Awarded 36C10G24D0031 36C25726N0330 Dental Instruments.pdf

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

674-26-3-088-0106

36C10G24D0031 36C25726N0330

AWARDED:

EFFECTIVE: 04-21-2026

Matt Lee 210-393-9281

36C257

Department Of Veterans Affairs

Network Contracting Office 17

5441 Babcock Road Ste. 302

San Antonio TX 78240

X

339114

750 Employees

N/A

36C674

Department of Veterans Affairs

Olin E. Teague Veterans Medical Center

1901 Veterans Memorial Drive

Attn: Logistics

Temple TX 76504

36C257

Department Of Veterans Affairs

Network Contracting Office 17

5441 Babcock Road Ste. 302

San Antonio TX 78240

5KA62

DENTSPLY IH INC.

590 LINCOLN ST

WALTHAM MA 02451

Sarah Luehring sarah.luehring@dentsplysirona.com

925-336-1802 MGDUC3XUVPZ3

This is accomplished through the

Tungsten Network located at:

http://www.fsc.va.gov/einvoice.asp

This is mandatory and the sole method for submitting invoices.

(877) 353-9791 (512) 460-5540

See CONTINUATION Page

SEE SCHEDULE CONTINUATION SHEET

CONTRACTOR WILL PROVIDE ITEMS IN ACCORDANCE WITH TERMS AND

CONDITIONS

USE PO# 674A60057 ON ALL INVOICES

$28,976.88

See CONTINUATION Page

674-3660160-088-828100-2638 010044108

X X

Tommy Haire

Contracting Officer

36C10G24D0031 36C25726N0330

Table of Contents

A.2 PRICE/COST SCHEDULE

ITEM INFORMATION

ACCOUNTING AND APPROPRIATION DATA

A.3 DELIVERY SCHEDULE

A.4 STATEMENT OF WORK (SOW)

DELIVERY ORDER TERMS AND CONDITIONS NOT SPECIFIED IN THE

CONTRACT

A.4 TASK/DELIVERY ORDER INTRODUCTORY LANGUAGE

A.5 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

A.6 52.217-6 OPTION FOR INCREASED QUANTITY (MAR 1989)

A.6 52.217-7 OPTION FOR INCREASED QUANTITY—SEPARATELY PRICED

LINE ITEM

MA

R 1989 11

A.7 VAAR 852.242-71 ADMINISTRATIVE CONTRACTING OFFICER (OCT

2020)

CONTINUATION PAGE

A.2 PRICE/COST SCHEDULE

ITEM INFORMATION

ITEM

NUMBER

DESCRIPTION OF

SUPPLIES/SERVICES QUANTITY UNIT

UNIT

PRICE AMOUNT

36.00 EA $49.95 $1,798.20

DIRECTION INDICATOR EV

PRINCIPAL NAICS CODE: 339114 - Dental Equipment and Supplies Manufacturing PRODUCT/SERVICE CODE: 6520 - Dental Instruments, Equipment, and Supplies

MANUFACTURER PART NUMBER (MPN): 25765

LOCAL STOCK NUMBER: 25765

ACRN: 1 Requisition Number: 674-26-3-088-0106 Appropriation: 674-3660160-088-828100 Supply Processin-

2638 DENTAL SUPPLIES-010044108

$1,798.20

12.00 EA $123.81 $1,485.72

DRILL BIT,DENTAL,EXT,SS / TI NITRATE COATED

PRINCIPAL NAICS CODE: 339114 - Dental Equipment and Supplies Manufacturing PRODUCT/SERVICE CODE: 6520 - Dental Instruments, Equipment, and Supplies

MANUFACTURER PART NUMBER (MPN): 22520

LOCAL STOCK NUMBER: 22520

2638 DENTAL SUPPLIES-010044108

$1,485.72

12.00 EA $50.98 $611.76

HEX DRIVER 24MM

PRINCIPAL NAICS CODE: 339114 - Dental Equipment and Supplies Manufacturing PRODUCT/SERVICE CODE: 6520 - Dental Instruments, Equipment, and Supplies

MANUFACTURER PART NUMBER (MPN): 68015205

LOCAL STOCK NUMBER: 68015205

2638 DENTAL SUPPLIES-010044108

$611.76

12.00 EA $50.98 $611.76

HEX DRIVER 20MM

PRINCIPAL NAICS CODE: 339114 - Dental Equipment and Supplies Manufacturing PRODUCT/SERVICE CODE: 6520 - Dental Instruments, Equipment, and Supplies

