Tab 12 - Solicitation - Amendment 0001.pdf

(x)

75H71025Q00252 x x

1 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 ACKNOWLEDGEMENT TO BE

RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY 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 amendment, and is received prior to the opening hour and date specified.

x

Gallup NM 87301 1808 W. Aztec Avenue Acquisition Department Gallup Indian Medical Center

09/03/20250001

13. THIS ITEM ONLY APPLIES TO MODIFICATION OF CONTRACTS/ORDERS. IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

12. ACCOUNTING AND APPROPRIATION DATA (If required) is not extended.is extended, Items 8 and 15, and returning

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: (a) By completing

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

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

FACILITY CODE CODE

10B. DATED (SEE ITEM 13)

10A. MODIFICATION OF CONTRACT/ORDER NO.

9B. DATED (SEE ITEM 11)

9A. AMENDMENT OF SOLICITATION NO.

CODE

8. NAME AND ADDRESS OF CONTRACTOR (No., street, county, State and ZIP Code)

7. ADMINISTERED BY (If other than Item 6)CODE 6. ISSUED BY

PAGE OF PAGES

4. REQUISITION/PURCHASE REQ. NO.3. EFFECTIVE DATE2. AMENDMENT/MODIFICATION NO. 5. PROJECT NO. (If applicable)

1. CONTRACT ID CODE

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

08/11/2025

CHECK ONE A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER (Specify type of modification and authority) appropriation data, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

E. IMPORTANT: Contractor is not is required to sign this document and return __________________ copies to the issuing office.

ORDER NO. IN ITEM 10A.

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

The purpose of Amendment 0001 is as follows:

1. Provide the revised Statement of Work

2. Extend the closing date to 09/10/2025 @ 01:00PM EDT

Period of Performance: 11/01/2025 to 10/31/2026

All Other Terms and Conditions shall remain the same and in full effect.

16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)15A. NAME AND TITLE OF SIGNER (Type or print)

15C. DATE SIGNED 16B. UNITED STATES OF AMERICA 15B. CONTRACTOR/OFFEROR 16C. DATE SIGNED

(Signature of person authorized to sign) (Signature of Contracting Officer)

JERLYN R. BEGAY

STANDARD FORM 30 (REV. 11/2016)

Prescribed by GSA FAR (48 CFR) 53.243

Previous edition unusable

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

STATEMENT OF WORK (SOW)

Gallup Indian Medical Center

OBJECTIVE: The Perioperative Department at Gallup Indian Medical Center (GIMC) is seeking to establish a lease with option to purchase agreement for the provision of on-site storage and use of the trauma sets.

BACKGROUND

Gallup Indian Medical Center (GIMC) is a 99-bed hospital in Gallup, New Mexico, with clinical specialties to include Internal Medicine, Cardiology, Anesthesia, OB/GYN, General Surgery, Orthopedics, Ophthalmology, ENT, Radiology, Pathology, Pediatrics, Psychiatry, Emergency Medicine, and Urology.

The workload at Gallup is one of the largest in the Indian Health Service with 250,000 outpatient encounters and 5,800 inpatient admissions annually. GIMC has the largest staff of all NAIHS facilities and is considered a Level III trauma hospital. To provide adequate services during trauma events, GIMC has to have complete equipment as required.

SCOPE

The Gallup Indian Medical Center requires the leasing of orthopedic trauma Instruments utilized by surgeons during trauma surgical procedures to help deliver better patient outcomes. This equipment is the industry standard for patient care and is required for use in performing numerous time sensitive or emergent orthopedic procedures.

The Gallup Indian Medical Center requires the leasing of (1) Orthopedic Trauma Instruments utilized by surgeons during surgical procedures to help deliver better patient outcomes. This equipment is the industry standard for patient care and is required for use in performing numerous time sensitive surgical procedures during trauma events. Leasing the Orthopedic Trauma Instruments will enable Gallup Indian Medical Center:

a. The ability to immediately care for individuals who experience orthopedic trauma.

b. Maintain sterile processing efficiency within budget by reducing overtime required to process instruments for immediate or overnight procedures

c. Maintain the highest level of service with local representation during clinical procedures

d. Train and educate current and future staff members to maintain Operating Room efficiency and patient care

e. Provide timely maintenance of instrument trays

f. Standardize with greater efficiency and flexibility while enabling the prediction of future costs.

