00_RFQ Package_75H70626Q00076_NONPSC RN_LPNS Solicitation_04_27_2026.pdf

This is a combined synopsis/solicitation for commercial products and commercial services prepared in accordance with part 12. This announcement constitutes the only solicitation. Offers are being requested and a separate written solicitation will not be issued.

A. The Great Plains Area Indian Health Service (IHS) intends to award a Labor Hour Type Contract, Non- Personal Medical Service, Purchase Order with a Base Period and eight (8) Option Periods in response to Request for Quote (RFQ) 75H70626Q00076.

Due to Service Unit funding constraints, the Government will obligate funds in three-month increments only. Accordingly, this contract includes a base period and quarterly option periods. Exercise of any option is subject to the availability of funds and continued Government need.

This solicitation incorporates Federal Acquisition Circular (FAC 2026‑01, effective March 13, 2026) and Health & Human Services Acquisition Regulation (HHSAR) provisions and clauses in effect at the time of issuance.

B. This acquisition is set-aside for small business concerns. This solicitation incorporates provisions and clauses by reference. The full text of provisions and clauses may be accessed electronically at www.acquisitions.gov.

C. This RFQ is issued as 100% Indian Small Business Economic Enterprises (ISBEE) Set-Aside, and the associated NAICS Code is #561320, which has a small business standard size $34.0. Quoter is required to fill out the attached INDIAN FIRM REPRESENTATION FORM.

HHSAR 352.226-4, NOTICE OF INDIAN SMALL BUSINESS ECONOMIC ENTERPRISE SET-ASIDE,

in solicitations for acquisitions that are set-aside to ISBEE concerns under HHSAR 326.603-1(c).

HHSAR 352.226-6, SUBCONTRACTING LIMITATIONS, in all solicitations and contracts when the contract award is to be made under the authority of the Buy Indian Act.

HHSAR 352.226-7, INDIAN ECONOMIC ENTERPRISE REPRESENTATION, in all solicitations when the contract award is to be made under the authority of the Buy Indian Act.

ISBEE Eligibility Requirement:

Only quotations from firms verified as Indian Economic Enterprises (IEEs) under HHSAR 352.226‑7 will be considered for award. Failure to submit a complete and accurate IEE Representation will render the quotation ineligible.

D. The quoted unit pricing must be all inclusive (to include, but not be limited to, travel, lodging, per diem, fringe benefits, federal, state and local taxes) plus all other costs pertinent to the performance of this contract. Utilize your most competitive and reasonable rates.

Complete the attached Request for Quote #75H70626Q00076 SF-1449 for Non Personal Services – Acute Care Nursing (A.C.N.) - Registered Nurse and License Practical Nurse.

Labor Hour Type, Non-Personal Medical Services to be provided for the Pine Ridge Comprehensive Health Care Facility, Indian Health Service, 607 Indian Health Road, 44B Pejuta RD, Pine Ridge, South Dakota 57770. See Performance Work Statement (PWS) attached. The period of performance will be a Base Period with eight (8) Option Periods. Base period shall be three (3) Months, and each option period shall be three

(3) months.

http://www.acquisitions.gov/

E.

52.212-1 INSTRUCTIONS TO OFFERORS – COMMERCIAL

PRODUCTS AND COMMERCIAL SERVICES

NOV 2025

(DEVIATION)

Sub-paragraph (b) is replaced in its entirety by the following:

(b) Submission of quotes. All quotes must include the following information and submitted via email to ashleigh.yazzie@ihs.gov.

(1) Volume 1 – Label “Administrative Documents.” Signed and dated SF-1449 and all associated SF-30 amendments, if any.

(2) Volume 2 – Label “Technical Capability and Approach.” The offeror shall demonstrate its ability to meet or exceed the requirements outlined in the Performance Work Statement (PWS). The offeror shall provide the following information: - A clear, detailed approach that outlines how the requirements of the PWS will be met. - Identify key personnel and demonstrate how they meet the qualifications stated in the PWS. - Resumes, certifications, and any other relevant documentation for all proposed key personnel. - Submit a proposed project schedule, ensuring alignment with the government’s required Period of Performance. The schedule must include tasks, milestones, and lead times, presented in a both narrative and chart formats. NO PRICING INFORMATION SHALL BE INCLUDED IN VOLUMES 1, 2, and 3.

(3) Volume 3 – Label “Past Performance.” Include a minimum of 3 but no more than 5 Non-Personal Service Contracts in Acute Care Department of similar or same scope and magnitude within the past five (5) years. Past performance information should include award information including modifications, fully-executed past performance reviews, and other information that demonstrate compliance to price, and technical capability. If available, include past performance evaluations from the Contractor Performance Assessment Reporting System (CPARS).

(4) Volume 4 – Label “Price.” Offerors shall provide detailed pricing aligned with the technical approach. Include a budget narrative explaining cost assumptions and indicate any discount terms.

F. FAR 52.212-2 Evaluation – Commercial Products and Commercial Services (NOV 2025) (DEVIATION)

(a) Appropriateness of LPTA. The Government will use the Lowest Price Technically Acceptable source selection process only because all conditions at FAR 15.101‑2(c)(1)–(6) are satisfied: (i) the minimum requirements are comprehensively and clearly described using performance objectives, measures, and standards; (ii) the Government would realize no or minimal value from proposals exceeding those minimums; (iii) technical acceptability requires no or minimal subjective judgment; (iv) the Government has high confidence that reviewing higher‑priced technical proposals would not reveal beneficial characteristics; (v) the lowest price reflects total cost of the services being acquired; and (vi) the contracting officer has documented these circumstances in the contract file. Tradeoffs are not permitted; proposals will be rated Acceptable/Unacceptable for non‑price factors and ranked only by price among Acceptable offers.

