75H70626Q00205 RFQ.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

163IHSEAGLEBUTTE CODE 16. ADMINISTERED BYCODE

X

X

X

561320

SIZE STANDARD:

% 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

08/24/2026

701-477-8416JODY KEPLIN

(No collect calls)

INFORMATION CALL:

FOR SOLICITATION 8. OFFER DUE DATE/LOCAL TIME

09/02/2026 1200 CT

b. TELEPHONE NUMBERa. NAME

4. ORDER NUMBER3. AWARD/ 6. SOLICITATION

75H70626Q00205

5. SOLICITATION NUMBER

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

1 3 IHS1526329OFFEROR 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

$34

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

ISSUE DATE

DELIVERY FOR FREE ON BOARD

(FOB) DESTINATION UNLESS

BLOCK IS MARKED

11.

SEE 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)

EAGLE BUTTE SD 57625

Airport Road

24276 166th Street

EAGLE BUTTE SERVICE UNIT

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.

100% ISBEE

Firm Fixed-Price, Non-personal, Commercial Service for a CT/X-Ray Technologist Services at the Cheyenne River Health Center in Eagle Butte, South Dakota.

Base Period:____________ Option Period One:_________ Option Period Two:__________ Period of Performance: 10/01/2026 to 09/30/2029

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

HEREIN, IS ACCEPTED AS TO ITEMS:

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 (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.

1 Base Period: CT/X-Ray Technologist services

Delivery: 09/30/2027

Period of Performance: 10/01/2026 to 09/30/2027

2 Option Period One: CT/X-Ray Technologist Services

Delivery: 09/30/2028

Period of Performance: 10/01/2027 to 09/30/2028

3 Option Period Two: CT/X-Ray Technologist Services

Delivery: 09/30/2029

Period of Performance: 10/01/2028 to 09/30/2029

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.

Continued ...

32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

3 2 of

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

3 3

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

75H70626Q00205

You will need a UEI to be awarded thepurchase 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

Cheyenne River Health Center Performance Work Statement

Non-Personal Services

DIAGNOSTIC CT TECHNOLOGIST

General

This performance based work statement describes the requirements for non-personal services for the recruitment, credentialing and placement for Diagnostic CT Technologist to support the mission of the Indian Health Service (IHS)/Cheyenne River Health Center (CRHC).

Background

The Indian Health Service (IHS) an agency within the Department of Health & Human Services is responsible for providing federal health services to American Indians and Alaska Natives. The Indian Health Service provides a comprehensive health service delivery system for approximately 1.9 million American Indians and Alaska Natives who belong to 567 federally recognized tribes, in 35 states. The Indian Health Service Headquarters is located in Rockville, MD and then divided into twelve physical areas: Alaska, Albuquerque, Bemidji, Billings, California, Great Plains, Nashville, Navajo, Oklahoma, Phoenix, Portland and Tucson.

Our facility, the Cheyenne River Health Center (CRHC), falls under the GPAO. CRHC provides medical care for approximately 9,000 tribal members living on the CRST Reservation. Serving a rural area, many of our patients travel 100 miles round trip to receive care. The CRHC was built in 2011 to provide an expanded level of health care services specifically designed to meet the needs of the CRHC population. The Cheyenne River Sioux Tribe through a 638 contract with IHS, operates four satellite health stations which offer basic ambulatory services at Cherry Creek, Red Scaffold, Swiftbird, and Whitehorse communities. Services include: Emergency Room Department, Pharmacy, Physical Therapy, Public Health Nursing, Radiology Services, Inpatient Care, Laboratory, MRI, Dental, Community Health, Contract Health Services, Dietitians, Audiology, Eye Care, Inpatient, Pain Management, and Specialist Clinics: OB/GYN, ENT, Podiatry & Neurology.

Objective

To provide uninterrupted CT Technologist services, in the delivery of patient care, for the Radiology Department at the Cheyenne River Health Center.

Period of Performance Date of award, plus two Option Years.

