Section B RFQ v1.pdf

75H70520Q00021, Orthopedic Services

SECTION B - SUPPLIES OR SERVICES AND PRICE/COSTS

B.1 CONTRACT ADMINISTRATION DATA

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

CONTRACTOR NAME AND ADDRESS:

TAX ID#_________________________

DUNS # _________________________

GSA # _________________________

Phone___________________________

E-Mail _________________________

Person responsible for Contractor Performance Assessment Reporting System (CPARS), reporting if different from above:

Name: _________________________________

Title: _________________________________

Email: _________________________________

CONTRACTOR REGISTRATION: All required information must be in the System for Award Management (SAM) at www.beta.sam.gov.

GOVERNMENT:

Jennifer Richardson Indian Health Service 522 Minnesota Ave.

Bemidji, MN 56601

Jennifer.Richardson@IHS.Gov

NAICS:

The associated North American Industrial Classification System (NAICS) code for this procurement is 621111 with a small business size standard of $11M

CONTRACT TYPE: firm-fixed price

B.2 INVOICES: In accordance with the Prompt Payment Act, payment will be due 30 days after receipt of services or receipt of a proper invoice, whichever is later.

INVOICE INSTRUCTIONS:

Contractor shall provide all invoices to –

Indian Health Service Attn: Jennifer Richardson Contract Administrator 522 Minnesota Ave NW Bemidji, MN 56601 Jennifer.richardson@ihs.gov and/or BEM_AOInvoices@ihs.gov

At a minimum, a properly prepared invoice shall include:

1) Name and address of the Contractor.

2) Invoice date and invoice number. (The Contractor should date invoices as close as possible to the date of the mailing or transmission.)

3) IHS Contract No.

4) Description, quantity, unit of measure, unit price, and extended price of supplies delivered or services performed.

5) Shipping and payment terms (e.g., shipment number and date of shipment, discount for prompt payment terms). Bill of lading number and weight of shipment will be shown for shipments on Government bills of lading.

6) Name and address of Contractor official to whom payment is to be sent (must be the same as that in the contract or in a proper notice of assignment).

7) Name (where practicable), title, phone number, and mailing address of person to notify in the event of a defective invoice.

8) Contractor Taxpayer Identification Number (TIN).

9) Contractor Dun & Bradstreet Number (DUNS).

Improperly prepared invoices or statements shall be returned to the contractor and may delay payment.

B.3 PLACE OF PERFORMANCE:

Indian Health Service White Earth Health Center 40520 Cty. Rd. 34 Ogema, MN 56569

B.4 PERIOD OF PERFORMANCE:

Government anticipates a Base + 4 (1 year) options

FAR 52.237-7 INDEMNIFICATION AND MEDICAL LIABILITY INSURANCE.

It is expressly agreed and understood that this is a non-personal services contract, as defined in Federal Acquisition Regulation (FAR) 37.101, under which the professional services rendered by the Contractor are rendered in its capacity as an independent contractor. The Government may evaluate the quality of professional and administrative services provided, but retains no control over professional aspects of the services rendered, including by example, the Contractor’s professional medical judgment, diagnosis, or specific medical treatments. The Contractor shall be solely liable for and expressly agrees to indemnify the Government with respect to any liability producing acts or omissions by it or by its employees or agents. The Contractor shall maintain during the term of this contract liability insurance issued by a responsible insurance carrier of not less than the following amount(s) per specialty per occurrence: amount normally prevailing within the local community for the medical specialty concerned.

B.5 SCHEDULE OF PRICE /COSTS

1. BASE YEAR PRICING: 11 Jul 2020 through 10 Jul 2021

Item No.

