Veterans Affairs



FedBizOppsSources Sought Notice*******CLASSIFICATION CODESUBJECTCONTRACTING OFFICE'S ZIP-CODESOLICITATION NUMBERRESPONSE DATE (MM-DD-YYYY)ARCHIVE DAYS AFTER THE RESPONSE DATERECOVERY ACT FUNDSSET-ASIDENAICS CODECONTRACTING OFFICE ADDRESSPOINT OF CONTACT(POC Information Automatically Filled from User Profile Unless Entered)DESCRIPTIONSee AttachmentAGENCY'S URLURL DESCRIPTIONAGENCY CONTACT'S EMAIL ADDRESSEMAIL DESCRIPTION ADDRESSPOSTAL CODECOUNTRYADDITIONAL INFORMATIONGENERAL INFORMATIONPLACE OF PERFORMANCE* = Required FieldFedBizOpps Sources Sought NoticeRev. March 2010HSources Sought for VOSB AND SDVOSB dental labs,19104VA244-17-N-013211-11-201615N13339116Department of Veterans AffairsNetwork Contracting Office 43900 Woodland Ave.Philadelphia, PA 19104Donna ToliverCMCVAMC3900 Woodland AvePhiladelphia, PA19104USAdonna.toliver3@ Sources Sought for Veteran Owned Dental Laboratories This is a sources sought request for Dental Lab Services for the Corporal Michael J. Crescenz VA Medical Center (CMCVAMC) located at 3900 Woodland Ave., Philadelphia, PA 19104. The VA Medical Center is seeking Veteran owned businesses VOSB and SDVOSB. It is the intent of the Government to make a single award to a Dental Lab within 35 miles of such proximity to the Corporal Michael J. Crescenz medical facility as to provide a two (2) hour response time when required to help meet patient’s dental needs. All crown and bridge procedures shall be completed within ten (10) working days from the day of arrival at the laboratory. The contractor certifies that all alloys, metals, and components of dental prostheses are in compliance with and meet FDA, ANSI and American Dental Association department standards. The Contractor must assure that dental prostheses or appliances assembled or created under the contract will not be manufactured outside of the United States. Prior to award, potential Dental Labs will allow for the CMCVAMC dental staff and residents to arrange visits to the laboratory to demonstrate all processes and techniques. This is to be arranged on a mutually agreeable schedule. Review the Performance Work Statement (PWS) below for a complete explanation of what will be required.All vendors responding to this sources sought will have to be registered in SAM and certified in the VetBiz as a VOSB or SDVOSB company. When responding to this sources sought, the vendor must provide the name and address of the company, P.O.C. name, telephone number, and email address. Also, vendors will provide DUNS and TAX ID numbers. All replies to the sources sought are to be emailed to Donna.Toliver3@ by close of business Nov. 11, 2016. PERFORMANCE WORK STATEMENTDEFINITIONS1. VAMC: Philadelphia VA Medical Center aka Corporal Michael J. Crescenz2. Special Handling: Unusual circumstance may dictate the need for a dental order to be picked up,specially shipped and returned overnight, or processed within a shorter time frame.3. Routine Handling: A dental laboratory work authorization that is usually performed andreturned within a specified time frame.4. Turn Around Time (TAT): The length of elapsed time between pickup of the dental lab order by the contractor until the receipt of the complete order by VA Dental Service.5. COR: Contracting Officer’s Representative.6. SAD: Standards of Acceptable Deliverables.7. Dental Laboratory Services: Those laboratory procedures that is required for the treatment ofdental patients. These would include, but not be limited to, all laboratory fabrication aspectsof complete dentures, removable partial dentures, fixed partial dentures and crowns, and dentalimplant prosthesis.8. Working Day: Any twenty‐four hour period of the typical administrative work week, i.e. Mondaythrough Friday (M‐F). For example, if the contractor is allowed 5 working days for a prosthesisand he picks it up on a Monday, it would be due back to VA the following Monday. Federalholidays occurring M‐F are not considered a working day.II. TERM OF CONTRACTThe proposed interim IDIQ contract period of performance is for up to (12) months with an effective period starting when the award is made – contract award date, that the contractor shall not be required to make any deliveries under this contract after [contract termination date]. SCOPEThe Contractor shall provide all resources necessary to accomplish the requirements described in thePerformance Work Statement (PWS). The Contractor shall provide dental laboratory services outlined inthis PWS. The contractor shall provide dental laboratory services Monday through Friday between thehours of 7:45 a.m. and 4:30 p.m. local time, all labor, transportation, materials, general dentallaboratory tools, equipment and supervision required to provide Dental Prostheses to the Corporal Michael J. Crescenz VA Medical Center, 3900 Woodland Avenue , Philadelphia, Pa. 19104. The dental laboratory services that may be authorized under this contract include, but are not limitedto:? Fabrication of porcelain fused to metal crowns and fixed partial dentures? Fabrication of custom trays, wax