RFQ-CRHC23-23-CTTech.pdf

(i) a. This is a combined synopsis/solicitation for commercial items prepared in accordance with the format in Federal Acquisition Regulations (FAR) Subpart 12.6, as supplemented with additional information included in this notice. This announcement constitutes the only solicitation; bids are being requested and a written solicitation will not be issued.

b. The Indian Health Service/Cheyenne River Health Center intends to award multiply Firm Fixed-Price, Non-Personal Service, Performance Based, Indefinite Delivery/Indefinite Quality (IDIQ) contracts, to provide Diagnostic CT Technologist Services for the Radiology Department at the Cheyenne River

Health Center located in Eagle Butte, South Dakota. The contract resulting from this solicitation will not obligate funds; funds must be obligated prior to ordering through the issuance of a task order. All orders may be submitted electronically, facsimile, or hard copy.

(ii) This solicitation is being issued under solicitation number CRHC23-23.

(iii) The solicitation document and incorporated provisions and clauses are those in effect through

Federal Acquisition Circular 2023-01, dated 12/30/2022.

(iv) This is a 100% Small Business Set-Aside and the associated NAICS code is 561320 Temporary

Help Services, with a Small business Size Standard of $34.0 Million, Product Service Code is Q522

Medical-Radiology .

(v) Services purchased through this contract will be Diagnostic CT Technologist Services for patient care. A list of line items, quantities/units of measure at attached. The “Unit Price” is an all-inclusive cost. All “inclusive cost” is defined to include, but not limited to travel, lodging, per diem, benefits, fuel, freight etc., plus all other costs pertinent to the performance of this contract. The period of performance will be a base year, plus the option to exercise, Four-one(1) year option terms.

See Attached Pricing/Cost Schedule.

(vi) Description of Services: Include, but not limited to, continuous Diagnostic CT Technologist

Services, required by the attached Performance Work Statement, for the Cheyenne River Health Center, Eagle Butte, South Dakota.

(vii) The period of performance will include one base year, plus the option to exercise four-1 year option years. Delivery and acceptance terms for this order are with the PWS. POP: Base Year: 9/1/2023 –

7/31/2024, OY1: 8/1/2024 – 7/31/2025, OY2: 8/1/2025 – 7/31/2026, OY3: 8/1/2026 – 7/31/2027, and

OY4: 8/1/2027 – 7/31/2028.

(viii) The provision at 52.212-1, Instructions to Offerors – Commercial Products and Commercial

Services (Nov 2021), applies to this acquisition. Quotes shall be submitted on company letterhead stationary, signed and dated; it shall include, at a minimum;

1. Solicitation number CRHC23-23

2. Closing Date: August 24, 2023 at 1:00pm MST

3. Name, address, telephone number of the offeror and email address of the contact person

4. Technical description of the item/service being offered in sufficient detail to evaluate compliance with the requirements in the solicitation.

5. Terms of any express warranty

6. Price and any discount terms

7. “Remit to” address, if different than mailing address http://farsite.hill.af.mil/reghtml/regs/far2afmcfars/fardfars/far/52_000.htm#P1579_222340

8. A completed copy of the representations and certifications at FAR 52.212-3

9. Acknowledgement of Solicitation Amendments, if issued

10. A statement specifying the extent of agreement with all terms, conditions, and provisions included in the solicitation. Offers that fail to furnish required representation or information, or reject the terms and conditions of the solicitation may be excluded from consideration.

Quotes shall also include the following to be considered acceptable.

1. Signed SF1449.

2. Price/Cost Scheduled.

3. At least 2 Past Performance Questionnaire’s filled out and submitted.

4. Proof of Malpractice Insurance Coverage.

5. Certify they understand and can meet all requirements listed in this Solicitation, Performance Work

Statement and Attachments.

6. Candidate information, to include: Resume, current/up-to-date licenses & certifications as requested in the PWS, completed Background clearance forms attached to this solicitation, proof of Mandatory

Employee Health Records Requirements as spelled out in the PWS, and guarantee report date.

(ix) The clause at 52.212-2, Evaluation-Commercial Products and Commercial Services (Nov 2021) applies to this acquisition. (a) The Government will award a contract resulting from this solicitation to the responsible offerors whose offer conforming to the solicitation will be most advantageous to the

Government, price and other factors considered.

The basis for award will be based on “Lowest Price Technically Acceptable” along with credential able candidates. Past performance is always an evaluation factor and will be considered.

Technical and past performance, when combined are equal to costs or price.

(b) Options. The Government will evaluate offers for award purposes by adding the total price for all options to the total price for the basic requirement. The Government may determine that an offer is unacceptable if the option prices are significantly unbalanced. Evaluation of options shall not obligate the

Government to exercise the option(s).

(c) A written notice of award or acceptance of an offer, mailed or otherwise furnished to the successful offeror within the time for acceptance specified in the offer, shall result in a binding contract without further action by either party. Before the offer’s specified expiration time, the

Government may accept an offer (or part of an offer), whether or not there are negotiations after its receipt, unless a written notice of withdrawal is received before award.

IHS reserves the right to make multiple awards, which is most advantages to the Government. This is a competitive solicitation and the offer your firm submits will be used by IHS to determine, which of the quantities listed within are, “estimate only” and it is not the intent of IHS to be obligated to order the

“quantities”

(x) Offerors must include a completed copy of the provision at 52.212-3, Offeror Representations and

Certifications – Commercial Products and Commercial Services (Dec 2020), with its offer. The offeror shall complete only paragraphs (b) of the provision if the Offeror has completed the annual representations https://www.acquisition.gov/content/part-52-solicitation-provisions-and-contract-clauses#i1060530 http://farsite.hill.af.mil/reghtml/regs/far2afmcfars/fardfars/far/52_000.htm#P1657_236576 and certification electronically via the System for Award Management (SAM) Web site located at http://www.sam.gov

(xi) The clause at 52.212-4, Contract Terms and Conditions -- Commercial Items (Oct 2018), applies to this acquisition.

