75H70721Q00030 (1).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

CODE 16. ADMINISTERED BYCODE

X

X

339114

SIZE STANDARD:

% FOR:SET ASIDE:UNRESTRICTED OR203

RFPIFB

10. THIS ACQUISITION ISCODE

RFQ

14. METHOD OF SOLICITATION

13b. RATING

NAICS:

SMALL BUSINESS

06/30/2021 1200 MS

06/23/2021

505-256-6750STEPHANIE BEGAY

(No collect calls)

INFORMATION CALL:

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

4. ORDER NUMBER3. AWARD/ 6. SOLICITATION

75H70721Q00030

5. SOLICITATION NUMBER

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

1 19 OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

TELEPHONE NO.

17a. CONTRACTOR/

15. DELIVER TO

Albuquerque NM 87110 4101 Indian School Rd NE, Suite 225

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 FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

11.

SEE SCHEDULE

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.

Solicitation # 75H70721Q00030 is hereby issued to provide Kavo dental handpiece repair and replacement services for the Albuquerque Indian Dental Clinic.

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

HEREIN, IS ACCEPTED AS TO ITEMS:

XX

DATED

ERIC K. WRIGHT

. 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.

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.

32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

19 2 of

(i) This is a solicitation for a commercial item prepared in accordance with the format in Subpart 12.6, as supplemented with additional information included in this notice. This announcement constitutes the only solicitation to request for quotes with no issuance of a written solicitation.

(ii) This Request for Quotation (RFQ) issued via solicitation number 75H70721Q00030.

(iii) The solicitation document and incorporated provisions and clauses are those in effect through Federal

Acquisitions Circular 2019-01.

(iv) The Contract Line Items (CLIN) and pricing structure are as shown below:

CLIN0001: Brand Name (Kavo Dental Handpieces) or Equal to the following:

BASE: TBD 2021- TBD, 2022 PER UNIT EST. TOTAL AMOUNT:

HANDPIECE REPAIR

HANDPIECE

REPLACEMENT

TOTAL AMOUNT FOR THE

BASE $

OPTION YEAR 1: TBD,

2022-TBD, 2023 PER UNIT EST. TOTAL AMOUNT:

HANDPIECE REPAIR

HANDPIECE

REPLACEMENT

TOTAL AMOUNT FOR

OPTION YEAR 1 $

OPTION YR 2: TBD, 2023-

TBD, 2024 PER UNIT EST. TOTAL AMOUNT

HANDPIECE REPAIR

HANDPIECE

REPLACEMENT

OPTION YEAR 2 $

OPTION YEAR 3: TBD,

2024-TBD,2025 PER UNIT EST. TOTAL AMOUNT

HANDPIECE REPAIR

HANDPIECE

REPLACEMENT

OPTION YEAR 3 $

OPTION YEAR 4: TBD,

2025- TBD, 2026 PER UNIT EST. TOTAL AMOUNT

HANDPIECE REPAIR

HANDPIECE

REPLACEMENT

OPTION YEAR 4 $

(v) The purpose of this fixed price purchase order is to procure: Repair and replacement services for Kavo Dental Handpieces

BACKGROUND:

The Albuquerque Indian Dental Clinic requires the use of many dental hand pieces to perform dental procedures including but not limited to simple restorations, complex restorations, Root canal therapy, and Oral surgery procedures and orthodontic care. These are essential aspects of all dental operations and without an array of functioning dental hand pieces no dental office will be functional.

SCOPE OF WORK:

A. General requirements:

As a minimum such dental hand piece repair companies shall provide repair and replacement of dental hand-piece services

1. Ability to repair all pneumatic and electric dental hand pieces requested by the Albuquerque Indian

Dental Clinic. Must guarantee work.

2. Repairs without an estimate must be completed within 48 hours of being received.

3. Must be able to repair hand pieces that are currently under warranty.

4. Must be able to repair and replace the following, but not limited to, with same model or newer. Please see attachment for a list of handpieces that have been routinely sent in for repair.

Any and all electric dental hand pieces, Pneumatic Slow speed hand pieces, all nose cone attachments, contra angle attachments, all Latch attachments, Pneumatic High speed Hand pieces, all Surgical hand pieces both electric and pneumatic, Impact surgical hand pieces, all endodontic hand pieces and all attachments to said motors, and said attachments.

B. Performance:

Turn Around Times. List of all repair turnaround times for all dental hand piece repairs. Must certify that all requested services have not been subcontracted to other facilities for fabrication without permission from Albuquerque Indian Dental Clinic.

C. Evaluation:

The evaluation of quality and quantity of dental hand piece performance will be conducted by the Chief Dental Officer or his/her designee in conjunction with the clinic dentists as well as the auxiliary staff.

D. Quality Assurance:

The quality of repair of all dental hand pieces will be monitored by the Chief Dental Officer or his/her designee in conjunction with the clinic dentists once received and put back into use.

E. Redo / Re-Repair Policy.

Should include but not limited guarantee to policies on redo/re-repair of all work.

F. Certification of Materials.

Contractor must be able to certify all materials used to repair dental hand pieces are recommended by manufacture of said hand piece and if requested by Dental Practitioner can verify no substitute materials were used. Hand piece repair company shall guarantee all work on all repaired hand pieces to function for minimum 1 year after repair.

PERFORMANCE EVALUATIONS:

To be considered for award of a contract under this solicitation, the offeror must comply with the following criteria.

