36C26125Q0499 Restorative Dental Instruments.docx

36C26125Q0499

PAGE 1 OF

1. REQUISITION NO.

2. CONTRACT NO.

3. AWARD/EFFECTIVE DATE

4. ORDER NO.

5. SOLICITATION NUMBER

6. SOLICITATION ISSUE DATE

a. NAME

b. TELEPHONE NO. (No Collect Calls)

8. OFFER DUE

DATE/LOCAL

TIME

9. ISSUED BY

CODE

10. THIS ACQUISITION IS

UNRESTRICTED OR

SET ASIDE:

% FOR:

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

8(A)

NAICS:

SIZE STANDARD:

11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

13b. RATING

14. METHOD OF SOLICITATION

RFQ

IFB

RFP

15. DELIVER TO

CODE

16. ADMINISTERED BY

CODE

17a. CONTRACTOR/OFFEROR

CODE

FACILITY CODE

18a.

PAYMENT WILL BE MADE BY

CODE

TELEPHONE NO.

UEI:

EFT:

PHONE:

FAX:

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER 18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW IS CHECKED

SEE

ADDENDUM

19.

20.

21.

22.

23.

24.

ITEM NO.

SCHEDULE OF SUPPLIES/SERVICES

QUANTITY

UNIT

UNIT PRICE

AMOUNT

(Use Reverse and/or Attach Additional Sheets as Necessary)

25. ACCOUNTING AND APPROPRIATION DATA

26.

TOTAL AWARD AMOUNT (For Govt. Use Only) 27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA

ARE

ARE NOT ATTACHED.

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA

ARE

ARE NOT ATTACHED

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN _______________

29. AWARD OF CONTRACT: REF. ___________________________________ OFFER

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

DATED ________________________________. YOUR OFFER ON SOLICITATION

DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY

(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED

SET FORTH HEREIN IS ACCEPTED AS TO ITEMS:

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

AUTHORIZED FOR LOCAL REPRODUCTION

(REV. NOV 2021)

PREVIOUS EDITION IS NOT USABLE

Prescribed by GSA - FAR (48 CFR) 53.212

7. FOR SOLICITATION

INFORMATION CALL:

STANDARD FORM 1449

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL

PRODUCTS AND COMMERCIAL SERVICES

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

36C261-25-AP-2325

36C26125Q0499 05-22-2025 Brandy Gastinell 916-923-4551 06-02-2025 9am

PDT

00261 Department of Veterans Affairs Network Contracting Office 21

X X 339112 1000 Employees N/A X See Delivery Schedule

00261 Department of Veterans Affairs Network Contracting Office 21 VA Palo Alto Health Care System 3801 Miranda Ave Palo Alto CA 94304

Department of Veterans Affairs Tungsten Electronic Invoicing VA Tungsten Number: AAA544240062 va.registration@tungsten-network.com See VAAR Clause 852.232-72 See CONTINUATION Page Restorative Dental Instruments--Brand Name or Equal See Price/Cost Schedule and SOW This is a FAR Part 13 solicitation. Please see provisions 52.212-1 Instructions to Offerors and 52.212-2 Evaluation for important information regarding submitting your offer and how your offer will be evaluated.

Vendors interested in responding to this solicitation shall submit their quote via email only to Brandy Gastinell at brandy.gastinell@va.gov, by no later than:

June 2, 2025 9AM PST *Any questions must be received two business days prior to this closing period.

See CONTINUATION Page X Brandy Gastinell

VA-VHA-2020-6F54476D

Table of Contents

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

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

a. CONTRACTOR:

b. GOVERNMENT: Contracting Officer 36C261 Department of Veterans Affairs Network Contracting Office 21

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.

All invoices from the contractor shall be submitted electronically in accordance with VAAR Clause 852.232-72 Electronic Submission of Payment Requests. VA's Electronic Invoice Presentment and Payment System - The FSC uses a third-party contractor, Tungsten, to transition vendors from paper to electronic invoice submission. Please go to this website:

http://www.tungsten-network.com/US/en/veterans-affairs/ to register and begin submitting electronic invoices, free of charge. The Department of Veterans Affairs Tungsten Number is: AAA544240062 (this allows you to file invoices online for free.)

More information on the VA Financial Services Center is available at: http://www.fsc.va.gov/einvoice.asp.

