Two (2) Pharmacists - Santa Fe Indian Health Center and Santa Clara Health Center

Form / Attachment / Pricing Sheet

This document is the "Indian Health Service Buy Indian Act Indian Economic Enterprise Representation Form." It serves as a self-certification for offerors to confirm they meet the definition of an "Indian Economic Enterprise" as required by the Buy Indian Act. This form is to be submitted in response to a Sources Sought Notice, Request for Information (RFI), or Solicitation.

• Self-Certification: Offerors must certify whether they meet the definition of an "Indian Economic Enterprise" with "Indian Ownership" under the Buy Indian Act.
• Eligibility Period: The enterprise must meet the definition throughout the offer period, at the time of contract award, and during the full contract performance period. Immediate notification is required if eligibility is lost.
• Documentation: Contracting Officers may require documentation of eligibility, and awards may be subject to protest.
• Registration: Successful offerors must be registered with the System of Award Management (SAM).
• Penalties: False or misleading information is punishable by law.
• Required Fields: The form requires the Offeror to provide:
  • Name of Federally Recognized Tribal Entity (if applicable)
  • Name of the 51% owner of IEE Firm
  • Business Name
  • DUNS Number
  • Certifying Signature
  • Print Name

This form is critical for bidders responding to opportunities that include the Buy Indian Act preference. Bidders must accurately complete this form to self-certify their eligibility as an Indian Economic Enterprise. Failure to meet the criteria or complete the form correctly could disqualify a bid or impact contract performance.

Form / Attachment / Pricing Sheet

This document is a blank Past Performance Survey form used by the Department of Health and Human Services, Indian Health Service. It is designed to collect feedback from clients regarding a contractor's performance on previous contracts. This information is used to assess a contractor's past performance, which is a factor in source selection for future opportunities.

• Client Information: Fields for contractor name, client name and address, project name, contract number(s), performance period, and total contract value.
• Contact Information: Fields for Government or Commercial Project Manager Contact and Alternate Government or Commercial Project Manager Contact.
• Specific Performance Questions: Open-ended questions asking about the contract type, end goal/product, patient demographics served, planning and staffing requirements, and timeline adherence.
• Past Performance Ratings: A rating scheme (Excellent, Good, Acceptable, Marginal, Unacceptable) defined for various performance categories including Quality of Service, Cost Control, Timeliness of Performance, Business Relations, and Customer Satisfaction.
• Detailed Rating Criteria: Specific performance indicators are listed under each category for evaluators to rate.
• Additional Comments Section: Space for qualitative feedback.

While this is a blank form and not a solicitation itself, bidders should be aware that their past performance will be evaluated using a similar survey. Understanding the criteria and questions asked in this survey can help contractors prepare to provide relevant information about their past projects and performance to their clients, which may be used in future evaluations.

Solicitation / RFP / RFQ

This solicitation seeks offers for Two (2) Pharmacist Non-Personal Services for the Santa Fe Indian Health Center (SFIHC) and potentially the Santa Clara Health Center in Espanola, New Mexico. The primary duty station will be Santa Fe, New Mexico. The contract will be firm-fixed-priced.

• Provide evaluation and treatment non-personal services as a pharmacist.

• Read and interpret prescriptions, compute dosages, weigh and measure drugs, and compound drugs and chemicals.

• Resolve problems related to clinical, chemical, and therapeutic applications of drugs.

• Interpret prescriptions and dispense products, ensuring accuracy and identifying therapeutic incompatibilities.

• Review patient health records for therapeutic appropriateness, including diagnosis, treatment, allergies, and drug interactions.

• Notify prescribers of discrepancies and provide instructions on proper use, action, precaution, and storage of medications.

• Provide specialized expertise in dosing dangerous agents with narrow therapeutic ratios.

• Inspect stock for changes, maintain inventories, and ensure proper dating.

• Work shifts are 8-hour shifts (8:00 am - 5:00 pm or 8:00 am - 6:00 pm) at Santa Fe, and 8-hour shifts (8:00 am - 4:30 pm) at Santa Clara, with allowed breaks. Overtime is not authorized.

• Rotation between Santa Fe and Santa Clara Health Centers may be required.

• Contract Type: Firm-Fixed-Price (FFP).

• Period of Performance: Base Year (TBD, 2026 to TBD, 2027) plus four (4) one-year option periods (TBD, 2027-2031).

• Total contract award must not exceed five years.

• Quotes are due by 02/20/2026, 12:30 pm MST.

• Quotes must be submitted via email to patricia.trujillo@ihs.gov.

• Evaluation will be based on a best value basis, considering Technical Approach, Key Personnel/Qualifications, Past Performance, and Price. Technical Approach, Key Personnel/Qualifications, and Past Performance are relatively more important than Price.

• Offerors must be registered in SAM.gov.

• Quotes should be submitted in four volumes: Technical Quote, Key Personnel/Qualifications, Past Performance, and Price Quote.

• This acquisition is set aside for "Indian Small Business Economic Enterprises" (HHSAR Subpart 326.6).

• Offers will be solicited from Indian Small Business Economic Enterprises that are also small business concerns.

• The first tier set-aside is for "Small Business Indian Firms."

• Government-furnished property includes computers, telephones, desks/chairs, PIV cards, and PPE equipment.

• Contractor-furnished items include uniforms and other personal medical instruments.

• Mandatory orientations and background investigations (including fingerprinting) are required.

• Specific health and immunization requirements are detailed, including vaccinations and TB testing.

• Contractors must comply with HIPAA and other relevant regulations.

• Attachments include a Past Performance Survey, Buy Indian Act Indian Economic Enterprise Representation Form, and Business Associate Agreement.