S02 36C25026Q0742 - Savaria Handicare - Overhead Patient Lifts.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

610-26-3-279-0115

36C25026Q0742 07-30-2026

Timothy L. Garrity None 08-14-2026

10:00 EDT

36C250

Department of Veterans Affairs

Network Contracting Office 10

24 Frank Lloyd Wright Drive

Lobby M Suite M2200

Ann Arbor MI 48105

Timothy L. Garrity timothy.garrity@va.gov

X 100

X

Y

339113

800 Employees

N/A

X

36C610

Department of Veterans Affairs

Northern Indiana Healthcare System

Fort Wayne Campus

2121 Lake Avenue

Fort Wayne IN 46805

36C250

Department of Veterans Affairs

Network Contracting Office 10

24 Frank Lloyd Wright Drive

Lobby M Suite M2200

Ann Arbor MI 48105

This will be accomplished through the

Tungsten Network located at:

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

This is mandatory and the sole method for submitting invoices.

See CONTINUATION Page

The Contractor shall provide equipment, delivery, installation and warranty for overhead patient lifts for the

Fort Wayne Medical Center per the Statement of Work

(attached), and the terms and conditions incorporated herein

All quotes must be received by NLT 08/04/2026 @ 10:00AM EDT.

Pleas submit all quotes via email to the Contract Specialist at: timothy.garrity@va.gov

FAR 52.225-2 BUY AMERICAN CERTIFICATE MUST BE FILLED OUT

AND SUBMITTED WITH THE QUOTE IN ORDER TO BE CONSIDERED FOR

AWARD.

THE CLAUSE AT VAAR 852.219-76, VA NOTICE OF LIMITIATIONS ON

SUBCONTRACTING - CERTIFICATE OF COMPLIANCE FOR SUPPLIES AND

PRODUCTS WILL BE ATTACHED SEPARATELY FROM THE RFQ AND IS

REQUIRED TO BE COMLPETED, SIGNED AND RETURNED WITH THE

OFFEROR'S QUOTATION.

See CONTINUATION Page x X x 1

Shelton Beasley

36C25026Q0742

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

STATEMENT OF WORK

B.2 PRICE/COST SCHEDULE

ITEM INFORMATION

B.3 DELIVERY SCHEDULE

SECTION C - CONTRACT CLAUSES

C.1 52.222-90 ADDRESSING DEI DISCRIMINATION BY FEDERAL CONTRACTORS

(DEVIATION APR 2026)

C.2 52.222-36 EQUAL OPPORTUNITY FOR WORKERS WITH DISABILITIES (NOV

2025) (DEVIATION)

C.3 52.223-23 SUSTAINABLE PRODUCTS (NOV 2025) (DEVIATION)

C.4 52.240-91 SECURITY PROHIBITIONS AND EXCLUSIONS (NOV 2025)

(DEVIATION)

C.5 VAAR 852.247-71 DELIVERY LOCATION (OCT 2018)

C.6 VAAR 852.247-73 PACKING FOR DOMESTIC SHIPMENT (OCT 2018)

C.7 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

SECTION E - SOLICITATION PROVISIONS

E.1 52.212-2 EVALUATION—COMMERCIAL PRODUCTS AND COMMERCIAL

SERVICES (OCT 2025) (DEVIATION)

E.2 52.216-1 TYPE OF CONTRACT (NOV 2025) (DEVIATION)

E.3 52.219-1 SMALL BUSINESS PROGRAM REPRESENTATIONS (NOV 2025)

(DEVIATION)

E.4 52.240-90 SECURITY PROHIBITIONS AND EXCLUSIONS REPRESENTATIONS

AND CERTIFICATIONS (NOV 2025) (DEVIATION)

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

1998)

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: TBD

b. GOVERNMENT: Contracting Officer 36C250

Department of Veterans Affairs Network Contracting Office 10 24 Frank Lloyd Wright Drive Lobby M Suite M2200 Ann Arbor MI 48105

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 [] 52.232-36, Payment by Third Party

3. INVOICES: Invoices shall be submitted in arrears:

a. Quarterly []

b. Semi-Annually []

c. Other [X] Upon receipt, inspection, and acceptance by the VA COR

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.

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

AMENDMENT NO DATE

STATEMENT OF WORK

1. GENERAL INFORMATION

Contractor to provide and install overhead patient lifts and provide a 5-year extended warranty which includes parts and maintenance for the Fort Wayne

Medical Center. This is to ensure that patient and nurse safety is in compliance with current overhead patient lifts reaching end of life and beyond economical repair.

