75H70522R00003 RFP Package.pdf

SEE ADDENDUMIS CHECKED

CODE 18a. PAYMENT WILL BE MADE BY

CODE

FACILITYCODE

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER

OFFEROR

Ogema MN 56569 40520 County Hwy 34 Indian Health Service

IHSWHITEEARTH CODE 16. ADMINISTERED BYCODE

X

621399

SIZE STANDARD:

% FOR:SET ASIDE:UNRESTRICTED OR235

RFPIFB

10. THIS ACQUISITION ISCODE

RFQ

14. METHOD OF SOLICITATION

13b. RATING

NAICS:

SMALL BUSINESS

11/30/2021 1600 CD

11/10/2021

JENNIFER RICHARDSON

(No collect calls)

INFORMATION CALL:

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

4. ORDER NUMBER3. AWARD/ 6. SOLICITATION

75H70522R00003

5. SOLICITATION NUMBER

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

1 48IHS1439107OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

TELEPHONE NO.

17a. CONTRACTOR/

OGEMA MN 56569

40520 CO HWY 34

Indian Health Service

WHITE EARTH HEALTH CENTER

15. DELIVER TO

Bemidji MN 56601 2225 Cooperative Ct NW, Rm 200

9. ISSUED BY

7.

2. CONTRACT NO.

EFFECTIVE DATE

$8.00

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 SCHEDULEX

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)

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.

**Key Personnel must be identified and included with proposal**

1 Provide Pharmacist non personal services for a base plus 4 option years

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

HEREIN, IS ACCEPTED AS TO ITEMS:

XX

DATED

JENNIFER L. RICHARDSON

. 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.

X 100 IEE

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.

32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

482 of

SECTION A

A.1 SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

SECTION B - CONTINUATION BLOCK

B.1 CONTRACT ADMINISTRATION DATA 3

B.2 INVOICES 4

B.3 PAYMENT 4

B.4 CONTRACTING OFFICER REPRESENTATIVE (COR) 4

B.5 PLACE OF PERFORMANCE 5

B.6 PERIOD OF PERFORMANCE 5

B.7 SCHEDULE OF PRICE/COST 5

B.8 PERFORMANCE WORK STATEMENT 6

B.9 COMPLIANCE 13

SECTION C - CONTRACT CLAUSES

C.1 FEDERAL ACQUISITION REGULATIONS 14

C.2 DEPARTMENT OF HEALTH AND HUMAN SERVICES ACQUISITION

REGULATION (HHSAR) (48 CFR CHAPTER 3) CLAUSES 26

C.3 352.237-75 KEY PERSONNEL 26

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

D.1 APPLICABLE DOCUMENTS 26

D.2 DEFINITIONS 28

D.3 BACKGROUND INVESTIGATION 29

D.4 SECURITY NOTICE 29

D.5 ATTACHMENT 1 INDIAN OWNED ECONOMIC ENTERPRICE REPRESENTATION

D.6 ATTACHMENT 2 BUSINESS ASSOCIATES AGREEMENT

D.7 ATTACHMENT 3 IHS SECURITY AGREEMENT

SECTION E – SOLICITATION PROVISIONS

E.1 52.212-1 INSTRUCTIONS TO OFFERORS – COMMERCIAL ITEMS 31

E.2 52.212-2 EVALUATION – COMMERCIAL ITEMS

75H70522R00003

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 #________________________

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.sam.gov.

GOVERNMENT:

Jennifer Richardson Indian Health Service 2225 Cooperative Ct NW, Rm 200 Bemidji, MN 56601 Jennifer.Richardson@IHS.gov

NAICS:

The associated North American Industrial Classification System (NAICS) code for this procurement is 621399 with a small business size standard of $8.0M.

CONTRACT TYPE: FIRM FIXED PRICE Non-Personal healthcare service

Period of Performance: Base Year plus Four (4) Option Years

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 – BEM_AOInvoices@ihs.gov and debra.rethwsich@ihs.gov

White Earth Health Center ATTN: Debra Rethwisch White Earth Health Center 40520 Co Hwy 34 Ogema, MN 56569 Email: debra.rethwisch@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: TBD

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 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.4 CONTRACTING OFFICER REPRESENTATIVE (COR)

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

CONTRACTING OFFICER REPRESENTATIVE (COR):

Debra Rethwisch debra.rethwisch@ihs.gov

B.5 PLACE OF PERFORMANCE: WHITE EARTH HEALTH CLINIC

Indian Health Service White Earth Health Clinic 40520 Co Hwy 34 Ogema, MN 56569

B.6 PERIOD OF PERFORMANCE: Base Year plus Four (4) Option Years

B.7 SCHEDULE OF PRICE

The quantities in the Schedule are for pricing purposes and basis for evaluation for award. The Government will be issuing a firm fixed price contract, base year plus four (4) option years.

