COMBINED SYNOPSIS SOLICITATION.docx
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- WEWOKA IHS DENTAL SUPPLIES
- Solicitation number
- 242-23-Q-0115
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Combined Synopsis/Solicitation RFQ # 246-23-Q-0115
This is a combined synopsis/solicitation for commercial items prepared in accordance with the format in Federal Acquisition Regulation (FAR) Subpart 12.6, as supplemented with additional information included in this notice. This announcement constitutes the only solicitation; quotes are being requested in response to this notice and a written solicitation will NOT be issued. This solicitation is being issued as a Request for Quote (RFQ) # 246-23-Q-0115 to establish a competitive single award blanket purchase agreement for dental supplies. Submit only written quotes for this RFQ. This solicitation is a 100% BUY INDIAN Set Aside. This solicitation document and incorporated provisions and clauses are those in effect through Federal Acquisition Circular 2023-04. The associated NAICS code is 339114.
This RFQ contains One (1) Line Item:
| CLIN |
| DESCRIPTION |
| ITEMS |
| Base |
| 07/17/2023 – 07/16/2027 |
| SEE ATTACHMENT |
PERIOD OF PERFORMANCE: 07/17/2023 – 07/16/2027
The estimated value of the BPA is $240,000 over four years ($60,000 annually)
Vendor Requirements: SEE ATTACHED SPECIFICATIONS
Submit Quotes no later than: 06/23/2023 2:00p.m. CDT to the Following Point of Contact: Mary Ann Yocham, Contract Specialist, via Email: maryann.yocham@ihs.gov.
Evaluation: FAR 52.212-2 Evaluation -- Commercial Items (completed as follows):
(a) The Government will award a firm fixed price BPA resulting from this solicitation to the responsible offeror whose offer conforming to the solicitation will be most advantageous to the Government, price and other factors considered equally. The following factors shall be used to evaluate offers:
Best Value (see criteria below)
*Contractor’s ability to provide online ordering capabilities *Price (see attached pricing schedule) Pricing will be evaluated by multiplying the quantity of the individual items on the pricing scheduled and then adding all prices together for a cumulative price. Out years will be included in the price evaluation.
*Past Performance *Vendor must be registered through SAM.
VENDORS SHALL SUBMIT THE FOLLOWING:
COMPLETED PRICE SCHEDULE – MUST BE COMPLETED FOR CURRENT AND OUT YEARS
WEBSITE AND ORDERING PROCEDURES
3 PAST PERFORMANCE REFERENCES
VENDORS SUBMITTING OR EQUAL ITEMS MUST SUBMIT DESCRIPTITVE LITERATURE SHOWING HOW THEIR PRODUCT MEETS OR EXCEEDS THE REQUIREMENTS BEING SOLICITED
This solicitation will result in a firm fixed price BPA pursuant to the terms and conditions below. Terms and conditions other than those stated will not be accepted. The above pricing is all inclusive.
PROVISIONS: The following FAR provisions apply to this solicitation:
FAR 52.212-1, Instructions to Offeror- Commercial Items; FAR 52.212-3, Offeror Representations and Certifications- Commercial Items (the offeror should include a completed copy of this provision with their quote).
CLAUSES: The following FAR clauses apply to this solicitation:
FAR 52.212-4, Contract Terms and Conditions-Commercial Items (Oct 2018); FAR 52.212-5 (Mar 2020), Contract Terms and Conditions Required to Implement Statues or Executive Orders-Commercial Items (to include the following clauses sited): FAR 52.204-10, Reporting Executive Compensation and First-Tier Subcontract Awards; FAR 52.232-40, Providing Accelerated Payments to Small Business Subcontractors (Mar 2023); FAR 52.209-6, Protecting the Government's Interest When Subcontracting with Contractors Debarred, Suspended, or Proposed for Debarment; FAR 52.219-6, Notice of Total Small Business Set-Aside (Nov 2020); FAR 52.219-28, Post Award Small Business Program Representation (Mar 2023); FAR 52.222-3, Convict Labor; FAR 52.222-19, Child Labor-Cooperation with Authorities and Remedies; 52.222-21, Prohibition of Segregated Facilities; FAR 52.222-26, Equal Opportunity; FAR 52.222-35 Equal Opportunity for Veterans; FAR 52.222-36, Equal Opportunity for Workers with Disabilities; FAR 52.222-37 Employment Reports on Veterans; FAR 52.222-40, Notification of Employee Rights Under the National Labor Relations Act; FAR 52.222-50, Combating Trafficking in Persons; FAR 52.222-54, Employment Eligibility Verification (May 2022); FAR 52.223-18, Encouraging Contractor Policies to Ban text Messaging While Driving; FAR 52.225-1, Buy American Act--Supplies; FAR 52.225-3, Buy American-Free Trade Agreements-Israeli Trade Act (Dec 2022); FAR 52.225-5, Trade Agreements (Dec 2022); FAR 52.225-13, Restriction on Certain Foreign Purchases; FAR 52.232-33, Payment by Electronic Funds Transfer- System for Award Management; FAR 52.232-36, Payment by Third Party (May 2014); FAR 52.242-5, Payments to Small Business Subcontractors (Jan 2017); FAR 52.247-64, Preference for Privately Owned U.S. –Flag Commercial Vessels (Feb 2006). The above Provisions and Clauses may be obtained via internet at http://farsite.hill.af.mil.
