Combined Synopsis Solicitation - Dental Instruments.pdf

Combined Synopsis-Solicitation for Commercial Products and Commercial Services

Effective Date: 04/18/2025 Revision: 02

Description This is a combined synopsis/solicitation for commercial products and commercial services prepared in accordance with the format in Federal Acquisition Regulation (FAR) subpart 12.6, “Streamlined Procedures for Evaluation and Solicitation for Commercial Products and Commercial Services,” 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 through Federal Acquisition Circular 2025-04.

This solicitation is set-aside for SDVOSB.

The associated North American Industrial Classification System (NAICS) code for this procurement is 339114 Dental Equipment and Supplies Manufacturing, with a small business size standard of 750 employees.

The FSC/PSC is 6520 – Dental Instruments, Equipment, and Supplies.

The Network Contracting Office 2, 130 W. Kingsbridge Road, Building 16, Bronx, NY 10468 is seeking to purchase brand name or equal HuFriedy Group dental supplies for the Dental Treatment Rooms at both the East Orange and Lyons VA Medical Centers.

All interested companies shall provide quotations for the following:

Supplies/Services

Line Item

Description Quantity Unit of Measure

Unit Price

Total Price

0001 MTO 12 INSTRUMENTS CASSETTES,

ORANGE, C4, 2AW 65 EA

0002 #21 DE CONE BURNISHER, SATIN SZTEEL 200 EA

0003 Articulating Paper Forceps 200 EA 0004 #27/29 DE Burnisher, Satin Steel 200 EA 0005 #36/37 Back-Action DE Chisel #9Hdl 25 EA 0006 #3/6 DE Cleoid-Discoid, Satin Steel 200 EA 0007 #1/2 Kramer-Nevins Chisel DE Satin Steel 25 EA 0008 #87 Lucas DE Surgical Curette 25 EA 0009 #2/4 Molt DE Curette, #6 Satin Steel Han 25 EA 0010 Och-1 Ochsenbein SE Chisel 25 EA 0011 Och-2 Ochsenbein SE Chisel 25 EA 0012 3/4DE Wedel Chisel,11.5-15-3,SatinSteel 25 EA 0013 #2 Fedi DE Chisel, Satin Steel 25 EA 0014 Universal Crown Remover 200 EA

Effective Date: 04/18/2025 Revision: 02

0015 #7 Novatech DE Short & Loading 200 EA 0016 TG DE Chisel 25 EA 0017 #3S Hollenback DE Carver, Satin Steel 200 EA 0018 #17 Dressing Pliers 10 EA 0019 #2 Dressing Pliers (College) 516 EA 0020 Dressing Pliers, Utility Pick-Up 110 EA 0021 Diamond Sharpening Card Medium Grit 50 EA 0022 #18 DE Excavator, Satin Steel 200 EA 0023 #5 Scalpel Handle, Round Straight 20 EA 0024 #11/12 ODU DE Explorer, Satin Steel 50 EA 0025 #5 DE Explorer, Satin Steel 50 EA 0026 #DG16 DE Endo Explorer, Satin Steel 65 EA 0027 Balshi Gingival Cord Packer 200 EA 0028 #2 Kelly Hemostat - Curved 65 EA 0029 #3 Mosquito Hemostat - Curved 155 EA

0030 "MTO

11X16,ORANGE,31INST,C4,5EBR,FM1,AW2" 10 EA

0031 MTO 12 INST SIG CASS, ORANGE,C4, 2AW 40 EA

0032 "MTO

11X16,YELLOW,31INST,C4,5EBR,FM1,AW2" 15 EA

0033 MTO 12 INST SIG CASS, YELLOW,C4, 2AW 25 EA

0034 "MTO 20 INST SIG CASS,ORANGE,1SNAP-

IN AW" 20 EA

0035 MTO 20 INST SIG CASS,YELLOW, 1SNAP-

IN 30 EA

0036 "MTO 10 INST SIG CASS,ORGN,4

LP,6REG,2AW" 40 EA

0037 "MTO 10 INST SIG CASS,YLW,4

LP,6REG,2AW" 40 EA

0038 MTO 5INST SIG CASS,ORGN,1SNAP-IN AW

VERT 60 EA

0039 MTO 5 INST SIG CASS,YLW,1SNAP-IN AW

VERT 50 EA

0040 MTO DD 14 INST SIG 31 EA

0041 2-Tier, 14-inst, Yellow, 1 snap-in AW 50 EA

0042 "MTO ORAL

SURGERYCASS,20INST,ORGN,C4,AW2" 125 EA

0043 "MTO ORAL SURGERY

CASS,20INST,YLW,C4,AW2" 75 EA

0044 Cone Socket Mirror Handle, Satin Steel 866 EA 0045 Implacare Scaler - Satin Steel Handle 50 EA 0046 Implacare II Scaler, 12 Piece Set 4R/4L 30 EA 0047 IMS Parts Box Sig Series - Large 265 EA 0048 GF-7 Goldman-Fox DE Knife 25 EA 0049 #15/16 Kirkland DE Knife #9 Hdl 25 EA

Effective Date: 04/18/2025 Revision: 02

0050 #1/2 Orban DE Knife #9Hdl 25 EA 0051 Allen Orban Knife 1/2 #9Hdl 10 EA 0052 USC DE Knife (T19/T20) 25 EA 0053 #1 Abou-Rass Endo Excavator DE 65 EA

0054 #1 MIRROR HANDLE W/MM CALIBRATIONS 95 EA

0055 #3 HD CS Mirror SS, 1 EA 40 EA 0056 #5 FS CS Mirror, Single Sided, Single 801 EA 0057 #5 DS FS CS Mirror, Double Sided, Single 20 EA 0058 DE Bakey Perma Sharp Needle Holder 40 EA 0059 9 Molt Periosteal Elevator, Black Line 25 EA 0060 CC SE Probe 3-6-9-12, Satin Steel 80 EA

0061 RUBBER DAMN FRAME 65 EA

0062 CC NOVATECH PROBE,UNC 15 6 SATIN

STL HDL 25 EA

0063 CC SE UNC Probe, 1-12 Satin Steel 140 EA 0064 CC SE UNC Probe, 1-15, Satin Steel 20 EA 0065 Pumice Cup - Hu-Friedy Immunity 121 EA 0066 #D11T SE Root Canal Spreader, Satin Stl 65 EA 0067 #12 COLORVUE Probe Pts, 3-6-9-12, 12 30 EA 0068 Colorvue Oxford Probe Tips, 12 EA 30 EA

