Sources Sought Notice - IHS1521098.pdf

Rev. 01/30/2025

Sources-Sought Notice

The Indian Health Service, Chinle Service Unit, Chinle Comprehensive Health Care Facility is issuing this sources-sought synopsis as a means of conducting market research (FAR 10.001) in identifying prospective sources to fill a government requirement for annual preventative maintenance for Gurneys & Power Loader service. Refer to attached Statement of Work.

The applicable North American Industry Classification System (NAICS) code assigned to this requirement is 339113 Surgical Appliance and Supplies Manufacturing with a small business size standard of 800 employees.

THIS IS NOT A SOLICITATION. Information collected from this notice is purely for market research only and will be used to determine the contracting office’s acquisition strategy including competition, set asides, and locating Indian-owned economic enterprises. Submission of any information in response to this market survey is purely voluntary. The government assumes no financial responsibility for any costs incurred in response to this request for information.

Period of Performance: One one-year Base Period with two one-year Option Periods.

In accordance with FAR 4.1102(a), offerors and quoters are required to be registered in System for Award Management at SAM.gov, at the time an offer or quotation is submitted in order to comply with the annual representations and certifications requirements.

Submission Instructions: Interested parties who consider themselves qualified to perform the above-listed services are invited to submit a response to this notice by March 18, 2026, at 5:00PM MST to Teola Autaubo at teola.autaubo@ihs.gov with the subject line “SSN IHS1521098”. Your submission must include the following information, at a minimum:

1. Company Profile that includes: UEI, Name and Address, Primary POC information, business size and type of ownership, socio-economic status/participation such as 8(a), WOSB/EDWOSB, SDVOSB and HUBZone, identification of Native American ownership (if applicable), SAM.gov representations and certifications, and other related documentation.

2. A brief statement of the company’s capability that relates to the described government requirement. Additional demonstration of capability may include current and past performance history for the same or similar requirement, established contracts such as GSA or VA Schedule, etc.

3. If claiming Indian-owned Small Business Economic Enterprise (ISBEE) or Indian-owned Economic Enterprise (IEE), submit completed IHS IEE Representation Form (attached).

Telephone inquiries will not be accepted or acknowledged, and no feedback or evaluations will be provided to companies regarding their submissions.

SCOPE OF WORK

Patient Escort/MVO:

Gurneys & Power Loader

EQUIPMENT: Service contract for cots and power loader. Coverage needs to include parts, labor, travel, annual preventive maintenance, and battery coverage.

Performance Plan: The contractor shall come on site to perform service at, Chinle Comprehensive Health Care Facility, U.S. Hwy 191 and IR 102 Chinle Az, 86503

EQUIPMENT USE: The service contractor shall come on site to service three, Stryker model 6390 Power load cot fastener systems. In addition, three Stryker Power-Pro XT cots. These cots are used to load and move our patients with on every transport, that is done out of the Chinle Comprehensive Health Care Facility, they power loaders load the gurneys into the ambulance with the ability to lift up to 750 pounds. The company that gets the contract needs to be certified to service the Stryker gurneys and power loaders that are currently owned by the hospital.

JUSTIFICATION: In 2023 patient transport did 1,125 transports, in 2024 we did 1473, in 2025 we are currently at 1225 transports. The Power gurney, and power loaders are used on every transport, the service agreement expired in August of 2025, for the mobile service that has been on site several times in the past three years servicing, wheels hydraulics, batteries, bushings, and electrical components.

This service is absolutely essential to moving our patients in and out of Chinle Comprehensive Health Care Facility. The Stryker power system is the safest way to move and load our patients and to protect the CSU staff from injuries, it also reduces the incident of a dropped patient drastically.

LOCATION/Equipment use: It will be used on every patient transport call

DEPARTMENT OF HEALTH & HUMAN SERVICES

Indian Health Service

Office of Management Services Division of Acquisition Policy (DAP)

5600 Fishers Lane Rockville, MD 20857

INDIAN HEALTH SERVICE

BUY INDIAN ACT

INDIAN ECONOMIC ENTERPRISE

REPRESENTATION FORM

SOLICITATION/SOURCES SOUGHT/RFI #: _________________________________________________

PROJECT TITLE: ________________________________________________________

DATE: ___________________________________________________________________

In accordance with 25 U.S.C. 47 the Buy Indian Act, the signature below constitutes self-certification that the Offeror meets the definition of an “Indian Economic Enterprise” (HHSAR 326.601) in response to this Sources Sought Notice, Request for Information (RFI) or Solicitation and resultant contract.

The enterprise must meet the definition of “Indian Economic Enterprise” throughout the following time periods:

(1) At the time an offer is made in response to this solicitation;

(2) At the time of contract award; and

(3) During the full term of the contract performance period. At any point during these periods, if the Contractor no longer meets the eligibility requirements, the contractor must provide immediate written notification to the Contracting Officer.

Individual Contracting Officers may require documentation of eligibility before awarding a set-aside or sole source contracts under the Buy Indian Act and awards may be subject to protest if the eligibility of the successful Offeror is in question. In addition to the self-certification requirements, successful Offerors must also be registered with the System of Award Management (SAM).

Any false or misleading information submitted by an enterprise when submitting an offer in consideration of an award set-aside under the authority of the Buy Indian Act is a violation of the law and punishable under 18 U.S.C. 1001.

False claims submitted as part of contract performance are subject to the penalties enumerated in 31 U.S.C. 3729 to 3731 and 18 U.S.C. 287.

REPRESENTATION

The Offeror represents as part of its offer that it does _____, does not _____ meet the definition of an “Indian Economic Enterprise” with “Indian Ownership” under the authority of the Buy Indian Act.

Name of the 51% owner of IEE Firm

Certifying Signature

Print Name

Name of Federally Recognized Tribal Entity

Business Name

DUNS Number