75H70625Q00089 - combined synopsis-solicitation finalized.pdf

A. This is a combined synopsis/solicitation for commercial items prepared in accordance with the format in Federal Acquisition Regulation (FAR) Subpart 12.6, as supplemented with additional information included in this notice, FAR Part 12, Acquisition of Commercial Items (Title VIII of the Federal Acquisition Streamlining Act of 1994) (Public Law 103-355). This announcement constitutes the only solicitation; quotes are being requested and a written solicitation will not be issued.

B. The Great Plains Area Indian Health Service (IHS) Cheyenne River Health Center intends to award an IDIQ (Indefinite Delivery, Indefinite Quantity) Contract, Firm-Fixed Price, Non-Personal Medical Service, Purchase Order with a Base Period and three (3) Option Periods in response to Request for Quote (RFQ) 75H70625Q00089.

C. This solicitation document and incorporated provisions and clauses are those in effect through Federal Acquisition Circular 2025-05 08/07/2025.

D. This RFQ is issued as 100% Indian Small Business Economic Enterprises (ISBEE) Set-Aside, and the associated NAICS Code is #621399, which has a small business standard size $10.0. Quoter is required to fill out the attached INDIAN FIRM REPRESENTATION FORM.

E. The quoted unit pricing must be all inclusive (to include but not be limited to travel, lodging, per diem, fringe benefits, federal, state and local taxes) plus all other costs pertinent to the performance of this contract. Utilize your most competitive and reasonable rates.

Complete the attached Request for Quote #75H70625Q00089 (SF 1449) for Outpatient Registered Nurses.

F. Medical Services to be provided for the Cheyenne River Health Center, 24276 166th St. Airport Rd, Eagle Butte, South Dakota 57625. See Performance Work Statement (PWS) attached. The period of performance will be a Base plus three (3) additional option years.

G. FAR 52.212-1 Instructions to Offerors-Commercial Products and Commercial Services (Sep 2023).

Quotes shall be submitted on company letterhead stationery, signed, dated and it shall include:

1. Solicitation number: 75H70625Q00089

2. Closing Date: November 18, 2025 at 05:00 pm MT.

3. Name, address and telephone number of company and email address of contact person.

4. Technical description of the item/service being offered in sufficient detail to evaluate compliance with the requirements of the solicitation. This may include product literature, or other documents, if necessary.

5. Terms of any express warranty.

6. Price and any discount terms.

7. “Remit to” address, if different than mailing address.

8. A completed copy of the representations and certifications at FAR 52.212-3 (see

FAR 52.212-3(b) for those representations and certifications that the offeror shall complete electronically).

9. Acknowledgment of Solicitation Amendments (if any issued)

10. Past performance information, when included as an evaluation factor, to include recent and relevant contracts for the same or similar items and other references (including contract numbers, points of contact with telephone numbers and other relevant information).

11. A statement specifying the extent of agreement with all terms, conditions, and provisions included in the solicitation. Offerors that fail to furnish required representations or information, or reject the terms and conditions of the solicitation may be excluded from consideration.

H. FAR 52.212-2 Addendum - Evaluation – Commercial Items (November 2021) – See attachment for full text. Basis of award is Trade off factors determining the successful contractor. The Government will not use the formal source selection procedures described in FAR part 15.

The Government will evaluate quotations utilizing the procedures of FAR 13.106-2 Evaluation of quotations or offers. Offers will be evaluated for acceptability, but not ranked using the non-price factors/sub-factors. All non-price factors and sub-factors will be rated as either “acceptable” or “unacceptable”. The Government intends to evaluate and make award without discussion with the offerors other than minor clarifications, unless discussions are determined to be necessary. A decision on the technical acceptability of each offeror’s quotations will be made.

For those offeror’s which are determined to be technically acceptable, award will be made to that vendor with the lowest overall prices.

The evaluation process will be accomplished as follows - Technical Acceptability will be comprised of three (3) subfactors:

1. Problem and Approach Evaluation of this criterion will assess the bidders overall understanding of the complexities and logistical requirements associated with the provisional agreed upon Registered nursing services - as applicable to the Inpatient Department with capability of coverage in critical staffing to the Outpatient and Emergency department services at the CRHC IHS Hospital.

This criterion will be evaluated based upon the available bids in concert with submitted portfolios addressing each of the following points as noted below:

a. Understanding of the complexity and logistical requirements of the organization template of rendered care as outlined in the PWS/SOW.

(Housing, travel conditions, travel time, etc)

b. Understanding of the inherent difficulties encountered in deliverance of hospital-based care within a small rural Indian Health Service facility.

(Limited resources, limited geographic area, socio-economic conditions of the patient population, etc.)

c. Evaluation of candidates submitted with up-to-date certificates and RN license that are not lapsed.

d. Evaluation on addressing coverage to prevent GAPS in service.

e. Possession of necessary organization, experience, and technical skills to perform such services understanding cultural diversities and incurred work ethics.

f. Candidates that have a 1-year minimum of experience as a Registered Nurse.

g. Ability to care from birth through elderly patients.

h. Ability to submit qualified registered nurse applicants in specified area with matching and meeting certification requirements. Registered nurse will pass background clearance for federal government credential requirement as it pertains to SOW/PWS.

