75H70723Q00095 TPSU Digital X-Ray System.pdf

SEE ADDENDUMIS CHECKED

CODE 18a. PAYMENT WILL BE MADE BY

CODE

FACILITYCODE

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

OFFEROR

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

IHSTAOS CODE 16. ADMINISTERED BYCODE

X

X

X

334510

SIZE STANDARD:

100.00 % FOR:SET ASIDE:UNRESTRICTED OR203

RFPIFB

10. THIS ACQUISITION ISCODE

RFQ

14. METHOD OF SOLICITATION

13b. RATING

NAICS:

SMALL BUSINESS

07/03/2023 1200 MT

06/04/2023

505-256-6752ERIC WRIGHT

(No collect calls)

INFORMATION CALL:

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

4. ORDER NUMBER3. AWARD/ 6. SOLICITATION

75H70723Q00095

5. SOLICITATION NUMBER

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

1 15 OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

TELEPHONE NO.

17a. CONTRACTOR/

Taos New Mexico 87571 1090 Goat Springs Road Medical Imaging Department Taos Picuris Service Unit

15. DELIVER TO

Albuquerque NM 87110 4101 Indian School Rd NE, Suite 225

9. ISSUED BY

7.

2. CONTRACT NO.

EFFECTIVE DATE

1,250

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

ISSUE DATE

DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

11.

SEE SCHEDULE

12. DISCOUNT TERMS

THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

13a.

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

8(A)

Albuquerque Indian Health Service

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

24.

AMOUNT

23.

UNIT PRICE

22.

UNIT

21.

QUANTITY

20.

SCHEDULE OF SUPPLIES/SERVICES

19.

ITEM NO.

Solicitation #75H70723Q00095 is issued to provide a Digital X-Ray System at the Taos Picuris Service Unit Medical Imaging Department.

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

HEREIN, IS ACCEPTED AS TO ITEMS:

X

XX

DATED

ERIC K. WRIGHT

. YOUR OFFER ON SOLICITATION (BLOCK 5),

INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE SET FORTH

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DELIVER

ARE

ARE

31c. DATE SIGNED

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

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

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

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

SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED.

27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA

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

OFFER

STANDARD FORM 1449 (REV. 2/2012)

Prescribed by GSA - FAR (48 CFR) 53.212

ARE NOT ATTACHED.

ARE NOT ATTACHED.

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

30b. NAME AND TITLE OF SIGNER (Type or print)

30a. SIGNATURE OF OFFEROR/CONTRACTOR

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

25. ACCOUNTING AND APPROPRIATION DATA

29. AWARD OF CONTRACT:

REF.

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32c. DATE 32b. SIGNATURE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

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

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED

40. PAID BY39. S/R VOUCHER NUMBER38. S/R ACCOUNT NUMBER

37. CHECK NUMBER

FINALPARTIAL

36. PAYMENT

FINALPARTIAL

35. AMOUNT VERIFIED

CORRECT FOR

34. VOUCHER NUMBER33. SHIP NUMBER

COMPLETE

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

42d. TOTAL CONTAINERS42c. DATE REC'D (YY/MM/DD)

42b. RECEIVED AT (Location)

42a. RECEIVED BY (Print)

41c. DATE41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER

41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT

STANDARD FORM 1449 (REV. 2/2012) BACK

24.

AMOUNT

23.

UNIT PRICE

22.

UNIT

21.

QUANTITY

20.

SCHEDULE OF SUPPLIES/SERVICES

19.

ITEM NO.

32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

15 2 of

75H70723Q00095 TPSU Digital X-Ray System

SF-1449 continued, page 3 of 15

PURPOSE

The contractor shall provide “DR X-RAY FLOOR MOUNTED SYSTEM” A Definium XR/f ET from General Electric or equivalent system compatible with current RAMSOFT PACS system to the following Albuquerque Area Indian Health Service Facility:

Taos Indian Health Center 1090 Goat Springs Road Taos, NM 87571

DESCRIPTION OF SERVICES/SUPPLIES

The contractor shall be in accordance with all Federal, State, Local, Tribal and IHS regulations and shall be made with minimal divergence from the schedule established and with minimum disturbance and maximum protection of government personnel, property and general public.

The contractor shall provide “Digital Radiography X-Ray system”. The DR X-Ray system shall include, but not be limited to all equipment, materials, labor, training, documentation, and services necessary to furnish and install a complete, operational Digital Radiography X-Ray system.

