RFQ_75H70626Q00212.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

167IHSPINERIDGE CODE 16. ADMINISTERED BYCODE

X

X

621511

SIZE STANDARD:

% FOR:SET ASIDE:UNRESTRICTED OR167

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 1200 MS

08/04/2026

PATRICIA THOMPSON

(No collect calls)

INFORMATION CALL:

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

4. ORDER NUMBER3. AWARD/ 6. SOLICITATION

75H70626Q00212

5. SOLICITATION NUMBER

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

1 12 IHS1527363OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

TELEPHONE NO.

17a. CONTRACTOR/

15. DELIVER TO

Pine Ridge SD 57770

Pine Ridge PHS Indian Hospital

9. ISSUED BY

7.

2. CONTRACT NO.

EFFECTIVE DATE

$41.5

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)

Pine Ridge Service Unit WOMEN-OWNED SMALL

BUSINESS (WOSB)

ECONOMICALLY DISADVANTAGED

WOMEN-OWNED SMALL

BUSINESS (EDWOSB)

PINE RIDGE SD 57770

E. Hwy 18

607 Indian Health Road

PINE RIDGE

Pine Ridge SD 57770

E. Hwy 18

607 Indian Health Road

Pine Ridge PHS Indian Hospital

Pine Ridge Service Unit

24.

AMOUNT

23.

UNIT PRICE

22.

UNIT

21.

QUANTITY

20.

SCHEDULE OF SUPPLIES/SERVICES

19.

ITEM NO.

This RFQ is issued as 100% Small Business Buy Indian Set-aside.

To establish a one (1) year contract with a Period of Performance commencing upon awrd.

Delivery schedule performance is required to align with laboratory demand without overstacking or shortages. This is a non-personal supply contract to provide I-STAT Chemistry Reagent supplies required to operate the Abbott I-STAT analyzer in support of 24/7 clinical diagnostic

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

HEREIN, IS ACCEPTED AS TO ITEMS:

DATED

NICHOLE R. LEREW

. 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.

services provided to the Pine Ridge Indian Health

Service Hospital Laboratory Department, 607

Indian Health Road, Pine Ridge, South Dakota

57770.

The "Unit Price" is an all-inclusive cost. All

"inclusive cost" is defined as including 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.

1 03P85-51 CG4 + SHIP VIA DELIVERY SCHEDULE 60 BX

60 BOXES @ $__________PER BOX

TOTAL = $____________

Delivery: 09/14/2027

Period of Performance: 09/15/2026 to 09/14/2027

2 09P31-26 CHEM8 + SHIP VIA DELIVERY SCHEDULE 20 BX

20 BOXES @ $__________ PER BOX =

TOTAL: $ _____________

Delivery: 09/14/2027

Period of Performance: 09/15/2026 to 09/14/2027

Continued ...

32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

12 2 of

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

3 12

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75H70626Q00212

3 5 BX

4 5 BX

5 5 BX

6 20 BX

7 3 BX

05P7101 TRICONTROL LEVEL 1 SHIP VIA DELIVERY

SCHEDULE

5 BOXES @ $_____________ PER BOX =

TOTAL: $ ______________

Delivery: 09/14/2027

Period of Performance: 09/15/2026 to 09/14/2027

05P7201 TRICONTROL LEVEL 2 SHIP VIA DELIVERY

SCHEDULE

5 BOXES @ $ _____________ PER BOX =

TOTAL = $______________

Delivery: 09/14/2027

Period of Performance: 09/15/2026 to 09/14/2027

05P7301 TRICONTROL LEVEL 3 SHIP VIA DELIVERY

SCHEDULE

5 BOXES @ $______________ PER BOX

TOTAL = $______________

Delivery: 05/01/2026

Period of Performance: 09/15/2026 to 09/14/2027

09P8125 TROPONIN CARTRIDGE SHIP VIA DELIVERY

SCHEDULE

20 BOXES @ $ __________ PER BOX =

TOTAL = $_______________

Delivery: 09/14/2027

Period of Performance: 09/15/2026 to 09/14/2027

06P1721 TROPONIN CONRTOL LEVEL 1 SHIP VIA

DELIVERY SCHEDULE

3 BOXES @ $ ____________ PER BOX =

TOTAL = $ ____________

Continued ...

