J045--HYDROJETTING WITH A CAMERA SERVICES

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, which is typically an entity making payments. This information is used for tax reporting purposes.

• Part I: Taxpayer Identification Number (TIN): Requires the individual or entity's name and TIN (Social Security Number or Employer Identification Number).
• 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.
• General Instructions: Provide detailed guidance on who should use the form, how to complete it, and definitions of terms like "U.S. person."

Bidders responding to SAM.gov opportunities may be required to submit this form to the contracting agency or prime contractor. It is essential for ensuring correct payment processing and compliance with IRS regulations. Failure to provide a correct TIN can lead to backup withholding of payments.

Solicitation / RFP / RFQ

This solicitation is for Sewer Line Hydro Jetting and Cabling Services for the VA San Diego Medical Center and its Community-Based Outpatient Clinics (CBOCs). The services include performing hydro-jetting and "see snake" (camera) services for sewer and waste lines, as well as emergency response services.

• Services: Hydro-jetting and cabling for sewer and waste lines, including emergency response.

• Frequency: Services are to be performed every three (3) months, after normal working hours (nights and weekends).

• Specific Tasks:

  • Hydro-jetting/camera service on clean-outs in the dishwash area (room B122).
  • Hydro-jetting/camera service in the main kitchen (room B128) for grease removal from clean-outs and floor drains.
  • Hydro-jetting/camera service on floor drains and clean-outs in room 1374.
  • Hydro-jetting/camera service on grease and sewer main lines in the warehouse area.
  • Hydro-jetting/camera service on the inlet and outlet of the main grease trap.
  • Hydro-jetting/camera service on exterior storm drains and jetting back under buildings.
  • Hydro-jetting/camera service for cooling tower and storm drains, sinks.
  • Hydro-jetting/camera service for indoor floor drains and basement mezzanine/main grease trap.

• Emergency Services: 24/7 dispatch for hydro-jetting and cabling services, with a response time of one (1) hour for a phone call and eight (8) business hours for on-site response.

• Odor Control: Measures to control noxious odors are required.

• Safety: Compliance with Federal, State, and VA safety regulations (OSHA, NFPA 70E).

• Reporting: Provide service reports for all preventative and corrective maintenance.

• Subcontracting: Contractor must obtain CO approval before replacing subcontractors and is responsible for ensuring subcontractors meet contract requirements.

• Contract Type: Firm Fixed Price

• Period of Performance: Base Year (07/01/2026 – 06/30/2027) with four (4) Option Years (through 06/30/2031).

• Offer Due Date: June 24, 2026, 12:00 PM MDT

• Questions Due Date: June 17, 2026, 12:00 PM MST

• Submission Method: Offers to be submitted via email to charity.cazee@va.gov in PDF format.

• Evaluation Factors:

  1. General Information/Technical Approach
  2. Price
  3. Experience
  4. Required Documents

• Key Requirements: Offerors must provide detailed experience references and specific documentation, including VA Form 10091, W-9, FMS Vendor File Update Form, and SAM registration. VAAR 852.219-75 and -76 certifications must be signed.

• The acquisition is a total set-aside for Service-Disabled Veteran-Owned Small Businesses (SDVOSBs).

• NAICS Code: 562991 (Septic Tank and Related Services)

• Size Standard: $9.5 Million

• Overtime or holiday pay for contractor employees is the sole responsibility of the contractor and will not be billed or reimbursed by the Government.

• The contractor must wear identification badges on VA Healthcare System grounds.

• Smoking is not permitted within VA Healthcare System facilities.

• Invoices must be submitted monthly via the Tungsten-Network System.

Form / Attachment / Pricing Sheet

This document, VA Form 10091, is the VA-FSC Vendor File Request Form. It is used by vendors to establish, update, or change their information in the VA's Financial Management System (FMS) vendor file. This is necessary for receiving payments from the VA.

• VA Facility Information: Details about the specific VA station submitting the form.
• Payee/Vendor Type: Classification of the vendor (e.g., Commercial, Employee, Foreign).
• Payee/Vendor Information: Includes registration status in SAM.gov, Unique Entity Identifier (UEI), SSN/TIN, vendor name, and DBA.
• Miscellaneous Actions: Options for specific actions like "Assignment of Claims" or "Federal Vendors."
• Contact Information: Authorized representative's name, email, and phone number.
• Address Information: Current and previous addresses.
• EFT/ACH Information: Bank name, routing number, account number, and account type for electronic payments.

Vendors must complete and submit this form to ensure they can receive payments from the VA. It is crucial for establishing or updating vendor records, particularly for electronic funds transfer (EFT) for payments. Failure to provide accurate information may delay or prevent payment. Vendors are instructed to fax the completed form to 512-460-5221 for processing. Normal processing time is 3-5 business days.

Form / Attachment / Pricing Sheet

This document is a "VENDOR INFORMATION" form used to collect essential details about a vendor. It is required for new vendor registration or updates within the VA database.

• Vendor Identification: Legal name, Tax Identification Number (TIN) or Social Security Number (SSN).
• Contact Information: Physical and mailing addresses, phone, fax, and point of contact details.
• Contractual Information: Details on existing contracts, payment terms, FOB, and prompt payment discounts.
• Business Classification: Business Type (FPDS), Socioeconomic Group (e.g., Small Disadvantaged Business, Woman-Owned Small Business, Hubzone), and 1099 Vendor Indicator.
• Registration Status: DUN and Bradstreet Number and Central Contractor Registration (CCR) status.
• Compliance Checks: Links to the EPLS and Exclusions websites for mandatory checks.

Vendors must accurately complete this form to be registered or updated in the VA database. Failure to provide complete and accurate information, or to complete the mandatory checks, may result in administrative action and prevent doing business with the Federal Government.

Solicitation / RFP / RFQ

This is a combined synopsis/solicitation for Hydro-Jetting with Camera Services for the Department of Veterans Affairs, San Diego VA Medical Center. The procurement is being conducted in accordance with FAR subpart 12.6 for commercial items. This announcement serves as the sole solicitation; no separate solicitation document will be issued.

• Sewer Line Hydro Jetting and Cabling Services for sewer and waste lines at the VA San Diego Medical Center.

• 24/7 on-call services required at the VA San Diego Medical Center and Community Based Outpatient Clinics (CBOCs).

• Detailed requirements are available in the Statement of Work (SOW) within the RFQ.

• Not explicitly stated in this synopsis, but the SOW should contain further details.

• Questions Deadline: Must be in writing via email to Charity.Cazee@va.gov no later than June 17, 2026, at 12 AM PST (MST).

• Offer Submission Deadline: Must be in writing via email to Charity.Cazee@va.gov no later than June 24, 2026, at 12 PM PST (MST).

• Vendors are instructed not to contact any VA Medical Center employees regarding this RFQ; all inquiries must be directed to the Contracting Officer.

• Set-Aside: SDVOSBC (Service-Disabled Veteran-Owned Small Business).

• NAICS Code: 562991 (Sewer and Waste Pipeline and Related Facilities Construction).

• Small Business Size Standard: $9 Million Dollars.

• This solicitation incorporates provisions and clauses effective through Federal Acquisition Circular 2026-01 / 03/13/2026.

• Referenced attachments include: S02 - 36C26226Q0924 - Hydro-Jetting, FMS Vendor File Update Request Form, W-9 Form, and VA10091.