Bid document

TRICARE Medicare Eligible Program Second Generation (TMEP2) Request for Proposals HT940226R0001
Part
Part I – The Schedule

Section Title / Description
A

Solicitation/contract form

B

Supplies or services and prices/costs

C

Description/specifications/statement of work

D

Packaging and marking

E

Inspection and acceptance

F

Deliveries or performance

G

Contract administration data

H

Special contract requirements

Part II – Contract Clauses

I

Contract clauses

Part III – List of Documents
& Attachments

J

List of attachments

Part IV – Representations
and Instructions

K

Representations, certifications, and other statements of offerors or respondents

L

Instructions, conditions, and notices to offerors or
respondents

M

Evaluation factors for award

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES

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

3.AWARD/EFFECTIVE 4. ORDER NUMBER

DATE

2. CONTRACT NUMBER

9. ISSUED BY

8. OFFER DUE DATE/

LOCAL TIME

303-676-3594

UNRESTRICTED OR

SET ASIDE:

WOMEN-OWNED SMALL

BUSINESS (WOSB)

NORTH AMERICAN

INDUSTRY CLASSIFICATION

STANDARD (NAICS):

ECONOMICALLY

DISADVANTAGED

WOMEN-OWNED SMALL

BUSINESS (EDWOSB)

8(A)

% FOR:

524292

SIZE STANDARD:

$45.5

13b. RATING

13a. THIS CONTRACT IS A

RATED ORDER UNDER

14. METHOD OF SOLICITATION

THE DEFENSE PRIORITIES

INVITATION

REQUEST

AND ALLOCATIONS

FOR BID

FOR QUOTE

SYSTEM - DPAS (15 CFR 700)

(IFB)
(RFQ)

SEE SCHEDULE

CODE

16. ADMINISTERED BY

HT9402

DEFENSE HEALTH AGENCY

17a. CONTRACTOR/

OFFEROR

b. TELEPHONE NUMBER (No collect
calls)

HUBZONE SMALL

BUSINESS

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

(SDVOSB)

12. DISCOUNT TERMS

11. DELIVERY FOR FREE ON

BOARD (FOB) DESTINATION

UNLESS BLOCK IS MARKED

CODE

6. SOLICITATION ISSUE

DATE

SMALL BUSINESS

DEFENSE HEALTH AGENCY

DEFENSE HEALTH AGENCY-AURORA

16401 E CENTRETECH PARKWAY

AURORA CO 80011

15. DELIVER TO

HT940226R0001

10. THIS ACQUISITION IS

HT9402

1200 MS

Addison Sexton

CODE

PAGE 1 OF

5. SOLICITATION NUMBER

a. NAME

7. FOR SOLICITATION

INFORMATION CALL:

1. REQUISITION NUMBER

REQUEST

FOR

PROPOSAL

(RFP)

HT9402

DEFENSE HEALTH AGENCY

FACILITY

CODE

CODE

CODE

18a. PAYMENT WILL BE MADE BY

TELEPHONE NUMBER

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

OFFER

19.
ITEM NO.

0001

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

BELOW IS CHECKED

SEE ADDENDUM

20.

SCHEDULE OF SUPPLIES/SERVICES

Transition-In/Phase-In: To include Security
(Physical, Personnel and NIST) Certifications.
(Fixed Price)

21.

QUANTITY

22.

UNIT

LO

23.

UNIT PRICE

24.

AMOUNT

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