AMENDMENT TO COMBINED SYNOPSIS/SOLICITATION The purpose of this amendment is to respond to questions received from prospective offerors and to amend the solicitation accordingly. Attachment No. 1 is hereby deleted in its entirety. Attachment No. 2 has been revised to include option periods and is hereby incorporated into the Combined Synopsis/Solicitation. Quoters shall submit quotes using the revised Attachment No. 2 provided with this amendment. 1. Question: Could the Government please clarify whether the five-year ordering period consists of a base period with option years or a continuous five-year ordering period? Answer: The period of performance is five (5) years, including option periods. 2. Question: Could the Government please clarify how frequently the Public Health Nurse will be expected to perform community outreach or home visits? Answer: The frequency of community outreach and home or field visits will vary based on patient needs, communicable disease activity, public health priorities, and scheduled community events. These activities will be performed as needed during scheduled duty hours. The Government does not guarantee a specific number or frequency of outreach activities or home visits. 3. Question: Is there a current incumbent contractor? If so, please provide the contract number. Answer: No. There is no current incumbent contractor; therefore, no contract number is applicable. 4. Question: Is on-campus housing available for the Registered Nurse and Public Health Nurse? If not, where do providers typically stay, and are there nearby hotels available? Answer: No. On-campus housing is not available. Private rental housing may be available in Toppenish, Zillah, Sunnyside, Yakima, and other nearby communities. Commercial hotels, including extended-stay lodging, may also be available in Yakima and the surrounding area. The Government does not guarantee lodging availability or endorse any particular property or lodging provider. 5. Question: Could the Government please identify the locations where community outreach events will be conducted within the Yakama Nation Reservation? Answer: Outreach activities may occur throughout the geographic area served by the Yakama Service Unit. Common outreach locations include Toppenish, White Swan, Wapato, Goldendale, and communities along the Columbia River. Specific locations will depend on public health needs and will be coordinated with the contractor in advance to the extent practicable. 6. Question: Could the Government please provide the anticipated contract award date and expected performance start date? Answer: The Government anticipates making an award prior to the end of Fiscal Year 2026 (September 30, 2026). Contractor personnel shall not begin performance until all applicable credentialing, fingerprinting, background investigation, orientation, and facility access requirements have been successfully completed. 7. Question: Could the Government please clarify whether transportation or a Government vehicle will be provided for Public Health Nurses when conducting community outreach or patient home visits? If not, will contractor personnel be expected to use their personal vehicles for official travel? Answer: Yes. When contractor Public Health Nurse personnel are required to travel for authorized community outreach or patient home visits, transportation will be provided by Government-employed Public Health Nurse personnel. Contractor personnel will travel as passengers and will not be authorized to operate Government-owned or GSA Fleet vehicles. Contractor personnel will not be required or expected to use personally owned vehicles for authorized community outreach or patient home visits. Except as expressly amended herein, all other terms and conditions of the solicitation remain unchanged and in full force and effect. COMBINED SYNOPSIS/SOLICITATION FOR COMMERCIAL ITEMS Reference ID: 75H71326Q00064 DESCRIPTION Title: Yakama Service Unit, Registered Nursing and Public Health Nurse Support Services (RN & PHN) – Yakama Indian Health Center (YIHC) ************************************************************************************* This is a combined synopsis/solicitation for commercial items prepared in accordance with FAR Part 12. This announcement constitutes the only solicitation; quotes are being requested and a written solicitation will not be issued. SOLICITATION INFORMATION Solicitation Number: 75H71326Q00064 Solicitation Type: Request for Quotation (RFQ) Contract Type: Firm-Fixed-Price, Commercial Items (Services/Supplies) Issue Date: July 17, 2026 Response Deadline: July 31, 2026, 10:00 AM Pacific Time This requirement is for one (1) Firm-Fixed-Price (FFP) purchase order for contracted (1) Registered Nurses (RN) and (1) Public Health Nurse (PHN) services to support the Medical and Public Health Services Programs at the Yakama Service Unit (YSU), Toppenish, Washington. This requirement is needed to provide supplemental nursing coverage to ensure continuity of direct patient care, and related patient care services. The contract RN and PHN will assist in maintaining safe, effective and timely medical health services and support ongoing clinical operations within the Service Unit. Attachment No. 1 – Performance Work Statement Attachment No. 2 – Pricing Schedule, (Supplies or Services and Prices/Costs) Attachment No. 3 – Business Associate Agreement Attachment No. 4 – Wage Determination Attachment No. 5 – IEE Form PERFORMANCE WORK STATEMENT NURSING SUPPORT SERVICES PORTLAND AREA INDIAN HEALTH SERVICE – YAKAMA SERVICE UNIT I. Contract Title Registered Nursing and Public Health Nurse Support Services (RN & PHN) – Yakama Indian Health Center (YIHC) II. Background The Portland Area Indian Health Service (PAIHS), Yakama Indian Health Center (YIHC), located in Toppenish, Washington, is the principal federal health care provider and health advocate for American Indian and Alaska Native patients within its service area. YIHC provides primary care and urgent care services Monday through Friday, 8:00 a.m. to 5:00 p.m. To meet operational needs and ensure continuity of patient care, YIHC requires contractor-provided nursing services performed by licensed registered nurses (RNs). These services support the delivery of safe, culturally competent, and comprehensive healthcare to eligible patients. This will be a Firm-Fixed Price (FFP) purchase order. This contract provides for up to 1 Registered Nurse and 1 Public Health Nurse each year, not to exceed 1,920 total labor hours annually III. Period Of Performance and Location: a. Services shall be performed (1) on-site at the Yakama Indian Health Center (YIHC), 401 Buster Road, Toppenish, WA 98948 and (2) at community outreach events within Yakama Nation Reservation, WA. b. The contract shall include a five (5)-year period IV. Statement Of Work: 1. The Contractor shall provide qualified Registered Nurse (RN) to perform non-personal nursing support services at the Yakama Indian Health Center. The RN shall assist Government medical staff in providing direct patient care, care coordination, and clinical support activities in accordance with professional nursing standards and YIHC policies. All services shall be monitored by Contracting Officer’s Representative (COR), consistent with a non-personal services contract. 2. The services will be provided during clinic operating hours as scheduled not to exceed 40 hours per week. Regular hours of clinic are from 8:00 a.m. to 5 p.m. Monday through Friday. The clinic is not open on federally recognized holidays or certain day(s) of closure pursuant to an Executive Order by the President of the United States. Inclement weather conditions or facility issues (electrical, water, etc.) may also hinder the normal operating hours and notice of closure will be provided as soon as is practicable by each of the Service Unit administrative staff. 3. This Performance Work Statement (PWS) applies to two distinct Contract Line Item Numbers (CLINs) under the Yakama Indian Health Center (YIHC) Nursing Support Services contract. The Government guarantees a minimum order of 200 labor hours per CLIN over the life of the contract 4. Contractor must present qualified key personnel within 2 weeks of award and 2 weeks in advance of any proposed replacement during the period of performance. Specific Tasks: CLIN Labor Category Estimated Hours (per year) 0001 Registered Nurses Min 200 / Max 1,920 0002 Public Health Nurse Min 200 / Max 1,920 CLIN 0001 – REGISTERED NURSE (RN), NURSING DEPARTMENT The Contractor shall provide Registered Nurse (RN) services in the YIHC Nursing Department to support primary care and urgent care delivery. The RN shall perform duties within the scope of professional nursing practice and under the general technical direction of the COR. Primary Duties include: 1. Provide direct patient care, assessment, triage, and documentation in the Electronic Health Record (EHR) for adult and pediatric patients in walk-in and scheduled appointments. 2. Administer medications (e.g., oral and parental), immunizations, and wound care as ordered by licensed providers. 3. Assist with procedures, point-of-care testing, and patient education. Document all activities per YIHC policy. 4. Participate in multidisciplinary team meetings and contribute to quality improvement initiatives. 