Sol_75H70321Q00003 FBO.pdf

75H70321Q00003

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

08/06/2021

1 36

John E Moss Federal Bldg 650 Capitol Mall, Suite 7-100 Sacramento CA 95814

California Office of the Director

CORDELL BAILEY

08/23/2021 1400 PT

FOB DESTINATION

OTHER

(See Schedule)X

ITEM NO.

(a)

SUPPLIES/SERVICES

(b)

QUANTITY

(c)

UNIT

(d)

UNIT PRICE

(e)

AMOUNT

(f)

Provide Alcohol Counselor Certification Training for Mental/Behavioral Health and Substance Use Disorder Staff

Award will be made to the Lowest Price Technically Acceptable (LPTA) Proposal submitted

You must include a copy of the Standard Form 18 (this form) with Blocks 13, 14, 15, 16 completed.

DO NOT SUBMIT Quotes to the address in Block 5a.

ALL Quote Proposals packages MUST be submitted to the Contracting Officer via email at Continued ...

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)

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

2 36

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

75H70321Q00003

Cordell.Bailey@ihs.gov and in the Subject Line insert, Response to

Solicitation 75H70321Q00003 NO LATER THAN August

23, 2021 14:00 (2 PM) Pacific Time

Period of Performance: 09/25/2021 to 09/24/2022

DO NOT SUBMIT Quotes to the address in Block 5a.

ALL Quote Proposals packages MUST be submitted to the Contracting Officer via email at

Cordell.Bailey@ihs.gov and in the Subject Line insert, Response to

Solicitation 75H70321Q00003 NO LATER THAN August

23, 2021 14:00 (2 PM) Pacific Time

NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)

PRICE SCHEDULE

The Contractor shall survey California Area Federally Recognized Tribal and Urban Indian Substance Abuse/Mental Health programs and CA Area Youth Regional Treatment Center(s) to determine number of certified/uncertified counselors and training needs. Necessary training shall be provided. The contractor shall arrange for certification testing and certification.

Proposed Prices:

Unit Price Total Price

Survey $ $_______

Trainings

One five day training $ $________

(1 each)

Three two-day trainings $ $ _______

(3 each)

Reports $__________ $_________

(4 each)

Reimburse programs for participant travel/per diem $ 71,610

Certification testing and re-certification fees. Costs securing

Continuing Education Units for licensed providers.

Reimbursed on an actual cost basis. $ 12,000

TOTAL $_________

PERFORMANCE WORK STATEMENT

ALCOHOL COUNSELOR CERTIFICATION TRAINING

SECTION 1 GENERAL INFORMATION

This Performance Work Statement (PWS) defines the requirements for Alcohol Counselor Certification Training for the California Area Indian Health Service (CAIHS) on behalf of the federally recognized Tribal and Urban Indian health programs of the California Area.

1.1 The Overall Purpose

To train, educate, certify and re-certify alcohol and substance abuse counselors at California Tribal and Urban Indian Substance Abuse/Mental Health programs throughout California. Training will be based upon a survey of the needs of these programs.

Training shall consist of one (1) five-day training and three (3) two-day trainings.

1.2 SCOPE

The Contractor shall provide Alcohol Counselor Certification Training as described herein.

1.2.1 Period of Performance: Estimated for September 1, 2021 to August 31, 2022.

1.2.2 Place of Performance: The Contractor shall conduct the in-person training sessions in the Sacramento area, at a local hotel or training center that can accommodate 40 - 50 people.

1.2.3 Alternate Place of Performance (Exception): In-person training is preferred (refer to Section 1-1.2.2), however in the event that a public health emergency such as that of Covid-19 Pandemic, restricts opportunity for in-person training, training session (s) may be held virtually at the discretion of the CO.

SECTION 2 DEFINITIONS

The language in this section is suggested for use only as appropriate and necessary.

2.1 Area

A defined geographical region for Indian Health Service administrative purposes.

2.2 Contracting Officer (CO)

A government employee authorized and warranted to issue contracts, and to make subsequent modification(s). The CO has full authority to make determinations on all changes and disputes regarding the contract.

2.3 Contractor

The individual awarded a legal binding contract to provide supplies and/or services.

2.4 Defective Service

A service output that does not meet the standard of performance requirement specified in the contract for that service.

2.5 Inspector

A government employee authorized to provide verbal and written performance direction to the Contractor that the Contractor must follow without exception.

2.6 Performance Requirement

The point that divides acceptable and unacceptable performance of a task according to the PRS and the Inspection of Services Clause.

2.7 Performance Requirements Summary

A listing of the service outputs under the contract that are to be evaluated by the project officer on a regular basis, the surveillance methods to be used for these outputs, and the performance requirements of the listed outputs.

2.8 Project Officer

A government representative appointed by the CAIHS to assist in the management of the contract. The project officer will work cooperatively under the direction of the contracting officer.

2.9 Quality Assurance

A planned and systematic pattern of all government actions necessary to provide confidence that adequate technical requirements are established; products and services conform to established technical requirements; and satisfactory performance is achieved.

Quality assurance refers to actions by the government assurance functions for a contracted service.

2.10 Quality Control

Those actions taken by a contractor to control the production of outputs to ensure that they conform to the contract requirements.

SECTION 3 GOVERNMENT FURNISHED INFORMATION AND

PROPERTY

None

SECTION 4 CONTRACTOR FURNISHED PROPERTY

The Contractor shall provide all equipment, material, and supplies necessary to provide Alcohol Counselor Certification training described herein.

