Amend 1-CO.pdf

(x)

75H70626R00012 x x copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted ; or (c) By separate letter or electronic communication which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGEMENT TO BE

RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN REJECTION OF YOUR

OFFER. If by virtue of this amendment you desire to change an offer already submitted , such change may be made by letter or electronic communication, provided each letter or electronic communication makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

x

Aberdeen SD 57401 115 Fourth Ave, SE Federal Building Aberdeen Area Indian Health Servic

04/13/2026

13. THIS ITEM ONLY APPLIES TO MODIFICATION OF CONTRACTS/ORDERS. IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

12. ACCOUNTING AND APPROPRIATION DATA (If required) is not extended.is extended, Items 8 and 15, and returning

Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended , by one of the following methods: (a) By completing

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

FACILITY CODE CODE

10B. DATED (SEE ITEM 13)

10A. MODIFICATION OF CONTRACT/ORDER NO.

9B. DATED (SEE ITEM 11)

9A. AMENDMENT OF SOLICITATION NO.

CODE

8. NAME AND ADDRESS OF CONTRACTOR (No., street, county, State and ZIP Code)

7. ADMINISTERED BY (If other than Item 6)CODE 6. ISSUED BY

PAGE OF PAGES

4. REQUISITION/PURCHASE REQ. NO.3. EFFECTIVE DATE2. AMENDMENT/MODIFICATION NO. 5. PROJECT NO. (If applicable)

1. CONTRACT ID CODE

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

04/09/2026

CHECK ONE A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER (Specify type of modification and authority) appropriation data, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

E. IMPORTANT: Contractor is not is required to sign this document and return __________________ copies to the issuing office.

ORDER NO. IN ITEM 10A.

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

Purpose of Amendment No. 0001 to RFP 75H70626R00012

A. To provide responses to vendor questions;

B. The solicitation due date remains unchanged: Friday, April 17, 2026, at 12:00 p.m. CDT.

There are no other changes made by reason of this amendment.

Question #1: Can the Government please clarify why IHS did not release this solicitation per the Buy Indian Act as an Indian Small Business/Indian Small Business Economic

Enterprise?

Continued ...

16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)15A. NAME AND TITLE OF SIGNER (Type or print)

15C. DATE SIGNED 16B. UNITED STATES OF AMERICA 15B. CONTRACTOR/OFFEROR 16C. DATE SIGNED

(Signature of person authorized to sign) (Signature of Contracting Officer)

NICHOLE R. LEREW

STANDARD FORM 30 (REV. 11/2016)

Prescribed by GSA FAR (48 CFR) 53.243

Previous edition unusable

Except as provided herein, all terms and conditions of the document referenced in Item 9 A or 10A, as heretofore changed, remains unchanged and in full force and effect .

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

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Answer #1: Sources sought for Buy Indian was completed in March, but there were no qualified applicants that responded.

Question #2: Will there be any scoring preference for Indian Small Businesses?

Answer #2: All small businesses will be scored equally.

Question #3: Can the Government please clarify if the pricing must be on the Offeror's SF 1449 blocks 23 and 24 or should it be submitted in

Factor 4. Price volume?

Answer #3: Please complete the SF 1449 as instructed.

Question #4: Can the Government please confirm if there are any Service Level Agreements (SLA), Performance Requirements Summary (PRS) or other specific performance requirements in addition to the 99% system uptime that the offeror will be expected to meet?

Answer #4: These are listed in the SOW; please refer to the SOW.

Question #5: Can the Government please clarify the requirement for "Completion of patient record"? We could not find this requirement on the RFP.

Answer #5: The contractor is responsible for supporting RPMS and ensuring patient records are accurate and complete.

Question #6: Can the Government please clarify the meaning of "prompt and continuous coverage"?

Is this related to staffing at 24/7/365 or systems availability? Is there a specific metric that defines "Prompt"?

Answer #6: System availability, with on-call support to ensure system uptime.

Question #7: Can the Government please clarify the meaning of "credentialing?" Is this regarding obtaining IHS credentialling (C-7. Personnel

Qualifications) or managing user access to systems within the scope of this contact?

Answer #7: This is in regard to the Background

Investigation. Please refer to the background investigation requirements.

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Question #8: Can the Government please clarify if there is a Price Schedule Sheet the Government would like completed and submitted by Offerors?

Answer #8: Please complete the SF 1449.

