SOURCES SOUGHT
76 -- DBH Patient Forms
- Notice Date
- 3/10/2021 12:38:29 PM
- Notice Type
- Sources Sought
- NAICS
- 511130
— Book Publishers
- Contracting Office
- W40M USA HLTH CONTRACTING ACT JBSA FT SAM HOUSTON TX 78234-0000 USA
- ZIP Code
- 78234-0000
- Solicitation Number
- W81K00-21-Q-0084
- Response Due
- 3/16/2021 7:00:00 AM
- Archive Date
- 03/31/2021
- Point of Contact
- Angel Barkley
- E-Mail Address
-
angel.d.barkley.civ@mail.mil
(angel.d.barkley.civ@mail.mil)
- Description
- This is a Sources Sought Notice announcement; market survey for information only, to be used for preliminary planning purposes.��No proposals are being requested or accepted with this synopsis. �THIS IS NOT A SOLICITATION FOR PROPOSALS AND NO CONTRACT SHALL BE AWARDED FROM THIS NOTICE.� Any requests for a solicitation in response to this notice will not be honored.� The Regional Health Contracting Office - Central, has a requirement for Department of Behavioral Health (DBH) Patient Forms with delivery to Fort Riley, KS 66442.� It is anticipated that the proposed award will result in a Firm Fixed-Priced contract, to one vendor. Anticipated Requirement for Health Forms: MMPI-2 ADULT CLIN SYS Q ADMIN MMPI-2-RF Q LOCAL CLIN INTERP RPT ADMIN MCMI-IV Q INTERP RPT MCMI-IV AUDIO CD MCMI-IV Q S-D A/S (25) MBMD Q INTERP RPT-BARIATRIC MMPI-3 HAND SCORING KIT - ENGLISH MMPI-3 Q ANSWER SHEETS - ENGLISH MMPI-3 Q ANSWER SHEETS - SPANISH MMPI-3 HAND-SCORING ANSWER SHEETS - ENGLISH MMPI-3 HAND-SCORING ANSWER SHEETS � SPANISH MMPI-3 Q LOCAL CLINICAL INTERPRETIVE REPORT - ENGLISH MMPI-3 Q LOCAL CLINICAL INTERPRETIVE REPORT - SPANISH MMPI-3 TEST BOOKLET - SOFTCOVER - ENGLISH MMPI-3 TEST BOOKLET - SOFTCOVER - SPANISH MMPI-3 AUDIO USB WAIS-IV REC FM (25) WAIS-IV RESP BKLT 1 (25) ACS WORD CHOICE REC FM (25) ACS TEST PRE-MORB REC FM (25) CVLT-II STANDARD REC FM (25) CVLT-3 STANDARD REC FM (25) CVLT-3 ALTERNATE REC FM (25) CVLT-3 BRIEF REC FM (25) D-KEFS STANDARD RECORD FORM (25) D-KEFS COLOR-WORD INTERFERENCE TEST RECORD FORM (25 D-KEFS VERBAL FLUENCY RECORD FORM (25) D-KEFS TOWER TEST RECORD FORM (25) D-KEFS DESIGN FLUENCY RESPONSE BOOKLET (25) RBANS UPDATE FORM A REC FM (25) RBANS UPDATED FORM B REC FM (25) TOMM REC FM (25) WMS-IV FLEX REC FM (25) WRAT5 BLUE REC FM/RESP BKLT (25 EA) WRAT5 GREEN REC FM/RESP BKLT (25 EA) WRAT5 BLUE SENTENCE COMP REC FM (25) WRAT5 GREEN SENTENCE COMP REC FM (25) NEPSY-II KIT W/SA-CD V1.0 NEPSY-II KIT NEPSY-II SA-CD NEPSY-II AGES 5-16 REC FM (25) NEPSY-II AGES 5-16 RESP BK (25) DAS-II PRESCHOOL REC FM (25) DAS-II SCHOOL AGE REC FM (25) DAS-II SPD INFO PRC VERS A RESP BK (10) DAS-II SPD INFO PRC VERS B RESP BK (10) DAS-II SPD INFO PRC VERS C RESP BK (10) VIP TEST BKLT VIP Q A/S (25) VIP VERBAL SUBTEST CONNERS 3 PARENT DSM-5 QS FM (25) CONNERS 3 TEACHER DSM-5 QS FM (25) * The vendor must be able to provide all of the above Health Forms. The type of solicitation issued will be based upon the responses to this synopsis. Contact with Government Personnel, other than the Contract Specialist identified at the bottom of this notice, by any potential offeror, or their employees�, regarding this requirement is strictly prohibited. The purpose of this synopsis is to gain knowledge of interest, capabilities and qualifications of various members of the Small Business Community to include Section 8(a), Historically Underutilized Business Zones (HUB-Zone), Women-Owned Small Business, and Service-Disabled Veteran-Owned Small Business (SDVOSB), as well as the interest, capabilities and qualifications of various members of the Large Business community, to compete and perform a Firm Fixed Price Contract for these services.