Q525--Mobile Lithotripsy Laser Equipment and Services - 621 Amendment to update Price Schedule and Scope of Work
Contract Opportunity Amendment to a Previous Combined Solicitation PRODUCT SERVICE CODE * SUBJECT * CONTRACTING OFFICE'S * ZIP-CODE SOLICITATION NUMBER * BASE NOTICE TYPE RESPONSE DATE/TIME/ZONE ARCHI... Contract Opportunity Amendment to a Previous Combined Solicitation PRODUCT SERVICE CODE * SUBJECT * CONTRACTING OFFICE'S * ZIP-CODE SOLICITATION NUMBER * BASE NOTICE TYPE RESPONSE DATE/TIME/ZONE ARCHIVE DAYS AFTER THE RESPONSE DATE RECOVERY ACT FUNDS SET-ASIDE NAICS CODE * CONTRACTING OFFICE ADDRESS POINT OF CONTACT * (POC Information Automatically Filled from User Profile Unless Entered) DESCRIPTION * See Attachment AGENCY'S URL URL DESCRIPTION AGENCY CONTACT'S EMAIL ADDRESS EMAIL DESCRIPTION ADDRESS POSTAL CODE COUNTRY ADDITIONAL INFORMATION GENERAL INFORMATION PLACE OF PERFORMANCE * = Required Field Contract Opportunity Amendment to a Previous Combined Solicitation Q525 Mobile Lithotripsy Laser Equipment and Services - 621 POP 05/01/2021 - 04/30/2022 - UDC 04/30/2026 37129 36C24921Q0195 03-31-2021 3:00 PM CENTRAL TIME, CHICAGO, USA 60 N 621512 Department of Veterans Affairs Network Contracting Office 9 (90C) NCO 9 1639 Medical Center Parkway, Suite 400 Murfreesboro TN 37129 Dewana Raynor dewana.raynor@va.gov James H. Quillen VA Medical Center Corner of Lamont & Veterans Way Mtn Home, TN 37684 USA Combined Synopsis-Solicitation for Commercial Items Mobile Lithotripsy Laser Equipment and Services Page 31 of 31 The purpose of this amendment is to update the PRICE/COST SCHEDULE and SCOPE of WORK. Description This is a combined synopsis/solicitation for commercial items prepared in accordance with the format in Federal Acquisition Regulation (FAR) subpart 12.6, Streamlined Procedures for Evaluation and Solicitation for Commercial Items, as supplemented with additional information included in this notice. This announcement constitutes the only solicitation; quotes are being requested, and a written solicitation document will not be issued. This solicitation is issued as an RFQ. The solicitation document and incorporated provisions and clauses are those in effect through Federal Acquisition Circular, FAC 2021-04 effective 01/19/2021. The associated North American Industrial Classification System (NAICS) code for this procurement is 621512, with a small business size standard of $16.5 million. The FSC/PSC is Q525. The James H. Quillen VA Medical Center, Corner of Lamont & Veterans Way, Mtn Home, TN 37684 is seeking Mobile Lithotripsy Laser Equipment and Services. All interested companies shall provide quotations for the following: Price/Cost Schedule: The Contractor shall provide Mobile Lithotripsy Services, to include rental of surgical subspecialty laser equipment, Extracorporeal Shock Wave Lithotripsy equipment, and factory-trained Certified Medical Laser Safety Officer (CLSO or CLSO-M) necessary to perform on-site Mobile Lithotripsy Services to eligible beneficiaries of the Department of Veterans Affairs, James H. Quillen VA Medical Center (hereinafter referred to as VAMC or JHQ VAMC). The services provided would be same as those provided in a state-of-the-art civilian medical treatment facility and the standard of care shall be of a quality, meeting or exceeding, currently recognized national standards as established by the American Registry of Radiologic Technologists (ARRT). Place of Performance: Services shall be provided on-site at the James H. Quillen VA Medical Center, 99 Veteran s Way, Mountain Home, TN 37684 Pricing Instructions: The offeror is instructed to edit the number of SUB-LINS to correspond with the number of key personnel submitted for each Line Item Number (LIN). Affiliate Offerors shall include the title of the personnel submitted. Other commercial health care Offerors shall identify by title/position or level of experience the key personnel submitted. Also, renumber SUB-LINs if adding or removing Key Personnel. The Contractor shall propose