2. PLACES OF PERFORMANCE

NIHCS – Fort Wayne Campus

2121 Lake Avenue Fort Wayne, IN 46805

3. SCOPE OF WORK:

a. Services shall include all manpower, parts, installation, maintenance and support to include any freight charges and travel for this contract.

b. Keep the overhead patient lift systems and its covered components functional as intended.

c. All system components, new and/or existing, shall run smoothly throughout the course of the contract.

d. All system components are deemed and tested to be safe according to our

VA patient safety standards.

e. All system components shall have preventive maintenance performed to ensure safety according to the HTM preventive maintenance schedule.

f. The previous system’s railing system is included in the system components of this procurement.

g. The number of lifts includes 22 272KG lifts and 4 454KG lifts on 4th floor Fort

Wayne Medical Center and a single 454KG lifts in the Emergency Room

Department of Fort Wayne Medical Center.

h. Contractor shall provide:

i. Extended Hardware and Software Warranty

ii. Hardware and Software Support for systems indicated below

iii. Software Updates

iv. On-site Repair

4. CONTRACTOR REQUIREMENTS FOR SERVICES TO BE PROVIDED:

a. Contractor shall perform all services within this statement of work in conformance with the Original Equipment Manufacturer standards and specifications.

b. Contractor shall perform work in a professional manner and to the highest standards

c. Contractor shall check in with VAMC at time of arrival and checkout as defined in service hours.

d. Contractor to complete the VA Security Clearance process and have all employees working on VA property properly badged with VA contractor badges through Police Services before beginning any work at the VA. All contractors shall wear VA Contractor Badges at all times during while onsite

e. Contractor employees shall be fully qualified.

f. Contractor to remove all trash and debris at the completion of job. The work area is to be kept clean at all times.

g. The Contractor is to ensure that all tools, equipment and material are kept and placed in an orderly fashion to have as little impact on daily operations of the hospital, staff and patients.

h. Extended Hardware and Software Warranty

i. On-site repair of system, as needed.

ii. Extended software warranty for all proprietary software components of the system to ensure they perform in substantial compliance with the documentation.

iii. Hardware support as applicable.

i. Software Support

i. Unlimited telephone support.

ii. Unlimited support via approved Site-2-Site/VPN tunnel.

j. Software Updates

i. Automatic updates for all new software enhancements, including updates and patches to components that are released at no additional charge.

ii. Any “bug” fixes, enhancements and feature requests developed by the Original Equipment Manufacturer (OEM).

k. On-site Repair

i. Contractor shall report to the Program Specialists’ office, Facilities

Management Service to log in during normal working hours.

ii. Contractor at the end of each service shall provide a legible field service report to the COR.

iii. All required signatures will be obtained from the COR only.

iv. Once service is completed, Contractor shall log out in the same place they logged in.

v. If services are provided after hours, the service field report will be placed in the box on the Program Specialists door.

l. Contractor Employee Competency Requirements

i. Contractor staff shall include a primary and back-up Field Service Representative that is “fully qualified”.

ii. Field Service Representatives shall have successfully completed a formalized training program for the equipment covered under this contract.

1. Field Service Engineers shall have a minimum of one (1) year of experience providing preventative maintenance and emergency repair services on the same make and model of equipment under this contract.

2. At the Government’s request, the Contractor shall provide written assurance of the competency of their personnel by detailing a list of Field Service Representatives along with applicable training and years of service experience on the specific device on this contract.

m. Safety Requirements

i. Contractor shall take all necessary precautions to protect contractor personnel and property from damage during performance of this contract.

ii. Contractor shall be responsible for any injury to contractor employees and personal property that occurs during the performance of this contract caused by contractor employees’ fault or negligence.

5. ADMINISTRATIVE

a. CONTRACTING RESPONSIBILITIES

Contracting Officer

Address

Phone Number

Email Address

The Contracting Officer is the only person authorized to approve changes or modify any of the requirements of this contract.

The Contractor shall communicate with the Contracting Officer on all matters pertaining to the contract administration.

Only the Contracting Officer is authorized to make commitments or issue any modification to include but not limited to:

1. Terms affecting price, or

2. Terms affecting quality or quantity of the performance of this contract.

The Contracting Officer shall resolve complaints concerning Contractor relations with the Government, government employees or patients.

The Contracting Officer is the final authority on validating complaints.

In the event that the Contractor effects any such change at the direction of any person other than the Contracting Officer without prior authority, no adjustment shall be made in the contract price to cover an increase in costs incurred as a result thereof.

In the event that the procured services on this contract do not meet the VA’s quality and/or safety expectations, the best remedy will be implemented, to include but not limited to a targeted and time limited performance improvement plan, increased monitoring of the contracted services;

consultation or training for Contractor personnel to be provided by the VA;

replacement of the personnel and/or renegotiation of the contract terms or termination of the contract.

b. PERIOD OF PERFORMANCE:

This is an equipment procurement. The period of performance shall be determined after procurement to fit the installation window of the contractor.

The extended warranty shall last for 5 years after installation.

c. DUTY HOURS Contractor shall provide any needed on-site services during normal business hours of 8:00 am and 5:00 pm Monday through Friday, except for Federal Holidays:

• New Year’s Day

• Dr. Martin Luther King Jr Day

• Presidents Day

• Memorial Day

• Juneteenth National Independence Day

• Independence Day

• Labor Day

• Columbus Day

• Veterans Day

• Thanksgiving Day

• Christmas Day

• Any other day specifically declared a Federal Holiday by the President of the United States

d. ANNUAL OFFICE OF INSPECTOR GENERAL (OIG): In accordance with

HIPAA and the Balanced Budget Act (BBA) of 1977, the Department of Health and Human Services (HHS) Office of Inspector General (OIG) has established a list of parties and entities excluded from Federal health care programs. Specifically, the listed parties and entities may not receive Federal Health Care program payments due to fraud and/or abuse of the Medicare and Medicaid programs.

