J041--OR Booster Chiller Installation -W/WD, BOnly POP 4/16/2026 - 10/31/2026

Form / Attachment / Pricing Sheet

This document, VA Form 10091, is a Vendor File Request Form used by the VA's Financial Services Center (FSC) 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: Vendors must select either 'NEW VENDOR' or 'UPDATE EXISTING VENDOR'.
• VA Facility Information: For internal VA use, including station number, contact, and communication details.
• Payee/Vendor Information: This section requires critical vendor details such as:
  • Commercial vendor registration status in SAM.gov.
  • Unique Entity Identifier (UEI).
  • EFT Indicator.
  • Social Security Number (SSN) or Taxpayer Identification Number (TIN).
  • National Provider Identifier (NPI) for medical providers.
  • Small Business status.
  • Legal Payee/Vendor Name and Doing Business As (DBA) name.
  • Contact email and phone number.
  • Current and previous addresses.
• EFT/ACH Information: Details for the current bank name, 9-digit routing number, and account number for electronic payments.
• Authorized Representative: Information and signature of the individual authorized to represent the vendor.

Vendors seeking to do business with the VA must complete this form to ensure they can receive payments. It is crucial for new vendors to register and for existing vendors to update their information, especially banking details, to avoid payment delays. Information provided on this form must match SAM.gov registration details for new vendors.

Form / Attachment / Pricing Sheet

This document is IRS Form W-9, Request for Taxpayer Identification Number and Certification. It is used by individuals and entities 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 not sent to the IRS; it is given directly to the requester.

• Part I: Taxpayer Identification Number (TIN): Requires the entry of a Social Security Number (SSN) or Employer Identification Number (EIN).
• Part II: Certification: Certifies that the TIN provided is correct, that the individual/entity is not subject to backup withholding, and that they are a U.S. person.
• Lines 1-7: Collects name, business name (if applicable), address, city, state, ZIP code, and account numbers.
• Taxpayer Identification Number (TIN) Section: Specifies where to enter the SSN or EIN.
• Certification Section: Requires the individual/entity to certify certain tax-related statements.

If this form is attached to a SAM.gov opportunity, it indicates that the government (the requester) needs the vendor (the bidder) to provide their TIN. Bidders will need to complete and submit this form as part of their response or onboarding process if they are awarded the contract. Failure to provide a correct TIN can lead to backup withholding or delays in payment.

Form / Attachment / Pricing Sheet

This document is a "VENDOR INFORMATION" form, likely used to collect essential details about a vendor for contracting or payment purposes within the Federal Government, specifically mentioning the VA database.

• Requester, Service, Extension: Fields for administrative identification.
• Vendor Name and Address: Basic identification and contact information.
• Vendor Tax Identification: Requires either TIN or SSN (mandatory).
• Vendor Phone & Fax Number: Contact details.
• Payment Street Address: For remittance.
• Point of Contact: Primary contact person.
• Account Number: For internal tracking.
• Existing Contract: Inquires about prior contracts, requiring contract number, payment terms, and expiration date if applicable.
• FOB, Prompt Payment Discount: Shipping terms and discount options.
• 1099 Vendor Indicator: For tax reporting purposes.
• Business Type (FPDS): Classification as Small, Large, Outside VA, or Other Entities.
• Socioeconomic Group: Checkboxes for various categories including Small Disadvantaged Business, Veteran-Owned, Woman-Owned, Hubzone, Javits-Wagner-O'Day, Historically Black College & University/Minority Institute, and Veteran-Service Disabled.
• Purchase Card Accepted: Indicates payment method acceptance.
• DUN and Bradstreet Number: Requires registration at dnb.com if not already obtained.
• Central Contractor Registration (CCR): Requires registration at ccr.gov if not already registered.
• Mandatory Checks: Directs vendors to check the EPLS and Exclusions websites for final verification.

This form is critical for any vendor seeking to do business with the government agency issuing this opportunity. Bidders must accurately complete all mandatory fields to be considered for contract award and to ensure proper payment and registration status. Failure to complete these fields correctly could lead to administrative action or disqualification.

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 installing a Government-furnished York Air-Cooled Chiller (Model YLAA0125HJ46XFB, R454B refrigerant) to replace the existing unit. The new chiller must integrate with the facility's current mechanical, electrical, and control systems.

• Delivery and craning of the chiller to the 7th-floor mechanical area.

• Disconnecting and safe disposal of existing equipment.

• Installation of new isolation valves, fittings, and piping with insulation.

• Installation of a new 400amp disconnect with fuses.

• Completion of electrical conductor and mechanical piping connections.

• Manufacturer-required startup, system commissioning, and testing.

• Provision of complete turnover documentation.

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

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

• Contract Type: Firm-Fixed Price

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

• Place of Performance: Carl T. Hyden VA Medical Center, Phoenix, AZ.

• Offers are due by March 31, 2026, at 16:00 MST via email to jessica.brooks3@va.gov. Offers must be in PDF format.

• All questions must be submitted by email by March 27, 2026, at 14:00 MST.

• 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.

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

• Size Standard: Not explicitly stated, but implied to be for small businesses based on solicitation context.

• Offerors must obtain all necessary licenses and certifications for mechanical, electrical, crane/rigging, and HVAC installation in Arizona.

• Offerors must submit VA Form 10091 and W-9 to the VA Financial Service Center.

• The solicitation incorporates FAR clauses by reference, including 52.212-1, 52.212-4, and 52.212-5.

• Specific vendorization forms (VA Form 10091, W9, VA10091) are required with the offer.

Solicitation / RFP / RFQ

This solicitation is for the "OR Booster Chiller Installation" at the Department of Veteran Affairs, Phoenix VA Healthcare System. The project is located in Phoenix, AZ, 85012.

• Installation of an "OR Booster Chiller".

• Period of Performance: April 16, 2026 - October 31, 2026.

• Response Date/Time/Zone: March 31, 2026, 16:00 Mountain Time, Denver, USA.

• Archive: 15 days after the response date.

• This opportunity is not set-aside.

• Product Service Code: J041

• NAICS Code: 238220

• Contracting Office ZIP Code: 85212

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

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

Solicitation / RFP / RFQ

This solicitation is for the installation of an OR Booster Chiller. The work is to be performed at the Department of Veteran Affairs, Phoenix VA Healthcare System.

• Installation of an OR Booster Chiller.

• Period of Performance: April 16, 2026 - October 31, 2026.

• Response Date/Time/Zone: March 31, 2026, 16:00 Mountain Time, Denver, USA.

• This solicitation is set-aside for SBA (Small Business Administration).

• Product Service Code: J041

• NAICS Code: 238220

• Contracting Office ZIP Code: 85212

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

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