19-242-SOL-00011.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

423450

SIZE STANDARD:

100.00 % FOR:SET ASIDE:UNRESTRICTED OR203

RFPIFB

10. THIS ACQUISITION ISCODE

RFQ

14. METHOD OF SOLICITATION

13b. RATING

NAICS:

SMALL BUSINESS

01/28/2019 1200 MT

01/17/2019

505-256-6756CEDRIC WOOD

(No collect calls)

INFORMATION CALL:

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

4. ORDER NUMBER3. AWARD/ 6. SOLICITATION

19-242-SOL-00011

5. SOLICITATION NUMBER

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

1 11 OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

TELEPHONE NO.

17a. CONTRACTOR/

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.

This is a combined synopsis/solicitation for commercial items, prepared in accordance with the format in FAR Part 12.6 and as supplemented with additional information included in this notice.

This announcement constitutes the only solicitation; proposals are being requested and a separate written solicitation will not be issued.

Solicitation number 19-242-SOL-00011 applies, and is issued as a Request for Quote (RFQ).

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

HEREIN, IS ACCEPTED AS TO ITEMS:

X

XX

DATED

CEDRIC A. WOOD

. 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.

This solicitation document and incorporated provisions and clauses are those in effect through Federal Acquisition Circular 2005-101.

The associated North American Industrial

Classification System (NAICS) code for this procurement is 423450 with a small business size standard of 200.

This requirement is a total Indian Small Business

Economic Enterprise (ISBEE) concerns with a cascading set-aside for other small business concerns and only qualified offerors will be considered. See clause titles ?Cascading

Set-aside? for more information.

The Government contemplates award of a firm-fixed price Blanket Purchase Agreement (BPA) contract resulting from this solicitation. Only one award will result from this solicitation, and shall be based on ?All or None? meaning that if an offerors? bid does not offer all items requested the proposal will be considered non responsive .

The Indian Health Service requires the following items, Brand-Name or Equal to, that meet or exceed the following:

The Contract Line Items (CLINs) structure is

Continued ...

32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

11 2 of

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

3 11

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

19-242-SOL-00011

attached as a separate document (see attached).

Please enter current pricing for each item listed. Items on this list are estimated to be consumed during the life of this contract some items may be ordered more than once within each option year.

This solicitation will result in a Single Blanket

Purchase Agreement (BPA) Award with 1 Base Year from the date of award and four additional option year periods based on Satisfactory Performance ratings. The proposal should be similar to the cost for total supplies for each year. :

Base Year: Start Date TBD 2019 to end date TBD

2020 = Total annual cost $___

Option Year One: Start Date TBD 2020 to end date

2021 = Total annual cost $___

Option Year Two: Start Date TBD 2021 to end date

2022 = Total annual cost $___

Option Year Three: Start Date TBD 2022 to end date 2023 = Total annual cost $___

Option Year Four: Start Date TBD 2023 to end date

2024 = Total annual cost $___

Total cost for base year plus option years $____

The purpose of this acquisition is to establish a

BPA type contract in accordance with FAR Part

13.303 to purchase consumable items that will be used throughout a period of 12 months. All items listed are generally purchased items but exact quantities are not known. These items will be used by the Dental Department at the Jicarilla

Service Unit. New Equipment ONLY; NO remanufactured or "gray market" items. All items must be covered by the manufacturer's warranty and detail that time period.

Delivery and acceptance terms for this order is

FOB Destination. Delivery Addresses: Jicarilla

Service Unit, Indian Health Service, 500 Mundo

Continued ...

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

Sponsored by GSA

FAR (48 CFR) 53.110

4 11

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

19-242-SOL-00011

Drive, Dulce, NM. 87528.

The provision at 52.212-1, Instructions to

Offerors ? Commercial Items (Jan 2017).

52.212-2, Evaluation ? The award will be made to the lowest priced technically acceptable offeror.

To be considered for the award, the offeror shall be an authorized reseller/partnership that evidences the company?s eligibility and capability to provide the requested dental supplies. Furthermore, the offeror shall conform to the following requirements in the quotation:

only manufacture certified original and new supplies shall be quoted; no grey market or refurbished items shall be quoted.

