Sol_75H70724Q00028.pdf

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

Albuquerque NM 87110 4101 Indian School Rd NE, Suite 225 Albuquerque Indian Health Service

CODE 16. ADMINISTERED BYCODE

X

X

X

621111

SIZE STANDARD:

100.00 % FOR:SET ASIDE:UNRESTRICTED OR203

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

02/23/2024 1700 MS

01/22/2024

505-256-6750STEPHANIE BEGAY

(No collect calls)

INFORMATION CALL:

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

4. ORDER NUMBER3. AWARD/ 6. SOLICITATION

75H70724Q00028

5. SOLICITATION NUMBER

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

1 50 OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

TELEPHONE NO.

17a. CONTRACTOR/

15. DELIVER TO

Albuquerque NM 87110 4101 Indian School Rd NE, Suite 225

9. ISSUED BY

7.

2. CONTRACT NO.

EFFECTIVE DATE

$16

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 SCHEDULE

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)

Albuquerque Indian Health Service

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.

Solicitation No. 75H70724Q00028 is hereby issued to provide Obstetrician-Gynecologist Evaluation and Treatment Non-Personal Healthcare services at the Mescalero Service Unit.

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

HEREIN, IS ACCEPTED AS TO ITEMS:

X

DATED

ERIC K. WRIGHT

. 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.

32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

50 2 of

OBGYN Non-Personal Healthcare Services MSU Solicitation 75H70724Q00028 Page 3 of 50

ISBEE CASCADING SET-ASIDE:

Offers will be solicited from Indian Small Business Economic Enterprise (ISBEE) concerns. If we do not receive enough competition and/or reasonably priced offers from the ISBEE set-aside, we will then evaluate quotes and consider for award to other small business concerns. Any acquisition resulting from this cascading set-aside will be from such a concern as follows: First Tier: ISBEE Second Tier: all other Small Business Concerns. Offers received from enterprises that are not one of these small business concerns will not be considered.

SECTION 1 - SUPPLIES OR SERVICES AND PRICES/COSTS

1.1 SERVICES

1.1.1 The Indian Health Service (IHS)/Albuquerque Area Office, Mescalero Service Unit has a requirement for Obstetrician-Gynecologist Evaluation and Treatment Non-Personal Healthcare services at Mescalero, New Mexico.

1.1.2 The Government contemplates to award a single award resulting from this solicitation.

1.2 PRICE OR COST

This solicitation will result in a Firm-Fixed-Price (FFP) Purchase Order acquisition with one base year and four 12-month option periods. The quantities shown in the Schedule of Charges are "expected" quantities, but are not representative of actual ordering quantities, and serve as a means of arriving at price reasonableness for award purposes. Utilization of the "Requirements" contract has been determined to be appropriate for a OBGYN Non-Personal Health Services as the government anticipates recurring requirements but cannot pre-determine the precise quantities that will be ordered during the contract period. Pricing proposals should be determined based on the estimated shifts - 8 hour shift and 12-hour shift.

1.3 GENERAL CONTRACT INFORMATION

1.3.1 This is a non-personal health care service contract, as defined in Federal Acquisition Regulation (FAR) 37.401, under which the contractor is an independent contractor. The Government may evaluate the quality of professional and administrative services provided, but retains no control over the medical, professional aspects of services rendered (e.g., professional judgments, diagnosis for specific medical treatment). The contractor indemnifies the Government for any liability producing act or omission by the contractor, its employees and agents occurring during contract performance. The contract must maintain medical liability insurance. Coverage amount acceptable to the Contracting Officer, which is not less than the amount normally prevailing within the local community for the medical specialty.

The contract is required to ensure that its subcontract for provisions of health care services contain the requirement of the Clause 52.237-7, including the maintenance of medical liability insurance.

1.3.2 As an independent Contractor; billing and collecting for the federal, state and other local city/county taxes is the burden of the Contractor, this includes the New Mexico Gross Receipt Taxes (NMGRT) for services provided in any county of the State of New Mexico.

1.3.3 The Contractor's price/cost for services under this contract should include all applicable taxes for Internal Revenue Service (IRS), State of New Mexico Taxation and Revenue agency and/or other revenue agencies. The Indian Health Service will not withhold taxes nor will it issue a W-2 to the contractor.

1.3.4 FINGERPRINTING REQUIREMENTS FOR SECURITY AND SUITABILITY:

"Prior to start of services specified by the contract scope of work, the Contractor must contact Warren Cheromiah, at Telephone No. (505) 256-6749, AAO, Division of Contracts and Grants, to schedule an appointment to complete the fingerprinting process required by the IHS regulations pertinent to security and character background investigations."

Services MSU Solicitation 75H70724Q00028 Page 4 of 50

1.4 CONTRACT PRICE

1.4.1 This solicitation will result in an FFP Purchase Order. The price for this contract is $ (TBD).

1.4.2 Upon delivery and acceptance of the item(s) specified in the DELIVERY Article in SECTION F of this contract, the Government shall pay to the Contractor resulting from the awarded contract price.

