RFQ No. 75H70726Q00060.pdf

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Outpatient Medical Nutrition Therapy - Taos-Picuris Service Unit - Taos, NM
Solicitation number
75H70726Q00060
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Solicitation Summary: Outpatient Medical Nutrition Therapy Services

This is a Request for Quotation (RFQ) issued by the Albuquerque Area Indian Health Service for Outpatient Medical Nutrition Therapy services. The requirement is for one Registered Dietitian (RD/RDN) to provide services at the Taos-Picuris Service Unit in Taos, New Mexico. This is a Total Indian Small Business Economic Enterprise (ISBEE) set-aside, with only ISBEE vendors eligible to submit quotations. The Contracting Officer is Shandiin DeWolfe, reachable at (505) 256-6755 or Shandiin.DeWolfe@ihs.gov. Quotations are due by 1700 ET on a specified date, with a Multiple delivery requirement and FOB Destination terms.

The contract will be a Firm-Fixed-Price with Economic Price Adjustment (FFP-EPA) based on fully burdened hourly rates. The estimated level of effort is 8 hours per week for 52 weeks annually (416 hours/year). The period of performance consists of a one-year base period (06/01/2026–05/31/2027) plus four one-year option periods (through 05/31/2031). Quoters must submit pricing using the provided table, multiplying their hourly rate by 416 hours annually for each contract period. Minimum qualifications require a current, unrestricted state RD/RDN license; minimum three years of documented experience in medical nutrition therapy in a clinical or outpatient setting; knowledge of diabetes, chronic kidney disease, hyperlipidemia, and weight management; cultural competency; and current professional liability insurance of $1,000,000 per occurrence. Evaluation will be based on Technical Capability (most important), Past Performance, and Price. Award will be made to the responsible quoter whose quotation provides the best value to the Government. The solicitation incorporates numerous FAR and HHSAR clauses, including provisions for indemnification, medical liability insurance requirements, background investigations, and ISBEE representation certifications.

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75H70726Q00060

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

1 16

4101 Indian School Rd NE, Suite 225 Albuquerque NM 87110

Albuquerque Indian Health Service Multiple

505 256-6755SHANDIIN DEWOLFE

1700 ET

FOB DESTINATION

OTHER

(See Schedule)X

ITEM NO.

(a)

SUPPLIES/SERVICES

(b)

QUANTITY

(c)

UNIT

(d)

UNIT PRICE

(e)

AMOUNT

(f)

RFQ No. 75H70726Q00060 is hereby issued for one

(1) Registered Dietitian (RD/RDN) to provide Outpatient Medical Nutrition Therapy services for the Taos-Picuris Service Unit 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 Outpatient Medical Nutrition Therapy - 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. 75H70726Q00060 is issued as a Request for Quotation (RFQ) for Outpatient Medical Nutrition Therapy services to be provided to the Taos-Picuris Service Unit 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 621399 with a small business size standard of $10.0M.

1. PLACE OF PERFORMANCE

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

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

2. 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 with Economic Price Adjustment (FFP-EPA) contract, as a result of this opportunity.

This requirement is for non-personal services as defined in FAR 37.6 (formerly FAR 37.104). The Contractor is an independent contractor, and no employer-employee relationship exists between the Government and the Contractor or its personnel. The Government may evaluate the quality and timeliness of services provided but shall not supervise or control the Contractor’s professional medical judgment, including clinical decisions, diagnoses, or treatment recommendations.

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

3. PERIOD OF PERFORMANCE (POP)

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

Base Year: 06/01/2026 – 05/31/2027 1st Option Year: 06/01/2027 – 05/31/2028 2nd Option Year: 06/01/2028 – 05/31/2029 3rd Option Year: 06/01/2029 – 05/31/2030 4th Option Year: 06/01/2030 – 05/31/2031

4. PRICING SUMMARY

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

Project Title

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

This is a Firm-Fixed-Price with Economic Price Adjustment (FFP-EPA) contract with unit pricing based on a fixed, fully burdened hourly rate for a specified quantity of hours.

Pricing Table

Item # Contract Period Pricing Total Amount

CLIN 1

Base Year:

06/01/2026 – 05/31/2027

$________/hour x 8 hours/week x 52 weeks/year = $______________/year

CLIN 2 1st Option Year:

06/01/2027 – 05/31/2028

$________/hour x 8 hours/week x 52 weeks/year = $______________/year

CLIN 3 2nd Option Year:

06/01/2028 – 05/31/2029

$________/hour x 8 hours/week x 52 weeks/year = $______________/year

CLIN 3 3rd Option Year:

06/01/2029 – 05/31/2030

$________/hour x 8 hours/week x 52 weeks/year = $______________/year

CLIN 3 4th Option Year:

06/01/2030 – 05/31/2031

$________/hour x 8 hours/week x 52 weeks/year = $______________/year

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

Notes:

• The stated quantity of 416 hours per year represents the Government’s anticipated level of effort for each contract period and is derived from 8 hours per week for 52 weeks.