0069 PFIG4/5 WITH # 6 HANDLE 68 EA

0070 #1 Woodson Plastic Filling, Satin Steel 25 EA 0071 #2 Woodson DE PFI, Satin Steel 65 EA 0072 COLORVUE Probe Handle, #6 50 EA 0073 #0/1 DE Plugger-Non Serrated Satin Steel 200 EA 0074 #1 Hollenback Plugger, Satin Steel 200 EA 0075 PR-3 Prichard Periosteal, Black Line 25 EA 0076 CC #2 Nabers Probe 3-6-9-12 Satin Steel 50 EA 0077 #5/7 DE Root Canal Plu Satin Steel Hdl 65 EA 0078 #1 DE Glick Plastic Plugger, Satin Steel 65 EA 0079 Rubber Dam Clamp #0, Satin Steel 65 EA 0080 Clamp, Rubber Dam #12A, Satin Steel 65 EA 0081 Clamp, Rubber Dam #13A, Satin Steel 65 EA 0082 Rubber Dam Clamp #2, Satin Steel 130 EA 0083 #1 Kelly Scissors, Curved 265 EA 0084 Rubber Dam Forceps 65 EA 0085 Clamp, Rubber Dam #56S, Satin Steel 65 EA 0086 #14 Scissors Super Cut 25 EA 0087 204S DE Sickle, EE2 #9 Knurl Cone 81 EA 0088 #5/6 Barnhart Curette, Satin Steel 200 EA 0089 13/14 Columbia Curette EE2 #9 Knurl Cone 131 EA

0090 CK6 DE SCALER SATIN STEEL HANDLE 25 EA

0091 #1/2 Gracey Curette, EE2 #9 Knurl Cone 60 EA 0092 #11/12 Gracey Curette, EE2 #9 Knurl Cone 156 EA 0093 #13/14 Gracey Curette,EE2 #9 Knurl Cone 156 EA

Effective Date: 04/18/2025 Revision: 02

0094 #4 Nevi Scaler Post. EE2 #9 Knurl Cone 131 EA 0095 #17/18 Gracey Curette, EE2 #9 Knurl Cone 81 EA 0096 #H5/33 Scaler, EE2, #9 Knurl Cone 81 EA 0097 H6/H7 Scaler, EE2, #9 Knurl Cone 50 EA

0098 #PR1/2 PRICHARD CURETTE SATIN STEEL 25 EA

0099 Wax #31 Spatula DE 80 EA 0100 #22 I-Stone - Medium 25 EA 0101 #YG7/8 Younger-Good, EE2 #9 Knurl Cone 100 EA 0102 Syringe Anesthetic Aspir CW Style 1.8ml 325 EA 0103 XTS #2 Goldstein Flexi-Thin 200 EA 0104 #7 DE Wax Spatula 80 EA 0105 #23/CP-12 Expro, Satin Steel 346 EA

VHA NEW JERSEY HEALTH CARE SYSTEM

EAST ORANGE & LYONS

3 DAY INSTRUMENT SUPPLY

Statement of Work

Introduction The VHA New Jersey Health Care System has a requirement to purchase with an authorized vendor to supply and deliver the item(s) identified in Table 1 below to properly outfit Dental Treatment Rooms in both East Orange and Lyons. See salient characteristics below. This is a Brand Name or Equal Requirement. This requirement is in support of having the same quality of instruments as the Toms River Clinic for continuity. HuFriedy Group is the basis of design.

