HSCETC-14-R-00003_TeleRadiology_Services_SF1449_Final_8-20-2014.pdf
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- Attached to
- TeleRadiology Service
- Solicitation number
- HSCETC-14-R-00003
- Issued by
-
Immigration and Customs Enforcement
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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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