SF 2018 SOL FOR ULTRASOUND.pdf

OMB No. 0990-0115

10-242-SOL-00016

1. REQUEST NO.

5a. ISSUED BY

NAME

a. NAME

c. STREET ADDRESS

d. CITY

10. PLEASE FURNISH QUOTATIONS TO

THE ISSUING OFFICE IN BLOCK 5a ON

OR BEFORE CLOSE OF BUSINESS (Date)

2. DATE ISSUED 3. REQUISITION/PURCHASE REQUEST NO. 4. CERT. FOR NAT. DEF.

UNDER BDSA REG. 2

AND/OR DMS REG.1

RATING

6. DELIVERY BY (Date)

7. DELIVERY

9. DESTINATION

a. NAME OF CONSIGNEE

b. STREET ADDRESS

PAGE OF PAGES

5b. FOR INFORMATION CALL: (No collect calls)

TELEPHONE NUMBER

AREA CODE NUMBER

8. TO:

b. COMPANY

e. STATE f. ZIP CODE

c. CITY

d. STATE e. ZIP CODE

IMPORTANT: This is a request for information, and quotations furnished are not offers. If you are unable to quote, please so indicate on this form and return it to the address in Block 5a. This request does not commit the Government to pay any costs incurred in the preparation of the submission of this quotation or to contract for supplies or services. Supplies are of domestic origin unless otherwise indicated by quoter. Any representations and/or certifications attached to this Request for Quotations must be completed by the quoter.

11. SCHEDULE (Include applicable Federal, State and local taxes)

THIS RFQ

REQUEST FOR QUOTATION

(THIS IS NOT AN ORDER)

IS IS NOT A SMALL BUSINESS SET ASIDEX

04/28/2010

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5300 Homestead Road NE Albuquerque NM 87110

ALBUQUERQUE INDIAN HEALTH SERVICE

Multiple

505 248-4556DARRELL CHINO

05/10/2010 1630 MD

FOB DESTINATION

OTHER

(See Schedule)

ITEM NO.

(a)

SUPPLIES/SERVICES

(b)

QUANTITY

(c)

UNIT

(d)

UNIT PRICE

(e)

AMOUNT

(f)

The Albuquerque Area Indian Health Service (IHS) has a requirement for purchase, installation and calibrate of a Diagnostic Ultrasound machine for the Albuquerque Indian Health Center, located on 801 Vassar Drive NE, Albuquerque, New Mexico.

QUOTE FOR DIAGNOSTIC ULTRASOUND MACHINE TO

INCLUDE ALL SHIPPING AND HANDLING COST:

PRICE QUOTE: $_____________.

Vendors Proposals must include:

Vendor quote for their diagnostic ultrasound machine that is suited for general applications, OB/GYN applications, and small parts Continued ...

12. DISCOUNT FOR PROMPT PAYMENT

a. 10 CALENDAR DAYS (%) b. 20 CALENDAR DAYS (%) c. 30 CALENDAR DAYS (%) d. CALENDAR DAYS

NUMBER PERCENTAGE

NOTE: Additional provisions and representations

13. NAME AND ADDRESS OF QUOTER

b. STREET ADDRESS

c. COUNTY

d. CITY e. STATE f. ZIP CODE

14. SIGNATURE OF PERSON AUTHORIZED TO

SIGN QUOTATION

16. SIGNER

a. NAME (Type or print)

c. TITLE (Type or print)

a. NAME OF QUOTER

AREA CODE

NUMBER

15. DATE OF QUOTATION

b. TELEPHONE are are not attached

AUTHORIZED FOR LOCAL REPRODUCTION

Previous edition not usable

STANDARD FORM 18 (REV. 6-95)

Prescribed by GSA - FAR (48 CFR) 53.215-1(a)

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

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10-242-SOL-00016

examinations. Minimum system requirements are for the base unit, probes, color capability, and software packages for listed specifications.

