A00001-75H70126R00010.pdf

Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods:

(a) By completing items 8 and 15, and returning or (c) By separate letter or electronic communication which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by letter or electronic communication, provided each letter or electronic communication makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

E. IMPORTANT: Contractor is not is required to sign this document and return copies to the issuing office.

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT 1. CONTRACT ID CODE

2. AMENDMENT/MODIFICATION NUMBER 3. EFFECTIVE DATE 4. REQUISITION/PURCHASE REQUISITION NUMBER 5. PROJECT NUMBER (If applicable)

7. ADMINISTERED BY (If other than Item 6) CODE

STANDARD FORM 30 (REV. 11/2016)

Prescribed by GSA FAR (48 CFR) 53.243

FACILITY CODE

9A. AMENDMENT OF SOLICITATION NUMBER

9B. DATED (SEE ITEM 11)

10A. MODIFICATION OF CONTRACT/ORDER NUMBER

10B. DATED (SEE ITEM 13)

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers is extended. is not extended.

12. ACCOUNTING AND APPROPRIATION DATA (If required) copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted;

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS.

IT MODIFIES THE CONTRACT/ORDER NUMBER AS DESCRIBED IN ITEM 14.

CHECK ONE A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER

NUMBER IN ITEM 10A.

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, appropriation data, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER (Specify type of modification and authority)

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

15C. DATE SIGNED

15A. NAME AND TITLE OF SIGNER (Type or print)

16C. DATE SIGNED

16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

PAGE OF PAGES

6. ISSUED BY CODE

8. NAME AND ADDRESS OF CONTRACTOR (Number, street, county, State and ZIP Code) (X)

CODE

15B. CONTRACTOR/OFFEROR

(Signature of person authorized to sign)

16B. UNITED STATES OF AMERICA

(Signature of Contracting Officer)

Previous edition unusable

A00001

JOSHUA T. VANSKIKE

See the following SF30 continuation page.

Indian Health Service Division of Engineering Services (DES) - Seattle 701 5th Ave, Suite 1600 Seattle, WA 98104

Indian Health Service Division of Engineering Services (DES) - Seattle 701 5th Ave, Suite 1600 Seattle, WA 98104

75H70126R00010

NA19GA009H8

1 10

12/11/2025

11/13/2025

SF30 CONTINUATION OF BOX 14.

Solicitation 75H70126R00010 Amendment A00001 Gallup Indian Medical Center (GIMC) Fire Alarm Upgrade Project No. NA19GA009H8

SUMMARY OF CHANGES:

Amendment A00001 to solicitation 75H70126R00010 hereby addresses the following:

1. Provides:

a. The site visit sign-in sheet (1 page) that was held on November 18, 2025;

b. Pre-Proposal Inquiries and responses 1 through 22; 4 pages. Outstanding pre-proposal inquiries and responses will be provided via subsequent amendment.

2. Revises SF-1442, extending the proposal due date from December 15, 2025, at 2:00 PM PST to December 29, 2025, at 2:00 PM PST.

3. As a result of HHS FAR Class Deviations 2025-01, 2025-02 Amendment 1, 2025-05 and HHSAR Class Deviation 2502-2 and Federal Acquisition Regulation (FAR) Class Deviation (CD) Numbers 2025-05, 2025-07, 2025-08, 2025-09, 2025-10, 2025-12, 2026-01in Support of Executive Order (EO) 14275, “Restoring Common Sense to Federal Procurement” Deviations to FAR Parts 6, 11, 18, 39, 43 (CD 2025-05), 35, 36, 50 (CD 2025-07), 5, 26 (CD 2025-08), 4, 8, 12, 38, 40, 51 (CD 2025-09), 9, 33, 46, 49 (CD 2025-10), 3, 17, 27, 45 (CD 2025-12) 13, 14, 15, 16, 19, 22, 23, 25, 32, 37, 41, 42, 47, 53 (CD 2026-01), and Applicable Portions of 52, the below FAR/HHSAR Clauses have been revised, deleted, or updated.

a. Deleted:

• 52.223-10 Waste Reduction Program

• 52.223-21 Foams

• 52.225-13 Restrictions On Certain Foreign Purchases

b. Updated:

• 52.215-1 Instructions to Offerors-Competitive Acquisition (DEVIATION) (RFO

SEP 2025)

• 52.215-2 Audit and Records-Negotiation (DEVIATION) (RFO SEP 2025)

• 52.215-8 Order of Precedence-Uniform Contract Format (DEVIATION) (RFO

SEP 2025)

• 52.215-19 Notification of Ownership Changes (DEVIATION) (RFO SEP 2025)

• 52.215-20 Requirements for Certified Cost or Pricing Data and Data Other

Than Certified Cost or Pricing Data (DEVIATION) (RFO SEP 2025)

• 52.215-21 Requirements for Certified Cost or Pricing Data and Data Other

Than Certified Cost or Pricing Data-Modifications (DEVIATION) (RFO SEP 2025)

• 52.216-1 Type of Contract (DEVIATION) (RFO SEP 2025)

• 52.219-8 Utilization of Small Business Concerns (DEVIATION) (RFO SEP 2025)

• 52.219-14 Limitations on Subcontracting (DEVIATION) (RFO SEP 2025) (f) (1)

☒ By the end of the base term of the contract and then by the end of each subsequent option period

• 52.219-28 Postaward Small Business Program Rerepresentation

(DEVIATION) (RFO SEP 2025)

• 52.222-3 Convict Labor (DEVIATION) (RFO SEP 2025)

• 52.222-4 Contract Work Hours and Safety Standards -Overtime

Compensation (DEVIATION) (RFO SEP 2025)

SF30 CONTINUATION OF BOX 14.

Solicitation 75H70126R00010 Amendment A00001 Gallup Indian Medical Center (GIMC) Fire Alarm Upgrade Project No. NA19GA009H8

• 52.222-5 Construction Wage Rate Requirements-Secondary Site of the Work

(DEVIATION) (RFO SEP 2025)

• 52.222-6 Construction Wage Rate Requirements (DEVIATION) (RFO SEP 2025)

• 52.222-7 Withholding of Funds (DEVIATION) (RFO SEP 2025)

• 52.222-8 Payrolls and Basic Records (DEVIATION) (RFO SEP 2025)

• 52.222-9 Apprentices and Trainees (DEVIATION) (RFO SEP 2025)

• 52.222-10 Compliance with Copeland Act Requirements (DEVIATION) (RFO

SEP 2025)

• 52.222-11 Subcontracts (Labor Standards) (DEVIATION) (RFO SEP 2025)

• 52.222-12 Contract Termination-Debarment (DEVIATION) (RFO SEP 2025)

• 52.222-13 Compliance with Construction Wage Rate Requirements and

Related Regulations (DEVIATION) (RFO SEP 2025)

• 52.222-14 Disputes Concerning Labor Standards (DEVIATION) (RFO SEP

2025)

• 52.222-35 Equal Opportunity for Veterans (DEVIATION) (RFO SEP 2025)

• 52.222-36 Equal Opportunity for Workers with Disabilitixes (DEVIATION)

(RFO SEP 2025)

• 52.222-37 Employment Reports on Veterans (DEVIATION) (RFO SEP 2025)

• 52.222-40 Notification of Employee Rights Under the National Labor

Relations Act (DEVIATION) (RFO SEP 2025)

• 52.222-50 Combating Trafficking in Persons (DEVIATION) (RFO SEP 2025)

• 52.222-54 Employment Eligibility Verification (DEVIATION) (RFO SEP 2025)

• 52.222-55 Minimum Wages for Contractor Workers Under Executive Order

14026 (DEVIATION) (RFO SEP 2025)

• 52.222-62 Paid Sick Leave Under Executive Order 13706 (DEVIATION) (RFO

SEP 2025)

• 52.223-11 Ozone-Depleting Substances (DEVIATION) (RFO SEP 2025)

• 52.223-23 Sustainable Products (DEVIATION) (RFO SEP 2025)

• 52.225-9 Buy American-Construction Materials (DEVIATION) (RFO SEP 2025)

☒(b)(2) NONE

• 52.232-16 Progress Payments Alt I (DEVIATION) (RFO SEP 2025)

• 52.253-1 Computer Generated Forms (DEVIATION) (RFO SEP 2025)

• 352.226-1, Indian Preference (DEC 2015) (DEVIATION) (MAR 2025)

NOTICE TO OFFERORS: Offerors must acknowledge receipt of any and all amendments by number and date on their cover letter in their offer or by submitting a signed copy of the SF30. All other terms and conditions remain unchanged.