• PROJECT SITE VISIT

o Qualified contractors are encouraged to perform a site visit for preplanning.

o Taos Health Center will host a walk-through for qualified supplying contractors.

o It is the responsibility of all prospective contractors to make an appointment before arriving project site.

• SUBMITTALS

o The Vendor will provide product data for each component, including manufacturer’s specifications.

o The Vendor will provide drawings detailing the system including, but not limited to, the following:

A single-line block diagram showing cabling interconnection of all components for this specific system.

Drawing of the floor/floors where the Digital Radiography X-Ray system will be installed.

The Vendor will provide wiring diagrams detailing wiring for power, signal, and control systems and differentiating clearly between manufacturer-installed and field-installed wiring.

Report of field tests and observations.

o The Vendor will provide maintenance data for system to include in the operation and maintenance manual.

• QUALITY ASSURANCE

o The complete Digital Radiography X-Ray system shall be provided by a single manufacturer and obtained through the Original Equipment Manufacturer (OEM) as the single source.

o The Manufacturer shall be a firm experienced in manufacturing, installing and maintaining DR X-Ray Systems. The Manufacturer of the DR X-Ray System equipment shall be regularly involved in the design, manufacture, and distribution of all products specified in this document. These processes shall be monitored under a quality assurance program that meets ISO requirements.

o All equipment and components shall be the Manufacturer's most recently released model.

o The Manufacturer's authorized representative who is trained, certified and/or approved for managing installation shall be responsible for the satisfactory installation of the complete DR X-Ray Systems. All equipment and components shall be installed in strict compliance with the Manufacturer's recommendations.

o The Manufacturer’s representative shall provide equipment and components, which comply with the requirements of these specifications. Equipment or components, which do not provide the performance and features required by these specifications, will not be accepted, regardless of Manufacturer.

o The manufacturer shall maintain technical support services capable of providing users of the system with training, parts, and emergency maintenance and repair both on site and remotely.

o The DR X-Ray Systems should be cleared by FDA.

o DR X-Ray Systems shall support compliance with FedRAMP and FIPS with encryption to and from if sending from IHS to vendor.

o DR X-Ray Systems shall support compliance with HIPAA requirements for sharing and displaying patient information.

o DR X-Ray Systems must conform to applicable codes, rules, regulations, and laws of the hospital authority and local jurisdiction for hospital X-ray systems.

Manufacturer will provide proof of certification for regulatory compliance from issuing authority.

o The DR X-Ray Systems, inclusive of electrical components, infrastructure components, devices and accessories, shall comply in all respects and shall be labeled in accordance with the requirements of the specifications, manufacturer's recommendations and Underwriters Laboratories Inc. (UL) 1069 – Standard for Hospital X-Ray Equipment.

o All components used must be RoHS (Reduction of Hazardous Substances) compliant.

o Radiology Survey will be completed by a Certified Physicist before Patient Use.

• THE FOLLOWING ITEMS ARE TO BE INCLUDED IN THE STANDARD DELIVERY:

o Floor Mounted Tube Stand o Elevating Table o Collimator o Wall Stand o Generator o X-Ray Tube o Grids o Konica Minolta Wireless Detector o Contractor shall provide a Definium XR/f ET (or equivalent) with the following equipment:

Floor Mounted Tube Stand.- Manual movement with fully counter balanced horizontal tube arm. Longitudinal and vertical tube travel. Focal spot to floor distance from 40 to 195 cm.

Elevating Table – Dimensions – 220cm x 87cm, Height from Floor 57cm to 92cm, control foot switches along the table base, laminated structure, weight limit 350kg, manual, 4 way floating top, table top to film distance 8.5cm, tabletop Al equivalence <1.22 mm eq. Al. at 100 kVp, electromagnetic brakes, Bucky Travel 57cm center to center, Grid 40 lines/cm – 10:1 linear ratio focused at 100cm, detector bucky size 35cmx43cm, auto charging system, easy rotational detector.

Collimator – Manual (Multilayer, square field X-ray collimator, 6 pairs of lead-lined shutters), field lamp 24 Vdc, lighting timer 30 sec, Average luminosity 160 lx, alignment light LED, inherent filtration 2.0 aluminum, SID measuring retractable measuring tape, external DAP with rails for a manual collimator, Dose area meter VacuDAP 2004 inter-phased with the generator cable 15m.

