Statement of Work

Medical Laboratory Technician Services

Phoenix Indian Medical Center

20 March 2026

Updated 3/20/2026

This is a Non-Personal Professional Medical Laboratory Technician Services to temporarily recruit and hire a qualified Medical Laboratory Technician (MLT) Services for the Phoenix Indian Medical Center

(PIMC) located in Phoenix, Arizona. The recurring needs of the service unit are for full-time Medical

Laboratory Technician(s) on an “as needed” basis for the duration of the Indefinite Delivery/Indefinite

Quantity contract.

Shift times and schedules are subject to change based on the medical needs of the patient population and hospital/clinic operations.

The Contractor shall provide qualified and experienced Medical Laboratory Technician(s) under this contract. The Contractor will ensure that the individuals meet the qualification requirements, ability and education, training, licensing, and previous work experience to perform the work according to the requirement conditions of this contract. Period of performance is for 12-month base and four (4) 12-month option periods. The intent of this contract is to establish a method whereby the PIMC can minimize disruptions in clinical service due to staff changes and shortages. Requests for contractor coverage will be based on the consistently changing needs of the clinic.

Selected candidate(s) shall undergo the IHS mandated security clearance requirement prior to commencement of services at the PIMC. The full security pre-clearance requirements must be adhered to, include a fingerprint check and a check of the Medical Laboratory Technician through the Office of

Inspector General’s exclusion list at http://exclusions.oig.hhs.gov/.

Please note: The contractor shall provide and identify at least eight (8) weeks in advance of the scheduled performance date the candidate for the scheduled shift(s). This is due to the Government’s security clearance and credentialing and privileging requirements and thereby ensuring that the candidate is cleared for commencement of services prior to them reporting for duty.

LOCATION:

All services shall be performed at the following location:

Phoenix Indian Medical Center (PIMC)

4212 N. 16th Street

Phoenix, AZ 85016

STATEMENT OF WORK:

The Contractor shall provide Medical Laboratory Technician Services, which will include: Assisting

Providers in the diagnosis and treatment of patients within the limits of their clinical laboratory guidelines and medical technology job title professional qualification and within local, federal, and state regulatory requirements. In providing these services, the Contractor shall assume and provide guidance and quality of treatment to patients under the terms of this contract, as provided to the general public.

http://exclusions.oig.hhs.gov/

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The Contractor employee(s) will:

a) Perform Medical Laboratory Technician functions such as collect and process laboratory specimens.

b) Perform Medical Laboratory Technician functions such as process and analyze clinical laboratory specimens.

c) Perform Medical Laboratory Technician functions such as verify and report laboratory results.

d) Proficient in major areas of the clinical laboratory: clinical chemistry, hematology, coagulation, blood bank, serology, urinalysis, microbiology, and molecular testing.

The Contractor employee(s) shall have strict adherence to any and all College of American Pathologists

(CAP), Centers for Medicare & Medicaid Services (CMS) and The Joint Commission (TJC) standards.

The Contractor, at a minimum, will follow approved abbreviation guidelines and will provide timely completion and sign off on competencies, training, and annual requirements of all accrediting agencies and standards.

The Contractor employee(s) shall comply with all IHS facility infection control and safety procedures and standards.

The Contractor employee(s) shall provide consistent performance of patient care process according to the standards of TJC, CAP, and/or CMS who supplies accreditation to the Phoenix Area Indian Health

Service hospitals and health centers. These standards shall include: The Comprehensive Accreditation manual for Critical Access Hospitals, and the Laboratory Standards as they represent the scope of services of this contract.

The Contractor employee(s) shall be able to meet the physical demands such as, but not limited to, walking, standing, bending and lifting i.e. assisting patients out of wheel chairs, move patients on and off examining tables, stretchers, etc.

The Contractor employee(s) shall have tact and diplomacy while working in stressful situations.

The Contractor employee(s) shall have skill in working with people from a wide variety of backgrounds and different cultures.

The Contractor employee(s) shall be expected to assist and provide services and duties as may be requested for the normal operational requirements for the respective department and personnel. The contractor employee(s) shall provide work that is consistent with the guidelines and procedures of the

IHS. Failure of the contractor employee(s) to meet these standards can result in cancellation of this contract.

