75H70626Q00005.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

Belcourt ND 58316 PO Box 160 1300 Hospital Road Belcourt PHS Indian Hospital

CODE 16. ADMINISTERED BYCODE

X

X

238290

SIZE STANDARD:

% FOR:SET ASIDE:UNRESTRICTED OR163

RFPIFB

10. THIS ACQUISITION ISCODE

RFQ

14. METHOD OF SOLICITATION

13b. RATING

NAICS:

SMALL BUSINESS

03/06/2026 1200 CT

02/10/2026

FARRAH AZURE

(No collect calls)

INFORMATION CALL:

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

4. ORDER NUMBER3. AWARD/ 6. SOLICITATION

75H70626Q00005

5. SOLICITATION NUMBER

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

1 28 See ScheduleOFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

TELEPHONE NO.

17a. CONTRACTOR/

Multiple Destinations

15. DELIVER TO

Belcourt ND 58316 P.O. Box 160 1300 Hospital Road

9. ISSUED BY

7.

2. CONTRACT NO.

EFFECTIVE DATE

$22

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

ISSUE DATE

DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

11.

SEE SCHEDULEX

12. DISCOUNT TERMS

THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

13a.

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

8(A)

Belcourt PHS Indian Hospital

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

24.

AMOUNT

23.

UNIT PRICE

22.

UNIT

21.

QUANTITY

20.

SCHEDULE OF SUPPLIES/SERVICES

19.

ITEM NO.

Firm Fixed-Price, Nonpersonal, Elevator Preventative Maintenance Service Agreement for two (2) Elevators located at Quentin N Burdick Memorial Health Care Facility in Belcourt, ND.

1 Service maintenance agreement for 2 Lagerquist Elevators @ QNBMHCF - Base Year Requisition No: IHS1520414

Continued ...

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

HEREIN, IS ACCEPTED AS TO ITEMS:

X

DATED

NICHOLE R. LEREW

. YOUR OFFER ON SOLICITATION (BLOCK 5),

INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE SET FORTH

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DELIVER

ARE

ARE

31c. DATE SIGNED

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA

31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (Type or print)

ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY ADDITIONAL

SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED.

27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA

26. TOTAL AWARD AMOUNT (For Govt. Use Only)

OFFER

STANDARD FORM 1449 (REV. 2/2012)

Prescribed by GSA - FAR (48 CFR) 53.212

ARE NOT ATTACHED.

ARE NOT ATTACHED.

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

30b. NAME AND TITLE OF SIGNER (Type or print)

30a. SIGNATURE OF OFFEROR/CONTRACTOR

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

25. ACCOUNTING AND APPROPRIATION DATA

29. AWARD OF CONTRACT:

REF.

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32c. DATE 32b. SIGNATURE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED:

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED

40. PAID BY39. S/R VOUCHER NUMBER38. S/R ACCOUNT NUMBER

37. CHECK NUMBER

FINALPARTIAL

36. PAYMENT

FINALPARTIAL

35. AMOUNT VERIFIED

CORRECT FOR

34. VOUCHER NUMBER33. SHIP NUMBER

COMPLETE

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

42d. TOTAL CONTAINERS42c. DATE REC'D (YY/MM/DD)

42b. RECEIVED AT (Location)

42a. RECEIVED BY (Print)

41c. DATE41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER

41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT

STANDARD FORM 1449 (REV. 2/2012) BACK

24.

AMOUNT

23.

UNIT PRICE

22.

UNIT

21.

QUANTITY

20.

SCHEDULE OF SUPPLIES/SERVICES

19.

ITEM NO.

Delivery: 03/19/2027

Delivery Location Code: IHSBELCOURT

BELCOURT SERVICE UNIT

Q.N.B.M.H.C.F

1300 Hospital Road

PO Box 160

Belcourt ND 58316 US

Period of Performance: 03/20/2026 to 03/19/2027

2 Service maintenance agreement for 2 Lagerquist

Elevators @ QNBMHCF - Option Period One (1)

(Option Line Item)

03/20/2027

Delivery: 03/19/2028

Delivery Location Code: IHSBELCOURT

IHSBELCOURT

Q.N.B.M.H.C.F

1300 Hospital Road

PO Box 160

Belcourt ND 58316 US

Period of Performance: 03/20/2027 to 03/19/2028

3 Service maintenance agreement for 2 Lagerquist

Elevators @ QNBMHCF - Option Period Two (2)

(Option Line Item)

03/20/2028

Continued ...

32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

28 2 of

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

3 28

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

75H70626Q00005

Delivery: 03/19/2029

Delivery Location Code: IHSBELCOURT

IHSBELCOURT

Q.N.B.M.H.C.F

1300 Hospital Road

PO Box 160

Belcourt ND 58316 US

Period of Performance: 03/20/2028 to 03/19/2029

4 Service maintenance agreement for 2 Lagerquist

Elevators @ QNBMHCF - Option Period Three (3)

(Option Line Item)

03/20/2029

Delivery: 03/19/2030

Delivery Location Code: IHSBELCOURT

IHSBELCOURT

Q.N.B.M.H.C.F

1300 Hospital Road

PO Box 160

Belcourt ND 58316 US

Period of Performance: 03/20/2029 to 03/19/2030

5 Service maintenance agreement for 2 Lagerquist

Elevators @ QNBMHCF - Option Period Four (4)

(Option Line Item)

03/20/2030

Delivery: 03/19/2031

Delivery Location Code: IHSBELCOURT

IHSBELCOURT

Q.N.B.M.H.C.F

1300 Hospital Road

PO Box 160

Belcourt ND 58316 US

Period of Performance: 03/20/2030 to 03/19/2031

Base period:__________________________

Option period one:____________________

Option period two:____________________

Option period three:__________________

Option period four:___________________

Total:________________________________

The quoted unit price is an all-inclusive cost.

