SF-1449 - RFQ 75H70722Q00045.pdf

PDF 117 KB Posted May 13, 2022

Attached to: Pharmacy Reverse Distributor Services-SFIHC Federal contract opportunity
Solicitation number: 75H70722Q00045
Issued by: Department of Health and Human Services Indian Health Service

View the file

Other files for this federal contract opportunity

Other files attached to Pharmacy Reverse Distributor Services-SFIHC, newest first.
File	Type	Posted
SF-1449 - 75H70722Q00045 - SFIHC Revised.pdf	PDF	May 13, 2022
Pharmacy Reverse Distributor Terms - Conditions - SFIHC.docx	DOCX document	May 13, 2022
Past Performance Survey Form.docx	DOCX document	May 13, 2022

On GovTribe

Work with this file on GovTribe

Download the original file
Contacts named in this file
Similar government files
Ask GovTribe AI about this file

Try for free Login

Text version

The file's text, extracted by GovTribe without its formatting.

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

Albuquerque NM 87110 4101 Indian School Rd NE, Suite 225 Albuquerque Indian Health Service

CODE 16. ADMINISTERED BYCODE

561990

SIZE STANDARD:

% FOR:SET ASIDE:UNRESTRICTED OR203

RFPIFB

10. THIS ACQUISITION ISCODE

RFQ

14. METHOD OF SOLICITATION

13b. RATING

NAICS:

SMALL BUSINESS

05/27/2022 1530 MD

05/13/2022

505-256-6754PATRICIA TRUJILLO

(No collect calls)

INFORMATION CALL:

FOR SOLICITATION 8. OFFER DUE DATE/LOCAL TIMEb. TELEPHONE NUMBER a. NAME

4. ORDER NUMBER3. AWARD/ 6. SOLICITATION

75H70722Q00045

5. SOLICITATION NUMBER

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

1 63 OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

TELEPHONE NO.

17a. CONTRACTOR/

15. DELIVER TO

Albuquerque NM 87110 4101 Indian School Rd NE, Suite 225

9. ISSUED BY

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)

Albuquerque 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.

The Albuquerque Area Indian Health Service, Santa Fe Indian Health Center, Santa Clara Health Center and Cochiti Health Clinic has a requirement for Pharmacy Reverse Distributor Services.

This is a combined synopsis for commercial items for services prepared in accordance with format in FAR Subpart 12.6, as supplemented with additional information included in this notice.

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

HEREIN, IS ACCEPTED AS TO ITEMS:

DATED

PATRICIA P. TRUJILLO

. 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

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.

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 solicitation number is 75H70722Q00045 and is issued as a Request for Proposal (RFP), unless otherwise indicated herein. The solicitation document and incorporated provision and clauses are those in effect through Federal Acquisition

Circular 2021-04.

The associated North American Industrial

Classification System (NAICS) code for this procurement is 541614 with a business size standard $16.5.

This requirement is a Set-Aside for Small

Business Indian Firms and only proposals from qualified offerors will be considered.

Offers will be solicited from Small Business

Indian Firm concerns.

ONLY ONE AWARD WILL RESULT FROM THIS SOLICITATION.

FOB Destination shall be for the following

Albuquerque Area Indian Health Service facility:

Santa Fe Indian Health Center (SFIHC)

Attn: Pharmacy Department

1700 Cerrillos Road

Santa Fe, New Mexico 87505

Continued ...

32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

63 2 of

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

3 63

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

75H70722Q00045

Santa Clara Health Center (SCHC)

Attn: Pharmacy Department

400 State Road 30

Espanola, New Mexico 87532

Cochiti Health Clinic (CHC)

Attn: Pharmacy Department

270 Windmill Road

Cochiti Pueblo, New Mexico 87072

**SEE ATTACHED PRICE SCHEDULE AND SCOPE OF WORK

FOR ADDITIONAL DETAILS**

This solicitation will result in a Single Award with One (1) Base Year from date of award and

Four (4) 12-month option periods based on

Satisfactory Performance ratings.

State Taxes for labor/service costs (The Indian

Health Service is exempt from New Mexico State

Taxes for materials and supplies.)

This solicitation requires registration with the

System of Award Management (SAM) prior to award, pursuant to applicable regulations and guidelines. Registration information can be found at www.sam.gov

All responsible offerors that respond to this solicitation must submit their proposals by May

27, 2022, by COB 3:30 p.m., (MDT). The proposal can be sent by U.S. Postal Service or by Email to: patricia.trujillo@ihs.gov. Failure to comply with the below terms and conditions may result in offer being determined as non-responsive.

Question Submission: Interest Offerors must submit any questions concerning this solicitation at the earliest time possible to enable to respond. Technical questions must be submitted by

Email to: Keith Adcock, keith.adcocka@ihs.gov five (5) days prior to closing of the solicitation.

All Acquisition questions must be submitted by

Email to: patricia.trujillo@ihs.gov five (5) days prior to the solicitation, May 22, 2022, by 3:30

Continued ...

NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)