The contractor shall provide all delivery and pickup of trauma instrumentations; provide timely maintenance and repairs of instrument trays with a turn-around time of 48-72 hours as well as replacement of utilized instruments and restocking of storage inventory of surgical implants at GIMC.

The contractor shall provide training and education to staff members to maintain competency.

SPECIFIC TASKS

• GIMC Perioperative Services Department will notify the Contractor when trauma instruments need replacement.

• GIMC shall make the Orthopedic Trauma Instruments available to the Vendor during normal business hours. If there is a need for work to be performed after hours, GIMC will make arrangements for the Vendor to have access to the Orthopedic Trauma Instruments.

• The Contractor shall repair all trauma instruments following the manufacturer’s original design specifications.

• Replacement of faulty instruments shall be delivered by the Contractor to maintain par levels as necessary.

• The Contractor shall pick-up all replacement instruments as required. The Contractor shall conduct pre and post quality control testing services prior to delivery for use by GIMC.

• The Contractor shall provide, at no additional charge, periodic staff educational opportunities concerning the proper use, application and care of the surgical power tools and instrumentation.

• The contractor shall report to the Surgical Services, Operating Room (OR), and/or Supply Chain locations to support and prepare for trauma operations on the scheduled day or upon notification of cases. Vendor requests a notice of 4 hours lead time in order to fulfill the support services needed in any operations.

EQUIPMENT SPECIFICATIONS: The following trauma surgical instruments will be made available for lease with option to purchase in addition to providing procedure manuals for each type of leased equipment supplied:

Surgical Instruments:

VariAx 2 Core Set OR Brand Name or Equal To

VariAx 2 Small Frag Set OR Brand Name or Equal To

VariAx 2 Dedicated Wrist Set OR Brand Name or Equal To

T2 Alpha Basic Instruments OR Brand Name or Equal To

T2 Alpha Tibia Instruments OR Brand Name or Equal To

Asnis 6.5/8.0 Set OR Brand Name of Equal To

VariAx 2 Mini Frag Set OR Brand Name or Equal To

VariAx 2 Clavicle Set OR Brand Name or Equal To

VariAx 2 Elbow Set OR Brand Name or Equal To

Hoffmann 3 Set OR Brand Name or Equal To

Asnis 4.0 SS Set OR Brand Name or Equal To

VariAx 2 Hand - VariAx Module Only OR Brand Name or Equal To

T2 Alpha Retrograde Set OR Brand Name or Equal To

Surgical Implants

VariAx 2 Core T8 T10 OR Brand Name or Equal To

VariAx 2 Small Frag OR Brand Name or Equal To

VariAx 2 Ded Wrist OR Brand Name or Equal To

T2 Alpha Basic Long OR Brand Name or Equal To

T2 Alpha Tibia $ OR Brand Name or Equal To

Asnis 6.5/8.0 Ti OR Brand Name or Equal To

VariAx 2 Mini Frag OR Brand Name or Equal To

VariAx 2 Clavicle Add OR Brand Name or Equal To

VariAx 2 Elbow Add OR Brand Name or Equal To

Set Hoffmann 3 OR Brand Name or Equal To

Asnis 4.0 SS OR Brand Name or Equal To

VariAx 2 Hand VM Only OR Brand Name or Equal To

T2 Alpha Retrograde OR Brand Name or Equal To

REPORTING/DOCUMENTATION

• The Contractor shall provide and maintain storage inventory management of all units and provide all inventory documentation to the COR, Biomedical Technical Lead, and GIMC’s on-site technical surgery department Technical Lead.

• The Contractor shall maintain documentation of any lost units, as applicable and provide such documentation to the Biomedical Technical Lead and GIMC surgery department Technical Lead.

• The Contractor shall provide, upon delivery of Trauma surgical instruments and implants, a summary documentation entailing the date of replacement.

• All documentations shall be provided on the Contractor’s letterhead.

• Vendor requests a notice of 4 hours lead time in order to fulfill the support services needed in any operations

HOURS OF OPERATION

• Normal hour of operation are Monday through Friday from 7:00am to 4:00pm, excluding national holidays. All deliveries/pick-ups shall be performed during normal working hours.