All-inclusive is defined to include travel, lodging, per diem, fringe benefits, Federal/State/Local taxes, plus any other costs

Continued ...

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

Sponsored by GSA

FAR (48 CFR) 53.110

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

4 28

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

75H70626Q00005 pertinent to the performance of this contract.

Unique Entity

ID:__________________________________

The Unique Entity ID (UEI) is required, provided you do not have one, you may visit SAM.gov to obtain one. You will need a UEI to be awarded the purchase order and must be registered with an

Active, Registration in the System for Award

Management (SAM), you can register at www.sam.gov

Federal Tax ID

Number:__________________________________

Email Address:__________________________________

Net Terms:__________________________________

The quoter is hereby notified that they must be registered in SAM (System for Award Management) before the Government will issue an award.

The Unit Price is an all inclusive cost. All inclusive cost is defined to include travel, lodging, per diem, fringe benefits, i.e., life insurance, social security, federal, state, and local taxes, plus all other costs pertinent to the performance of this purchase order/contract/DO/TO.

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

Sponsored by GSA

FAR (48 CFR) 53.110

STATEMENT OF WORK

For

ELEVATOR PREVENTIVE MAINTENANCE & REPAIR SERVICES

INTRODUCTION

Purpose:

This specification defines the requirements for the Maintenance and Service Contract for two Lagerquist Traction passenger elevators located at the Quentin N. Burdick Memorial Health Care Facility in Belcourt, ND.

Background:

The intention of this solicitation is to obtain elevator maintenance services at the Quentin N. Burdick Memorial Health Care Facility located at 1300 Hospital Loop in Belcourt ND by means of a firm fixed-price contract. The Contractor shall furnish all labor, transportation, equipment, materials, tools, supplies, supervision, incidental engineering, and management to perform the maintenance, repair, and component replacement as required to maintain elevator system(s) in accordance with the manufacturer’s original specifications, and/or re-engineered specifications, American National Standards Institute (ANSI), Occupational Safety and Health Administration (OSHA), Joint Commission (TJC) standards, and ASME A17.1 (all strictly enforced and adhered to) – specific systems/elevators covered in this contract includes the performance of service work, preventive maintenance of equipment and other services as described herein.

Description of Services:

The contractor shall furnish all qualified/certified personnel, labor, materials, tools, equipment, supervision, and oversight required to perform maintenance and repair services in accordance with the following scope of work. Work shall include examining, calibrating, adjusting, lubrication and replacement of worn or defective parts, and troubleshooting as necessary to ensure continual operation of elevator system. The contractor shall repair and replace all elevator parts and devices not specifically excluded in the Scope of Work. The contractor shall perform all safety tests required by Federal, State and Local authorities, laws and regulations.

a. Work Excluded: The subparagraphs below further clarify the scope of work under this contract:

(1) Improvements: If a system becomes unserviceable due to original manufactures parts not being accessible or able to be purchased due to but not limited to the age of the equipment; thus, requiring the installation of new or improved equipment or modifications to existing equipment as directed or required by cognizant authorities (COR and or Contracting Officer), is not included in this contract. Additional funding to the agreed upon pricing of this contract will be required to repair such items to the equipment and needed based on the scenario above. Improvements also cover work not necessary as part of maintenance and repair.

(2) Cleaning and Refinishing: Work covering routine cleaning and refinishing of the interior of cars and the exterior of the hoist way doors and frames is not included in this contract. However, cleaning of equipment spaces and daily cleanup of job sites in conjunction with preventive maintenance, inspection services and repairs is included in this contract.

b. Warranted Equipment: Equipment, components, and parts, other than that installed under the contract, shall not be removed or replaced or deficiencies corrected while still under warranty of the manufacturer or the installer without prior approval of the COR. All defects in material or workmanship, defective parts, or improper installation and adjustments found by the Contractor shall be reported to the COR so that necessary actions may be taken. The Contractor shall be knowledgeable of the equipment, parts, and components that are covered by warranty and the duration of such warranties. If needed and available, warranty information will be furnished to the Contractor by the

COR.

c. Licensing and Supervision: The Contractor shall be licensed by the State of North Dakota to provide the maintenance and repair services specified in the contract. All work shall be performed by elevator mechanics specifically qualified and trained to work on elevator escalator, dumbwaiter, cart lift systems and equipment.

Evidence of all required licenses, as well as documentation of the qualifications of personnel, shall be provided to the COR prior to award of the contract.

