J045--PMR REVERSE OSMOSIS WATER SYSTEM

Form / Attachment / Pricing Sheet

This document, VA Form 10091, is the Vendor File Request Form used by the VA Financial Services Center (VA-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: New Vendor registration or updating an existing vendor record.
• VA Facility Information: Details about the VA facility submitting the form (Station Number, Contact, Phone, Fax, Email).
• Payee/Vendor Information: Includes vendor registration status in SAM.gov, Unique Entity Identifier (UEI), EFT Indicator, Taxpayer Identification Number (TIN/SSN), NPI (for medical providers), Small Business status, Payee/Vendor Name, Doing Business As (DBA), contact email and phone, current address, and previous address (if applicable).
• EFT/ACH Information: Details for electronic fund transfer, including Current Bank Name, 9-Digit Routing Number, Account Number, and Account Type (Checking/Savings).
• Authorized Representative: Information and certification from an authorized individual representing the vendor.

Vendors seeking to do business with the VA must complete this form to be registered in the VA's financial system for payment processing. It is crucial for ensuring accurate and timely payments. New vendors must register, and existing vendors may need to update their information, especially banking details, which must align with SAM.gov registration. Failure to provide accurate and matching information can delay payments.

Form / Attachment / Pricing Sheet

This document is a "Vendor Information" form used to collect essential details about a vendor. It is likely required for registration or to establish a vendor profile within the government's system, possibly for payment processing or contract management.

• Requester and Service Information: Identifies who is requesting the vendor information and the service it pertains to.
• Vendor Identification: Requires Vendor Name, Tax Identification Number (TIN) or Social Security Number (SSN).
• Contact and Address Details: Collects physical and mailing addresses, phone/fax numbers, and point of contact information.
• Contractual Information: Asks about existing contracts, payment terms, FOB, and prompt payment discounts.
• Business Classifications: Includes fields for 1099 Indicator, Business Type (Small, Large, Outside VA, Other Entities), and Socioeconomic Group (e.g., Small Disadvantaged Business, Woman-Owned Small Business, Hubzone, etc.).
• Registration Status: Inquires about DUN and Bradstreet Number and Central Contractor Registration (CCR).
• Mandatory Checks: Directs vendors to specific websites (SAM.gov, epls.arnet.gov, exclusions.oig.hhs.gov) for mandatory registration and status checks.

Vendors must complete this form accurately to be considered for opportunities. It gathers critical information for vendor setup, eligibility verification, and compliance with federal registration requirements. Failure to complete mandatory fields or register on the specified sites could lead to administrative action.

Form / Attachment / Pricing Sheet

This document is IRS Form 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 a requester who is required to file an information return with the IRS.

• Part I: Taxpayer Identification Number (TIN): Requires the entry of a Social Security Number (SSN) for individuals or an Employer Identification Number (EIN) for entities.
• Part II: Certification: Requires the individual or entity to certify that the TIN provided is correct, that they are not subject to backup withholding, that they are a U.S. citizen or other U.S. person, and that any FATCA code is correct.
• Lines 1-7: Collects name, business name, address, city, state, and ZIP code.
• Line 3a & 3b: Used to determine federal tax classification (individual, corporation, partnership, LLC, trust/estate) and to indicate foreign partners/owners for flow-through entities.
• Line 4: Used to claim exemptions from backup withholding or FATCA reporting.

Bidders responding to a SAM.gov opportunity may be required to submit this form to the contracting agency or prime contractor to ensure correct payment processing and tax reporting. Failure to provide a correct TIN can result in backup withholding. This form is essential for establishing your identity and tax status for contractual payments.

Solicitation / RFP / RFQ

This solicitation is for the provision of Reverse Osmosis (RO) Preventative Maintenance and Repair (PMR) services for the VA San Diego Healthcare System. The government is procuring these services to ensure the continued operation and maintenance of the RO water system.

• Preventative Maintenance and Repair services for the Reverse Osmosis water system.

• Not specified in the provided text.

• Response Date/Time/Zone: 05-13-2026 10:00AM Mountain Time, Denver, USA.

• Archive: 15 days after the response date.

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

• Product Service Code: J045

• NAICS Code: 221310

• Place of Performance: VA San Diego Healthcare System, San Diego, CA 92161.

• Contracting Office ZIP Code: 85212.

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

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

Sources Sought Announcement

This is a Sources Sought announcement for market research purposes only. The Department of Veterans Affairs (VA) San Diego Health Care 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 capable of providing full-service maintenance, preventative monthly maintenance inspections, and intervening service calls for Government-owned Reverse Osmosis (RO) Water Systems. This is not a solicitation or request for proposals.

• Full-Service Maintenance Service for RO Water Systems.

• Preventative monthly maintenance inspections (PMI's) in accordance with manufacturer's instructions and applicable standards (e.g., AAMI 2001).

• Intervening service calls to repair equipment failures.

• Rental and maintenance of hot & cold-water softener units.

• Rental and exchange of Deionized Water Tanks.

• RO DI Service for lab samples, mixed beds exchange, and annual service of UV and Post Filters.

• Retrofit of 6th Floor Millipore Central System.

• UV Post Treatment Supply for 5th Floor.

• Provide professional advice/guidance, parts, materials, equipment, and personnel.

• Provide breakdown reports for material and parts expenditures.

• Provide invoices broken down by labor, materials, and parts.

• The NAICS code for this acquisition is 221210.

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

• No sub-contracting opportunities are anticipated.

• Interested Offerors should submit a capability statement addressing their qualifications and ability to perform the work.

• Submissions must include: 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. SDVOSBs/VOSBs must also be registered in the SBA-DSBS.

• Submissions are due via email to felicia.simpson@va.gov by May 4, 2026, 10:00 am MST.

• Primarily seeking Service-Disabled Veteran Owned Small Businesses (SDVOSBs).

• Also interested in Veteran Owned Small Businesses (VOSBs), 8(a), HubZone, and other Small Businesses.

• VA San Diego Healthcare System, San Diego, CA 92161, including specific locations within Buildings 1 and 2.

• The government is not obligated to reimburse costs associated with responding to this notice.

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