Amend 003 with attachments clean version.pdf

Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods:

(a) By completing items 8 and 15, and returning or (c) By separate letter or electronic communication which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by letter or electronic communication, provided each letter or electronic communication makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

E. IMPORTANT: Contractor is not is required to sign this document and return copies to the issuing office.

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT 1. CONTRACT ID CODE

2. AMENDMENT/MODIFICATION NUMBER 3. EFFECTIVE DATE 4. REQUISITION/PURCHASE REQUISITION NUMBER 5. PROJECT NUMBER (If applicable)

7. ADMINISTERED BY (If other than Item 6) CODE

STANDARD FORM 30 (REV. 11/2016)

Prescribed by GSA FAR (48 CFR) 53.243

FACILITY CODE

9A. AMENDMENT OF SOLICITATION NUMBER

9B. DATED (SEE ITEM 11)

10A. MODIFICATION OF CONTRACT/ORDER NUMBER

10B. DATED (SEE ITEM 13)

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers is extended. is not extended.

12. ACCOUNTING AND APPROPRIATION DATA (If required) copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted;

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS.

IT MODIFIES THE CONTRACT/ORDER NUMBER AS DESCRIBED IN ITEM 14.

CHECK ONE A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER

NUMBER IN ITEM 10A.

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, appropriation data, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER (Specify type of modification and authority)

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

15C. DATE SIGNED

15A. NAME AND TITLE OF SIGNER (Type or print)

16C. DATE SIGNED

16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

PAGE OF PAGES

6. ISSUED BY CODE

8. NAME AND ADDRESS OF CONTRACTOR (Number, street, county, State and ZIP Code) (X)

CODE

15B. CONTRACTOR/OFFEROR

(Signature of person authorized to sign)

16B. UNITED STATES OF AMERICA

(Signature of Contracting Officer)

Previous edition unusable

Number Contract Line Item Number Contract Section Page #/Section Industry Question/Comment Government Response 1 2.0 Performance Work Statement Scope t How many sites you are looking to launch teleSANE services in total? How many additional per year? Peace Corps plans to launch TeleSANE services at all posts. To date, 49 Posts (53 countries) have received Peace Corps Trainees, Peace Corps Volunteers, and Peace Corps Returned Volunteers. We cannot definitively say how many will be added per year. However to give you an idea, prior to the 2020 evacuation, there were approximately 60 posts.

2 3.0 Performance Requirements General Requirements 3.1 The solution requires internet connectivity at the local site. This connectivity is the responsibility of the local team, and not the responsibility of SAFE-T.

The Peace Corps has internet connectivity at each post. There are IT specialist on site to provide technical assistance if needed.

3 3.0 Performance Requirements Other Services 3.5 Is expert witness testimony always in Washington, D.C.? It is not necessarily possible for the teleSANE who participated in the examination to be available to testify. A SAFE-T teleSANE or SAFE-T leadership will be available to testify for all cases although they may not be the nurse who conducted the consultation.

Peace Corps cannot definitively confirm that expert testimony will always be in Washington D.C. We are fine with forensic leadership-preferably an established expert witness- testifying on behalf of the teleSANE who participated in the examination.

4 3.0 Performance Requirements Other Services 3.5 Best practice for all telehealth consultations is that there be local documentation of the examination by the provider physically conducting the exam with a QA document by the teleSANE that includes relevant documentation that can be sent to the PCMO. Further, if there are any technology issues, the documentation can still occur at the point of care. We will work with the COR to develop a streamlined QA with the relevant information that will be helpful to augment the care documentation.

Peace Corps concurs with your statement

5 3.0 Performance Requirements Training 3.6 How many PCMOs are there per location/site?

There's a minimum of two PCMOs at each post. Some posts have up to four PCMOs.

6 3.0 Performance Requirements Training 3.6.1 Given the short notice, it is unlikely our team can be present at the conference in Morocco in May, 2023. We can develop the three hour content and connect remotely and plan to attend this conference in subsequent years.

If your team cannot travel to the conference in Morocco, Peace Corps will work out a solution with the contractor to either remotely participate in the 2023 CME or participate in an alternative training opportunity.

7 15.0 Invoice Instructions Applicable to time and material and labor hour contracts

15.4.1 We can ship technology to a central location for the Peace Corps to distribute to sites. Peace Corps will directly purchase the equipment and coordinate shipment to the posts.

