Sol_75H71026Q00110.pdf
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- Solicitation number
- 75H71026Q00110
About this file
This is a Solicitation/Contract/Order for Commercial Items (Standard Form 1449) issued by Northern Navajo Medical Center for non-personal healthcare services.
The solicitation seeks Diagnostic Radiologic Technologists CT services for the Radiology Department at Northern Navajo Medical Center in Shiprock, New Mexico. This is a 100% Indian Small Business Economic Enterprise (ISBEE) set-aside acquisition under NAICS code 561320 with a size standard of $34 million. The contract employs a labor-hour pricing structure and is issued as a Request for Proposal (RFP) under the unrestricted method. The solicitation number is 75H71026Q00110, with an offer due date of March 26, 2026 at 12:00 PM MST. The point of contact is Felecia Chavez. The contract structure includes a base period from May 1, 2026 to April 30, 2028, followed by three option periods: Option Period 1 (May 1, 2026 to October 31, 2026), Option Period 2 (November 1, 2026 to April 30, 2027), and Option Period 3 (May 1, 2027 to October 31, 2027 and November 1, 2027 to April 30, 2028). The contractor must provide services in accordance with Attachment A—Performance Work Statement. The contract is subject to electronic payment processing through www.ipp.gov and incorporates FAR clauses 52.212-1, 52.212-3, 52.212-4, and 52.212-5 by reference. The Contracting Officer is Michelle A. James.
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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
53CODE 16. ADMINISTERED BYCODE
X
X
X
561320
SIZE STANDARD:
100.00 % FOR:SET ASIDE:UNRESTRICTED OR53
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
03/26/2026 1200 MT
03/12/2026
FELECIA CHAVEZ
(No collect calls)
INFORMATION CALL:
FOR SOLICITATION 8. OFFER DUE DATE/LOCAL TIMEb. TELEPHONE NUMBER a. NAME
4. ORDER NUMBER3. AWARD/ 6. SOLICITATION
75H71026Q00110
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
Shiprock NM 87420
US Hwy 491 North
9. ISSUED BY
7.
2. CONTRACT NO.
EFFECTIVE DATE
$34
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)
Northern Navajo Medical CTR WOMEN-OWNED SMALL
BUSINESS (WOSB)
ECONOMICALLY DISADVANTAGED
WOMEN-OWNED SMALL
BUSINESS (EDWOSB)
Shiprock New Mexico 87420
US HWY 491 North
Northern Navajo Medical Center
Shiprock NM 87420
US Hwy 491 North
Northern Navajo Medical CTR
24.
AMOUNT
23.
UNIT PRICE
22.
UNIT
21.
QUANTITY
20.
SCHEDULE OF SUPPLIES/SERVICES
19.
ITEM NO.
This contract is subject to the electronic payment process by the Department of Treasury.
All invoices complying to the requirements at 52.212-4(g) must be submitted through www.ipp.gov. For additional information, refer to the incorporated clause at 352.232-71 Electronic Submission of Payment Requests (FEB 2022).
The Government will keep the solicitation posted and open for quotes until March 26, 2026 at 12:00 pm MST.
(Use Reverse and/or Attach Additional Sheets as Necessary)
HEREIN, IS ACCEPTED AS TO ITEMS:
XX
DATED
MICHELLE A. JAMES
. 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.
This Acquisition is an 100% ISBEE (Indian Small
Business Economic Enterprise) set-aside.
Period of Performance: 05/01/2026 to 04/30/2028
1 Base Period:
Non-Personal Healthcare Services for the
Diagnostic Radiologic Technologists CT for the
Radiology Department.
The Contractor shall provide required services
IAW Attachment A - Performance Work Statement.
This is a Labor-Hour CLIN.
Period of Performance: 05/01/2026 to 10/31/2026
2 Option Period 1:
Non-Personal Healthcare Services for the
Diagnostic Radiologic Technologists CT for the
Radiology Department.
The Contractor shall provide required services
IAW Attachment A - Performance Work Statement.
This is a Labor-Hour CLIN.
(Option Line Item)
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)
75H71026Q00110
11/01/2026
Period of Performance: 11/01/2026 to 04/30/2027
3 Option Period 2:
Non-Personal Healthcare Services for the
Diagnostic Radiologic Technologists CT for the
Radiology Department.
The Contractor shall provide required services
IAW Attachment A - Performance Work Statement.
This is a Labor-Hour CLIN.
(Option Line Item)
05/01/2027
Period of Performance: 05/01/2027 to 10/31/2027
4 Option Period 3:
Non-Personal Healthcare Services for the
Diagnostic Radiologic Technologists CT for the
Radiology Department.
The Contractor shall provide required services
IAW Attachment A - Performance Work Statement.
This is a Labor-Hour CLIN.
(Option Line Item)
11/01/2027
Period of Performance: 11/01/2027 to 04/30/2028
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
Sponsored by GSA
FAR (48 CFR) 53.110
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