75H71126Q00010.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

303IHSOKLAHOMACITY CODE 16. ADMINISTERED BYCODE

X

X

423450

SIZE STANDARD:

% FOR:SET ASIDE:UNRESTRICTED OR303

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

06/10/2026 1330 CS

05/27/2026

4059513701RONAY ENGLISH

(No collect calls)

INFORMATION CALL:

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

4. ORDER NUMBER3. AWARD/ 6. SOLICITATION

75H71126Q00010

5. SOLICITATION NUMBER

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

1 42 OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

TELEPHONE NO.

17a. CONTRACTOR/

15. DELIVER TO

Oklahoma City OK 73114

701 Market Drive

9. ISSUED BY

7.

2. CONTRACT NO.

EFFECTIVE DATE

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)

Oklahoma City Area IHS WOMEN-OWNED SMALL

BUSINESS (WOSB)

ECONOMICALLY DISADVANTAGED

WOMEN-OWNED SMALL

BUSINESS (EDWOSB)

OKLAHOMA CITY OK 73114

701 MARKET DRIVE

IHSOKLAHOMACITY

Oklahoma City OK 73114

701 Market Drive

Oklahoma City Area IHS

24.

AMOUNT

23.

UNIT PRICE

22.

UNIT

21.

QUANTITY

20.

SCHEDULE OF SUPPLIES/SERVICES

19.

ITEM NO.

BLANKET PURCHASE AGREEMENT (BPA) FOR HEALTHCARE

SIMULATION TRAINING SERVICES FOR ALL TWELVE AREAS

OF THE INDIAN HEALTH SERVICE IN ACCORDANCE WITH

ATTACHED STATEMENT OF WORK, PRICE LISTING, AND

FAR/HHSAR CLAUSES.

Delivery: 06/30/2031 Period of Performance: 07/01/2026 to 06/30/2031

1 07/01/2026 - 06/30/2031 --VENDOR SHALL PROVIDE

IHS WIDE SIMULATION TRAINING SERVICES CONTRACT IN

Continued ...

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

HEREIN, IS ACCEPTED AS TO ITEMS:

DATED

SEAN L. LONG

. 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.

ACCORDANCE WITH SECTION B AND C

32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

42 2 of

PART I, SECTION B – PRICING SCHEDULE

Indian Health Service In-Situ Simulation Educational Program Pricing

This document outlines the pricing structure for in-situ simulation-based educational experiences. These sessions are designed to enhance healthcare delivery and outcomes through realistic, immersive training directly at healthcare facilities.

One-Site Engagement Pricing

Provide detailed pricing based on the duration of the engagement and the contract term:

Contract Term

Per 1-Day Engagement

Per 2-Day Engagement

Per 3-Day Engagement

Per 4-Day Engagement

Per 5-Day Engagement

YEAR ONE

(BASE)

Adult Sim OB Sim Pediatric Sim

YEAR TWO

Adult Sim OB Sim Pediatric Sim

YEAR

THREE

Adult Sim OB Sim Pediatric Sim

YEAR FOUR

Adult Sim OB Sim Pediatric Sim

YEAR FIVE

Adult Sim OB Sim Pediatric Sim

Two-Site Engagement Pricing

Provide pricing for healthcare facilities that coordinate training in the same week with another site. Each location will receive training at their individual location. Pricing is provided per site, with engagements on consecutive days:

Contract Term

Per 1-Day Engagement, Per Site (2 Total Days)

Per 2-Day Engagement, Per Site (4 Total Days)

Per 3-Day Engagement, Per Site (6 Total Days)

YEAR ONE

(BASE)

Adult Sim OB Sim Pediatric Sim

YEAR TWO

Adult Sim OB Sim Pediatric Sim

YEAR

THREE

Adult Sim

Pediatric Sim

YEAR FOUR

Adult Sim OB Sim Pediatric Sim

YEAR FIVE

Adult Sim OB Sim Pediatric Sim

Three-Site Engagement Pricing

Provide pricing for healthcare facilities that coordinate training in the same week with two additional sites. Each location will receive training on consecutive days. Pricing is provided per site:

Contract Term Per 1-Day Engagement, Per Site (3 Total Days)

YEAR ONE (BASE)

Adult Sim OB Sim Pediatric Sim

YEAR TWO

Adult Sim

Pediatric Sim

YEAR THREE

Adult Sim OB Sim Pediatric Sim

YEAR FOUR

Adult Sim OB Sim Pediatric Sim

YEAR FIVE

Adult Sim OB Sim Pediatric Sim

***TRAVEL WILL BE IN ACCORDANCE WITH FTR AS A SEPARATE LINE ITEM ***

END OF SECTION B

PART I, SECTION C – DESCRIPTION/SPECIFICATIONS/STATEMENT OF WORK

Department of Health and Human Services Indian Health Service

Indian Health Services Area Statement of Work (SOW)

Healthcare Simulation Education, Training, and Data Metrics

1. PURPOSE OF THE PROJECT

The Indian Health Services (IHS) has a requirement for a healthcare simulation experiences (HSE) for all twelve (12) areas which include: Alaska, Albuquerque, Bemidji, Billings, California, Great Plains, Nashville, Navajo, Oklahoma, Phoenix, Portland, and Tucson. The purpose of the healthcare simulations is to engage healthcare professionals in reality-based life-like patient care situations that serve as a safe opportunity to practice without the negative impacts of the error. The simulations will provide the agency with reporting feedback that provides data metrics highlighting strengths and weaknesses that are measured against benchmarking criteria. The project will assist in improving the quality of healthcare provide to the Native American/Alaskan Native community across the nation. The project aligns with us to create action plans to improve patient care and outcomes. This aligns directly with the Mission of IHS and the 2024-28 Strategic Plan, Strategic Goal 1 Provide comprehensive, culturally grounded personal and public health services to American Indian (AI/AN) people, 1.4: Increase provision of culturally grounded, high quality health care services; and Strategic Goal 2 Transform the IHS into a High Reliability Organization (HRO), 2.4: Implement quality improvement and commentary practices to support transformation to HRO.

