Exam/Treatment Tables | Brand name or equal

Combined Synopsis/Solicitation
(i) This is a combined synopsis/solicitation for Midmark 630 Humanform, BRAND NAME OR EQUAL, as prepared in accordance with the format in Subpart 12.6, as supplemented with additional information included in this notice. This announcement constitutes the only solicitation; quotes are being requested and a written solicitation will not be issued. A firm-fixed price purchase order is anticipated.
(ii) The solicitation number 36C24419Q0238 and is issued as a request for quotation (RFQ).
(iii) The solicitation document and incorporated provisions and clauses are those in effect through Federal Acquisition Circular 2005-95
(iv) This solicitation is set aside 100% for Service-Disabled Veteran-Owned Small Businesses and the associated NAICS code 339112 has a small business size standard of 1000.
(v) Contract Line Items (CLIN):
PRICE/COST SCHEDULE
ITEM INFORMATION
ITEM NUMBER
DESCRIPTION OF SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
0001
9.00
EA
__________________
__________________
630 MIDMARK HUMANFORMTM POWER PROCEDURE TABLE, PROGRAMMABLE, WIRELESS W/ELECTRICAL RECEPTABLE- BASE ONLY. PEBBLE GREY BASE COLOR
LOCAL STOCK NUMBER: 630-021
0002
9.00
EA
__________________
__________________
UPHOLSTERY TOP - 630 32" PREMIUM-RESTFUL PATH PEARL GREY MOLDED ACCENTS.
LOCAL STOCK NUMBER: 022-10112-858
0003
9.00
EA
__________________
__________________
CHAIR ARMS, 630 FOR 32" UPH-RESTFUL PATH PEARL GREY MOLDED ACCENTS.
LOCAL STOCK NUMBER: 9A550005-858
0004
9.00
EA
__________________
__________________
HEADREST, 630 RECTANGULAR-RESTFUL PATH PEARL GREY MOLDED ACCENTS.
LOCAL STOCK NUMBER: 9A496001-858
GRAND TOTAL
__________________
DELIVERY SCHEDULE
ITEM NUMBER
QUANTITY
DELIVERY DATE
0001
SHIP TO:
Erie VA Medical Center
Attn: Distribution Center
135 E. 38th Street
Erie, PA 16504
USA
9.00
MARK FOR:
Jill Kierzek
(814) 860-2126
Jill.Kierzek@va.gov
0002
9.00
0003
9.00
0004
9.00
(6) BRAND NAME OR EQUAL PRODUCTS
In accordance with VAAR 811.104-71 (b), based on the inclusion of FAR 52.211-6, Brand Name or Equal (AUG 1999) and VAAR 852.211-73, Brand Name or Equal (JAN 2008), offerors proposing to furnish an equal product other than referenced in the solicitation, shall insert the following description for each equal product (See also VAAR 852.211-73 (c)(1) and (c)(2).
Manufacturers
Name:_______________________________________________________________________
Brand: _______________________________________________________________________
Model No.:____________________________________________________________________
(vi) Comparable products must be brand name or equal in the
Salient Characteristics/Statement of Need::
Product(s) Needed: Nine (9) Power Procedural Tables
Background: The Department of Veterans Affairs, Erie VA Medical Center, has a brand name or equal requirement for Nine (9) Power Procedural Tables for the surgical specialties of Urology, General Surgical, and expanding wound clinics. These departments have an immediate need to replace these procedural tables because they cannot be repaired secondary to age and condition.
To maintain consistency with recent updates in podiatry and wound clinics and for biomedical servicing, the Midmark 630 Humanform programable table is requested.
Salient Features (Brand Name or Equal):
Must have Patient Load Rating: 650 lb (295 kg)
Must have Height: Minimum 18"(45.7cm) - Maximum 40" (101.6cm)
Must have Patient Support Surface: 72-76 Long by 32 wide patient surface. Flat Position w/ Headrest Extended: 83 (210.8 cm),
Must have 32 Upholstery Width Dimensions: Seat: 32 (81.3 cm) wide Premium;
Must have Upholstery Color: Restful Path (per interior design dept.) or Fossil Grey (tentative discontinuance in October 2018)
Must have Accessory: Headrest Adjustable/ Removable: Rectangular headrest
Must have Back Support Angle Range: 0° to 80° / Seat Tilt Angle Range: 0° to 30°
Must have Foot Support: 23 wide / Foot Support Angle: 0° to 90°
Must have accessory: Adjustable Arm System: Includes left and right arms
Must have Paper Roll Holder: Holds 18 x 3.5 paper roll
Option: Electrical Outlet Rating: Two (2) UL- Listed duplex hospital grade
Must have Electric rating: 115/230 VAC 12/6A 50/60 Hz standard models w/ receptacles
Option: Wireless Hand/ Foot Control: removes cord and eliminates obstacles
Must have programmability Option: One touch, four positions w/ power tilt and back
Training and Installation:
Training and installation not required.
SECURITY & PRIVACY CONTROL: (Refer to Appendix A 6500 comments section to verify if additional security and privacy language is to be included per ISO and Privacy Officer).
