Contract_75H70621D00023--.pdf

IHSGREATPLAINS AREA

ABERDEEN SD 57401-4301

115 4TH AVENUE SE

Great Plains Area IHS

IHSGREATPLAINS AREA

605-2249379

1376461

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

Aberdeen SD 57401 115 Fourth Ave, SE Federal Building Aberdeen Area Indian Health Servic

IHSFTTHOMPSON CODE 16. ADMINISTERED BYCODE

X

621111

SIZE STANDARD:

% FOR:SET ASIDE:UNRESTRICTED OR159

RFPIFB

10. THIS ACQUISITION ISCODE

RFQ

14. METHOD OF SOLICITATION

13b. RATING

NAICS:

SMALL BUSINESS

605-226-7724WENDA WRIGHT

(No collect calls)

INFORMATION CALL:

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

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

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

1 7 OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

TELEPHONE NO.

PIERRE SD 575015225

1205 WOODRIVER DR

J L MINDER, PROF. LLC 1205 WOO

Attn: JANICE

JL MINDER, LLC 1376461

17a. CONTRACTOR/

FT THOMPSON SD 57339

1323 BIA Rt. 4 Box 200

IHSFTTHOMPSON

15. DELIVER TO

Aberdeen SD 57401 115 Fourth Ave, SE Federal Building

9. ISSUED BY

7.

75H70621D00023

2. CONTRACT NO.

EFFECTIVE DATE

$12.00

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

ISSUE DATE

DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

11.

SEE SCHEDULEX

12. DISCOUNT TERMS

IHS NET 15P THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

13a.

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

8(A)

Aberdeen Area Indian Health Servic

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

24.

AMOUNT

23.

UNIT PRICE

22.

UNIT

21.

QUANTITY

20.

SCHEDULE OF SUPPLIES/SERVICES

19.

ITEM NO.

Firm Fixed-Price, Non-Personal Health Care Service, Commercial Item, Indefinite Delivery/Indefinite Quantity (ID/IQ) Contract to provide OB/GYN Services in the Outpatient Department at the Fort Thompson IHS Health Center, Fort Thompson, South Dakota. Period of Performance: July 1, 2021 through June 30, 2022 plus Four Option Years.

Period of Performance:

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

$0.00

HEREIN, IS ACCEPTED AS TO ITEMS:

XX

DATED

CRAIG J. WELLS 06/30/2021

. YOUR OFFER ON SOLICITATION (BLOCK 5),

INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE SET FORTH

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DELIVER

ARE

ARE

31c. DATE SIGNED

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA

31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (Type or print)

ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY ADDITIONAL

SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED.

27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA

26. TOTAL AWARD AMOUNT (For Govt. Use Only)

OFFER

STANDARD FORM 1449 (REV. 2/2012)

Prescribed by GSA - FAR (48 CFR) 53.212

ARE NOT ATTACHED.

ARE NOT ATTACHED.

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

30b. NAME AND TITLE OF SIGNER (Type or print)

30a. SIGNATURE OF OFFEROR/CONTRACTOR

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

25. ACCOUNTING AND APPROPRIATION DATA

See schedule

29. AWARD OF CONTRACT:

REF.

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32c. DATE 32b. SIGNATURE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED:

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED

40. PAID BY39. S/R VOUCHER NUMBER38. S/R ACCOUNT NUMBER

37. CHECK NUMBER

FINALPARTIAL

36. PAYMENT

FINALPARTIAL

35. AMOUNT VERIFIED

CORRECT FOR

34. VOUCHER NUMBER33. SHIP NUMBER

COMPLETE

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

42d. TOTAL CONTAINERS42c. DATE REC'D (YY/MM/DD)

42b. RECEIVED AT (Location)

42a. RECEIVED BY (Print)

41c. DATE41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER

41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT

STANDARD FORM 1449 (REV. 2/2012) BACK

24.

AMOUNT

23.

UNIT PRICE

22.

UNIT

21.

QUANTITY

20.