a minimum of five (5) key personnel to be credentialed and be available for scheduling to meet the requirements of the contract. One FTE is defined by VA as a minimum of 80 hours every two weeks, 2,080 hours per year, and does not include holidays. Base Ordering Period: May 1, 2021 April 30, 2022 LIN SUB-LIN Description Est. Qty. Unit Unit Cost Total Annual Cost 0001 None Certified Medical Laser Safety Officer (CLSO or CLSO-M assistant to operate Extracorporeal Shock Wave Lithotripsy with C-Arm 200 Hours / Year DO NOT PRICE DO NOT PRICE DO NOT PRICE 0001a Certified Medical Laser Safety Officer (CLSO or CLSO-M) assistant to operate Laser systems Name: 40 hours $_______ $______ 0001b Certified Medical Laser Safety Officer (CLSO or CLSO-M) assistant to operate Laser systems Name: 40 hours $_______ $______ 0001c Certified Medical Laser Safety Officer (CLSO or CLSO-M) assistant to operate Laser systems Name: 40 hours $_______ $______ 0001d Certified Medical Laser Safety Officer (CLSO or CLSO-M) assistant to operate Laser systems Name: 40 hours $_______ $______ 0001e Certified Medical Laser Safety Officer (CLSO or CLSO-M) assistant to operate Laser systems Name: 40 hours $_______ $______ LITHOTRIPSY SERVICES 0002 Lithotripsy Services for one-year period of performance DO NOT PRICE DO NOT PRICE DO NOT PRICE DO NOT PRICE 0002a Holmium Laser System, 20 watt: Laser, medium beam, 2100 nm wavelength, beam focusing mechanism, 650 nm wavelength diode laser visible red-aiming beam, American National Standards Institute (ANSI)-standard laser safety glasses and goggles, laser safety signs, delivery and set-up system, CLSO/CLSO-M-certified assistant to operate system. 15 Hour $_______ $_______ 0002b Holmium Laser System, 100 watt: Laser, medium beam, 2100 nm wavelength, beam focusing mechanism, 650 nm wavelength diode laser visible red-aiming beam, ANSI standards laser safety glasses and goggles, laser safety signs, delivery and set-up system, CLSO/CLSO-M-certified assistant to operate system. 7 Hour $_______ $_______ 0002c Green Light XPS Laser System, 180 watt: Laser with XPS Fiber, ANSI-standard laser safety glasses, laser safety signs and goggles, delivery and set-up system, CLSO/CLSO-M-certified assistant to operate system. 25 Hour $_______ $_______ 0002d Aura XP Laser System, 15 watt: Laser, 532 nm pulsed wavelength, fiber delivery system, ANSI-standard laser safety glasses and goggles, laser safety signs, delivery and set-up system, CLSO/CLSO-M-certified assistant to operate system. 5 Hour $_______ $_______ 0002e CO2 (Carbon Dioxide) Flex Fiber Laser System, 40 watt: Laser with 10.6 micron infrared wavelength, up to SmW red diode laser, 635 nm, fiber delivery system, ANSI standard laser safety glasses and goggles, laser safety signs, delivery and set-up system, CLSO/CLSO-M-certified assistant to operate system. 5 Hour $_______ $_______ 0002f CO2 (Carbon Dioxide) Laser System: Laser, free beam, 10,650 nm wavelength, continuous wave, ANSI-standard laser safety glasses and goggles, laser safety signs, delivery and set-up system, CLSO/CLSO-M-certified assistant to operate system. 5 Hour $_______ $_______ 0002g Extracorporeal Shock Wave Lithotripsy with C-Arm, CLSO/CLSO-M-certified assistant to operate system and appropriate fibers for this equipment 15 Hour $_______ $_______ HOLMIUM FIBERS 0003 Single use Holmium Fibers DO NOT PRICE DO NOT PRICE DO NOT PRICE DO NOT PRICE 0003a 150 300 Single use Holmium Fibers 10 Each $_______ $______ 0003b 300 - 400 Single use Holmium Fibers 10 Each $_______ $______ 0003c 550 Single use Holmium Fibers 8 Each $_______ $______ 0003d 900 1,000 Single use Holmium Fibers 8 Each $_______ $______ 0003e Holmium Fibers for the GreenLight XPS Laser System 35 Each $_______ $______ 0003f Holmium Fibers for the Aura XP Laser System 8 Each $_______ $______ 0003g Holmium Fibers for the CO2 Flex Fiber Laser System 7 Each $_______ $______ 0003h Boston Scientific Xpeeda 550 DSL Fiber, Side-firing, Holmium Fiber 20 Each $_______ $______ 0003i Other Holmium Fiber approved