1.4.3 Upon delivery and acceptance the services described in the Performance Work Statement (PWS) and identified in the schedule of charges below, the Government shall pay to the Contractor the total prices set forth below and will be paid from the following Contract Line Item Numbers (CLINs) accordingly:

SCHEDULE OF CHARGES FOR THE BASE PERIOD

Item # Contract Period Description of Services - Base TBD, 2024- TBD, 2025 Total Amount

CLIN 1 Base Year 1 OB/GYN Board Certified/Board Eligible Medical Doctor (MD) OR 1 Certified OB/GYN Advanced Nurse Practitioner (NP)

40 hours per week x 52 weeks = 2,080 hours

$_____/hour x 2,080 hours $

TOTAL PRICE FOR BASE PERIOD: $

1.4.4 The Contractor shall be paid upon submission of an invoice and completion and acceptance (if deliverable) or verification (if service) by the Contracting Officer's Representative (COR), of the deliverables and/or services indicated below. Submit invoices in accordance with the instructions contained in FAR clause 52.232-25, Prompt Payment, and Section G.2 of this contract.

1.5 OPTION PRICES

1.5.1 Unless the Government exercises its option, pursuant to the option clause referenced in the Contract Clauses section, this contract consists only of the Base Period specified in this contract.

1.5.2 Pursuant to either the FAR Clause 52.217-8, Option to Extend Services or the FAR Clause 52.217-9, Option to Extend the Term of the Contract, set forth in Section I, Contract Clauses, of this contract, the Government may, a unilateral contract modification, require the Contractor to perform the Option Period(s) as defined in the PWS of this contract. A notice that the Government intends to exercise any of the options will happen prior to the contract’s expiration date. Specific information regarding the timeframe for this notice is set forth in the OPTION PROVISION of this order. When exercising an option period, the fixed price rate of this contract is set forth below.

1.5.3 Upon the delivery and acceptance of the Option Services described in the Performance Work Statement of the contract and identified in the schedule of charges below, the Government shall pay the Contractor the rate(s) set forth below and will be paid from the following Contract Line Item Numbers (CLINs) accordingly;

1.5.4 If the Government exercises its option pursuant to the OPTION PROVISION of this contract, the Government's total estimated contract amount, represented by the sum of the price of base plus option periods and the period of performance will be as follows:

Services MSU Solicitation 75H70724Q00028 Page 5 of 50

SCHEDULE OF CHARGES FOR THE OPTION PERIODS

Item # Contract Period Description of Services - Base TBD, 2025- TBD, 2026 Total Amount

CLIN 2 Option Year One

1 OB/GYN Board Certified/Board Eligible Medical Doctor (MD) OR 1 Certified OB/GYN Advanced Nurse Practitioner (NP)

40 hours per week x 52 weeks = 2,080 hours

$_____/hour x 2,080 hours $

TOTAL PRICE FOR OPTION PERIOD ONE: $

Item # Contract Period Description of Services - Base TBD, 2026- TBD, 2027 Total Amount

CLIN 3 Option Year Two

1 OB/GYN Board Certified/Board Eligible Medical Doctor (MD) OR 1 Certified OB/GYN Advanced Nurse Practitioner (NP)

40 hours per week x 52 weeks = 2,080 hours

$_____/hour x 2,080 hours $

TOTAL PRICE FOR OPTION PERIOD TWO: $

Item # Contract Period Description of Services - Base TBD, 2027- TBD, 2028 Total Amount

CLIN 4 Option Year Three

1 OB/GYN Board Certified/Board Eligible Medical Doctor (MD) OR 1 Certified OB/GYN Advanced Nurse Practitioner (NP)

40 hours per week x 52 weeks = 2,080 hours

$_____/hour x 2,080 hours $

TOTAL PRICE FOR OPTION PERIOD THREE: $

Item # Contract Period Description of Services - Base TBD, 2028- TBD, 2029 Total Amount

CLIN 5 Option Year Four

1 OB/GYN Board Certified/Board Eligible Medical Doctor (MD) OR 1 Certified OB/GYN Advanced Nurse Practitioner (NP)

40 hours per week x 52 weeks = 2,080 hours

$_____/hour x 2,080 hours $

TOTAL PRICE FOR OPTION PERIOD FOUR: $

Services MSU Solicitation 75H70724Q00028 Page 6 of 50

1.5.5 Note: Unit price shall be an all-inclusive rate of all other fees including travel expenses, per diem, lodging all cities, state, federal, local taxes and miscellaneous cost associated with the above services.

SECTION 2 – DEFINITIONS:

2.1 Acceptance: As stated in FAR, subpart 46.5, Constitutes acknowledgement that the supplies or services conform to the applicable contract quality and quantity requirements and subject to other terms and conditions of the contract.

2.2 Approval: Acknowledgment by the designated Government official that submittals, deliverables, or administrative documents (e.g., insurance certificates, installation schedules, planned utility interruptions, etc.) conform to the contractual requirements. Government approval does not relieve the Contractor from responsibility for compliance with contract requirements.

2.3 Area: A defined geographical region for Indian Health Service administrative purposes. Each Area Office may administer several Service Units.

2.4 Blanket Purchase Agreement (BPA): is a simplified method of filling anticipated repetitive needs for supplies or services.

2.5 Business Associate (BA): Any company or person that shown to, handles, or works with the data or medical records of the medical entity.