Vendor quotes should define how components in their proposed system meet specifications.

i. Base ultrasound scanning system with cart and

UPS system

ii. Required probes:

a. Broadband Linear Array (specify frequency)

b. Broadband Curved Array (specify frequency)

c. Broadband Curved Array - endovaginal (specify frequency)

iii. Imaging modes, Brightness, Motion and Tissue

Harmonics

iv. Doppler modes, CW, PW, Color Flow

v. Included diagnostic software package/applications; (OB, GYN, Abdominal, Small

Parts, etc.)

vi. DICOM service included, must included Print, Store, Query/Retrieve, Storage Commit, and

Modality Work lists.

vii. On-board monitor configuration

viii. DICOM 3.0 services for Print, Storage, Query/Retrieve, and Modality Work lists

ix. 2 copies of all systems' documentation including operator's and service manuals; Quality

Control, user guide and other reference material

x. Applications Training (scope and length)

xi. Warranty coverage

xii. Promotional discounts and expiration of discount terms

b. The facility intends to purchase equipment with 3D and volumetric capability dependent upon budgetary limitations. Vendors should also quote as separate line items from main quote for requirements of possible future upgrade for 3D.

i. Required hardware and software packages

ii. Required 3D probe/probes for OB/GYN and general ultrasound

iii. Recommended additional applications training

c. Vendor shall also include the listed documents for evaluation:

i. Recurring annual service contract cost with

ii. Availability/typical response of service

Continued ...

NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)

NAME OF OFFEROR OR CONTRACTOR

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10-242-SOL-00016

personnel. (Primary service center location and number of assigned service engineers.)

iii. Costs for additional or follow-up operator training

iv. Reference list and contact information for installations in local region with similar installed systems.

d. All proposed equipment shall be new condition and current production models. Vendor shall notify purchaser of any plans to halt production of proposed system before delivery date and provide option of upgrading purchase to newer model.

e. Vendor shall provide written statement of minimum guaranteed period of time for parts availability and service support.

SCOPE OF WORK:

The vendor shall provide a complete diagnostic ultrasound system to include all materials, system components, and services as specified.

The Vendor shall provide all travel, personnel, labor, tools, and test equipment to install, program, interface and calibrate the new ultrasound machine to required specifications.

The vendor shall provide the following task(s):

1. The vendor shall provide operator training to end user radiology staff. Training will define operator use, operator programming, and operator maintenance requirements for optimal routine operations.

2. The vendor shall provide original and backup copies of all software, schematics, parts lists, troubleshooting manuals, operator's instruction manuals, and all other technical data for all installed equipment to the designated Project

Officer.

CONTRACTOR RESPONSIBILITIES:

MARKING:

All written correspondence must cite the following Solicitation number: 10-242-SOL-00016.

PERIOD OF PERFORMANCE:

NAME OF OFFEROR OR CONTRACTOR

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Period of performance shall commence upon award of a contract; equipment shall be installed, calibrate, and operational including the

Radiology staff trained within 12 weeks of notice to proceed.

PLACE OF PERFORMANCE/INSTALLTION:

Performance of services shall be within the

Medical Imaging Department of the Albuquerque

Indian Health Center (AIHC) located at 800 Vassar

Drive NE, Albuquerque, New Mexico.

CONTRACTING OFFICER RESPONSIBILITY:

The authorities to negotiate changes in the terms and conditions or the amounts cited in the contract are reserved to the Contracting Officer.

DESIGNATION OF PROJECT OFFICER:

Designation of Project Officer is Ken Garvin, BMET, Albuquerque Area Office, 5300 Homestead Rd

N.E., Albuquerque, New Mexico 87110, (505)

248-4596, hereby designated the Project Officer to monitor the performance of this order on behalf of the Government. The Project officer will provide no supervisory or instructional assistance to Contractor personnel. The Project

Officer's function is primarily to provide the

Contractor with working data. The Project

Officer is not empowered to make any commitments, nor authorized to make any changes which affect prices, terms, or delivery as specified on this order. Any such proposed changes shall be brought to the immediate attention of the ordering officer for action. The acceptance of any change by the Contractor without specific approval and written consent of the ordering officer will be at the Contractor's own risk.

Alternate Project Officer: Felix Gonzales, Address same as above, Telephone No.: (505)

248-4715.

PROJECT OFFICER AUTHORITY:

The Project Officer listed above is hereby designated to monitor the performance of this order on behalf of the Government. The Project

NAME OF OFFEROR OR CONTRACTOR

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Officer will provide no supervisory or instructional assistance to Contractor personnel.

The Project Officer's function is primarily to provide the Contractor with working data. The

Project Officer is not empowered to make any commitments, nor authorized to make any changes which affect prices, terms, or delivery as specified on this order. Any such proposed changes shall be brought to the immediate attention of the Ordering Officer for action.

The acceptance of any change by the Contractor without specific approval and written consent of the Ordering Officer will be at the Contractor's own risk.

INVOICE SUBMISSION:

The vendor shall submit invoices directly to the following address:

Division of Accounting Services

Indian Health Service

5300 Homestead Road NE

Albuquerque, New Mexico 87110

(505) 248-4568

The following information must be on each invoice.

- Contract No cited on the first page of the award.

- Contractor's Name and Address

- Date of Invoice period

- Hours of services provide during the invoiced period.

- Invoice No.

- Invoice signed and dated, and to include the following

Certification:

"I hereby certify that all services provided and invoiced are for appropriate purposes and in accordance with the terms and conditions of the cited contract"

PAYMENT OFFICE IS:

Albuquerque Indian Health Service

Division of Accounting Services

5300 Homestead Road, NE

Albuquerque, New Mexico 87110

NAME OF OFFEROR OR CONTRACTOR

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10-242-SOL-00016

Electronic Funds Transfer (EFT) Disbursed by:

U. S. Department of Treasury

Office of Disbursements

Austin, TX 73301

REPORTING REQUIREMENTS:

1. Delivery and accountability of equipment shall be documented by the Project Officer.

Period of Performance: 05/31/2010 to 08/20/2010

52.213-4 Terms and Conditions - Simplified

Acquisitions (Other Than Commercial Items) (APR

2010)

(a) The Contractor shall comply with the following Federal Acquisition Regulation (FAR) clauses that are incorporated by reference:

(1) The clauses listed below implement provisions of law or Executive order:

(i) 52.222-3, Convict Labor (June 2003) (E.O.

11755).

(ii) 52.222-21, Prohibition of Segregated

Facilities (Feb 1999) (E.O. 11246).

(iii) 52.222-26, Equal Opportunity (Mar 2007)

(E.O. 11246).

(iv) 52.222-50, Combating Trafficking in Persons

(Feb 2009) (22 U.S.C. 7104(g)).

(v) 52.225-13, Restrictions on Certain Foreign

Purchases (Jun 2008) (E.o.s, proclamations, and statutes administered by the Office of Foreign

Assets Control of the Department of the

Treasury).

(vi) 52.233-3, Protest After Award (Aug 1996) (31

U.S.C. 3553).

(vii) 52.233-4, Applicable Law for Breach of

Contract Claim (Oct 2004) (Pub. L. 108-77, 108-78).

NAME OF OFFEROR OR CONTRACTOR

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(2) Listed below are additional clauses that apply:

(i) 52.232-1, Payments (Apr 1984).

(ii) 52.232-8, Discounts for Prompt Payment (Feb

2002).

(iii) 52.232-11, Extras (Apr 1984).

(iv) 52.232-25, Prompt Payment (Oct 2008).

(v) 52.233-1, Disputes (July 2002).

(vi) 52.244-6, Subcontracts for Commercial Items

(Apr 2010).

(vii) 52.253-1, Computer Generated Forms (Jan

1991).

(b) The Contractor shall comply with the following FAR clauses, incorporated by reference, unless the circumstances do not apply:

(1) The clauses listed below implement provisions of law or Executive order:

(i) 52.222-19, Child Labor-Cooperation with

Authorities and Remedies (Aug 2009) (E.O.

