Combined Synopsis/Solicitation RFQ # 246-24-Q-0127
Page 1 of 3
This is a combined synopsis/solicitation for commercial items prepared in accordance with
the format in Federal Acquisition Regulation (FAR) Subpart 12.6, as supplemented with
additional information included in this notice. This announcement constitutes the only
solicitation; quotes are being requested in response to this notice and a written solicitation
will NOT be issued. This solicitation is being issued as a Request for Quote (RFQ) # 246-
24-Q-0127. Submit only written quotes for this RFQ. This solicitation is a 100% BUY
INDIAN SET ASIDE. This solicitation document and incorporated provisions and clauses
are those in effect through Federal Acquisition Circular 2024-05. The associated NAICS
code is 339112.
This RFQ contains five (1) Line Items:
CLIN DESCRIPTION QUANTITY COST
01 Welch Allyn Connex Integrated Wall System –
84NTVE2-US or equivalent
14
PERIOD OF PERFORMANCE: 60 DAYS AFTER RECEIPT OF AWARD
The estimated value of the Purchase Order is $85,000.00
Vendor Requirements: SEE ATTACHED STATEMENT OF WORK
Submit Quotes no later than: 06/14/2024 02:00p.m. CDT to the Following Point of Contact:
Mary Ann Yocham, Contract Specialist, via Email: maryann.yocham@ihs.gov.
Evaluation: FAR 52.212-2 Evaluation -- Commercial Items (completed as follows):
(a) The Government will award a firm fixed price Purchase Order resulting from this solicitation to
the responsible offeror whose offer conforming to the solicitation will be most advantageous to the
Government, with price and other factors considered. The following factors shall be used to
evaluate offers:
Lowest Price Technically Acceptable
Pricing
- Pricing will be evaluated on the total cost.
Technical Requirements
- Shall include SureTemp Plus Thermometry, SureBP Non-invasive Blood Pressure,
BP Cuff and Cord Management System, Four USB Ports for Accessories, Pulse
Rate, MAP, Programmable Alarms, BP Averaging, and Adult/Pediatric/Neonate
Patient Support.
- Can be used with adult, pediatric, and neonatal patients.
- Integrated 3.5V handles for physical assessment instruments (otoscope and
ophthalmoscope).
- Spot check and timed intervals monitoring.
- Fast, comfortable blood pressure with SureBP technology.
- Blood pressure averaging to help ensure accurate hypertension diagnosis.
Combined Synopsis/Solicitation RFQ # 246-24-Q-0127
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- SureTemp Plus and Braun ThermoScan PRO 6000 tympanic thermometry options
to meet patient and care setting requirements.
- Option of Nellcor SpO2.
- iConnect to digital weight scales from SECA, Health o Meter, and Detecto.
- Compatible with current Welch Allyn PanOptic Plus LED Ophthalmoscope and
Macroview Plus LED Otoscope attachments for interchangeability
- Non-Invasive Blood Pressure (NIMP)
- SpO2: Determination Time
o Oral: Approximately 4 to 6 seconds
o Adult Axillary (18 years and older): Approximately 15 seconds
o Pediatric Axillary (17 years and younger): Approximately 10 seconds
o Rectal: Approximately 10 seconds
o Tympanic: Approximately 3 seconds
Past History Performance
VENDORS SHALL SUBMIT THE FOLLOWING:
COMPLETED PRICING
INDIAN ECONOMIC ENTERPRISE FORM
TECHNICAL SPECIFICATIONS
3 PAST HISTORY REFERENCES
VENDORS SUBMITTING OR EQUAL ITEMS MUST SUBMIT DESCRIPTITVE LITERATURE
SHOWING HOW THEIR PRODUCT MEETS OR EXCEEDS THE REQUIREMENTS BEING
SOLICITED
This solicitation will result in a firm fixed price Purchase Order pursuant to the terms and conditions
below. Terms and conditions other than those stated will not be accepted. The above pricing is
all inclusive.