2.6 Business Associate Agreement (BAA): A BAA is a contract between a HIPAA-covered entity and a HIPAA BA.

The contract protects personal health information (PHI) in accordance with HIPAA guidelines.

2.7 Code of Ethics: The ADA Principles of Ethics and Code of Conduct

2.8 Contract: This is a legal binding document between the Government and the Contractor.

2.9 Contractor: The individual award a legal binding contract to provide supplies and services.

2.10 Contracting Officer (CO): A Government employee with the authority to enter into, administer, and/or terminate contracts and make related determinations and findings.

2.11 Contracting Officer's Representative (COR): A federal employee who assists the CO in the administration of this contract. The COR is primarily responsible for the technical assistance and day-to-day program management.

2.12 Customer: Patients, staff and visitors of an IHS service unit and health center.

2.13 Customer Evaluation/Input: Written comments made to the COR regarding the Contractors performance.

This is one of the criteria used to evaluate the Contractor's performance.

2.14 Federal Acquisition Regulation (FAR): The FAR is the primary regulation for use by all Federal Executive agencies in their acquisition of supplies and services with appropriated funds.

2.15 Health Clinics/Center: A facility physically separated from a hospital, with a full range of ambulatory services including at least primary care providers, nursing, laboratory, and x-ray, which are available at least 40 hours a week for outpatient care.

2.16 Indefinite Delivery/Indefinite Quantity: No set delivery time and not set quantity amount (used for recurring purchases with no set delivery time or quantity).

2.17 Non-Personal Services: A contract under which the personnel rendering the services are not subject, either by the contract's terms or by the manner of its administration, to the supervision and control usually prevailing in relationships between the Government and its employees, as defined in FAR 37.401

Services MSU Solicitation 75H70724Q00028 Page 7 of 50

2.18 Ordering Activity: An authorized user of IHS that may issue a task order to obtain required services under this contract.

2.19 Orientation: An activity designed to provide basic familiarization of the facility and transition into the IHS Service Unit and/or Health Center.

2.20 Past Performance Information: Relevant information regarding a contractor's actions under previously awarded contracts.

2.21 Patient Outcome: End result of nursing care.

2.22 Performance Based Matrix: Lists the services and the standards to be applied.

2.23 Personal Protective Equipment (PPE): The equipment used to protect medical personnel from exposure to biological, chemical, and radioactive hazards.

2.24 Point of Contact: Person other than the COR or the Alternate COR

2.25 Quality Assurance Surveillance Plan (QASP): A written document prepared and used by the government for Quality Assurance surveillance of the contractor's performance.

2.26 Service Unit: The local administrative unit of IHS.

2.27 Standards of Practice and Standards of Care: Authoritative statements by which it describes the responsibilities for which its practitioners are accountable.

2.28 Technical Direction: A directive to the Contractor that approves approaches, solutions, designs, or refinements; fills in details or otherwise completes the general description of work or documentation items;

shifts emphasis among work areas or tasks; or furnishes similar instruction to the Contractor.

2.29 Task Order: An order issued in accordance with the terms of a contract (GSA or VA, etc.) that details specific requirements.

2.30 Valid Patient Complaint: Justifiable accusation made by a patient and supported by investigation.

2.31 Verifiable Emergency: An unexpected/unplanned absence by the contractor requiring valid documentation to confirm the occurrence.

SECTION 3 – GOVERNMENT-FURNISHED PROPERTY AND SERVICES:

3.1 Information: Government unique information related to this requirement, which is necessary for Contractor performance, made available to the Contractor.

SECTION 4 - CONTRACTOR FURNISHED ITEMS

4.1 Except for the property specified in Section G, Contractor will all other items as required to carry out the services.

SECTION 5 - PERFORMANCE WORK STATEMENT/REQUIREMENTS

The contractor shall be in accordance with all Federal, State, Local, Tribal and IHS regulations and shall be made with minimal divergence from the schedule established and with minimum disturbance and maximum protection of government personnel, property and general public.

5.1.1 This solicitation is open to a Board Certified/Board Eligible Medical Doctor OR a Certified Advance Nurse Practitioner in Obstetric Gynecology. Only one will be selected. Please see below for each Performance Work Statement.

Services MSU Solicitation 75H70724Q00028 Page 8 of 50

5.1.2 The contractor shall provide Obstetrician-Gynecologist Evaluation and Treatment services as a Board Certified or Board Eligible Medical Doctor in a home and community setting with the following specifications:

• Contractor will participate directly in the medical care of the patients, performing functions to the extent delineated by the medical staff privileging process.

• Contractor will adhere to the scope of work and accept work assignments from the Clinical Director as necessary.

• Contractor will provide direct care/services to patients to establish monitoring mechanisms to evaluate and maintain quality OB/GYN Patient care to treat diseases of female organs and care for and treat women.

• Contractor will review past history, assess and diagnose needs to produce a plan of action to meet identified needs by providing medical health services to individual and families, and interpretations of imaging results and laboratory test results and findings.

• Contractor will have the ability to be self-controlled in stressful situations, adaptability, and flexibility in scheduling and work environment to adapt to patient needs, and dependable.

• Contractor will assist with community outreach activity in the local area.