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Sponsored by GSA

FAR (48 CFR) 53.110

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

75H70626Q00212

Delivery: 09/14/2027

Period of Performance: 09/15/2026 to 09/14/2027

8 06P1722 TROPONIN CONRTOL LEVEL 2 SHIP VIA 3 BX

DELIVERY SCHEDULE

3 BOXES @ $ ____________ PER BOX =

TOTAL = $______________

Delivery: 09/14/2027

Period of Performance: 09/15/2026 to 09/14/2027

9 06P1723 TROPONIN CONRTOL LEVEL 3 SHIP VIA 3 BX

DELIVERY SCHEDULE

3 BOXES @ $ ___________ PER BOX =

TOTAL = $______________

Delivery: 09/14/2027

Period of Performance: 09/15/2026 to 09/14/2027

**INVOICE SUBMISSION:

The Contractor shall submit invoices in accordance with FAR Clause 52.212-4(g) uploading into www.ipp.gov .

A. The contractor shall include the following information on each invoice in accordance with the prompt payment act (5 CFR Part 1315.9(b)):

1. Name of vendor;

2. Vendor invoice number and date;

3. Government contract number, or other authorization number for delivery of goods or services;

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

5. Shipping and payment terms;

6. Unique Entity ID (UEI) number and taxpayer identifying number (TIN); and 7. Contact name

(where practicable), title and telephone number

Payment shall be made by the Great Plains Area

IHS, Division of Financial Management, Federal

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75H70626Q00212

Building Room 309, 115 4th Avenue SE, Aberdeen, South Dakota 57401. The Government reserves the right to accept or reject supplies/services, if the level of performance is unacceptable

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

Department of the Treasury’s IPP website that includes training materials:

https://www.ipp.gov/vendors/training-vendors

The Government reserves the right to accept or reject services, if the level of performance is unacceptable

52.232-22 Limitation of Funds.

As prescribed in 32.706-2(b), insert the following clause. The 60-day period may be varied from 30 to 90 days and 75 percent from 75 to 85 percent. "Task Order" or other appropriate designation may be substituted for "Schedule" wherever that word appears in the clause:

LIMITATION OF FUNDS (APR 1984)

(a) The parties estimate that performance of this contract will not cost the Government more than

(1) the estimated cost specified in the Schedule or, (2) if this is a cost-sharing contract, the

Governments share of the estimated cost specified in the Schedule. The Contractor agrees to use its best efforts to perform the work specified in the

Schedule and all obligations under this contract within the estimated cost, which, if this is a cost-sharing contract, includes both the

Governments and the Contractors share of the cost.

(b) The Schedule specifies the amount presently available for payment by the Government and allotted to this contract, the items covered, the

Governments share of the cost if this is a cost-sharing contract, and the period of performance it is estimated the allotted amount will cover. The parties contemplate that the

Government will allot additional funds incrementally to the contract up to the full estimated cost to the Government specified in the

Schedule, exclusive of any fee. The Contractor

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75H70626Q00212 agrees to perform, or have performed, work on the contract up to the point at which the total amount paid and payable by the Government under the contract approximates but does not exceed the total amount actually allotted by the Government to the contract.

(c) The Contractor shall notify the Contracting Officer in writing whenever it has reason to believe that the costs it expects to incur under this contract in the next 60 days, when added to all costs previously incurred, will exceed 75 percent of (1) the total amount so far allotted to the contract by the Government or, (2)if this is a cost-sharing contract, the amount then allotted to the contract by the Government plus the Contractors corresponding share. The notice shall state the estimated amount of additional funds required to continue performance for the period specified in the Schedule.

(d) Sixty days before the end of the period specified in the Schedule, the Contractor shall notify the Contracting Officer in writing of the estimated amount of additional funds, if any, required to continue timely performance under the contract or for any further period specified in the Schedule or otherwise agreed upon, and when the funds will be required.

(e) If, after notification, additional funds are not allotted by the end of the period specified in the Schedule or another agreed-upon date, upon the Contractors written request the Contracting

Officer will terminate this contract on that date in accordance with the provisions of the

Termination clause of this contract. If the

Contractor estimates that the funds available will allow it to continue to discharge its obligations beyond that date, it may specify a later date in its request, and the Contracting

Officer may terminate this contract on that later date.

