SOL_75H70725Q00026 TPSU Emergency Generator PMA.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

IHSTPSU CODE 16. ADMINISTERED BYCODE

X

X

X

811310

SIZE STANDARD:

100.00 % FOR:SET ASIDE:UNRESTRICTED OR203

REQUEST FOR

PROPOSAL

(RFP)

INVITATION

FOR BID (IFB)

10. THIS ACQUISITION ISCODE

REQUEST FOR

QUOTE (RFQ)

14. METHOD OF SOLICITATION

13b. RATING

NORTH AMERICAN INDUSTRY

CLASSIFICATION STANDARD

(NAICS):

SMALL BUSINESS

01/17/2025 1200 MT

01/03/2025

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

75H70725Q00026

5. SOLICITATION NUMBER

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

1 2 OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

TELEPHONE NO.

17a. CONTRACTOR/

Taos New Mexico 87571 1090 Goat Springs Road 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

$12.5

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

ISSUE DATE

DELIVERY FOR FREE ON BOARD

(FOB) DESTINATION UNLESS

BLOCK IS MARKED

11.

SEE SCHEDULE

12. DISCOUNT TERMS THIS CONTRACT IS A RATED

ORDER UNDER THE DEFENSE

PRIORITIES AND ALLOCATIONS

SYSTEM - DPAS (15 CFR 700)

13a.

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

(SDVOSB)

HUBZONE SMALL

BUSINESS

8(A)

Albuquerque Indian Health Service

WOMEN-OWNED SMALL

BUSINESS (WOSB)

ECONOMICALLY DISADVANTAGED

WOMEN-OWNED SMALL

BUSINESS (EDWOSB)

24.

AMOUNT

23.

UNIT PRICE

22.

UNIT

21.

QUANTITY

20.

SCHEDULE OF SUPPLIES/SERVICES

19.

ITEM NO.

Solicitation# 75H70725Q00026 is issued to provide Emergency Generator PMA Services at the Taos Picuris Service Unit.

(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 (FEDERAL ACQUISITION REGULATION) FAR 52.212-1, 52.212-4. FAR 52.212-3

AND 52.212-5 ARE ATTACHED. ADDENDA

26. TOTAL AWARD AMOUNT (For Government Use Only)

OFFER

STANDARD FORM 1449 (REV. 11/2021)

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: REFERENCE

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. 11/2021) 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

2 2 of

75H70725Q00026 TPSU Emergency Generator PMA

SF-1449 continued, page 3 of 17

PURPOSE

The contractor will provide Emergency Generator PMA Services at the following Albuquerque Area Indian Health Service Facility.

Taos Picuris Service Unit 1090 Goat Springs Road Taos, New Mexico 87571

Acquisition is for one base year with four one-year option periods for renewal.

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.

1. BACKGROUND:

a. The Taos-Picuris Health Clinic has one Level 1, Type 10 emergency power supply system, consisting of a Caterpillar model #C9 GCABR 250kW / 480V diesel powered generator, installed in 2023.

b. The Taos-Picuris Clinic is located at 1090 Goat Springs Rd, Taos, NM 87571

2. GENERAL:

a. Services:

i. As part of this Scope of Work (SOW), the contractor shall provide specialized testing, inspection services and repair work to ensure that the emergency generator and power supply system is in compliance with NFPA 110 and The Joint Commission (TJC) Environment of Care section 02.05.07 accreditation requirements. These services shall be performed by a Contractor having a proven history of proper qualifications, competence, experience, and performance with a generator similar to that listed above.

ii. The Contractor for this work shall provide all material, equipment, labor, tools, etc., to perform the required inspection of and repair work to the Emergency Generator as described and at the facilities located within the Taos-Picuris Service Unit (TPSU), Albuquerque Area Indian Health Service (AAIHS).

b. Location of Work:

i. The work is to be performed at the TPSU Health Clinic, Maintenance Facilities department.

c. Contractor’s Technical Requirements:

i. The Contractor shall meet the technical requirements and possess the required experience as follows:

1. Have a minimum of five (5) years’ experience in the field of Emergency Generator Services and in the work of inspecting these systems and equipment for compliance with code requirements.

2. Have successfully performed similar type projects in scope and size within the last two (2) years.

3. Have Caterpillar Inc. emergency generator certified technicians available to perform scheduled preventative maintenance (PM) services.

