6515--Expression Patient Monitoring System (MR400)

PAGE 1 OF

1. REQUISITION NO.

2. CONTRACT NO.

3. AWARD/EFFECTIVE DATE

4. ORDER NO.

5. SOLICITATION NUMBER

6. SOLICITATION ISSUE DATE

a. NAME

b. TELEPHONE NO. (No Collect Calls)

8. OFFER DUE DATE/LOCAL

TIME

9. ISSUED BY

CODE

10. THIS ACQUISITION IS

UNRESTRICTED OR

SET ASIDE:

% FOR:

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

8(A)

NAICS:

SIZE STANDARD:

11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

13b. RATING

14. METHOD OF SOLICITATION

RFQ

IFB

RFP

15. DELIVER TO

CODE

16. ADMINISTERED BY

CODE

17a. CONTRACTOR/OFFEROR

CODE

FACILITY CODE

18a. PAYMENT WILL BE MADE BY

CODE

TELEPHONE NO.

DUNS:

DUNS+4:

PHONE:

FAX:

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER

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

SEE ADDENDUM

19.

20.

21.

22.

23.

24.

ITEM NO.

SCHEDULE OF SUPPLIES/SERVICES

QUANTITY

UNIT

UNIT PRICE

AMOUNT

(Use Reverse and/or Attach Additional Sheets as Necessary)

25. ACCOUNTING AND APPROPRIATION DATA

26. TOTAL AWARD AMOUNT (For Govt. Use Only)

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

ARE

ARE NOT ATTACHED.

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA

ARE

ARE NOT ATTACHED

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN _______________

29. AWARD OF CONTRACT: REF. ___________________________________ OFFER

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

DATED ________________________________. YOUR OFFER ON SOLICITATION

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

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

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED

SET FORTH HEREIN IS ACCEPTED AS TO ITEMS:

30a. SIGNATURE OF OFFEROR/CONTRACTOR

31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

30b. NAME AND TITLE OF SIGNER (TYPE OR PRINT)

30c. DATE SIGNED

31b. NAME OF CONTRACTING OFFICER (TYPE OR PRINT)

31c. DATE SIGNED

AUTHORIZED FOR LOCAL REPRODUCTION

(REV. 2/2012)

PREVIOUS EDITION IS NOT USABLE

Prescribed by GSA - FAR (48 CFR) 53.212

7. FOR SOLICITATION

INFORMATION CALL:

STANDARD FORM 1449

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

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

10

521-20-3-237-0125

36C24720Q0712

06-12-2020

Brenda Carter

205-554-2000

06-17-2020

3:00p

679

Department of Veterans Affairs

Tuscaloosa VA Medical Center

3701 Loop Road East

Tuscaloosa AL 35404-5088

X

100

X

339112

1000 Employees

N/A

X

521

Birmingham VA Medical Center

Warehouse

700 So 19th Street

Birmingham AL 35233

679

Department of Veterans Affairs

Tuscaloosa VA Medical Center

3701 Loop Road East

Tuscaloosa AL 35404-5088

Department of Veterans Affairs

FMS-VA-2(101)

Financial Services Center

PO Box 149971

Austin TX 78714-9971

See CONTINUATION Page

Contractor shall provide and deliver (2) Expression Patient

Monitoring System with accessories to Birmingham

VA Medical Center.

THIS IS A 100% TOTAL SERVICE-DISABLED VETERAN OWNED SMALL

BUSINESS (SDVOSB) SET-ASIDE.

All SDVOSB must be registered in VETBIZ and

product/service must be on GSA Advantage for award.

See CONTINUATION Page

X

36C24720Q0712

Page 1 of

Page 2 of 10

Page 1 of

Table of Contents

SECTION A 1

A.1 SF 1449 SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS 1

SECTION B - CONTINUATION OF SF 1449 BLOCKS 3

B.1 CONTRACT ADMINISTRATION DATA 3

B.2 PRICE/COST SCHEDULE 4

ITEM INFORMATION 4

B.3 DELIVERY SCHEDULE 6

SECTION C - CONTRACT CLAUSES 7

C.1 VAAR 852.203-70 COMMERCIAL ADVERTISING (MAY 2018) 7

C.2 VAAR 852.219-74 LIMITATIONS ON SUBCONTRACTING MONITORING AND COMPLIANCE (JUL 2018) 7

C.3 VAAR 852.247-71 DELIVERY LOCATION (OCT 2018) 7

C.4 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998) 8

SECTION E - SOLICITATION PROVISIONS 9

E.1 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB 1998) 9

E.2 52.212-2 EVALUATION COMMERCIAL ITEMS (OCT 2014) 9

36C24720Q0712

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Page 6 of 10

Page 1 of

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

1. Contract Administration: All contract administration matters will be handled by the following individuals:

a. CONTRACTOR:

b. GOVERNMENT: Contracting Officer 36C247

Department of Veterans Affairs

Tuscaloosa VA Medical Center

3701 Loop Road East

Tuscaloosa AL 35404-5088

2. CONTRACTOR REMITTANCE ADDRESS: All payments by the Government to the contractor will be made in accordance with:

[X]

52.232-33, Payment by Electronic Funds Transfer System For Award Management, or

[]

52.232-36, Payment by Third Party

3. INVOICES: Invoices shall be submitted in arrears:

a. Quarterly []

b. Semi-Annually []

c. Other [X] At Delivery and acceptance of items delivered.

