Urology Suppplies (Brand Name or Equal)

This is a combined synopsis/solicitation for commodities Disposable Urology Supplies (Brand Name (Olympus) or Equal / LPTA) for the Orlando VA Medical Center, 13800 Veterans Way, Orlando, FL 32827-7403. It is 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 formal written solicitation will not be issued.

(ii) The combined synopsis solicitation number is VA248-16-Q-0084. It is issued as a Request for quotation (RFQ).

(iii) This combined synopsis solicitation RFQ and the provisions and clauses incorporated are those in effect through Federal Acquisition Circular 2005-84 (OCT 5, 2015).



(iv) The combined synopsis solicitation is Set Aside for Service Disabled Veteran-Owned Small Business. NAICS is 339113. Business size standard is 500 employees.

(v) This combined synopsis solicitation is for the purchase of items to be used with the Gyrus PK SuperPulse Generator. These items are disposable laser fibers are specifically designed to work with the Olympus Dornier Holmium lasers. See schedule below for more information.

(vi) Description of Requirement as follows.

Item Information

ITEM NUMBER DESCRIPTION OF SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0001 GYRUS PK BIPOLAR PlasmaButton, for 12/30 lens, with cable,5/PKG

LOCAL STOCK NUMBER: WA22657C 2.00 EA __________________ __________________

0002 Medium Loop, for 12 telescope, with cable,5/PKG

LOCAL STOCK NUMBER: WA22602D 2.00 EA __________________ __________________

0003 Large Loop, for 12 telescopes, with cable,5/PKG

LOCAL STOCK NUMBER: WA22603D 2.00 EA __________________ __________________

0004 Roller, for 12 and 30 telescopes, with cable, 5/PKG

LOCAL STOCK NUMBER: WA22651C 2.00 EA __________________ __________________

0005 Needle 45, for 12/30 lens, with cable, 5/pkg,FOR SP

LOCAL STOCK NUMBER: WA22655C

2.00 EA __________________ __________________

0006 Long HF-resection electrode, Loop, 12/box LOCAL STOCK NUMBER: WA22537D 1.00 EA __________________ __________________

0007 Long, HF-resection electrode, Roller, 12/box

LOCAL STOCK NUMBER: WA22538C 1.00 EA __________________ __________________

0008 3900 PK REUSABLE CONNECTOR CABLE (3-pin)

LOCAL STOCK NUMBER: 3900 2.00 EA __________________ __________________

0009 714500 GYRUS PLASMA CISE 5 EA

LOCAL STOCK NUMBER: 714500 1.00 EA __________________ __________________

0010 714510 GYRUS PLASMA CUT 5EA

LOCAL STOCK NUMBER: 714510 1.00 EA __________________ __________________

0011 DVIU A3555 KNIFE LANCET TYPE FOR A3 550 LOCAL STOCK NUMBER: A3555 12.00 EA __________________ __________________

0012 A3558 KNIFE SEMI-CIRCULAR FOR A3550 LOCAL STOCK NUMBER: A3558 6.00 EA __________________ __________________

0013 CYSTO ELECTRODES RCE-3115 RITECUT CUTTING ELECTRODE

LOCAL STOCK NUMBER: RCE-3115 4.00 EA __________________ __________________

0014 Fulgurating Electrode, Short T ip, 105 cm (6/pkg)

LOCAL STOCK NUMBER: BE-202 1.00 EA __________________ __________________

0015 Bugbee Fulgurating Electrode, 58 cm (2/pkg)

LOCAL STOCK NUMBER: BE-558 10.00 EA __________________ __________________

0016 257F6 FLEX ELECTRODE

LOCAL STOCK NUMBER: 257F6

5.00 EA __________________ __________________

0017 Flexible Fulgurating Electrode, Ball Tip, 37CM

LOCAL STOCK NUMBER: 257F8 5.00 EA __________________ __________________

0018 Monopolar Active Cord, Bovie/ValleyLab Generators

LOCAL STOCK NUMBER: C650-129A

4.00 EA __________________ __________________

0019 PCNL DISPOSABLES ShockPulse Probe, Single Use, 3.76mm

LOCAL STOCK NUMBER: SPL-PDBX376 3.00 EA __________________ __________________

0020 608BX 10.0 FR DUAL LUMEN CATHETER LOCAL STOCK NUMBER: 608BX 1.00 EA __________________ __________________

0021 10mm x15cm Nephro EZDilate Kit LOCAL STOCK NUMBER: BPCN1015K 3.00 EA __________________ __________________

