75H70626Q00125-Solicitation.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

163CODE 16. ADMINISTERED BYCODE

X

X

X

621399

SIZE STANDARD:

100.00 % FOR:SET ASIDE:UNRESTRICTED OR163

REQUEST FOR

PROPOSAL

(RFP)

INVITATION

FOR BID (IFB)

10. THIS ACQUISITION ISCODE

REQUEST FOR

QUOTE (RFQ)

14. METHOD OF SOLICITATION

13b. RATING

NORTH AMERICAN INDUSTRY

CLASSIFICATION STANDARD

(NAICS):

SMALL BUSINESS

03/25/2026

FARRAH AZURE

(No collect calls)

INFORMATION CALL:

FOR SOLICITATION 8. OFFER DUE DATE/LOCAL TIME

04/23/2026 1200 CT

b. TELEPHONE NUMBERa. NAME

4. ORDER NUMBER3. AWARD/ 6. SOLICITATION

75H70626Q00125

5. SOLICITATION NUMBER

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

1 45 IHS1523556OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

TELEPHONE NO.

17a. CONTRACTOR/

15. DELIVER TO

Belcourt ND 58316

P.O. Box 160

1300 Hospital Road

9. ISSUED BY

7.

2. CONTRACT NO.

EFFECTIVE DATE

$10

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

ISSUE DATE

DELIVERY FOR FREE ON BOARD

(FOB) DESTINATION UNLESS

BLOCK IS MARKED

11.

SEE SCHEDULEX

12. DISCOUNT TERMS THIS CONTRACT IS A RATED

ORDER UNDER THE DEFENSE

PRIORITIES AND ALLOCATIONS

SYSTEM - DPAS (15 CFR 700)

13a.

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

(SDVOSB)

HUBZONE SMALL

BUSINESS

8(A)

Belcourt PHS Indian Hospital WOMEN-OWNED SMALL

BUSINESS (WOSB)

ECONOMICALLY DISADVANTAGED

WOMEN-OWNED SMALL

BUSINESS (EDWOSB)

Multiple Destinations

Belcourt ND 58316

PO Box 160

1300 Hospital Road

Belcourt PHS Indian Hospital

24.

AMOUNT

23.

UNIT PRICE

22.

UNIT

21.

QUANTITY

20.

SCHEDULE OF SUPPLIES/SERVICES

19.

ITEM NO.

Set aside 100% ISBEE

Firm Fixed-Price, Nonpersonal Service, for Two

(2) Temporary Registered Pharmacists at the Quentin N Burdick Memorial Health Care Facility in Belcourt, ND.

Base Period Recruitment:________________________ Base Period:____________________________________ Option Period One:______________________________ Option Period Two:______________________________

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

HEREIN, IS ACCEPTED AS TO ITEMS:

DATED . YOUR OFFER ON SOLICITATION (BLOCK 5),

INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE SET FORTH

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DELIVER

ARE

ARE

31c. DATE SIGNED

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

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

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

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

SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED.

27a. SOLICITATION INCORPORATES BY REFERENCE (FEDERAL ACQUISITION REGULATION) FAR 52.212-1, 52.212-4. FAR 52.212-3

AND 52.212-5 ARE ATTACHED. ADDENDA

26. TOTAL AWARD AMOUNT (For Government Use Only)

OFFER

STANDARD FORM 1449 (REV. 11/2021)

Prescribed by GSA - FAR (48 CFR) 53.212

ARE NOT ATTACHED.

ARE NOT ATTACHED.

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

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

30a. SIGNATURE OF OFFEROR/CONTRACTOR

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

25. ACCOUNTING AND APPROPRIATION DATA

29. AWARD OF CONTRACT: REFERENCE

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE

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

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

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED

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

37. CHECK NUMBER

FINALPARTIAL

36. PAYMENT

FINALPARTIAL

35. AMOUNT VERIFIED

CORRECT FOR

34. VOUCHER NUMBER33. SHIP NUMBER

COMPLETE

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

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

42b. RECEIVED AT (Location)

42a. RECEIVED BY (Print)

41c. DATE41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER

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

STANDARD FORM 1449 (REV. 11/2021) BACK

24.

AMOUNT

23.

UNIT PRICE

22.

UNIT

21.

QUANTITY

20.

SCHEDULE OF SUPPLIES/SERVICES

19.

ITEM NO.

Option Period Three:____________________________

Total:__________________________________________

1 Base Period: Recruitment, credentialing, onboarding of Two (2) Temporary Pharmacists

Period of Performance: Up to two months within base period

Delivery: 09/14/2026

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: 04/15/2026 to 09/14/2026

2 Remainder of Base Period: Two (2) Temporary

Pharmacists 40hrs/week each

Period of Performance: 06/15/2026 - 09/14/2026

Delivery: 09/14/2026

Delivery Location Code: IHSBELCOURT

IHSBELCOURT

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

1300 Hospital Road

PO Box 160

Continued ...

32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

45 2 of

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

3 45

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

75H70626Q00125

Belcourt ND 58316 US

Period of Performance: 06/15/2026 to 09/14/2026

3 Option Period One (1): Two (2) Temporary

Pharmacists 40 hrs/week each.

Period of Performance: 09/15/2026 - 12/14/2026

(Option Line Item)

09/15/2026

Delivery: 12/14/2026

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: 09/15/2026 to 12/14/2027

4 Option Period Two (2): Two (2) Temporary

Pharmacists 40 hrs/week each

Period of Performance: 12/15/2026 - 03/14/2027

(Option Line Item)

12/15/2026

Delivery: 03/14/2027

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: 12/15/2026 to 03/14/2027

5 Option Period Three (3): Two (2) Temporary

Pharmacists 40 hrs/week each

Period of Performance: 03/15/2027 - 06/14/2027

(Option Line Item)

03/15/2027

Delivery: 06/14/2027

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: 03/15/2027 to 06/14/2027

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 45

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

75H70626Q00125

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

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

Sponsored by GSA

FAR (48 CFR) 53.110

Quentin N. Burdick Memorial Health Care Facility, Indian Health Service

PHARMACY DEPARTMENT

PERFORMANCE-BASED WORK STATEMENT

FOR MEDICAL / PROFESSIONAL SERVICES (NON-PERSONAL SERVICE) REGISTERED PHARMACIST

A. DESCRIPTION OF SERVICES

The Contractor shall provide individuals for the positions listed within to perform pharmaceutical services at the Quentin N. Burdick Memorial Health Care Facility, herein referred to as QNBMHCF.

These services shall be performed in accordance with all federal, state, local laws and regulations, commercial professional standards, Indian Health Service policy and practice standards, The Joint Commission (TJC) and this Performance-based Work Statement (PWS).

B. SCOPE OF WORK.

The Contractor shall provide individual(s) for the following services: Up to 2 Registered Pharmacist in Outpatient Pharmacy setting, based on current staffing needs.

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

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

C. PERIOD OF PERFORMANCE

The Period of Performance 3 months from award date, base plus 3 options to extend an additional 3 months. Hours worked are M-F, between 8:00am and 7:00pm; with a possibility of 4-10 hour days, as scheduled with the Pharmacy Director. Only hours worked that are pre-approved by the Pharmacy Director or designee will be approved for payment. The work shifts will be scheduled as needed during the period of performance dates, no more than 40 hours per week depending on staffing needs. Typical work week will be 40 hours/week on Monday thru Friday. Work shifts will normally be eight (8) hrs, with a 30 minute lunch, as scheduled with the Pharmacy Director. Same for ten (10) hour day, 30 minute lunch. Federal Government holidays, compensation time, including overtime are excluded. This contract will terminate when period of performance expires, if funds availability imposes constraints or services are no longer needed.

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

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

2. A current, valid, unrestricted license to practice Pharmacy in any one of the fifty States, the

District of Columbia, the Commonwealth of Puerto Rico, Guam or the U.S. Virgin Islands.

3. Be Basic Life Support (BLS) certified.

4. Working knowledge of pharmacy computer systems, such as the IHS Electronic Health Record (EHR), Resource Patient Management System (RPMS), ScriptPro Central Workflow Management system and Pyxis.

