Attachment 2: Combined Synopsis/Solicitation for Commercial Items VHAPM Part 813.106-1/2 SAP: Soliciting Competition & Evaluation of Quotations/Offers Page 1 of 4 Original Date: 10/12/17 Revision 01 Date: 01/08/18 COMBINED SYNOPSIS/SOLICITATION FOR COMMERCIAL ITEMS BRAND NAME ONLY General Information Document Type: Combined Solicitation/Synopsis Solicitation Number: 36C25021Q0389 Posted Date: 2/9/2021 Original Response Date: 2/16/2021 Current Response Date: 2/16/2021 Product or Service Code: 6640 Set Aside (SDVOSB/VOSB): Unrestricted, No Set-Aside NAICS Code: 339112 Contracting Office Address Department of Veterans Affairs, VA Healthcare System 24 Frank Lloyd Wright Drive Lobby M, Suite M2200 Ann Arbor, MI 48105 Description This is a brand name only combined synopsis/solicitation for commercial items prepared in accordance with the format in Federal Acquisition Regulation (FAR) subpart 12.6, Streamlined Procedures for Evaluation and Solicitation for Commercial Items, as supplemented with additional information included in this notice. This announcement constitutes the only solicitation; quotations are being requested, and a written solicitation document will not be issued. This solicitation is a request for quotations (RFQ). The solicitation document and incorporated provisions and clauses are those in effect through Federal Acquisition Circular FAC 2021-04. The associated North American Industrial Classification System (NAICS) code for this procurement is 339112, with a small business size standard of 1000 Employees. Supplies ITEM INFORMATION ITEM NUMBER DESCRIPTION OF SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0001 2.00 EA $___ $___ BX46F-1-3; Microscope Frame with 5-Position Nosepiece LOCAL STOCK NUMBER: BX46F3 Funding/Req. Number: 1 506-21-2-118-0073 0002 2.00 EA $___ $___ 7-Position coded nosepiece for BX Frames, includes slot for DIC prism LOCAL STOCK NUMBER: U-D7RES-1-2 Funding/Req. Number: 1 506-21-2-118-0073 0003 2.00 EA $___ $___ Nosepiece Adapter to mount U-D6RE(S) & U-D7RE(S) on BX46 LOCAL STOCK NUMBER: OAX-NPADPTER Funding/Req. Number: 1 506-21-2-118-0073 0004 1.00 EA $___ $___ U-TBI-3-CLI; TILTING BINOCULAR OBS TUBE,5-35 DEG ,REVERSE LOCAL STOCK NUMBER: 3-U137 Funding/Req. Number: 1 506-21-2-118-0073 0005 1.00 EA $___ $___ U-TTLBI;TILTING TELESCOPING LI FTNG BINOC HEAD, INVERTD IMAGE LOCAL STOCK NUMBER: 3-U341 Funding/Req. Number: 1 506-21-2-118-0073 0006 2.00 EA $___ $___ Eyepiece for BX/IX, 10x Focusing w/ =24mm t=1.5mm Recital Shelf, FN22 LOCAL STOCK NUMBER: WHN10X-H-1-8 Funding/Req. Number: 1 506-21-2-118-0073 0007 2.00 EA $___ $___ Eyepiece for BX/IX, 10x w/ =24mm t=1.5mm Recital Shelf, FN22 LOCAL STOCK NUMBER: WHN10X-1-8 Funding/Req. Number: 1 506-21-2-118-0073 0008 1.00 EA $___ $___ U-SVRC; RIGHT HAND MECHANICAL STAGE FOR BX45 LOCAL STOCK NUMBER: 4-U132 Funding/Req. Number: 1 506-21-2-118-0073 0009 1.00 EA $___ $___ U-SP; NON-CERAMIC PLAIN STAGE WITHOUT MECHANICAL MOVEMENT. COATING SUBJECT TO WEAR. LOCAL STOCK NUMBER: 4-U100 Funding/Req. Number: 1 506-21-2-118-0073 0010 2.00 EA $___ $___ U-HLST-4, SINGLE SLIDE HOLDER THICK LOCAL STOCK NUMBER: 4-U146 Funding/Req. Number: 1 506-21-2-118-0073 0011 2.00 EA $___ $___ U-LHLEDC-1-2; TRANSMITTED WHITE LED FOR BX43, BX46, BX63 LOCAL STOCK NUMBER: 5-UL3152 Funding/Req. Number: 