RFP: 75H70626R00011

Combined Synopsis 1

A. This is a combined synopsis/solicitation for commercial items prepared in accordance with the format in Federal Acquisition Regulation (FAR) Subpart 12.6, as supplemented with additional information included in this notice, FAR Part 12, Acquisition of Commercial Items (Title VIII of the Federal Acquisition Streamlining Act of 1994) (Public Law 103-355).

This announcement constitutes the only solicitation; quotes are being requested, and a written solicitation will not be issued.

B. The Great Plains Area Indian Health Service (IHS) intends to award a Firm Fixed-Price, brand name only, commercial item purchase to provide IT Equipment in response to Request for Proposal (RFP) 75H70626R00011.

C. This solicitation document and incorporated provisions and clauses are those in effect through Federal Acquisition Circular 2026-01, 03/13/2026.

D. This RFQ is issued as "100% Indian Small Business Economic Enterprise (ISBEE)". The associated NAICS code is 334118 (Computer Terminal and Other Computer Peripheral Equipment Manufacturing), and the small business standard is 1,000 employees.

E. The quoted unit pricing must be all-inclusive (including, but not limited to, travel, lodging, per diem, fringe benefits, federal, state, and local taxes), plus all other costs pertinent to the performance of this contract. Utilize your most competitive and reasonable rates.

F. Complete the Specification Lists: (Brand Name Only):

1. GPA OIT Total $: _________________________

2. WWKMHCC Total $: _________________________

3. FTHC Total $: _________________________

Grand Total (All Locations Combined): $:_________________________

G. The purpose of this requirement is to provide IT equipment for the Great Plains Area (GPA) Office of Information Technology (OIT), the Woodrow Wilson Keeble Memorial Health Care Center (WWKMHCC), and the Fort Thompson Health Center (FTHC).

H. To be provided for the Delivery Locations: Great Plains Area Office, Office of Information Technology, 115 4th Avenue SE, Aberdeen, South Dakota 57401.

Woodrow Wilson Keeble Memorial Healthcare Center, 100 Lake Traverse Drive, Sisseton, South Dakota 57262.

Fort Thompson Service Unit, Fort Thompson Health Center, 1323 BIA Route 4, Fort Thompson, South Dakota 57339.

Combined Synopsis 2

Period of Performance: 90 days from the date of award.

I. FAR 52.212-1 Instructions to Offerors-Commercial Products and Commercial Services (SEP 2023).

Quotes shall be submitted on company letterhead stationery, signed and dated, and they shall include the following:

1. Solicitation number 75H70626R00011.

2. Closing Date: May 8, 2026, at 12:00 pm CDT.

3. Name, address, and telephone number of company and email address of contact person.

4. Provide a technical description of the item/service in sufficient detail to evaluate compliance with the solicitation requirements. This may include product literature or other relevant documents, as needed.

5. Terms of any express warranty.

6. Price and any discount terms.

7. "Remit to" address, if different than mailing address.

8. A completed copy of the representations and certifications from SAM.gov.

9. Acknowledgment of Solicitation Amendments (if any issued)

10. Past performance information, when included as an evaluation factor, includes recent and relevant contracts for the same or similar items and other references (including contract numbers, points of contact with telephone numbers, and other relevant information).

11. A statement specifying the extent of agreement with all terms, conditions, and provisions of the solicitation. Offerors that fail to furnish required representations or information or reject the terms and conditions of the solicitation may be excluded from consideration.

FAR 52.212-2 Evaluation – Commercial Products and Commercial Services (NOV 2025)

(DEVIATION)

BASIS FOR AWARD: This award selection will be conducted using Lowest Price Technically Acceptable (LPTA) procedures. To be eligible for an award, a proposal must meet all technical requirements, comply with all required terms and conditions, and include all required information. All non-price evaluation factors must be rated as "ACCEPTABLE" in

Combined Synopsis 3 order to be eligible for award. An "UNACCEPTABLE" rating in any factor will result in the proposal being rated "UNACCEPTABLE" unless corrected through discussions. A proposal rating of "UNACCEPTABLE" makes a proposal ineligible for award. Since the LPTA methodology prohibits trade-offs, all evaluation factors and sub-factors are equally important. Proposals are evaluated for acceptability but not ranked based on non-price factors.