Miscellaneous:
NO FAX QUOTATIONS
ELECTRONIC SUBMISSIONS – SUBMISSION VIA EMAIL IS THE ONLY ACCEPTABLE ELECTRONIC SUBMISSION. (maryann.yocham@ihs.gov)
All contractors must be registered in the System for Award Management database located at https://www.sam.gov/sam/ prior to any contract award. Please submit the following information with each quote: Vendor Name, Cage Code, EIN number, Tax Identification Number, Prompt Payment Terms, Delivery Time, GSA Contract Number (if applicable), Date quote expires, warranty, total price for each line item, total quote price, and technical documentation in sufficient detail to determine technical acceptability. Failure to provide sufficient technical detail may result in rejection of your quote.
WEWOKA IHS – DENTAL SUPPLIES PRICING SCHEDULE
| Manufacturer Part No. |
| Item |
| Quantity |
| Unit |
| Unit Price |
| Total |
| 453011 |
| A2 EQUIA FORTE HT REFILL 48ct |
| 36.00 |
| EA. |
| 10126 |
| OMNICHROMA UNIV COMPOSITE PLT-20x.2g |
| 32.00 |
| EA. |
| 013672 |
| G CEM ONE SYSTEM KIT |
| 9.00 |
| EA. |
| 009276 |
| G-PREMIO BOND UNIT DOSE |
| 18.00 |
| EA. |
| 965774 |
| NUPRO FREEDOM SLIM CONTRA SPIRAL-200ct |
| 11.00 |
| EA. |
| 09051960 |
| PROCARE DENT 10A LIQUID DETERGE |
| 10.00 |
| EA. |
| 999826 |
| STATUS BLUE AUTOMIX CANISTER, 8x50mL |
| 11.00 |
| EA. |
| T10 |
| T-10 TMS MINIM COMP KIT .021 |
| 6.00 |
| EA. |
| 666360 |
| A3 INTEGRITY REFILL |
| 6.00 |
| EA. |
| FV200 |
| EMBRACE VARNISH BUBBLE GUM |
| 6.00 |
| EA. |
| H00750 |
| HYGENIC N-L FLEXI DAM, MED PRPL, PK/20 |
| 18.00 |
| EA. |
| 77500-1 |
| BULK SEAL-TIGHT WHITE A/W SYR TIPS |
| 4.00 |
| EA. |
| 3DXR |
| 3DXR COMPOSI-TIGHT RETENTION RINGS 2/PK |
| 5.00 |
| EA. |
| 663016 |
| AUTOMATE III SHAFT ASSEMBLY |
| 8.00 |
| EA. |
| C847-016 |
| C847-016 KERR ROTARY DIAMONDS |
| 23.00 |
| EA. |
| 82009 |
| FITGRIP 30K THINSERT |
| 4.00 |
| EA. |
| 82003 |
| FITGRIP 30K FSI-PWR-100 |
| 4.00 |
| EA. |
| 82005 |
| FITGRIP 30K FSI-SLI-10S |
| 4.00 |
| EA. |
| 82008 |
| FITGRIP 30K FSI-SLI-1000 |
| 4.00 |
| EA. |
| 635105 |
| CAULK UNIDOSE GUN |
| 10.00 |
| EA. |
| 138110 |
| EXA ADVANCED HB FAST SET VALUE 8PK |
| 8.00 |
| EA. |
| EMSW |
| EMBRACE WETBOND P&F OFF-WHITE 4-1.2ml |
| 10.00 |
| EA. |
| 559909 |
| XCP-DS FIT COMPLETE KIT |
| 2.00 |
| EA. |
| 452500 |
| EQUIA FORTE COAT, 4ML/PK |
| 10.00 |
| EA. |
| 1969 |
| SURGIFOAM GELATIN SPONGE, 1x1x1cm |
| 4.00 |
| EA. |
| 37007 |
| MEDIUM SIMPLISHADE UNIDOSE, 20PK |
| 9.00 |
| EA. |
| 900143 |
| SLUGBUSTER STARTER |
| 4.00 |
| EA. |
| 908100 |
| 908100 SS PRIM ANTERIOR KIT |
| 1.00 |
| EA. |
| 3D-KSW-10 |
| COMPOSI TIGHT 3D XR STARTER+FW |
| 1.00 |
| EA. |
| 678-203 |
| HU-FRIEDY STRAIGHT HOW PLIERS |
| 4.00 |
| EA. |
| 360088 |
| LOLLICAINE BUBBLE GUM 120PK |
| 10.00 |
| EA. |
| R862F012FG |
| 862F012 FINE ALPEN DIAMOND |
| 12.00 |
| EA. |
| 012395 |
| A2 G-AENIAL BULK INJECTABLE 2mL SYR |
| 8.00 |
| EA. |
| 01-A1200 |
| SEPTOCAINE 1:200 4%ARTICAINE |
| 7.00 |
| EA. |
| 754798WW |
| ADHESE UNIVERSAL VIVAPEN SYSTEM KIT |
| 4.00 |
| EA. |
