Award - 75H70621P00790.pdf

ORDER FOR SUPPLIES OR SERVICES

3. ORDER NO. 4. REQUISITION/REFERENCE NO.

PAGE OF PAGES

5. ISSUING OFFICE (Address correspondence to) b. STREET ADDRESS

IMPORTANT: Mark all packages and papers with contract and/or order numbers. 1

1. DATE OF ORDER 2. CONTRACT NO. (If any) 6. SHIP TO:

a. NAME OF CONSIGNEE

c. CITY d. STATE e. ZIP CODE

7. TO:

a. NAME OF CONTRACTOR

f. SHIP VIA

8. TYPE OF ORDER

b. COMPANY NAME

c. STREET ADDRESS

d. CITY e. STATE f. ZIP CODE

9. ACCOUNTING AND APPROPRIATION DATA

a. PURCHASE b. DELIVERY

REFERENCE YOUR:

Please furnish the following on the terms and conditions specified on both sides of this order and on the attached sheet, if any, including delivery as indicated.

Except for billing instructions on the reverse, this delivery order is subject to instructions contained on this side only of this form and is issued subject to the terms and conditions of the above-numbered contract.

10. REQUISITIONING OFFICE

11. BUSINESS CLASSIFICATION (Check appropriate box(es))

a. SMALL b. OTHER THAN SMALL c. DISADVANTAGED d. WOMEN-OWNED

13. PLACE OF

a. INSPECTION b. ACCEPTANCE

14. GOVERNMENT B/L NO. 15. DELIVER TO F.O.B. POINT

ON OR BEFORE (Date)

16. DISCOUNT TERMS

17. SCHEDULE (See reverse for Rejections)

06/24/2021

75H70621P00790 IHS1422570

Aberdeen Area Indian Health Servic

Federal Building

115 Fourth Ave, SE

Aberdeen SD 57401

CARLSON LAUNDERETTE 1447825

CARLSON LAUNDERETTE 623 VETERA

623 VETERANS AVE

SISSETON SD 572621417

2021.J45S612.25410

12. F.O.B. POINT

Multiple

SISSETON

100 LAKE TRAVERSE DRIVE

SISSETON SD 57262

SISSETON SD 57262

Joanie Carlson

605-698-4358

WALLACE STEPHANIE J (IHS)

ITEM NO.

(a)

SUPPLIES OR SERVICES

(b)

QUANTITY

ORDERED

(c)

UNIT

(d)

UNIT

PRICE

(e)

AMOUNT

(f)

QUANTITY

ACCEPTED

(g)

XX

X

Destination Destination IHS NET 15P

f. SERVICE-DISABLED

VETERAN-OWNED

e. HUBZone

g. WOMEN-OWNED SMALL BUSINESS (WOSB)

ELIGIBLE UNDER THE WOSB PROGRAM

h. EDWOSB

Firm Fixed-Price, Non-Personal Service Type, Commercial Item, Purchase Order to provide Laundry Services for the Woodrow Wilson Keeble Memorial Health Care Center (WWKMHCC), Sisseton, South Dakota. Period of Performance: July 1, 2021 through June Continued ...

19. GROSS SHIPPING WEIGHT18. SHIPPING POINT 20. INVOICE NO.

21. MAIL INVOICE TO:

a. NAME

b. STREET ADDRESS

(or P.O. Box)

c. CITY d. STATE e. ZIP CODE

SEE BILLING

INSTRUCTIONS

ON REVERSE

17(h)

TOTAL

(Cont.

pages)

17(i)

GRAND

TOTAL

$31,000.00

22. UNITED STATES OF

AMERICA BY (Signature)

23. NAME (Typed)

TITLE: CONTRACTING/ORDERING OFFICER

CRAIG J. WELLS

$31,000.00

OPTIONAL FORM 347 (Rev. 2/2012)

Prescribed by GSA/FAR 48 CFR 53.213(f)

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION NOT USABLE

06/24/2021

IHSGREATPLAINS AREA

Great Plains Area IHS

115 4TH AVENUE SE

ABERDEEN SD 57401-4301

ABERDEEN SD 57401-4301

DATE OF ORDER

ORDER FOR SUPPLIES OR SERVICES

SCHEDULE - CONTINUATION

CONTRACT NO.

AMOUNTUNIT

PRICE

UNITQUANTITY

ORDERED

SUPPLIES/SERVICESITEM NO.

IMPORTANT: Mark all packages and papers with contract and/or order numbers.

ORDER NO.

QUANTITY

ACCEPTED

06/24/2021 75H70621P00790

PAGE NO

(a) (b) (c) (d) (e) (f) (g)

30, 2022 plus Four Option Years.

Base Year: July 1, 2021 - June 30, 2022

Option Year One (1): July 1, 2022 - June

30, 2023

Option Year Two (2): July 1, 2023 - June

30, 2024

Option Year Three (3): July 1, 2024 - June

30, 2025

Option Year Four (4): July 1, 2025 - June

30, 2026

Admin Office:

Aberdeen Area Indian Health Servic

Federal Building

115 Fourth Ave, SE

Aberdeen SD 57401

Appr. Yr.: 2021 CAN: J45S612 Object Class:

25410

Period of Performance: 07/01/2021 to

06/30/2026

1 Period of Performance: July 1, 2021 - June 31,000.00

30, 2022

Laundry services for the Housekeeping, Dental, Nursing, Physical Therapy, and

Laboratory Departments

Mops - 10,000 lbs X $1.55/lb, totaling

$15,500.00

Rough, Dry, Flats, and Finish - 10,000 lbs

X $1.55/lb, totaling $15,500.00

Total - $31,000.00

Delivery: 06/30/2022

Period of Performance: 07/01/2021 to

06/30/2022

2 Period of Performance: July 1, 2022 - June 0.00

30, 2023

Laundry services for the Housekeeping, Dental, Nursing, Physical Therapy, and

Laboratory Departments

Mops - 10,000 lbs X $1.60/lb, totaling

$16,000.00

Continued ...

