18-242-SOL-00010,_SF-1449.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

TPSU CODE 16. ADMINISTERED BYCODE

X

X

X

562112

SIZE STANDARD:

100.00 % FOR:SET ASIDE:UNRESTRICTED OR203

RFPIFB

10. THIS ACQUISITION ISCODE

RFQ

14. METHOD OF SOLICITATION

13b. RATING

NAICS:

SMALL BUSINESS

01/05/2018 1200 MD

12/27/2017

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-00010

5. SOLICITATION NUMBER

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

1 4 OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

TELEPHONE NO.

17a. CONTRACTOR/

TAOS NEW MEXICO 87571

1090 GOAT SPRING ROAD

TAOS PICURIS SERVICE UNIT

15. DELIVER TO

Albuquerque NM 87110 4101 Indian School Rd NE, Suite 225

9. ISSUED BY

7.

2. CONTRACT NO.

EFFECTIVE DATE

$38.50

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 biohazardous waste management removal services agreement for the following Albuquerque Area Indian Health Service Facility:

Taos Picuris Service Unit 1090 Goat Springs Road Taos, New Mexico 87571

Acquisition will be for a 12 month base period with four 12 month option periods.

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

HEREIN, IS ACCEPTED AS TO ITEMS:

X

XX

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: 02/01/2018 to 01/31/2023

1 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 contractor shall provide all transportation, fuel, personnel, equipment, tools, materials, supervision, and other items and services necessary to provide a biohazardous waste removal services agreement with the following specifications:

- Biohazardous Waste Collection of Regulated

Medical Waste and Sharps Disposal o SOLID BIOHAZARDOUS WASTE (non-sharps): items that are contaminated with human diagnostic specimen material (i.e., body fluids, tissue debris) such as linens, gloves and other disposable PPE contaminated with specimen or culture material.

o BIOHAZARDOUS SHARPS: any device that is sharp enough to puncture the skin and that is contaminated with a biological material that is an infectious disease transmission risk, or an environmental release risk such as Needles, Continued ...

32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

4 2 of

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

3 4

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

18-242-SOL-00010

disposable syringes, capillary tubes & scalpels contaminated with human materials.

o Contractor to provide monthly pick up of two RC-44 Gallon Tubs containing medical bio-hazardous waste and sharps.

- Pharmaceutical Waste Disposal o Provide quarterly pick up of medication, pharmaceuticals and their components as regulated by federal and local regulations or laws.

- Hazardous Waste Disposal o Provide bi-annual pick up of Hazardous Waste items such as automotive products, Batteries, fluorescent light bulbs and compact fluorescent lamps (CFL), Paint, Garden chemicals and items containing mercury or lead.

o Disposal, transport and treatment will be in accordance with the requirements of Federal, State and Local regulations governing the treatment of such waste.

- Containers o Contractor shall provide appropriate containers and maintain a maintenance program. They shall be responsible for all repairs and maintenance for the duration of the rental agreement.

 Biohazardous items: Strong, Leak-proof Gallon Tubs appropriately marked with a biohazard symbol. The container, marking, and labels are to be red.

 Pharmaceuticals items: a dedicated non-RCRA pharmaceutical container, marked for incineration.

 Hazardous Waste: To be determined after site review. This is a new service for us o Contractor shall be responsible for equipment failure not arising out of abuse or negligence by the government.

- Training Support o The contractor shall provide annual On-Site training covering Blood Borne Pathogens and updates to the OSHA regulations and On-Demand

Online training for various compliance items.

o Annual Training for Pharmacy and Nursing staff on Pharmaceutical Waste Regulations as a refresher and covering new regulations.

- Customer Support o The contractor shall provide annual On-Site OSHA survey visits and availability of

Continued ...

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

Sponsored by GSA

FAR (48 CFR) 53.110

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

4 4

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

18-242-SOL-00010

appropriate logs and manifests documenting destruction.

o The contractor shall provide ongoing support to identify controlled substance wastes, hazardous wastes, and other drug wastes to make sure that each is disposed of properly.

- DELIVERY SCHEDULE & LOCATION:

o The required delivery schedule for the containers in this contract shall be within the time frame to be determined:

o Drop Off/Pick Up Location

 Adjacent to the Maintenance Yard at the Taos Picuris Health Center o Pick Up Date

 On 3rd Thursday of each month between the hours of 7am and 5 pm (negotiable)

 Housekeeping or Maintenance staff will be available to unlock the gate

 Contractor shall report to any issues with Pick up to the Administration Department

 Biohazardous waste shall be o Inclement Weather Schedule In cases of severe weather, the contracting officer may authorize exceptions. When exceptions are granted, the contractor shall make up all missed collections within 24 hours after the severe weather has terminated, unless the contracting officer authorizes additional time.

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

Sponsored by GSA

FAR (48 CFR) 53.110