The Wagner IHS Healthcare Center seeks a firm-fixed-price commercial purchase order for solid waste collection services, with delivery scheduled for 11/18/2026. This is a 100% Small Business set-aside under NAICS 562111, awarded on a lowest-price, technically acceptable basis. Quotes must be on company letterhead, signed and dated, and include a technical description, price, representations/certifications, past performance, proof of required licenses and insurance, personnel contact information, agreement to terms, and a seven-working-day startup notice. Offerors must provide a Unique Entity ID and TIN, be registered in SAM.gov, not be on the OIG exclusion list, and use the Invoice Processing Platform for invoicing unless they explain undue burden. Proposals are accepted electronically by email to the Wagner IHS purchasing agent.