Sol_75H70725Q00040.pdf

SEE ADDENDUMIS CHECKED

CODE 18a. PAYMENT WILL BE MADE BY

CODE

FACILITYCODE

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

OFFEROR

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

CODE 16. ADMINISTERED BYCODE

X

X

X

621210

SIZE STANDARD:

100.00 % FOR:SET ASIDE:UNRESTRICTED OR203

REQUEST FOR

PROPOSAL

(RFP)

INVITATION

FOR BID (IFB)

10. THIS ACQUISITION ISCODE

REQUEST FOR

QUOTE (RFQ)

14. METHOD OF SOLICITATION

13b. RATING

NORTH AMERICAN INDUSTRY

CLASSIFICATION STANDARD

(NAICS):

SMALL BUSINESS

03/21/2025 1200 MT

03/06/2025

505-256-6750STEPHANIE BEGAY

(No collect calls)

INFORMATION CALL:

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

4. ORDER NUMBER3. AWARD/ 6. SOLICITATION

75H70725Q00040

5. SOLICITATION NUMBER

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

1 47 OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

TELEPHONE NO.

17a. CONTRACTOR/

15. DELIVER TO

Albuquerque NM 87110 4101 Indian School Rd NE, Suite 225

9. ISSUED BY

7.

2. CONTRACT NO.

EFFECTIVE DATE

$9

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

ISSUE DATE

DELIVERY FOR FREE ON BOARD

(FOB) DESTINATION UNLESS

BLOCK IS MARKED

11.

SEE SCHEDULE

12. DISCOUNT TERMS THIS CONTRACT IS A RATED

ORDER UNDER THE DEFENSE

PRIORITIES AND ALLOCATIONS

SYSTEM - DPAS (15 CFR 700)

13a.

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

(SDVOSB)

HUBZONE SMALL

BUSINESS

8(A)

Albuquerque Indian Health Service

WOMEN-OWNED SMALL

BUSINESS (WOSB)

ECONOMICALLY DISADVANTAGED

WOMEN-OWNED SMALL

BUSINESS (EDWOSB)

24.

AMOUNT

23.

UNIT PRICE

22.

UNIT

21.

QUANTITY

20.

SCHEDULE OF SUPPLIES/SERVICES

19.

ITEM NO.

Solicitation No. 75H70725Q00040 is hereby issued to provide Orthodontic Non Personal Healthcare services for the Albuquerque Indian Dental Clinic.

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

HEREIN, IS ACCEPTED AS TO ITEMS:

DATED

ERIC K. WRIGHT

. YOUR OFFER ON SOLICITATION (BLOCK 5),

INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE SET FORTH

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DELIVER

ARE

ARE

31c. DATE SIGNED

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

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

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

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

SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED.

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

AND 52.212-5 ARE ATTACHED. ADDENDA

26. TOTAL AWARD AMOUNT (For Government Use Only)

OFFER

STANDARD FORM 1449 (REV. 11/2021)

Prescribed by GSA - FAR (48 CFR) 53.212

ARE NOT ATTACHED.

ARE NOT ATTACHED.

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

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

30a. SIGNATURE OF OFFEROR/CONTRACTOR

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

25. ACCOUNTING AND APPROPRIATION DATA

29. AWARD OF CONTRACT: REFERENCE

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE

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

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

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED

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

37. CHECK NUMBER

FINALPARTIAL

36. PAYMENT

FINALPARTIAL

35. AMOUNT VERIFIED

CORRECT FOR

34. VOUCHER NUMBER33. SHIP NUMBER

COMPLETE

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

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

42b. RECEIVED AT (Location)

42a. RECEIVED BY (Print)

41c. DATE41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER

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

STANDARD FORM 1449 (REV. 11/2021) BACK

24.

AMOUNT

23.

UNIT PRICE

22.

UNIT

21.

QUANTITY

20.

SCHEDULE OF SUPPLIES/SERVICES

19.

ITEM NO.

32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

47 2 of

Orthodontic Non-Personal Healthcare Services-AIDC Solicitation 75H70725Q00040 Page 3 of 47

SECTION 1 - SUPPLIES OR SERVICES AND PRICES/COSTS

1.1 SERVICES

1.1.1 The Indian Health Service (IHS)/Albuquerque Area Office (AAO), Albuquerque Indian Dental Clinic (AIDC), has a requirement for Orthodontic Non-Personal Healthcare services at Albuquerque, New Mexico.

