T12 Sol_75H71026Q00113.pdf
PDF 2 MB Posted
- Attached to
- KHC Monthly Elevator Inspection Service
- Solicitation number
- IHS1521349
About this file
This is a Solicitation/Contract/Order for Commercial Items (Standard Form 1449) issued by the Kayenta Health Center, a division of the Kayenta Service Unit under the Indian Health Service, Navajo Area. The solicitation number is 75H71026Q00113, with an issue date of March 13, 2026, and an offer due date of March 27, 2026 at 12:00 PM Mountain Daylight Time. The requisition number is IHS1521349.
The contract requires monthly Safety Elevator Inspection Services for the Kayenta Alternative Rural Hospital in Kayenta, Arizona, covering two Traction Ecospace Elevators with KCM831 Controls. Services include system and service reviews, safety inspections and preventive maintenance, remote 24/7 monitoring, software maintenance, telephone support, online service, system and service logging, documentation, annual operator training, and elevator telephone service, all performed in accordance with NFPA/ASME standards and Joint Commission regulations. The contract period is June 1, 2026 through May 31, 2027 (Base Year), with four optional one-year renewal periods extending through May 31, 2031. The solicitation is unrestricted and subject to the Service Contract Labor Standards; a wage determination is included specifying WG-11 grade at $34.50 hourly rate with 26% fringe benefits. The acquisition is designated as a small business set-aside with a NAICS code of 333921 and size standard of 1,000 employees. Invoices must be submitted electronically through the Department of Treasury Invoice Processing Platform (IPP) at www.ipp.gov. Payment will be made to the Kayenta Health Center Accounts Payable Department, and the contract incorporates by reference FAR 52.212-1, 52.212-4, with FAR 52.212-3 and 52.212-5 attached. The contracting officer is Jerlyn R. Begay, and the information contact is Daisha Richards.
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Text version
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
25CODE 16. ADMINISTERED BYCODE
X
X
333921
SIZE STANDARD:
% FOR:SET ASIDE:UNRESTRICTED OR25
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
03/27/2026 1200 MD
03/13/2026
DAISHA RICHARDS
(No collect calls)
INFORMATION CALL:
FOR SOLICITATION 8. OFFER DUE DATE/LOCAL TIMEb. TELEPHONE NUMBER a. NAME
4. ORDER NUMBER3. AWARD/ 6. SOLICITATION
75H71026Q00113
5. SOLICITATION NUMBER
SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS 1. REQUISITION NUMBER PAGE OF
1 33 IHS1521349OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30
TELEPHONE NO.
17a. CONTRACTOR/
15. DELIVER TO
Kayenta AZ 86033
Highway 160, Mile Post 394.3
PO Box 368
Acquisition Department
9. ISSUED BY
7.
2. CONTRACT NO.
EFFECTIVE DATE
1,000
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 SCHEDULEX
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)
Kayenta Health Center WOMEN-OWNED SMALL
BUSINESS (WOSB)
ECONOMICALLY DISADVANTAGED
WOMEN-OWNED SMALL
BUSINESS (EDWOSB)
Kayenta AZ 86033
US Hwy 160 South MP 394.3
Kayenta Health Center
Kayenta AZ 86033
Highway 160, Mile Post 394.3
PO Box 368
Acquisition Department
Kayenta Health Center
24.
AMOUNT
23.
UNIT PRICE
22.
UNIT
21.
QUANTITY
20.
SCHEDULE OF SUPPLIES/SERVICES
19.
ITEM NO.
This is a full and open (unrestricted) solicitation.
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: 06/01/2026 to 05/31/2027
(Use Reverse and/or Attach Additional Sheets as Necessary)
HEREIN, IS ACCEPTED AS TO ITEMS:
XX
DATED
JERLYN R. BEGAY
. 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.
1 Base Year:
The contractor shall provide monthly Safety
Elevator Inspection Services to the Kayenta
Health Center, in Kayenta, AZ 86033. This service shall be provided IAW Attachment A: Statement of
Work
Monthly Elevator Maintenance
-System and Service Review
-Safety Inspection and Preventive Maintenance
-Remote Monitoring
-Software Maintenance
-Telephone Support
-On-Line Service
-System and Service Log
-Documentation
-Operator Training
-Elevator Telephone Service
2 Navajo Nation Tax
Continued ...
