75H71026Q00030.pdf

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Asbestos Removal GIMC
Solicitation number
75H71026Q00030
Issued by

About this file

This is a Solicitation/Contract for Commercial Items for asbestos removal services at the Gallup Indian Medical Center in Gallup, New Mexico. The contract (Solicitation Number 75H71026Q00030) is a small business set-aside for removing asbestos-containing floor tiles and mastic in two specific locations: Operating Room No. 5 (Room 2S85) on the 2nd floor and the OR Sterilizer Room (Room 4S71) on the 4th floor of Building 2000. The period of performance is from 01/07/2026 to 02/28/2026, not to exceed 30 days from the Notice to Proceed.

Key requirements include a complete assessment of the areas, removal of all asbestos material in the black mastic adhesive, cleaning the concrete decking for new flooring installation, and ensuring a sterile, clean environment without tripping hazards. The contractor must provide all labor, tools, equipment, and follow strict safety protocols, including creating a regulated work area, using wet removal methods, wearing protective equipment, and conducting air quality testing. The contract is administered by the Gallup Indian Medical Center's Acquisition Department, with a Contracting Officer's Representative (COR) named Hoskie Becenti from the Navajo Area Indian Health Service.

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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

Gallup NM 87301 1808 W. Aztec Avenue Acquisition Department Gallup Indian Medical Center

CODE 16. ADMINISTERED BYCODE

X

X

X

562910

SIZE STANDARD:

100.00 % FOR:SET ASIDE:UNRESTRICTED OR51

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

12/31/2025 1200 ET

12/16/2025

505-930-1975MELISSA LAKE

(No collect calls)

INFORMATION CALL:

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

4. ORDER NUMBER3. AWARD/ 6. SOLICITATION

75H71026Q00030

5. SOLICITATION NUMBER

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

1 33 OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

TELEPHONE NO.

17a. CONTRACTOR/

Gallup NM 87301 516 E. Nizhoni Blvd Gallup Indian Medical Center

15. DELIVER TO

Gallup NM 87301 1808 W. Aztec Avenue Acquisition Department

9. ISSUED BY

7.

2. CONTRACT NO.

EFFECTIVE DATE

$25

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 SCHEDULEX

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)

Gallup Indian Medical Center

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.

**This is a Small Business (SB) set-aside**

This contract is subject to the electronic payment process by the Department of Treasury.

All invoices complying to the requirements at 52.212-4(g) must be submitted through www.ipp.gov For additional information, refer to the incorporated clause at 352.232-71 Electronic Submission of Payment Requests (FEB 2022).

If the Government's and Contractor's terms and (Use Reverse and/or Attach Additional Sheets as Necessary)

HEREIN, IS ACCEPTED AS TO ITEMS:

XX

DATED

MISTY J. BILLY

. 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.

conditions are in conflict, the Government's terms and conditions will prevail.

Period of Performance: 01/07/2026 to 02/28/2026

1 Contractor shall provide services in accordance with Statement of Work - Attachment A

32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

33 2 of

Rev. 11/30/2025

SECTION B – CONTINUATION OF SF-1449

THIS PAGE IS INTENTIONALLY LEFT BLANK

SECTION C – CONTRACT CLAUSES

52.212-4 CONTRACT TERMS AND CONDITIONS –

COMMERCIAL PRODUCTS AND COMMERCIAL

SERVICES

NOV 2025

(DEVIATION)

The following Federal Acquisition Regulation clauses also apply:

52.203-3 GRATUITIES APR 1984

52.203-6 RESTRICTIONS ON SUBCONTRACTOR SALES TO THE GOVERNMENT Alt I

NOV 2021

52.203-12 LIMITATION OF PAYMENTS TO INFLUENCE CERTAIN FEDERAL

TRANSACTIONS

JUN 2020

52.203-13 CONTRACTOR CODE OF BUSINESS ETHICS AND CONDUCT NOV 2021

52.203-16 PREVENTING PERSONAL CONFLICTS OF INTEREST JUN 2020

52.203-17 CONTRACTOR EMPLOYEE WHISTLEBLOWER RIGHTS NOV 2023

52.203-19 PROHIBITION ON REQUIRING CERTAIN INTERNAL CONFIDENTIALITY

AGREEMENTS OR STATEMENTS

JAN 2017

52.204-9 PERSONAL IDENTITY VERIFICATION OF CONTRACTOR PERSONNEL JAN 2011

52.204-13 SYSTEM FOR AWARD MANAGEMENT MAINTENANCE NOV 2025

(DEVIATION)

52.204-14 SERVICE CONTRACT REPORTING REQUIREMENTS NOV 2025

(DEVIATION)