• Contractor will make decisions concerning medical care needs of patients with physicians and designated consultants.

• Contractor will provide lifesaving and support measures in emergency situations.

• Contractor will work with appropriate staff, outer agencies and accepting facilities to medically stabilize and coordinate appropriate urgent and emergent transfers to facilities with a higher level of care.

• Contractor shall provide thorough and concise written documentation of evaluations, treatment, active orders, medications and referrals through the Electronic Health Record in a timely manner in accordance to the MSU HIM Internal Control policy. Record keeping, release of information and patient confidentiality are in compliance with HIPPA Guidelines.

• Contractor shall participate in Quality Assurance/Risk Management activities of the hospital and peer review functions.

• Contractor shall have knowledge of Personal Protective Equipment (PPE) technique, usage and disposal for infectious control purposes.

• Contractor will adhere to guidelines as outlined in the Medical Staff Bylaws.

• Contractor must maintain credentialing and privileges at MSU.

• Contractor shall only be compensated at the agreed contract amount based on invoices submitted and only for services in direct performance of this contract.

• Training and training expenses are not covered by this contract, unless it is included as; training required by

IHS for new Technology or as a requirement of the IHS and IHS itself has not had the required training to carry out its mission.

• The contract terms and conditions does not allow for accrual of annual or sick leave or other fringe benefits.

• Overtime compensation is not authorized in this contract.

5.1.3 Certified Advanced Nurse Practitioner in Obstetric Gynecology

The contractor shall provide Evaluation and Treatment services as a Certified Advanced Nurse Practitioner in Obstetric Gynecology, which may include home and community settings, with the following specifications:

• Contractor will participate directly in the medical care of the patients, performing functions to the extent delineated by the medical staff privileging process.

Services MSU Solicitation 75H70724Q00028 Page 9 of 50

• Contractor will adhere to the scope of work and accept work assignment from the Clinical Director as necessary.

• Contractor will provide direct care/services to patients to establish monitoring mechanisms to evaluate and maintain quality OB/GYN Patient care to treat diseases of female organs and care for, treat and monitor women during prenatal, natal, and postnatal periods.

• Contractor will review past history, assess and diagnose needs to produce a plan of action to meet identified needs by providing medical health services to individual and families, and interpretations of imaging results and laboratory test results and findings.

• Contractor will have the ability to be self-controlled in stressful situations, adaptability and flexibility in scheduling and work environment to adapt to patient needs, and dependable.

• Contractor will assist with community outreach activity in the local area.

• Contractor will make decisions concerning medical care needs to patients with physicians designated consultants.

• Contractor will provide lifesaving and support measures in emergency situations, when necessary.

• Contractor will work with appropriate staff, outer agencies and accepting facilities to medically stabilize and coordinate appropriate urgent and emergent transfers to facilities with a higher level of care, when necessary.

• Contractor shall provide thorough and concise written documentation of evaluations, treatment active orders, medications, and referrals through the Electronic Health Record in a timely manner in accordance to the MSU HIM Internal Control policy. Record keeping, release of information and patient confidentiality are in compliance with HIPPA Guidelines.

• Contractor shall participate in Quality Assurance/Risk Management activities of the facility and, if needed, in peer review functions.

• Contractor shall have knowledge of Personal Protective Equipment (PPE) technique, usage and disposal for infectious control purposes.

• Contractor will adhere to guidelines as outlined in Medical Staff Bylaws.

• Contractor must maintain credentialing and privileges at MSU.

• Contractor shall only be compensated at the agreed contract amount based on invoices submitted and only for services in direct performance of this contract.

• Training and training expenses are not covered by this contract, unless it is included as; training required by

IHS for new Technology or as a requirement of the IHS and IHS itself has not had the required training to carry out its mission.

• The contract terms and conditions does not allow for accrual of annual or sick leave or other fringe benefits.

• Overtime compensation is not authorized in this contract.

5.2 Work Schedule:

5.2.1 Work Shift: The contractor will work 40 hours per week with an hour non-paid lunch break. Hours can be increased or decreased depending on demand and workload.

5.2.1.1 Hours of Operation are:

• Monday: 0800-1900

• Tuesday: 0800-1900

• Wednesday: 0800-1900

• Thursday: 0800-1900

• Friday: 0800-1700

Services MSU Solicitation 75H70724Q00028 Page 10 of 50

• Saturday/Sunday afternoons: 1230-1700 (4.5 hours)

5.2.1.2 Contractor’s Employee work hours may vary as requested by the Clinical Director or the designee and/or depending on the need of the Taos Picuris Service Unit. Travel to/from the facility site is not included in the schedule hours and contractor’s employee cannot invoice that as part of the scheduled shift.

5.2.1.3 The Contractor’s employee shall be responsible for notifying the designated Contracting Officer’s Representative in advance of any situation that would prevent them from their scheduled shift.

5.2.3 Scheduling of Shifts: The COR or Alternate COR at the IHS facility will determine specific tour of duty. The contractor's employee must work 100% of the contracted hours.

5.2.4 Work Absence: The Contractor will perform and obtain approval of the COR and Alternate COR prior to any absence from work. If the length of the absence exceeds working hours the Contractor must request from agency approval at least fifteen (15) days, (the exception is verifiable emergencies) in advance of the desired absence.