2. PAST PERFORMANCE AND EXPERIENCE

The technical proposal must include a listing of offeror’s previous performance history regarding agreed upon contractual obligations on contracts, other Nursing Program placements for Registered nursing services contracts and subcontracts, Government and/or commercial enterprises awarded to the responsible organization submitting such offers in not dissimilar environmental conditions serving at times challenging rural, isolated locations. The contracts must contain the same type Registered nursing requirements outlined in the Statement of Work. The respective contractor must include the following information for each contract and subcontract:

a. List of other registered nursing staff contracts or subcontracts with these categories: Description of contracted work, Program manager as reference with contact information, and list of major achievements.

b. Demonstration of successful performance of past contracts to include: at least 1 contract that was most successful and the reason for this consideration.

c. Candidate must be able to perform at an optimal level in the Inpatient department with possibility of coverage in Outpatient and Emergency departments on an infrequent basis.

d. References will be reviewed and evaluated on the performance of the candidates.

e. Experience with caring for all age groups.

f. Evaluated on work experience, must meet PWS/SOW requirements.

g. Ability to manage time appropriately. Timeliness of competing required work as assigned.

h. The contractor must work independently after orientation to the department, there will be other staff available for assistance as needed, but needs to function independently and complete the days work by the end of their tour of each day.

i. The nurse will care for, but not limited to: pediatrics patients (birth-17 years-old), adult patients, and elderly patients for admitted patient.

j. The contractor is expected to follow the policies and procedures as outlined in the policy database Policy Stat.

k. The candidate is expected to be proficient in procedures that apply to the Inpatient Department, not limited to: medication administration, foley catheter maintenance, wound care, wound vac, immunizations, IM injections, blood sugar checks, point of care testing, lab draws, IV insertion, IV medication administration, IV fluids administration, ect.

l. The candidate must be open to working with Critical Access Hospital admitted patients and Swing bed patients that are admitted. Participate in meeting the Quality Assurance Performance Improvement goals and standards, and other projects to improve access and patient cares. The contractor must also adhere to screenings and assessments of each of their patients that are in their care.

m. The contractor must be proficient in the Critical Access Hospital National

Patient Safety Goals.

n. The contractor will complete competencies with the Nurse Educator upon hire and all required trainings prior to their start date as outlined in the Performance Work Statement (PWS)/Statement of Work (SOW) with providing certificates upon arrival to the CRHC.

3. KEY PERSONNEL

This factor will be evaluated utilizing personnel assignments to each potential contractual duty. The proposal shall identify key personnel who have relevant experience in performing the tasks required of this solicitation in other projects that are similar in function, scope, and complexity to the CRHC Hospital requirement. The contractor shall specify the extent to which each staff member will participate in contract performance. Description of key personnel that will be directly involved in contract performance shall be included in the proposal. CV's, resumes, or descriptions must demonstrate that the personnel have the necessary knowledge and experience to perform the tasks outlined in the Statement of Work to include such leadership duties as they may arise.

Staff will maintain Licensure, have an unencumbered RN license that meets CNE’s requirements for the licensure state at no cost to the CRHC. RN must have graduated from a nursing program and have passed the NCLEX examination for RN license.

Experience of each candidate must be outlined to evaluate the candidate’s ability to carry out RN duties for all age groups. If there are staffing shortages, the RN is expected to accept assigned duties in the Outpatient Department and Emergency Department. The candidate will also be on call as scheduled and as outlined in the SOW/PWS. Staff must also be free of OIG sanctions and successfully pass a background check.

I. FAR 52.212-3 Offer Representations and Certifications-Commercial Products and Commercial Services (May 2024). See attachment for full text. The Offeror shall complete only paragraphs

(b) of this provision if the Offeror has completed the annual representations and certification electronically via the System for Award Management (SAM) website accessed through http://www.acquisition.gov. If the Offeror has not completed the annual representations and certifications electronically, the Offeror shall complete only paragraphs (c) through (p) of this provision.

J. FAR 52.212-4 Contract Terms and Conditions-Commercial Products and Commercial Services (Nov 2023). Applied to this acquisition and it’s by reference.

http://www.acquisition.gov/

K. FAR 52.212-5 Contract Terms and Conditions Required to Implement Statutes or Executive Orders Commercial Products and Commercial Services (Jan 2025). See attachment for full text.

L. Attached are the Federal Acquisition Regulations (FAR) & Health & Human Services Acquisition Regulation (HHSAR) clauses that are applicable including below.

M. Offers will be accepted electronically, Submit via e-mail to the following:

Cheyenne River Health Center

Attn: Velvett Cummins, Contract Specialist

Email: Velvett.Cummins@ihs.gov

Any questions, please submit by email to: Velvett.Cummins@ihs.gov; before November 14, 2025 by 1:00 pm MT. Contractors will need a Unique Entity ID (UEI) number, TIN number, and be registered with www.sam.gov.

SECURITY CLEARANCE

A security pre-clearance must be performed for any employees referred to IHS through this contract.

Fingerprints must be completed and adjudicated prior to services being performed under this contract.

No contract award shall be made to any vendor or provider listed on the OIG Exclusion List http://exclusions.oig.hhs.gov throughout the duration of the contract. It shall be the responsibility of the contractor to notify the acquisition official if there is a change in provider.

Performance of this contract will require routine access by employees of the Contractor or its subcontractors to facilities or systems controlled by the Indian Health Service (I.H.S.). Before starting work requiring routine access to I.H.S. facilities or systems each person must complete a FBI National Criminal

History Check (Fingerprint Check) adjudicated by an I.H.S. employee using the Office of Personnel

Management Personnel Investigations Processing System. Contractors shall allow five business days for

I.H.S. processing of fingerprints taken electronically at an I.H.S. site and thirty business days for non-electronic processing of fingerprints using FBI Form FD-258. A list of I.H.S. sites with electronic fingerprint capability is available from the Contracting Officer.

