W81K00-24-Q-0155 Final.pdf

SEE ADDENDUM

(No Collect Calls)

W81K0024Q0155 12-Aug-2024

b. TELEPHONE NUMBER

915-742-0923

8. OFFER DUE DATE/LOCAL TIME

05:00 PM 23 Aug 2024

5. SOLICITATION NUMBER 6. SOLICITATION ISSUE DATE

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 2/2012)

Prescribed by GSA – FAR (48 CFR) 53.212

(TYPE OR PRINT)

(SIGNATURE OF CONTRACTING OFFICER)

ADDENDA ARE

26. TOTAL AWARD AMOUNT (For Gov t. Use Only )

23.

CODE 10. THIS ACQUISITION IS

SUCH ADDRESS IN OFFER

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT

BELOW IS CHECKED

TELEPHONE NO.

W81K009. ISSUED BY

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

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

JESUS SOLIS

2. CONTRACT NO. 3. AWARD/EFFECTIVE DATE 4. ORDER NUMBER

(TYPE OR PRINT)

30b. NAME AND TITLE OF SIGNER 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER

30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a.UNITED STATES OF AMERICA

0 27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1. 52.212-4. FAR 52.212-3. 52.212-5 ARE ATTACHED.

25. ACCOUNTING AND APPROPRIATION DATA

1. REQUISITION NUMBER

20.

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED.

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

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

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

(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

. YOUR OFFER ON SOLICITATION

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

% FOR:SET ASIDE:UNRESTRICTED ORX

SMALL BUSINESS

17a.CONTRACTOR/ CODE FACILITY

OFFEROR CODE

W40M USA HCA

MEDICAL READINESS CONTR OFFICE WEST

3160 MCINDOE BLDG 1103

JBSA FT SAM HOUSTON TX 78234-4504

18a. PAYMENT WILL BE MADE BY CODE

RATED ORDER UNDER

DPAS (15 CFR 700)

13a. THIS CONTRACT IS A

13b. RATING

CODE15. DELIVER TO CODE HT0788 16. ADMINISTERED BY

12. DISCOUNT TERMS11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

14. METHOD OF SOLICITATION

RFQ IFB RFPX

EVANS ARMY COMMUNITY HOSPITAL

EVANS ARMY COMMUNITY HOSPITAL

BLDG 7500 FORT CARSON

COLORADO SPRINGS CO 80913

TEL: 719-526-7000 FAX:

FAX:

TEL: 210-221-1110 SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

8(A)

HUBZONE SMALL

BUSINESS

SIZE STANDARD:

$34,000,000

NAICS:

811210

X

OFFER DATED

29. AWARD OF CONTRACT: REF.

DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

EMAIL:

TEL:

31c. DATE SIGNED

SEE SCHEDULE

SCHEDULE OF SUPPLIES/ SERVICESITEM NO. QUANTITY UNIT UNIT PRICE AMOUNT

24.22.21.19.

WOMEN-OWNED SMALL BUSINESS (WOSB)

ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

(CONTINUED)

PAGE 2 OF43

ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED: ______________________________________________________

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED

32b. SIGNATURE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32c. DATE 32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32f . TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

37. CHECK NUMBER

FINALPARTIALCOMPLETE

36. PAYMENT35. AMOUNT VERIFIED

CORRECT FOR

34. VOUCHER NUMBER

FINAL

33. SHIP NUMBER

PARTIAL

38. S/R ACCOUNT NUMBER 39. S/R VOUCHER NUMBER 40. PAID BY

41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT

41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER 41c. DATE

42a. RECEIVED BY (Print)

42b. RECEIVED AT (Location)

42c. DATE REC'D (YY/MM/DD) 42d. TOTAL CONTAINERS

STANDARD FORM 1449 (REV. 2/2012) BACK

Prescribed by GSA – FAR (48 CFR) 53.212

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

SEE SCHEDULE

20.

SCHEDULE OF SUPPLIES/ SERVICES

21.

QUANTITY UNIT

22. 23.

UNIT PRICE

24.

AMOUNT

19.

ITEM NO.

W81K0024Q0155

Section SF 1449 - CONTINUATION SHEET

52.212-1 ADDENDUM

52.212-1 ADDENDUM

Volume I. Administrative.

All offerors shall provide the following items:

Completed SF 1449: Blocks 12, 17 (to include CAGE code and DUNS number), 30A - C Completed SF 30: Blocks 8, 15A - C (for all amendments issued, if any) Point of Contact Information (Name, Telephone Number, Fax Number, and Email) Statement that the offeror will hold its quote firm for at least 90 days from the due date for receipt of quotes, subject to any changes that may occur as a result of discussions (if applicable).

Completed provisions, as listed in the solicitation. Alternately, complete all provisions in SAM and provide confirmation of completion and accuracy with offer.

Offerors must be registered in the System for Award Management (SAM) at the time of proposal submission to be eligible for award. The SAM website ishttp://www.sam.gov.

Volume II. Technical Capability

Technical Capability. These parts of the technical proposal shall be addressed in sufficient written detail for the Government to determine if the offeror understands this aspect of the Government’s requirement. Statements that the offeror understands, can or will comply with all specifications, or statements paraphrasing the specifications of parts thereof, or phrases such as “standard procedures will be used” or “well-known techniques will be used” will be considered unacceptable. Insufficient explanations may result in your offer receiving an UNACCEPTABLE rating.

Volume III. Price

Price. The offeror shall submit a unit price for each CLIN, as well as the extended price (i.e., unit price multiplied by quantity) in column F. A unit price shall be submitted for each line item, as well as the extended price (i.e., unit price multiplied by quantity). Pricing shall be provided with no more than two positions to the right of the decimal point. Travel costs are subject to Federal Acquisition Regulation (FAR) Part 31.205-46 and 52.212-4.

The non-FAR Part 12 discretionary FAR, DFARS, AFARS, and LOCAL provisions included herein are incorporated into this solicitation either by reference or in full text. If incorporated by reference, see provision 52.252-1 herein for locations where full text can be found.

