S02 RFQ 36C24626Q0165_3 Updated.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

36C24626Q0165 02-10-2026

Ricky Farr 757-251-5877 02-20-2026 3:00 pm EST

Department of Veterans Affairs Network Contracting Office 6 100 Emancipation Drive Hampton VA 23667

X

339112

1000 Employees

N/A

See Statement of Work for Locations

Financial Services Center

PO BOX 149971

Austin TX 78714-9971

512-460-5049 512-460-5221

See CONTINUATION Page

It is the Government's intent to solicit for Standard and Custom Surgical Packs for the Fayetteville VAMC & HCC

All Offerors shall be registered and current in the System for Award Management (SAM) at time of offer submission and active registration until contract award, completion of performance, & final payment.

NO GRAY MARKET MATERIAL WILL BE ACCEPTED. QUOTERS SHALL

PROVIDE AUTHORIZED DISTRIBUTOR LETTERS.

See CONTINUATION Page

X X

X 1

Ricky Farr Contracting Officer

36C24626Q0165

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

SECTION C - CONTRACT CLAUSES

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

C.2 52.240-91 SECURITY PROHIBITIONS AND EXCLUSIONS (NOV 2025)

(DEVIATION)

C.3 VAAR 852.232-72 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS (NOV

2018)

C.4 VAAR 852.242-71 ADMINISTRATIVE CONTRACTING OFFICER (OCT 2020)

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

SECTION E - SOLICITATION PROVISIONS

E.1 INSTRUCTIONS TO OFFERORS

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

1998)

E.3 52.216-1 TYPE OF CONTRACT (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 VAAR 852.233-71 ALTERNATE PROTEST PROCEDURE (OCT 2018)

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 36C246 Ricky Farr

Network Contracting Office 6

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] Monthly Paid in Arrears

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.

VA Financial Service Center (FSC) Electronic Invoice Presentment and Payment System https://www.fsc.va.gov/einvoice.asp https://www.fsc.va.gov/einvoice.asp

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

GENERAL: This Statement of Work (SOW) outlines the requirements for the supply, delivery, and installation of custom surgical packs under a Firm Fixed Price contract for use in our healthcare facilities. These packs are essential to support various surgical procedures and ensure high standards of patient care.

SCOPE: The vendor shall provide standard and custom surgical packs, ensure timely delivery, manage inventory, and offer customization options to meet the specific requirements of the medical center’s surgical team.

• PHYSICAL CHARACTERISTICS: The surgical packs must be sterile and appropriately packaged to maintain sterility until the point of use.

• Standard surgical packs should include commonly used items for general surgical procedures.

• Custom surgical packs should be specifically tailored to the needs of different surgical procedures as outlined by the medical center’s surgical staff.

• FUNCTIONAL AND PERFORMANCE CHARACTERISTICS: All surgical packs must comply with applicable FDA regulations and industry standards.

• The supplied products must have a defect rate of less than 1%.

• Custom surgical packs must be designed in consultation with the surgical team to ensure they meet exact surgical requirements.

• Vendors must offer a wide range of customization options to accommodate specific surgical needs.

• Any expired items in standard or custom packs must be replaced by the vendor at their cost.

SOFTWARE: N/A

• INSTALLATION AND TRAINING: Vendor shall provide initial training to the medical center staff on the use and management of the surgical packs.

• Ongoing support and training shall be available as needed to address any changes or updates in the surgical packs or procedures.

WARRANTY OF SERVICE:

• Vendor shall provide a warranty covering defects in materials and workmanship for a period of [Warranty Period] from the date of delivery.

• Warranty services must include prompt replacement of defective items at no additional cost to the medical center.

• Any expired items in standard or custom packs must be replaced by the vendor at their cost.

DELIVERY/INSTALLATION SCHEDULE:

• The vendor must ensure timely delivery of surgical packs according to the agreed-upon delivery schedule.

• Emergency deliveries should be available within a specified timeframe, preferably within 24 hours.

