SF18-95a fillable.pdf

PDF 594 KB Posted Feb 13, 2026

Attached to: Sources Sought Notice: Provide cleaning services for dust mops, rugs for main facility, annex, and Wellness Center at the Fort Thompson Indian Health Center Fort Thompson SD
Solicitation number: IHS1519317-FTHC
Issued by: Department of Health and Human Services Indian Health Service

About this file

Written by GovTribe AI · Feb 13, 2026

This is a Request for Quotation (RFQ) issued by Fort Thompson Indian Health Center for cleaning services. The RFQ number is RFQ-IHS1519317-FTHC, issued on 02/13/2026, with quotations due by close of business on an unspecified date. The requisition/purchase request number is 75H70626P00026, and quotations should be submitted to Mavis Cheney, Purchasing Agent, at the Fort Thompson Indian Health Center located at 1323 BIA RT 4, Fort Thompson, South Dakota 57339 (telephone: 605-245-1558).

The solicitation seeks cleaning services for dust mops and rugs for the main facility, annex, and wellness center on an as-needed basis. The contract includes a base year covering April 1, 2026 through March 31, 2027, with four option years extending through March 31, 2031. Delivery is FOB Destination to Fort Thompson IHS Health Center. This is not a small business set-aside. Quoters must complete all representations and certifications attached to the RFQ and are required to provide unit pricing and total amounts in the schedule section. Additional provisions regarding prompt payment discounts and quoter information are to be completed as applicable.

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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

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REQUEST FOR QUOTATION(THIS IS NOT AN ORDER)

THIS RFQ

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. COMPANY

a. 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

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

THIS RFQ IS A SMALL BUSINESS SET-ASIDE.: 1

7. DELIVERY. FOB DESTINATION: 1

NOTE: Additional provisions and representations are attached.: 0

NOTE: Additional provisions and representations are not attached.: 0

7. DELIVERY. OTHER (See Schedule): 0

THIS RFQ IS NOT A SMALL BUSINESS SET-ASIDE.: 0

PAGE OF:

4. CERT. FOR NAT. DEF. UNDER BDSA REG. 2 AND/OR DMS REG. 1. RATING:

3. REQUISITION/PURCHASE REQUEST NUMBER: 75H70626P00026

1. REQUEST NUMBER: RFQ-IHS1519317-FTHC

5a. ISSUED BY: Fort Thompson Indian Heath Center 1323 BIA RT 4 Fort Thompson SD 57339

5b. FOR INFORMATION CALL (NO COLLECT CALLS). NAME: Mavis Cheney, Purchasing Agent

8. TO. a. NAME:

13. NAME AND ADDRESS OF QUOTER. f. ZIP CODE:

16. SIGNER. a. NAME (Type or print):

16. SIGNER. b. TELEPHONE. AREA CODE:

16. SIGNER. b. TELEPHONE. NUMBER:

16. SIGNER. c. TITLE (Type or print):

13. NAME AND ADDRESS OF QUOTER. e. STATE:

13. NAME AND ADDRESS OF QUOTER. d. CITY:

13. NAME AND ADDRESS OF QUOTER. b. STREET ADDRESS:

13. NAME AND ADDRESS OF QUOTER. c. COUNTRY:

13. NAME AND ADDRESS OF QUOTER. a. NAME OF QUOTER:

8. TO. c. STREET ADDRESS:

8. TO. d. CITY:

11. SCHEDULE (Include applicable Federal, State and local taxes). ITEM NUMBER. COLUMN A. Line 18 of 18:

11. SCHEDULE (Include applicable Federal, State and local taxes). SUPPLIES/SERVICES. COLUMN B.: Cleaning services for Dust mops and Rugs for

11. SCHEDULE (Include applicable Federal, State and local taxes). SUPPLIES/SERVICES. COLUMN B.: main Facility, Annex, and Wellness Center

11. SCHEDULE (Include applicable Federal, State and local taxes). SUPPLIES/SERVICES. COLUMN B.: as needed.

11. SCHEDULE (Include applicable Federal, State and local taxes). SUPPLIES/SERVICES. COLUMN B.: Base Year: 4/1/2026 - 3/31/2027

11. SCHEDULE (Include applicable Federal, State and local taxes). SUPPLIES/SERVICES. COLUMN B.: Option Year 1: 4/1/2027 - 3/31/2028

11. SCHEDULE (Include applicable Federal, State and local taxes). SUPPLIES/SERVICES. COLUMN B.: Option year 2. 4/1/2028 - 3/31/2029

11. SCHEDULE (Include applicable Federal, State and local taxes). SUPPLIES/SERVICES. COLUMN B.: Option year 3: 4/1/2029 - 3/31/2030

11. SCHEDULE (Include applicable Federal, State and local taxes). SUPPLIES/SERVICES. COLUMN B.: Option year 4: 4/1/2030 - 3/31/2031

11. SCHEDULE (Include applicable Federal, State and local taxes). QUANTITY. COLUMN C.:

11. SCHEDULE (Include applicable Federal, State and local taxes). UNIT. COLUMN D.:

8. TO. e. STATE:

8. TO. f. ZIP CODE:

5b. FOR INFORMATION CALL (NO COLLECT CALLS). TELEPHONE NUMBER. AREA CODE: 605

8. TO. b. COMPANY:

5b. FOR INFORMATION CALL (NO COLLECT CALLS). TELEPHONE NUMBER. NUMBER: 245-1558

9. DESTINATION. a. NAME OF CONSIGNEE: Fort Thompson IHS Health Center

9. DESTINATION. b. STREET ADDRESS: 1323 BIA RT 4

9. DESTINATION. c. CITY: Fort Thompson

9. DESTINATION. e. ZIP CODE: 57339

9. DESTINATION. d. STATE: SD

PAGES:

2. DATE ISSUED. Enter 2 digit month, 2 digit day and 4 digit year.: 2026-02-13

10. PLEASE FURNISH QUOTATIONS TO THE ISSUING OFFICE IN BLOCK 5a ON OR BEFORE CLOSE OF BUSINESS (Date). Enter 2 digit month, 2 digit day and 4 digit year.:

15. DATE OF QUOTATION. Enter 2 digit month, 2 digit day and 4 digit year.:

6. DELIVER BY (Date). Enter 2 digit month, 2 digit day and 4 digit year.: 2026-01-28

11. SCHEDULE (Include applicable Federal, State and local taxes). UNIT PRICE. COLUMN E.:

11. SCHEDULE (Include applicable Federal, State and local taxes). AMOUNT. COLUMN F.:

11. SCHEDULE (Include applicable Federal, State and local taxes). UNIT PRICE. COLUMN E.:

12. DISCOUNT FOR PROMPT PAYMENT. a. 10 CALENDAR DAYS (%):

12. DISCOUNT FOR PROMPT PAYMENT. b. 20 CALENDAR DAYS (%):

12. DISCOUNT FOR PROMPT PAYMENT. c. 30 CALENDAR DAYS (%):

12. DISCOUNT FOR PROMPT PAYMENT. d. CALENDAR DAYS. NUMBER:

12. DISCOUNT FOR PROMPT PAYMENT. d. CALENDAR DAYS. PERCENTAGE:

14. SIGNATURE OF PERSON AUTHORIZED TO SIGN QUOTATION. Click to Sign. :

File details come from the government source that posted it. Updated Feb 13, 2026.