18-235-SOL-00012_with_Attchs_(Signed).pdf

17Jul18

Attachment A-

Performance Work Statement for Behavioral and Mental Health and Psychiatric Consulting

PERFORMANCE WORK STATEMENT

Behavioral and Mental Health and Psychiatric Consulting

For Indian Health Service California Area Office

1. General Information: This is a Personal Service Contract Performance Work Statement (PWS) that defines the requirements for a professional medical consultant to work at the California Area Indian Health Service (CAIHS) under the Area Director.

Background. The California Area Indian Health Service (CAIHS) has the need for an expert in the field of behavioral and mental health, adolescent psychiatry, and addiction medicine. As described in the literature, American Indian/Alaska Natives (AI/AN) have alarming rates of alcoholism, addiction and suicide. The CDC, National Center Health Statistics states, “American Indian/Alaska Natives (AI/AN) have a 300% greater age-adjusted death rate from alcohol-induced causes than general population (CDC, NCHS, 2013)”. The 2014 Native Youth Report states that suicide is the second leading cause of death for AI/AN youth and early adult ages 15-24 years which is more than 2.5 times the National average.

In addition, due to the expansion of Drug Medi-Cal, via the California 1115 waiver, IHS will advocate and identify the American Society of Addiction Medicine (ASAM) services at Tribal/Urban T/U sites to develop the Indian Health Service Organized Delivery System (ODS). The 1115 waiver provides a mechanism for Tribal and Urban (T/U) healthcare programs to receive reimbursement for serving American Indians with substance use disorders (SUD)/addictions. More than 83 certified substance use providers work in T/U clinics and this reimbursement would allow clinics to bill for these services, therefore expanding their capacity to meet the needs of their constituents. The contractor must demonstrate knowledge and experience with coordinating care among agencies that are developing the 1115 waiver ODS. The agencies are: Centers for Medicare & Medicaid Services (CMS), California Department of Health Care Services (DHCS) Mental Health and Substance Use Disorder Compliance Division, CAIHS, Tribal Leaders, and T/U clinics to obtain SUD funding.

The CAIHS opened its’ first Youth Regional Treatment Center (YRTC) in 2017. The Desert Sage Youth Wellness Center (Desert Sage) is in its second year of operation. The CAIHS is in the process of building a second YRTC in Northern California. The YRTCs provide comprehensive and holistic residential treatment for youth who have moderate to severe substance use disorders. Approximately 80% of the youth that are referred for residential services also have a comorbid mental health diagnosis and/or problems in school. The consultant will act as psychiatric and addiction expert at the CAIHS. The consultant must have addiction medicine license/certification in the state of California and will be responsible for providing trainings (either in person or via webinar) related to addiction, normal adolescent development, and Best Practice treatment modalities for staff members employed at YRTC’s. In addition, the contractor must demonstrate knowledge and experience in working within the California Area Indian Native American T/U health care delivery system.

1. The information gathered regarding T/U ASAM levels and Substance Abuse Resource Inventory will be used by CAIHS and presented to the Centers for Medicare & Medicaid Services (CMS), Department of Health Care Services (DHCS) Mental Health and Substance Use Disorder Compliance Division, Tribal Leaders, and T/U clinics to obtain ODS status, and ultimately, SUD funding.

2. Period of Performance. Contractor is to provide consulting services at the CAIHS, one (1) day each week, not to exceed eight (8) hours a day. Performance period for all consulting requirements will be July 30, 2018-July 29, 2021 (one base year and two option years).

3. Government Furnished Equipment. Office space at CAIHS, to include computer, printer, and tele-video equipment.

4. Description of Work. The contractor shall provide continuous expert consulting services regarding behavioral health, substance use disorders, child and adult psychiatric care for internal personnel at CAIHS. The contractor shall provide a complete CAIHS Substance Abuse Resource Inventory with analysis of the California T/U behavioral health and substance use disorder (SUD) services. The contractor will coordinate the County (T/U) Implementation Plan and continually assess the Quality Improvement and Quality Assurance Plans. In addition, work cooperatively with CMS; Department of HealthCare Services, Mental Health and Substance Use Disorders;

and, the State Indian Health Program to assess current practices at T/U clinics related to the American Society of Addiction Medicine (ASAM) levels of care. The Indian Health Service Organized Delivery System (ODS) under the California 1115 waiver provides reimbursement for T/U health care programs who deliver SUD services. Specifically, the Contractor shall:

a. CAIHS Office. The contractor will work one day each week under the direction of the current behavioral health consultant at the IHS California Area Office in Sacramento, CA.

i. Continuously assess and build on the tool Substance Abuse Resource Inventory

(Behavioral Health and Substance Use Inventory) - which was done in 2015, in order to further the goal of creating a ODS.

ii. Coordinate the County (I/T/U) Implementation Plan for Indian Health ODS.

iii. Update and maintain the Quality Improvement and Quality Assurance information at T/U Indian health organizations.

iv. Write a monthly report.

1. Identify and update BH, SUD services at 22-28 T/U Indian health programs.

2. Obtain names and keep a current list of BH and SUD staff at each facility.

3. Evaluate ASAM criteria and facilitate ASAM levels of care at each site.

4. Provide expertise regarding adult and youth mental health and substance use disorder treatment. Evaluate tele-psychiatry appointments at clinics.