32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE
32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE
33 2 of
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
NAME OF OFFEROR OR CONTRACTOR
3 33
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
75H71026Q00113
3 Option Year 1:
The contractor shall provide monthly Safety
Elevator Inspection Services to the Kayenta
Health Center, in Kayenta, AZ 86033. This service shall be provided IAW Attachment A: Statement of
Work
Monthly Elevator Maintenance
-System and Service Review
-Safety Inspection and Preventive Maintenance
-Remote Monitoring
-Software Maintenance
-Telephone Support
-On-Line Service
-System and Service Log
-Documentation
-Operator Training
-Elevator Telephone Service
(Option Line Item)
06/01/2027
Period of Performance: 06/01/2027 to 05/31/2028
4 Option Year 1:
Navajo Nation Tax
(Option Line Item)
06/01/2027
Period of Performance: 06/01/2027 to 05/31/2028
5 Option Year 2:
The contractor shall provide monthly Safety
Elevator Inspection Services to the Kayenta
Health Center, in Kayenta, AZ 86033. This service shall be provided IAW Attachment A: Statement of
Work
Monthly Elevator Maintenance
-System and Service Review
-Safety Inspection and Preventive Maintenance
-Remote Monitoring
-Software Maintenance
-Telephone Support
-On-Line Service
Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
Sponsored by GSA
FAR (48 CFR) 53.110
4 33
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
75H71026Q00113
-System and Service Log
-Documentation
-Operator Training
-Elevator Telephone Service
(Option Line Item)
06/01/2028
Period of Performance: 06/01/2028 to 05/31/2029
6 Option Year 2:
Navajo Nation Tax
(Option Line Item)
06/01/2028
Period of Performance: 06/01/2028 to 05/31/2029
7 Option Year 3:
The contractor shall provide monthly Safety
Elevator Inspection Services to the Kayenta
Health Center, in Kayenta, AZ 86033. This service shall be provided IAW Attachment A: Statement of
Work
Monthly Elevator Maintenance
-System and Service Review
-Safety Inspection and Preventive Maintenance
-Remote Monitoring
-Software Maintenance
-Telephone Support
-On-Line Service
-System and Service Log
-Documentation
-Operator Training
-Elevator Telephone Service
(Option Line Item)
06/01/2029
Period of Performance: 06/01/2029 to 05/31/2030
8 Option Year 3:
Navajo Nation Tax
(Option Line Item)
06/01/2029
Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
5 33
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
75H71026Q00113
Period of Performance: 06/01/2029 to 05/31/2030
9 Option Year 4:
The contractor shall provide monthly Safety
Elevator Inspection Services to the Kayenta
Health Center, in Kayenta, AZ 86033. This service shall be provided IAW Attachment A: Statement of
Work
Monthly Elevator Maintenance
-System and Service Review
-Safety Inspection and Preventive Maintenance
-Remote Monitoring
-Software Maintenance
-Telephone Support
-On-Line Service
-System and Service Log
-Documentation
-Operator Training
-Elevator Telephone Service
(Option Line Item)
