Sol_75H71025Q00168.pdf

75H71025Q00168

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

05/06/2025 IHS1509907

1 96

Acquisition Department PO Box 368 Highway 160, Mile Post 394.3

Kayenta Health Center

Kayenta AZ 86033

12/31/2025

Kayenta Health Center

Highway 160, Mile Post 394.3 Kayenta AZ 86033

Kayenta

AZ 86033

FLORA WASHINGTON

05/14/2025 1700 MD

FOB DESTINATION

OTHER

(See Schedule)X

ITEM NO.

(a)

SUPPLIES/SERVICES

(b)

QUANTITY

(c)

UNIT

(d)

UNIT PRICE

(e)

AMOUNT

(f)

This is an Indian-Owned, Small Business Economic Enterprise (ISBEE) Set-Aside.

This contract is subject to the electronic payment process by the Department of Treasury.

All invoices complying to the requirements at 52.212-4(g) must be submitted through www.ipp.gov. For additional information, refer to the incorporated clause at 352.232-71 Electronic Submission of Payment Requests (FEB 2022).

Period of Performance: 05/02/2025 to 12/31/2025

1 Roof Repair for Kayenta Health Center. (See 1 EA attached Statement of Work)

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 96

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

75H71025Q00168

Delivery: 12/31/2025

Period of Performance: 05/01/2025 to 12/31/2025

2 Navajo Nation Sales Tax @ 6% 1 EA

Delivery: 12/31/2025

Period of Performance: 05/01/2025 to 12/31/2025

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

B - Supplies or Services/Prices

THIS PAGE IS LEFT INTENTIONALLY BLANK

Rev. 12/21/2023

C - Description/Specifications

STATEMENT OF WORK

FOR

ROOFING REPAIRS

AT

KAYENTA HEALTH CARE CENTER

KAYENTA, ARIZONA

February 27, 2025

KAYENTA SERVICE UNIT

1. INTRODUCTION:

1.1. The Roof Inspection project will be within the Navajo Reservation at Kayenta, Arizona.

The Kayenta Health Center (KHC) is located off US Highway 160, 1/2-mile south of MP

394.3. TPO is existing roofing material. This project requires vendor’s expertise for the compliance of hospital quality roofing. Kayenta Service Unit is at a remote location; the nearest town is a two-hour drive. Contractor must be knowledgeable with current system in place.

2. PROJECT BACKGROUND:

2.1. This is a turnkey project for contractor will do a complete repair of TPO roofing system.

Contractor must be knowledgeable of NFPA Codes, commercial TPO roofing system and proper reporting required.

2.2. The objective of the roofing repair project is to have a fully protected building from environmental elements.

2.3. Contractor to provide technical support for preventive maintenance.

3. PROJECT DESCRIPTION:

3.1. The contractor shall prepare a proposal, and upon award, shall provide an accurate timeline to complete project and following will perform the work to completion.

3.2. Roofing Inspection includes the following work:

a. Repair roof per attached roofing inspection.

b. Repair TPO membrane.

c. Repair damaged TPO membrane.

d. Repair coping cap as needed.

e. Contractor to compile a complete report all repairs corrected.

4. CRITERIA:

4.1. Codes and Standards: the contractor shall perform work in accordance with best common practices and standards;

a. Safety and Hazard Awareness (PPE, jobs specific hazards, Electrical isolation).

b. NFPA criteria

c. TPO commercial roofing standards

5. GENERAL REQUIREMENTS:

5.1. Contractor shall develop a set engineered plan and accurate timeline to present to KHC project representative prior to the project start date.

5.2. Contractor is responsible for furnishing all tools, materials and equipment to complete the project.

5.3. A report and walk through of the work area will be necessary after completion of project.

5.4. Work area should be well kept and free of trash and debris after work days.

5.5. The contractor shall perform work between the hours of 8:00am and 5:00pm Monday through Friday excluding Federal Holidays. Alternate hours work must be requested and approved with KHC.

5.6. The contractor shall furnish a schedule of the dates agreed upon with the project officer and the facility manager at least two weeks in advance.

5.7. Any foreseen or unplanned costs, workhours or changes that will affect or incur extra costs to KSU, needs to be brought to the attention of the KHC project representative before proceeding with this matter.

5.8. KHC requires Construction Permit to start wok and must meet with Safety Officer at start of project.

5.9. The Contractor must be mindful of keeping normal business activity uninterrupted.

5.10. Contractor is expected to be professional and efficient with his work.

6. SPECIAL REQUIREMENTS:

6.1. Contractor is required to obtain an identification badge (ID) before starting work at

KSU.

6.2. Contractor shall wear ID badge on KSU premises and check in with security every day.

7. PERIOD OF PERFORMANCE:

7.1. The period of performance for completion from time of award to December 31, 2025.

8. WARRANTY:

8.1. 1-year workmanship

Section D - Packaging and Marking

THIS PAGE IS LEFT INTENTIONALLY BLANK

Section E - Inspection and Acceptance

52.246-12 Inspection of Construction (AUG 1996)

Section F - Deliveries or Performance

52.211-10 Commencement, Prosecution, and Completion of Work. (APR 1984)

The Contractor shall be required to (a) commence work under this contract within 1 calendar day after the date the Contractor receives the notice to proceed, (b) prosecute the work diligently, and (c) complete the entire work ready for use not later than December 31, 2025. The time stated for completion shall include final cleanup of the premises.