A price evaluation will be performed for all offerors, and proposals will be ranked from lowest to highest price based on the Total Proposed Price (TPP) provided by the offeror on the price schedule sheet. Next, each factor will be evaluated and, subsequently, the overall proposal will be prepared, beginning with the lowest-priced proposal. The award will be made to the lowest-priced proposal that meets the acceptability standards for the non-price factors. The Government intends to award a contract without discussion; therefore, the initial proposal shall conform to the solicitation requirements and shall present the best offer from a technical and price perspective.

Technical Factor 1 – Past Performance

(a) Solicitation Submittal Requirements:

Offerors do not need to provide any information under this factor as the US Government will base the evaluation on all INTERIM and FINAL Contractor Performance Assessment Reports (CPARs) that are recent and relevant. The CPARs will be retrieved from official US Government sources, including, but not limited to, the Contractor Performance Assessment Reporting System and the Past Performance Information Retrieval System.

(b) Basis of Evaluation:

Recency:

For the purposes of this solicitation, a past performance record is recent if the CPAR final date of assessment listed in the “Period of Performance Being Assessed” block is within the 24-month period preceding the proposal due date.

Relevancy:

For the purposes of this solicitation, a past performance record is relevant if the CPAR business sector is listed as “Services”.

In order to receive an "acceptable" rating for this factor, an Offer's recent and relevant CPARs must NOT include one or more INTERIM and/or FINAL CPARs with a rating of "UNSATISFACTORY" in one or more categories OR one or more INTERIM and/or FINAL CPARs with a rating of "MARGINAL" in two or more categories. If an Offeror has one or more

Combined Synopsis 4

CPARs with a rating of "UNSATISFACTORY" in one or more categories OR one or more CPARs with a rating of "MARGINAL" in two or more categories, the Offeror's past performance will be evaluated as "UNACCEPTABLE".

In the case of an Offeror without a record of recent and relevant past performance or for whom information on past performance is not available or so sparse that no meaningful past performance rating can be reasonably assigned, the Offeror may not be evaluated favorably or unfavorably on past performance. Therefore, the Offeror shall be determined to have unknown past performance. In the context of acceptability/unacceptability, “unknown” shall be considered “acceptable.” An “UNACCEPTABLE” rating for a single factor will result in the Offeror’s entire proposal being rated “UNACCEPTABLE”.

Technical Factor 2 – Problem and Approach

(a) Solicitation Submittal Requirements:

Proposals, which merely offer a statement to conduct/provide services in accordance with the requirements in the Governments SOW, will not be eligible for award. The offeror must submit an explanation that meets the requirements identified under Performance-Based Service Delivery Summary, Completion of patient record, Prompt and continuous coverage and Credentialing.

(b) Basis of Evaluation:

This factor will be evaluated as “ACCEPTABLE” if the explanation meets the requirements identified under Performance-Based Service Delivery Summary; Completion of documentation of patient record, Prompt and continuous coverage and Credentialing, which comply with the requirements outlined above, are submitted. If an explanation of one or more Performance Task/Requirement is not provided, and/or does not comply with the requirements, this factor will receive an “UNACCEPTABLE” rating.

Technical Factor 3 – Management

(a) Solicitation Submittal Requirements:

Proposals, which merely offer a statement to conduct/provide services in accordance with the requirements in the Governments SOW, will not be eligible for award. The offeror must submit an explanation that identifies the offeror’s management capabilities and responsibilities to meet the following: Tour of Duty/Schedule, Description of Services, Contractor Responsibility and Personnel Requirements.

(b) Basis of Evaluation:

Combined Synopsis 5

This factor will be evaluated as “ACCEPTABLE” if the explanation meets the requirement for management capabilities and responsibilities to meet the following: Tour of Duty/Schedule, Description of Services, Contractor Responsibility and Personnel Requirements, which comply with the requirements outlined above, are submitted. If an explanation of one or more of the following: Tour of Duty/Schedule, Description of Services, Contractor Responsibility and Personnel Requirements and/or does not comply with the requirements, this factor will receive an “UNACCEPTABLE” rating.

