75H70626Q00232.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

167IHSPINERIDGE CODE 16. ADMINISTERED BYCODE

X

X

621512

SIZE STANDARD:

100.00 % FOR:SET ASIDE:UNRESTRICTED OR167

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

10/01/2026 1200 MD

09/04/2026

605-867-3379MARY BAIRD

(No collect calls)

INFORMATION CALL:

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

4. ORDER NUMBER3. AWARD/ 6. SOLICITATION

75H70626Q00232

5. SOLICITATION NUMBER

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

1 42 OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

TELEPHONE NO.

17a. CONTRACTOR/

15. DELIVER TO

Pine Ridge SD 57770

Pine Ridge PHS Indian Hospital

9. ISSUED BY

7.

2. CONTRACT NO.

EFFECTIVE DATE

$19

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)

Pine Ridge Service Unit WOMEN-OWNED SMALL

BUSINESS (WOSB)

ECONOMICALLY DISADVANTAGED

WOMEN-OWNED SMALL

BUSINESS (EDWOSB)

PINE RIDGE SD 57770

E. Hwy 18

607 Indian Health Road

PINE RIDGE

Pine Ridge SD 57770

E. Hwy 18

607 Indian Health Road

Pine Ridge PHS Indian Hospital

Pine Ridge Service Unit

24.

AMOUNT

23.

UNIT PRICE

22.

UNIT

21.

QUANTITY

20.

SCHEDULE OF SUPPLIES/SERVICES

19.

ITEM NO.

This acquisition is restricted to Indian Small Business Economic Enterprises (ISBEEs) pursuant to the Buy Indian Act (25 U.S.C. § 5323). Only eligible ISBEE firms may submit quotes and be considered for award.

The Government intends to award a Firm Fixed-Price (FFP), non-personal services Purchase Order for Ultrasound Technologist Services, for the Pine Ridge Indian Health Service (IHS) Hospital, located in Pine Ridge, South Dakota, in

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

HEREIN, IS ACCEPTED AS TO ITEMS:

X

DATED

NICHOLE R. LEREW

. YOUR OFFER ON SOLICITATION (BLOCK 5),

INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE SET FORTH

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DELIVER

ARE

ARE

31c. DATE SIGNED

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

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

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

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

SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED.

27a. SOLICITATION INCORPORATES BY REFERENCE (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.

1 756 HR

2 2772 HR

3 2772 HR

accordance with the attached Performance Work

Statement (PWS). The anticipated contract will consist of one (1) base period plus ten (10) option periods.

Delivery: 12/19/2026

Period of Performance: 11/01/2026 to 10/31/2030

ULTRASOUND TECHNOLOGIST SERVICES

Period of Performance: 11/01/2026 to 12/19/2026

Option Period One (1): ULTRASOUND TECHNOLOGIST

SERVICES

(Option Line Item)

12/20/2026

Period of Performance: 12/20/2026 to 05/22/2027

Option Period Two (2): ULTRASOUND TECHNOLOGIST

SERVICES

(Option Line Item)

05/23/2027

Period of Performance: 05/23/2027 to 10/23/2027

Continued ...

32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

42 2 of

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

3 42

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

75H70626Q00232

4 Option Period Three (3): ULTRASOUND TECHNOLOGIST 2772 HR

SERVICES

(Option Line Item)

10/24/2027

Period of Performance: 10/24/2027 to 03/25/2028

5 Option Period Four (4): ULTRASOUND TECHNOLOGIST 2772 HR

SERVICES

(Option Line Item)

03/26/2028

Period of Performance: 03/26/2028 to 08/26/2028

6 Option Period Five (5): ULTRASOUND TECHNOLOGIST 2772 HR

SERVICES

(Option Line Item)

08/27/2028

Period of Performance: 08/27/2028 to 01/27/2029

7 Option Period Six (6): ULTRASOUND TECHNOLOGIST 2772 HR

SERVICES

(Option Line Item)

01/28/2029

Period of Performance: 01/28/2029 to 06/30/2029

8 Option Period Seven (7): ULTRASOUND TECHNOLOGIST 2772 HR

SERVICES

(Option Line Item)

07/01/2029

Period of Performance: 07/01/2029 to 11/24/2029

9 Option Period Eight (8): ULTRASOUND TECHNOLOGIST 2772 HR

SERVICES

(Option Line Item)