SECTION 5 SPECIFIC REQUIREMENTS

The Contractor shall assess the training needs of the Tribal, Urban Indian, and IHS Youth Regional Treatment Center (YRTC) alcohol and substance abuse counselors in the California Area. This assessment will be based on the results of a survey of these programs that the Contractor will perform; survey described below. Then, the Contractor shall perform one (1) five-day training and three (3) two-day trainings which target the needs that were elucidated through the survey. The contractor will also make logistical arrangements for the meetings including conference facility, costs for meeting space, securing lodging, and processing travel vouchers for the participants. Additionally, the contractor shall arrange and fund certification training for at least 15 alcohol and substance abuse counselors.

The Contractor shall ensure that the performance standards of the contract are met. The contractor shall provide the required services during Federal government business days.

5.1 Survey of the Tribal & Urban Health Clinics

The contractor shall survey a minimum of sixty (60) Tribal Health programs, Urban Indian Health programs, and YRTC program(s) in the California Area IHS (see attached Directory of Health Programs), within 30 days of the start of the contract to determine the following:

5.1.1 The number of certified and non-certified alcohol and substance abuse counselors in each program.

5.1.2 The training required by the alcohol and substance abuse counselors for initial certification.

5.1.3 The training required by the alcohol and substance abuse counselors for recertification.

5.1.4 The training desired by the alcohol and substance abuse counselors for further professional development.

5.1.5 The Contractor shall provide a copy of the survey results and report, to the Project Officer, by 45 days of the start of the contract.

5.2 Training of alcohol and substance abuse counselors

The Contractor shall provide pertinent training of alcohol and substance abuse counselors, on an approximately quarterly basis, in the following manner:

5.2.1 The Contractor shall provide one 5-day training session for Tribal health program- and Urban Indian Health program-based alcohol and substance abuse counselors working within the CAIHS. The Contractor shall notify the Project Officer five (5) Federal government business days in advance of the scheduled training as to unfilled training slots; based on which, the CAIHS may elect to offer available training slots to others. The training content shall be dependent on the results of the survey described in 5.1.

5.2.2 The Contractor shall provide three 2-day training sessions for Tribal and

Urban Indian health program-based alcohol and substance abuse counselors in the California Area. The Contractor shall notify the Project Officer five (5) Federal government business days in advance of the scheduled training as to unfilled training slots; based on which, the CAIHS may elect to offer available training slots to others. The training content shall be dependent on the survey described in Section 5, 5.1.

5.2.3 The Contractor shall provide reports of the above training, to the Project Officer, within 30 days of the end of the training sessions.

5.3 Arranging the logistics of training and participant travel The Contractor shall make logistical arrangements for training and participant travel in the following manner:

5.3.1 The Contractor shall secure a meeting space of adequate size to accommodate the alcohol and substance abuse counselors who will be attending the training session(s).

5.3.2 The Contractor shall secure lodging for participants of the training sessions at a hotel in close proximity, preferable in walking distance.

5.3.3 The Contractor shall process travel vouchers for training session participants, which will include reimbursement for transportation costs, lodging and meals, at the Federal per diem rate. Reimbursements for this item shall not apply to training participants employed by other than California Area Federally recognized Tribal and Urban Indian health programs.

5.3.4 The Contractor shall set aside $71,610 to reimburse Tribal and Urban Indian health programs for the travel costs incurred by participants from their programs attending the training(s). Reimbursements for this item shall not apply to training participants employed by other than California Area Federally recognized Tribal and Urban Indian health programs.

5.3.5 The Contractor shall, in the event that CO approves one or more of the course(s) to be held virtually, as an exception due to a public health emergency such as COVID-19, secure a virtual meeting platform that meets contract requirements, arrange for training, notify potential participants and perform training virtually, whereas Section 5, items 5.3.2, 5.3.3, and 5.3.4 will not apply.

5.4 Arranging and funding of alcohol counselor certification testing The Contractor shall arrange and fund alcohol counselor certification testing for at least fifteen (15) counselors.

5.4.1 The Contractor shall arrange alcohol counselor certification testing with a certifying body which emphasizes the practice of substance abuse counseling and disorders for at least fifteen (15) alcohol and substance abuse counselors and/or mental health professionals from federally recognized Tribal and Urban Indian Health Programs. One type of certifying agency is the California Certification Board of Alcohol and Drug Counseling (CCBADC).

5.4.2 The Contractor shall pay the certification, re-certification and associated testing fees for the counselors, as well as, associated travel costs for the examinees. Priority will be given to those counselors testing for initial certification. Re-certification fees will be provided if funds are available.

Trainees employed by other than California Area federally recognized Tribal and Urban Indian Health Programs shall not be eligible for payment of certification/ re-certification fees through this Contract; however, shall be eligible for Continuing Education Credits (CEs) upon successful completion of training.

5.4.3 The Contractor will set aside $12,000 to be used for paying the testing certification fees for staff from California Area Federally Recognized Tribal and Urban Indian health programs. Trainees employed by other than California Area federally recognized Tribal and Urban Indian health programs shall not be eligible for payment of certification/re-certification fees through this Contract;

however, shall be considered eligible for Continuing Education Credits (CEs) upon successful completion of training.

5.5 Reports

The Contractor is responsible for providing reports to the Project Officer within 30 days of the completion of the survey and each training session.

5.6 Alternate location and schedule exception: In-person training is preferred, however in the event that a public health emergency such as that of Covid-19 Pandemic restricts opportunity for holding in-person training, one or more of the courses (s) may be held virtually at the final discretion of the CO. In such case that Contractor provides a course (s) through virtual means, Section 5 items 5.3.2, 5.3.3, and 5.3.4 will not apply.