1.1. Place of Performance: Service will be performed at each area: Alaska, Albuquerque, Bemidji, Billings, California, Great Plains, Nashville, Navajo, Oklahoma, Phoenix, Portland, and Tucson. Service Units include outpatient ambulatory healthcare clinics and hospital settings.

2. DETAILED DESCRIPTION OF THE TECHNICAL REQUIREMENTS

2.1. The contractor shall provide healthcare simulation experiences developed and conducted by the contractor and their supplied high-fidelity equipment and supplies.

2.2. The contractor will provide a clinical facilitator to conduct the healthcare simulation, education, and debriefing.

2.3. The contractor shall provide didactic education/overview training on each simulation topic prior to the practical simulation experience, ensuring participants understand the theoretical foundation, evidence-based protocols, and current best practices related to the scenario.

2.4. The contractor will design and conduct healthcare simulation experiences and debriefings tailored to the Service Unit’s needs.

2.5. Simulation experiences include but are not limited to the following:

Pediatric Emergencies o Pediatric Support and Emergency Nursing Pediatric Course content o Emergency Nurse Pediatric Core

Curriculum Adult Acute Processes o Trauma Nursing Core Curriculum Content o Sepsis o Advanced Cardiac Life Support Content o Basic Life Support Content o Stroke o Local Anesthesia Toxicity o OR Fire o Malignant Hyperthermia

Obstetrical Emergencies o Alliance for Innovation on Maternal Health (AIM) Bundles o Advance Life Support Obstetric Content

2.6. The contractor will supply the high-fidelity mannequins and needed props to create life-like simulated healthcare experiences.

2.7. The contractor will monitor and collect data throughout the simulation experience and supply the personnel and equipment necessary to operate the monitoring equipment and high-fidelity simulators.

2.8. The contractor will supply the personnel needed to draft a data report and analyze the service units’ performance.

2.9. The contractor will analyze the healthcare simulation event and the facility’s performance to provide a report of findings to the service unit housing the simulation.

2.10. The report will provide the data event metrics and a comparative analysis of the service units’ performance against national benchmark standards.

3. PERIOD OF PERFORMANCE

SEE SECTION F

4. LEVEL OF EFFORT

4.1. The contractor shall provide the equipment and personnel described in the technical requirements.

4.2. The contractor shall be responsible for the shipping or transporting of simulation material and equipment.

4.3. The contractor shall provide an analyzed data report that reviews metrics and provides service units’ performance measured against national benchmarks.

4.4. Training: The contractor shall provide comprehensive simulation training for Pediatric, Adult, and Obstetrical scenarios. Each complete training session shall include three components:

pre-simulation didactic education ensure participants understand the theoretical foundation, evidence-based protocols, and current best practices related to the scenario; a hands-on simulation exercise of approximately fifteen minutes allowing participants to actively engage with the high-fidelity equipment in realistic patient care situations; and a post-simulation debriefing and education session of to facilitate reflection, identify learning points, discuss performance improvement opportunities, and reinforce key concepts. The contractor shall also provide post-simulation resource materials and reference guides to all participants for ongoing learning and application of skills in their clinical practice settings.

5. SPECIAL REQUIREMENTS

5.1. In accordance with HHSAR 304.1300(b) non-routine contractor employees shall comply with OPDIV

DHHS/SE Region – Human Resources, Security Clearance Guidance – Visitors (3/29/12) policy for contract performance period. Contractor employees will be required to obtain a visitor’s pass upon arrival for services from Facilities Management.

5.2. All Indian Health Service Clinics and Hospitals a tobacco/smoke free environment (buildings and grounds). No tobacco/smoking use will be tolerated during service.

5.3. Security Requirements: Contractor personnel will be required to contact the government designated point of contact upon arrival when reporting for service calls or delivery supplies. The contractor shall be responsible for the security of all organizational information. Current rules and regulations applicable to the premises, where the work shall be performed shall apply to the contractor and its employees while working on the premises. These regulations include but are not limited to, escort by each clinic or hospitals official, presenting valid identification, smoking restriction and any safety procedures.

5.3.1 Each contract employee providing these services will require clearance prior to schedule training date.

5.4 The contractor shall not disclose or cause to disseminate any information concerning operations of each clinic or hospital. Such action(s) could result in violation of the contract and possible legal actions.

5.5. All inquiries, comments, or complaints arising from any matter observed, experienced or learned of as a result of or in connection with the performance of the contract, the resolution of which may require the dissemination of official information, shall be directed to the government’s designated representative.

6. DELIVERABLES AND REPORTING REQUIREMENTS

6.1. Delivery: The contractor will coordinate the delivery, installation and training date with the designated government employee. The government will provide the contractor with dock access and building access for this sole purpose. The designated government employee will work with the pertinent government agency(ies) to secure the needed dock access. No deliveries can be made after 4:15pm.

Driver needs a valid ID.

6.2. Contractor Point of Contact: The contractor shall furnish one designated point of contact (POC) to the government’s designated representative for coordination of supplies, delivery, and/or maintenance. The POC will be empowered to make daily decisions to ensure that the contract implementation and day-to-day maintenance meets the terms and conditions of this contract.

6.3. Contractor’s Phone Numbers: The contractor shall provide a toll-free telephone number for service calls, which must be answered during at least eight working hours, between 8:00 am and 4:30 pm, Monday through Friday.

