IHS Nationwide Multiple Award Task Order Contract 75H70125R00033

This is a Pre-Solicitation Notice and this synopsis is issued to provide a notice to the public for project information to be performed in support of the Indian Health Service (IHS). A Sources Sought was issued on 7 July 2024 under Solicitation Number 75H70124R00021 in order to conduct Market Research. The Solicitation is anticipated to be available on or about 13 August 2025, on www.sam.gov, under the new solicitation number 75H70125R00033. 1. CONTRACT INFORMATION: The purpose of this Indefinite-Delivery/ Indefinite-Quantity (IDIQ) Multiple-Award Task Order Contract (MATOC) is to provide a wide range for design-build (DB) and design-bid-build (DBB) of new construction, renovation, alteration and repair of medical and related facilities for the Department of Health and Human Services (HHS)/ Indian Health Service (IHS). Work for this MATOC will primarily be performed at the various facilities in the IHS geographic regions of: 1. Albuquerque Area (i.e., New Mexico) 2. Billings Area (i.e., Montana and Wyoming) 3. California Area 4. Great Plains Area (i.e., North Dakota, South Dakota, Nebraska and Iowa) 5. Nashville Area 6. Navajo Area (i.e., portions of Arizona, Utah and New Mexico) 7. Oklahoma City Area (i.e., Nebraska and Oklahoma) 8. Phoenix Area (i.e., Arizona, Utah and Nevada) 9. Portland Area (i.e., Washington, Idaho, and Oregon) Work may also be performed within the Alaska, Tucson, and Bemidji Areas as necessary; however, work is anticipated to be rare in these regions. The place of performance will be designated on each Task Order. A list of all IHS Healthcare Facilities and definitive map of each of the IHS Areas can be located at this website: https://www.ihs.gov/locations/ These facilities include major medical centers, hospitals, healthcare centers, small ambulatory and dental clinics, staff quarters and support facilities. The work also includes sanitary sewer and water line construction and repair. The services required will vary in size and complexity. The Government intends to award at least two or more IDIQ MATOCs for each area identified above. A list of all IHS Healthcare Facilities can be located at this website: https://www.ihs.gov/locations/ DES intends to award up to twelve (12) Indefinite Delivery-Indefinite Quantity (IDIQ) contracts that will be for a base period of one (1) year from the date of award with four (4) options to extend the term of the contract for four (4) additional one-year periods to be exercised at the discretion of the Government, or until the maximum contract capacity of $10,000,000.00 per contract is reached, whichever is earlier. On/Off Ramping opportunities will be reviewed under each IDIQ at the start of each option year. However, DES reserves the right to award more or fewer than 12 IDIQ contracts if it determines to be in the best interest of the government. The contracts awarded will have a guaranteed minimum order of $1,000.00 for the total of the base year and all option years. The minimum value of any individual task order is $1,000.00 with a maximum task order value of $5,000,000.00; most projects are anticipated to be between $100,000 and $1,000,000. Each specific IDIQ task order shall be separately negotiated based on the construction effort involved. All subsequent task orders issued under this MATOC will be Firm Fixed Price (FFP). All MATOC holders will be given the option to determine which areas, dollar threshholds, and NAICS they wish to receive task orders for; this will be identified as part of the offeror's proposal. 2. SET-ASIDE INFORMATION: This procurement is being competed as a 100% Small Business set-aside for all construction firms under the following North American Industry Classification System (NAICS) Codes: 236118 Residential Remodelers $45 Million 236210 Industrial Building Construction $45 Million 236220 Commercial and Institutional Building Construction $45 Million 237110 Water and Sewer Line and Related Structures Construction $45 Million 237310 Highway, Street, and Bridge Construction $45 Million 238910 Site Preparation Contractors $19 Million Offerors submitting a proposal package must have an active and valid registration in the System for Award Management (www.sam.gov). It is the responsibility of the contractor to check https://sam.gov frequently for any amendments or changes to the solicitation. Hard copy documents will NOT be available all documents for proposal purposes will be posted at the website for download by interested parties. This solicitation will be procured as a Request for Proposals (RFP) in accordance with FAR Part 15.101-1 utilizing Best Value-Tradeoff evaluation criteria. 3. PROJECT INFORMATION Services required include a wide range of general construction, renovation, alteration and maintenance services, including but not limited to the interior and exterior of major medical centers, hospitals, healthcare centers, small ambulatory and dental clinics, staff quarters, support facilities, storage facilities, parking lots/sidewalks, water distribution systems, and sanitation facilities. Projects may include design-build (DB) and design-bid-build (DBB) services. In addition to the above construction services, projects from the Division of Sanitary Facilities Construction (SFC) will also be included under this MATOC. The SFC is responsible to provide water, sewer and solid waste facilities for Native American housing at, adjacent to or near Indian Reservations as authorized by Public Law 86-121. Community sizes range from 15 to 10,000 people. IHS is authorized to design, construct and improve facilities, acquire lands and right-of-way for sanitation facilities projects, and transfer complete facilities to Native American Tribal organizations or other public authorities for operation and maintenance. SFC projects include water distribution systems, sanitation facilities, and wastewater utility projects. Typical required services include, but are not limited to the following: a. Buildings: New construction, additions, other structures (e.g. storage facilities, etc.) and, renovation, alteration, maintenance and repair of healthcare, pharmacy, dental, storage, daycare, adolescent treatment centers, residential, offices, septic, sanitation, and other structures as required, including incidental work. Building projects may include interior and/or exterior modernization, painting, flooring, fencing, work incidental to surface deterioration (e.g. patching drywall, replacing siding, trim work) and structural repairs including but not limited to foundations, settlement, masonry/brick cracking, etc. b. Systems and Equipment: New construction, rehabilitation, maintenance or repair of mechanical and electrical systems to include purchase and installation of new generators, HVAC systems, plumbing systems, waste water drainage systems, fire alarm, fire protection sprinkler systems, fire suppression systems, intrusion alarms, back flow preventers, boilers, chillers. Furniture, Furnishings & Equipment (FF&E) (ie. IT equipment, medical equipment, office furniture, food service equipment, ect) will NOT be part of any construction project under the MATOC; however, contractors may be required to work with 3rd party FF&E contractors within the same space. c. Roofs: Replacement, maintenance and repair of a variety of roofs and roofing systems, including gutters, downspouts, flashing, fascia and soffits and incidental damage remediation as a result of roof leaks (e.g. ceiling replacement, painting and carpet cleaning). d. Horizontal Construction: New construction, maintenance and repairs of roads, streets, concrete, asphalt, parking lots, sidewalks, trails, storm drainage, erosion repairs (i.e. sinkholes, washouts), soft/hard landscaping, sodding, landscape irrigation systems, detection loops, bridges, parking lots, traffic lines, traffic markings, repair/replacement of storm water, sewer lines, site-work, well drilling and repair etc. e. Utilities: New construction, maintenance or repair of interior and exterior utility systems and lines (main lines and lateral feeders). Interior and exterior high and low voltage electrical, communication lines and systems (telephone and data lines), gas lines, security & security camera systems and cabling, emergency generator systems. f. Water and Wastewater Utilities: New construction, maintenance or repair of individual water services consisting of water service lines, pressure systems, cisterns, and individual wells. Community water facilities of water distribution main and appurtenances, pump houses, well drilling, control valves, water treatment facilities and equipment, and community water storage tanks. Individual wastewater facilities consisting of septic tanks with varied types of drain fields, sewer service lines, onsite wastewater treatment and disposal systems, septic tank effluent pump systems, individual lift stations, septic tanks and mounds, and septic tank abandonment. Community wastewater facilities consisting of wastewater collection systems and appurtenances, shallow and drop manholes, force mains, lift stations, wastewater aeration/measurement, wastewater treatment systems including but not limited to evaporative and discharging lagoons, mechanical treatment, and effluent irrigation systems. g. Dismantling, Demolition, or Removal of Improvements: Dismantling, demolition, or removal of improvements, dismantling or demolition of buildings, ground improvements and other real property structures, and removal of such structures or portions of structures. Proper removal and disposal of materials, excavating site to task order requirements after demolition/removal, protecting existing government property not part of the demolition/removal project; as well as obtaining all documents and providing copies to the government as deliverables. h. Incidental Work: Services, including environmental services such as remediation and abatement (e.g. lead, asbestos, smoke, mold, etc.) incidental to the tasks required under any of the above paragraphs. Carpentry, interior and exterior painting, interior and exterior lighting, and similar electrical work that may be required to provide a complete, safe and usable facility during and after the primary construction work required is completed. This includes site work and drainage excavation. Work with the guidance/over-site of archeological consultant; if on site, and make the Contracting Officer (CO) aware of any artifacts or items of concern that arise. i. Design Services: Design-build task orders shall utilize qualified, experienced, professional A-E multi-discipline firms. The A-E firms must be capable of design analysis, planning, development, CADD, professional services, predesign site-assessment, design, geotechnical investigations and reports, environmental investigations, studies and reports, abatement and sampling, construction documentation, cost estimates, value engineering, post design-shop drawing review, construction phase services, and construction administration. Additional services include but are not limited to: seismic design, topographic and boundary surveys to include mapping and analysis (including data collection and verification), design review, seismic analysis, design construction cost reconciliation, environmental testing, statement of work review, site surveys and evaluations, and Environmental Protection Agency (EPA) compliance for hazardous materials, solvents, chemicals, asbestos, lead based paint and radon. A-E disciplines required to comply with the above requirements include but are not limited to: registered architect, registered civil engineer, registered electrical engineer, registered mechanical engineer, registered structural engineer, registered fire protection engineer, registered geotechnical (registered civil may be acceptable if certified), registered environmental (registered civil may be acceptable if certified), interior designer, certified environmental survey/design personnel, and construction management. 4. SEED PROJECT: Project # GP24KY301C06, Kyle Modernization. The facility condition assessment conducted in 2023 at the Kyle Health Center in Kyle, SD identified several key findings. These include deficiencies in lighting levels, a requirement for ductwork cleaning, necessary repairs to sidewalks, the replacement of atrium windows, and various painting and wall protection improvements. Furthermore, the outpatient department needs modernization, which involves the installation of new flooring, casework, bathroom renovations, door replacement, lighting fixtures, and ceiling tiles. It is important to note that none of these identified issues pose an immediate threat to accreditation status. The goal of this project is to modernize all components to comply with current healthcare standards, enhancing both patient care and satisfaction, as well as improving staff engagement in the upgraded facility. The Kyle Health Center is located on the Pine Ridge Reservation in South Dakota. The Pine Ridge Reservation is home to the Oglala Sioux Tribe. Per FAR 36.204, the magnitude of the seed project is between $1,000,000 and $5,000,000. The NAICS for the seed project is 236220, Commercial and Institutional Building Construction, size standard is $45 million. All offerors shall submit a price proposal for the seed project in order to be considered for award of a MATOC. NOTE: Registration in the System for Award Management (SAM) database is mandatory to be considered for award. Offerors may obtain information on registration and annual confirmation requirements via the internet at: https://www.sam.gov. Contractors are encouraged to complete SAM registration as soon as possible; the government may not delay award for the purpose of allowing a contractor additional time to register in SAM. This notice is for informational purposes only and is NOT a request for submission of offers. No other information is available until issuance of the solicitation itself. No bidder list is maintained. All potential bidders should register with https://sam.gov if interested in this forthcoming acquisition. NO ADDITIONAL INFORMATION IS AVAILABLE OTHER THAN WHAT IS NOTED HEREIN. FIRMS ARE INSTRUCTED NOT TO CALL REQUESTING MORE INFORMATION. Interested bidders should register and follow this pre-solicitation notice on https://sam.gov to receive email notices of any updates to the notice including the posting of the solicitation and any subsequent amendments.

