Custom Fit Insoles for Tomah VA Medical Center

36C25226Q0538 Solicitation number 36C25226Q0538 is issued as a request for quotation (RFQ) for the provision of orthotic blanks, cork components, top cover materials, and related insole fabrication items. This acquisition is restricted to small businesses. This solicitation incorporates provisions and clauses by reference. The full text of provisions and clauses may be accessed electronically at www.acquisition.gov. The associated North American Industrial System (NAICS) code for this procurement is 339113 Surgical Appliance and Supplies Manufacturing. Small Business Administration (SBA) small business size standard of 800 employees. The FSC/PSC is 6515 Medical/Surgical Instruments and Supplies. The Department of Veterans Affairs, Network Contracting (NCO 12), Veterans Integrated Services Network 12 (VISN 12), Tomah VA Medical Center, Prosthetic and Sensory Aids Service (PSAS), located at 500

E. Veterans Street, Tomah, WI, 54660 requires the provision of orthotic blanks, cork components, top cover materials, and related insole fabrication items. These materials are required for use in the facility s in-house AMFIT milling system to fabricate custom orthotic inserts for Veteran patients. The Department of Veterans Affairs (VA) intends to award a firm-fixed-price contract with a 12-month base year and three (3) 12-month option years. Interested contractors are invited to provide quotations for the following: Performance Work Statement 1. Scope The Department of Veterans Affairs, Tomah VA Medical Center, Prosthetic and Sensory Aids Service (PSAS), is seeking quotations for the supply of orthotic blanks, cork components, top cover materials, and related insole fabrication items. These materials are required for use in the facility s in house AMFIT milling system to fabricate custom orthotic inserts for Veteran patients. 2.

Period of Performance Base Year + 3 Option Years Base Year - September 6, 2026 September 5, 2027 Option Year One - September 6, 2027 September 5, 2028 Option Year Two - September 6, 2028 September 5, 2029 Option Year Three - September 6, 2029 September 5, 2030 Estimated Total Value: ~$500,000 3. Line Items (SKUs and Quantities) Item SKU Qty 1 PLASTIZOTE PORON TOP COVER SHEET TPC-BILAM-TSB 25 2 PLASTAZOTE PINK TOP COVER SHEET 9TPC-PLSTST-TSB 6 3 BLACK X-STATIC TOP COVER SHEET TPC-XSTATIC 260 4 MENS DIECUT CORK\EVA INSOLE-6 MDCC/06 12 5 MENS DIECUT CORK\EVA INSOLE-8 MDCC/08 12 6 MENS DIECUT CORK\EVA INSOLE-10 MDCC/10 34 7 MENS DIECUT CORK\EVA INSOLE-16 MDCC/16 50 8 MENS DIECUT CORK\EVA INSOLE-12 MDCC/12 100 9 EURO 278 INSOLE BLANK, SOFT B-E278S 20 10 EURO 286 INSOLE BLANK, SOFT B-E286S 20 11 EURO 293 INSOLE BLANK, SOFT B-E293S 60 12 EURO 310 INSOLE BLANK, SOFT B-E310S 25 13 EURO 253 INSOLE BLANK, MED B-E253M 25 14 EURO 270 INSOLE BLANK, MED B-E270M 64 15 EURO 278 INSOLE BLANK, MED B-E278M 64 16 EURO 286 INSOLE BLANK, MED B-E286M 162 17 EURO 293 INSOLE BLANK, MED B-E293M 455 18 EURO 310 INSOLE BLANK, MED B-E310M 500 19 EURO 325 INSOLE BLANK, MED B-E325M 75 20 EURO 338 INSOLE BLANK, MED B-E338M 30 21 EURO 237 INSOLE BLANK, MED B-E237M 30 22 EURO 237 EVA BLANK_SOFT B-E237S 320 23 EURO 253 INSOLE BLANK, SOFT B-E253S 30 24 EURO 237 INSOLE BLANK, FIRM B-E237F 20 25 EURO 293 INSOLE BLANK, FIRM B-E293F 20 26 EURO 310 INSOLE BLANK, FIRM B-E310F 20 27 TAPE INSOLE DIE CUT 370MM x 115MM Â 4,511 28 MILL CUTS PROVIDED WITH BLANKS Â 4,511 4. Delivery All items shall be delivered FOB Destination to: Tomah VA Medical Center 500

E. Veterans Street Tomah, WI 54660 5. Technical

Requirements Offerors shall supply products meeting the following minimum standards: 5.1 Material Compatibility All items must be compatible with AMFIT milling systems. Materials must be suitable for CNC milling and should not melt, smear, gum, or degrade milling performance. 5.2 EVA / Foam / Laminate Specifications Offerors shall provide: Material datasheets for EVA, cork, Plastazote, Poron, or laminates Durometer ranges Lamination/bonding method Density and structural specifications Surface finish details 5.3 Sample Testing Requirement Prior to award,

contracting officer may request samples of any item offered for evaluation by Tomah VAMC PSAS clinical staff. Samples must demonstrate: Successful CNC milling performance Material stability No gumming, clogging, or melting Adequate bonding integrity Failure to meet sample test