6515--Steris Steamer
Scope of Work Background: The VA Boston Healthcare System has the need for the replacement of the pre-vacuum sterilizers in West Roxbury because they are past their life-expectancy and are requiring frequent repairs. This has impacted operations and workflow and has the potential to negatively impact patient access to critical Reusable Medical Devices (RMD) in the future. Currently the VA Boston Healthcare System utilizes two medium century Sterilizer. We are proposing these two sterilizers to be replaced with two new pre-vacuum sterilizer (AMSCO 400 Series Medium Steam Sterilizer), 4 Atlas loading cars and 4 Atlas loading carriages. These new sterilizers are designed for fast, efficient sterilization of heat- and moisture-stable materials. The pre-vacuum configuration sterilizers are equipped with pre-vacuum, gravity, liquid, leak test and daily air removal (Bowie-Dick) test cycles. AMSCO 400 Series Medium Steam Sterilizers are equipped with the latest features in both state-of-the-art technology and ease of use. PRODUCT FEATURES: 26 x 37.5" chamber cross-sections are sized for efficient, high-volume sterilization processing. Fast-operating, low-effort manual door lock mechanism (hinged-door models) allows door to be locked or unlocked using a single 30A handle motion. Power door drive systems consists of a cable and pulley arrangement driven by an electric motor. Power door is arranged horizontally and controlled from the touch screen. Door slides horizontally on a rigid rail assembly housed within stainless-steel paneling. The control system for the AMSCO 400 Series Medium Steam Sterilizer features enhanced functionality and user-friendly interface screen. Touch-sensitive screen with 30-line x 40-character display area. Ink-on-paper impact printer. Help screens for programming and troubleshooting alarm conditions. Automatic check of control program and cycle data maintains process integrity. Software calibration is performed in service mode using external or internal temperature and pressure sources. Control system provides a printed record of all calibration data for verification. Steam purge feature is provided to assist in air removal and to preheat the load. Lighted DIN connectors are installed on all steam, water, and exhaust valves, for reliability and ease of maintenance. Note: These machines will have internal data transmission capabilities, there will be no need for live data transmission which could interfere with patient information transmission. Period of Performance: The purchased sterilizer model will come with a two-year total care warranty. The normal life expectancy of the AMSCO 400 Series Medium Steam Sterilizer is 12 years. Place of Performance/Delivery Location: VA Boston Healthcare System, 1400 VFW Parkway, Boston, MA 02132 Contractor Responsibilities: Scope: Deinstallation of two Medium Century Sterilizers and the Installation of Two AMSCO 400 Medium sterilizers. Implementation services shall include the following: On-site installation coordination of all equipment and accessories, a training plan, and schedule for go-live and trade in. Meetings should be scheduled with site for implementation, initial deployment, and tough the completion of the delivery. Materials shall be new equipment, parts, and accessories as specified in this PWS. The vendor shall deliver materials to the job site in original equipment manufacturer (OEM) original unopened containers, clearly labeled with the OEM s name, equipment model and serial identification numbers, delivery order number, and VA purchase order number. If products do not meet criteria, VA Clinical Engineering site POC will contact the Vendor Project Manager for replacement of that equipment. The vendor is responsible for all costs associated with the deinstallation and disposal of current sterilizers and generators and delivery of new equipment. All on-site installation services shall be vendor-provided by technical staff (not sales reps) fully trained to service and install Steris products, parts, and accessories as specified. The vendor shall provide, maintain, and dispose all material waste and packaging associated with the current products and/or waste generated during the installation services. The vendor will be responsible for moving waste materials from job site(s) to a vendor-provided waste container, and then off-site. Vendor shall provide included service repair reports to VA POC The vendor shall provide the following documentation for the proposed configuration and setup: Hard and soft copy of operator s manual Hard and soft copy of technical service manuals including troubleshooting guides, necessary diagnostic software and equipment, schematic diagrams, and parts lists DVD or web-based training if available Government Responsibilities: The VA Boston Healthcare System facilities management