This is a 100% small business set-aside, firm-fixed-price purchase order for diabetic shoes and inserts, with quantities of 240 pairs per year covering a base year plus four one-year option periods. Performance will be at the Quentin N Burdick Memorial Health Care Facility (IHS) in Belcourt, ND, with a base performance period of August 25, 2026 through August 24, 2027. The products must meet CMS A5500/A5510 requirements and include documentation such as product specifications, manufacturer part numbers, and PDAC approval evidence if required. Award will be made on a lowest price technically acceptable (LPTA) basis, evaluating technical acceptability, past performance, and price, with technical and past performance rated acceptable/unacceptable. Offerors must submit a completed FAR 52.212-3, have an active SAM registration, and be registered for the Invoice Processing Platform (IPP) for electronic invoicing.