(End of Addendum)

52.212-2 ADDENDUM

ADDENDUM 52.212-2

Award will be made using the lowest price technically acceptable (LPTA) source selection process. Award will be made to the responsible offeror on the basis of the lowest evaluated price of proposals meeting or exceeding the acceptability standards for non-cost factors. Award maybe made without discussions with offerors (except communications conducted for the purpose of minor clarification). Therefore, each initial offer should contain the offeror's best terms from a technical and price standpoint. However, the Government reserves the right to conduct discussions if it is later determined by the contracting officer to be necessary. Paragraph (a) is hereby replaced with the following:

The Government will award a contract resulting from this solicitation to the responsible offeror whose offer conforming to the solicitation is Lowest Price, Technically Acceptable (LPTA). Award will be made on all or nothing basis. The following evaluation factors shall be used to evaluate offers:

Technically Acceptability and Price

1. Technical Capability. The following adjectival ratings will be used in evaluating the offeror’s technical quote:

Acceptable – To receive this rating, the offerors product shall meet each of the performance objectives set forth in the solicitation.

Unacceptable – An unacceptable rating will be assessed on any offeror that presents items that demonstrate any of the following: Proposal does not meet the requirements as outlined in the RFQ and contains one or more deficiencies.

TECHNICAL REQUIREMENTS:

a. Offeror shall provide a written overview of experience and equipment used in providing required test. No more than 4 pages. Also, provide distance, in miles, from Dugway Proving Grounds, and Tooele Army Depot, UT to physical address in which the exercise stress test will be accomplished.

b. Offerors must be registered in System for Award Management (SAM) at the time of proposal submission to be eligible for award. SAM website is http://www.sam.gov.

Contractors must respond to the solicitation posted on SAM.gov and submit their quotes/proposals before the solicitation close date/time. Any quotes/proposal submitted after the close date/time will not be considered for award. Proposals must be emailed to : Jesus.Solis13.civ@health.mil and Robyn.a.villafranco.civ@health.mil . It is the offeror’s responsibility to ensure proposals are received in Contracting by the deadline.

Evaluation Process: All quotes will be evaluated on their price and technical acceptability. The award decision will be based on the lowest priced technically acceptable quote.

(End of provision)

STATEMENT OF WORK (SOW)

STATEMENT OF WORK (SOW) Karl Storz Intigrated Operating Room Equipment EVANS ARMY COMMUNITY HOSPITAL (EACH) Fort Carson, Colorado 80913 Part 1 General Information

1. Description of Services/Introduction: This is a non-personal service(s) contract to provide on-site maintenance services for all the Karl Storz Integrated Operating Room equipment in the Operating rooms. The Contractor shall provide all resources, labor, travel, transportation, parts, materials, equipment, and management necessary to keep the medical equipment in good operating condition and to perform all scheduled/unscheduled maintenance of the equipment..

1.2. Background: This Service Contract will cover the repair, preventative maintenance, calibration, and exchange services for the equipment listed below in Exihibit 1. This is to include accessories and cabling for these devices and the STREAMCONNECT.

1.3. Scope: The Contractor employee is required to check-in Room 0705 (Service Level) Medical Maintenance Office, with the Contracting Officer Representative, Officer In Charge, Non-Commisioned Officer In Charge, or Shop Foreman before proceeding to complete the service repair work.

1.4. Persons Authorized to Make Calls: Only those people listed below and the Contracting Officer are authorized to give the Contractor instructions, place service calls, or request updates status. The Government representative or COR will call and leave their name and number. The Contractor will return the call or come directly to the Medical Maintenance Branch to verify instructions prior to initiating any action.

Primary POC: 719-524-3651 OIC: 719-526-7252 NCOIC: 719-526-7204 Shop Foreman: 719-526-3599 or 719-524- Alternate POC: 719-526-7093

1.3.2. Contracting Officer's Representative (COR): A primary COR will be appointed throughout the life of the Contract and will provide guidance on all things contract related to the Customer, Medical Department or Medical Maintenance, when requested.

1.3.3. Any service performed without the prior approval of one of the individuals outlined in 1.4, shall be at no cost to the Government.

1.3.4. Maintenance Time Frames: The Contractor shall provide one annual Preventive Maintenance (PM) and Calibration Verification Check (CVC). If Operating End user Manual standard requires more than one PM this will be covered by the Contractor at no additional cost. Services perfomed during the life of the contract will include one electrical safety current leakage test to determine the amount of electrical current electrical leakage to the case of the unit and these tasks shall be performed together. All services performed are documented and indicated on the service ticket upon completion of services as follows:

• Calibration. CA and the time spent

• Preventive Maintenance Inspection (PM INSP) and the time spent. The electrical safety test is considered to be part of this process.

• Scheduled Parts Replacement (SPR) must be completed with the time, name, part numbers and cost of parts replaced. This shall include all battery replacements used in the Sensors, Panels, Gateways, Dialers and Netlinks.

2. Services Required and Specific Tasks:

2.1. On-site maintenance and repair services: The contractor shall complete repairs on site if at all possible.

2.2. Off-site maintenance and repair services: If the Contractor determines that equipment requires off-site extensive servicing, the Contractor must notify the Government POC or EMB Staff of all instruments that need to be repaired off-site. The Contractor will provide an itemized list with an estimated time of instrument return. Sent in items shall be coordinated with COR/Government POC or Equipment Management Branch staff and not to exceed 30 repairs per year.

2.3. If the Contractor determines that equipment requires off-site servicing, the Contractor will supply a loaner piece of equipment and a shipping label to send off the equipment in need of service.

2.4. UPS’s on the contract have a 2 year Scheduled Parts Replacement (SPR), Contractor will supply a new unit or provide new batteries and replace them. If Contractor needs to provide a new unit instead of only replacing batteries, new units will be covered under this contract without a modification to the equipment list.

