RFQ 7571PS26Q00024.pdf

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Outpatient Nursing Assistant Service – Jicarilla Service Unit, ISBEE Set-aside
Solicitation number
7571PS26Q00024
Issued by

About this file

This is a Request for Quotation (RFQ) for four (4) Outpatient Nursing Assistants to provide non-personal healthcare services at the Jicarilla Service Unit located in Dulce, New Mexico, under the Indian Health Service (IHS), Albuquerque Area. The acquisition is set-aside as a Total Indian Small Business Economic Enterprise (ISBEE) with NAICS code 621399 and a small business size standard of $10.0 million. The contract type is Firm-Fixed-Price based on a fixed, fully burdened hourly rate with an estimated 2,080 hours per year (40 hours per week). The period of performance consists of a one-year base period (07/01/2026 – 06/30/2027) and four one-year option periods through 06/30/2031, exercisable at the Government's discretion. Payment will be made monthly through the Invoice Processing Platform (IPP) based on actual hours worked at the quoted hourly rate, with adjusted rates incorporated by contract modification. Wage Determination No. 2015-5451 (Revision 27, dated 12/03/2025) is incorporated and applies to this requirement.

Nursing Assistants must maintain current Basic Life Support (BLS) certification and provide services in ambulatory and urgent care settings, including clinical support tasks such as patient intake, vital signs collection, medical record documentation, sterilization of instruments, therapeutic patient care, and administrative support. All contractor personnel must successfully complete fingerprinting and background investigations prior to service commencement, provide immunization documentation for multiple vaccine-preventable diseases, and complete facility-specific mandatory training including child protection, trauma-informed care, information security awareness, and fraud/waste/abuse training. The contractor is responsible for lodging and meals, and personnel are required to work 100 percent of contracted hours with any absences exceeding one workday requiring written approval 15 days in advance. Evaluation will be based on Technical Capability (most important), Past Performance, and Price (in that order of importance), with award to the responsible quoter whose quotation is most advantageous to the Government. Quoters must submit three volumes including technical qualifications and staffing approach, past performance with up to five recent relevant contracts, and pricing information, along with a signed SF-18 form and IHS Buy Indian Act Indian Economic Enterprise Representation Form.

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SEE ADDENDUMIS CHECKED

CODE 18a. PAYMENT WILL BE MADE BY

CODE

FACILITYCODE

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER

OFFEROR

203CODE 16. ADMINISTERED BYCODE

X

X

X

621399

SIZE STANDARD:

100.00 % FOR:SET ASIDE:UNRESTRICTED OROMAS-PS

REQUEST FOR

PROPOSAL

(RFP)

INVITATION

FOR BID (IFB)

10. THIS ACQUISITION ISCODE

REQUEST FOR

QUOTE (RFQ)

14. METHOD OF SOLICITATION

13b. RATING

NORTH AMERICAN INDUSTRY

CLASSIFICATION STANDARD

(NAICS):

SMALL BUSINESS

1700 ETDEBORAH BLYVEIS

(No collect calls)

INFORMATION CALL:

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

4. ORDER NUMBER3. AWARD/ 6. SOLICITATION

7571PS26Q00024

5. SOLICITATION NUMBER

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

1 2 OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

TELEPHONE NO.

17a. CONTRACTOR/

15. DELIVER TO

Rockville MD 20852

5600 Fishers Lane

9. ISSUED BY

7.

2. CONTRACT NO.

EFFECTIVE DATE

$10

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

ISSUE DATE

DELIVERY FOR FREE ON BOARD

(FOB) DESTINATION UNLESS

BLOCK IS MARKED

11.

SEE SCHEDULE

12. DISCOUNT TERMS THIS CONTRACT IS A RATED

ORDER UNDER THE DEFENSE

PRIORITIES AND ALLOCATIONS

SYSTEM - DPAS (15 CFR 700)

13a.

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

(SDVOSB)

HUBZONE SMALL

BUSINESS

8(A)

OMAS Professional Services WOMEN-OWNED SMALL

BUSINESS (WOSB)

ECONOMICALLY DISADVANTAGED

WOMEN-OWNED SMALL

BUSINESS (EDWOSB)

Albuquerque NM 87110

4101 Indian School Rd NE, Suite 225

Albuquerque Indian Health Service

24.

AMOUNT

23.

UNIT PRICE

22.

UNIT

21.

QUANTITY

20.

SCHEDULE OF SUPPLIES/SERVICES

19.

ITEM NO.

RFQ No. 7571PS26Q00024 is hereby issued for four (4) Nursing Assistants (NA) to provide services for the Jicarilla Service Unit located in Dulce, NM.

This is a Total Indian Small Business Economic Enterprise (ISBEE) Set-Aside. Only quotes from ISBEE vendors will be considered at this time.

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

HEREIN, IS ACCEPTED AS TO ITEMS:

DATED

MARLENE E. MILGRAM

. YOUR OFFER ON SOLICITATION (BLOCK 5),

INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE SET FORTH

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DELIVER

ARE

ARE

31c. DATE SIGNED

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

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

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

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

SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED.

27a. SOLICITATION INCORPORATES BY REFERENCE (FEDERAL ACQUISITION REGULATION) FAR 52.212-1, 52.212-4. FAR 52.212-3

AND 52.212-5 ARE ATTACHED. ADDENDA

26. TOTAL AWARD AMOUNT (For Government Use Only)

OFFER

STANDARD FORM 1449 (REV. 11/2021)

Prescribed by GSA - FAR (48 CFR) 53.212

ARE NOT ATTACHED.

ARE NOT ATTACHED.

