75H70625Q00119 Solicitation Pkg.pdf
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- Solicitation number
- 75H70625Q00119
About this file
This is a Request for Quote (RFQ) from the Great Plains Area Indian Health Service (IHS) for bio-medical waste pickup and disposal services at the Fort Yates Hospital in North Dakota. The solicitation is a 100% Indian Small Business Economic Enterprises (ISBEE) set-aside with NAICS code 562211, seeking a firm fixed-price, non-personal commercial service purchase order with a base year and four option years. The contract requires bio-medical waste pickup two days per month during regular working hours, with the contractor responsible for complete handling, transport, and disposal of infectious bio-medical waste, including providing disposal containers, tracking manifests, certifications of destruction, and compliance with local, state, and federal regulations.
The solicitation requires quoters to submit pricing on company letterhead by July 22, 2025, at 12:00 pm CST, with pricing to be all-inclusive covering travel, lodging, per diem, fringe benefits, and taxes. Evaluation will be based on technical acceptability and lowest price, with three key subfactors: meeting Statement of Work requirements, pricing completeness and reasonableness, and past performance. Contractors must be registered in SAM, have a Unique Entity ID, and comply with various federal regulations including HIPAA and invoice submission through the Invoice Processing Platform (IPP). The contract period runs from August 1, 2025, to July 31, 2030, with 24 pickups per year at the Fort Yates IHS Hospital.
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A. This is a combined synopsis/solicitation for commercial items prepared in accordance with the format in Federal Acquisition Regulation (FAR) Subpart 12.6, as supplemented with additional information included in this notice, FAR Part 12, Acquisition of Commercial Items (Title VIII of the
Federal Acquisition Streamlining Act of 1994) (Public Law 103-355). This announcement constitutes the only solicitation; quotes are being requested and a written solicitation will not be issued.
B. The Great Plains Area Indian Health Service (IHS) intends to award a Firm-Fixed Price, Non-
Personal, Commercial Service, Purchase Order with a Base Year and Four (4) Option Periods in response to Request for Quote (RFQ) 75H70625Q00119.
C. This solicitation document and incorporated provisions and clauses are those in effect through
Federal Acquisition Circular 2025-04 on June 11, 2025.
D. This RFQ is issued as 100% Indian Small Business Economic Enterprises (ISBEE) Set-Aside, and the associated NAICS Code is #562211, which has a small business standard size $47. Quoter is required to fill out the attached INDIAN FIRM REPRESENTATION FORM.
E. The quoted unit pricing must be all inclusive (to include, but not be limited to, travel, lodging, per diem, fringe benefits, federal, state and local taxes) plus all other costs pertinent to the performance of this contract. Utilize your most competitive and reasonable rates.
Complete the attached Request for Quote #75H70625Q00119 SF18 for Bio-Medical Waste
Pick-up and Removal Services along with the Business Associates Agreement. Business
Associates Agreement must be acknowledged by the quoter.
Acceptance Period: Your proposal must be predicted upon all the terms and conditions of this RFQ and be firm until September 30, 2025.
F. Firm Fixed Price, Non-Personal, Commercial Services to be provided for the Fort Yates IHS Hospital, 10 Standing Rock Ave, Fort Yates, North Dakota 58538. See Statement of Work (SOW) attached. The period of performance will be a Base Year with Four (4) Option Years.
G. FAR 52.212-1 Instructions to Offerors-Commercial Products and Commercial Services (SEP 2023).
Quotes shall be submitted on company letterhead stationery, signed, dated and it shall include:
1. Solicitation number: 75H70625Q00119
2. Closing Date: July 22, 2025 at 12:00 pm CST.
3. Name, address and telephone number of company and email address of contact person.
4. Technical description of the item/service being offered in sufficient detail to evaluate compliance with the requirements of the solicitation. This may include product literature, or other documents, if necessary.
5. Terms of any express warranty.
6. Price and any discount terms.
7. “Remit to” address, if different than mailing address.
8. A completed copy of the representations and certifications at FAR 52.212-3 (see FAR 52.212-3(b) for those representations and certifications that the offeror shall complete electronically).
9. Acknowledgment of Solicitation Amendments (if any issued)
10. Past performance information, when included as an evaluation factor, to include recent and relevant contracts for the same or similar items and other references
(including contract numbers, points of contact with telephone numbers and other relevant information).
11. A statement specifying the extent of agreement with all terms, conditions, and provisions included in the solicitation. Offerors that fail to furnish required representations or information, or reject the terms and conditions of the solicitation may be excluded from consideration.
H. The Government will evaluate quotations utilizing the procedures of FAR 13.106-2 Evaluation of quotations or offers. Offers will be evaluated for acceptability, but not ranked using the non-price factors/sub-factors. All non-price factors and sub-factors will be rated as either
“acceptable” or “unacceptable”. The Government intends to evaluate and make award without discussion with the offerors other than minor clarifications, unless discussions are determined to be necessary. A decision on the technical acceptability of each offeror’s quotations will be made. For those offeror’s which are determined to be technically acceptable, award will be made to that vendor with the lowest overall prices.
The LPTA evaluation process will be accomplished as follows - Technical Acceptability will be comprised of three subfactors:
1. Meeting all areas under the Statement of Work (SOW) which are consistent in the scope and complexity with Bio-Medical Waste Pick-up and Removal Services.
2. Price: The Pricing Schedule must be completed for all the line items and will be evaluated as to completeness and reasonableness. The offeror with the lowest technically acceptable prices represents the best value to the Government.
3. Past Performance: The offeror’s performance on contracts completed during the past three (3) years and all contacts currently in progress for Outpatient Registered Nurse
Services. The offeror’s technical proposal shall include a listing of previous Outpatient
Registered Nurse Services awarded to the offeror for services provided to rural locations.
