RFQ_23_ASU_003.pdf

Medical/Clinical Lab Scientists Albuquerque Service Unit SOLICITATION NO. RFQ_23_ABQ_003

SECTION 1 - SUPPLIES OR SERVICES AND PRICES/COSTS

1.1 SERVICES

1.1.1 The Indian Health Service (IHS)/Albuquerque Area Office (AAO), Albuquerque Service Unit (ASU) has a requirement for two (2) Medical/Clinical Laboratory Scientists (MLS/CLS) to provide services at the Albuquerque Indian Health Clinic (AIHC) located in Albuquerque, NM, Santa Ana Health Center located in Bernalillo, NM, and Zia Health Center located in Zia Pueblo, NM, starting TBD, 2023 and ending TBD, 2024. This purchase order will consist of one base year with four option years and start as soon as possible.

1.2 PRICE OR COST

This will result in one Firm-Fixed-Price (FFP) purchase order.

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.

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.

1.4 CONTRACT PRICE

1.4.1 This will result in an FFP purchase order. The total price for this contract is TBD.

1.4.3 The Contractor shall be paid upon submission of an invoice and completion and/or verification (if service) are completed by the Contracting Officer's Representative (COR), of the services indicated below.

SCHEDULE OF CHARGES

Item # Contract Period* Pricing per Year Total Amount

CLIN 1

Base Period:

TBD/23 – TBD/24

2 MLS/CLS x $________/hour x 40 hours/week x 52 weeks/year =

$_____________/year

CLIN 2 1st Option Period:

TBD/24 – TBD/25

2 MLS/CLS x $________/hour x 40 hours/week x 52 weeks/year =

$_____________/year

CLIN 3 2nd Option Period:

TBD/25 – TBD/26

2 MLS/CLS x $________/hour x 40 hours/week x 52 weeks/year =

$_____________/year

CLIN 4 3rd Option Period:

TBD/26 – TBD/27

2 MLS/CLS x $________/hour x 40 hours/week x 52 weeks/year =

$_____________/year

CLIN 5 4th Option Period:

TBD/27 – TBD/28

2 MLS/CLS x $________/hour x 40 hours/week x 52 weeks/year =

$_____________/year

GRAND TOTAL (base year + option years):

* - Dates to be determined after selection is made. These dates are subject to change depending on security clearances, background checks, availability of candidates, etc.

** - There is a fillable table attached to the solicitation for your usage or you may submit pricing in your own format. Thank you!

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 Revised American Nurses Association Code of Ethics and Standards of Practice and Care, published in 1996 by the American Nurses Association, which makes explicit primary goals, values and obligations of the nursing profession.

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 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

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

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

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

2.20 Patient Outcome: End result of pharmaceutical care.

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

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

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

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

2.25 Service Unit: The local administrative unit of IHS.

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

2.27 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.

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

2.29 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. The COR will be the point of contact for identification of any required information to be supplied by the Government.

3.2 Joint Use by the Government and the Contractor: Except for the property and service listed in 10.7.1, the

Government will provide, for joint use by the Government and the Contractor, all necessary equipment, supplies, and clinic space to perform the services under this contract.

3.3 Contractor-Exclusive Use:

3.3.1 Personal Protective Equipment (PPE): The Government will furnish the Contractor with appropriate PPE other than specified in the contract. The Government will be responsible for any repair, cleaning, and inventory required for the PPE. This does not include any type of uniform or laboratory coat.

3.3.2 The Government will provide facility specific contractor identification badges for each contractor.

For lost or destroyed badges, there is a minimum charge of $20.00.

3.3.3 Training: Facility specific orientation/training necessary for the Contractor to perform the required duties, e.g., IHS information technology (IT) systems and operational procedures.

Training provided ONLY if the subject matter is necessary to improve or enhance the quality of services or includes mandates made by the IHS Service Units/Health Centers while the providers are working under this contract. Training not provided for the purpose of continuing education, career development or individual development.

SECTION 4 – CONTRACTOR-FURNISHED ITEMS

4.1 Except for the property specified in Section 10.6.1, Contractor will supply all other items as required to carry out the services. The Contractor shall provide all uniforms and other personal medical instruments subject to the following:

4.1.1 Uniforms and Lab Coats: Uniforms and Lab Coats must conform to the requirements of the Indian Health Service Manual, Part 3, and Chapter 4 and meet the approval of the Chief Nurse Executive at each IHS facility.