Ensure bid schedule identifies the estimated hours, Unit of issue and Type of Service (Registered Pharmacist (RPh) or Doctor of Pharmacy (PharmD) identified for each item for an overall total of 2080 hours for each Base year plus Four (4) Option Years Period of Performance.

a. PRICING: Registered Pharmacist (RPh) or Doctor of Pharmacy (PharmD)

b. BASE YEAR PRICING:

Identify Registered Pharmacist(RPh) or Doctor of Pharmacy (PharmD)

ITEM

NO.

TYPE OF SERVICE EST. UNIT OF

ISSUE

UNIT

PRICE

TOTAL

AMOUNT

1. 2080 Hrs.

BASE YEAR GRAND TOTAL

c. OPTION YEAR 1:

NO.

TYPE OF SERVICE EST. UNIT OF

ISSUE

UNIT

PRICE

TOTAL

AMOUNT

1. 2080 Hrs.

OPTION YEAR 1 GRAND TOTAL

d. OPTION YEAR 2

NO.

TYPE OF SERVICE EST. UNIT OF

ISSUE

UNIT

PRICE

TOTAL

OPTION YEAR 2 YEAR GRAND TOTAL

e. OPTION YEAR 3

NO.

TYPE OF SERVICE EST. UNIT OF

ISSUE

UNIT

PRICE

TOTAL

OPTION YEAR 3 GRAND TOTAL

f. OPTION YEAR 4

NO.

TYPE OF SERVICE EST. UNIT OF

ISSUE

UNIT

PRICE

TOTAL

OPTION YEAR 4 GRAND TOTAL

g. PURPOSE OF CONTRACT:

The Bemidji Area Indian Health Service (BAIHS) depends on contracting outside resources with a wide range of expertise in order to provide services not readily available within IHS. This firm-fixed priced, base year plus four (4) option year, contract will provide Registered Pharmacist in an Outpatient Pharmacy setting for the White Earth Health Center in Ogema, MN.

B.8 PERFORMANCE WORK STATEMENT:

DESCRIPTION OF SERVICES

The Contractor shall provide individuals for the positions listed within to perform pharmaceutical services at the White Earth Health Center, herein referred to as WEHC. These services shall be performed in accordance with all federal, state, local laws and regulations, commercial professional standards, Indian Health Service policy and practice standards, the Accreditation Association for Ambulatory Healthcare (AAAHC) and this Performance-based Work Statement (PWS).

SCOPE OF WORK.

The Contractor shall provide individual(s) for the following services: Registered Pharmacist in Outpatient Pharmacy setting.

Work will be conducted using electronic health records and pharmacy automation. Performance of duties shall meet applicable AAAHC standards and procedures compatible with the WEHC’s operating capacity and equipment. All procedures shall comply with WEHC infection control and safety procedures, practices, and standards.

The contractor will report to the COR on behalf of the director of pharmacy or designee. The contractor will perform work independently. New medical procedures/services shall not be introduced without prior recommendation to, and approval of, the WEHC authorized representative.

PERIOD OF PERFORMANCE

The Period of Performance one (1) year from award date, base plus 4 option years. Hours worked are M- F, between 8:00am and 6:30pm; with a possibility of 4-10 hour days, as scheduled with the Pharmacy Director. Only hours worked that are pre-approved by the COR on behalf of the Pharmacy Director or his designee will be approved for payment. The work shifts will be scheduled as needed during the period of performance dates, no more than 40 hours per week depending on staffing needs. Typical work week will be 40 hours/week on Monday thru Friday. Work shifts will normally be eight (8), with a 30 minute lunch. Same for ten (10) hour day, 30 minute lunch. Federal Government holidays, compensation time, including overtime are excluded. This contract will terminate when period of performance expires, if funds availability imposes constraints or services are no longer needed.

EDUCATION/TRAINING/QUALIFICATIONS OF CONTRACTOR PERSONNEL Individual position specific education/training/qualification requirements. Requirements pertaining to position described herein include:

1. Bachelors, Masters, or Doctoral degree in Pharmacy from a college of pharmacy accredited by the American Council on Pharmaceutical Education (ACPE).

2. A current, valid, unrestricted license to practice Pharmacy in any one of the fifty States, the District of Columbia, the Commonwealth of Puerto Rico, Guam or the U.S. Virgin Islands.

3. Be Advanced Cardiovascular Life Support (ACLS) and Basic Life Support (BLS) certified.

4. Adequately complete medical staff appointment application prior to arrival at WEHC. Work effectively with the Medical Staff Credentialing Officer to meet requirements.

5. Working knowledge of pharmacy computer systems, such as the IHS Electronic Health

Record (EHR), Resource Patient Management System (RPMS), ScriptPro Central Workflow Management system and Omnicell.