I. FAR 52.212-3 Offer Representations and Certifications-Commercial Products and Commercial
Services (MAY 2024). See attachment for full text. The Offeror shall complete only paragraphs
(b) of this provision if the Offeror has completed the annual representations and certification electronically via the System for Award Management (SAM) website accessed through http://www.acquisition.gov. If the Offeror has not completed the annual representations and certifications electronically, the Offeror shall complete only paragraphs (c) through (p) of this provision.
J. FAR 52.212-4 Contract Terms and Conditions-Commercial Products and Commercial Services
(NOV 2023). Applied to this acquisition and it’s by reference.
K. FAR 52.212-5 Contract Terms and Conditions Required to Implement Statutes or Executive
Orders Commercial Products and Commercial Services (JAN 2025). See attachment for full text.
L. FAR 52.214-16 Minimum Bid Acceptance Period (April 1984). See attachment for full text.
M. Attached are the Federal Acquisition Regulations (FAR) & Health & Human Services Acquisition
Regulation (HHSAR) clauses that are applicable including below.
N. Offers will be accepted electronically, Submit via e-mail to the following:
Great Plains Area Indian Health Service Division of Acquisition Management
Attn: William Kohl, Contract Specialist http://www.acquisition.gov/
Email: William.Kohl@ihs.gov
Any questions, please submit by email to: William.Kohl@ihs.gov; before July 18, 2025 by
12:00 pm CST. Contractors will need a Unique Entity ID (UEI) number, TIN number, and be registered with www.sam.gov.
Invoice Processing Platform (IPP)
The Indian Health Service (IHS) is in the process of implementing an electronic invoicing system. In compliance with the Office of Management and Budget (OMB) M-15-19 memorandum “Improving
Government Efficiency and Saving Taxpayer Dollars Through Electronic Invoicing” directing Federal agencies to adopt electronic invoicing as the primary means to disburse payment to vendors. Invoices submitted under any award will be required to utilize the Invoice Processing Platform (IPP) in accordance with HHSAR 352.232-71, Electronic Submission and Processing of Payment Requests”.
IPP is a secure, web-based electronic invoicing system provided by the U.S. Department of the
Treasury’s Bureau of the Fiscal Service, in partnership with the Federal Reserve Bank of St. Louis
(FRSTL). Respondents to this solicitation are encouraged to register an account with IPP if they have not already done so. If your organization is already registered to use IPP, you will not be required to re-register- however, we encourage you make sure your organization and designated IPP user accounts are valid and up to date.
The IPP website address is: https://www.ipp.gov.
If you require assistance registering or IPP account access, please contact the IPP Helpdesk at (866)
973-3131 (M-F 8AM to 6PM ET), or IPPCustomerSupport@fiscal.treasury.gov Should the contractor feel that use of the IPP would be unduly burdensome, their response to this solicitation should include an explanation of this position for a determination by the contracting officer.
ATTACHMENTS:
1. Notice to Quoters
2. SF18 Request for Quote
3. Statement of Work
4. Provisions and Clauses
5. Indian Firm Representation Form
6. Business Associates Agreement
7. Wage Determination Number 2015-5377 mailto:William.Kohl@ihs.gov mailto:William.Kohl@ihs.gov https://www.ipp.gov/ mailto:IPPCustomerSupport@fiscal.treasury.gov wkohl Cross-Out
75H70625Q00119
1. REQUEST NO.
5a. ISSUED BY
NAME
a. NAME
c. STREET ADDRESS
d. CITY
10. PLEASE FURNISH QUOTATIONS TO
THE ISSUING OFFICE IN BLOCK 5a ON
OR BEFORE CLOSE OF BUSINESS (Date)
2. DATE ISSUED 3. REQUISITION/PURCHASE REQUEST NO. 4. CERT. FOR NAT. DEF.
UNDER BDSA REG. 2
AND/OR DMS REG.1
RATING
6. DELIVERY BY (Date)
7. DELIVERY
9. DESTINATION
a. NAME OF CONSIGNEE
b. STREET ADDRESS
PAGE OF PAGES
5b. FOR INFORMATION CALL: (No collect calls)
TELEPHONE NUMBER
AREA CODE NUMBER
8. TO:
b. COMPANY
e. STATE f. ZIP CODE
c. CITY
d. STATE e. ZIP CODE
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 services. Supplies are of domestic origin unless otherwise indicated by quoter. Any representations and/or certifications attached to this Request for Quotations must be completed by the quoter.
11. SCHEDULE (Include applicable Federal, State and local taxes)
THIS RFQ
REQUEST FOR QUOTATION
(THIS IS NOT AN ORDER)
IS IS NOT A SMALL BUSINESS SET ASIDEX
07/07/2025 IHS1507042
1 5
INDIAN HEALTH SERVICE
Division of Acquisition Management 115 4th Ave SE Federal Building
Great Plains Area
Aberdeen SD 57401
Multiple
WILLIAM KOHL
07/22/2025 1200 CT
FOB DESTINATION
OTHER
(See Schedule)X
ITEM NO.
(a)
SUPPLIES/SERVICES
(b)
QUANTITY
(c)
UNIT
(d)
UNIT PRICE
(e)
AMOUNT
(f)
Firm fixed-price, commercial item, non-personal service purchase order for Bio-Medical Waste Firm fixed-price, commercial item, non-personal service purchase order for Bio-Medical Waste Pick-up and Disposal Services for the Fort Yates IHS Hospital, Standing Rock Service Unit, Fort Yates, North Dakota.
The contractor will be required to fill the order based on the departments need and quoted price on the submitted on the bid. The bio-medical waste shall be picked up on a regular basis. This will consist of two (2) days per month during regular working hours and will be coordinated with Melanie Baker, Housekeeping Supervisor @ melanie.baker@ihs.gov or 701-854-8205.
Continued ...
