RFQ - 36C77625Q0028_VISN 16 Medical Gases.pdf

PAGE 1 OF 1. REQUISITION NO.

2. CONTRACT NO. 3. AWARD/EFFECTIVE DATE 4. ORDER NO. 5. SOLICITATION NUMBER 6. SOLICITATION ISSUE DATE

a. NAME b. TELEPHONE NO. (No Collect Calls) 8. OFFER DUE DATE/LOCAL

TIME

9. ISSUED BY CODE 10. THIS ACQUISITION IS UNRESTRICTED OR SET ASIDE: % FOR:

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

8(A)

NAICS:

SIZE STANDARD:

11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

13b. RATING

14. METHOD OF SOLICITATION

RFQ IFB RFP

15. DELIVER TO CODE 16. ADMINISTERED BY CODE

17a. CONTRACTOR/OFFEROR CODE FACILITY CODE 18a. PAYMENT WILL BE MADE BY CODE

TELEPHONE NO. UEI: EFT:

PHONE: FAX:

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW IS CHECKED

SEE ADDENDUM

19. 20. 21. 22. 23. 24.

ITEM NO. SCHEDULE OF SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

(Use Reverse and/or Attach Additional Sheets as Necessary)

25. ACCOUNTING AND APPROPRIATION DATA 26. TOTAL AWARD AMOUNT (For Govt. Use Only)

27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA ARE ARE NOT ATTACHED.

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA ARE ARE NOT ATTACHED

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN _______________ 29. AWARD OF CONTRACT: REF. ___________________________________ OFFER

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DATED ________________________________. YOUR OFFER ON SOLICITATION

DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY (BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED SET FORTH HEREIN IS ACCEPTED AS TO ITEMS:

30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

30b. NAME AND TITLE OF SIGNER (TYPE OR PRINT) 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (TYPE OR PRINT) 31c. DATE SIGNED

AUTHORIZED FOR LOCAL REPRODUCTION (REV. NOV 2021)

PREVIOUS EDITION IS NOT USABLE Prescribed by GSA - FAR (48 CFR) 53.212

7. FOR SOLICITATION

INFORMATION CALL:

STANDARD FORM 1449

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

3/11/2025

Charles Morin 651-293-3035 4/10/2025

5:00 PM Central

36C776

Department of Veterans Affairs

Program Contracting Activity Central

6100 Oak Tree Blvd, Suite 490

Independence OH 44131

X

325120

1200 Employees

N/A

X

Department of Veterans Affairs

Various Facilities in VISN 16

36C776

Program Contracting Activity Central

Attention: Charles Morin

VAFSC

Financial Services Center

Invoices to be Submitted Electronically https://www.fsc.va.gov/einvoice.asp e-Invoice Setup Info Phone 877-489-6135

877-353-9791 512-460-5429

See CONTINUATION Page

This a tiered solicitation, open to all business sizes and socioeconomic categories. All interested businesses, regardless of size are encouraged to submit a quote. The order of priority will will be consistent with VAAR 819.7005.

This solicitation is for the Veterans Integrated System Network

(VISN)16 medical gases requirement.

**NOTICE OF TIERED EVALUATIONS**

This solicitation uses tiered evaluations. The tiers are:

One: Service Disabled Veteran Owned Small Business (SDVOSB)

Two: Veteran Owned Small Business (VOSB)

Three: HUBZone and 8(a) Small Businesses

Four: All other small business concerns

Five: Large Businesses

See CONTINUATION Page x X x one

Charles J. Morin

VHA-RPOC-2021-18

36C77625Q0028

Table of Contents

SECTION A

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

AND COMMERCIAL SERVICES

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

B.2 SCHEDULE OF ITEMS

B.3 STATEMENT OF WORK

SECTION C - CONTRACT CLAUSES

C.1 52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL PRODUCTS

AND COMMERCIAL SERVICES (NOV 2023)

C.2 52.204-21 BASIC SAFEGUARDING OF COVERED CONTRACTOR

INFORMATION SYSTEMS (NOV 2021)

C.3 52.216-18 ORDERING (AUG 2020)

C.4 52.216-19 ORDER LIMITATIONS (OCT 1995)

C.5 52.216-22 INDEFINITE QUANTITY (OCT 1995)

C.6 SUPPLEMENTAL INSURANCE REQUIREMENTS

C.7 852.211-72 TECHNICAL INDUSTRY STANDARDS (NOV 2018)

C.8 852.219-73 VA NOTICE OF TOTAL SET-ASIDE FOR CERTIFIED SERVICE-

DISABLED VETERAN-OWNED SMALL BUSINESSES (JAN 2023) (DEVIATION)

C.9 852.219-74 VA NOTICE OF TOTAL SET-ASIDE FOR CERTIFIED VETERAN-

OWNED SMALL BUSINESSES (JAN 2023) (DEVIATION)

C.10 852.232-72 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS (NOV 2018)

C.11 852.242-71 ADMINISTRATIVE CONTRACTING OFFICER (OCT 2020)

C.12 852.247-71 DELIVERY LOCATION (OCT 2018)

C.13 852.247-72 MARKING DELIVERABLES (OCT 2018)

C.14 852.247-73 PACKING FOR DOMESTIC SHIPMENT (OCT 2018)

C.14 52.223-3 HAZARDOUS MATERIAL IDENTIFICATION AND MATERIAL SAFETY

DATA (JAN 1997) ALTERNATE I (JUL 1995)

C.15 52.232-40 PROVIDING ACCELERATED PAYMENTS TO SMALL BUSINESS

SUBCONTRACTORS (MAR 2023)

