S02 36C26127Q0022_Solicitation for SFVA Dental Lab.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

36C261-27-AP-0154

36C26127Q0022 09-04-2026

Edward Hunter 702-791-9000 x15197 09-18-2026

12:00PM PDT

36C261 Department of Veterans Affairs Network Contracting Office 21

X

339116

500 Employees

N/A

See Delivery Schedule

36C261

Financial Services Center P.O. Box 149971

Austin TX 78714-9971

See CONTINUATION Page

Solicitation for Dental Lab for use at the VA San Francisco Health Care System (VASFHCS).

Respondent is to follow the instructions listed in section E. Quote shall be sent to Edward Hunter at email edward.hunter@va.gov by the date and time indicated in box 8.

Contracting POC: Edward Hunter at edward.hunter@va.gov

Minimum guarantee is $10,000.00 and maximum contract value to Include all options shall not exceed $4,000,000.00.

Questions regarding this solicitation must be submitted no later than four (4) business days prior to the solicitation closing date (box 8). Questions received after this deadline may not be addressed by the Government.

See CONTINUATION Page

Edward Hunter Contracting Officer

36C26127Q0022

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 (SOW)

B.3 SEE ATTACHED DOCUMENT: PRICING SCHEDULE

SECTION C - CONTRACT CLAUSES

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

AND COMMERCIAL SERVICES (OCT 2025) (DEVIATION)

C.2 52.216-18 ORDERING (AUG 2020)

C.3 52.216-19 ORDER LIMITATIONS (OCT 1995)

C.4 52.216-22 INDEFINITE QUANTITY (NOV 2025) (DEVIATION) ALTERNATE I (NOV

2025)

C.5 52.217-8 OPTION TO EXTEND SERVICES (NOV 1999)

C.6 52.222-40 NOTIFICATION OF EMPLOYEE RIGHTS UNDER THE NATIONAL

LABOR RELATIONS ACT (NOV 2025) (DEVIATION)

C.7 52.222-90 ADDRESSING DEI DISCRIMINATION BY FEDERAL CONTRACTORS

(DEVIATION APR 2026)

C.8 52.240-91 SECURITY PROHIBITIONS AND EXCLUSIONS (NOV 2025)

(DEVIATION)

C.9 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

C.10 VAAR 852.203-70 COMMERCIAL ADVERTISING (MAY 2018)

C.11 VAAR 852.211-76 LIQUIDATED DAMAGES – REIMBURSEMENT FOR DATA

BREACH COSTS (FEB 2023) ALTERNATE I (FEB 2023)

C.12 VAAR 852.212-71 GRAY MARKET AND COUNTERFEIT ITEMS (FEB 2023) ...46

C.13 VAAR 852.215-70 SERVICE-DISABLED VETERAN-OWNED AND VETERAN-

OWNED SMALL BUSINESS EVALUATION FACTORS (JAN 2023) (DEVIATION)

C.14 VAAR 852.215-71 EVALUATION FACTOR COMMITMENTS (OCT 2019)

C.15 VAAR 852.222-71 COMPLIANCE WITH EXECUTIVE ORDER 13899

(DEVIATION)(APR 2025)

C.16 VAAR 852.232-72 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS

(NOV 2018)

C.17 VAAR 852.242-71 ADMINISTRATIVE CONTRACTING OFFICER (OCT 2020) ..49

C.18 VAAR 852.246-71 REJECTED GOODS (OCT 2018)

C.19 VAAR 852.247-73 PACKING FOR DOMESTIC SHIPMENT (OCT 2018)

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

SECTION E - SOLICITATION PROVISIONS

E.1 52.209-7 INFORMATION REGARDING RESPONSIBILITY MATTERS (OCT 2018)

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 52.225-6 TRADE AGREEMENTS CERTIFICATE (FEB 2021)

E.5 52.233-2 SERVICE OF PROTEST (SEP 2006)

E.6 52.240-90 SECURITY PROHIBITIONS AND EXCLUSIONS REPRESENTATIONS

AND CERTIFICATIONS (NOV 2025) (DEVIATION)

E.7 VAAR 852.233-71 ALTERNATE PROTEST PROCEDURE (OCT 2018)

E.8 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB

1998)

E.9 VAAR 852.215-72 NOTICE OF INTENT TO RE-SOLICIT (OCT 2019)

E.10 VAAR 852.233-70 PROTEST CONTENT/ALTERNATIVE DISPUTE

RESOLUTION (OCT 2018)

E.11 VAAR 852.239-75 INFORMATION AND COMMUNICATION TECHNOLOGY

ACCESSIBILITY NOTICE (FEB 2023)

E.12 52.219-28 POSTAWARD SMALL BUSINESS PROGRAM REREPRESENTATION

(NOV 2025) (DEVIATION) ALTERNATE I (NOV 2025)