Offerors shall include a completed copy of the provision at 52.212-3, Offeror Representations and Certifications -- Commercial Items, with its offer.

FAR 52.212-4 Contract Terms and Conditions ?

Commercial Items (Jan 2017) applies to this acquisition. The following addendum applies:

Email Addresses for submission of invoices is:

alb_aoapinvoices@ihs.gov .

52.212-5 Contract Terms and Conditions Required to Implement Statutes or Executive Orders

-Commercial Items (Jan 2017)

(a) The Contractor shall comply with the following Federal Acquisition Regulation (FAR) clauses, which are incorporated in this contract by reference, to implement provisions of law or

Executive orders applicable to acquisitions of commercial items:

(1) 52.203-19, Prohibition on Requiring Certain

Internal Confidentiality Agreements or Statements

(Jan 2017) (section 743 of Division E, Title VII, of the Consolidated and Further Continuing

Appropriations Act 2015 (Pub. L. 113-235) and its successor provisions in subsequent appropriations acts (and as extended in continuing resolutions)).

(2) 52.209-10, Prohibition on Contracting with

Inverted Domestic Corporations (Nov 2015)

Continued ...

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

5 11

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

19-242-SOL-00011

(3) 52.233-3, Protest After Award (AUG 1996) (31

U.S.C. 3553).

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

Contract Claim (OCT 2004) (Public Laws 108-77, 108-78 (19 U.S.C. 3805 note)).

(b) The Contractor shall comply with the FAR clauses in this paragraph (b) that the contracting officer has indicated as being incorporated in this contract by reference to implement provisions of law or Executive orders applicable to acquisitions of commercial items:

(1) 52.209-6, Protecting the Government?s

Interest When Subcontracting with Contractors

Debarred, Suspended, or Proposed for Debarment

(Oct 2015) (31 U.S.C. 6101 note).

(2) 52.219-28, Post Award Small Business Program

Re-representation (Jul 2013) (15 U.S.C.

632(a)(2)).

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

11755).

(4) 52.222-19, Child Labor?Cooperation with

Authorities and Remedies (Oct 2016) (E.O. 13126).

(5) 52.222-21, Prohibition of Segregated

Facilities (Apr 2015).

(6) 52.222-26, Equal Opportunity (Sep 2016) (E.O.

11246).

(7) 52.222-35, Equal Opportunity for Veterans

(Oct 2015) (38 U.S.C. 4212).

(8) 52.222-36, Equal Opportunity for Workers with

Disabilities (Jul 2014) (29 U.S.C. 793).

(9) 52.222-37, Employment Reports on Veterans

(Feb 2016) (38 U.S.C. 4212).

(10) 52.222-40, Notification of Employee Rights

Under the National Labor Relations Act (Dec

2010)(E.O. 13496).

(11) (i) 52.222-50, Combating Trafficking in

Persons (Mar 2015) (22 U.S.C. chapter 78 and E.O.

13627).

(12) 52.222-54, Employment Eligibility

Verification (Oct 2015). (E. O. 12989). (Not applicable to the acquisition of commercially available off-the-shelf items or certain other types of commercial items as prescribed in

22.1803.)

(13) (i) 52.223-9, Estimate of Percentage of

Recovered Material Content for EPA-Designated

Items (May 2008) (42 U.S.C. 6962(c)(3)(A)(ii)).

Continued ...

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

6 11

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

19-242-SOL-00011

(Not applicable to the acquisition of commercially available off-the-shelf items.)

(14) (i) 52.223-13, Acquisition of EPEAT?

-Registered Imaging Equipment (Jun 2014) (E.O.s

13423 and 13514

(15) 52.223-15, Energy Efficiency in

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

8259b).

(16) (i) 52.223-16, Acquisition of EPEAT?

-Registered Personal Computer Products (Oct 2015)

(E.O.s 13423 and 13514).

(17) 52.223-18, Encouraging Contractor Policies to Ban Text Messaging while Driving (Aug 2011)

(E.O. 13513).

