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

36C261-26-AP-2120

36C26126Q0357 02-11-2026

David J. Alvarez 916-923-4564 02-23-2026

10:00 AM PST

612MCP

Department of Veterans Affairs

VA Sierra Pacific Network (VISN 21)

Network Contracting Office (NCO) 21

3237 Peacekeeper Way, Bldg 209

McClellan Park CA 95652

X

532283

$41 Million

N/A

See Performance Work Statement

612MCP

Department of Veterans Affairs

Network Contracting Office (NCO) 21

3237 Peacekeeper Way, Bldg 209

McClellan CA 95652

FMS VA-9(101) Financial Services Center

PO Box 149971

Austin TX 78714-9971

See CONTINUATION Page

Contractor shall provide Home Oxygen Services in accordance with the Performance Work Statement herein.

Period of Performance:

Ordering Period One: 4/1/2026 - 3/31/2027

Ordering Period Two: 4/1/2027 - 9/30/2028

See CONTINUATION Page

X 1

David J. Alvarez

Contracting Officer

36C26126Q0357

Table of Contents

SECTION A

A.1 SF 1449 SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS

AND COMMERCIAL SERVICES

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

B.2 PRICE/COST SCHEDULE

ITEM INFORMATION

B.3 PERFORMANCE WORK STATEMENT

SECTION C - CONTRACT CLAUSES

C.1 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

C.2 52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL PRODUCTS

AND COMMERCIAL SERVICES (NOV 2023)(DEVIATION OCT 2025)

C.3 52.216-18 ORDERING (AUG 2020)

C.4 52.216-19 ORDER LIMITATIONS (OCT 1995)

C.5 52.216-22 INDEFINITE QUANTITY (DEVIATION) (NOV 2025)

C.6 52.217-8 OPTION TO EXTEND SERVICES (NOV 1999)

C.7 52.240-91 SECURITY PROHIBITIONS AND EXCLUSIONS (NOV 2025)

(DEVIATION)

C.8 VAAR 852.242-71 ADMINISTRATIVE CONTRACTING OFFICER (OCT 2020)

C.9 52.252-6 AUTHORIZED DEVIATIONS IN CLAUSES (NOV 2020)

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

SECTION E - SOLICITATION PROVISIONS

E.1 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB

1998)

E.2 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES (SEP 2023)(DEVIATION OCT 2025)

E.3 52.209-7 INFORMATION REGARDING RESPONSIBILITY MATTERS (OCT

2018)(DEVIATION NOV 2025)

E.4 52.216-1 TYPE OF CONTRACT (DEVIATION) (NOV 2025)

E.5 52.233-2 SERVICE OF PROTEST (SEP 2006)(DEVIATION NOV 2025)

E.6 52.252-5 AUTHORIZED DEVIATIONS IN PROVISIONS (NOV 2020)

E.7 52.212-2 EVALUATION—COMMERCIAL PRODUCTS AND COMMERCIAL

SERVICES (NOV 2021)(DEVIATION OCT 2025)

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

VA Sierra Pacific Network (VISN 21)

Network Contracting Office (NCO) 21

3237 Peacekeeper Way, Bldg 209

McClellan Park CA 95652

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

[X] 52.232-33, Payment by Electronic Funds Transfer—System For Award Management, or

[] 52.232-36, Payment by Third Party

3. INVOICES: Invoices shall be submitted in arrears:

a. Quarterly []

b. Semi-Annually []

c. Other [X] Upon Delivery and Government Acceptance

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.

www.fsc.va.gov/einvoice.asp http://www.tungsten-network.com/US/en/veterans-affairs/

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

AMENDMENT NO DATE

B.2 PRICE/COST SCHEDULE

The Contractor shall provide Home Oxygen Services for the Department of Veterans Affairs in accordance with the specifications listed herein.

The guaranteed minimum award amount for this contract is $1,000.00. The maximum aggregate value of orders that can be placed under this contract is $9,000,000.00. The Government does not guarantee that it will place any orders under this contract in excess of the guaranteed minimum award amount.

ITEM INFORMATION

ITEM

NUMBE

R

DESCRIPTION OF

SUPPLIES/SERVI

CES

QUANTI

TY

UNI

T UNIT PRICE AMOUNT

8,400.00 MO _______________

Rental of Contractor Owned Portable Concentrator System (Freestyle). HCPCS CODE E1392. Concentrator, Colored Tubing, Adapter Humidifier (when required), Cannulas or Masks and other required supplies and equipment, including back up systems. Perform Equipment Maintenance in accordance with manufacturer standards. At a minimum of once every 90 calendar days, visit and assess patient to assure equipment complinace, change filters and provide disposable supplies.

Contract Period: Base POP Begin: 04-01-2026 POP End: 03-31-2027 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

MANUFACTURER PART NUMBER (MPN): N/A

960.00 MO _______________

Rental of Contractor Owned Portable Concentrator System (Oxlife or IGO) Priced Per Month. HCPCS CODE E1392.

Concentrator, Colored Tubing, Adapter Humidifier (when required), Cannulas or Masks and other required supplies and equipment, including back up systems. Perform Equipment Maintenance in accordance with manufacturer standards. At a minimum of once every 90 calendar days, visit and assess patient to assure equipment complinace, change filters and provide disposable supplies.

