CC20-22-Amend1.pdf

DEPARTMENT OF HEALTH AND HTJMAN SERVICES Public Health Service Cheyenne River Servicc Unit PO Box l0l2 Eagle Buttc, SD 57625

(605) 964-1124

R.f"r.n"", CRIIC-ro-zz

May 26,2020

To Whom It May Concern:

Enclosed is the executed SF-30 document signed and dated by the Supewisory Contact

Specialist in reference to solicitation number CHRC-20-22. Please retain for your own records.

Should you have any question or need information, please contract Stephanie Charger, Purqheoing Agsnt at (605)961.0507 or via emeil at Stephanie.rcdolk@.ihs'qov.

Sincerely, Supervisory Contract Specialist

Cheyenne River Health Center

Attachment

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

Amendment #1

6 ]:;SI]ED BY

lndian Health Service Cheyenne River Health Center 24276 l06th Skeet Airport Rd Eagle 8utte, SD 57625

8 NAI\4E ADORESS OF CONTRACIOR (Nunbet, slreet, counly, gate and ZPCode)

PAGE OF PAGES

BY (tt olhet lhan tten 6)

05t26t20?0

5 PROJECT

SOLICITATION NUMBER

(sEE ITEM 11) lfEM 13)

OF11.

ofe(s must acknowredge fec€,pl ol lhrs amendment pnor to the lrour and dale speofi€d in lhe solicfalion or as amended, by one oflhe lollowmE melhods

(3) By completrng rtems E and 15. and relurning v cop'€s oflhe ameodmenti (b) By acknowledging receipl ol thrs amendment o.r each copy ol the otr{ subm,tl€di or (c) By separate letrer or electronic conrnunication whrci includes a feterence lo lhe solicitatron and amendmeni numb€rE FAILURE oF YOUR AcKNoWtEDGMENT TO 8E

AECE VED AT THE PLNCE DESIGNATEO FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN REJECTION OF YOUR OFFER II byv]rlu€o'lhisamendrnentyo!desiretochangeanoferak€adysUbmittedsUcnchangemsyb€madebybnsrofeiec|loniccommUnic€tlonProvided€achl€lteroro|econic

B THE ABOVE NUMBERED CoNTMCT/OROER lS tvtoDlFtEo TO REFLECT THE ADIVIINISTRATIVE CHANGES (s{./ch as chanses tn pavtng otttce apDrapnation data, etc ) SET FORTH lN ITEM 14, PURSUANT TO THE AIJTHORITY OF FAR 43 103(b) comrnun calpn makes reterence io ttre solcitatjon and this am€ndmenl, and is (eceiv€d prtor to lh€ oPening hour and dale sPecifled

12 ACCOUNTING ANO rlON DATA (lfrcqunad)

- 13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS.

.I]ECKC'NE IA THIS

'HITICiONOTN

IS ISSUTO PURSUANT TO (SPECIT/ AUI\OIIIY)IHE CflANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT OROER

NUI\,IBER IN ITEM 1OA

.? f-€ above numoe ed sohcrtatron rsamended as set bnh,n llem 14 The horn and dale specilied lo. receipt olOffets I lrsexterOeO,a:l

C rtrS SUfplElreltfal AGREEMENT lS ENTERED INTO PURSUANT TO AUTHORITY OFi ls6citl type ol

IMpORTANT: Conkactor ! is not [] is required to sign this dod]ment and return _l_ copies to the issuing offlce

IT MODIFIES THE CONTMCT'ORDER NUMBER AS DESCRIBED IN ITEM I4.

Arendment #1 as follows:

1) Delete SOW and replace

There are no other changes oF ATlENDMENT/NlOOlFlcATlON (Organi2ed bv 1iGi'ontonrract suol*t naner whee leas,btd ) with attached SOW. (Changes are highlighted in yellow on attached SOW) made by reason of this amendment.

Ei :€p1 as prov ided herein all lcrms and cond lton s ot the dooumenl relsrenced in ltem 9A o r 1 OA a s hefetofore changed remain s unchan ged and in lull fo rce and effecl

-: ....-,.15/\ NAlvlE ANO TIIL€ OF SIGNER (Type ot p'int)

CONTRACIOR,/OFFEROR

Danielle Chasing Hawk, SupeNisory Contract Specialist

1OC DA'IE SIGNEO

(Sqnatureof pe6on aulhotized lo sign)

30 IREV. 11

I€8 UNITEO STATES OF AMERICA

Danielle D. Chasing Hawk #!"