11/25/2029

Period of Performance: 11/25/2029 to 04/20/2030

10 Option Period Nine (9): ULTRASOUND TECHNOLOGIST 2772 HR

SERVICES

(Option Line Item)

04/21/2030

Period of Performance: 04/21/2030 to 09/21/2030

11 Option Period Ten (10): ULTRASOUND TECHNOLOGIST 756 HR

SERVICES

(Option Line Item)

09/22/2030

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 42

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

75H70626Q00232

Period of Performance: 09/22/2030 to 10/31/2030

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

Sponsored by GSA

FAR (48 CFR) 53.110

DEPARTMENT OF HEALTH & HUMAN SERVICES

Indian Health Service

Office of Management Services Division of Acquisition Policy (DAP)

5600 Fishers Lane Rockville, MD 20857

INDIAN HEALTH SERVICE

BUY INDIAN ACT

INDIAN ECONOMIC ENTERPRISE

REPRESENTATION FORM

SOLICITATION/SOURCES SOUGHT/RFI #: _________________________________________________

PROJECT TITLE: ________________________________________________________

DATE: ___________________________________________________________________

In accordance with 25 U.S.C. 47 the Buy Indian Act, the signature below constitutes self-certification that the Offeror meets the definition of an “Indian Economic Enterprise” (HHSAR 326.601) in response to this Sources Sought Notice, Request for Information (RFI) or Solicitation and resultant contract.

The enterprise must meet the definition of “Indian Economic Enterprise” throughout the following time periods:

(1) At the time an offer is made in response to this solicitation;

(2) At the time of contract award; and

(3) During the full term of the contract performance period. At any point during these periods, if the Contractor no longer meets the eligibility requirements, the contractor must provide immediate written notification to the Contracting Officer.

Individual Contracting Officers may require documentation of eligibility before awarding a set-aside or sole source contracts under the Buy Indian Act and awards may be subject to protest if the eligibility of the successful Offeror is in question. In addition to the self-certification requirements, successful Offerors must also be registered with the System of Award Management (SAM).

Any false or misleading information submitted by an enterprise when submitting an offer in consideration of an award set-aside under the authority of the Buy Indian Act is a violation of the law and punishable under 18 U.S.C. 1001.

False claims submitted as part of contract performance are subject to the penalties enumerated in 31 U.S.C. 3729 to 3731 and 18 U.S.C. 287.

REPRESENTATION

The Offeror represents as part of its offer that it does _____, does not _____ meet the definition of an “Indian Economic Enterprise” with “Indian Ownership” under the authority of the Buy Indian Act.

Name of the 51% owner of IEE Firm

Certifying Signature

Print Name

Name of Federally Recognized Tribal Entity

Business Name

DUNS Number

ULTRASOUND TECHNOLOGIST SERVICES

NON-PERSONAL SERVICES

PERFORMANCE-BASED

SECTION 1.0 – PERFORMANCE WORK STATEMENT

1.1 Purpose

The purpose of this contract is to provide qualified up to Three (3) Full time Equivalent (FTE) Ultrasound Technologist services to support continuous, safe, timely, and diagnostically accurate imaging services for Pine Ridge Service Unit, Pine Ridge Hospital, and associated clinical areas.

The Contractor shall provide non-personal Ultrasound Technologist services necessary to support direct patient care, emergency services, inpatient care, outpatient care, obstetrical care, and radiology department operations in a remote rural healthcare environment.

1.2 Period of Performance

The Period of Performance shall be November 1, 2026 through October 31, 2031, unless otherwise stated in the contract award.

1.3 Contract Type

This requirement shall be a Firm-Fixed-Price, Performance-Based, Non-Personal Services Contract.

This acquisition is structured as a performance-based Firm-Fixed-Price contract in accordance with federal acquisition policy favoring measurable outcomes, clearly defined performance standards, and contractor accountability for mission results.

The contract structure is intended to:

Promote cost predictability and fiscal accountability;

Emphasize measurable clinical and operational outcomes;

Reduce performance risk to the Government;

Support continuity of patient care operations in a remote rural healthcare environment; and Align with current Executive Branch direction encouraging fixed-price, outcome-based service acquisitions.

The Contractor shall be fully responsible for managing personnel, staƯing stability, operational oversight, and performance necessary to achieve required performance outcomes.