Failure to provide evidence of the following shall automatically disqualify an offeror from further consideration. The following responsibility factors will be used as a basis for the technical evaluation of offeror’s quotes. The contractor shall meet the technical requirements, possess the required experience and provide Point of Contacts for any government contracts and DUNS number for the following:

1. Past Performance

a) Each offeror shall include documentation identifying three (3) projects, completed within the past three

(3) years that demonstrate successful completion of work similar in size, scope, and complexity to that described in the statement of work. For each project listed, the offer shall identify the following:

a. Client name;

b. Point of contact familiar with the Contractor’s performance (name, telephone number, address, and email address);

c. Annual and total dollar amount of work performed;

d. Period of performance;

e. Description of the work performed; and

f. Description of sustainable practices employed.

2. Technical:

a. Each offeror shall include a Technical Approach narrative that describes the offeror’s approach toward performing the required service. The offeror shall be specific and concise in demonstrating the offeror’s understanding of and capability to meet all Government requirements. The narrative shall address the following:

i. General Approach, including general repair service, detailed process on replacement of dental handpiece (acquiring Kavo replacements, etc),

ii. Schedule, including shipping and delivery

iii. Quality Control (must detail the following):

1. A technical approach to provide dental handpiece repair services in accordance with Kavo industry standards

2. A technical approach to provide replacements with similar or newer Kavo handpieces

3. A technical approach to provide a re-do/re-pair policy

4. A technical approach to certify that all materials used to repair dental hand pieces are recommended by manufacture of said hand piece

5. A technical approach to guarantee all work on all repaired hand pieces to function for minimum 1 year after repair

3. Price: Fair and Reasonable

RELATIVE IMPORTANCE OF EVALUATION CRITERIA

Factors 1-2, when combined, are significantly more important than price. The award will be made on a best-value basis; both price and other factors considered. The Source Selection Team will evaluate the technical aspects; the contracting officer will evaluate the pricing.

PERIOD OF PERFORNMANCE:

The period of performance is a Base Period of (12) months, with four (4) twelve (12) month Option Years, unless the period is extended by modification to this contract. The Government may exercise options to extend the period of performance in accordance with FAR Clause 52.217-9, Option to Extend the Term of the Contract (MAR 2000);

upon written notification by the Contracting Officer within 30 days of the contract expiration.

The period of performance shall be as follows:

Base Year: TBD, 2021 through TBD, 2022 Option Year One: TBD, 2022 through TBD, 2023 Option Year Two: TBD, 2023 through TBD, 2024 Option Year Three: TBD, 2024 through TBD, 2025 Option Year Four: TBD, 2025 through TBD, 2026

(vii) The delivery and acceptance terms for this order are FOB Destination. 10 days after Receipt of Award.

(viii) The provision at 52.212-1, Instructions to Offerors – Commercial Items (June 2020), applies to this acquisition. Quotes shall be submitted on company letterhead stationery, signed and dated, it shall include the following:

1. The solicitation number;

2.The time specified in the solicitation for receipt of offers;

3. The name, address, and telephone number of the offeror;

4. A technical description of the items being offered in sufficient detail to evaluate compliance with the requirements in 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;

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); and

11. If the offer is not submitted on the SF 1449, include a statement specifying the extent of agreement with all terms, conditions, and provisions included in the solicitation. Offers that fail to furnish required representations or information, or reject the terms and conditions of the solicitation may be excluded from consideration

(ix) The provision at 52.212-2, Evaluation – Commercial Items (October 2014), applies to this solicitation.

a) 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 shall be used to evaluate offers: (i) Technical Capability (specifications) and (ii) Price; All technical factors other than price, when combined, are more important than price.

b) Options. 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. Evaluation of options shall not obligate the Government to exercise the option(s).

c) A written notice of award or acceptance of an offer mailed or otherwise 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.

(x) Offerors must include a completed copy of the provision at 52.212-3, Offeror Representations and Certifications—Commercial Items (Feb 2021), with its offer. The offeror has completed the annual representations and certifications electronically in SAM accessed through http://www.sam.gov. After reviewing SAM information, the Offeror verifies by submission of this offer that the representations and certifications currently posted electronically at FAR 52.212-3, Offeror Representations and Certifications- Commercial Items, have been entered or updated in the last 12 months, are current, accurate, complete, and applicable to this solicitation (including the business size standard(s) applicable to the NAICS code(s) referenced for this solicitation), at the time this offer is submitted and are incorporated in this offer by reference (FAR 4.1201).

(xi) The clause at 52.212-4, Contract Terms and Conditions—Commercial Items (Oct 2018), applies to this acquisition. The following addendum applies: E-Mail Addresses for submission of invoices are alb_aoapinvoices@ihs.gov; and John.Jaramillo@ihs.gov. When delivery has occurred, submit an invoice.

(xii) The clause at 52.212-5 Contract Terms and Conditions Required to Implement Statues or Executive Orders—Commercial Item (Jan 2021), and the additional FAR clauses cited in the clauses are applicable to the acquisition.

https://www.acquisition.gov/far/52.212-3#FAR_52_212_3 https://www.acquisition.gov/far/52.212-3#FAR_52_212_3 https://www.gsa.gov/forms-library/solicitationcontractorder-commercial-items http://www.sam.gov/ https://www.acquisition.gov/far/52.212-31#FAR_52_212_3 mailto:alb_aoapinvoices@ihs.gov

(a) The Contractor shall comply with the following Federal Acquisition Regulation (FAR) clauses, as incorporated in this contract by reference, to implement provisions of law or Executive orders applicable to acquisitions of commercial items:

(1) 52.203-19, Prohibition on Requiring Certain Internal Confidentiality Agreements or Statements (Jan

2017) (section 743 of Division E, Title VII, of the Consolidated and Further Continuing Appropriations Act, 2015 (Pub. L. 113-235) and its successor provisions in subsequent appropriations acts (and as extended in continuing resolutions)).