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

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

o Counsel patients regarding safe and effective use of medications.

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

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

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

o Provide medication related information and training to clinical staff (ie, newly marketed medications; appropriate use of medications; comparison of current medication therapies; and other topics as deemed appropriate by the department head).

o Provide clinical direction to pharmacy personnel.

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

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

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

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

o Document significant medication interactions and pharmacy interactions with prescribers. Conduct Adverse Drug Reaction (ADR) and medication error reporting in accordance with local policy.

o Participate in medication use evaluations as necessary.

E. ADDITIONAL REQUIREMENTS:

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

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

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

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

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

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

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

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

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

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

The contract pharmacist must demonstrate effective customer service skills with cultural sensitivity and respect to internal and external customers, in face-to-face, electronic and telephonic communications.

Must be able to use conflict resolution skills when necessary.

F. DOCUMENTATION. All contract personnel shall prepare documentation to meet or exceed established standards of the QNBMHCF. Contract personnel shall ensure complete patient identifying information is on all documentation that is to become part of a health care record.

All documentation shall comply with HIPAA and all required protected health information policies as required in this PWS.

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

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

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

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

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

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

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

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

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

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

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

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

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

• Completing required documentation per local policy.

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

P. WORKLOAD

The contractor will assist other pharmacy staff with filling/verifying/dispensing approximately 1000- 1200 prescriptions per day

Q. CONTRACTOR RESPONSIBILITIES AND REQUIREMENTS

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

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

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

R. POINT OF CONTACT

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

S. REPLACEMENT STAFF

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

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

a. OVERTIME. Overtime is not authorized under this contract.

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

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

U. ORIENTATION AND TRAINING.

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

V. VERIFICATION OF LICENSURE

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

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

2. Inform IHS of the status of all licenses for each Registered Pharmacist providing services under this contract at the QNBMHCF.

3. Obtain at least one letter of reference from a health care provider who has knowledge of the

Contract employee’s pharmacy practice skills.

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

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

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

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

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

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

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

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

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

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

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

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

The Government will be responsible for any repair, cleaning and inventory required for the PPE.

This does not include any type of uniform or laboratory coat which shall be Contractor provided.

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

QNBMHCF.

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

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

PERFORMANCE OBJECTIVE PERFORMANCE THRESHOLD

Compliance with scheduling requirements 1 valid complaint per employee per quarter

Compliance with duty hours 1 valid complaint per employee per quarter

Compliance with training requirements 0 valid complaints

Compliance with appearance requirements 1 valid complaint per employee per quarter

Compliance with documentation 1 valid complaint per employee per quarter

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

1 valid complaint

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

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

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

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

COR Information:

Kenneth Knutson Kenneth.Knutson@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. 52.204-7 System for Award Management November 2024

2. 52.204-9 Personal Identity Verification of Contractor Personnel January 2011

3. 52.204-13 System for Award Management Maintenance. October 2018

4. 52.204-16 Commercial and Government Entity Code Reporting August 2020

5. 52.204-18 Commercial and Government Entity Code Maintenance August 2020

6. 52.204-19 Incorporation by Reference of Representations and Certifications December 2014

7. 52.212-1 Instructions to Offerors – Commercial Items September 2023

8. 52.217-8 Contract Terms and Conditions—Commercial Products and Commercial

Services November 2023

9. 52.222-55 Minimum Wages for Contractor Workers Under Executive Order 14026 January 2022

10. 52.224-1 Privacy Act Notification April 1984

11. 52.224-2 Privacy Act April 1984

12. 52.225-25 Prohibition on Contracting with Entities Engaging in Certain Activities

Or Transactions Relating to Iran – Representation and Certifications June 2020

13. 52.232-39 Unenforceability of Unauthorized Obligations June 2013

14. 52.237-7 Indemnification and Medical Liability Insurance January 1997

15. 52.244-6 Subcontracts for Commercial Products and Commercial Services January 2025

(DEVIATION NOV 2025)

