RFQ-75H70624Q00006_QAs_Amendment1_StandingRock.pdf

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

OMB#0990-0115

PAGE OF PAGES

DHHS - Great Plains Area Indian Health Service Division of Acquisitions and Management Fed. Bldg. Room 309; 115 4th Ave SE;

Aberdeen, SD 57401

Ursula Maslonka, Contract Specialist Email: Ursula.Maslonka@ihs.gov

8. NAME AND ADDRESS OF CONTRACTOR (Number, street, county, State and ZIP Code) (X) 9A. AMENDMENT OF SOLICITATION NUMBER

RFQ-75H70624Q00006

9B. DATED (SEE ITEM 11)

01/03/2024

10A. MODIFICATION OF CONTRACT/ORDER NUMBER

10B. DATED (SEE ITEM 13)

CODE FACILITY CODE

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

One (1) 01/4/2024 RFQ-75H70624Q00006

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

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

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

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

(a) By completing items 8 and 15, and returning 0 copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted;

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

12. ACCOUNTING AND APPROPRIATION DATA (If required)

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

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

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

NUMBER IN ITEM 10A.

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

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

D. OTHER (Specify type of modification and authority)

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

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

A. Amend RFQ-75H70624Q00006, see attached Questions and Answers.

B. There are no other changes made by reason of this amendment.

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

15A. NAME AND TITLE OF SIGNER (Type or print) 16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)

Craig Wells, Chief of the Contracting Office

15B. CONTRACTOR/OFFEROR

(Signature of person authorized to sign)

15C. DATE SIGNED 16B. UNITED STATES OF AMERICA

(Signature of Contracting Officer)

16C. DATE SIGNED

Previous edition unusable STAN

DARD

FORM

30 (REV. 11/2016)

Prescribed by GSA FAR (48 CFR) 53.243 mailto:Ursula.Maslonka@ihs.gov

Questions & Answers on RFQ-75H70624Q00006

Mid-Level Provider Services Deadline, January 3, 2024 before 12:00 pm, CST

1)

A) From RFQ:

It appears that the HRS are for (2) FTE would this be, for (3) FTE this would be approx. 1,387HRS per FTE and would be part-time, is this a part time requirement?

Answer: The Requirement is for up to two (2) FTE’s; 2080 being one (1) FTE. Potentially, could be part-time. This requirement depends on the needs of the service which can vary month to month based on permanent provider staffing patterns.

B) From RFQ: "1.2.1. Fort Yates Hospital Outpatient Clinic, 10 Standing Rock Ave, Fort Yates, ND:

1.2.2. McLaughlin Health Center, 701 6th Street East, McLaughlin, SD.

1.2.3. Cannonball Health Center, Weasel Street, Cannonball ND

1.2.4. Wakpala Health Center, 1st Street, Wakpala, SD

1.2.5. Bullhead Health Center, 102 Tasunka Street, Bullhead, SD"

Could you help us better understand how are the hours and practitioners to be scheduled or assigned the location?

Answer: Assignments are based on the needs of the service which can vary month to month. This is dependent on permanent provider staffing patterns. Cannonball, Wakpala and Bullhead are usually staffed one day per week, whereas Fort Yates and McLaughlin are 5 days per week.

2) Is on-site housing provided or available?

Answer: This may occur only when available but no guarantee; limited housing exists for permanent staff. The plan should be for contracting company to locate accommodations for their staff.

3)

A) Place of Performance-There are 5 coverage locations listed. Could you please break down the need for each clinic? Which location would be the providers home base?

Answer: Assignments are based on the needs of the service which can vary month to month. This is dependent on permanent provider staffing patterns. Cannonball, Wakpala and Bullhead are usually staffed one day per week, whereas Fort Yates and McLaughlin are 5 days per week. Home Base would be either Fort Yates OPD or McLaughlin Health Center.

B) Once the home base is established, would drive time to a different location be billable? For example, the NP/PA is based at Ft Yates, but is expected to be in Bullhead, SD at 0800. This person now has an additional 1hr drive from they did not have when reporting to Ft Yates at 0800.

Answer: Drive time is not billable. The provider would arrive at the Clinic of the day the same tour of duty established at one of the “Home Base” clinics. Hours are usually 0800-1630.

C) Is there Govt Housing available?

Answer: This may occur only when available but no guarantee; limited housing exists for permanent staff. The plan should be for contracting company to locate accommodations for their staff.

D) Are there Govt vehicles available for travel between clinics?

Answer: Yes, when available. All IHS facility policies and safe driving must be strictly adhered to.

4)

I was wondering if there is an incumbent contract for this requirement. If there is, could you kindly provide me with the incumbent contract # and vendor? If there is no incumbent is this a new requirement?