rims and processing of complete dentures? Fabrication of Full gold crowns and fixed partial dentures? Implant supported crowns and fixed partial dentures? Abutments? Resin‐bonded bridges? Removable partial denture frameworks? Diagnostic wax‐ups for crown and bridge (C&B) cases? Custom provisional C&B prostheses? All‐ceramic C&B prostheses? Implant connecting bars (precious metal/titanium)? C&B metal/titanium/zirconium substructures? Application of veneering porcelain to existing/VAMC submitted metal or ceramic C&Bcopings and fixed partial denture (FPD) substructures.The Contractor shall provide sufficient management to ensure that the work specified in this contract isperformed efficiently, accurately, on time, and in compliance with the terms and conditions of thecontract. The Government reserves the right to add additional dental products and/or services, withinthe scope of the original contract, via a dually signed modification.GENERAL REQUIREMENTSThe Contractor shall provide services and support to VAMC Philadelphia as defined herein.1. The Contractor shall fabricate dental prosthetic items in strict accordance with the dentallaboratory order for the fabrication of dental prostheses, which shall include but not belimited to the following; all laboratory fabrication aspects of complete dentures, removablepartial dentures, fixed partial dentures and crowns, and dental implant prosthesis.2. Special handling may be required on specific orders. Pre-approval must be authorized on a case by case basis by Service liaison. 3. local pickup must be available at Corporal Michael J. Crescenz VA Medical Center from thecontractor or shipping service as part of the contract, rather than the VAMC shipping allcases to the contractor’s facility, this would be preferable. Local pickup times: between 11:00am – 12:00pm daily. 4. Special/customized fabrication standards may be required on specific orders and may beauthorized on a case by case basis by the VAMC.5. The contractor will be a full service dental laboratory that could integrate the combinedtreatment needs of the prosthetic patient requiring simultaneous fixed, removable andimplant prosthetics.6. The normal turnaround time (in working days as defined) for dental prosthetic items shall beas outlined in the following table. In case of longer turn‐around times, the Contractormust notify the designee of the delay, in writing, as soon as the delay becomes known andbefore the maximum number of days has expired. This notification must include the reasonfor delay and the requested amount of additional time.24 Hours 48 Hours 3 Days 5 DaysComplete and Removable Partial Denture acrylic resin repairsCustom impression traysDiagnostic wax‐up,(4teeth or less)Record base andOcclusal rimsComplete andRemovable PartialDenture, toothCustom impression trays, altered cast impressionHeat cured provisional restorations (4 teeth or less)Complete and Removable partialDenture, tooth set‐upadditions/repairArticulation of cast Occlusal guard,Vacuum formTooth Rearrangements,complete and removable partial denturesComplete and removable partialDenture, Process and FinishCast duplications Complete and Removable PartialDenture, RelinesArticulation with model and die workDuraflex partial Denture, Process and finishSolder/Laser Weld Complete andRemovable PartialDenture, rebaseDuraflex partial Denture, tooth set‐upTransitional RemovablePartial Denture, processed (3 teeth or less)Processed surgical templatesTransitional partial set‐up and processCast Post and Core restorations 10 DaysMilled crowns(Zirconium, e‐max)Custom abutmentsPFM crowns and bridgesCast gold crownsCast partial Denture frameworkDiagnostic wax‐up (4 or more teeth)Heat cured provisional restorations (4 or more teeth)7. The contractor certifies that all alloys, metals, and components of dental prostheses are in compliance with and meet FDA, ANSI and American Dental Association department standards. The Contractor must assure that dental prostheses or appliances assembled or created under the contract will not be manufactured outside of the United States.i. American National Standards Institute (ANSI) RequirementsStandards by the ANSI in cooperation with the American Dental AssociationDepartment of Standards require that all materials used for fabrication of dental prostheses meet the Standard Practices for Biological Evaluation of Dental Materials.ii. Food and Drug Administration (FDA) RequirementsContractor must comply with the regulations governing FDA Quality System/GoodManufacturing Practices for products distributed in the United States dental laboratories. FDA regulations prohibit the use of lead in the surface material used to fabricate dental prostheses.8. Contractor shall provide the following services at Corporal Michael J. Crescenz VA Medical Center.a. Forms for the authorization of work at their facility.b. Once daily shipping or pick‐up and delivery by the contractor Monday throughFriday in the Dental Clinic, to include but not limited to:i. All impression pouring/handling.ii. All necessary procedures relating