Nonpersonal Ambulatory Healthcare Services - Hopi & Ft Yuma Service Units

7/29/2026. Additional Q&A below.

See Q&A below.

Question 1:

Solicitation: RFQ-26-PHX-048 — Attachment G (PWS Optometrist – Fort Yuma) / Attachment H (PWS Optometrist – Hopi HCC)
Question: We understand the solicitation identifies Fort Yuma Health Care Center, Winterhaven, CA, as the primary place of performance, with Optometrist services (Attachments G and H) supporting both Fort Yuma HCC and Hopi Health Care Center, Polacca, AZ. To help us plan our staffing approach, could the Government confirm that the remaining labor categories (FNP, RN, CMA, Clinical Laboratory Scientist, and Radiologic Technologist) are each estimated at 1 FTE (2,080 hours) supporting Fort Yuma HCC only? Additionally, could the Government share whether there is an anticipated FTE or hours split between the two sites for the Optometrist labor category? We recognize the 6,040 estimated annual hours reflect an estimated quantity and understand actual allocation may vary by call, but any general guidance on the expected distribution would be helpful.

A1) The estimated annual quantities identified in Attachment A are provided solely for quotation evaluation purposes and do not represent a guaranteed minimum or maximum quantity of services. Actual requirements will be established through individual BPA Calls.

For planning purposes:

• Family Nurse Practitioner (FNP), Registered Nurse (RN), Certified Medical Assistant (CMA), Clinical Laboratory Scientist (CLS), and Radiologic Technologist (RT) services are currently anticipated to support Fort Yuma Health Care Center (FYHCC) only.
• Optometrist services may be ordered in support of Fort Yuma Health Care Center (FYHCC) and Hopi Health Care Center (HHCC), as identified in Attachments G and H, respectively.
• The Government is unable to provide a projected distribution of Optometrist hours between the two locations. The allocation of services will depend upon the Government's actual requirements at the time BPA Calls are issued.

Offerors should base their quotations on the estimated quantities provided in Attachment A and the requirements contained in the applicable Performance Work Statements.

Question 2:

Solicitation: RFQ-26-PHX-048 — Volume I, Technical Capability
Question: Are candidate profiles/resumes required to be submitted with the quote under Volume I – Technical Capability, or may the Offeror address recruitment, staffing continuity, and credentialing capability at a process/programmatic level without naming specific candidates at this stage? If candidate profiles are required at submission, would you please confirm the minimum documentation needed per candidate.

A2) No. Candidate profiles or resumes are not required to be submitted with the quotation.

Under Volume I – Technical Capability, Offerors shall describe their corporate capability and management approach, including their processes for recruitment, credentialing, staffing continuity, replacement personnel, and contract management, as required by the solicitation.

The successful Contractor shall provide candidate-specific documentation after award and prior to performance, in accordance with the applicable Performance Work Statement and the requirements of the individual BPA Call.

Additional Info: 

Services shall generally be performed during the hours and days identified in the applicable Performance Work Statement and BPA Call.

The Contractor shall be responsible for developing and managing staffing schedules necessary to meet the Government's required coverage.

The Government will identify its required coverage and, whenever practicable, provide reasonable advance notice of anticipated scheduling requirements or known changes. Actual staffing requirements will be established through individual BPA Calls.

Question 4:

Can we add a pricing narrative in PDF format to go along with the excel spreadsheet requested as the Volume III – Price submission?

A4) Offerors may submit an optional pricing narrative in PDF format with Volume III – Price. The pricing narrative may explain assumptions, pricing methodology, labor mix, travel, or other pricing considerations. In the event of any discrepancy between the completed pricing schedule and the pricing narrative, the pricing schedule shall govern for evaluation purposes.

Question 5:

For submissions that involve a teaming arrangement, can we increase the number of past performance references allowed for Volume II – Relevant Experience and Past Performance ? Maybe an additional references for each named partner?

Example: Prime ISBEE + Partner 1 + Partner 2 = 5 total references to be divided in whatever way the ISBEE sees fit

A5) The solicitation remains unchanged. Offerors may allocate the permitted references among the prime contractor and any proposed teaming partners in whatever manner they believe best demonstrates the team's relevant experience and past performance.

Question 6:

Is there any on-site housing available at either location?

A6) Government-furnished housing is not available. Offerors shall include all costs associated with lodging, travel, and performance in their proposed pricing unless otherwise provided in the solicitation.