for use during the term of this contract 0 Each TBD TBD STAND BY REQUIREMENT DO NOT PRICE DO NOT PRICE DO NOT PRICE DO NOT PRICE 0004 None Stand-by/Cancellation charges for items 1-7, above. If VA staff performing procedure determines that the use of the laser is not required, a stand-by/cancellation charge will be incurred when CLSO/CLSO-M- certified laser assistant and laser are in the Operating Room. 35 Night $_______ $_______ TOTAL ESTIMATED FOR BASE ORDERING PERIOD: $_______________ Ordering Period 1: May 1, 2022 April 30, 2023 LIN SUB-LIN Description Est. Qty. Unit Unit Cost Total Annual Cost 1001 None Certified Medical Laser Safety Officer (CLSO or CLSO-M assistant to operate Extracorporeal Shock Wave Lithotripsy with C-Arm 200 Hours / Year DO NOT PRICE DO NOT PRICE DO NOT PRICE 1001a Certified Medical Laser Safety Officer (CLSO or CLSO-M) assistant to operate Laser systems Name: 40 hours $_______ $______ 1001b Certified Medical Laser Safety Officer (CLSO or CLSO-M) assistant to operate Laser systems Name: 40 hours $_______ $______ 1001c Certified Medical Laser Safety Officer (CLSO or CLSO-M) assistant to operate Laser systems Name: 40 hours $_______ $______ 1001d Certified Medical Laser Safety Officer (CLSO or CLSO-M) assistant to operate Laser systems Name: 40 hours $_______ $______ 1001e Certified Medical Laser Safety Officer (CLSO or CLSO-M) assistant to operate Laser systems Name: 40 hours $_______ $______ LITHOTRIPSY SERVICES 1002 Lithotripsy Services for one-year period of performance DO NOT PRICE DO NOT PRICE DO NOT PRICE DO NOT PRICE 1002a Holmium Laser System, 20 watt: Laser, medium beam, 2100 nm wavelength, beam focusing mechanism, 650 nm wavelength diode laser visible red-aiming beam, American National Standards Institute (ANSI)-standard laser safety glasses and goggles, laser safety signs, delivery and set-up system, CLSO/CLSO-M-certified assistant to operate system. 15 Hour $_______ $_______ 1002b Holmium Laser System, 100 watt: Laser, medium beam, 2100 nm wavelength, beam focusing mechanism, 650 nm wavelength diode laser visible red-aiming beam, ANSI standards laser safety glasses and goggles, laser safety signs, delivery and set-up system, CLSO/CLSO-M-certified assistant to operate system. 7 Hour $_______ $_______ 1002c Green Light XPS Laser System, 180 watt: Laser with XPS Fiber, ANSI-standard laser safety glasses, laser safety signs and goggles, delivery and set-up system, CLSO/CLSO-M-certified assistant to operate system. 25 Hour $_______ $_______ 1002d Aura XP Laser System, 15 watt: Laser, 532 nm pulsed wavelength, fiber delivery system, ANSI-standard laser safety glasses and goggles, laser safety signs, delivery and set-up system, CLSO/CLSO-M-certified assistant to operate system. 5 Hour $_______ $_______ 1002e CO2 (Carbon Dioxide) Flex Fiber Laser System, 40 watt: Laser with 10.6 micron infrared wavelength, up to SmW red diode laser, 635 nm, fiber delivery system, ANSI standard laser safety glasses and goggles, laser safety signs, delivery and set-up system, CLSO/CLSO-M-certified assistant to operate system. 5 Hour $_______ $_______ 1002f CO2 (Carbon Dioxide) Laser System: Laser, free beam, 10,650 nm wavelength, continuous wave, ANSI-standard laser safety glasses and goggles, laser safety signs, delivery and set-up system, CLSO/CLSO-M-certified assistant to operate system. 5 Hour $_______ $_______ 1002g Extracorporeal Shock Wave Lithotripsy with C-Arm, CLSO/CLSO-M-certified assistant to operate system and appropriate fibers for this equipment 15 Hour $_______ $_______ HOLMIUM FIBERS 1003 Single use Holmium Fibers DO NOT PRICE DO NOT PRICE DO NOT PRICE DO NOT PRICE 1003a 150 300 Single use Holmium Fibers 10 Each $_______ $______ 1003b 300 - 400 Single use Holmium Fibers 10 Each $_______ $______ 1003c 550 Single use Holmium Fibers 8 Each $_______ $______ 1003d 900 1,000 Single use Holmium Fibers 8 Each $_______ $______ 1003e Holmium Fibers for the GreenLight XPS Laser System 35 Each $_______ $______ 1003f Holmium Fibers for the Aura XP Laser System 