75H71224C00016.pdf
PDF 167 KB Posted
- Solicitation number
- PHX-SS-24-013
About this file
This document is a Solicitation/Contract/Order for Commercial Items (SF-1449) for telephone services at the Irene Benn Medical Center in Moapa, Nevada. The contract was awarded to Moapa Valley Telephone Company for a base year of service plus four option years, with a total awarded amount of $15,288.60. The services include SIP/ISDN line port charges, 12-line SIP trunks, DID numbers, business end user access charges, and government surcharges. The period of performance is from January 1, 2025 through December 31, 2029. This contract was a sole source award due to the failure to identify alternative sources in the previous solicitation, as documented in sole source justification PHX-SS-24-013. The contracting agency is the Department of Health and Human Services, Indian Health Service.
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Other files
| File | Type | Posted |
|---|---|---|
| Attachment 2 - Price List.pdf | ||
| Attachment 3 - Terms and Conditions.pdf | ||
| Attachment 1 - Moapa OAM Voice SOW.pdf | ||
| PHX-SS-24-013.pdf | ||
| Attachment 4 - Tax Exemption Letter.pdf |
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Text version
IHSPHOENIX
PHOENIX AZ 85004
40 NORTH CENTRAL AVENUE
2 RENAISSANCE SQUARE
SUITE 512 ATTN: FINANCIAL MANAGEME
IHSPHOENIX
702-3972210
1427508
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
517111
SIZE STANDARD:
% FOR:SET ASIDE:UNRESTRICTED OR10
REQUEST FOR
PROPOSAL
(RFP)
INVITATION
FOR BID (IFB)
10. THIS ACQUISITION ISCODE
REQUEST FOR
QUOTE (RFQ)
14. METHOD OF SOLICITATION
13b. RATING
NORTH AMERICAN INDUSTRY
CLASSIFICATION STANDARD
(NAICS):
SMALL BUSINESS
602-364-5263JEREMIAH MURRELL
08/21/2024 (No collect calls)
INFORMATION CALL:
FOR SOLICITATION 8. OFFER DUE DATE/LOCAL TIMEb. TELEPHONE NUMBERa. NAME
4. ORDER NUMBER3. AWARD/ 6. SOLICITATION 5. SOLICITATION NUMBER
SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS 1. REQUISITION NUMBER PAGE OF
1 40 IHS1496048OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30
TELEPHONE NO.
OVERTON NV 89040
PO BOX 365
AARON MCCOMBS ;PO BOX 365
MOAPA VALLEY TELEPHONE COMPANY INC 1427508
17a. CONTRACTOR/
Moapa Nevada 89025 10 Lincoln Street Irene Benn Medical Center
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.
75H71224C00016
2. CONTRACT NO.
EFFECTIVE DATE
1,500
18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW
ISSUE DATE
DELIVERY FOR FREE ON BOARD
(FOB) DESTINATION UNLESS
BLOCK IS MARKED
11.
SEE SCHEDULEX
12. DISCOUNT TERMS
HHS NET 30P
THIS CONTRACT IS A RATED
ORDER UNDER THE DEFENSE
PRIORITIES AND ALLOCATIONS
SYSTEM - DPAS (15 CFR 700)
13a.
SERVICE-DISABLED
VETERAN-OWNED
SMALL BUSINESS
(SDVOSB)
HUBZONE SMALL
BUSINESS
8(A)
Phoenix Area Indian Health Service
WOMEN-OWNED SMALL
BUSINESS (WOSB)
ECONOMICALLY DISADVANTAGED
WOMEN-OWNED SMALL
BUSINESS (EDWOSB)
24.
AMOUNT
23.
UNIT PRICE
22.
UNIT
21.
QUANTITY
20.
SCHEDULE OF SUPPLIES/SERVICES
19.
ITEM NO.
UEI: EC32P4LXG6R3
Moapa Valley Telephone Company - Telephone Services for Irene Benn Medical Center - Base plus four (4) option years.
Appr. Yr.: 2024 CAN: J40GC4M Object Class: 23305 Period of Performance: 01/01/2025 to 12/31/2025
1 Base Year Telephone Services for Irene Benn 3,057.72 Medical Center - Moapa NV Continued ...
(Use Reverse and/or Attach Additional Sheets as Necessary)
$3,057.72
HEREIN, IS ACCEPTED AS TO ITEMS:
X
XX
DATED
ORLANDO GUERRERO
. 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 (FEDERAL ACQUISITION REGULATION) FAR 52.212-1, 52.212-4. FAR 52.212-3
AND 52.212-5 ARE ATTACHED. ADDENDA
26. TOTAL AWARD AMOUNT (For Government Use Only)
OFFER
STANDARD FORM 1449 (REV. 11/2021)
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
2024.J40GC4M.23305
29. AWARD OF CONTRACT: REFERENCE
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. 11/2021) BACK
24.
AMOUNT
23.
UNIT PRICE
22.