1.1.2 The Government contemplates to award a single award resulting from this solicitation.

1.2 PRICE OR COST

1.2.1 This solicitation will result in a Firm-Fixed-Price (FFP) Purchase Order acquisition with one base year and four 12-month option periods. The quantities shown in the Schedule of Charges are "expected" quantities, but are not representative of actual ordering quantities, and serve as a means of arriving at price reasonableness for award purposes. Utilization of the "Requirements" contract has been determined to be appropriate for Orthodontic Non-Personal Health Services as the government anticipates recurring requirements but cannot pre-determine the precise quantities that will be ordered during the contract period.

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

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

1.3 GENERAL CONTRACT INFORMATION

1.3.1 This is a non-personal health care service contract, as defined in Federal Acquisition Regulation (FAR) 37.101, under which the contractor is an independent contractor. The Government may evaluate the quality of professional and administrative services provided, but retains no control over the medical, professional aspects of services rendered (e.g., professional judgments, diagnosis for specific medical treatment). The contractor is required to indemnify the Government for any liability producing act or omission by the contractor, its employees and agents occurring during contract performance. The contractor must maintain medical liability insurance- in a coverage amount acceptable to the Contracting Officer, which is not less than the amount normally prevailing within the local community for the medical specialty concerned. The contractor is required to ensure that its subcontracts for provisions of health care services contain the requirement of the Clause 52.237-7, including the maintenance of medical liability insurance.

1.3.2 FINGERPRINTING REQUIREMENTS FOR SECURITY AND SUITABILITY:

"Prior to start of services, the Contractor must contact Tamela Richards, at Telephone No. (505) 256- 6762, AAO, Division of Contracts and Grants (DCGM), to schedule an appointment to complete the fingerprinting process required by the IHS regulations pertinent to security and character background investigations."

1.4 CONTRACT PRICE

1.4.1 Upon delivery and acceptance of the item(s) specified in the DELIVERY Article in SECTION of this contract, the Government shall pay to the Contractor the amount resulting from the awarded contract price.

Healthcare Services-AIDC Solicitation 75H70725Q00040 Page 4 of 47

1.4.2 Upon delivery and acceptance the services described in the Performance Work Statement (PWS) and identified in the schedule of charges below, the Government shall pay to the Contractor the total prices set forth on the specified contract line items.

1.4.3 The Contractor shall be paid upon submission of an invoice and completion and acceptance (if deliverable) or verification (if service) by the Contracting Officer's Representative (COR), of the deliverables and/or services indicated below. Submit invoices in accordance with the instructions contained in FAR clause 52.232-25, Prompt Payment, and Section 10 of this contract. Unit price shall be an all-inclusive rate of all other fees including travel expenses, per diem, lodging all cities, state, federal, local taxes and miscellaneous cost associated with the requested contracted services:

SCHEDULE OF CHARGES

Item # Contract Period Description of Services - Base TBD, 2025- TBD, 2026 Total Amount

CLIN 1 Base Year 1 Orthodontist

$_____/hour x 605 hours

TOTAL PRICE FOR BASE PERIOD: $

Item # Contract Period Description of Services - Base TBD, 2026- TBD, 2027 Total Amount

CLIN 2 Option Year One

1 Orthodontist

$_____/hour x 605 hours

TOTAL PRICE FOR OPTION PERIOD ONE: $

Item # Contract Period Description of Services - Base TBD, 2027- TBD, 2028 Total Amount

CLIN 3 Option Year Two

1 Orthodontist

$_____/hour x 605 hours

TOTAL PRICE FOR OPTION PERIOD TWO: $

Item # Contract Period Description of Services - Base TBD, 2028- TBD, 2029 Total Amount

CLIN 4 Option Year Three

1 Orthodontist

$_____/hour x 605 hours

TOTAL PRICE FOR OPTION PERIOD THREE: $

Item # Contract Period Description of Services - Base TBD, 2029- TBD, 2030 Total Amount

Healthcare Services-AIDC Solicitation 75H70725Q00040 Page 5 of 47

CLIN 5 Option Year Four

1 Orthodontist

$_____/hour x 605 hours

TOTAL PRICE FOR OPTION PERIOD FOUR: $

1.4.4 Note: Unit price shall be an all-inclusive rate of all other fees including travel expenses, per diem, lodging all cities, state, federal, local taxes and miscellaneous cost associated with the above services.