Contract Period: Base POP Begin: 04-01-2026

POP End: 03-31-2027 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical

19,200.0

MO _______________

Rental of Contractor Owned Low Decibel Concentrator System Priced Per Month. HCPCS CODE E1390. To include all supplies, equipment maintenance and 90 calendar day visit as described in Item 1.

Contract Period: Base POP Begin: 04-01-2026 POP End: 03-31-2027 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical

1,440.00 MO _______________

Rental of Contractor Owned Hi Flow Concentrator System Priced Per Month. HCPCS CODE E1390. To include all supplies, equipment maintenance and 90 calendar day visit as described in Item 1.

Contract Period: Base POP Begin: 04-01-2026 POP End: 03-31-2027 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical

11,400.0

MO _______________

Rental of Contractor Owned Portable O2 Gaseous System for use with or without Stationary System Priced Per Month.

HCPCS CODE E0431. Portable System, Regulator, Flowmeter, Humidifier, Cannulas, or Masks, Tubing, Conserving Device and O2 Tank Cylinder Stands capable of holding 12 cylinders, sizes E, D, C & M-6.

Contract Period: Base POP Begin: 04-01-2026 POP End: 03-31-2027 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical

420.00 MO _______________

Rental of Contractor Owned Stationary Liquid O2 System Priced Per Month. HCPCS CODE E0439. Reservoir, Regulator, Flowmeter, Humidifier, Cannulas or Masks, and Colored Tubing.

Contract Period: Base POP Begin: 04-01-2026 POP End: 03-31-2027 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical

192.00 MO _______________

Rental of Contractor Owned Portable Liquid O2 System Priced Per Month. HCPCS CODE E0434. Portable Container, Refill Adapter Flowmeter, Cannulas or Masks, and Colored Tubing. Reservoir will be provided if another Stationary System (e.g. Concentrator) is rented.

Contract Period: Base POP Begin: 04-01-2026 POP End: 03-31-2027 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical

288.00 MO _______________

Suction Pump Rental Priced Per Month. HCPCS CODE E0600. Delivery, Set-up, and Training of Contractor Owned Suction Pump to Include all supplies.

Contract Period: Base POP Begin: 04-01-2026 POP End: 03-31-2027 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical

24.00 MO _______________

Rental of Contractor Owned Volume Ventilator Priced Per Month. HCPCS CODE E0465. Delivery, Set-up, Training, and Maintenance of Contractor Owned Stationary or Portable Ventilator, to include back up Ventilator and all supplies.

Contract Period: Base POP Begin: 04-01-2026 POP End: 03-31-2027 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical

108.00 MO _______________

Air Compressor Priced Per Month. HCPCS CODE E0570.

Rental of Contractor Owned and Maintained continuous or intermittent air compressor for use with equipment not self contained or cylinder driven, to include all associated supplies.

Contract Period: Base POP Begin: 04-01-2026 POP End: 03-31-2027 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical

120.00 EA _______________

Delivery Charge Priced Per Each. HCPCS CODE A9901.

Deliveries not made under all other line items.

Contract Period: Base POP Begin: 04-01-2026 POP End: 03-31-2027 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical

9,600.00 MI _______________

Delivery Charge Priced Per Mile. HCPCS CODE A9901.

Delivery out of catchment area, per mile.

Contract Period: Base POP Begin: 04-01-2026 POP End: 03-31-2027 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical

1,800.00 EA _______________

Fire Safe Cannula Valve Priced Per Each. HCPCS CODE VA186. Delivery, Set-up of FSCV.

Contract Period: Base POP Begin: 04-01-2026 POP End: 03-31-2027 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical

4,260.00 MO _______________

Rental of Contractor Owned Portable Concentrator System (Freestyle). HCPCS CODE E1392. Concentrator, Colored Tubing, Adapter Humidifier (when required), Cannulas or Masks and other required supplies and equipment, including back up systems. Perform Equipment Maintenance in accordance with manufacturer standards. At a minimum of once every 90 calendar days, visit and assess patient to assure equipment complinace, change filters and provide disposable supplies.

Contract Period: Option 1 POP Begin: 04-01-2027 POP End: 03-31-2026 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical

504.00 MO _______________

Rental of Contractor Owned Portable Concentrator System (Oxlife or IGO) Priced Per Month. HCPCS CODE E1392.

Concentrator, Colored Tubing, Adapter Humidifier (when required), Cannulas or Masks and other required supplies and equipment, including back up systems. Perform Equipment Maintenance in accordance with manufacturer standards. At a minimum of once every 90 calendar days, visit and assess patient to assure equipment complinace, change filters and provide disposable supplies.

Contract Period: Option 1 POP Begin: 04-01-2027 POP End: 03-31-2026 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical

9,720.00 MO _______________

Rental of Contractor Owned Low Decibel Concentrator System Priced Per Month. HCPCS CODE E1390. To include all supplies, equipment maintenance and 90 calendar day visit as described in Item 1.

