Amend 1-CO.pdf

(x)

75H70627R00005 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

IHS153245010/07/2026

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

10/07/2026

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.)

AMENDMENT 0001 — RESPONSES TO VENDOR QUESTIONS AND PWS REVISION

A. The solicitation offer due date is not extended and remains November 6, 2026, at noon

Central Standard Time (CST).

B. This amendment provides answers to vendor questions. See Attachment 1, Questions and

Government Responses, incorporated into this amendment.

C. The following references are removed from the PWS:

- Page 1: “OPM Series/Grade: GS-0610-11/12 (Nurse Midwife).”

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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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CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

75H70627R00005

- Section 5.5, Experience: “GS-12 equivalent” and

“GS-13 equivalent.”

Any corresponding GS-equivalency qualification requirements in the solicitation are also removed. The Government’s response to Question 4 reflects these revisions. The remaining experience requirements are unchanged.

All other terms and conditions remain unchanged.

ATTACHMENT 1 — QUESTIONS AND GOVERNMENT RESPONSES

Solicitation: RFP 75H70627R00005

Requirement: Certified Nurse-Midwife (CNM)

Services

Amendment Number: 0001

Question 1 — On-Call Hours and Pricing

Reference: PWS – Section 6.2, On-Call Coverage /

Solicitation – Section F, Price Schedule

“24/7 CNM on-call availability for OB emergencies, shared equitably between the two

Contractors.”

Can the Government provide the anticipated on-call hours per provider and revise the pricing schedule to include separate line items for on-call availability and callback services?

Government Response:

Clinic is M-F 8-5 except holidays. Call would be anytime outside of clinic time.

Question 2 — On-Call Rotation and Coverage

Reference: PWS – Sections 4.2 and 6.2, On-Call

Coverage

“On-call responsibilities shall be shared equitably between the two Contractor CNMs and any other credentialed CNM providers available at the facility.”

Can the Government confirm how many existing

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)

75H70627R00005 facility providers will participate in the on-call rotation and whether the two Contractor

CNMs will be responsible for all non-clinic coverage?

Government Response:

Call will be split between the two contractors and the 1 Federal CNM.

Question 3 — Licensure Requirements

Reference: PWS – Section 5.3, Licensure

“Current, valid, unrestricted licensure as a

Registered Nurse (RN) and Advanced Practice

Registered Nurse (APRN) in the State of South

Dakota, or eligibility to obtain such licensure prior to commencement of services.”

Can the Government confirm whether candidates holding active, unrestricted RN and APRN licenses from another U.S. state may perform under this contract, or whether South Dakota licensure and midwifery authorization are mandatory?

Government Response:

Doesn’t have to be SD. Can be any state.

Question 4 — Experience Requirements

Reference: PWS – Section 5.5, Experience

“GS-12 equivalent” / “GS-13 equivalent”

Can the Government confirm which experience level applies to the two CNM positions and specify the minimum required years of nurse-midwifery experience?

Government Response:

The references to “GS-12 equivalent” and “GS-13 equivalent” are removed from PWS Section 5.5, Experience. The “OPM Series/Grade: GS-0610-11/12

(Nurse Midwife)” designation is also removed from page 1 of the PWS.

Both CNM positions require a minimum of 12 months

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CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

75H70627R00005 of recent CNM experience following completion of training. The facility’s privileging requirements call for CNMs to have performed 20 deliveries per year.

Question 5 — Call Pool and Historical Callback

Volume

May I ask how many Government/other credentialed

CNMs currently participate in the call pool and what the historical callback volume has been?

Government Response:

Hard to say because we haven’t had consistent coverage for more than a year. I would guess 1 call per night on average.

Delivery: 04/30/2027

Delivery Location Code: IHSROSEBUD

ROSEBUD

800 HOSPITAL DR

ROSEBUD SD 57570 US

1 0001 — ROSEBUD IHS CNM REGULAR HOURS 3 MO

Regular duty services in accordance with the PWS.

Base Period: 3 months | Quantity: 3 | Unit: MOS

Period of Performance: 02/01/2027 to 04/30/2027

2 0002 — ROSEBUD IHS CNM CALLBACK HOURS 3 MO

Callback services in accordance with the PWS.

Base Period: 3 months | Quantity: 3 | Unit: MOS

Period of Performance: 02/01/2027 to 04/30/2027

3 0003 — ROSEBUD IHS CNM ON-CALL HOURS 3 MO

On-call availability in accordance with the PWS.

Base Period: 3 months | Quantity: 3 | Unit: MOS

Period of Performance: 02/01/2027 to 04/30/2027

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