Table 1 – Package Items Summary

Item # Item Description Part # (basis of design) QTY

1 MTO 12 INSTRUMENTS CASSETTES, ORANGE,

C4, 2AW M4123C4A2 65

2 #21 DE CONE BURNISHER, SATIN SZTEEL BB216-U 200

3 Articulating Paper Forceps APF2-U 200

4 #27/29 DE Burnisher, Satin Steel BB27/296-U 200

5 #36/37 Back-Action DE Chisel #9Hdl C36/379-U 25

Effective Date: 04/18/2025 Revision: 02

6 #3/6 DE Cleoid-Discoid, Satin Steel CD3/66-U 200

7 #1/2 Kramer-Nevins Chisel DE Satin Steel CKN1/26-U 25

8 #87 Lucas DE Surgical Curette CL87-U 25

9 #2/4 Molt DE Curette, #6 Satin Steel Han CM2/46-U 25

10 Och-1 Ochsenbein SE Chisel CO1-U 25

11 Och-2 Ochsenbein SE Chisel CO2-U 25

12 3/4DE Wedel Chisel,11.5-15- 3,SatinSteel CP3/46-U* 25

13 #2 Fedi DE Chisel, Satin Steel CPF26-U 25

14 Universal Crown Remover CRGR 200

15 #7 Novatech DE Short & Loading CSNT7-U 200

16 TG DE Chisel CTG6 25

17 #3S Hollenback DE Carver, Satin Steel CVHL3S6-U 200

18 #17 Dressing Pliers DP17-U 10

19 #2 Dressing Pliers (College) DP2-U 516

20 Dressing Pliers, Utility Pick-Up DPU17-U 110

21 Diamond Sharpening Card Medium Grit DSCMED 50

22 #18 DE Excavator, Satin Steel EXC186-U 200

23 #5 Scalpel Handle, Round Straight 10-130-05-U 20

24 #11/12 ODU DE Explorer, Satin Steel EXD11/126-U 50

25 #5 DE Explorer, Satin Steel EXD56-U 50

Effective Date: 04/18/2025 Revision: 02

26 #DG16 DE Endo Explorer, Satin Steel EXDG166-U 65

27 Balshi Gingival Cord Packer GCPBAL-U 200

28 #2 Kelly Hemostat - Curved H2-U 65

29 #3 Mosquito Hemostat - Curved HU-3 155

30 "MTO

11X16,ORANGE,31INST,C4,5EBR,FM1,AW2" I133C4FMA2* 10

31 MTO 12 INST SIG CASS, ORANGE,C4, 2AW IM4123C4A2* 40

32 "MTO

11X16,YELLOW,31INST,C4,5EBR,FM1,AW2" I135C4FMA2* 15

33 MTO 12 INST SIG CASS, YELLOW,C4, 2AW IM4125C4A2* 25

34 "MTO 20 INST SIG CASS,ORANGE,1SNAP-

IN AW" IM4203-AW* 20

35 MTO 20 INST SIG CASS,YELLOW, 1SNAP-

IN IM4205-AW* 30

36 "MTO 10 INST SIG CASS,ORGN,4

LP,6REG,2AW" IM5103ALP4* 40

37 "MTO 10 INST SIG CASS,YLW,4

LP,6REG,2AW" IM5105ALP4* 40

38 MTO 5INST SIG CASS,ORGN,1SNAP-IN AW

VERT IM6053-A1 60

39 MTO 5 INST SIG CASS,YLW,1SNAP-IN AW

VERT IM6055-A1 50

40 MTO DD 14 INST SIG IM9143-AW* 31

41 2-Tier, 14-inst, Yellow, 1 snap-in

AW IM9145-AW* 50

42 "MTO ORAL

SURGERYCASS,20INST,ORGN,C4,AW2" IMOS203AC4* 125

43 "MTO ORAL SURGERY

CASS,20INST,YLW,C4,AW2" IMOS205AC4* 75

Effective Date: 04/18/2025 Revision: 02

44 Cone Socket Mirror Handle, Satin Steel MH6-U 866

45 Implacare Scaler - Satin Steel Handle IMPHDL6 50

46 Implacare II Scaler, 12 Piece Set

4R/4L IMPL4R/4L 30

47 IMS Parts Box Sig Series - Large IMS-1273SS 265

48 GF-7 Goldman-Fox DE Knife KGF76 25

49 #15/16 Kirkland DE Knife #9 Hdl KK15/169-U 25

50 #1/2 Orban DE Knife #9Hdl KO1/29-U 25

51 Allen Orban Knife 1/2 #9Hdl KO12KPO3A9-U 10

52 USC DE Knife (T19/T20) KUSC6 25

53 #1 Abou-Rass Endo Excavator DE MAR-C1-U 65

54 #1 MIRROR HANDLE W/MM CALIBRATIONS MH6692K-U 95

55 #3 HD CS Mirror SS, 1 EA MIR3HD 40

56 #5 FS CS Mirror, Single Sided, Single MIR5 801

57 #5 DS FS CS Mirror, Double Sided, Single MIR5DS 20

58 DE Bakey Perma Sharp Needle Holder NH5046-U 40

59 9 Molt Periosteal Elevator, Black Line P9X-U 25

60 CC SE Probe 3-6-9-12, Satin Steel PCP126-U 80

61 RUBBER DAMN FRAME RDAF6 65

62 CC NOVATECH PROBE,UNC 15 6 SATIN STL

HDL PCPNT156-U 25

Effective Date: 04/18/2025 Revision: 02

63 CC SE UNC Probe, 1-12 Satin Steel PCPUNC126-U 140

64 CC SE UNC Probe, 1-15, Satin Steel PCPUNC156-U 20

65 Pumice Cup - Hu-Friedy Immunity PCUPM-U 121

66 #D11T SE Root Canal Spreader, Satin Stl RCSD11T6-U 65

67 #12 COLORVUE Probe Pts, 3-6-9-12, 12 PCV12PT 30

68 Colorvue Oxford Probe Tips, 12 EA PCVO12PT 30

69 PFIG4/5 WITH # 6 HANDLE PFIG4/56-U* 68

70 #1 Woodson Plastic Filling, Satin Steel PFIWDS16-U 25

71 #2 Woodson DE PFI, Satin Steel PFIWDS26-U 65

72 COLORVUE Probe Handle, #6 PH6 50

73 #0/1 DE Plugger-Non Serrated Satin Steel PLG0/16NS-U 200

74 #1 Hollenback Plugger, Satin Steel PLGH16-U 200

75 PR-3 Prichard Periosteal, Black Line PPR3X-U 25

76 CC #2 Nabers Probe 3-6-9-12 Satin Steel PQ2N6-U 50

77 #5/7 DE Root Canal Plu Satin Steel Hdl RCP5/76-U* 65

78 #1 DE Glick Plastic Plugger, Satin Steel RCPGL16-U 65

79 Rubber Dam Clamp #0, Satin Steel RDCMO 65

80 Clamp, Rubber Dam #12A, Satin Steel RDCM12A 65

81 Clamp, Rubber Dam #13A, Satin Steel RDCM13A-U 65

Effective Date: 04/18/2025 Revision: 02

82 Rubber Dam Clamp #2, Satin Steel RDCM2 130

83 #1 Kelly Scissors, Curved S1-U 265

84 Rubber Dam Forceps RDF-U 65

85 Clamp, Rubber Dam #56S, Satin Steel RDCM56S-U 65

86 #14 Scissors Super Cut S14SC-U 25

87 204S DE Sickle, EE2 #9 Knurl Cone S204SG9E2-U 81

88 #5/6 Barnhart Curette, Satin Steel SBH5/66-U 200

89 13/14 Columbia Curette EE2 #9 Knurl Cone SC13/14G9E2-U 131

90 CK6 DE SCALER SATIN STEEL HANDLE SCK66-U 25

91 #1/2 Gracey Curette, EE2 #9 Knurl Cone SG1/2G9E2-U 60

92 #11/12 Gracey Curette, EE2 #9 Knurl Cone SG11/12G9E2-U 156

93 #13/14 Gracey Curette,EE2 #9 Knurl Cone SG13/14G9E2-U 156

94 #4 Nevi Scaler Post. EE2 #9 Knurl Cone SCNEVI4G9E2-U 131

95 #17/18 Gracey Curette, EE2 #9 Knurl Cone SG17/18G9E2-U 81

96 #H5/33 Scaler, EE2, #9 Knurl Cone SH5/33G9E2-U 81

97 H6/H7 Scaler, EE2, #9 Knurl Cone SH6/7G9E2-U 50

98 #PR1/2 PRICHARD CURETTE SATIN STEEL SPR1/26-U 25

99 Wax #31 Spatula DE SPT31-U 80

100 #22 I-Stone - Medium SSMS22-U 25

Effective Date: 04/18/2025 Revision: 02

101 #YG7/8 Younger-Good, EE2 #9 Knurl Cone SYG7/8G9E2-U 100

102 Syringe Anesthetic Aspir CW Style 1.8ml SYRCW-U 325

103 XTS #2 Goldstein Flexi-Thin TNCIGFT2-U 200

104 #7 DE Wax Spatula WS7-U 80

105 #23/CP-12 Expro, Satin Steel XP23/126-U 346

Effective Date: 04/18/2025 Revision: 02

Additional Item Requirements The vendor will provide service manuals that includes theory of operation, maintenance requirements, repair information, schematics, part lists and troubleshooting information in electronic format for use by the VA HTM Department.

