W81K00-21-Q-0215 0001 - Solicitation Amendment.pdf

W40M USA HLTH CONTRACTING ACT

REGIONAL HEALTH CONTRACT OFF CENTRAL

POC: PERRY J. CANNON

36000 DARNELL LOOP

FORT HOOD TX 76544

0011653262

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

15A. NAME AND TITLE OF SIGNER (Type or print)

30-105-04EXCEPTION TO SF 30

APPROVED BY OIRM 11-84

STANDARD FORM 30 (Rev. 10-83) Prescribed by GSA

FAR (48 CFR) 53.243

Amendment 0001 is to respond to Vendors’ Request for Information (RFI). The follow ing input and adjustments w ere made:

1. Vendors’ RFI listing w ith Government responses provided in Solicitation.

2. Additional CLINs w ere added.

3. Additions and Deletions w ere made to the Salient Characteristics.

4. 52.212-1 w as revised to indicate that offerors may add separately priced items to the Price list for evaluation.

1. CONTRACT ID CODE PAGE OF PAGES

J 1 16

16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)

16C. DATE SIGNED

BY 26-Aug-2021

16B. UNITED STATES OF AMERICA15C. DATE SIGNED15B. CONTRACTOR/OFFEROR

(Signature of Contracting Officer)(Signature of person authorized to sign)

8. NAME AND ADDRESS OF CONTRACTOR (No., Street, County, State and Zip Code) X W81K0021Q0215

X 9B. DATED (SEE ITEM 11)

11-Aug-2021

10B. DATED (SEE ITEM 13)

9A. AMENDMENT OF SOLICITATION NO.

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

X The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offer X is extended, is not extended.

Offer must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended by one of the following methods:

(a) By completing Items 8 and 15, and returning 1 copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted;

or (c) By separate letter or telegram which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN

REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by telegram or letter, provided each telegram or letter makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

12. ACCOUNTING AND APPROPRIATION DATA (If required)

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS.

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE

CONTRACT ORDER NO. IN ITEM 10A.

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, appropriation date, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(B).

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER (Specify type of modification and authority)

E. IMPORTANT: Contractor is not, is required to sign this document and return copies to the issuing office.

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

10A. MOD. OF CONTRACT/ORDER NO.

2. AMENDMENT/MODIFICATION NO. 5. PROJECT NO.(If applicable)

6. ISSUED BY

3. EFFECTIVE DATE

26-Aug-2021

CODE

W40M USA HLTH CONTRACTING ACT

REGIONAL HEALTH CONTRACT OFF CENTRAL

2539 GARDEN AVENUE

FT SAM HOUSTON TX 78234-0000

W81K00 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE W81K00

FACILITY CODECODE

EMAIL:TEL:

W81K0021Q0215

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 30 - BLOCK 14 CONTINUATION PAGE

The following have been added by full text:

RFIS AND GOV RESPONSES

Government’s response to Vendors’ Comments, RFIs, and Recommendations

26 AUG 21

Vendor Comments Government Response Added to Salient Characteristic s

Gov Response

Anesthesia machines manufactured in [Foreign Country Redacted] and do not meet the Trade Agreement Act (TAA) compliant requirements for government acquisitions.

DFARS 252.225-7036 is incorporated in the Solicitation;

the clause specifies the definition of a Commercial-off-the-shelf (COTS) item, and states that COTS items are also defined as an “Qualifying country end product”

NO

Vendor Requests for Information

RFI 1 We recommend that the touch screen and touch responsive alarm system be removed. Many lower price point machines use hard keys and trim knobs to navigate around the menu.

Assessed - The Government requires a unit with Touch Screen

NO

RFI 2 Flow meter with dual tubes 0-1L/min, 1-10L/Min:

Many machines no longer use physical flow tubes but use digital representations of flow. This eliminates most anesthesia machines without any clinical value.

If the digital representations can be done at the 0- 1L/min and the 1-10Lmin range that would be acceptable.

YES

RFI 3 Ventilator drive gas auto switch that provides ventilation without interruption is overly restrictive.

Many machines no longer need a ventilator switch to start ventilation. The ventilator starts from the menu.

