FULL SOLICITATION - PHYSICIAN.docx

So l icita t ion

No.

H 70720Q00012–

PHYSICIAN SERVICES –SOUTHERN

COLORADO

UTE SERVICE UNIT

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

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

1 44

2. CONTRACT NO.

3.

AWARD/ EFFECTIVE DATE

4.

ORDER NUMBER

5.

SOLICITATION NUMBER

75H70720Q00012 6.

SOLICITATION

ISSUE DATE

02/14/2020

7. FOR SOLICITATION INFORMATION CALL:

a.

NAME

SHANDIIN DEWOLFE

b.

TELEPHONE NUMBER

505-256-6755

(No collect calls) 8.

OFFER DUE DATE/LOCAL TIME

02/28/2020 1700 MS

9. ISSUED BY

CODE

10.

THIS ACQUISITION IS

UNRESTRICTED OR

X SET ASIDE:

100.00 % FOR:

Albuquerque Indian Health Service

X SMALL BUSINESS

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

4101 Indian School Rd NE, Suite 225 Albuquerque NM 87110

HUBZONE SMALL BUSINESS

SMALL BUSINESS PROGRAM EDWOSB

NAICS: 621111

SERVICE-DISABLED

VETERAN-OWNED SMALL BUSINESS

8(A)

SIZE STANDARD: $12.0M

11.

DELIVERY FOR FOB DESTINA- TION UNLESS BLOCK IS MARKED

12. DISCOUNT TERMS

13a. THIS CONTRACT IS A RATED ORDER UNDER

13b. RATING

14. METHOD OF SOLICITATION

SEE SCHEDULE

DPAS (15 CFR 700)

RFQ

IFB

X RFP

15. DELIVER TO

CODE

16.

ADMINISTERED BY

CODE 203

See Below

Albuquerque Indian Health Service 4101 Indian School Rd NE, Suite 225 Albuquerque NM 87110

17a. CONTRACTOR/ OFFEROR

CODE

FACILITY CODE

18a. PAYMENT WILL BE MADE BY

CODE

TELEPHONE NO.

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER

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

19.

20.

IS CHECKED

21.

SEE ADDENDUM

22.

23.

24.

ITEM NO.

SCHEDULE OF SUPPLIES/SERVICES

This Acquisition is a 100% Small Business Set-Aside concern. This requirement is for the Ute Mountain Ute Health Center, which is part of the Southern Colorado Ute Service Unit (SCUSU), which is under the administration of the Albuquerque Area Indian Health Service.

QUANTITY

UNIT

UNIT PRICE

AMOUNT

The Albuquerque Area Indian Health Service requires the non-personal services of at least one physician for the Southern Colorado Ute (Use Reverse and/or Attach Additional Sheets as Necessary)

25. ACCOUNTING AND APPROPRIATION DATA

26. TOTAL AWARD AMOUNT (For Govt. Use Only)

X

28. CONTRAC

T

OR

IS

REQUIRED

T O

SIGN

THIS

DOCUMENT

AND

RETURN

COPIES

T O

ISSUING

OFFIC

E

CONTRAC

T

OR

AGREES

T O

FURNISH

AND

DELIVER

ALL

ITEMS

SET

FO

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TH

OR

OTHE

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WISE

IDENTIFIED

ABOVE

AND

ON

ANY

ADDITIONAL

SHEETS

SUBJECT

T O

THE

TERMS

AND

CONDITIONS

SPECIFIE

D 29.

A W

ARD

OF

CONTRAC

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OFFER

D A

TED

YOUR

OFFER

ON

SOLICI

TA

TION

(BLOCK

5), INCLUDING

ANY

ADDITIONS

OR

CHANGES

WHICH

ARE

SET

FO

R

TH

HEREIN,

IS

ACCEPTED

AS

T O

ITEM

S 30a.

SIGN

A

TURE

OF

OFFERO

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/CONTRAC

T

OR

31a.

UNITED

S

TA

TES

OF

AMERICA

(SIGN

A

TURE

OF

CONTRACTING

OFFICE

R 30b.

NAME

AND

TITLE

OF

SIGNER

T ype or prin t 30c.

D A

TE

SIGNED

31b.

NAME

OF

CONTRACTING

OFFICER

T ype or prin t 31c.

D A

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SIGNED

)X 27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA 27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA

X ARE ARE

ARE NOT ATTACHED. ARE NOT ATTACHED.

AUTHORIZED FOR LOCAL REPRODUCTION PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 2/2012)

Prescribed by GSA - FAR (48 CFR) 53.212

SCHEDULE OF SUPPLIES/SERVICES

Service Units. There is need for at least one full-time physician working 40 hours per week and one part-time physician working at least 20 hours per week.

***SUBMISSIONS DUE ON OR BEFORE 02/28/2020 5PM MST***

AT LEAST ONE AWARD WILL BE MADE AS A RESULT OF THE SOLICITATION.

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED

ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED:

32b.

SIGN

A

TURE

OF

AUTHORIZED

GOVERNMENT

REPRESEN

T A

TIVE

32c.

D A

TE

32d.

PRINTED

NAME

AND

TITLE

OF

AUTHORIZED

GOVERNMENT

REPRESEN

T A

TIVE

2e.

MAILING

ADDRESS

OF

AUTHORIZED

GOVERNMENT

REPRESEN

T A

TIVE

32f.