Family Nurse Practitioner (FNP)
Registered Nurse (RN)
Certified Medical Assistant (CMA)
Clinical Laboratory Scientist (CLS)
Radiologic Technologist (RT)
Optometrist
Podiatrist

COMBINED SYNOPSIS / SOLICITATION
Nonpersonal Ambulatory Healthcare Services BPA
RFQ-26-PHX-048
Agency: Department of Health and Human Services (HHS), Indian Health Service (IHS)
Office: Phoenix Area Indian Health Service (PAIHS)
Type of Action: Combined Synopsis/Solicitation
Authority: FAR Part 12 – Acquisition of Commercial Products and Commercial Services (Blanket Purchase Agreement)
Set-Aside: Indian Small Business Economic Enterprise (ISBEE)
Contract Type: Blanket Purchase Agreement (BPA). The Government reserves the right to establish multiple BPAs if determined to be in the Government's best interest. BPA Calls will be firm-fixed price
Ordering Period: Five (5) years from the effective date of BPA award.
NAICS Code: 621111 – Offices of Physicians (except Mental Health Specialists)
Buy Indian Set-Aside Authority: This acquisition is conducted pursuant to the Buy Indian Act (25 U.S.C. § 47) and HHSAR Subpart 326.6 and is restricted to Indian Small Business Economic Enterprises (ISBEEs).
Commercial Services: The services acquired under this solicitation are commercial services as defined in FAR 2.101 and are being acquired in accordance with FAR Parts 12.
This acquisition is being conducted using the Revolutionary FAR Overhaul (RFO) commercial acquisition procedures adopted by HHS through applicable class deviations.
This Combined Synopsis/Solicitation constitutes the only solicitation issued for this requirement.
SECTION A
SOLICITATION INFORMATION
A.1 General
The Department of Health and Human Services (HHS), Indian Health Service (IHS), Phoenix Area Indian Health Service (PAIHS), is issuing this Request for Quotations (RFQ) for nonpersonal ambulatory healthcare services in support of Fort Yuma Health Care Center (FYHCC), Winterhaven, California.
This acquisition is conducted using the commercial services procedures of FAR Part 12, as supplemented by applicable HHSAR provisions, the Buy Indian Act (25 U.S.C. § 47), and HHSAR Subpart 326.6.
The Government intends to establish one (1) Blanket Purchase Agreement (BPA) resulting from this solicitation. However, the Government reserves the right to establish multiple BPAs if determined by the Contracting Officer to be in the Government's best interest.
The BPA will provide a streamlined ordering vehicle for recurring nonpersonal ambulatory healthcare services through the issuance of firm-fixed-price BPA Calls.
This solicitation is restricted to eligible Indian Small Business Economic Enterprises (ISBEEs).
A.2 Place of Performance
Services shall be performed at Government facilities identified in the applicable BPA Call. The primary place of performance is Fort Yuma Health Care Center, Winterhaven, California. The Government may also issue BPA Calls for the following participating Service Unit:
Fort Yuma Health Care Center
401 Picacho Road
Winterhaven, California 92283
Hopi Health Care Center
Hwy 264. Mile Marker 388
Polacca, AZ 86042
A.3 Period of Performance
The resulting Blanket Purchase Agreement (BPA) shall have a single ordering period of five (5) years from the effective date of award. The BPA does not include a base period or option periods, or option years. BPA Calls may be issued at any time during the ordering period.
Performance under an individual BPA Call may extend beyond expiration of the BPA ordering period provided the BPA Call is issued before expiration of the ordering period.
A.4 Description of Requirement
The Contractor shall furnish qualified personnel to perform nonpersonal ambulatory healthcare services as ordered through BPA Calls.
Services may include:
•
Family Nurse Practitioner (FNP)
•
Registered Nurse (RN)
•
Certified Medical Assistant (CMA)
•
Clinical Laboratory Scientist (CLS)
•
Radiologic Technologist (RT)
•
Optometrist
•
Podiatrist
The Contractor shall perform all services in accordance with the applicable Performance Work Statement (PWS) attached to this solicitation.
Estimated quantities contained in the pricing schedule are provided solely for quotation evaluation and acquisition planning purposes. The Government does not guarantee the issuance of any specific number of BPA Calls or quantity of services during the BPA ordering period.
BPA Calls may be issued to support Fort Yuma Health Care Center and the participating Service Unit identified in this solicitation.
A.5 Nonpersonal Services
The services acquired under this solicitation are nonpersonal healthcare services.
Nothing in this solicitation or any resulting BPA shall be construed as creating an employer-employee relationship between the Government and Contractor personnel.
The Contractor shall retain responsibility for:
•
Recruitment
•
Hiring
•
