Tab 12 - Sol_75H71026Q00221.pdf

PDF 108 KB Posted Aug 4, 2026

Attached to: Non-personal Healthcare Services of Medical Supply Technicians in the Sterile Processing Department at the Northern Navajo Medical Center
Solicitation number: 75H71026Q00221
Issued by: Department of Health and Human Services Indian Health Service

About this file

Written by GovTribe AI · Aug 4, 2026

This is a Solicitation/Contract/Order for Commercial Items (Standard Form 1449) issued by Northern Navajo Medical Center for Medical Supply Technician Services.

The solicitation number is 75H71026Q00221, with an issue date of 08/04/2026 and offer due date of 08/18/2026 at 1000 MD. The contracting officer is Michelle A. James, and the point of contact for information is Kimberly Livingston (505-726-8876). This is a Request for Proposal (RFP) for unrestricted competition, classified under NAICS code 561320 with a size standard of $34 million. The acquisition is designated as a 100% Indian-Owned Small Business Economic Enterprise (ISBEE) set-aside. Delivery is FOB destination to Northern Navajo Medical Center, US Highway 491 North, Shiprock, New Mexico 87420.

The contract requires the contractor to provide Medical Supply Technician Services to the Sterile Processing Department at Northern Navajo Medical Center in accordance with Attachment A—Performance Work Statement. The requirement consists of a base period (10/01/2026 to 03/31/2027) and four option periods, each requiring 2 full-time Medical Supply Technicians working 1,040 hours each (estimated). All line items are firm-fixed price CLINs. Option Period One runs 04/01/2027 to 09/30/2027; Option Period Two runs 10/01/2027 to 03/31/2028; Option Period Three runs 04/01/2028 to 09/30/2028; and Option Period Four runs 10/01/2028 to 03/31/2029. The contract is subject to electronic payment through www.ipp.gov, and all invoices must comply with Federal Acquisition Regulation 52.212-4(g) requirements.

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Other files

File	Type	Posted
IHS IEE Representation Form_Jan 2022_508 Compliant.pdf	PDF	Aug 4, 2026
Tab 3 - Performance Work Statement - Medical Supply Technician 4.1.26.pdf	PDF	Aug 4, 2026
Tab 12 - Combined Synopsis-Solicitation Rev 04-29-2026.docx	DOCX document	Aug 4, 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

53CODE 16. ADMINISTERED BYCODE

561320

SIZE STANDARD:

% FOR:SET ASIDE:UNRESTRICTED OR53

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

08/18/2026 1000 MD

08/04/2026

5057268876Kimberly Livingston (No collect calls)

INFORMATION CALL:

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

4. ORDER NUMBER3. AWARD/ 6. SOLICITATION

75H71026Q00221

5. SOLICITATION NUMBER

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

1 4 OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

TELEPHONE NO.

17a. CONTRACTOR/

15. DELIVER TO

Shiprock NM 87420

US Hwy 491 North

9. ISSUED BY

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 Navajo Medical CTR WOMEN-OWNED SMALL

BUSINESS (WOSB)

ECONOMICALLY DISADVANTAGED

WOMEN-OWNED SMALL

BUSINESS (EDWOSB)

Shiprock New Mexico 87420

US Hwy 491 North

Northern Navajo Medical Center

Shiprock NM 87420

US Hwy 491 North

Northern Navajo Medical CTR

24.

AMOUNT

23.

UNIT PRICE

22.

UNIT

21.

QUANTITY

20.

SCHEDULE OF SUPPLIES/SERVICES

19.

ITEM NO.

This is a 100% Indian-Owned Small Business Economic Enterprise (ISBEE) 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

MICHELLE A. JAMES

. 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 (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.

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.

Period of Performance: 10/01/2026 to 03/31/2027

1 Base Period:

Contractor shall provide Medical Supply

Technician Services IAW Attachment A -

Performance Work Statement to the Sterile

Processing Department at Northern Navajo Medical

Center in Shiprock, New Mexico 87420.

Qty: 2 Full-Time

Hours: 1,040 each (Estimated)

This is a Firm-fixed price CLIN. Values are estimated that the Contractor exceeds at its own risk.

2 Option Period One:

Contractor shall provide Medical Supply

Technician Services IAW Attachment A -

Performance Work Statement to the Sterile

Processing Department at Northern Navajo Medical

Center in Shiprock, New Mexico 87420.

Qty: 2 Full-Time

Hours: 1,040 each (Estimated)

This is a Firm-fixed price CLIN. Values are estimated that the Contractor exceeds at its own

Continued ...

32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

4 2 of

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

3 4

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

75H71026Q00221 risk.

(Option Line Item)

04/01/2027

Period of Performance: 04/01/2027 to 09/30/2027

3 Option Period Two:

Contractor shall provide Medical Supply

Technician Services IAW Attachment A -

Performance Work Statement to the Sterile

Processing Department at Northern Navajo Medical

Center in Shiprock, New Mexico 87420.

Qty: 2 Full-Time

Hours: 1,040 each (Estimated)

This is a Firm-fixed price CLIN. Values are estimated that the Contractor exceeds at its own risk.

(Option Line Item)

10/01/2027

Period of Performance: 10/01/2027 to 03/31/2028

4 Option Period Three:

Contractor shall provide Medical Supply

Technician Services IAW Attachment A -

Performance Work Statement to the Sterile

Processing Department at Northern Navajo Medical

Center in Shiprock, New Mexico 87420.

Qty: 2 Full-Time

Hours: 1,040 each (Estimated)

This is a Firm-fixed price CLIN. Values are estimated that the Contractor exceeds at its own risk.

(Option Line Item)

04/01/2028

Period of Performance: 04/01/2028 to 09/30/2028

5 Option Period Four:

Contractor shall provide Medical Supply

Technician Services IAW Attachment A -

Performance Work Statement to the Sterile

Continued ...

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