.oh

15C DATE SIGNED

Prev i o u s ed il ion u n u sa b le Prescribed by GSA FAR (48 CFR) 53 243

Statement of Work for Optical Fabrication Of Spectacles and Spectacle Repair Services for the Chevenne River Service Unit

Eagle Butte, SD

Background

The Optometry Clinic at the Cheyenne River Service Unit, Eagle Butte, South Dakota is staffed by two full-time 0ptometrists whose mission is to provide full-scope, quality optometric services and spectacles to patients from the Cheyenne River Service Unit.

The Eye Clinic's goal is to provide all school age children with a yearly eye exam and subsequent spectacles, if required, under the IHS Cheyenne River Service Unit Student Program. Adult patients receiving eye care at the Optometry Clinic are required to prepay, in full, for their spectacles and need to secure eyewear at cost.

Purpose

The primary purpose of lhis Blanket Purchase Agreement is for the provision of first quality optical fabrication on prescription from an authorized providers and the delivery thereofto the IHS Cheyenne River Eye Clinic. Contractor mustmaintain an adequate stock of optical supplies. Each branch or agent must be fully equipped to render complete lens surfacing, edging, frame repair services, etc., in keeping with the terms and specifications of this contract.

Tasks

The Contractor shall provide the following services/supplies to the IHS Cheyenne

River Eye Clinic:

1. Optical fabrication ofspectacles at a contrac! cost provided by the Contractor on a fee schedule.

2. The provision of a suitable spectacle case for each complete pair ofspectacles fabricated on authorized prescription and included in the above fee schedule'

3. Services will include the provision ofappropriate frame catalogs, the IHS

Cheyenne River Eye Clinic may purchase, on consignment, sample frames.

These frames may be ordered on a prescription order form.

4. The delivery of fabricated spectacles will be 14 working days. The contractor shall notifu the Service Unit of any factory-delayed order.

5. Contractor shall be required to conduct a minimum of one annual site visit to the IHS Cheyenne River Eye Clinic to:

a. Introduce new products carried by the Contractor

b. Address any real or potential problems in ordering/delivery against the contracl

Pase L of 5

c. Main[ain open communication between Service Unit and Contractor

Product Quality

Type of Lens

The Contractor shall furnish single vision, bifocal, trifocal, progressive or aphakic high quality corrected curve clear polycarbonate lenses (and/or tinted lenses, glass impact resistant or plasticJ mounted in ophthalmic quality frames.

Unless otherwise specified, lenses, materials, powers, and workmanship shall be in accordance with the American National Standards Institute IANSD, ANSI 280.1-

1987. The prescription order will be certified and initiated.

All school children will be provided with polycarbonate lenses unless the prescribing provider determines an individual prescription is not suited to polycarbonate. The IHS will not authorize any tints or special coatings for school children unless medically-indicated and prescribed by the provider. The base frame and lens cost will be limited to $34.00 for any prescription authorized by lHS, with overages based on medical necessiry.

Guarantee

The Service Unit will notii/ the Contractor within one month after delivery if an article furnished under this contract is found to be unsatisfactory due to defective workmanship and/or materials; the same shall be corrected, adjusted, or replaced, as necessary by the Contractor without additional cost to the Government, and make delivery in accordance with the terms and conditions ofthis BPA. Contractor agrees that up to three months from date oforiginal spectacle prescription, 5070 ofcontract price will be charged when a patient is unable to accept original prescription' bontractor agrees that no less than 95% ofall prescription lenses ordered shall be free of imperfections or inaccuracies or be subiect to consequent default'

Lens Certification

The Contractor shall return a copy ofthe complete spectacle prescription order with either manufacturer's lens envelope which contained the blank form from which the lens was fabricated, or an in-house laboratory form verifying the type of products used in filling the spectacle prescription, Substitution

Ifduring the period ofthis contract any frames on contractor's fee schedule are discontinued, the contractor will be required to substitute another frame of equal stvle and value.

Prescription Forms

Spectacles will be furnished by the Contractor upon receipt of a properly completed prescription order form. Prescription orders will be made on Contractor approved forms, which are to be furnished by the Contractor. Each prescription form issues shall identifu on its face the account number, which the prescription is ordered.

