RFQ-10-18-024-SOW.pdf

PART I – Part Time Optometrist

The Billings Area Indian Health Service has a requirement for a Part-Time Optometrist at the

Wind River Service Unit, Fort Washakie, Wyoming. This procurement is being conducted under

Federal Acquisition Regulation (FAR) Part 13, Simplified Acquisition Procedures. The anticipated contract type will be a firm-fixed requirements contract. The period of performance will be a 12-month base year and four (4) 12-month option years. The quantities specified in the schedule are estimates only. If the Government’s requirements do not result in orders in the quantities described as “estimated” in the Schedule, it does not constitute the basis for an equitable price adjustment. This requirement will be set-aside 100% for Small Businesses. The incorporated provisions and clauses are those in effect through Federal Acquisition Circular

2005-97. The associated North American Industry Classification System (NAICS) code is 621320 and the small business size standard is $7.5 Million.

It is the responsibility of the offeror to review the webpage for notice of amendments, updates, or changes to the solicitation. Please be advised that hard copies of the solicitation will not be made available; you must download solicitation documents from the FBO. All potential sources must obtain a DUNS number, a CAGE code, register in the System for Award Management (SAM) located at https://www.sam.gov in order to transact business with the Government. Failure to obtain a DUNS number, a CAGE code and register in the SAM may result in the delay of award of a contract or possible award to the next otherwise successful offeror. For further information, please contact Kenny Nicholson, Contract Specialist at kenneth.nicholson@ihs.gov.

INTRODUCTION

This Statement of Work defines the effort required for the acquisition and support for a Part-Time

Optometrist. The Part-Time Optometrist will be utilized at the Wind River Service Unit (WRSU).

The potential contractor shall be responsible for providing all resources necessary to accomplish the tasks ad deliverables described in the Statement of Work (SOW).

PROPOSAL SUBMISSION INSTRUCTIONS:

All responsible offerors may submit a proposal, which shall be considered by the Agency. Offers shall be submitted to the Billings Area Indian Health Service, 2900 4th Avenue North, Room 404, Billings, Montana 59101, no later than 5:00 p.m. MST, on April 18, 2018. The offer must be submitted in a sealed envelope, addressed to this office, showing the time specified for receipt, the solicitation number, and your company’s name and address. Offers will also be accepted by email at kenneth.nicholson@ihs.gov. Please reference the solicitation number in the subject line.

ACCEPTANCE PERIOD: Your proposal must stipulate that it is predicated upon all the terms and conditions of this RFQ. In addition, it must contain a statement to the effect that it is firm for a period of at least 90 days from the date of receipt by the Government.

https://www.sam.gov/ mailto:kenneth.nicholson@ihs.gov mailto:kenneth.nicholson@ihs.gov

PERIOD OF PERFORMANCE

Performance of the contract is intended to start May 1, 2018, through April 30, 2019 with four (4)

12-month options.

If the Government exercises the options pursuant to Federal Acquisition Regulation (FAR)

52.217-9, Option to Extend the Term of the Contract (MAR 2000) the period of performance shall be extended in accordance with the following schedule:

Contract Year Period of Performance

Option Period One (1) May 1, 2019 through April 30, 2020

Option Period Two (2) May 1, 2020 through April 30, 2021

Option Period Three (3) May 1, 2021 through April 30, 2022

Option Period Four (4) May 1, 2022 through April 30, 2023

SCOPE OF WORK

The requirement consists of providing optometrist services on a part-time basis, for the WRSU facility, that satisfy the following requirements.

MAJOR DUTIES:

Provide primary optometry services to the designated population in accordance with IHS policies and professional standards.

Record patient-provider encounters in the chart or electronic health record in a legible manner for accurate communication between providers and completes documentation for accurate billing, ordering of diagnostic tests and referrals. Maintains health summary and problem lists to ensure accurate patient data. Completes medical records in a timely manner as per clinic policy.

Patient care to be carried out in a responsible, respectable and caring manner.

Diagnosis of visual and ocular problems through external and internal physical evaluation of the eye and adnexa.

Ocular pathology, diagnosis and management comprise 60% of the patient caseload.

Detects neuromuscular impairment or anomalies of binocular function.

Treat visual disorders through the prescription of corrective lenses and vision training and pharmacological means.

Uses all forms of topical ophthalmic therapeutic medicines as well as oral therapeutic medicines to manage pathology and trauma.

Provides emergency eye care services including diagnosis and treatment of ophthalmic trauma and pathology consistent with clinical privileges.

Utilizes laboratory and radiology services to evaluate ophthalmic conditions.

Coordinates medical eye care with other physicians within the facility, when eye disease is concurrent with systemic disease.