The purpose of this Indefinite-Delivery/ Indefinite-Quantity (IDIQ) Multiple-Award Task Order Contract (MATOC) is to provide a wide range for design-build (DB) and design-bid-build (DBB) of new construction, renovation, alteration and repair of medical and related facilities for the Department of Health and Human Services (HHS)/ Indian Health Service (IHS). Work for this MATOC will primarily be performed at the various facilities in the IHS geographic regions of: 1. Albuquerque Area (i.e., New Mexico) 2. Billings Area (i.e., Montana and Wyoming) 3. California Area 4. Great Plains Area (i.e., North Dakota, South Dakota, Nebraska and Iowa) 5. Nashville Area 6. Navajo Area (i.e., portions of Arizona, Utah and New Mexico) 7. Oklahoma City Area (i.e., Nebraska and Oklahoma) 8. Phoenix Area (i.e., Arizona, Utah and Nevada) 9. Portland Area (i.e., Washington, Idaho, and Oregon) Work may also be performed within the Alaska, Tucson, and Bemidji Areas as necessary; however, work is anticipated to be rare in these regions. The place of performance will be designated on each Task Order. A list of all IHS Healthcare Facilities and definitive map of each of the IHS Areas can be located at this website: https://www.ihs.gov/locations/ These facilities include major medical centers, hospitals, healthcare centers, small ambulatory and dental clinics, staff quarters and support facilities. The work also includes sanitary sewer and water line construction and repair. The services required will vary in size and complexity. The Government intends to award at least two or more IDIQ MATOCs for each area identified above. DES intends to award up to twelve (12) Indefinite Delivery-Indefinite Quantity (IDIQ) contracts that will be for a base period of one (1) year from the date of award with four (4) options to extend the term of the contract for four (4) additional one-year periods to be exercised at the discretion of the Government, or until the maximum contract capacity of $10,000,000.00 per contract is reached, whichever is earlier. However, DES reserves the right to award more or fewer than 12 IDIQ contracts if it determines to be in the best interest of the government. On/Off Ramping opportunities will be reviewed under each IDIQ at the start of each option year. The contracts awarded will have a guaranteed minimum order of $1,000.00 for the total of the base year and all option years. The minimum value of any individual task order is $1,000.00 with a maximum task order value of $5,000,000.00; most projects are anticipated to exceed $100,000.00. Each specific IDIQ task order shall be separately negotiated based on the construction effort involved. All subsequent task orders issued under this MATOC will be Firm Fixed Price (FFP). In accordance with the Buy Indian Act (25 U.S.C. 47), implementing regulations published at 87 FR 2072, and HHSAR 326.6, the Government will determine the final set-aside designation of each Area s MATOC pool during source selection for award of the MATOCs. Each area will be designated as either an ISBEE set aside or as a Small Business set aside. In ISBEE-designated Areas, participation will be limited to qualified ISBEE firms. Once an Area is designated, all future Task Order Requests for Proposal (RFPs) will be competed only among the contractors in that Area s MATOC pool in accordance with the designation. An ISBEE firm that is included in a pool designated as a Small Business Area pool may compete for task orders as a Small Business firm rather than as an ISBEE. Offerors submitting a proposal package must have an active and valid registration in the System for Award Management (www.sam.gov). It is the responsibility of the contractor to check https://sam.gov frequently for any amendments or changes to the solicitation. Hard copy documents will NOT be available all documents for proposal purposes will be posted at the website for download by interested parties. This solicitation will be procured as a Request for Proposals (RFP) in accordance with FAR Part 15.101-1 utilizing Best Value-Tradeoff evaluation criteria. See Section L and M for source selection submission requirements and evaluation procedures. The following NAICS will be utilized under this effort. 236118 Residential Remodelers $45 Million 236210 Industrial Building Construction $45 Million 236220 Commercial and Institutional Building Construction $45 Million 237110 Water and Sewer Line and Related Structures Construction $45 Million 237310 Highway, Street, and Bridge Construction $45 Million 238910 Site Preparation Contractors $19 Million The following information is provided for the Seed Project: Project # GP24KY301C06, Kyle Modernization. The facility condition assessment conducted in 2023 at the Kyle Health Center in Kyle, SD identified several key findings. These include deficiencies in lighting levels, a requirement for ductwork cleaning, necessary repairs to sidewalks, the replacement of atrium windows, and various painting and wall protection improvements. Furthermore, the outpatient department needs modernization, which involves the installation of new flooring, casework, lighting fixtures, and ceiling tiles. It is important to note that none of these identified issues pose an immediate threat to accreditation status. See Section J05 for Seed Project Documents. The Kyle Health Center is located on the Pine Ridge Reservation in South Dakota. The Pine Ridge Reservation is home to the Oglala Sioux Tribe. The Place of Performance (Kyle, SD 57752) listed in this announcement applies to the Seed Project ONLY. The Period of Performance for this project is 365 calendar days after Notice to Proceed. The price magnitude of the seed project is between $1,000,000 and $5,000,000. The NAICS for the seed project is 236220, Commercial and Institutional Building Construction, size standard is $45 million. The Seed Project task order is a 100% Small Business Set Aside regardless of the eventual Great Plains Area set-aside designation. All offerors shall submit a price proposal for the seed project in order to be considered for award of a MATOC.

The purpose of this Indefinite-Delivery/ Indefinite-Quantity (IDIQ) Multiple-Award Task Order Contract (MATOC) is to provide a wide range for design-build (DB) and design-bid-build (DBB) of new construction, renovation, alteration and repair of medical and related facilities for the Department of Health and Human Services (HHS)/ Indian Health Service (IHS). Work for this MATOC will primarily be performed at the various facilities in the IHS geographic regions of: 1. Albuquerque Area (i.e., New Mexico) 2. Billings Area (i.e., Montana and Wyoming) 3. California Area 4. Great Plains Area (i.e., North Dakota, South Dakota, Nebraska and Iowa) 5. Nashville Area 6. Navajo Area (i.e., portions of Arizona, Utah and New Mexico) 7. Oklahoma City Area (i.e., Nebraska and Oklahoma) 8. Phoenix Area (i.e., Arizona, Utah and Nevada) 9. Portland Area (i.e., Washington, Idaho, and Oregon) Work may also be performed within the Alaska, Tucson, and Bemidji Areas as necessary; however, work is anticipated to be rare in these regions. The place of performance will be designated on each Task Order. A list of all IHS Healthcare Facilities and definitive map of each of the IHS Areas can be located at this website: https://www.ihs.gov/locations/ These facilities include major medical centers, hospitals, healthcare centers, small ambulatory and dental clinics, staff quarters and support facilities. The work also includes sanitary sewer and water line construction and repair. The services required will vary in size and complexity. The Government intends to award at least two or more IDIQ MATOCs for each area identified above. DES intends to award up to twelve (12) Indefinite Delivery-Indefinite Quantity (IDIQ) contracts that will be for a base period of one (1) year from the date of award with four (4) options to extend the term of the contract for four (4) additional one-year periods to be exercised at the discretion of the Government, or until the maximum contract capacity of $10,000,000.00 per contract is reached, whichever is earlier. However, DES reserves the right to award more or fewer than 12 IDIQ contracts if it determines to be in the best interest of the government. On/Off Ramping opportunities will be reviewed under each IDIQ at the start of each option year. The contracts awarded will have a guaranteed minimum order of $1,000.00 for the total of the base year and all option years. The minimum value of any individual task order is $1,000.00 with a maximum task order value of $5,000,000.00; most projects are anticipated to exceed $100,000.00. Each specific IDIQ task order shall be separately negotiated based on the construction effort involved. All subsequent task orders issued under this MATOC will be Firm Fixed Price (FFP). In accordance with the Buy Indian Act (25 U.S.C. 47), implementing regulations published at 87 FR 2072, and HHSAR 326.6, the Government will determine the final set-aside designation of each Area s MATOC pool during source selection for award of the MATOCs. Each area will be designated as either an ISBEE set aside or as a Small Business set aside. In ISBEE-designated Areas, participation will be limited to qualified ISBEE firms. Once an Area is designated, all future Task Order Requests for Proposal (RFPs) will be competed only among the contractors in that Area s MATOC pool in accordance with the designation. An ISBEE firm that is included in a pool designated as a Small Business Area pool may compete for task orders as a Small Business firm rather than as an ISBEE. Offerors submitting a proposal package must have an active and valid registration in the System for Award Management (www.sam.gov). It is the responsibility of the contractor to check https://sam.gov frequently for any amendments or changes to the solicitation. Hard copy documents will NOT be available all documents for proposal purposes will be posted at the website for download by interested parties. This solicitation will be procured as a Request for Proposals (RFP) in accordance with FAR Part 15.101-1 utilizing Best Value-Tradeoff evaluation criteria. See Section L and M for source selection submission requirements and evaluation procedures. The following NAICS will be utilized under this effort. 236118 Residential Remodelers $45 Million 236210 Industrial Building Construction $45 Million 236220 Commercial and Institutional Building Construction $45 Million 237110 Water and Sewer Line and Related Structures Construction $45 Million 237310 Highway, Street, and Bridge Construction $45 Million 238910 Site Preparation Contractors $19 Million The following information is provided for the Seed Project: Project # GP24KY301C06, Kyle Modernization. The facility condition assessment conducted in 2023 at the Kyle Health Center in Kyle, SD identified several key findings. These include deficiencies in lighting levels, a requirement for ductwork cleaning, necessary repairs to sidewalks, the replacement of atrium windows, and various painting and wall protection improvements. Furthermore, the outpatient department needs modernization, which involves the installation of new flooring, casework, lighting fixtures, and ceiling tiles. It is important to note that none of these identified issues pose an immediate threat to accreditation status. See Section J05 for Seed Project Documents. The Kyle Health Center is located on the Pine Ridge Reservation in South Dakota. The Pine Ridge Reservation is home to the Oglala Sioux Tribe. The Place of Performance (Kyle, SD 57752) listed in this announcement applies to the Seed Project ONLY. The Period of Performance for this project is 365 calendar days after Notice to Proceed. The price magnitude of the seed project is between $1,000,000 and $5,000,000. The NAICS for the seed project is 236220, Commercial and Institutional Building Construction, size standard is $45 million. The Seed Project task order is a 100% Small Business Set Aside regardless of the eventual Great Plains Area set-aside designation. All offerors shall submit a price proposal for the seed project in order to be considered for award of a MATOC. **Amendment 01 dated 19 Sep 2025** **Amendment 02 dated 19 Sep 2025**

