J065--RFI Urology Endoscope Lease and Service Agreement

Description

{"description":"Request for Information Urology Endoscope Lease with Service Agreement\nDisclaimer:\nThis Request for Information (RFI) is issued solely for market research information and planning purposes 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. The Government will not pay for any information received in response to this request, nor will the Government compensate a respondent for any costs incurred in developing the information provided. Responders are solely responsible for all expenses associated with responding to this RFI.\n\nInformation Requested from Industry:\n\nIn response to this RFI, interested Contractors shall submit the following information and any Capabilities/Qualifications Statement to include but not limited to an overview of proposed solution(s) and a description of the product your company possesses in accordance with the Scope of Work draft / Salient Characteristics List.\nResponses to market research table questionnaire shall be submitted to jacqueline.obryan@va.gov. If this information is not provided, then it will be assumed the entire requirement cannot be met.\n\nDescription of Requirement:\nThe Department of Veterans Affairs, Network Contracting Office 19 (NCO 19) is conducting a market survey and is seeking potential sources for a lease of urology endoscopic equipment and a service agreement (brand name or equal) for the Salt Lake City Veterans Health Care System. The urology endoscopes and equipment will be used for pre-operative and post-operative care, and a service agreement. \n\nRequirement Item and Services: Brand name or Equal for all items to be included on the lease agreement. \n\n\n\n\n\n\n\n\nRequired Salient Characteristics:\n\nRigid Cystoscopes:\nSheaths must be 19Fr, 20Fr, and 22Fr in outer diameter.\nSheaths must include a cam-lock mechanism for bridge attachment.\nAll sheaths must include a meatus stop.\nAll sheaths must include shaft calibrations for urethral measurements. \n19Fr sheath must have (2) 5Fr working channels with a double channel bridge and (1) 6Fr channel with single channel bridge. Color code green.\n20Fr sheath must have (2) 6Fr working channels with a double channel bridge and (1) 7Fr channel with a single channel bridge and be color code red.\n22Fr sheath must have (2) 7Fr working channels with a double channel bridge and (1) 10Fr channel with a single channel bridge and be color code blue.\nBridges must be dual curved channel short bridge, single curved channel short bridge and examination short bridge. \nAll bridges must have cam-lock for telescope attachments.\nAll sheaths must be compatible with optical grasping and biopsy forceps and be compatible with 22Fr and 25Fr sheaths. Both must be used with 30 degree AND 70 degree telescopes. \nAll rigid cystoscope sheaths, obturators, telescopes, bridges, etc. must be interchangeable and compatible with existing KARL STORZ rigid cystoscopy sets including Blue Light Rigid Cystoscopy Sets.\nOptical grasping and biopsy forceps must be compatible with KARL STORZ 20Fr, 22Fr and 25Fr sheaths. They must be able to be used with both KARL STORZ 70 and 30 degree telescopes. \n\nBella 4K AIDA Image Management Unit:\nSecurity: Windows LDAP login, disable removable media export function, password-protected procedure cabinet, able to support encrypted USB, military level security.\nMust have Full HD, 4K, and 3D or still image and video capture functionality.\nThe system must have HD, 4K, and 3D Dual Channel Recording for either simultaneously or independent recording of two images.\nAuto-populate patient data, VISTA compatible for network access, DICOM export to PACS and vendor neutral storage (VA approved).\nExport patient images / videos to EHR, PACS, StreamConnect, DVD, USB.\nBoth patient and procedural information can be imported from the EHR / VISTA.\nAdvanced surgical feedback.\nMPEG4 compression.\nRetroactive capture (DVR-like functionality).\nCustomizable surgeon settings.\nIcon based user interface.\nIntegrated workflow with both standard and customizable stored presets.\nConfigurable mandatory patient fields.\nSmart built in touch screen for staff interface.\nThe unit must be compatible and interchangeable with the KARL STORZ video platform currently in use at VAMC Salt Lake City and be controlled remotely via all models of KARL STORZ endoscopic camera heads and digital endoscopes.