36C77622Q0377.docx

DOCX document 123 KB Posted Jul 12, 2022

Attached to: 6520--Santa Rosa Pkg. # 274 - HuFriedy Dental Instruments (Brand Name or Equal)
Solicitation number: 36C77622Q0377
Issued by: Department of Veterans Affairs Technology Acquisition Center Austin

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File	Type	Posted
S02 - 36C77622Q0377.docx	DOCX document	Jul 18, 2022
36C77622Q0377 0001.docx	DOCX document	Jul 18, 2022
S02 - ATTACHMENT 2 - Buy American Certificate - Manufactured Outside US.docx	DOCX document	Jul 12, 2022
S02 - ATTACHMENT 3 - 852.219-78 Certificate of Compliance.docx	DOCX document	Jul 12, 2022
S02 - ATTACHMENT 1 - SOW - 7.11.22 Updated.docx	DOCX document	Jul 12, 2022

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36C77622Q0377

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

662-22-3-7455-0274 36C77622Q0377 07-12-2022 Aimee Maxel 216-447-8300 07-25-2022

2:00 PM

EDT

36C776 Department of Veterans Affairs Program Contracting Activity Central 6150 Oak Tree Blvd, Suite 300 Independence

44131 X X 339114 750 Employees N/A X 36C662 Department of Veterans Affairs Santa Rosa Community Based Outpatient Clinic (CBOC) 2285 Challenger Way Santa Rosa

95407 36C776 Department of Veterans Affairs Program Contracting Activity Center 6150 Oak Tree Blvd, Suite 300 Independence

44131

VAFSC

Department of Veterans Affairs Financial Services Center Invoices to be Submitted Electronically https://www.fsc.va.gov/einvoice.asp e-Invoice Setup Info Phone 877-489-6135

877-353-9791 512-460-5429 See CONTINUATION Page Palo Alto Pkg. # 274 - Dental Instruments This solicitation is being conducted in accordance with Federal Acquisition Regulation (FAR) Parts 12 and 13.

This is a BRAND NAME or EQUAL requirement.

This requirement is being set-aside 100% for Service- Disabled Veteran-Owned Small Business (SDVOSB) concerns.

Only quotes from VetBiz verified SDVOSBs in accordance with VA Acquisition Regulation (VAAR) Clause 852.219-10 will be accepted.

* See Section B for the Price and Delivery Schedule.

** See Section D for the Statement of Work and Buy American Act Certification for completion.

See CONTINUATION Page 662-362/40173-7455-820100 Medical Services-2632 Other Medical and Dental-SPY007078 X X X Michelle Rhodes Contracting Officer Table of Contents

SECTION A	1
A.1 SF 1449 SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES	1
SECTION B - CONTINUATION OF SF 1449 BLOCKS	3
B.1 CONTRACT ADMINISTRATION DATA	3
B.2 PRICE/COST SCHEDULE	4
ITEM INFORMATION	4
B.3 DELIVERY SCHEDULE	40
SECTION C - CONTRACT CLAUSES	71
C.1 VAAR 852.212-70 PROVISIONS AND CLAUSES APPLICABLE TO VA ACQUISITION OF COMMERCIAL ITEMS (APR 2020)	71
C.2 VAAR 852.219-74 LIMITATIONS ON SUBCONTRACTING—MONITORING AND COMPLIANCE (JUL 2018)	73
C.3 VAAR 852.219-78 VA NOTICE OF LIMITATIONS ON SUBCONTRACTING—CERTIFICATE OF COMPLIANCE FOR SUPPLIES AND PRODUCTS (SEP 2021) (DEVIATION)	73
C.4 VAAR 852.242-71 ADMINISTRATIVE CONTRACTING OFFICER (OCT 2020)	76
C.5 VAAR 852.247-71 DELIVERY LOCATION (OCT 2018)	76
C.6 VAAR 852.247-72 MARKING DELIVERABLES (OCT 2018)	76
C.7 VAAR 852.247-73 PACKING FOR DOMESTIC SHIPMENT (OCT 2018)	76
C.8 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)	76
C.9 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT STATUTES OR EXECUTIVE ORDERS—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (JAN 2022) (JUL 2020) (DEVIATION)	77
SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS	85
SECTION E - SOLICITATION PROVISIONS	86
E.1 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (NOV 2021)	86

E.1 52.212-1 INSTRUCTIONS TO OFFERORS -- COMMERCIAL ITEMS

52.212-1 ADDENDUM, QUOTE PREPARATION INSTRUCTIONS	90
E.2 52.204-24 REPRESENTATION REGARDING CERTAIN TELECOMMUNICATIONS AND VIDEO SURVEILLANCE SERVICES OR EQUIPMENT (NOV 2021)	93
E.3 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB 1998)	96
E.4 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (NOV 2021) (JUL 2020) (DEVIATION)	99

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: TBD

b. GOVERNMENT: Contracting Officer 36C776 Department of Veterans Affairs Program Contracting Activity Central

6150 Oak Tree Blvd, Suite 300 Independence OH 44131

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 Government Acceptance of Supplies and Services.

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.

Department of Veteran Affairs Financial Services Center Invoices to be Submitted Electronically 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

ITEM INFORMATION

ITEM NUMBER

DESCRIPTION OF SUPPLIES/SERVICES

QUANTITY

UNIT

UNIT PRICE

AMOUNT

50.00

__________________

SpeciaL HINGED 5.5X8, GREEN, 10-INSR Contract Period: Base POP Begin: 07-15-2022 POP End: 09-30-2022 PRINCIPAL NAICS CODE: 339114 - Dental Equipment and Supplies Manufacturing PRODUCT/SERVICE CODE: 6520 - Dental Instruments, Equipment, and Supplies

MANUFACTURER PART NUMBER (MPN): IM5109H

LOCAL STOCK NUMBER: IM5109H

273.00

__________________

Cone Socket Mirror Handle, Satin Steel