J065--LEASE and PREVENTATIVE MAINTENANCE STRYKER EQUIPMENT -Base w/WD

Form / Attachment / Pricing Sheet

This document, VA Form 10091, is the Vendor File Request Form used by the VA 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 Title 31 of the Code of Federal Regulation Part 208.

• Request Type: Vendors must select either 'NEW VENDOR' or 'UPDATE EXISTING VENDOR'.
• VA Facility Information: For station use only.
• Payee/Vendor Information: Includes details such as SAM.gov registration status, Unique Entity Identifier (UEI), EFT Indicator, SSN/TIN, NPI (for medical providers), Small Business status, Payee/Vendor Name, Doing Business As (DBA), email, phone number, current address, and previous address (if applicable).
• EFT/ACH Information: Requires current bank name, 9-digit routing number, account number, and account type (Checking or Savings).
• Authorized Representative: Section for the name, title, and signature of the authorized representative.

Vendors must complete and submit this form to receive payment for goods or services provided to the VA. Accurate and complete information, matching SAM.gov records where applicable, is crucial to avoid processing delays. This form is essential for any vendor seeking to do business with the VA and receive timely payments.

Form / Attachment / Pricing Sheet

This document is a "VENDOR INFORMATION" form used to collect essential details about vendors. It is likely used for registration, onboarding, or updating vendor profiles within a government system, possibly the VA database as indicated in section 18.

• Requester, Service, Extension: Basic administrative fields.
• Vendor Name & Address: Legal and "doing business as" names, physical and mailing addresses.
• Vendor Tax Identification: TIN or SSN (mandatory).
• Vendor Phone & Fax: Contact numbers and email.
• Payment Street Address: For remittance.
• Point of Contact: Primary contact person.
• Account Number: For internal tracking.
• Existing Contract: Details about any current contracts.
• FOB, Prompt Payment Discount: Shipping terms and discount options.
• 1099 Vendor Indicator: For tax reporting.
• Business Type (FPDS): Classification (Small, Large, Outside VA, Other Entities).
• Socioeconomic Group: Various categories like Small Disadvantaged Business, Woman-Owned Small Business, Hubzone, etc.
• Purchase Card Accepted: Whether the vendor accepts government purchase cards.
• DUN and Bradstreet Number: Mandatory registration requirement.
• Central Contractor Registration (CCR): Mandatory registration requirement.

Vendors must complete this form accurately to be considered for opportunities or to receive payments. Sections 16, 17, and 18 highlight mandatory registration requirements (DUNS, CCR) and checks against exclusion lists (epls.arnet.gov, exclusions.oig.hhs.gov), which are critical for eligibility and compliance.

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.

• Part I: Taxpayer Identification Number (TIN): Requires the individual or entity's name and TIN (Social Security Number, Individual Taxpayer Identification Number, or Employer Identification Number).
• 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. person.
• Lines 1-7: Collect identifying information such as name, business name, address, city, state, ZIP code, and account numbers.
• Line 3a: Federal tax classification (e.g., Individual/sole proprietor, C corporation, S corporation, Partnership, LLC, Trust/estate).
• Line 3b: For partnerships, trusts, or estates with foreign partners/owners/beneficiaries.
• Line 4: Exemptions from backup withholding or FATCA reporting.

Bidders may be required to complete and submit this form to the government agency or prime contractor if they are selected for an award. It is essential for ensuring correct tax reporting and avoiding backup withholding. Failure to provide a correct TIN can lead to penalties and delays in payment.

Solicitation / RFP / RFQ

This solicitation is for Stryker Equipment Leased and Preventive Maintenance Service for Endoscopy/Neurosurgery & Ortho Spine at the VA San Diego Healthcare System. The contractor will provide all labor, certified technicians, travel, supervision, materials, training, and permits required to service, repair, and maintain Stryker Leased Equipment Systems (hardware and software).

• Provide Stryker Leased Equipment.

• Provide Stryker Preventive Maintenance Services for the leased equipment.

• Provide on-site Specialist for routine maintenance, inspections, diagnostics, and assisting with equipment installation and repairs.

• Perform annual preventive maintenance in accordance with Original Equipment Manufacturer (OEM) specifications.