Question #9: Can the government please specify the number of trips required per month during the contract period of performance?

Answer #9: Most of the work is remote; at most, it would be 1 trip per year.

Question #10: Can the Government provide a plug in number for travel and Other Direct Charges so that the government price evaluation is conducted in a fair and complete manner?

Answer #10: Most is remote, at most it would be 1 trip per year.

Question #11: Can the Government confirm that

Offerors are permitted to propose separate escalated labor rates for each option periods?

Answer #11: The offerer may submit a bid that aligns with their requirements, even if that includes escalated labor rates for each option period

Question #12: Would the Government consider extending the submission deadline by two weeks to allow for Offerors to submit a response compliant with the answers to all bidders' questions?

Answer #12: No.

Question #13: Can the Government please provide details on the expected travel frequency?

Answer #13: At most once per year.

Question #14: Can the Government please clarify if actual travel costs will be reimbursed?

Answer #14: Travel would be paid in accordance with Federal travel regulations and per diem rates and not any additional amounts.

Question #15: Can the Government provide information on what ticketing system is in use and the maturity of associated processes and consistent content quality?

Answer #15: Service now, 5+ years.

Question #16: Can the Government please specify if there is a ticket backlog to include the

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75H70626R00012 volume and nature of these items?

Answer #16: We are current on our work requirements.

Question #17: Can the Government clarify: 1) if this requirement must be met at time of RFP submission, and 2) how long does it take to receive the appropriate IHS credentials?

Answer #17: It will be processed upon award; the timeline depends on the individual's criminal history and creditworthiness.

Question #18: Can the Government please clarify how many full-time positions are being requested?

Answer #18: 2 (which can be a combination of multiple part-time FTE) and a project to add the

Billings area to our CUCM, with start and end dates (this is over and above the 2 FTE).

Question #19: Can the Government provide workload indicators?

Answer #19: This question is unclear.

Question #20: Is the reference to "Subcontractor" a typo and it should be the Contractor?

Answer #20: Subcontracting is allowed.

Question #21: Will the Government please clarify if this is a new or existing requirement?

Answer #21: This is an existing requirement.

Question #22: If this is an existing requirement, please provide the current/incumbent contract number?

Answer #22: 75H70621F80098.

Question #23: If this is an existing requirement, will there be a transition period?

Answer #23: We have Federal staff who can train and transition.

Question #24: Can the Government please clarify in which volume should the representations and certifications be submitted?

Answer #24: Submit these in PDF with the proposal.

Question #25: Can the Government please confirm which volume the SF 1449 should be included?

Answer #25: With the proposal.

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Question #26: Can the Government clarify the maturity of its Change Control and release management processes? Does a Configuration Change

Board (CCB) exist and do all releases follow a standard approach?

Answer #26: This is a national process, and yes.

Question #27: Can the Government provide workload indicators so that all bidders are solutioning and pricing to the same baseline?

Answer #27: Most of this is a helpdesk that is handled by Federal staff in collaboration with the vendor. Patches and releases are handled by the contractor in coordination with the sites during off-hours.

Question #28: Can the Government please provide information on Authority to Operate (ATO) status of supported systems to include the extent and impact of any waivers?

Answer #28: NA VistA/RPMS is a system used by VA and IHS.

Question #29: Can the Government please provide their overall lifecycle management approach to include any industry standards being used (e.g., ITIL) and any requirements management processes and tools?

Answer #29: This is NA to this bid; our national office manages CCB and releases, we simply install them and provide technical support.

Question #30: Can the Government please provide details on the maturity and type of user self-help capabilities?

Answer #30: We use Service Now and a Knowledge

Base for the end users.

Question #31: Can the Government please provide details on the maturity level of Knowledge Base

(KB) materials available to the successful contactor?

Answer #31: We have Service Now and a Knowledge

Base for approximately 5 years now, but have several resources that have been developed prior to and maintained throughout the years.

Question #32: Can the Government please provide details on what network monitoring tools, auto-discovery, alerts, notifications, Continued ...

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75H70626R00012 dashboards, and other situational awareness information is available to the bidder?

Answer #32: NA to this contract.

Question #33: Can the Government please provide details on the Configuration Management Database

(CMBD) to include maturity level and quality of content?

Answer #33: NA to this contract.

Question #34: Should offerors assume a standard level of effort (e.g., 2,080 hours annually) for each FTE?

