This notice is a combined synopsis/solicitation for commercial items prepared in accordance with the format in Subpart
12.6, as supplemented with additional information included in this notice. This announcement constitutes the only
solicitation; proposals are being requested and a written solicitation will not be issued.
**THIS IS A BUY INDIAN SET ASIDE per Buy Indian Act, 25 U.S.C. 47 and only offers form Buy Indian small
businesses will be accepted.
Solicitation document and incorporated provisions and clauses are those in effect through Federal Acquisition Circular 95-
13 Personal services Contracts.
This synopsis/solicitation notice is a request for quote for a Non-Personal Service Contract for a Contractor to provide
Registered Nurse healthcare providers to the Women’s Health Clinic Department, Specialty Clinic Department, Internal
Medicine & Family Practice (AOPD) Department, and the Pediatric Outpatient Department (POPD) at Chinle
Comprehensive Health Care Facility (CCHCF), Navajo Area Indian Health Service (IHS) throughout the duration of the
contract period of performance. Services shall be performed in accordance with the attached Performance Work
Statement (PWS) per each respective department. The assignment is through the stated period of performance or until
the position is filled with a permanent hire. In such instances, the provider will be released from contract assignment.
This notice is for ten (10) positions.
1. Women’s Health Clinic Department: One (1) position(s)
2. Specialty Clinic Department: Four (4) position(s)
3. Internal Medicine & Family Practice (AOPD) Department: Four (4) position(s)
4. Pediatric Outpatient Department: One (1) position(s)
PERIOD OF PERFORMANCE: The Government intends to award single or multiple 12-month labor hour type contracts
resulting from this solicitation. Tentative start date: 10/01/2024.
Base Period 3 MONTHS
First Option Period 3 MONTHS
Second Option Period 3 MONTHS
Third Option Period 3 MONTHS
The Chinle Comprehensive Health Care Facility (CCHCF) is based in Chinle, Arizona (Northeast Arizona near Canyon De
Chelly National Monument). The CCHCF is a 60-bed hospital which serves as the health care hub for the region. The medical
staff includes Family Physicians, Internists, Pediatricians, General Surgeons, OB/GYN's, Anesthesiologists, and a
Psychiatrist. In addition to routine outpatient and inpatient primary care, services available to our patients include: Adult
Intensive Care, General Surgery (including laparoscopic surgery), routine and operative Obstetrics, and 24-Hour
Emergency Room Services. Health care services are provided to approximately 37,000 active users. Strong Navajo cultural
traditions exist within the community, offering an opportunity to learn the Navajo language, or to learn about traditional
Navajo medicine. The service unit is located on the Colorado Plateau with excellent opportunities for photography, hiking,
running, road biking, cross country skiing, and mountain biking. Canyon de Chelly National Monument is within 5 miles of
the hospital and is a wonderful place for exploring and sightseeing, running and mountain biking.
The Contractor shall provide an all-inclusive rate, and is responsible for all costs associated with providing said services,
i.e. travel, per diem, lodging/housing, etc. Government quarters are currently not available, but Chinle, AZ has (3) hotels
in the immediate area. The Contractor shall be responsible for housing respective providers if there are no government
quarters available. Upon selection, the provider will be placed on a waiting list to acquire Government quarters. If
Government housing becomes available, the provider shall contact the CCHCF Housing Services Department, and make
rental/payment arrangements; telephone number 928-674-7303.
**Please include the Nursing Department of interest on the proposal. **
EVALUATION AND SUBMITTAL:
52.212-1 Instructions to Offerors – Commercial Products and Commercial Services (Nov 2021)
Submission of Offers. All offers must include the following information and submitted at or before the date and time
specified in this solicitation.
**Email offer directly to the Contracting Officer (CO). The CO for this action is: Teola Autaubo, Purchasing Agent, 928-
674-7825, teola.autaubo@ihs.gov All questions must be submitted in writing via email 8 days prior to Closing Date.
52.212-2 Evaluation – Commercial Products and Commercial Services (Nov 2021)
a) The Government will award a contract (or multiple contracts) 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) Past Performance of Vendor: Provide a list of 3-5 prior contracts of the same discipline requested herein of
comparable size and complexity within the past 5 years, and provide complete and final Contractor’s
Performance Assessment Reporting System (CPARS) reports for each contract listed. Each identified contract
shall include the following information: contract number, points of contact of Government personnel who
accepted/received the products/services, phone numbers and email addresses for those Government
personnel, a description of the requirement and an explanation of how it relates to the current requirement,
and the contract award amount. If offeror has no CPARs, then offeror will be rated neutral. Offerors who
provide CPARs will be weighted and considered higher in regards to Past Performance based on their CPARS
ratings.
2) Technical Capability of Vendor:
a. Provide a response to how the offeror will respond to staff shortages / absenteeism / replacement in
providing candidates.
b. Provide evidence offeror has adequate and appropriate planning, personnel, and available resources
positioned efficiently and effectively to carry out the requirements and can meet the large volume of
services requested herein.
c. Offerors must provide a completed copy of the attached provision 52.212-3, Offeror
Representations and Certifications-Commercial Items with offer.
