RFP_17-247-SOL-00008.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

Phoenix AZ 85016 4212 North 16th Street Phoenix Indian Medical CTR

CODE 16. ADMINISTERED BYCODE

X

X

X

561320

SIZE STANDARD:

% FOR:SET ASIDE:UNRESTRICTED OR12

RFPIFB

10. THIS ACQUISITION ISCODE

RFQ

14. METHOD OF SOLICITATION

13b. RATING

NAICS:

SMALL BUSINESS

11/21/2016 1600 LT

10/19/2016

BRIAN NUMKENA

(No collect calls)

INFORMATION CALL:

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

4. ORDER NUMBER3. AWARD/ 6. SOLICITATION

17-247-SOL-00008

5. SOLICITATION NUMBER

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

1 2 OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

TELEPHONE NO.

17a. CONTRACTOR/

15. DELIVER TO

Phoenix AZ 85016 4212 North 16th Street

9. ISSUED BY

7.

2. CONTRACT NO.

EFFECTIVE DATE

$27.50

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)

Phoenix Indian Medical CTR

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.

Contractor shall provide two (2) positions for Registered Nursing (RN) services with specialized experience in the Emergency Department at the Hopi Health Care Center, located in Polacca, AZ on an as needed basis in accordance with the terms specified in the attached statement of work and contract terms and conditions.

Period of Performance is estimated to start on December 1, 2016 through November 30, 2017. This requirement is being solicited for a base and

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

HEREIN, IS ACCEPTED AS TO ITEMS:

DATED . 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.

four (1 year) option years.

This is a small business set aside.

Contractor shall state in their proposal that the quote shall remain effective for 120 calendar days after close of solicitation.

Closing Date is November 21, 2016 at 1600 hours

LT. Deadline for questions is on November 4, 2016, 1600 hours LT.

The Government reserves to right to make a single award, multiple awards or no awards in accordance with provision at FAR 52.215-1 which is included in this solicitation.

Contractor is to follow and submit proposals in accordance to Section E Solicitation Provisions and Addendum to FAR 52.215-1 Instructions to

Offerors - Competitive Acquisitions.

See attached pages for additional information, terms and conditions.

32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

2 2 of

RFP 17-247-SOL-00008, 10/19/16, EMERGENCY DEPARTMENT REGISTERED NURSE SERVICES

FOR THE HOPI HEALTH CARE CENTER

Continuation from SF 1449

Table of Contents

SECTION B – CONTINUATION OF SF 1449

B.1 CONTRACT ADMINISTRATION DATA

B.2 SPECIAL CONTRACT REQUIREMENTS

A. PHYSICAL DEMAND AND WORK ENVIRONMENT

B. PATIENT CULTURAL BACKGROUND

C. REVIEW AND APPROVAL AND EVALUATION

D. VERIFICATION OF LICENSURE

E. POST-AWARD ADMINISTRATION MONITORING

F. BACKGROUND CHECK

G. PERIOD OF PERFORMANCE

H. DESIGNATION OF CONTRACTING OFFICER REPRESENTATIVE (COR)

I. CONTRACTOR OFFICER REPRESENTATIVE (COR)

J. CONTRACTING OFFICER (CO) RESPONSIBILITIES

K. CHILD CARE NATIONAL AGENCY CHECK & INVESTIGATION (CNACI)

L. SECURITY

M. INFORMATION TECHNOLOGY SECURITY

SECTION C - CONTRACT CLAUSES

A. 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

B. 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT

STATUES OR EXECUTIVE ORDER – COMMERCIAL ITEMS (JUN 2016)

C. 52.216-18 ORDERING (OCT 1995)

D. 52.216-19 ORDER LIMIT LIMITATIONS (OCT 1995)

E. 52.216-22 INDEFINITE QUANTITY (OCT 1995)

F. 52.217-8 OPTION TO EXTEND SERVICES (NOV 1999)

G. 52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR 2000)

H. 52.237-7 INDEMNIFICATION AND MEDICAL LIABILITY INSURANCE (JAN

1997)

I. HEALTH & HUMAN SERVICES ACQUISITION REGULATION CLAUSES, 48 CFR

CHAPTER 3 CLAUSES (INCORPORATED BY REFERENCE):

http://farsite.hill.af.mil/vfhhsara.htm

SECTION D - CONTRACT DOCUMENTS, EXHIBITS OR ATTACHMENTS

A. ATTACHMENT A: PRICE SCHEDULE

B. ATTACHMENT B: BUSINESS ASSOCIATES AGREEMENT

C. ATTACHMENT C: TAX EXEMPTION LETTER

D. ATTACHMENT D: WAGE DETERMINATION

E. ATTACHMENT E: STATEMENT OF WORK

SECTION E - SOLICITATION PROVISIONS

A. 52.215-1 INSTRUCTIONS TO OFFERORS - COMPETITIVE ACQUISITIONS (JAN

2004)

B. ADDENDUM TO FAR 52.215-1 - INSTRUCTIONS TO OFFERORS - COMPETITIVE

ACQUISITIONS.