52.204-15 SERVICE CONTRACT REPORTING REQUIREMENTS FOR INDEFINITE-

DELIVERY CONTRACTS

NOV 2025

(DEVIATION)

52.204-91 CONTRACTOR IDENTIFICATION NOV 2025

(DEVIATION)

52.209-6 PROTECTING THE GOVERNMENT’S INTEREST WHEN

SUBCONTRACTING WITH CONTRACTORS DEBARRED, SUSPENDED, OR

PROPOSED FOR DEBARMENT

NOV 2025

(DEVIATION)

52.209-9 UPDATES OF PUBLICLY AVAILABLE INFORMATION REGARDING

RESPONSIBILITY MATTERS

NOV 2025

(DEVIATION)

52.209-10 PROHIBITION ON CONTRACTING WITH INVERTED DOMESTIC

CORPORATIONS

NOV 2025

(DEVIATION)

52.213-1 RESERVED

52.219-3 NOTICE OF HUBZONE SET-ASIDE OR SOLE-SOURCE AWARD NOV 2025

(DEVIATION)

52.219-6 NOTICE OF TOTAL SMALL BUSINESS SET-ASIDE NOV 2025

52.219-6 Alt I

NOTICE OF TOTAL SMALL BUSINESS SET-ASIDE, WITH ALTERNATE I NOV 2025

(DEVIATION)

52.219-7 NOTICE OF PARTIAL SMALL BUSINESS SET-ASIDE NOV 2020

52.219-7 Alt I

NOTICE OF PARTIAL SMALL BUSINESS SET-ASIDE, WITH ALTERNATE I MAR 2020

52.219-8 UTILIZATION OF SMALL BUSINESS CONCERNS NOV 2025

(DEVIATION)

52.219-9 SMALL BUSINESS SUBCONTRACTING PLAN NOV 2025

(DEVIATION)

52.219-9 Alt I

SMALL BUSINESS SUBCONTRACTING PLAN, WITH ALTERNATE I NOV 2025

(DEVIATION)

52.219-9 Alt II

SMALL BUSINESS SUBCONTRACTING PLAN, WITH ALTERNATE II NOV 2025

(DEVIATION)

52.219-9 Alt III

SMALL BUSINESS SUBCONTRACTING PLAN, WITH ALTERNATE III NOV 2025

(DEVIATION)

52.219-9 Alt IV

SMALL BUSINESS SUBCONTRACTING PLAN, WITH ALTERNATE IV NOV 2025

(DEVIATION)

52.219-13 NOTICE OF SET-ASIDE OF ORDERS MAR 2020

52.219-13 Alt I

RESERVED

52.219-16 LIQUIDATED DAMAGES—SUBCONTRACTING PLAN NOV 2025

(DEVIATION)

52.219-27 NOTICE OF SET-ASIDE FOR, OR SOLE-SOURCE AWARD TO, SERVICE-

DISABLED VETERAN-OWNED SMALL BUSINESS (SDVOSB) CONCERNS

ELIGIBLE UNDER THE SDVOSB PROGRAM

NOV 2025

(DEVIATION)

52.219-28 POSTAWARD SMALL BUSINESS PROGRAM REREPRESENTATION NOV 2025

(DEVIATION)

52.219-28 Alt I

POSTAWARD SMALL BUSINESS PROGRAM REREPRESENTATION, WITH

ALTERNATE I

NOV 2025

(DEVIATION)

52.219-29 NOTICE OF SET-ASIDE FOR, OR SOLE-SOURCE AWARD TO,

ECONOMICALLY DISADVANTAGED WOMEN-OWNED SMALL BUSINESS

CONCERNS

NOV 2025

(DEVIATION)

52.219-30 NOTICE OF SET-ASIDE FOR, OR SOLE-SOURCE AWARD TO, WOMEN-

OWNED SMALL BUSINESS CONCERNS ELIGIBLE UNDER THE WOMEN-

OWNED SMALL BUSINESS PROGRAM

NOV 2025

(DEVIATION)

52.219-32 ORDERS ISSUED DIRECTLY UNDER SMALL BUSINESS RESERVES MAR 2020

52.219-33 NONMANUFACTURER RULE NOV 2025

(DEVIATION)

52.222-3 CONVICT LABOR NOV 2025

(DEVIATION)

52.222-19 CHILD LABOR—COOPERATION WITH AUTHORITIES AND REMEDIES NOV 2025

(DEVIATION)

52.222-35 EQUAL OPPORTUNITY FOR VETERANS NOV 2025

(DEVIATION)

