285-19-RFQ-0005_Tuscarora_Water_Well_Testing_&_Disinfecting.pdf

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

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

1. REQUISITION NUMBER PAGE 1 OF

2. CONTRACT NO. 3. AWARD/EFFECTIVE

DATE

4. ORDER NUMBER 5. SOLICITATION NUMBER 6. SOLICITATION ISSUE

DATE

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME b. TELEPHONE NUMBER (No collect calls)

8. OFFER DUE DATE/

LOCAL TIME

9. ISSUED BY

13b. RATING

14. METHOD OF SOLICITATION

CODE

15. DELIVER TO 16. ADMINISTERED BY CODE

18a. PAYMENT WILL BE MADE BY CODE17a. CONTRACTOR/

OFFEROR

CODE

FACILITY

CODE

CODE

TELEPHONE NO.

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN

OFFER

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK

BELOW IS CHECKED

RFQ IFB RFP

SEE ADDENDUM

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

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

25. ACCOUNTING AND APPROPRIATION DATA 26. TOTAL AWARD AMOUNT (For Govt. Use Only)

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED

29. AWARD OF CONTRACT: REF. OFFER

DATED . . YOUR OFFER ON SOLICITATION

(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

30a. SIGNATURE OF OFFEROR/CONTRACTOR

30b. NAME AND TITLE OF SIGNER (Type or print) 30c. DATE SIGNED

31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

31b. NAME OF CONTRACTING OFFICER (Type or print) 31c. DATE SIGNED

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 2/2012)

Prescribed by GSA - FAR (48 CFR) 53.212

10. THIS ACQUISITION IS UNRESTRICTED OR

NAICS:

SIZE STANDARD:

13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

SET ASIDE: % FOR:

11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

ARE ARE NOT ATTACHED

ARE ARE NOT ATTACHED

27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA

8 (A)

EDWOSB

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

SMALL BUSINESS

285-19-RFQ-0005

Donavan Yazzie 615-467-1621

NET 30

See Box 9

Indian Health Service, Nashville Area Hayley Fleek 711 Stewarts Ferry Pike Nashville, TN 37214

See Attachement B-Bid Schedule.

See 31c 11/15/2018

12/17/2018

4:00 PM CST

Indian Health Service, Nashville Area 711 Stewarts Ferry Pike Nashville, TN 37214

STANDARD FORM 1449 (REV. 2/2012) BACK

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED:

41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT

32b. SIGNATURE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32c. DATE

41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER 41c. DATE

42a. RECEIVED BY (Print)

42b. RECEIVED AT (Location)

42c. DATE REC'D (YY/MM/DD) 42d. TOTAL CONTAINERS

40. PAID BY

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32f. TELPHONE NUMBER OF AUTHORZED GOVERNMENT REPRESENTATIVE

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

33. SHIP NUMBER 34. VOUCHER NUMBER 35. AMOUNT VERIFIED

CORRECT FOR

PARTIAL FINAL

37. CHECK NUMBER

38. S/R ACCOUNT NO. 39. S/R VOUCHER NUMBER

36. PAYMENT

COMPLETE PARTIAL FINAL

285‐19‐RFQ‐0005 Tuscarora Water Well Testing & Disinfecting

RFQ for Tuscarora Nation Water Well Testing & Disinfection

Document Type: Combined Synopsis Solicitation Solicitation Number: 285-19-RFQ-0005 Post Date: 11/16/2018 Original Response Date: 12/17/2018 at 4:00 pm Central Time Applicable NAICS: 541380 Classification Code: H299 Set Aside Type: 100% Small Business Period of Performance: 90 days to complete testing of wells

Issuing Contracting Office: Indian Health Service, Nashville Area

Nashville, TN 37214

Place of Performance: Tuscarora Nation Territory

Niagara County, NY

Attachments: A. Technical Specifications

B. Bid Schedule

This is a combined synopsis/solicitation for commercial items prepared in accordance with the format in Subpart 12.6 as supplemented with additional information included in this notice. This announcement constitutes the only solicitation; quotes are being requested and a written solicitation will not be issued. This solicitation is issued as a Request for Quotation (RFQ), solicitation number 285-19-RFQ-0004.

This solicitation incorporates provisions and clauses in effect through Federal Acquisition Circular (FAC) 2005-101 Effective 10/26/2018.

The applicable North American Industrial Classification System (NAICS) code for this procurement is 541380, Testing Laboratories, with a business size standard of $15 Million.

This notice shall not be construed as a commitment by the Government to ultimately award a contract, nor does it restrict the Government to a particular acquisition approach.

The Indian Health Service, Nashville Area Office, anticipates the award of a Firm Fixed Priced Requirements Contract.