• Use OEM parts only.

• Provide unlimited on-site repair services.

• Conduct diagnostic checks.

• Provide loaner equipment as needed.

• Train VASDHS personnel and surgeons on equipment usage.

• Dispose of replaced parts according to facility policy and Information Security Officer concurrence, especially hard drives.

• Contract Type: Firm-Fixed-Price.

• Period of Performance: Base period from 05-01-2026 to 04-30-2027, with four (4) one-year option periods.

• Offers are due by February 13, 2026, 1:00 PM MST via email to Felicia.Simpson@va.gov.

• Questions are due by February 2, 2026, 1:00 PM MST.

• Evaluation will be based on Technical Approach, Experience, and Price. Lowest Price Technically Acceptable (LPTA) will not be used; best value determination will be made.

• Past performance (CPARS) will be reviewed.

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

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

• Compliance with VAAR 852.219-75 (Limitations on Subcontracting) is required.

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

• Registration in the System for Award Management (SAM) is required.

• The document includes a detailed list of Stryker equipment and parts.

Solicitation / RFP / RFQ

This solicitation is for the lease and preventative maintenance of Stryker Equipment for the VA San Diego Healthcare System.

• Lease of Stryker Equipment

• Preventative Maintenance Service for Stryker Equipment

• Not specified in the provided text.

• Response Date/Time/Zone: 01-08-2026 10:00 AM Mountain Time, Denver, USA.

• Proposals are due by the specified response date and time.

• Evaluation criteria are not detailed in this document.

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

• Product Service Code: J065

• NAICS Code: 339113

• Place of Performance: VA San Diego Healthcare System, 3350 La Jolla Village Drive, San Diego CA 92161.

• Contracting Office Address: NCO 22 - Mesa Annex Network Contracting, 4135 S. Power Rd #103 RM 116, Mesa, AZ 85212.

• Contact Person: Felicia Simpson, Contracting Officer, felicia.simpson@va.gov.

Sources Sought Announcement

This is a Sources Sought Announcement for market research purposes. The Department of Veterans Affairs (VA) San Diego Healthcare System is seeking information from potential qualified Service-Disabled Veteran Owned Small Businesses (SDVOSBs), Veteran Owned Small Businesses (VOSBs), 8(a), HubZone, and other Small Businesses interested in providing Stryker leased equipment and the associated preventive maintenance services. This announcement is not a solicitation and does not obligate the government to award a contract.

• Lease of Stryker Equipment for Endoscopy/Neurosurgery & Ortho Spine procedures.

• Preventive maintenance services for the leased Stryker equipment.

• Provision of on-site specialist technicians.

• Services include labor, certified technicians, travel, supervision, materials, training, licensing, documentation, and permits.

• Repairs and maintenance must be performed by Stryker-trained and certified field technicians.

• Replacement parts are to be furnished on an exchange basis at the contractor's expense.

• NAICS Code: 811210 (Medical, Dental, and Ophthalmic Device Repair and Maintenance) with an approximate size standard of $34 Million.

• The VA is mandated to consider a total set-aside for SDVOSBs. If responses are inadequate, alternate set-asides or full and open competition may be considered.

• No sub-contracting opportunities are anticipated.

• Interested parties must submit a capability statement addressing their qualifications and ability to perform the described work.

• Required submission information includes: company name, address, point of contact, phone, fax, email, DUNS number, Cage Code, Tax ID Number, and type of small business.

• All offerors must be registered in SAM.gov and complete ORCA.

• SDVOSBs or VOSBs must also be registered in the SBA-Dynamic Small Business Search (DSBS) Registry.

• Submissions must be emailed to Felicia.Simpson@va.gov, marked Attn: Felicia Simpson, Contracting Officer.

• Response Deadline: January 5, 2026, by 10:00 AM MST.

• Primarily seeking information from Service-Disabled Veteran Owned Small Businesses (SDVOSBs), Veteran Owned Small Businesses (VOSBs), 8(a), HubZone, and other Small Businesses.

• Public Law 109-461 mandates consideration for SDVOSB set-aside.

• The Government is not obligated to pay for any costs associated with responding to this announcement.

• This notice does not commit the Government to issuing a solicitation or awarding a contract.