RFP NO. 75H71320R00009 AREA WIDE LOCUMS SERVICES FINAL.pdf

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Portland Area Wide Locum Tenens Services
Solicitation number
75H71320R00009
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This is a request for proposal for area-wide locum tenens support services issued by the Portland Area Indian Health Service. The performance period includes one base year and four one-year option periods. Services required include medical, physician, dental, optometry, non-personal health services. The minimum guarantee is $2,500 to satisfy the minimum order quantity for the indefinite delivery, indefinite quantity contract with a maximum value of $5 million per category. Award will be made to the responsible offeror whose proposal is most advantageous based on price and technical evaluation factors. The solicitation is set aside for Indian small business economic enterprises and is anticipated to be issued within 15 days of the notice date.

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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

Portland OR 97209 1414 N.W. Northrup, Suite 800 Portland Area Indian Health Service

IHS-NEW-PORTLAND

CODE 16. ADMINISTERED BYCODE

X

X

X

621399

SIZE STANDARD:

100.00 % FOR:SET ASIDE:UNRESTRICTED OR301

RFPIFB

10. THIS ACQUISITION ISCODE

RFQ

14. METHOD OF SOLICITATION

13b. RATING

NAICS:

SMALL BUSINESS

07/20/2020 1200 PT

06/19/2020

503-414-5521RICHARD DANDASAN

(No collect calls)

INFORMATION CALL:

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

4. ORDER NUMBER3. AWARD/ 6. SOLICITATION

75H71320R00009

5. SOLICITATION NUMBER

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

1 62 OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

TELEPHONE NO.

17a. CONTRACTOR/

15. DELIVER TO

Portland OR 97209 1414 N.W. Northrup, Suite 800 Portland Area Indian Health Service

9. ISSUED BY

7.

2. CONTRACT NO.

EFFECTIVE DATE

$8.00

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

ISSUE DATE

DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

11.

SEE SCHEDULEX

12. DISCOUNT TERMS

THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

13a.

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

8(A)

IHS-NEW-PORTLAND

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

24.

AMOUNT

23.

UNIT PRICE

22.

UNIT

21.

QUANTITY

20.

SCHEDULE OF SUPPLIES/SERVICES

19.

ITEM NO.

PORTLAND AREA INDIAN HEALTH SERVICE, AREA WIDE

LOCUM TENENS SERVICES, INDEFINITE-DELIVERY,

INDEFINITE-QUANTITY, IDAHO, WASHINGTON, AND

OREGON. THIS REQUIREMENT IS SET-ASIDE TO INDIAN

SMALL BUSINESS ECONOMIC ENTERPRISE (ISBEE)

DUNS NO: ______________________________

E-MAIL: _______________________________

SEE ATTACHMENTS FOR DETAILS.

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

HEREIN, IS ACCEPTED AS TO ITEMS:

XX

DATED

ELIDA C. MONROE

. YOUR OFFER ON SOLICITATION (BLOCK 5),

INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE SET FORTH

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DELIVER

ARE

ARE

31c. DATE SIGNED

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

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

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

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

SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED.

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

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

OFFER

STANDARD FORM 1449 (REV. 2/2012)

Prescribed by GSA - FAR (48 CFR) 53.212

ARE NOT ATTACHED.

ARE NOT ATTACHED.

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

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

30a. SIGNATURE OF OFFEROR/CONTRACTOR

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

25. ACCOUNTING AND APPROPRIATION DATA

29. AWARD OF CONTRACT:

REF.

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE

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

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

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED

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

37. CHECK NUMBER

FINALPARTIAL

36. PAYMENT

FINALPARTIAL

35. AMOUNT VERIFIED

CORRECT FOR

34. VOUCHER NUMBER33. SHIP NUMBER

COMPLETE

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

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

42b. RECEIVED AT (Location)

42a. RECEIVED BY (Print)

41c. DATE41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER

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

STANDARD FORM 1449 (REV. 2/2012) BACK

24.

AMOUNT

23.

UNIT PRICE

22.

UNIT

21.

QUANTITY

20.

SCHEDULE OF SUPPLIES/SERVICES

19.

ITEM NO.

1 BASE YEAR PLUS FOUR OPTION PERIODS. SEE

ATTACHMENT FOR DETAILED SCHEDULE OF ITEMS.

32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

62 2 of

INDIAN HEALTH SERVICE, PORTLAND AREA

AREA WIDE LOCUM TENENS SUPPORT SERVICES

SOLICITATION NO. 75H71320R00009

SECTION A - SECTION SF1449

SECTION B – SUPPLIES OR SERVICES AND PRICES/COSTS

B. SERVICES

The Portland Area Indian Health Service (PAIHS) has a requirement for locum tenens support services in the Medical, Dental and Allied Health disciplines within its area of responsibility in Idaho, Oregon, and Washington.