In addition, [Redacted] machines do not need drive gas for ventilation which provides more precise ventilation and saves on oxygen.

A system that has a built-in ventilator that does not require a drive gas would be acceptable.

The ventilator will need to be easily toggled on and off when required.

YES

RFI 4 Heated patient breathing circuit: Some machines heat the breathing system or heat the flow sensors but typically do not heat the circuit.

We require a warmed circuit in order to avoid heat loss and making the patient cold; no alternatives will suffice

NO

RFI 5 Inspiration and expiration flow sensors: This would eliminate some lower price point machines that have an expiratory flow sensor but monitor inspiratory flow sensing by a different mechanism.

Inspiration and expiration flow sensors are required.

NO

RFI 6 Oxygen sensor cable with Medical MOX-2 sensor:

The MOX-2 Oxygen sensor is specific to [Manufacturer Redacted] and only [Manufacturer Redacted] can provide it. Other machines can provide a galvanic O2 sensors but there are other O2 sensors that are non-consumptive such as that is used in the [Vendor Equipment Redacted]. Specifying the type of O2 sensor unless there is a definite advantage such as non-consumptive one is unnecessarily restrictive and eliminates some viable anesthesia machine options.

Other non-consumptive O2 sensors would be acceptable.

YES

RFI 7 Active Gas Scavenging System with activated charcoal canister bracket: We know of no anesthesia machine that provides a charcoal canister bracket without the activated charcoal device. An active gas scavenging system does not require activated charcoal. [Vendor Redacted] has an activated charcoal canister for a passive scavenging system for removal of the anesthetic agents but the activated charcoal does not remove the nitrous oxide gas and should not be used with nitrous oxide (N2O).

A passive scavenging system with an activated charcoal bracket for holding activated charcoal canisters is required.

YES

RFI 8 Mounting bracket for patient monitoring devices:

[Vendor Redacted] can provide the physiologic monitor but none is specified. We would need the model of the existing monitors to be mounted to the machine to quote the correct mount for the monitor/s.

Smith's Medical Surgivet Advisor

YES

RFI 9 Ohmeda-Style Oxygen Quick Connect: The assumption is that hoses will be provided. Please confirm.

Hoses need to be provided so we can connect to our existing O2 lines. CLINs structure was updated as a result.

YES

RFI 10 There is no requirement for suction apparatus. This is frequently quoted on anesthesia machines. Please confirm that this is needed.

No suction apparatus is required.

We have a standalone unit.

YES

RFI 11 When mounting other devices on the machine such as monitors and syringe pumps, a medical grade power outlet strip is frequently required. Please confirm this is a requirement.

This is not required. NO

RFI 12 Most anesthesia machines have optional accessory lighting. Please confirm that this is desired.

This is not required. NO

With the abovementioned restrictive salient characteristics in mind, we would like to propose the following minimum salient characteristics for your consideration:

GENERAL DESIGN

1 The anesthesia machine must be approved by the Federal Food and Drug Administration (FDA).

There is no requirement for Animal anesthesia units to be FDA Approved.

YES

2 The anesthesia machine must be suitable for general and regional anesthesia cases for adult, pediatric and neonatal patients without having to change any components of the device (only the breathing circuit).

Not Required; Unit shall meet industry standard requirements for animal use.

NO

3 The anesthesia machine must accept O2, N2O, and Air supplied by a medical gas pipeline system or by externally mounted gas cylinders.

Yes YES

4 The anesthesia machine must include gas hoses (at least 15-foot) and adapters for oxygen (O2), Nitrous Oxide (N2O), Medical Air, Vacuum, Waste Anesthetic Gas Disposal (WAGD) and E-cylinder Diameter Index Safety System (DISS).

Yes YES

5 The anesthesia machine will have a minimum of two storage drawers.

Yes YES

6 In the event of a mains power failure, the battery backup will support operation for a minimum of 30 minutes.

RA states that will purchase a separate Battery backup system to give them the flexibility to run multiple devices in the case of a power outage.

NO

7 The anesthesia machine will have a central brake. This is not required. NO

PRE-USE CHECKS

8 The anesthesia machine must include either a fully automated self-test with no user interaction required or semi-automated self-tests with limited user interaction required.

