75H70722R00001 (1).pdf
PDF 167 KB Posted
- Attached to
- Repair Dental Hand Pieces
- Solicitation number
- 75H70722R00001
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Attachment PAST PERFORMANCE.docx | DOCX document | |
| FEE SCHEDULE OF DENTAL REPAIR SERVICES ZSU.docx | DOCX document |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
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
811219
SIZE STANDARD:
% FOR:SET ASIDE:UNRESTRICTED OR203
RFPIFB
10. THIS ACQUISITION ISCODE
RFQ
14. METHOD OF SOLICITATION
13b. RATING
NAICS:
SMALL BUSINESS
11/05/2021 1630 MD
10/22/2021
(505) 256-6757DARRELL CHINO
(No collect calls)
INFORMATION CALL:
FOR SOLICITATION 8. OFFER DUE DATE/LOCAL TIMEb. TELEPHONE NUMBER a. NAME
4. ORDER NUMBER3. AWARD/ 6. SOLICITATION
75H70722R00001
5. SOLICITATION NUMBER
SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS 1. REQUISITION NUMBER PAGE OF
1 20 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
$22.00
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.
(i) This is a combined synopsis/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; proposals are being requested and a written solicitation will not be issued.
(ii) This Request for Proposal (RFP) is being issued via solicitation number 75H70722R00001.
(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.
(iii) The solicitation document and incorporated provisions and clauses are those in effect through
Federal Acquisitions Circular 2021-07.
(iv) Pursuant to the authority under FAR 19.5, this requirement is a Large business and only qualified offerors may submit bids and the associated NAICS code is 811219 with small business standard of $22.00.
(v) The Contract Line Items (CLIN) and pricing structure are as shown below as follows:
List should include materials used for repairs.
(examples: turbine costs /labor prices). List should also include "rush" order services.
PRICING: Offers will be accepted in the following format:
FEE SCHEDULE OF SERVICES - ZCCHC (See attached)
PAST PERFOMANCE FORM - (See attached) "Please include a minimum of 3 past performance surveys with your proposal from previous jobs similar in size and scope".
(vi) The purpose of this frim fixed price is for dental hand piece repair services with the following terms:
Continued ...
32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE
32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE
20 2 of
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
NAME OF OFFEROR OR CONTRACTOR
3 20
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
75H70722R00001
The Vendor shall provide various dental hand piece repair services for direct patient care for the Zuni Comprehensive Community Health Center
(ZCCHC).
BACKGROUND:
The ZCCHC is to provide the highest quality of care to our patients, the Zuni Dental Department requires the use of many dental hand pieces to fabricate certain aspects of basic dental procedures including but not limited to simple restorations, complex restorations, Root canal therapy, fabrication of crowns, bridges, removable dentures and Oral surgery procedures.
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 the following:
1. Ability to repair all pneumatic and electric dental hand pieces requested by the Zuni Dental
Clinic. Must guarantee work.
2. Timely and accurate completion of all required dental hand piece repairs ordered by the Zuni
Dental Clinic.
3. Communicate regularly with the dental staff to ensure all devices have a life expectancy prior to repair and parts and or Hand pieces are not obsolete prior to repair.
4. List of All Dental Hand Piece repairs company is qualified to do.
This list at a minimum should include but is not limited to any and all Brands of dental hand pieces currently being sold by dental supply
Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
Sponsored by GSA
FAR (48 CFR) 53.110
4 20
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
75H70722R00001 companies.
Generic Examples not limited to:
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, all implant machine hand pieces and said attachments.
B. Responsibility Factors:
1. The Dental department at the ZCCHC shall be responsible for ordering and authorizing all
Dental Hand piece Repairs prior to any repairs being started on any dental hand pieces.
2. The department shall also be responsible for ensuring proper storage all completed dental hand piece pieces in the ZCCHC dental clinic.
C. Place of Performance:
All repaired dental hand pieces shall be done at the contractor's facility and when the repairs are complete will be send to the ZCCHC dental clinic.
Turn Around Times. List of all repair turnaround times for all procedures dental hand piece repair company does. Must certify that all requested services have not been subcontracted to other facilities for fabrication without permission from Zuni Dental Clinic.
D. Reporting Requirements:
Eligibility and distribution management shall be conducted by the dental staff of the Zuni Dental
Clinic. The functioning of dental hand pieces shall be managed and monitored by clinic staff.