MANUFACTURER PART NUMBER (MPN): 68015207

LOCAL STOCK NUMBER: 68015207

ACRN: 1 Requisition Number: 674-26-3-088-0106 Appropriation: 674-3660160-088-828100 Supply Processin-

2638 DENTAL SUPPLIES-010044108

$611.76

12.00 EA $207.04 $2,484.48

PRIMETAPER/ASTRA TECH IMPL DEPTH GAUGE

PRINCIPAL NAICS CODE: 339114 - Dental Equipment and Supplies Manufacturing PRODUCT/SERVICE CODE: 6520 - Dental Instruments, Equipment, and Supplies

MANUFACTURER PART NUMBER (MPN): 68015198

LOCAL STOCK NUMBER: 68015198

2638 DENTAL SUPPLIES-010044108

$2,484.48

12.00 EA $69.71 $836.52

DRIVER,SURG,DENTAL IMPLANT,IMPLANT DIA

3.5/4.0MM,LONG

PRINCIPAL NAICS CODE: 339114 - Dental Equipment and Supplies Manufacturing PRODUCT/SERVICE CODE: 6520 - Dental Instruments, Equipment, and Supplies

MANUFACTURER PART NUMBER (MPN): 25010

LOCAL STOCK NUMBER: 25010

2638 DENTAL SUPPLIES-010044108

$836.52

3.5/4.0MM,SHORT

PRINCIPAL NAICS CODE: 339114 - Dental Equipment and Supplies Manufacturing PRODUCT/SERVICE CODE: 6520 - Dental Instruments, Equipment, and Supplies

MANUFACTURER PART NUMBER (MPN): 25009

LOCAL STOCK NUMBER: 25009

2638 DENTAL SUPPLIES-010044108

4.5/5.0MM,L 28MM

PRINCIPAL NAICS CODE: 339114 - Dental Equipment and Supplies Manufacturing PRODUCT/SERVICE CODE: 6520 - Dental Instruments, MANUFACTURER PART NUMBER (MPN): 25012

LOCAL STOCK NUMBER: 25012

ACRN: 1 Requisition Number: 674-26-3-088-0106 Appropriation: 674-3660160-088-828100 Supply Processin-

2638 DENTAL SUPPLIES-010044108

4.5/5.0MM,SHORT

PRINCIPAL NAICS CODE: 339114 - Dental Equipment and Supplies Manufacturing PRODUCT/SERVICE CODE: 6520 - Dental Instruments, Equipment, and Supplies

MANUFACTURER PART NUMBER (MPN): 25011

LOCAL STOCK NUMBER: 25011

2638 DENTAL SUPPLIES-010044108

IMPLANT DRIVER 3.0 LONG

PRINCIPAL NAICS CODE: 339114 - Dental Equipment and Supplies Manufacturing PRODUCT/SERVICE CODE: 6520 - Dental Instruments, Equipment, and Supplies

MANUFACTURER PART NUMBER (MPN): 25008

LOCAL STOCK NUMBER: 25008

2638 DENTAL SUPPLIES-010044108

DRIVER,SURG,DENTAL

IMPLANT,HEXAGONAL,IMPLANT DIA 3.0MM,SHORT

PRINCIPAL NAICS CODE: 339114 - Dental Equipment and Supplies Manufacturing PRODUCT/SERVICE CODE: 6520 - Dental Instruments, Equipment, and Supplies

MANUFACTURER PART NUMBER (MPN): 25007

LOCAL STOCK NUMBER: 25007

2638 DENTAL SUPPLIES-010044108

12.00 EA $975.90 $11,710.80

SURGICAL TRAY

PRINCIPAL NAICS CODE: 339114 - Dental Equipment and Supplies Manufacturing PRODUCT/SERVICE CODE: 6520 - Dental Instruments, LOCAL STOCK NUMBER: 24349

ACRN: 1 Requisition Number: 674-26-3-088-0106 Appropriation: 674-3660160-088-828100 Supply Processin-

2638 DENTAL SUPPLIES-010044108

$11,710.80

12.00 EA $294.43 $3,533.16

WRENCH,SURG,TORQUE,STER,REUSABLE

PRINCIPAL NAICS CODE: 339114 - Dental Equipment and Supplies Manufacturing PRODUCT/SERVICE CODE: 6520 - Dental Instruments, Equipment, and Supplies

MANUFACTURER PART NUMBER (MPN): 25774

LOCAL STOCK NUMBER: 25774

2638 DENTAL SUPPLIES-010044108

$3,533.16

12.00 EA $71.70 $860.40

HNDL DRVR 15.5MM SS TRQ WRNCH RSTR EV NS

PRINCIPAL NAICS CODE: 339114 - Dental Equipment and Supplies Manufacturing PRODUCT/SERVICE CODE: 6520 - Dental Instruments, Equipment, and Supplies