General Conditions Site Address The address of the East Orange and Lyons Dental Clinic’s is provided below.

East Orange VA Medical Center 385 Tremont Avenue, 3rd Floor East Orange, NJ 07018

Lyons VA Medical Center 151 Knollcoft Road, Bldg. 6 Lyons, NJ

Delivery Schedule Items shall be delivered within 30 days after receipt of order (ARO).

Schedule and Order Management The awardee’s actual delivery dates will be confirmed by VA upon award.

Post-award, the vendor will coordinate delivery identified in this document with the VA prior to beginning any work (See Section 2.4). Once the dates have been confirmed, modifications to the schedule are subject to written approval by the Contracting Officer (CO), VA Point of Contact (POC), and the vendor.

Delivery and Receiving

Delivery and receipt of the proposed items is anticipated to be directed to the location identified below. Confirmation of delivery location will be provided post-award. To coordinate delivery, contact VA POC, Alencia Johnson at (973) 676-1000 20-1278 or 20-1234, Alencia.johnson@va.gov

☐ East Orange and Lyons (Direct Delivery to address detailed in paragraph 2.1)

The vendor is required to define the need for a staging area to accommodate item delivery, if needed. Post-award, this information will be confirmed with the vendor.

The delivery of items identified in this document shall take place during normal loading dock business hours which are defined as: 8:00 AM to 3:30 PM Eastern Standard Time, Monday through Friday, and excluding Federal Holidays.

Labeling of delivered items shall include the VA facilities contract number and VA purchase order number for identification and reference upon receipt of product.

Effective Date: 04/18/2025 Revision: 02

Clean Up and Disposal

There are no dumpsters available for vendor use.

The removal of waste and/or excess material shall be conducted through the loading dock area.

This equipment Does Not connect to a VA network. Therefore, in accordance with Appendix A, Handbook 6500.6 Checklist, block 6, the C&A requirements Do Not apply to this requirement, and a Security Accreditation Package is Not required.

Salient Characteristics 3 Day Dental Supply (JSN: U0085)

Basis of Design is HuFriedy Group

Brand Name or Equal Requirement

Description: Dental instruments used in routine procedures when seeing patients. Three days’ worth of supplies to ensure there is no delay in care in having to wait for supplies to be cleaned & sterilized. The dental supplies shall have the following Salient Characteristics:

Salient Characteristics:

Description Part Number Qty Description

Articulation Paper Pliers APF2 for holding articulating paper when checking occlusion of Dental restoration and dental teeth.

Burnisher #21 hdl #6 BB216 polished stainless steel instruments used for composite placement and contouring (2.7 mm - 1.7 mm).

Burnisher #27/29 hdl #6 BB27/296

Carver Hollenbach #3S hdl #6 CVHL3S6

Design characteristics similar to 1/2 Hollenback but with slightly larger blades

Cleoid Discoid Carver #3/6, hdl #6 Cleoid-Discoid CD3/66

Used to carve anatomical features and trim excess materials.

Crown Remover Temporary CRGR

A tungsten carbide tipped, needle holder-like instrument provides the clinician with better grip, greater intraoral visibility and increases patient comfort when removing provisional crowns.

Curette Barnhart #5/6 hdl #6 SBH5/66 arnhart Universal Curette blade design. Double-ended, easy-grip handle.

Dressing Pliers College #2 DP2

#2 Dressing Pliers are made with stainless steel & feature a serrated tip for a positive grip & locking mechanism.

Effective Date: 04/18/2025

Dressing Pliers Universal #17 DPU17 dressing Pliers or Utility Pick-Up pliers are made with stainless steel & feature a serrated tip for a positive grip & locking mechanism.

Excavator #18 hdl #6 EXC186 Excavators for removal of carious dentin.

Excavator Micro Surgical #1 hdl #41 MAR-C1

1 mm Long-shanked Abou-Rass Curette useful for access into difficult and confined areas.

Explorer #5 hdl #6 EXD56 Double-ended explorer. Ergonomic handle.

Explorer Endo #DG16 hdl #6 EXDG166

The most popular general endodontic explorer for endodontic applications

IMS Accessory Box, Signature, large IMS-1273SS

IMS Cassette 2-tier 14 Instruments, red IM9140

Double Decker Cassette holds 14 instruments. Exterior Dimensions 4.5" x 8" x 1.5" (114 mm x 203 mm x 38 mm). Color shall be red

Lab Spatula WS7 For mixing materials and general laboratory use.

Mirror #5 double US-Thread 1pc./pack. MIR5DS Double-sided Cone Socket mirror. 1-5/16 in. (24mm) diameter.

Mirror #5 US-Thread 1pc./pack. MIR5 Single-sided Cone Socket mirror. 15/16 in. (24mm) diameter.

Mirror Handle hdl #6 US-Thread MH6 Cone Socket Mirror handle featuring Ergonomic MTO Custom

11X16,LVND,C10,E5,8INST,13LP I136C10E5L

ORAL SURGERY SIG CASS,20

INSTR,RED,C6,AW IMOS200AC6

Periosteal Molt #9 P9

Periosteal Elevators are designed for reflecting and retracting the mucoperiosteum after incisions of the gingival tissue.

4.3mm/8.4mm

Plastic Filling Instrument Woodson #2 hdl #6 universal PFIWDS26

Highly polished stainless-steel instruments used for composite placement and contouring. #41 Round

Plugger Hollenback #1 hdl #6 PLGH16

Plugger used to pack filling materials into cavity preparations (1.0 mm - 1.65 mm). #6

Plugger Marquette #0/1 hdl #6 smooth PLG0/16NS

Plugger used to pack filling materials into cavity preparations (1.0 mm - 1.4 mm). #6

Probe #12 hdl #6 Qulix 3-6-9-12 PCP126 Single-ended, color-coded probe. Ergonomic handle. #6 Probe UNC #UNC15 hdl #6 Qulix 1-2-3-

...15 PCPUNC156

Single-ended, color-coded probe. Ergonomic handle. University of North Carolina. #6

Pumice Cup Hu-Friedy PCUPM

Used to hold prophy paste or medicaments. Made of corrosion resistant, acid-proof stainless steel.

Root Canal Plugger #5/7 hdl #6 0,50- 0,75mm RCP5/76

Root Canal Plugger/Spatel Glic #1 hdl #6 1,10mm RCPGL16

Glick Blade and Root Canal Plugger used to compact filling material during vertical condensation. Combination blade and

1.10 marked plugger. #6

Rubber Dam Clamps #0 premolar RDCM0 Flat jaws and high bow for longer premolars.

