SECTION A A.1 SF 1449 SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS Table of Contents SECTION A 1 A.1 SF 1449 SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS 1 SECTION B - CONTINUATION OF SF 1449 BLOCKS 3 B.1 CONTRACT ADMINISTRATION DATA 3 B.2 LIMITATIONS ON SUBCONTRACTING-- MONITORING AND COMPLIANCE (JUN 2011) 4 B.3 SUBCONTRACTING COMMITMENTS--MONITORING AND COMPLIANCE (JUN 2011) 4 B.4 Price/Cost Schedule 14 Item Information 14 B.5 Delivery Schedule 22 SECTION C - CONTRACT CLAUSES 26 C.1 FSS RFQ INTRODUCTORY LANGUAGE 26 C.2 VAAR 852.215-71 EVALUATION FACTOR COMMITMENTS (DEC 2009) 26 SECTION E - SOLICITATION PROVISIONS 27 E.1 VAAR 852.215-70 SERVICE-DISABLED VETERAN-OWNED AND VETERAN-OWNED SMALL BUSINESS EVALUATION FACTORS (DEC 2009) 27 E.2 52.209-5 REPRESENTATION BY CORPORATIONS REGARDING AN UNPAID TAX LIABILITY OR A FELONY CONVICTION UNDER ANY FEDERAL LAW (DEVIATION)(MAR 2012) 27 SECTION B - CONTINUATION OF SF 1449 BLOCKS B.1 CONTRACT ADMINISTRATION DATA (continuation from Standard Form 1449, block 18A.) 1. Contract Administration: All contract administration matters will be handled by the following individuals: a. CONTRACTOR: b. GOVERNMENT: Contracting Officer 00258 Department of Veterans Affairs VISN/18PHX 777 E. Missouri, Suite 300 Phoenix AZ 85014 2. CONTRACTOR REMITTANCE ADDRESS: All payments by the Government to the contractor will be made in accordance with: [] 52.232-34, Payment by Electronic Funds Transfer-Other Than 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 [] 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. http://ob10.com/us/en#&panel1-1 ACKNOWLEDGMENT OF AMENDMENTS: The offeror acknowledges receipt of amendments to the Solicitation numbered and dated as follows: AMENDMENT NO DATE B.2 LIMITATIONS ON SUBCONTRACTING-- MONITORING AND COMPLIANCE (JUN 2011) This solicitation includes . Accordingly, any contract resulting from this solicitation will include this clause. The contractor is advised in performing contract administration functions, the CO may use the services of a support contractor(s) retained by VA to assist in assessing the contractor's compliance with the limitations on subcontracting or percentage of work performance requirements specified in the clause. To that end, the support contractor(s) may require access to contractor's offices where the contractor's business records or other proprietary data are retained and to review such business records regarding the contractor's compliance with this requirement. All support contractors conducting this review on behalf of VA will be required to sign an "Information Protection and Non-Disclosure and Disclosure of Conflicts of Interest Agreement" to ensure the contractor's business records or other proprietary data reviewed or obtained in the course of assisting the CO in assessing the contractor for compliance are protected to ensure information or data is not improperly disclosed or other impropriety occurs. Furthermore, if VA determines any services the support contractor(s) will perform in assessing compliance are advisory and assistance services as defined in FAR 2.101, Definitions, the support contractor(s) must also enter into an agreement with the contractor to protect proprietary information as required by FAR 9.505-4, obtaining access to proprietary information, paragraph (b). The contractor is required to cooperate fully and make available any records as may be required to enable the CO to assess the contractor's compliance with the limitations on subcontracting or