5.2.5 The Contractor must perform and maintain documentation from a qualified health care provider for absences of three (3) or more consecutive days, due to illness, stating:

5.2.6.1 The cause of the current illness or incapacitation AND

5.2.6.2 Indicating the Contractor as contagious or non-contagious.

5.2.6.3 The Government reserves the right to examine and or re-examine any Contractor who meets the criteria.

5.3 Performance Evaluation:

5.3.1 The Contractor is responsible for maintaining satisfactory standards of competence, conduct, appearance, and integrity. The quality of work performance of the contractor shall be subject to review.

5.3.2 The Contractor shall abide by the facility standards of conduct and the policies and procedures of the service unit.

5.3.3 Contractor shall display behavior that is positive and displays a willingness to perform assigned patient care tasks and to be a team player.

5.3.4 The Contractor will be responsible for maintaining current and active license or registration or certification from a state of the United States or its territories in order to provide Obstetrician- Gynecologist Evaluation and Treatment Non-Personal Healthcare Services.

5.3.5 Cultural Awareness: Realization and respect for American Indian and Alaska Native practices.

5.3.6 Contractor shall possess basic knowledge, skills, and abilities to use a computer.

5.3.7 Contractor shall read, understand, speak, and write in English to effectively communicate with patients and other health care workers, and shall be respectful of the local American Indian and Alaska Native culture.

5.4 The contractor will perform work with multicultural patients and interpreters as necessary for non-English speaking patients.

5.5 Conduct: The Contractor must perform standards as listed in the Federal Code of Conduct.

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5.6 Conditions of Contract Services: – All pharmacists providing non-personal healthcare services under this contract must attend mandatory orientations specified by the IHS.

5.6.1 The contractor must be subject to character investigation as required by Public Law 101-360, the Indian Health Child Protection and Family Violence Prevention Act prior to performance of a contract by utilizing the US Office of Personnel Management (OPM), Electronic Questionnaire for Investigation Processing (eQIP) system and this shall include all fingerprinting procedures and clearances. The contractor must provide all requested information necessary to perform Level I and Level II background checks. The contractor must comply with the requirement to obtain security investigations. The contractor must work with the IHS to ensure that the pre-employment screening process includes the appropriate investigation questionnaires and forms to be completed within 7 business day of receipt. Failure to abide by this 7 business day submission timeframe will result in termination of your contract under 52.249-1 Termination for Convenience of the Government (Fixed Price) Short Form (April 1983). The contractor will review all completed forms and forward onto the Government personnel. The contractor will be immediately removed from the position (at any time the investigation receives unfavorable adjudication, or, if other unfavorable information that would affect the investigation becomes known.

5.6.2 Identification of Contractor: The Contractor must wear a government issued contractor identification badge during performance of duty. After 120 day’s PIV cards are issued at the Service Unit.

5.6.3 Management of Medical Information: The Contractor must manage all patient information in accordance with HIPAA standards, Privacy Act, and IHS Service Unit and/or Health Center specific policies and protocols. The Contractor must immediately report to the Contracting Officer or COR any information or circumstances that may violate any statute, policy, or procedure.

5.6.4 IHS Information Technology Systems: In performance of this contract, the Contractor must adapt to and successfully utilize IHS information technology systems such as Electronic Health Records (EHR) or RPMS, which the IHS has deemed necessary for acceptable contractor performance. The IT policies and procedures are available to the Contractor at the Service Unit and the Contractor will adhere to the IHS Information Technology System Security Policies and procedures. The Contractor must follow all appropriate federal required information Technology security requirements and will be operating under Health Insurance Portability and Accountability (HIPAA) and Privacy Act regulations.

5.7. CONTRACTOR QUALIFICATION REQUIREMENTS:

5.7.1 Professional Development for a Board Certified Medical Provider:

• Contractor will maintain active license as a Medical Doctor in the United States of America or its territories in order to provide pharmacist non-personal healthcare services throughout the duration of this contract.

• Contractor will possess and maintain Certification in Obstetrics and Gynecology with the American Board of Obstetrics and Gynecology or the American Osteopathic Board of Obstetricians and Gynecologists.

• Contractor must maintain credentialing and privileges at the Mescalero Service Unit.

• Contractor must have a valid driver’s license

• Possess, maintain, and be able to provide proof of Medical Professional Liability Insurance in the amounts of $1,000,000/$3,000,000.

5.7.2 Professional Development for an Advanced Practice Registered Nurse

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• Contractor will maintain active, full, and unrestricted license or registration as an Advanced Practice Registered Nurse in the state of New Mexico or any other state of the United States of America throughout the duration of this contract

• Contractor will possess and maintain active Nurse Practitioner Certification or Women’s Health Specialty Certification throughout the duration of this contract

• Contractor must maintain credentialing and privileges at the Mescalero Service Unit.

• Contractor must have a valid driver’s license

• Possess, maintain, and be able to provide proof of Medical Professional Liability Insurance in the amounts of $1,000,000/$3,000,000.

5.7.3 Motor Vehicle Operator's License: Contractors will not operate any Government-Owned vehicles. If required, they allowed only as passengers in the Government-Owned Vehicle driven by a Federal employee.

