The Department of Veterans Affairs, Network Contracting Office 15 intends to award a sole source contract under the authority of FAR 13.106-1(b) Soliciting from a single source, to Koffel Medical Supply Inc., 1003 W Park Ave. Libertyville, IL 60048. Koffel Medical Supply Inc. will provide Brand name or Equal, Peritoneal Dialysis Supplies and Equipment. This will be a firm-fixed price contract. The place of performance is for the Saint Louis VA Medical Center. The Saint Louis VAMC is located at 915 N Grand Blvd., Saint Louis, MO 63106. The NAICS code is 339113 with a size standard of 750 Employees. The solicitation number is 36C25520Q0113. This action will result in a Firm-Fixed Price contract. This notice of intent is not a request for quotations; interested parties may express their interest by providing a capabilities statement NLT January 31, 2019 at 2:00 PM CST. The capabilities statement must provide clear and unambiguous evidence to substantiate the capability of the party to provide the required supplies. A determination not to compete this proposed contract has been made based on an urgent need, however, responses to this notice will be considered for all future requirements. Verbal responses are not acceptable and will not be considered. When responding to this announcement, respondents should refer to Announcement 36C25520Q0113, Notice of Intent. 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 (i.e. small/large), and DUNS Number. 2) Statement of Capability that demonstrates ability of providing the item in accordance with the attached Statement of Requirement (SOR) and past performance in providing this type of service. Include examples of prior completed Government contracts, references, and other related information. 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. This notice of intent to award a sole source contract is not a request for competitive quotes. There will be no solicitation available for competitive quotes. Phone calls will not be accepted. The point of contact for this action is Contract Specialist, Frank Novello who can be reached at [email protected]. The Network Contracting Office 15 address is: VA Heartland Network 15, Network Business Office, Contracting Office, 3450 South. 4th Street, Leavenworth, KS 66048. STATEMENT OF REQUIREMENTS The St. Louis VA Medical Center is requesting Continuous Ambulatory Peritoneal Dialysis (CAPD) Supplies as Brand name or equal as listed below which must be compatible with existing that is currently in use at the station. Contractor shall furnish Continuous Ambulatory Peritoneal Dialysis (CAPD) supplies for medical center use and direct delivery to beneficiaries of the St. Louis VA Health Care System, St. Louis, Missouri. The contractor is responsible for delivering all supplies under this contract directly to the medical center of beneficiary s home, as requested. Must meet or exceed the following characteristics as stated below: Item Number Product Code Description Estimated Quantity Unit Of Issue 5B4984 Extraneal Solution 100 CS 5B4986 Extraneal Solution 100 CS 5B9757 DIANEAL LOW CA 1.5% DEX 3L/5L 100 CS 5B9759 DIANEAL LOW CA 2.5% DEX 3L/5L 100 CS 5B9766 Dianeal Ultrabag: 1.5% 100 CS 5B9768P DIANEAL LOW CA 1.5% DEX2.5L/3L 120 CS 5B9776 Dianeal Ultrabag: 2.5% 120 CS 5B9778P DIANEAL LOW CA 2.5% DEX 2.5/3L 120 CS 5B9796 Dianeal Ultrabag: 4.25% 100 CS 5B9798P DIANEAL LOW CA 4.25% DEX 2.5/ 20 CS 5C4129 LOCKING TITANIUM ADAPTER FOR P 20 CS 5C4145P CAPD DRAINAGE BRACKET 20 CS 5C4145P CYCLER DRAINAGE SET (CS=15 PR) 20 CS 5C4160 CAPD SOLUTION TRANSFER SET W/L 20 CS 5C4169 LOCKING CAP FOR PERITONEAL DIA 20 CS 5C4406 Cycler Case 20 EA 5C4456 Flexicap Discnct Cap 100 CS 5C4464P 12' Drain Extension Line 100 CS 5C4466P MiniCap 100 CS 5C4466P Minicap Disconnect w/PVE 120 CS 5C4476 EFFLUENT SAMPLE BAGS 120 CS 5C4480C 12 Ft Patient Ext Set 24 CS 5C4527 Outlet Port Clamp/Short Nose 20 CS 5C4530 Spike Protector II 20 CS 5C4957 UltraClamp 20 CS 5C5479 Set, Peritoneal Dialysis 110 EA 5C8310 Homechoice Pro Cycler 110 EA 5K3572 THERMOMETER 24 EA 5K3575 Scale, Digital, 1 1/2" Display 20 EA 5K3582 SPRING SCALE 24 EA 5K3961 HEATING PAD 24 EA 5K4012P Betadine Swab aid 50 CS 5K4075 Manugel 100 EA 5K7402P MINICAP EXTEND LIFE PD TRANSF 20 CS 5K7406P C15053-006 CN-TIP APPLICTR 20 CS 5K7407P 3033 CTY GA SPNGE 4X4X12 40 CS 5K7458P IV Sponge (split) 6-ply Sterile 120 CS 5K7615 Tape Surgical Paper IXI Oyds 120 EA 5K7619 Plastic Tape 1" 120 EA 5K8070P Yellow Face Mask 120 CS 5Q3810 IV POLE 20 EA Connectivity Monthly Connectivity 100 EA 5C9320L AMIA Cycler Lease 20 EA L5B4825 Dianeal Low Calcium 2/Liter 1.5% 20 CS L5B4826 Dianeal Low Calcium 5/Liter 1.5% 20 CS L5B4974 Extraneal 2.0L 100 CS L5B4976 EXTRANEAL 2.5L/3L 100 CS L5B5163 Dianeal PD-2 1/Liter 1.5% 120 CS L5B5166 Dianeal PD-2 2/Liter 1.5% 50 CS L5B5169 Dianeal PD-2 3/Liter 1.5% 50 CS L5B5177 Dianeal PD-2 2/Liter 2.5% 50 CS L5B5179 Dianeal PD-2 3/Liter 2.5% 50 CS L5B5187 Dianeal PD-2 2/Liter 4.25% 50 CS L5B5189 Dianeal PD-2 3/Liter 4.25% 50 CS L5B5193 Dianeal PD-2 5/Liter 1.5% 50 CS L5B5194 Dianeal PD-2 5/Liter 2.5% 50 CS L5B5195 Dianeal PD-2 5/Liter 4.25% 50 CS L5B5202 Dianeal Low Calcium 5/Liter 2.5% 50 CS L5B5203 Dianeal Low Calcium 5/Liter 4.25% 50 CS L5B9710 Dianeal PD-2 6/Liter 1.5% 120 CS L5B9711 Dianeal PD-2 6/Liter 2.5% 120 CS L5B9712 Dianeal PD-2 6/Liter 4.25% 120 CS L5B9727 Dianeal Low Calcium 2/Liter 2.5% 60 CS L5B9747 Dianeal Low Calcium 2/Liter 4.25% 60 CS L5B9770 Dianeal Low Calcium 6/Liter 1.5% 50 CS L5B9771 Dianeal Low Calcium 6/Liter 2.5% 120 CS L5B9772 Dianeal Low Calcium 6/Liter 4.25% 100 CS L5B9901 Dianeal Low Calcium 3/Liter 1.5% 120 CS L5B9902 Dianeal Low Calcium 3/Liter 2.5% 120 CS L5B9903 Dianeal Low Calcium 3/Liter 4.25% 120 CS L5C4366 CAPD Disconnect - Y set 50 ST L5C4531 Integrated APD Set 100 CS R5C4479C 4-Prong Cycler Set 25 CS R5C4522 Homechoice Pro Cycler Card 25 CS 5C8310L Rental, Homechoice Pro 110 EA

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