Solicitation Attach A. intro.pdf

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Indian Health Service - Hopi Ambulatory Services
Solicitation number
75H71222R00034
Issued by

About this file

This document is a request for quotation for ground transportation services from the Hopi Health Care Center. The Indian Health Service is seeking these services on an all-or-none basis from small businesses only. Quotes are due no later than July 8, 2022 by 2:00pm PST and must include pricing for a one year base period and four one-year option periods. Vendors must provide their UEI SAM number, federal tax ID, point of contact information, and acknowledge a 90 day acceptance period. The selected vendor will be required to comply with Tribal Employment Rights Office fee requirements. Questions regarding this RFQ must be submitted to the contract specialist by July 1. Award is anticipated to be made based on price and past performance.

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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 business concerns.

REQUEST FOR QUOTE

75H71222R00034

Hopi Ambulatory Services

1. Submission of Quotes Due Date:

Not later than the 8 July 2022, 2:00 p.m. PST

2. Company Info: Please provide the following information (if applicable):

Legal Business/Company Name (as it is indicated SAM):

UEI SAM #

POC: Tel:

E-Mail Address: Federal Tax ID#:

Acknowledgment of 90-day acceptance period

Please note that questions will not be answered after the following date: 1 July 2022

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 Cost

Ground Transportation Services from Hopi Health Care Center IAW SOW Base Year 1 $________ + TERO Fees (1 year)

Ground Transportation Services from Hopi Health Care Center IAW SOW Option Year 1 1 $________ + TERO Fees (1 year)

Ground Transportation Services from Hopi Health Care Center IAW SOW Option Year 2 1 $________ + TERO Fees (1 year)

Ground Transportation Services from Hopi Health Care Center IAW SOW Option Year 3 1 $________ + TERO Fees (1 year)

Ground Transportation Services from Hopi Health Care Center IAW SOW Option Year 4 1 $________ + TERO Fees (1 year)

Total $_____________

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