TELEPHONE

NUMBER

OF

AUTHORIZED

GOVERNMENT

REPRESEN

T A

TIVE

32g.

E

MAIL

OF

AUTHORIZED

GOVERNMENT

REPRESEN

T A

TIVE

33.

SHIP

NUMBER

34.

VOUCHER

NUMBER

35.

AMOUNT

VERIFIED

CORRECT

FOR

36.

PA

YMENT

COMPLETE

P A R

TIAL

FINAL

37.

CHECK

NUMBER

P A R

TIAL

FINAL

38.

S R

ACCOUNT

NUMBER

39.

S/R

VOUCHER

NUMBER

40.

P

AID

BY

41a.

I

CE

R

TIFY

THIS

ACCOUNT

IS

CORRECT

AND

PROPER

FOR

PA

YMENT

42a.

RECEIVED

BY

(Print) 41b.

SIGN

A

TURE

AND

TITLE

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OFFICER

41c.

D A

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42b.

RECEIVED

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(Location) 42c.

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(YY/MM/DD)

42d.

T O T

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STANDARD FORM 1449 (REV. 2/2012) BACK

** The hourly rate that you provide must include all applicable taxes and travel to the listed site. Start date will be confirmed as soon as award is made and background clearances are completed.

Base Year: TBD, 2020 – TBD, 2021

So l icita t ion

No.

H 70720Q00012–

PHYSICIAN SERVICES – SOUTHERN

COLORADO

UTE SERVICE UNIT

~ 3,120 hours / year - Hourly rate $

Total $

One Physician will be full-time at 40 hours/week & one physician will be at least part-time at 20 hours/week

Option Year One: TBD, 2021 – TBD, 2022

~ 3,120 hours / year - Hourly rate $

_ Total $

One Physician will be full-time at 40 hours/week & one physician will be at least part-time at 20 hours/week

Option Year Two: TBD, 2022 – TBD, 2023

_ Total $

One Physician will be full-time at 40 hours/week & one physician will be at least part-time at 20 hours/week

Option Year Three: TBD, 2023 – TBD, 2024

_ Total $

One Physician will be full-time at 40 hours/week & one physician will be at least part-time at 20 hours/week

Option Year Four: TBD, 2024 – TBD, 2025

_ Total $

One Physician will be full-time at 40 hours/week & one physician will be at least part-time at 20 hours/week

Grand Total: $_

REPRESENTATIONS, CERTIFICATIONS, AND OTHER STATEMENT OF OFFERORS

To Be Completed by the Offeror: (The Representation and Certifications must be executed by the individual authorized to bind the offeror).

The offeror makes the following Representations and Certifications as part of the offer (Please check or complete all appropriate boxes or blanks. Some items may not be applicable to the offeror, these items must still be checked or completed as a negative response).

Name of Offeror:

Typed Name of Authorized Individual

Signature of Authorized Individual

Date

PRICE/COST

The Contractor's pricing/cost includes all mandatory Federal, State and Local taxes. It is the sole responsibility of the Contractor to collect and pay for all Colorado State Gross Receipt Taxes and for business/work performed in the State of Colorado, regardless of county the business/service/work was performed. A firm fixed-price purchase order will be awarded for a base year, with four, one-year options for renewal. Total contract award shall not exceed five years. Option renewals will be on the basis of satisfactory services provided and contingent upon availability of funds for the appropriate fiscal year.

52.212-2 Evaluation – Commercial Items (Oct 2014)

(a) The Government will award a contract resulting from this solicitation to the responsible offeror whose offer conforming to the solicitation will be most advantageous to the Government, price and other factors considered. This is a best value decision and award may be made to other than the lowest priced offeror. The following factors shall be used to evaluate offers:

Best Value in order of importance:

Technical Capability 40% Past Performance 40% Price – Value Rating 20%

Technical Capability and Past Performance is significantly more important than price

Price (As priced in attached for services in the Statement of Work/Pricing Schedule)

(b) Options. The Government will evaluate offers for award purposes by adding the total price for all options to the total price for the basic requirement. The Government may determine that an offer is unacceptable if the option prices are significantly unbalanced. Evaluation of options shall not obligate the Government to exercise the option(s).

(c) A written notice of award or acceptance of an offer, mailed or otherwise furnished to the successful offeror within the time for acceptance specified in the offer, shall result in a binding contract without further action by either party. Before the offer’s specified expiration time, the Government may accept an offer (or part of an offer), whether or not there are negotiations after its receipt, unless a written notice of withdrawal is received before award.

“Please note in Title 25 - Chapter 34 – Sec. 3207 – Character Investigations of Public law 101-630 , Criminal records – The minimum standards of character that are to be prescribed under this section shall ensure that none of the individuals appointed to positions described in subsection (a) of this section have been found guilty of, or entered a plea of nolo contendere or guilty to, any felonious offense, or any of two or more misdemeanor offenses, under federal, state, or tribal law involving crimes of violence; sexual assault, molestation, exploitation, contact or prostitution; crimes against persons; or offenses committed against children. These crimes do not hold a time statute and will be evaluated the same under any Child Care “CNACI” investigation with IHS.”