Basis of Award is Lowest Price Technically Acceptable (LPTA). The award selection will be conducted using LPTA procedures. To be eligible for award, a proposal must meet all technical requirements, conform to all required terms and conditions, and include all information required. All non-price evaluation factors must be rated as "ACCEPTABLE" in order to be eligible for award. An "UNACCEPTABLE" rating in any factor will result in the proposal being rated "UNACCEPTABLE". A proposal rating of "UNACCEPTABLE" makes a proposal ineligible for award. Since the LPTA methodology prohibits trade-offs, all evaluation factors are equally important. Proposals are evaluated for acceptability but are not ranked using the non-price factors.

A price evaluation will be performed for all offerors and proposals will be ranked from lowest to highest price based on the Total Proposed Price (TPP) provided by the offeror on the price schedule sheet. Next, an evaluation of each factor and, subsequently, the overall proposal will be performed beginning with the lowest priced proposal. Award will be made to the lowest evaluated priced proposal meeting the acceptability standards for the non-price factors. The Government intends to award a contract without conducting discussions; therefore, the initial proposal shall conform to the solicitation requirements and should contain the best offer from a technical and price range.

mailto:ashleigh.yazzie@ihs.gov

INTENT TO AWARD WITHOUT DISCUSSIONS: The Government intends to evaluate proposals and award a contract without discussions with Offerors. Therefore, the Offeror's initial proposal should contain the Offeror's best terms from a price and technical standpoint. The Government reserves the right to conduct discussions if the Contracting Officer later determines them to be necessary. In the event discussions are held, a competitive range determination will be made. If the Contracting Officer determines the number of proposals that would otherwise be in the competitive range exceeds the number at which an efficient competition can be conducted, the Contracting Officer may limit the number of proposals in the competitive range to the greatest number that will permit efficient competition among the most highly rated proposals. However, The Government reserves the right to conduct discussions if the Contracting Officer later determines them to be necessary.

In accordance with FAR 15.306, the Government’s decision to award without discussions does not obligate the Government to conduct discussions or clarifications with any Offeror.

The LPTA evaluation process will be accomplished as follows - Technical Acceptability will be comprised of four (4) factors:

1. Administrative Documents: Signed and dated SF-1449 and all associated SF-30 amendments and IEE Form.

2. Technical Capability and approach and all other areas under the PWS which are consistent in the scope Basis of Evaluation: This factor will be evaluated as “ACCEPTABLE” if the explanation meets the requirement for management capabilities and responsibilities. If an explanation of one or more do not comply with the requirements, this factor will receive an “UNACCEPTABLE” rating.

3. Past Performance

a. Solicitation Submittal Requirements: Include a minimum of (3) three but no more than (5) five Non- Personal Service Contracts in Acute Care Department of similar or same scope and magnitude within the past (5) five years. Past Performance information should include award information including modifications, fully executed past performance reviews, and other information that demonstrate compliance to price, and technical capability. If available, include past performance evaluations from the Contractor Performance Assessment Reporting System (CPARS).

b. Basis of Evaluation. Recency: For the purposes of this solicitation, a past performance record is recent if the CPAR final date of assessment listed in the “Period of Performance Being Assessed” block is within the 24-month period preceding a 24-month proposal due date. Relevancy: For the purposes of this solicitation, a past performance record is relevant if the CPAR business sector is listed as “Services”. In order to receive an "acceptable" rating for this factor, an Offer's recent and relevant CPARs must NOT include one or more INTERIM and/or FINAL CPARs with a rating of "UNSATISFACTORY" in one or more categories OR one or more INTERIM and/or FINAL CPARs with a rating of "MARGINAL" in two or more categories. If an Offeror has one or more CPARs with a rating of "UNSATISFACTORY" in one or more categories OR one or more CPARs with a rating of "MARGINAL" in two or more categories, the Offeror's past performance will be evaluated as "UNACCEPTABLE". In the case of an Offeror without a record of recent and relevant past performance or for whom information on past performance is not available or so sparse that no meaningful past performance rating can be reasonably assigned, the Offeror may not be evaluated favorably or unfavorably on past performance. Therefore, the Offeror shall be determined to have unknown past performance. In the context of acceptability/unacceptability, “unknown” shall be considered “acceptable.” An “UNACCEPTABLE” rating for a single factor will result in the Offeror’s entire proposal being rated “UNACCEPTABLE”.

Note: Past performance will be evaluated for acceptability only using the standards described above.

Comparative assessments among offerors are not permitted under LPTA. If the contracting officer documents under FAR 15.304(c)(3)(iii), past performance need not be an evaluation factor. If it is considered, it will be assessed per FAR 15.305 on an Acceptable/Unacceptable basis only.

4. Price – Refer to 52.212-1 #4 Volume 4 – Label “Price”

a. Basis of Evaluation: The Government will evaluate price based on the total proposed price calculated as the sum of contract line items that includes Contract cost, Subcontractor cost (if applicable), Overhead and Profit. Analysis will be conducted by one or more of the following to ensure a fair and reasonable price: (i) Comparison of proposed prices received in response to the RFP. (ii) Comparison of proposed prices with the IGE. (iii) Comparison of proposed prices with available historical information.

Note: A price that is found to be either unreasonably high or unrealistically low in relation to the proposed work may be indicative of an inherent lack of understanding of the solicitation requirements and may result in the overall proposal being considered unacceptable.

