75H71224C00017 FINAL.pdf

PDF 188 KB Posted Jul 30, 2024

Attached to: Evidence-Based Software Federal contract opportunity
Solicitation number: 75H71224C00017
Issued by: Department of Health and Human Services Indian Health Service

About this file

Written by GovTribe AI · Jul 30, 2024

This document is a Solicitation/Contract/Order for Commercial Items (Standard Form 1449) for a contract awarded by the Indian Health Service (Department of Health and Human Services) to MCG Health, LLC for an evidence-based clinical decision support subscription for the Phoenix Indian Medical Center (PIMC) and Winslow Regional Service Unit (WRSU).

The contract has a base year from 8/1/2024 to 7/31/2025 for $116,087.36, with four one-year option periods through 7/31/2029 for a total award of $604,123.27. The services required are an easy-to-use, site-hosted, evidence-based clinical criteria software to support hospital utilization review processes at PIMC. The contract was awarded on 7/30/2024 under solicitation number 75H71224C00017. There are no set-aside requirements indicated.

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Other files for this federal contract opportunity

Other files attached to Evidence-Based Software, newest first.
File	Type	Posted
Attachment 4 - SOW.pdf	PDF	Jul 30, 2024
Attachment 2 - Clauses.pdf	PDF	Jul 30, 2024
Attachment 1 - Price Schedule.pdf	PDF	Jul 30, 2024
Attachment 3 - Tax Exemption Letter.pdf	PDF	Jul 30, 2024
Attachment 5 - IHS BAA.pdf	PDF	Jul 30, 2024

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IHSPHOENIX

PHOENIX AZ 85004

40 NORTH CENTRAL AVENUE

2 RENAISSANCE SQUARE

SUITE 512 ATTN: FINANCIAL MANAGEME

IHSPHOENIX

602-4188439

1045398

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

IHSPIMCUNIT CODE 16. ADMINISTERED BYCODE

541511

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

07/29/2024 (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 37IHS1499436OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

TELEPHONE NO.

SEATTLE WA 98104

SUITE 4900

701 FIFTH AVENUE

DONNA BAKER-MILLER ;701 FIFTH AVENUE

MCG HEALTH, LLC 1045398

17a. CONTRACTOR/

PHOENIX AZ 85016

4212 N. 16TH St, BLDG 9 Phoenix Indian Medical Center

PIMC SERVICE UNIT

15. DELIVER TO

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

9. ISSUED BY

75H71224C00017

2. CONTRACT NO.

EFFECTIVE DATE

$34

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: QG13FYK3WBF3

Evidence-based Clinical Decision Support for PIMC and WRSU.

Base Plus four (4) Option Years Base Year: $116,087.36 | 8/1/2024 through 7/31/2025 Option Year 1: $118,409.10 | 8/1/2025 through 7/31/2026 Option Year 2: $120,777.29 | 8/1/2026 through 7/31/2027 Option Year 3: $123,192.83 | 8/1/2027 through

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

$116,087.36

HEREIN, IS ACCEPTED AS TO ITEMS:

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

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.

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.J40T062.25725

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.

7/31/2028

Option Year 4: $125,656.69 | 8/1/2028 through

7/31/2029

Total Award: $604,123.27

Appr. Yr.: 2024 CAN: J40T062 Object Class: 25725

Period of Performance: 08/01/2024 to 07/31/2025

1 Base Year Evidence-based Clinical Decision 116,087.36

Support Subscription

POP 8/01/24 through 7/31/25

PIMC & WRSU

Obligated Amount: $116,087.36

Delivery: 08/01/2024

2 Option Year 1 Evidence-based Clinical Decision 0.00

Support Subscription

POP 8/01/25 through 7/31/26

PIMC & WRSU

Amount: $118,409.10(Option Line Item)

07/01/2025

Delivery: 08/01/2025

Continued ...

32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

37 2 of

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

3 37

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

MCG HEALTH, LLC 1045398

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

75H71224C00017

3 Option Year 2 Evidence-based Clinical Decision 0.00

Support Subscription

POP 8/01/26 through 7/31/27

PIMC & WRSU

Amount: $120,777.29(Option Line Item)

07/01/2026

Delivery: 08/01/2026

4 Option Year 3 Evidence-based Clinical Decision 0.00

Support Subscription

POP 8/01/27 through 7/31/28

PIMC & WRSU

Amount: $123,192.83(Option Line Item)

07/01/2027

Delivery: 08/01/2027

5 Option Year 4 Evidence-based Clinical Decision 0.00

Support Subscription

POP 8/01/28 through 7/31/29

PIMC & WRSU

Amount: $125,656.69(Option Line Item)

07/01/2028

Delivery: 08/01/2028

The total amount of award: $604,123.27. The obligation for this award is shown in box 26.

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

	2024-07-30T08:40:47-0600
Orlando Guerrero -S