• The Contractor shall provide services in accordance with the schedule established by the Service Unit and coordinated with the Contracting Officer’s Representative (COR).

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

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

5. POINTS OF CONTACT (POC)

a. Contact Information

Contracting Officer (CO) Contracting Officer’s Representative (COR) 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) Brandee Findley Name:

Phone: To be distributed at award Phone:

Email: To be distributed at award Email:

Project Title

b. Contract Administration and Authority

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

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

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

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

• The COR may:

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

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

6. STATEMENT OF WORK (SOW)

This is a request for Outpatient Medical Nutrition Therapy (MNT) services for Native American patients who reside with the Taos Picuris Service Unit area accordance with Indian Health Service (IHS) policies, federal regulations, and evidence-based clinical practice guidelines. The goal of MNT is to prevent, delay, or manage an individual's disease and enhance their well-being through nutrition. This service is provided by a registered dietitian nutritionist (RDN), to perform the following tasks:

• Performs comprehensive nutrition assessments based on provider referral, including evaluation of medical history, laboratory values, dietary intake, anthropometric data, and cultural, social, and economic factors affecting nutrition status.

• Develops, implements, and evaluates individualized nutrition care plans to support prevention and management of acute and chronic conditions such as diabetes, cardiovascular disease, renal disease, obesity, and gastrointestinal disorders.

• Provides culturally appropriate nutrition education and counseling to patients and families, incorporating behavior change strategies and traditional food practices when appropriate.

• Documents all patient encounters, assessments, interventions, and outcomes in the electronic health record in compliance with IHS documentation standards, privacy requirements, and quality reporting measures.

• Collaborates with physicians, nurses, community health representatives, diabetes educators, and other members of the interdisciplinary healthcare team to coordinate care and support continuity of services.

• Participates in population health initiatives, preventive health programs, and quality improvement activities aligned with IHS goals and community health priorities.

• Maintains current professional credentials and completes required federal, IHS, and facility-mandated training.

• Provides consultation and/or in-service training on nutrition to health center staff, community programs, families and others.

• Documents patient appointment in individual health records via the Electronic Health Record (EHR) with 24 hours of patient contact.

• Responds to notifications sent to provider to complete visit within 24 hours.

HOURS OF WORK

The estimated level of effort is 8 hours per week for 52 weeks, excluding Federal holidays. Services will normally be scheduled as an eight (8)-hour clinic day, inclusive of a one (1)-hour lunch break and two (2) fifteen-minute breaks (one in the morning and one in the afternoon), as clinic schedule permits.

Occasionally, the scheduled day may be adjusted to allow participation in approved community or public health activities, such as health fairs, nutrition education events, or cooking classes, in support of IHS community health initiatives. The specific work schedule shall be coordinated with the Contracting Officer’s Representative (COR) based on clinic needs.

https://www.opm.gov/policy-data-oversight/pay-leave/federal-holidays/

Project Title

Minimum Qualification:

Candidates shall meet the following minimum qualifications to be considered responsive:

Licensure: Possess a current, unrestricted state license as a Registered Dietitian (RD/RDN) in one or more U.S. states and maintain licensure throughout the Period of Performance.

Experience: Have a minimum of three (3) years of documented experience providing medical nutrition therapy, nutrition assessments, counseling, and patient education in a clinical or outpatient healthcare setting.

Clinical Knowledge and Skills: Demonstrate advanced knowledge of current, evidence-based nutrition science related to diabetes, chronic kidney disease, hyperlipidemia, weight management, meal planning, and the management of chronic diseases. Be capable of providing medical nutrition therapy and translating clinical knowledge into individualized nutrition care plans. Effectively communicate nutrition recommendations to patients and interdisciplinary healthcare providers.

Communication and Cultural Competency: Demonstrate the ability to present information orally, visually, and in writing in a clear, concise, and professional manner. Possess experience adapting nutrition management principles to develop culturally appropriate education materials for patient and community use, consistent with Indian Health Service standards.

IHS System Access:

Contractor will be required to complete all required trainings set form from Indian Health Service (IHS_ Headquarters, Albuquerque Area Office, and Taos Picuris Health Center).

Certificate of Liability:

The Contractor shall maintain, at its own expense, current and adequate liability insurance, including professional (malpractice) liability insurance, throughout the entire Period of Performance. Coverage shall be appropriate to the scope of clinical services provided.

The Contractor shall provide the Government with a copy of a valid Certificate of Liability Insurance prior to the commencement of services and upon renewal or request thereafter. Failure to maintain required insurance coverage may result in suspension or termination of the contract.

Government Property:

The Government will provide the Contractor with a workstation, computer, telephone, and access to office equipment, including but not limited to a copier and fax machine, as necessary to perform the contracted services.

