Billings Area Indian Health Service (IHS) requested quotes in accordance with the requirements of Request for Quotation (RFQ)-10-21-002-SC. To acquire an Oral Surgeon at the Blackfeet Service Unit, PHS Indian Hospital, Browning, Montana. This procurement is conducted pursuant to the authority of Federal Acquisition Regulation (FAR) 13 Simplified Acquisition Procedures and Services and FAR 37.101 Non-Personal Health Care Services Contract. Offerors are requested to propose an all-inclusive hourly rate when submitting a quote.  Offers should be submitted for the base year and four subsequent option year.

This 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.  The solicitation documents and incorporated provisions and clauses are those in effect through Federal Acquisition Circular 2021-05. The associated North American Industry Classification System code is 621340 and the small business size standard is $8.0 million.

The Billings Area Indian Health Service (IHS) intends to award a Requirements contract in response to Request for Quotation (RFQ)-10-21-002-SC. The quantities specified in the schedule are estimates only.  If the Government’s requirements do not result in orders in the quantities described as “estimated” in the Schedule, it does not constitute the basis for an equitable price adjustment.

Item    Description       Quantity    Unit of Issue   Unit Price    Total Amount

1.         Base Year               12             Day            $­­­­                    $              ­­­­   

2.        Option Year One     12              Day            $                    $                               

3.        Option Year Two     12              Day            $                    $                               

4.        Option Year Three   12             Day             $                   $                               

5.        Option Year Four     12             Day             $                   $­­­­              ­­­­ 

PERIOD OF PERFORMANCE

The performance of this purchase order shall be from June 1, 2021 through July 31, 2022, with four 12-month options.

If the Government exercises the options pursuant to Federal Acquisition Regulation FAR 52.217-9, Option to Extend the Term of the Contract (Mar 2000), the period of performance shall be extended in accordance with the following schedule:

            Year                                                    Option Period   

Option Year One (1)                           June 1, 2022 through July 31, 2023

Option Year Two (2)                          June 1, 2023 through July 31, 2024

Option Year Three (3)                        June 1, 2024 through July 31, 2025

Option Year Four (4)                          June 1, 2025 through July 31, 2026

 STATEMENT OF WORK  

The Contractor will treat patients requiring complex oral surgical procedures.  The Contractor will utilize the facilities at the Blackfeet Dental Clinic.  The Blackfeet Community Hospital will provide medications, patient monitoring equipment, and oral surgical equipment.  The Contractor will operate within the Dental Clinic.  The following support staff will be provided to the Contractor: 2 dental assistants and 1 dental receptionist. 

PROGRAM GOALS AND OBJECTIVES: The objective of the contact services is to provide oral surgical services at the Blackfeet Community Hospital, thereby reducing the number of referrals made to offsite providers.

MAJOR DUTIES: Provides oral surgical services at the Blackfeet Community Hospital Dental Clinic including: (1) Direct oral surgical services in the dental clinic consisting, but not limited to: tooth extractions, surgical extractions of erupted teeth, tissue and bony impactions, root recovery by surgery, oral antral fistula closure, tooth replantation, tooth transplantation, surgical exposure of unerupted teeth, biopsy of hard and soft tissue, alveoloplasty, electrosurgery, removal of mandibular and maxillary exotosis, I&D intra and extra oral abscesses, maxillary and mandibular frenulectomy, establish emergency airway, intra and extra oral tissue suturing. (2) Provides training to professional and auxiliary staff in oral surgery specialty area. (3) Services shall be based on Indian health Services criteria and standards. (4) The Contractor shall also provide diagnostic and consultation services to the Dental and Medical staff of the facility. (5) The Contractor shall prepare and complete in timely fashion the medical and other required records for all parties he/she admits or in any way provides care for at the hospital in accordance with the Blackfeet Service Unit medical by-laws. (6) Orientation will be provided to the Contractor prior to starting work. (7) The Contractor shall comply with all Indian Health Service facility infection control and safety procedures, practices and standards. (8) During the performance of the contract, the contractor shall provide for the consistent performance of patient care processes according to the standards for the Centers for Medicare and Medicaid Services (CMS) and The Joint Commission (TJC) as surveyor for CMS. Who supply accreditation to the Blackfeet Community Hospital. These standards shall include: the Comprehensive Accreditation Manual for Hospital, the Laboratory Standards, and Ambulatory Care Standards as they represent the scope of services of this contract. (9) Provider must obtain credentials/privileges to provide care at the Blackfeet Service Unit. (10) Active, unrestricted dental license in any state is required; and (11) Current Basic Life Support (BLS) is required. 

