Solitication_18-247-SOL-00004.pdf

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Attached to
Web Based Policy Management Federal contract opportunity
Solicitation number
18-247-SOL-00004
Issued by
Department of Health and Human Services Indian Health Service

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Solicitation Policy Management

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Other files attached to Web Based Policy Management, newest first.
File Type Posted
Additional_Questions_21_Feb_18.docx DOCX document
Questions_dtd_31_Jan_2018.pdf PDF
18-247-SOL-00004_Amend__1.pdf PDF
Clauses_PM_AW_12.21.2017.pdf PDF
Atch_D-_POLICY_MAN._SOW_20_DEC17_REV4_.pdf PDF
Policy_Management_Questions.pdf PDF
Attachment_C-_Phoenix_Tax_Excemption_Letter_.pdf PDF
Attachment_B_-_Business_Associate_Ag.pdf PDF
Atch_D-_POLICY_MAN._SOW_1_Nov17_REV3_.pdf PDF
Attachment_A_-_Pricing_SchedulePM.xlsx XLSX spreadsheet

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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 85004-4424 Suite 507, Attn: Division of Acquisition Mgmt Two Renaissance Square, 40 North Central Ave Phoenix Area Indian Health Service

CODE 16. ADMINISTERED BYCODE

X

X

X

541519

SIZE STANDARD:

% FOR:SET ASIDE:UNRESTRICTED OR10

RFPIFB

10. THIS ACQUISITION ISCODE

RFQ

14. METHOD OF SOLICITATION

13b. RATING

NAICS:

SMALL BUSINESS

01/09/2018 1700 ET

11/30/2017

602-364-5044MICHELE LODGE

(No collect calls)

INFORMATION CALL:

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

4. ORDER NUMBER3. AWARD/ 6. SOLICITATION

18-247-SOL-00004

5. SOLICITATION NUMBER

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

1 72 OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

TELEPHONE NO.

17a. CONTRACTOR/

Multiple Destinations

15. DELIVER TO

Phoenix AZ 85004-4450 Suite 507 Attn: Division of Acquisition Mgmt Two Renaissance Square, 40 North Central Ave

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 Area 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.

Web Based Software Policy Management. It is the intent of IHS to acquire an electronic solution for the management of official policies and procedures for nine (9) healthcare facilities, inclusive of acute care hospitals, Critical Access Hospitals (CAH), ambulatory health care centers, and Youth Residential Treatment facilities (YRTCs), within the Phoenix Area Indian Health Services as described herein. The contractor is requested to provide services for a 12 month base period and four (4) 12-month option

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

HEREIN, IS ACCEPTED AS TO ITEMS:

X

XX

DATED

ORLANDO GUERRERO

. 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. ADDENDA

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.

periods. This contract covers the period of one

(1) base year after contract award and four (4) one (1) year option periods, which may be exercised at the IHS discretion and are subject to the contractors satisfactory performance of the Services under this contract.

Attachment A: Pricing Schedule

Attachment B: Business Associates Agreement

Attachment C: Tax Exemption Letter

Attachment D: Statement of Work

NOTE: An award is contingent upon the

Availability of Funds IAW FAR 52.232-18.

Period of Performance: 02/05/2018 to 02/04/2023

1 Base Year. Policy Management Services for

Colorado River Service Unit (Inclusive of Parker

Indian Health, Peach Springs Health Center, Chemehuevi Clinic, Supai Clinic, Moapa Clinic)

Period of Performance: 5 February 2018 thru 4

February 2019

Delivery Location Code: IHSCOLORADORIVER

IHSCOLORADORIVER

12033 AGENCY RD

PARKER AZ 85344 US

Delivery Location Code: IHSPEACHSPRINGS

Continued ...

32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

72 2 of

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

3 72

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

18-247-SOL-00004

IHSPEACHSPRINGS

P.O. BOX 190, 943 HUALALPAI WAY

PEACH SPRINGS AZ 86434 US

Period of Performance: 02/05/2018 to 02/04/2019

2 Option Year One. Policy Management Services for

Colorado River Service Unit (Inclusive of Parker

Indian Health, Peach Springs Health Center, Chemehuevi Clinic, Supai Clinic, Moapa Clinic)

(Option Line Item)

Period of Performance: 5 February 2019 thru 4

February 2020

(Option Line Item)

Delivery Location Code: IHSCOLORADORIVER

IHSCOLORADORIVER

12033 AGENCY RD

PARKER AZ 85344 US

Period of Performance: 02/05/2019 to 02/04/2020

3 Option Year Two. Policy Management Services for

Colorado River Service Unit (Inclusive of Parker

Indian Health, Peach Springs Health Center, Chemehuevi Clinic, Supai Clinic, Moapa Clinic)

(Option Line Item)

Period of Performance: 5 February 2020 thru 4

February 2021

(Option Line Item)

Delivery Location Code: IHSCOLORADORIVER

IHSCOLORADORIVER

12033 AGENCY RD

PARKER AZ 85344 US

Period of Performance: 02/05/2020 to 02/04/2021

4 Option Year Three. Policy Management Services for

Colorado River Service Unit (Inclusive of Parker

Indian Health, Peach Springs Health Center, Chemehuevi Clinic, Supai Clinic, Moapa Clinic)

(Option Line Item)

Period of Performance: 5 February 2021 thru 4

February 2022

(Option Line Item)

Delivery Location Code: IHSCOLORADORIVER

IHSCOLORADORIVER

Continued ...

