Source Sought IHS1514400 Triton Dental System Assy SAM Announcement.pdf

Sources Sought: Brand Name Only ASI Medical Inc; Triton™ Restorative Dental Delivery System Self- Contained, Equipment, Supplies, Parts and Accessories

Sources Sought Notice Number: IHS1514400

This Sources Sought Notice is for informational and planning purposes only and shall not be construed as a solicitation, an obligation or commitment by the Indian Health Service.

This notice is intended strictly for market research to determine the availability of Indian Small Businesses Economic Enterprise (ISBEE) and/or Indian Economic Enterprises (IEE)

Your responses to the information requested will assist the Government in determining the appropriate acquisition method, including whether a set-aside is possible. The anticipated applicable NAICS code for this acquisition is 339114, Dental Equipment and Supplies, 33911, Medical Equipment and Supplies Manufacturing Industry Sector - other relevant NAICS codes will be considered based on responses received.

1.0 BACKGROUND

The Indian Health Service (IHS), Great Plains Area (GPA) location, located in Aberdeen, SD plans to identify potential sources that can provide brand name only medical equipment and supplies.

The purpose of this request is to identify potential ISBEE and/or IEE vendors or contractors to purchase and deliver of a new brand name only, ASI Medical Inc; Triton™ Restorative Dental Delivery System Self-Contained, ASI Medical Inc; Triton™ Restorative Dental Delivery System Self-Contained:

Equipment & Accessories. The equipment is for the IHS Pine Ridge Hospital, Pine Ridge, SD.

1.1 OBJECTIVE

The primary objective of this project is to secure the purchase and delivery of a new, brand name only, ASI Medical Inc; Triton™ Restorative Dental Delivery System Self-Contained, #90-2025 & #90-2818S Equipment, Supplies, Parts and Accessories to accommodate the IHS Pine Ridge Hospital, Pine Ridge, SD.

2.0 SCOPE

See attached Specifications and Statement of Work for a brand name only, ASI Medical Inc; Triton™ Restorative Dental Delivery System Self-Contained, #90-2025 & #90-2818S Equipment & Accessories, equipment identified below:

Technical Specifications

90-2818S - Customer Welcome Kit for Self-Contained Vacuum 90-2025 - Triton™ Restorative Dental Delivery System Self-Contained

90-5012L-6 - Fiber Optic System with Handpiece Tubing, 60",6-pin, Pin and Socket

90-5013L-6 - Fiber Optic Handpiece Tubing, 60", 6-pin w/LED Bulb, Pin and Socket

90-5170 - W&H Micro Motor System - Analog

90-2770A - High Volume Evacuator, Straight, Automatic

90-2822 - High Flow Vacuum Upgrade

90-T001 - Tray, Arm Mounted, Dual Pivot on Riser

90-1831 - External Suction Exhaust Connection Kit

90-2712 - Quick Connect Kit, Waste Purge, Self-Contained Systems 90-2816 - Amalgam Separator

1 year Warranty or 3 year Warranty

Shipping and Handling

Portable Dental Cart for Dental Surgical procedures as requested by Chief Dentist and Surgeon:

Cart will include three pneumatic handpiece connections, dual air/water syringes, internal air compressor, internal interval vacuum pump with electric waste purge, dual closed water bottle system with waterline disinfection treatment cartridge and assistant arm with straight high-volume evacuator, saliva ejector.

White powder coat finish, solid surface worktop, and heavy-duty 4" casters.

Two fiber optic systems for a single handpiece and 60" of handpiece tubing. Requesting pin and socket style tubing for easily changing the handpiece tubing sets.

One electric high/low speed motor system with analog speed control knob. Requesting it includes one EM-12L motor that accepts all E-style contra angle handpieces.

One titanium straight high volume evacuator handpiece, barb and automatic handpiece holder.

Needs to have swivel tray that holds "B" size instrument trays. Mounted to back side of top of the deliver cart with a 6" Riser. Dual pivoting with one 12" arm and one 8" arm .

It will Include a flexible exhaust tubing with quick-connect fittings, and wall junction box.

It will have a quick connect kit for waste purge, and self-contained systems. Require hands-free purging to limit number of personnel in operatory.

System MUST have an external, disposable amalgam separator mounted to the back door of self-contained systems with internal vacuum pumps. This is an absolute MUST have item as the operatories in the service unit are not plumbed into the dental vacuum system.

