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36C79118R0006
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 ITE
M 10A.
15C. DATE
SIGNED
B. THE ABOVE NUMBERED 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 r eference to the solicitation and this amendment, and is received prior to the opening hour and date specified.
C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:
D. OTHER
BY
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) 00002 03-19-2018 N/A Department of Veterans Affairs Commodities & Services Acquisition Svc (003B6E) 555 Corporate Circle Golden CO 80401-5621 Department of Veterans Affairs Commodities & Services Acquisition Svc (003B6E) 555 Corporate Circle Golden CO 80401-5621 To all Offerors/Bidders
36C79118R0006 03-20-2018
X X X April 04, 2018 3:59 P.M. MDT X The purpose of this amendment is to:
Section B.9 adding additional column for Total Pricing and where Section B.7 SOW is referenced it is replaced with:
Section B.10 Performance Work Statement Sections B.10, B.22, B.24, & C.1 reference dalc.adj@va.gov as contact information for DLC this email address is incorrect and shall now read dalcadj@va.gov.
Section B.10; references ISO 9001:2015 and/or ISO 13485:2016 this will be replaced with: ISO 9001:2008 and/or
ISO 13485:2003
Section B.28; the language is incorrect see below for correct language, and Section C.18 still references the DALC and will now read DLC See continuation below Kip Sheppard Contracting Officer The purpose of this amendment is to:
(1) Section B.9 adding an additional column for Total Pricing,
a. B.9; where Section B.7 SOW is referenced it is replaced with: Section B.10 Performance Work Statement.
(2) Sections B.10, B.22, B.24, and C.1; reference dalc.adj@va.gov as contact information for DLC this email address is incorrect and shall now read dalcadj@va.gov.
(3) Section B.10; references ISO 9001:2015 and/or ISO 13485:2016 this will be replaced with: ISO 9001:2008 and/or ISO 13485:2003.
(4) Section B.28; the language is incorrect see below for correct language, and Section C.18 still references the DALC and will now read DLC.
(5) Section E.9 (d)(1); references ISO 9001:2015 and/or ISO 13485:2016 this will be replaced with ISO 9001:2008 and/or ISO 13485:2003.
(6) Section E.10 (b)(1); references ISO 9001:2015 and/or ISO 13485:2016 this will be replaced with ISO 9001:2008 and/or ISO 13485:2003.
All changes are highlighted in yellow.
B.9
INFORMATION
CLIN 1 Description
Flat fee repair charge for FM Receiver (FR) model. (Refer to Section B.10 Performance Work Statement for details.)
| No. |
| Contract Period |
| Est. Qty. |
| Unit Issue |
| Unit Price |
| CUF |
| Net Price Total Price |
| 1001 |
| Base |
| 202 |
| EA |
| 2001 |
| Option I |
| 38 |
| EA |
CLIN 2 Description
Flat fee repair charge for FM Transmitter (FT) model. (Refer to Section B.10 Performance Work Statement for details.)
| No. |
| Contract Period |
| Est. Qty. |
| Unit Issue |
| Unit Price |
| CUF |
| Net Price Total Price |
| 1002 |
| Base |
| 1,978 |
| EA |
| 2002 |
| Option I |
| 2,167 |
| EA |
| 3002 |
| Option II |
| 2,355 |
| EA |
| 4002 |
| Option III |
| 2,543 |
| EA |
| 5002 |
| Option IV |
| 2,731 |
| EA |
| 6002 |
| 6 Mo. Ext. |
| 1,460 |
| EA |
CLIN 3 Description
Flat fee repair charge for in-the-ear aid (ITE) type hearing aid model. (Refer to Section B.10 Performance Work Statement for details.)
| No. |
| Contract Period |
| Est. Qty. |
| Unit Issue |
| Unit Price |
| CUF |
| Net Price Total Price |
| 1003 |
| Base |
| 67,970 |
| EA |
| 2003 |
| Option I |
| 68,474 |
| EA |
| 3003 |
| Option II |
| 59,459 |
| EA |
| 4003 |
| Option III |
| 57,458 |
| EA |
| 5003 |
| Option IV |
| 55,456 |
| EA |
| 6003 |
| 6 Mo. Ext |
| 26,727 |
| EA |
CLIN 4 Description
Flat fee repair charge for over-ear aid (OE). (Refer to Section B.10 Performance Work Statement for details)
| No. |
| Contract Period |
| Est. Qty. |
| Unit Issue |
| Unit Price |
| CUF |
| Net Price Total Price |
| 1004 |
| Base |
| 50,883 |
| EA |
| 2004 |
| Option I |
| 53,953 |
| EA |
| 3004 |
| Option II |
| 55,552 |
| EA |
| 4004 |
| Option III |
| 58,282 |
| EA |
| 5004 |
| Option IV |
| 61,011 |
| EA |
| 6004 |
| 6 Mo. Ext. |
| 31,871 |
| EA |
CLIN 5 Description
Flat fee repair charge for receiver-in-the-ear-aid (RIC). (Refer to Section B.10 Performance Work Statement for details.)
| No. |
| Contract Period |
| Est. Qty. |
| Unit Issue |
| Unit Price |
| CUF |
| Net Price Total Price |
| 1005 |
| Base |
| 75,241 |
| EA |
| 2005 |
| Option I |
| 84,460 |
| EA |
| 3005 |
| Option II |
| 93,677 |
| EA |
| 4005 |
| Option III |
| 102,895 |
| EA |
| 5005 |
| Option IV |
| 112,113 |
| EA |
| 6005 |
| 6 Mo. Ext. |
| 60,666 |
| EA |
CLIN 6 Description
Flat fee repair charge for remote (RM). (Refer to Section B.10 Performance Work Statement for details.)
| No. |
| Contract Period |
| Est. Qty. |
| Unit Issue |
| Unit Price |
| CUF |
| Net Price Total Price |
| 1006 |
| Base |
| 2,971 |
| EA |
| 2006 |
| Option I |
| 3,237 |
| EA |
| 3006 |
| Option II |
| 3,503 |
| EA |
| 4006 |
| Option III |
| 3,769 |
| EA |
| 5006 |
| Option IV |
| 4,035 |
| EA |
| 6006 |
| 6 Mo. Ext. |
| 2,151 |
| EA |
CLIN 7 Description
Flat fee repair charge for wireless adapter (WA). (Refer to Section B.10 Performance Work Statement for details.)