to Dental Laboratory Services.9. Contractor shall consult with the appropriate (provider) Using Service at the VAMC regarding any specific dental laboratory order.10. Dental Laboratory will allow for dental staff and residents to arrange visits to the laboratory to demonstrate all processes and techniques. This is to be arranged on a mutually agreeable schedule.11. Consideration will be given to include dental staff and residents in any available continuing education courses (CE course) held at the laboratory, space permitting.12. BUSINESS ASSOCIATE AGREEMENT (BAA): For your information, please find the attachedBusiness Associate Agreement (BAA) template included as part of the solicitation. The attached BAA will be requested and shall be filled out in its entirety, signed and submitted upon award. If your company has already has an active National BAA, you may include a copy of your current National BAA in place of completing the attached BAA document.13. The Contractor's laboratory must be certified by the National Association of Dental Laboratories. A copy of the contractor's current certifications must be provided to the Corporal Michael J. Crescenz VA Medical System with completed proposal.14. It is the intent of the Government to make a single award to a Small Business within 35 miles of such proximity to the Corporal Michael J. Crescenz medical facility as to provide a two (2) hour response time when required to help meet patient’s nutritional needs. All crown and Bridge procedures shall be completed within ten (10) working days from the day of arrival at the laboratory. MATERIAL REQUIREMENTS1. Noble Alloys (Noble Metal Content must be > 25% Gold + Platinum Group) shall be used in the fabrication of full gold crowns and fixed partial dentures (bridges) and in porcelain fused to metal crowns and fixed partial dentures. As per the American Dental Association "Revised Classification System for Alloys for Fixed Prosthodontics,"2190.aspx for Noble Alloys. The combined total of the metals (gold plus the platinum group) must be greater or equal to 25%). Metals of the platinum group are platinum, palladium, rhodium, iridium, osmium and ruthenium. The contractor shall provide porcelain fused to metal crowns and fixed partial dentures with options of metal occlusal surfaces, crown (survey) under partial denture, porcelain labial butt margin and implant crown and abutments. The contract laboratory shall identify by affixing the most recent manufacturer label to provide a description of the metal alloy components and percentages used in the fabrication of each of the requested dental prostheses. The contract laboratory shall identify in writing (per case) the type ofporcelain used in the fabrication of the porcelain fused to metal dental restorations and in instances where porcelain application only is requested. The alloy used for PFM restorations shall contain less than 30% silver.Cast metal partial denture frameworks shall be fabricated of a cobalt chromium metalalloy; free of nickel and beryllium.The VA system uses multiple implant systems. The contractor will include all parts for fabrication. ORDERINGOrdering Procedures ‐ Task orders against this contract will be placed in accordance with this section. All task orders placed incorporate all terms and conditions of the contract.2. Ordering Officials ‐ Task orders will be placed by ordering officials designated by the Contracting Officer (CO). Ordering officials will be from the Philadelphia VA Medical Center. The ordering facility will issue a prescription to a contractor. Prescriptions constitute binding orders under this contract.SHIPPING/DELIVERYGovernment Packaging – Orders sent to contractors will include the following information:(i) Date & VA Defined Lab# (i.e. Case #)(ii) Name and Address of the VAMC(ii) Contract number; contract line item number and, if applicable, the order number;(iii) For supplies and services, description and quantity as per prescription.(iv) Place of delivery or performance (including co-signee).‐ A copy of the Manifest listing all of the cases being shipped will also be included.(v) Accounting and Appropriation data2. Shipping Method ‐ Contractor shall either hand deliver or use “Next Day” mail or equivalentovernight express delivery service for all products. Return shipping costs shall be the responsibility of the Contractor. Signature confirmation is required.All shipping and handling charges, if applicable, are required to be included as part of theline item pricing. The Government will not pay the shipping and handling chargesseparately and if invoiced, the shipping charges will be rejected.Pick‐Up and Shipping Locations:- CMCVMAC, (Mail Code 160) Dental Service 3rd, Flr., Bldg. #1, VA Medical Center, 3900 Woodland Ave. Philadelphia, Pa. 191044. Contractor Packaging ‐ Contractor shall adhere to the following guidelines when packaging products for return to VA:? Remove dies from models, wrap in cotton and place in plastic containers.? Wrap all components individually in bubble wrap and secure.? Pack