75H70526R00001 PT OT Services.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

CODE 16. ADMINISTERED BYCODE

X

561320

SIZE STANDARD:

% FOR:SET ASIDE:UNRESTRICTED OR235

REQUEST FOR

PROPOSAL

(RFP)

INVITATION

FOR BID (IFB)

10. THIS ACQUISITION ISCODE

REQUEST FOR

QUOTE (RFQ)

14. METHOD OF SOLICITATION

13b. RATING

NORTH AMERICAN INDUSTRY

CLASSIFICATION STANDARD

(NAICS):

SMALL BUSINESS

10/20/2025

WINONA KITTO

(No collect calls)

INFORMATION CALL:

FOR SOLICITATION 8. OFFER DUE DATE/LOCAL TIME

11/18/2025 1300 CT

b. TELEPHONE NUMBERa. NAME

4. ORDER NUMBER3. AWARD/ 6. SOLICITATION

75H70526R00001

5. SOLICITATION NUMBER

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

1 15 OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

TELEPHONE NO.

17a. CONTRACTOR/

15. DELIVER TO

Bemidji MN 56601 2225 Cooperative Ct NW, Rm 200

9. ISSUED BY

7.

2. CONTRACT NO.

EFFECTIVE DATE

$34

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW

ISSUE DATE

DELIVERY FOR FREE ON BOARD

(FOB) DESTINATION UNLESS

BLOCK IS MARKED

11.

SEE SCHEDULE

12. DISCOUNT TERMS THIS CONTRACT IS A RATED

ORDER UNDER THE DEFENSE

PRIORITIES AND ALLOCATIONS

SYSTEM - DPAS (15 CFR 700)

13a.

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

(SDVOSB)

HUBZONE SMALL

BUSINESS

8(A)

Indian Health Service

WOMEN-OWNED SMALL

BUSINESS (WOSB)

ECONOMICALLY DISADVANTAGED

WOMEN-OWNED SMALL

BUSINESS (EDWOSB)

24.

AMOUNT

23.

UNIT PRICE

22.

UNIT

21.

QUANTITY

20.

SCHEDULE OF SUPPLIES/SERVICES

19.

ITEM NO.

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

HEREIN, IS ACCEPTED AS TO ITEMS:

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 (FEDERAL ACQUISITION REGULATION) FAR 52.212-1, 52.212-4. FAR 52.212-3

AND 52.212-5 ARE ATTACHED. ADDENDA

26. TOTAL AWARD AMOUNT (For Government Use Only)

OFFER

STANDARD FORM 1449 (REV. 11/2021)

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: REFERENCE

BEM AO Acquisition Office

To provide Non personal service for Physical and or Occupational Therapy Services

Base plus 4 option years

X 100 IEE

X

Net 15

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. 11/2021) 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

15 2 of

75H70526R00001 PT/OT Services

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:

EIN/TIN#____________

UIE SAMS#__________

CAGE#______________

NAME:______________

TELEPHONE:________

EMAIL: _____________

DELIVERY ADDRESS:

White Earth Health Clinic Naytahwaush Satellite Clinic 40520 CO HWY 34 2471 310th Ave OGEMA MN 56569 Mahnomen, MN 56557

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 202 Bemidji, MN 56601

Jennifer.Richardson@IHS.Gov

The associated North American Industrial Classification System (NAICS) code: 561320 Temporary Help Services/Contract Staffing Services PSC: Q999 Medical - Other

CONTRACT TYPE: Firm-Fixed Price

INVOICES: In accordance with the Prompt Payment Act, payment will be due 15 days after receipt of services or receipt of a proper invoice, whichever is later.

INVOICE INSTRUCTIONS:

Electronic Invoicing and Payment Requirements - Invoice Processing Platform (IPP) Payment requests must be submitted electronically through the U. S. Department of the Treasury's Invoice Processing Platform System (IPP).

"Payment request" means any request for contract financing payment or invoice payment by the Contractor. To constitute a proper invoice, the payment request must comply with the requirements identified in the applicable Prompt Payment clause included in the contract, or the clause 52.212-4 Contract Terms and Conditions - Commercial Items included in commercial item contracts. The IPP website address is: https://www.ipp.gov.

