Attachment 1--S02 36C24422Q1191.pdf

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Attached to: W065--Radiation Physicist - Dosimeter Badges - LEB | 595-22-4-067-0046
Solicitation number: 36C24422Q1191
Issued by: Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 4

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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

36C24422Q1191 08-29-2022

Kelley Vandecoevering 412-500-4675 09-06-2022

10:00 EDT

36C244

Department of Veterans Affairs

Network Contracting Office 4

1010 Delafield Rd.

Pittsburgh PA 15215-1802

532490

$35 Million

N/A

36C595

Lebanon VA Medical Center

1700 South Lincoln Ave.

Lebanon PA 17042-7529

36C244

Austin Payment Center

PO Box 149971

Austin TX 78714-9971

(877) 353-9791 (512) 460-5429

See CONTINUATION Page

Five Year Requirements Contract for Dosimetry Badges at

Period of Performance:

09-22-2022 to 09-21-2027

See CONTINUATION Page

X X

X 1

Kelley Vandecoevering

Contracting Officer

36C24422Q1191

Table of Contents

SECTION A

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

AND COMMERCIAL SERVICES

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

B.2 PRICE/COST SCHEDULE

ITEM INFORMATION

B.3 DELIVERY SCHEDULE

SECTION C - CONTRACT CLAUSES

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

C.2 52.216-18 ORDERING (AUG 2020)

C.3 52.216-19 ORDER LIMITATIONS (OCT 1995)

C.4 52.216-21 REQUIREMENTS (OCT 1995)

C.5 52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR 2000) ...36

C.6 VAAR 852.212-70 PROVISIONS AND CLAUSES APPLICABLE TO VA

ACQUISITION OF COMMERCIAL ITEMS (APR 2020)

C.7 VAAR 852.219-75 SUBCONTRACTING COMMITMENTS MONITORING AND

COMPLIANCE (JUL 2018)

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

C.9 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT

STATUTES OR EXECUTIVE ORDERS—COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES (MAY 2022) (JUL 2020) (DEVIATION)

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

SECTION E - SOLICITATION PROVISIONS

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

1998)

E.2 52.204-24 REPRESENTATION REGARDING CERTAIN TELECOMMUNICATIONS

AND VIDEO SURVEILLANCE SERVICES OR EQUIPMENT (NOV 2021)

E.3 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS—

COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (MAY 2022) (JUL 2020)

(DEVIATION)

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 36C244 Kelley Vandecoevering

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 [X]

b. Semi-Annually []

c. Other []

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.

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

AMENDMENT NO DATE

Statement of Work

Dosimetry Services

INTENT:

Provide specific personnel dosimeters for employees located at the Lebanon Veterans Affairs

Medical Center (LEBVA) Lebanon, Pa. For purposes of this contract, the terms “personnel dosimeter” is an individual monitoring device that requires processing to determine the radiation dose and that is used by Lebanon Veteran Affairs Medical Center ( LVAMC) to comply with 10CFR20.1201, with other applicable provisions of Title 10 Chapter 20, or with conditions specified in the license.

Statistical dosimtery reports shall be provided monthly, quarterly and annually.

The cost of the contract should be presented in terms of the total annual cost, and expressed as the cost per badge type, according to the number of each badge type. No additional charges will be incorporated or expected, with the exception of non-returned or damaged badges and holders, and emergency readings. Credit will be given for all fees assessed for lost/late badges, upon return of same.

The selected dosimetry vendor service company shall have a well established and demonstratively successful means of providing the goods and services described in these specifications. This document contains specifications for both the dosimetry devices and the dosimetry service.

The dosimetry vendor must be able to demonstrate and provide the licensing and specific requirements listed upon request. The Vendor must be National Voluntary

Laboratory Accreditation Program (NVLAP) certified.

Nature of Contract:

Individual orders will be placed against the IDC on an as needed basis.

Deliver to the Lebanon VA Medical Center, Attn: Radiology Department, 1700 South

Lincoln Avenue, Lebanon, PA 17042.

Dosimetry Device Specifications: The dosimetry device specifications are described as follows:

A. The selected vendor shall supply necessary personnel monitoring devices of a

NVLAP certified type or combination of types. At the present time LEBVA utilizes 6-10 series, with an approximate total of all of the required number of devices needed for initial setup:

• Whole Body devices (Body Badges), including fetal monitoring devices:

o Assigned Monthly devices/reported - 100 o Assigned Quarterly devices/reported – 600

• Extremity devices (Ring Badges):

o Monthly devices/reported – 45 o Quarterly devices/reported – 85

• Form 5 Report (per person) – 150

• PrePaid Return Label (dosimeter return) – 40

• Participation set up- 30

• Additonal Dosimeter- 60

• Single site shipping- 30

• Multiple site Shipping- 60

• Late/unreturned whole body dosimeter- 30

• Late/unreturned Extremity dosimeter- 60

All of these badges presently are for detection of beta, gamma and x-rays.

Initial set up includes a holder for each body badge, and approximately 20 spare holders.