1.4 Performance Objectives and Outcomes

1.4.1 Objective 1 – Ultrasound Imaging Services

The Government’s objective is to acquire measurable clinical imaging support outcomes rather than prescribe day-to-day contractor operations. Performance requirements are intentionally structured around mission results, staƯing continuity, patient safety, diagnostic quality, regulatory compliance, and timely service delivery.

The Contractor shall exercise independent professional and managerial responsibility necessary to achieve required outcomes while maintaining compliance with all applicable clinical, accreditation, safety, and contractual requirements.

Performance metrics identified in this PWS are intended to support:

Objective contract administration;

Performance accountability;

Quality assurance surveillance;

Invoice validation;

Risk reduction;

Continuity of healthcare operations; and Performance-based acquisition oversight.

Failure to meet performance standards may result in corrective action requirements, invoice review, performance documentation, adverse CPARS considerations, reduction of future option exercise consideration, or other contractual remedies allowable under the contract.

The Contractor shall perform ultrasound examinations and procedures used in medical diagnosis, utilizing stationary and mobile ultrasound equipment.

Required duties include:

Perform abdominal, pelvic, obstetrical, small parts, and other ultrasound studies supported by available equipment.

Obtain diagnostic-quality images for referring clinicians and radiologists.

Determine appropriate scan techniques, positioning, views, and equipment settings.

Adjust equipment parameters to obtain suƯicient diagnostic information.

Recognize significant anatomical structures and abnormal findings requiring radiologist review.

Provide technical findings to the radiologist but shall not issue oƯicial interpretations.

Outcome:

Ultrasound examinations are completed accurately, safely, and timely, resulting in diagnostic-quality imaging that supports patient care and radiologist interpretation.

Performance Standards:

≥95% of ultrasound studies accepted as diagnostic quality on initial acquisition.

≥95% of ultrasound examinations completed within facility-established turnaround expectations.

≥98% compliance with proper imaging protocols, positioning, and documentation requirements.

100% compliance with patient identification, infection control, and safe patient handling requirements.

Zero oƯicial diagnostic interpretations issued by Contractor personnel.

1.4.2 Objective 2 – Diagnostic Radiology Support, If Required

When there are no ultrasound examinations to perform, the Contractor may support diagnostic radiology duties within the scope of qualifications and facility need.

Required duties may include:

Operate fixed and portable radiography equipment.

Perform routine to complex radiographic examinations.

Receive and position patients.

Set appropriate technical factors to obtain high-quality radiographs.

Support department workflow consistent with qualifications and contract requirements.

Outcome:

Radiology department operations remain supported during periods of ultrasound downtime without compromising patient care or scope of practice.

Performance Standards:

≥95% of radiographic images accepted as diagnostic quality on first acquisition.

Repeat imaging due to technologist error shall not exceed 5%.

100% compliance with radiation safety, ALARA principles, and shielding requirements.

100% compliance with equipment-use policies and facility safety procedures.

1.4.3 Objective 3 – Continuous StaƯing Coverage

The Contractor shall provide qualified personnel to support Radiology Department operations based on facility need, including days, evenings, nights, weekends, and holidays.

Outcome:

Pine Ridge Service Unit maintains uninterrupted ultrasound and radiology support necessary to sustain emergency services, inpatient care, outpatient operations, obstetrical services, and continuity of direct patient care within a geographically isolated and medically underserved rural healthcare environment.

Performance Standards:

≥98% scheduled shift coverage.

No uncovered shifts without prior Government approval.

Minimum 30-day schedule submitted and maintained.

Contractor shall notify the Government immediately of call-oƯs, vacancies, delays, or coverage risks.

Contractor shall maintain operational staƯing plans suƯicient to minimize disruptions caused by turnover, absenteeism, travel delays, severe weather, or emergency staƯing shortages.

Contractor shall implement contingency staƯing procedures to maintain continuity of operations.

Contractor staƯing failures shall not result in avoidable cancellation of patient care services except under circumstances outside Contractor control.

1.4.4 Objective 4 – Safety, Compliance, and Quality

The Contractor shall comply with applicable PRSU policies, IHS requirements, infection control standards, radiation safety standards, and accreditation expectations.

Outcome:

Contractor personnel perform safely and in compliance with facility and regulatory requirements.

Performance Standards:

100% compliance with patient safety requirements.

100% compliance with infection control requirements.

100% compliance with radiation safety standards when performing radiographic duties.