12. DISCOUNT FOR PROMPT PAYMENT
a. 10 CALENDAR DAYS (%) b. 20 CALENDAR DAYS (%) c. 30 CALENDAR DAYS (%) d. CALENDAR DAYS
NUMBER PERCENTAGE
NOTE: Additional provisions and representations
13. NAME AND ADDRESS OF QUOTER
b. STREET ADDRESS
c. COUNTY
d. CITY e. STATE f. ZIP CODE
14. SIGNATURE OF PERSON AUTHORIZED TO
SIGN QUOTATION
16. SIGNER
a. NAME (Type or print)
c. TITLE (Type or print)
a. NAME OF QUOTER
AREA CODE
NUMBER
15. DATE OF QUOTATION
b. TELEPHONE are are not attached
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. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
NAME OF OFFEROR OR CONTRACTOR
2 5
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
75H70625Q00119
This is a base year, plus four (4) option years.
In regard to contractor terms and conditions, once a contract is awarded, any terms and conditions proposed by the vendor that differ from or are in addition to the terms and conditions outlined in this agreement will not be agreed to or accepted. Therefore, they will need to be submitted and reviewed with this solicitation.
The unit price is an all-inclusive cost.
All-inclusive cost is defined to include travel, lodging, per diem, fringe benefits, i.e., life insurance, social security, federal, state, and local taxes, plus all other costs pertinent to the performance of this contract.
Period of Performance: 08/01/2025 to 07/31/2030
1 BASE YEAR: 08/01/2025-07/31/2026
Bio-Medical Waste Pickup and Disposal
TWENTY-FOUR (24) PICKUPS PER YEAR
$______________________ PER PICK UP.
$______________________ PER YEAR.
Delivery: 07/31/2026
Delivery Location Code: IHSFTYATES
FT YATES
10 Standing Rock Ave
FT YATES ND 58538 US
Period of Performance: 08/01/2025 to 07/31/2026
2 OPTION YEAR 1: 08/01/2026-07/31/2027
Bio-Medical Waste Pickup and Disposal
TWENTY-FOUR (24) PICKUPS PER YEAR
$______________________ PER PICK UP.
$______________________ PER YEAR.
(Option Line Item)
07/31/2026
Delivery: 07/31/2027
Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
3 5
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
75H70625Q00119
Delivery Location Code: IHSFTYATES
IHSFTYATES
10 Standing Rock Ave
FT YATES ND 58538 US
Period of Performance: 08/01/2026 to 07/31/2027
3 OPTION YEAR 2: 08/01/2027-07/31/2028
Bio-Medical Waste Pickup and Disposal
TWENTY-FOUR (24) PICKUPS PER YEAR
$______________________ PER PICK UP.
$______________________ PER YEAR.
(Option Line Item)
07/31/2027
Delivery: 07/31/2028
Delivery Location Code: IHSFTYATES
IHSFTYATES
10 Standing Rock Ave
FT YATES ND 58538 US
Period of Performance: 08/01/2027 to 07/31/2028
4 OPTION YEAR 3: 08/01/2028-07/31/2029
Bio-Medical Waste Pickup and Disposal
TWENTY-FOUR (24) PICKUPS PER YEAR
$______________________ PER PICK UP.
$______________________ PER YEAR.
(Option Line Item)
07/31/2028
Delivery: 07/31/2029
Delivery Location Code: IHSFTYATES
IHSFTYATES
10 Standing Rock Ave
FT YATES ND 58538 US
Period of Performance: 08/01/2028 to 07/31/2029
5 OPTION YEAR 4: 08/01/2029-07/31/2030
Bio-Medical Waste Pickup and Disposal
TWENTY-FOUR (24) PICKUPS PER YEAR
$______________________ PER PICK UP.
$______________________ PER YEAR.
(Option Line Item)
4 5
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
75H70625Q00119
07/31/2029
Delivery: 07/31/2030
Delivery Location Code: IHSFTYATES
IHSFTYATES
10 Standing Rock Ave
FT YATES ND 58538 US
Period of Performance: 08/01/2029 to 07/31/2030
RFQ TOTAL $______________________
Invoice Processing Platform (IPP)
The Indian Health Service (IHS) is in the process of implementing an electronic invoicing system in compliance with the Office of Management and
Budget (OMB) M-15-19 memorandum Improving
Government Efficiency and Saving Taxpayer Dollars
Through Electronic Invoicing directing Federal agencies to adopt electronic invoicing as the primary means to disburse payment to vendors.
Invoices submitted under any award resulting from this solicitation will be required to utilize the
Invoice Processing Platform (IPP) in accordance with HHSAR 352.232-71, Electronic Submission and
Processing of Payment Requests.
IPP is a secure, web-based electronic invoicing system provided by the U.S. Department of the
Treasury Bureau of the Fiscal Service, in partnership with the Federal Reserve Bank of St.
Louis (FRSTL). Respondents to this solicitation are encouraged to register an account with IPP if they have not already done so. If your organization is already registered to use IPP, you will not be required to re-register- however, we encourage you make sure your organization, and designated IPP user accounts are valid and up to date.
The IPP website address is: https://www.ipp.gov.
If you require assistance registering or IPP account access, please contact the IPP Helpdesk at (866) 973-3131 (M-F 8AM to 6PM ET), or
IPPCustomerSupport@fiscal.treasury.gov.
Should the contractor feel that use of the IPP would be unduly burdensome, their response to this solicitation should include an explanation of this position for a determination by the
5 5
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
75H70625Q00119 contracting officer.
Statement of Work
BIO-MEDICAL WASTE SERVICES
Fort Yates Hospital-Standing Rock Service Unit, Indian Health Service, Fort Yates, North Dakota
PURPOSE:
The purpose of this contract is to provide pick-up and disposal of Bio-Medical Waste.
SPECIFICATIONS:
The contractor shall provide all labor, personnel, equipment, tools, materials, supervision, and all other items and services necessary to provide complete handling, transport, and disposal of infectious bio-medical waste from the Fort Yates Hospital, Fort Yates, ND.
The contractor shall furnish all resources required to provide bio-medical waste removal/disposal including disposal containers, tracking manifests, certifications of destruction, monthly billings, copies of permits and other documents as necessary to satisfy the performance of this contract.