Therefore, Contractor shall review the HHS OIG List of Excluded

Individuals/Entities on the HHS OIG web site at http://oig.hhs.gov/exclusions/index.asp to ensure that the proposed technician(s) are not listed. Contractor should note that any excluded individual or entity that submits a claim for reimbursement to a Federal health care program, or causes such a claim to be submitted, may be subject to a

Civil Monetary Penalty (CMP) for each item or service furnished during a period that the person was excluded and may also be subject to treble damages for the amount claimed for each item or service. CMP’s may also be imposed against the Contractor that employ or enter into contracts with http://oig.hhs.gov/exclusions/index.asp excluded individuals to provide items or services to Federal program beneficiaries.

e. INHERENT GOVERNMENT FUNCTIONS: Contractor and employees shall not perform inherently governmental functions. This includes, but is not limited to, determination of agency policy, determination of Federal program priorities for budget requests, direction and control of government employees (outside a clinical context), selection or non-selection of individuals for Federal Government employment including the interviewing of individuals for employment, approval of position descriptions and performance standards for Federal employees, approving any contractual documents, approval of Federal licensing actions and inspections, and/or determination of budget policy, guidance and strategy.

f. NO EMPLOYEE STATUS

1. The Contractor shall be responsible for protecting the employee furnishing services. To carry out this responsibility, the Contractor shall provide or certify that the following is provided for all their staff providing services under the resultant contract:

a. Workers Compensation

b. Professional Liability Insurance

c. Health examinations

d. Income tax withholding

e. Social Security Payments

g. BILLING AND INVOICING: Invoice requirements and supporting documentation shall be submitted no later than the 20th workday of the following month of services being rendered.

Subsequent changes or corrections shall be submitted by a separate invoice.

The Government will handle invoices according to the Prompt Payment Act

(31 U.S.C. 3903) and 5 CFR part 1315. The Contractor shall submit invoices to the address designated in the contract to receive invoices. An invoice must include the information required by 5 CFR part 1315.9(b)

h. VENDOR ELECTRONIC INVOICE SUBMISSION METHODS:

Facsimile, e-mail, and scanned documents are not acceptable forms of submission for payment requests. Electronic form means an automated system transmitting information electronically according to the accepted electronic data transmission methods below:

VA’s Electronic Invoice Presentment and Payment System – the FSC uses a third-party contractor, Tungsten Network (referred to OB10), to transition vendors from paper to electronic invoice submission. Please go to this website: https://www.tungsten-network.com/customer-https://www.tungsten-network.com/customer-campaigns/veteransaffairs/ campaigns/veteransaffairs/ to enroll in the program and begin submitting the electronic invoices, free of charge.

A system that conforms to the X12 electronic data interchange (EDI) formats established by the Accredited Standards Center (ASC) chartered by the

American National Standards Institute (ANSI). The X12 EDI Web site http://www.x12.org

The Contractor may contact FSC at the phone or email address listed below with any questions about the e-invoicing program or Tungsten Network:

1. OB10 e-Invoice Setup Information: 1-877-489-6135

2. OB10 e-Invoice email: VA.Registration@ob10.com

3. FSC e-Invoice Contact Information: 1-877-353-9791

4. FSC e-Invoice email: vafsccshd@va.gov

i. MANDATORY TRAINING:

1. All contractor personnel shall successfully complete TMS training number

VA20939-VA Privacy Training for Personnel without Access to VA

Computer Systems or VA Sensitive Information.

2. To self-enroll in TMS you must follow the instructions below:

a. Go to https://www.tms.va.gov/SecureAuth35/

b. From the log in page, in the brown navigation bar click the Create New

User link.

c. In the VA TMS Self Enrollment page, select the appropriate division:

VHA

d. Click Next

e. Click the appropriate description of what you will be

f. Click Next

g. In My Account Information section fill out all the required information

h. If there is a security pop-up click allow

i. In the email pop up add any additional information and click send

j. In My Job Information fill in all the required information

I. VA Location: NIHCS

II. VA Point of Contact: Shawn DiRocco

III. VA POC email: shawn.dirocco@va.gov

IV. VA POC phone: 260-426-5431 x61220

V. Contract Length: 3 years

VI. Contract #: TBD

VII. Preferred Accreditation:

VIII. Vendor Name:

IX. Project Manager: Shawn DiRocco

X. Click Submit

k. From the Congratulations page, note and write down the TMS User ID https://www.tungsten-network.com/customer-campaigns/veteransaffairs/ http://www.x12.org/ mailto:VA.Registration@ob10.com mailto:vafsccshd@va.gov https://www.tms.va.gov/SecureAuth35/

l. Click Continue

m. Complete Course and provide a copy of the Certificate to both the

COR and CO/CS.

3. The Contractor shall provide all technicians TMS certificate of completion within 2 weeks from the date of award, and annually thereafter.