3) Qualification Requirements of Candidates: Provide complete Candidate Profile; Curriculum vitae, resumes,
licensures, and all relative documents for proposed candidates. Provide evidence the candidates meet 100%
of the requirements listed in the Performance Work Statement. Offeror must provide the following:
a. Candidate’s Licenses/Certifications/Detailed Experience - Refer to PWS.
NOTE: The Government will not be interviewing candidates.
4) Price - Pricing shall be submitted using the Pricing Schedule attachment.
5) Provide a completed IHS IEE Representation Form attachment.
Failure to follow instructions and/or to provide required information may render proposal non-responsive or
unacceptable, and removed from award consideration.
Past Performance of Vendor, Technical Capability of Vendor, and Qualification Requirements of Candidates when
combined, are Significantly more important than cost or price, and all non-price factors are of equal importance. Offers
are intended to be evaluated with, and award made after, discussions with the offerors.
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) 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.
PRE-SECURITY/FINGERPRINTING CLEARANCE:
The selected provider shall comply with Agency Personal Identity Verification procedures identified in the contract that
implement Homeland Security Presidential Directive-12 (HSPD-12), Office of Management and Budget (OMB) Guidance
M-05-24, and Federal Information Processing Standards Publication (FIPS PUB) Number 201; this includes fingerprinting
guidelines.
Pre-Security/Fingerprinting must be cleared prior to starting tour of duty and incurring costs.
If provider is selected, then the Contractor and provider shall provide the following Pre-Security/Fingerprinting
documents.
1) Complete Resume
2) OIG Clearance
3) Licenses/Certifications
4) Copy of school transcripts
5) Declaration of Federal Employment (Typed/Original Signature)
6) Child Addendum (Typed/Original Signature)
7) OFI Form 86C
The selected Contractor's provider(s) will be subject to a pre-employment fingerprint check and background
investigation.
The selected Contractor's provider(s) are required to acquire pre-security and fingerprint clearance prior to beginning
their tour of duty and incurring costs.
CLAUSES AND PROVISIONS:
52.204-9 Personal Identity Verification of Contractor Personnel (JAN 2011)
(a) The Contractor shall comply with agency personal identity verification procedures identified in the contract that
implement Homeland Security Presidential Directive-12 (HSPD-12), Office of Management and Budget (OMB) guidance
M-05-24 and Federal Information Processing Standards Publication (FIPS PUB) Number 201.
(b) The Contractor shall account for all forms of Government-provided identification issued to the Contractor employees
in connection with performance under this contract. The Contractor shall return such identification to the issuing agency
at the earliest of any of the following, unless otherwise determined by the Government:
(1) When no longer needed for contract performance.
(2) Upon completion of the Contractor employees employment.
(3) Upon contract completion or termination.
(c) The Contracting Officer may delay final payment under a contract if the Contractor fails to comply with these
requirements.
(d) The Contractor shall insert the substance of this clause, including this paragraph (d), in all subcontracts when the
subcontractors employees are required to have routine physical access to a Federally-controlled facility and/or routine
access to a Federally-controlled information system. It shall be the responsibility of the prime Contractor to return such
identification to the issuing agency in accordance with the terms set forth in paragraph (b) of this section, unless otherwise
approved in writing by the Contracting Officer.
The Contractor shall insert this clause in all subcontracts when the subcontractor is required to have routine physical
access to a Federally-Controlled Facility and/or routine access to a Federally-Controlled Information System.
52.212-5 Contract Terms and Conditions Required to Implement Statutes or Executive Orders—Commercial Products
and Commercial Services (Feb 2024)
(a) The Contractor shall comply with the following Federal Acquisition Regulation (FAR) clauses, which are incorporated in
this contract by reference, to implement provisions of law or Executive orders applicable to acquisitions of commercial
products and commercial services:
(1) 52.203-19, Prohibition on Requiring Certain Internal Confidentiality Agreements or Statements (Jan 2017) (section 743
of Division E, Title VII, of the Consolidated and Further Continuing Appropriations Act, 2015 (Pub. L. 113-235) and its
successor provisions in subsequent appropriations acts (and as extended in continuing resolutions)).
(2) 52.204-23, Prohibition on Contracting for Hardware, Software, and Services Developed or Provided by Kaspersky Lab
Covered Entities (Dec 2023) (Section 1634 of Pub. L. 115-91).
(3) 52.204-25, Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment.
(Nov 2021) (Section 889(a)(1)(A) of Pub. L. 115-232).
(4) 52.209-10, Prohibition on Contracting with Inverted Domestic Corporations (Nov 2015).
(5) 52.232-40, Providing Accelerated Payments to Small Business Subcontractors (Mar 2023) ( 31 U.S.C. 3903 and 10 U.S.C.
3801).
(6) 52.233-3, Protest After Award (Aug 1996) ( 31 U.S.C. 3553).
(7) 52.233-4, Applicable Law for Breach of Contract Claim (Oct 2004) (Public Laws 108-77 and 108-78 ( 19 U.S.C. 3805
note)).