5. Assess current behavioral health billing procedures (i.e. SUD).

b. Education: The contractor will coordinate and arrange educational meetings for T/U health programs as well as the YRTC via webinar on topics of normal childhood development; motivational interviewing; behavioral health Resource Patient Management System (RPMS); suicide ideation, and suicide attempts using the behavioral health electronic health record; and trauma informed care.

c. Presentations and Trainings: In addition to training in section (b) the contractor shall train

California T/U healthcare program staff on suboxone/buprenorphine therapy, trauma-informed care, and addiction medicine as needed. The contractor will present a monthly webinar for all T/U health programs on topics related to medication-assisted treatment of opioid use disorder. The contractor will notify programs in advance to maximize attendance.

d. Attendance at Annual CAIHS Conferences & Trainings: The contractor shall travel to

Annual CAIHS Conference & Trainings, including but not limited to the Annual Tribal Consultation, Annual California Providers’ Best Practices & GPRA Measures Continuing Medical Education Conference, CAIHS T/U Indian health programs and other Behavioral Health Conferences.

Desert Sage Youth Wellness Center-up to twelve (12) visits during core business hours.

Hemet, California.

Tribal Leaders Meeting in March (one trip) 2019 Location unknown at this time.

California Area T/U Indian health programs two-four (2 - 4) trips.

Locations unknown at this time.

e. Psychiatric Services at YRTCs:

a. Assessment for YRTC admissions: Many youth admitted to Desert Sage have co-occurring mental health conditions that would benefit from psychotropic medication therapy. Desert Sage has maximum census of 32 and a typical treatment duration of 16 weeks. On average, there are 2 admissions per week.

Thus, Desert Sage should have the capacity to provide 8 new psychiatric assessments per month, generally 60 minutes each.

b. On-going psychiatric medication management: Each patient started on a new medication should be seen a minimum of weekly for the first 2 weeks, then biweekly for the next 6 weeks, then monthly thereafter. If there is no response or side effects, the patient may need to be seen more frequently. Uncomplicated follow-up visits are 15 minutes, whereas more complicated follow-up visits are 30 minutes. An estimated 90 minutes per week should be adequate for on-going psychiatric management. On-going psychiatric medication management sessions can occur on the same day as the new evaluations, except when more urgent.

c. Urgent consultation: Most medication side effects are not severe and can be managed during a scheduled appointment. Occasionally there may be a patient with severe side effects that require urgent evaluation. An estimated thirty minutes per week should be adequate for this contingency.

d. Withdrawal Management/Craving management: Those youths who are in serious withdrawal should be referred for in-patient medical withdrawal management. Desert Sage has the capacity to treat patients who manifest mild to moderate withdrawal symptoms using active nurse monitoring and the use of over the counter medications. Some youth who continue to have significant craving after detoxification, may require pharmacologic management for craving symptoms. The estimated time requirements for this management is 1-2 hours per week.

e. Case management/recordkeeping: Each clinical interactions requires some additional case management (phone calls from pharmacy, contact with collateral sources, etc.) and record management. This usually is an additional 30% to the patient contact time.

f. Weekly Treatment Team Meeting participation: The Desert Sage uses an interdisciplinary team approach to treatment. The treatment team convenes each Wednesday. The contractor will participate in the weekly treatment team meeting to discuss and monitor the treatment plan progress of the residents. it would be beneficial for the psychiatrist to participate in the treatment team meeting. An estimated 2 hours per week should be adequate for Treatment Team Meetings.

g. Weekly admission discussions: Desert Sage continuously accepts applications from the community. The contractor shall conduct 2 discussions (Monday and Friday) each week to provide admission/referral decisions more quickly. An estimated 2 hours per week should be adequate for admission discussions.

h. Collaborative Physician Agreement: The contractor agrees to be available for consultation and guidance if the Nurse Practitioner has questions or something is beyond their scope of practice. The contractor will make provisions for someone to be available to serve in this role if the contractor is not available (i.e. on leave.) Contractor will meet with the Nurse Practitioner for case review each quarter. An estimated 90 minutes per week should be adequate for Collaborative Physician duties.

i. Medical Director Duties: The administrative requirements for medical director services are limited in terms of time requirements. They primarily involve drafting clinical protocols, and review and signature of policies and procedures and miscellaneous documents. The clinical requirements for this involve writing admission and discharge orders for each resident as described in the YRTC policies and procedures. An estimated 4 hours per month should be adequate for Medical Director Duties.

f. DELIVERABLES:

a. One webinar per month delivered to all T/U health programs on medication-assisted treatment of opioid disorder.

b. One report per month providing an update of the California 1115 waiver as well as a description of the T/U health care clinics contacted.

i. Provide a synopsis of new information regarding the California 1115 Waiver, as applicable.

ii. Include Site Specific Summary. The contractor shall develop and submit a concise, updated, and complete summary report that describes each T/U ASAM levels of care. Identify site specific Quality Improvement Manager and assess for current Quality Improvement and Assurance for the I/T/U (County) implementation ODS.