52.222-36 EQUAL OPPORTUNITY FOR WORKERS WITH DISABILITIES NOV 2025

52.222-36

ALT I

EQUAL OPPORTUNITY FOR WORKERS WITH DISABILITIES, WITH

ALTERNATE I

JUL 2014

52.222-37 EMPLOYMENT REPORTS ON VETERANS NOV 2025

(DEVIATION)

52.222-40 NOTIFICATION OF EMPLOYEE RIGHTS UNDER THE NATIONAL LABOR

RELATIONS ACT

NOV 2025

(DEVIATION)

52.222-41 SERVICE CONTRACT LABOR STANDARDS NOV 2025

(DEVIATION)

52.222-43 FAIR LABOR STANDARDS ACT AND SERVICE CONTRACT LABOR

STANDARDS-PRICE ADJUSTMENT (MULTIPLE YEAR AND OPTION

CONTRACTS)

NOV 2025

(DEVIATION)

52.222-44 FAIR LABOR STANDARDS ACT AND SERVICE CONTRACT LABOR

STANDARDS-PRICE ADJUSTMENT

NOV 2025

(DEVIATION)

52.222-50 COMBATING TRAFFICKING IN PERSONS NOV 2025

(DEVIATION)

52.222-50 Alt I

COMBATING TRAFFICKING IN PERSONS NOV 2025

(DEVIATION)

52.222-51 EXEMPTION FROM APPLICATION OF THE SERVICE CONTRACT LABOR

STANDARDS TO CONTRACTS FOR MAINTENANCE, CALIBRATION, OR

REPAIR OF CERTAIN EQUIPMENT—REQUIREMENTS

NOV 2025

(DEVIATION)

52.222-53 EXEMPTION FROM APPLICATION OF THE SERVICE CONTRACT LABOR

STANDARDS TO CONTRACTS FOR CERTAIN SERVICES—

REQUIREMENTS

NOV 2025

(DEVIATION)

52.222-54 EMPLOYMENT ELIGIBILITY VERIFICATION NOV 2025

(DEVIATION)

52.222-55 MINIMUM WAGES FOR CONTRACTOR WORKERS UNDER EXECUTIVE

ORDER 14026

NOV 2025

(DEVIATION)

52.222-62 PAID SICK LEAVE UNDER EXECUTIVE ORDER 13706 NOV 2025

(DEVIATION)

52.223-2 REPORTING OF BIOBASED PRODUCTS UNDER SERVICE AND

CONSTRUCTION CONTRACTS

NOV 2025

(DEVIATION)

52.223-5 POLLUTION PREVENTION AND RIGHT-TO-KNOW INFORMATION MAY 2024

52.223-11 OZONE-DEPLETING SUBSTANCES NOV 2025

(DEVIATION)

52.223-12 MAINTENANCE, SERVICE, REPAIR, OR DISPOSAL OF REFRIGERATION

EQUIPMENT AND AIR CONDITIONERS

NOV 2025

(DEVIATION)

52.223-23 SUSTAINABLE PRODUCTS NOV 2025

(DEVIATION)

52.224-1 PRIVACY ACT NOTIFICATION APR 1984

52.224-2 PRIVACY ACT APR 1984

52.224-3 PRIVACY TRAINING JAN 2017

52.224-3

ALT I

PRIVACY TRAINING, ITH ALTERNATE I JAN 2017

52.225-1 BUY AMERICAN-SUPPLIES NOV 2025

52.225-1 Alt I

BUY AMERICAN-SUPPLIES, WITH ALTERNATE I OCT 2022

52.225-3 BUY AMERICAN-FREE TRADE AGREEMENTS-ISRAELI TRADE ACT NOV 2025

(DEVIATION)

52.225-3

ALT I

RESERVED

52.225-3 Alt II

BUY AMERICAN-FREE TRADE AGREEMENTS-ISRAELI TRADE ACT,

WITH ALTERNATE II

NOV 2025

(DEVIATION)

52.225-3 Alt III

BUY AMERICAN-FREE TRADE AGREEMENTS-ISRAELI TRADE ACT,

WITH ALTERNATE III

NOV 2025

(DEVIATION)

52.225-3 Alt IV

BUY AMERICAN-FREE TRADE AGREEMENTS-ISRAELI TRADE ACT,

WITH ALTERNATE IV

NOV 2025

(DEVIATION)

