S02 36C25726Q0486 DENTAL EXPANSION.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

36C25726Q0486 04-21-2026

Michael A Grier (210)996-8817 04-30-2026

8:00am CDT

36C671

Department Of Veterans Affairs

Network Contracting Office 17

5441 Babcock Road Ste. 302

San Antonio TX 78240

X 100

X

339114

750 Employees

N/A

X

Department of Veterans Affairs

VISN17 Network Contracting Activity

7400 Merton Minter Blvd. (10N17/90C)

San Antonio TX 78229-4401

36C671

Network Contracting Office 17

5441 Babcock Road Ste. 302

San Antonio TX 78240

This is accomplished through the

Tungsten Network located at:

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

This is mandatory and the sole method for submitting invoices.

(877) 353-9791 (512) 460-5540

See CONTINUATION Page

SEE CONTINUATION PAGES

BRAND NAME ONLY

See CONTINUATION Page

X X

Haire, Tommy

36C25726Q0486

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 STATEMENT OF WORK

B.3 PRICE/COST SCHEDULE

ITEM INFORMATION

B.4 DELIVERY SCHEDULE

SECTION C - CONTRACT CLAUSES

C.1 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

C.2 52.217-6 OPTION FOR INCREASED QUANTITY (MAR 1989)

C.3 52.217-7 OPTION FOR INCREASED QUANTITY—SEPARATELY PRICED LINE

ITEM (MAR 1989)

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 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB

1998)

E.3 852.215-72 NOTICE OF INTENT TO RE-SOLICIT (OCT 2019)

This solicitation provides offerors fewer than 30 days to submit proposals. In the event that only one offer is received in response to this solicitation, the Contracting Officer may cancel the solicitation and resolicit for an additional period of at least 30 days in accordance with 815.370–2

E.4 52.216-1 TYPE OF CONTRACT (APR 1984)

E.5 52.204-24 REPRESENTATION REGARDING CERTAIN TELECOMMUNICATIONS

AND VIDEO SURVEILLANCE SERVICES OR EQUIPMENT (NOV 2021)

E.6 52.204-29 FEDERAL ACQUISITION SUPPLY CHAIN SECURITY ACT ORDERS—

REPRESENTATION AND DISCLOSURES (DEC 2023)

E.7 52.212-2 EVALUATION -COMMERICAL PRODUCTS AND COMMERICAL

SERVICES (NOV 2021)

E.8 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS—

COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (OCT 2025)

(DEVIATION FEB 2025)

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 36C257

Network Contracting Office 17

5441 Babcock Road Ste. 302

San Antonio TX 78240

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

[] 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 AND ACCEPTANCE

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

B.2 STATEMENT OF WORK

Dental Tray Instruments (Brand Name Only)

Introduction

The Central Texas Veterans Health Care System is currently expanding its dental services, including the addition of 11 new dental chairs to enhance patient access and treatment capacity.

To ensure the safe and efficient operation of these new chairs, additional dental instrument trays will be acquired. The projected go-live date for this expansion is August 31, 2026. The new instruments will not necessitate additional training or the development of new standard operating procedures

Package Items Summary

Item DESCRIPTION CATALOG QTY UOM

1 i-Surge LED Motor Satelec F27210

22 EA

2 CAVITRON ULTRASONIC INSERT 30K FSI-PWR-1000

FITGRIP BLUE

Dentsply Sirona 82004

38 EA

3 CONTRA ANGLE 20:1 MICRO-SERIES Bien Air 1600598-001

22 EA

4 CURETTE BARNHART DOUBLE END 5-6 American Eagle AECB5-

6XPX

38 EA

5 CURETTE DOUBLE GRACEY American Eagle

AEDGPXPX

22 EA

6 CURETTE GRACET 11-12 XP (ORANGE) American Eagle AEG11-

12XPX

16 EA

7 CURETTE GRACEY 1-2 American Eagle AEG1-

2XPX

38 EA

8 CURETTE GRACEY 13-14 XP (BLUE) American Eagle AEG13-

14XPX

16 EA

9 EXPLORER/PROBE(YELLOW) 23-12YX American Eagle

AEEP23/12YX

98 EA

10 MIRROR HANDLE BLACK American Eagle

AEMHRX

190 EA

11 ORIGINAL TOFFLEMIRE II MATRIX RETAINER, UNIVERSAL Waterpik 20016453

60 EA

12 CAVITRON ULTRASONIC INSERT-30K FSI-SLI-10S (GREEN) DentSply 16 EA

80395

13 RED BIN CONTAINER-10"x7"x6" HEALTHMARK

105B RL

24 EA

14 RED BIN CONTAINER-18"X12"X3" HEALTHMARK

1218BRD

24 EA

15 RED BIN COVER-10"X7" HEALTHMARK

105C RL

24 EA

16 RED BIN COVER-18"X12" HEALTHMARK

1218C RD

24 EA

17 PERIOTOME, POSTERIOR MICRO-SERRATED PDT DENTAL

R258

16 EA

18 SCISSORS FINE KELLY, CVD, 6.25" Henry Schein 100-7266

4 EA

19 #12 ANTERIOR ROOT CANAL PLUGGER Hu Friedy

RCP12A

12 EA

20 BONE FILE Hu Friedy

BF1X

4 EA

21 BURNISHER, FOOTBALL Hu Friedy

BB27/296

60 EA

22 CARVER DISCOID-CLEOID #1-#2 Hu Friedy

CD1/2

60 EA

23 CARVER HOLLENBACK DOUBLE-ENDED 6.25IN Hu Friedy

CVHL1/26

60 EA

24 CASSETTE BARCODE CLIP IMS Hu Friedy IMS-

CABL

154 EA

25 CHISEL PERIODONTAL EVEREDGE 36/37 BACK ACTION

(RHODES)