� The type of solicitation to issue will depend upon the responses to this sources sought synopsis.� The Government must ensure there is adequate competition among the potential pool of responsive contractors. The North American Classification System (NAICS) code for this requirement is 511130 � �Book Publishers�.� The Small Business Size Standard is 1,000 employees. Responses to this Sources Sought Notice should demonstrate the firm�s ability, capability, and responsibility to deliver the supplies listed above.� In response to this notice, interested parties shall submit a written Statement of Capability limited up to five (5) pages and shall include the following information: �Offeror�s name, address, point of contact, phone number, and e-mail address. �Offeror�s interest in providing a proposal/quote on the solicitation when it is issued. �Offeror�s capability to meet the requirements. �Offeror�s capability to perform a contract of this magnitude (include offeror�s ability to prepare the above items) to the facility, comparable work performed within the past 5 years �brief description of the work.� Documentation of technical expertise must be presented in sufficient detail for the Government to determine that your company possesses the necessary functional area expertise and expertise and experience to compete for this acquisition. �Offeror�s type of small business and Business Size (Whether 8(a), HUB Zone, Women-Owned Small Business, Service Disabled Veteran Owned Small Business, etc.), or Large Business Status, should be documented in the Statement of Capability. Interested parties are responsible for marking information that is proprietary in nature.� No reimbursement will be made for any costs associated with providing information in response to this notice or any follow up information requests.� The Government is not obligated to, nor will it, pay for or reimburse any costs associated with responding to this sources sought notice.� This notice shall not be construed as a commitment by the Government to issue a solicitation or ultimately award a contract, nor does it restrict the Government to a particular acquisition approach. The Government will in no way be bound to this information if any solicitation is issued.� No subcontracting opportunity is anticipated.� A determination by the Government to not compete this proposed contract action based on the responses to this notice is solely within the discretion of the Government. Interested Offerors shall respond to this Sources Sought Notice no later than 16 March 2021 at 9:00 A.M. Central Standard Time.� All interested businesses must be registered in the Central Contractor�s Registration (CCR) through the System for Award Management (SAM) at www.sam.gov to be eligible for award of Government contracts. �Email your response to Angel Barkley, Contract Specialist angel.d.barkley.civ@mail.mil. �Telephonic inquiries will not be honored.� EMAIL IS THE PREFERRED METHOD.
- Web Link
-
SAM.gov Permalink
(https://beta.sam.gov/opp/11d238cd927c4de18531682dbeb1540b/view)
- Place of Performance
- Address: Fort Riley, KS 66442, USA
- Zip Code: 66442
- Country: USA
- Zip Code: 66442
- Record
- SN05939293-F 20210312/210310230120 (samdaily.us)
- Source
-
SAM.gov Link to This Notice
(may not be valid after Archive Date)
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