B.08 COMBINED SYNOPSIS SOLICITATION W91YTZ22Q0027.pdf

Document Type: Combined Solicitation/Synopsis Date: March 31, 2022 Subject: Lease/Rental of Hospital Beds Solicitation Number: W91YTZ22Q0027 Response Date: April 14 2022 4:00 PM. EST Point of Contact: Cynthia.a.richardson-rhone.civ@mail.mil Unrestricted Place of Performance: Womack Army Medical Center, Fort Bragg, NC

Period of Performance: 27 April 2022 to 26 April 2027

NAICS Code: 532490- Size Standard: 35,000,000

Contracting Office Address

Department of the Army US Army Medical Command Army Health Contracting Activity Regional Health Contracting Office - Atlantic 6021 5th Street, Bldg. 1467 Fort Belvoir, VA 22060-5505

The Regional Health Contracting Office – Atlantic, Fort Bragg, NC intends to solicit, negotiate, and award unrestricted Blanket Purchase Agreement(s) (BPAs) for the Womack Army Medical Center, Fort Bragg, NC to provide shall furnish all labor, equipment, and supplies necessary to meet requirements of specialty equipment, beds, mattresses and like items to include (Wound: Clinitron, Wound other, Envella, Bariatric: Excel, Triflex) ordered from Hill-Rom equipment list to provide patient care on a case by case basis to include delivery and picked up from Womack Army Medical Center. Orders will be called in as needed. The Contractor shall furnish specialty hospital beds as required. The ordering period for this BPA is five years from the date of award. Limitation also applies to the master dollar limit. If the dollar limit is met, the BPA ends as well.

This is a combined synopsis/solicitation for commercial items prepared in accordance with the format in Subpart 12.6, as supplemented with additional information included in this notice. This announcement constitutes the only solicitation;

quotations are being requested and a written solicitation will not be issued. This solicitation number W91YTZ22Q0027 is issued as a request for quotation (RFQ). Delivery date for this service is within 10 days of award. This is an unrestricted procurement. The NAICS Code is 532490. The Small Business Size Standard is $35,000,000.

The solicitation document and incorporated provisions and clauses are those in effect through Federal Acquisition Circular 2005-101. Interested persons may identify their interest and capability to respond to the requirement and submit proposals.

Provide your Company’s Dunn and Bradstreet number (DUNS); CAGE code; tax ID number; number of days to deliver, along with your Published Price list, by item number, for evaluation purposes.

All quotes received after the date of publication of this synopsis will be considered by the Government. Submit quotes via email ONLY to Cynthia A. Richardson-Rhone at Cynthia.a.richardson-rhone.civ@mail.mil or Lonnie K. Robinson at Lonnie.k.robinson.civ@mail.mil no later than 14 April 2022 @ 4:00PM EST. No telephonic requests will be honored.

Clauses and provisions throughout this solicitation can be viewed by accessing website www.acquisition.gov. FAR provision 52.212-1 [Instructions to Offerors Commercial Items] applies to this acquisition to include the following addenda: All offerors are cautioned that if selected for award, they must be registered in the System for Award Management (SAM) program. The SAM can be accessed via the internet at https://www.sam.gov/portal/public/SAM/. Confirmation of SAM registration will be mailto:Cynthia.a.richardson-rhone.civ@mail.mil mailto:Lonnie.k.robinson.civ@mail.mil https://www.sam.gov/portal/public/SAM/ validated prior to awarding a contract. The provision at FAR 52.212-2, Evaluation – Commercial Items and any addendums to this provision apply to this acquisition. The clause at FAR 52.212-5 (DEVIATION 2018-O0021) (SEP 2018), Contract Terms and Conditions to Implement Statutes or Executive Orders – Commercial Items applies to this acquisition.

The following provisions in their latest editions apply to this solicitation.

Vendors shall include a completed copy of FAR provision 52.212-3 ALT 1, “Offeror Representations and Certifications” with their offer. Offerors shall include a confirmation of receipt of any amendments to this solicitation. Failure to submit a confirmation could result in the offer being determined non- responsive. Clause 52.212-4 Contract Terms and Conditions— Commercial items, applies to this acquisition to include any applicable addenda.

Section SF 1449 - CONTINUATION SHEET

AMOUNT

SPECIALTY BED AND

EQUIPMENT RENTAL FFP

SPECIALTY BED AND EQUIPMENT RENTAL Specialty Bed / Mattress Rental and delivered to Womack Army Medical Center, Fort Bragg, NC. Beds will be ordered on an as needed basis at a daily rental rate. The period of performance is 27 April 2022 - 31 March 2027 FOB: Destination

VENDOR PART NR:

SPECIALTY BEDS

PURCHASE REQUEST

NUMBER: 0011734653 PSC

CD: W099

NET AMT

AMOUNT

CONTRACTOR

MANPOWER

REPORT FFP

NOTE: The requirements in DFARS 252.211-7003, Item Identification and Valuation, are applicable for this line item.

The contractor shall provide DoD unique identification or a DoD recognized unique identification equivalent. 31 October of each year in which services were provided during the previous fiscal year.

