W9114F24Q0065.pdf

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Radiology Survey Maintenance Services Federal contract opportunity
Solicitation number
W9114F24Q0065
Issued by
Department of the Army Medical Command

About this file

This document is a Performance Work Statement for a federal contract opportunity to provide radiological survey maintenance services for the Martin Army Community Hospital in Fort Moore, Georgia.

The key details are:

The contractor shall provide physicist maintenance survey services for a base period of 12 months, with four 12-month option periods. Services required include inspections, testing, and annual radiological physics surveys to meet standards set by the Joint Commission, American College of Radiology, FDA, OSHA, and Army regulations. The contractor must be board certified in the relevant areas of radiologic physics.

The contract covers maintenance for various imaging equipment including CT scanners, MRIs, mammography units, gamma cameras, and C-arms. The contractor shall provide deliverables including radiographic surveys noting pass/fail results. The contractor will be required to have at least 30 days' notice before scheduling site visits, and must coordinate with the Contracting Officer Representative and hospital staff. The hospital operates on a standard federal government schedule, with restricted hours for contractor access.

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SEE ADDENDUM

(No Collect Calls)

W9114F24Q0065 23-Aug-2024

b. TELEPHONE NUMBER

314-590-7443

8. OFFER DUE DATE/LOCAL TIME

12:00 PM 29 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 X 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.

W9114F9. ISSUED BY

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

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

BOUAPHET P. PHANVONGSA

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

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

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

0012093362

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 MRCO EUROPE

MEDICAL READINESS CONTR OFC EUROPE

CMR 402

APO AE 09180-0402

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 HT0806 16. ADMINISTERED BY

12. DISCOUNT TERMS11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

14. METHOD OF SOLICITATION

RFQ IFB RFPX

MARTIN ARMY COMMUNITY HOSPITAL

MARTIN ARMY COMMUNITY HOSPITAL

6600 VAN AALST BLVD

FORT MOORE GA 31905

TEL: FAX:

FAX:

TEL: 011 49 6371 86 113 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 OF111

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.

Section SF 1449 - CONTINUATION SHEET

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0001 12 Months CT 1 Unit: GE Revolution Evo

FFP

Contractor shall provide survey maintenance for CT unit of GE Revolution Evo (ECN# 0528297) in accordance with performance work statement.

POC and Address:

Ms. Lakia Williams Phone: 762-408-3193 Martin Army Community Hospital 6600 Van ASLST BLVD Fort Moore, GA 31905

FOB: Destination

PURCHASE REQUEST NUMBER: 0012093362

PSC CD: J065

NET AMT

0002 12 Months Mammo 2 Units

FFP

Contractor shall provide survey maintenance for Mammo Unit in accordance with performance work statement. (1 - Hologic Selenia Dimensions FFD Tomo Mammography Unit, SN SDM131901622 (ECN# 057773), 2 - Hologic Selenia Dimensions FFD Tomo Mammography Unit, SN SDM131901778 (ECN# 060073) to include Mammography Workstation SN CF65ST3 - included with inspected of 1 Mammography Unit (ECN# 062428)).

POC and Address:

Ms. Lakia Williams Phone: 762-408-3193 Martin Army Community Hospital 6600 Van ASLST BLVD Fort Moore, GA 31905

FOB: Destination

0003 12 Months Mammo/Sterotactic:

FFP

Contractor shall provide survey maintenance for Mammo/Sterotactic: Hologic Affirm Stereo, SN 82007213182 (ECN# 057785) in accordance with performance work statement.

POC and Address:

Ms. Lakia Williams Phone: 762-408-3193 Martin Army Community Hospital 6600 Van ASLST BLVD Fort Moore, GA 31905

FOB: Destination

0004 12 Months MRIs 2 Units

FFP

Contractor shall provide survey maintenance for Philips Ingenia 1.5T abd 3.0T (ECN# 037094 & 037095) in accordance with performance work statement.

POC and Address:

Ms. Lakia Williams Phone: 762-408-3193 Martin Army Community Hospital 6600 Van ASLST BLVD Fort Moore, GA 31905

FOB: Destination

0005 12 Months Spec CT: Siemens Intevo Bold, 1 Unit

FFP

Contractor shall provide survey maintenance for Spec CT siemens Bold (ECN# 059204) in accordance with performance work statement.

POC and Address:

Ms. Lakia Williams Phone: 762-408-3193 Martin Army Community Hospital 6600 Van ASLST BLVD Fort Moore, GA 31905 FOB: Destination

0006 12 Months Gamma CAM 2 Units

FFP

Contractor shall provide survey maintenance for Gamma CAM – Siemens Symbia & Table (ECN# 040119 / 052098 - 040120 / 052096) in accordance with performance work statement.

POC and Address:

Ms. Lakia Williams Phone: 762-408-3193 Martin Army Community Hospital 6600 Van ASLST BLVD Fort Moore, GA 31905

FOB: Destination

0007 12 Months CT Cone Beam 2 Units

FFP

Contractor shall provide survey maintenance for CT Con Beam (ECN# 036972 & 061273) in (MACH Maxillofacial Dental Clinic and Love Dental Clinic) in accordance with statement.

POC and Address:

Ms. Lakia Williams Phone: 762-408-3193 Martin Army Community Hospital 6600 Van ASLST BLVD Fort Moore, GA 31905

FOB: Destination

0008 12 Months Bone Densitometer: GE Lunar iDXA

FFP

Contractor shall provide survey maintenance for Bone Densitometer (ECN# 039077) in accordance with performance work statement.

POC and Address:

Ms. Lakia Williams Phone: 762-408-3193 Martin Army Community Hospital 6600 Van ASLST BLVD Fort Moore, GA 31905

FOB: Destination

0009 12 Months Emergency Survey Services (4)

FFP

Contractor shall provide four emergency survey maintenance services within one year period in accordance with performance work statement.

POC and Address:

Ms. Lakia Williams Phone: 762-408-3193 Martin Army Community Hospital 6600 Van ASLST BLVD Fort Moore, GA 31905

FOB: Destination

0010 12 Months Fluoroscopic 2 Units

FFP

Contractor shall provide survey maintenance for Siemens UROSKOP OMNIA MAZ (Urology Suite) and Siemens Luminos Agile MAZ 400 (Radiology Core) in accordance with performance work statement.

