ATTACHMENT B - VENDOR RESPONSE FORM.docx
DOCX document 20 KB Posted
- Solicitation number
- 36C24826Q1094
About this file
This is a vendor response form template for a Sources Sought Notice issued by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 8 for market research purposes. The solicitation (36C24826Q1094) seeks to identify qualified contractors capable of providing all labor, materials, equipment, and services necessary to remove and replace a Reverse Osmosis (RO) water system supporting Sterile Processing Service (SPS) operations at the Viera VA facility in FY26. This is a pre-solicitation notice for information gathering only and does not constitute a binding commitment to issue a Request for Quote, Request for Proposal, or any formal solicitation.
Interested vendors must complete and submit the vendor response form (Attachment B) along with Attachment C by the response deadline of 10:00 AM on August 12, 2026. Responses should be submitted via email to rohan.mckenzie@va.gov with the subject line "Sources Sought Viera SPS RO System Replacement." The Government disclaims responsibility for any costs incurred in preparing responses and provides no guarantee that responding to this notice will result in inclusion in any future formal solicitation.
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Other files
| File | Type | Posted |
|---|---|---|
| ATTACHMENT C - VENDOR PROPOSED RO SYSTEM COMPLIANCE SHEET.docx | DOCX document | |
| ATTACHMENT A - DRAFT STATEMENT OF WORK.pdf | ||
| 36C24826Q1094.docx | DOCX document |
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Text version
ATTACHMENT B
VENDOR RESPONSE FORM
Sources Sought Notice 36C24826Q1094 Replacement of the Viera SPS Reverse Osmosis (RO) Water System (Submit electronically in PDF or DOCX format. No hard copies will be accepted.)
SECTION I – ORGANIZATION INFORMATION
Provide the following information:
• Organization Name: ______________________________
• Address: _______________________________________ City __________ State ______ ZIP _______
• Point of Contact (POC): __________________________
• POC Phone Number: ______________________________
• POC Email Address: ______________________________
• Unique Entity ID (UEI): __________________________
• CAGE Code: ______________________________
• Recommended NAICS Code: ________________________
• Socio‑economic Status (check all that apply):
□ SDVOSB □ VOSB □ 8(a) □ HUBZone □ WOSB □ Small Business □ Other: ______________
• GSA/NAC/FSS Schedule Number (if applicable): __________________
• Affiliated Companies (if any): __________________________________
• Responding as (select one):
□ Prime Contractor □ Joint Venture □ With Subcontractor(s) If responding with subcontractors, complete Section II.
SECTION II – SUBCONTRACTOR INFORMATION
(Complete only if applicable) Subcontractor #1
• Organization Name: ______________________________
• POC / Phone / Email: _____________________________
• UEI: ______________________________
• Tasks Performed by Subcontractor:
• Tasks Performed by Prime:
Subcontractor #2 (if applicable)
• Organization Name: ______________________________
• POC / Phone / Email: _____________________________
• UEI: ______________________________
• Tasks Performed by Subcontractor:
• Tasks Performed by Prime:
SECTION III – CAPABILITY STATEMENT
Provide narrative responses addressing your ability to meet the requirements.
1. RO System Removal & Disposal Capability:
2. Installation, Integration & Configuration Capability:
3. Experience with Medical‑Grade RO or Sterile Processing Water Systems:
4. Infrastructure Integration (Water, Electrical, Drainage):
5. Training Capability for SPS & HTM/Biomed:
SECTION IV – RELEVANT PAST PERFORMANCE
Provide 2–3 examples of similar work (RO systems, water purification, medical/sterile processing support).
Example 1
• Customer/Agency: ______________________________________________
• Contract Number: ______________________________________________
• Period of Performance: __________________________________________
• POC Name/Phone/Email: _________________________________________
• Description of Work: ____________________________________________ Example 2
• Customer/Agency: ______________________________________________
• Contract Number: ______________________________________________
• Period of Performance: __________________________________________
• POC Name/Phone/Email: _________________________________________
• Description of Work: ____________________________________________ Example 3 (optional)
• Customer/Agency: ______________________________________________
• Contract Number: ______________________________________________
• Period of Performance: __________________________________________
• POC Name/Phone/Email: _________________________________________
• Description of Work: ____________________________________________
SECTION V – QUESTIONS / INDUSTRY INPUT
Provide any feedback that may assist the Government in refining the requirement.
1. Are any parts of the SOW unclear or restrictive?
2. What risks or challenges do you anticipate?
3. Are there commercially available RO solutions you recommend?
4. Additional information for Government consideration:
File details come from the government source that posted it. Updated .