SECTION 2 – DEFINITIONS:

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

2.2 Approval: Acknowledgment by the designated Government official that submittals, deliverables, or administrative documents (e.g., insurance certificates, installation schedules, planned utility interruptions, etc.) conform to the contractual requirements. Government approval does not relieve the Contractor from responsibility for compliance with contract requirements.

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

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

2.5 Business Associate Agreement (BAA): A BAA is a contract between a HIPAA-covered entity and a HIPAA BA.

The contract protects personal health information (PHI) in accordance with HIPAA guidelines.

2.6 Code of Ethics: The ADA Principles of Ethics and Code of Conduct

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

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

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

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

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

2.12 Customer Evaluation/Input: Written comments made to the COR regarding the Contractors performance.

This is one of the criteria used to evaluate the Contractor's performance.

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

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

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

Healthcare Services-AIDC Solicitation 75H70725Q00040 Page 6 of 47

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

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

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

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

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

2.21 Service Unit: The local administrative unit of IHS.

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

2.23 Technical Direction: A directive to the Contractor that approves approaches, solutions, designs, or refinements; fills in details or otherwise completes the general description of work or documentation items;

shifts emphasis among work areas or tasks; or furnishes similar instruction to the Contractor.

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

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

SECTION 3 – GOVERNMENT-FURNISHED PROPERTY AND SERVICES:

3.1 The Government will provide the following item(s) of Government property to the Contractor for use in the performance of this contract. This property shall be used and maintained by the Contractor in accordance with provisions of FAR Clause 52.245-1, Government Property (found in Section 3).

Item No

Property Description Property Value Qty. Date Available

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

3.2 Government Furnished Information/Property and Services

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

3.2.2 Joint Use by the Government and the Contractor: Except for the property and service listed in 3.1, the Government will provide, for joint use by the Government and the Contractor, all necessary equipment, supplies, and clinic space to perform the services under this contract.

3.2.3 Contractor Exclusive Use:

Healthcare Services-AIDC Solicitation 75H70725Q00040 Page 7 of 47

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

3.2.3.2 The Government will provide facility specific contractor identification badges for each contractor. For lost or destroyed badges, there is a minimum charge of $20.00, which will be paid by the Contractor.

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

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

SECTION 4 - PERFORMANCE WORK STATEMENT/REQUIREMENTS

The contractor shall provide an Orthodontic non-personal services agreement with the following requirements:

A. The contractor may be an individual, group, or organization in which any individual providing the services meets the stated qualification requirements. The Contractor shall ensure that qualified providers will be on site at the facility as scheduled to provide the following:

a. Diagnostic services through the use of history, radiographs, clinical examination, diagnostic models, and other appropriate tests.

b. Full corrective orthodontic treatment of the various classes of malocclusion found among children and adults. This includes the treatment of difficult management cases and institutionalized patients.

c. Corrective orthodontic treatment in conjunction with orthogenathic surgery.

d. Diagnosis and treatment of congenital abnormalities of the oral regions, e.g., cleft palate, ectodermal dysplasia, various skeletal dysplasias.

e. Treatment of cases where occlusion is impaired by trauma or other non-congenital etiology.

f. Treatment of cases where orthogenathic defects cause esthetic and psychological problems.

g. Treatment of myofunctional problems related to malocclusion e.g., tongue trust, mouth breathing, and adverse oral habits.

h. Collaborates with general dentists and other specialists in the treatment of malocclusions involving temporomandibular joint problems.

i. Obtain consolation services in other specialty areas as appropriate for cases requiring a team approach.

B. Certification forms and required documents must be completed in their entirety and returned as demonstration that the provider(s) meet the minimum qualifications as set forth;

a. Medical Liability Insurance: Provide proof of current medical liability insurance carried at the minimum amount of $1,000,000 per occurrence and $3,000,000 aggregate; or as determined by the Contracting Officer.

b. Contractor must be a graduate of an accredited residency program in orthodontic dentistry.

c. Contractor must be certified by the American Board of Orthodontic Dentistry.

d. Contractor must be licensed in a state of the United States or its territories in order to practice

Orthodontic dentistry.

e. Contractor must be credentialed and privileged to provide orthodontic services through the

Albuquerque Indian Dental Clinic.

f. Contractor shall provide documentation of past employment and training history. Three written, verifiable reference letters addressing applicant’s reliability and stability, interpersonal interactions

Healthcare Services-AIDC Solicitation 75H70725Q00040 Page 8 of 47 and suitability for working with children and adolescents.

g. Contractor must provide a resume detailing his or her experience and work history.