Yes YES

9 The anesthesia machine must have the ability to detect malfunctions of the ventilation delivery system such as leaks in the breathing circuit.

Yes YES

10 An abbreviated check will be available when the anesthesia machine is in Standby to permit testing of components that are changed between cases (e.g., checking the breathing circuit for leakage and compliance).

Not Required NO

Anesthetic agent delivery

11 The anesthesia machine must be suitable for volatile anesthesia delivery in a rebreathing system.

Yes YES

12 The anesthesia machine will have a safety mechanism that prevents dosing more than one agent at a time.

Yes YES

13 The anesthesia machine must be capable of supporting at least one in-line vaporizer.

Yes YES

14 The anesthesia machine will include an on-screen low flow anesthesia feedback tool as standard to assist clinicians in the delivery of low flow anesthesia.

Yes YES

15 The anesthesia machine vaporizers must be capable of delivering the following anesthetic agents:

Desflurane, Enflurane, Isoflurane, Halothane and Sevoflurane.

Isoflurane will be our agent YES, already listed in salient characteristics.

16 The vendor's vaporizer must include a transport (T) setting for intrahospital transport in any position while filled with anesthetic agents.

Yes YES

Gas analysis

17 The anesthesia machine will have at least an oxygen analyzer to monitor FiO2.

Already listed in salient characteristics.

NO

18 It must be impossible to deactivate the Oxygen (FiO2) alarms.

Not Required NO

Ventilation

19 The anesthesia machine will make possible manual and automatic ventilation as well as spontaneous breathing with or without pressure support.

Already included in salient characteristics

NO

20 During pressure supported ventilation a minimum back up rate must be adjustable for assuring minimum minute ventilation.

Yes YES

21 The anesthesia machine will be capable of delivering a tidal volume up to at least 1,400 mL to the patient.

Yes YES

22 The unit shall be able to provide both volume-controlled ventilation (with compliance compensation) and pressure-controlled ventilation.

Already listed in salient characteristics.

YES

23 The anesthesia machine will allow for the delivery of at least O2 and anesthetic agent without any power to the anesthesia machine for manual ventilation in emergency instances where care must be provided or continued immediately.

Not Required NO

Usability

24 The anesthesia machine will have a display rotary knob to facilitate fast, accurate adjustments to parameters and alarm settings.

Not required - See Government's response to RFI 1. Thought there may be a limited amount of rotary knobs/buttons, the anesthesia machine shall be primarily touch screen operated.

The accuracy of adjustments, etc. are implied.

NO

25 The anesthesia machine will offer a user interface that is consistent across the vendor's currently sold anesthesia machine portfolio.

Yes YES

Alarms

26 The alarm structure on the anesthesia machine will be hierarchical with each alarm falling into one of three categories: high priority, medium priority, and low priority. Each priority level must have a distinct audible and visual indication.

Not Required NO

27 The anesthesia machine must monitor the following patient parameters and activate visual and audible alarms if set parameters are out of range: Paw, MV, FiO2.

Yes YES

28 It shall not be possible to silence any unresolved alarm for more than 2 minutes on the anesthesia machine.

Not Required NO

O2+ Flush

29 The anesthesia machine is equipped with a clearly labeled and color-coded O2+ Flush capable of delivering an O2 flow of at least 35 L/min to the breathing system.

Already included in salient characteristics.

NO

Breathing system

30 The anesthesia machine can be equipped with a non-tinted disposable CO2 absorbent canister which that can be changed intraoperatively without creating a leak in the breathing system.

Not Required NO

31 The anesthesia machine is equipped with an APL (airway pressure limitation) valve which is easily accessible to the user.

Yes YES

32 The anesthesia machine must provide a scavenging system.

The system will need to be passive because we do not have a port to vent waste gas to the outside; Already included in Salient Characteristics

NO

33 All anesthesia machine shall be capable of monitoring at least the following: Tidal Volume, Airway Pressure, Breath Rate, Positive End- Expiratory Pressure (PEEP), and O2 concentration.

Already included in salient characteristics.

NO

34 The volume of gas delivered to the patient by the ventilator should not be influenced by the fresh gas entering the breathing system.