(b) The Contractor shall comply with the FAR clauses in this paragraph (b) that the Contracting Officer has indicated as
being incorporated in this contract by reference to implement provisions of law or Executive orders applicable to
acquisitions of commercial products and commercial services:
[Contracting Officer check as appropriate.]
X_(1) 52.203-6, Restrictions on Subcontractor Sales to the Government (Jun 2020), with Alternate I (Nov 2021) ( 41 U.S.C.
4704 and 10 U.S.C. 4655).
__(2) 52.203-13, Contractor Code of Business Ethics and Conduct (Nov 2021) ( 41 U.S.C. 3509)).
__(3) 52.203-15, Whistleblower Protections under the American Recovery and Reinvestment Act of 2009 (Jun 2010)
(Section 1553 of Pub. L. 111-5). (Applies to contracts funded by the American Recovery and Reinvestment Act of 2009.)
__(4) 52.203-17, Contractor Employee Whistleblower Rights (Nov 2023) ( 41 U.S.C. 4712); this clause does not apply to
contracts of DoD, NASA, the Coast Guard, or applicable elements of the intelligence community—see FAR 3.900(a).
X_(5) 52.204-10, Reporting Executive Compensation and First-Tier Subcontract Awards (Jun 2020) (Pub. L. 109-282) ( 31
U.S.C. 6101 note).
__(6) [Reserved].
X_(7) 52.204-14, Service Contract Reporting Requirements (Oct 2016) (Pub. L. 111-117, section 743 of Div. C).
__(8) 52.204-15, Service Contract Reporting Requirements for Indefinite-Delivery Contracts (Oct 2016) (Pub. L. 111-117,
section 743 of Div. C).
X_(9) 52.204-27, Prohibition on a ByteDance Covered Application (Jun 2023) (Section 102 of Division R of Pub. L. 117-328).
__(10) 52.204-28, Federal Acquisition Supply Chain Security Act Orders—Federal Supply Schedules, Governmentwide
Acquisition Contracts, and Multi-Agency Contracts. (Dec 2023) ( Pub. L. 115–390, title II).
__(11) (i) 52.204-30, Federal Acquisition Supply Chain Security Act Orders—Prohibition. (Dec 2023) ( Pub. L. 115–390, title
II).
__(ii) Alternate I (Dec 2023) of 52.204–30.
X_(12) 52.209-6, Protecting the Government’s Interest When Subcontracting with Contractors Debarred, Suspended, or
Proposed for Debarment. (Nov 2021) ( 31 U.S.C. 6101 note).
__(13) 52.209-9, Updates of Publicly Available Information Regarding Responsibility Matters (Oct 2018) ( 41 U.S.C. 2313).
__(14) [Reserved].
__(15) 52.219-3, Notice of HUBZone Set-Aside or Sole-Source Award (Oct 2022) ( 15 U.S.C. 657a).
__(16) 52.219-4, Notice of Price Evaluation Preference for HUBZone Small Business Concerns (Oct 2022) (if the offeror
elects to waive the preference, it shall so indicate in its offer) ( 15 U.S.C. 657a).
__(17) [Reserved]
X_(18) (i) 52.219-6, Notice of Total Small Business Set-Aside (Nov 2020) ( 15 U.S.C. 644).
__(ii) Alternate I (Mar 2020) of 52.219-6.
__(19) (i) 52.219-7, Notice of Partial Small Business Set-Aside (Nov 2020) ( 15 U.S.C. 644).
__(ii) Alternate I (Mar 2020) of 52.219-7.
X_(20) 52.219-8, Utilization of Small Business Concerns (Feb 2024) ( 15 U.S.C. 637(d)(2) and (3)).
__(21) (i) 52.219-9, Small Business Subcontracting Plan (Sep 2023) ( 15 U.S.C. 637(d)(4)).
__(ii) Alternate I (Nov 2016) of 52.219-9.
__(iii) Alternate II (Nov 2016) of 52.219-9.
__(iv) Alternate III (Jun 2020) of 52.219-9.
__(v) Alternate IV (Sep 2023) of 52.219-9.
__(22) (i) 52.219-13, Notice of Set-Aside of Orders (Mar 2020) ( 15 U.S.C. 644(r)).
__(ii) Alternate I (Mar 2020) of 52.219-13.
X_(23) 52.219-14, Limitations on Subcontracting (Oct 2022) ( 15 U.S.C. 637s).
__(24) 52.219-16, Liquidated Damages—Subcontracting Plan (Sep 2021) ( 15 U.S.C. 637(d)(4)(F)(i)).
__(25) 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 (Feb 2024) ( 15 U.S.C. 657f).
__(26) (i) 52.219-28, Post Award Small Business Program Rerepresentation (Feb 2024) ( 15 U.S.C. 632(a)(2)).
__(ii) Alternate I (Mar 2020) of 52.219-28.
__(27) 52.219-29, Notice of Set-Aside for, or Sole-Source Award to, Economically Disadvantaged Women-Owned Small
Business Concerns (Oct 2022) ( 15 U.S.C. 637(m)).
