Optometry lanes NX & installation **ALL CLINS BRAND NAME REQUIREMENT**

COMBINED SYNOPSIS SOLICITATION

(i) This is a combined synopsis/solicitation for EXAM TABLES (IDIQ) BRAND NAME, as prepared in accordance with the format in Subpart 12.6, as supplemented with additional information included in this notice. This announcement constitutes the only solicitation; quotes are being requested and a written solicitation will not be issued. A firm-fixed price purchase order is anticipated.

(ii) The solicitation number is 36C24418Q0425 and is issued as a request for quotation (RFQ).

(iii) The solicitation document and incorporated provisions and clauses are those in effect through Federal Acquisition Circular 2005-95

(iv) This solicitation is set aside 100% for Service-Disabled Veteran-Owned Small Businesses and the associated NAICS 339112 code has a small business size standard of 1000.

(v) Contract Line Items (CLIN): ALL CLINS ARE A BRAND NAME

ITEM NUMBER

DESCRIPTION OF SUPPLIES/SERVICES

QUANTITY

UNIT

UNIT PRICE

AMOUNT

0001

Reliance 942 Chair Glide



2.00

EA

__________________

__________________

0002

Heine mPack Unplugged Battery Pack Only



4.00

EA

__________________

__________________

0003

Heine Omega 500 LEDHQ Unplugged with HC50L Rheostat Battery & EN50U Wall Charger



4.00

EA

__________________

__________________

0004

Refraction Desk Prewire Kit



4.00

EA

__________________

__________________

0005

Lombart Standard Refraction Desk with Console, Left Handed Requires Prewire, Specify Vltg



4.00

EA

__________________

__________________

0006

Lombart Standard Trimline 6 Drawer Desk Bottom with Pop-Up Trail Lens, Drawer, Left Handed



4.00

EA

__________________

__________________

0007

Reliance 7800-NC Floor Unit with Wheelchair Modification #20 Pearl



4.00

EA

__________________

__________________

0008

Reliance 7000-LFC Chair #20 Pearl, Upholstry Color Required



4.00

EA

__________________

__________________

0009

Reliance 5346 Pneumatic Stool #206 Charcoal - Free Promo



4.00

EA

__________________

__________________

0010

Reichert 11637 Plus Cylinder Black Illuminated Phorotor with Reading Rod, Near Card, and Accessory Lenses



4.00

EA

__________________

__________________

0011

Lombart CVS Micor PC Acuity System



4.00

EA

__________________

__________________

0012

Front Surface Mirror Set Limestone, 12"X12"



4.00

EA

__________________

__________________

0013

Lombart Full diameter Trail Lens Set with Plus Cylinder in Case



4.00

EA

__________________

__________________

0014

Lombart Metal Trail Frame



4.00

EA

__________________

__________________

0015

Haag-Streit 900 BQ LED Slit Lamp, Unit Model



4.00

EA

__________________

__________________

0016

Haag-Streit 5050 Selectable Beamsplitter for BQ Observer



4.00

EA

__________________

__________________

0017

Haag-Streit Short Observer Tube with Eyepiece (Requires Beamsplitter)



4.00

EA

__________________

__________________

0018

Haag-Streit Short BP/BQ/BX Applanation Tonometer (Alchol on Prism VOIDS Warranty) - Free Promo



4.00

EA

__________________

__________________

0019

Haag-Streit Measuring Prism (Soaking/Wiping with Alcohol will VOID Warrenty)



80.00

EA

__________________

__________________

0020

Keeler Vantage Plus LED Wireless Indirect with Slimline Charging System (Work fine with Narrow PD)



4.00

EA

__________________

__________________

0021

Installation Charge



4.00

EA

__________________

__________________









GRAND TOTAL

__________________



B.2 DELIVERY SCHEDULE

ITEM NUMBER

QUANTITY

DELIVERY DATE

0001

SHIP TO:

SEE DELIVERY SCHEDULE



0.00

SEE DELIVERY





(vi) Comparable products must be Brand Name in the following specifications:

Optometry Lanes Community Clinic Activation

Statement of Work

Background:

The Lebanon VA Medical Center (LVAMC) has a requirement for the installation of four (4) optometry lanes. The requirement is for two lanes in each of the new community clinics in Mechanicsburg and Lancaster. Construction of the clinics is underway, and the installation will be required when construction is complete.

