FINAL HJ HZ Combined Synopsis Solicitation Commercial Services.docx

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DENTAL LABORATORY SERVICES Federal contract opportunity
Solicitation number
36C24423Q0814
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 4

About this file

This is a combined synopsis/solicitation from the Department of Veterans Affairs seeking dental laboratory services for a clinic located in Pittsburgh, Pennsylvania. The solicitation requests quotes for services including complete dentures, removable partial dentures, crowns and bridges, and implant restorations. Interested vendors must provide pricing and turnaround times for the various procedures listed in the solicitation by August 24, 2023. Award is to be made based on best value considering technical capability, past performance, and price. The scope of work outlines requirements for materials, templates, and quality standards. The period of performance for any resulting contract is from September 14, 2023 through September 13, 2028.

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Combined Synopsis-Solicitation for Commercial Products and Commercial Services

COMBINED SYNOPSIS/SOLICITATION FOR

COMMERCIAL PRODUCTS AND SERVICES

General Information

Document Type:
Combined Synopsis/Solicitation
Solicitation Number:
36C24423Q0814
Posted Date:
08/18/2023
Original Response Date:
08/24/2023
Current Response Date:
08/24/2023
Product or Service Code:
Q503, Medical Dentistry
Set Aside:
FAOC
NAICS Code:
339116 Dental Laboratories

Contracting Office Address Pittsburgh VA Medical Center 1010 Delafield Road Pittsburgh, PA 15215

Description This is a combined synopsis/solicitation for commercial products and commercial services prepared in accordance with the format in Federal Acquisition Regulation (FAR) subpart 12.6, “Streamlined Procedures for Evaluation and Solicitation for Commercial Products and Commercial Services,” as supplemented with additional information included in this notice. This announcement constitutes the only solicitation; quotes are being requested, and a written solicitation document will not be issued.

This solicitation is issued as an RFQ. The solicitation document and incorporated provisions and clauses are those in effect through Federal Acquisition Circular FAC Number: 2023-04 Effective Date: 06/02/2023. Offerors are responsible for all terms, clauses, and conditions contained therein. Offerors must already be registered in SAM (System for Award Management) and their registrations must be current to be considered for award.

This solicitation is set-aside for Full and Open competition.

The associated North American Industrial Classification System (NAICS) code for this procurement is 339116.

The VA Pittsburgh Healthcare System Dental Department is seeking to purchase Dental Laboratory Services for Veteran Patients at the HJ Heinz Clinic.

Statement of Needs & General Specification for External HJH Dental Clinic Laboratory Services

1. Background information

The VA Pittsburgh Healthcare System (VAPHS) requires a contract for dental services for patients at the Dental Clinic which is located at 1010 Delafield Rd Pittsburgh, PA 15215. The VAPHS Dental Clinic is a tertiary referral center for the western half of VA Healthcare—VISN 4, treating Veterans from Altoona, Erie, and Butler, in Pennsylvania and Clarksburg, West Virginia. VAPHS proudly serves the Veteran population throughout the tri-state area of Pennsylvania, Ohio, and West Virginia. VAPHS Dental Clinic maintains academic affiliations with the University of Pittsburgh Schools of Dental Medicine.

2. Needed Services and why we need these services

The VAPHS Dental Clinic provides comprehensive dental services to eligible Veterans with complex dental needs to include oral surgery, periodontal treatment, prosthodontic rehabilitation, and endodontics. Our clinic provided comprehensive and emergent dental care to 3,253 Veterans completing 33,013 procedures in Fiscal Year (FY) 2022. This is noted as a steady increase from FY 2017 in which 3,143 Veterans were seen in clinic with a completion of 27,087 procedures. Our clinic is committed to providing excellent dental treatment with high-quality dental restorations predictably and safely for our Veterans. The VAPHS Dental Clinic vision is for modernization and implementation of state-of-the-art technology through equipment and lab procedures to continue to provide high-quality dental restorations with outstanding patient outcomes.

3. Required Services:

The following schedule of supplies/services represents estimated quantities based on historical data and the volumes are not guaranteed. Individual orders will be placed on an as-needed basis, and the contractor will be paid, in accordance with this schedule, only for actual work performed. Service shall be in accordance with the ‘Description/Specifications Statement’ section of this solicitation. Pricing for all line items shall include Lucitone 199 Resin, Coe lor or similar shaded resin at no additional charge. All porcelain fused to metal restorations shall be cast with noble metal alloy as defined by the American Dental Association (ADA) classification for casting alloys. All acrylic removable prostheses shall include the patients name at no additional charge. When requested or required to achieve proper esthetics and contour, fixed or implant restorations will be waxed to full contour prior to cutback and investing at no additional charge. All ceramic units or porcelain veneers will include all cast pouring and mounting when requested at no additional charge. All RPD frameworks shall be cast in CR-CO alloy at no additional charge. Record Bases may require mounting in some cases. However, an articulator will be provided by the VA.

