16-242-SOL-00002_-_Neph-Rheum.pdf

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

Albuquerque NM 87110 5300 Homestead Road NE Albuquerque Indian Health Service

CODE 16. ADMINISTERED BYCODE

X

X

X

621111

SIZE STANDARD:

100.00 % FOR:SET ASIDE:UNRESTRICTED OR203

RFPIFB

10. THIS ACQUISITION ISCODE

RFQ

14. METHOD OF SOLICITATION

13b. RATING

NAICS:

SMALL BUSINESS

08/09/2016 1500 MD

07/18/2016

505-248-4543JUDITH MARIANO

(No collect calls)

INFORMATION CALL:

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

4. ORDER NUMBER3. AWARD/ 6. SOLICITATION

16-242-SOL-00002

5. SOLICITATION NUMBER

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

1 38 OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

TELEPHONE NO.

17a. CONTRACTOR/

15. DELIVER TO

Albuquerque NM 87110 5300 Homestead Road NE

9. ISSUED BY

7.

2. CONTRACT NO.

EFFECTIVE DATE

$11.0

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

ISSUE DATE

DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

11.

SEE SCHEDULE

12. DISCOUNT TERMS

THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

13a.

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

8(A)

Albuquerque Indian Health Service

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

24.

AMOUNT

23.

UNIT PRICE

22.

UNIT

21.

QUANTITY

20.

SCHEDULE OF SUPPLIES/SERVICES

19.

ITEM NO.

The Albuquerque Indian Health Service, Albuquerque Area Office, Ute Mountain Ute Health Center, has a requirement for the services of a Nephrologist, Registered Nurse and Rheumatologist for its Nephrology and Rheumatology Clinics.

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

HEREIN, IS ACCEPTED AS TO ITEMS:

X

XX

DATED

DAWN A. SEKAYUMPTEWA

. 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 FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDEND

26. TOTAL AWARD AMOUNT (For Govt. Use Only)

OFFER

STANDARD FORM 1449 (REV. 2/2012)

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:

REF.

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. 2/2012) BACK

24.

AMOUNT

23.

UNIT PRICE

22.

UNIT

21.

QUANTITY

20.

SCHEDULE OF SUPPLIES/SERVICES

19.

ITEM NO.

32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

38 2 of

Non-Personal Health Care Services Onsite Nephrology and Rheumatology Clinics Solicitation No.: 16-242-SOL-00002 PAGE 3 OF 38

SECTION B – PRODUCTS OR SERVICES AND PRICES/COSTS

B.1 TYPE OF CONTRACT (FAR 52.216-1 (APR 1984))

The Government contemplates award of an Indefinite-Delivery/Indefinite-Quantity (IDIQ) contract resulting from this solicitation.

This is a non-personal health care service contract, as defined in Federal Acquisition Regulation (FAR) 37.101, under which the contractor is an independent contractor. The Government may evaluate the quality of professional and administrative services provided, but retains no control over the medical, professional aspects of services rendered (e.g., professional judgments, diagnosis for specific medical treatment). The contractor indemnifies the Government for any liability producing act or omission by the contractor, its employees and agents occurring during contract performance. The contractor must maintain medical liability insurance, in a coverage amount acceptable to the contracting officer, which is not less than the amount normally prevailing within the local community for the medical specialty concerned; and the contractor is required to ensure that its subcontracts for provisions of health care services, contain the requirements of the clause at 52.237-7, including the maintenance of medical liability insurance.

B.1.1 FEE SCHEDULES

This solicitation will result in an indefinite delivery, “Requirements”, (also known as a “Task Order”) acquisition with one base year and three (3) one-year options periods. The quantities shown in the Schedule of Charges are “expected” quantities but are not representative of actual quantities to be ordered and serve as a means of arriving at price reasonableness for award purposes. Utilization of the “Requirements” contract has be determined to be appropriate for the Nephrology and Rheumatology Clinics as the government anticipates recurring requirements but cannot predetermine the precise quantities that will be ordered during the contract period. Pricing proposals should be determined based on the estimated Average Total Hours for the Year at 8 hours per clinic visit. Each Clinical visit shall not exceed 12 visits per year or 192 hours/year for the Nephrology and Rheumatology Services. The Registered Nurse services for the Nephrology Clinic will be for 8 hours per clinic and NTE 12 clinical visits per year (96 hours/year). Total hours for each service provided will be 288 hours per year. Please refer to the Schedule of Charges table on page 4 to determine cost proposal.

B.2 CONSIDERATION AND PAYMENT

The Contractor shall provide the non-personnel health care services described in Section C, Description/ Specifications/Work Statement. Except as otherwise specified in the contract, the Contractor shall furnish the necessary personnel, materials, services, facilities, and otherwise provide all tasks necessary for or incident to the performance of the work set forth herein.

B.3 CONTRACT PRICE

a. This is an Indefinite-Delivery/Indefinite Quantity (IDIQ) contract. The price for the Base Period of this contract is $(TBD).

b. Upon delivery and acceptance of the item(s) specified in the DELIVERY Article in SECTION F of this contract, the Government shall pay to the Contractor resulting from the awarded contract price.

c. Upon delivery and acceptance of the services described in the State of Work of this contract and identified in the schedule of charges below, the Government shall pay to the Contractor the

Onsite Nephrology and Rheumatology Clinics Solicitation No.: 16-242-SOL-00002 PAGE 4 OF 38 total prices set forth below and will be paid from the following Contract Line Item Numbers (CLINs) accordingly:

SCHEDULE OF CHARGES FOR THE BASE PERIOD

Item # Contract Period Description of Services Total ($)

CLIN 1 Base Year Nephrologist (8 hrs. x 12 clinics = 96 hrs.) TBD

CLIN 2 Base Year Registered Nurse (RN) (8 hrs. x 12 clinic = 96 hrs.) TBD

CLIN 3 Base Year Rheumatologist (8 hrs. x 12 clinics = 96 hrs.) TBD

Total Price for Base Period: TBD

The Contractor shall be paid upon submission of an invoice and completion and acceptance (if deliverable) or verification (if service) by the Contracting Officer's Representative (COR), of the deliverables and/or services indicated below. Invoices shall be submitted in accordance with the instructions contained in FAR clause 52.232-25, Prompt Payment, and Section G.2 of this contract.

B.4 OPTION PRICES

a. Unless the Government exercises its option, pursuant to the option clause referenced in Contract Clauses section, this contract consists only of the Base Period specified in this contract.

b. Pursuant to FAR Clause 52.217-8, Option to Extend Services and FAR Clause 52.217-9, Option to Extend the Term of the Contract, set forth in Section I, Contract Clauses of this contract, the Government may, by unilateral contract modification, require the Contractor to perform the Option Period(s) as defined in the Statement of Work of this contract. If the Government exercises this/these option(s), notice must be given before the expiration date of the contract.

Specific information regarding the time frame for this notice is set forth in the OPTION PROVISION of this order. If an option period is exercised the fixed price of this contract will be increased as set forth below.

c. Upon the delivery and acceptance of the Option Services described in the Statement of Work of the contract and identified in the schedule of charges below, the Government shall pay the Contractor the unit price(s) set forth below and will be paid from the following Contract Line Item Numbers (CLINs) accordingly:

SCHEDULE OF CHARGES FOR THE OPTION PERIODS

OPTION PERIODS:

Item # Contract Period Description of Services Total ($)

CLIN 4 Option Year 1 Nephrologist (8 hrs. x 12 clinics = 96 hrs.) TBD

CLIN 5 Option Year 1 RN (8 hrs. x 12 clinics = 96 hrs.) TBD

CLIN 6 Option Year 1 Rheumatologist (8 hrs. x 12 clinics = 96 hrs.) TBD

Total Price for Option Period One: TBD

Onsite Nephrology and Rheumatology Clinics Solicitation No.: 16-242-SOL-00002 PAGE 5 OF 38

Item # Contract Period Description of Services Total ($)

CLIN 7 Option Year 2 Nephrologist (8 hrs. x 12 clinics = 96 hrs.) TBD

CLIN 8 Option Year 2 RN (8 hrs. x 12 clinics = 96 hrs.) TBD

CLIN 9 Option Year 2 Rheumatologist (8 hrs. x 12 clinics = 96 hrs.) TBD

Total Price for Option Period Two: TBD

Item # Contract Period Description of Services Total ($)

CLIN 10 Option Year 3 Nephrologist (8 hrs. x 12 clinics = 96 hrs.) TBD

CLIN 11 Option Year 3 RN (8 hrs. x 12 clinics = 96 hrs.) TBD

CLIN 8 Option Year 3 Rheumatologist (8 hrs. x 12 clinics = 96 hrs.) TBD

Total Price for Option Period Three: TBD

d. If the Government exercises its option pursuant to the OPTION PROVISION of this contract, the Government's total estimated contract amount, represented by the sum of the price of base plus option periods and the period of performance will be increased as follows:

BASE PERIOD (288 hrs.) TOTAL ($)

BASE YEAR PERIOD: 10/01/2016 through 09/31/2017 TBD

Total Price for Base Period: TBD

OPTION PERIODS (288 hrs. per year) TOTAL ($)

OPTION PERIOD ONE: 10/01/2017 through 09/31/2018 TBD

OPTION PERIOD TWO: 10/01/2018 through 09/31/2019 TBD

OPTION PERIOD THREE: 10/01/2019 through 09/31/2020 TBD

Total Price for Option Periods: TBD

TOTAL CONTRACT PRICE including BASE plus OPTION PERIODS: $__________ .00

Note: Unit price shall be an all-inclusive rate of all other fees including travel expenses, per diem, lodging all cities, state, federal, local, and State (NM Gross Receipts” taxes and miscellaneous cost associated with the above services.

A thirty (30) minute lunch break is permitted (as non-paid) under the contract; if the contractor chooses to not take a lunch break, it cannot be invoiced as time worked. Travel times to/from the facility site are not included and cannot be invoiced as time worked.

Onsite Nephrology and Rheumatology Clinics Solicitation No.: 16-242-SOL-00002 PAGE 6 OF 38

SECTION C – DESCRIPTION/SPECIFICATIONS/STATEMENT OF WORK

C. TITLE

Onsite one nephrologist with one registered nurse (RN) to assist the nephrologist and one rheumatologist

C.1. PURPOSE

The purpose of this contract is to provide one general nephrologist, one RN to assist the nephrologist, and one rheumatologist for Indian Health Service (IHS) beneficiaries during clinic days at IHS, Ute Mountain Ute Facility. Under this contract, the contract nephrologist and rheumatologist (hereafter referred to as “the contractor(s)”) is required to have knowledge and experience in the diagnosis and treatment of a broad range of Kidney care and rheumatic diseases problems across the lifespan.

C.2. STATEMENT OF WORK

The Indian Health Service (IHS) depends on available resources with a wide range of expertise and professionalism in providing Onsite Nephrology and Rheumatology Clinics for the Albuquerque Area Indian Health Service (IHS) for those patients that present themselves for health care services at the Ute Mountain Ute Health Center (UMUHC) Renal Clinic in Towaoc, CO. Services are required on a recurring monthly basis (one clinic per month for each service).