Specification Cart – Configuration Attached:

3.0 CONTRACT REQUIREMENTS/ AND PERSONNEL QUALIFICATIONS (Not

APPLICABLE)

4.0 TYPE OF ORDER

This is a firm fixed-price, commercial item, purchase order medical equipment and supplies. The unit price is an all-inclusive cost. All "inclusive cost" is defined to include travel, lodging, per diem, fringe benefits, i.e., life insurance, social security, federal, state, and local taxes, plus all other costs pertinent to the performance of this purchase.

5.0 ANTICIPATED PERIOD OF PERFORMANCE

Period of Performance: Delivery shall be made 90 days after the award.

6.0 PLACE OF PERFORMANCE

IHS Pine Ridge Hospital 607 Indian Health Road Pine Ridge, SD 57770

8.0 REPORT(S)/DELIVERABLES AND DELIVERY SCHEDULE

Delivery shall be made 90 days after the award is distributed.

9.0 PAYMENT

INVOICE SUBMISSION AND PAYMENT

Invoice Processing Platform (IPP)

The Indian Health Service (IHS) is in the process of implementing an electronic invoicing system.

In compliance with the Office of Management and Budget (OMB) M-15-19 memorandum, Improving Government Efficiency and Saving Taxpayer Dollars Through Electronic Invoicing, directing Federal agencies to adopt electronic invoicing as the primary means to disburse payment to vendors. Invoices submitted under any award resulting from this solicitation will be required to utilize the Invoice Processing Platform (IPP) in accordance with HHSAR 352.232-71, Electronic Submission and Processing of Payment Requests.

IPP is a secure, web-based electronic invoicing system provided by the U.S. Department of the Treasury’s Bureau of the Fiscal Service, in partnership with the Federal Reserve Bank of St. Louis (FRSTL). Respondents to this solicitation are encouraged to register an account with IPP if they have not already done so. If your organization is already registered to use IPP, you will not be https://obamawhitehouse.archives.gov/sites/default/files/omb/memoranda/2015/m-15-19.pdf required to re-register- however, we encourage you make sure your organization and designated IPP user accounts are valid and up to date.

The IPP website address is: https://www.ipp.gov

If you require assistance registering or IPP account access, please contact the IPP Helpdesk at

(866) 973-3131 (M-F 8AM to 6PM ET), or IPPCustomerSupport@fiscal.treasury.gov

Should the contractor feel that use of the IPP would be unduly burdensome, their response to this solicitation should include an explanation of this position for a determination by the contracting officer.

Additional Information:

A. Anticipated Period of Performance:

Period of Performance shall not be applicable but a delivery timeframe will be issued.

B. Capability Statement/Information:

B1. The Contractor must provide only new equipment and new parts for the required products described herein; no used, refurbished, or remanufactured equipment or parts shall be provided under any circumstances. Absolutely no Gray Market Goods or Counterfeit Electronic Parts shall be provided. Gray Market Goods are defined as genuine branded goods intentionally or unintentionally sold outside of an authorized sales-territory or by non-authorized dealers in an authorized territory. All equipment shall be accompanied by the Original Equipment Manufacturers (OEMs) warranty. Counterfeit Electronic Parts are defined as unlawful or unauthorized reproduction, substitution, or alteration that has been knowingly mismarked, misidentified, or otherwise misrepresented to be an authentic, unmodified electronic part from the original manufacturer, or a source with the express written authority of the original manufacturer or current design activity, including an authorized aftermarket manufacturer. Unlawful or unauthorized substitution includes used electronic parts represented as new, or the false identification of grade, serial number, lot number, date code, or performance characteristics.

B2. Interested parties are expected to review this notice to familiarize itself with the requirements of this project. Failure to do so will be at your firm’s own risk. The following information shall be included in the capability statement:

1. Company Name and Company SAM Unique Entity identifier (UEI) number.

2. System for Award Management (SAM) registration status. All respondents must register on the SAM located at http://www.sam.gov .

3. Name, Telephone number and E-mail address of a company point of contact who has the authority and knowledge to clarify responses with government representatives.

4. Date Submitted https://www.ipp.gov/ mailto:IPPCustomerSupport@fiscal.treasury.gov http://www.sam.gov/

5. Applicable company GSA Schedule number or other available procurement vehicle.

6. Business Size Standard of Company (i.e. small business, 8(a), Woman owned, veteran owned, etc.).

7. Capability Statement: Detailed capability statement addressing the company’s qualifications and ability to provide the requirements listed herein, with appropriate and specific documentation supporting claims of recent organizational and staff capability to support this requirement. If significant subcontracting or teaming is anticipated in order to deliver technical capability, organizations should address the administrative and management structure of such arrangements.

