PRE-SOLICITATION NOTICE OF INTENT TO SOLE SOURCE Department of Veterans Affairs (VA) Network Contracting Office (NCO 21) intends to award a sole source, firm fixed price contract to OUT-FIT, A CALIFORNIA CORP for a Computerized Balance Assessment and Training System. The procurement is on behalf of the Department of Veterans Affairs, Veterans Health Administration, Regional Procurement Office West (RPOW), Network Contracting Office (NCO) 21, on behalf of VA Northern California Health Care System. The Biodex Balance System SD was selected by VANCHCS as this product meets the Salient Characteristics for maximum size (Dimensions 30 W × 44 D × 74 H (76 cm × 112 cm × 188 cm), given the location available for set-up and use of the equipment. Sources Sought Notice 36C26126Q0783 was issued to Contract Opportunities (SAM.gov) as a Brand Name or Equal, Full and Open, on 06/03/2026, with a response due date of 06/08/2026. One response was received Offering an alternative product, the Bioness Integrated Therapy System (BITS) and BITS Balance device. According to VANCHCS, the Bioness Integrated Therapy System is not an equal product. Per the subject matter experts, These are essentially two different systems with little overlap. The Biodex Balance System SD is primarily designed for objective static and dynamic balance assessment and fall risk screening, with integrated safety rails/handles and validated testing protocols that provide standardized, measurable balance outcomes. Its compact footprint also makes it suitable for smaller clinic spaces like Chico. In contrast, the Bioness BITS is primarily a touchscreen based cognitive, visual motor, and engagement system, with optional motion sensor balance activities, but does not provide physical safety supports or true force plate balance assessments. The Biodex is the safer, clinically appropriate choice for balance assessment and training, while BITS is centered on cognitive and visual motor therapy. Given the results of the market research, this requirement will be sole sourced to the Out-Fit, A California Corp; which has been identified as the sole authorized distributor of the needed items. A Sources Sought Notice failed to identify any alternative and acceptable products and/or sources that meet the requirements of the procurement. The specific items required are as follows: ITEM INFORMATION ITEM NUMBER DESCRIPTION OF SUPPLIES/SERVICES QUANTITY UNIT 0001 1.00 Ea Balance System SD, 15.6" Display, 115 VAC Includes Printer, printer stand and CTSIB Indexed Pad. Contract Period: Base POP Begin: 06-30-2026 POP End: 09-13-2026 PRINCIPAL NAICS CODE: 339112 Surgical and Medical Instrument Manufacturing PRODUCT/SERVICE CODE: 6515 Medical and Surgical Instruments, Equipment, and Supplies MANUFACTURER PART NUMBER (MPN): 950-440 0002 1.00 Ea Step Stool, Balance System SD Contract Period: Base POP Begin: 06-30-2026 POP End: 09-13-2026 PRINCIPAL NAICS CODE: 339112 Surgical and Medical Instrument Manufacturing PRODUC…