(2) 52.204-23, Prohibition on Contracting for Hardware, Software, and Services Developed or Provided by Kaspersky Lab and Other Covered Entities (Jul 2018) (Section 1634 of Pub. L. 115-91).

(3) 52.204-25, Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment. (AUG 2020) (Section 889(a)(1)(A) of Pub. L. 115-232).

(4) 52.209-10, Prohibition on Contracting with Inverted Domestic Corporations (Nov 2015).

(5) 52.233-3, Protest After Award (Aug 1996) (31 U.S.C. 3553).

(6) 52.233-4, Applicable Law for Breach of Contract Claim (Oct 2004) (Public Laws 108-77 and 108-78

(19 U.S.C. 3805 note)).

(b) The Contractor shall comply with the FAR clauses in this paragraph (b) that the Contracting Officer has indicated as being incorporated in this contract by reference to implement provisions of law or Executive orders applicable to acquisitions of commercial items:

(1) 52.203-6, Restrictions on Subcontractor Sales to the Government (June 2020), with Alternate I (Oct 1995) (41 U.S.C. 4704 and 10 U.S.C. 2402).

(2) 52.203-13, Contractor Code of Business Ethics and Conduct (June 2020) (41 U.S.C. 3509))

(3) 52.219.8, Utilization of Small Business Concerns (Oct 2018) (15 U.S.C. 637(d)(2) and (3)).

(4) 52.219-13, Notice of Set-Aside of Orders (Mar 2020) (15 U.S.C. 644(r))

(5) 52.219-28, Post Award Small Business Program Representation (Nov 2020) (15 U.S.C. 632(a)(2)).

(6) 52.222-3, Convict Labor (June 2003) (E.O. 11755)

(7) 52.222-19, Child Labor—Cooperation with Authorities and Remedies (Jan 2020) (E.O. 13126)

(8) 52.222-21, Prohibition of Segregated Facilities (Apr 2015).

(9) 52.222-26, Equal Opportunity (Sept 2016) (E.O. 11246)

(10) 52.222-50, Combating Trafficking in Persons (Oct 2020) (22 U.S.C. chapter 78 and E.O. 13627).

(11) 52.223-15, Energy Efficiency in Energy-Consuming Products (May 2020) (42 U.S.C. 8259b)

(12) 52.223-18, Encouraging Contractor Policies to Ban Text Messaging While Driving (June 2020) (E.O.

13513)

(13) 52.225-1, Buy American—Supplies (Jan 2021) (41 U.S.C. chapter 83).

(14) 52.232-33, Payment by Electronic Funds Transfer-System for Award Management (Oct 2018) (31 U.S.C. 3332).

(15) 52.242-5, Payments to Small Business Subcontractors (Jan 2017) (15 U.S.C. 637(d)(12)).

(xiii) As determined by the contracting officer, the following additional contract requirement(s) as well as terms and conditions are necessary for this acquisition consistent with customary commercial practices.

a) 52.252-1, Solicitation Provisions Incorporated by Reference (Feb 1998) & 52.252-2 -- Clauses Incorporated by Reference (Feb 1998) applies to the RFQ. This solicitation incorporates solicitation provisions and clauses by reference, with the same force and effect as if given in full text. Upon request, the Contracting Officer will make their full text available. The offeror stands cautioned that the listed provisions may include blocks, which requires completion by the offeror. Submit these sections 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. In addition, it is possible to access electronically at this address www.acquisition.gov the full text of a solicitation provision.

FAR 52.217-9, Option to Extend the Term of the Contract (MAR 2000)

a) The Government may extend the term of this contract by written notice to the Contractor within 60 days;

provided that the Government gives the Contractor a preliminary written notice of its intent to extend at least 60 days the contract expires. The preliminary notice does not commit the Government to an extension.

(b) If the Government exercises this option, the extended contract shall be considered to include this option clause.

https://www.acquisition.gov/far/52.204-25#FAR_52_204_25

(c) The total duration of this contract, including the exercise of any options under this clause, shall not exceed 5 years

b) The following HHSAR clauses are incorporated to this RFQ:

1) 352.211-3, Paperwork Reduction Act (DEC 2015)

2) 352.226-1, Indian Preference (DEC 2015)

3) 352.226-2, Indian Preference Program (DEC 2015)

4) 352.227-70, Publications and Publicity (DEC 2015)

(xiv) N/A

(xv) Quotes are due by June 30, 2021 at 12:00 pm MDT, e-mail quotes to Stephanie.Begay3@ihs.gov. Offeror must confirm the receipt of the quotes by IHS.

(xvi) Technical Contact is Stephanie Begay. Contact for solicitation is Stephanie.Begay3@ihs.gov

