HSCETC-14-R-00003_TeleRadiology_Services_SF1449_Final_8-20-2014.pdf

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TeleRadiology Service
Solicitation number
HSCETC-14-R-00003
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HSCETC-14-R-00003 TeleRadiology Services SF1449

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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

ICE/TC/IT SERVICES

Washington DC 20536

801 I Street NW, Suite 930 Office of Acquisition Management Immigration and Customs Enforcement ICE/Info Tech Svs/IT Services

CODE 16. ADMINISTERED BYCODE

X

X

621512

SIZE STANDARD:

100.00 % FOR:SET ASIDE:UNRESTRICTED ORICE/TC/IT SERVICES

RFPIFB

10. THIS ACQUISITION ISCODE

RFQ

14. METHOD OF SOLICITATION

13b. RATING

NAICS:

SMALL BUSINESS

09/02/2014 1000 ES

08/21/2014

Tonya Modlin (No collect calls)

INFORMATION CALL:

FOR SOLICITATION 8. OFFER DUE DATE/LOCAL TIMEb. TELEPHONE NUMBER a. NAME

4. ORDER NUMBER3. AWARD/ 6. SOLICITATION

HSCETC-14-R-00003

5. SOLICITATION NUMBER

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS 1. REQUISITION NUMBER PAGE OF

1 67 OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

Attn: Tonya Modlin

TELEPHONE NO.

17a. CONTRACTOR/

See Attachment 2 Facility Locations

15. DELIVER TO

Washington DC 20536 801 I Street NW, Suite 930 Office of Acquisition Management Immigration and Customs Enforcement

9. ISSUED BY

7.

2. CONTRACT NO.

EFFECTIVE DATE

$13.5

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW

ISSUE DATE

DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

11.

SEE SCHEDULEX

12. DISCOUNT TERMS

THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

13a.

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

8(A)X

ICE/Info Tech Svs/IT Services

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

24.

AMOUNT

23.

UNIT PRICE

22.

UNIT

21.

QUANTITY

20.

SCHEDULE OF SUPPLIES/SERVICES

19.

ITEM NO.

The contract type will be a Firm Fixed Price Hybrid and Indefinite Delivery Indefinite Quantity with Firm Fixed Price Contract Line Items.

0001 TeleRadiology Services IDIQ Base Year 125000 EA

Minimum 127,000 Reports Maximum 150,000 Reports FOB: Origin Continued ...

(Use Reverse and/or Attach Additional Sheets as Necessary)

HEREIN, IS ACCEPTED AS TO ITEMS:

X

XX

DATED

Mindy L. McDaniel

. 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 FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA

26. TOTAL AWARD AMOUNT (For Govt. Use Only)

OFFER

STANDARD FORM 1449 (REV. 2/2012)

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: REF.

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. 2/2012) BACK

24.

AMOUNT

23.

UNIT PRICE

22.

UNIT

21.

QUANTITY

20.

SCHEDULE OF SUPPLIES/SERVICES

19.

ITEM NO.

Period of Performance: 08/12/2014 to 08/11/2015

0002 FFP Transition In Service (IHSC) - Alexandria, LA 1 EA

- Performance Based Work Statement (PBWS) Section

4.1.2 POP: To Be Determined (TBD)

FOB: Destination

0003 FFP Transition In Service (IHSC)- El Centro, CA 1 EA

- Performance Based Work Statement (PBWS) Section

4.1.2 POP: To Be Determined (TBD)

FOB: Destination

0004 FFP Transition In Service (IHSC)- El Paso, TX - 1 EA

Performance Based Work Statement (PBWS) Section

4.1.2 POP: To Be Determined (TBD)

FOB: Destination

0005 FFP Transition In Service (IHSC)- Elizabeth, NJ - 1 EA

Performance Based Work Statement (PBWS) Section

4.1.2 POP: To Be Determined (TBD)

FOB: Destination

0006 FFP Transition In Service (IHSC)- Eloy, AZ - 1 EA

Performance Based Work Statement (PBWS) Section

4.1.2 POP: To Be Determined (TBD)

FOB: Destination

0007 FFP Transition In Service (IHSC)- Florence, AZ - 1 EA

Performance Based Work Statement (PBWS) Section

Continued ...

