W9124A24R0005.pdf

SEE ADDENDUM

(No Collect Calls)

W9124A24R0005 23-Aug-2024

b. TELEPHONE NUMBER

533-1037

8. OFFER DUE DATE/LOCAL TIME

11:00 AM 05 Sep 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.

W9124A9. ISSUED BY

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

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

MONICA GJERDE

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

0012139799-0002

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

ACC-APG

BLDG 61801 RM 2633 (MB 52)

FORT HUACHUCA AZ 85613

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 HT0772 16. ADMINISTERED BY

12. DISCOUNT TERMS11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

14. METHOD OF SOLICITATION

RFQ IFB RFPX

RAYMOND W. BLISS

POC

2240 E WINROW AVE

FORT HUACHUCA AZ 85613

TEL: FAX:

FAX:

TEL: SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

8(A)

HUBZONE SMALL

BUSINESS

SIZE STANDARD:

NAICS:

339114

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 OF57

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.

W9124A24R0005

Section SF 1449 - CONTINUATION SHEET

SPECIAL INSTRUCTIONS

Award of this contract will be done using FAR Part 13 – Simplified Acquisition Procedures.

Any contract with the government requires registration in the System for Award Management (SAM) and must be registered in at website https://.sam.gov.

Provide your DUNs, Cage Code, and Tax ID number as part of your proposal.

Total all CLIN’s on your quote/proposal to show total overall price and include the FOB destination lead times.

MUST provide thorough technical description including specification/data sheets of the item proposed. Failure to provide this as well as filling out the 1449 will result in the quote being determined non responsive and therefore not eligible for award.

Evaluation Factors:

The Government will award a Firm Fixed-Price Contract resulting from this solicitation to the lowest priced offeror that meets all the terms and conditions of the solicitation.

QUESTIONS:

Any questions must be submitted via e-mail to monica.a.gjerde.civ@army.mil by 9:00 Arizona Time 28 August 2024. Questions submitted after this date will not be addressed. No questions will be answered telephonically. All questions must be submitted via e-mail to the Point of Contact listed below.

Delivery Schedule: The vendor selected must be able to deliver to Ft. Huachuca by delivery date specified after contract award. Request that address labels contain the contract number on all shipping documents.

Your quote shall be received electronically via email no later than 11:00 AM Arizona time, on 5 September 2024.

Vendor invoicing shall not be submitted prior to proof of delivery that items have been received.

Point of Contact for this action is:

Monica Gjerde E-Mail: monica.a.gjerde.civ@army.mil

PERFORMANCE WORK STATEMENT

PERFORMANCE WORK STATEMENT

Runion Dental Clinic, Fort Huachuca, AZ has a requirement for a full-service on-site maintenance contract. Contractor shall furnish all parts, labor, equipment, materials, travel, and transportation to perform all scheduled and unscheduled maintenance for the equipment listed below.

1. Washer, SN: 3602819010, Manf: Steris, Mdl: Amsco3052

2. Sterilizer, SN: 032482331, Manf: Steris, Mdl: Amsco400

3. Sterilizer, SN:03161920, Manf: Steris, Mdl:Amsco 400

1. CONTRACTOR REQUIREMENTS:

1.1 Contractor will provide only technically qualified technicians who are formally trained on the above equipment. Service personnel must have a good working knowledge of the equipment.

1.2 Contractor provides a plan for service coverage if less than two (2) personnel are trained on the equipment. The plan describes and ensures the Government is not without service support for more than one day (i.e., coverage during technician illnesses, vacations, terminations, and /or strikes).

1.3 Contractor shall obtain the most current legal editions of the original equipment manufacturer (OEM) literature or approved copies.

1.4 Contractor shall furnish and install only OEM repair parts and OEM recommended substitution/ modifications, as required ensuring proper and safe operation of the equipment.

1.5 Contractor shall have knowledge of, furnish and install all OEM sponsored modifications at the next interval.

1.6 If the Contractor is unable to repair the unit and subcontracts out to a third party, the Contractor will not stop the third party in the middle of the repair job and will not charge the Government for the subcontracted labor.

2. MAINTENANCE TIME FRAMES:

The Contractor shall provide (2) preventive maintenance (PM) and (1) annual calibration verification check (CVC). The Contractor shall perform CVC in conjunction with the preventive maintenance services. Services during the time frame will include one (1) electrical safety current leakage test to determine the amount of electrical current electrical leakage to the case of the unit. All services performed are documented and indicated on the service ticket upon completion of services as follows:

(a) Calibration: CA with the time spent

(b) Preventive Maintenance INSP is inspection with the time spent, the electrical safety test is considered to be part of this process.