will provide pre-site specifications listed below: Specification Notes: Rough opening: 42 wide x 73-3/4 tall no rework of opening needed Existing units are century units Utilities Steam A - facility will need upsize connection point to 1 female. Cold 1 - meets STERIS requirements. Verify electric Left unit 208 Right 480 Left hand units An additional service access opening to service and install unit on right. Each VA site is responsible for inventorying materials prior to acceptance of order. Each VA site shall identify and provide limited daily storage of vendor parts/supplies at the time of delivery. Each VA site shall reject items that do not conform to requirements above. Equipment shall be checked upon delivery to ensure no damage occurred during shipment. If damage is observed, VA Clinical Engineering / SPS POC will contact Vendor Project Manager for replacement of that equipment. Training Requirements: The vendor shall provide technical training to ensure sterile processing services (SPS) staff at each facility can support regular operation of the equipment at an equivalent level of a vendor-provided fully trained sterilization technician. All costs and expenses for the contractor to provide the technical training required shall be included with each purchase Upon delivery and install of equipment, certified instructors must provide user training for staff on day, evening, and night shifts at times to be determined by each facility. All staff needs to be trained within 2 weeks of install. Training must be flexible based on day, evening, night, and weekend shifts. All times to be determined by each facility. Trade-In or Disposal: The vendor shall provide disposal for existing sterilizer and generator systems. 36C24123Q0216 Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 1
2/21/23, 10:41 AM 6515--(Ed) 523-23-1-1512-0002: Steris Steamer (VA-23-00029073)
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 tough Federal Acquisition Circular FAC 2023-01 Effective December 30, 2022. This solicitation is set-aside for Service-Disabled Veteran Owned Small Business (SDVOSB) The associated North American Industrial Classification System (NAICS) code for this procurement is 339113, with a small business size standard of 750 employees. The FSC/PSC is 6515. The Department of Veterans Affairs, Network Contracting Office 1, located at White River Junction VT is seeking to purchase a AMSCO 400 Series Medium Steam Sterilizer brand-name or equal. All interested companies shall provide brand-name or equal quotations for the following: Description Quantity Unit of Measure Amsco 400 26X37.5X60 Prevacuum Single Hinge Recessed, 1-Wall Lh Steam 480V AMSCOr 400 Medium Steam Sterilizers Prevacuum LH Recessed External Supplied Steam (Facility Steam/Stand-Alone Generator) Contract: GR GOVT V797D-60613 FSS CAPITAL 1 EA 26X37.5X60 Atlas Loading Car Contract: GR GOVT V797D-60613 FSS CAPITAL 4 EA Atlas Transfer Carriage 26X37.5X60" (Amsco 400) Contract: GR GOVT V797D-60613 FSS CAPITAL 4 EA Install - Medium Sterilizer 2 EA Deinstallation - Medium Sterilizers 2 EA Install Loading Cart/Transfer Carriage 4 EA Disposal of Sterilizers and Generators 2 EA 26X37.5X60 Extra Shelf Support Contract: GR GOVT OPEN MARKET PRICING 4 EA 2 Year Total Care Medium Sterilizer 2 EA Amsco 400 26X37.5X60 Prevacuum Single Hinge Recessed, 1-Wall Lh Steam 208V/240V 1 EA SHIPPING & HANDLING CHARGES 1 EA Scope of Work Background: The VA Boston Healthcare System has the need for the replacement of the pre-vacuum sterilizers in West Roxbury because they are past their life-expectancy and are requiring frequent repairs. This has impacted operations and workflow and has the potential to negatively impact patient access to critical Reusable Medical Devices (RMD) in the future. Currently the VA Boston Healthcare System utilizes two medium century Sterilizer. We are proposing these two sterilizers to be replaced with two new pre-vacuum sterilizer (AMSCO 400 Series Medium Steam Sterilizer), 4 Atlas loading cars and 4 Atlas loading carriages. These new sterilizers are designed for fast, efficient sterilization of heat- and moisture-stable materials. The pre-vacuum configuration sterilizers are equipped with pre-vacuum, gravity, liquid, leak test and daily air removal (Bowie-Dick) test cycles. AMSCO 400 Series Medium Steam Sterilizers are equipped with the latest features in both state-of-the-art technology and ease of use. PRODUCT FEATURES: 26 x 37.5" chamber cross-sections are sized for efficient, high-volume sterilization processing. Fast-operating, low-effort manual door lock mechanism (hinged-door models) allows door to be locked or unlocked using a single 30A handle motion. Power door drive systems consists of a cable and pulley arrangement driven by an electric motor. Power door is arranged horizontally and controlled from the touch