Amendment 1 - Examination Tables

This requirement is for one (1) Firm-Fixed Price (FFP) purchase order for ten (10) examination tables and install in support of the Medical Department at the Yakama Service Unit (YSU), Toppenish, Washington. This requirement is needed to replace existing examination tables that have exceeded their usage and no longer meet current accessibility standards put forth in 2024 US Access Board Standards for Accessible Medical Diagnostic Equipment.

Attachment 1 – SOW

Attachment 2 – Schedule of Items

Attachment 3 – IHS IEE

PERFORMANCE WORK STATEMENT

Introduction: The Yakama Service Unit (YSU) requires the replacement and installation of ten (10) exam tables to support the Medical Department. The contractor shall furnish and deliver ten (10) fully assembled and functional barrier free examination tables with integrated patient support rail accessories. Each unit must be delivered ready for immediate clinical use, including all standard features, specified accessories, and required components. The contractor shall be responsible for delivery to the facility location, including inside delivery and placement in designated rooms, as the facility does not have a loading dock. The facility does have a forklift available. All equipment must be new, unused, and in current production with full manufacturer warranty.

Background: The Yakama Service Unit currently operates examination tables that have exceeded their expected service life and require replacement to ensure continued delivery of safe, accessible, and quality patient care. The existing equipment no longer meets operational standards for reliability and may pose challenges in maintaining compliance with accessibility requirements and patient safety protocols. This replacement is necessary to support clinical operations, improve patient experience, and ensure healthcare providers have reliable, functional equipment that meets current accessibility standards including compliance with the 2024 US Access Board Standards for Accessible Medical Diagnostic Equipment.

Scope: The contractor shall furnish and deliver ten (10) fully assembled and functional barrier free examination tables with integrated patient support rail accessories. Each unit must be delivered ready for immediate clinical use, including all standard features,  specified accessories, and required components. The contractor shall be responsible for delivery to the facility location, including  inside delivery and placement in designated rooms, as the facility does not have a loading dock. All equipment must be new, unused, and in current production with full manufacturer warranty. 

Specific Tasks or Specifications:

Examination Table Specifications:

The contractor shall provide ten (10) examination tables meeting the following specifications:

Model Requirements:

• Barrier-free examination table with model designation equivalent to Midmark
• 626-002 or approved equal
• Low seat height: 15.5 inches (uncompressed) to 14.6 inches (compressed) to
• facilitate independent patient transfer
• Weight capacity: minimum 650 pounds
• Adjustable height range suitable for both patient transfer and clinical examination
•  Premium Comfort System with elastomeric material for patient comfort

Standard Features Required:

• Clean Assist Roller System for ease of movement and cleaning
• Active Sensing Technology to pause table movement when disruption is detected
• Wired hand and foot controls for table positioning
• Quick Exam and Return to Home positioning functions
• Lockout capability for hand and foot controls
• Standard accessory receivers for tool-free accessory integration
• Tamper-resistant electrical receptacles on both sides of the table
• Stirrups and pelvic tilt capability for lower body examinations
• Drawer heater for warming examination supplies
• 650-pound weight capacity minimum

Required Accessory:

• Patient Support Rails+ (one set per table) designed to support proper arm
• positioning for blood pressure measurements and blood draws, with articulating
• arm pad and compliance with US Access Board Standards for transfer supports

Upholstery Specification:

• personnel
• Delivery must be coordinated with the Contracting Officer's Representative (COR) and Program Point of Contact.

Performance Monitoring (if applicable):

The government will verify compliance through the following methods:

Pre-Delivery:

• Review and approval of manufacturer specifications and documentation
• confirming compliance with stated requirements
• Verification of model number, features, and accessory inclusion

Upon Delivery:

Physical inspection of each unit to verify: 

• Correct model and specifications
• Presence and proper installation of Patient Support Rails+ accessory
• Correct upholstery color (Dream 847)
• All standard features present and functional
• Freedom from damage, defects, or cosmetic flaws
• Presence of all required components, controls, and accessories

Acceptance Testing:

• Functional testing of all mechanical and electrical components including:
• Height adjustment mechanisms
• Hand and foot controls
• Quick Exam and Return to Home functions
• Patient Support Rails+ articulation and locking mechanisms
• Electrical receptacles
• Stirrups, pelvic tilt, and drawer heater functions
• Active Sensing Technology and lockout features
• Verification that manufacturer warranty documentation is provided for each unit

Quality Standards:

• All equipment must be new, unused, and in current production
•  Each unit must meet or exceed manufacturer specifications
• No visible defects, damage, or cosmetic imperfections
• All safety features must be operational

The COR or designated representative will conduct inspections and provide written acceptance or rejection within five (5) business days of delivery. Any non-conforming items must be replaced at no additional cost to the government.

Security Requirements

Facility Access:

• Delivery personnel must check in at the facility security desk and obtain visitor badges
• All delivery personnel must be escorted by government personnel while on facility grounds
• Delivery personnel must comply with all facility security protocols and badging requirements
• Valid government-issued photo identification required for all personnel entering the facility

Information Security:

• No sensitive or protected health information will be provided to the contractor
• Delivery personnel shall not access, view, or photograph any patient information or clinical areas beyond the designated delivery locations

Background Checks:

• Contractors performing inside delivery may be subject to facility security screening requirements
• Notification of delivery personnel names must be provided to the COR at least 48 hours prior to delivery

Government-Furnished Equipment (GFE)/Government-Furnished Information (GFI)

The government will provide:

• Access to facility and designated examination rooms for delivery and placement
• Designated representative (COR or designee) to coordinate delivery timing and room assignments
• Electrical power connections (standard 110V outlets) in each examination room
• Escort and facility access for contractor delivery personnel
• Disposal of existing examination tables after new equipment is accepted

The government will NOT provide:

• Loading dock access (facility does not have a loading dock - inside delivery is required)
• Lifting or moving equipment (contractor responsible for all equipment handling)
• Assembly of equipment (must be delivered fully assembled and functional) Installation beyond placement in designated rooms

Other Pertinent Information or Special Considerations

Delivery Logistics:

• The facility is located at 401 Buster Road, Toppenish, WA 98948
• The facility does NOT have a loading dock - all pricing must include inside delivery
• Delivery must be coordinated with the COR, Ryan Pett ([email protected]), at least one (1) week in advance
• Delivery hours are Monday through Friday, 8:00 AM to 4:00 PM (excluding federal holidays) Contractor must provide adequate personnel and equipment (dollies, lift gates,etc.) to safely deliver and position tables without facility loading dock access

Coordination:

• Program Manager: Danial Hocson, MD
• Contracting Officer's Representative (COR): Ryan Pett ([email protected])
• All delivery scheduling and questions regarding placement must be directed to the COR

Warranty and Support:

• Full manufacturer warranty must be provided for each unit
• Warranty documentation must be delivered with each table
• Contractor shall provide manufacturer contact information for service and support

Environmental Considerations:

• All packing materials and debris must be removed from the facility by the contractor
• Contractor is responsible for environmentally responsible disposal of all packaging materials

Product Documentation:

• User manuals and operation guides must be provided for each table (digital format acceptable)
• Cleaning and maintenance instructions must be provided
• Technical specifications sheet for each unit

 Identification of Possible Follow-on Work

• Guidance: State whether additional phases or future related work may occur.
• Potential future requirements may include:  Purchase of additional examination tables for expansion or replacement at
• Yakama Service Unit or other Indian Health Service facilities in the region
• Procurement of additional accessories such as additional Patient Support Rails+, lighting systems, or mobile  procedure carts
• Annual preventive maintenance services for examination tables
• Future replacement cycles as equipment reaches end of service life (typically 10-
• 15 years)
• The government does not commit to any follow-on acquisitions, but successful performance on this requirement may be considered in future procurement decisions.