Compensation
•
Benefits
•
Scheduling
•
Employee supervision
•
Performance management
•
Discipline
•
Replacement personnel
•
Compliance with applicable labor laws
Government personnel shall not supervise Contractor employees.
Government oversight shall be limited to inspection and acceptance of services, contract administration, quality assurance surveillance, and coordination necessary to accomplish the Government's mission.
SECTION B
SCHEDULE OF SUPPLIES OR SERVICES
B.1 General
The Government intends to establish a Blanket Purchase Agreement (BPA) for nonpersonal ambulatory healthcare services.
Services shall be ordered through individual BPA Calls issued by the Contracting Officer or other authorized Ordering Official.
The establishment of a BPA does not obligate funds.
Funds shall be obligated only through issuance of funded BPA Calls.
Estimated quantities identified in this solicitation are provided solely for evaluation purposes and do not constitute a guarantee of future orders.
The Government does not guarantee the issuance of any BPA Calls or any specific quantity of services during the BPA ordering period. Estimated quantities are provided solely for quotation evaluation and acquisition planning purposes.
B.2 Labor Categories
CLIN
Labor Category
Unit
0001
Family Nurse Practitioner
Hour
0002
Registered Nurse
Hour
0003
Certified Medical Assistant
Hour
0004
Clinical Laboratory Scientist
Hour
0005
Radiologic Technologist
Hour
0006
Optometrist
Hour
0007
Podiatrist
Hour
B.3 Overtime Labor Categories
CLIN
Labor Category
Unit
0008
Family Nurse Practitioner (Overtime)
Hour
0009
Registered Nurse (Overtime)
Hour
0010
Certified Medical Assistant (Overtime)
Hour
0011
Clinical Laboratory Scientist (Overtime)
Hour
0012
Radiologic Technologist (Overtime)
Hour
0013
Optometrist (Overtime)
Hour
0014
Podiatrist (Overtime)
Hour
B.4 Pricing
Quoters shall complete Attachment A, Pricing Schedule.
Hourly rates shall be fully burdened and shall include all direct and indirect costs associated with contract performance, including but not limited to:
•
Labor
•
Fringe Benefits
•
Overhead
•
General and Administrative Expenses
•
Recruiting
•
Credentialing
•
Onboarding
•
Supervision
•
Scheduling
•
Contractor Quality Control
•
Insurance
•
Licenses
•
Travel
•
Lodging
•
Meals
•
Transportation
•
Supplies required for contractor administration
•
Profit
Hourly rates shall remain fixed throughout the BPA ordering period unless otherwise adjusted in accordance with the terms and conditions of the resulting BPA.
The Government will not make separate reimbursement for any costs not expressly identified in an issued BPA Call.
B.5 Estimated Quantities
The estimated hours identified in Attachment A are provided solely for quotation evaluation and acquisition planning.
Actual quantities ordered may vary above or below the estimated quantities. The estimated quantities do not establish a minimum or maximum ordering obligation and are provided solely for quotation evaluation and acquisition planning purposes.
The Government makes no representation regarding the quantity of services that will be ordered.
B.6 BPA Calls
Each BPA Call shall identify, as applicable:
•
Applicable labor category
•
Quantity of hours
•
Period of performance
•
Place of performance
•
Funding citation
•
COR
•
Any special ordering instructions
Only services specifically identified in an issued BPA Call are authorized for performance.
B.7 Invoicing
The Contractor shall invoice only for services performed under an issued BPA Call that have been accepted by the Government.
Invoices shall identify:
•
BPA Number
•
BPA Call Number
•
Labor Category
•
Hours Worked
•
Applicable Hourly Rate
•
Total Amount Due
Invoices shall be submitted electronically through the Invoice Processing Platform (IPP), unless otherwise directed by the Contracting Officer.
SECTION C
DESCRIPTION / SPECIFICATIONS / PERFORMANCE WORK STATEMENTS
C.1 General
The Contractor shall furnish qualified personnel to perform nonpersonal ambulatory healthcare services in accordance with the terms and conditions of this solicitation, the resulting Blanket Purchase Agreement (BPA), individual BPA Calls, and the applicable Performance Work Statement (PWS).
The Government will issue BPA Calls identifying the required labor category(ies), estimated hours, place of performance, and any applicable ordering instructions.
Only services identified in an issued BPA Call are authorized for performance.
C.2 Performance Work Statements
The requirements for this acquisition are contained in the following attachments, which are incorporated into this solicitation:
Attachment
Title
Attachment B
Performance Work Statement – Family Nurse Practitioner
Attachment C
Performance Work Statement – Registered Nurse
Attachment D
Performance Work Statement – Certified Medical Assistant
Attachment E
