RFQ No. 75H70726Q00027-.pdf

75H70726Q00027

1. REQUEST NO.

5a. ISSUED BY

NAME

a. NAME

c. STREET ADDRESS

d. CITY

10. PLEASE FURNISH QUOTATIONS TO

THE ISSUING OFFICE IN BLOCK 5a ON

OR BEFORE CLOSE OF BUSINESS (Date)

2. DATE ISSUED 3. REQUISITION/PURCHASE REQUEST NO. 4. CERT. FOR NAT. DEF.

UNDER BDSA REG. 2

AND/OR DMS REG.1

RATING

6. DELIVERY BY (Date)

7. DELIVERY

9. DESTINATION

a. NAME OF CONSIGNEE

b. STREET ADDRESS

PAGE OF PAGES

5b. FOR INFORMATION CALL: (No collect calls)

TELEPHONE NUMBER

AREA CODE NUMBER

8. TO:

b. COMPANY

e. STATE f. ZIP CODE

c. CITY

d. STATE e. ZIP CODE

IMPORTANT: This is a request for information, and quotations furnished are not offers. If you are unable to quote, please so indicate on this form and return it to the address in Block 5a. This request does not commit the Government to pay any costs incurred in the preparation of the submission of this quotation or to contract for supplies or services. Supplies are of domestic origin unless otherwise indicated by quoter. Any representations and/or certifications attached to this Request for Quotations must be completed by the quoter.

11. SCHEDULE (Include applicable Federal, State and local taxes)

THIS RFQ

REQUEST FOR QUOTATION

(THIS IS NOT AN ORDER)

IS IS NOT A SMALL BUSINESS SET ASIDEX

01/07/2026

1 18

4101 Indian School Rd NE, Suite 225 Albuquerque NM 87110

Albuquerque Indian Health Service Multiple

505 256-6755SHANDIIN DEWOLFE

01/23/2026 1730 MS

FOB DESTINATION

OTHER

(See Schedule)X

ITEM NO.

(a)

SUPPLIES/SERVICES

(b)

QUANTITY

(c)

UNIT

(d)

UNIT PRICE

(e)

AMOUNT

(f)

RFQ No. 75H70726Q00027 is hereby issued for Remote Medical Coding, Billing, & Accounts Receivable (AR) to be provided for the Taos-Picuris Health Center located in Taos, NM.

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

12. DISCOUNT FOR PROMPT PAYMENT

a. 10 CALENDAR DAYS (%) b. 20 CALENDAR DAYS (%) c. 30 CALENDAR DAYS (%) d. CALENDAR DAYS

NUMBER PERCENTAGE

NOTE: Additional provisions and representations

13. NAME AND ADDRESS OF QUOTER

b. STREET ADDRESS

c. COUNTY

d. CITY e. STATE f. ZIP CODE

14. SIGNATURE OF PERSON AUTHORIZED TO

SIGN QUOTATION

16. SIGNER

a. NAME (Type or print)

c. TITLE (Type or print)

a. NAME OF QUOTER

AREA CODE

NUMBER

15. DATE OF QUOTATION

b. TELEPHONE are are not attached

AUTHORIZED FOR LOCAL REPRODUCTION

Previous edition not usable

STANDARD FORM 18 (REV. 6-95)

Prescribed by GSA - FAR (48 CFR) 53.215-1(a)

Solicitation No.

Project Title Remote Medical Coding, Billing & AR - TPSU

SECTION B – CONTINUATION OF SF-18

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

Solicitation No. 75H70726Q00027 is issued as a Request for Quotation (RFQ) for Remote Medical Coding, Billing, and Accounts Receivable (AR) Services to be provided to the Taos-Picuris Health Center located in Taos, NM.

This acquisition is set-aside for Indian Small Business Economic Enterprise (ISBEE) concerns. The full text of provisions and clauses may be accessed electronically at FAR and Revolutionary FAR Overhaul.

The associated North American Industrial Classification System (NAICS) code for this procurement is 541219 with a small business size standard of $25.0M.

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

Taos-Picuris Health Center 1090 Goat Springs Road Taos, NM 87571

1. CONTRACT TYPE

The Department of Health and Human Services (DHHS), Albuquerque Area Indian Health Service (IHS), Division of Contracts and Grants Management (DCGM), anticipates awarding a single firm-fixed price type order, as a result of this opportunity.

