SOL RFQ 75H70626Q00099 packet.pdf

A. This is a combined synopsis/solicitation for commercial items prepared in accordance with the format in Federal Acquisition Regulation (FAR) Subpart 12.6, as supplemented with additional information included in this notice, FAR Part 12, Acquisition of Commercial Products and Commercial Services. Items (Title VIII of the Federal Acquisition Streamlining Act of 1994) (Public Law 103-355). This announcement constitutes the only solicitation; quotes are being requested, and a written solicitation will not be issued.

B. The Great Plains Area Indian Health Service (IHS) intends to award a Firm-Fixed Price Commercial Supply Purchase Order, in response to Request for Quote (RFQ) 75H70626Q00099.

C. This solicitation document and incorporated provisions and clauses are those in effect through Federal Acquisition Circular 2025-06 on 10/01/2025.

D. This RFQ is Same or Equal to Equipment and Indian Small Business Economic Enterprises (ISBEE) Set-Aside, with an associated NAICS Code is #334516, Analytical Laboratory Instruments Manufacturing. The SBA set the size standard with fewer than 1000 employees as a small business.

E. The quoted unit pricing must be all inclusive (to include, but not be limited to, travel, lodging, per diem, fringe benefits, federal, state and local taxes) plus all other costs pertinent to the performance of this contract. Utilize your most competitive and reasonable rates.

Same or Equal To Equipment:

The Contractor must provide only new equipment and new parts for the required products described herein; no used, refurbished, or remanufactured equipment or parts shall be provided under any circumstances. Absolutely no Gray Market Goods or Counterfeit Electronic Parts shall be provided. Gray Market Goods are defined as genuine branded goods intentionally or unintentionally sold outside of an authorized sales territory or by nonauthorized dealers in an authorized territory. All equipment shall be accompanied by the Original Equipment Manufacturers (OEMs) warranty. Counterfeit Electronic Parts are defined as unlawful or unauthorized reproduction, substitution, or alteration that has been known. mismarked, misidentified, or otherwise misrepresented to be an authentic, unmodified electronic part from the original manufacturer, or a source with the express written authority of the original manufacturer or current design activity, including an authorized aftermarket manufacturer. Unlawful or unauthorized substitution includes used electronic parts represented as new, or the false identification of grade, serial number, lot number, date code, or performance characteristics.

Complete the attached Request for Quote #75H70626Q00099. Complete RFQ is required to be considered responsive.

F. To be provided for: The IHS Great Plains Area (GPA) Office of Environment Health & Engineering, Aberdeen, SD.

Location for Delivery:

• Wagner Indian Health Service Health Center; 111 Washington Ave NW; Wagner, SD 57380

The period of performance will be award of purchase orders for 30 days.

G. FAR 52.212-1 Instructions to Offerors-Commercial Products and Commercial Services (SEP 2023).

Quotes shall be submitted on company letterhead stationery, signed, dated and it shall include:

1. Solicitation number: 75H70626Q00099

2. Closing Date: February 27, 2026, at 12:00 pm CST.

3. Name, address and telephone number of company and email address of contact person.

4. Technical description of the item/service being offered in sufficient detail to evaluate compliance with the requirements of the solicitation. This may include product literature, or other documents, if necessary.

5. Terms of any express warranty.

6. Price and any discount terms.

7. “Remit to” address, if different than mailing address.

8. Acknowledgment of Solicitation Amendments (if any issued)

9. Past performance information, when included as an evaluation factor, to include recent and relevant contracts for the same or similar items and other references (Including contract numbers, points of contact with telephone numbers and other relevant information).

10. A statement specifying the extent of agreement with all terms, conditions, and provisions included in the solicitation. Offerors that fail to furnish required representations or information, or reject the terms and conditions of the solicitation may be excluded from consideration.

H. FAR 52.212-2 Evaluation-Commercial Products and Commercial Services (NOV 2021) Basis of Award is Lowest Price, Technically Acceptable “LPTA” factors determining the successful contractor.

The award selection will be conducted using LPTA procedures. To be eligible for award, a proposal must meet all technical requirements, conform to all required terms and conditions, and include all information required. All non-price Evaluation factors must be rated as "ACCEPTABLE" to be eligible for award. An "UNACCEPTABLE" rating in any factor will result in the proposal being rated "UNACCEPTABLE". A proposal rating of "UNACCEPTABLE" makes a proposal ineligible for award.

Since the LPTA methodology prohibits trade-offs, all evaluation factors are equally important. Proposals are evaluated for acceptability but are not ranked using the non-price factors. A price evaluation will be performed for all offerors and proposals will be ranked from lowest to highest price based on the Total Proposed Price (TPP) provided by the offeror on the price schedule sheet. Next, an evaluation of each factor and, subsequently, the overall proposal will be carried out beginning with the lowest priced proposal. Award will be made to the lowest evaluated priced proposal meeting the acceptability standards for the non-price factors. The Government intends to award a contract without conducting discussions; therefore, the initial proposal shall conform to the solicitation requirements and should contain the best offer from a technical and price range.