Already included in salient characteristics.

NO

Accessories

35 CO2 absorbent canisters and flow sensors used on this device can be used on other actively sold anesthesia families in the vendor's anesthesia machine portfolio.

Already included in salient characteristics.

NO

Workstation

36 Offers GCX-style rails to support mounting patient monitors and IT solutions.

YES, patient monitoring bracket requirements already listed in salient characteristics; Added in CLIN Structure

YES

37 The anesthesia machine must be capable of exporting at least the following variables: fresh gas flow, airway pressure, respiratory rate, tidal volume, minute volume.

YES, already included in salient characteristics.

NO

SECTION SF 1449 - CONTINUATION SHEET

SOLICITATION/CONTRACT FORM

The required response date/time has changed from 26-Aug-2021 03:00 PM to 02-Sep-

2021 03:00 PM.

SUPPLIES OR SERVICES AND PRICES

CLIN 0001

The CLIN extended description has changed from:

Anesthesia Unit with Ventilator for Veterinary hospital use, and associated accessories and assemblies to fully perform medical procedures in accordance with Statement of Work and industry standards.

To:

Anesthesia Unit with Ventilator for Veterinary hospital use, and associated accessories and assemblies to fully perform medical procedures in accordance with Statement of Work and industry standards.Includes manufacturer’s warranty, or 1-year warranty; whichever is longer.

CLIN 0002

This CLIN has been renumbered to CLIN 0004.

CLIN 0003

This CLIN has been renumbered to CLIN 0005.

CLIN 0002 is added as follows:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0002 2 Each

Quick Disconnect Oxygen Hose

FFP

Ohmeda - Style Oxygen Quick Connect with 15 feet of hose (usually green in color) medical grade oxygen hose. Current machine only uses one oxygen line. If new machine solution requires more than one oxygen line, additional 15 feet medical grade hoses for each additional line are required.

FOB: Destination

PSC CD: 6515

NET AMT

CLIN 0003 is added as follows:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0003 1 Each

Mounting Bracket

FFP

Mounting bracket capable of accepting Smith’s Medical Surgivet Advisor patient monitoring devices FOB: Destination

PSC CD: 6515

NET AMT

DELIVERIES AND PERFORMANCE

The following Delivery Schedule Item has been deleted from CLIN 0002:

DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

30 dys. ADC 1 W2P4 USA MEDDAC FT LEAVENWORTH

POP SEE LINE ITEM(S)

BLDG 343 550 POPE AVE

FORT LEAVENWORTH KS 66027-2332

913-684-4021 FOB: Destination

W55QQF

The following Delivery Schedule item has been added to CLIN 0002:

DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

30 dys. ADC 2 W2P4 USA MEDDAC FT LEAVENWORTH

POP SEE LINE ITEM(S)

BLDG 343 550 POPE AVE

FORT LEAVENWORTH KS 66027-2332

913-684-4021 FOB: Destination

W55QQF

The following Delivery Schedule for CLIN 0004 has been added:

DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

30 dys. ADC 1 W2P4 USA MEDDAC FT LEAVENWORTH

POP SEE LINE ITEM(S)

BLDG 343 550 POPE AVE

FORT LEAVENWORTH KS 66027-2332

913-684-4021 FOB: Destination

W55QQF

The following Delivery Schedule for CLIN 0005 has been added:

DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

30 dys. ADC 1 W2P4 USA MEDDAC FT LEAVENWORTH

POP SEE LINE ITEM(S)

BLDG 343 550 POPE AVE

FORT LEAVENWORTH KS 66027-2332

913-684-4021 FOB: Destination

W55QQF

INSPECTION AND ACCEPTANCE

The following Acceptance/Inspection Schedule was added for CLIN 0002:

INSPECT AT INSPECT BY ACCEPT AT ACCEPT BY

Destination Government Destination Government

The following Acceptance/Inspection Schedule was added for CLIN 0003:

INSPECT AT INSPECT BY ACCEPT AT ACCEPT BY

Destination Government Destination Government

The following have been added by full text:

ATTACHMENT 1 - PRICE LIST RV 1

Veterinary Anesthesia Price Listing CLIN Part Number Description UOM QTY Price Total 0001 Anesthesia Machine with

Ventilator Anesthesia Unit with Ventilator for veterinary hospital use, and associated accessories and assemblies to fully perform medical procedures in accordance with Statement of Work and industry standards.

