Combined Synopsis/Solicitation RFQ # 246-24-Q-0130
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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-0130. 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 339114.
This RFQ contains ONE (1) Line Items:
CLIN DESCRIPTION COST
01 Planmeca ProMax 3D Plus 20x10 Imaging Platform (Item #
PMPLUS-SP) or equal
PERIOD OF PERFORMANCE: 90 DAYS AFTER RECEIPT OF AWARD
The estimated value of the Purchase Order is $67,000.00
Vendor Requirements: SEE ATTACHED STATEMENT OF WORK
Submit Quotes no later than: 06/20/2024 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 technical requirements being more important than pricing. The following factors
shall be used to evaluate offers:
Best Value (see criteria below)
Pricing
- Pricing will be evaluated on the total cost.
Technical Requirements
i. SmartPan-Panoramic
ii. Corrective Algorithm for Latent Patient Movement (CALM)
iii. Ultra Low Dose Protocol (ULD)
iv. Endo Module (75 μ resolution Capability)
v. Implant Library with Implant planning module,
vi. Romexis v6.x software with 3 concurrent licenses per unit; DICOM and Archival
configuration; Full License
vii. Hardwired Power Line Conditioner (PLC) with wall mount for the ProMax 3D
viii. Five-year warranty, includes all parts
ix. Planmeca ASE Installation
x. Planmeca Advanced Training (3D/Romexis) (at least 1-day onsite, in clinic)
xi. Dimensions: 83.5” (88.8” clearance) x 56.3” (58.3” clearance) x 94.1”
Combined Synopsis/Solicitation RFQ # 246-24-Q-0130
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a. Chin Rest Level: 97-171 cm
b. Cephalostat ear post level: 97-179 cm
xii. Compatible with current windows 10 computer software and Dentrix program
Past History Performance
- Vendor shall submit 3 past history performance references
VENDORS SHALL SUBMIT THE FOLLOWING:
COMPLETED PRICING
TECHNICAL SPECIFICATIONS
PAST HISTORY PERFORMANCE REFERENCES
WARRANTY INFORMATION
INDIAN ECONOMIC ENTERPRISE REPRESENTATION FORM
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 52.203-17, Contractor Employee Whistleblower Rights (Nov 2023);
FAR 52.204-10, Reporting Executive Compensation and First-Tier Subcontract Awards (Jun
2020); FAR 52.204-27. Prohibition on a ByteDance Covered Application (Jun 2023); FAR 52.204-
30, Federal Acquisition Supply Chain Security Act Orders-Prohibition (Dec 2023); 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
52.222-3, Convict Labor (Jun 2003); 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
52.223-20, Aerosols (May 2024); FAR 52.223-23, Sustainable Products and Services (May 2024);
FAR 52.225-3, Buy American-Free Trade Agreements-Israeli Trade Act (Nov 2023); 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
52.222-53, Exemption from Application of the Service Contract Labor Standards to Contract for
Certain Services-Requirements (May 2014); FAR 52.222-51, Exemption from Application of the
Service Contract Labor Standards to Contracts for Maintenance, Calibration, or Repair of Certain
Equipment-Requirements (May 2014); FAR 52.217-8, Option to Extend Services (Nov 1999);
Combined Synopsis/Solicitation RFQ # 246-24-Q-0130
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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; HSAR 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
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Department of Health and Human Services
Indian Health Service
May 2024
Statement of Work (SOW)
ProMax 3D Plus Imaging Platform
1. PURPOSE OF THE PROJECT
The Haskell Indian Health Service (IHS) Clinic has a requirement for the purchase of a new Panoramic
Planmeca ProMax 3D Plus Imaging Platform to replace our current Planmeca ProMax 3D Imaging
Platform, which has met its end of life.
2. DETAILED DESCRIPTION OF THE TECHNICAL REQUIREMENTS
The contractor shall furnish all equipment, software, parts, labor, delivery, supplies, and technician travel
(transportation, travel, hotel, etc.) required to accomplish the delivery, installation, and training for the
new panoramic imaging platform. The panoramic 3D imaging platform shall have the minimum
requirements as listed below. If an equal brand is offered then, that brand shall meet or exceed the
following imaging platform features/functions.