(c) Scheduled Parts Replacement SPR with the time, name, and part numbers with cost of parts replaced.

3. SCHEDULED SERVICES:

3.1 The Contractor shall complete all required scheduled services within 4 working days after starting each scheduled services.

3.2 The Contractor shall coordinate with the Contracting Officer Representative (COR), to ensure access to the equipment to be serviced, no later than the 4th working day of the month scheduled for service.

4. UNSCHEDULED SERVICES:

4.1 All repairs must be accomplished and the unit fully operational within three (3) working days of telephonic notification of a malfunction. These days are Monday through Friday, excluding all Government holidays. All equipment is repaired to meet manufacturers specifications at all times.

4.2 The Contractor shall respond telephonically within four (4) hours during normal duty hours days and within six (6) hours after normal duty hours/or weekends/holidays.

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

4.4 If parts are required and are not in stock with the original equipment manufacturer, an allowable delay will be determined by the COR.

4.5 The Contractor shall provide for all replacements of worn and/or defective parts necessary to restore the equipment to 100% operational condition as specified by the

OEM.

4.6 HOURS OF OPERATION: Medical Maintenance Branch, RWBAHC, office hours 7:30 A.M. thru 4:30 P.M., MST, Monday thru Friday. Overtime hours are not allowed in accordance with the contract.

5. SERVICE REPORTS:

Upon completion of services, a service report shall be provided to the COR. This report is initiated by the Contractor at the completion of each repair and at the minimum will include:

(1) Contractor’s name

(2) Contract number

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

(4) 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.

(5) Part number and listed cost of each repair part used

(6) Equipment Control Number and serial number of equipment being repaired.

6. GOVERNMENT FURNISHED PROPERTY AND MATERIALS:

The COR will provide the contractor access to the equipment covered under the contract.

7. CONTRACTOR FURNISHED PROPERTY:

7.1. All materials, other than those materials specified as Government furnished, required in the performance of this contract shall be furnished by the Contractor.

7.2 Availability of manufacturer’s service literature needed in the performance of the contract will be Contractor’s responsibility and will remain Contractor owned at the termination of the contract.

7.3 Equipment maintenance performance under the contract includes the unlimited replacement of defective repair parts that the contractor determined to have failed under proper use.

7.4 Contractor shall notify the COR immediately when parts required to accomplish a maintenance service are not available from the original manufacturer.

7.5 The Government shall not be responsible for any damages or loss of Contractor supplies, materials, or equipment caused by persons outside the government control.

7.6 The Government shall not be responsible for any damages or loss of the Contractor’s personal belongings, or those of the Contractor’s employees, due to fire, theft, accidents or other causes beyond reasonable control of the government.

8. PERSONS AUTHORIZED TO PLACE SERVICE CALLS

The Government’s COR as well as those authorized to give instructions, place service calls, or request updates status, are listed below No instructions will be accepted by any one other than the people listed below or the Contracting Officer. One of the persons listed below will call and leave their name and number and the Contractor will return the call or come directly to the COR in room 3K4 of the Bradley Building to verify the call prior to initiating any action.

Chief, Medical Maintenance Branch (Mr. Dustin Prosch) CELL (520)335- 5782 Shop Phone (520) 533.3712

COR, Contract Service - (Mr. Christina Shay) OFFICE (520)-538-5709

9. SCOPE OF WORK

9.1 Qualified Technician shall report to the Medical Maintenance Branch, Bradley Building, Room 3K4, and sign-in the Contractor’s Log by indicating company name, individuals name, time of arrival, and destination. When departing RWBAHC, the technician must exist through Medical Maintenance and provide the service report with applicable information.

9.2 At minimum the performance of all services shall meet or exceed the specifications of the original equipment manufacturer.

9.3 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.

9.4 The Contractor shall provide unscheduled maintenance services for the equipment covered under the contract in accordance with section 4 above..

9.5 The Contractor shall perform scheduled preventive maintenance inspection two (2) times per year and calibrated/verification/certification per year, on the equipment listed in paragraph A.

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

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

9.8 The Contractor shall ensure that all maintenance services are performed in accordance with the requirements set forth in applicable laws.

9.9 The Contractor shall complete DD Form 2164 in accordance with the instruction provided in TB 38-750-2. A continuation sheet shall be attached to the DD Form 2164 indicating the manufacturer, model, serial number, and date of calibration expiration of all items of test and measurement equipment used to perform the calibration. Required forms and extracts from pertinent directives will be furnished to the contractor by the government.

9.10 When CVC 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.

9.11 Upon completion of each repair or service, the Contractor shall provide the COR with a Service Report not later than the second duty day following the performance of each maintenance service.

