1. RFQ 75R60225Q00179.pdf

SEE ADDENDUMIS CHECKED

CODE 18a. PAYMENT WILL BE MADE BY

CODE

FACILITYCODE

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER

OFFEROR

OAMP

Rockville MD 20857 5600 Fishers Lane

HHS/HRSA/OFAAM/OAMP

CODE 16. ADMINISTERED BYCODE

X

X

X

541990

SIZE STANDARD:

% FOR:SET ASIDE:UNRESTRICTED OROAMP

RFPIFB

10. THIS ACQUISITION ISCODE

RFQ

14. METHOD OF SOLICITATION

13b. RATING

NAICS:

SMALL BUSINESS

09/10/2025 1600 ES

09/03/2025

301-443-2927IMELDA ROCHA

(No collect calls)

INFORMATION CALL:

FOR SOLICITATION 8. OFFER DUE DATE/LOCAL TIMEb. TELEPHONE NUMBER a. NAME

4. ORDER NUMBER3. AWARD/ 6. SOLICITATION

75R60225Q00179

5. SOLICITATION NUMBER

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS 1. REQUISITION NUMBER PAGE OF

1 11 OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

TELEPHONE NO.

17a. CONTRACTOR/

15. DELIVER TO

Rockville MD 20857 5600 Fishers Lane Office of Acquisition Management and Policy

9. ISSUED BY

7.

2. CONTRACT NO.

EFFECTIVE DATE

$19.5

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW

ISSUE DATE

DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

11.

SEE SCHEDULE

12. DISCOUNT TERMS

THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

13a.

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

8(A)

HHS/HRSA/OFAAM/OAMP

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

24.

AMOUNT

23.

UNIT PRICE

22.

UNIT

21.

QUANTITY

20.

SCHEDULE OF SUPPLIES/SERVICES

19.

ITEM NO.

Procurement ID #: HSB113 C 7003.

Contract Type: Firm-Fixed-Price.

Title: Parent BPAs: CICP Life Care Planner

FY25-30.

This is a combined synopsis/solicitation for commercial services prepared in accordance with the format in Federal Acquisition Regulation (FAR) subpart 12.6 and 13.303 as supplemented with additional information included in this

(Use Reverse and/or Attach Additional Sheets as Necessary)

HEREIN, IS ACCEPTED AS TO ITEMS:

X

XX

DATED

JIMMY K. HUPALAR

. YOUR OFFER ON SOLICITATION (BLOCK 5),

INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE SET FORTH

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DELIVER

ARE

ARE

31c. DATE SIGNED

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA

31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (Type or print)

ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY ADDITIONAL

SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED.

27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA

26. TOTAL AWARD AMOUNT (For Govt. Use Only)

OFFER

STANDARD FORM 1449 (REV. 2/2012)

Prescribed by GSA - FAR (48 CFR) 53.212

ARE NOT ATTACHED.

ARE NOT ATTACHED.

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

30b. NAME AND TITLE OF SIGNER (Type or print)

30a. SIGNATURE OF OFFEROR/CONTRACTOR

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

25. ACCOUNTING AND APPROPRIATION DATA

29. AWARD OF CONTRACT:

REF.

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32c. DATE 32b. SIGNATURE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED:

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED

40. PAID BY39. S/R VOUCHER NUMBER38. S/R ACCOUNT NUMBER

37. CHECK NUMBER

FINALPARTIAL

36. PAYMENT

FINALPARTIAL

35. AMOUNT VERIFIED

CORRECT FOR

34. VOUCHER NUMBER33. SHIP NUMBER

COMPLETE

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

42d. TOTAL CONTAINERS42c. DATE REC'D (YY/MM/DD)

42b. RECEIVED AT (Location)

42a. RECEIVED BY (Print)

41c. DATE41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER

41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT

STANDARD FORM 1449 (REV. 2/2012) BACK

24.

AMOUNT

23.

UNIT PRICE

22.

UNIT

21.

QUANTITY

20.

SCHEDULE OF SUPPLIES/SERVICES

19.

ITEM NO.

notice. The Health and Human Services

Administration (HRSA) is contemplating issuance of Blanket Purchase Agreement pursuant to FAR subpart 13.303. This announcement constitutes the only solicitation, quotes are being requested.

The BPA shall have one (1) 12-month base period and four (4) 12-month option periods.

Base Period: TBA

Option Period 1: TBA

Option Period 2: TBA

Option Period 3: TBA

Option Period 4: TBA

This combined synopsis/solicitation

75R60225Q00179 is a Request for Quote (RFQ). The solicitation document, and incorporated provisions and clauses are those in effect through Federal Acquisition Circular 2020-05

(03/30/2020).

The associated North American Industrial

Classification System (NAICS) code for this procurement is 541990, with a small business size standard of $20M dollars.

The following terms and conditions are mandatory:

Continued ...

32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

11 2 of

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

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75R60225Q00179

1. Statement of Work (Attachment A):

The contractor shall provide all labor and materials to provide detailed life care plans for individuals with serious physical injuries because of the use or administration of any covered countermeasure(s). The Government is preparing this service in the event of a health threat or conditions for which life care planning countermeasures are recommended.