4.1.2 Other personal medical instruments: "Other personal medical instruments" defined, as Contractor-owned items include but not limited to stethoscope, scissors, as appropriate to the work unit. The Contractor must not use unsafe equipment or supplies at any time during performance of this contract. All Contractor-furnished equipment and supplies shall be subject to inspection by the Government and must be approved by the COR prior to use by the Contractor.

The Government reserves the right to prohibit the use of any materials, supplies, or equipment

SECTION 5 – SCOPE OF WORK (SOW)

5.1 BACKGROUND INFORMATION

Albuquerque Indian Health Center (AIHC) clinical laboratory provides clinical laboratory services to patients for direct patient care. RFC is to continue level of care supporting the mission of AIHC.

The contractor will assist current Medical/Clinical Laboratory Scientist (MLS/CLS), aiding in the Pre- Analytical, Analytical and Post-Analytical application of established laboratory procedures in accordance to regulatory guidelines for examinations of blood and other body fluids in the clinical laboratory. Work assignments may include such specialized areas as chemistry, hematology, serology, urinalysis, phlebotomy and specimen processing and is directly supervised by a Supervisory Medical Technologist.

DESCRIPTION OF SERVICES / TECHNICAL QUALIFICATIONS

• Specimen Collection and Processing (Pre-Analytical)

1. Obtains biological specimens for laboratory internal and/or external testing as assigned by the

Supervisor.

2. Use appropriate functions of the laboratory package, including ordering patient tests and accessioning tests ordered by the provider.

3. Ensures patient ID and maintains patient confidentiality to meet patient safety goals.

4. Withdraws appropriate quantities of blood by venipuncture or capillary technique for the test(s) requested and the age and/or condition of the patient.

5. Ensures proper labeling and integrity of samples received in the laboratory.

6. Follows established laboratory protocol for specimen preparation for analysis in various sections of the laboratory and reference laboratory.

• Testing (Analytical)

1. Conducts varied and complex tests/examinations such as Chemistry, Hematology, Urinalysis and

Serology as requested by the medical staff for use in clinical diagnosis, patient screening and monitoring patient therapy. The accomplishment of such tests/examinations includes, but is not limited to the following:

o Evaluation of specimen integrity and specimen evaluation for analysis.

o Analyzes quality control samples, records results and determines report ability of results.

o Performs quality control, calibration and preventive maintenance on all equipment and testing platforms. This includes monitoring, recording/documenting and corrective actions when thresholds are exceeded. Follows required quality assurance practices in accordance with pre-defined procedures with proper records being maintained.

o Performs varied and complex clinical laboratory tests as assigned by the Supervisor.

o Follows accreditation standards, regulatory agency requirements and institutional policies regarding blood borne pathogen, internal/external disaster policy, infection control, chemical hygiene, fire and electrical safety.

o Practices Universal Precautions (e.g. wears appropriate personal protective equipment (PPE), washes hands, changes gloves between venipunctures, etc.).

o Operates and/or utilizes appropriate equipment, instruments and other devices/materials to perform qualitative and quantitative analysis of specimens.

o Assures that critical characteristics such as temperature, humidity, etc., are observed, monitored, recorded and corrective actions taken when thresholds are exceeded.

o Actively participates in quality improvement activities.

• Reporting (Post-Analytical) o Interprets and evaluates results of tests/examinations in process and upon completion in order to recognize anticipated reactions and departures from the norm. Reports recurring abnormalities and deviations to the Supervisor or other MLS/CLS.

o Maintains professional knowledge and proficiency in medical technology through continuing education, staff meetings and participation in professional oriented activities.

o Utilizes laboratory computer system to review reports and retrieve laboratory results for patient care.

o Participates in Proficiency Testing program.

o Performs other duties as assigned.

• Explains work requirements, methods and procedures as needed, giving special instructions on difficult or different operations and answering technical questions about the work.

• Follows accreditation standards, regulatory agency requirements and institutional policies regarding blood borne pathogen, internal/external disaster policy, infection control, chemical hygiene, fire/electrical safety and general laboratory policy.

• Practices Universal Precautions (e.g., wears appropriate personal protective equipment (PPE) washes hands, changes gloves between venipuncture, etc.).

• Performs other duties as assigned.

• Uses the reference laboratory computer system to order Send Out tests.