Each 1

0002 Hose Ohmeda - Style Oxygen Quick Connect with 15 feet of hose (usually green in color) medical grade oxygen hose. Current machine only uses one oxygen line. If new machine solution requires more than one oxygen line, additional 15 feet medical grade hoses for each additional line are required.

Each 2 Max

0003 Mounting Bracket Mounting bracket capable of accepting Smith’s Medical Surgivet Advisor patient monitoring devices

Each 1

0004 In-Service Provide In-service training with staff on operation of Anesthesia machine focusing on ventilator function, troubleshooting, active scavenging, and general machine function and maintenance. Includes 1 day on-site assembly, training, and staff maintenance education (full day), travel, accommodation, and transportation.

Each 1

0005 Delivery Shipping, Handling, and Insurance Each 1

Vendors may add additional required separately priced items as needed below

Sub-total Total

STATEMENT OF WORK REV 1

Anesthesia Unit with Ventilator SOW

26 AUGUST 21 (Revision 1)

1. SCOPE: The Contractor shall provide an Anesthesia Unit with Ventilator that is appropriate for Veterinary Hospital use. The Anesthesia Unit with Ventilator shall comply with the Government’s salient characteristics, and possess all of the necessary parts and assemblies to perform veterinary hospital animal care.

2. Title: Anesthesia unit with ventilator description.

CLIN Part Number Description QTY 0001 Anesthesia Machine with Ventilator Anesthesia Unit with Ventilator for veterinary hospital use, and associated accessories and assemblies to fully perform medical procedures in accordance with Statement of Work and industry standards.

Includes manufacturer’s warranty, or 1-year warranty; whichever is longer.

0002 Hose Ohmeda - Style Oxygen Quick Connect with 15 feet of hose (usually green in color) medical grade oxygen hose. Current machine only uses one oxygen line. If new machine solution requires more than one oxygen line, additional 15 feet medical grade hoses for each additional line are required.

2 Max

0003 Mounting Bracket Mounting bracket capable of accepting Smith’s Medical Surgivet Advisor patient monitoring devices

0004 In-Service Provide In-service training with staff on operation of Anesthesia machine focusing on ventilator function, troubleshooting, active scavenging, and general machine function and maintenance. Includes 1 day on-site assembly, training, and staff maintenance education (full day), travel, accommodation, and transportation (reimbursement to the contractor will not exceed allowable by the Federal Travel Regulation - FTR).

0005 Delivery Shipping, Handling, and Insurance 1

3. Salient Characteristics: The Anesthesia Unit with Ventilator shall possess the following salient characteristics:

Ergonomically designed system to prevent unnecessary stress or fatigue, with drawer Ergonomically designed system to prevent unnecessary stress or fatigue with two drawers Touch-screen with quick access parameter controls, displaying three (3) patient waveforms for ease of use and easier to sanitize User able to make adjustments to ventilator modes Touch responsive alarm system providing real-time detailed information Airway pressure, tidal volume, respiratory rate and minute volume monitoring Flow meter with dual tubes 0-ll/min, 1-l0L/Min is required but machines that digitally display flows in the ranges required (0-ll/min, 1-l0L/Min) is a viable solution Integrated breathing system offering multi-mode ventilator with controlled and support modes of ventilation Automatic system leak testing Ventilator drive gas auto switch that provides ventilation without interruption Quick-change C02 absorber Heated patient breathing circuit Isoflurane pour-fill vaporizer with calibrations from 0 to 5% Inspiration and expiration flow sensors Oxygen sensor cable with medical non-consumptive O2 sensor Oxygen sensor cable with Medical MOX-2 sensor Active Gas Scavenging System with activated charcoal canister bracket A passive scavenging system with an activated charcoal bracket for holding activated charcoal canisters.