6. The contract pharmacist shall be able to o Process prescription order in the IHS Electronic Health Record (EHR), and check for completeness, appropriateness, dosing, and allergies. The contract pharmacist shall assure that all medications prescribed are on the White Earth Service Unit formulary. The contract pharmacist shall check for drug-drug and food interactions, contraindications and warnings. Will assess renal function by calculating the patient’s height, weight, age, and serum creatinine, and the creatinine clearance. The contract pharmacist shall provide instructions to all prescribing practitioners as to substitutions of medications as applicable and answer any medical questions pertaining to medications and patient care.

o Deliver comprehensive pharmaceutical services within the personnel, supply, and equipment capabilities of the facility.

o Counsel patients regarding safe and effective use of medications.

o Review patient profiles in electronic health records to closely monitor medication therapy to identify medication-related problems and propose solutions.

o Ensure prescription directions for use, dose, medication interactions, therapeutic duplications or overlaps, allergy information, age specific dosage, and other pertinent data are appropriate for individual patients.

o Ensure accuracy of all pharmaceutical products prepared or processed by technical staff.

o Work closely with clinical staff in developing patient wellness programs such as smoking cessation programs and asthma classes.

o Provide medication related information and training to clinical staff (ie, newly marketed medications; appropriate use of medications; comparison of current medication therapies;

and other topics as deemed appropriate by the department head).

o Provide clinical direction to pharmacy personnel.

o Assist with inventory control of pharmaceuticals and supplies in the pharmacy, specifically scheduled pharmaceuticals, and maintain pharmacy security.

o Maintain appropriate records and security of all scheduled controlled substances according to applicable regulations and local policy.

o Consult with other specialty practitioners to provide optimal patient pharmaceutical care.

o Participate in a quality improvement efforts o Maintain clean and safe work areas are according to applicable regulations and local policy.

o Document significant medication interactions and pharmacy interactions with prescribers.

Conduct Adverse Drug Reaction (ADR) and medication error reporting in accordance with local policy.

o Participate in medication use evaluations as necessary.

ADDITIONAL REQUIREMENTS:

Working knowledge of general computer applications/software to include Microsoft Office programs, MS outlook (E-Mail), Access, Excel, PowerPoint, and internet familiarity is required. A working knowledge of IHS Electronic Health Record (EHR), Resource Patient Management System (RPMS), ScriptPro Central Workflow Management system and Omnicell are preferred.

Speak, understand, read, and write English fluently and communicate with sufficient clarity to be understood by White Earth Service Unit personnel and the Native American community.

Knowledge of and ability to apply medical privacy and confidentiality standards including the HIPPA, accreditation standards of the AAAHC and WEHC clinical practice guidelines.

Contract personnel shall be able to walk, stand, bend, sit, and use computers for prolonged periods of time. Much conversation with patients occurs through a thick window so ability to hear well is necessary to perform the duties.

Ensures compliance with standards of care and practice in accordance with all established policies, procedures, and guidelines. Provides care within ethical and legal boundaries.

Serves and participates in committees, functions and other meetings as directed. Provides relevant and timely information as needed and assists with decision making and process improvement. Participates in customer service initiatives, and medical readiness activities designed to enhance health services.

Ensures a safe work environment, safe work habits and patient safety in accordance with regulatory agencies, infection control policies, and implemented process improvements.

The contract pharmacist shall keep complete records related to controlled medications. This would include documenting scheduled medications per policy, reviewing and signing off on the daily controlled substance report within 24 hours of previous business day.

The contract pharmacist must understand and support local Service Unit and Departmental Policy, participate in problem-resolution, and adapt and incorporate change as needed.

The Contractor and/or the contract pharmacist shall immediately advise the COR on behalf of the Pharmacy Director or representative, of any problem(s) encountered or which may be encountered in connection with meeting the needs and concerns of patients.

The contract pharmacist must demonstrate effective customer service skills with cultural sensitivity and respect to internal and external customers, in face-to-face, electronic and telephonic communications. Must be able to use conflict resolution skills when necessary.

DOCUMENTATION. All contract personnel shall prepare documentation to meet or exceed established standards of the WEHC. Contract personnel shall ensure complete patient identifying information is on all documentation that is to become part of a health care record. All documentation shall comply with HIPAA and all required protected health information policies as required in this PWS.

ANNUAL TRAINING REQUIREMENTS. All contract personnel shall complete annual training as required to comply with HIPAA, AAAHC, IHS Computer Security Policy, IHS Safety and other relevant training that is deemed necessary during contract period.

RECORDS. The contractor shall manage all records created for Government use in accordance with records management procedures Records Disposition-Procedures and Responsibilities. All records containing Privacy Act material when collecting, safeguarding, maintaining, using, accessing, amending, and disseminating personal information in a system of records, shall be protected per HIPAA guidelines.

ENGLISH LANGUAGE REQUIREMENT. Contract personnel shall read, understand, speak, and write English well enough to effectively communicate with patients and WEHC staff.

