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. 3 has been revised to include op- IEE form has now been changed to Attachment No. 4 – IEE form. 1. Is there incumbent staffing at the facility? Response: This is a new requiremen. 2. Will the government require proof of tribal enrollment documentation for the 51% ownership threshold? Response: The IEE form is a self-certification in which the business attests that it meets the 51% ownership requirement. 3. If subcontracting or using an independent contractor registry to source the personnel, what percentage of the total labor cost must be performed by the prime ISBEE contractor to satisfy the Limitations on Subcontracting clause? Response: 51% 4. The clinic's public hours indicate it is closed to patients on Thursday mornings (8:00 AM to 12:30 PM) for administrative duties. Is the technician expected to work a standard flat 40-hour work week (Monday–Friday, 8 AM to 5 PM), or will there be an expectation for extended evening clinic shifts or weekend on-call/call-back rotations? Response: Technician will work standard clinic hours, consisting of a 40-hour work week, Monday-Friday. The medical clinic and radiology are not open on weekends and closes at 5pm. If the contractor is not expected to see patients from 8:00 a.m. to 12:30 p.m. on Thursdays, we should not be paying the fully burdened rates for that time. Any administrative time should already be accounted for in the fully burdened rates. 5. Is there overtime? Response: No overtime. 6. The text states that fingerprinting must be completed within 5 days of selection, and that “personnel may not work unsupervised until security clearance requirements are met.” Will the Yakama Service Unit provide an internal clinical shadow escort so the technician can work and bill immediately upon arrival, or will they be barred from performing scans entirely until the full Public Law 101-630 background check clears? Response: If a chaperone is required while pending a favorably adjudicated clearance, one would be provided. However, certain requirements must still be met prior to onboarding as outlined in the solicitation. 7. What is the average historical turnaround timeline for the IHS Portland Area security office to process and issue an interim clearance for healthcare contractors? Response: An exact measure is not available; estimates are 2-4 weeks depending on how fast forms and fingerprints are returned. 8. Will the mandatory training for the IHS Electronic Health Record (EHR) and Resource and Patient Management System (RPMS) be provided on-site during the technician’s first week, and are those onboarding training hours fully billable to the government? Response: Mandatory EHR and RPMS training will be provided on site and during billable hours. Required training hours shall be included in the fully burdened hourly rates and priced based on the estimated quantities established by the Government. The Government will not pay for training hours separately. Payment will be made upon the Government's receipt and acceptance of the services provided. 9.Can the government please confirm if this is only for one FTE, and if the FTE will be a part-time or full-time employee? Response: Services shall be provided on-site on a full-time basis, forty (40) hours per week.[SS1] 10. Can the Government confirm the period of performance for both the base and option period(s)? Response: The period of performance shall consist of one (1) six-month base period and one (1) six-month option period. The Pricing Schedule reflects 1,040 hours for the base period and 1,040 hours for the option period, based on full-time performance of forty (40) hours per week. 11. As June 1, 2026, preceded the solicitation posting, can the Government please clarify the anticipated period of performance start date? Response: The June 1, 2026, date reflects the date the need for services was identified and is no longer the anticipated contract start date. Services shall begin after award and after completion of required credentialing, background investigation, security, and onboarding requirements. The award document will establish the actual period of performance start and end dates. 12. Can the Government please confirm the work week to be Monday through Friday and that the Contractor's personnel shall perform a full 8-hour day on Thursdays? Additionally, can the Government please provide the hours the Contractor's personnel will perform the services Monday through Friday? Response: The anticipated work week is Monday through Friday, eight (8) hours per day, for a total of forty (40) hours per week, excluding Federal holidays and authorized facility closures. Thursday is an administrative half-day and is still a full eight (8) hour workday. During the Thursday administrative day, contractor personnel shall perform administrative duties, documentation, quality assurance activities, equipment-related tasks, training, and other support functions assigned by the Government. The daily schedule will be during regular clinic operating hours, normally between 8:00 a.m. and 5:00 p.m., and will be coordinated with the COR after award. 13. Can the Government please clarify if this is a new or existing opportunity for a Radiology Technician (X-Ray Technologist) and if existing is there contractor incumbent personnel currently performing the services? Response: This is a new contract opportunity for Radiology Technician (X-Ray Technologist) services. 14. Can the Government please confirm that the listings of the qualifications and documentation is all inclusive of what is required of Contractor's personnel associated with certifications, licenses, and qualifications? Response: The Government will coordinate with the successful Contractor and Government security personnel to facilitate fingerprinting. The Contractor is responsible for ensuring proposed personnel are available and responsive to complete fingerprinting and related onboarding/security requirements within the required timeframe. 15. Please clarify the security clearance level/requirement(s)? Response: Contractor personnel must comply with all identification, fingerprinting, background investigation, credentialing, Public Law 101-630, HIPAA, Privacy Act, IHS IT security, and facility access requirements. Contractor personnel may not work unsupervised until the minimum security, background, and facility access requirements have been completed and approved by the Government. 