E.13 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES (OCT 2025) (DEVIATION)

E.14 52.212-2 EVALUATION—COMMERCIAL PRODUCTS AND COMMERCIAL

SERVICES (OCT 2025) (DEVIATION)

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 36C261

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 Government Inspection 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

System updates may lag policy updates. The System for Award Management (SAM) may continue to require entities to complete representations based on provisions that are not included in agency solicitations. Examples include 52.222-25, Affirmative Action Compliance, and paragraph (d) of 52.212-3, Offeror Representations and Certifications—Commercial Products and Commercial Services. Contracting officers will not consider these representations when making award decisions or enforce requirements. Entities are not required to, nor are they able to, update their entity registration to remove these representations in SAM.

B.2 STATEMENT OF WORK (SOW)

Dental Laboratory Prostheses Supplies and Related Services

1. Removable and Fixed Dental Prosthetics Services

2. Background: The Dental Services at the VA San Francisco Health Care (Dental) located at 4150 Clement St, San Francisco, California 94121 and at the South Santa Rosa VA clinic located at 2285 Challenger Way, Santa Rosa, California 95407 has a requirement for a full-service dental laboratory to provide fixed, removable, and implantable dental prostheses for Veterans. Contractor may also be required to attend patients’ appointments for services that include but are not limited to; photogrammetry-driven full arch work flows and custom-made maxillofacial prostheses.

3. Special/Significant Requirements and Services: Geographic Accessibility and Past Performance

a. Some circumstances may dictate the need for a dental order to be processed and returned within a shorter timeframe, such as a same-day repair, reline, add teeth of a removable prosthesis. There may also be circumstances where a patient needs to travel to the dental lab for custom shade matching/staining. For these reasons, the contracted dental lab must be located within 60 miles of both the VA San Francisco Dental Clinic and the South Santa Rosa VA Dental Clinic.

Given the average age (70+), their complex health states and distance traveled-sometimes 3+ hours or flown in from out of state, this accessibility will mitigate hardship upon Veterans in the delivery of quality care outcomes.

b. As determined by the VA San Francisco Dental Clinic and the South Santa Rosa VA Dental Clinic, the Contractor may be required to attend a patient’s appointment, possibly on short notice, when there is an urgent situation or complex implant procedure to provide dental supplies and/or provide assistance with digitizing patient records and capturing implant locations utilizing advanced photogrammetry technology.

c. VA San Francisco is a teaching institution; therefore, the contracted laboratory should provide continuing education courses geared towards resident education.

The facility should be within a 60-mile driving radius so that residents can attend these courses in person. Also, the contractor will be asked to provide a tour of their facility to showcase their work, demonstrating knowledge of digital and complex workflow and to provide affirmation that the stated products are indeed being manufactured at their laboratory site.

4. General Requirements

a. The contractor will provide laboratory support for removable and fixed prosthodontic laboratory work for the San Francisco VA and South Santa Rosa VA Dental clinics. The contractor shall provide all materials and supplies necessary to complete each item. Acceptable supplies for removable and fixed prosthodontics include type III gold, high noble and noble metals, Ivocap Injectable Acrylic Resin or equivalent, Ivotion milled digital premium dentures;

Kenson Basic, Ivoclar/Phonares and Ivoclar/Vivadent denture teeth.

5. Specific Requirements

a. Offerors who are not small businesses must submit a subcontracting plan in accordance with FAR 52.219-9 as part of their proposal package. Failure to submit an acceptable subcontracting plan may result in rejection of the proposal.

b. The Contractor shall demonstrate the use of procedures, techniques, and current technology that are equivalent to or exceed current industry standards.

c. The Contractor shall comply with the regulations governing Food and Drug

Administration (FDA) Quality System/Good Manufacturing Practices for products distributed in the United States dental laboratories. Additionally, the Contractor shall comply with standards by the American National Standards Institute (ANSI), in cooperation with the American Dental Association Department of Standards, that require all materials used for fabrication of dental appliances meet the Standard Practices for Biological Evaluation of Dental Materials.

i. The Contractor shall comply with Occupational Safety and Health

Administration (OSHA) regulations.

ii. The Contractor shall comply with the Health Insurance Portability and

Accountability Act (HIPAA).

iii. The Contractor shall meet or exceed VA standards and The Joint Commission standards for constructing dental prostheses.

d. The contractor shall provide items that meet the esthetic and functional requirements of the patient. The contractor shall be familiar with mould guides by Ivoclar, Kenson and with shade guides by Trubyte, Bioform, Vita Classic and the VITA 3D Toothguide. High quality materials shall be utilized from ISO 9001/CE registered companies. Use high quality raw materials purchase from ISO 9001/CE registered companies. Laboratory shall perform internal technical audits to ensure consistent, high quality, and timely restorations. This includes the use of burnout technology, Ivobase system, CAD CAM technology & advanced laser welding.