8 Each $_______ $______ 1003g Holmium Fibers for the CO2 Flex Fiber Laser System 7 Each $_______ $______ 1003h Boston Scientific Xpeeda 550 DSL Fiber, Side-firing, Holmium Fiber 20 Each $_______ $______ 1003i Other Holmium Fiber approved for use during the term of this contract 0 Each TBD TBD STAND BY REQUIREMENT DO NOT PRICE DO NOT PRICE DO NOT PRICE DO NOT PRICE 1004 None Stand-by/Cancellation charges for items 1-7, above. If VA staff performing procedure determines that the use of the laser is not required, a stand-by/cancellation charge will be incurred when CLSO/CLSO-M- certified laser assistant and laser are in the Operating Room. 35 Night $_______ $_______ TOTAL ESTIMATED FOR ORDERING PERIOD 1: $_____________ Ordering Period 2: May 1, 2023 April 30, 2024 LIN SUB-LIN Description Est. Qty. Unit Unit Cost Total Annual Cost 2001 None Certified Medical Laser Safety Officer (CLSO or CLSO-M assistant to operate Extracorporeal Shock Wave Lithotripsy with C-Arm 200 Hours / Year DO NOT PRICE DO NOT PRICE DO NOT PRICE 2001a Certified Medical Laser Safety Officer (CLSO or CLSO-M) assistant to operate Laser systems Name: 40 hours $_______ $______ 2001b Certified Medical Laser Safety Officer (CLSO or CLSO-M) assistant to operate Laser systems Name: 40 hours $_______ $______ 2001c Certified Medical Laser Safety Officer (CLSO or CLSO-M) assistant to operate Laser systems Name: 40 hours $_______ $______ 2001d Certified Medical Laser Safety Officer (CLSO or CLSO-M) assistant to operate Laser systems Name: 40 hours $_______ $______ 2001e Certified Medical Laser Safety Officer (CLSO or CLSO-M) assistant to operate Laser systems Name: 40 hours $_______ $______ LITHOTRIPSY SERVICES 2002 Lithotripsy Services for one-year period of performance DO NOT PRICE DO NOT PRICE DO NOT PRICE DO NOT PRICE 2002a Holmium Laser System, 20 watt: Laser, medium beam, 2100 nm wavelength, beam focusing mechanism, 650 nm wavelength diode laser visible red-aiming beam, American National Standards Institute (ANSI)-standard laser safety glasses and goggles, laser safety signs, delivery and set-up system, CLSO/CLSO-M-certified assistant to operate system. 15 Hour $_______ $_______ 2002b Holmium Laser System, 100 watt: Laser, medium beam, 2100 nm wavelength, beam focusing mechanism, 650 nm wavelength diode laser visible red-aiming beam, ANSI standards laser safety glasses and goggles, laser safety signs, delivery and set-up system, CLSO/CLSO-M-certified assistant to operate system. 7 Hour $_______ $_______ 2002c Green Light XPS Laser System, 180 watt: Laser with XPS Fiber, ANSI-standard laser safety glasses, laser safety signs and goggles, delivery and set-up system, CLSO/CLSO-M-certified assistant to operate system. 25 Hour $_______ $_______ 2002d Aura XP Laser System, 15 watt: Laser, 532 nm pulsed wavelength, fiber delivery system, ANSI-standard laser safety glasses and goggles, laser safety signs, delivery and set-up system, CLSO/CLSO-M-certified assistant to operate system. 5 Hour $_______ $_______ 2002e CO2 (Carbon Dioxide) Flex Fiber Laser System, 40 watt: Laser with 10.6 micron infrared wavelength, up to SmW red diode laser, 635 nm, fiber delivery system, ANSI standard laser safety glasses and goggles, laser safety signs, delivery and set-up system, CLSO/CLSO-M-certified assistant to operate system. 5 Hour $_______ $_______ 2002f CO2 (Carbon Dioxide) Laser System: Laser, free beam, 10,650 nm wavelength, continuous wave, ANSI-standard laser safety glasses and goggles, laser safety signs, delivery and set-up system, CLSO/CLSO-M-certified assistant to operate system. 