items securely in shipping box with sufficient bubble wrap to avoid movement during shipment.? All completed cases shall be disinfected and returned to the authorizing VAMC via shipping methods defined above in Section VI (2).? Contractor must identify the specific type of metal used in each prosthesis with the shipment.5. Contents ‐ Contractor shall include the following items in each returned product to VA:? All original materials supplied by VA? Chain of custody from receipt of items to packaging for shipment? Itemized non‐payable invoice or packing list as detailed in Section IX.? A copy or original of the manufacturer label, to provide a description of the metal alloycomponents and percentages used in the fabrication of each of the requested dentalproducts. Contractor shall identify in writing (per case), the type of porcelain used in thefabrication of the porcelain fused to metal dental restorations? A copy of the original lab prescription from the authorizing VAMC6. Delinquency ‐ Delinquent delivery shall not exceed 5% of the number of orders placed perbatch, per quarter, and/or the total number of orders placed for this contract period (year).VIII. QUALIFICATIONS, LICENSES AND INSPECTION OF CONTRACTOR1. The VISN contracting officer reserves the right to thoroughly inspect and investigate the contractor’s and subcontractor’s facilities and other qualifications.2. The contractor and all sub‐contractor’s facilities shall have all licenses, permits and certifications as required by local and state authorities. Current copies of these must be provided to the contracting officer upon request.IX. QUALITYAll dental prostheses returned from the contracted laboratory will be evaluated by the authorizingVAMC. Returned prostheses that fail to meet Case # requirements will be returned to the contractor for correction, adjustment, or remake. All dental prostheses returned to the contractor for correction, adjustment, or remake shall be delivered to the authorizing VAMC within three (3) business days of date received. Communication back and forth between the VA and the Vendor is important to maintain and coordinate the quality assurance aspects of this contract.1. The contractor will follow the Standards of Acceptable Deliverables (SAD), which is attached.Dental Laboratory procedures and products will be assessed by the COR by using the SAD of Dental Laboratory procedures. Prostheses delivered to VAMC also must adhere to the following standards:? Marginal integrity – crown and bridge prosthetic margins are complete and closed to the marked die margins? Occlusal relationship – the prosthesis contacts the opposing teeth positively and lightly when biting? Esthetics/anatomic contours – the prosthesis matches the shape and contour of the surrounding teeth, as well as the prescribed shade/color.Products not conforming to the stated requirements will require rework. Financial responsibility forrework is defined in paragraph IX. (2). Acceptable quantities of rework are defined in paragraph IX. (3).Financial Responsibility ‐ Prostheses returned to Contractor for rework due to Contractor error shall have necessary corrections, adjustments, or remakes performed no cost to VA. Prostheses returned to Contractor for rework due to VA error will have necessary corrections, adjustments, or remakes performed at contract rates – payable by VA. The Contractor must provide proof that the error was due to VA error for consideration of payment under the contract.3. Frequency of Rework ‐ Rework due to contractor error shall not exceed 3% of the number oforders placed per batch, per quarter, and/or the total number of orders placed for this contractperiod (year).4. The COTR/ Dental Service Chief will notify the vendor in writing on a monthly basis any issues concerning quality complaints of dental laboratory items providing detailed information for the vendor to correct identified discrepancies.5. Cleanliness ‐ Contractor shall adhere to OSHA standards and disinfect all dental impressions and prostheses.6. The contractor service requirements are summarized into Performance Standards that relatedirectly to mission‐essential items. The Performance Standard briefly describes the minimum acceptable levels of service required for each requirement.Task #Required ServicePerformance StandardMonitoring MethodIncentive/Disincentive1 Provide Dental Laboratory Services as outlined in the SOW and SAD100%Perform services inaccordance with JointCommission on theAccreditation on Healthcare Organizations (JCACO) standards, federalregulations or accreditation regulatory entities, including, but not limited to, the AmericanDental Association (ADA) and the Contractor's respective state, requirements for operation as a dental laboratory.PeriodicInspectionPositive/NegativePast Performance2Practice qualitycontrol and safetymeasures, includingUniversalPrecautions forInfectious DiseaseControl.100%Perform services inaccordance with JointCommission on the Accreditation on Healthcare Organizations (JCACO)standards and Safe Workplace