4. Have Caterpillar Inc. emergency generator certified technicians available to respond to and be present on-site to all emergency service calls within 4 hours from the time of the call.

5. Regularly perform work in the New Mexico or Arizona geographical area.

6. Have the ability, including equipment and personnel, to provide reports required elsewhere in this Scope of Work (SOW) within

15 calendar days after completion of.

d. Facility Overview and Procedures:

i. The Contractor shall attend in-person or virtually an initial pre-performance meeting with the Contracting Officer Representative (COR) within one month from the date of Notice to Proceed (NTP) from the Contracting Office. The pre-performance meeting agenda shall include, at a minimum, a review of the Contractor procedures, safety and security measures, work schedule, and any required coordination.

ii. The Contractor shall provide a sample report to the COR at the pre-performance meeting. These documents shall be reviewed to ensure that the reporting periods meet all facility, NFPA 110 code and TJC accreditation requirements.

iii. Except for emergency service calls initiated by the Owner, the Contractor shall perform all work during normal business hours, 8:00 a.m. to 4:30 p.m., Monday through Friday, excluding Federal Holidays. Authorization other than normal work hours shall be coordinated and approved in advance with the COR.

iv. The COR shall schedule the work and type of PM services with the Contractor. The inspections and all work are to be completed while the TPSU Clinic and all electrical facilities remain in operation. The Contractor shall ensure that the services do not disrupt normal electrical service to the Clinic.

v. The Contractor’s on-site employees shall sign in and out with the Facility Maintenance office during every visit.

vi. The Contractor shall adhere to all policies, standards, and requirements of the TPSU Clinic while on-site. Safety procedures shall be strictly adhered to at all times.

3. WORK PERFORMANCE & DESCRIPTION:

a. The Contractor may be requested to perform any or all of the following preventative maintenance (PM) levels of service:

i. PM 1

ii. PM 2

iii. PM 3

b. See the below Emergency Generator Preventative Maintenance Schedule and Descriptions for complete descriptions of each PM service level and recommended intervals. All labor, travel, required tools and all listed replacement parts and materials shall be included in the proposed price. PM 3 service shall include the supply and full set-up of a second generator capable of fully meeting electrical requirements of the Clinic.

c. The Contractor is also put on notice that the Owner may require the Contractor to respond to emergency service calls. The Contractor shall propose an hourly emergency service rate, portal to portal, and shall include all labor, travel and required tools. Replacement parts and supplies that may be required shall be billed separately. Any additional work or expenses outside of the PM contract price shall not be undertaken until authorized by the Contracting Officer.

4. DELIVERABLES:

a. The Contractor shall provide the following reports to the Facility Maintenance Supervisor for each PM and emergency service performed. The report shall be submitted within 15 business days after the date of service. The report can be emailed to the Facility Engineer and Maintenance Supervisor.

b. The Contractor shall provide a service report that shall include, at a minimum: the date of service, name of Technician, inspection checklist and results, tests performed and results, deficiencies discovered, all repairs, all parts replaced, recommendations for parts to be replaced within the next 6 months and overall condition of the system.

5. PERIOD OF PERFORMANCE:

a. The base performance period for this service shall be one year from notice to proceed. Option year renewals, up to four additional years, shall be exercised on the basis of existing requirements of the Government, availability of funds, and satisfactory Contractor performance. Option years will be added to the agreement prior to the end of the current year upon recommendation of the Government and acceptance by the Contractor.

6. SITE VISIT:

a. An offeror may request a site visit of the existing emergency generator and related systems and utilities. Contact the Contracting Officer’s

Representative (COR), David Steen at 505-785-2017 or david.steen@ihs.gov to request a date and time.

Emergency Generator Preventative Maintenance (PM) Schedule & Descriptions

ITEM PM 1 PM 2 PM 3

Interval 6 mo. 12 mo. 36 mo.