APPEARANCE. Contract personnel shall present a neat, professional appearance and be easily recognized as a contract personnel. Clothing shall be appropriate for patient care. Personnel shall wear and have readily visible, IHS/WEHC issued identification at all times when on duty.

COMPUTER SECURITY: ACCESS TO NETWORK. Contract personnel requiring access to the IHS network shall have completed a National Agency Check (NAC) verified. This is accomplished by completing the Electronic Questionnaires for Investigations Processing (e-QIP) or if applicable, completing a SF 85P, Questionnaire for Public Trust Positions. Personnel shall submit all required forms through the WEHC for submission to the Office of Personnel Management (OPM) Personnel Security Program Management. The candidate for entry must have a favorable background investigation allowing issuance of a restricted area badge; and must carry a valid state ID.

PRIVACY AND CONFIDENTIALITY: PATIENT LISTS. All patient lists shall be treated as privileged information. Lists and/or names of patients shall not be disclosed to or revealed in any way for any use outside the WEHC without prior written permission by the WEHC Chief Executive Officer.

PATIENT SENSITIVITY: Contract personnel shall respect and maintain the basic rights of patients, demonstrating concern for personal dignity and human relationships and cultural sensitivity and respect.

CONTRACTOR CONTACT INFORMATION. Contract personnel shall provide functioning contact telephone number so that clinic closures and other issues can be addressed as needed.

TYPE OF WORK

The contractor will provide pharmacy services in a busy ambulatory care/outpatient pharmacy using electronic health records and pharmacy automation systems.

The contract pharmacist must be able to enter the prescriptions using the IHS RPMS (Resource Patient Management System) computer software system and complete the medication dispensing process using ScriptPro Central. The computer software will provide a label and medication information sheet for each prescription. The contract pharmacist must be able to accurately count, and attach the prescription and auxiliary labels to the bottle, and dispense the medications. The contract pharmacist shall appropriately counsel the patients on their medications.

The majorities of the daily duties include but are not limited to:

Verifying accuracy of prepared product prepared by pharmacy personnel before dispensing to patient and counseling on safe and effective use of the medication.

Answering patient questions via telephone or in person using computer systems as appropriate to provide accurate and timely response.

Completing required documentation per local policy.

Work will mostly be conducted in a busy refill window interacting with patients through a thick glass window.

WORKLOAD

The contractor will dispense approximately 300-400 prescriptions (mostly refill prescriptions) per day

CONTRACTOR RESPONSIBILITIES AND REQUIREMENTS

The Contractor shall be responsible to ensure that the Contract Registered Pharmacist providing services under this contract are fully trained and completely competent to perform the required work.

The Contractor shall be required to maintain records that document competence/performance level of Contractor personnel working under this contract in accordance with AAAHC and other regulatory body requirements. The Contractor shall provide a current copy of competence assessment checklist and annual performance evaluation to the Pharmacy Director.

The contracting officer representative (COR), or his designated representative, shall monitor the contract pharmacist’s work to ensure contract compliance. Notwithstanding other contract requirements, upon request of the Contracting Officer, the Contractor shall remove the contract pharmacist who will not/does not comply with orientation requirements, meet competency requirements, or complete the assignments for the contract work being performed under this Performance Work Statement. If removed, the Contractor shall immediately provide another qualified, contract pharmacist who will meet these requirements and complete the assignments listed within this Performance Work Statement. The Contractor’s failure to submit successful applicants shall not excuse nonperformance of contract requirements.

POINT OF CONTACT

The Contractor shall provide a point of contact and alternate that shall have full authority to act on all matters relating to the daily operation of this contract. The Contractor shall designate these individuals, in writing, to the Contracting Officer prior to the contract performance start date.

REPLACEMENT STAFF

The Contractor shall have adequate replacement personnel available to meet contract replacement requirements to ensure a lapse in coverage does not occur. All replacement personnel shall meet or exceed position qualifications.

SCHEDULE/WORK LOCATION. The Government reserves the right to move contracted personnel to sections/departments within the White Earth Service Unit to provide support commensurate with their experience.

OVERTIME. Overtime is not authorized under this contract.

SCHEDULED ABSENCES. All scheduled absences shall be coordinated with the Prime contractor who will notify the COR, the COR will notify the pharmacy director.

UNSCHEDULED ABSENCES. Unscheduled absences are those absences not coordinated at least two weeks in advance. The contractor pharmacist will coordinate with the Prime contractor who will notify the COR, the COR will notify the pharmacy director, or designee as early as possible of unscheduled absences. Notification must be given within a minimum of 2 hours of start of shift (ie, acute illness).

ORIENTATION AND TRAINING.

The Government will provide mandatory orientation and training for all contract personnel prior to their providing services. The Government will notify and suspense ongoing training requirements for all contract personnel. A complete credentials package and security clearance application shall be submitted prior to beginning orientation and training. No contract personnel shall begin orientation unless a complete credentials package has been submitted. Orientation takes approximately four hours to complete and shall be at no additional cost to the government. Orientation consists of walk-thru of the WEHC, fire and safety training, review of infection control policies, providing proof of immunizations and other training requirements.