Treats unusual visual disorders through the application of advanced optometric techniques.

Consults with eye care specialist, Service Unit Chief of Optometry and medical officers, and or private ophthalmologist and medical officers as needed for complex cases

Educate patients based on findings, to understand and cope with their eye problems.

KNOWLEDGE REQUIRED BY THE POSITION

Doctor of Optometry (O.D.) must have knowledge and skills gained through the graduation from an accredited school of optometry. Applicants must be licensed to practice optometry in the District of Columbia, state or territory of the United States.

Three years post graduation experience or completion of an ASHP or hospital or ambulatory residency is preferred.

Documented credentials and privileges by the Medical Staff are required , prior to conducting optometry clinics.

Demonstrated skill in oral and written communication is required.

CPR certification is required.

Skill in researching and evaluating complex medical optometric information.

Ability to collect, properly record and communicate relevant primary health care assessments, secure medical history, evaluated physical findings and interpret selective laboratory tests.

Demonstrated skill in planning, monitoring and evaluation of optometry therapy in a clinical setting.

Skill in managing optometry patients with exceedingly complex medical histories, including the very young and the very old.

Ability to communicate with patients regarding optometric disease states, desired outcomes and laboratory tests, proper administration, use, actions and precautions.

Skill in adhering to optometry primary care acute and chronic care protocols recording all information in the patient’s medical record.

SUPERVISORY CONTROLS

The Supervisory Optometry Officer provides administrative supervision of the position. The incumbent works independently in a facility without direct access to other eye care professionals.

They receive professional and technical as needed from the supervisory optometrist, consulting ophthalmologist and eye care professions. The incumbent is a recognized professional optometrrist an expert for the Health Facility, her or his decisions and recommendations are almost always accepted. Only those broad policy issues and optometry program goals and objectives are referred to Chief of Optometry and or Clinical Services Administrator for final decisions. The incumbent exercises independent latitude in planning and carrying out optometric direct health care assignments. The incumbent consults with other members of medical staff on an as needed basis to develop the best treatment plan for optometry patients. The majority of work is not reviewed at the time the care is provided. The employee is responsible for carrying out department objectives with clarification from Optometry Chief as needed. The incumbent is fully responsible for keeping the supervisor informed of potentially controversial matters that may have far-reaching implications or actions of a precedent setting nature. Completed work is reviewed and evaluated on the basis of the over-all effectiveness and compatibility in providing clinical optometry services.

GUIDELINES

Guidelines available include DHHS, PHS, IHS, Billings Area, Service Unit and Medical staff regulations, policies, procedures, and bylaws. In addition, traditional and currently accepted optometric practices are available in the form of specialty consultations, professional literature, journals, and textbooks. In nearly all cases, however the incumbent’s judgment is the key factor in determining whether guidelines are to be adhered to or deviated from or whether new guidelines need to be developed to protect the interests of the patients.

COMPLEXITY

Duties are complex in that the nature of eye disease encountered differ widely from patient to patient and requires accurate diagnosis. Assignments in addition to the full range of primary eye care include evaluation of complicated eye emergencies with little or no technical guidance. The incumbent serves as a consultant on eye emergencies and is responsible for developing a full treatment regimen including consultation as indicated

PERSONAL CONTACTS

Personal contacts are with patients, patient’s families, co-workers, contract vendors, representatives of federal, state and tribal health organizations, subordinates, administrators and physicians. These contacts are made with individuals and groups in moderately unstructured settings.

PHYSICAL DEMANDS

Work requires sitting, standing and movement between multiple exam rooms. Occasional lifting is required especially when moving equipment for community screenings. Pediatric screenings often include days where multiple hours are include bending to be eye level with patients in order to exam their eye function and health. Electronic Health record keeping requires typing exam information into individual patient health record.

CONTRACTING OFFICER AUTHORITY

Authority to negotiate changes in terms, conditions, or amounts cited in this contract is reserved to the Contracting Officer

CONTRACTING OFFICER REPRESENTATIVE (COR)

The COR shall be responsible for:

(1) Monitoring the Contractors technical progress, including surveillance and assessment of performance and recommending technical changes;

(2) Interpreting the Statement of Work;

(3) Technical evaluation as required;

(4) Technical inspections and acceptance; and

(5) Assisting the Contractor in the resolution of technical problems encountered during performance of this contract.

INVOICE SUBMISSION AND PAYMENT

Invoices shall be submitted to the Billings Area Financial Management Branch, P.O. Box 36600, Billings, Montana 59107 with a courtesy copy to the Chief of Optometry, Peggy Whiteplume.