INTENT TO AWARD WITHOUT DISCUSSIONS: The Government intends to evaluate proposals and award a contract without discussion with Offerors. Therefore, the Offeror's initial proposal should contain the Offeror's best terms from a price and technical standpoint. The Government reserves the right to conduct discussions if the Contracting Officer later determines them to be necessary. In the event discussions are held, a competitive range determination will be made. If the Contracting Officer determines the number of proposals that would otherwise be in the competitive range exceeds the number at which an efficient competition can be conducted, the Contracting Officer may limit the number of proposals in the competitive range to the greatest number that will permit efficient competition among the most highly rated proposals. However, The Government reserves the right to conduct discussions if the Contracting Officer later determines them to be necessary.

The LPTA evaluation process will be accomplished as follows - Technical Acceptability will be comprised of four (4) factors:

1. Solicitation Response: Meeting Contractor Qualifications and Contractor requirements:

under the Statement of Work and Specifications (SOW-Specs) which are consistent in scope and complexity with the equipment.

a. Solicitation Submittal Requirements: Proposals, which merely offer a statement to conduct/provide equipment and services in accordance with the requirements in the Governments SOW, will not be eligible for award. The offeror must submit an explanation that meets the requirements identified under Contractor Qualifications and Contractor Requirements.

b. Basis of Evaluation: This factor will be evaluated as “ACCEPTABLE” if explanation meets the requirements Contractor Qualifications and Contractor Requirements. If explanation do not comply with Contractor Qualifications and Contractor Requirements, this factor will receive an “UNACCEPTABLE” rating.

2. Management: Meeting all other areas under the SOW-Specs which are consistent in the scope of complexity with equipment:

a. Solicitation Submittal Requirements: Proposals, which merely offer a statement to conduct/provide services in accordance with the requirements in the Governments SOW-Specs, will not be eligible for award. The offeror must submit an explanation that identifies the offeror’s management capabilities and responsibilities.

b. Basis of Evaluation: This factor will be evaluated as “ACCEPTABLE” if the explanation meets the requirement for management capabilities and responsibilities. If an explanation of one or more do not comply with the requirements, this factor will receive an “UNACCEPTABLE” rating.

3. Past Performance:

a. Solicitation Submittal Requirements: The offeror’s performance on contracts completed during the past three (3) years and all contracts currently in progress for equipment.

b. Basis of Evaluation. Recency: For the purposes of this solicitation, a past performance record is recent if the CPAR final date of assessment listed in the “Period of Performance Being Assessed” block is within the 24-month period preceding a 24-month proposal due date. Relevancy: For the purposes of this solicitation, a past performance record is relevant if the CPAR business sector is listed as “Services”. To receive an "acceptable" rating for this factor, an Offer's recent and relevant CPARs must NOT include one or more INTERIM and/or FINAL CPARs with a rating of "UNSATISFACTORY" in one or more categories OR one or more INTERIM and/or FINAL CPARs with a rating of "MARGINAL" in two or more categories. If an Offeror has one or more CPARs with a rating of "UNSATISFACTORY" in one or more categories OR one or more CPARs with a rating of "MARGINAL" in two or more categories, the Offeror's past performance will be evaluated as "UNACCEPTABLE". In the case of an Offeror without a record of recent and relevant past performance or for whom information on past performance is not available or so sparse that no meaningful past performance rating can be reasonably assigned, the Offeror may not be evaluated favorably or unfavorably on past performance. Therefore, the Offeror shall be determined to have unknown past performance. In the context of acceptability/unacceptability, “unknown” shall be considered “acceptable.” An “UNACCEPTABLE” rating for a single factor will result in the Offeror’s entire proposal being rated “UNACCEPTABLE”.

4. Price:

a. Solicitation Submittal Requirements: Completed Price Schedule Sheet.

I. FAR 52.212-4 Contract Terms and Conditions-Commercial Products and Commercial Services (NOV 2023). Applied to this acquisition and it’s by reference.

J. Offers will be accepted electronically. Submit via e-mail to the following: Great Plains Area Indian Health Service Division of Acquisition Management Attn: Ursula Maslonka, Contract Specialist; Email: Ursula.Maslonka@ihs.gov

Any questions, please submit by email to: Ursula.Maslonka@ihs.gov; before February 20, 2026, by 9:00 am CST.

Contractors will need a Unique Entity ID (UEI) number, TIN number, and be registered with www.sam.gov.

The contractor must provide only new equipment and new parts for the required products described herein; no used, refurbished, or remanufactured equipment or parts shall be provided under any circumstances.

Acceptance Period: Your proposal must be predicated upon all the terms and conditions of this RFQ and be firm until August 31, 2026.

The quotation must be set forth full, accurate, and complete information as required by the Request for Quote (RFQ) and be returned by the date referenced. All the necessary information must be submitted to be considered responsive and eligible for award. No contract award shall be made to any vendor listed on the OIG Exclusions List at http://exclusions.org.hhs.gov throughout the contract.

Attachments:

*Standard Form SF-1449 *IHS Buy Indian Act Indian Economic Enterprise Representation Form (IEE) *Statement of Work (SOW) & Specifications *Clauses Incorporated by Reference and Full Text mailto:Ursula.Maslonka@ihs.gob mailto:Ursula.Maslonka@ihs.gov http://www.sam.gov/

Invoice Processing Platform (IPP) The Indian Health Service (IHS) is in the process of implementing an electronic invoicing system. In compliance with the Office of Management and Budget (OMB) M-15-19 memorandum “Improving Government Efficiency and Saving Taxpayer Dollars Through Electronic Invoicing” directing Federal agencies to adopt electronic invoicing as the primary means to disburse payment to vendors. Invoices submitted under any award will be required to utilize the Invoice Processing Platform (IPP) in accordance with HHSAR 352.232-71, Electronic Submission and Processing of Payment Requests”.

