Solicitation - 75H71026Q00238.pdf

PDF 3 MB Posted Aug 6, 2026

Attached to: Hazmat Coveralls and Rubber Boots - KHC
Solicitation number: 75H71026Q00238
Issued by: Department of Health and Human Services Indian Health Service

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Written by GovTribe AI · Aug 6, 2026

This is a Solicitation/Contract/Order for Commercial Items (Standard Form 1449) issued by Kayenta Health Center's Acquisition Department for protective equipment supplies.

The solicitation number is 75H71026Q00238 (Requisition Number IHS1527633), with an offer due date of August 6, 2026 at 10:00 AM Mountain Daylight Time and an award date of August 17, 2026. This is a total small business set-aside contract under NAICS code 339113 with a size standard of 800 employees. The contract is designated as a Request for Proposal (RFP) and is administered by Kayenta Health Center, located at Highway 160, Mile Post 394.3, Kayenta, AZ 86033. Payment will be made electronically through the Department of Treasury's Invoice Processing Platform (IPP) at www.ipp.gov in accordance with FAR clause 52.212-4(g) and incorporated clause 352.232-71 (Electronic Submission of Payment Requests, APR 2026 Deviation). The contract incorporates FAR clauses 52.212-1, 52.212-4, 52.212-3, and 52.212-5 by reference, along with numerous other standard commercial and small business provisions and Department of Health and Human Services acquisition regulation clauses.

The supplies required consist of fifteen line items: six polyolefin (Alphatec) coveralls in various sizes (Medium through 4X-Large, orange, Item No. 784RK6/784RL0/784RL1) totaling 190 units, and nine men's green knee-height rubber boots in sizes 6 through 14 (Item Nos. 2LME3 through 2LMF2) totaling 76 pairs. Evaluation criteria are technical capability per specifications in Attachment A, price, and delivery schedule. The Government will evaluate offers by adding total prices for all options to the basic requirement price. FOB destination applies unless otherwise marked. Invoices must comply with FAR 52.212-4(g) requirements and be submitted through www.ipp.gov. The contract is subject to Buy American requirements and includes certifications regarding Israeli trade agreements, domestic products, and critical components.

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Other files

File	Type	Posted
75H71026Q00238 - Amd 001.pdf	PDF	Aug 14, 2026
Specifications.pdf	PDF	Aug 6, 2026

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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

Highway 160, Mile Post 394.3 PO Box 368 Acquisition Department Kayenta Health Center

CODE 16. ADMINISTERED BYCODE

339113

SIZE STANDARD:

% FOR:SET ASIDE:UNRESTRICTED OR25

RFPIFB

10. THIS ACQUISITION ISCODE

RFQ

14. METHOD OF SOLICITATION

13b. RATING

NAICS:

SMALL BUSINESS

08/17/2026 1000 MD

08/06/2026

CHARITY YELLOWHAIR-GILBERT

(No collect calls)

INFORMATION CALL:

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

4. ORDER NUMBER3. AWARD/ 6. SOLICITATION

75H71026Q00238

5. SOLICITATION NUMBER

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

1 19 IHS1527633OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

Kayenta AZ 86033

TELEPHONE NO.

17a. CONTRACTOR/

Kayenta AZ 86033 Highway 160, Mile Post 394.3 Kayenta Health Center

15. DELIVER TO

Kayenta AZ 86033 Highway 160, Mile Post 394.3 PO Box 368 Acquisition Department

9. ISSUED BY

2. CONTRACT NO.

EFFECTIVE DATE

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW

ISSUE DATE

DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

11.

SEE SCHEDULEX

12. DISCOUNT TERMS

THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

13a.

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

8(A)

Kayenta Health Center

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

24.

AMOUNT

23.

UNIT PRICE

22.

UNIT

21.

QUANTITY

20.

SCHEDULE OF SUPPLIES/SERVICES

19.

ITEM NO.

** THIS IS A TOTAL SMALL BUSINESS 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 at 352.232-71 Electronic Submission of Payment Requests (APR 2026

DEVIATION).

(Use Reverse and/or Attach Additional Sheets as Necessary)

HEREIN, IS ACCEPTED AS TO ITEMS:

DATED

JERLYN R. BEGAY

. 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

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 FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA

26. TOTAL AWARD AMOUNT (For Govt. Use Only)

OFFER

STANDARD FORM 1449 (REV. 2/2012)

Prescribed by GSA - FAR (48 CFR) 53.212

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:

REF.

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. 2/2012) BACK

24.

AMOUNT

23.

UNIT PRICE

22.

UNIT

21.

QUANTITY

20.

SCHEDULE OF SUPPLIES/SERVICES

19.

ITEM NO.

1 Coverall: Polyolefin (Alphatec), Medium, Orange

Item No.: 784RK6

Quantity: 20

2 Coverall: Polyolefin (Alphatec), Large, Orange

Item No.: 784RK6

Quantity: 40

3 Coverall: Polyolefin (Alphatec), X-Large, Orange

Item No.: 784RK6

Quantity: 40

4 Coverall: Polyolefin (Alphatec), 2X-Large, Orange

Item No.: 784RK6

Quantity: 40

Continued ...

32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

19 2 of

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

3 19

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

75H71026Q00238

5 Coverall: Polyolefin (Alphatec), 3X-Large, Orange

Item No.: 784RL0

Quantity: 10

6 Coverall: Polyolefin (Alphatec), 4X-Large, Orange

Item No.: 784RL1

Quantity: 10

7 Rubber Boot: Men’s 6, Knee, Green, PR

Item No.: 2LME3

Quantity: 1

8 Rubber Boot: Men’s 7, Knee, Green, PR

Item No.: 2LME4

Quantity: 4

9 Rubber Boot: Men's 8, Knee, Green, PR

Item No.: 2LME5

Quantity: 11

10 Rubber Boot: Men's 9, Knee, Green, PR

Item No.: 2LME6

Quan¿¿ty: 13

11 Rubber Boot: Men's 10, Knee, Green, PR

Item No.: 2LME7

Quantity: 12

Continued ...

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