6515--(Cloned) Peritoneal Dialysis Supplies - KC (VA-20-00100273)

Page 4 of 6 REQUEST FOR INFORMATION (RFI) SOURCES SOUGHT Disclaimer This notice is to assist the NCO 15 in determining SOURCES ONLY. This announcement is not a request for proposals or quotations. The Government is not committed to award a contract pursuant to this announcement. The Government will not pay for any costs incurred in the preparation or submission of information in response to this announcement. The Department of Veterans Affairs, Network Contracting Office (NCO) 15 is conducting market research to help determine the availability and technical capabilities of qualified vendors who can provide Peritoneal Dialysis Supplies for the VISN 15 Kansas City VA Medical Center. POTENTIAL SOURCES SHALL PROVIDE THE FOLLOWING INFORMATION IN THE RESPONSE: 1) Company name, address, phone number, primary contact(s), e-mail address, NAICS code(s), business size & status (i.e. small/large, Service Disabled Veteran Owned Small Business (SDVOSB), Veteran Owed Small Business (VOSB), Hubzone, Women Owned Small Business (WOSB) etc., and DUNS Number. 2) Statement of Capability that demonstrates ability of providing the item in accordance with the attached Statement of Requirements (SOR) and past performance in providing this type of item(s). Include examples of prior completed Government contracts, references, and other related information. 3) Is your company the manufacturer, distributor or an equivalent solution to the items being referenced in the Statement of Requirements? 4) If you are not the manufacturer or distributor provide the authorized distributor letter showing you are an authorized vendor. 5) Provide any contract numbers your business has with other government agencies (i.e. GSA, VA NAC etc.) 6)This award will be all or nothing. The contractor must be able to provide all supplies as outlined in the attached Statement of Requirements (SOR). Questions and responses must be submitted no later than 12:00 PM (CST) on June 18th, 2020 to Esperanza Roberts contact@example.gov. Any proprietary information should be clearly identified as proprietary information . STATEMENT OF Requirement PRICE/COST SCHEDULE 1. GENERAL: Contractor shall furnish Peritoneal Dialysis (PD) supplies for medical center use and direct delivery to beneficiaries of the VA Medical Center, Kansas City, Missouri. The contractor is responsible for delivering all supplies under this contract directly to the medical center or beneficiary's home, as requested. 2. MEDICAL CENTER USE: An authorized Representative will place all orders for delivery to the VA Medical Center, 4801 E. Linwood Boulevard, Kansas City, Missouri 64128, by issuance of a purchase order. 3. DIRECT DELIVERIES: Home Peritoneal Dialysis Service will contact the contractor by telephone and give a yearly obligation number for direct delivery beneficiaries. The contractor shall use the appropriate assigned obligation number for the year on all correspondence and invoices. When a VA beneficiary is accepted into the program to receive direct delivery of PD supplies, a prescription is forwarded to the contractor with product name and quantities. It shall be the contractor's responsibility to coordinate with Home Peritoneal Dialysis Service (+1 (555) 000-0000) the patient's authorized prescribed inventory levels and establish delivery schedules. The contractor shall contact the patient monthly (or as needed) to verify patient's requirements and set up delivery order. In the event a patient needs additional supplies after the monthly order is placed, the patient may contact the contractor via telephone and the contractor may use the mailing system to get supplies to the patient. The contractor is responsible for adhering to all mailing