E. Government's Responsibility:
Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
5 20
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
75H70722R00001
The government shall bear reasonable cost of all
Dental hand pieces sent/ordered for repair on behalf of patients.
F. Evaluation:
The evaluation of quality and quantity of dental hand piece performance will be conducted by the
Chief Dental Officer in conjunction with the clinic dentists as well as the auxiliary staff.
G. Quality Assurance:
The quality of repair of all dental hand pieces will be monitored by the Chief Dental Officer in conjunction with the clinic dentists once received and put back into use in the Zuni Dental
Clinic.
H. Redo / Re-Repair Policy.
Should include but not limited to policies on redo/re-repair guarantee of all work.
I. 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.
DELIVERY/SHIPPING REQUIREMENTS:
1. Deliveries are received within the General
Services Department Monday through Friday, between the hours of 9:00 am and 4:30 pm
(Excluding Federal Holidays).
2. Deliveries will be inspected at the time of delivery and Contractor notified immediately of damage.
3. The Contractor will submit the invoices directly to Albuquerque Area Office - Finance
Department. Evaluation of Contract will be
Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
6 20
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
75H70722R00001 completed annually by the designated Contract
Office Representative.
Delivered to the following location:
Zuni Comprehensive Community Health Center
Attn: Ralph Luongo
Route 301 North B Avenue
Zuni, NM 87327
(505) 782-7417
If delivery falls on Christmas or New Year's Day, delivery will occur on the day before or after the holiday.
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
CONTRACTING OFFICER'S REPRESENTATIVE:
The vendor shall verify all deliveries with the
COR:
Ralph Luongo, Chief Dentist Officer
Zuni Comprehensive Community Health Center
Route 301 North B Avenue
Zuni, NM 87327
(505) 782-7417
Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
7 20
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
75H70722R00001
The COR listed above is hereby designated to monitor the performance of this order on behalf of the Government and ensure contractor accountability, and assist the contractor, and the Ordering Official at each location, in the resolution of problems encountered during the performance. The POC will provide no supervisory or instructional assistance to Contractor personnel.
The COR's function is primarily to provide the
Contractor with working data. The COR is not empowered to make any commitments, nor authorized to make any changes which affect prices, terms, or delivery as specified on this order. Any such proposed changes shall be brought to the immediate attention of the Contracting Officer for action. The acceptance of any change by the
Contractor without specific approval and written consent of the Contracting Officer is not authorized.
METHOD OF PAYMENT:
* Payment shall be made in arrears;
* Electronic Funds Transfer (EFT) shall be utilized as method for processing payment;
* Upon receipt of the Contractor's properly prepared invoice, the Ordering Official is responsible for certifying the invoice for acceptance of service and contacting a UFMS receiver to request a receiving receipt.
PROPER INVOICE:
The Contractor shall submit invoices once per order. Advance payments will not be issued by
Finance unless stated herein. Electronically sent complete invoices and support documentation via email or by regular postal mail to:
a. COR: Ralph Luongo, ralph.luongo@ihs.gov
b. Albuquerque Finance: alb_aoapinvoices@ihs.gov
c. Or mail invoices to: IHS Albuquerque Division of Accounting Services
Attn: Accounts Payable
Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
8 20
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
75H70722R00001
4101 Indian School Road NE, Suite 225
Albuquerque, NM 87110
*Do not send to the CS or Finance Office any other invoices related documents (i.e.
deliverables, reports, and balance statements) to the Buyer or Albuquerque Finance. Failure to submit required documents directly to the offices as listed above will delay prompt payment of your invoice.
For invoices submitted by email: the subject line of your email invoice submission shall contain the contractor name, contract/order number, and invoice number (e.g. Company Name, Contract XXX, Invoice #123). The Contractor shall send one email per order. The email may have multiple invoices for the contract. Invoices must be in one of the following formats: PDF, TIFF, or Word.
Excel formats will NOT be accepted. The electronic file cannot contain multiple invoices;
example, 10 invoices requires 10 separate files
(PDF, TIFF, or Word).
Additionally, the Contractor is required to include its Data Universal Numbering System
(DUNS) number on each invoice. For additional information about the Dun & Bradstreet (D&B) DUNS number, please visit http://fedgov.dnb.com/webform. Submit invoices in accordance with the contract terms, i.e. payment schedule, progress payments, partial payments, deliverables, etc.
All information set forth in FAR Clause
52.212-4(g), Invoice, must be included in all invoices for it to constitute a proper invoice.
FAR 52.212-4(G) INVOICE.