The Contractor shall provide all management, administration, supervision, labor, transportation and equipment, materials, and supplies, except as identified in the Government Furnished Property and Facilities section, as necessary to provide the experienced personnel as described herein. The Contractor pricing/cost must be inclusive of all mandatory Federal, State and local taxes. It is the sole responsibility of the contractor to collect and pay for all Colorado State Taxes for business/work performed in the State of Colorado; regardless of county the business/work was performed.

Nephrology Services

Professional on-site nephrology services to be provided shall include, but are not limited to:

1. Collection of pertinent health data/history from patient,

2. Evaluation/assessment of patient condition, documented in the facility’s Electronic Health

Record

3. Record all patient contacts in the facility’s Electronic Health Record and charting in accordance with facility policy and procedures.

4. Institution of patient treatment plans,

5. Provision/assurance of necessary patient follow-up,

6. Review of patient medication(s),

7. Collaborate and consult with other clinical providers and IHS support staff,

8. Contractor maintains health record in accordance with established Policy and Protocols in compliance with Privacy Act, HIPAA and other IHS Standards.

Registered Nurse (RN) Services

On-site RN services to assist the nephrologist to be provided shall include, but are not limited to:

1. Nursing Assessment

2. Identification of risk factors

Onsite Nephrology and Rheumatology Clinics Solicitation No.: 16-242-SOL-00002 PAGE 7 OF 38

3. Patient education

4. Nursing care immediately prior to and following renal transplantation

5. Introducing treatment modalities to the patient and family

6. Coordinating multidisciplinary care for the person with Chronic Kidney Disease

7. Nursing intervention to prevent complications, decreasing the need for hospitalizations

8. Assisting patient in achieving rehabilitative potential

9. Coordinating training for staff as needed

10. Contractor maintains health record in accordance with established Policy and Protocols in compliance with Privacy Act, HIPAA and other IHS Standards.

Rheumatologist Services

Professional on-site Rheumatology services to be provided shall include, but are not limited to:

1. Collection of pertinent health data/history from patient,

2. Evaluation/assessment of patient condition, documented in the facility’s Electronic Health

Record

3. Record all patient contacts in the facility’s Electronic Health Record and charting in accordance with facility policy and procedures.

4. Institution of patient treatment plans,

5. Provision/assurance of necessary patient follow-up,

6. Review of patient medication(s),

7. Collaborate and consult with other clinical providers and IHS support staff,

8. Contractor maintains health record in accordance with established Policy and Protocols in compliance with Privacy Act, HIPAA and other IHS Standards.

C.3 GENERAL TASKS

a. The contractor will work in coordination with the Indian Health Service (IHS) Contracting Officer’s Representative (COR) to provide these services via On-Site Clinics on an inpatient setting.

b. The contractor shall provide Nephrology services, to include diagnosis, treatment and management of patients, and referring patients for specialized management through the Clinical Director for an estimated 20 patients per clinic. The contractor shall provide patient care and treatment in kidney disease, glomerulonephritis, hypertension, chronic kidney disease, kidney stones, ESRD etc. The contractor shall also offer treatment/referral options such medications, treatment to slow the progression of chronic kidney disease, dialysis, etc. as are available and within the scope of services provided by the UMUHC and/or PRC availability.

c. The contractor shall provide RN services for the Nephrologist, as indicated, to assist the nephrologist in performing the services.

d. The contractor shall provide Rheumatology services, including diagnosis, treatment and management of patients, refers patients for specialized management via Clinical Director, as indicated, for an estimated 20 patients per clinic. The contractor shall provide patient care and treatment in arthritis, certain autoimmune diseases, musculoskeletal pain disorders, etc.

C.4 CLIENT BACKGROUND

Some of the patients receiving health care under this contract may only speak a Native American Language, and the contractor should be able to show sensitivity to cross-cultural and languages

Onsite Nephrology and Rheumatology Clinics Solicitation No.: 16-242-SOL-00002 PAGE 8 OF 38 differences, and have the ability to work through interpreters as necessary for non-English speaking patients. Consideration should be given to potentially limited transportation and home environment facilities for some patients.

C.5 MINIMUM QUALIFICATIONS

a. All work shall be performed by licensed professionals one Nephrologist, one Registered Nurse (RN), and one Rheumatologist particularly focusing in the utilization of their professional training and experience in providing Nephrology, Nursing and Rheumatology services in order to perform the required tasks.

b. The contractor’s Nephrologist must possess a MD Degree and be a graduate of an accredited medical school and be board certified by the American Board of Internal Medicine.

c. The contractor’s RN must have a registered nurse license and graduated from an accredited school for registered nurses.

d. The contractor’s Rheumatologist must possess a MD Degree and be a graduate of an accredited medical school and be board certified by the American Board of Internal Medicine.

d. The Contractor shall provide all licensed professional physician, medical malpractice insurance and all other incidentals required in the delivery of services.

e. The Contractor shall provide a copy of his/her work experience (resume, C.V.).

f. The contractor is required to ensure that the following health requirements are met prior to performance of service if a medical provider: Evidence of current immunization for tetanus, rubella, and hepatitis B (O positive titer and evidence of negative PPD or chest x-ray if history of positive PPD must be provided within one (1) month of assignment.

g. The contractor shall comply with Federal drug-free workplace and work force requirements IAW the Federal Acquisition Regulations. The Indian Health Service is a tobacco-free place. No smoking or tobacco products are allowed on any campuses.

h. None of the services furnished under the Statement of Work shall be subcontracted or transferred to another Contractor or organization without the specific prior written approval of the Contracting Officer.