Prescribed by GSA FAR (48 CFR) 53.213(f)

OPTIONAL FORM 348 (Rev. 4/2006)AUTHORIZED FOR LOCAL REPODUCTION

PREVIOUS EDITION NOT USABLE

TOTAL CARRIED FORWARD TO 1ST PAGE (ITEM 17(H)) $31,000.00

ORDER FOR SUPPLIES OR SERVICES

SCHEDULE - CONTINUATION

CONTRACT NO.

AMOUNTUNIT

PRICE

UNITQUANTITY

ORDERED

SUPPLIES/SERVICESITEM NO.

IMPORTANT: Mark all packages and papers with contract and/or order numbers.

ORDER NO.

QUANTITY

ACCEPTED

06/24/2021 75H70621P00790

PAGE NO

(a) (b) (c) (d) (e) (f) (g)

Rough, Dry, Flats, and Finish - 10,000 lbs

X $1.60/lb, totaling $16,000.00

Total - $32,000.00

Amount: $32,000.00(Option Line Item)

07/01/2022

Delivery: 06/30/2023

Period of Performance: 07/01/2022 to

06/30/2023

3 Period of Performance: July 1, 2023 - June 0.00

30, 2024

Laundry services for the Housekeeping, Dental, Nursing, Physical Therapy, and

Laboratory Departments

Mops - 10,000 lbs X $1.65/lb, totaling

$16,500.00

Rough, Dry, Flats, and Finish - 10,000 lbs

X $1.65/lb, totaling $16,500.00

Total - $33,000.00

Amount: $33,000.00(Option Line Item)

07/01/2023

Delivery: 06/30/2024

Period of Performance: 07/01/2023 to

06/30/2024

4 Period of Performance: July 1, 2024 - June 0.00

30, 2025

Laundry services for the Housekeeping, Dental, Nursing, Physical Therapy, and

Laboratory Departments

Mops - 10,000 lbs X $1.70/lb, totaling

$17,000.00

Rough, Dry, Flats, and Finish - 10,000 lbs

X $1.70/lb, totaling $17,000.00

Total - $34,000.00

Amount: $34,000.00(Option Line Item)

07/01/2024

Delivery: 06/30/2025

Period of Performance: 07/01/2024 to

Continued ...

Prescribed by GSA FAR (48 CFR) 53.213(f)

OPTIONAL FORM 348 (Rev. 4/2006)AUTHORIZED FOR LOCAL REPODUCTION

TOTAL CARRIED FORWARD TO 1ST PAGE (ITEM 17(H)) $0.00

ORDER FOR SUPPLIES OR SERVICES

SCHEDULE - CONTINUATION

CONTRACT NO.

AMOUNTUNIT

PRICE

UNITQUANTITY

ORDERED

SUPPLIES/SERVICESITEM NO.

IMPORTANT: Mark all packages and papers with contract and/or order numbers.

ORDER NO.

QUANTITY

ACCEPTED

06/24/2021 75H70621P00790

PAGE NO

(a) (b) (c) (d) (e) (f) (g)

06/30/2025

5 Period of Performance: July 1, 2025 - June 0.00

30, 2026

Laundry services for the Housekeeping, Dental, Nursing, Physical Therapy, and

Laboratory Departments

Mops - 10,000 lbs X $1.75/lb, totaling

$17,500.00

Rough, Dry, Flats, and Finish - 10,000 lbs

X $1.75/lb, totaling $17,500.00

Total - $35,000.00

Amount: $35,000.00(Option Line Item)

07/01/2025

Delivery: 06/30/2026

Period of Performance: 07/01/2025 to

06/30/2026

The "Unit Price" is an all-inclusive cost.

All "inclusive cost" is defined to include travel, lodging, per diem, fringe benefits, i.e., life insurance, social security, federal, state, and local taxes, plus all other costs pertinent to the performance of this purchase order.

Attachments:

- Quote

- Statement of Work

- Clauses incorporated by Reference and in

Full-Text

- HHS Residual Standards of Conduct

- Workplace Violence

- Courtesy and Respect in the Workplace

Policy

- Standards of Conduct

- Wage Determination No: 2015-5377

Revision No.: 15

Date of Last Revision: 06/04/2021

A security pre-clearance must be performed for any employees referred to IHS through

Continued ...

Prescribed by GSA FAR (48 CFR) 53.213(f)

OPTIONAL FORM 348 (Rev. 4/2006)AUTHORIZED FOR LOCAL REPODUCTION

ORDER FOR SUPPLIES OR SERVICES

SCHEDULE - CONTINUATION

CONTRACT NO.

AMOUNTUNIT

PRICE

UNITQUANTITY

ORDERED

SUPPLIES/SERVICESITEM NO.

IMPORTANT: Mark all packages and papers with contract and/or order numbers.

ORDER NO.

QUANTITY

ACCEPTED

06/24/2021 75H70621P00790

PAGE NO

(a) (b) (c) (d) (e) (f) (g) this contract.

Fingerprints must be completed and adjudicated prior to services being performed under this contract.

No contract award shall be made to any vendor or provider listed on the OIG

Exclusion List http://exclusions.oig.hhs.gov throughout the duration of the contract. It shall be the responsibility of the contractor to notify the acquisition official if there is a change in provider.

Performance of this contract will require routine access by employees of the

Contractor or its subcontractors to facilities or systems controlled by the

Indian Health Service (I.H.S.). Before starting work requiring routine access to

I.H.S. facilities or systems each person must complete a FBI National Criminal

History Check (Fingerprint Check) adjudicated by an I.H.S. employee using the

Office of Personnel Management Personnel

Investigations Processing System.

Contractors shall allow five business days for I.H.S. processing of fingerprints taken electronically at an I.H.S. site and thirty business days for non-electronic processing of fingerprints using FBI Form FD-258. A list of I.H.S. sites with electronic fingerprint capability is available from the Contracting Officer.

In addition, no Contractor or subcontractor employee shall be permitted to perform work under this contract if listed on the HHS

Office of Inspector General List of

Excluded Individuals/Entities (LEIE), http://exclusions.oig.hhs.gov. As soon as practicable prior to the start of work, the performance of the work the Contractor shall provide to the Contracting Officer the names of all individuals to be used in

Continued ...