• Vendor is responsible for inventory management, ensuring continuous availability of necessary surgical packs to avoid any impact on surgical operations.

• Initial delivery shall occur within 30 days of the contract award.

Place of Delivery:

• 2300 Ramsey Street Fayetteville NC, 28301

• 7300 S RAEFORD RD Fayetteville , NC 28304

Product Description

Minor Ortho Pack

• BASIN EMESIS 700CC P‐FREE

• BASIN LIMB 3000ML W SUCTION

• BNDG COFLEX FOAM 4INX5YD TAN

• BNDG ELAS 4IN5YD VLCMTX

• CAUTERY PUSHBTN SMK PTFE NS

• LBL MEDICATION COLOR CODED

• MARKER SKIN/UTILITY DUAL

• NDL CNTR 20CT FM MAG

• PADDING UNDERCAST 4INX

• CHLORAPREP APP 26ML ORANGE

• DNQLTSPAD GRNDING POLYHESIVEII

• MANIFOLD 4 PORT NEPTUNE

• CTN 23.5625X15.5625X21.25

• LBL DOT RED 4INX4IN

• POUCH BR 25.25X34.25 5ML

• CHIPBOARD PAD 40X48IN .018PT

• INSERT 8.5X11

• LBL CTN 4X6 MEDLINE

• LBL: TEAR HERE LG

• POUCH PEEL 8X12 2ML

• SHEET FOAM 2X2FT

• TRAY XL SHALLOW 20X14X0.75 EPP

• BAG BEDSIDE 12X18 PLASTIC

• BAG POLY 7X10 1.5ML VNT

• BASIN RING PIGMENT‐FREE

• BNDG ESMARK 4INX9FT

• BNDG GAUZE 4.5INX4.1YD

• BOWL 32OZ PIGMENT‐FREE

• COVER MAYO STAND XL TWL 26X30

• CUP MEDICINE GRAD 2 OZ

• CVR LIGHT HNDL BLUE 1 PK NS

• CVR TBL 60X90 HFFHD PLASTIC

• DNQLTS TBG SUCTION 1/4X144IN

• DRAPE 53X77 (3/4)