C.6 CONTRACTOR'S OBLIGATIONS

a. Contractor represents and warrants that they or their employees will continue to have the ability and capacity to render the services contemplated herein.

b. Contractor shall wear visible identification provided by the Indian Health Service at all times on the premises. The Contractor shall turn in this identification provided by the IHS Staff upon completion of the project;

c. Provide the services described herein independent of Government supervision.

d. Contractor shall be responsible for completing required documents subject to the character investigation in compliance with Public Law (P.L) 101-630 "Indian Child Protection and Family Violence Act of 1990". The contract and all its agents will answer and sign the attached document entitled; "Care and Certification of Addendum to Declaration to Federal Employment, Indian Health Service, and Indian Child Care Worker Positions".

e. Medical contractors (physicians, advance practice nurses, physical therapists dentists, optometrists, psychologists, psychiatrists, audiologists, etc.) must apply and be approved for clinical privileges prior to providing patient care. Contractors shall submit the following to the service unit medical staff office: medical staff application with request for clinical privileges, copies of active unrestricted professional licensure, professional degree, residency and board

Onsite Nephrology and Rheumatology Clinics Solicitation No.: 16-242-SOL-00002 PAGE 9 OF 38 certification in specialty, current curriculum vitae, proof of professional liability coverage, and DEA certificate. Allow 4 to 6 weeks.

f. The UMUHC Clinical Staff/Governing Body will assure through the credentialing/privileging process that the appointment to the Medical Staff meets the required standards. The contractor’s employee(s) are subject to the UMUHC Clinical Staff By-Laws and Rules and Regulations.

g. Prior to start of services specified by the statement of work, the Contractor must contact the General Service Office at the designated IHS facility to schedule an appointment to complete the fingerprinting process required by the IHS regulations pertinent to security and character background investigations.

h. Contractor shall be responsible for maintaining satisfactory standards of competence, conduct, appearance and integrity. The quality of work performance of the contractor shall be subject to review.

i. Abide by the IHS facility standards of conduct and the policies and procedures of the service unit and assigned department/unit. Guidelines applicable in the performance of the contract are established doctor's orders, hospital policy, local directives, and standing orders. The Contractor shall be responsible for using judgment in choosing the appropriate course of action when a negative situation arises.

j. The Contractor agrees to make no distinctions among patients under this contract on the basis of race, color, creed, or national origin including; but not limited to the following: Denying a patient services or benefits or availability of facilities; providing services or benefits to a patient which is different, or is provided in a different manner or at a different time from that provided to other patients under this contract; subjecting a patient to segregation or separate treatment in any manner related to his/her receipt of service, restricting a patient in any way in the enjoyment of any advantage or privilege enjoyed by others in determining whether he/she satisfies any admission enrollment quota, eligibility, membership or other requirement or condition which an individual must meet in order to be provided services or benefits; the assignment or times or places for the provisions of service on the basis of race, color, creed or national origin of the patients served.

k. Contractor is required to update any information through the System Award Management (SAM.gov). The IHS does not have access to the contractors personal or company data, nor the approval, to update changes on behalf of the Contractor.

C.7 SCHEDULE OF DELIVERABLES OR REPORTING REQUIREMENTS

a. The contractor will provide on-site direct patient care.

b. The contractor’s will input documentation in the Electronic Health Record (EHR) of RPMS (IHS

Clinical data base).

c. The contractor will document delivered hours to the Contracting Officer’s Representative for signature every month.

Onsite Nephrology and Rheumatology Clinics Solicitation No.: 16-242-SOL-00002 PAGE 10 OF 38

SECTION D – PACKAGING AND MARKING

D.1 PACKAGING

All deliverables shall be preserved, packaged, and packed in accordance with normal commercial practices to meet the packing requirements of the carrier including that which is necessary to prevent deterioration and damages due to the hazards of shipping, handling, and storing.

D.2 MARKING

Each package/container shall be delivered to the address shown in Section G.1.3 entitled “Contracting Officers’ Representative Appointment and Authority” and shall be clearly marked as follows:

• Name of Contractor

• Contract Number

• Description of Items Contained Therein

• Consignee’s Name and Address

D.3 DELIVERY

All deliverables shall be delivered to the following address:

Indian Health Service, Ute Mountain Ute Health Center ATTN: C. Kyle Gropp 232 Rustling Willow, Complex D PO Box 49 Towaoc, CO 81334

Onsite Nephrology and Rheumatology Clinics Solicitation No.: 16-242-SOL-00002 PAGE 11 OF 38

SECTION E – INSPECTION AND ACCEPTANCE

E.1 INSPECTION AND ACCEPTANCE

All work under this contract is subject to inspection and final acceptance by the Contracting Officer or the duly authorized representative of the government. The COR, as a duly authorized representative of the Contracting Officer, shall assume the responsibilities for monitoring the Contractor’s performance, evaluating the quality of services provided by the Contractor, and performing final inspection and acceptance of all deliverables and services called for by the contract.

E.2 FEDERAL ACQUISITION REGULATION (48 CFR CHAPTER 1) CLAUSES

FAR Clause No. Title and Date 52.246-4 Inspection of Services – Fixed-Price (AUG 1996)

Onsite Nephrology and Rheumatology Clinics Solicitation No.: 16-242-SOL-00002 PAGE 12 OF 38

SECTION F – DELIVERIES OR PERFORMANCE

F.1 PERIOD OF PERFORMANCE

The period of performance is a Base Period of 12 months with three - 12 month Option Periods, unless the period is extended by modification to this contract. The Government may exercise options to extend the period of performance in accordance with FAR Clause 52.217-9 – Option to Extend the Term of the Contract (MAR 2000); upon written notification by the Contracting Officer within 30 days of contract expiration.

