REQUEST FOR INFORMATION VISN 4 is requesting information form companies who offer the following services. THIS IS A REQUEST FOR INFORMATION (RFI) ONLY: The market research is looking to identify potential vendors who have the capabilities to offer the following: Veterans Integrated Service Network (VISN) 4 provides Home Oxygen delivery and set-up to Veteran beneficiaries in Pennsylvania and Delaware. The Contractor(s) shall be responsible for providing Home Oxygen supply to Veteran beneficiaries serviced by VISN 4 Prosthetics and Sensory Aid Service (P&SAS). The contractor shall provide all supplies, materials, equipment, transportation of equipment, set-up, labor, supervision, patient education, safety management, and infection control, as necessary, for patients on home respiratory care therapy, as specified. Any companies interested in this requirement please respond. Potential sites for services include: Wilmington VAMC in Delaware, Lebanon VAMC in Pennsylvania, Wilkes-Barre VAMC in Pennsylvania, and Coatesville VAMC in Pennsylvania. NAICS CODE: 532291 Product Service Code: W065 If your company provides Home Oxygen Services, please contact me at [email protected] and provide the following information and any additional information that you deem pertinent: Company Name POC Phone Number Email Address Duns Business Size Interested vendors, please provide information regarding which sites, if not all, that your company would be able to service. VISN 4 is also looking for feedback regarding the CLIN structure. Included is a draft CLIN structure. Any vendor interested in making suggestions regard the CLIN structure may do so. Please include this information in your response to the Sources Sought Notice. DISCLAIMER This RFI is issued solely for information and planning purposes only and does not constitute a solicitation. All information received in response to this RFI that is marked as proprietary will be handled accordingly. In accordance with FAR 15.201(e), responses to this notice are not offers and cannot be accepted by the Government to form a binding contract. Responders are solely responsible for all expenses associated with responding to this RFI. B.2 SCHEDULE SUPPLIES/SERVICES CLIN Item Description Est. Qty. Unit Unit Price Total Price 0001 Initial setup and monthly maintenance for Government furnished concentrators 0002 Initial setup and monthly maintenance for Government furnished ventilators 0003 Missed Patient Visit/Patient Refusal at Home 0004 Emergency Visit 0005 Cylinder, size M or H set-up (primary) 0006 Cylinder, size M or H refill - E0443 0007 Cylinder, size E refills E0443 0008 Cylinder, size D refills E0443 0009 Cylinder, size M6 refills E0443 0010 Compressor - 50 psi - rental 0011 Humidifier, Heated - Rental 0012 Demand Nasal Cannula (e.g. Oximyzer) Reservoir or pendant/equivalent. VA111 0013 Pulse Conserver Device (purchase) 0014 Delivery of VA provided CPAP and BiPAP equipment, including setup and patient education. 0015 Recovery of VA owned equipment 0016 Relocation of equipment due to change in beneficiaries residence 0017 Annual Maintenance of VA owned concentrators

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