In addition, no Contractor or subcontractor employee shall be permitted to perform work under this contract if listed on the HHS Office of Inspector General List of Excluded Individuals/Entities (LEIE), http://exclusions.oig.hhs.gov. As soon as practicable prior to the start of work, the performance of the work the Contractor shall provide to the Contracting Officer the names of all individuals to be used in performance of work for screening against the LEIE. During the performance, the Contractor shall provide the Contracting Officer the names of any additional or substitute employees for screening before they begin work.

The Contractor is responsible for conducting security preclearance investigations in sufficient depth to ensure that each Contractor or subcontractor employee referred to I.H.S. is not on the LEIE and can obtain a favorable fingerprint clearance. Each security preclearance shall be conducted sufficiently in advance of the start of performance to avoid delays caused by denial of access. If this is a Time and Materials, Labor-

Hour or Cost Reimbursement contract, the contractor shall not charge for or be reimbursed for labor hours or other costs incurred for employees who are unable to perform due to denial or access or the mailto:Velvett.Cummins@ihs.gov mailto:Velvett.Cummins@ihs.gov http://www.sam.gov/ http://exclusions.oig.hhs.gov/ http://exclusions.oig.hhs.gov/ excess time required to resolve and clear unfavorable security clearance findings. If this is a Fixed Price contract, denial of access due to security clearance findings shall not be a basis for excusable delay or an increase to the contract amount.

Government will pay for the cost to process the contractor’s suitability clearances. However, multiple investigations for the same position may, at the Contracting Officers discretion, lead to reduction(s) in the contract price of no more than the cost of the extra investigation(s).

Employees that DO NOT have access to LMS, contractors, volunteers, or IHS employees with IPA’s or

MOAs to tribal organizations please, click here IHS Sexual Abuse Prevention website. When the contractors have completed and passed the training, please have them send a copy of the last page of the training with Name, Date, and Time to their Supervisor, COR, and Kimmen LeBeau, e-mail: Kimmen.LeBeau@ihs.govInvoice Processing Platform (IPP)

The Indian Health Service (IHS) is in the process of implementing an electronic invoicing system

In compliance with the Office of Management and Budget (OMB) M-15-19 memorandum “Improving

Government Efficiency and Saving Taxpayer Dollars Through Electronic Invoicing” directing Federal agencies to adopt electronic invoicing as the primary means to disburse payment to vendors. Invoices submitted under any award resulting from this solicitation will be required to utilize the Invoice Processing

Platform (IPP) in accordance with HHSAR 352.232- 71, Electronic Submission and Processing of Payment

Requests.

IPP is a secure, web-based electronic invoicing system provided by the U.S. Department of the Treasury’s

Bureau of the Fiscal Service, in partnership with the Federal Reserve Bank of St. Louis (FRSTL).

Respondents to this solicitation are encouraged to register an account with IPP if they have not already done so. If your organization is already registered to use IPP, you will not be required to re-register-however, we encourage you make sure your organization and designated IPP user accounts are valid and up to date.

Invoice Processing Platform (IPP)

The Indian Health Service (IHS) is in the process of implementing an electronic invoicing system. In compliance with the Office of Management and Budget (OMB) M-15-19 memorandum “Improving Government Efficiency and Saving Taxpayer Dollars Through Electronic Invoicing” directing Federal agencies to adopt electronic invoicing as the primary means to disburse payment to vendors. Invoices submitted under any award will be required to utilize the Invoice Processing Platform (IPP) in accordance with HHSAR 352.232-71, Electronic Submission and Processing of Payment Requests”.

IPP is a secure, web-based electronic invoicing system provided by the U.S. Department of the Treasury’s Bureau of the Fiscal Service, in partnership with the Federal Reserve Bank of St. Louis (FRSTL).

Respondents to this solicitation are encouraged to register an account with IPP if they have not already done so. If your organization is already registered to use IPP, you will not be required to re-register-however, we encourage you make sure your organization and designated IPP user accounts are valid and up to date.

The IPP website address is: https://www.ipp.gov.

If you require assistance registering or IPP account access, please contact the IPP Helpdesk at (866) 973-http://www.ipp.gov/

75H70625Q00089

1. REQUEST NO.

5a. ISSUED BY

NAME

a. NAME

c. STREET ADDRESS

d. CITY

10. PLEASE FURNISH QUOTATIONS TO

THE ISSUING OFFICE IN BLOCK 5a ON

OR BEFORE CLOSE OF BUSINESS (Date)

2. DATE ISSUED 3. REQUISITION/PURCHASE REQUEST NO. 4. CERT. FOR NAT. DEF.

UNDER BDSA REG. 2

AND/OR DMS REG.1

RATING

6. DELIVERY BY (Date)

7. DELIVERY

9. DESTINATION

a. NAME OF CONSIGNEE

b. STREET ADDRESS

PAGE OF PAGES

5b. FOR INFORMATION CALL: (No collect calls)

TELEPHONE NUMBER

AREA CODE NUMBER

8. TO:

b. COMPANY

e. STATE f. ZIP CODE

c. CITY

d. STATE e. ZIP CODE

IMPORTANT: This is a request for information, and quotations furnished are not offers. If you are unable to quote, please so indicate on this form and return it to the address in Block 5a. This request does not commit the Government to pay any costs incurred in the preparation of the submission of this quotation or to contract for supplies or services. Supplies are of domestic origin unless otherwise indicated by quoter. Any representations and/or certifications attached to this Request for Quotations must be completed by the quoter.