Answer #34: The level of effort is approximately

2080 hours annually, but this varies based on tickets, patches, and deadlines. It is not a standard 40 hours a week.

Question #35: Is it acceptable for offerors to propose a blended staffing model (e.g., multiple part-time specialists contributing to the required level of effort) rather than a single dedicated individual?

Answer #35: A blended staffing model is acceptable. There is more than 1 work service required; the FTE equivalent for RPMS/IRIS/AIX is a separate task/line item of work on the contract from the Cisco UC engineer, essentially 2 separate FTEs or equivalent for 2 separate workstreams/projects are required. There is also a 3rd project, over and above the 2 FTE, for a small project to integrate Billings phones into our Call Manager, with start and stop upon project completion.

Question #36: Will a proposal be considered technically acceptable if it demonstrates the ability to meet all functional requirements using a blended or distributed staffing model within the defined FTE level of effort? Or does the

Government expect dedicated personnel for each identified specialty regardless of the FTE pricing structure?

Answer #36: Blended is fine, but the level of effort must be met and must not overlap. The government must clearly delineate lines of work that are billed separately for each of the 3 tasks required.

Question #37: I am not completely clear on

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75H70626R00012 whether Respec Company will provide the following service or not. Can you please clarify? RPMS/IRIS

Team: 4- 5 personnel experienced in AIX, IRIS, and RPMS administration.

Answer #37: The Vendor that responds and is awarded the bid will be required to provide 24/7 support with personnel experienced in AIX, IRIS, and RPMS administration.

Question #38: Is Past Performance with Federal

Government Agencies Required for this

Solicitation/Work?

Answer #38: Yes, past performance is required.

Question #39. Is the Government considering a small business set-aside for the resultant contract, or has any determination been made regarding whether this acquisition may be reserved for 8(a)participants or other socioeconomic categories under FAR Part 19?

Answer #39: All bidders are considered if they meet the qualifications and past performance.

Question #40. Will the Government consider past performance from vendors who have supported IT operations within HHS or other federal health agencies as demonstrating relevant experience for this requirement, even where the prior work was not specifically in an IHS environment?

Answer #40: Yes, but there must be MUMPS programming and VistA/RPMS experience.

Qustion #41. The notice references IT Support

Services as a commercial item purchase. Can the

Government confirm whether the anticipated scope includes any custom development or integration work, or is the intent limited to commercially available support services with no significant tailoring?

Answer #41: *The IHS environment is unique, and there are customizations.

Question #42. What are the primary IT systems and infrastructure components currently in use at the

GreatPlains Area OIT that contractors will be expected to support - for example, end-user computing environments, remote access platforms, ticketing systems, or network infrastructure?

Answer #42: Windows, Nutanix, AIX, ServiceNow, Aruba, Cisco, VistA, RPMS, Teams, Webex, F5 VPN, Continued ...

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PaloAlto Global Protect.

Question #43. Will the resultant contract require on-site presence at the Aberdeen, South Dakota, facility, or will the Government consider hybrid or primarily remote delivery models for routine support functions, with on-site visits as needed?

Answer #43: Support can be done remotely via VPN.

Questoin #44. Are there specific performance standards or service level expectations the

Government intends to include in the solicitation

- such as helpdesk response times, system availability targets, or ticket resolution thresholds - that vendors should be prepared to address in their proposals?

Answer #44: These are listed in the SOW.

Question #45: Will the Government weigh relevant federal healthcare IT experience - including support for clinical or administrative systems in distributed, multi-site health environments - as a differentiating factor in its evaluation criteria?

Answer #45: *This is strictly for clinical systems i.e. electronic health records.

Question #46: Is there an incumbent contractor currently performing these services, and if so, will the Government provide a transition period or phase-in schedule to ensure continuity of IT support operations for the Great Plains Area OIT?

Answer #46: Yes, there is an incumbent; we have

Federal Staff to help with training/phase-in.

Question #47: Does the Government anticipate including options for low-code automation or process improvement tooling within the scope of

IT support, or is the requirement strictly limited to break-fix and helpdesk-style support functions?

Answer #47: Process Improvements will be explored and appreciated, but most of the need is testing, patching, helpdesk, and break/fix.

Question #48: Can the Government clarify the expected labor mix and level of effort across

Cisco UC engineering, RPMS/AIX/IRIS support, and project management functions?