FOB: Destination

VENDOR PART NR:

SPECIALTY BEDS

PURCHASE REQUEST

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE

0001 1 Job

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE

0002 1 Each

NUMBER: 0011734653 PSC

CD: W099

NET AMT

INSPECTION AND ACCEPTANCE TERMS

Supplies/services will be inspected/accepted at:

CLIN INSPECT AT INSPECT BY ACCEPT AT ACCEPT BY

0001 Destination Government Destination Government 0002 Destination Government Destination Government

DELIVERY INFORMATION

CLIN DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

0001 POP 27-APR-2022 TO

26-APR-2027

N/A W2L6 WOMACK ARMY MED CTR

W2L6 WOMACK ARMY MED CTR

2817 REILLY ROAD

BLDG 4

FORT BRAGG NC 28310-5000

210-808-2837 FOB: Destination

W36XTM

0002 30-OCT-2027 1 W2L6 WOMACK ARMY MED CTR

W2L6 WOMACK ARMY MED CTR

2817 REILLY ROAD

BLDG 4

FORT BRAGG NC 28310-5000

910-907-6000 FOB: Destination

W36XTM

CLAUSES INCORPORATED BY REFERENCE

52.212-4 Contract Terms and Conditions--Commercial Products and Commercial Services

DEC 2021

52.212-4 ADDENDUM

(w) The non-FAR Part 12 discretionary FAR and DFARS clauses included herein are incorporated into this contract either by reference or in full text. If incorporated by reference, see clause 52.252-2 herein for locations where full text can be found.

(End of Addendum)

52.204-9 Personal Identity Verification of Contractor Personnel JAN 2011 52.204-10 Reporting Executive Compensation and First-Tier JUN 2020

Subcontract Awards 52.204-13 System for Award Management Maintenance OCT 2018 52.204-25 Prohibition on Contracting for Certain Telecommunications DEC 2021 and Video Surveillance Services or Equipment 52.209-6 Protecting the Government's Interest When Subcontracting DEC 2021

With Contractors Debarred, Suspended, or Proposed for Debarment 52.222-21 Prohibition Of Segregated Facilities APR 2015 52.222-26 Equal Opportunity SEP 2016 52.222-50 Combating Trafficking in Persons DEC 2021 52.223-3 Hazardous Material Identification And Material Safety Data FEB 2021 52.223-18 Encouraging Contractor Policies To Ban Text Messaging JUN 2020

While Driving 52.225-13 Restrictions on Certain Foreign Purchases FEB 2021 52.232-33 Payment by Electronic Funds Transfer--System for Award OCT 2018

Management 52.232-36 Payment by Third Party MAY 2014 52.232-37 Multiple Payment Arrangements MAY 1999 52.232-39 Unenforceability of Unauthorized Obligations JUN 2013 52.232-40 Providing Accelerated Payments to Small Business DEC 2021

Subcontractors 52.233-3 Protest After Award AUG 1996 52.233-4 Applicable Law for Breach of Contract Claim OCT 2004 52.237-2 Protection Of Government Buildings, Equipment, And APR 1984

Vegetation 52.237-3 Continuity Of Services JAN 1991 252.201-7000 Contracting Officer's Representative DEC 1991 252.203-7000 Requirements Relating to Compensation of Former DoD SEP 2011

Officials 252.203-7002 Requirement to Inform Employees of Whistleblower Rights SEP 2013 252.204-7003 Control Of Government Personnel Work Product APR 1992 252.225-7002 Qualifying Country Sources As Subcontractors DEC 2017 252.225-7048 Export-Controlled Items JUN 2013 252.232-7010 Levies on Contract Payments DEC 2006 252.232-7017 Accelerating Payments to Small Business Subcontractors-- APR 2020

Prohibition on Fees and Consideration

CLAUSES INCORPORATED BY FULL TEXT

252.232-7003 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS AND RECEIVING REPORTS (DEC 2018)

(a) Definitions. As used in this clause--

Contract financing payment means an authorized Government disbursement of monies to a contractor prior to acceptance of supplies or services by the Government.

(1) Contract financing payments include--

(i) Advance payments;

(ii) Performance-based payments;

(iii) Commercial advance and interim payments;

(iv) Progress payments based on cost under the clause at Federal Acquisition Regulation (FAR) 52.232-16, Progress Payments;

(v) Progress payments based on a percentage or stage of completion (see FAR 32.102(e)), except those made under the clause at FAR 52.232-5, Payments Under Fixed-Price Construction Contracts, or the clause at FAR 52.232-10, Payments Under Fixed-Price Architect-Engineer Contracts; and

(vi) Interim payments under a cost reimbursement contract, except for a cost reimbursement contract for services when Alternate I of the clause at FAR 52.232-25, Prompt Payment, is used.

(2) Contract financing payments do not include--

(i) Invoice payments;

(ii) Payments for partial deliveries; or

(iii) Lease and rental payments.

Electronic form means any automated system that transmits information electronically from the initiating system to affected systems.

Invoice payment means a Government disbursement of monies to a contractor under a contract or other authorization for supplies or services accepted by the Government.

(1) Invoice payments include--

(i) Payments for partial deliveries that have been accepted by the Government;

(ii) Final cost or fee payments where amounts owed have been settled between the Government and the contractor;

(iii) For purposes of subpart 32.9 only, all payments made under the clause at 52.232-5, Payments Under Fixed- Price Construction Contracts, and the clause at 52.232-10, Payments Under Fixed-Price Architect-Engineer Contracts; and

(iv) Interim payments under a cost-reimbursement contract for services when Alternate I of the clause at 52.232-25, Prompt Payment, is used.

(2) Invoice payments do not include contract financing payments.

Payment request means any request for contract financing payment or invoice payment submitted by the Contractor under this contract or task or delivery order.

Receiving report means the data prepared in the manner and to the extent required by Appendix F, Material Inspection and Receiving Report, of the Defense Federal Acquisition Regulation Supplement.

(b) Except as provided in paragraph (d) of this clause, the Contractor shall submit payment requests and receiving reports in electronic form using Wide Area WorkFlow (WAWF). The Contractor shall prepare and furnish to the Government a receiving report at the time of each delivery of supplies or services under this contract or task or delivery order.