Turnaround time (TAT) for all line items shall be provided. The commercial dental laboratory must be able to commute and provide pick-up/delivery services from the dental laboratory to the Dental Clinic at VAPHS Heinz Campus in approximately 1 hour allowing for such variables as traffic and weather. The local commercial dental laboratory must provide courier service for pick-up and delivery of case work from the Dental Clinic at the VAPHS Heinz Campus. The proximity allows for same day turnaround time on repair cases. The proximity also allows for personal attention on specific cases.

Place of Performance/Place of Delivery

Address:
VA Pittsburgh Healthcare System, 1010 Delafield Road, Pittsburgh, PA
Postal Code:
15215
Country:
UNITED STATES

4. Specifications of the requested services The dental laboratory services that are needed include, but not limited to:

· Fabrication of porcelain fused to metal crowns and fixed partial dentures

· Fabrication of custom trays, wax rims, and processing of complete dentures

· Fabrication of Full gold crowns and fixed partial dentures

· Implant supported crowns and fixed partial dentures

· Implant Abutments

· Resin‐bonded bridges

· Removable partial denture frameworks

· Diagnostic wax‐ups for crown and bridge (C&B) cases

· Custom provisional C&B prostheses

· All‐ceramic C&B prostheses

· Lithium Disilicate (e.max)

· Zirconia – monolithic

· Zirconia – layered/veneered

· Implant connecting bars (precious metal/titanium)

· Implant-supported full-arch fixed “hybrid” prostheses

· C&B metal/titanium/zirconium substructures

· Application of veneering porcelain to existing/VAMC submitted metal or ceramic C&B

· copings and fixed partial denture (FPD) substructures.

The following specifications will be provided on finished denture units

1. Master Casts:

· Base is 10mm thick at the thinnest portion of cast.

· 3mm wide land area throughout the circumference of the cast.

· Sulcular depth 3mm on buccal, to follow the contour of the buccal vestibule.

· Sulcular depth 3mm on lingual to follow the contour of the vestibule.

· Free of bubbles and defects.

· All anatomic areas of impression included on cast.

· Tongue area, flat across the arch.

· Base is parallel to the plane of occlusion or residual ridge.

2. Impression trays:

· Rigid and fabricated from the appropriate material.

· Covers all indicated anatomy.

· Handles do not interfere with border molding movements, formed as prescribed, so as not to displace facial musculature.

· Impression material retentive features included in the tray as prescribed.

3. Record Base

· Is well adapted to the residual ridge.

· Covers all indicated anatomy.

· Is extended to the land area.

· Is adequately think for rigidity.

· Is smooth and free of sharp area.

4. Occlusion Rim, Maxillary

· Is fabricated from the prescribed baseplate wax.

· Is 10 mm wide in the posterior section.

· The posterior sections are placed over the crest of the residual ridges.

· Is straight from the buccal aspect of the record base border to the buccal aspect of the occlusion rim.

· Taper in width to 3mm in the anterior section.

· Anterior section angles 5 degrees anteriorly from the horizontal.

· Anterior is 22mm long from the extent of the labial flange.

· All wax is smooth, without voids.

· Adheres well to the record base.

· The occlusal plane is flat, generally parallel to the residual ridge.

5. Occlusion Rim, Mandibular

· Is fabricated from the prescribed baseplate wax.

· Is 10mm wide in the posterior section.

· The posterior sections are placed over the crest of the residual ridges.

· The posterior sections stop at the beginning of the upward incline of the residual ridges.

· Is straight from the buccal aspect of the record base border to the buccal aspect of the occlusion rim.

· Tapers in width to 3mm in the anterior section.

· Anterior section angles 5 degrees anteriorly from the horizontal.

· Anterior is 18mm long from the extent of the labial flange.

· Posterior extends to the top of the retro-molar pad.

· All wax is smooth, without voids.

· Adheres well to the record base.

· The denture teeth will be supplied by the lab, after given shade and molded.

· The midline of the arranged teeth matches the marked midline of the occlusion rims.

· The incisal edges of the anterior teeth are placed in the same plane as the incisal surface of the occlusion rim.

· The occlusal scheme by default is to a Class I occlusion with a balanced set-up, unless otherwise specified.

· The inter-dental wax fills the embrasures up to the contact points.

· Adequate inter-dental wax fills the embrasures to allow for finishing of the acrylic resin.

· A 4mm band of simulated attached gingiva is present, elevated to simulate buccal bone.

· The palatal area is 2m thick.

· A 1mm band of wax is palatal to the posterior teeth to allow for finishing of the acrylic resin.

· Wax does not overlap onto the beginning/palatal of the ridge-lap area of the anterior teeth.

· The opposing occlusion contacts into proper interdigitation at the established vertical dimension of the occlusion.

6. Wax Trial Dentures, Mandibular

· The denture teeth will be supplied by the lab, after given the shade and mold.

· The midline of the arranged teeth matches the marked midline of the occlusion rims

· The facial surfaces of the anterior teeth are placed in the same plane as the

· The facial surfaces of the anterior teeth are placed in the same plane as the contoured facial surface of the occlusion rims.

· The incisal edges of the anterior teeth are placed to develop the horizontal and vertical overlap necessary for the individual clinical requirements

· The occlusal plane of the mandibular posterior teeth is at the appropriately indicated superior aspect of the pear-shaped pad.

