ATTACHMENT 1-75H71321Q00002- SF1449.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

Salem OR 97305 3750 Chemawa Rd, NE Chemawa Indian Health CTR Western Oregon Service Unit

106 CODE 16. ADMINISTERED BYCODE

X

X

X

621399

SIZE STANDARD:

% FOR:SET ASIDE:UNRESTRICTED OR301

RFPIFB

10. THIS ACQUISITION ISCODE

RFQ

14. METHOD OF SOLICITATION

13b. RATING

NAICS:

SMALL BUSINESS

12/16/2020 1700 PT

12/11/2020

503-304-7661ALLAN GAERLAN

(No collect calls)

INFORMATION CALL:

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

4. ORDER NUMBER3. AWARD/ 6. SOLICITATION

75H71321Q00002

5. SOLICITATION NUMBER

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

1 3 OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

TELEPHONE NO.

17a. CONTRACTOR/

Salem OR 97305-1198 3750 Chemawa Rd, NE

CHEMAWA INDIAN HEATLH CTR

WESTERN OREGON SERVICE UNIT

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.

The contractor shall provide a call in nurse advice services for Portland Area Indian Health Service facility:

Western Oregon Service Unit aka Chemawa Indian Health Center 3750 Chemawa Rd NE Salem, OR 97305

Acquistion will be for a 12 months base period with four 12 month option periods.

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

HEREIN, IS ACCEPTED AS TO ITEMS:

X

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.

DUNS:___________________________

E-MAIL:_________________________

TIN NO:_________________________

SEE 75H71321Q00002 COMBINED SYNOPSIS SOLICITATION

FOR DETAILS.

Period of Performance: 06/01/2021 to 05/31/2022

ESTIMATE CALLS PER YEAR: 200

1 BASE YEAR-NURSE ADVICE LINE SERVICE

TOTAL BASE YEAR: $_____________

Delivery: 05/31/2022

2 OPTION PERIOD 1-NURSE ADVICE LINE SERVICE

TOTAL OPTION PERIOD 1: $__________

(Option Line Item)

04/01/2022

Delivery: 05/31/2023

Continued ...

32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

3 2 of

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

3 3

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

75H71321Q00002

Period of Performance: 06/01/2022 to 05/31/2023

3 OPTION PERIOD 2-NURSE ADVICE LINE SERVICE

TOTAL OPTION PERIOD 2: $____________

(Option Line Item)

04/01/2023

Delivery: 05/31/2024

Period of Performance: 06/01/2023 to 05/31/2024

4 OPTION PERIOD 3-NURSE ADVICE LINE

TOTAL PERIOD 3: $____________

(Option Line Item)

04/01/2024

Delivery: 05/31/2025

Period of Performance: 06/01/2024 to 05/31/2025

5 OPTION PERIOD 4 -NURSE ADVICE LINE SERVICE

TOTAL OPTION PERIOD 4: $____________

(Option Line Item)

04/01/2025

Delivery: 05/31/2026

Period of Performance: 06/01/2025 to 05/31/2026

NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)

Sponsored by GSA

FAR (48 CFR) 53.110

EVALUATION FACTORS FOR AWARD:

The proposal shall be evaluated to determine the Offeror's ability to complete all requirements necessary for successful performance under the contract. A proposal which merely paraphrases the requirements stated in Performance Objectives will be ineligible for award. In addition, a proposal that addresses only a part of the requirements will be considered unresponsive to this solicitation and unacceptable for award.

The proposal should show that the requirements stated in the description of services/supplies of this solicitation are understood and offer a logical approach for their achievement. Past Performance required is a minimum of 3 past years successful experience in providing same/similar type of primary care services. Provide a reference letter for each of the last three contracts awarded to you. The letter shall include: (1) name, address and telephone number of the awarding business, and a point of contact name;

(2) contract award date and the contract period of performance; (3) statement by the awarding entity on the Contractor quality of work and reliability concerning this proposal with respect to each mandatory requirement as stated in this RFP. Contractor must show a background in providing services in a primary care clinic setting as a past performance, and must provide proof for the past 3 years. The Government will award a Fixed-Price contract resulting from this solicitation to the responsible Offeror whose offer, conforming to this solicitation; will be most advantageous to the Government, price and other factors considered. The following factors shall be used to evaluate offers:

1. Call in nurse advice services must use standardized computer software protocols developed in compliance with nationally recognized telephone triage guidelines, including but not limited to the Barton-Schmidt Pediatric Protocols, provided by McKesson Care Enhance.

2. Call in nurse advice services shall be provided by licensed nurses.

3. Protocols and guidelines must be approved by the Medical Director.

4. Toll Free Telephone Service, 24 hours 7 days a week nurse telephone triage.

5. Multilingual translation services.

6. Hearing and speech impaired TDD/TTY services.

7. Faxing follow-up information to the Western Oregon Service Unit IHS Facility.

8. Provide information about available community resources to member as information is available and as appropriate.

9. Call recording system and monitor for quality reviews.

10. Database management.

11. Security backup and disaster recovery.

12. Response Time Targets:

a. Answering calls or institute message answering based upon national and state standards.

b. Assuring the average waiting time to communicate with a nurse does not exceed national or state standards.

c. Assuring 85% of calls are connected with a nurse within 2 minutes of member’s call.

d. Allow members to leave message when the wait time exceeds established national and state standards.

e. Blockage not to exceed 0.5% of the total calls.

f. Call abandonment rate not to exceed 5% per month with the exception of this requirement for public health emergencies and/or pandemics as defined by state and/or federal public health authorities.

13. Reports Provided at the Request of Client:

a. Abandonment rate.

b. Call detail reporting as available and in compliance with state and federal regulations.

c. Primary reasons for call.

d. Average wait time of members who call Nurse Telephone triage service.

e. Average call length.

14. Conduct semi-annual satisfaction surveys of members who call Nurse Telephone triage service.

15. Be responsive to Client’s requests and complaints as appropriate.

The contractor for this agreement shall provide all material, equipment, labor, tools, etc. to provide a call in nurse advice services as described for the Portland Area Indian Health Service and its specified health centers.

A written notice of award or acceptance of an offer mailed or otherwise furnished to the successful Offeror within the time for acceptance specified in the offer, shall result in a binding contract after acceptance of the Offeror. Before the offer's specified expiration time, the Government may accept an offer, whether or not there are negotiations after its receipt, unless a written notice of withdrawal is received before award. An award will be made on a both qualification and price. An award will be made only in the event that the Offeror's proposal is found to be technically acceptable, based upon the evaluation criteria, and the Offeror is determined responsive and responsible in accordance with the terms and conditions of this solicitation.

RELATIVE IMPORTANCE OF EVALUATION CRITERIA

The following will be used to technically evaluate the proposals and are listed in descending order of importance:

(1) Customer Support

(2) Technical Qualifications

(3) Price

Factor 1 is more important than Factor 2. Factors 1 and 2, when combined, are significantly more important than price. The award will be made on a best value basis, both price and other factors considered. The Source Selection Team will evaluate the technical aspects; the contracting officer will evaluate the pricing.