Salt_SF-18.pdf

18-239-SOL-00100

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

07/25/2018

1 34

522 Minnesota Ave NW ATTN: Christopher Millard 218-444-0511 Bemidji MN 56601

Indian Health Service Multiple

218 444-0511CHRISTOPHER MILLARD

08/08/2018 1600 CT

FOB DESTINATION

OTHER

(See Schedule)X

ITEM NO.

(a)

SUPPLIES/SERVICES

(b)

QUANTITY

(c)

UNIT

(d)

UNIT PRICE

(e)

AMOUNT

(f)

This is a request for quote conducted under Simplified Acquisition Procedures pursuant to the authority of FAR Subpart 13. This announcement constitutes the only solicitation and offers are being requested.

The solicitation documents & incorporated provisions & clauses are those in effect through Federal Acquisition Circular 2005-94,2005-95 / 01-19-2017.

There will be one (1) award from this solicitation

Set-Aside:

This is set-aside as a 100% Small Business set aside 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

2 34

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

18-239-SOL-00100

Contract Type: The Indian Health Service (IHS) intends to issue a firm-fixed price purchase order resulting from this solicitation.

Prospective vendor shall submit a firm-fixed price offer.

Substitutes:

No substitutes for this service

Basis for Award:

Lowest price technically acceptable.

This will be a base year and four option years for possible five year contract.

Quote:

Please provide a business quote in your proposal with five line items:

1) Base Year

2) Option year one

3) Option Year two

4) Option year three

5) Option year four and Grand Total

Tax Exempt:

IHS is a tax exempt Federal agency.

Delivery: FOB Destination

Identify delivery date ARO in the quotation.

NAICS: 484110

ABILITYONE:

http://www.abilityone.gov/

Prospective vendors shall propose

AbilityOne products when available.

Items offered shall be clearly identified as AbilityOne.

Prospective vendors shall be properly registered in www.sam.gov. This includes proper registration as a small business as well as any subcategory claimed such as (HUBZone, 8(a), Service Disabled

Veteran Owned, Veteran Owned, Women-Owned, Small

Continued ...

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

3 34

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

18-239-SOL-00100

Disadvantaged)in order for IHS to issue an award and claim procurement actions with eligible IEE small business vendors.

RESPONSE NO LATER THAN:

08/08/2018, 4:00pm CT.

Quote must be received on or before the closing date and time.

Quote must be legible in order to be considere

52.252-2 Clauses Incorporated by Reference.

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 address:

www.acquisition.gov

52.202-1 Definitions.

52.204-9 Personal Identity Verification of

Contractor Personnel.

52.204-13, System for Award Management

Maintenance.

52.204-19: Incorporation by Reference of

Representations and Certifications

52.213-4 Terms and Conditions - Simplified

Acquisitions (Other Than Commercial Items)

52.217-5 Evaluation of Options

52.223-3 Hazardous Material Identification and

Material Safety Data

52.223-11 Ozone-Depleting Substances.

52.223-18 Encouraging Contractor Policies to Ban

Text Messaging While Driving

52.243-1 Changes-Fixed Price.

52.217-8 Option to Extend Services.

The Government may require continued performance of any services within the limits and at the rates specified in the contract. These rates may be adjusted only as a result of revisions to prevailing labor rates provided by the Secretary of Labor. The option provision may be exercised more than once, but the total extension of performance hereunder shall not exceed 6 months.

The Contracting Officer may exercise the option by written notice to the Contractor within 30 days of contract expiration.

52.217-9 Option to Extend the Term of the

Contract.

(a) The Government may extend the term of this

4 34

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

18-239-SOL-00100

contract by written notice to the Contractor within 30 days; provided that the Government gives the Contractor a preliminary written notice of its intent to extend at least 60 days before the contract expires. The preliminary notice does not commit the Government to an extension.

(b) If the Government exercises this option, the extended contract shall be considered to include this option clause.

(c) The total duration of this contract, including the exercise of any options under this clause, shall not exceed 5 (years).

52.232-19 Availability of Funds for the Next

Fiscal Year.

Funds are not presently available for performance under this contract beyond 09/30/2018. The

Government?s obligation for performance of this contract beyond that date is contingent upon the availability of appropriated funds from which payment for contract purposes can be made. No legal liability on the part of the Government for any payment may arise for performance under this contract beyond 09/30/2018, until funds are made available to the Contracting Officer for performance and until the Contractor receives notice of availability, to be confirmed in writing by the Contracting Officer.

52.216-24 Limitation of Government Liability.

(a) In performing this contract, the Contractor is not authorized to make expenditures or incur obligations exceeding the award amount in dollars.

(b) The maximum amount for which the Government shall be liable if this contract is terminated is for services or supplies received and accepted in dollars.

DEPARTMENT OF HEALTH AND HUMAN SERVICES

ACQUISITION REGULATION

(HHSAR) (48 CFR CHAPTER 3) CLAUSES:,

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

5 34

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

18-239-SOL-00100

electronically at this address:

http://www.hhs.gov/policies/hhsar/subpart301-1.htm l

352.202-1 Definitions

352.222-70 Contractor Cooperation in Equal

Employment Opportunity Investigations.

352.233-70 Safety and Health

352.224-70 Privacy Act

352.227-70 Publications and Publicity