\n\nBlue Light Cystoscopy Rigid Telescopes: \nTelescopes must be Hopkins II 4mm, autoclavable with 30cm working length. \nThey must be 30 degree and 70 degree angle of views with blue light rod lens technology\nMust be compatible and interchangeable with all KARL STORZ rigid cystoscope and bipolar resectoscope sets.\n\nPower LED Saphira D-Light PDD Light Source:\nMust be Dual LED light source\nMust include dual white light and PDD blue light mode ability with excitation filter mounted on the fly wheel\nMust include simple switchover between white light and PDD fluorescence excitation light in the selected operating mode via camera head or foot switch\nMust include 3 separate operating modes for various photosensitizers and fields of application\nMust include operating time of 30,000 hours\nMust include Type CF applied part according to IEC 60601-1 \nMust include integrated SCB (Storz Communication Bus) module for controlling the entire system from camera head\nSpecifications: Lamp type: LED\nColor temperature: 6000 K (white light)\nLight intensity adjustment: Continuously adjustable\nDimensions: 305 mm x 120 mm x 370 mm (w x h x d)\nWeight: approx. 7.4 kg\nCertified to: IEC 601-1, protection class 1/CF\n\nSaphira Image1 S Video Processor CCU s Technology:\nCamera Connect Units (CCU) must include 12G / 3G- SDI and HD DVI-D Outputs and be type CF device / defib. resistant \nMust be modular architecture design for future expandability and upgradability\nMust include Saphira Technology for BLCC\nMust include Chroma Enhancement Technology which identifies and brightens up dark areas in real time without overexposing the bright part of the image\nMust include Clara Enhancement Technology that allows in real time (no visible lag time) to eliminate dark areas in an image, allowing the surgeon to keep their telescope in the right distance from the surgical target and being able to effectively perceive and discern additional content. which is time consuming during a procedure\nMust include Pointer Visualization feature for pointer visualization overlay that facilitates effective verbal communication between the attending surgeon and his assistant\nMust include Grid Visualization Feature to facilitate effective verbal communication between the surgical team members minimizing operating time. \nMust include Burn-in Screen Saver; if the video system (camera controller, monitor) is not powered down the camera output is permanently displayed on the monitor and, after some time it is burned into the glass. This burnt-in image is overlaid to the surgical image leading to a significant quality reduction. \n\nSaphira BLCC High-Definition Camera Head:\nMust be compatible with Saphira Image1 S Camera Connect Unit\nMust be pendulum in design and high definition. \nMust have focus knob with 16mm focal length.\nMust have (3) programmable user control buttons.\nMust be 16 x 9 image format with 60 Hz image refresh rate.\n\nUreteroscopes: \nSemi Rigid must have 7Fr distal tip\n8.4Fr-9.9Fr single step conical sheath. \nWorking channel: 3.4Fr Irrigation channel: 2.4Fr. \nUreteroscope must have a straight eyepiece. \n6 degree angle of view. \nWorking length 43cm.\nDigital Single use flexible ureteroscope must be compatible with existing KARL STORZ camera control unit and other Image1 S KARL STORZ camera control units.\nMust have 9Fr sheath size with 3.5Fr working channel with 3 o clock position. \nMust have a 9Fr tapered distal tip.\nMust include CMOS chip technology and integrated LED light source for illumination. \nDeflection must be 270 degrees upward and downward. Deflection must be positive at the distal tip. \nAngle of view must be 105 degrees and working length must be 70cm.\n\nResectoscope Set:\nSet Must have both Bipolar and Monopolar capabilities and be compatible with the KARL STORZ UH400 ESU Generator. \nWorking Element must be bipolar, spring action with movable thumb action control, and compatible with KARL STORZ bipolar resectoscope electrodes and KARL STORZ bipolar high frequency cables.\nResectoscope Sheath must be 26Fr, continuous flow with fixed inner sheath compatible with KARL STORZ bipolar working element, visual obturator and deflecting obturator. Working length must be 19cm.\nInner sheath must have a ceramic tip for burn resistance. Locking mechanism must be cam lock design.