The purpose of this Indefinite-Delivery/ Indefinite-Quantity (IDIQ) Multiple-Award Task Order Contract (MATOC) is to provide a wide range for design-build (DB) and design-bid-build (DBB) of new construction, renovation, alteration and repair of medical and related facilities for the Department of Health and Human Services (HHS)/ Indian Health Service (IHS). Work for this MATOC will primarily be performed at the various facilities in the IHS geographic regions of: 1. Albuquerque Area (i.e., New Mexico) 2. Billings Area (i.e., Montana and Wyoming) 3. California Area 4. Great Plains Area (i.e., North Dakota, South Dakota, Nebraska and Iowa) 5. Nashville Area 6. Navajo Area (i.e., portions of Arizona, Utah and New Mexico) 7. Oklahoma City Area (i.e., Nebraska and Oklahoma) 8. Phoenix Area (i.e., Arizona, Utah and Nevada) 9. Portland Area (i.e., Washington, Idaho, and Oregon) Work may also be performed within the Alaska, Tucson, and Bemidji Areas as necessary; however, work is anticipated to be rare in these regions. The place of performance will be designated on each Task Order. A list of all IHS Healthcare Facilities and definitive map of each of the IHS Areas can be located at this website: https://www.ihs.gov/locations/ These facilities include major medical centers, hospitals, healthcare centers, small ambulatory and dental clinics, staff quarters and support facilities. The work also includes sanitary sewer and water line construction and repair. The services required will vary in size and complexity. The Government intends to award at least two or more IDIQ MATOCs for each area identified above. DES intends to award up to twelve (12) Indefinite Delivery-Indefinite Quantity (IDIQ) contracts that will be for a base period of one (1) year from the date of award with four (4) options to extend the term of the contract for four (4) additional one-year periods to be exercised at the discretion of the Government, or until the maximum contract capacity of $10,000,000.00 per contract is reached, whichever is earlier. However, DES reserves the right to award more or fewer than 12 IDIQ contracts if it determines to be in the best interest of the government. On/Off Ramping opportunities will be reviewed under each IDIQ at the start of each option year. The contracts awarded will have a guaranteed minimum order of $1,000.00 for the total of the base year and all option years. The minimum value of any individual task order is $1,000.00 with a maximum task order value of $5,000,000.00; most projects are anticipated to exceed $100,000.00. Each specific IDIQ task order shall be separately negotiated based on the construction effort involved. All subsequent task orders issued under this MATOC will be Firm Fixed Price (FFP). In accordance with the Buy Indian Act (25 U.S.C. 47), implementing regulations published at 87 FR 2072, and HHSAR 326.6, the Government will determine the final set-aside designation of each Area s MATOC pool during source selection for award of the MATOCs. Each area will be designated as either an ISBEE set aside or as a Small Business set aside. In ISBEE-designated Areas, participation will be limited to qualified ISBEE firms. Once an Area is designated, all future Task Order Requests for Proposal (RFPs) will be competed only among the contractors in that Area s MATOC pool in accordance with the designation. An ISBEE firm that is included in a pool designated as a Small Business Area pool may compete for task orders as a Small Business firm rather than as an ISBEE. Offerors submitting a proposal package must have an active and valid registration in the System for Award Management (www.sam.gov). It is the responsibility of the contractor to check https://sam.gov frequently for any amendments or changes to the solicitation. Hard copy documents will NOT be available all documents for proposal purposes will be posted at the website for download by interested parties. This solicitation will be procured as a Request for Proposals (RFP) in accordance with FAR Part 15.101-1 utilizing Best Value-Tradeoff evaluation criteria. See Section L and M for source selection submission requirements and evaluation procedures. The following NAICS will be utilized under this effort. 236118 Residential Remodelers $45 Million 236210 Industrial Building Construction $45 Million 236220 Commercial and Institutional Building Construction $45 Million 237110 Water and Sewer Line and Related Structures Construction $45 Million 237310 Highway, Street, and Bridge Construction $45 Million 238910 Site Preparation Contractors $19 Million The following information is provided for the Seed Project: Project # GP24KY301C06, Kyle Modernization. The facility condition assessment conducted in 2023 at the Kyle Health Center in Kyle, SD identified several key findings. These include deficiencies in lighting levels, a requirement for ductwork cleaning, necessary repairs to sidewalks, the replacement of atrium windows, and various painting and wall protection improvements. Furthermore, the outpatient department needs modernization, which involves the installation of new flooring, casework, lighting fixtures, and ceiling tiles. It is important to note that none of these identified issues pose an immediate threat to accreditation status. See Section J05 for Seed Project Documents. The Kyle Health Center is located on the Pine Ridge Reservation in South Dakota. The Pine Ridge Reservation is home to the Oglala Sioux Tribe. The Place of Performance (Kyle, SD 57752) listed in this announcement applies to the Seed Project ONLY. The Period of Performance for this project is 365 calendar days after Notice to Proceed. The price magnitude of the seed project is between $1,000,000 and $5,000,000. The NAICS for the seed project is 236220, Commercial and Institutional Building Construction, size standard is $45 million. The Seed Project task order is a 100% Small Business Set Aside regardless of the eventual Great Plains Area set-aside designation. All offerors shall submit a price proposal for the seed project in order to be considered for award of a MATOC. **Amendment 01 dated 19 Sep 2025** **Amendment 02 dated 19 Sep 2025** **Amendment 03 dated 25 Sep 2025**

The purpose of this Indefinite-Delivery/ Indefinite-Quantity (IDIQ) Multiple-Award Task Order Contract (MATOC) is to provide a wide range for design-build (DB) and design-bid-build (DBB) of new construction, renovation, alteration and repair of medical and related facilities for the Department of Health and Human Services (HHS)/ Indian Health Service (IHS). Work for this MATOC will primarily be performed at the various facilities in the IHS geographic regions of: 1. Albuquerque Area (i.e., New Mexico) 2. Billings Area (i.e., Montana and Wyoming) 3. California Area 4. Great Plains Area (i.e., North Dakota, South Dakota, Nebraska and Iowa) 5. Nashville Area 6. Navajo Area (i.e., portions of Arizona, Utah and New Mexico) 7. Oklahoma City Area (i.e., Nebraska and Oklahoma) 8. Phoenix Area (i.e., Arizona, Utah and Nevada) 9. Portland Area (i.e., Washington, Idaho, and Oregon) Work may also be performed within the Alaska, Tucson, and Bemidji Areas as necessary; however, work is anticipated to be rare in these regions. The place of performance will be designated on each Task Order. A list of all IHS Healthcare Facilities and definitive map of each of the IHS Areas can be located at this website: https://www.ihs.gov/locations/ These facilities include major medical centers, hospitals, healthcare centers, small ambulatory and dental clinics, staff quarters and support facilities. The work also includes sanitary sewer and water line construction and repair. The services required will vary in size and complexity. The Government intends to award at least two or more IDIQ MATOCs for each area identified above. DES intends to award up to twelve (12) Indefinite Delivery-Indefinite Quantity (IDIQ) contracts that will be for a base period of one (1) year from the date of award with four (4) options to extend the term of the contract for four (4) additional one-year periods to be exercised at the discretion of the Government, or until the maximum contract capacity of $10,000,000.00 per contract is reached, whichever is earlier. However, DES reserves the right to award more or fewer than 12 IDIQ contracts if it determines to be in the best interest of the government. On/Off Ramping opportunities will be reviewed under each IDIQ at the start of each option year. The contracts awarded will have a guaranteed minimum order of $1,000.00 for the total of the base year and all option years. The minimum value of any individual task order is $1,000.00 with a maximum task order value of $5,000,000.00; most projects are anticipated to exceed $100,000.00. Each specific IDIQ task order shall be separately negotiated based on the construction effort involved. All subsequent task orders issued under this MATOC will be Firm Fixed Price (FFP). In accordance with the Buy Indian Act (25 U.S.C. 47), implementing regulations published at 87 FR 2072, and HHSAR 326.6, the Government will determine the final set-aside designation of each Area s MATOC pool during source selection for award of the MATOCs. Each area will be designated as either an ISBEE set aside or as a Small Business set aside. In ISBEE-designated Areas, participation will be limited to qualified ISBEE firms. Once an Area is designated, all future Task Order Requests for Proposal (RFPs) will be competed only among the contractors in that Area s MATOC pool in accordance with the designation. An ISBEE firm that is included in a pool designated as a Small Business Area pool may compete for task orders as a Small Business firm rather than as an ISBEE. Offerors submitting a proposal package must have an active and valid registration in the System for Award Management (www.sam.gov). It is the responsibility of the contractor to check https://sam.gov frequently for any amendments or changes to the solicitation. Hard copy documents will NOT be available all documents for proposal purposes will be posted at the website for download by interested parties. This solicitation will be procured as a Request for Proposals (RFP) in accordance with FAR Part 15.101-1 utilizing Best Value-Tradeoff evaluation criteria. See Section L and M for source selection submission requirements and evaluation procedures. The following NAICS will be utilized under this effort. 236118 Residential Remodelers $45 Million 236210 Industrial Building Construction $45 Million 236220 Commercial and Institutional Building Construction $45 Million 237110 Water and Sewer Line and Related Structures Construction $45 Million 237310 Highway, Street, and Bridge Construction $45 Million 238910 Site Preparation Contractors $19 Million The following information is provided for the Seed Project: Project # GP24KY301C06, Kyle Modernization. The facility condition assessment conducted in 2023 at the Kyle Health Center in Kyle, SD identified several key findings. These include deficiencies in lighting levels, necessary repairs to sidewalks, the replacement of atrium windows, and various painting and wall protection improvements. Furthermore, the outpatient department needs modernization, which involves the installation of new flooring, casework, lighting fixtures, and ceiling tiles. It is important to note that none of these identified issues pose an immediate threat to accreditation status. See Section J05 for Seed Project Documents. The Kyle Health Center is located on the Pine Ridge Reservation in South Dakota. The Pine Ridge Reservation is home to the Oglala Sioux Tribe. The Place of Performance (Kyle, SD 57752) listed in this announcement applies to the Seed Project ONLY. The Period of Performance for this project is 365 calendar days after Notice to Proceed. The price magnitude of the seed project is between $1,000,000 and $5,000,000. The NAICS for the seed project is 236220, Commercial and Institutional Building Construction, size standard is $45 million. The Seed Project task order is a 100% Small Business Set Aside regardless of the eventual Great Plains Area set-aside designation. All offerors shall submit a price proposal for the seed project in order to be considered for award of a MATOC. **Amendment 01 dated 19 Sep 2025** **Amendment 02 dated 19 Sep 2025** **Amendment 03 dated 25 Sep 2025** **Amendment 04 dated 29 Sep 2025**

