# SAM #36C25026Q1047 Procurement of UltraSAFE Automatic Formalin Dispensing System for Cleveland VA Medical Center **Buyer:** VA Network Contracting Office 10 **Posted:** September 16, 2026 **Respond By:** September 21, 2026 **Identifier:** 36C25026Q1047 **NAICS:** 333914, 423450 The Department of Veterans Affairs, Network Contracting Office 10 (NCO 10) at Cleveland VA Medical Center is seeking to procure an UltraSAFE Automatic Formalin Dispensing System for its Surgical Department. - Government Buyer: - Department of Veterans Affairs - Network Contracting Office 10 (NCO 10) - Cleveland VA Medical Center - OEMs and Vendors: - No specific OEM or manufacturer is named, but the product requested is the UltraSAFE Automatic Formalin Dispensing System - Products/Services Requested: - UltraSAFE Automatic Formalin Dispensing System - Quantity: 1 unit - Includes all accessories required for safe formalin dispensing - No part number specified - Unique or Notable Requirements: - Small Business set-aside - System is intended to address safety concerns related to formalin handling and spills in the operating room - Must comply with VA safety guidelines - Delivery schedule to be finalized after contract award - No government-furnished equipment or access to VA sensitive information is involved - Place of performance: Cleveland VA Medical Center, 10701 East Blvd, Cleveland, OH 44106 ### Description Combined Synopsis/Solicitation Notice *= Required Field Combined Synopsis/Solicitation Notice 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 2023-01. This solicitation is a Small Business set-aside. The associated North American Industrial Classification System (NAICS) code for this procurement is 333914. The FSC/PSC is 6515. The NCO 10 for Cleveland VA Medical Center is seeking to purchase the UltraSAFE Unit: Automatic Formalin Dispensing System for Surgical Department. This solicitation closes on September 21, 2026 @ 09:00 AM. Quotes should be submitted to Kevin Peeples kevin.peeples@va.gov Please reference 36C25026Q1047 1. Contracting Officer s Representative (COR NA 2. Contract Title. Cleveland VAMC - UltraSAFE Unit 3. Background. Safety Department performed a walk thru in the OR and a safety concern was raised by the safety department because of a lack of an Ultrasafe Formalin Dispenser. Not having this UltraSafe dispense could cause harm to patients/OR staff if Formalin spills and is not handled properly Cleveland VAMC is the only surgical facility in the VISN that does not have one. 4. Scope. The Purchase of the UltraSAFE Unit will allow Cleveland VAMC OR department to be compliant with VA guidelines also have the equipment needed to keep our veterans and OR staff safe in case of a Formalin spill there have been issues with the hood system and PPE being used and this new system would address all those concerns. 5. Specific Tasks. The Contractor shall provide the Cleveland VAMC Surgical Service the UltraSAFE Unit and all accessories that are part of the system listed on the quote. 6. Performance Monitoring The COR will work with warehouse staff and biomedical engineering to ensure delivery and incoming inspection to determine fitness for use. 7. Security Requirements The requirements do not apply; The contractor will not have access to VA sensitive information. 8. Government-Furnished Equipment (GFE)/Government-Furnished Information (GFI). Not Applicable 9. Other Pertinent Information or Special Considerations. a. Identification of Possible Follow-on Work. N/A b. Identification of Potential Conflicts of Interest (COI). No potential conflicts of Interest. c. Identification of Non-Disclosure Requirements. N/A d. Packaging, Packing and Shipping Instructions. Shipping will be determined by the vendor upon receiving PO. e. Inspection and Acceptance Criteria. The COR will monitor delivery and consult with local biomedical staff to determine if the equipment received is suitable for use and meets the specifications of the SOW. 10. Risk Control The Surgical Service will follow any safety recommendations given by the vendor and biomed for the equipment. 11. Place of Performance: The place of performance was at: Cleveland VAMC 10701 East Blvd Cleveland, OH 44106 12. Period of Performance. One Time Buy 13. Delivery Schedule. Details of delivery to be finalized by Cleveland VAMC and vendor after contract have been awarded. SUBMISSION Responses to this solicitation shall be submitted via email to kevin.peeples@va.gov. Telephone responses shall not be accepted. Responses must be received no later than September 21, 2026, at 09:00am EST, (Eastern Standard Time). Please reference 36C25026Q1047 CLAUSES FAR Number Title Date 52.209-6 PROTECTING THE GOVERNMENT S INTEREST WHEN SUBCONTRACTING WITH CONTRACTORS DEBARRED, SUSPENDED, OR PROPOSED FOR DEBARMENT JAN 2025 52.212-4 CONTRACT TERMS AND CONDITIONS-- COMMERCIAL ITEMS NOV 2023 52.212-5 52.222-90 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT STATUTES OR EXECUTIVE ORDERS--COMMERCIAL ITEMS ALTERNATE II (JUL 2012) ADDRESSING DEI DISCRIMINATION BY FEDERAL CONTRACTORS JAN 2025 APR 2026 52.232-33 PAYMENT BY ELECTRONIC FUNDS TRANSFER SYSTEM FOR AWARD MANAGEMENT OCT 2018 52.252-2 CLAUSES INCORPORATED BY REFERENCE FEB 1998 52.232-40 PROVIDING ACCELERATED PAYMENTS TO SMALL BUSINESS SUBCONTRACTORS MAR 2023 52.233-1 DISPUTES MAY 2014 52.233-3 PROTEST AFTER AWARD AUG 1996 852.219-76 852.203-70 VA NOTICE OF LIMITATIONS ON SUBCONTRACTING-CERTIFICATE OF COMPLIANCE FOR SUPPLIES AND PRODUCTS (DEVIATION) COMMERCIAL ADVERTISING JAN 2023 MAY 2018 852.232-72 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS NOV 2018 852.237-70 CONTRACTOR RESPONSIBILITIES OCT 2019 PROVISIONS 52.212-1 INSTRUCTIONS TO OFFERORS-COMMERCIAL ITEMS SEP 2023 52.212-2 EVALUATION--COMMERCIAL ITEMS NOV 2021 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS--COMMERCIAL ITEMS MAY 2024


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