Answer #48: There are 2 Separate FTE for 2

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Separate roles (AIX/RPMS/IRIS) and (CISCO UC) along with another roles perform the project to incorporate Billings into the Great Plains call manager. These can be a combination of FTEs to make the equivalent of FTE.

Question #49: Is the Government expecting simultaneous coverage across all functional areas, or task-based/on-demand support across specialties?

Answer #49: Yes.

Question #50: Can the Government provide historical ticket data, including distribution by category, priority, and average resolution time?

Answer #50: This is not something we are current prepared to do, we would have to request a report from Service Now with custom reporting. Tickets range from patching, performance issues, networking, Operating system issues to configuration issues.

Question #51: What is the anticipated workload split between Cisco UC support and RPMS/EHR support?

Answer #51: These are 2 separate FTE roles ? they are separate functional areas.

Question #52: Can the Government provide a current inventory and architecture overview of the Cisco UC environment (e.g., number of clusters, endpoints, Webex tenants)?

Answer #52: We have about 400 Video units, 2500 phones, and 1 webex tenant, we are working to become 1 agency phone system in the cloud. This role supports that migration along with other contract and federal staff.

Question #53: Are there any known performance or interoperability issues that the contractor should be aware of at contract start?

Answer #53: No.

Question #54: Are there any known performance or interoperability issues that the contractor should be aware of at contract start?

Answer #54: No.

Question #55: Can the Government clarify the distribution of AIX versus Windows-based RPMS

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75H70626R00012 environments across supported facilities?

Answer #55: We have 3 AIX boxes and the rest are

Windows, approximately 14 Federal and some tribal that we continue to support.

Question #56: What tools are currently in use for system monitoring, ticketing, and patch management?

Answer #56: Service Now.

Question #57: Can the Government provide network diagrams and site topology for the current environment?

Answer #57: Upon award, yes (this would require a signed Business Associate Agreement aka BAA).

Question #58: What is the expected migration approach and timeline (e.g., phased vs.

consolidated)?

Answer #58: Work to begin upon award, and project to be completed within 12 months or less.

Question #59: Will Government personnel or SMEs be available to support cutover activities?

Answer #59: Yes.

Question #60: The SOW references a 99% uptime requirement for RPMS systems. Can the Government clarify how uptime is defined and measured, including applicable service windows?

Answer #60: RPMS must remain available to hospitals and clinics unless there is a planned outage.

Question #61: Are there defined response and resolution SLAs for Tier 2 and critical incidents?

Answer #61: Initial responses must be within an hour, along with categorization of the issue.

Question #62: Can the Government provide an estimated frequency of on-site support requirements across the 19 facilities?

Answer #62: No more than 1 time per year.

Question #63: Should travel be proposed as a separate reimbursable cost, or included within fully burdened pricing?

Answer #63: Separate, reimbursable at the Federal travel regulatory rates for per diem.

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Question #64: Can the Government provide a detailed list of Government-Furnished Equipment

(GFE) and Information (GFI) that will be available at award?

Answer #64: No GFE will be provided. VPN will be used to connect.

Question #65: Will the contractor receive remote access (e.g., VPN) and administrative privileges necessary to perform required tasks?

Answer #65: YES.

Question #66: What is the anticipated timeline for background investigations and system access approvals for contractor personnel?

Answer #66: This depends on the individual being investigated, their criminal/financial and trustworthiness evaluated during the investigative process.

Question #67: Are there any additional cybersecurity or compliance requirements beyond standard IHS/HHS policies?

Answer #67: No.

Question #68: Are other direct costs (e.g., travel) expected to be included in the total proposed price?

Answer #68: No.

Question #69: For the technical evaluation factors, does the Government prefer a detailed technical methodology, or is a compliance-based narrative sufficient to achieve an ?Acceptable?

rating?

Answer #69: Compliance based is sufficient.

Question #70: Does the Government anticipate making award with or without discussions?

Answer #70: without.

Question #71: Is there a current incumbent contractor performing these services?

Answer #71: Yes.

Question #72: If so, will there be a formal transition period and knowledge transfer support?

Answer #72: We have federal staff that can train and transition and transfer support.

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1 FTE_Base: Senior Collab Engineer for 1 Year.

Delivery: 04/30/2027

Period of Performance: 05/01/2026 to 04/30/2027

2 Respec_Base: Respec FTE services to deliver

RPMS/IRIS platform, OS, patching, backups, accounts, journaling, mirroring, updates, proactive monitoring, issue resolution, and best-practice support for AIX and Windows.