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

Sponsored by GSA

FAR (48 CFR) 53.110

4 72

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

18-247-SOL-00004

12033 AGENCY RD

PARKER AZ 85344 US

Period of Performance: 02/05/2021 to 02/04/2022

5 Option Year Four. Policy Management Services for

Colorado River Service Unit (Inclusive of Parker

Indian Health, Peach Springs Health Center, Chemehuevi Clinic, Supai Clinic, Moapa Clinic)

(Option Line Item)

Period of Performance: 5 February 2022 thru 4

February 2023

(Option Line Item)

Delivery Location Code: IHSCOLORADORIVER

IHSCOLORADORIVER

12033 AGENCY RD

PARKER AZ 85344 US

Period of Performance: 02/05/2022 to 02/04/2023

6 Base Year. Policy Management Services for Desert

Visions/Nevada Skies

Period of Performance: 5 February 2018 thru 4

February 2019

Delivery Location Code: IHSCOLORADORIVER

IHSCOLORADORIVER

12033 AGENCY RD

PARKER AZ 85344 US

Period of Performance: 02/05/2018 to 02/04/2019

7 Option Year One. Policy Management Services for

Desert Visions/Nevada Skies

(Option Line Item)

Period of Performance: 5 February 2019 thru 4

February 2020

(Option Line Item)

Delivery Location Code: IHSCOLORADORIVER

IHSCOLORADORIVER

12033 AGENCY RD

PARKER AZ 85344 US

Period of Performance: 02/05/2019 to 02/04/2020

8 Option Year Two. Policy Management Services for

Desert Visions/Nevada Skies

(Option Line Item)

Period of Performance: 5 February 2020 thru 4

Continued ...

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

5 72

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

18-247-SOL-00004

February 2021

(Option Line Item)

Delivery Location Code: IHSCOLORADORIVER

IHSCOLORADORIVER

12033 AGENCY RD

PARKER AZ 85344 US

Period of Performance: 02/05/2020 to 02/04/2021

9 Option Year Three. Policy Management Services for

Desert Visions/Nevada Skies

(Option Line Item)

Period of Performance: 5 February 2021 thru 4

February 2022

(Option Line Item)

Delivery Location Code: IHSCOLORADORIVER

IHSCOLORADORIVER

12033 AGENCY RD

PARKER AZ 85344 US

Period of Performance: 02/05/2021 to 02/04/2022

10 Option Year Four. Policy Management Services for

Desert Visions/Nevada Skies

(Option Line Item)

Period of Performance: 5 February 2022 thru 4

February 2023

(Option Line Item)

Delivery Location Code: IHSCOLORADORIVER

IHSCOLORADORIVER

12033 AGENCY RD

PARKER AZ 85344 US

Period of Performance: 02/05/2022 to 02/04/2023

11 Base Year. Policy Management Services for Elko

Service Unit

Period of Performance: 5 February 2018 thru 4

February 2019

Delivery Location Code: IHSCOLORADORIVER

IHSCOLORADORIVER

12033 AGENCY RD

PARKER AZ 85344 US

Period of Performance: 02/05/2018 to 02/04/2019

12 Option Year One. Policy Management Services for

Continued ...

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

6 72

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

18-247-SOL-00004

Elko Service Unit

(Option Line Item)

Period of Performance: 5 February 2019 thru 4

February 2020

(Option Line Item)

Delivery Location Code: IHSCOLORADORIVER

IHSCOLORADORIVER

12033 AGENCY RD

PARKER AZ 85344 US

Period of Performance: 02/05/2019 to 02/04/2020

13 Option Year Two. Policy Management Services for

Elko Service Unit

(Option Line Item)

Period of Performance: 5 February 2020 thru 4

February 2021

(Option Line Item)

Delivery Location Code: IHSCOLORADORIVER

IHSCOLORADORIVER

12033 AGENCY RD

PARKER AZ 85344 US

Period of Performance: 02/05/2020 to 02/04/2021

14 Option Year Three. Policy Management Services for

Elko Service Unit

(Option Line Item)

Period of Performance: 5 February 2021 thru 4

February 2022

(Option Line Item)

Delivery Location Code: IHSCOLORADORIVER

IHSCOLORADORIVER

12033 AGENCY RD

PARKER AZ 85344 US

Period of Performance: 02/05/2021 to 02/04/2022

15 Option Year Four. Policy Management Services for

Elko Service Unit

(Option Line Item)

Period of Performance: 5 February 2022 thru 4

February 2023

(Option Line Item)

Delivery Location Code: IHSCOLORADORIVER

IHSCOLORADORIVER

Continued ...