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

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

30a. SIGNATURE OF OFFEROR/CONTRACTOR

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

25. ACCOUNTING AND APPROPRIATION DATA

29. AWARD OF CONTRACT: REFERENCE

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE

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

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

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED

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

37. CHECK NUMBER

FINALPARTIAL

36. PAYMENT

FINALPARTIAL

35. AMOUNT VERIFIED

CORRECT FOR

34. VOUCHER NUMBER33. SHIP NUMBER

COMPLETE

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

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

42b. RECEIVED AT (Location)

42a. RECEIVED BY (Print)

41c. DATE41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER

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

STANDARD FORM 1449 (REV. 11/2021) BACK

24.

AMOUNT

23.

UNIT PRICE

22.

UNIT

21.

QUANTITY

20.

SCHEDULE OF SUPPLIES/SERVICES

19.

ITEM NO.

32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

2 2 of

Solicitation No.

7571PS26Q00024

Project Title JSU Nursing Assistants

SECTION B – CONTINUATION OF SF-18

This is a combined synopsis/solicitation for commercial services prepared in accordance with FAR Part 12. This announcement is the only solicitation. Quotes are being requested and a separately written solicitation will not be issued.

Solicitation No. 7571PS26Q00024 is issued as a Request for Quotation (RFQ) for four (4) Outpatient Nursing Assistants to provide non-personal health care services at the Jicarilla Service Unit in the Albuquerque Area Indian Health Service (IHS).

This acquisition is set-aside for Indian Small Business Economic Enterprise (ISBEE) concerns.

The full text of provisions and clauses may be accessed electronically at FAR and Revolutionary FAR Overhaul.

The associated North American Industrial Classification System (NAICS) code for this procurement is 621399 with a small business size standard of $10.0M.

1. PLACE OF PERFORMANCE

Services shall be provided for the following Albuquerque Area Indian Health Service (IHS) Service Unit:

Jicarilla Service Unit 500 Stone Lake Rd Dulce NM 87528

2. CONTRACT TYPE

The Department of Health and Human Services (DHHS), Office of Mission Acquisition Solutions (OMAS) anticipates awarding a single Firm-Fixed-Price contract for the Albuquerque Area Indian Health Service (IHS), Jicarilla Service Unit.

This requirement is for non-personal services as defined in FAR 37.6 (formerly FAR 37.104).

The Contractor is an independent contractor, and no employer-employee relationship exists between the Government and the Contractor or its personnel. The Government may evaluate the quality and timeliness of services provided but shall not supervise or control the Contractor’s professional medical judgment, including clinical decisions, diagnoses, or treatment recommendations.

In accordance with FAR 52.237-7, the Contractor shall indemnify and hold harmless the Government for liability arising from acts or omissions of the Contractor or its personnel during performance. The Contractor shall maintain medical liability insurance in amounts customary for the applicable specialty and acceptable to the Contracting Officer. These requirements shall apply to any subcontractor providing services under this contract.

https://www.acquisition.gov/?q=/browse/far/52 https://www.acquisition.gov/far-overhaul/far-part-deviation-guide/far-overhaul-part-10

Project Title

3. PERIOD OF PERFORMANCE (POP)

The period of performance consists of a one-year base period and four (4) one-year option periods, which may be exercised at the Government’s discretion in accordance with FAR 52.217- 9 - Option to Extend the Term of the Contract.

Base Year: 07/01/2026 – 06/30/2027 1st Option Year: 07/01/2027 – 06/30/2028 2nd Option Year: 07/01/2028 – 06/30/2029 3rd Option Year: 07/01/2029 – 06/30/2030 4th Option Year: 07/01/2030 – 06/30/2031

4. PRICING SUMMARY

Payment will be made for services performed and accepted in accordance with the Statement of Work (SOW) at the unit prices quoted in the Pricing Table.

This is a Firm-Fixed-Price contract based on a fixed, fully burdened hourly rate for a specified level of effort. The Government estimates 2,080 hours per year. Payment will be based on actual hours worked at the quoted hourly rate. The total contract value represents the maximum amount payable and shall not be exceeded without prior approval of the Contracting Officer.

Pricing Table

Item # Contract Period Pricing Total Amount

CLIN 1 Base Year:

07/01/2026 – 06/30/2027

4 NAs x $ /hour x 2,080 estimated hours/year =

$ /year

CLIN 2 1st Option Year:

07/01/2027 – 06/30/2028

4 NAs x $ /hour x 2,080 estimated hours/year =

$ /year

CLIN 3 2nd Option Year:

07/01/2028 – 06/30/2029

4 NAs x $ /hour x 2,080 estimated hours/year =

$ /year

CLIN 4 3rd Option Year:

07/01/2029 – 06/30/2030

4 NAs x $ /hour x 2,080 estimated hours/year =

$ /year

Project Title

CLIN 5 4th Option Year:

07/01/2030 – 06/30/2031

4 NAs x $ /hour x 2,080 estimated hours/year =

$ /year

GRAND TOTAL (base year + option years):

Notes:

• The total estimated level of effort is 2,080 hours per year (40 hours per week). Actual hours worked may vary based on Federal holidays, clinic closures, and operational requirements.

• Payment will be made based on actual hours worked at the Contractor’s quoted fully burdened hourly rate.

• The hourly rate shall be all-inclusive and include all direct and indirect costs, including but not limited to labor, fringe benefits, overhead, general and administrative expenses, travel, per diem, lodging, and all applicable Federal, State, Tribal, and local taxes.

• The total contract value represents the maximum amount payable under the contract. The Contractor shall not exceed this amount without prior written approval from the Contracting Officer.

• The period of performance start date is contingent upon completion of all required background investigations and issuance of an official start date.

5. POINTS OF CONTACT (POC)

a. Contact Information

Contracting Officer (CO) Contracting Officer’s Representative

(COR)

Deborah Blyveis Tammie Valdez 301-287-2450 575-759-7302 Deborah.blyveis@hhs.gov Tammie.valdez@ihs.gov Alternate COR Contractor Point of Contact Carol Begay Name:

575-759-7203 Phone:

Carol.begay@ihs.gov Email:

b. Contract Administration and Authority

• The CO is the only individual authorized to bind the Government or modify the contract.

