0678001026

EIZO, SINGLE LINK DVI EXTENDER KIT

POP Begin: 09-07-2023 POP End: 09-06-2024

MANUFACTURER PART NUMBER (MPN): 0678001181

LOCAL STOCK NUMBER: 0678001181

EIZO, DVI TO HDMI ADAPTER (FEMALE - MALE), 0.5 METER, WITH DETENT

POP Begin: 09-07-2023 POP End: 09-06-2024

MANUFACTURER PART NUMBER (MPN): 0678001183

LOCAL STOCK NUMBER: 0678001183

EIZO, DUAL LINK DVI TRANSMISSION LINK 1 X TRANSMITTER AND 1 X RECEIVER

POP Begin: 09-07-2023 POP End: 09-06-2024

MANUFACTURER PART NUMBER (MPN): 0678001179

LOCAL STOCK NUMBER: 0678001179

EIZO, TDL3600 CABLE SET, 4 X 36 METERS

POP Begin: 09-07-2023 POP End: 09-06-2024

MANUFACTURER PART NUMBER (MPN): 0678001186

LOCAL STOCK NUMBER: 0678001186

EIZO, PROTECTION GLASS FOR LS560W

POP Begin: 09-07-2023 POP End: 09-06-2024

MANUFACTURER PART NUMBER (MPN): 0678001700

LOCAL STOCK NUMBER: 0678001700

EIZO, RADIFORCE LS580W, 8 MEGA PIXEL, 58 INCH WIDE LCD DISPLAY

POP Begin: 09-07-2023 POP End: 09-06-2024

MANUFACTURER PART NUMBER (MPN): 0678001198

LOCAL STOCK NUMBER: 0678001198

EIZO, DUAL LINK DVI SPLITTER INCLUDING SCALER TO HD OUTPUT

POP Begin: 09-07-2023 POP End: 09-06-2024

MANUFACTURER PART NUMBER (MPN): 0678001177

LOCAL STOCK NUMBER: 0678001177

EIZO, DUAL LINK DVI CABLE, 6 FEET

POP Begin: 09-07-2023 POP End: 09-06-2024

MANUFACTURER PART NUMBER (MPN): 0678001185

LOCAL STOCK NUMBER: 0678001185

SLX Surgical Light eoom: or 5-7 LIGHT / SFP

POP Begin: 09-07-2023 POP End: 09-06-2024

MANUFACTURER PART NUMBER (MPN): FD 2203

LOCAL STOCK NUMBER: FD 2203

LIGHT OR FLAT PANEL HANDLE

POP Begin: 09-07-2023 POP End: 09-06-2024

UDM INTERSTITIAL AND SUSPENSION CABLES

POP Begin: 09-07-2023 POP End: 09-06-2024

Multi Color Touch wall control display for single, dual or triple F-Generation light configuration

POP Begin: 09-07-2023 POP End: 09-06-2024

STERILE CONTROL PREP

POP Begin: 09-07-2023 POP End: 09-06-2024

STERILE CONTROL+ LIGHT HANDLE

POP Begin: 09-07-2023 POP End: 09-06-2024

SLX Surgical Light room: or 8 SFP / LIGHT / LIGHT

POP Begin: 09-07-2023 POP End: 09-06-2024

MANUFACTURER PART NUMBER (MPN): FT 3203

LOCAL STOCK NUMBER: FT 3203

STERILE CONTROL PREP

POP Begin: 09-07-2023 POP End: 09-06-2024

STERILE CONTROL+ LIGHT HANDLE

POP Begin: 09-07-2023 POP End: 09-06-2024

LIGHT OR FLAT PANEL HANDLE

POP Begin: 09-07-2023 POP End: 09-06-2024

UDM INTERSTITIAL AND SUSPENSION CABLES

POP Begin: 09-07-2023 POP End: 09-06-2024

Multi Color Touch wall control display for single, dual or triple F-Generation light configuration