11. SCHEDULE (Include applicable Federal, State and local taxes)

THIS RFQ

REQUEST FOR QUOTATION

(THIS IS NOT AN ORDER)

IS IS NOT A SMALL BUSINESS SET ASIDEX

11/04/2025 IHS1513027

1 3

Eagle Butte PHS Indian Hospital P.O. Box 1012 Eagle Butte SD 57625

Cheyenne River Service Unit Multiple

EAGLE BUTTE SERVICE UNIT

24276 166th Street Airport Road

EAGLE BUTTE SD 57625

EAGLE BUTTE

SD 57625

VELVETT CUMMINS

11/18/2025 1700 MT

FOB DESTINATION

OTHER

(See Schedule)X

ITEM NO.

(a)

SUPPLIES/SERVICES

(b)

QUANTITY

(c)

UNIT

(d)

UNIT PRICE

(e)

AMOUNT

(f)

This is 100% Indian Small Business Economic Enterprises (ISBEE) Set-Aside.

Firm Fixed-Price, Non-Personal Healthcare Services, IDIQ Contract, Single Award, for Registered Nurse (RN) services, for the Outpatient Department, at the Cheyenne River Health Center (CRHC), located in Eagle Butte, South Dakota. The Period of Performance will be a one (1) base period, with three (3) additional option year periods.

Base year: 12/1/2025 - 11/30/2026 Option year One: 12/1/2026 - 11/30/2027 Option year Two: 12/1/2027 - 11/30/2028 Option year Three: 12/1/2028 - 11/30/2029

Continued ...

12. DISCOUNT FOR PROMPT PAYMENT

a. 10 CALENDAR DAYS (%) b. 20 CALENDAR DAYS (%) c. 30 CALENDAR DAYS (%) d. CALENDAR DAYS

NUMBER PERCENTAGE

NOTE: Additional provisions and representations

13. NAME AND ADDRESS OF QUOTER

b. STREET ADDRESS

c. COUNTY

d. CITY e. STATE f. ZIP CODE

14. SIGNATURE OF PERSON AUTHORIZED TO

SIGN QUOTATION

16. SIGNER

a. NAME (Type or print)

c. TITLE (Type or print)

a. NAME OF QUOTER

AREA CODE

NUMBER

15. DATE OF QUOTATION

b. TELEPHONE are are not attached

AUTHORIZED FOR LOCAL REPRODUCTION

Previous edition not usable

STANDARD FORM 18 (REV. 6-95)

Prescribed by GSA - FAR (48 CFR) 53.215-1(a)

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

2 3

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

75H70625Q00089

1 Base Year: 12/1/2025 - 11/30/2026

5 REGISTERED NURSES

ESTIMATED HOURS: 14,560 Hours @

$_____________/hour, totaling $_____________.

Delivery: 11/30/2026

Period of Performance: 12/01/2025 to 11/30/2026

2 Base Year: 12/1/2025 - 11/30/2026

5 REGISTERED NURSES

ESTIMATED ON-CALL HOURS: 3,120 hours @

$_________/hour, totaling $__________.

Delivery: 11/30/2026

Period of Performance: 12/01/2025 to 11/30/2026

3 Option Year One (1): 12/1/2026 - 11/30/2027

5 REGISTERED NURSES

ESTIMATED HOURS: 14,560 Hours @

$_____________/hour, totaling $_____________.

(Option Line Item)

Delivery: 11/30/2027

Period of Performance: 12/01/2026 to 11/30/2027

4 Option Year One (1): 12/1/2026 - 11/30/2027

5 REGISTERED NURSES

ESTIMATED ON-CALL HOURS: 3,120 hours @

$_________/hour, totaling $__________.

(Option Line Item)

Delivery: 11/30/2027

Period of Performance: 12/01/2026 to 11/30/2027

5 Option Year Two (2): 12/1/2027 - 11/30/2028

5 REGISTERED NURSES

ESTIMATED HOURS: 14,560 Hours @

$_____________/hour, totaling $_____________.

(Option Line Item)

Continued ...

NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

3 3

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

75H70625Q00089

Delivery: 11/30/2028

Period of Performance: 12/01/2027 to 11/30/2028

6 Option Year Two (2): 12/1/2027 - 11/30/2028

5 REGISTERED NURSES

ESTIMATED ON-CALL HOURS: 3,120 hours @

$_________/hour, totaling $__________.

(Option Line Item)

Delivery: 11/30/2028

Period of Performance: 12/01/2027 to 11/30/2028

7 Option Year Three (3): 12/1/2028 - 11/30/2029

5 REGISTERED NURSES

ESTIMATED HOURS: 14,560 Hours @

$_____________/hour, totaling $_____________.

(Option Line Item)

Delivery: 11/30/2029

Period of Performance: 12/01/2028 to 11/30/2029

8 Option Year Three (3): 12/1/2028 - 11/30/2029

5 REGISTERED NURSES

ESTIMATED ON-CALL HOURS: 3,120 hours @

$_________/hour, totaling $__________.

(Option Line Item)

Delivery: 11/30/2029

Period of Performance: 12/01/2028 to 11/30/2029

NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)

3131 (M-F 8AM to 6PM ET), or IPPCustomerSupport@fiscal.treasury.gov Should the contractor feel that use of the IPP would be unduly burdensome, their response to this solicitation should include an explanation of this position for a determination by the contracting officer.