The contractor will provide and make available all appropriate documentation sufficient to satisfy the local, state, and federal laws and regulations/requirements for disposal of both regulated and non-regulated bio-medical waste.
Priority will be given to the Fort Yates Hospital due to the healthcare service component to this SOW in the event of an emergency or natural disaster.
SCHEDULE:
The bio-medical waste shall be picked up on a regular basis. This will consist of two (2) days per month during regular working hours and will be coordinated with Melanie Baker, Housekeeping Supervisor @ melanie.baker@ihs.gov or 701-854-8205.
The contractor will provide the customer a thirty (30) day advance notice of any change in the pick up schedule.
PLACE OF PERFORMANCE:
Fort Yates Hosptial-Standing Rock Service Unit
Indian Health Service
10 Standing Rock Avenue
Fort Yates, North Dakota 58538
PERIOD OF PERFORMANCE:
Base year plus for options years.
mailto:melanie.baker@ihs.gov
CONTRACTING OFFICER’S REPRESENTATIVE:
Rudy Arpan
Rudy.arpan@ihs.gov
605-823-2601
PAYMENT:
The Contractor shall submit a signed and approved invoice to request payment. For services, it should be submitted at least on a monthly basis.
Invoice Processing Platform (IPP)
The Indian Health Service (IHS) is in the process of implementing an electronic invoicing system in compliance with the Office of Management and Budget (OMB) M-15-19 memorandum “Improving
Government Efficiency and Saving Taxpayer Dollars Through Electronic Invoicing” directing Federal agencies to adopt electronic invoicing as the primary means to disburse payment to vendors. Invoices submitted under any award resulting from this solicitation will be required to utilize the Invoice
Processing Platform (IPP) in accordance with HHSAR 352.232-71, Electronic Submission and Processing of Payment Requests.
IPP is a secure, web-based electronic invoicing system provided by the U.S. Department of the
Treasury’s Bureau of the Fiscal Service, in partnership with the Federal Reserve Bank of St. Louis (FRSTL).
Respondents to this solicitation are encouraged to register an account with IPP if they have not already done so. If your organization is already registered to use IPP, you will not be required to re-register-however, we encourage you make sure your organization and designated IPP user accounts are valid and up to date.
The IPP website address is: https://www.ipp.gov.
If you require assistance registering or IPP account access, please contact the IPP Helpdesk at (866) 973-
3131 (M-F 8AM to 6PM ET), or IPPCustomerSupport@fiscal.treasury.gov.
“Should the contractor feel that use of the IPP would be unduly burdensome, their response to this solicitation should include an explanation of this position for a determination by the contracting officer”.
1. Authority
1.1. No person other than the Contracting Officer has authority to bind the Government with respect to this contract.
1.2. No action or omission of any government employee or representative other than the
Contracting Officer shall increase or decrease the scope of this contract or shall otherwise modify the terms and conditions of this contract.
1.3. In no event shall any of the following be effective or binding on the Government or imputed to the Contracting Officer with respect to this contract:
mailto:Rudy.arpan@ihs.gov
1.3.1. An understanding or agreement between the Contractor and anyone other than the Contracting
Officer;
1.3.2. A purported modification or change order issued by anyone other than the Contracting Officer;
1.3.3. A promise by anyone other than the Contracting Officer to provide additional funding or make payments; or
1.3.4. An order, direction, consent, or permission from anyone other than the Contracting Officer to:
1.3.4.1. Incur costs in excess of a specified estimated cost, allotment of funds, or other ceiling; or
1.3.4.2. Expend hours in excess of a specified level of effort.
52.252-1 Solicitation Provisions Incorporated by Reference.
As prescribed in 52.107(a), insert the following provision:
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): www.acquisition.gov/far
(End of provision)
FAR Citation Clause Title Clause Date
52.204-7 System for Award Management NOV 2024
52.212-1 Instructions to Offerors – Commercial Products and Commercial Services
SEP 2023
52.217-5 Evaluation of Options JUL 1990
SOLICITATIONS IN FULL TEXT
52.204-3 Taxpayer Identification.
As prescribed in 4.905 , insert the following provision:
TAXPAYER IDENTIFICATION (OCT 1998)
(a)Definitions.
Common parent, as used in this provision, means that corporate entity that owns or controls an affiliated group of corporations that files its Federal income tax returns on a consolidated basis, and of which the offeror is a member.
Taxpayer Identification Number (TIN), as used in this provision, means the number required by the Internal Revenue Service (IRS) to be used by the offeror in reporting income tax and other returns. The TIN may be either a Social Security Number or an Employer Identification Number.
(b)All offerors must submit the information required in paragraphs (d) through (f) of this provision to comply with debt collection requirements of 31 U.S.C. 7701(c) and 3325(d), reporting requirements of 26 U.S.C.6041, 6041 A, and 6050 M, and implementing regulations issued by the IRS. If the resulting contract is subject to the payment reporting requirements described in Federal Acquisition Regulation (FAR) 4.904, the failure or refusal by the offeror to furnish the information may result in a 31 percent reduction of payments otherwise due under the contract.
https://www.acquisition.gov/far/52.107#FAR_52_107 http://www.acquisition.gov/far https://www.acquisition.gov/far/4.905#FAR_4_905 http://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title31-section7701(c)&num=0&edition=prelim http://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title31-section3325&num=0&edition=prelim http://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title26-section6041&num=0&edition=prelim https://www.acquisition.gov/far/4.904#FAR_4_904
(c)The TIN may be used by the Government to collect and report on any delinquent amounts arising out of the offeror’s relationship with the Government ( 31 U.S.C. 7701(c)(3)). If the resulting contract is subject to the payment reporting requirements described in FAR 4.904, the TIN provided hereunder may be matched with IRS records to verify the accuracy of the offeror’s TIN.
(d)Taxpayer Identification Number (TIN).
□ TIN: __________________.
□ TIN has been applied for.