Type Of Service Unit Of Issue

Est Qty

Unit Price Total Amount

1. Orthopedic Services Hr. $ $ Base Year Grand Total $

2. OPTION YEAR I: 11 Jul 2021 through 10 Jul 2022

Type Of Service Unit Of Issue

Est Qty

Unit Price Total Amount

2. Orthopedic Services Hr. $ $ Option One Year Grand Total $

3. OPTION YEAR II: 11 Jul 2022 through 10 Jul 2023

Type Of Service Unit Of Issue

Est Qty

Unit Price Total Amount

3. Orthopedic Services Hr. $ $ Option Two Year Grand Total $

4. OPTION YEAR III: 11 Jul 2023 through 10 Jul 2024

Type Of Service Unit Of Issue

Est Qty

Unit Price Total Amount

4. Orthopedic Services Hr. $ $ Option Three Year Grand Total $

5. OPTION YEAR IV: 11 Jul 2024 through 10 Jul 2025

Type Of Service Unit Of Issue

Est Qty

Unit Price Total Amount

5. Orthopedic Services Hr. $ $ Option Four Year Grand Total $

B.6 PERFORMANCE WORK STATEMENT

ORTHOPEDIC SERVICES

A. Services: The contractor shall provide on-site orthopedic services by a licensed and credentialed orthopedic, (Nurse Practitioner or Physician) who is board certified. Contract provider shall perform a full range of services within specialty to include most difficult. Services may include but are not limited to the following:

- Shall participate and complete orientation;

- Shall provide emergency and routine general orthopedic services;

- Provide services to eligible patients (children, adults, elderly);

- Provide diagnostic/examination, screening and initial and periodic;

- Emergency care, diagnosis and treatment;

- Fully participate in medical staff functions as prescribed by the Medical Staff By-laws for associate

Medical Staff members;

- Maintain medical staff privileges;

- Interview, collection and recording in medical chart, of all pertinent health data from patient;

- Review past medical history;

- Evaluation/assessment of patient condition and documentation in a legible manner;

- Institution of patient treatment plans;

- Assurance of necessary patient follow-up;

- Conduct case conference with IHS staff, patient, and/or guardian as necessary;

- Request diagnostic test/examinations as deemed necessary;

- Arrange for specialized care and referrals for serious illnesses or trauma;

- Follow IHS guidelines for Contract Health Service (CHS)/purchase and referred Care (PRC) referrals;

- Shall be knowledgeable and perform services using infection control practices in accordance with accreditation standards, IHS policy and procedures, OSHA and other regulating agencies and laws;

- Shall use personal protective equipment to protect patient and personnel from exposure to infectious disease as appropriate, e.g. blood borne pathogens, TB, MRSA, etc.;

- Provides services in a professional and respectful manner when dealing with patients and colleagues;

- Shall respect and maintain the basic rights of patients including personal dignity;

- Shall meet all Medicare “Conditions of Participation” applicable to performance of this contract;

- Shall obtain and maintain enrollment with Medicare, Medicaid and private insurers to allow for IHS billing.

- Must be able to speak with sufficient clarity, interpret, read, and write in English;

- Other Orthopedic related duties as assigned.

B. Period of Performance: (1) Base year with (4) additional option periods

C. Work Schedule: Shall work approximately 4 days per month, 8 hours per day, between Monday-Friday, between 8:00 am – 6:30 pm, with a half hour lunch. Days are not consecutive, typically scheduled 1 day per week. Regular schedule will be arranged between provider, Clinical Director and Contracting Officer Representative (COR). All federal holidays are excluded from work schedule.

D. Facility Hours of Operation: Monday – Friday from 8:00 am to 6:30 pm

E. Accountability: Time and attendance logs shall be utilized kept current and on file and must be verified/validated by the COR.

F. Reporting Requirements: The contractor shall report to and provide services directly under the oversight of the Clinical Director or the Contracting Officer Representative (COR) who shall define objectives, priorities, deadlines, and inform the contractor about changing priorities.

G. Medical Records: Contract provider shall record in the patients IHS clinical chart (medical record)/Electronic Health Record (EHR), through the use of appropriate IHS forms/Electronic Health Record, the clinical findings of each patient visit, the provisional or confirmed diagnosis, services and treatment provided, disposition of the patient and instructions given to the patient and/or family members (identify family member by name and relationship to patient). The documentation must be legible and must meet the requirements of the service unit, medical records and medical staff policies and procedures, and of accreditation standards, and medical practice standards.

H. Food and Lodging:

The contract provider is responsible for food and lodging.

I. Non-Personal Health Care Service Contract: this contract is a non-personal health care service contract as described in FAR 37.101 under which the contractor is an independent contractor. The professional service of the contractor shall be evaluated by the Government via routine IHS staff member’s review of physician’s charts on a random basis as appropriate, however, the Government retains no control over the medical professional aspects of service rendered (professional judgement, diagnosis of specific medical treatment).