SF-1449 continued, page 4 of 17

Inspect / Check

Overall Condition X X X

Cooling System X X X

Fuel System X X X

Air Induction & Exhaust X X X

Lube Oil System X X X

Starting System X X X

Engine Monitors & Safety Controls X X X

Power Generator X X X

Control Panel X X X

Operation of Engine & Generator X X X

System Exercising

Generator operation off line X X X

Generator operation on line ATS in the emergency position X X X

Megohmmeter Test X X

Load Bank Test, 1 hr. duration X

Load Bank Test, 4 hr. duration X

Maintenance

Fuel System-Replace fuel Filter X X

Lube Oil System-Change Oil & Filters, SOS, Clean Crankcase Breather X X

Air Induction & Exhaust System-Check Valve adjustment, rotators, & inspect turbo X X

Engine Safety Controls- Check Gauges & Switches X X

Power Generator-Lube Bearing X X

Control Panel-Vacuum & Clean X X

Connect Cat ET Software where applicable, record all events and clear memory. X X

System Conditioning

Cooling System- Drain/Refill Coolant, Replace coolant hoses & Belts, Replace Thermostats X

Starting System-Replace Batteries & Alternator Belt X

Detailed Description of Preventative Maintenance Service Levels

The following descriptions are the services to be performed by the Contractor for inspection and maintenance service levels.

SERVICE LEVEL 1 (PM1):

Inspections performed every 6 months

General Visual Inspection - Visual inspection of overall condition, look for foreign objects, loose or broken fittings, missing guards, or other damaged components. Correct or adjust as necessary. Notify Facility Engineer of all recommended parts replacement.

Cooling System Radiator/Heat Exchanger - Visual inspection for leaks, damage, and debris. Check that louvers or air dampers operate correctly.

Coolant - Visual inspection for correct level and condition of coolant (rust, oil, contaminants). Check coolant conditioner concentration and temperature protection. Check filler cap gasket and sealing surfaces.

Hoses and Connections - Visual inspection of all hoses for deterioration. Check tightness of all hose connections.

Fan Drive Pulley and Fan - Check for loose or worn pulleys and lube fan drive bearing. Check fan operation and clearance.

Fan Belts - Inspect for wear or deterioration. Check tension and adjust as necessary.

Jacket Water Heater - Inspect for proper operation. Check thermostat setting for proper coolant temperature

SF-1449 continued, page 5 of 17

Water Pump - Visual and operational inspection for leaks or unusual noises.

Fuel System

Fuel Tank - Visually inspect fuel tank system for leaks and fuel level. Test day tank pump for proper operation. Inspect fuel condition for contaminants.

Water Trap/Separator - Drain water from fuel tank or water separator.

Fuel Lines and Connections - Inspect for leaks and tight connections. Check line brackets.

Governor and Controls - Inspect governor oil level. Inspect controls and linkage for proper operation. Add oil as necessary.

Fuel Filters - Primary/Secondary - Inspect for damage, leaks, and proper operations. Clean primary filter screen.

Fuel Pressure - Operations check of gauge for correct pressure.

Air Induction and Exhaust System

Air Filter Service Indicator - Note reading. Inspect for proper operation. Reset indicator.

Air Filter – Inspect and clean as necessary. Notify Facility Engineer if replacement is recommended.

Air Inlet System - Inspect piping and air filter housing for damage, loose connections, and evidence of leaks. Clean air filter housing, Check housing seals and gaskets.

Turbocharger - Inspect for oil leakage or exhaust leakage. Check for unusual noises and proper operation.

Exhaust Manifold - Inspect for damage, loose or missing hardware, evidence of exhaust leakage. Inspect for oil slobbering. Notify Facility Engineer if load bank testing is recommended.

Exhaust System - Inspect silencer and piping for damage, corrosion, or leakage. Check rain cap. Check supports for vibration damage and loose connections.

Lube Oil System Oil Level - Inspect for correct oil level and contamination. Visually inspect unit for leaks.

Oil Pressure - Operational check of gauge for correct pressure. Operational and visual inspection of pre-lube pump.

Crankcase Breather - Inspect for proper operation. Check connections and inspect hose for deterioration. Note excessive blow-by.

Scheduled Oil Sample - Obtain live oil sample for analysis.

Starting System Batteries - Inspect for damage or leakage. Clean and tighten all battery cable connections.

Batteries - Specific Gravity - Check electrolyte level and specific gravity. Fill cells with distilled water as necessary.

Battery Charger - Inspect for proper operation, loose terminals, and deteriorated wiring.

Starting Motor - Inspect electrical connections and wiring. For air starters, inspect oil jar and feeder operation. Operational check of abnormal engagement and cranking noises.