B. The devices shall be supplied according to the following specifications:

1. As required by federal law specified in 10CFR20.1501, personnel dosimeters must be processed and evaluated by a dosimetry processor--

a. Holding current personnel dosimetry accreditation from the National

Voluntary

Laboratory Accreditation Program (NVLAP) of the National Institute of

Standards and Technology; and

b. Approved in this accreditation process for the type of radiation or radiations included in the NVLAP program that most closely approximates the type of radiation or radiations for which the individual wearing the dosimeter is monitored.

2. Written specifications shall be provided on dosimetry devices defining:

(a) Minimum detectable reported dose;

(b) Energy discrimination capabilities including accuracy, Precision,

a. Less than 100 KeV photons

b. 100 KeV through 250 KeV photons

c. Greater than 250 KeV up to and including Cs-137, Co-60

d. Photons from a 6/18 MeV external beam linear accelerator

e. Beta radiations

3. Dosimetry devices shall be routinely delivered to the customer by the 20th calendar day of each month preceding the next monthly or quarterly exchange date. Monthly and quarterly exchange dates are the first day of any month. If the devices are not received by the 20th calendar day, the vendor shall, at no cost to the Government, ship the devices in a manner to ensure delivery by the

3rd buisness day after notification by the Government.

4. The delivery of dosimetry devices is required within 7 calendar days of record creation for additions of new personnel or additional badges for existing personnel, unless a rush shipment is requested. The creation of a single record shall automatically provide all individual dosimetry devices for the current month and all subsequent months. When a rush shipment is requested, the dosimetry device(s) shall be received within 3 calendar days of record creation.

5. Shipping packages shall be reusable for return of the devices to vendor.

Return shipping labels shall be supplied by the vendor.

6. The dosimetry devices, including additions, shall be provided in presorted and individually packaged and labeled packages in accordance with the criteria

(“account” or “series”) established by the Government’s Radiation Safety Officer

(“RSO”) at the time of setup.

7. Primary sorting and distinction will include unlimited series separation by groups of users. Series coding shall be alphanumeric.

8. Minor transactions regarding the vendor service including, but not limited to, user additions, deletions, changes, inquiries, etc., shall be exclusively between the Government’s RSO or designee and the vendor.

9. Shipments shall include individual printed packing lists for each group of users. The individual packing lists shall include the numerical order of the dosimeters.

10. Dosimetry devices shall provide obvious, distinct, color coding for easy special purpose identification while being worn. Dosimeter colors shall alternate with each wear period. Above and below apron badges will also be color coded for easy identification.

11. The vendor shall provide a method for calculating and reporting Effective

Dose Equivalent or Effective Dose automatically for designated badge wearers.

12. Requirement for Webster Calculations to be conducted for Cardiac

Catheterization Lab employees.

13. Badges shall be identified with clearly visible printed word "Collar", “Chest” or "Waist" or other clear, descriptive nomenclature, to aide in proper wear positioning.

14. The ring badge shall have at least three sizes, be waterproof, have a permanent label, and be capable of withstanding cold sterilization. The ring badges shall be color coded for alternate months.

15. Body badges shall be waterproof and have a permanent label.

C. The vendor shall have capability such that the Government may be able to at a minimum:

1. Add, transfer, or delete personnel

2. Add additional badges to existing personnel

3. Review records (wearer, badge type, frequency, dose history, etc.)

4. Summarize results (exposure levels, ALARA, etc.)

5. Review exposure histories per entire account

6. Review exposure histories for an individual

7. Add lifetime cumulative dose for an individual

8. Add current year dose for an individual

9. Reactivate wearers and badges

10. Assign spare badges

11. List unreturned badges

12. Download data files for unreturned badges

13. Download data files for badge readings (exposures for specified periods)

D. The RSO or designee shall be notified by telephone or email if any of the following occur:

1. NVLAP accreditation is rescinded in any of the required categories listed above.

2. The Contractor revises their Quality Assurance practices in such a way as to decrease the effectiveness of a NVLAP accredited program.

3. The Contractor modifies the dosimeter in such a way as to invalidate its

NVLAP accreditation.

4. Any dosimeter indicates > 5000 mrem.

Additionally, the Vendor shall:

1. ensure that dosimeters are zeroed prior to shipment,

a. apply for, obtain and maintain any certifications required by governing federal, state, or local agencies,

2. participate in performance evaluation programs required by federal, state, or local agencies,

3. comply with the requirements of an approved quality assurance program plan,

4. provide VA the current revision of the quality assurance program plan, if requested,

5. provide VA with sufficient QC and calibration data to assure that analytical results of dosimetry are accurate and analyzed within the established envelope of quality, if requested,

6. provide the value of the Lc / MDA, in the same units as results (mrem),

7. provide the signature of the person responsible for the quality of the report or his/her designee and read the dosimeters on an as needed basis.

E. The vendor shall automatically provide permanent records archiving.

F. The vendor shall ensure timely response to customer inquiries by assigning a specific representative who shall be accessible during regular working hours through a toll-free phone system.

G. The vendor shall provide emergency processing of dosimetry devices when requested. This processing shall be completed within 24 hours of receipt of the device by the vendor. The RSO or designee shall be notified of the processing results by telephone or email within 24 hours of receipt of the device by the vendor.