__(28) 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 (Oct 2022) ( 15 U.S.C. 637(m)).
__(29) 52.219-32, Orders Issued Directly Under Small Business Reserves (Mar 2020) ( 15 U.S.C. 644(r)).
__(30) 52.219-33, Nonmanufacturer Rule (Sep 2021) ( 15U.S.C. 637(a)(17)).
X_(31) 52.222-3, Convict Labor (Jun 2003) (E.O.11755).
__(32) 52.222-19, Child Labor-Cooperation with Authorities and Remedies (Feb 2024).
X_(33) 52.222-21, Prohibition of Segregated Facilities (Apr 2015).
X_(34) (i) 52.222-26, Equal Opportunity (Sep 2016) (E.O.11246).
__(ii) Alternate I (Feb 1999) of 52.222-26.
X_(35) (i) 52.222-35, Equal Opportunity for Veterans (Jun 2020) ( 38 U.S.C. 4212).
__(ii) Alternate I (Jul 2014) of 52.222-35.
X_(36) (i) 52.222-36, Equal Opportunity for Workers with Disabilities (Jun 2020) ( 29 U.S.C. 793).
__(ii) Alternate I (Jul 2014) of 52.222-36.
X_(37) 52.222-37, Employment Reports on Veterans (Jun 2020) ( 38 U.S.C. 4212).
X_(38) 52.222-40, Notification of Employee Rights Under the National Labor Relations Act (Dec 2010) (E.O. 13496).
X_(39) (i) 52.222-50, Combating Trafficking in Persons (Nov 2021) ( 22 U.S.C. chapter 78 and E.O. 13627).
X_(ii) Alternate I (Mar 2015) of 52.222-50 ( 22 U.S.C. chapter 78 and E.O. 13627).
X_(40) 52.222-54, Employment Eligibility Verification (May 2022) (Executive Order 12989). (Not applicable to the
acquisition of commercially available off-the-shelf items or certain other types of commercial products or commercial
services as prescribed in FAR 22.1803.)
__(41) (i) 52.223-9, Estimate of Percentage of Recovered Material Content for EPA–Designated Items (May 2008) ( 42
U.S.C. 6962(c)(3)(A)(ii)). (Not applicable to the acquisition of commercially available off-the-shelf items.)
__(ii) Alternate I (May 2008) of 52.223-9 ( 42 U.S.C. 6962(i)(2)(C)). (Not applicable to the acquisition of commercially
available off-the-shelf items.)
__(42) 52.223-11, Ozone-Depleting Substances and High Global Warming Potential Hydrofluorocarbons (Jun 2016) (E.O.
13693).
__(43) 52.223-12, Maintenance, Service, Repair, or Disposal of Refrigeration Equipment and Air Conditioners (Jun 2016)
(E.O. 13693).
__(44) (i) 52.223-13, Acquisition of EPEAT®-Registered Imaging Equipment (Jun 2014) (E.O.s 13423 and 13514).
__(ii) Alternate I (Oct 2015) of 52.223-13.
__(45) (i) 52.223-14, Acquisition of EPEAT®-Registered Televisions (Jun 2014) (E.O.s 13423 and 13514).
__(ii) Alternate I (Jun2014) of 52.223-14.
__(46) 52.223-15, Energy Efficiency in Energy-Consuming Products (May 2020) ( 42 U.S.C. 8259b).
__(47) (i) 52.223-16, Acquisition of EPEAT®-Registered Personal Computer Products (Oct 2015) (E.O.s 13423 and 13514).
__(ii) Alternate I (Jun 2014) of 52.223-16.
X_(48) 52.223-18, Encouraging Contractor Policies to Ban Text Messaging While Driving (Jun 2020) (E.O. 13513).
__(49) 52.223-20, Aerosols (Jun 2016) (E.O. 13693).
__(50) 52.223-21, Foams (Jun2016) (E.O. 13693).
X_(51) (i) 52.224-3 Privacy Training (Jan 2017) (5 U.S.C. 552 a).
__(ii) Alternate I (Jan 2017) of 52.224-3.
__(52) (i) 52.225-1, Buy American-Supplies (Oct 2022) ( 41 U.S.C. chapter 83).
__(ii) Alternate I (Oct 2022) of 52.225-1.
__(53) (i) 52.225-3, Buy American-Free Trade Agreements-Israeli Trade Act (NOV 2023) ( 19 U.S.C. 3301 note, 19 U.S.C.
2112 note, 19 U.S.C. 3805 note, 19 U.S.C. 4001 note, 19 U.S.C. chapter 29 (sections 4501-4732), Public Law 103-182, 108-
77, 108-78, 108-286, 108-302, 109-53, 109-169, 109-283, 110-138, 112-41, 112-42, and 112-43.
__(ii) Alternate I [Reserved].
__(iii) Alternate II (Dec 2022) of 52.225-3.
__(iv) Alternate III (Feb 2024) of 52.225-3.
__(v) Alternate IV (Oct 2022) of 52.225-3.
__(54) 52.225-5, Trade Agreements (NOV 2023) ( 19 U.S.C. 2501, et seq., 19 U.S.C. 3301 note).
X_(55) 52.225-13, Restrictions on Certain Foreign Purchases (Feb 2021) (E.O.’s, proclamations, and statutes administered
by the Office of Foreign Assets Control of the Department of the Treasury).