· The central groove line of the mandibular posterior teeth is placed over the crest of the residual ridge.

· The number and size of posterior teeth are in harmony with space available from the distal of canine to the beginning of the ascending ramus.

· The inter‐dental wax fills the embrasures up to the contact points.

· Adequate inter‐dental wax fills the embrasures to allow for finishing of the acrylic resin.

· A 4mm band of simulated attached gingiva is present, elevated to simulate buccal bone.

· A 1mm band of wax is lingual to the posterior teeth to allow for finishing of the acrylic resin.

· Wax does not overlap onto the beginning/lingual of the ridge‐lap of the anterior teeth.

· The buccal shelf area is concave, of adequate thickness.

7. Processed and Polished Prosthesis

· The acrylic resin free of pits, fissures, and porosity.

· The acrylic resin is polished on all non‐tissue bearing areas.

· The denture borders are anatomically complete.

· No evidence of flash remains on the denture borders.

· The denture bases remain adequately thick for rigidity.

· Remount Casts (if required)

· The denture borders are well supported around the buccal periphery.

· Base is 10mm thick at the thinnest portion of the cast.

· 4rnm wide land area throughout the circumference of the cast.

Removable Partial Dentures

1. Custom Impression Trays

· Rigid and fabricated from the appropriate material.

· Covers all indicated anatomy.

· Handles do not interfere with border molding movements, formed as prescribed.

· Impression material retentive features included in the tray as prescribed.

2. Rests

· Follow the dimensions and location of the design.

· Fill the prepared rest seats completely.

· Are minimally 1.5mm thick.

· Are no greater in contour than the original marginal ridge/buccal cusp ridge/fossae area.

3. Minor Connector

· Follow the dimensions and location of the design.

· Are broad and fan shaped at the junction with the major connecter.

· Are minimally 1.5mm thick.

· Crosses the gingival margin at 90 degrees.

4. Proximal Plates

· Follow the dimensions and location of the design.

· Are thinned and tapered only at the marginal ridge areas when no rest is present.

5. Major Connectors

· Follow the dimensions and location of the design.

· Have definitive external finish lines.

· Have definitive internal finish lines.

6. Denture Base Retention

· Follow the dimensions and location of the design.

· Show a broad connection to the major connector.

· Are not extended more than 2mm buccal to the crest of the residual ridge.

· Contains a tissue-stop that contacts the residual ridge of the master cast.

7. Retainers, Indirect

· Follow the dimensions and location of the design.

· Are broad and fans shaped at the junction with the major connector.

· Are minimally 1.5mm thick.

· Crosses the gingival margin at 90 degrees.

8. Retainers, Direct

· Follow the dimensions and location of the design.

· Are uniformly tapered too the retentive tip.

· Are minimally 1.5mm wide.

9. Wax Trial Removable Partial Dentures, Maxillary

· The midline of the arranged teeth matches the marked midline of the occlusion rim.

· The facial surfaces of the anterior teeth are placed in the same plane as the contoured facial surface of the occlusion rims.

· The incisal edges of the anterior teeth are placed in the same plane as the incisal surface of the occlusion rim.

· The inter‐dental wax fills the embrasures up to the contact points.

· Adequate inter‐dental wax fills the embrasures to allow for finishing of the acrylic.

· A 4mm band of simulated attached gingiva is present to simulate buccal bone.

· A 1mm band of wax is palatal to the posterior teeth to allow for finishing of the acrylic resin.

· Wax does not overlap onto the beginning/palatal of the ridge‐lap area of the

· anterior teeth.

· The opposing occlusion contacts into proper interdigitation at the established vertical dimension of occlusion.

10. Wax Trial Removable Partial Dentures

· The midline of the teeth matches the marked midline of the occlusion rims.

· The facial surfaces of the teeth are placed in the same plane as the contoured facial surfaces of the occlusion rims.

· The incisal edges of the anterior teeth are placed in the same plane as the incisal surface of the occlusion rim.

· The occlusal plane of the mandibular posterior teeth is at the appropriately indicated superior aspect of the pear-shaped pad.

· The central groove line of the mandibular posterior teeth is placed over the crest of the residual ridge.

· The number and size of posterior teeth is in harmony with space available from the distal of the canine to the beginning of the ascending ramus.

· The inter‐dental wax fills the embrasures up to the contact points.

· Adequate inter‐dental wax fills the embrasures to allow for finishing of the acrylic resin.

· A 4mm band of simulated attached gingiva is present, elevated to simulate buccal bone.

· A 1mm band of wax is lingual to the posterior teeth to allow for finishing of the acrylic resin.

· Wax does not overlap onto the beginning of the ridge‐lap area of the anterior teeth.

· The buccal shelf area is concave, of adequate thickness.

11. Processed and Polished Prosthesis

· The acrylic resin is free of pits, fissures, and porosity.

· A smooth junction exists between the acrylic resin and external finish lines.

· The acrylic resin is polished an all-non-tissue bearing areas.

· The denture borders are anatomically complete.

· No evidence of flash remains on the denture borders.

· The denture bases remain adequately thick for rigidity.