| 1006204CS |
| POSTERIOR T-LOC TRIPLE TRAYS |
| 15.00 |
| EA. |
| 666220 |
| A2 INTEGRITY REFILL |
| 2.00 |
| EA. |
| UPP-1015 |
| 10x15 VALUE POUCH BOX/200 |
| 8.00 |
| EA. |
| 3736 |
| 1-5/8X8 PINNACLE SENSOR COVER |
| 12.00 |
| EA. |
| 822-3864 |
| 23MM ANTERIOR ASST TWISTED FIL |
| 8.00 |
| EA. |
| 822-7864 |
| 27MM ANTERIOR ASST TWISTED FIL |
| 8.00 |
| EA. |
| 888PQ |
| 888PF VIT E FLOSSER W/FLUORIDE |
| 22.00 |
| EA. |
| 36441 |
| HARMONIZE A2 ENAMEL UNIDOSE 20-PACK |
| 4.00 |
| EA. |
| 36442 |
| HARMONIZE A3 ENAMEL UNIDOSE 20-PACK |
| 4.00 |
| EA. |
| 37006 |
| LIGHT SIMPLISHADE UNIDOSE, 20PK |
| 5.00 |
| EA. |
| 389506 |
| 7009 FG TF 10PK MIDWEST BUR |
| 4.00 |
| EA. |
| 610007 |
| IRM PACKAGE |
| 3.00 |
| EA. |
| S204S9E2 |
| 204S HF DE SCALER EE2 #9HDL |
| 12.00 |
| EA. |
| IMS-1229 |
| IMS ENZYMAX SPRAY GEL |
| 16.00 |
| EA. |
| 13-1025 |
| CAVICIDE 2-2.5 GALLON CASE |
| 3.00 |
| EA. |
| 5053PD12 |
| DISPOSABLE LINER, PEDO |
| 10.00 |
| EA. |
| DP18 |
| 18 COLLEGE HUFR PLIERS |
| 12.00 |
| EA. |
| 000-20416C |
| VINYL ZIPPERED POUCH 6x10in |
| 6.00 |
| EA. |
| 663002 |
| NARROW-REG AUTOMATRIX BANDS |
| 3.00 |
| EA. |
| 778-0326 |
| VINYL ZIPPER POUCH-CLEAR |
| 10.00 |
| EA. |
| 822-3866 |
| 23MM POSTERIOR ASST TWISTED FI |
| 6.00 |
| EA. |
| 19005 |
| 6mm WIDE BLUE PRO-MATRIX BANDS |
| 6.00 |
| EA. |
| CRGR |
| UNIVERSAL CROWN REMOVER |
| 2.00 |
| EA. |
| 9007073 |
| HEMODENT LIQUID NO/EPI 40CC |
| 6.00 |
| EA. |
| MGC |
| HF MOLT CHILD MOUTH GAG |
| 1.00 |
| EA. |
| 871PA |
| ULTRA TIGHT GO-BETWEENS PROXAB |
| 10.00 |
| EA. |
| 31973 |
| TEMPBOND NE UNIDOSE KIT |
| 4.00 |
| EA. |
| 6631211020 |
| ORAQIX ANESTHETIC 20-PACK |
| 2.00 |
| EA. |
| SSC-ULD5 |
| ULD5 HUFR SS CROWNS |
| 10.00 |
| EA. |
| 999797 |
| STATUS BLUE PINK 4:1 MIXING TIP |
| 6.00 |
| EA. |
| LLE |
| LIME-LITE ENHANCED CAVITY LINER 4x2g SYR |
| 4.00 |
| EA. |
| EXC61/62 |
| 61/62 DE HUFRIEDY EXCAVATOR |
| 12.00 |
| EA. |
| SM100 |
| BIC COMP-TIGHT SLICK BANDS |
| 2.00 |
| EA. |
| 2015335 |
| 700.9C 5-PK TWO-STRIPER DIAMONDS |
| 5.00 |
| EA. |
| GWBL |
| G-WEDGE SMALL BLUE |
| 2.00 |
| EA. |
| 559908 |
| XCP-DS FIT ENDO KIT |
| 2.00 |
| EA. |
| 1.009.5485 |
| DEXIS POSTERIOR SENSOR HOLDER |
| 12.00 |
| EA. |
| SM175 |
| MOL 5.5mm COMP-TIGHT SLICK BAN |
| 2.00 |
| EA. |
| 805012M |
| 0312M PREMIER SOLO DIAMONDS |
| 6.00 |
| EA. |
| 805016C |
| 0316C SOLO DIAMONDS |
| 6.00 |
| EA. |
| ERFB-S |
| ENDO RING FOAM REFILLS BLUE |
| 7.00 |
| EA. |
| 830R-012C |
| 830R-012C ADVANCE DISP DIAMONDS, 25PK |
| 8.00 |
| EA. |
| 9007091 |
| TRAXODENT VALUE PACK 25 SYR + 50 TIPS |
| 1.00 |
| EA. |
| 9007129 |
| RC-PREP SYRINGE KIT |
| 6.00 |
| EA. |
| 624065 |
| ENHANCE FINISH POINTS REF |
| 2.00 |
| EA. |
| DUR3 |
| DUR3 PRIM ION NI-CHRO CROWN |
| 5.00 |
| EA. |
| 138113 |
| EXA ADVANCED INJECT FAST SET VALUE 8PK |
| 2.00 |
| EA. |
| 37008 |
| DARK SIMPLISHADE UNIDOSE, 10PK |
| 4.00 |
| EA. |
| 2015144 |
| 290.4C TWO STRIPER DIAMONDS |
| 4.00 |
| EA. |
| 822-7866 |
| 27MM POSTERIOR ASST TWISTED FI |
| 4.00 |
| EA. |