Under this contract, the following documents are required to be submitted as an attachment to the IPP invoice:

- A copy of the Contractor's invoice shall be included with the IPP invoice. If no invoice is attached, the Invoice will be rejected;

- Contractor's Invoice shall contain:

* Contract number

* SAM's Registration - Unique Identity Number (UEI Number)

* EIN or Tax ID Number

* List of deliverables;

- Timesheets if applicable - Number of hours worked with corresponding labor category and rate

HHSAR 352.232-71 Electronic Submission of Invoice Payment Requests (Feb 2022)

(a) Definitions.

Payment request means a bill, voucher, invoice, or request for contract financing payment with associated supporting documentation. The payment request must comply with the requirements identified in FAR 32.905(b), "Content of Invoices" and the applicable Payment clause included in this contract.

(b) Except as provided in paragraph (c) of this clause, the Contractor shall submit payment requests electronically using the Department of Treasury Invoice Processing Platform (IPP) or successor system. Information regarding IPP, including IPP Customer Support contact information, is available at www.ipp.gov or any successor site.

(c) The Contractor may submit payment requests using other than IPP only when the Contracting Officer authorizes alternate procedures in writing in accordance with HHS procedures.

(d) If alternate payment procedures are authorized, the Contractor shall include a copy of the Contracting Officer's written authorization with each payment request.

Unless otherwise agreed to by the contracting officer per HHSAR 352.232-71(c), the use of IPP shall take precedence over previously established invoicing procedures.

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

BID SCHEDULE: BASE PLUS 4 OPTION YEARS

Request for up to (2) Physical or Occupational Therapists to fulfill staffing shortages to ensure direct patient care will not be interrupted.

** OVER TIME IS NOT AUTHORIZED**

LINE ITEMS HOURS HOURLY RATE TOTAL

BASE YEAR: 12/01/2025 – 11/30/2026

0001) Physical Therapist 2,080 $ $

0002) Occupational Therapist 2,080 $ $

OPTION YEAR 1: 12/01/2026 – 11/30/2027

0003) Physical Therapist 2,080 $ $

0004) Occupational Therapist 2,080 $ $

OPTION YEAR 2: 12/01/2027 – 11/30/2028

0005) Physical Therapist 2,080 $ $

0006) Occupational Therapist 2,080 $ $

OPTION YEAR 3: 12/01/2028 – 11/30/2029

0007) Physical Therapist 2,080 $ $

0008) Occupational Therapist 2,080 $ $

OPTION YEAR 4: 12/01/2029 – 11/30/2030

0009) Physical Therapist 2,080 $ $

0010) Occupational Therapist 2,080 $ $

CUMMULATIVE

BASE: $

Option Year 1: $ Option Year 2: $ Option Year 3: $ Option Year 4: $

TOTAL: $

PERFORMANCE WORK STATEMENT

PHYSICAL and/or OCCUPATIONAL THERAPISTS

WHITE EARTH HEALTH CENTER

OGEMA, MN 56509

GENERAL.

PURPOSE OF CONTRACT:

The mission of the White Earth Health Center in Ogema, MN is to deliver quality care in order to attain positive health outcomes for all our valued patients with emphasis on cultural sensitivity and human dignity.

To meet the mission, the White Earth Health Center requires a trained contract Physical and Occupation therapy support and assist in temporary duties assigned at the clinic.

Individuals providing services under contract, which involve regular contact with, or control over, Indian children, are subject to a character investigation in accordance with “Indian child protection and family violence prevention act” P.L. 101-630. The Indian health service personnel office will conduct these investigations following award of a contract unless in the judgment of the contracting officer, in consultation with the personnel officer, investigation will be waived based on prior investigations on file.

Until the Character Investigation has been completed and the contracting officer notified, such individual will not have unsupervised contact with Indian children.

The contracting officer has the authority to temporarily waive the character investigation of a contractor.

The “Agreement to a Temporary Waiver of Character Investigation” authorizes an agency to hire a contractor prior to the completion of a background check provided that at all times the contractor is within the sight and under the supervision of a government employee who has successfully completed the national agency check with written inquiries (NACI).

The need for services is expected to remain constant during the term of the contract period. Therefore, the contractor shall maintain the continuity of services to the maximum extent possible.

CONTRACTOR FURNISHED PROPERTY

The Indian Health Service does not anticipate a need for contractor furnished equipment.