B.1 PRICE OR COST

This solicitation will result in an indefinite delivery, indefinite-quantity acquisition with one base year and four (4) one-year option periods. The quantities shown in the Schedule of Items are “estimated” quantities but are not representative of actual quantities to be ordered and serve as a means of arriving at price reasonableness for award purposes. Utilization of the contract has been determined to be appropriate for medical, physician, dental, optometry non-personal health services as the government anticipates recurring requirements but cannot pre-determine the precise quantities that will be ordered during the contract period.

Pricing proposals should be determined based on the estimated 8 hour shift a day.

B.2 GENERAL CONTRACT INFORMATION

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

As an independent Contractor; billing and collecting for the federal, state and other local city/county taxes is the burden of the Contractor, this includes any applicable state taxes for services provided.

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

FINGERPRINTING REQUIREMENTS FOR SECURITY AND SUITABILITY:

“Prior to start of services specified by the contract scope of work at the task order level, the Contractor must contact (To be determined (TBD) at the task order level), at Telephone No. (TBD), Division of Human Resources or fingerprinting site, to schedule an appointment to complete the fingerprinting process required by the IHS regulations pertinent to security and character background investigations.”

Wages shall be in compliance with the current Department of Labor (DOL) requirements. See Section J, Attachments for details.

B.3 CONTRACT PRICE

a. This solicitation will result in an Indefinite-Delivery/Indefinite Quantity (IDIQ) contract. The maximum value of this per category is $5,000,000. The minimum guarantee is $2,500 that will satisfy the minimum guaranteed quantity to be ordered in this contract, including options. The minimum guarantee may be satisfied by one task order the cumulative task orders and/or modifications.

SOLICITATION NO. 75H71320R00009

b. After delivery and acceptance of the services described in the Performance Work Statement (PWS) and as identified in the below price schedule, the Government shall pay to the Contractor the prices set forth below and will be paid from the following Contract Line Item Numbers (CLINs) accordingly:

SCHEDULE OF ITEMS:

BASE PERIOD:

CLIN Item Description Estimated Quantity

Unit of Measure Unit Price Total

0001 Medical Support Services 0001A Register Nurse 640 HR $ $ 0001B RN – Community Health Nurse 640 HR $ $ 0001C Phlebotomist / Medical

Technician

640 HR $ $

0001D Licensed Practical Nurse 640 HR $ $ 0001E Certified Medical Assistant 640 HR $ $

0001F APRN / ARNP / FNP 640 HR $ $

0001G Physician Assistant 640 HR $ $ 0001H Radiologic Technologists 640 HR $ $ 0001I Medical Technologist

(Clinical Lab Scientist)

640 HR $ $

0001J Physical Therapist 640 HR $ $ 0002 Physician Support Services 0002A Physician 640 HR $ $ 0003 Optometrist Support Services 0003A Optometrist 640 HR $ $ 0003B Optometric Technician 640 HR $ $ 0004 Pharmacist Support Service 0004A Pharmacist 640 HR $ $ 0004B Pharmacist Technicians 640 HR $ $ 0005 Dental Support Services 0005A Dentist 640 HR $ $ 0005B Dental Hygienist 640 HR $ $ 0005C Dental Assistant (Expand Func) 640 HR $ $

SOLICITATION NO. 75H71320R00009

OPTION PERIODS:

OPTION PERIOD 1

CLIN Item Description Estimated Quantity

Unit of Measure Unit Price Total

0001 Medical Support Services 0001A Register Nurse 640 HR $ $ 0001B RN – Community Health Nurse 640 HR $ $ 0001C Phlebotomist / Medical

Technician

640 HR $ $

0001D Licensed Practical Nurse 640 HR $ $ 0001E Certified Medical Assistant 640 HR $

0001F APRN / ARNP / FNP 640 HR $

0001G Physician Assistant 640 HR $ $ 0001H Radiologic Technologists 640 HR $ $ 0001I Medical Technologist

(Clinical Lab Scientist)

640 HR $ $

0001J Physical Therapist 640 HR $ $ 0002 Physician Support Services 0002A Physician 640 HR $ $ 0003 Optometrist Support Services 0003A Optometrist 640 HR $ $ 0003B Optometric Technician 640 HR $ $ 0004 Pharmacist Support Service 0004A Pharmacist 640 HR $ $ 0004B Pharmacist Technicians 640 HR $ $ 0005 Dental Support Services 0005A Dentist 640 HR $ $

SOLICITATION NO. 75H71320R00009

OPTION PERIOD 2

CLIN Item Description Estimated Quantity

Unit of Measure Unit Price Total

0001 Medical Support Services 0001A Register Nurse 640 HR $ $ 0001B RN – Community Health Nurse 640 HR $ $ 0001C Phlebotomist / Medical

Technician

640 HR $ $

0001D Licensed Practical Nurse 640 HR $ $ 0001E Certified Medical Assistant 640 HR $ $

0001F APRN / ARNP / FNP 640 HR $ $

0001G Physician Assistant 640 HR $ $ 0001H Radiologic Technologists 640 HR $ $ 0001I Medical Technologist

(Clinical Lab Scientist)