Deliverables/Reporting Requirements:

− Document all patient encounters in the Electronic Health Record (EHR) within 24 hours of the visit, in accordance with IHS documentation standards and applicable policies.

− Submit a quarterly narrative report to the Taos Picuris Health Center Clinical Director summarizing the number of patients seen, types of services provided, and total hours worked during the reporting period.

− Notify the Clinical Director, TPSU Chief Executive Officer, or Contracting Officer’s Representative (COR) as soon as possible if unable to report for scheduled services due to illness or other unanticipated events.

Administrative Leave:

Administrative leave pay will be provided in the event TPSU experiences a Code Green (internal disaster) or a Code Red (fire). Compensation will be limited to the hours of administrative leave expressly authorized by the TPSU Chief Executive Officer.

Project Title

7. INSPECTION AND ACCEPTANCE

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

only the CO may provide final acceptance.

a. Quality Assurance:

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

b. Contractor Performance Evaluation Report:

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

c. Contract Discrepancy Report (CDR):

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

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

8. INVOICING AND PAYMENT

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

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

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

Invoices shall not be submitted directly to the CO, Contracting Officer’s Representative (COR), or Finance Office unless authorized in writing. Improper submission may delay payment. Payment will be made in accordance with FAR 52.212-4 and HHSAR 352.232-71.

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

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

https://www.ipp.gov/

Project Title

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.

FAR

Clause Title Date

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

Restrictions on Subcontractor Sales to the Government Jun 2020

52.203-12 Limitation of Payments to Influence Certain Federal Transactions Oct 2025 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 52.219-6 Notice of Total Small Business Set-Aside Oct 2025 52.219-8 Utilization of Small Business Concerns 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 52.224-1 Privacy Act Notification Apr 1984 52.224-2 Privacy Act Apr 1984 52.224-3 Privacy Training Jan 2017 52.226-8 Encouraging Contractor Policies to Ban Text Messaging While Driving. May 2024 52.232-33 Payment by Electronic Funds Transfer – System for Award Management Oct 2018 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

Project Title

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 15 days.

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

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

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

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

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

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

(b) An apparently successful offeror, upon request by the Contracting Officer, shall furnish prior to contract award evidence of its insurability concerning the medical liability insurance required by paragraph (a) of this clause.

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

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

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

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

(End of clause)

Project Title

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, 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 https://www.hhs.gov/policies/hhsar/subpart352.html

Project Title 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 agreement of the parties.

SECTION D – DOCUMENTS, EXHIBITS AND ATTACHMENTS

Project Title

Attachment No. Description No. of

Pages 1 Fillable Table 2 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;

(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

Project Title 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).

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

Project Title

(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 tax liability; and

(2) It is □ is not □ a corporation that was convicted of a felony criminal violation under a Federal law within the preceding 24 months.

(End of provision)

FAR 52.212-2 - Evaluation – Commercial Products and Commercial Services (Nov 2021)

(a) The Government will award a firm-fixed price contract resulting from this solicitation to the responsible quoter whose quote conforming to the solicitation will be most advantageous to the Government, price and other factors considered. The following factors (listed in order of descending importance) shall be used to evaluate quotes:

1. Technical Capability

2. Past Performance

3. Price

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

(c) A written notice of award or acceptance of a quote, mailed or otherwise furnished to the successful quoter within the time for acceptance specified in the quote, shall result in a binding contract without further action by either party. Before https://www.sam.gov/

Project Title the quoter’s specified expiration time, the Government may accept a quote (or part of a quote), whether or not there are negotiations after its receipt, unless a written notice of withdrawal is received before award. (End of provision)

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

HHSAR

Provision No. Title Date

352.226-4 Notice of Indian Small Business Economic Enterprise set-aside Nov 2015 352.226-7 Indian Economic Enterprise Representation Nov 2015

SECTION F – INSTRUCTIONS TO QUOTERS AND EVALUATION

EVALUATION (IHS SUPPLEMENTAL GUIDANCE)

(Supplementing FAR 52.212-2 and FAR 12.203)

Evaluation will be conducted in accordance with FAR Part 12 and FAR 52.212-2 using a comparative, best-value tradeoff evaluation.

Quotes shall be organized into three (3) volumes, plus required forms, as follows:

Volume 1 – Technical Capability

Quoters shall provide:

• Quoter Name

• UEI Number

• Point of Contact (name, phone, email)

• A narrative describing the quoter’s capability to perform all requirements of the Statement of Work (SOW)

• Resume(s), curriculum vitae, or qualification summary for proposed personnel

• Copies of current licenses, certifications, and other credentials necessary to perform the required services

• A statement addressing the quoter’s ability to provide coverage in a timely manner, including availability for short-term or extended assignments, if required

The Government will evaluate the extent to which the quotation demonstrates the capability to meet the requirements of the SOW, including:

• Possession of a current, active, full, and unrestricted Registered Dietitian (RD/RDN)…

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