(xii) The clause at 52.212-5, Contract Terms and Conditions Required To Implement Statutes or Executive

Orders -- Commercial Items (Aug 2019) – See attachment for full text.

(xiii) Any additional contract requirement(s) or terms and conditions are determined by the contracting officer to be necessary for this acquisition and consistent with customary commercial practices (i.e.

warranty requirements, HHSAR, etc..) are attached.

(xiv) N/A

(xv) Offerors are due on August 24, 2023 by 1:00 PM MST, and can be mailed, e-mailed or fax to:

Cheyenne River Health Center

Attn: Stephanie Red Elk, COR

24276 166th Street

PO Box 1012

Eagle Butte, South Dakota 57625

Fax: 605/964-7737

Email: Stephanie.RedElk@ihs.gov

Questions in reference to this solicitation shall be submitted to the email address listed above. The last day to submit questions is August 8, 2023 at 1:00pm MST. No questions will be answered after this date/time.

Please be advised that the Government reserves the right to transmit those questions and answers of a common interest to all prospective vendors through a solicitation amendment.

(xvi) Points Of Contacts: Danielle Chasing Hawk, Supervisory Contract Specialist, Danielle.ChasingHawk@ihg.gov, 605/964-0605 or Stephanie Red Elk, COR, Stephanie.RedElk@ihs.gov, 605/964-0507,

(xvii) Contractor will need a UIE number, TIN number, and be active & registered in SAM at www.sam.gov.

http://farsite.hill.af.mil/reghtml/regs/far2afmcfars/fardfars/far/52_000.htm#P1974_281919 http://farsite.hill.af.mil/reghtml/regs/far2afmcfars/fardfars/far/52_000.htm#P2174_322700 mailto:Stephanie.RedElk@ihs.gov mailto:Danielle.ChasingHawk@ihg.gov mailto:Stephanie.RedElk@ihs.gov http://www.sam.gov/

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

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

1. REQUISITION NUMBER

N/A

PAGE 1 OF

1 of

2. CONTRACT NO.

7. FOR SOLICITATION

INFORMATION CALL:

3. AWARD/EFFECTIVE

DATE

a. NAME

4. ORDER NUMBER 5. SOLICITATION NUMBER

CRHC23-23

b. TELEPHONE NUMBER (No collect calls)

6. SOLICITATION ISSUE

DATE

07/24/2023

8. OFFER DUE DATE/

LOCAL TIME

08/24/2023 Stephanie Red Elk, COR 605/964-0507 1:00 PM MST

9. ISSUED BY CODE 173 10. THIS ACQUISITION IS UNRESTRICTED OR SET ASIDE: 100 % FOR:

IHS/Cheyenne River Health Center SMALL BUSINESS

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

24276 166th St. Airport Rd.

Eagle Butte, SD 57625

11. DELIVERY FOR FOB DESTINA-

12. DISCOUNT TERMS

HUBZONE SMALL

BUSINESS

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

SMALL BUSINESS PROGRAM

EDWOSB

8 (A)

13b. RATING

NAICS:

561320

SIZE STANDARD:

$35.0M

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

14. METHOD OF SOLICITATION

RFQ IFB RFP

15. DELIVER TO

IHS/Cheyenne River Health Center

24276 166th St. Airport Rd.

Eagle Butte, SD 57625

CODE 173 16. ADMINISTERED BY CODE

IHS/Cheyenne River Health Center

24276 166th St. Airport Rd.

Eagle Butte, SD 57625

17a. CONTRACTOR/

OFFEROR

CODE FACILITY

CODE

18a. PAYMENT WILL BE MADE BY CODE

IPP.GOV

US Treasury

TELEPHONE NO.

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

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

OFFER BELOW IS CHECKED

SEE ADDENDUM

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

Firm Fixed-Price, Non-Personal Healthcare Service, Commercial Item, Indefinite Delivery/Indefinite Quantity

Contract, for Diagnostic CT Technologist Services for the Radiology Department, at the Cheyenne River

Health Center(CRHC), Eagle Butte, South Dakota

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

The Period of Performance will be a one(1) year base period, with four(4) - one(1) year option periods.

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

25. ACCOUNTING AND APPROPRIATION DATA

26. TOTAL AWARD AMOUNT (For Govt. Use Only)

27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA

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

ARE

ARE

ARE NOT ATTACHED

ARE NOT ATTACHED

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 2/2012)

Prescribed by GSA - FAR (48 CFR) 53.212

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN 1

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

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

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED

29. AWARD OF CONTRACT: REF. OFFER

DATED . . YOUR OFFER ON SOLICITATION

(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

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

Craig Wells, CCO, IHS/GPA

31c. DATE SIGNED

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

Period of Performance:

Base Year: 09/1/2023 - 07/31/2024

Option Year 1: 08/1/2024 - 07/31/2025

Option Year 2: 08/1/2025 - 07/31/2026

Option Year 3: 08/1/2026 - 07/31/2027

Option Year 4: 08/1/2027 - 07/31/2028

Fill Out Attached Price/Cost Schedule to submit pricing.

This IDIQ contract does not obligate any funds

Funds will be obligated on an individual basis as

Task Orders and will be issued electronically, sent by email. For details, please refer to the attached clauses FAR 52.216-18 Ordering, FAR 52.216-19 Ordering Limitations and

FAR 52.216-22 Indefinite Quantity.