The contractor will include the following information on each invoice: (1) Contractor’s name, address and telephone number; (2) Contract Number; (3) Invoice number and date; (4) Cost or

Price; (5) Line item dates; and (6) Remit to address.

Payments shall be made by the Billings Area Financial Management Branch, P.O. Box 36600, Billings, Montana 59107. Payments will be made in arrears.

CONTRACTOR INFORMATION

Contractor Must Complete the Following

Tax ID:_______________ CAGE:________________ DUNS:_______________

Point of Contact:

Name:______________ Phone: ___________ Email: _______________________

AWARD DECISION

The Government will award a contract, resulting from this solicitation, to the responsible offeror whose offer conforming to the solicitation will be most advantageous to the Government, price and other factors considered. The following factors shall be used to evaluate offers:

Evaluation Factor #1 – License = 35 Points. Potential contractors must submit a copy of state license or must be able to show that a license can be obtained.

Evaluation Factor #2 – Resume = 35 Points. Potential contractors must submit resume with price quote. Resumes must include information relating to: (a) Professional Education; (b)

Certifications; and (c) Previous jobs. Resumes will be evaluated on their relationship to the

Knowledge requirements listed in the Statement of Work section of the RFQ.

Evaluation Factor #3 – Past Performance = 30 Points. The Offeror/Company must demonstrate its record of successful performance in past contracts and/or jobs, Government and/or commercial. Each offeror will be evaluated on its performance under existing and prior contracts/jobs. The offeror must list at least three contracts/jobs and include the following information. (1) Name of Government agency/Company; (2) Contract number, if applicable; (3)

Dates of Service/Employment; (4) Total contract value/Hourly wage; (5) Description of contract work/Job duties; (6) Contracting Officer/Company Manager and telephone number; (7) Program

Manager and telephone number, if applicable.

PART II – CONTRACT CLAUSES

CONTRACT CLAUSES AND REPRESENTATIONS AND CERTIFICATIONS

52.252-2 Clauses Incorporated by Reference (Feb 1998)

This contract incorporates one or more clauses by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. Also, the full text of a clause may be accessed electronically at this/these address(s):

https://www.acquisition.gov/

52.204-9 Personal Identity Verification of Contractor Personnel Jan 2011

52.204-13 System for Award Management Maintenance Oct 2016

52.204-18 Commercial and Government Entity Code Maintenance Jul 2016

52.204-19 Incorporation by Reference of Representations and Dec 2014

Certifications

52.209-10 Prohibition on Contracting with Inverted Domestic Nov 2015

Corporations

52.211-16 Variation in Quantity Apr 1984

52.213-4 Terms and Conditions—Simplified Acquisitions Jan 2018

(Other Than Commercial Items)

52.219-6 Notice of Total Small Business Set-Aside Nov 2011

52.219-28 Post-Award Small Business Program Rerepresentation Jul 2013

52.222-53 Exemption from Application of the Service Contract May 2014

Labor Standards to Contracts for Certain

Services - Requirements

52.223-2 Affirmative Procurement of Biobased Products Sept 2013

52.223-5 Pollution Prevention and Right-to-Know Information May 2011

52.223-6 Drug-Free Workplace May 2001

52.224-1 Privacy Act Notification Apr 1984

52.224-2 Privacy Act Apr 1984

52.227-14 Rights in Data—General May 2014

52.227-17 Rights in Data—Special Works Dec 2007

52.232-18 Availability of Funds Apr 1984

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

Vegetation

52.237-3 Continuity of Service Jan 1991

52.237-7 Indemnification and Medical Liability Insurance Jan 1997

52.242-15 Stop Work Order Aug 1989

52.242-17 Government Delay of Work Apr 1984

52.244-6 Subcontracts for Commercial Items Nov 2017

52.243-1 Changes – Fixed Price Alternate I (Apr 1984) Aug 1987

52.245-1 Government Property Jan 2017

52.245-9 Use and Charges Apr 2012

52.249-4 Termination for Convenience of the Government Apr 1984

(Services)(Short Form)

52.249-8 Default (Fixed-Price Supply and Service) Apr 1984 https://www.acquisition.gov/

