RFQ NO. 75H70725Q00002 - OPTOMETRIST - AIHC.pdf

SEE ADDENDUMIS CHECKED

CODE 18a. PAYMENT WILL BE MADE BY

CODE

FACILITYCODE

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

OFFEROR

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

CODE 16. ADMINISTERED BYCODE

X

X

X

621320

SIZE STANDARD:

100.00 % FOR:SET ASIDE:UNRESTRICTED OR203

REQUEST FOR

PROPOSAL

(RFP)

INVITATION

FOR BID (IFB)

10. THIS ACQUISITION ISCODE

REQUEST FOR

QUOTE (RFQ)

14. METHOD OF SOLICITATION

13b. RATING

NORTH AMERICAN INDUSTRY

CLASSIFICATION STANDARD

(NAICS):

SMALL BUSINESS

12/12/2024 1730 MS

11/22/2024

505-256-6755SHANDIIN DEWOLFE

(No collect calls)

INFORMATION CALL:

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

4. ORDER NUMBER3. AWARD/ 6. SOLICITATION

75H70725Q00002

5. SOLICITATION NUMBER

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

1 52 OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

TELEPHONE NO.

17a. CONTRACTOR/

15. DELIVER TO

Albuquerque NM 87110 4101 Indian School Rd NE, Suite 225

9. ISSUED BY

7.

2. CONTRACT NO.

EFFECTIVE DATE

$9

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

ISSUE DATE

DELIVERY FOR FREE ON BOARD

(FOB) DESTINATION UNLESS

BLOCK IS MARKED

11.

SEE SCHEDULE

12. DISCOUNT TERMS THIS CONTRACT IS A RATED

ORDER UNDER THE DEFENSE

PRIORITIES AND ALLOCATIONS

SYSTEM - DPAS (15 CFR 700)

13a.

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

(SDVOSB)

HUBZONE SMALL

BUSINESS

8(A)

Albuquerque Indian Health Service

WOMEN-OWNED SMALL

BUSINESS (WOSB)

ECONOMICALLY DISADVANTAGED

WOMEN-OWNED SMALL

BUSINESS (EDWOSB)

24.

AMOUNT

23.

UNIT PRICE

22.

UNIT

21.

QUANTITY

20.

SCHEDULE OF SUPPLIES/SERVICES

19.

ITEM NO.

RFQ No. 75H70725Q00002 is hereby issued for one

(1) Optometrist to provide Non-Personal Healthcare Services for the Albuquerque Indian Health Center located in Albuquerque, NM.

CASCADING SET-ASIDE

Under the Buy Indian Act, 25 U.S.C. 47, through the transfer of authority from the Department of the Interior to the Department of Health & Human Services, offers will be solicited from Indian

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

HEREIN, IS ACCEPTED AS TO ITEMS:

X

XX

DATED

ERIC K. WRIGHT

. YOUR OFFER ON SOLICITATION (BLOCK 5),

INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE SET FORTH

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DELIVER

ARE

ARE

31c. DATE SIGNED

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

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

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

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

SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED.

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

AND 52.212-5 ARE ATTACHED. ADDENDA

26. TOTAL AWARD AMOUNT (For Government Use Only)

OFFER

STANDARD FORM 1449 (REV. 11/2021)

Prescribed by GSA - FAR (48 CFR) 53.212

ARE NOT ATTACHED.

ARE NOT ATTACHED.

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

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

30a. SIGNATURE OF OFFEROR/CONTRACTOR

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

25. ACCOUNTING AND APPROPRIATION DATA

29. AWARD OF CONTRACT: REFERENCE

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE

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

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

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED

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

37. CHECK NUMBER

FINALPARTIAL

36. PAYMENT

FINALPARTIAL

35. AMOUNT VERIFIED

CORRECT FOR

34. VOUCHER NUMBER33. SHIP NUMBER

COMPLETE

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

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

42b. RECEIVED AT (Location)

42a. RECEIVED BY (Print)

41c. DATE41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER

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

STANDARD FORM 1449 (REV. 11/2021) BACK

24.