This is a 100% Small Business set-aside

Multiply awards will be made.

32a. QUANTITY IN COLUMN 21 HAS BEEN

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

32b. SIGNATURE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32c. DATE 32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32f. TELPHONE NUMBER OF AUTHORZED GOVERNMENT REPRESENTATIVE

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

33. SHIP NUMBER 34. VOUCHER NUMBER 35. AMOUNT VERIFIED

CORRECT FOR

36. PAYMENT

COMPLETE PARTIAL FINAL

37. CHECK NUMBER

PARTIAL FINAL

38. S/R ACCOUNT NO. 39. S/R VOUCHER NUMBER 40. PAID BY

41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT 42a. RECEIVED BY (Print)

41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER 41c. DATE

42b. RECEIVED AT (Location)

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

STANDARD FORM 1449 (REV. 2/2012) BACK

Request for Proposal: CRHC 23-23

CT Technologist Services

SERVICES AND PRICES/COSTS

(Fixed-Price, Services, Commercial Items)

Firm Fixed Price, Non-Personal Services, IDIQ contract, to provide CT Technologist Services, for the

Radiologist Department, at the Cheyenne River Health Center, located in Eagle Butte, South Dakota. The

Period of Performance will be a base year and four 1-year option years.

BASE YEAR: 09/1/2023 – 07/31/2024.

CT Technologist Regular Hours

CLIN Descript of Service Estimated

Qty

Unit Unit Price Total Amount

001 CT Regular Hours 4,160 HRS

(x)

002 CT Overtime Hours 416 HRS

(x)

003 CT On-Call Hours 416 HRS

(x)

Total: $

OPTION YEAR ONE (1): 08/1/2024 – 07/31/2025.

CT Technologist Regular Hours

CLIN Descript of Service Estimated

Qty

Unit Unit Price Total Amount

004 CT Regular Hours 4,160 HRS

005 CT Overtime Hours 416 HRS

(x)

006 CT On-Call Hours 416 HRS

(x)

OPTION YEAR TWO (2): 08/1/2025 – 07/31/2026.

CLIN201. CT Technologist Regular Hours

CLIN Descript of Service Estimated

Qty

Unit Unit Price Total Amount

007 CT Regular Hours 4,160 HRS

008 CT Overtime Hours 416 HRS

(x)

009 CT On-Call Hours 416 HRS

(x)

OPTION YEAR THREE (3): 08/1/2026 – 07/31/2027.

CLIN301. CT Technologist Regular Hours

CLIN Descript of Service Estimated

Qty

Unit Unit Price Total Amount

010 CT Regular Hours 4,160 HRS

011 CT Overtime Hours 416 HRS

(x)

012 CT On-Call Hours 416 HRS

(x)

OPTION YEAR FOUR (4): 08/1/2027 – 07/31/2028.

CLIN401. CT Technologist Regular Hours

CLIN Descript of Service Estimated

Qty

Unit Unit Price Total Amount

013 CT Regular Hours 4,160 HRS

014 CT Overtime Hours 416 HRS

(x)

015 CT On-Call Hours 416 HRS

(x)

AGGREGRATED TOTALS

TOTALS

1. Base Year $

2. Option Year One (1) $

3. Option Year Two (2) $

4. Option Year Three (3) $

5. Option Year Four (4) $

AGGREGRATED TOTAL: $

Performance Work Statement

Non-Personal Services

DIAGNOSTIC CT TECHNOLOGIST

General

This performance based work statement describes the requirements for non-personal services for the recruitment, credentialing and placement for Diagnostic CT Technologists to support the mission of the Indian Health Service (IHS)/Cheyenne River Health Center (CRHC).

Background

The Indian Health Service (IHS) an agency within the Department of Health & Human Services is responsible for providing federal health services to American Indians and Alaska Natives. The

Indian Health Service provides a comprehensive health service delivery system for approximately 1.9 million American Indians and Alaska Natives who belong to 567 federally recognized tribes, in 35 states. The Indian Health Service Headquarters is located in Rockville, MD and then divided into twelve physical areas: Alaska, Albuquerque, Bemidji, Billings, California, Great Plains, Nashville, Navajo, Oklahoma, Phoenix, Portland and Tucson.

Our facility, the Cheyenne River Health Center (CRHC), falls under the GPAO. CRHC provides medical care for approximately 9,000 tribal members living on the CRST Reservation. Serving a rural area, many of our patients travel 100 miles round trip to receive care. The CRHC was built in 2011 to provide an expanded level of health care services specifically designed to meet the needs of the CRHC population. The Cheyenne River Sioux Tribe through a 638 contract with IHS, operates four satellite health stations which offer basic ambulatory services at Cherry

Creek, Red Scaffold, Swiftbird, and Whitehorse communities. Services include: Emergency

Room Department, Pharmacy, Physical Therapy, Public Health Nursing, Radiology Services, Inpatient Care, Laboratory, MRI, Dental, Community Health, Contract Health Services, Dietitians, Audiology, Eye Care, Inpatient, Pain Management, and Specialist Clinics: OB/GYN, ENT, Podiatry & Neurology.

Objective

To provide uninterrupted CT Technologist services, in the delivery of patient care, for the

Radiology Department at the Cheyenne River Health Center.