Hu Friedy C36/379

16 EA

26 COTTON FORCEP Hu Friedy

DPU17

136 EA

27 CURETTE MILLER #10 DOUBLE-ENDED Hu Friedy

CM10

4 EA

28 CURETTE MOLT 2/4 Hu Friedy

CM2/4S6

16 EA

29 CURETTE PRICHARD PERIODONTAL Hu Friedy

SPR1/2

16 EA

30 DENTAL DIAMOND SHARPENING CARD, FINE Hu Friedy

DSCFINE

16 EA

31 ELEVATOR #A COGSWELL Hu-Friedy EA 4 EA

32 ELEVATOR #B COGSWELL Hu-Friedy

EBSM

4 EA

33 ELEVATOR 9 MOLT PERIOSTEAL Hu Friedy P9 4 EA

34 ELEVATOR APICAL #301 APEXO Hu Friedy E301

4 EA

35 ELEVATOR BUSER PERIOSTEAL DOUBLE-ENDED #6 Hu Friedy

PPBUSER6

4 EA

36 ELEVATOR CURVED 3MM Hu Friedy

EL3C

4 EA

37 ELEVATOR PERIOSTEAL Hu Friedy P24G

16 EA

38 ELEVATOR PERIOSTEAL PRICHARD #3 Hu Friedy

PPR3

16 EA

39 ELEVATOR POTTS #6 Hu Friedy E6 4 EA

40 ELEVATOR POTTS #7 Hu Friedy E7 4 EA

41 ELEVATOR SELDIN PERIOSTEAL #23 Hu Friedy P23 4 EA

42 ELEVATOR WOODSON PERIOSTEAL Hu Friedy

PFIWDS1

16 EA

43 EXCAVATOR CARIOUS REMOVAL DOUBLE-ENDED 2MM Hu Friedy

EXC196

60 EA

44 EXPLORER ENDODONTIC #16 Hu Friedy

EXDG16

12 EA

45 FORCEP 150 EXTRACTION Hu Friedy

F150AS

4 EA

46 FORCEP 151 EXTRACTION Hu Friedy

F151AS

4 EA

47 FORCEP EXTRACTION #23 COWHORN Hu Friedy F23 4 EA

48 FORCEPS RUBBER DAM 6.5" Hu Friedy RDF 12 EA

49 FRAME ADULT RUBBER-DAM Hu Friedy

RDAF6

12 EA

50 FRAZIER ASPIRATOR STYLET Hu Friedy

PTFS

4 EA

51 FRAZIER SUCTION 8 FR. Hu Friedy

ASPFR8

4 EA

52 HANDLE COUPLAND 9-1/2" 24MM Hu Friedy

ASPCH

4 EA

53 HINGED INSTRUMENT CLIPS Hu Friedy

IM1002

51 PK

54 KNIFE ORBAN PERIODONTAL DOUBLE-ENDED #1-#2 Hu Friedy

KO1/26

16 EA

55 LARGE CLEOID DISCOID Hu Friedy

CV5T

60 EA

56 LARGE CONDENSER (PLUGGER) Hu Friedy

PLG1/2NS6

60 EA

57 LARGE IMS PARTS BOX Hu Friedy IMS-

88 EA

58 MARKEL MOUTH PROP - ADULT Hu Friedy

MP54

32 EA

59 MARKEL MOUTH PROP - CHILD Hu Friedy

MP52

92 EA

60 NEEDLE-HOLDER CASTROVIEJO LOCKING 5.75IN Hu Friedy

NH5020

16 EA

61 PACKER GINGIVAL CORD DOUBLE-ENDED Hu Friedy

GCPCSI16

60 EA

62 PERIOTOME, ANTERIOR BIG EASY Hu Friedy PT2 16 EA

63 PICK HOWARD ROOT TIP #2 Hu Friedy

EH02

4 EA

64 PICK HOWARD ROOT TIP #3 Hu Friedy

EHO3

4 EA

65 PLIERS ENDODONTIC LOCKING 6.5IN Hu Friedy

EPL1

24 EA

66 POSTERIOR ROOT CANAL PLUGGER #12 Hu Friedy

RCP12

12 EA

67 PROBE, NABERS 3N Hu Friedy P3N 16 EA

68 RASP SUGARMAN PERIODONTAL FILE DOUBLE-ENDED #1-

#2

Hu Friedy

FS1/2S

16 EA

69 RETRACTOR MINNESOTA MOUTH Hu Friedy

CRM

36 EA

70 RETRACTOR WEIDER CHEEK & TONGUE - SMALL Hu Friedy

CRW1

4 EA

71 RONGUER CLEVELAND Hu-Friedy R4A 4 EA

72 SCISSORS IRIS CURVED TC 4.5IN Hu Friedy S18 76 EA

73 SMALL CONDENSER (PLUGGER) Hu Friedy

PLGA1/2

60 EA

74 SPATULA CEMENT FLEXIBLE-BLADE 6MMX44MM #24 Hu Friedy

CS246

60 EA

75 SPREADER ROOT-CANAL Hu Friedy

RCSD11

12 EA

76 SYRINGE ANESTHETIC ASPIRATING Hu Friedy

SYRCW

92 EA

77 TIP ASPIRATOR COUPLAND #4 Hu Friedy

ASPCT4

4 EA

78 TIPS COLORVUE PROBE Hu Friedy

PCV12PT

3 BX

79 TISSUE PLIERS GERALD CVD W/TEETH 7" Hu Friedy

TPG4

16 EA

80 TRAY, INFINITY SERIES 5 INSTRUMENT EXAM CASSETTE Hu Friedy

IMN6058

16 EA

81 TRAY, INFINITY SERIES ORAL SURGERY CASSETTE Hu Friedy

IMNOS8

16 EA

82 TRAY, INFINITY SERIES ULTRASONIC INSERT/HANDPIECE

CASSETTE, LARGE

Hu Friedy

IMN60H8

28 EA

83 TRAY, LARGE INFINITY SERIES 16 INSTRUMENT CASSETTE

WITH ACCESSORY AREA

Hu Friedy

IMN4168

12 EA

84 TRAY, LARGE SIGNATURE SERIES 16 INSTRUMENT

CASSETTE WITH ACCESSORY AREA

Hu Friedy

IM4168

60 EA

85 TRAY, SMALL INFINITY SERIES 8 INSTRUMENT CASSETTE

WITH ACCESSORY AREA

Hu Friedy

IMN5088

22 EA

86 DENTAL MIRROR #5 Power Dental 6951B

17 BX

87 EXCAVATOR DE ANT SPOON 1.2MM STD HDL Nordent EC11 12 EA

88 LONG SHANK SPOON EXCAVATOR DBL ENDED 1.6MM Nordent EC12 12 EA

Place of Delivery:

Central Texas Veterans Health Care System

Bldg. 206

1901 Veterans Memorial Drive

Temple, TX 76504

Delivery Schedule:

Items shall be delivered no earlier than the estimated delivery start date and no later than the delivery end date listed in Table below.

Building Name Building # & Letter

Acronym Est. Delivery Start Date

Est. Delivery End Date

SCM

Warehouse

Bldg 206 CTVHCS 30 days after contract award

Nlt 60 days after contract award

Period of Performance

❖ Period of performance shall be done in a reasonable time frame (no longer than 60 days after receipt of order) unless unseen circumstances arise which need to be discussed with CO, Dental POC and SPS representative.

Schedule and Order Management

❖ The above delivery schedule is based upon the current construction schedule, which is subject to change. The vendor shall not increase prices for a change in delivery date for up to 30+ days due to construction delays.

❖ The awardees actual delivery dates will be confirmed by VA upon award.

❖ Post-award the vendor will coordinate delivery. Once the dates have been confirmed, modifications to the schedule are subject to written approval by the VA POC and the vendor. Schedule changes that are beyond the dates specified in the contract will require approval by the Contracting Officer and a contract modification.

Delivery and Receiving

❖ Delivery and receipt of the proposed items is anticipated to be directed to the location identified below. Confirmation of delivery location will be confirmed by the VA POC post-award. Delivery must be coordinated with VA Logistics POC, John Zubik, john.zubik@va.gov , 254-749-6711 and/or Jacob Sampson, Jacob.sampson@va.gov 254-413-2957, prior to any attempts at delivery. Any item that has not been coordinated will be turned away and any additional charges will be the responsibility of the sender/transportation company.

❖ The vendor is required to define the need for a staging area to accommodate item delivery, if needed. Post-award, this information will be confirmed with the vendor.

mailto:john.zubik@va.gov mailto:Jacob.sampson@va.gov

❖ The delivery of items identified in this document shall take place during normal business hours which are defined as: 0800 to 1630 (i.e.: 8:00am to 4:30pm Central Time), Monday through Friday, and excluding Federal Holidays.

❖ Labeling of delivered items shall include the awarded contract number and VA purchase order number for identification and reference upon receipt of product.

Documentation:

❖ Contractor shall furnish a delivery manifest once all dental instruments has been delivered.

Invoicing

❖ Invoices must contain the contact information and contract number in addition to the requirements in detail to be considered. All invoices shall be submitted to the VA Financial Service Center. All invoices will reference the purchase order number and CLIN assigned to the contract.

Information Systems Officer, Information Protection:

❖ The contractor will not have access to VA Desktop computers nor will they have access to online resources belonging to the government while conducting services. If removal of equipment from the VA is required, any memory storage devices, such as hard drives, solid state drives and non-volatile memory units will remain in VA control and will not be removed from VA custody.

Privacy Officer:

❖ The contractor will not have access to protected Patient Health Information (PHI) nor will they have the capability of accessing patient information during the services provided to the VA and if removal of equipment from the VA is required, any memory storage devices, such as hard drives, solid state drives and non-volatile memory units will remain in VA control and will not be removed from VA custody. All research data available for Contractor analyses is de-identified.

Records Officer:

❖ There will be no federal records created, maintained, used or dispositioned with this contract; regardless of format [paper, electronic, etc.] or mode of transmission [e-mail, fax, etc.].

B.3 PRICE/COST SCHEDULE

ITEM INFORMATION

ITEM

NUMB

ER

DESCRIPTION

OF

SUPPLIES/SERVI

CES

QUANTI

TY

UNI

T UNIT PRICE AMOUNT

22.00 EA ______________

I-SURGE LED MOTOR

LOCAL STOCK NUMBER: F27210

38.00 EA ______________

CAVITRON ULTRASONIC INSERT 30K FSI-PWR-1000

FITGRIP BLUE

LOCAL STOCK NUMBER: 82004

CONTRA ANGLE 20:1 MICRO-SERIES

LOCAL STOCK NUMBER: 1600598-001

CURETTE BARNHART DOUBLE END 5-6

LOCAL STOCK NUMBER: AECB5-6XPX

CURETTE DOUBLE GRACEY

LOCAL STOCK NUMBER: AEDGPXPX

16.00 EA ______________

CURETTE GRACEY 11-12 XP

LOCAL STOCK NUMBER: AEG11-12XPX

CURETTE GRACEY 1-2

LOCAL STOCK NUMBER: AEG1-2XPX

CURETTE GRACEY 13-14 XP

LOCAL STOCK NUMBER: AEG13-14XPX

98.00 EA ______________

EXPLORER/PROBE 23-12YX

LOCAL STOCK NUMBER: AEEP23/12YX

190.00 EA ______________

MIRROR HANDLE BLACK

LOCAL STOCK NUMBER: AEMHRX

60.00 EA ______________

ORIGINAL TOFFLEMIRE II MATRIX RETAINER,

UNIVERSAL

LOCAL STOCK NUMBER: 20016453

CAVITRON ULTRASONIC INSERT-30K FSI-SLI-10S

GREEN

LOCAL STOCK NUMBER: 80395

24.00 EA ______________

RED BIN CONTAINER-10"x7"x6"

LOCAL STOCK NUMBER: 105B RL

RED BIN CONTAINER-18"X12"X3"

LOCAL STOCK NUMBER: 1218BRD

RED BIN COVER-10"X7"

LOCAL STOCK NUMBER: 105C RL

RED BIN COVER-18"X12"