percentage of work performance requirement. (End of Clause) B.3 SUBCONTRACTING COMMITMENTS--MONITORING AND COMPLIANCE (JUN 2011) This solicitation includes VAAR 852.215-70, Service-Disabled Veteran-Owned and Veteran-Owned Small Business Evaluation Factors, and VAAR 852.215-71, Evaluation Factor Commitments. Accordingly, any contract resulting from this solicitation will include these clauses. The contractor is advised in performing contract administration functions, the CO may use the services of a support contractor(s) to assist in assessing contractor compliance with the subcontracting commitments incorporated into the contract. To that end, the support contractor(s) may require access to the contractor's business records or other proprietary data to review such business records regarding contract compliance with this requirement. All support contractors conducting this review on behalf of VA will be required to sign an "Information Protection and Non-Disclosure and Disclosure of Conflicts of Interest Agreement" to ensure the contractor's business records or other proprietary data reviewed or obtained in the course of assisting the CO in assessing the contractor for compliance are protected to ensure information or data is not improperly disclosed or other impropriety occurs. Furthermore, if VA determines any services the support contractor(s) will perform in assessing compliance are advisory and assistance services as defined in FAR 2.101, Definitions, the support contractor(s) must also enter into an agreement with the contractor to protect proprietary information as required by FAR 9.505-4, obtaining access to proprietary information, paragraph (b). The contractor is required to cooperate fully and make available any records as may be required to enable the CO to assess the contractor compliance with the subcontracting commitments. (End of Clause) STATEMENT OF WORK (SOW) Smith & Nephew Mini Arthroscopy Set . 1. Contract Title. Smith & Nephew Mini Arthroscopy Set VISN 18, Albuquerque V.A. Health systems, Raymond G. Murphy Medical Center is requesting to purchase a complete Mini Arthroscopy set to be used for small joint arthroscopic procedures 2. Background. The Mini Arthroscopy set is used by Orthopedic and Podiatry service to perform arthroscopic procedures on wrist, elbow, and ankle. This procedure is used to diagnose and treat issues involving small joints. 3. Scope. With the increase in surgical cases and the demand to increase service to accommodate the surgical requirements of the Veteran population at this VA, the procurement of an additional Mini Arthroscopy set is needed. This will allow us to schedule multiple small joint arthroscopic procedures on a given day. 4. Specific Tasks. VISN 18, Albuquerque V.A. Health systems, Raymond G. Murphy Medical Center owns one Smith & Nephew Mini Arthroscopy set. With increasing demand for small joint arthroscopic procedure, the facility has a need for an additional set. This will allow the VA to provide a standard of care to our veteran population, with safety in mind. To remain consistent and avoid confusion involved with the mix up of sets, the Raymond G. Murphy Medical Center would like to purchase the Mini Arthroscopy set from Smith & Nephew Endoscopy. ITEM NUMBER DESCRIPTION OF SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 1 SMITH & NEPHEW ENODO PICK, CURVED 90 DEGREE LOCAL STOCK NUMBER: 72203661 - 1.00 EA __________________ __________________ 2 SMITH & NEPHEW ENDO PICK, CURVED 65 DEGREE LOCAL STOCK NUMBER: 