(c) Submit payment requests and receiving reports to WAWF in one of the following electronic formats:

(1) Electronic Data Interchange.

(2) Secure File Transfer Protocol.

(3) Direct input through the WAWF website.

(d) The Contractor may submit a payment request and receiving report using methods other than WAWF only when-

(1) The Contractor has requested permission in writing to do so, and the Contracting Officer has provided instructions for a temporary alternative method of submission of payment requests and receiving reports in the contract administration data section of this contract or task or delivery order;

(2) DoD makes payment for commercial transportation services provided under a Government rate tender or a contract for transportation services using a DoD-approved electronic third party payment system or other exempted vendor payment/invoicing system (e.g., PowerTrack, Transportation Financial Management System, and Cargo and Billing System);

(3) DoD makes payment on a contract or task or delivery order for rendered health care services using the TRICARE Encounter Data System; or

(4) The Governmentwide commercial purchase card is used as the method of payment, in which case submission of only the receiving report in WAWF is required.

(e) Information regarding WAWF is available at https://wawf.eb.mil/.

(f) In addition to the requirements of this clause, the Contractor shall meet the requirements of the appropriate payment clauses in this contract when submitting payment requests.

(End of clause)

252.232-7006 WIDE AREA WORKFLOW PAYMENT INSTRUCTIONS (DEC 2018)

(a) Definitions. As used in this clause—

“Department of Defense Activity Address Code (DoDAAC)” is a six position code that uniquely identifies a unit, activity, or organization.

“Document type” means the type of payment request or receiving report available for creation in Wide Area WorkFlow (WAWF).

“Local processing office (LPO)” is the office responsible for payment certification when payment certification is done external to the entitlement system.

“Payment request” and “receiving report” are defined in the clause at 252.232-7003, Electronic Submission of Payment Requests and Receiving Reports.

(b) Electronic invoicing. The WAWF system provides the method to electronically process vendor payment requests and receiving reports, as authorized by Defense Federal Acquisition Regulation Supplement (DFARS) 252.232- 7003, Electronic Submission of Payment Requests and Receiving Reports.

(c) WAWF access. To access WAWF, the Contractor shall—

(1) Have a designated electronic business point of contact in the System for Award Management at https://www.sam.gov; and

(2) Be registered to use WAWF at https://wawf.eb.mil/ following the step-by-step procedures for self-registration available at this web site.

(d) WAWF training. The Contractor should follow the training instructions of the WAWF Web-Based Training Course and use the Practice Training Site before submitting payment requests through WAWF. Both can be accessed by selecting the “Web Based Training” link on the WAWF home page at https://wawf.eb.mil/.

(e) WAWF methods of document submission. Document submissions may be via web entry, Electronic Data Interchange, or File Transfer Protocol.

(f) WAWF payment instructions. The Contractor shall use the following information when submitting payment requests and receiving reports in WAWF for this contract or task or delivery order:

(1) Document type. The Contractor shall submit payment requests using the following document type(s):

(i) For cost-type line items, including labor-hour or time-and-materials, submit a cost voucher.

(ii) For fixed price line items—

(A) That require shipment of a deliverable, submit the invoice and receiving report specified by the Contracting Officer.

(Contracting Officer: Insert applicable invoice and receiving report document type(s) for fixed price line items that require shipment of a deliverable.)

(B) For services that do not require shipment of a deliverable, submit either the Invoice 2in1, which meets the requirements for the invoice and receiving report, or the applicable invoice and receiving report, as specified by the Contracting Officer.

(Contracting Officer: Insert either “Invoice 2in1” or the applicable invoice and receiving report document type(s) for fixed price line items for services.)

(iii) For customary progress payments based on costs incurred, submit a progress payment request.

(iv) For performance based payments, submit a performance based payment request.

(v) For commercial item financing, submit a commercial item financing request.

(2) Fast Pay requests are only permitted when Federal Acquisition Regulation (FAR) 52.213-1 is included in the contract.

[Note: The Contractor may use a WAWF “combo” document type to create some combinations of invoice and receiving report in one step.]

(3) Document routing. The Contractor shall use the information in the Routing Data Table below only to fill in applicable fields in WAWF when creating payment requests and receiving reports in the system.

Routing Data Table*

Field Name in WAWF Data to be entered in WAWF Pay Official DoDAAC W91YTZ Issue By DoDAAC W91YTZ Admin DoDAAC** W36XTM Inspect By DoDAAC W36XTM Ship To Code Ship From Code Mark For Code Service Approver (DoDAAC) W36XTM Service Acceptor (DoDAAC) W36XTM Accept at Other DoDAAC LPO DoDAAC DCAA Auditor DoDAAC Other DoDAAC(s)

(*Contracting Officer: Insert applicable DoDAAC information. If multiple ship to/acceptance locations apply, insert “See Schedule” or “Not applicable.”)

(**Contracting Officer: If the contract provides for progress payments or performance-based payments, insert the DoDAAC for the contract administration office assigned the functions under FAR 42.302(a)(13).)

(4) Payment request. The Contractor shall ensure a payment request includes documentation appropriate to the type of payment request in accordance with the payment clause, contract financing clause, or Federal Acquisition Regulation 52.216-7, Allowable Cost and Payment, as applicable.

(5) Receiving report. The Contractor shall ensure a receiving report meets the requirements of DFARS Appendix F.

