Bid document

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES

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

2. CONTRACT NO.

3. AWARD/EFFECTIVE DATE

4. ORDER NO.

PAGE 1 OF

5. SOLICITATION NUMBER

6. SOLICITATION ISSUE DATE

534-27-1-2196-0001

36C24727Q0048

a. NAME

7. FOR SOLICITATION

INFORMATION CALL:

9. ISSUED BY

10. THIS ACQUISITION IS

X

Department of Veterans Affairs
Ralph H. Johnson VA Medical Center
109 Bee Street
Charleston SC 29403-5799

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

EDWOSB

14:00

% FOR:

EDT

524298

SIZE STANDARD:

$30.5 Million

8(A)

13b. RATING

CODE

N/A

14. METHOD OF SOLICITATION

X

RFQ

IFB

16. ADMINISTERED BY

Ralph H. Johnson VA Medical Center
109 Bee Street
Charleston SC 29401

CODE

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

NAICS:

13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

SEE SCHEDULE

17a. CONTRACTOR/OFFEROR

X SET ASIDE:

UNRESTRICTED OR

12. DISCOUNT TERMS

15. DELIVER TO

8. OFFER DUE DATE/LOCAL

TIME 10-22-2026

8437625564

CODE

11. DELIVERY FOR FOB DESTINATION UNLESS BLOCK IS

MARKED

10-08-2026

b. TELEPHONE NO. (No Collect Calls)

Aunjelaca Miller

1. REQUISITION NO.

RFP

CODE

Department of Veterans Affairs
Ralph H. Johnson VA Medical Center
109 Bee Street
Charleston SC 29403-5799

FACILITY CODE

18a. PAYMENT WILL BE MADE BY

CODE

Department of Veterans Affairs

FMS-VA-2(101)

Financial Services Center
PO Box 149971
Austin TX 78714-9971

PHONE:

TELEPHONE NO.

UEI:

FAX:

EFT:

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

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

See CONTINUATION

20.

SCHEDULE OF SUPPLIES/SERVICES

19.
ITEM NO.

SEE ADDENDUM

Page

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

MEDICAID APPLICATION ASSISTANCE SERVICES

RALPH H. JOHNSON VA MEDICAL CENTER

The contractor shall provide services as outlined in the included schedule and Statement of Work (SOW) for the
anticipated performance periods below:
Base Year: 11/17/2026 to 11/16/2027
Option Year 1: 11/17/2027 to 11/16/2028
Option Year 2: 11/17/2028 to 11/16/2029
Option Year 3: 11/17/2029 to 11/16/2030
Option Year 4: 11/17/2030 to 11/16/2031
Options will be exercised within the unilateral right of the Government.
*Pay special attention to FAR 52.212-1 and FAR 52.212-2 for submission instructions and evaluation criteria.*
Any omission or incompletion of the evaluation factors could lead to a rejected offer.
(Use Reverse and/or Attach Additional Sheets as Necessary)