GOVERNMENT FURNISHED PROPERTY, FACILITIES, AND SERVICES

The Contract Physical and Occupational Therapists will be authorized to use all areas of the treatment facility available to civil health providers and commissioned personnel in similar positions. The same restrictions apply to the contract health provider and any other Indian Health Service personnel to use areas for official business activities only.

The clinic shall provide Medical Staff Bylaws and Code of Ethics to Contract Physical and Occupational Therapists.

The clinic shall provide all equipment and medical supplies deemed necessary to provide medical care.

The clinic shall provide an ongoing method of monitoring and evaluation of the quality of services performed before the level of performance becomes unacceptable.

Location: The contractor shall furnish Contract Physical and Occupational Therapy services for the physical therapy department at the White Earth Health Center at 40520 County Highway 34, Ogema, MN 56569 and/or Nay-Tah-Waush health Center 2471 310th Avenue, Mahnomen, MN 56557. The contractor shall perform services compatible with the medical facilities operating capacity and equipment. The contract shall provide services for the Indian Health Service beneficiaries served by the clinic. Contract performance shall be according to the requirements contained in this statement of work.

Preference: Preference will be given to applicants who have experience working with Native American patients. Preference is also given to applicants with experience serving adults, children and youth of all ages. Preference will be given to applicants who have been credentialed at the White Earth Health Care Facility in the past.

What is expected: This position is expected to treat 10 patients per eight-hour work day. Patient ages range from infant to elderly, treatment of this age variance is mandatory. The therapy department will provide supports services for scheduling, mailing appointments, and Contract Physical and Occupational Therapists support. Medication will be dispensed at the White Earth Health Center and/or Waabinokwe Health Center by pharmacy staff.

The Clinical Director will conduct the evaluations on the contractor’s performance. The contractor shall advise the Clinical Director and COR of any problem(s) encountered, or which be encountered, in connection with meeting the needs of patients served by the medical dept. The contractor shall report continuing problems of any nature to the COR.

This position is expected to complete and submit all billing packets within 7 business days of employment such as but not limited to (MN Uniform Health Care Application, MN DHS Provider Enrollment Form and Provider Agreement, Medicare/CMS, 8551, 855R, and all private insurance forms as requested).

RESPONSIBILITIES:

The Contract Physical and Occupational Therapists shall provide emergency and routine Contract Physical and Occupational Therapy services for eligible patients (children, adults and elderly) at the White Earth Health Center and/or Waabinokwe Health Center. The Clinical Director will monitor activities.

Specific Contract Physical and Occupational Therapists Services shall include, are limited to the following:

The Contract Physical Therapist’s actual clinical duties will be in accordance with his/her credentialed privileges within the Medical Staff Bylaws of the White Earth Service Unit, and will include the following:

1. Evaluate and provide rehabilitation services in accordance with his/her credentialed privileges within the Medical Staff Bylaws for disabled and non-disabled patients as requested by the physicians. Types of disabilities may include but are not limited to post-stroke, head injury, arthritis, burns, cardiac conditions, polio, muscular dystrophy, cerebral palsy, muscle or bone disorders, including strains, sprains, post-fractures, bursitis, and scoliosis, post-surgical, and both acute and chronic pain patients.

2. Develop and teach appropriate plan of care involving the patient and family in developing goals and objectives.

3. Provide physical therapy treatments with periodic evaluations of the program to determine the patient’s status and the effectiveness of the treatment regimen.

4. Document in the patient’s Electronic Health Record (EHR) regarding patients progress while consulting with referring physicians regarding the progress of their patients.

QUALIFICATIONS:

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.

1. The Contract Physical and Occupational Therapists shall be a U.S. citizen or otherwise meet other applicable requirements.

2. Graduate of accredited Physical or Occupational Program in the United States.

3. Must have an active Physical or Occupational Therapy license within the 50 states with no restrictions.

4. Must possess and provide documentation of continuing education

5. Must apply for and have approved appropriate medical privileges by medical staff.

6. Must have a current BLS certification.

7. The Contract Physical and Occupational Therapists shall successfully complete a criminal history background check and submit all required documents within 7 days of request.

8. The Contract Physical and Occupational Therapists 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.

9. The Contract Physical and Occupational Therapists shall possess sufficient initiative, interpersonal relationship skills and social sensitivity such that the Physical and Occupational Therapists can relate to a variety of patients from diverse backgrounds.