1. Site Description;

2. Methodology;

3. Description of Group Participants (by job title);

4. Current ASAM level and assess readiness;

5. Define local Quality Management and Quality Improvement (QI) coordinator at each site and current QI program.

6. Summary of findings; and

7. Recommendations (if any) for future discussions.

Each site report is due no later than 30 calendar days after the site visit. Site specific Summary Report(s) shall be transmitted to the Government electronically via email to the Government points of contact shown on page 4.

c. Final Report. The contractor will use the site reports and other findings to create a cumulative Final Report. The Final Report shall be transmitted to the Government electronically via email to the Government points of contact shown on Page 5.

d. CAIHS Substance Abuse Resource Inventory. The contractor will maintain and update current inventory to include 1) ASAM criteria; 2) Director of Program; and,

3) Summary of current behavioral health/mental health billing system.

e. On-site Trainings. The contractor shall travel to T/U programs to provide training related to SUD and addiction medicine best practices, as needed.

f. Desert Sage monthly reports: The contractor will provide a monthly report on admission assessments performed; on-going psychiatric medication management;

urgent consultations; withdrawal management; case management; participation in weekly team meetings; weekly admission discussions, and report any direct medical director requirements.

TRAVEL COSTS. Costs for transportation, lodging, meals, and incidental expenses incurred by contractor personnel on official company business are allowable subject to FAR 31.205-46 Travel Costs, General Services Agency, Joint Travel Regulations; and Indian Health Service Manual Part 5-Management Services, Chapter 8 -Travel. Costs for lodging, meals, and incidental expenses may be based on per diem, actual expenses, or a combination thereof, provided the method used results in a reasonable charge. For more information on allowable costs see:

http://www.gsa.gov/portal/ext/public/site/FTR/file/Chapter301p010.html/category/2186 8/#wp1089090. All requests for reimbursement shall be audited prior to disbursement of payments.

g. Allowable Costs. The Contractor may only invoice for those expenses actually incurred and shall provide copies of all original travel receipts with invoice(s) for reimbursement. All costs shall be in accordance with GSA published per diem rates at: http://www.gsa.gov/portal/content/104877. Those costs that exceed the allowable rate shall not be reimbursed. At a minimum, all invoices requesting travel reimbursement shall include receipts for:

i. Lodging, shall be paid in accordance with GSA rates

(http://www.gsa.gov/portal/content/104877)

ii. Common Carrier;

iii. Telephone Calls to a Residence;

iv. Registration Fee; and

v. Any other expense in excess of $75.00.

h. Governing Regulations

FAR 31.205-46--Travel Costs (http://www.farmaster.com/farmaster/data/idx/FAR84/3102050046.htm)

General Services Agency, Joint Travel regulations (http://www.gsa.gov/portal/content/104790)

Indian Health Service Manual Part 5-Management Services, Chapter 8 -Travel (https://www.ihs.gov/IHM/index.cfm?module=dsp_ihm_pc_p5c8#5-8.13Q)

G. GOVERNMENT OF POINTS OF CONTACT

a. Technical Point of Contact, Ms. Carrie Greene, Project Officer Indian Health Service, California Area Office 650 Capitol Mall, Suite 7-100 Sacramento, California 95814 916/930-3981, x331 Carrie.Greene@IHS.gov

b. Dr. Steve Riggio

Indian Health Service, California Area Office 650 Capitol Mall, Suite 7-100 Sacramento, California 95814 916/930-3981, x322 Steve.Riggio@IHS.gov

c. Contracting Point of Contact: Ronda English Indian Health Service, California Area Office 650 Capitol Mall, Suite 7-100 Sacramento, California 95814 916/930-3981, x346 Ronda.English@IHS.gov

h. Invoice and Payments

a. Contractor shall be paid at an hourly rate based on hours submitted on monthly invoices. Invoices shall be verified by the Contracting Officer’s Representative before payment is authorized.

b. Payment shall be paid monthly in arrears upon acceptance by the Government.

c. All costs relating to TDY travels shall be broken out with receipts for all expenses over $75.00

d. Final invoice shall be marked “FINAL PAY.”

e. One (1) copy of the invoice with the supporting documentation including report(s) and travel expenses shall be transmitted via email or U.S. mail to:

i. Ms. Carrie Greene

Indian Health Services 650 Capitol Mall, Suite 7-100 Sacramento, California 95814 916/930-3981 x331

ii. Stephen J. Riggio

Indian Health Services 650 Capitol Mall, Suite 7-100 Sacramento, California 95814 916/930-3981 x318

Exhibit 1 Performance Requirements Summary

Performance Objective Standard Performance

Threshold Method of Surveillance

PRS #1

Contractor shall attend

(24) meetings to Desert Sage Youth Wellness Center

The Contractor shall be physically present and ready during core treatment hours (~8 a.m. to ~4p.m.) All travel shall be in accordance with the JTR.

100% Method of Surveillance: Will be reviewed and accepted by the Contracting Officer’s Representative (COR).

PRS#2

Contractor shall conduct site specific evaluations.

The Contractor shall schedule meetings at 22-28 individual sites as listed in the PWS. Contractor shall provide a schedule to the Project Officer.

100% Method of Surveillance: Will be reviewed and accepted by the Contracting Officer’s Representative.

PRS #3

The contractor shall provide a Site Specific Summary Report as described in pages 4-5.