H. The Lebanon Veterans Affairs Medical Center shall not be charged for shipping costs associated with the following activities: (a) Duplicate shipments of dosimetry devices; (b) Rush shipments of dosimetry devices

(2nd day delivery) associated with but not limited to, personnel additions, transfers, or provision of additional spare badges; (c ) Priority shipments of dosimetry devices when devices are not received as specified.

I. The LEBVA shall not be charged for the following:

(a) Set up, transfer, deletion, or reactivation of a monitored individual;

(b) Series or group separation (i.e., new series or account);

(Medical Center owned or vendor provided equipment);

(d) Training of personnel to adopt vendor's service, if necessary;

(e) Adjustment of dose record by Radiation Safety Officer;

(f) up to 20 extra holders per year, if requested.

J. The vendor shall invoice quarterly 30 days in-arrears through Tungsten

Network.

II. Other:

A. No presorting of the dosimetry devices by the LEBVA shall be required prior to returning the dosimetry devices to the vendor.

B. The vendor shall provide a means of tracking all unreturned dosimetry devices, including whole body and ring badges. The periodic (monthly, quarterly) reports shall list all individuals on the account or series, whether or not the monitor was worn or returned, and indicating, where appropriate, any monitors which were issued but not worn or not returned for the period of the report

C. The vendor shall automatically provide printed and computer updates of records which have had a dose adjustment made by the RSO.

D. The vendor shall provide a means of maintaining current year dose and lifetime cumulative doses for individuals as requested by the RSO.

E. Complete dosimetry reports shall be routinely provided to the RSO. A second copy of each report, with any specified omissions such as sex, social security number, and date of birth, shall be provided upon request and issued, if requested, for shipment directly to user groups.

F. The dosimetry reports shall include a separate fetal dose estimate for all identified pregnant personnel (as requested).

G. The average shipping time of the completed exposure reports shall not exceed 30 calendar days after receipt of the exposed dosimetry devices by the vendor.

H. The vendor shall automatically provide printed copy wear period, annual summary, and annual statistical summary reports for each account. These summaries shall include a listing by user groups, of every person badged at any time during the year. Other information provided for each listing shall include, but not be limited to, the following:

(a) Group or series number;

(b) Badge number and type;

(d) Social security number;

(e) Date of birth;

(f) Sex;

(g) Deep dose and shallow dose for each monitoring period;

(h) Extremity dose;

(i) Internal dose reported by Radiation Safety Officer;

(j) Total Effective Dose Equivalent;

(k) Data on all currently issued devices regarding late returns, unreturned, and deleted devices.

(l) Webster calculations

I. The vendor shall provide individual termination summary reports for each individual removed from an account upon request.

B.2 PRICE/COST SCHEDULE

ITEM INFORMATION

ITEM

NUMBER

DESCRIPTION OF

SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

600.00 EA __________________ __________________

Whole Body Devices (Body Badges) - 3MO Contract Period: Base POP Begin: 09-22-2022 POP End: 09-21-2023 PRINCIPAL NAICS CODE: 532490 - Other Commercial and Industrial Machinery and Equipment Rental and Leasing PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

100.00 EA __________________ __________________

Whole Body Devices (Body Badges) - 1MO Contract Period: Base POP Begin: 09-22-2022 POP End: 09-21-2023 PRINCIPAL NAICS CODE: 532490 - Other Commercial and Industrial Machinery and Equipment Rental and Leasing

30.00 EA __________________ __________________

Participant Setup fee Contract Period: Base POP Begin: 09-22-2022 POP End: 09-21-2023 PRINCIPAL NAICS CODE: 532490 - Other Commercial and Industrial Machinery and Equipment Rental and Leasing

60.00 EA __________________ __________________

Additional dosimeter fee Contract Period: Base POP Begin: 09-22-2022 POP End: 09-21-2023 PRINCIPAL NAICS CODE: 532490 - Other Commercial and Industrial Machinery and Equipment Rental and Leasing

85.00 EA __________________ __________________

Extremity Devices (Ring Badges) - 3MO Contract Period: Base POP Begin: 09-22-2022 POP End: 09-21-2023 PRINCIPAL NAICS CODE: 532490 - Other Commercial and Industrial Machinery and Equipment Rental and Leasing

45.00 EA __________________ __________________

Extremity Devices (Ring Badges) - 1MO Contract Period: Base POP Begin: 09-22-2022 POP End: 09-21-2023 PRINCIPAL NAICS CODE: 532490 - Other Commercial and Industrial Machinery and Equipment Rental and Leasing

Late/unreturned Whole Body dosimeter fee Contract Period: Base POP Begin: 09-22-2022 POP End: 09-21-2023 PRINCIPAL NAICS CODE: 532490 - Other Commercial and Industrial Machinery and Equipment Rental and Leasing

50.00 EA __________________ __________________

Late/unreturned Extremity dosimeter fee Contract Period: Base POP Begin: 09-22-2022 POP End: 09-21-2023 PRINCIPAL NAICS CODE: 532490 - Other Commercial and

Industrial Machinery and Equipment Rental and Leasing

Single site Shipping Contract Period: Base POP Begin: 09-22-2022 POP End: 09-21-2023 PRINCIPAL NAICS CODE: 532490 - Other Commercial and Industrial Machinery and Equipment Rental and Leasing