640 HR $ $

0001J Physical Therapist 640 HR $ $ 0002 Physician Support Services 0002A Physician 640 HR $ $ 0003 Optometrist Support Services 0003A Optometrist 640 HR $ $ 0003B Optometric Technician 640 HR $ $ 0004 Pharmacist Support Service 0004A Pharmacist 640 HR $ $ 0004B Pharmacist Technicians 640 HR $ $ 0005 Dental Support Services 0005A Dentist 640 HR $ $

SOLICITATION NO. 75H71320R00009

OPTION PERIOD 3

CLIN Item Description Estimated Quantity

Unit of Measure Unit Price Total

0001 Medical Support Services 0001A Register Nurse 640 HR $ $ 0001B RN – Community Health Nurse 640 HR $ $ 0001C Phlebotomist / Medical

Technician

640 HR $ $

0001D Licensed Practical Nurse 640 HR $ $ 0001E Certified Medical Assistant 640 HR $ $

0001F APRN / ARNP / FNP 640 HR $ $

0001G Physician Assistant 640 HR $ $ 0001H Radiologic Technologists 640 HR $ $ 0001I Medical Technologist

(Clinical Lab Scientist)

640 HR $ $

0001J Physical Therapist 640 HR $ $ 0002 Physician Support Services 0002A Physician 640 HR $ $ 0003 Optometrist Support Services 0003A Optometrist 640 HR $ $ 0003B Optometric Technician 640 HR $ $ 0004 Pharmacist Support Service 0004A Pharmacist 640 HR $ $ 0004B Pharmacist Technicians 640 HR $ $ 0005 Dental Support Services 0005A Dentist 640 HR $ $

SOLICITATION NO. 75H71320R00009

OPTION PERIOD 4 (FINAL)

CLIN Item Description Estimated Quantity

Unit of Measure Unit Price Total

0001 Medical Support Services 0001A Register Nurse 640 HR $ $ 0001B RN – Community Health Nurse 640 HR 0001C Phlebotomist / Medical

Technician

640 HR $ $

0001D Licensed Practical Nurse 640 HR $ $ 0001E Certified Medical Assistant 640 HR $ $

0001F APRN / ARNP / FNP 640 HR $ $

0001G Physician Assistant 640 HR $ $ 0001H Radiologic Technologists 640 HR $ $ 0001I Medical Technologist

(Clinical Lab Scientist)

640 HR $ $

0001J Physical Therapist 640 HR $ $ 0002 Physician Support Services 0002A Physician 640 HR $ $ 0003 Optometrist Support Services 0003A Optometrist 640 HR $ $ 0003B Optometric Technician 640 HR $ $ 0004 Pharmacist Support Service 0004A Pharmacist 640 HR $ $ 0004B Pharmacist Technicians 640 HR $ $ 0005 Dental Support Services 0005A Dentist 640 HR $ $ 0005B Dental Hygienist 640 HR $ $ 0005C Dental Assistant (Expand Func) 640 HR $ $

HR = HOUR.

CLIN = Contract Line Item Numbers

Note: Unit price shall be an all-inclusive rate of all other fees including travel expenses, per diem, lodging all cities, state, federal, local taxes and miscellaneous cost associated with the above services. A minimum of a thirty (30) minute lunch break is permitted (as non-paid) under the contract; if the contractor chooses to not take a lunch break, it cannot be invoiced as time worked. Travel times to/from the facility site are not included and cannot be invoiced as time worked. Lunch breaks duration will be identified at the task order level depending on the hours of operations of a given department (e.g. Pharmacy, Dental, Medical, etc.).

SOLICITATION NO. 75H71320R00009

SECTION C – DESCRIPTION/SPECIFICATIONS/STATEMENT OF WORK

C. DESCRIPTION/ STATEMENT OF WORK

I. PURPOSE OF CONTRACT:

Contractor shall p rov ide l ocum t enens t o support Medical, Dental and Allied Health services at service unit of the Portland Area Indian Health Service located in Idaho, Oregon, and Washington. The price schedule lists the disciplines under this contract.

II. OBJECTIVE:

To provide Family Practice services, up to five (5) days per week. The purpose of the work is to improve the overall health care status of the Native American population served. Most contacts are with patients receiving care and other health care providers at the facility level.

The primary purpose of the support services is to provide direct patient care.

A. Provides Professional Medical Services, up to five (5) days not to exceed forty (40) hours per week. Clinic operating hours will be determined at the task order level for each site. The general business hours and facility addresses are provided under Section F.2.

Place of Performance of this contract. The Clinic is not open on Federally Recognized Holidays or on certain days of closure pursuant to an Executive Order by the President of the United States. Inclement weather conditions or facility issues (electrical, water, fire, snow etc.) may hinder the normal operating hours and notice of closure will be provided as soon as is practicable by the Contracting Officer’s Representative (COR) or alternate COR.

B. Services will include, but are not limited to, providing direct care to patients in a responsible, respectful and caring manner. Professional duties include, but are not limited to , those duties that are Generally Accepted Practices for each respective specialized area of professional certification provided in the prices and costs schedule.

C. Community duties include, but are not limited to; normal care and maintenance of Clinic equipment and supplies; normal care and maintenance of work area; proper processing of all associated patient records. These duties will not take precedence over direct patient care.