06/01/2030
Period of Performance: 06/01/2030 to 05/31/2031
10 Option Year 4:
Navajo Nation Tax
(Option Line Item)
06/01/2030
Period of Performance: 06/01/2030 to 05/31/2031
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
Rev. 11/30/2025
SECTION C – CONTRACT CLAUSES
52.212-4 CONTRACT TERMS AND CONDITIONS –
COMMERCIAL PRODUCTS AND COMMERCIAL
SERVICES
NOV 2025
(DEVIATION)
The following Federal Acquisition Regulation clauses also apply:
☐ 52.203-3 GRATUITIES APR 1984
☐ 52.203-6 RESTRICTIONS ON SUBCONTRACTOR SALES TO THE GOVERNMENT Alt I
NOV 2021
☒ 52.203-12 LIMITATION OF PAYMENTS TO INFLUENCE CERTAIN FEDERAL
TRANSACTIONS
JUN 2020
☐ 52.203-13 CONTRACTOR CODE OF BUSINESS ETHICS AND CONDUCT NOV 2021
☐ 52.203-16 PREVENTING PERSONAL CONFLICTS OF INTEREST JUN 2020
☒ 52.203-17 CONTRACTOR EMPLOYEE WHISTLEBLOWER RIGHTS NOV 2023
☒ 52.203-19 PROHIBITION ON REQUIRING CERTAIN INTERNAL CONFIDENTIALITY
AGREEMENTS OR STATEMENTS
JAN 2017
☐ 52.204-9 PERSONAL IDENTITY VERIFICATION OF CONTRACTOR PERSONNEL JAN 2011
☒ 52.204-13 SYSTEM FOR AWARD MANAGEMENT MAINTENANCE NOV 2025
(DEVIATION)
☐ 52.204-14 SERVICE CONTRACT REPORTING REQUIREMENTS NOV 2025
(DEVIATION)
☐ 52.204-15 SERVICE CONTRACT REPORTING REQUIREMENTS FOR INDEFINITE-
DELIVERY CONTRACTS
NOV 2025
(DEVIATION)
☐ 52.204-91 CONTRACTOR IDENTIFICATION NOV 2025
(DEVIATION)
☒ 52.209-6 PROTECTING THE GOVERNMENT’S INTEREST WHEN
SUBCONTRACTING WITH CONTRACTORS DEBARRED, SUSPENDED, OR
PROPOSED FOR DEBARMENT
NOV 2025
(DEVIATION)
☐ 52.209-9 UPDATES OF PUBLICLY AVAILABLE INFORMATION REGARDING
RESPONSIBILITY MATTERS
NOV 2025
(DEVIATION)
☒ 52.209-10 PROHIBITION ON CONTRACTING WITH INVERTED DOMESTIC
CORPORATIONS
NOV 2025
(DEVIATION)
☐ 52.213-1 RESERVED
☐ 52.219-3 NOTICE OF HUBZONE SET-ASIDE OR SOLE-SOURCE AWARD NOV 2025
(DEVIATION)
☐ 52.219-6 NOTICE OF TOTAL SMALL BUSINESS SET-ASIDE NOV 2025
(DEVIATION)
☐ 52.219-6 Alt I
NOTICE OF TOTAL SMALL BUSINESS SET-ASIDE, WITH ALTERNATE I NOV 2025
(DEVIATION)
☐ 52.219-7 NOTICE OF PARTIAL SMALL BUSINESS SET-ASIDE NOV 2020
☐ 52.219-7 Alt I
NOTICE OF PARTIAL SMALL BUSINESS SET-ASIDE, WITH ALTERNATE I MAR 2020
☐ 52.219-8 UTILIZATION OF SMALL BUSINESS CONCERNS NOV 2025
(DEVIATION)
☐ 52.219-9 SMALL BUSINESS SUBCONTRACTING PLAN NOV 2025
(DEVIATION)
☐ 52.219-9 Alt I
SMALL BUSINESS SUBCONTRACTING PLAN, WITH ALTERNATE I NOV 2025
(DEVIATION)
☐ 52.219-9 Alt II
SMALL BUSINESS SUBCONTRACTING PLAN, WITH ALTERNATE II NOV 2025
(DEVIATION)
☐ 52.219-9 Alt III
SMALL BUSINESS SUBCONTRACTING PLAN, WITH ALTERNATE III NOV 2025
(DEVIATION)
☐ 52.219-9 Alt IV
SMALL BUSINESS SUBCONTRACTING PLAN, WITH ALTERNATE IV NOV 2025
(DEVIATION)
☐ 52.219-13 NOTICE OF SET-ASIDE OF ORDERS MAR 2020
☐ 52.219-13 Alt I
RESERVED
☐ 52.219-16 LIQUIDATED DAMAGES—SUBCONTRACTING PLAN NOV 2025
(DEVIATION)
☐ 52.219-27 NOTICE OF SET-ASIDE FOR, OR SOLE-SOURCE AWARD TO, SERVICE-
DISABLED VETERAN-OWNED SMALL BUSINESS (SDVOSB) CONCERNS
ELIGIBLE UNDER THE SDVOSB PROGRAM
NOV 2025
(DEVIATION)
☒ 52.219-28 POSTAWARD SMALL BUSINESS PROGRAM REREPRESENTATION NOV 2025
(DEVIATION)
☐ 52.219-28 Alt I