Fixed Partial Dentures (FPD)/Crown

1. Custom Trays

· Indicated relief has been well adapted.

· Is well adapted to the teeth and residual ridge Covers all indicated anatomy.

· Completely fills the vestibule Is extended to the beginning of the land area when indicated.

· Is adequate for rigidity.

· Is smooth and free of sharp areas.

2. Working Casts/Dies

· All necessary anatomic landmarks are included.

· Dies are stable, retentive, and do not rotate.

· No bubbles or defects present in the cast.

· Dies are properly trimmed, retaining as much root structure as possible.

· Die spacer is applied to prepared surfaces leaving 1 mm free at margin.

· All dies are numbered.

3. Cut-Back Design for Veneer Application

· Coping/wax crown cut‐back design allows for a uniform 2mm thickness of veneer.

· Proximal cut‐back design allows for marginal ridge veneer support.

· Rigid connector size is maximized, within the constraints, for periodontal health and esthetics.

· A uniform transition exists between metal and veneer material.

4. Veneer Application

· Axial contours are within normal limits for the particular tooth and/or arch form.

· Applied veneer shade matches the requested shade per shade guide submitted or universal (Vita, Trubyte, Ivoclar, etc.) system.

5. Finish/Polish of FPD/Crown

· Axial contours are within normal limits for the particular tooth and/or arch form.

· A uniform transition exists between metal and veneer material.

· No unsupported veneer material remains on the allows substructure.

· All margins are closed on the die.

· The established vertical dimension of occlusion is maintained when the FPD/crown is articulated.

· The veneer material is appropriately finished (glazed, polished, etc.).

· The substructure metal is highly polished.

6. Surveyed Crowns for Removable Partial Denture Abutments

· All aspects of FPD/Crown fabrication are employed.

· Posterior occlusal rests:

i. are ½ the width of the buccal‐lingual cusp tip width.

ii. are spoon‐shaped, deepest toward the center of the tooth.

iii. form an acute angle with the guide at the most axial point.

iv. re‐establish original marginal ridge contours.

v. maintain occlusal contours.

· Cingulum rests:

vi. Are placed in the gingival ½ of the crown to avoid occlusal interferences.

vii. Provide a positive stop for the removable partial denture.

7. Guide Planes

· Include a 1mm wide band of surface parallel to the established path of withdrawal from the facial line-angle to the lingual/palatal line-angle.

· Relief provided at the gingival 1/3 of the axial surface.

8. Survey lines, circumferential direct retainers

· Begin in the gingival one-third of the abutment adjacent to the rest.

· End in the occlusal 1/3 of the abutment to establish the desired undercut.

· Allow for the terminal one-third of the retainer to be placed into the undercut.

9. Survey lines, bar direct retainers

· A “U” shaped survey line established the desired undercut.

Implant supported Crowns and fixed partial dentures.

1. Laboratory able to provide at cost any necessary components, including:

· Lab analogs.

· Lab screws.

· Temporary or permanent abutments.

· UCLA style abutments.

2. Laboratory to follow Rx indicating cemented or screw retained prosthesis fabrication.

· Screw retained prosthesis will have a mental chimney screw hole.

· Cemented prosthesis to follow Rx for either milled custom abutment fabrication or utilization of standard abutment, as indicated.

3. Occlusal contacts for implant supported prosthesis will be “light” by default, unless Rx indicates otherwise.

5. Standards of Performance:

· The Contractor shall fabricate all prostheses and perform all laboratory steps to the highest standard of quality, with special attention given to neatness and laboratory prescription detail. Materials used shall be consistent with those listed in the schedule and should meet all Food and Drug Administration (FDA) requirements and approval.

· The Contractor's laboratory facility must be certified by the American Dental Association (ADA), National Association of Dental Laboratories (NADL), or equivalent. The Contractor shall provide a copy of all relevant licenses, permits, registrations and certifications inclusive of any sanctions current or pending throughout the United States of America along with proposal.

· The VAPHS reserves the right to require “remake” at no additional cost if casework does not conform to the highest standard of quality and the deficiency is clearly caused by the Contractor.

· All work shall be completed only by the specific lab under contract, or an affiliated laboratory directly owned by the specified laboratory under contract. The Contactor, under no circumstances will subcontract the laboratory work to another laboratory. All laboratory work must be performed within the United States of America. The lab under contract and/or its’ affiliated laboratory owned by the specified laboratory under contract are to maintain the same standards of materials specified in this Statement of Work (SOW).

6. Pick-Up & Delivery of Casework:

1. Pricing shall include all transportation costs including courier service and/or third-party shipping companies such as FedEx, UPS, etc.:

· Local:

Within a 50-mile radius, local courier pick-up and delivery is required daily both to and from the VA Heinz Dental Clinic. All cases picked up from VA Heinz Dental should arrive at the lab awardee same or next day.

· Non-Local:

Outside of a 50-mile radius, local courier pick-up and delivery is strongly desired, however, daily pickup and delivery to and from VA Heinz Dental clinic is required. All arrangements for and fees paid to third party transportation companies are the sole responsibility of the lab. All cases picked up from VA Heinz Dental should arrive at the lab same or next day.