\nDeflecting obturator must include the ability to only be deflected once it is locked within the 26Fr resectoscope sheath via a cam lock.\n\nHoLEP Set: \n26 and 28Fr Continuous-flow LASER sheath for precise guidance of flexible LASER probes\n5 Fr. working channel to allow the use of LASER probes up to 1.6mm\nRight angle 6 degree telescope with 25cm working length \nRigid Telescopes must be a Hopkins glass rod lens in both 12 and 30 degree angle of view, outer diameter 4mm, working length 30cm, autoclavable, fiber optic light transmission incorporated\n\nPercutaneous Nephroscope:\nMust be a Hopkins rod lens wide-angle telescope with a 6 degree angle of view, \nmust be a 25cm working length with a right-angled parallel eyepiece, \nautoclavable with integral working channel. \nmust include an integrated luer-lock connection for inflow. \nMust be fixed non-rotatable, 26 Fr., WITHOUT ceramic insulation, must have integral guiding channel for laser probes up to 2.6mm. \nMust have a 5Fr working channel for up to 5 Fr. instruments and be compatible with 26 and 28Fr resectoscope sheaths.\nMust have a 26Fr and 28Fr continuous flow sheaths that include connecting port for continuous inflow-outflow, oblique beak with ceramic insulation, fixed inner sheath.\nMust be include and be compatible with hollow obturator and fascial dilator. \nMust include one single dilator instrument to be compatible with operating sheath.\nMust have LASER Working Insert for Enucleation, with 7.5 Fr. working channel.\nMust include visual obturators for 24/26 Fr sheaths.\nForceps must have serrated jaws and ring handle with double action jaws, 10.5 Fr with a working length of 38cm.\n\nScope of Work Requirements\nContractors will deliver all leased equipment to the SLC Health Care System warehouse. During the entire lease, all equipment will be serviced by the vendor. The vendor will make sure all equipment is running as per manufacturer specifications. \nThe services to be provided for the duration of the lease include the following:\nProtection1 Comprehensive Service Agreement that includes repair or exchange on any failure or breakage of covered equipment during contract term, without additional charge.\n\nNo trade-in available. \nThe C&A requirements do not apply, and a Security Accreditation Package is not required. \nDelivery location \nDepartment of Veterans Affairs \nSalt Lake City VA Medical Center \n500 Foothill Dr.\nSalt Lake City, UT 84148\n\nIn response to this announcement, please provide all information requested below in this market research table questionnaire. If all information is not provided, then it will be assumed the entire requirement cannot be met:\nNAICS Code: \nCompany Name:\nAddress:\nUEI (Unique Entity ID) Number:\nContact Name:\nPhone No.:\nEmail:\nBusiness Size Information - Select all that applies:\nSmall Business\nEmerging Small Business\nSmall Disadvantaged Business\nCertified under Section 8(a) of the Small Business Act\nHUBZone\nWoman Owned\nCertified Service-Disabled Veteran Owned Small\nVeteran Owned Small Business\nLarge Business\nFSS/GSA Contract Holder:\nYes No \nFSS/GSA Contract Number:\n\nEffective Date/ Expiration Date:\n\nProposed solution is listed and available on the above FSS/GSA Contract:\nYes No \nAvailable pricing structure of proposed solution:\nPricing Model\nPlease Indicate Availability Below: (Yes / No / NA)\nAll on FSS\nOpen Market only\nMix of FSS & Open Market\nFixed Monthly Equipment Rental Charge\n\n\n\nFixed Monthly Service Agreement Price\n\n\n\nOther: (Please explain)\n\n\n\nFederal Acquisition Regulation (FAR) Market Rearch Questions:\nBuy American Act RFO 52.225-1 and RFO 52.225-2 Buy American Certificate What percentage of the proposed product (including leases and rentals) is a:\nDomestic end product? _____________ (%)\nForeign end product? _______________ (%) Country of Origin:\nQuestions for Small Businesses ONLY:\nLimitations on Subcontracting RFO 52.219-14 \n\nWhat percentage of the work would be subcontracted to another company? ________ \nWhat is the business size of the subcontractor?