6515--Intent to Sole Source BARD Endovascular Supplies Reference 36C24422Q0247 in the email subject This is not a Request for Quote

Department of Veterans Affairs Medical Center ( 460) Wilmington, DE 19805 Statement of Work/ Statement of Need Page 1 of 3 STATEMENT OF WORK FOR ENDOVASCULAR SUITE This is not a Request for Quote See Instructions below Scope of Work: The Wilmington VAMC requires Brand Name procurement of BARD endovascular supplies for our endovascular suite. Our Vascular Surgeons are Eastern Market Vascular Surgeons that are already established at the Philadelphia VAMC. To begin procedures, we must create PAR levels for the items required to safely conduct endovascular procedures. The items requested through this contract are above the micro-purchase threshold and require a contract for the initial PAR establishment. OBJECTIVE: The Wilmington VAMC wishes to procure BARD endovascular supplies. The period of performance requested for this acquisition is one-time purchase. The facility requests the ability to exercise up to zero option renewals. This need for this acquisition is determined to be routine and can be awarded within designated Contracting timeframes. To meet the needs of this acquisition, the following needs must be met: 2 Each CQ7564 CONQUEST 6mm X 4cm X 75cm CQ7574 CONQUEST 7mm X 4cm X 75cm CQ7584 CONQUEST 8mm X 4cm X 75cm CQ7594 CONQUEST 9mm X 4cm X 75cm SK13535M Seeker .035" Wire - 135cm SK9035M Seeker .035" Wire - 90cm US35130415 ULTRASCOREFOCUSFORCEPTABAL .035 4mmX150mmX130cm US35130420 ULTRASCOREFOCUSFORCEPTABAL .035 4mmX200mmX130cm US3513048 ULTRASCOREFOCUSFORCEPTABAL .035 4mmX80mmX130cm US35130510 ULTRASCOREFOCUSFORCEPTABAL .035 5mmX100mmX130cm US35130515 ULTRASCOREFOCUSFORCEPTABAL .035 5mmX150mmX130cm US35130520 ULTRASCOREFOCUSFORCEPTABAL .035 5mmX200mmX130cm US3513054 ULTRASCOREFOCUSFORCEPTABAL .035 5mmX40mmX130cm US3513058 ULTRASCOREFOCUSFORCEPTABAL .035 5mmX80mmX130cm US35130610 ULTRASCOREFOCUSFORCEPTABAL .035 6mmX100mmX130cm US35130615 ULTRASCOREFOCUSFORCEPTABAL .035 6mmX150mmX130cm US35130620 ULTRASCOREFOCUSFORCEPTABAL .035 6mmX200mmX130cm US3513068 ULTRASCOREFOCUSFORCEPTABAL .035 6mmX80mmX130cm US3513074 ULTRASCOREFOCUSFORCEPTABAL .035 7mmX40mmX130cm US1415024 ULTRASCORE FOCUSED FORCE PTA BALLOON .014" 2mmX40mmx150mm US14150210 ULTRASCORE FOCUSED FORCE PTA BALLOON .014" 2mmX100mmX150cm US14150220 ULTRASCORE FOCUSED FORCE PTA BALLOON .014" 2mmX200mmX150cm US141502H4 ULTRASCORE FOCUSED FORCE PTA BALLOON .014" 150 2.5mmX40mmx150cm US141502H10 ULTRASCORE FOCUSED FORCE PTA BALLOON .014" 2.5mmX100mmX150cm US141502H20 ULTRASCORE FOCUSED FORCE PTA BALLOON .014" 2.5mmX200mmX150cm US1415034 ULTRASCORE FOCUSED FORCE PTA BALLOON .014" 3mmX40mmX150cm US14150310 ULTRASCORE FOCUSED FORCE PTA BALLOON .014" 3mmX100mmX150cm US14150320 ULTRASCORE FOCUSED FORCE PTA BALLOON .014" 3mmX200mmX150cm US141503H4 ULTRASCORE FOCUSED FORCE PTA BALLOON .014" 3.5mmX40mmX150cm US141503H10 ULTRASCORE FOCUSED FORCE PTA BALLOON .014" 3.5mmX100mmX150cm US141503H20 ULTRASCORE FOCUSED FORCE PTA BALLOON .014" 3.5mmX200mmX150cm US1415044 ULTRASCORE FOCUSED FORCE PTA BALLOON .014" 4mmX40mmX150cm US14150410 ULTRASCORE FOCUSED FORCE PTA BALLOON .014" 4mmX100mmX150cm US14150420 ULTRASCORE FOCUSED FORCE PTA BALLOON .014" 4mmX200mmX150cm US1415054 ULTRASCORE FOCUSED FORCE PTA BALLOON .014" 5mmX40mmX150cm US14150510 ULTRASCORE FOCUSED FORCE PTA BALLOON .014" 5mmX100mmX150cm US14150520 ULTRASCORE FOCUSED FORCE PTA BALLOON .014" 5mmX200mmX150cm DR13544 DORADO 4mm X 4cm X 135cm DR13554 DORADO 5mm X 4cm X 135cm DR13558 DORADO 5mm X 8cm X 135cm DR13568 DORADO 6mm X 8cm X 135cm DR135710 DORADO 7mm X 10cm X 135cm DR135810 DORADO 8mm X 10cm X 135cm DR13584 DORADO 8mm X 4cm X 135cm DR13594 DORADO 9mm X 4cm X 135cm U4200215RX ULTRAVERSE RX 2mm X 150mm X 200cm U4200220RX ULTRAVERSE RX 2mm X 200mm X 200cm U42002H15RX ULTRAVERSE RX 2.5mm X150mm X200cm U42002H20RX ULTRAVERSE RX 2.5mm X200mm X200cm U4200315RX ULTRAVERSE RX 3mm X 150mm X 200cm U4200320RX ULTRAVERSE RX 3mm X 200mm X 200cm U3513034 Ultraverse035PTADilCath .035 3mmX40mmX130cm U3513044 Ultraverse035PTADilCath .035 4mmX40mmX130cm U35130410 