Wall Stand – Non-tilting Bucky, vertical bucky travel 155cm (from 35 to 190cm), fully counterbalanced, film center to floor 35cm, detector bucky sizes 35cmx43cm, auto charging system (yes), easy rotational detector (yes), Grid 40 lines/cm 12:1 linear ration focused at 180cm, Al. equivalence < 0.85 mm at 100kVp, electromagnetic brakes, detector - right load, weight 145 kg.

Generator – 50 kW maximum power, input power Single-Phase 220/240 VAC, kVp range 40 – 124 kVp, mA range 10 – 650 mA, Power output (0.1s) 640 mA @ 78 kVp, 500 mA @ 100kVp, 400 mA @ 125 kVp, Exposure time 0.001 – 10 seconds, mAs range 0.1 mAs – 500 mAs, High Voltage Ripple <1kVp @ 100kVp, Anatomical programming 534 Anatomical Views, Automatic line comp +/- 10%, high speed rotor controller 1 Tube, Microprocessor controlled, auto diagnostic system, tube overload protection monitoring of remaining X-Ray Tube Heat Units, Prep./Exposure X-Ray hand switch, AEC.

X-Ray Tube – model E7254FX, Toshiba 150 kVp dual focal spots 0.6 and 1.2 mm, High speed starter (3,000/9,000 RPM) 50 kW max power, rotating anode, Anode voltage 150kVp, target angle 12 degrees, Small focal spot power rating 40kW, Large focal spot power rating 102 kW, Anode heat unit storage capacity 400 KHU.

Grids – 103 Lines (40 lines/cm) 10:1 focalized at 1m, 12:1 focalized at 1.8m.

Hand grip for table.

Lateral detector holder movable on tabletop.

External DAP

SF-1449 continued, page 4 of 15

Konica Minolta Wireless Detector – AeroDR 1417XE, Battery - Lithium Ion Capacitor, 30 min battery recharge from empty to full, battery performance up to 300 exposures and 8.2 hours, Water resistance, drop impact tested, digital shock sensor.

CS-7 Universal Control Station Hardware – Intel Core i5-2520 vPro processor, 3.2Ghz, CD/DVD RW, 8GB RAM, Windows 10, 500 GB HDD, Intel PRO/1000 GT network connection, 23” LCD Multi-touch monitor – 178 degrees viewing angle.

CS-7 Universal Control Station Software Features – CS-7 S/W Operating Platform, REALISM advanced image processing algorithms, Equalization, frequency & gradation processing, Study append, free text annotation, Multi-study, automatic masking, Study list filter, History search, Image Zoom, Grid suppression, HIPAA compliance enabling features, DICOM store, DICOM modality worklist, Procedure code mapping, CS-7 combine/move, CS-7 Departmental data analysis, CS-7 Tube/gauze software, Applications Training.

Fully Functional X-Ray Room Layout ADA compliant.

Warranty Period of 12 months.

• EXECUTION / INSTALLATION

o The installer must install the Floor Mounted Definium XR/f ET or equivilant equipment in compliance with the manufacturer’s installation and implementation specifications.

o Manufacturer shall effectively coordinate the installation process. This would include but not be limited to reviewing correct placement of cables, correct mounting of devices, and monitoring the installing contractor’s compliance with the installation schedule.

o The DR X-Ray System must be tested per the manufacturer’s instructions to confirm that it was installed and is functioning as designed.

o Submit a report containing an as-built package with all test results and drawings.

o It is further intended that upon completion of this work, the installer shall provide complete information and drawings describing and depicting the entire system(s) as installed, including all information necessary for maintaining, troubleshooting, and/or expanding the system(s) at a future date, and complete documentation of system certification.

o Installation of all new equipment if needed/required for new equipment. This includes all parts and labor costs associated (with anticipation of possible needs for parts not included in original cost analysis that will not be charged to facility/Buyer should unanticipated problems or needs arise during installation with Seller's absorbing additional costs at Seller's expense….Example: if more wiring is needed above and beyond original price analysis buyer will not have to provide more funds and seller will absorb all costs for extra materials needed that were not originally in a quote or contract.

o All DICOM Network Configurations and Operating Systems will be in accordance with Indian Health Service and Office of Information Technology requirements.

o All X-Ray DICOM will be compatible with ALB Picture Archiving Communication System on a secure VLAN.

o Medical Physicist will certify the Performance and Radiation Survey before patient use.

o Vendor Qualifications

Have tools, equipment and personnel to complete project Provide, at a minimum, 5 years, experienced, authorized, and certified installers of the proposed manufacturer so that all applicable warranties and agreements are valid.