0022 RENAL DILATOR/SHEATH SET

LOCAL STOCK NUMBER: 6830 3.00 EA __________________ __________________

0023 DISPOSABLE LASER FIBERS RFID SINGLEUSE 200SRS LSR FIBR

LOCAL STOCK NUMBER: HLFDBXS200C 2.00 EA __________________ __________________

0024 HLFDBX0270C Single-Use 270 Micron Laser LOCAL STOCK NUMBER: HLFDBX0270C 4.00 EA __________________ __________________

0025 Single-Use 400 Micron Laser

LOCAL STOCK NUMBER: HLFDBX0400C 4.00 EA __________________ __________________

0026 Single-Use 600 Micron Laser

LOCAL STOCK NUMBER: HLFDBX0600C 2.00 EA __________________ __________________

0027 Single-Use 1000 Micron Laser

LOCAL STOCK NUMBER: HLFDBX1000C 2.00 EA __________________ __________________

0028 EHL PROBES E4-2F 1.9FR EHL PROBE FOR AEH-4

LOCAL STOCK NUMBER: E4-2F

2.00 EA __________________ __________________

0029 E4-9F AEH-4 EHL PROBE 9FR, 54CM 6/PKG LOCAL STOCK NUMBER: E4-9F 4.00 EA __________________ __________________

0030 STONE DISPOSALS Sof-Curl Ureteral Stent, 4.5 Fr x 20cm,T LOCAL STOCK NUMBER: SSC4520 2.00 EA __________________ __________________