IPP is a secure, web-based electronic invoicing system provided by the U.S. Department of the Treasury’s Bureau of the Fiscal Service, in partnership with the Federal Reserve Bank of St. Louis (FRSTL).

Respondents to this solicitation are encouraged to register an account with IPP if they have not already done so. If your organization is already registered to use IPP, you will not be required to re-register however, we encourage you to make sure your organization, and designated IPP user accounts are valid and up to date.

The IPP website address is: https://www.ipp.gov.

If you require assistance registering or IPP account access, please contact the IPP Helpdesk at (866) 973-3131 (M-F 8AM to 6PM ET), or IPPCustomerSupport@fiscal.treasury.gov Should the contractor feel that use of the IPP would be unduly burdensome, their response to this solicitation should include an explanation of this position for a determination by the contracting officer.

Authority

1.1. No person other than the Contracting Officer has authority to bind the Government with respect to this contract.

1.2. No action or omission of any government employee or representative other than the Contracting Officer shall increase or decrease the scope of this contract or shall otherwise modify the terms and conditions of this contract.

1.3. In no event shall any of the following be effective or binding on the Government or imputed to the Contracting Officer with respect to this contract:

1.3.1. An understanding or agreement between the Contractor and anyone other than the Contracting Officer.

1.3.2. A purported modification or change order issued by anyone other than the Contracting Officer.

1.3.3. A promise by anyone other than the Contracting Officer to provide additional funding or make payments; or

1.3.4. An order, direction, consent, or permission from anyone other than the Contracting Officer to:

1.3.4.1. Incur costs in excess of a specified estimated cost, allotment of funds, or other ceiling.

1.3.4.2. Expend hours in excess of a specified level of effort.

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

159IHSWAGNER CODE 16. ADMINISTERED BYCODE

X

X

X

334516

SIZE STANDARD:

% FOR:SET ASIDE:UNRESTRICTED OR159

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

02/27/2026 1200 CT

02/13/2026

605-226-7274URSULA MASLONKA

(No collect calls)

INFORMATION CALL:

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

4. ORDER NUMBER3. AWARD/ 6. SOLICITATION

75H70626Q00099

5. SOLICITATION NUMBER

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

1 5 IHS1518827OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

TELEPHONE NO.

17a. CONTRACTOR/

15. DELIVER TO

Aberdeen SD 57401

115 Fourth Ave, SE

Federal Building

9. ISSUED BY

7.

2. CONTRACT NO.

EFFECTIVE DATE

1,000

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)

Aberdeen Area Indian Health Servic WOMEN-OWNED SMALL

BUSINESS (WOSB)

ECONOMICALLY DISADVANTAGED

WOMEN-OWNED SMALL

BUSINESS (EDWOSB)

SD 57380

110 WASHINGTON ST

IHSWAGNER

Aberdeen SD 57401

115 Fourth Ave, SE

Federal Building

Aberdeen Area Indian Health Servic

24.

AMOUNT

23.

UNIT PRICE

22.

UNIT

21.

QUANTITY

20.

SCHEDULE OF SUPPLIES/SERVICES

19.

ITEM NO.

Firm Fixed-Price, Commercial Item, Purchase Order for Piccolo Xpress Medical equipment, supplies, warranty and delivery. For Delivery at the Wagner IHS Health Center Hospital; 111 Washington Ave NW; Wagner, SD 57380.

The period of performance is delivery in 30 days after award of purchase order.

The contractor is required to fill the order based on the departments Statement of Work, (Use Reverse and/or Attach Additional Sheets as Necessary)

HEREIN, IS ACCEPTED AS TO ITEMS:

X

DATED

WILLIAM C. KOHL

. 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.

Specifications and quoted price on the submitted bid and deliver the supplies requested from the program.

The "Unit Price" is an all-inclusive cost. All

"inclusive cost" is defined to include travel, lodging, per diem, fringe benefits, i.e., life insurance, social security, federal, state, and local taxes, plus all other costs pertinent to the performance of this purchase.

Attachments:

*Standard Form SF-1449

*IHS Buy Indian Act Indian Economic Enterprise

Representation Form (IEE)

*Statement of Work (SOW) & Specifications

*Clauses Incorporated by Reference and Full Text

Delivery: 30 Days After Award

1 ABO07P0550 ANALYZERS PICCOLO XPRESS CHEMISTRY 1 EA

ANALYZER WITH 3 YEAR WARRANTY

2 ABO07P0208 TESTS REAGENT COMPLETE METABOLIC 1 EA

PANEL REAGENT TEST

Continued ...

