1282A722Q0031 - Wolf Creek Physician - Final.pdf
PDF 104 KB Posted
- Attached to
- Wolf Creek - Physician Services Federal contract opportunity
- Solicitation number
- 1282A722Q0031
- Issued by
- Department of Agriculture Forest Service
About this file
This solicitation requests offers for on-site physician medical services at the Wolf Creek Job Corps Center in Glide, Oregon. The services include a base year starting May 15, 2022 and four option years that can be exercised at the discretion of the Department of Agriculture Forest Service. The contractor will provide 400 hours of medical services per year at a firm-fixed price for the base and option years. Questions must be submitted in writing to the points of contact by the quote due date of March 30, 2022. Awards are anticipated to be made by April 29, 2022.
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| 1282A722Q0031 - Wolf Creek Physician - Final Rev1.pdf |
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Text version
SEE ADDENDUMIS CHECKED
CODE 18a. PAYMENT WILL BE MADE BY
CODE
FACILITYCODE
17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER
OFFEROR
82A7
LAKEWOOD CO 80401
1617 COLE BLVD
USDA FOREST SERVICE
JOB CORPS AQM
04T8 CODE 16. ADMINISTERED BYCODE
X
X
621111
SIZE STANDARD:
% FOR:SET ASIDE:UNRESTRICTED OR82A7
RFPIFB
10. THIS ACQUISITION ISCODE
RFQ
14. METHOD OF SOLICITATION
13b. RATING
NAICS:
SMALL BUSINESS
04/29/2022 1200 MT
03/30/2022
303-275-5393TRACY DOUD
(No collect calls)
INFORMATION CALL:
FOR SOLICITATION 8. OFFER DUE DATE/LOCAL TIMEb. TELEPHONE NUMBER a. NAME
4. ORDER NUMBER3. AWARD/ 6. SOLICITATION
1282A722Q0031
5. SOLICITATION NUMBER
SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS 1. REQUISITION NUMBER PAGE OF
1 28 OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30
TELEPHONE NO.
17a. CONTRACTOR/
GLIDE OR 97443
2010 OPPORTUNITY LANE
WOLF CREEK JCC
15. DELIVER TO
LAKEWOOD CO 80401
1617 COLE BLVD
USDA FOREST SERVICE
9. ISSUED BY
7.
2. CONTRACT NO.
EFFECTIVE DATE
$12.00
18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW
ISSUE DATE
DELIVERY FOR FOB DESTINA-
TION UNLESS BLOCK IS
MARKED
11.
SEE SCHEDULEX
12. DISCOUNT TERMS
THIS CONTRACT IS A
RATED ORDER UNDER
DPAS (15 CFR 700)
13a.
SERVICE-DISABLED
VETERAN-OWNED
SMALL BUSINESS
HUBZONE SMALL
BUSINESS
8(A)
JOB CORPS AQM
WOMEN-OWNED SMALL BUSINESS
(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED
SMALL BUSINESS PROGRAM
EDWOSB
24.
AMOUNT
23.
UNIT PRICE
22.
UNIT
21.
QUANTITY
20.
SCHEDULE OF SUPPLIES/SERVICES
19.
ITEM NO.
Wolf Creek Job Corps Center, in Glide, OR has a requirement for on-site Medical Services for a Base Year and four (4) Option Years to be exercised at the sole discretion of the Government. A single, firm-fixed price award is anticipated as a result of this Request for Quote. The Contractor shall be required to provide services as detailed in this solicitation.
The anticipated start date of services is May 15, (Use Reverse and/or Attach Additional Sheets as Necessary)
HEREIN, IS ACCEPTED AS TO ITEMS:
XX
DATED
TRACY R. DOUD
. YOUR OFFER ON SOLICITATION (BLOCK 5),
INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE SET FORTH
COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DELIVER
ARE
ARE
31c. DATE SIGNED
27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA
31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)
30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (Type or print)
ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY ADDITIONAL
SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED.
27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA
26. TOTAL AWARD AMOUNT (For Govt. Use Only)
OFFER
STANDARD FORM 1449 (REV. 2/2012)
Prescribed by GSA - FAR (48 CFR) 53.212
ARE NOT ATTACHED.
ARE NOT ATTACHED.
AUTHORIZED FOR LOCAL REPRODUCTION
PREVIOUS EDITION IS NOT USABLE
30b. NAME AND TITLE OF SIGNER (Type or print)
30a. SIGNATURE OF OFFEROR/CONTRACTOR
28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN
25. ACCOUNTING AND APPROPRIATION DATA
29. AWARD OF CONTRACT:
REF.
32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE
32c. DATE 32b. SIGNATURE OF AUTHORIZED GOVERNMENT REPRESENTATIVE
ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED:
32a. QUANTITY IN COLUMN 21 HAS BEEN
RECEIVED INSPECTED
40. PAID BY39. S/R VOUCHER NUMBER38. S/R ACCOUNT NUMBER
37. CHECK NUMBER
FINALPARTIAL
36. PAYMENT
FINALPARTIAL
35. AMOUNT VERIFIED
CORRECT FOR
34. VOUCHER NUMBER33. SHIP NUMBER
COMPLETE
32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE
42d. TOTAL CONTAINERS42c. DATE REC'D (YY/MM/DD)
42b. RECEIVED AT (Location)
42a. RECEIVED BY (Print)
41c. DATE41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER
41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT
STANDARD FORM 1449 (REV. 2/2012) BACK
24.
AMOUNT
23.
UNIT PRICE
22.
UNIT
21.
QUANTITY
20.
SCHEDULE OF SUPPLIES/SERVICES
19.
ITEM NO.
***Any questions should be submitted IN WRITING, via email, to tracy.doud@usda.gov and donald.watson@usda.gov.
Period of Performance: 05/15/2022 to 05/14/2023
0001 Medical Services - Base Year 400 HR
Anticipated Award Type: Firm-fixed-price
Product/Service Code: Q201
Product/Service Description: MEDICAL- GENERAL
HEALTH CARE
1001 Medical Services - Option Year 1 400 HR
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q201
Product/Service Description: MEDICAL- GENERAL
HEALTH CARE
Period of Performance: 05/15/2023 to 05/14/2024
2001 Medical Services - Option Year 2 400 HR
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q201
Product/Service Description: MEDICAL- GENERAL
HEALTH CARE
Continued ...
32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE
32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE
28 2 of
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
NAME OF OFFEROR OR CONTRACTOR
3 28
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
1282A722Q0031
Period of Performance: 05/15/2024 to 05/14/2025
3001 Medical Services - Option Year 3 400 HR
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q201
Product/Service Description: MEDICAL- GENERAL
HEALTH CARE
Period of Performance: 05/15/2025 to 05/14/2026
4001 Medical Services - Option Year 4 400 HR
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q201
Product/Service Description: MEDICAL- GENERAL
HEALTH CARE
Period of Performance: 05/15/2026 to 05/14/2027
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
Sponsored by GSA
FAR (48 CFR) 53.110
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