Ultraverse035PTADilCath .035 4mmX100mmx130cm U35130415 Ultraverse035PTADilCath .035 4mmX150mmX130cm U35130420 ULTRAVERSE 035 4mm X 200mm X130cm U3513054 Ultraverse035PTADilCath .035 5mmX40mmX130cm U35130510 Ultraverse035PTADilCath .035 5mmX100mmX130cm U35130515 Ultraverse035PTADilCath .035 5mmX150mmX130cm U35130520 Ultraverse035PTADilCath .035 5mmX200mmX130cm U3513064 Ultraverse035PTADilCath .035 6mmX40mmX130cm U35130610 Ultraverse035PTADilCath .035 6mmX100mmX130cm U35130615 Ultraverse035PTADilCath .035 6mmX150mmX130cm U35130620 ULTRAVERSE 035 6mm X 200mm X 130cm U3513074 ULTRAVERSE 035 7mm X 40mm X 130cm U3513078 ULTRAVERSE 035 7mm X 80mm X 130cm U3513084 ULTRAVERSE 035 8mm X 40mm X 130cm U357584 ULTRAVERSE 035 8mm X 40mm X 75cm U357594 ULTRAVERSE 035 9mm X 40mm X 75cm U35751010 ULTRAVERSE 035 10mm X100mm X75cm U3575104 ULTRAVERSE 035 10mm X40mm X75cm U3575124 ULTRAVERSE 035 12mm X40mm X75cm U415022 ULTRAVERSE 014 2mm X 20mm X 150cm U4150230 ULTRAVERSE 014 2mm X 300mm X 150cm U415032 ULTRAVERSE 014 3mm X 20mm X 150cm U4150330 ULTRAVERSE 014 3mm X 300mm X 150cm U415042 ULTRAVERSE 014 4mm X 20mm X 150cm U4150415 ULTRAVERSE 014 4mm X 150mm X 150cm U4150422 ULTRAVERSE 014 4mm X 220mm x 150cm U4150510 ULTRAVERSE 014 5mm X 100mm X 150cm U4150515 ULTRAVERSE 014 5mm X 150mm X 150cm U4150522 ULTRAVERSE 014 5mm X 220mm X 150cm U415052 ULTRAVERSE 014 5mm X 20mm X 150cm U8150412 Ultraverse 018 OTW PTA Catheter 4mm x 120mm x 150cm U8150512 Ultraverse 018 OTW PTA Catheter 5mm x 120mm x 150cm U8130515 ULTRAVERSE 018 5mm X 150mm X 130cm U8200612 Ultraverse 018 OTW PTA Catheter 6mm x 120mm x 200cm U8130630 ULTRAVERSE 018 6mm X 300mm X 130cm 80237 RotarexSet6F135cm 80239 RotarexSet8F110cm MAJOR REQUIREMENTS: The Contractor/ Vendor must complete the following tasks to meet the needs of this acquisition: Deliver and provide training. Coordinating delivery with COR and or facility. Deliver equipment to: Wilmington VA Medical Center 1601 Kirkwood Hwy Wilmington, DE 19805 The Government and the Contractor understand and agree that the services to be delivered under this contract by the Contractor to the Government are non-personal services and the parties recognize and agree that no employer-employee or master-servant relationships exist or will exist under the contract between the Government and the Contractor s employees. GOVERNMENT FURNISHED INFORMATION OR MATERIAL: This acquisition does not include Government-furnished property (GFP), identify in the Statement of Work all available information on GFP to be provided, including the make, model, bar code number and serial number, if available, of all accountable assets with an acquisition cost of $500 or more. This acquisition does not include Contractor-acquired property (CAP). MEETINGS AND REVIEWS: N/A TRAVEL REQUIREMENTS: N/A CONTRACTING OFFICER'S REPRESENTATIVE (COR): The identified COR and technical representative for this acquisition is: Name: Jonathan Dixon COR Certification Level: 2 Phone Number: (302) 994-2511 x 4667 Email: Jonathan.Dixon2@va.gov "No Government personnel, other than the Contracting Officer, have the authority to change or alter these requirements. The COR shall clarify technical points or supply relevant technical information, but no requirements in this scope of work may be altered as a sole result of such verbal clarification." REPORTS/DELIVERABLES: Delivery confirmation of equipment and commodities will be made through the Logistics Department of the VAMC Wilmington (460). This will include documentation of receipt and assignment of a facility based EE number for identification and tracking purposes. Delivery confirmation of non-equipment/ commodities acquisitions is the responsibility of the receiving Facility and/ or Service. PERIOD OF SERVICE: Delivery must be made no later than 45 days After Receipt of Order CONTRACTOR QUALIFICATIONS: N/A SECURITY/NATIONAL AGENCY CHECK REQUIREMENTS: N/A Instructions The information identified above is intended to be descriptive, of the brand name BARD endovascular supplies to indicate the quality of the supplies/services that will be satisfactory. It is the responsibility of the interested source to