| No. |
| Contract Period |
| Est. Qty. |
| Unit Issue |
| Unit Price |
| CUF |
| Net Price Total Price |
| 1007 |
| Base |
| 8,924 |
| EA |
| 2007 |
| Option I |
| 10,126 |
| EA |
| 3007 |
| Option II |
| 11,327 |
| EA |
| 4007 |
| Option III |
| 12,528 |
| EA |
| 5007 |
| Option IV |
| 13,730 |
| EA |
| 6007 |
| 6 Mo. Ext. |
| 7,466 |
| EA |
CLIN 8 Description
Flat fee repair charge for wireless receiver (WR). (Refer to Section B.10 Performance Work Statement for details.)
| No. |
| Contract Period |
| Est. Qty. |
| Unit Issue |
| Unit Price |
| CUF |
| Net Price Total Price |
| 1008 |
| Base |
| 632 |
| EA |
| 2008 |
| Option I |
| 724 |
| EA |
| 3008 |
| Option II |
| 815 |
| EA |
| 4008 |
| Option III |
| 907 |
| EA |
| 5008 |
| Option IV |
| 999 |
| EA |
| 6008 |
| 6 Mo. Ext. |
| 546 |
| EA |
CLIN 9 Description
Flat fee repair charge for wireless transmitters. (Refer to Section B.10 Performance Work Statement for details.)
| No. |
| Contract Period |
| Est. Qty. |
| Unit Issue |
| Unit Price |
| CUF |
| Net Price Total Price |
| 1009 |
| Base |
| 121 |
| EA |
| 2009 |
| Option I |
| 139 |
| EA |
| 3009 |
| Option II |
| 156 |
| EA |
| 4009 |
| Option III |
| 174 |
| EA |
| 5009 |
| Option IV |
| 192 |
| EA |
| 6009 |
| 6 Mo. Ext |
| 105 |
| EA |
CLIN 10 Description
Flat fee repair charge for Post OEM FM Receiver (FR) model. (Refer to Section B.10 Performance Work Statement for details.)
| No. |
| Contract Period |
| Est. Qty. |
| Unit Issue |
| Unit Price |
| CUF |
| Net Price Total Price |
| 1010 |
| Base |
| 34 |
| EA |
| 2010 |
| Option I |
| 30 |
| EA |
CLIN 11 Description
Flat fee repair charge for Post OEM FM Transmitter (FT) model. (Refer to Section B.10 Performance Work Statement for details.)
| No. |
| Contract Period |
| Est. Qty. |
| Unit Issue |
| Unit Price |
| CUF |
| Net Price Total Price |
| 1011 |
| Base |
| 16 |
| EA |
| 2011 |
| Option I |
| 17 |
| EA |
| 3011 |
| Option II |
| 19 |
| EA |
| 4011 |
| Option III |
| 21 |
| EA |
| 5011 |
| Option IV |
| 23 |
| EA |
| 6011 |
| 6 Mo. Ext. |
| 13 |
| EA |
CLIN 12 Description
Flat fee repair charge for Post OEM In-the-Ear aid (ITE) type hearing aid model. (Refer to Section B.10 Performance Work Statement for details.)
| No. |
| Contract Period |
| Est. Qty. |
| Unit Issue |
| Unit Price |
| CUF |
| Net Price Total Price |
| 1012 |
| Base |
| 11,253 |
| EA |
| 2012 |
| Option I |
| 9,039 |
| EA |
| 3012 |
| Option II |
| 16,343 |
| EA |
| 4012 |
| Option III |
| 16,633 |
| EA |
| 5012 |
| Option IV |
| 16,924 |
| EA |
| 6012 |
| 6 Mo. Ext |
| 8,608 |
| EA |
CLIN 13 Description
Flat fee repair charge for Post OEM Over-Ear Aid (OE) type hearing aid model. (Refer to Section B.10 Performance Work Statement for details.)
| No. |
| Contract Period |
| Est. Qty. |
| Unit Issue |
| Unit Price |
| CUF |
| Net Price Total Price |
| 1013 |
| Base |
| 3,335 |
| EA |
| 2013 |
| Option I |
| 3,357 |
| EA |
| 3013 |
| Option II |
| 4,849 |
| EA |
| 4013 |
| Option III |
| 5,211 |
| EA |
| 5013 |
| Option IV |
| 5,573 |
| EA |
| 6013 |
| 6 Mo. Ext. |
| 2,968 |
| EA |
CLIN 14 Description
Flat fee repair charge for Post OEM Receiver-in-the-Ear-Aid (RIC) type hearing aid model. (Refer to Section B.10 Performance Work Statement for details.)
| No. |
| Contract Period |
| Est. Qty. |
| Unit Issue |
| Unit Price |
| CUF |
| Net Price Total Price |
| 1014 |
| Base |
| 5,424 |
| EA |
| 2014 |
| Option I |
| 7,883 |
| EA |
| 3014 |
| Option II |
| 10,343 |
| EA |
| 4014 |
| Option III |
| 12,803 |
| EA |
| 5014 |
| Option IV |
| 15,262 |
| EA |
| 6014 |
| 6 Mo. Ext. |
| 8,861 |
| EA |
CLIN 15 Description
Flat fee repair charge for Post OEM Wireless Adapter (WA) model. (Refer to Section B.10 Performance Work Statement for details.)
| No. |
| Contract Period |
| Est. Qty. |
| Unit Issue |
| Unit Price |
| CUF |
| Net Price Total Price |
| 1015 |
| Base |
| 771 |
| EA |
| 2015 |
| Option I |
| 932 |
| EA |
| 3015 |
| Option II |
| 1,093 |
| EA |
| 4015 |
| Option III |
| 1,254 |
| EA |
| 5015 |
| Option IV |
| 1,415 |
| EA |
| 6015 |
| 6 Mo. Ext. |
| 788 |
| EA |
CLIN 16 Description
Hearing Aid Parts and Accessories. Refer to Section B.1, Definitions, for items that may be included, and complete Attachment 2, Parts and Accessories List for pricing. Attachment 3, Parts and Accessories Text File, must be submitted prior to contract award. All Parts and Accessories submitted may not be placed on contract, and all items on contract may not be purchased by the DLC.
B.10 PERFORMANCE WORK STATEMENT
(a) Facilities completing repairs must be at a minimum ISO 9001:2008 and/or ISO 13485:2003 certified. If the contracting facility is not ISO 9001:2008 and/or ISO 13485:2003 registered at the time of proposal submission, the contractor shall provide evidence that the facility will be compliant on the date of contract award.
(c) Flat fee repair charges shall include parts and accessories required to restore single specific aids (or hearing aids purchased as a system [i.e. CROS/BiCROS] regardless of whether the system is serialized with the same number or different serial numbers), remote controls, or wireless devices to proper operation. It is the expectation of the government that a device sent to the original manufacturer will be repaired to original manufacture specifications. For all-make repairs it is expected that the device will be returned with the same configuration as it was received. All serialized devices that are listed under B.6., Schedule of Items, must be accompanied by a purchase order. If a purchase order is not received then the device will be returned unrepaired to the requestor, or the contractor can contact Denver Logistics Center (DLC) at dalcadj@va.gov for direction. Repairs shall include, where applicable:
f) The contractor will perform quality assurance checks…..