C. Current Basic Life Support (BLS) Certification required.

D. The Contractor shall:

a. Adhere to the scope of work and accept work assignments from the Clinical Director as necessary.

b. Provide oral health services to the designated population in accordance with IHS policies and professional standards.

c. Document findings in the Electronic Health Record (EHR) at the end of each patient encounter according to AIDC policy and procedures, AAAHC standards, and CMS regulations.

d. Perform other related duties as assigned.

e. Maintain privileges at the AIDC.

E. Overtime compensation is not authorized in this contract.

F. Training and training expenses are not covered by this contract, unless it is included as; training required by

IHS for new technology or as requirement of the IHS and IHS itself has not had the required training to carry out its mission.

G. The contractor terms and conditions does not allow for accrual or sick leave or other fringe benefits.

Supervision, Adherence to Policies, Quality of Patient Care:

A. Contractor will be under the supervision of the Clinical Director at the Albuquerque Indian Dental Clinic.

B. Contractor must be knowledgeable of service unit medical staff by-laws and rules and regulations and comply with all policies and laws of the IHS/Federal Government, AAAHC, and professional standards of appropriate specialty.

C. Contractor will keep the supervisor (or designee) informed of the general time of arrival and departure for daily reporting. Will submit days for services provided as in invoice for processing payments.

Contractor will only be paid for services provided and approved by the supervisor or designee.

4.1 Work Schedule:

4.1.1 Work Shift: The contractor will work 55 days over a period of 11 weeks for 40 hours per week:

4.1.1.1 Routine Clinic Hours:

• Monday: 8:00 AM- 12:30 PM and 1:15- 4:30 PM

• Tuesday: 8:00 AM- 12:30 PM and 1:15- 4:30 PM

• Wednesday: 8:00 AM- 12:30 PM and 1:15- 4:30 PM

• Thursday: 8:00 AM- 12:30 PM and 1:15- 4:30 PM

• Friday: 8:00 AM- 12:30 PM and 1:15- 4:30 PM

4.1.2 Scheduling of Shifts: The COR or Alternate COR at the IHS facility will determine specific tour of duty. The contractor's employee must work 100% of the contracted hours.

4.1.3 Work Absence: The Contractor will perform and obtain approval of the COR and Alternate COR prior to any absence from work. If the length of the absence exceeds working hours the Contractor must request from agency approval at least fifteen (15) business days, (the exception is verifiable emergencies) in advance of the desired absence.

4.1.4 The Contractor must perform and maintain documentation from a qualified health care provider for absences of three (3) or more consecutive days, due to illness, stating:

4.1.4.1 The cause of the current illness or incapacitation AND

4.1.4.2 Indicating the Contractor as contagious or non-contagious.

Healthcare Services-AIDC Solicitation 75H70725Q00040 Page 9 of 47

4.1.4.3 The Government reserves the right to examine and or re-examine any Contractor who meets the criteria.

4.2 Conditions of Contract Services: – All Orthodontists providing non-personal healthcare services under this contract must attend mandatory orientations specified by the IHS.

4.2.1 The contractor must be subject to character investigation as required by Public Law 101-630, the Indian Health Child Protection and Family Violence Prevention Act prior to performance of a contract by utilizing the US Office of Personnel Management (OPM), Electronic Questionnaire for Investigation Processing (eQIP) system and this shall include all fingerprinting procedures and clearances. The contractor must provide all requested information necessary to perform Level I and Level II background checks. The contractor must comply with the requirement to obtain security investigations. The contractor must work with the IHS to ensure that the pre-employment screening process includes the appropriate investigation questionnaires and forms to be completed within 7 business day of receipt. Failure to abide by this 7 business day submission timeframe will result in termination of your contract under 52.249-1 Termination for Convenience of the Government (Fixed Price) Short Form (April 1983). The contractor will review all completed forms and forward onto the Government personnel. The contractor will be immediately removed from the position (at any time the investigation receives unfavorable adjudication, or, if other unfavorable information that would affect the investigation becomes known.