TOUR OF DUTY

Contract CT Tech will work into current departmental schedule. Assignments will require shifts of no less than eight (8) hours and no more than twelve (12) hours. These shifts may rotate any time during the twenty-four (24) hour period for a total of 80 hours in a two-week pay period. Holidays and weekends will be included as part of the 80 hour work period. All scheduled hours will be determined by Radiology Supervisor. Occasional On- Call status may be required.

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

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

On-Call: The contractor is off duty, but remains available by telephone for the purpose of being contacted when unanticipated situations arise, and remains within a reasonable call-back radius, and reports for duty within 45 minutes of contact, or if live on campus, within 30 minutes of contact.

Work Flexibility: Because we are a health facility and there are compliance issues where coverage is mandatory, work schedules shall occasionally change. As directed by the departmental supervisor, the contractor shall rotate into other duty sections as needed to support patient care.

A 30 minute unpaid meal break will be included with each shift. Lunch breaks will be taken at the approximate midpoint of the shift, and will not be saved in order to leave 60 minutes early.

rest periods, not to exceed 15 minutes every four hours of scheduled duty, if not on a call at that time. Rest periods will not be used for a continuation of lunch/dinner period or taken at the beginning or end of the workday.

Hours worked do not include travel time to reach the CRHC or other place of performance.

Compensation: The contractor shall be paid a fixed flat rate of per hour. No differential pay for government holidays, compensation time, and night differential. Holidays and weekends shall be included as part of the 80 hour work period and considered regular hours. Regular, and/or Overtime shall be determined by the Radiology Department Supervisor.

Task Order: An order issued in accordance with the terms of the contract that details an ordering activity’s specific requirements. An ordering activities written order to obtain services, at a minimum will include the following where applicable: description of services, hours, price, period of performance, contract number, and the ordering activities task order number.

Place of Performance:

Cheyenne River Health Center Radiology Department 24376 166th Street Eagle Butte, South Dakota 57625

SCOPE OF WORK

The Contractor will be required to provide a variety of computerized tomography & diagnostic radiographic examinations. The government reserves the right to accept or reject services if the level of performance is unsatisfactory to Indian Health Service.

The Joint Commission on Accreditation of Health Care Organizations (JCAHO) standards must be considered and adhered to at all time in order to be compliant. All Medical Record Information generated inthe performance of this contract shall remain the property of and subject to the exclusive control of the Indian Health Service. The Contractor is responsible for maintaining Patient Confidentiality and adhering to the Privacy Act of 1974 and the Health Insurance Portability & Accountability Act (HIPAA) of 1996.

PERSONNEL

CT Technologists must have highly proficient experience with Toshiba CT equipment. CT Technologist may assist in the training of departmental staff. Diagnostic/CT Technologists must have verified documentation that technologists who perform diagnostic/CT examinations participate inongoing education that includes annual training on safe radiation protection practices in the Radiology environment.

CERTIFICATIONS

The AART Certification for CT is desired but not required.

Contracting Officer’s Representative Designation

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

Daniel Donnell 605-964-0507

Cheyenne River Health Center 24276 166th Street, Airport Road

Eagle Butte, SD 57625 The COR is responsible for:

a. Monitoring the Contractor’s technical progress;

b. Interpreting the statement of work;

c. Technical evaluation as required;

d. Technical inspections and acceptance required by this contract; and,

e. Assisting the Contractor in the resolution of technical problems encountered during performance of this contract.

EMERGENCY SERVICES

On occasion, services may be required to support an activation or exercise of contingency plans outside the normal duty hours described above.

LANGUAGE

The contractor must be able to read, write, speak and understand English.

EMPLOYEES APPEARANCE

Contractor personnel shall present a neat appearance and be easily recognized. This may be accomplished by wearing distinctive clothing bearing the name of the company or by wearing appropriate badges that contain the company name and employee name.

GOVERNMENT REVIEW

The government may review the contractor's QC plan to determine if it is adequate. If the plan is found to be adequate, a government will authorize the plan. If the plan is not adequate as submitted, the deficiencies will be identified to the contractor in writing. The contractor shall correct all identified deficiencies and submit a corrected QC plan within 10 working days or by contract start date whichever is sooner. Contractor-performed work that fails to conform to standards when this CO performs quality assurance (QA) work will serve as an indicator at the contractor is QC system is not adequate.

