75H70626Q00210.pdf

SEE ADDENDUMIS CHECKED

CODE 18a. PAYMENT WILL BE MADE BY

CODE

FACILITYCODE

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

OFFEROR

159IHSPINERIDGE CODE 16. ADMINISTERED BYCODE

X

X

X

339113

SIZE STANDARD:

100.00 % FOR:SET ASIDE:UNRESTRICTED OR159

REQUEST FOR

PROPOSAL

(RFP)

INVITATION

FOR BID (IFB)

10. THIS ACQUISITION ISCODE

REQUEST FOR

QUOTE (RFQ)

14. METHOD OF SOLICITATION

13b. RATING

NORTH AMERICAN INDUSTRY

CLASSIFICATION STANDARD

(NAICS):

SMALL BUSINESS

08/14/2026 1700 CD

07/28/2026

ERIN DOERING

(No collect calls)

INFORMATION CALL:

FOR SOLICITATION 8. OFFER DUE DATE/LOCAL TIMEb. TELEPHONE NUMBER a. NAME

4. ORDER NUMBER3. AWARD/ 6. SOLICITATION

75H70626Q00210

5. SOLICITATION NUMBER

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS 1. REQUISITION NUMBER PAGE OF

1 11 OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

TELEPHONE NO.

17a. CONTRACTOR/

15. DELIVER TO

Aberdeen SD 57401

115 Fourth Ave, SE

Federal Building

9. ISSUED BY

7.

2. CONTRACT NO.

EFFECTIVE DATE

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

ISSUE DATE

DELIVERY FOR FREE ON BOARD

(FOB) DESTINATION UNLESS

BLOCK IS MARKED

11.

SEE SCHEDULEX

12. DISCOUNT TERMS THIS CONTRACT IS A RATED

ORDER UNDER THE DEFENSE

PRIORITIES AND ALLOCATIONS

SYSTEM - DPAS (15 CFR 700)

13a.

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

(SDVOSB)

HUBZONE SMALL

BUSINESS

8(A)

Aberdeen Area Indian Health Servic WOMEN-OWNED SMALL

BUSINESS (WOSB)

ECONOMICALLY DISADVANTAGED

WOMEN-OWNED SMALL

BUSINESS (EDWOSB)

PINE RIDGE SD 57770

E. Hwy 18

607 Indian Health Road

IHSPINERIDGE

Aberdeen SD 57401

115 Fourth Ave, SE

Federal Building

Aberdeen Area Indian Health Servic

24.

AMOUNT

23.

UNIT PRICE

22.

UNIT

21.

QUANTITY

20.

SCHEDULE OF SUPPLIES/SERVICES

19.

ITEM NO.

***100% INDIAN SMALL BUSINESS ECONOMICE

ENTERPRISE SET-ASIDE***

Request for quotation to provide an ambulance cot and accessories to be used with existing FERNO STATTRAC loading system. The requirement is for a Ferno 35-XST Proflexx Ambulance Cot system or equal. Any proposed equal product must meet or exceed the Government's minimum requirements and salient characteristics and be fully compatible with the existing Ferno Stattrac loading and

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

HEREIN, IS ACCEPTED AS TO ITEMS:

XX

DATED

WILLIAM C. KOHL

. YOUR OFFER ON SOLICITATION (BLOCK 5),

INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE SET FORTH

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DELIVER

ARE

ARE

31c. DATE SIGNED

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

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

30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (Type or print)

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

SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED.

27a. SOLICITATION INCORPORATES BY REFERENCE (FEDERAL ACQUISITION REGULATION) FAR 52.212-1, 52.212-4. FAR 52.212-3

AND 52.212-5 ARE ATTACHED. ADDENDA

26. TOTAL AWARD AMOUNT (For Government Use Only)

OFFER

STANDARD FORM 1449 (REV. 11/2021)

Prescribed by GSA - FAR (48 CFR) 53.212

ARE NOT ATTACHED.

ARE NOT ATTACHED.

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

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

30a. SIGNATURE OF OFFEROR/CONTRACTOR

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

25. ACCOUNTING AND APPROPRIATION DATA

29. AWARD OF CONTRACT: REFERENCE

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32c. DATE 32b. SIGNATURE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

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

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED

40. PAID BY39. S/R VOUCHER NUMBER38. S/R ACCOUNT NUMBER

37. CHECK NUMBER

FINALPARTIAL

36. PAYMENT

FINALPARTIAL

35. AMOUNT VERIFIED

CORRECT FOR

34. VOUCHER NUMBER33. SHIP NUMBER

COMPLETE

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

42d. TOTAL CONTAINERS42c. DATE REC'D (YY/MM/DD)

42b. RECEIVED AT (Location)

42a. RECEIVED BY (Print)

41c. DATE41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER

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

STANDARD FORM 1449 (REV. 11/2021) BACK

24.

AMOUNT

23.

UNIT PRICE

22.

UNIT

21.

QUANTITY

20.

SCHEDULE OF SUPPLIES/SERVICES

19.

ITEM NO.

1 1 EA

retention system. Anticipated period of performance is September 1, 2026 to November 30, 2026.

All proposals must be submitted in writing by

August 14, 2026 at 5:00 pm CDT.

Facsimile proposals will not be allowed. Emailed proposals are allowed and must be submitted to

Erin.Doering@ihs.gov. No original copy is required to be submitted.

Any questions regarding this solicitation must be submitted via email to the contract specialist by

4:00 pm CDT on August 4, 2026.

See continuation pages for further information and instructions.

IHS reference: CALLTSK0165489

Delivery: 11/30/2026

Period of Performance: 09/01/2026 to 11/30/2026

0015793 35-XST Proflexx Red Univ S A 35-XST

Proflexx Red Univ Side arm w mattress and restraints Ferno Ambulance Cot

Continued ...

32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

11 2 of

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

3 11

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

75H70626Q00210

2 0087156 513-10 IV Pole HD NM 513-10 IV Pole HD NM 1 EA

3 0818933 274 Pac Rac Instr Platfrm 274 Pac Rac 1 EA

Instr Pltfrm

4 0822406 Softnet w zip pocket stat trac softnet 1 EA

5 0822184 Lbs Jr 35x powerflexx the LBS 1 EA bariatric board attachment

6 0314050 mattress lbs jr mattress lbs jr 1 EA

7 0822186 LBS-MNT Blk 35X pwrflx qty4 lbs-mnt blk 1 EA

35x pwrflx qty4

8 Freight

NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)

Sponsored by GSA

FAR (48 CFR) 53.110

SOL - Solicitation Number B - Supplies or Services and prices/costs

Unit Price F.O.B. Terms Delivery Location(s) Total Evaluated Price

C - Description/specifications/statement of work G - Contract Administration Data

Contracting Officer's Representative Period of Performance Receiving Office Invoice Submission & Payment Payment Terms

I - Clauses Incorporated by Reference & In Full Text J - List of Attachments K - Representations, certifications, and other statements of offerors or respondent

FAR Provisions L - Instructions, conditions, and notices to offerors or respondents

Provisions M - Evaluation factors for award

Provisions SOL - Solicitation Number

These clauses, terms and conditions are incorporated into solicitation number 75H70626Q00210.

B - Supplies or Services and prices/costs

Unit Price

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 purchase order.

F.O.B. Terms

FOB Terms: Offerors shall propose pricing on an FOB Destination basis unless otherwise specified in the solicitation. Prices shall include all costs associated with packaging, handling, shipping, and delivery to the delivery location(s) identified in the Schedule.

Delivery Location(s)

Delivery location:

Pine Ridge IHS Hospital 607 Indian Health Road Pine Ridge, South Dakota 57770

Freight/Loading Dock available for deliveries

Total Evaluated Price

C - Description/specifications/statement of work

The Contractor shall furnish and deliver one (1) ambulance cot system and associated accessories that are either the specified Ferno products identified herein or an equal product that meets the Government's minimum requirements and salient characteristics.

The Contractor shall provide all labor, materials, equipment, transportation, freight, warranty support, documentation, and incidentals necessary to furnish and deliver the required equipment.

The Government's requirement is for a Ferno 35-XST Proflexx Ambulance Cot system or equal. Any proposed equal product must be fully compatible with the existing Ferno Stattrac loading system installed in the Pine Ridge Service Unit transport vehicle and must meet or exceed the following salient characteristics:

a. Manual ambulance cot designed for emergency medical services patient transport.

b. Compatible with existing Ferno Stattrac loading and retention systems without modification to Government-owned equipment.

c. Capable of accommodating adult patients in accordance with manufacturer specifications.

d. Equipped with an adjustable patient transport surface and operational side-arm configuration.

e. Includes patient mattress and integrated restraint system meeting applicable industry safety standards.

f. Constructed of durable materials suitable for repeated EMS transport operations.

g. Capable of safe loading, unloading, and transport within a healthcare transport environment.

h. Supported by manufacturer warranty and availability of replacement parts and service.

Reference Item Description Ferno 35-XST Proflexx or Equal Ambulance cot including mattress and patient restraints Ferno 513-10 IV Pole or Equal Heavy-duty IV pole compatible with cot system Ferno 274 Pac Rac Instrument Platform or Equal Equipment mounting platform compatible with cot system Ferno Softnet with Zip Pocket or Equal Storage net compatible with cot system Ferno LBS Jr. Bariatric Board Attachment or Equal Bariatric patient support attachment Ferno LBS-MNT Mounting Blocks or Equal Mounting hardware required for bariatric attachment Ferno LBS Jr. Mattress or Equal Mattress compatible with bariatric attachment

For any proposed equal product, the Contractor shall provide sufficient technical literature, specifications, product brochures, compatibility documentation, and other supporting information necessary for the Government to determine whether the offered product meets or exceeds the required salient characteristics.

The Government shall be the sole judge in determining whether an offered product is equal to the referenced brand-name items.

Substitutions offered after award shall not be accepted without prior written approval from the Contracting Officer.

The Government will provide reasonable access to the facility and personnel necessary for receipt, inspection, and acceptance of delivered equipment.

G - Contract Administration Data

The Contracting Officer is the only individual authorized to enter into, administer, terminate, or modify contracts and to make related determinations and findings on behalf of the Government. No oral or written statement by any other Government employee shall modify or otherwise affect the terms and conditions of this solicitation or any resulting contract. Offerors who rely on information or direction from personnel other than the Contracting Officer do so at their own risk.

Contracting Officer's Representative

The COR will be designated in writing after contract award.

The COR is authorized to:

Monitor contractor performance.

Inspect and accept supplies, if delegated.

Review invoices.

Verify receipt of supplies.

The COR is not authorized to:

Change price.

Change delivery schedule.

Change quantities.

Direct additional work.

Period of Performance

Period of Performance is anticipated to be September 1, 2026 with delivery no later than 90 days after receipt of order.

Receiving Office

Indian Health Service Pine Ridge Hospital 607 Indian Health Road Pine Ridge, South Dakota 57770

Deliveries shall be made Monday through Friday, 8:00 a.m. to 4:30 p.m. local time, excluding Federal holidays.

Each shipment shall include:

Contract number Purchase order number CLIN number Packing slip Quantity shipped

Acceptance shall occur after inspection confirms the supplies conform to contract requirements.

Invoice Submission & Payment

Invoices shall be submitted via the Invoice Processing Platform in accordance with HHSAR 352.232-71.

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). The Office of Management and Budget (OMB) M-15-19 Memorandum "Improving Government Efficiency and Saving Taxpayer Dollars Through Electronic Invoicing" directs Federal agencies to adopt electronic invoicing as the primary means to disburse payment to vendors.

If your organization is not currently utilizing IPP, following award of an order, your organization will be automatically enrolled by IHS. Your company's IPP POC will be determined by the information listed in your SAM.gov account, and will receive two e-mails from the Bureau of Fiscal Service, one with a username and one with a temporary password. Please ensure your SAM.gov information is up to date.

If you are currently enrolled in IPP, either from a previous award with IHS or another Federal Agency utilizing IPP- you may use your existing IPP credentials for this order.

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

The Contractor shall include the following information on each invoice in accordance with the Prompt mailto:IPPCustomerSupport@fiscal.treasury.gov

Payment Act (5 CFR Part 1315.9(b)):

1. Contractor's name;

2. Invoice number and date;

3. Entire award number or other authorization number for delivery of goods or services;

4. Description (including dates of service), price, and quantity of goods and services rendered;

5. Shipping and payment terms;

6. SAM UEI number and Taxpayer Identifying Number (TIN); and

7. Contact name (where practicable), title and telephone number.

Applicable Clauses

352.232-71 ELECTRONIC SUBMISSION OF PAYMENT REQUEST (APR 2026) (RFO

DEVIATION)

(a) Definitions. As used in this clause –

Payment request means a bill, voucher, invoice, or request for contract financing payment with associated supporting documentation. The payment request must comply with the requirements in FAR 32.905(b), and the applicable payment clause included in this contract.