4.2.2 Identification of Contractor: The Contractor must wear a government issued contractor identification badge during performance of duty. After 120 day of providing services, PIV cards are issued at the Service Unit.

4.2.3 Management of Medical Information: The Contractor must manage all patient information in accordance with HIPAA standards, Privacy Act, and IHS Service Unit and/or Health Center specific policies and protocols. The Contractor must immediately report to the Contracting Officer or COR any information or circumstances that may violate any statute, policy, or procedure.

4.2.4 IHS Information Technology Systems: In performance of this contract, the Contractor must adapt to and successfully utilize IHS information technology systems such as Electronic Health Records (EHR) or RPMS, which the IHS has deemed necessary for acceptable contractor performance. The IT policies and procedures are available to the Contractor at the Service Unit and the Contractor will adhere to the IHS Information Technology System Security Policies and procedures. The Contractor must follow all appropriate federal required information Technology security requirements and will be operating under Health Insurance Portability and Accountability (HIPAA) and Privacy Act regulations.

4.3 MANDATORY PROFESSIONAL QUALIFICATIONS:

The contractor shall provide a copy of his/her work experience (resume, C.V.). In addition to performing dental services, the contract provider shall be able to meet the following criteria:

4.3.1 Education:

• Contractor must be a graduate of an accredited residency program in orthodontic dentistry

• Contractor must be certified by the American Board of Orthodontic Dentistry

4.3.2 License/Registration:

• Contractor must be licensed in a state of the United States or its territories in order to practice Orthodontic dentistry

Healthcare Services-AIDC Solicitation 75H70725Q00040 Page 10 of 47

4.3.3 Medical Liability Insurance:

• Provide proof of current medical liability insurance carried at the minimum amount of $1,000,000.00 per occurrence and $3,000,000.00 aggregate.

4.3.4 Certifications:

• Current Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS) is required.

4.3.5 Motor Vehicle Operator's License: Contractors will not operate any Government-Owned vehicles. If required, they allowed only as passengers in the Government-Owned Vehicle driven by a Federal employee.

4.3.6 Identification of Contractor: The Contractor must wear a government issued contractor identification badge during performance of duty. After 120 days, PIV card issuance will be determined at the Service Unit.

4.3.7 Health Requirements of Contracted Healthcare Providers: Furnish documentation that reflects immunity for the indicated vaccine preventable diseases through documented disease, vaccination history, serology results, and/or any documented episodes of adverse events after vaccination. Any contractor’s employee who is allergic to a component of a vaccine and/or have a history of a severe reaction to a vaccine is not required to receive that vaccine with documented proof of contraindication to the vaccination. The following are additional requirements for specific vaccine preventable diseases.

• Measles:

-Vaccinations with 2 doses of live measles or MMR vaccines administered at least 28 days apart, -Laboratory evidence of immunity, -Laboratory confirmation of disease, or -Birth before 1957.

• Mumps:

-Vaccinations with 2 doses of live mumps or MMR vaccines administered at least 28 days apart, -Laboratory evidence of immunity, -Laboratory confirmation of disease, or -Birth before 1957.

• Rubella:

-Vaccinations with 1 dose of live rubella or MMR vaccines administered at least 28 days apart, -Laboratory evidence of immunity, -Laboratory confirmation of disease, or -Birth before 1957

• Hepatitis B:

-Vaccinations with three doses of Hepatitis B vaccines, or -signed declination of Hepatitis B vaccination series.

• Varicella:

-Vaccinations with two doses of varicella at least 4 weeks apart, -laboratory evidence of immunity or confirmation of disease, -diagnosis or verification of history of varicella disease by a health care provider, or -diagnosis or verification of a history of herpes zoster by a health care provider.

• Influenza:

-Vaccination with one dose of current annual influenza season vaccine.

-Documented proof of the contraindication to the influenza vaccination as outlined by Advisory Committee on Immunization Practices recommendations, or

Healthcare Services-AIDC Solicitation 75H70725Q00040 Page 11 of 47

-Written statement justifying religious exemption from influenza vaccination.