Other Stocked Optical Material

The Government reserves the right to purchase from the Contractor any other stocked spectacle frames, parts, and lenses available from the company and not specified in the fee schedule, at a cost not to exceed laboratory prices, in lieu of any frame, lenses, or parts specified in the fee schedule.

Period of Performance

This contract shall begin at the time the contract is awarded and run through a base year + the option to exercise 4 additional one year option years'

Laboratory Qualifications

All fabrication services must be under the supervision of an American Board of Opticianry (ABOJ certified optician. All work must be performed at the location designated to service the IHS Cheyenne River Service Unit Eye Clinic. The contractor agrees to transmit full particulars concerning this contract to the branch and/or agents, authorizing and instructing them to furnish the services and supplies covered by the contract to the IHS activities covered thereby at the prices and in accordance with the conditions thereof.

Privacy Act (F AR 52.22 4 -2)

Contractor will not maintain a system ofrecords on IHS patients; however, contractor is bound by the Privacy Act of 1974 in that no information regarding patient spectacle prescription may be released to any unauthorized individual. All ielease of patient information will be through the IHS Cheyenne River Service Unit's

Medical Record's DePartment.

Inspection and Acceptance - Fixed Price (F AR 52.246-+)(APR 1984J

Definitions. "services" as used in this clause, includes services performed' workmanship, and material furnished or utilized in the performance of services.

The Contractor shall provide and maintain an inspection system acceptable to the Government covering the services under this contract. Complete records of all inspection work performed by the Contractor shall be maintained and made available to the Government during contract performance and for as long afterwards as the contract requires.

The Government has the right to inspect and test all services called for by the contract, to the extent practicable at all times and places during the term of the contract. The Government shall perform inspections and tests in a manner that will not unduly delay the work.

If any ofthe services do not conform to the contract requirements, the Government may require the Contractor to perform the services again in conformity with the contract requirements, at no increase in contract amount. When the defects in services are unable to be corrected by re-performance, the Government may (1] require the Contractor to take necessary action to ensure that future performance conforms to contract requirements and (2) reduce the contrac! price to reflect the reduced value ofthe services performed.

Ifthe Contractor fails to promptly perform the services again or to take the necessary action to ensure future performance in conformity with contract requirements, the Government may (1J by contract or otherwise, perform the services and charge to the Contractor any cost incurred by the Government that is directly related to the performance ofsuch service or [2J terminate the contract for default.

ordering and Billing for Services Rendered

The Procurement 0fficer, upon identification of quality of quantity and type of service, will prepare and issue to the laboratory a Blanket Purchase Agreement (BPA) which outlines the terms ofthe contract. Each month ofthe contract, the procurement officer at the Service unit will issue a "call" against this contract, citing the BPA number, each month ofthe contract period. This submission of the "call" to the contractor is required to prevent any delays in delivery or break in services.

Contractor's Billing close-out of each account will occur on the last working day of each month. Each statement submitted by the Contractor for payment shall bear the BPA number and an itemized listing ofeach irem ordered. This list shall include: (1) the date the spectacle prescription was received at the laboratory; (2J the invoice number; (31 puti"nt n"-"; (4j a record of any co-payment by the patient; (5J amount of invoice;

and [6J a running balance brought forward'

Any payments by the IHS shall be indicated on the Contractor's statement by a line item entry with the date of payment, month/year, and the amount of the payment subtracted from the balance brought forward. Any changes can be made by telephone or a credit/debit can be made on the next statement from the laboratory.

The Contractor will return to the Service Unit Eye Clinic one billing set for each "call" that us issued:

The Service Unit Eye Clinic should review each monthly statement submitter for a "call", make corrections and forward to the Project Officer, The Proiect Officer shall review, and appropriately process.

Payment Due Date

Payments are made in accordance with the terms and conditions ofthe contract, after the receipt of a proper invoice in the office designated to receive the invoice.

Interest on Overdue Payments

The Prompt Payment Act, Public Law 97-1-77 (96Stat.85,31USC 18011 is applicable to payments under this contract and requires the payment to Contractors of interest on overdue paymen[s and improperly taken discounts.

Reports

A list ofall outstanding unpaid spectacle orders shall be submitted on a combined report, monthly to the 0ptometry Department, Cheyenne River Health Center, 2427 6 t66& Street, PO Bo x1012, Eagle Butte, SD 57525-