Labor‑Hour Rate Realism:

Because this acquisition will result in a Labor‑Hour contract, the Government may consider unrealistically low labor‑hour rates as evidence of a failure to understand the requirements. Quotes with materially unbalanced or unrealistic rates may be rated Unacceptable.

(a) Options. The Government will evaluate offers for award purposes by adding the total price for all options to the total price for the basic requirement. The Government may determine that an offer is unacceptable if the option prices are significantly unbalanced. Evaluation of options shall not obligate the government to exercise the option(s).

(b) Notice of award. Responsibility Determination: Prior to award, the Government will determine that the prospective awardee is responsible in accordance with FAR 9.104‑1, is ISBEE‑eligible, actively registered in SAM, and not listed on the HHS OIG Exclusion List. Failure to meet responsibility requirements may result in the Offeror being bypassed for award even if its quotation is otherwise Lowest Price Technically Acceptable.

A written notice of award or acceptance of an offer, mailed or otherwise furnished to the successful offeror within the time for acceptance specified in the offer, shall result in a binding contract without further action by either party. Before the offer’s specified expiration time, the Government may accept an offer (or part of an offer), whether or not there are negotiations after its receipt, unless a written notice of withdrawal is received before award.

G. The Government will award a contract resulting from this solicitation to the responsible offeror whose conforming to the solicitation will be most advantageous to the government, evaluation factors and price will be considered.

H. For evaluation purposes only, the Government will evaluate the total price of the base period and all option periods. Evaluation does not obligate the Government to exercise any option.

I. FAR 52.212-4 Contract Terms and Conditions-Commercial Products and Commercial Services – Alternate I (NOV 2025). Applied to this acquisition and it’s by reference.

J. Attached are the Federal Acquisition Regulations (FAR) & Health & Human Services Acquisition Regulation (HHSAR) clauses that are applicable including below.

K. SECURITY CLEARANCE

A security pre-clearance must be performed for any employees referred to IHS through this contract.

Fingerprints must be completed and adjudicated prior to services being performed under this contract.

No contract award shall be made to any vendor or provider listed on the OIG Exclusion List http://exclusions.oig.hhs.gov throughout the duration of the contract. It shall be the responsibility of the contractor to notify the acquisition official if there is a change in provider.

Performance of this contract will require routine access by employees of the Contractor or its subcontractors to facilities or systems controlled by the Indian Health Service (I.H.S.). Before starting work requiring routine access to I.H.S. facilities or systems each person must complete an FBI National Criminal History Check (Fingerprint Check) adjudicated by an I.H.S. employee using the Office of Personnel Management Personnel Investigations Processing System. Contractors shall allow five (5) business days for I.H.S. processing of fingerprints taken electronically at an I.H.S. site and thirty (30) business days for non-http://exclusions.oig.hhs.gov/ electronic processing of fingerprints using FBI Form FD-258. A list of I.H.S. sites with electronic fingerprint capability is available from the Contracting Officer.

In addition, no Contractor or subcontractor employee shall be permitted to perform work under this contract if listed on the HHS Office of Inspector General List of Excluded Individuals/Entities (LEIE), http://exclusions.oig.hhs.gov. As soon as practicable prior to the start of work, the performance of the work the Contractor shall provide to the Contracting Officer the names of all individuals to be used in performance of work for screening against the LEIE. During the performance, the Contractor shall provide the Contracting Officer the names of any additional or substitute employees for screening before they begin work.

The Contractor is responsible for conducting security preclearance investigations in sufficient depth to ensure that each Contractor or subcontractor employee referred to I.H.S. is not on the LEIE and can obtain a favorable fingerprint clearance. Each security preclearance shall be conducted sufficiently in advance of the start of performance to avoid delays caused by denial of access. If this is a Time and Materials, Labor- Hour or Cost Reimbursement contract, the contractor shall not charge for or be reimbursed for labor hours or other costs incurred for employees who are unable to perform due to denial or access or the excess time required to resolve and clear unfavorable security clearance findings. If this is a Fixed Price contract, denial of access due to security clearance findings shall not be a basis for excusable delay or an increase to the contract amount.

The Government will pay for the cost to process the contractor's suitability clearances. However, multiple investigations for the same position may, at the Contracting Officers discretion, lead to reduction(s) in the contract price of no more than the cost of the extra investigation(s).

Employees that DO NOT have access to LMS, contractors, volunteers, or IHS employees with IPA's or MOA's to tribal organizations please, click here IHS Sexual Abuse Prevention website. When the contractors have completed and passed the training, please have them send a copy of the last page of the training with Name, Date, and Time to their Supervisor, COR, and TBD, e-mail: @ihs.gov.

"Contract Personnel will arrive on a Business Day ONLY to complete all Orientation and Background procedures. The Clinical Director or Designee will ensure all Orientation and Background procedures have been completed and an email will be sent to the Contracting department to state as such. The Contract Personnel will NOT see patients until Background/Fingerprints have been cleared."

"The standards of medical practice and duties of the Contractor through its Contract Personnel shall be determined pursuant to the bylaws of the Service Unit. The regulations of the hospital, applicable provisions of law, other rules and regulations of any and all governmental authorities relating to licensure and regulation of Contract Personnel and hospitals must be followed. Also, the standards and recommendations of Centers for Medicare and Medicaid Services (CMS) or the Accreditation organization must be adhered to. The Contract Personnel shall be required to participate in a quality improvement program, which is consistent with current requirements for ongoing monitoring and evaluation of the quality and appropriateness of care."