5 Hour $_______ $_______ 2002g Extracorporeal Shock Wave Lithotripsy with C-Arm, CLSO/CLSO-M-certified assistant to operate system and appropriate fibers for this equipment 15 Hour $_______ $_______ HOLMIUM FIBERS 2003 Single use Holmium Fibers DO NOT PRICE DO NOT PRICE DO NOT PRICE DO NOT PRICE 2003a 150 300 Single use Holmium Fibers 10 Each $_______ $______ 2003b 300 - 400 Single use Holmium Fibers 10 Each $_______ $______ 2003c 550 Single use Holmium Fibers 8 Each $_______ $______ 2003d 900 1,000 Single use Holmium Fibers 8 Each $_______ $______ 2003e Holmium Fibers for the GreenLight XPS Laser System 35 Each $_______ $______ 2003f Holmium Fibers for the Aura XP Laser System 8 Each $_______ $______ 2003g Holmium Fibers for the CO2 Flex Fiber Laser System 7 Each $_______ $______ 2003h Boston Scientific Xpeeda 550 DSL Fiber, Side-firing, Holmium Fiber 20 Each $_______ $______ 2003i Other Holmium Fiber approved for use during the term of this contract 0 Each TBD TBD STAND BY REQUIREMENT DO NOT PRICE DO NOT PRICE DO NOT PRICE DO NOT PRICE 2004 None Stand-by/Cancellation charges for items 1-7, above. If VA staff performing procedure determines that the use of the laser is not required, a stand-by/cancellation charge will be incurred when CLSO/CLSO-M- certified laser assistant and laser are in the Operating Room. 35 Night $_______ $______ TOTAL ESTIMATED FOR ORDERING PERIOD 2: $_______________ Ordering Period 3: May 1, 2024 April 30, 2025 LIN SUB-LIN Description Est. Qty. Unit Unit Cost Total Annual Cost 3001 None Certified Medical Laser Safety Officer (CLSO or CLSO-M assistant to operate Extracorporeal Shock Wave Lithotripsy with C-Arm 200 Hours / Year DO NOT PRICE DO NOT PRICE DO NOT PRICE 3001a Certified Medical Laser Safety Officer (CLSO or CLSO-M) assistant to operate Laser systems Name: 40 hours $_______ $______ 3001b Certified Medical Laser Safety Officer (CLSO or CLSO-M) assistant to operate Laser systems Name: 40 hours $_______ $______ 3001c Certified Medical Laser Safety Officer (CLSO or CLSO-M) assistant to operate Laser systems Name: 40 hours $_______ $______ 3001d Certified Medical Laser Safety Officer (CLSO or CLSO-M) assistant to operate Laser systems Name: 40 hours $_______ $______ 3001e Certified Medical Laser Safety Officer (CLSO or CLSO-M) assistant to operate Laser systems Name: 40 hours $_______ $______ LITHOTRIPSY SERVICES 3002 Lithotripsy Services for one-year period of performance DO NOT PRICE DO NOT PRICE DO NOT PRICE DO NOT PRICE 3002a Holmium Laser System, 20 watt: Laser, medium beam, 2100 nm wavelength, beam focusing mechanism, 650 nm wavelength diode laser visible red-aiming beam, American National Standards Institute (ANSI)-standard laser safety glasses and goggles, laser safety signs, delivery and set-up system, CLSO/CLSO-M-certified assistant to operate system. 15 Hour $_______ $______ 3002b Holmium Laser System, 100 watt: Laser, medium beam, 2100 nm wavelength, beam focusing mechanism, 650 nm wavelength diode laser visible red-aiming beam, ANSI standards laser safety glasses and goggles, laser safety signs, delivery and set-up system, CLSO/CLSO-M-certified assistant to operate system. 7 Hour $_______ $______ 3002c Green Light XPS Laser System, 180 watt: Laser with XPS Fiber, ANSI-standard laser safety glasses, laser safety signs and goggles, delivery and set-up system, CLSO/CLSO-M-certified assistant to operate system. 25 Hour $_______ $______ 3002d Aura XP Laser System, 15 watt: Laser, 532 nm pulsed wavelength, fiber delivery system, ANSI-standard laser safety glasses and goggles, laser safety signs, delivery and set-up system, CLSO/CLSO-M-certified assistant to operate system. 5 Hour $_______ $______ 3002e CO2 (Carbon Dioxide) Flex Fiber Laser System, 40 watt: Laser with 10.6 micron infrared wavelength, up to SmW red diode laser, 635 nm, fiber delivery system, ANSI standard laser safety glasses and goggles, laser safety signs, delivery and set-up system, CLSO/CLSO-M-certified assistant to operate system. 5 Hour $_______ $______ 3002f CO2 (Carbon Dioxide) Laser System: Laser, free beam, 10,650 nm wavelength, continuous wave, ANSI-standard laser safety glasses and goggles, laser safety signs, delivery and set-up system, CLSO/CLSO-M-certified assistant to operate system. 