• Uses laboratory printers, barcode label printer, telephones and fax/copier/scanner machine.

• Must operate laboratory centrifuges that are used to spin down patient samples and follow proper specimen guidelines/protocols.

• Must package reference laboratory specimens according to stability: room temperature, frozen and/or refrigeration.

• Must know where specimens are to be placed for in-house testing.

• The contractor will function as MLS/CLS who is supervised by the Laboratory Supervisor/Laboratory

Director who is directly under the Clinical Director.

• Completed work is reviewed in terms of effectiveness in meeting requirements, including accreditation requirements.

• Guidelines include agency policies and regulations, Area Office directives, accrediting agency requirements, prescribed quality control and workload reporting programs, technical manuals on schematics and technical journals. Guidelines are available but not completely applicable.

• The contractor uses judgment in interpreting and adapting guidelines such as Indian Health Service agency policies, procedures and regulations, manufacturers' protocols and technical manuals, textbooks, procedural manuals, inspection and accreditation standards and precedents for application for specific cases or problems and applying standard phlebotomy and management practices to new situations.

• Contacts are with medical staff, other department supervisors and administrative staff, groups and individuals from outside the clinic, such as the Area Laboratory Consultant, reference laboratory contracted Pathologist, reagent and medical suppliers, reference laboratory staff, equipment sales representatives, instrument repairers, health educators and Indian patients and their families.

• The purpose of contacts is to plan, coordinate, advise and report on testing work and results. Recommend additional tests or equipment, obtain supplies or repairs, obtain reference laboratory services, instruct clinic/laboratory staff in proper techniques, promote better health care among members of the community, and settle services disputes in problem resolution.

• The work is primarily sedentary, however, there are regular and recurring periods of physical exertions such as long periods of standing, bending or reaching for supplies, materials, lifting and moving heavy items such as diagnostic instrumentation.

• The work involves regular and recurring exposure to contagious disease, caustic reagents, etc. Special safety precautions and protective clothing and gear such as a laboratory coat and gloves are required. The work area is well lighted, and temperature controlled.

• Contractor must be suitable for employment, as determined by fingerprint check results and appropriate background investigation.

• Must attend all trainings for employment (computer security, etc.) and all yearly mandatory trainings.

• Contractor shall wear proper laboratory uniform (scrubs).

• Contractor shall submit weekly/bi-weekly timesheets to the designated COR.

METHOD OF DELIVERABLES AND REPORTING REQUIREMENTS

The services are provided in a method considered appropriate in the local community and in accordance with AAAHC Accreditation standards, CLIA/CMS, COLA and IHS policies. The performance of services is observed and verified by the designated COR.

SCHEDULE OF SERVICES

Hours of work are Monday through Friday 8 AM to 4:30 PM, excluding official government holidays and weekends.

The number of hours worked for MLS/CLS services, are not to exceed 40 hours per week. The contract period starts from the date of award through 12 months (base year), with four option years.

1. In the event of any sick absences, the contractor shall notify the Laboratory Supervisor before 8 AM either by phone call or text messages.

2. Contractor shall report to work from 8 to 4:30 pm with 30 min for lunch. Two 15-minute breaks are allowed: one in morning; one in afternoon (if permitted).

REFERENCE

The contractor is able to access the IHS health information of patients only for whom the contractor has provided services. The health information is kept confidential in accordance with the Privacy Act of 1974.

Procedure data/images are property of the US Government. The contractor shall adhere to federal laws, regulations, and IHS policies during the term of this contract.

QUALITY CONTROL STANDARDS

The Government reserves the right to inspect and evaluate all services provided during the performance of this contract and may conduct reviews or evaluations at any time during the performance of this contract.

Evaluations are documented by the Program Manager or COR. If an evaluation indicates defective performance, the COR notifies the Contracting Officer (CO). The CO may issue a Discrepancy Report to the contractor. The contractor shall address any Discrepancy Report in writing to the Contracting Officer within ten calendar days of notification, indicating any corrective action taken to rectify the deficiency.

5.2 Work Schedule:

5.2.1 Work Shift: See above.

5.2.3 Scheduling of Shifts: The Clinical Director (or COR or POC) at the IHS facility will determine specific tour of duty. The contractor's employee must work 100% of the contracted hours for the clinics.

5.2.4 Work Flexibility: As directed by the COR, the Contractor's employee must rotate into other duty sections as needed to support patient care.

5.2.5 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.