(d) Parts: The Contractor shall furnish and replace all parts to meet SOW requirements. The Contractor shall provide new or factory reconditioned parts and components when providing maintenance and repair services as described herein. All replacement units, parts, components and materials to be used in the maintenance, repair and alteration of equipment shall be compatible with that existing equipment on which it is to be used; shall be of equal or better quality than original equipment specifications; shall conform to the technical specifications, and used in accordance with original design and manufacturer intent. Items shall be of acceptable industrial grade and quality. If the original manufacturer has updated the quality of parts for current production, parts supplied under this contract shall equal or exceed the updated quality. When disputes arise concerning material, equipment, and components selected for work items already accomplished, the Contractor shall, at no cost to the Government, remove, replace and/or rework material, equipment and components so that compliance with the Government’s requirements are satisfied.

Gray Market Prevention:

(1) Gray market items are Original Equipment Manufacturers (OEM) goods sold through unauthorized channels in direct competition with authorized distributors. This procurement is for new OEM supplies, equipment and/or services contracts for maintenance of equipment (i.e. replacement parts) for the Quentin N. Burdick Memorial Health Care Facility. No remanufactures or gray market items will be acceptable.

(2) Vendor shall be an OEM, authorized dealer, authorized distributor or authorized reseller for the proposed supplies, equipment and/or services contracts for maintenance of elevator equipment (i.e. replacement parts), verified by an authorization letter or other documents from the OEM, such that the OEM’s warranty and service are provided and maintained by the OEM. All software licensing, warranty and service associated with the supplies, equipment and/or services contracts for maintenance of elevator equipment shall be in accordance with the OEM terms and conditions.

(3) The delivery of gray market items to the Quentin N. Burdick Memorial Health Care Facility in the fulfillment of an order/award constitutes a breach of contract. Accordingly, the Quentin N. Burdick Memorial Health Care Facility reserves the right to enforce any of its contractual remedies. This includes termination of the contract or, solely at the hospital’s election, allowing the Vendor to replace, at no cost to the Government, any remanufactured or gray market item(s) delivered to the Quentin N. Burdick Memorial Health Care Facility upon discover of such items.

e. Management: The Contractor shall manage the total work effort association with the operations, maintenance and repair, and all other services required herein to assure fully adequate and timely completion of these services. Included in this function are full range of management duties including but not limited to scheduling, report preparation, establishing and maintaining records, and quality control. The Contractor shall provide an adequate staff of personnel with the necessary management expertise to assure the performance of the work in accordance with sound and efficient management practice.

f. Work Control: The Contractor shall implement all necessary work control procedures to ensure timely accomplishment of work requirements, as well as to permit tracking of work in progress. The Contractor shall plan and schedule work to assure material, labor and equipment are available to complete work requirements within the specified time limits and in conformance with the quality standards established herein. Verbal scheduling and status reports shall be provided when requested by the COR. The status of any item of work must be provided with two (2) hours of the inquiry during regular working hours of the inquiry during regular working hours and within four (4) hours after regular working hours.

g. Records: cumulative service records shall be kept for each system of the Lagerquist Traction passenger elevators. A separate record file shall be established and kept up to date for each system. The Contractor shall submit proposed formats for each of the required records listed below for the COR’s approval at Least 15 calendar days prior to the start date of the contract.

(1) The records shall cover the following work:

a. Preventive Maintenance Inspection and Service (PMIS) work.

b. Inspection, Testing and Certification work.

c. Service Work.

(2) The Contractor shall include the following data in the appropriate record within 2 (two) working days from the completion of the associated work items:

a. The date (s) when the service (s) was scheduled, started and completed.

b. Name of the individual (s) who performed the services.

c. The nature and extent of all service and repair work performed, including: completed PMIS record cards, description of conditions and deficiencies found during any PMIS visits, and deficiencies remaining uncorrected during PMIS visits; work performed during inspections and tests results of those inspections / tests, and description of service work performed, including a brief description of material and parts used (including cost and quantities) and labor expended.

d. Any other information the Contractor chooses to include in the records, at no additional cost to the Government.

(3) All required records shall be made available to the Government for examination and reproduction upon request, and the original records shall be submitted to the COR within five (5) calendar days. All required record shall be maintained in a readable, complete, orderly, timely and accurate manner.

h. Work Completion Reports: The Contractor shall submit work completion reports to the COR within ten (10) working days after completing each occurrence of service under this contract.

(i) Staffing: The Contractor shall continuously maintain an adequate staff with suitable management expertise to assure work is scheduled and completed in accordance with these specifications. The Contractor shall maintain an adequate craft work force to complete work in accordance with the time and quality standards specified:

4. Preventive Maintenance Inspection and Service: The Contractor shall perform Preventive Maintenance Inspection and Service (PMIS) work on all equipment systems covered under this contract. Work shall consist of maintaining these systems in a safe, reliable and satisfactory operating condition. All work shall comply with ANSI A17.1 except as modified herein. The Contractor shall provide all necessary services, parts and materials and complete all repair requirements identified during the performance of a PMIS as part of the PMIS. The Government may consider excessive or repeated system breakdown/deficiencies as an indication of unsatisfactory PMIS performance by the Contractor.

PMIS work includes periodic Contractor operation, inspection, checks, adjustments and maintenance of elevator systems necessary to ensure that each system complies with applicable IHS, local, ANSI and manufacturers’ standards of safety, reliability and satisfactory operating conditions. PMIS work shall be performed in accordance with paragraph (4-A) below. The intent of PMIS is to provide routine maintenance services that permit the early detection and correction of items that, if deficient of defective, would: (a) interfere with the normal effective operation of the elevator and dumbwaiter systems; (b) endanger life and/or property/ or (c) involve excessive cost or long lead time for repair.