32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

5 2 of

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

3 5

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

75H70626Q00099

3 ABO07P0416 PIPET TIPS PICCOLO DISPOSABLE 1 EA

PICCOLO PIPET TIPS RACK OF 96

4 ABO07P0407CS PAPER ROLLS PICCOLO XPRESS 1 EA

THERMAL RESULTS ADHESIVE-BACKED PAPER FOR ABAXIS

PICCOLO XPRESS ANALYZER 6 ROLLS PACK

5 Shipping and Handling Cost

The Contractor must provide only new equipment and new parts for the required products described herein; no used, refurbished, or remanufactured equipment or parts shall be provided under any circumstances. Absolutely no Gray Market Goods or

Counterfeit Electronic Parts shall be provided.

Gray Market Goods are defined as genuine branded goods intentionally or unintentionally sold outside of an authorized sales-territory or by non-authorized dealers in an authorized territory. All equipment shall be accompanied by the Original Equipment Manufacturers (OEMs) warranty. Counterfeit Electronic Parts are defined as unlawful or unauthorized reproduction, substitution, or alteration that has been knowingly mismarked, misidentified, or otherwise misrepresented to be an authentic, unmodified electronic part from the original manufacturer, or a source with the express written authority of the original manufacturer or current design activity, including an authorized aftermarket manufacturer. Unlawful or unauthorized substitution includes used electronic parts

Continued ...

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

Sponsored by GSA

FAR (48 CFR) 53.110

4 5

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

75H70626Q00099 represented as new, or the false identification of grade, serial number, lot number, date code, or performance characteristics.

Invoice Processing Platform (IPP)

The Indian Health Service (IHS) is in the process of implementing an electronic invoicing system.

In compliance with the Office of Management and

Budget (OMB) M-15-19 memorandum, Improving

Government Efficiency and Saving Taxpayer Dollars

Through Electronic Invoicing, directing Federal agencies to adopt electronic invoicing as the primary means to disburse payment to vendors.

Invoices submitted under any award resulting from this solicitation will be required to utilize the

Invoice Processing Platform (IPP) in accordance with HHSAR 352.232-71, Electronic Submission and

Processing of Payment Requests.

IPP is a secure, web-based electronic invoicing system provided by the U.S. Department of the

Treasurys Bureau of the Fiscal Service, in partnership with the Federal Reserve Bank of St.

Louis (FRSTL). Respondents to this solicitation are encouraged to register an account with IPP if they have not already done so. If your organization is already registered to use IPP, you will not be required to re-register- however, we encourage you make sure your organization, and designated IPP user accounts are valid and up to date.

The IPP website address is: https://www.ipp.gov

If you require assistance registering or IPP account access, please contact the IPP Helpdesk at (866) 973-3131 (M-F 8AM to 6PM ET), or

IPPCustomerSupport@fiscal.treasury.gov

Should the contractor feel that use of the IPP would be unduly burdensome, their response to this solicitation should include an explanation of this position for a determination by the contracting officer.

The Government reserves the right to accept or

Continued ...

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

5 5

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

75H70626Q00099 reject services, if the level of performance is unacceptable.

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

DEPARTMENT OF HEALTH & HUMAN SERVICES

Indian Health Service

Office of Management Services Division of Acquisition Policy (DAP)

5600 Fishers Lane Rockville, MD 20857

INDIAN HEALTH SERVICE

BUY INDIAN ACT

INDIAN ECONOMIC ENTERPRISE

REPRESENTATION FORM

SOLICITATION/SOURCES SOUGHT/RFI #: _________________________________________________

PROJECT TITLE: ________________________________________________________

DATE: ___________________________________________________________________

In accordance with 25 U.S.C. 47 the Buy Indian Act, the signature below constitutes self-certification that the Offeror meets the definition of an “Indian Economic Enterprise” (HHSAR 326.601) in response to this Sources Sought Notice, Request for Information (RFI) or Solicitation and resultant contract.

The enterprise must meet the definition of “Indian Economic Enterprise” throughout the following time periods:

(1) At the time an offer is made in response to this solicitation;

(2) At the time of contract award; and

(3) During the full term of the contract performance period. At any point during these periods, if the Contractor no longer meets the eligibility requirements, the contractor must provide immediate written notification to the Contracting Officer.

Individual Contracting Officers may require documentation of eligibility before awarding a set-aside or sole source contracts under the Buy Indian Act and awards may be subject to protest if the eligibility of the successful Offeror is in question. In addition to the self-certification requirements, successful Offerors must also be registered with the System of Award Management (SAM).

Any false or misleading information submitted by an enterprise when submitting an offer in consideration of an award set-aside under the authority of the Buy Indian Act is a violation of the law and punishable under 18 U.S.C. 1001.

False claims submitted as part of contract performance are subject to the penalties enumerated in 31 U.S.C. 3729 to 3731 and 18 U.S.C. 287.

REPRESENTATION

The Offeror represents as part of its offer that it does _____, does not _____ meet the definition of an “Indian Economic Enterprise” with “Indian Ownership” under the authority of the Buy Indian Act.

Name of the 51% owner of IEE Firm

Certifying Signature

Print Name

Name of Federally Recognized Tribal Entity

Business Name

DUNS Number

SCOPE OF WORK FOR

Acquisition of new Abbott Piccolo Xpress analyzer for the

Wagner Health Center

PURPOSE:

The purpose of this contract is for the purchase of a new Abbott Piccolo Xpress blood analyzer.