13126).(Applies to contracts for supplies exceeding the micro-purchase threshold.)

(ii) 52.222-20, Walsh-Healey Public Contracts Act

(Dec 1996) (41 U.S.C. 35-45) (Applies to supply contracts over $10,000 in the United States, Puerto Rico, or the U.S. Virgin Islands).

(iii) 52.222-35, Equal Opportunity for Special

Disabled Veterans, Veterans of the Vietnam Era, and Other Eligible Veterans (Sep 2006) (38 U.S.C.

4212) (Applies to contracts of $100,000 or more).

(iv) 52.222-36, Affirmative Action for Workers with Disabilities (Jun 1998) (29 U.S.C. 793)

(Applies to contracts over $10,000, unless the work is to be performed outside the United States by employees recruited outside the United

States.) (For purposes of this clause, United

States includes the 50 States, the District of

Columbia, Puerto Rico, the Northern Mariana

Islands, American Samoa, Guam, the U.S. Virgin

NAME OF OFFEROR OR CONTRACTOR

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Islands, and Wake Island.)

(v) 52.222-37, Employment Reports on Special

Disabled Veterans, Veterans of the Vietnam Era, and Other Eligible Veterans (Sep 2006) (38 U.S.C.

4212) (Applies to contracts of $100,000 or more).

(vi) 52.222-41, Service Contract Act of 1965, (Nov 2007) (41 U.S.C. 351, et seq.) (Applies to service contracts over $2,500 that are subject to the Service Contract Act and will be performed in the United States, District of Columbia, Puerto

Rico, the Northern Mariana Islands, American

Samoa, Guam, the U.S. Virgin Islands, Johnston

Island, Wake Island, or the outer continental shelf lands.)

(vii) 52.223-5, Pollution Prevention and

Right-to-Know Information (Aug 2003) (E.O. 13148)

(Applies to services performed on Federal facilities).

(viii) 52.223-15, Energy Efficiency in

Energy-Consuming Products (Dec 2007) (42 U.S.C.

8259b) (Unless exempt pursuant to 23.204, applies to contracts when energy-consuming products listed in the ENERGY STAR- Program or Federal

Energy Management Program (FEMP) will be-

(A) Delivered;

(B) Acquired by the Contractor for use in performing services at a Federally-controlled facility;

(C) Furnished by the Contractor for use by the

Government; or

(D) Specified in the design of a building or work, or incorporated during its construction, renovation, or maintenance.)

(ix) 52.225-1, Buy American Act-Supplies (Feb

2009) (41 U.S.C. 10a-10d) (Applies to contracts for supplies, and to contracts for services involving the furnishing of supplies, for use within the United States or its outlying areas, if the value of the supply contract or supply portion of a service contract exceeds the micro-purchase threshold and the acquisition--

NAME OF OFFEROR OR CONTRACTOR

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(A) Is set aside for small business concerns; or

(B) Cannot be set aside for small business concerns (see 19.502-2), and does not exceed

$25,000.)

(x) 52.232-33, Payment by Electronic Funds

Transfer-Central Contractor Registration (Oct

2003). (Applies when the payment will be made by electronic funds transfer (EFT) and the payment office uses the Central Contractor Registration

(CCR) database as its source of EFT information.)

(xi) 52.232-34, Payment by Electronic Funds

Transfer-Other than Central Contractor

Registration (May 1999). (Applies when the payment will be made by EFT and the payment office does not use the CCR database as its source of EFT information.)

(xii) 52.247-64 Preference for Privately Owned

U.S.-Flag Commercial Vessels (Feb 2006) (46

U.S.C. App. 1241). (Applies to supplies transported by ocean vessels (except for the types of subcontracts listed at 47.504(d).)

(2) Listed below are additional clauses that may apply:

(i) 52.209-6, Protecting the Government's

Interest When Subcontracting with Contractors

Debarred, Suspended, or Proposed for Debarment

(Sep 2006) (Applies to contracts over $30,000).

(ii) 52.211-17, Delivery of Excess Quantities

(Sep 1989) (Applies to fixed-price supplies).

