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From the notice

THIS IS A PRE-SOLICITATION NOTICE Sole Source The Department of Veterans Affairs (VA), Regional Procurement Office West (RPOW), Veterans Integrated Service Network (VISN) 5, Health Service Area (HSA) 5.2, Network Contracting Office (NCO) 21, on behalf of VA San Francisco Health Care System (VASFHCS), intends to issue a sole source firm-fixed contract for a potential commercial supply requirement supporting the existing firm-fixed price contract for a Siemens Skyra Coldhead RDE-412L4 at VASFHCS. The North American Industry Classification System (NAICS) code for this requirement is 339112 - Surgical and Medical Instrument Manufacturing. The Small Business Administration (SBA) size standard is 1000 employees. The Product Service Code (PSC) is 6515 - Medical and Surgical Instruments, Equipment, and Supplies. It is the Government's belief that only the proposed vendor possesses the required capabilities to successfully meet this requirement. The proposed vendor SIEMENS MEDICAL SOLUTIONS USA, INC is the sole manufacturer and distributor of the Siemens Skyra Coldhead RDE-412L4 (11472997). This equipment is very complex and is set to replace the current piece of equipment that is critical to Veteran care. The San Francisco VA Health Care System currently operates a Siemens Skyra MRI and has a requirement to replace the Coldhead. This notice satisfies the requirement at RFO 5.101. Additionally, IAW RFO 5.101 all interested responsible sources may submit a quotation, bid, or proposal,

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