Inspection and Acceptance Criteria

Inspection Location: Destination (Yakama Service Unit, 401 Buster Road, Toppenish, WA 98948)

Acceptance Standards:

Each examination table must meet the following criteria for acceptance:

1. Model Verification: Unit matches specified model (626-002 or approved equal) with all required standard features
2. Accessory Verification: Patient Support Rails+ properly installed and functional on each unit
3. Color Verification: Upholstery color matches Dream 847 specification (or approved substitute)
4. Functional Testing: All mechanical and electrical systems operate as designed without malfunction
5. Physical Condition: No damage, defects, or cosmetic flaws; new and unused condition
6. Completeness: All components, controls, and accessories present and properly installed
7. Documentation: User manuals, warranty documents, and technical specifications Provided
8. Delivery Compliance: Inside delivery completed with positioning in designated rooms and removal of all packaging materials

Acceptance Process:

• The COR or designated government representative will inspect each table upon delivery
• Functional testing will be performed on each unit
• Written acceptance or rejection will be provided within five (5) business days of delivery
• Any non-conforming equipment must be removed and replaced with conforming items at no additional cost to the government within fifteen (15) days of rejection notice
• Payment will be authorized only after all equipment has been inspected and accepted in writing

Rejection Criteria:

Equipment will be rejected for any of the following:

• Incorrect model or missing standard features
• Missing or incorrect accessories
• Wrong upholstery color (without prior approval)
• Any functional deficiency or malfunction
• Damage, defects, or evidence of prior use
• Incomplete delivery or missing documentation
• Failure to complete inside delivery and placement as specified

Risk Control

Identified Risks and Mitigation Measures:

Risk 1: Delivery Delays

• Risk: Equipment may not arrive within the required timeframe, disrupting clinical operations

• Mitigation: Firm delivery schedule required within 60 days of award; contractor must provide tracking information and advance notice of delivery date; liquidated damages may apply for late delivery

Risk 2: Product Availability

• Risk: Specified model or color may be discontinued or temporarily unavailable
• Mitigation: Contractor must confirm product availability prior to award; if specified model unavailable, contractor must propose approved equal subject to government review and approval; color substitution requires government preapproval

Risk 3: Delivery Access Without Loading Dock

• Risk: Difficulty delivering and positioning heavy equipment without loading dock access
• Mitigation: Requirement clearly stated that inside delivery is required and must be included in pricing; contractor site visit encouraged prior to quotation; contractor responsible for all equipment needed for safe delivery (lift gates, ramps, dollies, additional personnel)

Risk 4: Equipment Damage During Delivery

• Risk: Tables may be damaged during transport or placement without loading dock
• Mitigation: Contractor responsible for all risk of loss until acceptance; damaged equipment must be replaced at contractor expense, inspection upon delivery before acceptance

Risk 5: Incorrect Configuration or Missing Accessories

• Risk: Tables delivered without Patient Support Rails+ or other required features
• Mitigation: Detailed specifications provided; pre-delivery documentation review; inspection and functional testing before acceptance; rejection and replacement at contractor expense for non-conforming items

Risk 6: Facility Access and Security Delays

• Risk: Delays due to security screening or facility access requirements
• Mitigation: Clear communication of security requirements in solicitation; advance coordination with COR required; delivery personnel information provided 48 hours prior to delivery

Risk 7: Installation or Setup Issues

• Risk: Tables require assembly or setup that cannot be completed on-site
• Mitigation: Requirement specifies delivery of fully assembled functional units ready for immediate use; contractor verifies functionality before leaving site

Place of Performance / Delivery Address / Location

Delivery Destination:

Yakama Service Unit

401 Buster Road

Toppenish, WA 98948

Facility Contact for Delivery Coordination:

Ryan Pett, Contracting Officer's Representative (COR)

Email: [email protected], (509) 865-1728

Special Delivery Instructions:

• This facility does NOT have a loading dock
• Inside delivery to designated examination rooms is REQUIRED
• Delivery must be coordinated with COR at least one (1) week in advance
• Delivery hours: Monday-Friday, 8:00 AM to 4:00 PM (excluding federal holidays)
• All delivery personnel must check in at facility security and obtain visitor badges
• Contractor must provide all equipment necessary for inside delivery (lift gate truck, dollies, ramps, adequate personnel, etc.) 
• Contractor must remove and properly dispose of all packaging materials

Period of Performance

Delivery Timeline:

• Delivery required: Within sixty (60) calendar days from date of contract award
• Delivery date to be coordinated with COR at least seven (7) calendar days prior to scheduled delivery 
• All ten (10) examination tables must be delivered, positioned, and accepted within the 60-day period

Contract Period: Date of Award through completion of delivery and acceptance.