(End of clause)

52.211-13 Time Extensions (SEPT 2000)

52.242-14 Suspension of Work (APR 1984)

Section G - Contract Administration Data

NAIHS-ACQ-07 PRE-CONSTRUCTION RISK ASSESSMENT AUG 2021

The Indian Health Manual, Part 1, Chapter 9 Occupational Safety and Health (OSH) Program (The

Manual) serves as a general outline for carrying out the OSH program. The provisions set forth in The

Manual meets or exceeds the minimum requirements as set forth in Title 29 Code of Federal Regulations, Part 1960, entitled “Basic Program Elements for Federal Employee OSH Programs and Related Matters,”

Section 19 of the Occupational Safety and Health Act; and Executive Order 12196, dated February 26, 1980. While not specifically mentioned in the OSH related regulations, executive orders, program guidance, etc., it is in the Agency and in the public interest to afford the same conditions to visitors, patients, contractors, and others present in Indian Health Service facilities.

As part of the implementation of The Manual, the Kayenta Health Center (KHC) uses a guide and checklist known as the Pre-Construction Risk Assessment or PCRA. The PCRA – included in all solicitations and awards for construction and construction-related work on GIMC premises – is completed by the government’s requiring activity, as coordinated with and approved by the GIMC’s Safety Program Office before any work on premises can proceed.

The following government personnel is responsible for the initiation and completion of the PCRA:

Name: Kendall Tanner

Department: Facility Maintenance

(End of Clause)

NAIHS-ACQ-08 CONTRACTING OFFICER’S

REPRESENTATIVE

AUG 2022

(a) Definition. “Contracting Officer’s Representative (COR)” means an individual designated in by the Contracting Officer as authorized personnel responsible for the technical aspects of the contract and serves as technical liaison with the contractor. The COR is also responsible for the final inspection and acceptance of all deliverables and such other responsibilities as may be specified in the contract.

(b) Per FAR Subpart 1.602-2(d): The Contracting Officer (CO) determines that this contract requires a Contracting Officer Representative (COR).The Contracting Officer Representative (COR) is:

Desmond Jones, COR I

(c) Upon award, the COR will receive a copy of the written designation, specifying the extent of the

COR’s authority on behalf of the CO.

(d) Limitations. The COR is not authorized to make any commitments or changes that will affect price, quality, quantity, delivery, or any other term or condition of the contract. Any contractor request for changes shall be referred to the CO directly or through the COR. No such changes shall be made without the express written prior authorization of the CO.

NAIHS-ACQ-09 UNAUTHORIZED COMMITMENTS SEP 2023

(a) Definitions.

Contracting Officer means a person with the authority to enter into, administer, and/or terminate contracts and make related determination and findings.

Ratification means the act of approving an unauthorized commitment by an official who has the authority to do so.

Unauthorized Commitment (UAC) means an agreement that is not binding solely because the

Government representative who made it lacked the authority to enter into that agreement on behalf of the Government.

(b) Policy.

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.

(c) Procedure.

Any agreement, modification, or change to a contractual agreement made by a government personnel who lack authority will be deemed an unauthorized commitment. The Government is not liable to the Contractor or under the terms of the contract, financially or otherwise – unless the unauthorized commitment successfully passes the ratification process.

The ratification process does not have any lead time, nor does the Government make any promise that an unauthorized commitment will be ratified and, therefore, the Contractor would be paid.

The Contractor proceeds at its own risk if any of the terms of the contract are altered, changed, or modified without the written concurrence by a Contracting Officer.

PART II – CONTRACT CLAUSES

Section I – Contract Clauses

52.204-9 Personal Identity Verification of Contractor Personnel (JAN 2011)

52.204-13 System for Award Management Maintenance (OCT 2018)

52.204-18 Commercial and Government Entity Code Maintenance (AUG 2020)

52.204-19 Incorporation by Reference of Representations and Certifications. (DEC 2014)

52.213-4 Terms and Conditions – Simplified Acquisitions (Other than Commercial Products and

Commercial Services) (NOV 2024) –

(a) The Contractor shall comply with the following Federal Acquisition Regulation (FAR) clauses that are incorporated by reference:

(1) The clauses listed below implement provisions of law or Executive order:

(i) 52.203-19, Prohibition on Requiring Certain Internal Confidentiality Agreements or

Statements (JAN 2017) (section 743 of Division E, Title VII, of the Consolidated and Further Continuing

Appropriations Act, 2015 (Pub. L. 113-235) and its successor provisions in subsequent appropriations acts

(and as extended in continuing resolutions)).

(ii) 52.204-23, Prohibition on Contracting for Hardware, Software, and Services Developed or

Provided by Kaspersky Lab Covered Entities (DEC 2023) (Section 1634 of Pub. L. 115-91).

(iii) 52.204-25, Prohibition on Contracting for Certain Telecommunications and Video

Surveillance Services or Equipment. (NOV 2021) (Section 889(a)(1)(A) of Pub. L. 115-232).

(iv) 52.204-27, Prohibition on a ByteDance Covered Application (JUN 2023) (Section 102 of

Division R of Pub. L. 117-328), unless the agency grants an exception - see paragraph (b) of 52.204-27.

(v) 52.204–30, Federal Acquisition Supply Chain Security Act Orders—Prohibition. (DEC

2023) (Pub. L. 115–390, title II).

(vi) 52.222-3, Convict Labor (JUN 2003) (E.O.11755).

(vii) 52.222-21, Prohibition of Segregated Facilities (APR 2015).

(viii) 52.222-26, Equal Opportunity (Sep 2016) (E.O.11246).

(ix) 52.225-13, Restrictions on Certain Foreign Purchases (FEB 2021) (E.O.s, proclamations, and statutes administered by the Office of Foreign Assets Control of the Department of the Treasury).

(x) 52.232-40, Providing Accelerated Payments to Small Business Subcontractors (MAR

2023) ( 31 U.S.C. 3903 and 10 U.S.C. 3801).

(xi) 52.233-3, Protest After Award (AUG 1996) ( 31 U.S.C.3553).