□ TIN is not required because:
□ Offeror is a nonresident alien, foreign corporation, or foreign partnership that does not have income effectively connected with the conduct of a trade or business in the United States and does not have an office or place of business or a fiscal paying agent in the United States;
□ Offeror is an agency or instrumentality of a foreign government;
□ Offeror is an agency or instrumentality of the Federal Government.
(e)Type of organization.
□ Sole proprietorship;
□ Partnership;
□ Corporate entity (not tax-exempt);
□ Corporate entity (tax-exempt);
□ Government entity (Federal, State, or local);
□ Foreign government;
□ International organization per 26 CFR 1.6049-4;
□ Other__________________.
(f)Common parent.
□ Offeror is not owned or controlled by a common parent as defined in paragraph (a) of this provision.
□ Name and TIN of common parent:
□ Name__________________.
□ TIN__________________.
(End of provision) http://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title31-section7701(c)(3)&num=0&edition=prelim https://www.acquisition.gov/far/4.904#FAR_4_904
52.204-8Annual Representations and Certifications.
As prescribed in 4.1202(a), insert the following provision:
ANNUAL REPRESENTATIONS AND CERTIFICATIONS (JAN 2025)
(a)
(1)The North American Industry Classification System (NAICS) code for this acquisition is 621399.
(2)The small business size standard is $10.
(3)The small business size standard for a concern that submits an offer, other than on a construction or service acquisition, but proposes to furnish an end item that it did not itself manufacture, process, or produce is 500 employees, or 150 employees for information technology value-added resellers under NAICS code 541519 if the acquisition—
(i)Is set aside for small business and has a value above the simplified acquisition threshold;
(ii)Uses the HUBZone price evaluation preference regardless of dollar value, unless the offeror waives the price evaluation preference; or
(iii)Is an 8(a), HUBZone, service-disabled veteran-owned, economically disadvantaged women-owned, or women-owned small business set-aside or sole-source award regardless of dollar value.
(b)
(1)If the provision at 52.204-7, System for Award Management, is included in this solicitation, paragraph (d) of this provision applies.
(2)If the provision at 52.204-7, System for Award Management, is not included in this solicitation, and the Offeror has an active registration in the System for Award Management (SAM), the Offeror may choose to use paragraph (d) of this provision instead of completing the corresponding individual representations and certifications in the solicitation. The Offeror shall indicate which option applies by checking one of the following boxes:
(i)□ Paragraph (d) applies.
(ii)□ Paragraph (d) does not apply and the offeror has completed the individual representations and certifications in the solicitation.
(c)
(1)The following representations or certifications in SAM are applicable to this solicitation as indicated:
(i)52.203-2, Certificate of Independent Price Determination. This provision applies to solicitations when a firm-fixed-price contract or fixed-price contract with economic price adjustment is contemplated, unless– https://www.acquisition.gov/far/4.1202#FAR_4_1202 https://www.acquisition.gov/far/52.204-7#FAR_52_204_7 https://www.acquisition.gov/far/52.204-7#FAR_52_204_7 https://www.acquisition.gov/far/52.203-2#FAR_52_203_2
(A)The acquisition is to be made under the simplified acquisition procedures in part 13;
(B)The solicitation is a request for technical proposals under two-step sealed bidding procedures; or
(C)The solicitation is for utility services for which rates are set by law or regulation.
(ii)52.203-11, Certification and Disclosure Regarding Payments to Influence Certain Federal Transactions. This provision applies to solicitations expected to exceed $150,000.
(iii)52.203-18, Prohibition on Contracting with Entities that Require Certain Internal Confidentiality Agreements or Statements-Representation. This provision applies to all solicitations.
(iv)52.204-3, Taxpayer Identification. This provision applies to solicitations that do not include the provision at 52.204-7, System for Award Management.
(v)52.204-5, Women-Owned Business (Other Than Small Business). This provision applies to solicitations that-
(A)Are not set aside for small business concerns;
(B)Exceed the simplified acquisition threshold; and
(C)Are for contracts that will be performed in the United States or its outlying areas.
(vi)52.204-26, Covered Telecommunications Equipment or Services-Representation. This provision applies to all solicitations.
(vii)52.209-2, Prohibition on Contracting with Inverted Domestic Corporations- Representation.
(viii)52.209-5, Certification Regarding Responsibility Matters. This provision applies to solicitations where the contract value is expected to exceed the simplified acquisition threshold.
(ix)52.209-11, Representation by Corporations Regarding Delinquent Tax Liability or a Felony Conviction under any Federal Law. This provision applies to all solicitations.
(x)52.214-14, Place of Performance-Sealed Bidding. This provision applies to invitations for bids except those in which the place of performance is specified by the Government.
(xi)52.215-6, Place of Performance. This provision applies to solicitations unless the place of performance is specified by the Government.
(xii)52.219-1, Small Business Program Representations (Basic, Alternates I, and II). This provision applies to solicitations when the contract is for supplies to be delivered or services to be performed in the United States or its outlying areas, or when the contracting officer has applied part 19 in accordance with 19.000(b)(1)(ii).
(A)The basic provision applies when the solicitations are issued by other than DoD, NASA, and the Coast Guard.
https://www.acquisition.gov/far/part-13#FAR_Part_13 https://www.acquisition.gov/far/52.203-11#FAR_52_203_11 https://www.acquisition.gov/far/52.203-18#FAR_52_203_18 https://www.acquisition.gov/far/52.204-3#FAR_52_204_3 https://www.acquisition.gov/far/52.204-7#FAR_52_204_7 https://www.acquisition.gov/far/52.204-5#FAR_52_204_5 https://www.acquisition.gov/far/52.204-26#FAR_52_204_26 https://www.acquisition.gov/far/52.209-2#FAR_52_209_2 https://www.acquisition.gov/far/52.209-5#FAR_52_209_5 https://www.acquisition.gov/far/52.209-11#FAR_52_209_11 https://www.acquisition.gov/far/52.214-14#FAR_52_214_14 https://www.acquisition.gov/far/52.215-6#FAR_52_215_6 https://www.acquisition.gov/far/52.219-1#FAR_52_219_1 https://www.acquisition.gov/far/part-19#FAR_Part_19 https://www.acquisition.gov/far/19.000#FAR_19_000
(B)The provision with its Alternate I applies to solicitations issued by DoD, NASA, or the Coast Guard.