4. Failure to complete the mandatory annual training, within the timeframe required, is grounds for suspension or termination of all work on the contract until such time as the training documents are complete and provided.

j. BACKGROUND CHECK

1. COST:

a. The contractor shall bear the expense of obtaining background investigations. If the investigation is conducted by the Office of

Personnel Management (OPM), the contractor shall reimburse the VA within 30 days. The cost of a background investigation is currently

$382.00. If a federal background investigation has previously been completed and is able to be reciprocated, the contractor shall reimburse the VA the cost of the background investigation reciprocation, which is currently $32.00. This price is subject to change at any time.

2. SECURITY PROCESS:

a. The contractor shall review the packet of information provided by the

VA regarding background investigations and submit a complete package (including all technician documents) within 14 business days of award.

b. The contractor, when notified of an unfavorable determination by the

Government, shall withdraw the employee from consideration from working under the contract.

c. Failure to comply with the contract or personnel security requirements may result in termination of the contract for default.

d. The Government, upon award, will provide the contractor with a packet of information regarding the background investigation process and required forms.

The VA facility will pay for investigations conducted by the Office of Personnel

Management (OPM) in advance. The contractor will reimburse the VA facility within the required timeframes.

B.2 PRICE/COST SCHEDULE

ITEM INFORMATION

ITEM

NUMBER

DESCRIPTION OF

SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

22.00 EA __________ ________________

Savaria Handicare - Brand Name Only

Part Number: M2F272-12-03-02-NA Description: M-CLIN 2F 272KG DHU CCR WG NA PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

Part Number: M920337 Description: DECAL WEIGHT LOAD TEST 272 KG PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing

Part Number: M920514 Description: SAVARIA CHARGER HOLDER FOR A SERIES

& AP 300/450 CHARGER

PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing

44.00 EA __________ ________________

Part Number: 690323 Description: POWERPRO ONE MULTI MATERIAL

INTERIOR SCREW 6X1-1/4 IN

PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing

Part Number M9020660-272-SV Description: CARRY BAR ASSY 2H 272KG PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing

Part Number: 850010S

Description: LABOR PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing

4.00 EA __________ ________________

Part Number: MBA454-12-13-02-NA Description: M-BARI 4F 454KG DHU OMNI WG NA PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing

Part Number: M921431 Description: DECAL WEIGHT LOAD TEST 454KG PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing

Part Number: M920514 Description: SAVARIA CHARGER HOLDER FOR A SERIES

& AP 300/450 CHARGER

PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing

8.00 EA __________ ________________

Part Number: 690323 Description: POWERPRO ONE MULTI MATERIAL

INTERIOR SCREW 6X1-1/4 IN

PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing

Part Number: M921175-544 Description: CARRY BAR 2H 544KG PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing

Description: LABOR PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing

1.00 EA __________ ________________

Part Number: MBA454-1113-00-NA Description: M-BARI 4F 454 DHU NA PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing

Part Number: M921431 Description: DECAL WEIGHT LOAD TEST 454KG PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing

Part Number: M920514 Description: SAVARIA CHARGER HOLDER FOR A SERIES

& AP 300/450 CHARGER

PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing

2.00 EA __________ ________________

Part Number: 690323 Description: POWERPRO ONE MULTI MATERIAL

INTERIOR SCREW 6X1-1/4 IN

PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing

Part Number: M921175-544 Description: CARRY BAR 544KG PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing

Description: LABOR PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing

27.00 EA __________ ________________

Part Number: 880110S

Description: EXTENDED WARRANTY PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing

Part Number: 400000

Description: FREIGHT PRINCIPAL NAICS CODE: 339113 - Surgical Appliance and Supplies Manufacturing

GRAND

TOTAL

B.3 DELIVERY SCHEDULE

ITEM

NUMBER SHIPPING INFORMATION QUANTITY

DELIVERY

DATE

0001 SHIP TO: Department of Veterans Affairs NIHCS - Fort Wayne Campus 2121 Lake Avenue Fort Wayne, IN 46805

USA

22.00 180 Days ARO

MARK FOR: Shawn DiRocco

(260) 404-4233 shawn.dirocco@va.gov

FOB: DESTINATION

0002 SHIP TO: Same as 0001 22.00 180 Day ARO

0003 SHIP TO: Same as 0001 22.00 180 Days ARO

0004 SHIP TO: Same as 0001 44.00 180 Days ARO

0005 SHIP TO: Same as 0001 22.00 180 Days ARO

0006 SHIP TO: Same as 0001 22.00 180 Days ARO

0007 SHIP TO: Same as 0001 4.00 180 Days ARO

0008 SHIP TO: Same as 0001 4.00 180 Days ARO

0009 SHIP TO: Same as 0001 4.00 180 Days ARO

0010 SHIP TO: Same as 0001 8.00 180 Days ARO

0011 SHIP TO: Same as 0001 4.00 180 Days ARO

0012 SHIP TO: Same as 0001 4.00 180 Days ARO

0013 SHIP TO: Same as 0001 1.00 180 Days ARO

0014 SHIP TO: Same as 0001 1.00 180 Days ARO

0015 SHIP TO: Same as 0001 1.00 180 Days ARO

0016 SHIP TO: Same as 0001 2.00 180 Days RO

0017 SHIP TO: Same as 0001 1.00 180 Days ARO

0018 SHIP TO: Same as 0001 1.00 180 Days ARO

0019 SHIP TO: Same as 0001 27.00 180 Days ARO

0020 SHIP TO: Same as 0001 1.00 180 Days ARO

SECTION C - CONTRACT CLAUSES

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:

C.1 52.222-90 ADDRESSING DEI DISCRIMINATION BY FEDERAL

CONTRACTORS (DEVIATION APR 2026)

(a)Definitions. As used in this clause— Program participation means membership or participation in, or access or admission to:

training, mentoring, or leadership development programs; educational opportunities; clubs;

associations; or similar opportunities that are sponsored or established by the contractor or subcontractor.

Racially discriminatory diversity, equity, and inclusion (DEI) activities means disparate treatment based on race or ethnicity in the recruitment, employment (e.g., hiring, promotions), contracting (e.g., vendor agreements), program participation, or allocation or deployment of an entity's resources.

(b) In connection with the performance of work under this contract, the Contractor agrees as follows:

(1) The Contractor will not engage in any racially discriminatory DEI activities;

(2) The Contractor will furnish all information and reports, including providing access to books, records, and accounts, as required by the Contracting Officer, for purposes of ascertaining compliance with this clause;

(3) In the event of the Contractor's or a subcontractor's noncompliance with this clause, this contract may be canceled, terminated, or suspended in whole or in part, and the Contractor or subcontractor may be declared ineligible for further Government contracts;

(4) The Contractor will report any subcontractor's known or reasonably knowable conduct that may violate this clause to the Contracting Officer and take any appropriate remedial actions directed by the Contracting Officer; and

(5) The Contractor will inform the Contracting Officer if a subcontractor sues the Contractor and the suit puts at issue, in any way, the validity of this clause.

(6) The Contractor recognizes that compliance with the requirements of this clause are material to the Government's payment decisions for purposes of 31 U.S.C. 3729(b)(4).

(c) The Contractor must include the substance of this clause, including this paragraph (c), in subcontracts at any tier, including those for commercial products and commercial services, except those where the place of delivery or performance is outside the United States.

(End of Clause)

C.2 52.222-36 EQUAL OPPORTUNITY FOR WORKERS WITH DISABILITIES

(NOV 2025) (DEVIATION)

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

(b) Subcontracts. The Contractor must include the terms of this clause in every subcontract or purchase order in excess of the threshold specified in Federal Acquisition Regulation (FAR) 22.1401-2(a)(1) on the date of subcontract award, unless exempted by rules, regulations, or orders of the Secretary, so that such provisions will be binding upon each subcontractor or vendor. The Contractor must act as specified by the Director, Office of Federal Contract

Compliance Programs of the U.S. Department of Labor, to enforce the terms, including action for noncompliance. Such necessary changes in language may be made as shall be appropriate to identify properly the parties and their undertakings.

C.3 52.223-23 SUSTAINABLE PRODUCTS (NOV 2025) (DEVIATION)

(a) Definitions. As used in this clause— Sustainable products means—

(1) A product that contains recovered material designated by the EPA under the Comprehensive Procurement Guidelines (42 U.S.C. 6962) (40 CFR part 247) (https://www.epa.gov/smm/comprehensive-procurement-guideline-cpg-program#products).

(2) An energy-efficient product or low standby power device (42 U.S.C. 8259b) (10 CFR part 436, subpart C) (https://www.energy.gov/femp/search-energy-efficient-products, https://www.energystar.gov/products?s=mega, and https://www.energy.gov/femp/low-standby-power-product-list).

(3) A biobased product that meets the content requirements of the USDA under the BioPreferred® program (7 U.S.C. 8102) (7 CFR Part 4270) (https://www.biopreferred.gov/)

(4) A substance identified in the EPA’s Significant New Alternatives Policy (SNAP) program as a safe alternative to an ozone-depleting substance (42 U.S.C. 7671l) (40 CFR part 82, subpart G) (https://www.epa.gov/snap/unacceptable-and-acceptable-substitutes-tables).

(b) Requirements. The Government has identified in the statement of work or elsewhere in the contract the sustainable products that are required during the performance of this contract. The Contractor shall ensure that it provides sustainable products as required by this contract, when the products are—

(1) Delivered to the Government;

(2)Furnished for use by the Government;

(3) Incorporated into the construction of a public building or public work; or

(c) Furnished for use in performing services under this contract, where the cost of the products is a direct cost to this contract.

C.4 52.240-91 SECURITY PROHIBITIONS AND EXCLUSIONS (NOV 2025)

(DEVIATION)

(a) Definitions. As used in this clause— American Security Drone Act-covered foreign entity means an entity included on a list that the Federal Acquisition Security Council (FASC) develops and maintains and publishes in the System for Award Management (SAM) at https://www.sam.gov (section 1822 of Pub. L. 118-31, 41 U.S.C. 3901 note prec.).

Backhaul means intermediate links between the core network, or backbone network, and the small subnetworks at the edge of the network (e.g., connecting cell phones/towers to the core telephone network). Backhaul can be wireless (e.g., microwave) or wired (e.g., fiber optic, coaxial cable, Ethernet).

