Page 1 of 4 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. The solicitation number is VA250-17-Q-1059 and is issued as a request for quotation (RFQ) in accordance with FAR Parts 12 and 13. The solicitation document and incorporated provisions and clauses are those in effect through Federal Acquisition Circular 2005-95. The associated NAICS code is 334510 Electromedical and Electrotherapeutic Apparatus Manufacturing and small business size standard is 1,250 employees. This is a total service disabled veteran owned small business set-aside. The requirement is for three (3) ZEISS OS \F\ CIRRUS HD-OCT (Model 5000) w/\F\ AngioPlex OCT Angiography Version 9.0. for use at the Veterans Health Care System of the Ozarks, 1110 N College Avenue, Fayetteville, AR 72703. This announcement constitutes the only solicitation; a formal, written solicitation will not be issued. PAPER COPIES OF THIS SOLICITATION WILL NOT BE AVAILABLE. This solicitation documents and incorporates provisions and clauses in effect through FAC 2005-95. It is the responsibility of the contractor to be familiar with the applicable clauses and provisions. The clauses may be accessed in full text at these addresses: https://www.acquisition.gov/Far/. The selected Offeror shall comply with the following commercial item terms and conditions, which are incorporated herein by reference: FAR 52.212-1, Instructions to Offerors -Commercial Items, FAR 52.212-3, Offeror Representations and Certifications-Commercial Items - the selected offeror shall submit a completed copy of the listed representations and certifications or confirm that the annual representations and certifications was completed electronically via the SAM website accessed through http://www.acquisition.gov; FAR 52.212-4, Contract Terms and Conditions-Commercial Items; 52.203-17, 52.203-99, and 52.204-4. FAR 52.212-5, Contract Terms and Conditions Required To Implement Statutes or Executive Orders-Commercial Items, paragraph (a) and the following clauses in paragraph (b): 52.203-6, 52.204-10, 52.209-6, 52.219-6, 52.219-8, 52.219-14, 52.219-27, 52.222-3, 52.222-19, 52.222-21, 52.222-26, 52.222-35, 52.222-36, 52.222-37, 52.222-40, 52.222-50, 52.223-18, 52.225-1, 52.225-13, and 52.232-33. The full text of the referenced FAR clauses may be accessed electronically at https://www.acquisition.gov/far/. Evaluation: will be made using the procedures under FAR 13. Offers will be evaluate using the Lowest price technically Acceptable (LPTA). The following VAAR Clauses apply 852.203-70 Commercial Advertising 852.211-70 Service Data Manuals 852.219-10 VA Notice of total service-disabled veteran-owned small business set-aside. 852.232-72 Electronic submission of payment requests 852.246-70 Guarantee (at least one year) 852.246-71 Inspection The Following VAAR Provisions apply 852.211-72 Technical Industry Standards Quotes are to be emailed to Arlene A. Blade at [email protected], no later than 13 July 2017 3:00 p.m. CST. Contract Title: ZEISS CIRRUS HD-OCT MODEL 5000 Scope: The Veterans Health Care System of the Ozarks, 1110 N College Avenue, Fayetteville, AR 72703 is requesting the following items for Ophthalmology and Optometry Clinics: Item # Description/Part Number* Qty Price Extended Amount 1 ZEISS OS \F\ CIRRUS HD-OCT (Model 5000) w/\F\ AngioPlex OCT Angiography Version 9.0. Includes Smart HD Scans, FastTrac, Adv RPE,GCA, Printer & Table ****INCLUDED WITH THE PURCHASE OF A CIRRUS 5000 IS: 266002-1157-764 - PREMIER ANTERIOR SEGMENT**** 3   Total   3. Specific Task: 3.1 Task 1 Delivery of Equipment and Supplies Deliverables: The equipment will be delivered to the facility: Veterans Health Care System of the Ozarks 1110 N College Avenue Fayetteville, AR 72703 3.2 Task 2. Installation and Assembly Insulation will be provided by the vendor/ manufacturer. Deliverables: Installation and assembly of equipment will be complete and approved for use by the vendor, the medical staff, biomed, and any other applicable groups. 3.3 Task 3. Warranty A one year warranty is offered by the manufacturer. 4. Security Requirements: The equipment and accessories will not connect to the VA network. 5. Government Furnished Equipment (GFE)/Government Furnished Information (GFI): There will be no Government-Furnished Equipment or Government furnished Information provided to the vendor. 6. Other Pertinent Information or Special Considerations: Identification of Possible Follow-on Work. Possible follow-on work could be contact with the Vendor for troubleshooting problems. Also, vendor may be notified if the product is not functioning properly Identification of Potential Conflicts of Interest (COI). There are no known potential conflicts of interest. Identification of Non-Disclosure Requirements. The vendor will not have access to any VA patient sensitive information or proprietary information. Packaging and Shipping Instructions: Packaging and shipping will be at the discretion of the vendor Inspection and Acceptance Criteria: Products will be inspected upon arrival by the Pamela Skinner or designated Surgical Service Personnel. Risk Control: The Surgical Service will follow any safety recommendations given by the vendor for the equipment. 7. Place of Performance: Veterans Health Care System of the Ozarks 1110 N College Avenue Fayetteville, AR 72703 8. Period of Performance: One time purchase 9. Delivery Schedule: The items listed above shall be delivered to the Veterans Health Care System of the Ozarks, Fayetteville, AR 72703 30 days after notice of award. 10. Point of Contact: PAMELA SKINNER PHONE: (479) 443-4301 ext. 65240 EMAIL: [email protected] ITEM INFORMATION ITEM NUMBER DESCRIPTION OF SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0001 ZEISS OS \F\ CIRRUS HD-OCT (Model 5000) w/\F\ AngioPlex OCT Angiography Version 9.0. Includes Smart HD Scans, FastTrac, Adv RPE,GCA, Printer & Table ****INCLUDED WITH THE PURCHASE OF A CIRRUS 5000 IS: 266002-1157-764 - PREMIER ANTERIOR SEGMENT**** TOTAL COST 3.00 EA ___________ _________________

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