The Contractor employee(s) shall not have any work or health restrictions, which could directly or indirectly interfere with the performance of providing services.

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20 March 2026

The contractor employee(s) shall maintain acceptable standards of personal hygiene, grooming and professional attire such that their image as a Federal Contractor Employee(s) is compatible with the expectations of the IHS staff.

The Contractor employee(s) are required to abide by the facility’s Uniform Code and shift hour assigned, modalities of charting, and care delivery and other rules and regulations of the facility.

The Contractor employee(s) shall be sensitive to the unique culture factors of the people they serve, which may include use of an interpreter as necessary in communication of services being rendered.

Unique cultural factors that may contribute to the patient’s service include: use of their language communications; village and tribal customs; use of traditional healers; isolation; housing conditions and lack of resources.

The Contractor candidates are encouraged to engage in a commitment for 8-10 months minimum period due to the investment in training at the service location. Possible reimbursement of the costs for training for earlier termination of candidate will be incurred to vendor as permitted by law.

The Contractor employee(s) accepting long-term assignment (1 continuous week or more) shall attend assigned meetings and participate to the fullest extent possible.

The Contractor shall maintain overall supervision of its employee(s) i.e. leave, performance issues, etc.

The Contractor will work with the Supervisory Department Officer or designee in providing administrative supervision and specifies resources available. The Supervisory Department Officer provides clinical supervision on a 24-hour, media, and tour of duty coverage. The Supervisory

Department Officer will review work performance on a periodic basis in order to evaluate proficiency in providing health care, discuss deficiencies and problems encountered, outline and/or approve new or change practices to be employed, and provides consultation on specific cases and related problems.

Work performance is reviewed for conformance to IHS policy and procedures and accepted professional practices.

Within established guidelines, contractor employee(s) exercise latitude in planning and carrying out healthcare assignments and in undertaking new procedures, practices, and approaches to extend both services provided and increase individual proficiency. Overall work performance is reviewed jointly by the clinical director/supervising physician for effectiveness in meeting requirements for healthcare services.

The Contractor employee(s) may be removed from the facility if services are not performed in accordance with the terms and conditions of this contract.

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20 March 2026

The Contractor shall relieve its employees from the facility from time to time on an as needed basis and relief must be available within 24-hour notice.

The Contractor must provide notification in writing immediately to the COR, if there are any changes in the services provided.

The Contractor shall provide a designated representative to help resolve technical and/or contractual issues throughout the life of the contract.

SCHEDULE/SHIFTS:

The designated supervisor or designee will submit schedules of required coverage a minimum of fifteen

(15) calendar days PRIOR to the first day of coverage requested.

Shift times and schedules are subject to change based on the medical needs of the patient population and hospital/clinic operations.

NOTE: The recurring needs of the service unit are for full-time Medical Laboratory Technicians on an

“as needed” basis for the duration of the contract in accordance of the below Shift Schedules.

Typical shift schedules are EIGHT (8) Hour shifts, consecutive/non-consecutive, 40-hour work week:

SHIFT HOURS TIME

Midnight 8 hour shift 23:30 – 8:00

Days 8 hour shift 08:00 – 16:30

Evenings 8 hour shift 15:30 – 00:00

**30 minute lunch breaks are included in shift hours and after 4 hours of work**

***The Government does NOT pay for time taken for lunch***

Depending on the need of the Laboratory Department and only on a case-by-case basis, a TEN (10)

Hour shift schedule, consecutive/non-consecutive, 40 hour a week, Saturday through Sunday, may be authorized:

SHIFT START TIME END TIME

10 hour shift 7:30 AM 6:00 PM

8:00 am 6:30 pm

9:00 am 7:30 pm

10:30 am 8:30 pm

3:30 PM 2:00 AM

9:30 pm 8:00 am

10:30 pm 9:00 am

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11:30 pm 10:00 am

**30 minute lunch breaks are included in shift hours and after 5 hours of work**

***The Government does NOT pay for time taken for lunch***

PIMC Hospital currently has the following operational hours: 24 hours/7 days a week/365 days.