Contract Period: Option 1 POP Begin: 04-01-2027 POP End: 03-31-2026 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical

744.00 MO _______________

Rental of Contractor Owned Hi Flow Concentrator System Priced Per Month. HCPCS CODE E1390. To include all supplies, equipment maintenance and 90 calendar day visit as described in Item 1.

Contract Period: Option 1 POP Begin: 04-01-2027 POP End: 03-31-2026 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical

5,730.00 MO _______________

Rental of Contractor Owned Portable O2 Gaseous System for use with or without Stationary System Priced Per Month.

HCPCS CODE E0431. Portable System, Regulator, Flowmeter, Humidifier, Cannulas, or Masks, Tubing, Conserving Device and O2 Tank Cylinder Stands capable of holding 12 cylinders, sizes E, D, C & M-6.

Contract Period: Option 1 POP Begin: 04-01-2027 POP End: 03-31-2026 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical

216.00 MO _______________

Rental of Contractor Owned Stationary Liquid O2 System Priced Per Month. HCPCS CODE E0439. Reservoir, Regulator, Flowmeter, Humidifier, Cannulas or Masks, and Colored Tubing.

Contract Period: Option 1 POP Begin: 04-01-2027 POP End: 03-31-2026 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical

96.00 MO _______________

Rental of Contractor Owned Portable Liquid O2 System Priced Per Month. HCPCS CODE E0434. Portable Container, Refill Adapter Flowmeter, Cannulas or Masks, and Colored Tubing. Reservoir will be provided if another Stationary System (e.g. Concentrator) is rented.

Contract Period: Option 1 POP Begin: 04-01-2027 POP End: 03-31-2026 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical

144.00 MO _______________

Suction Pump Rental Priced Per Month. HCPCS CODE E0600. Delivery, Set-up, and Training of Contractor Owned Suction Pump to Include all supplies.

Contract Period: Option 1 POP Begin: 04-01-2027 POP End: 03-31-2026 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical

12.00 MO _______________

Rental of Contractor Owned Volume Ventilator Priced Per Month. HCPCS CODE E0465. Delivery, Set-up, Training, and Maintenance of Contractor Owned Stationary or Portable Ventilator, to include back up Ventilator and all supplies.

Contract Period: Option 1 POP Begin: 04-01-2027 POP End: 03-31-2026 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical

60.00 MO _______________

Air Compressor Priced Per Month. HCPCS CODE E0570.

Rental of Contractor Owned and Maintained continuous or intermittent air compressor for use with equipment not self contained or cylinder driven, to include all associated supplies.

Contract Period: Option 1 POP Begin: 04-01-2027 POP End: 03-31-2026 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical

60.00 EA _______________

Delivery Charge Priced Per Each. HCPCS CODE A9901.

Deliveries not made under all other line items.

Contract Period: Option 1 POP Begin: 04-01-2027 POP End: 03-31-2026 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical

4,920.00 MI _______________

Delivery Charge Priced Per Mile. HCPCS CODE A9901.

Delivery out of catchment area, per mile.

Contract Period: Option 1 POP Begin: 04-01-2027 POP End: 03-31-2026 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical

1,020.00 EA _______________

Fire Safe Cannula Valve Priced Per Each. HCPCS CODE VA186. Delivery, Set-up of FSCV.

Contract Period: Option 1 POP Begin: 04-01-2027 POP End: 03-31-2026 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental

PRODUCT/SERVICE CODE: 6515 - Medical and Surgical

00R1

31,800.0

CY _______________

E Cylinder Refill. HCPCS CODE E0443 Contract Period: Base POP Begin: 04-01-2026 POP End: 03-31-2027 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical

00R2

8,400.00 CY _______________

D Cylinder Refill. HCPCS CODE E0443 Contract Period: Base POP Begin: 04-01-2026 POP End: 03-31-2027 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical

00R3

15,000.0

CY _______________

C Cylinder Refill. HCPCS CODE E0443 Contract Period: Base POP Begin: 04-01-2026 POP End: 03-31-2027 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical

00R4

0.00 CY _______________

M-6 Cylinder Refill. HCPCS CODE E0443 Contract Period: Base POP Begin: 04-01-2026 POP End: 03-31-2027 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical

00R5

300.00 CY _______________

M-90 Tank Refill. HCPCS CODE E0443 Contract Period: Base POP Begin: 04-01-2026 POP End: 03-31-2027 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical

00R6

60,000.0

LB _______________

Liquid Oxygen Refill. HCPCS CODE E0444 Contract Period: Base POP Begin: 04-01-2026 POP End: 03-31-2027 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical

10R1

16,200.0

CY _______________

E Cylinder Refill. HCPCS CODE E0443 Contract Period: Option 1 POP Begin: 04-01-2027 POP End: 03-31-2028 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical

10R2

4,350.00 CY _______________

D Cylinder Refill. HCPCS CODE E0443 Contract Period: Option 1 POP Begin: 04-01-2027 POP End: 03-31-2028 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical

10R3

7,650.00 CY _______________

C Cylinder Refill. HCPCS CODE E0443 Contract Period: Option 1 POP Begin: 04-01-2027

