36C26324Q1100 0001.docx

5. PROJECT NUMBER (if applicable)

CODE

7.

ADMINISTERED BY

2. AMENDMENT/MODIFICATION NUMBER

CODE

6. ISSUED BY

8. NAME AND ADDRESS OF CONTRACTOR

4. REQUISITION/PURCHASE REQ. NUMBER

3. EFFECTIVE DATE

9A. AMENDMENT OF SOLICITATION NUMBER

9B. DATED

PAGE OF

PAGES

10A. MODIFICATION OF CONTRACT/ORDER NUMBER

10B. DATED

BPA NO.

1. CONTRACT ID CODE

FACILITY CODE

CODE

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

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

E. IMPORTANT:

is extended,

(a) By completing Items 8 and 15, and returning __________ copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted; or (c) By separate letter or electronic communication which includes a reference to the solicitation and amendment numbers. FAILURE

OF YOUR

ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY is not extended.

12. ACCOUNTING AND APPROPRIATION DATA

(REV. 11/2016)

is required to sign this document and return ___________ copies to the issuing office.

is not, A. THIS CHANGE ORDER IS ISSUED PURSUANT TO:

Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER NO. IN ITEM 10A.

15C. DATE SIGNED

B. THE ABOVE NUMBERE

D CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES

SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

RESULT IN REJECTION OF YOUR

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

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

D. OTHER

Contractor

16C. DATE SIGNED

14. DESCRIPTION OF AMENDMENT/MODIFICATION

16B. UNITED

STATES OF AMERICA

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

15A. NAME AND TITLE OF SIGNER

16A. NAME AND TITLE OF

CONTRACTING OFFICER

15B. CONTRACTOR/OFFEROR

STANDARD FORM 30

PREVIOUS EDITION NOT USABLE

Prescribed by GSA - FAR (48 CFR) 53.243 (Type or print) (Type or print) (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

(Number, street, county, State and ZIP Code) (If other than Item 6) (Specify type of modification and authority) such as changes in paying office, appropriation date, etc.)

(If required)

(SEE ITEM 11)

(SEE ITEM 13)

(X)

CHECK

ONE

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

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

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF

SOLICITATIONS

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

(Signature of person authorized to sign) (Signature of Contracting Officer) 636-24-3-4154-0172

36C263-24-AP-3942

None 36C263 Department of Veterans Affairs Network 23 Contracting Office (NCO 23) VA Black Hills HCS Fort Meade Campus 113 Comanche Rd.

Fort Meade SD 57741 Department of Veterans Affairs Network 23 Contracting Office (NCO 23)

VA

Black Hills HCS Fort Meade Campus 113 Comanche Rd.

Fort Meade SD 57741 To all Offerors/Bidders

36C26324Q1100 08-13-2024

X X X

See CONTINUATION Page X (1) The purpose of this amendment is to make the following changes and/or clarifications to the solicitation.

1. To revise the Statement of Work to include Section J - Security

2. Solicitation 36C26324Q1100 due date shall remain 08/ 16/2024 at 1300 Mountain Time.

3. All solicitation amendments are required to be signed and returned.

4. All other terms a nd conditions shall remain in full force and effect.

Dennis Salmonsen Contracting Officer

CONTINUATION PAGE

B.2 – Statement of Work

A. BACKGROUND

The VA Health Care System - Iowa City Dental Clinic is requesting closed system intraoral scanner. All equipment provided can be Brand Name or Equal and be new; and which includes all the software, hardware, any accessories required to be fully operational. This requirement is also requesting professional installation and training.

B. SALIENT CHARACTERISTICS

Specifications – Brand Name or Equal – Medit i900 Intraoral Scanner

Minimum Specific Requirements:

· Must have CAPABILITY of a closed system that is not seeking connection to the internet.

· Must be able to update software by USB cable.

· Option to NOT have to use a Cloud Based storage.

· The intraoral scanner must combine hyper-speed image capture with excellence in diagnostic capabilities all-in-one lightweight, easy-to-use unit.

· The intraoral scanner must have 65 frames per second scanning speed.

· The intraoral scanner must have Shade Assist technology which simplifies the color-matching process through improved color uniformity to remove the guesswork in matching restorations.

· Integration: connect to a PC.

· Data output: Scans of lower and upper arches in occlusion exported as open STL and PLY files

· Scanning options: True colour

· Scanning tip: 2 autoclavable scanning tip options: Standard and SlimLine. Autoclavable Cariosity tip for caries detection

· Anti-fogging technology: Actively heated tip: Guaranteed non-fogging operation when used intraorally

· Cable interface: USB A type connection on the laptop end and USB C Type connection on the scanner end

· All cables must be designed to transmit data via USB 3.0

· Larger scanning field-of-view

· Single-handed two-button operation scanner controls

· Autoclavable tips

· Quadrant or full-arch scanning

· USB-3 portable plug-and-play connectivity to laptop or network Warranty Requirements Manufacturer must offer a (1) one-year minimum warranty that product is free from defects in materials and workmanship. All defects will be replaced or repaired by the manufacturer at no cost to the buyer.

Installation Installation is required by the Contractor. Contractor shall contract the Point-of-Contact within ten (10) business days from issuance of award to schedule installation.

Training Contractor shall contact the Point-of-Contact within ten (10) business days from issuance of award to schedule raining.