e. The contractor shall provide the following dental laboratory services to the San Francisco and South Santa Rosa VA Dental Clinics:

i. REMOVABLES:

1. Service for removable prostheses will include but are not limited to the following:

2. Box and pour preliminary and final impressions

3. Fabricate custom impression trays.

4. Complete (conventional and milled) and partial dentures

5. Maxillofacial obturator prostheses

6. Acrylic Partial Dentures (including articulation)

7. Hybrid Cast/Flexible Partial Dentures

8. Removable dental prostheses framework (Vitallium)

9. Complete and Partial Denture Repair

10. Complete and Partial Denture Relines and Rebases

11. Diagnostic Wax-up and Design Services for Removable

Prosthodontics

12. Thermoplastic Occlusal Guards

13. Flexible (Flexite/Valplast Type) Partial Dentures

14. Swing-Lock Type Partial Dentures

15. Removable Overdentures

16. Analog surgical Stents, CBCT guided surgical stents

17. ID Dentures and Partial Dentures

18. Implant Bar Overdenture

19. Precision Cast Retentive Bar

20. Precision and Semi-Precision Attachments

21. Fluoride Application Trays

22. Bleaching trays

23. Essix

ii. The following materials shall be used in the fabrication of dental prostheses:

1. Ivocap Injectable Acrylic Resin

2. Ivotion milled monolithic digital dentures

3. Occlusal Scheme:

a. Monoplane, linear

b. Anatomic, full-balanced

c. Lingualized, linear

i. 33o/monoplane

ii. 30o rational

iii. Functional/rational

4. Tooth Material: Kenson Basic, Ivoclar/Vivadent, Ivoclar/Phonares

5. All flexible partials to be fabricated with material that allows for repairs and addition of teeth using standard acrylic.

iii. Fabrication Standards:

1. Complete Dentures

a. Master Casts

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

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

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

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

v. Free of bubbles and defects

vi. All anatomic areas of impression included on cast

vii. Tongue area, flat across the arch

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

b. Impression Trays

i. Rigid and fabricated from the appropriate material

ii. Covers all indicated anatomy

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

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

c. Record Base

i. Is well adapted to the residual ridge

ii. Covers all indicated anatomy

iii. Is extended to the land area

iv. Is adequately thick for rigidity

v. Is smooth and free of sharp area

d. Occlusion Rim, Maxillary

i. Is fabricated from the prescribed baseplate wax

ii. Is 10mm wide in the posterior section

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

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

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

vi. Anterior section angles 5 degrees anteriorly from the horizontal

vii. Anterior 22mm long from the extent of the labial flange

viii. Posterior is 18mm long from the extent of the buccal flange

ix. All wax is smooth, without voids

x. Adheres well to the record base

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

e. Occlusion Rim, Mandibular

i. Is fabricated from the prescribed baseplate wax

ii. Is 10mm wide in the posterior section

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

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

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

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

vii. Anterior section angles 5 degrees anteriorly from the horizontal

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

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

x. All wax is smooth, without voids

xi. Adheres well to the record base

xii. The occlusal plane is flat, ideally parallel to residual ridge

f. Wax Trial Dentures, Maxillary

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

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

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

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

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

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

vii. The palatal area is 2mm thick

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

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

x. The opposing occlusion contacts into proper interdigitating at the established vertical dimension of occlusion

g. Wax Trial Dentures, Mandibular of the occlusion rims

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

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

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

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

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

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

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

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

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

xi. Wax does not overlap onto the beginning/lingual of the ridge-lap of the anterior teeth

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

h. Processed and Polished Prosthesis

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

ii. The acrylic resin is polished on all non-tissue bearing areas

iii. The denture borders are anatomically complete

iv. No evidence of flash remains on the denture borders

v. The denture bases remain adequately thick for rigidity

i. Remount Casts (if required)

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

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

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

2. Removable Partial Dentures

a. Custom Impression Trays

i. Rigid and fabricated from the appropriate material

ii. Covers all indicated anatomy

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

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

b. Rests

i. Follow the dimensions and location of the design

ii. Fill the prepared rest seats completely

iii. Are minimally 1.5mm thick

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

c. Minor Connector

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

iv. Crosses the gingival margin at 90 degrees

d. Proximal Plates

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

e. Major Connectors

ii. Have definitive external finish lines

iii. Have definitive internal finish lines

f. Denture Base Retention

ii. Show a broad connection to the major connector

iii. Are not extended more than 2mm buccal to the crest of the residual ridge; contains a tissue-stop that contacts the residual ridge of the master cast

g. Retainers, Indirect

ii. Are broad and fan shaped at the junction with the major connector

iv. Crosses the gingival margin at 90 degrees

h. Retainers, Direct

ii. Are uniformly tapered to the retentive tip

iii. Are minimally 1.5mm wide

i. Wax Trial Removable Partial Dentures, Maxillary of the occlusion rim

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

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

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

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

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

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

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

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

j. Wax Trial Removable Partial Dentures

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

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

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

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

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

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

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

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

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

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

xi. Wax does not overlap onto the beginning of the ridge-lap area of the anterior teeth