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

7 72

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

18-247-SOL-00004

12033 AGENCY RD

PARKER AZ 85344 US

Period of Performance: 02/05/2022 to 02/04/2023

16 Base Year. Policy Management Services for Fort

Yuma Service Unit

Period of Performance: 5 February 2018 thru 4

February 2019

Delivery Location Code: IHSCOLORADORIVER

IHSCOLORADORIVER

12033 AGENCY RD

PARKER AZ 85344 US

Period of Performance: 02/05/2018 to 02/04/2019

17 Option Year One. Policy Management Services for

Fort Yuma Service Unit

(Option Line Item)

Period of Performance: 5 February 2019 thru 4

February 2020

(Option Line Item)

Delivery Location Code: IHSCOLORADORIVER

IHSCOLORADORIVER

12033 AGENCY RD

PARKER AZ 85344 US

Period of Performance: 02/05/2019 to 02/04/2020

18 Option Year Two. Policy Management Services for

Fort Yuma Service Unit

(Option Line Item)

Period of Performance: 5 February 2020 thru 4

February 2021

(Option Line Item)

Delivery Location Code: IHSCOLORADORIVER

IHSCOLORADORIVER

12033 AGENCY RD

PARKER AZ 85344 US

Period of Performance: 02/05/2020 to 02/04/2021

19 Option Year Three. Policy Management Services for

Fort Yuma Service Unit

(Option Line Item)

Period of Performance: 5 February 2021 thru 4

February 2022

(Option Line Item)

Continued ...

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

8 72

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

18-247-SOL-00004

Delivery Location Code: IHSCOLORADORIVER

IHSCOLORADORIVER

12033 AGENCY RD

PARKER AZ 85344 US

Period of Performance: 02/05/2021 to 02/04/2022

20 Option Year Four. Policy Management Services for

Fort Yuma Service Unit

(Option Line Item)

Period of Performance: 5 February 2022 thru 4

February 2023

(Option Line Item)

Delivery Location Code: IHSCOLORADORIVER

IHSCOLORADORIVER

12033 AGENCY RD

PARKER AZ 85344 US

Period of Performance: 02/05/2022 to 02/04/2023

21 Base Year. Policy Management Services for Hopi

Health Care Center

Period of Performance: 5 February 2018 thru 4

February 2019

Delivery Location Code: IHSCOLORADORIVER

IHSCOLORADORIVER

12033 AGENCY RD

PARKER AZ 85344 US

Period of Performance: 02/05/2018 to 02/04/2019

22 Option Year One. Policy Management Services for

Hopi Health Care Center

(Option Line Item)

Period of Performance: 5 February 2019 thru 4

February 2020

(Option Line Item)

Delivery Location Code: IHSCOLORADORIVER

IHSCOLORADORIVER

12033 AGENCY RD

PARKER AZ 85344 US

Period of Performance: 02/05/2019 to 02/04/2020

23 Option Year Two. Policy Management Services for

Hopi Health Care Center

(Option Line Item)

Continued ...

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

9 72

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

18-247-SOL-00004

Period of Performance: 5 February 2020 thru 4

February 2021

(Option Line Item)

Delivery Location Code: IHSCOLORADORIVER

IHSCOLORADORIVER

12033 AGENCY RD

PARKER AZ 85344 US

Period of Performance: 02/05/2020 to 02/04/2021

24 Option Year Three. Policy Management Services for

Hopi Health Care Center

(Option Line Item)

Period of Performance: 5 February 2021 thru 4

February 2022

(Option Line Item)

Delivery Location Code: IHSCOLORADORIVER

IHSCOLORADORIVER

12033 AGENCY RD

PARKER AZ 85344 US

Period of Performance: 02/05/2021 to 02/04/2022

25 Option Year Four. Policy Management Services for

Hopi Health Care Center

(Option Line Item)

Period of Performance: 5 February 2022 thru 4

February 2023

(Option Line Item)

Delivery Location Code: IHSCOLORADORIVER

IHSCOLORADORIVER

12033 AGENCY RD

PARKER AZ 85344 US

Period of Performance: 02/05/2022 to 02/04/2023

26 Base Year. Policy Management Services for Phoenix

Service Unit (Inclusive of Phoenix Indian Medical

Center & Sherman Indian School)

Period of Performance: 5 February 2018 thru 4

February 2019

Delivery Location Code: IHSCOLORADORIVER

IHSCOLORADORIVER

12033 AGENCY RD

PARKER AZ 85344 US

Period of Performance: 02/05/2018 to 02/04/2019

Continued ...

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

10 72

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

18-247-SOL-00004

27 Option Year One. Policy Management Services for

Phoenix Service Unit (Inclusive of Phoenix Indian

Medical Center & Sherman Indian School)

(Option Line Item)

Period of Performance: 5 February 2019 thru 4

February 2020

(Option Line Item)

Delivery Location Code: IHSCOLORADORIVER

IHSCOLORADORIVER

12033 AGENCY RD

PARKER AZ 85344 US

Period of Performance: 02/05/2019 to 02/04/2020

28 Option Year Two. Policy Management Services for

Phoenix Service Unit (Inclusive of Phoenix Indian

Medical Center & Sherman Indian School)

(Option Line Item)

Period of Performance: 5 February 2020 thru 4

February 2021

(Option Line Item)

Delivery Location Code: IHSCOLORADORIVER

IHSCOLORADORIVER

12033 AGENCY RD

PARKER AZ 85344 US

Period of Performance: 02/05/2020 to 02/04/2021

29 Option Year Three. Policy Management Services for

Phoenix Service Unit (Inclusive of Phoenix Indian

Medical Center & Sherman Indian School)

(Option Line Item)

Period of Performance: 5 February 2021 thru 4

February 2022

(Option Line Item)

Delivery Location Code: IHSCOLORADORIVER

IHSCOLORADORIVER

12033 AGENCY RD

PARKER AZ 85344 US

Period of Performance: 02/05/2021 to 02/04/2022

30 Option Year Four. Policy Management Services for

Phoenix Service Unit (Inclusive of Phoenix Indian

Medical Center & Sherman Indian School)

Continued ...