(g) WAWF point of contact. Gloria C. Mikell, gloria.c.mikell.civ@mail.mil

(1) The Contractor may obtain clarification regarding invoicing in WAWF from the following contracting activity’s WAWF point of contact.

mailto:gloria.c.mikell.civ@mail.mil

(Contracting Officer: Lonnie K. Robinson, lonnie.k.robinson.civ@mail.mil

(2) Contact the WAWF helpdesk at 866-618-5988, if assistance is needed.

52.209-10 Prohibition on Contracting With Inverted Domestic Corporations. (NOV 2015)

Inverted domestic corporation means a foreign incorporated entity that meets the definition of an inverted domestic corporation under 6 U.S.C. 395(b), applied in accordance with the rules and definitions of 6 U.S.C. 395(c).

Subsidiary means an entity in which more than 50 percent of the entity is owned--

(1) Directly by a parent corporation; or

(2) Through another subsidiary of a parent corporation.

(b) If the contractor reorganizes as an inverted domestic corporation or becomes a subsidiary of an inverted domestic corporation at any time during the period of performance of this contract, the Government may be prohibited from paying for Contractor activities performed after the date when it becomes an inverted domestic corporation or subsidiary. The Government may seek any available remedies in the event the Contractor fails to perform in accordance with the terms and conditions of the contract as a result of Government action under this clause.

(c) Exceptions to this prohibition are located at 9.108-2.

(d) In the event the Contractor becomes either an inverted domestic corporation, or a subsidiary of an inverted domestic corporation during contract performance, the Contractor shall give written notice to the Contracting Officer within five business days from the date of the inversion event.

52.219-28 POST-AWARD SMALL BUSINESS PROGRAM REREPRESENTATION (SEP 2021)

Long-term contract means a contract of more than five years in duration, including options. However, the term does not include contracts that exceed five years in duration because the period of performance has been extended for a cumulative period not to exceed six months under the clause at 52.217-8, Option to Extend Services, or other appropriate authority.

Small business concern--mailto:lonnie.k.robinson.civ@mail.mil

(1) Means a concern, including its affiliates, that is independently owned and operated, not dominant in the field of operation in which it is bidding on Government contracts, and qualified as a small business under the criteria in 13 CFR part 121 and the size standard in paragraph (d) of this clause. Such a concern is "not dominant in its field of operation" when it does not exercise a controlling or major influence on a national basis in a kind of business activity in which a number of business concerns are primarily engaged. In determining whether dominance exists, consideration shall be given to all appropriate factors, including volume of business, number of employees, financial resources, competitive status or position, ownership or control of materials, processes, patents, license agreements, facilities, sales territory, and nature of business activity.

(2) Affiliates, as used in this definition, means business concerns, one of whom directly or indirectly controls or has the power to control the others, or a third party or parties control or have the power to control the others. In determining whether affiliation exists, consideration is given to all appropriate factors including common ownership, common management, and contractual relationships. SBA determines affiliation based on the factors set forth at 13

CFR 121.103.

(b) If the Contractor represented that it was any of the small business concerns identified in 19.000(a)(3) prior to award of this contract, the Contractor shall rerepresent its size and socioeconomic status according to paragraph (f) of this clause or, if applicable, paragraph (h) of this clause, upon occurrence of any of the following:

(1) Within 30 days after execution of a novation agreement or within 30 days after modification of the contract to include this clause, if the novation agreement was executed prior to inclusion of this clause in the contract.

(2) Within 30 days after a merger or acquisition that does not require a novation or within 30 days after modification of the contract to include this clause, if the merger or acquisition occurred prior to inclusion of this clause in the contract.

(3) For long-term contracts--

(i) Within 60 to 120 days prior to the end of the fifth year of the contract; and

(ii) Within 60 to 120 days prior to the date specified in the contract for exercising any option thereafter.

(c) If the Contractor represented that it was any of the small business concerns identified in 19.000(a)(3) prior to award of this contract, the Contractor shall rerepresent its size and socioeconomic status according to paragraph (f) of this clause or, if applicable, paragraph (h) of this clause, when the Contracting Officer explicitly requires it for an order issued under a multiple-award contract.

(d) The Contractor shall rerepresent its size status in accordance with the size standard in effect at the time of this rerepresentation that corresponds to the North American Industry Classification System (NAICS) code(s) assigned to this contract. The small business size standard corresponding to this NAICS code(s) can be found at https://www.sba.gov/document/support--table-size-standards.

(e) The small business size standard for a Contractor providing an end item that it does not manufacture, process, or produce itself, for a contract other than a construction or service contract, is 500 employees if the acquisition--

(1) Was set aside for small business and has a value above the simplified acquisition threshold;

(2) Used the HUBZone price evaluation preference regardless of dollar value, unless the Contractor waived the price evaluation preference; or

(3) Was an 8(a), HUBZone, service-disabled veteran-owned, economically disadvantaged women-owned, or women-owned small business set-aside or sole-source award regardless of dollar value.

(f) Except as provided in paragraph (h) of this clause, the Contractor shall make the representation(s) required by paragraph (b) and (c) of this clause by validating or updating all its representations in the Representations and http://www.sba.gov/document/support--table-size-standards http://www.sba.gov/document/support--table-size-standards http://www.sba.gov/document/support--table-size-standards

Certifications section of the System for Award Management (SAM) and its other data in SAM, as necessary, to ensure that they reflect the Contractor's current status. The Contractor shall notify the contracting office in writing within the timeframes specified in paragraph (b) of this clause, or with its offer for an order (see paragraph (c) of this clause), that the data have been validated or updated, and provide the date of the validation or update.

(g) If the Contractor represented that it was other than a small business concern prior to award of this contract, the Contractor may, but is not required to, take the actions required by paragraphs (f) or (h) of this clause.