AMOUNT

23.

UNIT PRICE

22.

UNIT

21.

QUANTITY

20.

SCHEDULE OF SUPPLIES/SERVICES

19.

ITEM NO.

Small Business Economic Enterprises (ISBEE)(See

HHSAR Subpart 326.6) first. If there is not enough competition and/or reasonably-priced offers from the ISBEE Set-Aside, then quotes from other small businesses will be considered for award. Any acquisition resulting from this cascading set-aside will be from such a concern, as follows:

1st Tier: Indian Small Business Economic

Enterprises (ISBEE)

2nd Tier: All Other Small Business Concerns

Please remember to submit a signed SF-1449 (first page only) in blocks 30a, 30b, and 30c to indicate that the entire solicitation has been read and understood in its entirety. Thank you!

32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

52 2 of

One (1) Optometrist Solicitation No. 75H70725Q00002 Albuquerque Indian Health Center

SECTION 1 SUPPLIES OR SERVICES AND PRICES/COSTS

1.1 SERVICES

1.1.1 The Indian Health Service (IHS)/Albuquerque Area Office (AAO), Albuquerque Service Unit (ASU) has a requirement for one (1) Optometrist to provide Non Personal Healthcare Services at the Albuquerque Indian Health Center located in Albuquerque, NM, starting February 01, 2025 through January 31, 2025.

The resulting award will consist of a base year with four option years.

1.1.2 This will result in one firm fixed price (FFP) award.

1.2 PRICE OR COST

This will result in one Firm Fixed Price (FFP) purchase order. The number of hours listed in the “SCHEDULE OF CHARGES” below are expected but may not be representative of actual number of hours worked and serve as a means of arriving at price reasonableness for award purposes. Utilization of the FFP contract has been determined to be appropriate for one (1) Optometrist to provide Non Personal Healthcare Services, as the government anticipates a recurring need, but cannot pre determine the exact number of hours that will be worked during the contract period(s).

1.3 GENERAL CONTRACT INFORMATION

1.3.1 This is a non personal health care service contract, as defined in Federal Acquisition Regulation (FAR) 37.401, under which the contractor is an independent contractor. The Government may evaluate the quality of professional and administrative services provided, but retains no control over the medical, professional aspects of services rendered (e.g., professional judgments, diagnosis for specific medical treatment). The contractor indemnifies the Government for any liability producing act or omission by the contractor, its employees and agents occurring during contractor performance. The contract must maintain medical liability insurance. Coverage amount acceptable to the Contracting Officer, which is not less than the amount normally prevailing within the local community for the medical specialty. The contract is required to ensure that its subcontract for provisions of health care services contain the requirement of the Clause 52.237 7, including the maintenance of medical liability insurance.

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

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

1.4 CONTRACT PRICE

1.4.1 This is a FFP purchase order. The total price for this contract is $TBD.

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

SCHEDULE OF CHARGES**

Item # Contract Period Pricing Total Amount

CLIN 1 Base Year:

02/01/2025 – 01/31/2026

1 Optometrist x $________/hour x 40 hours/week x 52 weeks/year =

$______________/year

CLIN 2 1st Option Year:

02/01/2026 – 01/31/2027

1 Optometrist x $________/hour x 40 hours/week x 52 weeks/year =

$______________/year

CLIN 3 2nd Option Year:

02/01/2027 – 01/31/2028

1 Optometrist x $________/hour x 40 hours/week x 52 weeks/year =

$______________/year

CLIN 4 3rd Option Year:

02/01/2028 – 01/31/2029

1 Optometrist x $________/hour x 40 hours/week x 52 weeks/year =

$______________/year

CLIN 5 4th Option Year:

02/01/2029 – 01/31/2030

1 Optometrist x $________/hour x 40 hours/week x 52 weeks/year =

$______________/year

GRAND TOTAL (base year + option years): $__________________

* Note # of weeks is subject to change due to Federal Holidays, unexpected closures/delays, etc. Also, the start date is dependent on the background clearance of the Contractor, so this date is subject to change.

