75H71024Q00019 - Equipment Purchase - Pressure Monitoring Kit.pdf

75H71024Q00019

1. REQUEST NO.

5a. ISSUED BY

NAME

a. NAME

c. STREET ADDRESS

d. CITY

10. PLEASE FURNISH QUOTATIONS TO

THE ISSUING OFFICE IN BLOCK 5a ON

OR BEFORE CLOSE OF BUSINESS (Date)

2. DATE ISSUED 3. REQUISITION/PURCHASE REQUEST NO. 4. CERT. FOR NAT. DEF.

UNDER BDSA REG. 2

AND/OR DMS REG.1

RATING

6. DELIVERY BY (Date)

7. DELIVERY

9. DESTINATION

a. NAME OF CONSIGNEE

b. STREET ADDRESS

PAGE OF PAGES

5b. FOR INFORMATION CALL: (No collect calls)

TELEPHONE NUMBER

AREA CODE NUMBER

8. TO:

b. COMPANY

e. STATE f. ZIP CODE

c. CITY

d. STATE e. ZIP CODE

IMPORTANT: This is a request for information, and quotations furnished are not offers. If you are unable to quote, please so indicate on this form and return it to the address in Block 5a. This request does not commit the Government to pay any costs incurred in the preparation of the submission of this quotation or to contract for supplies or services. Supplies are of domestic origin unless otherwise indicated by quoter. Any representations and/or certifications attached to this Request for Quotations must be completed by the quoter.

11. SCHEDULE (Include applicable Federal, State and local taxes)

THIS RFQ

REQUEST FOR QUOTATION

(THIS IS NOT AN ORDER)

IS IS NOT A SMALL BUSINESS SET ASIDEX

11/16/2023 IHS1483610

1 7

P.O. Box 358 Crownpoint NM 87313

Crownpoint Health Care Facility 30 Days After Award

CROWNPOINT COMPREHENSIVE HEALTH CAR

NM STATE HWY 371, NAVAJO ROUTE 9

Crownpoint NM 87313

Crownpoint

NM 87313

505 786-6217BRENDA JOE

11/22/2023 1600 MT

FOB DESTINATION

OTHER

(See Schedule)X

ITEM NO.

(a)

SUPPLIES/SERVICES

(b)

QUANTITY

(c)

UNIT

(d)

UNIT PRICE

(e)

AMOUNT

(f)

Equipment purchase to be delivered to Facility Management Department located at Crownpoint Healthcare Facility, Crownpoint, New Mexico.

Period of Performance: 12/01/2023 to 01/01/2024

1 Item No.: RPM-RT2K 2 EA Description: RPM-RT2 Pressure Monitor Kit, Dual room pressure monitor kit with temperature, and relative humidity accessories, Kit includes: 1 ea RPM-RT2 pressure monitor, 2 ea HCPDPMTUBE, 1 ea RPM-RTSENSOR, 1 ea RPM-RTSENSORB and 2 ea

RPM-CABLE-025.

Quantity: 1

Continued ...

12. DISCOUNT FOR PROMPT PAYMENT

a. 10 CALENDAR DAYS (%) b. 20 CALENDAR DAYS (%) c. 30 CALENDAR DAYS (%) d. CALENDAR DAYS

NUMBER PERCENTAGE

NOTE: Additional provisions and representations

13. NAME AND ADDRESS OF QUOTER

b. STREET ADDRESS

c. COUNTY

d. CITY e. STATE f. ZIP CODE

14. SIGNATURE OF PERSON AUTHORIZED TO

SIGN QUOTATION

16. SIGNER

a. NAME (Type or print)

c. TITLE (Type or print)

a. NAME OF QUOTER

AREA CODE

NUMBER

15. DATE OF QUOTATION

b. TELEPHONE are are not attached

AUTHORIZED FOR LOCAL REPRODUCTION

Previous edition not usable

STANDARD FORM 18 (REV. 6-95)

Prescribed by GSA - FAR (48 CFR) 53.215-1(a)

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

2 7

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

75H71024Q00019

Delivery: 30 Days After Award

2 Item No.: RPM-RTSENSOR 1 EA

Description: RPM-RT Temp/RH Sensor, Wall-mounted temperature and relative humidity sensor for the

RPM-RT series pressure monitors.