CRIMINAL HISTORY BACKGROUND CHECK

Contractor’s employees whose duties and responsibilities involve regular contact or control over children are subject to a character investigation as required by Public Law 101-630, The Indian Child Protection and Family Violence Act. IHS will conduct these investigations following award of a contract. Until the character investigation has been completed and the Contracting Officer notified of the results, the Contractor’s employees must not have unsupervised contact with Indian children. Contractor’s employees are not able to work a scheduled shift until the security check is performed and clearance has been obtained by the appropriate agency. At a minimum, fingerprints are required and upon clearance of this stage a contractor’s employee may work a scheduled shift. However, Contractor’s employees are required to complete the detail background application and application is to be completed within 30 days once the contractor’s employee has been given access. All Contractors’ employees are subject to criminal background check prior to performing services in accordance with Task Order terms and conditions. The contractor shall ensure that each of their employees complete the Certification of Criminal History and Background Check Packet. The completed forms are to be returned to the COR.

Additional Background Check packets can be obtained through the COR.

REQUIRED TRAINING

Protecting Children from Sexual Abuse as stated in IHM Circular 19-05: Contracting Training Plan for Implementation Of Indian Health Manual Part 3, Chapter 20, Protecting Child from Sexual Abuse by Health Care Providers. Each provider must take this training within 30 days from their start date at the service unit. Certificate should be provided to the COR.

SUBPEONAS/TESTIMONIES

Contractors are mandated to cooperate with the appropriate IHS managers when the contractors' employees are subpoenaed or requested by Tribal, State or Federal Parties to provide testimony as stated in Section 5-27.3(B)(9) of the Indian Health Manual.

FINGERPRINTING REQUIREMENTS FOR SECURITY AND SUITABILITY:

Prior to start of services specified by the contract scope of work, the Contractor must contact the General Service Office at the designated IHS facility to schedule an appointment to complete the fingerprinting process required by the IHS regulations pertinent to security and character background investigations.

PLACE OF PERFORMANCE

The contractor must provide at least one licensed Physician, non-personal healthcare services to the following Albuquerque Area Indian Health Service Facilities:

Towaoc, CO 81334

GENERAL CONTRACT INFORMATION

This is a non-personal health care service contract, as defined in Federal Acquisition Regulation (FAR) 37.401, under which the contractor is an independent contractor. The Government may evaluate the quality of professional and administrative services provided, but retains no control over the medical, professional aspects of services rendered (e.g., professional judgments, diagnosis for specific medical treatment). The contractor indemnifies the Government for any liability producing act or omission by the contractor, its employees and agents occurring during contract performance. The contractor must maintain medical liability insurance, in a coverage amount acceptable to the contracting officer, which is not less than the amount normally prevailing within the local community for the medical specialty concerned; and the contractor is required to ensure that its subcontracts for provisions of health care services, contain the requirements of the clause at 52.237-7, including the maintenance of medical liability insurance.

As an independent Contractor; billing and collecting for the federal, state and other local city/county taxes are the burden of the Contractor.

The Contractor's price/cost for services under this contract should include all applicable taxes for Internal Revenue Service (IRS), State of Colorado Taxation and Revenue agency and/or other revenue agencies. The Indian Health Service will not withhold taxes nor will it issue a W-2 to the contractor.

PURPOSE

The Southern Colorado Ute Service Unit requires Physician Services under a Non-Personal Service Contract to provide direct patient care.

SCOPE OF WORK

The contractor must perform Medical Services in direct patient care as follows:

A. The contractor shall provide appropriate Physician services, particularly focusing in the utilization of his/her professional training and experience in order to provide the following;

B. The contractor shall provide comprehensive medical care in order to perform diagnosis, evaluation and treatment for medical disorders.

C. The contractor shall perform appropriate medical services particularly focusing in the utilization of his/her professional training and experience.

D. The contractor shall provide consultation to medical staff on patients in the management of chronic and acute medical conditions.

E. The contractor maintains health record in accordance with established Policy and Protocols in compliance with Privacy Act, HIPAA and other IHS Standards.

F. The contractor must perform and direct care/services to pediatric, geriatric, adolescent and adult patients.

G. Medical care is based on Medical history/assessment and on the medical plan of care.

H. The contractor must perform and utilize the appropriate processes in identifying individual patient problems and in developing, implementing and evaluating patient care plans.

I. The contractor must perform, observe and assess a patient's clinical condition, recognizes, identifies and interprets serious situations and immediately decides proper action in accordance to his/her medical training.

· Advance Cardiac Life Support (ACLS) and Pediatric Advance Life Support (PALS) certification is preferred but not required.

· Certification must be current and cannot expire within the next 30 days.

M. The contractor must perform independent plans, schedules, and provide comprehensive medical care instructions for each patient.

N. Emergencies or unusual problems are reported to the Clinical Director or Designated Provider as appropriate.

O. Guidelines applicable in the performance of the contract are established Health Center Policy and Procedures and approved Privileges.

P. The contractor must perform satisfactory standards of competence, conduct, appearance and integrity.

• The quality of work performance of the contractor's employee must be subject to review.

Q. The contractor must perform and ensure the Physician abides by the IHS facility standards of conduct and the policies and procedures of the service unit.

R. The Contractor must perform and ensure their employee completes the required documents for the character investigation in compliance with Public Law (P.L) 101-630 "Indian Child Protection and Family Violence Act of 1990".