4-A. PMIS work shall include, but not necessarily be limited to: comprehensive operational inspection and adjustments to insure the satisfactory functioning of machinery and controls, car speeds, leveling devices, car and hoist way doors, and safety edge mechanisms; detecting and correcting the causes of unusual noises for vibrations; manufacturers’ recommended machinery lubrication; adjustments to bring system operation within the manufacturers’ specifications;

repairs, including defective part and component replacements; equipment space housekeeping; equipment cleaning;

changing burned-out indicator lamps; and other services as required to maintain all systems at a safe and acceptable operating condition.

a. Frequency: Minimum acceptable frequencies for the accomplishment of PMIS services are one (1) time per each calendar month. If the Contractor decides that additional visits are necessary to ensure maintenance and safety, he/she shall provide the necessary work at no additional cost to the Government.

b. Contractor PMIS Schedule Submissions: The Contractor shall submit a detailed PMIS schedule to the COR for approval at least fifteen (15) calendar days prior to the start date of the contract. The schedule shall include, for each specific equipment system and PMIS listed in paragraph (4-A), the location (system number); work to be performed (e.g., monthly PMIS); and the week of the month that the PMIS will be performed. The Contractor shall schedule and perform PMIS on regular Government working days between the hours of 8:00am and 4:30pm. Once the Contractor’s PMIS schedule is approved by the COR, PMIS shall be performed by the Contractor’s PMIS schedule dates to facilitate Government verification of the work. If the Contractor finds it necessary to reschedule PMIS a written request shall be made to the COR detailing the reasons for proposed change at least five (5) working days prior to the originally schedule PMIS date. No scheduled PMIS dates shall be changed without the prior written approval of the COR.

c. PMIS Records and Reports: The contractor shall meet PMIS Work Quality Standards.

PMIS work quality standards:

• PMIS checklist work items satisfactorily accomplished: All internal and external components, parts, assemblies, and subassemblies forming a part of each elevator system or necessary for its safe operation are inspected, adjusted, lubricated, repaired, or replaced as necessary to insure system is functioning as designed. NO unusual or objectionable machinery wear, noise or vibration.

• Clean equipment areas/rooms.

• All car speeds meet manufacturer’s rated speeds. Smooth car movement, with no unusual or objectionable noise or vibration.

• All leveling devices maintained and adjusted to permit cars to stop level with a LI floors/landing.

• All doors and safety edges maintained and adjusted to operate at rated speeds and as per original equipment specifications.

• All normal and emergency operating controls maintained and adjusted to be fully operational.

• All lights and indicator lamps are operational.

• All safety systems and mechanisms maintained in safe, operational condition.

• All cables acceptably inter---lubricated and maintained within allowable limits of wear. Systems are “shut-down” and COR is notified when worn or damaged cables are found.

5. INSPECIONS, TESTING AND CERTIFICATION: All inspection and testing shall be performed in accordance with ANSI A17.1 and ANSI A17.2 except as modified herein, by an independent third party. Deficiencies discovered during testing shall be corrected by the contractor.

6. SERVICE WORK: The Contractor shall perform service work (service calls) as necessary to determine the cause of system and equipment malfunctions, eliminate the cause (s), and restore the system or equipment to satisfactory working condition. Excessive or repeated systems and equipment malfunctioning may be considered by the Government to be unsatisfactory performance of service work by the Contractor. The contractor shall respond to all service calls, including those calls where the accomplishment of repairs is subsequently determined to be beyond the major repair limit.

a. Service Call Reception: Authorized Government representative will advise the Contractor by phone of all service call requests received, both during and after regular working hours, as well as the classification of each call based on the definitions provided below. The Contractor shall have adequate procedures for receiving and responding to service calls 24 hours per day, including weekends and holidays 7 days a week. A single local or toll-free telephone number shall be provided by the Contractor for receipt of all service calls. All telephone calls shall be answered within thirty (30) seconds by an individual fully familiar with the Contractor’s work control procedures and the terms and conditions of this contract. Calls shall be considered received by the Contractor at the time and date the telephone call is placed.

(b). Service Call Classification: Service calls will be classified by the Government as either emergency or routine and the following procedures shall apply for each type.

(1) Emergency Service Calls: Service calls will be classified as emergency at the discretion of the COR.

Generally, calls will be classified as emergency when system failures constitute a danger to personnel, threaten to damage property, or threaten to disrupt activity operations and/or training missions.

Examples include personnel “trapped” inside an elevator, a fire or electrical defect which could cause fire or shock, etc. the Contractor shall provide a mechanic at the site and on the job ready to service the elevator, escalator or dumbwaiter within two (2) hour maximum of receiving the call, 24 hours a day, 7 days a week. After beginning work, the Contractor shall work continuously until the emergency is arrested. After arresting the emergency condition, any remaining work required to restore safe, continuous, and reliable equipment operation shall be performed as a routing service call in accordance with the requirements specified in the following paragraph. Such follow up work shall be considered part of the original service call.