Pre-Project meeting shall be required on location prior to the start of any work for site review, coordination purposes, as well as introduction of all concerned parties.

• SUPPORT

o 24x7x365 technical support telephone line staffed by experienced and trained product support specialists, free of charge for customers with SMA.

o Technical support shall be capable of handling first-line support of DR X-Ray Systems.

o DR X-Ray Systems shall require the use of specialized tool kits to perform routine maintenance, calibration or physical checks of the system.

o User Training sessions shall be conducted on-site on the unit before patient use.

o All itemized detailed warranties for said equipment and installations to include service of equipment, travel, and payroll of contractors sent to provide repairs of new equipment/wiring malfunction or break under warranty.

o Annual Service contract for Hardware/Software Maintenance and Remote Technical Assistance to service said equipment for up to 5 years.

o pricing shall include a software maintenance agreement throughout the contract period.

o Software Maintenance Agreement shall be included for applicable software upgrades, software updates, bug fixes, and patches.

o 10. After the acceptance of the system(s), service response shall be provided on the following basis:

o Routine service provided during normal business hours (8 a.m. to 4:30 p.m., Monday through Friday, excluding holidays). When a minor failure of equipment is reported to the contractor, a service person will be either on-site or remote in within 24 hours of notification.

o Emergency Service shall be Provided 24 hours a day. When a total or catastrophic failure of equipment is reported to the contractor, within 4 hours of notification, a service person will be on site. (An example of a catastrophic failure would be a total shutdown of the equipment.)

• IN-SERVICE TRAINING

o Before system implementation, technical, factory-certified, classroom-style, hands-on training shall be provided locally on a mutually agreed date for Taos Radiology support staff. Classes are to be provided at no cost to Taos. The contractor shall provide thorough training of Radiology Staff assigned to the Radiology Department. This training shall be developed and implemented to address proper settings and technique prior to patient use.

o Follow-up training sessions shall be used to train new staff and update training for existing staff on workflow changes that are implemented.

• CLINICAL ENGINEERING TRAINING

o 1 Clinical Engineering factory training designated by the ALB Area Office to attend a factory certification service school held locally in the US and certified by the equipment manufacturer. Lunch and Lodging to be provided by the supplying contractor. Provide cost for additional staff to attend classes on mutually agreed dates during the 5-year warranty period.

• REMOVAL OF EXISTING PRODUCT

o Removal of the existing Philips Floor Mounted X-Ray System equipment will be performed by the contractor.

o Remove all existing obsolete product and deliver to a local recycling center, or at the direction of the contractor to properly dispose of the old x-ray unit.

o It shall be the responsibility of the contractor to keep their work area clear of debris and clean area daily at the completion of work.

o It shall be the responsibility of the contractor to patch and paint any wall or surface that has been disturbed by the execution of this work.

o It shall be the responsibility of the contractor to provide their own HEPA Carts (Environment Ceiling Access Containment Cart). This is to protect patients from dust and pathogens in critical, high-risk environments.

o The Hard Drive containing prior patient information and diagnostic images will be removed from the old PC and given to the local IT.

• SERVICE AGREEMENTS

o Vendor shall provide additional service agreements as follows:

Base, Option Year 1, Option Year 2, Option Year 3, and Option Year 4.

Service agreements shall include: Full Warranty (parts & labor), 100% Wear or Failure parts and labor. Products included are: DR X-Ray System, Digital Detectors, Electromagnetic Brakes, X-Ray Tube, Generator, and other parts associated with the GE Definium XR/f ET or equivalent. Annual Preventive Maintenance and Service reports will be sent to ALB Clinical Engineering to file service records.

PERIOD OF PERFORMANCE

The items required under this contract shall commence NLT 10 days after award.

PRICING

Offers for a “Digital Radiography X-Ray system” and service agreement will be accepted in the following format:

Product Description Qty Fixed Unit Price Total

SF-1449 continued, page 5 of 15

Digital Radiography X-Ray system 1 $________ $________

Product Description Qty Total

Base Year

Service Agreement

Option Year #1 $________

Option Year #2 $________

Option Year #3 $________

Option Year #4 $________

The Contractor's pricing/cost includes all mandatory Federal, State and Local taxes and delivery/shipping costs. It is the sole responsibility of the Contractor to collect and pay for all New Mexico State Gross Receipt Taxes for business/work performed in the State of New Mexico, regardless of county the business/service/work was performed.