The period of performance shall be as follows:

Base Period: 10/01/2016 through 09/30/2017 Option Period One: 10/01/2017 through 09/30/2018 Option Period Two: 10/01/2018 through 09/30/2019 Option Period Three: 10/01/2019 through 09/30/2020

F.2 PLACE OF PERFORMANCE

The place of performance shall be at the Ute Mountain Ute Health Center, 232 Rustling Willow Street, Towaoc, CO 81334. The hours of business and clinic operation are daily Monday through Friday from 8:00 AM to 4:30 PM, for outpatient clinics. The actual hours will be scheduled in advance through the designated COR.

F.3 GOVERNMENT HOLIDAYS (https://www.federalpay.org/holidays)

New Year’s Day January 1 Martin Luther King’s Birthday Third Monday in January President’s Day Third Monday in February Memorial Day Last Monday in May Independence Day July 4 Labor Day First Monday in September Columbus Day Second Monday October Veteran’s Day November 11 Thanksgiving Day Fourth Thursday November Christmas Day December 25 https://www.federalpay.org/holidays

Onsite Nephrology and Rheumatology Clinics Solicitation No.: 16-242-SOL-00002 PAGE 13 OF 38

SECTION G – CONTRACT ADMINISTRATION

G.1 AUTHORITIES OF GOVERNMENT PERSONNEL

Notwithstanding the Contractor’s responsibility for total management during the performance of this Contract, the administration of the Contract will require maximum coordination between the Government and the Contractor. The following individuals will be the Government’s points of contact during the performance of this Contract.

G.1.1 Contracting Officer

The IHS Contracting Officer (CO) is the only individual authorized to modify this Contract. The CO responsible for administrative and contractual issues concerning this Contract is:

Dawn Sekayumptewa, Contracting Officer (CO) Indian Health Service/Division of Contracts & Grants Management (DCGM) 5300 Homestead Road NE Albuquerque, NM 87110 Phone: 505-248-4561 Email: dawn.sekayumptewa@ihs.gov

All communications pertaining to contractual and/or administrative matters under the contract shall be sent to the address above and to the following Contract Specialist:

G.1.2 Contract Specialist

All Contract administration shall be performed by:

Judith Mariano, Contract Specialist (CS) Indian Health Service/Division of Contracts & Grants Management (DCGM) 5300 Homestead Road NE Albuquerque, NM 87110 Phone: 505-248-4543 Email: judith.mariano@ihs.gov

G.1.3 Contracting Officer’s Representative (COR) Appointment and Authority

The name and address of the COR assigned to this contract is:

C. Kyle Gropp, Acting Health Center Director Indian Health Service, Ute Mountain Ute Health Center 232 Rustling Willow Street Towaoc, CO 81334 Phone: 970-565-4441 ext. 219 Email: Clinton K.Gropp@ihs.gov

G.1.4 Technical Monitoring

(a) Performance of work under this contract must be subject to the technical direction of the COR identified above, or a representative designated in writing. The term “technical direction” includes, without limitation, direction to the Contractor that directs or redirects the labor effort, shifts the work between work areas or locations, fills in details and otherwise serves to ensure that task areas outlined in the statement of work are accomplished satisfactorily.

mailto:dawn.sekayumptewa@ihs.gov mailto:judith.mariano@ihs.gov mailto:Clinton%20K.Gropp@ihs.gov

Onsite Nephrology and Rheumatology Clinics Solicitation No.: 16-242-SOL-00002 PAGE 14 OF 38

(b) Technical direction must be within the scope of the specification(s)/work statement. The COR does not have authority to issue technical direction that:

(1) Constitutes a change of assignment or additional work outside the specification(s)/ statement of work;

(2) Constitutes a change as defined in the clause entitled “Changes”;

(3) In any manner causes an increase or decrease in the contract price, or the time required for contract performance;

(4) Changes any of the terms, conditions, or specification(s)/work statement of the contract;

(5) Interferes with the Contractor's right to perform under the terms and conditions of the contract; or

(6) Directs, supervises or otherwise controls the actions of the Contractor's employees.

(c) Technical direction may be oral or in writing. The COR shall confirm oral direction in writing within five work days, with a copy to the Contracting Officer.

(d) The Contractor shall proceed promptly with performance resulting from the technical direction issued by the COR. If, in the opinion of the Contractor, any direction of the COR, or his designee, falls within the limitations in (b), above, the Contractor shall immediately notify the Contracting Officer no later than the beginning of the next Government work day.

(e) Failure of the Contractor and the Contracting Officer to agree that technical direction is within the scope of the contract shall be subject to the terms of the clause entitled “Disputes.”

G.2 INVOICE SUBMISSION

The Contractor shall submit invoices once per month. A complete invoice with all required back-up documentation shall be sent electronically via e-mail to:

1. Contracting Officer’s Representative (COR): C. Kyle Gropp, 970-565-4441 ext. 219, clinton k.gropp@ihs.gov

2. Buyer: Judith A. Mariano, judith.mariano@ihs.gov; Cedric Wood, cedric.wood@ihs.gov

3. Albuquerque IHS Finance Office, ALB_AOAPinvoices@ihs.gov

* No other non-invoice related documents (i.e. deliverables, reports, balance statements) shall be sent to the CS or ALB Finance. Failure to submit directly to the offices listed above will delay prompt payment of your invoice.

For invoices submitted by email, the subject line of your email invoice submission shall contain the Contractor’s name, contract number, and invoice. The Contractor shall send one email per contract monthly. The email may have multiple invoices for the contract. Invoices must be in one of the following formats: PDF, TIFF, or Word. No Excel formats will be accepted. The electronic file cannot contain multiple invoices; example, 10 invoices requires 10 separate files (PDF, TIFF, or Word).