9.12 The Contractor shall have available or have reasonable access to all repair parts to maintain the equipment. Delays caused by Government will not be counted as contractor “down time” for the purpose of this requirement.

9.13 Repair services shall continue uninterrupted until the equipment is fully operational.

If the Contractor determines that additional parts are required, services will resume as soon as parts become available.

9.14 When it is questionable as to whether a malfunction exists with the Contractor maintained equipment or the Government’s utilities (i.e., water, air, electricity). The COR shall notify the Government’s maintenance representative and establish an arrival time for said representative will arrive at the job site within 30 minutes or less upon notification by COR. The Contractor’s maintenance representative shall remain at the site, with the Government’s maintenance representative. The utilities will be tested; it will then be determined what failed (the utility or the equipment). Should it be determined that the Contractor maintained equipment malfunctioned, the Government shall be reimbursed by the Contractor for the added costs for chargeable maintenance time spent testing utilities.

10. REPLACEMENT REPAIR PARTS:

10.1 The Contractor shall have and maintain an adequate inventory of repair parts to service the equipment listed herein as may be needed in the performance of this contract.

10.2 Repair 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.

10.3 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.

10.4 The Contractor shall replace all worn, failed, or defective components and parts that have failed under proper use with no further cost or charge to the Government.

11. CONTRACTOR PERSONNEL:

11.1 The Contractor shall provide technically qualified technicians to accomplish all maintenance services required by the contract. Repair technician must have received training in accordance with the contractor’s standard training policy.

11.2 The Contractor shall designate a Point of Contact (POC) for the contract. The Contractor’s POC shall be authorized to discuss with the COR, any and all maintenance services required by the contract and ensure response to requests for performance of the contract. The POC shall have the authority to make decision for the Contractor.

The Contracting Officer or the COR shall be notified promptly whenever the POC changes. Contractor’s POC shall be submitted no later than 10 days after award of contract, and shall included as a minimum name, title, and telephone number.

11.3 The Contractor shall not hire off-duty Government employees who serve as inspector or COR’s in their Government position, or any other persons whose employment would result in a conflict of interest.

11.4 The Contractor shall provide each employee an identification badge which shall be displayed on their outer garment at all time when on duty. The badge shall include, as a minimum, the employee’s name, current picture, the Contractor’s name, and title identification.

12. SAFETY:

12.1 When the Contractor leaves on-site location where maintenance services are being performed, the site shall be left in same condition as when the Contractor arrived..

12.2 Equipment which is left unserviceable at the end of normal duty hours or until performance can be resumed, will be identified by the Contractor attaching DD Form 1577 (TAG) to the equipment in plain view of hospital staff. The COR will be informed personally or in writing of the equipment status prior to the Contractor leaving the work site.

13. Antiterrorism/Operations Security (AT/OPSEC) Requirements.

13.1 AT Level I training. This standard language is for contractor employees with an area of performance within an Army controlled installation, facility or area. All contractor employees, to include subcontractor employees, requiring access Army installations, facilities and controlled access areas shall complete AT Level I awareness training within 60 calendar days after contract start date or effective date of incorporation of this requirement into the contract, whichever is applicable. The contractor shall submit certificates of completion for each affected contractor employee and subcontractor employee, to the COR or to the contracting officer, if a COR is not assigned, within 65 calendar days after completion of training by all employees and subcontractor personnel.

13.2 Access and general protection/security policy and 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.

13.2 For contractors requiring Common Access Card (CAC). Before CAC issuance, the contractor employee requires, at a minimum, a favorably adjudicated National Agency Check with Inquiries (NACI) or an equivalent or higher investigation in accordance with Army Directive 2014-05. The contractor employee will be issued a CAC only if duties involve one of the following: (1) Both physical access to a DoD facility and access, via logon, to DoD networks on-site or remotely; (2) Remote access, via logon, to a DoD network using DoD-approved remote access procedures; or (3) Physical access to multiple DoD facilities or multiple non-DoD federally controlled facilities on behalf of the DoD on a recurring basis for a period of 6 months or more. At the discretion of the sponsoring activity, an initial CAC may be issued based on a favorable review of the FBI fingerprint check and a successfully scheduled NACI at the Office of Personnel Management.

13.3 For contractors that do not require CAC but require access to a DoD facility or installation. Contractor and all associated sub-contractors employees shall comply with adjudication standards and procedures using the National Crime Information Center Interstate Identification Index (NCIC-III) and Terrorist Screening Database (TSDB) (Army Directive 2014-05/AR 190-13), applicable installation, facility and area commander installation/facility access and local security policies and procedures (provided by government representative), or, at OCONUS locations, in accordance with status of forces agreements and other theater regulations.