Prescribed by GSA FAR (48 CFR) 53.213(f)

OPTIONAL FORM 348 (Rev. 4/2006)AUTHORIZED FOR LOCAL REPODUCTION

ORDER FOR SUPPLIES OR SERVICES

SCHEDULE - CONTINUATION

CONTRACT NO.

AMOUNTUNIT

PRICE

UNITQUANTITY

ORDERED

SUPPLIES/SERVICESITEM NO.

IMPORTANT: Mark all packages and papers with contract and/or order numbers.

ORDER NO.

QUANTITY

ACCEPTED

06/24/2021 75H70621P00790

PAGE NO

(a) (b) (c) (d) (e) (f) (g) performance of work for screening against the LEIE. During the performance, the

Contractor shall provide the Contracting

Officer the names of any additional or substitute employees for screening before they begin work.

The Contractor is responsible for conducting security preclearance investigations in sufficient depth to ensure that each Contractor or subcontractor employee referred to I.H.S.

is not on the LEIE and can obtain a favorable fingerprint clearance. Each security preclearance shall be conducted sufficiently in advance of the start of performance to avoid delays caused by denial of access. If this is a Time and

Materials, Labor-Hour or Cost Reimbursement contract, the contractor shall not charge for or be reimbursed for labor hours or other costs incurred for employees who are unable to perform due to denial or access or the excess time required to resolve and clear unfavorable security clearance findings. If this is a Fixed Price contract, denial of access due to security clearance findings shall not be a basis for excusable delay or an increase to the contract amount.

Government will pay for the cost to process the contractors suitability clearances.

However, multiple investigations for the same position may, at the Contracting

Officers discretion, lead to reduction(s) in the contract price of no more than the cost of the extra investigation(s).

Employees that DO NOT have access to LMS, contractors, volunteers, or IHS employees with IPA?s or MOA?s to tribal organizations please, click here IHS Sexual Abuse

Prevention website. When the contractors have completed and passed the training, please have them send a copy of the last

Continued ...

Prescribed by GSA FAR (48 CFR) 53.213(f)

OPTIONAL FORM 348 (Rev. 4/2006)AUTHORIZED FOR LOCAL REPODUCTION

ORDER FOR SUPPLIES OR SERVICES

SCHEDULE - CONTINUATION

CONTRACT NO.

AMOUNTUNIT

PRICE

UNITQUANTITY

ORDERED

SUPPLIES/SERVICESITEM NO.

IMPORTANT: Mark all packages and papers with contract and/or order numbers.

ORDER NO.

QUANTITY

ACCEPTED

06/24/2021 75H70621P00790

PAGE NO

(a) (b) (c) (d) (e) (f) (g) page of the training with Name, Date, and

Time to their Supervisor, COR, and Kimmen

LeBeau, e-mail: Kimmen.LeBeau@ihs.gov

INVOICE SUBMISSION AND PAYMENT:

The contractor shall submit a signed and approved invoice to request payment.

A. The contractor shall submit an original invoice to:

The Great Plains Area Indian Health Service

Attn: Accounts Payable

115 4th Avenue SE, Room 309

Federal Building

Aberdeen, South Dakota 57401

The contractor shall submit a copy of the invoice to:

WWKMHCC

Attn: Ross Torgerson , COR

100 Lake Traverse Drive

Sisseton, South Dakota 57262

Phone: 605-698-7606 ross.torgerson@ihs.gov

B. The contractor shall include the following information on each invoice in accordance with the prompt payment act (5

CFR Part 1315.9(b)):

1. Contractor's name

2. Invoice number and date

3. Entire award number or other authorization number for delivery of goods or services

4. Description (including dates of service), price and quantity of goods and services rendered

5. Shipping and payment terms

6. Duns number and taxpayer identifying number (TIN)

Continued ...

Prescribed by GSA FAR (48 CFR) 53.213(f)

OPTIONAL FORM 348 (Rev. 4/2006)AUTHORIZED FOR LOCAL REPODUCTION

ORDER FOR SUPPLIES OR SERVICES

SCHEDULE - CONTINUATION

CONTRACT NO.

AMOUNTUNIT

PRICE

UNITQUANTITY

ORDERED

SUPPLIES/SERVICESITEM NO.

IMPORTANT: Mark all packages and papers with contract and/or order numbers.

ORDER NO.

QUANTITY

ACCEPTED

06/24/2021 75H70621P00790

PAGE NO

(a) (b) (c) (d) (e) (f) (g)

7. Contact name (where practicable), title and telephone number

Payment shall be made by the Great Plains

Area Financial Management Branch, 115 4th

Avenue SE, Room 309, Federal Building, Aberdeen, South Dakota 57401.

The Government reserves the right to accept or reject services, if the level of performance is unacceptable.

The total amount of award: $165,000.00. The obligation for this award is shown in box

17(i).

Prescribed by GSA FAR (48 CFR) 53.213(f)

OPTIONAL FORM 348 (Rev. 4/2006)AUTHORIZED FOR LOCAL REPODUCTION

OPTION YEAR THREE (3):

ITEM# DESCRIPTION ESTIMATED UNIT OF

QUANTITY ISSUE

I. Mops l 0,000 LBS

2. Rough, Dry, 10,000 LBS

Flats, and Finish

OPTION YEAR FOUR (4):

ITEM# DESCRIPTION ESTIMATED UNIT OF

QUANTITY ISSUE

I. Mops I 0,000 LBS

2. Rough, Dry, 10,000 LBS

Flats, and Finish

GRAND TOTAL

FOR BASE+ ALL FOUR (4) OPTION YEARS:

UNIT COST TOTAL COST

l1D

/JO

Sub-Total

UNIT COST

/,'7 y

/.1S Sub-Total

$ /11 ODO.

$ J 7,000

$ J 9, DOD

TOTAL COST

I '1l tjoo.

I?. 500.

Ooo.

$ 165,000 • 00

WOODROW WILSON KEEBLE MEMORIAL HEALTH CARE CENTER

SISSETON INDIAN HEALTH SERVICE

STATEMENT OF WORK

LAUNDRY/LINEN SERVICES

Background:

The Mission of the Woodrow Wilson Keeble Memorial Health Care Center (WWKMHCC) - Indian Health Service (IHS) is to provide the best possible healthcare services to the Native American population on the Sisseton- Wahpeton Oyate of the Lake Traverse Reservation. To meet this mission, the WWKMHCC - IHS has identified a need for a Non-Personal Service Contract for Laundry/Linen services.

