ADMINISTRATIVE DATA.pdf

ADMINISTRATIVE DATA

1. Contract Type: Firm Fixed Price, Nonpersonal Services.

2. Period of Performance: Twelve (12) months from date of award.

3. Payment Terms: Net 15

4. Method of Payment

a. Payment for services shall be made in arrears.

b. Electronic Funds Transfer (EFT) shall be utilized as the method for processing payment.

c. The Contractor’s hourly rate identified for services described herein is considered to be an all-inclusive rate. All-inclusive is defined to include the cost of days worked paid for services, travel, lodging per diem expenses, liability insurance, and all other fees necessary to provide service.

5. Contract Type: Firm Fixed Price

6. Cost/Pricing

Description Location Quantity Unit of Issue Unit Price Total

Pharmacist 1 Red Lake Hospital 2080 Hours $ $

Pharmacist 2 White Earth Health Center 2080 Hours $ $ Grand Total: $

7. Invoice Instructions

The Contractor shall prepare and submit invoices to the designated billing office specified in the contract. A proper invoice must include the items listed below. If the invoice does not comply with these requirements, the designated billing office will return the invoice within 7 days after receipt with the reasons why it is not a proper invoice. The Government will take into account untimely notification when computing any interest penalty owed the Contractor.

a. Name and address of the Contractor;

b. Invoice date and invoice number. (The Contractor should date invoices as close as possible to the date of the mailing or transmission.);

c. IHS Contract number;

d. Description, quantity, unit of measure, unit price, and extended price of supplies delivered or services performed;

e. Shipping and payment terms (e.g., shipment number and date of shipment, discount for prompt payment terms). Bill of lading number and weight of shipment will be shown for shipments on Government bills of lading;

f. Name and address of Contractor official to whom payment is to be sent (must be the same as that in the contract or in a proper notice of assignment);

g. Name (where practicable), title, phone number, and mailing address of person to notify in the event of a defective invoice;

h. Taxpayer Identification Number (TIN); *

i. Dun & Bradstreet Number (DUNS). * *Shall be the same numbers used to create the company www.sam.gov registration*

8. Location of Service

a. Indian Health Service Red Lake Hospital 24760 Hospital Drive Red Lake, MN 56671

b. Indian Health Service

White Earth Health Center 40520 Co Hwy 34 Ogema, MN 56569

9. Contracting Officer Representative:

Contracting Officer’s Representative (COR) with respect to technical matters within the scope of the contractual instrument referenced is authorized to act on behalf of the Contracting Officer in all matters related to the monitoring and oversight of the technical and programmatic aspects of the contract, subject to the limitations set forth in his/her appointment.

The appointment specifically authorizes the COR to perform the following duties:

• Serve as the primary liaison between the contractor and the Contracting Officer;

• Monitor and evaluate the contractor’s performance and make timely reports of your findings to the Contracting Officer;

• Inspect and evaluate products (including reports and drafts) and services delivered by the contractor, and make recommendations to the Contracting Officer regarding their acceptability;

• Review and approve/reject contractor’s invoices (fixed-price contracts) or vouchers (cost-reimbursement type contracts);

• Monitor the contractor’s use of key personnel and notify the Contracting Officer of any changes in key personnel proposed by the contractor;

• Review the qualifications of proposed subcontractors and the appropriateness of subcontracting contract work, and make recommendations to the Contracting Officer regarding consent to the placement of subcontracts;

• Provide the contractor with, monitor the use of, and report on Government-furnished property;

• Provide technical guidance to the contractor;

• Promptly notify the Contracting Officer immediately of any:

- Actual or potential contractor performance problems;

- Action or inaction by HHS StaffDiv/OPDIV personnel that may affect the contractor’s ability to perform; and

- Inappropriate action on the part of HHS StaffDiv/OPDIV personnel with regard to the contract (e.g., any action that creates a conflict of interest on the part of the contractor or causes the contractor to perform inherently governmental functions). The COR should concurrently notify the program office of any such action.

• As requested by the Contracting Officer, provide him/her with technical assistance on contract-related matters (e.g., disputes, settlements, litigation, patent and copyright issues, final payment during closeout, etc.);

• Provide timely reports on contractor performance to the Contracting Officer and other interested parties; and

• Ensure proper distribution of final products and other information resulting from the contract.

The COR does not have authorization to take any action that requires a Contracting Officer’s warrant, including:

• Changing any of the contract’s terms and conditions;

• Directing the contractor to perform work or make deliveries not specifically required under the contract;

• Waiving or relaxing, in any way, the Government’s rights with regard to the Contractor’s compliance with the specifications, price, delivery or any other terms or conditions of the contract; and,

• Making any commitments or approving any actions that would create any financial obligation on the part of the Government.

10. Contract Administrator:

The role of the contract administrator is to assist or advise the Contracting Officer in post-award administration.

Such activities include but are not limited to the following duties:

• Processing disputes under the Disputes clause and any resultant appeals;

• Modifying or terminating the contract; and

• Determining the allowability of: costs charged, and progress payments under fixed price contracts.

11. Qualification Criteria

The contracted Pharmacist shall be able to meet the following criteria:

Education: Only attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education may be credited.

Foreign Education: If you are using education completed in foreign colleges or universities to meet the qualification requirements, you must show that the education credentials have been evaluated by a private organization that specializes in interpretation of foreign education programs and such education has been deemed equivalent to that gained in an accredited U.S. education program; or full credit has been given for the courses at a U.S. accredited college or university.

Licensure: Shall possess and maintain a current, valid, unrestricted professional license/registration.

Certifications: Basic Life Support

Malpractice Insurance: Shall possess and maintain malpractice insurance.

Privileges: Shall apply for and have approved privileges at the facility.

Experience: Shall have practiced clinically 12 months within the past 3 years.

Continuing Education: possess documentation of continuing education.

Immunizations: Contractor shall provide evidence of the following immunizations:

• MMR Immunization (measles, mumps, and rubella), o Individuals born on or after 1957 can be considered immune and shall provide documentation of physician-diagnosed measles, laboratory evidence of measles immunity, or adequate immunization with two doses of live measles vaccine on or after their first birthday.

o Individuals born prior to 1957 need not be considered susceptible; measles vaccine or proof of immunity is therefore not required.

o Individuals who are allergic to a component of vaccine and/or have a history of a severe reaction to vaccine will not be required to receive that vaccine.

• Hep B - Hepatitis B

• Tdap-Tetanus, diphtheria, acellular pertussis or, current Td booster. • Polio

• Annual TB (tuberculosis) test results as negative.

• Flu – Influenza (seasonal)

Security Clearance: P.L. 101-630, the Indian Child Protection and Family Violence Act.

Contract provider shall be capable of passing a background investigation to include fingerprinting prior to commencement of work. The investigation at a minimum shall entail both a national criminal history fingerprint search performed by the FBI and an investigation of conduct in following areas;

residence, employment, education, references.

The Contractor shall provide full cooperation during the investigation process as well as provide accurate and complete data to allow for timely processing. Providing partial or incomplete data which results in multiple requests for information or rework shall be considered failure to cooperate. The Contractor shall be removed from service should unnecessary delays occur.

HHS-Controlled Facilities and Information Systems Security

(a) To perform the work specified herein, Contractor personnel are expected to have routine (1) physical access to an HHS-controlled facility; (2) logical access to an HHS-controlled information system; (3) access to sensitive HHS data or information, whether in an HHS-controlled information system or in hard copy; or (4) any combination of circumstances (1) through (3).

(b) To gain routine physical access to an HHS facility, logical access to an HHS-controlled information system, and/or access to sensitive data or information, the Contractor and its employees shall comply with Homeland Security Presidential Directive (HSPD)-12, Policy for a Common Identification Standard for Federal Employees and Contractors; Office of Management and Budget memorandum (M-05-24); and Federal Information Processing Standards Publication (FIPS PUB) Number 201; and with the personal identity verification and investigation procedures contained in the following documents:

(1) HHS Information Security Program Policy.

(2) HHS Office of Security and Drug Testing, Personnel Security/Suitability Handbook, dated

February 1, 2005. (3) HHS HSPD-12 Policy Document, v. 2.0. (c) This contract/order will entail the following position sensitivity level(s): sensitive

(d) The personnel investigation procedures for Contractor personnel require that the Contractor prepare and submit background check/investigation forms based on the type of investigation required. The minimum Government investigation for a non-sensitive position is a National Agency Check and Inquiries (NACI) with fingerprinting. More restricted positions--i.e., those above nonsensitive, require more extensive documentation and investigation. The Contractor shall notify the

Contracting Officer in advance when any new personnel, who are subject to a background check/investigation, will work under the contract and if they have previously been the subject of national agency checks or background investigations.

(e) Investigations are expensive and may delay performance, regardless of the outcome of the investigation. Delays associated with rejections and consequent re-investigations may not be excusable in accordance with the FAR clause, Excusable Delays--see FAR 52.249-14. Accordingly, the Contractor shall ensure that any additional employees whose names it submits for work under this contract have a reasonable chance for approval.

(f) Typically, the Government investigates personnel at no cost to the Contractor. However, 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 additional investigation(s).

(g) The Contractor shall include language similar to this ``HHS-Controlled Facilities and Information Systems Security'' language in all subcontracts that require subcontractor personnel to have the same frequency and duration of (1) physical access to an HHS-controlled facility; (2) logical access to an HHS-controlled information system; (3) access to sensitive HHS data/information, whether in an HHS-controlled information system or in hard copy; or(4) any combination of circumstances (1) through (3). (h) The Contractor shall direct inquiries, including requests for forms and assistance, to the Contracting Officer or designee.

(i) Within 7 calendar days after the Government's final acceptance of the work under this contract, or upon termination of the contract, the Contractor shall return all identification badges to the Contracting Officer or designee.

Health and Human Services - Office of Inspector General (HHS/OIG) To ensure that the individuals providing services under the contract have not engaged in fraud or abuse regarding Sections 1128 and 1128A of the Social Security Act regarding federal health care programs, the contractor is required to check the Health and Human Services - Office of Inspector General (HHS/OIG), List of Excluded Individuals/Entities on the OIG Website (www.hhs.gov/oig) for each person providing services under this contract. Further, the Contractor is required to certify in its proposal that all persons or entities listed in the contractor’s proposal have been compared against the OIG list and are NOT listed. During the performance of this contract the Contractor is prohibited from using any individual or business listed on the list of Excluded Individuals/Entities.

Health Insurance Portability & Accountability Act (HIPAA) of 1996 Contractor personnel must adhere to the provisions of Public Law 104-191, Health Insurance Portability and Accountability Act (HIPAA) of 1996 and the National Standards to Protect the Privacy and Security of Protected Health Information (PHI).