J. Indemnity and Insurance: The Government assumes no responsibility of negligent acts of the Contractor. Therefore, the Contractor is responsible for personal insurance. The Contractor shall hold harmless and indemnify the government against and or all loss, cost, damage, claims, expense or liability whatsoever as a result from performance of the Contractor. The Contractor shall hold the Federal Government and its agents including the Clinical Director and the Governing body immune from civil or professional liability for all acts related to quality care management and enforcement of this contract.

II. QUALIFICATIONS AND REQUIREMENTS.

The HCPs shall have graduated from an accredited educational college or university and must be licensed in good standing in a state, Puerto Rico or District of Columbia. The providers qualify by meeting the following standards:

a. HCPs shall have a minimum of two years’ experience as a practicing provider in the last three years.

Residency time counts as practicing experience. Time spent in an administrative capacity as a claims reviewer, medical school instructor, medical director, internet physician, etc. does not qualify as practicing time.

b. HCPs shall be a Medical Doctor (M.D.) or Doctor of Osteopathic Medicine (D.O.) or Nurse Practioner and be capable of treating all ages of patients.

c. HCPs who shall have and maintain, at all times and at Contractor expense, current certification in Basic Life

Support (BLS), Advanced Cardiac Life Support (ACLS) Certificate, and Pediatric Advanced Life Support (PALS) Certificate by way of an American Heart Association training program and Advance Trauma Life Support (ATLS) or equivalent.

d. HCPs shall possess and maintain at all times a current Drug Enforcement Administration (DEA) registration number.

The following shall disqualify, at any time, any provider from consideration/performing under this contract. If none of these conditions are applicable, the contractor shall provide a letter so stating.

A provider under probation/revocation/indictment/suspension action at any time from any state, the District of Columbia, Commonwealth of Puerto Rico, Guam or U.S. Virgin Islands where the provider has/had a license;

A provider who has a documented past of sexually abusing people whether convicted or not;

A provider who is chemically (alcohol or drug) dependent or impaired;

A provider who was previously convicted of any felony;

A provider who is awaiting possible adverse action administration action by any board of medicine;

failure of the contractor or provider to disclose any information listed herein.

CONTRACTOR REQUIREMENTS.

The Contractor shall not employ any individual to provide direct health care services who is listed on the Health and Human Services (HHS) list of providers excluded from federally funded health care programs. The list may be found at http://oig.hhs.gov/fraud/exclusions.asp.

The HCPs shall be a U.S. citizen or otherwise meet other applicable requirements.

The HCPs shall successfully complete a criminal history background check.

The HCPs shall be able to read, write, and speak English well enough and enunciate with sufficient clarity to effectively communicate with patients and other health care providers.

The HCPs shall possess sufficient initiative, interpersonal relationship skills and social sensitivity such that the HCP can relate to a variety of patients from diverse backgrounds.

The HCPs shall be able to operate a personal computer utilizing Microsoft applications, such as Word, Excel, and efficiently utilize an Electronic Medical Record. The providers shall be able to type and have had experience using computers. The providers will not be required to type a certain amount of words per minute. WEHC, will provide computer training on their electronic medical records system. Failure to learn the computer system at WEHC, and perform actions independently within 2 weeks of beginning service may be grounds for immediate removal of the provider.

The HCPs shall use the various clinical automation systems as required, such as, but not limited : EHR;

PACS, Vista

The HCPs shall be required to meet Continuing Medical Education (CME) requirements as determined by the provider’s State of licensure. The Government will not reimburse for these costs.

IV. ORIENTATION AND TRAINING.

Prior to working, HCPs will be provided a Government paid orientation to familiarize HCPs with the policies and procedures of the WEHC. Orientation attendance will be required of all HCPs and will be scheduled by the medical staff secretary or COR during normal duty hours.

The Contractor shall ensure that each HCP is knowledgeable of the policies and procedures of his/her specific place of duty and of the medical activity. The Contractor shall ensure HCPs receive any staff training required by the WEHC, as a precondition/condition to performance. Such training may include instruction on automation processing, quality assurance policies and local in-service and safety briefings. This training shall be conducted during the scheduled shift of the HCP.

Government Unique Training. The Government may elect to provide unique Government training to HCPs who are performing services under this contract. If the Government elects to provide such training, the Government will provide such training at no additional expense to the Contractor or to the HCP. When directed by the Contracting Officer (CO), HCPs shall attend all such training in a paid status as part of the normal services required and billed under the contract.