* All inclusive: The hourly rate shall be an all inclusive rate of all other fees including: travel expenses; per diem;

lodging; all cities, state, federal, and local taxes; and miscellaneous cost associated with the above services.

***There is a fillable table attached for your usage or you may use a format of your own***

1.5 OPTION PRICES

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

1.5.2 Pursuant to either the FAR Clause 52.217 8, Option to Extend Services or the FAR Clause 52.217 9, Option to Extend the Term of the Contract, the Government may, via a unilateral contract modification, require the Contractor to perform the Option Period(s) as defined in the SOW of this contract. A notice that the Government intends to exercise any of the options will happen prior to the contract’s expiration date (typically 60 days prior). If the option is not exercised within 30 days of the start date, a unilateral signature will be required. When exercising an option period, the fixed price rate of this contract is listed in the table above.

1.5.3 Upon the delivery and acceptance of the Option Services described in the SOW of the contract and identified in the schedule of charges above, the Government shall pay the Contractor the listed rate(s) and will be paid from the following Contract Line Item Numbers (CLINs), accordingly.

1.5.4 If the Government exercises its option, the Government's total estimated contract amount, represented by the sum of the price of base plus option periods and the period of performance will be as listed above.

SECTION 2 – DEFINITIONS:

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

2.2 Approval: Acknowledgment by the designated Government official that submittals, deliverables, or administrative documents (e.g., insurance certificates, installation schedules, planned utility interruptions, etc.)

conform to the contractual requirements. Government approval does not relieve the Contractor from responsibility for compliance with contract requirements.

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

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

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

2.6 Business Associate Agreement (BAA): A BAA is a contract between a HIPAA covered entity and a HIPAA BA. The contract protects personal health information (PHI) in accordance with HIPAA guidelines.

2.7 Code of Ethics: According to the National Institutes of Health (NIH), the Optometrist’s Code of Ethics is as follows: In addition to beneficence, non maleficence, respect for autonomy and justice, the principles of confidentiality, protection of the vulnerable and collegiality have been included to form the ethical principles that should guide optometric practice.

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

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

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

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

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

2.13 Customer Evaluation/Input: Written comments made to the COR regarding the Contractors performance. This is one of the criteria used to evaluate the Contractor's performance.

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

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

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

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

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

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

2.20 Patient Outcome: End result of requested medical care.

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

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

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

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

2.25 Service Unit: The local administrative unit of IHS.

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

2.27 Technical Direction: A directive to the Contractor that approves approaches, solutions, designs, or refinements;

fills in details or otherwise completes the general description of work or documentation items; shifts emphasis among work areas or tasks; or furnishes similar instruction to the Contractor.

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

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

SECTION 3 – GOVERNMENT FURNISHED PROPERTY AND SERVICES:

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

Item No

Property Description Property Value Qty. Location Date Available

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

3.2 Information: Government unique information related to this requirement, which is necessary for Contractor performance, made available to the Contractor. The COR will be the point of contact for identification of any required information to be supplied by the Government.

3.3 Joint Use by the Government and the Contractor: Except for the property and service listed in Section 4, the Government will provide, for joint use by the Government and the Contractor, all necessary equipment, supplies, and clinic space to perform the services under this contract.

3.4 Contractor Exclusive Use:

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

3.4.2 The Government will provide facility specific contractor identification badges for each contractor. For lost or destroyed badges, there is a minimum charge of $20.00.

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

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

SECTION 4 – CONTRACTOR FURNISHED ITEMS:

4.1 Contractor Furnished Property

4.1.1 Except for the property specified as “government furnished”, the Contractor shall provide all uniforms and other personal medical instruments subject to the following:

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

b. Other personal medical instruments: "Other personal medical instruments" defined, as Contractor owned items include but not limited to stethoscope, scissors, as appropriate to the work unit. The Contractor must not use unsafe equipment or supplies at any time during performance of this contract.

All Contractor furnished equipment and supplies shall be subject to inspection by the Government and must be approved by the COR prior to use by the Contractor. The Government reserves the right to prohibit the use of any materials, supplies, or equipment.