(xii) 52.233-4, Applicable Law for Breach of Contract Claim (OCT 2004) ( Pub. L. 108-

77 and 108-78 ( 19 U.S.C. 3805 note)).

https://www.acquisition.gov/far/part-52#FAR_52_203_19 https://www.acquisition.gov/far/part-52#FAR_52_204_23 https://www.acquisition.gov/far/part-52#FAR_52_204_25 https://www.acquisition.gov/far/part-52#FAR_52_204_27 https://www.acquisition.gov/far/part-52#unique_1720809457 https://www.acquisition.gov/far/part-52#FAR_52_222_3 https://www.acquisition.gov/far/part-52#FAR_52_222_21 https://www.acquisition.gov/far/part-52#FAR_52_222_26 https://www.acquisition.gov/far/part-52#FAR_52_225_13 https://www.acquisition.gov/far/part-52#FAR_52_232_40 https://www.govinfo.gov/link/uscode/31/3903 https://www.govinfo.gov/link/uscode/10/3801 https://www.acquisition.gov/far/part-52#FAR_52_233_3 http://uscode.house.gov/browse.xhtml;jsessionid=114A3287C7B3359E597506A31FC855B3 https://www.acquisition.gov/far/part-52#FAR_52_233_4 https://www.govinfo.gov/link/plaw/108/public/77 https://www.govinfo.gov/link/plaw/108/public/77 https://www.govinfo.gov/link/uscode/19/3805

(2) Listed below are additional clauses that apply:

(i) 52.232-1, Payments (APR 1984).

(ii) 52.232-8, Discounts for Prompt Payment (FEB 2002).

(iii) 52.232-11, Extras (APR 1984).

(iv) 52.232-25, Prompt Payment (JAN 2017).

(v) 52.232-39, Unenforceability of Unauthorized Obligations (JUN 2013).

(vi) 52.233-1, Disputes (MAY 2014).

(vii) 52.244-6, Subcontracts for Commercial Products and Commercial Services (NOV 2024).

(viii) 52.253-1, Computer Generated Forms (JAN 1991).

(b) The Contractor shall comply with the following FAR clauses, incorporated by reference, unless the circumstances do not apply:

(1) The clauses listed below implement provisions of law or Executive order:

(i) 52.203-17, Contractor Employee Whistleblower Rights (NOV 2023) ( 41 U.S.C. 4712); this clause does not apply to contracts of DoD, NASA, the Coast Guard, or applicable elements of the intelligence community—see FAR 3.900(a).

(ii) 52.204-10, Reporting Executive Compensation and First-Tier Subcontract Awards (JUN

2020)(Pub. L. 109-282) ( 31 U.S.C. 6101 note) (Applies to contracts valued at or above the threshold specified in FAR 4.1403(a) on the date of award of this contract).

(iii) 52.222-19, Child Labor-Cooperation with Authorities and Remedies (NOV 2023) (E.O.

13126) (Applies to contracts for supplies exceeding the micro-purchase threshold, as defined in 2.101 on the date of award of this contract).

(iv) 52.222-20, Contracts for Materials, Supplies, Articles, and Equipment., Contracts for

Materials, Supplies, Articles, and Equipment (JUN 2020) ( 41 U.S.C.chapter 65) (Applies to supply contracts over the threshold specified in FAR 22.602 on the date of award of this contract, in the United

States, Puerto Rico, or the U.S. Virgin Islands).

(v) 52.222-35, Equal Opportunity for Veterans (JUN 2020) ( 38 U.S.C. 4212) (Applies to contracts valued at or above the threshold specified in FAR 22.1303(a) on the date of award of this contract).

(vi) 52.222-36, Equal Employment for Workers with Disabilities (JUN 2020) ( 29 U.S.C. 793)

(Applies to contracts over the threshold specified in FAR 22.1408(a) on the date of award of this contract, unless the work is to be performed outside the United States by employees recruited outside the United

States). (For purposes of this clause, "United States" includes the 50 States, the District of Columbia, Puerto Rico, the Northern Mariana Islands, American Samoa, Guam, the U.S. Virgin Islands, and Wake

Island.)

https://www.acquisition.gov/far/part-52#FAR_52_232_1 https://www.acquisition.gov/far/part-52#FAR_52_232_8 https://www.acquisition.gov/far/part-52#FAR_52_232_11 https://www.acquisition.gov/far/part-52#FAR_52_232_25 https://www.acquisition.gov/far/part-52#FAR_52_232_39 https://www.acquisition.gov/far/part-52#FAR_52_233_1 https://www.acquisition.gov/far/part-52#FAR_52_244_6 https://www.acquisition.gov/far/part-52#FAR_52_253_1 https://www.acquisition.gov/far/part-52#FAR_52_203_17 https://www.govinfo.gov/link/uscode/41/4712 https://www.acquisition.gov/far/part-3#FAR_3_900 https://www.acquisition.gov/far/part-52#FAR_52_204_10 http://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title31-section6101&num=0&edition=prelim https://www.acquisition.gov/far/part-4#FAR_4_1403 https://www.acquisition.gov/far/part-52#FAR_52_222_19 https://www.acquisition.gov/far/part-2#FAR_2_101 https://www.acquisition.gov/far/part-52#FAR_52_222_20 http://uscode.house.gov/browse.xhtml;jsessionid=114A3287C7B3359E597506A31FC855B3 https://www.acquisition.gov/far/part-52#FAR_52_222_35 http://uscode.house.gov/browse.xhtml;jsessionid=114A3287C7B3359E597506A31FC855B3 https://www.acquisition.gov/far/part-22#FAR_22_1303 https://www.acquisition.gov/far/part-52#FAR_52_222_36 http://uscode.house.gov/browse.xhtml;jsessionid=114A3287C7B3359E597506A31FC855B3 https://www.acquisition.gov/far/part-22#FAR_22_1408

(vii) 52.222-37, Employment Reports on Veterans (JUN 2020) ( 38 U.S.C. 4212) (Applies to contracts valued at or above the threshold specified in FAR 22.1303(a) on the date of award of this contract).