C.16 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

C.17 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT

STATUTES OR EXECUTIVE ORDERS—COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES (MAY 2024)

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

SECTION E - SOLICITATION PROVISIONS

E.1 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES (SEP 2023)

E.2 QUOTATION SUBMISSION INSTRUCTIONS

E.3 52.204-24 REPRESENTATION REGARDING CERTAIN TELECOMMUNICATIONS

AND VIDEO SURVEILLANCE SERVICES OR EQUIPMENT (NOV 2021)

E.4 52.204-29 FEDERAL ACQUISITION SUPPLY CHAIN SECURITY ACT

ORDERS—REPRESENTATION AND DISCLOSURES (DEC 2023)

E.5 52.209-7 INFORMATION REGARDING RESPONSIBILITY MATTERS (OCT 2018)

E.6 52.216-1 TYPE OF CONTRACT (APR 1984)

E.7 52.233-2 SERVICE OF PROTEST (SEP 2006)

E.8 852.233-71 ALTERNATE PROTEST PROCEDURE (OCT 2018)

E.9 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB

1998)

E.10 52.212-2 EVALUATION—COMMERCIAL PRODUCTS AND COMMERCIAL

SERVICES (NOV 2021)

E.11 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS—

COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (MAY 2024)

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

1. Contract Administration: All contract administration matters will be handled by the following individuals:

a. CONTRACTOR:

b. GOVERNMENT: Contracting Officer

Name: Charles Morin

Email: Charles.Morin@VA.gov

Phone: 651-293-3035

Program Contracting Activity Central

2. CONTRACTOR REMITTANCE ADDRESS: All payments by the Government to the contractor will be made in accordance with:

[X] 52.232-33, Payment by Electronic Funds Transfer—System For Award Management, or

[X] 52.232-36, Payment by Third Party

3. INVOICES: Invoices shall be submitted in arrears:

a. Quarterly []

b. Semi-Annually []

c. Other [X] Within 30 days of acceptance of delivery

4. GOVERNMENT INVOICE ADDRESS: All Invoices from the contractor shall be submitted electronically in accordance with VAAR Clause 852.232-72 Electronic Submission of Payment

Requests.

The Contractor must electronically submit an ANSI X12 810 – Invoice transaction set for each delivery of gases to FSC. Invoices must be submitted within one (1) month of order fulfillment and any invoices submitted after that time may not be accepted.

Description of a valid invoice: All invoicing for payment is to be filed electronically using EDI Transaction set 810. No paper invoices should be submitted to FSC for payment. In accordance with the Prompt Payment Act, 52.232-25, a proper invoice must include:

A. Name and address of the CONTRACTOR.

B. Invoice date. (The Contractor is encouraged to date invoices as close as possible to the date of the delivery/ transmission).

C. Contract number or other authorization for supplies delivered or services performed

(including order number and contract line item number).

D. Description, quantity, UOM, unit price, and extended price of medical gases delivered, or services performed.

E. Name and address of authorized official to whom payment is to be sent (must be the same as that in the contract or in a proper notice of assignment).

F. Name (where applicable), title, phone number, and mailing address of person to be notified in the event of a defective invoice.

G. Any other information or documentation required by the contract (such as evidence of shipment).

H. While not required, the CONTRACTOR is strongly encouraged to assign an identification number to each invoice.

5. PAYMENTS AND INVOICING: VA shall review the invoice against its record. VA shall notify the contractor of invoice discrepancies. Upon the resolution of the discrepancies, VA shall approve the invoice and make payment to the Contractor . Invoices shall be paid within thirty

(30) days upon final acceptance by the Government. Each invoice must comply with the requirements of FAR 52.212-4 Contract Terms and Conditions – Commercial, to include required information as follows:

1.) Facility’s name and address where supply was provided.

2.) Contract number. (example – 36C776-22-D-XXXX) 3.) Purchase order number. (example – 556-C2XXXX) 4.) Type of supply provided

No advance payments shall be authorized. Approved invoices shall be paid withing thirty days, incorrect invoices will be returned for correction. The Prompt Payment Act does not apply to incorrect invoices. The Contractor shall share monthly rental invoice(s) with Authorized Ordering Officer (OO) and Contracting Officer Representative (COR) prior to submission in EDI and/or submission to the VA Finance Center for review. Payment of invoices may be delayed if the appropriate invoices as specified in the contract are not completed and submitted as required.

The Contractor shall provide any invoice, at any time, to the Contracting Officer (CO) upon request from the CO.

6. ORDERING PROCESSES: OOs will be authorized to place orders against this contract. The CO will furnish the Contractor with the names of individuals authorized as OOs, by separate memorandum upon issuance of the contract. When OOs are added after award, the CO will furnish the Contractor with the names of individuals authorized as OOs, by memorandum upon OO appointment. OOs are responsible for issuing and administering orders placed under this contract. OOs have no authority to modify any term of this basic contract. Any deviation from the terms of the basic contract must be approved in writing by the CO responsible for this contract.

The Contractor shall accept orders against this contract only from the CO and/or authorized OOs. Fulfilling orders from persons other than the CO or OO may result in loss or delay in payment for supplies/services provided under such orders.

The Contractor shall have Electronic Data Interchange (EDI) capabilities to process EDI orders and acknowledge orders in accordance with ANSI ASC X.12M Supply Chain Standard Transaction sets.

EDI is the transfer of structured business data from the computer system of one organization to the computer system of another. The data routinely recorded on purchase orders, invoices, remittance/payment notices, and other business forms is exchanged electronically in a machine-readable format between an organization and its customers, suppliers, transportation carriers, and financial institutions without human intervention.