END SUMMARY OF CHANGES

SITE VISIT

Solicitation Number: 75H70126R00010

Gallup Indian Medical Center {GIMC) Fire Alarm Upgrade

516 E Nizhoni Blvd

Gallup, NM 87301

November 18, 2025@ 1:00 PM MDT (local time)

Agenda

Welcome and Introduction of Government Team

Contracting Officer: Joshua VanSkike Contracting Officer's Representative (COR): Antoine Panther

• Purpose of site visit is a walkthrough of the jobsite. Scope clarifications shall be put in writing by the prime contractor.

o Reference L.8. INQUIRIES (COMMUNICATION WITH THE CONTRACTING OFFICE) o Offerors shall submit all questions concerning this solicitation in writing to the Contracting

Officer at Joshua.VanSkike@ihs.gov o Amendment(s) will be issued with copies of all solicitation Request for Information (RFI) / questions & answers

Firm/Govt. Office

Sign-In

Please print

Representative Telephone

E-mail j \\ll(_YO � i.-\ ,--t. 'SfCA,,l'\.)1r :'°l'\)V )I\ M. 0�

.o.,..., A00001 under Solicitation 75H70126R00010 SFIHC Roof Replacement and Fall Protection

INDIAN HEALTH SERVICE

DIVISION OF ENGINEERING

SERVICE

PRE-PROPOSAL INQUIRIES

Solicitation 75H70126R00010

GIMC Fire Alarm Upgrade – Construction

Item No. COMMENTS IHS Approved Response

1. Spec vs Demo Drawings: Spec says interfacing with existing Siemens devices and replacement unnecessary; demo sheets and roof notes instruct removal/replacement of existing devices in many areas. Which instruction controls? Are there specific areas where existing devices must be replaced regardless of spec? (Example: roof devices note said “replacing all existing fire alarm system devices.”)

With the exception of the fire alarm control panel, initiating devices and annunciation devices within the East Annex, all fire alarm control panels, initiating and notification fire alarm system devices - including all fire alarm system conduits and conductors -shall be replaced.

Also, See RFP clause 52.236-21 Specifications and Drawings for Construction (DEVIATION) (RFO JUL 2025) (b)(1) “In case of difference between drawings and specifications, the specifications shall govern.”

2. Which existing devices are to remain vs be removed? The drawings do not annotate “(E)” or “(N)” consistently in the text snippets I pulled; demolition sheets exist but the per-device status needs visual confirmation on each floor plan.

With the exception of the fire alarm control panel, initiating devices and annunciation devices within the East Annex, all fire alarm control panels, initiating and notification fire alarm system devices - including all fire alarm system conduits and conductors -shall be replaced.

3. Are we to replace detector bases only, replace detectors, or leave detector bases when re-using devices? (Spec references bases, relay bases, etc.)

Detectors and detector bases are to be replaced.

4. Existing addressable device addressing / point list: We need the owner’s existing device point list or as-built to determine which points will remain and which need re-addressing or replacement.

For Informational Purposes Only: see attachment GIMC Point List FA System

5. The Project Specification Section 28 4621 states the new FACPs “shall have the ability to interface with existing Siemens addressable devices” and that “replacement of existing field devices shall be unnecessary for proper system operation.” However, several Fire Alarm Demolition notes / roof notes on the drawings indicate removal/replacement of existing devices (e.g., E111.x and roof notes on E141.5). Please confirm:

a. Which existing field devices (by building and floor) are to be retained and integrated into the new system, and which are to be removed and replaced? Please provide a device point list or indicate on the drawings with (E) = existing to remain, (R) = remove, (N) = new.

b. Are roof-mounted devices a contract-required replacement (drawings state “replace all existing fire alarm system devices” on roofs)? Confirm.

c. If existing devices are retained, will the owner provide an existing points list and device model/manufacturer data to confirm compatibility?

a. With the exception of the fire alarm control panel, initiating devices and annunciation devices within the East Annex, all fire alarm control panels, initiating and notification fire alarm system devices - including all fire alarm system conduits and conductors -shall be replaced.

