SF18-75H70624Q00065.pdf
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- Solicitation number
- 75H70624Q00065
About this file
This document is a Request for Quotation (RFQ) for a 100% Small Business Set-Aside solicitation for two NuStep T6 PRO Recumbent Cross Trainer Bikes for the Woodrow Wilson Keeble Memorial Healthcare Center in Sisseton, South Dakota. The contract has a period of performance starting on the date of award, with delivery required within 60 days. The basis for award is Lowest Price Technically Acceptable (LPTA), and quotes must include a completed and signed SF-18, IHS Buy-Indian Form (if applicable), specifications for the required items, and a 60-day or less delivery schedule. Trade-in valuations for two existing NuStep TRS 4000 bikes will be considered. The solicitation is issued by the Indian Health Service, a civilian agency within the Department of Health and Human Services. Any questions must be submitted in writing by September 6, 2024, and quotes are due by the date referenced in Block #10 of the SF-18. No contract award shall be made to any vendor or provider listed on the OIG Exclusion List.
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| File | Type | Posted |
|---|---|---|
| Sol_75H70624Q00065.pdf | ||
| Indian Firm Representation Form IHS1497904.pdf |
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Text version
REQUEST FOR QUOTATION
(THIS IS NOT AN ORDER)
THIS RFQ IS IS NOT A SMALL BUSINESS SET-ASIDE
15. DATE OF QUOTATION
16. SIGNER
a. NAME (Type or print)
c. TITLE (Type or print)
b. TELEPHONE
AREA CODE
NUMBER
STANDARD FORM 18 (REV. 6/1995)
Prescribed by GSA-FAR (48 CFR) 53.215-1(a)
AUTHORIZED FOR LOCAL REPRODUCTION
Previous edition not usable
8. TO:
b. COMPANYa. NAME
c. STREET ADDRESS
d. CITY e. STATE f. ZIP CODE
9. DESTINATION
a. NAME OF CONSIGNEE
b. STREET ADDRESS
c. CITY
d. STATE e. ZIP CODE
7. DELIVERY
FOB DESTINATION
OTHER
(See Schedule)
10. PLEASE FURNISH QUOTATIONS TO THE
ISSUING OFFICE IN BLOCK 5a ON OR BEFORE CLOSE OF BUSINESS (Date)
IMPORTANT: This is a request for information and quotations furnished are not offers. If you are unable to quote, please so indicate on this form and return it to the address in Block 5a. This request does not commit the Government to pay any costs incurred in the preparation of the submission of this quotation or to contract for supplies or service. Supplies are of domestic origin unless otherwise indicated by quoter. Any representations and/or certifications attached to this Request for Quotation must be completed by the quoter.
11. SCHEDULE (Include applicable Federal, State and local taxes)
ITEM NUMBER
(a)
SUPPLIES/SERVICES
(b)
QUANTITY
(c)
UNIT
(d)
UNIT PRICE
(e)
AMOUNT
(f)
12. DISCOUNT FOR PROMPT PAYMENT
a. 10 CALENDAR DAYS (%) b. 20 CALENDAR DAYS (%) c. 30 CALENDAR DAYS (%) d. CALENDAR DAYS
NUMBER PERCENTAGE
NOTE: Additional provisions and representations are are not attached.
13. NAME AND ADDRESS OF QUOTER
a. NAME OF QUOTER
b. STREET ADDRESS
c. COUNTY
d. CITY e. STATE f. ZIP CODE
14. SIGNATURE OF PERSON AUTHORIZED TO
SIGN QUOTATION
PAGE OF PAGES
1. REQUEST NUMBER 2. DATE ISSUED 3. REQUISITION/PURCHASE REQUEST NUMBER 4. CERT. FOR NAT. DEF.
UNDER BDSA REG. 2
AND/OR DMS REG. 1
RATING
5a. ISSUED BY 6. DELIVER BY (Date)
5b. FOR INFORMATION CALL (NO COLLECT CALLS)
NAME TELEPHONE NUMBER
AREA CODE NUMBER
IHS149790475H70624Q00065
Great Plains Area Indian Health Service, 115 4th Avenue SE Aberdeen, South Dakota 57401
Erin Doering, Erin.Doering@ihs.gov
***100% Small Business set-aside***
NuStep LLC P N 06001 T6 Pro Recumbent Cross- Trainer
Shipping & Handling
Trade-In Allowance
BASIS FOR AWARD: Lowest priced, technically acceptable (LPTA). Quotes must include the following to be considered acceptable:
1. Completed and signed SF-18
2. Completed IHS Buy-Indian Form (if applicable)
3. Provide items per specifications.
4. Meet 60 day or less delivery schedule.
EA
EA
EA
605 226-7662 WWKMHC-Sisseton IHS Hospital
100 LAKE TRAVERSE DRIVE
Sisseton
57262SD
09/04/2024
09/11/2024
11/11/2024
$0.00
$0.00
$0.00
File details come from the government source that posted it. Updated .