J046--Critical Water Upgrade & Disinfection -w/wd,

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 modify their information in the VA's Financial Management System (FMS) vendor file. This is necessary for vendors to receive payment data electronically.

• VA Facility Information: Details about the specific VA station submitting the form.

• Payee/Vendor Type: Classification of the vendor (e.g., Commercial, Employee, Foreign, Federal Agency).

• Payee/Vendor Information: Includes registration status in SAM.gov, Unique Entity Identifier (UEI), Taxpayer Identification Number (TIN)/Social Security Number (SSN), and vendor name.

• EFT/ACH Information: Bank details for electronic fund transfers, including bank name, routing number, account number, and account type.

• Authorized Representative Information: Name, title, email, and signature of the person authorized to make changes.

• Vendors must indicate if they are a 'NEW' or 'UPDATE' vendor.

• Specific sections require completion based on vendor type and registration status (e.g., UEI is required if registered in SAM.gov).

• Electronic Funds Transfer (EFT) information is required for payment processing.

• The form must be signed by an authorized representative.

Vendors seeking to do business with the VA must complete and submit this form to ensure they can be properly registered and paid. It is crucial for receiving payments, especially through the Automated Clearing House (ACH) Payment System. Failure to provide accurate information may delay or prevent payments. The form also requires vendors to confirm their registration in SAM.gov, which is a prerequisite for many VA solicitations.

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 register or update vendor information within the government's database.

• Requester and Service: Identifies the requesting entity and the service being procured.
• Vendor Name and Address: Collects the vendor's legal and "doing business as" name, along with physical and mailing addresses.
• Tax Identification: Requires either a Taxpayer Identification Number (TIN) or Social Security Number (SSN).
• Contact Information: Gathers phone, fax, and email details.
• Existing Contracts: Inquires about current government contracts, including contract number, beginning and expiration dates, FOB, and prompt payment discounts.
• 1099 Indicator: Determines if the vendor is subject to 1099 reporting.
• Business Type (FPDS): Requires classification as Small, Large, Outside VA, or Other Entities.
• Socioeconomic Group: Allows vendors to self-certify in various categories (e.g., Small Disadvantaged Business, Woman-Owned Small Business, Hubzone, etc.).
• Purchase Card Acceptance: Indicates if the vendor accepts government purchase cards.
• DUN and Bradstreet Number: Requires a DUNS number, with instructions for registration if not already obtained.
• Central Contractor Registration (CCR): Verifies if the vendor is registered in CCR, with instructions for registration.
• 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. Completing it accurately ensures that the vendor's information is correctly recorded, which is a prerequisite for contract award and payment. It also helps the government identify eligible small businesses and socioeconomic categories for set-aside opportunities.

Solicitation / RFP / RFQ

This solicitation seeks proposals for the upgrade and disinfection of the critical water system serving the Onyx Clinic at the Phoenix VA Health Care System. The existing Water Tec purification and filtration system is non-compliant with ST108 guidelines and requires refurbishment to resume service.

• Upgrade the existing Water Tec filtration system to meet ST108 requirements.

• Install Nephros MS10 endotoxin filters with Shelco 4FOS1-1.5MNPT-GP-ML housing.

• Add sample ports at specified locations.

• Install a flow meter and regulator capable of reading 3-5 fps on the discharge line.

• Replace the existing UV bulb.

• Replace water softening resin, carbon media, and Reverse Osmosis membranes.

• Perform initial water quality testing to establish a baseline.

• Sanitize the system post-installation according to manufacturer and industry standards.

• Conduct validation testing to ensure water quality meets requirements.

• Perform a final leak check of the entire critical water system.

• Provide owner training on the newly installed system.

• All labor, parts, materials, and equipment must be provided by the contractor.

• Work must comply with local, federal, and VA master specifications, including using schedule 80 PVC and socket weld/flange procedures.

• Contractor is responsible for all subcontractors and required PPE.

• Adherence to VA safety policies (hot work permits, confined spaces, lockout/tagout) is mandatory.

• Contract Type: Firm-Fixed Price

• Period of Performance: 90 days from date of award (estimated POP: 6/2/2026 – 12/31/2026)

• Place of Performance: Phoenix VA Health Care System, Carl T. Hayden Medical Center, Phoenix, AZ

• Offers must be submitted via email to jessica.brooks3@va.gov by 16:00 MST on May 27, 2026.

• Questions are due by 12:00 MST on May 20, 2026, via email to the same address.

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

• Lowest Price Technical Acceptable (LPTA) will not be used.

• Required Documents: Proof of technician training/certification, W-9, FMS Vendor File Update Form, VAAR 852.219-75/-76 certifications, SAM registration verification.

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

• Offerors must be certified SDVOSBs listed in the SBA certification database.

• Compliance with VAAR 852.219-73 and 852.219-75 (Limitations on Subcontracting for Special Trade Construction Contractors - 75% maximum subcontracting to non-SDVOSBs) is required.

• The solicitation incorporates numerous FAR and VAAR clauses by reference, including those related to payment, disputes, and security prohibitions.

• Invoicing is to be submitted electronically via the Tungsten-Network System upon completion of satisfactory work.

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, such as reporting income paid to the individual or entity.

• 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, and that they are a U.S. person.
• General Instructions: Provide detailed guidance on filling out the form, including definitions of U.S. persons, special rules for partnerships, and information on backup withholding and penalties.

Bidders responding to a SAM.gov opportunity may be required to submit this form as part of their proposal or upon contract award. It is essential for ensuring correct tax reporting and avoiding potential backup withholding on payments. Bidders must accurately complete the form with their correct TIN and provide the required certifications.

Solicitation / RFP / RFQ

This solicitation is for Critical Water Upgrade & Disinfection services at the Department of Veteran Affairs, Phoenix VA Healthcare System. The project is located at 650 E. Indian School Road, Phoenix, AZ 85012.

The document outlines the need for critical water upgrades and disinfection. Specific details on the scope of work, major tasks, and technical requirements are not fully detailed in the provided text but are implied by the project title.

• Contracting Office ZIP Code: 85212

• Place of Performance: Department of Veteran Affairs, Phoenix VA Healthcare System, 650 E. Indian School Road, Phoenix AZ 85012, U.S.A.

• Response Date/Time/Zone: 04-30-2026 16:00 MOUNTAIN TIME, DENVER, USA

• Archive: 60 days after the response date.

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

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

• Product Service Code: J046

• 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