• DRAPE EXTREMITY

• DRAPE U PLASTIC 54X76 W/TAPE

• GAUZE 4X4 16PLY 10/PK

• GAUZE 4X4 16PLY XR 10/PK

• GOWN SURG XL NR SIR TWL

• GOWN SURG XXL NR SIR TWL

• LBL: DRESSING PACK

• NDL SAFETY 25GX1.5 ECLIPSE

• ROLL INSTRUMENT TOWEL 1X1X15

• RULER FOR SKIN MARKER

• SCALPEL NO.15 SAFETY LOCK

• SPNG LAP 18X18 XR 5/PK

• STOCKINETTE IMPERV 12X48

• SYR IRRIG BULB 60ML TPE

• TOWEL OR BLUE XR

• WRAP CSR 50X50 POLY

Minor Surgery Pack

• CTN 23.5625X15.5625X21.25

• LBL DOT RED 4INX4IN

• CHIPBOARD PAD 40X48IN .018PT

• INSERT 8.5X11

• LBL CTN 4X6 MEDLINE

• LBL: TEAR HERE LG

• POUCH BR 21.5X30.75 4ML 2FS

• POUCH PEEL 8X12 2ML

• SHEET FOAM 2X2FT

• TRAY XL SHALLOW 20X14X0.75 EPP

• BAG BEDSIDE 12X18 PLASTIC

• BASIN EMESIS 700CC P‐FREE

• BASIN RING PIGMENT‐FREE

• BOWL 32OZ PIGMENT‐FREE

• CHLORAPREP APP 26ML ORANGE

• COVER MAYO STAND 30X57

• CUP MEDICINE GRAD 2 OZ

• CVR LIGHT HNDL BLUE 1 PK NS

• CVR TBL 60X90 HFF TWL 36X66

• DNQ CAUTERY PUSH BTN PTFE HLST

• DNQLTS TBG SUCTION 1/4X144IN

• DNQLTSPAD GRNDING POLYHESIVEII

• DRAPE MAJOR ABDOMINAL W/ PCH

• GAUZE 4X4 16PLY XR 10/PK

• GOWN SURG XL NR SIR TWL

• GOWN SURG XXL NR SIR TWL

• LBL MEDICATION COLOR CODED

• LID MED CUP 2OZ

• MANIFOLD 4 PORT NEPTUNE

• MARKER SKIN/UTILITY DUAL

• NDL CNTR 20CT FM MAG

• ROLL INSTRUMENT TOWEL 1X1X15

• RULER FOR SKIN MARKER

• SCALPEL NO.15 SAFETY LOCK

• SPNG LAP 18X18 XR 5/PK

• SYR IRRIG BULB 60ML TPE

• TOWEL OR BLUE XR

• YANKAUER BULB TIP W/O VENT

Surgical Instrument Tray

• CTN 15.5 X 11.5 X 11.5

• CHIPBOARD PAD 40X48IN .018PT

• INSERT 8.5 X5.5 2UP CMP

• LBL CTN 8X5 CENTURION

• POUCH BR 9.25X14.5 3ML

• TIP PROTECTOR CUT FROM TUBING

• CMP HALSEY NDL HLDR 5 TCI

• CMP METZENBAUM SCS CVD 5.5 RE

• CMP OLSN HEG NDLHLDR 5.5

• CMP JO SKIN HOOK 2 PRONG SH 6

• CMP SENN RETRAC 3 PRONG BL 6.5

• FOAM JIFFY 5 1/2 X 8 1/4

• CMP ALLIS TSS FCP 4X5 STN6

• CMP CRILE FCP SERR CVD 6.25

• CMP IRIS SCS CVD DEL 4 67450

• CMP METZENBAUM SCS STRG 5.5

• CMP MOSQ HEMO CVD STN 5

• CMP RAGNELL RETRAC 6

• CUP MEDICINE GRAD 2 OZ

• FRCP ADSON 1:2T SATIN 4.75

• SCALPEL NO.15

• TRAY PREP DEEP L 10X5X2

• WRAP CSR 24X24 GEMINI 1

Nail Avulsion Tray 4

• CTN 23 5/8 X 12 5/8 X 13 1/4

• CHIPBOARD PAD 40X48IN .018PT

• INSERT 8.5 X5.5 2UP CMP

• LBL CTN 8X5 CENTURION

• POUCH BR 9.25X14.5 3ML

• ENG ANVIL NAIL SPLITTER SATIN

• POUCH FOAM 3 1/2 X 6

• CMP DOUBLE ENDED CURETTE 5.5

• CMP MOSQ HEMO STR FINETIP

• CMP* SPATULA PACKER

• FOAM JIFFY 5 1/2 X 8 1/4

• CMP* CHISEL BLADE HNDL 3.875

• ENVELOPE 3 X 4.5

• CMP MOSQ HEMO CVD FINETIP

• TRAY PREP DEEP L 10X5X2

• WRAP CSR 24X24 GEMINI 1

Basic Cystoscopy Standard Tray

• BOWL 32OZ PIGMENT‐FREE

• CONTAINER SPECIMEN 4OZ

• GAUZE 4X4 16PLY XR 10/PK

• GOWN SURG XL PR SIR

• LBL MISC DRUG BLANK 10/SHEET

• LID 4OZ SPECIMEN CONTAINER BLU

• LUBE JELLY 2OZ FLIP CAP