Mounting bracket for patient monitoring devices Mounting bracket capable of accepting Smith’s Medical Surgivet Advisor patient monitoring devices is required

Ohmeda-Style Oxygen Quick Connect Ohmeda - Style Oxygen Quick Connect with 15 feet of hose (usually green in color) medical grade oxygen hose is required. Current machine only uses one oxygen line. If new machine solution requires more than one oxygen line, additional 15 feet medical grade hoses for each additional line

Built-in ventilator that does not require a drive gas would be acceptable, but will need to be easily toggled on and off when required

The anesthesia machine shall accept O2, N2O, and Air supplied by externally mounted gas cylinders The anesthesia machine shall include either a fully automated self-test with no user interaction required or semi-automated self-tests with limited user interaction required in order to ensure patient safety The anesthesia machine shall have the ability to detect malfunctions of the ventilation delivery system such as leaks in the breathing circuit to ensure patient safety The anesthesia machine shall be suitable for volatile anesthesia delivery in a rebreathing system to ensure patient safety in an emergency situation The anesthesia machine shall have a safety mechanism that prevents dosing more than one agent at a time to ensure patient safety The anesthesia machine shall be capable of supporting at least one in-line vaporizer to ensure patient safety The anesthesia machine will include an on-screen low flow anesthesia feedback tool as standard to assist clinicians in the delivery of low flow anesthesia to ensure patient safety The vendor's vaporizer shall include a transport (T) setting for intra-hospital transport in any position while filled with anesthetic agents. This is required in case emergency care beyond the clinic’s capability is needed

During pressure supported ventilation a minimum back up rate shall be adjustable for assuring minimum minute ventilation to ensure patient safety

The anesthesia machine will be capable of delivering a tidal volume up to at least 1,400 mL to the patient.

This is an industry standard to ensure patient safety

The anesthesia machine shall offer a user interface consistent across the vendor's currently sold anesthesia machine portfolio for standardization of product use

The anesthesia machine shall monitor the following patient parameters and activate visual and audible alarms if set parameters are out of range: Paw, MV, FiO2 to ensure patent safety during procedures

The anesthesia machine shall be equipped with an APL (airway pressure limitation) valve which is easily accessible to the user.

4. Requirement: Perform a one-time installation and in-service training of an Anesthesia unit with ventilator at the Veterinary Clinic, 831 McClellan Ave, Fort Leavenworth KS 66027. The Government shall not exercise any supervision or control over the contract service providers performing the services herein. Such contract service providers shall be accountable solely to the Contractor who, in turn is responsible to the Government. Services and travel are to be provided between 1-30 September, 2021 (tentative).

The Contractor shall provide fully qualified technicians to perform a one-time installation and in service training.

Contractor shall have knowledge of, furnish and install all modifications if required at no additional charge. In-service training with staff shall be conducted on the operation of anesthesia machine, with focuses on ventilator function, troubleshooting, active scavenging, and general machine function and maintenance. In-service CLIN includes 1 day on-site assembly, training, and staff maintenance education (full day), travel, accommodation, and transportation (reimbursement to the contractor will not exceed allowable by the Federal Travel Regulation - FTR).

5. Location of The Services: Installation will be performed at the Veterinary Clinic, 831 McClellan Ave, Fort Leavenworth KS 66027. If work to be performed is too complex, or inappropriate to perform on-site, such work may be performed at local or factory repairs facilities with prior concurrence between the Chief, MEDICAL MAINTENANCE. All preparation to necessitate such a move, packing, transportation, and reinstallation, shall be performed by the Contractor at no additional cost to the Government.

6. SECURITY:

6.1 AT LEVEL 1 TRAINING: N/A

6.2. CONTRACTORS REQUIRING COMMOM ACCESS CARD (CAC) N/A

6.3. OPSEC (OPERATION SECURITY). N/A

6.4. IA CONTRACTOR TRAINING AND CERTIFICATION: N/A

6.5. Provost Marshal Office-Visitor Control Center (VCC) Information Visitor and commercial vehicles:

6.5.1. If you do not have an ID card listed on the Department of Defense (DoD) issued ID cards website, you shall stop by the VCC at the corner of Metropolitan Avenue and 4th Street. Follow directional signs to the center's parking lot.