7. GOVERNMENT FURNISHED PROPERTY, FACILITIES AND SERVICES

7.1. The Government shall supply the space within the service unit to conduct simulation experiences.

8. CONTRACTOR FURNISHED PROPERTY, FACILITIES AND SERVICES

8.1. Required personnel, materials, supplies and equipment: The contractor shall furnish all personnel, materials, supplies and equipment required to perform work under the contract, to include but not limited to on-sight training, materials, and instructions.

9. CHANGES TO THE STATEMENT OF WORK (SOW)

Any changes to this SOW shall be authorized and approved only through written correspondence from the Contracting Officer. Costs incurred by the contractor through the actions of parties other than the Contracting Officer shall be borne by the contractor.

10. DELIVERABLES/PERFORMANCE MATRIX

10.1. The simualtion was completed on time and as scheduled: Yes No

10.2. The simualtion was tailored to each Service Units stated needs: Yes No

10.3. High-fidelity simulation was conducted: Yes No

10.4. Data metric report reviewed and provided to Service Unit: Yes No

10.5. Any issues were addressed in a timely manner: Yes No

END OF SECTION C

PART I, SECTION D – PACKAGING AND MARKING

NOT APPLICABLE - BLANK

PART I, SECTION E – INSPECTION AND ACCEPTANCE

NOT APPLICABLE - BLANK

PART I, SECTION F – DELIVERIES OR PERFORMANCE

CLAUSE NO. TITLE OF CLAUSE

F.01 PERIOD OF PERFORMANCE

F.02 PRINCIPAL PLACES OF PERFORMANCE

F.03 ACCESS TO BUILDING

F.04 SECURITY REQUIREMENTS/BACKGROUND CHECKS

F.05 QUALITY CONTROL PLAN

F.01 PERIOD OF PERFORMANCE

The contract base performance period will be straight five years with pricing for each year on July 1, 2026, through June 30, 2031.

F.02 PRINCIPAL PLACES OF PERFORMANCE

OKLAHOMA CITY AREA

Clinton Indian Health Center 10321 N 2274 Road Clinton, OK 73601

El Reno Indian Health Center 1801 Parkview Drive El Reno, OK 73036

Watonga Indian Health Center 1305 S. Clarence Nash Blvd.

Watonga, OK 73772

Haskell Indian Health Center 2415 Massachusetts Street Lawrence, KS 66046

Anadarko Indian Health Center 201 Parker McKenzie Drive Anadarko, OK 73005

Carnegie Indian Health Center 212 E 4th St Carnegie, OK 73015

Lawton Indian Hospital 1515 North Lawrie Tatum Road Lawton, OK 73507

Pawnee Indian Health Center 1201 Heritage Circle Pawnee, OK 74058

Wewoka Indian Health Center

36640 US-270

Wewoka, OK 74884

ALBUQUERQUE AREA

Acoma-Canoncito-Laguna Indian Health Center 80 B Veterans Boulevard Acoma , NM 87034

Laguna Health Center 80B Veterans Blvd.

Acoma, NM 87034

Albuquerque Indian Health Center 801 Vassar Dr NE

Albuquerque, NM 87106

Santa Ana Health Station 02-C Dove Rd Pueblo, Station A Bernalillo, NM 87004

Zia Health Station 155 Capital Square Zia Pueblo, NM 87053

Jicarilla Health Center 500 Mundo Road Dulce, NM 87528

Mescalero Indian Health Center 318 Abalone Loop Mescalero, NM 88340

Albuquerque Indian Dental Clinic 9169 Coors Rd NW Albuquerque, NM 87120

Santa Fe Indian Health Center 1700 Cerrillos Road Santa Fe, NM 87505

Santa Clara Health Center 30 Los Alamos Hwy.

Espanola, NM 87532

Santa Fe Indian School 1501 Cerrillos Road Santa Fe, NM 87502

San Felipe Health Station 3 Cedar Rd San Felipe, NM 87001

Cochiti Health Station 255 Cochiti St Cochiti Pueblo, NM 87072

Ute Mountain Ute Health Center 232 Rustling Willow St, Complex D Towaoc, CO 81334

White Mesa Health Station 232 Rustling Willow St, Complex D Towaoc, CO 81334

Taos-Picuris Indian Health Center 1090 Goat Springs Rd Taos Pueblo, NM 87571

Zuni Indian Hospital Route 301 North 21 B. Avenue Zuni, NM 87327

New Sunrise Regional Treatment Center 20 Mockingbird Dr San Fidel, NM 87049

BEMIDJI

Cass Lake Hospital 425 7th St NW Cass Lake, MN 56633

Ponemah Health Center 150 County Road 15 Ponemah, MN 56666

Red Lake Comp Health 24760 Hospital Drive Red Lake, MN 56671

Red Lake Hospital 24760 Hospital Drive Red Lake, MN 56671

White Earth 40520 County Hwy 34 Ogema, MN 56569

Naytahwaush Health Station 238 Church Street Naytahwaush, MN 56566

Pine Point Health Station 47520 282nd St.

Ponsford, MN 56575

BILLINGS AREA

Crow/Northern Cheyenne Hospital 10110 South 7650 East Crow Agency, MT 59022

Heart Butte Health Station 81 Disneyland Rd Heart Butte, MT 59448

Blackfeet Community Hospital 760 New Hospital Cir.