| 20016 |
| XYLOCAINE 2% 1:100,000 W/EPHI |
| 4.00 |
| EA. |
| 471440 |
| KS5-031SC MIDWEST DIAMOND 5PK |
| 4.00 |
| EA. |
| 666280 |
| INTEGRITY MIX TIPS REFILL |
| 7.00 |
| EA. |
| 99167 |
| LIDOCAINE 2% EPI 1:100,000 COOK WAITE |
| 4.00 |
| EA. |
| 355547 |
| UVEX CLEANING TOWELETTES |
| 6.00 |
| EA. |
| 137030 |
| -SEE 528-0014-HB EXAFAST VALUE 8-PK |
| 2.00 |
| EA. |
| 004414 |
| GC CAPSULE ELONGATION TIPS 50PCS |
| 2.00 |
| EA. |
| SSC-ULD6 |
| ULD6 HUFR SS CROWNS |
| 7.00 |
| EA. |
| A10772 |
| ADVANCE 8+YRS YOUTH COLORS TBRUSH |
| 6.00 |
| EA. |
| 99184 |
| MARCAINE .5% 1:200,000 COOK-WAITE |
| 2.00 |
| EA. |
| N11VB |
| A2 FLOW-IT ALC VALUE PACK |
| 2.00 |
| EA. |
| 153148 |
| NDS INJECTION MIX TIPS PINK |
| 3.00 |
| EA. |
| 13-1150 |
| CAVIWIPES XL DISINFECTANT TOWELETTES |
| 12.00 |
| EA. |
| 37079 |
| 3.54x11.41 PEELVUE PRO STERILIZATION POUCH |
| 10.00 |
| EA. |
| 150100 |
| NDS INTRAORAL TIPS |
| 3.00 |
| EA. |
| 27047DX |
| ZONE AUTOMIX TEMP CEMENT |
| 4.00 |
| EA. |
| 788416 |
| CINNAMON/MINT CRS ASST KOLORZ PRO PASTE |
| 4.00 |
| EA. |
| 09052080 |
| PROCARE DENT 30P ACID NEUTRALI |
| 1.00 |
| EA. |
| 27039DX |
| ZONE TEMP CEMENT UNIT DOSE |
| 7.00 |
| EA. |
| 801012M |
| 801012M SOLO DIAMONDS |
| 4.00 |
| EA. |
| 77021 |
| A-STYLE SEAL-TIGHT ADAPTER |
| 10.00 |
| EA. |
| 822-0010 |
| .04-.12/25 ASST TF TPRD GUTTA |
| 6.00 |
| EA. |
| LLE3 |
| LIME-LITE ENHANCED 3mL/5g REFILL+20TIPS |
| 4.00 |
| EA. |
| 360107 |
| FLUORODOSE MELON 120PK |
| 2.00 |
| EA. |
| 360086 |
| MINT FLUORODOSE VARNISH 120ct |
| 2.00 |
| EA. |
| ADP-7513 |
| 7.5x13 ADVANCE BASIC POUCHES |
| 6.00 |
| EA. |
| BEU 0283-1009-09 |
| HURRIPAK PERIO ANESTHETIC STR |
| 1.00 |
| EA. |
| 344011 |
| COE-SOFT DENTURE RELINER |
| 1.00 |
| EA. |
| P6830 |
| P-683-0 PARAPOST XT 3 POSTS |
| 1.00 |
| EA. |
| P6840 |
| P-684-0 PARAPOST XT 4 POSTS |
| 1.00 |
| EA. |
| P6845 |
| P-684-5 PARAPOST XT 4.5 POST |
| 1.00 |
| EA. |
| P6850 |
| P-685-0 PARAPOST XT 5 POSTS |
| 1.00 |
| EA. |
| 801-018XF |
| 801-018XF ADVANCE DISP DIAMONDS, 25PK |
| 4.00 |
| EA. |
| SSC-URE2 |
| URE2 HUFR SS CROWNS |
| 5.00 |
| EA. |
| 623801 |
| DYCAL IVORY |
| 1.00 |
| EA. |
| 801016M |
| 0116M PREMIER SOLO DIAMOND |
| 4.00 |
| EA. |
| PF17145 |
| SZ 4.5 PARAPOST FIBER LUX REFILL - BLUE |
| 2.00 |
| EA. |
| PF1715 |
| SZ 5 PARAPOST FIBER LUX REFILL - RED |
| 2.00 |
| EA. |
| PF1714 |
| SZ4 PARAPOST FIBER LUX REFILL - YELLOW |
| 2.00 |
| EA. |
| PF1713 |
| SZ3 PARAPOST FIBER LUX REFILL - BROWN |
| 2.00 |
| EA. |
| 5620 |
| LITTMANN CLASSIC 3 27in STETHOSCOPE BLK |
| 1.00 |
| EA. |
| 18S |
| GREEN EYESAVER PATIENT EYEWEAR |
| 20.00 |
| EA. |
| SCL12152 |
| 12x15 CTX SURE-CHECK POUCHES |
| 2.00 |
| EA. |
| 199008 |
| 9008 FG ADVANCE CARBIDE T&F BURS PK/5 |
| 4.00 |
| EA. |
| 01-I0300 |
| SEPTODONT HAND CREAM |
| 10.00 |
| EA. |
| SPW7Q |
| 7 QUALA WAX SPATULA |
| 8.00 |
| EA. |
| 19000 |
| 4.5mm NARROW GREEN PRO-MATRIX BANDS |
| 2.00 |
| EA. |
| 600210 |
| FINE ANIMAL PK ASST PROPHY PAS |
| 4.00 |
| EA. |
| SWCBL |
| CURE THROUGH WEDGES BLUE SM 100/PK |