The purpose of this Indefinite-Delivery/ Indefinite-Quantity (IDIQ) Multiple-Award Task Order Contract (MATOC) is to provide a wide range for design-build (DB) and design-bid-build (DBB) of new construction, renovation, alteration and repair of medical and related facilities for the Department of Health and Human Services (HHS)/ Indian Health Service (IHS). Work for this MATOC will primarily be performed at the various facilities in the IHS geographic regions of: 1. Albuquerque Area (i.e., New Mexico) 2. Billings Area (i.e., Montana and Wyoming) 3. California Area 4. Great Plains Area (i.e., North Dakota, South Dakota, Nebraska and Iowa) 5. Nashville Area 6. Navajo Area (i.e., portions of Arizona, Utah and New Mexico) 7. Oklahoma City Area (i.e., Nebraska and Oklahoma) 8. Phoenix Area (i.e., Arizona, Utah and Nevada) 9. Portland Area (i.e., Washington, Idaho, and Oregon) Work may also be performed within the Alaska, Tucson, and Bemidji Areas as necessary; however, work is anticipated to be rare in these regions. The place of performance will be designated on each Task Order. A list of all IHS Healthcare Facilities and definitive map of each of the IHS Areas can be located at this website: https://www.ihs.gov/locations/ These facilities include major medical centers, hospitals, healthcare centers, small ambulatory and dental clinics, staff quarters and support facilities. The work also includes sanitary sewer and water line construction and repair. The services required will vary in size and complexity. The Government intends to award at least two or more IDIQ MATOCs for each area identified above. DES intends to award up to twelve (12) Indefinite Delivery-Indefinite Quantity (IDIQ) contracts that will be for a base period of one (1) year from the date of award with four (4) options to extend the term of the contract for four (4) additional one-year periods to be exercised at the discretion of the Government, or until the maximum contract capacity of $10,000,000.00 per contract is reached, whichever is earlier. However, DES reserves the right to award more or fewer than 12 IDIQ contracts if it determines to be in the best interest of the government. On/Off Ramping opportunities will be reviewed under each IDIQ at the start of each option year. The contracts awarded will have a guaranteed minimum order of $1,000.00 for the total of the base year and all option years. The minimum value of any individual task order is $1,000.00 with a maximum task order value of $5,000,000.00; most projects are anticipated to exceed $100,000.00. Each specific IDIQ task order shall be separately negotiated based on the construction effort involved. All subsequent task orders issued under this MATOC will be Firm Fixed Price (FFP). In accordance with the Buy Indian Act (25 U.S.C. 47), implementing regulations published at 87 FR 2072, and HHSAR 326.6, the Government will determine the final set-aside designation of each Area s MATOC pool during source selection for award of the MATOCs. Each area will be designated as either an ISBEE set aside or as a Small Business set aside. In ISBEE-designated Areas, participation will be limited to qualified ISBEE firms. Once an Area is designated, all future Task Order Requests for Proposal (RFPs) will be competed only among the contractors in that Area s MATOC pool in accordance with the designation. An ISBEE firm that is included in a pool designated as a Small Business Area pool may compete for task orders as a Small Business firm rather than as an ISBEE. Offerors submitting a proposal package must have an active and valid registration in the System for Award Management (www.sam.gov). It is the responsibility of the contractor to check https://sam.gov frequently for any amendments or changes to the solicitation. Hard copy documents will NOT be available all documents for proposal purposes will be posted at the website for download by interested parties. This solicitation will be procured as a Request for Proposals (RFP) in accordance with FAR Part 15.101-1 utilizing Best Value-Tradeoff evaluation criteria. See Section L and M for source selection submission requirements and evaluation procedures. The following NAICS will be utilized under this effort. 236118 Residential Remodelers $45 Million 236210 Industrial Building Construction $45 Million 236220 Commercial and Institutional Building Construction $45 Million 237110 Water and Sewer Line and Related Structures Construction $45 Million 237310 Highway, Street, and Bridge Construction $45 Million 238910 Site Preparation Contractors $19 Million The following information is provided for the Seed Project: Project # GP24KY301C06, Kyle Modernization. The facility condition assessment conducted in 2023 at the Kyle Health Center in Kyle, SD identified several key findings. These include deficiencies in lighting levels, necessary repairs to sidewalks, the replacement of atrium windows, and various painting and wall protection improvements. Furthermore, the outpatient department needs modernization, which involves the installation of new flooring, casework, lighting fixtures, and ceiling tiles. It is important to note that none of these identified issues pose an immediate threat to accreditation status. See Section J05 for Seed Project Documents. The Kyle Health Center is located on the Pine Ridge Reservation in South Dakota. The Pine Ridge Reservation is home to the Oglala Sioux Tribe. The Place of Performance (Kyle, SD 57752) listed in this announcement applies to the Seed Project ONLY. The Period of Performance for this project is 365 calendar days after Notice to Proceed. The price magnitude of the seed project is between $1,000,000 and $5,000,000. The NAICS for the seed project is 236220, Commercial and Institutional Building Construction, size standard is $45 million. The Seed Project task order is a 100% Small Business Set Aside regardless of the eventual Great Plains Area set-aside designation. All offerors shall submit a price proposal for the seed project in order to be considered for award of a MATOC. **Amendment 01 dated 19 Sep 2025** **Amendment 02 dated 19 Sep 2025** **Amendment 03 dated 25 Sep 2025** **Amendment 04 dated 29 Sep 2025** **Amendment 05 dated 30 Sep 2025**

The purpose of this Indefinite-Delivery/ Indefinite-Quantity (IDIQ) Multiple-Award Task Order Contract (MATOC) is to provide a wide range for design-build (DB) and design-bid-build (DBB) of new construction, renovation, alteration and repair of medical and related facilities for the Department of Health and Human Services (HHS)/ Indian Health Service (IHS). Work for this MATOC will primarily be performed at the various facilities in the IHS geographic regions of: 1. Albuquerque Area (i.e., New Mexico) 2. Billings Area (i.e., Montana and Wyoming) 3. California Area 4. Great Plains Area (i.e., North Dakota, South Dakota, Nebraska and Iowa) 5. Nashville Area 6. Navajo Area (i.e., portions of Arizona, Utah and New Mexico) 7. Oklahoma City Area (i.e., Nebraska and Oklahoma) 8. Phoenix Area (i.e., Arizona, Utah and Nevada) 9. Portland Area (i.e., Washington, Idaho, and Oregon) Work may also be performed within the Alaska, Tucson, and Bemidji Areas as necessary; however, work is anticipated to be rare in these regions. The place of performance will be designated on each Task Order. A list of all IHS Healthcare Facilities and definitive map of each of the IHS Areas can be located at this website: https://www.ihs.gov/locations/ These facilities include major medical centers, hospitals, healthcare centers, small ambulatory and dental clinics, staff quarters and support facilities. The work also includes sanitary sewer and water line construction and repair. The services required will vary in size and complexity. The Government intends to award at least two or more IDIQ MATOCs for each area identified above. DES intends to award up to twelve (12) Indefinite Delivery-Indefinite Quantity (IDIQ) contracts that will be for a base period of one (1) year from the date of award with four (4) options to extend the term of the contract for four (4) additional one-year periods to be exercised at the discretion of the Government, or until the maximum contract capacity of $10,000,000.00 per contract is reached, whichever is earlier. However, DES reserves the right to award more or fewer than 12 IDIQ contracts if it determines to be in the best interest of the government. On/Off Ramping opportunities will be reviewed under each IDIQ at the start of each option year. The contracts awarded will have a guaranteed minimum order of $1,000.00 for the total of the base year and all option years. The minimum value of any individual task order is $1,000.00 with a maximum task order value of $5,000,000.00; most projects are anticipated to exceed $100,000.00. Each specific IDIQ task order shall be separately negotiated based on the construction effort involved. All subsequent task orders issued under this MATOC will be Firm Fixed Price (FFP). In accordance with the Buy Indian Act (25 U.S.C. 47), implementing regulations published at 87 FR 2072, and HHSAR 326.6, the Government will determine the final set-aside designation of each Area s MATOC pool during source selection for award of the MATOCs. Each area will be designated as either an ISBEE set aside or as a Small Business set aside. In ISBEE-designated Areas, participation will be limited to qualified ISBEE firms. Once an Area is designated, all future Task Order Requests for Proposal (RFPs) will be competed only among the contractors in that Area s MATOC pool in accordance with the designation. An ISBEE firm that is included in a pool designated as a Small Business Area pool may compete for task orders as a Small Business firm rather than as an ISBEE. Offerors submitting a proposal package must have an active and valid registration in the System for Award Management (www.sam.gov). It is the responsibility of the contractor to check https://sam.gov frequently for any amendments or changes to the solicitation. Hard copy documents will NOT be available all documents for proposal purposes will be posted at the website for download by interested parties. This solicitation will be procured as a Request for Proposals (RFP) in accordance with FAR Part 15.101-1 utilizing Best Value-Tradeoff evaluation criteria. See Section L and M for source selection submission requirements and evaluation procedures. The following NAICS will be utilized under this effort. 236118 Residential Remodelers $45 Million 236210 Industrial Building Construction $45 Million 236220 Commercial and Institutional Building Construction $45 Million 237110 Water and Sewer Line and Related Structures Construction $45 Million 237310 Highway, Street, and Bridge Construction $45 Million 238910 Site Preparation Contractors $19 Million The following information is provided for the Seed Project: Project # GP24KY301C06, Kyle Modernization. The facility condition assessment conducted in 2023 at the Kyle Health Center in Kyle, SD identified several key findings. These include deficiencies in lighting levels, necessary repairs to sidewalks, the replacement of atrium windows, and various painting and wall protection improvements. Furthermore, the outpatient department needs modernization, which involves the installation of new flooring, casework, lighting fixtures, and ceiling tiles. It is important to note that none of these identified issues pose an immediate threat to accreditation status. See Section J05 for Seed Project Documents. The Kyle Health Center is located on the Pine Ridge Reservation in South Dakota. The Pine Ridge Reservation is home to the Oglala Sioux Tribe. The Place of Performance (Kyle, SD 57752) listed in this announcement applies to the Seed Project ONLY. The Period of Performance for this project is 365 calendar days after Notice to Proceed. The price magnitude of the seed project is between $1,000,000 and $5,000,000. The NAICS for the seed project is 236220, Commercial and Institutional Building Construction, size standard is $45 million. The Seed Project task order is a 100% Small Business Set Aside regardless of the eventual Great Plains Area set-aside designation. All offerors shall submit a price proposal for the seed project in order to be considered for award of a MATOC. **Amendment 01 dated 19 Sep 2025** **Amendment 02 dated 19 Sep 2025** **Amendment 03 dated 25 Sep 2025** **Amendment 04 dated 29 Sep 2025** **Amendment 05 dated 30 Sep 2025** **Amendment 06 dated 3 Oct 2025**