SCOPE OF WORK:

Contractor shall provide to the Great Plains Area Indian Health Service, hereafter referred to as the Government, with the equipment and supplies described in this statement of work for the period specified on the issued purchase order and any modifications or amendments.

The contractor shall provide all resources necessary to accomplish the tasks and deliverables described in this Statement of Work (SOW).

The contractor shall provide confirmation that they are an authorized distributor of Abbott Piccolo Xpress equipment if they are not the Original Equipment Manufacturer (OEM). Contractor shall arrange for shipping the equipment and supplies to the Wagner Health Center loading dock.

Physical Address for delivery:

Wagner Indian Health Service Health Center Attn: Lab Manager 111 Washington Ave NW Wagner, SD 57380 605-384-3621 Wanda.dally@ihs.gov

It will be the responsibility of the Service Unit to identify an operational location which will meet the installation and operational requirements of the equipment. Any modification/ renovation to an identified space needed to meet the operational requirements for the equipment will be the responsibility of the Service Unit.

Specification: Fully automated system requires no special operating skills. Estimated 12 minutes run time, 0.1cc whole blood, serum or plasma, Delivers multi-analyte panels including CLIA-waived lipids, liver enzymes and glucose monitoring, Self-calibrates with every test run, Built-in iQC™ eliminates daily liquid control testing, Walk-away operation, Full-color touch screen with intuitive user interface, Results are printed on a self-adhesive hard copy.

The contractor shall provide the following items:

ABO07P0201 QTY 5 PK TESTS, REAGENT: GENERAL CHEMISTRY 6 REAGENT TEST

ABO07P0407CS QTY 5 PK PAPER ROLLS, PICCOLO XPRESS: THERMAL RESULTS ADHESIVE-BACKED PAPER FOR

ABAXIS PICCOLO XPRESS ANALYZER, 6 ROLLS/PACK.

ABO07P0416 QTY 5 PIPET TIPS, PICCOLO: DISPOSABLE PICCOLO PIPET TIPS, RACK OF 96

ABO07P0550 QTY 1 ANALYZERS: PICCOLO XPRESS CHEMISTRY ANALYZER WITH 3 YEAR WARRANTY

ABO07P0208 QTY 5 TESTS, REAGENT: COMPLETE METABOLIC PANEL REAGENT TEST

USER / OPERATOR MANUAL FOR PICCOLO EXPRESS EQUIPMENT

Performance Period:

Delivery of equipment and supplies to be 30 days after award.

QUALITY CONTROL:

The Government reserves the right to perform a validation/incoming performance & safety inspection.

Contractor is responsible for providing all equipment / supplies specified in this SOW. The contractor is to provide a 3-year warranty of the Abbott Piccolo Xpress analyzer.

BASIS OF PAYMENT:

mailto:Wanda.dally@ihs.gov

Payment will be made upon receipt of a complete and accurate invoice, and successful completion of an acceptance inspection in accordance with the Prompt Payment Act. Invoices shall be submitted with all information and supporting documentation. A complete and accurate invoice is substantially correct in that all aspects of the required information are clearly evident on the invoice. If items such as invoice number, date, dates of service, contract/purchase order number, etc., are not on the invoice, it will be returned to the Contractor for resubmission. The Prompt Payment Act Clause will be provided by the Contracting Officer at the time of award and will further clarify the requirements. Finance charges for late payment of charges due to problems not of the Contractor’s making shall be paid according to the regulations and amount determined by the Great Plains Area Indian Health Service Financial Management Branch. If the Government fails to pay an amount when properly due, the Contractor has the option of suspending all services provided by this contract after providing a detailed explanation to the Contracting Officer. The Contracting Officer is responsible for assuring that direct patient care is not compromised by frivolous or unlawful suspension of services. Disputes will be handled according to the Disputes Clause and shall not violate any rule or regulation or law.

LIABILITY:

In no event shall the Government release the Contractor from the liability arising from acts of omission, improper repair, negligence, or deliberate or non-deliberate acts that jeopardize the health and safety of patients and/or Government employees.

CONTRACTOR’S TERMS & CONDITIONS:

The contractor’s terms and conditions shall be incorporated into the contract by reference. Where conflicts arise the Federal Acquisition Regulations, and other Federal Regulations, Laws and Rules shall take precedence.

AUTHORITY:

No person other than the Contracting Officer has authority to bind the Government with respect to this contract.

No action or omission of any government employee or representative other than the Contracting Officer shall increase or decrease the scope of this contract or shall otherwise modify the terms and conditions of this contract.

In no event shall any of the following be effective or binding on the Government or imputed to the Contracting Officer with respect to this contract:

1. An understanding or agreement between the Contractor and anyone other than the Contracting Officer;

2. A purported modification or change order issued by anyone other than the Contracting Officer;

3. A promise by anyone other than the Contracting Officer to provide additional funding or make payments; or

4. An order, direction, consent, or permission from anyone other than the Contracting Officer to:

4.1 Incur costs in excess of a specified estimated cost, allotment of funds, or other ceiling; or

4.2 Expend hours in excess of a specified level of effort.

Specifications for Brand Name Only purchase:

Piccolo Xpress is a compact, portable clinical chemistry system designed for on-site patient testing. Roughly the size of a shoebox, health care providers can use the easy-to-follow color touch screen commands to perform routine multi-chemistry panels. 0.1cc of whole blood, serum or plasma is added directly to the patented 8-cm diameter single use plastic disc containing the liquid diluent and dry reagents. The disc is placed in the analyzer drawer where centrifugal and capillary forces are used to mix the reagents and sample in the disc. Piccolo Xpress monitors the reagent reactions simultaneously using nine wavelengths, calculates the results from the absorbance of data and reports the results. The Piccolo Xpress self-calibrates with each run, and the on-board continuous intelligent Quality Control (iQCT) monitors the analyzer, reagent reactions and sample to ensure chemistry and instrument integrity. This ensures you the highest quality and accuracy in results. Results are ready in approximately 12 minutes with a “hard copy” report suitable for the patient file or transferred to a computer, printer or an LIS/EMR. This enables you to rapidly obtain critical diagnostic information from the point of care. The easy-to-use, low maintenance system requires no special training to operate. The Piccolo Xpress only takes three steps.

Piccolo Xpress delivers routine multi-chemistry and electrolyte test results quickly and easily in virtually any treatment setting,

• A fully automated system with walk away operation

• Uses a small sample size (0.1cc of whole blood, serum or plasma)

• No sample pre-treatment is needed

• Results are available in approximately 12 minutes.

• The built in intelligent Quality Control meets CLIA and NCCLS requirements for daily control testing

• The Piccolo Xpress delivers up to 24 individual tests including CLIA-waived lipids, liver enzymes and glucose monitoring

• Results are provided in a “hard copy” self-adhesive report or can be quickly transferred to a printer, computer or data management system, enabling physicians to rapidly obtain critical diagnostic information at the point-of-care

Compact and portable, the Piccolo Xpress is easy to incorporate into your clinical setting, yet provides precision and accuracy comparable to larger, more expensive laboratory analyzers.

• Small footprint measures 32.4 cm (12.75 in.) x 15.2 cm (6 in.) x 20.3 cm (8 in.)

• Portable and lightweight with carrying handle only weighs 11.2 pounds

• The advanced technology uses centrifugal and capillary forces to mix diluent, reagents and sample in a self-contained, disposable disc lessening opportunities for procedural errors

• On-board intelligent Quality Control system performs continuous QC checks during the complete analytical process to ensure accurate results

• Bar coded self-contained reagent discs are self-calibrating and monitors panel information

• Multi- analyte panel results include alpha-numeric patient information, analyte concentrations, reference ranges, sample integrity indices and QC performance

• Operator security capabilities limit non-user entry

• Peer reviewed studies support performance

• Bidirectional communication USB ports transmit data to external peripherals.

• Stores up to 5000 patient and control results on-board

The Piccolo Xpress procedure is quick and easy to perform.

• No special operating skills are needed to run Piccolo Xpress

• Easy to use color touch screen guides the operator through the process

• Flexible alpha – numeric data entry options and analyzer settings

• Self-contained, disposable reagent discs are easy to handle

• Every reagent disc automatically self-calibrates

• Integrated intelligent Quality Control (iQC) checks performance and accuracy

• Requires very little maintenance

• Operates from line or 15-volt battery power

• Direct compatibility supported with USB peripherals including bar code readers, keyboards, personal computers and printers.

• CD Software makes testing upgrades easy

(Supply Commercial Item Purchase Order(s))

FAR CITATION: 52.252-1 Solicitation Provision Incorporated by Reference. (FEB 1998) This solicitation incorporates one or more solicitation provisions by reference, with the same force and defect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. The offeror is cautioned that the listed provisions may include blocks that must be completed by the offeror and submitted with its quotation or offer.

In lieu of submitting the full text of those provisions, the offeror may identify the provision by paragraph identifier and provide the appropriate information with its quotation or offer. Also, the full text of a solicitation provision may be accessed electronically at this/these address(es): www.acquisition.gov/far.

52.252-2 Clauses Incorporated by Reference. (FEB 1998) This purchase order incorporates one or more clauses by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. Also, the full text of a clause may be accessed electronically at this address:www.acquisition.gov/far.

“System updates may lag policy updates. The System for Award Management (SAM) may continue to require entities to complete representations based on provisions that are not included in agency solicitations. Examples include 52.222-25, Affirmative Action Compliance, and paragraph (d) of 52.212-3, Offeror Representations and Certifications—Commercial Products and Commercial Services. Contracting officers will not consider these representations when making award decisions or enforce requirements. Entities are not required to, nor are they able to, update their entity registration to remove these representations in SAM.”

I. Federal Acquisition Regulations (FAR) (48 CFR Chapter 1) Clauses

No. FAR Citation Clause Title Clause Date

1. 52.204-7 System for Award Management October 2018

2. 52.204-13 System for Award Management Maintenance. October 2018

3. 52-204-19 Incorporation by Reference of Representations and Certifications December 2014

4. 52.212-1 Instructions to Offerors – Commercial Products and Commercial

Services September 2023

5. 52.212-4 Contract Terms and Conditions—Commercial Products and

Commercial Services November 2023

6. 52.225-25 Prohibition on Contracting with Entities Engaging in Certain Activities

Or Transactions Relating to Iran – Representation and Certifications June 2020

7. 52.232-39 Unenforceability of Unauthorized Obligations June 2013

8. 52.232-40 Providing Accelerated Payments to Small Business Subcontractors March 2023