In order to electronically transfer data more efficiently between parties, cross-industry standards (known as X12) for business forms and computer protocols have been developed by the American National Standards Institute (ANSI). Instead of each party creating its own contents and format, they use ANSI X12 standards to exchange information with each other. This standard format defines which documents will be exchanged, what information each document will contain, how the information will be sequenced, the form of the information, and what each piece of information means. EDI standards provide common formats that allow organizations to communicate business information electronically without making significant changes to their internal systems.

The Contractor shall provide their own computer hardware and software necessary to receive and transmit all functions required. The CONTRACTOR must be capable of and experienced with transmitting/accepting EDI ANSI X12 v5010 transaction sets 850, 855, and 810, at time of proposal submission. The CONTRACTOR will be required to provide verification of its capability and experience within three (3) months of effective ordering period unless this requirement is waived due to recent demonstrated performance. The CONTRACTOR shall have EDI interface capabilities within the 120-calendar day implementation period to process EDI orders and acknowledge orders in accordance with ANSI ASC X.12M Supply Chain Standard Transaction set:

Current transactions:

850 (Purchase Order) 855 (Purchase Order Acknowledgement) 860 (Purchase Order Modification) 810 (Invoice)

EDI 810 – Invoice: This transaction set will go from the CONTRACTOR to the FSC to be used for billing the customer and payment to the CONTRACTOR. CONTRACTORs must provide a line item detail Invoice, EDI 810, to FSC. The line item detail and CLIN sequence on the CONTRACTOR EDI 810 must match the line item detail and CLIN sequence on the EDI 850 Purchase Order, the EDI 855 Purchase Acknowledgement and the EDI 856 Advanced Shipment notice. For MSCONTRACTOR Product List supplies, the line item dollar value cited on the EDI 810 invoice must match the EDI 850 price. The ordering officer’s assigned delivery order number shall be cited in its entirety on the electronic invoice. For customers, payment will be made 30-days after customer receipt of either a valid invoice or supplies, whichever is later.

FSC will make payment via EFT to the CONTRACTOR's financial institution. (Manual payments may be warranted under unusual circumstances.)

EDI 850 – Purchase Order: This transaction set will go from FSC to the CONTRACTOR and will be used by the ordering facility to place electronic orders. Specific formatting instruction for EDI 850 will be provided by FSC in an implementation guide. EDI 855 – Purchase Order Acknowledgement: This transaction set will be sent from the CONTRACTOR to the FSC and will be used by the CONTRACTOR to confirm the order. Specific formatting instructions for EDI 855 will be provided by FSC in an implementation guide. EDI 860 – Purchase Order Modification: This transaction set will go from FSC to the CONTRACTOR and will be used to request a modification to the order, i.e., cancel a backorder. Authorized Customers will use this transaction set to request cancellation of a backordered supply. Specific formatting instructions for EDI 860 will be provided by FSC in an implementation guide. The Contractor may obtain information regarding the EDI direct to VA FSC solution as well as to start the process of implementing EDI via email to our ECD team directly at VAFSCEDIFinTeam@va.gov or 512.460.5311.

The following Standards shall apply to the extent specified herein:

American National Standards Institute (ANSI), Accredited Standards Committee (ASC) X 12 Standards for Electronic Data Interchange (EDI).

Information about the ANSI ASC X12 Standard may be obtained from:

Washington, DC.

Headquarters 1819 L Street, NW (between 18th and 19th Streets), 6th floor Washington, DC 20036 Tel: 1.202.293.8020 Fax: 1.202.293.9287

Health Industry Business Communications Council (HIBCC) EDI Use Conventions.

Information about HIBCC EDI Use Conventions may be obtained from:

Health Industry Business Communications Council 2525 E. Arizona Biltmore Circle, Suite 127 Phoenix, AZ 85016-2131 Phone: (602) 381-1091, Fax (602) 381-1093

High Level Seven (HL7) accredited ANSI standard.

Information about HL7 may be obtained from:

Health Level Seven, Inc.

3300 Washtenaw Avenue, Suite 227 Ann Arbor, MI 48104-4261 Phone (734) 677-7777 Fax: (734) 677-6622 hq@h17.org

International Council for Commonality in Blood Banking Automation (ICCBBA) International Society for Blood Transfusion (ISBT) 128 for tissues.

Information about ISBT 128 Standard specifications can be obtained from:

ICCBBA

PO Box 11309 San Bernardino, CA 92423-1309 www.iccbba.org

Global Standard 1 (GS1) Information about GS 1, Global Trade Identification Number (GTIN), and Global Location Number (GLN) may be obtained from:

GS1 US

General inquiries Princeton Pike Corporate Center 1009 Lenox Drive, Suite 202 Lawrenceville New Jersey 08648 United States Phone: + 1 609 620 0200 Fax: 1 609 620 1200 Web site: http://www.gs1us.org mailto:hq@h17.org http://www.iccbba.org/ http://www.gs1us.org/

Email: info@gs1us.org

7. CHANGES: changes may only be made by a written modification which is formally executed by the Contractor and the Contracting Officer.

8. HOLIDAYS: will not be required to make delivery on federally observed holidays. When normal delivery days fall on a Federal holiday, the Contractor shall make delivery on the next workday following that holiday.