2) If an incomplete device is received, the device will be returned unrepaired to the requestor and the DLC will be contacted for cancellation at dalcadj@va.gov
3) If a device is deemed unrepairable due to age, missing and obsolete components, or where substitute comparable components are unavailable and original specifications are unattainable, the device (and any associated earmold) will be returned unrepaired to the requestor and the DLC will be contacted for cancellation at dalc.adj@va.gov.
g) The results of the quality assurance checks should be documented and a paper copy included with the device(s). The included identifiers shall be as follows:
4) Annotate if unable to reset the programmed settings or if remote controls or wireless devices were not paired to corresponding hearing aid(s). It is the expectation of the government that patient settings are maintained whenever possible. If the patient settings cannot be maintained, the preference is that the device will be set to the audiometric data on file. Current audiometric data can be obtained by contacting dalcadj@va.gov or dalclab@va.gov.
5) When the serial number of a device is changed because of a correction or incidental to a repair, both the new and old serial numbers will be documented. The contractor shall also notify the DLC at dalcadj@va.gov of serial number changes that have occurred during the previous month due to out-of-warranty and service warranty repairs no later than the fifth business day of each subsequent month. This notification will provide the old and new serial numbers and the reason for change. The point of contact is the Hearing Aid Repair Program Coordinator at (303) 215-5226 or dalcadj@va.gov. Negative notifications are required when there are no actions to report. This notification should be submitted in a text file, either comma or “^” delimited, annotating “R” for repair or “C” for correction, using the following format:
(h) When purchase orders are received and corrections are necessary, these corrections must be requested via e-mail to dalcadj@va.gov prior to the repair being accomplished. The clinic may also be required to be notified. The government will not be responsible for work accomplished without proper documentation or EDI transmission, which includes the following information:
PO# Make Model Serial # Nature of Request
(i) Delinquent repairs (those not meeting the delivery schedule in Paragraph B.21(b)(3) below) will be identified and communicated to the contractor on a monthly basis. The contractor must respond to dalcadj@va.gov within 5 business days as to the status of the delinquent repair orders.
(l) Shipments with repaired hearing aids will not include advertising, cross-selling literature, or free gifts other than items that can be used by a Veteran in the maintenance of the device (e.g. cleaning tools). Related instructional or educational material may be included. The outside of the shipping container/package will not contain any patient information (e.g., name or last 4 numbers of the social security number), and will be identified as containing hearing devices rather than parts and accessories. It is the government’s preference that all shipments to DLC be sent in bulk with a manifest enclosed and a matching electronic manifest sent to dalcadj@va.gov at the time of shipment. The contractor shall provide postage paid shipping labels to any user of this contract. The contractor will be responsible for any additional charges that might be incurred due to their carrier. The contractor will supply labels for devices that use lithium-ion batteries, when applicable, conforming to current rules and regulations governing the shipment of such items.
B.22 SHIPPING REQUIREMENTS
(e) Under no circumstance will the end user of the hearing aid receive direct shipment of repair order. If the Contractor believes the address in the “ship to” section of the purchase order is that of the end user, they should contact the DLC by email at dalcadj@va.gov and include the Purchase Order number and make, model and serial number of the hearing aid.
B.24 WAIVER – NATIONAL DISASTER
(c) The primary point of contact for DLC coordination is the Hearing Aid Repair Program Coordinator at (303) 215-5226 and dalcadj@va.gov. Backup points of contact are the Hearing Aid Repair Lab Supervisors and the Veterans Services Division Chief. They can be reached at (303) 215-5230.
B.28 MODIFICATIONS
Modifications to Attachment 1, Models for Repair may be made twice a year. Offerors wishing to modify their Attachment 1 must submit requested changes to the individual(s) named in Paragraph B.12 (b) above not later than May 1st and November 1st of each contract period. Modifications will be effective June 1st and December 1st, respectively. Modifications to Attachments 2 and 3, Parts and Accessories List and Parts and Accessories Text File, may be made at any time during the contract period. Offerors wishing to update their Attachments 2 and 3 will submit their requests to the individuals named in Paragraph B.16 (b). Requested modifications to Attachments 2 and 3 will be effective on the 1st day of the second month following receipt of the request. For example, a request received on October 20th will be effective December 1st.
C.1 52.212-4 (TAILORED) – Contract Terms and Conditions -- Commercial Items (Jan 2017)
(o) Warranty. The Contractor guarantees the instruments repaired under this contract for a period of 180 calendar days from the ship date on the invoice. The contractor will honor all commercial original manufacturer warranties on hearing aids procured by a Veteran outside of the VA system. Written notification including type of warranty, start date and end date must be provided to the DLC Electronics Lab by either the Veteran or a VA audiologist. Warranty information can be provided to the DLC Electronics Lab by email to dalcadj@va.gov.
C.18 HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT (HIPAA)
(d) The contractor will ensure that the transmission of all electronic data will be secure and confidential per HIPAA guidelines. PII and PHI can only be physically stored in or communicated to systems that are located within a jurisdiction subject to the laws of the United States. The VA employs a variety of technologies to provide for the security of electronic transmissions. The DLC and the VA FSC Electronic Commerce Division (Austin, TX) can provide options and details on the technologies that can be used to secure electronic transmissions.
E.9 SPECIFIC INSTRUCTIONS TO OFFERORS REGARDING PROPOSAL PREPARATION
(d)
(1) The offeror must provide documentation of certification of compliance with, or exceed the minimum ISO 9001:2008 and/or ISO 13485:2003 or is able to provide evidence (application or communications) that certification will be complete by the date of the contract award.
E.10 52.212-2 EVALUATION—COMMERCIAL ITEMS (OCT 2014) TAILORED
(b)
(1) Offeror has provided documentation that the offeror has certification of compliance with, or exceed the minimum ISO 9001:2008 and/or ISO 13485:2003 or is able to provide evidence (application or communication) that certification will be complete by the date of the contract award
Solicitation is hereby extended until April 4, 2018 at 3:59 P.M. MST. All proposals are due on or before that time. Except as provided herein, all terms and conditions of this document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.
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.
