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 57 36C26224Q1482 07-12-2024 Doan, Anette 562-766-2200 07-26-2024 12PM PDT 36C262 Department of Veterans Affairs Network Contracting Office 22 4811 Airport Plaza Drive Suite 600 Long Beach CA 90815 X 100 X 339112 1000 Employees N/A X 36C262 Department of Veterans Affairs VA Los Angeles Healthcare System 11000 Wilshire Blvd Los Angeles CA 90024 36C262 Department of Veterans Affairs Network Contracting Office 22 4811 Airport Plaza Drive Suite 600 Long Beach CA 90815 Department of Veterans Affairs Financial Services Center Submit invoices electronically to: www.tungsten-network.com 1-877-489-6135 See CONTINUATION Page PLEASE ENSURE THE FOLLOWING INFORMATION IS REFERENCED ITEM SCHEDULE, SALIENT CHARACTERISTICS, AND ALL CLAUSES THIS IS A BRAND NAME OR EQUAL REQUIREMENT FOR PORTABLE ULTRASOUND BLADDER SCANNER REQUEST FOR QUOTE (RFQ) 36C26224Q1482 IS SET-ASIDE FOR COMPETITION AMONGST SDVOSB DELIVER BY: 30 Calendar Days ARO QUOTE MUST BE SUBMITTED VIA EMAIL TO ANETTE.DOAN@VA.GOV QUOTE MUST BE VALID FOR AT LEAST 60 DAYS OFFERS TO THIS SOLICITATION SHALL BE E-MAILED NO LATER THAN 12:00 PM PST ON JULY 26, 2024 See CONTINUATION Page X Doan, Anette 36C26224Q1482 Page 1 of 57 Page 2 of 54 Page 1 of 57 Table of Contents SECTION B - CONTINUATION OF SF 1449 BLOCKS 4 B.1 CONTRACT ADMINISTRATION DATA 4 B.2 SALIENT CHARACTERISTICS 5 B.3 PRICE/COST SCHEDULE 6 ITEM INFORMATION: BRAND NAME OR EQUAL 6 B.4 DELIVERY SCHEDULE 6 SECTION C - CONTRACT CLAUSES 7 C.1 52.204-23 PROHIBITION ON CONTRACTING FOR HARDWARE, SOFTWARE, AND SERVICES DEVELOPED OR PROVIDED BY KASPERSKY LAB AND OTHER COVERED ENTITIES (NOV 2021) 7 C.2 52.204-27 PROHIBITION ON A BYTEDANCE COVERED APPLICATION (JUN 2023) 8 C.3 52.212-4 CONTRACT TERMS AND CONDITIONS COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (DEC 2022) 9 C.4 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT STATUTES OR EXECUTIVE ORDERS COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (FEB 2024) 14 C.5 52.217-6 OPTION FOR INCREASED QUANTITY (MAR 1989) 23 C.6 52.225-1 BUY AMERICAN SUPPLIES (OCT 2018) 23 C.7 52.232-33 PAYMENT BY ELECTRONIC FUNDS TRANSFER SYSTEM FOR AWARD MANAGEMENT (OCT 2018) 23 C.8 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998) 25 C.9 VAAR 852.219-73 VA NOTICE OF TOTAL SET-ASIDE FOR CERTIFIED SERVICE-DISABLED VETERAN-OWNED SMALL BUSINESSES (JAN 2023) (DEVIATION) 25 C.10 VAAR 852.219-76 VA NOTICE OF LIMITATIONS ON SUBCONTRACTING CERTIFICATE OF COMPLIANCE FOR SUPPLIES AND PRODUCTS (JAN 2023) (DEVIATION) 28 C.11 VAAR 852.232-72 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS (NOV 2018) 30 C.12 VAAR 852.247-71 DELIVERY LOCATION (OCT 2018) 31 C.13 VAAR 852.247-72 MARKING DELIVERABLES (OCT 2018) 32 C.14 VAAR 852.247-73 PACKING FOR DOMESTIC SHIPMENT (OCT 2018) 32 SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS 33 SECTION E - SOLICITATION PROVISIONS 34 E.1 52.211-6 BRAND NAME OR EQUAL (AUG 1999) 34 E.2 52.212-1 INSTRUCTIONS TO OFFERORS COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (MAR 2023) 34 E.3 ADDENDUM to FAR 52.212-1 INSTRUCTIONS TO OFFERORS COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES 38 E.4 52.212-2 EVALUATION COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (NOV 2021) 40 E.5 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (DEC 2022) 40 E.6 52.216-1 TYPE OF CONTRACT (APR 1984) 57 E.7 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB 1998) 57 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: TBD b. GOVERNMENT: Contracting Officer, Anette Doan Department of Veterans Affairs Network Contracting Office 22 4811 Airport Plaza Drive, Suite 600 Long Beach CA 90815 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] Approved Invoice Per Contract Terms and Conditions 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 Financial Services Center P.O. Box 149971 Submit invoices electronically to: http://www.tungsten-network.com ACKNOWLEDGMENT OF AMENDMENTS: The offeror acknowledges receipt of amendments to the Solicitation numbered and dated as follows: AMENDMENT NO DATE B.2 SALIENT CHARACTERISTICS: BRAND NAME OR EQUAL Accuracy ± 7.5% on