IHS reserves the right to make multiple awards, which is most advantages to the Government. This is a competitive solicitation and the offer your firm submits will be used by IHS to determine, which of the quantities listed within are, “estimate only” and it is not the intent of IHS to be obligated to order the “quantities.”

Factor 4 – Price

(a) Solicitation Submittal Requirements:

Completed Price Schedule Sheet

(b) Basis of Evaluation:

The Government will evaluate price based on the proposed total price calculated as the sum of bid item 0001 Base Year, item 0002 Option Year 1, item 0003 Option Year 2, item 0004 Option Year 3 and item 0005 Option Year 3 that includes Contract cost, Subcontractor cost, Overhead and Profit. Analysis will be performed by one or more of the following techniques to ensure a fair and reasonable price:

(i) Comparison of proposed prices received in response to the RFP.

(ii) Comparison of proposed prices with the IGE.

(iii) Comparison of proposed prices with available historical information.

Note: A price that is found to be either unreasonably high or unrealistically low in relation to the proposed work may be indicative of an inherent lack of understanding of the solicitation requirements and may result in the overall proposal being considered unacceptable.

INTENT TO AWARD WITHOUT DISCUSSIONS

The Government intends to evaluate proposals and award a contract without discussions with Offerors. Therefore, the Offeror's initial proposal should contain the Offeror's best terms from a price and technical standpoint. The Government reserves the right to conduct discussions if the Contracting Officer later determines them to be necessary. In the event discussions are held, a competitive range determination will be made. If the Contracting

Combined Synopsis 6

Officer determines that the number of proposals that would otherwise be in the competitive range exceeds the number at which an efficient competition can be conducted, the Contracting Officer may limit the number of proposals in the competitive range to the greatest number that will permit efficient competition among the most highly rated proposals. However, The Government reserves the right to conduct discussions if the Contracting Officer later determines them to be necessary.

J. FAR 52.212-4 Contract Terms and Conditions-Commercial Products and Commercial Services (NOV 2023) - See attachment; Clauses Incorporated by Reference.

K. The Federal Acquisition Regulations (FAR) and Health & Human Services Acquisition Regulation (HHSAR) applicable clauses, including those below, are attached.

L. Offers will be accepted electronically; submit via email to the following:

Great Plains Area Indian Health Service

Attn: David Jones, Contract Specialist

115 4th Ave. SE, Aberdeen, SD 57401

Email: david.jones@ihs.gov

Questions regarding this solicitation must be submitted in writing by email no later than April 27, 2026, 12:00 p.m. CDT.

Contractors will need a UEI number & TIN and must register with the System for Award Management at www.sam.gov.

Acceptance Period: Your proposal must be predicated upon all the terms and conditions of this RFQ and be firm until September 30, 2026.

The quotation must set forth full, accurate, and complete information as required by the Request for Quotation (RFQ) and be returned by the date referenced. All the necessary information must be submitted to be considered responsive and eligible for award.

No contract award shall be made to any vendor listed on the OIG Exclusions List at http://exclusions.org.hhs.gov throughout the contract.

Invoice Processing Platform (IPP)

The Indian Health Service (IHS) has implemented an electronic invoicing system. In compliance with the Office of Management and Budget (OMB) M-15-19 memorandum "Improving Government Efficiency and Saving Taxpayer Dollars Through Electronic Invoicing," directing Federal agencies to adopt electronic invoicing as the primary means to

Combined Synopsis 7 disburse payments to vendors. Invoices submitted under any award resulting from this solicitation will be required to utilize the Invoice Processing Platform (IPP) in accordance with HHSAR 352.232-71, Electronic Submission and Processing of Payment Requests."

IPP is a secure, web-based electronic invoicing system provided by the U.S. Department of the Treasury's Bureau of the Fiscal Service in partnership with the Federal Reserve Bank of St. Louis (FRSTL). Respondents to this solicitation are encouraged to register an account with IPP if they have not already done so. If your organization is already registered to use IPP, you will not be required to re-register. However, we encourage you to ensure that your organization’s designated IPP user accounts are valid and up to date. The IPP website address is: https://www.ipp.gov.

If you require assistance registering or IPP account access, please get in touch with the IPP Helpdesk at (866) 973-3131 (M-F 8 AM to 6 PM ET), or IPPCustomerSupport@fiscal.treasury.gov.