(2) Routine Service Calls: Service calls will be classified as routine when the work does not qualify as an emergency call. The Contractor shall respond to and begin work on routine service calls within twenty-four (24) hours after receipt of the call. For example, if a routine service call is received by the Contractor at 10:00 am on Tuesday, the Contractor shall be at the job-site not later than 10:00 am on Wednesday. If the call is received at 2:00 pm on Friday, the Contractor must be at the job-site not later than 2:00 pm on the following Monday. Routine service work will normally be performed during the Governments regular working hours unless prior approval is received from the COR. Routine service calls shall be completed in accordance with the following standards:

a) If no single repair part exceeds $250.00 in cost, all repair and service work shall be carried to completion upon commencement of the work. Work shall be completed within two working days from receipt of the call.

b) If any single repair part equals or exceeds $250.00 in cost, but is less than $750.00, the Contractor will be allowed one working day to procure the part after receipt of the call. Work shall be completed within two working days after obtaining the part.

c) If any single repair exceeds $750.00 in cost, the Contractor will be allowed three working days after receipt of the call to procure parts. Work shall be completed within two working days after obtaining the part.

d) After procuring part(s), the contractor shall work continuously during regular hours until the repair is completed. If the Contractor has not secured parts within the allowed time, the Government reserves the right to (1) find a source for the part and require the contractor to purchase the part from that source, (2) accomplish the work by other means at contractor expense, or (3) require the contractor to obtain and provide documentation of price quotations and the date of expected availability of parts from at least two (2) different commercial suppliers.

c. Service Work Quality Standards: The Contractor shall meet the following service work quality standards:

(1) All work, including repair and replacement parts, satisfies the recommendations and requirements of ANSI A17.1 (Parts X and X 11 and other parts/rules further referenced therein)

(2) Operational and other inspections and tests incidental to or arising from the replacement of certain parts and components are satisfactorily performed, as recommended or required by ANSI A17.1.

(3) Continuous progress and completion of the work resulting in a safe, efficient, and reliable system condition that permits the restoration of system service.

(4) Safe job site during progress of work. Clean job site upon completion of work.

(5) Unserviceable parts and components removed from Government property unless directed otherwise by the

COR.

Work Schedule: The Contractor shall schedule and arrange work to cause the least interference with the normal occurrence of Government business and mission. In those cases where some interference may be essentially unavoidable, the Contractor shall make every effort to minimize the impact of the interference, inconvenience, equipment downtime, interrupted service, customer discomfort, etc. Normal work hours are from 8:00 am to 4:30 pm Monday through Friday, excluding Federal Holidays.

Federal Holidays: New Year’s Day, Martin Luther King Day, President’s Day, Memorial Day, Juneteenth Day, Independence Day, Labor Day, Columbus Day, Veteran’s Day, Thanksgiving Day and Christmas Day.

WORK OUTSIDE REGULAR HOURS: Except as may otherwise be specified, all work shall be performed during regular working hours. If the Contractor desires to perform work on Saturday, Sunday, holidays, or outside regular working hours, he/she must submit application to the COR for approval unless the situation falls in the SOP as an emergency call back.

B. CONTRACT AWARD MEETING: The Contractor shall not commence performance of the tasks identified in the SOW until the Contracting Officer (CO) has conducted a post-award conference, or has advised the contractor that a post-award conference has been waived.

C. GENERAL REQUIEMENTS: All written deliverables shall be phrased in layperson language. Statistical and other technical terminology shall not be used without providing a glossary of terms.

D. SPECIFIC MANDATORY TASKS AND ASSOCIATED DELIVERABLES

TASK ONE: Certified Technicians

DELIVERABLE ONE: Certificates for certified training.

E. CONFORMANCE STANDARDS/QUALITY ASSURANCE: The Contractor shall:

• Ensure the equipment functions in the conformance with the latest edition of the Original Equipment Manufacturer (OEM) Service Manual

• Conform to quality assurance standards in accordance with the best commercial practices, unless otherwise specified

• Submit a Quality Control Plan (QCP) with the technical proposal

F. CHANGES TO CONTRACT OR SOW:

The Contracting Officer (CO) is the only individual authorized to approve changes or modify any of the requirements under this SOW or impending contract. The Contractor shall communicate with the Contracting Officer’s Representative (COR) on all matters pertaining to contract administration. The COR is designated to represent the CO in furnishing technical guidance and advice regarding the work being performed under this contract. Only the CO is authorized to make commitments or issue changes affecting price, quantity or performance of the contract. Costs incurred by the Contractor through the actions of parties other than the CO shall be borne by the Contractor. CO authority. Only the Contracting Officer (CO) is authorized to make changes to this Statement of Work or any other terms, conditions, price, or schedule of the contract. Any such change must be made in writing by a contract modification executed by the CO pursuant to the applicable FAR “Changes” authority. The Contractor shall not act on the direction of any person other than the CO if the direction would affect scope, price, schedule, or any other term of the contract.

G. GOVERNMENT RESPONSIBILITIES

(1) The Government shall provide the contractor access to the appropriate area/areas where the work under this SOW shall be performed.

(2) The Government will furnish the following utility services at existing outlets, for use in those facilities provided by the Government and as may be required for the work to be performed under the contract:

electricity, fresh water, sewage service and refuse collection from existing collection points. Information concerning the locations of existing outlets may be obtained from the POC. The Contractor shall provide and maintain, at his/her expense, the necessary service lines from existing Government outlets to the site of work.