__(56) 52.225-26, Contractors Performing Private Security Functions Outside the United States (Oct 2016) (Section 862,
as amended, of the National Defense Authorization Act for Fiscal Year 2008; 10 U.S.C. Subtitle A, Part V, Subpart G Note).
__(57) 52.226-4, Notice of Disaster or Emergency Area Set-Aside (Nov 2007) ( 42 U.S.C. 5150).
__(58) 52.226-5, Restrictions on Subcontracting Outside Disaster or Emergency Area (Nov2007) ( 42 U.S.C. 5150).
__(59) 52.229-12, Tax on Certain Foreign Procurements (Feb 2021).
__(60) 52.232-29, Terms for Financing of Purchases of Commercial Products and Commercial Services (Nov 2021) ( 41
U.S.C. 4505, 10 U.S.C. 3805).
__(61) 52.232-30, Installment Payments for Commercial Products and Commercial Services (Nov 2021) ( 41 U.S.C. 4505,
10 U.S.C. 3805).
X_(62) 52.232-33, Payment by Electronic Funds Transfer-System for Award Management (Oct2018) ( 31 U.S.C. 3332).
__(63) 52.232-34, Payment by Electronic Funds Transfer-Other than System for Award Management (Jul 2013) ( 31 U.S.C.
3332).
__(64) 52.232-36, Payment by Third Party (May 2014) ( 31 U.S.C. 3332).
__(65) 52.239-1, Privacy or Security Safeguards (Aug 1996) ( 5 U.S.C. 552a).
__(66) 52.242-5, Payments to Small Business Subcontractors (Jan 2017) ( 15 U.S.C. 637(d)(13)).
__(67) (i) 52.247-64, Preference for Privately Owned U.S.-Flag Commercial Vessels (Nov 2021) ( 46 U.S.C. 55305 and 10
U.S.C. 2631).
__(ii) Alternate I (Apr 2003) of 52.247-64.
__(iii) Alternate II (Nov 2021) of 52.247-64.
(c) The Contractor shall comply with the FAR clauses in this paragraph (c), applicable to commercial services, that the
Contracting Officer has indicated as being incorporated in this contract by reference to implement provisions of law or
Executive orders applicable to acquisitions of commercial products and commercial services:
[Contracting Officer check as appropriate.]
__(1) 52.222-41, Service Contract Labor Standards (Aug 2018) ( 41 U.S.C. chapter67).
__(2) 52.222-42, Statement of Equivalent Rates for Federal Hires (May 2014) ( 29 U.S.C. 206 and 41 U.S.C. chapter 67).
__(3) 52.222-43, Fair Labor Standards Act and Service Contract Labor Standards-Price Adjustment (Multiple Year and
Option Contracts) (Aug 2018) ( 29 U.S.C. 206 and 41 U.S.C. chapter 67).
__(4) 52.222-44, Fair Labor Standards Act and Service Contract Labor Standards-Price Adjustment (May 2014) (
29U.S.C.206 and 41 U.S.C. chapter 67).
__(5) 52.222-51, Exemption from Application of the Service Contract Labor Standards to Contracts for Maintenance,
Calibration, or Repair of Certain Equipment-Requirements (May 2014) ( 41 U.S.C. chapter 67).
__(6) 52.222-53, Exemption from Application of the Service Contract Labor Standards to Contracts for Certain Services-
Requirements (May 2014) ( 41 U.S.C. chapter 67).
__(7) 52.222-55, Minimum Wages for Contractor Workers Under Executive Order 14026 (Jan 2022).
__(8) 52.222-62, Paid Sick Leave Under Executive Order 13706 (Jan 2022) (E.O. 13706).
__(9) 52.226-6, Promoting Excess Food Donation to Nonprofit Organizations (Jun 2020) ( 42 U.S.C. 1792).
(d) Comptroller General Examination of Record. The Contractor shall comply with the provisions of this paragraph (d) if
this contract was awarded using other than sealed bid, is in excess of the simplified acquisition threshold, as defined in
FAR 2.101, on the date of award of this contract, and does not contain the clause at 52.215-2, Audit and Records-
Negotiation.
(1) The Comptroller General of the United States, or an authorized representative of the Comptroller General, shall have
access to and right to examine any of the Contractor’s directly pertinent records involving transactions related to this
contract.
(2) The Contractor shall make available at its offices at all reasonable times the records, materials, and other evidence for
examination, audit, or reproduction, until 3 years after final payment under this contract or for any shorter period
specified in FAR subpart 4.7, Contractor Records Retention, of the other clauses of this contract. If this contract is
completely or partially terminated, the records relating to the work terminated shall be made available for 3 years after
any resulting final termination settlement. Records relating to appeals under the disputes clause or to litigation or the
settlement of claims arising under or relating to this contract shall be made available until such appeals, litigation, or
claims are finally resolved.
(3) As used in this clause, records include books, documents, accounting procedures and practices, and other data,
regardless of type and regardless of form. This does not require the Contractor to create or maintain any record that the
Contractor does not maintain in the ordinary course of business or pursuant to a provision of law.