The purpose of this Indefinite-Delivery/ Indefinite-Quantity (IDIQ) Multiple-Award Task Order Contract (MATOC) is to provide a wide range for design-build (DB) and design-bid-build (DBB) of new construction, renovation, alteration and repair of medical and related facilities for the Department of Health and Human Services (HHS)/ Indian Health Service (IHS). Work for this MATOC will primarily be performed at the various facilities in the IHS geographic regions of: 1. Albuquerque Area (i.e., New Mexico) 2. Billings Area (i.e., Montana and Wyoming) 3. California Area 4. Great Plains Area (i.e., North Dakota, South Dakota, Nebraska and Iowa) 5. Nashville Area 6. Navajo Area (i.e., portions of Arizona, Utah and New Mexico) 7. Oklahoma City Area (i.e., Nebraska and Oklahoma) 8. Phoenix Area (i.e., Arizona, Utah and Nevada) 9. Portland Area (i.e., Washington, Idaho, and Oregon) Work may also be performed within the Alaska, Tucson, and Bemidji Areas as necessary; however, work is anticipated to be rare in these regions. The place of performance will be designated on each Task Order. A list of all IHS Healthcare Facilities and definitive map of each of the IHS Areas can be located at this website: https://www.ihs.gov/locations/ These facilities include major medical centers, hospitals, healthcare centers, small ambulatory and dental clinics, staff quarters and support facilities. The work also includes sanitary sewer and water line construction and repair. The services required will vary in size and complexity. The Government intends to award at least two or more IDIQ MATOCs for each area identified above. DES intends to award up to twelve (12) Indefinite Delivery-Indefinite Quantity (IDIQ) contracts that will be for a base period of one (1) year from the date of award with four (4) options to extend the term of the contract for four (4) additional one-year periods to be exercised at the discretion of the Government, or until the maximum contract capacity of $10,000,000.00 per contract is reached, whichever is earlier. However, DES reserves the right to award more or fewer than 12 IDIQ contracts if it determines to be in the best interest of the government. On/Off Ramping opportunities will be reviewed under each IDIQ at the start of each option year. The contracts awarded will have a guaranteed minimum order of $1,000.00 for the total of the base year and all option years. The minimum value of any individual task order is $1,000.00 with a maximum task order value of $5,000,000.00; most projects are anticipated to exceed $100,000.00. Each specific IDIQ task order shall be separately negotiated based on the construction effort involved. All subsequent task orders issued under this MATOC will be Firm Fixed Price (FFP). In accordance with the Buy Indian Act (25 U.S.C. 47), implementing regulations published at 87 FR 2072, and HHSAR 326.6, the Government will determine the final set-aside designation of each Area s MATOC pool during source selection for award of the MATOCs. Each area will be designated as either an ISBEE set aside or as a Small Business set aside. In ISBEE-designated Areas, participation will be limited to qualified ISBEE firms. Once an Area is designated, all future Task Order Requests for Proposal (RFPs) will be competed only among the contractors in that Area s MATOC pool in accordance with the designation. An ISBEE firm that is included in a pool designated as a Small Business Area pool may compete for task orders as a Small Business firm rather than as an ISBEE. Offerors submitting a proposal package must have an active and valid registration in the System for Award Management (www.sam.gov). It is the responsibility of the contractor to check https://sam.gov frequently for any amendments or changes to the solicitation. Hard copy documents will NOT be available all documents for proposal purposes will be posted at the website for download by interested parties. This solicitation will be procured as a Request for Proposals (RFP) in accordance with FAR Part 15.101-1 utilizing Best Value-Tradeoff evaluation criteria. See Section L and M for source selection submission requirements and evaluation procedures. The following NAICS will be utilized under this effort. 236118 Residential Remodelers $45 Million 236210 Industrial Building Construction $45 Million 236220 Commercial and Institutional Building Construction $45 Million 237110 Water and Sewer Line and Related Structures Construction $45 Million 237310 Highway, Street, and Bridge Construction $45 Million 238910 Site Preparation Contractors $19 Million The following information is provided for the Seed Project: Project # GP24KY301C06, Kyle Modernization. The facility condition assessment conducted in 2023 at the Kyle Health Center in Kyle, SD identified several key findings. These include deficiencies in lighting levels, necessary repairs to sidewalks, the replacement of atrium windows, and various painting and wall protection improvements. Furthermore, the outpatient department needs modernization, which involves the installation of new flooring, casework, lighting fixtures, and ceiling tiles. It is important to note that none of these identified issues pose an immediate threat to accreditation status. See Section J05 for Seed Project Documents. The Kyle Health Center is located on the Pine Ridge Reservation in South Dakota. The Pine Ridge Reservation is home to the Oglala Sioux Tribe. The Place of Performance (Kyle, SD 57752) listed in this announcement applies to the Seed Project ONLY. The Period of Performance for this project is 365 calendar days after Notice to Proceed. The price magnitude of the seed project is between $1,000,000 and $5,000,000. The NAICS for the seed project is 236220, Commercial and Institutional Building Construction, size standard is $45 million. The Seed Project task order is a 100% Small Business Set Aside regardless of the eventual Great Plains Area set-aside designation. All offerors shall submit a price proposal for the seed project in order to be considered for award of a MATOC. **Amendment 01 dated 19 Sep 2025** **Amendment 02 dated 19 Sep 2025** **Amendment 03 dated 25 Sep 2025** **Amendment 04 dated 29 Sep 2025** **Amendment 05 dated 30 Sep 2025** **Amendment 06 dated 3 Oct 2025** **Amendment 07 dated 7 Oct 2025**

The purpose of this Indefinite-Delivery/ Indefinite-Quantity (IDIQ) Multiple-Award Task Order Contract (MATOC) is to provide a wide range for design-build (DB) and design-bid-build (DBB) of new construction, renovation, alteration and repair of medical and related facilities for the Department of Health and Human Services (HHS)/ Indian Health Service (IHS). Work for this MATOC will primarily be performed at the various facilities in the IHS geographic regions of: 1. Albuquerque Area (i.e., New Mexico) 2. Billings Area (i.e., Montana and Wyoming) 3. California Area 4. Great Plains Area (i.e., North Dakota, South Dakota, Nebraska and Iowa) 5. Nashville Area 6. Navajo Area (i.e., portions of Arizona, Utah and New Mexico) 7. Oklahoma City Area (i.e., Nebraska and Oklahoma) 8. Phoenix Area (i.e., Arizona, Utah and Nevada) 9. Portland Area (i.e., Washington, Idaho, and Oregon) Work may also be performed within the Alaska, Tucson, and Bemidji Areas as necessary; however, work is anticipated to be rare in these regions. The place of performance will be designated on each Task Order. A list of all IHS Healthcare Facilities and definitive map of each of the IHS Areas can be located at this website: https://www.ihs.gov/locations/ These facilities include major medical centers, hospitals, healthcare centers, small ambulatory and dental clinics, staff quarters and support facilities. The work also includes sanitary sewer and water line construction and repair. The services required will vary in size and complexity. The Government intends to award at least two or more IDIQ MATOCs for each area identified above. DES intends to award up to twelve (12) Indefinite Delivery-Indefinite Quantity (IDIQ) contracts that will be for a base period of one (1) year from the date of award with four (4) options to extend the term of the contract for four (4) additional one-year periods to be exercised at the discretion of the Government, or until the maximum contract capacity of $10,000,000.00 per contract is reached, whichever is earlier. However, DES reserves the right to award more or fewer than 12 IDIQ contracts if it determines to be in the best interest of the government. On/Off Ramping opportunities will be reviewed under each IDIQ at the start of each option year. The contracts awarded will have a guaranteed minimum order of $1,000.00 for the total of the base year and all option years. The minimum value of any individual task order is $1,000.00 with a maximum task order value of $5,000,000.00; most projects are anticipated to exceed $100,000.00. Each specific IDIQ task order shall be separately negotiated based on the construction effort involved. All subsequent task orders issued under this MATOC will be Firm Fixed Price (FFP). In accordance with the Buy Indian Act (25 U.S.C. 47), implementing regulations published at 87 FR 2072, and HHSAR 326.6, the Government will determine the final set-aside designation of each Area s MATOC pool during source selection for award of the MATOCs. Each area will be designated as either an ISBEE set aside or as a Small Business set aside. In ISBEE-designated Areas, participation will be limited to qualified ISBEE firms. Once an Area is designated, all future Task Order Requests for Proposal (RFPs) will be competed only among the contractors in that Area s MATOC pool in accordance with the designation. An ISBEE firm that is included in a pool designated as a Small Business Area pool may compete for task orders as a Small Business firm rather than as an ISBEE. Offerors submitting a proposal package must have an active and valid registration in the System for Award Management (www.sam.gov). It is the responsibility of the contractor to check https://sam.gov frequently for any amendments or changes to the solicitation. Hard copy documents will NOT be available all documents for proposal purposes will be posted at the website for download by interested parties. This solicitation will be procured as a Request for Proposals (RFP) in accordance with FAR Part 15.101-1 utilizing Best Value-Tradeoff evaluation criteria. See Section L and M for source selection submission requirements and evaluation procedures. The following NAICS will be utilized under this effort. 236118 Residential Remodelers $45 Million 236210 Industrial Building Construction $45 Million 236220 Commercial and Institutional Building Construction $45 Million 237110 Water and Sewer Line and Related Structures Construction $45 Million 237310 Highway, Street, and Bridge Construction $45 Million 238910 Site Preparation Contractors $19 Million The following information is provided for the Seed Project: Project # GP24KY301C06, Kyle Modernization. The facility condition assessment conducted in 2023 at the Kyle Health Center in Kyle, SD identified several key findings. These include deficiencies in lighting levels, necessary repairs to sidewalks, the replacement of atrium windows, and various painting and wall protection improvements. Furthermore, the outpatient department needs modernization, which involves the installation of new flooring, casework, lighting fixtures, and ceiling tiles. It is important to note that none of these identified issues pose an immediate threat to accreditation status. See Section J05 for Seed Project Documents. The Kyle Health Center is located on the Pine Ridge Reservation in South Dakota. The Pine Ridge Reservation is home to the Oglala Sioux Tribe. The Place of Performance (Kyle, SD 57752) listed in this announcement applies to the Seed Project ONLY. The Period of Performance for this project is 365 calendar days after Notice to Proceed. The price magnitude of the seed project is between $1,000,000 and $5,000,000. The NAICS for the seed project is 236220, Commercial and Institutional Building Construction, size standard is $45 million. The Seed Project task order is a 100% Small Business Set Aside regardless of the eventual Great Plains Area set-aside designation. All offerors shall submit a price proposal for the seed project in order to be considered for award of a MATOC. **Amendment 01 dated 19 Sep 2025** **Amendment 02 dated 19 Sep 2025** **Amendment 03 dated 25 Sep 2025** **Amendment 04 dated 29 Sep 2025** **Amendment 05 dated 30 Sep 2025** **Amendment 06 dated 3 Oct 2025** **Amendment 07 dated 7 Oct 2025** **Amendment 08 dated 17 Oct 2025**