______\n\n\nPer RFO 52.219-14 the following conditions must be met:\nServices (except construction), it will not pay more than 50 percent of the amount paid by the Government for contract performance to subcontractors that are not similarly situated entities. Any work that a similarly situated entity further subcontracts will count towards the prime contractor's 50 percent subcontract amount that cannot be exceeded. When a contract includes both services and supplies, the 50 percent limitation shall apply only to the service portion of the contract;\n\nSupplies (other than procurement from a nonmanufacturer of such supplies), it will not pay more than 50 percent of the amount paid by the Government for contract performance, excluding the cost of materials, to subcontractors that are not similarly situated entities. Any work that a similarly situated entity further subcontracts will count towards the prime contractor's 50 percent subcontract amount that cannot be exceeded. When a contract includes both supplies and services, the 50 percent limitation shall apply only to the supply portion of the contract;\n\nIf subcontracting, what added value do you offer (RFO 52.215-23): \nNonmanufacturer Rule (RFO 52.219-33):\nDoes your company manufacturer these proposed items? [Â ] yes [Â ] no\nDoes your company exceed 500 employees? [Â ] yes [Â ] no If yes, list # of employees: _________\nDoes your company primarily engaged in the retail or wholesale trade and normally sells the type of item being supplied? [Â ] yes [Â ] no\nDoes 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\nDoes 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? ________________ \n\n\nResponse Instructions:\nDo not provide more than 8 pages, including cover letter page.\nSubmit your response via email to jacqueline.obryan@va.gov \nSubmit your response NLT noon (MT) on Thursday, January 8, 2026;\nMark your response as Proprietary Information if the information is considered business sensitive.\nVA has identified the appropriate North American Industry Classification System (NAICS) Code as 532490 Other Commercial and Industrial Machinery and Equipment Rental and Leasing with a Small Business size of $40 million. Please identify and explain any NAICS codes your company believes would better represent the predominant work included in the above listed Scope of Work / Salient Characteristics List.\n\n(End of Request for Information)\n\n\n"} Solicitation Number: 36C25926Q0158 Type: Sources Sought Base Type: Sources Sought NAICS: 532490 Classification Code: J065 Response Deadline: 2026-01-08T12:00:00-07:00 Office Address: Greenwood Village, CO Place of Performance: Salt Lake City, Utah, 84148 POC: Jacqueline O'Bryan (CO), jacqueline.Obryan@va.gov, 303-712-5760 {"description":"Request for Information Urology Endoscope Lease with Service Agreement\nDisclaimer:\nThis Request for Information (RFI) is issued solely for market research information and planning purposes 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. The Government will not pay for any information received in response to this request, nor will the Government compensate a respondent for any costs incurred in developing the information provided. Responders are solely responsible for all expenses associated with responding to this RFI.\n\nInformation Requested from Industry:\n\nIn response to this RFI, interested Contractors shall submit the following information and any Capabilities/Qualifications Statement to include but not limited to an overview of proposed solution(s) and a description of the product your company possesses in accordance with the Scope of Work draft / Salient Characteristics List.\nResponses to market research table questionnaire shall be submitted to jacqueline.obryan@va.gov. If this information is not provided, then it will be assumed the entire requirement cannot be met.\n\nDescription of Requirement:\nThe Department of Veterans Affairs, Network Contracting Office 19 (NCO 19) is conducting a market survey and is seeking potential sources for a lease of urology endoscopic equipment and a service agreement (brand name or equal) for the Salt Lake City Veterans Health Care System. The urology endoscopes and equipment will be used for pre-operative and post-operative care, and a service agreement. \n\nRequirement Item and Services: Brand name or Equal for all items to be included on the lease agreement. \n\n\n\n\n\n\n\n\nRequired Salient Characteristics:\n\nRigid Cystoscopes:\nSheaths must be 19Fr, 20Fr, and 22Fr in outer diameter.\nSheaths must include a cam-lock mechanism for bridge attachment.\nAll sheaths must include a meatus stop.\nAll sheaths must include shaft calibrations for urethral measurements. \n19Fr sheath must have (2) 5Fr working channels with a double channel bridge and (1) 6Fr channel with single channel bridge. Color code green.