(viii) 52.222-41, Service Contract Labor Standards (AUG 2018) ( 41 U.S.C. chapter 67)

(Applies to service contracts over $2,500 that are subject to the Service Contract Labor Standards statute and will be performed in the United States, District of Columbia, Puerto Rico, the Northern Mariana

Islands, American Samoa, Guam, the U.S. Virgin Islands, Johnston Island, Wake Island, or the outer

Continental Shelf).

(ix) (A) 52.222-50, Combating Trafficking in Persons (NOV 2021) ( 22 U.S.C. chapter 78 and

E.O. 13627) (Applies to all solicitations and contracts).

(B) Alternate I (MAR 2015) (Applies if the Contracting Officer has filled in the following information with regard to applicable directives or notices: Document title(s), source for obtaining document(s), and contract performance location outside the United States to which the document applies).

(x) 52.222-55, Minimum Wages for Contractor Workers Under Executive Order 14026 (JAN

2022) (Applies when 52.222-6 or 52.222-41 are in the contract and performance in whole or in part is in the United States (the 50 States, the District of Columbia, Puerto Rico, the Northern Mariana Islands, American Samoa, Guam, the U.S. Virgin Islands, Johnston Island, Wake Island, and the outer Continental

Shelf as defined in the Outer Continental Shelf Lands Act (43 U.S.C. 1331, et seq.))).

(xi) 52.222-62, Paid Sick Leave Under Executive Order 13706 (JAN 2022) (E.O. 13706)

(Applies when 52.222-6 or 52.222-41 are in the contract and performance in whole or in part is in the United States (the 50 States and the District of Columbia.))

(xii) 52.223-5, Pollution Prevention and Right-to-Know Information (MAY 2011) (E.O.

13423) (Applies to services performed on Federal facilities).

(xiii) 52.223-11, Ozone-Depleting Substances and High Global Warming Potential

Hydrofluorocarbons (JUN 2016) (E.O. 13693)(applies to contracts for products as prescribed at

FAR 23.804(a)(1)).

(xiv) 52.223-12, Maintenance, Service, Repair, or Disposal of Refrigeration Equipment and

Air Conditioners (JUN 2016) (E.O. 13693) (Applies to maintenance, service, repair, or disposal of refrigeration equipment and air conditioners).

(xv) 52.223-15, Energy Efficiency in Energy-Consuming Products (MAY 2020) ( 42 U.S.C.

8259b) (Unless exempt pursuant to 23.204, applies to contracts when energy-consuming products listed in the ENERGY STAR® Program or Federal Energy Management Program (FEMP)) will be-

(A) Delivered;

(B) Acquired by the Contractor for use in performing services at a Federally-controlled facility;

(C) Furnished by the Contractor for use by the Government; or

(D) Specified in the design of a building or work, or incorporated during its construction, renovation, or maintenance).

https://www.acquisition.gov/far/part-52#FAR_52_222_37 http://uscode.house.gov/browse.xhtml;jsessionid=114A3287C7B3359E597506A31FC855B3 https://www.acquisition.gov/far/part-22#FAR_22_1303 https://www.acquisition.gov/far/part-52#FAR_52_222_41 http://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title41-chapter67-front&num=0&edition=prelim https://www.acquisition.gov/far/part-52#FAR_52_222_50 http://uscode.house.gov/browse.xhtml;jsessionid=114A3287C7B3359E597506A31FC855B3 https://www.acquisition.gov/far/part-52#FAR_52_222_55 https://www.acquisition.gov/far/part-52#FAR_52_222_6 https://www.acquisition.gov/far/part-52#FAR_52_222_41 https://www.acquisition.gov/far/part-52#FAR_52_222_62 https://www.acquisition.gov/far/part-52#FAR_52_222_6 https://www.acquisition.gov/far/part-52#FAR_52_222_41 https://www.acquisition.gov/far/part-52#FAR_52_223_5 https://www.acquisition.gov/far/part-52#FAR_52_223_11 https://www.acquisition.gov/far/part-23#FAR_23_804 https://www.acquisition.gov/far/part-52#FAR_52_223_12 https://www.acquisition.gov/far/part-52#FAR_52_223_15 http://uscode.house.gov/browse.xhtml;jsessionid=114A3287C7B3359E597506A31FC855B3 http://uscode.house.gov/browse.xhtml;jsessionid=114A3287C7B3359E597506A31FC855B3 https://www.acquisition.gov/far/part-23#FAR_23_204

(xvi) 52.223-20, Aerosols (JUN 2016) (E.O. 13693) (Applies to contracts for products that may contain high global warming potential hydrofluorocarbons as a propellant or as a solvent; or contracts for maintenance or repair of electronic or mechanical devices).

(xvii) 52.223-21, Foams (JUN 2016) (E.O. 13693) (Applies to contracts for products that may contain high global warming potential hydrofluorocarbons or refrigerant blends containing hydrofluorocarbons as a foam blowing agent; or contracts for construction of buildings or facilities.

(xviii) (A) 52.225-1, Buy American-Supplies (OCT 2022) ( 41 U.S.C. chapter 67) (Applies to contracts for supplies, and to contracts for services involving the furnishing of supplies, for use in the United States or its outlying areas, if the value of the supply contract or supply portion of a service contract exceeds the micro-purchase threshold, as defined in 2.101 on the date of award of this contract, and the acquisition-

(1) Is set aside for small business concerns; or

(2) Cannot be set aside for small business concerns (see 19.502-2), and does not exceed $50,000).