The following holidays are observed by the Federal Government:

New Year’s Day Martin Luther King Jr. Birthday (3rd Monday in January) Presidents Day (3rd Monday in February) Memorial Day (last Monday in May) Juneteenth (June 19th) Independence Day (July 4th) Labor Day (1st Monday in September) Columbus Day (2nd Monday in October) Veterans Day (November 11th) Thanksgiving Day Christmas Day

Note: If the holiday falls on a Saturday, it will be officially observed on the Friday before the holiday. If the holiday falls on a Sunday, it will be officially observed on the Monday following the holiday.

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

AMENDMENT NO DATE

B.2 SCHEDULE OF ITEMS

SCHEDULE OF ITEMS

The Schedule is provided in Excel spreadsheet format as Attachment D.1 – Schedule of Items.

Period of Performance: The period of performance is 8/30/2025 – 8/29/2030, unless terminated earlier pursuant to the terms of this contract.

Year 1 of the pricing period is: 8/30/2025 to 8/29/2026 Year 2 of the pricing period is: 8/30/2026 to 8/29/2027 Year 3 of the pricing period is: 8/30/2027 to 8/29/2028 Year 4 of the pricing period is: 8/30/2028 to 8/29/2029 Year 5 of the pricing period is: 8/30/2029 to 8/29/2030

The guaranteed minimum under this contract is $25,000.00.

mailto:info@gs1us.org

The contract ceiling is $6,975,000.00

B.3 STATEMENT OF WORK

VISN 16 STATEMENT OF WORK

Medical Gases, Fills, and Cylinder Rentals

1. SCOPE

1.1. The Veterans Health Administration (VHA), Veterans Integrated System Networks (VISN)

16, require a Contractor to provide medical gases for each of the estimated eight (8) Veterans

Administration Medical Center (VAMC) facilities, their respective clinics, and off-site locations located in their region. The Contractor shall be responsible for providing, filling, transporting, handling, servicing, maintaining, delivering, picking up and storing medical gases and cylinders for all facilities located in Attachment D.2 – Facility Locations. All equipment and materials required to perform on the contract shall be provided by the Contractor except for any government-furnished cylinders a VAMC may choose to use.

1.2. Contractor shall provide the VA access to an on-line, customer-facing, web application which allows VA staff to place orders, search for documents by name and ID number, and view and download the following: order confirmations, scheduled delivery dates, order history, create shopping carts for future purchases, check the in-stock status of products needed, download

Proof of Delivery (POD)/delivery tickets, cylinder audit results/forms, current/past cylinder balances, current and past cylinder rental summaries, current available product lists, paid/unpaid invoices, and tutorials on how to use the site. This application shall be accessible on the internet and shall not have any contact with the VA information system.

1.3. The medical gases are listed in Attachment D.1 – Schedule of Items and must meet or exceed the standards cited in the current edition of the United States Pharmacopoeia/National

Formulary (USP).

1.4. The list and locations of facilities of VISN 16 Veterans Administration Medical Centers

(VAMC) / Health Care System (HCS) are shown in Attachment D.2 - VISN 16 Facility Locations.

The number and location of facilities located within VISN 16 may increase or decrease based on the Government’s need to provide health care to Veterans.

1.5. The quantities for each line item number in the solicitation are estimates only. There is no expressed or implied guarantee that these quantities will be purchased. The actual quantities ordered by the facilities will vary based on the medical needs of each facility. Quantities may increase or decrease based on the volume of Veterans and their medical needs. The contract shall be for the actual quantities as ordered by each VA Health Care facility.

1.6. Acronyms and other terms used in this contract shall be interpreted as follows unless the context expressly requires a different construction and/or interpretation.

ARO: After Receipt of Order CFR: Code of Federal Regulations

CGA: Compressed Gas Association CGMP: FDA Current Good Manufacturing Practice CBOC: Community Based Outpatient Clinic CO: Contracting Officer COR: Contracting Officer Representative CS: Contract Specialist EDI: Electronic Data Interchange FDA: US Food & Drug Administration GFE: Government-Furnished Equipment (Government-Owned) HCS: Health Care System LIN: Line Item Number LOU: Loss of Use (missing/unreturned/damaged cylinders) LPM: Liters Per Minute Negative Variance: When the number of cylinders found during the cylinder audit is fewer than the rental statement indicates NFPA: National Fire Protection Association OO: Ordering Officer OSHA: US Department of Labor, Occupational Safety and Health Administration PO: Purchase Order POC: Point of Contact POD: Proof of Delivery Positive Variance: When the number of cylinders found during the cylinder audit is greater than the rental statement indicates USP: United States Pharmacopoeia/National Formulary VA: Department of Veterans Affairs (Government) VAMC: Veterans Affairs Medical Center VHA: Veterans Health Administration VISN: Veterans Integrated Service Network

2. LICENSING, AUTHORIZATION, AND SELLING PERMISSIONS

2.1. If the Contractor is the manufacturer of the medical gases it places into the medical gas cylinders being supplied under this contract, it shall provide verification on an annual basis, that it holds current licensing, permits, certifications, or registrations required by the FDA and the states in which this contract is performed. If the Contractor is not the manufacturer the

Contractor shall compile this documentation from the manufacturer and provide it to the VA.

