Sol_140D0423Q0643.pdf
PDF 103 KB Posted
- Attached to
- Surgical Waste Management System, 23-1074-AER
- Solicitation number
- 140D0423Q0643
About this file
This solicitation seeks offers for a surgical waste management system and related supplies and services. The Department of the Interior Interior Business Center is requesting four Neptune 3 Rover Waste Management Systems, one Neptune 2 Docking Station, one Neptune 2 4-Port Manifold pack, one Neptune Docking Detergent pack, shipping and handling, and a 12-month warranty. Offers are due by August 17, 2023 and delivery is required within 30 days of purchase order receipt to the Northern Navajo Medical Center in Shiprock, New Mexico. The solicitation number is 140D0423Q0643 and is an unrestricted procurement with no set asides.
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Other files
| File | Type | Posted |
|---|---|---|
| B08_SOL_Solicitation_RFQ__(4).docx | DOCX document | |
| A15_BN_Brand_Name_Justification_5_26_23.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
D36
Suite 2000A 381 Elden Street Acquisition Services Directorate Interior Business Center, AQD
CODE 16. ADMINISTERED BYCODE
X
X
X
339113
SIZE STANDARD:
100.00 % FOR:SET ASIDE:UNRESTRICTED ORD36
RFPIFB
10. THIS ACQUISITION ISCODE
RFQ
14. METHOD OF SOLICITATION
13b. RATING
NAICS:
SMALL BUSINESS
08/17/2023 1530 ED
08/02/2023
0000000000Makoso Alain Nzita (No collect calls)
INFORMATION CALL:
FOR SOLICITATION 8. OFFER DUE DATE/LOCAL TIMEb. TELEPHONE NUMBER a. NAME
4. ORDER NUMBER3. AWARD/ 6. SOLICITATION
140D0423Q0643
5. SOLICITATION NUMBER
SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS 1. REQUISITION NUMBER PAGE OF
1 3 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
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.
See attached combined synopsis/solicitation 140D0423Q0643 for instructions to offerors, terms and conditions.
Delivery: 30 Days after receipt of purchase order Delivery: 30 Days After Receipt Of Order
00010 Neptune 3 Rover Waste Management System (120V) 4 EA Product/Service Code: 6515 Product/Service Description: MEDICAL AND SURGICAL
INSTRUMENTS, EQUIPMENT, AND SUPPLIES
Continued ...
(Use Reverse and/or Attach Additional Sheets as Necessary)
HEREIN, IS ACCEPTED AS TO ITEMS:
XX
DATED
Kelly Gordon
. 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.
Deliver to Northern Navajo Medical Center - U.S.
Hwy North 491 Shiprock, N.M. 87420.
00020 Neptune 2 Docking Station (120V) 1 EA
Product/Service Code: 6515
Product/Service Description: MEDICAL AND SURGICAL
INSTRUMENTS, EQUIPMENT, AND SUPPLIES
Deliver to Northern Navajo Medical Center - U.S.
Hwy North 491 Shiprock, N.M. 87420.
00030 Neptune 2 4-Port Manifold - 20/Pack 1 EA
Product/Service Code: 6515
Product/Service Description: MEDICAL AND SURGICAL
INSTRUMENTS, EQUIPMENT, AND SUPPLIES
Deliver to Northern Navajo Medical Center - U.S.
Hwy North 491 Shiprock, N.M. 87420.
00040 Neptune Docking Detergent - 2/Pack 1 EA
Product/Service Code: 6515
Product/Service Description: MEDICAL AND SURGICAL
INSTRUMENTS, EQUIPMENT, AND SUPPLIES
Continued ...
32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE
32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE
3 2 of
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
NAME OF OFFEROR OR CONTRACTOR
3 3
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
140D0423Q0643
Deliver to Northern Navajo Medical Center - U.S.
Hwy North 491 Shiprock, N.M. 87420.
00050 Shipping/Handling
Product/Service Code: 6515
Product/Service Description: MEDICAL AND SURGICAL
INSTRUMENTS, EQUIPMENT, AND SUPPLIES
00060 12 Month Warranty
Product/Service Code: 6515
Product/Service Description: MEDICAL AND SURGICAL
INSTRUMENTS, EQUIPMENT, AND SUPPLIES
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
Sponsored by GSA
FAR (48 CFR) 53.110
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