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

k. Processed and Polished Prosthesis

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

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

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

iv. The denture borders are anatomically complete

v. No evidence of flash remains on the denture borders

vi. The denture bases remain adequately thick for rigidity

iv. FIXED PROSTHODONTICS:

1. Services for fixed dental prosthetics will include but are not limited to the following:

a. Gold crowns and bridges

b. Ceramic crowns and bridges

c. Cast post and cores

d. Porcelain fused to metal crowns and bridges

e. Temporary crowns

f. Diagnostic wax-ups

g. Implant abutments

h. Maryland bridges abutment wings

i. Porcelain Repair

j. Precision attachment

k. Able to provide in-office implant photogrammetry

l. Carbon printing for different prostheses or models

m. Stackable guides for guided implant surgeries

n. All-on-X full arch implant supported fixed zirconia prostheses

o. All-no-X full arch implant supported fixed milled PMMA prostheses

p. Virtually treatment plan implant surgeries using Trios 3 Shape digital impressions merged to CBCT scans to design surgical guides at no additional charge to the San Francisco VA and South Santa Rosa VA Dental clinics

q. Resin copings for centric relation

r. Full mouth rehabilitation of 20-28 units

6. The contractor will possess Stratos, Whipmix and Hanaua articulators systems calibrated to the articulators at the San Francisco VA and South Santa Rosa VA Dental Clinics to eliminate shipping of articulators to the contractor and back.

7. Quality porcelain systems such as IPS Empress, Procera, Captek and Belle-Glass (or equivalent)

8. Die trimming under stereo microscope

9. Able to provide full mouth rehabilitation of 20-28 units using:

a. Gold

b. Porcelain-fused-to-metal (PFM)

c. Porcelain-fused-to-Zirconia (PFZ)

d. Full contour zirconia (FCZ)

10. Fabrication Standards

a. Full gold crowns and fixed bridges, including the following steps:

i. Pour and prepare models for fabricating crowns.

ii. Wax crowns.

iii. Invest and cast wax patterns.

iv. Breakout, adjust and polish cast crowns for delivery.

b. Porcelain Crowns and Fixed Bridges including the following steps:

i. Pour and prepare models for fabricating crowns.

ii. Wax crowns.

iii. Invest and cast wax patterns.

iv. Breakout, adjust and polish cast copings.

v. Apply porcelain, finish and polish for delivery.

c. Fixed Partial Dentures (FPD)/Crown

i. Custom Trays

1. Indicated relief has been well adapted

2. Is well adapted to the teeth and residual ridge covers all indicated anatomy

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

4. Is adequate for rigidity

5. Is smooth and free of sharp areas

ii. Working Casts/Dies

1. All necessary anatomic landmarks are included

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

3. No bubbles or defects present in the cast

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

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

6. All dies are numbered

iii. Cut-Back Design for Veneer Application

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

2. Proximal cut-back design allows for marginal ridge veneer support

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

4. A uniform transition exists between metal and veneer material

iv. Veneer Application

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

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

v. Finish/Polish of FPD/Crown

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

2. A uniform transition exists between metal and veneer material

3. No unsupported veneer material remains on the allow substructure

4. All margins are closed on the die

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

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

7. The substructure metal is highly polished

vi. Surveyed Crowns for Removable Partial Denture Abutments

1. All aspects of FPD/crown fabrication are employed

2. Posterior occlusal rests:

a. are ½ the width of the buccal-lingual cusp tip width

b. are spoon-shaped, deepest toward the center of the tooth

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

d. re-establish original marginal ridge contours

e. maintain occlusal contours

3. Cingulum rests:

a. are placed in the gingival 1/3 of the crown to avoid occlusal interferences

b. provide a positive stop for the removable partial denture

4. Guide planes:

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

b. relief provided at the gingival 1/3 of the axial surface

5. Survey lines, circumferential direct retainers:

a. begin in the gingival one-third of the abutment adjacent to the rest

b. end in the occlusal 1/3 of the abutment to establish the desired undercut

c. allow for the terminal one-third of the retainer to be placed into the undercut

