Sol_75H71026Q00182.pdf
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- Solicitation number
- 75H71026Q00182
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 two (2) Obstetrician/Gynecologist (OB/GYN) physicians to provide healthcare services for the OB/GYN Department at 1,040 hours per period. The contract includes a base period from July 13, 2026 to January 12, 2027, followed by four option periods of equal duration through January 12, 2029. The solicitation number is 75H71026Q00182, with an offer due date of June 23, 2026 at 3:00 PM Mountain Time. The acquisition is a 100% ISBEE (Indian Small Business Economic Enterprise) set-aside restricted to small businesses, classified under NAICS code 621111 with a size standard of $16 million. The contracting officer is Michelle A. James. Services will be delivered to Northern Navajo Medical Center in Shiprock, New Mexico 87420. The contract incorporates by reference FAR clauses 52.212-1, 52.212-3, 52.212-4, and 52.212-5, and is subject to electronic payment processing through www.ipp.gov per clause 352.232-71. Pricing and other specific terms to be completed by the offeror. The contractor must reference the attached Performance Work Statement (Attachment A) for detailed service requirements.
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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
X
X
621111
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
06/23/2026 1500 MT
06/11/2026
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
75H71026Q00182
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
$16
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 352.232-71 Electronic Submission of Payment Requests (FEB 2022).
Period of Performance: 07/13/2026 to 01/12/2027 (Use Reverse and/or Attach Additional Sheets as Necessary)
HEREIN, IS ACCEPTED AS TO ITEMS:
X
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.
1 Base Period:
Non-Personal Healthcare Services for Two (2)
OBSTETRICIAN/GYNECOLOGIST (OB/GYN) Physicians for the OB/GYN Department
Hours: 1040
The Contractor shall provide required services
IAW Attachment A - Performance Work Statement.
2 Option Period 1:
Non-Personal Healthcare Services for Two (2)
OBSTETRICIAN/GYNECOLOGIST (OB/GYN) Physicians for the OB/GYN Department
Hours: 1040
The Contractor shall provide required services
IAW Attachment A - Performance Work Statement.
(Option Line Item)
01/12/2027
Period of Performance: 01/13/2027 to 07/12/2027
3 Option Period 2:
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)
75H71026Q00182
Non-Personal Healthcare Services for Two (2)
OBSTETRICIAN/GYNECOLOGIST (OB/GYN) Physicians for the OB/GYN Department
Hours: 1040
The Contractor shall provide required services
IAW Attachment A - Performance Work Statement.
(Option Line Item)
07/12/2027
Period of Performance: 07/13/2027 to 01/12/2028
4 Option Period 3:
Non-Personal Healthcare Services for Two (2)
OBSTETRICIAN/GYNECOLOGIST (OB/GYN) Physicians for the OB/GYN Department
Hours: 1040
The Contractor shall provide required services
IAW Attachment A - Performance Work Statement.
(Option Line Item)
01/12/2028
Period of Performance: 01/13/2028 to 07/12/2028
5 Option Period 4:
Non-Personal Healthcare Services for Two (2)
OBSTETRICIAN/GYNECOLOGIST (OB/GYN) Physicians for the OB/GYN Department
Hours: 1040
The Contractor shall provide required services
IAW Attachment A - Performance Work Statement.
(Option Line Item)
07/12/2028
Period of Performance: 07/13/2028 to 01/12/2029
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
Sponsored by GSA
FAR (48 CFR) 53.110
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