5. Ensure compliance with HIPAA, infection control, and IHS standards of care. 6. Address patient concerns over the phone; review clinic schedule and make appointments Qualifications of Key Personnel (RN): • Degree: Must have a degree or diploma from a professional nursing program approved by the legally designated State accreditation agency at the time the program was completed by the RN. • License: Current, unrestricted Registered Nurse license in a U.S. jurisdiction. • BLS: Current Basic Life Support (BLS) certification. • Experience: At least two (2) years of recent clinical experience in direct patient care within a healthcare (e.g., hospital) or ambulatory setting. • Proficiency in English, both written and spoken. • Eligibility to participate in Medicare and Medicaid programs. CLIN 0002 – PUBLIC HEALTH NURSE (PHN), PUBLIC HEALTH NURSING DEPARTMENT The Contractor shall provide Public Health Nurse (PHN) services in the YIHC Public Health Nursing Department. The PHN focuses on communicable disease surveillance, case management, and outreach community-based health promotion activities. Primary Duties include: 1. Conduct case management, outreach, and contact tracing for communicable diseases (e.g., tuberculosis, STIs, measles). 2. Perform directly observed therapy (DOT) for tuberculosis and other conditions as required. 3. Coordinate with local, state, and federal public health departments to ensure continuity of care and data reporting compliance. 4. Order, review, and act upon laboratory results; notify patients of findings and provide counseling or education. Perform point-of-care testing per YIHC policy. 5. Administer oral and parenteral medications, immunizations, and perform field visits for community health follow-up. 6. Develop and deliver public health education sessions for individuals, families, and community groups. 7. Document all activities accurately in the EHR or approved public health information systems. 8. Drive to outreach or community activities using contractor provided vehicle or personal vehicle. Qualifications of Key Personnel (PHN): • Degree: Must have a bachelor’s degree in nursing from a professional nursing program approved by the legally designated State accreditation agency at the time the program was completed by the RN. • License: Current, unrestricted Registered Nurse license in a U.S. jurisdiction. • BLS: Current Basic Life Support (BLS) certification. • Experience: At least one (1) year of experience in public health nursing, or community outreach. • CV/Resume must demonstrate knowledge of communicable disease control and contact tracing protocols. Additionally, CV/Resume must demonstrate ability to coordinate effectively with public health entities and interdisciplinary teams. V. Performance Monitoring and Standards 1. The Government will monitor contractor performance through the Contracting Officer’s Representative using the Performance Requirements Summary (PRS) below. Performance will be evaluated based on quality, timeliness, and compliance with established YIHC policies and contract terms. See table on next page: Table 1 – Performance Requirements Summary (See Attached Table 1) CLIN Task/Deliverable Performance Acceptable Surveillance Standard Quality Level Method (AQL) 0001 Clinical Complete 100% COR review, Documentation within 48 hours EHR audit of service 0001 Patient Education Documented 95% EHR sampling for all applicable visits (e.g., immunization clinic, nursing clinic visits, home visits) 0002 Case Contact (or 95% COR audit, Management documented record review Follow-Up attempt) within 48 hours of lab result 0002 Directly Observed Document 100% Review of logs, Therapy (DOT) completion chart audit daily (on clinic days of operation) VI. Security Requirements 1. Contractor personnel shall comply with all Indian Health Service security requirements for facility and information system access. A favorable background investigation and fingerprinting are required prior to performance. Personnel requiring routine access to federally controlled facilities or systems shall meet Homeland Security Presidential Directive-12 (HSPD-12) requirements. VII. Government-Furnished Equipment/Information 1. YIHC will provide access to Government-furnished facilities, office space, medical equipment, supplies, and the EHR system necessary for performance. All property shall remain under Government ownership, and contractor personnel shall use it solely for contract-related purposes. Key personnel may not use GSA Fleet Vehicles. 2. YIHC will provide orientation to each RN/PHN key personnel of the contractor. 3. The Service Unit will be responsible for informing the Contractor of any facility closure due to conditions specified in this statement of work (IV.2). VIII. Risk Control 1. The Contractor shall ensure adherence to all YIHC infection control, patient safety, and risk management policies. All clinical procedures must follow established IHS standards, OSHA requirements, and CDC guidelines for healthcare environments. IX. Invoice and Payment A. INVOICING 1. Invoices shall be submitted per purchase order, reflecting actual hours worked. The purchase order will identify the authorized labor categories, rates, and maximum hours. 