SECTION 5 – STATEMENT OF WORK (SOW)

5.1 The contractor will function as a staff Optometrist, performing the professional Optometry duties as diagnostic, preventive, and therapeutic eye care to American Indians and Alaska Natives of all ages. Examines, diagnoses, treats diseases and disorders, chronic eye conditions (i.e., cataracts, glaucoma, diabetes, degenerative corneal and retinal diseases,) at the following location:

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

Acquisition will be a base +4 years (depending on the existing requirement of the government, performance of satisfactory service provided during the base year, and is contingent upon the availability of funds for the appropriate fiscal year) to cover the absence of a permanent Optometrist, Monday Friday 0730 1700, excluding all federal holidays, with every other Friday off. The contractor shall perform with minimal deviation from the established tour of duty and with minimum disturbance and maximum protection of government personnel, property and to the Native American population and general public.

The work to be performed includes, but not limited to, the following:

• Contractor will deliver high quality primary and comprehensive eye & vision care services; examining for & prescribing corrective lens, ordering diagnostic imaging & laboratory studies.

• Contractor will provide preventive and therapeutic optometric care to individuals across all age spectrums and development within a high risk population in a responsible, respectful, and caring manner.

• Provides diagnosis of visual and ocular problems through external and internal physical examination of the eye and adnexa.

• The contractor will provide detection of neuromuscular impairment or anomalies of binocular function.

• Contractor will provide treatment of unusual and/or complex visual and ocular disorders through the application of advanced optometric techniques.

• Contractor shall use all forms of topical ophthalmic therapeutic medicines as well as oral therapeutic medicines to manage ocular pathology and trauma.

• Provides minor surgical procedures including, but not limited to, anterior segment foreign body removal, corneal debridement, and suture removal.

• The contractor shall provide ocular pathology, diagnosis, and management through the utilization of laboratory and radiology services to evaluate ophthalmic conditions. Provision of emergency care services in an outpatient setting.

• Contractor will independently diagnose and manage optometric and ocular medical problems, including but not limited to Diabetic Retinopathy, Glaucoma, Iritis, all type of conjunctivitis, systemic retinal pathology and other ocular/systemic diseases.

• Contractor will coordinate medical eye care with other physicians as appropriate and if needed will refer and coordinate with contract health for patients requiring medical, surgical, and/or diagnostic services outside of the Service Unit.

• Prepares referrals for diagnosis, treatment & management of systemic & ocular conditions revealed through optometric examination as needed.

• Contractor will receive referrals from other health care professionals for specialty consultation and continued management of ocular disease.

• Contractor will provide specialty services and clinics per program directives and need, including but not limited to the following: low vision, contact lenses, geriatric and special needs patients.

• Providing patient & family education regarding ocular health issues.

• Performing mandated examinations such as diabetic retinopathy & glaucoma screenings.

• Provides patients with consistent information according to established IHS policies, procedures, and standards.

• Performing the administrative components of patient care management, including timely documentation and completion of observations, assessments, progress notes, changes in patients’ condition, consults & encounters for all patients utilizing the Electronic Health Record (EHR) according to IHS policies and procedures, AAAHC standards, and CMS regulations.

• Provides clinical supervision/oversight/staffing to student optometry interns and resident when applicable.

• Participate actively in performance improvement, attend assigned meetings or process action teams, and work collaboratively with other specialties as they relate to the scope of work.

• Provides direct clinical supervision of health technicians and other staff as appropriate.

• Establishes professional working relationships with other clinical service providers within the medical center and outlying clinics.

• Provide telephone and e consults consultations as needed.

• Attend mandatory trainings and comply with CME requirements in the specialty of Optometry.

• Current Basic Life Support (BLS) certification required.

• Performs other directly related duties as assigned.

• Required to obtain and maintain medical staff clinical privileges, including any credentialing and licensure requirements.

• The Contractor shall be in accordance with all federal, state, local, tribal and IHS regulations.

5.2 Work Schedule:

Monday through Friday, 0730 1700, excluding all federal holidays, with every other Friday off.

