DEPARTMENT OF VETERANS AFFAIRS VETERANS INTEGRATED SERVICE NETWORK (VISN) 16 MICHAEL E. DEBAKEY VA MEDICAL CENTER (VAMC), HOUSTON, TEXAS REQUEST FOR INFORMATION 36C25619Q0717 BACKGROUND: The Houston VAMC has a requirement for the following BRAND NAME OR EQUAL supplies: Manufacturer Stock# Description PLEASE SEE SOW ATTACHED FOR A LIST OF ITEMS NEEDED. REQUESTED RESPONSES: The intent of this Request for Information is to establish sources in order to define the procurement strategy. Interested contractors are requested to respond in accordance with the following Please respond to this RFI if you are capable of providing the brand name products listed in the table found in the background section above. In the response please cite business size status. Please respond to this RFI if you are capable of providing supplies that can be determined EQUIVALENT to the products listed in the table found in the background section above. You MUST provide SPECIFICATIONS AND DETAILS on proposed EQUIVALENT products such as Manufacturer Name, Part Number, and Description. If applicable, include GSA contract information. It is critical that you specify if you are providing brand name or an equivalent product. (Capability Statement) CONTACT INFORMATION AND RESPONSE DUE DATE: Please email all responses
contact@example.gov Please respond to this RFI no later than 10:00am Central on Apr. 26, 2019. DISCLAIMER: This RFI is issued solely for informational and planning purposes and does not constitute a solicitation. Responses to this notice are not offers and cannot be accepted by the Department of Veterans Affairs to form a binding contract. Respondents are solely responsible for all expenses associated with responding to this RFI. PRODUCT DESCRIPTION DEPARTMENT OF VETERANS AFFAIRS MEDVAMC (Eye Care Line 112C) KR800PA Date: February 9, 2019 REQUIREMENTS: (Example: modify to fit service line requirements) Contractor shall provide a projected schedule in terms of days from the time of award addressing (at a minimum) the following milestones: verification that all system quantities and configurations are accurate; manufacture/assembly of all parts and/or equipment; delivery to identified location; and complete installation of hardware. Parameter Attribute Value Topcon KR-800PA Auto- Kerato-Refractometer w/Notebook (Equipment) Topcon KR-800PA Auto Kerato-Refractometer 1 Installation and training Installation and training 1 One Year Warranty on all parts and labor 1 SCHEDULE FOR DELIVERABLES (Example: modify to fit service line requirements) Contractor shall provide all labor, materials, tools, equipment and etc.to prepare for the installation of the equipment at the MEDVAMC. This equipment will be installed May 30, 2019. All employees of general contractor and subcontractors shall comply with the MEDVAMC policy on Healthcare Industry Representatives, including, but not limited to, vendor credentialing, check-in procedures when at the facility, and display of name badges. 4. Contractor shall be responsible for removing all packing materials and related waste and dispose of offsite. Inspection: Care Line Executive and Vendor 1. Technical Capability a) Image Quality b) System Speed and Reliability c) Integrated Data Functions d) Patient Safety features e) Integration with existing ophthalmic surgery equipment, infrastructure and supplies 2. Past Performance 3. Proximity of service personnel 4. Warranty Acceptance: Contractor shall perform the Government Acceptance Test in the presence of the COR and designated Ophthalmology Staff for proof-of-performance. Upon completing the Government Acceptance Test successfully, Contractor shall document the success of this Government Acceptance Test on Contractor s company form which will be certified by the COR s signature as an evidence of Government Acceptance of the referenced piece of equipment. A copy of this document shall be furnished to the COR and the Contracting Officer before Contractor s Representative at the end of each testing. Free on Board (FOB): Ship to and Mark For: Primary: Name: Jeannette Head, Eye Clinic 1C-300 Address: 2002 Holcombe Blvd, Houston, TX 77030 Voice:
+1 (555) 000-0000 ext 27146 Email:
contact@example.gov Special Shipping Instructions: Prior to shipping, Contractor shall notify Site POCs five (5) business days before shipment, by phone followed by email, of all incoming deliveries including line-by-line details for review of requirements. Contractor cannot make any changes to the delivery schedule at the request of Site POC. All shipments, either single or multiple container deliveries, will bear the VA Purchase Order number on external shipping labels and associated manifests or packing lists. In the case of multiple container deliveries, a statement readable near the VA PO number will indicate total number of containers for the complete shipment (ex. Package 1 of 2 ), clearly readable on manifests and external shipping labels. Packing Slips/Labels and Lists shall include the following: IFCAP PO # (i.e., 580-A11234) Total number of Containers: Package of . (i.e., Package 1 of 3) Total number of Containers: Package of . (i.e., Package 1 of 3) INFORMATION SECURITY CONSIDERATIONS: The Certification and Accreditation (C&A) requirements do not apply and a Security Accreditation Package is not required. The contractor will not have direct access to sensitive information but have a potential to see sensitive information as they install this equipment in the operating room. N/A . a. POINT(S) OF CONTACT: Program Manager Name: Address: Voice: Email: COR Name: Jeannette Head Address: 2002 Holcombe Blvd, Houston, TX 77030 Voice:
+1 (555) 000-0000 ext 27146 Email:
contact@example.gov Contract Specialist Name: Address: Voice: Email: Contract Officer Name: Address: Voice: Email:
