RFQ TEMPLATE.docx
DOCX document 36 KB Posted
- Attached to
- PHYSICAL THERAPY EQUIPMENT IHS1493349FO
- Solicitation number
- IHS1493349
About this file
This document is a Request for Quotes (RFQ) for physical therapy equipment issued by the Department of Health and Human Services Indian Health Service. The RFQ provides a list of 15 line items for various fitness and physical therapy equipment, including air belts, leg presses, functional trainers, and recumbent steppers. Vendors are requested to provide pricing, technical specifications, and delivery information for the requested items. The RFQ has a response deadline of June 13, 2024, and the award will be made to the responsible offeror whose quote is the lowest price, technically acceptable. Vendors must be registered in the System for Award Management (SAM) and meet the technical requirements specified in the equipment list. The award will result in a firm fixed price purchase order.
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| File | Type | Posted |
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| PT Equipment Specifications.pdf |
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Text version
U.S. Department of Health and Human Services Claremore Indian Hospital
REQUEST FOR QUOTES
#IHS1493349
REQUEST FOR QUOTE - RFQ
(FOB DESTINATION ‐ Shipping and tax is to be included in the total price)
| CLIN DESCRIPTION |
| Unit of |
Issue
| Qty |
| Unit Price |
| Ext. Price |
| · 1 - Air-300 belt squat, part#001550BP |
| EA |
| 1 |
| $ |
| $ |
| · 2 - Belt squat belt small, part#155412 |
| EA |
| 1 |
| $ |
| $ |
| · 3 - Belt squat belt medium, part#155418 |
| EA |
| 1 |
| $ |
| $ |
| · 4 - Belt squat dead lift bar, part #150807 |
| EA |
| 1 |
| $ |
| $ |
| · 5 - Air-300 leg press, part#02531BP, selected upholstery 1: black – STA22 |
| EA |
| 1 |
| $ |
| $ |
| · 6 - Air-300 leg extension Pro, part#001133BP, selected upholstery 1: black –STA22 |
| EA |
| 1 |
| $ |
| $ |
| · 7 - Air-250 leg curl-range limiter, part#00122BP, selected upholstery 1: black – STA22 |
| EA |
| 1 |
| $ |
| $ |
| · 8 - Functional Trainer (ft), part#003020BP, custom decal: no |
| EA |
| 1 |
| $ |
| $ |
| · 9 -Functional trainer (ft) floor-mounted base, part#003021B |
| EA |
| 1 |
| $ |
| $ |
| · 10 - Performance trainer (pt), part#003010BP |
| EA |
| 1 |
| $ |
| $ |
· 11 - Infinity accessory kit, part#300824, description: includes: Keiser chop bar, lat/back strap, handle
· grip, ankle cinch strap, thigh cinch strap, triceps rope, waist belt.
| EA |
| 2 |
| $ |
| $ |
| · 12 - Small compressor, part#001021B |
| EA |
| 1 |
| $ |
| $ |
| · 13 - M7I total body recumbent stepper, part#005210B, selected upholstery 1: black upholstery – STA22 |
| EA |
| 1 |
| $ |
| $ |
· 14 - Keiser virtual education, part # CTVE1
| EA |
| 1 |
| $ |
| $ |
| · 15 – SHIPPING OF EQUIPMENT |
| EA |
| 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. This award is Full and Open.
Items must have supporting documentation (specification sheets) or OFFERS MAY NOT BE CONSIDERED.
Requested Delivery Date: Immediately, with-in 12 months from award.
Vendor Requirements:
· Must provide requested items Vendor Services:
· REQUIRMENTS OF THE SPECIFICATION DOCUMENT
Delivery Terms: FOB Destination.
Delivery Notes (Including Location): Claremore Indian Hospital
ATTN: MIRANDA R. NEVILLS
| 101 S. Moore Ave., | |
| Claremore, OK 74017 |
Submit Quotes no later than: Thursday 13, 2024, C.O.B.4:30 P.M. to the Following Point of Contact: Randy R. Nevills (918)342-6447. Email: miranda.nevills@ihs.gov
Evaluation: Claremore Indian Hospital will award a Purchase Order resulting from this solicitation to the responsible offeror whose offer conforming to the solicitation will be most advantageous to the Government, price and other factors considered. The following factors shall be used to evaluate offers:
Lowest Price (Technically Acceptable)
Submit the following information with each quote: Vendor Name Cage Code, 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.
For additional information, please contact the Contract Specialist, Vendor Information
Business Name:
Click here to enter text.
Street Address:
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City, State, Zip:
Click here to enter text.
GSA Contract Number:
Click here to enter text.
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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