10. The Contract Physical and Occupational Therapists shall be able to operate a computer utilizing Microsoft applications, such as Word, Excel, and efficiently utilize an Electronic Medical Record.

11. The Contract Physical and Occupational Therapists shall be able to type and have had experience using computers.

12. WHC will provide computer training on their electronic medical records system. Failure to learn the computer system at the WHC and perform actions independently within 2 weeks of beginning service be grounds for immediate removal of the Contract Physical and Occupational Therapists.

SUPERVISORY CONTROLS

Work is reviewed to insure conformance with current policy and procedures of the Indian Health Service.

PERSONAL CONTACTS

Contractors are with service unit professional and Para professional employees, outside contractors and vendors, third party alternate resource organizations regulatory agencies patients and their families.

PHYSICAL DEMANDS

Work does demand frequent standing, walking, sitting, bending, carrying of items such as records, supplies, and working with equipment.

ORIENTATION AND TRAINING.

Prior to working, the contractor will provide a certificate of completion for mandatory ISSA training. The Contract Physical and Occupational Therapists will be provided a Government paid orientation to familiarize the Contract Physical and Occupational Therapists with the policies and procedures. Orientation attendance will be required of all Contract Physical and Occupational Therapists and will be scheduled by the COR during the first normal duty day.

The clinic shall provide all required blank government forms applicable to the Indian Health Service.

Clinical personnel will also provide appropriate orientation to the necessity of such forms.

The Contractor shall ensure that each Contract Physical and Occupational Therapists is knowledgeable of the policies and procedures of his/her specific place of duty and of the medical activity. The Contractor shall ensure Contract Physical and Occupational Therapists receive any staff training required by the WHC, as a precondition/condition to performance. Such training will 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 Contract Physical and Occupational Therapists.

The Contract Physical and Occupational Therapists shall attend all and take all training prescribed for personnel as required by White Earth Health Center. Training shall be part of the workday.

ELECTRONIC MEDICAL RECORD KEEPING SYSTEMS.

The Government will provide training to Contract Physical and Occupational Therapists in the Electronic Medical Record Keeping Systems and other procedures that the medical 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 WHC. The Government will provide training to Contract

Physical and Occupational Therapists in the EHR and/or other procedures that staff are 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 COR prior to the Contract Physical and Occupational Therapists providing direct support. 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 WHC Information Management Office will conduct required computer training. This training will be at no cost to the Contractor. The COR will schedule this training.

REPORTING REQUIREMENTS.

The Contractor shall submit reports to the COR as requested for use in monitoring Contractor performance. Such reports will include, but are not limited to: time sheets, etc.

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

COR.

Hours of Performance.

Contract Physical and Occupational Therapists shall provide Physical and Occupational Therapy services to the patients of the White Earth Service Unit 5 – 8-hour days ranging between 7:00-4:30 a week to be performed for the White Earth Service Unit at the White Earth Health Center.

The provider shall be required to perform Emergent, Urgent, acute, and primary Physical and Occupational Therapy care as required in an outpatient setting, and as permitted by licensure and scope of practice.

Billing

The Government will only pay for hours, days or units actually worked/provided. The Contractor shall only submit payment requests for hours, days or units actually worked/provided. Submitting a payment request for more than the amount due based on the number hours, days or units actually worked/provided will constitute fraud or a false claim and will result in administrative or criminal action or both.

The Contract Physical and Occupational Therapists shall be able to provide services 8 hours a day, 5 days a week excluding federal holidays. No guarantee can be made that the shift will end as scheduled. A minimum break of 30 minutes will be given during the shift.

Work hours and days will be determined by WHC, and confirmed by the contractor. A schedule discussed between a Contract Physical and Occupational Therapists and staff is not considered valid. Schedules are subject to change due to cancellations, clinic staff changes, organization day, emergencies, exodus, training holidays and unexpected events.

Signing in prior to scheduled time will not be considered as hours worked. The above timeframes are subject to change.

The hours do not include any break periods to eat. Break times are not billable. The government reserves the right to verify the hours worked by the Contract Physical and Occupational Therapists by sign-in/sign-out sheet, checking computer logs, use of a time clock, etc.

Overtime/Extended Shift: Overtime is not authorized under this contract.

