Solicitation W51AA126RA003.pdf

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Attached to
BASIC LIFE SUPPORT (BLS) EMERGENCY MEDICAL SERVICES (EMS)
Solicitation number
W51AA126RA003
Issued by

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This document is a Standard Form 1449 (SF-1449) Request for Quote (RFQ) for a Women-Owned Small Business (WOSB) solicitation for Basic Life Support (BLS) Emergency Medical Services (EMS) at Tobyhanna Army Depot. The solicitation (Number W51AA126RA003) is issued by the Department of the Army, with an offer due date of 28 January 2026 at 12:00 PM and a contract award/effective date of 13 January 2026.

The solicitation is specifically for emergency medical services including standby, emergency and non-emergency response, patient treatment, and transport services for the Tobyhanna Army Depot Fire and Emergency Services Branch. The procurement is set aside for Women-Owned Small Businesses, with a North American Industry Classification Standard (NAICS) code of 621910. The contract will be administered by the Tobyhanna Army Depot Contracting Office located in Tobyhanna, Pennsylvania, with contact information for Deborah Belak (email: DEBORAH.BELAK.CIV@ARMY.MIL, telephone: 5706157579).

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Other files

File Type Posted
W51AA126RA003 Amendment 0003.pdf PDF
Attachment VIII Questions and Answers.xlsx XLSX spreadsheet
W51AA126RA003 Amendment 0002.pdf PDF
W51AA126RA003_Amendment 0001.pdf PDF
Attachment VII CDRL Small Business Utilization Report REV 1.pdf PDF
Solicitation W51AA126RA003.pdf PDF
Attachment IV GFP Consolidated Information List.xlsx XLSX spreadsheet
Attachment I Performance Work Statement JAN 2026.docx DOCX document
Attachment III Quality Assurance Surveillance Plan JAN 2026.pdf PDF
Attachment VII CDRL - Small Business Utilization Report.pdf PDF
Attachment II PWS APPENDIX A Monthly Response Data.xlsx XLSX spreadsheet
Attachment V Proposed Pricing Worksheet.xlsx XLSX spreadsheet
Attachment VI Small Business Participation and Subcontracting Form.pdf PDF
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WOMEN-OWNED SMALL

BUSINESS (WOSB)

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES

1. REQUISITION NUMBER PAGE 1 OF

2. CONTRACT NUMBER 3. AWARD/EFFECTIVE

DATE

4. ORDER NUMBER 5. SOLICITATION NUMBER 6. SOLICITATION ISSUE

DATE

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME b. TELEPHONE NUMBER 8. OFFER DUE DATE/

LOCAL TIME

9. ISSUED BY

13b. RATING

14. METHOD OF SOLICITATION

CODE

15. DELIVER TO 16. ADMINISTERED BY CODE

18a. PAYMENT WILL BE MADE BY CODE17a. CONTRACTOR/

OFFEROR

CODE

FACILITY

CODE

CODE

TELEPHONE NUMBER

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN

OFFER

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

BELOW IS CHECKED

REQUEST

FOR QUOTE

(RFQ)

INVITATION

FOR BID

(IFB)

REQUEST

FOR

PROPOSAL

(RFP)

SEE ADDENDUM

19.

ITEM NUMBER

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

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

25. ACCOUNTING AND APPROPRIATION DATA 26. TOTAL AWARD AMOUNT (For Government Use Only)

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH

AND DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND

ON ANY ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS

SPECIFIED

29. AWARD OF CONTRACT: REFERENCE OFFER

DATED . . YOUR OFFER ON SOLICITATION

(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

30a. SIGNATURE OF OFFEROR/CONTRACTOR

30b. NAME AND TITLE OF SIGNER (Type or print) 30c. DATE SIGNED

31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

31b. NAME OF CONTRACTING OFFICER (Type or print) 31c. DATE SIGNED

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 11/2021)

Prescribed by GSA - FAR (48 CFR) 53.212

10. THIS ACQUISITION IS UNRESTRICTED OR

NORTH AMERICAN

INDUSTRY CLASSIFICATION

STANDARD (NAICS):

SIZE STANDARD:

13a. THIS CONTRACT IS A

RATED ORDER UNDER

THE DEFENSE PRIORITIES

AND ALLOCATIONS

SYSTEM - DPAS (15 CFR 700)

SET ASIDE: % FOR:

11. DELIVERY FOR FREE ON

BOARD (FOB) DESTINATION

UNLESS BLOCK IS MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

ARE ARE NOT ATTACHED

ARE ARE NOT ATTACHED

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

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA

8(A)

ECONOMICALLY

DISADVANTAGED

WOMEN-OWNED SMALL

BUSINESS (EDWOSB)

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

(SDVOSB)

HUBZONE SMALL

BUSINESS

SMALL BUSINESS

NOTE: OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, AND 30.

SEE CONTINUATION

SEE CONTINUATION

SEE CONTINUATION

W51AA126RA003 13 JAN 2026

DEBORAH BELAK

5706157579

28 JAN 2026

12:00 PM

W51AA1

W6QK ACC-APG CONT CT TYAD OFC

TOBYHANNA ARMY DEPOT, 11 HAP ARNOLD BLVD

TOBYHANNA, PA 18466-0000

UNITED STATES

DEBORAH BELAK, EMAIL: DEBORAH.BELAK.CIV@ARMY.MIL TELEPHONE:

5706157579

621910

SEE CONTINUATION

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