(18) 52.225-1, Buy American--Supplies (May 2014)

(41 U.S.C. chapter 83).

(19) 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).

(20) 52.232-33, Payment by Electronic Funds

Transfer? System for Award Management (Jul 2013)

(31 U.S.C. 3332).

(End of Clause)

52.252-1. Solicitation Provisions Incorporated by

Reference (Feb 1998).

This solicitation incorporates one or more solicitation provisions 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. The offeror is cautioned that the listed provisions may include blocks that must be completed by the offeror and submitted with its quotation or offer. In lieu of submitting the full text of those provisions, the offeror may identify the provision by paragraph identifier and provide the appropriate information with its quotation or offer. Also, the full text of a solicitation provision may be accessed electronically at this address: www.acquisition.gov/far/.

Department of Health & Human Services Acquisition

Regulation (48 CFR Chapter 3) Clauses:

Full text may be accessed electronically at this

Continued ...

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

7 11

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

19-242-SOL-00011

address:

http://www.hhs.gov/policies/hhsar/subpart352.html

HHSAR Clause Title Date

352.201-70 Paperwork Reduction Act JAN 2006

352.202-1 Definitions JAN 2006

352.227-70 Publications and Publicity JAN 2006

352.242-73 Withholding of Contract Payments JAN

352.270-2 Indian Preference APR 1984

352.270-3 Indian Preference Program JAN 2006

ISBEE CASCADING SET-ASIDE:

Under the Buy Indian Act, 25 U.S.C. 47, though the transfer of authority from the Department of

Interior to HHS, offers will be solicited from

Indian Small Business Economic Enterprises (see

HHSAR Subpart 326.6) that are also small business concerns. If we do not receive enough competition and/or reasonably priced offers from the ISBEE set-aside, we will then evaluate quotes and consider for award to other small business concerns. Any acquisition resulting from this cascading set-aside will be from such a concern as follows: First Tier: Indian Small Business

Economic Enterprise, Second Tier: Service

Disabled Veteran-Owned Business and Third Tier:

HubZone and Fourth Tier: all other Small Business

Concerns. Offers received from enterprises that are not one of these small business concerns will not be considered.

Notice of Indian Small Business Economic

Enterprise Set-Aside Clause (see HHSAR Subpart

326.6), (a) Definitions as used in this clause.

Indian means a person who is a member of an

Indian Tribe or "Native" as defined in the Alaska

Native Claims Settlement Act (PL 92-203; 85 Stat.

688; 43 U.S.C. 1601). Indian Economic Enterprise

(Firm) means a sole enterprise, partnership, corporation, or other type of business organization owned, controlled, and operated by:

(1) One or more Indians (including, for the purpose of sections 301 and 302 of Public Law

94?437, former or currently federally recognized

Indian tribes in the State of New York); or (2)

By an Indian firm (as defined in paragraph (1) of

Continued ...

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

8 11

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

19-242-SOL-00011

this definition); or (3) A nonprofit firm organized for the benefit of Indians and controlled by Indians (see 326.601(a)). Indian small business economic enterprise (ISBEE) means an IEE that is also a small business concern established in accordance with the criteria and size standards of 13 CFR part 121.

To ensure actual control over the enterprise, the individuals must possess requisite management or technical capabilities directly related to the primary industry in which the enterprise conducts business. The enterprise must meet these requirements throughout the following time periods: (1) At the time an offer is made in response to a written solicitation; (2) At the time of contract award; and, (3) During the full term of the contract. Indian Tribe means an

Indian Tribe, band, nation, or other recognized group or community which is recognized as eligible for the special programs and services provided by the United States to Indians because of their status as Indians, including any Alaska

Native village, regional or village corporation established under the Alaska Native Claims

Settlement Act (PL 92-203, 85 Stat. 688; 43

U.S.C. 1601). Representation means the positive statement by an enterprise of its eligibility for preferential consideration and participation for acquisitions conducted under the Buy Indian Act, 25 U.S.C. 47, in accordance with the procedures in HHSAR Subpart 326.6. (b) General. (1) Under the Buy Indian Act, offers for this acquisition will be solicited only from Indian small business economic enterprises. (2) IHS will reject all offers received from ineligible enterprises (see cascading set-aside). (3) Any award resulting from this solicitation will be made to an Indian small business economic enterprise, as defined in paragraph (a) of this clause (unless there is not enough competition and/or reasonably priced offers?see cascading set-aside).