Browning, MT 59417

Lodge Grass Health Center 418 Harding Ave / PO Box AD Lodge Grass, MT 59050

Pryor Health Station 148 Pryor Road / PO Box 9 Pryor, MT 59050

Eagle Child Health Station P.O. Box 610 Hays, MT 59527

Fort Belknap Hospital (Harlem Hospital) 669 Agency Main Street Harlem, MT 59526

Verne E Gibbs Clinic 107 H Street W Poplar, MT 59255

Chief Redstone Clinic 550 6th Ave North Wolf Point, MT 59201

Lame Deer Health Center 100 Cheyenne Avenue Lame Deer, MT 59043

Fort Washakie Health Center 29 Black Coal Drive Fort Washakie, WY 82514

CALIFORNIA AREA

Desert Sage Youth Wellness Center

39990 Faure Road Hemet, CA 92544

GREAT PLAINS AREA

Great Plains Area Regional Drug Dependency Unit 113 South Bluff Street Winnebago, NE 68071

Eagle Butte 24276 166th St Airport Road Eagle Butte, SD 57625

Ft. Thompson Health Center 1323 BIA Route 4 Fort Thompson, SD 57339

Lower Brule Health Center 601 Gall St Lower Brule, SD 57548

Wanblee Health Center 210 First St.

Wanblee, SD 57577

Kyle Health Center 1000 Health Center Road Kyle, SD 57752

Lacreek District Clinic 119 South 1st Ave Martin, SD 57551

Manderson Health Station Indian Service Road 33 Manderson, SD 57756

Pine Ridge Hospital 607 Indian Health Road Pine Ridge, SD 57770

Rosebud Hospital 400 Solder Creek Road Rosebud, SD 57570

Woodrow Wilson Keeble Health Care

Center 100 Lake Traverse Drive Sisseton, SD 57262

Mclaughlin Health Center 701 East Sixth St Mclaughlin, SD 57642

Bullhead Health Station 102 Tatanka Street Bullhead, SD 57621

Cannonball Health Station 6998 Weasel Street Cannon Ball, ND 58528

Wakpala Health Station 10 South River Road Fort Yates, ND 58538

Fort Yates Hospital 10 Standing Rock Ave Fort Yates, ND 58538

Quentin N Burdick Mem Hlth Facility 5 Moonlight Dr., Hwy.

Belcourt, ND 58316

Wagner Health Center 111 Washington Street, NW Wagner, SD 57380

GPA Youth Regional Treatment Center 12451 Highway 1806 Mobridge, SD 57601

NASHVILLE AREA

Catawba Service Unit 2893 Sturgis Rd Rock Hill, SC 29730

Unity Healing Center 448 Sequoyah Trail Dr.

Cherokee, NC 28719

Lockport Service Unit 150 Professional Pkwy

Lockport, NY 14094

Mashpee Wampanoag Health Service Unit 483 B Great Neck Rd.

South Mashpee, MA 02649

Unity Healing Center 448 Sequoyah Trail Dr Cherokee, NC 28719

NAVAJO AREA

Many Farms Clinic Hwy. 191 and Lake Road Many Farms, AZ 86538

Tsaile Health Center Route 64 @ Indian Road 12; POB 467 Tsaile, AZ 86556

Pinon Health Center NR 4, 2 Miles East of Pinon Pinon, AZ 86510

Rock Point Clinic Hwy 191 Rock Point, AZ 86545

Chinle Health Care Facility Highway 191 Hospital Turnoff, POB "PH" Chinle, AZ 86503

Thoreau Health Station 3 E. Navarre Blvd.; Hwy 371 & I-40 Thoreau, NM 87323

Pueblo Pintado Health Station 43 miles W of Cuba, NM on Navajo Hwy 9 Pueblo Pintado, NM 87013

Crownpoint Healthcare Facility NM State Road 371 & Route 9; POB 358 Crownpoint, NM 87313

Tohatchi Health Center 07 Choosgai Drive Tohatchi, NM 87325

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

Kayenta Health Center Highway 160, Milepost 394.3 Kayenta, AZ 86033

Inscription House Health Center Hwy 98 & Navajo Route 16 Tonalea, AZ 86054

Dennehotso Health Station Highway 160, Milepost 418.5 Dennehotso, AZ 86535

Dzilth Na O Dith Le Health Center 6 Road 7586 (PHS/IHS Drive) Bloomfield, NM 87413

Four Corners Regional Health Center US Hwy 160 & Navajo Route 35 Junction Red Mesa, AZ 86514

Toadlena Health Station Navajo Route 19, 55 miles southwest of Shiprock, NM Toadlena, NM 87324

Sanostee Health Station Navajo Route 34, 30 miles south of Shiprock, NM Sanostee, NM 87461

Northern Navajo Medical Center Hwy 491 North Shiprock, NM 87420

PHOENIX AREA

Chemehuevi 1970 Palo Verde Drive Havasu Lake, CA 92363

Fort Yuma Health Center 401 East Picacho Road

Winterhaven, CA 92283

Hopi Health Care Center Hwy 264, Mile Marker 388 Polacca, AZ 86042

Desert Visions Youth Wellness Center 198 S. Skill Center Road Sacaton, AZ 85147

Cibecue Health Center North Cromwell Road Cibecue, AZ 85911

Whiteriver Hospital 200 W Hospital Dr Whiteriver, AZ 85941

Nevada Skies Youth Wellness 104 Big Bend Ranch Road Wadsworth, NV 89442

PORTLAND AREA

Colville Indian Health Center 19 Lakes St; PO Box 71 Nespelem, WA 99155

Not Tsoo Gah Nee Indian Health Center 33 N Mission Road Fort Hall, ID 83203

Muckleshoot Dental Clinic 17500 SE 392nd St. Auburn, WA 98002

David C. Wyncoop Memorial Clinic 6203 Agency Loop Wellpinit, WA 99040

Chemawa Indian Health Center 3750 Chemawa Road NE Salem, OR 97305

White Swan Dental Clinic 514 Signal Peak Rd.

