J041--OR Booster Chiller Installation -BOnly POP 3/30/2026 - 9/30/2026

Form / Attachment / Pricing Sheet

This document is IRS Form W-9, Request for Taxpayer Identification Number and Certification. It is used by U.S. persons (including resident aliens) to provide their correct Taxpayer Identification Number (TIN) to a requester who is required to file an information return with the IRS. This form is also used to certify certain tax-related matters, such as exemption from backup withholding and FATCA reporting.

• Part I: Taxpayer Identification Number (TIN): Requires the individual or entity to provide their Social Security Number (SSN) or Employer Identification Number (EIN).
• Part II: Certification: Requires the individual or entity to certify that the TIN provided is correct, that they are not subject to backup withholding (or are exempt), and that they are a U.S. citizen or other U.S. person. It also includes a certification for FATCA reporting.
• Lines 1-7: Collects identifying information such as name, business name, address, city, state, and ZIP code.
• Exemptions (Line 4): Allows for the entry of codes if the individual or entity is exempt from backup withholding or FATCA reporting.

If this form is attached to a SAM.gov opportunity, it indicates that the government agency (the requester) requires potential bidders to provide their TIN and certify their tax status as part of the bidding or contracting process. Bidders will need to complete and submit this form accurately to be considered for the opportunity and to avoid potential backup withholding on payments.

Form / Attachment / Pricing Sheet

This document is a "VENDOR INFORMATION" form, likely used to collect essential details about a vendor for government contracting purposes. It serves to gather information for vendor registration and payment processing.

• Requester, Service, Extension: Fields for administrative details.
• Vendor Name and Address: Legal and "doing business as" names, physical and mailing addresses.
• Vendor Tax Identification: TIN or SSN (mandatory).
• Vendor Phone & Fax Number: Contact information.
• Payment Street Address: For remittance.
• Point of Contact: Primary contact person.
• Account Number: For internal tracking.
• Existing Contract: Details about any current contracts, including contract number, payment terms, expiration date, FOB, and prompt payment discount.
• 1099 Vendor Indicator: To determine tax reporting requirements.
• Business Type (FPDS): Classification as Small, Large, Outside VA, or Other Entities.
• Socioeconomic Group: Checkboxes for various categories like Small Disadvantaged Business, Veteran-Owned, Woman-Owned, Hubzone, Javits-Wagner-O'Day, Historically Black Colleges & Universities/Minority Institutions, and others.
• Purchase Card Accepted: Indicates if the vendor accepts government purchase cards.
• DUN and Bradstreet Number: Mandatory field, with instructions to register at dnb.com if not already assigned.
• Central Contractor Registration (CCR): A mandatory field to confirm registration status, with a link to register at ccr.gov if needed.
• Mandatory Registration Sites Check: Instructions to verify vendor status on epls.arnet.gov and exclusions.oig.hhs.gov.

Vendors must complete this form accurately to be considered for opportunities and to receive payment. It collects critical information for vendor eligibility, classification, and compliance with federal registration requirements. Failure to complete mandatory fields or ensure proper registration can lead to administrative action and prevent new vendor information from being entered into the VA database.

Form / Attachment / Pricing Sheet

This document, VA Form 10091, is the Vendor File Request Form used by the VA to gather essential payment data from vendors. It is used to establish or update vendor records for processing electronic payments in accordance with federal regulations.

• Request Type: New Vendor registration or updating an existing vendor.
• VA Facility Information: Details about the VA facility submitting the form.
• Payee/Vendor Information: Includes commercial registration status (SAM.gov), Unique Entity Identifier (UEI), EFT Indicator, Taxpayer Identification Number (TIN/SSN), NPI (for medical providers), Small Business status, Payee/Vendor Name, Doing Business As (DBA), contact information (email, phone), and current/previous addresses.
• EFT/ACH Information: Current bank name, 9-digit routing number, account number, and account type (checking/savings) for payment processing.
• Authorized Representative: Certification by an authorized individual.

Vendors must complete this form to be registered in the VA's financial system to receive payments for goods or services. For new vendors, registration in SAM.gov is required, and the information on this form must match SAM.gov. Existing vendors with banking changes must also update this information. Failure to provide accurate and matching information can delay or prevent payments.

Solicitation / RFP / RFQ

This solicitation is for the "OR Air-Cooled Chiller Replacement Installation" at the Carl T. Hyden VA Medical Center in Phoenix, AZ. The project involves replacing the existing rooftop air-cooled chiller system with a Government-furnished York chiller. The goal is to integrate the new unit seamlessly with the facility's existing mechanical, electrical, and control systems.

• Provide all labor, materials, transportation, rigging, and equipment for installation.

• Coordinate delivery and crane the new chiller to the 7th-floor mechanical area.

• Disconnect, demo, and remove existing equipment.

• Install new isolation valves, butterfly valves, and air bleeders.

• Install new piping, fittings, and insulation.

• Complete electrical conductor and mechanical piping connections.

• Perform manufacturer-required startup, system commissioning, and testing.

• Provide complete turnover documentation.

• Comply with all applicable VA, federal, and manufacturer requirements.

• Contractor shall guarantee workmanship and materials for at least 30 days.

• Contract Type: Firm-Fixed Price

• Period of Performance: 6 months from contract award (installation window is 8 days once started).

• Estimated Value: $19 Million (from SF 1449 Block 9)

• Offers are due by March 23, 2026, at 16:00 MST.

• All questions are due by March 19, 2026, at 14:00 MST.

• Offers must be submitted via email to jessica.brooks3@va.gov.

• Evaluation Factors: Technical Approach, Experience, Price, Past Performance, and Required Documents.

• The award will be made on a best-value tradeoff basis, considering both price and non-price factors.

• This acquisition is UNRESTRICTED (from SF 1449 Block 10).

• However, VAAR 852.219-73 and VAAR 852.219-75 indicate requirements for certified Service-Disabled Veteran-Owned Small Businesses (SDVOSBs) and adherence to limitations on subcontracting.

• Offerors must submit VA Form 10091, FMS Vendor File Update Request Form, and W-9 with their offer.

• Required documents include verification of SAM registration and signed VAAR 852.219-75 and -76 certifications.

Solicitation / RFP / RFQ

This solicitation is for the installation of an OR Air-Cooled Chiller Replacement. The project is for the Department of Veterans Affairs, Phoenix VA Healthcare System.

• Installation of an OR Booster Chiller.

• Period of Performance: March 30, 2026 - September 30, 2026.

• Response Date/Time/Zone: March 18, 2026, 16:00 Mountain Time, Denver, USA.

• This opportunity is set-aside for Service-Disabled Veteran-Owned Small Businesses (SDVOSB).

• NAICS Code: 238220 (Plumbing, Heating, and Air-Conditioning Contractors).

• Product Service Code: J041 (Air Conditioning Equipment).

• Place of Performance: Phoenix VA Healthcare System, 650 E. Indian School Road, Phoenix AZ 85212, USA.

• Contracting Office Address: NCO 22, Department of Veterans Affairs, 4135 S. Power Road, Mesa AZ 85212.

• Point of Contact: Jessica Brooks, Contract Specialist, jessica.brooks3@va.gov, 480-466-7940.