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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 hou…
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