The contractor is to provide the Site Specific Summary Report electronically.

100%

Method of Surveillance: Will be reviewed and accepted by the Contracting Officer’s Representative.

PRS #4

The contractor shall provide a Final Report.

The contractor is to provide the Final Report electronically.

100%

Method of Surveillance: Will be reviewed and accepted by the Contracting Officer’s Representative.

PRS #5

The Contractor shall provide an updated Substance Abuse Resource Inventory.

The contractor is to provide the Updated Substance Abuse Resource Inventory electronically.

100% Method of Surveillance: Will be reviewed and accepted by the Contracting Officer’s Representative.

PRS #6

The Contractor shall host monthly webinars for T/U health programs on medication-assisted treatment for opioid use disorder.

The contractor will send PowerPoint/Webinar presentations to the Behavioral Health Consultant.

100% Method of Surveillance: Will be reviewed and accepted by the Contracting Officer’s Representative.

PRS #7

The Contractor shall provide a written report each month describing YRTC support services completed as described on pages 3 and 4.

The contractor will submit report to Behavioral Health Consultant.

100% Method of Surveillance: Will be reviewed and accepted by the Contracting Officer’s Representative.

EXHIBIT 2

DELIVERABLES SCHEDULE

Deliverable Frequency # of Copies Medium/Format Submit To

Contractor shall be positioned at the California Area Office, Sacramento, CA

1 day per week 1 email to BH

POC

100% BH POC

Contractor shall attend meetings, including:

Annual Providers’ Best Practices & GPRA Measures Continuing Medical Education, Annual Tribal Consultation CATAC, and Executive Directors Meeting

Up to five (5) 1- 2-day meetings

Email Copy 100% Email to BH

POC

Contractor will provide site visit summary reports to individual T/U health programs as defined by COR. The site specific summary Report shall be provided

No later than 30 calendar days after the site visit

2 copies

Word doc and .pdf

Copies shall be provided to the points of contact designated on Page 5.

The Final Report shall be provided

No later than 30 days after completion

2 copies

Word doc and .pdf

Copies shall be provided to the points of contact designated on Page 5.

PowerPoint presentations shall be provided

2 weeks prior to speaking date.

1 copy Power point Copies shall be provided to the points of contact designated on Page 5.

ATTACHMENT B - PRICING LIST

Activity/Deliverable Hours per activity

Quantity Total annual hours for activity

Total price for activity

Attendance at CAO

Desert Sage site visits

Tribal Leaders Mtg

Best Practice Conference

Other Conferences and

Training

T/U site visits

Reports

Option Year One line item 1001- Total Amount (based upon items listed above but these might change at exercising the option year) _______________________ Option Year Two line item 2001- Total Amount (based upon items listed above but these might change at exercising the option year) _______________________

Total Amount for Base and each Option Year: ______________________

Contract Clauses Commercial Items and Services

(Revised 15Jul18)

By Reference

52.202-1 -- Definitions 52.203-6 Alternate 1-- Restrictions on Subcontractor Sales to the Government

52.203-17 – Contractor Employee Whistleblower Rights and Requirement To Inform Employees of Whistleblower Rights

By Full Text

52.204-9 -- Personal Identity Verification of Contractor Personnel (Jan 2011).

(a) The Contractor shall comply with agency personal identity verification procedures identified in the contract that implement Homeland Security Presidential Directive-12 (HSPD-12), Office of Management and Budget (OMB) guidance M-05-24, and Federal Information Processing Standards Publication (FIPS PUB) Number 201.

(b) The Contractor shall account for all forms of Government-provided identification issued to the Contractor employees in connection with performance under this contract. The Contractor shall return such identification to the issuing agency at the earliest of any of the following, unless otherwise determined by the Government;

(1) When no longer needed for contract performance.

(2) Upon completion of the Contractor employee’s employment.

(3) Upon contract completion or termination.

(c) The Contracting Officer may delay final payment under a contract if the Contractor fails to comply with these requirements.

(d) The Contractor shall insert the substance of clause, including this paragraph (d), in all subcontracts when the subcontractor’s employees are required to have routine physical access to a Federally-controlled facility and/or routine access to a Federally-controlled information system. It shall be the responsibility of the prime Contractor to return such identification to the issuing agency in accordance with the terms set forth in paragraph (b) of this section, unless otherwise approved in writing by the Contracting Officer.

ATTACHMENT C - FAR CLAUSES

(End of Clause)

52.204-13 – System for Award Management Maintenance.

As prescribed in 4.1105(b), use the following clause:

System for Award Management Maintenance (Jul 2013)

(a) Definition. As used in this clause--

“Data Universal Numbering System (DUNS) number” means the 9-digit number assigned by Dun and Bradstreet, Inc. (D&B) to identify unique business entities, which is used as the identification number for Federal Contractors.

“Data Universal Numbering System+4 (DUNS+4) number” means the DUNS number assigned by D&B plus a 4-character suffix that may be assigned by a business concern. (D&B has no affiliation with this 4-character suffix.) This 4-character suffix may be assigned at the discretion of the business concern to establish additional SAM records for identifying alternative Electronic Funds Transfer (EFT) accounts (see the FAR at subpart 32.11) for the same concern.