| 2.00 |
| EA. |
| ER-S |
| ENDO RING - ONLY |
| 4.00 |
| EA. |
| 05-300 |
| OCCLUDE GREEN |
| 4.00 |
| EA. |
| 09052130 |
| PROCARE DENT 40-RINSE AID 1l |
| 2.00 |
| EA. |
| 972-0111 |
| .04 GREATER TAPER PAPER POINTS |
| 6.00 |
| EA. |
| VNN |
| VITAPEX SYR/TIPS ROOT CANAL K |
| 2.00 |
| EA. |
| QDP317A |
| 317A QUALA COLLEGE PLIERS |
| 12.00 |
| EA. |
| 295200 |
| ZOOBY PEDIATRIC BIBS |
| 4.00 |
| EA. |
| FRSANTI |
| THREE MINUTE TIMERS |
| 20.00 |
| EA. |
| 13-1024 |
| CAVICIDE 24 OZ SPRAY BOTTLE |
| 10.00 |
| EA. |
| 66001854 |
| GLUMA DESENSITIZER SINGLE DO |
| 1.00 |
| EA. |
| QAP-TRB02 |
| QUALA THIN RED/BLUE ARTICULATI |
| 6.00 |
| EA. |
| 13361 |
| 1A SM UNIBRAID U/D CORD W/ALU - PURPLE |
| 6.00 |
| EA. |
| 13360DX |
| 0A FN UNIBRAID U/D CORD W/ALU - YELLOW |
| 6.00 |
| EA. |
| 27434DX |
| IDENTIC FS ALGINATE 18g SINGLES, BX/125 |
| 1.00 |
| EA. |
| 002902 |
| GC REGULAR AUTOMIX TIPS |
| 2.00 |
| EA. |
| 21100 |
| TIDISHIELD DEMI ULTRA SLEEVES 100ct |
| 4.00 |
| EA. |
| 504600 |
| QUICK-STAT FREE CLEAR HEMO GE |
| 4.00 |
| EA. |
| 10-1518 |
| VIONEX ANTIMICROBIAL SP-18 OZ |
| 6.00 |
| EA. |
| 20Z445 |
| SAFE-LOK COVER FOR B-SIZE TRAY |
| 4.00 |
| EA. |
| ZWPCPBG |
| CTX WHT/PNK COMFORT+SALIVA EJE |
| 12.00 |
| EA. |
| UPP-5275 |
| 5.25x7.5 STERILIZATION POUCHES VALUE POUCH 200/BOX |
| 6.00 |
| EA. |
| 71451 |
| GARANT 2 WHITE MIX TIPS |
| 1.00 |
| EA. |
| DM303HP |
| 303HP SCREW-TYPE MANDREL |
| 4.00 |
| EA. |
| 1006203 |
| POSTERIOR TRIPLE TRAYS |
| 2.00 |
| EA. |
| 34416 |
| POLOCAINE 3% |
| 1.00 |
| EA. |
| CB0010 |
| CHAMBER BRITE POWDER CLEANER |
| 1.00 |
| EA. |
| 20L100 |
| 20G X 1/2" PINK PRE-BENT TIPS |
| 3.00 |
| EA. |
| 1006214CS |
| ANTERIOR T-LOC TRIPLE TRAYS |
| 2.00 |
| EA. |
| 4575 |
| -DISCONTINUED-VISION SAVER SHIELD PINN 4 |
| 2.00 |
| EA. |
| 822-0440 |
| .04/40 TF GUTTA PERCHA POINTS |
| 2.00 |
| EA. |
| 822-0630 |
| .06/30 TF GUTTA PERCHA POINTS |
| 2.00 |
| EA. |
| UST-90712 |
| DUKAL WHITE COMBO HVE TIPS, 100pk |
| 10.00 |
| EA. |
| 4002 |
| COPALITE VARNISH |
| 2.00 |
| EA. |
| P0301-220 |
| P0301-220 NTI WHITE POLISHERS |
| 4.00 |
| EA. |
| H05032 |
| ENDO-ICE REFRIGERANT SPRAY |
| 1.00 |
| EA. |
| 71461N |
| GARANT 2 WHITE I/O TIPS L |
| 1.00 |
| EA. |
| 317008 |
| 6% SODIUM HYPOCHLORITE -16oz BOTTLE |
| 3.00 |
| EA. |
| 670417 |
| 60 BULK MFR ABSORBENT PTS |
| 2.00 |
| EA. |
| 100850923 |
| OXIVIR1 6x7in DISINFECTANT WIPE, CAN/160 |
| 2.00 |
| EA. |
| H02130 |
| #15-40 ASST BULK PAPER POINT BX/200 |
| 2.00 |
| EA. |
| H02131 |
| #45-80 ASST BULK PAPER POINT BX/200 |
| 2.00 |
| EA. |
| 80042A |
| 1lb ALUMINUM OXIDE 27 MICRON, WHITE |
| 1.00 |
| EA. |
| BTSN |
| VITAPEX DISP TIPS 40-PACK BLUE |
| 1.00 |
| EA. |
| 60000000116152 |
| POLICARE COMPLETE CARE STARTER KIT |
| 4.00 |
| EA. |
| PF1040 |
| 40-21MM RA PASTE FILLERS |
| 1.00 |
| EA. |
Statement of Work (SOW) Dental Supplies
1. PURPOSE OF THE PROJECT
The Indian Health Services (IHS) has a requirement for Dental supplies to be ordered and shipped to Wewoka Indian Health Center.