(h) If the Contractor does not have representations and certifications in SAM, or does not have a representation in SAM for the NAICS code applicable to this contract, the Contractor is required to complete the following rerepresentation and submit it to the contracting office, along with the contract number and the date on which the rerepresentation was completed:

(1) The Contractor represents that it [ ] is, [X] is not a small business concern under NAICS Code 532490 assigned to contract number W91YTZ22AXXXX.

(2) [Complete only if the Contractor represented itself as a small business concern in paragraph (h)(1) of this clause.] The Contractor represents that it [ ] is, [ ] is not, a small disadvantaged business concern as defined in 13 CFR 124.1002.

(3) [Complete only if the Contractor represented itself as a small business concern in paragraph (h)(1) of this clause.] The Contractor represents that it [ ] is, [ ] is not a women-owned small business concern.

(4) Women-owned small business (WOSB) concern eligible under the WOSB Program. [Complete only if the Contractor represented itself as a women-owned small business concern in paragraph (h)(3) of this clause.] The Contractor represents that--

(i) It [ ] is, [ ] is not a WOSB concern eligible under the WOSB Program, has provided all the required documents to the WOSB Repository, and no change in circumstances or adverse decisions have been issued that affects its eligibility; and

(ii) It [ ] is, [ ] is not a joint venture that complies with the requirements of 13 CFR part 127, and the representation in paragraph (h)(4)(i) of this clause is accurate for each WOSB concern eligible under the WOSB Program participating in the joint venture.

[The Contractor shall enter the name or names of the WOSB concern eligible under the WOSB Program and other small businesses that are participating in the joint venture: .] Each WOSB concern eligible under the WOSB Program participating in the joint venture shall submit a separate signed copy of the WOSB representation.

(5) Economically disadvantaged women-owned small business (EDWOSB) concern. [Complete only if the Contractor represented itself as a women-owned small business concern eligible under the WOSB Program in (h)(4) of this clause.] The Contractor represents that--

(i) It [ ] is, [ ] is not an EDWOSB concern eligible under the WOSB Program, has provided all the required documents to the WOSB Repository, and no change in circumstances or adverse decisions have been issued that affects its eligibility; and

(ii) It [ ] is, [ ] is not a joint venture that complies with the requirements of 13 CFR part 127, and the representation in paragraph (h)(5)(i) of this clause is accurate for each EDWOSB concern participating in the joint venture. [The Contractor shall enter the name or names of the EDWOSB concern and other small businesses that are participating in the joint venture: .] Each EDWOSB concern participating in the joint venture shall submit a separate signed copy of the EDWOSB representation.

(6) [Complete only if the Contractor represented itself as a small business concern in paragraph (h)(1) of this clause.] The Contractor represents that it [ ] is, [ ] is not a veteran-owned small business concern.

(7) [Complete only if the Contractor represented itself as a veteran-owned small business concern in paragraph (h)(6) of this clause.] The Contractor represents that it [ ] is, [ ] is not a service-disabled veteran-owned small business concern.

(8) [Complete only if the Contractor represented itself as a small business concern in paragraph (h)(1) of this clause.] The Contractor represents that--

(i) It [ ] is, [ ] is not a HUBZone small business concern listed, on the date of this representation, on the List of Qualified HUBZone Small Business Concerns maintained by the Small Business Administration, and no material changes in ownership and control, principal office, or HUBZone employee percentage have occurred since it was certified in accordance with 13 CFR part 126; and

(ii) It [ ] is, [ ] is not a HUBZone joint venture that complies with the requirements of 13 CFR part 126, and the representation in paragraph (h)(8)(i) of this clause is accurate for each HUBZone small business concern participating in the HUBZone joint venture. [The Contractor shall enter the names of each of the HUBZone small business concerns participating in the HUBZone joint venture: .] Each HUBZone small business concern participating in the HUBZone joint venture shall submit a separate signed copy of the HUBZone representation.

[Contractor to sign and date and insert authorized signer's name and title.]

52.222-36 EQUAL OPPORTUNITY FOR WORKERS WITH DISABILITIES (JUN 2020)

(a) Equal opportunity clause. The Contractor shall abide by the requirements of the equal opportunity clause at 41 CFR 60-741.5(a), as of March 24, 2014. This clause prohibits discrimination against qualified individuals on the basis of disability, and requires affirmative action by the Contractor to employ and advance in employment qualified individuals with disabilities.

(b) Subcontracts. The Contractor shall include the terms of this clause in every subcontract or purchase order in excess of the threshold specified in Federal Acquisition Regulation (FAR) 22.1408(a) on the date of subcontract award, unless exempted by rules, regulations, or orders of the Secretary, so that such provisions will be binding upon each subcontractor or vendor. The Contractor shall act as specified by the Director, Office of Federal Contract Compliance Programs of the U.S. Department of Labor, to enforce the terms, including action for noncompliance.

Such necessary changes in language may be made as shall be appropriate to identify properly the parties and their undertakings.

52.252-2 Clauses Incorporated By Reference FEB 1998 52.252-6 Authorized Deviations In Clauses NOV 2020 252.204-7012 Safeguarding Covered Defense Information and Cyber DEC 2019

Incident Reporting

252.204-7015 Notice of Authorized Disclosure of Information for Litigation MAY 2016 Support

252.244-7000 Subcontracts for Commercial Items JAN 2021

CLAUSES INCORPORATED BY FULL TEXT

52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT STATUTES OR

EXECUTIVE ORDERS—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (DEVIATION 2018-

O0021) (JAN 2022)

(a) Comptroller General Examination of Record. The Contractor shall comply with the provisions of this paragraph

(a) if this contract was awarded using other than sealed bid, is in excess of the simplified acquisition threshold, and does not contain the clause at 52.215-2, Audit and Records—Negotiation.