8. Geographic Coverage: Please identify the areas of the United States where your organization provides this supplies/equipment.

9. References: Provide a list of all private industry or government contracts for similar items that you have delivered within the last 3 years. Please include the customers’ contact names, addresses, telephone number, dollar value of contract, and brief description of the supplies provided on the contract.

10. Specifications: Provide evidence that you can meet the attached Specifications.

11. Delivery/Logistics: Provide evidence that the item is readily available and can meet the Delivery timeframe.

12. Warranty: Provide evidence that the item has warranty options.

13. If American Indian/Native American owned small business, then complete attached IEE Representation Form.

C Closing Statement

C1. Point of Contact: Ursula Maslonka, Contract Specialist, at Ursula.Maslonka@ihs.gov

C2. Submission Instructions:

Interested parties shall submit capability via email to Ursula Maslonka, Contract Specialist, at Ursula.Maslonka@ihs.gov; the following information:

Sources Sought Number IHS114400 in the Subject line. The due date for receipt of statements is July 31, 2025, 9:00 am Central Time.

All responses must be received by the specified due date and time in order to be considered.

This notice is for information and planning purposes only and shall not be construed as a solicitation or as an obligation on the part of IHS.

IHS does not intend to award a contract on the basis of responses nor otherwise pay for the preparation of any information submitted. As a result of this notice, IHS may issue a Request for Quote (RFQ).

THERE IS NO SOLICITATION AVAILABLE AT THIS TIME. However, should such a requirement materialize, no basis for claims against IHS shall arise as a result of a response to this notice or IHS’s use of such information as either part of our evaluation process or in developing specifications for any subsequent requirement.

mailto:Ursula.Maslonka@ihs.gov mailto:Ursula.Maslonka@ihs.gov

Disclaimer and Important Notes. This notice does not obligate the Government to award a contract or otherwise pay for the information provided in response. The Government reserves the right to use information provided by respondents for any purpose deemed necessary and legally appropriate. Any organization responding to this notice should ensure that its response is complete and sufficiently detailed to allow the Government to determine the organization’s qualifications to perform the work. Respondents are advised that the Government is under no obligation to acknowledge receipt of the information received or provide feedback to respondents with respect to any information submitted. After a review of the responses received, a pre-solicitation synopsis and solicitation may be published in SAM.gov.

However, responses to this notice will not be considered adequate responses to a solicitation.

Confidentiality. No proprietary, classified, confidential, or sensitive information should be included in your response.

Portable Dental Cart for Dental Surgical procedures as requested by Chief Dentist and Surgeon:

Cart will include three pneumatic handpiece connections, dual air/water syringes, internal air compressor, internal interval vacuum pump with electric waste purge, dual closed water bottle system with waterline disinfection treatment cartridge and assistant arm with straight high-volume evacuator, saliva ejector. White powder coat finish, solid surface worktop, and heavy-duty 4" casters.

Two fiber optic systems for a single handpiece and 60" of handpiece tubing. Requesting pin and socket style tubing for easily changing the handpiece tubing sets.

One electric high/low speed motor system with analog speed control knob. Requesting it includes one EM-12L motor that accepts all E-style contra angle handpieces.

One titanium straight high volume evacuator handpiece, barb and automatic handpiece holder.

Needs to have swivel tray that holds "B" size instrument trays. Mounted to back side of top of the deliver cart with a 6" Riser. Dual pivoting with one 12" arm and one 8" arm .

It will Include a flexible exhaust tubing with quick-connect fittings, and wall junction box.

It will have a quick connect kit for waste purge, and self-contained systems. Require hands-free purging to limit number of personnel in operatory.

System MUST have an external, disposable amalgam separator mounted to the back door of self-contained systems with internal vacuum pumps. This is an absolute MUST have item as the operatories in the service unit are not plumbed into the dental vacuum system.

DEPARTMENT OF HEALTH & HUMAN SERVICES

Indian Health Service

Office of Management Services Division of Acquisition Policy (DAP)

5600 Fishers Lane Rockville, MD 20857

INDIAN HEALTH SERVICE

BUY INDIAN ACT

INDIAN ECONOMIC ENTERPRISE

REPRESENTATION FORM

SOLICITATION/SOURCES SOUGHT/RFI #: _________________________________________________

PROJECT TITLE: ________________________________________________________

DATE: ___________________________________________________________________

In accordance with 25 U.S.C. 47 the Buy Indian Act, the signature below constitutes self-certification that the Offeror meets the definition of an “Indian Economic Enterprise” (HHSAR 326.601) in response to this Sources Sought Notice, Request for Information (RFI) or Solicitation and resultant contract.