(1) The Contractor shall submit an original invoice and three copies (or electronic invoice, if authorized) to the address designated in the contract to receive invoices. An invoice must include-
(i) Name and address of the Contractor;
Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
9 20
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
75H70722R00001
(ii) Invoice date and number;
(iii) Contract number, line item number and, if applicable, the order number;
(iv) Description, quantity, unit of measure, unit price and extended price of the items delivered;
(v) Shipping number and date of shipment, including the bill of lading number and weight of shipment if shipped on Government bill of lading;
(vi) Terms of any discount for prompt payment offered;
(vii) Name and address of official to whom payment is to be sent;
(viii) Name, title, and phone number of person to notify in event of defective invoice; and
(ix) Taxpayer Identification Number (TIN). The
Contractor shall include its TIN on the invoice only if required elsewhere in this contract.
(x) Electronic funds transfer (EFT) banking information.
(A) The Contractor shall include EFT banking information on the invoice only if required elsewhere in this contract.
(B) If EFT banking information is not required to be on the invoice, in order for the invoice to be a proper invoice, the Contractor shall have submitted correct EFT banking information in accordance with the applicable solicitation provision, contract clause (e.g., 52.232-33, Payment by Electronic Funds Transfer-System for
Award Management, or 52.232-34, Payment by
Electronic Funds Transfer-Other Than System for
Award Management), or applicable agency procedures.
(C) EFT banking information is not required if the Government waived the requirement to pay by
EFT.
2) Invoices will be handled in accordance with the Prompt Payment Act (31 U.S.C.3903) and Office of Management and Budget (OMB) prompt payment regulations at 5 CFR Partl315.
3) Per the Accounts Payable office, failure to submit invoices to the Department of Accounting
Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
10 20
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
75H70722R00001
Services can result in delayed payment of your invoice.
(v) The delivery and acceptance terms for this order are Destination, 5 days or next scheduled delivery after Receipt of Award.
(vi) The provision at 52.212-1, Instructions to
Offerors - Commercial Items (Sep 2021), applies to this acquisition. Quotes shall be submitted on company letterhead stationery, signed and dated, it shall include the following:
1. Solicitation number.
2. Name, address, telephone number of the offeror and email address of the contact person.
3. Technical description of the item being offered in sufficient detail to evaluate compliance with the requirements in the solicitation.
4. Completed Pricing Information and discount terms if applicable.
5. A completed copy of the representations and certifications at FAR 52.212-3.
6. 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.
(vii) 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 (technical requirements) 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
Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
11 20
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
75H70722R00001 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.
(viii) 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 shall complete only paragraph (b) of the provision of the Offeror has completed the annual representations and certification electronically via the System for Award Management (SAM) Web site located at http://www.sam.gov/portal.
(ix) 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. Invoice shall be submitted once delivery has been completed.
(x) The clause at 52.212-5 Contract Terms and
Conditions Required to Implement Statues or
Executive Orders-Commercial Items (Sep 2021), and the additional FAR clauses cited in the clauses are applicable to the acquisition.
(a) The Contractor shall comply with the following Federal Acquisition Regulation (FAR) clauses, which are incorporated in this contract by reference, to implement provisions of law or
Executive orders applicable to acquisitions of
Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
12 20
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
75H70722R00001 commercial items:
(1) 52.233-3, Protest After Award (Aug 1996) (31
U.S.C. 3553).
(2) 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 (Jun 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 (Jun 2020) (41 U.S.C. 3509))
(5) 52.219-8, Utilization of Small Business
Concerns (Oct 2018) (15 U.S.C. 637(d)(2) and (3)).
(6) 52.219-13, Notice of Set-Aside of Orders (Mar
2020) (15 U.S.C. 644(r))
(7) 52.219-28, Post Award Small Business Program
Representation (Nov 2020) (15 U.S.C. 632(a)(2)).
(8) 52.222-3, Convict Labor (June 2003) (E.O.
11755)
(9) 52.222-19, Child Labor-Cooperation with
Authorities and Remedies (Jan 2020) (E.O. 13126)
(10) 52.222-21, Prohibition of Segregated
Facilities (Apr 2015).
(11) 52.222-26, Equal Opportunity (Sept 2016)
(E.O. 11246)
(12) 52.222-50, Combating Trafficking in Persons
(Oct 2020) (22 U.S.C. chapter 78 and E.O. 13627)
(13) 52.223-15, Energy Efficiency in
Energy-Consuming Products (May 2020) (42 U.S.C.
