75H71225P00006 ES.pdf
PDF 400 KB Posted
- Attached to
- Nurse Triage Telephone Line Federal contract opportunity
- Solicitation number
- RFQ-25-PHX-001
About this file
This is a signed SF1449 Contract Award document for nurse triage telephone services awarded to FoneMed LLC by the Phoenix Area Indian Health Service. The contract (75H71225P00006) provides nurse triage toll-free telephone operator services and systems for the Whiteriver Service Unit, with a base period from 12/1/2024 through 11/30/2025 and four one-year option periods extending through 11/30/2029.
The base year value is $37,800 for an estimated 1,200 calls at $31.50 per call ($3,150 monthly). Option year pricing increases annually: Year 1 at $32.45 per call ($38,940 total), Year 2 at $33.25 per call ($39,900 total), Year 3 at $34.10 per call ($40,920 total), and Year 4 at $34.95 per call ($41,940 total). The total potential contract value including all options is $199,500. The NAICS code is 621999 with a $20.5M size standard. The contract includes a Business Associates Agreement, tax exemption documentation, Performance Work Statement, and standard terms and conditions as attachments.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Atch B - Business Association Agreement (BAA).pdf | ||
| Atch D - Performance Work Statement 5 pgs.pdf | ||
| Atch C - 2024 Tax Exemption 3 pgs.pdf | ||
| Atch A - Rate Schedule.xlsx | XLSX spreadsheet |
On GovTribe
Work with this file on GovTribe
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
IHSPHOENIX
PHOENIX AZ 85004
40 NORTH CENTRAL AVENUE
2 RENAISSANCE SQUARE
SUITE 512 ATTN: FINANCIAL MANAGEME
IHSPHOENIX
805-6678205
316228
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
IHSWHITERIVER CODE 16. ADMINISTERED BYCODE
X
X
621999
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
75H71225P0000610/31/2024 (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 26 OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30
TELEPHONE NO.
VENTURA CA 93001
UNIT A
3 LINCOLN DR
FONEMED LLC 3 LINCOLN DR
FONEMED LLC 316228
17a. CONTRACTOR/
WHITERIVER AZ 85941
P.O. BOX 860, 400 W. APACHE DR
IHSWHITERIVER
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
$20.5
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: TYR6HV2VJM97
Nurse Triage Toll-free telephone operator and system for Whiteriver Service Unit IAW Attachment D: Performance Work Statement.
Assigned Contracting Officer Representative
(COR):
Kimberly Guy | kimberly.guy@ihs.gov | 928-338-4911
List of Attachments:
1. Attachment A: Rate Schedule 1 page
(Use Reverse and/or Attach Additional Sheets as Necessary)
$37,800.00
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
00000000.00
29. AWARD OF CONTRACT: REFERENCE
Docusign Envelope ID: 95AC124D-7444-4826-BBE8-09071A5829AB
Isabel Attigliato 11/13/2024Contracts Specialist
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.
2. Attachment B: Business Associations Agreement
(BAA) 3 pages
3. Attachment C: Tax Exemption Letter 3 pages
4. Attachment D: Performance Work Statement (PWS)
5 pages
5. Attachment H: Clauses and Terms 11 pages
Period of Performance: 12/01/2024 to 11/30/2025
1 Base Year Nurse Triage Telephone System and 37,800.00
Service
PoP 12/01/2024 through 11/30/2025
Number of Calls: 1,200
Price per call: $31.50
Monthly Total: $3,150.00
Base year total: $37,800.00
Delivery: 11/30/2025
2 Option Year 1 Nurse Triage Telephone System and 0.00
Service
PoP 12/01/2025 through 11/30/2026
Number of Calls: 1,200
Price per call: $32.45
Monthly Total: $3,245.00
Base year total: $38,940.00
Amount: $38,940.00(Option Line Item)
11/01/2025
Delivery: 11/30/2026
Continued ...
32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE
32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE
26 2 of
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
NAME OF OFFEROR OR CONTRACTOR
3 26
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
FONEMED LLC 316228
(A) (B) (C) (D) (E) (F)
75H71225P00006
Period of Performance: 12/01/2025 to 11/30/2026
3 Option Year 2 Nurse Triage Telephone System and 0.00
Service
PoP 12/01/2026 through 11/30/2027
Number of Calls: 1,200
Price per call: $33.25
Monthly Total: $3,325.00
Base year total: $39,900.00
Amount: $39,900.00(Option Line Item)
11/01/2026
Delivery: 11/30/2027
Period of Performance: 12/01/2026 to 11/30/2027
4 Option Year 3 Nurse Triage Telephone System and 0.00
Service
PoP 12/01/2027 through 11/30/2028
Number of Calls: 1,200
Price per call: $34.10
Monthly Total: $3,410.00
Base year total: $40,920.00
Amount: $40,920.00(Option Line Item)
11/01/2027
Delivery: 11/30/2028
Period of Performance: 12/01/2027 to 11/30/2028
5 Option Year 4 Nurse Triage Telephone System and 0.00
Service
PoP 12/01/2028 through 11/30/2029
Number of Calls: 1,200
Price per call: $34.95
Monthly Total: $3,495.00
Base year total: $41,940.00
Amount: $41,940.00(Option Line Item)
11/01/2028
Delivery: 11/30/2029
Period of Performance: 12/01/2028 to 11/30/2029
The total amount of award: $199,500.00. 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
| 2024-11-13T14:29:02-0800 | |
| Digitally verifiable PDF exported from www.docusign.com |
| 2024-11-18T14:55:58-0700 | |
| Orlando Guerrero -S |
File details come from the government source that posted it. Updated .