Solicitation 75H70926Q00009_SF 1449 (11_2021).pdf
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- Solicitation number
- 75H70926Q00009
About this file
This is a Solicitation/Contract/Order for Commercial Items (Standard Form 1449) for dental equipment preventive maintenance and repair services.
The Northern Cheyenne Service Unit, issued by the Billings Area Indian Health Service, is seeking Dental Equipment Preventive Maintenance (PM) and Repair Services for the Lame Deer Public Health Service Indian Health Center in Lame Deer, Montana. The base contract period runs from September 18, 2026, to September 17, 2027, with four optional one-year extension periods extending through September 17, 2031. The solicitation (Number 75H70926Q00009) is unrestricted, with an offer due date of September 10, 2026, at 1500 Mountain Time. The services required include preventive maintenance services, repair of dental parts, and emergency service calls. The NAICS code is 811210 (Repair and Maintenance of Medical, Dental, and Hospital Equipment and Supplies), with a small business size standard of $34 million. Offerors must submit pricing in blocks 23 and 24 for each line item. The contract is administered by the Indian Health Service (Code 224) and will be awarded based on factors outlined in block 13b. The contracting officer is Johnna J. Pryor, and the information point of contact is Clarette Yellowrobe (406-477-4417, no collect calls). Invoices should be submitted to the Billings Area Indian Health Service at 2900 4th Avenue North, P.O. Box 36600, Billings, Montana 59101. Delivery is FOB Destination to the Lame Deer PHS Indian Health Center, 420 North Cheyenne Avenue, Lame Deer, Montana 59043.
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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
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
09/10/2026 1500 MT
08/27/2026
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
75H70926Q00009
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 Preventive Maintenance (PM) and Repair Services for the Northern Cheyenne Service Unit Dental Department, Lame Deer, Montana.
Period of Performance: 09/18/2026 to 09/17/2027
1 Base Year Preventive Maintenance 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) Preventive Maintenance
Services, Repair Dental Parts and Emergency
Service Calls
(Option Line Item)
08/01/2027
Period of Performance: 09/18/2027 to 09/17/2028
3 Option Year Two (2) Preventive Maintenance
Services, Repair Dental Parts and Emergency
Service Calls
(Option Line Item)
08/01/2028
Period of Performance: 09/18/2028 to 09/17/2029
4 Option Year Three (3) Preventive Maintenance
Services, Repair Dental Parts and Emergency
Service Calls
(Option Line Item)
08/01/2029
Period of Performance: 09/18/2029 to 09/17/2030
5 Option Year Four (4) Preventive Maintenance
Services, Repair Dental Parts and Emergency
Service Calls
(Option Line Item)
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)
75H70926Q00009
08/01/2030
Period of Performance: 09/18/2030 to 09/17/2031
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
Sponsored by GSA
FAR (48 CFR) 53.110
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