POP End: 03-31-2028 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical

10R4

0.00 CY _______________

M-6 Cylinder Refill. HCPCS CODE E0443 Contract Period: Option 1 POP Begin: 04-01-2027 POP End: 03-31-2028 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical

10R5

168.00 CY _______________

M-90 Tank Refill. HCPCS CODE E0443 Contract Period: Option 1 POP Begin: 04-01-2027 POP End: 03-31-2028 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical

10R6

30,600.0

LB _______________

Liquid Oxygen Refill. HCPCS CODE E0444 Contract Period: Option 1 POP Begin: 04-01-2027 POP End: 03-31-2028 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical

GRAND TOTAL _______________

B.3 PERFORMANCE WORK STATEMENT

PERFORMANCE WORK STATEMENT - HOME OXYGEN SERVICES

SECTION 1 – SCOPE

1. Scope:

This Performance Work Statement (PWS) defines the effort required for the setup, installation, and management of Home Oxygen services and Ventilation, in accordance with The Joint Commission (TJC) o r e q u i v a l e n t standards, to Veteran Beneficiaries serviced by VA Sierra Nevada Healthcare System

(VASNHCS). This PWS includes the associated program management, human engineering, and logistic support planning requirements. The use of the terms “Beneficiary”, “Veterans”, “Patients”, and “Patient” are used interchangeably and refer to the recipient of required supplies, equipment, and incidental services required under the contract.

1.1 Background:

The acquisition of Home Oxygen services is being initiated to provide Home Oxygen services to Veteran

Beneficiaries serviced by VASNHCS. VASNHCS does not have the capacity to provide these services, so a contract has been sought for the provision of home oxygen and all associated products and services.

1.2 Locations:

All services shall be performed in the Veteran's place of residence or in a nursing home housing the

Veteran. The area of service shall be all Patients serviced by VASNHCS, including catchment areas, regardless of where Patient resides. The equipment needs are subject to change as determined by the prescribing physician. Contractors shall have a facility or resources physically located in the geographic area in which they shall provide service. Non-territory requests shall be required from time to time, and the Contractor shall accept these "non-territory" Veterans at that Contractor’s awarded price. VA reserves the right to assign these Patients to any Contractor. The geographical boundaries described herein have been determined as the areas of responsibility/jurisdiction for each local VA Medical Centers (see next page for VISN 21 map).

• VA Sierra Nevada Healthcare System (VASNHCS) serves the counties of: Alpine, Inyo, Lassen, Modoc, Mono, Plumas and Sierra in California. VASNHCS also serves the counties of: Carson City, Churchill, Douglas, Homboldt, Lander, Lyon, Mineral, Pershing, Storey and Washoe in Nevada. The main VA facility is located in Reno Nevada.

1.3 Estimated Dollar Value / Guaranteed Minimum/Maximum

The following table includes the guaranteed minimum amounts per geographical area and the maximum ceiling amounts per geographical area. The minimum guarantee is applicable to the base year only and will be included in the first funded task order awarded against the IDIQ contract for each respective geographical area of the Indefinite Delivery Indefinite Quantity (IDIQ) contract.

Also, the maximum ceiling amounts stated below for each geographical area apply to the IDIQ contract in its entirety, not to individual task/delivery orders.

Guaranteed Maximum

Geographical Area Minimum Ceiling

VA Sierra Nevada Health Care System $1,000.00 $9,000,000.00

1.4 Roles and Responsibilities:

A. Clinician orders for providing Home Oxygen Healthcare Services, which includes the use of home oxygen, home based life support systems (i.e. ventilators) and related respiratory equipment (C-

PAP/Bi- Level nebulizers, compressors, etc.) are processed through the Prosthetic and Sensory Aid

Services (P&SAS) at the VA Medical Centers, and VA Healthcare Systems. Initiation of treatment, delivery and pick up of equipment and, resolutions of problems related to equipment or

Patients care are under the direction of P&SAS and/or the Contracting Officer's Technical

Representative (COR).

B. VA Clinicians have the exclusive responsibility for determining eligibility and necessity for admission to the Home Oxygen Program and for providing orders for admission. The Contractor shall provide the services, supplies and equipment as ordered, under the timelines specified.

C. VA Clinicians will complete initial and ongoing Patients assessments.

D. The Contractor is responsible for coordinating, supervising, monitoring, and evaluating the care and service provided and must assure that the contracted services are performed according to the terms of the contract. The Contractor must also assure that its personnel meet the requirements of the contract and are competent to do the jobs assigned them. The VA may but is not limited to monitoring the Contractor's performance through Contractor site visits, Patient home visits, record checks, and Patient satisfaction/complaints. The VA will conduct monthly review of invoices for accuracy. Monitors will focus on timeliness of equipment delivery; timeliness of maintenance visits; accuracy of required paperwork, and adherence to The Joint Commission

(TJC) or equivalent standards.

E. The VA sets timelines for the provision of services and the Contractor must meet those timelines. It is the Contractors responsibility to schedule the times and dates for the delivery of services within the timelines established. Deliveries shall not be left unattended at the Patient's home, unless prior arrangements are made with the Patient. (See section 5 of the Performance Work Statement (PWS))

F. VA providers determine the discharge plan from the Home Oxygen Program based on clinical assessment that may also include data submitted by the Contractor.