Name Serial # Equipment # Product ID

INTRA LUX HEAD 68LH 1026348 1026348 2003224609 INTRA LUX HEAD 68LH

INTRA LUX HEAD 68LH 1026349 1026349 2003224610 INTRA LUX HEAD 68LH

INTRA LUX HEAD 68LH 1026350 1026350 2003224611 INTRA LUX HEAD 68LH

INTRA LUX HEAD 68LH 1064539 1064539 2003868995 INTRA LUX HEAD 68LH

INTRA LUX HEAD 68LH 1064546 1064546 2003869002 INTRA LUX HEAD 68LH

INTRA LUX HEAD 68LH 1064976 1064976 2003869432 INTRA LUX HEAD 68LH

INTRA LUX HEAD 80LD 1004125 1004125 2004595660 INTRA LUX HEAD 80LD

INTRA LUX HEAD 80LD 1004129 1004129 2004595664 INTRA LUX HEAD 80LD

INTRA LUX HEAD 68LH 1177230 1177230 2005567431 INTRA LUX HEAD 68LH

INTRA LUX HEAD 68LH 1177231 1177231 2005567432 INTRA LUX HEAD 68LH

INTRA LUX HEAD 68LH 1177232 1177232 2005567433 INTRA LUX HEAD 68LH

INTRA LUX HEAD 68LH 1177233 1177233 2005567434 INTRA LUX HEAD 68LH

INTRA LUX HEAD 68LH 1177234 1177234 2005567435 INTRA LUX HEAD 68LH

INTRA LUX HEAD 68LH 1177235 1177235 2005567436 INTRA LUX HEAD 68LH

INTRA LUX HEAD 80LD 1014813 1014813 2009233377 INTRA LUX HEAD 80LD

MIRA LUX MULTIflex Turbine 635B 1057471

1057471 2009321725 MIRA LUX MULTIflex

Turbine 635B PROPHYwiz 181P 1008483 1008483 2010922217 PROPHYwiz 181P PROPHYwiz 181P 1008484 1008484 2010922218 PROPHYwiz 181P PROPHYwiz 181P 1008485 1008485 2010922219 PROPHYwiz 181P

DEXCAM3 CAMERA W/10ft CABLE 790106D0390

790106D0390 2012768837

DEXCAM3 CAMERA

W/10ft CABLE

ASSEMBLY,HORIZONTAL ARM 34

Inch,EXPERT 2015700 2015700 2015098889

ASSEMBLY,HORIZONTAL

ARM 34 Inch,EXPERT

Kavo Focus, Medium Reach, North America F38095

F38095 2020058690 Kavo Focus, Medium

Reach, North America Kavo Focus, Medium Reach, North

America F38096 F38096 2020058691

Kavo Focus, Medium Reach, North America

INTRAflex LUX2 SHANK 2320LN 1002550

1002550 2004892027 INTRAflex LUX2 SHANK

2320LN

INTRAflex LUX2 SHANK 2320LN

1002551 1002551 2004892028

INTRAflex LUX2 SHANK

2320LN

MULTIflex LUX COUPLING 1020784 1020784 2005388770 MULTIflex LUX INTRAflex LUX2 SHANK 2320LN

1006402 1006402 2007692441

INTRAflex LUX2 SHANK

2320LN

INTRAflex LUX2 SHANK 2320LN 1006499

1006499 2007701587 INTRAflex LUX2 SHANK

2320LN

INTRAflex LUX2 SHANK 2320LN

X59761 X59761 2007701588

INTRAflex LUX2 SHANK

2320LN

INTRAflex LUX2 SHANK 2320LN 1006501

1006501 2007701589 INTRAflex LUX2 SHANK

2320LN

INTRAflex LUX2 SHANK 2320LN

1008901 1008901 2009564413

INTRAflex LUX2 SHANK

2320LN

INTRAflex LUX2 SHANK 2320LN 1008902

1008902 2009564414 INTRAflex LUX2 SHANK

2320LN

INTRAflex LUX2 SHANK 2320LN 1009854

1009854 2010405323 INTRAflex LUX2 SHANK

2320LN

INTRAflex LUX2 SHANK 2320LN

1018861 1018861 2019822275

INTRAflex LUX2 SHANK

2320LN

INTRA HEAD L80 1003587 1003587 2020111151 INTRA HEAD L80

INTRA HEAD L80 1003589 1003589 2020111153 INTRA HEAD L80

INTRAflex LUX2 SHANK 2307LN 1018994

1018994 2020084409 INTRAflex LUX2 SHANK

2307LN

INTRAflex LUX2 SHANK 2307LN

1018861 1018861 2019822392

INTRAflex LUX2 SHANK

2307LN

BELLAtorque LUX TURBINE HANDP.

642 B P464920

P464920 2002925703 BELLAtorque LUX

TURBINE HANDP. 642 B

SUPERtorque LUX MULTIflex turbine

647B 1002555 1002555 2003855400

SUPERtorque LUX MULTIflex turbine 647B

INTRA LUX HEAD 80LD 1004532 1004532 2004716702 INTRA LUX HEAD 80LD

INTRA LUX HEAD 80LD 1007067 1007067 2005285280 INTRA LUX HEAD 80LD

INTRA LUX HEAD 80LD 1007122 1007122 2005285335 INTRA LUX HEAD 80LD

INTRA LUX HEAD 80LD 1007123 1007123 2005285336 INTRA LUX HEAD 80LD

INTRA LUX HEAD 80LD 1015060 1015060 2009307368 INTRA LUX HEAD 80LD

POWERtorque MULTIflex LUX Turbine 646B 1030224

1030224 2010999166 POWERtorque MULTIflex

LUX Turbine 646B DEXIS Platinum Sensor 6906100731084 2012736075 DEXIS Platinum Sensor DEXIS Platinum Sensor 6900102730182 2012762542 DEXIS Platinum Sensor DEXIS Platinum Sensor 6900102730183 2012762549 DEXIS Platinum Sensor