32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

67 2 of

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

3 67

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

HSCETC-14-R-00003

4.1.2 POP: To Be Determined (TBD)

FOB: Destination

0008 FFP Transition In Service (IHSC)- Houston, TX - 1 EA Performance Based Work Statement (PBWS) Section

4.1.2 POP: To Be Determined (TBD)

FOB: Destination

0009 FFP Transition In Service (IHSC)- Jena, LA - 1 EA Performance Based Work Statement (PBWS) Section

4.1.2 POP: To Be Determined (TBD)

FOB: Destination

0010 FFP Transition In Service (IHSC)- Krome, FL - 1 EA Performance Based Work Statement (PBWS) Section

4.1.2 POP: To Be Determined (TBD)

FOB: Destination

0011 FFP Transition In Service (IHSC)- LA Staging, Los 1 EA Angeles, CA - Performance Based Work Statement (PBWS) Section 4.1.2 POP: To Be Determined (TBD) FOB: Destination

0012 FFP Transition In Service (IHSC)- Pearsall, TX - 1 EA Performance Based Work Statement (PBWS) Section

4.1.2 POP: To Be Determined (TBD)

FOB: Destination

0013 FFP Transition In Service (IHSC)- Port Isabel, 1 EA Los Fresnos, TX - Performance Based Work Statement (PBWS) Section 4.1.2 POP: To Be Determined (TBD) FOB: Destination

0014 FFP Transition In Service (IHSC)- San Diego, CA - 1 EA Performance Based Work Statement (PBWS) Section

4.1.2 POP: To Be Determined (TBD)

FOB: Destination

0015 FFP Transition In Service (IHSC)- Santa Ana, CA 1 EA

- Performance Based Work Statement (PBWS) Section

4.1.2 POP: To Be Determined (TBD)

FOB: Destination

0016 FFP Transition In Service (IHSC)- Stewart - 1 EA Lumpkin, GA - Performance Based Work Statement (PBWS) Section 4.1.2 POP: To Be Determined (TBD) Continued ...

NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)

Sponsored by GSA

FAR (48 CFR) 53.110

4 67

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

HSCETC-14-R-00003

FOB: Destination

0017 FFP Transition In Service (IHSC)- Tacoma, WA - 1 EA Performance Based Work Statement (PBWS) Section

4.1.2 POP: To Be Determined (TBD)

FOB: Destination

0018 FFP Transition In Service (IHSC)- Taylor, TX - 1 EA Performance Based Work Statement (PBWS) Section

4.1.2 POP: To Be Determined (TBD)

FOB: Destination

0019 FFP Transition In Service (IHSC)- Varick - New 1 EA York, NY - Performance Based Work Statement (PBWS) Section 4.1.2 POP: To Be Determined (TBD) FOB: Destination

0020 FFP Transition In Service (IHSC)- York, PA - 1 EA Performance Based Work Statement (PBWS) Section

4.1.2 POP: To Be Determined (TBD)

FOB: Destination

1001 TeleRadiology Services IDIQ Option Year 1 125000 EA

Minimum 127,000 Reports Maximum 150,000 Reports (Option Line Item) FOB: Destination Period of Performance: 08/12/2015 to 08/11/2016

2001 TeleRadiology Services IDIQ Option Year 2 125000 EA

Minimum 127,000 Reports Maximum 150,000 Reports (Option Line Item) FOB: Destination Period of Performance: 08/12/2016 to 08/11/2017

3001 TeleRadiology Services IDIQ Option Year 3 125000 EA

Minimum 127,000 Reports Maximum 150,000 Reports (Option Line Item) FOB: Destination Period of Performance: 08/12/2017 to 08/11/2018

4001 TeleRadiology Services IDIQ Option Year 4 125000 EA Continued ...

NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)

5 67

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

HSCETC-14-R-00003

Minimum 127,000 Reports Maximum 150,000 Reports (Option Line Item) FOB: Destination Period of Performance: 08/12/2018 to 08/11/2019

5001 TeleRadiology Services IDIQ FAR 52.217-8, Option 62500 EA to Extend Services. The total extension performance shall not exceed 6 months.

Minimum 63,500 Reports Maximum 75,000 Reports (Option Line Item) 08/12/2019 Product/Service Code: Q522 Product/Service Description: MEDICAL- RADIOLOGY FOB: Destination Period of Performance: 08/12/2019 to 02/11/2020

NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)

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