S. The contractor must perform cooperation with the appropriate IHS managers when the contractor's employees are subpoenaed or requested by the Tribal, State or Federal Parties to provide testimony as stated in Section 5-27.3(8)(9) of the Indian Health Manual.

T. The contractor must perform medical care to meet physical, emotional, spiritual and sociocultural needs of the patient, by means of direct care and teaching.

U. The contractor must perform work with multicultural patients and interpreters as necessary for non-English speaking patients.

CONTRACTOR RESPONSIBILITIES

a. Contractor shall be responsible for maintaining satisfactory standards of competence, conduct, appearance and integrity. The quality of work performance of the contractor shall be subject to review.

b. Contractor shall be responsible for completing required documents subject to the character investigation in compliance with Public Law) (P.L) 101-630 "Indian Child Protection and Family Violence Act of 1990". The contract and all its agents will answer and sign the attached document entitled; "Care and Certification of Addendum to Declaration to Federal Employment, Indian Health Service, and Indian Child Care Worker Positions".

WORK SCHEDULE

1. Work Schedule: 8-Hour Shift, 7:00 am – 5:00 pm, One to Five day(s) per week

2. Work shift: 8 Hours (7:00 am - 5:00 pm) with 30 – 60 minute non-paid lunch. The contractor must be assigned hours bi-weekly; No weekends nor Federal holidays; no on call; as scheduled by the COR or Clinical Director and based on the facilities need.

3. The POC at each IHS facility must determine specific tour of duty. The contractor's employee must work 100% of the contracted hours.

4. Work Flexibility: As directed by the COR, the Contractor's employee may rotate into other duty locations as needed to support patient care.

5. The Contractor must perform and obtain approval of the COR and Alternate COR or designee prior to any absence from work. If the length of the absence exceeds working hours the Contractor must request from agency approval at least fifteen (15) days, (with the exception of verifiable emergencies) in advance of the desired absence.

6. Approval of leave is contingent upon availability of a qualified replacement.

7. The Contractor must perform and maintain documentation from a qualified health care provider for absences of three (3) or more consecutive days, due to illness, stating:

8. Conduct: The Contractor must perform standards as listed in the Federal Code of Conduct.

PERFORMANCE SCHEDULE

A. The Contractor's performance will be evaluated in accordance with the standards set forth in the contract and Performance Work Statement.

B. The contractor is responsible for maintaining satisfactory standards of competence, conduct, appearance and integrity.

· The quality of work performance of the contractor must be subject to review.

C. The Contractor must abide by the Service Unit facility standards of conduct and the policies and procedures of the Service Unit and the assigned health care facility.

D. The contractor is responsible for notifying the COR and their agency if he/she will be late, or is ill and/or is unable to work for other reasons.

E. The contractor is compensated only for hours actually worked and at the agreed compensation rate.

F. The contractor must submit transcripts from the college where degree was attained.

G. The contractor must possess basic knowledge, skills, and abilities to use a computer.

H. The contractor will possess a current, valid unrestricted license in any state, the District of Columbia, the Commonwealth of Puerto Rico, or a Territory of the United States, Contractor must maintain current registered license without lapse.

IDENTIFICATION OF CONTRACTOR

The Contractor must wear a government issued contractor identification badge during performance of duty. PIV cards are issued after 120 days at Service Unit.

MANAGEMENT OF MEDICAL INFORMATION

-The Contractor must manage all patient information in accordance with HIPAA standards, Privacy Act, and IHS Service Unit and/or Health Center specific policies and protocols.

-The Contractor must immediately report to the Contracting Officer or COR any information or circumstances that may violate any statute, policy, or procedure.

IHS INFORMATION TECHNOLOGY SYSTEMS

-In performance of this contract, the Contractor must adapt to and successfully utilize IHS information technology systems - Electronic Health Records (EHR) or RPMS that are deemed by the IHS as necessary for acceptable contractor performance.

-The Contractor must ensure that IHS information technology system security policies and procedures are adhered to.

The IT policies and procedures will be made available to the Contractor at each IHS facility.

-The Contractor must follow all appropriate federal required information Technology security requirements and will be operating under Health Insurance Portability and Accountability (HIPAA) and Privacy Act regulations.

CONTRACTOR QUALITIFICATION REQUIREMENTS

1. Professional Development. Degree or diploma from a professional registered medical program approved by the legally designated State accrediting agency at the time the program was completed by the applicant.

2. Graduate. The contractor must have a registered license and be a graduate of an accredited school with a Doctor of Medicine/or equivalent degree.

3. Experience. The Contractor must have thirty-six (36) months of specialized experience, with a minimum of twelve months (12) in the specialty required by the contract, unless otherwise approved by the Contracting Officer. The Contractor must have a resume that provides experience that equips the applicant with the particular knowledge, skills and abilities to successfully perform the duties of the position, and that is typically in or related to the work of the position to be filled.

4. License/Registration. All Physicians must possess a current, valid, unrestricted license in a state, the District of Columbia, the Commonwealth of Puerto Rico, or a Territory of the United States, throughout the term of this contract.

5. Motor Vehicle Operator's License. If required by the position, the Contractor must possess a valid state driver's license throughout the term of this contract.

6. Certifications. Board Certified in Family Medicine, Internal Medicine or Internal Medicine/Pediatrics; Current Basic Life Support (BLS) or equivalent is mandatory. Advanced Cardiac Life Support (ACLS), Pediatric Advanced Life Support (PALS), Neonatal Resuscitation Provider (NRP) is preferred (but not mandatory) for each appropriate duty section at the time of employment and throughout as applicable.

