75H71219Q00007_SF1449.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

Phoenix AZ 85004-4424 Suite 507, Attn: Division of Acquisition Mgmt Two Renaissance Square, 40 North Central Ave Phoenix Area Indian Health Service

CODE 16. ADMINISTERED BYCODE

X

X

X

541519

SIZE STANDARD:

% FOR:SET ASIDE:UNRESTRICTED OR10

RFPIFB

10. THIS ACQUISITION ISCODE

RFQ

14. METHOD OF SOLICITATION

13b. RATING

NAICS:

SMALL BUSINESS

08/07/2019 MS

07/03/2019

602-364-5044MICHELE LODGE

(No collect calls)

INFORMATION CALL:

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

4. ORDER NUMBER3. AWARD/ 6. SOLICITATION

75H71219Q00007

5. SOLICITATION NUMBER

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

1 67 OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

TELEPHONE NO.

17a. CONTRACTOR/

15. DELIVER TO

Phoenix AZ 85004-4450 Suite 507 Attn: Division of Acquisition Mgmt Two Renaissance Square, 40 North Central Ave

9. ISSUED BY

7.

2. CONTRACT NO.

EFFECTIVE DATE

$27.50

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)

Phoenix Area 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.

This Solicitation is a 100% Total Small Business Set-Aside.

Contractor shall provide a thermal label and wrist band printing system to include D2 interface to the Department of Health and Human Services, Indian Health Service, Resource Patient Management System (RPMS), installation services, support services and connectivity between printers and RPMS for the CRSU, Clinical, Medical, Laboratory, and Pharmacy Departments.

The main service location is Colorado River

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

HEREIN, IS ACCEPTED AS TO ITEMS:

X

XX

DATED

JOSHUA L. PEARLMAN

. 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.

Service Unit located in Parker, Arizona.

Additional areas for equipment are: Peach Springs

Health Center, Chemehuevi I.H.S. Clinic; Moapa

IHS Health Clinic and Havasupai Health Clinic.

The wristband printing system (printers) shall include interface to the Resource Patient

Management System (RPMS), configuration, and support services to print patient name, Date of

Birth (DOB), Health Record Number (Chart Number), Age, and Gender. Health Record Number will be barcoded. This printing system is for patient and medication safety and also a requirement for

Meaningful Use, Stage 2. This will be a Brand

Name or Equal Solicitation in accordance with FAR

11.104 (b). Brand name or equal purchase descriptions must include, in addition to the brand name, a general description of those salient physical, functional, or performance characteristics of the brand name item that an

?equal? item must meet to be acceptable for award. Use brand name or equal descriptions when the salient characteristics are firm requirements.

The CRSU will be implementing multi-function thermal label & wristband printers in efforts to consolidate existing label/ card printing needs.

This will be also consolidated with thirty one

Continued ...

32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

67 2 of

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

3 67

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

75H71219Q00007

(31) thermal label/card printers and will be installed at five (5) clinic/department locations to be used for a variety of Resources Patient

Management (RPMS) applications.

(Contractors shall submit information; brochure, specifications, training information, and annual maintenance and licensing information with quote).

The RPMS Pharmacy IV and MAR label formats must conform to the Institute for Safe Medication

Practice guidelines for an inpatient pharmacy label format which translates drug names into the

FDA recommended Tall-Man Lettering form.

Tall-Man Lettering is necessary to reduce errors by altering the appearance of similar drug names and making them easily distinguishable. Tall-Man

Lettering utilizes upper and lower case letters to identify one drug from another.

Offers must meet the minimum qualifications and/or requirements set forth within the Request for Quote (RFQ) and must be capable of providing all core services set forth in the Scope of Work

(SOW). The Government anticipates an award of a

Firm Fixed Price Contract.

A Technical Proposal, Price Proposal and Past

Performance Information shall be submitted electronically by email (preferred) to the

Contracting Specialist at (Michele.Lodge@ihs.gov by the solicitation closing date at 4:00 p.m.

(Phoenix Arizona Time) 7 August 2019. Faxed offers will not be accepted. Late proposals will not be accepted. Deadline for questions is on 23

July 2019 at 1700 hours Arizona time.

The Period of Performance is estimated to start on 9 September 2019 thru 8 September 2024. This requirement is being solicited for a base and four (4) option years.

Contractor shall state in their proposal that the quote shall remain effective for 120 calendar days after close of solicitation.

The Government reserves to right to make a single award, multiple awards or no awards in accordance

Continued ...

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

Sponsored by GSA

FAR (48 CFR) 53.110

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

4 67

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

75H71219Q00007 with provision at FAR 52.215-1 which is included in this solicitation.

Contractor is to follow and submit proposals in accordance to Section E Solicitation Provisions and Addendum to FAR 52.215-1 Instructions to

Offerors - Competitive Acquisitions. See attached pages for additional information, terms and conditions.

All contractors doing business with the Federal

Government shall be registered in the System for

Award Management (SAM) database. The website for registration is www.sam.gov.

It is the Offerors responsibility to periodically check for any amendments to this solicitation.

The North American Industry Classification System

Code (NAICS) is 541519 and the Small Business

Standard is $27.5 Size Standard.

If you require additional information regarding this solicitation please contact Michele Lodge, Contracting Specialist at Michele.lodge@ihs.gov or Bradley Platero, Contracting Specialist at bradley.platero@ihs.gov.

Period of Performance: 09/09/2019 to 09/08/2024

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

Sponsored by GSA

FAR (48 CFR) 53.110