DEPARTMENT OF HEALTH AND HUMAN SERVICES ACQUISITION REGULATION

(HHSAR) (48 CFR Chapter 3) Clauses

315.215-70 Late Proposals and Revisions Dec 18, 2015

352.222-70 Contractor Cooperation in Equal Employment Dec 18, 2015

Opportunity Investigations

352.223-70 Safety and Health Dec 18, 2015

352.224-70 Privacy Act Dec 18, 2015

352.224-71 Confidential Information Dec 18, 2015

352.226-3 Native American Graves Protection and Dec 18, 2015

Repatriation Act

352.237-70 Pro-Children Act Dec 18, 2015

352.237-71 Crime Control Act – Reporting of Child Abuse Dec 18, 2015

352.237-72 Crime Control Act – Requirement for Background Dec 18, 2015

Checks

352.237-73 Indian Child Protection and Family Violence Act Dec 18, 2015

352.237-74 Non-Discrimination in Service Delivery Dec 18, 2015

352.239-73 Electronic Information and Technology Accessibility Dec 18, 2015

Notice

352.239-74 Electronic and Information Technology Accessibility Dec 18, 2015

CONTRACT CLAUSES – FULL TEXT

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 before the expiration of the contract.

52.217-9 Option to Extend the Term of the 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 30 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 5 years.

PART II – REPRESENTATIONS AND CERTIFICATIONS

52.252-1 Solicitation Provisions Incorporated by Reference (Feb 1998)

This solicitation incorporates one or more 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 sections that must be completed by the offeror and submitted with its quotation or offer. Also, the full text of a provision may be accessed electronically at this address: https://www.acquisition.gov/

52.204-7 System for Award Management Oct 2016

52.204-16 Commercial and Government Entity Code Reporting Jul 2016

52.204-17 Ownership or Control of Offeror Jul 2016

52.215-5 Facsimile Proposals Oct 1997

52.222-52 Exemption from Application of the Service Contract Labor Standards May 2014

Contracts for Certain Services – Certification

52.204-8 Annual Representations and Certifications (JAN 2018)

(a)(1) The North American Industry Classification System (NAICS) code for this acquisition is 621320.

(2) The small business size standard is $7.5 million.

(3) The small business size standard for a concern which submits an offer in its own name, other than on a construction or service contract, but which proposes to furnish a product which it did not itself manufacture, is 500 employees.

(b)(1) If the provision at 52.204-7, System for Award Management, is included in this solicitation, paragraph (d) of this provision applies.

(2) If the provision at 52.204-7 is not included in this solicitation, and the offeror is currently registered in the System for Award Management (SAM), and has completed the Representations and

Certifications section of SAM electronically, the offeror may choose to use paragraph (d) of this provision instead of completing the corresponding individual representations and certifications in the solicitation.

The offeror shall indicate which option applies by checking one of the following boxes:

□ (i) Paragraph (d) applies.

□ (ii) Paragraph (d) does not apply and the offeror has completed the individual representations and certifications in the solicitation.

(c)(1) The following representations or certifications in SAM are applicable to this solicitation as indicated:

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(i) 52.203-2, Certificate of Independent Price Determination. This provision applies to solicitations when a firm-fixed-price contract or fixed-price contract with economic price adjustment is contemplated, unless—

(A) The acquisition is to be made under the simplified acquisition procedures in Part 13;

(B) The solicitation is a request for technical proposals under two-step sealed bidding procedures; or

(C) The solicitation is for utility services for which rates are set by law or regulation.

(ii) 52.203-11, Certification and Disclosure Regarding Payments to Influence Certain Federal

Transactions. This provision applies to solicitations expected to exceed $150,000.

(iii) 52.203-18, Prohibition on Contracting with Entities that Require Certain Internal

Confidentiality Agreements or Statements-Representation. This provision applies to all solicitations.

(iv) 52.204-3, Taxpayer Identification. This provision applies to solicitations that do not include the provision at 52.204-7, System for Award Management.

(v) 52.204-5, Women-Owned Business (Other Than Small Business). This provision applies to solicitations that—

(A) Are not set aside for small business concerns;

(B) Exceed the simplified acquisition threshold; and

(C) Are for contracts that will be performed in the United States or its outlying areas.

(vi) 52.209-2, Prohibition on Contracting with Inverted Domestic Corporations—Representation.

(vii) 52.209-5, Certification Regarding Responsibility Matters. This provision applies to solicitations where the contract value is expected to exceed the simplified acquisition threshold.

(viii) 52.209-11, Representation by Corporations Regarding Delinquent Tax Liability or a Felony

Conviction under any Federal Law. This provision applies to all solicitations.

(ix) 52.214-14, Place of Performance—Sealed Bidding. This provision applies to invitations for bids except those in which the place of performance is specified by the Government.

(x) 52.215-6, Place of Performance. This provision applies to solicitations unless the place of performance is specified by the Government.

(xi) 52.219-1, Small Business Program Representations (Basic & Alternate I). This provision applies to solicitations when the contract will be performed in the United States or its outlying areas.

(A) The basic provision applies when the solicitations are issued by other than DoD, NASA, and the Coast Guard.