H. CONTRACTOR EXPERIENCE AND/OR REQUIREMENTS

(1) Contract employees shall be factory trained and certified at installing and repairing data circuits, the CO or COR may request proof of this certification prior to authorizing contract employees to service the equipment.

(2) Contractor employees shall have safety training, either on-the-job or classroom type training, in the electrical safety outlined in the OSHA Standard 19 Code of Federal Regulations (CFR) 1910 Subpart S – Electrical and the NFPA 70E – Standard for Electrical Safety in the Workplace. The CO or COR may request training certificates to validate training completion. If no training certificates of OSHA Standard 29 CFR 1910, Subpart I, and NFPA 70E.

(3) Contractors shall be equipped with all necessary tools, equipment, and Personal Protective Equipment (PPE) to perform the work safely, effectively and timely. Tools, equipment and PPE shall comply with the requirements of OSHA Standard 29 CFR 1910, Subpart I, and NFPA 70E.

(4) Contractor must furnish maintain the most current and updated maintenance and/or repair manuals for the data circuit in question.

(5) Contract employees shall be required to provide the COR with Safety Data Sheets (SDS) prior to bringing any chemicals to the facility for use. The SDS shall be reviewed and approved by the COR prior to the chemicals being used.

I. CONFIDENTIALITY AND NONDISCLOSURE: The Contractor understands and agrees that confidential information (patients, employees, or facility) must be secured and protected at all times. The Contractor and its personnel shall be held liable in the event a breach of confidentiality occurs as a result of the Contractor or its employee. Each contract employee will be required to read and sign the Contractor Rules of Behavior and provide the original signature page to the COR.

The contractor will comply with the following listed regulations:

- Privacy Act, 5 U.S.C. 552a - Office of Privacy and Civil Liberties | Privacy Act of 1974

- Health Insurance Portability and Accountability Act (HIPAA) - eCFR :: 45 CFR Part 164 -- Security and Privacy

- CFR 42 Part 2 - eCFR :: 42 CFR Part 2 -- Confidentiality of Substance Use Disorder Patient Records

Indemnification and Governing Law https://www.justice.gov/opcl/privacy-act-1974 https://www.ecfr.gov/current/title-45/subtitle-A/subchapter-C/part-164 https://www.ecfr.gov/current/title-42/chapter-I/subchapter-A/part-2

Indemnification, Liability, Statute of Limitations: Any provisions in the Terms of Service (TOS) related to indemnification and filing deadlines are hereby waived, and shall not apply except to the extent expressly authorized by law. Liability for any breach of the TOS as modified by this amendment, or any claim arising from the TOS as modified by this amendment, shall be determined under the Federal Tort Claims Act, or other governing federal authority. Federal statute of limitations provisions shall apply to any breach or claim.

Governing law: Any arbitration, mediation or similar dispute resolution provision in the TOS is hereby deleted. The TOS and this amendment shall be governed by and interpreted and enforced in accordance with the laws of the United States of America without reference to conflict of laws. To the extent permitted by federal law, the laws of the State of North Dakota will apply in the absence of applicable federal law.

J. CONTRACTOR PERSONNEL SECURITY REQUIREMENTS

The mechanism/documentation used to ensure the IHS sensitive information is protected is the specific key/mag-lock associated with each communication closet/room that will require an escort for each contractor personnel.

K. CONTRACTING ADMINISTRATION AND PERFORMANCE MONITORING:

(1) Notwithstanding the Contractor’s responsibility for total management during the performance of this contract, the administration of the contract will require maximum coordination between the Government and the Contractor. The COR and Program Manager will assist by monitoring contractor performance and reporting the findings to the CO. The COR shall be designated on the authority of the CO at the time of contract award to monitor all technical aspects of the contract. In no event is the COR empowered to change any of the terms and conditions of the contract. Changes in any section of this contract shall be made only by the Contracting Officer pursuant to a properly executed modification.

(2) The types of actions within the purview of the COR’s authority are to ensure that the Contractor performs the technical requirements of the contract and to notify both the Contractor and the Contracting Officer of any deficiencies observed. A memorandum of designation shall be issued to the COR and a copy shall be sent to the Contractor at the time of contract award setting forth in full the responsibilities and limitations of the COR.

L. PAYMENTS: Payment shall be made monthly, in arrears, upon receipt of a properly prepared invoice. All invoices shall be submitted through Invoice Processing Platform (IPP).

Performance of Work:

The contractor shall perform periodic/routine inspections and maintenance during regular working hours (8:00am – 4:30PM), Monday – Friday. All work shall be performed on a monthly basis. This shall include six (6) callback service calls at no charge (per year). A lead time of no more than 24 hours is required.

Period of Performance:

Time of Award plus one year (Plus four (4) one (1) year options.

Contracting Officers Representative (COR):

Shall be assigned by Contracting Officer with contact information.

Point of Contact (POC):

All correspondence will be through the assigned Contracting Officer Representative (COR).

Applicable Publications, Laws, and Regulations:

NFPA 72, National Fire Alarm and Signaling Code, 2013 Edition.

NFPA 101, Life Safety Code, 2012 Edition.

NFPA 70, National Electrical Code, 2014 Edition.

ANSI/UL 60950, Information Technology Equipment-Part 1: General Requirements.