5.6.1 The Contractor will provide PO and CO with a detailed training plan with request to offer the training session(s) virtually; plan will include the following:

Assessment of capacity for potential attendees to attend and participate a virtual training, detailed agenda that includes proposed content and schedule (dates and times) for each course(s), and a description of how the potential trainers will be notified and invited to the training, a description of the virtual platform to be used for training. The training plan shall show evidence of consideration for and reasonable accommodation of the needs of the potential attendees in terms of access and availability. The Contractor will ensure the same opportunity for and number of CEs, course content and interactive discussion for the virtually held sessions as that available through the proposed in-person training.

5.6.2 The Contractor will, if the exception for holding one or more of the course (s) virtually is approved, abide by all terms of the contract, however Specific Requirement Section 5 items 5.3.2, 5.3.3 and 5.2.4 will not apply as there will be no allowable reimbursement for training-participant travel, lodging or per diem.

SECTION 6 ADMINISTRATIVE

Billing will be fixed price for the survey, each report, and each training session. Contractor is required to fill the price schedule for payment calculation (see technical exhibit #2). Contractor to submit invoices within 30 days of completion of work.

SECTION 7 ATTACHMENT/TECHNICAL EXHIBITS

7.1 Technical Exhibit # 1, Performance Requirements Summary

7.3 Technical Exhibit # 2, Directory of Health Programs

Performance Requirements Summary

Technical Exhibit # 1

Required Service Performance Indicator Standard Method of Surveillance Maximum Payment

5.1 *

5.2 *

5.3 *

5.4 *

5.5

Survey CA Area Tribal/Urban

(T/U)and YRTC programs

Train Alcohol/Substance

Use Disorder staff

Arrange for training

& participants travel

Arrange funding for certification and re-cert.

Write Quarterly Reports

Report to Project Officer (PO) within 45 days of contract start

Evaluations complete after each training

Evaluations & review invoices quarterly

Quarterly reports & review budget submitted with report

Number of testing fees reported *

Report results of survey (60) of

Tribal, Urban Indian, and IHS YRTC health programs

One training each quarter

Training site costs & individual travel costs

Obtain the number of certified and un-certified counselors

Obtain number of counselors and behavioral health staff trained

* Maximum Payment : Payment will be withheld until tasking/required service (s) has been received and accepted

CALIFORNIA HEALTH PROGRAMS Last Updated: 5/11/2021 YELLOW for URBAN Offices

American Indian & Alaska Native Healthcare

Jolene Lono, Director

1505 Dillingham Blvd., Ste. 205

Honolulu, HI 96817-4822

Voice: (808) 848-8000

Fax: (808) 848-8001

American Indian Health & Services

Scott Black, Director

4141 State Street, Ste. B-11

Santa Barbara, CA 93110-2829

Voice: (805) 681-7356

Fax: (805) 681-7358

Bakersfield American Indian Health Project

Angel Galvez, CEO

1617 30th Street

Bakersfield, CA 93301-1907

Voice: (661) 327-4030

Fax: (661) 327-0145

Cabazon Band of Mission Indians

Nancy Markwardt, Office Manager

84-245 Indio Springs Parkway

Indio, CA 92203-3499

Voice: (760) 342-2593

Fax: (760) 347-7880

California Rural Indian Health Board, Inc.

Mark Lebeau, Director (CRIHB)

1020 Sundown Way

Roseville, CA 95661-4473

Voice: (916) 929-9761

Fax: (916) 929-7246

Central Valley Indian Health

Chuck Fowler, Director

2740 Herndon Avenue

Clovis, CA 93611-6813

Voice: (559) 299-2578

Fax: (559) 299-0245

Chapa-De Indian Health Program, Inc

Lisa Davies, Director

11670 Atwood Road

Auburn, CA 95603-9522

Voice: (530) 887-2800

Fax: (530) 887-2849

Cold Springs Rancheria

Helena Alarcon, Chairperson

32861 Sycamore Road, Ste. 300, POB 209

Tollhouse, CA 93667-9513

Voice: (559) 855-2451

Fax: (559) 855-4445

Colusa Indian Community Council

Catrina Ross, Director

3710 Hwy 45, Ste. A

Colusa, CA 95932-4026

Voice: (530) 458-5501

Fax: (530) 458-8660

Consolidated Tribal Health Project Inc.

Richard Matens, Exec. Director

P.O. Box 387

Calpella, CA 95418-0387

Voice: (707) 485-5115

Fax (707) 467-5650

Coyote Valley Tribal Council

Leah Sautelet, Director

7601 North State Street, P.O. Box 39

Redwood Valley, CA 95470 -9663

Voice: (707) 485-8723

Fax: (707) 485-1416

Desert Sage Youth Regional Treatment Center

Justin Peglowski, Director

39990 Faure Road (Physical)

Hemet, CA. 92544-9408, P.O.Box 2748 Hemet, CA 92546-9408

Voice: 951-708-4019 Fax: 951-767-9520

Elem Indian Coloney

Hiram Campbell, Tribal Admin.

P.O. Box 757

Lower Lake, CA 95457-0757

Voice: (707) 994-3400

Fax: (707) 994-3408

Feather River Tribal Health Inc.

Maria Hunzeker, Director

2145 5th Avenue

Oroville, CA 95965-5870

Voice: (530) 534-5394

Fax: (530) 534-3820

Fresno American Indian Health Project

Selina De La Pena, Director

1551 E. Shaw Avenue, Suite 139

Fresno, CA 93710-8012

Voice: (559) 320-0490

Fax: (559) 320-0494

Friendship House Assoc. of Amer. Inds.

