2_Revised_Fillable Pricing Table_Amendment_0001.docx
DOCX document 20 KB Posted
- Solicitation number
- 75H70726Q00077
About this file
This is a fillable pricing table for an RFQ (Request for Quotation) for dental operatory equipment to be supplied to the Mescalero Service Unit. The quotation is Solicitation No. 75H70726Q00077 and was amended on August 26, 2026 to extend the due date to 12:30 pm MDT. Vendors must provide unit prices and extended prices for five line items (CLINs): two A-dec 511 dental chairs with sewn upholstery and programmable controls, two A-dec 343pro cart delivery systems with integrated modules and intraoral lighting, two A-dec 521 doctor's stools, two A-dec 522 assistant stools, installation services for two operatories, and shipping. A service repairs and replacement parts line item of $2,000.00 per year will be added post-award but should not be included in the quote calculation.
This solicitation is set aside for Indian Small Business Economic Enterprises (ISBEEs) under the Buy Indian Act, with cascading evaluation tiers including Service-Disabled Veteran-Owned Small Businesses, HUBZone Small Businesses, Small Disadvantaged Businesses, and other small business concerns if no acceptable ISBEE quotations are received. The Department of Health and Human Services Indian Health Service is the procuring agency. Quoters must submit three volumes (Technical Capability, Past Performance, and Price), complete the Indian Economic Enterprise Representation if applicable, and submit a signed SF 1449 form. The NAICS code is 339114 for Dental Equipment Manufacturing with a 750-employee small business size standard.
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Other files
| File | Type | Posted |
|---|---|---|
| Sol_75H70726Q00077_Amendment_0001.pdf | ||
| 4_Q_and_A_Responses_Amendment_0001.pdf | ||
| Attachment 1_Past Performance Survey.docx | DOCX document | |
| SOL_75H70726Q00077 - MSU.pdf | ||
| IHS IEE Representation Form_Jan 2022_508 Compliant.pdf | ||
| Attachment 2_Fillable Pricing Table.docx | DOCX document | |
| Attachment 4_Q and A Template.xlsx | XLSX spreadsheet |
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Text version
| RFQ No. 75H70726Q000XX | Fillable Table** | Dental Operatory Equipment – MSU |
| Item No. | ||
| Description | ||
| Qty | ||
| Unit Price | ||
| Extended Price | ||
| Total Amount |
CLIN 1
| A-dec 511 dental chairs |
| 2 |
Including sewn upholstery, programmable foot switch, and floor box systems
| CLIN 2 |
| A-dec 343pro cart delivery systems |
| 2 |
Including integrated control modules, tubing, trays, power supply, and intraoral light source
| CLIN 3 |
| A-dec 521 doctor’s stools |
| 2 |
| CLIN 4 |
| A-dec 522 assistant stools |
| 2 |
| CLIN 5 |
| Installation |
| 2 |
| CLIN 5 |
| Shipping |
| GRAND TOTAL: |
| $__________________ |
* - Once award is issued, “Service repairs and replacement parts” will be added at a set amount of $2,000.00/year. Added above, for reference, but should not be factored into yearly total for your quote.
***You may use this fillable table or a format of your own***
File details come from the government source that posted it. Updated .