(B) Alternate I (OCT 2022) (Applies if the Contracting Officer has filled in the domestic content threshold below, which will apply to the entire contract period of performance. Substitute the following sentence for the first sentence of paragraph (1)(ii)(A) of the definition of domestic end product in paragraph (a) of 52.225-1: (A) The cost of its components mined, produced, or manufactured in the United

States exceeds ____ percent of the cost of all its components. [ Contracting officer to insert the percentage per instructions at 13.302-5(d)(4). ])

(xix) 52.226-6, Promoting Excess Food Donation to Nonprofit Organizations., Promoting

Excess Food Donation to Nonprofit Organizations (JUN 2020) ( 42 U.S.C. 1792) (Applies to contracts greater than the threshold specified in FAR 26.404 on the date of award of this contract, that provide for the provision, the service, or the sale of food in the United States).

(xx) 52.232-33, Payment by Electronic Funds Transfer-System for Award Management (OCT

2013)(Applies when the payment will be made by electronic funds transfer (EFT) and the payment office uses the System for Award Management (SAM) as its source of EFT information).

(xxi) 52.232-34, Payment by Electronic Funds Transfer-Other than System for Award

Management (JUL 2013) (Applies when the payment will be made by EFT and the payment office does not use the SAM database as its source of EFT information).

(xxii) 52.247-64, Preference for Privately Owned U.S.-Flag Commercial Vessels (NOV

2021) ( 46 U.S.C. 55305)(Applies to supplies transported by ocean vessels (except for the types of subcontracts listed at 47.504(d)).

(2) Listed below are additional clauses that may apply:

(i) 52.204-21, Basic Safeguarding of Covered Contractor Information Systems (NOV

2021) (Applies to contracts when the contractor or a subcontractor at any tier may have Federal contract information residing in or transiting through its information system.)

(ii) 52.209-6, Protecting the Government’s Interest When Subcontracting with Contractors

Debarred, Suspended, or Proposed for Debarment (NOV 2021) (Applies to contracts over the threshold specified in FAR 9.405-2(b) on the date of award of this contract).

https://www.acquisition.gov/far/part-52#FAR_52_223_20 https://www.acquisition.gov/far/part-52#FAR_52_223_21 https://www.acquisition.gov/far/part-52#FAR_52_225_1 http://uscode.house.gov/browse.xhtml;jsessionid=114A3287C7B3359E597506A31FC855B3 https://www.acquisition.gov/far/part-2#FAR_2_101 https://www.acquisition.gov/far/part-19#FAR_19_502_2 https://www.acquisition.gov/far/part-52#FAR_52_225_1 https://www.acquisition.gov/far/part-13#FAR_13_302_5 https://www.acquisition.gov/far/part-52#FAR_52_226_6 http://uscode.house.gov/browse.xhtml;jsessionid=114A3287C7B3359E597506A31FC855B3 https://www.acquisition.gov/far/part-26#FAR_26_404 https://www.acquisition.gov/far/part-52#FAR_52_232_33 https://www.acquisition.gov/far/part-52#FAR_52_232_34 https://www.acquisition.gov/far/part-52#FAR_52_247_64 https://www.govinfo.gov/content/pkg/USCODE-2019-title46/html/USCODE-2019-title46-subtitleV-partD-chap553-subchapI-sec55305.htm https://www.acquisition.gov/far/part-47#FAR_47_504 https://www.acquisition.gov/far/part-52#FAR_52_204_21 https://www.acquisition.gov/far/part-52#FAR_52_209_6 https://www.acquisition.gov/far/part-9#FAR_9_405_2

(iii) 52.211-17, Delivery of Excess Quantities (Sept 1989) (Applies to fixed-price supplies).

(iv) 52.247-29, F.o.b. Origin (FEB 2006) (Applies to supplies if delivery is f.o.b. origin).

(v) 52.247-34, F.o.b. Destination (NOV 1991) (Applies to supplies if delivery is f.o.b.

destination).

(c) FAR 52.252-2, Clauses Incorporated by Reference (Feb 1998). This contract incorporates one or more clauses by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. Also, the full text of a clause may be accessed electronically at this/these address(es):

FAR | Acquisition.GOV

(d) Inspection/Acceptance. The Contractor shall tender for acceptance only those items that conform to the requirements of this contract. The Government reserves the right to inspect or test any supplies or services that have been tendered for acceptance. The Government may require repair or replacement of nonconforming supplies or reperformance of nonconforming services at no increase in contract price. The

Government must exercise its postacceptance rights-

(1) Within a reasonable period of time after the defect was discovered or should have been discovered; and

(2) Before any substantial change occurs in the condition of the item, unless the change is due to the defect in the item.

(e) Excusable delays. The Contractor shall be liable for default unless nonperformance is caused by an occurrence beyond the reasonable control of the Contractor and without its fault or negligence, such as acts of God or the public enemy, acts of the Government in either its sovereign or contractual capacity, fires, floods, epidemics, quarantine restrictions, strikes, unusually severe weather, and delays of common carriers. The Contractor shall notify the Contracting Officer in writing as soon as it is reasonably possible after the commencement of any excusable delay, setting forth the full particulars in connection therewith, shall remedy such occurrence with all reasonable dispatch, and shall promptly give written notice to the Contracting Officer of the cessation of such occurrence.

(f) Termination for the Government's convenience. The Government reserves the right to terminate this contract, or any part hereof, for its sole convenience. In the event of such termination, the

Contractor shall immediately stop all work hereunder and shall immediately cause any and all of its suppliers and subcontractors to cease work. Subject to the terms of this contract, the Contractor shall be paid a percentage of the contract price reflecting the percentage of the work performed prior to the notice of termination, plus reasonable charges that the Contractor can demonstrate to the satisfaction of the

Government, using its standard record keeping system, have resulted from the termination. The

Contractor shall not be required to comply with the cost accounting standards or contract cost principles for this purpose. This paragraph does not give the Government any right to audit the Contractor’s records. The

Contractor shall not be paid for any work performed or costs incurred that reasonably could have been avoided.