2. DETAILED DESCRIPTION OF THE TECHNICAL REQUIREMENTS
The contractor shall provide supplies listed below. Items shall be exact.
| Manufacturer Part # | Item | |
| 453011 |
A2 EQUIA FORTE HT REFILL 48ct
10126
OMNICHROMA UNIV COMPOSITE PLT-20x.2g
013672
G CEM ONE SYSTEM KIT
009276
G-PREMIO BOND UNIT DOSE
965774
NUPRO FREEDOM SLIM CONTRA SPIRAL-200ct
09051960
PROCARE DENT 10A LIQUID DETERGE
999826
STATUS BLUE AUTOMIX CANISTER, 8x50mL
T10
T-10 TMS MINIM COMP KIT .021
666360
A3 INTEGRITY REFILL
FV200
EMBRACE VARNISH BUBBLE GUM
H00750
HYGENIC N-L FLEXI DAM, MED PRPL, PK/20
77500-1
BULK SEAL-TIGHT WHITE A/W SYR TIPS
3DXR
3DXR COMPOSI-TIGHT RETENTION RINGS 2/PK
663016
AUTOMATE III SHAFT ASSEMBLY
C847-016
C847-016 KERR ROTARY DIAMONDS
82009
FITGRIP 30K THINSERT
82003
FITGRIP 30K FSI-PWR-100
82005
FITGRIP 30K FSI-SLI-10S
82008
FITGRIP 30K FSI-SLI-1000
635105
CAULK UNIDOSE GUN
138110
EXA ADVANCED HB FAST SET VALUE 8PK
EMSW
EMBRACE WETBOND P&F OFF-WHITE 4-1.2ml
559909
XCP-DS FIT COMPLETE KIT
452500
EQUIA FORTE COAT, 4ML/PK
SURGIFOAM GELATIN SPONGE, 1x1x1cm
37007
MEDIUM SIMPLISHADE UNIDOSE, 20PK
900143
SLUGBUSTER STARTER
908100
908100 SS PRIM ANTERIOR KIT
3D-KSW-10
COMPOSI TIGHT 3D XR STARTER+FW
678-203
HU-FRIEDY STRAIGHT HOW PLIERS
360088
LOLLICAINE BUBBLE GUM 120PK
R862F012FG
862F012 FINE ALPEN DIAMOND
012395
A2 G-AENIAL BULK INJECTABLE 2mL SYR
01-A1200
SEPTOCAINE 1:200 4%ARTICAINE
754798WW
ADHESE UNIVERSAL VIVAPEN SYSTEM KIT
1006204CS
POSTERIOR T-LOC TRIPLE TRAYS
666220
A2 INTEGRITY REFILL
UPP-1015
10x15 VALUE POUCH BOX/200
1-5/8X8 PINNACLE SENSOR COVER
822-3864
23MM ANTERIOR ASST TWISTED FIL
822-7864
27MM ANTERIOR ASST TWISTED FIL
888PQ
888PF VIT E FLOSSER W/FLUORIDE
36441
HARMONIZE A2 ENAMEL UNIDOSE 20-PACK
36442
HARMONIZE A3 ENAMEL UNIDOSE 20-PACK
37006
LIGHT SIMPLISHADE UNIDOSE, 20PK
389506
7009 FG TF 10PK MIDWEST BUR
610007
IRM PACKAGE
S204S9E2
204S HF DE SCALER EE2 #9HDL
IMS-1229
IMS ENZYMAX SPRAY GEL
13-1025
CAVICIDE 2-2.5 GALLON CASE
5053PD12
DISPOSABLE LINER, PEDO
DP18
18 COLLEGE HUFR PLIERS
000-20416C
VINYL ZIPPERED POUCH 6x10in
663002
NARROW-REG AUTOMATRIX BANDS
778-0326
VINYL ZIPPER POUCH-CLEAR
822-3866
23MM POSTERIOR ASST TWISTED FI
19005
6mm WIDE BLUE PRO-MATRIX BANDS
CRGR
UNIVERSAL CROWN REMOVER
9007073
HEMODENT LIQUID NO/EPI 40CC
MGC
HF MOLT CHILD MOUTH GAG
871PA
ULTRA TIGHT GO-BETWEENS PROXAB
31973
TEMPBOND NE UNIDOSE KIT
6631211020
ORAQIX ANESTHETIC 20-PACK
SSC-ULD5
ULD5 HUFR SS CROWNS
999797
STATUS BLUE PINK 4:1 MIXING TIP
LLE
LIME-LITE ENHANCED CAVITY LINER 4x2g SYR
EXC61/62
61/62 DE HUFRIEDY EXCAVATOR
SM100
BIC COMP-TIGHT SLICK BANDS
2015335
700.9C 5-PK TWO-STRIPER DIAMONDS
GWBL
G-WEDGE SMALL BLUE
559908
XCP-DS FIT ENDO KIT
1.009.5485
DEXIS POSTERIOR SENSOR HOLDER
SM175
MOL 5.5mm COMP-TIGHT SLICK BAN
805012M
0312M PREMIER SOLO DIAMONDS
805016C
0316C SOLO DIAMONDS
ERFB-S
ENDO RING FOAM REFILLS BLUE
830R-012C
830R-012C ADVANCE DISP DIAMONDS, 25PK
9007091
TRAXODENT VALUE PACK 25 SYR + 50 TIPS
9007129
RC-PREP SYRINGE KIT
624065
ENHANCE FINISH POINTS REF
DUR3
DUR3 PRIM ION NI-CHRO CROWN
138113
EXA ADVANCED INJECT FAST SET VALUE 8PK
37008
DARK SIMPLISHADE UNIDOSE, 10PK
2015144
290.4C TWO STRIPER DIAMONDS