"Should the contractor feel that use of the IPP would be unduly burdensome, their response to this solicitation should include an explanation of this position for a determination by the contracting officer".

The Contractor must provide only new equipment and new parts for the required products described herein; no used, refurbished, or remanufactured equipment or parts shall be provided under any circumstances. No Gray Market Goods or Counterfeit Electronic Parts shall be provided. Gray Market Goods are defined as genuine branded goods intentionally or unintentionally sold outside of an authorized sales territory or by non-authorized dealers in an authorized territory. All equipment shall be accompanied by the original equipment manufacturers (OEMs) warranty. Counterfeit Electronic Parts are defined as unlawful or unauthorized reproduction, substitution, or alteration that has been knowingly mismarked, misidentified, or otherwise misrepresented to be an authentic, unmodified electronic part from the original manufacturer or a source with the express written authority of the original manufacturer or current design activity, including an authorized aftermarket manufacturer.

Unlawful or unauthorized substitution includes used electronic parts represented as new or the false identification of grade, serial number, lot number, date code, or performance characteristics.

The Office of Management and Budget (OMB) mandates that U.S. federal agencies use the Internet Protocol version 6 (IPv6). In November 2020, OMB issued memorandum M-21-07, "Completing the Transition to IPv6", which outlines the Federal government's strategic intent "to deliver its information services, operate its networks, and access the services of others using only IPv6". The IHS requires all new IT systems (hardware and software) to

Combined Synopsis 8 operate in a pure IPv6 network environment. This includes on-premises or third-party hosted services requiring network integration into the IHS network. The Offeror's solution shall comply with the IPv6 standards profile defined by the NIST USGv6 Program:

https://www.nist.gov/programs-projects/usgv6-program.

https://www.nist.gov/programs-projects/usgv6-program

Great Plains Area / Office of Information Technology, IT Equipment Pricing Sheet

Total Price

Item Number Description Quantity Unit Price ($) Total Price ($)

1 210-BPCV Dell Pro 16 Plus (PB16250) Base 50 2 379-BFXM Intel Core Ultra 7 255U (12 TOPS NPU 12 cores up to 5 2 GHz) 50 3 619-BBQD Windows 11 Pro 50

370-BCNK 32 GB 2 x 16 GB DDR5 5600 MT s (5200 MT s with Intel Core processors) 50

5 338-CRKB Integrated Intel graphics for Intel Core Ultra 7 255U processor 50 6 400-BSLD 1 TB Performance NVMe TLC SED Ready 50

391-BJPT 16CHR(38)CHR(38) Non-Touch FHD IPS Anti-Glare 300 nits 45 NTSC FHD IR Cam 50

8 346-BLJL Smart Card Reader No Fingerprint Reader Control Vault 3 RJ-45 Backlit KB 50 9 555-BLMD Intel Wi-Fi 7 BE201 2x2 802 11be Bluetooth 5 4 wireless card 50

10 451-BDKX 3-cell 55 Wh ExpressCharge Capable ExpressCharge Boost Capable 50

714-0464 5Y ProSupport Plus with ProSupport and AD and KYHD with Technical Customer Success Mgr 50

12 210-BPVL Dell Pro Max 16 (MC16250) Base 10

379-BGFQ Intel Core Ultra 7 265H vPro Enterprise (24MB 16 cores 16 threads up to 5 30 GHz Turbo 45W) 10

14 619-BBQD Windows 11 Pro 10 15 370-BCXX 32GB 2x16GB DDR5 5600 MT s SoDIMM Dual Channel non-ECC 10 16 400-BSYP 1 TB Performance NVMe SED Ready 10 17 391-BJWM 16CHR(38)CHR(38) Non-Touch FHD LCD 300 nits FHD HDR Cam mic 10 18 555-BLYC Intel Wi-Fi 7 BE201 Bluetooth 5 4 wireless card 10 19 451-BDND 6 cell 96Whr ExpressCharge Capable standard battery 10 20 346-BLRJ Palmrest With Smart Card Only Control Vault 3 10 21 490-BKVL NVIDIA RTX PRO 500 Blackwell 6GB GDDR7 10

715-3999 5Y ProSupport Plus with ProSupport and AD and KYHD with Technical Customer Success Mgr 10

