Inactive Service-Disabled Veteran-Owned Small Business (SDVOSB) Set-Aside (FAR 19.14)

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 ... 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 70 36C26224Q1263 06-18-2024 Doan, Anette 562-766-2200 06-28-2024 12PM PDT 36C262 Department of Veterans Affairs Network Contracting Office 22 4811 Airport Plaza Drive Suite 600 Long Beach CA 90815 X 100 X 513210 $47 Million NET 30 N/A X 36C605 Department of Veterans Affairs Jerry L. Pettis VA Medical Center 11201 Benton Street Loma Linda CA 92357 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 THIS IS A BRAND NAME OR EQUAL REQUIREMENT FOR CIRCLE CARDIOVASCULAR IMAGING SOFTWARE SUBSCRIPTION. PERIODS OF PERFORMANCE: BASE YEAR (BY): 7/01/2024 - 6/30/2025 OPTION YEAR 1 (OY1): 7/01/2025 - 6/30/2026 OPTION YEAR 2 (OY2): 7/01/2026 - 6/30/2027 QUOTE MUST BE SUBMITTED VIA EMAIL TO ANETTE.DOAN@VA.GOV QUOTE MUST BE VALID FOR AT LEAST 60 DAYS REQUEST FOR QUOTE (RFQ) 36C26224Q1263 IS SET-ASIDE FOR COMPETITION AMONGST SMALL BUSINESS THE GOVERNMENT INTENDS TO AWARD A SINGLE CONTRACT, FIRM-FIXED PRICE FOR A BASE PERIOD AND TWO OPTION YEAR PERIODS. See CONTINUATION Page X X X 1 Nichols, Cecil S. 36C26224Q1263 Page 1 of Page 2 of 13 Page 1 of Table of Contents SECTION B - CONTINUATION OF SF 1449 BLOCKS 4 B.1 CONTRACT ADMINISTRATION DATA 4 B.2 STATEMENT OF WORK 5 B.3 PRICE/COST SCHEDULE 6 ITEM INFORMATION 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 52.217-8 OPTION TO EXTEND SERVICES (NOV 1999) 23 C.6 52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR2000) 23 C.7 52.219-6 NOTICE OF TOTAL SMALL BUSINESS SET-ASIDE (NOV 2020) 23 C.8 52.219-28 POST-AWARD SMALL BUSINESS PROGRAM REREPRESENTATION (FEB 2024) ALTERNATE I (MAR 2020) 24 C.9 52.225-1 BUY AMERICAN SUPPLIES (OCT 2022) 28 C.10 52.232-19 AVAILABILITY OF FUNDS FOR THE NEXT FISCAL YEAR (APR 1984) 31 C.11 52.232-33 PAYMENT BY ELECTRONIC FUNDS TRANSFER SYSTEM FOR AWARD MANAGEMENT (OCT 2018) 31 C.12 52.233-3 PROTEST AFTER AWARD (AUG 1996) 32 C.13 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998) 33 C.14 VAAR 852.212-70 PROVISIONS AND CLAUSES APPLICABLE TO VA ACQUISITION OF COMMERCIAL ITEMS (APR 2020) 33 C.15 VAAR 852.212-71 GRAY MARKET AND COUNTERFEIT ITEMS (FEB 2023) 35 C.16 VAAR 852.219-75 VA NOTICE OF LIMITATIONS ON SUBCONTRACTING CERTIFICATE OF COMPLIANCE FOR SERVICES AND CONSTRUCTION (NOV 2022) 36 C.17 VAAR 852.219-76 VA NOTICE OF LIMITATIONS ON SUBCONTRACTING CERTIFICATE OF COMPLIANCE FOR SUPPLIES AND PRODUCTS (NOV 2022) 37 C.18 VAAR 852.232-72 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS (NOV 2018) 39 C.19 VAAR 852.201-70 CONTRACTING OFFICER'S REPRESENTATIVE (DEC 2022) 40 SECTION D CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS 42 SECTION E SOLICITATION CLAUSES AND PROVISIONS 43 E.1 52.204-24 REPRESENTATION REGARDING CERTAIN TELECOMMUNICATIONS AND VIDEO SURVEILLANCE SERVICES OR EQUIPMENT (NOV 2021) 43 E.2 52.209-7 INFORMATION REGARDING RESPONSIBILITY MATTERS (OCT 2018) 45 E.3 52.211-6 BRAND NAME OR EQUAL (AUG 1999) 46 E.4 52.212-1 INSTRUCTIONS TO OFFERORS COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (MAR 2023) 47 E.5 ADDENDUM to FAR 52.212-1 INSTRUCTIONS TO OFFERORS COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES 51 E.6 52.212-2 EVALUATION COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (NOV 