requirements in this matter. Vendor will supply and support any required software needed to access downloadable patient information. This software will be loaded on a VA owned, non-networked device. Vendor will allow VA providers access through a web based portal to provide electronic signatures for patient orders and requests. Vendor will not limit the number of patients that can be started on treatment per month. Vendor will provide a one point of contact model to support the patient and the Nephrology Clinic in the accessing and delivery of all manufacturers peritoneal dialysis (PD) systems currently in the marketplace, including all ancillary items and specialty products outside manufacturer s scope as prescribed by the patient s clinical team. This one point of access supports the Nephrology Clinic in maintaining readiness, flexibility and patient-centric care focused on clinical outcomes and patient satisfaction. 4. PACKING AND MARKING: All containers are to be marked with the expiration date. All products must provide not less than an eighteen (18) month expiration date. Cases are to be clearly marked, specifying content and handling methods. 5. PATIENT PRIVACY / SECURITY: a. The Kansas City VA Medical Center at the time the patient is enrolled in the Home Dialysis program will secure a Release of Information from the patient to allow for information to be released to the contract vendor company b. The contractor shall immediately notify the COTR and simultaneously, the designated ISO and Privacy Officer for the contract of any known or suspected security/privacy incidents, or any unauthorized disclosure of sensitive information, including that contained in system(s) to which the contractor has access. c. To the extent known by the contractor, the contractor notice to VA shall identify the information involved, the circumstances surrounding the incident (including to whom, how, when, what and where the VA information or assets were placed at risk or compromised), and any other information that the contractor considers relevant. d. With respect to unsecured protected health information, the contractor is deemed to have discovered a data breach when the contractor knew or should have known of a breach of such information. Upon discovery, the contractor must notify the covered entity of the breach. e. In instances of theft or break-in or other criminal activity, the contractor must concurrently report the incident to the appropriate law enforcement entity (or entities) of jurisdiction, including the VA OIG and Security and Law Enforcement. The contractor and their employees shall cooperate with VA and any law enforcement authority responsible for the investigation and prosecution of any possible criminal law violation(s) associated with any incident. The contractor/subcontractor shall cooperate with VA in any civil litigation to recover VA information, obtain monetary or other compensation from a third party for damages arising from any incident, or obtain injunctive relief against any third party arising from, or related to, the incident. 5. QUALIFICATIONS: Offeror shall be the manufacturer or authorized dealer for the manufacturer of the product for which a quote will be provided. 6. SHIPPING: All orders shall be shipped F.O.B. Destination, by common carrier, standard delivery within 3 to 5 days ARO (After Receipt of Order). The cost of any other designated shipping options (i.e., overnight, 2nd day, etc) by the VAMC, Kansas City, MO, payment of such shall be the responsibility of the VAMC, Kansas City, MO, contractor shall prepay and add to invoice. 