(iii) 52.226-6, Promoting Excess Food Donation to

Nonprofit Organizations. (Mar 2009) (Pub. L. 110

247) (Applies to contracts greater than $25,000 that provide for the provision, the service, or the sale of food in the United states.)

(iv) 52.247-29, F.o.b. Origin (Feb 2006) (Applies to supplies if delivery is f.o.b. origin).

(v) 52.247-34, F.o.b. Destination (Nov 1991)

(Applies to supplies if delivery is f.o.b.

destination).

(c) FAR 52.252-2, Clauses Incorporated by

NAME OF OFFEROR OR CONTRACTOR

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Reference (Feb 1998). This contract incorporates one or more clauses by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. Also, the full text of a clause may be accessed electronically at this/these address(es): www.arnet.gov

52.201-1 Definitions (JUL 2004)

(d) Inspection/Acceptance. The Contractor shall tender for acceptance only those items that conform to the requirements of this contract. The

Government reserves the right to inspect or test any supplies or services that have been tendered for acceptance. The Government may require repair or replacement of nonconforming supplies or reperformance of nonconforming services at no increase in contract price. The Government must exercise its postacceptance rights --

(1) Within a reasonable period of time after the defect was discovered or should have been discovered; and

(2) Before any substantial change occurs in the condition of the item, unless the change is due to the defect in the item.

(e) Excusable delays. The Contractor shall be liable for default unless nonperformance is caused by an occurrence beyond the reasonable control of the Contractor and without its fault or negligence, such as acts of God or the public enemy, acts of the Government in either its sovereign or contractual capacity, fires, floods, epidemics, quarantine restrictions, strikes, unusually severe weather, and delays of common carriers. The Contractor shall notify the

Contracting Officer in writing as soon as it is reasonably possible after the commencement of any excusable delay, setting forth the full particulars in connection therewith, shall remedy such occurrence with all reasonable dispatch, and shall promptly give written notice to the

Contracting Officer of the cessation of such occurrence.

(f) Termination for the Government's convenience.

The Government reserves the right to terminate

NAME OF OFFEROR OR CONTRACTOR

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this contract, or any part hereof, for its sole convenience. In the event of such termination, the Contractor shall immediately stop all work hereunder and shall immediately cause any and all of its suppliers and subcontractors to cease work. Subject to the terms of this contract, the

Contractor shall be paid a percentage of the contract price reflecting the percentage of the work performed prior to the notice of termination, plus reasonable charges that the

Contractor can demonstrate to the satisfaction of the Government, using its standard record keeping system, have resulted from the termination. The

Contractor shall not be required to comply with the cost accounting standards or contract cost principles for this purpose. This paragraph does not give the Government any right to audit the

Contractor's records. The Contractor shall not be paid for any work performed or costs incurred that reasonably could have been avoided.

(g) Termination for cause. The Government may terminate this contract, or any part hereof, for cause in the event of any default by the

Contractor, or if the Contractor fails to comply with any contract terms and conditions, or fails to provide the Government, upon request, with adequate assurances of future performance. In the event of termination for cause, the Government shall not be liable to the Contractor for any amount for supplies or services not accepted, and the Contractor shall be liable to the Government for any and all rights and remedies provided by law. If it is determined that the Government improperly terminated this contract for default, such termination shall be deemed a termination for convenience.

(h) Warranty. The Contractor warrants and implies that the items delivered hereunder are merchantable and fit for use for the particular purpose described in this contract.

HEALTH & HUMAN SERVICES ACQUISITION REGULATION

CLAUSES (48 CFR CHAPTER 3)

352.202-1 Definitions 1/2006

352.232-9 Withholding of Contract Payments 4/1984

352.270-13 Tobacco-Free Facilities 1/2006

NAME OF OFFEROR OR CONTRACTOR

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AWARD:

Award shall be made to the lowest evaluated

Offeror who is determined responsive and responsible. The award shall be a Firm-Fixed

Price Purchase Order for Request for Quotation

10-242-SOL-00016.