HEALTH REQUIREMENTS

Furnish documentation that reflects immunity for the indicated vaccine preventable diseases through documented disease, vaccination history, serology results, and/or any documented episodes of adverse events after vaccination. Any contractor’s employee who is allergic to a component of a vaccine and/or have a history of a severe reaction to a vaccine will not be required to receive that vaccine with documented proof of contraindication to the vaccination. The following are additional requirements for specific vaccine preventable diseases.

• Measles:

-Vaccinations with 2 doses of live measles or MMR vaccines administered at least 28 days apart, -Laboratory evidence of immunity, -Laboratory confirmation of disease, or -Birth before 1957.

• Mumps:

-Vaccinations with 2 doses of live mumps or MMR vaccines administered at least 28 days apart,

-Vaccinations with 1 dose of live rubella or MMR vaccines administered at least 28 days apart, -Laboratory evidence of immunity, -Laboratory confirmation of disease, or -Birth before 1957

• Hepatitis B:

-Vaccinations with three doses of Hepatitis B vaccines, or -signed declination of Hepatitis B vaccination series.

• Varicella:

-Vaccinations with two doses of varicella at least 4 weeks apart, -laboratory evidence of immunity or confirmation of disease, -diagnosis or verification of history of varicella disease by a health care provider, or -diagnosis or verification of a history of herpes zoster by a health care provider.

• Influenza:

-Vaccination with one dose of current annual influenza season vaccine.

-Documented proof of the contraindication to the influenza vaccination as outlined by Advisory Committee on Immunization Practices recommendations, or -Written statement justifying religious exemption from influenza vaccination.

Note: unvaccinated contract staff with an approved medical or religious exemption must wear an IHS-provided surgical or similar mask when working in patient care areas or other areas frequented by patients in an IHS facility during the influenza season.

• Pertussis -Vaccination with one dose of Tdap vaccine.

• Any additional immunization in accordance with IHS Immunization Policy that is available upon request.

The contract staff must have written documentation of TB test (TST or IGRA) within the last 12 months. If documented Positive TB test:

-Provide chest x-ray report of “No active TB disease” following positive TB test.

-Annual sign and symptoms screen:

· If negative sign and symptom screen, follow up chest x-ray not indicated.

· If signs and symptoms screen positive, contract staff must have written documentation of chest x-ray and health care provider evaluation.

Credentialed provider contract staff must have documentation from the provider’s physician or Chief of Staff that confirms they do not have any health problems (including disability, emotional stability, drug, or alcohol dependency) that might impair his/her ability to care for patient at time of application.

QUALITY ASSURANCE SURVEILLANCE PLAN (QASP)

The contractor shall perform therapeutic measures

100% compliance performing all therapeutic measures; including injections

No more than one medication error per contract term and no more than one error in providing a therapeutic treatment

Validated by notification from Pyxis, Webcident, and/or Pharmacy

Payment of contract price for satisfactory performance and Certificate of “Just Culture” adherence presented to Contractor

The Contractor will complete the EHR within 48 hours; 100% at end of contract

100% compliance with appropriate chart completion to meet billing and Accreditation

No more than two uncompleted charts in one week

Chart audits by Medical Records Department

Payment of contract price for satisfactory performance

The Contractor will maintain BCLS certification

100% compliance with certification during course of contract

Renewal of licensure within 30-day window of expiration

Auditing of Contractor file

COR will monitor Contractor performance on a monthly basis

100% compliance with monthly performance monitoring

No more than one incident of concern from the Supervisor in relation to the Contractor performing the Scope of Performance as outlined in contract

Monthly meeting with Supervisor

COR will submit report to Contracting Officer at end of Contractor’s term

100% compliance with reporting

COR will complete report within 14 days of end of contract

Meeting with supervisor to ensure all appropriate information is documented in report

COR’s will evaluate Contractor on the following:

1) Weekly Webcident review for medication and/or therapeutic errors

2) Audit of official complaints received on patient care

3) Chart completion within 48 hrs. 100% complete before end of contract

4) Monitoring of BCLS expiration to ensure renewal within 30 days of expiring

extended by modification to this contract. The Government may exercise options to extend the period of performance in accordance with FAR Clause 52.217-9 - 0ption to Extend the Term of the Contract (Oct 2014); upon written notification by the Contracting Officer within 30 days of contract expiration.

Services under this contract shall commence NLT 1O days after award and after all pre-employment security requirements have been fulfilled:

Performance must be for the period of TBA, 2020 to TBA, 2021 unless the period is changed by written modification to the purchase order in accordance with FAR 52.217-9, Option to Extend the Term of the Contract.

Total contract award must not exceed five years. Option year renewals will be on the basis of satisfactory services provided availability of funds for the appropriate fiscal year and on the basis of existing requirements.

*Any other day specifically declared by the President of the United States to be a national holiday (see www .opm.gov/fedhol).

The Contractor shall submit invoices directly to the following address:

E-INVOICE ADDRESS: alb_aoapinvoices@ihs.gov (for electronic invoices) or to address (If paper invoices): Albuquerque Area Office Indian Health Service Division of Accounting Services 4101 Indian School Road, NE Albuquerque, NM 87110

Training and training expenses are not covered by this contract, unless it is included as; training required by IHS for new technology or as a requirement of the IHS and, IHS itself has not had the required training to carry out its mission.