2. Extent of obligation:

The Government is obligated only to the extent of authorized purchases actually made under the BPA.

3. Purchase limitation:

This BPA will allow the issuance of Firm Fixed

Price (FFP), Time and Material (T&M), and hybrid

FFP/T&M Call Orders. The Government is not responsible for payment exceeding the award amount. The minimum order threshold is $100.00, the maximum order threshold is $10,000.00, and the maximum BPA value is $249,999.00.

4. Individuals authorized to purchase under the

BPA:

Any Contracting Officer within HRSA Office of

Acquisitions Management and Policy (OAMP).

5. Delivery tickets:

Deliverables submitted under this BPA shall be accompanied by delivery tickets that shall contain the following minimum information:

a. Name of supplier.

b. BPA number.

c. Date of purchase.

d. Purchase number.

e. Itemized list of supplies or services furnished.

f. Quantity, unit price, and extension of each item, less applicable discounts (unit prices and extensions need not be shown when incompatible with the use of automated systems, provided that the invoice is itemized to show this information).

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Sponsored by GSA

FAR (48 CFR) 53.110

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75R60225Q00179 g.Date of delivery or shipment.

The Contractor shall provide services in accordance with the attached Statement of Work

(Attachment A).

Provide the following information:

1. Contact Name, Phone and Fax Number:

2. Email: ______________________________

3. DUNS Number: ________________________

The full text of FAR provisions or clauses may be accessed electronically at http://acquisition.gov/comp/far/index.html.

Provisions at FAR 52.212-1 (Instructions to

Offerors-Commercial Items)(Jan 2017), applies to this acquisition.

This Combined Synopsis/Solicitation is open until

August 10, 2025, at 10:00 AM Eastern Time. After the deadline the Government will evaluate quotes received and issue BPA's to acceptable candidates. The Government intends to make award as a result of this combined synopsis/solicitation that will include the terms and conditions as set forth herein, no exceptions. The number of BPA's to be issued will be determined by the Governments need. This RFQ does not commit the Government to pay any cost for the preparation and submission of a quote. In addition, the Contracting Officer is the only individual who can legally commit the Government to the expenditure of public funds in connection with this acquisition.

Offerors may submit questions requesting clarification of this requirement via email. Any clarifying information issued by the Government will be provided to all prospective offerors. All questions must be submitted no later than August

8, 2025, at 10:00AM Eastern Time. Questions received after the due date and time will not be

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75R60225Q00179 considered. No Exceptions. Proprietary data, if so noted, will be protected. Questions regarding this RFQ shall be submitted via email to Imelda

Rocha at irocha@hrsa.gov.

Quotes must be signed by an official authorized to bind your organization and must be submitted no later than August 10, 2025, at 10:00 AM

Eastern Time. Quotes shall be submitted via email to Imelda Rocha at irocha@hrsa.gov.

If this solicitation is amended, all terms and conditions that are not amended remain unchanged.

Offerors shall acknowledge receipt of any amendment to this solicitation by the date and time specified in the amendment(s).

The offeror shall submit the following:

Submit a technical quote. The technical quote shall describe the offerors? approach and address the following technical criteria;

To facilitate the evaluation of the proposal, the offeror shall submit, as part of the proposal, a separate enclosure entitled ?Technical Proposal.?

The data and information should be keyed to each paragraph of the technical proposal requirements as outlined below.

A. Understanding and Statement of the Requirement.

B. Technical Approach to the Tasks

C. Personnel

D. Management Plan

E. Organizational Experience and Expertise

The offeror may submit references from state, local, or private contracts using the Past

Performance Questionnaire (Attachment B).

Offerors shall forward a copy of the entire Past

Performance Questionnaire to their clients to complete. The complete questionnaire shall be submitted by their clients no later than August

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75R60225Q00179

10, 2025, at 10:00 AM Eastern Time. Past

Performance Questionnaires shall be submitted via email to Imelda Rocha at irocha@hrsa.gov.

To facilitate the evaluations, you shall be submitted in two (2) separate and clearly labeled parts titled as follows:

Volume Title

I Technical Proposal

Technical proposal must be received via email

(irocha@hrsa.gov) by September 10, 2025, at 10:00 a.m. ET.

II Price Proposal

Price proposal must be received via email at irocha@hrsa.gov by September 10, 2025, at 10:00 a.m. ET.

Submit a price quote for the base period and all options. Include the proposed labor categories, number of hours, hourly rates and other direct costs (ODC).

Quote shall clearly list exception(s) and rationale for the exception(s).

The quote shall be signed by an official authorized to bind the organization to contractual awards.

List of items that shall be submitted with the quote:

1. A complete and signed copy Standard Form

1449-Solicitation/Contract/Order for Commercial

Items.