Zero preventable adverse patient safety events attributable to Contractor performance.

Zero significant compliance violations.

The Contractor shall maintain internal quality control and performance oversight processes suƯicient to ensure ongoing compliance with imaging standards, patient safety requirements, accreditation expectations, and contract performance objectives.

The Contractor shall proactively identify, mitigate, and correct performance deficiencies without requiring continuous Government direction or supervision.

1.4.5 Objective 5 – EHR Documentation and Records

The Contractor shall maintain accurate documentation of patient workload, exams performed, and required imaging documentation in the applicable facility systems.

Outcome:

Patient records, billing support, and continuity of care are supported through complete and accurate documentation.

Performance Standards:

100% of imaging encounters documented accurately and timely.

100% required workload and timekeeping records maintained.

No invoice shall be validated for payment without documentation supporting services rendered.

Accurate and timely documentation is considered a critical performance outcome under this contract due to its direct relationship to patient safety, continuity of care, workload capture, regulatory compliance, and invoice validation.

Failure to maintain required documentation standards may result in delayed invoice approval, corrective action requirements, or performance documentation within contractor performance records.

1.5 Contractor Responsibilities

The Contractor shall:

Provide qualified Ultrasound Technologist personnel.

Ensure personnel meet all credentialing, onboarding, health, security, and competency requirements.

Provide all employer supervision, scheduling, leave management, payroll, discipline, and personnel administration.

Provide radiation dosimeter badges for Contractor personnel when radiographic duties are performed.

Ensure personnel complete all required facility orientation, annual training, and policy acknowledgments.

Ensure personnel perform only within their professional qualifications and authorized scope.

1.6 Personnel Qualifications

Contractor personnel shall:

Be ARDMS eligible or ARDMS registered, as applicable.

Have at least one year of experience performing ultrasound examinations.

Be experienced in a wide range of ultrasound studies.

Preferably hold ARRT Radiology certification or equivalent radiology certification when radiographic duties are required.

Maintain current BLS/CPR certification.

Provide proof of required immunizations, including PPD and Tdap, consistent with facility policy.

Meet all PRSU onboarding, credentialing, background, and access requirements prior to performance.

1.7 Government Responsibilities

The Government will provide:

Radiology workspace and access to available imaging equipment.

Facility orientation and applicable policies.

Access to required systems, subject to completion of onboarding and security requirements.

PPE and facility-required supplies.

Clinical workload priorities and outcome-based performance expectations.

SECTION 2.0 – DELIVERABLES

Deliverable Frequency Requirement

StaƯing Schedule Weekly / 30-day minimum

Upcoming schedule, coverage risks, call-oƯs, and replacements

Timekeeping Report Weekly Actual hours worked, modality supported, and invoice validation support

Credentialing Package At award / staƯing change

Certifications, immunizations, BLS, onboarding, background/PIV status

Quality Report Monthly Image quality, repeat exams, safety issues, corrective actions

EHR Documentation Report

Monthly Confirmation all encounters are complete and accurate

Incident / Corrective Action Report

As needed Required within 24–72 hours after incident or performance failure

QASP Support Data Monthly Data needed for COR surveillance and performance validation

Performance Improvement Plan

As Requ ired

Required when performance metrics fall below acceptable quality levels or operational deficiencies are identified

(Add another deliverable row)

Deliverable Frequency Requirement

StaƯing Contingency Plan

At Award / Upon Update

Contractor procedures for maintaining continuity of operations during staƯing shortages, emergencies, travel disruptions, or unexpected vacancies

SECTION 3.0 – NON-PERSONAL SERVICES COMPLIANCE

All services shall be provided strictly as non-personal services. No employer-employee relationship is created between the Government and Contractor personnel.

Contractor personnel shall:

Remain employees of the Contractor.

Be supervised, scheduled, paid, evaluated, and disciplined only by the Contractor.

Not be supervised by Government personnel.

Not perform inherently governmental functions.

Not bind the Government contractually.

Not supervise Federal employees.

Not make policy, acquisition, funding, or personnel decisions.

Government personnel may provide outcome-based direction, facility priorities, patient care coordination, and contract surveillance, but shall not control the details of Contractor employee performance.

The Government shall evaluate contract performance based on measurable outcomes and mission support results rather than direct supervision of individual contractor employees.