G. Contractor shall notify Contracting Officer’s Representative (COR) for review and approval of any changes to the treatment plan and/or prescription that is sent to Contractor by VA medical provider. COR shall contact VA medical provider for his or her review and approval or disapproval.

H. In the event of damage to and/or theft of Contractor's equipment due to Patient negligence, Contractor shall, within 10 calendar days of having knowledge of damage and/or theft of any

Contractor issued equipment under this contract, notify the respective facility COR, in writing, describing the damage and/or theft. Facility COR will notify the Contracting Officer to discuss a resolution to the issue.

1.5 Accreditation:

The Contractor shall meet or exceed all The Joint Commission (TJC) standards (previously known as the

Joint Commission on Accreditation of Healthcare Organizations, or JCAHO) or equivalent accrediting standards for all services provided herein. Contractor shall submit proof of meeting or exceeding all TJC standards as part of its technical proposal. The TJC or equivalent standards may be accessed at www.jointcommission.orq. Contractor shall be accredited by a nationally recognized organization and shall maintain that accreditation throughout the term of the contract.

1.6 Site Visits:

A. On-site Contractor and VA Patient visits will be made on a scheduled and unscheduled basis.

The Contracting Officer and/or the COR and, other VA employees as necessary, will conduct

Contractor site visits. The purpose of these visits is to monitor the Contractor's performance as it relates to the contract and commercial practices. The Contractor agrees to make available all records and documentation necessary during such visits.

B. In addition, the Contractor agrees to visits by any accrediting body (or other Government representative) accompanied by the Contracting Officer, COR or designee necessary to review the contract services. These visits shall be allowed at no additional cost to the

Government.

1.7 Ordering:

A. Authorized VA representatives of Prosthetics and Sensory Aids Service (P&SAS) or appointed

CORs at VASNHCS locations will issue orders for home oxygen services. Such individuals will be identified at time of award. Each order will contain the Veteran’s name, last 4 of social security number, and home address, as well as the type of supplies, services or oxygen system prescribed.

B. Orders may be placed by telephone, fax, Public Key Infrastructure (PKI) secured E-mail, or through a Contractor owned and maintained secure website and as necessary, will be confirmed in writing and accompanied by the Home Oxygen Prescription. If a delivery order is placed verbally, a written copy of the verbal delivery order will be transmitted to the Contractor within 48 hours of placing the order. Confirmations shall be required for any order placed. Contractor shall have a direct local number with an employee on duty for after-hours orders and not be referred to a call center.

1.8 Emergency Service:

A. The Contractor shall have twenty-four (24) hour, seven (7) day a week, and 365 days per year emergency service capability. At a minimum, the Contractor shall have a company employee on duty or a twenty-four-hour answering service or, an employee within paging range to respond to emergency calls. Contractor shall respond within thirty (30) minutes by telephone upon receipt of an emergency call and advise Patient of the specific emergency procedure to be implemented.

Contractor shall have a backup procedure in the event they are unable to reach the Patient by phone.

http://www.jointcommission.orq/

B. The back-up procedure stated in 1.7.A. above shall be specific to the geography and conditions of the area being serviced with a copy provided to the appropriate COR at the time of award. If the procedure is updated a copy shall be sent to the COR within three (3) business days.

1.9 Documentation:

The Contractor shall maintain documentation of all orientation programs and background checks for all employees involved in delivery/recovery of home oxygen equipment. As a minimum, topics should include safety and equipment management, such as electrical requirement, back-up systems, equipment safety checks, troubleshooting, equipment set-up, infection control procedures, Patient confidentiality and handling procedures. Annual competencies are required. Documentation shall be made available upon written request of the Contracting Officer or facility COR.

1.10 Solicitation of Patients:

Contractor shall deal directly with the Contracting Officer, the facility COR, or the appropriate facility

P&SAS representative relative to any aspect of the contract. Contractor agrees he/she shall not directly or through his/her dealers solicit the Patients of the Department of Veterans Affairs. Contractor is to contact the Patient or Caregiver only to make arrangements for rendering services or supplies authorized by VA.

1.11 Demurrage Charges:

Contractor agrees to provide cylinders without assessing demurrage charges to the Government. The

Contractors further agrees that the free loan period of cylinders is indefinite but shall not exceed the term of the contract.

1.12 Product Substitutions:

The Contractor shall not substitute any product without prior approval of the treating facilities COR.

1.13 Definitions / Acronyms:

• Bi-Level: A device used for the treatment of obstructive sleep apnea/hypoventilation syndrome while sleeping that has two pressure settings

• CBOC: VA Community Based Outpatient Clinic

• CPAP: Stands for “Continuous Positive Airway Pressure” and is a device primarily used for the treatment of obstructive sleep apnea; has single pressure setting

• Concentrator: An electrical device used to deliver oxygen therapy in the home.