(C)The provision with its Alternate II applies to solicitations that will result in a multiple-award contract with more than one NAICS code assigned.
(xiii)52.219-2, Equal Low Bids. This provision applies to solicitations when contracting by sealed bidding and the contract is for supplies to be delivered or services to be performed in the United States or its outlying areas, or when the contracting officer has applied part 19 in accordance with 19.000(b)(1)(ii).
(xiv)52.222-22, Previous Contracts and Compliance Reports. This provision applies to solicitations that include the clause at 52.222-26, Equal Opportunity.
(xv)52.222-25, Affirmative Action Compliance. This provision applies to solicitations, other than those for construction, when the solicitation includes the clause at 52.222-26, Equal Opportunity.
(xvi)52.222-38, Compliance with Veterans’ Employment Reporting Requirements. This provision applies to solicitations when it is anticipated the contract award will exceed the simplified acquisition threshold and the contract is not for acquisition of commercial products or commercial services.
(xvii)52.223-1, Biobased Product Certification. This provision applies to solicitations that require the delivery or specify the use of biobased products in USDA-designated product categories; or include the clause at 52.223-2, Reporting of Biobased Products Under Service and Construction Contracts.
(xviii)52.223-4, Recovered Material Certification. This provision applies to solicitations that are for, or specify the use of, EPA–designated items.
(xix)52.223-22, Public Disclosure of Greenhouse Gas Emissions and Reduction Goals- Representation. This provision applies to solicitations that include the provision at 52.204-7.
(xx)52.225-2, Buy American Certificate. This provision applies to solicitations containing the clause at 52.225-1.
(xxi)52.225-4, Buy American-Free Trade Agreements-Israeli Trade Act Certificate. (Basic, Alternates II and III.) This provision applies to solicitations containing the clause at 52.225-3.
(A)If the acquisition value is less than $50,000, the basic provision applies.
(B)If the acquisition value is $50,000 or more but is less than $100,000, the provision with its Alternate II applies.
(C)If the acquisition value is $100,000 or more but is less than $102,280, the provision with its Alternate III applies.
(xxii)52.225-6, Trade Agreements Certificate. This provision applies to solicitations containing the clause at 52.225-5.
(xxiii)52.225-20, Prohibition on Conducting Restricted Business Operations in Sudan- Certification. This provision applies to all solicitations.
https://www.acquisition.gov/far/52.219-2#FAR_52_219_2 https://www.acquisition.gov/far/part-19#FAR_Part_19 https://www.acquisition.gov/far/19.000#FAR_19_000 https://www.acquisition.gov/far/52.222-22#FAR_52_222_22 https://www.acquisition.gov/far/52.222-26#FAR_52_222_26 https://www.acquisition.gov/far/52.222-25#FAR_52_222_25 https://www.acquisition.gov/far/52.222-26#FAR_52_222_26 https://www.acquisition.gov/far/52.222-38#FAR_52_222_38 https://www.acquisition.gov/far/52.223-1#FAR_52_223_1 https://www.acquisition.gov/far/52.223-2#FAR_52_223_2 https://www.acquisition.gov/far/52.223-4#FAR_52_223_4 https://www.acquisition.gov/far/52.223-22#FAR_52_223_22 https://www.acquisition.gov/far/52.204-7#FAR_52_204_7 https://www.acquisition.gov/far/52.225-2#FAR_52_225_2 https://www.acquisition.gov/far/52.225-1#FAR_52_225_1 https://www.acquisition.gov/far/52.225-4#FAR_52_225_4 https://www.acquisition.gov/far/52.225-3#FAR_52_225_3 https://www.acquisition.gov/far/52.225-6#FAR_52_225_6 https://www.acquisition.gov/far/52.225-5#FAR_52_225_5 https://www.acquisition.gov/far/52.225-20#FAR_52_225_20
(xxiv)52.225-25, Prohibition on Contracting with Entities Engaging in Certain Activities or Transactions Relating to Iran-Representation and Certifications. This provision applies to all solicitations.
(xxv)52.226-2, Historically Black College or University and Minority Institution Representation. This provision applies to solicitations for research, studies, supplies, or services of the type normally acquired from higher educational institutions.
(2)The following representations or certifications are applicable as indicated by the Contracting Officer:
[Contracting Officer check as appropriate.]
X (i)52.204-17, Ownership or Control of Offeror.
__ (ii)52.204-20, Predecessor of Offeror.
__ (iii)52.222-18, Certification Regarding Knowledge of Child Labor for Listed End Products.
__ (iv)52.222-48, Exemption from Application of the Service Contract Labor Standards to Contracts for Maintenance, Calibration, or Repair of Certain Equipment- Certification.
__ (v)52.222-52, Exemption from Application of the Service Contract Labor Standards to Contracts for Certain Services-Certification.
__ (vi)52.227-6, Royalty Information.
__ (A)Basic.
__ (B)Alternate I.
__ (vii)52.227-15, Representation of Limited Rights Data and Restricted Computer Software.
(d)The offeror has completed the annual representations and certifications electronically in SAM website accessed through https://www.sam.gov. After reviewing the SAM information, the offeror verifies by submission of the offer that the representations and certifications currently posted electronically that apply to this solicitation as indicated in paragraph (c) of this provision have been entered or updated within the last 12 months, are current, accurate, complete, and applicable to this solicitation (including the business size standard applicable to the NAICS code referenced for this solicitation), as of the date of this offer and are incorporated in this offer by reference (see FAR 4.1201);
except for the changes identified below [offeror to insert changes, identifying change by clause number, title, date]. These amended representation(s) and/or certification(s) are also incorporated in this offer and are current, accurate, and complete as of the date of this offer.