KNOWLEDGE AND EXPERIENCE REQUIRED: Current, unrestricted State license, certification, or registration, as applicable, to practice independently in professional field. The Contractor must have obtained D.D.S degree from an accredited United States Dental School. The Contractor must have completed an oral surgery residency in an accredited United States Oral Surgery Program, which will ensure knowledge of the specialty of oral surgery required by the services. The Contractor must complete site specific privileged.

EVALUATION AND OVERSIGHT: The oral surgeon works in conjunction with the Service Unit Chief Dental Officer.  The quality of work will be reviewed according to the Blackfeet Service Unit Administrative and patient care policies.

GUIDELINES: Professional journals, textbooks, DHEW, PHS, HRSA and IHS directives, Area memorandums, and Service Unit procedures.  Judgment is needed to interpret the appropriate guidelines.

COMPLEXITY: Direct oral surgical services in the dental clinic consisting, but not limited to: tooth extractions, surgical extractions of erupted teeth, tissue and bony impactions, root recovery by surgery, oral antral fistula closure, tooth replantation, tooth transplantation, surgical exposure of unerupted teeth, biopsy of hard and soft tissue, alveoloplasty, electrosurgery, removal of mandibular and maxillary exotosis, I&D intra and extra oral abscesses, maxillary and mandibular frenulectomy, establish emergency airway, intra and extra oral tissue suturing. The Contractor works in clinic situation where there is contact with a number of patients varying in age.

SCOPE AND EFFECT: The work accomplished by the services affects the image of the service unit and the dental care patients receive.

PERSONAL CONTACTS: Contracts include IHS staff, patients seeking care on the Blackfeet Reservation, Community and Tribal leaders, and non-Indian Health Services dental professionals. The Contractor will work with the IHS Dental Staff providing consultation for the provision of oral surgery services to local patients. The Contractor will provide training, guidance and support to the Service Unit Dental Staff to assure the provision of oral surgery care and patient education. The Contractor will treat patients as a member of the Blackfeet Service Unit Medical/Dental Staff. Performs examinations and provides direct oral surgical services.

PURPOSE OF CONTACTS: To inform patients about the status of their dental health and the dental treatment planned. To contact other dentists for referrals and to receive advice. To inform families about the patient and give directions for medications and proper dental health care. Contacts IHS staff for information about administration and/or personnel actions. Contacts persons of voluntary or non-voluntary organizations to exchange information about the dental program.

PHYSICAL DEMANDS: Clinical care will require walking and bending related to patient treatment.

WORK ENVIRONMENT: Clinical work provided in a Dental Clinic setting and hospital operating room setting.

EVALUATION PLAN: The services will fall under the apices of the Blackfeet Community Hospital Quality Assurance Plan. The Contractor will request privileges at the Blackfeet Community Hospital. These privileges will be reviewed and adjusted on a yearly basis. Privileges can be adjusted or suspended if an event warrants such action. The Contractor will be scheduled between 6-8 complex oral surgical cases per day. The scheduling will depend upon the complexity of the planned treatment.

Evaluation Factors: The Government will award a purchase order 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. Dental Diploma indicating graduation from accredited U.S. Dental School  = 30 Points.

2 .Unrestricted dental license in any state = 30 Points.

3. Clinical experience = 25 Points

4. Experience practicing in Public Health setting=15 Points

Basis for Award: Selection of the successful offeror will be made based on the evaluation criteria. The quotations will be evaluated and a contract awarded under the Best Value Continuum approach to permit tradeoffs among cost or price and non-cost factors. This will allow the Government to consider award to other than the lowest priced offeror or other than the highest technically rated offeror who meets or exceeds the technical acceptability standards established in the factors referenced above. Technical and past performance, when combined, are approximately equal to cost or price.