POSTAWARD SMALL BUSINESS PROGRAM REREPRESENTATION, WITH
ALTERNATE I
NOV 2025
(DEVIATION)
☐ 52.219-29 NOTICE OF SET-ASIDE FOR, OR SOLE-SOURCE AWARD TO,
ECONOMICALLY DISADVANTAGED WOMEN-OWNED SMALL BUSINESS
CONCERNS
NOV 2025
(DEVIATION)
☐ 52.219-30 NOTICE OF SET-ASIDE FOR, OR SOLE-SOURCE AWARD TO, WOMEN-
OWNED SMALL BUSINESS CONCERNS ELIGIBLE UNDER THE WOMEN-
OWNED SMALL BUSINESS PROGRAM
NOV 2025
(DEVIATION)
☐ 52.219-32 ORDERS ISSUED DIRECTLY UNDER SMALL BUSINESS RESERVES MAR 2020
☐ 52.219-33 NONMANUFACTURER RULE NOV 2025
(DEVIATION)
☒ 52.222-3 CONVICT LABOR NOV 2025
(DEVIATION)
☒ 52.222-19 CHILD LABOR—COOPERATION WITH AUTHORITIES AND REMEDIES NOV 2025
(DEVIATION)
☒ 52.222-35 EQUAL OPPORTUNITY FOR VETERANS NOV 2025
(DEVIATION)
☒ 52.222-36 EQUAL OPPORTUNITY FOR WORKERS WITH DISABILITIES NOV 2025
(DEVIATION)
☐ 52.222-36
ALT I
EQUAL OPPORTUNITY FOR WORKERS WITH DISABILITIES, WITH
ALTERNATE I
JUL 2014
☐ 52.222-37 EMPLOYMENT REPORTS ON VETERANS NOV 2025
☐ 52.222-40 NOTIFICATION OF EMPLOYEE RIGHTS UNDER THE NATIONAL LABOR
RELATIONS ACT
NOV 2025
(DEVIATION)
☒ 52.222-41 SERVICE CONTRACT LABOR STANDARDS NOV 2025
(DEVIATION)
☐ 52.222-43 FAIR LABOR STANDARDS ACT AND SERVICE CONTRACT LABOR
STANDARDS-PRICE ADJUSTMENT (MULTIPLE YEAR AND OPTION
CONTRACTS)
NOV 2025
(DEVIATION)
☐ 52.222-44 FAIR LABOR STANDARDS ACT AND SERVICE CONTRACT LABOR
STANDARDS-PRICE ADJUSTMENT
NOV 2025
(DEVIATION)
☒ 52.222-50 COMBATING TRAFFICKING IN PERSONS NOV 2025
(DEVIATION)
☐ 52.222-50 Alt I
COMBATING TRAFFICKING IN PERSONS NOV 2025
(DEVIATION)
☐ 52.222-51 EXEMPTION FROM APPLICATION OF THE SERVICE CONTRACT LABOR
STANDARDS TO CONTRACTS FOR MAINTENANCE, CALIBRATION, OR
REPAIR OF CERTAIN EQUIPMENT—REQUIREMENTS
NOV 2025
(DEVIATION)
☐ 52.222-53 EXEMPTION FROM APPLICATION OF THE SERVICE CONTRACT LABOR
STANDARDS TO CONTRACTS FOR CERTAIN SERVICES—
REQUIREMENTS
NOV 2025
(DEVIATION)
☒ 52.222-54 EMPLOYMENT ELIGIBILITY VERIFICATION NOV 2025
(DEVIATION)
☒ 52.222-55 MINIMUM WAGES FOR CONTRACTOR WORKERS UNDER EXECUTIVE
ORDER 14026
NOV 2025
(DEVIATION)
☒ 52.222-62 PAID SICK LEAVE UNDER EXECUTIVE ORDER 13706 NOV 2025
(DEVIATION)
☐ 52.223-2 REPORTING OF BIOBASED PRODUCTS UNDER SERVICE AND
CONSTRUCTION CONTRACTS
NOV 2025
(DEVIATION)
☐ 52.223-5 POLLUTION PREVENTION AND RIGHT-TO-KNOW INFORMATION MAY 2024
☐ 52.223-11 OZONE-DEPLETING SUBSTANCES NOV 2025
(DEVIATION)
☐ 52.223-12 MAINTENANCE, SERVICE, REPAIR, OR DISPOSAL OF REFRIGERATION
EQUIPMENT AND AIR CONDITIONERS
NOV 2025
(DEVIATION)
☒ 52.223-23 SUSTAINABLE PRODUCTS NOV 2025
(DEVIATION)
☐ 52.224-1 PRIVACY ACT NOTIFICATION APR 1984
☐ 52.224-2 PRIVACY ACT APR 1984
☐ 52.224-3 PRIVACY TRAINING JAN 2017
☐ 52.224-3
ALT I
PRIVACY TRAINING, ITH ALTERNATE I JAN 2017
☐ 52.225-1 BUY AMERICAN-SUPPLIES NOV 2025
(DEVIATION)
☐ 52.225-1 Alt I
BUY AMERICAN-SUPPLIES, WITH ALTERNATE I OCT 2022
☐ 52.225-3 BUY AMERICAN-FREE TRADE AGREEMENTS-ISRAELI TRADE ACT NOV 2025
52.225-3
ALT I
RESERVED
☐ 52.225-3 Alt II
BUY AMERICAN-FREE TRADE AGREEMENTS-ISRAELI TRADE ACT,
WITH ALTERNATE II
NOV 2025
(DEVIATION)
☐ 52.225-3 Alt III