2. PERIOD OF PERFORMANCE (POP)

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

Base Year: 03/01/2026 – 02/28/2027 1st Option Year: 03/01/2027 – 02/29/2028 2nd Option Year: 03/01/2028 – 02/28/2029 3rd Option Year: 03/01/2029 – 02/28/2030 4th Option Year: 03/01/2030 – 02/28/2031

3. PRICING SUMMARY

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

Pricing Table

Period Service Min Max Unit Price Min Price Max Price Coding

25,000 visits 35,000 visits $_________ $_________ $_________

Base Year: Claims Processing

10,000 claims

15,000 claims

03/01/26 – 02/28/27

Posting 50,000 actions

100,000 actions

AR/Follow- Up

30,000 actions

50,000 actions

POS

Rejections

10,000 actions

20,000 actions https://www.acquisition.gov/?q=/browse/far/52 https://www.acquisition.gov/far-overhaul/far-part-deviation-guide/far-overhaul-part-10

Project Title

Yearly

Total:

1st Option Year:

Claims Processing

10,000 claims

15,000 claims

03/01/27 – 02/29/28

Posting 50,000 actions

100,000 actions

AR/Follow- Up

30,000 actions

50,000 actions

POS

Rejections

10,000 actions

20,000 actions

Yearly

2nd Option Year:

Claims Processing

10,000 claims

15,000 claims

03/01/28 – 02/28/29

Posting 50,000 actions

100,000 actions

AR/Follow- Up

30,000 actions

50,000 actions

POS

Rejections

10,000 actions

20,000 actions

Yearly

3rd Option Year:

Claims Processing

10,000 claims

15,000 claims

03/01/29 – 02/28/30

Posting 50,000 actions

100,000 actions

AR/Follow- Up

30,000 actions

50,000 actions

POS

Rejections

10,000 actions

20,000 actions

Yearly

4th Option Year:

Claims Processing

10,000 claims

15,000 claims

03/01/30 – 02/28/31

Posting 50,000 actions

100,000 actions

AR/Follow- Up

30,000 actions

50,000 actions

POS

Rejections

10,000 actions

20,000 actions

Project Title

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

• Pricing Notes:

o Pricing shall be quoted as unit prices for each service line (e.g., per visit, per claim, per action).

o The Government will pay based on actual quantities performed and accepted, up to the ceiling quantities identified as “Max.”

o Quantities are estimates only and subject to change.

o The order will be issued with ceiling quantities.

• Invoices shall be submitted in accordance with the invoicing instructions in the Statement of Work and HHSAR 352.232-71, Electronic Submission of Invoice Payment Requests.

• The Contractor is responsible for all applicable Federal, State, Tribal, and local taxes, including New Mexico

Gross Receipts Tax, if applicable. The Government will not withhold taxes.

4. POINTS OF CONTACT (POC)

a. Contact Information

Contracting Officer (CO) Contracting Officer’s Representative (COR)

Shandiin DeWolfe Connie Loretto

(505) 256-6755 Phone: To be distributed at award

Shandiin.DeWolfe@ihs.gov Email: To be distributed at award

Alternate COR Contractor Point of Contact (POC)

Gail Osborne Name:

Phone: To be distributed at award Phone:

Email: To be distributed at award Email:

b. Contract Administration and Authority

• The CO is the only individual authorized to bind the Government or modify this purchase order.

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

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

o Modify the contract or obligate funds o Authorize additional work o Direct contractor personnel o Change scope, schedule, price, or requirements

• The COR may:

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

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

Yearly

Contract

Project Title

c. Inspection, Quality Assurance, and Acceptance

• All work is subject to inspection and final acceptance by the CO or a duly authorized representative.

• The COR is responsible for:

o Monitoring contractor performance o Conducting technical inspections o Evaluating service quality o Recommending acceptance or rejection to the CO

• Only the CO may provide final acceptance.

Quality Assurance (QA):

• Performance is subject to ongoing evaluation under the Service Unit’s QA program.

• Reviews may include work quality, patient safety, documentation accuracy, and compliance with applicable standards.

• The Contractor shall promptly correct deficiencies.

• Any payment/reimbursement adjustments require CO direction.

• Failure to correct deficiencies may result in termination for cause, particularly when performance endangers patients, staff, or Government property.

