4.4 PWS Attachment 4, RFI Form.docx

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Attached to
Mobile MRI Services at Whiteriver and Hopi Service Units
Solicitation number
75H71220R00012
Issued by

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This document contains an attachment and related federal contract opportunity. The attachment is a request for information form to be used for pre-proposal inquiries regarding Solicitation 75H71220R00012 for Mobile MRI Services at the Whiteriver and Hopi Service Units of the Phoenix Area Indian Health Service. Offerors are asked to identify the solicitation or drawings being inquired about and provide their company name, contact person, date, and phone number. Space is included to list up to three proposal inquiries.

The related federal contract opportunity is Solicitation 75H71220R00012 issued by the Department of Health and Human Services Indian Health Service to establish an area-wide contract for Mobile Magnetic Resonance Imaging Services to be provided at the Hopi Health Care Center in Polacca, Arizona and the Whiteriver PHS Indian Hospital in Whiteriver, Arizona. No further details are provided regarding response dates, award dates, pricing terms, set asides, or incumbent.

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Attachment 4

Mobile MRI Services Phoenix Area Indian Health Service

Solicitation 75H71220R00012, WRSU & Hopi Mobile MRI Services

PROPOSAL REQUEST FOR INFORMATION (RFI) FORM

NOTE: ALL PRE-PROPOSAL INQUIRIES SHALL BE SUBMITTED VIA EMAIL TO jonathan.schrader@ihs.gov BY AN EDITABLE USE OF THIS FORM. Please identify, in numerical sequence, each set of inquiries that you send.

Question(s) is/are regarding the solicitation [ ] Question(s) is/are regarding the drawings, specifications, and technical data [ ]

Company Name and Offeror:

From (person submitting question):

Date of Inquiry: __________________________________________

Phone Number: ___________________________

Proposal Inquiry: (Type inquiry below)

Proposal RFI #1 –

Proposal RFI #2 –

Proposal RFI #3 –

Add additional information as necessary:

File details come from the government source that posted it. Updated .