2021) 53 E.7 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (DEC 2022) 54 E.8 52.216-1 TYPE OF CONTRACT (APR 1984) 70 E.9 52.233-2 SERVICE OF PROTEST (SEP 2006) 71 E.10 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB 1998) 71 E.11 VAAR 852.233-71 ALTERNATE PROTEST PROCEDURE (OCT 2018) 71 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 36C262 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 STATEMENT OF WORK Title: Circle Cardiovascular Imaging CVI42 Annual Software Subscription [VA Loma Linda Healthcare System (VALLHCS)] 1. Product and Service Contractor shall provide all the required software, licenses and modules identified in the Software section below, and to honor the stated product outlined in the equipment description of products and services. Contractor shall provide for software subscription and included modules listed in Software section in the Performance Work Statement for the duration of the contract. Contractor shall provide phone support during software installation and program setup. Contractor shall provide software, setup program and license for 1 server and 1 workstation. 2. Software Brief Description of Product and Service* LOCATION Annual Software Subscription for CVI 42 with 2 concurrent users: Included modules: Cvi42 | Cardiac MR Cvi42 | Strain Cvi42 | 4D Flow Cvi42 | Quantitative Perfusion Cvi42 | Core CT Cvi42 | Aortic Valve Cvi42 | Mitral Valve Cvi42 | Report VAMC Loma Linda, CA 3. Performance - Contractor shall provide technical and application support related to CVI42 software and modules. - Contractor shall provide software user training to all healthcare providers requiring access to CVI42 software and modules. - Contractor shall provide phone contact number to be available during normal business hours, M-F 8:00 AM 5:00 PM PST, except weekends and Federal holidays. 4. Acceptance All completed work will be inspected and tested Contracting Officer Representative (COR) for compliance and operational capabilities. Purchase order number. COR s signature after acceptance. 5. Place of Performance VA Loma Linda 11201 Benton St. Loma Linda, CA 92357 B.3 PRICE/COST SCHEDULE ITEM INFORMATION: Base Year ITEM NUMBER DESCRIPTION OF SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0001 1.00 YR __________________ __________________ ANNUAL SUBSCRIPTION CIRCLE CV42 SW PACK WITH INSTALLED MODULES: CARDIAC MR, STRAIN, 4D FLOW, QUANTITATIVE PERFUSION, CORE CT, AORTIC VALVE, MITRAL VALVE, REPORT. GRAND TOTAL __________________ Option Year One ITEM NUMBER DESCRIPTION OF SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 1001 1.00 YR __________________ __________________ ANNUAL SUBSCRIPTION CIRCLE CV42 SW PACK WITH INSTALLED MODULES: CARDIAC MR, STRAIN, 4D FLOW, QUANTITATIVE PERFUSION, CORE CT, AORTIC VALVE, MITRAL VALVE, REPORT. GRAND TOTAL __________________ Option Year Two ITEM NUMBER DESCRIPTION OF SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 2001 1.00 YR __________________ __________________ ANNUAL SUBSCRIPTION CIRCLE CV42 SW PACK WITH INSTALLED MODULES: CARDIAC MR, STRAIN, 4D FLOW, QUANTITATIVE PERFUSION, CORE CT, AORTIC VALVE, MITRAL VALVE, REPORT. GRAND TOTAL __________________ B.4 DELIVERY SCHEDULE ITEM NUMBER SHIPPING INFORMATION QUANTITY DELIVERY DATE 0001 1.00 PLEASE REFER TO RFQ PDF FOR FULL CLAUSES AND CRITERIA