Rubber Dam Clamps #12A right UK molar RDCM12A

Serrated offset jaws with grooves for lower right molars; paired with RDCM13A.

Rubber Dam Clamps #13A left UK molar RDCM13A

Serrated offset jaws with grooves for lower left molars; paired with RDCM12A-G.

Rubber Dam Clamps #2 UK premolar RDCM2

Rubber Dam Frame, Adult, 15cm RDAF6

15 cm/6" adult size Rubber Dam Frame used to "frame" dental dam.

Effective Date: 04/18/2025

Scalpel Handle #5, straight 10-130-05

The 5 Round Scalpel Blade Handle is used for cutting gingival tissue and making surgical incisions.

Scissors Kelly #1 angled tip 16cm S1 Scissors Kelly #5001 angle PermaSharp 16cm S5001

Kelly Curved scissors with 1 serrated blade used for trimming tissue or cutting sutures. 16cm

SG17/18 RIGID CURETTE EE2 COLOR

CONE SG17/18RC9E2

(End of Statement of Work)

Delivery shall be provided no later than 30 days after receipt of order (ARO). Delivery shall be FOB Destination.

Place of Performance/Place of Delivery

Address: East Orange VA Medical Center 385 Tremont Ave East Orange, NJ

Postal Code: 07018 Country: UNITED STATES

Address: Lyons VA Medical Center

151 Knollcroft Rd Lyons, NJ

Postal Code: 07939 Country: UNITED STATES

The full text of FAR provisions or clauses may be accessed electronically at https://www.acquisition.gov/browse/index/far.

The following solicitation provisions apply to this acquisition:

1. FAR 52.212-1, “Instructions to Offerors–Commercial Products and Commercial

Services” The following provision is incorporated into 52.212-1 as an addendum to this solicitation:

52.212-1 Instructions to Offerors—Commercial Products and Commercial Services (SEP 2023)

(a) North American Industry Classification System (NAICS) code and small business size standard. The NAICS code(s) and small business size standard(s) for this acquisition appear elsewhere in the Request for Quote (RFQ). However, the small

Effective Date: 04/18/2025 Revision: 02 business size standard for a concern that submits a quote, other than on a construction or service acquisition, but proposes to furnish an end item that it did not itself manufacture, process, or produce is 500 employees, or 150 employees for information technology value-added resellers under NAICS code 541519, if the acquisition—

(1) Is set aside for small business and has a value above the simplified acquisition threshold;

(2) Uses the HUBZone price evaluation preference regardless of dollar value, unless the offeror waives the price evaluation preference; or

(3) Is an 8(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) Submission of Quotes. Submit signed and dated quotes to the office specified in this Request for Quote (RFQ) at or before the exact time specified in this solicitation. Quotes may be submitted on letterhead stationery, or as otherwise specified in the solicitation. As a minimum, quotes must show—

(1) The solicitation number.

(2) The time specified in the solicitation for receipt of quotations;

(3) The name, address, and telephone number of the quoter;

(4) A technical description of the items being quoted in sufficient detail to evaluate compliance with the requirements in the solicitation. This may include product literature, or other documents, if necessary;

(5) Terms of any express warranty;

(6) Price and any discount terms;

(7) "Remit to" address, if different than mailing address;

(8) A completed copy of the representations and certifications at Federal Acquisition Regulation (FAR) 52.212-3 (see FAR 52.212-3(b) for those representations and certifications that the offeror shall complete electronically);

(9) Acknowledgment of Quotation Amendments;

(10) Past performance information will not be considered in simplified acquisition procurements.

https://www.acquisition.gov/far/part-52#FAR_52_212_3 https://www.acquisition.gov/far/part-52#FAR_52_212_3

Effective Date: 04/18/2025 Revision: 02

(11) Quotes should include a statement specifying the extent of agreement with all terms, conditions, and provisions included in the solicitation. Quotes that fail to furnish required representations, or information, or reject the terms and conditions of the solicitation may be excluded from consideration.

(c) Period for acceptance of Quotes. The offeror agrees to hold the prices in its offer firm for 30 calendar days from the date specified for receipt of quotes, unless another time period is specified in an addendum to the solicitation.

(d) Product samples. When required by the solicitation, product samples shall be submitted at or prior to the time specified for receipt of quotes. Unless otherwise specified in this solicitation, these samples shall be submitted at no expense to the Government, and returned at the sender’s request and expense, unless they are destroyed during preaward testing.

(e) Alternate Quotes. The Government is not requesting alternate quotations, however, quoters may present alternative terms and conditions, including alternative line items (provided that the alternative line items are consistent with FAR subpart 4.10), or alternative commercial products or commercial services for satisfying the requirements of this solicitation. Any exceptions taken by the quoter must clearly be identified in writing.

(f) Multiple Quotes. Quoters are encouraged to submit multiple quotes presenting alternative terms and conditions, including alternative line items (provided that the alternative line items are consistent with FAR subpart 4.10), or alternative commercial products or commercial services for satisfying the requirements of this solicitation.

Each quote submitted will be evaluated separately.

(g) Late submissions, modifications, revisions, and withdrawals of quotes.

(1) Quoters are responsible for submitting quotes, and any modifications, revisions, or withdrawals, so as to reach the Government office designated in the solicitation by the time specified in the solicitation. If no time is specified in the solicitation, the time for receipt is 4:30 p.m., local time, for the designated Government office on the date that quotes or revisions are due.

(2) Any quote received at the Government office designated in the solicitation after the exact time specified for receipt of quotes is "late" and may not be considered unless it is received before purchase order issuance and the Contracting Officer determines that accepting the late quote would not unduly delay the acquisition.

(3) If an emergency or unanticipated event interrupts normal Government processes so that quotes cannot be received at the Government office designated for receipt of quotes by the exact time specified in the Request for Quote, and urgent Government requirements preclude amendment of https://www.acquisition.gov/far/part-4#FAR_Subpart_4_10 https://www.acquisition.gov/far/part-4#FAR_Subpart_4_10

Effective Date: 04/18/2025 Revision: 02 the solicitation or other notice of an extension of the closing date, the time specified for receipt of quotes will be deemed to be extended to the same time of day specified in the solicitation on the first work day on which normal Government processes resume.

(h) 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, the quoter’s initial quote should contain the best terms from a price and technical standpoint.

However, the Government may reject any or all quotes if such action is in the public’s best interest. In addition, the Contracting Officer (CO) may issue a purchase order to other than the quoter with the lowest quoted price.