2.2. If the Contractor is not the manufacturer of the medical gases that are placed into medical gas cylinders being supplied under this contract, the Contractor must provide evidence of the medical gas manufacturer’s current licenses, permits, certifications, or registrations required by the FDA in the states in which this contract is performed, as well as an executed copy of the resellers agreement, no older than one year before award, within ten (10) calendar days of contract award affirmatively demonstrating that the Contractor has authorization by the manufacturer to resell the medical gas and to rent the medical gas cylinders that the Contractor is providing under this contract. In addition, the Contractor shall provide annual updates to any agreements it has with the medical gas manufacturer and medical gas cylinder provider affirmatively demonstrating that the Contractor has authorization by the manufacturer to resell the medical gas and to rent the medical gas cylinders that the Contractor is providing under this contract. In the event of a change in the manufacturer, the Contractor shall provide a minimum of 30 days advance notification, or at the time it is known, to VA of the change in manufacturer, and shall provide evidence of the new medical gas manufacturer’s current licenses, permits, certifications, or registrations required by the FDA and the states in which this contract is performed. The Contractor shall also provide a copy of its signed agreement with the new manufacturer demonstrating that the Contractor has authorization by the manufacturer to resell the medical gases and to rent the medical gas cylinders that the Contractor intends to provide under this contract.

2.3. Throughout the term of this contract, Contractor shall maintain all federal, state, and local licenses applicable to the Contractor, as well as any required FDA certifications.

3. LIABILITY INSURANCE REQUIREMENTS

3.1. The Contractor is required to maintain liability insurance in the amount of $1,000,000.00 per occurrence. The ACORD Certificate of Liability must be provided at time of contract award and annually via email to the CO.

4. MEDICAL GAS SPECIFICATION AND REQUIREMENTS

4.1. All medical gases provided in this contract shall be medical grade and shall comply with all applicable FDA, CGA, DOT, and all other federal, state, and local acts, regulations, codes, and standards in regard to their manufacture, testing, transportation, shipping, and packaging. The

Contractor shall comply with the most current and updated version of these codes and standards for the entire period of performance of this contract.

4.2. Material Safety Data Sheets (MSDS) shall be provided to the facility COR electronically via e-mail or through access to an external website upon request at no additional charge within 24 hours of the VA request. Contractor shall, at the request of the VA, provide training on procedures associated with safety data and maintaining medical gas cylinders while at VA facilities.

5. CYLINDERS AND ASSOCIATED COMPONENTS LAWS AND REGULATIONS

5.1. Cylinders, tanks, valves and other containers for gaseous and liquid forms of gas provided on this contract shall comply with all applicable FDA, CGA, DOT, and all other federal, state, and local acts, regulations, codes and standards in regard to the manufacture, maintenance, filling, marking, labeling, transportation, shipping, packaging, color-coding, valves, valve protection caps, valve brazing, cylinder fittings, hydrostatic cylinder testing, inspections, visual inspection, and 360 degree cryoband placement. The Contractor shall comply with the most current and updated version of these codes and standards for the entire period of performance of this contract.

5.2. Cylinder sizes, shown in the chart below, indicate product capacity of the cylinder(s) currently being used. All capacities are approximate, and the government shall be billed only for the actual amount of gas delivered. In accordance with the most current Federal Food, Drug, and Cosmetic Act codes, including any subsequent updates during the contract’s performance period, the actual contents of the container must appear on the label.

Cylinder Size:

Size Outer Diameter (inches) Height (inches)

B 3 5/16 – 3 ½ 13 – 13 ¼

C 3 ½ 8

D 4 3/16 – 4 ½ 16 ¾ - 19

E 4 3/16 – 4 ½ 24 ¾ - 30

F 4 ¼ 17

G 8 ½ 51 – 51 ¾

H 9 – 9 ¼ 51

J 9 – 9 1/4 51 – 55

K 9 56

M 7 43

Q 7 – 7 ½ 32 – 49

S 7 ¼ - 7 ½ 46

T 9 ¼ - 10 55 - 61

230 LT Nitrogen (on wheels) 26” 57”

100 LT Helium 24” 59”

5.3. E-Sized oxygen cylinder – fixed regulator system requirements: One version of steel and one version of lightweight aluminum construction with all of the following features:

• Easy-to-carry wide permanent handle to make it easy to lift

• Adjustable high flow and low flow regulators capable of a range from 0.25 LPM minimum to 25 LPM

• A Diameter Index Safety System (DISS) 50 PSI fitting for transport ventilator hook-up

• Magnetic resonance imaging (MRI) compatibility for the lightweight aluminum version

• Easy to read contents gauge

• Utilizes single-stage valves only.

5.4. Cylinders shall be filled to the maximum manufacturer’s recommended level during each refilling procedure unless a lesser amount is specified in the facility requirements or as agreed upon in a written document signed and dated by the Contracting Officer (CO).

5.5. Density data and volume measurement equivalents printed in CGA Publication P-6 –

Standard Density Data, Atmospheric Gases and Hydrogen, dated October 2012, shall be used when necessary to convert measurement of these gases from one form to another; for example, from cubic feet to gallons https://www.cganet.com/.

5.6. All transportation charges for empty government-owned and contractor-provided cylinders shall be at the expense of the Contractor and shall be transported using normal commercial practice to prevent damage to cylinders.

6. GOVERNMENT FURNISHED EQUIPMENT (GFE) - MEDICAL GAS CYLINDERS

6.1 Upon award of the contract the VA will inform the Contractor of the number of GFE cylinders the Contractor will take to maintain its inventory to account for approximately 30 days of usage for each particular gas for which the VA utilizes GFE cylinders. All GFE cylinders will be labeled with a unique cylinder identifier, colored, and tagged by the VA for identification and tracking purposes. The Contractor shall pick up the cylinders within two weeks after the Contract beginning date and store them securely at their facility to avoid mixing them in with the contractor-owned cylinders being processed.

6.2 The VA will assemble empty GFE cylinders in a designated pickup area and the OO will issue a delivery order for each type of gas needed in quantities equal to the number of empty

GFE cylinders of each type of gas and send it to the Contractor following the process in section

9 of this SOW. The contractor shall fulfill the order with cylinders from the GFE inventory at their location and exchange each empty GFE medical gas cylinder with a full GFE medical gas cylinder of the same type of gas as indicated in the Delivery Order at the prices listed in the D.1

Schedule of items.