Contract administration under this requirement is intended to maintain strict compliance with non-personal services principles while supporting performance accountability, operational continuity, and patient care mission requirements.

Nothing in this contract shall be interpreted as creating an employer-employee relationship between the Government and Contractor personnel.

Place of Performance

Pine Ridge IHS Hospital 607 Indian Health Rd.

Pine Ridge, SD 57770

Technical Point of Contact (TPOC)/Contracting OƯicer Representative (COR)

TPOC: TBD

COR: TBD

INVOICING

Invoices submitted under any award resulting from this solicitation will be required to utilize the Invoice Processing Platform (IPP) in accordance with HHSAR 352.232-71, Electronic Submission and Processing of Payment Requests.

The IPP website address is: https://ww.ipp.gov. IPP Helpdesk: (866) 973-3131 (M-F 8AM to 6PM ET) Email: IPPCustomerSupport@fiscal.treasury.gov

Contracting Authority

The Contracting OƯicer (CO) is the only person authorized to approve changes or modify any of the requirements of this contract. The Contractor shall communicate with the CO on all matters pertaining to contract administration. Only the CO is authorized to make commitments or issue any modification to include (but not limited to) terms aƯecting price, quantity or quality performance of this contract. No person other than the Contracting OƯicer has authority to bind the Government with respect to this contract. No action or omission of any government employee or representative other than the Contracting OƯicer shall increase or decrease the scope of this contract or shall otherwise modify the terms and conditions of this contract. In no event shall any of the following be eƯective or binding on the Government or imputed to the Contracting OƯicer with respect to this contract: An understanding or agreement between the Contractor and anyone other than the Contracting OƯicer; A purported modification or change order issued by anyone other than the Contracting OƯicer; A promise by anyone other than the Contracting OƯicer to provide additional funding or make payments; or An order, direction, consent, or permission from anyone other than the Contracting OƯicer to: Incur costs in excess of a specified estimated cost, allotment of funds, or other ceiling; or expend hours in excess of a specified level of eƯort.

SECTION 4.0 – QUALITY ASSURANCE SURVEILLANCE PLAN

This requirement is intentionally structured as a measurable, performance-based acquisition emphasizing defined outcomes, operational accountability, quality performance metrics, and objective surveillance standards consistent with evolving federal acquisition policy emphasizing performance-driven contracting methodologies.

The Contractor shall be responsible for achieving required contract outcomes within the established Firm-Fixed-Price structure without reliance upon continuous Government operational direction.

The QASP is designed to support performance-based acquisition oversight through objective surveillance of measurable contract outcomes, operational eƯectiveness, patient safety, staƯing reliability, regulatory compliance, and quality performance indicators.

Performance surveillance methods may include:

EHR audits;

RIS/PACS review;

Image quality review;

Radiologist feedback;

Timekeeping validation;

StaƯing schedule review;

Incident tracking;

Accreditation compliance review;

Corrective action monitoring; and Contractor performance trend analysis.

See Below :

Objective Performance Standard

AQL Surveillance Method Frequency

Ultrasound Image Quality Diagnostic-quality studies

≥95% Radiologist feedback / image review

Monthly

Timeliness Exams completed within facility expectations

≥95%

EHR/RIS/PACS

timestamps

Monthly

Protocol Accuracy Correct views, positioning, and technical settings

≥98% Random audit Monthly

StaƯing Coverage Scheduled shifts covered

≥98% Schedule/timekeeping review

Weekly

Documentation Complete and accurate EHR records

100% EHR/HIM audit Monthly

Safety / Infection Control Compliance with safety standards

100% Observation / incident review

Ongoing

Radiation Safety, if applicable

ALARA, shielding, dosimetry

100% Badge/safety review Monthly

Professional Conduct No substantiated conduct issues

Zero incidents

COR feedback / complaint review

Ongoing

Credentialing StaƯ fully qualified and cleared

100% File review At award / monthly

StaƯing Continuity Planning

Adequate contingency procedures maintained

100% COR review Quarterly

Corrective Action Responsiveness

Timely corrective action implementation

100% COR/QASP review As Needed

CLAUSES INCORPORATED BY REFERENCE

(Non-Personal Service)

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

I. Federal Acquisition Regulations (FAR) (48 CFR Chapter 1) Clauses

No. FAR Citation Clause Title Clause Date

1. 52.201-1 Definitions June 2020

2. 52.203-6 Restrictions on Subcontractor Sales to the Government June 2020

3. 52.203-11 Certification and Disclosure Regarding Payments to Influence Sept 2024