FAR Clause # Title Date Change
Any changes provided by the offeror are applicable to this solicitation only, and do not result in an update to the representations and certifications posted on SAM.
https://www.acquisition.gov/far/52.225-25#FAR_52_225_25 https://www.acquisition.gov/far/52.226-2#FAR_52_226_2 https://www.acquisition.gov/far/52.204-17#FAR_52_204_17 https://www.acquisition.gov/far/52.204-20#FAR_52_204_20 https://www.acquisition.gov/far/52.222-18#FAR_52_222_18 https://www.acquisition.gov/far/52.222-48#FAR_52_222_48 https://www.acquisition.gov/far/52.222-52#FAR_52_222_52 https://www.acquisition.gov/far/52.227-6#FAR_52_227_6 https://www.acquisition.gov/far/52.227-15#FAR_52_227_15 https://www.sam.gov/ https://www.acquisition.gov/far/4.1201#FAR_4_1201
(End of provision)
52.252-2 Clauses Incorporated by Reference.
As prescribed in 52.107(b), insert the following clause:
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.acquisition.gov/far
(End of clause)
FAR Citation Clause Title Clause Date
52.203-15 Whistleblower Protections Under the American Recovery and Reinvestment Act of 2009
JUN 2010
52.203-19 Prohibition on Requiring Certain Internal Confidentiality Agreements or Statements
JAN 2017
52.204-2 Security Requirements MAR 2021
52.204-9 Personal Identity Verification of Contractor Personnel JAN 2011
52.204-10 Reporting Executive Compensation and First-Tier Subcontract Awards
JUN 2020
52.204-12 Unique Entity Identifier Maintenance OCT 2016
52.204-13 System for Award Management OCT 2018
52.204-18 Commercial and Government Entity Code Maintenance APR 2020
52.204-19 Incorporated by Reference of Representations and Certifications DEC 2014
52.204-23 Prohibition on Contracting for Hardware, Software, and Services Developed or Provided by Kaspersky Lab Covered Entities
DEC 2023
52.204-25 Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment
NOV 2021
52.212-4 Contract Terms and Conditions – Commercial Products and Commercial Services
NOV 2023
52.222-50 Combating Trafficking in Persons NOV 2021 https://www.acquisition.gov/far/52.107#FAR_52_107 http://www.acquisition.gov/far
52.225-13 Restrictions on Certain Foreign Purchases FEB 2021
52.226-8 Encouraging Contractor Policies to Ban Text Messaging While Driving
MAY 2024
52.232-1 Payments APR 1984
52.232-39 Unenforceability of Unauthorized Obligations JUN 2013
52.232-40 Providing Accelerated Payments of Small Business Subcontractors MAR 2023
52.233-3 Protest After Award AUG 1996
52.233-4 Applicable Law of Breach of Contract Claim OCT 2004
52.237-3 Continuity of Services JAN 1991
52.242-5 Payments to Small Business Subcontractors JUN 2017
52.242-15 Stop-Work Order AUG 1989
52.243-1 Changes Fixed-Price AUG 1987
52.243-4 Changes JUN 2007
52.243-7 Notification of Changes JAN 2017
52.244-6 Subcontracts for Commercial Products and Commercial Services JAN 2025
52.246-4 Inspection of Services Fixed-Price AUG 1996
52.246-20 Warranty of Services MAY 2001
52.246-25 Limitation of Liability Services FEB 1997
52.249-8 Default (Fixed-Price Supply and Service) APR 1984
52.252-2 Clauses Incorporated by Reference FEB 1998
52.252-6 Authorization Deviations in Clauses NOV 2020
HHSAR
Citation
Clause Title Clause Date
352-239-73 Electronic Information and Technology Accessibility Notice DEC 2015
352-239-74 Electronic Information and Technology Accessibility DEC 2015
CLAUSES INCORPORATED IN FULL TEXT
52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL PRODUCTS AND COMMERCIAL
SERVICES (NOV 2023)
(a) Inspection/Acceptance. The Contractor shall only tender for acceptance those items that conform to the requirements of this contract. The Government reserves the right to inspect or test any supplies or services that have been tendered for acceptance. The Government may require repair or replacement of nonconforming supplies or reperformance of nonconforming services at no increase in contract price. If repair/replacement or reperformance will not correct the defects or is not possible, the Government may seek an equitable price reduction or adequate consideration for acceptance of nonconforming supplies or services. The Government must exercise its post-acceptance rights-
(1) Within a reasonable time after the defect was discovered or should have been discovered; and
(2) Before any substantial change occurs in the condition of the item, unless the change is due to the defect in the item.
(b) Assignment. The Contractor or its assignee may assign its rights to receive payment due as a result of performance of this contract to a bank, trust company, or other financing institution, including any Federal lending agency in accordance with the Assignment of
Claims Act (31 U.S.C. 3727). However, when a third party makes payment (e.g., use of the Governmentwide commercial purchase card), the Contractor may not assign its rights to receive payment under this contract.
(c) Changes. Changes in the terms and conditions of this contract may be made only by written agreement of the parties.
(d) Disputes. This contract is subject to 41 U.S.C. chapter 71, Contract Disputes. Failure of the parties to this contract to reach agreement on any request for equitable adjustment, claim, appeal or action arising under or relating to this contract shall be a dispute to be resolved in accordance with the clause at Federal Acquisition Regulation (FAR) 52.233-1, Disputes, which is incorporated herein by reference. The Contractor shall proceed diligently with performance of this contract, pending final resolution of any dispute arising under the contract.
(e) Definitions. The clause at FAR 52.202-1, Definitions, is incorporated herein by reference.