2.5. One PM annually for the life of the contract starting at the time of award and at the beginning of each option period. More than one PM might be required depending on the OEM standards and will be covered under this contract.

2.6. The Contractor shall complete all required scheduled services within four working days after starting each scheduled services.

2.7. For scheduled services, the Contractor shall coordinate, no later than the fifth day of the month, with the Medical Maintenance Branch and the end-users, ensuring access to the equipment to be serviced.

2.8. Includes any additional scheduled preventive maintenance repairs to the medical equipment.

2.9. Upon completion of PM on the equipment, the contractor shall update the affixed DD Form 2163, Medical Equipment Verification/Certification Sticker according to TB 38-750-2.

2.10. Equipment maintenance performance under the contract includes the unlimited replacement of defective parts.

2.11. Contractor shall notify the COR when replacement parts are needed to complete service are not available.

2.12. The Government will not be responsible for any damages or loss of Contractor supplies, materials, or equipment. Nor is the Government responsible for any damages or loss of the Contractor employees' personal belongings, due to fire, theft, accidents or other causes.

2.13. The contractor shall report immediately to the Government Point of Contact, or the Chief of Equipment Management Branch, all accidents which may arise out of or in connection with the performance of services required within the scope of this contract.

2.14. Contractor is fully responsible for the security of any Contractor-furnished property, supplies, or equipment utilized in the performance of these contracted services and agrees to not hold the government liable for any damage or theft thereof.

2.15. The Contractor shall be responsible for safeguarding all Government property provided for Contractor use and information of a confidential or sensitive nature. Neither the Contractor nor any of its personnel shall disclose, or cause to be disseminated, any information concerning the operation of the Medical Tratment Facility that could result in, or increase the likelihood of, the possibility of breach of security or interrupt the continuity of operations or which breach the requirements of the Federal Privacy Act of 1974. However, the Contractor may be required to provide testimony or deposition in lawsuits or other administrative, civil or criminal proceedings.

2.16. Unscheduled Services: Contractor is required to respond to the needs of EACH within 24 hours of being called. Contractor shall use reasonable efforts to provide on-site services with a response time not to exceed two business days after telephonic notification of a malfunction if contractor is unable to provide services via telephone support. These days are Monday through Friday, excluding all Government holidays. All equipment is repaired to meet manufacturers specifications in accordance with contractor's policies and procedures at all times.

• The Contractor shall use reasonable efforts to respond telephonically within four hours during normal duty hour's days and within six hours after normal duty hours.

• Delays caused by the Government must be promptly communicated to the COR and will not be counted against the repair completion time frame.

• lf parts are required and are not in stock with the contractor or original equipment manufacturer, an allowable delay will be determined by the COR.

• The Contractor shall provide for all replacements of worn and/or defective parts that contractor has determined have failed under proper use as necessary to restore the equipment to 100% operational condition as specified by the

OEM.

2.17. Contractor shall report to the Medical Maintenance Branch, Building 7500, Room 0705, and sign-in the Contractor's Log by indicating company name, individuals name, time of arrival, and destination.

When departing EACH, the contractor technician must exit through Medical Maintenance and provide the service report as required above.

2.18. The performance of all services shall meet or exceed the specifications of the original equipment manufacturer.

2.19. The Contractor is not responsible for the maintenance of equipment listed when damage resulted from act of God, or Government neglect/misuse/abuse, or when services from other than the Contractor's personnel have been performed.

2.20. Delays caused by Government will not be counted as contractor "down time" for the purpose of this requirement.

2.21. Contractor shall furnish and.install only OEM replacement parts or OEM recommended substitution/ modifications, as approved by the Medical Maintenance Branch as required ensuring proper and safe operation of the equipment. The Contractor shall provide technical assistance; install firmware/hardware/software updates as required by the manufacturer.

2.22. The Contractor shall perform scheduled preventive maintenance inspection and Calibration Verfication Check one time per year or per Operating End user Manual standards/specifications. When Calibration Verification Check services are complete, the Contractor shall affix a DD Form 2163 to the equipment; update the current form, when appropriate, as specified 750-1. The COR shall determine where on the equipment the DD Form will be affixed.

2.23. The Contractor shall establish and follow a procedural checklist when performing scheduled services. Any updates shall be supplied to the COR.

2.24. The Contractor shall comply with applicable federal, state, and local laws and regulations.

2.25. The contractor shall use reasonable efforts to continue uninterrupted until the equipment is operational.

Equipment which is left unserviceable at the end of normal duty hours or until performance can be resumed, will be identified by the Contractor notifying the Medical Maintenance technician, POC or the COR and the hospital staff/end users. If the Contractor determines that additional parts are required, services will resume as soon as parts become available. The COR will be informed personally or in writing of the equipment status prior to the Contractor leaving the work site.

2.26. If a malfunction exists with the Contractor maintained equipment or the Government's utilities ( i.e., water, air, electricity), the contractor's maintenance representative will be notified. The Contractor's maintenance representative and the Government's maintenance representative will test the utilities and will determine whether the utility or the equipment failed. If it is determined that the equipment failed, the contractor shall perform maintenance services immediately.

2.27. Contractor personnel shall leave job site in the same condition as found upon arrival.

3. Hours of Performance: The Government facility office hours, facility operating hours, and the Contractor support hour requirements often coincide, however they may differ. Please refer to the following:

3.1. Government Facility Office Hours: The Government facility office hours are 0700-1600 Monday- Friday except U.S. Holidays identified in paragraph 1.5.3.1 above or when the Government facility is closed due to local or national emergencies, administrative closings, or similar Government directed facility closings.

3.2. Government Facility Operating Hours: The Government facility operating hours occur between the hours of 0600 to 1800 Monday to Friday. The Government facility is not open for operations during the recognized U.S.

Holidays identified in paragraph 3.5 below. The Government facility may close due to local or national emergencies, administrative closings, or similar Government directed facility closings and will be communicated by the Contracting Officer to the Contractor.