b. Confirmed.

c. The existing East Annex control panel and fire alarm devices shall remain as previously noted. Fire alarm system devices model and manufacture within the East Annex shall be field verified by bidding fire alarm system contractor and/or electrical contractor. For Informational Purposes Only: see attachment GIMC Point List FA System

INDIAN HEALTH SERVICE

DIVISION OF ENGINEERING

SERVICE

PRE-PROPOSAL INQUIRIES

Solicitation 75H70126R00010

GIMC Fire Alarm Upgrade – Construction

6. Which existing fire alarm field devices are to remain and be reused, and which are required to be replaced?

a. If available, please provide a device schedule or mark drawings to indicate:

i. (E) Existing to Remain

ii. (R) Remove

iii. (N) New

With the exception of the fire alarm control panel, initiating devices and annunciation devices within the East Annex, all fire alarm control panels, initiating and notification fire alarm system devices - including all fire alarm system conduits and conductors -shall be replaced. No removed existing fire alarm devices shall be reused.

7. The roofing drawings note: “Replace all existing fire alarm system devices on roof level.” Please confirm that all roof-mounted devices (all buildings) require replacement regardless of existing condition.

All roof-mount fire alarm system devices are to be replaced.

8. If existing devices are to remain, will the owner provide the current device address list, point programming, and model numbers to verify compatibility with the new Siemens Cerberus Pro system?

The existing East Annex control panel and fire alarm devices shall remain as previously noted. Fire alarm system devices model and manufacture within the East Annex shall be field verified by bidding fire alarm system contractor and/or electrical contractor. For Informational Purposes Only: see attachment GIMC Point List FA System

9. Does the intent of the project include fully replacing all initiating and notification appliances campus-wide, or only where shown on FA plan sheets?

With the exception of the fire alarm control panel, initiating devices and annunciation devices within the East Annex, all fire alarm control panels, initiating and notification fire alarm system devices - including all fire alarm system conduits and conductors -shall be replaced within all buildings reflected within the construction drawings issued for bidding.

10. Does the entire fire alarm system have to be in conduit? All fire alarm system cabling and fiber optic cabling shall be installed within conduit. Conduit shall be factory painted red. Junction boxes for fire alarm devices shall be field painted red.

11. Will the fire alarm network require fiber? If so, what kind of fiber? Yes, the new fire alarm does require fiber optic cabling. Refer to contract documents for locations and fiber optic cabling requirements.

INDIAN HEALTH SERVICE

DIVISION OF ENGINEERING

SERVICE

PRE-PROPOSAL INQUIRIES

Solicitation 75H70126R00010

GIMC Fire Alarm Upgrade – Construction

12. Are we connecting to the exist Siemens system or installing a completely new system? If we are installing a new system, can it be a Notifier system?

The existing East Annex fire alarm control panel, initiating devices and annunciation devices shall remain and communicate with the new fire alarm system. The existing Edwards EST4 fire alarm system within the Tohatchi Health Center roughly (40) miles from the GIMC main campus shall also communicate with the Siemens Cerberus PRO Modular Fire Control Panel at the main campus. The Edwards EST4 system shall transit the CMS (point list) to the central station.

13. Does the raceway for the fire alarm cable need to be EMT or GRC in exposed locations? No specs provided in division 28 specs.

New fire alarm system cabling shall be installed within factory painted red EMT where not subject to physical damage. In location where the new fire alarm system cabling conduit is exposed provide factory painted red GRC.

14. Will any details be provided for Fire alarm device installation? No additional details will be provided. Refer to the specifications for installation requirements.

15. Will any details be provided for devices installed near or around doors? No additional details will be provided. Refer to the specifications for installation requirements.

16. Will a fire alarm wiring detail be provided for the new system installation? No additional details will be provided. Refer to the specifications for installation requirements.

17. Can we receive a copy of the Scope Of work which clearly lays out how to execute the work to be performed?

See RFP SECTION C - DESCRIPTION/SPECIFICATIONS/STATEMENT OF WORK and associated attachments (J01a Drawings and J01b Spec) per SECTION J –

LIST OF ATTACHMENTS

18. Due to the complexity of this project and the large amount of unknown or contradicting information, is it possible to have this projects bid date extended to provide a more accurate price?