(f) Excusable delays. The Contractor shall be liable for default unless nonperformance is caused by an occurrence beyond the reasonable control of the Contractor and without its fault or negligence such as, acts of God or the public enemy, acts of the Government in either its sovereign or contractual capacity, fires, floods, epidemics, quarantine restrictions, strikes, unusually severe weather, and delays of common carriers. The Contractor shall notify the Contracting Officer in writing as soon as it is reasonably possible after the commencement of any excusable delay, setting forth the full particulars in connection therewith, shall remedy such occurrence with all reasonable dispatch, and shall promptly give written notice to the Contracting Officer of the cessation of such occurrence.
(g) Invoice.
(1) The Contractor shall submit an original invoice and three copies (or electronic invoice, if authorized) to the address designated in the contract to receive invoices. An invoice must include-
(i) Name and address of the Contractor;
(ii) Invoice date and number;
(iii) Contract number, line item number and, if applicable, the order number;
(iv) Description, quantity, unit of measure, unit price and extended price of the items delivered;
(v) Shipping number and date of shipment, including the bill of lading number and weight of shipment if shipped on Government bill of lading;
(vi) Terms of any discount for prompt payment offered;
(vii) Name and address of official to whom payment is to be sent;
https://www.acquisition.gov/far/52.233-1#FAR_52_233_1 https://www.acquisition.gov/far/52.202-1#FAR_52_202_1
(viii) Name, title, and phone number of person to notify in event of defective invoice; and
(ix) Taxpayer Identification Number (TIN). The Contractor shall include its TIN on the invoice only if required elsewhere in this contract.
(x) Electronic funds transfer (EFT) banking information.
(A) The Contractor shall include EFT banking information on the invoice only if required elsewhere in this contract.
(B) If EFT banking information is not required to be on the invoice, in order for the invoice to be a proper invoice, the Contractor shall have submitted correct EFT banking information in accordance with the applicable solicitation provision, contract clause (e.g., 52.232-33, Payment by Electronic Funds Transfer-System for Award Management, or 52.232-34, Payment by Electronic Funds Transfer-Other Than System for Award Management), or applicable agency procedures.
(C) EFT banking information is not required if the Government waived the requirement to pay by EFT.
(2) Invoices will be handled in accordance with the Prompt Payment Act ( 31 U.S.C.
3903) and Office of Management and Budget (OMB) prompt payment regulations at 5 CFR Part 1315.
(h) Patent indemnity. The Contractor shall indemnify the Government and its officers, employees and agents against liability, including costs, for actual or alleged direct or contributory infringement of, or inducement to infringe, any United States or foreign patent, trademark or copyright, arising out of the performance of this contract, provided the Contractor is reasonably notified of such claims and proceedings.
(i) Payment.-
(1) Items accepted. Payment shall be made for items accepted by the Government that have been delivered to the delivery destinations set forth in this contract.
(2) Prompt payment. The Government will make payment in accordance with the Prompt Payment Act ( 31 U.S.C. 3903) and prompt payment regulations at 5 CFR Part 1315.
(3) Electronic Funds Transfer (EFT). If the Government makes payment by EFT, see 52.212-5(b) for the appropriate EFT clause.
(4) Discount. In connection with any discount offered for early payment, time shall be computed from the date of the invoice. For the purpose of computing the discount earned, payment shall be considered to have been made on the date which appears on the payment check or the specified payment date if an electronic funds transfer payment is made.
(5) Overpayments. If the Contractor becomes aware of a duplicate contract financing or invoice payment or that the Government has otherwise overpaid on a contract financing or invoice payment, the Contractor shall-https://www.acquisition.gov/far/52.232-33#FAR_52_232_33 https://www.acquisition.gov/far/52.232-34#FAR_52_232_34 http://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title31-section3903&num=0&edition=prelim http://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title31-section3903&num=0&edition=prelim http://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title31-section3903&num=0&edition=prelim https://www.acquisition.gov/far/52.212-5#FAR_52_212_5
(i) Remit the overpayment amount to the payment office cited in the contract along with a description of the overpayment including the-
(A) Circumstances of the overpayment (e.g., duplicate payment, erroneous payment, liquidation errors, date(s) of overpayment);
(B) Affected contract number and delivery order number, if applicable;
(C) Affected line item or subline item, if applicable; and
(D) Contractor point of contact.
(ii) Provide a copy of the remittance and supporting documentation to the Contracting Officer.
(6) Interest.
(i) All amounts that become payable by the Contractor to the Government under this contract shall bear simple interest from the date due until paid unless paid within 30 days of becoming due. The interest rate shall be the interest rate established by the Secretary of the Treasury as provided in 41 U.S.C. 7109, which is applicable to the period in which the amount becomes due, as provided in (i)(6)(v) of this clause, and then at the rate applicable for each six-month period as fixed by the Secretary until the amount is paid.
(ii) The Government may issue a demand for payment to the Contractor upon finding a debt is due under the contract.
(iii) Final decisions. The Contracting Officer will issue a final decision as required by 33.211 if–
(A) The Contracting Officer and the Contractor are unable to reach agreement on the existence or amount of a debt within 30 days;
(B) The Contractor fails to liquidate a debt previously demanded by the Contracting Officer within the timeline specified in the demand for payment unless the amounts were not repaid because the Contractor has requested an installment payment agreement; or
(C) The Contractor requests a deferment of collection on a debt previously demanded by the Contracting Officer (see 32.607-2).
(iv) If a demand for payment was previously issued for the debt, the demand for payment included in the final decision shall identify the same due date as the original demand for payment.
(v) Amounts shall be due at the earliest of the following dates:
(A) The date fixed under this contract.
(B) The date of the first written demand for payment, including any demand for payment resulting from a default termination.
http://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title41-section7109&num=0&edition=prelim https://www.acquisition.gov/far/33.211#FAR_33_211 https://www.acquisition.gov/far/32.607-2#FAR_32_607_2
(vi) The interest charge shall be computed for the actual number of calendar days involved beginning on the due date and ending on-
(A) The date on which the designated office receives payment from the Contractor;
(B) The date of issuance of a Government check to the Contractor from which an amount otherwise…
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