Sol_75H71026Q00263.pdf
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- Attached to
- NNMC, Non-PSC for Nocturnist Physician Services
- Solicitation number
- Not on record
About this file
This is a Standard Form 1449 Solicitation/Contract/Order for Commercial Items issued by Northern Navajo Medical Center (NNMC) in Shiprock, New Mexico.
The solicitation seeks non-personal healthcare services for one nocturnist physician in the NNMC Internal Medicine Department. The contract includes a base period from September 28, 2026 to March 27, 2027, encompassing 1,040 hours of service, with four optional one-year renewal periods extending through March 27, 2029. The contractor must provide services in accordance with Attachment A – Performance Work Statement. This is a 100% Indian Small Business Economic Enterprise (ISBEE) set-aside restricted to small businesses under NAICS code 621111 (Offices of Physicians). The solicitation number is 75H71026Q00263, with an offer due date of August 25, 2026 at 12:00 PM Mountain Daylight Time. Payment will be made through the Department of Treasury electronic payment process (IPP.gov), with invoices submitted per FAR clause 52.212-4(g). The contract incorporates FAR clauses 52.212-1, 52.212-4, and 52.212-5 by reference. Contracting Officer Michelle A. James administers this procurement. Delivery is FOB destination to Northern Navajo Medical Center, US Highway 491 North, Shiprock, NM 87420. The acquisition includes discount terms and is a rated order under the Defense Priorities and Allocations System (DPAS).
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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
09/02/2026 1200 MD
08/25/2026
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
75H71026Q00263
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: 09/28/2026 to 03/27/2027 (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
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 One (1)
Nocturnist Physician for the NNMC - Internal
Medicine Department
Hours: 1040
The Contractor shall provide required services
IAW Attachment A - Performance Work Statement.
2 Option Period 1:
Non-Personal Healthcare Services for One (1)
Nocturnist Physician for the NNMC - Internal
Medicine Department
Hours: 1040
The Contractor shall provide required services
IAW Attachment A - Performance Work Statement.
(Option Line Item)
03/27/2027
Period of Performance: 03/28/2027 to 09/27/2027
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)
75H71026Q00263
Non-Personal Healthcare Services for One (1)
Nocturnist Physician for the NNMC - Internal
Medicine Department
Hours: 1040
The Contractor shall provide required services
IAW Attachment A - Performance Work Statement.
(Option Line Item)
09/27/2027
Period of Performance: 09/28/2027 to 03/27/2028
4 Option Period 3:
Non-Personal Healthcare Services for One (1)
Nocturnist Physician for the NNMC - Internal
Medicine Department
Hours: 1040
The Contractor shall provide required services
IAW Attachment A - Performance Work Statement.
(Option Line Item)
03/27/2028
Period of Performance: 03/28/2028 to 09/27/2028
5 Option Period 4:
Non-Personal Healthcare Services for One (1)
Nocturnist Physician for the NNMC - Internal
Medicine Department
Hours: 1040
The Contractor shall provide required services
IAW Attachment A - Performance Work Statement.
(Option Line Item)
09/27/2028
Period of Performance: 09/28/2028 to 03/27/2029
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
Sponsored by GSA
FAR (48 CFR) 53.110
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