Multiple site shipping Contract Period: Base POP Begin: 09-22-2022 POP End: 09-21-2023 PRINCIPAL NAICS CODE: 532490 - Other Commercial and Industrial Machinery and Equipment Rental and Leasing

150.00 EA __________________ __________________

Form 5 Report (per person) Contract Period: Base POP Begin: 09-22-2022 POP End: 09-21-2023 PRINCIPAL NAICS CODE: 532490 - Other Commercial and Industrial Machinery and Equipment Rental and Leasing

40.00 EA __________________ __________________

PrePaid Return Label (dosimeter return) Contract Period: Base POP Begin: 09-22-2022 POP End: 09-21-2023 PRINCIPAL NAICS CODE: 532490 - Other Commercial and Industrial Machinery and Equipment Rental and Leasing

Whole Body Devices (Body Badges) - 3MO Contract Period: Base POP Begin: 09-22-2023 POP End: 09-21-2024 PRINCIPAL NAICS CODE: 532490 - Other Commercial and Industrial Machinery and Equipment Rental and Leasing

Contract Period: Base POP Begin: 09-22-2022 POP End: 09-21-2023 PRINCIPAL NAICS CODE: 532490 - Other Commercial and Industrial Machinery and Equipment Rental and Leasing

Contract Period: Base POP Begin: 09-22-2022

POP End: 09-21-2023 PRINCIPAL NAICS CODE: 532490 - Other Commercial and Industrial Machinery and Equipment Rental and Leasing

Contract Period: Base POP Begin: 09-22-2022 POP End: 09-21-2023 PRINCIPAL NAICS CODE: 532490 - Other Commercial and Industrial Machinery and Equipment Rental and Leasing

Contract Period: Base POP Begin: 09-22-2024 POP End: 09-21-2025 PRINCIPAL NAICS CODE: 532490 - Other Commercial and Industrial Machinery and Equipment Rental and Leasing

Contract Period: Base POP Begin: 09-22-2024 POP End: 09-21-2025

Industrial Machinery and Equipment Rental and Leasing

Contract Period: Base POP Begin: 09-22-2024 POP End: 09-21-2025 PRINCIPAL NAICS CODE: 532490 - Other Commercial and Industrial Machinery and Equipment Rental and Leasing

PrePaid Return Label (dosimeter return) Contract Period: Base POP Begin: 09-22-2024 POP End: 09-21-2025 PRINCIPAL NAICS CODE: 532490 - Other Commercial and Industrial Machinery and Equipment Rental and Leasing

Contract Period: Base POP Begin: 09-22-2025 POP End: 09-21-2026 PRINCIPAL NAICS CODE: 532490 - Other Commercial and Industrial Machinery and Equipment Rental and Leasing

Contract Period: Base POP Begin: 09-22-2025

POP End: 09-21-2026 PRINCIPAL NAICS CODE: 532490 - Other Commercial and Industrial Machinery and Equipment Rental and Leasing

Contract Period: Base POP Begin: 09-22-2025 POP End: 09-21-2026 PRINCIPAL NAICS CODE: 532490 - Other Commercial and Industrial Machinery and Equipment Rental and Leasing

Contract Period: Base POP Begin: 09-22-2026 POP End: 09-21-2027 PRINCIPAL NAICS CODE: 532490 - Other Commercial and Industrial Machinery and Equipment Rental and Leasing

Contract Period: Base POP Begin: 09-22-2026 POP End: 09-21-2027

Industrial Machinery and Equipment Rental and Leasing

Contract Period: Base POP Begin: 09-22-2026 POP End: 09-21-2027 PRINCIPAL NAICS CODE: 532490 - Other Commercial and Industrial Machinery and Equipment Rental and Leasing

Form 5 Report (per person) Contract Period: Base POP Begin: 09-22-2026 POP End: 09-21-2027 PRINCIPAL NAICS CODE: 532490 - Other Commercial and Industrial Machinery and Equipment Rental and Leasing

Contract Period: Base POP Begin: 09-22-2026 POP End: 09-21-2027 PRINCIPAL NAICS CODE: 532490 - Other Commercial and Industrial Machinery and Equipment Rental and Leasing