DUNS:
DUNS+4:
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 F
OR LOCAL REPRODUCTION
(REV. 2/2012)
PREVIOUS EDITION IS NOT USABLE
Prescribed by GSA - FAR (48 CFR) 53.212
7. FOR SOLICITATION
INFORMATION CALL:
STANDARD FORM 1449
OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30
SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS
36C79118R0006 2/28/2018 Joseph Kohles 04/04/2018 3:59 p.m. MDT Department of Veterans Affairs Commodities & Services Acquisition Svc (003B6E) 555 Corporate Circle Golden CO 80401-5621 X 811219 $20.5 Million N/A X Department of Veterans Affairs Denver Logistics Center (003B6D) 555 Corporate Circle Golden CO 80401-5621 Department of Veterans Affairs Commodities & Services Acquisition Svc (003B6E) 555 Corporate Circle Golden CO 80401-5621
TO BE SHOWN ON INDIVIDUAL DELIVERY
ORDERS
HEARING AID REPAIRS AND PARTS AND ACCESSORIES
SEE SCHEDULE OF ITEMS FOR DETAILS
$0.00 X Kip Sheppard Contracting Officer Table of Contents
| B.9 | 2 |
| INFORMATION | 2 |
| B.10 PERFORMANCE WORK STATEMENT | 6 |
| B.22 SHIPPING REQUIREMENTS | 8 |
| B.24 WAIVER – NATIONAL DISASTER | 8 |
| B.28 MODIFICATIONS | 8 |
| C.1 52.212-4 (TAILORED) – Contract Terms and Conditions -- Commercial Items (Jan 2017) | 8 |
| C.18 HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT (HIPAA) | 9 |
| E.9 SPECIFIC INSTRUCTIONS TO OFFERORS REGARDING PROPOSAL PREPARATION | 9 |
| E.10 52.212-2 EVALUATION—COMMERCIAL ITEMS (OCT 2014) TAILORED | 9 |
| SECTION B - CONTINUATION OF SF 1449 BLOCKS | 14 |
| B.1 ABBREVIATIONS AND DEFINITIONS | 14 |
| B.2 ACKNOWLEDGMENT OF AMENDMENTS | 17 |
| B.3 DUN AND BRADSTREET NUMBER | 17 |
| B.4 INSTRUCTIONS ON PRICING | 17 |
| B.5 CONTRACT ADMINISTRATION DATA | 17 |
| B.6 LIMITATIONS ON SUBCONTRACTING-- MONITORING AND COMPLIANCE (JUN 2011) | 18 |
| B.7 SUBCONTRACTING COMMITMENTS--MONITORING AND COMPLIANCE (JUN 2011) | 19 |
| B.8 SUBCONTRACTING PLAN--MONITORING AND COMPLIANCE (JUN 2011) | 19 |
| B.9 PRICE/COST SCHEDULE | 21 |
| ITEM INFORMATION | 21 |
| B.10 PERFORMANCE WORK STATEMENT | 25 |
| B.11 BACKGROUND | 31 |
| B.12 PURPOSE AND OBJECTIVE | 31 |
| B.13 SCOPE OF CONTRACT | 31 |
| B.14 PREFERENCE OF ORDERS | 31 |
| B.15 CONTRACT USERS | 32 |
| B.16 CONTRACT ADMINISTRATION POINT OF CONTACTS | 32 |
| B.17 ORDERING PROCEDURES | 33 |
| B.18 ELECTRONIC DATA INTERCHANGE (EDI), VA DLC ONLY | 34 |
| B.19 INVOICING | 34 |
| B.20 CONTRACTOR’S REPORT OF SALES | 36 |
| B.21 CUSTOMER USER FEE | 37 |
| B.22 SHIPPING REQUIREMENTS | 38 |
| B.23 DELIVERY | 39 |
| B.24 WAIVER – NATIONAL DISASTER | 40 |
| B.25 GUARANTEED MINIMUM | 41 |
| B.26 CONTRACT CEILING AMOUNT | 41 |
| B.27 CUSTOMER SERVICE | 41 |
| B.28 MODIFICATIONS | 41 |
| B.29 TECHNOLOGY UPGRADES | 42 |
| SECTION C - CONTRACT CLAUSES | 42 |
| C.1 52.212-4 (TAILORED) – Contract Terms and Conditions -- Commercial Items (Jan 2017) | 42 |
| C.2 52.216-18 ORDERING (OCT 1995) | 47 |
| C.3 52.216-19 ORDER LIMITATIONS (OCT 1995) | 47 |
| C.4 52.216-22 INDEFINITE QUANTITY (OCT 1995) | 48 |
| C.5 52.217-8 OPTION TO EXTEND SERVICES (NOV 1999) | 48 |
| C.6 52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR 2000) | 49 |
| C.7 VAAR 852.203-70 COMMERCIAL ADVERTISING (JAN 2008) | 49 |
| C.8 VAAR 852.203-71 DISPLAY OF DEPARTMENT OF VETERAN AFFAIRS HOTLINE POSTER (DEC 1992) | 49 |
| C.9 VAAR 852.215-71 EVALUATION FACTOR COMMITMENTS (DEC 2009) | 49 |
| C.10 VAAR 852.219-9 VA SMALL BUSINESS SUBCONTRACTING PLAN MINIMUM REQUIREMENTS (DEC 2009) | 50 |
| C.11 VAAR 852.219-71 VA MENTOR-PROTÉGÉ PROGRAM (DEC 2009) | 50 |
| C.12 VAAR 852.232-72 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS (NOV 2012) | 51 |
| C.13 VAAR 852.237-70 CONTRACTOR RESPONSIBILITIES (APR 1984) | 52 |
| C.14 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998) | 53 |
| C.15 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT STATUTES OR EXECUTIVE ORDERS—COMMERCIAL ITEMS (NOV 2017) | 53 |
| C.16 MANDATORY WRITTEN DISCLOSURES | 60 |
| C.17 REJECTED GOODS | 61 |
| C.18 HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT (HIPAA) | 61 |
| C.19 VA INFORMATION AND INFORMATION SYSTEM SECURITY/PRIVACY LANGUAGE (DEC 2014) | 62 |
| SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS | 70 |
| SECTION E - SOLICITATION PROVISIONS | 71 |
| E.1 52.212-1 INSTRUCTIONS TO OFFERORS -- COMMERCIAL ITEMS (JAN 2017) TAILORED | 71 |
| E.2 52.209-7 INFORMATION REGARDING RESPONSIBILITY MATTERS (JUL 2013) | 76 |
| E.3 52.216-1 TYPE OF CONTRACT (APR 1984) | 78 |
| E.4 52.233-2 SERVICE OF PROTEST (SEP 2006) | 78 |
| E.5 VAAR 852.233-70 PROTEST CONTENT/ALTERNATIVE DISPUTE RESOLUTION (JAN 2008) | 78 |
| E.6 VAAR 852.233-71 ALTERNATE PROTEST PROCEDURE (JAN 1998) | 79 |
| E.7 VAAR 852.270-1 REPRESENTATIVES OF CONTRACTING OFFICERS (JAN 2008) | 80 |
| E.8 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB 1998 | 80 |
| E.9 SPECIFIC INSTRUCTIONS TO OFFERORS REGARDING PROPOSAL PREPARATION | 80 |
| E.10 52.212-2 EVALUATION—COMMERCIAL ITEMS (OCT 2014) TAILORED | 83 |
| E.11 AUTHORIZED NEGOTIATORS | 85 |
| E.12 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS—COMMERCIAL ITEMS (NOV 2017) | 85 |
| E.13 52.225-6 TRADE AGREEMENTS CERTIFICATE (MAY 2014) | 102 |
SECTION B - CONTINUATION OF SF 1449 BLOCKS
(continuation from Standard Form 1449, block 18A.)