• The CO designates a COR and Alternate COR to provide technical oversight.

• The COR’s authority is limited to performance monitoring and does not include authority to:

o Modify the contract or obligate funds o Authorize additional work o Direct contractor personnel

Project Title o Change scope, schedule, price, or requirements

• The COR may:

o Monitor technical performance o Review deliverables o Conduct inspections and evaluations o Report performance issues to the CO

• The Alternate COR performs COR duties when the Primary COR is unavailable and may not exceed delegated authority.

6. STATEMENT OF WORK (SOW)

BACKGROUND/PURPOSE: The contractor shall provide four (4) Outpatient Nursing Assistants, Non-Personal Healthcare Services Agreement to perform Medical Support tasks at the Jicarilla Service Unit, Albuquerque Area Indian Health (IHS). The Jicarilla Service Unit (JSU) is a Service Unit under the Albuquerque Area Office of the Indian Health Service, an agency within the U.S. Department of Health and Human Services (HHS). The Jicarilla Service Unit is located on the Jicarilla Apache reservation and provides healthcare services to approximately 4,000 American Indian/Alaska Native beneficiaries.

Services provided include, but are not limited to:

• Primary and urgent care

• Dental services

• Optometry

• Lab Services

• Radiology

• Public health nursing.

SCOPE: The contractor shall provide Nursing Assistant services in ambulatory care and urgent care settings at the Jicarilla Service Unit. All Nursing Assistants shall maintain current Basic Life Support (BLS) certification throughout the period of performance.

APPLICABLE DOCUMENTS: The contractor shall comply with all Federal, State, Local, Tribal and IHS laws, regulations, policies, and procedures. Services shall be performed with minimal deviation from the approved schedule and in a manner that ensures minimal disruption to Government operations while providing maximum protection to Government personnel, property, and the general public.

PROFESSIONAL QUALIFICATIONS: Contractor personnel shall meet the following minimum qualifications:

• Current certification as a Nursing Assistant

• Resume demonstrating relevant education, training, and experience

Project Title

• Current Basic Life Support (BLS) certification.

TASKS

Nursing Assistant for ambulatory care:

The Contractor shall ensure the Nursing Assistant perform the following duties:

• Provide clerical and administrative support for the nursing program, including answering telephones and assisting with appointment scheduling.

• Escort patients to the examination rooms, perform patient intake, and obtain vital signs, height and weight for patients of all ages; and document findings in the electronic health record (EHR).

• Demonstrate basic knowledge of medical terminology and proficiency with computer systems, including:

Entering provider schedules into the Resource and Patient Management System

(RPMS)

Scheduling patient appointments Preparing and sending reminder notifications Providing clerical assistance to nursing and medical staff, including patient outreach and coordination with telephone triage nurses to resolve scheduling issues.

Performing sterilization (autoclaving) of medical instruments and managing inventory and restocking of medical supplies.

• Provide therapeutic patient care, including but not limited to:

Administering oxygen Assisting with wound care Updating immunization records Performing daily vaccine temperature monitoring Conducting point-of-care (POC) glucose quality control checks Assisting with patient screenings for social risk factors, including suicide risk, depression, alcohol use, tobacco use, and home safety

• Serve as a patient chaperone during examinations when required.

• Prepare and maintain examination rooms for clinical procedures.

• Adhere strictly to infection prevention and control standards.

• Exhibit professionalism, tact, and courtesy in interactions with patients, staff, and the public.

• Provide clerical support to the Nursing and Medical staff, for example; contact patients on their behalf and work with the telephone triage Nurse to resolve scheduling conflicts.

Project Title

Work Schedule:

• Work Hours: Eight (8) hours per day, 8:00 a.m. to 4:30 p.m., with a 30-minute unpaid lunch break.

• Time permitting, Contractor personnel are authorized two (2) paid fifteen-minute (15-minute) rest breaks per workday, one to be taken during the morning and one during the afternoon. Breaks shall be scheduled in coordination with clinic operations and shall not interfere with patient care, staffing coverage, or mission requirements.

• Contractor personnel shall work 100% of the contracted hours.

• Any absence must be approved in advance by the Contracting Officer’s

Representative (COR), Alternate COR, or designee.

• Absences exceeding one workday require written approval at least fifteen (15) calendar days in advance, except in verifiable emergency situations.

• Approval of leave is contingent upon the availability of a qualified replacement.

• Absences of three (3) or more consecutive workdays due to illness require documentation from a qualified healthcare provider.

Food and Lodging:

The Contractor is solely responsible for all lodging and meals. Government housing and cafeteria services are not available at this facility.

Government Furnished Information, Property and Services:

Joint Use The Government shall provide necessary equipment, supplies, and clinic space required to perform services under this contract.

Contractor Use The Government shall furnish appropriate Personal Protective Equipment (PPE) and is responsible for its repair, cleaning, and inventory. PPE does not include uniforms or laboratory coats.

Training:

Facility-specific orientation and training necessary to perform required duties (e.g., IHS IT systems and operational procedures) shall be provided only when required to enhance service quality or to meet IHS mandates. Training shall not be provided for continuing education, career advancement, or individual professional development.

Conduct:

• Contractor personnel shall comply with all Privacy Act, HIPAA, IHS ethical standards, and Standards of Conduct.

• Contractor personnel shall always maintain a professional appearance and demeanor.

• Failure to meet performance or conduct standards may result in contract termination.

Project Title

• The Government reserves the right to examine or re-examine Contractor personnel as necessary.