INTRA LUX HEAD 80LD 1018093 1018093 2013292765 INTRA LUX HEAD 80LD

INTRA LUX HEAD 80LD 1018097 1018097 2013292769 INTRA LUX HEAD 80LD

ASM, EXPERTDC, TUBEHEAD 2107146 2107146 2013808030

ASM, EXPERTDC,

TUBEHEAD

ASM, EXPERTDC, TUBEHEAD 2107147 2107147 2013808031

ASM, EXPERTDC,

TUBEHEAD

ASM, EXPERTDC, TUBEHEAD 2107149 2107149 2013808033

ASM, EXPERTDC,

TUBEHEAD

ASSEMBLY,HORIZONTAL ARM 34

Inch,EXPERT 2006704 2006704 2013816921

ASSEMBLY,HORIZONTAL

ARM 34 Inch,EXPERT

ASSEMBLY,HORIZONTAL ARM 34

Inch,EXPERT 2006708

2006708 2013816925

ASSEMBLY,HORIZONTAL

ARM 34 Inch,EXPERT

ASSEMBLY,HORIZONTAL ARM 34

Inch,EXPERT 2006702 2006702 2013816919

ASSEMBLY,HORIZONTAL

ARM 34 Inch,EXPERT

ASSEMBLY,HORIZONTAL ARM 34

Inch,EXPERT 2006703

2006703 2013816920

ASSEMBLY,HORIZONTAL

ARM 34 Inch,EXPERT PROPHYwiz 181P 1014228 1014228 2014804047 PROPHYwiz 181P

ASSEMBLY, COLLIMATOR, 8"

CIRCULAR, eDC 2113748

2113748 2015113641

ASSEMBLY,

COLLIMATOR, 8"

Kavo Focus, Medium Reach, North

America F38097 F38097 2020058692

Kavo Focus, Medium Reach, North America

INTRAflex LUX2 SHANK 2320LN 1002170

1002170 2004201602

1002171

1002171 2004201603 INTRAflex LUX2 SHANK

2320LN

INTRAflex LUX2 SHANK 2320LN

1002172 1002172 2004201604

INTRAflex LUX2 SHANK

2320LN

INTRAflex LUX2 SHANK 2320LN 1002399

1002399 2004748209 INTRAflex LUX2 SHANK

2320LN

INTRAflex LUX2 SHANK 2320LN

1003062 1003062 2005091767

INTRAflex LUX2 SHANK

2320LN

MULTIflex LUX COUPLING 1020768 1020768 2005388754 MULTIflex LUX INTRAflex LUX2 SHANK 2320LN

1006408 1006408 2007692447

INTRAflex LUX2 SHANK

2320LN

MULTIflex LUX COUPLING 1038164 1038164 2009585605 MULTIflex LUX MULTIflex LUX COUPLING 1038165 1038165 2009585606 MULTIflex LUX MULTIflex LUX COUPLING 1038167 1038167 2009585608 MULTIflex LUX

INTRA LUX HEAD 80LD D420217 D420217 2001353369 INTRA LUX HEAD 80LD

INTRA LUX HEAD 80LD D420218 D420218 2001353371 INTRA LUX HEAD 80LD

INTRA LUX HEAD 80LD X55806 X55806 2005285260 INTRA LUX HEAD 80LD

INTRA LUX HEAD 68LH 1177242 1177242 2005567443 INTRA LUX HEAD 68LH

INTRA LUX HEAD 68LH 1177243 1177243 2005567444 INTRA LUX HEAD 68LH

INTRA LUX HEAD 68LH 1177244 1177244 2005567445 INTRA LUX HEAD 68LH

INTRA LUX HEAD 68LH 1177245 1177245 2005567446 INTRA LUX HEAD 68LH

MIRA LUX MULTIflex Turbine 635B 1037603

1037603 2007032810 MIRA LUX MULTIflex

Turbine 635B

INTRA LUX HEAD 68LH 1241886 1241886 2007397407 INTRA LUX HEAD 68LH

INTRA LUX HEAD 68LH 1241887 1241887 2007397408 INTRA LUX HEAD 68LH

INTRA LUX HEAD 68LH 1241889 1241889 2007397410 INTRA LUX HEAD 68LH

INTRA LUX HEAD 68LH 1241891 1241891 2007397412 INTRA LUX HEAD 68LH

INTRA LUX HEAD 68LH 1241893 1241893 2007397414 INTRA LUX HEAD 68LH

INTRA LUX HEAD 68LH 1241895 1241895 2007397416 INTRA LUX HEAD 68LH

MIRA LUX MULTIflex Turbine 635B 1039315

1039315 2007463546 MIRA LUX MULTIflex

Turbine 635B DEXIS Platinum Sensor 6900102730483 2012763147 DEXIS Platinum Sensor