CONTRACT OFFICER REPRESENTATIVE (COR)

Tibb Armboy, 505-256-6789, is hereby designated as Contract Officer’s Representative for this service. The Contract Officer Representative 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.

QUESTIONS

In accordance with FAR 15.201 Exchanges with Industry before receipt of quotes, please refer to solicitation #(RFP19-242-SOL-00016) when requesting information regarding the solicitation via e-mail to eric.wright@ihs.gov, facsimile: (505) 256-6848 or phone: (505) 256-6752. Any questions will need to be submitted at least 5 business days prior to the solicitation close date for a response.

EVALUATION CRITERIA

Basis of award will be on a Best Value Basis. The quote provided will be evaluated to determine the Offeror's ability to complete all requirements necessary for successful performance under the contract. A quote which merely paraphrases the requirements will be ineligible for award. In addition, a quote that addresses only a part of the requirements will be considered unresponsive to this solicitation and unacceptable for award. The quote should show that the requirements stated within the solicitation are understood and offer a logical approach for their achievement.

The Government will award a Fixed-Price contract resulting from this solicitation to the responsible Offeror whose offer, conforming to this solicitation; will be most advantageous to the Government, price and other factors considered. The following factors shall be used to evaluate offers:

1. Past Performance

a. Documentation must be included with quote detailing 3 years of past performance similar in size and scope of this solicitation.

2. Technical Qualifications

a. Documentation must be included with quote detailing the possession of tools, equipment and personnel to complete the project specified within this solicitation.

b. Documentation must be included detailing a minimum of 5 years of experienced, authorized, and certified installers of the proposed manufacturer so that all applicable warranties and agreements are valid.

3. Warranty

a. Documentation must be included with quote detailing warranty of equipment and work performed.

4. Technical Support

a. Documentation must be included with quote detailing the level of technical support to be included with the installation of equipment and work performed.

5. Price

The Government will award a Fixed-Price contract resulting from this solicitation to the responsible Offeror whose offer conforms to this solicitation and will be most advantageous to the Government.

Factors 1-4 when combined are more important than price.

52.237-1 SITE VISIT (APR 1984)

Offerors or quoters are urged and expected to inspect the site where services are to be performed and to satisfy themselves regarding all general and local conditions that may affect the cost of contract performance, to the extent that the information is reasonably obtainable. In no event shall failure to inspect the site constitute grounds for a claim after contract award. Potential offerors interested in viewing the facility prior to submitting their proposal:

• Tibb Armboy at 505-256-6789 or tibb.armboy@ihs.gov to schedule a site visit.

SUBCONTRACTS:

None of the services furnished under this agreement shall be subcontracted or transferred to another contractor, or organization, without the specific prior written approval of the Contracting Officer.

PAYMENT OFFICE

The payment office is: Electronic Funds Transfer (EFT) Disbursed by:

Albuquerque Indian Health Service U S Department of Treasury Division of Accounting Services Office of Disbursements 4101 Indian School Road NE, Suite 225 Austin, TX 73301 Albuquerque, NM 87110

INVOICE.

Invoices shall be submitted in accordance with the contract terms, i.e., payment schedule, progress payments, partial payments, deliverables, etc. All information set forth in FAR Clause 52.212-4(g), Invoice, must be included in all invoices for it to constitute a proper invoice. The Contractor shall submit proper invoices (excluding patient identifiers i.e. patient name, etc.) and all required back-up documentation to:

a. COR: Tibb Armboy, tibb.armboy@ihs.gov mailto:tibb.armboy@ihs.gov mailto:tibb.armboy@ihs.gov

SF-1449 continued, page 6 of 15

b. IPP: http://www.ipp.gov

Do not send non-invoice related documents (i.e. deliverables, reports, and balance statements) to the Buyer or Albuquerque Finance. Failure to submit required documents directly to the offices as listed above will delay prompt payment of your invoice.

FAR 52.212-4(G):

(1) The Contractor shall submit an original invoice and three copies (or electronic invoice, if authorized) to the address designated in the contract to receive invoices.

An invoice must include-

(i) Name and address of the Contractor;

(ii) Invoice date and number;

(iii) Contract number, contract line item number and, if applicable, the contract number;

(iv) Description, quantity, unit of measure, unit price and extended price of the items delivered;

(v) Shipping number and date of shipment, including the bill of lading number and weight of shipment if shipped on Government bill of lading;

(vi) Terms of any discount for prompt payment offered;

(vii) Name and address of official to whom payment is to be sent;

(viii) Name, title, and phone number of person to notify in event of defective invoice;

(ix) Taxpayer Identification Number (TIN). The Contractor shall include its TIN on the invoice only if required elsewhere in this contract.