“Registered in the System for Award Management (SAM) database” means that—

(1) The Contractor has entered all mandatory information, including the DUNS number or the DUNS+4 number, the Contractor and government Entity (CAGE) code, as well as data required by the Federal Funding Accountability and Transparency Act of 2006 (see subpart 4.14), into the SAM database;

(2) The Contractor has completed the Core, Assertions, Representations and Certifications, and Points of Contact sections of the registration in the SAM database;

(3) The Government has validated all mandatory data fields, to include validation of the Taxpayer Identification Number (TIN) with the Internal Revenue Service (IRS). The Contractor will be required to provide consent for TIN validation to the Government as a part of the SAM registration process; and

(4) The Government has marked the record “Active”.

“System for Award Management (SAM)” means the primary Government repository for prospective Federal awardee and Federal awardee information and the centralized Government system for certain contracting, grants, and other assistance-related processes. It includes—

(1) Data collected from prospective Federal awardees required for the conduct of business with the Government;

(2) Prospective contractor-submitted annual representations and certifications in accordance with FAR subpart 4.12; and

(3) Identification of those parties excluded from receiving Federal contracts, certain subcontracts, and certain types of Federal financial and non-financial assistance and benefits.

(b) The Contractor is responsible for the accuracy and completeness of the data within the SAM database, and for any liability resulting from the Government’s reliance on inaccurate or incomplete data. To remain registered in the SAM database after the initial registration, the Contractor is required to review and update on an annual basis, from the date of initial registration or subsequent updates, its information in the SAM database to ensure it is current, accurate and complete. Updating information in the SAM does not alter the terms and conditions of this contract and is not a substitute for a properly executed contractual document.

(c)

(1)

(i) If a Contractor has legally changed its business name, doing business as name, or division name (whichever is shown on the contract), or has transferred the assets used in performing the contract, but has not completed the necessary requirements regarding novation and change-of-name agreements in subpart 42.12, the Contractor shall provide the responsible Contracting Officer a minimum of one business day’s written notification of its intention to—

(A) Change the name in the SAM database;

(B) Comply with the requirements of subpart 42.12 of the FAR; and

(C) Agree in writing to the timeline and procedures specified by the responsible Contracting Officer. The Contractor shall provide with the notification sufficient documentation to support he legally changed name.

(ii) If the Contractor fails to comply with the requirements of paragraph (c)(1)(i) of this clause, or fails to perform the agreement at paragraph (c)(1)(i)(C) of this clause, and, in the absence of a properly executed novation or change-of-name agreement, the SAM information that shows the Contractor to be other than the Contractor indicated in the contract will be considered to be incorrect information within the meaning of the “Suspension of Payment” paragraph of the electronic funds transfer (EFT) clause of this contract.

(2) The Contractor shall not change the name or address for EFT payments or manual payments, as appropriate, in the SAM record to reflect an assignee for the purpose of assignment of claims (see FAR subpart 32.8, Assignment of Claims). Assignees shall be separately registered in the SAM. Information provided to the Contractor’s SAM record that indicates payments, including those made by EFT, to an ultimate recipient other than that Contractor will be considered to be incorrect information within the meaning of the “Suspension of Payment” paragraph of the EFT clause of this contract.

(3) The Contractor shall ensure that the DUNS number is maintained with Dun & Bradstreet throughout the life of the contract. The Contractor shall communicate any change to the DUNS number to the Contracting Officer within 30 days after the change, so an appropriate modification can be issued to update the data on the contract. A change in the DUNS number does not necessarily require a novation be accomplished. Dun & Bradstreet may be contacted—

(i) Via the internet at http://fedgov.dnb.com/webform or if the Contractor does not have internet access, it may call Dun and Bradstreet at 1-866-705-5711 if located within the United States; or

(ii) If located outside the United States, by contacting the local Dun and Bradstreet office.

(d) Contractors may obtain additional information on registration and annual confirmation requirements at https://www.acquisition.gov.

(End of Clause)

FAR 52.212-1 -- Instructions to Offerors -- Commercial Items (Oct 2015)

(a) North American Industry Classification System (NAICS) code and small business size standard. The NAICS code and small business size standard for this acquisition appear in Block 10 of the solicitation cover sheet (SF 1449). However, the small business size standard for a concern which submits an offer in its own name, but which proposes to furnish an item which it did not itself manufacture, is 500 employees.

(b) Submission of offers. Submit signed and dated offers to the office specified in this solicitation at or before the exact time specified in this solicitation. Offers may be submitted on the SF 1449, letterhead stationery, or as otherwise specified in the solicitation. As a minimum, offers must show --

(1) The solicitation number; 18-235-SOL-00012

(2) The time specified in the solicitation for receipt of offers; Responses Due Date in Solicitation

(3) The name, address, and telephone number of the offeror;

(4) A technical description of the items being offered in sufficient detail to evaluate compliance with the requirements in the solicitation. This may include product literature, or other documents, if necessary;

(5) Terms of any express warranty;

(6) Price and any discount terms;

(7) “Remit to” address, if different than mailing address; Preferred method of receipt is EMAIL to Ronda.English@ihs.gov is acceptable by due date and time or a hard copy of all required propoasl items may be mail to:

CAIHS

ATTN: Ronda English 650 Capital Mall STE 7-100 Sacramento CA 95814

(8) A completed copy of the representations and certifications at FAR 52.212-3 (see FAR 52.212-3(b) for those representations and certifications that the offeror shall complete electronically);

(9) Acknowledgment of Solicitation Amendments;

(10) Past performance information, when included as an evaluation factor, to include recent and relevant contracts for the same or similar items and other references (including contract numbers, points of contact with telephone numbers and other relevant information); and

(11) If the offer is not submitted on the SF 1449, include a statement specifying the extent of agreement with all terms, conditions, and provisions included in the solicitation.