LOCAL STOCK NUMBER: 1218C RD

PERIOTOME, POSTERIOR MICRO-SERRATED

LOCAL STOCK NUMBER: R258

4.00 EA ______________

SCISSORS FINE KELLY, CVD, 6.25"

LOCAL STOCK NUMBER: 100-7266

12.00 EA ______________

#12 ANTERIOR ROOT CANAL PLUGGER

LOCAL STOCK NUMBER: RCP12A

BONE FILE

LOCAL STOCK NUMBER: BF1X

BURNISHER, FOOTBALL

LOCAL STOCK NUMBER: BB27/296

CARVER DISCOID-CLEOID #1-#2

LOCAL STOCK NUMBER: CD1/2

CARVER HOLLENBACK DOUBLE-ENDED 6.25IN

LOCAL STOCK NUMBER: CVHL1/26

154.00 EA ______________

CASSETTE BARCODE CLIP IMS

LOCAL STOCK NUMBER: IMS-CABL

CHISEL PERIODONTAL EVEREDGE 36/37 BACK

ACTION

LOCAL STOCK NUMBER: C36/379

136.00 EA ______________

COTTON FORCEP

LOCAL STOCK NUMBER: DPU17

CURETTE MILLER #10 DOUBLE-ENDED

LOCAL STOCK NUMBER: CM10

CURETTE MOLT 2/4

LOCAL STOCK NUMBER: CM2/4S6

CURETTE PRICHARD PERIODONTAL

LOCAL STOCK NUMBER: SPR1/2

DENTAL DIAMOND SHARPENING CARD, FINE

LOCAL STOCK NUMBER: DSCFINE

ELEVATOR #A COGSWELL

LOCAL STOCK NUMBER: EA

ELEVATOR #B COGSWELL

LOCAL STOCK NUMBER: EBSM

ELEVATOR 9 MOLT PERIOSTEAL

LOCAL STOCK NUMBER: P9

ELEVATOR APICAL #301 APEXO

LOCAL STOCK NUMBER: E301

ELEVATOR BUSER PERIOSTEAL DOUBLE-ENDED #6

LOCAL STOCK NUMBER: PPBUSER6

ELEVATOR CURVED 3MM

LOCAL STOCK NUMBER: EL3C

ELEVATOR PERIOSTEAL

LOCAL STOCK NUMBER: P24G

ELEVATOR PERIOSTEAL PRICHARD #3

LOCAL STOCK NUMBER: PPR3

ELEVATOR POTTS #6

LOCAL STOCK NUMBER: E6

ELEVATOR POTTS #7

LOCAL STOCK NUMBER: E7

ELEVATOR SELDIN PERIOSTEAL #23

LOCAL STOCK NUMBER: P23

ELEVATOR WOODSON PERIOSTEAL

LOCAL STOCK NUMBER: PFIWDS1

EXCAVATOR CARIOUS REMOVAL DOUBLE-ENDED

2MM

LOCAL STOCK NUMBER: EXC196

EXPLORER ENDODONTIC #16

LOCAL STOCK NUMBER: EXDG16

FORCEP 150 EXTRACTION

LOCAL STOCK NUMBER: F150AS

FORCEP 151 EXTRACTION

LOCAL STOCK NUMBER: F151AS

FORCEP EXTRACTION #23 COWHORN

LOCAL STOCK NUMBER: F23

FORCEPS RUBBER DAM 6.5"

LOCAL STOCK NUMBER: RDF

FRAME ADULT RUBBER-DAM

LOCAL STOCK NUMBER: RDAF6

FRAZIER ASPIRATOR STYLET

LOCAL STOCK NUMBER: PTFS

FRAZIER SUCTION 8 FR.

LOCAL STOCK NUMBER: ASPFR8

HANDLE COUPLAND 9-1/2" 24MM

LOCAL STOCK NUMBER: ASPCH

51.00 PG ______________

HINGED INSTRUMENT CLIPS

LOCAL STOCK NUMBER: IM1002

KNIFE ORBAN PERIODONTAL DOUBLE-ENDED #1-#2

LOCAL STOCK NUMBER: KO1/26

LARGE CLEOID DISCOID (5 TANNER CARVER)

LOCAL STOCK NUMBER: CV5T

LARGE CONDENSER (PLUGGER)

LOCAL STOCK NUMBER: PLG1/2NS6

88.00 EA ______________ ______________

LARGE IMS PARTS BOX

LOCAL STOCK NUMBER: IMS-1273

32.00 EA ______________

MARKEL MOUTH PROP - ADULT

LOCAL STOCK NUMBER: MP54

92.00 EA ______________

MARKEL MOUTH PROP - CHILD

LOCAL STOCK NUMBER: MP52

NEEDLE-HOLDER CASTROVIEJO LOCKING 5.75IN

LOCAL STOCK NUMBER: NH5020

PACKER GINGIVAL CORD DOUBLE-ENDED

LOCAL STOCK NUMBER: GCPCSI16

PERIOTOME, ANTERIOR BIG EASY

LOCAL STOCK NUMBER: PT2

PICK HOWARD ROOT TIP #2

LOCAL STOCK NUMBER: EH02

PICK HOWARD ROOT TIP #3

LOCAL STOCK NUMBER: EH03

PLIERS ENDODONTIC LOCKING 6.5IN

LOCAL STOCK NUMBER: EPL1

POSTERIOR ROOT CANAL PLUGGER #12

LOCAL STOCK NUMBER: RCP12

PROBE, NABERS 3N

LOCAL STOCK NUMBER: P3N

RASP SUGARMAN PERIODONTAL FILE DOUBLE-

ENDED #1-#2

LOCAL STOCK NUMBER: FS1/2S

36.00 EA ______________

RETRACTOR MINNESOTA MOUTH

LOCAL STOCK NUMBER: CRM

RETRACTOR WEIDER CHEEK & TONGUE - SMALL

LOCAL STOCK NUMBER: CRW1

RONGUER CLEVELAND 4A

LOCAL STOCK NUMBER: R4A

76.00 EA ______________

SCISSORS IRIS CURVED TC 4.5IN

LOCAL STOCK NUMBER: S18

SMALL CONDENSER (PLUGGER)