6.5.2. At the VCC, reception clerks will verify that the vehicle driver has a valid license, registration and proof of insurance and that all passengers, 16 and over, have either a driver's license or other form of photo ID.

Following a routine background check, visitors will receive a Temporary Pass and instructions allowing them to enter the installation.

6.5.3. Hours of operation are from Mon-Fri from 0700-1600hrs.

6.5.4. Grant gate will NOT issue temporary visitor passes after the VCC is closed. All visitors who have the need to get on post after the VCC is closed, shall have a LAC / Pass (see below) or shall be escorted.

This standard language is for contractor employees with an area of performance within Army controlled installation, facility, or area. Contractor and all associated subcontractors 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 shall comply with all personal identity verification requirements (FAR clause 52.204-9,

6.5. Fort Leavenworth – Main Gate, 7

th

& Metropolitan: Vehicle pass and parking briefing (Required documents: Valid Driver’s license, vehicle registration and proof of insurance) upon entering the military installation.

7. Munson Army Health Center (MAHC):

7.1. Contractor will coordinate installation with the Medical Maintenance Branch (MMB). Upon entering or departing the Medical Center, the Contractor’s technician shall physically sign in and sign out with the MMB Service Desk, Building 343, Room 0B028A, during standard hours of operation 0700 and 1700, Monday through Friday, excluding federal holidays.

8. Access and General Protection/Security Policy And Procedures. 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 shall 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.

9. Exclusions

9.1 The Contractor is not responsible for maintenance service and repairs, or replacement parts, resulting from the fault or negligence of government personnel or acts of God. This Agreement specifically excludes labor, parts and expenses necessary to repair equipment.

9.2 The Contractor is not required to provide service between the hours of 1700 hours and 0700 hours weekday or on weekends and federal holidays. The Contractor may provide services during these times, with prior approval of the Contracting Officer Representative, at no additional cost to the Government. If additional costs are required for work outside normal working hours, a modification to the contract shall be completed prior to commencing work.

10. Invoicing

Invoice(s) will be processed through iRAPT (formerly known as WAWF). Payment(s) for services will be issued by DFAS. Payment(s) will be made in arrears within (30) days after relocation, certification, & inspection has been completed. The contractor shall submit annually, in arrears, itemized invoices in accordance with DFARS 252.232- 7003, for services rendered under this contract. Information regarding Wide Area Workflow (WAWF) is available on the Internet at https://wawf.eb.mil/.

11. TOBACCO FREE MEDICAL CAMPUS (TFMC)

The contractor shall ensure that all employees comply with the U.S. Army Medical Command and MTF smoking policies while performing services under this contract. Smoking restrictions will apply at any location or building where healthcare activities are performed under this contract.

In accordance with Army Regulation 600-63, paragraph 7-3, 14 April 2015; Operations Order 15-48 (Army Medical Command (MEDCOM) Tobacco Free Living – USAMEDCOM), 8 May 2015; and any Operations Order, regulation or other instruction implementing, defining or otherwise addressing the Tobacco Free Medical Campus (TFMC) on any military installation or DoD-controlled location, contractor personnel are prohibited from using any tobacco product on or within any TFMC while performing under this contract. TFMCs are established at each installation or DoD-controlled location and include: (1) any property or non-residential building that is operated, maintained or assigned to support medical activities, including but not limited to, hospitals, medical laboratories, outpatient clinics (including medical, dental, and veterinary facilities), or aid stations operating for the primary purpose of delivering medical care and services for DOD eligible beneficiaries and /or meeting the mission of the Army Medical Command; (2) all other facilities in which medical activities or administration take place, to include HQ MEDCOM and Defense Health Headquarters; (3) all internal roadways, sidewalks and parking lots; and (4) all sidewalks, parking lots and grounds external but adjacent to the building or related to the migratory corridors surrounding the medical facility. The contractor shall obtain from the COR any orders, regulations, instructions or other documents implementing, defining or otherwise addressing the TFMC for any given installation or DoD-controlled location where contractor personnel may perform under this contract and shall instruct contractor personnel on the TFMC limitations for installations or DoD-controlled locations where they may perform under this contract.