(x) Electronic funds transfer (EFT) banking information.

(A) The Contractor shall include EFT banking information on the invoice only if required elsewhere in this contract.

(B) If EFT banking information is not required to be on the invoice, in order for the invoice to be a proper invoice, the Contractor shall have submitted correct EFT banking information in accordance with the applicable solicitation provision, contract clause (e.g., 52.232-33, Payment by Electronic Funds Transfer-Central Contractor Registration, or 52.232-34, Payment by Electronic Funds Transfer-Other Than Central Contractor Registration), or applicable agency procedures.

(C) EFT banking information is not required if the Government waived the requirement to pay by EFT.

(2) Invoices will be handled in accordance with the Prompt Payment Act (31 U.S.C. 3903) and Office of Management and Budget (OMB) prompt payment regulations at 5 CFR Part 1315.

In accordance with OMB Memorandum, M-11-32, Agencies shall make payments to small businesses as soon as practicable, with the goal of making payments within 15 days of receipt of a proper invoice. If a small business contractor is not paid within this (15 day) accelerated period, the contractor will not be given a late-payment interest penalty. Interest penalties, as prescribed by the Prompt Payment Act, remain unchanged by means of this memorandum. All small businesses shall label all invoices as “Small Business.”

Additionally, in accordance with OMB Memorandum, M-12-16, all prime contractors are encouraged to disburse funds received from the Federal Government to their small business subcontractors in a prompt manner. To assist prime contractors in expediting contractor payments to small business subcontractors, Agencies shall, to the full extent permitted by law, temporarily establish an earlier, accelerated date for making agency payments to all prime contractors. Consistent with OMB Memorandum M-11-32 above, Agencies shall have a goal of paying all prime contractors within 15 days of receiving proper documentation. In an effort to support small business growth, drive economic activity and job creation, the Contractor is encouraged to accelerate payments to their small business subcontractors.

In accordance with the requirements of the Debt Collection Improvement Act of 1996, all payments under this contract will be made by electronic funds transfer (EFT). The Contractor shall provide financial institution information to the Finance Office designated above in accordance with FAR 52.232-33 Payment by Electronic Funds Transfer - Central Contractor Registration.

Failure to submit directly to the offices listed above will delay prompt payment of your invoice.

REQUEST FOR TAXPAYER IDENTIFICATION NUMBER AND CERTIFICATION

A form W-9 shall be submitted to the Albuquerque Area Indian Health Service Division of Accounting Services by either of the following:

1. Encrypted Email: ALB_AOAPinvoices@ihs.gov or

2. Secure Fax: (505) 256-6851

Failure to submit the required form W-9 to the office(s) listed above will delay issuance of the IRS 1099 Form.

METHOD OF PAYMENT:

- Payment shall be made in arrears upon receipt of invoices in ARREARS;

- Electronic Funds Transfer (EFT) shall be utilized as method for processing payment;

- Upon receipt of a properly prepared Contractor invoice, the COR is responsible for certifying the invoice for acceptance of service and contacting a UFMS receiver to request a receiving receipt.

CONTRACTOR PERFORMANCE EVALUATION REPORT

During the life of this contract, the contractor’s performance will be evaluated on an interim and final basis pursuant to FAR Subpart 42.15. Evaluation will become part of the contract file and will be used as past performance information in evaluating the Contractor’s, and any significant subcontractors’ or affiliates, past performance on future contracts. Contractor Performance Assessment Report System (CPARS) is an on-line reporting system https://www.cpars.gov/. The Contractor Performance Report is completed by the COR electronically and sent to the Contractor for review and approval at the end of each performance period as an interim report and at the end of the contract performance as a final report. After review by the Contracting Officer, the report becomes a permanent record of the Contractor’s past performance.

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

This contract incorporates one or more clauses by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. Also, the full text of a clause may be accessed electronically at this/these address: https://www.acquisition.gov/?q=/browse/far/52

FAR TITLE DATE

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 PRODUCTS AND COMMERCIAL SERVICES (DEC 2022) 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 (v) of this provision.

(a) Definitions. As used in this provision— "Covered telecommunications equipment or services" has the meaning provided in the clause 52.204-25, Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment.

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, and the concern is certified by SBA or an approved third-party certifier in accordance with 13 CFR 127.300.

http://www.ipp.gov/ https://www.acquisition.gov/?q=/browse/far/52

SF-1449 continued, page 7 of 15

It automatically qualifies as a women-owned small business eligible under the WOSB Program.