ANSI/UL 1981, Central Station Automation Systems.

ANSI/UL 827, Standard for Central-Station Alarm Services.

Liability:

In no event shall the Government release the Contractor from Liability arising from acts of omission, improper service, negligence, or deliberate or non-deliberate acts that jeopardize the health and safety of patients and/or hospital employees.

Authority

1.1. No person other than the Contracting Officer has authority to bind the Government with respect to this contract.

1.2. No action or omission of any government employee or representative other than the Contracting Officer shall increase or decrease the scope of this contract or shall otherwise modify the terms and conditions of this contract.

1.3. In no event shall any of the following be effective or binding on the Government or imputed to the Contracting Officer with respect to this contract:

1.3.1. An understanding or agreement between the Contractor and anyone other than the Contracting Officer;

1.3.2. A purported modification or change order issued by anyone other than the Contracting Officer;

1.3.3. A promise by anyone other than the Contracting Officer to provide additional funding or make payments; or

1.3.4. An order, direction, consent, or permission from anyone other than the Contracting Officer to:

1.3.4.1. Incur costs in excess of a specified estimated cost, allotment of funds, or other ceiling; or

1.3.4.2. Expend hours in excess of a specified level of effort.

COR Information:

Jeffrey DeCoteau Biomedical Equipment Support

IHS/ABR/BCH

1300 Hospital Loop PO Box 160 Belcourt, ND 58316 Jeffrey.DeCoteau@ihs.gov

CLAUSES INCORPORATED BY REFERENCE

(Firm Fixed-Price, Non-Personal Service – Commercial Items)

FAR CITATION: 52.252-1 Solicitation Provision Incorporated by Reference. (FEB 1998) This solicitation incorporates one or more solicitation provisions by reference, with the same force and defect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. The offeror is cautioned that the listed provisions may include blocks that must be completed by the offeror and submitted with its quotation or offer.

In lieu of submitting the full text of those provisions, the offeror may identify the provision by paragraph identifier and provide the appropriate information with its quotation or offer. Also, the full text of a solicitation provision may be accessed electronically at this/these address(es): www.acquisition.gov/far.

52.252-2 Clauses Incorporated by Reference. (FEB 1998) This purchase order 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: www.acquisition.gov/far

“System updates may lag policy updates. The System for Award Management (SAM) may continue to require entities to complete representations based on provisions that are not included in agency solicitations. Examples include 52.222-25, Affirmative Action Compliance, and paragraph (d) of 52.212-3, Offeror Representations and Certifications—Commercial Products and Commercial Services. Contracting officers will not consider these representations when making award decisions or enforce requirements. Entities are not required to, nor are they able to, update their entity registration to remove these representations in SAM.”

I. Federal Acquisition Regulations (FAR) (48 CFR Chapter 1) Clauses No. FAR Citation Clause Title Clause Date

1. 52.202-1 Definitions JUN 2020

2. 52.204-7 System for Award Management DEVIATION SEPT 2025

3. 52.204-9 Personal Identity Verification of Contractor

Personnel

JAN 2011

4. 52.204-13 System for Award Management Maintenance DEVIATION SEPT 2025

5. 52.204-19 Incorporation by Reference of Representations and

Certifications

DEC 2014

6. 52.212-1 Instructions to Offerors-Commercial Products and Commercial Services

DEVIATION SEPT 2025

7. 52.216-25 Contract Definitization OCT 2010 52.217-5 Evaluation of Options DEVIATION NOV 2025 52.217-8 Option to Extend Services NOV 1999

8. 52.222-50 Combating Trafficking in Persons DEVIATION JAN 2026

9. 52.224-1 Privacy Act Notification APR 1984

10. 52.224-2 Privacy Act APR 1984 52.224-3 Privacy Training JAN 2017

11. 52.226-8 Encouraging Contractor Policies to Ban Text

Messaging While Driving

MAY 2024

12. 52.232-33 Payment by EFT – SAM OCT 2018

13. 52.232-40 Providing Accelerated Payments to Small Business

Subcontractors

MAR 2023

14. 52.233-4 Applicable Law for Breach of Contract Claim OCT 2004

15. 52.240-1 Prohibition on Unmanned Aircraft Systems

Manufactured or Assembled by American Security Drone Act-Covered Foreign Entities

NOV2024

II. Federal Acquisition Regulations (FAR) (48 CFR Chapter 1) Clauses in Full Text http://www.acquisition.gov/far http://www.acquisition.gov/far

52.212-4 Contract Terms and Conditions – Commercial Products and Commercial Services

As prescribed in 12.301(b)(3), insert the following clause:

CONTRACT TERMS AND CONDITIONS—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (NOV 2023)

(a) Inspection/Acceptance. The Contractor shall only tender for acceptance those items that conform to the requirements of this contract. The Government reserves the right to inspect or test any supplies or services that have been tendered for acceptance. The Government may require repair or replacement of nonconforming supplies or reperformance of nonconforming services at no increase in contract price. If repair/replacement or reperformance will not correct the defects or is not possible, the Government may seek an equitable price reduction or adequate consideration for acceptance of nonconforming supplies or services. The Government must exercise its post-acceptance rights-

(1) Within a reasonable time after the defect was discovered or should have been discovered; and

(2) Before any substantial change occurs in the condition of the item, unless the change is due to the defect in the item.