White Swan, WA 98952

Yakama Indian Health Clinic 401 Buster Road

Toppenish, WA 98948

ANY IHS OWNED OR OPERATED FACILITY TO BE DETERMINED ON A TASK ORDER

LEVEL.

F.03 ACCESS TO BUILDING

The Contractor will have access to the hospital facilities after office hours within the guidelines of Indian Health Services security plan and as permitted by the Security Officer through the coordination of the Contracting Officer Representative (COR).

F.04 SECURITY REQUIREMENTS / BACKGROUND CHECKS

In accordance with Homeland Security requirements all contractor employees who will perform the services shall submit to electronic fingerprints and obtain security clearance before services can be performed under this contract.

F.05 QUALITY CONTROL

The Contractor shall develop and maintain a quality control plan to ensure services are performed in accordance with commonly accepted commercial practices, including the development and implementation of procedures to identify, prevent, and ensure non- recurrence of defective deliverables and unacceptable services. This plan shall be submitted with the proposal and will be made a part of the contract. Changes to the Quality Control Plan may be necessary and must be reviewed and agreed to by Oklahoma City Area Office before the changes are incorporated

END OF SECTION F

PART I, SECTION G – CONTRACT ADMINISTRATION DATA

G.01 INVOICING INSTRUCTIONS AND PAYMENT INFORMATION

(a) The Contractor shall submit a proper invoice for payment on a monthly basis as the work proceeds in accordance with the prices specified in Section B, Price Schedule.

(b) Payment will be made in accordance with Contract Clause FAR 52.212-4(i), Payment (Deviation Date)

(c) A proper invoice shall reflect the following information:

• Contractor Name, Address, Phone Number, billing contact name and e-mail address

• Invoice Date

• Unique invoice number

• Tax Identification Number (TIN)

• Contract Number as shown on the award document

• Modification Number (if applicable)

• Discount Terms, if applicable

• Banking information: Bank Routing Transit Number (nine digits) and last 4 digits of bank account number (for verification)

• Specific description of Work relating to invoice, including service period dates (if applicable)

• Invoice Amount

(d) In accordance with HHSAR 352.232-71, Electronic Submission of Payment Requests, Invoice will only be accepted if received in the following manner

Submitted electronically to: IPP.gov Invoice Processing Platform of the Department of the Treasury

(e) Prompt payment clock will begin on the date finance receives a proper invoice.

(f) Authorized Training, travel, and background costs shall be billed as a separate line item and identified as to which functional area required the training or travel (Administrative and Professional). A copy of the authorized Training or Travel Request (see Section J for request forms) shall accompany the invoice. The contractor shall invoice for reimbursement for authorized travel and training expenses no later than 30 days after occurrence. If there is a delay in invoicing for the expense(s), the Contractor shall provide the CO, in writing, details of the expenditure(s) and the reasons why a claim for reimbursement was not made no later than 30 days after occurrence.

G.02 CONTRACT PAYMENT METHOD

Payments will be made by electronic funds transfer using the Automated Clearing House (ACH) in accordance with Contract Clause FAR 52.232-33 Payment by Electronic Funds Transfer – System for Award Management (OCT 2018).

G.03 CONTRACTING OFFICER'S REPRESENTATIVE (COR)

(a)The Contracting Officers Representative is as follows:

Contracting Officer’s Representative Taylor Thomas Phone: 240-504-1085 Email: taylor.thomas@ihs.gov

The COR appointment letter will be provided at the time of award of the contract.

(b)The Contractor shall use the COR as the point of contact on technical matters, subject to the restrictions in Clause G.05, Technical Direction, of this section of the contract.

The Contracting Officer’s Representatives on task orders will differ depending on place of performance.

G.04 GOVERNMENT CONTACT FOR POST AWARD ADMINISTRATION

To promote timely and effective contract administration, correspondence shall include the contract number and title, and shall be subject to the following procedures:

(a)Technical Correspondence. Technical correspondence (as used herein, this term excludes technical correspondence where patent or technical data issues are involved and correspondence which proposes or otherwise involves waivers, deviations, or modifications to the requirements, terms, or conditions of this contract) shall be addressed to the Contracting Officer's Representative (COR).

(b)Other Correspondence. All correspondence, other than technical correspondence, shall be addressed to the Contract Specialist/ Contracting Officer (CO) as shown in paragraph (c). The Contract Specialist/CO is the focal point for all matters regarding this contract except for technical matters.

(c)The Contract Specialist/CO is as follows:

Mrs. Ronay Burns – Contract Specialist Indian Health Services Oklahoma City Area Office 701 Market Drive Oklahoma City, OK 73114 Email: Ronay.Burns@ihs.gov 405.951.3701

Mr. Shelton Bruce – Contracting Officer Indian Health Services Oklahoma City Area Office 701 Market Drive Oklahoma City, OK 73114 Email: Shelton.Bruce@ihs.gov 405.951.3810

G.05 TECHNICAL DIRECTION

(a) Performance of the work is subject to the technical direction of the COR.

(1) The term "technical direction" includes:

mailto:Ronay.Burns@ihs.gov mailto:Shelton.Bruce@ihs.gov

(i) Directions to the Contractor which redirect the contract effort, shift work emphasis between work areas or tasks, require pursuit of certain lines of inquiry, fill in details, or otherwise serve to accomplish items in the Statement of Work (Section C of the contract)

(ii) Written information to the Contractor which assists in the interpretation of drawings, specifications, or technical portions of the statement of work.

(iii) Review and, where required by the contract, approval of technical reports, drawings, specifications, and technical information delivered by the Contractor.