9. 52.233-4 Applicable Law for Breach of Contract Claim October 2004

10. 52.243-1 Changes-Fixed-Price (DEVIATION) RFO June 2025

12. 52.244-6 Subcontracts for Commercial Products and Commercial Services February 2024

13. 52.247-34 F.O.B. Destination January 1991

14. 52.249-1 Termination for Convenience of the Government (Fixed-Price)

(Short Form) April 1984

15. 52.249-8 Default (Fixed-Price Supply and Service) April 1984

II. Federal Acquisition Regulations (FAR) (48 CFR Chapter 1) Clauses in Full Text

No. FAR Citation Clause Title Clause Date

1. 52.204-29 Federal Acquisition Supply Chain Security Act Orders -

Representation and Disclosures December 2023 http://www.acquisition.gov/far http://www.acquisition.gov/far

3. 52.224-1 Privacy Act Notification April 1984

4. 52.224-2 Privacy Act April 1984

52.204-29 Federal Acquisition Supply Chain Security Act Orders—Representation and Disclosures.

As prescribed in 4.2306(b), insert the following provision:

FEDERAL ACQUISITION SUPPLY CHAIN SECURITY ACT ORDERS—REPRESENTATION AND DISCLOSURES (DEC 2023)

(a) Definitions. As used in this provision, Covered article, FASCSA order, Intelligence community, National security system, Reasonable inquiry, Sensitive compartmented information, Sensitive compartmented information system, and Source have the meaning provided in the clause 52.204-30, Federal Acquisition Supply Chain Security Act Orders—Prohibition.

(b) Prohibition. Contractors are prohibited from providing or using as part of the performance of the contract any covered article, or any products or services produced or provided by a source, if the prohibition is set out in an applicable Federal Acquisition Supply Chain Security Act (FASCSA) order, as described in paragraph (b)(1) of FAR 52.204-30, Federal Acquisition Supply Chain Security Act Orders—Prohibition.

(c) Procedures.

(1) The Offeror shall search for the phrase “FASCSA order” in the System for Award Management

(SAM)( https://www.sam.gov) for any covered article, or any products or services produced or provided by a source, if there is an applicable FASCSA order described in paragraph (b)(1) of FAR 52.204-30, Federal Acquisition Supply Chain Security Act Orders—Prohibition.

(2) The Offeror shall review the solicitation for any FASCSA orders that are not in SAM, but are effective and do apply to the solicitation and resultant contract (see FAR 4.2303(c)(2)).

(3) FASCSA orders issued after the date of solicitation do not apply unless added by an amendment to the solicitation.

(d) Representation. By submission of this offer, the offeror represents that it has conducted a reasonable inquiry, and that the offeror does not propose to provide or use in response to this solicitation any covered article, or any products or services produced or provided by a source, if the covered article or the source is prohibited by an applicable FASCSA order in effect on the date the solicitation was issued, except as waived by the solicitation, or as disclosed in paragraph (e).

(e) Disclosures. The purpose for this disclosure is so the Government may decide whether to issue a waiver. For any covered article, or any products or services produced or provided by a source, if the covered article or the source is subject to an applicable FASCSA order, and the Offeror is unable to represent compliance, then the Offeror shall provide the following information as part of the offer:

(1) Name of the product or service provided to the Government;

(2) Name of the covered article or source subject to a FASCSA order;

(3) If applicable, name of the vendor, including the Commercial and Government Entity code and unique entity identifier (if known), that supplied the covered article or the product or service to the Offeror;

(4) Brand;

(5) Model number (original equipment manufacturer number, manufacturer part number, or wholesaler number);

(6) Item description;

(7) Reason why the applicable covered article or the product or service is being provided or used;

https://www.acquisition.gov/far/part-4#FAR_4_2306 https://www.acquisition.gov/far/part-52#FAR_52_204_30 https://www.acquisition.gov/far/part-52#FAR_52_204_30 https://www.sam.gov/ https://www.acquisition.gov/far/part-52#FAR_52_204_30 https://www.acquisition.gov/far/part-4#FAR_4_2303

Privacy Act Notification (APR 1984) 52.224-1

As prescribed in 24.104 , insert the following clause in solicitations and contracts, when the design, development, or operation of a system of records on individuals is required to accomplish an agency function:

PRIVACY ACT NOTIFICATION (APR 1984)

The Contractor will be required to design, develop, or operate a system of records on individuals, to accomplish an agency function subject to the Privacy Act of1974, Public Law93-579, December 31,1974 ( 5 U.S.C. 552a) and applicable agency regulations. Violation of the Act may involve the imposition of criminal penalties.

(End of clause)

Privacy Act (APR 1984) 52.224-2

As prescribed in 24.104 , insert the following clause in solicitations and contracts, when the design, development, or operation of a system of records on individuals is required to accomplish an agency function:

PRIVACY ACT (APR 1984)

(a) The Contractor agrees to-

(1) Comply with the Privacy Act of1974 (the Act) and the agency rules and regulations issued under the Act in the design, development, or operation of any system of records on individuals to accomplish an agency function when the contract specifically identifies-

(i) The systems of records; and

(ii) The design, development, or operation work that the contractor is to perform;

(2) Include the Privacy Act notification contained in this contract in every solicitation and resulting subcontract and in every subcontract awarded without a solicitation, when the work statement in the proposed subcontract requires the redesign, development, or operation of a system of records on individuals that is subject to the Act; and

(3) Include this clause, including this paragraph (3), in all subcontracts awarded under this contract which requires the design, development, or operation of such a system of records.