PROVISIONS: The following FAR provisions apply to this solicitation:
FAR 52.212-1, Instructions to Offeror- Commercial Items; FAR 52.212-3, Offeror Representations
and Certifications- Commercial Items (the offeror should include a completed copy of this
provision with their quote).
CLAUSES: The following FAR clauses apply to this solicitation:
FAR 52.212-4, Contract Terms and Conditions-Commercial Products and Commercial Services
(Nov 2023); FAR 52.212-5, Contract Terms and Conditions Required to Implement Statues or
Executive Orders-Commercial Products and Commercial Services (May 2024) (to include the
following clauses sited): FAR 52.204-27. Prohibition on a ByteDance Covered Application (Jun
2023); FAR 52.209-6, Protecting the Government's Interest When Subcontracting with Contractors
Debarred, Suspended, or Proposed for Debarment (Nov 2021); FAR 52.219-6, Notice of Total
Small Business Set-Aside (Nov 2020); FAR 52.219-28, Post Award Small Business Program
Representation (Feb 2024); FAR 52.219-33, Nonmanufacturer Rule (Sep 2021); FAR 52.222-19,
Child Labor-Cooperation with Authorities and Remedies (Feb 2024); FAR 52.222-21, Prohibition
of Segregated Facilities (Apr 2015); FAR 52.222-26, Equal Opportunity (Sep 2016); FAR 52.222-
36, Equal Opportunity for Workers with Disabilities (Jun 2020); FAR 52.222-50, Combatting
Trafficking in Persons (Nov 2021); FAR 52.225-3, Buy American-Free Trade Agreements-Isreali
Combined Synopsis/Solicitation RFQ # 246-24-Q-0127
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Trade Act (Nov 2023); FAR 52.225-13, Restriction on Certain Foreign Purchases (Feb 2021);
FAR 52.226-8, Encouraging Contractor Policies to Ban text Messaging While Driving (May 2024);
FAR 52.232-33, Payment by Electronic Funds Transfer- System for Award Management (Oct
2018); FAR 52.217-8, Option to Extend Services (Nov 1999); FAR 52.211-6 Brand Name or Equal
(Aug 1999); FAR 52.252-2, Clauses Incorporated By Reference (Feb 1998); FAR 52.252-6,
Authorized Deviations in Clauses (Nov 2020); HHSAR 352.222-70, Contractor Cooperation in
Equal Employment Opportunity Investigations (Dec 2015); HHSAR 352.226-1, Indian Preference
(Dec 2015); HHSAR 352.226-4, Notice of Indian Small Business Economic Enterprise Set-Aside;
HHSAR 352.226-5, Notice of Indian Economic Enterprise Set-Aside; HHSAR 352.226-6, Indian
Economic Enterprise Subcontracting Limitations; HHSAR 352.226-7, Indian Economic Enterprise
Representation; HHSAR 352.232-71, Electronic Submission of Payment Requests; HHSAR
352.239-78, Information and Communication Technology Accessibility Notice (Feb 2024); HHSAR
352.239-79, Information and Communication Technology Accessibility (Feb 2024); The above
Provisions and Clauses may be obtained via internet at https://www.acquisition.gov/
And https://www.acquisition.gov/hhsar
Miscellaneous:
NO FAX QUOTATIONS
ELECTRONIC SUBMISSIONS – SUBMISSION VIA EMAIL IS THE ONLY ACCEPTABLE
ELECTRONIC SUBMISSION. (maryann.yocham@ihs.gov)
All contractors must be registered in the System for Award Management database located
at https://www.sam.gov/sam/ prior to any contract award. Please submit the following
information with each quote: Vendor Name, Cage Code, UEI, Tax Identification Number,
Prompt Payment Terms, Delivery Time, GSA Contract Number (if applicable), Date quote
expires, warranty, total price for each line item, total quote price, and technical
documentation in sufficient detail to determine technical acceptability. Failure to provide
sufficient technical detail may result in rejection of your quote.
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
_________________________________________
UEI Number
Department of Health and Human Services
Indian Health Service
1
05/2024
Statement of Work (SOW)
Welch Allyn Integrated Wall System
1. PURPOSE OF THE PROJECT
The Haskell Indian Health Service (IHS) Clinic has a requirement for the purchase of 14 new integrated
vital sign wall systems for patient care. The Haskell IHS clinic intends to make a single (all or none), firmfixed-
price award for the purchase of the wall systems.