Source Selection Decision. In order to determine which offeror represents the best value to the government, the source selection authority will rank the offerors from best to worst. This will be accomplished by making a series of paired comparisons among the offerors by trading off the marginal differences in non-cost/price factors and price. If one offeror has both the better capability and lower price, then that offeror will be the better value. If one offeror has the better capability and a higher price, the source selection authority will decide whether the difference in capability is worth the difference in price. If the source selection authority considers the better capability to be worth the higher price, then the more capable, higher-priced offeror will be the better value. If not, then the less capable, lower-priced offeror will be the better value. The source selection authority will continue to make paired comparisons until it is decided which offeror represents the best value.

GOVERNMENT FURNISHED PROPERTY

The IHS shall provide all necessary equipment and supplies.  The Blackfeet Service Unit will be responsible for getting the Contractor access and clearance to all computer services necessary to carry out his/her duties.

COMPUTER SECURITY

Pursuant to the Federal information Security Management Act of 2002 (FISMA), the contractor will be required to complete a course in Computer Security Awareness Training (CSAT). This training must be completed annually by all employees including all contractors, volunteers, students, and summer externs. The Contractor will be required to comply with the Federal Information Processing Standards Publication (FIPS PUB) Number 201, “Personal Identification of Federal Employees and Contractors” and the associated Office Management and  Budget (OMB) implementation guidance for personal identity verification for all affected contractor and subcontractor personnel. Access/clearance to all pertinent computer systems, including completing a Business Partner Interconnection Security Agreement (BPISA), should be coordinated with the Site Manager.

CONTRACTING OFFICER AUTHORITY

Authority to negotiate changes in terms, conditions or amounts cited in this contract is reserved for the Contracting Officer.

CONTRACTING OFFICER’S REPRESENTATIVE (COR)

The COR shall be responsible for:

1.   Monitoring the Contractors technical progress, including surveillance and assessment of performance and recommending technical changes;

2.   Interpreting the statement of Work;

3.   Technical evaluation ad required;

4.   Technical inspections and acceptance; and

5.   Assisting the Contractor in the resolution of technical problems encountered during performance of this contract.

PRO-CHILDREN ACT

The Contractor certifies that it will comply with the provision of Public Law 103-227, Pro-Children Act of 1994, which imposes restrictions on smoking where federally funded children’s services are provided.

CHILD CARE NATIONAL AGENCY CHECK AND INVESTIGATION (CNACI)

A CNACI must be completed for all Indian Health Service (IHS) contract personnel within the Billings Area.  Public Law (P.L.) 101-630, Indian Child Protection and Family Violence Prevention Act, requires the IHS to conduct a criminal history background investigation on all contractors performing services in IHS facilities. The character and background investigations will be conducted by the Blackfeet Service Unit.

Fingerprints must also be taken as part of the pre-employment process and must be completed before Pharmacy Technician is allowed to work. The fingerprints should be coordinated with the Service Unit.

SPECIAL CONTRACT REQUIREMENTS

Contractor cannot serve as expert witness in any suit against the Federal Government. Many of the IHS patients receiving services may only speak a native language and/or reside on a Native American Reservation, therefore, the Contractor must demonstrate sensitivity to cross-cultural and language differences. The Privacy Act of 1974 mandates that the Contractor maintain complete confidentiality of all administrative, medical and personnel records, and all other pertinent information that comes to his/her attention or knowledge. The Privacy Act carries both civil and criminal penalties for unlawful disclosure of records. Violation of such confidentiality shall be cause for adverse action. All IHS regulations and policies applicable to these Acts shall be enforced. The Contractor shall comply with IHS facility infection control and safety procedures, practices and standards.

PROPOSAL SUBMISSION INSTRUCTIONS:

Proposals will only be accepted via email to [email protected] in response to this RFQ. ACCEPTANCE PERIOD: Your proposal must stipulate that it is predicated upon all the terms and conditions of this RFQ. In addition, it must contain a statement to the effect that it is firm for a period of at least 90 days from the date of receipt by the Government.