(B) The provision with its Alternate I applies to solicitations issued by DoD, NASA, or the

Coast Guard.

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(xii) 52.219-2, Equal Low Bids. This provision applies to solicitations when contracting by sealed bidding and the contract will be performed in the United States or its outlying areas.

(xiii) 52.222-22, Previous Contracts and Compliance Reports. This provision applies to solicitations that include the clause at 52.222-26, Equal Opportunity.

(xiv) 52.222-25, Affirmative Action Compliance.This provision applies to solicitations, other than those for construction, when the solicitation includes the clause at 52.222-26, Equal Opportunity.

(xv) 52.222-38, Compliance with Veterans’ Employment Reporting Requirements. This provision applies to solicitations when it is anticipated the contract award will exceed the simplified acquisition threshold and the contract is not for acquisition of commercial items.

(xvi) 52.223-1, Biobased Product Certification. This provision applies to solicitations that require the delivery or specify the use of USDA–designated items; or include the clause at 52.223-2, Affirmative

Procurement of Biobased Products Under Service and Construction Contracts.

(xvii) 52.223-4, Recovered Material Certification. This provision applies to solicitations that are for, or specify the use of, EPA–designated items.

(xviii) 52.223-22, Public Disclosure of Greenhouse Gas Emissions and Reduction Goals–

Representation. This provision applies to solicitation that include the clause at 52.204-7.

(xix) 52.225-2, Buy American Certificate. This provision applies to solicitations containing the clause at 52.225-1.

(xx) 52.225-4, Buy American—Free Trade Agreements—Israeli Trade Act Certificate. (Basic, Alternates I, II, and III.) This provision applies to solicitations containing the clause at 52.225-3.

(A) If the acquisition value is less than $25,000, the basic provision applies.

(B) If the acquisition value is $25,000 or more but is less than $50,000, the provision with its

Alternate I applies.

(C) If the acquisition value is $50,000 or more but is less than $80,317, the provision with its

Alternate II applies.

(D) If the acquisition value is $80,317 or more but is less than $100,000, the provision with its

Alternate III applies.

(xxi) 52.225-6, Trade Agreements Certificate. This provision applies to solicitations containing the clause at 52.225-5.

(xxii) 52.225-20, Prohibition on Conducting Restricted Business Operations in Sudan—

Certification. This provision applies to all solicitations.

(xxiii) 52.225-25, Prohibition on Contracting with Entities Engaging in Certain Activities or

Transactions Relating to Iran-Representation and Certifications. This provision applies to all solicitations.

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(xxiv) 52.226-2, Historically Black College or University and Minority Institution

Representation. This provision applies to solicitations for research, studies, supplies, or services of the type normally acquired from higher educational institutions.

(2) The following representations or certifications are applicable as indicated by the Contracting

Officer:

[ ] (i) 52.204-17, Ownership or Control of Offeror.

[ ] (ii) 52.204-20, Predecessor of Offeror.

[ ] (iii) 52.222-18, Certification Regarding Knowledge of Child Labor for Listed End Products.

[ ] (iv) 52.222-48, Exemption from Application of the Service Contract Labor Standards to

Contracts for Maintenance, Calibration, or Repair of Certain Equipment- Certification.

[ X ] (v) 52.222-52, Exemption from Application of the Service Contract Labor Standards to

Contracts for Certain Services-Certification.

[ ] (vi) 52.223-9, with its Alternate I, Estimate of Percentage of Recovered Material Content for

EPA–Designated Products (Alternate I only).

[ ] (vii) 52.227-6, Royalty Information.

[ ] (A) Basic.

[ ] (B) Alternate I.

[ ] (viii) 52.227-15, Representation of Limited Rights Data and Restricted Computer Software.

(d) The offeror has completed the annual representations and certifications electronically via the SAM website accessed through https://www.acquisition.gov. After reviewing the SAM database information, the offeror verifies by submission of the offer that the representations and certifications currently posted electronically that apply to this solicitation as indicated in paragraph (c) of this provision have been entered or updated within the last 12 months, are current, accurate, complete, and applicable to this solicitation (including the business size standard applicable to the NAICS code referenced for this solicitation), as of the date of this offer and are incorporated in this offer by reference (see FAR 4.1201);

except for the changes identified below [offeror to insert changes, identifying change by clause number, title, date]. These amended representation(s) and/or certification(s) are also incorporated in this offer and are current, accurate, and complete as of the date of this offer.

FAR CLAUSE # TITLE DATE CHANGE

Any changes provided by the offeror are applicable to this solicitation only, and do not result in an update to the representations and certifications posted on SAM.

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