Certain Federal Transactions

4. 52.203-12 Limitation on Payments to Influence Certain Federal Transactions June 2020

5. 52.203-17 Contractor Employee Whistleblower Rights Nov 2023

6. 52.203-18 Prohibition on Contracting with Entities that Require Certain Jan 2017

Internal Confidentiality Agreements or Statements-Representation

7. 52.203-19 Prohibition on Requiring Certain Internal Confidentiality Agreements Jan 2017 Or Statements

8. 52.204-9 Personal Identity Verification of Contractor Personnel Jan 2011

9. 52.204-10 Reporting Executive Compensation and First-Tier Subcontract Awards Deviation

10. 52.209-1 Qualification Requirements Deviation

11. 52.209-2 Prohibition on Contracting with Inverted Domestic Corporations- Deviation Representation

12. 52.209-10 Prohibition on Contracting with Inverted Domestic Corporations. Deviation

13. 52.209-11 Representation by Corporations Regarding Delinquent Tax Liability Deviation Or a Felony Conviction under any Federal Law

14. 52.222-41 Service Contract Labor Standards Deviation

15. 52.222-50 Combating Trafficking in Persons Deviation 52.226-1 Utilization of Indian Organizations and Indian-Owned Economic June 2000 Enterprises

16. 52.226-8 Encouraging Contractor Policies to Ban Text Messaging While Driving May 2024

17. 52.232-1 Payments April 1984

18. 52.232-39 Unenforceability of Unauthorized Obligations June 2013

19. 52.233-4 Applicable Law for Breach of Contract Claim Deviation

20. 52.237-1 Site Visit April 1984

21. 52.237-2 Protection of Government Buildings, Equipment and Vegetation April 1984

22. 52.237-3 Continuity of Services Jan 1998

23. 52.252-5 Authorized Deviations in Provisions Nov 2020

24. 52.252-6 Authorized Deviations in Clauses Nov 2020

Federal Acquisition Regulations (FAR) (48 CFR Chapter 1) Clauses in Full Text

No. FAR Citation Clause Title Clause Date

1. 52.212-1 Instructions to Offerors – Commercial Products and Commercial Deviation Services

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

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

Commercial Services

4. 52.217-5 Evaluation of Options Deviation

5. 52.217-8 Option to Extend Services Nov 1999

6. 52.217-9 Option to Extend the Term of the Contract Mar 2000

7. 52.222-90 Addressing DEI Discrimination by Federal Contractors Deviation

8. 52.224-1 Privacy Act Notification April 1984

9. 52.224-2 Privacy Act April 1984

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

As prescribed in 12.205(a)(1), insert a clause substantially as follows:

INSTRUCTIONS TO OFFERORS—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (DEVIATION DATE)

(a) Submission of offers. Submit signed and dated offers to the office specified in this solicitation at or before the exact time specified in this solicitation. As a minimum, offers shall include—

(1) The solicitation number;

(2) The name, address, telephone number of the Offeror;

(3) The Offeror’s Unique Entity Identifier (UEI) and, if applicable, Electronic Funds Transfer (EFT) indicator;

(4) Information necessary to evaluate the factors contained in the provision at 52.212-2 or as described in the solicitation;

(5) Responses to provisions that require Offeror completion of information, representations, and certifications (other than those collected via the System for Award Management (SAM)); and

(6) A statement specifying the extent of agreement with all terms, conditions, and provisions included in the solicitation and any solicitation amendments.

(b) Period for acceptance of offers. The Offeror agrees to hold the prices in its offer firm for 60 calendar days from the date specified for receipt of offers, unless another time period is specified in an addendum to the solicitation.

(c) Late submissions, modifications, revisions, and withdrawals of offers.

(1) Offerors are responsible for submitting offers and any modifications or revisions to the Government office designated in the solicitation by the time specified in the solicitation.

(2) Any offer, modification, or revision received after the time specified for receipt of offers is “late” and will not be considered unless it is received before award is made and the Contracting Officer determines that accepting the late offer would not unduly delay the acquisition. However, a late modification of an otherwise successful offer that makes its terms more favorable to the Government will be considered at any time it is received and may be accepted.