5.2.6 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 must possess a Bachelor’s of Science (BS) or Bachelor’s of Arts (BA) degree.

5.3.2 The Contractor will be responsible to stay updated in Heart Association BLS as required.

5.3.3 The Contractor will be responsible for making sure all charting is update as required, if necessary.

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.

5.6 Conditions of Contract Services: All healthcare providers providing service 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 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: BA or BS degree in any major.

5.7.2 Graduate: N/A

5.7.3 License/Registration: N/A

5.7.4 Experience: The Contractor must have recent experience within the requirements listed in the

Scope of Work. The Contractor must have a resume that provides experience that equips the applicant with the particular knowledge, skills and abilities to successfully perform the duties of the position, and that is related to the work of the position to be filled.

5.7.5 Motor Vehicle Operator's License: Contractors can operate a Government-owned or leased vehicle if necessary and must be on official Government business. Contractors can be approved to operate a Government-owned vehicle upon record/completion of the following:

1.) Valid Driver's license 2.) Temporary Waiver (required every 90 days) 3.) Driver's Overview and Fleet Card Use (000022239) Course Completion Certificate (required every two years) available on HHS Learning Portal 4.) Valid background check clearance

5.7.6 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.

• 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.

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.

For credentialed provider, contract staff 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.

5.7.7 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 Contractors’ employees are subject to criminal background check prior to performing services in accordance with Purchase 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

5.7.8 Required Training:

a) Protecting Children from Sexual Abuse as stated in IHM Circular 19-05: Contractor Training Plan for Implementation of Indian Health Manual Part 3, Chapter 20, Protecting Children 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.

b) Overview of Trauma-Informed Care and Historical Trauma training for Non Personal Healthcare Services (i.e., MLTs, RN, Physician, etc.).

c) 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.

Please also review Section 7.5.1 of the Indian Health Service General User Security Handbook which covers ISSA training to support this requirement of all contractors who access our information system network.

5.7.9 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 When the Contractor demonstrates impaired judgement, they cannot continue working on the Purchase/Task Order No. 75H70723xxxxxx. 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 0 QUALITY ASSURANCE SURVEILLANCE PLAN (example)

Performance-Based Task Indicator Standard Quality Assurance Incentives

1. Manage patient needs for Lab visits.

All patients’ needs are being meet during each visit.

Outstanding – 100% of patient needs are being meet per visit.

Acceptable – 80 to 99% of patient needs are being meet per visit.

Satisfactory – 65 to 80% of patient needs are being meet per visit.

Monitored on a periodic basis when services occur.

Final determination will happen when job is completed.

Outstanding. Means there are no issues so payments processed promptly.

Acceptable. Means there are some issues so payment are on hold until issues cleared.

Satisfactory – Means there are too many issues and payment not processed until they are at the level of either Satisfactory or Outstanding.

2. Provide MLS/CLS duties. MLS/CLS duties are to be used.

Outstanding – 100% of standard duties are being meet per visit.

Acceptable – 80 to 99% of standard duties are being meet per visit.

Satisfactory – 65 to 80% of standard duties are being meet per visit.

Monitored on a periodic basis when services occur.

Final determination will happen when job is completed.

Outstanding. Means there are no issues so payments processed promptly.

Acceptable. Means there are some issues so payment are on hold until issues cleared.

Satisfactory – Means there are too many issues and payment not processed until they are at the level of either Satisfactory or Outstanding.

3. Maintain the American Heart Association BLS certification.

Certifications are current.

Outstanding – 100% of certifications have been update as required.

Acceptable – 80 to 99% of certifications have been update as required.

Satisfactory – 65 to 80% of certifications have been update as required.

Monitored on a periodic basis when services occur.

Final determination will happen when job is completed.

Outstanding. Means there are no issues so payments processed promptly.

Acceptable. Means there are some issues so payment are on hold until issues cleared.

Satisfactory – Means there are too many issues and payment not processed until they are at the level of either Satisfactory or Outstanding.

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:

Albuquerque Indian Health Center 801 Vassar Drive NE Albuquerque, NM 87106

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)

SECTION 9 - DELIVERIES OR PERFORMANCE

9.1 PERIOD OF PERFORMANCE: The period of performance is a base period of one year with four one-year option periods, if extended by modification to this contract. The Government may exercise options to extend the period of performance in accordance with FAR Clause 52.217-9 - Option to Extend the Term of the Contract (Mar 2000); upon written notification by the Contracting Officer within 60 days of contract expiration.