Total shifts worked annually shall be in accordance to the total number of work hours allocated for the year and nothing more unless an approved executed modification signed by the Contracting Officer was implemented.

If the Contractor employee(s) is not available for the designated shift(s), the Contractor is responsible to provide a minimum seventy-two (72) hour notification to the COR, Laboratory Manager or designee, and designated supervisor or designee and provide a PRN/Replacement Contractor employee(s) for that shift with PRIOR approval from the Laboratory/Pathology COR, Laboratory Manager or designee, and designated supervisor or designee. Also, the Contractor employee(s) must have knowledge of general laboratory equipment. The Contractor shall make a full, good-faith effort to provide coverage with a replacement.

Shift coverage requests less than a fifteen (15) day notice, emergency situation; the Contractor shall make a full, good-faith effort to accommodate the emergency request. If the Contractor is unable to meet the emergency request, they shall immediately notify the COR, Laboratory Manager or designee, and designated supervisor or designee.

RATE SCHEDULE:

The unit price paid to the Contractor shall be considered as payment in full for services provided under this award. In no way, unless directed by the IHS, shall any provider attempt to bill or collect from any

IHS patient, or from any alternate resource for which the patient may be eligible, any monies for services provided under this award.

Hourly fixed rate shall be inclusive of all the following rates: holiday, week nights, week-ends, all city, state, federal, and local taxes and all associated rates with the provision of services and overtime must be priced out separately. The Government will pay one flat rate.

The Contractor shall be paid only for actual time services are performed under the terms of the contract at the hourly fixed rate (one flat rate). There is no provision for holiday, nights, weekend or call services except for overtime. Overtime is coordinated and approved by the CO.

QUALIFICATION/CERTIFICATION FACTORS:

Medical Laboratory Technician (MLT):

Experience:

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The Contractor employee(s) must have a minimum of one (1) year experience as a Medical Laboratory

Technician with preference for experience in respective specialty.

Education:

The Contractor employee(s) must have a minimum education requirement of one (1) of the following:

1. Associate’s degree in Biology or Chemistry and successful completion of a NAACLS Medical

Laboratory Technology program OR

2. Associate degree in Biology or Chemistry and successful completion of a 50 week US Military

MLT Training program course OR

3. Associate degree in Biology or Chemistry and three (3) years of clinical laboratory experience or equivalent.

Certification/License:

The Contractor employee(s) must have a minimum certification/licensure requirement of one (1) of the following:

1. Medical Laboratory Technician (MLT), as defined by the American Society of Clinical

Pathologists (ASCP) OR similar organizations i.e. American Medical Technologist (AMT)

2. Certification(s): Basic Life Support (BLS) Certification or Advanced Cardiovascular Life

Support (ACLS).

Orientation:

Contract Medical Laboratory Technicians shall participate in facility and department specific orientations prior to commencing laboratory duties. Orientation is usually accomplished within three (3) days. The contract Medical Laboratory Technicians are required to have received the necessary background security clearance and have an appointment (through the credentialing and privileging process) prior to commencing orientation.

Each contract Medical Laboratory Technician must complete orientation and required trainings prior to commencing any laboratory duties. Documentation verifying the content of the orientation and a list of the Contractor’s personnel who attended shall be maintained by the Contractor and a copy provided to the COR. The contract Medical Laboratory Technicians should also maintain documentation of having completed orientations.

Contract Medical Laboratory Technicians shall complete IHS Computer Security Awareness Training

(ISSA) as part of the credentialing and privileging process. However, if the contract Medical Laboratory

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Technician has a current certificate of completion (within the current Fiscal Year of October 1 through

September 30), the certificate should be shared with PIMC leadership. Maintenance of IHS Computer

Security Awareness Training certification is required.

The Contractor is responsible for ensuring that the contract Medical Laboratory Technicians have completed all necessary steps for PIV enrollment and issuance prior to orientation.

The contractor will participate in the credentialing and privileging process in accordance with existing procedure. Contractor shall provide no services prior to obtaining approval by Laboratory Supervisor.