822-7866
27MM POSTERIOR ASST TWISTED FI
20016
XYLOCAINE 2% 1:100,000 W/EPHI
471440
KS5-031SC MIDWEST DIAMOND 5PK
666280
INTEGRITY MIX TIPS REFILL
99167
LIDOCAINE 2% EPI 1:100,000 COOK WAITE
355547
UVEX CLEANING TOWELETTES
137030
-SEE 528-0014-HB EXAFAST VALUE 8-PK
004414
GC CAPSULE ELONGATION TIPS 50PCS
SSC-ULD6
ULD6 HUFR SS CROWNS
A10772
ADVANCE 8+YRS YOUTH COLORS TBRUSH
99184
MARCAINE .5% 1:200,000 COOK-WAITE
N11VB
A2 FLOW-IT ALC VALUE PACK
153148
NDS INJECTION MIX TIPS PINK
13-1150
CAVIWIPES XL DISINFECTANT TOWELETTES
37079
-DISCONTINUED-3.54x11.41 PEELVUE PRO POU
150100
NDS INTRAORAL TIPS
27047DX
ZONE AUTOMIX TEMP CEMENT
788416
CINNAMON/MINT CRS ASST KOLORZ PRO PASTE
09052080
PROCARE DENT 30P ACID NEUTRALI
27039DX
ZONE TEMP CEMENT UNIT DOSE
801012M
801012M SOLO DIAMONDS
77021
A-STYLE SEAL-TIGHT ADAPTER
822-0010
.04-.12/25 ASST TF TPRD GUTTA
LLE3
LIME-LITE ENHANCED 3mL/5g REFILL+20TIPS
360107
FLUORODOSE MELON 120PK
360086
MINT FLUORODOSE VARNISH 120ct
ADP-7513
7.5x13 ADVANCE BASIC POUCHES
BEU 0283-1009-09
HURRIPAK PERIO ANESTHETIC STR
344011
COE-SOFT DENTURE RELINER
P6830
P-683-0 PARAPOST XT 3 POSTS
P6840
P-684-0 PARAPOST XT 4 POSTS
P6845
P-684-5 PARAPOST XT 4.5 POST
P6850
P-685-0 PARAPOST XT 5 POSTS
801-018XF
801-018XF ADVANCE DISP DIAMONDS, 25PK
SSC-URE2
URE2 HUFR SS CROWNS
623801
DYCAL IVORY
801016M
0116M PREMIER SOLO DIAMOND
PF17145
SZ 4.5 PARAPOST FIBER LUX REFILL - BLUE
PF1715
SZ 5 PARAPOST FIBER LUX REFILL - RED
PF1714
SZ4 PARAPOST FIBER LUX REFILL - YELLOW
PF1713
SZ3 PARAPOST FIBER LUX REFILL - BROWN
LITTMANN CLASSIC 3 27in STETHOSCOPE BLK
18S
GREEN EYESAVER PATIENT EYEWEAR
SCL12152
12x15 CTX SURE-CHECK POUCHES
199008
9008 FG ADVANCE CARBIDE T&F BURS PK/5
01-I0300
SEPTODONT HAND CREAM
SPW7Q
7 QUALA WAX SPATULA
19000
4.5mm NARROW GREEN PRO-MATRIX BANDS
600210
FINE ANIMAL PK ASST PROPHY PAS
SWCBL
CURE THROUGH WEDGES BLUE SM 100/PK
ER-S
ENDO RING - ONLY
05-300
OCCLUDE GREEN
09052130
PROCARE DENT 40-RINSE AID 1l
972-0111
.04 GREATER TAPER PAPER POINTS
VNN
VITAPEX SYR/TIPS ROOT CANAL K
QDP317A
317A QUALA COLLEGE PLIERS
295200
ZOOBY PEDIATRIC BIBS
FRSANTI
THREE MINUTE TIMERS
13-1024
CAVICIDE 24 OZ SPRAY BOTTLE
66001854
GLUMA DESENSITIZER SINGLE DO
QAP-TRB02
QUALA THIN RED/BLUE ARTICULATI
13361
1A SM UNIBRAID U/D CORD W/ALU - PURPLE
13360DX
0A FN UNIBRAID U/D CORD W/ALU - YELLOW
27434DX
IDENTIC FS ALGINATE 18g SINGLES, BX/125
002902
GC REGULAR AUTOMIX TIPS
21100
TIDISHIELD DEMI ULTRA SLEEVES 100ct
504600
QUICK-STAT FREE CLEAR HEMO GE
10-1518
VIONEX ANTIMICROBIAL SP-18 OZ
20Z445
SAFE-LOK COVER FOR B-SIZE TRAY
ZWPCPBG
CTX WHT/PNK COMFORT+SALIVA EJE
UPP-5275
5.25x7.5 VALUE POUCH 200/BOX
71451
GARANT 2 WHITE MIX TIPS
DM303HP
303HP SCREW-TYPE MANDREL
1006203
POSTERIOR TRIPLE TRAYS
34416
POLOCAINE 3%
CB0010
CHAMBER BRITE POWDER CLEANER
20L100
20G X 1/2" PINK PRE-BENT TIPS
1006214CS
ANTERIOR T-LOC TRIPLE TRAYS
-DISCONTINUED-VISION SAVER SHIELD PINN 4
822-0440
.04/40 TF GUTTA PERCHA POINTS
822-0630
.06/30 TF GUTTA PERCHA POINTS
UST-90712
DUKAL WHITE COMBO HVE TIPS, 100pk
COPALITE VARNISH
P0301-220
P0301-220 NTI WHITE POLISHERS
H05032
ENDO-ICE REFRIGERANT SPRAY
71461N
GARANT 2 WHITE I/O TIPS L
317008