Performance Work Statement – Clinical Laboratory Scientist
Attachment F
Performance Work Statement – Radiologic Technologist
Attachment G
Performance Work Statement – Optometrist
Attachment H
Performance Work Statement – Podiatrist
Each BPA Call shall identify the applicable PWS governing performance.
C.3 Performance Standards
Performance standards, acceptable quality levels (AQLs), surveillance methods, and required deliverables are identified within each applicable Performance Work Statement.
The Contractor shall perform services consistent with:
•
The applicable PWS;
•
The Quality Assurance Surveillance Plan (QASP) contained within each PWS;
•
Applicable Federal, State, Tribal, accreditation, and professional practice requirements;
•
The terms and conditions of the BPA; and
•
Individual BPA Calls.
SECTION D
INSTRUCTIONS TO QUOTERS
D.1 General
Quoters shall submit quotations electronically to the Contract Specialist, Dekovan Cook, at dekovan.cook@ihs.gov no later than close date and time specified in SAM.
Quotations shall be received no later than the date and time specified in the solicitation.
Late quotations may not be considered.
Quotations shall remain valid for a minimum of 120 calendar days after the solicitation closing date.
The Government intends to evaluate quotations and establish the BPA without conducting exchanges; however, the Government reserves the right to communicate with one or more quoters when determined to be in the Government's best interest.
D.2 Quotation Format
Quotations shall consist of the following separate volumes:
Volume I – Technical Capability
Volume II – Relevant Experience and Past Performance
Volume III – Price
Volume IV – Buy Indian Documentation
Quoters are encouraged to organize quotations using the section numbering contained herein.
D.3 Volume I – Technical Capability
The Technical Capability volume shall demonstrate the quoter's ability to successfully recruit, credential, deploy, supervise, and retain qualified healthcare professionals necessary to perform the services described in the applicable Performance Work Statements.
At a minimum, the quotation shall address:
A. Recruitment and Staffing Capability
Describe the firm's approach to:
•
Recruiting qualified healthcare professionals for each labor category being quoted.
•
Maintaining an active pool of qualified candidates.
•
Recruiting for rural or medically underserved locations.
•
Recruiting within the anticipated credentialing timeline.
B. Staffing Continuity and Retention
Describe the firm's approach to:
•
Maintaining uninterrupted coverage.
•
Employee retention.
•
Managing planned absences.
•
Managing unexpected resignations.
•
Minimizing vacancies.
•
Maintaining continuity of patient care.
C. Replacement Personnel
Describe the firm's procedures for:
•
Providing replacement personnel.
•
Responding to urgent staffing requests.
•
Maintaining backup personnel.
•
Minimizing disruptions to Government operations.
D. Credentialing and Onboarding
Describe the firm's process for:
•
Credentialing.
•
Licensure verification.
•
Privileging support.
•
Security requirements.
•
Onboarding.
•
Meeting Government-required reporting timelines.
E. Contract Management
Describe the firm's approach to:
•
Contract administration.
•
Contractor supervision.
•
Performance monitoring.
•
Communication with the Contracting Officer and COR.
•
Corrective action.
•
Quality assurance.
F. Corporate Experience
Describe experience performing similar healthcare staffing services, including:
•
IHS facilities.
•
Tribal healthcare.
•
Federal healthcare.
•
Rural healthcare.
•
Ambulatory care settings.
The Government may consider the realism, completeness, and demonstrated effectiveness of the quoter's proposed staffing, recruitment, retention, and contract management approaches in assessing the likelihood of successful contract performance.
D.4 Volume II – Relevant Experience and Past Performance
Provide descriptions of up to three (3) contracts or BPAs performed within the past five (5) years involving services similar in size, scope, and complexity.
For each reference include:
•
Contract Number
•
Customer
•
Period of Performance
•
Dollar Value
•
Description of Services
•
Point of Contact
•
Telephone Number
•
Email Address
The Government may obtain additional past performance information from CPARS or other available Government sources.
D.5 Volume III – Price
Submit a completed Attachment A – Pricing Schedule.
Hourly rates shall be fully burdened and include all costs associated with contract performance.
Price quotations shall be submitted as a Microsoft Excel file utilizing active formulas for all extended amounts and totals.
Pricing information shall not appear in any other quotation volume.
D.6 Buy Indian Documentation
Quoters shall submit:
•
Completed Indian Economic Enterprise (IEE) Representation
•