The purpose of this Indefinite-Delivery/ Indefinite-Quantity (IDIQ) Multiple-Award Task Order Contract (MATOC) is to provide a wide range for design-build (DB) and design-bid-build (DBB) of new construction, renovation, alteration and repair of medical and related facilities for the Department of Health and Human Services (HHS)/ Indian Health Service (IHS). Work for this MATOC will primarily be performed at the various facilities in the IHS geographic regions of: 1. Albuquerque Area (i.e., New Mexico) 2. Billings Area (i.e., Montana and Wyoming) 3. California Area 4. Great Plains Area (i.e., North Dakota, South Dakota, Nebraska and Iowa) 5. Nashville Area 6. Navajo Area (i.e., portions of Arizona, Utah and New Mexico) 7. Oklahoma City Area (i.e., Nebraska and Oklahoma) 8. Phoenix Area (i.e., Arizona, Utah and Nevada) 9. Portland Area (i.e., Washington, Idaho, and Oregon) Work may also be performed within the Alaska, Tucson, and Bemidji Areas as necessary; however, work is anticipated to be rare in these regions. The place of performance will be designated on each Task Order. A list of all IHS Healthcare Facilities and definitive map of each of the IHS Areas can be located at this website: https://www.ihs.gov/locations/ These facilities include major medical centers, hospitals, healthcare centers, small ambulatory and dental clinics, staff quarters and support facilities. The work also includes sanitary sewer and water line construction and repair. The services required will vary in size and complexity. The Government intends to award at least two or more IDIQ MATOCs for each area identified above. DES intends to award up to twelve (12) Indefinite Delivery-Indefinite Quantity (IDIQ) contracts that will be for a base period of one (1) year from the date of award with four (4) options to extend the term of the contract for four (4) additional one-year periods to be exercised at the discretion of the Government, or until the maximum contract capacity of $10,000,000.00 per contract is reached, whichever is earlier. However, DES reserves the right to award more or fewer than 12 IDIQ contracts if it determines to be in the best interest of the government. On/Off Ramping opportunities will be reviewed under each IDIQ at the start of each option year. The contracts awarded will have a guaranteed minimum order of $1,000.00 for the total of the base year and all option years. The minimum value of any individual task order is $1,000.00 with a maximum task order value of $5,000,000.00; most projects are anticipated to exceed $100,000.00. Each specific IDIQ task order shall be separately negotiated based on the construction effort involved. All subsequent task orders issued under this MATOC will be Firm Fixed Price (FFP). In accordance with the Buy Indian Act (25 U.S.C. 47), implementing regulations published at 87 FR 2072, and HHSAR 326.6, the Government will determine the final set-aside designation of each Area s MATOC pool during source selection for award of the MATOCs. Each area will be designated as either an ISBEE set aside or as a Small Business set aside. In ISBEE-designated Areas, participation will be limited to qualified ISBEE firms. Once an Area is designated, all future Task Order Requests for Proposal (RFPs) will be competed only among the contractors in that Area s MATOC pool in accordance with the designation. An ISBEE firm that is included in a pool designated as a Small Business Area pool may compete for task orders as a Small Business firm rather than as an ISBEE. Offerors submitting a proposal package must have an active and valid registration in the System for Award Management (www.sam.gov). It is the responsibility of the contractor to check https://sam.gov frequently for any amendments or changes to the solicitation. Hard copy documents will NOT be available all documents for proposal purposes will be posted at the website for download by interested parties. This solicitation will be procured as a Request for Proposals (RFP) in accordance with FAR Part 15.101-1 utilizing Best Value-Tradeoff evaluation criteria. See Section L and M for source selection submission requirements and evaluation procedures. The following NAICS will be utilized under this effort. 236118 Residential Remodelers $45 Million 236210 Industrial Building Construction $45 Million 236220 Commercial and Institutional Building Construction $45 Million 237110 Water and Sewer Line and Related Structures Construction $45 Million 237310 Highway, Street, and Bridge Construction $45 Million 238910 Site Preparation Contractors $19 Million The following information is provided for the Seed Project: Project # GP24KY301C06, Kyle Modernization. The facility condition assessment conducted in 2023 at the Kyle Health Center in Kyle, SD identified several key findings. These include deficiencies in lighting levels, necessary repairs to sidewalks, the replacement of atrium windows, and various painting and wall protection improvements. Furthermore, the outpatient department needs modernization, which involves the installation of new flooring, casework, lighting fixtures, and ceiling tiles. It is important to note that none of these identified issues pose an immediate threat to accreditation status. See Section J05 for Seed Project Documents. The Kyle Health Center is located on the Pine Ridge Reservation in South Dakota. The Pine Ridge Reservation is home to the Oglala Sioux Tribe. The Place of Performance (Kyle, SD 57752) listed in this announcement applies to the Seed Project ONLY. The Period of Performance for the seed project is 365 calendar days after Notice to Proceed. The price magnitude of the seed project is between $1,000,000 and $5,000,000. The NAICS for the seed project is 236220, Commercial and Institutional Building Construction, size standard is $45 million. The Seed Project task order is a 100% Small Business Set Aside *However, See Amendment 09*. All offerors shall submit a price proposal for the seed project in order to be considered for award of a MATOC. **Amendment 01 dated 19 Sep 2025** **Amendment 02 dated 19 Sep 2025** **Amendment 03 dated 25 Sep 2025** **Amendment 04 dated 29 Sep 2025** **Amendment 05 dated 30 Sep 2025** **Amendment 06 dated 3 Oct 2025** **Amendment 07 dated 7 Oct 2025** **Amendment 08 dated 17 Oct 2025** **Amendment 09 dated 21 Oct 2025**

The purpose of this Indefinite-Delivery/ Indefinite-Quantity (IDIQ) Multiple-Award Task Order Contract (MATOC) is to provide a wide range for design-build (DB) and design-bid-build (DBB) of new construction, renovation, alteration and repair of medical and related facilities for the Department of Health and Human Services (HHS)/ Indian Health Service (IHS). Work for this MATOC will primarily be performed at the various facilities in the IHS geographic regions of: 1. Albuquerque Area (i.e., New Mexico) 2. Billings Area (i.e., Montana and Wyoming) 3. California Area 4. Great Plains Area (i.e., North Dakota, South Dakota, Nebraska and Iowa) 5. Nashville Area 6. Navajo Area (i.e., portions of Arizona, Utah and New Mexico) 7. Oklahoma City Area (i.e., Nebraska and Oklahoma) 8. Phoenix Area (i.e., Arizona, Utah and Nevada) 9. Portland Area (i.e., Washington, Idaho, and Oregon) Work may also be performed within the Alaska, Tucson, and Bemidji Areas as necessary; however, work is anticipated to be rare in these regions. The place of performance will be designated on each Task Order. A list of all IHS Healthcare Facilities and definitive map of each of the IHS Areas can be located at this website: https://www.ihs.gov/locations/ These facilities include major medical centers, hospitals, healthcare centers, small ambulatory and dental clinics, staff quarters and support facilities. The work also includes sanitary sewer and water line construction and repair. The services required will vary in size and complexity. The Government intends to award at least two or more IDIQ MATOCs for each area identified above. DES intends to award up to twelve (12) Indefinite Delivery-Indefinite Quantity (IDIQ) contracts that will be for a base period of one (1) year from the date of award with four (4) options to extend the term of the contract for four (4) additional one-year periods to be exercised at the discretion of the Government, or until the maximum contract capacity of $10,000,000.00 per contract is reached, whichever is earlier. However, DES reserves the right to award more or fewer than 12 IDIQ contracts if it determines to be in the best interest of the government. On/Off Ramping opportunities will be reviewed under each IDIQ at the start of each option year. The contracts awarded will have a guaranteed minimum order of $1,000.00 for the total of the base year and all option years. The minimum value of any individual task order is $1,000.00 with a maximum task order value of $5,000,000.00; most projects are anticipated to exceed $100,000.00. Each specific IDIQ task order shall be separately negotiated based on the construction effort involved. All subsequent task orders issued under this MATOC will be Firm Fixed Price (FFP). In accordance with the Buy Indian Act (25 U.S.C. 47), implementing regulations published at 87 FR 2072, and HHSAR 326.6, the Government will determine the final set-aside designation of each Area s MATOC pool during source selection for award of the MATOCs. Each area will be designated as either an ISBEE set aside or as a Small Business set aside. In ISBEE-designated Areas, participation will be limited to qualified ISBEE firms. Once an Area is designated, all future Task Order Requests for Proposal (RFPs) will be competed only among the contractors in that Area s MATOC pool in accordance with the designation. An ISBEE firm that is included in a pool designated as a Small Business Area pool may compete for task orders as a Small Business firm rather than as an ISBEE. Offerors submitting a proposal package must have an active and valid registration in the System for Award Management (www.sam.gov). It is the responsibility of the contractor to check https://sam.gov frequently for any amendments or changes to the solicitation. Hard copy documents will NOT be available all documents for proposal purposes will be posted at the website for download by interested parties. This solicitation will be procured as a Request for Proposals (RFP) in accordance with FAR Part 15.101-1 utilizing Best Value-Tradeoff evaluation criteria. See Section L and M for source selection submission requirements and evaluation procedures. The following NAICS will be utilized under this effort. 236118 Residential Remodelers $45 Million 236210 Industrial Building Construction $45 Million 236220 Commercial and Institutional Building Construction $45 Million 237110 Water and Sewer Line and Related Structures Construction $45 Million 237310 Highway, Street, and Bridge Construction $45 Million 238910 Site Preparation Contractors $19 Million The following information is provided for the Seed Project: Project # GP24KY301C06, Kyle Modernization. The facility condition assessment conducted in 2023 at the Kyle Health Center in Kyle, SD identified several key findings. These include deficiencies in lighting levels, necessary repairs to sidewalks, the replacement of atrium windows, and various painting and wall protection improvements. Furthermore, the outpatient department needs modernization, which involves the installation of new flooring, casework, lighting fixtures, and ceiling tiles. It is important to note that none of these identified issues pose an immediate threat to accreditation status. See Section J05 for Seed Project Documents. The Kyle Health Center is located on the Pine Ridge Reservation in South Dakota. The Pine Ridge Reservation is home to the Oglala Sioux Tribe. The Place of Performance (Kyle, SD 57752) listed in this announcement applies to the Seed Project ONLY. The Period of Performance for the seed project is 365 calendar days after Notice to Proceed. The price magnitude of the seed project is between $1,000,000 and $5,000,000. The NAICS for the seed project is 236220, Commercial and Institutional Building Construction, size standard is $45 million. The Seed Project task order is a 100% Small Business Set Aside *However, See Amendment 09*. All offerors shall submit a price proposal for the seed project in order to be considered for award of a MATOC. **Amendment 01 dated 19 Sep 2025** **Amendment 02 dated 19 Sep 2025** **Amendment 03 dated 25 Sep 2025** **Amendment 04 dated 29 Sep 2025** **Amendment 05 dated 30 Sep 2025** **Amendment 06 dated 3 Oct 2025** **Amendment 07 dated 7 Oct 2025** **Amendment 08 dated 17 Oct 2025** **Amendment 09 dated 21 Oct 2025** **Amendment 10 dated 24 Oct 2025**