ATTACHMENTS:

1. Notice to Quoters

2. SF18 Request for Quotes

3. Price Schedule

4. Performance Work Statement

5. Provisions and Clauses

6. Indian Firm Representation Form

7. Business Associate Agreement

8. Wage Determination mailto:IPPCustomerSupport@fiscal.treasury.gov

CLINs Labor Category Estimated Hours

Hourly Rate Total Price

Cheyenne River Service Health Center, Eagle Butte, SD 0001 Base Year – RN Services 14,560 0002 Base Year – RN Services - On-call 3,120 0003 Option Year One – RN Services 14,560 0004 Option Year One – RN Services – On-call 3,120 0005 Option Year Two – RN Services 14,560 0006 Option Year Two – RN Services – On-call 3,120 0007 Option Year Three – RN Services 14,560 0008 Option Year Three – RN Services – On-call 3,120

Total Price

1.0 General

TABLE OF CONTENTS

Performance Base Work Statement for the Cheyenne River Health Center Nursing Services

This Performance Work Statement (PWS) describes the requirements for Non- Personal service nursing services to support the mission of the Indian Health Service (IHS). IHS Mission Statement to improve the mental, social, and spiritual health of American Indians and Alaska Natives.

1.1 Background

The Cheyenne River Health Center is located on the Cheyenne River Sioux Tribe Reservation. The Emergency Department has 11 beds, Sub-Acute Critical Access Hospital (CAH)/Swing Bed having a total of 10 beds, and Outpatient Department 25 exam rooms. The Cheyenne River Health Center serves the reservation of approximately 2,806,913.95 acres (similar to the size of Connecticut). Services available are Inpatient, Outpatient and the Emergency Room Departments. The Cheyenne River Health Center is an Indian Health Service facility under the Great Plains Area Office. The Mission of the Cheyenne River Health Center is to provide unsurpassed excellence in healthcare.

1.2 Objective

The contracted RN will provide all necessary covered services within the Registered Nurses’ scope of practice, under the direction of the Clinical Nurse Supervisor or designee within the Outpatient Department.

• The contracted RN shall provide a full scope of service to include newborn, child, adolescent, adult and geriatric patients within their designated department at the Cheyenne River Heath Center.

1.3 Scope of Work

The Contractor shall provide nursing services in accordance with section 5.0, performance-based requirement.

1.3.1 Duties and responsibilities: May encompass providing minimal coverage in their primary designated department and short-term coverage in the other departments on an emergency bases to include the Emergency Room, Inpatient, and Outpatient Departments.

1.3.2 The contract resulting from this solicitation shall:

a. be a non-personal services contract under which the contractor is an independent contractor;

b. Require the contractor to promptly provide all requested information to allow for the proper certification and licensure, with 5-7 days of request;

a. Ensure that the contract Registered Nurse dose not lapse in their RN Licensure, or required certifications during their contract.

c. Allow the government to evaluate the quality of professional and quality of care services provided;

d. Require the contractor to indemnify the government for any liability producing act of omission by the contractor, its employees and agents occurring during the contract performance;

e. Require the contractor to maintain nursing liability insurance, in the coverage amount acceptable to the contracting officer which is not less than the amount normally prevailing with the local community for the nursing specialty concerned; and

f. Candidates with prior Nursing Licensure actions, unless adjudicated, are not eligible for employment with this agency.

1.5 Period of Performance

The period of performance of this contract is a base year with three (3) additional option years.

Base year: 12/1/2025 – 11/30/2026 Option year One: 12/1/2026 – 11/30/2027 Option year Two: 12/1/2027 – 11/30/2028 Option year Three: 12/1/2028 – 11/30/2029

1.6 Applicable Documents: Please see the web link listed unless document is listed as an attachment.

1.6.1 The Joint Commission (TJC) (The Joint Commission)

http://jointcommission.org

1.6.2 Centers for Medicare and Medicaid Services (CMS) Standards http://www.cms.hhs.gov

1.6.3 Inspector General Exclusion List http://oig.gov/exclusions

1.6.4 Section 4087 of Public Law 101-630, the Indian Child and Family Violence Act. http://nicwa.org/policy/law/protection/index.asp

1.6.5 Health Insurance Portability and Accountability Act (HIPAA) of 1996 http://www.cms.hhs.gov/hipaa

1.6.6 Privacy Act of 1974. http://www.usdoj.gov/oip/privstat/index.asp

1.6.7 Federal Code of Conduct http://ihs.gov

http://jointcommission.org/ http://www.cms.hhs.gov/ http://oig.gov/exclusions http://nicwa.org/policy/law/protection/index.asp http://www.cms.hhs.gov/hipaa http://www.usdoj.gov/oip/privstat/index.asp http://ihs.gov/

1.6.8 IHS Service Unit and Health Center Policies, Procedures, and Protocols.

(See section 11.0 for a list of attachments and exhibits)

1.6.9 Information Systems Security Awareness (ISSA) https://www.ihs.gov/issa

1.6.10 FAR 52.224-1 - 52.224-1 Privacy Act Notification. | Acquisition.GOV

1.6.11 FAR 52.224-2 - 52.224-2 Privacy Act. | Acquisition.GOV

1.6.12 HHSAR 352.224-70 Privacy Act - eCFR :: 48 CFR 352.224-70 -- Privacy Act.

(HHSAR 352.224-70)

1.7 .1 Quality Control:

The contractor shall develop and maintain an effective quality control program (QCP) to ensure services are performed in accordance with this PWS. The contractor shall develop and implement procedures to identify, prevent, and ensure non-recurrence of defective services. The contractor’s quality control program is the means by which the contractor assures the contractor that the work complies with the requirement of the contract.

1.7.2 Quality Assurance:

The government shall evaluate the contractor’s performance under this contract in accordance with the Quality Assurance Surveillance Plan. This plan is primarily focused on what the Government must do to ensure that the contractor has performed in accordance with the performance standards. It defines how the performance standards will be applied, the frequency of surveillance, and the minimum acceptable defect rate(s).

