Q521--Portable Home Sleep Apnea Testing

Form / Attachment / Pricing Sheet

This document is IRS Form W-9, Request for Taxpayer Identification Number and Certification. It is used by a requester (e.g., a government agency or contractor) to obtain the correct Taxpayer Identification Number (TIN) from a vendor or individual. This information is required for tax reporting purposes, such as reporting payments made to the vendor.

• Part I: Taxpayer Identification Number (TIN): Requires the vendor's Social Security Number (SSN) or Employer Identification Number (EIN).
• Part II: Certification: The vendor certifies that the TIN provided is correct, that they are not subject to backup withholding, and that they are a U.S. person.
• Lines 1-7: Collects identifying information such as name, business name, address, and account numbers.
• Line 3a & 3b: Collects information about the entity's federal tax classification and foreign ownership.
• Line 4: Allows for exemption codes if applicable.

Vendors responding to a SAM.gov opportunity will likely be required to complete and submit this form to the contracting agency or prime contractor. Failure to provide a correct TIN can result in backup withholding of payments. Bidders should ensure they accurately fill out the form with their correct TIN and certification to avoid issues with payment processing.

Form / Attachment / Pricing Sheet

This document, VA Form 10091, is the Vendor File Request Form used by the VA 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.
• VA Facility Information: Details about the VA station submitting the form.
• Payee/Vendor Information: Includes SAM.gov registration status, Unique Entity Identifier (UEI), EFT Indicator, Taxpayer Identification Number (TIN), NPI (for medical providers), Small Business status, Payee/Vendor Name, Doing Business As (DBA), contact information (email, phone), and addresses.
• EFT/ACH Information: Current bank name, routing number, and account number for electronic payments.
• Authorized Representative: Information and signature of the individual authorized to represent the vendor.

Vendors seeking to do business with the VA or receive payments must complete this form. It is crucial for establishing or updating their vendor profile in the VA's financial system to ensure timely and accurate payment processing. Information provided must match SAM.gov records for new vendors. Any changes to banking information for existing vendors must be made in SAM.gov.

Form / Attachment / Pricing Sheet

This document is a "Vendor Information" form used to collect essential details about a vendor. It is likely used for registration, onboarding, or updating vendor records within a government system, such as the VA database mentioned in section 18.

• Requester, Service, Extension: Basic administrative fields.
• Vendor Name & Address: Legal and doing business as name, physical and mailing addresses.
• Tax Identification: TIN or SSN (mandatory).
• Contact Information: Phone, fax, email, and point of contact.
• Payment Address: For remittance.
• Existing Contract: Details about any current government contracts.
• 1099 Indicator: For tax reporting.
• Business Type (FPDS): Classification as Small, Large, Outside VA, or Other Entities.
• Socioeconomic Group: Self-identification for various categories (e.g., Small Disadvantaged Business, Woman-Owned Small Business, Hubzone).
• Purchase Card Acceptance: Whether the vendor accepts government purchase cards.
• DUN and Bradstreet Number: Required for registration.
• Central Contractor Registration (CCR): Status of vendor registration.
• Mandatory Registration Sites: Links to EPLS and Exclusions.oig.hhs.gov for final checks.

Vendors must complete this form accurately to be considered for opportunities or to receive payments. Sections 16, 17, and 18 highlight mandatory registration and checking requirements with specific government databases (D&B, CCR, EPLS, Exclusions.oig.hhs.gov) that are crucial for doing business with the Federal Government. Failure to comply can result in administrative action.

Solicitation / RFP / RFQ

This solicitation is for Portable Home Sleep Apnea Testing services for the Phoenix VA Health Care System (PVAHCS). The goal is to provide Type III home sleep study testing devices to veterans via a mail-order service, supporting remote diagnostics and treatment for sleep disorders, especially for rural and aging veterans.

• Provide Type III home sleep testing devices (disposable or reusable) directly to patients.

• Offer 24/7 patient support for device usage and troubleshooting.

• Ensure device compatibility with VA's Somnoware system, TRM Approved software, and VA EHR.

• Support direct shipping orders through Somnoware.

• Provide timely mailing services and return instructions/packaging for reusable devices.

• Upload test results to a secure cloud-based server for physician retrieval.

• Deliver sleep study interpretations (digital), monthly itemized invoices, and sleep study results (verbal/written CPRS).

• Minimum device requirements: 6 channels or more, measuring respiratory effort, airflow, heart rate, oximetry, snore, and actigraphy.

• Contract Type: Firm-Fixed-Price.

• Contract Period: Base Year (07/01/2026 - 06/30/2027) with four Option Years.

• Offers are due by June 15, 2026, 1:00 PM MST.

• Submission is via email to Felicia.Simpson@va.gov and Diana.McInnis@va.gov.

• Evaluation factors include Technical Approach, Experience, Required Documents, and Price.

• Award will be made to the responsible offeror whose offer is the best value, considering both price and non-price factors. LPTA will not be used.

• Questions are due by June 8, 2026, 1:00 PM MST.

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

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

• Compliance with VAAR 852.219-73 and 852.219-75 (Limitations on Subcontracting) is required.

• Offerors must submit VA Form 10091 and W-9 to the VA Financial Service Center with their offer.

• SAM registration is required.

• Specific clauses regarding security, DEI, and other compliance matters are included.

Solicitation / RFP / RFQ

This solicitation is for Portable Home Sleep Apnea Testing services. The government is procuring these services for the Phoenix Veteran Affairs Healthcare System.

• The primary deliverable is Portable Home Sleep Apnea Testing.

• Place of Performance: Phoenix Veteran Affairs Healthcare System, 650 East Indian School Road, Phoenix AZ 85012.

• Response Date/Time/Zone: 05-14-2026 10:00 AM Mountain Time, Denver, USA.

• Archive: 15 days after the response date.

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

• Product Service Code: Q521

• NAICS Code: 339112

• 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. It is not a solicitation or request for proposals/quotes. The Department of Veterans Affairs (VA), Phoenix VA Health Care System (PVAHCS) is seeking information on potential sources for home sleep apnea testing devices and related services. The VA anticipates increased emphasis on home-based testing as part of a transition to alternatives to face-to-face medicine.

The contractor shall provide Type III home sleep study testing devices to the Veteran population via a mail-order service. This includes preparing the device per provider instructions, shipping it to the patient, providing phone support for device usage on the test day, and managing the return/upload of the device data. The contractor must also upload test results to a cloud-based server for physician retrieval. The device and software must be compatible with the VA National Somnoware program and VA EHR.

Not specified in this announcement.

This is a market research notice. Responses must be in writing and submitted via email to felicia.simpson@va.gov by May 6, 2026, 10:00 AM MST. Responses should be marked "Attn: Felicia Simpson, Contract Specialist."

The VA is mandated to consider a total set-aside for Service-Disabled Veteran Owned Small Business (SDVOSB). If SDVOSB responses are inadequate, alternate set-asides or full and open competition may be considered. Interested businesses must provide:

• Company name, address, point of contact, phone, fax, email

• DUNS number, Cage Code, Tax ID Number

• Type of small business (SDVOSB, VOSB, 8(a), HUBZone, WOSB, SDB, Small Business)

• A capability statement detailing qualifications and ability to perform the described work.

• NAICS Code: 339112 (1000 employees)

• No costs incurred in responding will be reimbursed.

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

• No sub-contracting opportunities are anticipated.

• Offerors must be registered in SAM.gov. SDVOSB/VOSB must also be registered in the SBA DSBS Registry.