52.225-5 TRADE AGREEMENTS NOV 2023

52.225-14 INCONSISTENCY BETWEEN ENGLISH VERSION AND TRANSLATION OF

CONTRACT

FEB 2000

52.225-19 CONTRACTOR PERSONNEL IN A DESIGNATED OPERATIONAL AREA OR

SUPPORTING A DIPLOMATIC OR CONSULAR MISSION OUTSIDE THE

UNITED STATES

MAY 2020

52.225-26 CONTRACTORS PERFORMING PRIVATE SECURITY FUNCTIONS

OUTSIDE THE UNITED STATES

OCT 2016

52.226-1 UTILIZATION OF INDIAN ORGANIZATIONS AND INDIAN-OWNED

ECONOMIC ENTERPRISES

NOV 2025

(DEVIATION)

52.226-5 RESTRICTIONS ON SUBCONTRACTING OUTSIDE DISASTER OR

EMERGENCY AREA

NOV 2025

(DEVIATION)

52.226-6 PROMOTING EXCESS FOOD DONATION TO NONPROFIT

ORGANIZATIONS

NOV 2025

(DEVIATION)

52.226-8 ENCOURAGING CONTRACTOR POLICIES TO BAN TEXT MESSAGING

WHILE DRIVING

MAY 2024

52.229-12 TAX ON CERTAIN FOREIGN PROCUREMENTS AUG 2025

(DEVIATION)

52.232-18 AVAILABILITY OF FUNDS APR 1984

52.232-29 TERMS FOR FINANCING OF COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES

NOV 2021

52.232-30 INSTALLMENT PAYMENTS OF COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES

NOV 2021

52.232-33 PAYMENT BY ELECTRONIC FUNDS TRANSFER—SYSTEM FOR AWARD

MANAGEMENT

OCT 2018

52.232-34 PAYMENT BY ELECTRONIC FUNDS TRANSFER—OTHER THAN SYSTEM

FOR AWARD MANAGEMENT

JUL 2013

52.232-36 PAYMENT BY THIRD PARTY NOV 2025

(DEVIATION)

52.232-40 PROVIDING ACCELERATED PAYMENTS TO SMALL BUSINESS

SUBCONTRACTORS

MAR 2023

52.232-90 FAST PAYMENT PROCEDURE NOV 2025

(DEVIATION)

52.233-3 PROTEST AFTER AWARD NOV 2025

52.233-4 APPLICABLE LAW FOR BREACH OF CONTRACT CLAIM NOV 2025

(DEVIATION)

52.237-2 PROTECTION OF GOVERNMENT BUILDING, EQUIPMENT, AND

VEGETATION

APR 1984

52.237-3 CONTINUITY OF SERVICES JAN 1991

52.240-91 SECURITY PROHIBITIONS AND EXCLUSIONS NOV 2025

(DEVIATION)

52.240-91 Alt I

SECURITY PROHIBITIONS AND EXCLUSIONS, WITH ALTERNATE I NOV 2025

(DEVIATION)

52.240-92 SECURITY REQUIREMENTS NOV 2025

(DEVIATION)

52.240-92 Alt II

SECURITY REQUIREMENTS WITH ALTERNATE II NOV 2025

(DEVIATION)

52.240-93 BASIC SAFEGUARDING OF COVERED CONTRACTOR INFORMATION

SYSTEMS

NOV 2025

(DEVIATION)

52.242-5 PAYMENTS TO SMAL BUSINESS SUBCONTRACTORS JAN 2017

52.242-13 BANKRUPTCY JUL 1995

52.244-2 SUBCONTRACTS JUN 2020

52.244-6 SUBCONTRACTS FOR COMMERCIAL PRODUCTS AND COMMERCIAL

SERVICES

NOV 2025

(DEVIATION)

52.245-1 GOVERNMENT PROPERTY SEP 2021

52.245-2 GOVERNMENT PROPERTY INSTALLATION OPERATION SERVICES APR 2012

52.245-9 USE AND CHARGES APR 2012

52.247-64 PREFERENCE FOR PRIVATELY OWNED U.S.-FLAG COMMERCIAL

VESSELS

NOV 2025

(DEVIATION)

52.247-64 Alt I

PREFERENCE FOR PRIVATELY OWNED U.S.-FLAG COMMERCIAL

VESSELS, WITH ALTERNATE I

APR 2003

52.247-64 Alt II

PREFERENCE FOR PRIVATELY OWNED U.S.-FLAG COMMERCIAL

VESSELS, WITH ALTERNATE II

NOV 2021

52.222-42 STATEMENT OF EQUIVALENT RATES FOR

FEDERAL HIRES

MAY 2014

In compliance with the Service Contract Labor Standards statute and the regulations of the Secretary of Labor (29 CFR Part 4), this clause identifies the classes of service employees expected to be employed under the contract and states the wages and fringe benefits payable to each if they were employed by the contracting agency subject to the provisions of 5 U.S.C.5341 or 5 332.

