Response Form to Sources Sought Notice.docx
DOCX document 14 KB Posted
- Solicitation number
- 36C26325Q0452
About this file
This is a response form template for a Sources Sought Notice regarding ventilator equipment rental and O2 delivery services for Veterans Integrated Service Network 23 (VISN 23). The form requires potential contractors to provide basic company information including name, address, UEI number, and contact details. Respondents must indicate their socio-economic classifications under NAICS code 532283 (Home Health Equipment Rental), with options including Small Business, SDVOSB, VOSB, Small Disadvantaged Business, Women-owned Small Business, HUBZone, and 8(a) certified businesses.
The response deadline is February 28, 2025, at 10:00 AM Central Time. Companies must attach a capability statement specifically for ventilator rental and O2 delivery services, with failure to provide proof of capability resulting in exclusion from set-aside consideration. The VA is seeking to combine previously separate contracts for ventilation equipment rental and oxygen delivery into a single contract, though small businesses capable of providing only one service may still respond with proof of their partial capability. The opportunity requires certified technicians and demonstrated experience in providing these services.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C26325Q0452.docx | DOCX document | |
| VISN 23 HOME VENTALATION RENTAL AND O2 SUPPLY SCOPE OF WORK.docx | DOCX document |
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Text version
Sources Sought Information and Capabilities for Ventilator Equipment Rental and O2 Delivery Services
Please fully complete each section of the form below.
Company Name: _____________________________________________________________ Company Address: ___________________________________________________________ UEI Number: _____________________________________________________________ Point of Contact: ____________________________________________________________ Phone Number: _____________________________________________________________ Email Address: _____________________________________________________________
Socio-economic Classification in Accordance with NAICS Code 532283 Home Health Equipment Rental (check all that apply) ☐ Small Business ☐ Service Disabled Veteran Owned Small Business (SDVOSB) ☐ Verified SDVOSB by Veteran Small Business Certification ☐ Veteran Owned Small Business (VOSB) ☐ Verified VOSB by Veteran Small Business Certification ☐ Small Disadvantage Business ☐ Women-owned Small Business ☐ Economically Disadvantaged Small Business ☐ HUBZone ☐ 8(a) Certified
Attach a Company’s Capability Statement for Ventilator Rental and O2 Delivery Services (failure to provide proof of capability will result in response being not considered for set-aside decision by the Contracting Officer)
File details come from the government source that posted it. Updated .