8 16.0 Special Contract Requirements Personally Identifiable Information 16.2 Our system was built for cloud infrastructure and with security for PHI as a pillar of development. All data is encrypted at rest and in transit, all accounts use 2FA to login, access controls and users roles, network/workstation/application logging and monitoring, vulnerability scanning, antivirus, rate limiting, data separation, backups, disaster recovery plans, AWS WAF, system redundancy and user action auditing on application level and more. We are audited yearly by the XXXXXX Office of Information Security and meet their Authority to Operate (ATO) standards. We are currently functioning in numerous health systems and our standards are well accepted by those health systems and patients. Given our current security state of HIPAA compliance, we see three potential options to meet your request to provide service rapidly. 1) Our current security configuration is accepted and we are positioned to offer services as quickly as our system can be implemented. Alternatively, we could provide an option in which the victim can learn about our security and opt in so they can accept our services. 2) Our current system is accepted, but you maintain we must meet either aspects of FedRamp you deem essential or meet full FedRAMP certification. In this scenario we would need time to explore costs to do so (currently we are able to serve all our other partners with our current security system) and would need time to develop that compliance. 3) If there is no scenario where we are able to use our current system, we can offer live telehealth consultation through Peace Corps zoom.gov portal. We will be able to connect to the PCMO, support both the PCMO and the patient during the exam by seeing what they are seeing through zoom. No photographs or documentation would be able to be exchanged if we are not using our portal, therefore we would be able to provide live examination support, but would not be able to have access to images and documentation that would allow us to serve as an expert witness. We could use this scaled down version of our ability to support quality sexual assault examinations while we meet with Peace Corp about FedRAMP essentials and explore pricing and timeline for compliance.

Peace Corps does not require a Contractor to be FedRAMP certified.

From a cyber security standpoint, No ePHI will be transferred to the vendor or stored on the vendor system, thus no further assessment and authorization would be required. The QI tool exchanged between Peace Corps and the Contractor will de- identify the individual to whom the information relates. Any further documentation needed for testimony will be provided upon subpoena.

Peace Corps will evaluate all quotes in accordance with RFQ Section 17.4.2 b) Volume I. Factor 1. Technical to determine whether or not proposed approaches are technically acceptable.

9 16.0 Special Contract Requirements Rights to Intellecutal and/or Creative Data 16.6 If we make modifications to our proprietary software/system application for the benefit of Peace Corps, we must retain the rights to this software.

This is acceptable as long as it does not expose Peace Corps internal working processes. The modification must not divulge any internal workflow or procedure executed by the Agency that may impact its ability for fair negotiations with other vendors.

10 16.0 Special Contract Requirements Breach of Information Notification Requirement

16.7 XXXXXXXX has a 3 day minimum standard response for security breaches. We would have to move forward with this standard as we cannot meet the 4 hour criteria.

Peace Corps should be notified as soon as possible of any breach to allow Peace Corps to disengage and check our systems.

3.2 4 Will victim make initial call or report to PCMO for initiation?

The victim/survivor will always make contact with the PCMO before the TeleSANE is engaged.

3.1 3

Does Peace Corp anticipate recording encounters via Zoom or audio recordings for telephone? Is PC or Contractor responsible to mantaining / storing those recordings? Are there specific standards that might apply?

The Peace Corps Zoom subscription is FedRAMP and has a BAA agreement through OCIO. OCIO has defined a user group which locks down certain functionality to meet our business needs. This includes prohibiting the creation of artifacts, such as saving chats, audio and video recordings. The reason for this is that any creation of such artifacts would prompt the question about where those artifacts would be stored and processed on the cloud.

3.5 5 Where does PC consider jurisdiction? Is there a jurisdicational law enforcement agency to liason with?

The jurisdiction is the United States. The Office of Inspector General works with the Federal Bureau of Investigations.

3.3 4 Once clinicians engage with victim, they would have potential obligation to ensure safety. Will Peace Corp ensures safety of victim (ie lodging, protections, etc)

The Peace Corps Medical Officers (PCMOs) work closely with the Safety and Security Manager to ensure safety of the victim/survivor.

3.1 3

Does the contractor need to provide emergency medical consultation services for associated traumatic or medical concerns in locations where PCMO is not immediately available or to support the PCMO as needed?

No, this service is not needed.

3.3 4 Is the contractor involved in any chain of custody concerns? No, the Contractor is not involved in chain of custody

3.3 4 How is chain of custody managed from remote locations? Per Manual Section 243, there is a chain of custody process.

3.3 4 How is cold storage if needed managed?

Specimens that require cold storage are stored in heatlh unit refrigerator until they are ready to be processed

CLIN 0004 1 Does Peace Corp anticipate any time restricted travel for response? (outside of schedule training) No, we do not.

1145PC23Q0131 Amend 003 Attach 1 Q&A

Number Contract Line Item Number Contract Section Page #/Section Industry Question/Comment Government Response

CLIN 0003 1

Is the the optional testimony CLIN 0003 for mandated testimony for cases adjudicated in the United States a daily rate or per case rate?

Per case rate

Section (c) Volume II, Factor 2 Past Performance, item #6

pg. 30

I wanted to reach out to you with questions about the attachment numbering, which appears to be a mismatch with the submission instructions.

•1On the second to last page of the RFQ in section (c) Volume II, Factor 2 Past Performance, item #6, it says that “Attachment 2, FAR 52.212-3 shall be completed and submitted as part of the response.” However, in the supplemental documents, FAR 52.212-3 is labeled as attachment 1 and while the CLIN Quote Pricing Worksheet is labeled as attachment 2.

oI1s it correct that we should submit FAR 52.212-3 and not the CLIN Quote Pricing worksheet?

Section (c ) Volume II, Factor 2 Past Performance, item #6 has been updated to read, "Attachment 1."