Additionally, the Contractor is required to include its Data Universal Numbering System (DUNS) number on each invoice. For additional information about the Dun & Bradstreet (D&B) DUNS number, please visit http://fedgov.dnb.com/webform.

Invoices shall be submitted in accordance with the contract terms, i.e. payment schedule, progress payments, partial payments, deliverables, etc.

All information set forth in FAR Clause 52.212-4(g), Invoice, must be included in all invoices for it to constitute a proper invoice.

mailto:clinton%20k.gropp@ihs.gov mailto:clinton%20k.gropp@ihs.gov mailto:judith.mariano@ihs.gov mailto:cedric.wood@ihs.gov mailto:ALB_AOAPinvoices@ihs.gov http://fedgov.dnb.com/webform

Onsite Nephrology and Rheumatology Clinics Solicitation No.: 16-242-SOL-00002 PAGE 15 OF 38

FAR 52.212-4(g) Invoice.

(1) The Contractor shall submit an original invoice and three copies (or electronic invoice, if authorized) to the address designated in the contract to receive invoices. An invoice must include-

(i) Name and address of the Contractor;

(ii) Invoice date and number;

(iii) Contract number, contract line item number and, if applicable, the contract number;

(iv) Description, quantity, unit of measure, unit price and extended price of the items delivered;

(v) Shipping number and date of shipment, including the bill of lading number and weight of shipment if shipped on Government bill of lading;

(vi) Terms of any discount for prompt payment offered;

(vii) Name and address of official to whom payment is to be sent;

(viii) Name, title, and phone number of person to notify in event of defective invoice;

(ix) Taxpayer Identification Number (TIN). The Contractor shall include its TIN on the invoice only if required elsewhere in this contract.

(x) Electronic funds transfer (EFT) banking information.

(A) The Contractor shall include EFT banking information on the invoice only if required elsewhere in this contract.

(B) If EFT banking information is not required to be on the invoice, in order for the invoice to be a proper invoice, the Contractor shall have submitted correct EFT banking information in accordance with the applicable solicitation provision, contract clause (e.g., 52.232-33, Payment by Electronic Funds Transfer-Central Contractor Registration, or 52.232-34, Payment by Electronic Funds Transfer-Other Than Central Contractor Registration), or applicable agency procedures.

(C) EFT banking information is not required if the Government waived the requirement to pay by EFT.

(2) Invoices will be handled in accordance with the Prompt Payment Act (31 U.S.C. 3903) and Office of Management and Budget (OMB) prompt payment regulations at 5 CFR Part 1315.

In accordance with OMB Memorandum, M-11-32, Agencies shall make payments to small businesses as soon as practicable, with the goal of making payments within 15 days of receipt of a proper invoice. If a small business contractor is not paid within this (15 day) accelerated period, the contractor will not be given a late-payment interest penalty. Interest penalties, as prescribed by the Prompt Payment Act, remain unchanged by means of this memorandum. All small businesses shall label all invoices as “Small Business.”

Additionally, in accordance with OMB Memorandum, M-12-16, all prime contractors are encouraged to disburse funds received from the Federal Government to their small business subcontractors in a prompt manner. To assist prime contractors in expediting contractor payments to small business subcontractors, Agencies shall, to the full extent permitted by law, temporarily establish an earlier, accelerated date for making agency payments to all prime contractors. Consistent with OMB Memorandum M-11-32 above, Agencies shall have a goal of paying all prime contractors within 15 days of receiving proper documentation. In an effort to support small business growth, drive economic activity and job creation, the Contractor is encouraged to accelerate payments to their small business subcontractors.

https://www.acquisition.gov/far/current/html/52_232.html#wp1153351 https://www.acquisition.gov/far/current/html/52_232.html#wp1153375 http://uscode.house.gov/uscode-cgi/fastweb.exe?getdoc+uscview+t29t32+1665+30++%2831%29%20%20AND%20%28%2831%29%20ADJ%20USC%29%3ACITE%20%20%20%20%20%20%20%20%20

Onsite Nephrology and Rheumatology Clinics Solicitation No.: 16-242-SOL-00002 PAGE 16 OF 38

In accordance with the requirements of the Debt Collection Improvement Act of 1996, all payments under this contract will be made by electronic funds transfer (EFT). The Contractor shall provide financial institution information to the Finance Office designated above in accordance with FAR 52.232-33 Payment by Electronic Funds Transfer - Central Contractor Registration.

Failure to submit directly to the offices listed above will delay prompt payment of your invoice.

G.3 GOVERNMENT FURNISHED PROPERTY

The Government will provide the following item(s) of Government property to the Contractor for use in the performance of this contract. This property shall be used and maintained by the Contractor in accordance with provisions of FAR Clause 52.245-1, Government Property hereby incorporated by reference into the contract in accordance with FAR clause 52.252-2 “Clauses Incorporated by Reference” found herein.

Item No. Property Description Property Value Qty Location Date Available

TBD

Onsite Nephrology and Rheumatology Clinics Solicitation No.: 16-242-SOL-00002 PAGE 17 OF 38

SECTION H – SPECIAL CONTRACT REQUIREMENTS

H.1 CONTRACTOR PERFORMANCE EVALUATION REPORT

During the life of this contract, Contractor performance will be evaluated on an interim and final basis pursuant to FAR Subpart 42.15. This evaluation shall become a part of the contract file and shall be used as past performance information in evaluating the Contractor’s, and any significant subcontractors’ or affiliates, past performance on future contracts. Contractor Performance Assessment Report System (CPARS) is an on-line reporting system https://www.cpars.gov/. The Contractor Performance Report is completed by the COR electronically and sent to the Contractor for review and approval at the end of each performance period as an interim report and at the end of the contract performance as a final report. After review by the Contracting Officer, the report becomes a permanent record of the Contractor’s past performance.