Delivery location

The contractor shall provide four (4) Outpatient Nursing Assistants at the following IHS Facility:

Jicarilla Service Unit 500 Stone Lake Rd Dulce NM 87528

SERVICE CONTRACT WAGE DETERMINATION

Wage Determination No. 2015-5451, Revision No. 27, dated 12/03/2025, is hereby incorporated.

7. INSPECTION AND ACCEPTANCE

All work performed under this contract is subject to inspection and final acceptance by the Contracting Officer (CO) or by a duly authorized representative acting within the limits of their delegated authority. The Contracting Officer’s Representative (COR) is responsible for monitoring the Contractor’s performance, evaluating the quality of services provided, and conducting technical inspections. The COR shall recommend acceptance or rejection of services to the CO; only the CO may provide final acceptance.

a. Quality Assurance:

The Contractor’s performance is subject to ongoing evaluation under the Service Unit’s Quality Assurance (QA) program to ensure compliance with professional, regulatory, and organizational standards. Reviews may include assessments of work performed, patient safety considerations, documentation accuracy, and clinical quality evaluations. The Contractor shall correct any deficiencies identified. Failure to implement corrective actions may result in termination for cause, particularly where performance endangers patients, staff, or Government property.

b. Contractor Performance Evaluation Report:

In accordance with FAR Subpart 42.15, the Government will prepare interim and final performance evaluations under the Contractor Performance Assessment Reporting System (CPARS). These evaluations will become part of the official contract file and may be used as past performance information for future acquisitions involving the Contractor, its affiliates, or significant subcontractors.

c. Contract Discrepancy Report (CDR):

If the Government identifies deficient performance, the CO may issue a Contract Discrepancy Report (CDR) describing the deficiency and required corrective action. The Contractor shall acknowledge receipt of the CDR and submit a written corrective action plan detailing how the issue will be resolved and prevented from recurring. The

Project Title

Government will review the Contractor’s response for acceptability. Completed CDRs become part of the Contractor’s performance record and may be considered in assessing present and future contractual responsibility and performance.

8. INVOICING AND PAYMENT

Invoices shall be submitted electronically on a monthly basis through the Invoice Processing Platform (IPP) at https://www.ipp.gov.

Each invoice shall include the applicable Contract Line Item Number (CLIN), billing period, hourly rate, number of hours worked, total amount due, and the Contractor’s Unique Entity Identifier (UEI). Approved timesheets shall be submitted with each invoice.

Payment shall be based on actual hours worked at the contract hourly rate. Adjusted rates resulting from revised wage determinations shall not be invoiced until incorporated into the contract by modification.

Invoices shall not be submitted directly to the CO, Contracting Officer’s Representative (COR), or Finance Office unless authorized in writing. Improper submission may delay payment.

Payment will be made in accordance with FAR 52.212-4 and HHSAR 352.232-71.

Form W-9 Requirement The Contractor shall submit a completed Form W-9 to the Albuquerque Area Indian Health Service, Division of Accounting Services, via encrypted email (ALB_AOAPinvoices@ihs.gov) or secure fax ((505) 256-6851). Failure to do so may delay issuance of IRS Form 1099.

Refunds

In the event of an overpayment, the Contractor shall remit payment to the Government as directed by the Contracting Officer.

9. SPECIAL CONTRACT REQUIREMENTS

a. Fingerprinting Requirements for Security and Suitability:

All Contractor personnel shall complete fingerprinting and background investigations in accordance with Public Law 101-630, Title 25, Chapter 34, Section 3207, prior to the commencement of services. Adjudication must be completed before access to IHS facilities is granted.

• Prior to commencement of services, the Contractor shall coordinate with the COR to schedule fingerprinting as required under Indian Health Service (IHS) regulations for security and character background investigations.

• No services may begin until all required checks, including criminal history and suitability determinations, are successfully completed and the Government has issued an official start date.

• Investigations shall be processed through the U.S. Office of Personnel Management (OPM) electronic application (e-APP) system and include fingerprinting and all required checks.

https://www.ipp.gov/

Project Title

• The Contractor shall provide all information necessary to complete Level I and/or Level II background checks and shall cooperate fully with IHS in meeting these requirements.

• Personnel may be removed at any time if adjudication is unfavorable or subsequent information affects suitability.

b. Health Requirements / Conditions of Engagement:

Contractor personnel shall provide documentation of immunity or vaccination for all HIS required vaccine-preventable diseases, including but not limited to:

• Measles, Mumps, Rubella (MMR)

• Hepatitis B

• Varicella

• Influenza (annual)

• Pertussis (Tdap)

• COVID-19 (or approved medical/religious exemption)

• Tuberculosis screening (TST or IGRA within the past 12 months)

Additional immunizations may be required in accordance with IHS Immunization Policy.

c. Orientation and Training:

The Contractor shall ensure personnel complete all facility-specific orientation or mandatory training required to perform assigned duties. Training shall be limited to material necessary to perform required services and not for continuing education or personal advancement. Required training includes:

1. Protecting Children from Sexual Abuse - (IHM Circular 19-05) - complete within 30 days of start date; provide certificate to the COR.

2. Overview of Trauma-Informed Care and Historical Trauma - required for non-personal healthcare providers; provide certificate to COR.

3. Information System Security Awareness (ISSA) Training - for contractor personnel accessing IHS networks; complete within 24 hours of access and annually thereafter (online at ISSA Training). Provide certificate to COR. If only the IHS Quick Guide to Information Security is signed, training must be completed within 30 days or access will be revoked.

4. Fraud, Waste, and Abuse (FWA) Training - all Contractor personnel shall complete required HHS FWA training videos.

SECTION C – CONTRACT CLAUSES

FAR 52.252-2 - Clauses Incorporated by Reference (Feb 1998) This contract incorporates one or more Federal Acquisition Regulation (FAR) clauses by reference and/or in full text, with the same force and effect as if they were provided in full text.

http://www.ihs.gov/issa http://www.ihs.gov/issa

Project Title

Upon request, the Contracting Officer will make the full text of any clause available. The full text of FAR clauses may also be accessed electronically at the following links: FAR and Revolutionary FAR Overhaul.