5.7.4 Identification of Contractor: The Contractor must wear a government issued contractor identification badge during performance of duty. After 120 days, PIV card issuance will be determined at the Service Unit.

5.7.5 Health Requirements of Contracted Healthcare Providers: Furnish documentation that reflects immunity for the indicated vaccine preventable diseases through documented disease, vaccination history, serology results, and/or any documented episodes of adverse events after vaccination. Any contractor’s employee who is allergic to a component of a vaccine and/or have a history of a severe reaction to a vaccine is not required to receive that vaccine with documented proof of contraindication to the vaccination. The following are additional requirements for specific vaccine preventable diseases.

• Measles:

-Vaccinations with 2 doses of live measles or MMR vaccines administered at least 28 days apart, -Laboratory evidence of immunity, -Laboratory confirmation of disease, or -Birth before 1957.

• Mumps:

-Vaccinations with 2 doses of live mumps or MMR vaccines administered at least 28 days apart, -Laboratory evidence of immunity, -Laboratory confirmation of disease, or -Birth before 1957.

• Rubella:

-Vaccinations with 1 dose of live rubella or MMR vaccines administered at least 28 days apart, -Laboratory evidence of immunity, -Laboratory confirmation of disease, or -Birth before 1957

• Hepatitis B:

-Vaccinations with three doses of Hepatitis B vaccines, or -signed declination of Hepatitis B vaccination series.

• Varicella:

-Vaccinations with two doses of varicella at least 4 weeks apart, -laboratory evidence of immunity or confirmation of disease, -diagnosis or verification of history of varicella disease by a health care provider, or -diagnosis or verification of a history of herpes zoster by a health care provider.

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• Influenza:

-Vaccination with one dose of current annual influenza season vaccine.

-Documented proof of the contraindication to the influenza vaccination as outlined by Advisory Committee on Immunization Practices recommendations, or -Written statement justifying religious exemption from influenza vaccination.

• COVID-19 Immunization

Note: unvaccinated contract staff with an approved medical or religious exemption must wear an IHS-provided surgical or similar mask when working in patient care areas or other areas frequented by patients in an IHS facility during the influenza season.

• Pertussis -Vaccination with one dose of Tdap vaccine.

• Any additional immunization in accordance with IHS Immunization Policy that is available upon request.

The contract staff must have written documentation of TB test (TST or IGRA) within the last 12 months. If documented Positive TB test:

-Provide chest x-ray report of “No active TB disease” following positive TB test.

-Annual sign and symptoms screen:

• If negative sign and symptom screen, follow up chest x-ray not indicated.

• If signs and symptoms screen positive, contract staff must have written documentation of chest x-ray and health care provider evaluation.

Contractor must provide evidence of physical examination conducted within the preceding twelve

(12) months. A copy of a physical examination must be provided prior to the first day assignment.

Documentation of the above mentioned health requirements must be provided no later than 30 days to the COR.

For credentialed provider contract staff, they must have documentation from the provider’s physician or chief of staff that confirms they do not have any health problems (including disability, emotional stability, drug, or alcohol dependency) that might impair his/her ability to care for patient at time of application.

5.7.6 Criminal History Background Check:

Contractor’s employees whose duties and responsibilities involve regular contact or control over children are subject to a character investigation as required by Public Law 101-630, The Indian Child Protection and Family Violence Act. The minimum standards of character shall ensure that none of the individuals described in this order have been found guilty of, or entered a plea of nolo contendere or guilty to, any felonious offense, or any of two or more misdemeanor offenses, under federal, state, or tribal law involving crimes of violence; sexual assault, molestation, exploitation, contact or prostitution; crimes against persons; or offenses committed against children. These crimes do not hold a time statue and will be evaluated the same under any Child Care “CNACI” investigation with IHS. IHS will conduct these investigations following award of a contract. Until the character investigation has been completed and the Contracting Officer notified of the results, the Contractor ‘s employees must not have unsupervised contact with Indian children. Contractor’s employees are not able to work a scheduled shift until the security check is performed and clearance has been obtained by the appropriate agency. At a minimum, fingerprints are required, and upon clearance of this stage, a contractor’s employee may work a scheduled shift. However, Contractor’s employees are required to complete the detailed background application and the application is to be completed within 30 days once the contractor’s employee has been given physical and logical access. All

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Contractors’ employees are subject to criminal background check prior to performing services in accordance with Task Order terms and conditions. The contractor shall ensure that each of their employees complete the Certification of Criminal History and Background Check Packet. The completed forms are to be returned to the COR. Additional Background Check packets can be obtained through the COR. See HHSAR Clauses 352.237-72 and 352.237-73

5.7.7 Required Training:

Protecting Children from Sexual Abuse as stated in IHM Circular 19-05: Contracting Training Plan for Implementation of Indian Health Manual Part 3, Chapter 20, Protecting Child from Sexual Abuse by Health Care Providers. Each provider must take this training within 30 days from their start date at the service unit. Certificate should be provided to the COR.