Covered application means the social networking service TikTok or any successor application or service developed or provided by ByteDance Limited or an entity owned by ByteDance Limited.

Covered article, as defined in 41 U.S.C. 4713(k), means:

(1) Information technology, as defined in 40 U.S.C. 11101, including cloud computing services of all types;

(2) Telecommunications equipment or telecommunications service, as those terms are defined in section 3 of the Communications Act of 1934 (47 U.S.C. 153);

(3) The processing of information on a Federal or non-Federal information system, subject to the requirements of the Controlled Unclassified Information program (see 32 CFR part 2002); or https://www.epa.gov/smm/comprehensive-procurement-guideline-cpg-program#products https://www.energy.gov/femp/search-energy-efficient-products https://www.energystar.gov/products?s=mega https://www.energy.gov/femp/low-standby-power-product-list https://www.energy.gov/femp/low-standby-power-product-list https://www.biopreferred.gov/ https://www.epa.gov/snap/unacceptable-and-acceptable-substitutes-tables https://www.sam.gov

(4) Hardware, systems, devices, software, or services that include embedded or incidental information technology.

Covered foreign country means The People’s Republic of China.

Covered telecommunications equipment or services means—

(1) Telecommunications equipment produced by Huawei Technologies Company or ZTE Corporation (or any subsidiary or affiliate of such entities);

(2) For the purpose of public safety, security of Government facilities, physical security surveillance of critical infrastructure, and other national security purposes, video surveillance and telecommunications equipment produced by Hytera Communications Corporation, Hangzhou Hikvision Digital Technology Company, or Dahua Technology Company (or any subsidiary or affiliate of such entities);

(3) Telecommunications or video surveillance services provided by such entities or using such equipment; or

(4) Telecommunications or video surveillance equipment or services produced or provided by an entity that the Secretary of Defense, in consultation with the Director of National Intelligence or the Director of the Federal Bureau of Investigation, reasonably believes to be an entity owned or controlled by, or otherwise connected to, the government of a covered foreign country.

Critical technology means—

(1) Defense articles or defense services included on the United States Munitions List set forth in the International Traffic in Arms Regulations under subchapter M of chapter I of title 22, Code of Federal Regulations;

(2) Items included on the Commerce Control List set forth in Supplement No. 1 to part 774 of the Export Administration Regulations under subchapter C of chapter VII of title 15, Code of Federal Regulations, and controlled—

(i) Pursuant to multilateral regimes, including for reasons relating to national security, chemical and biological weapons proliferation, nuclear nonproliferation, or missile technology; or

(ii) For reasons relating to regional stability or surreptitious listening;

(3) Specially designed and prepared nuclear equipment, parts and components, materials, software, and technology covered by part 810 of title 10, Code of Federal Regulations (relating to assistance to foreign atomic energy activities);

(4) Nuclear facilities, equipment, and material covered by part 110 of title 10, Code of Federal Regulations (relating to export and import of nuclear equipment and material);

(5) Select agents and toxins covered by part 331 of title 7, Code of Federal Regulations, part 121 of title 9 of such Code, or part 73 of title 42 of such Code; or

(6) Emerging and foundational technologies controlled pursuant to section 1758 of the Export Control Reform Act of 2018 (50 U.S.C. 4817).

FASC-prohibited unmanned aircraft system means an unmanned aircraft system manufactured or assembled by an American Security Drone Act—covered foreign entity.

FASCSA order means any of the following orders issued under the Federal Acquisition Supply Chain Security Act (FASCSA) requiring removing covered articles from executive agency information systems or excluding one or more named sources or named covered articles from executive agency procurement actions, as described in 41 CFR 201-1.303(d) and (e):

(1) The Secretary of Homeland Security may issue FASCSA orders that apply to civilian agencies, to the extent not covered by paragraph (2) or (3) of this definition. This type of FASCSA order may be referred to as a Department of Homeland Security (DHS) FASCSA order.

(2) The Secretary of Defense may issue FASCSA orders that apply to the Department of Defense (DoD) and national security systems other than sensitive compartmented information systems. This type of FASCSA order may be referred to as a DoD FASCSA order.

(3) The Director of National Intelligence (DNI) may issue FASCSA orders that apply to the intelligence community and sensitive compartmented information systems, to the extent not covered by paragraph (2) of this definition. This type of FASCSA order may be referred to as a DNI FASCSA order.

Information technology, as defined in 40 U.S.C. 11101(6)—

(1) Means any equipment or interconnected system or subsystem of equipment, used in the automatic acquisition, storage, analysis, evaluation, manipulation, management, movement, control, display, switching, interchange, transmission, or reception of data or information by the executive agency, if the equipment is used by the executive agency directly or is used by a contractor under a contract with the executive agency that requires the use—

(i) Of that equipment; or

(ii) Of that equipment to a significant extent in the performance of a service or the furnishing of a product;

(2) Includes computers, ancillary equipment (including imaging peripherals, input, output, and storage devices necessary for security and surveillance), peripheral equipment designed to be controlled by the central processing unit of a computer, software, firmware and similar procedures, services (including support services), and related resources; but

(3) Does not include any equipment acquired by a Federal contractor incidental to a Federal contract.

