HT940623Q00040001.docx

HT940623Q0004

Section SF 1449 - CONTINUATION SHEET

SOLICITATION INFORMATION

CAGE: _____________________

UEI: _____________________

Vendor POC: _____________________

Vendor Phone: ____________________

Vendor E-mail: ____________________

Notes to Vendor:

-At a minimum, the SF1449 must be completed to be considered for this opportunity. Please respond to blocks 17a and 30a-c on page 1 and the vendor information on page 3, as well as provide your price on the Contract Line Item Number (CLIN). Cursive font signatures will not be accepted.

-No other Terms and Conditions will be accepted. Offers that contain additional terms and conditions will not be considered.

-Vendor to reference request for quotes number (RFQ#) HT940623Q0004 on all inquiries.

-All proposals should be inclusive of all costs (e.g. Shipping and Handling). Shipping should be included in the quote total, but NOT separately priced; shipping costs are always considered in the evaluation process. Only NEW product offers will be accepted.

-Award will be made on the basis of the lowest evaluated price and the capability to meet the requirement detailed in the Performance Work Statement.

PROMPT PAYMENT

For Prompt Payment Act purposes, this contract is subject to the 7 calendar day constructive acceptance period.

Billing / Payment in arrears

For all questions, POC:

Lisa C. Wilk Contract Specialist Defense Health Agency Contracting Activity (DHACA) Southeastern Markets Contracting Division Email: lisa.c.wilk.civ@health.mil

CLINICAL INTRAOPERATIVE MONITORING (IOM)

FFP

Neuro-Spine Intraoperative Neuromonitoring.

Not to Exceed 70 surgical cases.

Period of Performance: 06Dec2022 - 06Feb2023.

See PWS for more detailed information.

FOB: Destination

PURCHASE REQUEST NUMBER: 0011876114

Q510

NET AMT

INSPECTION AND ACCEPTANCE TERMS

Supplies/services will be inspected/accepted at:

DELIVERY INFORMATION

06-FEB-2023

NAV MED CNT PORTSMOUTH VA - MM

ATTN SUPPLY OFFICER BLDG 250

54 LEWIS MINOR STREET

PORTSMOUTH VA 23708-2297

FOB: Destination

HT0242

CLAUSES INCORPORATED BY REFERENCE

CLAUSES INCORPORATED BY FULL TEXT

52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

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

FAR Clauses http://acquisition.gov/far DFARS Clauses http://www.acq.osd.mil/dpap/dars/dfars/index.htm (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):

For fixed price line items—

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

INVOICE TYPE: Receiving Report (Combo)

(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.

INVOICE TYPE: 2-in-1

(2) 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*

(3) 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.

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

(5) WAWF email notifications. The Contractor shall enter the email address identified below in the “Send Additional Email Notifications” field of WAWF once a document is submitted in the system.

WAWF Acceptor/COR Email Address: Charles Lovell charles.k.lovell2.civ@health.mil & Ed Gollen edward.r.gollon.civ@health.mil

(g) WAWF point of contact.

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

(End of clause)

PERFORMANCE WORK STATEMENT

1.0 GENERAL INFORMATION

1.1 This is a non-personal services contract to provide Neuro-Spine Intraoperative Neuromonitoring.

1.1.1 Description of services/introduction: The contractor shall provide all personnel, equipment, supplies, facilities, transportation, tools, materials, supervision, and other items and non-personal services necessary to perform Intraoperative Neuromonitoring as defined in this Performance Work Statement (PWS).

1.1.2 Background: The contract has expired which provided Intraoperative Neuromonitoring services to NMRTC Portsmouth.

1.1.3 Scope: Intraoperative Neuromonitoring in cases where the risk of permanent nerve injury is high without the service, for instance spine surgery. Services include: Different modalities of neuromonitoring depending on the provider’s needs, such as SEEP, EMG, MEP. The contractor shall accomplish Patient lead placement, alarm monitoring, perform tests when prompted and periodically and notify the surgeon if deficits or abnormalities occur.

1.1.4 Period of Performance (PoP): Not to exceed 70 surgery cases, 06Dec2022 - 06Feb2023.

1.2 Administrative specifications

1.2.1 Place of performance: The work shall be performed at OR17, building 2, street 620 John Paul Jones Circle, city: Portsmouth, state: Virginia, zip: 23708, country: Unites States of America.

1.2.2 Recognized Federal holidays: If their services are needed they will work any holidays

Independence Day

1.2.3 Hours of operation: The contractor is responsible for conducting business Monday thru Friday except Federal holidays or when the Government facility is closed due to local or national emergencies, administrative closings, or similar Government directed facility closings. The contractor must at all times maintain an adequate workforce for the uninterrupted performance of all tasks defined within this PWS when the Government facility is not closed for the above reasons.

1.2.4 Emergency Services:. On occasion, services may be required to support an activation or exercise of contingency plans outside the normal duty hours.

1.3 Contractor Identification

1.3.1 Contractor personnel performing services in a contractor capacity in a Government facility are required to possess and wear an identification badge that displays his or her name and the name of their company. Ensure all those with whom the person interacts in any face-to-face dealings while supporting the Government understands that the person is contractor support personnel.

2.0 SPECIFIC TASKS

2.1 Intraoperative Neuromonitoring

2.1.1 Lead Placement: Technician will unobtrusively apply and remove leads without causing unnecessary harm to patient. Will proceed carefully in order not to injure other staff or him/her selves.

2.1.2 Neuromonitoring: Technician will monitor the patient status during the entire period required by the surgeon.

2.1.3 Periodic and Prompted tests: Technician will perform tests as appropriate for the procedure and when prompted by the surgeon.

3.0 Qualifications/Considerations

3.1 Special Qualifications/Considerations: Technicians are fully qualified and trained in Intraoperative Neuromonitoring.

4.0 Points of Contact

4.1 Points of Contact:

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