13.4 iWATCH Training. This standard language is for contractor employees with an area of performance within an Army controlled installation, facility or area. The contractor and all associated sub-contractors shall brief all employees on the local iWATCH program (training standards provided by the requiring activity ATO). This local developed training will be used to inform employees of the types of behavior to watch for and instruct employees to report suspicious activity to the COR. This training shall be completed within 60 calendar days of contract award and within 60 calendar days of new employees commencing performance with the results reported to the COR NLT 65 calendar days after contract award.

13.5 Army Training Certification Tracking System (ATCTS) registration for contractor employees who require access to government information systems. All contractor employees with access to a government info system must be registered in the ATCTS (Army Training Certification Tracking System) at commencement of services and must successfully complete the DOD Information Assurance Awareness prior to access to the IS and then annually thereafter.

13.6 For contracts that require a formal OPSEC program. The contractor shall develop an OPSEC Standing Operating Procedure (SOP)/Plan within 90 calendar days of contract award, to be reviewed and approved by the responsible Government OPSEC officer. This plan will include a process to identify critical information, where it is located, who is responsible for it, how to protect it and why it needs to be protected.

The contractor shall implement OPSEC measures as ordered by the commander. In addition, the contractor shall have an identified certified Level II OPSEC coordinator per

AR 530-1.

13.7 For contracts that require OPSEC Training. Per AR 530-1 Operations Security, the contractor employees must complete Level I OPSEC Awareness training. New employees must be trained within 30 calendar days of their reporting for duty and annually thereafter.

13.8 For information assurance (IA)/information technology (IT) training. All contractor employees and associated sub-contractor employees must complete the DoD IA awareness training before issuance of network access and annually thereafter. All contractor employees working IA/IT functions must comply with DoD and Army training requirements in DoDD 8570.01, DoD 8570.01-M and AR 25-2 within six months of appointment to IA/IT functions.

13.9 For information assurance (IA)/information technology (IT) certification. Per DoD 8570.01-M , DFARS 252.239.7001 and AR 25-2, the contractor employees supporting IA/IT functions shall be appropriately certified upon contract award. The baseline certification as stipulated in DoD 8570.01-M must be completed upon contract award.

13.10 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— (1) The Security Agreement (DD Form 441), including the National Industrial Security Program Operating Manual (DoD 5220.22-M); (2) any revisions to DOD 5220.22-M, notice of which has been furnished to the contractor.

13.11 Threat Awareness Reporting Program. For all contractors with security clearances. Per AR 381-12 Threat Awareness and Reporting Program (TARP), contractor employees must receive annual TARP training by a CI agent or other trainer as specified in 2-4b.

14. APPLICABLE PUBLICATION AND FORMS - Publications documents and forms applicable to this PWS are listed below. The Contractor is required to comply with these directives. Supplements or amendments may be issued during the life of the contract and will be considered to be in full force and effective immediately upon receipt by the Contractor. If compliance with such supplements and amendments changes the contract cost, it shall be a change within the meaning of the “Changes” clauses of the contract.

14. ARMY PUBLICATION – Army publications shall be made available to the Contractor during the period of the contract. These publications are located in the Medical Maintenance Branch, WBAMC.

AR 40-5 Preventive Medicine

AR 40-61, Medical Logistics Policies and Procedures

SB8-75-11 Supplement to AR 40-61

TB MED 7, Maintenance Expenditure Limits for Medical Equipment

TB MED 750-1, Operating Guide for Medical Equipment Maintenance

15. OTHER PUBLICATIONS – The following publications will be acquired by the Contractor for his use at his own expense. These publications are other than Army publications which establish guidelines for administering adequate healthcare services.

When a conflict between these publications and Army publications arises, the publication which is more restrictive will be followed.

Joint Commission of Accreditation of Healthcare Organization Manual (Current edition)

National Fire Protection Association (NFPA) 99, Health Facilities Handbook, (Current edition).

National Fire Protection Association (NFPA) 101, Life Safety Code, (Current edition).

16. DOCUMENTATION FORMS – No Contractor developed forms will be used except those used as a Service Report.

The forms listed below will be provided to the Contractor by the Government for use in the performance of this contract.

DD Form 1577, Warning Tag.

DD Form 2163, Medical Equipment Verification/Certification.

17. DEFINITIONS: Terms used throughout this contract have the following meaning:

17.1 CALIBRATION/VERIFICATION/CERTIFICATION (CVC) – The comparison of a system or device of unverified accuracy to measure system or device of known accuracy to detect and correct deviations from required performance specifications/standards. Required performance specification/standards are detailed within the original manufacturer’s service literature/manuals and Federal publications.