BUY AMERICAN-FREE TRADE AGREEMENTS-ISRAELI TRADE ACT,
WITH ALTERNATE III
NOV 2025
(DEVIATION)
☐ 52.225-3 Alt IV
BUY AMERICAN-FREE TRADE AGREEMENTS-ISRAELI TRADE ACT,
WITH ALTERNATE IV
NOV 2025
(DEVIATION)
☐ 52.225-5 TRADE AGREEMENTS NOV 2023
☐ 52.225-14 INCONSISTENCY BETWEEN ENGLISH VERSION AND TRANSLATION OF
CONTRACT
FEB 2000
☐ 52.225-19 CONTRACTOR PERSONNEL IN A DESIGNATED OPERATIONAL AREA OR
SUPPORTING A DIPLOMATIC OR CONSULAR MISSION OUTSIDE THE
UNITED STATES
MAY 2020
☐ 52.225-26 CONTRACTORS PERFORMING PRIVATE SECURITY FUNCTIONS
OUTSIDE THE UNITED STATES
OCT 2016
☐ 52.226-1 UTILIZATION OF INDIAN ORGANIZATIONS AND INDIAN-OWNED
ECONOMIC ENTERPRISES
NOV 2025
(DEVIATION)
☐ 52.226-5 RESTRICTIONS ON SUBCONTRACTING OUTSIDE DISASTER OR
EMERGENCY AREA
NOV 2025
(DEVIATION)
☐ 52.226-6 PROMOTING EXCESS FOOD DONATION TO NONPROFIT
ORGANIZATIONS
NOV 2025
(DEVIATION)
☒ 52.226-8 ENCOURAGING CONTRACTOR POLICIES TO BAN TEXT MESSAGING
WHILE DRIVING
MAY 2024
☐ 52.229-12 TAX ON CERTAIN FOREIGN PROCUREMENTS AUG 2025
(DEVIATION)
☒ 52.232-18 AVAILABILITY OF FUNDS APR 1984
☐ 52.232-29 TERMS FOR FINANCING OF COMMERCIAL PRODUCTS AND
COMMERCIAL SERVICES
NOV 2021
☐ 52.232-30 INSTALLMENT PAYMENTS OF COMMERCIAL PRODUCTS AND
COMMERCIAL SERVICES
NOV 2021
☒ 52.232-33 PAYMENT BY ELECTRONIC FUNDS TRANSFER—SYSTEM FOR AWARD
MANAGEMENT
OCT 2018
☐ 52.232-34 PAYMENT BY ELECTRONIC FUNDS TRANSFER—OTHER THAN SYSTEM
FOR AWARD MANAGEMENT
JUL 2013
☐ 52.232-36 PAYMENT BY THIRD PARTY NOV 2025
(DEVIATION)
☒ 52.232-40 PROVIDING ACCELERATED PAYMENTS TO SMALL BUSINESS
SUBCONTRACTORS
MAR 2023
☐ 52.232-90 FAST PAYMENT PROCEDURE NOV 2025
(DEVIATION)
☒ 52.233-3 PROTEST AFTER AWARD NOV 2025
(DEVIATION)
☒ 52.233-4 APPLICABLE LAW FOR BREACH OF CONTRACT CLAIM NOV 2025
(DEVIATION)
☒ 52.237-2 PROTECTION OF GOVERNMENT BUILDING, EQUIPMENT, AND
VEGETATION
APR 1984
☒ 52.237-3 CONTINUITY OF SERVICES JAN 1991
☒ 52.240-91 SECURITY PROHIBITIONS AND EXCLUSIONS NOV 2025
(DEVIATION)
☐ 52.240-91 Alt I
SECURITY PROHIBITIONS AND EXCLUSIONS, WITH ALTERNATE I NOV 2025
(DEVIATION)
☐ 52.240-92 SECURITY REQUIREMENTS NOV 2025
(DEVIATION)
☐ 52.240-92 Alt II
SECURITY REQUIREMENTS WITH ALTERNATE II NOV 2025
(DEVIATION)
☐ 52.240-93 BASIC SAFEGUARDING OF COVERED CONTRACTOR INFORMATION
SYSTEMS
NOV 2025
(DEVIATION)
☐ 52.242-5 PAYMENTS TO SMAL BUSINESS SUBCONTRACTORS JAN 2017
☐ 52.242-13 BANKRUPTCY JUL 1995
☐ 52.244-2 SUBCONTRACTS JUN 2020
☒ 52.244-6 SUBCONTRACTS FOR COMMERCIAL PRODUCTS AND COMMERCIAL
SERVICES
NOV 2025
(DEVIATION)
☐ 52.245-1 GOVERNMENT PROPERTY SEP 2021
☐ 52.245-2 GOVERNMENT PROPERTY INSTALLATION OPERATION SERVICES APR 2012
☐ 52.245-9 USE AND CHARGES APR 2012
☐ 52.247-64 PREFERENCE FOR PRIVATELY OWNED U.S.-FLAG COMMERCIAL
VESSELS
NOV 2025
(DEVIATION)
☐ 52.247-64 Alt I
PREFERENCE FOR PRIVATELY OWNED U.S.-FLAG COMMERCIAL
VESSELS, WITH ALTERNATE I
APR 2003
☐ 52.247-64 Alt II
PREFERENCE FOR PRIVATELY OWNED U.S.-FLAG COMMERCIAL
VESSELS, WITH ALTERNATE II
NOV 2021
52.217-8 OPTION TO EXTEND SERVICES NOV 1999