LOCAL STOCK NUMBER: PLGA1/2

SPATULA CEMENT FLEXIBLE-BLADE 6MMX44MM

#24

LOCAL STOCK NUMBER: CS246

SPREADER ROOT-CANAL

LOCAL STOCK NUMBER: RCSD11

92.00 EA ______________

SYRINGE ANESTHETIC ASPIRATING

LOCAL STOCK NUMBER: SYRCW

TIP ASPIRATOR COUPLAND #4

LOCAL STOCK NUMBER: ASPCT4

3.00 BX ______________

TIPS COLORVUE PROBE

LOCAL STOCK NUMBER: PCV12PT

TISSUE PLIERS GERALD CVD W/TEETH 7"

LOCAL STOCK NUMBER: TPG4

TRAY, INFINITY SERIES 5 INSTRUMENT EXAM

CASSETTE

LOCAL STOCK NUMBER: IMN6058

TRAY, INFINITY SERIES ORAL SURGERY CASSETTE

LOCAL STOCK NUMBER: IMNOS8

28.00 EA ______________

TRAY, INFINITY SERIES ULTRASONIC

INSERT/HANDPIECE CASSETTE, LARGE

LOCAL STOCK NUMBER: IMN60H8

TRAY, LARGE INFINITY SERIES 16 INSTRUMENT

CASSETTE WITH ACCESSORY AREA

LOCAL STOCK NUMBER: IMN4168

TRAY, LARGE SIGNATURE SERIES 16 INSTRUMENT

LOCAL STOCK NUMBER: IM4168

TRAY, SMALL INFINITY SERIES 8 INSTRUMENT

LOCAL STOCK NUMBER: IMN5088

17.00 BX ______________

DENTAL MIRROR #5

LOCAL STOCK NUMBER: 6951B

EXCAVATOR DE ANT SPOON 1.2MM STD HDL

LOCAL STOCK NUMBER: EC11

LONG SHANK SPOON EXCAVATOR DBL ENDED

1.6MM

LOCAL STOCK NUMBER: EC12

GRAND TOTAL ______________

B.4 DELIVERY SCHEDULE

ITEM

NUMBER SHIPPING INFORMATION QUANTITY

DELIVERY

DATE

0001-

SEE STATEMENT OF WORK FOR

SHIPPING DETAILS

1 LOT 90 DAYS

SECTION C - CONTRACT CLAUSES

C.1 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

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

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

FAR

Number

Title Date

52.212-4

52.212-5

52.203-17

CONTRACT TERMS AND CONDITIONS—

COMMERCIAL PRODUCTS AND COMMERCIAL

SERVICES

CONTRACT TERMS AND CONDITIONS REQUIRED

TO IMPLEMENT STATUTES OR EXECUTIVE

ORDERS—COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES

CONTRACTOR EMPLOYEE WHISTLEBLOWER

RIGHTS

NOV 2023

OCT 2025

NOV 2023

52.204-13 SYSTEM FOR AWARD MANAGEMENT

MAINTENANCE

OCT 2018

52.204-18 COMMERCIAL AND GOVERNMENT ENTITY CODE

MAINTENANCE

AUG 2020

52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED

TO IMPLEMENT STATUTES OR EXECUTIVE

ORDERS—COMMERCIAL PRODUCTS AND

COMMERCIAL

JAN 2023

52.219-33 NONMANUFACTURER RULE SEP 2021

52.219-8 UTILIZATION OF SMALL BUSINESS CONCERNS. JAN 2025

52.222-3 CONVICT LABOR. JUN 2003

52.222-19 CHILD LABOR—COOPERATION WITH AUTHORITIES

AND REMEDIES

JAN 2025

52.222-35 EQUAL OPPORTUNITY FOR VETERANS JUN 2020

52.222-36 EQUAL OPPORTUNITY FOR WORKERS WITH

DISABILITIES

JUN 2020

52.222-37 EMPLOYMENT REPORTS ON VETERANS. JUN 2020

52.222-40 NOTIFICATION OF EMPLOYEE RIGHTS UNDER THE

NATIONAL LABOR RELATIONS ACT.

DEC 2010

52.222-43 FAIR LABOR STANDARDS ACT AND SERVICE

CONTRACT LABOR STANDARDS-PRICE

ADJUSTMENT

AUG 2018

52.222-50 COMBATING TRAFFICKING IN PERSONS OCT 2025

52.229-3 FEDERAL, STATE, AND LOCAL TAXES FEB 2013

52.232-18 AVAILABILITY OF FUNDS APR 1984

52.232-33 PAYMENT BY ELECTRONIC FUNDS TRANSFER—

OTHER THAN SYSTEM FOR AWARD MANAGEMENT

OCT 2018

52.233-3 PROTEST AFTER AWARD. AUG 1996

852.203-70 COMMERCIAL ADVERTISING MAY 2018

852.212-71 GRAY MARKET AND COUNTERFEIT ITEMS FEB 2023

852.212-72 GRAY MARKET AND COUNTERFEIT ITEMS-

INFORMATION TECHNOLOGY MAINTENANCE

ALLOWING OTHER THAN NEW PARTS

FEB 2023

852.219-73 VA NOTICE TO TOTAL SET-ASIDE FOR CERTIFIED

SERVICE-DISABLED VETERAN-OWNED SMALL

BUSINESSES

JAN 2023

852.219-74 VA NOTICE TO TOTAL SET-ASIDE FOR CERTIFIED

VETERAN-OWNED SMALL BUSINESSES

JAN 2023

852.219-75 VA NOTICE OF LIMITATIONS ON

SUBCONTRACTING – CERTIFICATE OF

COMPLIANCE FOR SERVICES AND

CONSTRUCTION

JAN 2023

852.222-71 COMPLIANCE WITH EXECUTIVE ORDER 13899 APR 2025

852.232-72 ELECTRONIC SUBMISSION OF PAYMENT

REQUESTS

NOV 2018

852.239-76 INFORMATION AND COMMUNICATION

TECHNOLOGY ACCESSIBILITY

FEB 2023

852.246-71 REJECTED GOODS OCT 2018

(End of Clause)

C.2 52.217-6 OPTION FOR INCREASED QUANTITY (MAR 1989)

The Government may increase the quantity of supplies called for in the Schedule at the unit price specified. The Contracting Officer may exercise the option by written notice to the Contractor within 30 days. Delivery of the added items shall continue at the same rate as the like items called for under the contract, unless the parties otherwise agree.