(f) Except as required by other provisions of this contract, specifically citing and stated to be an exception to this clause-

(1) The Government is not obligated to reimburse the Contractor for costs incurred more than the

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75H70626Q00212 total amount allotted by the Government to this contract; and

(2) The Contractor is not obligated to continue performance under this contract (including actions under the Termination clause of this contract) or otherwise incur costs in excess of-

(i) The amount then allotted to the contract by the Government or.

(ii) If this is a cost-sharing contract, the amount then allotted by the Government to the contract plus the Contractors corresponding share, until the Contracting Officer notifies the

Contractor in writing that the amount allotted by the Government has been increased and specifies an increased amount, which shall then constitute the total amount allotted by the Government to this contract.

(g) The estimated cost shall be increased to the extent that (1) the amount allotted by the

Government or, (2) if this is a cost-sharing contract, the amount then allotted by the

Government to the contract plus the Contractors’ corresponding share, exceeds the estimated cost specified in the Schedule. If this is a cost-sharing contract, the increase shall be allocated in accordance with the formula specified in the Schedule.

(h) No notice, communication, or representation in any form other than that specified in paragraph (f)(2) of this clause, or from any person other than the Contracting Officer, shall affect the amount allotted by the Government to this contract. In the absence of the specified notice, the Government is not obligated to reimburse the Contractor for any costs more than the total amount allotted by the Government to this contract, whether incurred during the course of the contract or as a result of termination.

(i) When and to the extent that the amount allotted by the Government to the contract is increased, any costs the Contractor incurs before the increase that are in excess of-

(1) The amount previously allotted by the Government or;

(2) If this is a cost-sharing contract, the amount previously allotted by the Government to the contract plus the Contractors’ corresponding

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75H70626Q00212 share, shall be allowable to the same extent as if incurred afterward, unless the Contracting

Officer issues a termination or other notice and directs that the increase is solely to cover termination or other specified expenses.

(j) Change orders shall not be considered an authorization to exceed the amount allotted by the Government specified in the Schedule, unless they contain a statement increasing the amount allotted.

(k) Nothing in this clause shall affect the right of the Government to terminate this contract. If this contract is terminated, the Government and the Contractor shall negotiate an equitable distribution of all property produced or purchased under the contract, based upon the share of costs incurred by each.

(l) If the Government does not allot sufficient funds to allow completion of the work, the

Contractor is entitled to a percentage of the fee specified in the Schedule equaling the percentage of completion of the work contemplated by this contract.

(End of clause)

52.222-90 Addressing DEI Discrimination by

Federal Contractors (Class Deviation RFO-2026-11

APR 2026)

Mandates that federal contractors and subcontractors refrain from “racially discriminatory DEI activities” as defined by

Executive Order 14398 by providing preferential treatment based on race, color, religion, sex, or national origin. Effective April 2026, it applies to contracts exceeding $15,000.00 for work in the

U.S., requiring compliance monitoring, reporting, and flow-down to all subcontracts.

(End of Clause)

52.224-1 Privacy Act Notification (APR 1984)

The Contractor will be required to design, develop, or operate a system of records on individuals, to accomplish an agency function subject to the Privacy Act of1974, Public

Law93-579, December 31,1974 (5 U.S.C. 552a) and applicable agency regulations. Violation of the

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75H70626Q00212

Act may involve the imposition of criminal penalties.

(End of clause)

52.224-2 PRIVACY ACT (APR 1984)

(a) The Contractor agrees to- (1) Comply with the

Privacy Act of1974 (the Act) and the agency rules and regulations issued under the Act in the design, development, or operation of any system of records on individuals to accomplish an agency function when the contract specifically identifies- (i) The systems of records; and (ii)

The design, development, or operation work that the contractor is to perform; (2) Include the

Privacy Act notification contained in this contract in every solicitation and resulting subcontract and in every subcontract awarded without a solicitation, when the work statement in the proposed subcontract requires the redesign, development, or operation of a system of records on individuals that is subject to the

Act; and (3) Include this clause, including this paragraph (3), in all subcontracts awarded under this contract which requires the design, development, or operation of such a system of records. (b) In the event of violations of the

