18-242-SOL-00003,_ZSU_Subsistence_&_Non-Subsistence_Supply_Agreement.pdf

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

Albuquerque NM 87110 4101 Indian School Rd NE, Suite 225 Albuquerque Indian Health Service

CODE 16. ADMINISTERED BYCODE

X

X

X

311991

SIZE STANDARD:

100.00 % FOR:SET ASIDE:UNRESTRICTED OR203

RFPIFB

10. THIS ACQUISITION ISCODE

RFQ

14. METHOD OF SOLICITATION

13b. RATING

NAICS:

SMALL BUSINESS

10/20/2017 1700 MD

10/16/2017

505-256-6752ERIC WRIGHT

(No collect calls)

INFORMATION CALL:

FOR SOLICITATION 8. OFFER DUE DATE/LOCAL TIMEb. TELEPHONE NUMBER a. NAME

4. ORDER NUMBER3. AWARD/ 6. SOLICITATION

18-242-SOL-00003

5. SOLICITATION NUMBER

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS 1. REQUISITION NUMBER PAGE OF

1 5 OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

TELEPHONE NO.

17a. CONTRACTOR/

Zuni New Mexico 87327 Route 301 North B Street Dietary Department Zuni Indian Health Center

15. DELIVER TO

Albuquerque NM 87110 4101 Indian School Rd NE, Suite 225

9. ISSUED BY

7.

2. CONTRACT NO.

EFFECTIVE DATE

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 SCHEDULE

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)

Albuquerque Indian Health Service

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.

The contractor shall provide a subsistence and non-subsistence supply agreement to the following Albuquerque Area Indian Health Service Facility:

Zuni Indian Health Center Dietary Department Route 301 North B Street Zuni, New Mexico 87327

Acquisition will be for one base year with 4 one year options years for renewal.

(Use Reverse and/or Attach Additional Sheets as Necessary)

HEREIN, IS ACCEPTED AS TO ITEMS:

X

DATED

ERIC K. WRIGHT

. 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.

Period of Performance: 11/01/2017 to 10/31/2022

1 Subsistence items will include fresh, frozen and canned items. This includes but is not limited to:

- Whole cuts of choice quality meats, with a yield of 2 or better.

- Grade A poultry (chicken and turkey).

- Pork products with a color and marbling standard of 3 or greater.

- Breaded chicken tenders and breaded chicken patties.

- Breaded shrimp should come in quantities of approximately 30 shrimp per pound.

- Sugar free single serve ice creams and sherbets.

- Assorted frozen fruits and frozen vegetables.

- Fresh produce items will include but are not limited to: Avocados, apples, bananas, broccoli, cabbage, cauliflower, cantaloupe, carrots, cilantro, celery, cucumbers, grapes, potatoes, honeydew, kiwis, lemons, limes, lettuce, nectarines, onions, peaches, pears, plums, oranges, bell peppers, chiles, radishes, strawberries, tomatoes, watermelons, zucchini, squash, jalapenos.

- Shelf stable substance items include but are not limited to: applesauce, various pastas (white and whole grain), assorted no sugar added bowl pack cereals, potato flakes pearls, assorted juices (4-6 oz and 46-48 oz), bulk farina, bulk

Continued ...

32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

5 2 of

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

3 5

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

18-242-SOL-00003

flour, bulk sugar, bulk oatmeal, bulk malt-o-meal, bulk cornmeal, assorted dry beans, jellos (sugar free and regular), sugar free crystal light or equivalent , 8 oz regular and diet soda cans (clear and caffeine free), single serving sugar and sugar substitute packets, single serving Ms. Dash packets, single servings of peanut butter, assorted single serving jelly packets (sugar free and regular), pam spray, single serving fruit cups, taco shells, tortilla chips, assorted single serving crackers, tea

(decaf and regular), coffee, distilled water, single serve powder creamers, assorted sauces

(A1, BBQ, sweet n sour, teriyaki etc), lemon juice, lime juice, honey, corn syrup, single serve raisins, non-fat dry/powder milk, assorted granola bars, coffee singles (decaf and regular), cold brew tea bags.

- Canned goods with a can size of 300 and 303

(14oz-17oz by weight) will be purchased; this includes but is not limited to assorted soups, fruits and vegetables.

- Canned goods will be labeled as no sodium added and/or unsweetened. When no possible to be packed in water items (such as fruit) are to be packed in juice.

- Items packed in light syrup will be evaluated on an item by item basis and is not preferred.