Such training shall require a performance commitment by the Contractor and the Contractor shall reimburse the Government (by means of a reduction in an invoice) if a HCP fails to satisfy the performance commitment after the HCP receives the unique Government training. The amount of the reimbursement shall be the prorated cost of training, calculated based on the total cost of the training and the number of months by which the HCP fails to complete the performance commitment. The length of the performance commitment shall be 12 months or until the end of all performance under this contract, whichever occurs first. Details of any subsequent training agreement will be agreed upon by all parties, and such training agreements will be designated by modification to the contract.

The HCPs shall attend all and take all training prescribed for personnel as required by WEHC. Training shall be part of the workday.

HCPs shall attend training provided by WEHC, regarding their unique computer systems and programs. Failure to learn the computer system at WEHC, and perform actions independently within 2 weeks of beginning service may be grounds for immediate removal of the provider.

V. ELECTRONIC MEDICAL RECORD KEEPING SYSTEMS.

The Government will provide training to HCPs in the Electronic Medical Record Keeping Systems and other procedures that the medical activity's staff is required to use. Access to such patient data systems is an "Automated Data Processing Sensitive" position requiring compliance with the Health Insurance Portability and Accountability Act (HIPAA) Security Rule. Refer to the Additional Information section “ADP Security Requirements” in this contract for further guidance.

Electronic Health Record (EHR) contains the facilities’ appointment scheduling program, pharmacy, lab, and radiology ordering system and is interlinked with other departments in the WEHC. The Government will provide training to HCPs in the EHR and/or other procedures that the medical activity’s staff is required to use. Access to such patient data systems is an “Automated Data Processing Sensitive” position requiring compliance with the Health Insurance Portability and Accountability Act (HIPAA) Security Rule.

Training for EHR and other computer training will be scheduled through the medical secretary and/or COR prior to the HCPs providing direct patient care. The training will be on-site and during normal duty hours. This training will be at no cost to the Contractor.

If additional training is needed due to mission changes, the WEHC, Information Management Office will conduct required computer training. This training will be at no cost to the Contractor. The COR will schedule this training.

VI. REPORTING REQUIREMENTS.

The Contractor shall submit reports to the medical secretary and/or COR as requested for use in monitoring Contractor performance. Such reports may include, but are not limited to: personnel recruitment/credential status; time sheets, etc.

Safety. The Contractor shall ensure that its HCPs comply with all installation safety regulations. Such regulations include, but are not limited to, general safety, fire prevention, and waste disposal. Copies of these regulations are on file in the medical activity safety office or may be obtained through the COR.

Unscheduled Absences. Unscheduled absences shall be called into the medical secretary, charge nurse or the Clinical Medical Director by the contractor at least 24 hours before the start of the shift. The contractor shall only be paid for actual hours worked.

Hours worked do not include travel time to reach the facility or other place of performance.

The HCPs shall be rested and fully physically and mentally capable of performing the duties required under this contract.

The HCPs shall not have worked the eight hours before beginning services at WEHC.

Closures. During anticipated closure of the facility due to WEHC declared training, holidays or during unplanned closure of the facility due to natural disasters, emergencies, severe weather, or otherwise, the Contractor shall not invoice the Government for services not performed and the Government will not be liable to the Contractors for any such closures.

Holidays. There are ten federal holidays observed by the facility; the HCP will be the sole medical provider in the facility on these days. The following is a list of legal federal holidays as referred to elsewhere in the contract.

New Year's Day Birthday of Martin Luther King, Jr.

President's Day Memorial Day Independence Day Labor Day Columbus Day Veterans Day Thanksgiving Day Christmas Day

NOTE: Any holidays that are declared by Presidential Executive Order shall be observed in the same manner as the holidays listed above

CONDUCT.

The Contractor shall ensure that each HCP records the time worked according to procedures determined by the WEHC to include documenting hours on the time sheet.

The Clinical Medical Director, where services are being performed, or his/her representative, will define the scope of practice. The Contractor shall ensure that its HCPs do not introduce new procedures or services without prior approval of the CMD or representative. In disagreements or deviations from established or new protocols, the CMD, or representative, will be the deciding authority.

The Contractor shall ensure that its HCPs comply with WEHC, policies regarding personal appearance and conduct.