16. Please confirm that Performance will only be at the Yakama Service Unit location? Response: Yakama Service Unit/Yakama Indian Health Center, 401 Buster Road, Toppenish, WA 98948. 17. Can the Government please clarify these two discrepancies? Response: Will be addressed in SAM.Gov. 18. Can the Government please confirm if there are any file size limitations that will affect/restrict its ability to receive and open documents via email? Response: 20MB over government email. ****************************************************************************************************************************************************** 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: 75H71326Q00049 Solicitation Type: Request for Quotation (RFQ) Contract Type: Firm-Fixed-Price, Commercial Items (Services/Supplies) Issue Date: June 10, 2026 Response Deadline: July 02, 2026, 10:00 AM Pacific Time The Yakama Service Unit, Indian Health Service (IHS), is soliciting proposals for non-personal healthcare services for a qualified Radiology Technician (X-Ray Technologist) to provide on-site diagnostic imaging services at the Yakama Indian Health Center. Services include operating diagnostic imaging equipment, performing radiographic procedures, ensuring image quality, documenting results in the Electronic Health Record (EHR), and complying with all applicable clinical, safety, and HIPAA requirements. The anticipated period of performance consists of a six (6) month base period and one (1) additional six (6) month option period. Pricing shall include all costs necessary to perform the required services. Services shall be provided on-site on a full-time basis, forty (40) hours per week. Attachment No. 1 – Pricing Schedule, (Supplies or Services and Prices/Costs) Attachment No. 2 – Wage Determination Attachment No. 3 – Business Associate Agreement Attachment No. 4 – IEE Form PRICING See Attachment No. 1 – Pricing Schedule Introduction: The Yakama Service Unit requires Radiology Technician services no later than June 1, 2026, to ensure continuity of diagnostic imaging services for approximately 10,800 registered patients. Without a qualified Radiology Technician to operate imaging equipment and obtain radiological images, the clinic will be unable to provide essential diagnostic services, resulting in disruptions to patient care and treatment. This requirement is considered urgent due to notification received on April 30, 2026, of an upcoming vacancy in the clinic’s Radiologic Technician positions effective after May 30, 2026. All radiology equipment and supporting systems are currently in place and operational; however, qualified staffing is required to maintain uninterrupted services. Scope: The Government requires Radiology Technician services for forty (40) hours per week in accordance with the Statement of Work. The period of performance shall consist of a 120-day base period, with the option to extend services for up to an additional 240 days, not to exceed a total performance period of two (2) years. Services include patient imaging, documentation, and compliance with all applicable clinical, safety, and HIPAA requirements. The Yakama Service Unit observes an administrative day each Thursday during which patients are not scheduled; however, the contractor shall remain available for administrative duties, documentation, quality assurance activities, training, equipment-related tasks, and other support functions as directed by the Government. Performance Objectives and Standards Radiologic Imaging Services The contractor shall provide diagnostic radiology services in accordance with the Statement of Work and accepted clinical standards. Services shall include operation of radiographic equipment, obtaining diagnostic-quality images, and supporting continuity of patient care. Work Schedule and Coverage The contractor shall provide services forty (40) hours per week during the designated period of performance. The contractor shall maintain reliable staffing coverage to ensure uninterrupted radiology services. Image Quality Standards The contractor shall ensure all radiologic images are of diagnostic quality, properly labeled, and completed in accordance with established clinical protocols and radiology procedures. Electronic Health Record (EHR) Documentation The contractor shall accurately and timely document imaging procedures, patient information, and radiology results within the Electronic Health Record (EHR) system in accordance with facility requirements. Clinical Compliance The contractor shall comply with all applicable federal, state, tribal, Indian Health Service (IHS), and facility clinical policies and procedures. HIPAA and Patient Confidentiality The contractor shall maintain compliance with the Health Insurance Portability and Accountability Act (HIPAA) and protect all patient health information and medical records from unauthorized disclosure Safety and Radiation Protection The contractor shall comply with all radiology safety requirements, infection control procedures, and radiation protection standards to ensure patient and staff safety. Administrative Day Responsibilities The Yakama Service Unit observes an administrative day each Thursday during which patients are not scheduled. During this time, the contractor shall perform administrative duties, documentation, quality assurance activities, equipment-related tasks, training, and other support functions as assigned by the Government. Equipment Operation and Maintenance Support The contractor shall properly operate Government-furnished radiology equipment and immediately report equipment malfunctions, safety concerns, or operational issues to designated Government personnel. Professional Certification and Licensure The contractor shall maintain all required certifications, licenses, and qualifications necessary to perform radiologic services throughout the period of performance. Minimum Qualifications Current certification with the American Registry of Radiologic Technologists (ARRT) Active state license to practice radiologic technology throughout