Offers that fail to furnish required representations or information, or reject the terms and conditions of the solicitation may be excluded from consideration.

(c) Period for acceptance of offers. The offeror agrees to hold the prices in its offer firm for 30 calendar days from the date specified for receipt of offers, unless another time period is specified in an addendum to the solicitation.

(d) Product samples. When required by the solicitation, product samples shall be submitted at or prior to the time specified for receipt of offers. Unless otherwise specified in this solicitation, these samples shall be submitted at no expense to the Government, and returned at the sender’s request and expense, unless they are destroyed during preaward testing.

(e) Multiple offers. Offerors are encouraged to submit multiple offers presenting alternative terms and conditions or commercial items for satisfying the requirements of this solicitation.

Each offer submitted will be evaluated separately.

(f) Late submissions, modifications, revisions, and withdrawals of offers.

(1) Offerors are responsible for submitting offers, and any modifications, revisions, or withdrawals, so as to reach the Government office designated in the solicitation by the time specified in the solicitation. If no time is specified in the solicitation, the time for receipt is 4:30 p.m., local time, for the designated Government office on the date that offers or revisions are due.

(2)

(i) Any offer, modification, revision, or withdrawal of an offer received at the Government office designated in the solicitation after the exact time specified for receipt of offers is “late” and will not be considered unless it is received before award is made, the Contracting Officer determines that accepting the late offer would not unduly delay the acquisition; and—

(A) If it was transmitted through an electronic commerce method authorized by the solicitation, it was received at the initial point of entry to the Government infrastructure not later than 5:00 p.m. one working day prior to the date specified for receipt of offers; or

(B) There is acceptable evidence to establish that it was received at the Government installation designated for receipt of offers and was under the Government’s control prior to the time set for receipt of offers; or

(C) If this solicitation is a request for proposals, it was the only proposal received.

(ii) However, a late modification of an otherwise successful offer, that makes its terms more favorable to the Government, will be considered at any time it is received and may be accepted.

(3) Acceptable evidence to establish the time of receipt at the Government installation includes the time/date stamp of that installation on the offer wrapper, other documentary evidence of receipt maintained by the installation, or oral testimony or statements of Government personnel.

(4) If an emergency or unanticipated event interrupts normal Government processes so that offers cannot be received at the Government office designated for receipt of offers by the exact time specified in the solicitation, and urgent Government requirements preclude amendment of the solicitation or other notice of an extension of the closing date, the time specified for receipt of offers will be deemed to be extended to the same time of day specified in the solicitation on the first work day on which normal Government processes resume.

(5) Offers may be withdrawn by written notice received at any time before the exact time set for receipt of offers. Oral offers in response to oral solicitations may be withdrawn orally. If the solicitation authorizes facsimile offers, offers may be withdrawn via facsimile received at any time before the exact time set for receipt of offers, subject to the conditions specified in the solicitation concerning facsimile offers. An offer may be withdrawn in person by an offeror or its authorized representative if, before the exact time set for receipt of offers, the identity of the person requesting withdrawal is established and the person signs a receipt for the offer.

(g) Contract award (not applicable to Invitation for Bids). The Government intends to evaluate offers and award a contract without discussions with offerors. Therefore, the offeror’s initial offer should contain the offeror’s best terms from a price and technical standpoint. However, the Government reserves the right to conduct discussions if later determined by the Contracting Officer to be necessary. The Government may reject any or all offers if such action is in the public interest; accept other than the lowest offer; and waive informalities and minor irregularities in offers received.

(h) Multiple awards. The Government may accept any item or group of items of an offer, unless the offeror qualifies the offer by specific limitations. Unless otherwise provided in the Schedule, offers may not be submitted for quantities less than those specified. The Government reserves the right to make an award on any item for a quantity less than the quantity offered, at the unit prices offered, unless the offeror specifies otherwise in the offer.

(i) Availability of requirements documents cited in the solicitation.

(1)

(i) The GSA Index of Federal Specifications, Standards and Commercial Item Descriptions, FPMR Part 101-29, and copies of specifications, standards, and commercial item descriptions cited in this solicitation may be obtained for a fee by submitting a request to--

GSA Federal Supply Service Specifications Section

Suite 8100 470 L’Enfant Plaza, SW Washington, DC 20407 Telephone (202) 619-8925)

Facsimile (202 619-8978).

(ii) If the General Services Administration, Department of Agriculture, or Department of Veterans Affairs issued this solicitation, a single copy of specifications, standards, and commercial item descriptions cited in this solicitation may be obtained free of charge by submitting a request to the addressee in paragraph (i)(1)(i) of this provision. Additional copies will be issued for a fee.