C. 52.212-2 EVALUATION – COMMERCIAL ITEMS (OCT 2014)

D. ADDENDUM TO FAR 52.212-2 EVALUATION – COMMERCIAL ITEMS

E. 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS –

COMMERCIAL ITEMS (APRIL 2016)

F. 52.216-1 TYPE OF CONTRACT (APR1984)

G. 52.233-2 SERVICE OF PROTEST (SEPT 2006)

H. DEPARTMENT OF HEALTH AND HUMAN SERVICES TOBACCO POLICY

B.1 CONTRACT ADMINISTRATION DATA

(continuation from Standard Form 1449, block 18A.)

OFFERORS MUST COMPLETE AND RETURN ALL INFORMATION DESIGNATED

IN 52.212-1, INSTRUCTIONS TO OFFERORS - COMMERCIAL ITEMS, PARAGRAPH

“b”, ADDRESS ALL TECHNICAL FACTORS IN 52.212-2 EVALUATION-

COMMERCIAL ITEMS, AND COMPLETE 52.212-3, OFFEROR REPRESENTATIONS

AND CERTIFICATIONS - COMMERCIAL ITEMS PRIOR TO THE TIME SPECIFIED

IN BLOCK 8 OF SF 1449 IN ORDER TO BE CONSIDERED FOR AWARD.

NOTIFICATION TO ALL OFFERORS:

1. Federal Acquisition Regulations (FAR) require all Contractors conducting business with the

Government to be registered in the online database: 1) The System Awards Management System (SAM) Government-wide online database for the provision of basic information relative to contract awards [refer to FAR Clause 52.212-4, para (t)].

You may accomplish these registrations online at the following web sites:

SAM – http://www.sam.gov

2. Contract Administration: All contract administration matters will be handled by the following individuals:

a. CONTRACTOR:

DUNS Number: ___________________________________

[See FAR 52.212-1 Instructions… (j) Data Universal Numbering System (DUNS) Number]

TAX ID: _________________________________________

b. GOVERNMENT:

Verna Kuwanhoyioma, Contracting Officer

Indian Health Service (IHS) Phoenix Area Office Division of Acquisition Management Two Renaissance Square 40 N. Central Avenue, Ste 507 Phoenix, AZ 85004-0931 http://www.sam.gov/

3. CONTRACTOR REMITTANCE ADDRESS: All payments by the Government to the

Contractor shall be electronically reimbursed:

[X] 52.232-34, Payment by Electronic Funds Transfer- Other than Central Contractor Registration

[ ] 52.232-36, Payment by Third Party

4. INVOICES: Invoices shall be submitted in ARREARS:

a. Quarterly [ ]

b. Semi-Annually [ ]

c. Other [X] Monthly in Arrears

5. GOVERNMENT INVOICE ADDRESS: All invoices from the Contractor shall be submitted electronically.

INVOICING/BILLING:

Contractor shall establish a recordkeeping system of Contractor services provided. Contractor may only bill for actual hours worked on-site at the IHS. At the end of each month the Contractor will submit an invoice for payment.

Invoice Requirements and Supporting Documentation: Supporting documentation and invoices must be submitted no later than the 30th workday of the month after services have been provided. Changes or corrections shall be submitted by separate invoice. In addition to information required for submission of a “proper” invoice in accordance with FAR 52.212-4

(g) all invoices must include:

Name and address of Contractor Invoice Date Contract Number and Purchase/Task Order Number Date of Service

CLIN-Number: Example: 0001 Physician Physician’s Name

Electronic Invoicing: The Phoenix Area Indian Health Service has initiated an important change in the accounts payable process that is mandatory and will ensure Contractors are paid promptly. All invoices are to be submitted by email to PHXAreaAP-team@ihs.gov.

Indian Health Service (IHS) Phoenix Area Office Attn: Financial Management Branch Two Renaissance Square 40 N. Central Avenue Phoenix, AZ 85004 mailto:PHXAreaAP-team@ihs.gov

Acquisitions: Brian.Numkena@ihs.gov A copy of the invoice should be sent electronically to the contract specialist(s) at the address listed above.

Service Unit Representatives: Maria.Gomes@ihs.gov

A copy of the invoice should be sent electronically to the Service Unit Representative(s) at the address listed above.