Forced or indentured child labor means all work or service—

(1) Exacted from any person under the age of 18 under the menace of any penalty for its nonperformance and for which the worker does not offer himself voluntarily; or

(2) Performed by any person under the age of 18 pursuant to a contract the enforcement of which can be accomplished by process or penalties.

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.

Reasonable inquiry has the meaning provided in the clause 52.204-25, Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment.

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"— 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 veteransor, 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—

(1) Means a concern, including its affiliates, that is independently owned and operated, not dominant in its field of operation, and qualified as a small business under the criteria in 13 CFR part 121 and size standards in this solicitation.

(2) Affiliates, as used in this definition, means business concerns, one of whom directly or indirectly controls or has the power to control the others, or a third party or parties control or have the power to control the others. In determining whether affiliation exists, consideration is given to all appropriate factors including common ownership, common management, and contractual relationships. SBA determines affiliation based on the factors set forth at 13 CFR 121.103.

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 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.

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.

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 daily business operations are controlled by one or more women.

Women-owned small business (WOSB) concern eligible under the WOSB Program (in accordance with 13 CFR part 127), means a small business concern that is at least

SF-1449 continued, page 8 of 15

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 the concern is certified by SBA or an approved third-party certifier in accordance with 13 CFR 127.300.

(b) (1) Annual Representations and Certifications. Any changes provided by the Offeror in paragraph (b)(2) of this provision do not automatically change the representations and certifications in SAM.

(2) The offeror has completed the annual representations and certifications electronically in SAM accessed through http://www.sam.gov. After reviewing SAM information, the Offeror verifies by submission of this offer that the representations and certifications currently posted electronically at FAR 52.212-3, Offeror Representations and Certifications-Commercial Products and Commercial Services, have been entered or updated in the last 12 months, are current, accurate, complete, and applicable to this solicitation (including the business size standard(s) applicable to the NAICS code(s) referenced for this solicitation), at the time this offer is submitted and are incorporated in this offer by reference (see FAR 4.1201), except for paragraphs ______________.

[Offeror to identify the applicable paragraphs at (c) through (v) of this provision that the offeror has completed for the purposes of this solicitation only, if any.

These amended representation(s) and/or certification(s) are also incorporated in this offer and are current, accurate, and complete as of the date of this offer.

Any changes provided by the offeror are applicable to this solicitation only, and do not result in an update to the representations and certifications posted electronically on SAM.]

(c) Offerors must complete the following representations when the resulting contract is for supplies to be delivered or services to be performed in the United States or its outlying areas, or when the contracting officer has applied part 19 in accordance with 19.000(b)(1)(ii). Check all that apply.

(1) Small business concern. The offeror represents as part of its offer that—

(i) It □ is, □ is not a small business concern; or

(ii) It □ is, □ is not a small business joint venture that complies with the requirements of 13 CFR 121.103(h) and 13 CFR 125.8(a) and (b). [ The offeror shall enter the name and unique entity identifier of each party to the joint venture: __.]

(2) Veteran-owned small business concern. [Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision.] The offeror represents as part of its offer that it □ is, □ is not a veteran-owned small business concern.

(3) Service-disabled veteran-owned small business concern. [ Complete only if the offeror represented itself as a veteran-owned small business concern in paragraph (c)(2) of this provision.] The offeror represents as part of its offer that—

(4) Small disadvantaged business concern. [Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision.] The offeror represents, that it □ is, □ is not a small disadvantaged business concern as defined in 13 CFR 124.1002.

(5) Women-owned small business concern. [Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision.] The offeror represents that it □ is, □ is not a women-owned small business concern.

(6) WOSB joint venture eligible under the WOSB Program. The offeror represents that it □ is, □ is not a joint venture that complies with the requirements of 13 CFR 127.506(a) through (c). [ The offeror shall enter the name and unique entity identifier of each party to the joint venture: __.]

(7) Economically disadvantaged women-owned small business (EDWOSB) joint venture. The offeror represents that it □ is, □ is not a joint venture that complies with the requirements of 13 CFR 127.506(a) through (c). [ The offeror shall enter the name and unique entity identifier of each party to the joint venture: __.]

(8) Women-owned business concern (other than small business concern). [Complete only if the offeror is a women-owned business concern and did not represent itself as a small business concern in paragraph (c)(1) of this provision.] The offeror represents that it □ is a women-owned business concern.

