S02 - PWS - ATCH - U - RPM-HT Product Detail Form 09082021.xlsx
XLSX spreadsheet 23 KB Posted
- Solicitation number
- 36C79121R0008
About this file
This document outlines a federal solicitation for Remote Patient Monitoring Home Telehealth services and supplies. The Department of Veterans Affairs seeks to award up to four firm fixed-price IDIQ contracts for a base period of two years plus six one-year options. Services include necessary platforms and peripherals to ensure Veterans' healthcare needs are met securely while generating data. The NAICS code is 621999 with a size standard of $16.5 million. Interested parties must register in SAM and VetBiz if applicable. The solicitation will utilize full and open competition with a best value tradeoff method considering technical, past performance, and price factors defined in Section E. Questions should be directed to the specified contracting officer and contract specialists.
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Text version
Detail Form
| This form is based on relevant fields from VA 6550. This form will be reviewed and updated as the VA 6550 is revised. | |
| RPM-HT Product Detail From | Comments |
| Question | Response | |
| 1 | Vendor Name: |
2 Solicitation number:
| 3 | CLIN: |
| SubCLIN: (If applicable) |
| 4 | Is network connection wireless? |
| If yes, what is FIPS Certificate Number? |
| 5 | Initial: |
| Technical Refresh: | |
| Secondary Add: |
| 6 | Platform or Peripheral : (denote one) |
| FDA Approval number: | |
| 510K number: |
7 Device/Platform type description:
| 8 | Manufacturer: |
| Country of Origin: |
9 Model:
10 Application Name and Software Version #:
11 Equipment Description: (i.e. equipment function and systems it communicates with)
12 Is the product being offered Commerially Available?
13 Recall history:
14 Vendor Point of Contact:
15 Phone Number:
16 E-mail address:
| 17 | Device Operating System: (OS) If applicable |
| (Procurement of systems with unsupported operating systems is prohibited. Unsupported operating systems are OSs that are not supported by the manufacturer and have reached the end of the OS lifecycle as published by the OS manufacturer (i.e. no further security patches will be released for the OS by the manufacturer after the OS end-of-life nor will be available by other methods such as extended warranty purchases from the OS manufacture)). |
| 18 | Is the device/platform's connection wireless? |
| If yes, what is the FIPS 140-2 certification number? (Procurement of systems using 802.11 wireless networking that are not FIPS 140-2 compliant is prohibited). |
| 19 | Is sensitive data stored at rest on the device? |
| If yes, how many records can be stored on the device? Please explain. |
| 20 | Reason for technical refresh/Impact to Veterans: |
| Is it urgent Yes/no? |
21 Product Description/Diagrams:
22 Manuals: (Must provide user manuals initially and during Tech Refresh)
23 Additional Comments:
Data
| 0001 | AA | Yes | Platform | Initial |
| 0002 | AB | No | Peripheral | Technical Refresh |
| 0003 | AC | Secondary Add | ||
| 0004 | AD | |||
| 0005 | AE | |||
| 1001 | AF | |||
| 1002 | AG | |||
| 1003 | N/A | |||
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