Payments in Full/ No Billing IHS Beneficiaries: The Contractor shall accept payment for services rendered under this contract as payment in full. IHS beneficiaries shall not under any circumstances be charged nor shall their insurance companies including Medicare be charged for services rendered by the Contractor under this contract, even if IHS does not pay for those services. The Contractor shall not bill, charge, collect a deposit from, seek compensation, remuneration, or reimbursement from, or have any recourse against, any person or entity other than the IHS for services provided pursuant to this contract. It shall be considered fraudulent for the Contractor to bill other third parties for services rendered under this contract. This provision shall survive the termination or ending of the contract.

ACKNOWLEDGMENT OF AMENDMENTS: The offeror acknowledges receipt of amendments to the Solicitation numbered and dated as follows:

AMENDMENT NO DATE

B.2 SPECIAL CONTRACT REQUIREMENTS

A. PHYSICAL DEMAND AND WORK ENVIRONMENT:

A. Contractor must be able to lift 40 pounds and must be able to bend, lift and pull.

B. Some shifts may be longer than 8 to 12 hours due to heavy patient load or census.

C. Contractor may be exposed to hazardous materials, such as chemicals and blood and blood-borne pathogens and will be exposed to infectious diseases and mentally and physically impaired patients.

B. PATIENT CULTURAL BACKGROUND:

Some of the IHS patients receiving services under this contract may only speak a native language or Spanish or may have limited comprehension of the English language, and/or may reside on a mailto:Brian.Numkena@ihs.gov mailto:Maria.Gomes@ihs.gov

Native American Indian Reservation. The Contractor is expected to demonstrate sensitivity to cross-cultural and language difference and have the ability to work through government provided interpreters as necessary. Consideration must be given to potentially limited transportation and/or home environment facilities.

C. REVIEW AND APPROVAL AND EVALUATION:

Service evaluation:

A. Individual providers will be evaluated during the duration of services, daily or at end of an extended assignment or as needed.

B. Work performed by the Contractor’s employee assigned to the facility, shall be subject to all quality assurance monitors and performance improvement studies performed by the facility.

C. The Contractor shall be informed of any quality of work problems identified by the facility.

If Notice of Problem is issued, the Contractor shall take corrective action and report the corrective action to the facility in writing within one week of receiving the notice.

D. The COR will issue a performance review in CPARS at the end of the base and each option year. The contractor will have an opportunity to review and approve or dispute the COR’s performance reviews.

D. VERIFICATION OF LICENSURE:

To assure that all medical, Professional, and Technical professionals providing services under this contract are properly licensed and that the IHS is aware of any disciplinary actions, which may have been taken against them the Contractor shall:

Verify through appropriate State Boards, all licenses or certifications, active/inactive/lapsed that are providing services under this contract may hold or have held.

Inform the IHS of the statuses of all licenses/certifications, including the reasons for inactive or lapsed licenses; furnish a letter of reference from other health care providers familiar with the candidate’s professional technical practice skills. Provide any performance of disciplinary data that they may have on a candidate and found no reason to reject the candidate.

The information shall be provided to the COR of the receiving facility no fewer than 15 working days prior to the Candidate’s projected date of arrival at the facility. In emergency situations, where there is no time available, a telephone call from the Contractor providing assurance of the above is acceptable. These instances must be well documented, justified and kept to a minimum.

E. POST-AWARD ADMINISTRATION MONITORING:

a) The Contractor’s employee will be required to comply with the Service Units Policies & Procedures and shall meet the same licensing/educational requirements as permanent IHS employees prior to providing services in this facility. These providers will be subject to the same peer review as permanent members of our medical team.

b) The Service Unit shall provide an ongoing method of monitoring and evaluation of the quality and appropriateness of patient care and of identifying deficiencies in the quality of services performed before the level of performance becomes unacceptable.

c) If a Contractor’s employee fails to arrive at the service unit for a scheduled shift, the

Contractor must provide coverage by another provider with temporary, provisional or courtesy privileges approved by the Service Unit Medical staff and the Governing Body. If no coverage is provided, the Contractor shall be required to pay the IHS for the cost incurred for providing that coverage. Not providing coverage on more than one occasion will be reviewed and discussed by the Chief of Emergency Department and the Contracting Officer as to whether there was a compromise of patient care. All compromised situations that arise from lack of patient care by the Contractor shall be referred to the Contracting Officer for action and resolution.

d) Once the Contract is awarded, Contractor(s) must complete all credentialing and privileging paperwork in accordance with TJC, CMS and the Service Unit Staff by-laws and Rules and Regulations. The Contractor’s employee must meet the same licensing/certification requirements as permanent IHS employee before being allowed to provide services in this facility. The Contractor’s employee must also complete all CMS-8551 and CMS-855R Medical Enrollment Applications and any other insurance paperwork. Copies and/or access to patient medical records will be provided to the business office personnel for the purpose of financial matters regarding billing and insurance collections. Service Units will process all eligible third party claims for reimbursement for services provided by the Contractor(s).

e) The Contractor shall provide both the COR and CO copies of its certificates of insurance and its subContractors’ certificates of insurance prior to performing services under this contract.

