Sol_140P8523Q0023.pdf

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Attached to
Medical Billing, EMR and PM System for Yosemite NP
Solicitation number
140P8523Q0023
Issued by

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Sol_140P8523Q0023_Amd_0002.pdf PDF
Questions_and_Answers_0002_0002.pdf PDF
Sol_140P8523Q0023_Amd_0001.pdf PDF
Questions_and_Answers_0001.pdf PDF
Combined_Synopsis_Solicitation.pdf PDF
Atch_04_DOI_IT_Baseline_Compliance.pdf PDF
Atch_03_DOL_Wage_Determination_-_Mariposa_County__California.pdf PDF
Atch_02_Quote_and_Pricing_Schedule.pdf PDF
Atch_01_Statement_of_Work.pdf PDF

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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

PO1

Mariposa CA 95338 5037 Stroming Rd.

DOI, NPS, PWR - SF/SEA MABO - YOSE

CODE 16. ADMINISTERED BYCODE

X

X

541219

SIZE STANDARD:

100.00 % FOR:SET ASIDE:UNRESTRICTED ORPPO

RFPIFB

10. THIS ACQUISITION ISCODE

RFQ

14. METHOD OF SOLICITATION

13b. RATING

NAICS:

SMALL BUSINESS

05/22/2023 1700 PD

04/20/2023

9286120074Lisa Henson (No collect calls)

INFORMATION CALL:

FOR SOLICITATION 8. OFFER DUE DATE/LOCAL TIMEb. TELEPHONE NUMBER a. NAME

4. ORDER NUMBER3. AWARD/ 6. SOLICITATION

140P8523Q0023

5. SOLICITATION NUMBER

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS 1. REQUISITION NUMBER PAGE OF

1 4 0040615374OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

TELEPHONE NO.

17a. CONTRACTOR/

Yosemite National Park CA 95389 9000 Lost Arrow Drive Yosemite Medical Clinic

15. DELIVER TO

San Francisco CA 94104 Suite 500 333 Bush Street

9. ISSUED BY

7.

2. CONTRACT NO.

EFFECTIVE DATE

$25

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)

NPS, PWR - SF/SEA MABO

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.

SOLICITATION NO. 140P8523Q0023, Medical Billing, EMR and PM system for Yosemite National Park, California.

The period of performance is for one year and contains four one-year option periods, up to a total of five years. This solicitation includes FAR clause 52.217-8, Option to Extend Services, which allows the Government to extend up to six additional months beyond the original performance period. Should this option be exercised, pricing

(Use Reverse and/or Attach Additional Sheets as Necessary)

HEREIN, IS ACCEPTED AS TO ITEMS:

X

XX

DATED

Eric Jordan

. 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.

during the extension will continue at the same rates as the current contract period. All options, to include the six-month extension, will be included in the total price evaluation.

Period of Performance: 06/01/2023 to 05/31/2024

00010 Base Year: EMR and PM software system subscription and training. See statement of work for full requirements.

IT Approval Num: 1892

Product/Service Code: Q601

Product/Service Description: MEDICAL CODING AND

AUDITING

00020 Implementation and training

IT Approval Num: 1892

Product/Service Code: Q601

Product/Service Description: MEDICAL CODING AND

AUDITING

FOB: Destination

00030 Option Year 1: EMR and PM software system

Continued ...

32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

4 2 of

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

3 4

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

140P8523Q0023 subscription and training.

IT Approval Num: 1892

(Option Line Item)

Anticipated Exercise Date 05/31/2024

Product/Service Code: Q601

Product/Service Description: MEDICAL CODING AND

AUDITING

FOB: Destination

Period of Performance: 06/01/2024 to 05/31/2025

00040 Option Year 2: EMR and PM software system subscription and training.

IT Approval Num: 1892

(Option Line Item)

Anticipated Exercise Date 05/31/2025

Product/Service Code: Q601

Product/Service Description: MEDICAL CODING AND

AUDITING

FOB: Destination

Period of Performance: 06/01/2025 to 05/31/2026

00050 Option Year 3: EMR and PM software system subscription and training.

IT Approval Num: 1892

(Option Line Item)

Anticipated Exercise Date 05/31/2026

Product/Service Code: Q601

Product/Service Description: MEDICAL CODING AND

AUDITING

FOB: Destination

Period of Performance: 06/01/2026 to 05/31/2027

00060 Option Year 4: EMR and PM software system subscription and training.

IT Approval Num: 1892

(Option Line Item)

Anticipated Exercise Date 05/31/2027

Product/Service Code: Q601

Product/Service Description: MEDICAL CODING AND

AUDITING

FOB: Destination

Continued ...

NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)

Sponsored by GSA

FAR (48 CFR) 53.110

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

4 4

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

140P8523Q0023

Period of Performance: 06/01/2027 to 05/31/2028

NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)

Sponsored by GSA

FAR (48 CFR) 53.110

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