(i) Multiple awards. The Government may accept issue a purchase order for any item or group of items of a quotation, unless the quoter qualifies the quotation by specific limitations. Unless otherwise provided in the quotation, offers may not be submitted for quantities less than those specified in the RFQ. The Government reserves the right to issue a purchase order for a quantity less than the quantity quoted, at the unit prices quoted, unless the quoter specifies otherwise in the quote.

(j) Availability of requirements documents cited in the solicitation.

(1)

(i) The GSA Index of Federal Specifications, Standards and Commercial Item Descriptions, FPMR Part 101–29, and copies of Federal specifications, standards, and product descriptions can be downloaded from the ASSIST website at https://assist.dla.mil.

(ii) If the General Services Administration, Department of Agriculture, or Department of Veterans Affairs issued this solicitation, a copy of specifications, standards, and commercial item descriptions cited in this solicitation may be obtained from the address in paragraph (i)(1)(i) of this provision.

(2) Most unclassified Defense specifications and standards may be downloaded from the ASSIST website at https://assist.dla.mil.

(3) Defense documents not available from the ASSIST website may be requested from the Defense Standardization Program Office by—

(i) Using the ASSIST feedback module ( https://assist.dla.mil/feedback); or

(ii) Contacting the Defense Standardization Program Office by telephone at 571–767–6688 or email at assisthelp@dla.mil.

https://assist.dla.mil/ https://assist.dla.mil/ https://assist.dla.mil/feedback mailto:assisthelp@dla.mil

Effective Date: 04/18/2025 Revision: 02

(4) Nongovernment (voluntary) standards must be obtained from the organization responsible for their preparation, publication, or maintenance.

(k) Unique entity identifier.(Applies to all quotes that exceed the micro-purchase threshold, and quotes at or below the micro-purchase threshold if the Request for Quote (RFQ) requires the Contractor to be registered in the System for Award Management (SAM).) The quoter shall enter, in the block with its name and address on the cover page of its offer, the annotation "Unique Entity Identifier" followed by the unique entity identifier that identifies the Quoter's name and address. The Quoter also shall enter its Electronic Funds Transfer (EFT) indicator, if applicable. The EFT indicator is a four-character suffix to the unique entity identifier. The suffix is assigned at the discretion of the Quoter to establish additional SAM records for identifying alternative EFT accounts (see FAR subpart 32.11) for the same entity. If the Quoter does not have a unique entity identifier, it should contact the entity designated at www.sam.gov for unique entity identifier establishment directly to obtain one. The Quoter should indicate that it is an planning to submit a quote for a Government Request for Quote (RFQ) when contacting the entity designated at www.sam.gov for establishing the unique entity identifier.

(l) [Reserved]

(m) Notification. The CO will not notify unsuccessful quoters that responded to this Request for Quotation (RFQ).

(n) Limitations on Subcontracting. All quoters shall submit a completed and signed Limitations on Subcontracting - Certificate of Compliance (Clause 852.219-76 on pages 25-28). The Government will not consider offers for award from offerors that do not provide the certification with their quotation, and all such responses will be deemed ineligible for evaluation and award.

(End of provision)

ADDENDUM to FAR 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL

PRODUCTS AND COMMERCIAL SERVICES (SEP 2023)

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.

52.252-1 Solicitation Provisions Incorporated by Reference (Feb 1998) http://www.acquisition.gov/far/index.html (FAR) and http://www.va.gov/oal/library/vaar/index.asp (VAAR) https://www.acquisition.gov/far/part-32#FAR_Subpart_32_11 http://www.sam.gov/ http://www.sam.gov/ http://www.acquisition.gov/far/index.html http://www.va.gov/oal/library/vaar/index.asp

52. 204-7 System for Award Management (Nov 2024)

52. 204-16 Commercial and Government Entity Code Reporting (Aug 2020)

52.204-24 Representation Regarding Certain Telecommunications and Video Surveillance Services or Equipment (Nov 2021)

52.204-29 Federal Acquisition Supply Chain Security Act Orders – Representation and Disclosures (Dec 2023)

52.211-6 Brand Name or Equal (Aug 1999)

52.229-11 Tax on Certain Foreign Procurements – Notice and Representation (Jun 2020)

52.233-2 Service of Protest (Sep 2006)

852.233-70 Protest Content/Alternative Dispute Resolution (Oct 2018)

852.233-71 Alternate Protest Procedure (Sep 2018)

852.239-75 Information and Communication Technology Accessibility Notice (Feb 2023)

2. FAR 52.212-2 Evaluation-Commercial Products and Commercial Services

ADDENDUM to 52.212-2 EVALUATION—COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES

(a) 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:

(1) Technical Capability

(2) Price

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

Effective Date: 04/18/2025 Revision: 02 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 alternate quotations; however, the offeror may present alternative terms and conditions, including alternative line items (provided that the alternative line items are consistent with FAR subpart 4.10), or alternative commercial products or commercial services for satisfying the requirements of this solicitation. Any exceptions taken by the offeror must be clearly identified in writing. The evaluation will consider the following:

(1) Technical Capability: The quotation will be evaluated to the extent to which it can meet and/or exceed the Government’s requirements and technical specifications as outlined in the solicitation and based on the information requested in the instructions to quoters section of the solicitation.

(2) Price: The Government will evaluate the price by adding the total of all line item prices. The Total Evaluated Price will be that sum.

(b) A written notice of award or acceptance of an offer, mailed or otherwise furnished to the successful offeror within the time for acceptance specified in the offer, shall result in a binding contract without further action by either party. Before the offer’s specified expiration time, the Government may accept an offer (or part of an offer), whether or not there are negotiations after its receipt, unless a written notice of withdrawal is received before award.

(End of Provision)

3. FAR 52.212-3, “Offerors Representations and Certifications–Commercial Products and Commercial Services”

Offerors must complete annual representations and certifications electronically via the System for Award Management (SAM) website located at https://sam.gov/ in accordance with FAR 52.212-3, “Offerors Representations and Certifications– Commercial Products and Commercial Services.” If paragraph (j) of the provision is applicable, a written submission is required.