All Contractor and subContractor certificates of insurance shall name the Hopi Health Care Center and Hopi Service Unit as an additional insured.

f) Performance Standards: The Quality Assurance Surveillance Plan (QASP) outlines required standards and will be a part of the contract.

Measures Performance Requirement

Standards Acceptable Quality Level

Negative Incentive

Positive Incentive

1. Key Personnel Provide required Specialty Registered Nurses as specified In the requirements

Qualified personnel are available within 10 days of notice to Contractor and in location as needed to properly

95% 5% (the maximum negative incentive combined will not exceed 10% per month for not meeting the Acceptable Quality Level)

Government will exercise the next option year if the contactor performs satisfactory.

2. Patient Safety Immediate reporting of any

Potential or actual patient risk Management incidents to the Department

Manager

All incidents reported immediately

100% 5% (the maximum negative incentive combined will not exceed 10% per month for not meeting the Acceptable Quality Level)

Government will exercise the next option year if the contactor performs satisfactory.

3. Maintaining Updated Licensing and Contract 5% (the maximum Government licensing registration, and certification

Licensing and certifications, BLS, ACLS, PALS will be provided as they are renewed certification information kept current.

provider records will be kept 100% up-to-date negative incentive combined will not exceed 10% per month for not meeting the Acceptable Quality Level) will exercise the next option year if the contactor performs satisfactory.

4. Privacy, Confidentiality and HIPPA

Contractor is aware of all laws, regulations, policies, and procedures relating to Privacy Confidentiality and HIPPA and Complies with all standards

Zero breaches of privacy or confidentiality

100% 5% (the maximum negative incentive combined will not exceed 10% per month for not meeting the Acceptable Quality Level)

Government will exercise the next option year if the contactor performs satisfactory.

F. BACKGROUND CHECK:

Contractor’s employees are not able to work a scheduled shift until the security check is performed and clearance has been obtained by the appropriate agency. At a minimum fingerprints are required and upon clearance at this stage a Contractor’s may work a scheduled shift.

However, Contractors are required to complete the detail background application and application is to be completed within 30 days once the Contractor’s employee has been given access.

All Contractor employees are subject to criminal background check prior to performing services in accordance with the contract terms and conditions. The Contractor shall ensure that each of their provider(s) complete the, Certification of Criminal History and Background Check Packet.

The completed forms are to be returned to the COR. Additional Background Check packets can be obtained through the COR. Contractors (and their employees) requiring routine, long-term access (i.e., greater than 6 months) to IHS facilities and/or systems; or providing services to children under 18 year of age are subject to criminal background checks prior to performing services. The Contractor shall ensure that each employee(s) complete the Certification of Criminal History and Background Check Packets to initiate the Child & Youth Services National Agency Check with Inquiries (CNACI). The COR is responsible for providing the Contractor with all necessary background check forms. The COR is also responsible for ensuring all background check forms are fully completed and processed prior to commencement of service.

The Contractor shall return all completed forms to the Service Unit Human Resource Office located at Phoenix Area Indian Health Service, 40 North Central Avenue #510, Phoenix, AZ 85004.Contractors may be directed to the e-QIP website to complete the necessary background investigation forms online (inquire with the Service Unit should you wish to complete forms electronically). All Contractors (or their employees) must appear in person to IHS (or an IHS facility) with two acceptable forms of identity; fingerprints will be taken electronically, or on paper, at this time. This must occur prior to the first date of service (realistically allow a 14-30 day processing time before the actual start date). At a minimum, if results are not received within 5 days, the identity credentials can be issued based on a favorable FBI National Criminal History Check (fingerprint check). Note: These timeframes are based on complete and acceptable package, including legible fingerprints.

FOR MORE INFORMATION ON SECURITY REQUIREMENTS PLEASE REFER TO DHHS

SITE:

http://intranet.hhs.gov/pivcard/brochure.html

G. PERIOD OF PERFORMANCE:

Contract performance shall be for a base year and four (4) one (1) year option for renewal commencing from date of the award of the contract. Option year renewals shall be by a written amendment to the contract and approved by the Contracting Officer.

Base Year: December 1, 2016 through November 30, 2017 Option Year 1: December 1, 2017 through November 30, 2018 Option Year 2: December 1, 2018 through November 30, 2019 Option Year 3: December 1, 2019 through November 30, 2020 Option Year 4: December 1, 2020 through November 30, 2021

Option renewals will be on the basis of the existing requirement of the Government, performance of satisfactory service provided during the base year, and contingent upon availability of funds for the appropriate fiscal year.