2. Each CLIN will be tracked and specified within the invoice. Invoices must identify hours worked and services rendered by CLIN as follows: a. CLIN 0001 – Registered Nurse (RN), Nursing Department b. CLIN 0002 – Public Health Nurse (PHN), Public Health Nursing Department 3. The Contractor shall ensure that timekeeping, and reporting are properly segregated by CLIN. All performance oversight, quality assurance, and COR reviews shall likewise be documented by CLIN. 4. The Contractor shall submit invoices monthly via the Department of Treasury Invoice Processing Platform (IPP). Each invoice shall include the provider’s name, dates of service, and hours worked. Each invoice must match the purchase order in description. Improper invoices will be rejected. Payments will be made in accordance with the Prompt Payment Act following Government acceptance of services. Timesheets must be verified by YIHC staff prior to submission. 5. For payment status, please email: POR_AODFMPAYABLES@IHS.GOV 6. As part of the invoice, the Contractor shall submit the weekly timesheet(s) documenting the days and hours worked by the contracted provider(s) that are signed by the contracted provider(s) and a staff member at the YIHC. 7. Upon receipt, the COR shall review the invoice(s) for accuracy. Payment will be made after submission of a proper invoice and after the Government accepts the services. Payment shall be made only for services actually completed at time of invoice submission. 8. Electronic Submission of Payment Requests (February 2022) (a) Definitions. As used in this clause--- (1) "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. B. PAYMENT 1. The hourly rate awarded is the Contractor’s contract price for services that covers all related costs to provide services on-site. See attached Schedule of Items. 2. Payment shall be made in accordance with the hourly rate of the Awarded Contractor’s list for the services provided at the clinic site. 3. Payment shall be made in accordance with the Prompt Payment Final Rule (5 CFR 1315, September 29, 1999), which states that disbursement will be made within 15 days of an accepted and Approved Invoice by a Contracting Officer when presented to the Finance Office. 4. Vendor shall maintain an “Active” status with the System Award Management (SAM) as prescribed by the Electronic Funds Transfer (EFT) procedures. 5. The Government is obligated only to the extent of authorized purchases actually made and received under this purchase order. C. ADMINISTRATION 1. The Contract Officer’s Representative (COR) and site contact under this contract shall be provided up award of the purchase order. The COR’s responsibilities will be to coordinate with the provider the technical aspects of this service and review of performance hereunder. The Contract Officer’s Representative does not have the authority to change or alter the order amount, terms or conditions of this purchase order. X. Liability and Insurance A. MALPRACTICE COVERAGE 1. The Contractor shall provide professional liability (malpractice) coverage, in amounts that are reasonable and customary in the community for the appropriate specialty (not less than $1,000,000 per occurrence), covering liability for personal injury or property damage, including legal representation and expense of defense of any such liability claims, actions or litigation, resulting from participation by the Contractors employees under this requirement. This coverage may come from any source but shall clearly cover the Contractors employees while participating under this agreement. The Contractors employees must provide documentary proof of the insurance coverage, and such proof will be attached to this agreement. The Contractors employees further agree not to seek indemnification from either the United States or the Indian Health Service for any settlement, verdict or judgment resulting from any claim or lawsuit arising out of the negligent acts or omissions of its employees while working at this site. 2. Under the Federal Tort Claims Act (FTCA), 28 U.S.C. §§ 1346(b), 2401(b), 2671-80, the Federal government is liable for property damage, personal injury, or death caused by the negligence of any Federal government employee acting within the scope of her/his employment, and Training Site’s obligations under this agreement, including supervision of students. All claims alleging medical malpractice and other negligence by HIS physicians, dentists, nurses, and other health professionals are processed under this Act. The law provides that medical malpractice claims must be filed against the United States, not the individual health professional. XI. Non-Personal Services Clause 1. This is a non-personal services contract. Contractor employees shall not be supervised by Government personnel, nor shall they represent themselves as Government employees. The Government’s oversight is limited to ensuring compliance with contract terms, performance standards, and deliverables. XII. Confidentiality