Per FAR Class Deviation 2025-09 Amendment 1: System updates may lag policy updates. The System for Award Management (SAM) may continue to require entities to complete representations based on provisions that are not included in this solicitation. Contracting officers will rely on representations from offers based on provisions in the solicitation. Entities are not required to, nor are they able to, update their entity registration to remove these representations in SAM.

FAR

Clause Title Date

52.202-1 Definitions Jun 2020 52.203-3 Gratuities Apr 1984 52.203-6 Alt I

Restrictions on Subcontractor Sales to the Government Jun 2020

52.203-12 Limitation of Payments to Influence Certain Federal Transactions Jun 2020 52.203-17 Contractor Employee Whistleblower Rights Nov 2023 52.203-19 Prohibition on Requiring Certain Internal Confidentiality Agreements or Statements. Jan 2017 52.204-9 Personal Identity Verification of Contractor Personnel Jan 2011 52.204-13 System for Award Management - Maintenance Nov 2025 (DEV) 52.204-14 Service Contract Reporting Requirements Nov 2025 (DEV) 52.209-6 Protecting the Government's Interest When Subcontracting With Contractors Debarred, Suspended, Proposed for Debarment, or Voluntarily Excluded.

Nov 2025 (DEV)

52.209-10 Prohibition on Contracting with Inverted Domestic Corporations Nov 2025 (DEV) 52.212-4 Contract Terms and Conditions – Commercial Products and Commercial Services Nov 2025 (DEV) 52.219-6 Notice of Total Small Business Set-Aside Nov 2025 (DEV) 52.219-14 Limitations on Subcontracting Nov 2025 (DEV) 52.222-3 Convict Labor Nov 2025 (DEV) 52.222-35 Equal Opportunity for Veterans Nov 2025

(DEV)

52.222-36 Equal Opportunity for Workers with Disabilities Nov 2025 (DEV) 52.222-37 Employment Reports on Veterans Nov 2025 (DEV) 52.222-40 Notification of Employee Rights Under the National Labor Relations Act Nov 2025 (DEV) 52.222-41 Service Contract Act Labor Standards Nov 2025 (DEV) 52.222-42 Statement of Equivalent Rates for Federal Hires Nov 2025 (DEV) 52.222-44 Fair Labor Standards Act and Service Contract Labor Standards – Price Adjustment Nov 2025 (DEV) 52.222-50 Combating Trafficking in Persons Nov 2025 (DEV) 52.222-54 Employment Eligibility Verification Nov 2025 (DEV) 52.222-55 Minimum Wages for Contractor Workers Under Executive Order 14026 Nov 2025 (DEV) 52.222-62 Paid Sick Leave Under Executive Order 13706 Nov 2025 (DEV) 52.224-1 Privacy Act Notification Apr 1984 52.224-2 Privacy Act Apr 1984 52.224-3 Privacy Training Jan 2017 52.226-8 Encouraging Contractor Policies to Ban Text Messaging While Driving. May 2024 52.232-33 Payment by Electronic Funds Transfer – System for Award Management Oct 2018

Project Title

52.232-40 Providing Accelerated Payments to Small Business Subcontractors. Mar 2023 52.233-3 Protest After Award Nov 2025 (DEV) 52.233-4 Applicable Law for Breach of Contract Claim Nov 2025 (DEV) 52.237-2 Protection of Government Building, Equipment, and Vegetation Apr 1984 52.237-3 Continuity of Services Jan 1991 52.240-91 Security Prohibitions and Exclusions Nov 2025 (DEV) 52.240-93 Basic Safeguarding of Covered Contractor Information Systems Nov 2025 (DEV) 52.242-13 Bankruptcy Jul 1995 52.244-6 Subcontracts for Commercial Products and Commercial Services Nov 2025 (DEV) 52.245-1 Government Property Sep 2021 52.245-9 Use and Charges Apr 2012 52.252-6 Authorized Deviations in Clauses Nov 2020

FAR 52.217-8 - Option to Extend Services (Nov 1999) The Government may require continued performance of any services within the limits and at the rates specified in the contract. These rates may be adjusted only as a result of revisions to prevailing labor rates provided by the Secretary of Labor. The option provision may be exercised more than once, but the total extension of performance hereunder shall not exceed 6 months. The Contracting Officer may exercise the option by written notice to the Contractor within 15 days.

FAR 52.217-9 - Option to Extend the Term of Contract (Mar 2000)

(a) The Government may extend the term of this contract by written notice to the Contractor within 15 days; provided that the Government gives the Contractor a preliminary written notice of its intent to extend at least 15 days before the contract expires. The preliminary notice does not commit the Government to an extension.

(b) If the Government exercises this option, the extended contract shall be considered to include this option clause.

(c) The total duration of this contract, including the exercise of any options under this clause, shall not exceed five years and 6 months.

FAR 52.237-7 – Indemnification and Medical Liability Insurance (Nov 2025) (DEV)

(a) It is expressly agreed and understood that this is a nonpersonal services contract, under which the professional services rendered by the Contractor are rendered in its capacity as an independent contractor. The Government may evaluate the quality of professional and administrative services provided, but retains no control over professional aspects of the services rendered, including by example, the Contractor's professional medical judgment, diagnosis, or specific medical treatments. The Contractor shall be solely liable for and expressly agrees to indemnify the Government with respect to any liability producing acts or omissions by it or by its employees or agents. The Contractor shall maintain during the term of this contract liability insurance issued by a responsible insurance carrier of not less than the following amount(s) per specialty per occurrence: $1,000,000 per occurrence.