H. DESIGNATION OF CONTRACTING OFFICER REPRESENTATIVE (COR):

Maria Gomes, maria.gomes@ihs.gov, 928-737-6000 is hereby designated the COR to monitor the performance of this order on behalf of the government.

I. CONTRACTOR OFFICER REPRESENTATIVE (COR):

The Contracting Officer will designate in writing a COR who shall be responsible for:

1 Monitoring the Contractor’s technical progress, including the surveillance and assessment of performance and recommending to the Contracting Officer, changes in requirements;

2 Interpreting scope of work;

3 Performing technical evaluations required;

4 Performing technical inspections and acceptances required by this contract;

5 Monitoring funds available for obligation under this contract;

6 The resolution of technical problems encountered during performance of this contract;

In no event is the COR empowered to change any of the terms and conditions of the contract.

Changes in the scope of work, contract price, quantity, and quality or delivery schedule shall be made only by the Contracting Officer by a properly exercised modification.

The designation of a COR does not authorize or provide a legal right to change any kind of contractual terms regardless of the Contractor’s apparent difficulties in fulfilling contract requirements.

J. CONTRACTING OFFICER (CO) RESPONSIBILITIES:

http://intranet.hhs.gov/pivcard/brochure.html mailto:maria.gomes@ihs.gov

The Contracting Officer is the only person delegated the authority to negotiate changes in terms, conditions, or amounts cited in this contract.

K. CHILD CARE NATIONAL AGENCY CHECK & INVESTIGATION (CNACI):

In accordance with the Child Care National Agency Check and Investigation (CNACI) directive, implemented by the IHS, the following documents will be required from the Contractor and all employees they utilize under this awarded contract:

1. DHHS Application Background Survey.

2. DHHS/IHS Required Application Questionnaire for Child Care Positions.

3. IHS – Release of Personal Information.

4. SF-85 Questionnaire for Non-Sensitive Positions.

5. GSA Form 176 – Statement of Personal History.

6. FD-258 Federal Bureau of Investigation Fingerprint Analysis Chart

A Contractor whose duties and responsibilities involve regular contract or control over children is subject to a character investigation as required by Public Law 101-630, the Indian Child Protection and Family Violence Prevention Act. The Phoenix Area IHS Office of Human Resources or the IHS Service Unit conducts these investigations following contract award. The Character investigation may be waived if, in the judgment of the Contracting Officer, in consultation with the Human Resource Officer, an investigation has already been conducted and is on file. Until the character investigation has been completed and the Contracting Officer notified of the results, the Contractor must not have unsupervised contact with the Indian Children.

L. SECURITY:

The Contractor shall abide by the following Security Standards that are required for the position:

Federal Security Identification Badge Request: It is the responsibility for the department to provide the necessary clearances to the IHS computer system as well as other security requirements needed for the Contractor to perform their duties.

M. INFORMATION TECHNOLOGY SECURITY:

The Indian Health Service (IHS) is responsible for maintaining an information security program that provides protection for information collected or maintained by or on behalf of the Agency;

and information systems used or operated by the Agency or by a Contractor of the Agency or other organization on behalf of the Agency.

IT SECURITY – INFORMATION SYSTEMS SECURITY AWARENESS (ISSA) TRAINING:

Information Systems Security Awareness (ISSA) is mandatory annual security awareness training for all IHS system users and fulfills Federal mandates and regulations. IHS develops the modules in line with National Institute of Standards and Technology (NIST) guidelines on information security awareness and information security trainings.

The ISSA modules fulfill an IHS user's annual requirements for the following:

1. Acknowledgement and acceptance of the IHS Rules of Behavior

2. Privacy training

3. Protecting sensitive information and the Health Insurance Portability and Accountability

Act (HIPAA) & the Health Information Technology for Economic and Clinical Health Act (HITECH)

4. Physical and information security

5. Appropriate email use

6. Protecting mobile devices and portable media

7. Social engineering awareness

8. Incident response and learning from past incidents

You can take the training or learn more at the ISSA website.

All IHS information system users must take annual security and privacy training in order to fulfill federal mandates and regulations. In addition, all new users must successfully complete this course within 24 hours of receiving access unless the user has read the IHS Quick Guide to Information Security, in which case they will have 30 days to complete the training. Failure to complete training requirements will result in the loss of information systems access.

http://www.ihs.gov/ISSA/ http://www.ihs.gov/ISSA/security_pamphlet_slick.pdf http://www.ihs.gov/ISSA/security_pamphlet_slick.pdf

