RFQ 246-20-Q-0109.pdf

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

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30 IHS1406312 32

2. CONTRACT NO. 3. AWARD/EFFECTIVE 4. ORDER NUMBER 5. SOLICITATION NUMBER 6. SOLICITATION ISSUE

DATE DATE

246-20-Q-0109 08/06/2020

a. NAME b. TELEPHONE NUMBER (No collect 8. OFFER DUE DATE/

7. FOR SOLICITATION calls) LOCAL TIME INFORMATION CALL: 08/19/2020► Katrina Eaton, Contract Specialist 405-951-3704 5pm CST

9. ISSUED BY CODE

Indian Health Service Oklahoma City Area Office 701 Market Drive Oklahoma City, OK 73114

11. DELIVERY FOR FOB DESTINA- 12. DISCOUNT TERMS

TION UNLESS BLOCK IS

MARKED

□ SEE SCHEDULE

15. DELIVER TO CODE

Haskell Indian Health Center 2415 Massachusetts St.

Lawrence, KS 66046 17a. CONTRACTOR/ GODEi I FACILITY

OFFEROR CODE

Potential Offerors

TELEPHONE NO.

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN

OFFER

19. 20.

ITEM NO. SCHEDULE OF SUPPLIES/SERVICES

10. THIS ACQUISITION IS LJ UNRESTRICTED OR LJ SET ASIDE: 100 % FOR:

[8J SMALL BUSINESS WOMEN-OWNED SMALL BUSINESS ---

□ (WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

□ HUBZONE SMALL SMALL BUSINESS PROGRAM NAICS:

BUSINESS □EDWOSB 238210

□ SERVICE-DISABLED

VETERAN-OWNED SIZE STANDARD:

SMALL BUSINESS Ds<A) $16.5 million

13b. RATING

□ 13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700) 14. METHOD OF SOLICITATION

[8]RFQ □ IFB □RFP

16. ADMINISTERED BY CODE

!HS-Oklahoma City Area Office 701 Market Drive Oklahoma City, OK 73114

18a. PAYMENT WILL BE MADE BY CODE I

Indian Health Service Oklahoma City Area Office 701 Market Drive Oklahoma City, OK 73114

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

BELOW IS CHECKED □ SEE ADDENDUM

21. 22. 23. 24.

QUANTITY UNIT UNIT PRICE AMOUNT

1 Contractor shall install network connectivity for the LS

Haskell Indian Health Center's Wellness Center in accordance with attached Statement of Work and

Drawing.

Wage Determination No. 2015-5335 Revision No. 11 Dated 06/30/2020 applies

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

25. ACCOUNTING AND APPROPRIATION DATA 26. TOTAL AWARD AMOUNT (For Govt. Use Only)

� 27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA

□ 27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA

[8] ARE □ ARE NOT ATTACHED

□ ARE □ ARE NOT A TT ACHED

□ 28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND ---

□ 29. AWARD OF CONTRACT: REF. OFFER

DATED . YOUR OFFER ON SOLICITATION

DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY (BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

30b. NAME AND TITLE OF SIGNER (Type or print)

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (Type or print) 31c. DATE SIGNED

STANDARD FORM 1449 (REV. 212012)

Prescribed by GSA - FAR (48 CFR) 53.212