C. PERIOD OF PERFORMANCE:

60 Day ARO

D. TYPE OF CONTRACT

This is a Firm-Fixed-Priced, one-time supply contract with no option year(s).

E. POINT-OF-CONTACT (POC)

This contract is assigned a POC and will provide general instructions for administrating the contract. The POC is not authorized to grant permission(s) to change the scope of the project. The POC that is assigned for this contract will ensure that the supplies/services provided by this company are received based on the contractual terms and conditions.

Phone:

e-mail:

G. DELIVERABLES OR DELIVERY SCHEDULE

The vendor shall deliver the equipment via standard delivery with F.O.B. destination as scheduled. See Section C for delivery schedule period-of-performance.

The equipment shall be delivered to the following address:

H. CHANGES TO CONTRACT

Before performing any action in a non-contractual nature or is considered out-of-scope, the Contractor shall contact the Point of Contact (POC) and the Contract Officer identifying the reason(s) for change. All changes shall have prior authorization from a VA Contract Officer in the form of a written modification.

I. POST-AWARD PERFORMANCE CONFERENCE

The POC, Contract Specialist, or Contract Officer may schedule a post-award performance conference with Contractor, if deemed necessary, for contract orientation purposes.

J. SECURITY

1. 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.

2. Vendor must ensure their use of this technology/standard is consistent with VA policies and standards, including, but not limited to, VA Handbooks 6102 and 6500; VA Directives 6004, 6401, 6402, 6403, 6500.2, 6512, 6513, 6517 and 6550 (if applicable); Office of Management and Budget (OMB), Food and Drug Administration (FDA), and National Institute of Standards and Technology (NIST) standards, including Federal Information Processing Standards (FIPS). Users must ensure sensitive data is properly protected in compliance with all VA regulations.

K. NARA Records Management Language for Contracts (July 10, 2019) https://www.archives.gov/records-mgmt/policy/records-mgmt-language

RECORDS MANAGEMENT OBLIGATIONS

A. Applicability

This clause applies to all Contractors whose employees create, work with, or otherwise handle Federal records, as defined in Section B, regardless of the medium in which the record exists.

B. Definitions

“Federal record” as defined in 44 U.S.C. § 3301, includes all recorded information, regardless of form or characteristics, made or received by a Federal agency under Federal law or in connection with the transaction of public business and preserved or appropriate for preservation by that agency or its legitimate successor as evidence of the organization, functions, policies, decisions, procedures, operations, or other activities of the United States Government or because of the informational value of data in them.

The term Federal record:

1. Includes [Agency] records.

2. Does not include personal materials.

3. Applies to records created, received, or maintained by Contractors pursuant to their [Agency] contract.

4. May include deliverables and documentation associated with deliverables.

C. Requirements

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

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

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

4. VA Fargo Health Care System and its Contractors are responsible for preventing the alienation or unauthorized destruction of records, including all forms of mutilation. Records may not be removed from the legal custody of VA Fargo Health Care System or destroyed except for in accordance with the provisions of the agency records schedules and with the written concurrence of the Head of the Contracting Activity. Willful and unlawful destruction, damage or alienation of Federal records is subject to the fines and penalties imposed by 18 U.S.C. 2701. In the event of any unlawful or accidental removal, defacing, alteration, or destruction of records, Contractor must report to VA Fargo Health Care System. The agency must report promptly to NARA in accordance with 36 CFR 1230.

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

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

7. The Contractor shall only use Government IT equipment for purposes specifically tied to or authorized by the contract and in accordance with VA Fargo Health Care System policy.

8. The Contractor shall not create or maintain any records containing any non-public VA Fargo Health Care System information that are not specifically tied to or authorized by the contract.

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

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

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

D. Flowdown of Requirements to Subcontractors

1. The Contractor shall incorporate the substance of this clause, its terms and requirements including this paragraph, in all subcontracts under this [contract vehicle], and require written subcontractor acknowledgment of same.

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

End of Statement of Work

A.1 PRICE/COST SCHEDULE

ITEM INFORMATION

Brand Name or Equal - i900-EDU-Medit i900 Intraoral Scanner - Premier intra-oral scanning system Contract Period: Base POP Begin:

POP End:

PRINCIPAL NAICS CODE: 339114 - Dental Equipment and Supplies Manufacturing PRODUCT/SERVICE CODE: 6520 - Dental Instruments, Equipment, and Supplies LOCAL STOCK NUMBER: i900-EDU

Brand Name or Equal - MDT-MTIP- MEDIT MEDIUM TIP SET (4EA)

POP Begin:

POP End:

PRINCIPAL NAICS CODE: 339114 - Dental Equipment and Supplies Manufacturing

LOCAL STOCK NUMBER: MDT-MTIP

INSTALLATION

POP Begin:

POP End:

PRINCIPAL NAICS CODE: 339114 - Dental Equipment and Supplies Manufacturing

TRAINING

POP Begin:

POP End:

PRINCIPAL NAICS CODE: 339114 - Dental Equipment and Supplies Manufacturing

A.2 DELIVERY SCHEDULE

400 S. Clinton Street Iowa City, IA 52240

USA

400 S. Clinton Street Iowa City, IA 52240

USA

400 S. Clinton Street Iowa City, IA 52240

USA

400 S. Clinton Street Iowa City, IA 52240

USA

End of Solicitation