(g) Termination for cause. The Government may terminate this contract, or any part hereof, for cause in the event of any default by the Contractor, or if the Contractor fails to comply with any contract terms and conditions, or fails to provide the Government, upon request, with adequate assurances of future performance. In the event of termination for cause, the Government shall not be liable to the Contractor for any amount for supplies or services not accepted, and the Contractor shall be liable to the Government for any and all rights and remedies provided by law. If it is determined that the Government improperly terminated this contract for default, such termination shall be deemed a termination for convenience.

https://www.acquisition.gov/far/part-52#FAR_52_211_17 https://www.acquisition.gov/far/part-52#FAR_52_247_29 https://www.acquisition.gov/far/part-52#FAR_52_247_34 https://www.acquisition.gov/browse/index/far

(h) Warranty. The Contractor warrants and implies that the items delivered hereunder are merchantable and fit for use for the particular purpose described in this contract.

(End of clause)

52.219-28 Post-Award Small Business Program Re-representation (FEB 2024)

52.223-18 Encouraging Contractor Policies To Ban Text Messaging While Driving. (JUN 2020)

52.227-4 Patent Indemnity – Construction Contracts (DEC 2007)

52.232-5 Payments Under Fixed-Price Construction Contracts. (MAY 2014)

52.232-23 Assignment of Claims (MAY 2014)

52.232-27 Prompt Payment for Construction Contracts. (JAN 2017)

52.233-4 Applicable Law for Breach of Contract Claim. (OCT 2004)

52.236-1 Performance of Work by the Contractor (APR 1984) – except under $1.5M and set aside

52.236-5 Material and Workmanship. (APR 1984)

52.240-1 Prohibition on Unmanned Aircraft Systems Manufactured or Assembled by American

Security Drone Act – Covered Entities (NOV 2024)

52.243-5 Changes and Changed Conditions (APR 1984)

The following Department of Health and Human Services Acquisition Regulation clauses also apply:

352.226-1 INDIAN PREFERENCE DEC 2015

352.226-4 NOTICE OF INDIAN SMALL BUSINESS

ECONOMIC ENTERPRISE SET-ASIDE

MAR 2022

Under the Buy Indian Act, 25 U.S.C. 47, offers are solicited only from Indian Economic Enterprises

(HHSAR 326.606) that are also small business concerns. Any acquisition resulting from this solicitation will be from such a concern. As required by HHSAR § 352.226-7(b), offerors shall include a completed

Indian Economic Enterprise Representation form in response to Sources Sought Notices, Request for

Information (RFI) and as part of the proposal submission. The Indian Economic Enterprise Representation form, available on the IHS DAP public website ( www.IHS.gov/DAP ), shall be included in synopses, presolicitation notices, and solicitations for the acquisitions under the Buy Indian Act. Offers received from enterprises that are not both Indian Economic Enterprises and small business concerns will not be considered and will be rejected.

(End of clause)

352.226-6 INDIAN ECONOMIC ENTERPRISE

SUBCONTRACTING LIMITATIONS

MAR 2022

(a) Definitions as used in this clause.

(1) Indian Economic Enterprise means any business activity owned by one or more Indians or Indian Tribes that is established for the purpose of profit provided that: The combined Indian or Indian Tribe ownership must constitute not less than 51 percent of the enterprise; the Indians or Indian Tribes must, together, receive at least a majority of the earnings from the contract; and the management and daily business operations of an enterprise must be controlled by one or more individuals who are Indians. To ensure actual control over the enterprise, the individuals must possess requisite management or technical capabilities directly related to the primary industry in which the enterprise conducts business. The enterprise must meet these requirements throughout the following time periods:

(i) At the time an offer is made in response to a written solicitation;

(ii) At the time of the contract award; and

(iii) During the full term of the contract.

(2) Subcontract means any contract, as defined in FAR subpart 2.1, entered into by a subcontractor to furnish supplies or services for performance of the prime contractor or subcontractor. It includes, but is not limited to, purchase orders, and changes and modifications to purchase orders.

(3) Subcontractor means any supplier, distributor, vendor, or firm that furnishes supplies or services to or for a prime contractor or another subcontractor.

(b) Required Percentages of work by the concern. The contractor must comply with FAR 52.219-14, Limitations on Subcontracting clause in allocating what percentage of work to subcontract. The contractor shall not subcontract work exceeding the subcontract limitations in FAR 52.219-14 to a concern other than a responsible Indian Economic Enterprise.

(c) Any work that an IEE subcontractor does not perform with its own employee shall be considered subcontracted work for the purpose of calculating percentages of subcontract work in accordance with FAR

52.219-14 Limitations on Subcontracting.

(d) Cooperation. The contractor must:

(1) Carry out the requirements of this clause to the fullest extent; and

(2) Cooperate in any study or survey that the CO, Indian Health Service or its agents may conduct to verify the contractor's compliance with this clause.

(e) Incorporation in Subcontracts. The contractor must incorporate the substance of this clause, including this paragraph (e), in all subcontracts for general services, A&E services and construction awarded under this contract.

(End of clause)

352.232-71 ELECTRONIC SUBMISSION OF PAYMENT

REQUESTS

FEB 2022

(a) Definitions. As used in this clause –

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

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

(c) The Contractor may submit payment requests using other than IPP only when the Contracting Officer authorizes alternate procedures in writing in accordance with HHS procedures.

