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The Department of Veterans Affairs, Veterans Health Administration (VHA), Network Contracting Office 19 (NCO 19) is conducting a market survey and is seeking potential sources for Nitrile Exam Gloves.... The Department of Veterans Affairs, Veterans Health Administration (VHA), Network Contracting Office 19 (NCO 19) is conducting a market survey and is seeking potential sources for Nitrile Exam Gloves. This Sources Sought Notice is issued for information and planning purposes only. This is not a solicitation or a request for proposal and shall not be construed as an obligation or commitment by the Government. An award will not be made on any offers submitted in response to this notice, and it shall not be implied the Government is committed to providing any solicitation or award following this notice. The Government will not pay for any information received in response to this request, nor will the Government compensate a respondent for any costs incurred in developing the information provided. NCO 19 is seeking responses to this request for information from interested, capable firms that can meet the requirements set forth that include but are not limited to; Item No. Description Qty 8020 UNIGLOVE NITRILE EXAM GLOVE, BLUE SIZE SMALL 70 8030 UNIGLOVE NITRILE EXAM GLOVE, BLUE SIZE MEDIUM 70 8040 UNIGLOVE NITRILE EXAM GLOVE, BLUE SIZE LARGE 70 8050 UNIGLOVE NITRILE EXAM GLOVE, BLUE SIZE XLG 70 Information Sheet Item: Nitrile Exam Glove, Blue Brand: Uniglove Model #: 8020 (sm), 8030 (med), 8040 (lrg), 8050 (xl) Protection: General Exam Packaging: 100/box, 10 boxes/case, 1,000/case Pallet: 70 cases of 1,000 per pallet. (70,000 gloves) Availability: Late July Additional Details: - Textured Fingertips - Soft Feel - ASTM 6319-99 - Latex Free - Food Safe Thickness: - Cuff 3 mil - Palm 4 mil - Fingertip 4 mil Responses shall be submitted to Aretha.Cannon@va.gov by 4:00pm MST on Tuesday, July 21, 2020. This notice is intended strictly for market research. The purpose of this Sources Sought Notice is to determine interest and capability of potential qualified sources of supply and determine the socioeconomic size classification of the supplier and manufacturer of the end item. Interested companies shall provide, at a minimum, the following information with their response; Company Name and Address: Point of Contact (POC) Name: Email Address: Phone Number: DUNS Number: The anticipated North American Industry Classification System (NAICS) code is 339113 Gloves, rubber (e.g., electrician's, examination, household-type, surgeon's), manufacturing. Mark if your firm is eligible for participation in one of the following small business programs. If so, please indicate the program: [ ] yes [ ] no - Small Business (SB) [ ] yes [ ] no - HUBZone [ ] yes [ ] no - Small Business 8(a) [ ] yes [ ] no - Small Disadvantaged Business (SDB) [ ] yes [ ] no - Women-Owned (WO) Small Business [ ] yes [ ] no - Service Disabled Veteran Owned Small Business (SDVOSB) [ ] yes [ ] no - Veteran Owned Small Business (VOSB) [ ] yes [ ] no - Large Business [ ] yes [ ] no - Other (please specify) Please answer the following questions: [ ] yes [ ] no - Does not exceed 500 employees; (for NAICS 339113, must be verifiable thru the System for Award Management) [ ] yes [ ] no - Is primarily engaged in the retail or wholesale trade and normally sells the type of item being supplied; [ ] yes [ ] no - Takes ownership or possession of the item(s) with its personnel, equipment or facilities in a manner consistent with industry practice (identify how this occurs); and [ ] yes [ ] no - Will supply the end item of a small business manufacturer, processor or producer made in the United States, or obtains a waiver of such requirement pursuant to paragraph (b)(5) CFR 121.406. Note: Do not include Proprietary, classified, confidential, or sensitive information in responses. In addition to providing the information requested above, responding companies are encouraged to include any relevant information (specifications, cut sheets, brochures, capability statement, past experience etc.) to confirm the company s ability to meet the requirements outlined in this request. Responses to this notice are not offers and cannot be accepted by the U.S. Government to form a binding contract or agreement. This notice shall not be construed as a commitment by the Government to issue a solicitation, or ultimately award a contract, nor does it restrict the Government to a particular acquisition approach. The Government will in no way be bound to this information if any solicitation is issued. PPE Source Market Research Questionnaire The purpose of this document is for market research. This document does not commit or obligate the Government in any manner. Please complete all fields and provide documentation to support your responses below. 1a. Product Name: ____________________________________1b. Model Number__________________ 1c. Product Brief Description: _____________________________________________________________ Note: submit supporting documentation, product cut sheet, specifications, certifications, etc. Company Information: 2. Company legal name: _________________________________________________________________ 3. POC:_________________________________ Email: _____________________Phone:_____________ 4. DUNS#: _________________ 5. Cage Code: __________ 6. System for Award Management (SAM) Registered? ____ Any exclusions: _______________________ https://www.sam.gov/SAM/pages/public/samStatusTracker.jsf 7a. NAICS: __________ 7b. Business Size: ____________ 7c. If SDVOSB or VOSB, are you registered in Vendor Information Pages (VIP)? __________ https://www.vip.vetbiz.va.gov/ 8a. Any proposed payment terms? __________ 8b. Advanced Payment required? __________________ 8c. Capable of fulfilling requirement without contract financing (i.e. advance payments)? _______ Note: VHA does not customarily provide advanced payments 9. Any unique terms and conditions required: _______________________________________________ Past Experience: 10. List company s past experience doing business with the Federal government? Product Contract # Agency Govt POC Name Phone Email ______________ ________________ _________ ________________ __________ ________________ ______________ ________________ _________ ________________ __________ ________________ ______________ ________________ _________ ________________ __________ ________________ ______________ ________________ _________ ________________ __________ ________________ Note: Additional items can be added on continuation page 11. List company s past experience providing this specific product to the Federal government and/or US hospital during COVID19 Product Contract # Agency Govt POC Name Phone Email ______________ ________________ _________ ________________ __________ ________________ ______________ ________________ _________ ________________ __________ ________________ ______________ ________________ _________ ________________ __________ ________________ ______________ ________________ _________ ________________ __________ ________________ ______________ ________________ _________ ________________ __________ ________________ Note: Additional items can be added in continuation page 2 PPE Source Questionnaire, 20200429.2