(End of Clause)

C.3 52.217-7 OPTION FOR INCREASED QUANTITY—SEPARATELY PRICED LINE

ITEM (MAR 1989)

The Government may require the delivery of the numbered line item, identified in the

Schedule as an option item, in the quantity and at the price stated in the Schedule. The

Contracting Officer may exercise the option by written notice to the Contractor within 30 days. Delivery of added items shall continue at the same rate that like items are called for under the contract, unless the parties otherwise agree.

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

*******PAGE INTENTIONALLY LEFT BLANK*******

SECTION E - SOLICITATION PROVISIONS

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

COMMERCIAL SERVICES (SEP 2023)

(a) North American Industry Classification System (NAICS) code and small business size standard. The NAICS code(s) and small business size standard(s) for this acquisition appear elsewhere in the solicitation. However, the small business size standard for a concern that submits an offer, other than on a construction or service acquisition, but proposes to furnish an end item that it did not itself manufacture, process, or produce is 500 employees, or 150 employees for information technology value-added resellers under NAICS code 541519, if the acquisition—

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

(2) Uses the HUBZone price evaluation preference regardless of dollar value, unless the offeror waives the price evaluation preference; or

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

(b) Submission of offers. Submit signed and dated offers to the office specified in this solicitation at or before the exact time specified in this solicitation. Offers may be submitted on the SF 1449, letterhead stationery, or as otherwise specified in the solicitation. As a minimum, offers must show—

(1) The solicitation number;

(2) The time specified in the solicitation for receipt of offers;

(3) The name, address, and telephone number of the offeror;

(4) A technical description of the items being offered in sufficient detail to evaluate compliance with the requirements in the solicitation. This may include product literature, or other documents, if necessary;

(5) Terms of any express warranty;

(6) Price and any discount terms;

(7) "Remit to" address, if different than mailing address;

(8) A completed copy of the representations and certifications at Federal Acquisition

Regulation (FAR) 52.212-3 (see FAR 52.212-3(b) for those representations and certifications that the offeror shall complete electronically);

(9) Acknowledgment of Solicitation Amendments;

(10) Past performance information, when included as an evaluation factor, to include recent and relevant contracts for the same or similar items and other references

(including contract numbers, points of contact with telephone numbers and other relevant information); and

(11) If the offer is not submitted on the SF 1449, include a statement specifying the extent of agreement with all terms, conditions, and provisions included in the solicitation. Offers that fail to furnish required representations or information, or reject the terms and conditions of the solicitation may be excluded from consideration.

(c) Period for acceptance of offers. The offeror agrees to hold the prices in its offer firm for 30 calendar days from the date specified for receipt of offers, unless another time period is specified in an addendum to the solicitation.

(d) Product samples. When required by the solicitation, product samples shall be submitted at or prior to the time specified for receipt of offers. Unless otherwise specified in this solicitation, these samples shall be submitted at no expense to the

Government, and returned at the sender's request and expense, unless they are destroyed during preaward testing.

(e) Multiple offers. Offerors are encouraged to submit multiple offers presenting alternative terms and conditions, including alternative line items (provided that the alternative line items are consistent with FAR subpart 4.10), or alternative commercial products or commercial services for satisfying the requirements of this solicitation. Each offer submitted will be evaluated separately.

(f) Late submissions, modifications, revisions, and withdrawals of offers.

(1) Offerors are responsible for submitting offers, and any modifications, revisions, or withdrawals, so as to reach the Government office designated in the solicitation by the time specified in the solicitation. If no time is specified in the solicitation, the time for receipt is 4:30 p.m., local time, for the designated Government office on the date that offers or revisions are due.

(2)(i) Any offer, modification, revision, or withdrawal of an offer received at the

Government office designated in the solicitation after the exact time specified for receipt of offers is "late" and will not be considered unless it is received before award is made, the Contracting Officer determines that accepting the late offer would not unduly delay the acquisition; and—

(A) If it was transmitted through an electronic commerce method authorized by the solicitation, it was received at the initial point of entry to the Government infrastructure not later than 5:00 p.m. one working day prior to the date specified for receipt of offers;

or

(B) There is acceptable evidence to establish that it was received at the

Government installation designated for receipt of offers and was under the

Government's control prior to the time set for receipt of offers; or

(C) If this solicitation is a request for proposals, it was the only proposal received.

(ii) However, a late modification of an otherwise successful offer, that makes its terms more favorable to the Government, will be considered at any time it is received and may be accepted.

(3) Acceptable evidence to establish the time of receipt at the Government installation includes the time/date stamp of that installation on the offer wrapper, other documentary evidence of receipt maintained by the installation, or oral testimony or statements of

Government personnel.

(4) If an emergency or unanticipated event interrupts normal Government processes so that offers cannot be received at the Government office designated for receipt of offers by the exact time specified in the solicitation, and urgent Government requirements preclude amendment of the solicitation or other notice of an extension of the closing date, the time specified for receipt of offers will be deemed to be extended to the same time of day specified in the solicitation on the first work day on which normal

Government processes resume.

(5) Offers may be withdrawn by written notice received at any time before the exact time set for receipt of offers. Oral offers in response to oral solicitations may be withdrawn orally. If the solicitation authorizes facsimile offers, offers may be withdrawn via facsimile received at any time before the exact time set for receipt of offers, subject to the conditions specified in the solicitation concerning facsimile offers. An offer may be withdrawn in person by an offeror or its authorized representative if, before the exact time set for receipt of offers, the identity of the person requesting withdrawal is established and the person signs a receipt for the offer.

