J049--Dock Lever Repair, Installation & Materials

Form / Attachment / Pricing Sheet

This document is the VA-FSC Vendor File Request Form (VA Form 10091, MAR 2022). It is used by vendors to establish, update, or change their information in the VA's Financial Management System (FMS) vendor file. This is required for receiving payment data electronically via the Automated Clearing House (ACH) Payment System.

• 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), Taxpayer Identification Number (TIN) or Social Security Number (SSN), vendor name, and DBA.
• Contact Information: Authorized representative's name, email, and phone number.
• Address Information: Current and previous addresses.
• EFT/ACH Information: Required for electronic payments, including bank name, routing number, account number, and account type.

Vendors must complete and submit this form to ensure they can receive payments from the VA. It is crucial for any vendor seeking to do business with the VA and receive timely payments. The form requires specific identifying information, including SAM.gov registration details and banking information for electronic fund transfers. Failure to provide accurate information may delay or prevent payments.

Solicitation / RFP / RFQ

This solicitation is for the "Dock Lever Repair Services" for the Phoenix VA Medical Center. The government is procuring the purchase and replacement of one (1) loading dock leveler.

• Provide equipment, labor, and technical assistance for the purchase and replacement of one (1) loading dock leveler.

• Removal and disposal of the existing pit leveler.

• Power wash and clean the wall and floor area of the pit for new dock installation.

• Purchase and installation of one (1) Nordock, hydraulic dock Model # NH610-40-3ph/230VAC or equivalent.

• Test system for proper function.

• Cleanup area and dispose of any debris.

• Proper safety precautions are to be adhered to (e.g., Lock out tag out, Cribbing).

• No hazardous materials are expected.

• Locating underground utilities is not required.

• No formal commissioning process is required.

• Normal hours of coverage are Monday through Friday, 7:00 am to 4:00 pm local time. Service/repairs during normal hours are standard; work outside normal hours requires Contracting Officer approval and modification.

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

• The contractor is not required to provide service on specified U.S. Government holidays.

• Contract Period: Base (One-Time Service)

• Period of Performance: 06/01/2026 - 03/31/2027

• Contract Type: Firm-Fixed-Price

• Offer Due Date: May 25, 2026, 12:00 PM MDT

• Questions Due Date: May 20, 2026, 12:00 PM MST

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

• Evaluation Factors: General Information/Technical Approach, Price, Experience, and Required Documents.

• Specific instructions for submitting offers, including required forms (VA Form 10091, W-9, FMS Vendor File Update Form, SAM registration) and certifications (VAAR 852.219-75 and -76) are detailed.

• This acquisition is a total set-aside for small businesses.

• NAICS Code: 811310 (Commercial and Industrial Machinery and Equipment Repair and Maintenance)

• Size Standard: $9.5 Million

• VA Notice of Total Set-Aside for Certified Service-Disabled Veteran-Owned Small Businesses (SDVOSB) is included.

• Contracting POC: Charity Cazee, charity.cazee@va.gov

• Invoices are to be submitted monthly in arrears electronically via the Tungsten-Network System.

• Numerous FAR and VAAR clauses are incorporated by reference, covering terms and conditions, payment, representations, certifications, and other requirements.

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, 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, beginning/expiration dates, FOB, and prompt payment discount.
• 1099 Vendor Indicator: To determine tax reporting requirements.
• Business Type (FPDS): Classification such 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, etc.
• 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 obtained.
• Central Contractor Registration (CCR): Confirmation of registration, with a link to register at ccr.gov if needed.
• Mandatory Registration Sites: Links to epls.arnet.gov and exclusions.oig.hhs.gov for final checks.

Potential bidders must complete this form accurately to be considered for opportunities. It collects critical information for vendor registration, classification, and payment processing. Failure to complete mandatory fields or register with required systems (DUNS, CCR) can lead to administrative action and prevent participation in federal contracting.

Form / Attachment / Pricing Sheet

This document is a W-9, Request for Taxpayer Identification Number and Certification. It is used by entities and individuals to provide their correct Taxpayer Identification Number (TIN) to the person or entity requesting it (the requester). This information is required 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 who should fill out the form, definitions of U.S. persons, rules for partnerships, and information on backup withholding and penalties.

Bidders may be required to submit this form to the government agency as part of the contracting process. It is essential for ensuring accurate tax reporting and compliance. Failure to provide a correct TIN can result in backup withholding and penalties. Bidders should ensure they complete the form accurately based on their business structure and tax status.

Solicitation / RFP / RFQ

This is a combined synopsis/solicitation for dock lever repair, installation, and materials for the Department of Veterans Affairs, Phoenix VA Medical Center. The procurement is being conducted in accordance with FAR subpart 12.6 for commercial items. This announcement serves as the only solicitation; a written solicitation document will not be issued.

• Provide equipment, labor, and technical assistance for the purchase and replacement of one (1) loading dock leveler.

• Removal and disposal of the existing pit leveler.

• Power washing and cleaning of the wall and floor area of the pit for new dock installation.

• Purchase and installation of one (1) Nordock, hydraulic dock Model # NH610-40-3ph/230VAC or equivalent.

• Testing of the system for proper function.

• Cleanup of the area and disposal of any debris.

• Adherence to proper safety precautions.

• Product Service Code: J049

• NAICS Code: 811310 (Small business size standard: $12.5 Million Dollars)

• Place of Performance: Department of Veterans Affairs, Phoenix VA Medical Center, 650 East Indian School Road, Phoenix AZ 85012-1839

• All questions must be submitted in writing via email to Charity.Cazee@va.gov no later than May 25, 2026, at 12:00 AM PST (MST).

• All offers must be submitted in writing via email to Charity.Cazee@va.gov no later than May 20, 2026, at 12:00 AM PST (MST).

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

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

• The solicitation document and incorporated provisions and clauses are those in effect through Federal Acquisition Circular 2026-01 / 03/13/2026.

• Referenced attachments include: S02 - RFQ - 36C26226Q0811 - Dock Lever, W-9 Form, FMS Vendor File Update Request Form, and VA10091.