Technical evaluation as required Technical inspections and acceptance required by this contract.

Assisting in the resolution of technical problems encountered during performance of this contract.

GOVERNMENT MONITORING

Government will monitor the contractor's performance under this contract using the method(s) of surveillance specified in the performance standards. All monitoring observation will be recorded by the government. When and observation indicates defective performance, this COR will request the contractor's representative to confirm defective work and perform corrective action.

PERFORMANCE EVALUATION MEETINGS

The contract manager may be required to meet weekly with that COR or others during the first month of the contract meeting shall be as often as necessary thereafter as determined by this CO. However, if the contractor requests, a meeting will be held whenever a contract discrepancy report is issued. The meetings shall focus on contractor performance and actual or potential problems.

All documentation, records, and schedules as described in the SOW that are the responsibility of the contractor are the property of the government and shall be turned over to the government upon completion or termination of the contract. All records are subject to the Freedom of Information and/or Privacy Acts and any request for release of any records shall be handled accordingly.

Acceptable Quality Level (AQL) The maximum percent defective (or the maximum number of defects per 100 units) that, for purposes of random sampling, may occur before the government will effect the price computation system in accordance with that performance standards and the Inspection of Services clause. When the method of surveillance is other than random sampling, the AQL is defined as the number of defects or maximum percentage of defects and a lot that may occur before the government will effect the price computation system in accordance with the performance standards and the Inspection of Services clause. An AQL does not allow a contractor to knowingly offer defective service but limits reduced payment to circumstances in which defective performance results in a measurable reduction in the value of services rendered.

Performance Standards (PS) Identifies the key service outputs of the contract that will be evaluated by the Government to ensure contract performance standards are met by the contractor.

Quality Assurance (QA) The actions taken by the Government to ensure that services meet the requirements of the

SOW.

Contracting Officer's Representative A Government person designated by the CO with authority to act within the scope of the delegated authority.

Quality Assurance surveillance Plan (QASP) The purpose of the QASP is to describe the systematic methods used to monitor performance and to identify the required documentation and the resources to be employed. The QASP provides a means for evaluating whether the contractor is meeting the performance standards/quality levels identified in the PWS and the contractor's quality control plan (QCP), and to ensure that the government pays only for the level of services received.

Quality Control (QC) Those actions taken by contractor to control the performance of services so that services meet the requirements of the PWS.

Random Sampling A sampling method in which each service output in a lot has an equal chance of being selected.

A sample consists of one or more service outputs drawn from a lot. The number of outputs in the sample is the sample size.

GOVERNMENT-FURNI SHED PROPERTY

The government will provide any property, power, facilities, forms, supplies, and phone lines or physicians services if needed during the term of this contract.

PERFORMANCE STANDARDS

TASK

DESCRIPTION

PERFORMANCE

STANDARD

METHOD OF

MONITORING

+ OR -

INCENTIVIES

Provide Diagnostic/CT

Agency must provide competent

Diagnostic/CT Technologist will

For every shift not covered by agency, Technologist services 40 hrs/week

Diagnostic/CT Technologist to ensure no gaps in department coverage be scheduled by Radiology department supervisor Diagnostic/CT Technologist Services 40 hrs/week the shift rate will be deducted from the next submitted invoice.

Face Masks/Badges: The contractor personnel will be required to obtain and wear badges and masks, in the performance of this service at all times.

Lodging: The Contractor shall be responsible for arranging lodging for their employees that work under this contract. Government Housing is available on a limited basis. Please check with the Cheyenne River Housing Manager for availability and rates at least two weeks before arrival is expected. The CRHC does offer furnished units for contract employees. Depending on the needs of the CRHC and the contract employee, there are unfurnished units available for extended periods of employment. The contract employee is responsible for executing the rental agreement and prompt payment. The Government does not guarantee government housing availability and will be on a first come first serve basis.