Unscheduled Absences. Unscheduled absences shall be called into the assigned COR 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 Contract Physical and Occupational Therapists shall be rested and fully physically and mentally capable of performing the duties required under this contract.

The Contract Physical and Occupational Therapists shall not have worked the 8 hours before beginning services at a WHC.

Closures. During anticipated closure of the facility due to a WHC’s, declared training, holiday 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 eleven federal holidays observed by the facility; the Contract Physical and Occupational Therapists will not be scheduled during 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 Juneteenth Independence Day Labor Day Columbus Day Veterans Day Thanksgiving Day Christmas Day

CONDUCT.

The Contractor shall ensure that each Contract Physical and Occupational Therapists records the time worked according to procedures determined by the WHC to include documenting hours on the time sheet.

The Contractor shall ensure that its Contract Physical and Occupational Therapists do not introduce new procedures or services without prior approval of the Credentialing Specialist and Clinical Director, or representative. In disagreements or deviations from established or new protocols, the department Director, or COR, will be the deciding authority.

The Contractor shall ensure that its Contract Physical and Occupational Therapists comply with WHC’s policies regarding personal appearance and conduct.

The Contractor shall ensure that its Contract Physical and Occupational Therapists abide by federal and local WHC’s regulations and requirements concerning the nature of limited privileged communication between patients and the Contract Physical and Occupational Therapists as will be necessary for security and personnel reliability programs.

The Contractor shall also ensure that its Contract Physical and Occupational Therapists abide by federal and local WHC’s 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.

All medical records and reports are and will remain the property of the Government.

Contractor shall abide by all local WHC’s policies/rules. All personnel shall maintain and support the standards necessary to meet AAAHC 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 White Earth Health Center identification badge. The COR will assist the Contractor in obtaining the identification badge through the WHC’s, Division-Security Officer. Upon termination of work at White Earth Health Center, the contractor will be required to return identification badge, keys and out process through the activities identified on the out-processing checklist obtained from the COR.

The Contractor shall ensure that its Contract Physical and Occupational Therapists make use of all appropriate equipment;

supplies and services made available by the Government for the direct patient care.

REMOVAL OF PHYSICAL AND OCCUPATION THERAPIST

At any time during the performance of this contract, the CO or COR will direct the Contractor to immediately remove any Contract Physical and Occupational Therapists whose actions or impaired/insubordinate state raises reasonable suspicion that clear and present danger of physical harm exists to a patient, other Contract Physical and Occupational Therapists, 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 scope of the contract. 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 Contract Physical and Occupational Therapists 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 Contract Physical and Occupational Therapists, 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 Contract Physical and Occupational Therapists in accordance with the terms and conditions of this contract.

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 White Earth Health Center Chief Executive Officer (CEO).

There shall be no interviews, comments, or any other response without the knowledge and approval of the CEO.

Other than routine inquiries from external agencies, all other inquiries and complaints shall be brought to the attention of the Contract Physical and Occupational Therapists Government supervisor.

Smoking.

The Contractor shall ensure that its Contract Physical and Occupational Therapists comply with the WHC’s 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 will 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 Contract Physical and Occupational Therapists t. Any patient complaints received on services provided by the Contract Physical and Occupational Therapists will be taken very seriously at the White Earth Health Center and as such will be considered a part of the inspection process. The department Director will submit documentation to the COR regarding all patient and/or clinical complaints. Receipt of two valid complaints on the Contract Physical and Occupational Therapists within any twelve-month period will be considered grounds for immediate removal.

Conflict of Interest.

The Contract Physical and Occupational Therapists shall not bill any patient for services rendered under this contract. The Contract Physical and Occupational Therapists shall be prohibited from receiving compensation of any actions performed, except under the terms and conditions of this contract, at the rate specified.

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

Professional Liability.

Contractor is responsible for providing an active Certificate of Liability Insurance and is not covered by Federal Tort for any personal injury claim alleging negligence by the Contract Physical and Occupational Therapists within the scope of the Contract Physical and Occupational Therapists performance under this contract as claims alleging negligence by the WHC.

The Government will not reimburse or otherwise pay for such insurance purchased.

RESPONSIBILITY AND PROCEDURES.