GRAND TOTAL __________________

B.3 DELIVERY SCHEDULE

ITEM NUMBER QUANTITY

DELIVERY

DATE

0001 SHIP TO: Department of Veterans Affairs Lebanon VA Medical Center 1700 Lincoln Ave Lebanon, PA 17402 7529

USA

600.00

0002 SHIP TO: Department of Veterans Affairs

1700 Lincoln Ave

100.00

0003 SHIP TO: Department of Veterans Affairs

1700 Lincoln Ave

30.00

0004 SHIP TO: Department of Veterans Affairs Lebanon VA Medical Center 1700 Lincoln Ave

60.00

0005 SHIP TO: Department of Veterans Affairs

1700 Lincoln Ave

85.00

0006 SHIP TO: Department of Veterans Affairs

1700 Lincoln Ave

45.00

0007 SHIP TO: Department of Veterans Affairs

1700 Lincoln Ave

0008 SHIP TO: Department of Veterans Affairs

1700 Lincoln Ave

50.00

0009 SHIP TO: Department of Veterans Affairs

1700 Lincoln Ave

0010 SHIP TO: Department of Veterans Affairs

1700 Lincoln Ave

0011 SHIP TO: Department of Veterans Affairs

150.00

1700 Lincoln Ave

0012 SHIP TO: Department of Veterans Affairs

1700 Lincoln Ave

40.00

1001 SHIP TO: Department of Veterans Affairs

1700 Lincoln Ave

1002 SHIP TO: Department of Veterans Affairs

1700 Lincoln Ave

1003 SHIP TO: Department of Veterans Affairs

1700 Lincoln Ave

1004 SHIP TO: Department of Veterans Affairs

1700 Lincoln Ave

1005 SHIP TO: Department of Veterans Affairs

1700 Lincoln Ave

1006 SHIP TO: Department of Veterans Affairs

1700 Lincoln Ave

1007 SHIP TO: Department of Veterans Affairs

1700 Lincoln Ave

1008 SHIP TO: Department of Veterans Affairs

1700 Lincoln Ave

1009 SHIP TO: Department of Veterans Affairs

1700 Lincoln Ave

1010 SHIP TO: Department of Veterans Affairs

1700 Lincoln Ave

1011 SHIP TO: Department of Veterans Affairs

1700 Lincoln Ave

1012 SHIP TO: Department of Veterans Affairs

1700 Lincoln Ave

2001 SHIP TO: Department of Veterans Affairs

1700 Lincoln Ave

2002 SHIP TO: Department of Veterans Affairs

1700 Lincoln Ave

2003 SHIP TO: Department of Veterans Affairs

1700 Lincoln Ave

2004 SHIP TO: Department of Veterans Affairs

1700 Lincoln Ave

2005 SHIP TO: Department of Veterans Affairs

1700 Lincoln Ave

2006 SHIP TO: Department of Veterans Affairs

1700 Lincoln Ave

2007 SHIP TO: Department of Veterans Affairs

1700 Lincoln Ave

2008 SHIP TO: Department of Veterans Affairs

1700 Lincoln Ave

2009 SHIP TO: Department of Veterans Affairs

1700 Lincoln Ave

2010 SHIP TO: Department of Veterans Affairs

1700 Lincoln Ave

2011 SHIP TO: Department of Veterans Affairs

1700 Lincoln Ave

2012 SHIP TO: Department of Veterans Affairs

1700 Lincoln Ave

3001 SHIP TO: Department of Veterans Affairs

1700 Lincoln Ave

3002 SHIP TO: Department of Veterans Affairs

1700 Lincoln Ave

3003 SHIP TO: Department of Veterans Affairs

1700 Lincoln Ave

3004 SHIP TO: Department of Veterans Affairs

1700 Lincoln Ave

3005 SHIP TO: Department of Veterans Affairs

1700 Lincoln Ave

3006 SHIP TO: Department of Veterans Affairs

1700 Lincoln Ave

3007 SHIP TO: Department of Veterans Affairs

1700 Lincoln Ave

3008 SHIP TO: Department of Veterans Affairs

1700 Lincoln Ave

3009 SHIP TO: Department of Veterans Affairs

1700 Lincoln Ave

3010 SHIP TO: Department of Veterans Affairs

1700 Lincoln Ave

3011 SHIP TO: Department of Veterans Affairs

1700 Lincoln Ave

3012 SHIP TO: Department of Veterans Affairs

1700 Lincoln Ave

4001 SHIP TO: Department of Veterans Affairs

1700 Lincoln Ave

4002 SHIP TO: Department of Veterans Affairs

1700 Lincoln Ave

4003 SHIP TO: Department of Veterans Affairs

1700 Lincoln Ave

4004 SHIP TO: Department of Veterans Affairs

1700 Lincoln Ave

4005 SHIP TO: Department of Veterans Affairs

1700 Lincoln Ave

4006 SHIP TO: Department of Veterans Affairs

1700 Lincoln Ave

4007 SHIP TO: Department of Veterans Affairs

1700 Lincoln Ave

4008 SHIP TO: Department of Veterans Affairs

1700 Lincoln Ave

4009 SHIP TO: Department of Veterans Affairs

1700 Lincoln Ave

4010 SHIP TO: Department of Veterans Affairs

1700 Lincoln Ave

4011 SHIP TO: Department of Veterans Affairs

1700 Lincoln Ave

4012 SHIP TO: Department of Veterans Affairs

1700 Lincoln Ave

SECTION C - CONTRACT CLAUSES

FAR

Number

Title Date

52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL

PRODUCTS AND COMMERCIAL SERVICES

NOV 2021

ADDENDUM to FAR 52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL

PRODUCTS AND COMMERCIAL SERVICES

Clauses that are incorporated by reference (by Citation Number, Title, and Date), have the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available.