L. Offers will be accepted electronically, Submit via e-mail to the following:

Great Plains Area Indian Health Service – Division of Acquisition Management Attn: Ashleigh Yazzie, Contract Specialist Email: ashleigh.yazzie@ihs.gov (mailto:ashleigh.yazzie@ihs.gov) Questions Due: Tuesday May 12, 2026, 12:00PM Mountain Time Quote Due: Friday May 27, 2026, 12:00 PM Mountain Time Requirement: UEI, TIN, active SAM registration, Invoice Processing Platform (IPP) http://exclusions.oig.hhs.gov/ mailto:ashleigh.yazzie@ihs.gov

The Indian Health Service (IHS) is in the process of implementing an electronic invoicing system. In compliance with the Office of Management and Budget (OMB) M-15-19 memorandum “Improving Government Efficiency and Saving Taxpayer Dollars Through Electronic Invoicing” directing Federal agencies to adopt electronic invoicing as the primary means to disburse payment to vendors. Invoices submitted under any award will be required to utilize the Invoice Processing Platform (IPP) in accordance with HHSAR 352.232-71, Electronic Submission and Processing of Payment Requests”.

IPP is a secure, web-based electronic invoicing system provided by the U.S. Department of the Treasury’s Bureau of the Fiscal Service, in partnership with the Federal Reserve Bank of St. Louis (FRSTL). Respondents to this solicitation are encouraged to register an account with IPP if they have not already done so. If your organization is already registered to use IPP, you will not be required to re-register- however, we encourage you make sure your organization and designated IPP user accounts are valid and up to date.

The IPP website address is: https://www.ipp.gov.

If you require assistance registering or IPP account access, please contact the IPP Helpdesk at (866) 973-3131 (M-F 8AM to 6PM ET), or IPPCustomerSupport@fiscal.treasury.gov Should the contractor feel that use of the IPP would be unduly burdensome, their response to this solicitation should include an explanation of this position for a determination by the contracting officer.

ATTACHMENTS:

A. Notice to Quoter/Combined Synopsis/Solicitation B. SF-1449 Request for Quotations (Signature required) C. Performance Work Statement D. Clauses incorporated by reference and clauses in full text E. Indian Representation Form F. Dept. of Labor – Wage Determination https://www.ipp.gov/ mailto:IPPCustomerSupport@fiscal.treasury.gov

SEE ADDENDUMIS CHECKED

CODE 18a. PAYMENT WILL BE MADE BY

CODE

FACILITYCODE

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

OFFEROR

167CODE 16. ADMINISTERED BYCODE

X

X

561320

SIZE STANDARD:

% FOR:SET ASIDE:UNRESTRICTED OR167

REQUEST FOR

PROPOSAL

(RFP)

INVITATION

FOR BID (IFB)

10. THIS ACQUISITION ISCODE

REQUEST FOR

QUOTE (RFQ)

14. METHOD OF SOLICITATION

13b. RATING

NORTH AMERICAN INDUSTRY

CLASSIFICATION STANDARD

(NAICS):

SMALL BUSINESS

05/27/2026 1200 MT

04/27/2026

ASHLEIGH YAZZIE

(No collect calls)

INFORMATION CALL:

FOR SOLICITATION 8. OFFER DUE DATE/LOCAL TIMEb. TELEPHONE NUMBER a. NAME

4. ORDER NUMBER3. AWARD/ 6. SOLICITATION

75H70626Q00076

5. SOLICITATION NUMBER

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS 1. REQUISITION NUMBER PAGE OF

1 13 IHS1521219OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

TELEPHONE NO.

17a. CONTRACTOR/

15. DELIVER TO

Pine Ridge SD 57770

Pine Ridge PHS Indian Hospital

9. ISSUED BY

7.

2. CONTRACT NO.

EFFECTIVE DATE

$34

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

ISSUE DATE

DELIVERY FOR FREE ON BOARD

(FOB) DESTINATION UNLESS

BLOCK IS MARKED

11.

SEE SCHEDULEX

12. DISCOUNT TERMS THIS CONTRACT IS A RATED

ORDER UNDER THE DEFENSE

PRIORITIES AND ALLOCATIONS

SYSTEM - DPAS (15 CFR 700)

13a.

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

(SDVOSB)

HUBZONE SMALL

BUSINESS

8(A)

Pine Ridge Service Unit WOMEN-OWNED SMALL

BUSINESS (WOSB)

ECONOMICALLY DISADVANTAGED

WOMEN-OWNED SMALL

BUSINESS (EDWOSB)

Multiple Destinations

Pine Ridge SD 57770

E. Hwy 18

607 Indian Health Road

Pine Ridge PHS Indian Hospital

Pine Ridge Service Unit

24.

AMOUNT

23.

UNIT PRICE

22.

UNIT

21.

QUANTITY

20.

SCHEDULE OF SUPPLIES/SERVICES

19.

ITEM NO.

NOTICE TO QUOTER

100% Indian Small Business Economic Enterprises (ISBEE) Set-Aside

REQUEST FOR QUOTES: RFQ 75H70626Q00076

RETURN RFQ TO: DHHS - Great Plains Area Indian Health Service Department of Acquisition Management Fed. Bldg. Room 309; 115 4th Ave SE;

Aberdeen, SD 57401

(Use Reverse and/or Attach Additional Sheets as Necessary)

HEREIN, IS ACCEPTED AS TO ITEMS:

XX

DATED

LADONNA L. COLLINS

. YOUR OFFER ON SOLICITATION (BLOCK 5),

INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE SET FORTH

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DELIVER

ARE

ARE

31c. DATE SIGNED

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

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

30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (Type or print)

ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY ADDITIONAL

SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED.