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

11 72

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

18-247-SOL-00004

(Option Line Item)

Period of Performance: 5 February 2022 thru 4

February 2023

(Option Line Item)

Delivery Location Code: IHSCOLORADORIVER

IHSCOLORADORIVER

12033 AGENCY RD

PARKER AZ 85344 US

Period of Performance: 02/05/2022 to 02/04/2023

31 Base Year. Policy Management Services for

Uintah-Ouray Service Unit (U&O)

Period of Performance: 5 February 2018 thru 4

February 2019

Delivery Location Code: IHSCOLORADORIVER

IHSCOLORADORIVER

12033 AGENCY RD

PARKER AZ 85344 US

Period of Performance: 02/05/2018 to 02/04/2019

32 Option Year One. Policy Management Services for

Uintah-Ouray Service Unit (U&O)

(Option Line Item)

Period of Performance: 5 February 2019 thru 4

February 2020

(Option Line Item)

Delivery Location Code: IHSCOLORADORIVER

IHSCOLORADORIVER

12033 AGENCY RD

PARKER AZ 85344 US

Period of Performance: 02/05/2019 to 02/04/2020

33 Option Year Two. Policy Management Services for

Uintah-Ouray Service Unit (U&O)

(Option Line Item)

Period of Performance: 5 February 2020 thru 4

February 2021

(Option Line Item)

Delivery Location Code: IHSCOLORADORIVER

IHSCOLORADORIVER

12033 AGENCY RD

PARKER AZ 85344 US

Period of Performance: 02/05/2020 to 02/04/2021

Continued ...

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

12 72

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

18-247-SOL-00004

34 Option Year Three. Policy Management Services for

Uintah-Ouray Service Unit (U&O)

(Option Line Item)

Period of Performance: 5 February 2021 thru 4

February 2022

(Option Line Item)

Delivery Location Code: IHSCOLORADORIVER

IHSCOLORADORIVER

12033 AGENCY RD

PARKER AZ 85344 US

Period of Performance: 02/05/2021 to 02/04/2022

35 Option Year Four. Policy Management Services for

Uintah-Ouray Service Unit (U&O)

(Option Line Item)

Period of Performance: 5 February 2022 thru 4

February 2023

(Option Line Item)

Delivery Location Code: IHSCOLORADORIVER

IHSCOLORADORIVER

12033 AGENCY RD

PARKER AZ 85344 US

Period of Performance: 02/05/2022 to 02/04/2023

36 Base Year. Policy Management Services for

Whiteriver Service Unit (Inclusive of Whiteriver

Indian Hospital & Cibecue Health Center)

Period of Performance: 5 February 2018 thru 4

February 2019

Delivery Location Code: IHSCOLORADORIVER

IHSCOLORADORIVER

12033 AGENCY RD

PARKER AZ 85344 US

Period of Performance: 02/05/2018 to 02/04/2019

37 Option Year One. Policy Management Services for

Whiteriver Service Unit (Inclusive of Whiteriver

Indian Hospital & Cibecue Health Center)

(Option Line Item)

Period of Performance: 5 February 2019 thru 4

February 2020

(Option Line Item)

Continued ...

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

13 72

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

18-247-SOL-00004

Delivery Location Code: IHSCOLORADORIVER

IHSCOLORADORIVER

12033 AGENCY RD

PARKER AZ 85344 US

Period of Performance: 02/05/2019 to 02/04/2020

38 Option Year Two. Policy Management Services for

Whiteriver Service Unit (Inclusive of Whiteriver

Indian Hospital & Cibecue Health Center)

(Option Line Item)

Period of Performance: 5 February 2020 thru 4

February 2021

(Option Line Item)

Delivery Location Code: IHSCOLORADORIVER

IHSCOLORADORIVER

12033 AGENCY RD

PARKER AZ 85344 US

Period of Performance: 02/05/2020 to 02/04/2021

39 Option Year Three. Policy Management Services for

Whiteriver Service Unit (Inclusive of Whiteriver

Indian Hospital & Cibecue Health Center)

(Option Line Item)

Period of Performance: 5 February 2021 thru 4

February 2022

(Option Line Item)

Delivery Location Code: IHSCOLORADORIVER

IHSCOLORADORIVER

12033 AGENCY RD

PARKER AZ 85344 US

Period of Performance: 02/05/2021 to 02/04/2022

40 Option Year Four. Policy Management Services for

Whiteriver Service Unit (Inclusive of Whiteriver

Indian Hospital & Cibecue Health Center)

(Option Line Item)

Period of Performance: 5 February 2022 thru 4

February 2023

(Option Line Item)

Delivery Location Code: IHSCOLORADORIVER

IHSCOLORADORIVER

12033 AGENCY RD

PARKER AZ 85344 US

Period of Performance: 02/05/2022 to 02/04/2023

Continued ...