5 Hour $_______ $______ 3002g Extracorporeal Shock Wave Lithotripsy with C-Arm, CLSO/CLSO-M-certified assistant to operate system and appropriate fibers for this equipment 15 Hour $_______ $______ HOLMIUM FIBERS 3003 Single use Holmium Fibers DO NOT PRICE DO NOT PRICE DO NOT PRICE DO NOT PRICE 3003a 150 300 Single use Holmium Fibers 10 Each $_______ $______ 3003b 300 - 400 Single use Holmium Fibers 10 Each $_______ $______ 3003c 550 Single use Holmium Fibers 8 Each $_______ $______ 3003d 900 1,000 Single use Holmium Fibers 8 Each $_______ $______ 3003e Holmium Fibers for the GreenLight XPS Laser System 35 Each $_______ $______ 3003f Holmium Fibers for the Aura XP Laser System 8 Each $_______ $______ 3003g Holmium Fibers for the CO2 Flex Fiber Laser System 7 Each $_______ $______ 3003h Boston Scientific Xpeeda 550 DSL Fiber, Side-firing, Holmium Fiber 20 Each $_______ $______ 3003i Other Holmium Fiber approved for use during the term of this contract 0 Each TBD TBD STAND BY REQUIREMENT DO NOT PRICE DO NOT PRICE DO NOT PRICE DO NOT PRICE 3004 None Stand-by/Cancellation charges for items 1-7, above. If VA staff performing procedure determines that the use of the laser is not required, a stand-by/cancellation charge will be incurred when CLSO/CLSO-M- certified laser assistant and laser are in the Operating Room. 35 Night $_______ $______ TOTAL ESTIMATED FOR ORDERING PERIOD 3: $ _______________ Ordering Period 4: May 1, 2025 April 30, 2026 LIN SUB-LIN Description Est. Qty. Unit Unit Cost Total Annual Cost 4001 None Certified Medical Laser Safety Officer (CLSO or CLSO-M assistant to operate Extracorporeal Shock Wave Lithotripsy with C-Arm 200 Hours / Year DO NOT PRICE DO NOT PRICE DO NOT PRICE 4001a Certified Medical Laser Safety Officer (CLSO or CLSO-M) assistant to operate Laser systems Name: 40 hours $_______ $______ 4001b Certified Medical Laser Safety Officer (CLSO or CLSO-M) assistant to operate Laser systems Name: 40 hours $_______ $______ 4001c Certified Medical Laser Safety Officer (CLSO or CLSO-M) assistant to operate Laser systems Name: 40 hours $_______ $______ 4001d Certified Medical Laser Safety Officer (CLSO or CLSO-M) assistant to operate Laser systems Name: 40 hours $_______ $______ 4001e Certified Medical Laser Safety Officer (CLSO or CLSO-M) assistant to operate Laser systems Name: 40 hours $_______ $______ LITHOTRIPSY SERVICES 4002 Lithotripsy Services for one-year period of performance DO NOT PRICE DO NOT PRICE DO NOT PRICE DO NOT PRICE 4002a Holmium Laser System, 20 watt: Laser, medium beam, 2100 nm wavelength, beam focusing mechanism, 650 nm wavelength diode laser visible red-aiming beam, American National Standards Institute (ANSI)-standard laser safety glasses and goggles, laser safety signs, delivery and set-up system, CLSO/CLSO-M-certified assistant to operate system. 15 Hour $_______ $_______ 4002b Holmium Laser System, 100 watt: Laser, medium beam, 2100 nm wavelength, beam focusing mechanism, 650 nm wavelength diode laser visible red-aiming beam, ANSI standards laser safety glasses and goggles, laser safety signs, delivery and set-up system, CLSO/CLSO-M-certified assistant to operate system. 7 Hour $_______ $_______ 4002c Green Light XPS Laser System, 180 watt: Laser with XPS Fiber, ANSI-standard laser safety glasses, laser safety signs and goggles, delivery and set-up system, CLSO/CLSO-M-certified assistant to operate system. 25 Hour $_______ $_______ 4002d Aura XP Laser System, 15 watt: Laser, 532 nm pulsed wavelength, fiber delivery system, ANSI-standard laser safety glasses and goggles, laser safety signs, delivery and set-up system, CLSO/CLSO-M-certified assistant to operate system. 5 Hour $_______ $_______ 4002e CO2 (Carbon Dioxide) Flex Fiber Laser System, 40 watt: Laser with 10.6 micron infrared wavelength, up to SmW red diode laser, 635 nm, fiber delivery system, ANSI standard laser safety glasses and goggles, laser safety signs, delivery and set-up system, CLSO/CLSO-M-certified assistant to operate system. 5 Hour $_______ $_______ 4002f CO2 (Carbon Dioxide) Laser System: Laser, free beam, 10,650 nm wavelength, continuous wave, ANSI-standard laser safety glasses and goggles, laser safety signs, delivery and set-up system, CLSO/CLSO-M-certified assistant to operate system. 