See Amendment RFP Amendment A0001.

19. Is the 10 calendar days to begin a mandatory requirement. As it will take at minimum about a month to put the design together and send it out for review and approval to the local AHJ and the State Fire Marshall’s office as per the architectural design drawings. Only once we have an approved design can we order parts for the project.

Please review RFP F.2. PERIOD OF PERFORMANCE that states, “The Contractor shall be required to commence work under this contract within and 10 calendar days after the date the Contractor receives the notice to proceed [. . . ]” If any item is a long lead item, the CO and COR need to be advised so the NTP can be modified to exclude this long lead time.

INDIAN HEALTH SERVICE

DIVISION OF ENGINEERING

SERVICE

PRE-PROPOSAL INQUIRIES

Solicitation 75H70126R00010

GIMC Fire Alarm Upgrade – Construction

20. The GIMC Fire Alarm System Redesign drawings J01a (page 5) General notes letter C. states

“ALL SITE WORK SHALL BE COORDINATED WITH GIMC FACILITIES THIRTY DAYS

PRIOR TO STARTING WORK.” Does this take precedence over the RFP statement of 10 day start date after notice to proceed?

No.

See RFP H.40. ORDER OF PRECEDENCE - REQUIREMENTS, SPECIFICATIONS, DRAWINGS

Additionally, see RFP SECTION C - DESCRIPTION/SPECIFICATIONS/STATEMENT OF WORK at 7.1, “The contractor will provide a complete schedule prior to issuance to Notice to Proceed (NTP). See also contract clause

H.12. CONSTRUCTION SCHEDULE.”

21. Please confirm if this project is based on calendar days or business days? Calendar days; see RFP F.2. PERIOD OF PERFORMANCE

22. Please clarify whether Evaluation Factor 4 – Indian Economic Enterprise Representations should be submitted in Volume I or Volume II, as it is listed under Volume I on page 46 of 54 but under Volume II on page 48 of 54.

Volume II; see RFP L.10. **PROPOSAL PREPARATION INSTRUCTIONS**(a)

(See ).

SOLICITATION, OFFER,

AND AWARD

(Construction, Alteration, or Repair) IMPORTANT - The "offer" section on the reverse must be fully completed by offeror.

9. FOR

INFORMATION CALL:

NOTE: In sealed bid solicitations "offer" and "offeror" mean "bid and "bidder".

SOLICITATION

1. SOLICITATION NUMBER

5. REQUISITION/PURCHASE REQUEST NUMBER

CODE

6. PROJECT NUMBER

8. ADDRESS OFFER TO

4. CONTRACT NUMBER

7. ISSUED BY

10. THE GOVERNMENT REQUIRES PERFORMANCE OF THE WORK DESCRIBED IN THESE DOCUMENTS (Title, identifying number, date)

11. The contractor shall begin performance within

12a. THE CONTRACTOR MUST FURNISH ANY REQUIRED PERFORMANCE AND PAYMENT BONDS?

(If "YES", indicate within how many calendar days after award in Item 12b.)

13. ADDITIONAL SOLICITATION REQUIREMENTS:

a. Sealed offers in original and

b. An offer guarantee

c. All offers are subject to the (1) work requirements, and (2) other provisions and clauses incorporated in the solicitation in full text or by reference.

d. Offers providing less than

STANDARD FORM 1442 (REV. 12/2022)

Prescribed by GSA - FAR (48 CFR) 53.236-1(d) calendar days for Government acceptance after the date offers are due will not be considered and will be rejected.

is, is not required.

local time containing offers shall be marked to show the offeror's name and address, the solicitation number, and the date and time offers are due.

(date). If this is a sealed bid solicitation, offers will be publicly opened at that time. Sealed envelopes copies to perform the work required are due at the place specified in Item 8 by (hour) award, YES NO notice to proceed. This performance period is mandatory negotiable.

calendar days and complete it within calendar days after receiving

a. NAME b. TELEPHONE NUMBER (Include area code) (NO COLLECT CALLS)

12b. CALENDAR DAYS

2. TYPE OF SOLICITATION

SEALED BID (IFB)

INVITATION FOR BID

NEGOTIATED (RFP)

REQUEST FOR PROPOSAL

3. DATE ISSUED PAGE OF PAGES

75H70126R00010

Indian Health Service Division of Engineering Services (DES) - Seattle 701 5th Ave, Suite 1600 Seattle, WA 98104

Project: Gallup Indian Medical Center (GIMC) Fire Alarm Upgrade

Location: 516 E Nizhoni Blvd, Gallup, NM 87301

See Section L for Proposal Submittal Instructions and Site Visit Information.