II. Federal Acquisition Regulations (FAR) (48 CFR Chapter 1) Clauses in Full Text No. FAR Citation Clause Title Clause Date

1. 52.204-29 Federal Acquisition Supply Chain Security Act Orders – Representation and Disclosures

December 2023

2. 52.212-2 Evaluation-Commercial Products and Commercial Services November 2021

3. 52.212-4 Contract Terms and Conditions – Commercial Products and

Commercial Services November 2023

4. 52.217-8 Option to Extend Services November 1999

5. 52.217-9 Option to Extend the Term of the Contract March 2000

2.204-29 Federal Acquisition Supply Chain Security Act Orders—Representation and Disclosures.

http://www.acquisition.gov/far http://www.acquisition.gov/far

As prescribed in 4.2306(b), insert the following provision:

FEDERAL ACQUISITION SUPPLY CHAIN SECURITY ACT ORDERS—REPRESENTATION AND DISCLOSURES (DEC 2023)

(a) Definitions. As used in this provision, Covered article, FASCSA order, Intelligence community, National security system, Reasonable inquiry, Sensitive compartmented information, Sensitive compartmented information system, and Source have the meaning provided in the clause 52.204-30, Federal Acquisition Supply Chain Security Act Orders—Prohibition.

(b) Prohibition. Contractors are prohibited from providing or using as part of the performance of the contract any covered article, or any products or services produced or provided by a source, if the prohibition is set out in an applicable Federal Acquisition Supply Chain Security Act (FASCSA) order, as described in paragraph (b)(1) of FAR 52.204-30, Federal Acquisition Supply Chain Security Act Orders—Prohibition.

(c) Procedures.

(1) The Offeror shall search for the phrase “FASCSA order” in the System for Award Management

(SAM)( https://www.sam.gov) for any covered article, or any products or services produced or provided by a source, if there is an applicable FASCSA order described in paragraph (b)(1) of FAR 52.204-30, Federal Acquisition Supply Chain Security Act Orders—Prohibition.

(2) The Offeror shall review the solicitation for any FASCSA orders that are not in SAM, but are effective and do apply to the solicitation and resultant contract (see FAR 4.2303(c)(2)).

(3) FASCSA orders issued after the date of solicitation do not apply unless added by an amendment to the solicitation.

(d) Representation. By submission of this offer, the offeror represents that it has conducted a reasonable inquiry, and that the offeror does not propose to provide or use in response to this solicitation any covered article, or any products or services produced or provided by a source, if the covered article or the source is prohibited by an applicable FASCSA order in effect on the date the solicitation was issued, except as waived by the solicitation, or as disclosed in paragraph (e).

(e) Disclosures. The purpose for this disclosure is so the Government may decide whether to issue a waiver. For any covered article, or any products or services produced or provided by a source, if the covered article or the source is subject to an applicable FASCSA order, and the Offeror is unable to represent compliance, then the Offeror shall provide the following information as part of the offer:

(1) Name of the product or service provided to the Government;

(2) Name of the covered article or source subject to a FASCSA order;

(3) If applicable, name of the vendor, including the Commercial and Government Entity code and unique entity identifier (if known), that supplied the covered article or the product or service to the Offeror;

(4) Brand;

(5) Model number (original equipment manufacturer number, manufacturer part number, or wholesaler number);

(6) Item description;

(7) Reason why the applicable covered article or the product or service is being provided or used;

(f) Executive agency review of disclosures. The contracting officer will review disclosures provided in paragraph (e) to determine if any waiver may be sought. A contracting officer may choose not to pursue a waiver for covered articles or sources otherwise subject to a FASCSA order and may instead make an award to an offeror that does not require a waiver.

(End of provision)

52.212-2-Evaluation-Commercial Products and Commercial Services.

As prescribed in 12.301(c), the Contracting Officer may insert a provision substantially as follows:

Evaluation—Commercial Products and Commercial Services (Nov 2021) https://www.acquisition.gov/far/part-4#FAR_4_2306 https://www.acquisition.gov/far/part-52#FAR_52_204_30 https://www.acquisition.gov/far/part-52#FAR_52_204_30 https://www.sam.gov/ https://www.acquisition.gov/far/part-52#FAR_52_204_30 https://www.acquisition.gov/far/part-4#FAR_4_2303

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

1. Technical Capability – The quotation will be evaluated to determine the extent to which the offeror demonstrates the ability to meet or exceed the requirements outlined in the Performance Work Statement (PWS).