7. INVOICING FOR DIRECT DELIVERIES: A separate invoice for each individual patient, with name of patient on invoice, shall be submitted at the time of shipment to: VA Financial Services Center PO Box 149971 Austin TX 78714-9971 Item Number Product Code Description Estimated Quantity Unit 1 5C4319 IMMOBILE 150 CS 2 L5C4366 Disconnect Y/Set CAPD 20 CS 3 5C4406 Personal Cycler Carrying Case 16 EA 4 5C4456 Flexicap Discnct Cap 16 CS 5 5C4464P Drain Line / 12 Ft Extsn 450 CS 6 5C4466P Minicap Disconnect w/PVP-1 S Solution 330 CS 7 R5C4479C Home Choice Cast/4 Prng 250 CS 8 5C4480C 12 Ft Patient Ext Set 430 CS 9 5C4512 APD Drain Manifold 52 CS 10 5C4527 Outlet Port Clamp/Short Nose 24 CS 11 5C8310L PD Cycler 110 Volt Home Choice Rent 64 MO 12 5K3575 Scale Digital 1.5" LCD 16 EA 13 5K3582 Scale Spring (5000GM x 100GM) 11 EA 14 5K3961 Heating Pad-King Size, 3 heat setting 16 EA 15 MDS1725146 MONITOR, BP, AUTO, DIGITAL, LARGE ADULT 36 EA 16 MDS1725145 MONITOR, BP, AUTO, DIGITAL, ADULT 20 EA 17 5C4145P Cycler Drainage Set 160 CS 18 L5B5163 Dianeal PD2 1/Liter 1.5% 188 CS 20 L5B5173 Dianeal PD-2 1/Liter 2.5% 188 CS 21 L5B5183 Dianeal PD-2 1/Liter 4.25% 4 CS 22 L5B5166 Dianeal PD-2 2/Liter 1.5% 4 CS 23 L5B5177 Dianeal PD-2 2/Liter 2.5% 4 CS 24 L5B5187 Dianeal PD-2 2/Liter 4.25% 4 CS 25 L5B4974 Extraneal 2/Liter 225 CS 26 L5B4976 Extraneal 2.5/Liter 80 CS 27 L5B5169 Dianeal PD-2 3/Liter 1.5% 130 CS 28 L5B5179 Dianeal PD-2 3/Liter 2.5% 130 CS 29 L5B5189 Dianeal PD-2 3/Liter 4.25% 8 CS 30 L5B5193 Dianeal PD-2 5/Liter 1.5% 650 CS 31 L5B5194 Dianeal PD-2 5/Liter 2.5% 650 CS 32 L5B5195 Dianeal PD-2 5/Liter 4.25% 4 CS 33 L5B9710 Dianeal PD-2 6/Liter 1.5% 1900 CS 34 L5B9711 Dianeal PD-2 6/Liter 2.5% 1900 CS 35 L5B9712 Dianeal PD-2 6/Liter 4.25% 80 CS 36 L5B4825 Dianeal Low Calcium 2/Liter 1.5% 8 CS 37 L5B9727 Dianeal Low Calcium 2/Liter 2.5% 8 CS 38 L5B9747 Dianeal Low Calcium 2/Liter 4.25% 8 CS 39 L5B9901 Dianeal Low Calcium 3/Liter 1.5% 8 CS 40 L5B9902 Dianeal Low Calcium 3/Liter 2.5% 8 CS 41 L5B9903 Dianeal Low Calcium 3/Liter 4.25% 8 CS 42 L5B4826 Dianeal Low Calcium 5/Liter 1.5% 8 CS 43 L5B5202 Dianeal Low Calcium 5/Liter 2.5% 8 CS 44 L5B5203 Dianeal Low Calcium 5/Liter 4.25% 8 CS 45 L5B9770 Dianeal Low Calcium 6/Liter 1.5% 525 CS 46 L5B9771 Dianeal Low Calcium 6/Liter 2.5% 8 CS 47 L5B9772 Dianeal Low Calcium 6/Liter 4.25% 8 CS 48 5B9866 Dianeal PD-2 Ultrabag 2/Liter 1.5% 80 CS 49 5B9876 Dianeal PD-2 Ultrabag 2/Liter 2.5% 80 CS 50 5B9896 Dianeal PD-2 Ultrabag 2/Liter 4.25% 20 CS 51 5B9868P Dianeal PD-2 Ultrabag 2.5/Liter 1.5% 161 CS 52 5B9878P Dianeal PD-2 Ultrabag 2.5/Liter 2.5% 151 CS 53 5B9898P Dianeal PD-2 Ultrabag 2.5/Liter 4.25% 15 CS 54 5B4984 Extraneal Ultrabag 2/Liter 15 CS 55 5B4986 Extraneal Ultrabag 2.5/Liter 15 CS 56 5B9768P Dianeal Low Calcium 2500ml 1.5% - - - - - 15 CS 57 5B9778P Dianeal Low Calcium 2500ml 2.5% - - - - - 6 CS 58 5B9798P Dianeal Low Calcium 2500ml 4.25 - - - - - 6 CS 59 R5C4522 Homechoice Pro Card 15 CS 60 5C4957 Ultraclamp 100 CS 61 5C5479 AMIA Automated PD Set w/Cassette 130 CS 62 5C9320L AMIA Cycler Lease 130 EA 63 Connectivity AMIA Sharesource Connectivity 130 EA 64 RENAHC After Hours 5 EA 65 RENFAX Faxed Prescription Fee - EA 66 RENHPRTN Product Return Charge - EA 67 RENEOC Expedited Order Fee 4 Day Lead Time - EA 68 RENEOC Expedited Order Fee 3 Day Lead Time - EA 69 RENEOC Expedited Order Fee 2 Day Lead Time - EA 70 RENEOC Expedited Order Fee 1 Day Lead Time - EA 71 RENEOC Expedited Order Fee Same Day Lead Time - EA 72 RENOFF Off Schedule Order Fee 10 EA 73 RENRED Re-Delivery Fee - EA 74 RENSERVICE14 14 Day Order Cycle Fee - EA 75 RENVERBAL Pharmacist Prescription Fee - EA 76 VALKITAL Value Kit CCPD Home Patient Use Only - EA 77 VALKITCL Value Kit CAPD Home Patient Use Only - EA 78 5Z0090 Personal Cycler Freight - EA 79 5K3572 Thermometer Digital - EA 80 5Q3810 IV Pole dbl hook free standing 47"-84" - EA 81 L5C4531 Integrated APD set w/cassette 3 prong - EA