Act, a civil action may be brought against the agency involved when the violation concerns the design, development, or operation of a system of records on individuals to accomplish an agency function, and criminal penalties may be imposed upon the officers or employees of the agency when the violation concerns the operation of a system of records on individuals to accomplish an agency function. For purposes of the Act, when the contract is for the operation of a system of records on individuals to accomplish an agency function, the Contractor is considered to be an employee of the agency. (c) (1) "Operation of a system of records," as used in this clause, means performance of any of the activities associated with maintaining the system of records, including the collection, use, and dissemination of records. (2) "Record," as used in this clause, means any item, collection, or grouping of information about an individual that is maintained by an agency, including, but not

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75H70626Q00212 limited to, education, financial transactions, medical history, and criminal or employment history and that contains the person’s name, or the identifying number, symbol, or other identifying particular assigned to the individual, such as a fingerprint or voiceprint or a photograph.

(3)"System of records on individuals," as used in this clause, means a group of any records under the control of any agency from which information is retrieved by the name of the individual or by some identifying number, symbol, or other identifying particular assigned to the individual.

(End of clause)

HHSAR 352.224-70 Privacy Act (DEC 2015)

This contract requires the Contractor to perform one or more of the following: (a) Design;

(b)develop; or (c) operate a federal agency system of records to accomplish an agency function in accordance with the Privacy Act of

1974 (Act) (5 U.S.C. 552a(m)(1)) and applicable agency regulations. The term system of records means a group of any records under the control of any agency from which information is retrieved by the name of the individual or by some identifying number, symbol, or other identifying assigned to the individual. Violations of the Act by the

Contractor and/or its employees may result in the imposition of criminal penalties (5 U.S.C.

552a(i)). The Contractor shall ensure that each of its employees knows the prescribed rules of conduct in 45 CFR part 5b and that each employee is aware that he/she is subject to criminal penalties for violation of the Act to the same extent as Department of Health and Human Services employees. These provisions also apply to all subcontracts the Contractor awards under this contract which require the design, development or operation of the designated system(s) of records

(5 U.S.C. 552a(m)(1)). The contract statement:

(a)Identifies the system(s) of records and the design, development, or operation work the

Contractor is to perform; and (b)Specifies the disposition to be made of such records upon completion of contract performance. (End of clause)

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75H70626Q00212

HHSAR 352.224-71 Confidential Information (Dec

2015)

As prescribed in HHSAR 324.105(b), insert the following clause:

Confidential Information (DEC 2015)

(a) Confidential Information, as used in this clause, means information or data of a personal nature about an individual, or proprietary information or data submitted by or pertaining to an institution or organization.

(b) Specific information or categories of information that the Government will furnish to the Contractor, or that the Contractor is expected to generate, which are confidential may be identified elsewhere in this contract. The

Contracting Officer may modify this contract to identify Confidential Information from time to time during performance.

(c) Confidential Information or records shall not be disclosed by the Contractor until:

(1) Written advance notice of at least 45 days shall be provided to the Contracting Officer of the Contractor's intent to release findings of studies or research, to which an agency response may be appropriate to protect the public interest or that of the agency.

(2) For information provided by or on behalf of the government,

(i) The publication or dissemination of the following types of information are restricted under this contract: [INSERT RESTRICTED TYPES OF

INFORMATION. IF NONE, SO STATE.]

(ii) The reason(s) for restricting the types of information identified in subparagraph (i) is/are: [STATE WHY THE PUBLIC OR GOVERNMENT

INTEREST REQUIRES THE RESTRICTION OF EACH TYPE OF

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INFORMATION. ANY BASIS FOR NONDISCLOSURE WHICH

WOULD BE VALID UNDER THE FREEDOM OF INFORMATION

ACT IS SUFFICIENT UNDER THIS CLAUSE.]

(iii) Written advance notice of at least 45 days shall be provided to the Contracting Officer of the Contractor's intent to disseminate or publish information identified in subparagraph (2)(i).

The contractor shall not disseminate or publish such information without the written consent of the Contracting Officer.

(d) Whenever the Contractor is uncertain regarding the confidentiality of or a property interest in information under this contract, the

Contractor should consult with the Contracting

Officer prior to any release, disclosure, dissemination, or publication.

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