POC and Address:

Ms. Lakia Williams Phone: 762-408-3193 Martin Army Community Hospital 6600 Van ASLST BLVD Fort Moore, GA 31905

FOB: Destination

0011 12 Months C-Arm 4 Units Mini C-Arms 3 Units

FFP

Contractor shall provide survey maintenance to equipment listed below in accordance with performance work statement.

1. GE OEC 9900 Elite – ECN# 037731

2. GE OEC Elite - ECN# 054838

3. GE OEC in Radiology Core – ECN# 037584

4. Fujifilm Persona C Surgical Arm – ECN# 062323

5. Orthoscan, Mobile Extremity Mini C-Arm - ECN 056103 – Ortho

6. Orthoscan, Mobile Extremity Mini C-Arm - ECN 056104 – Ortho

7. Orthoscan, Mobile Extremity Mini C-Arm - ECN 056105 – Ortho

POC and Address:

Ms. Lakia Williams Phone: 762-408-3193 Martin Army Community Hospital 6600 Van ASLST BLVD Fort Moore, GA 31905

FOB: Destination

1001 12 Months OPTION CT 1 Unit: GE Revolution Evo

FFP

Contractor shall provide survey maintenance for CT unit of GE Revolution Evo (ECN# 0528297) in accordance with performance work statement.

POC and Address:

Ms. Lakia Williams Phone: 762-408-3193 Martin Army Community Hospital 6600 Van ASLST BLVD Fort Moore, GA 31905

FOB: Destination

1002 12 Months OPTION Mammo 2 Units:

FFP

Contractor shall provide survey maintenance for Mammo Unit in accordance with performance work statement. (1 - Hologic Selenia Dimensions FFD Tomo Mammography Unit, SN SDM131901622 (ECN# 057773), 2 - Hologic Selenia Dimensions FFD Tomo Mammography Unit, SN SDM131901778 (ECN# 060073) to include Mammography Workstation SN CF65ST3 - included with inspected of 1 Mammography Unit (ECN# 062428)).

POC and Address:

Ms. Lakia Williams Phone: 762-408-3193 Martin Army Community Hospital 6600 Van ASLST BLVD Fort Moore, GA 31905

FOB: Destination

1003 12 Months OPTION Mammo/Sterotactic:

FFP

Contractor shall provide survey maintenance for Mammo/Sterotactic: Hologic Affirm Stereo, SN 82007213182 (ECN# 057785) in accordance with performance work statement.

POC and Address:

Ms. Lakia Williams Phone: 762-408-3193 Martin Army Community Hospital 6600 Van ASLST BLVD Fort Moore, GA 31905

FOB: Destination

1004 12 Months OPTION MRIs 2 Units

FFP

Contractor shall provide survey maintenance for Philips Ingenia 1.5T abd 3.0T (ECN# 037094 & 037095) in accordance with performance work statement.

POC and Address:

Ms. Lakia Williams Phone: 762-408-3193 Martin Army Community Hospital 6600 Van ASLST BLVD Fort Moore, GA 31905

FOB: Destination

1005 12 Months OPTION Spec CT: Siemens Intevo Bold

FFP

Contractor shall provide survey maintenance for Spec CT siemens Bold (ECN# 059204) in accordance with performance work statement.

POC and Address:

Ms. Lakia Williams Phone: 762-408-3193 Martin Army Community Hospital 6600 Van ASLST BLVD Fort Moore, GA 31905

FOB: Destination

1006 12 Months OPTION Gamma CAM 2 Units

FFP

Contractor shall provide survey maintenance for Gamma CAM – Siemens Symbia & Table (ECN# 040119 / 052098 - 040120 / 052096) in accordance with performance work statement.

POC and Address:

Ms. Lakia Williams Phone: 762-408-3193 Martin Army Community Hospital 6600 Van ASLST BLVD Fort Moore, GA 31905

FOB: Destination

1007 12 Each OPTION CT Cone Beam 2 Units

FFP

Contractor shall provide survey maintenance for CT Con Beam (ECN# 036972 & 061273) in (MACH Maxillofacial Dental Clinic and Love Dental Clinic) in accordance with statement.

POC and Address:

Ms. Lakia Williams Phone: 762-408-3193 Martin Army Community Hospital 6600 Van ASLST BLVD Fort Moore, GA 31905

FOB: Destination

1008 12 Months OPTION Bone Densitometer: GE Lunar iDXA

FFP

Contractor shall provide survey maintenance for Bone Densitometer (ECN# 039077) in accordance with performance work statement.

POC and Address:

Ms. Lakia Williams Phone: 762-408-3193 Martin Army Community Hospital 6600 Van ASLST BLVD Fort Moore, GA 31905

FOB: Destination

1009 12 Months OPTION Emergency Survey Services (4)

FFP

Contractor shall provide four emergency survey maintenance services within one year period in accordance with performance work statement.

POC and Address:

Ms. Lakia Williams Phone: 762-408-3193 Martin Army Community Hospital 6600 Van ASLST BLVD Fort Moore, GA 31905

FOB: Destination

1010 12 Months OPTION Fluoroscopic 2 Units

FFP

Contractor shall provide survey maintenance for Siemens UROSKOP OMNIA MAZ (Urology Suite) and Siemens Luminos Agile MAZ 400 (Radiology Core) in accordance with performance work statement.

POC and Address:

Ms. Lakia Williams Phone: 762-408-3193 Martin Army Community Hospital 6600 Van ASLST BLVD Fort Moore, GA 31905

FOB: Destination

1011 12 Months OPTION C-Arm 4 Units Mini C-Arms 3 Units

FFP

Contractor shall provide survey maintenance to equipment listed below in accordance with performance work statement.

1. GE OEC 9900 Elite – ECN# 037731

2. GE OEC Elite - ECN# 054838

3. GE OEC in Radiology Core – ECN# 037584

4. Fujifilm Persona C Surgical Arm – ECN# 062323

5. Orthoscan, Mobile Extremity Mini C-Arm - ECN 056103 – Ortho

6. Orthoscan, Mobile Extremity Mini C-Arm - ECN 056104 – Ortho

7. Orthoscan, Mobile Extremity Mini C-Arm - ECN 056105 – Ortho

POC and Address:

Ms. Lakia Williams Phone: 762-408-3193 Martin Army Community Hospital 6600 Van ASLST BLVD Fort Moore, GA 31905

FOB: Destination

2001 12 Months OPTION CT 1 Unit: GE Revolution Evo

FFP

Contractor shall provide survey maintenance for CT unit of GE Revolution Evo (ECN# 0528297) in accordance with performance work statement.