(9) Tie bid priority for labor surplus area concerns. If this is an invitation for bid, small business offerors may identify the labor surplus areas in which costs to be incurred on account of manufacturing or production (by offeror or first-tier subcontractors) amount to more than 50 percent of the contract price:____________________________________

(10) HUBZone small business concern. [Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision.] The offeror represents, as part of its offer, that–

(i) It □ is, □ is not a HUBZone small business concern listed, on the date of this representation, as having been certified by SBA as a HUBZone small business concern in the Dynamic Small Business Search and SAM, and will attempt to maintain an employment rate of HUBZone residents of 35 percent of its employees during performance of a HUBZone contract (see 13 CFR 126.200(e)(1)); and

(ii) It □ is, □ is not a HUBZone joint venture that complies with the requirements of 13 CFR 126.616(a) through (c). [ The offeror shall enter the name and unique entity identifier of each party to the joint venture: __.] Each HUBZone small business concern participating in the HUBZone joint venture shall provide representation of its HUBZone status.

(d) Representations required to implement provisions of Executive Order11246- (1) Previous contracts and compliance. The offeror represents that-

(i) It □ has, □ has not participated in a previous contract or subcontract subject to the Equal Opportunity clause of this solicitation; and

(ii) It □ has, □ has not filed all required compliance reports.

(2) Affirmative Action Compliance. The offeror represents that-

(i) It □ has developed and has on file, □ has not developed and does not have on file, at each establishment, affirmative action programs required by rules and regulations of the Secretary of Labor (41 CFR parts 60-1 and 60-2), or

(ii) It □ has not previously had contracts subject to the written affirmative action programs requirement of the rules and regulations of the Secretary of Labor.

(e) Certification Regarding Payments to Influence Federal Transactions (31 http://uscode.house.gov/ U.S.C. 1352). (Applies only if the contract is expected to exceed $150,000.) By submission of its offer, the offeror certifies to the best of its knowledge and belief that no Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress or an employee of a Member of Congress on his or her behalf in connection with the award of any resultant contract. If any registrants under the Lobbying Disclosure Act of 1995 have made a lobbying contact on behalf of the offeror with respect to this contract, the offeror shall complete and submit, with its offer, OMB Standard Form LLL, Disclosure of Lobbying Activities, to provide the name of the registrants. The offeror need not report regularly employed officers or employees of the offeror to whom payments of reasonable compensation were made.

(f) Buy American Certificate. (Applies only if the clause at Federal Acquisition Regulation (FAR) 52.225-1, Buy American-Supplies, is included in this solicitation.)

(1) (i) The Offeror certifies that each end product and that each domestic end product listed in paragraph (f)(3) of this provision contains a critical component, except those listed in paragraph (f)(2) of this provision, is a domestic end product.

(ii) The Offeror shall list as foreign end products those end products manufactured in the United States that do not qualify as domestic end products. For those foreign end products that do not consist wholly or predominantly of iron or steel or a combination of both, the Offeror shall also indicate whether these foreign end products exceed 55 percent domestic content, except for those that are COTS items. If the percentage of the domestic content is unknown, select “no”.

(iii) The Offeror shall separately list the line item numbers of domestic end products that contain a critical component (see FAR 25.105).

(iv) The terms “commercially available off-the-shelf (COTS) item,” “critical component,” “domestic end product,” "end product," "foreign end product," and "United States" are defined in the clause of this solicitation entitled "Buy American-Supplies."

(2) Foreign End Products:

Line Item No. Country of Origin Exceeds 55% domestic content (yes/no) [List as necessary]

(3) Domestic end products containing a critical component:

Line Item No. ___ [List as necessary]

(4) The Government will evaluate offers in accordance with the policies and procedures of FAR part 25.

(g) (1) Buy American-Free Trade Agreements-Israeli Trade Act Certificate. (Applies only if the clause at FAR 52.225-3, Buy American-Free Trade Agreements-Israeli Trade Act, is included in this solicitation.)

(i) (A) The Offeror certifies that each end product, except those listed in paragraph (g)(1)(ii) or (iii) of this provision, is a domestic end product and that each domestic end product listed in paragraph (g)(1)(iv) of this provision contains a critical component.

(B) The terms "Bahrainian, Moroccan, Omani, Panamanian, or Peruvian end product," "commercially available off-the-shelf (COTS) item," "critical component," "domestic end product," "end product," "foreign end product," "Free Trade Agreement…