2. VAPHS requires daily inside pick-ups and/or inside deliveries. The inside point of pick-up/delivery will be specified upon award. The times for scheduled pick-ups will be determined by mutual agreement between the VAPHS Dental Service and the Contractor.

3. The Contractor will provide all the necessary requisitions/prescription forms and packaging materials for the transportation of the casework by courier at no additional cost to the VAPHS.

4. The contractor will be provided complete information via the prescription form for the prosthesis fabrication. The form will include the Dentist name, VAPHS address and phone number, patient’s full name, date prosthesis sent and date of desired return, the type of prosthesis to be fabricated and any additional instructions.

7. Hours of Performance:

The Contractor shall furnish the services during the work hours of Monday through Friday, 8:00 AM to 4:00 PM. The Contractor will not be required, except in case of an emergency, to furnish such services on national holidays observed by the Federal Government.

8. Contractor Security:

A compliant ID badge must be worn by Contractors at all times while on VA premises. Vendor will not perform work on-site at VA Pittsburgh Healthcare System. Contractor may not have access to any VA sensitive information or to the VA network under this contract. Contractor must complete “VA Privacy and Information Security Awareness and Rules of Behavior” and “Privacy and HIPAA Focused Training” courses prior to the performance of the contract and annually thereafter. Training must be completed in VA’s TMS system (https://www.tms.va.gov/SecureAuth35/). Contractors must use the TMS Managed Self Enrollment method to complete the training in TMS. The COR must ensure that all contractors are validated in the PIH domain. Proof of training completion must be verified and tracked by the COR.

Instructions: Please provide a turnaround time (TAT) for each item in the table below. Also, please provide a price per unit for each item in the table below. The price should be fully burdened (include shipping costs); shipping and handling costs will Not be billed and paid for separately under this contract. Quotes submitted that do not include turnaround times and prices for All items will be found technically unacceptable and will not be considered for award.

Note: All quantity estimates in the table below are estimates only. The contractor will only be paid for actual work performed and accepted by the VA.

The contract period of performance will be 09/14/2023 – 09/13/2028.

All interested companies shall provide quotations for the following:

REMOVABLE PROSTHODONTIC PROCEDURES

Item No.
Description
Estimated Quantity
Unit
(TAT) Turnaround Time in Days
Price Per

Unit

1
Complete Dental Setup per arch, including mounting if necessary (articulator provided by VA) and including DENTSPLY classic dental teeth obtained from (NDX) lab
20
EA
2
Complete Denture Setup per arch, including mounting if requested (articulator provided by VA), not including teeth (teeth provided by VA – most of our denture cases we pick our denture teeth and include)
400
EA
3
Removable Partial Denture Setup per arch, including mounting if requested (articulator provided by VA), including DENTSPLY Classic Teeth
24
EA
4
Removable Partial Denture Setup per arch, including mounting if requested (articulator provided by VA), not including teeth
250
EA
5
Complete Denture Processing including lab remount and plaster remount casts, per arch
450
EA
6
Complete Dental Processing with permanent soft liner including lab remount, per arch, including fabrication of separate plaster remount casts
8
EA
7
Immediate Denture Processing including lab remount, per arch and plaster remount casts, to include hard, clear surgical stent
25
EA
8
Removable Partial Denture Processing with metal framework, including lab remount
75
EA
9
Acrylic Removable Partial Denture Processing, including up to two (2) wrought wire ball clasps or circumferential clasps and remount if necessary
75
EA
10
Val-Plast or similar resilient removable partial denture; price to include set-up and processing; excluding teeth
100
EA
11
Complete denture custom tray, per arch, including pouring of preliminary impression
200
EA
12
Complete denture or removable partial denture record base; utilizing cold cure orthodontic resin with a sprinkle on technique, to include pouring of final impression if necessary
10
EA
13
Complete denture or removable partial denture record base, utilizing Triad type sheet material or similar, including pouring of impression if necessary
300
EA
14
Denture or RPD tooth repair/replacement; per tooth
60
EA
15
Denture or RPD acrylic base repair
40
EA
16
RPD clasp repair
6
EA
17
Complete dentures reline, per arch
100
EA
18
RPD reline, per arch
6
EA
19
Processed occlusal splint for TMJ/myofascial symptoms, including waxup and processing
75
EA
20
Obturator denture setup, per arch
4
EA
21
Obturator denture processing
4
EA

FIXED/IMPLANT PROSTHODONTIC PROCEDURES

Item No.
Description
Estimated Quantity
Unit
(TAT) Turnaround Time in Days
Price Per