The following clauses are incorporated into 52.212-4 as an addendum to this contract:

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

This contract incorporates one or more clauses by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. Also, the full text of a clause may be accessed electronically at this/these address(es):

http://www.acquisition.gov/far/index.html http://www.va.gov/oal/library/vaar/

(End of Clause)

Number

Title Date

52.204-9 PERSONAL IDENTITY VERIFICATION OF CONTRACTOR

PERSONNEL

JAN 2011

52.204-13 SYSTEM FOR AWARD MANAGEMENT MAINTENANCE OCT 2018

52.204-18 COMMERCIAL AND GOVERNMENT ENTITY CODE

MAINTENANCE

AUG 2020

52.232-40 PROVIDING ACCELERATED PAYMENTS TO SMALL

BUSINESS SUBCONTRACTORS

NOV 2021

852.204-70 PERSONAL IDENTITY VERIFICATION OF CONTRACTOR

PERSONNEL

MAY 2020

852.212-72 GRAY MARKET AND COUNTERFEIT ITEMS MAR 2020

C.2 52.216-18 ORDERING (AUG 2020)

(a) Any supplies and services to be furnished under this contract shall be ordered by issuance of delivery orders or task orders by the individuals or activities designated in the Schedule. Such orders may be issued from 09-22-2022 through 09-21-2027.

(b) All delivery orders or task orders are subject to the terms and conditions of this contract. In the event of conflict between a delivery order or task order and this contract, the contract shall control.

(1) If sent by mail (includes transmittal by U.S. mail or private delivery service), the

Government deposits the order in the mail;

(2) If sent by fax, the Government transmits the order to the Contractor’s fax number; or

(3) If sent electronically, the Government either—

(i) Posts a copy of the delivery order or task order to a Government document access system, and notice is sent to the Contractor; or

(ii) Distributes the delivery order or task order via email to the Contractor’s email address.

(d) Orders may be issued by methods other than those enumerated in this clause only if authorized in the contract.

(End of Clause)

C.3 52.216-19 ORDER LIMITATIONS (OCT 1995)

(a) Minimum order. When the Government requires supplies or services covered by this contract in an amount of less than TBD, the Government is not obligated to purchase, nor is the

Contractor obligated to furnish, those supplies or services under the contract.

(b) Maximum order. The Contractor is not obligated to honor—

(1) Any order for a single item in excess of TBD;

(2) Any order for a combination of items in excess of TBD; or

(3) A series of orders from the same ordering office within TBD days that together call for quantities exceeding the limitation in paragraph (b)(1) or (2) of this section.

52.216-21 of the Federal Acquisition Regulation (FAR)), the Government is not required to order a part of any one requirement from the Contractor if that requirement exceeds the maximum-order limitations in paragraph (b) of this section.

(d) Notwithstanding paragraphs (b) and (c) of this section, the Contractor shall honor any order exceeding the maximum order limitations in paragraph (b), unless that order (or orders) is returned to the ordering office within TBD days after issuance, with written notice stating the

Contractor's intent not to ship the item (or items) called for and the reasons. Upon receiving this notice, the Government may acquire the supplies or services from another source.

(End of Clause)

C.4 52.216-21 REQUIREMENTS (OCT 1995)

(a) This is a requirements contract for the supplies or services specified, and effective for the period stated, in the Schedule. The quantities of supplies or services specified in the Schedule are estimates only and are not purchased by this contract. Except as this contract may otherwise provide, if the Government's requirements do not result in orders in the quantities described as "estimated" or "maximum" in the Schedule, that fact shall not constitute the basis for an equitable price adjustment.

(b) Delivery or performance shall be made only as authorized by orders issued in accordance with the Ordering clause. Subject to any limitations in the Order Limitations clause or elsewhere in this contract, the Contractor shall furnish to the Government all supplies or services specified in the Schedule and called for by orders issued in accordance with the Ordering clause. The

Government may issue orders requiring delivery to multiple destinations or performance at multiple locations.

(c) Except as this contract otherwise provides, the Government shall order from the Contractor all the supplies or services specified in the Schedule that are required to be purchased by the

Government activity or activities specified in the Schedule.

(d) The Government is not required to purchase from the Contractor requirements in excess of any limit on total orders under this contract.

(e) If the Government urgently requires delivery of any quantity of an item before the earliest date that delivery may be specified under this contract, and if the Contractor will not accept an order providing for the accelerated delivery, the Government may acquire the urgently required goods or services from another source.

(f) Any order issued during the effective period of this contract and not completed within that period shall be completed by the Contractor within the time specified in the order. The contract shall govern the Contractor's and Government's rights and obligations with respect to that order to the same extent as if the order were completed during the contract's effective period;

provided, that the Contractor shall not be required to make any deliveries under this contract after 09-21-2027.

(End of Clause)

C.5 52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR

2000)

(a) The Government may extend the term of this contract by written notice to the Contractor within 15 days; provided that the Government gives the Contractor a preliminary written notice of its intent to extend at least 30 days days before the contract expires. The preliminary notice does not commit the Government to an extension.

(b) If the Government exercises this option, the extended contract shall be considered to include this option clause.

(c) The total duration of this contract, including the exercise of any options under this clause, shall not exceed five years.

C.6 VAAR 852.212-70 PROVISIONS AND CLAUSES APPLICABLE TO VA

ACQUISITION OF COMMERCIAL ITEMS (APR 2020)

(a) The Contractor agrees to comply with any provision or clause that is incorporated herein by reference to implement agency policy applicable to acquisition of commercial items or components. The following provisions and clauses that have been checked by the Contracting

Officer are incorporated by reference.

[X] 852.203–70, Commercial Advertising.

[] 852.209–70, Organizational Conflicts of Interest.

