285-19-RFQ-0006.pdf

REQUEST FOR QUOTATION

(THIS IS NOT AN ORDER)

THIS RFQ x IS IS NOT A SMALL BUSINESS SET-ASIDE

PAGE OF PAGES

1 4

1. REQUEST NO.

285-19-RFQ-0006

2. DATE ISSUED

1/30/2019

3. REQUISITION/PURCHASE REQUEST NO. 4. CERT. FOR NAT. DEF.

UNDER BDSA REG. 2

AND/OR DMS REG. 1

RATING

5a. ISSUED BY

DHHS, Indian Health Service, Nashville Area Office

6. DELIVER BY (Date)

Within 7 days of date of award 5b. FOR INFORMATION CALL (NO COLLECT CALLS) 7. DELIVERY

OTHER

FOB DESTINATION (See Schedule) NAME

Paul A. Carr Jr paul.carr@ihs.gov

TELEPHONE NUMBER

AREA CODE

NUMBER

467-1567

9. DESTINATION

a. NAME OF CONSIGNEE

Catawba Service Unit 8. TO:

a. NAME b. COMPANY b. STREET ADDRESS

2893 Sturgis Rd

c. STREET ADDRESS c. CITY

Rock Hill

d. CITY e. STATE f. ZIP CODE d. STATE

SC

e. ZIP CODE

29730

10. PLEASE FURNISH QUOTATIONS TO THE

ISSUING OFFICE IN BLOCK 5a ON OR BEFORE CLOSE OF BUSINESS (Date)

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 service. Supplies are of domestic origin unless otherwise indicated by quoter. Any representations and/or certifications attached to this Request for Quotation must be completed by the quoter.

11. SCHEDULE (Include applicable Federal, State and local taxes)

13. NAME AND ADDRESS OF QUOTER 14. SIGNATURE OF PERSON AUTHORIZED TO

SIGN QUOTATION

15. DATE OF QUOTATION

a. NAME OF QUOTER

b. STREET ADDRESS 16. SIGNER

a. NAME (Type or print) b. TELEPHONE

c. COUNTY AREA CODE

d. CITY e. STATE f. ZIP CODE c. TITLE (Type or print) NUMBER

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.

(a)

SUPPLIES/ SERVICES

(b)

(c)

UNIT

(d)

UNIT PRICE

(e)

AMOUNT

(f)

a. 10 CALENDAR DAYS (%) b. 20 CALENDAR DAYS (%) c. 30 CALENDAR DAYS (%) d. CALENDAR DAYS

12. DISCOUNT FOR PROMPT PAYMENT NUMBER PERCENTAGE

NOTE: Additional provisions and representations are are not attached.

See Page 2 Section 5. For description of services

1. Base Year 12 MO ___________ _______________

2. Option Year 1 12 MO ___________ _______________

3. Option Year 2 12 MO ___________ _______________

4. Option Year 3 12 MO ___________ _______________

5. Option Year 4 12 MO ___________ _______________

Total _______________

1. 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; proposals are being requested and a written solicitation will not be issued.

2. The Solicitation number of this Request for Quote (RFQ) is 285-19-RFQ-0006. The solicitation document, incorporated provisions and clauses are those in effect through Federal Acquisition Circular 2005-100/2005-100, August 22, 2018.

3. This is a combined synopsis/solicitation is 100% full and open competition. The associated North American Industry Classification System code (NAICS) is 518210 Data Processing, Hosting, and Related Services, and the size standard is $32.5 Million.

4. Products and/or services to be provided by the contactor

Item Online Third Party Health Insurance Verification Unit Quantity

1. Base Year

Award – February 28, 2020

Month 12

2. Option Year 1

March 1, 2020 – February 28, 2021

3. Option Year 2

March 1, 2021 – February 28, 2022

4. Option Year 3

March 1, 2022 – February 28, 2023

5. Option Year 4

March 1, 2023 – February 28, 2024

5. Description of requirements

5.1. The Contractor shall serve as a single reliable source that provides the ability to verify a patient’s medical, dental and vision insurance in real time through an online web portal/access point.

5.2. The Contractors services must have the ability to provide real time all payer eligibility verification for patient’s insurance and health care benefits.

5.3. The Contractor Shall provide at a minimum, 5 logins/access points to IHS

5.4. The Contractor shall provide training for IHS Staff within 30 days after award of contract.

5.5. The Contractor shall provide Help Desk Support to assist with problems and/or concerns.

6. Delivery of services shall take place within 7 days after the award of the contract.

7. Provision 52.212-1, Instructions to Offerors – Commercial (Oct 2018), applies to this acquisition.

7.1. Note, unless exempt per Federal Acquisition Regulation [FAR] Part 4.11, all contractors must be registered and have an active registration in the System for Award Management (SAM) to be considered for an award against this solicitation. For information please review the SAM website at https://www.sam.gov. A Data Universal Numbering System (DUNS) number is utilized for registration. To register go to https://www.acquisition.gov.

8. A comparative evaluation will be conducted in accordance with FAR Part 13.106-2(b)(3) to determine the best value

9. Offers shall include a completed copy of the provisions FAR 52.212-3 Offeror Representation and Certifications – Commercial Items (OCT 2018) with their offer. This is available electronically at the following address: http://www.acquisition.gov/far/index.html

10. The following FAR clauses incorporated by full text

10.1. 52.232-40 Providing Accelerated Payments to Small Business Subcontractors (Dec 2013)

(a) Upon receipt of accelerated payments from the Government, the Contractor shall make accelerated payments to its small business subcontractors under this contract, to the maximum extent practicable and prior to when such payment is otherwise required under the applicable contract or subcontract, after receipt of a proper invoice and all other required documentation from the small business subcontractor.

(b) The acceleration of payments under this clause does not provide any new rights under the Prompt Payment Act.

(c) Include the substance of this clause, including this paragraph (c), in all subcontracts with small business concerns, including subcontracts with small business concerns for the acquisition of commercial items.

10.2. 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/these address(es): http://www.acquisition.gov/far/index.html https://www.hhs.gov/grants/contracts/contract-policies-regulations/hhsar/part-352-solicitation-provisions-contract-clauses/index.html

THE FOLLOWING FAR AND HHSAR CLAUSES APPLY:

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 OCT 2018 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 aug 2018 https://www.acquisition.gov/ http://www.acquisition.gov/far/index.html http://www.acquisition.gov/far/index.html https://www.hhs.gov/grants/contracts/contract-policies-regulations/hhsar/part-352-solicitation-provisions-contract-clauses/index.html https://www.hhs.gov/grants/contracts/contract-policies-regulations/hhsar/part-352-solicitation-provisions-contract-clauses/index.html or Transactions Relating to Iran-Representation and Certifications 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