9.1.1 Services under this contract will be performed with a start date to be determined by the Albuquerque Indian Health Center and will be structured as follows:

Base Year: TBD/2023 – TBD/2024 1st Option Year: TBD/2024 – TBD/2025 2nd Option Year: TBD/2025 – TBD/2026 3rd Option Year: TBD/2026 – TBD/2027 4th Option Year: TBD/2027 – TBD/2028

9.1.2 Performance will be for the period of TBD/2023 to TBD/2023 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. Option period renewal is dependent on satisfactory services provided availability of funds for the appropriate fiscal year, and existing requirements.

9.2 PLACE OF PERFORMANCE: The contractor must provide Medical/Clinical Laboratory Scientist (MLS/CLS) Non-Personal Healthcare Services to the following Albuquerque Service Unit Indian Health Service Facilities:

9.2.1 Albuquerque Service Unit, including:

Albuquerque Indian Health Center 801 Vassar Drive NE Albuquerque, NM 87106

And, as needed:

Santa Ana Health Center

Santa Ana Pueblo O2-C Dove Road Bernalillo, NM 87004

Zia Health and Dental Clinic 155 Capitol Square Drive Zia Pueblo, NM 87053

9.3 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 Federal Acquisition Regulation (FAR) defines an unauthorized commitment as an agreement that is not binding solely because the government representative who made it lacked the authority to enter into that agreement on behalf of the government. Only contracting officers have the authority to make purchases or award contracts. Upon receipt and/or execution of any order placed for goods or services, the vendor shall verify that the Government Agent issuing the order has necessary authority to entire into the purchase order/contract. If it is determined that the vendor failed to do so, they may be held liable for future Unauthorized Commitments.

The following individuals will be the Government's points of contact during the performance of this Contract:

10.2 CONTRACTING OFFICER

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

Shandiin DeWolfe, (CO) Indian Health Service/Division of Contracts & Grants Management (DCGM) 4101 Indian School Road NE, Suite 225 Albuquerque, NM 87110 Phone: 505-256-6755 Email: Shandiin.DeWolfe@ihs.gov

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

CONTRACT ADMINISTRATOR

All Contract administration performed by:

Shandiin DeWolfe, Contract Specialist (CS) Indian Health Service/Division of Contracts & Grants Management (DCGM) 4101 Indian School Road NE, Suite 225 Albuquerque, NM 87110 Phone: 505-256-6755 Email: Shandiin.DeWolfe@ihs.gov

10.3 CONTRACTING OFFICER'S REPRESENTATIVE (COR) & ALTERNATE CONTRACTING OFFICER’S

REPRESENTATIVE (ALTERNATE COR)

10.3.1 TBD (505) 248-xxx, TBD@ihs.gov, 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.

10.3.2 TBD (505) 248-xxx, TBD@ihs.gov, 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 andthe review of performance hereunder. The Alternate COR does not have the authority to change or alter the order amount, terms and conditions.

10.3.2 The COR’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 SOW. 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 TECHNICAL MONITORING

(a) Performance of work under this contract must be subject to the technical direction of the COR identified above, or 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 SOW 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. If, in the opinion of the Contractor, any direction of the COR, or his designee, falls within the limitations in (b), above, the Contractor shall immediately notify the CO no later than the beginning of the next Government work day.

(e) Failure of the Contractor and the CO to agree that technical direction is within the scope of the contract shall be subject to the terms of the clause entitled "Disputes."

10.5 INVOICE SUBMISSION

10.5.1 The Contractor shall submit invoice per month. Advance payments will not be issued by Finance unless stated herein. Upload complete invoice with all required documentation to:

https://www.ipp.gov

* Please do not sent any copies to the CS or Finance Office for any invoices related documents such as deliverables, reports or balance statements). Failure to upload required documents directly to the website listed above will delay prompt payment of your invoice.

10.5.2 Additionally, the Contractor is required to include the Unique Entity Identifier (UEI) on each invoice.

For additional information about the UEI (hhtps://www.sam.gov).

10.5.3 Submit invoices in accordance with the contract terms, i.e. payment schedule, progress payments, partial payments, deliverables, etc.

All information set forth in FAR 32.905(b), Content of Invoices, must be included in all invoices for it to constitute a proper invoice.