Any additional documentation necessary to establish eligibility under the Buy Indian Act.
Failure to submit the required Buy Indian documentation by the quotation due date may render the quotation ineligible for award.
D.7 Questions
Questions concerning this solicitation shall be submitted in writing to the Dekovan.cook@ihs.gov no later than 7/23/2026 at 2pm MST (Arizona Time).
Responses to questions that materially affect the solicitation will be provided through amendment.
SECTION E
EVALUATION OF QUOTATIONS
E.1 General
The Government will evaluate quotations in accordance with this solicitation to determine which quotation represents the best value to the Government.
The Government intends to establish one (1) Blanket Purchase Agreement (BPA) with the responsible quoter whose quotation represents the best overall value. However, the Government reserves the right to establish multiple BPAs if determined to be in the Government's best interest.
The Government may establish a BPA without conducting exchanges.
E.2 Eligibility Review
Prior to evaluation, the Government will determine whether the quotation:
•
Was received by the date and time specified in the solicitation;
•
Contains all required solicitation documents;
•
Includes the required Indian Economic Enterprise (IEE) Representation;
•
Demonstrates eligibility as an Indian Small Business Economic Enterprise (ISBEE);
•
Is submitted by a responsible contractor registered in the System for Award Management (SAM).
Quotations failing to satisfy these requirements may be eliminated from further consideration.
E.3 Evaluation Factors
The Government will evaluate quotations using the following factors listed in descending order of importance:
1.
Technical Capability and Management Approach
2.
Relevant Experience
3.
Price
When combined, the non-price factors are significantly more important than price.
As quotations become more equal under the non-price factors, price will become increasingly important in the award decision.
E.4 Technical Capability and Management Approach
The Government will evaluate the extent to which the quotation demonstrates the capability to successfully perform the requirements identified in the Performance Work Statements.
The evaluation will include consideration of the quoter's demonstrated approach to:
•
Recruiting qualified healthcare professionals;
•
Maintaining staffing continuity;
•
Retaining qualified personnel;
•
Providing replacement personnel;
•
Credentialing and onboarding;
•
Contract management;
•
Quality assurance;
•
Supporting rural, Tribal, Federal, or comparable healthcare environments.
The Government may also consider the completeness, realism, and effectiveness of the proposed staffing and management approach in assessing the likelihood of successful performance.
E.5 Relevant Experience and Past Performance
The Government will evaluate the relevance and similarity of the quoter's recent experience performing healthcare services of comparable scope, size, and complexity.
Greater consideration may be given to experience involving:
•
Indian Health Service facilities;
•
Tribal healthcare organizations;
•
Federal healthcare facilities;
•
Rural healthcare environments;
•
Ambulatory care settings.
The Government may obtain and consider past performance information from CPARS, customer references, or other sources available to the Government.
E.6 Price
Price will be evaluated for:
•
Completeness;
•
Reasonableness;
•
Balance; and
•
Consistency with the solicitation requirements.
The Government will evaluate pricing using the completed Attachment A, Pricing Schedule. Estimated annual hours are provided solely for quotation evaluation and acquisition planning purposes and do not establish a minimum or maximum ordering obligation.
Quoters may submit quotations for one or more labor categories. The Government reserves the right to establish one or more BPAs by labor category or combination of labor categories, as determined to be in the Government's best interest.
Quoters shall submit fully burdened hourly rates for each labor category identified in the Pricing Schedule. Hourly rates and all extended prices shall be rounded to two (2) decimal places. If a Quoter submits pricing with more than two (2) decimal places, the Government may round the rates and extended prices to two (2) decimal places for evaluation purposes.
The Government may evaluate pricing using the rounded amounts reflected in the completed Pricing Schedule.
E.7 Basis for Award
The Government will perform a comparative evaluation of quotations to determine which quotation represents the best overall value.
Award may be made to other than the lowest-priced quoter when the Government determines that the additional value is associated with a quotation whose additional technical merit warrants payment of the associated price premium.