Regulations.RandomInspectionPositive/NegativePast Performance3Provide quality andAppropriate documentationregarding theservices provided.95%Perform services inaccordance with thePerformance Work Statement.CustomerComplaintsPoor performance mayresult in re‐performanceat Contractor's expense or termination of the contract.X. SPECIAL REQUIREMENTS1. The contractor shall notify the contracting officer of any proposed changes in subcontracteddental laboratories and have prior written approval (by the contracting officer) before anychanges are implemented. The contractor agrees to absorb any increase in charges as a resultof any changes in subcontracted laboratories.2. Quality Control: Dental Laboratory procedures and products will be assessed by the COR byusing the SAD of Dental Laboratory procedures (copy attached). Contractor shall provide withupon request a detailed description of quality control procedures. Contractor shall providewith upon request a detailed description of quality control policies and procedures followed bythe contractor in the fabrication of dental prostheses.3. The contractor will provide the following, upon request, as well as provide copies during theterm of the contract to the CO and COR upon request.A mutually agreeable time for pickup and delivery.Telephone numbers and contact persons to be used by the using service at the VAMC to inquire about specific dental laboratory orders.A narrative description of the laboratory’s quality control program.4. The contractor shall maintain acceptable services, reporting systems and quality controls asspecified herein. Failure to comply with the specified terms and conditions and/or failure toperform satisfactorily may be grounds for pursuing termination of the contract. Government Pricing EstimatesComplete Dentures Model Custom Tray Bite Block Articulation Set up Reset Process & Finish Includes either- Lucitone 199, characterized lucitone or Injectable Stock Denture teeth (Bioblend or bioform type or equivalent, Determined by the VA) Cast Partial Denture Framework any major connector designs including any lingual plating and up to 4 cast clasps and all saddles. All inclusive frame, excludes special clasps below Add: Wrought Wire (includes soldering or welding to RPD Frame) Therma-flex clasps Duracetal clasps: Custom Tray Bite Block Articulation Set up Reset Process & finish (Flipper) Transitional acrylic RPD with up to four teeth and including up to two clasps Acrylic Partial Dentures w/2 Wrought Wire Clasps FRS(Flexible Resin System) Flexible RPD (design and process) RepairsComplete Denture or Removable partials Complete denture-simple fracture Complex fracture Partial denture-simple fracture Complex fracture Clasp repair Replace saddle Replace tooth Reline Rebase Other Removable appliancesThermoplastic niteguards or Hard niteguards Thermoplastic niteguards w/soft liner Playsafe (mouth guard) Hinged Snore Guard ( I.E. -TAP III appliance) Swing lock-type partial Surgical stent for implants ( complete- includes metal guide sleeves Surgical clear stents for immediate Denture Implant bar overdenture (not including implant parts and high noble metal) Precision and semi-precision attachments Gasket-type partial denture Bleaching Tray $6 each Cast Overlay RPD Framework- Including any major connector design with lingual plating as needed and up to 4 cast clasps and all saddles. All inclusive frame, excludes special clasps that can be added like cast RPD above $6 each Crowns, bridges and implants - per unit price Porcelain fused to metal (PFM) crown FPD (bridge) abutment tooth FPD (bridge) pontic tooth per unit (Includes all noble metal). From final impression to finished crown or bridge $36 each Full cast gold crown (includes high noble metal gold) $12 each ALL Porcelain Crown Lava crown (complete) $24 each All Porcelain Bridge Lava bridge (each unit) $12 each Gold onlay/ inlay (metal @ mkt. price) $2 each Porcelain onlay/inlay (E-max system) $4 each Acrylic provisional crowns and bridges per tooth ( Pontic or abutment) $72 each 3 unit Maryland bridge w/ceramic pontic & 2 wings $2 each Cast gold post & core- (includes gold) $4 each Custom shade w/patient $1 each Diagnostic wax-ups for fixed & removable cases $6 each For Implants: surgical stent $6 each Custom tray $2 each Soft tissue model $12 each Custom abutment implant $4 each Modify a prefab abutment for a cement retained restoration $4 each Porcelain labial margin on PFM crown/FPD $6 each Porcelain 360 margin on PFM crown/FPD $2 each Captek Crown (includes gold) $6 each Captek Bridge (includes gold) $3 each IPS Empress Esthetic Veneers $6 each Laser Welding FPD or RPD frame work $6 each Porcelain bonded veneer $6 each Modify a prefab abutment for a cement retained restoration $6 each Labor for screw-retained restoration $6 each Crown fitted under partial (additional charge) $4 each Surveyed crown for RPD design - Cut & Cast Shallow Rest $6 each Milled Telescope Coping for FPD abutment crown or overdenture $4 each End of Document ................
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