CRHC-19-26-Amend01.pdf

DEPARTMENT OF HEALTH AND HUMAN SERVICES Public Health Service Cheyonn€ River Service Unit PO Box l0l2 Eagle Butte, SD 57625

(605) 964-7724

Reference: CRHC-I9-26

August 16,2019

To Whom It May Concem:

Enclosed is the executed SF-30 document signed and dated by the Supervisory Contract

Specialist in reference to solicitation number CHRC-19-26. Please retain for your own records'

Should you have any question or need information, please contract Stephanie Charger, Purchasing Agent at (605)9 64-0507 or via email at Stephanie.redelk@ihs.eov.

Sincerely, Supervisory Contract SPecialist Cheyenne River Health Center

Attachment

PAGE OF PAGES

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

Amendment #1

5 PROJECT NUMBER f/f appilcable.)

6 ISSUED BY

lndian Health Service Cheyenne River Health Center 24276 166h Street Airport Rd Eagle Butte, SD 57625

7 ADMINISTERED BY f/folher than lten 6)

Same s NAME AN D ADDRESS OF CONTRACTOR r/Vut bea slrcel counlv, Stale and ZIP Code)

9B DATEO (SEE IIEM 11,)

08t't612019 comm!n|cat|on mekes reterenc€ to the soticitation and thrs amendment, and is received prior to the openrng houl and dare specfEd

12 ACCOUNTLNG AND APPROPRIATION DATA T/I'Eq.//TEd)

CHECK ONE ATH|scHANGEoRoER|S|ssuEoPuRSUANTIo(spedryeuthonty)].HECHANGESsETFoRTHIN|TEMI4AREtltAoE|NTHEcoNTRAcToRoER

NUIVIBER IN ITEI\,'I 1 OA

I rle aoove numoerea soticitarron is amend€d as ser torth in ttem 14 Th€ hour and date specified ror receipi or offeB [l i" "truna"a ! is not etenoed offersmustacknow|edgercceiptofthisamendmentprioJtotheholranddalespocifiedintonorasamendedbyoneolthe (a ) By comptetrng items I and 1 5 a nd rerurnrng 0 copi€s of the a m€ndmenr; nowtedging receipr ol this amend of the otler submitted:

c amendment numbers FA|LURE WLEDGMENTTOBE by v rl!e of this amendment vou desrro to change an ofler already submitled, such change

9A AMENOMENT OF SOLICITATION NUMEER

cRHC-19-26

B THE ABOVE NUMBERED CONTRACT/ORoE T TH E AOI\4INISTRATIVE CHANGES (such as cha' ges in paving office'

"ippipnitiin a*", etc ) SET FORTH lN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43 103(b) clJiE st,pprer"rrlrraL AGREEMENT ts ENTERED lNTo PURSUANT To AurHoRlrY oFl

D SiAER specify type of nodtfication and aulhoitv)

Contractor n is not lxl is required to sign this document and return 1 copies to the issurng offlce

14 DESCR pTON OF AT\4ENDMENT/|\'iOO|F|CAT|oN \olganized by ucF seclon headings' including soticilalio conlracl subiect maller wh6te leasibb )

IT MODIFIES THE CONTRACT/ORDER NUMBER AS DESCRIBED IN ITEM 14'

of Life) and/or have a longer lead time then requested, nt.

Exceptas provded herein a terms and condit|ons ofth€ document reterencgd in ltem gAor 1OA, as heretotore changed remains unchanged and in fulllorce and effect

15A NAIIIE AND TITLE OF SIGNER (TYPE OT PNNI)

158 CONTRACTOR/OFFEROR

Danielle Chasing Hawk, Supervisory Contract Specialist

(ggnanne ol person aulhoized lo sign)

16C DATE,SIGNED

.1'l Prc viou s edition u n us able Prescribed by GSA FAR (48 CFR) 53 243

SCOPE OF WORIVSPECIFICATIONS

The IHs/Chevenne River Health Center (CRHC) has a requirement for various l.T. equipment and supplies, to be delivered the CRHC within 60days ARO. The particular brand name, product, is essential to the

Government's requirements, and market research indicates other similar products lack the features to meet the agency's need for this requirement. The Dell equipment is being requested to support Meaningful Use

Initiative. The Initiative requires standardization and allows for continuity and compatibility with existing equipmentforthisrequirement.@.|fitemrequestedisnearEoL(Endo|Life|..

and/or have a longer lead time then requested, substitutes will be accepted

Item #1

Quantity - 40 x

Total:

oPTIPLEX 7060 MINI TOWER CTO(210-APLB) 16GB 2X8GB DDR4 2666MHz UDIMM Non-ECC (370-AEBG)

No Kevboard Selected (580-AABG)

Intel Integrated Graphics, Dell OptiPlex (490-BBFG)

No Wireless LAN Card (555-BBFO)

SSD as first boot drive (340-ABIG)

M.2 512G8 SATA Class 20 Solid State Drive (400-AWFV)

M2X3.5 Screw for SSD/DDPE (773-BBBC)

No Media Card Reader (379-BBHM)

Microsoft(R) Office 30 Days Trial (558-BcSB)

SupportAssist (525-BBcL)

Dell(TM) Digital Delivery Cirrus Client (640-BBLW)

Dell client System Update (Updates latest Dell Recommended BIOS, Drivers, Firmware and Apps) (658-BBMR)

Waves Maxx Audio {658-BBRB)

Dell Developed Recovery Environment (658-BCUV)

5W for 7060 with Win10 OS (658-BDW)