• MARKER SKIN/UTILITY DUAL

• DRAPE CYSTO LARGE

• TBG TUR IRRIG Y‐TYPE LF

• TOWEL OR BLUE

• CVR TBL 50X90

• LEGGING LITHO 31X48 SMS 1/EA

Gynecology Laparoscopy Standard Tray

• BOWL 32OZ PIGMENT‐FREE

• CONTAINER SPECIMEN 4OZ

• DNQLTS TBG SUCTION 1/4X144IN

• GAUZE 4X4 16PLY XR 10/PK

• LBL MISC DRUG BLANK 10/SHEET

• LID 4OZ SPECIMEN CONTAINER BLU

• LUBE JELLY 2OZ FLIP TOP TUBE

• MARKER SKIN/UTILITY DUAL

• LEGGINGS LEFT LEG CLEAR

• PAD NON‐ADH 3X8 TELFA

• TOWEL OR BLUE

• GOWN SURG XL NR SIR TWL

• GOWN SURG XL PR SIR BR IMP SLV

• CVR TBL 50X90

• CATH URETHRAL 14FR CLEAR

• LEGGINGS RIGHT LEG CLEAR

• DRAPE LITHOTOMY T

• DRAPE UBD W/POUCH GRAD

• NDL CNTR 20CT FM MAG

• PAD OB AT EASE PEACH

• RULER FOR SKIN MARKER

• YANKAUER BULB TIP W/O VENT

Knee Arthroscopy IV Surgical Standard Tray

• BAG POLY 7X10 1.5ML VNT

• BNDG COHESIVE 6INX5YD

• BNDG ELAS 6INX5YD VLC MATRIX

• BNDG ESMARK 6INX12FT

• BOWL 32OZ PIGMENT‐FREE

• DNQLTS TBG SUCTION 1/4X144IN

• DRAPE ARTHRO T

• DRAPE U PLASTIC 54X76 W/TAPE

• GAUZE 4X4 12PLY

• GAUZE 4X4 16PLY XR 10/PK

• MARKER SKIN/UTILITY DUAL

• NDL SPINAL 18GX3.5 QUINCKE

• STOCKINETTE IMPERV 12X48

• BAG BEDSIDE 6X12 HOLD‐TIGHT

• COVER MAYO STAND 24X53

• DRAPE 53 X 77 ECONOMY

• LBL MISC DRUG BLANK 10/SHEET

• BLADE NO.11 CS RIB

• TOWEL OR BLUE

• GOWN SURG XL XLN ORB 3

• GOWN SURG XL XLN ORB 3 TWL

• CVR TBL 50X90

• NDL CNTR 20CT FM MAG

• TRAY PREP 10X5X2 PIGMENT‐FREE

• NDL 18GX1.5 PRECISIONG

• DRSG XEROFORM 1X8

• CUP MEDICINE GRAD 2 OZ

• LBL:DRESSING PACK

• PADDING UNDERCAST 6INX4YD

• RULER FOR SKIN MARKER

• SYR 30ML L/L

• SYRINGE 10ML LL BNS

Standard Major Laparotomy Tray

• BASIN EMESIS 700CC P‐FREE

• BNDG ELAS 4IN5YD VLCMTX

• BNDG ESMARK 4INX9FT

• BOWL 32OZ PIGMENT‐FREE

• CUP MEDICINE GRAD 2 OZ

• DNQLTS TBG SUCTION 1/4X144IN

• DRAPE 53X77 (3/4)

• DRAPE EXTREMITY

• DRAPE U PLASTIC 54X76 W/TAPE

• GAUZE 4X4 16PLY XR 10/PK

• GOWN SURG XL NR SIR TWL

• MARKER SKIN/UTILITY DUAL

• NDL CNTR 20CT FM MAG

• RULER FOR SKIN MARKER

• STOCKINETTE IMPERV 12X48

• SYR IRRIG BULB 60ML TPE

• BAG BEDSIDE 6X12 HOLD‐TIGHT

• COVER MAYO STAND 24X53

• CVR LIGHT HNDL SOFT

• CVR TBL 60X90

• LBL MISC DRUG BLANK 10/SHEET

• LBL: DRESSING PACK

• NDL 25GX1.5 PRECISIONG

• BLADE NO.15 CS RIB

• TOWEL OR BLUE

• GOWN SURG XL FR SIR

• GAUZE 4X4 12PLY

• BAG POLY 7X10 1.5ML VNT

• BLADE NO.10 CS RIB

• CAUTERY PUSH BTN PTFE HLST

• SYRINGE 10ML LL BNS

B.3 PRICE/COST SCHEDULE

ITEM INFORMATION

ITEM

NUMBER

DESCRIPTION OF

SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

240.00 CS __________________ __________________

Minor Ortho Pack Contract Period: Base POP Begin: 03-01-2026 POP End: 02-28-2027 PRINCIPAL NAICS CODE: 339112 - Surgical and Medical Instrument Manufacturing PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