1 506-21-2-118-0073 0012 4.00 EA $___ $___ UYCP-11;US STYLE 3-PRONG POWER CORD LOCAL STOCK NUMBER: UYCP-11 Funding/Req. Number: 1 506-21-2-118-0073 0013 2.00 EA $___ $___ LOGO CLOTH DUSTCOVER 11X25X26", ANTI-STATIC BX, IX LOCAL STOCK NUMBER: OMT-010 Funding/Req. Number: 1 506-21-2-118-0073 0014 2.00 EA $___ $___ PLAPON2X;PLAN APO 2X OBJECTIVE,NA 0.08,WD 6.2MM LOCAL STOCK NUMBER: 1-U2B921 Funding/Req. Number: 1 506-21-2-118-0073 0015 1.00 EA $___ $___ UPLFLN4X-2; U Plan Fluorite 4X Objective, NA 0.13, WD 17MM LOCAL STOCK NUMBER: 1-U2B5222 Funding/Req. Number: 1 506-21-2-118-0073 0016 1.00 EA $____ $___ U PL XAPO 4X OBJECTIVE, OFN26.5, NA0.16, WD13mm LOCAL STOCK NUMBER: UPLXAPO4X Funding/Req. Number: 1 506-21-2-118-0073 0017 1.00 EA $___ $___ UPLFLN10X2-2; U Plan Fluorite 10X Objective NA 0.3, WD 10MM LOCAL STOCK NUMBER: 1-U2B5242 Funding/Req. Number: 1 506-21-2-118-0073 0018 1.00 EA $___ $___ U PL XAPO 10X OBJECTIVE, OFN26.5, NA0.40, WD3.1mm LOCAL STOCK NUMBER: UPLXAPO10X Funding/Req. Number: 1 506-21-2-118-0073 0019 1.00 EA $___ $___ UPLFLN20X-2; U Plan Fluorite 20X Objective, NA 0.5, WD 2.1MM LOCAL STOCK NUMBER: 1-U2B5252 Funding/Req. Number: 1 506-21-2-118-0073 0020 1.00 EA $____ $____ U PL XAPO 20X OBJECTIVE, OFN26.5, NA0.80 WD0.6mm LOCAL STOCK NUMBER: UPLXAPO20X Funding/Req. Number: 1 506-21-2-118-0073 0021 1.00 EA $___ $____ UPLFLN40X-2; U Plan Fluorite 40X Objective, NA 0.75, WD 0.51MM LOCAL STOCK NUMBER: 1-U2B5272 Funding/Req. Number: 1 506-21-2-118-0073 0022 1.00 EA $____ $___ UPL XAPO 40X OBJECTIVE, OFN26.5, NA0.95, WD0.18mm, W/CC LOCAL STOCK NUMBER: UPLXAPO40X Funding/Req. Number: 1 506-21-2-118-0073 0023 1.00 EA $____ $___ PLN50XOI;PLAN ACHROMAT 50X O/I OBJ,NA0.9,WD0.2MM LOCAL STOCK NUMBER: 1-U2B230 Funding/Req. Number: 1 506-21-2-118-0073 0024 1.00 EA $____ $___ UPLFLN60X-2; U Plan Fluorite 60X Objective, NA 0.9, WD 0.2MM, W/CC LOCAL STOCK NUMBER: 1-U2B5312 Funding/Req. Number: 1 506-21-2-118-0073 0025 1.00 EA $___ $___ UPLFLN100XO2-2; U Plan Fluorite 1 00X Oil Objective, NA 1.30,WD 0.20MM LOCAL STOCK NUMBER: 1-U2B53522 Funding/Req. Number: 1 506-21-2-118-0073 0026 1.00 EA $___ $___ UPLXAPO100X OIL OBJECTIVE, OFN26.5, NA1.45, WD0.13mm LOCAL STOCK NUMBER: UPLXAPO100XO Funding/Req. Number: 1 506-21-2-118-0073 0027 1.00 EA $___ $___ U-OCM10/100; Eyepiece reticle: 1mm micrometer. 0.1mm intervals. 24mm diameter for WHN, WH, WHS eyepieces LOCAL STOCK NUMBER: 9-U173 Funding/Req. Number: 1 506-21-2-118-0073 0028 2.00 EA $____ $____ Dual Observation Attachment for Front-to-Back Viewing with Built-In LED Pointer LOCAL STOCK NUMBER: U-DO3-1-7 Funding/Req. Number: 1 506-21-2-118-0073 0029 2.00 EA $___ $___ U-TTR-2;TILTING TRINOC HEAD 50:50,100:0,0:100% POSITIONS LOCAL STOCK NUMBER: 3-U330 Funding/Req. Number: 1 506-21-2-118-0073 0030 2.00 EA $___ $___ Eyepiece for BX/IX, 10x Focusing w/ =24mm t=1.5mm Retical Shelf, FN22 LOCAL STOCK NUMBER: WHN10X-H-1-8 Funding/Req. Number: 1 506-21-2-118-0073 0031 2.00 EA $___ $___ Eyepiece for BX/IX, 10x w/ =24mm t=1.5mm Retical Shelf, FN22 LOCAL STOCK NUMBER: WHN10X-1-8 Funding/Req. Number: 1 506-21-2-118-0073 0032 2.00 EA $___ $___ UGAN:ANALYZER FOR URATE CRYSTAL OBSERVAT. FOR TRANS. LIGHT 3 LOCAL STOCK NUMBER: U-P803 Funding/Req. Number: 1 506-21-2-118-0073 0033 2.00 EA $___ $___ BX45-PO;POLARIZER FOR