1.7.3 Recognized Holidays:

The contractor will be required to work on Federal Government Recognized Holidays, weeknights and weekends. These hours are considered regular hours unless meet the determination of overtime. If there is an early release on Holidays, the contractor will not be granted the early release. Contractors should also be prepared to take an On-Call shift during holidays through the staff rotations.

1.7.4 Hours of Operation:

The contractor is responsible for conducting business 24/7 as depicted by the department schedules, with the exception of non-essential departments during administrative closures, local or national emergencies, or similar Government directed facility closings. For other than firm fixed price contracts, the contractor will not be reimbursed when the government facility is closed for the above reasons. Staff must be prepared to be ready for their scheduled tour of duty, the contractor is traveling during the contractor’s time off, the contractor must make plans to ensure that the contractor is to make the scheduled shift especially during the winter season where weather can make travel difficult.

https://www.ihs.gov/issa https://www.acquisition.gov/far/52.224-1 https://www.acquisition.gov/far/52.224-2 https://www.ecfr.gov/current/title-48/chapter-3/subchapter-H/part-352/subpart-352.2/section-352.224-70 https://www.ecfr.gov/current/title-48/chapter-3/subchapter-H/part-352/subpart-352.2/section-352.224-70

The Contractor must at all times maintain an adequate workforce for the uninterrupted performance of all tasks defined within this PWS when the Government facility is not closed for the above reasons.

When hiring personnel, the Contractor shall keep in mind that the stability and continuity of the workforce is essential. Contractors are assigned to essential departments only.

The department will require 14560 hours for operation for the inpatient department each year for the contract with the option for the base plus 3.

****This contract is will have an all-inclusive rate for regular hours and “overtime hours”, the hourly rate will remain the same as the regular hourly rate that is paid by this agency.*****

1.7.5 On Call Hours:

Inpatient Department

Start End

Monday thru Friday 4:00 PM 7:00 AM

Saturday & Sunday 7:00 PM 7:00 AM

Outpatient Department

Start End

Monday thru Friday (Holiday call shifts that fall on a holiday during the week)

7:00 AM 7:00 PM

Sunday 7:00 AM 7:00 PM

When called, the contractor is to report to duty within 45 minutes. The contractor will perform nursing care to patients in the Emergency Room on occasion when on call or if coverage may be needed, Inpatient Department, Emergency Department, or Outpatient Department; the role of the contract nurse when called in will be staff nurse duties;

charge nurse duties are assigned to those contractors who are called into their designated department; includes weekends and holidays.

The department will require 3120 on-call hours for operation for the inpatient department for each year the contract is awarded.

When a contract nurse is called in, they will switch from on call hours to the all-inclusive rate and will not receive the on-call hours while claiming the hours while they are deemed needed to coverage.

1.7.6 Charge Duties as assigned:

The contract nurse will perform charge duties as assigned by department supervisor as needed. Duties may include but are not limited to making daily assignments, daily checks, shift reports, equipment checks, assigning meal breaks and coverage for the meal break coverage, chart reviews, and problem-solving day to day occurrences. When necessary, outside of normal business hours, communicates high risk situations to the nursing supervisor and/or administrator on call. The contract nurse has no supervision over government employees.

1.7.7 Place of Performance:

The work to be performed under this contract will be performed on site, at the Cheyenne River Health Center, 24276 166th Street, Eagle Butte, South Dakota.

1.7.1 Physical Security:

The contractor shall be responsible for safeguarding all government equipment, information and property provided for contractor use. At the close of each work period, government facilities, equipment, and materials shall be secured. The contracted RN shall generate and maintain proper medical record information on patients to whom treatment is provided, in accordance with Indian Health Service regulations. The contracted nurse shall prepare all medical records documentation and other required documentation to meet or exceed the established standards of the I.H.S. facility to include, but not be limited to: timeliness, legibility, accuracy, content, and signature.

All medical record and other documentation generated in the performance of the contract will be subject to the exclusive control of the Indian Health Service.

At the conclusion of the contract, the contractor will be required to check out with their supervisor or designee with an exit checklist. The contractor will be required to hand in their badge, resolve any discrepancies, pay final rent check if staying in IHS housing, and check out with medical records and compete any charting that is not complete. If the contractor fails to do this, their last check will not be signed or turned in until all items are completed.

1.7.2 Key Control: The Contractor shall establish and implement methods of making sure all keys/key cards issued to the Contractor by the Government are not lost or misplaced and are not used by unauthorized persons. NOTE: All references to keys include key cards.

No keys issued to the Contractor by the Government shall be duplicated. The Contractor shall develop procedures covering key control. Such procedures shall include turn-in of any issued keys by personnel who no longer require access to locked areas. The Contractor shall immediately report any occurrences of lost or duplicate keys/key cards to the Supervisor or Contracting Officer.

In the event keys, other than master keys, are lost or duplicated, the Contractor shall, upon direction of the Supervisor or Contracting Officer, re-key or replace the affected lock or locks; however, the Government, at its option, may replace the affected lock or locks or perform re-keying. When the replacement of locks or re-keying is performed by the Government, the total cost of re-keying or the replacement of the lock or locks shall be deducted from the monthly payment due the Contractor. In the event a master key is lost or duplicated, all locks and keys for that system shall be replaced by the Government and the total cost deducted from the monthly payment due the Contractor. If the contractor fails to pay for the replacement of keys or locks, the cost will be the responsibility of the contracting company or last check will be held.

The Contractor shall prohibit the use of Government issued keys/key cards by any persons other than the Contractor’s employees, this includes sharing such keys/keycards with other contractors. The Contractor shall prohibit the opening of locked areas by Contractor employees to permit entrance of persons other than Contractor employees engaged in the performance of assigned work in those areas, or personnel authorized entrance by the Contracting Officer.