12. SEXUAL ASSAULT PREVENTION AND RESPONSE PROGRAM (SHARP)

The contractor shall comply with OTSG/MEDCOM Policy Memo 13-062, Policy for Reporting Incidents of Sexual Assault and Sexual Harassment under the Sexual Assault Prevention and Response Program (SHARP), 12 Nov 2013. The SHARP reporting requirements apply only to knowledge obtained by contractor personnel while performing services under this contract.

The contractor shall require all Contract Service Providers (CSP) with knowledge of an incident of sexual assault occurring on a Government facility, to include a Government leased facility, where the contractor is providing services under this contract, to report the incident to the contractor who shall immediately (within 24 hours) report the incident in writing to the government's COR. All incidents shall be reported whether they involve contractor personnel or Government personnel, or other individuals.

12.1 Government Unique Training: The contractor shall ensure all service providers receive Sexual

Harassment/Assault Response and Prevention (SHARP) training not later than 60 calendar days after contractor personnel begins performance under this contract. Training can be obtained either online or in person. Contractor personnel can attend SHARP training provided by William Beaumont Army Community Hospital, Fort Campbell, KY. If the employee has an AKO account, they can access online the Team Bound Self Study course through Army Learning Management System (ALMS) at http://www.atsc.army.mil/tadlp/delivery/alms.asp

12.2 Advisory Publications: Army Regulation 600-20, Army Command Policy, 20 Sep 2012 OTSG/MEDCOM Policy Memo 13-062, Policy for Reporting Incidents of Sexual Assault and Sexual Harassment under the Sexual Assault Prevention and Responses Program (SHARP), 12 Nov 2013.

The following have been modified:

52.212-1 ADDENDUM

Offeror shall submit signed and dated quotes via e-mail no later than the date and time specified in Block 8, of the Standard Form 1449, Solicitation/Contract/Order for Commercial Items. The quote shall have a title page identifying the offeror, the full address, phone and facsimile numbers, points of contact (POCs) of the offeror, the solicitation number and its contents.

Note: E-mail is the only method. Quote can e-mailed to Perry J. Cannon. Offer shall clearly identify each part of their quote, as described below.

Administrative:

a. Request for Quotes. The offeror shall include a copy of the completed SF 1449, with the signature and include the name of the offeror, address, phone and fax numbers in Block 17a. Offerors are allowed to submit more than one product that will meet the Government’s need in response to this solicitation. Each product shall be evaluated as a separate offer.

b. The offeror shall submit a completed copy of FAR 52.212-3, Representations and Certifications – Commercial Items. If the offeror has completed the Online Representations and Certifications Application (ORCA) at https://sam.gov/ the offeror shall indicate such on the FAR clause. All offerors must be registered in the System for Award Management (SAM) prior to award, and lack of registration shall make an offer ineligible for award.

c. Offeror shall provide capability documentation consisting of the brand, model, and nomenclature of the veterinary anesthesia unit with ventilator being offered in response to this solicitation. The documentation shall clearly express the equipment’s specifications and compliance with the salient characteristics identified in the Statement of Work.

The capability documentation shall be no more than 5 pages in length.

Pricing:

a. Pricing for Requirements. The offeror shall submit quote pricing for all Contract Line Item Numbers (CLINs) identified in the Request for Quote, unless otherwise noted. Include the unit price and the total extended price for each CLIN. Offerors may provide additional seperately priced items to Attachment 1 Price list and Solicitation CLINs for evaluation.

b. Include shipping, if any or enter $0.00 on shipping CLIN.

Quote:

a. The quote shall be addressed in sufficient written detail for the Government to determine if the offeror’s product(s) adequately perform the specific requirements as stated in 52.212-2.

b. THE FOLLOWING MUST BE SUBMITTED WITH THE QUOTE

- Veterinary Anesthesia unit with ventilation capability documentation that complies with the Salient Characteristics indicated in the Statement of Work.

- Attachment 1: Price List (Input the equipment nomenclature, model number, unit amount and total amount)

- Signed and dated Solicitation

The offeror’s response in its entirety shall consist of no more than 10Mbs.

(End of Addendum)

The following have been deleted:

ATTACHMENT 1 - PRICE LIST

STATEMENT OF WORK

(End of Summary of Changes)