6515--MARCO EXAM CHAIR WITH STAND Brand Name or Equal

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.

UEI:

EFT:

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. NOV 2021)

PREVIOUS EDITION IS NOT USABLE

Prescribed by GSA - FAR (48 CFR) 53.212

7. FOR SOLICITATION

INFORMATION CALL:

STANDARD FORM 1449

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES

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

12

550-23-1-985-0022

36C25223Q0583

05-09-2023

Mack Taylor

224-610-3648

05-22-2023

11:59PM

CDT

36C252

Department of Veterans Affairs

Great Lakes Acquisition Center (GLAC)

3001 Green Bay Road

North Chicago IL 60064

X

100

X

339112

1000 Employees

N/A

X

36C550

William S. Middleton VAMC

2500 Overlook Terrace

Madison, WI 53705

36C252

Department of Veterans Affairs

Great Lakes Acquisition Center (GLAC)

3001 Green Bay Road

North Chicago IL 60064

Department of Veterans Affairs

Financial Services Center

PO Box 149971

Austin TX 78714-9971

877-353-9791

512-460-5540

See CONTINUATION Page

EXAM CHAIR WITH STAND

and accessories

Please send quotes to mack.taylor2@va.gov

or upload to eBUY

See CONTINUATION Page

x

X

Mack Taylor

VA-VHA-SAOC-2018-E710785A

36C25223Q0583

Page 1 of

Page 43 of 43

Page 1 of

SECTION B - CONTINUATION OF SF 1449 BLOCKS

SECTION B - CONTRACT ADMINISTRATION DATA

B.1 CONTRACT ADMINISTRATION

All contract administration matters will be handled by the following individuals:

A. CONTRACTOR: ________________________________ (Contractor s Name)

________________________________ (Address)

________________________________ (City-State-Zip)

________________________________ (Point of Contact/Title)

________________________________ (Phone/FAX Number)

________________________________ (E-Mail Address)

________________________________ (DUNS Number)

________________________________ (Federal Tax ID)

________________________________ (GSA/FSS Contract)

B. GOVERNMENT: MACK TAYLOR, CONTRACTING OFFICER

DEPARTMENT OF VETERANS AFFAIRS

GREAT LAKES ACQUISITION CENTER

115 S. 84TH ST., SUITE 100

MILWAUKEE WI 53214-1476

PHONE NUMBER: 224-610-3648

EMAIL: MACK.TAYLOR2@VA.GOV

B.2 CONTRACTOR REMITTANCE ADDRESS

All payments by the Government to the contractor will be made in accordance with:

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

B.3 INVOICES

Invoices shall be submitted in arrears in accordance with:

a. 852.232-72 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS (NOV 2018)

b. UPON ACCEPTANCE OF ITEMS

B.4 GOVERNMENT INVOICE ADDRESS

All invoices from the contractor shall be submitted electronically in accordance with 852.232-72 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS (NOV 2018)

FACSIMILE, E-MAIL, AND SCANNED DOCUMENTS ARE NOT ACCEPTABLE FORMS OF SUBMISSION FOR PAYMENT REQUESTS.

 For assistance setting up e-Invoice, the below information is provided:

* Vendors must register online at http://www.tungsten-network.com/veteransaffairs/

*Â Tungsten Network Setup Information: 1-866-340-4980

*Â Tungsten Network email: VA.Registration@tungsten-network.comÂ

*Â FSC Vendor Support Section Contact: 1-877-353-9791

*Â FSC Vendor Support Section email: vafsccshd@va.gov

Vendors can inquire on the status of payments by accessing VIS at: https://www.vis.fsc.va.gov/login.aspx?ReturnUrl=%2fDefault.aspx

INVOICES: Invoices shall be submitted in arrears:

a. Quarterly _______

b. Semi-Annually _______

c. Other X Upon Receipt of Equipment

GOVERNMENT INVOICE ADDRESS: All invoices from the contractor shall be mailed to the following address:

DEPARTMENT OF VETERANS AFFAIRS

FINANCIAL SERVICES CENTER

PO BOX 149971

AUSTIN, TX 78714-9975

Vendor inquires: Toll Free Number 1-877-353-9791

B.5 BASIS OF AWARD

The Government will make the award to the lowest price technically acceptable offer.

B.6 SECURITY & PRIVACY CONTROL

The Certification & Accreditation (C&A) requirements of VHA Handbook 6500.6 do not apply to this requirement; therefore, a Security Accreditation package is not required. No C&A or MOU/ISA is required. Sensitive information exposure as part of this contract involves applicable security controls within the facility as part of the VA Information Security Program.

If there are any questions related to privacy, please have a member of your staff contact the VA Privacy Service at 202-461-6309. If there are any questions related to the information security, please have a member of your staff contact the Office of Cyber Security at 304-262-7733.

BRAND NAME OR EQUAL (EXAM CHAIR WITH STAND)

Salient Characteristics:

Marco Encore Automatic Exam Chair (black, standard headrest) 2

-Fingertip switches, as well as corded foot switch, that automatically control chair elevation, recline, and

auto-return functions.

-Hydraulic system for smooth, quiet reliable adjustments

-Single-handed headrest

-Foot activated rotation lock

-Not to exceed 46 length fully reclined, 24 in width (arm to arm), and 24 width of base

-Must be compatible with wheelchair glide system

Marco Deluxe 2 Instrument Stand 2

-Electronic release button and chair elevation switches located on the lower slit lamp arm

-Slit lamp arm range must accommodate wheel chair patients

-A counterbalanced refractor arm allowing one-handed, immediate three-way locking of the refractor.

-A full-featured flat overlay switch panel to control the slit lamp, chart projector, accessory instrument,

overhead lamp, chair elevation, and voltage for a corded instrument

-Overhead lamp with multiple adjustments, rotation stops and an on/off switch

-Three rechargeable instrument wells and three 115V electrical receptacles

-Scuff-resistant, high-impact base cover

-Wheelchair accessible

-Base must not exceed 23 x23 ; height must not exceed 75 (not including lamp)

B.7 PRICE/COST SCHEDULE

ITEM INFORMATION

ITEM NUMBER

DESCRIPTION OF SUPPLIES/SERVICES

QUANTITY

UNIT

UNIT PRICE

AMOUNT

0001

2.00

EA

__________________

__________________

Marco Encore Automatic Recline Chair QT (Part Number: 1220_BLACK)

0002

2.00

EA

__________________

__________________

Marco Deluxe Stand Warm Gray

GRAND TOTAL

__________________

B.8 DELIVERY SCHEDULE

ITEM NUMBER

QUANTITY

DELIVERY DATE

0001

2.00

Specify Delivery Date

BRAND NAME OR EQUAL (Marco Encore Automatic Recline Chair with Stand)