POC and Address:

Ms. Lakia Williams Phone: 762-408-3193 Martin Army Community Hospital 6600 Van ASLST BLVD Fort Moore, GA 31905

FOB: Destination

2002 12 Months OPTION Mammo 2 Units:

FFP

Contractor shall provide survey maintenance for Mammo Unit in accordance with performance work statement. (1 - Hologic Selenia Dimensions FFD Tomo Mammography Unit, SN SDM131901622 (ECN# 057773), 2 - Hologic Selenia Dimensions FFD Tomo Mammography Unit, SN SDM131901778 (ECN# 060073) to include Mammography Workstation SN CF65ST3 - included with inspected of 1 Mammography Unit (ECN# 062428)).

POC and Address:

Ms. Lakia Williams Phone: 762-408-3193 Martin Army Community Hospital 6600 Van ASLST BLVD Fort Moore, GA 31905

FOB: Destination

2003 12 Months OPTION Mammo/Sterotactic:

FFP

Contractor shall provide survey maintenance for Mammo/Sterotactic: Hologic Affirm Stereo, SN 82007213182 (ECN# 057785) in accordance with performance work statement.

POC and Address:

Ms. Lakia Williams Phone: 762-408-3193 Martin Army Community Hospital 6600 Van ASLST BLVD Fort Moore, GA 31905

FOB: Destination

2004 12 Months OPTION MRIs 2 Units

FFP

Contractor shall provide survey maintenance for Philips Ingenia 1.5T abd 3.0T (ECN# 037094 & 037095) in accordance with performance work statement.

POC and Address:

Ms. Lakia Williams Phone: 762-408-3193 Martin Army Community Hospital 6600 Van ASLST BLVD Fort Moore, GA 31905

FOB: Destination

2005 12 Months OPTION Spec CT: Siemens Intevo Bold

FFP

Contractor shall provide survey maintenance for Spec CT siemens Bold (ECN# 059204) in accordance with performance work statement.

POC and Address:

Ms. Lakia Williams Phone: 762-408-3193 Martin Army Community Hospital 6600 Van ASLST BLVD Fort Moore, GA 31905

FOB: Destination

2006 12 Months OPTION Gamma CAM 2 Units

FFP

Contractor shall provide survey maintenance for Gamma CAM – Siemens Symbia & Table (ECN# 040119 / 052098 - 040120 / 052096) in accordance with performance work statement.

POC and Address:

Ms. Lakia Williams Phone: 762-408-3193 Martin Army Community Hospital 6600 Van ASLST BLVD Fort Moore, GA 31905

FOB: Destination

2007 12 Months OPTION CT Cone Beam 2 Units

FFP

Contractor shall provide survey maintenance for CT Con Beam (ECN# 036972 & 061273) in (MACH Maxillofacial Dental Clinic and Love Dental Clinic) in accordance with statement.

POC and Address:

Ms. Lakia Williams Phone: 762-408-3193 Martin Army Community Hospital 6600 Van ASLST BLVD Fort Moore, GA 31905

FOB: Destination

2008 12 Months OPTION Bone Densitometer: GE Lunar iDXA

FFP

Contractor shall provide survey maintenance for Bone Densitometer (ECN# 039077) in accordance with performance work statement.

POC and Address:

Ms. Lakia Williams Phone: 762-408-3193 Martin Army Community Hospital 6600 Van ASLST BLVD Fort Moore, GA 31905

FOB: Destination

2009 12 Months OPTION Emergency Survey Services (4)

FFP

Contractor shall provide four emergency survey maintenance services within one year period in accordance with performance work statement.

POC and Address:

Ms. Lakia Williams Phone: 762-408-3193 Martin Army Community Hospital 6600 Van ASLST BLVD Fort Moore, GA 31905

FOB: Destination

2010 12 Months OPTION Fluoroscopic 2 Units

FFP

Contractor shall provide survey maintenance for Siemens UROSKOP OMNIA MAZ (Urology Suite) and Siemens Luminos Agile MAZ 400 (Radiology Core) in accordance with performance work statement.

POC and Address:

Ms. Lakia Williams Phone: 762-408-3193 Martin Army Community Hospital 6600 Van ASLST BLVD Fort Moore, GA 31905

FOB: Destination

2011 12 Months OPTION C-Arm 4 Units Mini C-Arms 3 Units

FFP

Contractor shall provide survey maintenance to equipment listed below in accordance with performance work statement.

1. GE OEC 9900 Elite – ECN# 037731

2. GE OEC Elite - ECN# 054838

3. GE OEC in Radiology Core – ECN# 037584

4. Fujifilm Persona C Surgical Arm – ECN# 062323

5. Orthoscan, Mobile Extremity Mini C-Arm - ECN 056103 – Ortho

6. Orthoscan, Mobile Extremity Mini C-Arm - ECN 056104 – Ortho

7. Orthoscan, Mobile Extremity Mini C-Arm - ECN 056105 – Ortho

POC and Address:

Ms. Lakia Williams Phone: 762-408-3193 Martin Army Community Hospital 6600 Van ASLST BLVD Fort Moore, GA 31905

FOB: Destination

3001 12 Months OPTION CT 1 Unit: GE Revolution Evo

FFP

Contractor shall provide survey maintenance for CT unit of GE Revolution Evo (ECN# 0528297) in accordance with performance work statement.

POC and Address:

Ms. Lakia Williams Phone: 762-408-3193 Martin Army Community Hospital 6600 Van ASLST BLVD Fort Moore, GA 31905

FOB: Destination

3002 12 Months OPTION Mammo 2 Units:

FFP

Contractor shall provide survey maintenance for Mammo Unit in accordance with performance work statement. (1 - Hologic Selenia Dimensions FFD Tomo Mammography Unit, SN SDM131901622 (ECN# 057773), 2 - Hologic Selenia Dimensions FFD Tomo Mammography Unit, SN SDM131901778 (ECN# 060073) to include Mammography Workstation SN CF65ST3 - included with inspected of 1 Mammography Unit (ECN# 062428)).