(e) (1) Notwithstanding the requirements of the clauses in paragraphs (a), (b), (c), and (d) of this clause, the Contractor is
not required to flow down any FAR clause, other than those in this paragraph (e)(1), in a subcontract for commercial
products or commercial services. Unless otherwise indicated below, the extent of the flow down shall be as required by
the clause-
(i) 52.203-13, Contractor Code of Business Ethics and Conduct (Nov 2021) ( 41 U.S.C. 3509).
(ii) 52.203-17, Contractor Employee Whistleblower Rights (Nov 2023) ( 41 U.S.C. 4712).
(iii) 52.203-19, Prohibition on Requiring Certain Internal Confidentiality Agreements or Statements (Jan 2017) (section 743
of Division E, Title VII, of the Consolidated and Further Continuing Appropriations Act, 2015 (Pub. L. 113-235) and its
successor provisions in subsequent appropriations acts (and as extended in continuing resolutions)).
(iv) 52.204-23, Prohibition on Contracting for Hardware, Software, and Services Developed or Provided by Kaspersky Lab
Covered Entities (Dec 2023) (Section 1634 of Pub. L. 115-91).
(v) 52.204-25, Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment.
(Nov 2021) (Section 889(a)(1)(A) of Pub. L. 115-232).
(vi) 52.204-27, Prohibition on a ByteDance Covered Application (Jun 2023) (Section 102 of Division R of Pub. L. 117-328).
(vii) (A) 52.204–30, Federal Acquisition Supply Chain Security Act Orders—Prohibition. (Dec 2023) ( Pub. L. 115–390, title
II).
(B) Alternate I (Dec 2023) of 52.204–30.
(viii) 52.219-8, Utilization of Small Business Concerns (Feb 2024) ( 15 U.S.C. 637(d)(2) and (3)), in all subcontracts that offer
further subcontracting opportunities. If the subcontract (except subcontracts to small business concerns) exceeds the
applicable threshold specified in FAR 19.702(a) on the date of subcontract award, the subcontractor must include 52.219-
8 in lower tier subcontracts that offer subcontracting opportunities.
(ix) 52.222-21, Prohibition of Segregated Facilities (Apr 2015).
(x) 52.222-26, Equal Opportunity (Sep 2015) (E.O.11246).
(xi) 52.222-35, Equal Opportunity for Veterans (Jun 2020) (38 U.S.C. 4212).
(xii) 52.222-36, Equal Opportunity for Workers with Disabilities (Jun 2020) (29 U.S.C. 793).
(xiii) 52.222-37, Employment Reports on Veterans (Jun 2020) (38 U.S.C. 4212).
(xiv) 52.222-40, Notification of Employee Rights Under the National Labor Relations Act (Dec 2010) (E.O. 13496). Flow
down required in accordance with paragraph (f) of FAR clause 52.222-40.
(xv) 52.222-41, Service Contract Labor Standards (Aug 2018) (41 U.S.C. chapter 67).
(xvi) (A) 52.222-50, Combating Trafficking in Persons (Nov 2021) (22 U.S.C. chapter 78 and E.O 13627).
(B) Alternate I (Mar 2015) of 52.222-50 (22 U.S.C. chapter 78 and E.O. 13627).
(xvii) 52.222-51, Exemption from Application of the Service Contract Labor Standards to Contracts for Maintenance,
Calibration, or Repair of Certain Equipment-Requirements (May 2014) (41 U.S.C. chapter 67).
(xviii) 52.222-53, Exemption from Application of the Service Contract Labor Standards to Contracts for Certain Services-
Requirements (May 2014) (41 U.S.C. chapter 67).
(xix) 52.222-54, Employment Eligibility Verification (May 2022) (E.O. 12989).
(xx) 52.222-55, Minimum Wages for Contractor Workers Under Executive Order 14026 (Jan 2022).
(xxi) 52.222-62, Paid Sick Leave Under Executive Order 13706 (Jan 2022) (E.O. 13706).
(xxii) (A) 52.224-3, Privacy Training (Jan 2017) (5 U.S.C. 552a).
(B) Alternate I (Jan 2017) of 52.224-3.
(xxiii) 52.225-26, Contractors Performing Private Security Functions Outside the United States (Oct 2016) (Section 862, as
amended, of the National Defense Authorization Act for Fiscal Year 2008; 10 U.S.C. Subtitle A, Part V, Subpart G Note).
(xxiv) 52.226-6, Promoting Excess Food Donation to Nonprofit Organizations (Jun 2020) (42 U.S.C. 1792). Flow down
required in accordance with paragraph (e) of FAR clause 52.226-6.
(xxv) 52.232-40, Providing Accelerated Payments to Small Business Subcontractors (Mar 2023) (31 U.S.C. 3903 and 10
U.S.C. 3801). Flow down required in accordance with paragraph (c) of 52.232-40.
(xxvi) 52.247-64, Preference for Privately Owned U.S.-Flag Commercial Vessels (Nov 2021) (46 U.S.C. 55305 and 10 U.S.C.