SECTION C - CONTRACT CLAUSES

A. 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

This contract incorporates one or more clauses by reference, 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/these address(es):

https://www.acquisition.gov/far/

FAR

NUMBER

TITLE

DATE

52.202-1 DEFINITIONS NOV 2013

52.203-5 COVENANT AGAINST CONTIGENT FEES MAY 2014

52.203-6 RESTRICTIONS ON SUBCONTRACTOR SALES TO THE

GOVERNMENT

SEP 2006

52.203-7 ANTI-KICKBACK PROCEDURES MAY 2014

52.203-16 PREVENTING PERSONAL CONFLICTS OF INTEREST DEC 2011

52.203-17 CONTRACTOR EMPLOYEE WHISTLEBLOWER RIGHTS AND

REQUIREMENT TO INFORM

APR 2014

52.204-4 PRINTED OR COPIED DOUBLE-SIDED ON POSTCONSUMER FIBER

CONTENT PAPER

MAY 2011

52.204-9 PERSONAL IDENTITY VERIFICATION OF CONTRACTOR

PERSONNEL

JAN 2011

52.204-18 COMMERCIAL AND GOVERNMENT ENTITY CODE MAINTENANCE JUL 2015

52.204-19 INCORPORATION BY REFERENCE OF REPRESENTATIONS AND

CERTIFICATIONS

DEC 2014

52.222-17 NONDISPLACEMENT OF QUALIFIED WORKERS MAY 2014

52.222-50 COMBATING TRAFFICKING IN PERSONS MAR 2015

52.223-10 WASTE REDUCTION PROGRAM MAY 2011

52.223-18 ENCOURAGING CONTRACTOR POLICIES TO BAN TEXT

MESSAGING WHILE DRIVING

AUG 2011

52.224-1 PRIVACY ACT NOTIFICATION APR 1984

52.224-2 PRIVACY ACT APR 1984

52.225-13 RESTRICTIONS ON CERTAIN FOREIGN PURCHASES JUN 2008

52.225-25 PROHIBITION ON CONTRACTING WITH ENTITIES ENGAGING IN

CERTAIN ACTIVITIES OR TRANSACTIONS RELATING TO IRAN—

REPRESENTATION AND CERTIFICATIONS

OCT 2015

52.232-1 PAYMENTS APR 1984

https://www.acquisition.gov/far/

52.232-7 PAYMENTS UNDER TIME-AND-MATERIALS AND LABOR-HOURS

CONTRACTS

AUG 2012

52.232-18 AVAILABILITY OF FUNDS APR 1984

52.232-39 LIMITATION ON WITHHOLDING OF PAYMENTS APR 1984

52.233-2 SERVICE OF PROTEST SEP 2006

52.233-4 APPLICATION LAW FOR BREACH OF CONTRACT CLAIM OCT 2004

52.237-2 PROTECTION OF GOVERNMENT BUILDINGS, EQUIPMENT, AND

VEGETATION

APR 1984

52.237-3 CONTINUITY OF SERVICES JAN 1991

52.244-6 SUBCONTRACTS FOR COMMERCIAL ITEMS JUN 2016

B. 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO

IMPLEMENT STATUES OR EXECUTIVE ORDER – COMMERCIAL ITEMS

(JUN 2016)

(a) The Contractor shall comply with the following Federal Acquisition Regulation

(FAR) clauses, which are incorporated in this contract by reference, to implement provisions of law or Executive orders applicable to acquisitions of commercial items:

(1) 52.209-10, Prohibition on Contracting with Inverted Domestic Corporations (Nov 2015)

(2) 52.233-3, Protest After Award (AUG 1996) (31 U.S.C. 3553).

(3) 52.233-4, Applicable Law for Breach of Contract Claim (OCT 2004)(Public Laws

108-77 and 108-78 (19 U.S.C. 3805 note)).

(b) The Contractor shall comply with the FAR clauses in this paragraph (b) that the

Contracting Officer has indicated as being incorporated in this contract by reference to implement provisions of law or Executive orders applicable to acquisitions of commercial items:

[Contracting Officer check as appropriate.]

_X_ (1) 52.203-6, Restrictions on SubContractor Sales to the Government (Sept 2006), with Alternate I (Oct 1995) (41 U.S.C. 4704 and 10 U.S.C. 2402).

__ (2) 52.203-13, Contractor Code of Business Ethics and Conduct (Oct 2015) (41 U.S.C.

3509)).

__ (3) 52.203-15, Whistleblower Protections under the American Recovery and Reinvestment Act of 2009 (June 2010) (Section 1553 of Pub. L. 111-5). (Applies to contracts funded by the American Recovery and Reinvestment Act of 2009.)

_X_ (4) 52.204-10, Reporting Executive Compensation and First-Tier Subcontract Awards (Oct 2015) (Pub. L. 109-282) (31 U.S.C. 6101 note).