4. GOVERNMENT INVOICE ADDRESS: All Invoices from the contractor shall be submitted electronically in accordance with VAAR Clause 852.232-72 Electronic Submission of Payment Requests.

Department of Veterans Affairs

FMS-VA-2(101)

Financial Services Center

PO Box 149971

Austin TX 78714-9971

ACKNOWLEDGMENT OF AMENDMENTS: The offeror acknowledges receipt of amendments to the Solicitation numbered and dated as follows:

AMENDMENT NO

DATE

B.2 PRICE/COST SCHEDULE

ITEM INFORMATION

ITEM NUMBER

DESCRIPTION OF SUPPLIES/SERVICES

QUANTITY

UNIT

UNIT PRICE

AMOUNT

0001

2.00

EA

__________________

__________________

EXPRESSION PATIENT MONITOR(MR400) Part#86618

MANUFACTURER PART NUMBER (MPN): 86618

0002

2.00

EA

__________________

__________________

EXPRESSION INFORMATION PORTAL(IP5) Part#865471

MANUFACTURER PART NUMBER (MPN): 865471

0003

2.00

EA

__________________

__________________

A03 STRIP-CHART PRINTER

0004

2.00

EA

__________________

__________________

EXPRESSION MR400 ACCESSORIES Part#866428, F17 Adult F07 Access.

MANUFACTURER PART NUMBER (MPN): 866428

0005

2.00

EA

__________________

__________________

EXPRESSION MR400 ACCESSORIES Part#866428, F27 Pediatric F07 Access.

MANUFACTURER PART NUMBER (MPN): 866428

0006

2.00

EA

__________________

__________________

EXPRESSION MR400 ACCESSORIES Part#866428, H01 Power

MANUFACTURER PART NUMBER (MPN): 866428

0007

2.00

EA

__________________

__________________

EXPRESSION MR400 ACCESSORIES Part#866428, H02 Patient Connections

MANUFACTURER PART NUMBER (MPN): 866428

0008

2.00

EA

__________________

__________________

EXPRESSION MR400 ACCESSORIES Part#866428, h03 Pat. Connections-ECG CV

MANUFACTURER PART NUMBER (MPN): 866428

0009

2.00

EA

__________________

__________________

EXPRESSION MR400 ACCESSORIES Part#866428, H04 Pat. Connections-ECG Std

MANUFACTURER PART NUMBER (MPN): 866428

0010

2.00

EA

__________________

__________________

EXPRESSION MR400 ACCESSORIES Part#866428, H06 Pat. Connections-IBP

MANUFACTURER PART NUMBER (MPN): 866428

0011

2.00

EA

__________________

__________________

EXPRESSION MR400 ACCESSORIES Part#866428, H07 Pat. Connections-Temp

MANUFACTURER PART NUMBER (MPN): 866428

GRAND TOTAL

__________________

B.3 DELIVERY SCHEDULE

ITEM NUMBER

QUANTITY

DELIVERY DATE

0001

2.00

0002

2.00

0003

2.00

0004

2.00

0005

2.00

0006

2.00

0007

2.00

0008

2.00

0009

2.00

0010

2.00

0011

2.00

36C24720Q0712

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Page 8 of 10

Page 1 of

SECTION C - CONTRACT CLAUSES

C.1 VAAR 852.203-70 COMMERCIAL ADVERTISING (MAY 2018)

The Contractor shall not make reference in its commercial advertising to Department of Veterans Affairs contracts in a manner that states or implies the Department of Veterans Affairs approves or endorses the Contractor s products or services or considers the Contractor s products or services superior to other products or services.

(End of Clause)

C.2 VAAR 852.219-74 LIMITATIONS ON SUBCONTRACTING MONITORING AND COMPLIANCE (JUL 2018)

(a) This solicitation includes VAAR 852.219-10 VA Notice of Total Service- Disabled Veteran-Owned Small Business Set-Aside.

(b) Accordingly, any contract resulting from this solicitation is subject to the limitation on subcontracting requirements in 13 CFR 125.6, or the limitations on subcontracting requirements in the FAR clause, as applicable. The Contractor is advised that in performing contract administration functions, the Contracting Officer may use the services of a support contractor(s) retained by VA to assist in assessing the Contractor's compliance with the limitations on subcontracting or percentage of work performance requirements specified in the clause. To that end, the support contractor(s) may require access to Contractor's offices where the Contractor's business records or other proprietary data are retained and to review such business records regarding the Contractor's compliance with this requirement.

