SOL

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

1. REQUISITION NUMBER

PAGE

2. CONTRACT NO.

3. AWARD/

4. ORDER NUMBER

FOR SOLICITATION

INFORMATION CALL:

b. TELEPHONE NUMBER

ANDREA WHIPPLE

605-268-2022

9. ISSUED BY

CODE

11. DELIVERY FOR FREE ON BOARD

(FOB) DESTINATION UNLESS

BLOCK IS MARKED

15. DELIVER TO

CODE

IHSSISSETON

SISSETON

100 LAKE TRAVERSE DRIVE

SISSETON SD 57262

17a. CONTRACTOR/

OFFEROR

CODE

ISSUE DATE

09/30/2026

8. OFFER DUE DATE/LOCAL TIME

10/30/2026 1300 CT

UNRESTRICTED OR

X SMALL BUSINESS

WOMEN-OWNED SMALL

BUSINESS (WOSB)

8(A)

100.00

X SET ASIDE:

ECONOMICALLY DISADVANTAGED

WOMEN-OWNED SMALL

BUSINESS (EDWOSB)

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

(SDVOSB)

X SEE SCHEDULE

(No collect calls)

10. THIS ACQUISITION IS

HUBZONE SMALL

BUSINESS

12. DISCOUNT TERMS

6. SOLICITATION

75H70626Q00214

a. NAME

Woodrow Wilson Keeble Memorial
Health Care Center
Indian Health Service
100 Lake Traverse Drive
Sisseton SD 57262

5. SOLICITATION NUMBER

EFFECTIVE DATE

7.

OF

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

% FOR:

NORTH AMERICAN INDUSTRY

CLASSIFICATION STANDARD

(NAICS):

621320

SIZE STANDARD:

$9

13b. RATING

13a. THIS CONTRACT IS A RATED

ORDER UNDER THE DEFENSE

PRIORITIES AND ALLOCATIONS

SYSTEM - DPAS (15 CFR 700)

16. ADMINISTERED BY

14. METHOD OF SOLICITATION

REQUEST FOR

INVITATION

X QUOTE (RFQ)

FOR BID (IFB)

REQUEST FOR

PROPOSAL

(RFP)

CODE 172

Woodrow Wilson Keeble Memorial
Health Care Center
Indian Health Service
100 Lake Traverse Drive
Sisseton SD 57262

FACILITY

18a. PAYMENT WILL BE MADE BY

CODE

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

100% Indian Small Business Economic Enterprise
(ISBEE) Set-Aside.
Firm Fixed-Price, Non-Personal Service,
Commercial Item, Purchase Order to provide
Optometry Services for the Woodrow Wilson Keeble
Memorial Healthcare Center, Sisseton, South
Dakota. Period of Performance will be one year
from the date of award.
The quoted "unit price" is an all-inclusive cost.
(Use Reverse and/or Attach Additional Sheets as Necessary) 26. TOTAL AWARD AMOUNT (For Government Use Only)

25. ACCOUNTING AND APPROPRIATION DATA

27a. SOLICITATION INCORPORATES BY REFERENCE (FEDERAL ACQUISITION REGULATION) FAR 52.212-1, 52.212-4. FAR 52.212-3

AND 52.212-5 ARE ATTACHED. ADDENDA

ARE

ARE NOT ATTACHED.

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED.