OCAO Providers Solicitation 12_26_24.pdf

75H71125R00001

SOLICITATION, OFFER AND AWARD

4. TYPE OF SOLICITATION2. CONTRACT NUMBER 3. SOLICITATION NUMBER

7. ISSUED BY CODE 8. ADDRESS OFFER TO (If other than Item 7)

System (DPAS) - Code of Federal Regulations - at 15 CFR 700.

6. REQUISITION/PURCHASE NUMBER

NOTE: In sealed bid solicitations "offer" and "offeror" mean "bid" and "bidder".

NEGOTIATED (RFP) REQUEST FOR

SEALED BID (IFB) INVITATION FOR BID

5. DATE ISSUED

1. This Contract is a Rated Order under the Defense Priorities and Allocations RATING PAGE OF PAGES

1 105

C. E-MAIL ADDRESS

EXT.NUMBERAREA CODE

B. TELEPHONE (NO COLLECT CALLS)A. NAME

10. FOR

INFORMATION

CALL:

CAUTION: LATE Submissions, Modifications, and Withdrawals: See Section L, Provision No. 52.214-7 or 52.215-1. All offers are subject to all terms and conditions contained in this solicitation.

(Date)(Hour) local timeuntildepository located in copies for furnishing the supplies or services in the Schedule will be received at the place specified in Item 8, or if hand carried, in the

SOLICITATION

9. Sealed offers in original and

PART IV - REPRESENTATIONS AND INSTRUCTIONS

OTHER STATEMENTS OF OFFERORS

EVALUATION FACTORS FOR AWARD

INSTRUCTIONS, CONDITIONS, AND NOTICES TO OFFERORS

REPRESENTATIONS, CERTIFICATIONS AND

LIST OF ATTACHMENTS

CONTRACT CLAUSES

PART III - LIST OF DOCUMENTS, EXHIBITS AND OTHER ATTACHMENTS

I

J

K

L

M SPECIAL CONTRACT REQUIREMENTS

CONTRACT ADMINISTRATION DATA

DELIVERIES OR PERFORMANCE

INSPECTION AND ACCEPTANCE

PACKAGING AND MARKING

DESCRIPTION/SPECIFICATIONS/WORK STATEMENT

SUPPLIES OR SERVICES AND PRICES/COSTS

SOLICITATION/CONTRACT FORM

PART II - CONTRACT CLAUSESPART I - THE SCHEDULE

H

G

F

E

D

C

B

A

SEC. DESCRIPTION PAGE(S) (X) DESCRIPTION SEC. (X)

11. TABLE OF CONTENTS

18. OFFER DATE17. SIGNATURE

SUCH ADDRESS IN SCHEDULE.

IS DIFFERENT FROM ABOVE - ENTER

15C. CHECK IF REMITTANCE ADDRESS

EXTENSIONNUMBERAREA CODE

15B. TELEPHONE NUMBER

(Type or print)AND

ADDRESS

OF

OFFEROR

CODE FACILITY

16. NAME AND TITLE OF PERSON AUTHORIZED TO SIGN OFFER15A. NAME

DATEAMENDMENT NO.DATEAMENDMENT NO.

and related documents numbered and dated):

amendments to the SOLICITATION for offerors

(The offeror acknowledges receipt of

14. ACKNOWLEDGEMENT OF AMENDMENTS

CALENDAR DAYS (%)30 CALENDAR DAYS (%)20 CALENDAR DAYS (%)10 CALENDAR DAYS (%)

(See Section I, Clause No. 52.232.8)

13. DISCOUNT FOR PROMPT PAYMENT

designated point(s), within the time specified in the schedule.

by the offeror) from the date for receipt of offers specified above, to furnish any or all items upon which prices are offered at the price set opposite each item, delivered at the

NOTE: Item 12 does not apply if the solicitation includes the provisions at 52.214-16, Minimum Bid Acceptance Period.

OFFER (Must be fully completed by offeror)

IMPORTANT - Award will be made on this Form, or on Standard Form 26, or by other authorized official written notice.

28. AWARD DATE

(Signature of Contracting Officer)

27. UNITED STATES OF AMERICA

25. PAYMENT WILL BE MADE BY

26. NAME OF CONTRACTING OFFICER (Type or print)

CODE 24. ADMINISTERED BY (If other than Item 7)

ITEM

(4 copies unless otherwise specified)

23. SUBMIT INVOICES TO ADDRESS SHOWN IN

41 U.S.C. 3304 (a) ( 10 U.S.C. 3204 (a) (

22. AUTHORITY FOR USING OTHER THAN FULL AND OPEN COMPETITION UNDER THE

21. ACCOUNTING AND APPROPRIATION20. AMOUNT19. ACCEPTED AS TO ITEMS NUMBERED

AWARD (To be completed by government)

CODE

12/26/2024 X

Oklahoma City Area IHS 701 Market Drive Oklahoma City OK 73114

1400 CS 01/30/2025

SHELTON BRUCE 918

SHELTON.BRUCE@IHS.GOV

342-6424

X

X

X

X

X

X

X

X

X

X

X

X

X

PAGE(S)

SEAN L. LONG

AUTHORIZED FOR LOCAL REPRODUCTION

Previous edition is unusable

STANDARD FORM 33 (REV. 12/2022)

Prescribed by GSA - FAR (48 CFR) 53.214(c)

1-3 4-6

7-15 17-18 19-21 22-26 27-34

35-68

69-86

87-91

92-102 103-105

12. In compliance with the above, the undersigned agrees, if this offer is accepted within ______________ calendar days (60 calendar days unless a different period is inserted

PROPOSAL

UNITED STATES CODE AT:

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

2 105

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

75H71125R00001

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

Indefinite delivery / indefinite quantity healthcare provider contract for use within the Oklahoma City Area operating area.

Work will be procured, awarded, and performed through individual task orders. The principal components of the work will be identified in each task order.

The applicable North American Industry Classification System (NAICS) code for this Acquisition is 561320.

Delivery: 04/30/2026 Delivery Location Code: IHSOKLAHOMACITY

IHSOKLAHOMACITY

701 MARKET DRIVE

OKLAHOMA CITY OK 73114 US

Period of Performance: 05/01/2025 to 04/30/2030

05/01/2025 to 04/30/2026 - OCAO Healthcare Providers Services in Accordance with Section B and Section C Anticipated Award Type: Indefinite-quantity

Period of Performance: 05/01/2025 to 04/30/2026

05/01/2026 to 04/30/2027 - OCAO Healthcare Providers Services in Accordance with Section B and Section C Anticipated Award Type: Indefinite-quantity

(Option Line Item)

03/01/2026 Period of Performance: 05/01/2026 to 04/30/2027

05/01/2027 to 04/30/2028 - OCAO Healthcare Providers Services in Accordance with Section B and Section C Anticipated Award Type: Indefinite-quantity

(Option Line Item)

03/01/2027 Period of Performance: 05/01/2027 to 04/30/2028

05/01/2028 to 04/30/2029 - OCAO Healthcare Providers Services in Accordance with Section B and Section C Anticipated Award Type: Indefinite-quantity

(Option Line Item)

03/01/2028 Period of Performance: 05/01/2028 to 04/30/2029 Continued ...

OPTIONAL FORM 336 (4-86)

Sponsored by GSA

FAR (48 CFR) 53.110

NSN 7540-01-152-8067

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

3 105

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

75H71125R00001

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

5 05/01/2029 to 04/30/2030 - OCAO Healthcare Providers Services in Accordance with Section B and Section C Anticipated Award Type: Indefinite-quantity

(Option Line Item)

03/01/2029 Period of Performance: 05/01/2029 to 04/30/2030 The total estimated amount for the base with all options is $102,000,000.

This solicitation is 100% set-aside for Indian Small Business Economic Enterprise.

OPTIONAL FORM 336 (4-86)

Sponsored by GSA

FAR (48 CFR) 53.110

NSN 7540-01-152-8067

PART I, SECTION B – PRICING SCHEDULE

BASE ORDERING PERIOD – May 1, 2025 through April 30, 2026

LABOR CATEGORY CEILING HOURLY RATE

Anesthesiologist

Certified Registered Nurse Anesthetist (CRNA)

Emergency Medicine Physician (ABEM Certified)

Family Medicine Physician

General Surgeon

Hospitalist

Internal Medicine Physician

Mid Wife

Nurse Practitioner (APN)

Obstetrician/Gynecology Physician (OB/GYN)

Orthopedic Physician

Pediatrician (Pediatric Physician)

Physician Assistant

Podiatrist

Respiratory Therapist (RT)

OPTIONAL ORDERING PERIOD ONE – May 1, 2026 through April 30, 2027

Anesthesiologist Certified Registered Nurse Anesthetist (CRNA) Emergency Medicine Physician (ABEM Certified) Family Medicine Physician General Surgeon Hospitalist Internal Medicine Physician Mid Wife Nurse Practitioner (APN) Obstetrician/Gynecology Physician (OB/GYN) Orthopedic Physician Pediatrician (Pediatric Physician) Physician Assistant

OPTIONAL ORDERING PERIOD TWO – May 1, 2027 through April 30, 2028

Anesthesiologist

Certified Registered Nurse Anesthetist (CRNA)

Emergency Medicine Physician (ABEM Certified)

Family Medicine Physician

General Surgeon

Hospitalist

Internal Medicine Physician

Mid Wife

Nurse Practitioner (APN)

Obstetrician/Gynecology Physician (OB/GYN)

Orthopedic Physician

Pediatrician (Pediatric Physician)

Physician Assistant

OPTIONAL ORDERING PERIOD THREE – May 1, 2028 through April 30, 2029

Anesthesiologist

Certified Registered Nurse Anesthetist (CRNA)

Emergency Medicine Physician (ABEM Certified)

Family Medicine Physician

General Surgeon

Hospitalist

Internal Medicine Physician

Mid Wife

Nurse Practitioner (APN)

Obstetrician/Gynecology Physician (OB/GYN)

Orthopedic Physician

Pediatrician (Pediatric Physician)

Physician Assistant

OPTIONAL ORDERING PERIOD FOUR – May 1, 2029 through April 30, 2030

Anesthesiologist

Certified Registered Nurse Anesthetist (CRNA)

Emergency Medicine Physician (ABEM Certified)

Family Medicine Physician

General Surgeon

Hospitalist

Internal Medicine Physician

Mid Wife

Nurse Practitioner (APN)

Obstetrician/Gynecology Physician (OB/GYN)

Orthopedic Physician

Pediatrician (Pediatric Physician)

Physician Assistant

CEILING RATES FOR TASK ORDERS THAT EXTEND BEYOND THE ORDERING

PERIOD IN ACCORDANCE WITH FAR 52.216-22 – May 1, 2030 – October 30, 2030

LABOR CATEGORY CEILING HOURLY RATE

Anesthesiologist

Certified Registered Nurse Anesthetist (CRNA)

Emergency Medicine Physician (ABEM Certified)

Family Medicine Physician

General Surgeon

Hospitalist

Internal Medicine Physician

Mid Wife

Nurse Practitioner (APN)

Obstetrician/Gynecology Physician (OB/GYN)

Orthopedic Physician

Pediatrician (Pediatric Physician)

Physician Assistant

END OF SECTION B

PART I, SECTION C – DESCRIPTIONS /SPECIFICATIONS/STATEMENT OF WORK

1. PURPOSE OF THE PROJECT

Indian Health Service (IHS), Oklahoma City Area Office (OCAO) provides support to the Indian Health Clinics and Hospitals in Oklahoma and Kansas. The OCAO ensures that all health clinics and hospitals have supplies, services, support, oversight, and other needs to provide healthcare for eligible Native American patients that are registered for services. There are various departments within each facility that have a requirement for Healthcare Providers including but not limited to:

the Emergency Department, Surgery, Cardiology, Obstetrics, Physical Therapy, Orthopedics, Podiatry, Outpatient Clinics, and Pediatrics. Healthcare Providers are needed to fill the areas of needed professional services of which are necessary to provide care within the IHS healthcare system.

2. DETAILED DESCRIPTION OF THE TECHNICAL REQUIREMENTS

2.1. The contractor shall provide non-personal healthcare provider services in support of the hospitals and clinics in the specialized fields to include, but are not limited to:

Anesthesiologist, Certified Registered Nurse Anesthetist (CRNA), Emergency Medicine Physician (ABEM Certified), Family Medicine Physician, General Surgeon, Hospitalist, Internal Medicine Physician, Mid Wife, Nurse Practitioner (APN), Obstetrician/Gynecology Physician (OB/GYN), Orthopedic Physician, Pediatrician (Pediatric Physician), Physician Assistant, Podiatrist, and Respiratory Therapist (RT). This Statement of Work establishes a baseline of requirements that the Contractor will be expected to accomplish for each labor category identified to meet the Government’s need. The Contractor must be able to provide all labor categories specified under Attachment A, Labor Category Matrix.

2.2. The types and number of the Contractor’s personnel and/or teams may vary according to the task order.

2.3. Contractor personnel should have a working knowledge of all items in their labor category to perform the services described, which are listed under Attachment A, Labor Category Matrix.

Most or all of the job categories are expected to be exempt from the Service Contract Act under the learned professional or highly paid exemptions, but if they are not, required knowledge will need to include those in the job categories listed under the McNamara-O'Hara Service Contract Act. IHS standard commercial off-the-shelf software includes Microsoft Outlook, Word, Excel, PowerPoint, Edge, Acrobat Reader. Contractor should have a basic understanding of computers and the software listed. Medical staff will use IHS specific software including, but not limited to RPMS and EHR. External training will be at the contractor’s expense. IHS will only provide training at no cost to the contractor, if deemed necessary, for the Contractor’s personnel to gain proficiency in IHS unique software.

Contractor shall comply with IHS’ computer guidelines and other applicable laws such as

HIPAA.

2.4. The contractor personnel will interface with Government employees, other contractors, patients, and other organizations. This requires the contractor personnel to be able to be located in rural areas and have special sensitivity to rural and American Indian\Alaska Native healthcare needs.

2.5. The Contractor shall develop and maintain workflow.

2.5.1. The contractor will be required to create and maintain a process to search for doctors, hire doctors, maintain insurance, onboard, credentialing, background check, and complete other necessary elements of duties.

2.6. The Indian Health Service facilities in the Oklahoma City Area Office require compliance through The Joint Commission (TJC) or Accreditation Association for Ambulatory Health Care (AAAHC) depending on the facility.

3. PERIOD AND PLACE OF PERFORMANCE

3.1. Period of Performance. The base year ordering Period of Performance will be 12 months four

(4) twelve (12) month option ordering periods.

3.1.1. Base Period – May 1, 2025 – April 30, 2026

3.1.2. Option Period 1 - May 1, 2026 – April 30, 2027

3.1.3. Option Period 2 - May 1, 2027 – April 30, 2028

3.1.4. Option Period 3 - May 1, 2028 – April 30, 2029

3.1.5. Option Period 4 - May 1, 2029 – April 30, 2030

3.2. Locations:

3.2.1. Anadarko Indian Health Center

201 E Parker McKenzie Dr.

Anadarko, OK, Caddo Co., 73005

3.2.2. Carnegie Indian Health Center

212 E 4th St Carnegie, OK, Caddo Co., 73015

3.2.3. Claremore Indian Hospital

101 S. Moore Ave Claremore, OK, Rogers Co., 74017

3.2.4. Clinton Indian Health Center

10321 N 2274 Rd Clinton, OK, Custer Co., 73601

3.2.5. El Reno Indian Health Center

1801 Parkview Dr.

El Reno, OK, Canadian Co., 73036

3.2.6. Haskell Indian Health Center

2415 Massachusetts St.

Lawrence, KS, Douglas Co., 66046

3.2.7. Lawton Indian Hospital

1515 NE Lawrie Tatum Rd Lawton, OK, Comanche Co., 73507

3.2.8. Oklahoma City Area Office

701 Market Dr.

Oklahoma City, OK, Oklahoma Co., 73114

3.2.9. Pawnee Indian Health Center

1201 Heritage Cir.

Pawnee, OK, Pawnee Co., 74058

3.2.10. Watonga Indian Health Center

1305 S. Clarence Nash Blvd Watonga, OK, Blaine Co., 73772

3.2.11. Wewoka Indian Health Center

36640 Highway 270 Wewoka, OK, Seminole Co., 74884

3.3. Coverage will be outlined in each task order request for proposal and the contractor may be required to provide services at multiple locations for the same labor category. It is not anticipated that all locations will have task orders issued under them at the same time, it is an as needed basis for issuing the task orders.

3.4. Hours. While work hours for certain task assignments may vary depending on the requirements of the assigned work, in general, the Contractor’s staff shall provide support during IHS core work hours of 8:00AM to 3:00PM, Monday through Friday (local time) except local or national emergencies, administrative closing, and other IHS or Government directed facility closures. Time worked in excess of 80 hours in a two-week period and hours worked in excess of 12 hours per day shall be approved by the Contracting Officer’s Representative (COR) in advance with pre-written approval.

4. TELECOMMUTING

4.1. Telemedicine is not anticipated, but there is potential for a task to allow telemedicine.

4.2. Contract workers shall abide by their official company policies for telework and utilizing alternative locations to perform the work specified in the contract Performance Work Statement/Statement of Work. No adjustment shall be made in contract cost or price for authorized remote work or telecommuting of contractor employees. Any costs for travel and other direct costs for remote work and telecommuting shall be assumed by the Contractor and will not be reimbursed by the Government.

4.3. The contractor is responsible for all applicable federal, state, local taxes, or other taxes and duties imposed if telework/remote work is permitted under the contract/order. All applicable information technology and cybersecurity requirements shall be met before contractor employees can remote work or telework.

4.4. Contractor access to the IHS network from a remote location is a privilege for mutual convenience while the Contractor performs business under the contract/order. The contractor assumes the risk of, and shall be responsible for, any loss of Government property upon its delivery to the Contractor as Government Furnished Property.

4.5. Contracting Officer authorization to remote work/telework under the contract may be rescinded by the Government at any time if a determination is made that the work or any portion thereof must be performed at a specified place of performance, or security would be compromised.

5. CONTRACTOR PERSONNEL

5.1. The Contractor shall be responsible for selecting personnel who are well qualified through experience, certification, and, if relevant, education, to perform the requirements of this contract/order and for keeping them informed of all changes and methods of operation.

5.1.1. All candidates must be Board Certified or Board Eligible within 3 years of finishing residency (If more than 3 years from finishing residency, must provide proof of working toward certification.) Acceptable boards will be the American Board of Medical Specialties (ABMS), National Board of Physicians and Surgeons (NBPAS), AOA, AMA, American Nurses Credentialing Center, National Commission on Certification of Physician Assistants and Board of Pharmacy Specialists (BPS). Other boards are not acceptable unless specifically listed under the task order.

5.1.2. The contractor must review candidates for suitability before providing them to IHS.

5.2. The Indian Health Service facilities in the Oklahoma City Area Office are accredited through

The Joint Commission (TJC) or Accreditation Association for Ambulatory Health Care (AAAHC) depending on the facility.

5.2.1. The contractor personnel must be able to be credentialed and privileged in accordance with the specific facilities’ accrediting body (TJC or AAAHC) and the IHS Manual and the Medical Staff Credentialing and Privileging Standard Operating Procedural (SOP) Manual.

5.2.1.1. A complete credentialing package includes, but is not limited:

5.2.1.1.1. Proof of Identity

5.2.1.1.2. Professional Education

5.2.1.1.3. Post-Graduate Training (where applicable)

5.2.1.1.4. Professional Experience

5.2.1.1.5. Time Gaps

5.2.1.1.6. Board Certification and Professional Affiliations (where applicable)

5.2.1.1.7. Licensure

5.2.1.1.8. DEA Registration and State Controlled Dangerous Substance

Certifications (where applicable)

5.2.1.1.9. Current Competency

5.2.1.1.10. Signed IHS Practitioner Acknowledgement and Release Form

5.2.1.1.11. Continuing Medical Education (CME) or Continuing Professional

Education (CPE)

5.2.1.1.12. Professional Peer References

5.2.1.1.13. National Practitioner Data Bank (NPDB) Query

5.2.1.1.14. Life Support Certificates (where applicable)

5.2.1.1.15. Immunizations (where applicable and consistent with Federal law).

See the SOP Manual for the most current list of immunizations required to be received for credentialing

5.2.1.1.16.

5.2.1.1.17. Current Liability Insurance

5.2.1.1.18. Professional Liability Claims, Suits, and/or Judgments: Disclosure of previous or pending professional liability claims, suits, and/or judgments made against the provider.

5.2.1.1.19. Sanctions Disclosure or Current Investigations: Sanctions involving the Medicare or Medicaid programs or any other Federal or state health care program as well as any HHS OIG past or current administrative, criminal, or civil investigation.

5.2.1.1.20. Denials, Restrictions, and Resignations: Regarding previous or pending medical staff applications and/or clinical privileges.

5.2.1.1.21. Reduction, Suspension, Revocation, Voluntary or Involuntary Relinquishment, or Non-renewal of Clinical Privileges: Regarding previous or pending reduction; suspension, revocation, voluntary or involuntary relinquishment; or non-renewal of clinical privileges.

5.2.1.1.22. Current Illegal Use of Drugs: Regarding the current illegal use of legal or illegal drugs.

5.2.1.1.23. Loss, Suspension, Restriction, Denial of Professional License or Professional Society Membership: Disclosure of information on previous or pending loss, suspension, restriction, denial, or whether a voluntary or involuntary relinquishment of professional licensure or professional society membership occurred.

5.2.1.1.24. Convictions: Disclosure of information and documentation relating to convictions, with the exception of minor traffic violations, including any convictions related to DUI, failure to pay Federal or state taxes, etc.

5.2.1.2. Each Medical Executive Committee and Governing Board must independently review and asses the qualification of each application for appointment and privileging. Board Certification does not equal competency for the purposes of credentialing and privileges. Additional information such as recent case logs may be requested at the Clinical Director or their designee’s discretion to ensure current competency. Each applicant’s competency and performance will be continuously assessed through professional practice evaluations, both focused peer professional evaluations and ongoing peer professional evaluations.

5.2.1.3. The contractor must have and maintain designated professional staff to contact for credentialing issues.

5.2.1.4. Applications shall be submitted within 30 calendar days from the date the application is sent to the applicant. Responses to any requests for application clarification or additional information after the application is submitted shall be provided within 30 calendar days by the applicant. After 30 calendar days, if responses to requests for clarification and additional information is not received from the applicant, the application will be considered incomplete and ineligible for processing. A new application will need to be started if the contractor wants to resubmit the applicant.

5.2.1.5. The credentialing process can take up to 90 days from submission of a complete package.

5.2.2. The contractor must perform quality assurance activities in cooperation with the facilities that are acceptable for TJC or AAAHC certification regarding the monitoring of healthcare provider services with direct contact with patients.

5.2.3. Contractor staff are required to complete mandatory IHS training as well as that tailored to each IHS facility.

5.3. All contractor personnel shall conduct themselves in a proper, efficient, and business-like manner and conform to all regulations which may be in effect during the contract/order period of performance.

5.4. The IHS will not exercise any supervision or control over contractor personnel performing under this contract/order. All matters pertaining to the employment, supervision, compensation, promotion, and discharge of the Contractor’s employees shall be the responsibility of the Contractor, which is in all respects the employer of such employee.

5.4.1. The contractor may provide prime locums staff or subcontractor locums staff.

5.5. The contractor must provide a project manager as a centralized point of contact to manage at the task order level on day-to-day matters.

5.5.1. Must be able to centralize on matters of hiring, complaints, credentialing, onboarding, and clearances.

5.5.2. Shall be required to visit the facilities as needed to address concerns.

5.5.3. Shall be required to meet with OCAO executive leadership to report on a semi-annual basis for recommended improvements and planning.

5.6. The contractor must provide a program manager as a total program point of contract for all other contractual matters.

5.6.1. Program manager will be the contact for task order proposals.

5.6.2. Address contractual concerns

5.6.3. Serve as backup project manager

6. SPECIAL REQUIREMENTS

6.1. Clearance Requirements: In accordance with HHSAR 304.1301, (a) HHS follows National

Institute of Standards and Technology (NIST) Federal Information Processing Standards (FIPS) Publication (PUB) Number 201-2, Personal Identity Verification (PIV) of Federal Employees and Contractors, and OMB implementation guidance for personal identity verification, for all affected contractor and subcontractor personnel when contract performance requires contractors to have routine physical access to a federally-controlled facility and/or routine physical and logical access to a federally-controlled information system.

6.1.1. The clearance process can take up to 45 days from submission of a complete package. This process is separate from the credentialing process.

6.2. The Indian Health Service is a tobacco/smoke free environment (buildings and grounds). No tobacco/smoking use will be tolerated during service.

6.3. Security Requirements: Contractor personnel will be required to contact the government designated point of contact upon arrival. The contractor shall be responsible for the security of all organizational information. Current rules and regulations applicable to the premises, where the work shall be performed shall apply to the contractor and its employees while working on the premises. These regulations include but are not limited to, escort by IHS hospital or clinic designated official, presentation of valid identification, adherence to smoking restriction and any safety procedures.

6.4. The contractor shall not disclose or cause to disseminate any information concerning operations of any Indian Health Service Hospital or other IHS sites. Such action(s) are in violation of the contract and will result in legal actions.

6.4.1. All inquiries, comments, or complaints arising from any matter observed, experienced or learned of as a result of or in connection with the performance of the contract, the resolution of which may require the dissemination of official information, shall be directed to the government’s designated representative.

7. GOVERNMENT FURNISHED PROPERTY, FACILITIES AND SERVICES

7.1. Contractors shall work in IHS facilities and IHS will provide desks, computer, and other equipment as necessary for their work. The Government will not transfer any property, facilities, or services to the contractor unless otherwise authorized in the contract/order.

8. CONTRACTOR FURNISHED PROPERTY, FACILITIES AND SERVICES

8.1. Required personnel, materials, supplies and equipment: The contractor shall furnish all personnel, materials, supplies and equipment required to perform work under the contract, to include but not limited to: personnel, oversight, and management.

9. CHANGES TO THE STATEMENT OF WORK (SOW)

9.1. Any changes to this SOW shall be authorized and approved only through written correspondence from the Contracting Officer and shall be in accordance with the Changes clause (FAR 52.243-4) included in this contract. Costs incurred by the contractor through the actions of parties other than the Contracting Officer shall be borne by the contractor.

10. DELIVERABLES AND REPORTING REQUIREMENTS

10.1. Contractor Point of Contact: The contractor shall furnish one designated point of contact

(POC) to the government’s designated representative for coordination of services, supplies, delivery, and/or maintenance. The POC will be empowered to make daily decisions to ensure that the contract implementation and day-to-day maintenance meets the terms and conditions of this contract. The contractor will notify the COR immediately upon change in POC designation.

10.1.1. Contractor’s Phone Numbers: The contractor shall provide a company contact prior to execution of the contract, with email and telephone number, which must be answered during at least eight working hours, between 8:00 am and 4:30 pm, Monday through Friday.

10.2. Deliverables

10.2.1. Monthly Status Report (by the 15th of each month) for the monthly period directly proceeding via email to the contracting officer’s representative. The monthly period should be for the entire month e.g. May 1st to May 31st.

10.2.1.1. The monthly status report will encompass the following elements:

10.2.1.1.1. List of all task orders

10.2.1.1.2. List of all providers under those task orders, including status on hiring/onboarding, their labor category title, and period of performance

10.2.1.1.3. List all financial status of task orders to include when a CLIN is reaching an expended status with sufficient time to add more funding

10.2.2. Monthly invoices are to be completed in the format required by the Government in the Treasury Invoice Processing Platform (IPP).

11. PERFORMANCE MEASURES

11.1. The following table contains the quality standard the Government will use to evaluate the Contractor’s performance along with the Acceptable Quality Level (AQL).

Performance Objective Performance Standard and Acceptance Quality Level (AQL)

Quality: Contractor assures that the customer satisfaction meets the performance requirements of the contract.

Customer Satisfaction Professionalism: No more than five (5) verified formal customer complaints or contract discrepancy reports during each twelve-month period of performance (base plus options if applicable) for the contract. The Contractor must have resolved customer complaints within ten (10) working days of receipt.

Performance Requirements: Provide responsive management of staff with timely responses to tasks and work.

Accuracy: No more than three (3) sets of corrections for any work products and all corrections must be submitted within one working day of the negotiated suspense.

Contract deliverable are completed in an accurate and timely manner.

No more than two (2) validated formal customer complaints or contract discrepancies per period of performance (base plus options if applicable) for the contract. The Contractor must have resolved customer complaints within ten (10) working days of receipt. The Contractor shall provide responsive contract management, including timely responses, contract modification, and tasks. If complaints or discrepancies cannot be corrected within ten

(10) working days, the Contractor will immediately notify the IHS COR of the delay and provide a proposed corrective action plan within five (5) working days of receipt.

Monitoring Method: CO validated customer complaint or discrepancy.

Incentive/Disincentive: Both positive and negative performance will be documented in past performance reports (CPARS) as appropriate.

13. Department Of Labor Wage Determinations

13.1. If the McNamara-O'Hara Service Contract Act applies, the Contractor’s performance under this contract shall comply with the requirements of the U.S. Department of Labor Wage determination and a Statement of Equivalent Rates for Federal Hires. Wage determinations will be issued with each order.

END OF SECTION C

SECTION D – PACKAGING AND MARKING

NOT APPLICABLE – BLANK

SECTION E – INSPECTION AND ACCEPTANCE

FAR 52.246-4 INSPECTION OF SERVICES - FIXED PRICE (AUG 1996)

(a) Definition: “Services,” as used in this clause, includes services performed, workmanship, and material furnished or utilized in the performance of services.

(b) 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.

(c) 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.

(d) If the Government performs inspections or tests on the premises of the Contractor or a subcontractor, the Contractor shall furnish, and shall require subcontractors to furnish, at no increase in contract price, all reasonable facilities and assistance for the safe and convenient performance of these duties.

(e) If any of the services do not conform with contract requirements, the Government may require the Contractor to perform the services again in conformity with contract requirements, at no increase in contract amount. When the defects in services cannot be corrected by reperformance, the Government may --

(1) Require the Contractor to take necessary action to ensure that future performance conforms to contract requirements; and

(2) Reduce the contract price to reflect the reduced value of the services performed.

(f) If the 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 --

(1) 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 of such service; or

(2) Terminate the contract for default.

(End of Clause)

E.02 FAR 52.246-20 WARRANTY OF SERVICES (MAY 2001)

(a) Definitions.

“Acceptance,” as used in this clause, means the act of an authorized representative of the Government by which the Government assumes for itself, or as an agent of another, ownership of existing and identified supplies, or approves specific services, as partial or complete performance of the contract.

(b) Notwithstanding inspection and acceptance by the Government or any provision concerning the conclusiveness thereof, the Contractor warrants that all services performed under this contract will, at the time of acceptance, be free from defects in workmanship and conform to the requirements of this contract. The Contracting Officer shall give written notice of any defect or nonconformance to the Contractor “within 30 days from the date of acceptance by the Government,”;

This notice shall state either –

(1) That the Contractor shall correct or reperform any defective or nonconforming services; or

(2) That the Government does not require correction or reperformance.

(c) If the Contractor is required to correct or reperform, it shall be at no cost to the Government, and any services corrected or reperformed by the Contractor shall be subject to this clause to the same extent as work initially performed. If the Contractor fails or refuses to correct or reperform, the Contracting Officer may, by contract or otherwise, correct or replace with similar services and charge to the Contractor the cost occasioned to the Government thereby, or make an equitable adjustment in the contract price.

(d) If the Government does not require correction or reperformance, the Contracting Officer shall make an equitable adjustment in the contract price.

(End of Clause)

END OF SECTION E

SECTION F – DELIVERIES AND PERFORMANCE

CLAUSE NO. TITLE OF CLAUSE

F.01 PERIOD OF PERFORMANCE

F.02 PRINCIPLE PLACES OF PERFORMANCE

F.03 ACCESS TO BUILDING

F.04 SECURITY REQUIREMENTS/BACKGROUND CHECKS

F.05 QUALITY CONTROL PLAN

F.01 PERIOD OF PERFORMANCE

The contract base performance ordering period will be one (1) year with four (4) ordering periods beginning on May 1st, 2025, through April 30th, 2026.

F.02 PRINCIPAL PLACES OF PERFORMANCE

Anadarko Indian Health Center 201 E Parker McKenzie Dr.

Anadarko, OK, Caddo Co., 73005

Carnegie Indian Health Center 212 E 4th St Carnegie, OK, Caddo Co., 73015

Claremore Indian Hospital 101 S. Moore Ave Claremore, OK, Rogers Co., 74017

Clinton Indian Health Center 10321 N 2274 Rd Clinton, OK, Custer Co., 73601

El Reno Indian Health Center 1801 Parkview Dr.

El Reno, OK, Canadian Co., 73036

Haskell Indian Health Center 2415 Massachusetts St.

Lawrence, KS, Douglas Co., 66046

Lawton Indian Hospital 1515 NE Lawrie Tatum Rd Lawton, OK, Comanche Co., 73507

Oklahoma City Area Office 701 Market Dr.

Oklahoma City, OK, Oklahoma Co., 73114

Pawnee Indian Health Center 1201 Heritage Cir.

Pawnee, OK, Pawnee Co., 74058

Watonga Indian Health Center 1305 S. Clarence Nash Blvd Watonga, OK, Blaine Co., 73772

Wewoka Indian Health Center 36640 Highway 270 Wewoka, OK, Seminole Co., 74884

F.03 ACCESS TO BUILDING

The Contractor will have access to the hospital facilities after office hours within the guidelines of Indian Health Services security plan and as permitted by the Security Officer through the coordination of the Contracting Officer Representative (COR).

F.04 SECURITY REQUIREMENTS / BACKGROUND CHECKS

In accordance with Homeland Security requirements all contractor employees who will perform the services shall submit to electronic fingerprints and obtain security clearance before services can be performed under this contract.

F.05 QUALITY CONTROL

The Contractor shall develop and maintain a quality control plan to ensure services are performed in accordance with commonly accepted commercial practices, including the development and implementation of procedures to identify, prevent, and ensure non- recurrence of defective deliverables and unacceptable services. This plan shall be submitted with the proposal and will be made a part of the contract. Changes to the Quality Control Plan may be necessary and must be reviewed and agreed to by Oklahoma City Area Office before the changes are incorporated.

The Contractor shall prepare and maintain an effective Quality Control Plan (QCP) that includes a description of the inspection system to cover the services listed in Section C 11.2 Deliverables.

The Government will notify the Contractor of required modifications no later than 30 days after award. The Contractor shall make appropriate modifications and obtain final acceptance of the plan by the Government no later than 15 days after the Government identifies required modification, if any.

The QCP is a living document that can be altered at any time the Government or Contractor (with Government concurrence) deems measurement improvements can be made. At any time, the Government reserves the right to inspect any and all QC supporting documentation. The Contractor shall provide copies of all QC reports as required prior to contract expiration.

END OF SECTION F

SECTION G – CONTRACT ADMINISTRATION DATA

TABLE OF CONTENTS

G.01 INVOICING INSTRUCTIONS AND PAYMENT INFORMATION

G.02 CONTRACT PAYMENT METHOD

G.03 CONTRACTING OFFICER'S REPRESENTATIVE (COR)

G.04 GOVERNMENT CONTACT FOR POST AWARD ADMINISTRATION

G.05 TECHNICAL DIRECTION

G.06 OCAO IHS – MAXIMUM CONTRACT AMOUNT

G.07 OCAO IHS – MINIMUM ORDER GUARANTEE

SECTION G – CONTRACT ADMINISTRATION DATA

G.01 INVOICING INSTRUCTIONS AND PAYMENT INFORMATION

(a) The Contractor shall submit a proper invoice for payment on a monthly basis as the work proceeds in accordance with the prices specified in Part I, Section B, Price Schedule.

(b) Payment will be made in accordance with Contract Clause FAR 52.232-25, Prompt Payment (Jan 2017).

(c) A proper invoice shall reflect the following information:

Contractor Name, Address, Phone Number, billing contact name and e-mail address

Invoice Date Unique Invoice number (Duplicate invoice numbers cannot be processed) Tax Identification Number (TIN) Contract and task order number Modification Number (if applicable) Discount Terms, if applicable Banking information: Bank Routing Transit Number (nine digits) and last 4 digits of bank account number (for verification) Specific description of Work relating to invoice, including service period dates (if applicable) Invoice Amount

(d) Invoice will only be accepted if received in the following manner:

Submitted electronically to: https://www.ipp.gov.

Invoice Processing Platform of the Department of the Treasury

If you require assistance registering or IPP account access, please contact the

IPP Helpdesk at (866) 973-3131 (M-F 8AM to 6PM ET), or

IPPCustomerSupport@fiscal.treasury.gov.

(e) Prompt payment clock will begin on the date finance receives a proper invoice.

(f) Authorized Training, travel, and background costs shall be billed as a separate line item and identified as to which functional area required the training or travel (Administrative and Professional). A copy of the authorized Training or Travel Request (see Section J for request forms) shall accompany the invoice. The contractor shall invoice for reimbursement for authorized travel and training expenses no later than 30 days after occurrence. If there is a delay in invoicing for the expense(s), the Contractor shall provide the CO, in writing, details of the expenditure(s) and the reasons why a claim for reimbursement was not made no later than 30 days after occurrence.

G.02 CONTRACT PAYMENT METHOD

Payments will be made by electronic funds transfer using the Automated Clearing House (ACH) in accordance with Contract Clause FAR 52.232-33 Payment by Electronic Funds Transfer – System for Award Management (OCT 2018).

G.03 CONTRACTING OFFICER'S REPRESENTATIVE (COR)

(a) The Contracting Officers Representative is as follows:

Contracting Officer’s Representative Kim Hale Phone: 918-342-6201 Email: kimberly.hale@ihs.gov

The COR appointment letter will be provided at the time of award of the contract.

(b) The Contractor shall use the COR as the point of contact on technical matters, subject to the restrictions in Clause G.05, Technical Direction, of this section of the contract.

The Contracting Officer’s Representatives on task orders will differ depending on place of performance.

G.04 GOVERNMENT CONTACT FOR POST AWARD ADMINISTRATION

To promote timely and effective contract administration, correspondence shall include the contract number and title, and shall be subject to the following procedures:

(a) Technical Correspondence. Technical correspondence (as used herein, this term excludes technical correspondence where patent or technical data issues are involved and correspondence which proposes or otherwise involves waivers, deviations, or modifications to the requirements, terms, or conditions of this contract) shall be addressed to the Contracting Officer's Representative (COR).

(b) Other Correspondence. All correspondence, other than technical correspondence, shall be addressed to the Contract Specialist/ Contracting Officer (CO) as shown in paragraph (c). The Contract Specialist/CO is the focal point for all matters regarding this contract except for technical matters.

(c) The Contract Specialist/CO is as follows:

Mr. Shelton Bruce – Contract Specialist Indian Health Services Oklahoma City Area Office

701 Market Drive Oklahoma City, OK 73114 Email: shelton.bruce@ihs.gov 918-342-6424

G.05 TECHNICAL DIRECTION

(a) Performance of the work is subject to the technical direction of the COR.

(1) The term "technical direction" includes:

(i) Directions to the Contractor which redirect the contract effort, shift work emphasis between work areas or tasks, require pursuit of certain lines of inquiry, fill in details, or otherwise serve to accomplish items in the Statement of Work (Section C of the contract)

(ii) Written information to the Contractor which assists in the interpretation of drawings, specifications, or technical portions of the statement of work.

(iii) Review and, where required by the contract, approval of technical reports, drawings, specifications, and technical information delivered by the Contractor.

(b) Technical direction must be within the Contract's performance work statement. The

COR may not issue any technical direction which:

(1) Constitutes an assignment of additional work outside the Performance Work Statement;

(2) Constitutes a change as defined in the Contract Clause FAR 52.243-1, Changes-

Fixed Price (Aug 1987) – Alternate I (Apr 1984);

(3) Causes an increase or decrease in the Contract price or the time of contract performance;

(4) Changes any of the terms, conditions, or specifications of the Contract; or

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

Contract.

(c) All technical directions will be issued in writing by the COR.

(d) The Contractor shall proceed promptly with the performance of technical directions issued by the COR. If, in the opinion of the Contractor, any instruction or direction by the COR falls within one of the categories defined in (b)(1) through (5) above, the Contractor shall not proceed but shall notify the Contracting Officer in writing within five (5) calendar days after receipt of any such instruction or direction. Upon receiving the notification from the Contractor, the Contracting Officer shall:

(1) Advise the Contractor in writing within thirty (30) days after receipt of the

Contractor's letter whether the technical direction is within the scope of the contract effort and whether it constitutes a change under Contract Clause, FAR 52.243-1, Changes – Fixed Price (Aug 1987) – Alternate I (Apr 1984); and

(2) Advise the Contractor within a reasonable time that the Government will issue a written change order, if applicable.

(e) A failure of the Contractor and Contracting Officer to agree whether the technical direction is within the scope of the contract, or a failure to agree upon the contract action to be taken shall be subject to Contract Clause, FAR 52.233-1, Disputes (July 2002)— Alternate I (Dec 1991) located in Section I, Contract Clauses

G.06 OCAO IHS – MAXIMUM CONTRACT AMOUNT

The total combined value of all orders placed during the period of this contract, to include all option periods, shall not exceed $102,000,000.00.

G.07 OCAO IHS – MINIMUM ORDER GUARANTEE

The Government guarantees to award task orders under this contract totaling a minimum of $25,000.00, during the term of this contract, including all option periods.

END OF SECTION G

SECTION H SPECIAL CONTRACT REQUIREMENTS

TABLE OF CONTENTS

H.01 INSURANCE - LIABILITY

H.02 TRAVEL EXPENSES

H.03 TRAINING EXPENSES

H.04 CONFIDENTIALITY OF INFORMATION

H.05 SEXUAL HARRASSMENT

H.06 PERFORMANCE EVALUATIONS - CONTRACTOR PERFORMANCE

SYSTEM (CPARS)

H.07 SOFTWARE MADE AVAILABLE FOR CONTRACTOR’S USE

H.08 EMPLOYEE CLEARANCE PROCEDURES

H.09 TRANSITION PLAN

H.10 USE OF GOVERNMENT VEHICLES BY CONTRACT EMPLOYEES

H.11 KEY PERSONNEL

H.12 WAGE DETERMINATIONS

H.13 ORGANIZATIONAL CONFLICTS OF INTEREST

SECTION H – SPECIAL CONTRACT REQUIREMENTS

H.01 INSURANCE – LIABILITY

(a) Workers' Compensation and Employer's Liability. The Contractor and each of his Subcontractors shall, at all times during the life of this contract maintain such insurance as may be required to comply with applicable Federal and State Workers' Compensation and Occupational Diseases statutes. If occupational diseases are not compensable under those statutes, they shall be covered under the employer's liability section of the insurance policy. The Contractor shall have liability coverage of at least $1,000,000, except in states with exclusive or monopolistic funds that do not permit workers' compensation to be written by private carriers.

(b) General Liability. The Contractor shall have written on the compensation form of policy bodily injury liability insurance coverage of at least $1,000,000 per occurrence and property damage liability insurance of at least $1,000,000.

(c) The Contractor shall furnish a certified copy of the insurance policy, or certificate of insurance, clearly indicating coverage and amounts required by this Special Condition.

(d) In the event the form of any policy or the amount of the insurance or the company writing same is not satisfactory to the CO, the Contractor shall provide other policies in form and amount and with a company satisfactory to the Contracting Officer.

The Contractor shall not cause any such policy of insurance to be canceled or permit it to lapse, and all such policies and certificates shall include a clause to the effect that the policy or certificate shall not be subject to cancellation or to a reduction in the required limits of liability or amount of insurance until notice has been mailed to the CO, Indian Health Services, stating when, not less than ten (10) calendar days thereafter, such cancellation or reduction shall be effective.

(e) In accordance with Contract Clause, FAR 52.228-5 INSURANCE--WORK ON A

GOVERNMENT INSTALLATION (JAN 1997), the contractor shall notify the Contracting Officer in writing that the required insurance has been obtained.

H.02 TRAVEL EXPENSES

(a) Travel is not anticipated for this requirement.

(b) In the event that contractor personnel are required to travel at the direction of the Government, costs incurred by Contractor personnel for travel, including costs of lodging, other subsistence, and incidental expenses, shall be considered to be reasonable and allowable only to the extent that they do not exceed the rates and amounts set by the Federal Travel Regulations prescribed by the General Services Administration. The

Contractor must demonstrate best efforts to obtain Government rates for lodging, rental vehicle, and other related travel expenses in order for “actual” costs to be reimbursed.

(c) The Contractor will be reimbursed by the Government for travel and per diem expenses incurred by the Contractor’s personnel for contract purposes only when specifically authorized by the CO or designated representative prior to the travel. The Contractor shall use the Travel/Training Request form, provided at the time of travel, for requesting travel authorization. E-mail requests and approvals are permitted provided all travel expenses anticipated to be incurred with estimated costs are identified the same as on the travel authorization. The e-mail shall be transmitted through the COR. The COR will transmit the e-mail to the CO for approval.

(d) Allowable expense items are identified on the Travel Authorization form.

In submitting claims, the Contractor shall itemize by date and time, records of travel fares, mileage, lodging, parking fees, tolls, and official telephone calls, or a computerized copy of computations for determining claimed amounts.

(e) Reimbursement shall not exceed the maximum limits authorized under this contract. All

Contractor claims for travel reimbursement shall include receipts for airfare, lodging, car rentals, and any incidental expenses exceeding $75.00.

(f) Travel reimbursement is limited to the direct costs of travel and per diem expenses and applicable general and administrative expense. No payment will be made for fee added to the travel costs. The allowable travel costs shall be chargeable to the appropriate functional program area designated on the authorized travel request.

(g) The Contractor is required to make a good faith effort to obtain the lowest customary standard coach, or equivalent airfare.