• COVID-19 Immunization

Note: unvaccinated contract staff with an approved medical or religious exemption must wear an IHS-provided surgical or similar mask when working in patient care areas or other areas frequented by patients in an IHS facility during the influenza season.

• Pertussis -Vaccination with one dose of Tdap vaccine.

• Any additional immunization in accordance with IHS Immunization Policy that is available upon request.

The contract staff must have written documentation of TB test (TST or IGRA) within the last 12 months. If documented Positive TB test:

-Provide chest x-ray report of “No active TB disease” following positive TB test.

-Annual sign and symptoms screen:

• If negative sign and symptom screen, follow up chest x-ray not indicated.

• If signs and symptoms screen positive, contract staff must have written documentation of chest x-ray and health care provider evaluation.

Contractor must provide evidence of physical examination conducted within the preceding twelve

(12) months. A copy of a physical examination must be provided prior to the first day assignment.

Documentation of the above mentioned health requirements must be provided no later than 30 days to the COR.

For credentialed provider contract staff, they must have documentation from the provider’s physician or chief of staff that confirms they do not have any health problems (including disability, emotional stability, drug, or alcohol dependency) that might impair his/her ability to care for patient at time of application.

4.3.8 Criminal History Background Check:

Contractor’s employees whose duties and responsibilities involve regular contact or control over children are subject to a character investigation as required by Public Law 101-630, The Indian Child Protection and Family Violence Act. The minimum standards of character shall ensure that none of the individuals described in this order have been found guilty of, or entered a plea of nolo contendere or guilty to, any felonious offense, or any of two or more misdemeanor offenses, under federal, state, or tribal law involving crimes of violence; sexual assault, molestation, exploitation, contact or prostitution; crimes against persons; or offenses committed against children. These crimes do not hold a time statue and will be evaluated the same under any Child Care “CNACI” investigation with IHS. IHS will conduct these investigations following award of a contract. Until the character investigation has been completed and the Contracting Officer notified of the results, the Contractor ‘s employees must not have unsupervised contact with Indian children. Contractor’s employees are not able to work a scheduled shift until the security check is performed and clearance has been obtained by the appropriate agency. At a minimum, fingerprints are required, and upon clearance of this stage, a contractor’s employee may work a scheduled shift. However, Contractor’s employees are required to complete the detailed background application and the application is to be completed within 30 calendar days once the contractor’s employee has been given physical and logical access.

All Contractors’ employees are subject to criminal background check prior to performing services in accordance with the contract’s terms and conditions. This The contractor shall ensure that each of their employees complete the Certification of Criminal History and Background Check Packet. The

Healthcare Services-AIDC Solicitation 75H70725Q00040 Page 12 of 47 completed forms are to be returned to the COR. Additional Background Check packets can be obtained through the COR. See HHSAR Clauses 352.237-72 and 352.237-73

4.3.9 Required Training:

Protecting Children from Sexual Abuse as stated in IHM Contracting Training Plan for Implementation of Indian Health Manual Part 11, Chapter 2, Protecting Child from Sexual Abuse by Health Care Providers. Each provider must take this training within 30 calendar days from their start date at the service unit. Certificate should be provided to the COR.

Information System Security Awareness (ISSA) Training: Contractors who utilize the IHS information system or accesses or connects to the IHS network must complete the ISSA training 24 hours of receiving access and annually thereafter. The online ISSA training is located at http://www.ihs.gov/issa. Contractor access will be revoked unless and until the training is completed.

An exception can be made if the user has read and signed the IHS Quick Guide to Information Security, in which case the contractor will have 30 days to complete the training. Course certifications must be provided to the COR upon completion and annually thereafter.

4.3.10 Subpoenas/Testimonies: Contractors are mandated to cooperate with the appropriate IHS managers when the contractors' employees are subpoenaed or requested by Tribal, State or Federal Parties to provide testimony as stated in Section 5-27.3(B)(9) of the Indian Health Manual.

4.4 Challenges to Conflicts: For any inconsistencies between COR and Contractor's employee performance and conduct, this PWS follows this order of precedence:

4.4.1 First Priority: Contractor's Agency

4.4.2 Second Priority:COR

4.4.3 Third Priority: CO

4.4.4 When the Contractor demonstrates impaired judgement, they cannot continue working on Solicitation No. 75H70725Q00040. The Government reserves the right to remove from the facility any Contractor employee who in the judgment of a licensed healthcare practitioner is impaired.

SECTION 5- QUALITY ASSURANCE SURVEILLANCE PLAN

5.1 REVIEW, APPROVAL, AND EVALUATION

The Contracting Officer or their duly authorized representative shall review and approve services provided under the terms and conditions of the contract. The Contracting Officer, the designated Government Project Officer and the Contractor shall evaluate the services during the term of contract and the report of the evaluation will be made a part of the official contract file. The evaluation will be objective and directed toward the progress made in meeting the contract objectives and statement of work, resolve problems encountered, clarify issues that may arise unexpectedly and to evaluate the accomplishments. The evaluation will be conducted on dates mutually agreed to by all parties

5.2 QUALITY ASSURANCE REVIEW

5.2.1 Overall evaluation of the Contractor’s performance in meeting the terms of the contract will be reviewed and monitored according to the applicable Service Unit Quality Assurance Standards.

Reviews shall consist of patient care audits and peer review.

5.2.2 Contractor time and attendance logs shall be utilized, kept on file, and verified by the COR.

5.2.3 The Contracting Officer, COR, Dental Department Supervisor, or his/her designated representative http://www.ihs.gov/issa

Healthcare Services-AIDC Solicitation 75H70725Q00040 Page 13 of 47 is authorized to review by on-site survey or through review of records or any other reasonable manner the quality of care rendered under this contract. Adequate records shall be maintained to reflect the accuracy with respect to claims submission as well as for quality of care. If reviewed by the Dental Dept. Supervisor, the Supervisor will then discuss results with the COR who will notify the Contracting Officer and vendor of any deficiencies. The contractor is required to correct any deficiencies identified. Failure to take corrective action may result in termination of the contract.

The contract may also be terminated for cause if any patients or facilities are endangered or harmed as a result of the contractor's action. Any significant medical or dental error will be grounds for immediate contract termination. The contractor is subject to AIDC Clinical Staff Bylaws and Rules and Regulations.

SECTION 6 - INSPECTION AND ACCEPTANCE

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

6.2 FEDERAL ACQUISITION REGULATION (48 CFR CHAPTER 1) CLAUSES

FAR Clause No. Title Date 52.246-4 Inspection of Services – Fixed Priced (Aug 1996)

SECTION 7 - DELIVERIES OR PERFORMANCE

7.1 PERIOD OF PERFORMANCE: - The period of performance is a Base Period of 12 months with four-12-month

Option periods, unless extended by modification to this contract. The Government may extend the period of performance in accordance with FAR Clause 52.217-9 - Option to Extend Services (Nov 1999); upon written notification by the Contracting Officer within 30 days of contract expiration.

7.1.1 Services under this contract shall commence NLT 30 business days after all clearances occur.

Base: TBD, 2025 to TBD, 2026 Option Year 1: TBD, 2026 to TBD, 2027 Option Year 2: TBD, 2027 to TBD, 2028 Option Year 3: TBD, 2028 to TBD, 2029 Option Year 4: TBD, 2029 to TBD, 2030

7.1.2 Performance must be for the period of TBD, 2025 to TBD, 2026 unless the period changed by written modification to the purchase order in accordance with FAR 52.217-9, Option to Extend the Term of the Contract.

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

7.2 PLACE OF PERFORMANCE: The contractor must provide Orthodontic non-personal services to the following Albuquerque Area Indian Health Service Facility:

7.2.1 Albuquerque Indian Dental Clinic

9169 Coors Blvd NW

Healthcare Services-AIDC Solicitation 75H70725Q00040 Page 14 of 47

Albuquerque, New Mexico 87120

7.3 Travel to and from the facility/office site are not included in the tour of duty. The hours of business and clinic operation are Monday through Friday, from 8:00 AM to 4:30 PM. The actual hours scheduled in advance through the designated COR.