THIS STATEMENT IS FOR INFORMATION ONLY: IT IS NOT A WAGE DETERMINATION

Grade Hourly Rate Fringes

GS 5 $18.00 26%

(End of Clause)

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(es):

Revolutionary FAR Overhaul - FAR Overhaul - FAR Part Deviation Guidance | Acquisition.GOV

Federal Acquisition Regulation - https://www.acquisition.gov/browse/index/far

Department of Health and Human Services Acquisition Regulation – https://www.acquisition.gov/hhsar

(End of clause)

52.252-6 AUTHORIZED DEVIATIONS IN CLAUSES NOV 2020

(a)The use in this solicitation or contract of any Federal Acquisition Regulation (48 CFR Chapter 1) clause with an authorized deviation is indicated by the addition of "(DEVIATION)" after the date of the clause.

(b)The use in this solicitation or contract of any Department of Health and Human Services (48 CFR Chapter 3) clause with an authorized deviation is indicated by the addition of "(DEVIATION)" after the name of the regulation.

(End of clause)

The following Department of Health and Human Services Acquisition Regulation clauses also apply:

352.203-70 ANTI-LOBBYING DEC 2015

352.208-70 PRINTING AND DUPLICATION DEC 2015

352.211-3 PAPERWORK REDUCTION ACT DEC 2015

352.219-71 MENTOR-PROTÉGÉ PROGRAM REPORTING REQUIREMENTS JAN 2010

352.223-70 SAFETY AND HEALTH DEC 2015

352.224-70 PRIVACY ACT DEC 2015

352.226-6 INDIAN ECONOMIC ENTERPRISE SUBCONTRACTING

LIMITATIONS

MAR 2022

352.227-70 PUBLICATIONS AND PUBLICITY DEC 2015

352.231-70 SALARY RATE LIMITATION DEC 2015

352.237-70 PRO-CHILDREN ACT DEC 2015

352.237-71 CRIME CONTROL ACT – REPORTING OF CHILD ABUSE DEC 2015

352.237-72 CRIME CONTROL ACT – REQUIREMENTS FOR BACKGROUND

CHECKS

DEC 2015

352.237-73 INDIAN CHILD PROTECTION AND FAMILY VIOLENCE ACT DEC 2015

352.232-71 ELECTRONIC SUBMISSION OF PAYMENT

REQUESTS

FEB 2022

(a) Definitions. As used in this clause –

Payment request means a bill, voucher, invoice, or request for contract financing payment with associated supporting documentation. The payment request must comply with the requirements identified in FAR 32.905(b), “Content of Invoices” and the applicable Payment clause included in this contract.

(b) Except as provided in paragraph (c) of this clause, the Contractor shall submit payment requests electronically using the Department of Treasury Invoice Processing Platform (IPP) or successor system. Information regarding IPP, including IPP Customer Support contact information, is available at www.ipp.gov or any successor site.

(c) The Contractor may submit payment requests using other than IPP only when the Contracting Officer authorizes alternate procedures in writing in accordance with HHS procedures.

(d) If alternate payment procedures are authorized, the Contractor shall include a copy of the Contracting Officer’s written authorization with each payment request.

The following local Indian Health Service, Navajo Area terms also apply:

NAIHS-ACQ-08 CONTRACTING OFFICER’S REPRESENTATIVE NOV 2025

(a) Definition. “Contracting Officer’s Representative (COR)” means an individual, including a contracting officer’s technical representative (COTR), designated and authorized in writing by the contracting officer to perform specific technical or administrative functions.

(b) Per FAR Subpart 1.404(a): The Contracting Officer (CO) determines that this contract requires a Contracting Officer Representative (COR).The Contracting Officer Representative (COR) is:

Hoskie Becenti, 505-722-1502, Hoskie.Becenti@ihs.gov

(c) Upon award, the COR will receive a copy of the written designation, specifying the extent of the COR’s authority on behalf of the CO.

(d) Limitations.

(1) The COR has no authority to make any commitments or changes that affect price, quality, quantity, delivery, or other terms and conditions of the contract.

(2) The COR must not direct the contractor or its subcontractors to operate in conflict with the contract terms and conditions.

NAIHS-ACQ-09 UNAUTHORIZED COMMITMENTS NOV 2025

(a) Definitions.

Contracting Officer means a person with the authority to enter into, administer, and/or terminate contracts and make related determination and findings.

Ratification means the act of approving an unauthorized commitment by an official who has the authority to do so.