- Non-subsistence items include but are not limited to: bleach, baking powder, baking soda, cornstarch, olive oil, canola oil, assorted seasonings spices, condiments (bulk and single serve), napkins, paper trays, disposable goods of various sizes (cups with lids, bowls with lids, plates and covers, silverware), coffee filters, cling wrap, aluminum foil, freezer bags of varying sizes, instant yeast.

DESCRIPTION OF SERVICES/SUPPLIES

The contractor shall be in accordance with all

Federal, State, Local, Tribal and IHS regulations and shall be made with minimal divergence from the schedule established and with minimum disturbance and maximum protection of government personnel, property and general public.

The contract shall provide a subsistence and non-subsistence supply agreement with the

Continued ...

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

Sponsored by GSA

FAR (48 CFR) 53.110

4 5

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

18-242-SOL-00003

following specifications:

Subsistence items will include fresh, frozen and canned items. This includes but is not limited to:

- Whole cuts of choice quality meats, with a yield of 2 or better.

- Grade A poultry (chicken and turkey).

- Pork products with a color and marbling standard of 3 or greater.

- Breaded chicken tenders and breaded chicken patties.

- Breaded shrimp should come in quantities of approximately 30 shrimp per pound.

- Sugar free single serve ice creams and sherbets.

- Assorted frozen fruits and frozen vegetables.

- Fresh produce items will include but are not limited to: Avocados, apples, bananas, broccoli, cabbage, cauliflower, cantaloupe, carrots, cilantro, celery, cucumbers, grapes, potatoes, honeydew, kiwis, lemons, limes, lettuce, nectarines, onions, peaches, pears, plums, oranges, bell peppers, chiles, radishes, strawberries, tomatoes, watermelons, zucchini, squash, jalapenos.

- Shelf stable substance items include but are not limited to: applesauce, various pastas (white and whole grain), assorted no sugar added bowl pack cereals, potato flakes pearls, assorted juices (4-6 oz and 46-48 oz), bulk farina, bulk flour, bulk sugar, bulk oatmeal, bulk malt-o-meal, bulk cornmeal, assorted dry beans, jellos (sugar free and regular), sugar free crystal light or equivalent , 8 oz regular and diet soda cans (clear and caffeine free), single serving sugar and sugar substitute packets, single serving Ms. Dash packets, single servings of peanut butter, assorted single serving jelly packets (sugar free and regular), pam spray, single serving fruit cups, taco shells, tortilla chips, assorted single serving crackers, tea

(decaf and regular), coffee, distilled water, single serve powder creamers, assorted sauces

(A1, BBQ, sweet n sour, teriyaki etc), lemon juice, lime juice, honey, corn syrup, single serve raisins, non-fat dry/powder milk, assorted granola bars, coffee singles (decaf and regular), cold brew tea bags.

Continued ...

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

5 5

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

18-242-SOL-00003

- Canned goods with a can size of 300 and 303

(14oz-17oz by weight) will be purchased; this includes but is not limited to assorted soups, fruits and vegetables.

o Canned goods will be labeled as no sodium added and/or unsweetened. When no possible to be packed in water items (such as fruit) are to be packed in juice.

o Items packed in light syrup will be evaluated on an item by item basis and is not preferred.

- Non-subsistence items include but are not limited to: bleach, baking powder, baking soda, cornstarch, olive oil, canola oil, assorted seasonings spices, condiments (bulk and single serve), napkins, paper trays, disposable goods of various sizes (cups with lids, bowls with lids, plates and covers, silverware), coffee filters, cling wrap, aluminum foil, freezer bags of varying sizes, instant yeast.

SCHEDULE OF DELIVERABLES/REPORTING REQUIREMENTS

Items may need to be picked up/delivered on a weekly basis dependent on patient count. Some weeks produce/canned goods may not be needed.

TECHNICAL EVALUATION CRITERIA

Offers will be accepted based on the following factors:

- Whole cuts of choice quality meats, with a yield of 2 or better

- Grade A poultry (chicken and turkey), pork products with a color and marbling standard of 3 or greater; breaded chicken tenders and breaded chicken patties.

- Breaded shrimp should be frozen and come in quantities of approximately 30 shrimp per pound.

- Can sizes should be 300 and 303.

o Cans should be in good to excellent condition:

greater than 18 months from expiration/best by date, all labels should be attached, no dents, bulges or rust.

o Canned goods will be labeled as no sodium added and/or unsweetened.

 When not possible to be packed in water items (such as fruit) are to be packed in juice.

Items packed in light syrup will be evaluated on an item by item basis and is not preferred.

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