The Government reserves the right to:
•
Make award without conducting exchanges;
•
Establish fewer BPAs than anticipated;
•
Establish multiple BPAs if determined to be in the Government's best interest; or
•
Make no award.
Brief explanation to unsuccessful quoters. Upon request received within 3 days after a quoter receives notification of award, the Government will provide that unsuccessful quoter a brief explanation of the basis for the award decision. (RFO 13.301 / 12.301(b))
SECTION F
BPA ADMINISTRATION AND ORDERING PROCEDURES
F.1 General
The resulting Blanket Purchase Agreement (BPA) establishes the terms and conditions under which the Government may place BPA Calls during the ordering period.
The establishment of a BPA does not, by itself, obligate appropriated funds. Funds are obligated only upon issuance of a funded BPA Call by an authorized Government Ordering Official.
The Government does not guarantee the issuance of any specific number of BPA Calls or quantity of services during the BPA ordering period.
The BPA consists of a single five-year ordering period and does not include option periods.
F.2 BPA Calls
BPA Calls may be issued throughout the BPA ordering period by the Contracting Officer or other authorized Ordering Official.
Each BPA Call shall identify, as applicable:
•
Applicable labor category(ies)
•
Estimated hours
•
Period of performance
•
Place of performance (Fort Yuma Health Care Center or other participating Service Unit identified in this solicitation).
•
Funding citation
•
COR
•
Any special ordering instructions
Only services identified in the BPA Call are authorized for performance.
F.3 Ordering Procedures
The Government will issue BPA Calls on an as-needed basis to support mission requirements.
The Contractor shall acknowledge receipt of each BPA Call and begin performance only after receipt of a properly executed BPA Call.
Changes to BPA Calls may be made only by the Contracting Officer.
F.4 Performance
The Contractor shall perform services in accordance with:
•
The BPA;
•
The applicable BPA Call;
•
The applicable Performance Work Statement;
•
Applicable Federal laws, regulations, and professional licensing requirements.
F.5 Inspection and Acceptance
Inspection and acceptance of services shall be performed by the designated Contracting Officer's Representative (COR) or other authorized Government official identified in the BPA Call.
Performance shall be evaluated in accordance with the applicable Performance Work Statement and Quality Assurance Surveillance Plan (QASP).
F.6 Invoicing
Invoices shall be submitted electronically through the Invoice Processing Platform (IPP) unless otherwise directed by the Contracting Officer.
Invoices shall include:
•
BPA Number
•
BPA Call Number
•
Labor Category
•
Dates of Service
•
Hours Performed
•
Hourly Rate
•
Total Amount Due
The Government shall pay only for services accepted by the Government.
F.7 Contractor Personnel
The Contractor shall ensure personnel performing under the BPA:
•
Meet all qualifications identified in the applicable Performance Work Statement;
•
Maintain all required licenses and certifications;
•
Successfully complete all required credentialing, onboarding, and security requirements before beginning performance.
F.8 Replacement Personnel
The Contractor shall maintain a sufficient recruiting pipeline and candidate pool to support continuity of services throughout the BPA ordering period. Upon notification that a contractor employee will be unavailable for continued performance, the Contractor shall promptly initiate replacement actions and submit a qualified replacement candidate in accordance with the applicable Performance Work Statement.
For labor categories designated by the Contracting Officer as mission-critical, the Government may require, through an individual BPA Call, that the Contractor maintain one or more qualified backup candidates who have completed, or are in the final stages of, the Government's credentialing and onboarding process. Requirements for maintaining backup candidates, including any associated ordering requirements, shall be identified in the applicable BPA Call.
F.9 Post-Award Conference
The Government may conduct a post-award conference with the successful Contractor to review:
•
BPA administration;
•
Ordering procedures;
•
Credentialing requirements;
•
Performance expectations;
•
Invoicing procedures; and
•
Contract administration responsibilities.
SECTION G
ATTACHMENTS
The following attachments are incorporated into this solicitation and any resulting Blanket Purchase Agreement (BPA).
Attachment
Title
Attachment A
Pricing Schedule
Attachment B
Performance Work Statement – Family Nurse Practitioner
Attachment C
Performance Work Statement – Registered Nurse
Attachment D
Performance Work Statement – Certified Medical Assistant
Attachment E