6.3 If the VA facility chooses not to have the contractor maintain an inventory of GFE cylinders at the Contractor’s location, or if the Contractor is unable to store this inventory for a particular facility, the VA will possess enough GFE cylinders to allow for the Contractor to refill and deliver the exact GFE cylinder’s that were picked up empty within a 3-week period from the pickup of said cylinders. Contractor shall not substitute other cylinders for GFE cylinders and shall return the exact GFE cylinders according to their numbers and markings.

6.4. The Contractor shall pick up GFE medical gas cylinders. These cylinders shall be inspected by the Contractor and filled to the maximum functional capacity during each refilling procedure.

Empty Government-owned cylinders that are picked up by the Contractor from an ordering facility for re-fill or servicing must be transported according to the DOT regulations, using normal commercial practices to prevent damage to cylinders.

6.5. Contractor shall provide current inventory levels of GFE cylinders at Contractor’s facilities, as well as accurate GFE cylinder counts for both pickup and delivery upon each delivery. If the

Contractor delivers fewer GFE cylinders than is ordered, then the Contractor shall annotate all backordered/undelivered GFE cylinders on the delivery slip.

6.6. The VA will monitor the receiving and pickup record of the GFE cylinders and will conduct a review to be shared with the Contractor on an annual basis at minimum, or more frequently if the COR determines it to be necessary. The review of this record will be used by the VA to determine the number of GFE cylinders the Contractor should have at Contractor’s facilities.

The Contractor shall certify that the GFE cylinders shown to be in their possession, are accounted for and are accessible to fill orders. The Contractor shall pay for any lost or damaged GFE cylinders at the agreed upon rates identified on Attachment D.1 - Schedule of

Items within 30 days of the confirmation of the lost or damaged cylinders.

6.7. The final quantity of GFE cylinders lost will be determined at the end of the contract based on what quantities and types of cylinders the Contractor is unable to return. Final payment for lost or damaged cylinders shall be made within 30 days of the end of the contract.

6.8. If any GFE cylinders are found not to meet compliance the Contractor shall inform the COR and OO both in writing and by telephone to give them the opportunity to revise the order. The

Contractor shall return the non-compliant GFE cylinders back to the ordering facility on the next delivery at no additional cost to VA with documentation and clear marking on the GFE cylinders to label it defective.

6.9. GFE cylinders must remain the property of the individual facility for which the order was placed. GFE cylinders are not exchangeable for other GFE cylinders from different VA facilities.

Contractor shall fill and return GFE cylinders to the specific ordering facility for which the order was placed.

6.10. Contractor shall determine the need for hydrostatic testing based on the date code on the

GFE cylinder and shall perform said testing for the price indicated in the LIN on this contract.

The Contractor shall return any non-compliant GFE cylinders back to the ordering facility on the next delivery at no additional cost to the VA with documentation and clear marking on the GFE to label it defective and the cause of the failure. The Contractor shall proceed to fill all compliant

GFE cylinders and deliver them per normal procedure.

7. CONTRACTOR-PROVIDED MEDICAL CYLINDERS

7.1. Contractor shall provide and maintain cylinders/tanks and equipment. For the duration of the contract, the Contractor is liable for the integrity, suitability, safety, maintenance, inspections, and cylinder tracking of contractor-provided cylinder(s) and ensures they comply with applicable regulations and standards.

7.2. Contractor-provided equipment shall be kept in good operating condition and appearance

(i.e., clean, rust free, labeled) and be in accordance with applicable regulations and standards by the Contractor and at the Contractor’s expense. Each station shall provide the Contractor reasonable access to the facilities for this purpose. Contractor shall provide documentation of all safety testing of contractor-provided medical cylinders and appurtenances, including cylinder hydrostatic testing, to the VA upon their request at no additional charge.

7.3. All VISN 16 VA facilities have the right to refuse dirty cylinders or cylinders that do not meet applicable regulations and standards. The Contractor must replace rejected cylinders within 24 hours at no additional cost to the government.

7.4. The Contractor shall provide training to VA staff upon request at no additional cost to the

Government. The training shall insure that VA employees are proficient and able to safely operate medical gas cylinders and appurtenances in the event of equipment change, technology upgrades and/or any new system/manufacturer specification change.

7.5. Monthly rental charges:

7.5.1. Upon the delivery of contractor-provided cylinders, monthly rental rates shall apply to those cylinders in the calendar month of delivery and shall be subject to verification of receipt by the VA facility. Upon the pickup of emptied contractor-provided cylinders, as noted on the delivery slip by the Contractor’s delivery driver, the rental charges shall cease as of the end of the calendar month in which the empty cylinders were picked up.

7.5.2. If the contractor-provided cylinders have bar codes and the Contractor, or subcontractor, has a system in place for bar code scanning/tracking then all contractor-provided cylinders shall be scanned and tracked by the Contractor or their subcontractor during delivery, pick-up, and cylinder audits. This service shall be done at no additional cost to the Government and this data, in its original form, shall be made available to the

VA upon request.

7.5.3. The Contractor shall track the number of contractor-provided cylinders on hand at each facility and shall take note of the beginning balance for cylinders on hand at each facility at the beginning of each rental period. Each monthly rental period shall begin on the first day of the calendar month and shall end on the last day of the calendar month.