B.1 ABBREVIATIONS AND DEFINITIONS
As used through this document, the following abbreviations, words or terms are used as defined.
Abbreviations
| AM/FM | Amplitude Modulation / Frequency Modulation | |
| ANSI | American National Standards Institute | |
| AQL | Acceptable Quality Level | |
| BiCROS | Bilateral Routing of Signal | |
| BTE | Behind-the-Ear | |
| COR | Contracting Officer Representative | |
| CPARS | Contractor Performance Assessing Report System | |
| CROS | Contra Lateral Routing of Signal | |
| DLC | Denver Acquisition & Logistics Center | |
| EDI | Electronic Data Interchange | |
| EG | Eyeglass | |
| EIN | Equivalent Input Noise | |
| FDA | Food and Drug Administration | |
| FOB | Free on Board | |
| ISO | International Organization for Standardization | |
| ITE | In-the-Ear | |
| MIH | Microphone-in-the-Helix | |
| NAICS | North American Industry Classification System | |
| NiMH | Nickle Metal Hydride | |
| OB | On-the-Body | |
| OE | Over-the-Ear | |
| PO | Purchase Order | |
| PRS | Performance Requirement Summary | |
| PWS | Performance Work Statement | |
| RIC | Receiver-in-the-Canal | |
| RM | Remote | |
| ROES | Remote Order Entry System | |
| VA | Department of Veterans Affairs | |
| WA | Wireless Adaptor | |
| WR | Wireless Receiver | |
| WT | Wireless Transmitter |
Definitions All-Make Repair Source: A repair source that is able to repair multiple types of devices outside of its own manufacturing.
ANSI. American National Standards Institute. For the purpose of this contract, it relates to processes used or methodologies used to match electro-acoustic testing to manufacturer specifications and/or programmed parameters of a hearing device.
Charging Case. For the purpose of this contract, a charging case is any device used in the recharging of a hearing device that utilizes a rechargeable battery.
Choice Clinic. A private practice clinic authorized by the VA to submit purchase orders for repair without requiring it to be submitted by a VA clinic.
Commercial Warranty. Any warranty (new or repair) not purchased through the DLC. The DLC track all commercial warranties on registered hearing devices with notification.
Complete Hearing Aid. A complete hearing aid includes the receiver, microphone, and circuit (or comparable technology) with the exception of loaner RIC hearing aids where the replacement receiver would be selected at the time of re-fitting. Additionally, CROS/BiCROS systems would require the transmitter, receiver and hearing device and/or CROS/BiCROS sets with the same serial numbers on the transmitter and receiver to be considered a complete hearing aid.
Custom Reshell. The repair or reshell of a damaged custom shell/earmold on RIC aid types when only the custom shell/earmold requires repair, and the receiver is fully integrated into the custom shell/earmold making the device unable to be configured as an open fit.
Delivery Order for Hearing Aid Repair. The purchase order paper form submitted by the DLC for authorization of a hearing device repair on a loaner hearing device.
EDI. Electronic Data Interchange. As used in the solicitation/contract, means a technique for electronically transferring and storing formatted information between computers utilizing established and published formats and codes, as authorized by the applicable Federal Information Processing Standards.
Earmold Service. The servicing of an earmold received with a hearing device for repair service.
Fully Integrated Custom Shell/Earmold. Receiver is integrated into a custom shell/earmold and can only be replaced by the repair source.
Hearing Aid Accessory. For the purpose of this contract, a hearing aid accessory is defined as any item that is not included in the direct manufacture or assembly of the hearing aid, but is necessary to enhance the use and care of the hearing aid device and is propriety to makes and models of devices manufactured by the vendor. If it does not fit under this condition exactly, vendors will use a logical, commercial, industry-standard assessment to determine if the item is intuitively considered a hearing aid accessory. If the item in question still does not fit in any of the above definitions, the contracting officer reserves the right to accept or reject proposed item as a hearing aid accessory.
Hearing Aid Part.. For the purpose of this contract, a hearing aid part is any component used in the direct manufacture or assembly of the hearing aid and is propriety to makes and models of devices manufactured by the vendor. If it does not fit under this condition exactly, vendors will use a logical, commercial, industry-standard assessment to determine if the item is intuitively considered a hearing aid part. If the item in question still does not fit in any of the above definitions, the contracting officer reserves the right to accept or reject proposed item as a hearing aid part.
Hearing Aid Service Request Form. The purchase order paper form submitted by a VA clinic or the DLC for authorization of a hearing device repair.
Loaner Hearing Device. Non-Custom device sent in for repair by the DLC or a VA clinic and not associated with a patient.
MIH. Microphone-in-the-Helix. A type of ITE hearing aid in which the receiver is in the canal and the microphone is located in the helix of the pinna.
No Warranty. All expressed warranty periods have expired.
Obsolete Circuit. Circuits, components/parts deemed not replaceable because the technology no longer exists or components/parts are no longer available in the commercial market.
Purchase Order. A document that details the repair that the VA agrees to purchase from a contractor. Under this contract, this may be referred to as a Hearing Aid Service Request Form or a Delivery Order for Hearing Aid Repair. Restoring a hearing device to original or modified specifications in a like new condition.
Post OEM. A repair source that is able to repair multiple types of devices outside of its own manufacturing. (Same as All Make Repair Source)
RIC. Receiver-in-the-canal. Any hearing aid where the receiver is located in the ear canal and the remaining chassis is located behind the pinna.
Service Warranty. The warranty provided by a contractor after repair under this contract that guarantees the hearing device for a period of 180 calendar days from the ship date on the invoice.
Ship To. For the purpose of this contract, all “ship to” addresses for VA repairs will be solely to the Government authorized facility stated on the purchase order to include Choice vendors, without exception. Shipments shall not be sent directly to patients.
Unrepairable. A hearing device that can no longer be repaired due to age, missing and obsolete components, or where substitute comparable components are unavailable and original specifications are unattainable will be returned to the authorizing facility stated on the purchase order. For unrepairable earmolds, the earmold will be also be returned to the authorizing facility stated on the purchase order.
