Solicitation - 75FCMC26R0001 Final.pdf

SOLICIT A TIQN OFFER AND AWARD 1

1. This Contract is a Rated Order under the Defense Priorities and Allocations

, , System (DPAS) - Code of Federal Regulations - at 15 CFR 700.

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RATING

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PAGE OF PAGES

1 I 9

2. CONTRACT NUMBER 3. SOLICITATION NUMBER 4. TYPE OF SOLICITATION 5. DATE ISSUED 6. REQUISITION/PURCHASE NUMBER

7. ISSUED BY

DIV OF FFS CONTRACTS,

CMS -OAGM

7500 SECURITY BOULEVARD, MS: B 3-30-03

BALTIMORE, MD 21244-1850

USA

75FCMC26R0001

GODEi HHSCMS

□ SEALED BID (IFB) INVITATION FOR BID

[81 NEGOTIATED (RFP) REQUEST FOR

PROPOSAL

8. ADDRESS OFFER TO {If other than item 7)

NOTE: In sealed bid solicitations "offer" and "offeror" mean "bid" and "bidder".

SOLICITATION

9. Sealed offers in original and copies for furnishings the supplies or services in the Schedule will be received at the place specified in item 8, or if -------hand carried, in the depository located in until 11 :00 Al local time 9/8/2025

(Hour) (Date)

CAUTION - LATE Submissions, Modifications, and Withdrawals: See Section L, Provision Number 52.214-7 or 52.215-1. All offers are subject to all terms and conditions contained in this solicitation

10. FOR A. NAME B. TELEPHONE {NO COLLECT CALLS) C. EMAIL ADDRESS

INFORMATION AREA CODE

CALL: ► Edward Drannbauer 872

INUMBER

287-1396

I EXTENSION

edward.drannbauer@cms.hhs.gov

11. TABLE OF CONTENTS

(X) SECTION DESCRIPTION PAGE(S) (X) SECTION DESCRIPTION PAGE(S)

PART I - THE SCHEDULE PART II - CONTRACT CLAUSES

X A SOLICITATION/CONTRACT FORM 1 XI I CONTRACT CLAUSES 3-4

X B SUPPLIES OR SERVICES AND PRICES/COSTS 2 PART Ill - LIST OF DOCUMENTS, EXHIBITS AND OTHER ATTACHMENTS

X C DESCRIPTION/SPECIFICATIONS/WORK STATEMENT 2 X J LIST OF ATTACHMENTS 5

X D PACKAGING AND MARKING 2 PART IV - REPRESENTA T/ONS AND INSTRUCTIONS

X E INSPECTION AND ACCEPTANCE 2

T

REPRESENTATIONS, CERTIFICATIONS AND OTHER

X 2

K STATEMENTS OF OFFERORS 5-7F DELIVERIES OR PERFORMANCE

X G CONTRACT ADMINISTRATION DATA 2 X L INSTRUCTIONS, CONDITIONS, AND NOTICES TO OFFERORS 8

X H SPECIAL CONTRACT REQUIREMENTS 3 X M EVALUATION FACTORS FOR AWARD 9

OFFER (Must be fully completed by offeror)

NOTE: Item 12 does not apply if the solicitation includes the provisions at 52.214-16, Minimum Bid Acceptance Period.

12. In compliance with the above, the undersigned agrees, if this offer is accepted within calendar days (60 calendar days unless a different period is inserted by the offeror) from the date for receipt of offers specified above, to furnish any or all items upon which prices are offered at the set opposite each item, delivered at the designated point(s), within the time specified in the schedule.

13. DISCOUNT FOR PROMPT PAYMENT ► 10 CALENDAR DAYS(%)

20 CALENDAR DAYS(%) 30 CALENDAR DAYS(%)

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CALENDAR DAYS(%)

(See Section I, Clause Number 52.232-8)

14. ACKNOWLEDGMENT OF AMENDMENTS AMENDMENT NUMBER DATE AMENDMENT NUMBER DATE

(The offeror acknowledges receipt of amendments to the SOL/GITA TION for offerors and related documents numbered and dated):

CODE I I FACILITY I 16. NAME AND THE TITLE OF PERSON AUTHORIZED TO SIGN OFFER

15A. NAME AND (Type or print)

ADDRESS

OF OFFEROR

15B. TELEPHONE NUMBER

□ 15C. CHECK IF REMITTANCE ADDRESS IS 17. SIGNATURE

AREA CODE I NUMBER IEXTENSION DIFFERENT FROM ABOVE - ENTER

SUCH ADDRESS IN SCHEDULE.

AWARD (To be completed by Government)

19. ACCEPTED AS TO ITEMS NUMBERED

20. AMOUNT

22. AUTHORITY FOR USING OTHER THAN FULL OPEN COMPETITION UNDER THE

UNITED STATES CODE AT:

□ 10 U.S.C. 3204(a) □ 41 U.S.C. 3304(a) (

24. ADMINISTERED BY (If other than Item 7)

26. NAME OF CONTRACTING OFFICER (Type or print)

Amy Duckworth

21. ACCOUNTING AND APPROPRIATION

23. SUBMIT INVOICES TO ADDRESS SHOWN IN

(4 copies unless otherwise specified)

25. PAYMENT WILL BE MADE BY

27. UNITED STATES OF AMERICA

(Signature of Contracting Officer)

IMPORTANT -Award will be made on this Form, or on Standard Form 26, or by other authorized official written notice.

18. OFFER DATE

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ITEM

CODE I

28. AWARD DATE

AUTHORIZED FOR LOCAL REPRODUCTION

Previous edition is unusable

STANDARD FORM 33 (REV.12/2022)

Prescribed by GSA- FAR (48 CFR) 53.214 (c)