The Government may require continued performance of any services within the limits and at the rates specified in the contract. These rates may be adjusted only as a result of revisions to prevailing labor rates provided by the Secretary of Labor. The option provision may be exercised more than once, but the total extension of performance hereunder shall not exceed 6 months. The Contracting Officer may exercise the option by written notice to the Contractor within 60 days before the contract expires.
(End of clause)
52.217-9 OPTION TO EXTEND THE TERM OF THE
CONTRACT MAR 2000
(a)The Government may extend the term of this contract by written notice to the Contractor within 30 days before the contract expires provided that the Government gives the Contractor a preliminary written notice of its intent to extend at least 15 days before the contract expires. The preliminary notice does not commit the Government to an extension.
(b)If the Government exercises this option, the extended contract shall be considered to include this option clause.
(c)The total duration of this contract, including the exercise of any options under this clause, shall not exceed 05/31/2031.
(End of clause)
52.222-42 STATEMENT OF EQUIVALENT RATES FOR
FEDERAL HIRES
MAY 2014
In compliance with the Service Contract Labor Standards statute and the regulations of the Secretary of Labor (29 CFR Part 4), this clause identifies the classes of service employees expected to be employed under the contract and states the wages and fringe benefits payable to each if they were employed by the contracting agency subject to the provisions of 5 U.S.C.5341 or 5 332.
THIS STATEMENT IS FOR INFORMATION ONLY: IT IS NOT A WAGE DETERMINATION
Grade Hourly Rate Fringes
WG-11 $34.50 26%
(End of Clause)
52.252-6 AUTHORIZED DEVIATIONS IN CLAUSES NOV 2020
(a)The use in this solicitation or contract of any Federal Acquisition Regulation (48 CFR Chapter 1) clause with an authorized deviation is indicated by the addition of "(DEVIATION)" after the date of the clause.
(b)The use in this solicitation or contract of any Department of Health and Human Services (48 CFR Chapter 3) clause with an authorized deviation is indicated by the addition of "(DEVIATION)" after the name of the regulation.
(End of clause)
The following Department of Health and Human Services Acquisition Regulation clauses also apply:
☐ 352.203-70 ANTI-LOBBYING DEC 2015
☐ 352.208-70 PRINTING AND DUPLICATION DEC 2015
☐ 352.211-3 PAPERWORK REDUCTION ACT DEC 2015
☐ 352.219-71 MENTOR-PROTÉGÉ PROGRAM REPORTING REQUIREMENTS JAN 2010
☒ 352.223-70 SAFETY AND HEALTH DEC 2015
☐ 352.224-70 PRIVACY ACT DEC 2015
☐ 352.226-6 INDIAN ECONOMIC ENTERPRISE SUBCONTRACTING
LIMITATIONS
MAR 2022
☐ 352.227-70 PUBLICATIONS AND PUBLICITY DEC 2015
☐ 352.231-70 SALARY RATE LIMITATION DEC 2015
☐ 352.237-70 PRO-CHILDREN ACT DEC 2015
☐ 352.237-71 CRIME CONTROL ACT – REPORTING OF CHILD ABUSE DEC 2015
☐ 352.237-72 CRIME CONTROL ACT – REQUIREMENTS FOR BACKGROUND
CHECKS
DEC 2015
☐ 352.237-73 INDIAN CHILD PROTECTION AND FAMILY VIOLENCE ACT DEC 2015
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.
