65--WISE 26in HDTV Surgical D TV Vision Elect Surgical

(i) This is a combined synopsis/solicitation for commercial items 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; proposals are being requested and a written solicitation will not be issued. (ii) The solicitation number is: VA259-15-Q-0148, and it is issued as a request for quotation (RFQ). (iii) The solicitation document and incorporated provisions and clauses are those in effect through Federal Acquisition Circular 2005-70. (iv) This solicitation is restricted for total small business set aside. NAICS: 339113. (v) Contract Line Items: Item Information ITEM NUMBER DESCRIPTION OF SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 1 1. WISE 26in HDTV Surgical D TV Vision Elect Surgical- 1 ea Designed specifically for the surgical environment with the 1488 HD camera. Built in wireless receiver 1920 x 1200 resolution. 1080p di LOCAL STOCK NUMBER: 999155470 - 1.00 EA __________________ __________________ 2 2. WHDTV Wireless Transmitter x 2 This allows for communication from the main tower of equipment to secondary viewing tower with use of wireless transmitter. 5-6 GHz channel for wireless transmis LOCAL STOCK NUMBER: 999155631 - 2.00 EA __________________ __________________ 3 3. Flat Panel Roll Stand Kit This platform is designed to secure the secondary viewing monitor. The pole mounted desighn allows for a small footprint, is well balanced and stable. The pole is adj LOCAL STOCK NUMBER: 0240-099-110K - 1.00 EA __________________ __________________ 4 Hospital Power cord 20ft 0105-205-295 LOCAL STOCK NUMBER: 999165631 - 1.00 EA __________________ __________________ GRAND TOTAL __________________ (vi) Performance Specifications: Items are Brand Name (Stryker) Only. Justification IAW FAR 5.102(a)(6) is attached below. (vii) Date and place of performance (FOB Destination): Please Deliver To: Denver VA ECHCS 1055 Clermont Street Denver, CO 80220-3808 Deliver: 7 Days ARO (viii) The provision at 52.212-1, Instructions to Offerors - Commercial, applies to this acquisition. (ix) The provision at 52.212-2, Evaluation - Commercial Items, applies to this acquisition. (x) Offerors are advised to include a completed copy of the provision at 52.212-3, Offeror Representations and Certifications - Commercial Items, with the offer. (xi) The clause at 52.212-4, Contract Terms and Conditions - Commercial Items, applies to this acquisition. (xii) The clause at 52.212-5, Contract Terms and Conditions Required to Implement Statutes or Executive Orders - Commercial Items, applies to this acquisition. (xiii) Any additional contract requirements or terms and conditions: The clause at 52.212-5, Contract Terms and Conditions Required to Implement Statutes or Executive Orders-Commercial Items, applies to this acquisition. The following clauses are incorporated by reference: 52.204-10, 52.209-6, 52.219-4, 52.219-28, 52.222-3, 52.222-19, 52.222-21, 52.222-26, 52.222-35, 52.222-36, 52.222-37, 52.223-18, 52.225-1, 52.225-13, and 52.232-34. (xiv) The Defense Priorities and Allocations System (DPAS) does not apply. (xv) Date and Time offers are due: Offers are due at 1400MST on 12/07/2014. (xvi) Name and telephone number of the individual to contact for information regarding the solicitation: Brian Ballard (Contract Specialist) | NCO19) +1 (555) 000-0000 contact@example.gov BRAND NAME JUSTIFICATION FAR PART 13 SIMPLIFIED ACQUISITION PROCEDURES PROCUREMENT REQUEST [INSERT NUMBER] / PURCHASE ORDER [INSERT NUMBER] In accordance with Federal Acquisition Regulation (FAR) 11.105(a)(1), the particular brand name, product, or feature is essential to the Government's requirements, and market research indicates other companies' similar products, or products lacking the particular feature, do not meet, or cannot be modified to meet, the agency's needs. This equipment must be Stryker as this is a follow on purchase for the above Stryker products. These items must match the existing surgical towers. This documentation is posted IAW FAR 5.102(a)(6) REQUIREMENTS CERTIFICATION: I certify that the requirement outlined in this documentation is a Bona Fide Need of the Department of Veterans Affairs and that the supporting data under my cognizance, which are included in the documentation, are accurate and complete to the best of my knowledge. (This signature is the requestor's supervisor, fund control point official, chief of service or someone with responsibility and accountability.) [Signature Redacted] CONTRACTING OFFICER'S CERTIFICATION: I certify that the foregoing documentation is accurate and complete to the best of my knowledge and belief. [Signature Redacted]