ATTACHMENT 1-STATEMENT OF WORK.docx

STATEMENT OF WORK

Sign Language Interpreter

I. INTRODUCTION

Contractor will provide American Sign Language interpreting services for the deaf, hard of hearing, and hearing individuals presenting at Western Oregon Service Unit (WOSU).

II. MAJOR RESPONSIBILITEIS AS INTERPRETER CONTRACTOR

1. Interpreter must be able to accurately communicate health information to patient and communicate patient concerns to provider.

2. Interpreter must adhere to HIPAA requirements which protect patient confidentiality and health information.

3. Contractor shall maintain their own continuing education requirements necessary for licensure.

4. The contractor shall be responsible for applicable state and local sales or other taxes as required.

5. The contractor shall provide an interpreter during scheduled appointments not to exceed 2 hours per week. Regular hours of clinic are from 8:00 am to 5:00 pm except Wednesday hours are 1:00 pm to 5:00 pm. The clinic is not open on federally recognized holidays or certain day(s) of closure pursuant to an Executive Order by the President of the United States. Inclement weather conditions or facility issues (electrical, water, etc.) may also hinder the normal operating hours and notice of closure will be provided as soon as is practicable by the WOSU administrative staff.

III. INDIAN HEALTH SERVICE RESPONSIBLITIES

The WOSU will be responsible for informing the contractor of any facility closure due to conditions described in Section II above as soon as it is practicable. Such notification methods shall be mutually agreed upon between the contractor and WOSU.

IV. PERIOD OF PERFORMANCE AND LOCATION:

Base Year: April 11, 2021 through April 10, 2022 Option Year One (1): April 11, 2022 through April 10, 2023 Option Year Two (2): April 11, 2023 through April 10, 2024 Option Year Three (3): April 11, 2024 through April 10, 2025 Option Year Four (4): April 11, 2025 through April 10, 2026

Services will be performed at the following location:

Western Oregon Service Unit aka Chemawa Indian Health Center 3750 Chemawa Road Northeast Salem, OR 97305

The anticipated need is 2 hour appointments including ancillary services and scheduling follow-up appointments for up to twelve occasions through the year.

V. ON-SITE CONTACT/ SUPERVISION:

The following individual or their designee shall serve as a Contracting Officer’s Representative (COR):

TBD, COR

Email: TBD Phone: TBD Western Oregon Service Unit aka Chemawa Indian Health Center 3750 Chemawa Road Northeast Salem, OR 97305

VI. PAYMENT SCHEDULE

A. Payment shall be made in accordance with the hourly rate of the contract for services provided at the clinic site.

B. Payment shall be made in accordance with the Prompt Payment Final Rule (5 CFR 1315, September 29, 1999), which states that disbursement will be made within 30 days of an accepted and approved invoice by a Contracting Officer when presented to the Finance Office.

C. The contractor shall maintain an "Active" status with the System of Award Management (SAM) as prescribed by the Electronic Funds Transfer (EFT) procedures. Travel costs will not be reimbursed.

D. The Government is obligated only to the extent of authorized purchases actually made and received under this contract.

VII. INVOICING

Invoices shall be submitted to:

TBD after award Portland Area Indian Health Service 1414 NW Northrup Street, Suite 800 Portland, OR 97209 Invoices are to be submitted monthly. Payment shall be made only for hours actually completed at time of invoice submission.

The following information must be included on the invoice as a minimum:

Purchase Order/ Contract Number Contracts Name and Remittance Address Contractor's Employee Identification Number and DUNS number Dates of Service Explanation of Services Unit Cost Total Amount Due Payment Terms/ Payment Due Date

VIII. ADDITIONAL TERMS & CONDITIONS

A. 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 qualification, licensure, security clearance, credentialing requirements or clinical privileges of the 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.

B. CONTRACTOR GOVERNEMENT FURNISHED EQUIPMENT AND FACILITIES

The WOSU does not anticipate a need for contractor furnished equipment.

C. HIPPA 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 2 for related HIPPA material and Business Associate Agreement Clause).