STATEMENT OF WORK (SOW) as of 5/2/2017 Contract Number: (completed by the CO at time of award) Task Order Number: (completed by the CO at time of award if a TO) IFCAP Tracking Number: (completed by the requestor. This is the 2237 Number) Follow-on to Contract and Task Order Number: (If this is a follow-on order to a previous contract or TO, insert the contract number or the TO number to which it is a follow-on. If this is not for a follow-on, state Not Applicable ) 1. Contracting Officer s Representative (COR). Name: Section: SCI/D Address: 1501 San Pedro, Albuquerque, NM 87108 Phone Number: Fax Number: E-Mail Address: 2. Contract Title. Provide 25 pt. Helper trapezes 3. Background. The Zimmer Patient Helper HD (Heavy Duty) is designed as an assistive device for the patient during ingress to the bed and egress from the bed. The device is designed for use by patients weighing up to 400 pounds. It features adjustable height and can also be adjusted from left to right to assist patient movement within the bed. 4. Scope. To provide 25 pt. helper trapezes 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; quotes are being requested and a written solicitation will not be issued. The Solicitation is issued as a Request for Quotes (RFQ). This solicitation is being conducted under FAR Part 13 Simplified Acquisition Procedures (SAP). This solicitation document and incorporated provisions and clauses are those in effect through Federal Acquisition Circular 2005-89 effective July 14, 2016. This requirement is a Firm Fixed Price and only qualified respondents may submit quotes. Questions Due Date: 8/25/2017 11:00 AM EST Quote Due Date: 8/28/2017 11:00 AM EST This solicitation document and incorporated provisions and clauses are those in effect through Federal Acquisition Circular (FAC) 2005-89 issued and effective July 14, 2016. This solicitation VA258-17-Q-0677 is issued as a request for quote (RFQ). The North American Industry Classification System Code (NAICS) for this procurement is 339113 Surgical Appliance and Supplies Manufacturing. This RFQ is being issued as a Service Disabled Veteran Owned Small business set a-side under NAICS Code 339113 Surgical Appliance and Supplies Manufacturing, with a small business standard of 1000 Emp. Any Award Made as a Result of this Solicitation will be made on an All or Nothing Basis based on Lowest Price Technically Acceptable. Vendors must submit quotes in accordance with the solicitation shown here as an attachment and all associated documents. FOB Destination is in accordance with FAR 52.247-49 And VAAR SAM Requirement: This solicitation requires registration with the System for Award Management (SAM), pursuant to applicable regulations and guidelines. Registration must be complete by end date/time of solicitation or vendor may be found unresponsive, information can be found at www.sam.gov Additionally, all Service Disabled Veteran Owned Businesses who respond to this solicitation must be registered with the Department of Veterans Affairs Center for Veterans Enterprise VetBiz Registry located at http://vip.vetbiz.gov by the end date/time of this solicitation. The full text of the referenced FAR clauses may be accessed electronically at https://www.acquisition.gov/far/ The following VAAR clauses are to be incorporated by reference: 852.203-70, Commercial Advertising; 852.232-72, Electronic Submission of Payment Requests; 852.246-71, Inspection; The full text of the referenced VAAR clauses may be accessed electronically at http://www.va.gov/oal/library/vaar/. In addition, the following information is required for your quote to be considered: Estimated delivery time (ARO): Complete company name and address: Company Point of Contact: Email -Phone Number: DUNS Number: Please Add your name/company to interested vendors for this solicitation Submission of Quotes: Submit quotation and all supporting documentation to Louis Wade by email [email protected] no later than 11:00am Eastern Standard Time August 28, 2017.

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