Performance Work Statement – Clinical Laboratory Scientist
Attachment F
Performance Work Statement – Radiologic Technologist
Attachment G
Performance Work Statement – Optometrist
Attachment H
Performance Work Statement – Optometrist (Hopi)
Attachment I
Performance Work Statement – Podiatrist
Attachment J
Indian Economic Enterprise (IEE) Representation Form
Attachment K
Wage Determination No. 2015-5607 – Imperial County, California
Attachment K.1
Wage Determination No. 2015-5477 – Navajo County, Arizona
Attachment L
Business Associate Agreement (BAA)
SECTION H
SOLICITATION PROVISIONS AND CONTRACT CLAUSES
FAR Provisions (solicitation only) Number Title Incorporation
FAR 52.204-7
System for Award Management—Registration (DEVIATION)
By reference
FAR 52.212-1
Instructions to Offerors—Commercial Products and Commercial Services (DEVIATION)
By reference (addenda)
FAR 52.212-2
Evaluation—Commercial Products and Commercial Services (DEVIATION)
Full text — Section 5
FAR Clauses (incorporated into any resulting contract) Number Title Incorporation
FAR 52.203-6
Restrictions on Subcontractor Sales to the Government (Alternate I) (JUN 2020)
By reference
FAR 52.203-17
Contractor Employee Whistleblower Rights (NOV 2023)
By reference
FAR 52.203-19
Prohibition on Requiring Certain Internal Confidentiality Agreements or Statements (JAN 2017)
By reference
FAR 52.204-13
System for Award Management—Maintenance (DEVIATION)
By reference
FAR 52.204-91
Contractor Identification (DEVIATION)
By reference
FAR 52.209-6
Protecting the Government’s Interest When Subcontracting with Contractors Debarred, Suspended, or Proposed for Debarment (DEVIATION)
By reference
FAR 52.209-9
Updates of Publicly Available Information Regarding Responsibility Matters (DEVIATION)
By reference
FAR 52.209-10
Prohibition on Contracting with Inverted Domestic Corporations (DEVIATION)
By reference
FAR 52.212-4
Terms and Conditions—Commercial Products and Commercial Services (DEVIATION)
By reference
FAR 52.219-8
Utilization of Small Business Concerns (DEVIATION)
By reference
FAR 52.219-14
Limitations on Subcontracting (DEVIATION)
By reference
FAR 52.222-3
Convict Labor (DEVIATION)
By reference
FAR 52.222-35
Equal Opportunity for Veterans (DEVIATION)
By reference
FAR 52.222-36
Equal Opportunity for Workers with Disabilities (DEVIATION)
By reference
FAR 52.222-37
Employment Reports on Veterans (DEVIATION)
By reference
FAR 52.222-40
Notification of Employee Rights Under the National Labor Relations Act (DEVIATION)
By reference
FAR 52.222-41
Service Contract Labor Standards (DEVIATION)
By reference
FAR 52.222-42
Statement of Equivalent Rates for Federal Hires (MAY 2014)
Full text
FAR 52.222-44
Fair Labor Standards Act and Service Contract Labor Standards—Price Adjustment (DEVIATION)
By reference
FAR 52.222-50
Combating Trafficking in Persons (DEVIATION)
By reference
FAR 52.222-54
Employment Eligibility Verification (DEVIATION)
By reference
FAR 52.222-62
Paid Sick Leave Under Executive Order 13706 (DEVIATION)
By reference
FAR 52.222-90
Addressing DEI Discrimination by Federal Contractors (DEVIATION)
By reference
FAR 52.224-3
Privacy Training (JAN 2017)
By reference
FAR 52.226-8
Encouraging Contractor Policies to Ban Text Messaging While Driving (MAY 2024)
By reference
FAR 52.232-33
Payment by Electronic Funds Transfer—System for Award Management (OCT 2018)
By reference
FAR 52.232-40
Providing Accelerated Payments to Small Business Subcontractors (MAR 2023)
By reference
FAR 52.233-3
Protest After Award (DEVIATION)
By reference
FAR 52.233-4
Applicable Law for Breach of Contract Claim (DEVIATION)
By reference
FAR 52.244-6
Subcontracts for Commercial Products and Commercial Services (DEVIATION)
By reference
HHSAR Provisions (solicitation only) Number Title Incorporation
HHSAR 352.226-4
Notice of Indian Small Business Economic Enterprise Set-Aside (JAN 2022)
Full text
HHSAR 352.226-7
Indian Economic Enterprise Representation (JAN 2022)
Full text
HHSAR Clauses (incorporated into any resulting contract) Number Title Incorporation
HHSAR 352.224-70
Privacy Act (DEC 2015)
By reference
HHSAR 352.226-6
Indian Economic Enterprise Subcontracting Limitations (JAN 2022)
Full text
HHSAR 352.232.71
Electronic submission of payment requests
Full Text
Full-text provisions and clauses
52.237-7 Indemnification and Medical Liability Insurance
(a) It is expressly agreed and understood that this is a nonpersonal services contract, under which the professional services rendered by the Contractor are rendered in its capacity as an independent contractor. The Government may evaluate the quality of professional and administrative services provided, but retains no control over professional aspects of the services rendered, including by example, the Contractor's professional medical judgment, diagnosis, or specific medical treatments. The Contractor shall be solely liable for and expressly agrees to indemnify the Government with respect to any liability producing acts or omissions by it or by its employees or agents. The Contractor shall maintain during the term of this contract liability insurance issued by a responsible insurance carrier of not less than the following amount(s) per specialty per occurrence: $1,000,000.00.