__ (5) [Reserved].

__ (6) 52.204-14, Service Contract Reporting Requirements (Jan 2014) (Pub. L. 111-117, section 743 of Div. C).

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__ (7) 52.204-15, Service Contract Reporting Requirements for Indefinite-Delivery Contracts (Jan 2014) (Pub. L. 111-117, section 743 of Div. C).

__ (8) 52.209-6, Protecting the Government’s Interest When Subcontracting with Contractors Debarred, Suspended, or Proposed for Debarment. (Oct 2015) (31 U.S.C. 6101 note).

__ (9) 52.209-9, Updates of Publicly Available Information Regarding Responsibility Matters (Jul 2013) (41 U.S.C. 2313).

__ (10) [Reserved].

__ (11)(i) 52.219-3, Notice of HUBZone Set-Aside or Sole-Source Award (Nov 2011)

(15 U.S.C. 657a).

__ (ii) Alternate I (Nov 2011) of 52.219-3.

__ (12)(i) 52.219-4, Notice of Price Evaluation Preference for HUBZone Small Business

Concerns (OCT 2014) (if the offeror elects to waive the preference, it shall so indicate in its offer) (15 U.S.C. 657a).

__ (ii) Alternate I (JAN 2011) of 52.219-4.

__ (13) [Reserved] _x_ (14)(i) 52.219-6, Notice of Total Small Business Set-Aside (Nov 2011) (15 U.S.C.

644).

__ (ii) Alternate I (Nov 2011).

__ (iii) Alternate II (Nov 2011).

__ (15)(i) 52.219-7, Notice of Partial Small Business Set-Aside (June 2003) (15 U.S.C.

644).

__ (ii) Alternate I (Oct 1995) of 52.219-7.

__ (iii) Alternate II (Mar 2004) of 52.219-7.

__ (16) 52.219-8, Utilization of Small Business Concerns (Oct 2014) (15 U.S.C.

637(d)(2) and (3)).

__ (17)(i) 52.219-9, Small Business Subcontracting Plan (Oct 2015) (15 U.S.C.

637(d)(4)).

__ (ii) Alternate I (Oct 2001) of 52.219-9.

__ (iii) Alternate II (Oct 2001) of 52.219-9.

__ (iv) Alternate III (Oct 2015) of 52.219-9.

__ (18) 52.219-13, Notice of Set-Aside of Orders (Nov 2011) (15 U.S.C. 644(r)).

__ (19) 52.219-14, Limitations on Subcontracting (Nov 2011) (15 U.S.C. 637(a)(14)).

__ (20) 52.219-16, Liquidated Damages—Subcon-tracting Plan (Jan 1999) (15 U.S.C.

637(d)(4)(F)(i)).

__ (21) 52.219-27, Notice of Service-Disabled Veteran-Owned Small Business Set-Aside

(Nov 2011) (15 U.S.C. 657 f).

__ (22) 52.219-28, Post Award Small Business Program Rerepresentation (Jul 2013) (15

U.S.C. 632(a)(2)).

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__ (23) 52.219-29, Notice of Set-Aside for, or Sole Source Award to, Economically Disadvantaged Women-Owned Small Business Concerns (Dec 2015) (15 U.S.C.

637(m)).

__ (24) 52.219-30, Notice of Set-Aside for, or Sole Source Award to, Women-Owned Small Business Concerns Eligible Under the Women-Owned Small Business Program (Dec 2015) (15 U.S.C. 637(m)).

_X_ (25) 52.222-3, Convict Labor (June 2003) (E.O. 11755).

_X_ (26) 52.222-19, Child Labor—Cooperation with Authorities and Remedies (Feb

2016) (E.O. 13126).

_X_ (27) 52.222-21, Prohibition of Segregated Facilities (Apr 2015).

_X_ (28) 52.222-26, Equal Opportunity (Apr 2015) (E.O. 11246).

_X_ (29) 52.222-35, Equal Opportunity for Veterans (Oct 2015)(38 U.S.C. 4212).

_X_ (30) 52.222-36, Equal Opportunity for Workers with Disabilities (Jul 2014) (29

U.S.C. 793).

_X_ (31) 52.222-37, Employment Reports on Veterans (FEB 2016) (38 U.S.C. 4212).

_X_ (32) 52.222-40, Notification of Employee Rights Under the National Labor

Relations Act (Dec 2010) (E.O. 13496).

_X_ (33)(i) 52.222-50, Combating Trafficking in Persons (Mar 2015) (22 U.S.C. chapter

78 and E.O. 13627).

__ (ii) Alternate I (Mar 2015) of 52.222-50 (22 U.S.C. chapter 78 and E.O. 13627).

_X_ (34) 52.222-54, Employment Eligibility Verification (OCT 2015). (Executive Order

12989). (Not applicable to the acquisition of commercially available off-the-shelf items or certain other types of commercial items as prescribed in 22.1803.)