MANUFACTURER PART NUMBER (MPN): 25776

LOCAL STOCK NUMBER: 25776

2638 DENTAL SUPPLIES-010044108

$860.40

12.00 EA $71.79 $861.48

DRIVER HANDLE LOW

PRINCIPAL NAICS CODE: 339114 - Dental Equipment and Supplies Manufacturing PRODUCT/SERVICE CODE: 6520 - Dental Instruments, Equipment, and Supplies

MANUFACTURER PART NUMBER (MPN): 25777

LOCAL STOCK NUMBER: 25777

2638 DENTAL SUPPLIES-010044108

$861.48

GRAND

TOTAL

ACCOUNTING AND APPROPRIATION DATA

ACRN APPROPRIATION

REQUISITION

NUMBER AMOUNT

1 674-3660160-088-828100 Supply Processin-2638

674-26-3-088-0106 (P)

DENTAL SUPPLIES-

010044108

A.3 DELIVERY SCHEDULE

ITEM

NUMBER SHIPPING INFORMATION QUANTITY

DELIVERY

DATE

0001-

SHIP TO: Central Texas Veterans Health Care System 1901 Veterans Memorial Drive Bldg. 206 Temple, TX 76571

US

ALL 12/31/2026

MARK FOR: John C. Zubik

(254) 749-6711 john.zubik@va.gov

FOB: DESTINATION

A.4 STATEMENT OF WORK (SOW)

Introduction

The Central Texas Veterans Health Care System is currently expanding its Dental services, including the addition of 11 new dental chairs to enhance patient access and treatment capacity. To ensure the safe and efficient operation of these new chairs, additional dental instrument trays will be acquired through the Strategic Acquisition

Center IDIQ Contract # 36C10G24D0031 with Dentsply Sirona. The projected go-live date for this expansion is August 31, 2026. The new instruments will not necessitate additional training or the development of new standard operating procedures.

Package Items Summary

Item DESCRIPTION CATALOG QTY UOM

1 DIRECTION INDICATOR EV 25765 36 EA

2 DRILL EXTENSION 22520 12 EA

3 HEX DRIVER EV MACHINE INTERMEDIATE, 24 MM 68015205 12 EA

4 HEX DRIVER EV MACHINE SHORT, 20 MM 68015207 12 EA

5 IMPLANT DEPTH GAUGE 68015198 12 EA

6 IMPLANT DRIVER BLUE 3.5/4.0 LONG 25010 12 EA

7 IMPLANT DRIVER BLUE 3.5/4.0 SHORT 25009 12 EA

8 IMPLANT DRIVER PURPLE 4.5/5.0 LONG 25012 12 EA

9 IMPLANT DRIVER PURPLE 4.5/5.0 SHORT 25011 12 EA

10 IMPLANT DRIVER YELLOW 3.0 LONG 25008 12 EA

11 IMPLANT DRIVER YELLOW 3.0 SHORT 25007 12 EA

12 SURGICAL TRAY 24349 12 EA

13 TORQUE WRENCH EV 25774 12 EA

14 TORQUE WRENCH EV RESTORATIVE DRIVER HANDLE

WITH CAP

25776 12 EA

15 TORQUE WRENCH EV RESTORATIVE DRIVER HANDLE,

LOW

25777 12 EA

Place of Delivery:

Central Texas Veterans Health Care System Bldg. 206 1901 Veterans Memorial Drive Temple, TX 76571

Delivery Schedule:

Items shall be delivered no earlier than the estimated delivery start date and no later than the delivery end date listed in Table below.

Building Name

Building # & Letter

Acronym Est. Delivery Start Date

Est. Delivery End Date

SCM

Warehouse

Bldg 206 CTVHCS 30 days after contract award

Nlt 60 days after contract award

Period of Performance

❖ Period of performance shall be done in a reasonable time frame (no longer than

60 days after receipt of order) unless unseen circumstances arise which need to be discussed with CO, Dental POC and SPS representative.

Schedule and Order Management

❖ The above delivery schedule is based upon the current construction schedule, which is subject to change. The vendor shall not increase prices for a change in delivery date for up to 30+ days due to construction delays.

❖ The awardees actual delivery dates will be confirmed by VA upon award.

❖ Post-award the vendor will coordinate delivery. Once the dates have been confirmed, modifications to the schedule are subject to written approval by the

VA POC and the vendor. Schedule changes that are beyond the dates specified in the contract will require approval by the Contracting Officer and a contract modification.

