Solicitation 75H70926Q000_14SF 1449 (11_2021).pdf
PDF 104 KB Posted
- Solicitation number
- 75H70926Q00014
About this file
This is a Solicitation/Contract/Order for Commercial Items (Standard Form 1449) issued by the Northern Cheyenne Service Unit of the Indian Health Service for dental equipment maintenance and repair services.
The solicitation number is 75H70926Q00014, issued on September 18, 2026, with an offer due date of October 19, 2026 at 1500 hours Mountain Daylight Time. The acquisition is for Dental Equipment Preventative Maintenance (PM) Services, Repair Dental Parts, and Emergency Service Calls for the Northern Cheyenne Service Unit Dental Department located in Lame Deer, Montana. The contract includes a base year period of performance from November 1, 2026 to October 31, 2027, followed by four one-year option periods (11/01/2027-10/31/2028, 11/01/2028-10/31/2029, 11/01/2029-10/31/2030, and 11/01/2030-10/31/2031). The NAICS code is 811210 (size standard $34), and this is an unrestricted acquisition with a $216 small business set-aside percentage. The contract is administered by the Billings Area Indian Health Service (CODE 224) and delivery is FOB destination to Lame Deer, Montana. Contracting officer is Johnna J. Pryor. The solicitation incorporates by reference FAR 52.212-1, 52.212-4, 52.212-3, and 52.212-5, with specific pricing and other details to be provided by offerors in blocks 12, 17, 23, 24, and 30.
View the file
Other files
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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
224IHSLAMEDEER CODE 16. ADMINISTERED BYCODE
X
X
811210
SIZE STANDARD:
% FOR:SET ASIDE:UNRESTRICTED OR216
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
10/19/2026 1500 MD
09/18/2026
406-477-4417CLARETTE YELLOWROBE
(No collect calls)
INFORMATION CALL:
FOR SOLICITATION 8. OFFER DUE DATE/LOCAL TIMEb. TELEPHONE NUMBER a. NAME
4. ORDER NUMBER3. AWARD/ 6. SOLICITATION
75H70926Q00014
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
Lame Deer MT 59043
Lame Deer PHS Indian Health CTR
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)
Northern Cheyenne Service Unit WOMEN-OWNED SMALL
BUSINESS (WOSB)
ECONOMICALLY DISADVANTAGED
WOMEN-OWNED SMALL
BUSINESS (EDWOSB)
LAME DEER MT 59043
420 NORTH CHEYENNE AVENUE
IHSLAMEDEER
Billings MT 59101
P.O. Box 36600
2900 4th Avenue North
Billings Area Indian Health Service
24.
AMOUNT
23.
UNIT PRICE
22.
UNIT
21.
QUANTITY
20.
SCHEDULE OF SUPPLIES/SERVICES
19.
ITEM NO.
Dental Equipment Preventative Maintenance (PM) Services, Repair Dental Parts, and Emergency Service Calls for the Northern Cheyenne Service Unit Dental Department, Lame Deer, Montana.
Period of Performance: 11/01/2026 to 10/31/2027
1 Base Year Preventative Maintenance (PM) Services, Repair Dental Parts, and Emergency Service Calls.
Continued ...
(Use Reverse and/or Attach Additional Sheets as Necessary)
HEREIN, IS ACCEPTED AS TO ITEMS:
XX
DATED
JOHNNA J. PRYOR
. 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.
2 Option Year One (1) Preventative Maintenance (PM)
Services, Repair Dental Parts, and Emergency
Service Calls.
(Option Line Item)
10/01/2027
Period of Performance: 11/01/2027 to 10/31/2028
3 Option Year Two (2) Preventative Maintenance (PM)
Services, Repair Dental Parts, and Emergency
Service Calls.
(Option Line Item)
10/01/2028
Period of Performance: 11/01/2028 to 10/31/2029
4 Option Year Three (3) Preventative Maintenance
(PM) Services, Repair Dental Parts, and Emergency
Service Calls.
(Option Line Item)
10/01/2029
Period of Performance: 11/01/2029 to 10/31/2030
5 Option Year Four (4) Preventative Maintenance
(PM) Services, Repair Dental Parts, and Emergency
Service Calls.
(Option Line Item)
10/01/2030
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)
75H70926Q00014
Period of Performance: 11/01/2030 to 10/31/2031
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
Sponsored by GSA
FAR (48 CFR) 53.110
File details come from the government source that posted it. Updated .