2631). Flow down required in accordance with paragraph (d) of FAR clause 52.247-64.
(2) While not required, the Contractor may include in its subcontracts for commercial products and commercial services
a minimal number of additional clauses necessary to satisfy its contractual obligations.
52.216-1 Type of Contract (Apr 1984)
The Government contemplates award of a labor hour type contract resulting from this solicitation.
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 5 days.
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 5 days; provided
that the Government gives the Contractor a preliminary written notice of its intent to extend at least 10 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 (12)
months.
52.222-41 Service Contract Labor Standards (Aug 2018)
Contractor shall meet or exceed the minimum required wage determination as stated in the U.S. Department of Labor -
Wage Determination No.: 2015-5477, Revision 23
52.233-2 Service of Protest (Sep 2006)
(a) Protests, as defined in section 33.101 of the Federal Acquisition Regulation, that are filed directly with an agency, and
copies of any protests that are filed with the Government Accountability Office (GAO), shall be served on the Contracting
Officer (addressed as follows) by obtaining written and dated acknowledgment of receipt from Hand-Carried Address:
Chinle Comprehensive Health Care Facility, Division of Acquisition Management and Contracts, Off Highway 191 &
Hospital Drive, P.O. Drawer PH, Chinle, AZ 86503.
(b) The copy of any protest shall be received in the office designated above within one day of filing a protest with the
GAO.
52.237-7 Indemnification and Medical Liability Insurance (Jan 1997)
(a) It is expressly agreed and understood that this is a nonpersonal services contract, as defined in Federal Acquisition
Regulation (FAR) 37.101, 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 per
occurrence; $3,000,000 aggregate.
(b) An apparently successful offeror, 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.
Department of Health and Human Services Applicable Clauses:
352.223-7 Safety and Health (DEC 2015)
352.202-1 Definitions. (JAN 2006)
352.224-70 Privacy Act (DEC 2015)
352.224-71 Confidential Information (DEC 2015)
352.226-1 Indian Preference (DEC 2015)
352.226-2 Indian Preference Program (DEC 2015)
352.237-70 Pro-Children Act. (DEC 2015)
352.237-71 Crime Control Act of 1990-Reporting of Child Abuse (DEC 2015)
352.237-72 Crime Control Act of 1990-Requirement for Background Checks (DEC 2015)
352.237-73 Indian Child Protection and Family Violence Act (DEC 2015)
352.237-74 Non-Discrimination in Service Delivery (DEC 2015)
352.239-73 Electronic Information and Technology Accessibility (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.
The Contractor is required to submit invoices in accordance with FAR Clause 52.212-4(g) uploading into www.ipp.gov .
If you require assistance registering or IPP account access, please contact the IPP Helpdesk at (866) 973-3131 (M-F 8AM
to 6PM ET), or IPPCustomerSupport@fiscal.treasury.gov
Department of the Treasury’s IPP website that includes training materials: https://www.ipp.gov/vendors/training-vendors
352.237-70 Pro-Children Act. (Dec 2015) (a) Public Law 103-227, Title X, Part C, also known as the Pro-Children Act of 1994
(Act), 20 U.S.C. 7183, imposes restrictions on smoking in facilities where certain federally funded children's services are
provided. The Act prohibits smoking within any indoor facility (or portion thereof), whether owned, leased, or contracted
for, that is used for the routine or regular provision of: (i) kindergarten, elementary, or secondary education or library
services or (ii) health or day care services that are provided to children under the age of 18. The statutory prohibition also
applies to indoor facilities that are constructed, operated, or maintained with Federal funds.
(b) By acceptance of this contract or order, the Contractor agrees to comply with the requirements of the Act. The Act
also applies to all subcontracts awarded under this contract for the specified children's services. Accordingly, the
Contractor shall ensure that each of its employees, and any subcontractor staff, is made aware of, understands, and
complies with the provisions of the Act. Failure to comply with the Act may result in the imposition of a civil monetary
penalty in an amount not to exceed $1,000 for each violation and/or the imposition of an administrative compliance order
on the responsible entity. Each day a violation continues constitutes a separate violation.
352.237-71 Crime Control Act of 1990-Reporting of Child Abuse (Dec 2015)(a) Public Law 101-647, also known as the Crime
Control Act of 1990 (Act), imposes responsibilities on certain individuals who, while engaged in a professional capacity or
activity, as defined in the Act, on Federal land or in a federally-operated (or contracted) facility, learn of facts that give the
individual reason to suspect that a child has suffered an incident of child abuse.
(b) The Act designates covered professionals as those persons engaged in professions and activities in eight different
categories including, but not limited to, teachers, social workers, physicians, dentists, medical residents or interns, hospital
personnel and administrators, nurses, health care practitioners, chiropractors, osteopaths, pharmacists, optometrists,
podiatrists, emergency medical technicians, ambulance drivers, alcohol or drug treatment personnel, psychologists,
psychiatrists, mental health professionals, child care workers and administrators, and commercial film and photo
processors. The Act defines the term child abuse as the physical or mental injury, sexual abuse or exploitation, or negligent
treatment of a child.