(End of Clause)
The following local Indian Health Service, Navajo Area terms also apply:
NAIHS-ACQ-09 UNAUTHORIZED COMMITMENTS NOV 2025
(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 1.403-2) 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.
(End of Clause)
SECTION D – DOCUMENTS, EXHIBITS, ATTACHMENTS, ETC.
Attachment A: Statement of Work
Attachment B: Wage Determination
STATEMENT OF WORK
FOR
ELEVATOR MONTHLY INSPECTION SERVICE
AT
KAYENTA ALTERNATIVE RURAL
HOSPITAL
KAYENTA, ARIZONA
02/01/2026
KAYENTA SERVICE UNIT
Attachment A: Statement of Work
1. Introduction:
1.1. The Kayenta Service Unit (KSU) serves a population of ~20,000 people spread across a remote and sparsely populated area. Services requested for the Kayenta Alternative Rural Hospital (KARH). The clinic operates year around, 24 hours a day. Kayenta Health Center has crucial role providing medical health care services to the community and have two elevators vital to its operation. KSU requires professional services and expertise to perform the monthly elevator inspection services on-site.
1.2. The purpose of this contract is to provide Kayenta Health Center reliable elevator inspection services and 24/7 elevator phone answering service. The services request is for the entire year.
2. PROJECT BACKGROUND
2.1. This is a turnkey project to provide monthly Safety Elevator Inspection services KSU Hospital. Contractor must be knowledgeable of providing Elevator maintenance services to hospital. Service Plan includes monthly testing and inspections, technical support, and software services for the remote monitoring at the Health Care Center and Maintenance Facility. Contractor required to service two elevators with elevator controls. One elevator services three levels and other elevator services two levels. The elevators are Traction Ecospace Elevators with KCM831 Controls (SN 20372513 and SN 20372514).
2.2. The objective of this Elevator Inspections service is to ensure both Elevators operate safely and comply with
NFPA/ASME regulation and other safety entities. Contractor to provide technical support for maintenance, on-call service and repair elevator(s) for safe and proper operations at new Health Care Center. Any preventative maintenance, servicing, overhauling and repairing must comply with all local NFPA/ASME rules and regulations.
Inspection to include and not limited to inspection of mechanical operation, electronic controls, elevator telephone call operations, and scheduled replacement of wearable parts.
3. PROJECT DESCRIPTION:
3.1. The contractor shall prepare a proposal, and upon award, shall provide services for KSU needs.
Contractor/vendor shall provide the following services under regulations required to operate in the community Kayenta Health facilities. Provider/contractor shall include and provide the following services:
1. System and Service Review. Contractor will hold an annual formal review with KSU staff to discuss the services performed during the past year and to recommend improvements and options to enhance system performance, resolve operational problems, and to meet your changing needs and objectives.
2. Safety Inspection and Preventive Maintenance. Contractor to schedule and perform Arizona State Annual Elevator Inspections and Preventive Maintenance visits that will occur every month on-site.
3. Remote Monitoring. Contractor to provide telephone remote monitoring from elevator emergency calls. Must be available 24/7.
4. Software Maintenance. Contractor will furnish and install manufacturer’s software revisions to maintain or improve present performance within the functional capabilities of elevator.
5. Telephone Support. Technical experts will assist you, via the telephone, to identify and resolve operational problems.
6. On-Line Service. Contractor will provide on-line assistance to troubleshoot elevator and resolve operational problems as needed.
7. System and Service Log. Contractor will provide a log for you to document concerns, system problems, and other related items requiring our attention. Each scheduled service visit shall begin with a review of this log.
8. Documentation. Document listing materials used, hours spent, all scheduled and unscheduled service visits. All service tickets will be signed by an authorized client representative to verify all work completed. For your staff’s convenience, copies of all service ticket and our service agreement scope will be kept in your system and service Log. Contractor to submit report to Desmond D. Jones within two weeks after inspection.