MANUFACTURER PART NUMBER (MPN):

LOCAL STOCK NUMBER:

168.00 CS __________________ __________________

Minor Surgery Pack

Contract Period: Base POP Begin: 03-01-2026 POP End: 02-28-2027 PRINCIPAL NAICS CODE: 339112 - Surgical and Medical Instrument Manufacturing PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

36.00 CS __________________ __________________

Basic Cystoscopy Standard Tray I

Contract Period: Base POP Begin: 03-01-2026 POP End: 02-28-2027 PRINCIPAL NAICS CODE: 339112 - Surgical and Medical Instrument Manufacturing PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

12.00 CS __________________ __________________

Gynecology Laparoscopy Standard Tray

Contract Period: Base POP Begin: 03-01-2026 POP End: 02-28-2027 PRINCIPAL NAICS CODE: 339112 - Surgical and Medical Instrument Manufacturing PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

24.00 CS __________________ __________________

Knee Arthroscopy IV Surgical Standard Tray

Contract Period: Base POP Begin: 03-01-2026 POP End: 02-28-2027 PRINCIPAL NAICS CODE: 339112 - Surgical and Medical

Instrument Manufacturing PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

24.00 CS __________________ __________________

Standard Major Laparotomy Tray I

Contract Period: Base POP Begin: 03-01-2026 POP End: 02-28-2027 PRINCIPAL NAICS CODE: 339112 - Surgical and Medical Instrument Manufacturing PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

FHCC Minor Ortho Pack

Contract Period: Base POP Begin: 03-01-2026 POP End: 02-28-2027 PRINCIPAL NAICS CODE: 339112 - Surgical and Medical Instrument Manufacturing PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

72.00 CS __________________ __________________

FHCC Minor Surgery Pack

Contract Period: Base POP Begin: 02-12-2026 POP End: 02-11-2027 PRINCIPAL NAICS CODE: 339112 - Surgical and Medical Instrument Manufacturing PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

60.00 CS __________________ __________________

FHCC Surgical Instrument Tray

Contract Period: Base POP Begin: 03-01-2026 POP End: 02-28-2027 PRINCIPAL NAICS CODE: 339112 - Surgical and Medical Instrument Manufacturing PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

FHCC Nail Avulsion Tray 4

Contract Period: Base POP Begin: 03-01-2026 POP End: 02-28-2027 PRINCIPAL NAICS CODE: 339112 - Surgical and Medical Instrument Manufacturing PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

GRAND TOTAL __________________

B.4 SPECIAL CONTRACT REQUIREMENTS

A. WORK HOURS

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 Federal Holidays or during off duty hours as described below.

The following terms have the following meanings:

Normal working hours: Monday through Friday, 8:00 a.m. – 4:30 p.m., excluding federal holidays.

New Year’s Day Martin Luther King’s Day Memorial Day President’s Day Independence Day Labor Day Columbus Day Veterans Day Thanksgiving Christmas Juneteenth

Any other day specifically declared by the President of the United States to be a federal holiday.

When one of the holidays falls on Sunday, the following Monday shall be observed as a Federal Holiday. When a holiday falls on a Saturday, the preceding Friday shall be observed as a Federal Holiday.