5. STATEMENT OF WORK (SOW)

● The contractor shall assign and sequence ICD-10 CM/CPT/HCPCS codes to diagnoses and procedures from documented information.

o Assures the final diagnosis and operative procedures as stated by the physician are valid and complete.

o Abstracts all necessary information from the electronic health record to identify secondary complications and co-morbid conditions.

● The contractor shall select the correct principal diagnoses and operations/ procedures.

o When multiple diagnoses and procedures are listed, the contractor shall ensure the surgical procedure is related to the proper diagnosis.

o Assures maximum allocation under the diagnostic related group (DRG), ambulatory patient group (APG), system properly sequencing diagnosis and procedures in order of severity of illness treated.

● The contractor shall abstract all necessary information, assigning the appropriate evaluation and management (E&M) levels of service, assigning the correct CPT/HCPCS code that accurately describes each medically documented procedure.

● The contractor shall abide by official coding conventions and rules established by the Centers of Medicare and Medicaid (CMS).

● The contractor shall utilize the Coding Queue to complete patient visits within the Electronic Health Record (EHR) with no errors.

● The contractor shall enter data from the patient visit as needed into RPMS database with no errors.

● The contractor shall code visits within four days from Date of Service.

● The contractor shall report to the Supervisory Health System Specialist (HIM Manager) or Contracting Officer’s

Representative (COR).

● The contractor shall ensure the error reports are reviewed and corrected on a daily and or weekly basis.

● The contractor shall complete the Incomplete Coding Report; review, research and correct weekly.

Claims Processing

• The contractor shall submit claims electronically or manually in a timely manner (not to exceed filing limit) for all payers (Medicare, Medicaid, PI, BMP, BCCP, WC, FMCRA, Non-Beneficiaries, etc.) or all outpatient visits and according to Internal Controls and department policies.

• The contractor shall bill and submit claims within six business days from date of service.

• The contractor shall ensure claims are mailed or transmitted within one business day from approval.

• Maintain log and submit to Business Office Manager on a monthly basis.

Project Title

• The contractor shall move forward to 100% for all payers to submit claims electronically.

o Electronic transmits must be HIPAA (837) compliant.

• The contractor shall complete billing by accessing information, via the third-party billing package that was input during the registration, EHR and coding queue process.

• The contractor shall assure claims are analyzed and the technician shall maintain the total billing operation for third party programs and acts as an advocate for the Indian Health Service in the collection of alternate resources by abiding AAAHC, CMS, State, IHS regulations and standards that govern Business Office department policies.

• The contractor shall ensure proper signatures are obtained for the Medicare Secondary Payer and Assignments of Benefits.

• The contractor shall process the claim and assure that payer information is accurate and sequenced appropriately to guarantee the bill is submitted to the proper payer.

o This includes identifying when employment related or accident-related visits would designate a different responsible payer source from the patient’s usual primary payer.

• The contractor shall bill clinic type, visit type, bill type, proper mode of export, Release of Information, workman’s compensation or FMCRA (third party injury) information, and referring physician information shall be verified, input and/or adjusted whenever necessary.

• The contractor shall split claims when appropriate.

• The contractor shall ensure appropriate providers are indicated. Verify and assign proper Revenue codes if necessary.

• The contractor shall ensure proper dates of service for ancillary services and the E/M services.

• The contractor shall ensure that if an error prompt appears on a particular billing page, the error shall be identified and handled appropriately.

• The contractor shall chart/visits with identified deficiencies (flagging/tracking process) either in the coding, data entry or the billing process shall be compiled or returned to service unit for clarification and/or corrections.

o After correction those claims shall be re-submitted.

• The contractor shall respond to third party requirements on post-payment reviews, exclusions, denials, appeals and submit secondary payer claims as appropriate.

• The contractor shall maintain the Electronic Transmit Confirmation Reports, reconcile and errors are corrected on a daily basis and resubmitted if necessary.

• The contractor shall maintain diagnosis follow-up procedure and working relationship with Medical Record Technician.

• The contractor shall maintain handling of inquiries from third party payers and patients regarding claims and ensure they are addressed correctly and in a timely manner.

• The contractor shall work and maintain log for Flagged as Billable Listing on a daily basis and identify reason for unbilled claims and submit to Business Office Manager on a monthly basis.