volumes 100-999 mL or ± 7.5 mL on volumes 0-100 mL* Accelerated Workflow ImageSense technology enables one-mode, point-and-click scanning, automatically adjusting to all patient types with consistent accuracy: male, female, and small child Measures small volumes precisely and consistently: 0 999 mL* BladderTraqTM: Real time auto-location of the bladder helps ensure accurate scans through live B-mode pre-scan aiming. This onscreen bladder capture feature highlights and outlines only the bladder, giving users confidence in what they are measuring Automated 3D Volume Acquisition: One-step, point-and-click with no manual probe fanning or rocking Time from scan initiation to results displayed: less than 5 seconds Pubic Bone Indicator: A unique functionality alerts users when the pubic bone may have interfered with the accuracy of the scan EdgeScan: Post-scan aiming guidance notifies users if the entire bladder has not been fully captured, helping ensure accurate bladder measurements Probe design: A unique, specially contoured, organic shape enables an assured grip of the probe, providing ease of use across all patient types and positions and reducing chances of probe drops Single handed probe docking reduces probe fumbling and drops Pairs with a quiet glide workstation featuring a 360-degree handle for easy positioning in a variety of settings. Includes generous storage bin for supplies. Intuitive graphical user interface with on-board tutorial: Easily accessible, guiding user at the point of where they are in the workflow Monitor clarity: Medical grade, optically bonded 10.1 (25.6 cm) full-color LCD touch screen. When used with the workstation, adjustable monitor height and easy angling enable optimal viewing and glare reduction across multiple settings Bright LED patient orientation markers ensure proper probe alignment Charting tool to easily transfer exam results to any EHR system with no IT project management overhead or implementation required. Tough and Ready Dependability Device Charging: Both on-board charging and user-swappable battery enables the system to be up and running in a matter of seconds, minimizing downtime Durability: Designed with custom-blended medical grade materials to withstand fast-kill disinfectants, metal gears and industrial strength probe cables to support 24/7 uptime within taxing hospital environments CaliScanTM: Fully automated, embedded probe diagnostic feature confirms probe functionality in near real-time and streamlines preventative maintenance cycles Fully sealed probe (IPX4 rating) and drip-resistant console (IPX2 rating) ensure precision electronics are protected against accidental spills Probe management: Probes are interchangeable between consoles with no need for recalibration, simplifying spare probe management Investment Advantages No routine calibration needed 5-year factory warranty covers all damage and failures associated with the probe and the console Same-day loaner shipping when order is processed by 2:00 PM PST Typical service turn-around time is 5-days from receipt of instrument Complimentary nurse-handling training at purchase and refresh training upon request Software updates and fleet management services are complimentary Cleaning and disinfection: Comprehensive list of active ingredients including fast-kill disinfectants to cover all types of hospital environments Serviced in the USA by the manufacturer Other Features Password protection for Patient Healthcare Information (PHI) Quick transfer of configuration settings: Clone preferred device settings across the fleet Device configuration lockdown functionality ensures compliance with individual hospital regulations and best practices Internal memory: Holds up to 600 exams Workstation-mounted printer is optional B.3 PRICE/COST SCHEDULE ITEM INFORMATION: BRAND NAME OR EQUAL ITEM NUMBER DESCRIPTION OF SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0001 2.00 EA __________________ __________________ BladderScan i10 US & Workstation+Printer LOCAL STOCK NUMBER: 0069-0090 GRAND TOTAL __________________ B.4 DELIVERY SCHEDULE ITEM NUMBER SHIPPING INFORMATION QUANTITY DELIVERY DATE 0001 2.00