(b) An apparently successful offeror, upon request by the Contracting Officer, shall furnish prior

Project Title to contract award evidence of its insurability concerning the medical liability insurance required by paragraph (a) of this clause.

(c) Liability insurance may be on either an occurrences basis or on a claims-made basis. If the policy is on a claims-made basis, an extended reporting endorsement (tail) for a period of not less than 3 years after the end of the contract term must also be provided.

(d) Evidence of insurance documenting the required coverage for each health care provider who will perform under this contract shall be provided to the Contracting Officer prior to the commencement of services under this contract. If the insurance is on a claims-made basis and evidence of an extended reporting endorsement is not provided prior to the commencement of services, evidence of such endorsement shall be provided to the Contracting Officer prior to the expiration of this contract. Final payment under this contract shall be withheld until evidence of the extended reporting endorsement is provided to the Contracting Officer.

(e) The policies evidencing required insurance shall also contain an endorsement to the effect that any cancellation or material change adversely affecting the Government's interest shall not be effective until 30 days after the insurer or the Contractor gives written notice to the Contracting Officer. If during the performance period of the contract the Contractor changes insurance providers, the Contractor must provide evidence that the Government will be indemnified to the limits specified in paragraph (a) of this clause, for the entire period of the contract, either under the new policy, or a combination of old and new policies.

(f) The Contractor shall insert the substance of this clause, including this paragraph (f), in all subcontracts under this contract for health care services and shall require such subcontractors to provide evidence of and maintain insurance in accordance with paragraph (a) of this clause. At least 5 days before the commencement of work by any subcontractor, the Contractor shall furnish to the Contracting Officer evidence of such insurance.

(End of clause)

This contract incorporates the following Health and Human Services Acquisition Regulation (HHSAR) clauses by reference, with the same force and effect as if they were provided in full text. The full text of these clauses is available upon request from the Contracting Officer or may be accessed electronically at: HHSAR.

HHSAR

Clause No. Title Date

352.203-70 Anti-Lobbying Dec 2015 352.224-70 Privacy Act Feb 2024 (DEV) 352.224-71 Confidential Information Feb 2024 (DEV) 352.226-6 Indian Economic Enterprise Subcontracting Limitations Mar 2022

The following HHSAR clauses are included in this contract in full text:

https://www.hhs.gov/grants-contracts/contracts/contract-policies-regulations/index.html

Project Title

HHSAR 352.232-71 - Electronic Submission of Invoice Payment Requests (Feb 2022)

(a) Definitions. As used in this clause— Payment request means a bill, voucher, invoice, or request for contract financing payment with associated supporting documentation. The payment request must comply with the requirements identified in FAR 32.905(b), “Content of Invoices” and the applicable Payment clause included in this contract.

(b) Except as provided in paragraph (c) of this clause, the Contractor shall submit payment requests electronically using the Department of Treasury Invoice Processing Platform (IPP) or successor system. Information regarding IPP, including IPP Customer Support contact information, is available at www.ipp.gov or any successor site.

(c) The Contractor may submit payment requests using other than IPP only when the Contracting Officer authorizes alternate procedures in writing in accordance with HHS procedures. Unless otherwise agreed to by the contracting officer per HHSAR 352.232-71(c), the use of IPP shall take precedence over previously established invoicing procedures.

(d) If alternate payment procedures are authorized, the Contractor shall include a copy of the Contracting Officer's written authorization with each payment request. Unless otherwise agreed to by the contracting officer per HHSAR 352.232-71(c), the use of IPP shall take precedence over previously established invoicing procedures.

HHSAR 352.237-70 - Pro-Children Act (Dec 2015)

(a) Public Law 103-227, Title X, Part C, also known as the Pro-Children Act of 1994 (Act), 20 U.S.C. 7183, imposes restrictions on smoking in facilities where certain federally funded children's services are provided. The Act prohibits smoking within any indoor facility (or portion thereof), whether owned, leased, or contracted for, that is used for the routine or regular provision of: (i) kindergarten, elementary, or secondary education or library services or (ii) health or day care services that are provided to children under the age of 18. The statutory prohibition also applies to indoor facilities that are constructed, operated, or maintained with Federal funds.

(b) By acceptance of this contract or order, the Contractor agrees to comply with the requirements of the Act. The Act also applies to all subcontracts awarded under this contract for the specified children's services. Accordingly, the Contractor shall ensure that each of its employees, and any subcontractor staff, is made aware of, understands, and complies with the provisions of the Act. Failure to comply with the Act may result in the imposition of a civil monetary penalty in an amount not to exceed $1,000 for each violation and/or the imposition of an administrative compliance order on the responsible entity. Each day a violation continues constitutes a separate violation.

HHSAR 352.237-71 - Crime Control Act-Reporting of Child Abuse (Dec 2015)

(a) Public Law 101-647, also known as the Crime Control Act of 1990 (Act), imposes responsibilities on certain individuals who, while engaged in a professional capacity or activity, as defined in the Act, on Federal land or in a federally-operated (or contracted) facility, learn of facts that give the individual reason to suspect that a child has suffered an incident of child

Project Title abuse.

(b) The Act designates "covered professionals" as those persons engaged in professions and activities in- eight different categories including, but not limited to, teachers, social workers , physicians, dentists, medical residents or interns, hospital personnel and administrators, nurses, health care practitioners, chiropractors, osteopaths, pharmacists , optometrists, podiatrists, emergency medical technicians , ambulance drivers, alcohol or drug treatment personnel, psychologists, psychiatrists, mental health professionals, child care workers and administrators, and commercial film and photo processors. The Act defines the term "child abuse' as the physical or mental injury, sexual abuse or exploitation, or negligent treatment of a child.