Unauthorized Commitment (UAC) means an agreement that is not binding solely because the Government representative who made it lacked the authority to enter into that agreement on behalf of the Government.

(b) Policy.

The Government is not bound by agreements with, or contractual commitments made to, prospective contractors by individuals who do not have delegated contracting authority. Unauthorized commitments do not follow the appropriate process for the expenditure of Government funds. Consequently, the Government may not be able to ratify certain actions, putting a contractor at risk for taking direction from a Federal official other than the contracting officer (see FAR 1.403-2) Government employees responsible for unauthorized commitments are subject to disciplinary action. Contractors perform at their own risk when accepting direction from unauthorized officials. Failure to follow statutory and regulatory processes for the expenditure of Government funds is a very serious matter.

(c) Procedure.

Any agreement, modification, or change to a contractual agreement made by a government personnel who lack authority will be deemed an unauthorized commitment. The Government is not liable to the Contractor or under the terms of the contract, financially or otherwise – unless the unauthorized commitment successfully passes the ratification process.

The ratification process does not have any lead time, nor does the Government make any promise that an unauthorized commitment will be ratified and, therefore, the Contractor would be paid. The Contractor proceeds at its own risk if any of the terms of the contract are altered, changed, or modified without the written concurrence by a Contracting Officer.

NAIHS-ACQ-19 REAL ID ACT MAY 2025

In alignment with the Department of Homeland Security (DHS) and the Transportation Security Administration (TSA), the U.S. Department of Health and Human Services (HHS) will fully implement and enforce REAL ID Act requirements for all HHS facility access beginning May 7, 2025. All individuals entering HHS-owned, leased, or operated facilities must present a REAL ID-compliant credential or another federally approved form of identification. Below is the list of acceptable forms of ID.

• State-issued Enhanced Driver’s License

• U.S. passport

• U.S. passport card

• DHS trusted traveler cards (Global Entry, NEXUS, SENTRI, FAST)

• U.S. Department of Defense ID, including IDs issued to dependents

• Permanent resident card

• Border crossing card

• An acceptable photo ID issued by a federally recognized Tribal Nation/Indian Tribe, including Enhanced

Tribal Cards (ETCs)

• HSPD-12 PIV card

• Foreign government-issued passport

• Canadian provincial driver's license or Indian and Northern Affairs Canada card

• Transportation worker identification credential

• U.S. Citizenship and Immigration Services Employment Authorization Card (I-766)

• U.S. Merchant Mariner Credential

• Veteran Health Identification Card (VHIC)

(End of clause)

SECTION D – DOCUMENTS, EXHIBITS, ATTACHMENTS, ETC.

Attachment A – Statement of Work

Attachment B – Department of Labor Wage Determinations

Attachment A

Gallup Indian Medical Center

General Surgery OR-5 (2S85) and OR Sterilizer (4S71) Asbestos Removal

STATEMENT OF WORK

1. Project Title

1.1. Gallup Indian Medical Center, General Surgery, OR-5 and OR Sterilizer Room Asbestos Removal.

2. Introduction

2.1. The Gallup Indian Medical Center (GIMC) campus is located in Gallup, New Mexico. It is one of the oldest and largest medical facilities for the Navajo Nation. It is a five (5) story facility with a total gross of 220,925 square feet. It has four floors with utility infrastructure that is 30 + years old. GIMC’s Facility Maintenance Department is requesting a licensed contractor to remove and replace the existing floor tiles in the General Surgery, Operating Room No. 5, Room #2S85.

3. Background

3.1. The Operating Room No. 5 (2S85) is approximately 18’-7” X 16’-8” totaling 307.13 square feet. The existing 9”X9” floor tiles are old and have exceeded the expectancy of use. The existing tiles are and are slowly popping up and are not staying secure as they should be.

It’s these tiles that need replacement.

3.2. The OR Sterilizer Room No. (4S71) contaminated area is approximately 5’-0” X 10’-0” totaling 500 square feet. The existing 12”X12” vinyl tiles had water penetrate below the existing tiles and began to become loose and potentially exposing the mastic adhesive below that contains asbestos.

4. Objectives

4.1. To remove all asbestos material in the black mastic adhesive in the flooring. To provide clean floor space for the installation of new flooring. To achieve floor space that is sterile, clean durable, cleans easily and open environment for the cases to be held in the room to treat patients without tiles coming loose, popping up or creating any tripping hazards and exposure to hazardous materials.

5. Scope

5.1. The contractor is to perform a complete assessment and field verify the conditions of the project statement of work to remove all asbestos material at the project location at Bldg 2000, 2nd floor and OR-5 (2S85) and take measurements to calculate the amount of materials needing to be removed for asbestos abatement of the existing 9”X9” tiles and the black mastic adhesive, and clean the concrete decking for new flooring to be installed, compile a complete cost estimate and schedule timeline of the work that is needed to complete the work.