H.2 SECURITY

a. To perform the work specified herein, contractor personnel will require access to sensitive data, regular access to HHS-controlled facilities, and/or access to HHS information systems. The Government has determined the position sensitivity under this effort to be Level 1.

b. To gain access to the sensitive data, HHS-controlled facilities, and/or HHS information systems, the Contractor shall comply with Homeland Security Presidential Directive 12, Policy for a Common Identification Standard for Federal Employees and Contractors, and with the personal identity verification and investigation procedures obtained in:

(i) HHS Information Security Program Policy, http://www.hhs.gov/ocio/securityprivacy/

(ii) HHS Office of Security and Drug Testing, personnel Security/Suitability Handbook, http://www.hhs.gov/ocio/policy/hhs-ocio-2011-0003.html

(iii) Reserved

(iv) HHS HSPD-12 Implementation Policy (draft)

c. The minimum Government investigation for a non-critical sensitive position is a National Agency

Check and Inquiries (with fingerprinting), which consists of searches of records covering specific areas of a person’s background during the past five years. Those inquiries are sent to current and past employers, schools attended, references, and local law enforcement authorities. More restricted positions, above non-sensitive, require more extensive documentation and investigation.

d. Contractors should ensure that the employees whose names they submit have a reasonable chance for access approval. Delays associated with rejections and consequent reinvestigations may not be excusable.

e. Typically, the Government investigates personnel at no cost to the Contractor, but the expense of multiple investigations for the same position is difficult to justify.

Consequently, multiple investigations for the same position may, at the Contracting Officer’s discretion, justify reduction(s) in the Contract price of no more than the cost of the extra investigation(s).

f. Language similar to this Security section shall be included in any Sub-Contracts which require Sub-Contractor personnel to have access to an information system, access to sensitive data, regular or prolonged access to a HHS-controlled facility, or any combination of these three.

g. Inquiries, including requests for forms and assistance, should be directed to the Contracting Officer or his/her designee, listed in the Contract.

https://www.cpars.gov/ http://www.hhs.gov/ocio/securityprivacy/ http://www.hhs.gov/ocio/policy/hhs-ocio-2011-0003.html

Onsite Nephrology and Rheumatology Clinics Solicitation No.: 16-242-SOL-00002 PAGE 18 OF 38

h. Within seven (7) calendar days after final acceptance of the work specified herein, the

Contractor shall return all identification badges to the Contracting Officer or his/her designee.

Onsite Nephrology and Rheumatology Clinics Solicitation No.: 16-242-SOL-00002 PAGE 19 OF 38

SECTION I – CONTRACT CLAUSES

FEDERAL ACQUISITION REGULATIONS (FAR) 48 CFR CHAPTER CLAUSES

I.1 CLAUSES INCORPORATED BY REFERENCE - FAR 52.252-2 (FEB 1998)

This Contract incorporates FAR provisions/clauses referenced, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available.

Also, the full text of a clause may be accessed electronically at this website address: FAR -https://www.acquisition.gov/far/index.html.

FAR

Clause No. Title and Dates IDIQ

Service 52.203-3 Gratuities (Apr 1984) X 52.203-5 Covenant Against Contingent Fees (May 2014) X 52.203-6 Restrictions on Subcontractor Sales to the Government (Sep 2006) X 52.203-7 Anti-Kickback Procedures (May 2014) X

52.203-8 Cancellation, Rescission, and Recovery of Funds for Illegal or Improper Activity (May 2014 X

52.203-10 Price or Fee Adjustment for Illegal or Improper Activity (May 2014) X 52.203-12 Limitation of Payments to Influence Certain Federal Transactions (Oct 2010) X

52.204-4 Printed or Copied Double-Sided on Postconsumer Fiber Content Paper (May 2011) X

52.204-7 System for Award Management (Jul 2013) X 52.204-9 Personal Identity Verification of Contractor Personnel (Jan 2011) X

52.204-10 Reporting Executive Compensation and First Tier Subcontract Awards (Oct 2015) X

52.209-6 Protecting the Government’s Interest when Subcontracting with Contractors Debarred, Suspended or Proposed for Debarment (Oct 2015) X

52.209-10 Prohibition on Contracting with Inverted Domestic Corporations (Nov 2015) X 52.215-2 Audit and Records – Negotiation (Oct 2010) X 52.215-8 Order of Precedence – Uniform Contract Format (Oct 1997) X 52.219-6 Notice of Total Small Business Set-Aside (Nov 2011) X 52.219-14 Limitations on Subcontracting (Nov 2011) X 52.219-28 Post-Award Small Business Program Representation (Jul 2013) X 52.222-3 Convict Labor (Jun 2003) X 52.222-21 Prohibition of Segregated Facilities (Apr 2015) X 52.222-26 Equal Opportunity (Apr 2015) X 52.222-35 Equal Opportunity for Veterans (Oct 2015) X 52.222-36 Affirmative Action for Workers with Disabilities (Jul 2014) X 52.222-37 Employment Reports Veterans (Feb 2016) X 52.222-41 Service Contract Labor Standards (May 2014) X 52.222-50 Combating Trafficking in Persons (Mar 2015) X

52.222.52 Exemption from Application of the Service Contract Labor Standards to Contracts for Certain Services –Certification (May 2014) X

52.222-53 Exemption from Application of the Service Contract Labor Standards to Contracts for Certain Services – Requirements (May 2014) X https://www.acquisition.gov/far/index.html