ASM, ARTICULATED ARM, EXPERT

1006176

1006176 2013816887

ASM, ARTICULATED

ARM, EXPERT

ASM, ARTICULATED ARM, EXPERT

1006177 1006177 2013816888

ASM, ARTICULATED

ARM, EXPERT

EXPERTtorque LUX E679 L 1003290 1003290 2014181090 EXPERTtorque LUX E679

ASSY, TUBE HEAD, EXPERT DC,

TOSHIBA 3M67999

3M67999 2015109030

ASSY, TUBE HEAD,

EXPERT DC, TOSHIBA

INTRAflex LUX2 SHANK 2320LN 1002179

1002179 2004201611 INTRAflex LUX2 SHANK

2320LN

MIRA LUX MULTIflex Turbine 635B

1017735 1017735 2004736204

MIRA LUX MULTIflex Turbine 635B

MIRA LUX MULTIflex Turbine 635B 1017738

1017738 2004736207 MIRA LUX MULTIflex

Turbine 635B INTRAflex LUX2 SHANK 2320LN

1006036 1006036 2007498818

1006037

1006037 2007498819 INTRAflex LUX2 SHANK

2320LN

INTRAflex LUX2 SHANK 2320LN

1006038 1006038 2007498820

INTRAflex LUX2 SHANK

2320LN

INTRAflex LUX2 SHANK 2320LN 1006040

1006040 2007498822 INTRAflex LUX2 SHANK

2320LN

INTRAflex LUX2 SHANK 2320LN

1006423 1006423 2007692462

INTRAflex LUX2 SHANK

2320LN

INTRAflex LUX2 SHANK 2320LN 1008743

1008743 2009395849 INTRAflex LUX2 SHANK

2320LN

MULTIflex LUX COUPLING 1038181 1038181 2009585622 MULTIflex LUX

INTRAflex LUX2 SHANK 2320LN 1016271

1016271 2014923706 INTRAflex LUX2 SHANK

2320LN

INTRA HEAD L68 B 1022431 1022431 2020106964 INTRA HEAD L68 B

INTRA HEAD L80 1003530 1003530 2020111094 INTRA HEAD L80

INTRA HEAD L80 1003535 1003535 2020111099 INTRA HEAD L80

INTRA HEAD L80 1003537 1003537 2020111101 INTRA HEAD L80

INTRA HEAD L80 1003539 1003539 2020111103 INTRA HEAD L80

INTRA HEAD L80 1003580 1003580 2020111144 INTRA HEAD L80

INTRA LUX HEAD 80LD D367653 D367653 2001331614 INTRA LUX HEAD 80LD

INTRA LUX HEAD 68LH 1064665 1064665 2003869121 INTRA LUX HEAD 68LH

INTRA LUX HEAD 68LH 1064916 1064916 2003869372 INTRA LUX HEAD 68LH

MIRA LUX MULTIflex Turbine 635B 1017660

1017660 2004736129 MIRA LUX MULTIflex

Turbine 635B MIRA LUX MULTIflex Turbine 635B

1057458 1057458 2009320606

MIRA LUX MULTIflex Turbine 635B

INTRA LUX HEAD 80LD 1015297 1015297 2009445625 INTRA LUX HEAD 80LD

DEXIS Platinum Sensor 6900102730223 2012762651 DEXIS Platinum Sensor DEXIS Platinum Sensor 6900102730401 2012762964 DEXIS Platinum Sensor

INTRA LUX HEAD 80LD 1018108 1018108 2013292780 INTRA LUX HEAD 80LD

INTRA LUX HEAD 80LD 1018118 1018118 2013292790 INTRA LUX HEAD 80LD

ASM, ARTICULATED ARM, EXPERT

1006178

1006178 2013816889

ASM, ARTICULATED

ARM, EXPERT

ASM, ARTICULATED ARM, EXPERT

1006182 1006182 2013816893

ASM, ARTICULATED

ARM, EXPERT

DEXIS Platinum Sensor 6900152852423 2017615694 DEXIS Platinum Sensor MULTIflex LUX COUPLING 1016296 1016296 2005074675 MULTIflex LUX

INTRAflex LUX2 SHANK 2320LN X58080

X58080 2005091750 INTRAflex LUX2 SHANK

2320LN

MULTIflex LUX COUPLING 1020332 1020332 2005372347 MULTIflex LUX

INTRAflex LUX2 SHANK 2320LN X23183

X23183 2007070167 INTRAflex LUX2 SHANK

2320LN

INTRAflex LUX2 HANDPIECE 2313LN

1003077 1003077 2007334203

INTRAflex LUX2

HANDPIECE 2313LN

INTRAflex LUX2 SHANK 2320LN X58774

X58774 2007692468

1008660

1008660 2009334644 INTRAflex LUX2 SHANK

2320LN

INTRAflex LUX2 SHANK 2320LN

1008661 1008661 2009334645

INTRAflex LUX2 SHANK

2320LN

INTRAflex LUX2 SHANK 2320LN 1010770

1010770 2011093454 INTRAflex LUX2 SHANK

2320LN

INTRAflex LUX2 SHANK 2320LN

1012601 1012601 2013444957

INTRAflex LUX2 SHANK

2320LN

INTRA HEAD L80 1003390 1003390 2020082302 INTRA HEAD L80

INTRA HEAD L80 1003391 1003391 2020082303 INTRA HEAD L80

INTRA HEAD L80 1003452 1003452 2020082364 INTRA HEAD L80

INTRA HEAD L80 1003476 1003476 2020082388 INTRA HEAD L80

INTRA HEAD L80 1003486 1003486 2020082398 INTRA HEAD L80

INTRAflex LUX2 SHANK 2320LN 1019430

1019430 2020521993 INTRAflex LUX2 SHANK

2320LN

EXPERTtorque Mini LUX E675 L

1028209 1028209 2020726870

EXPERTtorque Mini LUX E675 L

INTRA LUX HEAD 80LD G160698 G160698 2001046543 INTRA LUX HEAD 80LD

INTRA LUX HEAD 80LD G160704 G160704 2001046549 INTRA LUX HEAD 80LD

INTRA LUX HEAD 68LH 1064925 1064925 2003869381 INTRA LUX HEAD 68LH

INTRA LUX HEAD 80LD 1004535 1004535 2004716705 INTRA LUX HEAD 80LD

INTRA LUX HEAD 80LD 1007066 1007066 2005285279 INTRA LUX HEAD 80LD

PROPHYwiz 181P X50593 X50593 2007044362 PROPHYwiz 181P MIRA LUX MULTIflex Turbine 635B

1037693 1037693 2007152789

MIRA LUX MULTIflex Turbine 635B

PROPHYwiz 181P 1000912 1000912 2007313778 PROPHYwiz 181P PROPHYwiz 181P 1000914 1000914 2007313780 PROPHYwiz 181P