(b) An apparently successful quoter, upon request by the Contracting Officer, shall furnish prior to contract award evidence of its insurability concerning the medical liability insurance required by paragraph (a) of this clause.
(c) Liability insurance may be on either an occurrences basis or on a claims-made basis. If the policy is on a claims-made basis, an extended reporting endorsement (tail) for a period of not less than 3 years after the end of the contract term must also be provided.
(d) Evidence of insurance documenting the required coverage for each health care provider who will perform under this contract shall be provided to the Contracting Officer prior to the commencement of services under this contract. If the insurance is on a claims-made basis and evidence of an extended reporting endorsement is not provided prior to the commencement of services, evidence of such endorsement shall be provided to the Contracting Officer prior to the expiration of this contract. Final payment under this contract shall be withheld until evidence of the extended reporting endorsement is provided to the Contracting Officer.
(e) The policies evidencing required insurance shall also contain an endorsement to the effect that any cancellation or material change adversely affecting the Government's interest shall not be effective until 30 days after the insurer or the Contractor gives written notice to the Contracting Officer. If during the performance period of the contract the Contractor changes insurance providers, the Contractor must provide evidence that the Government will be indemnified to the limits specified in paragraph (a) of this clause, for the entire period of the contract, either under the new policy, or a combination of old and new policies.
(f) The Contractor shall insert the substance of this clause, including this paragraph (f), in all subcontracts under this contract for health care services and shall require such subcontractors to provide evidence of and maintain insurance in accordance with paragraph (a) of this clause. At least 5 days before the commencement of work by any subcontractor, the Contractor shall furnish to the Contracting Officer evidence of such insurance.
(End of provision/clause)
FAR 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 5 U.S.C. 5341 or 5332. This statement is for information only: it is not a wage determination. Employee class — Radiologic Technologist, Certified Medical Assistant, Registered Nurse.
(End of provision/clause)
HHSAR 352.226-4 — Notice of Indian Small Business Economic Enterprise Set-Aside (JAN 2022)
HHSAR 352.226-4 (provision) — HHSAR 326.604-2(e)
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 (available at www.IHS.gov/DAP) with the offer. 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 provision/clause)
HHSAR 352.226-6 — Indian Economic Enterprise Subcontracting Limitations (JAN 2022)
HHSAR 352.226-6 (clause) — HHSAR 326.604-2(e)(3) / 326.605-1(b)
(a) Definitions apply as in HHSAR 326.601.
(b) The contractor must comply with FAR 52.219-14, Limitations on Subcontracting, in allocating subcontracted work, and shall not subcontract work exceeding the 52.219-14 limitations to any concern other than a responsible Indian Economic Enterprise.
(c) Work an IEE subcontractor does not perform with its own employees is treated as subcontracted work under 52.219-14.
(d) The contractor must cooperate in any compliance study or survey by the CO or IHS.
(e) The contractor must incorporate the substance of this clause, including this paragraph (e), in all covered subcontracts.
(End of provision/clause)
HHSAR 352.226-7 — Indian Economic Enterprise Representation (JAN 2022)
HHSAR 352.226-7 (provision) — HHSAR 326.604-2(e)(4) / 326.606-1
(a) The offeror must represent as part of its offer that it meets the IEE definition in HHSAR 326.601 and intends to meet it throughout performance, and must notify the CO immediately via email of any ownership change affecting this representation.
(b) The representation must be made on the designated IHS Indian Economic Enterprise Representation form (or successor).
(c) False or misleading information is punishable under 18 U.S.C. 1001; false claims are subject to 31 U.S.C. 3729-3731 and 18 U.S.C. 287.
(End of provision/clause)
HHSAR 352.232-71 Electronic submission of payment requests
Electronic Submission of Payment Requests
(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 provision/clause)