screen. Door slides horizontally on a rigid rail assembly housed within stainless-steel paneling. The control system for the AMSCO 400 Series Medium Steam Sterilizer features enhanced functionality and user-friendly interface screen. Touch-sensitive screen with 30-line x 40-character display area. Ink-on-paper impact printer. Help screens for programming and troubleshooting alarm conditions. Automatic check of control program and cycle data maintains process integrity. Software calibration is performed in service mode using external or internal temperature and pressure sources. Control system provides a printed record of all calibration data for verification. Steam purge feature is provided to assist in air removal and to preheat the load. Lighted DIN connectors are installed on all steam, water, and exhaust valves, for reliability and ease of maintenance. Note: These machines will have internal data transmission capabilities, there will be no need for live data transmission which could interfere with patient information transmission. Period of Performance: The purchased sterilizer model will come with a two-year total care warranty. The normal life expectancy of the AMSCO 400 Series Medium Steam Sterilizer is 12 years. Place of Performance/Delivery Location: VA Boston Healthcare System, 1400 VFW Parkway, Boston, MA 02132 Contractor Responsibilities: Scope: Deinstallation of two Medium Century Sterilizers and the Installation of Two AMSCO 400 Medium sterilizers. Implementation services shall include the following: On-site installation coordination of all equipment and accessories, a training plan, and schedule for go-live and trade in. Meetings should be scheduled with site for implementation, initial deployment, and tough the completion of the delivery. Materials shall be new equipment, parts, and accessories as specified in this PWS. The vendor shall deliver materials to the job site in original equipment manufacturer (OEM) original unopened containers, clearly labeled with the OEM s name, equipment model and serial identification numbers, delivery order number, and VA purchase order number. If products do not meet criteria, VA Clinical Engineering site POC will contact the Vendor Project Manager for replacement of that equipment. The vendor is responsible for all costs associated with the deinstallation and disposal of current sterilizers and generators and delivery of new equipment. All on-site installation services shall be vendor-provided by technical staff (not sales reps) fully trained to service and install Steris products, parts, and accessories as specified. The vendor shall provide, maintain, and dispose all material waste and packaging associated with the current products and/or waste generated during the installation services. The vendor will be responsible for moving waste materials from job site(s) to a vendor-provided waste container, and then off-site. Vendor shall provide included service repair reports to VA POC The vendor shall provide the following documentation for the proposed configuration and setup: Hard and soft copy of operator s manual Hard and soft copy of technical service manuals including troubleshooting guides, necessary diagnostic software and equipment, schematic diagrams, and parts lists DVD or web-based training if available Government Responsibilities: The VA Boston Healthcare System facilities management will provide pre-site specifications listed below: Specification Notes: Rough opening: 42 wide x 73-3/4 tall no rework of opening needed Existing units are century units Utilities Steam A - facility will need upsize connection point to 1 female. Cold 1 - meets STERIS requirements. Verify electric Left unit 208 Right 480 Left hand units An additional service access opening to service and install unit on right. Each VA site is responsible for inventorying materials prior to acceptance of order. Each VA site shall identify and provide limited daily storage of vendor parts/supplies at the time of delivery. Each VA site shall reject items that do not conform to requirements above. Equipment shall be checked upon delivery to ensure no damage occurred during shipment. If damage is observed, VA Clinical Engineering / SPS POC will contact Vendor Project Manager for replacement of that equipment. Training Requirements: The vendor shall provide technical training to ensure sterile processing services (SPS) staff at each facility can support regular operation of the equipment at an equivalent level of a vendor-provided fully trained sterilization technician. All costs and expenses for the contractor to provide the technical training required shall be included with each purchase Upon delivery and install of equipment, certified instructors must provide user training for staff on day, evening, and night shifts at times to be determined by each facility. All staff needs