Purpose:

The Contractor, within the limits of their qualifications, shall perform a full range of laundry/linen services. The commercial laundry service operator, who is awarded the Federal Government laundry contract for the WWKMHCC – IHS, 100 Lake Traverse Drive, Sisseton, SD 57262; is responsible for meeting all aspects of the contract specifications,: i.e., soiled linen pickup, transport, laundry plant linen processing operations, packaging and packing and delivery of clean processed linen.

Period of Performance: 07/01/2021 – 06/30/2022 plus Four (4) Option Years.

1. Quality of Work: Laundering will be done in accordance with accepted standards of Accreditation Agency used by WWKMHCC – IHS with the Joint Commission (JC) or Accreditation Association for Ambulatory Health Care (AAAHC).

2. Collection and Deliveries: Collections and deliveries are required at least two (2) times a week. The collection and delivery schedule shall be coordinated with the Facilities Manager or his/her designated representative.

a. Collections shall be picked up by the laundry contractor/representative in separate lots, and shall be receipted for the contractor/representative at the time of collection.

b. Deliveries will be made directly to the clinic by the contractor/representative in closed laundry vehicle. Deliveries by commercial conveyance are not acceptable. All rough and flat work shall be packed (by type of garment and item) in clear plastic wrapping and sealed by the heat or pressure method and handled in such manner as to prevent contamination. ALL clean, washed, and dried laundry shall be packed in new, clean plastic wrapping for transportation to the clinic.

A representative of WWKMHCC-IHS will receipt for all articles delivered by the contractor, noting any damages or shortages at time of delivery.

3. Processing: WWKMHCC – IHS laundry shall be processed separately from other customer laundry as a separate lot. All uniforms shall be washed separately. All rough flat work shall be properly sorted by type of garment, item, and color, prior to washing. All rough dry shall be neatly folded and smoothed by hand when hot to eliminate wrinkles. Bleach shall be added when laundering the mops.

4. Infectious Disease linen: WWKMHCC – IHS will bag linens from infectious disease (isolation linen) cases separately from other linens into white bags labeled appropriately or marked “INFECTIOUS DISEASE LINEN”. Infectious disease linen (isolation linen) should not be sorted before it is washed.

Preferably, a water soluble inner bag is deposited directly into the washer. Sorting is accomplished after processing. Flat work, dry cleaning, or finish should be indicated on an attached label, if applicable.

5. Test Piece Analysis:

A. All washing procedures shall be subject to Laboratory Report of Test Piece Analysis when requested by the Contractor.

B. Tensile strength and whiteness retention measurement of twenty (20) washing in accordance with methods of American Institute of Laundering.

C. The washing procedures shall meet the following standards of tensile strength loss and whitening retention:

TENSILE STRENGTH LOSS WHITENING RETENTION

A – Not over 5% - Excellent A – 95% or higher – Excellent B – 6% to 10% - Good B – 92% to 96% - Good

6. Processing Laundry Procedures: The following procedures are outlined in processing commercial laundry white formula to assure maximum sterilization. A separate linen processing room should be provided. Processing equipment should be arranged so that linen flows from soiled to clean, i.e., sorting area – washing – extracting – drying – ironing – folding – storage, etc.

Basic processing steps should include the following components:

A. An initial flush A cool water flush, or split (half cold and half hot water), shall be utilized initially to prevent setting of certain stains.

B. Sudsing stages (4 stages minimum)

The principal washing action is achieved during the detergent sudsing stages. The maximum temperature range should be between 150 degrees Fahrenheit and 170 degrees Fahrenheit. A water temperature above 71 degrees centigrade (160 degrees Fahrenheit) for 25 minutes will destroy practically all micro-organisms except spores.

Bleach is commonly added after the last sudsing stage. Chlorine (approximately 100ppm) is most commonly used for this purpose.

C. Rinsing stage (4 stages minimum)

High temperature rinsing (165 degrees Fahrenheit to 170 degrees Fahrenheit) normally follows the sudsing stages. A sour shall be added after the final rinse to remove traces of detergent. The sour abruptly reduces the PH from about 10.0 to 5.0 and thus aids in reduction of micro-organisms.

D. Fluff drying

Twenty (20) minutes at 165 degrees Fahrenheit. No softeners are to be used on Mops.

E. Ironing

In a laundry press or a flatwork ironer of approximately 100 pounds of steam pressure (or 130 degrees Fahrenheit) ironing will significantly reduce the numbers of micro-organisms.

7. Clean linen storage: Final folding and storage should be accomplished in a separate room. Items stored should preferably be placed in enclosed carts or on enclosed carts or on closed or covered linen shelves. A sewing and repair operation may be included in this area.

8. Contractor’s facilities – Sanitary inspection

1. The Government reserves the right to have the contractor’s facilities inspected at all reasonable times during the performance of this contract. If an inspection reveals the existence of unsanitary conditions the contractor shall be requested, in writing, by the Contracting Officer, to correct such conditions.

LAUNDRY CLASSIFICATION CHART

ROUGH DRY

Bath towels; Hamper bags; Flannel blankets; Woolen blankets; Hamper bags isolation; Mattress pads, quilted; Pants, training, and Wash cloths.

FLATWORK

Bedspreads; Rags; Central supply; Hospital gowns*; Caps (surgeons & nurses); Circ drapes; Pillow cases; Sheets;

Gowns surgeon*; Scrub suits*; Sheets; and Face towels (small).

FINISH WORK

Doctor’s lab coat; Dental & pharmacy smocks; X-ray coats; and Uniforms/scrubs

MOPS

1. Dust mops 2. Wet mops

Damages or shortages: Incoming processed laundry will be weighed by a designated IHS employee in the presence of the laundry representative. Any damages and/or shortages will be noted on the receipt given to the contractor. The laundry representative will acknowledge these damages and/or shortages by signature on the receipt. Articles lost or damaged while in the contractor’s possession must be immediately replaced in kind. In the event replacement is not made, deductions shall be made from payment due the contractor for damaged or lost linen.