17.2 MAINTENANCE SERVICE – An action taken to keep equipment in a serviceable condition in accordance with original equipment manufacturer’s specifications. It includes the systemic care, inspection, service, repair, testing of equipment, and repair parts.

17.3 PREVENTIVE MAINTENANCE (PM) – A systematic scheduled inspection of equipment per the original manufacturer’s literature/service manual. Preventive maintenance includes, but is not limited lubrication, cleaning, inspections, functional tests and adjustments.

17.4 SCHEDULED SERVICES – Periodic maintenance services to medical equipment at Government prescribed times during the contract period. These services includes PM and CVC.

17.5 ON-SITE MAINTENANCE SERVICE – Scheduled and unscheduled maintenance performed at the Government’s facility and location where the equipment is utilized in the treatment and care of patients.

17.6 TEST, MEASUREMENT, AND DIAGNOSTIC REQUIREMENT (TMDE).

An instrument or device, the accuracy of which is directly traceable to the National Bureau of Standards, natural physical constant, or material with known performance characteristics, which is used to provide maintenance services on equipment listed in this contract.

17.7 UNSCHEDULED SERVICES – A repair service performed on an as required basis when an equipment item or system fails to perform as specified by the original equipment manufacturer. These are commonly referred to as repairs.

18. QUALITY ASSURANCE SURVEILLANCE PLAN (QASP)

Government Quality Assessment and Improvement (QA&I): The government will monitor the contractor’s performance under this contract using the quality and improvement procedures established by William Beaumont Army Medical Center and pursuant to the Inspection of Services Clause. Additionally, the contractor’s performance is subject to schedule and unscheduled review by quality assessment personnel as defined by the Quality Assurance Surveillance Plan.

RANGE RATING

(91-100) Exceptional

(81-90) Very Good

(71-80) Satisfactory

(61-70) Marginal

(less than 61) Unsatisfactory

ACWS TRANSITION LANGUAGE

Army Contract Writing System (ACWS) Transition Information for Offerors

a. The Army Contracting Enterprise (ACE) is in the process of deploying new solicitation and contract writing software to Army contracting offices worldwide. Known as the Army Contract Writing System (ACWS), this modern software suite will soon replace most existing Army contract writing systems, including the system used to create and release this Solicitation.

b. During this transition period, Offerors are hereby advised:

1. The Contracting Office may use any combination of contract writing systems to create and release documents related to this solicitation (e.g. solicitation amendments and awards, if any). Due to this:

PERFORMANCE

OBJECT

PERFORMANCE

STANDARD

REFERENCE

METHOD OF

ASSESSMENT

Reporting Requirements

Ensure that all technicians report to the RWBAHC, Med Maintenance Shop

Para 9.1

Verify (COR) Log Book

Field Service Reports

Ensure the Field Service Report (FSR) - is provided to the COR upon completion of PM or repair.

Para. 5

Confirm FSR is provided to the

COR.

Scheduled/Unscheduled PM’s and Repairs

All repairs must be accomplished and the unit fully operational within 3 working days.

Para 4.1

Confirm all repairs are completed.

i. This solicitation may contain different offer submission instructions than other solicitations released by the same Contracting Office (e.g. requiring offer submission via the PIEE Solicitation Module vs. e-mail). Offerors should review all offer submission instructions contained in the solicitation documents and direct any questions or concerns to the Contract Specialist or Contracting Officer.

ii. If the Contracting Office switches contract writing systems prior to award, documents you receive from the Contracting Officer or view on SAM.gov or other forums may appear noticeably different than the initial solicitation or previous solicitations or awards from the same Contracting Office. This is normal and expected.

iii. A change between contract writing systems may cause important information concerning solicitation response (amendments) or accepted terms (awards) to take on different formatting or appear in different parts of later documents issued. Offerors shall review all documents carefully to locate this important information and direct any questions or concerns to the Contract Specialist or Contracting Officer.

2. The Government does not intend to use the transition between contract writing systems to effect any changes to solicitation or award terms and conditions without accompanying document narratives explicitly stating such changes are deliberate and desired. While the Contract Specialist and Contracting Officer will take care to minimize or eliminate any inadvertent changes when adapting to the new contract writing software, you, as the Offeror, may still be the first to spot such errors. Therefore, Offerors shall:

i. Notify the Contracting Officer immediately if any observed changes, removals, or additions affect your award eligibility, violate or alter existing quote/proposal terms, or could affect Contract performance post-award.

ii. Take special care to ensure all fill-in Clauses are populated and remain populated across documents received from the Contracting Office throughout the Solicitation and Award process.

iii. Contact the Contracting Officer listed on the first page of the solicitation or solicitation amendment for guidance if you notice or suspect any inadvertent change has occurred between document issuances.

