(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: VA259-16-Q-0222, 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 (FAC) 2005-85. (iv) This solicitation is restricted for total small business set aside. NAICS: 334510. (v) Contract Line Items: Price/Cost Schedule ITEM INFORMATION ITEM NUMBER DESCRIPTION OF SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0001 Item H700494 Ampere Generator Kit 1.00 EA __________________ __________________ 0002 Item 89003 Cool Point Irrigation Pump 1.00 EA __________________ __________________ 0003 Item H700490 Ampere Remote Control (includes 15m fiber cord) 1.00 EA __________________ __________________ 0004 Item CFK3000 EnSite Contact Force Module 1.00 EA __________________ __________________ GRAND TOTAL __________________ (vi) Performance Specifications: Exact items requested per the VA's Brand Name Justification below: 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. The St. Jude Amphere Generator Kit and Ensite Contact Force Module are for the purpose of doing Atrial Fibrillation Ablations. These 2 pieces of equipment are add-on modules to the Ensite mapping system that is owned by the Denver VA and currently in use in cardiac catherization lab/Electrophysiology lab to allow the addition of these procedures and reduce the fee basing out these patients. This brand name documentation shall be posted IAW FAR 5.102(a)(6). The agency plans to post the requirement to GPE/FBO at the time of solicitation, in order to overcome any barriers to competition before any subsequent acquisition for the supplies or services required. This justification is accurate and complete to the best of the contracting officer's knowledge and belief. 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] (vii) Date and place of performance (FOB Destination): Please Deliver To: Denver VA ECHCS ATTN: Warehouse 1055 Clermont Street Denver, CO 80220-3808 Deliver: FOB Destination within 30 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, does not apply to this acquisition. Quotes will be evaluated as Lowest Price Technically Acceptable (LPTA) by the facility. (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, 52.209-6, 52.219-6 Alternate I, 52.219-28, 52.222-3, 52.222-19, 52.222-21, 52.222-26, 52.222-35, 52.222-36, 52.222-37, 52.222-50, 52.223-18, 52.225-3 Alternate II, 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 4:00PM ET on 03/09/2016. (xvi) Name and telephone number of the individual to contact for information regarding the solicitation: Brian Ballard Contract Specialist | NCO19 303-372-7078 [email protected]

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