(3) If an emergency or unanticipated event interrupts normal Government processes so that offers cannot be received at the Government office designated for receipt of offers by the exact time specified in the solicitation, and urgent Government requirements preclude amendment of the solicitation or other notice of an extension of the closing date, the time specified for receipt of offers will be deemed to be extended to the same time of day specified in the solicitation on the first work day on which normal Government processes resume.

(4) Offerors may withdraw their offers by written notice to the Government received at any time before award.

(d) Contract award (not applicable to Invitation for Bids). The Government intends to evaluate offers and award a contract without discussions with Offerors. Therefore, the Offeror’s initial offer should contain the Offeror’s best terms. However, the Government reserves the right to conduct discussions, if necessary. The Government may reject any or all offers if such action is in the public interest, accept other than the lowest offer, and waive informalities and minor irregularities in offers received.

(e) Debriefings. If a postaward debriefing is given to requesting Offerors, the Government will disclose the following information, if applicable:

(1) The agency’s evaluation of the significant weak or deficient factors in the debriefed Offeror’s offer.

(2) The overall evaluated cost or price and technical rating of the successful Offeror and the debriefed Offeror and past performance information on the debriefed Offeror.

(3) The overall ranking of all Offerors when any ranking was developed by the agency during source selection.

(4) A summary of the rationale for award.

(5) For acquisitions of commercial products, the make and model of the product to be delivered by the successful Offeror.

(6) Reasonable responses to relevant questions posed by the debriefed Offeror as to whether the agency followed source-selection procedures set forth in the solicitation, applicable regulations, and other applicable authorities.

(End of provision)

52.212-2 Evaluation—Commercial Products and Commercial Services.

As prescribed in 12.205(a)(2), insert a provision substantially as follows:

EVALUATION—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (DEVIATION DATE)

(a) Evaluation factors. 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 will be used to evaluate offers:

1. Technical Capability

2. Past Performance

3. Price

(b) Options (if applicable). 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. The evaluation of options does not obligate the Government to exercise the option(s).

(c) Notice of award. A written notice of award or acceptance of an offer 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 Terms and Conditions—Commercial Products and Commercial Services.

As prescribed in 12.205(b)(3), insert the following clause:

TERMS AND CONDITIONS—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (DEVIATION DATE)

(a) Definitions. The clause at Federal Acquisition Regulation (FAR) 52.202-1, Definitions, is incorporated by reference.

(b) 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.

(c) 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.

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

(e) 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 FAR 52.233-1, Disputes, which is incorporated in this contract by reference. The Contractor shall proceed diligently with performance of this contract, pending final resolution of any dispute arising under the contract.

(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. Examples of occurrences include 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. When an excusable delay occurs, the Contractor shall—

(1) Notify the Contracting Officer in writing as soon as possible;

(2) Remedy the delay as quickly as possible; and

(3) Notify the Contracting Officer when the occurrence is over.

(g) Invoice. The Government will handle invoices according to the Prompt Payment Act (31 U.S.C. 3903) and 5 CFR part 1315. The

Contractor shall submit invoices to the address designated in the contract to receive invoices. An invoice must include the information required by 5 CFR part 1315.9(b).

(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) 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 that appears on the payment check or the specified payment date if an electronic funds transfer payment is made.

(4) 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;

(D) Contractor point of contact; and

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

(5) 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 FAR part 33 if–

(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 FAR part 32).

(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 termination for cause.

(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 for interest credits prescribed in FAR part 32 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 and shall immediately cause any and all of its suppliers and subcontractors to cease work. Subject to the terms of this contract, the Contractor shall be paid a percentage of the contract price reflecting the percentage of the work performed prior to the notice of termination, plus reasonable charges the Contractor can demonstrate to the satisfaction of the Government using its standard record keeping system, have resulted from the termination. The

Contractor shall not be required to comply with the cost accounting standards or contract cost principles for this purpose. This paragraph does not give the Government any right to audit the Contractor’s records. The Contractor shall not be paid for any work performed or costs incurred which reasonably could have been avoided.

(m) Termination for cause. The Government may terminate this contract, or any part hereof, for cause in the event of any default by the

Contractor, or if the Contractor fails to comply with any contract terms and conditions, or fails to provide the Government, upon request, with adequate assurances of future performance. The Government will send a cure notice to the Contractor, unless the reason for the termination is late delivery. In the event of termination for cause, the Government shall not be liable to the Contractor for any amount for supplies or services not accepted, and the Contractor shall be liable to the Government for any and all rights and remedies provided by law. If it is determined that the Government improperly terminated this contract for default, such termination shall be deemed a termination for convenience.