The Contractor will be provided copies of current requirements and updates as they are published.

1. OF 306 – must be full legal name & all questions answered & signed with date in 17a is required.

2. OF 306A – must be full legal name

3. IHS Provisional Access Memo (PAM) – full legal name at top & signed with date at the bottom.

4. RESUME – must be current & have a physical address, any employment history must have a city & state

5. HHS 745 – complete entire form

6. Two (2) IDs – must be Real ID compliant & unexpired

7. NBIB Child Care – where have you lived in the last seven (7) years?

8. OFI 86c – complete the highlighted areas only

9. FINGERPRINTS – required; PSR staff will reach out to the applicant to complete this requirement.

10. Certificates of completion for mandatory trainings, to include:

a. Protecting Children from Sexual Abuse in Health Care Settings

b. No FEAR Act Training

c. Other trainings as required by Phoenix Indian Medical Center

NOTE: Original forms should be scanned and submitted via password-protected PDFs. Photos of forms are not permitted. Wet signature and date are highly recommended. PDF or electronic signatures are not anticipated to be accepted and may result in a delay of administrative processing. Additional mandatory trainings may be required, which will be provided during orientation.

The above documents (1-10) must be completed and submitted by the contract Medical Laboratory

Technician within five (5) business days of selection.

Invoice Submission and Payment:

The Contractor is required to provide a copy of each Contractors employee(s) profile to the Contracting

Officer Representative (COR) prior to providing services at PIMC.

An approved timesheet will be utilized to track all hours worked for each Contractor employee(s). The timesheet shall be submitted to the Supervisory designee of the department at PIMC and COR; the timesheets shall be reviewed for accuracy and certified by signature as accurate and acceptable for payment, then forwarded to the receiving official for further processing of receipt of services through

US Treasury/IPP (Invoice Processing Platform).

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GOVERNMENT INVOICE ADDRESS: All invoices from the contractor shall be submitted electronically via IPP (Invoice Processing Platform).

INVOICING/BILLING:

Contractor shall establish a recordkeeping system of contractor services provided. Contractor may only bill for services provided to PIMC. At the end of each month, the contractor will submit an invoice for payment.

Invoice Requirements and Supporting Documentation: Supporting documentation and invoices must be submitted no later than the 30th workday of the month after services have been provided. Changes or corrections shall be submitted by separate invoice. In addition to information required for submission of a “proper” invoice in accordance with FAR 52.212-4 (g) all invoices must include:

1. Invoice Date and Number

2. Contract Number

3. Charges for service or products identified BY LINE ITEM Number

4. Brief description of products or services rendered

5. Charges should follow Line Item structure on contract to include Quantity, Unit of Issue, Unit Price, and Total Amount as applicable

6. Dates of Service or Shipment

Invoices shall be prepared and submitted electronically and in accordance with rates and terms as stated in the contract. Invoices shall be submitted electronically in IPP through the US Treasury. Notification and a copy of the Invoice shall be submitted to:

Acquisitions: To Be Determined, a copy of the invoice should be sent electronically to the contract specialist(s) at the address listed above.

Service Unit Representatives: Deana Thompson. A copy of the invoice should be sent electronically to the Service Unit Representative(s) at the address listed above.

PERIOD OF PERFORMANCE:

The period of performance shall be for a base plus four (4) one-year option years commencing from the date of award.

DELIVERABLES:

The Contractor is required to provide a copy of each Contractor’s employee profile to the Contracting Officer Representative (or service unit representative(s)) prior to providing services at SERVICE UNITS.

Timesheet shall be submitted to the supervisor of the respective department to which the Contractor’s employee(s) is assigned to work or his/her designee. The timesheets shall be reviewed for accuracy and certified by signature as accurate and acceptable for payment, then forwarded to the receiving official for further processing of receipt of services through US Treasury utilizing IPP.