D. Provides orientation and in-service training for facility personnel and achieves their own continuing education requirements necessary for licensure.

E. Responsible for recording all patient care examinations and procedures in appropriate electronic and/or paper health records in compliance with clinic standards and standard of care. Additional terms and conditions may be provided at the task order level.

F. Under regulation at 42 CFR 36.24, the IHS must authorize payment for contract health services and may, as party of the authorizing process, refer patients to particular contract providers. In the event a patient is in need of additional medical services which cannot be provided during the clinic (i.e., further work up, etc.), prior approval to refer is required for authorization and payment to be considered.

G. The Contractor shall provide all necessary resources (administrative supplies, transportation, personnel, and shall include applicable state and local sales or other taxes) as required, except as provided by the Government. Eligible beneficiaries are defined by the each clinics policy and procedures. Specific supplies needed for clinic services are to be conveyed to the COR for procurement outside of this contract.

SOLICITATION NO. 75H71320R00009

H. The Contractor shall provide medical services in accordance with the Standards of Care established by recognized health care organizations including the Indian Health Service. All services shall be provided within accepted professional standards and be consistent with the Accreditation Association for Ambulatory Health Care (AAAHC) accreditation requirements. The contractor is required to maintain active participation in Portland Area professional medical staff.

V. INDIAN HEALTH SERVICE RESPONSIBILITIES:

A. The Government shall provide patient examination areas and all medical and non-medical equipment and supplies used in the Indian Health Service facility for the care of patients.

Any specialized equipment needed will have to be reviewed and approved by the Government.

B. In partnership with the Contractor, the Government will monitor and evaluate the quality and appropriateness of patient care, and identify and correct deficiencies in the quality of care.

C. The Government will not provide an Assistant, unless necessary for patient management.

D. The contractor/practitioner of the contractor shall be provided with an orientation to the Indian Health Service and the Indian Community being served. This orientation will include, but is not limited to, introduction to the Electronic Health Record (EHR), Resource Patient Management System (RPMS), and other programs and packages necessary to fulfill provider obligations under this contract. The initial orientation and continuing orientation shall be provided by the Government.

E. The Government reserves the right to cancel a clinic due to illness, vacation, or emergency of the Contractor or to natural or unforeseen circumstances at the Government facility, without compensation for that action. Such cancellation notice shall be made as soon as is practicable as described in II. A.

VI. QUALIFICATIONS:

A. The contractor and contractor provided practitioner shall maintain as a minimum :

1) Be Certified and/or Registered in their respective field of study.

2) One (1) year experience in their respective professional field.

3) Be BLS certified

4) Possess a current and unrestricted license to practice in their respective field of medicine.

5) Hold a current or valid license to practice in the United States, the District of

Columbia, Puerto Rico, or a territory of the United States.

B. The contractor shall have, at a minimum, the following experience :

Experience working in a primary care outpatient clinic setting. Experience providing care to patients within a rural area. Experience or familiarity working with an

SOLICITATION NO. 75H71320R00009

Electronic Health Record system (EHR), preferably including experience with the systems of the Indian Health Service (RPMS, EHR).

C. The contractor shall complete, sign and return the attached forms at the task order level:

1) Certification Of Immunization (Attachment A)

2) Declaration of Employment (Attachment B)

3) Agreement To A Temporary Waiver of Character Investigation (Attachment C)

4) Certification of Education, Licensure and Insurance (Attachment D)

5) Representations , Certifications , and Other Statements of Offers (Attachment E)

6) HIPAA Agreement (Attachment F)

D. The Contractor must meet the Government requirements for Credentialing and Privileging as stated in the Medical Staff By-Laws (Attachment G) at the task order level.

All Contractors shall attend a post-award meeting upon contract award or the task order level.

XI. ADDITIONAL TERMS & CONDITIONS:

A. SUBSTITUTE PROVIDERS

The Contractor may request the right to provide a substitute Practitioner to cover a scheduled clinic when it is impossible for the Contractor to be in attendance due to illness or vacation. The proposed substitute must meet the contract requirements for services under this contract including qualification, security clearance, credentialing and privileging requirements of the Government and must be approved by the COR.

The proposed substitute must possess the same qualifications as specified in this contract prior to a scheduled clinic.

B. MALPRACTICE COVERAGE

The Contractor shall provide professional liability (malpractice) coverage, in amounts that are reasonable and customary in the community for the appropriate specialty (not less than $1,000,000 per occurrence), covering liability for personal injury or property damage, including legal representation and expense of defense of any such liability claims, actions or litigation, resulting from participation by the Contractors employees under this agreement.

This coverage may come from any source, but shall clearly cover the Contractors employees while participating under this agreement. The Contractors employees must provide documentary proof of the insurance coverage and such proof will be attached to this agreement. The Contractors employees further agree not to seek indemnification from either the United States or the Indian Health Service for any settlement, verdict or judgment resulting from any claim or lawsuit arising out of the negligent acts or omissions of its employees while working at this site.