9. Designation of Contracting Officer’s Representative (COR): The person identified below is hereby designated as the COR for this contract. The responsibility of the COR (or his duly representative) is to ensure that the Government technical objectives are met. The COR will provide necessary information, direction, coordination, etc., within the contractual work description. Issuance of changes which affect the articles, terms, or conditions of this contract will be accomplished through the Contracting Officer who is the only party authorized to bind the Government to the contract.

Ross Torgerson, Admin. Support Assistant Woodrow Wilson Keeble Memorial Health Care Center Indian Health Service 100 Lake Traverse Drive Sisseton, SD 57262 Phone: (605) 742-3841 Fax: (605) 742-3896

10. Basis of payment: A purchase order will be used for these services. Payment will be made at the bid price per pound on the basis of laundry weight. The Contractor shall submit a monthly invoice for services rendered, and send it to:

GREAT PLAINS AREA INDIAN HEALTH SERVICE

ATTN: FINANCE DEPARTMENT

ROOM 309 FEDERAL BUILDING

115 4th AVENUE SOUTH EAST

ABERDEEN, SD 57401

THE ORIGINAL INVOICE MUST INCLUDE THE FOLLOWING INFORMATION FOR THE PAYMENT

PROCESS:

1. Name

2. Mailing Address

3. Telephone Number

4. Tax Identification Number (TIN)

5. DUNS (Data Universal Numbering System) Number

6. Purchase Order Number (in Block #3 of the OF-347)

7. Invoice Date

8. Invoice Number

9. Invoice Description of Services Provided: Quantity, Unit Issue, Unit Price, and Total Amount Due

PLEASE SEND A COPY OF THE INVOICE TO:

Woodrow Wilson Keeble Memorial Health Care Center

Indian Health Service ATTN: Property & Supply 100 Lake Traverse Drive Sisseton, SD 57262

CLAUSES INCORPORATED BY REFERENCE

(Firm Fixed-Price, Non-Personal Service Type -Commercial Item)

FAR CITATION: 52.252-1: Solicitation Provisions Incorporated by Reference. (FEB 1998) This solicitation incorporates one or more solicitation provisions by reference, with the same force and defect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. The offeror is cautioned that the listed provisions may include blocks that must be completed by the offeror and submitted with its quotation or offer. In lieu of submitting the full text of those provisions, the offeror may identify the provision by paragraph identifier and provide the appropriate information with its quotation or offer. Also, the full text of a solicitation provision may be accessed electronically at this/these address(es): https://www.acquisition.gov.

I. Federal Acquisition Regulations (FAR) (48 CFR Chapter 1) Clauses

No. FAR Citation Clause Title Clause Date ____

1. 52.204-9 Personal Identity Verification of Contractor January 2011 Personnel

2. 52.204-13 System for Award Management Maintenance October 2018

3. 52.204-18 Commercial and Government Entity Code August 2020 Maintenance

4. 52.204-19 Incorporation by Reference of Representations December 2014 and Certifications

5. 52.211-17 Delivery of Excess Quantities September 1989

6. 52.212-4 Contract Terms and Conditions – October 2018 Commercial Items

7. 52.223-2 Affirmative Procurement of Biobased Products September 2013 Under Service and Construction Contracts

8. 52.223-3 Hazardous Material Identification and Material February 2021 Safety Data

9. 52.223-10 Waste Reduction Program May 2011

10. 52.223-17 Affirmative Procurement of EPA – designated August 2018 Items in Service and Construction Contracts

11. 52.232-39 Unenforceability of Unauthorized Obligations June 2013

12. 52.232-40 Providing Accelerated Payments to Small December 2013 Business Subcontractors

13. 52.237-2 Protection of Government Buildings, Equipment April 1984 and Vegetation

14. 52.247-34 F.o.b. Destination November 1991

15. 52.253-1 Computer Generated Forms January 1991

II. Federal Acquisition Regulations (FAR) (48 CFR Chapter 1) CLAUSES IN FULL TEXT

No. FAR Citation Clause Title Clause Date______

1. 52.212-5 Contract Terms and Conditions Required to January 2021 Implement Statutes or Executive Orders - Commercial Items (see attached)

2. 52.217-8 Option to Extend Services November 1999

3. 52.217-9 Option to Extend the Term of the Contract March 2000

4. 52.232-19 Availability of Funds for the Next Fiscal Year April 1984

5. 52.252-2 Clauses Incorporated by Reference February 1998

52.217-8 Option to Extend Services.

As prescribed in 17.208(f), insert a clause substantially the same as the following:

OPTION TO EXTEND SERVICES (NOV 1999)

The Government may require continued performance of any services within the limits and at the rates specified in the contract. These rates may be adjusted only as a result of revisions to prevailing labor rates provided by the Secretary of Labor. The option provision may be exercised more than once, but the total extension of performance hereunder shall not exceed 6 months. The Contracting Officer may exercise the option by written notice to the Contractor within _30 days____.

(End of clause)

52.217-9 Option to Extend the Term of the Contract.

As prescribed in 17.208(g), insert a clause substantially the same as the following:

OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR 2000)

(a) The Government may extend the term of this contract by written notice to the Contractor within _60 days____; provided that the Government gives the Contractor a preliminary written notice of its https://www.acquisition.gov/sites/default/files/current/far/html/Subpart%2017_2.html#wp1078175 https://www.acquisition.gov/sites/default/files/current/far/html/Subpart%2017_2.html#wp1078175 intent to extend at least _60____ days before the contract expires. The preliminary notice does not commit the Government to an extension.

(b) If the Government exercises this option, the extended contract shall be considered to include this option clause.

(c) The total duration of this contract, including the exercise of any options under this clause, shall not exceed _5 years/6 months__________ .

(End of clause)

52.232-19 Availability of Funds for the Next Fiscal Year.

As prescribed in 32.706-1(b), insert the following clause:

Availability of Funds for the Next Fiscal Year (Apr 1984)

Funds are not presently available for performance under this contract beyond _June 30, 2022_. The Government’s obligation for performance of this contract beyond that date is contingent upon the availability of appropriated funds from which payment for contract purposes can be made. No legal liability on the part of the Government for any payment may arise for performance under this contract beyond _6/30/2022____, until funds are made available to the Contracting Officer for performance and until the Contractor receives notice of availability, to be confirmed in writing by the Contracting Officer.