(b) Submission instructions. Except as provided in paragraph (c) of this clause, the Contractor must submit payment requests electronically using the Department of Treasury Invoice Processing Platform (IPP) or successor system. Information regarding IPP, including IPP Customer Support contact information, is available at www.ipp.gov or any successor site.

(c) Alternate submission procedures. The Contractor may submit payment requests using other than IPP only when the Contracting Officer authorizes alternate procedures in writing.

(d) Submission of alternate payment procedures authorization. If alternate payment procedures are authorized, the Contractor must include a copy of the Contracting Officer's written authorization with each payment request.

(End of clause)

Payment Terms

Payment shall be made in accordance with FAR 52.212-4(i), Payment.

The contractor shall maintain current EFT information in SAM.gov. Payments will be made to the account associated with the contractor's SAM registration, consistent with FAR 52.232-33.

I - Clauses Incorporated by Reference & In Full Text

52.222-90 Addressing DEI Discrimination by Federal Contractors (APR 2026)

(a) Definitions. As used in this clause—

Program participation means membership or participation in, or access or admission to: training, mentoring, or leadership development programs; educational opportunities; clubs; associations; or similar opportunities that are sponsored or established by the contractor or subcontractor.

Racially discriminatory diversity, equity, and inclusion (DEI) activities means disparate treatment based on race or ethnicity in the recruitment, employment (e.g., hiring, promotions), contracting (e.g., vendor agreements), program participation, or allocation or deployment of an entity's resources.

(b) In connection with the performance of work under this contract, the Contractor agrees as follows:

(1) The Contractor will not engage in any racially discriminatory DEI activities;

(2) The Contractor will furnish all information and reports, including providing access to books, records, and accounts, as required by the Contracting Officer, for purposes of ascertaining compliance with this clause;

(3) In the event of the Contractor's or a subcontractor's noncompliance with this clause, this contract may be canceled, terminated, or suspended in whole or in part, and the Contractor or subcontractor may be declared ineligible for further Government contracts;

(4) The Contractor will report any subcontractor's known or reasonably knowable conduct that may violate this clause to the Contracting Officer and take any appropriate remedial actions directed by the Contracting Officer; and

(5) The Contractor will inform the Contracting Officer if a subcontractor sues the Contractor and the suit puts at issue, in any way, the validity of this clause.

(6) The Contractor recognizes that compliance with the requirements of this clause are material to the Government's payment decisions for purposes of 31 U.S.C. 3729(b)(4).

(c) The Contractor must include the substance of this clause, including this paragraph (c), in subcontracts at any tier, including those for commercial products and commercial services, except those where the place of delivery or performance is outside the United States.

(End of clause)

J - List of Attachments

Attachment Number Title 1 SOW_EMS cot 2 Specifications for reference product 3 Indian Firm Representation Form 26Q00210 4 Past_Performance_Questionnaire

K - Representations, certifications, and other statements of offerors or respondent

FAR Provisions

The Offeror shall complete the annual representations and certifications electronically through the System for Award Management (SAM) at https://sam.gov.

By submission of an offer, the Offeror verifies that the representations and certifications currently posted electronically in SAM are current, accurate, complete, and applicable to this solicitation, or has provided any necessary updates.

52.225-2 Buy American Certificate. (OCT 2022)

L - Instructions, conditions, and notices to offerors or respondents

Provisions

52.204-7 System for Award Management-Registration. (NOV 2024) (Deviation NOV 2025)

52.204-90 Offeror Identification. (Deviation NOV 2025)

52.212-1 Instructions to Offerors-Commercial Products and Commercial Services. (SEP 2023) (Deviation NOV 2025)

352.226-4 Notice of Indian Small Business Economic Enterprise set-aside. (MAR 2022)

Under the Buy Indian Act, 25 U.S.C. 47, offers are solicited only from Indian Economic Enterprises (HHSAR 326.606) that are also small business concerns. Any acquisition resulting from this solicitation will be from such a concern. As required by HHSAR § 352.226-7(b), offerors shall include a completed Indian Economic Enterprise Representation form in response to Sources Sought Notices, Request for Information (RFI) and as part of the proposal submission. The Indian Economic Enterprise Representation form, available on the IHS DAP public website (www.IHS.gov/DAP), shall be included in synopses, presolicitation notices, and solicitations for the acquisitions under the Buy Indian Act. Offers received from enterprises that are not both Indian Economic Enterprises and small business concerns will not be considered and will be rejected.