3. The Contracting Officer will correct problems affecting award documents (if any) via bilateral modification, at no cost to the Contractor. Any such modification will reconcile the award with the latest version of this solicitation reflecting deliberate action by the Contracting Officer (e.g. the first issuance if no amendments, or the latest amendment with accompanying narratives), inclusive of any documented pre-award negotiations or accepted supplemental offer terms.

4. In the unlikely event a network disruption, contract writing system error, or financial system error threatens timely award of the requirement set forth in this solicitation, the Contracting Officer:

i. May elect to use alternative mechanisms to obligate funds and allow work or deliveries to legally begin to the benefit of, and with legal protection for, both parties.

ii. Will incorporate the latest version of this Solicitation into such mechanisms to serve as a framework for contract execution until any such system problems are resolved.

iii. Will ensure any action taken does not conflict with the stated offer evaluation and award methodology of this requirement.

iv. Will issue a complete, properly-formatted award accurately reflecting this requirement and all applicable terms and conditions once systems return to normal.

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0001 4 Job

BASE AMSCO 30252 WASHER

FFP

SEE PERFORMANCE WORK STATEMENT

FOB: Destination

PURCHASE REQUEST NUMBER: 0012139799-0002

PSC CD: J065

NET AMT

0002 4 Job

BASE AMSCO 400 ANALYZER

FFP

SEE PERFORMANCE WORK STATEMENT

FOB: Destination

0003 1 Job

BASE AMSCO 400 CHAMBER CLEANING

FFP

SEE PERFORMANCE WORK STATEMENT

FOB: Destination

0004 4 Job

BASE AMSCO 400 ANALYZER

FFP

SEE PERFORMANCE WORK STATEMENT

FOB: Destination

0005 1 Job

BASE AMSCO 400 CHAMBER CLEANING

FFP

SEE PERFORMANCE WORK STATEMENT

FOB: Destination

1001 4 Job

OPTION OY1 AMSCO 30252 WASHER

FFP

SEE PERFORMANCE WORK STATEMENT

FOB: Destination

1002 4 Job

OPTION OY1 AMSCO 400 ANALYZER

FFP

SEE PERFORMANCE WORK STATEMENT

FOB: Destination

1003 1 Job

OPTION OY1 AMSCO 400 CHAMBER CLEANING

FFP

SEE PERFORMANCE WORK STATEMENT

FOB: Destination

1004 4 Job

OPTION OY1 AMSCO 400 ANALYZER

FFP

SEE PERFORMANCE WORK STATEMENT

FOB: Destination

1005 1 Job

OPTION OY1 AMSCO 400 CHAMBER CLEANING

FFP

SEE PERFORMANCE WORK STATEMENT

FOB: Destination

2001 4 Job

OPTION OY2 AMSCO 30252 WASHER

FFP

SEE PERFORMANCE WORK STATEMENT

FOB: Destination

2002 4 Job

OPTION OY2 AMSCO 400 ANALYZER

FFP

SEE PERFORMANCE WORK STATEMENT

FOB: Destination

2003 1 Job

OPTION OY2 AMSCO 400 CHAMBER CLEANING

FFP

SEE PERFORMANCE WORK STATEMENT

FOB: Destination

2004 4 Job

OPTION OY2 AMSCO 400 ANALYZER

FFP

SEE PERFORMANCE WORK STATEMENT

FOB: Destination

2005 1 Job

OPTION OY2 AMSCO 400 CHAMBER CLEANING

FFP

SEE PERFORMANCE WORK STATEMENT

FOB: Destination

3001 4 Job

OPTION OY3 AMSCO 30252 WASHER

FFP

SEE PERFORMANCE WORK STATEMENT

FOB: Destination

3002 4 Job

OPTION OY3 AMSCO 400 ANALYZER

FFP

SEE PERFORMANCE WORK STATEMENT

FOB: Destination

3003 1 Job

OPTION OY3 AMSCO 400 CHAMBER CLEANING

FFP

SEE PERFORMANCE WORK STATEMENT

FOB: Destination

3004 4 Job

OPTION OY3 AMSCO 400 ANALYZER

FFP

SEE PERFORMANCE WORK STATEMENT

FOB: Destination

3005 1 Job

OPTION OY3 AMSCO 400 CHAMBER CLEARNING

FFP

SEE PERFORMANCE WORK STATEMENT

FOB: Destination

4001 4 Job

OPTION OY4 AMSCO 30252 WASHER

FFP

SEE PERFORMANCE WORK STATEMENT

FOB: Destination

4002 4 Job

OPTION OY4 AMSCO 400 ANALYZER

FFP

SEE PERFORMANCE WORK STATEMENT

FOB: Destination

4003 1 Job

OPTION OY4 AMSCO 400 CHAMBER CLEANING

FFP

SEE PERFORMANCE WORK STATEMENT

FOB: Destination

4004 4 Job

OPTION OY4 AMSCO 400 ANALYZER

FFP

SEE PERFORMANCE WORK STATEMENT

FOB: Destination

4005 1 Job

OPTION OY4 AMSCO 400 CHAMBER CLEANING

FFP

SEE PERFORMANCE WORK STATEMENT

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 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 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 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 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