Emergency Health Care: IHS/Cheyenne River Health Center will provide emergency healthcare of the contract providers for injuries incurred while on duty at the facility. These services will be billed to the Contractor at the current full reimbursement rate.

Security/Background Investigation To perform the work specified herein, contractor personnel will require access to sensitive data, regular access to HHS-controlled facilities, and/or access to HHS information systems. The Government has determined the position sensitivity under this effort to be Level I.

To gain access to the sensitive data, HHS-controlled facilities, and/or HHS information systems, the Contractor shall comply with Homeland Security Presidential Directive 12, Policy for a Common Identification Standard for Federal Employees and Contractors, and with the personal identity verification and investigation procedures obtained in:

-HHS Information Security Program Policy, http://www.hhs.gov/ocio/securityprivacy/ -HHS Office of Security and Drug Testing, personnel Security Suitability Handbook, http:://www.hs.gov/ocio/policy/hhs-ocio-2011-0003.html -HHS HSPD-12 Implementation Policy (draft) The minimum Government investigation for a non-critical sensitive position is a National Agency Check and Inquiries (with fingerprinting), which consists of searches of records covering specific areas of a person’s background during the past five years. Those inquiries are sent to current and past employers, schools attended, references, and local law enforcement authorities. More restricted positions, above non-sensitive, require more extensive documentation and investigation.

This security applies to all sub-contracts and/or sub-contractors associated and/or created from this contract.

http://www.hhs.gov/ocio/securityprivacy/ http://www.hs.gov/ocio/policy/hhs-ocio-2011-0003.html

Required Security Clearance Forms for credentialing and security clearance will be provided to the contractor after award.

References Statutes, Acts, Laws, and/or Regulations generally applicable to IHS security and functions, include, but are not limited to:

• Health Information Technology for Economic and Clinical Health Act

• Federal Information Security Management Act (FISMA), part of the E-Government Act of 2002 (Public Law 107-347, Title II)

• OMB Circular A-130 and Appendix III, Security of Federal Automated Information

Resources

• OMB Circular A-11, Preparing, Submitting, and Executing the Budget

• Presidential Decision Directive 63 (PDD 63)

• NIST Special Publications – 800 Series

• Health Insurance Portability and Accountability Act (HIPAA)

• Indian Healthcare Improvement Act (HCIA) – Public Law 94-437

• Crime Control Act 1990 – Public Law 101-647

• Indian Child Protection and Family Violence Prevention Ace Public Law 101-630

• Privacy Act of 1974

• Section 508 of the Rehabilitation Act of 1973

• Courtesy and Respect in the Workplace Policy

Business Agreement Pursuant to 45 C.F.R. 164.502(e), the Indian Health Service, as a covered entity, is required to enter into an agreement with a “business associate”, as defined in 45 C.F.R. 160.103, under which the business associate must agree to appropriately safeguard Protected Health Information (PHI) that is will use and disclose when performing function, activities or services pursuant to its contract with IHS. Therefore, a business associate agreement shall be attached to this contract and executed upon award of this contract. See attached Business Associate Agreement.

Invoice Submission:

Invoices shall be submitted through Invoice Processing Platform (IPP).

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

In compliance with the Office of Management and Budget (OMB) M-15-19 memorandum “Improving Government Efficiency and Saving Taxpayer Dollars Through Electronic Invoicing” directing Federal agencies to adopt electronic invoicing as the primary means to disburse payment to vendors. Invoices submitted under any award will be required to utilize the Invoice Processing Platform (IPP) in accordance with HHSAR 352.232-71, Electronic Submission and Processing of Payment Requests” IPP is a secure, web-based electronic invoicing system provided by the U.S. Department of the Treasury’s Bureau of the Fiscal Service, in partnership with the Federal Reserve Bank of St. Louis (FRSTL).

Contractors are encouraged to register an account with IPP if they have not already done so. If your organization is already registered to use IPP, you will not be required to re-register-however, we encourage you make sure your organization and designated IPP user accounts are https://www.ipp.gov/ valid and up to date. It will be the responsibility of the contractor to keep active and maintain there SAM.gov account, in order to keep there IPP account active. Payment is sent via E.F.T., through the account registered in SAM.gov.