[] 852.211–70, Equipment Operation and Maintenance Manuals.

[] 852.214–71, Restrictions on Alternate Item(s).

[] 852.214–72, Alternate Item(s). [Note: this is a fillable clause.]

[] 852.214–73, Alternate Packaging and Packing.

[] 852.214–74, Marking of Bid Samples.

[X] 852.215–70, Service-Disabled Veteran-Owned and Veteran-Owned Small Business

Evaluation Factors.

[X] 852.215–71, Evaluation Factor Commitments.

[] 852.216–71, Economic Price Adjustment of Contract Price(s) Based on a Price Index.

[] 852.216–72, Proportional Economic Price Adjustment of Contract Price(s) Based on a Price

Index.

[] 852.216–73, Economic Price Adjustment—State Nursing Home Care for Veterans.

[] 852.216–74, Economic Price Adjustment—Medicaid Labor Rates.

[] 852.216–75, Economic Price Adjustment—Fuel Surcharge.

[X] 852.219–9, VA Small Business Subcontracting Plan Minimum Requirements.

[] 852.219–10, VA Notice of Total Service-Disabled Veteran-Owned Small Business Set-Aside.

[] 852.219–11, VA Notice of Total Veteran-Owned Small Business Set-Aside.

[] 852.222–70, Contract Work Hours and Safety Standards—Nursing Home Care for Veterans.

[] 852.228–70, Bond Premium Adjustment.

[] 852.228–71, Indemnification and Insurance.

[] 852.228–72, Assisting Service-Disabled Veteran-Owned and Veteran-Owned Small

Businesses in Obtaining Bonds.

[X] 852.232–72, Electronic Submission of Payment Requests.

[] 852.233–70, Protest Content/Alternative Dispute Resolution.

[] 852.233–71, Alternate Protest Procedure.

[] 852.237–70, Indemnification and Medical Liability Insurance.

[] 852.246–71, Rejected Goods.

[] 852.246–72, Frozen Processed Foods.

[] 852.246–73, Noncompliance with Packaging, Packing, and/or Marking Requirements.

[] 852.270–1, Representatives of Contracting Officers.

[] 852.271–72, Time Spent by Counselee in Counseling Process.

[] 852.271–73, Use and Publication of Counseling Results.

[] 852.271–74, Inspection.

[] 852.271–75, Extension of Contract Period.

[] 852.273–70, Late Offers.

[] 852.273–71, Alternative Negotiation Techniques.

[] 852.273–72, Alternative Evaluation.

[] 852.273–73, Evaluation—Health-Care Resources.

[] 852.273–74, Award without Exchanges.

(b) All requests for quotations, solicitations, and contracts for commercial item services to be provided to beneficiaries must include the following clause:

[] 852.237–74, Nondiscrimination in Service Delivery.

(End of Clause)

C.7 VAAR 852.219-75 SUBCONTRACTING COMMITMENTS MONITORING

AND COMPLIANCE (JUL 2018)

(a) This solicitation includes the clause: 852.215-70 Service-disabled veteran-owned and veteran-owned small business evaluation factors. Accordingly, any contract resulting from this solicitation will include the clause 852.215-71 Evaluation factor commitments.

(b) The Contractor is advised that in performing contract administration functions, the

Contracting Officer 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.

“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 Contracting Officer in assessing the Contractor for compliance are protected to ensure information or data is not improperly disclosed or other impropriety occurs.

(d) 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 Contracting Officer to assess the Contractor compliance with the subcontracting commitments.

(End of Clause)

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

2020)

The Contracting Officer reserves the right to designate an Administrative Contracting Officer

(ACO) for the purpose of performing certain tasks/duties in the administration of the contract.

Such designation will be in writing through an ACO Letter of Delegation and will identify the responsibilities and limitations of the ACO. A copy of the ACO Letter of Delegation will be furnished to the Contractor.

(End of Addendum to 52.212-4)

C.9 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO

IMPLEMENT STATUTES OR EXECUTIVE ORDERS—COMMERCIAL

PRODUCTS AND COMMERCIAL SERVICES (MAY 2022) (JUL 2020)

(DEVIATION)

(a) The Contractor shall comply with the following Federal Acquisition Regulation (FAR) clauses, which are incorporated in this contract by reference, to implement provisions of law or

Executive orders applicable to acquisitions of commercial products and commercial services:

(1) 52.203-19, Prohibition on Requiring Certain Internal Confidentiality Agreements or

Statements (JAN 2017) (section 743 of Division E, Title VII, of the Consolidated and Further

Continuing Appropriations Act, 2015 (Pub. L. 113-235) and its successor provisions in subsequent appropriations acts (and as extended in continuing resolutions)).

(2) 52.204–23, Prohibition on Contracting for Hardware, Software, and Services Developed or

Provided by Kaspersky Lab and Other Covered Entities (NOV 2021) (Section 1634 of Pub. L.

115–91).

(3) 52.204–25, Prohibition on Contracting for Certain Telecommunications and Video

Surveillance Services or Equipment. (NOV 2021) (Section 889(a)(1)(A) of Pub. L. 115–232).

(4) 52.209-10, Prohibition on Contracting with Inverted Domestic Corporations (NOV 2015).

(5) 52.233-3, Protest After Award (Aug 1996) (31 U.S.C. 3553).

