Sol_75H71026Q00211.pdf
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- Attached to
- Three (3) Non-Personal Healthcare Services for Respiratory Therapists at Gallup Indian Medical Center
- Solicitation number
- 75H71026Q00211
About this file
This is a Solicitation/Contract/Order for Commercial Items (Standard Form 1449) issued by Gallup Indian Medical Center for non-personal healthcare services.
The solicitation seeks a contractor to provide Respiratory Therapists for the Respiratory Department at Gallup Indian Medical Center located in Gallup, New Mexico. The solicitation number is 75H71026Q00211, with an issue date of August 5, 2026, and an offer due date of August 19, 2026 at 1:00 PM ET (12:00 PM MST). The contract includes one base period from September 1, 2026 to August 31, 2027, with three optional periods: Option Period 1 (March 1, 2027 to August 31, 2027), Option Period 2 (September 1, 2027 to February 29, 2028), and Option Period 3 (March 1, 2028 to August 31, 2028). All services must be performed in accordance with Attachment A - Performance Work Statement. This is a 100% Indian Small Business Economic Enterprise (ISBEE) set-aside with an unrestricted designation. The NAICS code is 561320, with a small business size standard of $34 million. The procurement method is a Request for Proposal (RFP). Contracting Officer Michelle A. James administers the solicitation, and contact information for questions is Felecia Chavez (no collect calls). Invoices must be submitted through www.ipp.gov in compliance with electronic payment requirements, and the contract incorporates FAR clauses 52.212-1, 52.212-3, 52.212-4, and 52.212-5 by reference.
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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
51CODE 16. ADMINISTERED BYCODE
X
X
X
561320
SIZE STANDARD:
100.00 % FOR:SET ASIDE:UNRESTRICTED OR51
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
08/19/2026 1500 ET
08/05/2026
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
75H71026Q00211
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
Gallup NM 87301
1808 W. Aztec Avenue
Acquisition Department
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)
Gallup Indian Medical Center WOMEN-OWNED SMALL
BUSINESS (WOSB)
ECONOMICALLY DISADVANTAGED
WOMEN-OWNED SMALL
BUSINESS (EDWOSB)
Gallup New Mexico 87301
1808 W. Aztec Ave
Gallup Indian Medical Center
Gallup NM 87301
1808 W. Aztec Avenue
Acquisition Department
Gallup Indian Medical Center
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 (APR 2026
(DEVIATION))
The Government will keep the solicitation posted and open for quotes until August 19,2026 at
(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.
12:00pm MST.
This Acquisition is a 100% ISBEE (Indian Small
Business Economic Enterprise) set-aside.
Period of Performance: 09/01/2026 to 08/31/2027
1 Base Period:
Non-Personal Healthcare Services for the
Respiratory Therapists for the Respiratory
Department at Gallup Indian Medical Center.
The contractor shall provide required services
IAW Attachment A - Performance Work Statement
Period of Performance: 09/01/2026 to 02/28/2027
2 Option Period 1:
Non-Personal Healthcare Services for the
Respiratory Therapists for the Respiratory
Department at Gallup Indian Medical Center.
The contractor shall provide required services
IAW Attachment A - Performance Work Statement
(Option Line Item)
03/01/2027
Period of Performance: 03/01/2027 to 08/31/2027
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)
75H71026Q00211
3 Option Period 2:
Non-Personal Healthcare Services for the
Respiratory Therapists for the Respiratory
Department at Gallup Indian Medical Center.
The contractor shall provide required services
IAW Attachment A - Performance Work Statement
(Option Line Item)
09/01/2027
Period of Performance: 09/01/2027 to 02/29/2028
4 Option Period 3:
Non-Personal Healthcare Services for the
Respiratory Therapists for the Respiratory
Department at Gallup Indian Medical Center.
The contractor shall provide required services
IAW Attachment A - Performance Work Statement
(Option Line Item)
03/01/2028
Period of Performance: 03/01/2028 to 08/31/2028
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
Sponsored by GSA
FAR (48 CFR) 53.110
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