Per mandate by the U. S. Department of Treasury and effective July 1996, payments by Electronic Funds Transfer System will be made to the Contractors designated financial institute.

Payment Office:

Albuquerque Indian Health Service Division of Accounting Services 4101 Indian School Road, NE Suite 2252, 2nd Floor Albuquerque, New Mexico 87110

Electronic Funds Transfer (EFT) Disbursed by:

U. S. Department of Treasury Office of Disbursements Austin, TX 73301

GOVERNMENT FURNISHED PROPERTY

The Government will provide the following item(s) of Government property to the Contractor for use in the performance of this contract. This property shall be used and maintained by the Contractor in accordance with provisions of FAR Clause 52.245-1, Government Property hereby incorporated by reference into the contract in accordance with FAR clause 52.252-2 "Clauses Incorporated by Reference" found herein.

SPECIAL CONTRACT REQUIREMENTS:

Identification and Disposition of Data, Reports, and Other Deliverables:

A. The Contractor is not permitted to make use of any data derived from these services for any purpose not directly related to and/or authorized by the Albuquerque Area Indian Health Service. All patient data/information are subject to the Privacy Act and the Confidentiality of Information Clause (HHSAR 352.224-70)

B. Upon completion/termination of the contract, all information, statistical or analytical material or reports and other data generated by the Contractor shall become the property of the Albuquerque Area Indian Health Service.

The Contractor is prohibited from gathering data, statistics, or use of material for publication and/or research for its own benefits. Dissemination of information, prior approval shall be obtained from the Government Contracting Officer for the release or dissemination of information related to this contract.

CONTENT OF PROPOSAL SUBMISSION – ***SUBMISSIONS DUE ON OR BEFORE 02/28/2020 5PM MST*** All offerors will submit the following documents to be considered for award on or by the proposal submission deadline:

1. Signed SF-1449

2. Resume(s)

3. Completed Past Performance Information

4. Signed - Addendum to Declaration for Federal Employment (OF 306)

CONTRACTING OFFICER’S REPRESENTATIVE (COR)

Clinton K. Gropp (970) 565-4441, is hereby designated as Contract Officer’s Representative for this service. The Contract Officer Representative (COR) responsibilities will be to coordinate with the contractor the technical aspects of this service and the review of performance hereunder. The Contract Officer’s Representative does not have the authority to change or alter the order amount, terms and conditions.

The Contract Officer’s Representative responsibilities include ensuring contractor accountability, monitoring the contractor's technical progress- including the surveillance and assessment of performance and recommending to the Contracting Officer changes in requirements, interpreting the statement of work, performing technical evaluations as required, performing technical inspection and acceptance required, assisting the contractor in the resolution of technical problems encountered during performance and receiving and processing invoices for payment.

IHS CONTRACTING OFFICER

The authority to negotiate a change in terms, conditions, or amounts cited is reserved for the IHS contracting Officer. The COR designated holds no such authority.

QUESTIONS

In accordance with “FAR 15.201 Exchanges with Industry before receipt of proposals”: please refer to Solicitation No. 75H70720Q00012 when requesting information regarding the solicitation via e-mail to Shandiin.DeWolfe@ihs.gov, fax: (505) 256-6848 or phone: (505) 256-6755.

Privacy Act Notification

A. This contract requires the Contractor, on behalf of the Indian Health Service (IHS) to provide health care to American Indians and Alaskan Natives and report selected medical record and financial information to IHS. The Snyder Act (25 U.C.S. 3) and Public Law 83-5658 (42 U.S.C. 2001) authorizes the collection of this information. To be reimbursed by IHS, you must provide the information required by the purchase-delivery orders issued under this contract. IHS will use the information for financial, legal, research and health care purposes.

B. Disclosure of this information may be made by IHS to: other providers of health care for treatment or health maintenance of American Indian or Alaskan Native people; the Officer Worker's Compensation, Department of Labor; the Department of Justice for their representation of the United States; and for Congressional inquiry; quality assessment, medical audit, or utilization review; billing third parties for the payment of care, analytical and evaluation studies; to Federal or State agencies as required by law, C. Disclosure of the appropriate medical information without prior consent of the subject patient may be made by you; to another provider of health care treating the same patient, a Federal or State agency as required by law such as the reporting of communicable diseases, births, deaths, or the commission of crimes (i.e. gunshot wounds, rape, child abuse or neglect, alcohol or drug abuse, etc.): and billing third parties for payment of care not reimbursed by IHS. You must forward all other request for information contained on this form to the applicable IHS Ordering Official.