B. BILLING AND PAYMENT

Invoices shall be submitted monthly, in arrears to the VA’S Electronic Invoice Presentment and Payment System (see website at http://www.fsc.va.gov/einvoice.asp), and shall include at a minimum:

Date of invoice

Contract Number

Purchase Order Number

Vendor Name

Invoice Number

CLIN & Date of service

C. CONTRACTOR PERFORMANCE ASSESSMENT REPORTING SYSTEM (CPARS)

(a) FAR 42.1502 direct all Federal agencies to collect past performance information on contracts. The Department of Veterans Affairs has implemented use of the Contractor Performance Assessment Reporting System (CPARS) to comply with this regulation. One or more past performance evaluations will be conducted in order to record your contract performance as required by FAR 42.15

(b) The past performance evaluation process is a totally paperless process using CPARS. CPARS is a web-based system that allows for electronic processing of the performance evaluation report. Once the report is processed, it is available in the Past Performance Information Retrieval System (PPIRS) for Government use in evaluating past performance as part of a source selection action.

(c) Please furnish the Contracting Officer with the name, position title, phone number, and email address for each person designated to have access to your firm’s past performance evaluation(s) for the contract no later than 30 days after award. Each person granted access will have the ability to provide comments in the Contractor portion of the report and state whether or not the Contractor agrees with the evaluation, before returning the report to the Assessing Official. The report information must be protected as source selection sensitive information not releasable to the public.

(d) When your Contractor Representative(s) (Past Performance Points of Contact) are registered in CPARS, they will receive an automatically-generated email with detailed login instructions. Further details, system requirements, and training information for CPARS are available at www.cpars.gov. The CPARS User Manual, registration for online training for Contractor Representatives may be found at this site.

(e) Within 60 days after the end of a performance period, the Contracting Officer will complete an interim or final past performance evaluation and the report will be accessible at http://www.fsc.va.gov/einvoice.asp http://www.cpars.gov/ www.cpars.gov Contractor Representatives may then provide comments in response to the evaluation, or return the evaluation without comment. Comments are limited to the space provided in Block 22. Your comments should focus on objective facts in the Assessing Official’s narrative and should provide your views on the causes and ramifications of the assessed performance. In addition to the ratings and supporting narratives, blocks 1-17 should be reviewed for accuracy, as these include key fields that will be used by the Government to identify your firm in future source selection evaluations. If you elect not to provide comments, please acknowledge receipt of the evaluation by indicating, “No Comment” in Block 22, and then signing and dating Block 23 of the form. Without a statement in Block 22, you will be unable to sign and submit the evaluation back to the Government. If you do not sign and submit the CPAR within 30 days, it will automatically be returned to the Government and will be annotated: “The report was delivered/received by the contractor on (date). The contractor neither signed nor offered comment in response to this assessment.” Your response is due within 30 calendar days after receipt of the CPAR.

(f) The following guidelines apply concerning your use of the past performance evaluation:

(1) Protect the evaluation as “source selection information.” After review, transit the evaluation by completing and submitting the form through CPARS. If for some reason you are unable to view and/or submit the form through CPARS, contact the Contracting Officer for instructions.

(2) Strictly control access to the evaluation within your organization. Ensure the evaluation is never released to persons or entities outside of your control.

(3) Prohibit the use of or reference to evaluation data for advertising, promotional material, pre-award surveys, responsibility determination, production readiness reviews, or other similar purposes.

(g) If you wish to discuss a past performance evaluation, you should request a meeting in writing to the Contracting Officer no later than seven days following your receipt of the evaluation. The meeting will be held in person or via telephone or other means during your 30-day review period.

(h) A copy of the completed past performance evaluation will be available in CPARS for your viewing and for Government use supporting source selection actions after it has been completed.

D. CONTRACT ADMINISTRATION

Notwithstanding the Contractor's responsibility for total management during the performance of this contract, the administration of the contract will require maximum coordination between the Government and the Contractor.

http://www.cpars.gov/

The Contracting Officer is the only person authorized to approve changes or modify any of the requirements of this contract. The Contractor shall communicate with the Contracting Officer on all matters pertaining to contract administration. Only the Contracting Officer is authorized to make commitments or issue changes that shall affect price, quantity or quality of performance of this contract.

