Attachment 1: Template for Combined Synopsis-Solicitation for Commercial Items Effective Date: 03/15/2023 Revision: 01 Description This is a combined synopsis/solicitation for commercial items prepared in accordance with the format in Federal Acquisition Regulation (FAR) subpart 12.6, Streamlined Procedures for Evaluation and Solicitation for Commercial Items, as supplemented with additional information included in this notice. This announcement constitutes the only solicitation; quotes are being requested, and a written solicitation document will not be issued. This solicitation is issued as an RFQ. The solicitation document and incorporated provisions and clauses are those in effect through Federal Acquisition Circular 2023-03. This solicitation is set-aside for UNRESTRICTED The associated North American Industrial Classification System (NAICS) code for this procurement is 339112, with a small business size standard of 1000 Employees The FSC/PSC is 6515. The Aleda E. Lutz VA Medical Center | 1500 Weiss St, Saginaw MI 48602 is seeking to purchase BRAND NAME ONLY OLYMPUS. All interested companies shall provide quotations for the following: Supplies/Services ITEM INFORMATION ITEM NUMBER DESCRIPTION OF SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0001 1.00 EA $__________ $__________ ALL-IN-ONE HD VIDEO SYS WITH LOCAL STOCK NUMBER: CV-170 0002 2.00 EA $__________ $__________ Flexible ultra thin video Rhino L LOCAL STOCK NUMBER: ENF-V3 Funding/Req. Number: 1 0003 1.00 EA $__________ $__________ TROLLEY SET 3 US/CA LOCAL STOCK NUMBER: K10030136 Funding/Req. Number: 1 0004 1.00 EA $__________ $__________ MAJ-2145 ENT SCOPE HANGER LOCAL STOCK NUMBER: MAJ-2145 Funding/Req. Number: 1 0005 1.00 EA $__________ $__________ MAJ-2148 REAR PANEL LOCAL STOCK NUMBER: MAJ-2148 0006 1.00 EA $__________ $__________ MAJ-1686 DRAWER UNIT LOCAL STOCK NUMBER: MAJ-1686 Funding/Req. Number: 1 0007 1.00 EA $__________ $__________ NCARE, REC, SINGLE, DIR SDI LOCAL STOCK NUMBER: ISM-1006539 0008 1.00 EA $__________ $__________ IS40020 DVR FOOT SWITCH LOCAL STOCK NUMBER: IS40020 Funding/Req. Number: 1 0009 1.00 EA $__________ $__________ OEV- 262H HIGH DEFINITION LED L CD MONITOR LOCAL STOCK NUMBER: OEV-262H Funding/Req. Number: 1 0010 1.00 EA $__________ $__________ New DICOM Configuration LOCAL STOCK NUMBER: VSS-DICOM-CONF Funding/Req. Number: 1 0011 1.00 EA $__________ $__________ VaultStream Server Identification Key LOCAL STOCK NUMBER: VSS-ID-KEY Funding/Req. Number: 1 0012 1.00 EA $__________ $__________ Install new VSS test server LOCAL STOCK NUMBER: VSS-INST-NEW-T-SVR Funding/Req. Number: 1 0013 1.00 EA $__________ $__________ VaultStream Interfaces License LOCAL STOCK NUMBER: ISM-1008563 Funding/Req. Number: 1 0014 1.00 EA $__________ $__________ VAULTSTREAM CONTENT MANAGEMENT LICENSE LOCAL STOCK NUMBER: ISM-1010008 Funding/Req. Number: 1 GRAND TOTAL $__________ Delivery shall be provided FOB destination. Please include lead time in quote. Place of Performance/Place of Delivery Address: Aleda E. Lutz VA Medical Center 1500 Weiss St Saginaw, MI Postal Code: 48602 Country: UNITED STATES The full text of FAR provisions or clauses may be accessed electronically at http://acquisition.gov/comp/far/index.html. The following solicitation provisions apply to this acquisition: FAR 52.212-1, Instructions to Offerors Commercial Items [NOV 2021] FAR 52.212-3, Offerors Representations and Certifications Commercial Items [DEC 2022] Offerors must complete annual representations and certifications electronically via the System for Award Management (SAM) website located at https://www.sam.gov/portal in accordance with FAR 52.212-3, Offerors Representations and Certifications Commercial Items. If paragraph (j) of the provision is applicable, a written submission is required. The following contract clauses apply to this acquisition: FAR 52.212-4, Contract Terms and Conditions Commercial Items [DEC 2022] FAR 52.212-5, Contract Terms and Conditions Required to Implement Statutes or Executive Orders [DEC 2022] The following subparagraphs of FAR 52.212-5 are applicable: 52.204-10, 52.209-6, 52.219-4, 52.219-28, 52.222-19, 52.222-21, 52.222-26, 52.222-35, 52.222-36, 52.222-37, 52.222-50, 52.223-18, 52.225-5, 52.225-13, 52.229-12, 52.232-33 All quoters shall submit the following: Quote with lead time, authorized distributor letter. All quotes shall be sent to the Brooke Hansen, brooke.hansen@va.gov. Phoned inquiries will not be accepted. Award will be based upon LPTA. The award will be made to the response most advantageous to the Government. Responses should contain your best terms, conditions. To facilitate the award process, all quotes must include a statement regarding the terms and conditions herein as follows: "The terms and conditions in the solicitation are acceptable to be included in the award document without modification, deletion, or addition." OR "The terms and conditions in the solicitation are acceptable to be included in the award document with the exception, deletion, or addition of the following:" Quoters shall list exception(s) and rationale for the exception(s), if any. Submission of your response shall be received not later than May 24, 2023 4:30PM Eastern at brooke.hansen@va.gov. Late submissions shall be treated in accordance with the solicitation provision at FAR 52.212-1(f). Any questions or concerns regarding this solicitation should be forwarded in writing via e-mail to the Point of Contact listed below. Point of Contact Brooke Hansen | brooke.hansen@va.gov

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