6. Survey lines, bar direct retainers:

a. a “U” shaped survey line established the desired undercut

vii. Implant Supported Crowns and fixed partial dentures

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

a. Lab analogs

b. Lab screws

c. Temporary or permanent abutments

d. UCLA style abutments

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

a. Screw retained prosthesis will have a metal chimney screw hole

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

3. Occlusal contacts for implant supported prosthesis will drag 8 microns shimstock and hold 21 micron articulating paper, with natural dentition holding shimstock, unless Rx indicates otherwise

d. The contractor shall identify the specific type of metal used in each prosthesis at the time of delivery and use only noble or high noble metal; no base metals.

e. All metal crowns/bridges shall be cast in high noble gold metal

f. Porcelain fused to metal crowns/bridges shall be cast in high noble white or high noble gold metal. Occlusal/lingual surface may be porcelain, porcelain/metal, or full metal design as per the prescription. Esthetic margins may be metal, porcelain/metal, or porcelain butt, as per the prescription. Pontic designs shall include hygienic, ridge lap, or anatomic per the prescription (saddle pontics are not acceptable).

g. Full or partial coverage ceramic restorations shall be a flat fee and include options such as full contour zirconia, layered zirconia, high translucency zirconia, porcelain fused to zirconia, e.max, feldspathic porcelain.

h. Intracoronal ceramic restorations shall include options such as zirconia or lithium disilicate.

i. Cast removable partial denture frameworks will be cast in Vitallium metal. All designs shall be a flat fee, and may include necessary wrought wire clasps or modifications spaces.

j. Resin retained bridges will be cast in non-noble metal and include two retainers of any design, and one pontic of any design as part of the flat fee. Additional pontics or retainers of any design, additional.

k. The laboratory must perform all services in-house; otherwise, no trans-shipments are allowed. All work, to include metal frameworks, must be performed within the borders of the continental United States of America.

l. The contractor shall provide local repair and reline service with same day service turnaround for all denture repairs, relines and framework repairs.

m. Laboratory must have the ability to accommodate same-day pick up and receive polyether and polyvinyl siloxane impressions and have models poured within 24-hour time frame to avoid distortion and accuracy of final prosthesis

n. The contractor shall provide, at no additional cost to the VA, professional case consultation with responsive and knowledgeable customer service.

11. Pick Up/Delivery

a. The laboratory must provide same day in-person pickup and delivery service between both San Francisco and South Santa Rosa VA Dental with a laboratory provided courier (non-subcontracted/no transshipment) at the expense of the Contractor. No case work will be mailed as dental wax distorts and flows to an unacceptable level in hot weather and contracts and cracks in cold weather.

Prescriptions and impressions for crowns, bridges, implant prostheses, denture frameworks, upper and/or lower prostheses ie occlusal guards, temporomandibular disorder orthotics, bleaching trays, etc. will be picked up by laboratory provided courier from the San Francisco VA located at 4150 Clement St, San Francisco, California 94121 Building 200, 1st Floor and at the South Santa Rosa VA clinic located at 2285 Challenger Way, Santa Rosa, California 95407 and transported to the laboratory in a temperature-controlled environment and then delivered back to the San Francisco VA and South Santa Rosa VA Dental clinics daily, Monday through Friday, excluding Federal Holidays. Pick-up and delivery shall be between the hours of 8:00 a.m. to 4:00 p.m Pacific Standard Time (PST). This is with the exception of Federal holidays. Orders placed by 4:00pm shall be picked-up the same day. Orders placed after 4:00pm, shall be picked up the following business day. The contractor is to use secure transport methods to ensure security, safety, temperature restrictions and fragility of laboratory items, as well as on time delivery.

i. Instances of dental study models and casts have been broken in the past during shipment to and from the dental labs. With the age of our patients and their declining health, it is important this will not happen with the contracted lab

12. Disinfection

a. The contractor shall provide a thorough infection control process for all incoming and outgoing cases. All completed services must be disinfected before the product is returned to the San Francisco VA and Santa Rosa VA Dental clinics.

13. Dental Laboratory Visits and On-Site Training

a. The contractor shall permit San Francisco VA and South Santa Rosa VA dental staff and residents to visit the laboratory to observe all processes and techniques. The contractor will allow San Francisco VA and South Santa Rosa VA dental staff and residents to attend training classes conducted at the contractor’s laboratory, if possible. Attendance will be at no cost to the contractor.

14. Inspection of contractor’s facility and proof of certification:

a. The contracting officer (CO) reserves the right to inspect - or assign a representative to inspect - the contractor’s (or subcontractor’s) facility. The contractor shall produce copies of the laboratory’s certifications and licenses to the contracting officer upon request.