• Contracting Officer: A warranted VA official with the authority to legally enter into a contract, administer a contact, and/or terminate contracts on behalf of Department of Veteran Affairs

• Contracting Officer's Technical Representative (COR): VA official who is responsible for providing contract oversight and technical guidance to the Contracting Officer. Responsibilities include certification of invoices, placing orders for services, and technical guidance

• FAR: Federal Acquisition Regulations

• HCPCS: Health Care Procedure Coding System

• IPV: Intrapulmonary Percussive Ventilation use for airway clearance therapy

• The Joint Commission (TJC) — A national organization dedicated to improving the care, safety and treatment of patients in a health care facility and environment

• Liquid Stationary System: A device used to store and dispense liquid oxygen

• Liquid Oxygen: Oxygen in a liquefied state

• Nebulizer: A device used to dispense inhaled medication

• Oxygen Tanks : Cylinders made of steel, light steel, and aluminum used to store oxygen in a compressed state

• P&SAS: Prosthetics & Sensory Aids Service

• Suction Machine: A device used to remove secretions from a Patient's mouth or airways

• VA: Department of Veterans Affairs Medical Center, or Healthcare System

• VISN: Veterans Integrated Service Network

• Plan of Care : Medical care plan is a Patient assessment initiated on each Patient by VA clinician

• Plan of Service: Form initiated by Contractor that depicts Patient's home environment, problems/needs, goals, and action

• CRT: Certified Respiratory Therapist

• RRT: Registered Respiratory Therapist

• RN: Registered Nurse

SECTION 2 – GOVERNMENT-FURNISHED PROPERTY

Some VASNHCS locations authorize Contractor to provide government-furnished equipment to patients in the performance of the contract. In such cases, all government-furnished property provided under the contract shall remain the property of the VA:

• All CPAP Devices, which may include masks, non-heated humidifiers and heated humidifiers

• All BiPAP Devices

• Nebulizers (to include battery powered) Suction Pumps

• Air Compressors

• Intrapulmonary Percussive Ventilation System (IPV) Ventilators

• FIRESAFE Cannula from LifeGas (see Paragraph 4.1.viii.)

At other sites where the VA does not authorize Contractor to provide government-furnished equipment to

Patients, the Contractor shall be required to provide such equipment and shall submit a price quote for providing any item listed in the schedule, regardless of the above list. Additional equipment or supplies may be added throughout the life of the contract by contract modification executed by the Contracting Officer

(CO).

SECTION 3 – CONTRACTOR-FURNISHED PROPERTY

The Contractor shall furnish the following list of equipment:

• Concentrator Systems

• Liquid Oxygen Systems

• Portable Gaseous Systems

• Portable Gaseous Oxygen Systems

• Portable Liquid Oxygen Systems

• Ventilators and all appropriate prescribed equipment

• Air Compressors

• Aluminum Oxygen Tanks

• Steel Oxygen Tanks (Optional)

• Supplies (e.g., tubing, cannulas, masks, etc.)

In addition to the above list, the Contractor shall furnish all equipment necessary to comply with the requirements of the contract. Equipment furnished by the Contractor shall remain property of the

Contractor unless purchased by the VA.

3.1. This paragraph has been removed from PWS.

3.2 Veterans Served:

VASNHCS currently serves an estimated 397,300 covered Veterans with an average growth rate of 2.7%.

The volumes or amounts shown in the Contract Line-Item Numbers (CLINS) are estimates only and impose no obligation on the VA. The contract shall be for the actual requirements of the VA as ordered by the VA during the life of the contract. The Contracting Officer’s Representative (COR) or designee shall provide (via encrypted email and fax) the Contractor with notification to initiate individual Patient service requirements, including the Patient's oxygen prescription, equipment, supplies and services to be provided including date and place of delivery. The Contractor shall confirm receipt (via encrypted email and fax) of the request within one (1) working hour of notification. Per Facilities discretion, the COR or designee shall also provide (via encrypted email and fax) notification if VA owned equipment is to be provided. The COR or designee shall also provide notification (via encrypted email and fax) to the

Contractor of VA initiated discontinuation of service. The discontinuation notifications shall be made (via encrypted email and fax) within 24 hours. The written documents shall include the authorizing official's signature, electronic or written.

3.3 Initial Set-Ups:

Initial set-ups are considered to be those Beneficiaries who do not have a VA authorized oxygen therapy delivery system or ventilators.

A. Initial setup(s) for Home Oxygen Patients and Ventilator Patients shall be performed by a contractor trained and qualified technician or registered nurse or certified respiratory therapist

(CRT) or registered respiratory therapist (RRT), that is licensed in accordance with the governing standards of where the services are to be provided, whom shall perform the following:

i. Home visits shall be performed monthly by the RRT/CRT for all Patients that utilize the ventilator either continuously, for nocturnal concerns, and/or for intermittent ventilation.

ii. Home visits shall be performed every ninety (90) days by Certified Technician for all Patients that utilize home oxygen services.

iii. Documentation shall be provided (via encrypted email and fax) to the ordering facility’s COR documenting a thorough review of the Patient's equipment, to include all equipment records, and any re-education of the Patient and/or Caregiver, if necessary.

iv. Documentation shall be provided (via encrypted email and fax) to the ordering facility’s COR for all home visits within five (5) business days of the visit.

