This is a combined synopsis/solicitation for a commercial item prepared in accordance with all parts of and format in Subpart 12.6, as supplemented with additional information included in this notice in conjunction with procedures in FAR Part 13. This announcement constitutes the only solicitation; quotations are being requested and a written solicitation will not be issued. This requirement is posted as a Small Business Set-Aside, however if there are two or more Service Disabled Veteran-Owned Small Business (SDVOSB)/ Veteran-Owned Small Business (VOSB) manufacturers or authorized dealers, the requirement will be set-aside for SDVOSBs/ VOSBs. SDVOBs/ VOSBs not listed in https://www.vip.vetbiz.gov/ are considered non-responsive and price quotations will not be evaluated. Award will be made to the responsive/responsible offeror who provides the technically acceptable product at the lowest price, delivery included, considering verified SDVOSB/VOSB sources (FAR 52.212.2 Evaluation factors). NAICS code 339113/500 employees applies. This solicitation document and incorporated provisions and clauses are those in effect through Federal Acquisition Circular (FAC) 2005-89. Only emailed requests received directly from the requester are acceptable. Email quotes to [email protected] no later than the required due date Thursday, August 25, 2016 on or before 12:00 PM (Noon) Pacific Time. Receipt must be acknowledged on my desktop computer to be recognized as received. This is the only acceptable method for delivery of quotes. Please state if your company has any government contracts, i.e., GSA, SEWP, NAC GSA BPA, or you plan on a submission under "open market" conditions. For any government contract, provide your contract number, terms and conditions; SIN the products fall under (if any), delivery schedule and contract expiration date. Products shall be supplied in accordance with the specifications, terms and conditions contained herein. In addition, the following FAR and VAAR clauses will also apply. Thank you. VA Northern CA Health Care System in Mather, CA 95655-4200 requires the following items, Salient characteristics: A.1 PRICE/COST SCHEDULE ITEM INFORMATION ITEM NUMBER DESCRIPTION OF SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0001 Perseus A500 **Country-specific features** Target country USA Pacific Time - Los Angeles NEMA 5-15R Hospital Grade LOCAL STOCK NUMBER: MK06000 1.00 EA __________________ __________________ 0002 Basic unit with insul. transf. Mechanic gas mixer LOCAL STOCK NUMBER: MK08190 1.00 EA __________________ __________________ 0003 Me.3-gas mixer, Adv.Cyl.Supp. Option Vapor Communication * Auto Exclusion,2 vap. LOCAL STOCK NUMBER: MK08900 1.00 EA __________________ __________________ 0004 Opt.Vapor Communication(2vap.) LOCAL STOCK NUMBER: OPC5760 1.00 EA __________________ __________________ 0005 *** Connections *** With hanging cylinders Cylinder holder PinIndeX Press. red. O2, for small cyl. LOCAL STOCK NUMBER: MK09838 1.00 EA __________________ __________________ 0006 Pressure reducer O2, Pin Index Pres. red. N2O, for small cyl. LOCAL STOCK NUMBER: MK06316 1.00 EA __________________ __________________ 0007 Pres. reducer N2O, Pin Index Pres. red. AIR, for small cyl. LOCAL STOCK NUMBER: MK06317 1.00 EA __________________ __________________ 0008 Press. reducer AIR, Pin Index Central gas supply hoses * Basic unit w. insul.transf. * country-spec. power outlet LOCAL STOCK NUMBER: MK06318 1.00 EA __________________ __________________ 0009 Additional power outlet strip LOCAL STOCK NUMBER: MK09888 1.00 EA __________________ __________________ 0010 Mounting Pole right LOCAL STOCK NUMBER: MK08532 1.00 EA __________________ __________________ 0011 Ventilator & Display SW option Pressure Support LOCAL STOCK NUMBER: MK08317 1.00 EA __________________ __________________ 0012 SW option Breathing Sound Em. * SW op Low Flow Wizard LOCAL STOCK NUMBER: MK08316 1.00 EA __________________ __________________ 0013 Flexible Breathing bag arm LOCAL STOCK NUMBER: 8605088 1.00 EA __________________ __________________ 0014 *** Required accessories *** SpiroLife, 2 pcs. Adapter for CLIC absorber Control valve NPT LOCAL STOCK NUMBER: 8605566 1.00 EA __________________ __________________ 0015 *** Endotracheal suction *** Endotrach. suction DISS, VAC LOCAL STOCK NUMBER: MP00686 1.00 EA __________________ __________________ 0016 Mounting Kit VAC suction LOCAL STOCK NUMBER: MK08653 1.00 EA __________________ __________________ 0017 *** Hardware components *** Pressure gauge LOCAL STOCK NUMBER: MK09494 1.00 EA __________________ __________________ 0018 Drawer module large LOCAL STOCK NUMBER: MK09854 1.00 EA __________________ __________________ 0019 Box with writing tray LOCAL STOCK NUMBER: MK08487 1.00 EA __________________ __________________ 0020 *** Monitoring *** Prep. for Philips *** Patient Monitoring *** Patient monitor left *** Selection CS hoses *** with O2 with N2O with AIR with VAC with EVAC DISS/CGAV-5 / Nipple+Nut CS system for Ohme LOCAL STOCK NUMBER: 4119073 1.00 EA __________________ __________________ 0021 Adapter N20 DISS - Ohmeda LOCAL STOCK NUMBER: 4119070 1.00 EA __________________ __________________ 0022 Adapter AIR DISS - Ohmeda LOCAL STOCK NUMBER: 4119071 1.00 EA __________________ __________________ 0023 Adapter VAC DISS - Ohmeda LOCAL STOCK NUMBER: 4119072 1.00 EA __________________ __________________ 0024 Adapter EVAC DISS - Ohmeda LOCAL STOCK NUMBER: 4119074 1.00 EA __________________ __________________ 0025 Length of CS hoses 15ft O2 CS hose 15ft DISSN / DISSN LOCAL STOCK NUMBER: 4185141 1.00 EA __________________ __________________ 0026 N20 CS hose 15ft DISSN / DISSN LOCAL STOCK NUMBER: 4185143 1.00 EA __________________ __________________ 0027 AIR CS hose 15ft DISSN / DISSN LOCAL STOCK NUMBER: 4199604 1.00 EA __________________ __________________ 0028 VAC CS hose 15ft DISSN / DISSN LOCAL STOCK NUMBER: 4199601 1.00 EA __________________ __________________ 0029 EVAC CS hose DISSN / DISSN 15ft LOCAL STOCK NUMBER: 4199598 1.00 EA __________________ __________________ 0030 *** Workstation Mounting *** *** Patient Monitoring *** Swivel arm 300x200mm, VESA LOCAL STOCK NUMBER: G28740 1.00 EA __________________ __________________ 0031 PM Mount, Philips LOCAL STOCK NUMBER: G28729 1.00 EA __________________ __________________ 0032 Top/side shelf asm LOCAL STOCK NUMBER: MK08493 2.00 EA __________________ __________________ 0033 Additional handle for backbone LOCAL STOCK NUMBER: MK08660 1.00 EA __________________ __________________ 0034 Vapor 3000 LOCAL STOCK NUMBER: M36500 1.00 EA __________________ __________________ 0035 *** Selection of Vapor 3000*** Vapor 3000 6,006.03 6,006.03 Sevoflurane Filling system Fill standard LOCAL STOCK NUMBER: OPC5639 1.00 EA __________________ __________________ 0036 D-Vapor 3000 ** Specif.national propert. ** Target country USA NEMA 5-15P/ Hospital Grade LOCAL STOCK NUMBER: M36700 1.00 EA __________________ __________________ 0037 *** Version *** D-Vapor 3000 Front cap Country-specific power cable LOCAL STOCK NUMBER: OPC5638 1.00 EA __________________ __________________ 0038 Clinical Applicat.SuppAnesthesia .8hsegm. LOCAL STOCK NUMBER: 1979570 5.00 EA __________________ __________________ GRAND TOTAL __________________ FOB Point: Destination Delivery shall be to: VA Northern CA Health Care System 10535 Hospital Way Mather, CA 95655-4200 Government Requested Delivery: 60 days or less. Proposed Delivery:_______________________ Offers must be valid for 60 days after close of solicitation Offerors shall be registered in the System for Award Management (SAM) prior to award. Registration information is located at www.sam.gov. Sample of one acceptable item/manufacturer: Drager Anesthesia Machine SALIENT CHARACTERISTICS: See attachment entitled - Salient Characteristics Product information and salient characteristics are located on the Internet and company brochures. Alternate system submission: Offerors submitting alternate items must provide technical information sufficient for a lay person to determine acceptability. Information will not be paid for by the government nor returned to the supplying party. The information will be used to determine product acceptability. Lack of sufficient information for our staff to determine product acceptability will result in a negative determination. Any quote will then be found non-responsiveness to the solicitation and the quote will not be considered. New Equipment ONLY; NO remanufactured, used/refurbished or "gray market" items. All items must be covered by the manufacturer's warranty. No product in development shall be considered. Authorized dealers: Experienced firms only who are authorized dealers will be considered in addition to the original equipment manufacturer. A letter from the manufacturer stating your company is an authorized dealer for the line items must be in possession by the due date and be available for submission, if requested. SOLICTATION PROVISIONS/CONTRACT CLAUSES: FAR 52.212-1, Instructions to Offerors - Commercial Items (OCT 2015) FAR 52.212-2, Evaluation - Commercial Items (Oct 2014) - See evaluation factors above. FAR 52.212-3, Offerors Representations and Certifications - Commercial Items (July 2016). The selected offeror must submit a completed copy of the listed representations and certifications with its offer or fill out online representations and certifications at www.sam.gov FAR 52.212-4, Contract Terms and Conditions - Commercial Items (May 2015) FAR 52.212-5 Contract Terms and Conditions Required To Implement Statutes or Executive Orders-Commercial Items (Jun 2016), paragraph (a) and the following clauses in paragraph (b): 4, 8, 14, 21, 22, 25, 26, 27, 28, 30, 33, 42, 45, 46 (iii), 48, 55. FAR 52.252-1, Solicitation Provisions Incorporated by Reference (Feb 1998); for the purpose of this provision, the fill-in's are http://www.acquisition.gov/far/index.html and http://www.va.gov/oal/library/vaar/ FAR Number Title Date 52.211-6 BRAND NAME OR EQUAL AUG 1999 VAAR Number Title Date VAAR 846.302-70 GUARANTEE JAN 2008 VAAR 852.203-70 COMMERICAL ADVERTISING JAN 2008 VAAR 852.211-70 SERVICE DATA MANUALS OCT 1984 VAAR 852.246-71 INSPECTION JAN 2008 VAAR 852-273-76 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS NOV 2012

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