Period of Performance

Base Year: 09/1/2023 – 07/31/2024

Option Year One (1): 08/1/2024 – 07/31/2025

Option Year Two (2): 08/1/2025 – 07/31/2026

Option Year Three (3): 08/1/2026 – 07/31/2027

Option Year Four (4): 08/1/2027 – 07/31/2028

TOUR OF DUTY

Contract CT Tech will work into current departmental schedule. Assignments will require shifts of no less than eight (8) hours and no more than twelve (12) hours. These shifts may rotate any time during the twenty-four (24) hour period for a total of 80 hours in a two-week pay period. Holidays and weekends will be included as part of the 80 hour work period. All scheduled hours will be determined by Radiology Supervisor. Occasional On-

Call status may be required.

Regular Hours: Working rotating 8-12 hours shifts, during a two week period and equal 80 hours in a two week period.

Overtime Hours: Any hours worked over 80 hours in a two week period.

On-Call: The contractor is off duty, but remains available by telephone for the purpose of being contacted when unanticipated situations arise, and remains within a reasonable call-back radius, and reports for duty within 45 minutes of contact, or if live on campus, within 30 minutes of contact.

Work Flexibility: Because we are a health facility and there are compliance issues where coverage is mandatory, work schedules shall occasionally change. As directed by the departmental supervisor, the contractor shall rotate into other duty sections as needed to support patient care.

A 30 minute unpaid meal break will be included with each shift. Lunch breaks will be taken at the approximate midpoint of the shift, and will not be saved in order to leave 60 minutes early.

rest periods, not to exceed 15 minutes every four hours of scheduled duty, if not on a call at that time. Rest periods will not be used for a continuation of lunch/dinner period or taken at the beginning or end of the workday.

Hours worked do not include travel time to reach the CRHC or other place of performance.

Compensation: The contractor shall be paid a fixed flat rate of per hour. No differential pay for government holidays, compensation time, and night differential. Holidays and weekends shall be included as part of the 80 hour work period and considered regular hours. Regular, and/or

Overtime shall be determined by the Radiology Department Supervisor.

Task Order: An order issued in accordance with the terms of the contract that details an ordering activity’s specific requirements. An ordering activities written order to obtain services, at a minimum will include the following where applicable: description of services, hours, price, period of performance, contract number, and the ordering activities task order number.

Place of Performance:

Radiology Department

24376 166th Street

Eagle Butte, South Dakota 57625

SCOPE OF WORK

The Contractor will be required to provide a variety of computerized tomography & diagnostic radiographic examinations. The government reserves the right to accept or reject services if the level of performance is unsatisfactory to Indian Health Service.

The Joint Commission on Accreditation of Health Care Organizations (JCAHO) standards must be considered and adhered to at all time in order to be compliant. All

Medical Record Information generated in the performance of this contract shall remain the property of and subject to the exclusive control of the Indian Health Service. The

Contractor is responsible for maintaining Patient Confidentiality and adhering to the

Privacy Act of 1974 and the Health Insurance Portability & Accountability Act

(HIPAA) of 1996.

PERSONNEL

CT Technologists must have highly proficient experience with Toshiba CT equipment. CT

Technologist may assist in the training of departmental staff. Diagnostic/CT Technologists must have verified documentation that technologists who perform diagnostic/CT examinations participate in ongoing education that includes annual training on safe radiation protection practices in the Radiology environment.

CERTIFICATIONS

The contractor shall ensure employees have the following current and valid professional certifications before starting work:

ARRT Certification for CT

Contracting Officer’s Representative Designation

The Contracting Officer Representative (COR) designated for this Project is:

Stephanie Red Elk

605-964-0507

Cheyenne River Health Center

24276 166th Street, Airport Road

Eagle Butte, SD 57625

The COR is responsible for:

a. Monitoring the Contractor’s technical progress;

b. Interpreting the statement of work;

c. Technical evaluation as required;

d. Technical inspections and acceptance required by this contract; and,

e. Assisting the Contractor in the resolution of technical problems encountered during performance of this contract.

EMERGENCY SERVICES

On occasion, services may be required to support an activation or exercise of contingency plans outside the normal duty hours described above.

LANGUAGE

The contractor must be able to read, write, speak and understand English.

EMPLOYEES APPEARANCE

Contractor personnel shall present a neat appearance and be easily recognized. This may be accomplished by wearing distinctive clothing bearing the name of the company or by wearing appropriate badges that contain the company name and employee name.

GOVERNMENT REVIEW

The government may review the contractor's QC plan to determine if it is adequate. If the plan is found to be adequate, a government will authorize the plan. If the plan is not adequate as submitted, the deficiencies will be identified to the contractor in writing. The contractor shall correct all identified deficiencies and submit a corrected QC plan within

10 working days or by contract start date whichever is sooner. Contractor-performed work that fails to conform to standards when this CO performs quality assurance (QA) work will serve as an indicator at the contractor is QC system is not adequate.

Technical evaluation as required

Technical inspections and acceptance required by this contract.

Assisting in the resolution of technical problems encountered during performance of this contract.

GOVERNMENT MONITORING

Government will monitor the contractor's performance under this contract using the method(s) of surveillance specified in the performance standards. All monitoring observation will be recorded by the government. When and observation indicates defective performance, this COR will request the contractor's representative to confirm defective work and perform corrective action.

PERFORMANCE EVALUATION MEETINGS

The contract manager may be required to meet weekly with that COR or others during the first month of the contract meeting shall be as often as necessary thereafter as determined by this CO. However, if the contractor requests, a meeting will be held whenever a contract discrepancy report is issued. The meetings shall focus on contractor performance and actual or potential problems.

All documentation, records, and schedules as described in the SOW that are the responsibility of the contractor are the property of the government and shall be turned over to the government upon completion or termination of the contract. All records are subject to the Freedom of Information and/or Privacy Acts and any request for release of any records shall be handled accordingly.