VERIFICATION OF LICENSURE

To ensure that the contract Registered Pharmacist providing services under this contract is properly licensed and that the White Earth Service Unit is aware of any disciplinary actions taken against such pharmacist, the Contractor shall:

1. Provide a copy of licensure for each pharmacist placed at the White Earth Service Unit to verify the contractor holds a current, active pharmacy license that is in good standing.

2. Inform IHS of the status of all licenses for each Registered Pharmacist providing services under this contract at the White Earth Service Unit.

3. Obtain at least one letter of reference from a health care provider who has knowledge of the Contract employee’s pharmacy practice skills.

4. Provide all information regarding performance and disciplinary actions that is collected on the pharmacist who would be placed under this contract to the Pharmacy Director.

7. Certify that all information on Contract Registered Pharmacist has been reviewed and verified by the Contractor. This certification must include a statement that the Contractor has found no reason to reject the pharmacist’s application. The names of the contractors, their titles, telephone number, dates of contracts, and the name of the Contractor’s representative collecting and reviewing such information must be recorded in writing and made available to the White Earth Service Unit by the Contractor.

8. The Contractor shall only submit applications for personnel who are readily available (no later than 2 weeks of contract award), can reasonably be anticipated to be approved and perform contract services. Recurring submission of packages for personnel who lack required qualifications, or who will not work under the contract, is unacceptable and will be considered a failure to perform.

PREVENTATIVE, PROPHYLACTIC, AND FOLLOW-UP PROCEDURES The Contractor shall ensure all personnel are in compliance with preventive, prophylactic and follow-up procedures, as well as infection control and employee health program procedures, as established by the WEHC.

HEALTH REQUIREMENTS Contract personnel shall provide documentation of required immunizations, including COVID-19 vaccination and seasonal influenza vaccination to the pharmacy director for employee health when reporting for duty.

Medical provider shall be current and remain current on all immunization/vaccinations as required by the United States and state of Minnesota.

Ø MMR (measles, mumps, and rubella).

o Individuals born on or after 1957 can be considered immune and shall provide documentation of physician-diagnosed measles, laboratory evidence of measles immunity, or adequate immunization with two doses of live measles vaccine on or after their first birthday.

o Individuals born prior to 1957 need not be considered susceptible; measles vaccine or proof of immunity is therefore not required.

o Individuals who are allergic to a component of vaccine and/or have a history of a severe reaction to vaccine will not be required to receive that vaccine.

Ø Tdap-Tetanus, diphtheria, acellular pertussis. Or, current Td booster.

Ø Polio Ø Annual TB (tuberculosis) test results as negative.

Ø Hep B – Hepatitis B

The U.S. Occupational Safety and Health Administration (OSHA) requires all personnel having occupational exposure to blood or body fluids, or other potentially infectious materials, receive the Hepatitis B vaccine, sign a voluntary declination, or have documented proof of immunity to Hepatitis B

COMMUNICATION The Contractor shall ensure all personnel maintain open and professional communication with members of the WEHC. Complaints validated by the pharmacy director or designee shall be reported in writing to the COR, contracting office and the Contractor for action. Failure of the Contractor to correct validated complaints shall be considered a failure to perform.

GOVERNMENT FURNISHED PROPERTY AND SERVICES The Government will provide the following equipment, supplies, and services listed below: See Supplies

CRIMINAL BACKGROUND CHECK REQUIREMENT The Government will conduct criminal background checks on individuals providing childcare services under this contract. With the consent of the Bemidji Area Director and WEHC Pharmacy Director as evidenced by a signed temporary waiver, contract personnel may provide contract services prior to completion of background checks, however, the individual shall be within sight and continuous supervision of staff personnel.

PROPERTY All contract personnel shall have joint use of the facilities and equipment in performance of this contract.

OFFICE/WORK/LOCKER AREA Those areas (ie, desk drawer, work space) provided for the use by contract personnel shall be maintained in a clean and orderly manner. Office space will be shared with other members of the WEHC, therefore; personnel shall ensure any decorative items are discouraged but if present, but be professional, modest appearance. The government will not be responsible for loss or damage of personal items brought onto WEHC property.

PERSONAL PROTECTIVE EQUIPMENT (PPE) The Government will furnish all appropriate PPE.

The Government will be responsible for any repair, cleaning and inventory required for the PPE. This does not include any type of uniform or laboratory coat which shall be Contractor provided.

SUPPLIES The WEHC will provide medical and non-medical supplies (office supplies, forms) commonly used in the facility for the care and management of patients. Those supplies will remain the property of the Government and be used exclusively for services rendered in the WEHC.