15. Service Turn-around Time

a. Completed casework shall be returned to San Francisco VA and South Santa Rosa VA Dental clinics. Both Dental Services desire that work be returned when completed via daily deliveries by laboratory provided courier (non-subcontracted/no transshipment) in-person, Monday through Friday, excluding Federal Holidays. Pick-ups and deliveries must be accomplished between the hours of 8:00 a.m. - 4:00p.m. The contractor shall adhere to the following turn-around requirements: All complete and partial denture steps shall be completed no later than five

(5) working days of pickup except for removable partial denture frameworks, which may take up to ten (10) working days. All work must meet:

b. Ten (10) to Fifteen (15) Working Days:

i. Porcelain fused to metal (6+ units)

ii. Crown with custom abutment

c. Seven (7) Working Days:

i. Removable Partial Denture, framework

ii. Valplast

iii. Porcelain fused to metal restorations

iv. Custom abutments

v. Zirconia restorations

d. Five (5) Working Days:

i. Complete and Removable Partial Denture, process acrylic resin Obturator, process acrylic resin

ii. Tooth Arrangements, Complete and Removable Partial Dentures Occlusal Night-guard, processed acrylic resin

iii. All acrylic partials, six teeth or more

iv. Diagnostic wax-up, five teeth or more

v. Surgical guides

vi. Full gold restorations

vii. Sinfony restorations

viii. Provisional restorations

e. Three (3) Working Days:

i. Diagnostic wax-up, four teeth or less

ii. Tooth Rearrangements, Complete and Removable Partial

Dentures

f. Two (2) Working Days:

i. Complete and Removable Partial Denture, record bases and occlusion rims

ii. Complete and Removable Partial Denture, record bases and occlusion rims, stabilized/processed

iii. Transitional Removable Partial Denture

iv. Processed custom impression trays

v. Custom impression trays

vi. Altered cast impressions

vii. Poured impressions

viii. Articulation of casts

ix. Cast duplications

x. Fluoride application trays

xi. Occlusal night-guard, vac-u-form stents/guards

g. Same Day Service:

i. Complete denture and removable partial denture relines

ii. Complete denture and removable partial denture rebases

iii. Complete and Removable Partial Denture acrylic resin repairs

iv. Complete and Removable Partial

Denture, tooth additions/repairs

v. Removable Partial Denture, clasp repair/replacement and wrought wire clasp retained by acrylic resin

vi. Add porcelain to open contacts

16. Procedure Delivery Time

Complete and Removable Partial Denture acrylic resin repairs Same Day

Complete and Removable Partial Denture, tooth additions/repairs Same Day Complete and Removable Partial Denture hard and soft relines, rebases Same Day Removable Partial Denture, clasp repair/replacement and wrought wire clasp retained

Same Day

Add porcelain to open contacts Same Day Complete and Removable Partial Denture, record bases and occlusion rims Two Days Complete and Removable Partial Denture, record bases and occlusion rims, stabilized/processed

Two Days

Transitional Removable Partial Denture (1-5 teeth) Two Days Processed custom impression trays Two Days Altered cast impressions Two Days Poured impressions, implant soft tissue casts Two Days Articulation of casts Two Days Cast duplications Two Days Fluoride application or bleaching trays Two Days Solder/laser weld Two Days Occlusal night-guard, vac-u-form stents/guards Two Days Diagnostic digital and conventional wax-ups, four teeth or less Three Days Essix appliance Three Days Tooth Rearrangements, Complete and Removable Partial Dentures

Three Days

Complete and Removable Partial Denture, process acrylic resin Obturator, process acrylic resin

Five Days

Tooth Arrangements, Complete and Removable Partial Dentures Occlusal Night-guard, processed acrylic resin

Five Days

Transitional Removable Partial Denture (6+ teeth) Five Days Diagnostic wax-up, five teeth or more Five Days Surgical guides Five Days Full gold cast restorations (crowns, onlays, inlays) Five Days Cast post and cores Five Days Sinfony restorations Five Days Milled Polymethylmethacrylate Acrylic provisional restorations Five Days Removable Partial Denture, framework Seven Days Valplast Seven Days Porcelain fused to metal restorations (1 to 5 units) Seven Days Custom abutments Seven Days Cast framework or mesh for overdentures Seven Days Monolithic lithium disilicate restorations Seven Days Monolithic or layered zirconia restorations Seven Days Porcelain layered lithium disilicate restorations Ten Days Porcelain fused to metal (6+ units) Ten Days Monolithic zirconia bridges Ten Days Maryland bridge Ten Days Porcelain fused to metal bridges Ten Days Porcelain fused to zirconia bridges Ten Days Monolithic lithium disilicate bridges Ten Days Porcelain layered lithium disilicate bridges Ten Days Implant crown with custom abutment 10-15 Days Veneers 10-15 Days Screw retained implant crowns (cast gold, PFM, PFZ, Zr, porcelain layered e.Max)

10-15 Days

PFM implant bridges 10-15 Days Implant overdentures: Hader bar, ERA or locator retained 10-15 Days Fixed complete dentures (hybrids or all-on-X: metal/acrylic or zirconia) 10-15 Days Custom milled titanium superstructures 10-15 Days

17. Place of Performance

a. Removable and Fixed Dental prosthetics services will be performed at the contractor’s inspected and approved facility.

