Description

REQUEST FOR INFORMATION (RFI) Custom Orthotic Insoles Blanks, Cork Components, Plastazote/Poron Materials, and Toppings Tomah VA Medical Center (Tomah VAMC) NAICS: 339113 Surgical Appliance and Supplies Manufacturing PSC: 6515 Medical and Surgical Instruments, Equipment and Supplies 1. PURPOSE The Department of Veterans Affairs (VA), Tomah VA Medical Center, located at 500 E. Veterans Street, Tomah, WI 54660 is conducting market research to identify qualified vendors capable of supplying orthotic blanks, cork components, Plastazote/Poron laminates, top-cover materials, and die cut insole components required for the fabrication of custom-fit insoles. This RFI is issued solely for information and planning purposes and does not constitute a solicitation. The VA seeks information from all capable sources, including VOSB/SDVOSB, Small Business, and other business classifications. Vendors currently holding VA FSS 65 II A or GSA MAS contracts are strongly encouraged to respond. 2. REQUIREMENT DESCRIPTION Tomah VAMC requires the following items to replenish inventory used in the fabrication of custom orthotic shoe inserts. Vendors must indicate their ability to supply all or part of the items listed. Required Items and Quantities Plastazote / Poron Laminates & Toppings PLASTIZOTE PORON TOP COVER SHEET 25 PLASTAZOTE PINK TOP COVER SHEET 6 BLACK X-STATIC TOP COVER SHEET 260 Cork Components MENS DIECUT CORK\EVA INSOLE-6 12 MENS DIECUT CORK\EVA INSOLE-8 12 MENS DIECUT CORK\EVA INSOLE-10 34 MENS DIECUT CORK\EVA INSOLE-16 50 MENS DIECUT CORK\EVA INSOLE-12 100 Euro Orthotic Blanks Various Sizes EURO 278 INSOLE BLANK, SOFT 20 EURO 286 INSOLE BLANK, SOFT 20 EURO 293 INSOLE BLANK, SOFT 60 EURO 310 INSOLE BLANK, SOFT 25 EURO 253 INSOLE BLANK, MED 25 EURO 270 INSOLE BLANK, MED 64 EURO 278 INSOLE BLANK, MED 64 EURO 286 INSOLE BLANK, MED 162 EURO 293 INSOLE BLANK, MED 455 EURO 310 INSOLE BLANK, MED 500 EURO 325 INSOLE BLANK, MED 75 EURO 338 INSOLE BLANK, MED 30 EURO 237 INSOLE BLANK, MED 30 EURO 237 EVA BLANK_SOFT 320 EURO 253 INSOLE BLANK, SOFT 30 EURO 237 INSOLE BLANK, FIRM 20 EURO 293 INSOLE BLANK, FIRM 20 EURO 310 INSOLE BLANK, FIRM 20 Other Components TAPE INSOLE DIE CUT 370MM x 115MM 4,511 MILL CUTS PROVIDED WITH BLANKS 4,511 3. REQUESTED INFORMATION FROM VENDORS Vendors responding to this RFI are requested to provide the following: A. Company Information Business name, address, UEI, point of contact Business size and socioeconomic classification (e.g., SDVOSB, VOSB, SB, WOSB, etc.) Confirmation of registration in SAM.gov B. Contract Vehicle Availability Indicate whether items are available on: VA Federal Supply Schedule (FSS 65 II A) GSA Multiple Award Schedule (MAS) Other government contract vehicles Provide contract number(s) if applicable. C. Technical Capability Ability to supply each of the required items Manufacturer information (if different from vendor) and country of origin Product sheets or equivalent documentation for blanks, cork, Plastazote/Poron, …

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• Attachment 1