PURCHASE ORDER TERMS AND CONDITIONS

52.252-2          Clauses Incorporated by Reference (Feb 1998)

This contract incorporates one or more clauses by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. Also, the full text of a clause may be accessed electronically at this/these address(s): https://www.acquisition.gov/

52.204-7          System for Award Management                       Oct 2018

52.204-9          Personal Identity Verification of Contractor Personnel      Jan 2011

52.204-10        Reporting Executive Compensation and First-Tier Subcontract Awards             Jun 2020

52.204-13        System for Award Management Maintenance       Oct 2018

52-204-19        Incorporation by reference of representations and Certifications         Dec 2014

52.213-4          Terms and Conditions. Simplified Acquisitions (Other than Commercial Items)    Feb 2021    

52.216-21        Requirements                                                                          Oct 1995

52.217-8          Option to Extend Services                                      Nov 1999

52.222-50        Combating Trafficking in Persons                           Oct 2020

52.223-5          Pollution Prevention and Right-to-Know Information     May 2011

52.223-6          Drug-Free Workplace                                                May 2001

52.223-18        Encouraging Contractor Policies to Ban Text Messaging While Driving             Jun 2020

52.224-1          Privacy Act Notification                                              Apr 1984

52.224-2          Privacy Act                                                                 Apr 1984

52.225-13        Restrictions on Certain Foreign Purchases               Feb 2021

52.225-25        Prohibition on Contracting with Entities Engaging in Certain Activities or Transactions Relating to Iran representation and Certifications.                           Jun 2020

52.229-3          Federal, State, and Local Taxes                                Feb 2013

52.232-1          Payments                                                                   Apr 1984        

52.232-18        Availability of Funds                                                   Apr 1984

52.232-39        Unenforceability of Unauthorized Obligations            Jun 2013

52.233-1          Disputes                                                                     May 2014

52.237-3          Continuity of Service                                                  Jan 1991

52.242-15        Stop Work Order                                                        Aug 1989

52.242-17        Government Delay of Work                                        Apr 1984

52.243-1          Changes – Fixed Price                                               Aug 1987

52.244-6          Subcontracts for Commercial Items.                          Nov 2020

52.249-4          Termination for Convenience of the Government (Services) (Short Form)      Apr 1984                    

CLAUSES IN FULL TEXT

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 30 months. The Contracting Officer may exercise the option by written notice to the Contractor within 10 days before expiration of contract.

52.217-9          Option to Term of the Contract                               Mar 2000

(a) The Government may extend the term of this contract by written notice to the Contractor within 30 days provided that the Government gives the Contractor a preliminary written notice of its intent to extend at least 60 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 5 years.

DEPARTMENT OF HEALTH AND HUMAN SERVICES ACQUISITION REGULATION

(HHSAR) (48 CFR Chapter 3) Clauses

315.215-70      Late Proposals and Revisions                                 Dec 18, 2015

352.211-3        Paperwork Reduction Act                                        Dec 18, 2015

352.222-70      Contractor Cooperation in Equal Employment Opportunity Investigations                    Dec 18, 2015

352.223-70      Safety and Health                                                   Dec 18, 2015

352.224-70      Privacy Ac t                                                             Dec 18, 2015

352.224-71      Confidential Information                                          Dec 18, 2015

352.226-3        Native American Graves Protection and Repatriation Act                 Dec 18, 2015

352.237-70      Pro-Children Act                                                       Dec 18, 2015  

352.237-71      Crime Control Act of 1990-Reporting of Child Abuse  Dec 18, 2015

352.237-72      Crime Control Act of 1990-Requirement for Background checks          Dec 18, 2015

352.237-73      Indian Child Protection and Family Violence Act     Dec 18, 2015

352.237-74      Non-Discrimination in Service Delivery                    Dec 18, 2015

352.239-73      Electronic Information and Technology Accessibility  Notice            Dec 18, 2015                          

352.239-74      Electronic and Information Technology    Accessibility                     Dec 18, 2015