to be trained within 2 weeks of install. Training must be flexible based on day, evening, night, and weekend shifts. All times to be determined by each facility. Trade-In or Disposal: The vendor shall provide disposal for existing sterilizer and generator systems. The full text of FAR provisions or clauses may be accessed electronically at http://acquisition.gov/comp/far/index.html. The following solicitation provisions apply to this acquisition: FAR 52.212-1, Instructions to Offerors Commercial Items addendum attached. FAR 52.212-3, Offerors Representations and Certifications Commercial Items Offerors must complete annual representations and certifications electronically via the System for Award Management (SAM) website located at https://www.sam.gov/portal in accordance with FAR 52.212-3, Offerors Representations and Certifications Commercial Items. If paragraph (j) of the provision is applicable, a written submission is required. The following contract clauses apply to this acquisition: FAR 52.212-4, Contract Terms and Conditions Commercial Items (Dec 2022) FAR 52.212-5, Contract Terms and Conditions Required to Implement Statutes or Executive Orders (Dec 2022) VAAR 852.212-71 Gray Market Items. GRAY MARKET ITEMS (APR 2020) (a) No gray market or remanufactured items will be acceptable. Gray market items are Original Equipment Manufacturers (OEM) goods sold tough unauthorized channels in direct competition with authorized distributors. This procurement is for new OEM medical equipment only for VA medical facilities. (b) Vendor shall be an OEM, authorized dealer, authorized distributor or authorized reseller for the proposed equipment/system, verified by an authorization letter or other documents from the OEM. All software licensing, warranty and service associated with the equipment/system shall be in accordance with the OEM terms and conditions. (End of clause) All quoters shall submit the following: Quote, authorized distributor letter, warranty information, delivery information. See attached addendum to 52.212-2 EVALUATION COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES All quotes shall be sent to NCO1 Contracting Specialist manases.cabrera@va.gov. Award will be based upon a comparative evaluation of quotes in accordance with the Simplified Acquisition Procedures of FAR 13. Comparative evaluation is the side by side pairwise comparison of quotes based on factors resulting in a Contracting Officer decision for the quote most favorable to the Government. The following are the decision factors: See attached addendum to 52.212-2 EVALUATION COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES Price, past performance, speed of delivery, warranty. The award will be made to the response most advantageous to the Government. Responses should contain your best terms, conditions. ADDENDUM to FAR 52.212-1 INSTRUCTIONS TO QUOTERS COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (NOV 2021) Provisions that are incorporated by reference (by Citation Number, Title, and Date), have the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. The version of FAR 52.212-1 in the addendum is tailored for Simplified Acquisition Procedures and supersedes the current version of FAR 52.212-1 contained in the FAR. The following provision is incorporated into 52.212-1 as an addendum to this solicitation: 52.212-1 Instructions to Quoters Commercial Products and Commercial Services (Nov 2021) (a)A North American Industry Classification System (NAICS) code and small business size standard.A The NAICS code(s) and small business size standard(s) for thisA acquisitionA appear elsewhere in theA Request for Quote (RFQ). However, the small business size standard for a concern that submits aA quote, other than on aA constructionA or serviceA acquisition, but proposes to furnish an end item that it did not itself manufacture, process, or produce is 500 employees if theA acquisition Is set aside for small business and has a value above theA simplified acquisition teshold; or Uses theA HUBZoneA price evaluation preference regardless of dollar value, unless theA quoterA waives the price evaluation preference; or Is an 8(a),A HUBZone, service-disabled veteran-owned, economically disadvantaged women-owned, or women-owned small business set-aside or sole-source award regardless of dollar value. (b)A Submission ofA Quotes. Submit signed and datedA quotesA to the office specified in thisA Request for Quote (RFQ) at or before the exact time specified.A QuotesA mayA be submitted on letterhead stationery, or as otherwise specified in theA RFQ. As a minimum,A quotesA mustA show A A A A A A A A A A A (1)A TheA solicitation number; A A A A A A A A A A A (2)A The time specified in theA solicitationA for receipt ofA quotations;A A A A A A A A A A A (3)A The name, address, and telephone number of theA quoter; A technical