the contract period. Successful completion of a Radiology Technology program accredited by the Joint Review Committee on Education in Radiologic Technology (JRCERT). Current Basic Life Support (BLS) certification from the American Heart Association (AHA), American Red Cross, or equivalent nationally recognized provider. Valid driver's license. Basic computer proficiency and ability to use IHS Electronic Health Record (EHR)/RPMS systems. Ability to read, write, speak, and understand English effectively. Knowledge of infection control procedures and appropriate use of Personal Protective Equipment (PPE). Ability to work collaboratively with clinical staff and multicultural patient populations. Maintain professional standards of conduct, appearance, competence, and integrity Required Documentation Copy of current ARRT certification Copy of active state radiology license Proof of graduation from an accredited Radiology Technology program Current BLS certification Copy of valid driver’s license Proof of Medical Professional Liability Insurance in the amount of $1,000,000/$3,000,000 Fingerprint cards and security clearance documentation Completed Certification of Criminal History and Background Check Packet Completed “Addendum to Declaration for Federal Employment” Documentation of required immunizations and health screenings, including: MMR immunity/immunization Hepatitis B immunization or declination Varicella immunity/history Tdap vaccination Influenza vaccination or approved exemption Tuberculosis screening within previous 12 months Chest X-ray documentation if applicable Physical examination completed within previous 12 months Required IHS orientation and training completion certificates Protecting Children from Sexual Abuse training certificate within 30 days of start date Additional Requirements Completion of fingerprinting within five (5) days of contract award notification. Compliance with HIPAA, Privacy Act, IHS IT security policies, and confidentiality requirements. Participation in Quality Assurance/Risk Management activities. Adherence to all IHS facility policies, procedures, and standards of conduct. Completion of Public Law 101-630 background investigation requirements. Contractor personnel may not work unsupervised until minimum security clearance requirements are met. Overtime is not authorized under the contract. Contractor responsible for all travel, lodging, taxes, and associated costs. Contractor must wear Government-issued identification badge while on duty. Contractor shall immediately report safety, compliance, or confidentiality concerns to the COR. Contractor employees are subject to performance evaluations and removal for impaired judgment or conduct concerns. Contractor must maintain uninterrupted licensure and certifications throughout performance period. Minimum Qualifications Current ARRT certification and active radiology license Graduate of an accredited Radiology Technology program Current BLS certification Valid driver’s license Basic computer/EHR proficiency Ability to communicate effectively and work collaboratively in a multicultural healthcare environment Required Documentation ARRT certification and active license BLS certification and driver’s license Proof of professional liability insurance ($1M/$3M) Background check, fingerprinting, and security clearance documents Physical exam and required immunization/TB screening records Required IHS orientation and training certificates Additional Requirements Compliance with HIPAA, Privacy Act, IHS security, and facility policies Participation in quality assurance, infection control, and safety activities Maintain professional conduct, appearance, and confidentiality standards Wear Government-issued identification badge while on duty No overtime authorized; contractor responsible for travel and related expenses Maintain all licenses, certifications, and clearances throughout contract performance CONTRACT ADMINISTRATION Identification and Security Requirements Contractor personnel shall comply with all identification, fingerprinting, background investigation, and security clearance requirements prior to performance under the contract. Personnel must wear Governmen.t-issued identification badges while on duty and comply with Public Law 101-630, Indian Child Protection and Family Violence Act requirements. Contractor personnel may not work unsupervised until minimum security clearance requirements have been completed and approved by the Government. Risk Management and Quality Control The contractor shall participate in Quality Assurance and Risk Management activities and comply with all applicable infection control, radiation safety, HIPAA, Privacy Act, and IHS information security requirements. The contractor shall immediately report any equipment malfunctions, patient safety concerns, confidentiality breaches, or policy violations to the Contracting Officer’s Representative (COR). Substantiated deficiencies involving patient safety, infection control, or quality of care may constitute a breach of contract. Inspection and Acceptance Criteria All services performed under the contract are subject to inspection, monitoring, and acceptance by the Contracting Officer (CO) and Contracting Officer’s Representative (COR). The Government reserves the right to evaluate contractor performance, including quality of work, documentation accuracy, compliance with contract requirements. Credentialing / Clinical Privileges / Termination Contractor personnel shall maintain current ARRT certification, active licensure, Basic Life Support (BLS) certification, professional liability insurance, and all required health clearances throughout the period of performance. The contractor shall provide all credentialing, onboarding, immunization, training, background investigation, and security clearance documentation required by the Government prior to assignment or within established onboarding timelines. The Government reserves the right to remove contractor personnel from the facility for failure to maintain required credentials, certifications, licenses, security clearances, or professional standards of conduct. Contractor personnel may also be removed for impaired judgment, misconduct, patient safety concerns, policy violations, or