VA Clinic. A clinic that is part of the Veterans Health Administration of the VA.
B.2 ACKNOWLEDGMENT OF AMENDMENTS
The offeror acknowledges receipt of amendments to the Solicitation numbered and dated as follows:
| AMENDMENT NO |
| DATE |
B.3 DUN AND BRADSTREET NUMBER
Offeror must provide Dun and Bradstreet Number:
Offeror must provide Tax Identification Number: _________________________________
B.4 INSTRUCTIONS ON PRICING
(a) Estimated quantities for flat fee repair charges are based on average annual total quantities and thus reflect quantities to multiple vendors. Procurement historical background for the parts/accessories is not available.
(b) Pricing should be completed in the format below using the following explanations:
(1) Unit price is offeror’s proposed pricing.
(2) Customer User Fee (CUF) is 4% of the proposed pricing. See Section B.21 CUSTOMER USER FEE
(3) Net price is Unit Price plus CUF. (Refer to Section B.21.)
(4) Total Price is Unit Price times the estimated annual quantity.
B.5 CONTRACT ADMINISTRATION DATA
(a) Contract Administration: All contract administration matters will be handled by the following individuals:
(1) CONTRACTOR:
(2) GOVERNMENT:
Contracting Officer 36C791 Department of Veterans Affairs Commodities & Services Acquisition Svc (003B6E) 555 Corporate Circle Golden CO 80401-5621
(b) 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 |
(c) INVOICES: Invoices shall be submitted in arrears:
(1) Quarterly []
(2) Semi-Annually []
| (3) Other | [X] | |
| Invoices will be submitted after work is completed and device is shipped back to DLC. |
(d) 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.
To be shown on individual delivery orders
B.6 LIMITATIONS ON SUBCONTRACTING-- MONITORING AND COMPLIANCE (JUN 2011)
This solicitation includes FAR 52.219-4 Notice of Price Evaluation Preference for HubZone Small Business Concerns. Accordingly, any contract resulting from this solicitation will include this clause. The contractor is advised in performing contract administration functions, the CO may use the services of a support contractor(s) retained by VA to assist in assessing the contractor's compliance with the limitations on subcontracting or percentage of work performance requirements specified in the clause. To that end, the support contractor(s) may require access to contractor's offices where the contractor's business records or other proprietary data are retained and to review such business records regarding the contractor's compliance with this requirement. All support contractors conducting this review on behalf of VA will be required to sign an “Information Protection and Non-Disclosure and Disclosure of Conflicts of Interest Agreement” to ensure the contractor's business records or other proprietary data reviewed or obtained in the course of assisting the CO in assessing the contractor for compliance are protected to ensure information or data is not improperly disclosed or other impropriety occurs. Furthermore, if VA determines any services the support contractor(s) will perform in assessing compliance are advisory and assistance services as defined in FAR 2.101, Definitions, the support contractor(s) must also enter into an agreement with the contractor to protect proprietary information as required by FAR 9.505-4, obtaining access to proprietary information, paragraph (b). The contractor is required to cooperate fully and make available any records as may be required to enable the CO to assess the contractor's compliance with the limitations on subcontracting or percentage of work performance requirement.
B.7 SUBCONTRACTING COMMITMENTS--MONITORING AND COMPLIANCE (JUN 2011)
This solicitation includes VAAR 852.215-70, Service-Disabled Veteran-Owned and Veteran-Owned Small Business Evaluation Factors, and VAAR 852.215-71, Evaluation Factor Commitments. Accordingly, any contract resulting from this solicitation will include these clauses. The contractor is advised in performing contract administration functions, the CO may use the services of a support contractor(s) to assist in assessing contractor compliance with the subcontracting commitments incorporated into the contract. To that end, the support contractor(s) may require access to the contractor's business records or other proprietary data to review such business records regarding contract compliance with this requirement. All support contractors conducting this review on behalf of VA will be required to sign an “Information Protection and Non-Disclosure and Disclosure of Conflicts of Interest Agreement” to ensure the contractor's business records or other proprietary data reviewed or obtained in the course of assisting the CO in assessing the contractor for compliance are protected to ensure information or data is not improperly disclosed or other impropriety occurs. Furthermore, if VA determines any services the support contractor(s) will perform in assessing compliance are advisory and assistance services as defined in FAR 2.101, Definitions, the support contractor(s) must also enter into an agreement with the contractor to protect proprietary information as required by FAR 9.505-4, obtaining access to proprietary information, paragraph (b). The contractor is required to cooperate fully and make available any records as may be required to enable the CO to assess the contractor compliance with the subcontracting commitments.
B.8 SUBCONTRACTING PLAN--MONITORING AND COMPLIANCE (JUN 2011)
36C79118R0006 This solicitation includes FAR 52.219-9, Small Business Subcontracting Plan, and VAAR 852.219-9, VA Small Business Subcontracting Plan Minimum Requirement. Accordingly, any contract resulting from this solicitation will include these clauses. The contractor is advised in performing contract administration functions, the CO may use the services of a support contractor(s) to assist in assessing the contractor's compliance with the plan, including reviewing the contractor's accomplishments in achieving the subcontracting goals in the plan. To that end, the support contractor(s) may require access to the contractor's business records or other proprietary data to review such business records regarding the contractor's compliance with this requirement. All support contractors conducting this review on behalf of VA will be required to sign an “Information Protection and Non-Disclosure and Disclosure of Conflicts of Interest Agreement” to ensure the contractor's business records or other proprietary data reviewed or obtained in the course of assisting the CO in assessing the contractor for compliance are protected to ensure information or data is not improperly disclosed or other impropriety occurs. Furthermore, if VA determines any services the support contractor(s) will perform in assessing compliance are advisory and assistance services as defined in FAR 2.101, Definitions, the support contractor(s) must also enter into an agreement with the contractor to protect proprietary information as required by FAR 9.505-4, obtaining access to proprietary information, paragraph (b). The contractor is required to cooperate fully and make available any records as may be required to enable the CO to assess the contractor compliance with the subcontracting plan.
Page 1 of Page 1 of
B.9 PRICE/COST SCHEDULE
Estimated quantities stated for each Contract Line Item Number (CLIN) are total estimates for all makes and models of that hearing aid type, and are the combined estimates for all contracts awarded. It is included for price comparison purposes only. Offeror must specify on the Attachment 1 which makes and models of each hearing aid type they will repair.
Note: The Government reserves the right to add additional categories to the various Groups due to technology advancement within the duration of the contract, option years and six month extension.