3.3. Contractor Support Hours: The Contractor shall provide support between the hours of 0800-1630 Monday to Friday. The Contractor shall maintain an adequate workforce at all times, for the uninterrupted performance of all tasks defined within this PWS when the Government facility is not closed for the above reasons. When hiring personnel, the Contractor shall keep in mind that the stability and continuity of the workforce is essential.

3.4. Training Holidays: The government will observe training holdays and will notify contractor should any changes be made to scheduled maintenance.

3.5. Government Observed Holiday: Work shall not be performed on U.S. federally recognized holidays occurring during the normal workweek unless otherwise directed by the Contracting Officer. When a U.S. holiday occurs on a Saturday or a Sunday, the holiday is observed on the preceding Friday or following Monday, respectively.

New Year’s Day January 1st M. L. King Memorial Day 3rd Monday in Jan Presidents Day 3rd Monday in February Memorial Day last Monday in May Juneteenth June 19th Independence Day July 4th Labor Day 1st Monday in September Columbus Day 2nd Monday in October Veteran’s Day November 11th Thanksgiving Day 4th Thursday in November Christmas Day December 25th

4. Qualifications

4.1. Contractor will provide only technically qualified technicians who are trained to perform maintenance on the equipment in Table l and have a minimum of two years of experience working on the contracted equipment. Service personnel must have a good working knowledge of the equipment.

5. Service Reports.

5.1. Upon completion of services, a service report shall be provided to the COR prior to the contractor technician's departure. In the event all information is not available when services are performed, the initial service report shall include all available information. The contractor shall provide the balance of the required information no later than 48 hours after services are completed. This report is initiated by the Contractor at the completion of each repair and at the minimum will include:

• Contractors Name

• Contract Number

• Name of technician performing the repair (full printed and signed name)

• Number of hours expended on each and associated Contractor’s hourly rate. Hours are in tenths and rounded up to the nearest tenth of an hour. Example 1.1 is one hour and six minutes.

• Part number and listed cost of each repair part used.

• Equipment Control Number and serial number of equipment being repaired.

• Detailed information regarding the equipment malfunction and corrective action taken and preventive maintenance and calibrations standards checked.

6. Replacement Parts.

6.1.1. The Contractor shall have and maintain an adequate inventory of repair parts to service the equipment listed herein and as may be needed in the performance of this contract. The Contractor shall maintain a backup inventory of spare parts so that any spare parts can be delivered to the site within the time frames established, if the spare part is not available from the local contractor inventory.

6.1.2. Replacement parts used in the performance of this contract shall be new or reconditioned, however, Government approved reconditioned repair parts shall be the only reconditioned repair parts allowed for performance of services under this contract.

6.1.3. Parts which have been replaced with Contractor furnished parts shall become the property of the Contractor.

Parts once placed in a system or sub-system becomes the property of the Government.

7. Safety.

7.1. The Contractor shall ensure its personnel are familiar with facility safety regulations. Such regulations include, but are not limited to, general safety, fire prevention and waste disposal. All Evans Army Community Hospital regulations are accessible through the Evans Army Community Hospital intranet or can be provided by the SPD Section and/or NCOIC upon written request from the Contractor.

7.2. The Contractor shall ensure its personnel comply with the local installation requirements regarding the use of company or privately owned vehicles and the operation of same on the military installation to include appropriate driving licensure and liability insurance coverage.

7.3. Contactor will ensure that any company owned/operated vehicles used in the course of providing these contracted services are maintained in a manner so as to not leak or otherwise contaminate the areas on which they are stationed. Contractor is fully responsible for the safe storage and disposal of any by-products produced in the course of performing these contracted duties.

8. Physical Security. The contractor shall comply with all Force Protection Condition (FPCON) procedures, Random Antiterrorism Measures (RAMS) and local search/identification requirements.

9. Site Security.

9.1. Contractor shall ensure that their personnel comply with the local installation requirements for vehicle registration and operation on the military facility. Any vehicle operated by the Contractor or its employees in performance of this contract must have the minimum liability coverage required by the state in which the performance is located.

9.2. Contractor is fully responsible for the security of any Contractor-furnished property, supplies, or equipment utilized in the performance of these contracted services and agrees to not hold the government liable for any damage or theft thereof.

9.3. Contractor shall ensure its personnel prominently wear on their upper torso a company identification badge which clearly identifies them and the name of the company at all times while inside of Evans Army Community Hospital.

9.4. Investigationg Requirements. The Contractor shall ensure all personnel performing under the contract are required to maintain a minimum of a favorably adjudicated Tier 1 (T1) formerly known as National Agency Check with written Inquires (NACI) for IT Level III access or Tier 3 formerly known as a National Agency Credit and Law Check (NACLC) for IT-II access. The contractor must coordinate with the Contracting Officer Representative (COR) to initiate the Request for Personnel Security Action prior to performance start date. U.S. Citizenship will be verified by presenting original or certified copy of birth certificate, certificate of citizenship/naturalization issued by INS, or born aboard certificate (Form FS-240 or DS-1350) or a valid U.S. Immigration Form 1-151 and Alien Registration Card ("Green Card") and is completed investigation document(s) to the BAMC Personnel Security Office at the time of in processing for all contract personnel assigned to the contract. In order to maintain the security requirements any derogatory information, to include law enforcement issues, mental health issues, or alcohol/drug related issues must be reported to the COR and to the BAMC Personnel Security Office.

9.5. Access & General Protection/Security Policy & Procedures. This standard language is for contractor employees with an area of performance within Army controlled installation, facility, or area. Contractor and all associated sub-contractors employees shall provide all information required for background checks to meet installation access requirements to be accomplished by installation Provost Marshal Office, Director of Emergency Services or Security Office. Contractor workforce must comply with all personal identity verification requirements (FAR clause 52.204- 9, Personal Identity Verification of Contractor Personnel) as directed by DOD, HQDA and/or local policy. In addition to the changes otherwise authorized by the changes clause of this contract, should the Force Protection Condition (FPCON) at any individual facility or installation change, the Government may require changes in contractor security matters or processes. For Contracts that Require Handling or Access to Classified Information.