POC and Address:

Ms. Lakia Williams Phone: 762-408-3193 Martin Army Community Hospital 6600 Van ASLST BLVD Fort Moore, GA 31905

FOB: Destination

3003 12 Months OPTION Mammo/Sterotactic:

FFP

Contractor shall provide survey maintenance for Mammo/Sterotactic: Hologic Affirm Stereo, SN 82007213182 (ECN# 057785) in accordance with performance work statement.

POC and Address:

Ms. Lakia Williams Phone: 762-408-3193 Martin Army Community Hospital 6600 Van ASLST BLVD Fort Moore, GA 31905

FOB: Destination

3004 12 Months OPTION MRIs 2 Units

FFP

Contractor shall provide survey maintenance for Philips Ingenia 1.5T abd 3.0T (ECN# 037094 & 037095) in accordance with performance work statement.

POC and Address:

Ms. Lakia Williams Phone: 762-408-3193 Martin Army Community Hospital 6600 Van ASLST BLVD Fort Moore, GA 31905

FOB: Destination

3005 12 Months OPTION Spec CT: Siemens Intevo Bold

FFP

Contractor shall provide survey maintenance for Spec CT siemens Bold (ECN# 059204) in accordance with performance work statement.

POC and Address:

Ms. Lakia Williams Phone: 762-408-3193 Martin Army Community Hospital 6600 Van ASLST BLVD Fort Moore, GA 31905

FOB: Destination

3006 12 Months OPTION Gamma CAM 2 Units

FFP

Contractor shall provide survey maintenance for Gamma CAM – Siemens Symbia & Table (ECN# 040119 / 052098 - 040120 / 052096) in accordance with performance work statement.

POC and Address:

Ms. Lakia Williams Phone: 762-408-3193 Martin Army Community Hospital 6600 Van ASLST BLVD Fort Moore, GA 31905

FOB: Destination

3007 12 Months OPTION CT Cone Beam 2 Units

FFP

Contractor shall provide survey maintenance for CT Con Beam (ECN# 036972 & 061273) in (MACH Maxillofacial Dental Clinic and Love Dental Clinic) in accordance with statement.

POC and Address:

Ms. Lakia Williams Phone: 762-408-3193 Martin Army Community Hospital 6600 Van ASLST BLVD Fort Moore, GA 31905

FOB: Destination

3008 12 Months OPTION Bone Densitometer: GE Lunar iDXA

FFP

Contractor shall provide survey maintenance for Bone Densitometer (ECN# 039077) in accordance with performance work statement.

POC and Address:

Ms. Lakia Williams Phone: 762-408-3193 Martin Army Community Hospital 6600 Van ASLST BLVD Fort Moore, GA 31905

FOB: Destination

3009 12 Months OPTION Emergency Survey Services (4)

FFP

Contractor shall provide four emergency survey maintenance services within one year period in accordance with performance work statement.

POC and Address:

Ms. Lakia Williams Phone: 762-408-3193 Martin Army Community Hospital 6600 Van ASLST BLVD Fort Moore, GA 31905

FOB: Destination

3010 12 Months OPTION Fluoroscopic 2 Units

FFP

Contractor shall provide survey maintenance for Siemens UROSKOP OMNIA MAZ (Urology Suite) and Siemens Luminos Agile MAZ 400 (Radiology Core) in accordance with performance work statement.

POC and Address:

Ms. Lakia Williams Phone: 762-408-3193 Martin Army Community Hospital 6600 Van ASLST BLVD Fort Moore, GA 31905

FOB: Destination

3011 12 Months OPTION C-Arm 4 Units Mini C-Arms 3 Units

FFP

Contractor shall provide survey maintenance to equipment listed below in accordance with performance work statement.

1. GE OEC 9900 Elite – ECN# 037731

2. GE OEC Elite - ECN# 054838

3. GE OEC in Radiology Core – ECN# 037584

4. Fujifilm Persona C Surgical Arm – ECN# 062323

5. Orthoscan, Mobile Extremity Mini C-Arm - ECN 056103 – Ortho

6. Orthoscan, Mobile Extremity Mini C-Arm - ECN 056104 – Ortho

7. Orthoscan, Mobile Extremity Mini C-Arm - ECN 056105 – Ortho

POC and Address:

Ms. Lakia Williams Phone: 762-408-3193 Martin Army Community Hospital 6600 Van ASLST BLVD Fort Moore, GA 31905

FOB: Destination

4001 12 Months OPTION CT 1 Unit: GE Revolution Evo

FFP

Contractor shall provide survey maintenance for CT unit of GE Revolution Evo (ECN# 0528297) in accordance with performance work statement.

POC and Address:

Ms. Lakia Williams Phone: 762-408-3193 Martin Army Community Hospital 6600 Van ASLST BLVD Fort Moore, GA 31905

FOB: Destination

4002 12 Months OPTION Mammo 2 Units:

FFP

Contractor shall provide survey maintenance for Mammo Unit in accordance with performance work statement. (1 - Hologic Selenia Dimensions FFD Tomo Mammography Unit, SN SDM131901622 (ECN# 057773), 2 - Hologic Selenia Dimensions FFD Tomo Mammography Unit, SN SDM131901778 (ECN# 060073) to include Mammography Workstation SN CF65ST3 - included with inspected of 1 Mammography Unit (ECN# 062428)).

POC and Address:

Ms. Lakia Williams Phone: 762-408-3193 Martin Army Community Hospital 6600 Van ASLST BLVD Fort Moore, GA 31905

FOB: Destination

4003 12 Months OPTION Mammo/Sterotactic:

FFP

Contractor shall provide survey maintenance for Mammo/Sterotactic: Hologic Affirm Stereo, SN 82007213182 (ECN# 057785) in accordance with performance work statement.

POC and Address:

Ms. Lakia Williams Phone: 762-408-3193 Martin Army Community Hospital 6600 Van ASLST BLVD Fort Moore, GA 31905

FOB: Destination

4004 12 Months OPTION MRIs 2 Units

FFP

Contractor shall provide survey maintenance for Philips Ingenia 1.5T abd 3.0T (ECN# 037094 & 037095) in accordance with performance work statement.

POC and Address:

Ms. Lakia Williams Phone: 762-408-3193 Martin Army Community Hospital 6600 Van ASLST BLVD Fort Moore, GA 31905

FOB: Destination

4005 12 Months OPTION Spec CT: Siemens Intevo Bold

FFP

Contractor shall provide survey maintenance for Spec CT siemens Bold (ECN# 059204) in accordance with performance work statement.