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

Points of Contact

Contracting Officer Salisbury VAMC

Cherisse Hall Sandra Shaut

100 Emancipation Drive, Bldg. 27 1601 Brenner Avenue

Hampton, VA 23667 Salisbury, NC 28144

Cherisse.Hall@va.gov Sandra.Shaut@va.gov

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/

(End of Clause)

FAR

Number

Title Date

52.203-17 CONTRACTOR EMPLOYEE WHISTLEBLOWER RIGHTS NOV 2023

52.204-13 SYSTEM FOR AWARD MANAGEMENT MAINTENANCE OCT 2018

52.212-4

52.217-7

CONTRACT TERMS AND CONDITIONS- COMMERICAL

PRODUCTS AND COMMERCIAL SERVICES (DEVIATION)

OPTION FOR INCREASED QUANTITY—SEPARATELY

PRICED LINE ITEM

MAR 1989

OCT 2025

52.225-5 TRADE AGREEMENTS NOV 2023

52.222-54 EMPLOYMENT ELIGIBILITY VERIFICATION (DEVIATION) NOV 2025

852.203-70 COMMERCIAL ADVERTISING MAY 2018

852.222-71

852.246-71

COMPLIANCE WITH EXECUTIVE ORDER 13899

(DEVIATION) (APR 2025)

REJECTED GOODS

APR 2025

OCT 2018

C.2 52.240-91 SECURITY PROHIBITIONS AND EXCLUSIONS (NOV 2025)

(DEVIATION)

(a) Definitions. As used in this clause—

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

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

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

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

https://www.sam.gov

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

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

(3) The processing of information on a Federal or non-Federal information system, subject to the requirements of the Controlled Unclassified Information program (see 32 CFR part 2002); or

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

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

Covered telecommunications equipment or services means—

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

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

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

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

Critical technology means—

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

(i) Of that equipment; or

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

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

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

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

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

(2) The Central Intelligence Agency;

(3) The National Security Agency;

(4) The Defense Intelligence Agency;

(5) The National Geospatial-Intelligence Agency;

(6) The National Reconnaissance Office;

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

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

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

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

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

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

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

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

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

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

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

Kaspersky Lab-covered entity means—

(1) Kaspersky Lab;

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

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

or

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

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

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

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

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

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

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

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

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

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

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

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

44801(12)).

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

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

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

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

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

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

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

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

(1) Prohibition. The Contractor is prohibited from—

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

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

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

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

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

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

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

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

(i) Unless an applicable waiver has been issued by the Government, the Contractor cannot use any equipment, systems, or services that uses covered telecommunications equipment or services as a substantial or essential component of any system, or as critical technology as part of any system (paragraph (a)(1)(B) of section 889 of the John S. McCain National Defense Authorization Act for Fiscal Year 2019 (Pub. L. 115-232)).

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

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

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

(2) Office of Foreign Assets Control Restrictions.

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

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

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

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

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

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

(4) Iran prohibitions.

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

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

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

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

(iv) Unless an exception applies or the Government grants a waiver, contractors are prohibited from knowingly engaging in any significant transaction (i.e., over $15,000) with Iran’s Revolutionary Guard Corps or any of its officials, agents, or affiliates, the property and interests in property of which are blocked according to the International Emergency Economic Powers Act (section 6(b)(1)(B) of Iran Sanctions Act (50 U.S.C. 1701 note)).

(e) Governmentwide exclusion and removal orders.

(1) Unless the Government has issued an applicable waiver, contractors shall not provide or use as part of the performance of the contract any covered article, or any products or services produced or provided by a source, if the covered article or the source is prohibited by an applicable FASCSA order as follows:

(i) For solicitations and contracts awarded by a Department of Defense contracting office, DoD FASCSA orders apply.

(ii) For all other solicitations and contracts, DHS FASCSA orders apply.

(2) The Contractor shall search for the phrase “FASCSA order” in the System for Award Management (SAM) at https://www.sam.gov to locate applicable FASCSA orders.

(3) The Government may identify in the solicitation other FASCSA orders that are not in SAM, which are effective and apply to the solicitation and resulting contract.

