Sol_140D0424R0099.pdf
PDF 104 KB Posted
- Attached to
- OWF Behavioral Health IDIQ
- Solicitation number
- 140D0424R0099
About this file
This document is a Request for Proposal (RFP) for a Single Award Indefinite Delivery Indefinite Quantity (IDIQ) Contract with Firm Fixed Price Task Orders for Behavioral Health Services for the Department of the Interior (DOI) Office of Wildland Fire (OWF). The contract has a one-year base period with four one-year option periods. The services are required in all U.S. states and territories, with a maximum ceiling value of $30,000,000. The RFP defines the required Behavioral Health Services under NAICS code 621330. Offers are due by September 12, 2024, and the period of performance is from December 6, 2024 to December 5, 2029. The solicitation is set-aside for small businesses, including HUBZone, WOSB, EDWOSB, and SDVOSB firms. Pricing information is provided in the Exhibit B Price Schedule. The contracting agency is the Interior Business Center, AQD Division 2/Branch 3.
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Other files
| File | Type | Posted |
|---|---|---|
| B09_SA_0002_140D0424R0099_0002.docx | DOCX document | |
| Sol_140D0424R0099_Amd_0002.pdf | ||
| B08_SOL_EXHIBIT_A_PWS_Final_24Sep_0001.docx | DOCX document | |
| B09_SA_0001_EXHIBIT_B_Price_Schedule_Final_20Sep_0001.xlsx | XLSX spreadsheet | |
| B09_SA_0001_QA_Behavioral_Health_0001.xlsx | XLSX spreadsheet | |
| B09_SA_0001_140D0424R0099_0001.docx | DOCX document | |
| Sol_140D0424R0099_Amd_0001.pdf | ||
| B08_SOL_Attachment_3_-_Offeror_s_Miscellaneous_Information_(1).docx | DOCX document | |
| B08_SOL_EXHIBIT_A_PWS_Final_12Sep.docx | DOCX document | |
| B08_SOL_EXHIBIT_B_Price_Schedule_Final_12Sep.xlsx | XLSX spreadsheet | |
| B08_SOL_Attachment_1_FFT_PERSONNEL_STATES_AND_COUNTIES_(1).docx | DOCX document | |
| B08_SOL_140D0424R0099_Final_12Sep.docx | DOCX document | |
| B08_SOL_Attachment_2_Past_Performance_Questionnaire_(1).docx | DOCX document |
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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
D23
See Schedule
CODE 16. ADMINISTERED BYCODE
X
X
621330
SIZE STANDARD:
% FOR:SET ASIDE:UNRESTRICTED ORD23
REQUEST FOR
PROPOSAL
(RFP)
INVITATION
FOR BID (IFB)
10. THIS ACQUISITION ISCODE
REQUEST FOR
QUOTE (RFQ)
14. METHOD OF SOLICITATION
13b. RATING
NORTH AMERICAN INDUSTRY
CLASSIFICATION STANDARD
(NAICS):
SMALL BUSINESS
10/14/2024 1700 ED
09/12/2024
0000000000Sarah Ignacio (No collect calls)
INFORMATION CALL:
FOR SOLICITATION 8. OFFER DUE DATE/LOCAL TIMEb. TELEPHONE NUMBER a. NAME
4. ORDER NUMBER3. AWARD/ 6. SOLICITATION
140D0424R0099
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
TELEPHONE NO.
17a. CONTRACTOR/
15. DELIVER TO
Herndon VA 20170 Suite 2000A 381 Elden St Division 2 /Branch 3
9. ISSUED BY
7.
2. CONTRACT NO.
EFFECTIVE DATE
$9
18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW
ISSUE DATE
DELIVERY FOR FREE ON BOARD
(FOB) DESTINATION UNLESS
BLOCK IS MARKED
11.
SEE SCHEDULEX
12. DISCOUNT TERMS THIS CONTRACT IS A RATED
ORDER UNDER THE DEFENSE
PRIORITIES AND ALLOCATIONS
SYSTEM - DPAS (15 CFR 700)
13a.
SERVICE-DISABLED
VETERAN-OWNED
SMALL BUSINESS
(SDVOSB)
HUBZONE SMALL
BUSINESS
8(A)
Interior Business Center, AQD
WOMEN-OWNED SMALL
BUSINESS (WOSB)
ECONOMICALLY DISADVANTAGED
WOMEN-OWNED SMALL
BUSINESS (EDWOSB)
24.
AMOUNT
23.
UNIT PRICE
22.
UNIT
21.
QUANTITY
20.
SCHEDULE OF SUPPLIES/SERVICES
19.
ITEM NO.
ADMINISTERED BY:
Interior Business Center, AQD Division 2 /Branch 3 381 Elden St Suite 2000A Herndon VA 20170 USA Single Award IDIQ Contract with Firm Fixed Price Task Orders for DOI OWF Behavioral Health Services
Period of Performance is a one (1) one-year base period with four (4) one-year option periods
(Use Reverse and/or Attach Additional Sheets as Necessary)
HEREIN, IS ACCEPTED AS TO ITEMS:
X
XX
DATED
Xanthe Otterstedt
. 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 (FEDERAL ACQUISITION REGULATION) FAR 52.212-1, 52.212-4. FAR 52.212-3
AND 52.212-5 ARE ATTACHED. ADDENDA
26. TOTAL AWARD AMOUNT (For Government Use Only)
OFFER
STANDARD FORM 1449 (REV. 11/2021)
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: REFERENCE
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. 11/2021) BACK
24.
AMOUNT
23.
UNIT PRICE
22.
UNIT
21.
QUANTITY
20.
SCHEDULE OF SUPPLIES/SERVICES
19.
ITEM NO.
Maximum Ceiling Value: $30,000,000.00
Services Required in All US States and Territories
Period of Performance: 12/06/2024 to 12/05/2025
00010 Behavioral Health Services for Office of Wildland
Fire See Exhibit B Price Schedule
Product/Service Code: Q201
Product/Service Description: MEDICAL- MANAGED
HEALTHCARE
00020 Option Period 1 - Behavioral Health Services -
See Exhibit B Price Schedule
(Option Line Item)
Anticipated Exercise Date 12/05/2025
Product/Service Code: Q201
Product/Service Description: MEDICAL- MANAGED
HEALTHCARE
Period of Performance: 12/06/2025 to 12/05/2026
00030 Option Period 2 - Behavioral Health Services -
See Exhibit B Price Schedule
(Option Line Item)
Anticipated Exercise Date 12/05/2026
Product/Service Code: Q201
Product/Service Description: MEDICAL- MANAGED
HEALTHCARE
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)
140D0424R0099
Period of Performance: 12/06/2026 to 12/05/2027
00040 Option Period 3 - Behavioral Health Services -
See Exhibit B Price Schedule
(Option Line Item)
Anticipated Exercise Date 12/05/2027
Product/Service Code: Q201
Product/Service Description: MEDICAL- MANAGED
HEALTHCARE
Period of Performance: 12/06/2027 to 12/05/2028
00050 Option Period 4 - Behavioral Health Services -
See Exhibit B Price Schedule
(Option Line Item)
Anticipated Exercise Date 12/05/2028
Product/Service Code: Q201
Product/Service Description: MEDICAL- MANAGED
HEALTHCARE
Period of Performance: 12/06/2028 to 12/05/2029
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
Sponsored by GSA
FAR (48 CFR) 53.110
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