Unit

22
Implant overdenture bar fabrication, conventional casting technique, for attachment retained overdenture
2
EA
23
Implant overdenture CAD/CAM bar for overdenture, not including CAD design
2
EA
24
Implant framework for Hybrid/fixed detachable prosthesis, CAD/CAM (to receive denture resin tooth replacement), not including CAD design
2
EA
25
Acrylic processing of hybrid/fixed detachable type prosthesis
2
EA
26
Zirconia hybrid prosthesis, Gingivally cut back and layered with pink porcelain (not including cost of genuine OEM implant abutments)
60
EA
27
Zirconia hybrid prosthesis, Gingivally cut back, Zirconia framework only (not including cost of genuine OEM implant abutments)
60
EA
28
Processing of implant overdenture, per arch, not including fees for components (a) over stud attachments (b) over bar (over stud attachment)
25
EA
29
Implant surgical guide, per fixture (overbar), CAD from cone beam image
5
EA
30
Custom tray for fixed or implant impression
12
EA
31
Pour & pindex crown & bridge impression (tooth or implant supported, not including cost of genuine OEM implant abutments)
100
EA
32
PFM crown unit complete fee cost of metal (tooth or implant supported, not including cost of genuine OEM implant abutments)
100
EA
33
PFM framework unit only fee+cost of metal (tooth or implant supported, not including cost of genuine OEM implant abutments)
10
EA
34
E-max or similar ceramic unit, coping only (tooth or implant supported, not including cost of genuine OEM implant abutments)
15
EA
35
E-max or similar ceramic unit (tooth or implant supported, not including cost of genuine OEM implant abutments)
15
EA
36
Zirconia crown and bridge unit, monolithic (tooth or implant supported, not including cost of genuine OEM implant abutments)
50
EA
37
Zirconia crown and bridge unit cut back, framework only (tooth or implant supported, not including cost of genuine OEM implant abutments)
15
EA
38
Zirconia crown and bridge unit, cut back, and layered with feldspathic ceramic (tooth or implant supported, not including cost of genuine OEM implant abutments)
40
EA
39
Invest & cast: cast post & core pattern
8
EA
40
Wax, invest & cast, cast post & core pattern for stone impression
8
EA
41
Custom titanium implant abutment, per unit
10
EA
42
Custom titanium implant abutment duplicate, per unit
10
EA
43
Provisional crown and bridge unit, milled PMMA
80
EA
44
Sleep Apnea Appliance-Adjustable
80
EA
45
RPD Cast Framework
10
EA
46
Diagnostic wax up
6
EA
47
Porcelain veneer
20
EA

EMA (Includes 5 Pairs of Bands)

EA

49
dreamTAP
10
EA
50
SomnoDent
10
EA
51
SomnoDent Flex
10
EA
52
Pathera DSAD
10
EA

TOTAL:

Contract Clauses and Provisions The full text of FAR and VAAR provisions or clauses may be accessed electronically at http://acquisition.gov/comp/far/index.html and http://www.va.gov/oal/library/vaar/.

The following solicitation provisions apply to this acquisition:

52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (MAR 2023) ADDENDUM to FAR 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES Provisions 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 provisions are incorporated into 52.212-1 as an addendum to this solicitation:

1. 52.204-24 REPRESENTATION REGARDING CERTAIN TELECOMMUNICATIONS AND VIDEO SURVEILLANCE SERVICES OR EQUIPMENT (NOV 2021) The Offeror shall not complete the representation at paragraph (d)(1) of this provision if the Offeror has represented that it ‘‘does not provide covered telecommunications equipment or services as a part of its offered products or services to the Government in the performance of any contract, subcontract, or other contractual instrument’’ in paragraph (c)(1) in the provision at 52.204–26, Covered Telecommunications Equipment or Services—Representation, or in paragraph (v)(2)(i) of the provision at 52.212–3, Offeror Representations and Certifications–Commercial Products and Commercial Services. The Offeror shall not complete the representation in paragraph (d)(2) of this provision if the Offeror has represented that it ‘‘does not use covered telecommunications equipment or services, or any equipment, system, or service that uses covered telecommunications equipment or services’’ in paragraph (c)(2) of the provision at 52.204–26, or in paragraph (v)(2)(ii) of the provision at 52.212–3.

(a) Definitions. As used in this provision— Backhaul, covered telecommunications equipment or services, critical technology, interconnection arrangements, reasonable inquiry, roaming, and substantial or essential component have the meanings provided in the clause 52.204–25, Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment.

(b) Prohibition. (1) Section 889(a)(1)(A) of the John S. McCain National Defense Authorization Act for Fiscal Year 2019 (Pub. L. 115–232) prohibits the head of an executive agency on or after August 13, 2019, from procuring or obtaining, or extending or renewing a contract to procure or obtain, any equipment, system, or service that uses covered telecommunications equipment or services as a substantial or essential component of any system, or as critical technology as part of any system. Nothing in the prohibition shall be construed to—

(i) Prohibit the head of an executive agency from procuring with an entity to provide a service that connects to the facilities of a third-party, such as backhaul, roaming, or interconnection arrangements; or

(ii) Cover telecommunications equipment that cannot route or redirect user data traffic or cannot permit visibility into any user data or packets that such equipment transmits or otherwise handles.