(End of clause)

352.226-7 Indian Economic Enterprise representation. (MAR 2022)

(a) The offeror must represent as part of its offer that it does meet the definition of Indian Economic Enterprise (IEE) as defined in HHSAR 326.601 and that it intends to meet the definition of an IEE throughout the performance of the contract. The offeror must notify the contracting officer immediately, via email, if there is any ownership change affecting compliance with this representation.

(b) The representation must be made on the designated IHS Indian Economic Enterprise Representation form or any successor forms through which the offeror will certify that the ownership requirements defined by HHSAR 326.601 are met.

(c) Any false or misleading information submitted by an enterprise when submitting an offer in consideration for an award set-aside under the Buy Indian Act is a violation of the law punishable under 18 U.S.C. 1001. False claims submitted as part of contract performance are subject to the penalties enumerated in 31 U.S.C. 3729 to 3731 and 18 U.S.C. 287.

(End of provision)

M - Evaluation factors for award

Provisions

52.212-2 Evaluation-Commercial Products and Commercial Services. (NOV 2021) (Deviation NOV 2025)

(a) Evaluation factors. The Government will award a contract resulting from this solicitation to the responsible Offeror whose offer conforming to the solicitation will be most advantageous to the Government, price and other factors considered. The following factors will be used to evaluate offers:

M.1 Basis for Award

Award will be made to the responsible Offeror submitting the lowest evaluated price whose quotation is determined to be technically acceptable and whose past performance is determined to be acceptable, if evaluated.

The Government intends to evaluate quotations without discussions but reserves the right to conduct discussions if determined to be in the Government's best interest.

M.2 Technical Acceptability

The Government will evaluate the quotation on an acceptable/unacceptable basis.

To be rated Acceptable, the quotation must demonstrate that the Offeror meets all material requirements of the solicitation, including the specifications, salient characteristics, delivery requirements, and any mandatory technical requirements.

Quotations rated Unacceptable are ineligible for award.

M.3 Past Performance

Past performance will be evaluated as Acceptable, Unacceptable, or Neutral (if no relevant past performance is available).

The Government may evaluate information obtained from CPARS, questionnaires, or other sources permitted by FAR.

M.4 Price

The Government will evaluate the total evaluated price identified in Section B. The Government may evaluate prices for reasonableness and, when applicable, completeness. Award will be made to the technically acceptable Offeror with the lowest evaluated price.

(b) Options (if applicable). The Government will evaluate offers for award purposes by adding the total price for all options to the total price for the basic requirement. The Government may determine that an offer is unacceptable if the option prices are significantly unbalanced. The evaluation of options does not obligate the Government to exercise the option(s).

(c) Notice of award. A written notice of award or acceptance of an offer furnished to the successful Offeror within the time for acceptance specified in the offer, shall result in a binding contract without further action by either party. Before the offer's specified expiration time, the Government may accept an offer (or part of an offer), whether or not there are negotiations after its receipt, unless a written notice of withdrawal is received before award.

(End of provision)

Past Performance Submission Requirements

CPARS will be used for past performance information. In the event that no information is available in CPARS, offerors may use the past performance questionnaire attached to this solicitation to satisfy the requirement.

Offerors shall submit evidence of recent and relevant past performance demonstrating successful performance of work similar in scope, size, and complexity to the requirements of this solicitation.

The Offeror shall provide no more than three (3) references for contracts or orders performed within the past five (5) years from the date of solicitation issuance. The Government may consider contracts currently in progress if sufficient performance history exists.

The Government reserves the right to obtain past performance information from any source it considers appropriate, including, but not limited to, the Contractor Performance Assessment Reporting System (CPARS), the Past Performance Information Retrieval System (PPIRS) legacy records (as applicable), Contractor Performance Assessment reports maintained by other Federal agencies, commercial sources, questionnaires, and information obtained from Government personnel having first-hand knowledge of the Offeror's performance.

The Government is not required to contact all references submitted by the Offeror.

If an Offeror does not possess a record of relevant past performance or information is not available, the Offeror shall not be evaluated either favorably or unfavorably on past performance in accordance with FAR 15.305(a)(2)(iv).

The Offeror is responsible for ensuring the accuracy and completeness of all submitted past performance information.