75H71524Q00005.pdf
PDF 99 KB Posted
- Attached to
- Catawba Service Unit Podiatry Services
- Solicitation number
- 75H71524Q00005
About this file
This document is a Request for Proposal (RFP) for Catawba Service Unit Podiatry Services, solicitation number 75H71524Q00005. The Department of Health and Human Services, Indian Health Service has a requirement for a contractor to provide onsite diabetic foot exams, basic podiatry services, and issue diabetic shoes/orthotics and inserts to patients of the Catawba Service Unit. The work will be performed at the Indian Health Service Catawba Service Unit. The contract will be a single award Cost Reimbursement Cost-plus-fixed-fee (CPFF) type. Proposals are due by June 18, 2024 at 5:00 pm Eastern Time. The North American Industry Classification (NAICS) code for this requirement is 621391. Contractors must be registered in the System for Award Management (SAM) prior to award. Invoices will be required to be submitted through the Invoice Processing Platform (IPP) system.
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Other files
| File | Type | Posted |
|---|---|---|
| 75H71524Q00005-0002.pdf | ||
| 75H71524Q00005-0001.pdf | ||
| Instructions to Offerors-corrected.docx | DOCX document | |
| SOW Podiatry Services Revised.docx | DOCX document | |
| Instructions to Offerors (3).docx | DOCX document | |
| TERMS_and CONDITIONS -75H71524Q00005-SOL.docx | DOCX document | |
| IHS - Business Associate Agreement-PODIATRY SERVICES.pdf | ||
| 15-4423.txt | TXT text file | |
| Price Schedule (2).docx | DOCX document |
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Text version
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
Tucson AZ 85746 7900 S. J Stock Road Tucson Area Office
IHSROCKHILL CODE 16. ADMINISTERED BYCODE
X
X
X
621391
SIZE STANDARD:
% FOR:SET ASIDE:UNRESTRICTED OR139
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
06/18/2024 1700 ET
05/21/2024
520-295-2445MICHAEL THORNE
(No collect calls)
INFORMATION CALL:
FOR SOLICITATION 8. OFFER DUE DATE/LOCAL TIMEb. TELEPHONE NUMBER a. NAME
4. ORDER NUMBER3. AWARD/ 6. SOLICITATION
75H71524Q00005
5. SOLICITATION NUMBER
SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS 1. REQUISITION NUMBER PAGE OF
1 2 IHS1489190OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30
TELEPHONE NO.
17a. CONTRACTOR/
ROCK HILL SC 29730
2893 STURGIS ROAD
CATAWBA HEALTH CENTER
ROCK HILL
15. DELIVER TO
Nashville TN 37214 711 Stewarts Ferry Pike
9. ISSUED BY
7.
2. CONTRACT NO.
EFFECTIVE DATE
$9
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 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)
Nashville Area Office
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.
The Contractor will be providing onsite diabetic foot exams, basic podiatry services, and issuing diabetic shoes/orthotics and inserts to patients of the Indian Health Service Catawba Service Unit. See SOW for more detailed information.
POC: Michael Thorne, 520-295-2445, michael.thorne@ihs.gov Delivery: 07/01/2024
Continued ...
(Use Reverse and/or Attach Additional Sheets as Necessary)
HEREIN, IS ACCEPTED AS TO ITEMS:
X
XX
DATED
SUSAN M. PROTHO
. 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
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.
1 Podiatry Service for the Catawba Service Unit
32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE
32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE
2 2 of
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