72203662 - 1.00 EA __________________ __________________ 3 SMITH & NEPHEW ENDO PICK, CURVED 45 DEGREE LOCAL STOCK NUMBER: 72203663 - 1.00 EA __________________ __________________ 4 SMITH AND NEPHEW ENDO PICK ASSIST LOCAL STOCK NUMBER: 72203781 - 1.00 EA __________________ __________________ 5 SMITH AND NEPHEW ENDO PICK, STRAIGHT, 90 DEGREE LOCAL STOCK NUMBER: 72203678 - 1.00 EA __________________ __________________ 6 SMITH & NEPHEW ENDO PCIK, STRAIGHT 65 DEGREE LOCAL STOCK NUMBER: 72203679 - 1.00 EA __________________ __________________ 7 SMITH AND NEPHEW ENDO PICK STRAIGHT 40 DEGREE LOCAL STOCK NUMBER: 72203680 - 1.00 EA __________________ __________________ 8 SMITH AND NEPHEW ENDO CURETTE OPEN 2.5MM 30 DEGREE LOCAL STOCK NUMBER: 72203682 - 1.00 EA __________________ __________________ 9 SMITH AND NEPHEW ENDO CURETTE OPEN 2.5MM 15 DEGREE LOCAL STOCK NUMBER: 72203683 - 1.00 EA __________________ __________________ 10 SMITH AND NEPHEW ENDO CURETTE CLOSED 3MM 15 DEGREE LOCAL STOCK NUMBER: 72203686 - 1.00 EA __________________ __________________ 11 SMITH AND NEPHEW ENDO CURETTE OPEN 4MM 15 DEGREE LOCAL STOCK NUMBER: 72203681 - 1.00 EA __________________ __________________ 12 SMITH AND NEPHEW ENDO CURETTE OPEN 6MM 15 DEGREE LOCAL STOCK NUMBER: 72203780 - 1.00 EA __________________ __________________ 13 SMITH AND NEPHEW ENDO CURETTE CURVED 90 DEGREE LOCAL STOCK NUMBER: 72203666 - 1.00 EA __________________ __________________ 14 SMITH AND NEPHEW ENDO CURETTE 90 DEGREE LOCAL STOCK NUMBER: 72203684 - 1.00 EA __________________ __________________ 15 SMITH AND NEPHEW ENDO OSTEOTOME 3MM 15 DEGREE LOCAL STOCK NUMBER: 72203687 - 1.00 EA __________________ __________________ 16 SMITH AND NEPHEW ENDO OSTEOTOME STRAIGHT 4MM LOCAL STOCK NUMBER: 72203688 - 1.00 EA __________________ __________________ 17 SMITH AND NEPHEW ENDO OSTEOTOME 20 DEGREE 4MM LOCAL STOCK NUMBER: 72203689 - 1.00 EA __________________ __________________ 18 SMITH AND NEPHEW ENDO ELEVATOR CURVED TEARDROP LOCAL STOCK NUMBER: 72203665 - 1.00 EA __________________ __________________ 19 SMITH AND NEPHEW ENDO ELEVATOR CURVED LOCAL STOCK NUMBER: 72203703 - 1.00 EA __________________ __________________ 20 SMITH AND NEPHEW ENDO PROBE CURVED 3MM LOCAL STOCK NUMBER: 72203691 - 1.00 EA __________________ __________________ 21 SMITH AND NEPHEW ENDO PROBE 3MM LOCAL STOCK NUMBER: 72203692 - 1.00 EA __________________ __________________ 22 SMITH AND NEPHEW ENDO PROBE 2MM LOCAL STOCK NUMBER: 72203670 - 1.00 EA __________________ __________________ 23 SMITH AND NEPHEW HOOK PROBE 2.2MM LOCAL STOCK NUMBER: 3312 - 1.00 EA __________________ __________________ 24 SMITH AND NEPHEW ENDO RAPTOR JR PUNCH LOCAL STOCK NUMBER: 014843 - 1.00 EA __________________ __________________ 25 SMITH AND NEPHEW ENO BLUNT NOSE JR PUNCH LOCAL STOCK NUMBER: 014844 - 1.00 EA __________________ __________________ 26 SMITH AND NEPHEW ENDO PITBULL JR LOCAL STOCK NUMBER: 014845 - 1.00 EA __________________ __________________ 27 SMITH & NEPHEW ENDO CRSPS, JT, SM LOCAL STOCK NUMBER: 013219 - 1.00 EA __________________ __________________ 28 SMITH AND NEPHEW ENDO DYOVAC (R) SUCTION PUNCH 2.5MM LOCAL STOCK NUMBER: 3499 - 1.00 EA __________________ __________________ 29 SMITH AND NEPHEW ENDO MICROGRASPER STRAIGHT LOCAL STOCK NUMBER: 7207598 - 1.00 EA __________________ __________________ 30 SMITH AND NEPHEW ENDO MICROGRASPER UPBITER LOCAL STOCK NUMBER: 7207599 - 1.00 EA __________________ __________________ 31 SMITH AND NEPHEW ENDO MICROPUNCH STRAIGHT LOCAL STOCK NUMBER: 7207600 - 