2. Past Performance – The Government will evaluate the offeror’s demonstrated record of relevant and recent past performance on similar contracts. This may include information from references, CPARS, or other sources.

3. Price – The Government will evaluate price for reasonableness and realism, as appropriate.

Price and past performance, when combined, are less important than technical capability.

(b)Options. The Government will evaluate offers for award purposes by adding the total price for all options to the total price for the basic requirement. The Government may determine that an offer is unacceptable if the option prices are significantly unbalanced. Evaluation of options shall not obligate the Government to exercise the option(s).

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

(End of provision)

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.

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

(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;

(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.

https://www.acquisition.gov/far/52.202-1#FAR_52_202_1 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

(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-

(A) Circumstances of the overpayment (e.g., duplicate payment, erroneous payment, liquidation errors, date(s) of overpayment);

(B) Affected contract number and delivery order number, if applicable;

(C) Affected line item or subline item, if applicable; and

(D) Contractor point of contact.

(ii) Provide a copy of the remittance and supporting documentation to the Contracting Officer.

(6) Interest.

(i) All amounts that become payable by the Contractor to the Government under this contract shall bear simple interest from the date due until paid unless paid within 30 days of becoming due. The interest rate shall be the interest rate established by the Secretary of the Treasury as provided in 41 U.S.C. 7109, which is applicable to the period in which the amount becomes due, as provided in (i)(6)(v) of this clause, and then at the rate applicable for each six-month period as fixed by the Secretary until the amount is paid.

(ii) The Government may issue a demand for payment to the Contractor upon finding a debt is due under the contract.

(iii) Final decisions. The Contracting Officer will issue a final decision as required by 33.211 if– 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 http://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title41-section7109&num=0&edition=prelim https://www.acquisition.gov/far/33.211#FAR_33_211

(A) The Contracting Officer and the Contractor are unable to reach agreement on the existence or amount of a debt within 30 days;

(B) The Contractor fails to liquidate a debt previously demanded by the Contracting Officer within the timeline specified in the demand for payment unless the amounts were not repaid because the Contractor has requested an installment payment agreement; or

(C) The Contractor requests a deferment of collection on a debt previously demanded by the Contracting Officer (see 32.607-2).

(iv) If a demand for payment was previously issued for the debt, the demand for payment included in the final decision shall identify the same due date as the original demand for payment.

(v) Amounts shall be due at the earliest of the following dates:

(A) The date fixed under this contract.

(B) The date of the first written demand for payment, including any demand for payment resulting from a default termination.

(vi) The interest charge shall be computed for the actual number of calendar days involved beginning on the due date and ending on-

(A) The date on which the designated office receives payment from the Contractor;

(B) The date of issuance of a Government check to the Contractor from which an amount otherwise payable has been withheld as a credit against the contract debt; or

(C) The date on which an amount withheld and applied to the contract debt would otherwise have become payable to the Contractor.

(vii) The interest charge made under this clause may be reduced under the procedures prescribed in FAR 32.608- 2 in effect on the date of this contract.

(j) Risk of loss. Unless the contract specifically provides otherwise, risk of loss or damage to the supplies provided under this contract shall remain with the Contractor until, and shall pass to the Government upon:

(1) Delivery of the supplies to a carrier, if transportation is f.o.b. origin; or

(2) Delivery of the supplies to the Government at the destination specified in the contract, if transportation is f.o.b.

destination.

(k) Taxes. The contract price includes all applicable Federal, State, and local taxes and duties.

(l) Termination for the Government’s convenience. The Government reserves the right to terminate this contract, or any part hereof, for its sole convenience. In the event of such termination, the Contractor shall immediately stop all work hereunder and shall immediately cause any and all of its suppliers and subcontractors to cease work.