• The contractor shall maintain confidentiality of medical records in accordance with the Privacy Act, HIPAA, AAAHC, IHS, and Taos-Picuris Service Unit (TPSU) manuals.

• The contractor shall report possible Risk Management issues to the TPSU Compliance Officer when discovered.

• The contractor shall close out all sessions every day.

• The contractor shall run and correct the Auto Sync Report weekly.

Posting

● The contractor shall post all payments within 72 hours from the receipt of supporting documentation utilizing the

RPMS A/R package.

o Maintain log identify the following: Name of batch; date batch received; date batch posted; and comments.

● The contractor shall assure HIPAA standard adjustment reason codes are used for all posting transactions.

● The contractor shall post all zero pay claims.

● The contractor shall attach all EOB’s to reflect the batch posted.

o Maintain on the shared file folder.

● The contractor shall close out all sessions every day.

Project Title

Account Review and Follow-up

• The contractor shall reconcile the account by posted payment, credits, and adjustments within 45 days from date of service.

• The contractor shall contact insurer if claim paid incorrectly, rejected claim, denied, or outstanding claims not paid.

• The contractor shall review the final adjudication process of open accounts for further review or appeals and submit to insurers following payer guidelines.

• The contractor shall utilize the Debt Management process for insurers after 180 Days from DOS.

• The contractor shall follow and comply with HIPAA i.e. Standardized Adjustment Categories, Medicare Reason

Codes, and Claim Status Codes.

• The contractor shall document all account activity, i.e. date, time, representation name, and action/remarks in

RPMS Message field.

• The contractor shall adjust claims as necessary, utilize the prompt to roll-over claims for secondary payer etc.

• The contractor shall continue working with the Aged Summary Report (ASM) until all claims are resolved with payments or true adjustments to have all accounts current.

o Work FY17 to current year.

• The contractor shall maintain the Aging Account to be under 20% or until all accounts is current.

• The contractor shall close out all sessions every day.

• The contractor shall ensure that all applicable forms are submitted and adequately reflect the services rendered.

• The contractor shall maintain current documentation and files for all third-party utilization review activities in appropriate files, binders, etc.

• The contractor shall ensure filing of all Explanation of Benefits (EOB’s) in chronological order and by payer electronically.

• The contractor shall generate correspondence on appeals and denials.

• The contractor shall communicate new billing requirements and any issues found on follow up with Patient

Registration, visit coding or medical documentation with Business Office Manager and/or Health Information Management Manager.

• The contractor shall maintain identified corrective action received from the third-party payers to be shared or communicated with the Business Office Manager for review, possible consideration and appeal for payment.

• The contractor shall set up EFT and 835 files.

POS Rejections The contractor shall:

• Retrieve data from the computer to rectify inaccuracies.

o Reports inaccuracies to the pharmacist.

• Receive the pharmacy prescription dispensing reports electronically via on-line billing system.

• Determine if the prescription written by the provider is billable as defined by the IHS guidelines.

• Research patient records, reconstruct incorrect or missing medical information required to prepare a valid insurance billing when date received is incomplete.

• Correctly analyze information regarding Medicaid programs including Medicaid exempt, Managed Care in order to document correctly in Point of Sale (POS) system.

• Maintain knowledge of specific pay plans and group numbers in order to accurately enter the information into POS to ensure claims are processed and paid.

• Research and follow up on rejected claims on-line in order to ensure maximum reimbursement to the facility. Works with the various Pharmacy Benefits Managers, Taos-Picuris Health Center Patient Benefits Coordinator and Patient Registration to fix rejects within ten days from prescription being filled.

o This includes telephone contacts and any steps necessary for satisfactory resolution of the claim.

o All information shall be documented by the contractor in the medical chart and the POS system.

• Serve as a technical resource for the on-line billing system program, provides on-going or

Project Title orientation and training to staff personnel.

• Explain and answer questions regarding the on-line billing system to patients, physicians, pharmacists, insurance carriers, other facilities, and federal/state agencies (Medicare and Medicaid).

• Monitor the patient data input into the RPMS and POS systems.

• Assure the accuracy of patient data for correct billing.

• Locate discrepancies and determines source of error and takes necessary remedial action.

• Coordinate with other work units to resolve problems pertaining to the on-line billing system.

Deliverables/Reporting Requirements

Deliverables

• The contractor shall code visits within four days from DOS.