NO RArD (817-BBBN)

No Anti-Virus Software (650-AAAM)

Win 10 Pro 64 English, French, Spanish (619-AHKN)

US Order (332-1286)

OptiPlex 7060 Tower with 25oW up to 85% efficient Power Supply (80Plus

Bronze) (329-BDSK)

No mouse selected on your OptiPlex system (570-AAAF)

Energy Star (387-BBLW)

No Additional Network Card Selected (lntegrated NIC included) (555-BBJO)

DVD+/-RW Bezel (32s-BCXM)

8x DVD+/-RW 9.5mm Optical Disk Drive (429-ABFH)

No Wireless LAN Card (555-8BFO)

System Power Cord (Philipine/TH/US) (450-AAOJ)

OS-Windows Media Not Included (620-AALW)

Desktop BTO Standard shipment (800-BBIO)

Not selected in this configuration (817'BBBC)

Flexible Catalog Config 01, OptiPlex 7060 MT (610-BBYN)

Safety/Environment and Regulatory Guide (English/French Multi-language)

(340-AGIK) Dell Limited Hardware Warranty Plus Service (812-3886)

Prosupport Plus: Accidental Da cRHC-19-26 Page ! of 7

REQUEST FORQUOTATIONS

(THIS IS NOT AN ORDER)

THIS RFQ IS A SMALL BUSINESS SET-ASI\E- Amendment # |

PAGE OF PAGES

1ol 2

I REQUEST NO

cRHC-19-26

2 DATE ISSUED

08/06/2019

3, REQUISITION/PURCHASE REQUEST NO,

tHs1383499

4. CERT FOR NAT. DEF

I,INDER BDSA REG.2

AND/ORDMS REG I

RATINC

5A ISSUED BY

Eagle Butte Indian Health Service, Cheyenne River Service Unit 24276 166th St, PO Box 1012, Eagle Butte, SD 57625

6 DELIYERBY (Date)

60 days ARO

5b FOR INFORMATION CALL (NO COLLECT CALLS) ? DELIVERY O'THER

X nos oesrtNlor ton Itsee sct "ou,"1

NAME

Stephanie Charger steohanie.redelk@ihs-qov

TELEPHONE NI TINATION

AREA CODE

ouc

NUMBER

964-0507 a NAME OF CONSICNEE

Cheyenne River Service Unit ETO b STREET ADDRESS

24276 166rh St , PO Box 1012 a NAME b COMPANY c CITY

Eagle Butte c S IREti I ADDRFSS e STATE I ZIP CODE d S-TATE

SD

e ZIP CODE

57625

/O PL.EASE FURNISH QUOT^I.IONS'TO-].IIE ISSUINC OFFICE IN BLOCK

5a ON OR BY 2:00 PM MST ON (Dare./

August 22, 2019 / quolalions fumished are nol offiers. Ifyou are unable to quot€. plczlse

Block 54. This rcqu€st does not commit the Government to pay any this quotation or to contract for supplies or services Supplies are of Any represcnlations and/or cenifications ataached to lhis Request lbr

Ouotations must be comDleled by the quoter

SCHEDULE Orcln de applicoble Federol, Stsle and local rores)

ITEM

(a)

PPLTES/SERVICES

(b)

QUANTITY

(cJ

UNIT

(d)

UNIT'PRICE

(e)

AMOUNT

(f) t.

2.

3.

4.

6.

7.

Firm Fixed-Price, Commercial Item, Purchase

Order for various computer equipment & supplies for the Cheyenne River Health Center located in

Eagle Butte, SD. The quoted "unit price" shall be an all inclusive price.

Optiplex 7060 Mini Tower CTO (210-APLB)

Optiplex 7460 AIO XCTO (210-APOL)

External USB OPtical Drive

Dell Latitude 5490 XCTO (210-ANMX)

Thunderbolt Dock

Privacy Filter

Cable t( t5 t< s

S s

S s

-tz.

ptscouNt poR PttovPt

PAYMEN T

A IO CALENDAR DAYS

b. 20

CALENDAR

DAYS

c. 30 CALENDAR DAYS d CALENDAR DAYS

NUMBER I PERCENTAGE

15 DATE OF

QUOTATIONI r t'.etr.lE eUO AOORESS OF QUOTER I5 SIUNAI UKE UT TEKJ\JI\ AU I

SIGN QUOTATION

a NAMFjOF QUOTER b S IREET ADDRESS c COUNTY

I6. SIGNER

a NAME (lype ofprint) b TELEPHONE

AREA CODE

c TITLE (tyPe or Print) NUMBER d CITY e. STATE t. zlP c(JrJb

Dpont I lnc, TUKIVI IO\NEY U-'J r4R aFR) 5l-215-l(r) edition not rtsahle

Prescrihed hv CSA'FAR f

ITEM

NO.

(a)

SUPPLIES/SERVICES

(b)

QUANTITY

(c)

UNIT

(d)

IJNIT PRICE

(e)

AMOLINT

(D

8.

q l0

Mouse

Adapter

Smart Card Reader

DUNS & Bradstreet Number:

(The Duns & Bradstreet number is required.

Provided you do not have il you may call 866-705- 571 I and obtain one.) You will need a DUNS &

The quoter is hereby notified that they must be registered in the System for Award Management (SAM) before the Government will issue an award. You may do this by going to www.sam

49y to register and you are required to update this registration every year prior to the expiration date.

Federal Tax ID Number:

Email Address:

Net Terms:

't<

25 $

TOTAL:

S s