6% SODIUM HYPOCHLORITE -16oz BOTTLE
670417
60 BULK MFR ABSORBENT PTS
100850923
OXIVIR1 6x7in DISINFECTANT WIPE, CAN/160
H02130
#15-40 ASST BULK PAPER POINT BX/200
H02131
#45-80 ASST BULK PAPER POINT BX/200
80042A
1lb ALUMINUM OXIDE 27 MICRON, WHITE
BTSN
VITAPEX DISP TIPS 40-PACK BLUE
60000000116152
POLICARE COMPLETE CARE STARTER KIT
PF1040
40-21MM RA PASTE FILLERS
3. PERIOD OF PERFORMANCE
The Period of Performance will be four (4) years form the date of award.
4. LEVEL OF EFFORT
4.1 The Vendor shall provide an online ordering web page for all products listed in Section 2
4.2 The Vendor shall provide customer service phone number with a live person to answer any questions about the products, shipments, and orders Monday thru Friday 8:00am to 5:00 pm central standard time
5. SPECIAL REQUIREMENTS
5.1.1. All inquiries, comments, or complaints arising from any matter observed, experienced or learned of as a result of or in connection with the performance of the contract, the resolution of which may require the dissemination of official information, shall be directed to the government’s designated representative.
6. DELIVERABLES AND REPORTING REQUIREMENTS
6.1. Delivery: The contractor will coordinate the delivery date with the designated government employee. The government will provide the contractor with dock access. The designated government employee will work with the pertinent government agency(ies) to secure the needed dock access. No deliveries can be made after 4:15pm.
6.2. Contractor Point of Contact: The contractor shall furnish one designated point of contact (POC) to the government’s designated representative for coordination of supplies, and deliveries. The POC will be empowered to make daily decisions to ensure that the contract implementation and day-to-day maintenance meets the terms and conditions of this contract.
6.3. Contractor’s Phone Numbers: The contractor shall provide a toll-free telephone number for supply calls, and/or invoicing issues, which must be answered during at least eight working hours, between 8:00 am and 4:30 pm, Monday through Friday.
6.4. Personnel Qualifications:
N/A
7. GOVERNMENT FURNISHED PROPERTY, FACILITIES AND SERVICES
N/A
8. CONTRACTOR FURNISHED PROPERTY, FACILITIES AND SERVICES
N/A
9. CHANGES TO THE STATEMENT OF WORK (SOW)
Any changes to this SOW shall be authorized and approved only through written correspondence from the Contracting Officer. Costs incurred by the contractor through the actions of parties other than the Contracting Officer shall be borne by the contractor.
10. DELIVERABLES/PERFORMANCE MATRIX
| Performance Matrix |
| Performance Standard |
| AQL |
| Delivery items in a timely manner |
| All ordered items are delivered with-in 14 calendar days |
| 95% |
| Have a web page available for ordering |
| Web page must be available to order from Monday thru Friday 6:00am to 6:00pm |
| 95% |
| Customer service |
| Need to have a customer service number available to call between Monday thru Friday 8:00 am to 5:00 pm with live person to talk too |
| 95% |
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File details come from the government source that posted it. Updated .