5.2. The contractor is to perform a complete assessment and field verify the conditions of the project statement of work to remove all asbestos material at the project location at Bldg

2000, 4th floor, OR Sterilizer (4S71) in the Pediatric Department and take measurements to calculate the amount of materials needing to be removed for asbestos abatement of the black mastic adhesive used to secure the 12”X12” on the floor. Clean the concrete decking for new flooring to be installed, compile a complete cost estimate and schedule timeline of the work that is needed to complete the work.

5.3. The Contractor shall provide a competent supervisor to oversee the crew and the asbestos removal work, and workmanship as the work is being done.

5.4. The Contractor shall remove all debris in an enclosed plastic bag and place it into a sealed container to be removed from the OR, in the General Surgery Department and OR Sterilizer in the Pediatric Department from the building and disposed of accordingly at a certified landfill receiving asbestos material.

5.5. The contractor is to provide all parts, labor, tools, equipment, and all project needs to perform the services requested.

5.6. The contractor’s responsibility is to obtain the project material list, specifications, codes and requirements with all other critical project information to meet the project goal.

5.7. The contractor shall identify, and present known issues concerning the removal of asbestos to Facility Maintenance immediately upon discovery. GIMC Facility Maintenance will provide plans and building information as requested by Facility Maintenance for support.

5.8. The contractor is to provide recommendations to GIMC on other “high risk of exposure” items that should be noted or replaced during this project.

5.9. The contractor should be prepared to respond to other issues that may arise during the process of the work. This should include but not limited to the following:

5.9.1. All required parts, materials, labor, tools, equipment, and all projects need to meet the project goal.

5.9.2. All asbestos removal services provided by the contractor shall be expedited to be completed within the Period of Performance (POP).

5.10. The contractor should provide workmanship of the highest quality, with a warranty period of one (1) year.

6. Period of Performance

6.1. The contract Period of Performance shall commence upon the issuance of Notice To

Proceed (NTP) and shall not exceed thirty (30) days.

7. Place of Performance

7.1. Gallup Indian Medical Center, 516 E. Nizhoni Boulevard, Gallup, New Mexico.

7.2. Main hospital - Building #2000, 2nd floor, General Surgery Department, Operating Room

#5 (2S85).

7.3. Main Hospital – Building #2000, 4th floor, OR Sterilizer in the Pediatrics Department, Room (4S71).

8. Deliverables/Delivery Schedule

8.1. The Contractor shall thoroughly review sample testing report provided by Fiberquant Analytical Services; Job Number: 202504440, dated; May 6, 2025, to determine the type and level of asbestos found within the location of services requested.

8.2. The Contractor shall coordinate all work activities and services and provide all required data, to DOHSM.

8.3. The Contractor shall devise a timeline, schedule, means and methods to complete the work safely and in agreement with GIMC.

8.4. The Contractor shall follow the plan set up by the industrial hygienist. It should include details of the area will be treated, preparation and clean up. It shall also include details for the contractor to abide by all local, state and federal laws during the asbestos abatement.

8.5. The contractor should expect working normal business hours (8AM -4:30PM), The Contractor shall provide a written request in advance to work after hours (4:30PM - 8AM), and weekend work for this project.

8.6. The Contractor shall mark and identify the hazardous area and inform all the occupants to stay clear of the area until all the work has been completed.

8.7. The Contractor shall set up a regulated work area, with all air ducts closed and sealed for an airtight seal with thick plastic sheets to provide sufficient air pressure differential and filtration. DOHSM and Safety shall inspect the work area preparation prior to the abatement work to begin and actual asbestos material removal.

8.8. Removal of the asbestos material from the hazardous locations, the Contractor will use hand tools and the wet method to remove the tiles and mastic material containing asbestos. The contractor shall wear protective personal equipment (PPE) with safety glasses, and respirators to protect themselves during the removal process. All contaminated materials will be placed in a plastic bag, they will all be taped, sealed and removed through a decontamination unit, with a protective lining. The Contractor shall also create a decontamination chamber attached to the contaminated work area, with a temporary shower when exiting the contaminated work area.

8.9. The Contractor shall provide and maintain air quality in the work area by utilizing a HEPA (High Efficiency Particulate Air) filtration system designed and intended for asbestos removal. The Contractor shall remove filter and place in a plastic bag, taped sealed for removal and disposal when the work is completed.