The Contractor shall ensure that its HCPs abide by federal and local WEHC, regulations and requirements concerning the nature of limited privileged communication between patients and the HCP as may be necessary for security and personnel reliability programs. The Contractor shall also ensure that its HCPs abide by federal and local WEHC, regulations concerning the confidentiality of patient records, as embodied in federal statutes including the Privacy Act of 1974 and the Health Insurance Portability & Accountability Act of 1996. All regulations referenced are available for review from the COR or WEHC. All medical records and reports are and will remain the property of the Government.

Contractor shall abide by all WEHC, policies/rules. All personnel shall maintain and support the standards necessary to meet Joint Commission (JC) and CMS (Centers for Medicare and Medicaid Services) certification. When commencing work under this contract, Contractor shall obtain an in-processing checklist from the COR and provide the COR a copy when completed. The Contractor shall wear a WEHC, identification badge. The COR will assist the Contractor in obtaining the identification badge through the WEHC, Division-Security Officer. Upon termination of work at this WEHC, Contractor is required to return the hospital identification badge and out-process through the activities identified on the out-processing checklist obtained from the COR.

The Contractor shall ensure that its HCPs abide by WEHC, bylaws, the JC, HHS, and Medical Department regulations with regard to Utilization Review and Quality Assurance directives, including, but not limited to, in-service training, maintenance of records, performance evaluation, and release of medical information.

The Contractor shall ensure that its HCPs make use of all appropriate equipment; supplies and services made available by the Government and shall ensure that its HCPs make referrals and seek consultations, as deemed necessary, for the optimal care of the patients.

REMOVAL OF HCPS.

Removal of HCPs. At any time during the performance of this contract, the CO or COR may direct the Contractor to immediately remove any HCP whose actions or impaired/insubordinate state raises reasonable suspicion that clear and present danger of physical harm exists to a patient, other HCPs, Government personnel or to the impaired individual. This provision will be used in emergency situations only and not for the purpose of bringing performance issues or other non-urgent concerns to the attention of the Contractor.

If the need for a removal occurs, the COR will contact the Contractor's point of contact and direct the Contractor to remove that individual from the facility and to not use that individual to perform any healthcare services required under this contract until the issue has been resolved by the CO. The Contractor shall formally meet with the COR to discuss further action in accordance with the CLIH or WEHC, Medical Staff By-laws. A review of the basis for removal will be made by the CO within three working days after the COR directed the removal.

If, after any investigation deemed necessary by the CO and discussions with the Contractor's representative, the CO concludes that the HCP’s impairment requires permanent removal from performance under the contract, the CO will notify the Contractor that permanent removal is required. In the event of disagreements between the Government and the Contractor's representative concerning matters of impaired/insubordinate HCPs, the decision of the CO will be final.

During the period of time between the removal and the final decision of the CO, the Contractor shall provide a backup/replacement HCP in accordance with the terms and conditions of this contract.

The WEHC, has the prerogative to hold in abeyance, to deny, or to summarily suspend clinical privileges/practice when there is a reasonable cause to doubt the health care provider’s competence to practice or for any cause affecting the safety of patients or others. The Medical By-laws outlines the adverse clinical privileging and practice actions for privileged personnel and adverse practice actions and peer review for non-privileged personnel.

Inquiries. Contractor shall ensure that its personnel do not respond to any media inquiries. Any inquiries from the media shall be immediately relayed to the COR, who will relay them to the WEHC, Chief Executive Officer (CEO). There shall be no interviews, comments, or any other response without the knowledge and approval of WEHC, CEO. Other than routine inquiries from external agencies, all other inquiries and complaints shall be brought to the attention of the HCP’s Government supervisor.

Smoking. The Contractor shall ensure that its HCPs comply with the WEHC, smoking policy.

Complaints. Complaints will be validated by the COR and be reported in writing to the CO and to the Contractor for action, if it constitutes a failure to perform, as determined by the Government. Patients may also be a source of legitimate complaints that constitute a failure to perform. The Contractor shall have no more than two substantiated complaints per 12-month period per HCP. Any patient complaints received on services provided by the HCP will be taken very seriously at the CLIH or WEHC, and as such will be considered a part of the inspection process. The CMD will submit documentation to the COR regarding all patient and/or clinical complaints. Receipt of two valid complaints on the HCP within any twelve-month period may be considered grounds for immediate removal.