ITEM INFORMATION
CLIN 1 Description
Flat fee repair charge for FM Receiver (FR) model. (Refer to Section B.10 Performance Work Statement for details.)
| No. |
| Contract Period |
| Est. Qty. |
| Unit Issue |
| Unit Price |
| CUF |
| Net Price Total Price |
| 1001 |
| Base |
| 202 |
| EA |
| 2001 |
| Option I |
| 38 |
| EA |
CLIN 2 Description
Flat fee repair charge for FM Transmitter (FT) model. (Refer to Section B.10 Performance Work Statement for details.)
| No. |
| Contract Period |
| Est. Qty. |
| Unit Issue |
| Unit Price |
| CUF |
| Net Price Total Price |
| 1002 |
| Base |
| 1,978 |
| EA |
| 2002 |
| Option I |
| 2,167 |
| EA |
| 3002 |
| Option II |
| 2,355 |
| EA |
| 4002 |
| Option III |
| 2,543 |
| EA |
| 5002 |
| Option IV |
| 2,731 |
| EA |
| 6002 |
| 6 Mo. Ext. |
| 1,460 |
| EA |
CLIN 3 Description
Flat fee repair charge for in-the-ear aid (ITE) type hearing aid model. (Refer to Section B.10 Performance Work Statement for details.)
| No. |
| Contract Period |
| Est. Qty. |
| Unit Issue |
| Unit Price |
| CUF |
| Net Price Total Price |
| 1003 |
| Base |
| 67,970 |
| EA |
| 2003 |
| Option I |
| 68,474 |
| EA |
| 3003 |
| Option II |
| 59,459 |
| EA |
| 4003 |
| Option III |
| 57,458 |
| EA |
| 5003 |
| Option IV |
| 55,456 |
| EA |
| 6003 |
| 6 Mo. Ext |
| 26,727 |
| EA |
CLIN 4 Description
Flat fee repair charge for over-ear aid (OE). (Refer to Section B.10 Performance Work Statement for details.)
| No. |
| Contract Period |
| Est. Qty. |
| Unit Issue |
| Unit Price |
| CUF |
| Net Price Total Price |
| 1004 |
| Base |
| 50,883 |
| EA |
| 2004 |
| Option I |
| 53,953 |
| EA |
| 3004 |
| Option II |
| 55,552 |
| EA |
| 4004 |
| Option III |
| 58,282 |
| EA |
| 5004 |
| Option IV |
| 61,011 |
| EA |
| 6004 |
| 6 Mo. Ext. |
| 31,871 |
| EA |
CLIN 5 Description
Flat fee repair charge for receiver-in-the-ear-aid (RIC). (Refer to Section B.10 Performance Work Statement for details.)
| No. |
| Contract Period |
| Est. Qty. |
| Unit Issue |
| Unit Price |
| CUF |
| Net Price Total Price |
| 1005 |
| Base |
| 75,241 |
| EA |
| 2005 |
| Option I |
| 84,460 |
| EA |
| 3005 |
| Option II |
| 93,677 |
| EA |
| 4005 |
| Option III |
| 102,895 |
| EA |
| 5005 |
| Option IV |
| 112,113 |
| EA |
| 6005 |
| 6 Mo. Ext. |
| 60,666 |
| EA |
CLIN 6 Description
Flat fee repair charge for remote (RM). (Refer to Section B.10 Performance Work Statement for details.)
| No. |
| Contract Period |
| Est. Qty. |
| Unit Issue |
| Unit Price |
| CUF |
| Net Price Total Price |
| 1006 |
| Base |
| 2,971 |
| EA |
| 2006 |
| Option I |
| 3,237 |
| EA |
| 3006 |
| Option II |
| 3,503 |
| EA |
| 4006 |
| Option III |
| 3,769 |
| EA |
| 5006 |
| Option IV |
| 4,035 |
| EA |
| 6006 |
| 6 Mo. Ext. |
| 2,151 |
| EA |
CLIN 7 Description
Flat fee repair charge for wireless adapter (WA). (Refer to Section B.10 Performance Work Statement for details.)
| No. |
| Contract Period |
| Est. Qty. |
| Unit Issue |
| Unit Price |
| CUF |
| Net Price Total Price |
| 1007 |
| Base |
| 8,924 |
| EA |
| 2007 |
| Option I |
| 10,126 |
| EA |
| 3007 |
| Option II |
| 11,327 |
| EA |
| 4007 |
| Option III |
| 12,528 |
| EA |
| 5007 |
| Option IV |
| 13,730 |
| EA |
| 6007 |
| 6 Mo. Ext. |
| 7,466 |
| EA |
CLIN 8 Description
Flat fee repair charge for wireless receiver (WR). (Refer to Section B.10 Performance Work Statement for details.)
| No. |
| Contract Period |
| Est. Qty. |
| Unit Issue |
| Unit Price |
| CUF |
| Net Price Total Price |
| 1008 |
| Base |
| 632 |
| EA |
| 2008 |
| Option I |
| 724 |
| EA |
| 3008 |
| Option II |
| 815 |
| EA |
| 4008 |
| Option III |
| 907 |
| EA |
| 5008 |
| Option IV |
| 999 |
| EA |
| 6008 |
| 6 Mo. Ext. |
| 546 |
| EA |
CLIN 9 Description
Flat fee repair charge for wireless transmitters. (Refer to Section B.10 Performance Work Statement for details.)
| No. |
| Contract Period |
| Est. Qty. |
| Unit Issue |
| Unit Price |
| CUF |
| Net Price Total Price |
| 1009 |
| Base |
| 121 |
| EA |
| 2009 |
| Option I |
| 139 |
| EA |
| 3009 |
| Option II |
| 156 |
| EA |
| 4009 |
| Option III |
| 174 |
| EA |
| 5009 |
| Option IV |
| 192 |
| EA |
| 6009 |
| 6 Mo. Ext |
| 105 |
| EA |
CLIN 10 Description
Flat fee repair charge for Post OEM FM Receiver (FR) model. (Refer to Section B.10 Performance Work Statement for details.)
| No. |
| Contract Period |
| Est. Qty. |
| Unit Issue |
| Unit Price |
| CUF |
| Net Price Total Price |
| 1010 |
| Base |
| 34 |
| EA |
| 2010 |
| Option I |
| 30 |
| EA |
CLIN 11 Description
Flat fee repair charge for Post OEM FM Transmitter (FT) model. (Refer to Section B.10 Performance Work Statement for details.)
| No. |
| Contract Period |
| Est. Qty. |
| Unit Issue |
| Unit Price |
| CUF |
| Net Price Total Price |
| 1011 |
| Base |
| 16 |
| EA |
| 2011 |
| Option I |
| 17 |
| EA |
| 3011 |
| Option II |
| 19 |
| EA |
| 4011 |
| Option III |
| 21 |
| EA |
| 5011 |
| Option IV |
| 23 |
| EA |
| 6011 |
| 6 Mo. Ext. |
| 13 |
| EA |
CLIN 12 Description
Flat fee repair charge for Post OEM In-the-Ear aid (ITE) type hearing aid model. (Refer to Section B.10 Performance Work Statement for details.)