(n) Title. Unless specified elsewhere in this contract, title to items furnished under this contract shall pass to the Government upon acceptance, regardless of when or where the Government takes physical possession.

(o) Warranty. The Contractor warrants and implies that the items delivered under this contract are merchantable and fit for use for the particular purpose described in this contract.

(p) Limitation of liability. Except as otherwise provided by an express warranty, the Contractor will not be liable to the Government for consequential damages resulting from any defect or deficiencies in accepted items.

(q) Compliance with laws unique to Government contracts. The Contractor agrees to comply with 31 U.S.C. 1352 relating to limitations on the use of appropriated funds to influence certain Federal contracts; 40 U.S.C. chapter 37, Contract Work Hours and Safety Standards;

41 U.S.C. chapter 87, Kickbacks; 49 U.S.C. 40118, Government-financed air transportation; and 41 U.S.C. chapter 21 relating to procurement integrity.

(r) Order of precedence. Any inconsistencies in this solicitation or contract shall be resolved by giving precedence in the following order:

(1) The schedule of supplies/services;

(2) The Disputes, Payments, Invoice, Compliance with Laws Unique to Government Contracts, and Unauthorized Obligations paragraphs of this clause;

(3) Other contract clauses incorporated in the solicitation or contract;

(4) Addenda to this solicitation or contract;

(5) Solicitation provisions incorporated in the solicitation;

(6) Other paragraphs of this clause;

(7) Other documents, exhibits, and attachments; and

(8) The specification.

(s) Unauthorized obligations.

(1) Except as stated in paragraph (s)(2) of this clause, when any supply or service acquired under this contract is subject to any End User

License Agreement (EULA), Terms of Service (TOS), or similar legal instrument or agreement, that includes any clause requiring the

Government to indemnify the Contractor or any person or entity for damages, costs, fees, or any other loss or liability that would create an

Anti-Deficiency Act violation (31 U.S.C. 1341), the following shall govern:

(i) Any such clause is unenforceable against the Government.

(ii) Neither the Government nor any Government-authorized end user shall be deemed to have agreed to such clause by virtue of it appearing in the EULA, TOS, or similar legal instrument or agreement. If the EULA, TOS, or similar legal instrument or agreement is invoked through an “I agree” click box or other comparable mechanism (e.g., “click-wrap” or “browse-wrap” agreements), execution does not bind the Government or any Government authorized end user to such clause.

(iii) Any such clause is deemed to be stricken from the EULA, TOS, or similar legal instrument or agreement.

(2) Paragraph (s)(1) of this clause does not apply to indemnification by the Government that is expressly authorized by statute and specifically authorized under applicable agency regulations and procedures.

(t) Comptroller General examination of record. This paragraph applies if this contract was awarded using other than sealed bid procedures and is in excess of the simplified acquisition threshold on the date of award of this contract.

(1) The Comptroller General of the United States, or an authorized representative of the Comptroller General, shall have access to and right to examine any of the Contractor’s directly pertinent records involving transactions related to this contract.

(2) The Contractor shall make available at its offices, at all reasonable times, the records, materials, and other evidence for examination, audit, or reproduction, until 3 years after final payment under this contract or for any shorter period specified in FAR part 4, longer period required by statute, or periods specified in other clauses of this contract. If this contract is completely or partially terminated, the records relating to the work terminated shall be made available for 3 years after any resulting final termination settlement. Records relating to appeals under the disputes clause or to litigation or the settlement of claims arising under or relating to this contract shall be made available until such appeals, litigation, or claims are finally resolved.

(3) As used in this clause, records include books, documents, accounting procedures and practices, and other data, regardless of type and regardless of form. This clause does not require the Contractor to create or maintain any record that the Contractor does not maintain in the ordinary course of business or pursuant to a provision of law.

(u) Incorporation by reference. The Contractor’s representations and certifications, including those completed electronically via the

System for Award Management (SAM), are incorporated by reference into the contract.

(End of clause)

52.217-5 Evaluation of Options.

As prescribed in 17.203(c), insert a provision substantially the same as the following:

EVALUATION OF OPTIONS (DEVIATION DATE)

Except…