Request for Quotations

1. REQUISITION NUMBER

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

PAGE

2. CONTRACT NO.

3. AWARD/

4. ORDER NUMBER

FOR SOLICITATION

INFORMATION CALL:

b. TELEPHONE NUMBER

IMELDA ROCHA

301-443-2927

OAMP

CODE

10. THIS ACQUISITION IS

HHS/HRSA/OFAAM/OAMP

Office of Acquisition Management and Policy
5600 Fishers Lane
Rockville MD 20857

11. DELIVERY FOR FOB DESTINATION UNLESS BLOCK IS

MARKED

(No collect calls)

ISSUE DATE

08/25/2025

8. OFFER DUE DATE/LOCAL TIME

08/21/2026 1600 ES

UNRESTRICTED OR

X SET ASIDE:

% FOR:

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

NAICS:

EDWOSB

X SMALL BUSINESS

HUBZONE SMALL

BUSINESS

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

8(A)

12. DISCOUNT TERMS

621111

SIZE STANDARD:

$16

13b. RATING

13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

SEE SCHEDULE

15. DELIVER TO

6. SOLICITATION

75R60225Q00181

a. NAME

9. ISSUED BY

5. SOLICITATION NUMBER

EFFECTIVE DATE

7.

OF

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

CODE

14. METHOD OF SOLICITATION

X RFQ

16. ADMINISTERED BY

IFB

RFP

CODE

OAMP

HHS/HRSA/OFAAM/OAMP

5600 Fishers Lane
Rockville MD 20857

17a. CONTRACTOR/

OFFEROR

CODE

FACILITY

CODE

18a. PAYMENT WILL BE MADE BY

CODE

TELEPHONE NO.

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

19.
ITEM NO.

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

IS CHECKED

SEE ADDENDUM

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

Initiative ID: HSB114 C 6735. VICP.
Initiative ID: HSB113 C 6961. CICP.
Award Type: Firm-Fixed Price
Title: Medical Case Reviewer Services for the
Vaccine Injury Compensation Program (VICP)/
Countermeasures Injury Compensation Program
(CICP).

(Use Reverse and/or Attach Additional Sheets as Necessary) 26. TOTAL AWARD AMOUNT (For Govt. Use Only)

25. ACCOUNTING AND APPROPRIATION DATA

X 27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. 27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED.

X 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.

ARE

X ARE NOT ATTACHED.

ARE

ARE NOT ATTACHED.

OFFER

29. AWARD OF CONTRACT:

REF.

DATED

. YOUR OFFER ON SOLICITATION (BLOCK 5),

INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE SET FORTH

HEREIN, IS ACCEPTED AS TO ITEMS:

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