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

14 72

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

18-247-SOL-00004

41 Base Year. Policy Management Services for Phoenix

Area Indian Health Services

Period of Performance: 5 February 2018 thru 4

February 2019

Delivery Location Code: IHSCOLORADORIVER

IHSCOLORADORIVER

12033 AGENCY RD

PARKER AZ 85344 US

Period of Performance: 02/05/2018 to 02/04/2019

42 Option Year One. Policy Management Services for

Phoenix Area Indian Health Services

(Option Line Item)

Period of Performance: 5 February 2019 thru 4

February 2020

(Option Line Item)

Delivery Location Code: IHSCOLORADORIVER

IHSCOLORADORIVER

12033 AGENCY RD

PARKER AZ 85344 US

Period of Performance: 02/05/2019 to 02/04/2020

43 Option Year Two. Policy Management Services for

Phoenix Area Indian Health Services

(Option Line Item)

Period of Performance: 5 February 2020 thru 4

February 2021

(Option Line Item)

Delivery Location Code: IHSCOLORADORIVER

IHSCOLORADORIVER

12033 AGENCY RD

PARKER AZ 85344 US

Period of Performance: 02/05/2020 to 02/04/2021

44 Option Year Three. Policy Management Services for

Phoenix Area Indian Health Services

(Option Line Item)

Period of Performance: 5 February 2021 thru 4

February 2022

(Option Line Item)

Delivery Location Code: IHSCOLORADORIVER

IHSCOLORADORIVER

Continued ...

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

15 72

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

18-247-SOL-00004

12033 AGENCY RD

PARKER AZ 85344 US

Period of Performance: 02/05/2021 to 02/04/2022

45 Option Year Four. Policy Management Services for

Phoenix Area Indian Health Services

(Option Line Item)

Period of Performance: 5 February 2022 thru 4

February 2023

(Option Line Item)

Delivery Location Code: IHSCOLORADORIVER

IHSCOLORADORIVER

12033 AGENCY RD

PARKER AZ 85344 US

Period of Performance: 02/05/2022 to 02/04/2023

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

Web Based Software for Policy Management Services

Area Wide for Indian Health Services

CONTINUATION FROM SF-1449:

Table of Contents

SECTION B – CONTINUATION OF SF 1449

B.1 CONTRACT ADMINISTRATION DATA

B.2 SPECIAL CONTRACT REQUIREMENTS

A. DESIGNATION OF CONTRACTING OFFICER REPRESENTATIVE (COR)

SECTION C - CONTRACT CLAUSES

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

B. 52-212-2 EVALUTAION –COMMERCIAL ITEMS

C. 52-212-4 EVALUATION COMMERCIAL ITEMS (OCT 2014)

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

STATUES OR EXECUTIVE ORDER – COMMERCIAL ITEMS (JUN 2016)

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

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

G. 52.232-18 AVAILABILITY OF FUNDS (APR 1984)

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

J. DEPARTMENT OF HEALTH AND HUMAN SERVICES TOBACCO POLICY

SECTION D – CONTRACT DOCUMENTS, EXHIBITS OR ATTACHMENTS

A. ATTACHMENT A: PRICING SCHEDULE

B. ATTACHMENT B: BUSINESS ASSOCIATES AGREEMENT

C. ATTACHMENT C: TAX EXEMPTION LETTER

D. ATTACHMENT D: STATEMENT OF WORK

SECTION E – SOLICITATION PROVISIONS

A. 52.216-1 TYPE OF CONTRACT (APR1984)

B. 52.233-2 SERVICE OF PROTEST (SEP 2006)

C. INSTRUCTIONS TO OFFERORS

B.1 CONTRACT ADMINISTRATION DATA

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

NOTIFICATION TO OFFEROR:

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:

Orlando Guerrero, Contracting Officer

Indian Health Service (IHS)

Phoenix Area Office

Division of Acquisition Management

Two Renaissance Square

40 N. Central Avenue, Suite 507

Phoenix, AZ 85004-0931

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- The Debt Collection Act of 1996 requires that Federal non-tax payments made after January 1, 1996 be made by Electronic

Funds Transfer (EFT

[ ] 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 http://www.sam.gov/

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

REPORTING AND INVOICING:

Contractor shall establish a recordkeeping system of contractor services provided. Contractor may only bill for actual hours worked on-site at the PIMC. 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: AA) Base Period Policy Management CRSU

Total Amount

Electronic Invoicing: The Phoenix Indian Medical Center (PIMC) 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 PHX_PIMCAPInvoice@ihs.gov.

Phoenix Indian Medical Center

Attn: Financial Management Branch

4212 North 16th Street

Phoenix, AZ 85016

Phone: 602-248-4183

Fax: 602-248-4185

Payments in Full/ No Billing PIMC Beneficiaries: The contractor shall accept payment for services rendered under this contract as payment in full. PIMC 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 PIMC 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 PIMC 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.