• Scheduling of shifts COR or POC at the IHS facility will determine the specific tour of duty. The contractor must work 100% of the contracted hours. The contractor will work no more than 80 hours every 2 weeks.

• Absence the contractor will perform and obtain approval of the COR or the Optometry Department prior to any absence from work. If the length of absence exceeds working hours, the contractor must request agency approval at least (15) days (with the exception of verifiable emergencies) in advance of the desired absence.

o Contractor must provide documentation from a health care provider for absences of (3) or more consecutive days, due to illness, stating:

1. The cause of the current illness or incapacitation

2. Indicate if the contractor is contagious or non contagious

5.3 Performance Evaluation:

5.3.1 The contractor must be able to meet the requirements of the services listed in the SOW to a satisfactory degree.

5.3.2 The Contractor will immediately report to the COR any information or circumstances that may violate any statute, policy, or procedure, including any changes in applicable federal, state, county, or tribal regulations or licensure requirements that may affect the services that are received.

5.4 CONTRACTOR QUALIFICATION REQUIREMENTS:

Qualifications:

To qualify for this position, the Contractor’s resume must state sufficient experience and/or education to perform the duties listed in the SOW.

Basic requirements:

o Education: Applicants must have a Doctor of Optometry Degree from an educational program that is accredited by the Accreditation Council on Optometric Education (AOEC) at the time the degree was obtained.

o Licensure: Applicants must have received a passing score on the National Board of Examiners in Optometry (NBEO) examinations and must possess a current, full, and unrestricted license to practice Optometry in a U.S. State, District of Columbia (D.C.), the Commonwealth of Puerto Rico, or territory of the United States.

In addition to the basic requirements, the Contractor must also meet the minimum qualifications stated below:

Applicants must meet at least one of the following requirements:

o One year completion of a residency program in an institution accredited for such training;

and/or o One year of professional experience as an Optometrist. Contractor’s resume must demonstrate at least one (1) year of professional experience obtained in either the private or public sector performing the following type of work and/or tasks:

Experience in providing technical guidance to Optometry Staff.

Reviewing and/or revising policies and procedures.

Assisting in quality assurance activities, etc.

Experience in hospital based Optometry includes the diagnostics and management of ametropias, ocular infections, ocular inflammatory and autoimmune conditions, dry eye conditions, glaucoma, macular degeneration, diabetic eye disease, ocular trauma, and binocular dysfunctions.

Operating Optometric diagnostic and treatment instruments and equipment.

5.5 When the Contractor demonstrates impaired judgement, they cannot continue working on the purchase or task order. The Government reserves the right to remove from the facility any Contractor employee who in the judgment of a licensed healthcare practitioner is impaired.

SECTION 6.0 QUALITY ASSURANCE SURVEILLANCE PLAN (subject to change) Performance Based Task

Indicator Standard Quality Assurance Incentives

1. Manage patient needs for healthcare facility visits.

All patients’ needs are being meet during each visit.

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

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

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

Monitored on a periodic basis when services occur. Final determination will happen when job is completed.

Outstanding Means there are no issues so payments processed promptly.

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

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

2. Provide Optometrist duties, as listed in the SOW.

Optometrist duties are to be used.

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

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

Monitored on a periodic basis when services occur. Final determination will happen when job is completed.

Outstanding Means there are no issues so payments processed promptly.

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

Satisfactory Means there are too many issues and payment not processed until

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

they are at the level of either Satisfactory or Outstanding.

3. Complete all required documentation in the Electronic Health Record (EHR).

All patient records are routinely updated per visit.

Outstanding – 100% of all charting completed per visit.

Acceptable – 80 to 99% of all charting completed per visit.

Satisfactory – 65 to 80% of all charting completed per visit.

Monitored on a periodic basis when services occur. Final determination will happen when job is completed.

Outstanding Means there are no issues so payments processed promptly.

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

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

4. Maintain the American Heart Association BLS certification and any other required certifications.

Certifications are current.

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

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

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

Monitored on a periodic basis when services occur. Final determination will happen when job is completed.