(1) The Comptroller General of the United States, or an authorized representative of the Comptroller General, shall have access to and right to examine any of the Contractor’s directly pertinent records involving transactions related to this contract.

(2) The Contractor shall make available at its offices at all reasonable times the records, materials, and other evidence for examination, audit, or reproduction, until 3 years after final payment under this contract or for any shorter period specified in FAR Subpart 4.7, Contractor Records Retention, of the other clauses of this contract. If this contract is completely or partially terminated, the records relating to the work terminated shall be made available for 3 years after any resulting final termination settlement. Records relating to appeals under the disputes clause or to litigation or the settlement of claims arising under or relating to this contract shall be made available until such appeals, litigation, or claims are finally resolved.

(3) As used in this clause, records include books, documents, accounting procedures and practices, and other data, regardless of type and regardless of form. This does not require the Contractor to create or maintain any record that the Contractor does not maintain in the ordinary course of business or pursuant to a provision of law.

(b)(1) Notwithstanding the requirements of any other clauses of this contract, the Contractor is not required to flow down any FAR clause, other than those in this paragraph (b) (1) in a subcontract for commercial products or commercial services. Unless otherwise indicated below, the extent of the flow down shall be as required by the clause—

(i) 52.203-13, Contractor Code of Business Ethics and Conduct (NOV 2021) (41 U.S.C. 3509).

(ii) 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)).

(iii) 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).

(iv) 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).

(v) 52.219-8, Utilization of Small Business Concerns (OCT 2018) (15 U.S.C. 637(d)(2) and (3)), in all subcontracts that offer further subcontracting opportunities. If the subcontract (except subcontracts to small business concerns) exceeds $700,000 ($1.5 million for construction of any public facility), the subcontractor must include 52.219-8 in lower tier subcontracts that offer subcontracting opportunities.

(vi) 52.222-21, Prohibition of Segregated Facilities (APR 2015).

(vii) 52.222-26, Equal Opportunity (SEP 2016) (E.O. 11246).

(viii) 52.222-35, Equal Opportunity for Veterans (OCT 2015) (38 U.S.C. 4212).

(ix) 52.222-36, Equal Opportunity for Workers with Disabilities (JUL 2014) (29 U.S.C. 793).

(x) 52.222-37, Employment Reports on Veterans (FEB 2016) (38 U.S.C. 4212).

(xi) 52.222-40, Notification of Employee Rights Under the National Labor Relations Act (DEC 2010) (E.O. 13496).

Flow down required in accordance with paragraph (f) of FAR clause 52.222-40.

(xii) 52.222-41, Service Contract Labor Standards (AUG 2018) (41 U.S.C. chapter 67).

(xiii)(A) 52.222-50, Combating Trafficking in Persons (NOV 2021) (22 U.S.C. chapter 78 and E.O. 13627).

(B) Alternate I (Mar 2015) of 52.222-50 (22 U.S.C. chapter 78 and E.O. 13627).

(xiv) 52.222-51, Exemption from Application of the Service Contract Act to Contracts for Maintenance, Calibration, or Repair of Certain Equipment-Requirements (MAY 2014) (41 U.S.C. chapter 67).

(xv) 52.222-53, Exemption from Application of the Service Contract Act to Contracts for Certain Services- Requirements (MAY 2014) (41 U.S.C. chapter 67).

(xvi) 52.222-54, Employment Eligibility Verification (NOV 2021) (E.O. 12989).

(xvii) 52.222-55, Minimum Wages for Contractor Workers Under Executive Order 14026 (JAN 2022).

(xviii) 52.222-62 Paid Sick Leave Under Executive Order 13706 (JAN 2022) (E.O. 13706).

(xix)(A) 52.224-3, Privacy Training (JAN 2017) (5 U.S.C. 552a).

(B) Alternate I (JAN 2017) of 52.224-3.

(xx) 52.225-26, Contractors Performing Private Security Functions Outside the United States (OCT 2016) (Section 862, as amended, of the National Defense Authorization Act for Fiscal Year 2008; 10 U.S.C. 2302 Note).

(xxi) 52.226-6, Promoting Excess Food Donation to Nonprofit Organizations (MAY 2014) (42 U.S.C. 1792). Flow down required in accordance with paragraph (e) of FAR clause 52.226-6.

(xxii) 52.247-64, Preference for Privately Owned U.S.-Flag Commercial Vessels (NOV 2021) (46 U.S.C. 55305 and 10 U.S.C. 2631). Flow down required in accordance with paragraph (d) of FAR clause 52.247-64.

(2) While not required, the contractor may include in its subcontracts for commercial products and commercial services a minimal number of additional clauses necessary to satisfy its contractual obligations.

BLANKET PURCHASE VERBIAGE

BLANKET PURCHASE AGREEMENT (BPA)

Between

TBD

And

UNITED STATES DEPARTMENT OF DEFENSE (DoD)

1. Authority: This agreement is established in accordance with Federal Acquisition Regulation (FAR) Part 8, Subpart 8.405-3, Blanket Purchase Agreements (BPAs). This BPA will be reviewed by the Contracting Officer at least once annually before the anniversary of the effective date, and revised to conform to all requirements of Statutes, Executive Orders, and the FAR. Revisions will be evidenced by a modification to the BPA.