Acceptable Quality Level (AQL)

The maximum percent defective (or the maximum number of defects per 100 units) that, for purposes of random sampling, may occur before the government will effect the price computation system in accordance with that performance standards and the

Inspection of Services clause. When the method of surveillance is other than random sampling, the AQL is defined as the number of defects or maximum percentage of defects and a lot that may occur before the government will effect the price computation system in accordance with the performance standards and the Inspection of Services clause. An AQL does not allow a contractor to knowingly offer defective service but limits reduced payment to circumstances in which defective performance results in a measurable reduction in the value of services rendered.

Performance Standards (PS)

Identifies the key service outputs of the contract that will be evaluated by the

Government to ensure contract performance standards are met by the contractor.

Quality Assurance (QA)

The actions taken by the Government to ensure that services meet the requirements of the

SOW.

Contracting Officer's Representative

A Government person designated by the CO with authority to act within the scope of the delegated authority.

Quality Assurance surveillance Plan (QASP)

The purpose of the QASP is to describe the systematic methods used to monitor performance and to identify the required documentation and the resources to be employed. The QASP provides a means for evaluating whether the contractor is meeting the performance standards/quality levels identified in the PWS and the contractor's quality control plan (QCP), and to ensure that the government pays only for the level of services received.

Quality Control (QC)

Those actions taken by contractor to control the performance of services so that services meet the requirements of the PWS.

Random Sampling

A sampling method in which each service output in a lot has an equal chance of being selected.

A sample consists of one or more service outputs drawn from a lot. The number of outputs in the sample is the sample size.

GOVERNMENT-FURNI SHED PROPERTY

The government will provide any property, power, facilities, forms, supplies, and phone lines or physicians services if needed during the term of this contract.

PERFORMANCE STANDARDS

TASK

DESCRIPTION

PERFORMANCE

STANDARD

METHOD OF

MONITORING

+ OR -

INCENTIVIES

Provide

Diagnostic/CT

Technologist services 40 hrs/week

Agency must provide competent

Diagnostic/CT

Technologist to ensure no gaps in department coverage

Diagnostic/CT

Technologist will be scheduled by

Radiology department supervisor

Diagnostic/CT

Technologist

Services 40 hrs/week

For every shift not covered by agency, the shift rate will be deducted from the next submitted invoice.

Face Masks/Badges: The contractor personnel will be required to obtain and wear badges and masks, in the performance of this service at all times.

Lodging: The Contractor shall be responsible for arranging lodging for their employees that work under this contract. Government Housing is available on a limited basis. Please check with the Cheyenne River Housing Manager for availability and rates at least two weeks before arrival is expected. The CRHC does offer furnished units for contract employees. Depending on the needs of the CRHC and the contract employee, there are unfurnished units available for extended periods of employment. The contract employee is responsible for executing the rental agreement and prompt payment. The Government does not guarantee government housing availability and will be on a first come first serve basis.

Emergency Health Care: IHS/Cheyenne River Health Center will provide emergency healthcare of the contract providers for injuries incurred while on duty at the facility. These services will be billed to the Contractor at the current full reimbursement rate.

Security/Background Investigation

To perform the work specified herein, contractor personnel will require access to sensitive data, regular access to HHS-controlled facilities, and/or access to HHS information systems. The

Government has determined the position sensitivity under this effort to be Level I.

To gain access to the sensitive data, HHS-controlled facilities, and/or HHS information systems, the Contractor shall comply with Homeland Security Presidential Directive 12, Policy for a

Common Identification Standard for Federal Employees and Contractors, and with the personal identity verification and investigation procedures obtained in:

-HHS Information Security Program Policy, http://www.hhs.gov/ocio/securityprivacy/

-HHS Office of Security and Drug Testing, personnel Security Suitability Handbook, http:://www.hs.gov/ocio/policy/hhs-ocio-2011-0003.html

-HHS HSPD-12 Implementation Policy (draft)

The minimum Government investigation for a non-critical sensitive position is a National

Agency Check and Inquiries (with fingerprinting), which consists of searches of records covering specific areas of a person’s background during the past five years. Those inquiries are sent to current and past employers, schools attended, references, and local law enforcement http://www.hhs.gov/ocio/securityprivacy/ authorities. More restricted positions, above non-sensitive, require more extensive documentation and investigation.

This security applies to all sub-contracts and/or sub-contractors associated and/or created from this contract.

Required Security Clearance Forms for credentialing and security clearance will be provided to the contractor after award.

References

Statutes, Acts, Laws, and/or Regulations generally applicable to IHS security and functions, include, but are not limited to:

• Health Information Technology for Economic and Clinical Health Act

• Federal Information Security Management Act (FISMA), part of the E-Government Act of 2002 (Public Law 107-347, Title II)

• OMB Circular A-130 and Appendix III, Security of Federal Automated Information

Resources

• OMB Circular A-11, Preparing, Submitting, and Executing the Budget

• Presidential Decision Directive 63 (PDD 63)

• NIST Special Publications – 800 Series

• Health Insurance Portability and Accountability Act (HIPAA)

• Indian Healthcare Improvement Act (HCIA) – Public Law 94-437

• Crime Control Act 1990 – Public Law 101-647

• Indian Child Protection and Family Violence Prevention Ace Public Law 101-630

• Privacy Act of 1974

• Section 508 of the Rehabilitation Act of 1973

• Courtesy and Respect in the Workplace Policy

Business Agreement

Pursuant to 45 C.F.R. 164.502(e), the Indian Health Service, as a covered entity, is required to enter into an agreement with a “business associate”, as defined in 45 C.F.R. 160.103, under which the business associate must agree to appropriately safeguard Protected Health Information

(PHI) that is will use and disclose when performing function, activities or services pursuant to its contract with IHS. Therefore, a business associate agreement shall be attached to this contract and executed upon award of this contract. See attached Business Associate Agreement.

