Response Form to Sources Sought Notice Services.docx

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Q401--Operating Room Registered Nurses
Solicitation number
36C26325Q0031
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This document is a Sources Sought Notice for Operating Room Registered Nurse services. The Department of Veterans Affairs, Veterans Health Administration, Veterans Integrated Service Network 23 is seeking qualified contractors to provide four full-time (4.0 FTE) Registered Nurses (RN) with Operating Room experience to function as circulating nurses and assist with scrub duties as needed. The contract period is one year with four one-year option periods.

The notice requests interested vendors to provide information such as company details, socio-economic status, existing federal contracts, capability statements, and whether subcontractors would be used. This information will be used to determine if the acquisition will be set-aside for small businesses or be unrestricted. The sources sought notice has a closing date of October 9, 2024 at 10:00 AM Central Time. The government will not pay for the information provided, and respondents will not be notified of the results of the market research.

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Sources Sought Information and Capabilities for Operating Room Registered Nurse (services)

Please fully complete each section of the form below.

Company Name: _____________________________________________________________ Company Address: ___________________________________________________________ SAM UEI Number: _____________________________________________________________ Point of Contact: ____________________________________________________________ Phone Number: _____________________________________________________________ Email Address: _____________________________________________________________

Socio-economic Classification in Accordance with NAICS Code 621399 - Offices of All Other Miscellaneous Health Practitioners / Product Service Code Q401 – Medical Nursing (check all that apply) ☐ Small Business ☐ Service Disabled Veteran Owned Small Business (SDVOSB) ☐ Verified SDVOSB by www.vip.vetbiz.gov ☐ Veteran Owned Small Business (VOSB) ☐ Verified VOSB by www.vip.vetbiz.gov ☐ Small Disadvantage Business ☐ Women-owned Small Business ☐ Economically Disadvantaged Small Business ☐ HUBZone ☐ 8(a) Certified

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