POP Begin: 09-07-2023 POP End: 09-06-2024

ProCare Services ABT- OR INTEGRATION

POP Begin: 09-07-2023 POP End: 09-06-2024

MANUFACTURER PART NUMBER (MPN): 8888888415

LOCAL STOCK NUMBER: 8888888415

ADV BIOMED TRAINING -- Stryker B+L

POP Begin: 09-07-2023 POP End: 09-06-2024

MANUFACTURER PART NUMBER (MPN): 8888888414

LOCAL STOCK NUMBER: 8888888414

SLX Surgical Light room: spu 1-5 LIGHT / SFP

POP Begin: 09-07-2023 POP End: 09-06-2024

MANUFACTURER PART NUMBER (MPN): FD 2203

LOCAL STOCK NUMBER: FD 2203

LIGHT OR FLAT PANEL HANDLE

POP Begin: 09-07-2023 POP End: 09-06-2024

UDM INTERSTITIAL AND SUSPENSION CABLES

POP Begin: 09-07-2023 POP End: 09-06-2024

EndoLite central mounted at ceiling susp

POP Begin: 09-07-2023 POP End: 09-06-2024

MANUFACTURER PART NUMBER (MPN): CY 2000300

LOCAL STOCK NUMBER: CY 2000300

Multi Color Touch wall control display for single, dual or triple F-Generation light configuration

POP Begin: 09-07-2023 POP End: 09-06-2024

STERILE CONTROL PREP

POP Begin: 09-07-2023 POP End: 09-06-2024

STERILE CONTROL+ LIGHT HANDLE

POP Begin: 09-07-2023 POP End: 09-06-2024

S-Series Standard Equipment Management System room: spu 1-5 S-SERIES, STANDARD POWERED, 3 ROW, 2 A

POP Begin: 09-07-2023 POP End: 09-06-2024

MANUFACTURER PART NUMBER (MPN): SPS-3-T

LOCAL STOCK NUMBER: SPS-3-T

ASM, HANDLE AND SHELF WITH FAIRFIELD

POP Begin: 09-07-2023 POP End: 09-06-2024

MANUFACTURER PART NUMBER (MPN): P40074

LOCAL STOCK NUMBER: P40074

ASM, SHELF MOUNT HDW

POP Begin: 09-07-2023 POP End: 09-06-2024

MANUFACTURER PART NUMBER (MPN): P36143

LOCAL STOCK NUMBER: P36143

ASM, SHELF WITH FAIRFIELD RAILS, 750

POP Begin: 09-07-2023 POP End: 09-06-2024

MANUFACTURER PART NUMBER (MPN): P40238

LOCAL STOCK NUMBER: P40238

Connected OR Lite Integration System ROOM: SPU 1-5 CONNECTED OR LITE S-SERIES PACKAGE

POP Begin: 09-07-2023 POP End: 09-06-2024

MANUFACTURER PART NUMBER (MPN): 1678100401

LOCAL STOCK NUMBER: 1678100401

Comp, BARCO 21,5" TP & Power Supply

POP Begin: 09-07-2023 POP End: 09-06-2024

MANUFACTURER PART NUMBER (MPN): P39859

LOCAL STOCK NUMBER: P39859

COR LITE, REMOTE TOUCH PANEL CABLE KIT

POP Begin: 09-07-2023 POP End: 09-06-2024

MANUFACTURER PART NUMBER (MPN): P47855

LOCAL STOCK NUMBER: P47855

COR LITE, USB 3.1 EXTENDER

POP Begin: 09-07-2023 POP End: 09-06-2024

MANUFACTURER PART NUMBER (MPN): P47698

LOCAL STOCK NUMBER: P47698

ACCESSORIES KIT, FLUSH MOUNT SPEAKER

POP Begin: 09-07-2023 POP End: 09-06-2024

MANUFACTURER PART NUMBER (MPN): 0680000239

LOCAL STOCK NUMBER: 0680000239