Privacy Act Violation Notification

Pursuant to the section of the Privacy Act entitled, "Civil Remedies", a Federal Employee or contractor can be required to pay up to $5,000 if;

A. A Federal employee or Contractor, who knows that certain types of releases of information about a patient are prohibited, willfully discloses the information to a The Privacy Act of 1974 was designed to establish and protect certain rights of people served by the employees of the Federal Government to their Contractors. The Contractor shall ensure that each Contractor employee. Questions concerning the Privacy Act Procedures may be directed to:

Joel McIntosh, Area Privacy Act Coordinator Address: Albuquerque Area Indian Health Services 4101 Indian School Road NE Albuquerque, New Mexico 87110 Telephone (505) 256-6817

APPENDIX A OMB Approved Form No. 0917-0028 Expiration Date: 11/30/2015

Addendum to Declaration for Federal Employment (OF 306) Indian Health Service Child Care & Indian Child Care Worker Positions Agency Specific Questions

Name:

(Please print)

Social Security Number:

Job Title in Announcement: _ Announcement Number:

Section 231 of the Crime Control Act of 1990, Public Law 101-647, requires that employment applications for individuals seeking employment in a position involved with the provision to children under the age of 18 of “child care services,” as defined in 42 U.S.C. 13041(a)(2), contain a question asking whether the individual has ever been arrested for or charged with a crime involving a child and for the disposition of the arrest or charge. Under 42 U.S.C. 13041(a)(2), the term "child care services" means child protective services (including the investigation of child abuse and neglect reports), social services, health and mental health care, child (day) care, education (whether or not directly involved in teaching), foster care, residential care, recreational or rehabilitative programs, and detention, correctional, or treatment services. Individuals hired for such positions must undergo a criminal history background check.

Section 408 of the Indian Child Protection and Family Violence Prevention Act, Public Law 101-630, contains a related requirement for positions in the Department of Health and Human Services that involve regular contact with or control over Indian children. The agency must ensure that persons hired for these positions have not been found guilty of or pleaded nolo contendere or guilty to certain crimes. The law requires that the agency conduct an investigation of the character of each individual who is being considered for employment in such a position and prescribe in regulations the “minimum standards of character” that must be met in order for an individual to fill such a position. The regulations specify that “[t]he minimum standards of character shall be considered met only after the individual has been the subject of a satisfactory background investigation,” which includes a criminal history background check. 42 C.F.R. § 136.406.

To assure compliance with the above laws, the following questions are added to the Declaration for Federal Employment:

[If “YES”, provide the date, explanation of the violation, disposition of the arrest or charge, place of occurrence, and the name and address of the police department or court involved.]

Have you ever been found guilty of, or entered a plea of nolo contendere (no contest) or guilty to, any felonious or misdemeanor offense under Federal, State, or tribal law involving crimes of violence; sexual assault, molestation, exploitation, contact or prostitution; or crimes against persons; or offenses committed against children?

YES NO

[If “YES”, provide the date, explanation of the violation, disposition of the arrest or charge, place of occurrence, and the name address of the police department or court involved.]

I certify that (1) my response to these questions is made under penalty of perjury, which is punishable by fine under title 18 of the U.S. Code, or imprisonment of not more than five years, or both; and (2) I have received notice that a criminal check will be conducted. I understand my right to obtain a copy of any criminal history report made available to the Indian Health Service and my right to challenge the accuracy and completeness of any information contained in the report.

Applicant’s Signature (sign in ink) Date

Public Burden Statement: In accordance with Paperwork Reduction Act [5 CFR 1320.8 (b)(3)], a Federal agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. Respondents must be informed (on the reporting instrument, in instructions, or in a cover letter) the reasons for which the information will be collected; the way the information will be used to further the proper performance of the functions of the agency; whether responses to the collection of the information are voluntary, required to obtain a benefit (citing authority), or mandatory (citing authority); and the nature and extent of confidentiality to be provided, if any (citing authority). Public reporting burden for this collection of information is estimated to average 12 minutes per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the necessary data, and completing and reviewing the collection information. Send comments regarding the burden estimate or any other aspect of this collection of information to the IHS PRA Information Collection Clearance Staff, 12300 Twinbrook Parkway, Suite 450, Rockville, MD 20852. Please do not send completed data collection instruments to this address.

FAR 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

This Task Order incorporates one or more clauses by reference and/or full text 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/these address: https://www.acquisition.gov/?q=/browse/far/52

FAR TITLE DATE

52.212-3 Offeror Representations and Certifications-Commercial Items. (Oct 2018) 52.212-4 Contract Terms and Conditions—Commercial Items (OCT 2018) 52.246-4 Inspection of Services – Fixed-Price (AUG 1996)

52.212-3 Offeror Representations and Certifications-Commercial Items (Oct 2018) The Offeror shall complete only paragraph (b) of this provision if the Offeror has completed the annual representations and certification electronically in the System for Award Management (SAM) accessed through https://www.sam.gov. If the Offeror has not completed the annual representations and certifications electronically, the Offeror shall complete only paragraphs (c) through (u)) of this provision.

(a) Definitions. As used in this provision— “Economically disadvantaged women-owned small business (EDWOSB) concern” means a small business concern that is at least 51 percent directly and unconditionally owned by, and the management and daily business operations of which are controlled by, one or more women who are citizens of the United States and who are economically disadvantaged in accordance with 13 CFR part 127. It automatically qualifies as a women-owned small business eligible under the WOSB Program.

“Highest-level owner” means the entity that owns or controls an immediate owner of the offeror, or that owns or controls one or more entities that control an immediate owner of the offeror. No entity owns or exercises control of the highest level owner.

“Immediate owner” means an entity, other than the offeror, that has direct control of the offeror. Indicators of control include, but are not limited to, one or more of the following: ownership or interlocking management, identity of interests among family members, shared facilities and equipment, and the common use of employees.