1.00 EA __________________ __________________ 32 SMITH AND NEPHEW ENDO MICROPUNCH TEARDROP LOCAL STOCK NUMBER: 7207601 - 1.00 EA __________________ __________________ 33 SMITH AND NEPHEW ENDO MICROPUNCH TEARDROP LEFT LOCAL STOCK NUMBER: 7207602 - 1.00 EA __________________ __________________ 34 SMITH AND NEPHEW ENDO MICRO VECTOR GUIDE LOCAL STOCK NUMBER: 4291 - 1.00 EA __________________ __________________ 35 SMITH AND NEPHEW ENDO GUIDE WIRE ALIGNER .045 MVECT LOCAL STOCK NUMBER: 4295 - 1.00 EA __________________ __________________ 36 SMITH AND NEPHEW ENDO GUIDE WIRE ALIGNER .062 MVECT LOCAL STOCK NUMBER: 4296 - 1.00 EA __________________ __________________ 37 SMITH AND NEPHEW ENDO DRILL GUIDE OFFSET LOCAL STOCK NUMBER: 4297 - 1.00 EA __________________ __________________ 38 SMITH AND NEPHEW ENDO K-WIRE GUIDE .125 LOCAL STOCK NUMBER: 7204612 - 1.00 EA __________________ __________________ 39 SMITH ANDD NEPHEW ENDO CANNULA 2.9 OPERATIVE LOCAL STOCK NUMBER: 3672 - 1.00 EA __________________ __________________ 40 SMITH AND NEPHEW ENDO CANNULA 2.9 GRADUATED/LUER LOCAL STOCK NUMBER: 3781 - 1.00 EA __________________ __________________ 41 SMITH AND NEPHEW ENDO OBTURATOR 2.9 CONICAL SHORT LOCAL STOCK NUMBER: 3807 - 1.00 EA __________________ __________________ 42 SMITH AND NEPHEW ENDO OBTURATOR 2.9 PASSIVE BLUNT LOCAL STOCK NUMBER: 3786 - 1.00 EA __________________ __________________ 43 SMITH AND NEPHEW ENDO CANNULA FOR 3.6 OPERATIVE SET LOCAL STOCK NUMBER: 4308 - 1.00 EA __________________ __________________ 44 SMITH AND NEPHEW ENDO OBTURATOR FOR 3.6MM OPER SET LOCAL STOCK NUMBER: 4310 - 1.00 EA __________________ __________________ 45 SMITH AND NEPHEW ENDO SOD 2.9MM CANN, DOUBLE-VALVE LOCAL STOCK NUMBER: 72203624 - 1.00 EA __________________ __________________ 46 SMITH AND NEPHEW ENDO OBTURATOR 2.9MM LOCAL STOCK NUMBER: 72203625 - 1.00 EA __________________ __________________ 47 SMITH AND NEPHEW ENDO MTO CANNULA 4.6MM DOUBLE VALVE LOCAL STOCK NUMBER: 7205999 - 1.00 EA __________________ __________________ 48 SMITH AND NEPHEW ENDO OBTURATOR INTEL LONG 2.7 LOCAL STOCK NUMBER: 4439 - 1.00 EA __________________ __________________ 49 SMITH AND NEPHEW ENDO TRAY INSTRUMENT FOOT AND ANKLE LOCAL STOCK NUMBER: 72203782 - 1.00 EA __________________ __________________ 50 SMITH AND NEPHEW ENDO ARTHROSCOPE ACLV 2.7X300 SHORT LOCAL STOCK NUMBER: 7205682 - 1.00 EA __________________ __________________ 51 SMITH AND NEPHEW ENDO ARTHROSCOPE ACLV 2.7X30DEG LOCAL STOCK NUMBER: 7205681 - 1.00 EA __________________ __________________ 52 SMITH AND NEPHEW ENDO STERI-TRAY 3"X9", 4.0MM SCOPE LOCAL STOCK NUMBER: 7204737 - 1.00 EA __________________ __________________ GRAND TOTAL __________________ B.4 Price/Cost Schedule Item Information ITEM NUMBER DESCRIPTION OF SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 1 SMITH & NEPHEW ENODO PICK, CURVED 90 DEGREE LOCAL STOCK NUMBER: 72203661 - 1.00 EA __________________ __________________ 2 SMITH & NEPHEW ENDO PICK, CURVED 65 DEGREE LOCAL STOCK NUMBER: 72203662 - 1.00 EA __________________ __________________ 3 SMITH & NEPHEW ENDO PICK, CURVED 45 DEGREE LOCAL STOCK NUMBER: 72203663 - 1.00 EA __________________ __________________ 4 SMITH AND NEPHEW ENDO PICK ASSIST LOCAL STOCK NUMBER: 72203781 - 1.00 EA __________________ __________________ 5 SMITH AND NEPHEW ENDO PICK, STRAIGHT, 90 DEGREE LOCAL STOCK NUMBER: 72203678 - 1.00 EA __________________ __________________ 6 SMITH & NEPHEW ENDO PCIK, STRAIGHT 65 DEGREE LOCAL STOCK NUMBER: 72203679 - 1.00 EA __________________ __________________ 7 SMITH AND NEPHEW ENDO PICK STRAIGHT 40 DEGREE LOCAL STOCK NUMBER: 72203680 - 1.00 EA __________________ __________________ 8 SMITH AND NEPHEW ENDO CURETTE OPEN 2.5MM 30 DEGREE LOCAL STOCK NUMBER: 72203682 - 1.00 EA __________________ __________________ 9 SMITH AND NEPHEW ENDO CURETTE OPEN 2.5MM 15 DEGREE LOCAL STOCK NUMBER: 72203683 - 1.00 EA __________________ __________________ 10 SMITH AND NEPHEW ENDO CURETTE CLOSED 3MM 15 DEGREE LOCAL STOCK NUMBER: 72203686 - 1.00 EA __________________ __________________ 11 SMITH AND NEPHEW ENDO CURETTE OPEN 4MM 15 DEGREE LOCAL STOCK NUMBER: 72203681 - 1.00 EA __________________ __________________ 12 SMITH AND NEPHEW ENDO CURETTE OPEN 6MM 15 DEGREE LOCAL STOCK NUMBER: 72203780 - 1.00 EA __________________ __________________ 13 SMITH AND NEPHEW ENDO CURETTE CURVED 90 DEGREE LOCAL STOCK NUMBER: 72203666 - 1.00 EA __________________ __________________ 14 SMITH AND NEPHEW ENDO CURETTE 90 DEGREE LOCAL STOCK NUMBER: 72203684 - 1.00 EA __________________ __________________ 15 SMITH AND NEPHEW ENDO OSTEOTOME 3MM 15 DEGREE LOCAL STOCK NUMBER: 72203687 - 1.00 EA __________________ __________________ 16 SMITH AND NEPHEW ENDO OSTEOTOME STRAIGHT 4MM LOCAL STOCK NUMBER: 72203688 - 1.00 EA __________________ __________________ 17 SMITH AND NEPHEW ENDO OSTEOTOME 20 DEGREE 4MM LOCAL STOCK NUMBER: 72203689 - 1.00 EA __________________ __________________ 18 SMITH AND NEPHEW ENDO ELEVATOR CURVED TEARDROP LOCAL STOCK NUMBER: 72203665 - 1.00 EA __________________ __________________ 19 SMITH AND NEPHEW ENDO ELEVATOR CURVED LOCAL STOCK NUMBER: 72203703 - 1.00 EA __________________ __________________ 20 SMITH AND NEPHEW ENDO PROBE CURVED 3MM LOCAL STOCK NUMBER: 72203691 - 1.00 EA __________________ __________________ 21 SMITH AND NEPHEW ENDO PROBE 3MM LOCAL STOCK NUMBER: 72203692 - 1.00 EA __________________ __________________ 22 SMITH AND NEPHEW ENDO PROBE 2MM LOCAL STOCK NUMBER: 72203670 - 1.00 EA __________________ __________________ 23 SMITH AND NEPHEW HOOK PROBE 2.2MM LOCAL STOCK NUMBER: 3312 - 1.00 EA __________________ __________________ 24 SMITH AND NEPHEW ENDO RAPTOR JR PUNCH LOCAL STOCK NUMBER: 014843 - 1.00 EA __________________ __________________ 25 SMITH AND NEPHEW ENO BLUNT NOSE JR PUNCH LOCAL STOCK NUMBER: 014844 - 1.00 EA __________________ __________________ 26 SMITH AND NEPHEW ENDO PITBULL JR LOCAL STOCK NUMBER: 014845 - 1.00 EA __________________ __________________ 27 SMITH & NEPHEW ENDO CRSPS, JT, SM LOCAL STOCK NUMBER: 013219 - 1.00 EA __________________ __________________ 28 SMITH AND NEPHEW ENDO DYOVAC (R) SUCTION PUNCH 2.5MM LOCAL STOCK NUMBER: 3499 - 1.00 EA __________________ __________________ 29 SMITH AND NEPHEW ENDO MICROGRASPER STRAIGHT LOCAL STOCK NUMBER: 7207598 - 1.00 EA __________________ __________________ 30 SMITH AND NEPHEW ENDO MICROGRASPER UPBITER LOCAL STOCK NUMBER: 7207599 - 1.00 EA __________________ __________________ 31 SMITH AND NEPHEW ENDO MICROPUNCH STRAIGHT LOCAL STOCK NUMBER: 7207600 - 1.00 EA __________________ __________________ 32 SMITH AND NEPHEW ENDO MICROPUNCH TEARDROP LOCAL STOCK NUMBER: 7207601 - 1.00 EA __________________ __________________ 33 SMITH AND NEPHEW ENDO MICROPUNCH TEARDROP LEFT LOCAL STOCK NUMBER: 7207602 - 1.00 EA __________________ __________________ 34 SMITH AND NEPHEW ENDO MICRO VECTOR GUIDE LOCAL STOCK NUMBER: 4291 - 1.00 EA __________________ __________________ 35 SMITH AND NEPHEW ENDO GUIDE WIRE ALIGNER .045 MVECT LOCAL STOCK NUMBER: 4295 - 1.00 EA __________________ __________________ 36 SMITH AND NEPHEW ENDO GUIDE WIRE ALIGNER .062 MVECT LOCAL STOCK NUMBER: 4296 - 1.00 EA __________________ __________________ 37 SMITH AND NEPHEW ENDO DRILL GUIDE OFFSET LOCAL STOCK NUMBER: 4297 - 1.00 EA __________________ __________________ 38 SMITH AND NEPHEW ENDO K-WIRE GUIDE .125 LOCAL STOCK NUMBER: 7204612 - 1.00 EA __________________ __________________ 39 SMITH ANDD NEPHEW ENDO CANNULA 2.9 OPERATIVE LOCAL STOCK NUMBER: 3672 - 1.00 EA __________________ __________________ 40 SMITH AND NEPHEW ENDO CANNULA 2.9 GRADUATED/LUER LOCAL STOCK NUMBER: 3781 - 1.00 EA __________________ __________________ 41 SMITH AND NEPHEW ENDO OBTURATOR 2.9 CONICAL SHORT LOCAL STOCK NUMBER: 3807 - 1.00 EA __________________ __________________ 42 SMITH AND NEPHEW ENDO OBTURATOR 2.9 PASSIVE BLUNT LOCAL STOCK NUMBER: 3786 - 1.00 EA __________________ __________________ 43 SMITH AND NEPHEW ENDO CANNULA FOR 3.6 OPERATIVE SET LOCAL STOCK NUMBER: 4308 - 1.00 EA __________________ __________________ 44 SMITH AND NEPHEW ENDO OBTURATOR FOR 3.6MM OPER SET LOCAL STOCK NUMBER: 4310 - 1.00 EA __________________ __________________ 45 SMITH AND NEPHEW ENDO SOD 2.9MM CANN, DOUBLE-VALVE LOCAL STOCK NUMBER: 72203624 - 1.00 EA __________________ __________________ 46 SMITH AND NEPHEW ENDO OBTURATOR 2.9MM LOCAL STOCK NUMBER: 72203625 - 1.00 EA __________________ __________________ 47 SMITH AND NEPHEW ENDO MTO CANNULA 4.6MM DOUBLE VALVE LOCAL STOCK NUMBER: 7205999 - 1.00 EA __________________ __________________ 48 SMITH AND NEPHEW ENDO OBTURATOR INTEL LONG 2.7 LOCAL STOCK NUMBER: 4439 - 1.00 EA __________________ __________________ 49 SMITH AND NEPHEW ENDO TRAY INSTRUMENT FOOT AND ANKLE LOCAL STOCK NUMBER: 72203782 - 1.00 EA __________________ __________________ 50 SMITH AND NEPHEW ENDO ARTHROSCOPE ACLV 2.7X300 SHORT LOCAL STOCK NUMBER: 7205682 - 1.00 EA __________________ __________________ 51 SMITH AND NEPHEW ENDO ARTHROSCOPE ACLV 2.7X30DEG LOCAL STOCK NUMBER: 7205681 - 1.00 EA __________________ __________________ 52 SMITH AND NEPHEW ENDO STERI-TRAY 3"X9", 4.0MM SCOPE LOCAL STOCK NUMBER: 7204737 - 1.00 EA __________________ __________________ GRAND TOTAL __________________ B.5 Delivery Schedule ITEM NUMBER QUANTITY DELIVERY DATE 1 1.00 2 1.00 3 1.00 4 1.00 5 1.00 6 1.00 7 1.00 8 1.00 9 1.00 10 1.00 11 1.00 12 1.00 13 1.00 14 1.00 15 1.00 16 1.00 17 1.00 18 1.00 19 1.00 20 1.00 21 1.00 22 1.00 23 1.00 24 1.00 25 1.00 26 1.00 27 1.00 28 1.00 29 1.00 30 1.00 31 1.00 32 1.00 33 1.00 34 1.00 35 1.00 36 1.00 37 1.00 38 1.00 39 1.00 40 1.00 41 1.00 42 1.00 43 1.00 44 1.00 45 1.00 46 1.00 47 1.00 48 1.00 49 1.00 50 1.00 51 1.00 52 1.00 SECTION C - CONTRACT CLAUSES C.1 FSS RFQ INTRODUCTORY LANGUAGE The terms and conditions of the contractor's FSS contract (including any contract modifications) apply to all Blanket Purchase Agreements (BPA) and task or delivery orders issued under the contract as a result of this RFQ. When a lower price has been established, or when the delivery terms, FOB terms, or ordering requirements have been modified by the BPA or task/delivery order, those modified terms will apply to all purchases made pursuant to it and take precedence over the FSS contract. Any unique terms and conditions of a BPA or order issued under the contract that are not a part of the applicable FSS contract will govern. In the event of an inconsistency between the terms and conditions of a BPA or task/delivery order and the Contractor's FSS terms, other than those identified above, the terms of the