Helen Waukazoo, Director

56 Julian Avenue

San Francisco, CA 94103-3547

Voice: (415) 865-0964

Fax: (415) 865- 5428

Greenville Rancheria

Lucretia Fletcher, CEO Director

410 Main Street, P.O. Box 279

Greenville, CA 95947-0279

Voice: (530) 528-8600

Fax: (530) 284-7594

Guidiville Indian Rancheria

Kimberly Dufour, Director

P.O. Box 339

Talmage, CA 95481-0339

Voice: (707) 462-3682

Fax: (707) 462-9183

Hoopa Valley Tribe (Kima:w)

Emmett Chase, Director

535 Airport Road, P.O. Box 1288

Hoopa, CA 95546-1288

Voice: (530) 625-4261

Fax: (530) 625-4842

Hopland Band of Pomo Indians

Sonny Elliott, Tribal Chairperson

3000 Shanel Road

Hopland, CA 95449-9809

Voice: (707) 472-2100

Fax: (707) 744-1506

Indian Health Center of Santa Clara Valley

Sonya Tetnowski, Director

1333 Meridian Avenue

San Jose, CA 95125-5212

Voice: (408) 445-3400

Fax: (408) 448-1727

Indian Health Council, Inc.

Orvin Hanson, Director

PO Box 406

Pauma Valley, CA 92061-0406

Voice: (760) 749-1410 (dif phy addr)

Fax: (760) 749-2151

Karuk Tribe of California

Rondi Johnson, CEO

64236 2nd Avenue, P.O. Box 1016

Happy Camp, CA 96039-1016

Voice: (530) 493-1600

Fax: (530) 493-5322

KOI Nation of Northern California

Darin Beltrans, Chairperson

P.O. Box 3162

Santa Rosa, CA 95402

Voice: (707) 331-9788

Fax: (707) 575-5506

Lake County Tribal Health Consortium

Ernesto Padilla, CEO

925 Bevins Court, P.O. Box 1950

Lakeport, CA 95453-1950

Voice: (707) 263-8382

Fax: (707) 263-0329

Mathiesen Memorial Health Clinic (CRIHB)

John Vass, Executive Director

18144 Seco Street, POB 535

Jamestown, CA 95327-9710

Voice: (209) 984-4820

Fax: (209) 984-4825

M.A.C.T. Health Board, Inc.

John Alexander, Director

52 South Main St., PO Box 939

Angels Camp, CA 95222 -0939

Voice: (209) 754-6255

Fax: (209) 674-6211

Strong Family Health Center (Modoc)

Candace Carlson, Exec. Director

1203 Oak Street

Alturas, CA 96101-3225

Voice: (530) 233-4591

Fax: (530) 233-3055

Native American Health Center

Martin Waukazoo, Director

2920 International Blvd.

Oakland, CA 94601

Voice: (510) 747-3030

Fax: (510) 748-0116

Native Directions Inc.

Ramona Valadez, Director

13505 Union Road

Manteca, CA 95336-9258

Voice: (209) 858-2421

Fax: (209) 858-4692

Technical Exhibit # 2

CALIFORNIA HEALTH PROGRAMS Last Updated: 5/11/2021 YELLOW for URBAN Offices

Northern Valley Indian Health

Inder Wadhwa, CEO

257 N. Butte Street

Willows, CA 95988-2803

Voice: (530) 934-4641

Fax: (530) 934-3285

Pinoleville Pomo Nation

Lenora Steele, Tribal Admin.

500 Pinoleville Dr., Ste. B

Ukiah, CA 95482-7121

Voice: (707) 463-1454

Fax: (707) 463-6601

Pit River Health Services, Inc. (CRIHB)

Loren Ellery, Director

36977 Park Avenue

Burney, CA 96013-4067

Voice: (530) 335-0333

Fax: (530) 335-5241

Quartz Valley Indian Res./ Anav (CRIHB)

Jeanna Frost, Director

9024 Sniktaw Lane

Fort Jones, CA 96032-9408

Voice: (530) 468-4470

Fax: (530) 468-4478

Redding Rancheria Tribal Health Center

Glen Hayward, Director

1441 Liberty St.

Redding, CA 96001-0848

Voice: (530) 224-2700

Fax: (530) 224-2742

Riverside/San Bernardino County IHC

Bill Thompsen, CEO

11555 1/2 Potrero Road

Banning, CA 92220 -6946

Voice: (951) 849-4761

Fax: (951) 849-5612

Rolling Hills Clinic

Carole Veloso, Director

705 East Street

Corning, CA 96021-3352

Voice: (530) 690-2827

Fax: (530) 690-2801

Round Valley Indian Health Center, Inc.

James Russ, Exec. Director

Corner of Hwy 162 & Bigger Ln., POB 247

Covelo, CA 95428-0247

Voice: (707) 983-6181

Fax: (707) 983-6184

Sacramento Native American Health Center

Britta Guerrero, Director

2020 J Street

Sacramento, CA 95811-3120

Voice: (916) 341-0575

Fax: (916) 341-0574

San Diego American Indian Health Cntr.

Kevin LaChapelle, Director

2630 First Avenue

San Diego, CA 92103-6599

Voice: (619) 234-2158

Fax: (619) 234-0505

Santa Ynez Band of Chumash Indians

Briana Flaherty Young, Interim Director

90 Via Juana Lane

Santa Ynez, CA 93460-9679

Voice: (805) 688-7070

Fax: (805) 686-2060

Scotts Valley Band of Pomo Indians

Sorhna Li, CFO

1005 Parallel Dr.

Lakeport, CA 95453 -5643

Voice: (707) 263-4220

Fax: (707) 533-2873

Sherwood Valley Band of Pomo Indians

Josh Graivier,Tribal Admin.