POC and Address:

Ms. Lakia Williams Phone: 762-408-3193 Martin Army Community Hospital 6600 Van ASLST BLVD Fort Moore, GA 31905

FOB: Destination

4006 12 Months OPTION Gamma CAM 2 Units

FFP

Contractor shall provide survey maintenance for Gamma CAM – Siemens Symbia & Table (ECN# 040119 / 052098 - 040120 / 052096) in accordance with performance work statement.

POC and Address:

Ms. Lakia Williams Phone: 762-408-3193 Martin Army Community Hospital 6600 Van ASLST BLVD Fort Moore, GA 31905

FOB: Destination

4007 12 Months OPTION CT Cone Beam 2 Units

FFP

Contractor shall provide survey maintenance for CT Con Beam (ECN# 036972 & 061273) in (MACH Maxillofacial Dental Clinic and Love Dental Clinic) in accordance with statement.

POC and Address:

Ms. Lakia Williams Phone: 762-408-3193 Martin Army Community Hospital 6600 Van ASLST BLVD Fort Moore, GA 31905

FOB: Destination

4008 12 Months OPTION Bone Densitometer: GE Lunar iDXA

FFP

Contractor shall provide survey maintenance for Bone Densitometer (ECN# 039077) in accordance with performance work statement.

POC and Address:

Ms. Lakia Williams Phone: 762-408-3193 Martin Army Community Hospital 6600 Van ASLST BLVD Fort Moore, GA 31905

FOB: Destination

4009 12 Months OPTION Emergency Survey Services (4)

FFP

Contractor shall provide four emergency survey maintenance services within one year period in accordance with performance work statement.

POC and Address:

Ms. Lakia Williams Phone: 762-408-3193 Martin Army Community Hospital 6600 Van ASLST BLVD Fort Moore, GA 31905

FOB: Destination

4010 12 Months OPTION Fluoroscopic 2 Units

FFP

Contractor shall provide survey maintenance for Siemens UROSKOP OMNIA MAZ (Urology Suite) and Siemens Luminos Agile MAZ 400 (Radiology Core) in accordance with performance work statement.

POC and Address:

Ms. Lakia Williams Phone: 762-408-3193 Martin Army Community Hospital 6600 Van ASLST BLVD Fort Moore, GA 31905

FOB: Destination

4011 12 Months OPTION C-Arm 4 Units Mini C-Arms 3 Units

FFP

Contractor shall provide survey maintenance to equipment listed below in accordance with performance work statement.

1. GE OEC 9900 Elite – ECN# 037731

2. GE OEC Elite - ECN# 054838

3. GE OEC in Radiology Core – ECN# 037584

4. Fujifilm Persona C Surgical Arm – ECN# 062323

5. Orthoscan, Mobile Extremity Mini C-Arm - ECN 056103 – Ortho

6. Orthoscan, Mobile Extremity Mini C-Arm - ECN 056104 – Ortho

7. Orthoscan, Mobile Extremity Mini C-Arm - ECN 056105 – Ortho

POC and Address:

Ms. Lakia Williams Phone: 762-408-3193 Martin Army Community Hospital 6600 Van ASLST BLVD Fort Moore, GA 31905

FOB: Destination

INSPECTION AND ACCEPTANCE TERMS

Supplies/services will be inspected/accepted at:

CLIN INSPECT AT INSPECT BY ACCEPT AT ACCEPT BY

0001 Destination Government Destination Government 0002 Destination Government Destination Government 0003 Destination Government Destination Government 0004 Destination Government Destination Government 0005 Destination Government Destination Government 0006 Destination Government Destination Government 0007 Destination Government Destination Government 0008 Destination Government Destination Government 0009 Destination Government Destination Government 0010 Destination Government Destination Government 0011 Destination Government Destination Government 1001 Destination Government Destination Government 1002 Destination Government Destination Government

1003 Destination Government Destination Government 1004 Destination Government Destination Government 1005 Destination Government Destination Government 1006 Destination Government Destination Government 1007 Destination Government Destination Government 1008 Destination Government Destination Government 1009 Destination Government Destination Government 1010 Destination Government Destination Government 1011 Destination Government Destination Government 2001 Destination Government Destination Government 2002 Destination Government Destination Government 2003 Destination Government Destination Government 2004 Destination Government Destination Government 2005 Destination Government Destination Government 2006 Destination Government Destination Government 2007 Destination Government Destination Government 2008 Destination Government Destination Government 2009 Destination Government Destination Government 2010 Destination Government Destination Government 2011 Destination Government Destination Government 3001 Destination Government Destination Government 3002 Destination Government Destination Government 3003 Destination Government Destination Government 3004 Destination Government Destination Government 3005 Destination Government Destination Government 3006 Destination Government Destination Government 3007 Destination Government Destination Government 3008 Destination Government Destination Government 3009 Destination Government Destination Government 3010 Destination Government Destination Government 3011 Destination Government Destination Government 4001 Destination Government Destination Government 4002 Destination Government Destination Government 4003 Destination Government Destination Government 4004 Destination Government Destination Government 4005 Destination Government Destination Government 4006 Destination Government Destination Government 4007 Destination Government Destination Government 4008 Destination Government Destination Government 4009 Destination Government Destination Government 4010 Destination Government Destination Government 4011 Destination Government Destination Government

DELIVERY INFORMATION

CLIN DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

0001 POP 15-SEP-2024 TO

14-SEP-2025

N/A MARTIN ARMY COMMUNITY HOSPITAL

MARTIN ARMY COMMUNITY HOSPITAL

6600 VAN AALST BLVD

FORT MOORE GA 31905

FOB: Destination

HT0806

0002 POP 15-SEP-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

0003 POP 15-SEP-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

0004 POP 15-SEP-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

0005 POP 15-SEP-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

0006 POP 15-SEP-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

0007 POP 15-SEP-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

0008 POP 15-SEP-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

0009 POP 15-SEP-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

0010 POP 15-SEP-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

0011 POP 15-SEP-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

1001 POP 15-SEP-2025 TO

14-SEP-2026

N/A (SAME AS PREVIOUS LOCATION)

1002 POP 15-SEP-2025 TO

N/A (SAME AS PREVIOUS LOCATION)