DELIVERY INFORMATION

CLIN DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

0001 POP 16-SEP-2024 TO

15-SEP-2025

N/A RAYMOND W. BLISS

POC

2240 E WINROW AVE

FORT HUACHUCA AZ 85613

FOB: Destination

HT0772

0002 POP 16-SEP-2024 TO

15-SEP-2025

N/A (SAME AS PREVIOUS LOCATION)

0003 POP 16-SEP-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

0004 POP 16-SEP-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

0005 POP 16-SEP-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

1001 POP 16-SEP-2025 TO

15-SEP-2026

N/A (SAME AS PREVIOUS LOCATION)

1002 POP 16-SEP-2025 TO

N/A (SAME AS PREVIOUS LOCATION)

1003 POP 16-SEP-2025 TO

N/A (SAME AS PREVIOUS LOCATION)

1004 POP 16-SEP-2025 TO

N/A (SAME AS PREVIOUS LOCATION)

1005 POP 16-SEP-2025 TO

N/A (SAME AS PREVIOUS LOCATION)

2001 POP 16-SEP-2026 TO

15-SEP-2027

N/A (SAME AS PREVIOUS LOCATION)

2002 POP 16-SEP-2026 TO

N/A (SAME AS PREVIOUS LOCATION)

2003 POP 16-SEP-2026 TO

N/A (SAME AS PREVIOUS LOCATION)

2004 POP 16-SEP-2026 TO

N/A (SAME AS PREVIOUS LOCATION)

2005 POP 16-SEP-2026 TO

N/A (SAME AS PREVIOUS LOCATION)

3001 POP 16-SEP-2027 TO

15-SEP-2028

N/A (SAME AS PREVIOUS LOCATION)

3002 POP 16-SEP-2027 TO

N/A (SAME AS PREVIOUS LOCATION)

3003 POP 16-SEP-2027 TO

N/A (SAME AS PREVIOUS LOCATION)

3004 POP 16-SEP-2027 TO

N/A (SAME AS PREVIOUS LOCATION)

3005 POP 16-SEP-2027 TO

N/A (SAME AS PREVIOUS LOCATION)

4001 POP 16-SEP-2028 TO

15-SEP-2029

N/A (SAME AS PREVIOUS LOCATION)

4002 POP 16-SEP-2028 TO

N/A (SAME AS PREVIOUS LOCATION)

4003 POP 16-SEP-2028 TO

N/A (SAME AS PREVIOUS LOCATION)

4004 POP 16-SEP-2028 TO

N/A (SAME AS PREVIOUS LOCATION)

4005 POP 16-SEP-2028 TO

N/A (SAME AS PREVIOUS LOCATION)

CLAUSES INCORPORATED BY REFERENCE

52.204-7 System for Award Management OCT 2018 52.204-9 Personal Identity Verification of Contractor Personnel JAN 2011 52.204-25 Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment

NOV 2021

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

NOV 2023

52.232-40 Providing Accelerated Payments to Small Business Subcontractors

MAR 2023

52.233-3 Protest After Award AUG 1996 52.247-34 F.O.B. Destination NOV 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 252.203-7005 Representation Relating to Compensation of Former DoD

Officials

SEP 2022

252.204-7003 Control Of Government Personnel Work Product APR 1992 252.204-7008 Compliance With Safeguarding Covered Defense Information

Controls

OCT 2016

252.204-7012 Safeguarding Covered Defense Information and Cyber Incident Reporting

MAY 2024

252.225-7000 Buy American--Balance Of Payments Program Certificate FEB 2024 252.225-7007 Prohibition on Acquisition of Certain Items from Communist

Chinese Military Companies

DEC 2018

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

52.204-24 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 substantial or essential component of any system, or as critical technology as part of any system. Nothing in the prohibition shall be construed to--

(i) Prohibit the head of an executive agency from procuring with an entity to provide a service that connects to the facilities of a third-party, such as backhaul, roaming, or interconnection arrangements; or

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

(2) Section 889(a)(1)(B) 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, 2020, from entering into a contract or extending or renewing a contract with an entity that uses any equipment, system, or service that uses covered telecommunications equipment or services as a substantial or essential component of any system, or as critical technology as part of any system. This prohibition applies to the use of covered telecommunications equipment or services, regardless of whether that use is in performance of work under a Federal contract. Nothing in the prohibition shall be construed to--

(i) Prohibit the head of an executive agency from procuring with an entity to provide a service that connects to the facilities of a third-party, such as backhaul, roaming, or interconnection arrangements; or

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

(c) Procedures. The Offeror shall review the list of excluded parties in the System for Award Management (SAM) (https://www.sam.gov) for entities excluded from receiving federal awards for "covered telecommunications equipment or services."

