ATTACHMENT 03 Submission Instructions.pdf

ATTACHMENT 03

Submission Instructions

Arizona Army National Guard

Dental Services

Solicitation #PANNGB-25-P-0000 027363

4 pages

4 September 2025

USPFO for Arizona

USPFO AZ | Submission Instructions The following document is prepared for:

Arizona Army National Guard Dental Services:

(1) ELIGIBILITY FOR AWARD:

A. Offerors must have a current registration in the System for Award

Management (SAM) at https://www.sam.gov as of the date of award determination to be eligible for award. Offeror must maintain a current registration in SAM for the entire duration of the contract in order to eligible for disbursement of payments.

Offeror shall ensure all representations and certifications are current in SAM as a condition of award.

(2) SOCIO-ECENOMIC SET-ASIDE:

A. Any awards resulting from this solicitation will be made using a cascading set-aside order of precedence as follows:

B. In accordance with FAR Subpart 19.502-2 Total Small Business

Set-Aside Procedures, any awards under this solicitation will be made on a competitive basis first to small business concerns in accordance with FAR 19.502-2.

C. If there are no acceptable offers from small business concerns for a specific locality, the set-aside shall be withdrawn and the requirement, if still valid, will be made on the basis of full and open competition considering all offers submitted by responsible business concerns.

(3) EVALUATION:

The Government intends to award a contract resulting from this solicitation to the responsible offeror (as determined within the meaning of FAR Part 9, paragraph 9.104), whose offer conforms to the solicitation and is determined to be the most advantageous solution to the Government, price and other factors considered. At minimum, the vendor must provide pricing in accordance with the instructions outlined in this solicitation. The vendor that provides the lowest price that can be determined both "fair and reasonable" and "realistic" by the Contracting Officer may be given additional consideration for awardee selection. However, the Government is under no obligation to do so. During the evaluation process the

Contracting Officer will determine a "Total Evaluated Price" (TEP) for each responsive proposal. The TEP is determined by totaling the amount of all line items identified in the offerors’ proposal. For the purposes of this evaluation, a price deemed too high while conducting the evaluation of the quote in accordance with FAR 13.106-3 are not considered "fair and reasonable".

The Government has the right to award without any discussions.

(a)The following factors shall be used to evaluate offers:

(i)Price - The price will be evaluated by the lowest aggregate sum of the items including any additional charges, etc. (Proposal must be all inclusive)

(ii)Technical Capability/Acceptability - Technical capability is equal to price.

For the purposes of this evaluation, a vendors proposal that is not consistence with market pricing may reflect a lack of understanding of the contract requirement or displays an undue risk inherent in the vendors approach may not be considered "realistic" unless the vendor can provide documentation showing their ability provide or meet the requirement.

(4) PRICING SUBMISSION:

A. Narratives are not required for this solicitation. Please fill in the following chart to allow for side-by-side comparison of offers.

Please be sure to include maximum discounts as part of pricing below, along with foreseen variations in pricing.

B. Prices submitted will be used for evaluation in determining eligibility for receipt of possible Award. The contractor shall provide all personnel, equipment, tools, materials, supervision, and quality control necessary to provide medium and heavy equipment maintenance services as outlined in this solicitation. If interested, this document shall be filled out with pricing and forwarded to christopher.l.rogers.mil@army.mil

TECHNICAL EXHIBIT 2: Estimated Workload Data The chart below represents the estimated procedures to be completed in a 12 month period of performance. (approximately 160 patients).

Quantity ADA Code

Procedure Description

3 D0140 LIMITED ORAL EVALUATION

1 D0220 Intraoral- Periapical First Film 1 D0230 30; Intraoral- Periapical Each Additional Film 1 D1110 Prophylaxis-Adult 21 D2140 AMALGAM-One Surface 39 D2150 Amalgam-Two Surfaces 15 D2160 Amalgam-Three Surfaces 2 D2161 Amalgam-Four or more Surfaces 13 D2330 Resin Based Composite-One Surface 8 D2331 Resin Based Composit-Two Surfaces 5 D2332 Resin Based Composite-Three Surfaces 9 D2335 Resin Based Composite-Four or more Surfaces 6 D2391 Resin Based Composite-One Surface 20 D2392 Resin Based Composite-Two Surfaces 11 D2393 Resin-3 surfaces, posterior 6 D2394 Resin Based Composite-Four or more Surfaces 2 D2740 Crown-porcelin/cermanic 2 D2750 Crown-Porcelin Fused to High Noble Metal;

Surfaces 6 D2931 Prefabricated Stainless Steel Crown- Permanent

Tooth 38 D2950 Core buildup [including any pins] 1 D2952 Cast Post and Core in Addition to Crown 4 D3120 Pulp Cap-Indirect [Excluding Final Restoration] 2 D3310 Anterior Root Canal Therapy 4 D3320 Bicuspid Root Canal Therapy 13 D3330 Molar Root Canal Therapy 1 D3347 Bicuspid Root Canal Retreatment 5 D3348 Molar Root Canal Retreatment 1 D4212 Gingivectomy or gingivoplasty to allow for restorative procedure per tooth 5 D4355 Full Mouth Debridement 15 D7140 Extraction[Erupted Tooth or Exposed Root]

41 D7210 SURGICAL REMOVAL OF ERUPTED TOOTH

23 D7230 Removal of Impacted Tooth-Partial Bony 6 D7240 Removal of Impacted Tooth-Completely Bony;

Symptomatic

1 D7250 SURGICAL REMOVAL OF RESIDUAL TOOTH

ROOTS

Price Total

TOTAL PRICE_____________