1003 POP 15-SEP-2025 TO

N/A (SAME AS PREVIOUS LOCATION)

1004 POP 15-SEP-2025 TO

N/A (SAME AS PREVIOUS LOCATION)

1005 POP 15-SEP-2025 TO

N/A (SAME AS PREVIOUS LOCATION)

1006 POP 15-SEP-2025 TO

N/A (SAME AS PREVIOUS LOCATION)

1007 POP 15-SEP-2025 TO

N/A (SAME AS PREVIOUS LOCATION)

1008 POP 15-SEP-2025 TO

N/A (SAME AS PREVIOUS LOCATION)

1009 POP 15-SEP-2025 TO

N/A (SAME AS PREVIOUS LOCATION)

1010 POP 15-SEP-2025 TO

N/A (SAME AS PREVIOUS LOCATION)

1011 POP 15-SEP-2025 TO

N/A (SAME AS PREVIOUS LOCATION)

2001 POP 15-SEP-2026 TO

14-SEP-2027

N/A (SAME AS PREVIOUS LOCATION)

2002 POP 15-SEP-2026 TO

N/A (SAME AS PREVIOUS LOCATION)

2003 POP 15-SEP-2026 TO

N/A (SAME AS PREVIOUS LOCATION)

2004 POP 15-SEP-2026 TO

N/A (SAME AS PREVIOUS LOCATION)

2005 POP 15-SEP-2026 TO

N/A (SAME AS PREVIOUS LOCATION)

2006 POP 15-SEP-2026 TO

N/A (SAME AS PREVIOUS LOCATION)

2007 POP 15-SEP-2026 TO

N/A (SAME AS PREVIOUS LOCATION)

2008 POP 15-SEP-2026 TO

N/A (SAME AS PREVIOUS LOCATION)

2009 POP 15-SEP-2026 TO

N/A (SAME AS PREVIOUS LOCATION)

2010 POP 15-SEP-2026 TO

N/A (SAME AS PREVIOUS LOCATION)

2011 POP 15-SEP-2026 TO

N/A (SAME AS PREVIOUS LOCATION)

3001 POP 15-SEP-2027 TO

14-SEP-2028

N/A (SAME AS PREVIOUS LOCATION)

3002 POP 15-SEP-2027 TO

N/A (SAME AS PREVIOUS LOCATION)

3003 POP 15-SEP-2027 TO

N/A (SAME AS PREVIOUS LOCATION)

3004 POP 15-SEP-2027 TO

N/A (SAME AS PREVIOUS LOCATION)

3005 POP 15-SEP-2027 TO

N/A (SAME AS PREVIOUS LOCATION)

3006 POP 15-SEP-2027 TO

N/A (SAME AS PREVIOUS LOCATION)

3007 POP 15-SEP-2027 TO

N/A (SAME AS PREVIOUS LOCATION)

3008 POP 15-SEP-2027 TO

N/A (SAME AS PREVIOUS LOCATION)

3009 POP 15-SEP-2027 TO

N/A (SAME AS PREVIOUS LOCATION)

3010 POP 15-SEP-2027 TO

N/A (SAME AS PREVIOUS LOCATION)

3011 POP 15-SEP-2027 TO

N/A (SAME AS PREVIOUS LOCATION)

4001 POP 15-SEP-2028 TO

14-SEP-2029

N/A (SAME AS PREVIOUS LOCATION)

4002 POP 15-SEP-2028 TO

N/A (SAME AS PREVIOUS LOCATION)

4003 POP 15-SEP-2028 TO

N/A (SAME AS PREVIOUS LOCATION)

4004 POP 15-SEP-2028 TO

N/A (SAME AS PREVIOUS LOCATION)

4005 POP 15-SEP-2028 TO

N/A (SAME AS PREVIOUS LOCATION)

4006 POP 15-SEP-2028 TO

N/A (SAME AS PREVIOUS LOCATION)

4007 POP 15-SEP-2028 TO

N/A (SAME AS PREVIOUS LOCATION)

4008 POP 15-SEP-2028 TO

N/A (SAME AS PREVIOUS LOCATION)

4009 POP 15-SEP-2028 TO

N/A (SAME AS PREVIOUS LOCATION)

4010 POP 15-SEP-2028 TO

N/A (SAME AS PREVIOUS LOCATION)

4011 POP 15-SEP-2028 TO

N/A (SAME AS PREVIOUS LOCATION)

CLAUSES INCORPORATED BY REFERENCE

52.212-4 Contract Terms and Conditions--Commercial Products and

Commercial Services

NOV 2023

52.212-4 ADDENDUM

(w) The non-FAR Part 12 discretionary FAR and DFARS clauses included herein are incorporated into this contract either by reference or in full text. If incorporated by reference, see clause 52.252-2 herein for locations where full text can be found.

(End of Addendum to 52.212-4)

CLAUSES INCORPORATED BY REFERENCE

52.204-9 Personal Identity Verification of Contractor Personnel JAN 2011 52.204-10 Reporting Executive Compensation and First-Tier

Subcontract Awards

JUN 2020

52.204-13 System for Award Management Maintenance OCT 2018 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

52.209-6 Protecting the Government's Interest When Subcontracting With Contractors Debarred, Suspended, or Proposed for Debarment

NOV 2021

52.222-21 Prohibition Of Segregated Facilities APR 2015 52.222-26 Equal Opportunity SEP 2016 52.223-5 Pollution Prevention and Right-to-Know Information MAY 2024 52.223-10 Waste Reduction Program MAY 2024 52.225-13 Restrictions on Certain Foreign Purchases FEB 2021 52.225-14 Inconsistency Between English Version And Translation Of

Contract

FEB 2000

52.232-33 Payment by Electronic Funds Transfer--System for Award Management

OCT 2018

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

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 252.204-7003 Control Of Government Personnel Work Product APR 1992 252.204-7004 Antiterrorism Awareness Training for Contractors JAN 2023

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

JAN 2023

252.222-7002 Compliance With Local Labor Laws (Overseas) JUN 1997 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 252.225-7012 Preference For Certain Domestic Commodities APR 2022 252.225-7041 Correspondence in English JUN 1997 252.225-7043 Antiterrorism/Force Protection Policy for Defense

Contractors Outside the United States

JUN 2015

252.225-7048 Export-Controlled Items JUN 2013 252.225-7056 Prohibition Regarding Business Operations with the Maduro

Regime

JAN 2023

252.229-7001 Tax Relief APR 2020 252.232-7003 Electronic Submission of Payment Requests and Receiving

Reports

DEC 2018

252.232-7008 Assignment of Claims (Overseas) JUN 1997 252.232-7010 Levies on Contract Payments DEC 2006 252.233-7001 Choice of Law (Overseas) JUN 1997 252.243-7001 Pricing Of Contract Modifications DEC 1991 252.243-7002 Requests for Equitable Adjustment DEC 2022 252.246-7003 Notification of Potential Safety Issues JAN 2023

CLAUSES INCORPORATED BY FULL TEXT

52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR 2000)

(a) The Government may extend the term of this contract by written notice to the Contractor within 30 calendar days prior to contract expiration; provided that the Government gives the Contractor a preliminary written notice of its intent to extend at least 15 days before the contract expires. The preliminary notice does not commit the Government to an extension.