Invoice Submission:

Invoices shall be submitted through Invoice Processing Platform (IPP).

The IPP website address is: https://www.ipp.gov

In compliance with the Office of Management and Budget (OMB) M-15-19 memorandum

“Improving Government Efficiency and Saving Taxpayer Dollars Through Electronic Invoicing” directing Federal agencies to adopt electronic invoicing as the primary means to disburse payment to vendors. Invoices submitted under any award will be required to utilize the Invoice

Processing Platform (IPP) in accordance with HHSAR 352.232-71, Electronic Submission and

Processing of Payment Requests” IPP is a secure, web-based electronic invoicing system https://www.ipp.gov/ provided by the U.S. Department of the Treasury’s Bureau of the Fiscal Service, in partnership with the Federal Reserve Bank of St. Louis (FRSTL).

Contractors are encouraged to register an account with IPP if they have not already done so. If your organization is already registered to use IPP, you will not be required to re-register-however, we encourage you make sure your organization and designated IPP user accounts are valid and up to date. It will be the responsibility of the contractor to keep active and maintain there SAM.gov account, in order to keep there IPP account active. Payment is sent via E.F.T., through the account registered in SAM.gov.

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

(866) 973-3131 (M-F 8AM to 6PM ET), or IPPCustomerSupport@fiscal.treasury.gov or ihse-invoicingteam@ihs.gov

Should the contractor feel that use of the IPP would be unduly burdensome, their response to the solicitation should include an explanation of this position, for a determination by the contracting officer to allow non-IPP invoicing.

The contractor shall submit a signed and approved invoice to request payment through IPP, at least bi-weekly. If services are billed at an hourly rate, invoices will include timesheets, signed off by the department supervisor.

The Contractor shall include the following information on each invoice in accordance with the

Prompt Payment Act (5 CFR Part 1315.9(b):

1. Contractor's name;

2. Invoice number and date;

3. Entire award number/Contract number or other authorization number for delivery of goods or services;

4. Description (including dates of service), price, and quantity of goods and services rendered;

5. Shipping and payment terms;

6. UEI number and Taxpayer Identifying Number (TIN); and

7. Contact name (where practicable), title and telephone number.

Only actual hours worked must be invoiced for, at the Fixed Rate referenced in the award document(s). The government reserves the right to not use all hours enacted under each task order and will de-obligated excess hours at close-out of the task order.

Mandatory Background/Security Clearance Requirements:

The employees of the Contractor or its subcontractors, are subject to a background investigation and shall comply with Section 231 of the Crime Control Act of 1990, P.L. 101-647; and the

Indian Child Protection and Family Violence Prevention Act, P.L. 101-630. In addition, each person shall also comply with the Privacy Act of 1974 and the HIPPA Act of 1996. Failure to comply with these statutes will result in immediate removal.

Contractor personnel performing work under this contract, which involve regular contact with, or control over, Indian children, are subject to a character investigation in accordance with the mailto:IPPCustomerSupport@fiscal.treasury.gov mailto:ihse-invoicingteam@ihs.gov mailto:ihse-invoicingteam@ihs.gov

“Indian Child Protection and Family Violence Prevention Act” P.L. 101-630. The Indian Health

Service Personnel Office will conduct these investigations following award of a contract unless in the judgment of the Contracting Officer, in consultation with the Personnel Officer, investigation may be waived based on prior investigations on file. Until the character investigation has been completed and the Contracting Officer notified, such individual shall not have unsupervised contact with Indian children. This level of security is required, and must be maintained for the life of the contract.

Before starting work requiring routine access to I.H.S. facilities or systems each person must complete a FBI National Criminal History Check (Fingerprint Check) adjudicated by an I.H.S.

employee using the Office of Personnel Management Personnel Investigations Processing

System.

Fingerprint cards need to be mailed by USPS, UPS, or Fed Ex, to:

Cheyenne River Health Center

Attn: Chelsie Veit, Background Clearance

24276 166th Street

Eagle Butte, South Dakota, 57625

The only acceptable format for official fingerprints is federal document FD-258 (Rev. 5-15-

17) 1110-0046. The fingerprints must be ORIGINAL in ink. The document must be completed in its entirety. The fingerprint form when completed can be sent using USPS, Fed-Ex or any commercial carrier but must be sent to the address and person named above.

In addition, no Contractor or subcontractor employee shall be permitted to perform work under this contract if listed on the HHS Office of Inspector General List of Excluded

Individuals/Entities (LEIE), http://exclusions.oig.hhs.gov. As soon as practicable prior to the start of work, the performance of the work the Contractor shall provide to the Contracting

Officer the names of all individuals to be used in performance of work for screening against the

LEIE.

The Contractor is responsible for conducting security preclearance investigations in sufficient depth to ensure that each Contractor or subcontractor employee referred to I.H.S. is not on the

LEIE and can obtain a favorable fingerprint clearance. Each security preclearance shall be conducted sufficiently in advance of the start of performance to avoid delays caused by denial of access. If this is a Time and Materials, Labor-Hour or Cost Reimbursement contract, the contractor shall not charge for or be reimbursed for labor hours or other costs incurred for employees who are unable to perform due to denial or access or the excess time required to resolve and clear unfavorable security clearance findings. If this is a Fixed Price contract, denial of access due to security clearance findings shall not be a basis for excusable delay or an increase to the contract amount.