Vendor e-Invoice Set-Up Information:

If you have questions about the e-invoicing program or Tungsten, please contact the FSC at the phone number or email address listed below:

• Tungsten e-Invoice Setup Information: 1-877-489-6135

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

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

• FSC e-invoice email: vafsccshd@va.gov ACKNOWLEDGMENT OF AMENDMENTS: The offeror acknowledges receipt of amendments to the Solicitation numbered and dated as follows:

System updates may lag policy updates. The System for Award Management (SAM) may continue to require entities to complete representations based on provisions that are not included in agency solicitations, including 52.223-22, Public Disclosure of Greenhouse Gas Emissions and Reduction Goals—Representation, and paragraph (t) of 52.212-3, Offeror Representations and Certifications—Commercial Products and Commercial Services. Contracting officers will not consider these representations when making award decisions or enforce requirements. Entities are not required to, nor are they able to, update their entity registration to remove these representations in SAM.

B.2 STATEMENT OF WORK

STATEMENT OF WORK

RESTORATIVE DENTAL INSTRUMENTS

VA PALO ALTO HEALTH CARE SYSTEM

I. Background

This is a Brand Name or Equal Requirement. The provided vendors are preferred as they have the ability to deliver the instruments within the emergent timeline. The Veterans Affairs Palo Alto Health Care System (VAPAHCS) provides dental care and related services to Veterans who qualify for VA health care services. The purpose of this acquisition package is to provide VAPAHCS with the necessary dental instrument replacements and larger trays.

Table 1 – Items Summary

II. Scope, Tasks, or Requirements

The Contractor shall provide identified restorative larger trays and the dental RMD/ instrument replacements and in strict conformance to the identified requirements. The Contractor shall not add or substitute components, alter the instruments in any way without prior approval and written authorization from the Contracting Officer’s Representative (COR). The solicitation only includes commercial items. Products that are not commercial items are considered experimental and purchase of experimental products shall not be authorized under this solicitation.

III. Warranty

The Contractor shall warrant the products provided against defective material and/or workmanship for a minimum of 90 calendar days from the date of acceptance by the VA. The minimum warranty period shall commence after the final check out at the VAPAHCS Dental Clinic and deliverable acceptance by the Sterile Processing Service. Any manufacturer’s warranties of the instruments that extend beyond the minimum 90 calendar day period shall be in effect and be enforced. The Contractor shall furnish, without additional cost to the Government, all materials and labor necessary to correct defects that were detected during the warranty period.

The Contract shall warrant and imply that the items delivered hereunder are merchantable and fit for use for the particular purpose describe in this contract. The rights and remedies of the Government provided in this clause are in addition to, and do not limit any, rights afforded to the Government by any other clause of the contract.

IV. Performance

The Contractor shall complete initial delivery of items ordered under this contract no later than 30 calendar days after receipt of an order. Initial delivery means an ordered item or service is complete and the item is provided to and accepted by VAPAHCS. The Contractor shall provide a written notification to the CO within 7 calendar days of the receipt of an order to show cause in the event the Contractor is unable to deliver the required items in accordance with the Government’s required delivery date. Initial delivery shall not be construed as final delivery or acceptance of an item or service by the Government.

The contractor is required to notify the Contracting Officer’s Representative (COR), the Contracting Officer (CO), and the service representative regarding all items that have been fully delivered, those pending delivery, manufacturer’s issue, any potential delays, and other relevant information related to these items in a timely manner.

V. Delivery Schedule

Items shall be delivered no earlier than the estimated delivery start date and no later than the delivery end date listed in Table 2 below.

Anticipated Receiving Area Schedule/Building Name/Building # VA Palo Alto Health Care System 3801 Miranda Avenue, Building 50 Palo Alto, CA 94304-129

The delivery of items identified in this document shall take place during normal receiving hours which are defined as 7:30 AM to 2:30 PM Pacific Standard Time, Monday through Friday, and excluding Federal Holidays.

If the contractors use their own logistics team to deliver the item(s), check the map link to confirm the correct warehouse location at the VAPAHCS Palo Alto Division (PAD) campus. Coordination communication should include the CO, designated contact points and the warehouse team email. The contractor is required to define the need for a staging area to accommodate item delivery, if needed. Post-award, this information will be confirmed with the contractor/vendor. Delivery trucks will not be permitted to remain at the receiving area. Trucks shall be unloaded, moved from the receiving area, and then brought back to the receiving area if required to haul out any waste, tools, or excess materials. Labeling of delivered items must include the VA facilities contract number, VA purchase order number for identification (PO #) with detailed packing list of items, tracking # and reference upon receipt of product.

