Sol_75H71026Q00137.pdf

PDF 108 KB Posted Apr 22, 2026

Attached to: NNMC, Two (2) NPSC for RN Services for the Inpatient Pediatrics Department
Solicitation number: 75H71026Q00137
Issued by: Department of Health and Human Services Indian Health Service

About this file

Written by GovTribe AI · May 21, 2026

This is a Solicitation/Contract/Order for Commercial Items (Standard Form 1449) issued by the Northern Navajo Medical Center for non-personal healthcare services. The solicitation number is 75H71026Q00137, with an issue date of 04/22/2026 and an offer due date of 05/15/2026 at 1200 MD. The contract is administered by the issuing office located at Northern Navajo Medical Center, US Hwy 491 North, Shiprock NM 87420, with Matthew Atcitty listed as the information contact.

The procurement requires two (2) Registered Nurses for the Inpatient Pediatrics Department, with services to be provided in accordance with Attachment A—Performance Work Statement. This is a labor-hour contract with five line items: one base period (06/01/2026 to 11/30/2026) and four option periods, each covering 1,040 hours of service and extending through 05/31/2028. The total period of performance runs from 06/01/2026 to 11/30/2028. Values are estimated and considered labor-hour CLINs; contractors exceeding the estimated value do so at their own risk. The solicitation is designated as a 100% Integrated Small Business Educational Enterprise (ISBEE) set-aside under small business criteria (NAICS 561320). This is a rated order under the Defense Priorities and Allocations System (DPAS). Payment will be processed through the Department of Treasury's electronic payment system (www.ipp.gov) in compliance with FAR 52.212-4(g) and clause 352.232-71. The contract incorporates by reference FAR 52.212-1, 52.212-4, and includes FAR 52.212-3 and 52.212-5. Delivery is FOB destination to Northern Navajo Medical Center.

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Combined Synopsis-Solicitation_2 Inpt Peds NPSC Nursing.pdf	PDF	Apr 22, 2026
IHS IEE Representation Form_Jan 2022_508 Compliant.pdf	PDF	Apr 22, 2026
3. PWS Pediatric Ward Nursing Services.pdf	PDF	Apr 22, 2026

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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

53CODE 16. ADMINISTERED BYCODE

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

05/05/2026 1200 MD

04/22/2026

MATTHEW ATCITTY

(No collect calls)

INFORMATION CALL:

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

4. ORDER NUMBER3. AWARD/ 6. SOLICITATION

75H71026Q00137

5. SOLICITATION NUMBER

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

1 4 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

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 NM 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.

Set-Aside Information - ***100% ISBEE SET-ASIDE***

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 of 352.232-71 Electronic Submission of Payments Request (FEB 2022).

Period of Performance: 06/01/2026 to 11/30/2028 (Use Reverse and/or Attach Additional Sheets as Necessary)

HEREIN, IS ACCEPTED AS TO ITEMS:

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

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.

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.

1 Base Period:

Non-Personal Healthcare Services for Two (2)

Registered Nurse for the Inpatient Pediatrics

Department.

Hours: 1040

The Contractor shall provide required services

IAW Attachment A - Performance Work Statement.

This is a Labor-Hour CLIN. Values are estimated.

Contractor exceeds value at its own risk.

Period of Performance: 06/01/2026 to 11/30/2026

2 Option Period 1:

Non-Personal Healthcare Services for Two (2)

Registered Nurse for the Inpatient Pediatrics

Department.

Hours: 1040

The Contractor shall provide required services

IAW Attachment A - Performance Work Statement.

This is a Labor-Hour CLIN. Values are estimated.

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)

75H71026Q00137

Contractor exceeds value at its own risk.

(Option Line Item)

11/30/2026

Period of Performance: 12/01/2026 to 05/31/2027

3 Option Period 2:

Non-Personal Healthcare Services for Two (2)

Registered Nurse for the Inpatient Pediatrics

Department.

Hours: 1040

The Contractor shall provide required services

IAW Attachment A - Performance Work Statement.

This is a Labor-Hour CLIN. Values are estimated.

Contractor exceeds value at its own risk.

(Option Line Item)

05/31/2027

Period of Performance: 06/01/2027 to 11/30/2027

4 Option Period 3:

Non-Personal Healthcare Services for Two (2)

Registered Nurse for the Inpatient Pediatrics

Department.

Hours: 1040

The Contractor shall provide required services

IAW Attachment A - Performance Work Statement.

This is a Labor-Hour CLIN. Values are estimated.

Contractor exceeds value at its own risk.

(Option Line Item)

11/30/2027

Period of Performance: 12/01/2027 to 05/31/2028

5 Option Period 4:

Non-Personal Healthcare Services for Two (2)

Registered Nurse for the Inpatient Pediatrics

Department.

Continued ...

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