(b) If the Government exercises this option, the extended contract shall be considered to include this option clause.

(c) The total duration of this contract, including the exercise of any options under this clause, shall not exceed 60 months.

(End of clause)

52.222-50 COMBATING TRAFFICKING IN PERSONS (NOV 2021) ALTERNATE I (MAR 2015)

(a) Definitions. As used in this clause—

"Agent" means any individual, including a director, an officer, an employee, or an independent contractor, authorized to act on behalf of the organization.

"Coercion" means—

(1) Threats of serious harm to or physical restraint against any person;

(2) Any scheme, plan, or pattern intended to cause a person to believe that failure to perform an act would result in serious harm to or physical restraint against any person; or

(3) The abuse or threatened abuse of the legal process.

"Commercial sex act" means any sex act on account of which anything of value is given to or received by any person.

"Commercially available off-the-shelf (COTS) item"--

(1) Means any item of supply (including construction material) that is-

(i) A commercial product (as defined in paragraph (1) of the definition of "commercial product" at Federal Acquisition Regulation (FAR) 2.101);

(ii) Sold in substantial quantities in the commercial marketplace; and

(iii) Offered to the Government, under a contract or subcontract at any tier, without modification, in the same form in which it is sold in the commercial marketplace; and

(2) Does not include bulk cargo, as defined in 46 U.S.C. 40102(4), such as agricultural products and petroleum products.

"Debt bondage" means the status or condition of a debtor arising from a pledge by the debtor of his or her personal services or of those of a person under his or her control as a security for debt, if the value of those services as reasonably assessed is not applied toward the liquidation of the debt or the length and nature of those services are not respectively limited and defined.

"Employee" means an employee of the Contractor directly engaged in the performance of work under the contract who has other than a minimal impact or involvement in contract performance.

"Forced labor" means knowingly providing or obtaining the labor or services of a person—

(1) By threats of serious harm to, or physical restraint against, that person or another person;

(2) By means of any scheme, plan, or pattern intended to cause the person to believe that, if the person did not perform such labor or services, that person or another person would suffer serious harm or physical restraint; or

(3) By means of the abuse or threatened abuse of law or the legal process.

"Involuntary servitude" includes a condition of servitude induced by means of—

(1) Any scheme, plan, or pattern intended to cause a person to believe that, if the person did not enter into or continue in such conditions, that person or another person would suffer serious harm or physical restraint; or

(2) The abuse or threatened abuse of the legal process.

"Recruitment fees" means fees of any type, including charges, costs, assessments, or other financial obligations, that are associated with the recruiting process, regardless of the time, manner, or location of imposition or collection of the fee.

(1) Recruitment fees include, but are not limited to, the following fees (when they are associated with the recruiting process) for--

(i) Soliciting, identifying, considering, interviewing, referring, retaining, transferring, selecting, training, providing orientation to, skills testing, recommending, or placing employees or potential employees;

(ii) Advertising;

(iii) Obtaining permanent or temporary labor certification, including any associated fees;

(iv) Processing applications and petitions;

(v) Acquiring visas, including any associated fees;

(vi) Acquiring photographs and identity or immigration documents, such as passports, including any associated fees;

(vii) Accessing the job opportunity, including required medical examinations and immunizations; background, reference, and security clearance checks and examinations; and additional certifications;

(viii) An employer's recruiters, agents or attorneys, or other notary or legal fees;

(ix) Language interpretation or translation, arranging for or accompanying on travel, or providing other advice to employees or potential employees;

(x) Government-mandated fees, such as border crossing fees, levies, or worker welfare funds;

(xi) Transportation and subsistence costs--

(A) While in transit, including, but not limited to, airfare or costs of other modes of transportation, terminal fees, and travel taxes associated with travel from the country of origin to the country of performance and the return journey upon the end of employment; and

(B) From the airport or disembarkation point to the worksite;

(xii) Security deposits, bonds, and insurance; and

(xiii) Equipment charges.

(2) A recruitment fee, as described in the introductory text of this definition, is a recruitment fee, regardless of whether the payment is--

(i) Paid in property or money;

(ii) Deducted from wages;

(iii) Paid back in wage or benefit concessions;

(iv) Paid back as a kickback, bribe, in-kind payment, free labor, tip, or tribute; or

(v) Collected by an employer or a third party, whether licensed or unlicensed, including, but not limited to--

(A) Agents;

(B) Labor brokers;

(C) Recruiters;

(D) Staffing firms (including private employment and placement firms);

(E) Subsidiaries/affiliates of the employer;

(F) Any agent or employee of such entities; and

(G) Subcontractors at all tiers.

"Severe forms of trafficking in persons" means—

(1) Sex trafficking in which a commercial sex act is induced by force, fraud, or coercion, or in which the person induced to perform such act has not attained 18 years of age; or

(2) The recruitment, harboring, transportation, provision, or obtaining of a person for labor or services, through the use of force, fraud, or coercion for the purpose of subjection to involuntary servitude, peonage, debt bondage, or slavery.

"Sex trafficking" means the recruitment, harboring, transportation, provision, or obtaining of a person for the purpose of a commercial sex act.

"Subcontract" means any contract entered into by a subcontractor to furnish supplies or services for performance of a prime contract or a subcontract.

"Subcontractor" means any supplier, distributor, vendor, or firm that furnishes supplies or services to or for a prime contractor or another subcontractor.

"United States" means the 50 States, the District of Columbia, and outlying areas.