Note: www.sam.gov registration is required to be completed at the time of submission of response.

https://sam.gov/ http://www.sam.gov/

The following contract clauses apply to this acquisition:

• FAR 52.212-4, “Contract Terms and Conditions–Commercial Products and Commercial Services” (Nov 2023)

Addendum to 52.212-4 – Contract Terms and Conditions – Commercial Products and Commercial Services (NOV 2023)

Clauses 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 following clauses are incorporated into 52.212-4 as an addendum to this contract:

52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

http://www.acquisition.gov/far/index.html (FAR) and http://www.va.gov/oal/library/vaar/index.asp (VAAR)

52.204-13 System for Award Management Maintenance (Oct 2018)

52.204-18 Commercial and Government Entity Code Maintenance (Aug 2020)

852.203-70 Commercial Advertising (May 2018)

852.208-70 Service-Disabled Veteran-Owned and Veteran-Owned Small Business Evaluation Factors - Orders or BPAs (Jan 2023)

852.208-71 Service-Disabled Veteran-Owned and Veteran-Owned Small Business Evaluation Factor Commitments—Orders and BPAs (Jan 2023)

852.219-73 VA Notice of Total Set-Aside for Certified Service-Disabled Veteran- Owned Small Business (Deviation) (Jan 2023)

(a) Definition. For the Department of Veterans Affairs, “Service-disabled Veteran-owned small business concern or SDVOSB”:

(1) Means a small business concern—

(i) Not less than 51 percent of which is owned by one or more service-disabled Veterans or, in the case of any publicly owned business, not less than 51 percent of the stock of which is owned by one or more service-disabled Veterans or eligible surviving spouses (see VAAR 802.101, Surviving Spouse definition);

(ii) The management and daily business operations of which are controlled by one or more service-disabled Veterans (or eligible surviving spouses) or, in the case of a http://www.acquisition.gov/far/index.html http://www.va.gov/oal/library/vaar/index.asp

Effective Date: 04/18/2025 Revision: 02 service-disabled Veteran with permanent and severe disability, the spouse or permanent caregiver of such Veteran;

(iii) The business meets Federal small business size standards for the applicable North American Industry Classification System (NAICS) code identified in the solicitation document;

(iv) The business has been certified for ownership and control pursuant to 38 U.S.C.

8127, 13 CFR 128, and is listed as certified in the SBA certification database at https://veterans.certify.sba.gov/; and

(v) The business agrees to comply with VAAR subpart 819.70 and Small Business Administration (SBA) regulations regarding small business size, government contracting, and the Veteran Small Business Certification Program at 13 CFR parts 121, 125, and 128.

(2) The term “Service-disabled Veteran” means a Veteran, as defined in 38 U.S.C.

101(2), with a disability that is service-connected, as defined in 38 U.S.C. 101(16).

(3) The term “small business concern” has the meaning given that term under section 3 of the Small Business Act (15 U.S.C. 632).

(4) The term “small business concern owned and controlled by Veterans with service-connected disabilities” has the meaning given the term “small business concern owned and controlled by service-disabled veterans” under section 3(q)(2) of the Small Business Act (15 U.S.C. 632(q)(2)).

(5) The term "SDVOSB participant” or certified SDVOSB means a small business that has been certified in the SBA Veteran Small Business Certification Program and listed in the SBA certification database (see 13 CFR 128.102).

(b) General. In order for a concern to submit an offer and be eligible for the award of an SDVOSB set-aside or sole source contract, the concern must qualify as a small business concern under the size standard corresponding to the NAICS code

Effective Date: 04/18/2025 Revision: 02 assigned to the contract and be listed as an SDVOSB participant in the SBA certification database as set forth in 13 CFR 128.

(1) Offers received from entities that are not certified SDVOSBs and listed in the SBA certification database at the time of offer shall not be considered.

(2) Any award resulting from this solicitation shall be made to a certified SDVOSB listed in the SBA certification database who is eligible at the time of submission of offer(s) and at the time of award.

(3) The requirements in this clause apply to any contract, order or subcontract where the firm receives a benefit or preference from its designation as an SDVOSB, including set-asides, sole source awards, and evaluation preferences.

(c) Representation. Pursuant to 38 U.S.C. 8127(e), only certified SDVOSBs listed in the SBA certification database are considered eligible to receive award of a resulting contract. By submitting an offer, the prospective contractor represents that it is an eligible and certified SDVOSB as defined in this clause, 13 CFR 121, 125, and 128, and VAAR subpart 819.70.

(d) Agreement/LOS certification. When awarded a contract action, including orders under multiple-award contracts, an SDVOSB agrees that in the performance of the contract, the SDVOSB shall comply with requirements in VAAR subpart 819.70 and SBA regulations on small business size, and government contracting programs at 13 CFR part 121 and part 125, including the non-manufacturer rule and limitations on subcontracting (LOS) requirements in 13 CFR 121.406(b) and 13 CFR 125.6. For the purpose of limitations on subcontracting, only certified SDVOSBs listed in the SBA certification database (including independent contractors) shall be considered eligible and/or “similarly situated” (i.e., a firm that has the same small business program status as the prime contractor). An otherwise eligible firm further agrees to comply with the required (LOS) certification requirements in this solicitation (see 852.219-75 or 852.219-76 as applicable). These requirements are summarized as follows:

(1) Services. In the case of a contract for services (except construction), the SDVOSB prime contractor will not pay more than 50% of the amount paid by the government to the prime for contract performance to firms that are not certified SDVOSBs listed in the SBA certification database (excluding direct costs to the extent they are not the principal purpose of the acquisition and the SDVOSB/VOSB does not provide the service, such as airline travel, cloud computing services, or mass media purchases). When a contract includes both services and supplies, the 50 percent limitation shall apply only to the service portion of the contract.

(2) Supplies/products. (i) In the case of a contract for supplies or products (other than from a non-manufacturer of such supplies), the SDVOSB prime contractor will not pay more than 50% of the amount paid by the government to the prime for

Effective Date: 04/18/2025 Revision: 02 contract performance, excluding the cost of materials, to firms that are not certified SDVOSBs listed in the SBA certification database. When a contract includes both supply and services, the 50 percent limitation shall apply only to the supply portion of the contract.

(ii) In the case of a contract for supplies from a non-manufacturer, the SDVOSB prime contractor will supply the product of a domestic small business manufacturer or processor, unless a waiver as described in 13 CFR 121.406(b)(5) has been granted. Refer to 13 CFR 125.6(a)(2)(ii) for guidance pertaining to multiple item procurements.

(3) General construction. In the case of a contract for general construction, the SDVOSB prime contractor will not pay more than 85% of the amount paid by the government to the prime for contract performance, excluding the cost of materials, to firms that are not certified SDVOSBs listed in the SBA certification database.