\n20Fr sheath must have (2) 6Fr working channels with a double channel bridge and (1) 7Fr channel with a single channel bridge and be color code red.\n22Fr sheath must have (2) 7Fr working channels with a double channel bridge and (1) 10Fr channel with a single channel bridge and be color code blue.\nBridges must be dual curved channel short bridge, single curved channel short bridge and examination short bridge. \nAll bridges must have cam-lock for telescope attachments.\nAll sheaths must be compatible with optical grasping and biopsy forceps and be compatible with 22Fr and 25Fr sheaths. Both must be used with 30 degree AND 70 degree telescopes. \nAll rigid cystoscope sheaths, obturators, telescopes, bridges, etc. must be interchangeable and compatible with existing KARL STORZ rigid cystoscopy sets including Blue Light Rigid Cystoscopy Sets.\nOptical grasping and biopsy forceps must be compatible with KARL STORZ 20Fr, 22Fr and 25Fr sheaths. They must be able to be used with both KARL STORZ 70 and 30 degree telescopes. \n\nBella 4K AIDA Image Management Unit:\nSecurity: Windows LDAP login, disable removable media export function, password-protected procedure cabinet, able to support encrypted USB, military level security.\nMust have Full HD, 4K, and 3D or still image and video capture functionality.\nThe system must have HD, 4K, and 3D Dual Channel Recording for either simultaneously or independent recording of two images.\nAuto-populate patient data, VISTA compatible for network access, DICOM export to PACS and vendor neutral storage (VA approved).\nExport patient images / videos to EHR, PACS, StreamConnect, DVD, USB.\nBoth patient and procedural information can be imported from the EHR / VISTA.\nAdvanced surgical feedback.\nMPEG4 compression.\nRetroactive capture (DVR-like functionality).\nCustomizable surgeon settings.\nIcon based user interface.\nIntegrated workflow with both standard and customizable stored presets.\nConfigurable mandatory patient fields.\nSmart built in touch screen for staff interface.\nThe unit must be compatible and interchangeable with the KARL STORZ video platform currently in use at VAMC Salt Lake City and be controlled remotely via all models of KARL STORZ endoscopic camera heads and digital endoscopes.\n\nBlue Light Cystoscopy Rigid Telescopes: \nTelescopes must be Hopkins II 4mm, autoclavable with 30cm working length. \nThey must be 30 degree and 70 degree angle of views with blue light rod lens technology\nMust be compatible and interchangeable with all KARL STORZ rigid cystoscope and bipolar resectoscope sets.\n\nPower LED Saphira D-Light PDD Light Source:\nMust be Dual LED light source\nMust include dual white light and PDD blue light mode ability with excitation filter mounted on the fly wheel\nMust include simple switchover between white light and PDD fluorescence excitation light in the selected operating mode via camera head or foot switch\nMust include 3 separate operating modes for various photosensitizers and fields of application\nMust include operating time of 30,000 hours\nMust include Type CF applied part according to IEC 60601-1 \nMust include integrated SCB (Storz Communication Bus) module for controlling the entire system from camera head\nSpecifications: Lamp type: LED\nColor temperature: 6000 K (white light)\nLight intensity adjustment: Continuously adjustable\nDimensions: 305 mm x 120 mm x 370 mm (w x h x d)\nWeight: approx. 7.4 kg\nCertified to: IEC 601-1, protection class 1/CF\n\nSaphira Image1 S Video Processor CCU s Technology:\nCamera Connect Units (CCU) must include 12G / 3G- SDI and HD DVI-D Outputs and be type CF device / defib. resistant \nMust be modular architecture design for future expandability and upgradability\nMust include Saphira Technology for BLCC\nMust include Chroma Enhancement Technology which identifies and brightens up dark areas in real time without overexposing the bright part of the image\nMust include Clara Enhancement Technology that allows in real time (no visible lag time) to eliminate dark areas in an image, allowing the surgeon to keep their telescope in the right distance from the surgical target and being able to effectively perceive and discern additional content. which is time consuming during a procedure\nMust include Pointer Visualization feature for