UNIT
21.
QUANTITY
20.
SCHEDULE OF SUPPLIES/SERVICES
19.
ITEM NO.
Period of Performance: 01/01/2025 through
12/31/2025
SIP/ISDN Line Port Charge | Unit Price $23.51 |
Qt 1 | Total $23.51
12-Line SIP Trunk | Unit Price $120.00 | Qt 1 |
Total $120.00
DID Numbers | Unit Price $0.50 | Qt 20 | Total
$10.00
Business End User Access Charge | Unit Price
$46.00 | Qt 1 | Total $46.00
Business ARC | Unit Price $15.00 | Qt 1 | Total
$15.00
Service for the Speech or Hearing Impaired | Unit
Price 0.30 | Total $0.30
Government Surcharge | Unit Price $40.00 | Total
$40.00
Monthly Total: $254.81 | Annual Total $3,057.72
Obligated Amount: $3,057.72
2 Option Year 1 Telephone Services for Irene Benn 0.00
Medical Center - Moapa NV
Period of Performance: 01/01/2026 through
12/31/2026
SIP/ISDN Line Port Charge | Unit Price $23.51 |
Qt 1 | Total $23.51
12-Line SIP Trunk | Unit Price $120.00 | Qt 1 |
Total $120.00
Continued ...
32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE
32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE
40 2 of
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
NAME OF OFFEROR OR CONTRACTOR
3 40
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
MOAPA VALLEY TELEPHONE COMPANY INC 1427508
(A) (B) (C) (D) (E) (F)
75H71224C00016
DID Numbers | Unit Price $0.50 | Qt 20 | Total
$10.00
Business End User Access Charge | Unit Price
$46.00 | Qt 1 | Total $46.00
Business ARC | Unit Price $15.00 | Qt 1 | Total
$15.00
Government Surcharge | Unit Price $40.00 | Total
$40.00
Monthly Total: $254.81 | Annual Total $3,057.72
Obligated Amount: $0.00
3 Option Year 2 Telephone Services for Irene Benn 0.00
Medical Center - Moapa NV
Period of Performance: 01/01/2027 through
12/31/2027
SIP/ISDN Line Port Charge | Unit Price $23.51 |
Qt 1 | Total $23.51
12-Line SIP Trunk | Unit Price $120.00 | Qt 1 |
Total $120.00
DID Numbers | Unit Price $0.50 | Qt 20 | Total
$10.00
Business End User Access Charge | Unit Price
$46.00 | Qt 1 | Total $46.00
Business ARC | Unit Price $15.00 | Qt 1 | Total
$15.00
Service for the Speech or Hearing Impaired | Unit
Price 0.30 | Total $0.30
Government Surcharge | Unit Price $40.00 | Total
$40.00
Monthly Total: $254.81 | Annual Total $3,057.72
Obligated Amount: $0.00
4 Option Year 3 Telephone Services for Irene Benn 0.00
Medical Center - Moapa NV
Period of Performance: 01/01/2028 through
12/31/2028
SIP/ISDN Line Port Charge | Unit Price $23.51 |
Qt 1 | Total $23.51
12-Line SIP Trunk | Unit Price $120.00 | Qt 1 |
Total $120.00
DID Numbers | Unit Price $0.50 | Qt 20 | Total
$10.00
Business End User Access Charge | Unit Price
$46.00 | Qt 1 | Total $46.00
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 40
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
MOAPA VALLEY TELEPHONE COMPANY INC 1427508
(A) (B) (C) (D) (E) (F)
75H71224C00016
Business ARC | Unit Price $15.00 | Qt 1 | Total
$15.00
Service for the Speech or Hearing Impaired | Unit
Price 0.30 | Total $0.30
Government Surcharge | Unit Price $40.00 | Total
$40.00
Monthly Total: $254.81 | Annual Total $3,057.72
Obligated Amount: $0.00
5 Option Year 4 Telephone Services for Irene Benn 0.00
Medical Center - Moapa NV
Period of Performance: 01/01/2029 through
12/31/2029
SIP/ISDN Line Port Charge | Unit Price $23.51 |
Qt 1 | Total $23.51
12-Line SIP Trunk | Unit Price $120.00 | Qt 1 |
Total $120.00
DID Numbers | Unit Price $0.50 | Qt 20 | Total
$10.00
Business End User Access Charge | Unit Price
$46.00 | Qt 1 | Total $46.00
Business ARC | Unit Price $15.00 | Qt 1 | Total
$15.00
Service for the Speech or Hearing Impaired | Unit
Price 0.30 | Total $0.30
Government Surcharge | Unit Price $40.00 | Total
$40.00
Monthly Total: $254.81 | Annual Total $3,057.72
Obligated Amount: $0.00
The total amount of award: $15,288.60. The obligation for this award is shown in box 26.
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
Sponsored by GSA
FAR (48 CFR) 53.110
File details come from the government source that posted it. Updated .