0031 Sof-Curl Ureteral Stent, 4.5 Fr x 22cm,T LOCAL STOCK NUMBER: SSC4522 2.00 EA __________________ __________________

0032 Sof-Curl Ureteral Stent, 4.5 Fr x 24cm,T LOCAL STOCK NUMBER: SSC4524 2.00 EA __________________ __________________

0033 Sof-Curl Ureteral Stent, 4.5 Fr x 26cm,T LOCAL STOCK NUMBER: SSC4526 2.00 EA __________________ __________________

0034 Sof-Curl Ureteral Stent, 4.5 Fr x 28cm,T LOCAL STOCK NUMBER: SSC4528 2.00 EA __________________ __________________

0035 Sof-Curl Ureteral Stent, 4.5 Fr x 30cm,T LOCAL STOCK NUMBER: SSC4530 2.00 EA __________________ __________________

0036 Sof-Curl Ureteral Stent, 6 Fr x 20cm,Tec LOCAL STOCK NUMBER: SSC6020 3.00 EA __________________ __________________

0037 Sof-Curl Ureteral Stent, 6 Fr x 22cm,Tec LOCAL STOCK NUMBER: SSC6022 10.00 EA __________________ __________________

0038 Sof-Curl Ureteral Stent, 6 Fr x 24cm,Tec LOCAL STOCK NUMBER: SSC6024 10.00 EA __________________ __________________

0039 Sof-Curl Ureteral Stent, 6 Fr x 26cm,Tec LOCAL STOCK NUMBER: SSC6026 10.00 EA __________________ __________________

0040 Sof-Curl Ureteral Stent, 6 Fr x 28cm,Tec LOCAL STOCK NUMBER: SSC6028 3.00 EA __________________ __________________

0041 Sof-Curl Ureteral Stent, 6 Fr x 30cm,Tec LOCAL STOCK NUMBER: SSC6030 3.00 EA __________________ __________________

0042 Sof-Curl Ureteral Stent,8.5 Fr x 24cm,Te LOCAL STOCK NUMBER: SSC8524 3.00 EA __________________ __________________

0043 Sof-Curl Ureteral Stent,8.5 Fr x 26cm,Te LOCAL STOCK NUMBER: SSC8526 3.00 EA __________________ __________________

0044 Sof-Curl Ureteral Stent,8.5 Fr x 28cm,Te LOCAL STOCK NUMBER: SSC8528 3.00 EA __________________ __________________

0045 5637022 LITHOSTENT 7.0x22CM

LOCAL STOCK NUMBER: 5637022 6.00 EA __________________ __________________

0046 5637024 LITHOSTENT 7.0x24cm

LOCAL STOCK NUMBER: 5637024 6.00 EA __________________ __________________

0047 5637026 LITHOSTENT 7.0x26cm

LOCAL STOCK NUMBER: 5637026 6.00 EA __________________ __________________

0048 5637028 LITHOSTENT 7.0x28cm

LOCAL STOCK NUMBER: 5637028 6.00 EA __________________ __________________

0049 5637030 LITHOSTENT 7.0x30cm

LOCAL STOCK NUMBER: 5637030 3.00 EA __________________ __________________

0050 5001945 QUADRA-COIL 4.5FR

LOCAL STOCK NUMBER: 5001945 20.00 EA __________________ __________________

0051 5001960 QUADRA-COIL 6.0 FR

LOCAL STOCK NUMBER: 5001960 20.00 EA __________________ __________________

0052 5230600 SILICONE SINGLE-J 7.0 X 90 CM LOCAL STOCK NUMBER: 5230600 6.00 EA __________________ __________________

0053 5230800 SILICONE SINGLE-J 8.5 X 90 CM LOCAL STOCK NUMBER: 5230800 6.00 EA __________________ __________________

0054 0.035" HYBRID WIRE, BOX OF 5

LOCAL STOCK NUMBER: GWH3505R 3.00 EA __________________ __________________

0055 0.035" ANGTIP HYBRID WIRE BX/5

LOCAL STOCK NUMBER: GWH3505RA 1.00 EA __________________ __________________

0056 0.038" HYBRID WIRE, BOX OF 5

LOCAL STOCK NUMBER: GWH3805R 3.00 EA __________________ __________________

0057 0.038" ANGTIP HYBRID WIRE BX/5

LOCAL STOCK NUMBER: GWH3805RA 1.00 EA __________________ __________________

0058 0.035" GLIDEWIRE ST TIP REG BODY,3CM LOCAL STOCK NUMBER: UWR1035 3.00 EA __________________ __________________

0059 0.035" GLIDEWIRE ANG TIP REG BODY,3CM LOCAL STOCK NUMBER: UWR6035 1.00 EA __________________ __________________

0060 0.038" GLIDEWIRE ST TIP REG BODY,3CM LOCAL STOCK NUMBER: UWR1038 3.00 EA __________________ __________________

0061 0.038" GLIDEWIRE ANG TIP REG BODY,8CM LOCAL STOCK NUMBER: UWR7038 1.00 EA __________________ __________________

0062 10BX GUIDEWIRE,0.035 BENTSON,5-UP

LOCAL STOCK NUMBER: 10BX 1.00 EA __________________ __________________

0063 PTFE, 3cm EX FIRM FXBL TIP GW BX/5 LOCAL STOCK NUMBER: 24BX 1.00 EA __________________ __________________

0064 13BX GUIDEWIRE,0.035 AMPLATZ,5-UP

LOCAL STOCK NUMBER: 13BX

1.00 EA __________________ __________________

0065 14BX GUIDEWIRE,0.038 AMPLATZ,5-UP LOCAL STOCK NUMBER: 14BX 1.00 EA __________________ __________________

0066 ADJUSTABLE BIOPSY PORT SEAL Y- ADAPTER,5/PKG LOCAL STOCK NUMBER: BPS-Y 4.00 EA __________________ __________________

0067 UROPASS AS 11/13FR X 38 CM 5/BX

LOCAL STOCK NUMBER: 61138BX 2.00 EA __________________ __________________

0068 UROPASS AS 11/13FR X 46 CM 5/BX

LOCAL STOCK NUMBER: 61146BX 2.00 EA __________________ __________________

0069 UROPASS AS 11/13FR X 54 CM 5/BX

LOCAL STOCK NUMBER: 61154BX 2.00 EA __________________ __________________

0070 NT4W18115 1.8 Fr.4 Wire Nitinol no tip B LOCAL STOCK NUMBER: NT4W18115 5.00 EA __________________ __________________

0071 NTCP18115 1.8 Fr.Cross paired Nitinol no LOCAL STOCK NUMBER: NTCP18115 5.00 EA __________________ __________________