C. CREDENTIALING, CLINICAL PRIVILEGES, TERMINATION

If the contractor/practitioner or contractor employees providing service at the Indian Health Service sites fails to meet or maintain the contract required qualifications, licensure, security clearance, credentialing requirements or clinical privileges of the

SOLICITATION NO. 75H71320R00009

specific Indian Health Center the contract may be terminated without cost to the Government, and the contractor determined ineligible to contract and thus, the contract shall be void. Clinics can be cancelled and the contract vacated at the sole discretion of the Government, without notice or compensation for any remaining clinics left in the contract.

D. CONTRACTOR GOVERNMENT FURNISHED EQUIPMENT AND

FACILITIES

To be determined at the task order level, if applicable.

E. HIPAA REQUIREMENT

Pursuant to the Health Insurance Portability and Accountability Act (HIPAA) of 1996 and its implementing regulation, the Standards of Privacy of individual Identifiable Health Information at 45 C.F.R. Part 160 and 164, Subpart A and E ("Privacy Rule"), the Indian Health Service is required to enter into an agreement with the Business Associate , pursuant to which the Business Associate shall comply with and appropriately safeguard Protected Health Information ("PHI") that it will use and disclose when performing functions , activities or services ("Services") for the Indian Health Service.

The Business Associate by signing the contract shall comply with the following terms in addition to other applicable contract Terms and conditions relating to the safekeeping, use and discloser of PHI. (See Attachment G for related HIPPA material and Business Associate Agreement Clause).

F. CONTRACTOR STAFF ORIENTATION, SYSTEMS AND FACILITY ACCESS:

Contractor responsibilities regarding contractor staff access to facility and systems:

1. Contractor provided staff/employees shall complete all required:

2. Facility orientation and trainings;

3. Department orientation and trainings;

4. Trainings to obtain access to systems/facility of the Indian Health Service, and to maintain such access.

Contractor provided staff/employee shall meet and maintain all required:

1. Immunization requirements of the Indian Health Service.

SOLICITATION NO. 75H71320R00009

SECTION D – PACKAGING AND MARKING

D.1 PACKAGING

Not applicable.

D.2 MARKING

Not applicable.

D.3 DELIVERY

Services under this contract shall be delivered to the service unit sites of the Indian Health Service.

Refer to Section F.2., Place of Performance.

SOLICITATION NO. 75H71320R00009

SECTION E – INSPECTION AND ACCEPTANCE

E.1 INSPECTION AND ACCEPTANCE

All work under this contract is subject to inspection and final acceptance by the Contracting Officer or the duly authorized representative of the government. The COR, as a duly authorized representative of the Contracting Officer, shall assume the responsibilities for monitoring the Contractor’s performance, evaluating the quality of services provided by the Contractor, and performing final inspection and acceptance of all deliverables and services called for by the contract.

SOLICITATION NO. 75H71320R00009

SECTION F – DELIVERIES OR PERFORMANCE

F.1 PERIOD OF PERFORMANCE

The period of performance is a Base Period of 12 months with four - 12 month Option Periods, unless the period is extended by modification to this contract. The Government may exercise options to extend the period of performance in accordance with FAR Clause 52.217-9 – Option to Extend the Term of the Contract (Oct 2000); upon written notification by the Contracting Officer within 30 days of contract expiration.

Supplies/Services under this contract shall commence NLT 10 days after award:

Period of Performance Base Period 12 months from Date of Award Option Period1 12 months from the base period end date Option Period 2 12 months from Option Period 1 end date Option Period 3 12 months from Option Period 2 end date Option Period 4 12 months from Option Period 3 end date

Total contract award must not exceed five years, refer to clause 52.217-9 Option to Extend the Term of the Contract. Option year renewals will be on the basis of satisfactory services provided availability of funds for the appropriate fiscal year, and on the basis of existing requirements.

F.2 PLACE OF PERFORMANCE

Travel to and from the facility/office site are not included in the tour of duty and cannot be invoiced as part of Travel to and from the facility/office site. The days and hours of business operation are provided for each site, and are subject to section F.3 federal holidays; and other factors that may affect clinic operations.

The actual hours will be scheduled in advance through the designated COR.

Service Unit Name: Colville Service Unit Business hours: 8:00 a.m. – 4:30 p.m.

General Business Days: Monday - Friday

Clinic site(s): Nespelem Clinic 19 Lakes Street Nespelem, WA

Omak Clinic 617 Benton Street Omak, WA 98841

Service Unit Name: Fort Hall Service Unit Business hours: 8:00 a.m. to 5:00 p.m.

General Business Days: Monday - Friday

Clinic site: Fort Hall Indian Health Service (33 North Mission) P.O. Box 717 Fort Hall, ID 83203

SOLICITATION NO. 75H71320R00009

Service Unit Name: Wellpinit Service Unit Business hours: 8:00 a.m. – 4:30 p.m.

General Business Days: Monday – Friday

Clinic site: David C. Wynecoop Memorial Clinic 6203 Agency Loop Road

Wellpinit, WA 99040

Service Unit Name: Western Oregon Service Unit Business hours: 7:30 a.m. – 5:30 p.m.