description of the items being quoted in sufficient detail to evaluate compliance with the requirements in theA solicitation. ThisA mayA include product literature, or other documents, if necessary; A A A A A A A A A A A (5)A Terms of any expressA warranty; A A A A A A A A A A A (6)A Price and any discount terms; A A A A A A A A A A A (7)A "Remit to" address, if different than mailing address; (8)A A completed copy of the representations and certifications at FederalA AcquisitionA Regulation (FAR)A 52.212-3A (see FARA 52.212-3(b) for those representations and certifications that theA quoterA shallA complete electronically); A A A A A A A A A A A (9)A Acknowledgment Request for Quotation amendments; (10)A Past performanceA will not be considered in simplified acquisition procurements. (11)A Quote should include a statement specifying the extent of agreement with all terms, conditions, and provisions included in theA solicitation.A QuotesA that fail to furnish required representations and certifications, information requested in (1) to (9), and accept the terms and conditions of theA solicitationA mayA be excluded from consideration. (c)A Period for acceptance ofA Quotes. TheA quoterA agrees to hold the prices in itsA quoteA firm for 30 calendar days from the date specified for receipt ofA quotes, unless another time period is specified in an addendum to theA solicitation. (d)A Product samples. When required by theA solicitation, product samplesA shallA be submitted at or prior to the time specified for receipt ofA quotes. Unless otherwise specified in thisA solicitation, these samplesA shallA be submitted at no expense to the Government, and returned at the sender s request and expense, unless they are destroyed during testing. (e)A MultipleA Quotes.A QuotersA are encouraged to submit multipleA quotesA presenting alternativeA line itemsA (provided that the alternativeA line itemsA are consistent with FARA subpartA 4.10), or alternativeA commercial productsA orA commercial servicesA for satisfying the requirements of thisA solicitation. EachA quoteA submitted will be evaluated separately. (f)A Late submissions, revisions, and withdrawals ofA quotes. (1)A QuotersA are responsible for submittingA quotes so as to reach the Government office designated in theA solicitationA by the time specified in theA solicitation. If no time is specified in theA solicitation, the time for receipt is 4:30 p.m., local time, for the designated Government office on the date thatA quotesA are due. (2)A AnyA quotation received at the Government office designated in theA solicitationA after the exact time specified for receipt ofA quotesA is "late" and may not be considered unless it is received before purchase order issuance and theA Contracting OfficerA (CO) determines that accepting the lateA quotationA would not unduly delay theA acquisition. (3)A If anA emergencyA or unanticipated event interrupts normal Government processes so thatA quotations cannot be received at the Government office designated for receipt ofA quotesA by the exact time specified in theA solicitation, and urgent Government requirements preclude a notice of an extension of the closing date, the time specified for receipt ofA quotes will be deemed to be extended to the same time ofA dayA specified in theA solicitationA on the first workA dayA on which normal Government processes resume. (g)A Issuance of Purchase Order. The Government may issue a purchase order to one or more quoters as identified in the Request for Quote (RFQ). Therefore, theA quoter s initialA quoteA shouldA contain theA best terms from a price and technical standpoint. However, the GovernmentA mayA reject any or allA quotesA if such action is in the public s best interest. The Contracting Officer (CO) may issue a purchase order to other than the quoter with the lowest priced quotation. (h)A Multiple awards. The GovernmentA mayA issue a purchase order for any item or group of items of a quotation, unless theA quoterA qualifies theA quotation by specific limitations. Unless otherwise provided in the Schedule,A quotationsA mayA not be submitted for quantities less than those specified. The Government reserves the right to issue a purchase order for a quantity less than the quantity quoted, at the unit prices quoted, unless theA quoterA specifies otherwise in theA quotation. A A A A A A (1)A Availability of requirements documents cited in theA solicitation. (i)A The GSA Index of Federal Specifications, Standards and Commercial Item Descriptions, FPMR Part 101-29, and copies of specifications, standards, and commercial item descriptions cited in thisA solicitationA mayA be obtained for a fee by submitting a request to- GSA Federal Supply Service Specifications Section Suite 8100 470 East L Enfant Plaza, SW Washington, DC 20407 Telephone (202) 619-8925, Facsimile (202) 619-8978. (ii)A