23 210-BGLQ Dell Pro 24 Plus Video Conferencing Monitor - P2424HEB 25 24 210-BMGH Dell Pro 24 Plus Monitor - P2425H 25

(25) 814-9422 (25) 814-5380 3Y Basic Hardware Service with Advanced Exchange after remote diagnosis 50

210-BRQV Dell Pro Thunderbolt 4 Dock WD25TB4 718-2132 3Y Basic Hardware Service with Advance Exchange after remote disgnosis 50

27 332-1571 Dell KB813 Smartcard Reader Keyboard 60 28 AKB-150SB-TAA Adesso - Desktop Ergonomic Smart Card Reader Keyboard 10 29 275-BBCB DELL Wired Optical MOUSE - MS116 60

Woodrow Wilson Keeble Memorial Health Care Center, IT Equipment Pricing Sheet Item

Number Description Quantity Unit Price ($) Total Price ($) 1 210-BPZZ Dell Pro 24 All-in-One Plus QB24250 70 2 338-CRZM Intel Core Ultra 7 265 (13 TOPS NPU 20 cores up to 5 3GHz) 70 3 619-BBQD Windows 11 Pro 70 4 370-BCVW 32 GB 2 x 16 GB DDR5 up to 5600 MT s non-ECC 70 5 401-BBHP 2TB SED PCIe NVMe Class 40 NVMe 70 6 329-BKSY Dell Pro 24 All-in-One Plus QB24250 65W CPU Non-touch 5MP IR Camera 240W Platinum 70 7 400-BSWT 256 GB NVMe TLC 70 8 340-DTJF No Keyboard Selected 70 9 570-BBKQ No Mouse Selected 70

10 575-BCRN Fixed Stand for All-in-One Silver 70 11 631-BCCJ Intel vPro Enterprise 70 12 716-4896 5Y ProSupport Plus with ProSupport and AD and KYHD with Technical Customer Success Mgr 70 13 210-BPCV Dell Pro 16 Plus (PB16250) Base 30 14 379-BFXM Intel Core Ultra 7 255U (12 TOPS NPU 12 cores up to 5 2 GHz) 30 15 619-BBQD Windows 11 Pro 30 16 370-BCNK 32 GB 2 x 16 GB DDR5 5600 MT s (5200 MT s with Intel Core processors) 30 17 338-CRKB Integrated Intel graphics for Intel Core Ultra 7 255U processor 30 18 400-BSLD 1 TB Performance NVMe TLC SED Ready 30 19 391-BJPT 16CHR(38)CHR(38) Non-Touch FHD IPS Anti-Glare 300 nits 45 NTSC FHD IR Cam 30 20 346-BLJL Smart Card Reader No Fingerprint Reader Control Vault 3 RJ-45 Backlit KB 30 21 555-BLMD Intel Wi-Fi 7 BE201 2x2 802 11be Bluetooth 5 4 wireless card 30 22 451-BDKX 3-cell 55 Wh ExpressCharge Capable ExpressCharge Boost Capable 30 23 714-0464 5Y ProSupport Plus with ProSupport and AD and KYHD with Technical Customer Success Mgr 30 24 332-1571 Dell KB813 Smartcard Reader Keyboard 100 25 210-BRQV Dell Pro Thunderbolt 4 Dock WD25TB4 30 26 275-BBCB DELL Wired Optical MOUSE - MS116 70 27 AKB-150SB-TAA Adesso - Desktop Ergonomic Smart Card Reader Keyboard 10

PRIVSCNMON27 StarTech com Monitor Privacy Screen for 27" Display - Widescreen Computer Monitor Security Filter - Blue Light Reducing Screen Protector - 27 in widescreen monitor privacy screen for secu 25

PRIVSCNMON24 24 in widescreen monitor privacy screen for security outside -30 degree viewing angle to keep data confidential - 2 mount options w adhesive strips - Anti-glare matte or glossy compute 25

30 BE425M APC UPS Battery Backup Surge Protector 425VA Backup Battery Power Supply BE425M Black 100 31 K64325 Kensington Expert Mouse Trackball 10

Total Price:

Fort Thompson Health Center, IT Equipment Pricing Sheet Item

Number Description Quantity Unit Price ($) Total Price ($) 1 210-BQBF Dell Pro Slim Plus QBS1250 39 2 338-CRZM Intel Core Ultra 7 265 (13 Tops NPU 20 cores up to 5 3 GHz) 39 3 619 BBQD Windows 11 Pro 39 4 370-BCWR 32 GB 2 x 16GB DDRS up to 5600 MT s non- ECC 39 5 400 -BSYK 1 TB Performance NVMe SED Ready 39

555-BLWS Intel Wi-Fi 7 BE200 2x2 802 11be Bluetooth wireless card internal antenna 39

7 329-BLFB Dell Pro Slim Plus QBS1250 with 360W PSU 39 8 570-BBKQ No Mouse selected 39 9 631-BCBN Intel vPro Enterprise 39

717-8784 5Y ProSupport Plus with ProSupport and Ad and KYHD with Technical customer Success Mgr

11 210-BPCV Dell Pro 16 Plus (PB16250) Base 41 12 79-BFXM Intel Core Ultra 7 255U (12 Tops NPU 12 cores up to 2 5 GHz) 41 13 619-BBQD Windows 11 Pro 41

370-BCNK 32 GB 2 x 16 GB DDR5 5600 MT S (5200 MT S with Intel Core Processors) 41

15 338-CRKB Integrated Intel graphics for Intel Core Ultra 7 255U processor 41 16 400-BSLD 1 TB Performance NVMe TLC SED Ready 41

391-BJPT 16" Non-Touch FHD IPS Anti -Glare 300 nits 45 NTSC FHD IR cam 41

346-BLJL Smart Card Reader No Fingerprint Reader Control Vault 3 RJ-45 Backlit KB 41

19 555-BLMD Intel Wi-Fi 7 BE201 2x2 802 11 be Bluetooth 5 4 wireless card 41 20 451-BDKX 3-cell 55 Wh ExpressCharge Boost Capable 41

714-0464 5Y ProSupport Plus with ProSupport and KYHD with Technical Customer Success MGr

22 210-BRQV Dell Pro Thunderbolt 4 Dock WD25TB4 50 23 210-BGLQ Dell Pro 24 Plus Video Conferencing Monitor P242HEB 80 24 332-1571 Dell KB813 Smart Card Reader Keyboard 40

AKB-150SB -TAA Adesso - Desktop Ergonamic Smart Card Reader Keyboard 40

26 910-004277 LOGITECH wireless Mouse M310 Black 80 Total Price:

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

CODE 16. ADMINISTERED BYCODE

X

X

X

SIZE STANDARD:

% FOR:SET ASIDE:UNRESTRICTED OR159

REQUEST FOR

PROPOSAL

(RFP)

INVITATION

FOR BID (IFB)

10. THIS ACQUISITION ISCODE

REQUEST FOR

QUOTE (RFQ)

14. METHOD OF SOLICITATION

13b. RATING

NORTH AMERICAN INDUSTRY

CLASSIFICATION STANDARD

(NAICS):

SMALL BUSINESS

04/17/2026

DAVID JONES1

(No collect calls)

INFORMATION CALL:

FOR SOLICITATION 8. OFFER DUE DATE/LOCAL TIME

05/08/2026 1200 CT

b. TELEPHONE NUMBERa. NAME

4. ORDER NUMBER3. AWARD/ 6. SOLICITATION 5. SOLICITATION NUMBER

75H70626R00011

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

1 2OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

TELEPHONE NO.

17a. CONTRACTOR/

15. DELIVER TO

Aberdeen SD 57401

115 Fourth Ave, SE

Federal Building

9. ISSUED BY

7.

2. CONTRACT NO.

EFFECTIVE DATE

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

ISSUE DATE

DELIVERY FOR FREE ON BOARD

(FOB) DESTINATION UNLESS

BLOCK IS MARKED

11.

SEE SCHEDULEX

12. DISCOUNT TERMS THIS CONTRACT IS A RATED

ORDER UNDER THE DEFENSE

PRIORITIES AND ALLOCATIONS

SYSTEM - DPAS (15 CFR 700)

13a.

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

(SDVOSB)

HUBZONE SMALL

BUSINESS

8(A)

Aberdeen Area Indian Health Servic WOMEN-OWNED SMALL

BUSINESS (WOSB)

ECONOMICALLY DISADVANTAGED

WOMEN-OWNED SMALL

BUSINESS (EDWOSB)

24.

