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 in conjunction with procedures in FAR Part 13. This announcement constitutes the only solicitation; a written solicitation will not be issued. The proposed contract action is for supplies or services for which the Government intends to solicit and negotiate with only one source under the authority of FAR 13.106(b)(1). Interested persons may identify their interest and capability to respond to the requirement or submit proposals. This notice of intent is not a request for competitive proposals. However, all proposals received prior to 06/11/2012 will be considered by the Government. A determination by the Government not to compete with this proposed contract based upon responses to this notice is solely within the discretion of the Government. Information received will normally be considered solely for the purpose of determining whether to conduct a competitive procurement. The solicitation number, VA261-12-Q-1066 is issued as a Request for Quotation (RFQ). This document and incorporated provisions and clauses are those in effect through Federal Acquisition Circular 2005-58 effective May 18, 2012 and Veterans Affairs Acquisition Regulation Supplement (VAAR) current to January 7, 2010. The North American Industry Classification System (NAICS) Code for this acquisition is 339112, Size Standard: 500. Federal Acquisition Regulation (FAR) provision 52.211-6 Brand Name or Equal applies to this acquisition. Vendors shall comply with FAR provision 52.211-6 if submitting other than the brand name products. Award will be all or none. Requirement Description: ITEM DESCRIPTION OF QTY UNIT UNIT AMOUNT NO. SUPPLIES/SVCS PRICE 1 2.00 EA ___________________ ____________________ Product Number: 41903ACELITE II RAIL CLAMP W/2 CAM JOINTS 18' 2 2.00 EA ___________________ ____________________ Product Number: 41900HBILATERAL CROSSBAR HINGED 11"X 8 1/2" 3 2.00 EA ___________________ ____________________ Product Number: 44118N18" ANGLED ARM 8" X 10" @45 DEGREES 4 4.00 EA ___________________ ____________________ Product Number: 44124W24" ANGLED ARM (11" X 13") 5 2.00 EA ___________________ ____________________ Product Number: 46134FENCE 102MM X 102MM (4" X 4") 6 2.00 EA ___________________ ____________________ Product Number: 46135FENCE 102MM X 127MM (4" X 5") 7 2.00 EA ___________________ ____________________ Product Number: 46136FENCE 102MM X 152MM (4" X 6") 8 4.00 EA ___________________ ____________________ Product Number: 46122MALLEABLE 51MM X 203MM (2" X 8") 9 4.00 EA ___________________ ____________________ Product Number: 42110CCAM I JOINT 1/2" X 1/2" 10 12.00 EA ___________________ ____________________ Product Number: 42126WACAM II CLIP-ON W/ANGLING HEAD 8" 11 4.00 EA ___________________ ____________________ Product Number: 45006CAMICRO-ADJ II CLIP-ON ANGLING 10" 12 2.00 EA ___________________ ____________________ Product Number: 43032ANGLING HEAD WRENCH 13 4.00 EA ___________________ ____________________ Product Number: 42521FIXED HANDLE WEINBERG 83MM X 133MM 14 4.00 EA ___________________ ____________________ Product Number: 46129KELLY 64MM X 76MM (2 1/2" X 3") 15 4.00 EA ___________________ ____________________ Product Number: 46140BALFOUR 70 MM X 76MM (2 3/4" X 3") 16 2.00 EA ___________________ ____________________ Product Number: 46118MALLEABLE 25MM X 203MM (1" X 8") 17 2.00 EA ___________________ ____________________ Product Number: 46118RMALLEABLE RENAL VEIN 25MM X 203MM 18 2.00 EA ___________________ ____________________ Product Number: 46124MALLEABLE 64MM X 254MM (2.5" X 10") 19 2.00 EA ___________________ ____________________ Product Number: 46124AMALLEABLE 76MM X 254MM (3" X 10") 20 2.00 EA ___________________ ____________________ Product Number: 46141BALFOUR 83MM X 76MM (3.25" X 3") 21 2.00 EA ___________________ ____________________ Product Number: 46151RICHARDSON 51MM X 127MM (2" X 5") 22 2.00 EA ___________________ ____________________ Product Number: 46160HARRINGTON 64MM X 152MM (2.5" X 6") 23 2.00 EA ___________________ ____________________ Product Number: 46188ST. MARKS 64MM X 178MM (2.5 X 7") 24 2.00 EA ___________________ ____________________ Product