(d) If alternate payment procedures are authorized, the Contractor shall include a copy of the Contracting

Officer’s written authorization with each payment request.

http://www.ipp.gov/

PART III – LIST OF DOCUMENTS, EXHIBITS, AND OTHER ATTACHMENTS

J - List of Attachments

Attachment A – Statement of Work

Attachment B – Roof Inspection Report

Attachment C – Davis Bacon Act Wage

Attachment D – Indian Health Service Buy Indian Act Indian Economic Enterprise Representation Form

Attachment E – Pre-Construction Risk Assessment

STATEMENT OF WORK

FOR

ROOFING REPAIRS

AT

KAYENTA HEALTH CARE CENTER

KAYENTA, ARIZONA

February 27, 2025

KAYENTA SERVICE UNIT

Attachment A – Statement of Work

1. INTRODUCTION:

1.1. The Roof Inspection project will be within the Navajo Reservation at Kayenta, Arizona. The

Kayenta Health Center (KHC) is located off US Highway 160, 1/2-mile south of MP 394.3. TPO is existing roofing material. This project requires vendor’s expertise for the compliance of hospital quality roofing. Kayenta Service Unit is at a remote location; the nearest town is a two-hour drive. Contractor must be knowledgeable with current system in place.

2. PROJECT BACKGROUND:

2.1. This is a turnkey project for contractor will do a complete repair of TPO roofing system.

Contractor must be knowledgeable of NFPA Codes, commercial TPO roofing system and proper reporting required.

2.2. The objective of the roofing repair project is to have a fully protected building from environmental elements.

2.3. Contractor to provide technical support for preventive maintenance.

3. PROJECT DESCRIPTION:

3.1. The contractor shall prepare a proposal, and upon award, shall provide an accurate timeline to complete project and following will perform the work to completion.

3.2. Roofing Inspection includes the following work:

a. Repair roof per attached roofing inspection.

b. Repair TPO membrane.

c. Repair damaged TPO membrane.

d. Repair coping cap as needed.

e. Contractor to compile a complete report all repairs corrected.

4. CRITERIA:

4.1. Codes and Standards: the contractor shall perform work in accordance with best common practices and standards;

a. Safety and Hazard Awareness (PPE, jobs specific hazards, Electrical isolation).

b. NFPA criteria

c. TPO commercial roofing standards

5. GENERAL REQUIREMENTS:

5.1. Contractor shall develop a set engineered plan and accurate timeline to present to KHC project representative prior to the project start date.

5.2. Contractor is responsible for furnishing all tools, materials and equipment to complete the project.

5.3. A report and walk through of the work area will be necessary after completion of project.

5.4. Work area should be well kept and free of trash and debris after work days.

5.5. The contractor shall perform work between the hours of 8:00am and 5:00pm Monday through

Friday excluding Federal Holidays. Alternate hours work must be requested and approved with

KHC.

5.6. The contractor shall furnish a schedule of the dates agreed upon with the project officer and the facility manager at least two weeks in advance.

5.7. Any foreseen or unplanned costs, workhours or changes that will affect or incur extra costs to

KSU, needs to be brought to the attention of the KHC project representative before proceeding with this matter.

5.8. KHC requires Construction Permit to start wok and must meet with Safety Officer at start of project.

5.9. The Contractor must be mindful of keeping normal business activity uninterrupted.

5.10. Contractor is expected to be professional and efficient with his work.

6. SPECIAL REQUIREMENTS:

6.1. Contractor is required to obtain an identification badge (ID) before starting work at KSU.

6.2. Contractor shall wear ID badge on KSU premises and check in with security every day.

7. PERIOD OF PERFORMANCE:

7.1. The period of performance for completion from time of award to December 31, 2025.

8. WARRANTY:

8.1. 1-year workmanship

�����%�/���0� 1��,�����+*�0�������+�� ����,�����+2� 34!

���#���5�6 ��3$&'( '��!)��"*&!"')�,*)72!"�-� �������%��0����#.

����43� �����6� �.� �5��8$�

����%�������#��9������ �����������1�%�������9����������2:� ���5�)��������;

�2:� ���5�)�����<;�=3,������ ���.���.���2:� ���5�)���������#�

5����

�#�.�0������% 5��������.��������6� �.� �5��8$�

������0+����

�����6� �.� �5��8$�

�����0 ��.���>!?*�3�-�4-�43@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@A'0�.�

���������� A32:�

���5�)��������; AA���

��0���7�����#<�+ A %�������#��������

�.� AA����+

��� A

�3 AA����1��

��:������-�3%3+��A3".�

�������# AA

����4 � A ���

5����1

�B����� AA�0���7�����#<�+����� A �����C��3�����.

� AA A �.������

����1�%����� AA A ������

��.��1�%� AA A �����������

�+�0���� AA A .�%.��40

��� AA A ��������0

��.� AA A

�������3 AA@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@A@@@@@@@@@@@@@@@@@@@@@@@@@@@@@AA'0�.�

�1���1����� �A32:�

���5�)�����<;�= AA

����1���7�����#�+�������A %�������#��������

�.� AA7�����#�>+����+����.� A

�3 AA

�����1�� � A3".�

�������#���AA�:������

��0���7�����# A

5����1

�B���������� AA<�+����� A C�<3<����.

��.� AA A �����

����1�%�����������AA A

��.��1�%������������

�+AA A �0����.�%.��40

���� AA A .