Quantity: 1

Delivery: 30 Days After Award

3 Item No.: RPM-RTSENSORB 1 EA

Description: RPM-RT Temp RH Sensor (Rm B) wall-mounted temperature and relative humidity sensor for the RPM-RT series pressure monitors;

for Room B on RPM-RT2 units

Quantity: 1

Delivery: 30 Days After Award

4 Item No.: RPM-CABLE-025 2 EA

Description: Cable for RPM Temp/RH sensor, 25' cable to connect RPM-RT pressure monitors to

RPM-RTSENSOR or RPM-RTSENSORB

Quantity: 2

Delivery: 30 Days After Award

5 Item No.: RPM-RT2 4 EA

Description: Pressure Monitor, 2 Room dual room wall-mounted differential pressure monitor.

Quantity: 4

Additional items:

Item No.: HCPDPMTUBE

Description: PVC Air Tubing 25ft, PVC Air Tubing, 1/8" ID X 25', Quantity: 8

Delivery: 30 Days After Award

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

This is a combined synopsis/solicitation for commercial items prepared in accordance with the format in subpart 12.6, as supplemented with additional information included I this notice. This announcement constitutes the only solicitation; quotes are being requested and a written solicitation will not be issued.

Solicitation no. IHS1483610 is issued as a request for quotation (RFQ total small business set aside IAW

FAR 19.502-2

The solicitation document incorporates provisions and clauses that are those in effect through Federal

Acquisition Circular (FAC) 2023-05 Effective September 22, 2023.

The solicitation is a Small Business Set Aside under North American Industry Classification System

(NAICS) code 334519 with an associated small business size standard of 500 Employees

SCHEDULE OF ITEMS

CLIN NO. Description Quantity Unit Price Extended Price

RPM-RT2K Pressure Monitor Kit 2 Each

RPM-RT Sensor 1 Each

RPM-RT Sensor B 1 Each

RPM-Cable-025 25’ cable to connect to

RPM-RT Pressure monitors

2 Each

RPM-RT2 Pressure Monitors 4 Each

HCPDPMTUBE PVC Air Tubing 25’, 1/8” D

8 Each

TOTAL

The solicitation is a “Brand Name or Equal” Requirement, The period of performance (or delivery) is ARO 30 Days.

The provision at 52.212-1, Instructions to Offerors – Commercial Products and Commercial

Services (SEP 2023), applies to this acquisition. Addenda are included.

The following addenda also apply. Offerors must read and follow these additional instructions to receive consideration.

1. System for Award Management (SAM) Registration: FAR 4.1102 Policy - Offerors are required to be registered in SAM at the time an offer or quote is submitted in order to comply with the annual representations and certifications requirements.

2. Technical Proposal and Past Performance Information:

Offerors should submit resumes, curricula vitae, and/or a written narrative that thoroughly addresses all three (3) non-price evaluations factors listed in the Evaluation Factors section below. The narrative should be supported by evidence that gives credibility to the statements made by the offerors and in turn gives the Government enough information to understand and gain confidence in what the offeror is stating. There is no limit on the length of the narrative, but should be of a reasonable length and well supported.

3. Price Quote:

Submit unit and extended pricing for each Contract Line Item Number (CLIN) listed. Pricing must be provided for every CLIN.

4. Provide complete Candidate Profile: Curriculum vitae, resumes, licensures, and all relative documents. Evidence of Provider's Experience of comparable scope and complexity in providing services within the past three (3) years for proposed candidates.

Only one copy of the quote, profiles of providers and technical/past performance is required to be submitted. Quotes can be submitted by email.