Requirements.

(a) Indian ownership. Indian ownership shall constitute at least 51 percent of an Indian firm during the period covered by a Buy Indian

Continued ...

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

9 11

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

19-242-SOL-00011

contract.

(b) Joint ventures. An Indian firm may enter into a joint venture with other entities for specific projects as long as the Indian firm is the managing partner. However, the contracting officer shall approve the joint venture prior to the award of a contract under the Buy Indian Act.

(c) Bonds. In the case of contracts for the construction, alteration, or repair of public buildings or public works, the Miller Act (40

U.S.C. 3131 et seq.) and Federal Acquisition

Regulation (FAR) part 28 require performance and payment bonds. Bonds are not required in the case of contracts with Indian tribes or public nonprofit organizations serving as governmental instrumentalities of an Indian tribe. However, bonds are required when dealing with private business entities owned by an Indian tribe or members of an Indian tribe. The contracting officer may require bonds of private business entities that are joint ventures with, or subcontractors of, an Indian tribe or a public nonprofit organization serving as a governmental instrumentality of an Indian tribe. A bid guarantee or bid bond is required only when a performance or payment bond is required.

(d) Indian preference in employment, training and subcontracting. Contracts awarded under the Buy

Indian Act are subject to the requirements of section 7(b) of the Indian Self-Determination and

Education Assistance Act 25 U.S.C. 450e, which requires giving preference to Indians in employment, training, and subcontracting.

(e) Subcontracting. A contractor shall not subcontract more than 50 percent of the work under a prime contract awarded pursuant to the

Buy Indian Act to non-Indian firms. For this purpose, contract work does not include the provision of materials, supplies, or equipment.

(f) Wage rates. The contracting officer shall include a determination of the minimum wage rates by the Secretary of Labor as required by the

Davis-Bacon Act (40 U.S.C. 276a) in all contracts awarded under the Buy Indian Act for over $2,000 for construction, alteration, or repair, including painting and decorating, of public buildings and public works, except contracts with

Continued ...

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

10 11

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

19-242-SOL-00011

Indian tribes or public nonprofit organizations serving as governmental instrumentalities of an

Indian tribe.

Indian Economic Enterprise Representation. The offeror represents as part of its offer that it

__ does __ does not meet the definition of Indian economic enterprise as defined in HHSAR Subpart

326.602.

***Question Submission: Interested offerors must submit any questions concerning the solicitation at the earliest time possible to enable the Buyer to respond. Questions must be submitted by email to cedric.wood@ihs.gov. Questions not received within a reasonable time prior to close of the solicitation may not be considered***.

All responsible Offerors that respond to this solicitation MUST submit by email to cedric.wood@ihs.gov. Failure to comply with the below terms and conditions may result in offer being determined as non-responsive.

This solicitation requires registration with the

System for Award Management (SAM) prior to award, pursuant to applicable regulations and guidelines. Registration information can be found at https://www.sam.gov.

Contractors are encouraged to complete SAM registration as soon as possible; the government may not delay award for the purpose of allowing a contractor time to register in SAM.gov.

The contracting officer shall include the Indian

Preference clause specified at 326.505(a) in all

Buy Indian solicitations and resultant contracts.

The contracting officer shall use the Indian

Preference Program clause specified at 326.505(b).

Proposals are due by 12:00 PM MST on 28 January

17, 2019. Email the proposal to

Cedric.wood@ihs.gov. Questions are due on 23

January 2019 by 12:00 p.m. MST. Offeror must confirm IHS? receipt of their proposal.

Continued ...

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

11 11

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

19-242-SOL-00011

POC is Cedric A. Wood, Contracting Officer, cedric.wood@ihs.gov.

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