75H70627R00003-Amend 1-CO.pdf

(x)

75H70627R00003 x x

0 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

10/09/2026

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

10/09/2026

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.)

A. The solicitation offer due date is extended to October 22, 2026, at 12:00 p.m. Central

Time (CT).

B. This amendment provides answers to vendor questions.

C. The SAM.gov notice is revised to reflect that this requirement is an Indian Small

Business Economic Enterprise (ISBEE) set-aside.

D. The solicitation is amended to incorporate the applicable Service Contract Labor

Standards provisions/clauses and the applicable wage determination.

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

2 5

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

75H70627R00003

E. The solicitation is amended to incorporate the applicable Buy Indian Act and limitations-on-subcontracting provisions and clauses.

F. The solicitation is amended to include the declaration referenced by HHSAR 352.237-73 in

Section J.

G. The Performance Work Statement (PWS) is revised to clarify the clinic schedule, estimated annual level of effort, nursing support requirements, professional liability insurance requirements, and other changes identified in the

Government's responses to vendor questions.

H. The revised PWS is incorporated into the solicitation and supersedes the previous version in its entirety.

All other terms and conditions remain unchanged.

Question 1. Hours to price.

PWS §7.1 sets clinic Tuesday–Wednesday, 8:00

AM–8:00 PM (~1,160 hours per year), but PWS §7.2 and §18.2 estimate 832 hours per year. Which should offerors price, and is the clinic held every week?

Answer: Offerors shall price based on clinic coverage two (2) days per week, Tuesday and

Wednesday, from 8:00 a.m. to 8:00 p.m., for both the OB/GYN physician and nursing support. The anticipated annual level of effort is approximately 1,160 hours per year. The 832-hour estimate in the current PWS does not reflect the intended annual coverage requirement and will be revised.

Question 2. Set-aside type.

SAM.gov lists an Indian Economic Enterprise (IEE) set-aside; Synopsis §D states an Indian Small

Business Economic Enterprise (ISBEE) set-aside with a $34.0M size standard. Which applies?

Answer: This requirement is an Indian Small

Business Economic Enterprise (ISBEE) set-aside.

SAM.gov will be corrected, if necessary, to reflect the ISBEE set-aside. Under HHSAR

Continued ...

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

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FAR (48 CFR) 53.110

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CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

75H70627R00003

326.603-1, IHS gives priority to ISBEEs to the maximum extent practicable, and HHSAR 352.226-4 specifically addresses ISBEE set-asides.

Question 3. Service Contract Act clauses.

SCA Wage Determination 2015-5377 Rev. 32 is attached, but FAR 52.222-41 and 52.222-43 are not listed. Will they be added for the nursing CLIN?

Answer: Yes. The solicitation will be amended to include the applicable Service Contract Labor

Standards clauses. FAR 52.222-41 applies to covered service employees, and FAR 52.222-43 is prescribed for applicable fixed-price service contracts with option periods when FAR 52.222-41 applies. The applicable wage determination will remain incorporated into the solicitation.

Question 4. Buy Indian clauses.

FAR 52.219-14 and HHSAR 352.226-6 are required for Buy Indian set-asides but are not listed.

Will they be added, and does work performed by joint venture members count as the joint venture’s own work?

Answer: Yes. The solicitation will be amended to include the applicable Buy Indian and limitations-on-subcontracting provisions and clauses, including FAR 52.219-14 and HHSAR

352.226-6, as applicable. For a joint venture, compliance with FAR 52.219-14 will be measured based on the aggregate performance of the joint venture participants, subject to all applicable

FAR, SBA, and HHSAR requirements.

Question 5. Section J declaration.

HHSAR 352.237-73 refers to a declaration “found in Section J,” which is not attached. Please provide it or confirm it is not needed at proposal.

Answer: The declaration is not required with the proposal. The applicable declaration will be included with the solicitation/contract documentation and must be completed and signed prior to affected personnel providing services under the contract.

Question 6. Nursing support.

Continued ...

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

Sponsored by GSA

FAR (48 CFR) 53.110

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CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

75H70627R00003

What nursing level is expected (RN, LPN or certified medical assistant), and is one nurse sufficient for both clinic days?

Answer: The PWS does not require a specific nursing support classification. The Contractor shall provide qualified nursing support personnel appropriate to the duties to be performed and within the individual’s applicable scope of practice. Acceptable support may include an RN, LPN, CNA, medical assistant, or other appropriately qualified clinical support personnel, provided the individual possesses the education, certification and/or licensure required for the assigned duties and meets all PWS requirements. The Contractor is responsible for determining the appropriate level of nursing support necessary to support the OB/GYN physician and successfully perform the required services.

One (1) qualified nursing support staff member is anticipated to be sufficient during the scheduled clinic hours, provided all PWS requirements are met.

Question 7. Professional liability.

What minimum professional liability limits apply

(PWS §14.1)?

Answer: The minimum professional liability insurance coverage is $1,000,000 per incident and

$3,000,000 aggregate.

Question 8. Housing.

Is Government housing available for a weekly visiting physician, and at what rate?

Answer: Government housing is not guaranteed and is subject to availability.

Question 9. Prior contract.

Does this requirement follow Contract No.

75H70621C00009, and does the 832-hour estimate reflect hours ordered under it?

Answer: Yes. This requirement follows Contract No. 75H70621C00009. The intended schedule for the new requirement is clinic coverage two (2) days per week, Tuesday and Wednesday, from 8:00 a.m.

to 8:00 p.m., for 52 weeks. The 832-hour estimate Continued ...

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

Sponsored by GSA

FAR (48 CFR) 53.110

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CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

75H70627R00003 in the current PWS does not reflect the intended annual coverage requirement and will be revised.

Question 10. Clinic volume and procedures.

What are the expected daily patient volume and procedure mix? Does the physician or facility staff perform ultrasound?

Answer: The anticipated patient volume is approximately 30 patients per clinic day. The expected procedures are those within the OB/GYN physician’s approved clinical privileges and identified in the PWS and attached OB/GYN privilege form. Ultrasound services are performed by the facility’s existing ultrasound technician;

the contracted OB/GYN physician is not expected to provide ultrasound technician services.

Question 11. Start date and invoicing.

What is the anticipated start date, and how are partial months and makeup clinics (PWS §7.3) priced and invoiced?

Answer: The anticipated start date is November 8, 2026. The contract will be structured on a

Firm-Fixed-Price, Month-of-Service (MOS) basis rather than an hourly basis. The Contractor shall invoice the applicable monthly CLIN price for satisfactorily performed and accepted services.

For any partial month of performance, the

Government will prorate payment based on the portion of the applicable Month of Service actually required and performed, as specified by the Contracting Officer.

Makeup clinics required due to Contractor-caused service interruptions shall be provided at no additional cost to the Government and shall not result in a separate invoice or additional MOS payment.

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

Sponsored by GSA

FAR (48 CFR) 53.110

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