0072 5700002 S-L,HLCL,1.9,3W10,120,0T, R LOCAL STOCK NUMBER: 5700002 3.00 EA __________________ __________________

0073 5710002 SRLK,FLTW,2.4,4W,16,120,O T,R

LOCAL STOCK NUMBER: 5710002 3.00 EA __________________ __________________

0074 5720001 SRLK,GRASPFCP,2.4,3W,120,HK,R

LOCAL STOCK NUMBER: 5720001 3.00 EA __________________ __________________

0075 5mm x10cm Uro-EZDilate Kit

LOCAL STOCK NUMBER: BURS0510K 3.00 EA __________________ __________________

0076 4mm x10cm Uro-EZDilate Kit

LOCAL STOCK NUMBER: BURS0410K 3.00 EA __________________ __________________

0077 CYSTO BRUSHES CYB-2 CYTOLOGY BRUSH 2.2FR-115CM LOCAL STOCK NUMBER: CYB-2 6.00 EA __________________ __________________

0078 CYB-3 CYTOLOGY BRUSH 115 CM

LOCAL STOCK NUMBER: CYB-3 6.00 EA __________________ __________________

0079 SEALS CS-B612 Seal Kit, 6-12Fr, 12/Box LOCAL STOCK NUMBER: CS-B612

2.00 EA __________________ __________________

0080 CS-G7 ACMI SEAL KIT (0-7FR), 12/BOX LOCAL STOCK NUMBER: CS-G7 2.00 EA __________________ __________________

0081 SHOCK PULSE URETERAL PROBES ShockPulse Probe, Single Use, 1.50mm LOCAL STOCK NUMBER: SPL-PDBX150 3.00 EA __________________ __________________

0082 MONOPOLAR ELECTRODES HF ELECTRODE LOOP 24 FR .35 WI RE 12 DEGREE LOCAL STOCK NUMBER: A22201C 1.00 EA __________________ __________________

0083 HF-ELECTRODE ROLLER 24-28FR 12 DEG 30DEG STERILE SINGLE

LOCAL STOCK NUMBER: A22251C 1.00 EA __________________ __________________

0084 HF-ELECTRODE BAND 24 FR 12 DEG REES STERILE SINGLE USE

LOCAL STOCK NUMBER: A22221C 1.00 EA __________________ __________________

GRAND TOTAL __________________



(vii) The equipment is to be delivered on or before December 15, 2015 at the expenses of the offeror to Orlando VA Medical Center, Orlando, FL 32827-7403.

(viii) Provision 52.212-1, Instructions to Offerors - Commercial (JUL 2013), applies to this acquisition. Provisions included incorporated by reference are:

" Addendum to FAR 52.212-1 Instructions to Offerors - Commercial Items;

¢ 52.203-11 Certification and Disclosure regarding payments to Influence certain Federal Transactions (SEP 2007)

¢ 52.204-5 WOSB (Other than Small Business)(MAY 1999);

¢ 52.212-1 Instructions to Offerors - Commercial Items (APR 2014);

¢ 52.212-3 Offeror Representations and Certifications - Commercial items (MAY 2014)

¢ 52.225-25 Prohibition on Contracting with entities engaging in certain activities or transactions relating to Iran - Representation and Certification (DEC 2012)

" 52.211-6 Brand Name or Equal (AUG 1999);

" 52.225-18 Place of Manufacture (SEP 2006);

" 52.252-1 Solicitation Provisions Incorporated by Reference (FEB 1998)

(ix) Provision 52.212-2, Evaluation - Commercial Items (JAN 1999), applies to this acquisition. The Government has determined in advance that the Best Value will be the offer with the lowest evaluated price among those offers rated "acceptable". The following are the evaluation factors to be used: Price, Technical and Past Performance. "The Government will award a contract resulting from this solicitation to the responsible offeror whose offer conforming to the solicitation will be most advantageous to the Government, price and other factors considered. The following factors shall be used to evaluate offers: 1. Price, 2. Technical and 3. Past Performance. Technical and past performance requirements when combined, are significantly less important than cost or price"



(x) It is advised that Offerors include a completed copy of the provision at 52.212-3 Offeror Representation and Certification - Commercial Items (AUG 2013) with its Offer.