AMOUNT

23.

UNIT PRICE

22.

UNIT

21.

QUANTITY

20.

SCHEDULE OF SUPPLIES/SERVICES

19.

ITEM NO.

GPA OIT Total $: _________________________

WWKMHCC Total $: _________________________

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

HEREIN, IS ACCEPTED AS TO ITEMS:

DATED . 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 (FEDERAL ACQUISITION REGULATION) FAR 52.212-1, 52.212-4. FAR 52.212-3

AND 52.212-5 ARE ATTACHED. ADDENDA

26. TOTAL AWARD AMOUNT (For Government Use Only)

OFFER

STANDARD FORM 1449 (REV. 11/2021)

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: REFERENCE

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. 11/2021) BACK

24.

AMOUNT

23.

UNIT PRICE

22.

UNIT

21.

QUANTITY

20.

SCHEDULE OF SUPPLIES/SERVICES

19.

ITEM NO.

3 FTHC Total $: _________________________

Grand Total (All Locations Combined): $:___________________

32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

22 of

1. Authority

1.1 No person other than the Contracting Officer has authority to bind the Government with respect to this contract;

1.2 No action or omission of any government employee or representative other than the Contracting Officer shall increase or decrease the scope of this contract or shall otherwise modify the terms and conditions of this contract;

1.3 In no event shall any of the following be effective or binding on the Government or imputed to the Contracting Officer with respect to this contract;

1.3.1 An understanding or agreement between the Contractor and anyone other than the Contracting Officer;

1.3.2 A purported modification or change order issued by anyone other than the Contracting Officer;

1.3.3 A promise by anyone other than the Contracting Officer to provide additional funding or make payments or;

1.3.4 An order, direction, consent, or permission from anyone other than the Contracting Officer to;

1.3.4.1 Incur costs in excess of a specified estimated cost, allotment of funds, or other ceiling or;

1.3.4.2 Expend hours in excess of a specified level of effort.

Provisions & Clauses 1

PROVISIONS AND CLAUSES INCORPORATED BY REFERENCE

52.252-1 Solicitation Provisions Incorporated by Reference.

As prescribed in 52.107(a), insert the following provision:

Solicitation Provisions Incorporated by Reference (Feb 1998)

This solicitation incorporates one or more solicitation provisions 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. 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/browse/index/far

(End of provision)

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):

https://www.acquisition.gov/browse/index/far

(End of clause)

I. Federal Acquisition Regulations (FAR)(48 CFR Chapter 1) Provisions and Clauses Incorporated by Reference.

FAR

CITATION

PROVISION/CLAUSE TITLE PROVISION

/ CLAUSE

DATE

52.202-1 Definitions. Jun-20 52.203-3 Gratuities. Apr-84 52.203-7 Anti-Kickback Procedures. Jun-20 52.204-7 System for Award Management Nov-24 52.204-9 Personal Identity Verification of Contractor Personnel. Jan-11 52.204-13 System for Award Management Maintenance. Oct-18 52.204-14 Service Contract Reporting Requirements. Oct-16 52.204-19 Incorporation by Reference of Representations and Certifications. Dec-14 52.209-5 Certification Regarding Responsibility Matters. Aug-20 https://www.acquisition.gov/far/52.107#FAR_52_107 https://www.acquisition.gov/far/52.107#FAR_52_107

Provisions & Clauses 2

52.209-10 Prohibition on Contracting with Inverted Domestic Corporations. Nov-15 52.209-11 Representation by Corporations Regarding Delinquent Tax Liability or a Felony Conviction under any Federal Law.

Feb-16

52.212-1 Instructions to Offerors - Commercial Products and Commercial Services.

Sep-23

52.212-4 Contract Terms and Conditions - Commercial Products and Commercial Services.