Conflict of Interest.

The Contractor/HCP shall not bill the patient for services rendered under this contract. The Contractor/HCP shall be prohibited from receiving compensation of any kind for patients treated, procedures performed, or any other actions performed, except under the terms and conditions of this contract, at the rate specified.

The Contractor or HCP shall not, while performing services under this contract, advise, recommend, or suggest to persons eligible to receive medical care at Government expense that such persons should receive care from the Contractor or HCP at any place other than as designated under this contract and shall ensure that its HCPs do not do so.

The Contractor’s HCPs are not prohibited by reason of their employment under this contract from conducting private practice provided there is no conflict with the performance of services under this contract, subject to any agreement between the Contractor and its employees. The CO will unilaterally resolve any issues concerning potential conflicts pertaining to the performance of this contract, not including disputes solely (as determined by the CO) between the Contractor and its employees.

The Contractor shall not use Government facilities or other Government property in connection with conducting a private practice and shall ensure that its subcontractors do not do so.

Confidentiality of Information. Unless otherwise specified, all financial, statistical, personnel, and/or technical data which are furnished, produced or otherwise available to the Contractor during the performance of this contract are considered confidential business information and shall not be used for purposes other than performance of work under this contract. The Contractor shall not release any of the above information without prior written consent of the CO and shall ensure that its employees do not do so. The Contractor shall not use patient care rendered pursuant to this contract as part of a study, research project, or publication and shall ensure that its subcontractors do not do so.

Professional Liability. Pursuant to Federal Tort Claims Act, WEHC shall process any personal injury claim alleging negligence by the HCP within the scope of the HCP’s performance under this contract as claims alleging negligence by WEHC. The Government will not reimburse or otherwise pay for such insurance should any be purchased.

RESPONSIBILITY AND PROCEDURES.

If any suit or action is filed or any claim is made against the HCP, which occurred as a result of work performed by the HCP under this contract, the HCP shall immediately notify the Contractor, the CO and the DC of the appropriate services and promptly furnish them copies of all pertinent documents received.

The Contractor and HCP shall cooperate with the Government, without further compensation, in the processing, review, settlement, or defense of the suit, action, or claim. The HCP may, at the HCP’s own expense, participate in defense of such claim or litigation.

QUALITY MANAGEMENT.

Quality Control Plan (QC). The Contractor is required to follow the current QC program in place at WEHC, to ensure that the medical services are provided at a level of quality that meets WEHC, standards.

Quality Assessment and Improvement (QA&I). The Government will monitor the Contractor's performance under this contract using the QA&I procedures established by the medical activity and pursuant to the Contract Terms and Conditions-Commercial Items clause, paragraph entitled Inspection/Acceptance. Additionally, the Contractor's performance is subject to scheduled and unscheduled review by the QA&I Committee as defined by the medical activity Quality Assurance (QA) Plan.

CONTRACTOR REPRESENTATION.

The Contractor shall designate a representative for this contract. This representative may be employed under another contract/task order with the Contractor at WEHC. At least ten working days prior to performance start date, the Contractor shall provide in writing to the COR, Contractor representative contact information. Changes in the contract representative, at any time after contract commencement, shall be in writing to the COR at least five working days prior to the change.

The Contractor's representative shall, at no additional cost, meet with the COR when requested by the COR to discuss any problems that the Contractor's personnel may be experiencing during the performance of this contract. Problems experienced by the Government with the Contractor's performance will be discussed and resolved. Unresolved problems will be referred to the CO for resolution.

The Contractor shall provide points of contact (POC) information for administration of the contract during normal business hours and after normal business hours. The POC for other than normal business hours will be contacted only in the event of emergencies. Accordingly, the named individual(s) shall possess sufficient corporate authority to effectively deal with emergency situations and the telephone number provided shall be functioning at all times other than normal business hours. If there are different POCs for different conditions, such as weekdays, weekends, holidays, clearly provide such information.

GOVERNMENT PROPERTY

The Government will provide use of all available WEHC facilities and support services, materials, publications and forms, equipment, and specialty clothing required for contract performance (except as designated in the contract). The Contractor shall ensure that its HCPs keep Government-furnished supplies, equipment, and work areas in a safe, orderly and clean condition. The Contractor shall notify the Government whenever maintenance of equipment is required.