Each required Optometry Lane package consists of:

Reliance 7800ICWC Floor Model Stand

Reliance 7000 Exam Chair

Reliance 5346 Pneumatic Stool

Reliance 942 Chair Glide

Heine mPack Unplugged Battery Pack Only

Heine Omega 500 LEDHQ Unplugged with HC50L Rheostat, Battery & EN50U Wall Charger

Keeler Vantage Plus LED Wireless Indirect Ophthalmoscope

Haag-Streit 900 BQ LED Slit Lamp with Accessories

Haag-Streit 5050 Selectable Beamsplitter for BQ Observer

Haag-Streit Short Observer Tube with Eyepiece

Haag-Streit Short BP/BQ/BX Applanation Tonometer

Haag-Streit Measuring Prism

Reichert 11637 Phoroptor with accessories

Trial Lens Kit

Trial Lens Frame

Lombart CVS Micro PC Digital Acuity System

Front Surface Mirror Set

Lombart Standard Refraction Desk with Console/Left Handed

Refraction Desk Prewire kit

Lombart Standard Trimline 6 Drawer Desk Bottom with Pop-up Trial Lens Drawer/Left Handed.



The LVAMC providers presently utilize the above package of equipment at our main campus. We are requesting to purchase this equipment to maintain continuity in care offered to our Veterans as well as continue standardized equipment for operational, safety, and teaching purposes at this facility. Providers perform exams at several locations, and consistency of equipment is clinically necessary for a consistent standard of care and uniform results. Additionally, providers are trained and familiar with the listed equipment, and installing optometry lanes with the same brand-name equipment will allow them to seamlessly deliver patient care in each location without delaying care.

Scope of Work:

The vendor shall provide all resources necessary to accomplish the deliverables, and proper installation of deliverables described in this statement of need (SON), except as may otherwise be specified. Trade-In Values should be applied for replaced equipment.

Salient Characteristics of the Reliance 7800 ICWC Stand:

Conforms perfectly to the Reliance 7000 Chair

Slit lamp arm travels 12 and counterbalances for instruments from 12 to 60lbs.

Has upper refractor arm with 10 range of movement, which delivers instruments up to 20lbs.

Includes 3 rechargeable instrument wells

Includes backlit membrane switches

Has a Halogen Lamp

Passes all rigorous CSA,C/US tests affirming safety, durability, and has received a certificate of compliance

Provides wheelchair access



Salient Characteristics of the Reliance 7000 Exam Chair:

Dual Side Operation can control side from both sides.

Adjustable concave headrest with single hand locking capability.

Upholstered armrests which lock in place and release on both chair sides.

Large hinged footrest which supports patients weight, and tilts out of way.

Reclines nearly flat for procedures.

Power hydraulic square base which provides patient stability. Finger and corded footswitch raise, lower or recline chair without breaking patient contact.

Passes CSA testing and is certified in safety and durability in CSA, C/US certification of compliance.

Technical Specifications:

Base: 22 5/16

Overall Width 24 ½

Overall Depth (excluding headrest) 36

Table Position: 60

Seat- 19 wide X 18 ½ deep

Armrest distance: 19

Base height choice

Shipping Weight 325lbs

Electrical 115v, 60/50 Hz, 6.3 amperes total. Options available.



Salient Characteristics of the Lombart 5346 Pneumatic Stool:

Adjustable, tilted, and upholstered backrest

Horizontal and Vertical tailored ergonomic fit

5 legs

Base circumference exceeds that of the seat

Height adjustment ranges from 19.5 to 25

Weight 20lbs.



Salient Characteristics of the Reliance 942 Chair Glide:

Heavy Duty Stops

Locking Pedal

Case-hardened steel rollers

Fits any surface

Base Plate Length: 52 overall, wide section 28 , Narrow 24

Base Plate Width: Wide Section 20 , Narrow 6

Track: ¾ wide by 3/16 high by 52 long.

Overall Carriage Length: 29 , Width: 26

Heine mPack Unplugged Battery Pack Only

Heine Omega 500 LEDHQ Unplugged with HC50L Rheostat, Battery & EN50U Wall Charger



Salient Characteristics of the Keeler Vantage Plus LED Wireless Indirect Ophthalmoscope :

Units must be wireless

Enclosed KeeView Optics specially coated and laser aligned.

Made of lightweight, but durable materials, with soft cushioning for comfort fit.

Ease and efficiency in ability to change bulbs.

The Illumination Rheostat is to be mounted on the headband making the illumination easily accessible and adjustable. The Keeler unit has the brightest illumination of all other models of Ophthalmoscopes, however, can be turned down to as low as 2% of the maximum required.

Must have IR/UV Filters providing continual 100% protection. The filters shall be built into the optics of the unit.