1.7.3 Special Qualifications:

It is a condition of this contract that all required certifications remain current through The American Heart Association during the life of this contract.

• Outpatient Department RN:

o Possess current (BLS) Basic Life Support certification. (ACLS) Advanced

Cardiac Life Support is preferred, and (PALS) Pediatric Advanced Life Support.

The contractor is responsible for ensuring the contracted RN shall:

a. Be free of any work or health restrictions which interfere with the performance of the required work.

b. Have skill and knowledge in providing nursing care with full consideration of the mental, emotional, physical, and cultural factors involved, such that the contractor can relate constructively to patients from the Native American community.

c. Ability to work with patients and their family members, the public, hospital staff and professional staff.

1.7.4 Post Award Conference/Periodic Progress Meetings:

The Contractor agrees to attend any post award conference convened by the contracting activity or contract administration office in accordance with Federal Acquisition Regulation Subpart 42.5. The contracting officer, Contracting Officers Representative (COR), and other Government personnel, as appropriate, may meet periodically with the contractor to review the contractor's performance. At these meetings the contracting officer will apprise the contractor of how the government views the contractor's performance and the contractor will apprise the Government of problems, if any, being experienced. Appropriate action shall be taken to resolve outstanding issues. These meetings shall be at no additional cost to the government if required to come in outside of tour of duty.

1.7.5 Contracting Officer Representative (COR):

The (COR) will be identified by a designation letter issued to the COR. A copy of the letter will be sent to the Contractor, stating the responsibilities and limitations of the COR, especially with regard to changes in cost or price, estimates or changes in delivery dates. The COR is not authorized to change any of the terms and conditions of the resulting order.

The Contracting Officer Representative (COR) designated for this Project is:

Connie Walters Cheyenne River Health Center

24276 166th Street Eagle Butte, SD 57625

Connie.Walters@ihs.gov 605-964-0544

1.7.6 Key Personnel:

The following personnel are considered key personnel by the government:

• Director of Nursing: Lisa Veit, Lisa.Veit@ihs.gov, 605-964-0565

• ER Nurse Supervisor/Shift Coordinator: Mildred Martinez-Santos, Mildred.Martinez- Santos@ihs.gov 605-964-0564, or Mellissa Vig, Mellissa.Vig@ihs.gov 605-964-0574

• Inpatient Nurse Supervisor: Eunice Hollow Horn, eunice.hollowhorn@ihs.gov, 605-964- 0505.

• Outpatient Nurse Supervisor: Connie Walters, Connie.Walters@ihs.gov, 605/964-0544, interim.

• Background Clearance Coordinator: Brianna Hunter, Brianna.Hunter@ihs.gov, 605-964- 0595, Quintessa Lightning Fire, Quintessa.LightningFire@ihs.gov, 605-964-0661, Ariel Saylor, Ariel.Saylor@ihs.gov, 605-964-0500

• Employee Health: AnnMarie Ducheneaux, AnnMarie.Ducheneaux@ihg.gov, 605/964-

The contractor shall provide a contract manager who shall be responsible for the performance of the work. The name of this person and an alternate who shall act for the contractor when the manager is absent shall be designated in writing to the contracting officer. The contract manager or alternate shall have full authority to act for the contractor on all contract matters relating to daily operation of this contract. The contract manager or mailto:Connie.Walters@ihs.gov mailto:Lisa.Veit@ihs.gov mailto:Mildred.Martinez-Santos@ihs.gov mailto:Mildred.Martinez-Santos@ihs.gov mailto:Mellissa.Vig@ihs.gov mailto:eunice.hollowhorn@ihs.gov mailto:Connie.Walters@ihs.gov mailto:Brianna.Hunter@ihs.gov mailto:Quintessa.LightningFire@ihs.gov mailto:Ariel.Saylor@ihs.gov mailto:AnnMarie.Ducheneaux@ihg.gov alternate shall be available between 7:00 a.m. to 4:30p.m., Monday thru Friday except Federal holidays or when the government facility is closed for administrative reasons.

1.7.7 Identification of Contractor Employees:

All contract personnel attending meetings, answering Government telephones, and working in other situations where their contractor status is not obvious to third parties are required to identify themselves as such to avoid creating an impression in the minds of members of the public that the contractor is viewed as Government officials. The contractor must also ensure that all documents or reports produced by contractors are suitably marked as contractor products or that contractor participation is appropriately disclosed.

1.7.8 Face Masks/Badges:

The contractor personnel will be required to obtain and wear badges and mask if deemed appropriate by the Cheyenne River Health Center, in the performance of this service at all times. Face masks and badges are provided by the Cheyenne River Health Center.

1.7.9 Contractor Travel:

The Contractor shall be responsible for arranging travel and all associated costs related to the performance of this contract at no cost to the Cheyenne River Health Center

1.7.10 Other Direct Costs:

The Contractor shall be responsible for arranging travel, lodging, per diem, labor, fringe benefits, and plus any other costs pertinent to the performance of this contract. If the contractor is staying in the government housing, rent must be paid by check or money order at the beginning of each month. Housing is not guaranteed, however if approved, the contractor must abide by all rules and regulations that are set forth by the CRHC Housing Manager.

1.7.11 Data Rights:

The Government has unlimited rights to all documents/material produced under this contract. All documents and materials, to include the source codes of any software, produced under this contract shall be Government owned and are the property of the Government with all rights and privileges of ownership/copyright belonging exclusively to the Government. These documents and materials may not be used or sold by the contractor without written permission from the Contracting Officer. All materials supplied to the Government shall be the sole property of the Government and may not be used for any other purpose. This right does not abrogate any other Government rights.