The purpose of this Indefinite-Delivery/ Indefinite-Quantity (IDIQ) Multiple-Award Task Order Contract (MATOC) is to provide a wide range for design-build (DB) and design-bid-build (DBB) of new construction, renovation, alteration and repair of medical and related facilities for the Department of Health and Human Services (HHS)/ Indian Health Service (IHS). Work for this MATOC will primarily be performed at the various facilities in the IHS geographic regions of: 1. Albuquerque Area (i.e., New Mexico) 2. Billings Area (i.e., Montana and Wyoming) 3. California Area 4. Great Plains Area (i.e., North Dakota, South Dakota, Nebraska and Iowa) 5. Nashville Area 6. Navajo Area (i.e., portions of Arizona, Utah and New Mexico) 7. Oklahoma City Area (i.e., Nebraska and Oklahoma) 8. Phoenix Area (i.e., Arizona, Utah and Nevada) 9. Portland Area (i.e., Washington, Idaho, and Oregon) Work may also be performed within the Alaska, Tucson, and Bemidji Areas as necessary; however, work is anticipated to be rare in these regions. The place of performance will be designated on each Task Order. A list of all IHS Healthcare Facilities and definitive map of each of the IHS Areas can be located at this website: https://www.ihs.gov/locations/ These facilities include major medical centers, hospitals, healthcare centers, small ambulatory and dental clinics, staff quarters and support facilities. The work also includes sanitary sewer and water line construction and repair. The services required will vary in size and complexity. The Government intends to award at least two or more IDIQ MATOCs for each area identified above. DES intends to award up to twelve (12) Indefinite Delivery-Indefinite Quantity (IDIQ) contracts that will be for a base period of one (1) year from the date of award with four (4) options to extend the term of the contract for four (4) additional one-year periods to be exercised at the discretion of the Government, or until the maximum contract capacity of $10,000,000.00 per contract is reached, whichever is earlier. However, DES reserves the right to award more or fewer than 12 IDIQ contracts if it determines to be in the best interest of the government. On/Off Ramping opportunities will be reviewed under each IDIQ at the start of each option year. The contracts awarded will have a guaranteed minimum order of $1,000.00 for the total of the base year and all option years. The minimum value of any individual task order is $1,000.00 with a maximum task order value of $5,000,000.00; most projects are anticipated to exceed $100,000.00. Each specific IDIQ task order shall be separately negotiated based on the construction effort involved. All subsequent task orders issued under this MATOC will be Firm Fixed Price (FFP). In accordance with the Buy Indian Act (25 U.S.C. 47), implementing regulations published at 87 FR 2072, and HHSAR 326.6, the Government will determine the final set-aside designation of each Area s MATOC pool during source selection for award of the MATOCs. Each area will be designated as either an ISBEE set aside or as a Small Business set aside. In ISBEE-designated Areas, participation will be limited to qualified ISBEE firms. Once an Area is designated, all future Task Order Requests for Proposal (RFPs) will be competed only among the contractors in that Area s MATOC pool in accordance with the designation. An ISBEE firm that is included in a pool designated as a Small Business Area pool may compete for task orders as a Small Business firm rather than as an ISBEE. Offerors submitting a proposal package must have an active and valid registration in the System for Award Management (www.sam.gov). It is the responsibility of the contractor to check https://sam.gov frequently for any amendments or changes to the solicitation. Hard copy documents will NOT be available all documents for proposal purposes will be posted at the website for download by interested parties. This solicitation will be procured as a Request for Proposals (RFP) in accordance with FAR Part 15.101-1 utilizing Best Value-Tradeoff evaluation criteria. See Section L and M for source selection submission requirements and evaluation procedures. The following NAICS will be utilized under this effort. 236118 Residential Remodelers $45 Million 236210 Industrial Building Construction $45 Million 236220 Commercial and Institutional Building Construction $45 Million 237110 Water and Sewer Line and Related Structures Construction $45 Million 237310 Highway, Street, and Bridge Construction $45 Million 238910 Site Preparation Contractors $19 Million The following information is provided for the Seed Project: Project # GP24KY301C06, Kyle Modernization. The facility condition assessment conducted in 2023 at the Kyle Health Center in Kyle, SD identified several key findings. These include deficiencies in lighting levels, necessary repairs to sidewalks, the replacement of atrium windows, and various painting and wall protection improvements. Furthermore, the outpatient department needs modernization, which involves the installation of new flooring, casework, lighting fixtures, and ceiling tiles. It is important to note that none of these identified issues pose an immediate threat to accreditation status. See Section J05 for Seed Project Documents. The Kyle Health Center is located on the Pine Ridge Reservation in South Dakota. The Pine Ridge Reservation is home to the Oglala Sioux Tribe. The Place of Performance (Kyle, SD 57752) listed in this announcement applies to the Seed Project ONLY. The Period of Performance for the seed project is 365 calendar days after Notice to Proceed. The price magnitude of the seed project is between $1,000,000 and $5,000,000. The NAICS for the seed project is 236220, Commercial and Institutional Building Construction, size standard is $45 million. The Seed Project task order is a 100% Small Business Set Aside *However, See Amendment 09*. All offerors shall submit a price proposal for the seed project in order to be considered for award of a MATOC. **Amendment 01 dated 19 Sep 2025** **Amendment 02 dated 19 Sep 2025** **Amendment 03 dated 25 Sep 2025** **Amendment 04 dated 29 Sep 2025** **Amendment 05 dated 30 Sep 2025** **Amendment 06 dated 3 Oct 2025** **Amendment 07 dated 7 Oct 2025** **Amendment 08 dated 17 Oct 2025** **Amendment 09 dated 21 Oct 2025** **Amendment 10 dated 24 Oct 2025** **Amendment 11 dated 31 Oct 2025**