| No. |
| Contract Period |
| Est. Qty. |
| Unit Issue |
| Unit Price |
| CUF |
| Net Price Total Price |
| 1012 |
| Base |
| 11,253 |
| EA |
| 2012 |
| Option I |
| 9,039 |
| EA |
| 3012 |
| Option II |
| 16,343 |
| EA |
| 4012 |
| Option III |
| 16,633 |
| EA |
| 5012 |
| Option IV |
| 16,924 |
| EA |
| 6012 |
| 6 Mo. Ext |
| 8,608 |
| EA |
CLIN 13 Description
Flat fee repair charge for Post OEM Over-Ear Aid (OE) type hearing aid model. (Refer to Section B.10 Performance Work Statement for details.)
| No. |
| Contract Period |
| Est. Qty. |
| Unit Issue |
| Unit Price |
| CUF |
| Net Price Total Price |
| 1013 |
| Base |
| 3,335 |
| EA |
| 2013 |
| Option I |
| 3,357 |
| EA |
| 3013 |
| Option II |
| 4,849 |
| EA |
| 4013 |
| Option III |
| 5,211 |
| EA |
| 5013 |
| Option IV |
| 5,573 |
| EA |
| 6013 |
| 6 Mo. Ext. |
| 2,968 |
| EA |
CLIN 14 Description
Flat fee repair charge for Post OEM Receiver-in-the-Ear-Aid (RIC) type hearing aid model. (Refer to Section B.10 Performance Work Statement for details.)
| No. |
| Contract Period |
| Est. Qty. |
| Unit Issue |
| Unit Price |
| CUF |
| Net Price Total Price |
| 1014 |
| Base |
| 5,424 |
| EA |
| 2014 |
| Option I |
| 7,883 |
| EA |
| 3014 |
| Option II |
| 10,343 |
| EA |
| 4014 |
| Option III |
| 12,803 |
| EA |
| 5014 |
| Option IV |
| 15,262 |
| EA |
| 6014 |
| 6 Mo. Ext. |
| 8,861 |
| EA |
CLIN 15 Description
Flat fee repair charge for Post OEM Wireless Adapter (WA) model. (Refer to Section B.10 Performance Work Statement for details.)
| No. |
| Contract Period |
| Est. Qty. |
| Unit Issue |
| Unit Price |
| CUF |
| Net Price Total Price |
| 1015 |
| Base |
| 771 |
| EA |
| 2015 |
| Option I |
| 932 |
| EA |
| 3015 |
| Option II |
| 1,093 |
| EA |
| 4015 |
| Option III |
| 1,254 |
| EA |
| 5015 |
| Option IV |
| 1,415 |
| EA |
| 6015 |
| 6 Mo. Ext. |
| 788 |
| EA |
CLIN 16 Description
Hearing Aid Parts and Accessories. Refer to Section B.1, Definitions, for items that may be included, and complete Attachment 2, Parts and Accessories List for pricing. Attachment 3, Parts and Accessories Text File, must be submitted prior to contract award. All Parts and Accessories submitted may or may not be placed on contract, and all items on contract may or may not be purchased by the DLC.
B.10 PERFORMANCE WORK STATEMENT
(b) Facilities completing repairs must be at a minimum ISO 9001:2008 and/or ISO 13485:2003 certified. If the contracting facility is not ISO 9001:2008 and/or ISO 13485:2003 registered at the time of proposal submission, the contractor shall provide evidence that the facility will be compliant on the date of contract award.
(c) Upon receipt of hearing devices, the contractor assumes the risk of, and shall be responsible for, loss or damage to all enclosed items which are listed on the repair order. The contractor shall bear the responsibility to replace those items that are lost or damaged from the acceptance of the items at the contractor’s repair facility to the delivery of the items as the FOB destination. The contractor shall complete the repair and ship it to the location listed on the repair order within ten business days.
(d) Flat fee repair charges shall include parts and accessories required to restore single specific aids (or hearing aids purchased as a system [i.e. CROS/BiCROS] regardless of whether the system is serialized with the same number or different serial numbers), remote controls, or wireless devices to proper operation. It is the expectation of the government that a device sent to the original manufacturer will be repaired to original manufacture specifications. For all-make repairs it is expected that the device will be returned with the same configuration as it was received. All serialized devices that are listed under B.9, Schedule of Items, must be accompanied by a purchase order. If a purchase order is not received then the device will be returned unrepaired to the requestor, or the contractor can contact Denver Logistics Center (DLC) at dalcadj@va.gov for direction. Repairs shall include, where applicable:
(1) The replacement of defective receivers, microphones, cords and other defective repairable components [i.e. power supplies, clothing clips, antennas, or other applicable items].
(2) Repairs that require receiver and/or microphone replacement will use new replacements. A hearing aid submitted for repair must include the receiver, microphone, and circuit (or comparable technology) in order to be considered a complete hearing aid with the exception of loaner RIC hearing aids where the replacement receiver would be selected at the time of re-fitting. NOTE: RIC receiver only repairs are not allowed on out of new-aid warranty devices.
(3) CROS/BiCROS systems would require the transmitter, receiver and hearing device and/or CROS/BiCROS sets with the same serial numbers on the transmitter and receiver to be considered a complete hearing aid.
(4) Loaner hearing devices sent in for repair by the DLC or a VA clinic are not associated with a patient. A loaner RIC hearing aid may not include a receiver, but is still considered a complete hearing aid for this purpose only.
(5) Earmold services are required for out of new warranty hearing aids or wireless devices which include an earmold, whether or not the receiver in RIC aids are fully integrated. Earmold service shall include the thorough cleaning of the earmold (including the removal of wax, debris, excess glue, and residual tubing), checking for damage, patching or cementing damaged areas, buffing the earmold body, and replacing old tubing, adaptors, waxguard retainers or grommets, as necessary. The contractor shall ensure that these items are attached securely to the earmold and attached to the hearing aid. If the tubing is designed to be attached without glue it will be replaced with the same or equivalent technology. Tubing, adaptors, and grommets must be the same or equivalent to that received, to include acoustical value and length of tubing. If the earmold is determined to be unrepairable, this will be recorded on the invoice and the contractor will take one of the following actions.
(i) For conventional BTE hearing aids that cannot be configured as an open fit, the repaired aid will be returned with the unrepaired earmold.
(ii) For open fit BTE or RIC hearing aids, the contractor will replace the damaged earmold with a temporary, disposable earmold, dome, or comply tip that will make the hearing aid usable by the veteran…
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