(b) Technical direction must be within the Contract's performance work statement. The COR may not issue any technical direction which:

(1) Constitutes an assignment of additional work outside the Performance Work Statement;

(2) Constitutes a change as defined in the Contract Clause FAR 52.212-4(d), Changes (Deviation Date)

(3) Causes an increase or decrease in the Contract price or the time of contract performance;

(4) Changes any of the terms, conditions, or specifications of the Contract; or

(5) Interferes with the Contractor's right to perform the terms and conditions of the Contract.

(c) All technical directions will be issued in writing by the COR.

(d)The Contractor shall proceed promptly with the performance of technical directions issued by the COR. If, in the opinion of the Contractor, any instruction or direction by the COR falls within one of the categories defined in (b)(1) through (5) above, the Contractor shall not proceed but shall notify the Contracting Officer in writing within five (5) calendar days after receipt of any such instruction or direction. Upon receiving the notification from the Contractor, the Contracting Officer shall:

(1) Advise the Contractor in writing within thirty (30) days after receipt of the Contractor's letter whether the technical direction is within the scope of the contract effort and whether it constitutes a change under Contract Clause, FAR 52.212-4(d), Changes (Deviation Date) and

(2) Advise the Contractor within a reasonable time that the Government will issue a written change order, if applicable.

(e)A failure of the Contractor and Contracting Officer to agree whether the technical direction is within the scope of the contract, or a failure to agree upon the contract action to be taken shall be subject to Contract Clause, FAR 52.212-4(e), Disputes (Deviation Date) located in Section I, Contract Clauses

G.06 IHS – MAXIMUM CONTRACT AMOUNT

The total combined value of all calls placed during the period of this contract shall not exceed $9,000,000,00.

G.07 IHS – MAXIMUM CALL AMOUNT

The maximum amount for any single call shall not exceed $350,000.

END OF SECTION G

52PART I, SECTION H - SPECIAL CONTRACT REQUIREMENTS

H.01 INSURANCE - LIABILITY

(a) Workers' Compensation and Employer's Liability. The Contractor and each of his Subcontractors shall, at all times during the life of this contract maintain such insurance as may be required to comply with applicable Federal and State Workers' Compensation and Occupational Diseases statutes. If occupational diseases are not compensable under those statutes, they shall be covered under the employer's liability section of the insurance policy. The Contractor shall have liability coverage of at least $1,000,000, except in states with exclusive or monopolistic funds that do not permit workers' compensation to be written by private carriers.

(b) General Liability. The Contractor shall have written on the compensation form of policy bodily injury liability insurance coverage of at least $1,000,000 per occurrence and property damage liability insurance of at least $1,000,000.

(c) The Contractor shall furnish a certified copy of the insurance policy, or certificate of insurance, clearly indicating coverage and amounts required by this Special Condition.

(d) In the event the form of any policy or the amount of the insurance or the company writing same is not satisfactory to the CO, the Contractor shall provide other policies in form and amount and with a company satisfactory to the Contracting Officer. The Contractor shall not cause any such policy of insurance to be canceled or permit it to lapse, and all such policies and certificates shall include a clause to the effect that the policy or certificate shall not be subject to cancellation or to a reduction in the required limits of liability or amount of insurance until notice has been mailed to the CO, Indian Health Services, stating when, not less than ten (10) calendar days thereafter, such cancellation or reduction shall be effective.

(e) In accordance with Contract Clause, FAR 52.228-5 INSURANCE--WORK ON A GOVERNMENT INSTALLATION (JAN 1997), the contractor shall notify the Contracting Officer in writing that the required insurance has been obtained.

H.02 TRAVEL EXPENSES

(a) Travel is not anticipated for this requirement.

(b) In the event that contractor personnel are required to travel at the direction of the Government, costs incurred by Contractor personnel for travel, including costs of lodging, other subsistence, and incidental expenses, shall be considered to be reasonable and allowable only to the extent that they do not exceed the rates and amounts set by the Federal Travel Regulations prescribed by the General Services Administration. The Contractor must demonstrate best efforts to obtain Government rates for lodging, rental vehicle, and other related travel expenses in order for “actual” costs to be reimbursed.

(c) The Contractor will be reimbursed by the Government for travel and per diem expenses incurred by the Contractor’s personnel for contract purposes only when specifically authorized by the CO or designated representative prior to the travel. The Contractor shall use the Travel/Training Request form, provided at the time of travel, for requesting travel authorization.

E-mail requests and approvals are permitted provided all travel expenses anticipated to be incurred with estimated costs are identified the same as on the travel authorization. The e-mail shall be transmitted through the COR. The COR will transmit the e-mail to the CO for approval.

(d) Allowable expense items are identified on the Travel Authorization form. In submitting claims, the Contractor shall itemize by date and time, records of travel fares, mileage, lodging, parking fees, tolls, and official telephone calls, or a computerized copy of computations for determining claimed amounts.

(e) Reimbursement shall not exceed the maximum limits authorized under this contract. All Contractor claims for travel reimbursement shall include receipts for airfare, lodging, car rentals, and any incidental expenses exceeding $75.00.

(f) Travel reimbursement is limited to the direct costs of travel and per diem expenses and applicable general and administrative expense. No payment will be made for fee added to the travel costs. The allowable travel costs shall be chargeable to the appropriate functional program area designated on the authorized travel request.

(g) The Contractor is required to make a good faith effort to obtain the lowest customary standard coach, or equivalent airfare. The Contractor should be prepared to defend any Contractor acquired airfare charges if the Government questions invoiced airfare charges as not being the lowest customary standard, coach, or equivalent fare.

(h) Airfare costs in excess of the lowest customary standard, coach, or equivalent airfare offered during normal business hours are unallowable except when such accommodations:

(1) Require circuitous routing;

(2) Require travel during unreasonable hours;

(3) Involve excessively prolonged travel;

(4) Result in increased savings that would offset transportation cost.