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

26. TOTAL AWARD AMOUNT (For Government Use Only)

OFFER

STANDARD FORM 1449 (REV. 11/2021)

Prescribed by GSA - FAR (48 CFR) 53.212

ARE NOT ATTACHED.

ARE NOT ATTACHED.

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

30b. NAME AND TITLE OF SIGNER (Type or print)

30a. SIGNATURE OF OFFEROR/CONTRACTOR

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

25. ACCOUNTING AND APPROPRIATION DATA

29. AWARD OF CONTRACT: REFERENCE

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32c. DATE 32b. SIGNATURE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED:

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED

40. PAID BY39. S/R VOUCHER NUMBER38. S/R ACCOUNT NUMBER

37. CHECK NUMBER

FINALPARTIAL

36. PAYMENT

FINALPARTIAL

35. AMOUNT VERIFIED

CORRECT FOR

34. VOUCHER NUMBER33. SHIP NUMBER

COMPLETE

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

42d. TOTAL CONTAINERS42c. DATE REC'D (YY/MM/DD)

42b. RECEIVED AT (Location)

42a. RECEIVED BY (Print)

41c. DATE41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER

41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT

STANDARD FORM 1449 (REV. 11/2021) BACK

24.

AMOUNT

23.

UNIT PRICE

22.

UNIT

21.

QUANTITY

20.

SCHEDULE OF SUPPLIES/SERVICES

19.

ITEM NO.

Email: ashleigh.yazzie@ihs.gov

GENERAL DESCRIPTION: Labor Hour Type Commercial

Item Purchase Order to provide a Non-Personal

Registered Nurse/License Practical Nurse Services to the Acute Care Nursing department according to the attached Performance Work Statement (PWS) for the Great Plains Area – Indian Health Service –

Pine Ridge Service Unit, Pine Ridge, South Dakota

57770, and other health care centers including

Martin District Clinic, Kyle Health Center, Wanblee Health Center. The quoted unit price is an all-inclusive cost.

All-inclusive unit price is defined to include travel, lodging, per diem, fringe benefits, federal, state and local taxes, plus all other costs pertinent to the performance of this purchase order.

NAICS Code: 561320 Temporary Help Services. The

SBA set the size standard in millions of dollars

$34.0

Base Period with Eight (8) Option periods extending multiple years. Base Period shall be three (3) months, and each option period shall be three (3) months.

Continued ...

32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

13 2 of

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

3 13

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

75H70626Q00076

Work Schedule: Please refer to the Performance

Work Statement C.3.5. Tour of Duties.

Period of Performance: Base Award with option periods. Options periods shall be in quarterly arrears.

Base: 07/01/2026 09/30/2026

1st Option Period: 10/01/2026 12/31/2026

2nd Option Period: 01/01/2027 03/31/2027

3rd Option Period: 04/01/2027 06/30/2027

4th Option Period: 07/01/2027 09/30/2027

5th Option Period: 10/01/2027 12/31/2027

6th Option Period: 01/01/2028 03/31/2028

7th Option Period: 04/01/2028 06/30/2028

8th Option Period: 07/01/2028 09/30/2028

EVALUATION AND SUBMITTAL:

52.212-1 INSTRUCTIONS TO OFFERORS – COMMERCIAL

PRODUCTS AND COMMERCIAL SERVICES NOV 2025

(DEVIATION)

Sub-paragraph (b) is replaced in its entirety by the following:

(b) Submission of quotes. All quotes must include the following information and submitted via email to ashleigh.yazzie@ihs.gov.

(1) Volume 1 – Label “Administrative Documents.”

Signed and dated SF-1449 and all associated SF-30 amendments, if any.

(2) Volume 2 – Label “Technical Capability and

Approach.” The offeror shall demonstrate its ability to meet or exceed the requirements outlined in the Performance Work Statement (PWS).

The offeror shall provide the following information: - A clear, detailed approach that outlines how the requirements of the PWS will be met. - Identify key personnel and demonstrate how they meet the qualifications stated in the PWS. -

Resumes, certifications, and any other relevant documentation for all proposed key personnel. -

Submit a proposed project schedule, ensuring alignment with the government’s required Period of Performance. The schedule must include tasks, milestones, and lead times, presented in a both

Continued ...

NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)

Sponsored by GSA

FAR (48 CFR) 53.110

4 13

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

75H70626Q00076 narrative and chart formats. NO PRICING

INFORMATION SHALL BE INCLUDED IN VOLUMES 1, 2,

and 3.

(3) Volume 3 – Label “Past Performance.” Include a minimum of 3 but no more than 5 Non-Personal

Service Contracts in Acute Care Department of similar or same scope and magnitude within the past five (5) years. Past performance information should include award information including modifications, fully-executed past performance reviews, and other information that demonstrate compliance to price, and technical capability. If available, include past performance evaluations from the Contractor Performance Assessment

Reporting System (CPARS).

(4) Volume 4 – Label “Price.” Offerors shall provide detailed pricing aligned with the technical approach. Include a budget narrative explaining cost assumptions and indicate any discount terms.