ADMINISTRATIVE SUPPORT Contract personnel are authorized to use all administrative support available to Government employees. This includes the use of copy machines, fax machines, telephones, to include Defense Switching Network (DSN) lines and long distance if required for work related purposes. The same restrictions to limit use of these items for Official Government business apply.

SERVICES SUMMARY The Services Summary provides a synopsis of the key performance objectives that relate directly to standards of performance required to meet mission needs. The performance threshold identifies the minimum acceptable levels of service required for each objective.

These objectives and threshold levels are critical to mission success.

PERFORMANCE OBJECTIVE

PERFORMANCE

THRESHOLD

Compliance with scheduling requirements 1 valid complaint per employee per quarter

Compliance with duty hours 1 valid complaint per employee per quarter

Compliance with training requirements 0 valid complaints

Compliance with appearance requirements 1 valid complaint per employee per quarter

Compliance with documentation 1 valid complaint per employee per quarter

Compliance with HIPAA requirements 0 valid complaints Clinical competence and accuracy of records maintenance

1 valid complaint

A detailed weekly invoice must be submitted to the COR or designee with proper signature authority no later than 12:00pm on next business day following the workweek completed.

The COR will maintain a log of invoices and balance of remaining contract dollars.

The COR shall monitor the Contractor’s technical/post progress and promptly inform the Contracting Officer of any problems or potential problems encountered.

The Government reserves the right to accept or reject services if the level of work is unsatisfactory.

B.9 COMPLIANCE WITH IHS RULES AND REGULATIONS

The contractor will abide by all IHS Rules and Regulations as required. Contractors will complete the annual Computer Security Awareness Training and provide a copy of the certificate to the Project Officer. Indian Health Service Business Partner Interconnection Security Agreement is required to be signed and approved by IHS Security POC and Contractor Security POC. https://www.ihs.gov/issa/ Computer Security Awareness Training Indian Health Service Business Partner Interconnection Security agreement is attached for review.

SECTION C - CONTRACT CLAUSES

FEDERAL ACQUISITION REGULATIONS

52.252-2 CLAUSES INCORPORATED BY REFERENCE.

This contract incorporates one or more clauses by reference, with same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. Also, the full text of a clause may be accessed electronically at this address: www.acquisition.gov.

52.202-1 Definitions 52.203-3 Gratuities 52.203-11 Certification and Disclosure Regarding Payments to Influence Certain Federal

Transactions 52.203-12 Limitation on Payments to Influence Certain Federal Transactions 52.203-17 Contractor Employee Whistleblower Rights and Requirement To Inform

Employees of Whistleblower Rights.

52.204-4 Printed or Copied Double-Sided on Recycled Paper.

52.204-7 System for Award Management 52.204-9 Personal Identity Verification of Contractor Personnel.

52.204-13 System for Award Management Maintenance 52.204-19 Incorporation by Reference of Representations and Certifications 52.204-21 Basic Safeguarding of Covered Contractor Information Systems 52.212-4 Contract Terms and Conditions—Commercial Items.

52.216-21 Requirements 52.217-5 Evaluation of Options 52.217-8 Option to Extend Services 52.223-6 Drug-Free Workplace 52.224-1 Privacy Act Notification

52.224-2 Privacy Act 52.224-3 Privacy Training 52.225-25 Prohibition on Contracting with Entities in Certain Activities or Transactions

Relating to Iran – Representation and Certification 52.226-1 Utilization of Indian Organizations and Indian-owned Economic Enterprises 52.229-3 Federal, State, and Local Taxes 52.232-1 Payments 52.232-18 Availability of Funds.

52.232-39 Unenforceability of Unauthorized Obligations 52.232-40 Providing Accelerated Payments to Small Business Subcontractors 52.237-2 Protection of Government Buildings, Equipment, and Vegetation 52.242-13 Bankruptcy 52.242-15 Stop-work Order 52.244-6 Subcontracts for Commercial Items 52.246-25 Limitation of Liability - Services 52.249-4 Termination for the Convenience of the Government (Services)(Short Form) 52.249-8 Default (Fixed-Price Supply and Service)

52.204-24 Representation Regarding Certain Telecommunications and Video Surveillance Services or Equipment.

As prescribed in 4.2105(a), insert the following provision:

REPRESENTATION REGARDING CERTAIN TELECOMMUNICATIONS AND VIDEO SURVEILLANCE

SERVICES OR EQUIPMENT (OCT 2020)

The Offeror shall not complete the representation at paragraph (d)(1) of this provision if the Offeror has represented that it "does not provide covered telecommunications equipment or services as a part of its offered products or services to the Government in the performance of any contract, subcontract, or other contractual instrument" in paragraph (c)(1) in the provision at 52.204-26, Covered Telecommunications Equipment or Services—Representation, or in paragraph (v)(2)(i) of the provision at 52.212-3, Offeror Representations and Certifications-Commercial Items. The Offeror shall not complete the representation in paragraph (d)(2) of this provision if the Offeror has represented that it "does not use covered telecommunications equipment or services, or any equipment, system, or service that uses covered telecommunications equipment or services" in paragraph (c)(2) of the provision at 52.204-26, or in paragraph (v)(2)(ii) of the provision at 52.212-3.