(c) Accordingly, any person engaged in a covered profession or activity under an HHS contract or subcontract, regardless of the purpose of the contract or subcontract, shall immediately report a suspected child abuse incident in accordance with the provisions of the Act. If a child is suspected of being harmed, the appropriate State Child Abuse Hotline, local child protective services (CPS), or law enforcement agency shall be contacted. For more information about where and how to file a report, the Childhelp USA, National Child Abuse Hotline (1-800-4-A- CHILD) shall be called. Any covered professional failing to make a timely report of such incident shall be guilty of a Class B misdemeanor.

(d) By acceptance of this contract or order, the Contractor agrees to comply with the requirements of the Act. The Act also applies to all applicable subcontracts awarded under this contract. Accordingly, the Contractor shall ensure that each of its employees, and any subcontractor staff, is made aware of, understands, and complies with the provisions of the Act.

HHSAR 352.237-72 - Crime Control Act-Requirement for Background Checks (Dec 2015)

(a) Public Law 101-647, also known as the Crime Control Act of 1990 (Act), requires that all individuals involved with the provision of childcare services to children under the age of 18 undergo a criminal background check. "Child care services" include, but are not limited to, social services, health and mental health care, child (day) care, education (whether or not directly involved in teaching), and rehabilitative programs. Any conviction for a sex crime, an offense involving a child victim, or a drug felony, may be grounds for denying employment or for dismissal of an employee providing any of the services listed above.

(b) The Contracting Officer will provide the necessary information to the Contractor regarding the process for obtaining the background check. The Contractor may hire a staff person provisionally prior to the completion of a background check, if at all times prior to the receipt of the background check during which children are in the care of the newly-hired person, the person is within the sight and under the supervision of a previously investigated staff person.

(c) By acceptance of this contract or order, the Contractor agrees to comply with the requirements of the Act. The Act also applies to all applicable subcontracts awarded under this contract. Accordingly, the Contractor shall ensure that each of its employees, and any subcontractor staff, is made aware of, understands, and complies with the provisions of the Act.

HHSAR 352.237-73 - Indian Child Protection and Family Violence Act (Dec 2015)

(a) This contract is subject to the Indian Child Protection and Family Violence Act, Public Law 101-630 (25 U.S.C. 3201 et seq.) The duties and responsibilities required by this contract may involve regular contact with or control over Indian children. Public Law 101-630 prohibits employment, including Personal Service Contracts, with anyone who has been convicted of any crime of violence. Any such conviction should immediately be brought to the attention of the Contracting Officer. The contractor will be subject to a character investigation, conducted by the

Project Title

Indian Health Service, Office of Human Resources. Until such time as the contractor has been notified of completion of the investigation, the contractor shall have no unsupervised contact with Indian children. In order to initiate this background investigation, the contractor must provide information as required in this contract or as directed by the Contracting Officer.

(b) As a prerequisite to providing services under this contract, the Contractor is required to complete and sign the declaration found in Section J of this contract.

HHSAR 352.237-75 - Key Personnel (Dec 2015) The key personnel specified in this contract are considered to be essential to work performance.

At least 30 days prior to the contractor voluntarily diverting any of the specified individuals to other programs or contracts the Contractor shall notify the Contracting Officer and shall submit a justification for the diversion or replacement and a request to replace the individual. The request must identify the proposed replacement and provide an explanation of how the replacement's skills, experience, and credentials meet or exceed the requirements of the contract (including, when applicable, Human Subjects Testing requirements). If the employee of the contractor is terminated for cause or separates from the contractor voluntarily with less than thirty days’ notice, the Contractor shall provide the maximum notice practicable under the circumstances.

The Contractor shall not divert, replace, or announce any such change to key personnel without the written consent of the Contracting Officer. The contract will be modified to add or delete key personnel as necessary to reflect the agreement of the parties.

SECTION D – DOCUMENTS, EXHIBITS AND ATTACHMENTS

Attachment No. Description No. of Pages

1 Fillable Table 2

2 Wage Determination No. 2015-5451, Revision No. 27, dated 12/03/2025 10

3 IHS IEE Representation Form 1 4 Business Associate Agreement Clause 5

SECTION E – SOLICITATION PROVISIONS

FAR 52.252-1 Solicitation Provisions Incorporated by Reference (Feb 1998) This solicitation incorporates one or more solicitation provisions by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. The offeror is cautioned that the listed provisions may include blocks that must be completed by the offeror and submitted with its quotation or offer. In lieu of submitting the full text of those provisions, the offeror may identify the provision by paragraph identifier and provide the appropriate information with its quotation or offer. Also, the full text of a solicitation provision may be accessed electronically at the following links: FAR and Revolutionary FAR Overhaul (end of provision)

FAR

Clause Title Date

Project Title

52.203-11 Certification and Disclosure Regarding Payments to Influence Certain Federal Transactions. Sep 2024

52.203-18 Prohibition on Contracting with Entities that Require Certain Internal Confidentiality Agreements or Statements-Representation. Jan 2017

52.204-7 System for Award Management - Registration Nov 2025 (DEV) 52.229-11 Tax on Certain Foreign Procurements – Notice and Representation. Jun 2020 52.212-1 Instructions to Offerors-Commercial Items Nov 2025 (DEV) 52.233-2 Service of Protest Sep 2006 52.240-90 Security Prohibitions and Exclusions Representations and Certifications Nov 2025 (DEV) 52.252-5 Authorized Deviations in Provisions Nov 2020

FAR 52.209-2 - Prohibition on Contracting with Inverted Domestic Corporations- Representation (Nov 2025) (DEV)

(a) Definitions. As used in this clause— Inverted domestic corporation means a foreign incorporated entity that meets the definition of an inverted domestic corporation under 6 U.S.C. 395(b), applied in accordance with the rules and definitions of 6 U.S.C. 395(c).