190 Sherwood Hill Drive

Willits, CA 95490-4666

Voice: (707) 459-9690

Fax: (707) 459- 6936

Shingle Springs Tribal Health Programs

Kyle Nelson, Executive Director

5168 Honpie Road

Placerville, CA. 95667-8635

Voice: (530) 387-4975

Fax: (530) 387- 8006

Sierra Tribal Consortium

Yolanda Herrera, Director

610 West McKinley Ave.

Fresno, CA 93728-1425

Voice: (559) 445-2691

Fax: (559) 445-3125

Sonoma County Indian Health (CRIHB)

Betty Arterberry, CEO

144 Stony Point Road

Santa Rosa, CA 95401-4122

Voice: (707) 521-4545

Fax: (707) 526-1016

Southern Indian Health Council, Inc.

Laura Caswell, CEO

4058 Willows Road

Alpine, CA 91901-1668

Voice: (619) 445-1188

Fax: (619) 659-3144

Susanville Indian Rancheria Health Center

Lona Marioneaux-Ibanitoru, COO

Lassen Indian Health Center

795 Joaquin Street

Susanville, CA 96130 -3628

Voice: (530) 257-2542 Fax: (530) 257-1101

Sycuan Band of Mission Indians

John Reeves, Admin. Officer

5442 Sycuan Road

El Cajon, CA 92019-1816

Voice: (619) 445-0707

Fax: (619) 445-0988

Table Mountain Rancheria

Marilyn Benck, Director

23638 Sky Harbor Road, P.O.B. 410

Friant, CA 93626-9733

Voice: (559) 822-3785

Fax: (559) 822-2928

Tejon Indian Tribe

Octavio Escobedo, Chairperson

4941 David Rd.

Bakersfield, CA 93307

Voice: (661) 834-8566

Fax: (661) 834-8564

Toiyabe Indian Health Project (CRIHB)

Joseph Herman, Director

250 N. See Vee Lane

Bishop, CA 93514-8058

Voice: (760) 873-8464

Fax: (760) 873-3935

Tule River Indian Health Center, Inc. (CRIHB) Zahid Sheikh, Director

380 N. Res. Rd., P.O. Box 768

Porterville, CA 93258-0768

Voice: (559) 784-2316

Fax: (559) 781-6514

Tule River Tribal Council (CRIHB)

Neil Peyron, Tribal Chairperson

340 N. Res Rd., P.O. Box 589

Porterville, CA 93258-0589

Voice: (559) 781-4271

Fax: (559) 781-4610

Tuolumne Me-Wuk Indian Health Center

Frank Isele, CEO

18352 Tuolumne Rd., Ste. 7

Tuolumne, CA 95379-9506

Voice: (209) 928-5400

Fax: (209) 928-5412

United American Indian Involvement, Inc

Luis Cervantes, Director

1125 West 6th Street, Suite 103

Los Angeles, CA 90017-1879

Voice: (213) 202-3970

Fax: (213) 975-9257

United Indian Health Services, Inc. (CRIHB)

Jed Rudd, Acting CEO

1600 Weeot Way

Arcata, CA 95521-4734

Voice: (707) 825-5000

Fax: (707) 825-6747

Warner Mountain Indian Health Project

Jana Townsend, Director (CRIHB)

132 Mee Thee-Uh Rd, P.O. Box 247

Fort Bidwell, CA 96112 -0247

Voice: (530) 279-6194

Fax: (530) 279-6288

Wilton Rancheria

Elena Tarango, Director

9728 Kent Street

Elk Grove, CA 95624-2453

Voice: (916) 683-6000

Fax: (916) 683-6015

Auga Caliente Band Of Cahuilla Indians (S)

Jeff Grubbee, Chairperson

5401 Dinah Shore Dr.

Palm Springs, CA 92264-5970

Voice: 760-699-6800

Fax: 760-699-6919

2 - Section 2 4 - Section 4

2 - Section 2

52.212-1 Instructions to Offerors - Commercial Items. (JUL 2021)

52.212-2 Evaluation - Commercial Items. (OCT 2014)

(a) 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:

(Contracting Officer shall insert the significant evaluation factors, such as (i) technical capability of the item offered to meet the Government requirement; (ii) price; (iii) past performance (see FAR 15.304); and include them in the relative order of importance of the evaluation factors, such as in descending order of importance.)

Technical and past performance, when combined, are [] (Contracting Officer state, in accordance with FAR 15.304, the relative importance of all other evaluation factors, when combined, when compared to price.)

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

(c) A written notice of award or acceptance of an offer, mailed or otherwise furnished to the successful offeror within the time for acceptance specified in the offer, shall result in a binding contract without further action by either party. Before the offer's specified expiration time, the Government may accept an offer (or part of an offer), whether or not there are negotiations after its receipt, unless a written notice of withdrawal is received before award.

(End of provision)

52.212-3 Offeror Representations and Certifications-Commercial Items. (FEB 2021)

The Offeror shall complete only paragraph (b) of this provision if the Offeror has completed the annual representations and certification electronically in the System for Award Management (SAM) accessed through https://www.sam.gov. If the Offeror has not completed the annual representations and certifications electronically, the Offeror shall complete only paragraphs (c) through (v)) of this provision.

(a) Definitions. As used in this provision-

Covered telecommunications equipment or services has the meaning provided in the clause 52.204-25, Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment.