8259b)
(14) 52.223-18, Encouraging Contractor Policies to Ban Text Messaging While Driving (Jun 2020)
(E.O. 13513)
(15) 52.225-1, Buy American-Supplies (Jan 2021)
(41 U.S.C. chapter 83).
(16) 52.232-33, Payment by Electronic Funds
Transfer-System for Award Management (Oct 2018)
Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
13 20
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
75H70722R00001
(31 U.S.C. 3332)
(17) 52.242-5, Payments to Small Business
Subcontractors (Jan 2017) (15 U.S.C. 637(d) (12)).
(xi) The following additional contract requirement(s) and terms and conditions are determined by the contracting officer to be 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 they were given in full text. Upon request, the Contracting
Officer will make their full text available. The offeror is cautioned that the listed provisions may include blocks that must be completed by the offeror and submitted with its quotation or offer. In lieu of submitting the full text of those provisions, the offeror may identify the provision by paragraph identifier and provide the appropriate information with its quotation or offer. Also, the full text of a solicitation provision may be accessed electronically at this address: www.acquisition.gov/far/.
1) 52-209-5, Certification Regarding
Responsibility Matters (Aug 2020)
(a) (1) The Offeror certifies, to the best of its knowledge and belief, that-
(i) The Offeror and/or any of its Principals-
(A) Are_ are not _ presently debarred, suspended, proposed for debarment, or declared ineligible for the award of contracts by any Federal agency;
(B) Have_ have not _, within a three-year period preceding this offer, been convicted of or had a civil judgment rendered against them for:
commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State, or local)
Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
14 20
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
75H70722R00001 contract or subcontract; violation of Federal or
State antitrust statutes relating to the submission of offers; or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, tax evasion, violating Federal criminal tax laws, or receiving stolen property
(if offeror checks "have", the offeror shall also see 52.209-7, if included in this solicitation);
(C) Are_ are not _ presently indicted for, or otherwise criminally or civilly charged by a governmental entity with, commission of any of the offenses enumerated in paragraph (a)(1)(i)(B) of this provision;
(D) Have_, have not _, within a three-year period preceding this offer, been notified of any delinquent Federal taxes in an amount that exceeds $3,500 for which the liability remains unsatisfied.
(1) Federal taxes are considered delinquent if both of the following criteria apply:
(i) The tax liability is finally determined. The liability is finally determined if it has been assessed. A liability is not finally determined if there is a pending administrative or judicial challenge. In the case of a judicial challenge to the liability, the liability is not finally determined until all judicial appeal rights have been exhausted.
(ii) The taxpayer is delinquent in making payment. A taxpayer is delinquent if the taxpayer has failed to pay the tax liability when full payment was due and required. A taxpayer is not delinquent in cases where enforced collection action is precluded.
(2) Examples.
(i) The taxpayer has received a statutory notice of deficiency, under I.R.C. - 6212, which entitles the taxpayer to seek Tax Court review of a proposed tax deficiency. This is not a delinquent tax because it is not a final tax
Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
15 20
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
75H70722R00001 liability. Should the taxpayer seek Tax Court review, this will not be a final tax liability until the taxpayer has exercised all judicial appeal rights.
(ii) The IRS has filed a notice of Federal tax lien with respect to an assessed tax liability, and the taxpayer has been issued a notice under
I.R.C. - 6320 entitling the taxpayer to request a hearing with the IRS Office of Appeals contesting the lien filing, and to further appeal to the Tax
Court if the IRS determines to sustain the lien filing. In the course of the hearing, the taxpayer is entitled to contest the underlying tax liability because the taxpayer has had no prior opportunity to contest the liability. This is not a delinquent tax because it is not a final tax liability. Should the taxpayer seek tax court review, this will not be a final tax liability until the taxpayer has exercised all judicial appeal rights.
(iii) The taxpayer has entered into an installment agreement pursuant to I.R.C. - 6159.
The taxpayer is making timely payments and is in full compliance with the agreement terms. The taxpayer is not delinquent because the taxpayer is not currently required to make full payment.
(iv) The taxpayer has filed for bankruptcy protection. The taxpayer is not delinquent because enforced collection action is stayed under 11 U.S.C. 362 (the Bankruptcy Code).
(ii) The Offeror has __ has not __, within a three-year period preceding this offer, had one or more contracts terminated for default by any
Federal agency.