(End of clause)

52.252-2 -- Clauses Incorporated by Reference.

As prescribed in 52.107(b), insert the following clause:

Clauses Incorporated by Reference (Feb 1998)

This contract incorporates one or more clauses by reference, 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/these address(es): http://farsite.hil.af.mil

(End of Clause)

III. Department of HHS Acquisition Regulations (HHSAR) (49 Chapter 3) Clauses

No. HHSAR Citation Clause Title Clause Date______

1. HHSAR 352.226-1 Indian Preference December 2015

2. HHSAR 352.226-2 Indian Preference Program December 2015

3. HHSAR 352.237-70 Pro-Children Act December 2015 https://www.acquisition.gov/content/part-32-contract-financing#i1081697 http://farsite.hill.af.mil/reghtml/regs/far2afmcfars/fardfars/far/52_000.htm#P98_14103

4. HHSAR 352.237-71 Crime Control Act-Reporting of December 2015 Child Abuse

5. HHSAR 352.237-72 Crime Control Act – Requirement for December 2015 Background Checks

6. HHSAR 352.237-73 Indian Child Protection and Family December 2015 Violence Act

352.226-1 Indian Preference.

As prescribed in HHSAR 326.505(a), the Contracting Officer shall insert the following clause:

Indian Preference (December 18, 2015)

(a) The Contractor agrees to give preference in employment opportunities under this contract to Indians who can perform required work, regardless of age (subject to existing laws and regulations), sex, religion, or tribal affiliation. To the extent feasible and consistent with the efficient performance of this contract, the Contractor further agrees to give preference in employment and training opportunities under this contract to Indians who are not fully qualified to perform regardless of age (subject to existing laws and regulations), sex, religion, or tribal affiliation. The Contractor also agrees to give preference to Indian organizations and Indian-owned economic enterprises in the awarding of any subcontracts to the extent feasible and consistent with the efficient performance of this contract. The Contractor shall maintain the necessary statistical records to demonstrate compliance with this paragraph.

(b) In connection with the Indian employment preference requirements of this clause, the Contractor shall provide reasonable opportunities for training, incident to such employment. Such training shall include on-the—job, classroom, or apprenticeship training designed to increase the vocational effectiveness of an Indian employee.

(c) If the Contractor is unable to fill its employment and training opportunities after giving full consideration to Indians as required by this clause, the Contractor may satisfy those needs by selecting non-Indian persons in accordance with the clause of this contract entitled "Equal Opportunity."

(d) If no Indian organizations or Indian-owned economic enterprises are available under reasonable terms and conditions, including price, for awarding of subcontracts in connection with the work performed under this contract, the Contractor agrees to comply with the provisions of this contract involving utilization of small businesses; HUBZone small businesses; service-disabled, veteran-owned small businesses; 8(a) small businesses; veteran-owned small businesses; women-owned small businesses; or small disadvantaged businesses.

(e) As used in this clause,

(1) Indian means a person who is a member of an Indian tribe. If the Contractor has reason to doubt that a person seeking employment preference is an Indian, the Contractor shall grant the preference but shall require the individual provide evidence within 30 days from the tribe concerned that the person is a member of the tribe.

http://www.hhs.gov/grants/contracts/contract-policies-regulations/hhsar/part-326-other-socioeconomic-programs/index.html#326.505

(2) Indian tribe means an Indian tribe, pueblo, band, nation, or other organized group or community, including Alaska Native village or regional or village corporation as defined in or established pursuant to the Alaska Native Claims Settlement Act (85 Stat. 688; 43 U.S.C. 1601) which the United States recognizes as eligible for the special programs and services provided to Indians because of its status as Indians.

(3) Indian organization means the governing body of any Indian Tribe or entity established or recognized by such governing body in accordance with the Indian Financing Act of 1974 (88 Stat. 77;

25 U.S.C. 1451).

(4) Indian-owned economic enterprise means any Indian-owned commercial, industrial, or business activity established or organized for the purpose of profit, provided that such Indian ownership shall constitute not less than 51 percent of the enterprise, and that ownership shall encompass active operation and control of the enterprise.

(f) The Contractor agrees to include the provisions of this clause, including this paragraph (f) of this clause, in each subcontract awarded at any tier under this contract.

(g) In the event of noncompliance with this clause, the Contracting Officer may terminate the contract in whole or in part or may pursue any other remedies authorized by law or by other provisions of the contract.

(End of clause)

352.226-2 Indian Preference Program.

As prescribed in HHSAR 326.505(b), the Contracting Officer shall insert the following clause:

Indian Preference Program (December 18, 2015)

(a) In addition to the requirements of the clause of this contract entitled “Indian Preference,” the Contractor agrees to establish and conduct an Indian preference program which will expand opportunities for Indians to receive preference for employment and training in connection with the work performed under this contract, and which will expand the opportunities for Indian organizations and Indian-owned economic enterprises to receive a preference in the awarding of subcontracts. In this connection, the Contractor shall perform the following:

(1) Designate a liaison officer who will maintain liaison with the Government and the Tribe(s) on Indian preference matters; supervise compliance with the provisions of this clause; and administer the Contractor’s Indian preference program.

(2) Advise its recruitment sources in writing and include a statement in all employment advertisements that Indian applicants receive preference in employment and training incident to such employment.

(3) Not more than 20 calendar days after award of the contract, post a written notice setting forth the Contractor’s employment needs and related training opportunities in the tribal office of any reservations on or near the contract work location. The notice shall include the approximate numbers and types of employees needed; the approximate dates of employment; any experience or special skills required for employment; training opportunities available; and other pertinent information necessary to http://farsite.hill.af.mil/reghtml/regs/other/hhsar/326.htm#P23_4614 advise prospective employees of any other employment requirements. The Contractor shall also request the tribe(s) on or near whose reservation(s) the Contractor will perform contract work to provide assistance filling its employment needs and training opportunities. The Contracting Officer will advise the Contractor of the name, location, and phone number of the Tribal officials to contact regarding the posting of notices and requests for Tribal assistance.