Delivery Schedule

Delivery Requirements: 

Delivery Timeframe: All equipment must be delivered within sixty (60) calendar days from the date of contract award

Advance Coordination: Contractor must contact the COR at [email protected] at least seven (7) calendar days prior to the proposed delivery date to schedule delivery and confirm:

• Specific delivery date and approximate time window
• Number of personnel and vehicles
• Names of delivery personnel for security screening 
• Estimated duration of delivery and placement activities

Delivery Method:

• Inside delivery to designated examination rooms
• Fully assembled units, ready for immediate use
• Professional delivery with adequate personnel and equipment to safely navigate facility without loading dock

Acceptable Delivery Days/Times:

• Monday through Friday
• 8:00 AM to 4:00 PM
• Excluding federal holidays
• Must be confirmed with COR

Delivery Completion:

All ten (10) units must be delivered, positioned in designated rooms, functionally tested, and packaging removed during the delivery visit.

Phased Delivery:

If operationally necessary, delivery may be split into multiple shipments, but all equipment must be delivered and accepted within the 60-day period. Any phased delivery must be pre-approved by the COR.

Documentation Upon Delivery:

• Delivery receipt/packing slip
• Manufacturer warranty documentation for each unit
• User manuals and operation guides (digital or hard copy)
• Cleaning and maintenance instructions
• Technical specification sheets

INSTRUCTIONS TO RESPONDENTS AND EVALUATION CRITERIA

Submission of Quotes:

Quotes shall be submitted electronically via email to [email protected]. The subject line shall include the solicitation number 75H71326Q00018 and the Offeror’s entity name.

Quotes shall include:

• Completed price quote (CLIN Schedule)
• Technical Capabilities
• Past Performance
• Completed IEE Form

Questions

Questions regarding this solicitation shall be submitted in writing via email to [email protected] no later than four (3) business days prior to the closing date. The subject line shall include the solicitation number 75H71326Q00018.

BASIS FOR AWARD:

The Government intends to award a contract to the Offeror responsible whose quote represents the best value to the Government, considering price and non-price factors. The Government may award other than the lowest-priced Offeror. This procurement is time-sensitive, and the Government will consider the Offeror’s ability to provide timely and reliable pharmacist services to ensure continuity of pharmacist operations and patient care.

The Government reserves the right to:

• Make no award
• Evaluate quotes without discussions
• Communicate with Respondents for clarification purposes only
• Exclude quotes that fail to follow solicitation instructions

Evaluation Factors

Factor 1 – Demonstrated Capability 

The Government will evaluate the Offeror’s capability in providing comparable services/supplies. The respondent shall submit a written narrative (minimum of 3 pages) demonstrating:

• Capability providing requested brand name or equal equipment, including noted specifications, delivery and removal services
• Capability to meet delivery requirements, period of performance timeline

Respondents may submit up to three (3) recent Past Performance projects. Each example shall include:

• Customer name, phone number, and email 
• Contract number and dollar value 
• Description of work performed 
• Period of performance

Factor 2 – Price

The Government will evaluate the total evaluated price based on the CLIN structure provided (Attachment No. 1). The price quote shall include all costs necessary to fulfil the requirement, including labor, professional pharmacist services, supervision, travel (if applicable), and all incidental costs required to successfully perform pharmacist services under the contract.

Pricing: Line items as specified below. 

Description                           Quantity                Unit Price            Total             

Examination Tables               10                         $                      $                      

Installation Fees                     1                          $                      $                      

Shipping/Delivery Fee            1                          $                      $                       

The Government may use a comparative evaluation in accordance with FAR 12.203(c)(2), Evaluation.

(End of Instructions and Evaluation Criteria)

APPLICABLE PROVISIONS AND CLAUSES

52.212-1 Instructions to Offerors—Commercial Products and Commercial Services. (Nov 2025)

52.212-2 Evaluation—Commercial Products and Commercial Services. (Nov 2025)

52.212-4 Contract Terms and Conditions – Commercial Items (Mar 2026)

The solicitation document and incorporated provisions and clauses are those in effect through Federal Acquisition Circular 2026-05 dated April 20, 2026.