Service Unit Representatives: jana.towne@ihs.gov.

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

mailto:PHX_PIMCAPInvoice@ihs.gov mailto:jana.towne@ihs.gov

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. DESIGNATION OF CONTRACTING OFFICER REPRESENTATIVE (COR):

Captain Jana Towne, 602-364-5184 is hereby designated the COR to monitor the performance of this order on behalf of the government.

INSTRUCTION TO OFFERORS:

RFQ Submission Guidelines

I. TECHNICAL QUOTE PREPARATION:

Page Limit: Limit to 20 pages including the cover page and font size 12. Any pages in excess of 20 pages will not necessarily be evaluated.

II. COST QUOTE PREPARATION:

1. Format:

The pricing schedule must be completed.

2. Content:

The attached Pricing schedule (Exhibit A) should be filled out completely with the total price for the cost per FTE’s listed for each of the nine (9) locations and summarized total.

Solicitation/Contract Form

52.203-6 Restrictions on Subcontractor Sales to the Government. (SEP 2006) - Alternate I (OCT

1995)

52.212-3 Offeror Representations and Certifications-Commercial Items. (JAN 2017)

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

Award Management (SAM) website located at https://www.sam.gov/portal. If the Offeror has not completed the annual representations and certifications electronically, the Offeror shall complete only paragraphs (c) through (u) of this provision.

(a) Definitions. As used in this provision—

“Administrative merits determination” means certain notices or findings of labor law violations issued by an enforcement agency following an investigation. An administrative merits determination may be final or be subject to appeal or further review. To determine whether a particular notice or finding is covered by this definition, it is necessary to consult section II.B. in the DOL Guidance.

“Arbitral award or decision” means an arbitrator or arbitral panel determination that a labor law violation occurred, or that enjoined or restrained a violation of labor law. It includes an award or decision that is not final or is subject to being confirmed, modified, or vacated by a court, and includes an award or decision resulting from private or confidential proceedings. To determine whether a particular award or decision is covered by this definition, it is necessary to consult section II.B. in the DOL Guidance.

“Civil judgment” means–

(1) In paragraph (h) of this provision: A judgment or finding of a civil offense by any court of competent jurisdiction.

(2) In paragraph (s) of this provision: Any judgment or order entered by any Federal or State court in which the court determined that a labor law violation occurred, or enjoined or restrained a violation of labor law. It includes a judgment or order that is not final or is subject to appeal. To determine whether a particular judgment or order is covered by this definition, it is necessary to consult section II.B. in the DOL Guidance.

“DOL Guidance” means the Department of Labor (DOL) Guidance entitled:

“Guidance for Executive Order 13673, ‘Fair Pay and Safe Workplaces’”. The DOL

Guidance was initially published in the Federal Register on August 25, 2016, and significant revisions will be published for public comment in the Federal Register. The

DOL Guidance and subsequent versions can be obtained from www.dol.gov/fairpayandsafeworkplaces.

https://www.sam.gov/portal https://www.acquisition.gov/sites/default/files/current/far/html/www.dol.gov/fairpayandsafeworkplaces

“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.

“Enforcement agency” means any agency granted authority to enforce the Federal labor laws. It includes the enforcement components of DOL (Wage and Hour Division, Office of Federal Contract Compliance Programs, and Occupational Safety and Health

Administration), the Equal Employment Opportunity Commission, the Occupational

Safety and Health Review Commission, and the National Labor Relations Board. It also means a State agency designated to administer an OSHA-approved State Plan, but only to the extent that the State agency is acting in its capacity as administrator of such plan. It does not include other Federal agencies which, in their capacity as contracting agencies, conduct investigations of potential labor law violations. The enforcement agencies associated with each labor law under E.O. 13673 are–

(1) Department of Labor Wage and Hour Division (WHD) for–

(i) The Fair Labor Standards Act;

(ii) The Migrant and Seasonal Agricultural Worker Protection Act;

(iii) 40 U.S.C. chapter 31, subchapter IV, formerly known as the Davis-Bacon

Act;

(iv) 41 U.S.C. chapter 67, formerly known as the Service Contract Act;

(v) The Family and Medical Leave Act; and

(vi) E.O. 13658 of February 12, 2014 (Establishing a Minimum Wage for

Contractors);

(2) Department of Labor Occupational Safety and Health Administration (OSHA) for–

(i) The Occupational Safety and Health Act of 1970; and

(ii) OSHA-approved State Plans;

(3) Department of Labor Office of Federal Contract Compliance Programs (OFCCP) for–

(i) Section 503 of the Rehabilitation Act of 1973;

(ii) The Vietnam Era Veterans’ Readjustment Assistance Act of 1972 and the

Vietnam Era Veterans’ Readjustment Assistance Act of 1974; and

(iii) E.O. 11246 of September 24, 1965 (Equal Employment Opportunity);

(4) National Labor Relations Board (NLRB) for the National Labor Relations Act;

and

(5) Equal Employment Opportunity Commission (EEOC) for–

(i) Title VII of the Civil Rights Act of 1964;

http://uscode.house.gov/

(ii) The Americans with Disabilities Act of 1990;

(iii) The Age Discrimination in Employment Act of 1967; and

(iv) Section 6(d) of the Fair Labor Standards Act (Equal Pay Act).