Contractor shall comply with FAR 52.204-2, Security Requirements. This clause involves access to information classified "Confidential," "Secret," or "Top Secret" and requires contractors to comply with- The Security Agreement (DD Form 441), including the National Industrial Security Program Operating Manual (DoD 5220.22- M); any revisions to DOD 5220.22-M, notice of which has been furnished to the contractor. A Secret security clearance is required for the contract employee to perform the scope of work. The Contractor shall have a proper Facility Clearance (FCL). The Contractor's employee shall report to the workplace with a favorable National Agency Check with Law and Credit/T3/T3R and a Secret or Interim Secret clearance in order to gain access to the workplace. DD254 shall be processed at no added cost to the contract.

9.6. Freedom of Information Act Program (FOIA & PRIVACY ACT). The contractor shall comply with DOD Regulation 5400.7-R, DOD Freedom of Information Act Program requirements. The Freedom of Information Act sets policy and procedures for the disclosure of records to the public and for marking handling transmitting and safeguarding For Official Use Only materials.

9.7. Reporting Requirements. The contractor shall comply with DoD 5200.2-R, January 1987, Personnel Security Program and AR 380-67, 9 September 1988, Department of the Army Personnel Security Program Regulation.

Contractor shall report to the BAMC Security Manager any information or circumstances which may pose a threat to DOD or contractor personnel, resources, or DOD information.

9.8. Removal of Contract Employee. The government reserves the right to require immediate temporary or permanent removal of any individual whose actions raise reasonable suspicion that patient care or services may be compromised in any way or that pose a threat of harm to other contractor/government personnel or self. The employee may be required to submit to drug/alcohol testing. The government reserves the right to require temporary or permanent removal of any individual who refuses testing. Notification of all removals will be made by the Contracting Officer Representative (COR). Removal of any individual does not relieve the contractor of any performance requirement.

10. Conduct.

10.1. The Contractor is responsible for its personnel’s conduct, who are expected to act and present themselves in a professional manner while within BAMC property, and in the course of providing these contracted services.

10.2. Inquiries. Contractor shall ensure its personnel do not respond to any media inquiries, nor otherwise engage in any interview, nor provide any comment or response to media personnel regarding Evans Army Community Hospital without the knowledge and written approval from the EACH commander.

10.3. Complaints. The Contractor shall have no more than one (1) substantiated complaint about any of its personnel providing these contracted services during any one (1) period of performance. Any complaints that are validated by the SPD Section Chief shall be reported in writing to the Contracting Officer Representative (COR) for appropriate action.

11. Notice of Conference.

11.1. The Contractor, or authorized representative, may be required to attend a conference prior to commencement of any work performed under this contract. A representative of the Contracting Office will notify the Contractor after entering into the contract as to the specific time and location of the conference.

11.2. These conferences will normally occur telephonically: however, the Government reserves the right

Exhibit 1 Itemized List

NO

ECN MFR. SERIAL

NO

NOMENCLATU

RE

MANUFACTUR

ER

MODEL

1 62681 ENH-20210825-04 Automation System.

Operating Room

Karl Storz Endoscopy- America Inc.

NEOIP Controller

2 62683 ENH-20211007-11 Automation System.

Operating Room

Karl Storz Endoscopy- America Inc

NEOIP Controller

3 62675 ENH-20211026-14 Automation System.

Operating Room

Karl Storz Endoscopy- America Inc

NEOIP Controller

4 62678 ENH-20211026-13 Automation System.

Operating Room

Karl Storz Endoscopy- America Inc

NEOIP Controller

5 62677 ENH-20211007-13 Automation System.

Operating Room

Karl Storz Endoscopy- America Inc

NEOIP Controller

6 62680 ENH-20210907-01 Automation System.

Operating Room

Karl Storz Endoscopy- America Inc

NEOIP Controller

7 62679 ENH-20210812-01 Automation System.

Operating Room

Karl Storz Endoscopy- America Inc

NEOIP Controller

8 62682 ENH-20210812-02 Automation System.

Operating Room

Karl Storz Endoscopy- America Inc

NEOIP Controller

9 62712 2021-08-0019 Camera, Video, Surgical Karl Storz Endoscopy- America Inc

UV950AS-20-ST

10 62687 2021-10-0031 Camera, Video, Surgical Karl Storz Endoscopy- America Inc

UV950AS-20-ST

11 62697 2021-08-0027 Camera, Video, Surgical Karl Storz Endoscopy- America Inc

UV950AS-20-ST

12 62702 2021-10-0029 Camera, Video, Surgical Karl Storz Endoscopy- America Inc

UV950AS-20-ST

13 62717 2021-08-0020 Camera, Video, Surgical Karl Storz Endoscopy- America Inc

UV950AS-20-ST

14 62692 2021-08-0026 Camera, Video, Surgical Karl Storz Endoscopy- America Inc

UV950AS-20-ST

15 62707 2021-08-00029 Camera, Video, Surgical Karl Storz Endoscopy- America Inc

UV950AS-20-ST

16 62722 2021-08-0037 Camera, Video, Surgical Karl Storz Endoscopy- America Inc

UV950AS-20-ST

17 62714 GM0313E4500929 Monitor Computer, Touch Screen

Karl Storz Endoscopy- America Inc

Touchscreen 24

18 62709 GM0313E330054 Monitor Computer, Touch Screen

Karl Storz Endoscopy- America Inc

Touchscreen 24

19 62684 GM0313E450059 Monitor Computer, Touch Screen

Karl Storz Endoscopy- America Inc

Touchscreen 24

20 62689 GM0313E30013 Monitor Computer, Touch Screen

Karl Storz Endoscopy- America Inc

Touchscreen 24

21 62704 GM0313E330027 Monitor Computer, Touch Screen

Karl Storz Endoscopy- America Inc

Touchscreen 24

22 62699 GM01313E450055 Monitor Computer, Touch Screen

Karl Storz Endoscopy- America Inc

Touchscreen 24

23 62719 GM0313E33 Monitor Computer, Touch Screen

Karl Storz Endoscopy- America Inc

Touchscreen 24

24 62694 GM0313E330016 Monitor Computer, Touch Screen

Karl Storz Endoscopy- America Inc

Touchscreen 24

25 62685 2601413 Network Switch Karl Storz Endoscopy- America Inc

581254XP8ACF

K

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0001 96 Each WUIS3732 OR1 NEO IP-Full Coverage