(b) Assignment. The Contractor or its assignee may assign its rights to receive payment due as a result of performance of this contract to a bank, trust company, or other financing institution, including any Federal lending agency in accordance with the Assignment of Claims Act (31 U.S.C. 3727). However, when a third party makes payment (e.g., use of the Governmentwide commercial purchase card), the Contractor may not assign its rights to receive payment under this contract.

(c) Changes. Changes in the terms and conditions of this contract may be made only by written agreement of the parties.

(d) Disputes. This contract is subject to 41 U.S.C. chapter 71, Contract Disputes. Failure of the parties to this contract to reach agreement on any request for equitable adjustment, claim, appeal or action arising under or relating to this contract shall be a dispute to be resolved in accordance with the clause at Federal Acquisition Regulation (FAR) 52.233-1, Disputes, which is incorporated herein by reference. The Contractor shall proceed diligently with performance of this contract, pending final resolution of any dispute arising under the contract.

(e) Definitions. The clause at FAR 52.202-1, Definitions, is incorporated herein by reference.

(f) Excusable delays. The Contractor shall be liable for default unless nonperformance is caused by an occurrence beyond the reasonable control of the Contractor and without its fault or negligence such as, acts of God or the public enemy, acts of the Government in either its sovereign or contractual capacity, fires, floods, epidemics, quarantine restrictions, strikes, unusually severe weather, and delays of common carriers. The Contractor shall notify the Contracting Officer in writing as soon as it is reasonably possible after the commencement of any excusable delay, setting forth the full particulars in connection therewith, shall remedy such occurrence with all reasonable dispatch, and shall promptly give written notice to the Contracting Officer of the cessation of such occurrence.

(g) Invoice.

(1) The Contractor shall submit an original invoice and three copies (or electronic invoice, if authorized) to the address designated in the contract to receive invoices. An invoice must include-

(i) Name and address of the Contractor;

(ii) Invoice date and number;

(iii) Contract number, line item number and, if applicable, the order number;

(iv) Description, quantity, unit of measure, unit price and extended price of the items delivered;

https://www.acquisition.gov/far/12.301#FAR_12_301 https://www.acquisition.gov/far/52.233-1#FAR_52_233_1 https://www.acquisition.gov/far/52.202-1#FAR_52_202_1

(v) Shipping number and date of shipment, including the bill of lading number and weight of shipment if shipped on Government bill of lading;

(vi) Terms of any discount for prompt payment offered;

(vii) Name and address of official to whom payment is to be sent;

(viii) Name, title, and phone number of person to notify in event of defective invoice; and

(ix) Taxpayer Identification Number (TIN). The Contractor shall include its TIN on the invoice only if required elsewhere in this contract.

(x) Electronic funds transfer (EFT) banking information.

(A) The Contractor shall include EFT banking information on the invoice only if required elsewhere in this contract.

(B) If EFT banking information is not required to be on the invoice, in order for the invoice to be a proper invoice, the Contractor shall have submitted correct EFT banking information in accordance with the applicable solicitation provision, contract clause (e.g., 52.232-33, Payment by Electronic Funds Transfer-System for Award Management, or 52.232-34, Payment by Electronic Funds Transfer-Other Than System for Award Management), or applicable agency procedures.

(C) EFT banking information is not required if the Government waived the requirement to pay by EFT.

(2) Invoices will be handled in accordance with the Prompt Payment Act ( 31 U.S.C. 3903) and Office of Management and Budget (OMB) prompt payment regulations at 5 CFR Part 1315.

(h) Patent indemnity. The Contractor shall indemnify the Government and its officers, employees and agents against liability, including costs, for actual or alleged direct or contributory infringement of, or inducement to infringe, any United States or foreign patent, trademark or copyright, arising out of the performance of this contract, provided the Contractor is reasonably notified of such claims and proceedings.

(i) Payment.-

(1) Items accepted. Payment shall be made for items accepted by the Government that have been delivered to the delivery destinations set forth in this contract.

(2) Prompt payment. The Government will make payment in accordance with the Prompt Payment Act ( 31 U.S.C.

3903) and prompt payment regulations at 5 CFR Part 1315.

(3) Electronic Funds Transfer (EFT). If the Government makes payment by EFT, see 52.212-5(b) for the appropriate EFT clause.

(4) Discount. In connection with any discount offered for early payment, time shall be computed from the date of the invoice. For the purpose of computing the discount earned, payment shall be considered to have been made on the date which appears on the payment check or the specified payment date if an electronic funds transfer payment is made.

(5) Overpayments. If the Contractor becomes aware of a duplicate contract financing or invoice payment or that the Government has otherwise overpaid on a contract financing or invoice payment, the Contractor shall-

(i) Remit the overpayment amount to the payment office cited in the contract along with a description of the overpayment including the-https://www.acquisition.gov/far/52.232-33#FAR_52_232_33 https://www.acquisition.gov/far/52.232-34#FAR_52_232_34 http://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title31-section3903&num=0&edition=prelim http://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title31-section3903&num=0&edition=prelim http://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title31-section3903&num=0&edition=prelim https://www.acquisition.gov/far/52.212-5#FAR_52_212_5

(A) Circumstances of the overpayment (e.g.,…