(2) "Principal," for the purposes of this certification, means an officer, director, owner, partner, or a person having primary management or supervisory responsibilities within a business entity (e.g., general manager; plant manager;
head of a division or business segment; and similar positions).
Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
16 20
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
75H70722R00001
This Certification Concerns a Matter Within the
Jurisdiction of an Agency of the United States and the Making of a False, Fictitious, or
Fraudulent Certification May Render the Maker
Subject to Prosecution Under Section 1001, Title18, United States Code.
(c) The Offeror shall provide immediate written notice to the Contracting Officer if, at any time prior to contract award, the Offeror learns that its certification was erroneous when submitted or has become erroneous by reason of changed circumstances.
(d) A certification that any of the items in paragraph (a) of this provision exists will not necessarily result in withholding of an award under this solicitation. However, the certification will be considered in connection with a determination of the Offeror's responsibility. Failure of the Offeror to furnish a certification or provide such additional information as requested by the Contracting
Officer may render the Offeror nonresponsible.
(e) Nothing contained in the foregoing shall be construed to require establishment of a system of records in order to render, in good faith, the certification required by paragraph (a) of this provision. The knowledge and information of an
Offeror is not required to exceed that which is normally possessed by a prudent person in the ordinary course of business dealings.
(f) The certification in paragraph (a) of this provision is a material representation of fact upon which reliance was placed when making award.
If it is later determined that the Offeror knowingly rendered an erroneous certification, in addition to other remedies available to the
Government, the Contracting Officer may terminate the contract resulting from this solicitation for default.
2) 52.209-11, Representation by Corporations
Regarding Delinquent Tax Liability or a Felony
Conviction under any Federal Law (Feb 2016)
Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
17 20
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
75H70722R00001
(a) As required by sections 744 and 745 of
Division E of the Consolidated and Further
Continuing Appropriations Act, 2015 (Pub. L.
113-235), and similar provisions, if contained in subsequent appropriations acts, the Government will not enter into a contract with any corporation that-
(1) Has any unpaid Federal tax liability that has been assessed, for which all judicial and administrative remedies have been exhausted or have lapsed, and that is not being paid in a timely manner pursuant to an agreement with the authority responsible for collecting the tax liability, where the awarding agency is aware of the unpaid tax liability, unless an agency has considered suspension or debarment of the corporation and made a determination that suspension or debarment is not necessary to protect the interests of the Government; or
(2) Was convicted of a felony criminal violation under any Federal law within the preceding 24 months, where the awarding agency is aware of the conviction, unless an agency has considered suspension or debarment of the corporation and made a determination that this action is not necessary to protect the interests of the
Government.
(b) The Offeror represents that-
(1) It is __ is not __ a corporation that has any unpaid Federal tax liability that has been assessed, for which all judicial and administrative remedies have been exhausted or have lapsed, and that is not being paid in a timely manner pursuant to an agreement with the authority responsible for collecting the tax liability; and
(2) It is __ is not __ a corporation that was convicted of a felony criminal violation under a
Federal law within the preceding 24 months.
(2) FAR 52.217-8, Option to Extend Services (Nov
Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
18 20
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
75H70722R00001
1999)
The Government may require continued performance of any services within the limits and at the rates specified in the contract. These rates may be adjusted only as a result of revisions to prevailing labor rates provided by the Secretary of Labor. The option provision may be exercised more than once, but the total extension of performance hereunder shall not exceed 6 months.
The Contracting Officer may exercise the option by written notice to the Contractor within 30.
(4) 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 30; provided that the Government gives the
Contractor a preliminary written notice of its intent to extend at least 60 days before 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.
(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)
(xv) N/A
(xv) Proposals are due by 4:30 pm MD on November
5, 2021, e-mails the proposals to darrell.chino@ihs.gov. Questions are due on
October 29, 2021 by 3:00 pm MD. Offer must confirm the receipt of the proposal by IHS.
Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
19 20
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
75H70722R00001
(xvi) Technical Contact is Ralph Luongo, ralph.luongo@ihs.gov. Contact for solicitation is
Darrell Chino at Darrell.chino@ihs.gov.
All technical factors other than price, when combined, are more important than price.
FAR 52.212-2 Evaluation-Commercial Items (Oct
2014).
(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 of the item offered to meet the Government requirement;
(ii) Past Performance;
(iii) Price:
Technical and past performance, 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
Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
20 20
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
75H70722R00001 withdrawal is received before award.
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
File details come from the government source that posted it. Updated .