(6) 52.233-4, Applicable Law for Breach of Contract Claim (Oct 2004) (Public Laws 108-77 and 108-78 (19 U.S.C. 3805 note)).

(b) The Contractor shall comply with the FAR clauses in this paragraph (b) that the Contracting

Officer has indicated as being incorporated in this contract by reference to implement provisions of law or Executive orders applicable to acquisitions of commercial products and commercial services:

[] (1) 52.203–6, Restrictions on Subcontractor Sales to the Government (JUN 2020), with

Alternate I (NOV 2021) (41 U.S.C. 4704 and 10 U.S.C. 2402).

[] (2) 52.203–13, Contractor Code of Business Ethics and Conduct (NOV 2021) (41 U.S.C.

3509).

[] (3) 52.203–15, Whistleblower Protections under the American Recovery and Reinvestment

Act of 2009 (JUN 2010) (Section 1553 of Pub. L. 111-5). (Applies to contracts funded by the

American Recovery and Reinvestment Act of 2009.)

[X] (4) 52.204–10, Reporting Executive Compensation and First-Tier Subcontract Awards

(JUN 2020) (Pub. L. 109–282) (31 U.S.C. 6101 note).

[] (5) [Reserved]

[] (6) 52.204–14, Service Contract Reporting Requirements (OCT 2016) (Pub. L. 111–117, section 743 of Div. C).

[] (7) 52.204–15, Service Contract Reporting Requirements for Indefinite-Delivery Contracts

(OCT 2016) (Pub. L. 111–117, section 743 of Div. C).

[] (8) 52.209–6, Protecting the Government’s Interest When Subcontracting with Contractors

Debarred, Suspended, or Proposed for Debarment. (NOV 2021) (31 U.S.C. 6101 note).

[] (9) 52.209-9, Updates of Publicly Available Information Regarding Responsibility Matters

(Oct 2018) (41 U.S.C. 2313).

[] (10) [Reserved]

[] (11) 52.219–3, Notice of HUBZone Set-Aside or Sole-Source Award (SEP 2021) (15

U.S.C. 657a).

[X] (12) 52.219–4, Notice of Price Evaluation Preference for HUBZone Small Business

Concerns (SEP 2021) (if the offeror elects to waive the preference, it shall so indicate in its offer) (15 U.S.C. 657a).

[] (13) [Reserved]

[] (14)(i) 52.219-6, Notice of Total Small Business Set-Aside (NOV 2020) (15 U.S.C. 644).

[] (ii) Alternate I (MAR 2020) of 52.219-6.

[] (15)(i) 52.219-7, Notice of Partial Small Business Set-Aside (NOV 2020) (15 U.S.C. 644).

[] (ii) Alternate I (MAR 2020) of 52.219-7.

[] (16) 52.219-8, Utilization of Small Business Concerns (Oct 2018) (15 U.S.C. 637(d)(2) and

(3)).

[] (17)(i) 52.219–9, Small Business Subcontracting Plan (NOV 2021) (15 U.S.C. 637(d)(4)).

[] (ii) Alternate I (NOV 2016) of 52.219-9.

[] (iii) Alternate II (NOV 2016) of 52.219-9.

[] (iv) Alternate III (JUN 2020) of 52.219–9.

[] (v) Alternate IV (SEP 2021) of 52.219–9.

[] (18)(i) 52.219-13, Notice of Set-Aside of Orders (MAR 2020) (15 U.S.C. 644(r)).

[] (ii) Alternate I (MAR 2020) of 52.219-13.

[] (19) 52.219–14, Limitations on Subcontracting (SEP 2021) (15 U.S.C. 657s).

[] (20) 52.219-16, Liquidated Damages—Subcontracting Plan (SEP 2021) (15 U.S.C.

637(d)(4)(F)(i)).

[] (21) 52.219–27, Notice of Service-Disabled Veteran-Owned Small Business Set-Aside

(SEP 2021) (15 U.S.C. 657f).

[X] (22) (i) 52.219–28, Post-Award Small Business Program Rerepresentation (SEP 2021)

(15 U.S.C. 632(a)(2)).

[] (ii) Alternate I (MAR 2020) of 52.219–28.

[] (23) 52.219–29, Notice of Set-Aside for, or Sole-Source Award to, Economically

Disadvantaged Women-Owned Small Business Concerns (SEP 2021) (15 U.S.C. 637(m)).

[] (24) 52.219–30, Notice of Set-Aside for, or Sole-Source Award to, Women-Owned Small

Business Concerns Eligible Under the Women-Owned Small Business Program (SEP 2021) (15

U.S.C. 637(m)).

[] (25) 52.219-32, Orders Issued Directly Under Small Business Reserves (MAR 2020) (15

U.S.C. 644(r)).

[] (26) l(26) 52.219–33, Nonmanufacturer Rule (SEP 2021) (15 U.S.C. 657s).

[X] (27) 52.222-3, Convict Labor (June 2003) (E.O. 11755).

[] (28) 52.222–19, Child Labor—Cooperation with Authorities and Remedies (JUL 2020)

(DEVIATION) (E.O. 13126).

[X] (29) 52.222-21, Prohibition of Segregated Facilities…

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