Outstanding Means there are no issues so payments processed promptly.

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

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

SECTION 7 PACKAGING ANDMARKING

7.1 PACKAGING

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

7.2 MARKING

Each package/container delivered to the address shown in Section 10 entitled "Contracting Officers' Representative Appointment and Authority," and shall be clearly marked as follows:

• Name of Contractor

• Contract Number

• Description of Items Contained Therein

• Consignee's Name and Address

7.3 DELIVERY

All deliverables shall be delivered to the following address, if necessary:

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

SECTION 8 INSPECTION AND ACCEPTANCE

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

8.2 FEDERAL ACQUISITION REGULATION {48 CFR CHAPTER 1) CLAUSES

FAR Clause No. Title Date

52.246 4 Inspection of Services – Fixed Priced (Aug 1996)

SECTION 9 DELIVERIES OR PERFORMANCE

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

9.1.1 Services under this contract shall typically commence as listed below:

Base Year: 02/01/2025 – 01/31/2026 1st Option Year: 02/01/2026 – 01/31/2027 2nd Option Year: 02/01/2027 – 01/31/2028 3rd Option Year: 02/01/2028 – 01/31/2029 4th Option Year: 02/01/2029 – 01/31/2030

9.1.2 Performance will be for the period of 02/01/2025 to 01/31/2026 unless the period changed by written modification to the purchase order in accordance with FAR 52.217 9, Option to Extend the Term of the Contract.

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

9.2 PLACE OF PERFORMANCE: The contractor must provide one (1) Optometrist to provide Non Personal Healthcare Services to the following Albuquerque Area Indian Health Service Facilities:

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

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

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

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

SECTION 10 CONTRACT ADMINISTRATION

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

The Federal Acquisition Regulation defines an unauthorized commitment as an agreement that is not binding solely because the government representative who made it lacked the authority to enter into that agreement on behalf of the government. Only contracting officers have the authority to make purchases or award contracts.

Upon receipt and/or execution of any order placed for goods or services, the vendor shall verify that the Government Agent issuing the order has necessary authority to entire into the purchase order/contract. If it is determined that the vendor failed to do so, they may be held liable for future Unauthorized Commitments.

10.2 CONTRACTING OFFICER

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

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

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

CONTRACT ADMINISTRATOR

All Contract administration performed by:

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

HHSAR 301 602 3 Ratification of Unauthorized Commitments: The Government is not bound by agreements with, or contractual commitments made to, prospective contractors by individuals who do not have delegated contracting authority. Unauthorized commitments do not follow the appropriate process for the expenditure of Government funds. Consequently, the Government may not be able to ratify certain actions, putting a contractor at risk for taking direction from a Federal official other than the contracting officer. See FAR 1.602 1.

Government employees responsible for unauthorized commitments are subject to disciplinary action.

Contractors perform at their own risk when accepting direction from unauthorized officials. Failure to follow statutory and regulatory processes for the expenditure of Government funds is a very serious matter.

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

(ALT COR)

10.3.1 Autumn DiValentino, (xxx)xxx xxxx, @ihs.gov, is hereby designated as COR for this service. The COR’s responsibilities will be to coordinate with the contractor the technical aspects of this service and the review of performance hereunder. The COR does not have the authority to change or alter the order amount, terms and conditions.

10.3.2 Christopher Cordes, (xxx)xxx xxxx, TBD@ihs.gov, is hereby designated as Alternate COR for this service.

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

10.3.3 The COR’s and Alternate COR’s responsibilities will include ensuring contractor accountability.

Monitoring the Contractor’s technical progress including the surveillance and assessment of performance and recommending to the CO changes in requirements. Interpreting the SOW. Performing technical evaluations as required. Perform technical inspection and acceptance as required. Assisting the Contractor in the resolution of technical problems encountered during performance. Perform receiving and processing invoices for payment.

