Sol_140D0423Q0552.pdf
PDF 97 KB Posted
- Attached to
- Audioscan Verifit 2 Federal contract opportunity
- Solicitation number
- 140D0423Q0552
About this file
This is a solicitation for an AudioScan Verifit 2 advanced hearing aid verification system, NOAH module, installation, and training. The solicitation was issued by the Interior Business Center on behalf of the Department of the Interior Departmental Offices. Interested offerors must respond by June 27, 2023. The solicitation will result in a fixed-price award for supplies and services totaling an estimated $1,250. The solicitation requests one AudioScan Verifit 2 system, one NOAH module, installation of the equipment by the contractor in the rehabilitation department audiology room, and training of audiology department staff on device functions after installation. The award is expected to be made by July 5, 2023 to the responsible offeror whose offer conforms to the solicitation and provides the best value to the government.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| SS_Attachment_IHS_IEE_Representation_Form_(5)_0001.pdf | ||
| Sol_140D0423Q0552_Amd_0001.pdf | ||
| B08_SOL_140D0423Q0552_AudioScan_Verifit_2_SAT_Combined_Synopsis_and_Solicitation_V_2_2.docx | DOCX document | |
| A15_BN_140D0423Q0552_BRAND_NAME_JUSTIFICATION_Verifit_2_Signed_Redacted_V_2_Redacted.pdf |
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Text version
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
D25
Suite 2000A 381 Elden Street Acquisition Services Directorate Interior Business Center, AQD
CODE 16. ADMINISTERED BYCODE
X
X
334510
SIZE STANDARD:
% FOR:SET ASIDE:UNRESTRICTED ORD25
RFPIFB
10. THIS ACQUISITION ISCODE
RFQ
14. METHOD OF SOLICITATION
13b. RATING
NAICS:
SMALL BUSINESS
07/05/2023 1700 ED
06/27/2023
571-560-0895Quinn Greene (No collect calls)
INFORMATION CALL:
FOR SOLICITATION 8. OFFER DUE DATE/LOCAL TIMEb. TELEPHONE NUMBER a. NAME
4. ORDER NUMBER3. AWARD/ 6. SOLICITATION
140D0423Q0552
5. SOLICITATION NUMBER
SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS 1. REQUISITION NUMBER PAGE OF
1 2 OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30
Herndon VA 20170
TELEPHONE NO.
17a. CONTRACTOR/
15. DELIVER TO
Herndon VA 20170 Suite 2000A 381 Elden Street Acquisition Services Directorate
9. ISSUED BY
7.
2. CONTRACT NO.
EFFECTIVE DATE
1,250
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)
Interior Business Center, AQD
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.
00001 AudioScan Verifit 2 Advanced Hearing Aid 1 EA verification system. Part number: 8521179
ETY-3547.
Product/Service Code: 6515 Product/Service Description: MEDICAL AND SURGICAL
INSTRUMENTS, EQUIPMENT, AND SUPPLIES
00002 AudioScan NOAH module. 1 EA Continued ...
(Use Reverse and/or Attach Additional Sheets as Necessary)
HEREIN, IS ACCEPTED AS TO ITEMS:
DATED
Shavonda Jamison
. 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
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.
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.
Product/Service Code: 6515
Product/Service Description: MEDICAL AND SURGICAL
INSTRUMENTS, EQUIPMENT, AND SUPPLIES
00003 Installation: Contractor will install the 1 EA
AudioScan VeriFit equipment in the rehabilitation department audiology room. Specified room and placement of the AudioScan VeriFit will be determined by the audiologist and contractor based on space and functionality. Contractor will work with local IT department staff to connect
AudioScan Verifit equipment to the current
NOAH system to ensure full functionality.
Product/Service Code: 6515
Product/Service Description: MEDICAL AND SURGICAL
INSTRUMENTS, EQUIPMENT, AND SUPPLIES
00004 Training: Training of audiology department staff 1 EA on device functions will be completed after installation of equipment.
Product/Service Code: 6515
Product/Service Description: MEDICAL AND SURGICAL
INSTRUMENTS, EQUIPMENT, AND SUPPLIES
32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE
32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE
2 2 of
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