Delivery: 04/30/2027

Period of Performance: 05/01/2026 to 04/30/2027

3 PMO_Base: Project Management.

Delivery: 04/30/2027

Period of Performance: 05/01/2026 to 04/30/2027

4 BIL_MIG: Billings Area On Prem Migration to GPA.

Delivery: 04/30/2027

Period of Performance: 05/01/2026 to 04/30/2027

5 Other Fee(s)_Base: (If Applicable)

Delivery: 04/30/2027

Period of Performance: 05/01/2026 to 04/30/2027

6 FTE_OY1: Senior Collab Engineer for 1 Year.

(Option Line Item)

05/01/2027

Delivery: 04/30/2028

Period of Performance: 05/01/2027 to 04/30/2028

7 Respec_OY1: Respec FTE services to deliver

RPMS/IRIS platform, OS, patching, backups, accounts, journaling, mirroring, updates, proactive monitoring, issue resolution, and best-practice support for AIX and Windows.

(Option Line Item)

05/01/2027

Delivery: 04/30/2028

Period of Performance: 05/01/2027 to 04/30/2028

8 PMO_OY1: Project Management.

(Option Line Item)

05/01/2027

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Delivery: 04/30/2028

Period of Performance: 05/01/2027 to 04/30/2028

9 Other Fee(s)_OY1: (If Applicable)

(Option Line Item)

05/01/2027

Delivery: 04/30/2028

Period of Performance: 05/01/2027 to 04/30/2028

10 FTE_OY2: Senior Collab Engineer for 1 Year.

(Option Line Item)

05/01/2028

Delivery: 04/30/2029

Period of Performance: 05/01/2028 to 04/30/2029

11 Respec_OY2: Respec FTE services to deliver

RPMS/IRIS platform, OS, patching, backups, accounts, journaling, mirroring, updates, proactive monitoring, issue resolution, and best-practice support for AIX and Windows.

(Option Line Item)

05/01/2028

Delivery: 04/30/2029

Period of Performance: 05/01/2028 to 04/30/2029

12 PMO_OY2: Project Management.

(Option Line Item)

05/01/2028

Delivery: 04/30/2029

Period of Performance: 05/01/2028 to 04/30/2029

13 Other Fee(s)_OY2: (If Applicable)

(Option Line Item)

05/01/2028

Delivery: 04/30/2029

Period of Performance: 05/01/2028 to 04/30/2029

14 FTE_OY3: Senior Collab Engineer for 1 Year.

(Option Line Item)

05/01/2029

Delivery: 04/30/2030

Period of Performance: 05/01/2029 to 04/30/2030

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15 Respec_OY3: Respec FTE services to deliver

RPMS/IRIS platform, OS, patching, backups, accounts, journaling, mirroring, updates, proactive monitoring, issue resolution, and best-practice support for AIX and Windows.

(Option Line Item)

05/01/2029

Delivery: 04/30/2030

Period of Performance: 05/01/2029 to 04/30/2030

16 PMO_OY3: Project Management.

(Option Line Item)

05/01/2029

Delivery: 04/30/2030

Period of Performance: 05/01/2029 to 04/30/2030

17 Other Fee(s)_OY3: (If Applicable)

(Option Line Item)

05/01/2029

Delivery: 04/30/2030

Period of Performance: 05/01/2029 to 04/30/2030

18 FTE_OY4: Senior Collab Engineer for 1 Year.

(Option Line Item)

05/01/2030

Delivery: 04/30/2031

Period of Performance: 05/01/2030 to 04/30/2031

19 Respec_OY4: Respec FTE services to deliver

RPMS/IRIS platform, OS, patching, backups, accounts, journaling, mirroring, updates, proactive monitoring, issue resolution, and best-practice support for AIX and Windows.

(Option Line Item)

05/01/2030

Delivery: 04/30/2031

Period of Performance: 05/01/2030 to 04/30/2031

20 PMO_OY4: Project Management.

(Option Line Item)

05/01/2030

Delivery: 04/30/2031

Period of Performance: 05/01/2030 to 04/30/2031

Continued ...

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

15 15

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

75H70626R00012

21 Other Fee(s)_OY4: (If Applicable)

(Option Line Item)

05/01/2030

Delivery: 04/30/2031

Period of Performance: 05/01/2030 to 04/30/2031

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