INTRA LUX HEAD 68LH 1241897 1241897 2007397418 INTRA LUX HEAD 68LH

PROPHYwiz 181P X51106 X51106 2007676800 PROPHYwiz 181P

PROPHYwiz 181P 1001589 1001589 2007676801 PROPHYwiz 181P PROPHYwiz 181P 1001590 1001590 2007676802 PROPHYwiz 181P

MIRA LUX MULTIflex Turbine 635B 1062606

1062606 2009777148 MIRA LUX MULTIflex

Turbine 635B POWERtorque MULTIflex LUX Turbine

646B 1029169 1029169 2010787892

POWERtorque MULTIflex LUX Turbine 646B

INTRA LUX HEAD 80LD 1016713 1016713 2010833225 INTRA LUX HEAD 80LD

INTRA LUX HEAD 80LD 1016715 1016715 2010833227 INTRA LUX HEAD 80LD

DEXIS Platinum Sensor 6900102730041 2012762274 DEXIS Platinum Sensor DEXIS Platinum Sensor 6900102730773 2012763769 DEXIS Platinum Sensor

INTRA LUX HEAD 80LD 1018091 1018091 2013292763 INTRA LUX HEAD 80LD

ASM, EXPERTDC, TUBEHEAD 2107151 2107151 2013808035

ASM, EXPERTDC,

TUBEHEAD

ASSEMBLY, COLLIMATOR, 8"

CIRCULAR, eDC 2104779 2104779 2013813401

ASSEMBLY,

COLLIMATOR, 8"

ASSEMBLY, COLLIMATOR, 8"

CIRCULAR, eDC 2104780

2104780 2013813402

ASSEMBLY,

COLLIMATOR, 8"

ASSEMBLY, COLLIMATOR, 8"

CIRCULAR, eDC 2104783

2104783 2013813405

ASSEMBLY,

COLLIMATOR, 8"

ASSEMBLY, COLLIMATOR, 8"

CIRCULAR, eDC 2104784 2104784 2013813406

ASSEMBLY,

COLLIMATOR, 8"

ASSY, CONVERTER, EXPERT DC

3005894

3005894 2013816903

ASSY, CONVERTER,

EXPERT DC

ASSY, CONVERTER, EXPERT DC

3005895 3005895 2013816904

ASSY, CONVERTER,

EXPERT DC

ASSY, CONVERTER, EXPERT DC

3005896

3005896 2013816905

ASSY, CONVERTER,

EXPERT DC

ASSY, CONVERTER, EXPERT DC

3005898 3005898 2013816907

ASSY, CONVERTER,

EXPERT DC

ASSY, CONVERTER, EXPERT DC

3005900

3005900 2013816909

ASSY, CONVERTER,

EXPERT DC

expert DC, NA, 75 Inch REACH

2104744 2104744 2013816869 expert DC, NA, 75 Inch

REACH

expert DC, NA, 75 Inch REACH 2104745

2104745 2013816870 expert DC, NA, 75 Inch

REACH

expert DC, NA, 75 Inch REACH

2104748 2104748 2013816873 expert DC, NA, 75 Inch

REACH

expert DC, NA, 75 Inch REACH 2104750

2104750 2013816875 expert DC, NA, 75 Inch

REACH

EXPERTtorque LUX E679 L 1003222 1003222 2014071547 EXPERTtorque LUX E679

INTRAflex LUX2 SHANK 2320LN G205792

G205792 2001106513 INTRAflex LUX2 SHANK

2320LN

INTRAflex LUX2 SHANK 2320LN

X52633 X52633 2004892035

INTRAflex LUX2 SHANK

2320LN

INTRAflex LUX2 SHANK 2320LN 1003052

1003052 2005091757 INTRAflex LUX2 SHANK

2320LN

MULTIflex LUX COUPLING 1017380 1017380 2005166837 MULTIflex LUX

INTRAflex LUX2 SHANK 2320LN 1012866

1012866 2013724329 INTRAflex LUX2 SHANK

2320LN

INTRAflex LUX2 SHANK 2320LN

1012869 1012869 2013724332

INTRAflex LUX2 SHANK

2320LN

BELLAtorque LUX TURBINE HANDP.

642 B P173212

P173212 2002629336 BELLAtorque LUX

TURBINE HANDP. 642 B

INTRA LUX HEAD 80LD 1004564 1004564 2004716734 INTRA LUX HEAD 80LD

INTRA LUX HEAD 80LD 1007152 1007152 2005285365 INTRA LUX HEAD 80LD

INTRA LUX HEAD 68LH 1241881 1241881 2007397402 INTRA LUX HEAD 68LH

INTRA LUX HEAD 68LH 1241883 1241883 2007397404 INTRA LUX HEAD 68LH

INTRA LUX HEAD 68LH 1241885 1241885 2007397406 INTRA LUX HEAD 68LH

DEXCAM3 CAMERA W/10ft CABLE 790106D0384

790106D0384 2012768829

DEXCAM3 CAMERA

W/10ft CABLE

ASM, ARTICULATED ARM, EXPERT

1014937 1014937 2015121309

ASM, ARTICULATED

ARM, EXPERT

INTRAflex LUX2 SHANK 2320LN 1008702

1008702 2009368032

MULTIflex LUX COUPLING 1038172 1038172 2009585613 MULTIflex LUX MULTIflex LUX COUPLING 1038174 1038174 2009585615 MULTIflex LUX MULTIflex LUX COUPLING 1038179 1038179 2009585620 MULTIflex LUX