Economically disadvantaged women-owned small business (EDWOSB) concern means a small business concern that is at least 51 percent directly and unconditionally owned by, and the management and daily business operations of which are controlled by, one or more women who are citizens of the United States and who are economically disadvantaged in accordance with 13 CFR part 127. It automatically qualifies as a women-owned small business eligible under the WOSB Program.

Forced or indentured child labor means all work or service-

(1) Exacted from any person under the age of 18 under the menace of any penalty for its nonperformance and for which the worker does not offer himself voluntarily; or

(2) Performed by any person under the age of 18 pursuant to a contract the enforcement of which can be accomplished by process or penalties.

Highest-level owner means the entity that owns or controls an immediate owner of the offeror, or that owns or controls one or more entities that control an immediate owner of the offeror. No entity owns or exercises control of the highest level owner.

Immediate owner means an entity, other than the offeror, that has direct control of the offeror.

Indicators of control include, but are not limited to, one or more of the following: Ownership or interlocking management, identity of interests among family members, shared facilities and equipment, and the common use of employees.

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).

Manufactured end product means any end product in product and service codes (PSCs) 1000- 9999, except-

(1) PSC 5510, Lumber and Related Basic Wood Materials;

(2) Product or Service Group (PSG) 87, Agricultural Supplies;

(3) PSG 88, Live Animals;

(4) PSG 89, Subsistence;

(5) PSC 9410, Crude Grades of Plant Materials;

(6) PSC 9430, Miscellaneous Crude Animal Products, Inedible;

(7) PSC 9440, Miscellaneous Crude Agricultural and Forestry Products;

(8) PSC 9610, Ores;

(9) PSC 9620, Minerals, Natural and Synthetic; and

(10) PSC 9630, Additive Metal Materials.

Place of manufacture means the place where an end product is assembled out of components, or otherwise made or processed from raw materials into the finished product that is to be provided to the Government. If a product is disassembled and reassembled, the place of reassembly is not the place of manufacture.

Predecessor means an entity that is replaced by a successor and includes any predecessors of the predecessor.

Reasonable inquiry has the meaning provided in the clause 52.204-25, Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment.

Restricted business operations means business operations in Sudan that include power production activities, mineral extraction activities, oil-related activities, or the production of military equipment, as those terms are defined in the Sudan Accountability and Divestment Act of 2007 (Pub. L. 110-174). Restricted business operations do not include business operations that the person (as that term is defined in Section 2 of the Sudan Accountability and Divestment Act of 2007) conducting the business can demonstrate-

(1) Are conducted under contract directly and exclusively with the regional government of southern Sudan;

(2) Are conducted pursuant to specific authorization from the Office of Foreign Assets Control in the Department of the Treasury, or are expressly exempted under Federal law from the requirement to be conducted under such authorization;

(3) Consist of providing goods or services to marginalized populations of Sudan;

(4) Consist of providing goods or services to an internationally recognized peacekeeping force or humanitarian organization;

(5) Consist of providing goods or services that are used only to promote health or education; or

(6) Have been voluntarily suspended.

Sensitive technology-

(1) Means hardware, software, telecommunications equipment, or any other technology that is to be used specifically-

(i) To restrict the free flow of unbiased information in Iran; or

(ii) To disrupt, monitor, or otherwise restrict speech of the people of Iran; and

(2) Does not include information or informational materials the export of which the President does not have the authority to regulate or prohibit pursuant to section 203(b)(3) of the International Emergency Economic Powers Act (50 U.S.C. 1702(b)(3)).

Service-disabled veteran-owned small business concern-

(1) Means a small business concern-

(i) Not less than 51 percent of which is owned by one or more service-disabled veterans or, in the case of any publicly owned business, not less than 51 percent of the stock of which is owned by one or more service-disabled veterans; and

(ii) The management and daily business operations of which are controlled by one or more service-disabled veterans or, in the case of a service-disabled veteran with permanent and severe disability, the spouse or permanent caregiver of such veteran.

(2) Service-disabled veteran means a veteran, as defined in 38 U.S.C. 101(2), with a disability that is service-connected, as defined in 38 U.S.C. 101(16).

Small business concern-

(1) Means a concern, including its affiliates, that is independently owned and operated, not dominant in the field of operation in which it is bidding on Government contracts, and qualified as a small business under the criteria in 13 CFR part 121 and size standards in this solicitation.

(2) Affiliates, as used in this definition, means business concerns, one of whom directly or indirectly controls or has the power to control the others, or a third party or parties control or have the power to control the others. In determining whether affiliation exists, consideration is given to all appropriate factors including common ownership, common management, and contractual relationships. SBA determines affiliation based on the factors set forth at 13 CFR 121.103.

Small disadvantaged business concern, consistent with 13 CFR 124.1002, means a small business concern under the size standard applicable to the acquisition, that-

(1) Is at least 51 percent unconditionally and directly owned (as defined at 13 CFR 124.105) by-

(i) One or more socially disadvantaged (as defined at 13 CFR 124.103) and economically disadvantaged (as defined at 13 CFR 124.104) individuals who are citizens of the United States; and

(ii) Each individual claiming economic disadvantage has a net worth not exceeding $750,000 after taking into account the applicable exclusions set forth at 13 CFR 124.104(c)(2); and

(2) The management and daily business operations of which are controlled (as defined at 13.CFR 124.106) by individuals, who meet the criteria in paragraphs (1)(i) and (ii) of this definition.

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.