(a) Definitions. As used in this provision— Backhaul, covered telecommunications equipment or services, critical technology, interconnection arrangements, reasonable inquiry, roaming, and substantial or essential component have the meanings provided in the clause 52.204-25, Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment.

(b) Prohibition.

(1) Section 889(a)(1)(A) of the John S. McCain National Defense Authorization Act for Fiscal Year 2019 (Pub. L. 115-232) prohibits the head of an executive agency on or after August 13, 2019, from procuring or obtaining, or extending or renewing a contract to procure or obtain, any equipment, system, or service that uses covered telecommunications equipment or services as a substantial or essential component of any system, or as critical technology as part of any system. Nothing in the prohibition shall be construed to—

(i) Prohibit the head of an executive agency from procuring with an entity to provide a service that connects to the facilities of a third-party, such as backhaul, roaming, or interconnection arrangements; or

(ii) Cover telecommunications equipment that cannot route or redirect user data traffic or cannot permit visibility into any user data or packets that such equipment transmits or otherwise handles.

(2) Section 889(a)(1)(B) of the John S. McCain National Defense Authorization Act for Fiscal Year 2019 (Pub. L. 115-232) prohibits the head of an executive agency on or after August 13, 2020, from entering into a contract or extending or renewing a contract with an entity that uses any equipment, system, or service that uses covered telecommunications equipment or services as a substantial or essential component of any system, or as critical technology as part of any system. This prohibition applies to the use of covered telecommunications equipment or services, regardless of whether that use is in performance of work under a Federal contract. Nothing in the prohibition shall be construed to—

(i) Prohibit the head of an executive agency from procuring with an entity to provide a service that connects to the facilities of a third-party, such as backhaul, roaming, or interconnection arrangements; or

(ii) Cover telecommunications equipment that cannot route or redirect user data traffic or cannot permit visibility into any user data or packets that such equipment transmits or otherwise handles.

(c) Procedures. The Offeror shall review the list of excluded parties in the System for Award Management (SAM) (https://www.sam.gov) for entities excluded from receiving federal awards for "covered telecommunications equipment or services".

(d) Representation. The Offeror represents that—

(1) It □ will, □ will not provide covered telecommunications equipment or services to the

Government in the performance of any contract, subcontract or other contractual instrument resulting from this solicitation. The Offeror shall provide the additional disclosure information required at paragraph (e)(1) of this section if the Offeror responds "will" in paragraph (d)(1) of this section; and

(2) After conducting a reasonable inquiry, for purposes of this representation, the Offeror represents that—

It □ does, □ does not use covered telecommunications equipment or services, or use any equipment, system, or service that uses covered telecommunications equipment or services. The Offeror shall provide the additional disclosure information required at paragraph (e)(2) of this section if the Offeror responds "does" in paragraph (d)(2) of this section.

(e) Disclosures.

(1) Disclosure for the representation in paragraph (d)(1) of this provision. If the Offeror has responded

"will" in the representation in paragraph (d)(1) of this provision, the Offeror shall provide the following information as part of the offer:

(i) For covered equipment—

(A) The entity that produced the covered telecommunications equipment (include entity name, unique entity identifier, CAGE code, and whether the entity was the original equipment manufacturer (OEM) or a distributor, if known);

(B) A description of all covered telecommunications equipment offered (include brand;

model number, such as OEM number, manufacturer part number, or wholesaler number; and item description, as applicable); and

(C) Explanation of the proposed use of covered telecommunications equipment and any factors relevant to determining if such use would be permissible under the prohibition in paragraph (b)(1) of this provision.

(ii) For covered services—

(A) If the service is related to item maintenance: A description of all covered telecommunications services offered (include on the item being maintained: Brand; model number, such as OEM number, manufacturer part number, or wholesaler number; and item description, as applicable);

or

(B) If not associated with maintenance, the Product Service Code (PSC) of the service being provided; and explanation of the proposed use of covered telecommunications services and any factors relevant to determining if such use would be permissible under the prohibition in paragraph (b)(1) of this provision.

(2) Disclosure for the representation in paragraph (d)(2) of this provision. If the Offeror has responded "does" in the representation in paragraph (d)(2) of this provision, the Offeror shall provide the following information as part of the offer:

(i) For covered equipment—

(A) The entity that produced the covered telecommunications equipment (include entity name, unique entity identifier, CAGE code, and whether the entity was the OEM or a distributor, if known);

(B) A description of all covered telecommunications equipment offered (include brand;

model number, such as OEM number, manufacturer part number, or wholesaler number; and item description, as applicable); and

(C) Explanation of the proposed use of covered telecommunications equipment and any factors relevant to determining if such use would be permissible under the prohibition in paragraph (b)(2) of this provision.