Description of Agreement: Contractor(s) TBD. The contractor shall furnish all labor, equipment, and supplies necessary to meet requirements of specialty equipment, beds, mattresses and like items to include (Wound:

Clinitron, Wound other, Envella, Bariatric: Excel, Triflex) ordered from Hill-Rom equipment list to provide patient care on a case by case basis to include delivery and picked up from Womack Army Medical Center. Orders will be called in as needed. The Contractor shall furnish specialty hospital beds as required. The ordering period for this BPA is three years from the date of award. Limitation also applies to the master dollar limit. If the dollar limit is met, the BPA ends as well.

2. Extent of Obligation: Contractor(s) TBD is hereby incorporated into this BPA. The Government is obligated only to the extent of calls (orders) placed by authorized individuals and the purchase limitations of this BPA.

Calls (orders) will be made by placing calls for the item required. Payment will be made for actual items provided to the Government.

3. Purchase Limitations:

BPA Call Limit = $25,000.00 BPA Master Dollar Limit = $90,000 over the life of the BPA (five years from the date of award).

Limitation also applies to the master dollar limit. If the dollar limit is met, the BPA ends as well.

4. Individual(s) Authorized to Purchase under the BPA: A listing of individuals authorized to place purchases/calls under this agreement shall be identified by the Regional Health Contracting Office – Atlantic (RHCO-A) in writing to the contractor, and shall be identified by organization component, title and dollar limitation per call for each individual authorized to place purchases/delivery orders. Delivery orders placed by individuals not on the list are not authorized and shall not be honored by the contractor. Services provided by the contractor in violation of this authorization will be treated as an unauthorized commitment and may result in termination of this agreement by the government. Changes in the list shall require the signature of the Administering Contracting Officer.

Authorized individuals to place orders/delivery orders:

Under 25K: Shall be identified by Letter to Contractor upon award of the Blanket Purchase Agreement

(BPA).

Payment for under 2,500 will made by government credit card.

For orders over $2.500 will be through a BPA Call issued by the Contracting Office.

5. Delivery Tickets: All shipments under this agreement shall be accompanied by delivery tickets, sales slips, or a copy of the invoice that shall contain the following minimum information:

1. Name of supplier.

2. BPA number.

3. Date of purchase (Delivery Order).

4. Purchase Number.

5. Itemized list of supplies or services furnished (include Serial/Product number and model number of equipment/supplies).

6. Quantity, unit price, extension of each item, less applicable discounts.

7. Date of delivery or shipment.

6 Invoices/Payments:

The contractor shall create a monthly invoice for each delivery order received. The invoice shall list all “Delivery Tickets” for the month. A Delivery Oder then will be created and invoiced for the total dollar amount for the month. Invoices shall include, at minimum, the information stated under “Delivery Tickets”, above. The period of any discounts will commence on the date of invoice receipt. The contractor is expected to submit an invoice upon receipt of a BPA Delivery Order.

Invoice payments will be made via the WAWF.

The contractor shall submit invoices for delivery orders placed by authorized callers to the attention of the ordering individual who will verify services receipt.

Prices for this BPA are set forth in the contractor's published price list which is attached to this BPA, and will be updated at least on an annual basis and/or as required by any equipment change, substitution or upgrade. Pricing shall be based on published catalog price-list and any discounts offered. Prices to the Government shall be as low as, or lower than, those charged to the contractor’s most favored customers for comparable quantities of similar items or services. Pricing information will be provided as an attachment to the BPA.

There are no funds available for this BPA. Funds will be made available and the government will only be obligated for payment upon issuance of valid order/call placed against this BPA. The Government is only obligated to the extent of authorized orders made against the BPA. There is no minimum monetary amount the Government is obligated to purchase under this BPA.

Invoice billings will be generated and emailed or faxed to the authorized ordering individual monthly. The billings are based upon the attached pricing list.

7. Numbering Of Purchases/Delivery Orders Placed Under This Agreement.

Each order under this agreement shall be assigned a Delivery Order to be used for all orders placed under this BPA. Numbers will not be consist etc., therefore deliver order numbers will read, for example, W91YTZ-22-F- XXXX Orders shall be placed by authorized personnel as orders against this BPA via FAX, mail order, telephonically (with written follow-up) and/or Electronic Data Interchange (EDI).

9. Pricing:

Pricing will be reviewed by the Contractor and the customer prior to the end of each 12 month term of the agreement, in order to assess potential price adjustments based on actual volumes achieved during the year. Pricing shall be based on published catalog price list and any discounts offered. Prices to the Government shall be as low as, or lower than, those charged to the contractor’s most favored customers for comparable quantities of similar items or services. During the term of this BPA, an authorized representative of the contractor may meet with the customer on a quarterly basis to review compliance to the estimated levels.

10. Shipping Instructions:

CONTRACT/ PURCHASE ORDER NUMBER: W91YTZ-22-A-XXXX for credit cards

CONTRACT/ PURCHASE ORDER NUMBER: W91YTZ-22-F-XXXX BPA Call Number issued by Contracting.

DO NOT UNDER ANY CIRCUMSTANCES SHIP ITEMS TO ADDRESSES OTHER THAN THOSE

SPECIFIED HEREIN. TO DO SO IS IN VIOLATION OF THIS ORDER AND COST OF SHIPMENT TO

ADDRESS OTHER THAN THAT SPECIFIED IN THIS ORDER WILL NOT BE PAID UNLESS THE SHIP

TO/DELIVERY ADDRESS IS CHANGED BY MODIFICATION TO THE ORDER SIGNED BY A

CONTRACTING OFFICER.

SHIP TO THE FOLLOWING ADDRESS:

Womack Army Medical Center Warehouse Build 4-2817 Reilly Rd Fort Bragg, NC 28310 EXTERIOR OF ALL SHIPPING CARTONS MUST BE MARKED WITH BPA Delivery ORDER NUMBER.

