Solicitation Attach A. intro.docx
DOCX document 25 KB Posted
- Attached to
- Hopi Ambulatory Services
- Solicitation number
- 75H71220Q00002
About this file
This request for quotation solicits emergency ground ambulance transportation services from the Hopi Health Care Center located in Polacca, Arizona to off-reservation medical centers and air ambulance rendezvous points. Quotes are due by September 4, 2020 at 2:00 p.m. PST. The Department of Health and Human Services Indian Health Service requires these services on an emergency basis as a result of the COVID-19 pandemic to supplement existing emergency medical response and transport within the boundaries of the Hopi Reservation. Offerors must provide pricing for ground transportation services within a 230 mile radius of the Hopi Health Care Center for the initial year and option year, as well as associated housing fees. The solicitation is set aside for small or large businesses and is issued under NAICS code 621910 with a size standard of $16.5 million.
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Text version
This is a combined synopsis/solicitation for commercial items prepared in accordance with the format in FAR Subpart 12.6 as supplemented with additional information included in this notice. This announcement constitutes the only solicitation; quotes are being requested and a written solicitation will not be issued. This solicitation is issued as a Request for Quotation (RFP) and the reference number is Hopi EMS Transportation Services. This solicitation document and incorporated provisions and clauses are those in effect through Federal Acquisition Circular 05-77 and the Health and Human Services Acquisition Regulation (HHSAR). The Offeror(s) must quote on an all or none basis. Written quotes are required (oral offers will not be accepted). Please include CAGE Code, DUNS, Tax Identification Number, FOB Point, Discount Terms and Delivery Date. The NAICS Code is 621910 Size Standard is $ 16.5 M., The enclosed solicitation is set aside for any small or large business concerns.
REQUEST FOR QUOTE
75H71220Q00002 Hopi EMS Transportation Services
1. Submission of Quotes Due Date:
Not later than the 4 September 2020, 2:00 p.m. PST
2. Company Info: Please provide the following information (if applicable): Legal Business/Company Name (as it is indicated SAM):
DUNS #
POC: Tel:
E-Mail Address: Federal Tax ID#:
Acknowledgment of 90-day acceptance period
Identify those individuals authorized to negotiate with the Government
3. Description of Goods/Services:
List of Items See attached Statement of Work
4. If you have any questions, please contact the contract specialist Jonathan Schrader, jonathan.schrader@ihs.gov
5. Mandatory Registrations:
To be eligible for award, the System for Award Management (SAM) registrations must be current. If your Reps & Certs are not current, go to https://www.sam.gov
6. The FAR/HHSAR provisions and clauses that are applicable to this request/solicitation for open market quotes is included as an attachment.
QUOTE BY:
(Typed or Printed Name)
TITLE:
SIGNATURE:
DATE:
Complete the unit price/extended amount/total cost and terms below:
PRICING SCHEDULE
| Unit of Measure | Qty | Unit Cost Extended | |
| Cost |
1. Ground Transportation Services from Hopi Health Care Center within 230 mile Year 1 $________ $________ Radius + TERO Fees (1 year)
2. Housing Fee’s Year 1 $________ $________
3. Ground Transportation Services from Hopi Health Care Center within 230 mile Year 1 $________ $________ Radius + TERO Fees (Option Year)
4. Housing Fee’s (Option Year) Year 1 $________ $________
Total $_____________
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