(4) Special trade construction contractors. In the case of a contract for special trade contractors, no more than 75% of the amount paid by the government to the prime for contract performance, excluding the cost of materials, may be paid to firms that are not certified SDVOSBs listed in the SBA certification database.

(5) Subcontracting. An SDVOSB subcontractor must meet the NAICS size standard assigned by the prime contractor and be certified and listed in the SBA certification database to count as similarly situated. Any work that a first tier VIP-listed SDVOSB subcontractor further subcontracts will count towards the percent of subcontract amount that cannot be exceeded. For supply or construction contracts, the cost of materials is excluded and not considered to be subcontracted. When a contract includes both services and supplies, the 50 percent limitation shall apply only to the portion of the contract with the preponderance of the expenditure upon which the assigned NAICS is based. For information and more specific requirements, refer to

13 CFR 125.6.

(e) Required limitations on subcontracting compliance measurement period. An SDVOSB shall comply with the limitations on subcontracting as follows:

By the end of the base term of the contract or order, and then by the end of each subsequent option period

(f) Joint ventures. A joint venture may be considered eligible as an SDVOSB if the joint venture complies with the requirements in 13 CFR 128.402 and the managing joint venture partner makes the representations under paragraph (c) of this clause. A joint venture agrees that, in the performance of the contract, the applicable

Effective Date: 04/18/2025 Revision: 02 percentage specified in paragraph (d) of this clause will be performed by the aggregate of the joint venture participants.

(g) Precedence. The VA Veterans First Contracting Program, as defined in VAAR 802.101, subpart 819.70, and this clause, takes precedence over any inconsistencies between the requirements of the SBA Veteran Small Business Certification Program, and the VA Veterans First Contracting Program.

(h) Misrepresentation. Pursuant to 38 USC 8127(g), any business concern, including all its principals, that is determined by VA to have willfully and intentionally misrepresented a company’s SDVOSB status is subject to debarment from contracting with the Department for a period of not less than five years (see VAAR 809.406-2 Causes for Debarment).

(End of clause)

852.219-76 VA Notice of Limitations on Subcontracting – Certificate of Compliance for Supplies and Products (Deviation) (Jan 2023)

(a)Pursuant to 38 U.S.C. 8127(l)(2), the offeror certifies that—

(1) If awarded a contract (see FAR 2.101 definition), it will comply with the limitations on subcontracting requirement as provided in the solicitation and the resultant contract, as follows: [Offeror check the appropriate box]

(i) [ ] In the case of a contract for supplies or products (other than from a non-manufacturer of such supplies), it will not pay more than 50% of the amount paid by the government to it to firms that are not certified SDVOSBs listed in the SBA certification database as set forth in 852.219-73 or certified VOSBs listed in the SBA certification database as set forth in 852.219-74. Any work that a similarly situated certified SDBOSB/VOSB subcontractor further subcontracts will count towards the 50% subcontract amount that cannot be exceeded. Cost of materials are excluded and not considered to be subcontracted.

(ii) [ ] In the case of a contract for supplies from a nonmanufacturer, it will supply the product of a domestic small business manufacturer or processor, unless a waiver as described in 13 CFR 121.406(b)(5) is granted. The offeror understands that, as provided in 13 CFR 121.406(b)(7), such a waiver has no effect on requirements

Effective Date: 04/18/2025 Revision: 02 external to the Small Business Act, such as the Buy American Act or the Trade Agreements Act.

(2) Manufacturer or nonmanufacturer representation and certification. [Offeror fill-in—check each applicable box below. The offeror must select the applicable provision below, identifying itself as either a manufacturer or nonmanufacturer]:

(i) [ ] Manufacturer or producer. The offeror certifies that it is the manufacturer or producer of the end item being procured, and the end item is manufactured or produced in the United States, in accordance with paragraph (a)(1)(i).

(ii) [ ] Nonmanufacturer. The offeror certifies that it qualifies as a nonmanufacturer in accordance with the requirements of 13 CFR 121.406(b) and paragraph (a)(1)(ii).The offeror further certifies it meets each element below as required in order to qualify as a nonmanufacturer. [Offeror fill-in—check each box below.]

[ ] The offeror certifies that it does not exceed 500 employees (or 150 employees for the Information Technology Value Added Reseller exception to NAICS code 541519, which is found at 13 CFR 121.201, footnote 18).

[ ] The offeror certifies that it is primarily engaged in the retail or wholesale trade and normally sells the type of item being supplied.

[ ] The offeror certifies that it will take ownership or possession of the item(s) with its personnel, equipment, or facilities in a manner consistent with industry practice.

(iii) [ ] The offeror certifies that it will supply the end item of a small business manufacturer, processor, or producer made in the United States, unless a waiver as provided in 13 CFR 121.406(b)(5) has been issued by SBA. [Contracting Officer fill-in or removal (see 13 CFR 121.1205). This requirement must be included for a single end item. However, if SBA has issued an applicable waiver of the nonmanufacturer rule for the end item, this requirement must be removed in the final solicitation or contract.] or [Contracting officer tailor clause to remove one or other block under subparagraph (iii).]

[ ] If this is a multiple item acquisition, the offeror certifies that at least 50% of the estimated contract value is composed of items that are manufactured by small business concerns.[Contracting Officer fill-in or removal. See 13 CFR 121.406(d) for multiple end items. If SBA has issued an applicable nonmanufacturer rule waiver, this requirement must be removed in the final solicitation or contract.]

(3) The offeror acknowledges that this certification concerns a matter within the jurisdiction of an Agency of the United States. The offeror further acknowledges that this certification is subject to Title 18, United States Code, Section 1001, and, as

Effective Date: 04/18/2025 Revision: 02 such, a false, fictitious, or fraudulent certification may render the offeror subject to criminal, civil, or administrative penalties, including prosecution.

(4) If VA determines that an SDVOSB/VOSB awarded a contract pursuant to 38 U.S.C. 8127 did not act in good faith, such SDVOSB/VOSB shall be subject to any or all of the following:

(i) Referral to the VA Suspension and Debarment Committee;

(ii) A fine under section 16(g)(1) of the Small Business Act (15 U.S.C. 645(g)(1));

and

(iii) Prosecution for violating 18 U.S.C. 1001.

(b) The offeror represents and understands that by submission of its offer and award of a contract it may be required to provide copies of documents or records to VA that VA may review to determine whether the offeror complied with the limitations on subcontracting requirement specified in the contract or to determine whether the offeror qualifies as a manufacturer or nonmanufacturer in compliance with the limitations on subcontracting requirement.