RFQ TEMPLATE BPA.pdf
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- BULK OXYGEN BPA BASE + 4 OPTION YEARS BI
- Solicitation number
- Not on record
About this file
This document is a request for quotes from qualified vendors to provide medical-grade bulk liquid oxygen product and delivery services for two pressurized storage vessels at Claremore Indian Hospital over a potential five-year period from September 2023 through September 2028. Vendors are asked to provide unit pricing and extended pricing for an estimated base year and four option years of supplying the 1500-gallon main tank and 500-gallon reserve tank on an as-needed basis, with no telemetry currently on the tanks. The solicitation includes instructions to offerors on providing pricing, technical documentation, and vendor information. The related federal contract opportunity is identified as solicitation number CIHBULKOXYGEN for a bulk oxygen BPA with a base year and four option years at the Department of Health and Human Services Indian Health Service.
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| 1 COMBINED SS BPA.docx | DOCX document | |
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Text version
U.S. Department of Health and Human Services Claremore Indian Hospital
REQUEST FOR QUOTES
#IHS BPA BASE + 4
REQUEST FOR QUOTE - RFQ
(FOB DESTINATION - Shipping and tax is to be included in the total price)
CLIN DESCRIPTION
A qualified and licensed vendor is required to provide medical-grade bulk liquid oxygen product and deliveries for direct patient-care use at the Claremore Indian Hospital. The hospital owns two pressurized vessels used for the storage and delivery of the medical-grade bulk liquid oxygen via the main 1500-gallon liquid oxygen tank and the 500-gallon reserve liquid oxygen tank located on-site in the southwest area of the campus. The current refill method is by will-call with no telemetry present on the two tanks.
*****SEE ATTACHED STATEMENT OF WORK****
Unit of
Issue Qty
Unit Price
Ext.
Price
0001- Patient-care medical-grade liquid oxygen supplies and delivery for bulk 1500 500 gallon tanks POP Base Year: 09/15/2023 – 09/14/2024
YR 1 $ $
0002- Patient-care medical-grade liquid oxygen supplies and delivery for bulk 1500 500 gallon tanks POP Option Year 1: 09/15/2024 – 09/14/2025
YR 1 $ $
0003- Patient-care medical-grade liquid oxygen supplies and delivery for bulk 1500 500 gallon tanks POP Option Year 2: 09/15/2025 – 09/14/2026
YR 1 $ $
0004- Patient-care medical-grade liquid oxygen supplies and delivery for bulk 1500 500 gallon tanks POP Option Year 3: 09/15/2026 – 09/14/2027
YR 1 $ $
0005- Patient-care medical-grade liquid oxygen supplies and delivery for bulk 1500 500 gallon tanks POP Option Year 4: 09/15/2027 – 09/14/2028
YR 1 $ $
TOTAL: $0 $0
Offerors are requested to provide their Most Favored Customer pricing with this RFQ. Please provide technical configuration documentation to support your quotation.
PLEASE USE THIS TEMPLATE TO SUBMIT QUOTE
U.S. Department of Health and Human Services Claremore Indian Hospital
REQUEST FOR QUOTES
Submit the following information with each quote: Vendor Name, Cage Code, UNIQUE ENTITY ID, DUNS number, Tax Identification Number, Prompt Payment Terms, Delivery Time, GSA Contract Number, Date quote expires, warranty, total price for each line item, total proposal price, and technical documentation in sufficient detail to determine technical acceptability. Failure to provide sufficient technical detail may result in rejection of your quote.
Quotations must be made in accordance with the terms and conditions of the responding vendors GSA contract. Quotations containing Open Market Items must CLEARLY mark the open market items so that they may be evaluated separately. Open market items shall not make up greater than 50% of the total quotation.
Vendor Information Business Name:
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Street Address:
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City, State, Zip:
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GSA Contract Number:
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DUNS:
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Contact Person:
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Telephone:
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Fax:
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E-Mail:
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INVOICING - IS THIS VENDOR REGISTERED IN IPP?? Click here to enter text.
PROVISIONS: The following FAR provisions apply to this solicitation:
- FAR 52.212-1, Instructions to Offeror-Commercial Items; FAR 52.212-3, Offeror Representations and Certifications – Commercial Items (the offeror should include a complete copy of this provision with their quote).
- FAR 52.212-4, Contract Terms and Conditions-Commercial Items; FAR 52.212-5, Contract Terms
- and Conditions Required to Implement Statues or Executive Orders-Commercial Items (to include
- the following clauses sited): FAR 52.203-6 Restrictions on Subcontractor Sales to the
- Government; 52.203-13, Contractor Code of Business Ethics and Conduct; FAR 52.204-10,
- Reporting Executive Compensation and First-Tier Subcontract Awards; FAR 52.209-6, Protecting
- the Government's Interest When Subcontracting with Contractors Debarred, Suspended, or
- Proposed for Debarment; FAR 52.217-8, Option to Extend Services, FAR 52.217-9, Option to
- Extend the Term of the Contract, FAR 52.219-8; FAR 52.219-13, FAR 52.219-28, FAR 52.222-
- 3, Convict Labor; FAR 52.222-19, Child Labor-Cooperation with Authorities and Remedies;
- 52.222-21, Prohibition of Segregated Facilities; FAR 52.222-26, Equal Opportunity; FAR 52.222-
- 35 Equal Opportunity for Veterans; FAR 52.222-36, Equal Opportunity for Workers with
- Disabilities; FAR 52.222-37 Employment Reports on Veterans; FAR 52.222-40, Notification of
- Employee Rights Under the National Labor Relations Act; FAR 52.222-50, Combating Trafficking
- in Persons; FAR 52.223-18, Encouraging Contractor Policies to Ban Text Messaging While Driving;
- FAR 52.225-1, Buy American Act--Supplies; FAR 52.225-13, Restriction on Certain Foreign
- Purchases; FAR 52.232-33, Payment by Electronic Funds Transfer- System for Award
- Management; FAR 52.222-41, Service Contract Act of 1965; FAR 52.222-43 Fair Labor Standards Act and
Service Contract Act – Price Adjustment. The above Provisions and Clauses may be obtained via internet at http://farsite.hill.af.mil.
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