Alternator - Inspect for proper operation, loose connections, and mounting hardware. Check belts, pulleys, and voltage output.

Engine Monitors and Safety Controls Safety Controls - Inspect for proper operation, loose connections, and wiring deterioration. Check all safety controls for proper operation.

Remote Annunciators and Alarms - Inspect and test all panel and system alarms for proper operation.

Power Generator Slip Rings and Brushes - Remove and inspect brushes, clean slip rings. Adjust as necessary.

Space Heaters - Inspect for proper operation.

Control Panel Start Controls - Manual/Auto - Operational check for proper operation.

Voltmeter - Operational check for correct readings. Check voltage level, voltage gain, and voltage droop adjustment.

Ammeter - Operational check for correct readings while under load.

Frequency Meter - Operational check for correct readings. Load and no load readings if possible.

SERVICE LEVEL 2 (PM2):

Inspections performed every 12 months.

General Includes all Service Level 1 inspections and services.

Fuel System Fuel Filter - Replace. Inspect for proper sealing and operation.

Lube Oil System Oil and Filters - Change. Inspect all gaskets and seals. Cut open old filter for internal inspection.

S.O.S - Obtain live oil sample for analysis.

Crankcase Breather - inspect and clean.

SF-1449 continued, page 6 of 17

Air Induction and Exhaust System Valve Adjustment - Check and adjust valves as necessary.

Valve Rotators - Operational inspection to ensure proper valve rotation.

Turbocharger - Inspect turbocharger for proper end play of rotating assembly. Check for oil leakage or unusual noises.

Engine Monitors and Safety Controls Gauge Accuracy - Check oil pressure, water temperature, and alternator gauges for accuracy. Notify Facility Engineer if defective instruments are found.

Generator Generator Rear Bearing - Lubricate.

Vibration Isolators - Check for proper adjustment and condition.

Control Panel Circuit Breakers - Inspect free movement.

Automatic Transfer Switch - Inspect.

Control Panel - Vacuum and clean.

Megohmmeter Test Megohmmeter Test - Test main stator, main rotor, exciter stator and exciter rotor. Record data.

Load Bank Test Load Bank Test - Test generator set with load banks for a minimum of one hour. Record data and note engine operating conditions.

SERVICE LEVEL 3 (PM3):

Inspections performed every 36 months.

General Includes all Service Level 1 and Service Level 2 inspections and services. Includes back-up generator capable of fully meeting electrical requirements of health facility.

Cooling System Coolant - Flush, drain, replace coolant and conditioner.

Thermostats - Replace.

Fan Belts - Replace.

Hoses - Replace cooling system hoses.

Starting System Batteries – Check and replace lead acid batteries, if present. Check and test NiCad batteries. Notify Facility Engineer if replacement is recommended.

Alternator Belt - Replace.

Load Bank Test Load Bank Test - Test generator set with load banks for a minimum of four hours. Record data and note engine operating conditions.

PRICING

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.

The contractor’s quote will be accepted in the following format or vendor quote on a vendor letterhead/form:

Start End Annual Amount

Base Period TBD/2025 TBD/2026 $_________

Option Period #1 TBD/2026 TBD/2027 $_________

Option Period #2 TBD/2027 TBD/2028 $_________

Option Period #3 TBD/2028 TBD/2029 $_________

Option Period #4 TBD/2029 TBD/2030 $_________

CONTRACT OFFICER REPRESENTATIVE (COR)

David Steen, 505-256-6804, and Deanne Waconda, 505-256-6802, are hereby designated as the COR for this contract. 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.

EVALUATION CRITERIA

The quote shall 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 stated in Performance Objectives 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 in Performance Objectives of this solicitation are understood and offer a logical approach for their achievement.

FACTORS FOR AWARD

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:

SF-1449 continued, page 7 of 17

1. Conforming to Contractor’s Technical Requirements

a. The Contractor shall provide documentation detailing the following technical requirements and possess the required experience as follows:

i. Have a minimum of five (5) years’ experience in the field of Emergency Generator Services and in the work of inspecting these systems and equipment for compliance with code requirements.

ii. Have successfully performed similar type projects in scope and size within the last two (2) years.

iii. Have Caterpillar Inc. emergency generator certified technicians available to perform scheduled preventative maintenance (PM) services.

iv. Have Caterpillar Inc. emergency generator certified technicians available to respond to and be present on-site to all emergency service calls within 4 hours from the time of the call.

v. Regularly perform work in the New Mexico or Arizona geographical area.

vi. Have the ability, including equipment and personnel, to provide reports required elsewhere in this Scope of Work (SOW) within 15 calendar days after completion of.