FFP

WUIS3732 OR1 NEO IP-Full Coverage FOB: Destination

PSC CD: J065

NET AMT

26 62700 581254X2126212 Network Switch Karl Storz Endoscopy- America Inc

581254XP8ACF

K

27 62705 581254X2126073 Network Switch Karl Storz Endoscopy- America Inc

581254XP8ACF

K

28 62715 581254X2126227 Network Switch Karl Storz Endoscopy- America Inc

581254XP8ACF

K

29 62710 581254X2126288 Network Switch Karl Storz Endoscopy- America Inc

581254XP8ACF

K

30 62720 581254X2126247 Network Switch Karl Storz Endoscopy- America Inc

581254XP8ACF

K

31 62695 581254X2126195 Network Switch Karl Storz Endoscopy- America Inc

581254XP8ACF

K

32 62690 581254X2126215 Network Switch Karl Storz Endoscopy- America Inc

581254XP8ACF

K

33 62711 5810028R-2130032 Power System, Electrical, Uninterruptible

Karl Storz Endoscopy- America Inc

UPS 1000VA

34 62706 5810028R-2130019 Power System, Electrical, Uninterruptible

Karl Storz Endoscopy- America Inc

UPS 1000VA

35 62701 5810028R-2130067 Power System, Electrical, Uninterruptible

Karl Storz Endoscopy- America Inc

UPS 1000VA

36 62696 10028R-2120038 Power System, Electrical, Uninterruptible

Karl Storz Endoscopy- America Inc

UPS 1000VA

37 62721 58100-28R Power System, Electrical, Uninterruptible

Karl Storz Endoscopy- America Inc

UPS 1000VA

38 62691 5810028R-2130039 Power System, Electrical, Uninterruptible

Karl Storz Endoscopy- America Inc

UPS 1000VA

39 62716 5810028R-2130040 Power System, Electrical, Uninterruptible

Karl Storz Endoscopy- America Inc

UPS 1000VA

40 62686 5810028R-2130060 Power System, Electrical, Uninterruptible

Karl Storz Endoscopy- America Inc

UPS 1000VA

0002 96 Each

WUIS3735 LARGE DISPLAY COVERAGE

FFP

WUIS3735 LARGE DISPLAY COVERAGE

0003 96 Each

WUIS3737 AIDA COVERAGE

FFP

WUIS3737 AIDA COVERAGE

0004 12 Each

WUIS3734 PHYSICAL SERVER + APP COVERAGE

FFP

WUIS3734 PHYSICAL SERVER + APP COVERAGE

1001 96 Each OPTION WUIS3732 OR1 NEO IP-Full Coverage

FFP

WUIS3732 OR1 NEO IP-Full Coverage

1002 96 Each

OPTION WUIS3735 LARGE DISPLAY COVERAGE

FFP

WUIS3735 LARGE DISPLAY COVERAGE

1003 96 Each

OPTION WUIS3737 AIDA COVERAGE

FFP

WUIS3737 AIDA COVERAGE

1004 12 Each

OPTION WUIS3734 PHYSICAL SERVER + APP COVERAGE

FFP

WUIS3734 PHYSICAL SERVER + APP COVERAGE

2001 96 Each OPTION WUIS3732 OR1 NEO IP-Full Coverage

FFP

WUIS3732 OR1 NEO IP-Full Coverage

2002 96 Each

OPTION WUIS3735 LARGE DISPLAY COVERAGE

FFP

WUIS3735 LARGE DISPLAY COVERAGE

2003 96 Each

OPTION WUIS3737 AIDA COVERAGE

FFP

WUIS3737 AIDA COVERAGE

2004 12 Each

OPTION WUIS3734 PHYSICAL SERVER + APP COVERAGE

FFP

WUIS3734 PHYSICAL SERVER + APP COVERAGE

3001 96 Each OPTION WUIS3732 OR1 NEO IP-Full Coverage

FFP

WUIS3732 OR1 NEO IP-Full Coverage

3002 96 Each

OPTION WUIS3735 LARGE DISPLAY COVERAGE

FFP

WUIS3735 LARGE DISPLAY COVERAGE

3003 96 Each

OPTION WUIS3737 AIDA COVERAGE

FFP

WUIS3737 AIDA COVERAGE

3004 12 Each

OPTION WUIS3734 PHYSICAL SERVER + APP COVERAGE

FFP

WUIS3734 PHYSICAL SERVER + APP COVERAGE

4001 96 Each OPTION WUIS3732 OR1 NEO IP-Full Coverage

FFP

WUIS3732 OR1 NEO IP-Full Coverage

4002 96 Each

OPTION WUIS3735 LARGE DISPLAY COVERAGE

FFP

WUIS3735 LARGE DISPLAY COVERAGE

4003 96 Each

OPTION WUIS3737 AIDA COVERAGE

FFP

WUIS3737 AIDA COVERAGE

4004 12 Each

OPTION WUIS3734 PHYSICAL SERVER + APP COVERAGE

FFP

WUIS3734 PHYSICAL SERVER + APP COVERAGE

INSPECTION AND ACCEPTANCE TERMS

Supplies/services will be inspected/accepted at:

CLIN INSPECT AT INSPECT BY ACCEPT AT ACCEPT BY

0001 N/A Government N/A Government 0002 N/A Government N/A Government 0003 N/A Government N/A Government 0004 N/A Government N/A Government 1001 N/A Government N/A Government 1002 N/A Government N/A Government 1003 N/A Government N/A Government 1004 N/A Government N/A Government 2001 N/A Government N/A Government 2002 N/A Government N/A Government 2003 N/A Government N/A Government 2004 N/A Government N/A Government 3001 N/A Government N/A Government 3002 N/A Government N/A Government 3003 N/A Government N/A Government 3004 N/A Government N/A Government 4001 N/A Government N/A Government 4002 N/A Government N/A Government 4003 N/A Government N/A Government 4004 N/A Government N/A Government

DELIVERY INFORMATION

CLIN DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

0001 POP 01-OCT-2024 TO

30-SEP-2025

N/A EVANS ARMY COMMUNITY HOSPITAL

EVANS ARMY COMMUNITY HOSPITAL

BLDG 7500 FORT CARSON

COLORADO SPRINGS CO 80913

719-526-7000

HT0788

0002 POP 01-OCT-2024 TO

30-SEP-2025

N/A (SAME AS PREVIOUS LOCATION)

0003 POP 01-OCT-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

0004 POP 01-OCT-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

1001 POP 01-OCT-2025 TO

30-SEP-2026

N/A (SAME AS PREVIOUS LOCATION)

1002 POP 01-OCT-2025 TO

N/A (SAME AS PREVIOUS LOCATION)

1003 POP 01-OCT-2025 TO

N/A (SAME AS PREVIOUS LOCATION)

1004 POP 01-OCT-2025 TO

N/A (SAME AS PREVIOUS LOCATION)

2001 POP 01-OCT-2026 TO

30-SEP-2027

N/A (SAME AS PREVIOUS LOCATION)

2002 POP 01-OCT-2026 TO

N/A (SAME AS PREVIOUS LOCATION)

2003 POP 01-OCT-2026 TO

N/A (SAME AS PREVIOUS LOCATION)

2004 POP 01-OCT-2026 TO

N/A (SAME AS PREVIOUS LOCATION)

3001 POP 01-OCT-2027 TO

29-SEP-2028

N/A (SAME AS PREVIOUS LOCATION)

3002 POP 01-OCT-2027 TO

N/A (SAME AS PREVIOUS LOCATION)

3003 POP 01-OCT-2027 TO

N/A (SAME AS PREVIOUS LOCATION)

3004 POP 01-OCT-2027 TO

N/A (SAME AS PREVIOUS LOCATION)

4001 POP 01-OCT-2028 TO

30-SEP-2029

N/A (SAME AS PREVIOUS LOCATION)

4002 POP 01-OCT-2028 TO

N/A (SAME AS PREVIOUS LOCATION)

4003 POP 01-OCT-2028 TO

N/A (SAME AS PREVIOUS LOCATION)

4004 POP 01-OCT-2028 TO

N/A (SAME AS PREVIOUS LOCATION)

CLAUSES INCORPORATED BY REFERENCE

52.203-3 Gratuities APR 1984 52.203-6 Alt I Restrictions On Subcontractor Sales To The Government

(JUN 2020) -- Alternate I

NOV 2021

52.204-6 Unique Entity Identifier OCT 2016 52.204-7 System for Award Management OCT 2018 52.204-9 Personal Identity Verification of Contractor Personnel JAN 2011 52.204-13 System for Award Management Maintenance OCT 2018 52.204-16 Commercial and Government Entity Code Reporting AUG 2020 52.204-18 Commercial and Government Entity Code Maintenance AUG 2020 52.204-23 Prohibition on Contracting for Hardware, Software, and

Services Developed or Provided by Kaspersky Lab Covered Entities

DEC 2023

52.204-25 Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment

NOV 2021

52.204-26 Covered Telecommunications Equipment or Services-- Representation.

OCT 2020

52.204-27 Prohibition on a ByteDance Covered Application JUN 2023 52.209-6 Protecting the Government's Interest When Subcontracting

With Contractors Debarred, Suspended, or Proposed for Debarment

NOV 2021

52.209-9 Updates of Publicly Available Information Regarding Responsibility Matters

OCT 2018

52.209-10 Prohibition on Contracting With Inverted Domestic Corporations

NOV 2015

52.212-1 Instructions to Offerors--Commercial Products and Commercial Services

SEP 2023

52.212-2 Evaluation - Commercial Items NOV 2021 52.212-4 Contract Terms and Conditions--Commercial Products and

Commercial Services

NOV 2023

52.222-51 Exemption from Application of the Service Contract Labor Standards to Contracts for Maintenance, Calibration, or Repair of Certain Equipment--Requirements

MAY 2014

52.223-1 Biobased Product Certification MAY 2024

52.223-3 Hazardous Material Identification And Material Safety Data FEB 2021 52.223-5 Pollution Prevention and Right-to-Know Information MAY 2024 52.228-5 Insurance - Work On A Government Installation JAN 1997 52.229-11 Tax on Certain Foreign Procurements--Notice and

Representation

JUN 2020

52.232-18 Availability Of Funds APR 1984 52.232-40 Providing Accelerated Payments to Small Business

Subcontractors

MAR 2023

52.233-3 Protest After Award AUG 1996 52.233-4 Applicable Law for Breach of Contract Claim OCT 2004 52.237-2 Protection Of Government Buildings, Equipment, And

Vegetation

APR 1984

52.242-13 Bankruptcy JUL 1995 252.201-7000 Contracting Officer's Representative DEC 1991 252.203-7000 Requirements Relating to Compensation of Former DoD

Officials

SEP 2011

252.203-7002 Requirement to Inform Employees of Whistleblower Rights DEC 2022 252.204-7000 Disclosure Of Information OCT 2016 252.204-7003 Control Of Government Personnel Work Product APR 1992 252.204-7004 Antiterrorism Awareness Training for Contractors JAN 2023 252.204-7012 (Dev) Safeguarding Covered Defense Information and Cyber

