J065--Olympus H65 Laser Preventive Maintenance

REQUEST FOR INFORMATION / SOURCES SOUGHT INQUIRY

The Department of Veterans Affairs Network Contracting Office (NCO) 19, Rocky Mountain Acquisition Center (RMAC) is seeking information and sources that can provide repairs and Preventive Maintenance on two Olympus Laser H65 for the Fort Harrison VA Medical Center.

The NAICS code is 339112 Surgical and Medical Instrument Manufacturing

The information submitted shall contain the company s business size status. This is a request for information and sources only, which may or may not lead to a future solicitation! This is not a request for proposal (RFP). No questions will be answered. The VA will not pay for any information received resulting from this sources sought notice. Requests for copies of a solicitation shall not be honored or acknowledged. Information should be forwarded to the Contracting Officer. If your organization can provide these services and interested in this opportunity, please respond to Michael Folsom, Contract Specialist, via e-mail at michael.folsom@va.gov with a statement describing your capabilities. The capability statement shall include a point of contact, complete mailing address, telephone number, email address and state the company s business size status. The deadline for this information is 10 AM Central Time, February 4, 2025.

In response to this announcement, please provide the information below:

Company Name:

Address:

UEI (Unique Entity ID) Number:

Contact Name:

Phone No.:

Email:

Business Size Information - Select all that applies:

Small Business

Emerging Small Business

Small Disadvantaged Business

Certified under Section 8(a) of the Small Business Act

HUBZone

Woman Owned

Certified Service-Disabled Veteran Owned Small

Veteran Owned Small Business

Large Business

FSS/GSA Contract Holder:

Yes No

FSS/GSA Contract Number:

Effective Date/ Expiration Date:

Proposed solution is listed and available on the above FSS/GSA Contract:

Yes No

Available pricing structure of proposed solution (select all that are applicable below):

Pricing Model

Please Indicate Availability Below: (Yes / No / NA)

All on FSS

Open Market only

Mix of FSS & Open Market

(CPRR) Cost Per Reportable Result

Cost Per Test(CPT)

Reagent Rental Agreement

Equipment Rental with Reagent Purchase

Fixed Monthly Charge

Other: (Please explain)

Federal Acquisition Regulation (FAR) Market Rearch Questions:

Buy American Act (FAR 52.225) What percentage of the proposed product (including leases) is a:

Domestic end product? _____________ (%)

Foreign end product? _______________ (%)

Questions for Small Businesses ONLY:

Limitations on Subcontracting (FAR 52.219-14) What percentage of the work would be subcontracted to another company? ________ If > 0, what is company s business size: __________

If subcontracting, what added value do you offer (FAR 52.215-23): _______________________________

Nonmanufacturer Rule (FAR 52.219-33):

Does your company manufacturer these proposed items? [Â ] yes [Â ] no

Does your company exceed 500 employees? [Â ] yes [Â ] no If yes, list # of employees: _________

Does your company primarily engaged in the retail or wholesale trade and normally sells the type of item being supplied? [Â ] yes [Â ] no

Does your company take ownership or possession of the item(s) with its personnel, equipment or facilities in a manner consistent with industry practice? [Â ] yes [Â ] no

Does your company supply the end item of a small business manufacturer, processor or producer made in the United States, or obtains a waiver of such requirement pursuant to paragraph (b)(5) CFR 121.406. [Â ] yes [Â ] no If yes, what is the manufacturer s name? ________________