Number: 46191MALLEABLE FINGER 6" 25 2.00 EA ___________________ ____________________ Product Number: 46151RICHARDSON 51MM X 127MM (2" X 5") 26 2.00 EA ___________________ ____________________ Product Number: 46174DEAVER 51MM X 127MM (2" X 5") 27 2.00 EA ___________________ ____________________ Product Number: 46125RICHARDSON 19MM X 25MM (3/4" X 1") 28 2.00 EA ___________________ ____________________ Product Number: 5000BLINSTRUMENT CASE 26" X 10" X 5" 29 2.00 EA ___________________ ____________________ Product Number: 50000GINSTRUMENT CASE W/PIN MAT 22 X 11 X 3 ____________________ GRAND TOTAL --- ==================== Delivery, acceptance and F.O.B Destination (freight prepaid) point: Ship To: VA Sierra Nevada Health Care System 975 Kirman Avenue Reno, NV 89502 SOLICITATION PROVISIONS/CONTRACT CLAUSES: 52.211-6 BRAND NAME OR EQUAL (AUG 1999) (a) If an item in this solicitation is identified as "brand name or equal," the purchase description reflects the characteristics and level of quality that will satisfy the Government's needs. The salient physical, functional, or performance characteristics that "equal" products must meet are specified in the solicitation. (b) To be considered for award, offers of "equal" products, including "equal" products of the brand name manufacturer, must-- (1) Meet the salient physical, functional, or performance characteristic specified in this solicitation; (2) Clearly identify the item by-- (i) Brand name, if any; and (ii) Make or model number; (3) Include descriptive literature such as illustrations, drawings, or a clear reference to previously furnished descriptive data or information available to the Contracting Officer; and (4) Clearly describe any modifications the offeror plans to make in a product to make it conform to the solicitation requirements. Mark any descriptive material to clearly show the modifications. (c) The Contracting Officer will evaluate "equal" products on the basis of information furnished by the offeror or identified in the offer and reasonably available to the Contracting Officer. The Contracting Officer is not responsible for locating or obtaining any information not identified in the offer. (d) Unless the offeror clearly indicates in its offer that the product being offered is an "equal" product, the offeror shall provide the brand name product referenced in the solicitation. (End of Provision) FAR 52.212-1 Instructions to Offerors - Commercial Items (Jun 2008). FAR 52.212-3 Offeror Representations and Certifications -- Commercial Items (Aug 2009): Offerors must include a completed copy of the provision with its offer. If the offeror has completed online representations and certifications at https://orca.bpn.gov/, the offeror only needs to complete paragraph (b). If the offeror has not completed online representations and certifications, the offeror must complete all relevant portions of this provision. FAR 52.212-4 Contract Terms and Conditions -- Commercial Items (Jun 2010). FAR 52.212-5 Contract Terms and Conditions Required to Implement Statutes or Executive Orders -- COMMERCIAL ITEMS (May 2012) For the purposes of this clause items (b) 4, 6, 7, 11, 21, 24, 25, 26, 27, 28, 29, 30, 36, 37, 38, 40, 43, 46 are considered checked and apply. FAR 52.232-38 Submission of Electronic Funds Transfer Information with Offer (May 1999) FAR 52.252-1 Solicitation Provisions Incorporated by Reference (Feb 1998). For the purpose of this provision, the fill-in's are provided at: https://www.acquisition.gov/far/index.html http://www.va.gov/oamm/oa/ars/policyreg/vaar/ FAR 52.252-2 Clauses Incorporated by Reference (Feb 1998). For the purpose of this clause, the fill-in's are provided at: https://www.acquisition.gov/far/index.html http://www.va.gov/oamm/oa/ars/policyreg/vaar/ VAAR 852.203-70 Commercial Advertising (Jan 2008) VAAR 852.273-76 Electronic Invoice Submission (Interim - October 2008) Contracting Office Address: Department of Veterans Affairs; VISN 21 3801 Miranda Avenue, 90CCA Palo Alto, CA 94304 Primary Point of Contact: Carol Lam [email protected] Phone: 650-493-5000 X65825 Fax: 650-493-2546

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