Must have a wide angle diffuser, eliminating shadows, and expanding the field of view, and minimizing the discomfort to the patient as the intensity of the light is softer.

Windows 7 Operating System

Teaching Mirror must slide on and off, allowing two providers to view the Retina simultaneously.

Must have HiMag Lens which provides 1.6x additional magnification which can slide on and off easily when not needed.

Technical Specs:

Interface: USB 2 mini B

Supply: Taken from USB 2 Interface

Resolution: To test pattern 6 of group 2 on 1951 USAF Test Pattern (conforms to MIL-STD 150A standard) when used in combination with 2OD lens.

Will work with any Video Package capable of receiving video input from a USB Source.

Camera can be adjusted + 7 degrees

Focus 11-24 inches

Weight of unit cannot exceed 662g



Salient Characteristics of the Haag-Streit 900 BQ LED Slit Lamp:

LED Illumination Head Light Source

Eyepiece with double cross hair reticule

Switch for beam splitter

Diffusor

Pivoting background illumination

Imaging Module IM 900

Release Bar

Illumination Control

High precision mechanics built with high grade materials, ensuring decades long durability and longevity



Haag-Streit Slit Lamp Accessories:

Haag-Streit 50/50 Selectable Beamsplitter for BQ Observer

Haag Streit Short Observer Tube with Eyepiece (Requires Beamsplitter)

Haag-Streit BP/BQ/BX Applanation Tonometer

Haag-Streit Measuring Prism



Salient Characteristics of the Reichert 11637 Black Illuminated Phoroptor with Plus Cylinder, reading rod, near card, cover and accessory lenses :

Industry Standard for over 80 years.

Lighted dials making operation easier in a darkened refraction room

Lighted sphere, cylinder power and cylinder axis scales

LED design resulting in never needing to change a bulb

Lens position and power verified by an auto-indexing, PC-based lensmeter

Precision geared rotary prism for more precise interpolation of small prism diopters

Corrosion-resistant materials

Lenses secured by highly precise automated adhesive dispensers

Precision machined, industrial strength aluminum lens dials

Heavy duty, precision bearing races

Plus Cylinder

Accessories:

Reading Rod

Near Card

Cover

Accessory Lenses



Salient Characteristics of the Lombart Full Diameter Trial Lens Set w/plus cylinders:

Plus Cylinders

Case Included

Metal trial frame



Salient Characteristics of the Lombart CVS Micro PC Digital Acuity System:

Display: 19 inches LCD backlit display

Max Illumination: 220 cd/m2

Photopic Illumination: 85 cd/m2

Mesopic Illumination: 3cd/m2

Height: 16.91 Inches (42.95 cm)

Width: 19.88 inches (50.49 cm)

Depth: 3.25 inches (8.26 cm)

Power Requirements: 100-240- volts AC, 50/60 Hz, 70-95 VA

Fuses: T3.15AL250

Refraction Range: 6 ft. (1.83m) 31 ft (9.5 m)

Configures for direct or mirrored viewing

Large Range of optotypes: 17 letter set, 8 letter set, Sloan, HOTV, Landolt C, Landolt C and O, Tumbling E

Random sequencing of optotypes

Special Test Charts for astigmatism testing, suppression and fixation

Contrast Sensitivity testing with sine-wave grating or contrast optotypes

Compliant with ETDRS protocol

Adjustable red/green for compatibility with any refraction system

Patient education slides

Infrared Remote Control

All in one system, no separate components or software.

Accessories:

Front Surface Mirror Set Limestone 12 X 12



Salient Characteristics of the Lombart Standard Refraction Console, Left Handed:

Hand Instrument Console w/3 rechargeable wells, main switch, rheostat, and auxiliary instrument switches

Depth: 23 ¾

Angled Drawer for Trial Lens Kit



Salient Characteristics of the Lombart Standard Left Handed Trimline 6 Drawer Refraction Desk Bottom:

Length: 61

Height: 32

Depth: 25

6 drawers

Left handed construction



Additional Information:

Purchasing brand-name only for our new clinics will maintain continuity of care for Veterans, as well as continue using standardized equipment for operational safety, and teaching purposes at this facility.

Delivery/Installation:

Installation in the LVAMC clinic shall be coordinated through Bio-Med, Optometry Chief and/or COR.

Cumberland County VA Clinic

Rossmoyne Business Park

5070 Ritter Road

Mechanicsburg, PA 17055



Lancaster VA Clinic

212 Willow Valley Lakes Drive

Willow Street, PA 17584



PLEASE NOTE: Staggered delivery and direct delivery to the receiving Outpatient Clinic may be requested for this equipment which coordinates with the opening of each Outpatient Clinic.