5 Hour $_______ $_______ 4002g Extracorporeal Shock Wave Lithotripsy with C-Arm, CLSO/CLSO-M-certified assistant to operate system and appropriate fibers for this equipment 15 Hour $_______ $_______ HOLMIUM FIBERS 4003 Single use Holmium Fibers DO NOT PRICE DO NOT PRICE DO NOT PRICE DO NOT PRICE 4003a 150 300 Single use Holmium Fibers 10 Each $_______ $______ 4003b 300 - 400 Single use Holmium Fibers 10 Each $_______ $______ 4003c 550 Single use Holmium Fibers 8 Each $_______ $______ 4003d 900 1,000 Single use Holmium Fibers 8 Each $_______ $______ 4003e Holmium Fibers for the GreenLight XPS Laser System 35 Each $_______ $______ 4003f Holmium Fibers for the Aura XP Laser System 8 Each $_______ $______ 4003g Holmium Fibers for the CO2 Flex Fiber Laser System 7 Each $_______ $______ 4003h Boston Scientific Xpeeda 550 DSL Fiber, Side-firing, Holmium Fiber 20 Each $_______ $______ 4003i Other Holmium Fiber approved for use during the term of this contract 0 Each TBD TBD STAND BY REQUIREMENT DO NOT PRICE DO NOT PRICE DO NOT PRICE DO NOT PRICE 4004 None Stand-by/Cancellation charges for items 1-7, above. If VA staff performing procedure determines that the use of the laser is not required, a stand-by/cancellation charge will be incurred when CLSO/CLSO-M- certified laser assistant and laser are in the Operating Room. 35 Night $_______ $_______ TOTAL ESTIMATED FOR ORDERING PERIOD 4: $_________________ TOTAL ESTIMATED PRICE FOR ALL ORDERING PERIODS: $__________________ The contract period of performance is May 1, 2021 through April 30, 2026. One base ordering period plus 4 one-year ordering periods. This contract is a fixed price Indefinite Delivery Indefinite Quantity contract. The guaranteed contact minimum is $350,000.00 and the contract maximum is $2,140,000.00. ORDERS: This is a Firm Price (FP) Indefinite Delivery/Indefinite Quantity (IDIQ) contract (see FAR 52.216-22). The Task Order for the base ordering period will be awarded at the time of contract and all other Task Orders will be awarded annually. The Task Orders shall specify the estimated quantities of services for each period of performance and shall comply with FAR 52.216-18 and 52.216-19. A funded Task Orders (TO) may only be awarded and issued by a warranted Contracting Officer (CO). Any changes to this contract may only be made by a written modification which is formally executed between the contractor and the CO. Task Order Procedures a. This contract type allows the Veteran Affairs Network Contracting Office (NCO 9) contracting officers to place orders with the contractor on an as needed basis. In accordance with the Federal Acquisition Regulation (FAR) Clauses 52.216-18, Ordering. NCO 9 will obligate the funding and order the services by issuing a Task Order which will cover individual performance periods. b. A Task Order shall be issued to the contractor when mobile lithotripsy laser equipment and services are required. One task order may be issued for all line items if necessary or the Government may issue a task order for only one-line item depending on the Government s need. c. The contractor shall initiate work when so directed by a Task Order issued by the Contracting Officer. No work shall be performed unless specifically authorized by the contracting officer. The contractor shall not exceed the estimated task order amount or change the task order without prior written approval of the Contracting Officer. d. In event the contractor is unable to fulfill the task order requirements; the government reserves the right to fulfill its need outside of this contract. A written confirmation from the contractor indicating the inability to fulfill the task order is immediately required. The estimated dollar amount on the unfilled task order will be applied to the minimum quantity. The government s right to fulfill its need outside this contract does not waive its right to the issuance of a cure notice nor does it waive its right to terminate for default. Task Order Issuance Procedure. The terms