Intelligence community, as defined by 50 U.S.C. 3003(4), means the following—

(1) The Office of the Director of National Intelligence;

(2) The Central Intelligence Agency;

(3) The National Security Agency;

(4) The Defense Intelligence Agency;

(5) The National Geospatial-Intelligence Agency;

(6) The National Reconnaissance Office;

(7) Other offices within the Department of Defense for the collection of specialized national intelligence through reconnaissance programs;

(8) The intelligence elements of the Army, the Navy, the Air Force, the Marine Corps, the Coast Guard, the Federal Bureau of Investigation, the Drug Enforcement Administration, and the Department of Energy;

(9) The Bureau of Intelligence and Research of the Department of State;

(10) The Office of Intelligence and Analysis of the Department of the Treasury;

(11) The Office of Intelligence and Analysis of the Department of Homeland Security; or

(12) Such other elements of any department or agency as may be designated by the President, or designated jointly by the Director of National Intelligence and the head of the department or agency concerned, as an element of the intelligence community.

Interconnection arrangement means arrangements governing the physical connection of two or more networks to allow the use of another’s network to hand off traffic where it is ultimately delivered (e.g., connecting a customer of telephone provider A to a customer of telephone company B) or sharing data and other information resources.

Kaspersky Lab-covered article means any hardware, software, or service that—

(1) Is developed or provided by a Kaspersky Lab-covered entity;

(2) Includes any hardware, software, or service developed or provided in whole or in part by a Kaspersky Lab-covered entity; or

(3) Contains components using any hardware or software developed in whole or in part by a Kaspersky Lab-covered entity.

Kaspersky Lab-covered entity means—

(1) Kaspersky Lab;

(2) Any successor entity to Kaspersky Lab, including any change in name, e.g., “Kaspersky”;

(3) Any entity that controls, is controlled by, or is under common control with Kaspersky Lab;

or

(4) Any entity of which Kaspersky Lab has a majority ownership.

National security system, as defined in 44 U.S.C. 3552, means any information system (including any telecommunications system) used or operated by an agency or by a contractor of an agency, or other organization on behalf of an agency—

(1) The function, operation, or use of which involves intelligence activities; involves cryptologic activities related to national security; involves command and control of military forces; involves equipment that is an integral part of a weapon or weapons system; or is critical to the direct fulfillment of military or intelligence missions, but does not include a system that is to be used for routine administrative and business applications (including payroll, finance, logistics, and personnel management applications); or

(2) Is protected at all times by procedures established for information that have been specifically authorized under criteria established by an Executive order or an Act of Congress to be kept classified in the interest of national defense or foreign policy.

Roaming means cellular communications services (e.g., voice, video, data) received from a visited network when unable to connect to the facilities of the home network either because signal coverage is too weak or because traffic is too high.

Sensitive compartmented information means classified information concerning or derived from intelligence sources, methods, or analytical processes, which is required to be handled within formal access control systems established by the Director of National Intelligence.

Sensitive compartmented information system means a national security system authorized to process or store sensitive compartmented information.

Source means a non-Federal supplier, or potential supplier, of products or services, at any tier.

Subsidiary means an entity in which more than 50 percent of the entity is owned directly by a parent corporation or through another subsidiary of a parent corporation.

Substantial or essential component means any component necessary for the proper function or performance of a piece of equipment, system, or service.

Unmanned aircraft means an aircraft that is operated without the possibility of direct human intervention from within or on the aircraft (49 U.S.C. 44801(11)).

Unmanned aircraft system means an unmanned aircraft and associated elements (including communication links and the components that control the unmanned aircraft) that are required for the operator to operate safely and efficiently in the national airspace system (49 U.S.C.

44801(12)).

(b) Prohibitions on providing or using specific products or services in performance of contract.

Unless a waiver or exception applies, the Contractor is prohibited from providing any products or services to the Government or using in the performance of the contract any of the following:

(1) A covered application on any information technology owned or managed by the Government, or on any information technology used or provided by the Contractor under this contract, including equipment provided by the Contractor’s employees (section 102 of Division R of the Consolidated Appropriations Act, 2023 (Pub. L. 117-328));

(2) A Kaspersky Lab-covered article (Section 1634 of Division A of the National Defense Authorization Act for Fiscal Year 2018 (Pub. L. 115-91));

(3) Covered telecommunications equipment or services used as a substantial or essential component of any system, or as critical technology as part of any system (paragraphs (a)(1)(A) of section 889 of the John S. McCain National Defense Authorization Act for Fiscal Year 2019 (Pub. L. 115-232)). This does not prohibit contractors from providing—

(i) A service that connects to the facilities of a third-party, such as backhaul, roaming, or interconnection arrangements; or

(ii) 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) Prohibition on unmanned aircraft systems manufactured or assembled by American Security Drone Act—covered foreign entities.