(2) Most unclassified Defense specifications and standards may be downloaded from the following ASSIST websites--

(i) ASSIST (https://assist.dla.mil/online/start/ ).

(ii) Quick Search (http://quicksearch.dla.mil/).

(iii) ASSISTdocs.com (http://assistdocs.com).

(3) Documents not available from ASSIST may be ordered from the Department of Defense Single Stock Point (DoDSSP) by—

(i) Using the ASSIST Shopping Wizard ( https://assist.dla.mil/wizard/index.cfm );

(ii) Phoning the DoDSSP Customer Service Desk (215) 697-2179, Mon-Fri, 0730 to 1600 EST; or

(iii) Ordering from DoDSSP, Building 4 Section D, 700 Robbins Avenue, Philadelphia, PA 19111-5094, Telephone (215) 697/2197, Facsimile (215) 697- 1462.

(4) Nongovernment (voluntary) standards must be obtained from the organization responsible for their preparation, publication, or maintenance.

(j) Data Universal Numbering System (DUNS) Number. (Applies to offers exceeding $3,500, and offers of $3,500 or less if the solicitation requires the Contractor to be registered in the System for Award Management (SAM) database. The offeror shall enter, in the block with its name and address on the cover page of its offer, the annotation “DUNS” or “DUNS+4” followed by the DUNS or DUNS+4 number that identifies the offeror’s name and address. The DUNS+4 is the DUNS number plus a 4-character suffix that may be assigned at the discretion of the offeror to establish additional SAM records for identifying alternative Electronic Funds Transfer (EFT) accounts (see FAR Subpart 32.11) for the same concern. If the offeror does not have a DUNS number, it should contact Dun and Bradstreet directly to obtain one. An offeror within the United States may contact Dun and Bradstreet by calling 1-866-705-5711 or via the Internet at http://fedgov.dnb.com/webform. An offeror located outside the United States must contact the local Dun and Bradstreet office for DUNS number. The offeror should indicate that it is an offeror for a Government contract when contacting the local Dun and Bradstreet office.

(k) System for Award Management. Unless exempted by an addendum to this solicitation, by submission of an offer, the offeror acknowledges the requirement that a prospective awardee shall be registered in the SAM database prior to award, during performance and through final payment of any contract resulting from this solicitation. If the Offeror does not become registered in the SAM database in the time prescribed by the Contracting Officer, the Contracting Officer will proceed to award to the next otherwise successful registered Offeror.

Offerors may obtain information on registration and annual confirmation requirements via the SAM database accessed through https://www.acquisition.gov.

(l) Debriefing. If a post-award debriefing is given to requesting offerors, the Government shall disclose the following information, if applicable:

(1) The agency’s evaluation of the significant weak or deficient factors in the debriefed offeror’s offer.

(2) The overall evaluated cost or price and technical rating of the successful and debriefed offeror and past performance information on the debriefed offeror.

(3) The overall ranking of all offerors, when any ranking was developed by the agency during source selection.

(4) A summary of rationale for award;

(5) For acquisitions of commercial items, the make and model of the item to be delivered by the successful offeror.

(6) Reasonable responses to relevant questions posed by the debriefed offeror as to whether source-selection procedures set forth in the solicitation, applicable regulations, and other applicable authorities were followed by the agency.

(End of Provision)

52.212-2 -- Evaluation -- Commercial Items.

Evaluation -- Commercial Items (Oct 2014)

(a) The Government will award a contract resulting from this solicitation to the responsible offeror whose offer conforming to the solicitation will be most advantageous to the Government, price and other factors considered. The following factors shall be used to evaluate offers:

This solicitation 18-235-SOL-00012 for a Personal Service Contract for a professional behavioral and mental health consultant with a performance work statement with specific requirements in the California Area Indian Health Service (CAIHS) under the Area Director.

This solicitation will be in accordance with FAR 12.602(b. The following evaluation criteria factors includes Technical Capabilities, Price and Past Performance. Each factor is equal in importance.

1. Technical Capabilities: Offeror must provide one copy of each function area/category listed below with a license, certification, and educational document to ensure compliance of the required function area (offerors must provide a copy of licenses/certifications for each functional area to be technically acceptable and responsive; if any function area below are missed or omitted with proposal package then the offeror will be deemed not responsive and rated unacceptable for award):

Medical Degree Addiction Medicine License/Certification Child Psychiatry Adult Psychiatry Professional Resume (one-page limitation on 8”x10” paper) listing work experience with dates and point of contact/references names, phone numbers, addresses and email address; Professional Resume is to demonstrate knowledge and work experience within the California Area Indian Native American Tribal/Urban (T/U) health care delivery system.

2. Past Performance: Offerors must provide a one-page description summary of their recent and relevant past performance in the specialty field of psychiatry, with focus in behavioral and mental health, adolescent psychiatry, and addiction medicine. The summary must include actual dates of coverage and point of contacts including names, phone numbers and/or email addresses. Recent timeframe is defined as within the last three (3) years and relevant is defined as the technical experience mentioned above with a proven past performance will demonstrate their medical consulting experience in the field of psychiatry focused on behavioral and mental health, adolescent psychiatry, and addiction medicine.