Government will pay for the cost to process the contractors suitability clearances. However, multiple investigations for the same position may, at the Contracting Officers discretion, lead to reduction(s) in the contract price of no more than the cost of the extra investigation(s).

Employees that DO NOT have access to LMS, contractors, volunteers, or IHS employees with

IPA’s or MOA’s to tribal organizations please, click here IHS Sexual Abuse Prevention website. When the contractors have completed and passed the training, please have them send a copy of the last page of the training with Name, Date, and Time to their respective Department

Supervisor, COR, and Kimmen LeBeau, e-mail: Kimmen.LeBeau@ihs.gov

Request Background documents from the contractor, to complete the clearance process, should be mailed/FedEx to the designated background coordinator with 5-7 days.

Since the background clearance process may take up to 2 weeks to be processed and cleared, candidates coming on board should have their complete background documents properly filled out, Employee Health Records, and fingerprint cards, sent to the background coordinator 10 days before there scheduled start date. Failure for delay of getting the required background documents into the Background coordinator, will be reflect on contractors rating performance and entered into CPARS.

Mandatory Employee Health Records Requirements:

Clearance from the Employee Health Coordinator (EHC) needs to be obtained prior to the contractor arriving to the facility, this means all records have been collected and reviewed by the

EHC. The EHC will mark the contractor as “Yes” in the Cleared Column of the database when they have been cleared by the EHC in the Onboarding Database.

The required records are:

• Two (2) documented vaccinations of MMR or a titer showing immunity to Mumps, Measles (Rubeola), Rubella

• Three (3) documented vaccinations of hepatitis b or a titer showing immunity to hepatitis B

• Two (2) documented vaccinations of varicella or a titer showing immunity to varicella

• COVID-19: Completed primary series along with most recent bivalent booster vaccine o Medical and Religious Exemptions may be submitted – will need to be reviewed and approved / disapproved by EHC o Appeals process not valid for contractors, only Federal Employees

• Tdap within the last 10 years

• PPD (purified protein derivative) or QuantiFERON- TB Gold within the last year or chest x-ray within last five (5) years to rule out Tuberculosis o Neither item can expire within contracted time o If contractor were to extend and the PPD/Gold/X-ray were to expire during the extension time frame, the expiring items must be completed and submitted to CRHC prior to extension being signed by CRHC

• Flu vaccine for current Flu Season if contracted between Oct 1 and March 31

• Fit Test within the last year to a mask that CRHC carries.

o Fit test cannot expire within contracted time o If contractor were to extend and the fit test were to expire during the extension time frame, a new fit test must be completed and submitted to

CRHC prior to extension being signed by CRHC https://www.ihs.gov/sexualabuseprevention/training/ https://www.ihs.gov/sexualabuseprevention/training/ mailto:Kimmen.LeBeau@ihs.gov

Contactors are required to follow any Employee Health or Infection Control mandates given by Indian Health Services (IHS) Headquarters, IHS Great Plain Areas, IHS Cheyenne River

Health Center, or the Infection Control Preventionist of CRHC. Listed are examples of mandates that would need to be follow as of 1.24.2023, these mandates are fluid and always changing:

• Mandatory Self Screening for COVID before each shift

• Mandatory masking for all areas of the facility

• Mandatory COVID Bivalent Booster Vaccination

Past Performance Questionnaire/Information

CRHC23-23 Diagnostic CT Technologist Services

OFFEROR INSTRUCTIONS: A separate record must be completed for each Past Performance

Information and Survey; Offeror must directly send to the evaluator, requesting they complete and return as indicated on the attached Past Performance Survey, no later than, August 24, 2023 at 1:00pm MST to stephanie.redelk@ihs.gov. Further, Offeror must include a copy of each requested Past Performance

Information page with proposal submission, showing the date and time you sent to evaluator.

Name of Offeror being evaluated:

Address of Offeror:

Contract Details (i.e. Contract #/ Delivery or Task Order #, Title, Location, etc)

Evaluator’s Full Name:

Evaluator’s Position held or function in relation to project:

Evaluator’s Company/Organization Name, Address and Phone number:

Evaluator’s email address:

Please complete and return to: Stephanie.RedElk@ihs.gov

No Later Than: August 24, 2023 @ 1:00pm MST mailto:stephanie.redelk@ihs.gov

Past Performance Questionnaire

Reference Instructions: The Indian Health Service/Cheyenne River Health Center is considering the

Offeror listed above for award of a firm-fixed price, non-personal service, IDIQ contract, for Diagnostic

CT Technologist Services. Your comments would be appreciated regarding this firm’s past performance.

Your comments are considered Source Selection Sensitive; therefore, you are advised that the Federal

Acquisition Regulation (FAR) 15.506 prohibits the release of the names of the individuals providing reference information about the Offeror’s past performance. Survey should be completed by the evaluator and returned to Stephanie Red Elk at Stephanie.RedElk@ihs.gov, no later than the date specified at the bottom of the form.

Please evaluate the Past Performance using only the following ratings without variation. If the rating is Marginal or Unacceptable, provide additional information in the appropriate block or in the remarks section of this form.

O = Outstanding = Performance greatly exceeded contract requirements

A = Above Average = Performance exceeded contract requirements

S = Satisfactory = Performance met contract requirements

M = Marginal = Performance met the minimum contract requirements but some material aspects of the contractor’s performance were less than satisfactory.

U = Unacceptable = Performance was poor and/or did not satisfy contract requirements

NOTE: Do not use a color marking pen to circle the response. Best to use a ball point pen

(Black or Blue) to circle your response.

Describe exactly what type of CT Technologist services, or similar service(s) were provided to your company/organization?