All deliveries shall be coordinated with the COR before arrival. Failure to coordinate delivery will be grounds to refuse delivery.

(viii) The provision at 52.212-1, Instructions to Offerors -- Commercial, applies to this acquisition and the following clauses AND instructions are added as addenda:

CLAUSES:

52.214-21 Descriptive Literature (APR 2002)

852-219-10 VA Notice of Total Service-Disabled Veteran-Owned Small Business Set-Aside



(a) Gray market items are Original Equipment Manufacturer s (OEM) goods sold through unauthorized channels in direct competition with authorized distributors. This procurement is for new OEM medical supplies, medical equipment and/or services contracts for maintenance of medical equipment (i.e. replacement parts) for VA Medical Centers.  No remanufactures or gray market items will be acceptable.

 

(b) Vendor shall be an OEM, authorized dealer, authorized distributor or authorized reseller for the proposed medical supplies, medical equipment and/or services contracts for maintenance of medical equipment (i.e. replacement parts), verified by an authorization letter or other documents from the OEM, such that the OEM s warranty and service are provided and maintained by the OEM.  All software licensing, warranty and service associated with the medical supplies, medical equipment and/or services contracts for maintenance of medical equipment shall be in accordance with the OEM terms and conditions.



(c) The delivery of gray market items to the VA in the fulfillment of an order/award constitutes a breach of contract.  Accordingly, the VA reserves the right enforce any of its contractual remedies. This includes termination of the contract or, solely at the VA s election, allowing the Vendor to replace, at no cost to the Government, any remanufactured or gray market item(s) delivered to a VA medical facility upon discovery of such items. 

(ix) Evaluation of this requirement will be based on PRICE ONLY

(AUTHORIZED DISTRIUBTOR LETTERS MUST BE INCLUDED)

(x) Offerors are advised to include a completed copy of the provision at 52.212-3, Offeror Representations and Certifications -- Commercial Items, with its offer if has not been completed on SAM.gov.

(xi) The clause at 52.212-4, Contract Terms and Conditions -- Commercial Items, applies to this acquisition and the following clauses are added as addenda:

(End of Clause)

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://farsite.hill.af.mil

https://acquisition.gov/far

(End of Clause)



852.203-70 Commercial Advertising (JAN 2008)

852.246-71 Inspection (Jan 2008)

(xii) The clause at 52.212-5, Contract Terms and Conditions Required To Implement Statutes Or Executive Orders -- Commercial Items, applies to this acquisition and the following additional FAR clauses cited in the clause are applicable to the acquisition:

52.204-10 Reporting Executive Compensation & First-Tier Subcontract Awards (OCT 2015)

52.209-6 Protecting the Government s Interest When Subcontracting with Contractors Debarred, Suspended, or Proposed for Debarment (OCT 2015)

52.219-28 Post Award Small Business Program Representation (JUL 2013)

52.222-19 Child Labor--Cooperation with Authorities and Remedies (FEB 2016) (E.O. 13126)

52.222-21 Prohibition of Segregated Facilities (APR 2015)

52.222-26 Equal Opportunity (APR 2015)

52.222-36 Equal Opportunity for Workers with Disabilities (JUL 2014)

52.222-50 Combating Trafficking in Persons (MAR 2015)

52.223-18 Encouraging Contractor Policies to Ban Text Messaging While Driving (AUG 2011)

52.225-3 Buy American--Free Trade Agreements--Israeli Trade Act (MAY 2014)

52.225-13 Restrictions on Certain Foreign Purchases (JUNE 2008)

52.232-34 Payment by Electronic Funds Transfer--Other than System for Award Management (JUL 2013)

(xiii) There are no additional contract requirements, terms or conditions.

(xiv) The Defense Priorities and Allocations System (DPAS) ratings are NOT APPLICABLE.

(xv) Quotes must be emailed to amanda.saunders@va.gov and received no later than NOON EST on 4/2/2018 AT 2 pm EST

Quotes may be submitted on this document (If you use this form, Include your company information name, address, phone number, POC, POC email, and DUNS #) or the vendor s own form.

If you are not the manufacturer then an AUTHORIZED DISTRIBUTOR LETTERS needs to be provided with your quote in order to be considered for the award.

NO LATES WILL BE ACCEPTED

(xvi) For information regarding the solicitation, please contact Amanda Saunders at amanda.saunders@va.gov