IF YOU ARE “DROP SHIPPING” ENSURE YOUR SHIPPER COMPLIES WITH THESE INSTRUCTIONS.

CARTONS WITHOUT IDENTIFICATION WILL BE RETURNED “FREIGHT COLLECT”.

PERFORMANCE WORK STATEMENT

PERFORMANCE WORK STATEMENT

1. The contractor shall furnish all labor, equipment, and supplies necessary to meet requirements of specialty equipment, beds, mattresses and like items to include (Wound: Clinitron, Wound other, Envella, Bariatric: Excel, Triflex) ordered from Hill-Rom equipment list to provide patient care on a case by case basis to include delivery and picked up from Womack Army Medical Center. Beds shall be ordered on an as needed daily rental rate.

1.2 Back ground. Womack Army Medical Center requires the daily rental of specialty equipment (Wound: Clinitron, Wound other, Envella, Bariatric: Excel, Triflex) for patients with special medical need determined by their Physician. Rentals have been acquired historically through the VA contract and recently we have found that a BPA will additionally serve our needs in improving patient care and funding needs of the Hospital.

1.2.1 Objective. The primary objective is to provide specialty beds, mattresses and like items for patients with special medical needs for the duration of treatment at Womack Army Medical Center

1.2.2 The contractor shall provide service at the time of request 24 hours a day 7 days a week to include all Religious, State and Federal holidays.

1.3 Notification. Since each bed / mattress is for an individual patient with urgent medical needs, and these needs differ from each patient: - The medical staff will contact the vendor to specify the product required after notifying the COR of the requirement.

1.3.1 Contractor delivery. The Contractor shall deliver requested equipment to Womack Army Medical Center Property Book office on the date of requested delivery for proper processing and any mechanical inspections required.

1.3.2 Contractor pick-up. The Contractor shall return to Womack Army Medical Center Property Book office for pick-up of rented specialty equipment upon receiving notification that the equipment is no longer needed.

1.4 Contractor shall submit invoices for payment to the COR (Contracting Officer Representative) by e-mail and USPS at the end of every month in addition to when equipment is returned.

1.4.1 Payments under $2,500.00 will be made on by Government Purchase Card (GPC) after receipt of invoice by the Logistics Department. Orders over $2,500.00 will be through BPA Call issued by the Contracting Office.

1.4.2. Questions concerning payments should be directed to the Contracting Officer Representative (COR).

1.5. All vehicles are subject to random search at any time. The Fort Bragg Regulation 190-5 is available for download at the following website: http://www.bragg.army.mil/provostmarshall/VehicleRegistration.html.

1.5.1 Vehicles used in the performance of this contract will conform to General Service Administration (GSA) vehicle replacement criteria; generally that is a combination of not more than five years of age and less than 72,000 total vehicle mileage, no vehicle safety deficiencies, or visible vehicle body damage. All contractor furnished vehicles shall be maintained in a neat, presentable, and operational condition and shall meet State safety inspection standards. Any contractor’s vehicles not meeting standards shall not be operated nor stored on U.S. Government installations. The contractor shall not perform vehicle maintenance or repair on government property unless classified as an emergency. The contractor shall have a sign prominently displayed on the right and left side of contractor furnished vehicles with the contractor's company name and telephone number.

1.5.2. Automation Installation Entry (AIE). The contractor shall obtain AIE badges for all employees who will be coming on post to provide services. Fort Bragg AIE Access Cards may be issued for a maximum of three years for individual(s) who require recurring access to the installation for official business. The application request form (DES Form 118) for access cards will be located on the Fort Bragg Provost Marshall webpage http://www.bragg.army.mil/directorates/DES/pmo/Pages/AIE.aspx under the Installation Access Control tab.

Sponsorship is required in order to obtain a card and all applications (DES Form 118) will be turned into the All American VCC for processing and approval. An employee from Logistics, WAMC, will have authorization to sign for the AIE badge.

1.6. Contractor Manpower Reporting (CMR). ACCOUNTING FOR CONTRACT SERVICES – The Office of the Assistant Secretary of the Army (Manpower and Reserve Affairs) operates and maintains a secure Army data collection site where the contractor will report ALL contractor manpower (including subcontractor manpower) required for performance of this contract. The contractor is required to completely fill in all the information in the format using the following web address https://cmra.army.mil. The required information includes: (1) Contracting Office, Contracting Officer, Contracting Officer’s Technical Representative (COTR); (2) Contract number, including task and delivery order number; (3) Beginning and ending dates covered by reporting period; (4) Contractor name, address, phone number, e-mail address, identity of contractor employee entering data; (5) Estimated direct labor hours (including sub-contractor); (6) Estimated direct labor dollars paid this reporting period (including sub-contractor); (7) Total payments (including sub-contractor); (8) Predominant Federal Service Code (FSC) reflecting services provided by contractor (and separate predominant FSC for each sub-contractor if different); (9) Estimated data collection cost; (10) Organizational title associated with the Unit Identification Code (UIC) for the Army Requiring Activity (the Army Requiring Activity is responsible for providing the contractor with its UIC for the purposes of reporting this information; (11) Locations where contractor and subcontractors perform the work (specified by zip code in the United States and nearest city, country, when in an overseas location, using standardized nomenclature provided on website); (12) Presence of deployment or contingency contract language; and (13) Number of contractor and sub-contractor employees deployed in theater this reporting period (by country). As part of its submission, the contractor will also provide the estimated total cost (if any) incurred to comply with this reporting requirement.