(g) Contract award (not applicable to Invitation for Bids). The Government intends to evaluate offers and award a contract without discussions with offerors. Therefore, the offeror's initial offer should contain the offeror's best terms from a price and technical standpoint. However, the Government reserves the right to conduct discussions if later determined by the Contracting Officer to be necessary. The Government may reject any or all offers if such action is in the public interest; accept other than the lowest offer; and waive informalities and minor irregularities in offers received.

(h) Multiple awards. The Government may accept any item or group of items of an offer, unless the offeror qualifies the offer by specific limitations. Unless otherwise provided in the Schedule, offers may not be submitted for quantities less than those specified. The Government reserves the right to make an award on any item for a quantity less than the quantity offered, at the unit prices offered, unless the offeror specifies otherwise in the offer.

(i) Availability of requirements documents cited in the solicitation.

(1)(i) The GSA Index of Federal Specifications, Standards and Commercial Item

Descriptions, FPMR Part 101-29, and copies of specifications, standards, and product descriptions can be downloaded from the ASSIST website at https://assist.dla.mil.

(ii) If the General Services Administration, Department of Agriculture, or Department of Veterans Affairs issued this solicitation, a copy of specifications, standards, and commercial item descriptions cited in this solicitation may be obtained from the address in paragraph (i)(1)(i) of this provision.

(2) Most unclassified Defense specifications and standards may be downloaded from the ASSIST website at https://assist.dla.mil.

(3) Defense documents not available from the ASSIST website may be requested from the Defense Standardization Program Office by-

(i) Using the ASSIST feedback module (https://assist.dla.mil/feedback); or

(ii) Contacting the Defense Standardization Program Office by telephone at 571-

767-6688 or email at assisthelp@dla.mil.

(4) Nongovernment (voluntary) standards must be obtained from the organization responsible for their preparation, publication, or maintenance.

(j) Unique entity identifier. (Applies to all offers that exceed the micro-purchase threshold, and offers at or below the micro-purchase threshold if the solicitation requires the Contractor to be registered in the System for Award Management (SAM).) The

Offeror shall enter, in the block with its name and address on the cover page of its offer, the annotation ‘‘Unique Entity Identifier’’ followed by the unique entity identifier that identifies the Offeror’s name and address. The Offeror also shall enter its Electronic

Funds Transfer (EFT) indicator, if applicable. The EFT indicator is a four-character suffix to the unique entity identifier. The suffix is assigned at the discretion of the Offeror to establish additional SAM records for identifying alternative EFT accounts (see FAR subpart 32.11) for the same entity. If the Offeror does not have a unique entity identifier, it should contact the entity designated at www.sam.gov for unique entity identifier establishment directly to obtain one. The Offeror should indicate that it is an offeror for a

Government contract when contacting the entity designated at www.sam.gov for establishing the unique entity identifier.

(k) [Reserved]

(l) Debriefing. If a post-award debriefing is given to requesting offerors, the

Government shall disclose the following information, if applicable:

https://assist.dla.mil/ https://assist.dla.mil/ https://assist.dla.mil/feedback https://www.sam.gov/SAM/ https://www.sam.gov/SAM/

(1) The agency's evaluation of the significant weak or deficient factors in the debriefed offeror's offer.

(2) The overall evaluated cost or price and technical rating of the successful and the debriefed offeror and past performance information on the debriefed offeror.

(3) The overall ranking of all offerors, when any ranking was developed by the agency during source selection.

(4) A summary of the rationale for award;

(5) For acquisitions of commercial products, the make and model of the product to be delivered by the successful offeror.

(6) Reasonable responses to relevant questions posed by the debriefed offeror as to whether source-selection procedures set forth in the solicitation, applicable regulations, and other applicable authorities were followed by the agency.

(End of Provision)

E.2 ADDENDUM to FAR 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL

PRODUCTS AND COMMERCIAL SERVICES

Provisions that are incorporated by reference (by Citation Number, Title, and Date), have the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available.

This requirement is SDVOSB Total Set Aside for entities and has certification requirements. Each Offeror must be registered in SAM (https://sam.gov) and/or SBA dsbs.SBA.gov at time of offer submission. In order to be considered for the award, the Offeror must fill out all applicable areas of the solicitation and submit Technical Capability and Pricing, as well as any additional requirements listed below. The VA will not pay any costs incurred in preparation and submission of offers.

OFFER SUBMITTAL INSTRUCTIONS:

1) Offeror shall submit offers by Due Date/Time specified in Block 8 of Standard Form (SF) 1449 of solicitation to Michael Grier at michael.grier@va.gov with “Solicitation 36C25726Q0486” in subject line.

2) Offeror shall submit a signed SF 1449, Block 30a,30b, and 30c signature page of solicitation.

3) Offeror shall submit signed SF 30 solicitation amendment acknowledgements, as applicable.

4) Complete schedule pricing, responding to all line items found in Section B.3.

https://sam.gov/ https://veterans.certify.sba.gov/

5) Offeror shall provide a 12-month warranty to extend to all option years on all repairs against parts and workmanship.

6) Offerors shall provide an OEM authorize reseller letter

7) Complete Provision 52.204-24 Representation Regarding Certain

Telecommunications and Video Surveillance Services or Equipment.

8) Complete Provision 52.212-3 Offeror Representations and Certification-

Commercial Products and Commercial Services.

9) Offer shall also include the following, submitted as two (2) separate volumes:

Volume 1 -Technical Capability

*No Pricing information shall be contained in this volume.

The technical volume is required to adequately describe and present a clear understanding of each requirement in the SOW and must demonstrate the ability to provide the services. The technical volume shall be specific, complete and provide sufficient information conforming to the Statement of Work.

Technical volume shall demonstrate the offeror’s capacity to satisfactorily perform the tasks outlined in the SOW. Offeror format is accepted.

Volume 2 – Price

*No Technical shall be contained in this volume.