Any airfare costs in excess of the above standard must be documented and justified to be allowable.

H.03 TRAINING EXPENSES

(a) The Contractor shall be responsible for training its new employees hired for performance of work under this contract. Training time shall not exceed two workweeks. The place of performance’s employees will be made available to provide technical direction.

(b) Non-reimbursable training of a longer duration than one consecutive workweek must be approved in writing by the COR no later than two workweeks prior to the start of the training. IHS does expect contract employee coverage in critical work areas during the length of training at no additional expense to IHS.

(c) The Government will reimburse the Contractor for actual training expenses incurred for agency-specific training that meets the place of performance’s technology requirements. Training expenses will not be reimbursed for necessary training for the overall operation of the business, such as basic skills training or job progression training or required to maintain their current position.

(d) Training shall be authorized and approved by the CO in advance of the training date. A training request form shall be used for requesting training and for approval. Training costs shall consist of the cost of the course, registration, books and travel expenses as authorized by the CO. The training costs shall be chargeable to the appropriate functional program area requiring the training as designated on the travel authorization. When requesting reimbursement, the Contractor shall provide receipts for all expenses incurred including a computerized copy of computations for determining the claimed amounts for submission with the monthly invoice for payment.

(e) The Contractor is permitted to apply the applicable General and Administrative (G&A) expense rate to the total allowable cost of authorized training.

H.04 CONFIDENTIALITY OF INFORMATION

(a) To the extent that the work under this contract requires that the Contractor be given access to confidential or proprietary business, technical, or financial information belonging to the Government or other companies, the Contractor shall, after receipt thereof, treat such information as confidential and agrees not to appropriate such information to its own use or to disclose such information to third parties unless specifically authorized by the CO in writing. The foregoing obligations, however, shall not apply to:

(1) Information which, at the time of receipt by the Contractor, is in the public domain;

(2) Information that is published after receipt thereof by the Contractor or otherwise becomes part of the public domain through no fault of the Contractor;

(3) Information that the Contractor can demonstrate was in its possession at the time of receipt thereof and was not acquired directly or indirectly from the Government or other companies;

(4) Information that the Contractor can demonstrate was received by it from a third party who did not require the Contractor to hold it in confidence.

(b) The Contractor shall obtain the written agreement, in a form satisfactory to the CO, of each employee permitted access, whereby the employee agrees that he will not discuss, divulge or disclose any such information or data to person or entity except those persons within the Contractor’s organization directly concerned with the performance of the contract.

(c) The Contractor agrees, if requested by the Government, to sign an agreement identical, in all material respects, to the provisions of this clause, with each company supplying information to the Contractor under this contract, and to supply a copy of such agreement to the CO. From time to time upon request of the CO, the Contractor shall supply the Government with reports itemizing information received as confidential or proprietary and setting forth the company or companies from which the Contractor received such information.

(d) The Contractor agrees that upon request by IHS it will execute an IHS-approved agreement with any party whose facilities or proprietary data it is given access to or is furnished, restricting use and disclosure of the data or the information obtained from the facilities. Upon request by IHS, such an agreement shall also be signed by Contractor personnel.

(e) This clause shall flow down to all subcontracts.

H.05 SEXUAL HARASSMENT

It is the policy of IHS that sexual harassment is unacceptable conduct in the work environment and will not be tolerated. The Contractor shall have a sexual harassment policy for its employees.

At the request of the CO, the Contractor shall furnish a copy of the policy.

H.06 PERFORMANCE EVALUATIONS – CONTRATCOR PERFORMANCE

ASSESSMENT REPORTING SYSTEM (CPARS)

(a)IHS participates over the Internet in completing Government performance evaluations in the Contractor Performance Assessment Reporting System (CPARS). IHS may perform interim and or final evaluation of the Contractors performance under this contract via the Internet. The Contractor receives notification of an evaluation via e-mail. The Contractor then accesses the evaluation, reviews, and submits comments (if required) via the internet. The automated review process includes interaction between the Contractor and the Contracting Officer. Once the evaluation is finalized, it is set into the CPARS as “completed” and is available for all the IHS and any CPARs authorized subscribers to preview. The Contractor receives electronic access to the spare “completed” evaluation.

(b)Under this contract, the Contractor is required to participate and, if not already registered, shall register on the CPARS. The contractor shall register within (10) calendar days from the date of the award of this contract. The Contractor shall register at the internet address http://www.cpars.gov

H.07 EMPLOYEE CLEARANCE PROCEDURES

Employees are required to complete the following forms and receive a favorable clearance:

Resume – CV

OF306

Addendum to OF 306 State Form Provisional Memo eApp Credentialing (As Applicable)

H.08 ORGANIZATIONAL CONFLICTS OF INTEREST

Contractor and Sub-Contractor personnel performing work under this contract may receive or have access to proprietary information (e.g. cost or pricing information, budget information or analyses, specifications, work statements, etc.) or perform functions which may create Organizational Conflicts of Interest (OCI) as defined in FAR Subpart 9.5. The Contractor shall notify the CO immediately whenever such access or participation may result in any actual or potential OCI and shall promptly submit a written plan to the CO demonstrating how the Contractor intends to avoid or mitigate any such OCI. The OCI mitigation plan will be determined to be acceptable solely at the discretion of the CO and in the event the CO unilaterally determines that any such OCI cannot be satisfactorily avoided or mitigated, the CO may prescribe other remedies as deemed necessary;

including prohibiting the Contractor from participation in subsequent contracted requirements which may be affected by the OCI.