BX45 FILTER SLOT LOCAL STOCK NUMBER: U-P500 Funding/Req. Number: 1 506-21-2-118-0073 0034 2.00 EA $___ $___ Eyepiece for BX/IX, 10x w/ =24mm t=1.5mm Retical Shelf, FN22 LOCAL STOCK NUMBER: WHN10X-1-8 Funding/Req. Number: 1 506-21-2-118-0073 0035 2.00 EA $___ $___ U-OCM10/100;24MM DIA,MICROMETER DISC,10MM/100 UNITS,WH EYEPI LOCAL STOCK NUMBER: 9-U210 Funding/Req. Number: 1 506-21-2-118-0073 0036 2.00 EA $____ $___ U-TV0.5XC-3-8; CCD CAMERA ADAPTER,0.5X LENS,C-MOUNT LOCAL STOCK NUMBER: U-V105C48 Funding/Req. Number: 1 506-21-2-118-0073 GRAND TOTAL $________ FOB Destination to: Address: Department of Veterans Affairs Ann Arbor VA Medical Center Warehouse 2215 Fuller Road Ann Arbor, MI 48105 ATTN: Barbara Montalvo Award shall be made to the quoter whose quotation is lowest price, technically acceptable. The full text of FAR provisions or clauses may be accessed electronically at http://acquisition.gov/comp/far/index.html. The following solicitation provisions apply to this acquisition: FAR 52.212-1, Instructions to Offerors Commercial Items FAR 52.204-7, 52.204-16 FAR 52.212-3, Offerors Representations and Certifications Commercial Items Offerors must complete annual representations and certifications electronically via the System for Award Management (SAM) website located at https://www.sam.gov/portal in accordance with FAR 52.212-3, Offerors Representations and Certifications Commercial Items. If paragraph (j) of the provision is applicable, a written submission is required. The following contract clauses apply to this acquisition: FAR 52.212-4, Contract Terms and Conditions Commercial Items : 52.204-13, 52.204-18, 52.216-18, 52.216-19, 52.216-22, 52.225-3, 52.232-37, 52.232-40, 852.212-71, 852.203-70, 852.232-72, 852.246-71. FAR 52.212-5, Contract Terms and Conditions Required to Implement Statutes or Executive Orders : 52.204-10, 52.209-6,52.222-3, 52.222-19, 52.222-26, 52.222-36, 52.223-18, 52.225-3, 52.225-13, 52.232-34. All quotes shall be sent to the contract specialist electronically at [email protected] This is an open-market combined synopsis/solicitation for products as defined herein.  The government intends to award a purchase order as a result of this combined synopsis/solicitation that will include the terms and conditions set forth herein. To facilitate the award process, all quotes must include a statement regarding the terms and conditions herein as follows: "The terms and conditions in the solicitation are acceptable to be included in the award document without modification, deletion, or addition." OR "The terms and conditions in the solicitation are acceptable to be included in the award document with the exception, deletion, or addition of the following:" Quoter shall list exception(s) and rationale for the exception(s). Submission shall be received not later than Tuesday, February 16, 2021 at 5:30 pm EST. Late submissions shall be treated in accordance with the solicitation provision at FAR 52.212-1(f). Only emailed quotes will be accepted. Any questions or concerns regarding this solicitation should be forwarded in writing via e-mail to the contract specialist, Matthew Durden at [email protected] All questions shall be received by Monday, February 12, 2021, 5:30 pm EST.

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