9. Operator Training. Contractor will provide one of on-site annual operator(s) training.
10. Elevator Telephone Service. Contractor to provide 24/7 elevator call response service.
11. Contractor to follow all safety policy and regulations. In addition, Contractor to notify Arizona State Elevator Office if required to do so by regulations.
4. CRITERIA:
4.1. Codes and Standards: the contractor shall perform work in accordance with best common practices and standards;
a. NFPA standards and regulations
b. ASME standards and regulations
c. The Joint Commission standards and regulations
5. GENERAL REQUIREMENTS:
5.1. Contractor shall develop a set plan on scheduled visits to present to KARH project representation.
5.2. 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 KARH project representative before proceeding with this matter.
5.3. Contractor expected to be professional and efficient with KARH elevator inspection.
5.4. Contractor must submit inspection report to KSU within two weeks.
6. SPECIAL REQUIREMENTS
6.1. After each service supplied by contractor, they shall provide a copy of services provided to the Contracting Office to confirm services were provided.
6.2. Contractor shall wear ID badge on KSU premises and check in with security every day.
6.3. Billing must be accurate and in a timely manner sent to Kayenta Health Center’s Accounts Payable:
a. Address: Kayenta Service Unit, Accounts Payable Department, PO Box 1276, Kayenta, AZ 86033.
7. Period of Performance:
7.1. The period of performance will be a Base Year with four (4) Option Years, from the Date of Award.
8. Place of Performance:
a. Address: Kayenta Service Unit Highway 160 MP 394.3 P.O. Box 368 Kayenta, Arizona 86033
9. Contact information:
10. Warranty: Service only and repair equipment that would be under warranty.
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SECTION E – SOLICITATION PROVISIONS
52.212-1 INSTRUCTIONS TO OFFERORS – COMMERCIAL
PRODUCTS AND COMMERCIAL SERVICES
NOV 2025
52.212-2 EVALUATION – COMMERCIAL PRODUCTS AND
COMMERCIAL SERVICES
NOV 2025
(DEVIATION)
(a)Evaluation factors. The Government will award a contract resulting from this solicitation to the responsible Offeror whose offer conforming to the solicitation will be most advantageous to the Government, price and other factors considered. The following factors shall be used to evaluate offers:
1. Cost/Price
2. Technical Capability to meet the Governments’ needs of the Project Description
3. Personnel Qualifications
4. Past Performance
(b) Options. The Government will evaluate offers for award purposes by adding the total price for all options to the total price for the basic requirement. The Government may determine that an offer is unacceptable if the option prices are significantly unbalanced. Evaluation of options shall not obligate the Government to exercise the option(s).
(c) Notice of award. A written notice of award or acceptance of an offer, mailed or otherwise furnished to the successful offeror within the time for acceptance specified in the offer, shall result in a binding contract without further action by either party. Before the offer’s specified expiration time, the Government may accept an offer (or part of an offer), whether or not there are negotiations after its receipt, unless a written notice of withdrawal is received before award.
(End of provision)
The following Federal Acquisition Regulations provisions incorporated by reference also apply:
☒ 52.203-11 CERTIFICATION AND DISCLOSURE REGARDING PAYMENTS TO
INFLUENCE CERTAIN FEDERAL TRANSACTIONS
SEP 2024
52.203-18
PROHIBITION ON CONTRACTING WITH ENTITIES THAT REQUIRE
CERTAIN INTERNAL CONFIDENTIALITY AGREEMENTS OR
STATEMENTS-REPRESENTATION
JAN 2017
☒ 52.204-7
SYSTEM FOR AWARD MANAGEMENT - REGISTRATION
NOV 2025
(DEVIATION)
☐ 52.204-7 Alt I
SYSTEM FOR AWARD MANAGEMENT—REGISTRATION, WITH
ALTERNATE I
NOV 2025
(DEVIATION)
52.207-6 SOLICITATION OF OFFERS FROM SMALL BUSINESS CONCERNS AND
SMALL BUSINESS TEAMING ARRANGEMENTS OR JOINT VENTURES
(MULTIPLE-AWARD CONTRACTS)
AUG 2024
☐ 52.209-12 CERTIFICATION REGARDING TAX MATTERS OCT 2025
☐ 52.216-31 TIME-AND-MATERIALS/LABOR-HOUR PROPOSAL REQUIREMENTS –
COMMERCIAL ACQUISITION
NOV 2021
☒ 52.219-4 NOTICE OF PRICE…
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