The Government will provide a WEHC identification card and vehicle access stickers/passes. The Contractor shall ensure its HCPs comply with WEHC, policy regarding the identification cards and stickers/passes. The HCP shall coordinate with the COR in obtaining an identification badge and vehicle decal. The HCP shall wear the identification badge in accordance with WEHC, policy. The HCP shall surrender both identification badge and vehicle decal to the COR on his/her last contracted day of duty at the WEHC.

Any space or equipment used by the Contractor’s HCPs in performance of this contract may be used by the Government for other purposes during his/her absence. Items of clothing, personal effects, or equipment may not be able to be secured at all locations. The Government will not incur any liability for theft, damage to, or loss of such personal items.

Emergency Health Care For HCPs. The WEHC, will provide emergency health care for injuries or life threatening medical emergencies occurring while on duty. The Contractor shall reimburse the Government for such services as billed by WEHC, unless the HCP is otherwise authorized to receive such services at no cost (e.g., is retired military or other).

CONTRACTOR FURNISHED SUPPLIES/SERVICES.

Uniforms. The Contractor shall provide or ensure HCPs have their own stethoscopes and smocks.

The Contractor shall provide badges for all HCPs providing services under this contract.

REQUIREMENTS FOR MEDICAL LICENSE/CERTIFICATION AND DRUG ENFORCEMENT

ADMINISTRATION (DEA) CERTIFICATE.

The Contractor shall ensure that each of its HCPs follows any medical license and DEA certification requirements specified in this contract to perform in WEHC. The Contractor shall ensure that each of its HCPs meets all applicable licensing and certification requirements.

All contract health care providers must maintain a current, active, valid and unrestricted license or authorizing document from any U.S. state, District of Columbia; or U.S. territory or jurisdiction to provide health care within the scope of practice for a specific health care discipline. In addition, contract health care providers who write prescriptions for controlled substances must have a current Drug Enforcement Agency (DEA) certificate or Controlled Drug Substance number as appropriate. The Contractor shall ensure that renewal actions are accomplished well before expiration of the provider’s license and/or DEA certification to ensure compliance with the contract.

VII. ACCESS TO GOVERNMENT INFORMATION SYSTEMS

Contractor Employees Who Require Access to Government Information Systems (IS). All Contractor employees with access to a government info system must be registered in the Information Technology Access Control (ITAC ) at commencement of services, and must successfully complete the Information Systems Security Awareness (ISSA) Training prior to access to the IS and then annually thereafter.

B.7 PAYMENT

a) The IHS Bemidji Division of Finance is designated for payment processing. Payment shall be made by electronic funds transfer (EFT). Payment shall be made in arrears.

b) The Contractor’s rate identified for services described herein is considered as an all-inclusive rate. All-inclusive is defined to include but is not limited to services, travel, lodging, liability insurance, fringe benefits, federal, state and local taxes, and all other costs pertinent to the performance of this contract.

B.8 CONTRACTING OFFICER REPRESENTATIVE (COR) TBD.

CONTRACTING OFFICER’S REPRESENTATIVE (COR). The COR will be appointed in writing by the CO after the contract is awarded. The CO will provide a copy of this designation and COR contact information to the Contractor.

The role of program and technical personnel in monitoring the contract is to assist and advise the Contracting Officer, and act as the COR when so designated by the Contracting Officer. The COR does not have the authority to change or alter the order amount, terms and conditions.

COR activities include—

1. Providing technical monitoring during contract performance and advising the Contracting Officer relating to delivery, acceptance, or rejection of deliverables in accordance with the terms of the contract;

2. Assessing contractor performance;

3. Recommending necessary changes to the schedule of work and period of performance to accomplish the objectives of the contract (The COR shall provide the Contracting Officer a written request along with an appropriate justification and a funding document, if additional funds are needed.);

4. Reviewing invoices/vouchers and recommending approval/disapproval by the Contracting Officer, including providing comments regarding anything unusual discovered in the review;

5. Reviewing and recommending approval or disapproval of technical submissions, subcontractors, overtime, travel, and key personnel changes;

6. Assisting the Contractor in the resolution of technical problems encountered during performance; and

7. Participating, as necessary, in various phases of the contract closeout process;

8. Provide receiving authorization within two days of services/items received or invoiced

POINTS OF CONTACT: TBD