The purpose of this Indefinite-Delivery/ Indefinite-Quantity (IDIQ) Multiple-Award Task Order Contract (MATOC) is to provide a wide range for design-build (DB) and design-bid-build (DBB) of new construction, renovation, alteration and repair of medical and related facilities for the Department of Health and Human Services (HHS)/ Indian Health Service (IHS). Work for this MATOC will primarily be performed at the various facilities in the IHS geographic regions of: 1. Albuquerque Area (i.e., New Mexico) 2. Billings Area (i.e., Montana and Wyoming) 3. California Area 4. Great Plains Area (i.e., North Dakota, South Dakota, Nebraska and Iowa) 5. Nashville Area 6. Navajo Area (i.e., portions of Arizona, Utah and New Mexico) 7. Oklahoma City Area (i.e., Nebraska and Oklahoma) 8. Phoenix Area (i.e., Arizona, Utah and Nevada) 9. Portland Area (i.e., Washington, Idaho, and Oregon) Work may also be performed within the Alaska, Tucson, and Bemidji Areas as necessary; however, work is anticipated to be rare in these regions. The place of performance will be designated on each Task Order. A list of all IHS Healthcare Facilities and definitive map of each of the IHS Areas can be located at this website: https://www.ihs.gov/locations/ These facilities include major medical centers, hospitals, healthcare centers, small ambulatory and dental clinics, staff quarters and support facilities. The work also includes sanitary sewer and water line construction and repair. The services required will vary in size and complexity. The Government intends to award at least two or more IDIQ MATOCs for each area identified above. DES intends to award up to twelve (12) Indefinite Delivery-Indefinite Quantity (IDIQ) contracts that will be for a base period of one (1) year from the date of award with four (4) options to extend the term of the contract for four (4) additional one-year periods to be exercised at the discretion of the Government, or until the maximum contract capacity of $10,000,000.00 per contract is reached, whichever is earlier. However, DES reserves the right to award more or fewer than 12 IDIQ contracts if it determines to be in the best interest of the government. On/Off Ramping opportunities will be reviewed under each IDIQ at the start of each option year. The contracts awarded will have a guaranteed minimum order of $1,000.00 for the total of the base year and all option years. The minimum value of any individual task order is $1,000.00 with a maximum task order value of $5,000,000.00; most projects are anticipated to exceed $100,000.00. Each specific IDIQ task order shall be separately negotiated based on the construction effort involved. All subsequent task orders issued under this MATOC will be Firm Fixed Price (FFP). In accordance with the Buy Indian Act (25 U.S.C. 47), implementing regulations published at 87 FR 2072, and HHSAR 326.6, the Government will determine the final set-aside designation of each Area s MATOC pool during source selection for award of the MATOCs. Each area will be designated as either an ISBEE set aside or as a Small Business set aside. In ISBEE-designated Areas, participation will be limited to qualified ISBEE firms. Once an Area is designated, all future Task Order Requests for Proposal (RFPs) will be competed only among the contractors in that Area s MATOC pool in accordance with the designation. An ISBEE firm that is included in a pool designated as a Small Business Area pool may compete for task orders as a Small Business firm rather than as an ISBEE. Offerors submitting a proposal package must have an active and valid registration in the System for Award Management (www.sam.gov). It is the responsibility of the contractor to check https://sam.gov frequently for any amendments or changes to the solicitation. Hard copy documents will NOT be available all documents for proposal purposes will be posted at the website for download by interested parties. This solicitation will be procured as a Request for Proposals (RFP) in accordance with FAR Part 15.101-1 utilizing Best Value-Tradeoff evaluation criteria. See Section L and M for source selection submission requirements and evaluation procedures. The following NAICS will be utilized under this effort. 236118 Residential Remodelers $45 Million 236210 Industrial Building Construction $45 Million 236220 Commercial and Institutional Building Construction $45 Million 237110 Water and Sewer Line and Related Structures Construction $45 Million 237310 Highway, Street, and Bridge Construction $45 Million 238910 Site Preparation Contractors $19 Million The following information is provided for the Seed Project: Project # GP24KY301C06, Kyle Modernization. The facility condition assessment conducted in 2023 at the Kyle Health Center in Kyle, SD identified several key findings. These include deficiencies in lighting levels, necessary repairs to sidewalks, the replacement of atrium windows, and various painting and wall protection improvements. Furthermore, the outpatient department needs modernization, which involves the installation of new flooring, casework, lighting fixtures, and ceiling tiles. It is important to note that none of these identified issues pose an immediate threat to accreditation status. See Section J05 for Seed Project Documents. The Kyle Health Center is located on the Pine Ridge Reservation in South Dakota. The Pine Ridge Reservation is home to the Oglala Sioux Tribe. The Place of Performance (Kyle, SD 57752) listed in this announcement applies to the Seed Project ONLY. The Period of Performance for the seed project is 365 calendar days after Notice to Proceed. The price magnitude of the seed project is between $1,000,000 and $5,000,000. The NAICS for the seed project is 236220, Commercial and Institutional Building Construction, size standard is $45 million. The Seed Project task order is a 100% Small Business Set Aside *However, See Amendment 09*. All offerors shall submit a price proposal for the seed project in order to be considered for award of a MATOC. **Amendment 01 dated 19 Sep 2025** **Amendment 02 dated 19 Sep 2025** **Amendment 03 dated 25 Sep 2025** **Amendment 04 dated 29 Sep 2025** **Amendment 05 dated 30 Sep 2025** **Amendment 06 dated 3 Oct 2025** **Amendment 07 dated 7 Oct 2025** **Amendment 08 dated 17 Oct 2025** **Amendment 09 dated 21 Oct 2025** **Amendment 10 dated 24 Oct 2025** **Amendment 11 dated 31 Oct 2025** **Amendment 12 dated 13 Nov 2025**

The purpose of this Indefinite-Delivery/ Indefinite-Quantity (IDIQ) Multiple-Award Task Order Contract (MATOC) is to provide a wide range for design-build (DB) and design-bid-build (DBB) of new construction, renovation, alteration and repair of medical and related facilities for the Department of Health and Human Services (HHS)/ Indian Health Service (IHS). Work for this MATOC will primarily be performed at the various facilities in the IHS geographic regions of: 1. Albuquerque Area (i.e., New Mexico) 2. Billings Area (i.e., Montana and Wyoming) 3. California Area 4. Great Plains Area (i.e., North Dakota, South Dakota, Nebraska and Iowa) 5. Nashville Area 6. Navajo Area (i.e., portions of Arizona, Utah and New Mexico) 7. Oklahoma City Area (i.e., Nebraska and Oklahoma) 8. Phoenix Area (i.e., Arizona, Utah and Nevada) 9. Portland Area (i.e., Washington, Idaho, and Oregon) Work may also be performed within the Alaska, Tucson, and Bemidji Areas as necessary; however, work is anticipated to be rare in these regions. The place of performance will be designated on each Task Order. A list of all IHS Healthcare Facilities and definitive map of each of the IHS Areas can be located at this website: https://www.ihs.gov/locations/ These facilities include major medical centers, hospitals, healthcare centers, small ambulatory and dental clinics, staff quarters and support facilities. The work also includes sanitary sewer and water line construction and repair. The services required will vary in size and complexity. The Government intends to award at least two or more IDIQ MATOCs for each area identified above. DES intends to award up to twelve (12) Indefinite Delivery-Indefinite Quantity (IDIQ) contracts that will be for a base period of one (1) year from the date of award with four (4) options to extend the term of the contract for four (4) additional one-year periods to be exercised at the discretion of the Government, or until the maximum contract capacity of $10,000,000.00 per contract is reached, whichever is earlier. However, DES reserves the right to award more or fewer than 12 IDIQ contracts if it determines to be in the best interest of the government. On/Off Ramping opportunities will be reviewed under each IDIQ at the start of each option year. The contracts awarded will have a guaranteed minimum order of $1,000.00 for the total of the base year and all option years. The minimum value of any individual task order is $1,000.00 with a maximum task order value of $5,000,000.00; most projects are anticipated to exceed $100,000.00. Each specific IDIQ task order shall be separately negotiated based on the construction effort involved. All subsequent task orders issued under this MATOC will be Firm Fixed Price (FFP). In accordance with the Buy Indian Act (25 U.S.C. 47), implementing regulations published at 87 FR 2072, and HHSAR 326.6, the Government will determine the final set-aside designation of each Area s MATOC pool during source selection for award of the MATOCs. Each area will be designated as either an ISBEE set aside or as a Small Business set aside. In ISBEE-designated Areas, participation will be limited to qualified ISBEE firms. Once an Area is designated, all future Task Order Requests for Proposal (RFPs) will be competed only among the contractors in that Area s MATOC pool in accordance with the designation. An ISBEE firm that is included in a pool designated as a Small Business Area pool may compete for task orders as a Small Business firm rather than as an ISBEE. Offerors submitting a proposal package must have an active and valid registration in the System for Award Management (www.sam.gov). It is the responsibility of the contractor to check https://sam.gov frequently for any amendments or changes to the solicitation. Hard copy documents will NOT be available all documents for proposal purposes will be posted at the website for download by interested parties. This solicitation will be procured as a Request for Proposals (RFP) in accordance with FAR Part 15.101-1 utilizing Best Value-Tradeoff evaluation criteria. See Section L and M for source selection submission requirements and evaluation procedures. The following NAICS will be utilized under this effort. 236118 Residential Remodelers $45 Million 236210 Industrial Building Construction $45 Million 236220 Commercial and Institutional Building Construction $45 Million 237110 Water and Sewer Line and Related Structures Construction $45 Million 237310 Highway, Street, and Bridge Construction $45 Million 238910 Site Preparation Contractors $19 Million The following information is provided for the Seed Project: Project # GP24KY301C06, Kyle Modernization. The facility condition assessment conducted in 2023 at the Kyle Health Center in Kyle, SD identified several key findings. These include deficiencies in lighting levels, necessary repairs to sidewalks, the replacement of atrium windows, and various painting and wall protection improvements. Furthermore, the outpatient department needs modernization, which involves the installation of new flooring, casework, lighting fixtures, and ceiling tiles. It is important to note that none of these identified issues pose an immediate threat to accreditation status. See Section J05 for Seed Project Documents. The Kyle Health Center is located on the Pine Ridge Reservation in South Dakota. The Pine Ridge Reservation is home to the Oglala Sioux Tribe. The Place of Performance (Kyle, SD 57752) listed in this announcement applies to the Seed Project ONLY. The Period of Performance for the seed project is 365 calendar days after Notice to Proceed. The price magnitude of the seed project is between $1,000,000 and $5,000,000. The NAICS for the seed project is 236220, Commercial and Institutional Building Construction, size standard is $45 million. The Seed Project task order is a 100% Small Business Set Aside *However, See Amendment 09*. All offerors shall submit a price proposal for the seed project in order to be considered for award of a MATOC. **Amendment 01 dated 19 Sep 2025** **Amendment 02 dated 19 Sep 2025** **Amendment 03 dated 25 Sep 2025** **Amendment 04 dated 29 Sep 2025** **Amendment 05 dated 30 Sep 2025** **Amendment 06 dated 3 Oct 2025** **Amendment 07 dated 7 Oct 2025** **Amendment 08 dated 17 Oct 2025** **Amendment 09 dated 21 Oct 2025** **Amendment 10 dated 24 Oct 2025** **Amendment 11 dated 31 Oct 2025** **Amendment 12 dated 13 Nov 2025** **Amendment 13 dated 1 Dec 2025**

IMPORTANT THIS NOTICE DOES NOT REOPEN SOLICITATION 75H70125R00033 - NATIONWIDE MULTIPLE AWARD TASK ORDER CONTRACT The proposal due date displayed in SAM.gov has been administratively updated solely to allow posting of this notice. The Government is NOT reopening the solicitation. No new proposals, revised proposals, or changes to pricing or any other proposal terms will be accepted as a result of this notice. The Government hereby requests that all offerors extend their offer acceptance period, as stated in Block 17 of Standard Form 1442, by an additional sixty (60) calendar days beyond the current expiration of their offers. This request is limited solely to an extension of the offer acceptance period. No other changes to Price or Technical Proposals are requested or authorized. Affirmative written confirmation is required in order to extend an offer. Offerors must confirm in writing that they agree to extend their offer acceptance period without modification of their proposal. Offerors are requested to submit their written confirmation by email to matt.sanders@ihs.gov no later than 13 February 2026. Failure to provide an affirmative written confirmation by the date stated above will be interpreted as the offeror s decision not to extend its offer acceptance period. Offers that are not affirmatively extended will expire at the end of their current acceptance period and will no longer be eligible for acceptance by the Government. This notice is issued for administrative purposes only to facilitate completion of the Government s evaluation process and does not constitute a solicitation amendment under FAR 15.206. Important: This notice does not authorize the submission of new or revised proposals and does not constitute negotiations or discussions. If the Government later requires proposal revisions, it will follow FAR 15 procedures for discussions and/or issue a formal amendment as appropriate.