52.212-2 EVALUATION – COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES NOV 2025

(DEVIATION)

A. FAR 52.212-2 Evaluation – Commercial Products and Commercial Services (NOV 2025) (DEVIATION)

Appropriateness of LPTA. The Government will use the Lowest Price Technically Acceptable source selection process only because all conditions at

FAR 15.101-2(c)(1)–(6) are satisfied: (i) the minimum requirements are comprehensively and clearly described using performance objectives, measures, and standards; (ii) the Government would realize no or minimal value from proposals exceeding those minimums; (iii) technical acceptability requires no or minimal subjective judgment; (iv) the Government has high confidence that reviewing higher-priced technical proposals would not reveal beneficial characteristics; (v) the lowest price reflects total cost of the services being acquired; and (vi) the contracting officer has documented these circumstances in the contract file. Tradeoffs are not permitted;

proposals will be rated Acceptable/Unacceptable for non-price factors and ranked only by price

Continued ...

NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)

5 13

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

75H70626Q00076 among Acceptable offers.

Basis of Award is Lowest Price Technically

Acceptable (LPTA). The award selection will be conducted using LPTA procedures. To be eligible for award, a proposal must meet all technical requirements, conform to all required terms and conditions, and include all information required.

All non-price evaluation factors must be rated as

"ACCEPTABLE" in order to be eligible for award.

An "UNACCEPTABLE" rating in any factor will result in the proposal being rated

"UNACCEPTABLE". A proposal rating of

"UNACCEPTABLE" makes a proposal ineligible for award. Since the LPTA methodology prohibits trade-offs, all evaluation factors are equally important. Proposals are evaluated for acceptability but are not ranked using the non-price factors.

A price evaluation will be performed for all offerors and proposals will be ranked from lowest to highest price based on the Total Proposed

Price (TPP) provided by the offeror on the price schedule sheet. Next, an evaluation of each factor and, subsequently, the overall proposal will be performed beginning with the lowest priced proposal. Award will be made to the lowest evaluated priced proposal meeting the acceptability standards for the non-price factors. The Government intends to award a contract without conducting discussions;

therefore, the initial proposal shall conform to the solicitation requirements and should contain the best offer from a technical and price range.

INTENT TO AWARD WITHOUT DISCUSSIONS: The

Government intends to evaluate proposals and award a contract without discussions with

Offerors. Therefore, the Offeror's initial proposal should contain the Offeror's best terms from a price and technical standpoint. The

Government reserves the right to conduct discussions if the Contracting Officer later determines them to be necessary. In the event discussions are held, a competitive range determination will be made. If the Contracting

Officer determines the number of proposals that would otherwise be in the competitive range

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75H70626Q00076 exceeds the number at which an efficient competition can be conducted, the Contracting

Officer may limit the number of proposals in the competitive range to the greatest number that will permit efficient competition among the most highly rated proposals. However, The Government reserves the right to conduct discussions if the

Contracting Officer later determines them to be necessary.

In accordance with FAR 15.306, the Government’s decision to award without discussions does not obligate the Government to conduct discussions or clarifications with any Offeror.

The LPTA evaluation process will be accomplished as follows - Technical Acceptability will be comprised of four (4) factors:

1. Administrative Documents: Signed and dated

SF-1449 and all associated SF-30 amendments and

IEE Form.

2. Technical Capability and approach and all other areas under the PWS which are consistent in the scope Basis of Evaluation: This factor will be evaluated as “ACCEPTABLE” if the explanation meets the requirement for management capabilities and responsibilities. If an explanation of one or more do not comply with the requirements, this factor will receive an “UNACCEPTABLE” rating.

3. Past Performance

a. Solicitation Submittal Requirements: Include a minimum of (3) three but no more than (5) five

Non-Personal Service Contracts in Acute Care

Department of similar or same scope and magnitude within the past (5) five years. Past Performance information should include award information including modifications, fully executed past performance reviews, and other information that demonstrate compliance to price, and technical capability. If available, include past performance evaluations from the Contractor

Performance Assessment Reporting System (CPARS).

b. Basis of Evaluation. Recency: For the purposes of this solicitation, a past performance record is recent if the CPAR final date of assessment listed in the “Period of Performance Being

Assessed” block is within the 24-month period preceding a 24-month proposal due date.

Relevancy: For the purposes of this solicitation, Continued ...

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75H70626Q00076 a past performance record is relevant if the CPAR business sector is listed as “Services”. In order to receive an "acceptable" rating for this factor, an Offer's recent and relevant CPARs must

NOT include one or more INTERIM and/or FINAL

CPARs with a rating of "UNSATISFACTORY" in one or more categories OR one or more INTERIM and/or

FINAL CPARs with a rating of "MARGINAL" in two or more categories. If an Offeror has one or more

CPARs with a rating of "UNSATISFACTORY" in one or more categories OR one or more CPARs with a rating of "MARGINAL" in two or more categories, the Offeror's past performance will be evaluated as "UNACCEPTABLE". In the case of an Offeror without a record of recent and relevant past performance or for whom information on past performance is not available or so sparse that no meaningful past performance rating can be reasonably assigned, the Offeror may not be evaluated favorably or unfavorably on past performance. Therefore, the Offeror shall be determined to have unknown past performance. In the context of acceptability/unacceptability, “unknown” shall be considered “acceptable.” An

“UNACCEPTABLE” rating for a single factor will result in the Offeror’s entire proposal being rated “UNACCEPTABLE”.

Note: Past performance will be evaluated for acceptability only using the standards described above. Comparative assessments among offerors are not permitted under LPTA. If the contracting officer documents under FAR 15.304(c)(3)(iii), past performance need not be an evaluation factor. If it is considered, it will be assessed per FAR 15.305 on an Acceptable/Unacceptable basis only.