The Certification & Accreditation (C & A) requirements of VHA Handbook 6500.6 do not apply to this
requirement; therefore, a Security Accreditation package is not required. No C & A or MOU/ISA is
required. Sensitive information exposure as part of this contract involves applicable security controls
within the facility as part of the VA Information Security Program.
If there are any questions related to privacy, please have a member of your staff contact the VA Privacy
Service at 202-461-6309. If there are any questions related to the information security, please have a
member of your staff contacts the Office of Cyber Security at 304-262-7733.
Delivery:
All items must be FOB Destination, 30 Days ARO, to the following location:
Erie VA Medical Center
Attn: Distribution Center
135 E. 38th Street
Erie, PA 16504
Monday Friday from 8:00am 4:00pm
(viii) The provision at 52.212-1, Instructions to Offerors -- Commercial, applies to this acquisition and the following clauses AND instructions are added as addenda:
CLAUSES:
52.211-6 Brand Name or Equal (AUG 1999)
52.214-21 Descriptive Literature (APR 2002)
852.211-73 Brand Name or Equal. (JAN 2008)
852-219-10 VA Notice of Total Service-Disabled Veteran-Owned Small Business Set-Aside
(a) Gray market items are Original Equipment Manufacturer s (OEM) goods sold through unauthorized channels in direct competition with authorized distributors. This procurement is for new OEM medical supplies, medical equipment and/or services contracts for maintenance of medical equipment (i.e. replacement parts) for VA Medical Centers. No remanufactures or gray market items will be acceptable.
Â
(b) Vendor shall be an OEM, authorized dealer, authorized distributor or authorized reseller for the proposed medical supplies, medical equipment and/or services contracts for maintenance of medical equipment (i.e. replacement parts), verified by an authorization letter or other documents from the OEM, such that the OEM s warranty and service are provided and maintained by the OEM. All software licensing, warranty and service associated with the medical supplies, medical equipment and/or services contracts for maintenance of medical equipment shall be in accordance with the OEM terms and conditions.
(c) The delivery of gray market items to the VA in the fulfillment of an order/award constitutes a breach of contract. Accordingly, the VA reserves the right enforce any of its contractual remedies. This includes termination of the contract or, solely at the VA s election, allowing the Vendor to replace, at no cost to the Government, any remanufactured or gray market item(s) delivered to a VA medical facility upon discovery of such items.Â
(ix) Evaluation of this requirement will be based on PRICE ONLY.
(x) Offerors are advised to include a completed copy of the provision at 52.212-3, Offeror Representations and Certifications -- Commercial Items, with its offer if has not been completed on SAM.gov.
(xi) The clause at 52.212-4, Contract Terms and Conditions -- Commercial Items, applies to this acquisition and the following clauses are added as addenda:
(End of Clause)
52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)
This contract incorporates one or more clauses by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. Also, the full text of a clause may be accessed electronically at this/these address(es):
http://farsite.hill.af.mil
https://acquisition.gov/far
(End of Clause)
852.203-70 Commercial Advertising (JAN 2008)
852.246-71 Inspection (Jan 2008)
(xii) The clause at 52.212-5, Contract Terms and Conditions Required To Implement Statutes Or Executive Orders -- Commercial Items, applies to this acquisition and the following additional FAR clauses cited in the clause are applicable to the acquisition:
52.204-10 Reporting Executive Compensation & First-Tier Subcontract Awards (OCT 2015)
52.209-6 Protecting the Government s Interest When Subcontracting with Contractors Debarred, Suspended, or Proposed for Debarment (OCT 2015)
52.219-6 Notice of Total Small Business Set-Aside (2011)
52.219-28 Post Award Small Business Program Representation (JUL 2013)
52.222-19 Child Labor--Cooperation with Authorities and Remedies (FEB 2016) (E.O. 13126)
52.222-21 Prohibition of Segregated Facilities (APR 2015)
52.222-26 Equal Opportunity (APR 2015)
52.222-36 Equal Opportunity for Workers with Disabilities (JUL 2014)
52.222-50 Combating Trafficking in Persons (MAR 2015)
52.223-18 Encouraging Contractor Policies to Ban Text Messaging While Driving (AUG 2011)
52.225-3 Buy American--Free Trade Agreements--Israeli Trade Act (MAY 2014)
52.225-13 Restrictions on Certain Foreign Purchases (JUNE 2008)
52.232-34 Payment by Electronic Funds Transfer--Other than System for Award Management (JUL 2013)
52.232-40 Providing Accelerated Payments to Small Business Subcontractors
(xiii) There are no additional contract requirements, terms or conditions.
(xiv) The Defense Priorities and Allocations System (DPAS) ratings are NOT APPLICABLE.
(xv) Quotes must be emailed to John.Ritter2@va.gov and received no later than 1200 PM EST on the 1/23/2019 close date.
Quotes may be submitted on this document (If you use this form, Include your company information name, address, phone number, POC, POC email, and DUNS #) or the vendor s own form.
If you are not the manufacturer than an AUTHORIZED DISTRIBUTOR LETTER needs to be provided with your quote in order to be considered for the award.
(xvi) For information regarding the solicitation, please contact John Ritter at John.Ritter2@va.gov.