The provision at 52.212-2, Evaluation – Commercial Products and Commercial Services (NOV

2021), applies to this acquisition. The following factors shall be used to evaluate quotes:

The Government reserves the right to issue a single award or multiple awards to contractor(s) whose quote represents the best value as defined by FAR 2.101. In determining best value, Price and other

Evaluation Factors will be considered: Past Performance, Experience, and Qualifications of the provider.

The Evaluation Factors and significant sub factors when combined are significantly more important than cost or price. As part of the evaluation process, candidates may be interviewed to ensure their understanding of the PWS and to verify their qualifications to perform required services. The socio-economic status of an offer may also be considered, should one or more quotes represent the best value.

The Following factors shall be used to evaluate quotes:

A. Technical Capabilities: Provide evidence that offered product meets the technical capabilities of attach salient characteristics of product. Subfactor: Special features of the equipment required for effective program performance.

B. Delivery Terms: Subfactor: FOB Destination Subfactor: Delivery Time

C. Price: Contractors price is within the competitive range. The overall cost to the Crownpoint

Healthcare Facility is an important factor, but when all evaluation factors other than cost or price, when combined are significantly more important than cost or price.

**Email offers directly to the Contract Specialist (CS) for this action: Brenda Joe, Contract Specialist;

Phone number: (505) 786-6217; Email address: brenda.joe@ihs.gov.

Offerors must include with their quote a completed copy of the provision at 52.212-3 Offeror Representations and Certifications – Commercial Products and Commercial Services (SEP 2023).

The following Federal Acquisition Regulation provisions also apply:

52.204-16 COMMERCIAL AND GOVERNMENT ENTITY CODE REPORTING AUG

52.204-24 REPRESENTATION REGARDING CERTAIN

TELECOMMUNICATIONS AND VIDEO SURVEILLANCE SERVICES

OR EQUIPMENT

NOV

52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE

www.acquisition.gov/browse/index/far, www.acquisition.gov/hhsar

FEB 1998

52.212-4 CONTRACT TERMS AND CONDITIONS- COMMERCIAL ITEMS

ALTERNATE I (JAN 2017)

DEC 2022

http://www.acquisition.gov/browse/index/far http://www.acquisition.gov/hhsar

52.252-2 CLAUSES INCORPORATED BY REFERENCE FEB 1998

This contract incorporates one or more 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. Also, the full text of a clause may be accessed electronically at this/these address(es):

https://www.acquisition.gov/browse/index/far https://www.acquisition.gov/hhsar https://www.acquisition.gov/sites/default/files/page_file_uploads/CAAC%20Letter%202019-01.pdf

(End of clause)

The clause at 52.212-5, Contract Terms and Conditions Required to Implement Statutes or

Executive Orders – Commercial Products and Commercial Services (SEPT 2023), applies to this acquisition. The following additional FAR clauses cited in the clause are applicable to the acquisition:

Clause No. Clause Name Clause Date

52.203-6 Restrictions on Subcontractor Sales to the Government Jun 2020

52.204-10 Reporting Executive Compensation and First-Tier Subcontract

Awards

Jun 2020

52.204-14 Service Contract Reporting Requirements Oct 2016

52.219-6 Notice of Total Small Business Set-Aside Nov 2020

52.219-14 Limitations on Subcontracting Oct 2022

52.219-28 Post Award Small Business Program Re-representation. Sep 2023

52.219-32 Orders Issued Directly Under Small Business Reserves Mar 2020

52.222-3 Convict Labor Jun 2003

52.222-21 Prohibition of Segregated Facilities Apr 2015

52.222-26 Equal Opportunity Sep 2016

52.222-35 Equal Opportunity for Veterans Jun 2020

52.222-36 Equal Opportunity for Workers with Disabilities Jun 2020

52.222-37 Employment Reports on Veterans Jun 2020

52.222-40 Notification of Employee Rights Under the National Labor

Relations Act

Dec 2010

52.222-50 Combating Trafficking in Persons Nov 2021

52.223-18 Encouraging Contractor Policies to Ban Text Messaging While

Driving

Jun 2020

52.224-3 Privacy Training Jan 2017

52.225-13 Restrictions on Certain Foreign Purchases Feb 2021

52.232-33 Payment by Electronic Funds Transfer-System for Award

Management.