Onsite Nephrology and Rheumatology Clinics Solicitation No.: 16-242-SOL-00002 PAGE 20 OF 38

FAR

Clause No. Title and Dates IDIQ Service

52.222-54 Employment Eligibility Verification (Oct 2015) X 52.223-6 Drug-Free Workplace (May 2001) X

52.223-18 Encouraging Contractor Policies to Ban Text Messaging while Driving (Aug 2011) X

52.225-13 Restrictions on Certain Foreign Purchases (Jun 2008) X 52.227-14 Rights in Data – General (May 2014) X 52.229-3 Federal, State and Local Taxes (Feb 2013) X 52.232-1 Payments (Apr 1984) X 52.232-8 Discounts for Prompt Payment (Feb 2002) X 52.232-11 Extras (Apr 1984) X 52.232-17 Interest (May 2014) X 52.232-23 Assignments of Claims (May 2014) X 52.232-25 Prompt Payment (Jul 2013) X

52.232-33 Payment by Electronic Funds Transfer – System for Award Management (Jul 2013) X

52.232-40 Providing Accelerated Payment to Small Business Subcontractors (Dec 2013) X 52.233-1 Disputes (May 2014) X 52,233-3 Protest After Award (Aug 1996) X 52.233-4 Applicable Law for Breach of Contract Claim (Oct 2004) X 52.237-3 Continuity of Services (Jan 1991) X 52.237-7 Indemnification and Medical Liability Insurance (Jan 1997) X 52.242-13 Bankruptcy (Jul 1995) X 52.242-15 Stop-Work Order (Aug 1989) X 52.243-1 Changes – Fixed-Price (Aug 1987), Alternate I (Apr 1984) X 52.244-2 Subcontracts (Oct 2010) X 52.244-5 Competition in Subcontracting (Dec 1996) X 52.246-4 Inspection of Services – Fixed-Price (Aug 1996) X 52.246-25 Limitation of Liability – Services (Feb 1997) X 52.249-2 Termination for Convenience of the Government (Fixed-Price) (Apr 2012) X 52.249-8 Default (Fixed-Price Supply and Service) (Apr 1984) X 52.249-14 Excusable Delays (Apr 1984) X 52.253-1 Computer Generated Forms (Jan 1991) X

I.2 FAR 52.216-18 ORDERING (OCT 1995)

(a) Any supplies and services to be furnished under this contract shall be ordered by issuance of delivery orders or task orders by the individuals or activities designated in the Schedule.

Such orders may be issued from TBD through TBD.

(b) All delivery orders or task orders are subject to the terms and conditions of this contract. In the event of conflict between a delivery order or task order and this contract, the contract shall control.

(c) If mailed, a delivery order or task order is considered “issued” when the Government deposits the order in the mail. Orders may be issued orally, by facsimile, or by electronic commerce methods only if authorized in the Schedule.

Onsite Nephrology and Rheumatology Clinics Solicitation No.: 16-242-SOL-00002 PAGE 21 OF 38

I.3 FAR 52.216-19 ORDER LIMITATIONS (OCT 1995)

(a) Minimum order. When the Government requires supplies or services covered by this contract in an amount of less than 24 hours/month, the Government is not obligated to purchase, nor is the Contractor obligated to furnish, those supplies or services under the contract.

(b) Maximum order. The Contractor is not obligated to honor—

(1) Any order for a single item in excess of 48 hours/month;

(2) Any order for a combination of items in excess of 48 hours/month or

(3) A series of orders from the same ordering office within 14 days that together call for quantities exceeding the limitation in paragraph (b)(1) or (2) of this section.

(c) If this is a requirements contract (i.e., includes the Requirements clause at subsection 52.216-21 of the Federal Acquisition Regulation (FAR)), the Government is not required to order a part of any one requirement from the Contractor if that requirement exceeds the maximum-order limitations in paragraph (b) of this section.

(d) Notwithstanding paragraphs (b) and (c) of this section, the Contractor shall honor any order exceeding the maximum order limitations in paragraph (b), unless that order (or orders) is returned to the ordering office within 7 days after issuance, with written notice stating the Contractor’s intent not to ship the item (or items) called for and the reasons. Upon receiving this notice, the Government may acquire the supplies or services from another source.

I.4 FAR 52.216-21 REQUIREMENTS (OCT 1995)

(a) This is a requirements contract for the supplies or services specified and effective for the period stated, in the Schedule. The quantities of supplies or services specified in the Schedule are estimates only and are not purchased by this contract. Except as this contract may otherwise provide, if the Government’s requirements do not result in orders in the quantities described as “estimated” or “maximum” in the Schedule, that fact shall not constitute the basis for an equitable price adjustment.

(b) Delivery or performance shall be made only as authorized by orders issued in accordance with the Ordering clause. Subject to any limitations in the Order Limitations clause or elsewhere in this contract, the Contractor shall furnish to the Government all supplies or services specified in the Schedule and called for by orders issued in accordance with the Ordering clause. The Government may issue orders requiring delivery to multiple destinations or performance at multiple locations.

(c) Except as this contract otherwise provides, the Government shall order from the Contractor all the supplies or services specified in the Schedule that are required to be purchased by the Government activity or activities specified in the Schedule.

(d) The Government is not required to purchase from the Contractor requirements in excess of any limit on total orders under this contract.

(e) If the Government urgently requires delivery of any quantity of an item before the earliest date that delivery may be specified under this contract, and if the Contractor will not accept an order providing for the accelerated delivery, the Government may acquire the urgently required goods or services from another source.

(f) Any order issued during the effective period of this contract and not…