(xi) Clause 52.212-4, Contract Terms and Conditions - Commercial Items, applies to this acquisition. All offers must include a completed copy of this provision. All Offers must either be accompanied by Representations and Certifications or the offeror must be currently registered in ORCA at website https://orca.bpn.gov/ Clauses and provisions included are:

" Addendum to FAR 52.212-4 Contract and Conditions - Commercial Items;

¢ 52.202-1 Definitions (NOV 2013);

¢ 52.203-3 Gratuities (APR 1984);

¢ 52.203-12 Limitation on payments to influence certain federal transactions (OCT 2010);

¢ 52.204-4 Printed or copied double-sided on recycled paper (MAY 2011);

¢ 52.204-7 System for award management (JUL 2013) ;

¢ 52.222-20 Contracts for materials, supplies, articles, and equipment exceeding $ 15,000.00 (MAY 2014);

¢ 52.232-1 Payments (APR 1984);

¢ 52.232-8 Discounts for prompt payment (FEB 2002);

¢ 52.232-17 Interest (MAY 2014);

¢ 52.233-4 Applicable law for breach of contract claim (OCT 2004);

¢ 52.243-1 Changes -Fixed Price (AUG 1987);

" 52.212-4 Contract Terms and Conditions - Commercial items (SEP 2013);

" 52.252-2 Clauses Incorporated by Reference (FEB 1998);

" 852.252-70 Solicitation Provisions or Clauses Incorporated by reference (JAN 2008);

¢ 852.203-70 Commercial Advertising (JAN 2008);

¢ 852.215-70 SDVOSB and VOSB Evaluation Factors (DEC 2009);

¢ 852.215-71 Evaluation Factor Commitments (DEC 2009);

¢ 852.246-71 Inspection (JAN 2008);

¢ 852.233-70 Protest Content/Alternative Dispute Resolution (JAN 2008);

" 852.233-71 Alternate Protest Procedure (JAN 1998);

" 852.246-70 Guarantee (JAN 2008);

(xii) 52.212-5, Contract Terms and Conditions Required Implementing Statutes or Executive Orders - Commercial Items, applies to this acquisition. The following clauses are incorporated by reference:

" 52.203-6 Restriction on Subcontractor Sales to the Government (SEP 2006), with Alternate I (OCT 1995) (41 U.S.C. 4704 and 10 U.S. C. 2402)

" 52.209-6, Protecting the Government's Interest When Subcontracting with Contractors Debarred, Suspended, or Proposed for Debarment. (Aug 2013) (31 U.S.C. 6101 note).

" 52.219-8, Utilization of Small Business Concerns (MAY 2014) (15 U.S.C. 637(d)(2) and (3).

" 52.219-28, Post Award Small Business Program Representation (Jul 2013) (15 U.S.C 632(a)(2));

" 52.222-3, Convict Labor (June 2003) (E.O. 11755);

" 52.222-19, Child Labor-Cooperation with Authorities and Remedies (MAR 2012) (E.O. 13126);

" 52.222-21, Prohibition of Segregated Facilities (Feb 1999);

" 52.222-26, Equal Opportunity (Mar 2007) (E.O. 11246);

" 52.222-35, Equal Opportunity for Veterans (JUL 2014) (38 U.S.C. 4212).

" 52.222-36, Affirmative Action for Workers with Disabilities (Oct 2010) (29 U.S.C. 793);

" 52.222-37, Employment Reports on Veterans (JUL 2014) (38 U.S.C. 4212).

" 52.222-40, Notification of Employee Rights Under the National Labor Relations Act (DEC 2010) (E.O. 13496).

" 52.222-50, Combating Trafficking in Persons (FEB 2009) (22 U.S.C. 7104(g)); Alternate I (AUG 2007) of 52.222-50 (22 U.S.C. 7104 (g));

" 52.223-18, Encouraging Contractor Policies to Ban Text Messaging While Driving (AUG 2011);

" 52.225-1, Buy American Act-Supplies (FEB 2009) (41 U.S.C. 10a-10d);

" 52.225-13, Restrictions on Certain Foreign Purchases (JUN 2008) (E.O.'s, proclamations, and statutes administered by the Office of Foreign Assets Control of the Department of the Treasury);

" 52.232-34, Payment by Electronic Funds Transfer-Other than System for Award Management (Jul 2013) (31 U.S.C. 3332).

" 52.233-3, Protest After Award (Aug 1996) (31 U.S.C. 3553);

" 52.233-4, Applicable Law for Breach of Contract Claim (Oct 2004) (Pub. L. 108-77, 108-78);

(xiii) NA.

(xiv) NA.

(xv) The RFQ is due on November 18, 2015, at 3:00 PM EST by e-mail to Debra.Flanders@va.gov. Offers received after the exact time specified in the solicitation are considered late and may not be considered if the action would unduly delay the acquisition.

For further information contact Debra Flanders via e-mail at Debra.Flanders@va.gov .