10.4 TECHNICAL MONITORING

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

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

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

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

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

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

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

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

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

(d) The Contractor shall proceed promptly with performance resulting from the technical direction issued by the COR. If, in the opinion of the Contractor, any direction of the COR, or his designee, falls within the limitations in (b), above, the Contractor shall immediately notify the CO no later than the beginning of the next Government work day.

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

10.5 INVOICE SUBMISSION

10.5.1 The Contractor shall submit invoices daily, weekly, or monthly as necessary. Advance payments will not be issued by Finance unless stated herein. Upload complete invoice with all required documentation to:

https://www.ipp.gov

* Please do not send any invoices or any invoice related documents (such as deliverables, reports or balance statements) to the Contracting Officer or Finance Department. Failure to upload required documents directly to the website listed above will delay prompt payment of your invoice.

10.5.2 Request for Taxpayer Identification Number and Certification

A formW 9 shall be submitted to the Albuquerque Area Indian Health Service Division of Accounting Services by either of the following:

1. Encrypted Email: ALB_AOAPinvoices@ihs.gov or

2. Secure Fax: (505) 256 6851

Failure to submit the required formW 9 to the office(s) listed above will delay issuance of the IRS 1099 Form.

10.5.3 Credit memos will not be accepted as a form of refund. All refunds are to be submitted via a check addressed to:

Albuquerque Area Indian Health Service Division of Accounts Receivable 4101 Indian School Road NE, Suite 225 Albuquerque, NM 87110

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

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

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

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

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

(i) Name and address of the contractor.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

SECTION 11 SPECIAL CONTRACT REQUIREMENTS

11.1 CONTRACTOR PERFORMANCE EVALUATION REPORT

11.1.1 During the life of this contract, the contractor's performance will be evaluated on an interim and final basis pursuant to FAR Subpart 42.15. Evaluation will become part of the contract file and will be used as past performance information in evaluating the Contractor's, and any significant subcontractors or affiliates, past performance on future contracts.

11.1.2 Contractor Performance Assessment Report System (CPARS) is an on line reporting system https://www.cpars.gov/. The Contractor Performance Report is completed by the COR electronically and sent to the Contractor for review and approval at the end of each performance period as an interim report and at the end of the contract performance as a final report. After review by the Contracting Officer, the report becomes a permanent record of the Contractor's past performance.

SECTION 12 FEDERAL ACQUISITION REGULATIONS (FAR) 48 CFR CHAPTER CLAUSES

12.1 CLAUSES INCORPORATED BY REFERENCE FAR 52.252 2 (FEB 1998)

This Contract incorporates FAR provisions/clauses referenced, 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 full text of a clause accessed electronically at this website address: FAR https://www.acguisition.gov/far/index.html.

FAR Clause Title Date

52.203 3 Gratuities Apr 1984

52.203 5 Covenant against Contingent Fees May 2014

52.203 7 Anti Kickback Procedures June 2020

52.203 8 Cancellation, Rescission, and Recovery of Funds for Illegal or Improper Activity May 2014

52.203 10 Price or Fee Adjustment for Illegal or Improper Activity May 2014

52.212 4 Contract Terms and Conditions – Commercial Products and Commercial Services Nov 2023

52.224 1 Privacy Act Notification Apr 1984

52.224 2 Privacy Act Apr 1984

52.229 3 Federal, State, and Local Taxes Feb 2013

52.232 11 Extras Apr 1984

52.232 40 Providing Accelerated Payments to Small Business Subcontractors Mar 2023

52.233 4 Applicable Law for Breach of Contract Claim Oct 2004

52.237 3 Continuity of Services Jan 1991

52.239 1 Privacy or Security Safeguards Aug 1996

52.242 13 Bankruptcy Jul 1995

52.242 15 Stop Work Order Aug 1989

52.245 1 Government Property Sep 2021

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

52.253 1 Computer Generated Forms Jan 1991

Following Clauses in Full Text:

12.2 FAR 52.209 5 CERTIFICATION REGARDING RESPONSIBILITY MATTERS (AUG 2020)

(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;

(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 liability remains unsatisfied.

(1) Federal taxes are considered delinquent if both of the following criteria apply:

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

(ii) 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.