2. Current Resume or Curriculum Vitae for the personnel who will perform contract activities.

3. Past Performance Questionnaire (Attachment B).

4. Data Collection Form (Attachment C).

5. NonDisclosure Agreement (Attachment D).

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75R60225Q00179

6. Contract Clauses (Attachment E) (provide check mark on clauses).

7. I Technical Proposal

8. II Price Proposal

Provisions at FAR 52.212-2 (Evaluation -

Commercial Items), (0ct 2014)

(a) The Government will award a contract resulting from this solicitation to the responsible offeror whose offer conforming to the solicitation will be most advantageous to the

Government, price and other factors considered.

The following factors shall be used to evaluate offers:

The Government intends to use a Trade-Off evaluation method for this requirement. Technical is more important than past performance. When technical and past performance are combined they are significantly more important than price.

Technical Factors:

The government will evaluate the offeror's quote based on the below factors:

The Technical Evaluation uses an adjectival rating based on the strengths, weaknesses, significant weaknesses, and deficiencies for each of the evaluation factors below.

Factor 1. Understanding and Statement of the

Requirement.

The offeror shall:

The proposal shall provide a statement of the purpose, scope, and activities of the requirement in the offeror?s own words to demonstrate a complete understanding of the intent, requirements, and difficulty of the project.

Factor 2. Technical Approach to the Tasks

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75R60225Q00179

The offeror shall:

The proposal shall fully describe the proposed technical approach and schedule. This description must demonstrate compliance with all requirements specified in the Statement of Work and the

Schedule of Deliverables.

Factor 3. Personnel

The offeror shall:

The proposal shall specify the types of professional persons who will perform the contract activities including their education, experience and specific technical accomplishments essential to the performance of the requirement.

The personnel shall exhibit expertise necessary for the project and should include senior level expertise. Curriculum vitae, proposed responsibilities and time commitment shall be provided for the key project staff. Qualifying criteria for life care planners include a current certification as either a Certified Life Care

Planner (CLCP) or a Certified Nurse Life Care

Planner (CNLCP) and proof of two years life care planning experience within the past 5 years.

Qualifying criteria for vocational counselors include a current certification by the Commission on Rehabilitation Counselor Certification and proof of two years of rehabilitation counseling experience within the past 5 years.

Factor 4. Management Plan

The offeror shall:

1. Submit a project work plan and time schedule for work to be performed and the final project deliverables.

2. Describe the organization proposed for carrying out the project.

3. Identify each project staff member and his/her responsibilities and time.

4. Describe the involvement of technical experts to accomplish the proposed tasks.

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75R60225Q00179

Factor 5. Organizational Experience and Expertise

The offeror shall:

The proposal shall include the offeror?s organizational experience which is relevant to performing the tasks in this Statement of Work.

For this procurement, the Government will not credit Offerors with the work many histories of its individual officers, employees, and subcontractors except as key personnel qualifications.

Past Performance Factor:

Acceptable-Satisfactory or better past performance. Past Performance clearly indicates that offeror is able to successfully complete the required services of the solicitation.

Unacceptable - Unsatisfactory past performance.

Past Performance clearly indicates that offeror has a high level of risk in being able to successfully complete the required services of the solicitation.

Neutral - In the case of 0fferors without a record of past performance, or for whom information on past performance is not available so that no past performance rating can be assigned, the 0fferors may not be evaluated favorably or unfavorably on past performance (see

FAR 15.305(a) (2) (iv)). Therefore, the 0fferors shall be determined to have unknown past performance.

The Government reserves the right to obtain information for use in the evaluation of past performance from any and all sources, including sources outside of the Government.

If an offeror's past performance is determined

Unacceptable, the quote may not be selected for award.

Price Factor:

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Reasonable-A reasonable quote is one that the overall total price, including option periods, can be determined to be fair and reasonable.

Unreasonable-An unreasonable quote is one that the overall total price, including option periods, cannot be determined to be fair and reasonable.

The Government will evaluate the overall total price quoted, which contains quoted prices for all line items, including all options.

Additionally, the Government will evaluate the labor categories and loaded hourly rates proposed as well as the detailed breakdown quoted. All other information required in the price quote will be evaluated for completeness and accuracy.

The Government reserves the right to clarify any discrepancies discovered during the evaluation.

(b) Options. The Government will evaluate offers for award purposes by adding the total price for all options to the total price for the basic requirement. The Government may determine that an offer is unacceptable if the option prices are significantly unbalanced. Evaluation of options shall not obligate the Government to exercise the option(s).

(c) A written notice of award or acceptance of an offer, mailed or otherwise furnished to the successful offeror within the time for acceptance specified in the offer, shall result in a binding contract without further action by either party.

Before the offer's specified expiration time, the

Government may accept an offer (or part of an offer), whether or not there are negotiations after its receipt, unless a written notice of withdrawal is received before award.

Attachments:

1. FRQ 75R60225Q00179

2. Attachment A Statement of Work CICP Life Care

Planner

3. Attachment B Past Performance Questionnaire

4. Attachment C Data Collection Form

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75R60225Q00179

5. Attachment D Non-Disclosure Agreement

6. Attachment E Contract Clauses

Imelda Rocha

Contracting Officer, Office of Federal Assistance and Acquisition Management

U.S. Department of Health and Human Services

Phone: (301) 443-2927

Email: irocha@hrsa.gov

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