demonstrate to the government that the interested parties can provide the supplies/services that fulfill the required specifications mentioned above. Responses to this RFI should include company name, address, point of contact, phone number, and point of contact e-mail, DUNS Number, Cage Code, size of business pursuant to North American Industrial Classification System (NAICS) 339112. Please answer the following questions: Please indicate the size status and representations of your business, such as but not limited to: Service-Disabled Veteran Owned Small Business (SDVOSB), Veteran Owned Small Business (VOSB), Hubzone, Woman Owned Small Business (WOSB), Large Business, etc.)? Is your company considered small under the NAICS code identified under this RFI? Are you the manufacturer, distributor, or an equivalent solution to the items being referenced above? (4) If you are a large business, do you have any designated distributors? If so, please provide their company name, telephone, point of Contact and size status (if available). (5) Describe how your small business takes ownership of the equipment in the manufacturing, assembly, or delivery process. (6) If you re a small business and you are an authorized distributor/reseller for the items identified above or an equivalent solution, do you alter; assemble; modify; the items requested in any way? If you do, state how and what is altered; assembled; modified? (7) If you intend to subcontract any work on this contract, what portion of the total cost will be self-performed/will be performed by your organization? Please provide estimated detailed percentage breakdowns related to subcontracted work and completion of job. (8) Does your company have an FSS contract with GSA or the NAC or are you a contract holder with any other federal contract? If so, please provide the contract number. (9) If you are an FSS GSA/NAC contract holder or other federal contract holder, are the items/solution you are providing information for available on your schedule/contract? (9) General pricing of your products/solution is encouraged. Pricing will be used for the purpose of market research only. It will not be used to evaluate for any type of award. (10) Please submit your capabilities regarding the brand name equipment. (11) Please review salient characteristics/statement of work (if applicable) and provide feedback or suggestions. If none, please reply as N/A. This RFI will be conducted in accordance with Federal Acquisition Regulation (FAR) Part 13. Responses must be received via e-mail to david.santiago2@va.gov no later than, 16:00 PM Eastern Standard Time (EST) on January 7, 2022. This notice will help the VA in determining available potential sources only. Reference 36C24422Q0247 in the subject of the email response. Do not contact VA Medical Center staff regarding this requirement, as they are not authorized to discuss this matter related to this procurement action. All questions will be addressed by the Contracting Specialist, David Santiago. All firms responding to this Request for Information are advised that their response is not a request for proposal, therefore will not be considered for a contract award. If a solicitation is issued, information will be posted on the Beta.Sam web site for all qualified interested parties at a later date and interested parties must respond to the solicitation to be considered for a set-aside. This notice does not commit the government to contract for any supplies or services. The government will not pay for any information or administrative cost incurred in response to this Request for Information. Information will only be accepted in writing by e-mail to Contracting Specialist at david.santiago2@va.gov DISCLAIMER This RFI is issued solely for information and planning purposes only and does not constitute a solicitation. All information received in response to this RFI that is marked as proprietary will be handled accordingly. Responses to this notice are not offers and cannot be accepted by the Government to form a binding contract. Responders are solely responsible for all expenses associated with responding to this RFI.