SF-1449 75H70720R00005 - Laboratory Reagents & Supplies.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

Albuquerque NM 87110 4101 Indian School Rd NE, Suite 225 Albuquerque Indian Health Service

IHSALBUQUERQUE CODE 16. ADMINISTERED BYCODE

X

X

325413

SIZE STANDARD:

% FOR:SET ASIDE:UNRESTRICTED OR203

RFPIFB

10. THIS ACQUISITION ISCODE

RFQ

14. METHOD OF SOLICITATION

13b. RATING

NAICS:

SMALL BUSINESS

02/26/2020 1530 MT505-256-6754PATRICIA TRUJILLO

(No collect calls)

INFORMATION CALL:

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

4. ORDER NUMBER3. AWARD/ 6. SOLICITATION

75H70720R00005

5. SOLICITATION NUMBER

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

1 6 OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

TELEPHONE NO.

17a. CONTRACTOR/

Albuquerque NM 87110 4101 Indian School Rd NE, Suite 225

IHSALBUQUERQUE

15. DELIVER TO

Albuquerque NM 87110 4101 Indian School Rd NE, Suite 225

9. ISSUED BY

7.

2. CONTRACT NO.

EFFECTIVE DATE

1,250

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

ISSUE DATE

DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

11.

SEE SCHEDULEX

12. DISCOUNT TERMS

THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

13a.

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

8(A)

Albuquerque Indian Health Service

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

24.

AMOUNT

23.

UNIT PRICE

22.

UNIT

21.

QUANTITY

20.

SCHEDULE OF SUPPLIES/SERVICES

19.

ITEM NO.

The Albuquerque Area Indian Health Service Laboratory facilities has a requirement for Laboratory Reagents and Supplies - these range from general laboratory supplies to more brand name specific items for MAS Quality Controls and Calibrators.

This is a combined synopsis for commercial items or services prepared in accordance with format in FAR Subpart 12.6, as supplemented with additional information included in this notice.

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

HEREIN, IS ACCEPTED AS TO ITEMS:

DATED . 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 FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA

26. TOTAL AWARD AMOUNT (For Govt. Use Only)

OFFER

STANDARD FORM 1449 (REV. 2/2012)

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:

REF.

DUNS NO.:

NAME:

ADDRESS:

CITY/ST.:

ZIP CODE:

x x

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. 2/2012) BACK

24.

AMOUNT

23.

UNIT PRICE

22.

UNIT

21.

QUANTITY

20.

SCHEDULE OF SUPPLIES/SERVICES

19.

ITEM NO.

The solicitation number is 75H70720R00005 and is issued as a Request for Proposal (RFP), unless otherwise indicated herein. The solicitation document and incorporated provision and clauses are those in effect through Federal Acquisition

Circular 2019-01.

The associated North American Industrial

Classification System (NAICS) code for this procurement is 325413 with a business size standard 1250.

This requirement is Full and Open Competition and only quotes from qualified offerors will be considered.

ONLY ONE AWARD WILL RESULT FROM THIS SOLICITATION.

FOB Destination shall be for the following

Albuquerque Area Indian Health Service (AAIHS)

Laboratory facilities:

Acoma-Canoncito-Laguna Indian Hospital

Laboratory Department

80B Veterans Blvd.

San Fidel, NM 87049

Albuquerque Indian Health Center

Continued ...

32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

6 2 of

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

3 6

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

75H70720R00005

Laboratory Department

801 Vassar Drive NE

Albuquerque, NM 87106

Jicarilla Indian Health Center

Laboratory Department

500 North Mundo Drive

Dulce, NM 87528

Mescalero Indian Hospital

Laboratory Department

318 Abalone Loop

Mescalero, NM 88340

Santa Fe Indian Hospital

Laboratory Department

1700 Cerrillos Road

Santa Fe, NM 87501

Taos-Picuris Indian Health Center

Laboratory Department

1090 Goat Springs Road

Taos, NM 87571

Zuni Indian Hospital

Laboratory Department

Route 301 North B Avenue

Zuni, NM 87327

**SEE ATTACHED PRICE SCHEDULE AND SCOPE OF WORK

FOR ADDITIONAL DETAILS**

This solicitation will result in a Single Award with One (1) Base Year from the date of award and

Four (4) 12-month option periods based on

Satisfactory Performance ratings.

State Taxes for labor/service costs. (The Indian

Health Service is exempt from New Mexico States

Taxes for materials and supplies.)

Proposal must be free on board (FOB) Destination

CONUS (Continental U.S.), which means that the seller must deliver the goods on its conveyance at the destination specified by the buyer, and the seller is responsible for the cost of shipping and risk of loss prior to actual

Continued ...

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

Sponsored by GSA

FAR (48 CFR) 53.110

4 6

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

75H70720R00005 delivery at the specified destination.

This solicitation requires registration with the

System of Award Management (SAM) prior to award, pursuant to applicable regulations and guidelines. Registration information can be found at www.sam.gov

All responsible offerors that respond to this solicitation must submit their proposals by

February 26, 2020, by COB 3:30 p.m. The proposal shall be sent by U.S. Postal Service or by Email to: patricia.trujillo@ihs.gov. Failure to comply with the below terms and conditions may result in offer being determined as non-responsive.

Question Submission: Interested Offerors must submit any questions concerning this solicitation at the earliest time possible to enable to respond. Technical questions must be submitted by

Email to: vanessa.vicenti@ihs.gov five (5) days prior to closing of the solicitation.

All Acquisition questions must be submitted by

Email to: patricia.trujillo@ihs.gov five days prior to closing of the solicitation, February

21, 2020, by 3:30 p.m. Questions not received within a reasonable time prior to close of the solicitation will not be considered.

1 Base: 05/01/2020 - 04/30/2021

Laboratory Reagents and Supplies - these range from general laboratory supplies to more brand name specific items for MAS Quality Controls and

Calibrators provided to the Albuquerque Area

Healthcare facilities.

Delivery: 04/30/2021

Period of Performance: 05/01/2020 to 04/30/2021

2 Option Year One: 05/01/2021 - 04/30/2022

Laboratory Reagents and Supplies - these range

Continued ...

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

5 6

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

75H70720R00005 from general laboratory supplies to more brand name specific items for MAS Quality Controls and

Calibrators provided to the Albuquerque Area

Healthcare facilities.

(Option Line Item)

03/01/2021

Delivery: 04/30/2022

Period of Performance: 05/01/2021 to 04/30/2022

3 Option Year Two - 05/01/2022 to 04/30/2023

Laboratory Reagents and Supplies - these range from general laboratory supplies to more brand name specific items for MAS Quality Controls and

Calibrators provided to the Albuquerque Area

Healthcare facilities.

(Option Line Item)

03/01/2022

Delivery: 04/30/2023

Period of Performance: 05/01/2022 to 04/30/2023

4 Option Year Three: 05/01/2023 - 04/30/2024

Laboratory Reagents and Supplies - these range from general laboratory supplies to more brand name specific items for MAS Quality Controls and

Calibrators provided to the Albuquerque Area

Healthcare facilities.

(Option Line Item)

03/01/2023

Delivery: 04/30/2024

Period of Performance: 05/01/2023 to 04/30/2024

5 Option Year Four: 05/01/2024 - 04/30/2025

Laboratory Reagents and Supplies - these range from general laboratory supplies to more brand name specific items for MAS Quality Controls and

Calibrators provided to the Albuquerque Area

Healthcare facilities.

(Option Line Item)

01/31/2024

Delivery: 04/30/2025

Continued ...

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

6 6

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

75H70720R00005

Period of Performance: 05/01/2024 to 04/30/2025

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