FSS contract will take precedence. C.2 VAAR 852.215-71 EVALUATION FACTOR COMMITMENTS (DEC 2009) The offeror agrees, if awarded a contract, to use the service-disabled veteran-owned small businesses or veteran-owned small businesses proposed as subcontractors in accordance with 852.215-70, Service-Disabled Veteran-Owned and Veteran-Owned Small Business Evaluation Factors, or to substitute one or more service-disabled veteran-owned small businesses or veteran-owned small businesses for subcontract work of the same or similar value. (End of Clause) SECTION E - SOLICITATION PROVISIONS E.1 VAAR 852.215-70 SERVICE-DISABLED VETERAN-OWNED AND VETERAN-OWNED SMALL BUSINESS EVALUATION FACTORS (DEC 2009) (a) In an effort to achieve socioeconomic small business goals, depending on the evaluation factors included in the solicitation, VA shall evaluate offerors based on their service-disabled veteran-owned or veteran-owned small business status and their proposed use of eligible service-disabled veteran-owned small businesses and veteran-owned small businesses as subcontractors. (b) Eligible service-disabled veteran-owned offerors will receive full credit, and offerors qualifying as veteran-owned small businesses will receive partial credit for the Service-Disabled Veteran-Owned and Veteran-owned Small Business Status evaluation factor. To receive credit, an offeror must be registered and verified in Vendor Information Pages (VIP) database. (http://www.VetBiz.gov). (c) Non-veteran offerors proposing to use service-disabled veteran-owned small businesses or veteran-owned small businesses as subcontractors will receive some consideration under this evaluation factor. Offerors must state in their proposals the names of the SDVOSBs and VOSBs with whom they intend to subcontract and provide a brief description of the proposed subcontracts and the approximate dollar values of the proposed subcontracts. In addition, the proposed subcontractors must be registered and verified in the VetBiz.gov VIP database (http://www.vetbiz.gov). (End of Provision) E.2 52.209-5 REPRESENTATION BY CORPORATIONS REGARDING AN UNPAID TAX LIABILITY OR A FELONY CONVICTION UNDER ANY FEDERAL LAW (DEVIATION)(MAR 2012) (a) In accordance with Division H, sections 8124 and 8125 of P.L. 112-74 and sections 738 and 739 of P.L. 112-55 none of the funds made available by either Act may be used to enter into a contract with any corporation that- (1) Has an unpaid federal tax liability, unless the agency has considered suspension or debarment of the corporation and the Suspension and Debarment Official has made a determination that this action is not necessary to protect the interests of the Government. (2) Has a felony criminal violation under any Federal or State law within the preceding 24 months, unless the agency has considered suspension or debarment of the corporation and Suspension and Debarment Official has made a determination that this action is not necessary to protect the interests of the Government. (b) The Offeror represents that- (1) The offeror does [ ] does not [ ] have any unpaid Federal tax liability that has been assessed and that is not being paid in a timely manner pursuant to an agreement with the authority responsible for collecting the tax liability. (2) The offeror, its officers or agents acting on its behalf have [ ] have not [ ] been convicted of a felony criminal violation under a Federal or State law within the preceding 24 months. (End of Provision)

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