“Inverted domestic corporation”, means a foreign incorporated entity that meets the definition of an inverted domestic corporation under 6 U.S.C. 395(b), applied in accordance with the rules and definitions of 6 U.S.C. 395(c).

“Manufactured end product” means any end product in product and service codes (PSCs) 1000-9999, except—

(1) PSC 5510, Lumber and Related Basic Wood Materials;

(2) Product or Service Group (PSG) 87, Agricultural Supplies;

(3) PSG 88, Live Animals;

(4) PSG 89, Subsistence;

(5) PSC 9410, Crude Grades of Plant Materials;

(6) PSC 9430, Miscellaneous Crude Animal Products, Inedible;

(7) PSC 9440, Miscellaneous Crude Agricultural and Forestry Products;

(8) PSC 9610, Ores;

(9) PSC 9620, Minerals, Natural and Synthetic; and

(10) PSC 9630, Additive Metal Materials.

“Place of manufacture” means the place where an end product is assembled out of components, or otherwise made or processed from raw materials into the finished product that is to be provided to the Government. If a product is disassembled and reassembled, the place of reassembly is not the place of manufacture.

“Predecessor” means an entity that is replaced by a successor and includes any predecessors of the predecessor.

“Restricted business operations” means business operations in Sudan that include power production activities, mineral extraction activities, oil-related activities, or the production of military equipment, as those terms are defined in the Sudan Accountability and Divestment Act of 2007 (Pub. L. 110-174). Restricted business operations do not include business operations that the person (as that term is defined in Section 2 of the Sudan Accountability and Divestment Act of 2007) conducting the business can demonstrate—

(1) Are conducted under contract directly and exclusively with the regional government of southern Sudan;

(2) Are conducted pursuant to specific authorization from the Office of Foreign Assets Control in the Department of the Treasury, or are expressly exempted under Federal law from the requirement to be conducted under such authorization;

(3) Consist of providing goods or services to marginalized populations of Sudan;

(4) Consist of providing goods or services to an internationally recognized peacekeeping force or humanitarian organization;

(5) Consist of providing goods or services that are used only to promote health or education; or

(6) Have been voluntarily suspended. “Sensitive technology”—

(1) Means hardware, software, telecommunications equipment, or any other technology that is to be used specifically—

(i) To restrict the free flow of unbiased information in Iran; or

(ii) To disrupt, monitor, or otherwise restrict speech of the people of Iran; and

(2) Does not include information or informational materials the export of which the President does not have the authority to regulate or prohibit pursuant to section 203(b)(3) of the International Emergency Economic Powers Act (50 U.S.C. 1702(b)(3)).

“Service-disabled veteran-owned small business concern”—

(1) Means a small business concern—

(i) Not less than 51 percent of which is owned by one or more service-disabled veterans or, in the case of any publicly owned business, not less than 51 percent of the stock of which is owned by one or more service-disabled veterans; and

(ii) The management and daily business operations of which are controlled by one or more service-disabled veterans or, in the case of a service disabled veteran with permanent and severe disability, the spouse or permanent caregiver of such veteran.

(2) Service-disabled veteran means a veteran, as defined in 38 U.S.C. 101(2), with a disability that is service connected, as defined in 38 U.S.C. 101(16).

“Small business concern” means a concern, including its affiliates that is independently owned and operated, not dominant in the field of operation in which it is bidding on Government contracts, and qualified as a small business under the criteria in 13 CFR Part 121 and size standards in this solicitation.

“Small disadvantaged business concern”, consistent with13 CFR 124.1002, means a small business concern under the size standard applicable to the acquisition, that—

(1) Is at least 51 percent unconditionally and directly owned (as defined at 13 CFR 124.105) by—

(i) One or more socially disadvantaged (as defined at13 CFR 124.103) and economically disadvantaged (as defined at 13 CFR 124.104) individuals who are citizens of the United States; and

(ii) Each individual claiming economic disadvantage has a net worth not exceeding $750,000 after taking into account the applicable exclusions set forth at 13 CFR124.104(c)(2); and

(2) The management and daily business operations of which are controlled (as defined at 13.CFR 124.106) by individuals, who meet the criteria in paragraphs (1)(i) and (ii) of this definition.

“Subsidiary” means an entity in which more than 50 percent of the entity is owned—

(1) Directly by a parent corporation; or

(2) Through another subsidiary of a parent corporation. “Veteran-owned small business concern” means a small business concern—(1) Not less than 51 percent of which is owned by one or more veterans (as defined at 38 U.S.C. 101(2)) or, in the case of any publicly owned business, not less than 51 percent of the stock of which is owned by one or more veterans; and (2) The management and daily business operations of which are controlled by one or more veterans. “Successor” means an entity that has replaced a predecessor by acquiring the assets and carrying out the affairs of the predecessor under a new name (often through acquisition or merger). The term “successor” does not include new offices/divisions of the same company or a company that only changes its name. The extent of the responsibility of the successor for the liabilities of the predecessor may vary, depending on State law and specific circumstances. “Women-owned business concern” means a concern which is at least 51 percent owned by one or more women; or in the case of any publicly owned business, at least 51 percent of its stock is owned by one or more women; and whose management and daily business operations are controlled by one or more women. “Women-owned small business concern” means a small business concern—

(1) That is at least 51 percent owned by one or more women; or, in the case of any publicly owned business, at least51 percent of the stock of which is owned by one or more women; and

(2) Whose management and…