3. Price: Price proposals will be based upon “hourly” labor rates performing the work requirements listed in the PWS. A Personal Service Contract labor rates must be similar rates and not exceed the per diem rate equivalent to the maximum rate payable to a senior-level position to be deemed “fair and reasonable” and awardable. Pricing will be based upon “hourly” rates but will be submitted as a “lump sum” line item. Payments will be monthly.

The evaluation process of offerors will be based upon the lowest priced technically acceptable:

the lowest priced offeror will be evaluated first, if the lowest priced offeror is deemed technically acceptable with the non-priced factors listed in 1 and 2 then no other offeror will be evaluated.

However, if deemed unacceptable, then the next lowest priced offeror will be evaluated until a technically acceptable offeror is determined.

(a) Technical and past performance, when combined, are ____EQUAL.

(b) 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).

(c) 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.

(End of Provision)

FAR 52.212-3 -- Offeror Representations and Certifications -- Commercial Items (Apr 2016)

The offeror shall complete only paragraphs (b) of this provision if the Offeror has completed the annual representations and certification electronically via the System for Award Management

(SAM) Web site accessed through http://www.acquisition.gov . If the Offeror has not completed the annual representations and certifications electronically, the Offeror shall complete only paragraphs (c) through (r) of this provision.

(a) Definitions. As used in this provision--

“Economically disadvantaged women-owned small business (EDWOSB) concern” means a small business concern that is at least 51 percent directly and unconditionally owned by, and the management and daily business operations of which are controlled by, one or more women who are citizens of the United States and who are economically disadvantaged in accordance with 13 CFR part 127. It automatically qualifies as a women-owned small business eligible under the WOSB Program.

“Forced or indentured child labor” means all work or service—

(1) Exacted from any person under the age of 18 under the menace of any penalty for its nonperformance and for which the worker does not offer himself voluntarily; or

(2) Performed by any person under the age of 18 pursuant to a contract the enforcement of which can be accomplished by process or penalties.

“Highest-level owner” means the entity that owns or controls an immediate owner of the offeror, or that owns or controls one or more entities that control an immediate owner of the offeror. No entity owns or exercises control of the highest level owner.

“Immediate owner” means an entity, other than the offeror, that has direct control of the offeror.

Indicators of control include, but are not limited to, one or more of the following: Ownership or interlocking management, identity of interests among family members, shared facilities and equipment, and the common use of employees.

“Inverted domestic corporation,” means a foreign incorporated entity that meets the definition of an inverted domestic corporation under 6 U.S.C. 395(b), applied in accordance with the rules and definitions of 6 U.S.C. 395(c).

“Manufactured end product” means any end product in product and service codes (PSCs) 1000- 9999, except—

(1) PSC 5510, Lumber and Related Basic Wood Materials;

(2) Product or Service Group (PSG) 87, Agricultural Supplies;

(3) PSG 88, Live Animals;

(4) PSG 89, Subsistence;

(5) PSC 9410, Crude Grades of Plant Materials;

(6) PSC 9430, Miscellaneous Crude Animal Products, Inedible;

(7) PSC 9440, Miscellaneous Crude Agricultural and Forestry Products;

(8) PSC 9610, Ores;

(9) PSC 9620, Minerals, Natural and Synthetic; and

(10) PSC 9630, Additive Metal Materials.

“Place of manufacture” means the place where an end product is assembled out of components, or otherwise made or processed from raw materials into the finished product that is to be provided to the Government. If a product is disassembled and reassembled, the place of reassembly is not the place of manufacture.

“Predecessor” means an entity that is replaced by a successor and includes any predecessors of the predecessor.

“Restricted business operations” means business operations in Sudan that include power production activities, mineral extraction activities, oil-related activities, or the production of military equipment, as those terms are defined in the Sudan Accountability and Divestment Act of 2007 (Pub. L. 110-174). Restricted business operations do not include business operations that the person (as that term is defined in Section 2 of the Sudan Accountability and Divestment Act of 2007) conducting the business can demonstrate—

(1) Are conducted under contract directly and exclusively with the regional government of southern Sudan;

(2) Are conducted pursuant to specific authorization from the Office of Foreign Assets Control in the Department of the Treasury, or are expressly exempted under Federal law from the requirement to be conducted under such authorization;

(3) Consist of providing goods or services to marginalized populations of Sudan;

(4) Consist of providing goods or services to an internationally recognized peacekeeping force or humanitarian organization;

(5) Consist of providing goods or services that are used only to promote health or education; or

(6) Have been voluntarily suspended.

Sensitive technology—

(1) Means hardware, software, telecommunications equipment, or any other technology that is to be used specifically—

(i) To restrict the free flow of unbiased information in Iran; or

(ii) To disrupt, monitor, or otherwise restrict speech of the people of Iran; and

(2) Does not include information or informational materials the export of which the President does not have the authority to regulate or prohibit pursuant to section 203(b)(3) of the International Emergency Economic Powers Act (50 U.S.C. 1702(b)(3)).

“Service-disabled veteran-owned small business concern”—

(1) Means a small business concern—

(i) Not less than 51 percent of which is owned by one or more service-disabled veterans or, in the case of any publicly owned business, not less than 51 percent of the stock of which is owned by one or more service-disabled veterans; and

(ii) The management and daily business operations of which are controlled by one or more service-disabled veterans or, in the case of a service-disabled veteran with…