Incident Reporting (DEVIATION 2024-O0013 REVISION 1)

MAY 2024

252.204-7016 Covered Defense Telecommunications Equipment or Services -- Representation

DEC 2019

252.204-7018 Prohibition on the Acquisition of Covered Defense Telecommunications Equipment or Services

JAN 2023

252.209-7004 Subcontracting With Firms That Are Owned or Controlled By The Government of a Country that is a State Sponsor of Terrorism

MAY 2019

252.223-7006 Prohibition On Storage, Treatment, and Disposal of Toxic or Hazardous Materials

SEP 2014

252.223-7008 Prohibition of Hexavalent Chromium JAN 2023 252.225-7002 Qualifying Country Sources As Subcontractors MAR 2022 252.225-7052 Restriction on the Acquisition of Certain Magnets, Tantalum, and Tungsten.

MAY 2024

252.232-7003 Electronic Submission of Payment Requests and Receiving Reports

DEC 2018

252.232-7010 Levies on Contract Payments DEC 2006 252.243-7001 Pricing Of Contract Modifications DEC 1991

CLAUSES INCORPORATED BY FULL TEXT

52.204-21 BASIC SAFEGUARDING OF COVERED CONTRACTOR INFORMATION SYSTEMS (NOV 2021)

(a) Definitions. As used in this clause--

Covered contractor information system means an information system that is owned or operated by a contractor that processes, stores, or transmits Federal contract information.

Federal contract information means information, not intended for public release, that is provided by or generated for the Government under a contract to develop or deliver a product or service to the Government, but not including information provided by the Government to the public (such as on public websites) or simple transactional information, such as necessary to process payments.

Information means any communication or representation of knowledge such as facts, data, or opinions, in any medium or form, including textual, numerical, graphic, cartographic, narrative, or audiovisual (Committee on National Security Systems Instruction (CNSSI) 4009).

Information system means a discrete set of information resources organized for the collection, processing, maintenance, use, sharing, dissemination, or disposition of information (44 U.S.C. 3502).

Safeguarding means measures or controls that are prescribed to protect information systems.

(b) Safeguarding requirements and procedures.

(1) The Contractor shall apply the following basic safeguarding requirements and procedures to protect covered contractor information systems. Requirements and procedures for basic safeguarding of covered contractor information systems shall include, at a minimum, the following security controls:

(i) Limit information system access to authorized users, processes acting on behalf of authorized users, or devices (including other information systems).

(ii) Limit information system access to the types of transactions and functions that authorized users are permitted to execute.

(iii) Verify and control/limit connections to and use of external information systems.

(iv) Control information posted or processed on publicly accessible information systems.

(v) Identify information system users, processes acting on behalf of users, or devices.

(vi) Authenticate (or verify) the identities of those users, processes, or devices, as a prerequisite to allowing access to organizational information systems.

(vii) Sanitize or destroy information system media containing Federal Contract Information before disposal or release for reuse.

(viii) Limit physical access to organizational information systems, equipment, and the respective operating environments to authorized individuals.

(ix) Escort visitors and monitor visitor activity; maintain audit logs of physical access; and control and manage physical access devices.

(x) Monitor, control, and protect organizational communications (i.e., information transmitted or received by organizational information systems) at the external boundaries and key internal boundaries of the information systems.

(xi) Implement subnetworks for publicly accessible system components that are physically or logically separated from internal networks.

(xii) Identify, report, and correct information and information system flaws in a timely manner.

(xiii) Provide protection from malicious code at appropriate locations within organizational information systems.

(xiv) Update malicious code protection mechanisms when new releases are available.

(xv) Perform periodic scans of the information system and real-time scans of files from external sources as files are downloaded, opened, or executed.

(2) Other requirements. This clause does not relieve the Contractor of any other specific safeguarding requirements specified by Federal agencies and departments relating to covered contractor information systems generally or other Federal safeguarding requirements for controlled unclassified information (CUI) as established by Executive Order 13556.

(c) Subcontracts. The Contractor shall include the substance of this clause, including this paragraph (c), in subcontracts under this contract (including subcontracts for the acquisition of commercial products or commercial services, other than commercially available off-the-shelf items), in which the subcontractor may have Federal contract information residing in or transiting through its information system.

(End of clause)

52.204-24 REPRESENTATION REGARDING CERTAIN TELECOMMUNICATIONS AND VIDEO

SURVEILLANCE SERVICES OR EQUIPMENT (NOV 2021)

The Offeror shall not complete the representation at paragraph (d)(1) of this provision if the Offeror has represented that it "does not provide covered telecommunications equipment or services as a part of its offered products or services to the Government in the performance of any contract, subcontract, or other contractual instrument" in paragraph (c)(1) in the provision at 52.204-26, Covered Telecommunications Equipment or Services-- Representation, or in paragraph (v)(2)(i) of the provision at 52.212-3, Offeror Representations and Certifications- Commercial Products and Commercial Services. The Offeror shall not complete the representation in paragraph (d)(2) of this provision if the Offeror has represented that it "does not use covered telecommunications equipment or services, or any equipment, system, or service that uses covered telecommunications equipment or services" in paragraph (c)(2) of the provision at 52.204-26, or in paragraph (v)(2)(ii) of the provision at 52.212-3.

(a) Definitions. As used in this provision-

Backhaul, covered telecommunications equipment or services, critical technology, interconnection arrangements, reasonable inquiry, roaming, and substantial or essential component have the meanings provided in the clause 52.204-25, Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment.

(b) Prohibition.

(1) Section 889(a)(1)(A) of the John S. McCain National Defense Authorization Act for Fiscal Year 2019 (Pub. L.

115-232) prohibits the head of an executive agency on or after August 13, 2019, from procuring or obtaining, or extending or renewing a contract to procure or obtain, any equipment, system, or service that uses covered telecommunications equipment or services as a…