(ii) For covered services—

(A) If the service is related to item maintenance: A description of all covered telecommunications services offered (include on the item being maintained: Brand; model number, such as OEM number, manufacturer part number, or wholesaler number; and item description, as applicable);

or

(B) If not associated with maintenance, the PSC of the service being provided; and explanation of the proposed use of covered telecommunications services and any factors relevant to determining if such use would be permissible under the prohibition in paragraph (b)(2) of this provision.

(End of provision)

52.204-26 Covered Telecommunications Equipment or Services-Representation.

As prescribed in 4.2105(c), insert the following provision:

COVERED TELECOMMUNICATIONS EQUIPMENT OR SERVICES-REPRESENTATION (OCT 2020)

(a) Definitions. As used in this provision, "covered telecommunications equipment or services" and

"reasonable inquiry" have the meaning provided in the clause 52.204-25, Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment.

(b) Procedures. The Offeror shall review the list of excluded parties in the System for Award Management (SAM) (https://www.sam.gov) for entities excluded from receiving federal awards for "covered telecommunications equipment or services".

(c)

(1) Representation. The Offeror represents that it □ does, □ does not provide covered telecommunications equipment or services as a part of its offered products or services to the Government in the performance of any contract, subcontract, or other contractual instrument.

(2) After conducting a reasonable inquiry for purposes of this representation, the offeror represents that it □ does, □ does not use covered telecommunications equipment or services, or any equipment, system, or service that uses covered telecommunications equipment or services.

(End of provision)

52.209-7 Information Regarding Responsibility Matters.

As prescribed at 9.104-7(b), insert the following provision:

INFORMATION REGARDING RESPONSIBILITY MATTERS (OCT 2018)

(a) Definitions. As used in this provision— Administrative proceeding means a non-judicial process that is adjudicatory in nature in order to make a determination of fault or liability (e.g., Securities and Exchange Commission Administrative Proceedings, Civilian Board of Contract Appeals Proceedings, and Armed Services Board of Contract Appeals Proceedings). This includes administrative proceedings at the Federal and State level but only in connection with performance of a Federal contract or grant. It does not include agency actions such as contract audits, site visits, corrective plans, or inspection of deliverables.

Federal contracts and grants with total value greater than $10,000,000 means—

(1) The total value of all current, active contracts and grants, including all priced options; and

(2) The total value of all current, active orders including all priced options under indefinite-delivery, indefinite-quantity, 8(a), or requirements contracts (including task and delivery and multiple-award Schedules).

Principal means an officer, director, owner, partner, or a person having primary management or supervisory responsibilities within a business entity (e.g., general manager; plant manager; head of a division or business segment; and similar positions).

(b) The offeror □ has □ does not have current active Federal contracts and grants with total value greater than $10,000,000.

(c) If the offeror checked "has" in paragraph (b) of this provision, the offeror represents, by submission of this offer, that the information it has entered in the Federal Awardee Performance and Integrity Information System (FAPIIS) is current, accurate, and complete as of the date of submission of this offer with regard to the following information:

(1) Whether the offeror, and/or any of its principals, has or has not, within the last five years, in connection with the award to or performance by the offeror of a Federal contract or grant, been the subject of a proceeding, at the Federal or State level that resulted in any of the following dispositions:

(i) In a criminal proceeding, a conviction.

(ii) In a civil proceeding, a finding of fault and liability that results in the payment of a monetary fine, penalty, reimbursement, restitution, or damages of $5,000 or more.

(iii) In an administrative proceeding, a finding of fault and liability that results in–

(A) The payment of a monetary fine or penalty of $5,000 or more; or

(B) The payment of a reimbursement, restitution, or damages in excess of $100,000.

(iv) In a criminal, civil, or administrative proceeding, a disposition of the matter by consent or compromise with an acknowledgment of fault by the Contractor if the proceeding could have led to any of the outcomes specified in paragraphs (c)(1)(i), (c)(1)(ii), or (c)(1)(iii) of this provision.

(2) If the offeror has been involved in the last five years in any of the occurrences listed in (c)(1) of this provision, whether the offeror has provided the requested information with regard to each occurrence.

(d) The offeror shall post the information in paragraphs (c)(1)(i) through (c)(1)(iv) of this provision in FAPIIS as required through maintaining an active registration in the System for Award Management, which can be accessed via https://www.sam.gov (see 52.204-7).

(End of provision)

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

STATUTES OR EXECUTIVE ORDERS COMMERCIAL ITEMS (Jul 2020)

(a) The Contractor shall comply with the following Federal Acquisition Regulation (FAR) clauses, which are incorporated in this contract by reference, to implement provisions of law or Executive orders applicable to acquisitions of commercial items:

(1) 52.203-19, Prohibition on Requiring Certain Internal…