General Business Days: Monday - Friday

Clinic site: Chemawa Indian Health Center 3750 Chemawa Road NE Salem, OR 97305

Service Unit Name: Warm Springs Service Unit Business hours: 7:30 a.m. – 6:30 p.m.

General Business Days: Monday – Friday

Clinic site: Warm Springs Health and Wellness Center 1270 Kot-Num Rd Warm Springs, OR 97761

Service Unit Name: Yakama Service Unit Business hours: 7:45 a.m. – 5:00 p.m.

General Business Days: Monday - Friday

Clinic site(s): Yakama Indian Health Center 401 Buster Road Toppenish, WA 98948

White Swan Dental Clinic 62 Birdsong Lane White Swan, WA 98952

F.3 GOVERNMENT HOLIDAYS (https://www.federalpay.org/holidays)*

New Year’s Day Martin Luther King’s Birthday President’s Day Memorial Day Independence Day Labor Day Columbus Day Veteran’s Day Thanksgiving Day Christmas Day

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

https://www.federalpay.org/holidays http://www.opm.gov/fedhol

SOLICITATION NO. 75H71320R00009

The following clause is incorporated by reference:

Clause Title Date

52.242-15 STOP WORK ORDER AUG 1989

SOLICITATION NO. 75H71320R00009

SECTION G – CONTRACT ADMINISTRATION

G.1 AUTHORITIES OF GOVERNMENT PERSONNEL

Notwithstanding the Contractor’s responsibility for total management during the performance of this Contract, the administration of the Contract will require maximum coordination between the Government and the Contractor. The following individuals will be the Government’s points of contact during the performance of this Contract.

G.1.1 CONTRACTING OFFICER

The IHS Contracting Officer (CO) is the only individual authorized to modify this Contract. The CO responsible for administrative and contractual issues concerning this Contract is:

Elida Monroe, (CO) Indian Health Service, Division of Acquisition) 1414 NW Northrup Street, Suite 800 Portland, OR 97209 Phone: 503-414-5528 Email: elida.monroe @ihs.gov

All communications pertaining to contractual and/or administrative matters under the contract shall be sent to the address above and to the following Contract Specialist:

G.1.2 CONTRACT ADMINISTRATOR

All Contract administration shall be performed by:

Richard Dandasan, Contract Specialist (CS) Indian Health Service/Division of Acquisition 1414 NW Northrup St., Suite 800 Portland, Oregon 97209 Phone: 503-414-5521 Email: richard.dandasan@ihs.gov

G.1.3 CONTRACTING OFFICER’S REPRESENTATIVE (COR)

To be determined (TBD) upon award,. The CO Representative responsibilities will be to coordinate with the contractor the technical aspects of this service and the review of performance hereunder. The COR does not have the authority to change or alter the order amount, terms and conditions.

TBD upon award as the Alternate COR for this service. The Alternate COR responsibilities will be to coordinate with the contractor the technical aspects of this service and the review of performance hereunder. The Contract Officer’s Representative does not have the authority to change or alter the order amount, terms and conditions.

The COR 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 SOW, 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.

G.1.4 TECHNICAL MONITORING

(a) Performance of work under this contract must be subject to the technical direction of the COR identified above, or an Alternate COR designated in writing. The term “technical direction” includes, without limitation, direction to the Contractor that directs or redirects the labor effort, shifts the work between work areas or locations, fills in details and otherwise serves to ensure that task areas outlined in the statement of work are accomplished satisfactorily.

(b) Technical direction must be within the scope of the specification(s)/work statement. The COR does not have authority to issue technical direction that:

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(1) Constitutes a change of assignment or additional work outside the specification(s)/ statement of work;

(2) Constitutes a change as defined in the clause entitled “Changes”;

(3) In any manner causes an increase or decrease in the contract price, or the time required for contract performance;

(4) Changes any of the terms, conditions, or specification(s)/work statement of the contract;

(5) Interferes with the Contractor's right to perform under the terms and conditions of the contract; or

(6) Directs, supervises or otherwise controls the actions of the Contractor's employees.

(c) Technical direction may be oral or in writing. The COR shall confirm oral direction in writing within five work days, with a copy to the Contracting Officer.

(d) The Contractor shall proceed promptly with performance resulting from the technical direction issued by the COR. If, in the opinion of the Contractor, any direction of the COR, or his designee, falls within the limitations in (b), above, the Contractor shall immediately notify the CO no later than the beginning of the next Government work day.

(e) Failure of the Contractor and the CO to agree that technical direction is within the scope of the contract shall be subject to the terms of the clause entitled “Disputes.”

G.2 INVOICE SUBMISSION

The Contractor shall submit invoices once per month. A complete invoice with all required documentation shall be sent electronically via e-mail to:

1. Contracting Officer’s Representative (COR): TBD.

2. Alternate Contracting Officer’s Representative (ACOR): TBD

3. Portland Area Office, IHS Department of Finance, TBD

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

For invoices submitted by email, the subject line of your email invoice submission shall contain the Contractor’s name, contract number, and invoice. The Contractor shall send one email per contract monthly. The email may have multiple invoices for the contract. Invoices must be in one of the following formats: PDF, TIFF, or Word. No Excel formats will be accepted. The electronic file cannot contain multiple invoices; example, 10 invoices requires 10 separate files (PDF, TIFF, or Word).