18. Quality Control

a. The Contractor shall develop and maintain an effective Quality Control Plan (QCP) which details how they will monitor their work to ensure they are meeting all of the requirements of the contract and providing performance information to the Government, and reporting in compliance with the SOW. The Contractor shall develop and implement procedures to identify, prevent, and ensure non-recurrence of defective services. The Contractor’s QCP is the means by which the Contractor assures that their work complies with the requirements of the contract.

Within the QCP, the Contractor shall propose and maintain an established reporting system to promptly notify VA of any problems, issues, risks, or concerns with workflow performance, programmatic improvement, security, and schedule adherence. The QCP shall be submitted in written form with an electronic copy to the Point of Contact (POC) for review within thirty (30) calendar days of the contract award. The POC or designated representative will review the QCP and return it to the Contractor if changes are required. If any changes are required, the Contractor has five (5) working days to complete the changes and resubmit the QCP. If any future changes are needed, the Contractor has five (5) working days to submit the agreed upon changes. Quality control is the exclusive responsibility of the Contractor.

i. To ensure that both parties have an equal understanding of the services to be provided by the Contractor, the following quality assurance guidelines are to be incorporated:

1. Services were received within the designated timeframe.

2. Services were delayed no more than twice in a 30-day period.

3. Performance problem occurred: ill-fitting denture or prosthesis was remade within 30 days.

4. Description of problem conveyed to Contractor by the Dental

Service provider.

5. The Contractor was verbally informed and corrected the problem within the agreed upon turnaround times between San Francisco VA and South Santa Rosa VA Dental clinics and the Contractor, plus one day.

6. Informed problem in writing and contractor corrected within a reasonable timeframe.

7. What actions were necessary: remake/adjustments– minor or major.

8. Three or more patient delays caused within a 30-day period shall result in a disincentive.

19. Quality Control Inspection Procedures for Crown and Bridge:

a. Read and ensure all of the following items correlate: work ticket, physician preferences, prescription, patient name, case pan number, dated wanted.

b. Identify tooth number with physician’s prescription.

c. Check shade with shade guide.

d. Check margins on die under magnification; ensure margins are closed.

e. Inspect all surfaces for: black spots; fractures; bubbles in porcelain; and rough textures.

f. Check anatomy and contours of crown and bridge: buccal and lingual contour in relation to adjacent teeth; marginal ridges in proper height to adjacent and opposing teeth; proper embrasures; proper length of anteriors; and proper emergence profile.

g. Check occlusion, group function, and lateral excursions.

h. Check contacts on solid model. Verify contacts for adequate contact and for proper form.

i. Check work ticket for any specific physician preferences.

j. Check to ensure that the inside of crown is sanded, free of glaze and is opaque.

k. All transfer copings and specified margin dies boxes with outgoing crowns and bridges.

l. On work ticket, write down alloy billing information immediately above or below the product codes. (this is not a quality control inspection step??)

m. Verify product codes on work ticket for: alloy; wrong codes; wrong quantity; and missing codes. After verification is done, circle product and alloy codes on work ticket and initial next to the circle. Mark bottom of crown box with pan number.

n. Check all model work for cleanliness.

20. Work Guarantee: The Contractor shall provide an On-Time Delivery Guarantee;

guaranteed turnaround times; and remakes at no additional cost to the Government when the Contractor’s products are flawed or defective.

21. QUALITY ASSURANCE SURVEILLANCE PLAN

a. The Government intends to utilize a Quality Assurance Surveillance Plan (QASP) to monitor the quality of the contractor’s performance under this contract. The QASP is primarily focused on what the Government shall do to ensure that the Contractor has performed in accordance with the performance standards. It defines how the performance standards will be applied, the frequency of surveillance, and the minimum acceptable defect rate(s). The QASP will help to ensure that service levels reach and maintain the required levels throughout the contract term. Further, the QASP provides the POC with a proactive way to avoid unacceptable or deficient performance and provides verifiable input for the required Past Performance Information Assessments. The QASP will be finalized immediately following award and a copy provided to the Contractor afterward. The QASP is a living document and may be updated by the Government as necessary.