Nov-23

52.216-24 Limitation of Government Liability. Apr-84 52.217-5 Evaluation of Options. Jul-90 52.217-8 Option to Extend Services. Nov-99 52.224-1 Privacy Act Notification Apr-84 52.224-2 Privacy Act Apr-84 52.232-1 Payments. Apr-84 52.232-39 Unenforceability of Unauthorized Obligations. Jun-13 52.237-1 Site Visit Apr-84 52.237-3 Continuity of Services. Jan-91 52.242-15 Stop-Work Order. Aug-89 52.243-4 Changes (Deviation). RFO Jun-25 52.243-7 Notification of Change (Deviation). RFO Jun-25 52.244-6 Subcontracts for Commercial Products and Commercial Services. Jan-25 52.246-4 Inspection of Services-Fixed-Price. Aug-96 52.246-20 Warranty of Services. May-01 52.246-25 Limitation of Liability-Services Feb-97 52.247-34 F.o.b. Destination. Jan-91 52.249-9 Default (Fixed-Price Supply and Services) Apr-84 52.252-6 Authorization Deviations in Clauses Nov-20 52.253-1 Computer Generated Forms. Jan-91

PROVISIONS AND CLAUSES IN FULL TEXT

II. Federal Acquisition Regulations (FAR) (48 CFR Chapter 1) Provisions and Clauses in Full Text

FAR

CITATION

PROVISION/CLAUSE TITLE PROVISION

/ CLAUSE

DATE

52.217-9 Option to Extend the Term of the Contract Mar-00 52.232-19 Availability of Funds for the Next Fiscal Year. Apr-84

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

As prescribed in 17.203(g), insert a clause substantially the same as the following:

Provisions & Clauses 3

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 30 days; provided that the Government gives the Contractor a preliminary written notice of its 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 60 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 September 30, 2025. 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 September 30, 2025, 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)

III. Department of HHS Acquisition Regulations (HHSAR) (48 Chapter 3) Clauses

HHSAR

CITATION

CLAUSE TITLE CLAUSE DATE

HHSAR 352.224-

Privacy Act December 2015

HHSAR 352.226-

Indian Preference December 2015

HHSAR 352.226-

Indian Preference Program December 2015

HHSAR 352.237-

Pro-Children Act December 2015 https://www.acquisition.gov/far/32.706-1#FAR_32_706_1

Provisions & Clauses 4

HHSAR 352.237-

Crime Control Act-Reporting of Child Abuse December 2015

HHSAR 352.237-

Crime Control Act- Requirement for Background Checks

December 2015

HHSAR 352.237-

Indian Child Protection and Family Violence Act December 2015

HHSAR 352.237-

Non-Discrimination in Service Delivery December 2015

HHSAR 352.232-

Electronic Submission of Invoice Payment Requests February 2022

352.224-70 Privacy Act.

As prescribed in HHSAR 324.105(a), the Contracting Officer shall insert the following clause:

Privacy Act (DEC 2015)

This contract requires the Contractor to perform one or more of the following: (a) Design; (b) develop; or (c) operate a Federal agency system of records to accomplish an agency function in accordance with the Privacy Act of 1974 (Act) (5 U.S.C. 552a(m)(1)) and applicable agency regulations.

The term system of records means a group of any records under the control of any agency from which information is retrieved by the name of the individual or by some identifying number, symbol, or other identifying particular assigned to the individual. Violations of the Act by the Contractor and/or its employees may result in the imposition of criminal penalties (5 U.S.C.

552a(i)).

The Contractor shall ensure that each of its employees knows the prescribed rules of conduct in 45 CFR part 5b and that each employee is aware that he/she is subject to criminal penalties for violation of the Act to the same extent as Department of Health and Human Services employees. These provisions also apply to all subcontracts the Contractor awards under this contract which require the design, development or operation of the designated system(s) of records (5 U.S.C. 552a(m)(1)). The contract work statement:

(a) Identifies the system(s) of records and the design, development, or operation work the Contractor is to perform; and

(b) Specifies the disposition to be made of such records upon completion of contract performance.

(End of clause)

Provisions & Clauses 5

352.226-1 Indian Preference.

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

Indian Preference (DEC 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.

(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)

Provisions & Clauses 6 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 (DEC 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;

Provisions & Clauses 7 any experience or special skills required for employment; training opportunities available; and other pertinent information necessary to 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 Public Law 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

Provisions & Clauses 8 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.)

Provisions & Clauses 9

(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 (DEC 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.

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:

Provisions & Clauses 10

Crime Control Act of 1990 - Reporting of Child Abuse (DEC 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,…