v. Patient or Caregiver education shall be performed on the proper utilization for the issued equipment to include the following:

a) Proper equipment usage

b) Equipment function and operation system

c) Equipment knobs, controls, buttons, outlets, and inlets

d) Equipment power source: electric, battery, compressor air, oxygen, and UL approved

e) Proper utilization of oxygen with the prescribed ventilator

f) Troubleshooting the equipment and system alarms

g) Equipment and equipment settings that have been prescribed

h) Proper equipment exchange/replacement, for example: ventilator tubing/circuit

i) Proper utilization of a Passy Muir Valve (PMV) Speaking Valve while in use with the ventilator

j) How to attach the resuscitation bag to the oxygen source

k) How to complete the home ventilator monitor record

l) Emergency Procedures and how to respond to:

1) Power failure

2) Equipment failure

3) Ventilator users and their Caregivers must be prepared for equipment failure, disconnects, and power outages, especially if using 24 hour ventilation

m) Practicing regular safety drills helps prepare for emergencies

n) Keeping a manual resuscitator, such as a bag valve mask (Ambu bag).

o) Infection control and Patient supply storage

p) Cleaning or exchanging the oxygen tubing, ventilator tubing/circuits, and humidifier

1) Cleaning or exchange of the resuscitation bag and supplies

2) Cleaning or exchange of all equipment and accessories

q) Provide continuing education in use as needed or directed by a licensed and privileged

Department of Veteran Affairs Physician.

r) All education material provided by the Contractor shall be initially reviewed and approved by the Veteran's Affairs Pulmonary or Respiratory Chief/ Director/Supervisor or designee within the Pulmonary/Respiratory Section. Any changes to educational materials shall need to be reapproved prior to providing the aforementioned documentation to patients.

s) The Contractor shall provide a signed document (via encrypted email and fax) to the ordering facility COR verifying the following:

1) Patient has a safe home environment in accordance with The Joint Commission or equivalent accrediting standards.

2) Patient received proper education and instructions

3) Competency has been accomplished with the Patient and Caregiver on the proper use of the ventilator, oxygen equipment, and other home medical equipment upon initial set up, and re-verified annually.

B. All equipment shall contain an adhesive type of label containing the vendor’s name and emergency 24-hour toll-free phone number. This label shall be placed on the equipment in an area that is viewable to patients and/or Caregivers at all times. Patient shall be given a document listing toll-free phone number for routine resupply of oxygen cylinders and supplies.

C. The Contractor shall provide and post on all entrances into the residence, a sign stating "Warning

Oxygen in Use, No Smoking" or other verbiage that No Smoking is allowed due to oxygen being present and document that the Patient/care giver is instructed in the safe use of oxygen and equipment per OSHA regulations. Specified sign shall be no smaller than 4” X 6”.

D. The Contractor shall provide the initial set-up the same day when the prescription is received by

3:00 PM local time, to include weekends and holidays; this shall also apply to service calls. The

VAMC reserves the right to obtain the supplies and service from another source and to charge the

Contractor with any excess cost which shall result there from, if the Contractor is unable to meet required response time.

E. The Contractor shall be required to provide initial setup within 24 hours when prescription is received after 3:00 PM Central Standard Time to include weekends and holidays. This shall also apply to service calls.

F. The Contractor shall have a staffed branch office or available resources located within 50 miles of each medical center.

G. Setup of Home Oxygen includes setting up and ensuring the appropriate oxygen system is operational, instruction and training of patient, and/or Caregiver and home environment safety check. Failure to deliver within the required time shall result in the VA obtaining oxygen from another source. Any costs in excess of contract pricing for services provided shall be billed to

Contractor or credited to next invoice at the discretion of the ordering facility (Reference 52.212-

4(d) Disputes).

H. If any modifications or preparations need to be made to equipment, these changes shall be coordinated with Patient’s Caregiver and made before the Patient arrives home from the hospital.

Other items that shall be prepared ahead of time include:

i. Establishing designated Customer Service support phone line for patients to call for in home assistance

ii. Posting all emergency numbers by each telephone

iii. Marking the circuit breakers and fuses

3.4 Ensure Home Requirements are Present:

A. Upon initial setup the Contractor is responsible for ensuring the home and electrical system shall support all requirements of the equipment being provided including:

i. Proper electrical requirements are present.

ii. Appropriate heating and/or air conditioning, if applicable

iii. Hot and cold running water

iv. Spaces for cleaning and storing equipment

v. General conditions and cleanliness

vi. Adequate door size

vii. Steps, need for ramps, or other access needs

viii. Availability of ambulance/paramedics and hospital

ix. Availability of a telephone

x. Presence of operational smoke detector(s)

xi. Presence of operational fire extinguisher(s)

xii. Presence of fire evacuation plan

B. The Contractor shall be responsible for notifying the COR or their designee by telephone while in the Patient’s home, if any alteration to the Patient's home is necessary to accommodate the oxygen equipment, including electrical work.

If the Patient's home's electrical system is not sufficient, the Contractor shall facilitate alternative oxygen system, if deemed appropriate by the COR or their designee. Any alteration to the

Veteran’s residence shall be the responsibility of the Veteran.