The QASP will be provided to the Contractor after award of contract. The POC will monitor Contractor performance. Documentation of services performed will be reviewed prior to certifying payment. Contract monitoring and recordkeeping procedures will be sufficient to ensure proper payment and allow audit verification that services have been provided.

b. QUALITY/WORKMANSHIP:

i. VA San Francisco Dental and the South Santa Rosa VA Dental General

Dentists, Prosthodontists, General Practice residents and Prosthodontic residents shall, at their sole discretion, determine the quality of fabrication that is acceptable. The VA San Francisco Dental and the South Santa Rosa VA Dental dental staff/residents shall inspect each of the prostheses for fit, marginal adaptation, occlusion, finish, esthetics, quality workmanship, patient comfort and satisfaction. Products returned for subsequent adjustments/reworks shall be delivered to the VA San Francisco Dental and the South Santa Rosa VA Dental clinic no later than five (5) calendar days after that order is placed, at no additional cost to the Government. Dental Laboratories will have the ability to receive digital .stl files for full service digital dentistry. A full-service dental laboratory will need to be within 50 miles of both VA San Francisco and South Santa Rosa VA Dental for same day prosthesis – immediate partial/full dentures, repairs, relines, adding denture teeth and for custom shading for fixed prosthesis.

c. Prosthetics Checklist:

i. Fixed Prosthetics

1. Restoration matches Rx

2. Material utilized is specified with the case

3. Shade matches Rx

4. Restoration fits model, intaglio is smooth and free of nodules, stable when seated on model

5. Line of draw is correct- crown can be seated and removed smoothly from the cast

6. Marginal adaptation is accurate

7. Marginal ridges harmonize w/teeth

8. Proximal contacts are correct

9. Occlusion meets doctors Rx and there is occlusion in maximum intercuspation

10. Tooth anatomy and contour are correct and functional

11. Restoration harmonizes w/teeth

12. Surface finish of restoration is polished and cleaned

13. All components are enclosed as needed i.e. abutments, screws

ii. Removable Prosthetics:

1. Prostheses matches Rx

2. Prosthesis or framewokr fits accurately and is stable on the model

3. Rest seats, clasps, and minor connectors are correctly placed and follows the framework design from Rx or study model

4. Denture cameos are polished and intaglio are smooth without signs of porosity, cracks, flash

5. Borders are smooth and not overextended

6. Occlusion is correct

7. Esthetics are correct

8. Restoration harmonizes w/remaining teeth

9. Restoration polished and cleaned

10. Shade matches Rx

11. Periphery is adequate and correct on master cast

22. Corrective Actions/Warranty:

a. Contractor:

i. The Contractor will provide items that meet the esthetic and functional requirements of the patient.

ii. The contractor shall, at no additional expense to VA, remake all dental items that are not correct or flawed due to contractor errors.

1. For example, if a framework does not fit the master cast it will be considered flawed and unacceptable. The framework will be remade at no additional expense to the government.

2. If, in the case of acrylic resin denture work, the resin cracks or the tooth de-bonds within twelve months of fabrication, it shall be considered flawed and remade at no additional expense to VA.

3. If, in the case of removable work, the teeth are not set per the dentist’s instructions, or if the occlusion is incorrect on the articulator, it shall be considered flawed and remade at no additional expense to VA.

4. If a crown does not fit the die, it will be considered flawed and unacceptable. The crown will be remade at no additional expense to the VA.

5. If the crown fits the die, but not on the patient’s tooth, it will be considered a flawed action of the government, and the remake will be at the VA’s expense.

6. Porcelain will be considered flawed if the porcelain shatters within twelve months of fabrication and remade at the contractor’s expense.

23. Period of Performance: This will be an IDIQ with five (5) ordering periods.

Ordering Period 1 10/01/2026 – 09/30/2027 Ordering Period 2 10/01/2027 – 09/30/2028 Ordering Period 3 10/01/2028 – 09/30/2029 Ordering Period 4 10/01/2029 – 09/30/2030 Ordering Period 5 10/01/2029 – 09/30/2031

24. CONTRACTOR EXPERIENCE REQUIREMENTS:

a. Qualifications of key personnel:

i. Work must be performed by Certified Dental Laboratory Technicians (minimum of three).

ii. The Contractor Officer or designer reserves the right to thoroughly inspect and investigate the contractor’s and/or subcontractors’ facilities and other qualifications.

iii. The contractor facility shall have all licenses, permits, and certification required by law. Current copies of these must be provided to the Contracting Officer upon request.

iv. The Contractor shall remove any employee from the performance of this contract within five (5) workdays of receiving notice from the Contracting Officer that the employee’s performance is unsatisfactory. All contract employees are subject to immediate removal from performance of this contract when they are involved in a violation of the law, VA security, confidentiality requirements and/or other disciplinary reasons.

v. Include: Technical Proficiency – The Certified Dental Laboratory Technician(s) shall be technically proficient in the skills necessary to fulfill the government’s requirements, including the ability to speak, understand, read and write English fluently.

25. The services covered by this contract shall be furnished by the contractor as defined herein. The contractor shall not be required, except in case of emergency, to furnish such services on a Federal Holiday or during off duty hours as described below.

a.…