(4) Establish and conduct a subcontracting program which gives preference to Indian organizations and Indian-owned economic enterprises as subcontractors (including suppliers) under this contract.

The Contractor shall give public notice of existing subcontracting opportunities and, to the extent feasible and consistent with the efficient performance of this contract, shall solicit bids or proposals from Indian organizations or Indian-owned economic enterprises only. The Contractor shall request assistance and information on Indian firms qualified as subcontractors (including suppliers) from the Tribe(s) on or near whose reservation(s) the Contractor will perform contract work. The Contracting Officer will advise the Contractor of the name, location, and phone number of the Tribal officials to contact regarding the request for assistance and information. Public notices and solicitations for existing subcontracting opportunities shall provide an equitable opportunity for Indian firms to submit bids or proposals by including—

(i) A clear description of the supplies or services required, including quantities, specifications, and delivery schedules that facilitate the participation of Indian firms;

(ii) A statement indicating that Indian organizations and Indian-owned economic enterprises will receive preference in accordance with section 7(b) of Pub. L. 93–638; 88 Stat. 2205; 25 U.S.C.

450e(b);

(iii) Definitions for the terms “Indian organization” and “Indian-owned economic enterprise” prescribed under the “Indian Preference” clause of this contract;

(iv) A statement that the bidder or offeror shall complete certifying that it is an Indian organization or Indian-owned economic enterprise; and

(v) A closing date for receipt of bids or proposals which provides sufficient time for preparation and submission of a bid or proposal. If, after soliciting bids or proposals from Indian organizations and Indian-owned economic enterprises, the Contractor receives no responsive bid or acceptable proposal, the Contractor shall comply with the requirements of paragraph (d) of the “Indian Preference” clause of this contract. If the Contractor receives one or more responsive bids or conforming proposals, the Contractor shall award the contract to the low, responsive, responsible bidder or conforming offer from a responsible offeror if the price is reasonable. If the Contractor determines the low responsive bid or conforming proposal’s price is unreasonable, the Contractor shall attempt to negotiate a reasonable price and award a subcontract. If parties cannot agree on a reasonable price, the Contractor shall comply with the requirements of paragraph (d) of the “Indian Preference” clause of this contract.

(5) Maintain written records under this contract which demonstrate—

(i) The numbers of Indians seeking employment for each employment position available under this contract;

(ii) The number and types of positions filled by Indians and non-Indians;

(iii) The total number of Indians employed under this contract;

(iv) For those positions having both Indian and non-Indian applicants, and a non-Indian is selected for employment, the reason(s) why the Contractor did not select the Indian applicant;

(v) Actions taken to give preference to Indian organizations and Indian-owned economic enterprises for subcontracting opportunities which exist under this contract;

(vi) Reasons why Indian subcontractors and or suppliers did not receive preference for each requirement where the Contractor determined that such preference was inconsistent with efficient contract performance; and

(vii) The number of Indian organizations and Indian-owned economic enterprises contacted, and the number receiving subcontract awards under this contract.

(6) Submit to the Contracting Officer for approval a quarterly report summarizing the Contractor’s Indian preference program and indicating the number and types of available positions filled by Indians and non-Indians, and the dollar amounts of all subcontracts awarded to Indian organizations and Indian-owned economic enterprises, and to all other firms.

(7) Maintain records pursuant to this clause and keep them available for review by the Government for one year after final payment under this contract, or for such longer period in accordance with requirements of any other clause of this contract or by applicable law or regulation.

(b) For purposes of this clause, the following definitions of terms shall apply:

(1) The terms Indian, Indian tribe, Indian organization, and Indian-owned economic enterprise are defined in the clause of this contract entitled Indian Preference.

(2) Indian reservation includes Indian reservations, public domain Indian allotments, former Indian reservations in Oklahoma, and land held by incorporated Native groups, regional corporations, and village corporations under the provisions of the Alaska Native Claims Settlement Act (85 Stat. 688; 43 U.S.C. 1601 et seq.)

(3) On or near an Indian reservation means on a reservation or reservations or within that area surrounding an Indian reservation(s) where a person seeking employment could reasonably expect to commute to and from in the course of a work day.

(c) Nothing in the requirements of this clause shall preclude Indian tribes from independently developing and enforcing their own Indian preference requirements. Such requirements must not conflict with any Federal statutory or regulatory requirement dealing with the award and administration of contracts.

(d) The Contractor agrees to include the provisions of this clause, including this paragraph (d), in each subcontract awarded at any tier under this contract and to notify the Contracting Officer of such subcontracts.

(e) In the event of noncompliance with this clause, the Contracting Officer may terminate the contract in whole or in part or may pursue any other remedies authorized by law or by other provisions of the contract.

(End of clause)

352.237-70 Pro-Children Act.

As prescribed in HHSAR 337.103(d)(1), the Contracting Officer shall insert the following clause:

Pro-Children Act (December 18, 2015)

(a) Public Law 103-227, Title X, Part C, also known as the Pro-Children Act of 1994 (Act), 20 U.S.C. 7183, imposes restrictions on smoking in facilities where certain federally funded children's services are provided. The Act prohibits smoking within any indoor facility (or portion thereof), whether owned, leased, or contracted for, that is used for the routine or regular provision of: (i) kindergarten, elementary, or secondary education or library services or (ii) health or day care services that are provided to children under the age of 18. The statutory prohibition also applies to indoor facilities that are constructed, operated, or maintained with Federal funds.

(b) By acceptance of this contract or order, the Contractor agrees to comply with the requirements of the Act. The Act also applies to all subcontracts awarded under this contract for the specified children's services. Accordingly, the Contractor shall ensure that each of its employees, and any subcontractor staff, is made aware of, understands, and complies with the provisions of the Act. Failure to comply with the Act may result in the imposition of a civil monetary penalty in an amount not to exceed $1,000 for each violation and/or the imposition of an administrative compliance order on the responsible entity. Each day a violation continues constitutes a separate violation.

(End of clause)

352.237-71 Crime Control Act—Reporting of Child Abuse.