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CONTRACTING OFFICER REPRESENTATIVE (COR) RESPONSIBILITIES:

The Contracting Officer will designate in writing a COR who shall be responsible for:

1. Monitoring the Contractor’s technical progress, including the surveillance and assessment of performance and recommending to the Contracting Officer, changes in requirements

• Interpreting scope of work

• Performing technical evaluations required

• Performing technical inspections and acceptances required by this contract

• Monitoring funds available for obligation under this contract

• The resolution of technical problems encountered during performance of this contract

In no event is the COR empowered to change any of the terms and conditions of the contract. Changes in the scope of work, contract price, quantity, and quality or delivery schedule shall be made only by the Contracting Officer by a properly exercised modification.

The designation of a COR does not authorize or provide a legal right to change any kind of contractual terms regardless of the Contractor’s apparent difficulties in fulfilling contract requirements.

CONTRACTING OFFICER (CO) RESPONSIBILITIES:

The Contracting Officer is the only person delegated the authority to negotiate changes in terms, conditions, or amounts cited in this contract.

Invoice Submission and Payment:

GOVERNMENT INVOICE ADDRESS: All invoices from the contractor shall be submitted electronically via

IPP (Invoice Processing Platform).

INVOICING/BILLING:

Contractor shall establish a recordkeeping system of contractor services provided. Contractor may only bill for services provided to PIMC. At the end of each month, the contractor will submit an invoice for payment.

Invoice Requirements and Supporting Documentation: Supporting documentation and invoices must be submitted no later than the 30th workday of the month after services have been provided. Changes or corrections shall be submitted by separate invoice. In addition to information required for submission of a “proper” invoice in accordance with FAR 52.212-4 (g) all invoices must include:

1. Invoice Date and Number

2. Contract Number

3. Charges for service or products identified BY LINE ITEM Number

4. Brief description of products or services rendered

5. Charges should follow Line Item structure on contract to include Quantity, Unit of Issue, Unit Price, and

Total Amount as applicable

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6. Dates of Service or Shipment

Invoices shall be prepared and submitted electronically and in accordance with rates and terms as stated in the contract. Invoices shall be submitted electronically in IPP through the US Treasury. Notification and a copy of the Invoice shall be submitted to:

Acquisitions: To Be Determined, a copy of the invoice should be sent electronically to the contract specialist(s) at the address listed above.

Service Unit Representatives: Deana Thompson. A copy of the invoice should be sent electronically to the

Service Unit Representative(s) at the address listed above.

ADDENDUM:

1. Pro-Children Act of 1994

The Contractor certifies that it will comply with the provisions of Public Law 103-227, Pro- Children Act of

1994 which imposes restrictions on smoking where federally funded children’s services are provided. The Act requires that smoking should be prohibited in any indoor facility owned, leased, or contracted for or used for the routine or regular provision of health care, day care, or early childhood development (Head Start) services to children under the age of 18. Failure to comply with the provisions of the law may result in the imposition of a civil monetary penalty of up to $1,000 per violation and/or the imposition of an administrative compliance order on the responsible entity. By submitting an offer and entering into a contractual agreement with the Government, Contractors certify that they will comply with the requirements of the Act.

Contractors must obtain the same certification from subcontractors.

2. P.L. 101-630, The Indian Child Protection and Family Violence Prevention Act

Contractors 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. IHS will conduct these investigations following award of a contract. The character investigation may be waived if, in the judgment of the Contracting Officer, in consultation with the Personnel Officer, an investigation has already been conducted and is on file. Until the character investigation has been completed and the

Contracting Officer notified of the results, the Contractor must not have unsupervised contact with Indian children.

3. Department of Health and Human Services Tobacco Policy

The Contractor’s employee shall comply with the Department of Health & Human Services Tobacco-Free Policy

(copy available upon request). Contractor’s employee shall not use tobacco products of any kind (e.g., cigarettes, cigars, pipes, and smokeless tobacco) while on any HHS Property- owned or controlled.

4. Indian Child Protection and Family Violence Prevention Act

No performance under this contract will be allowed without full compliance with the Indian child protection and family violence prevention act, Public Law 101-630 and the Indian Health Service memo dated February 3, 1997, investigations on child care workers. Contractor shall ensure that proposed providers cooperate with and assist the government in the conduction of any necessary background checks.