FAR 32.905(b), Content of Invoices:

(b) Content of invoices.

(1) A proper invoice must include the following items (except for interim payments on cost reimbursement contracts for services):

(i) Name and address of the contractor.

(ii) Invoice date and invoice number. (Contractors should date invoices as close as possible to the date of mailing or transmission.)

(iii) Contract number or other authorization for supplies delivered or services performed (including order number and line item number).

(iv) Description, quantity, unit of measure, unit price, and extended price of supplies delivered or services performed.

(v) Shipping and payment terms (e.g., shipment number and date of shipment, discount for prompt payment terms). Bill of landing number and weight of shipment will be shown for shipments on Government bills of landing.

(vi) Name and address of contractor official to whom payment is to be sent (must be the same as that in the contract or in a proper notice of assignment).

(vii) Name (where practicable), title, phone number, and mailing address of person to notify in the event of a defective invoice.

(viii) Taxpayer Identification Number (TIN). The contractor must include its TIN on the invoice only if required by agency procedures. (See 4.9 TIN requirements.)

(ix) Electronic funds transfer (EFT) banking information.

(A) The contractor must include EFT banking information on the invoice only if required by agency procedures.

(B) If EFT banking information is not required to be on the invoice, in order for the invoice to be a proper invoice, the contractor must have submitted correct EFT banking information in accordance with the applicable solicitation provision (e.g., 52.232-38, Submission of Electronic Funds Transfer Information with Offer), contract clause (e.g., 52.232-33, Payment by Electronic Funds Transfer-System for Award Management, or 52.232-34, Payment by Electronic Funds Transfer-Other Than System for Award Management), or applicable agency procedures.

(C) EFT banking information is not required if the Government waived the requirement to pay by

EFT.

(x) Any other information or documentation required by the contract (e.g., evidence of shipment).

(2) An interim payment request under a cost-reimbursement contract for services constitutes a proper invoice for purposes of this subsection if it includes all of the information required by the contract.

(3) If the invoice does not comply with these requirements, the designated billing office must return it within 7 days after receipt (3 days on contracts for meat, meat food products, or fish; 5 days on contracts for perishable agricultural commodities, dairy products, edible fats or oils, and food products prepared from edible fats or oils), with the reasons why it is not a proper invoice. If such notice is not timely, then the designated billing office must adjust the due date for the purpose of determining an interest penalty, if any.

(4) Per the Accounts Payable office, failure to submit invoices to the IPP Website can result in delayed payment of your invoice.

In accordance with OMB Memorandum, M-11-32, Agencies shall make payments to small businesses as soon as practicable, with the goal of making payments within 15 days of receipt of a proper invoice. If a small business contractor is not paid within this (15 day) accelerated period, the contractor will not be given a late-payment interest penalty. Interest penalties, as prescribed by Prompt Payment Act, remain unchanged by means of this memorandum. All small businesses shall label all invoices as "Small Business."

Additionally, in accordance with OMB Memorandum, M-12-16, fill prime contractors are encouraged to disburse funds received from the Federal Government to their small business subcontractors in a prompt manner. To assist prime contractors in expediting contractor payments to small business subcontractors, Agencies shall, to the full extent permitted by law, temporarily establish an earlier, accelerated date for making agency payments to all prime contractors. Consistent with OMS Memorandum M-11-32 above, Agencies shall have a goal of paying all prime contractors within 15 days of receiving proper documentation. In an effort to support small business growth, drive economic activity and job creation, the Contractor is encouraged to accelerate payments to their small business subcontractors.

In accordance with the requirements of the Debt Collection Improvement Act of 1996, all payments under this contract will be made by electronic funds transfer (EFT). The Contractor shall provide financial institution information to the Finance Office designated above in accordance with FAR 52.232-33 Payment by Electronic Funds Transfer.

10.6 GOVERNMENT-FURNISHED PROPERTY

10.6.1 The Government will provide the following item(s) of Government property to the Contractor for use in the performance of this contract, if necessary. This property used and maintained by the Contractor in accordance with provisions of FAR Clause 52.245-1.

Item No

Property Description Property Value Qty. Location Date Available

1 Computer TBD 1 Upon Arrival 2 Telephone TBD 1 Upon Arrival 3 Desk/Chair TBD 1 Upon Arrival 4 PIV Card TBD 1 Upon Arrival

10.7 Government-Furnished Information / Property and Services

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