The Contractor/vendor must follow VA guidelines when on VA property. Any individuals who need to enter the building for delivery, installation &/or training will be required to wear a mask and be screened by the site staff prior to entry when or if required.

Final delivery will be staged by the VAPAHCS Warehouse team to SPS, PAD, Basement, Building 100, Room EB-360.

VI. Notification, Inspection and Acceptance

The contractor is required to inform the Contracting Officer’s Representative (COR), Contracting Officer (CO), and service representative about all items that have been completely delivered, those pending delivery, any.

delays, and any other relevant details concerning these items.

The contractor's performance will be evaluated based on several performance indicators, including adherence to delivery time requirements, ensuring workmanship is free of defects, and achieving facility acceptance of the products in all respects.

Payment will be issued for instruments that satisfactorily meet all the established indicators. If any products fail to meet one or more of these indicators, payment will be delayed. The contractor must rectify any deficiencies in non-compliant instruments within fifteen (15) calendar days of receiving a written rejection notification from the COR. The corrected items will then be re-inspected for acceptance. No invoice may be submitted until the government has accepted the item. Additionally, the contractor/vendor is responsible for retrieving, exchanging, or replacing any defective or recalled dental instruments, if applicable.

VII. Confidentiality and Non-Disclosure This is a reusable medical supply acquisition package. Therefore, not an equipment and it does not connect to a VA network and in accordance with Appendix A, Handbook 6500.6 Checklist, block 6, the C&A requirements do not apply to this requirement, and a Security Accreditation Package is not required. Additionally, items requested does not hold or store patient information. Therefore, in accordance with Appendix A, Handbook 6500.6 Checklist block 7, Appendix B and C provisions do not apply.

VIII. Security Clause 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.2 PRICE/COST SCHEDULE

ITEM INFORMATION

Syringe Anesthetic Aspir CW Style 1.8ml PRINCIPAL NAICS CODE: 339112 - Surgical and Medical Instrument Manufacturing PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

MANUFACTURER PART NUMBER (MPN): SYRCW-U

LOCAL STOCK NUMBER: SYRCW-U

Markel Mouth Prop (Child Pair)

PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

MANUFACTURER PART NUMBER (MPN): MP52-U

LOCAL STOCK NUMBER: MP52-U

Markel Mouth Prop (Adult Pair)

PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

MANUFACTURER PART NUMBER (MPN): MP54-U

LOCAL STOCK NUMBER: MP54-U

#3 Scalpel Handles

PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

MANUFACTURER PART NUMBER (MPN): 10-130-03-U

LOCAL STOCK NUMBER: 10-130-03-U

Cone Socket Mirror Handle, Satin Steel

PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

MANUFACTURER PART NUMBER (MPN): MH6-U

LOCAL STOCK NUMBER: MH6-U

Retractor U of Minnesota

PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

MANUFACTURER PART NUMBER (MPN): CRM-U

LOCAL STOCK NUMBER: CRM-U

9 Molt Periosteal Elevator

PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

MANUFACTURER PART NUMBER (MPN): P96-U

LOCAL STOCK NUMBER: P96-U

#2 Hourigan/Mod Woodson, Satin Steel

PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

MANUFACTURER PART NUMBER (MPN): PH26-U

LOCAL STOCK NUMBER: PH26-U

#34 Seidin Str. Elevator

PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

MANUFACTURER PART NUMBER (MPN): E34--U

LOCAL STOCK NUMBER: E34--U

#77R Elevator (Serrated)

PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

MANUFACTURER PART NUMBER (MPN): E77R-U

LOCAL STOCK NUMBER: E77R-U

#343 Seldin Str. Elevator

PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

MANUFACTURER PART NUMBER (MPN): E34S-U

LOCAL STOCK NUMBER: E34S-U

Luxating Hybrid Elevator-Straight Spade

PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

MANUFACTURER PART NUMBER (MPN): EPTSSP-U

LOCAL STOCK NUMBER: EPTSSP-U

Dressing Pliers, Utility Pick-Up

PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

MANUFACTURER PART NUMBER (MPN): DPU17-U

LOCAL STOCK NUMBER: DPU17-U

Gerald 1x2 Perma Sharp 7" Tissue Pliers

PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

MANUFACTURER PART NUMBER (MPN): TP5051-U

LOCAL STOCK NUMBER: TP5051-U

#12 Miiller DE Surgical Curette

PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

MANUFACTURER PART NUMBER (MPN): CM12S6-U

LOCAL STOCK NUMBER: CM12S6-U

1X Miller-Colburn Bone File

PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

MANUFACTURER PART NUMBER (MPN): BF1X6

LOCAL STOCK NUMBER: BF1X6

Friedman Rongeurs

PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

MANUFACTURER PART NUMBER (MPN): RF-U

LOCAL STOCK NUMBER: RF-U

#2 Kelly Hemostat-Curved

PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

MANUFACTURER PART NUMBER (MPN): H2-U

LOCAL STOCK NUMBER: H2-U

Kelly Perma Sharp Scissors 6.25 Curved

PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

MANUFACTURER PART NUMBER (MPN): S5001-U

LOCAL STOCK NUMBER: S5001-U

May-Hegar Perma Sharp Needle Holder

PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

MANUFACTURER PART NUMBER (MPN): NH5042-U

LOCAL STOCK NUMBER: NH5042-U

#9 Dean Scissors

PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

MANUFACTURER PART NUMBER (MPN): S9-U

LOCAL STOCK NUMBER: S9-U

Articulating Paper Forceps

PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

MANUFACTURER PART NUMBER (MPN): APF2-U

LOCAL STOCK NUMBER: APF2-U

Syringe Anesthetic Aspir CW Style 1.8ml

PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

MANUFACTURER PART NUMBER (MPN): SYRCW-U

LOCAL STOCK NUMBER: SYRCW-U

Markel Muoth Prop Sm. (Child) Pair

PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

MANUFACTURER PART NUMBER (MPN): MP48

LOCAL STOCK NUMBER: MP48

Satin Steel #24 Cement

PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

MANUFACTURER PART NUMBER (MPN): CS246-U

LOCAL STOCK NUMBER: CS246-U

Cone Socket Mirror Handle, Satin Steel

PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

Dressing Pliers, Utility Pick-Up

PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

MANUFACTURER PART NUMBER (MPN): DPU17-U

LOCAL STOCK NUMBER: DPU17-U

Kelly Perma Sharp Scissors 6.25 Curved

PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

MANUFACTURER PART NUMBER (MPN): S5001-U

LOCAL STOCK NUMBER: S5001-U

Universal crown Remover

PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

MANUFACTURER PART NUMBER (MPN): CRGR

LOCAL STOCK NUMBER: CRGR

#2 Kelly Hemostat-Curved

PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

MANUFACTURER PART NUMBER (MPN): H2-U

LOCAL STOCK NUMBER: H2-U

CC SE Probe 3-6-9-12, Satin Steel

PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

MANUFACTURER PART NUMBER (MPN): PCP126-U

LOCAL STOCK NUMBER: PCP126-U

#89/92 de Cleoid-Discoid, Satin Steel

PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

MANUFACTURER PART NUMBER (MPN): CD89/926-U

LOCAL STOCK NUMBER: CD89/926-U

#36 DE Cleoid-Discoid, Satin Steel

PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

MANUFACTURER PART NUMBER (MPN): CD3/66-U

LOCAL STOCK NUMBER: CD3/66-U

#U15/30 DE Scaler, EE2, Harmony Hdl.

PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

MANUFACTURER PART NUMBER (MPN): SU15/30X32-U

LOCAL STOCK NUMBER: SU15/30X32-U

#1/2 Hollenback DE Carver, Satin Steel

PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

MANUFACTURER PART NUMBER (MPN): CVHL1/26-U

LOCAL STOCK NUMBER: CVHL1/26-U

#2 Hollenback Plugger, Satin Steel

PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

MANUFACTURER PART NUMBER (MPN): PLGH26-U

LOCAL STOCK NUMBER: PLGH26-U

#1 Hollenback Plugger, Satin Steel

PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

MANUFACTURER PART NUMBER (MPN): PLGH16-U

LOCAL STOCK NUMBER: PLGH16-U

XTS #21B DE Burnisher

PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

MANUFACTURER PART NUMBER (MPN): TNBB12B-U

LOCAL STOCK NUMBER: TNBB12B-U

XTS #27/29 DE Burnisher

PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

MANUFACTURER PART NUMBER (MPN): TNBB27/29-U

LOCAL STOCK NUMBER: TNBB27/29-U

#19 DE Excavator, Satin Steel

PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

MANUFACTURER PART NUMBER (MPN): EXC 196-U

LOCAL STOCK NUMBER: EXC 196-U

#2 Woodson DE PFI, Satin Steel

PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

MANUFACTURER PART NUMBER (MPN): PFW/DS26-U

LOCAL STOCK NUMBER: PFW/DS26-U

EXPLORER, #2A Satin Steel

PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

MANUFACTURER PART NUMBER (MPN): EXD2A6-U

LOCAL STOCK NUMBER: EXD2A6-U

#113 Gingival Cord Packer, Satin Steel

PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

MANUFACTURER PART NUMBER (MPN): GCP1136-U

LOCAL STOCK NUMBER: GCP1136-U

#4 Goldstein Flexi-thin, Satin Steel

PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

MANUFACTURER PART NUMBER (MPN): CIGFT46-U

LOCAL STOCK NUMBER: CIGFT46-U

Cone Socket Mirror Handle, Satin Steel

PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

CC SE Probe 3-6-9-12, Satin Steel

PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

MANUFACTURER PART NUMBER (MPN): PCP126-U

LOCAL STOCK NUMBER: PCP126-U

#11/12 ODU DE Explorer, Satin Steel

PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

MANUFACTURER PART NUMBER (MPN): EXD11/126-U

LOCAL STOCK NUMBER: EXD11/126-U

#7/18 After5 Gracey, EE2

PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

MANUFACTURER PART NUMBER (MPN): SRPG7/89E2-U

LOCAL STOCK NUMBER: SRPG7/89E2-U

#11/12 After5 Gracey, EE2

PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

MANUFACTURER PART NUMBER (MPN): SRPG11/129E2-U

LOCAL STOCK NUMBER: SRPG11/129E2-U

#13/14 After5 Gracey, EE2

PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

MANUFACTURER PART NUMBER (MPN): SRPG13/149E2-U

LOCAL STOCK NUMBER: SRPG13/149E2-U

#1/2 Barnhart Curette, EE2#9 Handle

PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

MANUFACTURER PART NUMBER (MPN): SBH1/29E2-U

LOCAL STOCK NUMBER: SBH1/29E2-U

#5/6 Barnhart Currette, EE2#9 Handle

PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

MANUFACTURER PART NUMBER (MPN): SBH5/669-E2-U

LOCAL STOCK NUMBER: SBH5/669-E2-U

#4R4L Columbia Curette, EE2 #9 Handle

PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

MANUFACTURER PART NUMBER (MPN): SC4R/4L9E2-U

LOCAL STOCK NUMBER: SC4R/4L9E2-U

#17/18 Langer Curette, EE2 #9

PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

MANUFACTURER PART NUMBER (MPN): SL17/189E2-U

LOCAL STOCK NUMBER: SL17/189E2-U

#H5/33 DE Scaler, EE2 #9 Handle

PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

MANUFACTURER PART NUMBER (MPN): SH5/339E2-U

LOCAL STOCK NUMBER: SH5/339E2-U

#4 Nevi Scaler Posterior DE,EverEdge2 #9

PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

MANUFACTURER PART NUMBER (MPN): SCNEV149E2-U

LOCAL STOCK NUMBER: SCNEV149E2-U

#204SD DE Scaler, EE2 #9 Handle

PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

MANUFACTURER PART NUMBER (MPN): S204SD9E2-U

LOCAL STOCK NUMBER: S204SD9E2-U

#13S/14S McCall/EE2 #9 Handle

PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

MANUFACTURER PART NUMBER (MPN): SM13/14S9E2-U

LOCAL STOCK NUMBER: SM13/14S9E2-U

#4 Flt Arkansas Stone

PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

MANUFACTURER PART NUMBER (MPN): SSR

LOCAL STOCK NUMBER: SSR

Shipping & Handling

B.3 DELIVERY SCHEDULE

VA Palo Alto Health Care System 3801 Miranda Ave Palo Alto, CA 94304

USA

VA Palo Alto Health Care System 3801 Miranda Ave Palo Alto, CA 94304

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VA Palo Alto Health Care System 3801 Miranda Ave Palo Alto, CA 94304

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VA Palo Alto Health Care System 3801 Miranda Ave Palo Alto, CA 94304

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VA Palo Alto Health Care System 3801 Miranda Ave Palo Alto, CA 94304

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VA Palo Alto Health Care System 3801 Miranda Ave Palo Alto, CA 94304

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VA Palo Alto Health Care System 3801 Miranda Ave Palo Alto, CA 94304

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VA Palo Alto Health Care System 3801 Miranda Ave Palo Alto, CA 94304

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VA Palo Alto Health Care System 3801 Miranda Ave Palo Alto, CA 94304