2. DETAILED DESCRIPTION OF THE TECHNICAL REQUIREMENTS
The contractor shall provide the Welch Allyn Connex Integrated Wall System or equivalent that includes
SureTemp Plus Thermometry, SureBP Non-invasive Blood Pressure, BP Cuff and Cord Management
System, Four USB Ports for Accessories, Pulse Rate, MAP, Programmable Alarms, BP Averaging, and
Adult/Pediatric/Neonate Patient Support. The contractor shall provide product meeting specifications with
warranties on all accessories. The integrated walls systems will have the following minimum requirements:
If an equal brand is offered then, that brand shall meet or exceed the following features/functions.
Requirements:
Model or equivalent capability Quantity
Welch Allyn Connex Integrated Wall System, 84NTVE2-US 14
or equivalent (per unit)
a. Features:
i. Simple color touchscreen interface.
ii. Can be used with adult, pediatric, and neonatal patients.
iii. Integrated 3.5V handles for physical assessment instruments (otoscope and ophthalmoscope).
iv. Spot check and timed intervals monitoring.
v. Fast, comfortable blood pressure with SureBP technology.
vi. Blood pressure averaging to help ensure accurate hypertension diagnosis.
vii. SureTemp Plus and Braun ThermoScan PRO 6000 tympanic thermometry options to meet
patient and care setting requirements.
viii. Option of Nellcor SpO2.
ix. Connect to digital weight scales from SECA, Health o Meter, and Detecto.
x. Up to 20 custom modifiers for more complete patient documentation.
xi. Customizable Early Warning Scoring (e.g., MEWA, PEWS) to enable clinical decision
support at the bedside.
xii. Single sign-on options available for quick, secure clinician login.
xiii. Ethernet and USB EMR connectivity and compatibility with future system (Cerner program)
xiv. Compatible with current Welch Allyn PanOptic Plus LED Ophthalmoscope and Macroview
Plus LED Otoscope attachments for interchangeability
b. Non-Invasive Blood Pressure (NIBP)
i. Cuff Inflation Target:
1. Adult: 160 mmHg
2. Pediatric: 140 mmHg
3. Neonate: 90 mmHg
Department of Health and Human Services
Indian Health Service
2
ii. Systolic Range:
1. Adult/Pediatric: 13 to 260 mmHg
2. Neonate: 20 to 120 mmHg
iii. Diastolic Range:
1. Adult/Pediatric: 20 to 220 mmHg
2. Neonate: 10 to 110 mmHg
iv. MAP Range:
1. Adult/Pediatric: 23 to 230 mmHg
2. Neonate: 13 to 110 mmHg
v. Blood Pressure Accuracy: Meets the ANSI/AAMI SP10:2002 and ISO/ANSI/AAMI 81060-
2:2013 standards for noninvasive blood pressure accuracy (+/- 5 mmHg mean error, 8 mmHg
SD).
vi. BP Determination Time: 15 seconds typical, 150 seconds max
vii. Overpressure Cutoff:
1. Adult/Pediatric: 300 mHg +/- 15 mmHg
2. Neonate: 150 mmHg maximum
viii. Pulse Rate Range:
1. Adult/Pediatric: 30 to 200 bpm
2. Neonate: 150 mmHg maximum
ix. Pulse Rate Accuracy: +/- 5.0% (3 bpm)
c. Temperature:
i. Measurement Range:
1. SureTemp Plus: 80 to 110 degrees F (26.7 to 43.3 degrees C)
2. Braun: 68 to 108 degrees F (20 to 42.2 degrees C)
ii. Calibration Accuracy:
1. SureTemp Plus: +/- 0.2 degrees F (+/- 0.1 degrees C)
2. Braun: +/- 0.4 degrees F (for temps up to 107.6 degrees F), +/- 0.5 degrees F (for temps
higher than 107.6 degrees F)
iii. Determination Time:
1. Oral: Approximately 4 to 6 seconds.
2. Adult Axillary (18 years and older): Approximately 15 seconds
3. Pediatric Axillary (17 years and younger): Approximately 10 seconds
4. Rectal: Approximately 10 seconds
5. Tympanic: Approximately 3 seconds
d. SpO2:
i. Measurement Range: 1 to 100%
ii. Pulse Rate Range:
1. Nellcor: 25 to 240 bpm
iii. Pulse Rate Accuracy:
1. Nellcor: +/-3 digits
iv. SpO2:
1. Nellcor: +/- 3 digits
v. Determination Time:
1. Oral: Approximately 4 to 6 seconds
Department of Health and Human Services
Indian Health Service
3
2. Adult Axillary (18 years and older): Approximately 15 seconds
3. Pediatric Axillary (17 years and younger): Approximately 10 seconds
4. Rectal: Approximately 10 seconds
5. Tympanic: Approximately 3 seconds
e. Ethernet Connection option with compatibility capability to integrate with future EMR (Cerner
program)
f. Physical Specifications:
i. Height: 10.56" (268.26 mm)
ii. Width: 37.8" (960 mm) with Braun thermometer 39.92" (1014 mm)
iii. Weight (including battery): 14.1 lb (6.4 kg)
iv. Power Cord Length: 8'
v. Graphical Display Area: 8" (H) x 4" (V) (20.3 cm [H] x 10.2 cm [V]
vi. Graphical Display Dimensions: 1024 x 600 pixels
vii. Battery: Lithium-ion
viii. Environmental Conditions:
1. Operating Temperature: 50 to 104 degrees F (10 to 40 degrees C)
2. Operating Humidity: 15 to 95% non-condensing
3. Storage Temperature: -4 to 122 degrees F (-20 to 50 degrees C)
4. Storage Humidity: 15 to 95% non-condensing
5. Operating Altitude: -557 to 10,000' (-170 m to 3,048 m)
ix. Handle: FIPS approved encryption algorithms of transmitted data; Server authentication of
the device; digitally signed software images and configuration files.
x. Electrical Rating: 100-240 V AC, 50-60 Hz, 1.50-.08 A.
g. PERIOD OF PERFORMANCE
The Period of Performance will be upon award date. Equipment should be delivered within 90 days
from the contract award date.
h. LEVEL OF EFFORT
i. The contractor shall provide product in original packaging.
ii. The contractor shall provide product operator manual and warranty documents.
i. SPECIAL REQUIREMENTS
i. All inquiries, comments, or complaints arising from any matter observed, experienced or learned of
as a result of or in connection with the performance of the contract, the resolution of which may
require the dissemination of official information, shall be directed to the government’s designated
representative.
j. DELIVERABLES AND REPORTING REQUIREMENTS
i. Delivery: The contractor shall coordinate the delivery date with the designated government
employee. The government shall provide the contractor access and building access for this sole
purpose. No deliveries can be made after 4:15pm. Driver needs a valid ID.
Department of Health and Human Services
Indian Health Service
4
ii. Contractor Point of Contact: The contractor shall furnish one designated point of contact (POC) to
the government’s designated representative for coordination of supplies and delivery. .
iii. Contractor’s Phone Numbers: The contractor shall provide a toll-free telephone number for service
calls, which must be answered during at least eight working hours, between 8:00 am and 4:30 pm,
Monday through Friday.
k. GOVERNMENT FURNISHED PROPERTY, FACILITIES AND SERVICES
i. The Government shall be available for delivery during normal business hours, and have a pallet jack
available.
l. CONTRACTOR FURNISHED PROPERTY, FACILITIES AND SERVICES
i. The contractor shall furnish all personnel, equipment, delivery service, and lift due to lack of
delivery dock, as required to perform work under the contract.
m. CHANGES TO THE STATEMENT OF WORK (SOW)
Any changes to this SOW shall be authorized and approved only through written correspondence from
the Contracting Officer. Costs incurred by the contractor through the actions of parties other than the
Contracting Officer shall be borne by the contractor.