Offerors shall submit their Price using the B.3 Price/Cost Schedule of Services.

The price quote shall be specific, complete in every detail, and separate from the technical quote. Line items for those ordering periods shall be sufficiently completed. Prices shall be listed as an all-inclusive Firm Fixed Unit Price that covers in full those services under each Line-Item Number.

Period for acceptance of offers: The offeror agrees to hold the prices in its offer firm for 90 calendar days from the date specified for receipt of offers.

TECHNICAL QUESTIONS:

Technical questions shall be accepted by the Government in writing no later than 8:00am Central Standard Time (CST), April 27, 2026. Please list “Questions:

Solicitation 36C25726Q0486” in subject line of e-mail and send to Michael Grier at michael.grier@va.gov. Please refer to the section of the solicitation/page number from which your question is derived. Questions must be submitted in writing to the email address specified above to be answered in the amendment. An amendment to the solicitation will be posted answering questions submitted by potential offerors in accordance with this paragraph.

mailto:michael.grier@va.gov

Offers must be received no later than date indicated in page 1 block 8 via email to michael.grier@va.gov with “Quote: Solicitation 36C25726Q0486” as the subject line.

ADDENDUM to FAR 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL

PRODUCTS AND COMMERCIAL SERVICES

Provisions that are incorporated by reference (by Citation Number, Title, and Date), have the same force and effect as if they were given in full text. Upon request, the

Contracting Officer will make their full text available.

The following provisions are incorporated into 52.212-1 as an addendum to this solicitation:

(End of Addendum to 52.212-1)

E.2 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB

1998)

This solicitation incorporates one or more solicitation provisions by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting

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

FAR

Number

Title Date

52.203-18 PROHIBITION ON CONTRACTING WITH ENTITIES

THAT REQUIRE CERTAIN INTERNAL

CONFIDENTIALITY AGREEMENTS OR

STATEMENTS—REPRESENTATION

JAN 2017

52.204-7 SYSTEM FOR AWARD MANAGEMENT OCT 2018

52.204-16 COMMERCIAL AND GOVERNMENT ENTITY CODE

REPORTING

AUG 2020

52.225-18 PLACE OF MANUFACTURE AUG 2018

52.240-90 SECURITY PROHIBITIONS AND EXCLUSIONS

REPRESENTATIONS AND CERTIFICATIONS

NOV 2025

mailto:michael.grier@va.gov

E.3 852.215-72 NOTICE OF INTENT TO RE-SOLICIT (OCT 2019)

This solicitation provides offerors fewer than 30 days to submit proposals. In the event that only one offer is received in response to this solicitation, the Contracting Officer may cancel the solicitation and resolicit for an additional period of at least 30 days in accordance with 815.370–2.

E.4 52.216-1 TYPE OF CONTRACT (APR 1984)

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

E.5 52.204-24 REPRESENTATION REGARDING CERTAIN

TELECOMMUNICATIONS AND VIDEO SURVEILLANCE SERVICES OR

EQUIPMENT (NOV 2021)

The Offeror shall not complete the representation at paragraph (d)(1) of this provision if the Offeror has represented that it ‘‘does not provide covered telecommunications equipment or services as a part of its offered products or services to the Government in the performance of any contract, subcontract, or other contractual instrument’’ in paragraph (c)(1) in the provision at 52.204–26, Covered Telecommunications

Equipment or Services—Representation, or in paragraph (v)(2)(i) of the provision at

52.212–3, Offeror Representations and Certifications–Commercial Products and

Commercial Services. The Offeror shall not complete the representation in paragraph

(d)(2) of this provision if the Offeror has represented that it ‘‘does not use covered telecommunications equipment or services, or any equipment, system, or service that uses covered telecommunications equipment or services’’ in paragraph (c)(2) of the provision at 52.204–26, or in paragraph (v)(2)(ii) of the provision at 52.212–3.

(a) Definitions. As used in this provision—

Backhaul, covered telecommunications equipment or services, critical technology, interconnection arrangements, reasonable inquiry, roaming, and substantial or essential component have the meanings provided in the clause 52.204–25, Prohibition on

Contracting for Certain Telecommunications and Video Surveillance Services or

Equipment.

(b) Prohibition. (1) Section 889(a)(1)(A) of the John S. McCain National Defense

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

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

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

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

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

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

(c) Procedures. The Offeror shall review the list of excluded parties in the System for

Award Management (SAM) (https://www.sam.gov) for entities excluded from receiving federal awards for “covered telecommunications equipment or services.”

(d) Representations. The Offeror represents that—

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

“will’’ in paragraph (d)(1) of this section; and

(2) After conducting a reasonable inquiry, for purposes of this representation, the

Offeror represents that— https://www.sam.gov/

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

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

(i) For covered equipment—

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

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

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

(ii) For covered services—

(A) If the service is related to item maintenance: A description of all covered telecommunications services offered (include on the item being maintained: Brand;

model number, such as OEM number, manufacturer part number, or wholesaler number; and item description, as applicable); or

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

(2) Disclosure for the representation in paragraph (d)(2) of this provision. If the

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

(i) For covered equipment—

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

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

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

(ii) For covered services—

(A) If the service is related to item maintenance: A description of all covered telecommunications services offered (include on the item being maintained: Brand;

model number, such as OEM number, manufacturer part number, or wholesaler number; and item description, as applicable); or

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

(End of Provision)

E.6 52.204-29 FEDERAL ACQUISITION SUPPLY CHAIN SECURITY ACT

ORDERS—REPRESENTATION AND DISCLOSURES (DEC 2023)

(a) Definitions. As used in this provision, Covered article, FASCSA order, Intelligence community, National security system, Reasonable inquiry, Sensitive compartmented information, Sensitive compartmented information system, and Source have the meaning provided in the clause 52.204–30, Federal Acquisition Supply Chain Security

Act Orders— Prohibition.

(b) Prohibition. Contractors are prohibited from providing or using as part of the performance of the contract any covered article, or any products or services produced or provided by a…