Oct 2018

52.239-1 Privacy or Security Safeguards Aug 1996

52.222-41 Service Contract Labor Standards Aug 2018

52.222-42 Statement of Equivalent Rates for Federal Hires May 2014

52.222-43 Fair Labor Standards Act and Service Contract Labor Standards-

Price Adjustment (Multiple Year and Options)

Aug 2018

52.222-44 Fair Labor Standards Act and Service Contract Labor Standards-

Price Adjustment

May 2014

52.222-55 Minimum Wages for Contractor Workers Under Executive Order

14026

Jan 2022 https://www.acquisition.gov/browse/index/far https://www.acquisition.gov/hhsar https://www.acquisition.gov/sites/default/files/page_file_uploads/CAAC%20Letter%202019-01.pdf https://www.acquisition.gov/far/part-52#FAR_52_219_32

52.222-62 Paid Sick Leave Under Executive Order 13706 Jan 2022

52.226-6 Promoting Excess Food Donation to Nonprofit Organizations Jun 2020

The following Federal Acquisition Regulation clauses also apply:

52.204-13 SYSTEM FOR AWARD MANAGEMENT MAINTENANCE OCT 2018

52.204-18 COMMERCIAL AND GOVERNMENT ENTITY CODE

MAINTENANCE

AUG

52.232-18 AVAILABILITY OF FUNDS APR 1984

52.232-40 PROVIDING ACCELERATED PAYMENTS TO SMALL BUSINESS

SUBCONTRACTORS

MAR

52.237-2 PROTECTION OF GOVERNMENT BUILDING, EQUIPMENT, AND

VEGETATION

APR 1984

52.237-3 CONTINUITY OF SERVICES JAN 1991

52.252-2 CLAUSES INCORPORATED BY REFERENCE

www.acquisition.gov/browse/index/far, www.acquisition.gov/hhsar

FEB 1998

The following Department of Health and Human Services Acquisition Regulation clauses incorporated by reference also apply:

352.223-70 SAFETY AND HEALTH DEC 2015

352.224-70 PRIVACY ACT DEC 2015

352.224-71 CONFIDENTIAL INFORMATION DEC 2015

352.226-1 INDIAN PREFERENCE DEC 2015

352.237-70 PRO-CHILDREN ACT DEC 2015

352.237-71 CRIME CONTROL ACT – REPORTING OF CHILD ABUSE DEC 2015

352.237-72 CRIME CONTROL ACT – REQUIREMENTS FOR

BACKGROUND CHECKS

DEC 2015

352.237-73 INDIAN CHILD PROTECTION AND FAMILY VIOLENCE

ACT

DEC 2015

352.237-74 NON-DISCRIMINATION IN SERVICE DELIVERY DEC 2015

352.232-71 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS FEB 2022

(a) Definitions. As used in this clause –

Payment request means a bill, voucher, invoice, or request for contract financing payment with associated supporting documentation. The payment request must comply with the requirements identified in FAR

32.905(b), “Content of Invoices” and the applicable Payment clause included in this contract.

(b) Except as provided in paragraph (c) of this clause, the Contractor shall submit payment requests electronically using the Department of Treasury Invoice Processing Platform (IPP) or successor system. Information regarding IPP, including IPP Customer Support contact information, is available at www.ipp.gov or any successor site.

(c) The Contractor may submit payment requests using other than IPP only when the Contracting

Officer authorizes alternate procedures in writing in accordance with HHS procedures.

http://www.acquisition.gov/browse/index/far http://www.acquisition.gov/hhsar http://www.ipp.gov/

(d) If alternate payment procedures are authorized, the Contractor shall include a copy of the

Contracting Officer’s written authorization with each payment request.

(End of Clause)