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5. Crime Control Act of 1990

No performance under this contract will be allowed without full compliance with the crime control act of 1990, Public Law 101-647 and the Indian Health Service memo dated February 3, 1997, investigations on child care workers. Contractor shall ensure that proposed providers cooperate with and assist the government in the conduction of any necessary background checks.

QUALITY ASSURANCE:

The Contractor shall provide services under the terms and conditions of this contract with staff capable of providing proper adequate services, technical expertise and competence.

The Contractor shall be responsible for monitoring and evaluating the safety, quality and appropriateness of services provided and shall maintain a quality control program.

The Contractor shall have a Quality Control program to assure compliance with contract. Quality

Control program shall minimally have the following elements:

a. A method for identifying deficiencies in the quality of services performed before the level of performance becomes unacceptable.

b. A file of all quality control inspections, inspection results, and any corrective action required shall be maintained by the Contractor throughout the duration of this contract. This file shall be the property of the US Government and shall be available to the COR during normal working hours. The file shall be turned over to the US Government withing fourteen (14) days of completion or termination of the contract.

A Quality Assurance Surveillance Plan (QASP) has been developed for in-house operations or to implement a service contract. It is designed to aid the COR in providing effective and systematic surveillance of all aspects of professional services. This plan provides for monitoring the contract requirements.

The objective of this surveillance plan is to evaluate the Contractor’s performance in key areas. The US

Government is primarily interested in the final service being provided and not in the details of accomplishment.

The principal method of surveillance will be daily in some cases or by use of periodic inspections.

Appropriate indicators are provided for recording observations in this type of surveillance.

Quality Assurance Surveillance Plan (QASP):

a. The US Government shall monitor the Contractors performance through a Quality Assurance

Surveillance Plan (QASP). The QASP is for informational purposes only and considered an evaluation part of the contract.

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b. Surveillance systems will include periodic inspection and acceptance of all deliverables as cited in the contract.

Measure Performance

Requirement

AQL Standard Acceptable

Level

Routine Method of

Monitoring

Incentives and Disincentives

Key

Personnel

Provide required contractor MLTs for vacant shifts as specified in the requirements.

Qualified personnel are available and in location as needed to properly perform tasks as specified.

100%

Review of documentation for compliance

Evaluation documenting performance in the national HIS database.

Incentive: approval of documentation

Disincentive: rejected documentation, possible termination of contract.

Ensuring adequate coverage

Filled schedule vacancies at PIMC

Laboratory

Full coverage for any vacant shifts that PIMC Lab shares with the

Contractor within 5 business days of receiving the notification.

compliance

Incentive: approval of documentation

Disincentive: After two (2) occurrences of unfi l l ed requested vacant shifts, a cure notice may be issued and possible termination of contract. Evaluation documenting inadequate performance in CPARS.

Maintains security clearance, licensing, certification, credentialing, privileges, &

Public Law

All necessary documents submitted within five (5) days of selection

Security clearance, licensure, certification, credentialing, and/or privileges established and maintained.

compliance

Evaluation documenting performance in the national IHS database.

Incentive: approval of documentation

Disincentive: reject documentation & removal of contracted MLT & possible termination of contract.

Lapses in professionalis m and/or standards of conduct

Unacceptable performance, lack of professionalism, o r unacceptable conduct the Contractor shall replace contracted

MLT

Consistent compliance with IHS Standard of

Conduct & IHS PIMC policies, procedures, rules, and regulations.

If < 30 days of confirmed scheduled shift: Contractor shall replace personnel within 3 calendar days upon receipt of written notification.

If ≥30 days of confirmed scheduled shift: Contractor shall replace personnel within 7 calendar days upon receipt of written notification

100% Review of documentation for compliance

Evaluation documenting performance in the national IHS database.

Incentive: approval of documentation

Disincentive: After two (2) occurrences of which the Contractor has a lapse in professionalism or standard of conduct, the IHS has the right to remove contracted MLT & the contracted MLT will not be used in the future. Evaluation documenting inadequate performance in CPARS..

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END OF STATEMENT OF WORK