This is a presolicitation notice for a construction project to expand the Central Sterile Department, renovate water-damaged areas, and replace an HVAC unit at three sites in Crow Agency, Montana. The project budget is estimated between $5,000,000 and $10,000,000, with a performance period of 365 calendar days from the notice to proceed. The solicitation is expected to be released on or about August 5, 2026, and will remain open for approximately 30 calendar days. The contract will be a single Firm Fixed Price award, set aside 100% for Indian Small Business Economic Enterprise under the Buy Indian Act. All work must be performed at the specified locations in Crow Agency, Montana.