3.5 Period Equipment Evaluation:

The Contractor shall have a Certified Technician visit the Patient to reassess equipment compliance, educational needs, and other Patient needs: for Home Oxygen Patients, at least once every ninety (90) days; and a CRT/RRT for Patients on ventilators, once every thirty (30) days. Individual 30 and 90 day checks per patient and a worksheet monthly with a list of patients serviced.

A. A report shall be developed, signed and dated by the Contractor staff and the VA Patient/care giver and a copy shall be left with the Patient. The reports shall be legible and attached to the invoice. All reports shall be submitted to the COR or designee in alphabetical order, within five

(5) business days of the service. The written report shall include at a minimum the following data:

i. Name and Patient ID to be assigned by facility of patient using the equipment.

ii. Monitor compliance on prescription (LPM, hours per day)

iii. Type of concentrator and hours on concentrator

iv. Inspection results of liter flow rate in monitoring Patient compliance (as compared to prescription).

v. Inspection compliance of filters (exchange or clean by patient) according to manufacturer’s guidelines

vi. Follow-up education and/or reinforcement of compliance documented.

vii. Revised plan of service as needed.

viii. The Contractor shall provide documentation (via encrypted email and fax) of the last visit date, calculated number of expected usage hours and the actual hours of usage based upon the

Patient prescription and the Patient last visit to the COR or designee.

B. If the Patient does not receive a reassessment of equipment every 90 days, documentation shall be provided (via encrypted email and fax) to the COR or designee identifying the reason a home visit was not made (Example: Initial set up completed March 1st, Patient shall have a follow-up home visit no later than June 1st).

If, in the Government’s discretion, the Contractor has not made valid and documented attempts to contact the Patient for set up and/or deliveries, the Government reserves the right to call in third party to provide said setups and/or deliveries in the Contractor’s place, and shall bill the

Contractor all excess costs for covering the missed requirement, if the Contractor fails to perform for any due month (reference FAR 52.212-4(d) Disputes).

C. Serial Numbers for the rented equipment shall be the vendor's responsibility and kept on file in

Contractor's main office.

3.6 Emergency Services:

A. Emergency services are for medical equipment provided to patients when an equipment malfunction or natural disaster may threaten a Patient's health. The Contractor shall provide to the Contracting Officer a written emergency management plan, in compliance with The Joint

Commission or equivalent standards. This emergency action plan shall address continuity of services for all Patients in the affected region.

B. The Contractor shall provide emergency maintenance 24 hours/7 days a week, including weekends and holidays. A document listing the emergency telephone number shall be provided to the

Patient at the time of set up.

C. The Patient shall first call the Contractor in an emergency equipment situation as described in the previous sentence. The Contractor shall have a well-established communication system, providing 24-hour emergency services and the ability to provide services at the Patient's home within two (2) hours of a call, but in no case to exceed six (6) hours of a call.

D. The Contractor shall ensure all Patients have at minimum a non-electrical oxygen supply to last eighteen (18) hours. The minimum supply shall take into account each Patient's prescription flowrate and distance from the Contractors location, and so actual supply levels may differ from

Patient to Patient, as long as each Patient has oxygen supply to last a minimum of eighteen (18) hours.

i. If the Contractor is unable to respond to an emergency service call within six (6) hours, the

Contractor shall be responsible for making arrangements with another supplier, who meets all

Joint Commission or equivalent standards, to provide oxygen at the Contractor's expense.

ii. A written explanation (via encrypted email and fax) of why the Contractor was unable to respond to the emergency shall be provided to the COR or designee within two (2) business days. The cost of backup systems, backup oxygen, and backup equipment shall be borne by the Contractor. If H or M size oxygen cylinder is used for backup, the Contractor shall furnish an H or M size oxygen cylinder stand for each H or M size oxygen cylinder. Liquid oxygen supply shall be considered backup oxygen; however, the oxygen supply shall be maintained at the minimum of eighteen (18) hours.

E. In the event of disaster, natural or otherwise, the Contractor shall notify the COR or their designee within 24 hours if services covered under this contract may be affected.

3.7 Preventive Maintenance:

Contractor shall provide service and preventive maintenance on all equipment as recommended by the manufacturer. Preventive maintenance shall only be performed by a certified service technician that has received the approved training. Contractor shall provide all documentation to the COR with signatures and dates on the contract inception date and upon the COR’s request and during quarterly site inspections.

3.8 Manuals:

The Contractor shall provide the Operation and Service manual to the Patient and/or Caregiver upon delivering any equipment. The manual shall contain information on operation, maintenance, and trouble-shooting for clinicians, users, Caregivers and service technicians. Contractor shall provide to the

Government, one (1) copy of the Operation and Service manual for each type of equipment with any proposals regarding this contract.

3.9 Storage Charges:

The Contractor shall provide cylinders to store at each facility without charging the Government. These cylinders shall be used for special circumstances (i.e. emergency services or short notice discharges). The

Contractor’s free loan period of cylinders shall not exceed the term of the contract.

3.10 High Risk Smokers:

The facility shall notify the Contractor of all identified High Risk Smokers. The Contractor shall notify the COR or designee of High-Risk Smokers that they identify in the home via encrypted email and fax within one (1) day of the home visit. Contractor notification to each COR or designee shall consist of

Contractor’s written report/form and shall contain at a…