As prescribed in HHSAR 337.103(d)(2), the Contracting Officer shall insert the following clause:

Crime Control Act of 1990—Reporting of Child Abuse (December 18, 2015)

(a) Public Law 101-647, also known as the Crime Control Act of 1990 (Act), imposes responsibilities on certain individuals who, while engaged in a professional capacity or activity, as defined in the Act, on Federal land or in a federally-operated (or contracted) facility, learn of facts that give the individual reason to suspect that a child has suffered an incident of child abuse.

(b) The Act designates “covered professionals” as those persons engaged in professions and activities in eight different categories including, but not limited to, teachers, social workers, physicians, dentists, medical residents or interns, hospital personnel and administrators, nurses, health care practitioners, chiropractors, osteopaths, pharmacists, optometrists, podiatrists, emergency medical technicians, ambulance drivers, alcohol or drug treatment personnel, psychologists, psychiatrists, mental health professionals, child care workers and administrators, and commercial film and photo processors. The Act defines the term “child abuse” as the physical or mental injury, sexual abuse or exploitation, or negligent treatment of a child.

http://farsite.hill.af.mil/reghtml/regs/other/hhsar/337.htm#P4_128 http://www.hhs.gov/grants/contracts/contract-policies-regulations/hhsar/part-337-service-contracting-general/index.html#337.103

(c) Accordingly, any person engaged in a covered profession or activity under an HHS contract or subcontract, regardless of the purpose of the contract or subcontract, shall immediately report a suspected child abuse incident in accordance with the provisions of the Act. If a child is suspected of being harmed, the appropriate State Child Abuse Hotline, local child protective services (CPS), or law enforcement agency shall be contacted. For more information about where and how to file a report, the Childhelp USA, National Child Abuse Hotline (1-800-4-A-CHILD) shall be called. Any covered professional failing to make a timely report of such incident shall be guilty of a Class B misdemeanor.

(d) By acceptance of this contract or order, the Contractor agrees to comply with the requirements of the Act. The Act also applies to all applicable subcontracts awarded under this contract. Accordingly, the Contractor shall ensure that each of its employees, and any subcontractor staff, is made aware of, understands, and complies with the provisions of the Act.

(End of clause)

352.237-72 Crime Control Act—Requirement for Background Checks.

As prescribed in

HHSAR 337.103(d)(3), the Contracting Officer shall insert the following clause:

Crime Control Act of 1990—Requirement for Background Checks (December 18, 2015)

(a) Public Law 101-647, also known as the Crime Control Act of 1990 (Act), requires that all individuals involved with the provision of child care services to children under the age of 18 undergo a criminal background check. “Child care services” include, but are not limited to, social services, health and mental health care, child (day) care, education (whether or not directly involved in teaching), and rehabilitative programs. Any conviction for a sex crime, an offense involving a child victim, or a drug felony, may be grounds for denying employment or for dismissal of an employee providing any of the services listed above.

(b) The Contracting Officer will provide the necessary information to the Contractor regarding the process for obtaining the background check. The Contractor may hire a staff person provisionally prior to the completion of a background check, if at all times prior to the receipt of the background check during which children are in the care of the newly-hired person, the person is within the sight and under the supervision of a previously investigated staff person.

(c) By acceptance of this contract or order, the Contractor agrees to comply with the requirements of the Act. The Act also applies to all applicable subcontracts awarded under this contract. Accordingly, the Contractor shall ensure that each of its employees, and any subcontractor staff, is made aware of, understands, and complies with the provisions of the Act.

(End of clause)

352.237-73 Indian Child Protection and Family Violence Act.

As prescribed in https://www.acquisition.gov/hhsar/hhsar-part-337%E2%80%94service-contracting%E2%80%94general#P4_128

HHSAR 337.103(d)(4) the Contracting Officer shall insert the following clause:

Indian Child Protection and Family Violence Act (December 18, 2015)

(a) This contract is subject to the Indian Child Protection and Family Violence Act, Pub. L. 101-630 (25 U.S.C. 3201 et seq.) The duties and responsibilities required by this contract may involve regular contact with or control over Indian children. Pub. L. 101-630 prohibits employment, including Personal Service Contracts, with anyone who has been convicted of any crime of violence. Any such conviction should immediately be brought to the attention of the Contracting Officer. The contractor will be subject to a character investigation, conducted by the Indian Health Service, Office of Human Resources. Until such time as the contractor has been notified of completion of the investigation, the contractor shall have no unsupervised contact with Indian children. In order to initiate this background investigation, the contractor must provide information as required in this contract or as directed by the Contracting Officer.

(b) As a prerequisite to providing services under this contract, the Contractor is required to complete and sign the declaration found in Section J of this contract.

https://www.acquisition.gov/hhsar/hhsar-part-337%E2%80%94service-contracting%E2%80%94general#P4_128

52.212-5 Contract Terms and Conditions Required to Implement Statutes or Executive Orders- Commercial Items.

As prescribed in 12.301(b)(4), insert the following clause:

CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT STATUTES OR EXECUTIVE

ORDERS-COMMERCIAL ITEMS (JAN 2021)

(a) The Contractor shall comply with the following Federal Acquisition Regulation (FAR) clauses, which are incorporated in this contract by reference, to implement provisions of law or Executive orders applicable to acquisitions of commercial items:

(1) 52.203-19, Prohibition on Requiring Certain Internal Confidentiality Agreements or Statements (JAN 2017) (section 743 of Division E, Title VII, of the Consolidated and Further Continuing Appropriations Act, 2015 (Pub. L. 113-235) and its successor provisions in subsequent appropriations acts (and as extended in continuing resolutions)).

(2) 52.204-23, Prohibition on Contracting for Hardware, Software, and Services Developed or Provided by Kaspersky Lab and Other Covered Entities (JUL 2018) (Section 1634 of Pub. L. 115-91).

(3) 52.204-25, Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment. (AUG 2020) (Section 889(a)(1)(A) of Pub. L. 115-232).

(4) 52.209-10, Prohibition on Contracting with Inverted Domestic Corporations (NOV 2015).

(5) 52.233-3, Protest After Award (AUG 1996) (31 U.S.C. 3553).

(6) 52.233-4, Applicable Law for Breach of Contract Claim (OCT 2004) (Public Laws 108-77 and…