pointer visualization overlay that facilitates effective verbal communication between the attending surgeon and his assistant\nMust include Grid Visualization Feature to facilitate effective verbal communication between the surgical team members minimizing operating time. \nMust include Burn-in Screen Saver; if the video system (camera controller, monitor) is not powered down the camera output is permanently displayed on the monitor and, after some time it is burned into the glass. This burnt-in image is overlaid to the surgical image leading to a significant quality reduction. \n\nSaphira BLCC High-Definition Camera Head:\nMust be compatible with Saphira Image1 S Camera Connect Unit\nMust be pendulum in design and high definition. \nMust have focus knob with 16mm focal length.\nMust have (3) programmable user control buttons.\nMust be 16 x 9 image format with 60 Hz image refresh rate.\n\nUreteroscopes: \nSemi Rigid must have 7Fr distal tip\n8.4Fr-9.9Fr single step conical sheath. \nWorking channel: 3.4Fr Irrigation channel: 2.4Fr. \nUreteroscope must have a straight eyepiece. \n6 degree angle of view. \nWorking length 43cm.\nDigital Single use flexible ureteroscope must be compatible with existing KARL STORZ camera control unit and other Image1 S KARL STORZ camera control units.\nMust have 9Fr sheath size with 3.5Fr working channel with 3 o clock position. \nMust have a 9Fr tapered distal tip.\nMust include CMOS chip technology and integrated LED light source for illumination. \nDeflection must be 270 degrees upward and downward. Deflection must be positive at the distal tip. \nAngle of view must be 105 degrees and working length must be 70cm.\n\nResectoscope Set:\nSet Must have both Bipolar and Monopolar capabilities and be compatible with the KARL STORZ UH400 ESU Generator. \nWorking Element must be bipolar, spring action with movable thumb action control, and compatible with KARL STORZ bipolar resectoscope electrodes and KARL STORZ bipolar high frequency cables.\nResectoscope Sheath must be 26Fr, continuous flow with fixed inner sheath compatible with KARL STORZ bipolar working element, visual obturator and deflecting obturator. Working length must be 19cm.\nInner sheath must have a ceramic tip for burn resistance. Locking mechanism must be cam lock design.\nDeflecting obturator must include the ability to only be deflected once it is locked within the 26Fr resectoscope sheath via a cam lock.\n\nHoLEP Set: \n26 and 28Fr Continuous-flow LASER sheath for precise guidance of flexible LASER probes\n5 Fr. working channel to allow the use of LASER probes up to 1.6mm\nRight angle 6 degree telescope with 25cm working length \nRigid Telescopes must be a Hopkins glass rod lens in both 12 and 30 degree angle of view, outer diameter 4mm, working length 30cm, autoclavable, fiber optic light transmission incorporated\n\nPercutaneous Nephroscope:\nMust be a Hopkins rod lens wide-angle telescope with a 6 degree angle of view, \nmust be a 25cm working length with a right-angled parallel eyepiece, \nautoclavable with integral working channel. \nmust include an integrated luer-lock connection for inflow. \nMust be fixed non-rotatable, 26 Fr., WITHOUT ceramic insulation, must have integral guiding channel for laser probes up to 2.6mm. \nMust have a 5Fr working channel for up to 5 Fr. instruments and be compatible with 26 and 28Fr resectoscope sheaths.\nMust have a 26Fr and 28Fr continuous flow sheaths that include connecting port for continuous inflow-outflow, oblique beak with ceramic insulation, fixed inner sheath.\nMust be include and be compatible with hollow obturator and fascial dilator. \nMust include one single dilator instrument to be compatible with operating sheath.\nMust have LASER Working Insert for Enucleation, with 7.5 Fr. working channel.\nMust include visual obturators for 24/26 Fr sheaths.\nForceps must have serrated jaws and ring handle with double action jaws, 10.5 Fr with a working length of 38cm.\n\nScope of Work Requirements\nContractors will deliver all leased equipment to the SLC Health Care System warehouse. During the entire lease, all equipment will be serviced by the vendor. The vendor will make sure all equipment is running as per manufacturer specifications. \nThe services to be provided for the duration of the lease include the following:\nProtection1 Comprehensive Service Agreement that includes repair or exchange on any failure or breakage of covered equipment during contract term, without additional charge.