Successor means an entity that has replaced a predecessor by acquiring the assets and carrying out the affairs of the predecessor under a new name (often through acquisition or merger). The term "successor" does not include new offices/divisions of the same company or a company that only changes its name. The extent of the responsibility of the successor for the liabilities of the predecessor may vary, depending on State law and specific circumstances.

Veteran-owned small business concern means a small business concern-

(1) Not less than 51 percent of which is owned by one or more veterans (as defined at 38 U.S.C. 101(2)) or, in the case of any publicly owned business, not less than 51 percent of the stock of which is owned by one or more veterans; and

(2) The management and daily business operations of which are controlled by one or more veterans.

Women-owned business concern means a concern which is at least 51 percent owned by one or more women; or in the case of any publicly owned business, at least 51 percent of its stock is owned by one or more women; and whose management and daily business operations are controlled by one or more women.

Women-owned small business concern means a small business concern-

(1) That is at least 51 percent owned by one or more women; or, in the case of any publicly owned business, at least 51 percent of the stock of which is owned by one or more women; and

(2) Whose management and daily business operations are controlled by one or more women.

Women-owned small business (WOSB) concern eligible under the WOSB Program (in accordance with 13 CFR part 127), means a small business concern that is at least 51 percent directly and unconditionally owned by, and the management and daily business operations of which are controlled by, one or more women who are citizens of the United States.

(b)(1) Annual Representations and Certifications. Any changes provided by the Offeror in paragraph (b)(2) of this provision do not automatically change the representations and certifications in SAM.

(2) The offeror has completed the annual representations and certifications electronically in SAM accessed through http://www.sam.gov. After reviewing SAM information, the Offeror verifies by submission of this offer that the representations and certifications currently posted electronically at FAR 52.212-3, Offeror Representations and Certifications-Commercial Items, have been entered or updated in the last 12 months, are current, accurate, complete, and applicable to this solicitation (including the business size standard(s) applicable to the NAICS code(s) referenced for this solicitation), at the time this offer is submitted and are incorporated in this offer by reference (see FAR 4.1201), except for paragraphs _________.

[Offeror to identify the applicable paragraphs at (c) through (v) of this provision that the offeror has completed for the purposes of this solicitation only, if any.

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.

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 electronically on

SAM.]

(c) Offerors must complete the following representations when the resulting contract will be performed in the United States or its outlying areas. Check all that apply.

(1) Small business concern. The offeror represents as part of its offer that it ___ is, ___ is not a small business concern.

(2) Veteran-owned small business concern. (Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision.) The offeror represents as part of its offer that it ___ is, ___ is not a veteran-owned small business concern.

(3) Service-disabled veteran-owned small business concern. (Complete only if the offeror represented itself as a veteran-owned small business concern in paragraph (c)(2) of this provision.) The offeror represents as part of its offer that it ___ is, ___ is not a service-disabled veteran-owned small business concern.

(4) Small disadvantaged business concern. (Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision.) The offeror represents that it ___ is, ___ is not a small disadvantaged business concern as defined in 13 CFR 124.1002.

(5) Women-owned small business concern. (Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision.) The offeror represents that it ___ is, ___ is not a women-owned small business concern.

(6) WOSB concern eligible under the WOSB Program. (Complete only if the offeror represented itself as a women-owned small business concern in paragraph (c)(5) of this provision.) The offeror represents that-

(i) It ___ is, ___ is not a WOSB concern eligible under the WOSB Program, has provided all the required documents to the WOSB Repository, and no change in circumstances or adverse decisions have been issued that affects its eligibility;

and

(ii) It ___ is, ___ is not a joint venture that complies with the requirements of 13 CFR part 127, and the representation in paragraph (c)(6)(i) of this provision is accurate for each WOSB concern eligible under the WOSB Program participating in the joint venture. (The offeror shall enter the name or names of the WOSB concern eligible under the WOSB Program and other small businesses that are participating in the joint venture:

_____________________________________.) Each WOSB concern eligible under the WOSB Program participating in the joint venture shall submit a separate signed copy of the WOSB representation.

(7) Economically disadvantaged women-owned small business (EDWOSB) concern.

(Complete only if the offeror represented itself as a WOSB concern eligible under the WOSB Program in (c)(6) of this provision.) The offeror represents that-

(i) It ___ is, ___ is not an EDWOSB concern, has provided all the required documents to the WOSB Repository, and no change in circumstances or adverse decisions have been issued that affects its eligibility; and

(ii) It ___ is, ___ is not a joint venture that complies with the requirements of 13 CFR part 127, and the representation in paragraph (c)(7)(i) of this provision is accurate for each EDWOSB concern participating in the joint venture. (The offeror shall enter the name or names of the EDWOSB concern and other small businesses that are participating in the joint venture:

_____________________.) Each EDWOSB concern participating in the joint venture shall submit a separate signed copy of the EDWOSB representation.

Note to paragraphs (c)(8) and (9): Complete paragraphs (c)(8) and (9) only if this solicitation is expected to exceed the simplified acquisition threshold.

(8) Women-owned business concern (other than small business concern). (Complete only if the offeror is a women-owned business concern and did not represent itself as a small business concern in paragraph (c)(1) of this provision.) The offeror represents that it ___ is, a women-owned business concern.

(9) Tie bid priority for labor surplus area concerns. If this is an invitation for bid, small business offerors may identify the labor surplus areas in which costs to be incurred on account of manufacturing or production (by offeror or first-tier subcontractors) amount to more than 50 percent of the contract price: ____________________.