Answer: Due to being in the competition stage, we cannot reveal this information.

5)

To clarify: You do not want the Security Clearance Documents on the candidates submitted until after the award.

Answer: No, this is not correct. Refer to the solicitation on “Section G – FAR 52.212-1 Instructions to Offerors- Commercial Items (September 2023)” All documents listed must be submitted before the closing date to be considered a completed quote:

In addition, Contractors shall provide the following:

• Contractors shall complete and submit the SF-1449 for pricing.

• Name and phone number of three (3) professional references.

• Shall meet the qualifications in the Statement of Work and provide copies of the requested documents.

• Complete and sign IHS Buy Indian Economic Enterprise (IEE) Representation Form

• Complete and sign Child Care Position Provisional Authorization

• Complete and sign the Declaration for Federal Employment – Optional Form 306.

• Complete and sign Addendum to Declaration for Federal Employment (OF306).

• Complete and sign the Licensure Requirement Form.

• Copy of malpractice insurance coverage.

• Copy of active, current and unrestricted license to practice.

• Copy of American Academy of Nurse Practitioners Certification Board (AANPCB) or the National Commission on Certification of Physician Assistants (NCCPA)

• Copy of American Academy of Nurse Practitioners Certification Board (AANPCB) Certification by the American Academy of Nurse Practitioners with a reflected specialist of “psychiatric-mental health”.

• Active Board Certified and have current Basic Life Support (BLS).

• Current immunization record, including COVID-19 vaccines.

6)

A) What is the average number of patients seen by a NP/PA per day (8 hours) in a clinic?

Answer: 10-14 encounters per day.

B) We request Govt to convert this into a multiple awards contract (3 awards possibly). Based on our experience these places have been difficult to staff and having 3 companies providing services would offer great benefit in providing continued uninterrupted services to the IHS.

Answer: This solicitation will be for an award for only one vendor.

C) Due to lack of hotels in the area, would IHS provide on campus accommodation?

Answer: This may occur only when available but no guarantee; limited housing exists for permanent staff. The plan should be for contracting company to locate accommodations for their staff.

D) Are you requesting any resumes in the proposal? If so, how many?

Answer: Refer to the solicitation on “Section G – FAR 52.212-1 Instructions to Offerors-Commercial Items (September 2023)”. Refer to solicitation on “Section F” for number of candidates three (3), but potentially four candidates who meet requirements.

7)

Would IHS consider a proposal if we present only 2 NP/PAs for primary care clinic? (and not include the mental Health / Psych NP)? Especially if it is changed to multiple award IDIQ.

Answer: No, we will not consider a quote or proposal if both types of services are not presented. The solicitation and Statement of Works is for two (2) types of services: A) Certified Nurse Practitioners (AANPCB) or Physician Assistants (NCCPA); and B) Psychiatric Certified Nurse Practitioner (AANPCB)

8)

A) Are there housing units available for the NPs??

Answer: This may occur only when available but no guarantee; limited housing exists for permanent staff. The plan should be for contracting company to locate accommodations for their staff.

B) Do we need to provide the following forms with the proposal, or can they be completed once awarded?

Childcare Position Provisional Authorization

OF-306; Addendum to OF306; Licensure Requirement Form. Most contractors prefer not to submit personal information with a proposal unless required for credentialing after award.

Answer: All forms must be completed and submitted at the time of submitting your quote or proposal. These documents must be part of your quote or proposal. If items are missing your quote or proposal will not be considered. See Question #5 for a complete listing of required documents to be submitted with your quote or proposal.

C) Is there an incumbent covering this contract at the moment?? If affirmative, which company and dollar amount awarded??

Answer: Due to being in the competition stage, we cannot reveal this information.

9)

Who is the incumbent for this contract and what is that contract number?

Answer: Due to being in the competition stage, we cannot reveal this information.

10)

We request the evaluation criteria to be changed from LPTA to "Best Value". Pursuant to FAR 15.101-2(d)(1), contracting officers shall avoid LPTA, to the maximum extent practicable, using the lowest price technically acceptable source selection process in the case of a procurement that is predominantly for the acquisition of health care services and other knowledge-based professional services. This was updated in 2019.

https://www.acquisition.gov/far/15.101-2

Notes: Best value refers to Technical capability, Contract Management and past performance.

Answer: We have reviewed the contract requirements with the FAR citing and have elected to use LPTA as it is allowable.

https://urldefense.us/v3/__https:/www.acquisition.gov/far/15.101-2__;!!Og_tST9LxTiQE1I!pnbYkwszve3sR_LkjP1ka3qUTsjWkITIl62eV35-8DvTXwYKPREbPr9jWISAx-vMHH8O4b5Z6wU_mBdXOBP1y456gBfdriS_MUef$