If the General Services Administration, Department of Agriculture, or Department of Veterans Affairs issued thisA solicitation, a single copy of specifications, standards, and commercial item descriptions cited in thisA solicitationA mayA be obtained free of charge by submitting a request to the addressee in paragraph (i)(1)(i) of this provision. Additional copies will be issued for a fee. (2)A Most unclassified Defense specifications and standardsA mayA be downloaded from the following ASSIST websites: A A A A A A A A A A A A A A A A (i)A ASSIST (A https://assist.dla.mil/online/start/). A A A A A A A A A A A A A A A A (ii)A Quick Search (A http://quicksearch.dla.mil/).A A A A A A A A A A A (3)A Documents not available from ASSISTA mayA be ordered from the Department of Defense Single Stock Point (DoDSSP) by- (i)A Using the ASSIST Shopping Wizard (A https://assist.dla.mil/wizard/index.cfm); (ii)A Phoning the DoDSSP Customer Service Desk (215) 697-2179, Mon-Fri, 0730 to 1600 EST; or (iii)A Ordering from DoDSSP, Building 4, Section D, 700 Robbins Avenue, Philadelphia, PA 19111-5094, Telephone (215) 697-2667/2179, Facsimile (215) 697-1462. (4)A Nongovernment (voluntary) standardsA mustA be obtained from the organization responsible for their preparation, publication, or maintenance. (j)A Unique entity identifier (UEI). Applies to all quotesA that exceed theA micro-purchase teshold, andA quotesA at or below theA micro-purchase tesholdA if theA solicitationA requires the contractor to beA registered in the System for Award Management (SAM).) TheA quoterA mustA enter, in the block with its name and address on the cover page of itsA quote, the annotation "Unique Entity Identifier" followed by theA unique entity identifierA that identifies theA quoters name and address. TheA quoterA alsoA must enter itsA Electronic Funds Transfer (EFT) indicator, if applicable. The EFT indicator is a four-character suffix to theA UEI. The suffix is assigned at the discretion of theA quoterA to establish additional SAM records for identifying alternative EFT accounts (see FARA subpartA 32.11) for the same entity. If theA quoterA does not have a UEI, itA shouldA contact the entity designated atA www.sam.govA forA UEIA establishment directly to obtain one. TheA quoterA shouldA indicate that it is aA quoterA for a Government contract when contacting the entity designated atA www.sam.govA for establishing theA UEI. (k)A [Reserved] (l)A Requests for information. The CO will not notify unsuccessful quoters that responded to this Request for Quotation (RFQ). However, quoters may request information on purchase order(s) resulting from this solicitation with the CO. (End of provision) 52.212-2 EVALUATION COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES Basis for Award. The Government will issue a purchase order to the responsible quoter whose quotation conforming to the solicitation will be most advantageous to the Government, price and other factors considered. The following factors shall be used to evaluate quotations: Price Past Performance Speed of delivery Warranty Evaluation Approach. The Government will evaluate quotations using the comparative evaluation process outlined in FAR 13.106-2 (b) (3), where quotations will be compared to one another to determine which provides the best benefit to the Government. The Government reserves the right to consider a quotation other than the lowest price that provides additional benefit(s). Quotations may exceed minimum requirements of the solicitation. The Government reserves the right to select a quotation that provides benefit to the Government that exceeds the minimum requirements of the solicitation, but is not required to do so. Each response must meet the minimum requirements of the solicitation. The Government is not requesting or accepting alternate quotations. (End of provision) To facilitate the award process, all quotes must include a statement regarding the terms and conditions herein as follows: "The terms and conditions in the solicitation are acceptable to be included in the award document without modification, deletion, or addition." OR "The terms and conditions in the solicitation are acceptable to be included in the award document with the exception, deletion, or addition of the following:" Quoters shall list exception(s) and rationale for the exception(s), if any. Submission of your response shall be received not later than February 28, 2023 at 4:30PM. Late submissions shall be treated in accordance with the solicitation provision at FAR 52.212-1(f). Any questions or concerns regarding this solicitation should be forwarded in writing via e-mail to the Point of Contact listed below. Point of Contact Contracting Specialist, Edward Sullivan edward.sullivan@va.gov 36C24123Q0216 Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 1
2/21/23, 11:21 AM