If you require assistance registering or IPP account access, please contact the IPP Helpdesk at

(866) 973-3131 (M-F 8AM to 6PM ET), or IPPCustomerSupport@fiscal.treasury.gov or ihse-invoicingteam@ihs.gov

Should the contractor feel that use of the IPP would be unduly burdensome, their response to the solicitation should include an explanation of this position, for a determination by the contracting officer to allow non-IPP invoicing.

The contractor shall submit a signed and approved invoice to request payment through IPP, at least bi-weekly. If services are billed at an hourly rate, invoices will include timesheets, signed off by the department supervisor.

The Contractor shall include the following information on each invoice in accordance with the Prompt Payment Act (5 CFR Part 1315.9(b):

1. Contractor's name;

2. Invoice number and date;

3. Entire award number/Contract number or other authorization number for delivery of goods or services;

4. Description (including dates of service), price, and quantity of goods and services rendered;

5. Shipping and payment terms;

6. UEI number and Taxpayer Identifying Number (TIN); and

7. Contact name (where practicable), title and telephone number.

Only actual hours worked must be invoiced for, at the Fixed Rate referenced in the award document(s). The government reserves the right to not use all hours enacted under each task order and will de-obligated excess hours at close-out of the task order.

Mandatory Background/Security Clearance Requirements:

The employees of the Contractor or its subcontractors, are subject to a background investigation and shall comply with Section 231 of the Crime Control Act of 1990, P.L. 101-647; and the Indian Child Protection and Family Violence Prevention Act, P.L. 101-630. In addition, each person shall also comply with the Privacy Act of 1974 and the HIPPA Act of 1996. Failure to comply with these statutes will result in immediate removal.

Contractor personnel performing work under this contract, which involve regular contact with, or control over, Indian children, are subject to a character investigation in accordance with the “Indian Child Protection and Family Violence Prevention Act” P.L. 101-630. The Indian Health Service Personnel Office will conduct these investigations following award of a contract unless in the judgment of the Contracting Officer, in consultation with the Personnel Officer, investigation may be waived based on prior investigations on file. Until the character investigation has been completed and the Contracting Officer notified, such individual shall not mailto:IPPCustomerSupport@fiscal.treasury.gov mailto:ihse-invoicingteam@ihs.gov mailto:ihse-invoicingteam@ihs.gov mailto:ihse-invoicingteam@ihs.gov have unsupervised contact with Indian children. This level of security is required, and must be maintained for the life of the contract.

Before starting work requiring routine access to I.H.S. facilities or systems each person must complete a FBI National Criminal History Check (Fingerprint Check) adjudicated by an I.H.S.

employee using the Office of Personnel Management Personnel Investigations Processing System.

Fingerprint cards need to be mailed by USPS, UPS, or Fed Ex, to:

Cheyenne River Health Center Background Clearance 24276 166th Street Eagle Butte, South Dakota, 57625

The only acceptable format for official fingerprints is federal document FD-258 (Rev. 5-15-

17) 1110-0046. The fingerprints must be ORIGINAL in ink. The document must be completed in its entirety. The fingerprint form when completed can be sent using USPS, Fed-Ex or any commercial carrier but must be sent to the address and person named above.

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

LEIE.

The Contractor is responsible for conducting security preclearance investigations in sufficient depth to ensure that each Contractor or subcontractor employee referred to I.H.S. is not on the LEIE and can obtain a favorable fingerprint clearance. Each security preclearance shall be conducted sufficiently in advance of the start of performance to avoid delays caused by denial of access. If this is a Time and Materials, Labor-Hour or Cost Reimbursement contract, the contractor shall not charge for or be reimbursed for labor hours or other costs incurred for employees who are unable to perform due to denial or access or the excess time required to resolve and clear unfavorable security clearance findings. If this is a Fixed Price contract, denial of access due to security clearance findings shall not be a basis for excusable delay or an increase to the contract amount.