Requirements:
Model or equivalent capability Quantity
Planmeca ProMax 3D Plus 20x10 Imaging Platform (Item # PMPLUS-SP) or equal 1
Planmeca ProMax 3D Plus 20 x 10 Imaging Platform or equal with features included listed below:
i. SmartPan-Panoramic
ii. Corrective Algorithm for Latent Patient Movement (CALM)
iii. Ultra Low Dose Protocol (ULD)
iv. Endo Module (75 μ resolution Capability)
v. Implant Library with Implant planning module,
vi. Romexis v6.x software with 3 concurrent licenses per unit; DICOM and Archival configuration;
Full License
vii. Hardwired Power Line Conditioner (PLC) with wall mount for the ProMax 3D
viii. Five year warranty, includes all parts
ix. Planmeca ASE Installation
x. Planmeca Advanced Training (3D/Romexis) (at least 1-day onsite, in clinic)
xi. Dimensions: 83.5” (88.8” clearance) x 56.3” (58.3” clearance) x 94.1”
a. Chin Rest Level: 97-171 cm
b. Cephalostat ear post level: 97-179 cm
xii. Compatible with current windows 10 computer software and Dentrix program
3. PERIOD OF PERFORMANCE
The Period of Performance shall be the delivery and installation of equipment within 90 days from the
contract award date.
4. LEVEL OF EFFORT
4.1. The contractor shall provide product by period of performance timeline.
4.2. The contractor shall install product on site and provide onsite training, and replace any products or
software damaged on delivery or during install free of charge.
4.3. Training: Contractor shall provide training one day of onsite, in clinic, training on latest model
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Department of Health and Human Services
Indian Health Service
5. SPECIAL REQUIREMENTS
5.1. Individuals providing services, with potential interaction with Indian children, are subject to a
character investigation. IHS personnel offices will conduct these investigations following award of
non-personal services contract unless in the judgment of the Contracting Officer, in consultation with
the Personnel Officer, investigation may be waived based on prior investigations on file. Until the
Contracting Officer has been notified of the result of the investigation, such individuals shall not have
clearance to be on federal premises.
5.1.1. In accordance with HHSAR 304.1303, To ensure compliance with Homeland Security
Presidential Directive-12: Policy for a Common Identification Standard for Federal
Employees and Contractors (HSPD-12) It is the IHS policy that all staff and contractors who
require physical access to federally controlled facilities and logical access to the IHS
Information Technology (IT) networks and systems must obtain an HSPD-12-compliant
access card. Individuals will be issued an access card upon meeting the HSPD-12
requirements and a favorable background investigation.
5.2. The Haskell IHS Clinic is a tobacco/smoke free environment (buildings and grounds). No tobacco
/smoking use shall be tolerated during service.
5.3. Security Requirements: Contractor personnel shall be required to contact the government designated
point of contact upon arrival when reporting for service calls or delivery supplies. The contractor
shall be responsible for the security of all organizational information. Current rules and regulations
applicable to the premises where the work shall be performed shall apply to the contractor and its
employees while working on the premises. These regulations include, but are not limited to, escort
by Haskell IHS Clinic official, presenting valid identification, smoking restriction and any safety
procedures.
5.4. No equipment that contains sensitive government information shall be removed from the premises
without consulting with Haskell Indian Health Center Information Technology personnel.
5.5. The contractor shall not disclose or cause to disseminate any information concerning operations of
the Haskell IHS Clinic. Such action(s) could result in violation of the contract and possible legal
actions.
5.5.1. 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.
6. DELIVERABLES AND REPORTING REQUIREMENTS
6.1. Delivery: The contractor shall coordinate the delivery, installation, and training 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.
Facility does NOT have a loading dock, contractor will need lift gate upon delivery. Facility can
provide pallet jack if needed.
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6.2. Contractor Point of Contact: The contractor shall furnish one designated point of contact (POC) to
the government’s designated representative for coordination of supplies, delivery, and/or
maintenance. The POC shall be empowered to make daily decisions to ensure that the contract
implementation and day-to-day management that meets the terms and conditions of this contract.
6.3. 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.
7. GOVERNMENT FURNISHED PROPERTY, FACILITIES AND SERVICES
7.1. The Government shall supply network connectivity or telephone access as needed. The Government
shall also provide access to the facility and escort as needed within business hours.
8. CONTRACTOR FURNISHED PROPERTY, FACILITIES AND SERVICES
8.1. The contractor shall furnish all personnel, materials, supplies, and equipment required to perform
work under the contract, to include but not limited to: equipment, tools, parts, and testing equipment.
9. 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.