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VA Palo Alto Health Care System 3801 Miranda Ave Palo Alto, CA 94304

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VA Palo Alto Health Care System 3801 Miranda Ave Palo Alto, CA 94304

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VA Palo Alto Health Care System 3801 Miranda Ave Palo Alto, CA 94304

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VA Palo Alto Health Care System 3801 Miranda Ave Palo Alto, CA 94304

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VA Palo Alto Health Care System 3801 Miranda Ave Palo Alto, CA 94304

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VA Palo Alto Health Care System 3801 Miranda Ave Palo Alto, CA 94304

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VA Palo Alto Health Care System 3801 Miranda Ave Palo Alto, CA 94304

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VA Palo Alto Health Care System 3801 Miranda Ave Palo Alto, CA 94304

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VA Palo Alto Health Care System 3801 Miranda Ave Palo Alto, CA 94304

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VA Palo Alto Health Care System 3801 Miranda Ave Palo Alto, CA 94304

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VA Palo Alto Health Care System 3801 Miranda Ave Palo Alto, CA 94304

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VA Palo Alto Health Care System 3801 Miranda Ave Palo Alto, CA 94304

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VA Palo Alto Health Care System 3801 Miranda Ave Palo Alto, CA 94304

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VA Palo Alto Health Care System 3801 Miranda Ave Palo Alto, CA 94304

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VA Palo Alto Health Care System 3801 Miranda Ave Palo Alto, CA 94304

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VA Palo Alto Health Care System 3801 Miranda Ave Palo Alto, CA 94304

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VA Palo Alto Health Care System 3801 Miranda Ave Palo Alto, CA 94304

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VA Palo Alto Health Care System 3801 Miranda Ave Palo Alto, CA 94304

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VA Palo Alto Health Care System 3801 Miranda Ave Palo Alto, CA 94304

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VA Palo Alto Health Care System 3801 Miranda Ave Palo Alto, CA 94304

USA

VA Palo Alto Health Care System 3801 Miranda Ave Palo Alto, CA 94304

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VA Palo Alto Health Care System 3801 Miranda Ave Palo Alto, CA 94304

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VA Palo Alto Health Care System 3801 Miranda Ave Palo Alto, CA 94304

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VA Palo Alto Health Care System 3801 Miranda Ave Palo Alto, CA 94304

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VA Palo Alto Health Care System 3801 Miranda Ave Palo Alto, CA 94304

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VA Palo Alto Health Care System 3801 Miranda Ave Palo Alto, CA 94304

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VA Palo Alto Health Care System 3801 Miranda Ave Palo Alto, CA 94304

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VA Palo Alto Health Care System 3801 Miranda Ave Palo Alto, CA 94304

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VA Palo Alto Health Care System 3801 Miranda Ave Palo Alto, CA 94304

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VA Palo Alto Health Care System 3801 Miranda Ave Palo Alto, CA 94304

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VA Palo Alto Health Care System 3801 Miranda Ave Palo Alto, CA 94304

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VA Palo Alto Health Care System 3801 Miranda Ave Palo Alto, CA 94304

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VA Palo Alto Health Care System 3801 Miranda Ave Palo Alto, CA 94304

USA

VA Palo Alto Health Care System 3801 Miranda Ave Palo Alto, CA 94304

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VA Palo Alto Health Care System 3801 Miranda Ave Palo Alto, CA 94304

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VA Palo Alto Health Care System 3801 Miranda Ave Palo Alto, CA 94304

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VA Palo Alto Health Care System 3801 Miranda Ave Palo Alto, CA 94304

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VA Palo Alto Health Care System 3801 Miranda Ave Palo Alto, CA 94304

USA

VA Palo Alto Health Care System 3801 Miranda Ave Palo Alto, CA 94304

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VA Palo Alto Health Care System 3801 Miranda Ave Palo Alto, CA 94304

USA

VA Palo Alto Health Care System 3801 Miranda Ave Palo Alto, CA 94304

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VA Palo Alto Health Care System 3801 Miranda Ave Palo Alto, CA 94304

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VA Palo Alto Health Care System 3801 Miranda Ave Palo Alto, CA 94304

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VA Palo Alto Health Care System 3801 Miranda Ave Palo Alto, CA 94304

USA

VA Palo Alto Health Care System 3801 Miranda Ave Palo Alto, CA 94304

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VA Palo Alto Health Care System 3801 Miranda Ave Palo Alto, CA 94304

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VA Palo Alto Health Care System 3801 Miranda Ave Palo Alto, CA 94304

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VA Palo Alto Health Care System 3801 Miranda Ave Palo Alto, CA 94304

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VA Palo Alto Health Care System 3801 Miranda Ave Palo Alto, CA 94304

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VA Palo Alto Health Care System 3801 Miranda Ave Palo Alto, CA 94304

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36C26125Q0499

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SECTION C - CONTRACT CLAUSES

C.1 52.204-8 ANNUAL REPRESENTATIONS AND CERTIFICATIONS (JAN 2025) (DEVIATION FEB 2025) (a)(1) The North American Industry Classification System (NAICS) code for this acquisition is 339112.