• Contractor shall contact provider if visit is not complete to meet the four-day deadline.

• The contractor shall address the PPPV and TXER report weekly and provide weekly report to TPSU Business

Office Manager.

• The contractor shall bill all visits within 10 days from DOS.

• The contractor shall contact Patient Registration Department daily should patient demographics need to be revised.

o If insurance needs to be added the contractor shall contact facility Accounts Receivable staff member.

• The BMP and BCCP claims shall be billed on a monthly basis for all claims within the month by the following week of the last day of the month.

o If visits are denied due to past timely filing or billing error, the contractor shall reimburse those monies back to the service unit due to failure of not having the claim billed timely or correctly.

• The contractor shall address all Medicaid and Medicare claims and complete within 30 days from DOS. PI and Other Insurance shall be addressed and completed within 45 days from DOS.

o Failure to do so shall result in contractor reimbursing service unit for loss revenue.

o Failure to follow-up on aged claims shall result in contractor reimbursing service unit for loss revenue.

Reporting Requirements

• The contractor shall provide a weekly deficiency report which is compiled to communicate to the service unit including specific deficiencies for a particular visit as well as to help demonstrate repeat occurrences of issues.

o This information can be used to identify problem areas and help develop resolutions to the problem.

• The contractor shall participate in a monthly conference call with the Business Office Manager or designee to review deficiency report and resolve any other issues as needed.

• The contractor shall submit timecard with hours and staff names on a monthly basis to the Business Office Manager for certification that satisfactory services have been received in accordance with the SOW of the contract.

o The invoice shall be uploaded in IPP for payment, in arrears.

• The contractor shall contact TPSU Business Office staff as necessary to resolve any issues.

• The contractor shall provide training as requested to Taos-Picuris Health Center staff.

6. SPECIAL CONTRACT REQUIREMENTS

a. Fingerprinting Requirements for Security and Suitability:

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

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

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

Project Title

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

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

b. Orientation and Training:

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

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

provide certificate to the COR.

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

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

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

c. Contractor Performance Evaluation Report:

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

d. Contract Discrepancy Report (CDR):

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

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

SECTION C – CONTRACT CLAUSES

FAR 52.252-2 - Clauses Incorporated by Reference (Feb 1998) This purchase order incorporates one or more Federal Acquisition Regulation (FAR) clauses by reference and/or in full text, with the same force and effect as if they were provided in full text. Upon request, the Contracting Officer will make the full text of any clause available. The full text of FAR clauses may also be accessed electronically at the following links: FAR and Revolutionary FAR Overhaul

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

http://www.ihs.gov/issa

Project Title

FAR

Clause Title Date

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

Restrictions on Subcontractor Sales to the Government Jun 2020

52.203-12 Limitations of Payments to Influence Certain Federal Transactions Jun 2020 52.203-17 Contractor Employee Whistleblower Rights Nov 2023 52.203-19 Prohibition on Requiring Certain Internal Confidentiality Agreements or Statements. Jan 2017 52.204-9 Personal Identity Verification of Contractor Personnel Jan 2011 52.204-13 System for Award Management - Maintenance Oct 2018 52.204-14 Service Contract Reporting Requirements Oct 2025 52.209-6 Protecting the Government's Interest When Subcontracting With Contractors

Debarred, Suspended, Proposed for Debarment, or Voluntarily Excluded.

Jan 2025

52.209-10 Prohibition on Contracting with Inverted Domestic Corporations Nov 2015 52.212-4 Contract Terms and Conditions – Commercial Products and Commercial Services Nov 2023 52.216-4 Economic Price Adjustment – Labor and Material. Jan 2017 52.219-6 Notice of Total Small Business Set-Aside Oct 2025 52.222-3 Convict Labor Jun 2003 52.222-35 Equal Opportunity for Veterans Jun 2020 52.222-36 Equal Opportunity for Workers with Disabilities Jun 2020 52.222-37 Employment Reports on Veterans Jun 2020 52.222-40 Notification of Employee Rights Under the National Labor Relations Act Oct 2025 52.222-50 Combating Trafficking in Persons Oct 2025 52.222-54 Employment Eligibility Verification Jan 2025 52.224-3 Privacy Training Jan 2017 52.226-8 Encouraging Contractor Policies to Ban Text Messaging While Driving. May 2024 52.232-33 Payment by Electronic Funds Transfer – System for Award Management Oct 2018 52.232-40 Providing Accelerated Payments to Small Business Subcontractors. Mar 2023 52.233-3 Protest After Award Aug 1996 52.233-4 Applicable Law for Breach of Contract Claim Oct 2004 52.237-3 Continuity of Services Jan 1991 52.240-91 Security Prohibitions and Exclusions Oct 2025 52.240-93 Basic Safeguarding of Covered Contractor Information Systems Oct 2025 52.242-13 Bankruptcy Oct 2025 52.244-6 Subcontracts for Commercial Products and Commercial Services Oct 2025 52.245-1 Government Property Sep 2021 52.245-9 Use and Charges Apr 2012 52.252-6 Authorized Deviations in Clauses Nov 2020