(2) Section 889(a)(1)(B) of the John S. McCain National Defense Authorization Act for Fiscal Year 2019 (Pub. L. 115–232) prohibits the head of an executive agency on or after August 13, 2020, from entering into a contract or extending or renewing a contract with an entity that uses any equipment, system, or service that uses covered telecommunications equipment or services as a substantial or essential component of any system, or as critical technology as part of any system. This prohibition applies to the use of covered telecommunications equipment or services, regardless of whether that use is in performance of work under a Federal contract. Nothing in the prohibition shall be construed to—

(i) Prohibit the head of an executive agency from procuring with an entity to provide a service that connects to the facilities of a third-party, such as backhaul, roaming, or interconnection arrangements; or

(ii) Cover telecommunications equipment that cannot route or redirect user data traffic or cannot permit visibility into any user data or packets that such equipment transmits or otherwise handles.

(c) Procedures. The Offeror shall review the list of excluded parties in the System for Award Management (SAM) (https://www.sam.gov) for entities excluded from receiving federal awards for “covered telecommunications equipment or services.”

(d) Representations. The Offeror represents that—

(1) It [ ] will, [ ] will not provide covered telecommunications equipment or services to the Government in the performance of any contract, subcontract or other contractual instrument resulting from this solicitation. The Offeror shall provide the additional disclosure information required at paragraph (e)(1) of this section if the Offeror responds “will’’ in paragraph (d)(1) of this section; and

(2) After conducting a reasonable inquiry, for purposes of this representation, the Offeror represents that— It [ ] does, [ ] does not use covered telecommunications equipment or services, or use any equipment, system, or service that uses covered telecommunications equipment or services. The Offeror shall provide the additional disclosure information required at paragraph (e)(2) of this section if the Offeror responds “does’’ in paragraph (d)(2) of this section.

(e) Disclosures. (1) Disclosure for the representation in paragraph (d)(1) of this provision. If the Offeror has responded “will’’ in the representation in paragraph (d)(1) of this provision, the Offeror shall provide the following information as part of the offer:

(i) For covered equipment—

(A) The entity that produced the covered telecommunications equipment (include entity name, unique entity identifier, CAGE code, and whether the entity was the original equipment manufacturer (OEM) or a distributor, if known);

(B) A description of all covered telecommunications equipment offered (include brand; model number, such as OEM number, manufacturer part number, or wholesaler number; and item description, as applicable); and

(C) Explanation of the proposed use of covered telecommunications equipment and any factors relevant to determining if such use would be permissible under the prohibition in paragraph (b)(1) of this provision.

(ii) For covered services—

(A) If the service is related to item maintenance: A description of all covered telecommunications services offered (include on the item being maintained: Brand; model number, such as OEM number, manufacturer part number, or wholesaler number; and item description, as applicable); or

(B) If not associated with maintenance, the Product Service Code (PSC) of the service being provided; and explanation of the proposed use of covered telecommunications services and any factors relevant to determining if such use would be permissible under the prohibition in paragraph (b)(1) of this provision.

(2) Disclosure for the representation in paragraph (d)(2) of this provision. If the Offeror has responded “does’’ in the representation in paragraph (d)(2) of this provision, the Offeror shall provide the following information as part of the offer:

(i) For covered equipment—

(A) The entity that produced the covered telecommunications equipment (include entity name, unique entity identifier, CAGE code, and whether the entity was the OEM or a distributor, if known);

(B) A description of all covered telecommunications equipment offered (include brand; model number, such as OEM number, manufacturer part number, or wholesaler number; and item description, as applicable); and

(C) Explanation of the proposed use of covered telecommunications equipment and any factors relevant to determining if such use would be permissible under the prohibition in paragraph (b)(2) of this provision.

(ii) For covered services—

(A) If the service is related to item maintenance: A description of all covered telecommunications services offered (include on the item being maintained: Brand; model number, such as OEM number, manufacturer part number, or wholesaler number; and item description, as applicable); or

(B) If not associated with maintenance, the PSC of the service being provided; and explanation of the proposed use of covered telecommunications services and any factors relevant to determining if such use would be permissible under the prohibition in paragraph (b)(2) of this provision.

(End of Provision)

2. 52.216-1 TYPE OF CONTRACT (APR 1984)

The Government contemplates award of a Firm-Fixed-Price, Requirements contract resulting from this solicitation.

(End of Provision)

3. 52.233-2 SERVICE OF PROTEST (SEP 2006)

Protests, as defined in section 33.101 of the Federal Acquisition Regulation, that are filed directly with an agency, and copies of any protests that are filed with the Government Accountability Office (GAO), shall be served on the Contracting Officer (addressed as follows) by obtaining written and dated acknowledgment of receipt from:

Hand-Carried Address: Kevin Balser Wilkes Barre VAMC 1111 East End Boulevard Wilkes Barre, PA 18711

Mailing Address: Kevin Balser Wilkes Barre VAMC 1111 East End Boulevard Wilkes Barre, PA 18711

(b) The copy of any protest shall be received in the office designated above within one day of filing a protest with the GAO.

(End of Provision)

FAR Number
Title
Date
852.233-70
PROTEST CONTENT/ALTERNATIVE DISPUTE RESOLUTION
OCT 2018

4. VAAR 852.233-71 ALTERNATE PROTEST PROCEDURE (OCT 2018)

(a) As an alternative to filing a protest with the Contracting Officer, an interested party may file a protest by mail or electronically with: Executive Director, Office of Acquisition and Logistics, Risk Management and Compliance Service (003A2C), Department of Veterans Affairs, 810 Vermont Avenue NW, Washington, DC 20420 or Email: EDProtests@va.gov.