Delivery and Receiving

❖ Delivery and receipt of the proposed items is anticipated to be directed to the location identified below. Confirmation of delivery location will be confirmed by the VA POC post-award. Delivery must be coordinated with VA Logistics POC, John Zubik, john.zubik@va.gov , 254-749-6711 and/or Jacob Sampson, Jacob.sampson@va.gov 254-413-2957, prior to any attempts at delivery. Any item that has not been coordinated will be turned away and any additional charges will be the responsibility of the sender/transportation company.

❖ The vendor is required to define the need for a staging area to accommodate item delivery, if needed. Post-award, this information will be confirmed with the vendor.

❖ The delivery of items identified in this document shall take place during normal business hours which are defined as: 0800 to 1630 (i.e.: 8:00am to 4:30pm

Central Time), Monday through Friday, and excluding Federal Holidays.

❖ Labeling of delivered items shall include the awarded contract number and VA purchase order number for identification and reference upon receipt of product.

Documentation:

❖ Contractor shall furnish a delivery manifest once all dental instruments has been delivered.

Invoicing

❖ Invoices must contain the contact information and contract number in addition to the requirements in detail to be considered. All invoices shall be submitted to the

VA Financial Service Center. All invoices will reference the purchase order number and CLIN assigned to the contract.

Information Systems Officer, Information Protection:

❖ The contractor will not have access to VA Desktop computers nor will they have access to online resources belonging to the government while conducting services. If removal of equipment from the VA is required, any memory storage devices, such as hard drives, solid state drives and non-volatile memory units will remain in VA control and will not be removed from VA custody.

Privacy Officer:

mailto:john.zubik@va.gov mailto:Jacob.sampson@va.gov

❖ The contractor will not have access to protected Patient Health Information

(PHI) nor will they have the capability of accessing patient information during the services provided to the VA and if removal of equipment from the VA is required, any memory storage devices, such as hard drives, solid state drives and non-volatile memory units will remain in VA control and will not be removed from VA custody. All research data available for Contractor analyses is de-identified.

Records Officer:

❖ There will be no federal records created, maintained, used or dispositioned with this contract; regardless of format [paper, electronic, etc.] or mode of transmission [e-mail, fax, etc.

DELIVERY ORDER TERMS AND CONDITIONS NOT SPECIFIED IN THE

CONTRACT

A.4 TASK/DELIVERY ORDER INTRODUCTORY LANGUAGE

The terms and conditions of the Contractor's indefinite delivery contract (IDC) (including any contract modifications) apply to all task or delivery orders issued under the contract.

When a lower price has been established, or when the delivery terms, FOB terms, or ordering requirements have been modified by the task/delivery order, those modified terms will apply to all purchases made pursuant to it and take precedence over the IDC.

Any unique terms and conditions of an order issued under the contract that are not a part of the applicable IDC will govern. In the event of an inconsistency between the terms and conditions of a task/delivery order and the Contractor's IDC, other than those identified above, the terms of the IDC will take precedence.

A.5 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):

(End of Clause)

FAR

Number

Title Date

52.203-17 CONTRACTOR EMPLOYEE WHISTLEBLOWER

RIGHTS

NOV 2023

52.204-13 SYSTEM FOR AWARD MANAGEMENT—

MAINTENANCE (DEVIATION)

NOV 2025

52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED

TO IMPLEMENT STATUTES OR EXECUTIVE

ORDERS—COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES

OCT 2025

52.232-18 AVAILABILITY OF FUNDS APR 1984

852.201-70 CONTRACTING OFFICER'S REPRESENTATIVE DEC 2022

852.203-70 COMMERCIAL ADVERTISING MAY 2018

852.232-72 ELECTRONIC SUBMISSION OF PAYMENT

REQUESTS

NOV 2018

A.6 52.217-6 OPTION FOR INCREASED QUANTITY (MAR 1989)

The Government may increase the quantity of supplies called for in the Schedule at the unit price specified. The Contracting Officer may exercise the option by written notice to the Contractor within 60 Days. Delivery of the added items shall continue at the same rate as the like items called for under the contract, unless the parties otherwise agree.

A.6 52.217-7 OPTION FOR INCREASED QUANTITY—SEPARATELY PRICED LINE

ITEM MAR 1989

The Government may require the delivery of the numbered line item, identified in the

Schedule as an option item, in the quantity and at the price stated in the Schedule. The

Contracting Officer may exercise the option by written notice to the Contractor within 60

Days. Delivery of added items shall continue at the same rate that like items are called for under the contract, unless the parties otherwise agree.

(End of Clause)

A.7 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 Clause)