Additionally, the Contractor is required to include its Data Universal Numbering System (DUNS) number on each invoice. For additional information about the Dun & Bradstreet (D&B) DUNS number, please visit http://fedgov.dnb.com/webform.

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.

G.2.1 FAR 52.212-4(G) INVOICE.

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

(i) Name and address of the Contractor;

(ii) Invoice date and number;

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

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

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

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

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

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

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

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(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-SAM, or 52.232-34, Payment by Electronic Funds Transfer-Other Than Central Contractor Registration), or applicable agency procedures.

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

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

In accordance with OMB Memorandum, M-11-32, Agencies shall make payments to small businesses as soon as practicable, with the goal of making payments within 15 days of receipt of a proper invoice.

If a small business contractor is not paid within this (15 day) accelerated period, the contractor will not be given a late-payment interest penalty. Interest penalties, as prescribed by the Prompt Payment Act, remain unchanged by means of this memorandum. All small businesses shall label all invoices as “Small Business.”

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

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

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

G.3 GOVERNMENT FURNISHED PROPERTY

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

Item No. Property Description Property Value Qty Location Date Available

1 Computer 1 To be determined at task order

Upon Arrival

2 Telephone 1 To be determined at task order

Upon Arrival

3 Desk/Chair 1 To be determined at task order

Upon Arrival

4 PIV Card 1 To be determined at task order

After 120 Days

Additional Government Furnished Items may be identified at the task order level.

G.4.0 ORDERING AUTHORITY

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Ordering activities shall follow the procedures of this section when placing an order against this contract.

All orders shall comply with the terms and conditions set forth in the contract. The ordering agency is responsible for ensuring all necessary protocols and coordination, as well as proper procuring, administering and terminating warrant authorities, are in place for the issuance, administration and closeout of a task order.

G.4.1 All task orders shall include a Statement of Work or Performance Work Statement that includes a description of work to be performed, location of work, period of performance, deliverable schedule, applicable performance standards, and any special requirements. To the maximum extent practicable, the agency requirements shall be performance-based statements.

G.4.2 The ordering agency shall document price reasonableness and any other required justifications prior to award, to include contract action reporting in the Federal Procurement Data System – Next Generation (FPDS-NG) system.

G.4.3 Upon award of the task order and modification thereof, the ordering agency shall furnish a copy of the task order award and any modifications to the IDIQ Contracting Officer via email at TBD upon award within three (3) days of an award.

G.4.4 The ordering agency Contracting Officer may elect to designate a Contracting Officer’s Representative (COR) from its own activity. In such event, the Contracting Officer shall ensure that all training and certifications are valid prior to designation.

G.4.5 The ordering agency is responsible for payment and disbursement, to include disputes and claims.

G.4.6 The ordering agency is responsible for maintaining the task order file and file disposition.

G.4.7 The ordering agency shall report any litigation, illegal activity, or any other serious criminal or civil matters that arise in the performance of the task order, immediately to the IDIQ Contracting Officer.

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SECTION H – SPECIAL CONTRACT REQUIREMENTS

H.1 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.

H.4 SECURITY

a. To perform the work specified herein, contractor personnel will require access to sensitive data, regular access to HHS-controlled facilities, and/or access to HHS information systems. The Government has determined the position sensitivity under this effort to be Level 1.

b. To gain access to the sensitive data, HHS-controlled facilities, and/or HHS information systems, the Contractor shall comply with Homeland Security Presidential Directive 12, Policy for a Common Identification Standard for Federal Employees and Contractors, and with the personal identity verification and investigation procedures obtained in:

(i) HHS Information Security Program Policy, http://www.hhs.gov/ocio/securityprivacy/

(ii) HHS Office of Security and Drug Testing, personnel Security/Suitability Handbook, http://www.hhs.gov/ocio/policy/hhs-ocio-2011-0003.html

(iii) Reserved

(iv) HHS HSPD-12 Implementation Policy (draft)

c. The minimum Government investigation for a non-critical sensitive position is a National Agency Check and Inquiries (with fingerprinting), which consists of searches of records covering specific areas of a person’s background during the past five years. Those inquiries are sent to current and past employers, schools attended, references, and local law enforcement authorities. More restricted positions, above non-sensitive, require more extensive documentation and investigation.

d. Contractors should ensure that the employees whose names they submit have a reasonable chance for access approval. Delays associated with rejections and consequent reinvestigations may not be excusable.

e. Typically, the Government investigates personnel at no cost to the Contractor, but the expense of multiple investigations for the same position is difficult to justify. Consequently, multiple investigations for the same position may, at the Contracting Officer’s discretion, justify reduction(s) in the Contract price of no more than the cost of the extra investigation(s).

f. Language similar to this Security section shall be included in any Sub-Contracts which require Sub- Contractor personnel to have access to an information system, access to sensitive data, regular or prolonged access to a HHS-controlled facility, or any combination of these three.

g. Inquiries, including requests for forms and assistance, should be directed to the Contracting Officer or his/her designee, listed in the Contract.

h. Within seven (7) calendar days after final acceptance of the work specified herein, the Contractor shall return all identification badges to the Contracting Officer or his/her designee.