H.09 BUSINESS ASSOCIATE AGREEMENT CLAUSE

I. Authority:

Pursuant to 45 C.F.R. § 164.502(e), the Indian Health Service (IHS), as a covered entity, is required to enter into an agreement with a “business associate,” as defined by 45 C.F.R. § 160.103, under which the business associate must agree to appropriately safeguard Protected Health Information (PHI) that it will use and disclose when performing functions, activities or services pursuant to its contract with the IHS. By signing Contract No. ________ (Contract), _______________ agrees that it is a Business Associate and will comply with the terms below, in addition to other applicable Contract terms and conditions, and applicable law, relating to the safekeeping, use, and disclosure of PHI. This Appendix comprises the Business Associate Agreement (Agreement).

II. Definitions:

The following terms shall have the same meaning as those terms in 45 C.F.R. Part 160 and Part 164, which are the federal regulations implementing the Health Insurance Portability and Accountability Act of 1996 (HIPAA), as amended: Breach, Designated Record Set, Disclosure, Health Care Operations, Individual, Minimum Necessary, Notice of Privacy Practices, PHI, Required by Law, Secretary, Security Incident, Subcontractor, Unsecured PHI, and Use.

A. Business Associate. “Business Associate” shall generally have the same meaning as the term “business associate” at 45 C.F.R. § 160.103, and in reference to the party to this Agreement shall mean ____________.

B. Covered Entity. “Covered Entity” shall generally have the same meaning as the term “covered entity” at 45 C.F.R. § 160.103, and in reference to the party to this Agreement, shall mean the IHS.

C. HIPAA Rules. “HIPAA Rules” shall mean the Privacy, Security, Breach Notification, and Enforcement Rules at 45 C.F.R. Part 160 and Part 164.

D. Master Patient Index (MPI). The “Master Patient Index” or “MPI” is composed of a unique list of patients and a current list of medical centers where each patient has been seen. This enables the sharing of patient data between operationally and regionally diverse systems. Each record (or index entry) on the MPI contains a small amount of patient data used to identify individual entries.

The mission of the MPI is to uniquely identify a patient and to “link” that patient’s data throughout the IHS facilities using the Integration Control Number (ICN). The MPI is the authoritative source of a patient’s ICN, the enterprise-wide identifier for IHS facilities and the key to accessing a patient’s record. The accuracy of patient information and patient identification directly affects clinical, administrative, billing, and interdepartmental processes.

III. Obligations and Activities of Business Associate:

A. Compliance: Business Associate agrees not use or disclose PHI other than as authorized by the Agreement or as required by law. Business Associate acknowledges that it is directly liable under the HIPAA Rules and subject to civil and, in some cases, criminal penalties for making uses and disclosures of PHI that are not authorized by the Agreement or required by law. Business Associate agrees that it will require all of its agents, employees, subsidiaries, and affiliates, to whom Business Associate provides PHI, or who create or receive PHI on behalf of Business Associate for Covered Entity, to comply with the HIPAA Rules and to enter into written agreements with Business Associate that provide the same restrictions, terms, and conditions as set forth in the Agreement.

B. Subcontractors: In accordance with 45 C.F.R. §§ 164.502(e)(1)(ii) and 164.308(b)(2), which govern relations with subcontractors, Business Associate agrees to ensure that any subcontractors that create, receive, maintain, or transmit PHI on behalf of Business Associate agree to the same restrictions, terms, and conditions that apply to Business Associate with respect to such PHI.

C. Safeguarding PHI: Business Associate shall develop and use appropriate procedural, physical, and electronic safeguards to protect against the use or disclosure of PHI in a manner not authorized by this Agreement or required by law. Business Associate will limit any use, disclosure, or request for use or disclosure of PHI to the minimum amount necessary to accomplish the intended purpose of the use, disclosure, or request.

D. Safeguarding Electronic PHI: Business Associate agrees to use appropriate safeguards, as set forth in Subpart C of 45 C.F.R. Part 164 with respect to electronic PHI, to prevent use or disclosure of electronic PHI other than as authorized by this Agreement or required by law.

E. Reporting Use or Disclosures Not Authorized By this Agreement or Required by Law:

Business Associate agrees to report to Covered Entity any use or disclosure of PHI not authorized by this Agreement or required by law within thirty (30) days of discovering the use or disclosure, or any security incident of which it becomes aware. In addition, Business Associate shall mitigate, to the extent practicable, any harmful effect that is known to Business Associate of the use, disclosure, or security incident.

F. Reporting of Breach: In accordance with the policy of the Department of Health and

Human Services, Business Associate will report, within one hour of discovery, all suspected or confirmed breaches to Covered Entity.

G. Notification of Breach of Unsecured PHI: In addition to the above, Business Associate shall notify Covered Entity of a breach, as set forth in 45 C.F.R. § 164.410, of the security of any unsecured PHI that Business Associate received from, or created or received on behalf of, Covered Entity within thirty (30) calendar days after the discovery of the breach by Business Associate, its employees, officers, and/or other agents, unless notification is specifically excepted by 45 C.F.R. § 164.412.

1. Requirements of Notice. Such notice shall include, to the extent possible, the identification of each individual whose unsecured PHI has been, or is reasonably believed by Business Associate to have been, accessed, acquired, or disclosed during such breach;

a brief description of the circumstances of the breach of security, including the date of the breach and the date of Business Associate’s discovery of the breach; and the type of unsecured PHI involved in the breach. Business Associate agrees to provide any other available information that Covered Entity is required to include in notification to the individual under 45 §164.404(c). In the event notification is delayed, evidence demonstrating the necessity of the delay shall accompany the notification.

H. Individual Access to PHI: Business Associate shall maintain a designated record set for each individual for whom it maintains PHI.