75H71224C00021 ES.pdf

PDF 240 KB Posted Aug 15, 2024

Attached to: Intent to Sole Source: Supai Internet
Solicitation number: 75H71224C00021
Issued by: Department of Health and Human Services Indian Health Service

About this file

Written by GovTribe AI · Aug 15, 2024

This document is a Solicitation/Contract/Order for Commercial Items related to a federal contract opportunity for internet services at the Supai Health Station. The Indian Health Service (IHS) requires increased internet capabilities to support patient care and telehealth services at this location. The contract was awarded to JC CULLEN INC. for a total of $127,700.00 over a 5-year period, with a base year and four option years. The contract provides for 50Mbps dedicated internet access via 23Ghz microwave, along with network monitoring and maintenance. The period of performance is from July 13, 2024 through July 12, 2029. This was a small business set-aside opportunity, issued by the IHS Phoenix Area office.

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Other files

File	Type	Posted
Attachment 2 - Terms and Conditions.pdf	PDF	Aug 15, 2024
Attachment 3 - Price Schedule.pdf	PDF	Aug 15, 2024
Attachment 1 - Supai Internet SOW.pdf	PDF	Aug 15, 2024

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IHSPHOENIX

PHOENIX AZ 85004

40 NORTH CENTRAL AVENUE

2 RENAISSANCE SQUARE

SUITE 512 ATTN: FINANCIAL MANAGEME

IHSPHOENIX

928-7744621

1584513

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

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

(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 31IHS1496093OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

TELEPHONE NO.

FLAGSTAFF AZ 86004

1602 NORTH EAST STREET

JOHN LINDSEY ;1602 NORTH EAST STREET

JC CULLEN INC 1584513

17a. CONTRACTOR/

Multiple Destinations

15. DELIVER TO

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

9. ISSUED BY

75H71224C00021

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: YGC9GNS16DL1

CRSU Supai Health Station VEN JC Cullen Inc CAT Services TYPE New Base with 4 OY SPOP 13JUL24 EPOP 12JUL25 TPOC Jaylynn Saavedra Period of Performance: 07/13/2024 to 07/12/2025

1 Base Year Yearly Billing - 50Mbps dedicated 25,540.00 Internet Access via 23Ghz Microwave at Supai Health Station, with Continued ...

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

$25,540.00

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

See schedule

29. AWARD OF CONTRACT: REFERENCE

7/12/2024

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.

network monitoring and maintenance, not to include expenses to access the facilities when required Supai Health

Station Internet Access

Yearly Billing Service

SPOP 13JUL24

EPOP 12JUL25

Obligated Amount: $25,540.00

Delivery: 07/12/2025

Delivery Location Code: IHSSUPAICLINIC

SUPAI CLINIC

12033 AGENCY RD

PARKER AZ 85344 US

Amount: $25,540.00

Accounting Info:

2024.J40P27C.23379 Appr. Yr.: 2024 CAN: J40P27C

Object Class: 23379

Funded: $25,540.00

2 Option Year One Yearly Billing - 50Mbps dedicated 0.00

Internet Access via

23Ghz Microwave at Supai Health Station, with network monitoring and maintenance, not to include expenses to access the facilities when required for continued

Continued ...

32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

31 2 of

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

3 31

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

JC CULLEN INC 1584513

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

75H71224C00021 service coverage IAW SOW

PoP 7/13/2025 through 7/12/2026

Amount: $25,540.00(Option Line Item)

06/13/2025

Delivery: 07/12/2026

Delivery Location Code: IHSSUPAICLINIC

IHSSUPAICLINIC

12033 AGENCY RD

PARKER AZ 85344 US

Amount: $25,540.00

Accounting Info:

00000000.00

Funded: $0.00

3 Option Year Two Yearly Billing - 50Mbps dedicated 0.00

Internet Access via

23Ghz Microwave at Supai Health Station, with network monitoring and maintenance, not to include expenses to access the facilities when required for continued service coverage IAW SOW

PoP 7/13/2026 through 7/12/2027

Amount: $25,540.00(Option Line Item)

06/13/2026

Delivery: 07/12/2027

Delivery Location Code: IHSSUPAICLINIC

IHSSUPAICLINIC

12033 AGENCY RD

PARKER AZ 85344 US

Amount: $25,540.00

4 Option Year Three Yearly Billing - 50Mbps 0.00 dedicated Internet Access via

23Ghz Microwave at Supai Health Station, with network monitoring and maintenance, not to include expenses to access the facilities when required for continued service coverage IAW SOW

PoP 7/13/2027 through 7/12/2028

Amount: $25,540.00(Option Line Item)

06/13/2027

Delivery: 07/12/2028

Continued ...

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

Sponsored by GSA

FAR (48 CFR) 53.110

PAGE:
31:
4 ORDER NUMBER:
5 SOLICITATION NUMBER:
6 SOLICITATION ISSUE DATE:
6023645263:
8 OFFER DUE DATELOCAL TIME:
CODE 9 ISSUED BY:
10:
SET ASIDE: Off
Phoenix AZ 850044450 Suite 507 Attn Division of Acquisition Mgmt Two Renaissance Square 40 North Central Ave Phoenix Area Indian Health Service:
SMALL BUSINESS: Off
HUBZONE SMALL: Off
SERVICEDISABLED: Off
BUSINESS WOSB: Off
ECONOMICALLY DISADVANTAGED:
8A: Off
12 DISCOUNT TERMS HHS NET 30P:
13b RATING:
ORDER UNDER THE DEFENSE:
REQUEST FOR:
INVITATION:
PROPOSAL:
16 ADMINISTERED BY:
10_2:
Multiple Destinations:
1584513:
IHSPHOENIX:
17b CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER:
undefined: Off
SEE ADDENDUM: Off
1:
21 QUANTITYUEI YGC9GNS16DL1 CRSU Supai Health Station VEN JC Cullen Inc CAT Services TYPE New Base with 4 OY SPOP 13JUL24 EPOP 12JUL25 TPOC Jaylynn Saavedra Period of Performance 07132024 to 07122025 Base Year Yearly Billing 50Mbps dedicated Internet Access via 23Ghz Microwave at Supai Health Station with Continued Use Reverse andor Attach Additional Sheets as Necessary:
22 UNITUEI YGC9GNS16DL1 CRSU Supai Health Station VEN JC Cullen Inc CAT Services TYPE New Base with 4 OY SPOP 13JUL24 EPOP 12JUL25 TPOC Jaylynn Saavedra Period of Performance 07132024 to 07122025 Base Year Yearly Billing 50Mbps dedicated Internet Access via 23Ghz Microwave at Supai Health Station with Continued Use Reverse andor Attach Additional Sheets as Necessary:
23 UNIT PRICEUEI YGC9GNS16DL1 CRSU Supai Health Station VEN JC Cullen Inc CAT Services TYPE New Base with 4 OY SPOP 13JUL24 EPOP 12JUL25 TPOC Jaylynn Saavedra Period of Performance 07132024 to 07122025 Base Year Yearly Billing 50Mbps dedicated Internet Access via 23Ghz Microwave at Supai Health Station with Continued Use Reverse andor Attach Additional Sheets as Necessary:
26 TOTAL AWARD AMOUNT For Government Use Only:
27a SOLICITATION INCORPORATES BY REFERENCE FEDERAL ACQUISITION REGULATION FAR 522121 522124 FAR 522123: Off
ARE: Off
ARE NOT ATTACHED: Off
27b CONTRACTPURCHASE ORDER INCORPORATES BY REFERENCE FAR 522124 FAR 522125 IS ATTACHED: Off
ARE_2: Off
ARE NOT ATTACHED_2: Off
28 CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN: Off
COPIES TO ISSUING OFFICE CONTRACTOR AGREES TO FURNISH AND DELIVER:
29 AWARD OF CONTRACT REFERENCE: Off
YOUR OFFER ON SOLICITATION BLOCK 5:
INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE SET FORTH:
30a SIGNATURE OF OFFERORCONTRACTOR:
31a UNITED STATES OF AMERICA SIGNATURE OF CONTRACTING OFFICER:
30b NAME AND TITLE OF SIGNER Type or print:
31c DATE SIGNED:
QUANTITY:
UNIT:
UNIT PRICE:
RECEIVED: Off
INSPECTED: Off
ACCEPTED AND CONFORMS TO THE CONTRACT EXCEPT AS NOTED: Off
undefined_2:
32b SIGNATURE OF AUTHORIZED GOVERNMENT REPRESENTATIVE:
32c DATE:
32d PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE:
32e MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE:
32f TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE:
32g EMAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE:
33 SHIP NUMBER:
PARTIAL: Off
FINAL: Off
34 VOUCHER NUMBER:
35 AMOUNT VERIFIED CORRECT FOR:
COMPLETE: Off
PARTIAL_2: Off
FINAL_2: Off
37 CHECK NUMBER:
38 SR ACCOUNT NUMBER:
39 SR VOUCHER NUMBER:
40 PAID BY:
42a RECEIVED BY Print:
42b RECEIVED AT Location:
42c DATE RECD YYMMDD:
42d TOTAL CONTAINERS:
ITEM NO A:
Delivery 07122028 Continued:
	2024-08-14T12:51:01-0600
Orlando Guerrero -S

File details come from the government source that posted it. Updated Aug 15, 2024.