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

New Year’s Day Birthday of Martin Luther King, Jr. Washington’s Birthday Memorial Day Juneteenth National Independence Day Independence Day Labor Day Columbus Day Veterans Day Thanksgiving Day Christmas Day

SECTION 8 - CONTRACT ADMINISTRATION

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

8.2 CONTRACTING OFFICER

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

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

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

8.3 CONTRACT ADMINISTRATOR

All Contract administration performed by the Contract Specialist (CS):

Stephanie Begay (CS) Indian Health Service/Division of Contracts & Grants Management (DCGM) 4101 Indian School Road NE, Suite 225 Albuquerque, NM 87110 Phone: 505-256-6750 Email: Stephanie.Begay3@ihs.gov

8.4 CONTRACTING OFFICER'S REPRESENTATIVE (COR)

8.4.1 John Jaramillo, is hereby designated as COR for this service. The COR responsibilities will be to coordinate with the contractor the technical aspects of this service and the review of performance hereunder. The COR does not have the authority to change or alter the order amount, terms and conditions.

8.4.2 Gena Laughlin, is hereby designated as the Alternate COR for this service. The Alternate COR responsibilities will be to help coordinate with the contractor the technical aspects of this service and the review of performance hereunder. The Alternate COR does not have the authority to change or alter the order amount, terms and conditions.

mailto:Eric.Wright@ihs.gov mailto:Stephanie.Begay3@ihs.gov

Healthcare Services-AIDC Solicitation 75H70725Q00040 Page 15 of 47

8.4.3 The COR and Alternate’s responsibilities will include ensuring contractor accountability. Monitoring the Contractor’s technical progress including the surveillance and assessment of performance and recommending to the CO changes in requirements. Interpreting the PWS. Performing technical evaluations as required. Perform technical inspection and acceptance as required. Assisting the Contractor in the resolution of technical problems encountered during performance. Perform receiving and processing invoices for payment.

8.4.4 HHSAR 301.602-3, Ratification of Unauthorized Commitments: The Government is not bound by agreements with, or contractual commitments made to, prospective contractors by individuals who do not have delegated contracting authority. Unauthorized commitments do not follow the appropriate process for the expenditure of Government funds. Consequently, the Government may not be able to ratify certain actions, putting a contractor at risk for taking direction from a Federal official other than the contracting officer. See FAR 1.602-1. Government employees responsible for unauthorized commitments are subject to disciplinary action. Contractors perform at their own risk when accepting direction from unauthorized officials. Failure to follow statutory and regulatory processes for the expenditure of Government funds is a very serious matter.

8.5 TECHNICAL MONITORING

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

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

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

(2) Constitutes a change as defined in the clause entitled "Changes-Fixed-Price (Aug 1987);"

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

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

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

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

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

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

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

8.6 INVOICE SUBMISSION

8.6.1 The Contractor shall submit invoices once per month. Electronically sent with all required documentation to:*

8.6.1.1 IPP: https://www.ipp.gov/

8.6.1.2 Contracting Officer’s Representative (COR): John.Jaramillo@ihs.gov

8.6.1.3 Alternate Contracting Officer’s Representative (COR): Gena.Laughlin@ihs.gov https://www.ipp.gov/ mailto:John.Jaramillo@ihs.gov mailto:Gena.Laughlin@ihs.gov

Healthcare Services-AIDC Solicitation 75H70725Q00040 Page 16 of 47

* Please do not sent to the CS or Finance Office any other invoice related documents such as deliverables, reports or balance statements). Failure to submit required documents directly to the offices listed above will delay prompt payment of your invoice.

8.6.2 For invoices submitted by email, the subject line of your email invoice submission shall contain the Contractor's name, UEI and TIN numbers, contract number, and invoice. The Contractor shall send one email per contract monthly. The email may have multiple invoices for the contract. Invoices accepted in one of these formats: PDF, TIFF, or Word only (no Excel formats). The electronic file cannot contain multiple invoices; example, 10 invoices requires 10 separate files (PDF, TIFF, or Word).

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

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

FAR 32.905(b)

(b) Content of invoices.

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

(i) Name and address of the contractor.

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

(iii) Contract number or other authorization for supplies delivered or services performed

(including order number and line item number).

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

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

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

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

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

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

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

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

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

EFT.

https://www.acquisition.gov/far/subpart-4.9#FAR_Subpart_4_9 https://www.acquisition.gov/far/52.232-38#FAR_52_232_38 https://www.acquisition.gov/far/52.232-33#FAR_52_232_33 https://www.acquisition.gov/far/52.232-34#FAR_52_232_34

Healthcare Services-AIDC Solicitation 75H70725Q00040 Page 17 of 47

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

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

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

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

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

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

8.6.8 Failure to submit directly to the offices listed above will delay prompt…