(1) Prohibition. The Contractor is prohibited from—

(i) Delivering any FASC-prohibited unmanned aircraft system, which includes unmanned aircraft (i.e., drones) and associated elements (sections 1823 and 1826 of American Security Drone Act of 2023, within the National Defense Authorization Act for Fiscal Year 2024, Pub. L.

118-31, Div. A, Title XVIII, Subtitle B, 41 U.S.C. 3901 note prec.);

(ii) On or after December 22, 2025, operating a FASC-prohibited unmanned aircraft system in the performance of the contract (section 1824 of Pub. L. 118-31); and

(iii) On or after December 22, 2025, using Federal funds to procure or operate a FASC-prohibited unmanned aircraft system (section 1825 of Pub. L. 118-31).

(2) Procedures. The Contractor shall search SAM for the FASC-maintained list of American Security Drone Act—covered foreign entities before proposing, or using in performance of the contract, any unmanned aircraft system. Also, the Contractor shall ensure any effort or expenditure associated with a FASC-prohibited unmanned aircraft system is consistent with a corresponding exemption, exception, or waiver determination expressly stated in the contract.

(3) Exemptions, exceptions, and waivers. The prohibitions in paragraph (c) of this clause do not apply where the agency has determined an exemption, exception, or waiver applies, and the contract indicates that such a determination has been made. See sections 1823 through 1825 and 1832 of Public Law 118-31 for statutory requirements pertaining to exemptions, exceptions, and waivers.

(d) Prohibition on using or providing specific products or services or conducting certain transactions regardless of connection to contract.

(1) Certain telecommunications and video surveillance equipment, systems, or services.

(i) Unless an applicable waiver has been issued by the Government, the Contractor cannot use any equipment, systems, or services 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 (paragraph (a)(1)(B) of section 889 of the John S. McCain National Defense Authorization Act for Fiscal Year 2019 (Pub. L. 115-232)).

(ii) This prohibition applies to using covered telecommunications equipment or services, regardless of whether that use is in performance of work under a Federal contract. This does not prohibit the contractor from using—

(A) A service that connects to the facilities of a third party, such as backhaul, roaming, or interconnection arrangements; or

(B) 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) Office of Foreign Assets Control Restrictions.

(i) Except as authorized by the Office of Foreign Assets Control (OFAC) in the Department of the Treasury, the Contractor shall not acquire, for use in the performance of this contract, any supplies or services if any proclamation, Executive order, or statute administered by OFAC, or if OFAC’s implementing regulations at 31 CFR chapter V, would prohibit such a transaction by a person subject to the jurisdiction of the United States.

(ii) Except as authorized by OFAC, most transactions involving Cuba, Iran, and Sudan are prohibited, as are most imports from Burma or North Korea, into the United States or its outlying areas.

(A) For lists of entities and individuals subject to economic sanctions, see OFAC’s List of Specially Designated Nationals and Blocked Persons at https://home.treasury.gov/policy-issues/financial-sanctions/specially-designated-nationals-and-blocked-persons-list-sdn-human-readable-lists.

(B) For more information about these restrictions, as well as updates, see OFAC’s regulations at 31 CFR chapter V and at https://home.treasury.gov/policy-issues/office-of-foreign-assets-control-sanctions-programs-and-information.

(C) To conduct electronic screens of potential parties to regulated transactions, see the consolidated screening list at https://www.trade.gov/consolidated-screening-list, which consolidates multiple export screening lists of the Departments of Commerce, State, and the Treasury.

(3) Sudan prohibition. The Contractor is prohibited from conducting any restricted business operations in Sudan in accordance with Accountability and Divestment Act of 2007 (Pub. L. 110- 174).

(4) Iran prohibitions.

(i) Unless an exception applies according to paragraph (d)(4)(iii) or the Government grants a waiver, the contractor shall not engage in certain activities or transactions relating to Iran (section 6(b)(1)(A) of Iran Sanctions Act (50 U.S.C. 1701 note).

https://home.treasury.gov/policy-issues/financial-sanctions/specially-designated-nationals-and-blocked-persons-list-sdn-human-readable-lists https://home.treasury.gov/policy-issues/financial-sanctions/specially-designated-nationals-and-blocked-persons-list-sdn-human-readable-lists https://home.treasury.gov/policy-issues/financial-sanctions/specially-designated-nationals-and-blocked-persons-list-sdn-human-readable-lists https://home.treasury.gov/policy-issues/office-of-foreign-assets-control-sanctions-programs-and-information https://home.treasury.gov/policy-issues/office-of-foreign-assets-control-sanctions-programs-and-information https://www.trade.gov/consolidated-screening-list

(ii) Unless an exception applies according to paragraph (d)(4)(iii) or the Government grants a waiver, contractor shall not export certain sensitive technology to Iran, as determined by the President, and has an active exclusion in SAM (22 U.S.C. 8515).

(iii) The prohibition in paragraphs (d)(4)(i) and (d)(4)(ii) do not apply if the acquisition is subject to trade agreements and the offeror certifies that all the offered products are designated country end products or designated country construction material (see part 25).

(iv) Unless an exception applies or the Government grants a waiver, contractors are prohibited from knowingly engaging in any significant transaction (i.e., over $15,000) with Iran’s Revolutionary Guard Corps or any of its officials, agents, or…