(10) HUBZone small business concern. (Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision.) The offeror represents, as part of its offer, that-

(i) It ____ is, ____ is not a HUBZone small business concern listed, on the date of this representation, on the List of Qualified HUBZone Small Business Concerns maintained by the Small Business Administration, and no material changes in ownership and control, principal office, or HUBZone employee percentage have occurred since it was certified in accordance with 13 CFR Part 126; and

(ii) It ____ is, ____ is not a HUBZone joint venture that complies with the requirements of 13 CFR Part 126, and the representation in paragraph (c)(10)(i) of this provision is accurate for each HUBZone small business concern participating in the HUBZone joint venture. (The offeror shall enter the names of each of the HUBZone small business concerns participating in the HUBZone joint venture: __________________.) Each HUBZone small business concern participating in the HUBZone joint venture shall submit a separate signed copy of the HUBZone representation.

(d) Representations required to implement provisions of Executive Order 11246-

(1) Previous contracts and compliance. The offeror represents that-

(i) It ___ has, ___ has not participated in a previous contract or subcontract subject to the Equal Opportunity clause of this solicitation; and

(ii) It ___ has, ___ has not filed all required compliance reports.

(2) Affirmative Action Compliance. The offeror represents that-

(i) It ___ has developed and has on file, ___ has not developed and does not have on file, at each establishment, affirmative action programs required by rules and regulations of the Secretary of Labor (41 CFR parts 60-1 and 60-2), or

(ii) It ___ has not previously had contracts subject to the written affirmative action programs requirement of the rules and regulations of the Secretary of Labor.

(e) Certification Regarding Payments to Influence Federal Transactions (31 U.S.C. 1352).

(Applies only if the contract is expected to exceed $150,000.) By submission of its offer, the offeror certifies to the best of its knowledge and belief that no Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress or an employee of a Member of Congress on his or her behalf in connection with the award of any resultant contract. If any registrants under the Lobbying Disclosure Act of 1995 have made a lobbying contact on behalf of the offeror with respect to this contract, the offeror shall complete and submit, with its offer, OMB Standard Form LLL, Disclosure of Lobbying Activities, to provide the name of the registrants. The offeror need not report regularly employed officers or employees of the offeror to whom payments of reasonable compensation were made.

(f) Buy American Certificate. (Applies only if the clause at Federal Acquisition Regulation (FAR) 52.225-1, Buy American-Supplies, is included in this solicitation.)

(1)(i) The Offeror certifies that each end product, except those listed in paragraph (f)(2) of this provision, is a domestic end product.

(ii) The Offeror shall list as foreign end products those end products manufactured in the United States that do not qualify as domestic end products.

(iii) The terms "domestic end product," "end product," "foreign end product," and "United States" are defined in the clause of this solicitation entitled "Buy American-Supplies."

(2) Foreign End Products:

Line item No. Country of origin

[List as necessary]

(3) The Government will evaluate offers in accordance with the policies and procedures of FAR Part 25.

(g)(1) Buy American-Free Trade Agreements-Israeli Trade Act Certificate. (Applies only if the clause at FAR 52.225-3, Buy American-Free Trade Agreements-Israeli Trade Act, is included in this solicitation.)

(i)(A) The Offeror certifies that each end product, except those listed in paragraph (g)(1)(ii) or (iii) of this provision, is a domestic end product.

(B) The terms "Bahrainian, Moroccan, Omani, Panamanian, or Peruvian end product," "domestic end product," "end product," "foreign end product," "Free Trade Agreement country," "Free Trade Agreement country end product," "Israeli end product," and "United States" are defined in the clause of this solicitation entitled "Buy American-Free Trade Agreements-Israeli Trade Act."

(ii) The Offeror certifies that the following supplies are Free Trade Agreement country end products (other than Bahrainian, Moroccan, Omani, Panamanian, or Peruvian end products) or Israeli end products as defined in the clause of this solicitation entitled "Buy American-Free Trade Agreements-Israeli Trade Act."

Line item No. Country of origin

[List as necessary]

(iii) The Offeror shall list those supplies that are foreign end products (other than those listed in paragraph (g)(1)(ii) of this provision) as defined in the clause of this solicitation entitled "Buy American-Free Trade Agreements-Israeli Trade Act." The Offeror shall list as other foreign end products those end products manufactured in the United States that do not qualify as domestic end products.

Other Foreign End Products:

Line item No. Country of origin

[List as necessary]

(iv) The Government will evaluate offers in accordance with the policies and procedures of FAR Part 25.

(2) Buy American-Free Trade Agreements-Israeli Trade Act Certificate, Alternate I. If Alternate I to the clause at FAR 52.225-3 is included in this solicitation, substitute the following paragraph (g)(1)(ii) for paragraph (g)(1)(ii) of the basic provision:

(g)(1)(ii) The offeror certifies that the following supplies are Canadian end products as defined in the clause of this solicitation entitled "Buy American-Free Trade Agreements-Israeli Trade Act":

Canadian End Products:

Line item No.

[List as necessary]

(3) Buy American-Free Trade Agreements-Israeli Trade Act Certificate, Alternate II. If Alternate II to the clause at FAR 52.225-3 is included in this solicitation, substitute the following paragraph (g)(1)(ii) for paragraph (g)(1)(ii) of the basic provision:

(g)(1)(ii) The offeror certifies that the following supplies are Canadian end products or Israeli end products as defined in the clause of this solicitation entitled "Buy American-Free Trade Agreements-Israeli Trade Act":

Canadian or Israeli End Products:

Line item No. Country of origin

[List as necessary]

(g)(4) Buy American-Free Trade Agreements-Israeli Trade Act Certificate, Alternate III.

If Alternate III to the clause at FAR 52.225-3 is included in this solicitation,…