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

Employees that DO NOT have access to LMS, contractors, volunteers, or IHS employees with IPA’s or MOA’s to tribal organizations please, click here IHS Sexual Abuse Prevention website. When the contractors have completed and passed the training, please have them send a copy of the last page of the training with Name, Date, and Time to their respective Department Supervisor, COR, and Kimmen LeBeau, e-mail: Kimmen.LeBeau@ihs.gov http://exclusions.oig.hhs.gov/ https://www.ihs.gov/sexualabuseprevention/training/ https://www.ihs.gov/sexualabuseprevention/training/ mailto:Kimmen.LeBeau@ihs.gov

Request Background documents from the contractor, to complete the clearance process, should be mailed/FedEx to the designated background coordinator with 5-7 days.

Since the background clearance process may take up to 2 weeks to be processed and cleared, candidates coming on board should have their complete background documents properly filled out, Employee Health Records, and fingerprint cards, sent to the background coordinator 10 days before there scheduled start date. Failure for delay of getting the required background documents into the Background coordinator, will be reflect on contractors rating performance and entered into CPARS.

Mandatory Employee Health Records Requirements:

Clearance from the Employee Health Coordinator (EHC) needs to be obtained prior to the contractor arriving to the facility, this means all records have been collected and reviewed by the EHC. The EHC will mark the contractor as “Yes” in the Cleared Column of the database when they have been cleared by the EHC in the Onboarding Database.

The required records are:

• Two (2) documented vaccinations of MMR or a titer showing immunity to Mumps, Measles (Rubeola), Rubella

• Three (3) documented vaccinations of hepatitis b or a titer showing immunity to hepatitis B

• Two (2) documented vaccinations of varicella or a titer showing immunity to varicella

• COVID-19: Completed primary series along with most recent bivalent booster vaccine o Medical and Religious Exemptions may be submitted – will need to be reviewed and approved / disapproved by EHC o Appeals process not valid for contractors, only Federal Employees

• Tdap within the last 10 years

• PPD (purified protein derivative) or QuantiFERON- TB Gold within the last year or chest x-ray within last five (5) years to rule out Tuberculosis o Neither item can expire within contracted time o If contractor were to extend and the PPD/Gold/X-ray were to expire during the extension time frame, the expiring items must be completed and submitted to CRHC prior to extension being signed by CRHC

• Flu vaccine for current Flu Season if contracted between Oct 1 and March 31

• Fit Test within the last year to a mask that CRHC carries.

o Fit test cannot expire within contracted time o If contractor were to extend and the fit test were to expire during the extension time frame, a new fit test must be completed and submitted to CRHC prior to extension being signed by CRHC

Contactors are required to follow any Employee Health or Infection Control mandates given by Indian Health Services (IHS) Headquarters, IHS Great Plain Areas, IHS Cheyenne River Health Center, or the Infection Control Preventionist of CRHC. Listed are examples of mandates that would need to be follow as of 1.24.2023, these mandates are fluid and always changing:

• Mandatory Self Screening for COVID before each shift

• Mandatory masking for all areas of the facility

• Mandatory COVID Bivalent Booster Vaccination

Contracting Officer Authority

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

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.

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:

3.1. An understanding or agreement between the Contractor and anyone other than the

Contracting Officer.

3.2. A purported modification or change order issued by anyone other than the

Contracting Officer.

3.3. Promise by anyone other than the Contracting Officer to provide additional funding or make payments.

3.4. An order, direction, consent, or permission from anyone other than the

Contracting Officer to:

3.4.1. Incur Costs in excess of a specified estimated cost, allotment of funds, or other ceiling, or

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

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 – December 2023 Representation and Disclosures

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

3. 52.212-4 Contract Terms and Conditions – Commercial Products and November 2023

Commercial Services

4. 52.217-8 Option to Extend Services November 1999

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

6. 52.222-90 Addressing DEI Discrimination by Federal Contractors April 2026 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.sam.gov/

(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.

(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.

(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

(iii) Final…