(b) Policy. The United States Government has adopted a policy prohibiting trafficking in persons including the trafficking-related activities of this clause. Contractors, contractor employees, and their agents shall not—

(1) Engage in severe forms of trafficking in persons during the period of performance of the contract;

(2) Procure commercial sex acts during the period of performance of the contract;

(3) Use forced labor in the performance of the contract;

(4) Destroy, conceal, confiscate, or otherwise deny access by an employee to the employee's identity or immigration documents, such as passports or drivers' licenses, regardless of issuing authority;

(5)(i) Use misleading or fraudulent practices during the recruitment of employees or offering of employment, such as failing to disclose, in a format and language understood by the employee or potential employee, basic information or making material misrepresentations during the recruitment of employees regarding the key terms and conditions of employment, including wages and fringe benefits, the location of work, the living conditions, housing and associated costs (if employer or agent provided or arranged), any significant costs to be charged to the employee or potential employee, and, if applicable, the hazardous nature of the work;

(ii) Use recruiters that do not comply with local labor laws of the country in which the recruiting takes place;

(6) Charge employees and potential employees recruitment fees;

(7)(i) Fail to provide return transportation or pay for the cost of return transportation upon the end of employment--

(A) For an employee who is not a national of the country in which the work is taking place and who was brought into that country for the purpose of working on a U.S. Government contract or subcontract (for portions of contracts performed outside the United States); or

(B) For an employee who is not a United States national and who was brought into the United States for the purpose of working on a U.S. Government contract or subcontract, if the payment of such costs is required under existing temporary worker programs or pursuant to a written agreement with the employee (for portions of contracts performed inside the United States); except that--

(ii) The requirements of paragraphs (b)(7)(i) of this clause shall not apply to an employee who is--

(B) Exempted by an authorized official of the contracting agency from the requirement to provide return transportation or pay for the cost of return transportation;

(iii) The requirements of paragraph (b)(7)(i) of this clause are modified for a victim of trafficking in persons who is seeking victim services or legal redress in the country of employment, or for a witness in an enforcement action related to trafficking in persons. The contractor shall provide the return transportation or pay the cost of return transportation in a way that does not obstruct the victim services, legal redress, or witness activity. For example, the contractor shall not only offer return transportation to a witness at a time when the witness is still needed to testify.

This paragraph does not apply when the exemptions at paragraph (b)(7)(ii) of this clause apply.

(8) Provide or arrange housing that fails to meet the host country housing and safety standards; or

(9) If required by law or contract, fail to provide an employment contract, recruitment agreement, or other required work document in writing. Such written work document shall be in a language the employee understands. If the employee must relocate to perform the work, the work document shall be provided to the employee at least five days prior to the employee relocating. The employee's work document shall include, but is not limited to, details about work description, wages, prohibition on charging recruitment fees, work location(s), living accommodations and associated costs, time off, roundtrip transportation arrangements, grievance process, and the content of applicable laws and regulations that prohibit trafficking in persons.

(c) Contractor requirements. The Contractor shall—

(1) Notify its employees of—

(i) (A) The United States Government's policy prohibiting trafficking in persons described in paragraph (b) of this clause; and

(B) The following directive(s) or notice(s) applicable to employees performing work at the contract place(s) of performance as indicated below:

Document Title Document may be obtained from:

Applies to performance in/at:

[ ___ Contracting Officer shall insert title of directive/notice; indicate the document is attached or provide source (such as website link) for obtaining document; and, indicate the contract performance location outside the United States to which the document applies.]

(ii) The actions that will be taken against employees or agents for violations of this policy. Such actions for employees may include, but are not limited to, removal from the contract, reduction in benefits, or termination of employment; and

(2) Take appropriate action, up to and including termination, against employees, agents, or subcontractors that violate the policy in paragraph (b) of this clause.

(d) Notification. (1) The Contractor shall inform the Contracting Officer and the agency Inspector General immediately of—

(i) Any credible information it receives from any source (including host country law enforcement) that alleges a Contractor employee, subcontractor, subcontractor employee, or their agent has engaged in conduct that violates the policy in paragraph (b) of this clause (see also 18 U.S.C. 1351, Fraud in Foreign Labor Contracting, and 52.203- 13(b)(3)(i)(A), if that clause is included in the solicitation or contract, which requires disclosure to the agency Office of the Inspector General when the Contractor has credible evidence of fraud); and

(ii) Any actions taken against a Contractor employee, subcontractor, subcontractor employee, or their agent pursuant to this clause.

(2) If the allegation may be associated with more than one contract, the Contractor shall inform the contracting officer for the contract with the highest dollar value.

(e) Remedies. In addition to other remedies available to the Government, the Contractor's failure to comply with the requirements of paragraphs (c), (d), (g), (h), or (i) of this clause may result in—

(1) Requiring the Contractor to remove a Contractor employee or employees from the performance of the contract;

(2) Requiring the Contractor to terminate a subcontract;

(3) Suspension of contract payments until the Contractor has taken appropriate remedial action;

(4) Loss of award fee, consistent with the award fee plan, for the performance period in which the Government determined Contractor non-compliance;

(5) Declining to exercise available options under the contract;

(6) Termination of the contract for default or cause, in accordance with the termination clause of this contract; or

(7) Suspension or debarment.

(f) Mitigating and aggravating factors. When determining remedies, the Contracting Officer may consider the following:

(1) Mitigating factors. The Contractor had a Trafficking in Persons compliance plan or an awareness program at the time of the violation, was in compliance with the plan, and has taken appropriate remedial actions for the violation, that may include reparation to victims for such violations.

(2) Aggravating factors. The Contractor failed to abate an alleged violation or enforce the requirements of a compliance plan, when directed by the Contracting Officer to do so.

(g) Full cooperation.

(1) The Contractor shall, at a minimum—

(i) Disclose to the agency Inspector General information sufficient to identify the nature and extent of an offense and the individuals responsible for the conduct;

(ii) Provide timely and complete responses to Government auditors' and investigators' requests for documents;

(iii) Cooperate fully in providing reasonable access to its facilities and staff (both inside and outside the U.S.) to allow contracting agencies and other responsible Federal agencies to conduct audits, investigations, or other actions to ascertain compliance with the Trafficking Victims Protection Act of 2000 (22 U.S.C. chapter 78), E.O.

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