__ (35)(i) 52.223-9, Estimate of Percentage of Recovered Material Content for EPA– Designated Items (May 2008) (42 U.S.C. 6962(c)(3)(A)(ii)). (Not applicable to the acquisition of commercially available off-the-shelf items.)

__ (ii) Alternate I (May 2008) of 52.223-9 (42 U.S.C. 6962(i)(2)(C)). (Not applicable to the acquisition of commercially available off-the-shelf items.)

__ (36) 52.223-11, Ozone-Depleting Substances and High Global Warming Potential Hydrofluorocarbons (JUN 2016) (E.O. 13693).

__ (37) 52.223-12, Maintenance, Service, Repair, or Disposal of Refrigeration Equipment and Air Conditioners (JUN 2016) (E.O. 13693).

__ (38)(i) 52.223-13, Acquisition of EPEAT®-Registered Imaging Equipment (JUN

2014) (E.O.s 13423 and 13514).

__ (ii) Alternate I (Oct 2015) of 52.223-13.

__ (39)(i) 52.223-14, Acquisition of EPEAT®-Registered Televisions (JUN 2014) (E.O.s

13423 and 13514).

__ (ii) Alternate I (Jun 2014) of 52.223-14.

__ (40) 52.223-15, Energy Efficiency in Energy-Consuming Products (DEC 2007) (42

U.S.C. 8259b).

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__ (41)(i) 52.223-16, Acquisition of EPEAT®-Registered Personal Computer Products (OCT 2015) (E.O.s 13423 and 13514).

__ (ii) Alternate I (Jun 2014) of 52.223-16.

_X_ (42) 52.223-18, Encouraging Contractor Policies to Ban Text Messaging While

Driving (AUG 2011) (E.O. 13513).

__ (43) 52.223-20, Aerosols (JUN 2016) (E.O. 13693).

__ (44) 52.223-21, Foams (JUN 2016) (E.O. 13693).

__ (45) 52.225-1, Buy American—Supplies (May 2014) (41 U.S.C. chapter 83).

__ (46)(i) 52.225-3, Buy American—Free Trade Agreements—Israeli Trade Act (May

2014) (41 U.S.C. chapter 83, 19 U.S.C. 3301 note, 19 U.S.C. 2112 note, 19 U.S.C. 3805 note, 19 U.S.C. 4001 note, Pub. L. 103-182, 108-77, 108-78, 108- 286, 108-302, 109-53, 109-169, 109-283, 110-138, 112-41, 112-42, and 112-43.

__ (ii) Alternate I (May 2014) of 52.225-3.

__ (iii) Alternate II (May 2014) of 52.225-3.

__ (iv) Alternate III (May 2014) of 52.225-3.

__ (47) 52.225-5, Trade Agreements (FEB 2016) (19 U.S.C. 2501, et seq., 19 U.S.C. 3301 note).

_X_ (48) 52.225-13, Restrictions on Certain Foreign Purchases (June 2008) (E.O.’s, proclamations, and statutes administered by the Office of Foreign Assets Control of the Department of the Treasury).

__ (49) 52.225-26, Contractors Performing Private Security Functions Outside the United States (Jul 2013) (Section 862, as amended, of the National Defense Authorization Act for Fiscal Year 2008; 10 U.S.C. 2302 Note).

__ (50) 52.226-4, Notice of Disaster or Emergency Area Set-Aside (Nov 2007) (42 U.S.C. 5150).

__ (51) 52.226-5, Restrictions on Subcontracting Outside Disaster or Emergency Area (Nov 2007) (42 U.S.C. 5150).

__ (52) 52.232-29, Terms for Financing of Purchases of Commercial Items (Feb 2002) (41 U.S.C. 4505, 10 U.S.C. 2307(f)).

__ (53) 52.232-30, Installment Payments for Commercial Items (Oct 1995) (41 U.S.C.

4505, 10 U.S.C. 2307(f)).

__ (54) 52.232-33, Payment by Electronic Funds Transfer—System for Award Management (Jul 2013) (31 U.S.C. 3332).

_X_ (55) 52.232-34, Payment by Electronic Funds Transfer—Other than System for Award Management (Jul 2013) (31 U.S.C. 3332).

__ (56) 52.232-36, Payment by Third Party (May 2014) (31 U.S.C. 3332).

__ (57) 52.239-1, Privacy or Security Safeguards (Aug 1996) (5 U.S.C. 552a).

__ (58)(i) 52.247-64, Preference for Privately Owned U.S.-Flag Commercial Vessels

(Feb 2006) (46 U.S.C. Appx. 1241(b) and 10 U.S.C. 2631).

__ (ii) Alternate I (Apr 2003) of 52.247-64.

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