Subsidiary means an entity in which more than 50 percent of the entity is owned—

(1) Directly by a parent corporation; or

(2) Through another subsidiary of a parent corporation.

(b) Government agencies are not permitted to use appropriated (or otherwise made available) funds for contracts with either an inverted domestic corporation, or a subsidiary of an inverted domestic corporation, unless the exception at 9.108-3(b) applies or the requirement is waived in accordance with the procedures at 9.108-5.

(c) Representation. The Offeror represents that-

(1) It □ is, □ is not an inverted domestic corporation; and

(2) It □ is, □ is not a subsidiary of an inverted domestic corporation.

(End of provision)

FAR 52.209-5 - Certification Regarding Responsibility Matters (Nov 2025) (DEV) (a)(1) The Offeror certifies, to the best of its knowledge and belief, that—

(i) The Offeror and/or any of its Principals—

(A) Are □ are not □ presently debarred, suspended, proposed for debarment, or declared ineligible for the award of contracts by any Federal agency;

(B) Have □ have not □, within a three-year period preceding this offer, been convicted of or had a civil judgment rendered against them for: commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State, or local) contract or subcontract; violation of Federal or State antitrust statutes relating to the submission of offers; or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, tax evasion, violating Federal criminal tax laws, or receiving stolen property (if offeror checks "have", the offeror shall also see 52.209-7, if included in this solicitation);

(C) Are □ are not □ presently indicted for, or otherwise criminally or civilly charged by a governmental entity with, commission of any of the offenses enumerated in paragraph (a)(1)(i)(B) of this provision; and

(D) Have □, have not □, within a three-year period preceding this offer, been notified of any delinquent Federal taxes in an amount that exceeds the threshold at 9.104-5(a)(2) for which the

Project Title liability remains unsatisfied. Federal taxes are considered delinquent if both of the following criteria apply:

(1) The tax liability is finally determined. The liability is finally determined if it has been assessed. A liability is not finally determined if a pending administrative or judicial challenge remains. In the case of a judicial challenge to the liability, the liability is not finally determined until all judicial appeal rights have been exhausted.

(2) The taxpayer is delinquent in making payment. A taxpayer is delinquent if the taxpayer has failed to pay the tax liability when full payment was due and required. A taxpayer is not delinquent in cases where enforced collection action is precluded.

(ii) The Offeror has □ has not □, within a 3-year period preceding this offer, had one or more contracts terminated for default by any Federal agency.

(2) "Principal," for the purposes of this certification, means an officer, director, owner, partner, or a person having primary management or supervisory responsibilities within a business entity (e.g., general manager; plant manager; head of a division or business segment; and similar positions).

(b) The Offeror shall provide immediate written notice to the Contracting Officer if, at any time prior to contract award, the Offeror learns that its certification was erroneous when submitted or has become erroneous by reason of changed circumstances.

(c) A certification that any of the items in paragraph (a) of this provision exists will not necessarily result in withholding of an award under this solicitation. However, the Government will consider the certification in connection with a determination of the Offeror's responsibility.

Failure of the Offeror to furnish a certification or provide such additional information as requested by the Contracting Officer may render the Offeror nonresponsible.

(d) This provision does not require establishment of a system of records in order to render, in good faith, the certification required by paragraph (a). The knowledge and information of an Offeror is not required to exceed that which is normally possessed by a prudent person in the ordinary course of business dealings.

(e) The certification in paragraph (a) of this provision is a material representation of fact upon which reliance was placed when making award. If the Government later determines that the Offeror knowingly rendered an erroneous certification, in addition to other remedies available to the Government, the Contracting Officer may terminate the contract resulting from this solicitation for default.

(End of provision)

FAR 52.209-7 - Information Regarding Responsibility Matters (Nov 2025) (DEV)

(a) Definitions. As used in this provision— Administrative proceeding means a non-judicial process that is adjudicatory in nature in order to make a determination of fault or liability (e.g., Securities and Exchange Commission Administrative Proceedings, Civilian Board of Contract Appeals Proceedings, and Armed Services Board of Contract Appeals Proceedings). This includes administrative proceedings at the Federal and State level but only in connection with performance of a Federal contract or grant. It does not include agency actions such as contract audits, site visits, corrective plans, or inspection of deliverables.

Federal contracts and grants with total value greater than $10,000,000 means—

(1) The total value of all current, active contracts and grants, including all priced options; and

(2) The total value of all current, active orders including all priced options under indefinite-delivery, indefinite-quantity, 8(a), or requirements contracts (including task and delivery and

Project Title multiple-award Schedules).

Principal means an officer, director, owner, partner, or a person having primary management or supervisory responsibilities within a business entity (e.g., general manager; plant manager; head of a division or business segment; and similar positions).

(b) The offeror □ has □ does not have current active Federal contracts and grants with total value greater than $10,000,000.

(c) If the offeror checked "has" in paragraph (b) of this provision, the offeror represents, by submission of this offer, that the information it has entered in the Federal Awardee Performance and Integrity Information System (FAPIIS) is current, accurate, and complete as of the date of submission of this offer with regard to the following information:

(1) Whether the offeror, and/or any of its principals, has or has not, within the last five years, in connection with the award to or performance by the offeror of a Federal contract or grant, been the subject of a proceeding, at the Federal or State level that resulted in any of the following dispositions:

(i) In a criminal proceeding, a conviction.

(ii) In a civil proceeding, a finding of fault and liability that results in the payment of a monetary fine, penalty, reimbursement, restitution, or damages of $5,000 or more.

(iii) In an administrative proceeding, a finding of fault and liability that results in–

(A) The payment of a monetary fine or penalty of $5,000 or more; or

(B) The payment of a reimbursement, restitution, or damages in excess of $100,000.

(iv) In a criminal, civil, or…

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