The enterprise must meet the definition of “Indian Economic Enterprise” throughout the following time periods:

(1) At the time an offer is made in response to this solicitation;

(2) At the time of contract award; and

(3) During the full term of the contract performance period. At any point during these periods, if the Contractor no longer meets the eligibility requirements, the contractor must provide immediate written notification to the Contracting Officer.

Individual Contracting Officers may require documentation of eligibility before awarding a set-aside or sole source contracts under the Buy Indian Act and awards may be subject to protest if the eligibility of the successful Offeror is in question. In addition to the self-certification requirements, successful Offerors must also be registered with the System of Award Management (SAM).

Any false or misleading information submitted by an enterprise when submitting an offer in consideration of an award set-aside under the authority of the Buy Indian Act is a violation of the law and punishable under 18 U.S.C. 1001.

False claims submitted as part of contract performance are subject to the penalties enumerated in 31 U.S.C. 3729 to 3731 and 18 U.S.C. 287.

REPRESENTATION

The Offeror represents as part of its offer that it does _____, does not _____ meet the definition of an “Indian Economic Enterprise” with “Indian Ownership” under the authority of the Buy Indian Act.

Name of the 51% owner of IEE Firm

Certifying Signature

Print Name

Name of Federally Recognized Tribal Entity

Business Name

DUNS Number

Justification for Other than Full and Open Competition

Brand Name Justification

Program Office/Service Unit: PRSU Requisition: IHS1514400

1. Nature and/or Description of action being approved:

Mobile dental OR unit purchase for Pine Ridge Hospital. The unit is needed for restorative and surgical procedures to be performed in operating room. Cart needs to be self contained, with air pressure, water, unit should also include suction and amalgam separation.

2. Description of Product, Supplies or Services required to meet the agency’s need :

ASI Medical – ASI 90-2025 Triton Restorative Dental Delivery System Self-contained, 90- 5012L-6 Fiber Optic System with Handpiece Tubing, 60”, Pin and socket: 90-5013L-6 Fiber optic handpiece tubing, 60”, 6 pin LED bulb, pin and socket, 90-5170 w&h micro motor system – analog, 90-2770A high volume evacuator, straight, automatic, 90-2822 high flow vacuum upgrade, 90-T001 tray, arm mounted, dual pivot on riser, 90-1831 external suction exhaust connection kit, 90-2712 quick connect kit, waste purge, self-contained systems, 90-2816 amalgam separator

3. Estimated Value of Procurement (to include options): $16705

4. Recommended Source:

a. Contractor Name: ASI Medical, Inc.

b. UEI Number: TB31B4XEAHE3

c. Address: 8811 American Way Suite, 130, Englewood, CO 80112

d. POC: Dana Kjerstad

5. Reason for Sole Source/Limited Sources/Expedited Processing: Check one

☐ Brand Name essential to the Government’s needs. FAR 11.104 (b) Brand name or equal purchase descriptions must include, in addition to the brand name, a general description of those salient physical, functional, or performance characteristics of the brand name item that an "equal" item must meet to be acceptable for award. Use brand name or equal descriptions when the salient characteristics are firm requirements.

☒ Items peculiar to one manufacture. FAR 11.105 (a) The particular brand name, product, or feature is essential to the Government’s requirements, and market research indicates other companies’ similar products, or products lacking the particular feature, do not meet, or cannot be modified to meet, the agency’s needs

6. Justification Narrative:

This is a unique model of device customized for dental surgery. Other units commercially available do not have the same capabilities. This unit is capable of collecting and exhausting waste anesthesia gas and has customizable instrumentation for the dental surgeon.

7. Impact to the Government if not awarded in accordance with above:

Pine Ridge Hospital will not be able to perform dental surgeries, and the government will need to send out patients for costly procedures.

8. Synopses of proposed contract action (SAM.gov): Yes ☒ No ☐ In the case of a brand name justification under 6.302-1(c), the justification shall be posted with the solicitation (see 5.102(a)(6)). Yes ☒ No ☐

9. A determination the anticipated cost to the Government will be fair and reasonable:

Market research for the device has determined the cost of the unit to be fair and reasonable.

Program/Project Manager:

Brian Julius, Sup. Biomed. Equip. Sup. Spec. 7/1/2025

Acquisition: Prepared by

Name, Contract Specialist/Purchasing Agent Date

Contracting Officer Certification: This is to certify that the justification for the proposed acquisition has been reviewed and that to the best of my knowledge and belief the information and/or data provided to support the rationale and recommendation for approval is accurate and complete.

