Sources Sought Notice 36C26126Q0129.pdf

Sources Sought Notice

*= Required Field Sources Sought Notice

SUBJECT* Community Based Outpatient Clinic for Yreka

GENERAL INFORMATION

CONTRACTING OFFICE’S ZIP CODE*

SOLICITATION NUMBER* 36C26126Q0129

RESPONSE DATE/TIME/ZONE 11-10-2025 10:00am PACIFIC TIME, LOS

ANGELES, USA

ARCHIVE 15 DAYS AFTER THE RESPONSE DATE

RECOVERY ACT FUNDS N

SET-ASIDE

PRODUCT SERVICE CODE* Q201

NAICS CODE* 621498

CONTRACTING OFFICE ADDRESS Department of Veterans Affairs

Network Contracting Office 21

POINT OF CONTACT*

Contract Specialist Maricela Berrones-Gauger Maricela.Berrones-Gauger@va.gov

PLACE OF PERFORMANCE

ADDRESS See PWS

POSTAL CODE

COUNTRY

ADDITIONAL INFORMATION

AGENCY’S URL

URL DESCRIPTION

AGENCY CONTACT’S EMAIL ADDRESS

EMAIL DESCRIPTION Maricela.Berrones-Gauger@va.gov

DESCRIPTION

THIS IS A SOURCES SOUGHT ANNOUNCEMENT ONLY.

No Solicitation is currently available.

All information contained in this Sources Sought Announcement is preliminary, as well as subject to modification, and is in no way binding on the Government. The Government will not pay for any information submitted in response to this request. The information requested will be used solely within the Department of Veterans Affairs to facilitate decision making and will not be disclosed outside of the Government. The determination of a procurement strategy, based upon the comments submitted in response to this Sources Sought Announcement, is solely within the discretion of the Government.

The applicable North American Industry Classification System (NAICS) Code is 621498, All Other Outpatient Care Centers, and the small business size standard is $26M Million.

The Department of Veterans Affairs (VA) Network Contracting Office (NCO 21) is performing market research to determine if there are any vendors, regardless of business size, that can provide services to be provided in a private hospital, office, or clinic environment to Veterans, primarily residing in Yreka, Siskiyou County, CA in accordance with the specifications listed within the Performance Work Statement for the Veteran Affairs Northern California Health Care System (VANCHCS). A draft Performance Work Statement (PWS) is attached.

Brief Description of Services

See attached PWS

Capability Statement

All interested contractors must respond by email to Maricela.Berrones-Gauger@va.gov before 10:00 A.M. PST on November 10th, 2025.

Please answer the following questions when responding:

1. What is your company’s Socioeconomic Status? (ex: small business, large business, SDVOSB, etc.)

a. If SDVOSB or VOSB, are you registered with the Small Business Administration?

2. Provide Company’s legal name along with Unique Entity ID (SAM) number.

3. Primary point of contact, including phone number and e-mail address.

4. Capabilities Statement.

5. Describe experience in providing CBOC Services as described in the attached description of services.

6. List other Projects (Government and Commercial) that are similar in scope and size.

mailto:Lydia.anderson@va.gov

7. As this is a service acquisition, the Small Business Administration and the

Federal Acquisition Regulation have a Limitations on Subcontracting requirement.

For all small businesses, to include SDVOSB and VOSB, “At least 50 percent of the cost of contract performance incurred for personnel shall be expended for employees of the concern.” See FAR 52.219-14 and FAR 52.219-27 available in full text at https://www.acquisition.gov/far/html/52_217_221.html

7a. Of the service actions listed above, which one(s) will your company perform as the prime contractor using its own personnel without subcontracting?

7b. With respect to the service actions listed above, which action(s) do you intend on subcontracting or using other than your company’s own personnel?

7c. Of those services that will be performed, approximately what percentage will be paid to the subcontractor(s)?

8. GSA Contract Number, if applicable.

9. Fill out the price estimate (5 ordering periods) below.

*Failure to provide the information requested above (items 1-10) will be considered non-responsive and will not be considered a viable source.

The Government will use this information when determining its business type decision.

This synopsis is not to be construed as a commitment by the Government and no contract will be awarded as a direct result of this Sources Sought announcement.

Notes: Contractors must have a current registration in the System for Award Management (SAM) at https://sam.gov/SAM/

SDVOSB and VOSB firms should be registered at the time of quote submission and SBA verified at SBA - Dynamic Small Business Search https://www.acquisition.gov/far/html/52_217_221.html https://sam.gov/SAM/ https://dsbs.sba.gov/search/dsp_dsbs.cfm

Base Year – 3/01/2026- 2/28/2027

Line Item

Services

Unit

Estimate d

Quantity

Price per Unit

Total Estimated Cost per month

Total Estimated

Cost per year

0001 Primary Care Services at capitation rates per member per month

(PMPM)

PMPM

Estimated Total for Base Year $______________

Option Year One – 3/01/2027- 2/29/2028 (Leap Year)

Cost per month

Total Estimated

Cost per year

1001 Primary Care Services at capitation rates per

Estimated Total for Option Year 1 $______________

Option Year 2 – 3/01/2028- 2/28/2029

Cost per month

Total Estimated

Cost per year

2001 Primary Care Services at capitation rates per

Estimated Total for Option Year 2 $______________

Option Year 3 – 3/01/2029 - 2/28/2030

Cost per month

Total Estimated

Cost per year

3001 Primary Care Services at capitation rates per

Estimated Total for Option Year 3 $______________

Option Year 4 – 3/01/2030 - 2/28/2031

Cost per month

Total Estimated

Cost per year

4001 Primary Care Services at capitation rates per

Estimated Total for Option Year 4 $______________

Option Year 5 –3/01/2031 - 2/29/2032 (Leap Year)

Cost per month

Total Estimated

Cost per year

5001 Primary Care Services at capitation rates per

Estimated Total for Option Year 5 $______________

Option Year 6 – 3/01/2032 - 2/28/2033

Cost per month

Total Estimated

Cost per year

6001 Primary Care Services at capitation rates per

Estimated Total for Option Year 6 $______________

Option Year 7 – 3/01/2033 - 2/28/2034

Cost per month

Total Estimated

Cost per year

7001 Primary Care Services at capitation rates per

Estimated Total for Option Year 7 $______________

Option Year 8 – 3/01/2034 - 2/28/2035

Cost per month

Total Estimated

Cost per year

8001 Primary Care Services at capitation rates per

Estimated Total for Option Year 8 - $______________

Option Year 9 –3/01/2035 - 2/29/2036 (Leap Year)

Cost per month

Total Estimated

Cost per year

9001 Primary Care Services at capitation rates per

Estimated Total for Option Year 9 - $______________

ESTIMATED TOTAL FOR BASE AND OPTION YEARS $______________

See attached document: PWS-Yreka Contracted CBOC Primary Care Services.