Information System Security Awareness (ISSA) Training: Contractors who utilize the IHS information system or accesses or connects to the IHS network must complete the ISSA training 24 hours of receiving access and annually thereafter. The online ISSA training is located at http://www.ihs.gov/issa. Contractor access will be revoked unless and until the training is completed.

An exception can be made if the user has read and signed the IHS Quick Guide to Information Security, in which case the contractor will have 30 days to complete the training. Course certifications must be provided to the COR upon completion and annually thereafter.

5.7.8 Subpoenas/Testimonies: Contractors are mandated to cooperate with the appropriate IHS managers when the contractors' employees are subpoenaed or requested by Tribal, State or Federal Parties to provide testimony as stated in Section 5-27.3(B)(9) of the Indian Health Manual.

5.8 Challenges to Conflicts: For any inconsistency between COR and Contractor's employee, this PWS follows this order of precedence:

5.8.1 First Priority: Contractor's Agency

5.8.2 Second Priority:COR

5.8.3 Third Priority: CO

5.8.4 When the Contractor demonstrates impaired judgement, they cannot continue working on Solicitation No. 75H70724Q00028. The Government reserves the right to remove from the facility any Contractor employee who in the judgment of a licensed healthcare practitioner is impaired.

SECTION 6- QUALITY ASSURANCE SURVEILLANCE PLAN

6.1 REVIEW, APPROVAL, AND EVALUATION

The Contracting Officer or their duly authorized representative shall review and approve services provided under the terms and conditions of the contract. The Contracting Officer, the designated Government Project Officer and the Contractor shall evaluate the services during the term of contract and the report of the evaluation will be made a part of the official contract file. The evaluation will be objective and directed toward the progress made in meeting the contract objectives and statement of work, resolve problems encountered, clarify issues that may arise unexpectedly and to evaluate the accomplishments. The evaluation will be conducted on dates mutually agreed to by all parties

6.2 QUALITY ASSURANCE REVIEW

http://www.ihs.gov/issa

Services MSU Solicitation 75H70724Q00028 Page 15 of 50

6.2.1 Overall evaluation of the Contractor’s performance in meeting the terms of the contract will be reviewed and monitored according to the applicable Service Unit Quality Assurance Standards.

Reviews shall consist of patient care audits, peer review, and patient satisfaction surveys.

6.2.2 The contractor will be informed if any quality of service problems is identified by the IHS Project Officer and the Contractor shall take appropriate corrective action within appropriate timeframes specified by the Government. Failure to do so may result in Termination for Default.

SECTION 7 - PACKAGING AND MARKING

7.1 PACKAGING

All deliverables shall be preserved, packaged, and packed in accordance with normal commercial practices to meet the packing requirements of the carrier including which is necessary to prevent deterioration and damages due to the hazards of shipping, handling, and storing.

7.2 MARKING

Each package/container delivered to the address shown in Section G.1.3 entitled "Contracting Officers' Representative Appointment and Authority" and shall be clearly marked as follows:

• Name of Contractor

• Contract Number

• Description of Items Contained Therein

• Consignee's Name and Address

7.3 DELIVERY

All deliverables delivered to the following addresses:

Mescalero Service Unit Outpatient and Urgent Care Department 318 Abalone Loop Mescalero, New Mexico 88340

SECTION 8 - INSPECTION AND ACCEPTANCE

8.1 INSPECTION AND ACCEPTANCE: All work under this contract is subject to inspection and final acceptance by the Contracting Officer or the duly authorized representative of the government. The COR, as a duly authorized representative of the Contracting Officer, shall assume the responsibilities for monitoring the Contractor's performance, evaluating the quality of services provided by the Contractor and performing final inspection and acceptance of all deliverables and services called for by the contract.

8.2 FEDERAL ACQUISITION REGULATION (48 CFR CHAPTER 1) CLAUSES

FAR Clause No. Title Date 52.246-4 Inspection of Services – Fixed Priced (Aug 1996)

Services MSU Solicitation 75H70724Q00028 Page 16 of 50

SECTION 9 - DELIVERIES OR PERFORMANCE

9.1 PERIOD OF PERFORMANCE: - The period of performance is a Base Period of 12 months with four-12-month Option periods, unless extended by modification to this contract. The Government may extend the period of performance in accordance with FAR Clause 52.217-9 - Option to Extend Services (Nov 1999); upon written notification by the Contracting Officer within 30 days of contract expiration.

9.1.1 Services under this contract shall commence NLT 10 days after all clearances occur.

Base: TBD, 2024 to TBD, 2025 Option Year 1: TBD, 2025 to TBD, 2026 Option Year 2: TBD, 2026 to TBD, 2027 Option Year 3: TBD, 2027 to TBD, 2028 Option Year 4: TBD, 2028 to TBD, 2029

9.1.2 Performance must be for the period of TBD, 2024 to TBD, 2025 unless the period changed by written modification to the purchase order in accordance with FAR 52.217-9, Option to Extend the Term of the Contract.

9.1.3 Total contract award must not exceed one year, unless option year is exercised. Option year renewal is based on satisfactory services provided availability of funds for the appropriate fiscal year, and existing requirements.