Full text available at http://www.acquisition.gov

52.202-1 Definitions (Jun 2020)
52.204-7 System for Award Management (Oct 2018)
52.204-9 Personal Identity Verification of Contractor Personnel (Jan 2011)

52.204-13 System for Award Management – Maintenance (April 2026 Deviations) 

52.204-19 Incorporation by Reference of Representation and Certification (December 2014) 

52.209-11 Representation by Corporations Regarding Delinquent Tax Liability or a Felony Conviction under any Federal Law (April 2026 Deviation) 

52.219-1 Small Business Program Representation (April 2026 Deviation) 

52.222-3 Convict Labor (Apr 2026)
52.222-36 Equal Opportunity for Workers with Disabilities (Jun 2020)
52.224-1 Privacy Act Notification (Apr 1984)
52.224-2 Privacy Act (Apr 1984)

52.226-8 Encouraging Contractor Policies to Ban Text Messaging While Driving (May 2024)
52.229-3 Federal, State, and Local Taxes (Feb 2013)
52.229-4 Federal, State, and Local Taxes (State and Local Adjustments) (Feb 2013)
52.232-1 Payments (Apr 1984)
52.232-33 Payment by Electronic Funds Transfer—System for Award Management (Oct 2018)
52.232-40 Providing Accelerated Payments to Small Business Subcontractors (Mar 2023)
52.233-1 Disputes (Apr 2026))
52.233-3 Protest After Award (Apr 2026)

52.237-3 Continuity of Services (Jan 1991)
52.237-2 Protection of Government Buildings, Equipment, and Vegetation (Apr 1984)

HHS ACQUISITION REGULATION (HHSAR) CLAUSES

352.232-71 Electronic Submission of Payment Requests (Apr 2026) (RFO Deviation)

(a) Definitions. As used in this clause –

Payment request means a bill, voucher, invoice, or request for contract financing payment with associated supporting documentation. The payment request must comply with the requirements in FAR 32.905(b) and the applicable payment clause included in this contract.

(b) Submission instructions. Except as provided in paragraph (c) of this clause, the Contractor must submit payment requests electronically using the Department of Treasury Invoice Processing Platform (IPP) or successor system. Information regarding IPP, including IPP Customer Support contact information, is available at www.ipp.gov or any successor site.

(c) Alternate submission procedures. The Contractor may submit payment requests using other than IPP only when the Contracting Officer authorizes alternate procedures in writing.

(d) Submission of alternate payment procedures authorization. If alternate payment procedures are authorized, the Contractor must include a copy of the Contracting Officer's written authorization with each payment request.

(End of clause)

HHSAR 352.224-70 - Privacy Act (Dec 2015) Contractor and employees subject to criminal penalties under Privacy Act (5 U.S.C. 552a(i)). Employees must know rules in 45 CFR Part 5b. Applies to subcontracts.

HHSAR 352.239-73 - Electronic and Information Technology Accessibility Notice (Dec 2015) Notice of Section 508 requirements.

HHSAR 352.239-74 - Electronic and Information Technology Accessibility (Dec 2015) Compliance with Section 508 accessibility standards required.

HHSAR 352.237-71 - Crime Control Act of 1990—Reporting of Child Abuse (Dec 2015) [Include if services performed on Federal land or in Federal facility by covered professionals]

(a) Covered professionals must immediately report suspected child abuse.

(b) Covered professionals include: teachers, social workers, physicians, nurses, dentists, healthcare practitioners, mental health professionals, childcare workers, and others.

(c) Report to State Child Abuse Hotline, local CPS, or law enforcement. Childhelp USA Hotline: 1-800-4-A-CHILD. Failure to report = Class B misdemeanor.

SET-ASIDE AND NAICS INFORMATION

Set-Aside: Indian Small Business Economic Enterprise

NAICS Code: 337127 Institutional Furniture Manufacturing

Small Business Size Standard: 500 employees