FAR 52.217-8 - Option to Extend Services (Nov 1999) The Government may require continued performance of any services within the limits and at the rates specified in the contract. These rates may be adjusted only as a result of revisions to prevailing labor rates provided by the Secretary of Labor. The option provision may be exercised more than once, but the total extension of performance hereunder shall not exceed 6 months. The Contracting Officer may exercise the option by written notice to the Contractor within 30 days.

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

(a) The Government may extend the term of this contract by written notice to the Contractor within 30 days; provided that the Government gives the Contractor a preliminary written notice of its intent to extend at least 60 days before the contract expires. The preliminary notice does not commit the Government to an extension.

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

Project Title

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

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

HHSAR

Clause No. Title Date

352.203-70 Anti-Lobbying Dec 2015 352.224-70 Privacy Act Dec 2015 352.224-71 Confidential Information Dec 2015 352.226-6 Indian Economic Enterprise Subcontracting Limitations Dec 2015

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

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

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

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

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

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

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

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

(b) By acceptance of this contract or order, the Contractor agrees to comply with the requirements of the Act.

The Act also applies to all subcontracts awarded under this contract for the specified children's services.

Accordingly, the Contractor shall ensure that each of its employees, and any subcontractor staff, is made aware of, understands, and complies with the provisions of the Act. Failure to comply with the Act may result in the imposition of a civil monetary penalty in an amount not to exceed $1,000 for each violation and/or the imposition of an administrative compliance order on the responsible entity. Each day a violation continues constitutes a separate violation.

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

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

(b) The Act designates "covered professionals" as those persons engaged in professions and activities in- eight different categories including, but not limited to, teachers, social workers , physicians, dentists, medical residents or interns, https://www.hhs.gov/policies/hhsar/subpart352.html

Project Title hospital personnel and administrators, nurses, health care practitioners, chiropractors, osteopaths, pharmacists , optometrists, podiatrists, emergency medical technicians , ambulance drivers, alcohol or drug treatment personnel, psychologists, psychiatrists, mental health professionals, child care workers and administrators, and commercial film and photo processors. The Act defines the term "child abuse' as the physical or mental injury, sexual abuse or exploitation, or negligent treatment of a child.

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

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

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

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

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

(c) By acceptance of this contract or order, the Contractor agrees to comply with the requirements of the Act.

The Act also applies to all applicable subcontracts awarded under this contract. Accordingly, the Contractor shall ensure that each of its employees, and any subcontractor staff, is made aware of, understands, and complies with the provisions of the Act.

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

(a) This contract is subject to the Indian Child Protection and Family Violence Act, Public Law 101-630 (25 U.S.C. 3201 et seq.) The duties and responsibilities required by this contract may involve regular contact with or control over Indian children. Public Law 101-630 prohibits employment, including Personal Service Contracts, with anyone who has been convicted of any crime of violence. Any such conviction should immediately be brought to the attention of the Contracting Officer. The contractor will be subject to a character investigation, conducted by the Indian Health Service, Office of Human Resources. Until such time as the contractor has been notified of completion of the investigation, the contractor shall have no unsupervised contact with Indian children. In order to initiate this background investigation, the contractor must provide information as required in this contract or as directed by the Contracting Officer.