Name, Contracting Officer Date https://www.acquisition.gov/far/part-6#FAR_6_302_1 https://www.acquisition.gov/far/part-5#FAR_5_102

Competition Advocate Approval: Competition Advocate Approval: over $750,000 but not exceeding $15 million This is to certify that the justification for the proposed acquisition has been reviewed and that to the best of my knowledge and belief the information and/or data provided to support the rationale and recommendation for approval is accurate and complete.

IAW FAR 13.501(a) (2)(ii)

Name, Competition Advocate Date

*See Attached Applicable FAR References 11.104, 11.105, 6.302-1, 6.303-1 & 6.303-2

*6.302-1 Only one responsible source and no other supplies or services will satisfy agency requirements.

(a) Authority.

(1) Citations: 10 U.S.C. 2304(c) (1) or 41 U.S.C. 253(c) (1).

(2) When the supplies or services required by the agency are available from only one responsible source, or, for DOD, NASA, and the Coast Guard, from only one or a limited number of responsible sources, and no other type of supplies or services will satisfy agency requirements, full and open competition need not be provided for.

(i) Supplies or services may be considered to be available from only one source if the source has submitted an unsolicited research proposal that-

(A) Demonstrates a unique and innovative concept (see definition at 2.101), or, demonstrates a unique capability of the source to provide the particular research services proposed;

(B) Offers a concept or services not otherwise available to the Government; and

(C) Does not resemble the substance of a pending competitive acquisition. (See 10 U.S.C.

2304(d)(1)(A) and 41 U.S.C. 253(d)(1)(A).)

(ii) Supplies may be deemed to be available only from the original source in the case of a follow-on contract for the continued development or production of a major system or highly specialized equipment, including major components thereof, when it is likely that award to any other source would result in-

(A) Substantial duplication of cost to the Government that is not expected to be recovered through competition; or

(B) Unacceptable delays in fulfilling the agency's requirements. (See 10 U.S.C.

2304(d)(1)(B) or 41 U.S.C. 253 (d)(1)(B).)

(iii) For DOD, NASA, and the Coast Guard, services may be deemed to be available only from the original source in the case of follow-on contracts for the continued provision of highly specialized services when it is likely that award to any other source would result in-

(A) Substantial duplication of cost to the Government that is not expected to be recovered through competition; or

(B) Unacceptable delays in fulfilling the agency's requirements. (See 10 U.S.C. 2304(d)(1)(B).)

(b) Application. This authority shall be used, if appropriate, in preference to the authority in 6.302-7; it shall not be used when any of the other circumstances is applicable. Use of this authority may be appropriate in situations such as the following (these examples are not intended to be all inclusive and do not constitute authority in and of themselves):

(1) When there is a reasonable basis to conclude that the agency's minimum needs can only be satisfied by-

(i) Unique supplies or services available from only one source or only one supplier with unique capabilities; or

(ii) For DOD, NASA, and the Coast Guard, unique supplies or services available from only one or a limited number of sources or from only one or a limited number of suppliers with unique capabilities.

(2) The existence of limited rights in data, patent rights, copyrights, or secret processes; the control of basic raw material; or similar circumstances, make the supplies and services available from only one source (however, the mere existence of such rights or circumstances does not in and of itself justify the use of these authorities) (see Part 27).

(3) When acquiring utility services (see 41.101), circumstances may dictate that only one supplier can furnish the service (see 41.202); or when the contemplated contract is for construction of a part of a utility system and the utility company itself is the only source available to work on the system.

(4) When the agency head has determined in accordance with the agency's standardization program that only specified makes and models of technical equipment and parts will satisfy the agency's needs for additional units or replacement items, and only one source is available.

(c) Application for brand name descriptions. An acquisition that uses a brand name description or other purchase description to specify a particular brand name, product, or feature of a product, peculiar to one manufacturer does not provide for full and open competition regardless of the number of sources solicited. It shall be justified and approved in accordance with FAR 6.303 and 6.304. The justification should indicate that the use of such descriptions in the acquisition is essential to the Government's requirements, thereby precluding consideration of a product manufactured by another company. (Brand-name or equal descriptions, and other purchase descriptions that permit prospective contractors to offer products other than those specifically referenced by brand name, provide for full and open competition and do not require justifications and approvals to support their use.)

(d) Limitations.

(1) Contracts awarded using this authority shall be supported by the written justifications and approvals described in 6.303 and 6.304.

(2) For contracts awarded using this authority, the notices required by 5.201 shall have been published and any bids and proposals must have been considered.