The Contractor shall adjust the inventory counts for each type of cylinder based on each delivery and pickup throughout the rental period. Contractor shall take note of the ending balance at the end of each rental period and assess the monthly charges for that rental period based on that ending balance. Rental pricing shall be assessed using the LIN prices for monthly rental of cylinders, which can be found in Attachment D.1-Schedule of

Items. Documentation of this tracking of cylinders shall be e-mailed to the COR and shall be made accessible though the on-line, customer-facing, web application.

7.5.4. The Contractor shall provide through e-mail and the on-line, customer-facing, web application, within ten (10) business days after the end of the rental period, a monthly summary for each delivery location (sub-accounts) to the individual facility COR(s) showing the following:

• Beginning balance for the rental period

• Cylinders delivered by date

• Cylinders picked up by date

• Ending balance for the rental period

7.5.5. The VA COR will verify the number based on the delivery slips for the rental period and will address any inconsistencies, errors, or omissions and seek to rectify them with the Contractor. The VA COR shall insure the accuracy of invoicing based on the verified number of rental charges reported on the VA COR verified monthly summary.

7.5.6. The VA and the Contractor shall perform at a minimum, an annual, on-site inventory, of all contractor-provided cylinders to verify the accuracy of the end-of-month balance of rental cylinders on the most recent invoice (see Section 13).

7.5.7. Outside of normal pickup/deliveries, no rental charges shall be applied to any cylinder five business days (Saturdays, Sundays, holidays excluded) after the ordering facility has notified the Contractor that said cylinders are ready to be picked up. The day the Contractor is notified is excluded from the five-day period. If the Contractor is verbally notified of empty cylinders, the ordering facility will document the notification by making a record of the date, time, and Contractor’s representative contacted.

8. TRANSITION / IMPLEMENTATION OF CONTRACTOR-PROVIDED MEDICAL GAS

CYLINDERS

8.1. The Contractor shall provide an orientation meeting and training for each of the sixteen (8) main VA facilities within 20 business days of contract award. This orientation meeting will cover information on delivery, orders, Contractor’s points of contact, etc.

8.2. Phase-in:

8.2.1. In the event that the awardee of this contract is not the incumbent Contractor (outgoing

Contractor), or that the medical gas cylinders and appurtenances furnished by the awardee are not the property of the incumbent Contractor the incoming Contractor shall work with the VA and incumbent Contractor during the phase-in transition period so it can be accomplished without disruption in supplies and services. Beginning on the effective date of the contract and subject to the establishing of Ordering Officers, facilities will begin placing orders for the medical gases listed on this contract. As the outgoing Contractor’s cylinders are collected, they must be stored apart from the incoming Contractor’s cylinders so as not to encourage the pickup of returned cylinders by the incorrect Contractor.

8.2.2 In the event that the awardee is the incumbent Contractor (outgoing Contractor), or that the medical gas cylinders and appurtenances furnished by the awardee are the property of the incumbent Contractor, LOU quantities shall not be carried forward into the rental balances of this Contract. Final LOU amounts shall be verified and paid as part of the closeout process of the previous contract. Beginning balances will be determined by the located, on-hand quantities from the final cylinder audit.

8.3 Phase-out:

8.3.1. 1 In the event that the new contract will not be using cylinders owned by the current contractor or sub-contractor, all rental charges shall continue at the last listed price per cylinder type while the VA returns all cylinders being used under this contract as they are able to order replacement cylinders on the newly awarded contract. The VA and the current Contractor will count all cylinders that are returned and compare them to the outstanding rental cylinders.

Once the VA determines there are no more of the outgoing Contractor’s cylinders present, the final LOU will be determined by comparing all returned cylinders to the last rental statement balances, factoring in any positive variance found.

8.3.2. In the event that the new contract is using the cylinders owned by the current contractor or sub-contractor, The Contractor and the VA shall conduct a Cylinder audit IAW paragraphs

7.5.5 and 13 to determine the final LOU, accounting for both negative and positive variance, on this contract. Final LOU amounts shall be paid as part of the Contract Closeout process and

LOU quantities shall not be carried forward into the rental amounts of any new Contract.

9. ORDERING PROCESSES

9.1. Ordering Officers (OOs) and Contracting Officers (COs) shall be authorized to place orders against this contract through the on-line, customer-facing, web application for the VA facilities located in VISN 16. The use of OOs will be the primary method used to place orders. Delivery orders may be issued by the CO if needed.

9.2. The Contractor will be provided with the names and contact information of the primary

Contracting Officer Representatives (CORs) within 20 days after award of the contract for each ordering facility.

9.3. The Contracting Officer shall furnish the Contractor with the names of individuals delegated as OO authority by separate letter upon issuance of the contract or agreement within 20 days of contract award. When COs appoint OOs after award, the CO will furnish the Contractor with an updated list of individual OOs authorized to place orders against the contract. OOs may not negotiate contract terms and conditions, modify any of the terms and conditions of the contract, determine price reasonableness, or determine best value. OOs are responsible for issuing and administering orders for any and all LIN’s on D.1 Schedule of Items placed under the contract identified in the appointment letter. The CO must approve any changes or deviations from the terms and conditions of the contract in writing prior to the OOs placing orders invoking those terms and conditions. The Contractor must accept orders against the contract only from the CO or authorized OOs. Fulfilling orders from persons other than the CO or OO may result in an unauthorized commitment.

OOs are responsible for issuing and administering orders placed under the contract or agreement identified in the appointment letter. OOs do not have the authority to modify any of the terms and conditions in the contract or agreement. Orders will be placed via Electronic Data

Interchange (EDI) if possible. If the vendor cannot set up EDI, specific ordering procedures will be modified into the contract after award.