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

The Contractor and Contract Physical and Occupational Therapists shall cooperate with the Government, without further compensation, in the processing, review, settlement, or defense of the suit, action, or claim. The Contract Physical and Occupational Therapists will, at the Contract Physical and Occupational Therapists 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 the WHC to ensure that the services are provided at a level of quality that meets Bemidji Area Service Units 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 Work is performed in the different departments within the White Earth Health Center, 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 will be employed under another contract/task order with the Contractor at the same Bemidji Area Service Unit. 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 will 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. 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 WHC’s 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 Contract Physical and Occupational Therapists 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.

Personal long-distance calls are not authorized and the cost of all personal long-distance calls made will be deducted from the Contractor’s invoice.

Any space or equipment used by the Contract Physical and Occupational Therapists in performance of this contract will be used by the Government for other purposes during his/her absence. Items of clothing, personal effects, or equipment will 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 Contract Physical and Occupational Therapists. The White Earth Health Center 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 the White Earth Health Center, unless the Contract Physical and Occupational Therapists 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 Contract Physical and Occupational Therapists have their own uniform.

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.

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 SailPoint at commencement of services, and must successfully complete the Information Systems Security Awareness (ISSA) Training prior to access to the IHS and then annually thereafter.

75H70525R00001

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.

52.204-19 Incorporation by Reference of Representations and Certifications.

52.204-23 Prohibition on Contracting for Hardware, Software, and Services Developed or Provided by Kaspersky Lab and Other Covered Entities.

52.204-25 Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment.

52.212-4 Contract Terms and Conditions-Commercial Products and Commercial Services 52.217-8 Option to Extend Services 52.223-18 Encouraging Contractor Policies to Ban Text Messaging While Driving.

52.225-13 Restrictions on Certain Foreign Purchases.

52.232-39 Unenforceability of Unauthorized Obligations.

52.232-40 Providing Accelerated Payments to Small Business Subcontractors.

52.233-3 Protest after Award.

52.233-4 Applicable Law for Breach of Contract Claim.

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

(a) The Government may extend the term of this contract by written notice to the Contractor within 30 days provided that the Government gives the Contractor a preliminary written notice of its intent to extend at least 60 days before the contract expires. The preliminary notice does not commit the Government to an extension.

(b) If the Government exercises this option, the extended contract shall be considered to include this option clause.

(c) The total duration of this contract, including the exercise of any options under this clause, shall not exceed 5 years.

HEALTH & HUMAN SERVICES ACQUISTION REGULATION (HHSAR)

This contract incorporates one or more clauses by reference, with the 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:

http://www.hhs.gov/policies/hhsar/subpart301-1.html

75H70525R00001

352.222-70 Contractor Cooperation in Equal Employment Opportunity Investigations.

352.224-70 Privacy Act.

352.226-1 Indian Preference.

352.226-2 Indian Preference Program.

352.237-70 Pro-Children Act.

352.237-74 Non-Discrimination in Service Delivery.

SECTION E: SOLICITATION INSTRUCTIONS

52.212-1 Instructions to Offerors—Commercial Products and Commercial Services.

Instructions to Offerors—Commercial Products and Commercial Services (Nov 2021)

52.212-2 Evaluation—Commercial Products and Commercial Services.

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

- Past Performance 60%

- Price 40%

Past Performance when combined with price, past performance is greater than price.

(a) Provide relevant Past Performance for successful PT/OT Services, to include relevant contracts, period of performance and references for evaluation. Past Performance – Must include relevant past performance of Physical Therapy and or Occupational Therapy Services, (3) Relevant Professional References to include name, telephone number, email and contract information. Contract information to include the amount, term of the contract and which agency you have performed said services.

(b) Options. The Government will evaluate offers for award purposes by adding the total price for all options to the total price for the basic requirement. The Government may determine that an offer is unacceptable if the option prices are significantly unbalanced. Evaluation of options shall not obligate the Government to exercise the option(s). Price – Pricing must reflect all-inclusive hourly rate and follow on option year pricing.

(c) A written notice of award or acceptance of an offer, mailed or otherwise furnished to the successful offeror within the time for acceptance specified in the offer, shall result in a binding contract without further action by either party. Before the offer’s specified expiration time, the Government may accept an offer (or part of an offer), whether or not there are negotiations after its receipt, unless a written notice of withdrawal is received before award.

(End of provision)