INTRAflex LUX2 SHANK 2320LN 1018994

1018994 2020084471 INTRAflex LUX2 SHANK

2320LN

INTRAflex LUX2 SHANK 2320LN

1018995 1018995 2020084472

INTRAflex LUX2 SHANK

2320LN

INTRAflex LUX2 SHANK 2320LN 1018996

1018996 2020084473 INTRAflex LUX2 SHANK

2320LN

INTRAflex LUX2 SHANK 2320LN

1018997 1018997 2020084474

INTRAflex LUX2 SHANK

2320LN

INTRAflex LUX2 SHANK 2320LN 1019001

1019001 2020084478 INTRAflex LUX2 SHANK

2320LN

INTRAflex LUX2 SHANK 2320LN

1019002 1019002 2020084479

INTRAflex LUX2 SHANK

2320LN

INTRAflex LUX2 SHANK 2320LN 1019003

1019003 2020084480 INTRAflex LUX2 SHANK

2320LN

INTRAflex LUX2 SHANK 2320LN

1019004 1019004 2020084481

INTRAflex LUX2 SHANK

2320LN

INTRAflex LUX2 SHANK 2320LN 1019007

1019007 2020084484 INTRAflex LUX2 SHANK

2320LN

MIRA LUX MULTIflex Turbine 635B

1063281 1063281 2009870564

MIRA LUX MULTIflex Turbine 635B

Kavo Focus, Long Reach, North America F41452

F41452 2020628582 Kavo Focus, Long Reach, North America Kavo Focus, Long Reach, North

America F41453 F41453 2020628583

Kavo Focus, Long Reach, North America

MIRA LUX MULTIflex Turbine 635B 1062587

1062587 2009777129 MIRA LUX MULTIflex

Turbine 635B MIRA LUX MULTIflex Turbine 635B

1062824 1062824 2009792812

MIRA LUX MULTIflex Turbine 635B

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Indian Health Service

Past Performance Survey Solicitation No.: 75H70721Q00030, AIDC HANDPIECE REPAIR & REPLACEMENT SERVICES

Contractor Name:

CLIENT INFORMATION

Commercial Client Federal Client Client Name:

Client Address:

City State Zip Code Project Name:

Contract Number(s): Total Contract Value:

Performance Period: Teaming Partner(s):

Government or Commercial Project Manager

Contact

Alternate Government or Commercial Project Manager Contact

Name: Name:

Title: Title:

Phone number: Phone number:

Fax number: Fax number:

E-mail address:__ E-mail address:

SPECIFIC PERFORMANCE

Instructions: This part consists of open-ended questions to determine the scope, complexity, and relevance of the project to the current requirement. Please answer the questions concisely and to the best of your knowledge.

1. Describe the overall project type the contractor provided.

2. Describe the end goal/end product and result.

3. Describe the long-term program development involved in performing this task.

4. Describe the level of planning and staffing contractor was required to perform and if they met the contracts exceptions.

5. Describe the average timeline involved in completing this project and if contractor met that timeline within reason.

SOURCE SELECTION SENSITIVE

NOT FOR PUBLIC RELEASE

Past Performance Survey

PAST PERFORMANCE RATINGS

Please answer each of the following questions with a rating that is based on objective measurable performance indicators to the maximum extent possible. Comments to support ratings may be noted on last page. The Government will assess an overall past performance rating for each reference contacted. The overall ratings of each reference will then be combined to arrive at a final past performance rating that will be assigned points based upon the following rating scheme:

RATINGS ARE DEFINED AS FOLLOWS:

Definition Description

Excellent The Contractor demonstrates an excellent performance level in all categories. There have been no performance problems and the Contractor has demonstrated initiative to enhance/exceed contractual requirements and objectives.

The Contractor also has maintained an excellent Contractor/Government relationship throughout contract performance

Good There are no quality of service problems; no cost/price issues; and no delays. Responses to inquiries and technical/service administrative issues are consistently effective and responsive. Non-conformance does not impact achievement of contract requirements.

Acceptable Non-conformances are minor and have little impact in achievement of contract requirements, requires minor intervention by Government personnel to resolve issues.

Marginal Non-conformances are impacting achievement of contract requirements, requires substantial intervention by Government personnel to resolve issues.

Unacceptable Non-conformances are compromising the achievement of contract requirements, despite substantive intervention by Government personnel.

PART 1: GENERAL PERFORMANCE

INSTRUCTIONS: PLEASE CHECK THE APPROPRIATE RATING

Quality of Service Excellent Good Acceptable Marginal Unacceptable N/A

1. Compliance with contract requirements

2. Accuracy of Reports

3. Effectiveness of Personnel

4. Technical Excellence

5. Record of conforming to specifications and standards of good workmanship

6. Ability to provide services nationwide, including small and rural communities

Cost Control Excellent Good Acceptable Marginal Unacceptable N/A

1. Record of forecasting and controlling target costs

2. Current, accurate, and complete billings

3. Relationship of negotiated costs to actual

4. Cost efficiencies

Timeliness of Performance Excellent Good Acceptable Marginal Unacceptable N/A

1. Met interim milestones

2. Reliability

3. Responsive to technical direction

4. Completed on time including wrap up

5. Met delivery schedules

6. Amount of Liquidated Damages

(Excellent=Low or None, Unacceptable= High)

Business Relations Excellent Good Acceptable Marginal Unacceptable N/A

1. Effective Management, including subcontracts

2. Reasonable/cooperative behavior

3. Responsive to contract requirements

4. Notification of problems

5. Flexibility

6. Pro-active vs. Reactive

7. Effective small/small disadvantage business subcontracting program

8. History of staff turnover

Customer Satisfaction Excellent Good Acceptable Marginal Unacceptable N/A

1. Commitment to customer satisfaction

2. Would you recommend selection of this firm again?

3. Overall Rating of Contractor

ADDITIONAL COMMENTS:

Text2: List of AIDC Handpieces