This project will be procured as a 100% Indian Small Business Economic Enterprise (ISBEE) set-aside under North American Industry Classification System (NAICS) code 236220 - Commercial and Institutional Building Construction. The associated size standard for this procurement is $45 million.

CONSTRUCTION MAGNITUDE: The magnitude of this construction project is anticipated to be between $1,000,000 and $5,000,000.

Indian Health Service Division of Engineering Services (DES) - Seattle Attn: Joshua VanSkike 701 5th Ave, Suite 1600 Seattle, WA 98104

Joshua VanSkike (240) 485-7526 or joshua.vanskike@ihs.gov

NA19GA009H8

1 5411/13/2025

12/29/2025

2:00PM

10 Days after award

F.2. Period of Performance

AWARD (To be completed by Government)

17. The offeror agrees to perform the work required at the prices specified below in strict accordance with the terms of this solicitation, if this offer is accepted calendar days after the date offers are due. (Insert any number equal to or greater than the minimum requirement by the Government in writing within stated in Item 13d. Failure to insert any number means the offeror accepts the minimum in Item 13d.)

OFFER (Must be fully completed by offeror)

AMOUNTS

18. The offeror agrees to furnish any required performance and payment bonds.

19. ACKNOWLEDGMENT OF AMENDMENTS

(The offeror acknowledges receipt of amendments to the solicitation -- give number and date of each)

AMENDMENT

NUMBER

DATE

CONTRACTING OFFICER WILL COMPLETE ITEM 28 OR 29 AS APPLICABLE

14. NAME AND ADDRESS OF OFFEROR (Include ZIP Code)

CODE FACILITY CODE

15. TELEPHONE NUMBER (Include area code)

16. REMITTANCE ADDRESS (Include only if different than Item 14.)

20a. NAME AND TITLE OF PERSON AUTHORIZED TO SIGN OFFER (Type or print)

21. ITEMS ACCEPTED:

22. AMOUNT

26. ADMINISTERED BY

30a. NAME AND TITLE OF CONTRACTOR OR PERSON AUTHORIZED TO SIGN (Type or print)

31c. DATE

STANDARD FORM 1442 (REV. 12/2022) BACK

31b. UNITED STATES OF AMERICA

BY

31a. NAME OF CONTRACTING OFFICER (Type or print)

29. AWARD (Contractor is not required to sign this document.) Your offer on this solicitation is hereby accepted as to the items listed. This award consummates the contract, which consists of (a) the Government solicitation and your offer, and (b) this contract award. No further contractual document is necessary.

30b. SIGNATURE 30c. DATE

28. NEGOTIATED AGREEMENT (Contractor is required to sign this document and return and deliver all items or perform all work requirements identified on this form and any continuation sheets for the consideration stated in this contract. The rights and obligations of the parties to this contract shall be governed by (a) this contract award, (b) the solicitation, and (c) the clauses, representations, certifications, and specifications incorporated by reference in or attached to this contract.

copies to issuing office.) Contractor agrees to furnish

24. SUBMIT INVOICES TO ADDRESS SHOWN IN

(4 copies unless otherwise specified)

23. ACCOUNTING AND APPROPRIATION DATA

ITEM

25. OTHER THAN FULL AND OPEN COMPETITION PURSUANT TO THE UNITED STATES

CODE AT

27. PAYMENT WILL BE MADE BY

10 U.S.C. 3204(a) ( ) 41 U.S.C. 3304(a) ( )

20b. SIGNATURE 20c. OFFER DATE

B.3

Indian Health Service, DES - Seattle 701 5th Ave, Suite 1600 Seattle, WA 98104

IHS Navajo Area P.O. Box 9020 Window Rock, AZ 86515

Joshua T. VanSkike

LUMP SUM TOTAL $______________________