\n\nNo trade-in available. \nThe C&A requirements do not apply, and a Security Accreditation Package is not required. \nDelivery location \nDepartment of Veterans Affairs \nSalt Lake City VA Medical Center \n500 Foothill Dr.\nSalt Lake City, UT 84148\n\nIn response to this announcement, please provide all information requested below in this market research table questionnaire. If all information is not provided, then it will be assumed the entire requirement cannot be met:\nNAICS Code: \nCompany Name:\nAddress:\nUEI (Unique Entity ID) Number:\nContact Name:\nPhone No.:\nEmail:\nBusiness Size Information - Select all that applies:\nSmall Business\nEmerging Small Business\nSmall Disadvantaged Business\nCertified under Section 8(a) of the Small Business Act\nHUBZone\nWoman Owned\nCertified Service-Disabled Veteran Owned Small\nVeteran Owned Small Business\nLarge Business\nFSS/GSA Contract Holder:\nYes No \nFSS/GSA Contract Number:\n\nEffective Date/ Expiration Date:\n\nProposed solution is listed and available on the above FSS/GSA Contract:\nYes No \nAvailable pricing structure of proposed solution:\nPricing Model\nPlease Indicate Availability Below: (Yes / No / NA)\nAll on FSS\nOpen Market only\nMix of FSS & Open Market\nFixed Monthly Equipment Rental Charge\n\n\n\nFixed Monthly Service Agreement Price\n\n\n\nOther: (Please explain)\n\n\n\nFederal Acquisition Regulation (FAR) Market Rearch Questions:\nBuy American Act RFO 52.225-1 and RFO 52.225-2 Buy American Certificate What percentage of the proposed product (including leases and rentals) is a:\nDomestic end product? _____________ (%)\nForeign end product? _______________ (%) Country of Origin:\nQuestions for Small Businesses ONLY:\nLimitations on Subcontracting RFO 52.219-14 \n\nWhat percentage of the work would be subcontracted to another company? ________ \nWhat is the business size of the subcontractor?______\n\n\nPer RFO 52.219-14 the following conditions must be met:\nServices (except construction), it will not pay more than 50 percent of the amount paid by the Government for contract performance to subcontractors that are not similarly situated entities. Any work that a similarly situated entity further subcontracts will count towards the prime contractor's 50 percent subcontract amount that cannot be exceeded. When a contract includes both services and supplies, the 50 percent limitation shall apply only to the service portion of the contract;\n\nSupplies (other than procurement from a nonmanufacturer of such supplies), it will not pay more than 50 percent of the amount paid by the Government for contract performance, excluding the cost of materials, to subcontractors that are not similarly situated entities. Any work that a similarly situated entity further subcontracts will count towards the prime contractor's 50 percent subcontract amount that cannot be exceeded. When a contract includes both supplies and services, the 50 percent limitation shall apply only to the supply portion of the contract;\n\nIf subcontracting, what added value do you offer (RFO 52.215-23): \nNonmanufacturer Rule (RFO 52.219-33):\nDoes your company manufacturer these proposed items? [Â ] yes [Â ] no\nDoes your company exceed 500 employees? [Â ] yes [Â ] no If yes, list # of employees: _________\nDoes your company primarily engaged in the retail or wholesale trade and normally sells the type of item being supplied? [Â ] yes [Â ] no\nDoes 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\nDoes 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? ________________ \n\n\nResponse Instructions:\nDo not provide more than 8 pages, including cover letter page.\nSubmit your response via email to jacqueline.obryan@va.gov \nSubmit your response NLT noon (MT) on Thursday, January 8, 2026;\nMark your response as Proprietary Information if the information is considered business sensitive.\nVA has identified the appropriate North American Industry Classification System (NAICS) Code as 532490 Other Commercial and Industrial Machinery and Equipment Rental and Leasing with a Small Business size of $40 million. Please identify and explain any NAICS codes your company believes would better represent the predominant work included in the above listed Scope of Work / Salient Characteristics List.\n\n(End of Request for Information)\n\n\n"}