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

(6) 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

(7) 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).

“Labor compliance agreement” means an agreement entered into between a contractor or subcontractor and an enforcement agency to address appropriate remedial measures, compliance assistance, steps to resolve issues to increase compliance with the labor laws, or other related matters.

“Labor laws” means the following labor laws and E.O.s:

(1) The Fair Labor Standards Act.

(2) The Occupational Safety and Health Act (OSHA) of 1970.

(3) The Migrant and Seasonal Agricultural Worker Protection Act.

(4) The National Labor Relations Act.

(5) 40 U.S.C. chapter 31, subchapter IV, formerly known as the Davis-Bacon Act.

(6) 41 U.S.C. chapter 67, formerly known as the Service Contract Act.

(7) E.O. 11246 of September 24, 1965 (Equal Employment Opportunity).

(8) Section 503 of the Rehabilitation Act of 1973.

(9) The Vietnam Era Veterans’ Readjustment Assistance Act of 1972 and the

Vietnam Era Veterans' Readjustment Assistance Act of 1974.

(10) The Family and Medical Leave Act.

(11) Title VII of the Civil Rights Act of 1964.

(12) The Americans with Disabilities Act of 1990.

(13) The Age Discrimination in Employment Act of 1967.

(14) E.O. 13658 of February 12, 2014 (Establishing a Minimum Wage for

Contractors).

http://uscode.house.gov/ http://uscode.house.gov/

(15) Equivalent State laws as defined in the DOL Guidance. (The only equivalent

State laws implemented in the FAR are OSHA-approved State Plans, which can be found at www.osha.gov/dcsp/osp/approved_state_plans.html).

“Labor law decision” means an administrative merits determination, arbitral award or decision, or civil judgment, which resulted from a violation of one or more of the laws listed in the definition of “labor laws”.

“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;

https://www.acquisition.gov/sites/default/files/current/far/html/www.osha.gov/dcsp/osp/approved_state_plans.html

(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 permanent and severe disability, the spouse or permanent caregiver of such veteran.

(2) Service-disabled veteran means a veteran, as defined in 38 U.S.C. 101(2), with a disability that is service-connected, as defined in 38 U.S.C. 101(16).

“Small business concern” means a concern, including its affiliates, that is independently owned and operated, not dominant in the field of operation in which it is bidding on Government contracts, and qualified as a small business under the criteria in

13 CFR Part 121 and size standards in this solicitation.

“Small disadvantaged business concern”, consistent with 13 CFR 124.1002, means a small business concern under the size standard applicable to the acquisition, that—

(1) Is at least 51 percent unconditionally and directly owned (as defined at 13 CFR

124.105) by—

(i) One or more socially disadvantaged (as defined at 13 CFR 124.103) and economically disadvantaged (as defined at 13 CFR 124.104) individuals who are citizens of the United States; and

(ii) Each individual claiming economic disadvantage has a net worth not exceeding $750,000 after taking into account the applicable exclusions set forth at 13

CFR 124.104(c)(2); and

(2) The management and daily business operations of which are controlled (as defined at 13.CFR 124.106) by individuals, who meet the criteria in paragraphs (1)(i) and

(ii) of this definition.

“Subsidiary” means an entity in which more than 50 percent of the entity is owned— http://uscode.house.gov/ http://uscode.house.gov/uscode-cgi/fastweb.exe?getdoc+uscview+t37t40+200+2++%2838%29%20%20AND%20%28%2838%29%20ADJ%20USC%29%3ACITE%20%20%20%20%20%20%20%20%20 http://uscode.house.gov/uscode-cgi/fastweb.exe?getdoc+uscview+t37t40+200+2++%2838%29%20%20AND%20%28%2838%29%20ADJ%20USC%29%3ACITE%20%20%20%20%20%20%20%20%20

(1) Directly by a parent corporation; or

(2) Through another subsidiary of a parent corporation.

“Veteran-owned small business concern” means a small business concern—

(1) Not less than 51 percent of which is owned by one or more veterans (as defined at 38 U.S.C. 101(2)) 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 veterans; and

(2) The management and daily business operations of which are controlled by one or more veterans.

“Successor” means an entity that has replaced a predecessor by acquiring the assets and carrying out the affairs of the predecessor under a new name (often through acquisition or merger). The term “successor” does not include new offices/divisions of the same company or a company that only changes its name. The extent of the responsibility of the successor for the liabilities of the predecessor may vary, depending on State law and specific circumstances.

“Women-owned business concern” means a concern which is at least 51 percent owned by one or more women; or in the case of any publicly owned business, at least

51 percent of its stock is owned by one or more women; and whose management and daily business operations are controlled by one or more women.

“Women-owned small business concern” means a small business concern—

(1) That is at least 51 percent owned by one or more women; or, in the case of any publicly owned business, at least 51 percent of the stock of which is owned by one or more women; and

(2) Whose management and daily business operations are controlled by one or more women.