9.4. The CO and authorized OOs will utilize the Line Item Number (LIN) structure outlined in D.1

Schedule of Items identified in the awarded contract. OOs will place orders based on facility needs on any day of the monthly billing period. Contractor shall acknowledge receipt of order within two (2) hours of order placement and deliver the order according to the parameters set forth in Section 10 of this SOW.

9.5. Orders placed without the use of EDI ordering processes shall be placed via delivery order using an agreed upon form established by the Contractor and the Government. Orders shall contain at a minimum the following information:

• Date of Order

• Company Name (Contractor)

• Contract number

• VA Facility Name

• VA Facility Purchase Order (PO) number

• Line Item Number (LIN)

• Item Description

• Manufacturer’s part number (if applicable)

• Quantity Ordered

• Unit Price

• Total Amount

• Place of Delivery

9.6. When specified by a facility that orders are to be placed/accepted via the Electronic Data

Interchange (EDI) ordering option, the following shall apply:

9.6.1. Fill/Call: value added option that allows facilities to either have an unfilled order or a portion of an unfilled order either killed (cancelled) or allow the undelivered items to be backordered. Contractor must first call facilities and obtain a decision.

9.6.2. Fill/Kill: an order or a portion of an order cancelled (killed) due to the non-shipment of products from the Contractor to the customer by the required delivery order date unless the ordering facility has previously approved the delivery of a substitute product.

9.6.3. EDI Order Confirmation (Applicable to VA facilities only): in the case where VA facilities submit orders through EDI, the Contractor shall generate EDI order confirmation to ordering facilities within two (2) hours after transmission of EDI orders. An alternate communications method allowing for the transfer of EDI data directly to the site is also available utilizing the

Applicability Statement 2 (AS2) secure internet data transfer protocol.

9.6.4. Confirmation Content: all unfilled or partially filled purchase order line items from the

Contractor shall be listed on the order. Facilities shall be able to print the confirmation. At a minimum, the order confirmation shall include the following information:

• VA Facility Name

• VA Facility Purchase Order Number

• Federal Government Product Contractor Item Number (LIN)

• Manufacturer’s part number

• Item Description

• Unit of Purchase

• Quantity Ordered

• Quantity Confirmed and to be delivered

• Status of non-confirmed or backordered line item(s)/Quantities to include their estimated time of arrival

• Note for Pre-approved Product Substitution (yes/no)

• Line Item Unit of Purchase Price

• Line Item Price

• Total Cost of Order

• Identification of Cancelled Gases

9.7. In the event the Contractor is unable to provide the LIN ordered, they may propose a substitute item that is on the contract. The Contractor shall contact the COR or the OO by telephone and give details of the proposed substitution. VA shall evaluate the clinical compliance of the proposed substitution and the COR or OO shall advise the Contractor if it is acceptable or not acceptable. If the proposed substitution is found to be acceptable by VA and is listed on the contract, the OO may authorize the substitution. If the Contractor proposes a substitution with a product that is not listed on the contract, the VA facility shall contact the CO to request a modification to the contract if the CO determines a modification is necessary. In the event the facility cannot wait for the contract to be modified they will proceed with the open market purchase of the approved substitution by Government Purchase Card, or by a

Contracting Officer if it exceeds the Micropurchase Threshold. The substitution shall be in compliance with all federal, state, and local regulations, codes, and standards and shall not in any way cause detriment of care to VA patient(s). Contractor shall provide training on all substitute items at the request of VA at no additional charge.

9.8. The VA will, at its discretion, be able to place emergency orders to the Contractor. These orders will be placed by the OO via e-mail and the on-line, customer-facing, web application, referencing POC designated by the Contractor, with the normal documentation and a telephone follow-up confirmation call. Emergency orders shall be delivered within 24 hours after being placed, including after business hours, on both weekdays and weekends, as needed.

Emergency orders will be subject to the emergency delivery LIN on the Schedule of Items.

9.9. An authorized Ordering Officer may place orders that are emergency (delivery within 24 hours) or routine. The Contractor must designate the points of contact i.e., email, fax, and/or phone number(s) for emergencies, to which all orders will be sent. The Contractor is required to have the capability to receive, manage, and fulfill manual orders in instances where there are power outages, security breaches, or other electronic systems issues.

9.10. Confirmation of order entry by the Contractor: The Contractor shall, other than by EDI transmission, respond to the facility by e-mail notification and through the on-line, customer-facing, web application, within twenty-four (24) hours after receipt of order for non-emergency delivery orders. If a delivery order is placed on a Friday, the delivery confirmation shall be the following Monday. If the following Monday falls on a federal holiday, then the delivery confirmation shall be Tuesday (the day following the federal holiday).

10. DELIVERY REQUIREMENTS

Medical gases are ordered by and delivered to the individual ordering facilities. The following information applies to all deliveries, regardless of the time or day of execution.

10.1. The Contractor is required to provide a legible signed and/or electronic delivery slip/ticket that has been signed and dated by the delivery driver, as well as countersigned by the VA facility representative supervising the delivery. Upon delivery, the delivery driver and VA facility representative will conduct a cylinder count of all cylinders being delivered and all cylinders being picked up. Both cylinder counts will be noted on the delivery slip/ticket or electronic delivery slip with the delivery date and delivery driver ID. The delivery slip shall be signed by both the VA facility representative and delivery driver. A copy of the delivery slip shall be left with the VA facility representative and must be made accessible through the on-line, customer-facing, web application.

10.1.1. The delivery slip/ticket for GFE must include:

• The number of cylinders at the Contractor’s…