RFQ - CHR - 75H70421Q00042.pdf
PDF 109 KB Posted
- Attached to
- Community Health Representatives (CHR) Home Visiting Program Federal contract opportunity
- Solicitation number
- 75H70421Q00042
About this file
This request for quotation solicits offers for an evidence-based home-visiting program. Offerors must provide in-person training, technical assistance, training materials, and program evaluation for a 12-month base period and three 1-year option periods. The program will be implemented by community health representatives and is sought by the Department of Health and Human Services Indian Health Service. Evaluation will be based on technical capabilities, cost, and past performance. Quotations are due by September 13, 2021 and the period of performance for the base year is September 29, 2021 through September 28, 2022. Options to extend for additional years are specified. The solicitation includes standard clauses on prohibition of certain telecommunications, paperwork reduction, and other requirements. Offerors must have a DUNS number and be registered in SAM.gov.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Amendment 1 - CHR - 75H70421Q00042.pdf | ||
| Evaluation criterias CHR.pdf | ||
| PWS - CHR 9-13-21.pdf | ||
| Combined Synopsis - CHR.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
CODE 16. ADMINISTERED BYCODE
X
X
611430
SIZE STANDARD:
% FOR:SET ASIDE:UNRESTRICTED OR196
RFPIFB
10. THIS ACQUISITION ISCODE
RFQ
14. METHOD OF SOLICITATION
13b. RATING
NAICS:
SMALL BUSINESS
09/21/2021 1000 ET
09/13/2021
3016053113DARRYL SMITH
(No collect calls)
INFORMATION CALL:
FOR SOLICITATION 8. OFFER DUE DATE/LOCAL TIMEb. TELEPHONE NUMBER a. NAME
4. ORDER NUMBER3. AWARD/ 6. SOLICITATION
75H70421Q00042
5. SOLICITATION NUMBER
SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS 1. REQUISITION NUMBER PAGE OF
1 4 OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30
TELEPHONE NO.
17a. CONTRACTOR/
15. DELIVER TO
Rockville MD 20857 5600 Fishers Lane, Mailstop 09E70 Division of Acquisition Policy
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 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)
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.
Period of Performance: 09/29/2021 to 09/28/2022
PLEASE COMPLETE THIS FORM, PLEASE COMPLETE THIS
FORM, PROVIDE A PRICE QUOTE BASED ON THE LINE
ITEMS BELOW, AND PROVIDE THE FOLLOWING
INFORMATION:
1. CONTACT NAME, PHONE & FAX NUMBER:
2. E-MAIL: _________________________
3. DUNS NUMBER: ____________________
4. TAX IDENTIFICATION NUMBER: ______
(Use Reverse and/or Attach Additional Sheets as Necessary)
HEREIN, IS ACCEPTED AS TO ITEMS:
XX
DATED
PAUL B. PREMOE
. 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.
The purpose of this requirement is to procure an evidence-based home-visiting program: Includes in-person training, technical assistance on the implementation of the program, associated training materials as active affiliates and learning collaboratives, and evaluation of the program and project.
Please provide your discounted proposal for the items below for a 12-month base period with (3) three 12-month option periods.
1 BASE YEAR:
Community Health Representatives (CHR) Home
Visiting Program
(See attachment A - (Performance Work Statement)
2 OPTION YEAR ONE:
Community Health Representatives (CHR) Home
Visiting Program
(See attachment A - Performance Work Statement)
(Option Line Item)
09/29/2022
Period of Performance: 09/29/2022 to 09/28/2023
3 OPTION YEAR TWO:
Continued ...
32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE
32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE
4 2 of
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
NAME OF OFFEROR OR CONTRACTOR
3 4
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
75H70421Q00042
Community Health Representatives (CHR) Home
Visiting Program
(See attachment A - Performance Work Statement)
(Option Line Item)
09/29/2023
Period of Performance: 09/29/2023 to 09/28/2024
4 OPTION YEAR THREE:
Community Health Representatives (CHR) Home
Visiting Program
(See attachment A - Performance Work Statement)
(Option Line Item)
09/29/2024
Period of Performance: 09/29/2024 to 09/28/2025
Evaluation - Basis for Award
The evaluation will be based on 1) the demonstrated technical capabilities of the prospective contractor in relation to the needs of the project as set forth in the RFQ, 2) cost and 3) past performance.
The following FAR clause is applicable to this solicitation.
FAR 52.217-8 Option to Extend Services, which applies to this solicitation. Quoters must price only the base and option periods specified in the contract line item numbers (CLINs) and shall not submit a price for the potential six-month extension of services under FAR 52.217-8. The
Government reserves the right to exercise the option under FAR 52.217-8 before the end of any of the contractor's performance periods and will be exercised at the price and/or rates in effect at the time the clause is exercised. Evaluation of options shall not obligate the Government to exercise the option(s).
FAR 52.204-25 Prohibition on Contracting for
Certain Telecommunications and Video Surveillance
Services or Equipment (AUG 2020)
The following HHSAR provision is applicable to this solicitation.
Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
Sponsored by GSA
FAR (48 CFR) 53.110
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
NAME OF OFFEROR OR CONTRACTOR
4 4
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
75H70421Q00042
The following HHSAR provision is applicable to this solicitation.
HHSAR Clause No. Title Date
352.211-3 Paperwork Reduction Act DEC 2015
352.202-1 Definitions DEC 2015
352.227-70 Publications and Publicity DEC 2015
352.239.73 Electronic and Information Technology
Accessibility Notice DEC 2015
352.242-73 Withholding of Contract
Payments DEC 2015
Full text may be accessed electronically at this address:
http://www.hhs.gov/policies/hhsar/subpart352.html
Instructions to Offerors
Data Universal Numbering System (DUNS) Number
The Offeror shall enter, in the block with its name and address on the cover page of its offer, the annotation DUNS or DUNS+4 followed by the
DUNS or DUNS+4 number that identifies the
Offerors name and address. If the Offeror does not have a DUNS number, it should contact Dun and
Bradstreet directly to obtain one. An Offeror within the United States may contact Dun and
Bradstreet by calling 1-866-705-5711 or via the internet at http://www.dnb.com. An Offeror located outside the United States must contact the local Dun and Bradstreet office for a DUNS number.
System for Award Management (SAM)
Unless exempted by an addendum to this solicitation, by submission of an offer, the
Offeror acknowledges the requirement that a prospective awardee shall be registered in the
SAM database prior to award, during performance and through final payment of any contract resulting from this solicitation. If the Offeror does not become registered in the SAM database in the time prescribed by the Contracting Officer, the Contracting Officer will proceed to award to the next otherwise successful registered Offeror.
Offerors may obtain information on registration and annual confirmation requirements via the internet at http://www.sam.gov or by calling
1-866-606-8220.
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 .