4. Price – Refer to 52.212-1 #4 Volume 4 – Label

“Price”

a. Basis of Evaluation: The Government will evaluate price based on the total proposed price calculated as the sum of bid that includes Contract cost, Subcontractor cost (if applicable), Overhead and Profit. Analysis will be conducted by one or more of the following to ensure a fair and reasonable price: (i)

Comparison of proposed prices received in response to the RFP. (ii) Comparison of proposed

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75H70626Q00076 prices with the IGE. (iii) Comparison of proposed prices with available historical information.

Note: A price that is found to be either unreasonably high or unrealistically low in relation to the proposed work may be indicative of an inherent lack of understanding of the solicitation requirements and may result in the overall proposal being considered unacceptable.

ATTACHMENTS:

A. Notice to Quoter/Combined

Synopsis/Solicitation

B. SF-1449 Request for Quotations (Signature required)

C. Performance Work Statement

D. Clauses incorporated by reference and clauses in full text

E. Indian Representation Form

F. Dept. of Labor – Wage Determination

Quotation must set forth full, accurate and complete information as required by the Request for Quotation (RFQ) and be returned no later than the date referenced in Block #08 of the Request for Quotation form SF-1449. All required information must be submitted to be considered responsive and eligible for award.

ACCEPTANCE PERIOD: Your quote must stipulate that it is predicated upon all the terms and conditions of this Solicitation. In addition, it must contain a statement to the effect that it is firm for a period of at least 60 days from the date of receipt by the Government.

Period of Performance: 07/01/2026 to 09/30/2028

1 Base Period: 3 MONTHS

Ten (10) Registered Nurses/License Practical

Nurses (RNs/LPNs)

Estimated 1,760 (One-month hours)

Estimated 5,280 (three-months hours)

Registered Nurse Rate:

$_________________ PER HOUR

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75H70626Q00076

$_________________ TOTAL

License Practical Nurse Rate:

$_________________ PER HOUR

$_________________ TOTAL

2 1st Option Period:

Ten (10) Registered Nurses/License Practical

Nurses (RNs/LPNs)

Estimated 1,760 (One-month hours)

Estimated 5,280 (three-months hours)

Registered Nurse Rate:

$_________________ PER HOUR

$_________________ TOTAL

License Practical Nurse Rate:

$_________________ PER HOUR

$_________________ TOTAL

(Option Line Item)

3 2nd Option Period:

Ten (10) Registered Nurses/License Practical

Nurses (RNs/LPNs)

Estimated 1,760 (One-month hours)

Estimated 5,280 (three-months hours)

Registered Nurse Rate:

$_________________ PER HOUR

$_________________ TOTAL

License Practical Nurse Rate:

$_________________ PER HOUR

$_________________ TOTAL

(Option Line Item)

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4 3rd Option Period:

Ten (10) Registered Nurses/License Practical

Nurses (RNs/LPNs)

Estimated 1,760 (One-month hours)

Estimated 5,280 (three-months hours)

Registered Nurse Rate:

$_________________ PER HOUR

$_________________ TOTAL

License Practical Nurse Rate:

$_________________ PER HOUR

$_________________ TOTAL

(Option Line Item)

5 4th Option Period:

Ten (10) Registered Nurses/License Practical

Nurses (RNs/LPNs)

Estimated 1,760 (One-month hours)

Estimated 5,280 (three-months hours)

Registered Nurse Rate:

$_________________ PER HOUR

$_________________ TOTAL

License Practical Nurse Rate:

$_________________ PER HOUR

$_________________ TOTAL

(Option Line Item)

6 5th Option Period:

Ten (10) Registered Nurses/License Practical

Nurses (RNs/LPNs)

Estimated 1,760 (One-month hours)

Estimated 5,280 (three-months hours)

Registered Nurse Rate:

$_________________ PER HOUR

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75H70626Q00076

$_________________ TOTAL

License Practical Nurse Rate:

$_________________ PER HOUR

$_________________ TOTAL

(Option Line Item)

7 6th Option Period:

Ten (10) Registered Nurses/License Practical

Nurses (RNs/LPNs)

Estimated 1,760 (One-month hours)

Estimated 5,280 (three-months hours)

Registered Nurse Rate:

$_________________ PER HOUR

$_________________ TOTAL

License Practical Nurse Rate:

$_________________ PER HOUR

$_________________ TOTAL

(Option Line Item)

8 7th Option Period:

Ten (10) Registered Nurses/License Practical

Nurses (RNs/LPNs)

Estimated 1,760 (One-month hours)

Estimated 5,280 (three-months hours)

Registered Nurse Rate:

$_________________ PER HOUR

$_________________ TOTAL

License Practical Nurse Rate:

$_________________ PER HOUR

$_________________ TOTAL

(Option Line Item)

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9 8th Option Period:

Ten (10) Registered Nurses/License Practical

Nurses (RNs/LPNs)

Estimated 1,760 (One-month hours)

Estimated 5,280 (three-months hours)

Registered Nurse Rate:

$_________________ PER HOUR

$_________________ TOTAL

License Practical Nurse Rate:

$_________________ PER HOUR

$_________________ TOTAL

(Option Line Item)

Period of Performance: 06/01/2028 to 08/31/2028

Invoice Processing Platform (IPP)

The Indian Health Service (IHS) is in the process of implementing an electronic invoicing system.

In compliance with the Office of Management and

Budget (OMB) M-15-19 memorandum, Improving

Government Efficiency and Saving Taxpayer Dollars

Through Electronic Invoicing, directing Federal agencies to adopt electronic invoicing as the primary means to disburse payment to vendors.