Length of the Service (Provide dates):

Rate the following questions if the company provided temporary medical staffing or similar services. Provide information/comments in the

Remarks Section below.

Circle One

Q1. To what extent did the contractor comply with contract requirements?

O A S M U

Q2. How timely was the contractor’s performance?

Q3. How well did the contractor comply with the labor and safety standards?

Q4. Rate the effectiveness of the contractor’s management of the contract?

Q5. Rate the contractor’s handling of staff integrity issues.

Q6. Rate the contractor’s personnel management practices.

Q7. Quality Control: Rate the overall quality of contractor’s work.

Q8. How well did the contractor comply with the training requirements with respect to its employees?

Q9. What extent was contractor flexible in responding to changing needs?

Q10. To what extent was the contractor reliable and responsive?

Q11. To what extent did the contractor have continuous uninterrupted service?

Q12. Have any cure notices, show cause letters, suspension of payment, or termination been issued? If yes, explain on the following page.

Yes No

Q13. Would you award another contract to this contractor? If no, explain on the following page.

Q14. Was the customer satisfied with the service provided? If no, explain on the following page.

Q15. To what extent did contractor notify you of problems of potential issues?

Q16. Did the Contractor submit accurate invoices during the performance period?

Yes No

Q17. Was the contractor professional and courteous in its interaction with you?

Yes No

Q18. Did the contractor respond promptly to requests? Yes No

Q19. Did the contractor meet all expectations under the contract? Yes No

Past Performance Questionnaire – Remarks Section

Evaluator’s Additional Remarks regarding services:

Signature of Evaluator: Date of Evaluation:

Print Name of Evaluator:

Please email scanned copy directly to

Stephanie.RedElk@ihs.gov

Do NOT return survey to the company you are evaluating

CLAUSES & PROVISIONS INCORPORATED BY REFERENCE

(Firm Fixed-Price Service - Commercial Item)

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 this/these address(es): http://arnet.gov/far/index.html

52.252-2 -- Clauses Incorporated by Reference (Feb 1998)

This contract incorporates one or more clauses 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. Also, the full text of a clause may be accessed electronically at this/these address(es): http://arnet.gov/far/index.html

I. Federal Acquisition Regulations (FAR) (48 CFR Chapter 1) Clauses

No. FAR Citation Clause Title Clause Date_______

1. 52.202-1 Definitions Jun 2020

2. 52.203-3 Gratuities Apr 1984

3. 52.203-12 Limitation on Payments to Influence Certain Federal Transactions Jun 2020

4. 52.203-17 Contractor Employee Whistleblower Rights and Requirements Jun 2020

To Inform Employees of Whistleblower Rights.

5. 52.204-7 System for Award Management Oct 2018

6. 52.204-9 Personal Identity Verification of Contractor Personnel Jan 2011

7. 52.204-13 System for Award Management Maintenance Oct 2018

8. 52.204-15 Service Contract Reporting Requirements for Oct 2016

Indefinite-Delivery Contracts

9. 52.204-16 Commercial and Government Entity Code Reporting Aug 2020

10. 52.204-18 Commercial and Government Entity Code Maintenance Aug 2020

11. 52.204-19 Incorporation by Reference of Representation and Certifications Dec 2014

12. 52.212-1 Instructions to Offerors – Commercial Products and Commercial Nov 2021

Services

13. 52.212-4 Contract Terms and Conditions – Commercial Products and Dec 2022

Commercial Services http://arnet.gov/far/index.html http://arnet.gov/far/index.html

14. 52.215-5 Facsimile Proposals Oct 1997

15. 52.216-27 Single or Multiple Awards Oct 1995

16. 52.217-4 Evaluation of Options Exercised at Time of Contract Award Jun 1988

17. 52.217-5 Evaluation of Options Jul 1990

18. 52.217-8 Option to Extend Services Nov 1999

19. 52.222-41 Service Contract Labor Standards Aug 2018

20. 52.222-43 Fair Labor Standards Act and Service Contract Labor Standards Aug 2018

-Price Adjustment (Multiple Year and Option Contracts)

21. 52.223-6 Drug-Free Workplace May 2001

22. 52.224-1 Privacy Act Notification Apr 1984

23. 52.224-2 Privacy Act Apr 1984

24. 52.232-25 Prompt Payment Jan 2017

25. 52.232-33 Payment by Electronic Funds Transfer – System for Award Oct 2018

Management

26. 52.232-39 Unenforceability of Unauthorized Obligations Jun 2013

27. 52.232-40 Providing Accelerated Payments to Small Business Subcontractors Nov 2021

28. 52.233-1 Disputes May 2014

29. 52.233-3 Protest After Award Aug 1996

30. 52.237-1 Site Visit Apr 1984

31. 52.237-2 Protection of Government Buildings, Equipment, and Vegetation Apr 1984

32. 52.237-3 Continuity of Services Jan 1991

33. 52.237-7 Indemnification and Medical Liability Insurance Jan 1997

34. 52.242-15 Stop-Work Order Aug 1989

35. 52.243-1 Changes-Fixed-Price Aug 1987

36. 52.249-2 Termination for Convenience of the Government Apr 1984

(Fixed-Price)

37. 52.249-8 Default (Fixed-Price Supply and Service) Apr 1984

38. 52.253-1 Computer Generated Forms Jan 1991

II. Federal Acquisition Regulations (FAR) (48 CFR Chapter 1) Clauses in Full Text

No. FAR Citation Clause Title Clause Date_______

1. 52.204-21 Basic Safeguarding of Covered Contractor Information Systems Nov 2021

2. 52.212-3 Offeror Representation and Certifications Dec 2022

- Commercial Products and Commercial…