“Women-owned small business (WOSB) concern eligible under the WOSB Program”

(in accordance with 13 CFR part 127), 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.

Note to paragraph (a): By a court order issued on October 24, 2016, the following definitions in this paragraph (a) are enjoined indefinitely as of the date of the order:

“Administrative merits determination”, “Arbitral award or decision”, paragraph (2) of

“Civil judgment”, “DOL Guidance”, “Enforcement agency”, “Labor compliance agreement”, “Labor laws”, and “Labor law decision”. The enjoined definitions will become effective immediately if the court terminates the injunction. At that time, GSA, DoD and NASA will publish a document in the Federal Register advising the public of the termination of the injunction.

http://uscode.house.gov/uscode-cgi/fastweb.exe?getdoc+uscview+t37t40+200+2++%2838%29%20%20AND%20%28%2838%29%20ADJ%20USC%29%3ACITE%20%20%20%20%20%20%20%20%20

(b)(1) Annual Representations and Certifications. Any changes provided by the offeror in paragraph (b)(2) of this provision do not automatically change the representations and certifications posted on the SAM website.

(2) The offeror has completed the annual representations and certifications electronically via the SAM website accessed through http://www.acquisition.gov. After reviewing the SAM database information, the offeror verifies by submission of this offer that the representations and certifications currently posted electronically at FAR 52.212-

3, Offeror Representations and Certifications—Commercial Items, have been entered or updated in the last 12 months, are current, accurate, complete, and applicable to this solicitation (including the business size standard applicable to the NAICS code referenced for this solicitation), as of the date of this offer and are incorporated in this offer by reference (see FAR 4.1201), except for paragraphs ______________.

[Offeror to identify the applicable paragraphs at (c) through (t) of this provision that the offeror has completed for the purposes of this solicitation only, if any.

These amended representation(s) and/or certification(s) are also incorporated in this offer and are current, accurate, and complete as of the date of this offer.

Any changes provided by the offeror are applicable to this solicitation only, and do not result in an update to the representations and certifications posted electronically on

SAM.]

(c) Offerors must complete the following representations when the resulting contract will be performed in the United States or its outlying areas. Check all that apply.

(1) Small business concern. The offeror represents as part of its offer that it □ is, □ is not a small business concern.

(2) Veteran-owned small business concern. [Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision.] The offeror represents as part of its offer that it □ is, □ is not a veteran-owned small business concern.

(3) Service-disabled veteran-owned small business concern. [Complete only if the offeror represented itself as a veteran-owned small business concern in paragraph (c)(2) of this provision.] The offeror represents as part of its offer that it □ is, □ is not a service-disabled veteran-owned small business concern.

(4) Small disadvantaged business concern. [Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision.] The offeror represents, that it □ is, □ is not a small disadvantaged business concern as defined in

13 CFR 124.1002.

(5) Women-owned small business concern. [Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision.] The offeror represents that it □ is, □ is not a women-owned small business concern.

http://www.acquisition.gov/ https://www.acquisition.gov/sites/default/files/current/far/html/52_212_213.html#wp1179194 https://www.acquisition.gov/sites/default/files/current/far/html/52_212_213.html#wp1179194 https://www.acquisition.gov/sites/default/files/current/far/html/Subpart%204_12.html#wp1073667

(6) WOSB concern eligible under the WOSB Program. [Complete only if the offeror represented itself as a women-owned small business concern in paragraph (c)(5) of this provision.] The offeror represents that—

(i) It □ is,□ is not a WOSB concern eligible under the WOSB Program, has provided all the required documents to the WOSB Repository, and no change in circumstances or adverse decisions have been issued that affects its eligibility; and

(ii) It □ is, □ is not a joint venture that complies with the requirements of 13 CFR part 127, and the representation in paragraph (c)(6)(i) of this provision is accurate for each WOSB concern eligible under the WOSB Program participating in the joint venture.

[The offeror shall enter the name or names of the WOSB concern eligible under the

WOSB Program and other small businesses that are participating in the joint venture:

__________.] Each WOSB concern eligible under the WOSB Program participating in the joint venture shall submit a separate signed copy of the WOSB representation.

(7) Economically disadvantaged women-owned small business (EDWOSB) concern.

[Complete only if the offeror represented itself as a WOSB concern eligible under the

WOSB Program in (c)(6) of this provision.] The offeror represents that—

(i) It □ is, □ is not an EDWOSB concern, has provided all the required documents to the WOSB Repository, and no change in circumstances or adverse decisions have been issued that affects its eligibility; and

(ii) It □ is, □ is not a joint venture that complies with the requirements of 13 CFR part 127, and the representation in paragraph (c)(7)(i) of this provision is accurate for each EDWOSB concern participating in the joint venture. [The offeror shall enter the name or names of the EDWOSB concern and other small businesses that are participating in the joint venture: __________.] Each EDWOSB concern participating in the joint venture shall submit a separate signed copy of the EDWOSB representation.

Note: Complete paragraphs (c)(8) and (c)(9) only if this solicitation is expected to exceed the simplified acquisition threshold.

(8) Women-owned business concern (other than small business concern). [Complete only if the offeror is a women-owned business concern and did not represent itself as a…

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