VISN 16 Attachment C Questionairre 36C77625Q0006 Med Gases 2025 Final.docx

36C77624Q0006 RFI VISN 16 Medical Gases Attachment C: Questionnaire

Your email subject line must read: 36C77624Q0006 “Company Name”. The attachment you submit must be named: 36C77624Q0006 “Company Name”. If for some reason a second email is needed to submit a response, please note this in subject line and attachment name. Example: add to the end of subject line and attachment name: 1 of 2 or 1 of 3 etc. Your response should list each question and a response directly after each question. Please explain clearly and concisely and please do not respond to a question directing us to a specific website link to search for an answer. You may provide a link to verify your response.

If interested in performing this requirement, please provide the requested information as indicated below:

Business Capability Questions:

1. Company name, address, and point of contact to include phone and email address.

2. Size of business pursuant to the following questions:

(a) Socio-economic status of your company?

(b) If small, does your business qualify as a small, emerging business, or small disadvantaged business?

(c) If disadvantaged, specify under which disadvantaged group and if your business is certified under Section 8(a) of the Small Business Act?

(d) Is your business a certified "Hub zone" business?

(e) Is your business a woman-owned or operated business?

(f) Is your business registered and verified in the SBA VetCert as a Service-Disabled Veteran Owned Small or Veteran-Owned small business?

3. Is your business currently enrolled in the SAM (System for Award Management)? If so, please provide DUNS to search under in SAM. If not, do you plan to register at www.sam.gov in order to be eligible for a contract award?

4. Brief business profile indicating number of years in the Medical Gas Industry and describing your business’s geographic scope of coverage and services offered.

Capabilities to include at a minimum the following information:

(a) Do you currently or have you had past experience providing for Medical Gas to the Department of Veterans Affairs. If so how many VA Medical Centers did you support concurrently within a single contract.

(b) If your business does not have current or past experience providing services for the Department of Veterans Affairs do you have current or past experience providing services for private or public medical centers or medical clinics?

(c) What is the highest contract value for medical gas your firm has been awarded and managed?

(d) Provide a narrative that includes your current state to include your business’s ability to obtain the necessary capital, certifications/licenses, human resources, management staff, equipment, and supplies within 60 days of contract award for each station listed in Attachment B.

(e) Do you currently have the necessary resources to provide for the estimated number of medical gas? If not would you be able to obtain the necessary capital, human resources, management staff, equipment and supplies within 60 days of contract award?

(f) Does your firm have experience providing for medical gas in rural areas and within intense heat or harsh cold inclement weather conditions? Please explain your plan or policy.

5. Describe how your business receives and fills tank orders (how a facility would place tank orders with your business).

6. How does your business track tank deliveries and pick-up?

7. How does your business track the number of tanks on-hand at each facility?

8. What is the estimated amount of time your business would need to swap out cylinders from the incumbent for each station listed in attachment B (provide narrative for capacity of multiple stations swap out during the same time period)? Provide in your narrative your process for swap out, your process for audit and your process for reconciliation of audit to include past experiences.

9. Can you meet next day delivery from each order received for each station listed in Attachment B?

10. Are there any medical gases that are listed on Attachment B that you cannot provide to each station listed?

11. Does your business have the capabilities to provide this request on its own? Or will your business enter into a joint venture or other relationship in order to provide this request?

12. Have you been, or are you currently the Prime contractor on a medical gas contract with the Department of Veterans Affairs?

13. If you are not the manufacture of the medical gases, please provide recent documentation to include a resellers agreement which expressly demonstrates that your business has the authority to resell medical gases to the Department of Veterans Affairs. Documentation should be no older than three years.