(b) The protest will not be considered if the interested party has a protest on the same or similar issue(s) pending with the Contracting Officer.

(End of Provision)

PLEASE NOTE: The correct mailing information for filing alternate protests is as follows:

Deputy Assistant Secretary for Acquisition and Logistics,
Risk Management Team, Department of Veterans Affairs
810 Vermont Avenue, N.W.
Washington, DC 20420

Or for solicitations issued by the Office of Construction and Facilities Management:

Director, Office of Construction and Facilities Management
811 Vermont Avenue, N.W.
Washington, DC 20420

5. 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB 1998)

This solicitation incorporates one or more solicitation provisions 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. The offeror is cautioned that the listed provisions may include blocks that must be completed by the offeror and submitted with its quotation or offer. In lieu of submitting the full text of those provisions, the offeror may identify the provision by paragraph identifier and provide the appropriate information with its quotation or offer. Also, the full text of a solicitation provision may be accessed electronically at this/these address(es):

https://www.acquisition.gov/browse/index/far https://www.va.gov/oal/library/vaar/

(End of Provision)

FAR Number
Title
Date
52.204-7
SYSTEM FOR AWARD MANAGEMENT
OCT 2018
52.204-16
COMMERCIAL AND GOVERNMENT ENTITY CODE REPORTING
AUG 2020

52.229-11

852.233-70

TAX ON CERTAIN FOREIGN PROCUREMENTS—NOTICE AND REPRESENTATION

PROTEST CONTENT/ALTERNATIVE DISPUTE RESOLUTION

OCT 2018

JUN 2020

852.239-75
INFORMATION AND COMMUNICATION TECHNOLOGY ACCESSIBILITY NOTICE
FEB 2023

(End of Addendum to 52.212-1)

52.212-2 EVALUATION—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (NOV 2021)

(a) The Government will award a contract resulting from this solicitation to the responsible offeror whose offer conforming to the solicitation will be most advantageous to the Government, price and other factors considered. The following factors shall be used to evaluate offers: The Contracting Officer will perform a comparative evaluation (comparing offers to each other) to select the contractor that is best suited and provides the best value, considering technical capability, past performance, and price.

To assist the Government in the evaluation process, Offerors should submit the following technical and past performance documentation and information. Offeror should respond in narrative form, and address each element of information or documentation requested, in the sequence listed. This is not intended to restrict the Offeror from answering in as much detail as the Offeror deems necessary to demonstrate technical capability to meet the requirements of the PWS, and Offerors are free to provide any supplemental information, i.e., information not expressly requested below, but relevant to the Government’s evaluation.

Technical

1. Provide a narrative technical plan detailing the Offeror’s ability to meet the requirements of the SOW (Statement of Work), to include the level of effort.

Past Performance:

1. Offerors may submit up to three past performance references for efforts of similar size (level of effort) and scope (work performed). Past performance references should include:

· Description of services provided

· Name and address of contracting activity

· Name, email address, and telephone number of Contracting Officer

· Dates of contract performance

· Total contract value

(b) Options. The Government will evaluate offers for award purposes by adding the total price for all options to the total price for the basic requirement. The Government may determine that an offer is unacceptable if the option prices are significantly unbalanced. Evaluation of options shall not obligate the Government to exercise the option(s).

(c) A written notice of award or acceptance of an offer, mailed or otherwise furnished to the successful offeror within the time for acceptance specified in the offer, shall result in a binding contract without further action by either party. Before the offer's specified expiration time, the Government may accept an offer (or part of an offer), whether or not there are negotiations after its receipt, unless a written notice of withdrawal is received before award.

(End of Provision)

52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (DEC 2022) Offerors must complete annual representations and certifications online in the System for Award Management (SAM) in accordance with FAR 52.212-3. If paragraph (b)(2) of the provision is applicable, a written submission is required.

The following contract clauses apply to this acquisition:

52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (DEC 2022) 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:

1. 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 09/14/2023 through 9/13/2024.

(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.

(c) A delivery order or task order is considered "issued" when—

(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)

2. 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 , 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 UPON AWARD;

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

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

(c) If this is a requirements contract (i.e., includes the Requirements clause at subsection 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 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)

3. 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 09/13/2028.

(End of Clause)

4. 52.216-22 INDEFINITE QUANTITY (OCT 1995)

(a) This is an indefinite-quantity contract for the supplies or services specified, and effective for the period stated, in the Schedule. The quantities of supplies and services specified in the Schedule are estimates only and are not purchased by this contract.

(b) Delivery or performance shall be made only as authorized by orders issued in accordance with the Ordering clause. The Contractor shall furnish to the Government, when and if ordered, the supplies or services specified in the Schedule up to and including the quantity designated in the Schedule as the "maximum." The Government shall order at least the quantity of supplies or services designated in the Schedule as the "minimum."

(c) Except for any limitations on quantities in the Order Limitations clause or in the Schedule, there is no…

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