(4) A FASCSA order issued after the date of solicitation applies to this contract only if added by an amendment to the solicitation or modification to the contract (see FAR 40.204-1(c)).

(f)Reasonable inquiry. The contractor shall conduct a reasonable inquiry to determine if there are any prohibited products or services. The inquiry will look at any information in the entity’s possession but does not need to include an internal or third-party audit.

(g) Removal of prohibited products and services. For Federal Supply Schedules, Governmentwide acquisition contracts, multi-agency contracts or any other procurement instrument intended for use by multiple agencies, upon notification from the Contracting Officer, during the performance of the contract, the Contractor shall promptly make any necessary changes or modifications to remove any product or service produced or provided by a source that this clause prohibits.

(h) General report.

https://www.sam.gov/

(1) If the Contractor identifies or is notified by any source, (including a subcontractor at any tier), that any product or service provided or used (or to be provided or used) during contract performance does not comply with any prohibition in this clause, then the Contractor shall report the following information, or as much information is known, in writing to the contracting office as identified in paragraph (h)(2) within 72 hours:

(i) Contract number and order number, if applicable;

(ii) The specific prohibition the product or service is not complying with;

(iii) A description of the products or services that the Contractor identifies or has reason to suspect is prohibited (include brand; model number, such as the original equipment manufacturer (OEM) number, manufacturer part number, or wholesaler number; and item description, as applicable);

(iv) The entity that produced the product or service (include entity name, unique entity identifier, Contractor and Government Entity (CAGE) code, facilities responsible for design, fabrication, assembly, packaging, and test of the product, and whether the entity was the OEM or a distributor (provide manufacturer codes and distributor codes used for the product));

(v) Description of the functionality of the product or service and how that functionality impacts the risk to the product or service;

(vi) An explanation of any factors relevant to determining if the product or service should be permitted by an applicable exception, exemption, or waiver (if the contractor would like the Government to consider a waiver, and asks for such a waiver);

(vii) Whether alternative products or services are available that would comply with the prohibition;

(viii) If the product or service is related to item maintenance, include the following information on the item being maintained:

(A) Brand;

(B) Model number, OEM number, manufacturer part number, or wholesaler number; and

(C) Item description, as applicable.

(ix) Any readily available information about mitigation actions implemented or recommended.

(2) If a report must be submitted to a contracting office, the Contractor shall submit the report as follows:

(i) If a Department of Defense contracting office, the Contractor shall report to the website at https://dibnet.dod.mil.

(ii) For all other contracting offices, the Contractor shall report to the Contracting Officer.

(iii) For indefinite delivery contracts, the Contractor shall report to both the contracting office for the indefinite delivery contract and the contracting office for any affected order.

https://dibnet.dod.mil/

(3) If the report provided does not contain any of the information required by paragraph (h)(1) of this clause, and the contractor later discovers new information that is required by paragraph (h)(1) of this clause, then the contractor shall submit a subsequent report within 72 hours of discovering the new information.

(4) The contractor shall also report the information in paragraph (h)(1) if the contractor wishes to ask for a waiver of the requirements of a new FASCSA order being applied through modification.

(i) New FASCSA orders report.

(1) During contract performance, the Contractor shall review SAM at least once every three months, or as advised by the Contracting Officer, to check for covered articles subject to FASCSA order(s), or for products or services produced by a source subject to FASCSA order(s) not currently identified under paragraph (e) of this clause.

(2) If the Contractor identifies a new FASCSA order(s) that could impact their supply chain, then the Contractor shall conduct a reasonable inquiry to identify whether a covered article or product or service produced or provided by a source subject to the FASCSA order(s) was provided to the Government or used during contract performance. The inquiry will look at any information in the entity’s possession but does not need to include an internal or third-party audit.

(3) The Contractor shall submit a report to the contracting office identified in paragraph (h)(2) of this clause if the Contractor identifies, including through any notification by a subcontractor at any tier, that a covered article or product or service produced or provided by a source was provided to the Government or used during…