(2) The small business size standard is 1000 Employees.

(3) The small business size standard for a concern that submits an offer, other than on a construction or service acquisition, but proposes to furnish an end item that it did not itself manufacture, process, or produce is 500 employees, or 150 employees for information technology value-added resellers under NAICS code 541519, if the acquisition—

(i) Is set aside for small business and has a value above the simplified acquisition threshold;

(ii) Uses the HUBZone price evaluation preference regardless of dollar value, unless the offeror waives the price evaluation preference; or

(iii) Is an 8(a), HUBZone, service-disabled veteran-owned, economically disadvantaged women-owned, or women-owned small business set-aside or sole-source award regardless of dollar value.

(b)(1) If the provision at 52.204-7, System for Award Management, is included in this solicitation, paragraph (d) of this provision applies.

(2) If the provision at 52.204-7, System for Award Management, is not included in this solicitation, and the Offeror has an active registration in the System for Award Management (SAM), the Offeror may choose to use paragraph (d) of this provision instead of completing the corresponding individual representations and certifications in the solicitation. The Offeror shall indicate which option applies by checking one of the following boxes:

[ ] (i) Paragraph (d) applies.

[ ] (ii) Paragraph (d) does not apply and the offeror has completed the individual representations and certifications in the solicitation.

(c)(1) The following representations or certifications in SAM are applicable to this solicitation as indicated:

(i) 52.203-2, Certificate of Independent Price Determination. This provision applies to solicitations when a firm-fixed-price contract or fixed-price contract with economic price adjustment is contemplated, unless—

(A) The acquisition is to be made under the simplified acquisition procedures in Part 13;

(B) The solicitation is a request for technical proposals under two-step sealed bidding procedures; or

(C) The solicitation is for utility services for which rates are set by law or regulation.

(ii) 52.203-11, Certification and Disclosure Regarding Payments to Influence Certain Federal Transactions. This provision applies to solicitations expected to exceed $150,000.

(iii) 52.203-18, Prohibition on Contracting with Entities that Require Certain Internal Confidentiality Agreements or Statements—Representation. This provision applies to all solicitations.

(iv) 52.204-3, Taxpayer Identification. This provision applies to solicitations that do not include the provision at 52.204-7, System for Award Management.

(v) 52.204-5, Women-Owned Business (Other Than Small Business). This provision applies to solicitations that—

(A) Are not set aside for small business concerns;

(B) Exceed the simplified acquisition threshold; and

(C) Are for contracts that will be performed in the United States or its outlying areas.

(vi) 52.204-26, Covered Telecommunications Equipment or Services—Representation. This provision applies to all solicitations.

(vii) 52.209-2, Prohibition on Contracting with Inverted Domestic Corporations—Representation.

(viii) 52.209-5, Certification Regarding Responsibility Matters. This provision applies to solicitations where the contract value is expected to exceed the simplified acquisition threshold.

(ix) 52.209-11, Representation by Corporations Regarding Delinquent Tax Liability or a Felony Conviction under any Federal Law. This provision applies to all solicitations.

(x) 52.214-14, Place of Performance—Sealed Bidding. This provision applies to invitations for bids except those in which the place of performance is specified by the Government.

(xi) 52.215-6, Place of Performance. This provision applies to solicitations unless the place of performance is specified by the Government.

(xii) 52.219-1, Small Business Program Representations (Basic, Alternates I, and II). This provision applies to solicitations when the contract is for supplies to be delivered or services to be performed in the United States or its outlying areas, or when the contracting officer has applied part 19 in accordance with 19.000(b)(1)(ii).

(A) The basic provision applies when the solicitations are issued by other than DoD, NASA, and the Coast Guard.

(B) The provision with its Alternate I applies to solicitations issued by DoD, NASA, or the Coast Guard.

(C) The provision with its Alternate II applies to solicitations that will result in a multiple-award contract with more than one NAICS code assigned.