that apply to the issuance of Task Orders under this contract are set forth below: Task Order Pricing Task Order prices shall be Fixed-Price (FP) as agreed to in the IDIQ pricing schedule and individually funded. The Unit Price is an all-inclusive cost. Task Order Performance Period When mobile lithotripsy laser equipment and services are needed and a Task Order is issued, each Task Order shall have an established period of performance or delivery date. Individual Task Orders shall not exceed a 12-month period. PERFORMANCE WORK STATEMENT MOBILE LITHOTRIPSY LASER EQUIPMENT & SERVICES JAMES H. QUILLEN VA MEDICAL CENTER MOUNTAIN HOME, TENNESSEE James H. Quillen VAMC has a need for the provision of Urological Services. Contractor shall provide rental of surgical subspecialty laser equipment, factory-trained Certified Medical Laser Safety Officer (CLSO or CLSO-M), and laser fibers for all lasers for the Operating Room and Emergency Room at James H. Quillen VA Medical Center (JHQVAMC), Corner of Veterans Way & Lamont Street, Mountain Home, TN 37684. The required equipment shall be as follows: a) Holmium: Lasers (both 20 watt & 100 watt) as back-up units in the event the VA-owned Holmium Laser is unavailable; b) Green Light XPS Laser System (180 watt); c) Aura XP Laser System; d) CO2 Flex Fiber Laser System; and e) CO2 Laser System Free Beam. The CLSO/CLSO-M shall be required to use the VA-owned Holmium Laser (100 watt) and fibers manufactured specifically for use with this laser. In the event the VA-owned Holmium Laser is not available (e.g., out for preventative maintenance or repair), The CLSO/CLSO-M shall be required to use the contractor-owned Holmium Lasers with the manufacturer-specified fibers. The contractor will provide the laser fibers for all procedures. Under no circumstances are third-party manufactured fibers to be used at JHQVAMC with either the VA-owned or contractor-owned Holmium Lasers in accordance with all terms, conditions, provisions, and the schedule of this solicitation A. SCHEDULE OF SUPPLIES/SERVICES a. SCOPE OF WORK: The contractor shall provide the following equipment, or approved equal, on a case-by-case, as needed, basis: (1) Mobile Lithotripsy Services, to include rental of surgical subspecialty laser equipment, Extracorporeal Shock Wave Lithotripsy equipment, and factory-trained Certified Medical Laser Safety Officer (CLSO or CLSO-M) necessary to perform on-site Mobile Lithotripsy Services to eligible beneficiaries of the Department of Veterans Affairs, James H. Quillen VA Medical Center (hereinafter referred to as VAMC or JHQ VAMC). The services provided would be same as those provided in a state-of-the-art civilian medical treatment facility and the standard of care shall be of a quality, meeting or exceeding, currently recognized national standards as established by the American Registry of Radiologic Technologists (ARRT) (2) Holmium Laser System, 20-watt: Laser, medium beam, 2100 nm wavelength, beam-focusing mechanism, 650 nm wavelength diode laser visible red-aiming beam, American National Standards Institute (ANSI)-standard laser safety glasses and goggles, laser safety signs, delivery and set-up system, CLSO/CLSO-M to operate system. (3) Holmium Laser System, 100-watt: Laser, medium beam, 2100 nm wavelength, beam-focusing mechanism, 650 nm wavelength diode laser visible red-aiming beam, ANSI-standards laser safety glasses and goggles, laser safety signs, delivery and set-up system, CLSO/CLSO-M to operate system. (4) Green Light XPS Laser System, 180-watt: Laser with XPS Fiber, ANSI-standard laser safety glasses, laser safety signs and goggles, delivery and set-up system, CLSO/CLSO-M to operate system. (5) Aura XP Laser System, 15-watt: Laser, 532 nm pulsed wavelength, fiber delivery system, ANSI-standard laser safety glasses and goggles, laser safety signs, delivery and set-up system, CLSO/CLSO-M to operate system. (6) CO2 (Carbon Dioxide) Flex Fiber Laser System, 40-watt: Laser with...
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