REPORTING REQUIREMENTS

A. The Contractor shall be required to provide an invoices via email or USPS to:

a. Hayley Fleek, hayley.fleek@ihs.gov

Nashville Area Office, Indian Health Services Financial Management

Nashville, Tennessee 37214

B. Each invoice shall include the following information:

1. Contractor's name, tax identification number and Invoice Date;

2. Contract Number or other Authorization for delivery of services;

3. Description, price, quantity, and address of services actually rendered;

4. Payment terms;

5. Other substantiating documentation or information as required by the contract;

and

6. Name, title, phone number, and complete mailing address of official to whom payment is to be sent.

C. Invoices shall be submitted no later than ten (10) calendar days following last calendar day of the month.

Services to be provided: See Attachment A—Technical Specifications

Pricing Schedule: See Attachment B—Bid Schedule

Responses to this Request for Quotation (RFQ) are due to the Contracting Officer no later than 4:00 pm Central Time on 12/17/2018. Responses to this announcement will result in a Firm- Fixed Price Contract and the Government intends to make award with discussions. All information submitted in response to this announcement is voluntary and the Government will not pay for information provided nor will it compensate any respondent for any cost incurred in developing information provided for the Government. Offerors are responsible for obtaining any and all amendments or additional information concerning this announcement at https://fbo.gov.

All questions regarding this solicitation are to be submitted via email, no later than (5) calendar days before the closing date of the solicitation. Questions will not be addressed using the telephone.

Quotes shall be submitted via email to donavan.yazzie@ihs.gov.

Quote Format and Submission Information:

Items one, two and three must be submitted to receive consideration:

1. Cover Letter on company letterhead in accordance to FAR 52.215-1(c)(2). (Commercial format is encouraged.) Include the following information on the cover letter:

Legal Business/Company Name (as listed in www.sam.gov) DUNS Number Point of Contact Name Telephone number Email Address Total proposed price for all five years Signature of Authorized Negotiator

2. SF 1449

3. Attachment B – Bid Schedule

4. Technical Capabilities Statement including; overall technical and management approach and understanding of the requirements. As well as capabilities, and resources to meet the requirement.

5. Relevant Past performance history from Federal, State, Local, and private contracts for the last 3 years. Offers should Include Points of Contact and information on problems encountered on the identified contracts and the offeror’s corrective actions.

Evaluation Process:

The Government intends to award a firm fixed price contract resulting from this solicitation to the Lowest Priced, Technically Acceptable quote. It is the Offerors responsibility to submit the necessary documents in the required format as outlined above in the Quote Format and Submission section. All three requirements must be submitted to ensure your quote receives consideration and to be deemed technically acceptable.

Solicitation Provisions and Contract Clauses

The full text of FAR/HHSAR provisions or clauses may be accessed electronically at http://acquisition.gov/comp/far/index.html.

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

The following solicitation provisions apply to this acquisition:

FAR 52.212-1 Instructions to Offerors Commercial Items (Oct 2018)

Offerors must complete annual representations and certifications on-line at https://www.sam.gov in accordance with FAR 52.212-3 Offerors Representations and Certifications Commercial Items. If paragraph (j) of the provision is applicable, a written submission is required.

52.252-2 Clauses Incorporated By Reference (Feb 1998)

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/these address(es): www.hhs.gov/policies/hhsar/ and https://www.acquisition.gov/far/.

ADDITIONAL CLAUSES INCORPORATED BY REFERENCE (FAR):

52.204-7 System for Award Management OCT 2018 52.204-13 System for Award Management Maintenance OCT 2018 52.204-19 Incorporation by Reference of Representations and Certifications DEC 2014 52.212-1 Instructions to Offerors-Commercial Items OCT 2018 52.212-4 Contract Terms and Conditions-Commercial Items JAN 2017 52.219-6 Notice of Total Small Business Set-Aside NOV 2011 52.223-18 Encouraging Contractor Policies to Ban Text Messaging While

Driving

AUG 2011

52.224-2 Privacy Act APR 1984 52.225-1 Buy American—Supplies MAY 2014 52.225-13 Restrictions on Certain Foreign Purchases JUN 2008 52.225-25 Prohibition on Contracting with Entities Engaging in Certain

Activities or Transactions Relating to Iran-Representation and Certifications

AUG 2018

52.229-3 Federal, State, and Local Taxes FEB 2013 52.232-25 Prompt Payment JAN 2017 52.232-33 Payment by Electronic Funds Transfer—System for Award

Management

OCT 2018

52.232-40 Providing Accelerated Payments to Small Business Subcontractors

DEC 2013

52.233-2 Protest After Award SEP 2006 52.233-4 Applicable Law for Breach of Contract Claim OCT 2004 52.243-1 Changes - Fixed Price AUG 1987 52.249-2 Termination for Convenience of the Government (Fixed Price) APR 2012

ADDITIONAL CLAUSES INCORPORATED BY REFERENCE (HHSAR):

352.215-1 Instructions to Offerors - Competitive acquisition 352.223-70 Safety and Health DEC 2015

352.224-70 Privacy Act DEC 2015 352.226-1 Indian Preference DEC 2015 352.226-2 Indian Preference Program DEC 2015

The clause at 52.212-5 Contract Terms and Conditions Required to Implement Statutes or Executive Orders (Jul 2018) applies to this acquisition. The following subparagraphs of FAR 52.212-5 are applicable: (b)(4), (b)(14), (b)(18), (b)(22), (b)(25), (b)(26), (b)(27), (b)(28), (b)(30), (b)(33)(i), (b)(42), (b)(49), (b)(55), (c)(6), and (c)(7).

End of Addenda

Questions pertaining to this announcement shall be sent by email to: donavan.yazzie@ihs.gov.

Telephone inquiries will not be accepted.

See attached document: Attachment A—Technical Specifications See attached document: Attachment B—Bid Schedule

End of Document