and Privacy 1. All contractor personnel shall comply with the Health Insurance Portability and Accountability Act (HIPAA), the Privacy Act of 1974, and IHS confidentiality policies. Unauthorized disclosure of patient information is strictly prohibited. Pursuant to the Health Insurance Portability and Accountability Act (HIPAA) of 1996 and its implementing regulation, the Standards of Privacy of individual Identifiable Health Information at 45 C.F.R. Part 160 and 164, Subpart A and E ("Privacy Rule"), the Indian Health Service is required to enter into an agreement with the Business Associate , pursuant to which the Business Associate shall comply with and appropriately safeguard Protected Health Information ("PHI") that it will use and disclose when performing functions , activities or services ("Services") for the Indian Health Service. The Business Associate, by signing the contract, shall comply with the following terms in addition to other applicable contract terms and conditions relating to the safekeeping, use and discloser of PHI. 2. Services under this contract are to be performed in accordance with the requirements and provision of P.L. 93-579, December 31, 1974 (5 USC 522a) and applicable agency regulations. Copies of these items are available upon request of the Contracting Officer. APPLICABLE PROVISIONS AND CLAUSES The solicitation document and incorporated provisions and clauses are those in effect through Federal Acquisition Circular 2026-01 dated March 13, 2026. 52.212-1 Instructions to Offerors—Commercial applies to this acquisition. 52.212-2 Evaluation—Commercial Items applies to this acquisition. 52.212-4 Contract Terms and Conditions—Commercial Items applies. CLAUSES INCORPORATED BY REFERENCE FAR 52.252-2 Full text available at http://www.acquisition.gov 52.202-1 Definitions (Jun 2020) 52.204-7 System for Award Management (Oct 2018) 52.204-9 Personal Identity Verification of Contractor Personnel (Jan 2011) 52.212-4 Contract Terms and Conditions – Commercial Items (May 2026) 52.222-3 Convict Labor (Jun 2003) 52.222-26 Equal Opportunity (Sep 2016) 52.222-35 Equal Opportunity for Veterans (Jun 2020) 52.222-36 Equal Opportunity for Workers with Disabilities (Jun 2020) 52.222-90 Addressing DEI Discrimination by Federal Contractors (Apr 2026) 52.223-6 Drug-Free Workplace (May 2001) 52.224-1 Privacy Act Notification (Apr 1984) 52.224-2 Privacy Act (Apr 1984) 52.226-8 Encouraging Contractor Policies to Ban Text Messaging While Driving (May 2024) 52.229-3 Federal, State, and Local Taxes (Feb 2013) 52.229-4 Federal, State, and Local Taxes (State and Local Adjustments) (Feb 2013) 52.232-1 Payments (Apr 1984) 52.232-8 Discounts for Prompt Payment (Feb 2002) 52.232-17 Interest (May 2014) 52.232-33 Payment by Electronic Funds Transfer—System for Award Management (Oct 2018) 52.232-40 Providing Accelerated Payments to Small Business Subcontractors (Mar 2023) 52.233-1 Disputes (May 2014) 52.233-3 Protest After Award (Aug 1996) 52.237-3 Continuity of Services (Jan 1991) 52.237-7 Indemnification and Medical Liability Insurance. $1,000,000.00 per occurrence. 52.204-9 Personal Identity Verification of Contractor Personnel (Jan 2011) 52.217-9 Option to Extend the Term of the Contract (MAR 2000), FAR 52.217-8 Option to Extend Services (NOV 1999) DEPARTMENT OF HEALTH AND HUMAN SERVICES ACQUISITION REGULATIONS (HHASR) CLAUSES 352.203-70 Anti-Lobbying Dec 2015, 352.222-70 Contract Cooperation In Equal Opportunity Investigations Dec 2015, 352.223-70 Safety And Health Dec 2015, 352.224-70 Privacy Act Dec 2015, 352.224-71 Confidential Information Dec 2015, 352.226-1 Indian Preference Dec 2015, 352.232-71 Electronic submission of payment request, 352-237-70 Pro-Children Act Dec 2015, 352.237-71 Crime Contract Act – Reporting Of Child Abuse Dec 2015, 352.237-72 Crime Control Act – 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, 352.237-75 Key Personnel Dec 2015 352.239-74 Electronic And Information Technology Accessibility Dec 2015 SET-ASIDE AND NAICS INFORMATION Set-Aside: Indian Small Business Economic Enterprise NAICS Code: NAICS 621399 – Offices of All Other Miscellaneous Health Practitioners Size Standard: $10.0 Million Average Annual Receipts INSTRUCTIONS TO RESPONDENTS AND EVALUATION CRITERIA Submission of Quotes Quotes shall be submitted electronically via email to PORAOAcquisition@ihs.gov. The subject line shall include the solicitation number 75H71326Q00064 and the Offeror’s entity name. Quotes shall include: • Completed price quote (CLIN Schedule) • Technical submission addressing demonstrated prior experience • Past Performance • Completed IEE Form Questions Questions regarding this solicitation shall be submitted in writing via email to PORAOAcquisition@ihs.gov no later than four (4) business days prior to the closing date. The subject line shall include the solicitation number 75H71326Q00064.