(b) In the event of violations of the Act, a civil action may be brought against the agency involved when the violation concerns the design, development, or operation of a system of records on individuals to accomplish an agency function, and criminal penalties may be imposed upon the officers or employees of the agency when the violation concerns the operation of a system of records on individuals to accomplish an agency function. For purposes of the Act, when the contract is for the operation of a system of records on individuals to accomplish an agency function, the Contractor is considered to be an employee of the agency.

(c)

(1) "Operation of a system of records," as used in this clause, means performance of any of the activities associated with maintaining the system of records, including the collection, use, and dissemination of records.

(2) "Record," as used in this clause, means any item, collection, or grouping of information about an individual that is maintained by an agency, including, but not limited to, education, financial transactions, medical history, and criminal or employment history and that contains the person’s name, or the identifying number, symbol, or other identifying particular assigned to the individual, such as a fingerprint or voiceprint or a photograph.

(3) "System of records on individuals," as used in this clause, means a group of any records under the control of any agency from which information is retrieved by the name of the individual or by some identifying number, symbol, or other identifying particular assigned to the individual.

https://www.acquisition.gov/far/24.104#FAR_24_104 http://uscode.house.gov/view.xhtml?req=granuleid%3AUSC-prelim-title5-section552a&num=0&edition=prelim https://www.acquisition.gov/far/24.104#FAR_24_104

I. Department of HHS Acquisition Regulations (HHSAR) (48 Chapter 3) Clauses

HHSAR CITATION CLAUSE TITLE CLAUSE DATE

HHSAR 352.226-1 Indian Preference December 2015 HHSAR 352.226-2 Indian Preference Program December 2015 HHSAR 352.237-70 Pro-Children Act December 2015 HHSAR 352.237-71 Crime Control Act-Reporting of Child Abuse December 2015 HHSAR 352.237-72 Crime Control Act-Requirement For Background Checks December 2015 HHSAR 352.237-73 Indian Child Protection and Family Violence Act December 2015 HHSAR 352.237-74 Non-Discrimination in Service Delivery December 2015 HHSAR 352.232-71 Electronic Submission of Invoice Payment Requests February 2022 HHSAR 352.224-70 Privacy Act December 2015

352.226-1 Indian Preference.

As prescribed in HHSAR 326.505(a), the Contracting Officer shall insert the following clause:

Indian Preference (December 18, 2015)

(a) The Contractor agrees to give preference in employment opportunities under this contract to Indians who can perform required work, regardless of age (subject to existing laws and regulations), sex, religion, or tribal affiliation. To the extent feasible and consistent with the efficient performance of this contract, the Contractor further agrees to give preference in employment and training opportunities under this contract to Indians who are not fully qualified to perform regardless of age (subject to existing laws and regulations), sex, religion, or tribal affiliation. The Contractor also agrees to give preference to Indian organizations and Indian-owned economic enterprises in the awarding of any subcontracts to the extent feasible and consistent with the efficient performance of this contract. The Contractor shall maintain the necessary statistical records to demonstrate compliance with this paragraph.

(b) In connection with the Indian employment preference requirements of this clause, the Contractor shall provide reasonable opportunities for training, incident to such employment. Such training shall include on-the—job, classroom, or apprenticeship training designed to increase the vocational effectiveness of an Indian employee.

(c) If the Contractor is unable to fill its employment and training opportunities after giving full consideration to Indians as required by this clause, the Contractor may satisfy those needs by selecting non-Indian persons in accordance with the clause of this contract entitled "Equal Opportunity."

(d) If no Indian organizations or Indian-owned economic enterprises are available under reasonable terms and conditions, including price, for awarding of subcontracts in connection with the work performed under this contract, the Contractor agrees to comply with the provisions of this contract involving utilization of small businesses; HUBZone small businesses; service-disabled, veteran-owned small businesses; 8(a) small businesses; veteran-owned small businesses; women-owned small businesses; or small disadvantaged businesses.

(e) As used in this clause,

(1) Indian means a person who is a member of an Indian tribe. If the Contractor has reason to doubt that a person seeking employment preference is an Indian, the Contractor shall grant the preference but shall require the individual provide evidence within 30 days from the tribe concerned that the person is a member of the tribe.

(2) Indian tribe means an Indian tribe, pueblo, band, nation, or other organized group or community, including Alaska Native village or regional or village corporation as defined in or established pursuant to the Alaska Native Claims Settlement Act (85 Stat. 688; 43 U.S.C.

1601) which the United States recognizes as eligible for the special programs and services provided to Indians because of its status as Indians.

(3) Indian organization means the governing body of any Indian Tribe or entity established or recognized by such governing body in accordance with the Indian Financing Act of 1974 (88 Stat. 77; 25 U.S.C. 1451).

http://www.hhs.gov/grants/contracts/contract-policies-regulations/hhsar/part-326-other-socioeconomic-programs/index.html#326.505

(4) Indian-owned economic enterprise means any…