9.2 PLACE OF PERFORMANCE: The contractor must provide Obstetrician-Gynecologist Evaluation and Treatment non-personal services to the following Albuquerque Area Indian Health Service Facility:

9.2.1 Mescalero Service Unit

Outpatient and Urgent Care Department 318 Abalone Loop Mescalero, New Mexico 88340

9.3 Travel to and from the facility/office site are not included in the tour of duty. The hours of business and clinic operation are Monday through Friday, from 8:00 AM to 7:00 PM. The actual hours scheduled in advance through the designated COR.

9.4 GOVERNMENT HOLIDAYS (https://www.federalpay.org/holidays)

New Year's Day Martin Luther King's Birthday President's Day Memorial Day Juneteenth Independence Day Labor Day Columbus Day Veteran's Day Thanksgiving Day Christmas Day

*Any other day specifically declared by the President of the United States to be a national holiday (see www.opm.gov/fedhol).

SECTION 10 - CONTRACT ADMINISTRATION

10.1 AUTHORITIES OF GOVERNMENT PERSONNEL: Notwithstanding the Contractor's responsibility for total management during the performance of this Contract, the administration of the Contract will require maximum coordination between the Government and the Contractor. The following individuals will be the Government's points of contact during the performance of this Contract.

10.2 CONTRACTING OFFICER

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The IHS Contracting Officer (CO) is the only individual authorized to modify this Contract. The CO responsible for administrative and contractual issues concerning this Contract is:

Eric Wright, (CO) Indian Health Service/Division of Contracts & Grants Management (DCGM) 4101 Indian School Road NE, Suite 225 Albuquerque, NM 87110 Phone: 505-256-6752 Email: Eric.Wright@ihs.gov

Send all communications pertaining to contractual and/or administrative matters to the address above and to the Contract Specialist administering this Contract:

10.3 CONTRACT ADMINISTRATOR

· All Contract administration performed by:

Stephanie Begay Indian Health Service/Division of Contracts & Grants Management (DCGM) 4101 Indian School Road NE, Suite 225 Albuquerque, NM 87110 Phone: 505-256-6750 Email: Stephanie.Begay3@ihs.gov

10.4 CONTRACTING OFFICER'S REPRESENTATIVE (COR)

10.4.1 Deena Evans, Deena.Evans@ihs.gov, 575-464-3808, is hereby designated as COR for this service.

The COR responsibilities will be to coordinate with the contractor the technical aspects of this service and the review of performance hereunder. The COR does not have the authority to change or alter the order amount, terms and conditions.

10.4.2 Marina Mendez, Marina.Mendez@ihs.gov, 575-464-3806, is hereby designated as the Alternate COR for this service. The Alternate COR responsibilities will be to help coordinate with the contractor the technical aspects of this service and the review of performance hereunder. The Alternate COR does not have the authority to change or alter the order amount, terms and conditions.

10.4.3 The COR and Alternate’s responsibilities will include ensuring contractor accountability. Monitoring the Contractor’s technical progress including the surveillance and assessment of performance and recommending to the CO changes in requirements. Interpreting the PWS. Performing technical evaluations as required. Perform technical inspection and acceptance as required. Assisting the Contractor in the resolution of technical problems encountered during performance. Perform receiving and processing invoices for payment.

10.4.4 HHSAR 301.602-3, Ratification of Unauthorized Commitments: The Government is not bound by agreements with, or contractual commitments made to, prospective contractors by individuals who do not have delegated contracting authority. Unauthorized commitments do not follow the appropriate process for the expenditure of Government funds. Consequently, the Government may not be able to ratify certain actions, putting a contractor at risk for taking direction from a Federal official other than the contracting officer. See FAR 1.602-1. Government employees responsible for unauthorized commitments are subject to disciplinary action. Contractors perform at their own risk when accepting direction from unauthorized officials. Failure to follow statutory and regulatory processes for the expenditure of Government funds is a very serious matter.

10.5 TECHNICAL MONITORING

mailto:Eric.Wright@ihs.gov mailto:Stephanie.Begay3@ihs.gov mailto:Deena.Evans@ihs.gov mailto:Marina.Mendez@ihs.gov

Services MSU Solicitation 75H70724Q00028 Page 18 of 50

(a) Performance of work under this contract must be subject to the technical direction of the COR identified above, or an Alternate COR designated in writing. The term "technical direction" includes, without limitation, direction to the Contractor that directs or redirects the labor effort. Shifts the work between work areas or locations, fills in details and otherwise serves to ensure that task areas outlined in the PWS accomplished satisfactorily.

(b) Technical direction must be within the scope of the specification(s)/work statement. The COR does not have authority to issue technical direction that

(1) Constitutes a change of assignment or additional work outside the specification(s)/ statement of work;

(2) Constitutes a change as defined in the clause entitled "Changes;"

(3) In any manner causes an increase or decrease in the contract price, or the time required for contract performance;

(4) Changes any of the terms, conditions, or specification(s)/work statement of the contract;

(5) Interferes with the Contractor's right to perform under the terms and conditions of the contract; or

(6) Directs, supervises or otherwise controls the actions of the Contractor's employees.

(c) Technical direction may be oral or in writing. The COR shall confirm oral direction in writing within five workdays, with a copy to the Contracting Officer.

(d) The Contractor shall proceed promptly with performance resulting from the technical direction issued by the COR.