SCHEDULE OF SUPPLIES/SERVICES

19.

ITEM NO.

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

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

30, 2023

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

30, 2024

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

30, 2025

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

30, 2026

Period of Performance: 07/01/2021 to 06/30/2026

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

OB/GYN Services - Ft Thompson, South Dakota

192 Hours x $500.00/Hour, totaling $96,000.00.

Obligated Amount: $0.00

Delivery: 06/30/2022

2 Option Year One (1): July 1, 2022 through June 0.00

30, 2023 - OB/GYN Services - Ft Thompson, South

Dakota

192 Hours x $500.00/Hour, totaling $96,000.00.

Amount: $96,000.00(Option Line Item)

07/01/2022

Delivery: 06/30/2023

Continued ...

32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

7 2 of

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

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CONTINUATION SHEET

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JL MINDER, LLC 1376461

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

75H70621D00023

3 Option Year Two (2): July 1, 2023 through June 0.00

30, 2024 - OB/GYN Services - Ft Thompson, South

Dakota

192 Hours x $500.00/Hour, totaling $96,000.00.

Amount: $96,000.00(Option Line Item)

07/01/2023

Delivery: 06/30/2024

4 Option Year Three (3): July 1, 2024 through June 0.00

30, 2025 - OB/GYN Services - Ft Thompson, South

Dakota

192 Hours x $500.00/Hour, totaling $96,000.00.

Amount: $96,000.00(Option Line Item)

07/01/2024

Delivery: 06/30/2025

5 Option Year Four (4): July 1, 2025 through June 0.00

30, 2026 - OB/GYN Services - Ft Thompson, South

Dakota

192 Hours x $500.00/Hour, totaling $96,000.00.

Amount: $96,000.00(Option Line Item)

07/01/2025

Delivery: 06/30/2026

This contract does not obligate funds; funds must be obligated prior to starting performance through a delivery/task order. FAR 52.216-18

Ordering, FAR 52.216-19 Ordering limitations and

FAR 52.216-22 Indefinite Quantity. Orders may be placed against this contract by issuing task orders and may be submitted electronically by e-mail, facsimile or mailed by hard copy.

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 contract.

Attachments:

- Quote

- Statement of Work

- Clauses incorporated by Reference and in

Continued ...

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

Sponsored by GSA

FAR (48 CFR) 53.110

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75H70621D00023

Full-Text

- HHS Residual Standards of Conduct

- Business Associate Agreement

- Workplace Violence

- Courtesy and Respect in the Workplace Policy

- Mandatory Seasonal Influenza Immunizations for the Civilian Health Care Personnel

- Standards of Conduct

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

Continued ...

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75H70621D00023

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 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

Continued ...

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

75H70621D00023 last 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 on at least a monthly basis.

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:

Attn: Mitchell Franklin , COR II

PO Box 200

1323 BIA Rt 4

Fort Thompson, South Dakota 57339

Phone: 605-245-1597 mitchell.franklin@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)

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

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75H70621D00023

Dakota 57401.

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

"OB/GYN(s) will arrive on a Business Day ONLY to complete all Orientation and Background procedures. The Clinical Director or Designee will ensure all Orientation and Background procedures have been completed and an email will be sent to the Contracting department to state as such. The OB/GYN(s) will NOT see patients until

Background/Fingerprints have been cleared."

"The standards of medical practice and duties of the Contractor through its OB/GYN(s) shall be determined pursuant to the bylaws of the Service

Unit. The regulations of the hospital, applicable provisions of law, other rules and regulations of any and all governmental authorities relating to licensure and regulation of physicians and hospitals must be followed.

Also the standards and recommendations of Centers for Medicare and Medicaid Services (CMS) or the

Accreditation Organization must be adhered to.

The Contract OB/GYN(s) shall be required to participate in a quality improvement program, which is consistent with current requirements for ongoing monitoring and evaluation of the quality and appropriateness of care."

The total amount of award: $480,000.00. The obligation for this award is shown in box 26.

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