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

HHSAR 352.237-75 - Key Personnel (Dec 2015) The key personnel specified in this contract are considered to be essential to work performance. At least 30 days prior to the contractor voluntarily diverting any of the specified individuals to other programs or contracts the Contractor shall notify the Contracting Officer and shall submit a justification for the diversion or replacement and a request to replace the individual. The request must identify the proposed replacement and provide an explanation of how the replacement's skills, experience, and credentials meet or exceed the requirements of the contract (including, when applicable, Human Subjects Testing requirements). If the employee of the contractor is terminated for cause or separates from the contractor voluntarily with less than thirty days’ notice, the Contractor shall provide the maximum notice practicable under the circumstances. The Contractor shall not divert, replace, or announce any such change to key personnel without the written consent of the Contracting Officer. The contract will be modified to add or delete key personnel as necessary to reflect the

Project Title agreement of the parties.

SECTION D – DOCUMENTS, EXHIBITS AND ATTACHMENTS

Attachment No. Description No. of

Pages 1 Fillable Table 3 2 IHS IEE Representation Form 1

SECTION E – SOLICITATION PROVISIONS

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

FAR

Clause Title Date

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

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

52.204-7 System for Award Management - Registration Nov 2024 52.229-11 Tax on Certain Foreign Procurements – Notice and Representation. Jun 2020 52.212-1 Instructions to Offerors-Commercial Items Sep 2023 52.233-2 Service of Protest Sep 2006 52.240-90 Security Prohibitions and Exclusions Representations and Certifications Oct 2025 52.252-5 Authorized Deviations in Provisions Oct 2025

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

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

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

(1) Directly by a parent corporation; or

(2) Through another subsidiary of a parent corporation.

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

(c) Representation. The Offeror represents that-

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

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

(End of provision)

FAR 52.209-5 - Certification Regarding Responsibility Matters (Oct 2025) (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;

Project Title

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

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

(D) Have □, have not □, within a three-year period preceding this offer, been notified of any delinquent Federal taxes in an amount that exceeds the threshold at 9.104-5(a)(2) for which the liability remains unsatisfied. Federal taxes are considered delinquent if both of the following criteria apply:

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

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

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

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

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

(c) A certification that any of the items in paragraph (a) of this provision exists will not necessarily result in withholding of an award under this solicitation. However, the Government will consider the certification in connection with a determination of the Offeror's responsibility. Failure of the Offeror to furnish a certification or provide such additional information as requested by the Contracting Officer may render the Offeror nonresponsible.

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

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

(End of provision)

FAR 52.209-7 - Information Regarding Responsibility Matters (Oct 2025)

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

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

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

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

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

Project Title

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

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

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

(i) In a criminal proceeding, a conviction.

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

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

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

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

(iv) In a criminal, civil, or administrative proceeding, a disposition of the matter by consent or compromise with an acknowledgment of fault by the Contractor if the proceeding could have led to any of the outcomes specified in paragraphs (c)(1)(i), (c)(1)(ii), or (c)(1)(iii) of this provision.

(2) If the offeror has been involved in the last five years in any of the occurrences listed in (c)(1) of this provision, whether the offeror has provided the requested information with regard to each occurrence.

(d) The offeror shall post the information in paragraphs (c)(1)(i) through (c)(1)(iv) of this provision in FAPIIS as required through maintaining an active registration in the System for Award Management, which can be accessed via https://www.sam.gov (see 52.204-7).

(End of provision)

FAR 52.209-11 - Representation by Corporations Regarding Delinquent Tax Liability or a Felony Conviction under any Federal Law (Oct 2025)

(a) The Government will not enter into a contract with any corporation that—

(1) Has any unpaid Federal tax liability that has been assessed, for which all judicial and administrative remedies have been exhausted or have lapsed, and that is not being paid in a timely manner pursuant to an agreement with the authority responsible for collecting the tax liability, where the awarding agency is aware of the unpaid tax liability, unless an agency has considered suspension or debarment of the corporation and made a determination that suspension or debarment is not necessary to protect the interests of the Government; or

(2) Was convicted of a felony criminal violation under any Federal law within the preceding 24 months, where the awarding agency is aware of the conviction, unless an agency has considered suspension or debarment of the corporation and made a determination that this action is not necessary to protect the interests of the Government.

(b) The Offeror represents that–

(1) It is □ is not □ a corporation that has any unpaid Federal tax liability that has been assessed, for which all judicial and administrative remedies have been exhausted or have lapsed, and that is not being paid in a timely manner pursuant to an agreement with the authority responsible for collecting the…