(c) Accordingly, any person engaged in a covered profession or activity under an HHS contract or subcontract, regardless
of the purpose of the contract or subcontract, shall immediately report a suspected child abuse incident in accordance
with the provisions of the Act. If a child is suspected of being harmed, the appropriate State Child Abuse Hotline, local
child protective services (CPS), or law enforcement agency shall be contacted. For more information about where and how
to file a report, the Childhelp USA, National Child Abuse Hotline (1-800-4-A-CHILD) shall be called. Any covered
professional failing to make a timely report of such incident shall be guilty of a Class B misdemeanor.
(d) By acceptance of this contract or order, the Contractor agrees to comply with the requirements of the Act. The Act
also applies to all applicable subcontracts awarded under this contract. Accordingly, the Contractor shall ensure that each
of its employees, and any subcontractor staff, is made aware of, understands, and complies with the provisions of the Act.
352.237-72 Crime Control Act of 1990-Requirement for Background Checks (Dec 2015)(a) Public Law 101-647, also known
as the Crime Control Act of 1990 (Act), requires that all individuals involved with the provision of child care services to
children under the age of 18 undergo a criminal background check. Child care services include, but are not limited to,
social services, health and mental health care, child (day) care, education (whether or not directly involved in teaching),
and rehabilitative programs. Any conviction for a sex crime, an offense involving a child victim, or a drug felony, may be
grounds for denying employment or for dismissal of an employee providing any of the services listed above.
(b) The Contracting Officer will provide the necessary information to the Contractor regarding the process for obtaining
the background check. The Contractor may hire a staff person provisionally prior to the completion of a background check,
if at all times prior to the receipt of the background check during which children are in the care of the newly-hired person,
the person is within the sight and under the supervision of a previously investigated staff person.
(c) By acceptance of this contract or order, the Contractor agrees to comply with the requirements of the Act. The Act also
applies to all applicable subcontracts awarded under this contract. Accordingly, the Contractor shall ensure that each of
its employees, and any subcontractor staff, is made aware of, understands, and complies with the provisions of the Act.
Chinle Service Unit 2021-01 - IMPLEMENTATION OF INDIAN HEALTH MANUAL PART 3, CHAPTER 20, PROTECTING
CHILDREN FROM SEXUAL ABUSE BY HEALTH CARE PROVIDERS (JUL 2021)
Indian Health Manual Part 3, Chapter 20 establishes policy for Protecting Children from Sexual Abuse by Health Care
Providers. All Indian Health Service contractors must complete a government-provided, training module associated with
this policy as an integral part of the onboarding process, but no more than 30 days from the date of onboarding. Failure
to complete the mandatory training may be cause for adverse action from a minimum of temporary suspension, to a
maximum of termination, from appointment.
The Contractor is required to flow down this clause in any subcontract for commercial or non-commercial item. The extent
of the flow down shall be as required by the clause.
Health Insurance Portability and Accountability Act (HIPAA)
The Indian Health Service (IHS) is required to comply with HIPAA in the provision of health care to IHS patients. HIPAA
was implemented by the U.S. Department of Health and Human Services, Office of Civil Rights, under the Code of Federal
Regulations, Part 160 and 164. Accordingly, all health care providers, including contracted health care providers are
required to comply with HIPAA requirements (Full text will be furnished upon request).
ADDITIONAL APPLICABLE FEDERAL ACQUISITION PROVISIONS AND CLAUSES:
52.204-4 Printed or Copied Double-Sided on Postconsumer Content Paper (May 2011)
52.204-7 System Award Management (Oct 2018)
52.204-13 System for Award Management Maintenance (Oct 2018)
52.204-16 Commercial and Government Entity Code Reporting (Aug 2020)
52.204-18 Commercial and Government Entity Code Maintenance (Aug 2020)
52.212-4 Contract Terms and Conditions—Commercial Products and Commercial Services (Nov 2023)
52.216-31 Time-and-Materials/Labor-Hour Proposal Requirements-Commercial Item Acquisitions (Feb 2007)
52.224-1 Privacy Act Notification (Apr 1984)
52.224-2 Privacy Act (Apr 1984)
52.229-3 Federal, State, and Local Taxes (Feb 2013)
52.232-18 Availability of Funds (APR 1984)
52.237-2 Protection of Government Buildings, Equipment, and Vegetation (Aug 1984)
52.237-3 Continuity of Services (Jan 1991)
52.242-13 Bankruptcy (Jul 1995)
LIST OF ATTACHMENTS
-Performance Work Statement PWS No. 08-01 RN IM-FP dated July 26, 2023
-Performance Work Statement PWS No. 08-01 RN SPECIALTY dated July 26, 2023
-Performance Work Statement PWS No. 08-01 RN WOMEN’S HEALTH dated July 26, 2023
-Performance Work Statement PWS No. 08-01-RN POPD dated July 26, 2023
-Pricing Schedule per Department
-52.212-3 Offeror Representations and Certifications—Commercial Products and Commercial Services (Feb 2024)
-IHS IEE Representation Form
-SCW Wage Determination No. 2015-5477, Revision 23