(d) Representations. The Offeror represents that--

(1) It [ ___ ] will, [ ___ ] will not provide covered telecommunications equipment or services to the Government in the performance of any contract, subcontract or other contractual instrument resulting from this solicitation. The Offeror shall provide the additional disclosure information required at paragraph (e)(1) of this section if the Offeror responds "will" in paragraph (d)(1) of this section; and

(2) After conducting a reasonable inquiry, for purposes of this representation, the Offeror represents that--

It [ ___ ] does, [ ___ ] does not use covered telecommunications equipment or services, or use any equipment, system, or service that uses covered telecommunications equipment or services. The Offeror shall provide the additional disclosure information required at paragraph (e)(2) of this section if the Offeror responds "does" in paragraph (d)(2) of this section.

(e) Disclosures.

(1) Disclosure for the representation in paragraph (d)(1) of this provision. If the Offeror has responded "will" in the representation in paragraph (d)(1) of this provision, the Offeror shall provide the following information as part of the offer:

(i) For covered equipment--

(A) The entity that produced the covered telecommunications equipment (include entity name, unique entity identifier, CAGE code, and whether the entity was the original equipment manufacturer (OEM) or a distributor, if known);

(B) A description of all covered telecommunications equipment offered (include brand; model number, such as OEM number, manufacturer part number, or wholesaler number; and item description, as applicable); and

(C) Explanation of the proposed use of covered telecommunications equipment and any factors relevant to determining if such use would be permissible under the prohibition in paragraph (b)(1) of this provision.

(ii) For covered services--

(A) If the service is related to item maintenance: A description of all covered telecommunications services offered (include on the item being maintained: Brand; model number, such as OEM number, manufacturer part number, or wholesaler number; and item description, as applicable); or

(B) If not associated with maintenance, the Product Service Code (PSC) of the service being provided; and explanation of the proposed use of covered telecommunications services and any factors relevant to determining if such use would be permissible under the prohibition in paragraph (b)(1) of this provision.

(2) Disclosure for the representation in paragraph (d)(2) of this provision. If the Offeror has responded "does" in the representation in paragraph (d)(2) of this provision, the Offeror shall provide the following information as part of the offer:

(i) For covered equipment--

(A) The entity that produced the covered telecommunications equipment (include entity name, unique entity identifier, CAGE code, and whether the entity was the OEM or a distributor, if known);

(B) A description of all covered telecommunications equipment offered (include brand; model number, such as OEM number, manufacturer part number, or wholesaler number; and item description, as applicable); and

(C) Explanation of the proposed use of covered telecommunications equipment and any factors relevant to determining if such use would be permissible under the prohibition in paragraph (b)(2) of this provision.

(ii) For covered services--

(A) If the service is related to item maintenance: A description of all covered telecommunications services offered (include on the item being maintained: Brand; model number, such as OEM number, manufacturer part number, or wholesaler number; and item description, as applicable); or

(B) If not associated with maintenance, the PSC of the service being provided; and explanation of the proposed use of covered telecommunications services and any factors relevant to determining if such use would be permissible under the prohibition in paragraph (b)(2) of this provision.

(End of provision)

52.204-26 COVERED TELECOMMUNICATIONS EQUIPMENT OR SERVICES--REPRESENTATION (OCT

2020)

(a) Definitions. As used in this provision, “covered telecommunications equipment or services” and "reasonable inquiry" have the meaning provided in the clause 52.204-25, Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment.

(b) Procedures. The Offeror shall review the list of excluded parties in the System for Award Management (SAM) (https://www.sam.gov) for entities excluded from receiving federal awards for “covered telecommunications equipment or services”.

(c) Representations.

(1) The Offeror represents that it [ ___ ] does, [ ___ ] 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.

(2) After conducting a reasonable inquiry for purposes of this representation, the offeror represents that it [ ___ ] does, [ ___ ] does not use covered telecommunications equipment or services, or any equipment, system, or service that uses covered telecommunications equipment or services.

52.209-11 REPRESENTATION BY…