8.10. A thought-out plan to resolve situations of an unexpected issue and/or failures if these were to occur.

8.11. The Contractor is to remove all existing old 9”X9” tiles, turn up base in OR-5, 12”X12” vinyl tiles and black mastic at both locations for a clear and clean concrete surface for new flooring to be installed.

8.12. The Contractor shall clean and prepare the concrete deck flooring and wall base to receive the new vinyl roll flooring.

8.13. When all asbestos contaminated material is removed, the Contractor shall fully clean all areas, surfaces with the wet method and HEPA vacuuming. The Industrial hygienist shall inspect and conduct an air quality sampling pursuant to state and federal requirements prior to clearing of the work area. All barriers and air filtration systems shall remain until the air quality testing is completed and the work area meets all the clearance requirements set forth by the abatement work plan reviewed and approved by DOHSM.

8.14. Post cleanup after all the abatement work has been completed, the air quality testing has been cleared. The Contractor can remove all barriers, clean the work area again, using the HEPA vacuum. The Contractor shall provide a full written report of all the contaminated waste, shipping records, permits, site logs and copies of any and all licensing pertinent to the work completed. DOHSM Industrial Hygienist shall inspect all the reports and supporting documents, these reports must be kept for compliance for environmental regulations.

9. Security

9.1. The contractor shall notify facility maintenance and check in with security to receive badges to enter premises prior to commencing the work each day until the work is completed. The Contractor shall coordinate work during off business hours, to ensure the safety of all parties of any thief, damage and injuries to personnel if need be.

9.2. Gallup Indian Medical Center requires all Contactors and their personnel to check in for access to sensitive areas within the hospital facility during the performance of work that is to be done.

9.3. The contractor shall notify facility maintenance, Point Of contact (POC), when they are prepared to do the work in accordance with this request.

10. Inspection & Acceptance Criteria

10.1. Safety – The contractor shall provide all safety and work area barriers in areas where employees and patients are present in public areas. Facility Maintenance provide minimum traffic guides at all times during work and provide and install construction warning signs when work is in progress. Facility Maintenance shall be responsible for coordinating barriers with Infection Control, Safety, Risk Management and facility maintenance while work is in progress.

10.2. The contractor shall maintain a safe environment at all times during normal work hours, after work hours, and weekends at GIMC for the duration of the project and while work is in progress.

10.3. Quality Assurance – The contractor shall provide the highest quality of materials as described. The Contractor shall also ensure that all work is completed to the highest standards for healthcare and medical services. Quality assurance may also be required as part of the inspection services needed for work to be accepted and completed by Navajo Area Office and Gallup Indian Medical Center DOSHM.

10.4. Inspection – The government has a right to inspect all aspects of the work performed. Final inspection will be based on an acceptable final inspection.

10.5. Quality of Workmanship – The contractor shall provide and perform the highest level of quality workmanship for the trade and craft as described. All work must conform to and comply with the latest edition of ALL applicable codes including but not limited to AIA, OSHA, NFPA, IBC, FGI Guidelines for Design and Construction of Health Care Facilities 2022. All testing shall be provided by the third party to verify all work complies; a copy of the report shell be delivered to GIMC POC.

10.6. The contractor shall maintain a safe environment at all times during the normal business hours to complete the work and after hours to complete the work at GIMC Facility Maintenance Department for the duration of the project and while work is in progress.

11. Execution

11.1. All activities shall be coordinated with GIMC Contracting Officer (CO), Point of Contact (POC), and Facility Maintenance, to ensure that there are no detrimental impacts to the facility on a day-to-day operational basis of the hospital.

11.2. Daily review and progress of the work shall be done to ensure there is no deficiency in the workmanship or materials while the work is being done and completed.

12. Key Personnel

12.1. COR (Contracting Officer Representative), DOHSM

12.1.1. Hoskie Becenti

Boiler USRO Gallup Service Unit-Gallup Indian Medical Center

(505) 722-1502

12.1.2. Benjamin Williams, POC #1

Maintenance Mechanic Supervisor – Acting Facility Manager Gallup Service Unit – Gallup Indian Medical Center 505-722-1557

12.1.3. Navajo Area Office-DOHSM (Division of Occupational Health & Safety Management)

Timothy Denherder Industrial Hygienist Navajo Area Office

(928) 871-1318 Yolanda Williams, Institutional Environmental Control Officer Navajo Aea Office

(928) 871-5881 Shirley Peaches, Institutional Environmental Health Officer Navajo Aea Office

(928) 779-2721 X-180

12.1.4. Arthur Moore, POC #2

Construction Inspector/Project Manager Gallup Service Unit – Gallup Indian Medical Center

(505) 722-1555

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