�����������0

� AA A �.��

�������3 AA@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@A@@@@@@@@@@@@@@@@@@@@@@@@@@@@@A".������

����2:� ���5�)�����������1�%�����1�������6������������#3'0�.��

5�����# 0�.�2:� ���5�)��������� �����0�

�����#0 ����0 �B

��.��1�%������������

�0 ���9����3������ �����0

���9������������1 �B���� ��������.�2:� ���5�)��������5���������.������1113� �3% 5�1.��%

��3

Attachment C – Davis Bacon Act Wage

0�����#

�1� �2�, 3�#1� %�� 4�,5

� 8�

8� "�

9��# 9�� 1����� �

9��# 9�� 1����� �

9��# 9�� 1����� � .2��

9��# -8,�� 9�� 1���

0��<=���

. �<7,,,,,,,,,,,,,,,,,,,,,,,,,,,,- �8,��

:,:8 �:��������04���1

9�� � =1��� �1�

����1 ��#����< 3�#15

3�#1 ����1 ��#����< =��1 ��2�@� ��#��2���� 5 ��2�@���#��2����

=��1

A����%�

3��� %7,,,,,,,,,,,,,,,,,,,,,,,,,,-

!,"�B��,��C +)+'�8�� ��� �"��������0�� ����7

A����%�

3��� %7,,,,,,,,,,,,,,,,,,,,,,,,,,- �8,�8

��,�8 +�D&���: ��� �8��������

����.��/0��������1 !"" %% �+ (�2� ��3 %���%4 5��6��4� �78�55 �9�� 2�

���1�> ������0 ���/�?��11����08��,�����2 ��� !�" �� $ #(2 ��> !�$ %� $ #(2 ����?32 ���3����2�

��)��6��4�9��5��9�� :;����9����3!" �%@��9����)��2

;5����� ���55�� � �6����5���6�� !�+ �$ $ "$****************************************************************A 0��2�%��*%�=%�,"%,�%�� ����� �� �����������0

����������08�� !�$ $�AA � =%�1

�1�?��3 8���'���� ���� 5 � ��5���

� !�$ (+ = �%.1�2��� !�� (+AA % $(1�>

���3 ��44�

���5 !�� (+AA " �"

�/�� 0������������������������������$����� ����'�'�1�����������������������������22�2� $��2'�3����������������������������������$� 2�*�/4��������5��6�������������������*�$* &���/'��+6���1�����71���/��� (.���8������������������������$�&*�� 2��&����/�����������������������������%����� ��&% 5��9��/ ��

� .�>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>��5��(����

,��:�������&�2$ �� �.0;��

���,;B� ����)�9 :�� � ��� = ����7 0��.�

�:����;0�)���-�)�

B,�0����)��)� .�) ��. ���

��D��<���� ��

�����A,���"�

���3

. ,���72�!1�%�%7 87�87���88�

����)*+�,-./0 --1�-23-.34-45��*+�,����

��������������*��������-./0������ ��-./0��������(���������--1���������(

����-23-.34-45��������(

���������������678���������

���������&9���

�����';�,*+')��#$ <7 --.-�-.3-.34-45����#$������

����<7������

����-.3-.34-45��������(

����)�"�>+4-44 --2?34234-45��"�������

��4-44���������

�����������(����������--2���������(

���?34234-45���������(

�������������������������7������������6

���7����8���������678���

%���0

��0 %���0

1��1 ���2������ �������'''''''''''''''''''''''''''''''''''''''''''''''''''''''''''3�4( 5(�(�+�6���76 �88(�9� 8�7�(����

����1

3:5

��� 7 �����0 ��0 ��� �$�0 3:5

5� ����

5��

6�3�

��� !�� 0 5�

3:5 5����%�

<�35'7�����=����!�

5����%�

5� ����

��� !�� 0 5�

������0

��� !�� 0 5�

���(,�*+*.+�////////////////////////////////////////////////////////////////����������0-(�12�30-0"!)�(0, ' 1-4��������

DEPARTMENT OF HEALTH & HUMAN SERVICES

Indian Health Service Office of Management Services

Division of Acquisition Policy (DAP) 5600 Fishers Lane

Rockville, MD 20857

INDIAN HEALTH SERVICE

BUY INDIAN ACT

INDIAN ECONOMIC ENTERPRISE

REPRESENTATION FORM

SOLICITATION/SOURCES SOUGHT/RFI #: _________________________________________________

PROJECT TITLE: ________________________________________________________

DATE: ___________________________________________________________________

In accordance with 25 U.S.C. 47 the Buy Indian Act, the signature below constitutes self-certification that the Offeror meets the definition of an “Indian Economic Enterprise” (HHSAR 326.601) in response to this Sources Sought Notice, Request for Information (RFI) or Solicitation and resultant contract.

The enterprise must meet the definition of “Indian Economic Enterprise” throughout the following time periods:

(1) At the time an offer is made in response to this solicitation;

(2) At the time of contract award; and

(3) During the full term of the contract performance period. At any point during these periods, if the Contractor no longer meets the eligibility requirements, the contractor must provide immediate written notification to the Contracting Officer.

Individual Contracting Officers may require documentation of eligibility before awarding a set-aside or sole source contracts under the Buy Indian Act and awards may be subject to protest if the eligibility of the successful Offeror is in question. In addition to the self-certification requirements, successful Offerors must also be registered with the System of Award Management (SAM).

Any false or misleading information submitted by an enterprise when submitting an offer in consideration of an award set-aside under the authority of the Buy Indian Act is a violation of the law and punishable under 18 U.S.C. 1001.

False claims submitted as part of contract performance are subject to the penalties enumerated in 31 U.S.C. 3729 to 3731 and 18 U.S.C. 287.

REPRESENTATION

The Offeror represents as part of its offer that it does _____, does not _____ meet the definition of an “Indian Economic Enterprise” with “Indian Ownership” under the authority of the Buy Indian Act.

Name of the 51% owner of IEE Firm

Certifying Signature

Print Name

Name of Federally Recognized Tribal Entity

Business Name

Unique Entity ID (UEI)

Attachment D – Indian Health Service Buy Indian Act Indian Economic Enterprise Representation Form

08/14/18 Update

Pre-Construction Risk Assessment – Cover Page Project Title: Project/Contract #:

GIMC Coordinator: PCRA Submit Date:

Project Conducted by:

Fac. Mgmt. I.T. Telecom Clin. Eng.

Contractor: __________________________

Proposed Start Date:

Staff/Cont. Name: Est. Duration:

Supervisor Name: Est. Complete Date:

Telephone: Date Project Completed: Email:

Project Description: (include specific sites and…