H.5 REFERENCES

The work to be performed under this contract will assist the IHS in better meeting legislative mandates and associated implementation guidance from OMB, HHS, NIST, and US Cert. Statutes and Acts generally applicable to IHS security include, but are not limited to:

• Health Information Technology for Economic and Clinical Health Act

• Federal Information Security Management Act (FISMA), part of the E-Government Act of 2002

(Public Law 107-347,Title III)

• OMB Circular A-130 and Appendix III, Security of Federal Automated Information https://www.cpars.gov/ http://www.hhs.gov/ocio/securityprivacy/ http://www.hhs.gov/ocio/policy/hhs-ocio-2011-0003.html

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Resources

• OMB Circular A-11, Preparing, Submitting, and Executing the Budget

• Presidential Decision Directive 63 (PDD 63)

• NIST Special Publications – 800 Series

H.6 IDENTIFICATION AND DISPOSITION OF DATA, REPORTS, AND OTHER DELIVERABLES

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

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

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

H.7 ADDITIONAL REQUIREMENTS CONCERNING DATA, DATA RIGHTS AND COMPUTER

SOFTWARE

Notwithstanding any other clause concerning data, data rights and computer software and hardware under this Contract: all data produced, recorded, transferred or manipulated under this Contract shall remain the exclusive property of the Government irrespective or the manner or method of recording or storage and no matter what form of computer mechanism is used in the processing of said information or data. The Government shall retain exclusive right and domain over any by-product produced under this Contract, or any other use of the data produced under this Contract by either plan or accident.

Copies of the final Reports and Deliverables under each task must be officially sent to the Indian Health Service and kept on file by the Contractor. At the end of the contract, all files must be kept by the Contractor for audit purposes.

Works other than Software Development or Enhancements:

No software will be developed, modified, or enhanced under this acquisition.

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SECTION I – CONTRACT CLAUSES

FEDERAL ACQUISITION REGULATIONS (FAR) 48 CFR CHAPTER CLAUSES

I.1 CLAUSES INCORPORATED BY REFERENCE - FAR 52.252-2 (FEB 1998)

This Contract incorporates FAR provisions/clauses referenced, 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 website address: FAR -https://www.acquisition.gov/far/index.html.

FAR

Clause No. Title and Dates

52.203-3 Gratuities (Apr 1984) 52.203-5 Covenant Against Contingent Fees (May 2014) 52.203-6 Restrictions on Subcontractor Sales to the Government (Sep 2006) 52.203-7 Anti-Kickback Procedures (May 2014) 52.203-8 Cancellation, Rescission, and Recovery of Funds for Illegal or Improper Activity (May 2014) 52.203-10 Price or Fee Adjustment for Illegal or Improper Activity (May 2014) 52.203-12 Limitation of Payments to Influence Certain Federal Transactions (Oct 2010)

52.204-4 Printed or Copied Double-Sided on Postconsumer Fiber Content Paper (May 2011)

52.204-9 Personal Identity Verification of Contractor Personnel (Jan 2011)

52.204-10 Reporting Executive Compensation and First Tier Subcontract Awards (Oct 2016)

52.209-6 Protecting the Government’s Interests when Subcontracting with Contractors Debarred, Suspended or Proposed for Debarment (AUG 2013)

52.209-10 Prohibition on Contracting with Inverted Domestic Corporations (Nov 2015) 52.212-4 Contract Terms and Conditions – Commercial Items (Oct 2018) 52.215-2 Audit and Records – Negotiation (Oct 2010) 52.215-8 Order of Precedence – Uniform Contract Format (Oct 1997) 52.215-10 Price Reduction for Defective Certified Cost or Pricing Data (Aug 2011) 52.219-14 Limitations on Subcontracting (Jan 2017) 52.222-3 Convict Labor (Jun 2003) 52.222-17 Non-displacement of Qualified Workers (May 2014) 52.222-21 Prohibition of Segregated Facilities (Apr 2015) 52.222-26 Equal Opportunity (Apr 2015) 52.222-35 Equal Opportunity for Veterans (Jul 2014) 52.222-36 Affirmative Action for Workers with Disabilities (Jul 2014) 52.222-37 Employment Reports Veterans (Jul 2014) 52.222-40 Notification of Employee Right Under the National Labor Relations Act (Dec 2010) 52.222-41 Service Contract Labor Standards (May 2014)

52.222-43 Fair Labor Standards Act and Service Contract Act – Price Adjustment (Multiple Year and Option Contracts) (May 2014)

52.222-50 Combating Trafficking in Persons (Mar 2015) 52.222-54 Employment Eligibility Verification (Oct 2015)…

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