unfavorable background investigation results. Failure to comply with contract requirements may result in termination of services or other contractual remedies. Government Furnished Property/ Government Furnished Equipment: The Government shall provide access to the facility, designated work areas, and the necessary workspace, equipment, and resources required for the Contractor to perform support services in accordance with the requirements of the contract. Place of Performance / Delivery Address . Yakama Service Unit Radiology Department, ATTN: TBD 401 Buster Road Toppenish, WA 98948 Period of Performance The period of performance shall consist of six (6) month base period and one (1) additional six (6) month option period. Pricing shall include all costs necessary to perform the required services. Services shall commence no later than ten (10) days after completion of all required credentialing, background investigations, and security clearances. Contractor personnel shall provide services forty (40) hours per week in accordance with the approved work schedule and Statement of Work. 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) 52.223-6 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 2015352.239-74 Electronic And Information Technology Accessibility Dec 2015 Performance Requirements The contractor shall provide Radiology Technician services in accordance with the Statement of Work and accepted clinical standards, including patient imaging, image processing, EHR documentation, and coordination with clinical staff. The contractor shall comply with all HIPAA, infection control, radiation safety, and IHS security requirements and participate in Quality Assurance and Risk Management activities. Performance is subject to monitoring and evaluation by the Government, and deficiencies involving patient safety, documentation, or quality of care may constitute unsatisfactory performance or breach of contract. CONTRACT ADMINSTRATION Authorities of Government Personnel The Contractor shall remain responsible for overall management and performance under this contract. The Government’s points of contact during contract performance shall include the Contracting Officer (CO) and the Contracting Officer’s Representative (COR). The Contracting Officer (CO) is the only individual authorized to modify the contract, including changes to scope, price, terms, or conditions. All contractual and administrative matters shall be directed to the CO. A COR will be designated at award to provide technical oversight and monitor contractor performance. The COR is responsible for coordinating technical aspects of the contract, monitoring performance, conducting inspections and evaluations, interpreting the Statement of Work (SOW), assisting with technical issues, and reviewing invoices for payment. The COR does not have authority to modify contract terms, direct additional work outside the scope of the contract, change pricing or performance periods, or supervise contractor employees. Technical direction provided by the COR must remain within the scope of the contract and may be provided orally or in writing. Oral direction shall be confirmed in writing. If the Contractor believes any direction exceeds the scope of the contract, the Contractor shall immediately notify the CO. Any disputes regarding technical direction shall be resolved in accordance with FAR 52.233-1, Disputes. Invoice Submission The Contractor shall submit one electronic invoice per month to the Contracting Officer’s Representative (COR) and through the Invoice Processing Platform (IPP) at IPP. Each invoice must be submitted as a separate file and include all information required under FAR 52.212-4(g), including contractor information, invoice number and date, contract number, description of services, payment information, and any required EFT information. Invoices shall be submitted in accordance with the contract terms and applicable Prompt Payment Act requirements. Failure to submit invoices and supporting documentation to the designated offices may delay payment. All payments under the contract shall be made by Electronic Funds Transfer (EFT). Credit memos will not be accepted; all refunds must be submitted by check to the designated Government financial office. 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: $12.5 Million Average Annual Receipts INSTRUCTIONS TO RESPONDENTS AND EVALUATION CRITERIA Quotes shall be submitted electronically to PORAOAcquisition@ihs.gov with the solicitation number 75H71326Q00049 and the Offeror’s name included in the subject line. Quotes shall include: Completed price quote/CLIN schedule Technical submission demonstrating relevant experience Past performance information Completed Indian Economic Enterprise (IEE) form Questions Questions regarding this solicitation shall be submitted via email to PORAOAcquisition@ihs.gov no later than four (4) business days prior to the solicitation closing date. The solicitation number shall be included in the subject line. Basis for Award Award will be made to the responsible Offeror whose quote represents the best value to the Government, considering price and non-price factors. The Government may award to other than the lowest-priced Offeror and reserves the right to make no award, evaluate quotes without discussions, request clarifications, and reject quotes that fail to comply with solicitation instructions. EVALUATION FACTORS Factor 1 – Demonstrated Prior Experience The Government will evaluate the Offeror’s experience providing comparable healthcare services. Offerors shall submit a narrative, not to exceed five (5) pages, demonstrating relevant experience, including work performed in rural or remote healthcare settings. Offerors may submit up to three (3) recent past performance references including customer contact information, contract number, contract value, description of services, and period of performance. Factor 2 – Price The Government will evaluate the total proposed price based on the CLIN structure provided. Pricing shall include all labor, supervision, travel, and incidental costs necessary to perform the required services. Evaluation Process The Government may use comparative evaluation procedures in accordance with FAR 12.203(c)(2).