(xiii) 52.219-2, Equal Low Bids. This provision applies to solicitations when contracting by sealed bidding and the contract is for supplies to be delivered or services to be performed in the United States or its outlying areas, or when the contracting officer has applied part 19 in accordance with 19.000(b)(1)(ii).

(xiv) [Reserved].

(xv) [Reserved].

(xvi) 52.222-38, Compliance with Veterans' Employment Reporting Requirements. This provision applies to solicitations when it is anticipated the contract award will exceed the simplified acquisition threshold and the contract is not for acquisition of commercial products or commercial services.

(xvii) 52.223-1, Biobased Product Certification. This provision applies to solicitations that require the delivery or specify the use of biobased products in USDA-designated product categories; or include the clause at 52.223-2, Reporting of Biobased Products Under Service and Construction Contracts.

(xviii) 52.223-4, Recovered Material Certification. This provision applies to solicitations that are for, or specify the use of, EPA-designated items.

(xix) [Reserved].

(xx) 52.225-2, Buy American Certificate. This provision applies to solicitations containing the clause at 52.225-1.

(xxi) 52.225-4, Buy American—Free Trade Agreements—Israeli Trade Act Certificate. (Basic, Alternates II and III.) This provision applies to solicitations containing the clause at 52.225-3.

(A) If the acquisition value is less than $50,000, the basic provision applies.

(B) If the acquisition value is $50,000 or more but is less than $100,000, the provision with its Alternate II applies.

(C) If the acquisition value is $100,000 or more but is less than $102,280, the provision with its Alternate III applies.

(xxii) 52.225-6, Trade Agreements Certificate. This provision applies to solicitations containing the clause at 52.225-5.

(xxiii) 52.225-20, Prohibition on Conducting Restricted Business Operations in Sudan—Certification. This provision applies to all solicitations.

(xxiv) 52.225-25, Prohibition on Contracting with Entities Engaging in Certain Activities or Transactions Relating to Iran-Representation and Certifications. This provision applies to all solicitations.

(xxv) 52.226-2, Historically Black College or University and Minority Institution Representation. This provision applies to solicitations for research, studies, supplies, or services of the type normally acquired from higher educational institutions.

(A) Solicitations for research, studies, supplies, or services of the type normally acquired from higher educational institutions; and

(B) For DoD, NASA, and Coast Guard acquisitions, solicitations that contain the clause at 52.219-23, Notice of Price Evaluation Adjustment for Small Disadvantaged Business Concerns.

(2) The following representations or certifications are applicable as indicated by the Contracting Officer:

[] (i) 52.204-17, Ownership or Control of Offeror.

[] (ii) 52.204-20, Predecessor of Offeror.

[] (iii) 52.222-18, Certification Regarding Knowledge of Child Labor for Listed End Products.

[] (iv) 52.222-48, Exemption from Application of the Service Contract Labor Standards to Contracts for Maintenance, Calibration, or Repair of Certain Equipment—Certification.

[] (v) 52.222-52, Exemption from Application of the Service Contract Labor Standards to Contracts for Certain Services—Certification.

[] (vi) 52.227-6, Royalty Information.

[] (A) Basic.

[] (B) Alternate I.

[] (vii) 52.227-15, Representation of Limited Rights Data and Restricted Computer Software.

(d) The Offeror has completed the annual representations and certifications electronically in SAM accessed through https://www.sam.gov. After reviewing the SAM information, the Offeror verifies by submission of the offer that the representations and certifications currently posted electronically that apply to this solicitation as indicated in paragraph (c) of this provision have been entered or updated within the last 12 months, are current, accurate, complete, and applicable to this solicitation (including the business size standard applicable to the NAICS code referenced for this solicitation), as of the date of this offer and are incorporated in this offer by reference (see FAR 4.1201); except for the changes identified below [offeror to insert changes, identifying change by clause number, title, date]. These amended representation(s) and/or certification(s) are also incorporated in this offer and are current, accurate, and complete as of the date of this offer.

Any changes provided by the offeror are applicable to this solicitation only, and do not result in an update to the representations and certifications posted on SAM.

(End of Provision) C.2 52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (NOV 2023)

(a) Inspection/Acceptance. The Contractor shall only tender for acceptance those items that conform to the requirements of this contract. The Government reserves the right to inspect or test any supplies or services that have been tendered for acceptance. The Government may require repair or replacement of nonconforming supplies or reperformance of nonconforming services at no increase in contract price.