(c) All support contractors conducting this review on behalf of VA will be required to sign an Information Protection and Non-Disclosure and Disclosure of Conflicts of Interest Agreement to ensure the Contractor's business records or other proprietary data reviewed or obtained in the course of assisting the Contracting Officer in assessing the Contractor for compliance are protected to ensure information or data is not improperly disclosed or other impropriety occurs.

(d) Furthermore, if VA determines any services the support contractor(s) will perform in assessing compliance are advisory and assistance services as defined in FAR 2.101, Definitions, the support contractor(s) must also enter into an agreement with the Contractor to protect proprietary information as required by FAR 9.505-4, Obtaining access to proprietary information, paragraph (b). The Contractor is required to cooperate fully and make available any records as may be required to enable the Contracting Officer to assess the Contractor's compliance with the limitations on subcontracting or percentage of work performance requirement.

(End of Clause)

C.3 VAAR 852.247-71 DELIVERY LOCATION (OCT 2018)

Shipment of deliverable items, other than reports, shall be to:

Birmingham VA Medical Center

Warehouse

700 So 19th Street

Birmingham AL 35233

(End of Clause)

C.4 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

This contract incorporates one or more clauses by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. Also, the full text of a clause may be accessed electronically at this/these address(es):

http://www.acquisition.gov/far/index.html

http://www.va.gov/oal/library/vaar/

(End of Clause)

36C24720Q0712

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Page 10 of 10

Page 1 of

FAR Number

Title

Date

52.212-4

CONTRACT TERMS AND CONDITIONS COMMERCIAL ITEMS

OCT 2018

52.212-5

CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT STATUTES OR EXECUTIVE ORDERS COMMERCIAL ITEMS

MAR 2020

52.204-13

SYSTEM FOR AWARD MANAGEMENT MAINTENANCE

OCT 2018

52.204-18

COMMERCIAL AND GOVERNMENT ENTITY CODE MAINTENANCE

JUL 2016

52.232-40

PROVIDING ACCELERATED PAYMENTS TO SMALL BUSINESS SUBCONTRACTORS

DEC 2013

852.212-70

PROVISIONS AND CLAUSES APPLICABLE TO VA ACQUISITION OF COMMERCIAL ITEMS

APR 2020

852.212-71

GRAY MARKET ITEMS

APR 2020

852.219-10

VA NOTICE OF TOTAL SERVICE-DISABLED VETERAN-OWNED SMALL BUSINESS SET-ASIDE

JUL 2019

SECTION E - SOLICITATION PROVISIONS

E.1 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB 1998)

This solicitation incorporates one or more solicitation provisions by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. The offeror is cautioned that the listed provisions may include blocks that must be completed by the offeror and submitted with its quotation or offer. In lieu of submitting the full text of those provisions, the offeror may identify the provision by paragraph identifier and provide the appropriate information with its quotation or offer. Also, the full text of a solicitation provision may be accessed electronically at this/these address(es):

http://www.acquisition.gov/far/index.html

http://www.va.gov/oal/library/vaar/

(End of Provision)

FAR Number

Title

Date

52.204-7

SYSTEM FOR AWARD MANAGEMENT

OCT 2018

52.204-16

COMMERCIAL AND GOVERNMENT ENTITY CODE REPORTING

JUL 2016

52.211-6

BRAND NAME OR EQUAL

AUG 1999

52.212-3

OFFEROR REPRESENTATIONS AND CERTIFICATIONS COMMERCIAL ITEMS

MAR 2020

52.214-21

DESCRIPTIVE LITERATURE

APR 2002

52.212-1

INSTRUCTIONS TO OFFERORS COMMERCIAL ITEMS

OCT 2018

E.2 52.212-2 EVALUATION COMMERCIAL ITEMS (OCT 2014)

(a) The Government will award a contract resulting from this solicitation to the responsible offeror whose offer conforming to the solicitation will be most advantageous to the Government, price and other factors considered. The following factors shall be used to evaluate offers:

Technical

Salient Characteristics

Technical and past performance, when combined, are .

(b) Options. The Government will evaluate offers for award purposes by adding the total price for all options to the total price for the basic requirement. The Government may determine that an offer is unacceptable if the option prices are significantly unbalanced. Evaluation of options shall not obligate the Government to exercise the option(s).

(c) A written notice of award or acceptance of an offer, mailed or otherwise furnished to the successful offeror within the time for acceptance specified in the offer, shall result in a binding contract without further action by either party. Before the offer's specified expiration time, the Government may accept an offer (or part of an offer), whether or not there are negotiations after its receipt, unless a written notice of withdrawal is received before award.

(End of Provision)

Salient Characteristics

MRI Patient Monitoring System

Monitoring Systems shall meet or exceed the following salient characteristics:

-Gauss Rating of at least 3,000 or above

-12 months product warranty

-Upgradeable Software

-Wireless capability

-3 Lead ECG cable

-O2 Sat

-ETCO2 and Agent capability

-NIBP, Temp, and Alarm Light

-User touch screen and separate control room display

-External Battery management