• Federal Holidays observed by the government are:

New Year’s Day Labor Day Martin Luther King Day Columbus Day Presidents Day Veterans Day

Memorial Day Thanksgiving Day Juneteenth Day Independence Day Christmas Day

CONTRACTING OFFICER’S REPRESENTATIVE (COR):

PHONE NO:

The COR is responsible for:

1. Monitoring the Contractor's technical progress, including surveillance and assessment of performance and recommending to the Contracting Officer changes in requirement;

2. Monitoring timely delivery of products

3. Performing technical inspections and acceptance required by this contract; and

4. Assisting the Contractor in the resolution of problems encountered in performance.

BIOMEDICAL TECHNICAL LEAD: Sean Begay, NAIHS Biomedical Supervisor

PHONE NO.: 505- 722-1519

The Biomedical Technical Lead or GIMC Designated Alternate are responsible for:

1. Serves as the Point of Contract for monitoring and coordination of the lease program.

2. Maintain contractual records and documentation such as receipt and control of all repairs/replacement matters associated with the lease.

3. Maintain contractual records and documentation pertaining to all equipment maintenance visits.

4. As needed, provides guidance and updates on leased equipment.

5. Assists the COR and the OR Technical Lead with monitoring timely delivery of products, repairs/product replacements and provides updates relative to untimely delivery matters to the COR, OR Technical Lead and the CO.

TECHNICAL LEAD: JoLynn Martinez- Perioperative Supervisory Clinical Nurse

PHONE NO: 505-722-1333

The Technical Lead is responsible for:

1. Responds to the COR, Biomedical Technician and Contracting Officer on all leased equipment issues, concerns and correspondences.

INVOICING:

Invoices are to be submitted in accordance with FAR 52.212-4 (g) to:

Gallup Indian Medical Center Attn: Finance P.O. Box 1337 Gallup, NM 87305

(1) The Contractor shall submit an original invoice and three copies (or electronic invoice, if authorized), to the address designated in the contract to receive invoices. An invoice must include--

a. Name and address of the Contractor;

b. Invoice date and number;

c. Contract number, contract line item number and, if applicable, the order number;

d. Description, quantity, unit of measure, unit price and extended price of the items delivered;

e. Shipping number and date of shipment, including the bill of lading number and weight of shipment if shipped on Government bill of lading;

f. Terms of any discount for prompt payment offered;

g. Name and address of official to whom payment is to be sent;

h. Name, title, and phone number of person to notify in event of defective invoice; and

i. Taxpayer Identification Number (TIN). The Contractor shall include its TIN on the invoice only if required elsewhere in this contract.

j. Electronic Funds transfer (EFT) banking information.

(A) The Contractor shall include EFT banking information on the invoice only if required elsewhere in this contract.

(B) If EFT banking information is not required to be on the invoice, in order for the invoice to be a proper invoice, the Contractor shall have submitted correct EFT banking information in accordance with the applicable solicitation provision, contract clause (e.g., 52.232-33, Payment by Electronic Funds Transfer-Central Contractor Registration, or 52.232-34, Payment by Electronic Funds Transfer-Other Than Central Contractor Registration), or applicable agency procedures.

(C) EFT banking information is not required if the Government waived the requirement to pay by

EFT.

(2) Invoices will be handled in accordance with the Prompt Payment Act (31 U.S.C. 3903) and Office of Management and Budget (OMB) prompt payment regulations at 5 CFR Part 1315.

FAR 52.204-9 Personal Identity Verification of Contractor Personnel. (JAN 2011) As prescribed in 4.1303, insert the following clause:

(a) The Contractor shall comply with agency personal identity verification procedures identified in the contract that implement Homeland Security Presidential Directive-12 (HSPD-12), Office of Management and Budget (OMB) guidance M-05-24 and Federal Information Processing Standards Publication (FIPS PUB) Number 201.

(b) The Contractor shall account for all forms of Government-provided identification issued to the Contractor employees in connection with performance under this contract. The Contractor shall return such identification to the issuing agency at the earliest of any of the following, unless otherwise determined by the Government:

(1) When no longer needed for contract performance.

(2) Upon completion of the Contractor employee’s employment.

(3) Upon contract completion or termination.

(c) The Contracting Officer may delay final payment under a contract if the Contractor fails to comply with these requirements.

(d) The Contractor shall insert the substance of this clause, including this paragraph (d), in all subcontracts when the subcontractor’s employees are required to have routine physical access to a Federally-controlled facility and/or routine access to a Federally-controlled information system. It shall be the responsibility of the prime Contractor to return such identification to the issuing agency in accordance with the terms set forth in paragraph (b) of this section, unless otherwise approved in writing by the Contracting Officer.

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