2. Past Performance:

a. Documentation must be included with the quote detailing the quality of the offeror's past performance deemed relevant to the requirements of this solicitation within the past 3-5 years. The Government will use information submitted by the offeror and any other sources of information available (including CPARs) to assess past performance. The Government will evaluate past performance on an Acceptable/Unacceptable basis as follows:

b. Submission Instructions: A summary of the Offeror’s past performance providing services relevant to the subject requirements with some portion of performance having been completed in the last three years. The summaries of three relevant projects performed in the last three years shall include:

i. project name, contract and/or task order number;

ii. contract dollar value;

iii. period of performance;

iv. customer point of contact (including name, work number, cell number, and email address);

v. detailed description of work performed;

vi. roles and responsibilities;

vii. the results achieved; and

viii. a narrative that addresses how the work performed is similar in scope and complexity. Customers may be Federal, State, or Local

Government

3. Price

a. The price proposal shall be evaluated to determine the Offeror's ability to carry out its proposed technical approach and indicate that the Offeror understands the nature and extent of the work to be performed.

RELATIVE IMPORTANCE OF EVALUATION CRITERIA

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.

When combined, factors 1-2 are more important than price.

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. Primary COR: David Steen, David.steen@ihs.gov

b. Alternate COR: Deanne Waconda, Deanne.waconda@ihs.gov

c. 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 people 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 mailto:David.steen@ihs.gov mailto:Deanne.waconda@ihs.gov http://www.ipp.gov/

SF-1449 continued, page 8 of 17 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.

CREDIT MEMOS

Credit memos will not be accepted as a form of refund. All refunds are to be submitted via a check addressed to:

Albuquerque Area Indian Health Service Division of Accounts Receivable 4101 Indian School Road NE, Suite 225 Albuquerque, NM 87110

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 (MAY 2024) 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.

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.

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

SF-1449 continued, page 9 of 17

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 (SDVOSB) concern means a small business concern—

(1) (i) Not less than 51 percent of which is owned and controlled 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; or

(2) A small business concern eligible under the SDVOSB Program in accordance with 13 CFR part 128 (see subpart 19.14).

(3) Service-disabled veteran, as used in this definition, 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), and who is registered in the Beneficiary Identification and Records Locator Subsystem, or successor system that is maintained by the Department of Veterans Affairs’ Veterans Benefits Administration, as a service-disabled veteran.

Service-disabled veteran-owned small business (SDVOSB) concern eligible under the SDVOSB Program means an SDVOSB concern that—

(1) Effective January 1, 2024, is designated in the System for Award Management (SAM) as certified by the Small Business Administration (SBA) in accordance with 13 CFR 128.300; or

(2) Has represented that it is an SDVOSB concern in SAM and submitted a complete application for certification to SBA on or before December 31, 2023.

Service-disabled veteran-owned small business (SDVOSB) Program means a program that authorizes contracting officers to limit competition, including award on a sole-source basis, to SDVOSB concerns eligible under the SDVOSB Program.

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 with 13 CFR 124.1001, 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 the threshold at 13 CFR 124.104(c)(2) 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 and controlled 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 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: ____________.]

SF-1449 continued, page 10 of 17

(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) SDVOSB 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 that it □ is, □ is not an SDVOSB concern.

(4) SDVOSB concern joint venture eligible under the SDVOSB Program. The offeror represents that it □ is, □ is not an SDVOSB joint venture eligible under the SDVOSB Program that complies with the requirements of 13 CFR 128.402. [Complete only if the offeror represented itself as an SDVOSB concern in paragraph (c)(3) of this provision.] [The offeror shall enter the name and unique entity identifier of each party to the joint venture: ____________.]

(5) 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 124.1001.

(6) 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.

(7) 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: ____________.]

(8) 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: ____________.] Note to paragraphs (c)(9) and (10): Complete paragraphs (c)(9) and (10) only if this solicitation is expected to exceed the simplified acquisition threshold.

(9) 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.

(10) 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:____________

(11) 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…