1.6.17 Organizational Conflict of Interest:

Contractor and subcontractor personnel performing work under this contract may receive, have access to or participate in the development of proprietary or source selection information (e.g., cost or pricing information, budget information or analyses, specifications or work statements, etc.) or perform evaluation services which may create a current or subsequent Organizational Conflict of Interests (OCI) as defined in FAR Subpart 9.5. The Contractor shall notify the Contracting Officer immediately whenever it becomes aware that such access or participation may result in any actual or potential OCI and shall promptly submit a plan to the Contracting Officer to avoid or mitigate any such OCI. The Contractor’s mitigation plan will be determined to be acceptable solely at the discretion of the Contracting Officer and in the event the Contracting Officer unilaterally determines that any such OCI cannot be satisfactorily avoided or mitigated, the Contracting Officer may affect other remedies as deemed necessary, including prohibiting the Contractor from participation in subsequent contracted requirements which may be affected by the OCI.

2.0 Definitions

2.1 Acceptance: Constitutes acknowledgement that the supplies or services conform to the applicable contract quality and quantity requirements, except as provided in FAR subpart 46.5 and subject to other terms and conditions of contract.

2.2 Approval: Acknowledgement by the designated Government official that submittals, deliverables, or administrative documents conform to the contractual requirements. Government approval does not relieve the Contractor from responsibility for compliance with contract requirements.

2.3 Area: A defined geographical region for Indian Health Service administrative purposes. Each Area Office may administer several Service Units.

2.4 Code of Ethics: The Revised American Nurses Code of Ethics and Standards of Practice and Care, published in 1996 by the American Nurses Association which makes explicit primary goals, values and obligations of the nursing profession.

2.5 Contracting Officer (CO): A Government employee with the authority to enter into, administer, and/or terminate contracts and make related determinations and findings.

2.6 Contractor: The individual awarded a legal binding contract to provide supplies and services.

2.7 Cooperative Attitude: Behavior that is positive and displays willingness to perform assigned patient care tasks and to be a team player.

2.8 Cultural Awareness: Realization and respect for American Indians and Alaska Native practices.

2.9 Customer: Patients, staff, and visitors.

2.10 Customer Evaluation/Input: Written comments made to the Contracting Officer regarding the Contractors performance. This is one of the criteria used to evaluate the Contractor’s performance.

2.11 Dependability: Qualities of being trusted and being able to repeat the same task to yield the same result.

2.12 Federal Acquisition Regulation (FAR): The FAR is the primary regulation for use by all Federal Executive agencies in their acquisition of supplies and services with appropriated funds.

2.13 Gaps in Service: a break in continuity of services due to absence of contracted nurse; a break in work force.

2.14 Non-personal Services: A contract under which the personnel rendering the services are not subject, either by the contract’s terms or by the manner of its administration, to the supervision and control usually prevailing in relationships between the Government and its employees, as defined in FAR 37.

2.15 On-Call: The contractor is off duty, but remains available by telephone for the purpose of being contacted when unanticipated situations arise, and remains within a reasonable call-back radius, and reports for duty within 45 minutes of contact.

2.18 Orientation: An activity designed to provide basic familiarization of the facility and transition the nurse into the facility and/or unit where services will be provided.

2.19 Overtime Hours: Any hours worked over 80 hours in a two-week period.

2.20 Past Performance Information: Relevant information regarding a contractor’s actions under previously awarded contracts. This includes the contractor’s record of conformance to specifications and to standards of good workmanship;

the contractor’s record of containing and forecasting costs on any previously performed cost reimbursable contracts; the contractor’s adherence to contract schedules, including the administrative aspects of performance; the contractor’s history for reasonable and cooperative behavior and commitment to customer satisfaction; and generally, the contractor’s business like concern for interest of the customer.

2.21 Patient Outcome: End result of nursing care.

2.22 Performance based Matrix: Lists the services to be monitored and the standards to be applied.

2.23 Personal Protective Equipment: The equipment used to protect medical personnel from exposure to biological, chemical, and radioactive hazards.

2.24 Regular Hours: Working rotating 8-12 hours shifts, during a two-week period and equal 80 hours in a two-week period.

2.25 Standards of Practice and Standards of Care: Authoritative statements by which the nursing profession describes the responsibilities for which its practitioners are accountable. The standards provide direction for professional nursing practice and a framework for the evaluation of practice. The standards of professional nursing practice may pertain to general or specialty practice.

2.26 Supervisor: Government employee authorized to provide verbal and written performance direction to the Contractor that the Contractor must follow without exception.

2.28 Tour of Duty:

The contractor is paid for work during the designated tour of duty beginning and ending at the designated time. Early departure at the end of the work shift will not be compensated. An unpaid meal period of not less than thirty (30) but not more than sixty (60) minutes, with the length to be determined consistent with the needs of the work unit, will be permitted and is to be taken as close as possible to the mid-point of the Employee’s work shift. Meal breaks are not approved for paid overtime. The Tour of Duty must be followed strictly. OT will not be approved for coming in early for a shift, example contractor arrives 15 minutes early for their TOD, this is not to be billed to the service unit as hours worked, unless it has been prior approved by the supervisor to claim those hours. Contractors must stay until their TOD is over, there are no exceptions for leaving early, please see below.

DAYS

SCHEDULED

START END SHIFT DURATION

(HOURS)

MEAL BREAK

DURATIONS

(HOURS)

OUTPATIENT DEPARTMENT

Monday…