75H71222R00044 Approved REV.pdf
PDF 116 KB Posted
- Attached to
- Emergency Room Physicians at PIMC Federal contract opportunity
- Solicitation number
- RFP-22-PHX-09
About this file
This solicitation is requesting proposals for emergency room physician services. The Phoenix Area Indian Health Service is seeking to award a firm fixed price contract for non-personal professional emergency room physician services to be provided at the Hopi Health Care Center and Phoenix Indian Medical Center. Proposals are due by July 12, 2022 and should include documentation of licensure, certificates, references, and evidence of meeting all qualifications. The period of performance for base year is August 1, 2022 through July 31, 2023 with the potential for two option years. This requirement is set aside for Native American firms in accordance with the Buy Indian Act.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| RFP-22-PHX-09 Questions and Answers.pdf | ||
| Questions ER PHY HHCC.pdf | ||
| Continuation SF 1449 REV 23 June 2022.pdf | ||
| 75H71222R00045 ER PHY PIMC Approved REV 23 Jun 22.pdf | ||
| Continuation SF 1449 rev 23 Jun 22.pdf | ||
| Atch B - Business Associate Agreement.pdf | ||
| Atch C - 2022 Tax Exemption.pdf | ||
| Atch G - IHS IEE Representation Form.pdf | ||
| Atch F- Wage Determination 2015-5469 dtd 15 Mar 2022.pdf | ||
| Atch E - Timesheet for Contract Service.xlsx | XLSX spreadsheet | |
| Atch D- Statement of Work ER Physician REV2.pdf | ||
| Continuation SF 1449.pdf | ||
| Atch A - Rate Schedule ER Physician Services.xlsx | XLSX spreadsheet | |
| 75H71222R00045 ER PHY PIMC Approved.pdf |
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Text version
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
Phoenix AZ 85004-4424 Suite 507, Attn: Division of Acquisition Mgmt Two Renaissance Square, 40 North Central Ave Phoenix Area Indian Health Service
CODE 16. ADMINISTERED BYCODE
X
X
621111
SIZE STANDARD:
% FOR:SET ASIDE:UNRESTRICTED OR10
RFPIFB
10. THIS ACQUISITION ISCODE
RFQ
14. METHOD OF SOLICITATION
13b. RATING
NAICS:
SMALL BUSINESS
07/12/2022 1500 ET
06/15/2022
602-364-5044MICHELE LODGE
(No collect calls)
INFORMATION CALL:
FOR SOLICITATION 8. OFFER DUE DATE/LOCAL TIMEb. TELEPHONE NUMBERa. NAME
4. ORDER NUMBER3. AWARD/ 6. SOLICITATION
75H71222R00044
5. SOLICITATION NUMBER
SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS 1. REQUISITION NUMBER PAGE OF
1 53 OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30
TELEPHONE NO.
17a. CONTRACTOR/
15. DELIVER TO
Phoenix AZ 85004-4450 Suite 507 Attn: Division of Acquisition Mgmt Two Renaissance Square, 40 North Central Ave
9. ISSUED BY
7.
2. CONTRACT NO.
EFFECTIVE DATE
$12.00
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 SCHEDULE
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)
Phoenix Area Indian Health Service
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.
Contractor is requested to provide non-personal professional Emergency Room Physician Services for the Hopi Health Care Center. This is
RFP-22-PHX-07.
All responses to this solicitation shall contain a complete profile and current work history of the candidate (s) presented, including copies of licensure, certificates and references.
All candidates shall meet qualifications/contractor credentialing items
(Use Reverse and/or Attach Additional Sheets as Necessary)
HEREIN, IS ACCEPTED AS TO ITEMS:
XX
DATED
JOSHUA L. PEARLMAN
. 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.
listed within the attached Statement of Work.
The period of performance is estimated for 1
August 2022 through 31 July 2023 for the base year. This requirement is being solicited for a base and two (2) option years.
Contractor shall state in their proposal that the quote shall remain effective for 120 Calendar
Days after close of solicitation.
Closing Date is 12 July 2022 at 3:00 PM Eastern
Time.
Deadline for Questions is on 23 June 2022 at 3:00
PM Eastern Time.
The Government reserves to right to make a single award, multiple awards or no awards in accordance with provision at FAR 52.215-1 which is included in this solicitation.
Contractor is to follow and submit proposals in accordance to Section E Solicitation Provisions and Addendum to FAR 52.215-1 Instructions to
Offerors - Competitive Acquisitions.
See attached pages for additional information, terms and conditions.
This Solicitation is Set Aside for Native
American Firms IAW the Buy Indian Act of 1910
Continued ...
32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE
32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE
53 2 of
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
NAME OF OFFEROR OR CONTRACTOR
3 53
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
75H71222R00044 effective 14 March 2022.
There are opportunities for Teaming-Agreements or Sub-Contracting for this Solicitation.
Period of Performance: 08/01/2022 to 07/31/2025
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
Sponsored by GSA
FAR (48 CFR) 53.110
File details come from the government source that posted it. Updated .