Invoices submitted under any award resulting from this solicitation will be required to utilize the

Invoice Processing Platform (IPP) in accordance with HHSAR 352.232-71, Electronic Submission and

Processing of Payment Requests.

IPP is a secure, web-based electronic invoicing system provided by the U.S. Department of the

Treasurys Bureau of the Fiscal Service, in partnership with the Federal Reserve Bank of St.

Louis (FRSTL). Respondents to this solicitation are encouraged to register an account with IPP if they have not already done so. If your organization is already registered to use IPP, you will not be required to re-register- however, we encourage you make sure your organization and designated IPP user accounts are valid and up to

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75H70626Q00076 date.

The IPP website address is: https://www.ipp.gov

If you require assistance registering or IPP account access, please contact the IPP Helpdesk at (866) 973-3131 (M-F 8AM to 6PM ET), or

IPPCustomerSupport@fiscal.treasury.gov

Should the contractor feel that use of the IPP would be unduly burdensome, their response to this solicitation should include an explanation of this position for a determination by the contracting officer.

The Government reserves the right to accept or reject services if the level or work is unsatisfactory.

NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)

Pine Ridge Indian Health Service Acute Care Nursing Services Performance Work Statement

Performance Work Statement (PWS) Acute Care Nursing Services for the Pine Ridge Hospital

Great Plains Area Indian Health Service

This is a Labor-Hour, Non-Personal Services Requirement. While limited performance – based elements are included, the Government prescribes minimum staffing levels, work schedules, and coverage requirements due to the mission-critical nature of outpatient healthcare services.

1) Background

The mission of the Pine Ridge Service Unit (PRSU) Indian Health Service is to raise the physical, mental, social and spiritual health of American Indians and Alaska Natives to the highest level. To meet this mission, The Pine Ridge Service Unit requires contractor support to assist the nursing department during times of acute nursing staff shortages. The Pine Ridge Reservation is located in the southwestern corner of South Dakota, approximately 100 miles from Rapid City. Surrounded by rolling prairie, Badlands and Black Hills, the Pine Ridge Reservation is home to the Oglala Lakota Nation.

C.2) General Requirements

C.2.1 Purpose of Contract The Contractor shall provide qualified Registered and Licensed Practical Nurses to work at the PRSU for acceptance by the Chief Nurse Executive, Deputy Chief Nurse Executive or CEO Designee at PRSU. The purpose of this non-personal service contract is to provide direct patient care, supporting the current Acute Care Nursing staff which includes all specialty clinics and PRSU outlaying locations i.e. community outreach, especially in times of staffing shortages.

1. Require the contractor to be a temporary nursing agency; No more than 50% of the contractor workforce will be accepted with Licensed Practical Nurse qualifications. Contractor personnel shall work in an Out-Patient Clinic Nursing Department, but may be floated to the Emergency Room or Acute Care In-Patient units to act as a patient observer or pass medications or other intermittent care needs as staffing needs arise. Contractor personnel will be assigned to a shift after orientation that supports the mission of the facility, but may be either a day or evening shift. The shifts are either 8 or 10 hours.

2. Require Contractor to assume sole and exclusive responsibility for withholding federal and State taxes, paying federal and social security taxes.

The minimum staffing requirement for this contract is the equivalent for 0-10 full time Registered Nurses and Licensed Practical Nurse nursing services to the Pine Ridge Service Unit over the course of the contract. Since the PRSU operates 365 days a year, this contract may require multiple individual Contractor Personnel to meet this requirement. The Government may significantly increase or decrease the level of effort of this task order at any time by contract modification in response to staffing requirements. It is of utmost importance the contractor renders seamless coverage and provides continuity care. The contractor shall furnish licensed, experienced personnel, with the relevant background in accordance with the terms and conditions specified in the resulting contract.

The Number of RNs/LPNs are not to exceed 10 providers throughout the duration of this contract. The RNs/LPNs will be assisting in all areas of the Acute Care Nursing department.

C.2.2 Contract Type This is a labor hour type service contract for Acute Care Nursing Department Nursing Services for the Pine Ridge Service Unit which consist of Pine Ridge IHS Hospital. However, there are significant constraints on the contractor's solution to achieving the purpose of this contract.

The PRSU staffing levels are determined by acuity and standards of care. Therefore, this contract establishes a minimum level of support coverage that must be maintained during each shift. While there are no restrictions on the maximum number of Contractor Personnel hired for this contract, the nursing service physical presence cannot fall below contractually established minimums regardless of patient workload. The practical consequence of this for the Contractor is that although it is a performance-based contract, the staffing requirement takes on the characteristics of a labor hour contract in that the contract identifies specified skill types/levels for a stipulated number of hours.

Throughout this contract, all references to "Contractor" refers to the awardee. All references to "Contractor Personnel” refer to Contractor staffing provided in support of the contract.

C.2.3 Contract Performance Period The contract performance period will be for 90 days from award date.

In addition, this contract can be terminated for the convenience of PRSU if, a sufficient number of permanent government providers are hired to serve in this work capacity. In this event, an authorized government CO shall provide a preliminary written notice to contractor, 60 days in advance.

***The Government may require the removal and replacement of Personnel as a result of security actions or other reasons, e.g., removal of unqualified or habitually careless Personnel or the removal of Personnel that cannot perform the assigned tasks or display unacceptable conduct and behavior.

C.2.4 Contract Place of Performance Pine Ridge Service Unit 607 Indian Health Road, Pine Ridge, SD 57770.

C.3) Labor Hour Type Requirements

C.3.1 Scope The contractor shall furnish Acute Care Nursing services.