See Amendment 001 Attachment 2, Amended RFQ You should submit submit Attachment 1, FAR 52.212-3 as part of Volume II, if applicable. Refer to RFQ instructions under Section 17.5.1 of the RFQ.

You should submit Attachment 2: CLIN Quote Pricing Worksheet as part of Volume III

Section (d) (d) Volume III, Factor 3 Price item #4 pg. 30 In section (d) (d) Volume III, Factor 3 Price, it asks us to submit “Attachment 4: Domestic Vendor Request Form.”

However, the Domestic Vendor Request Form is Attachment 3 in the supplemental documents, while the “Industry Questions and Responses” is labeled as Attachment 4.

Are we to assume that the Domestic Vendor Request Form is the correct document to submit here?

Section 17.5.2 (d) Volume III, Factor 3 Price, Domestic Vendor request form has been updated to read, "Attachment 3." See Amendment 001 Attachment 2, Amended RFQ You should submit Attachment 2: CLIN Quote Pricing Worksheet and Attachment 3: Domestic Vendor request form as part of Volume III

N/A Finally, I was also wondering when we could expect to receive a response to the Industry Questions and Responses document that we submitted?

Please see Amendment 001, Attachment 1, Industry Questions and Responses which has been posted to SAM.gov under the existing RFQ notice.

N/A Will the release date impact the final quote submission timeline of Wednesday, 4/5/23 at

1200EST?

The deadline for quotes in response to this RFQ has been extended to:

Please see Amendment 001

RFQ Section 17.5.2 (a) Basis for Award pg. 29 According to the FAR 13.003, Sec C - Simplified Acquisition Procedures if the award amount exceeds $250k or $7.5million - Can you clarify which simplified acquisition threshold is being used?

Please refer to Section 17.5.2 (a) Basis for award. The evaluation of the quote(s) received shall be on the basis of FAR part 13. In accordance with FAR 13.106(a)(2)(ii), quotes received from this solicitation will be evaluated based upon the best-value continuum.

RFQ Section 18 Attachments While reviewing the Peace Corps RFA (attached) I notice a number of attachments listed on the last page:

SECTION 18 – APPENDICES OR ATTACHMENTS

Attachment 1 – FAR 52.212-3 Attachment 2 – CLIN Quote Pricing Worksheet Attachment 3 – Domestic Vendor Request Form Attachment 4 – Industry Questions and Responses Attachment 5 – PWS Attachment 1, Peace Corps MS-243-Procedures Do you know where we can get a copy?

The attachments are provided under the attachments section of the RFQ posting in SAM.gov. Each attachment has its own file.

N/A Is there a portal for submitting the quote for solicitation 1145PC23Q0131Tele-SANE Services? Or do we simply –

Vendors shall submit their quote in three (3) separate volumes (Technical, Past Performance and Price) electronically to Christina Ostronic, costronic@peacecorps.gov and Noemi Edwards at nedwards@peacecorps.gov.

Vendors shall submit their quote in three (3) separate volumes (Technical, Past Performance and Price) electronically to Christina Ostronic, costronic@peacecorps.gov and Noemi Edwards at nedwards@peacecorps.gov.

RFQ Section 17.5.8 (b) According the to the RFQ I don't see a page limit on Volume II, Factor 2. It reads that the "technical" section which was Factor 1, was limited to 10 pages. Do you want the CVs in that section? If we have to include our CVs in that section, then it will go over 10 pages really quick. Would CVs count against the page limit in that particular section?

Please include the CVs or Resumes in Volume I. as instructed. The CVs will not count towards the page limit response of 10 pages but will be considered an addedum to Volume I.

RFQ Section 17.5.8 (c) Volume II. Factor 2. However, section Volume II, Factor 2, I don't see a page limit listed. Can we include a narrative section in Volume II, Factor 2? In general, is there a limit to the page count outside of the Factor 1 section?

There is no page limit to Volume II. You have the option to respond however you see fit. Your quote response will be evaluated in accordance with section 17.5.2.

RFQ Section 17.5.1 Quote Submittals Also, is the quote limited to the consult and testimony cost only as the CLIN Quote form list? Should we be looking to quote any other parts of services?

Please follow the instructions in the RFQ, Section 17.5.1 Price Quote – Volume III. Shall be submitted using Attachment 2: CLIN Quote Pricing Worksheet)

1145PC23Q0131 Amend 003 Attach 1 Q&A

TeleSANE Services

COMBINED SYNOPSIS/SOLICITATION FOR COMMERCIAL ITEMS

TeleSANE Services

GENERAL INFORMATION

Document Type: Combined Solicitation/Synopsis Solicitation Number:

Title:

1145PC23Q0131

Tele-SANE Services

Release Date:

Questions Due Date:

March 23, 2023 March 29, 2023

Quotation Due Date: April 17, 2023 Product or Service Code: U008 Set Aside: Not Applicable NAICS Code: 621999

Issuing Office:

CONTRACTING OFFICE ADDRESS

Peace Corps Headquarters Office of Acquisition and Contract Management 1275 First Street NE Washington, DC 20526

Agency Contact:

Christina Ostronic, Contract Specialist, Email: costronic@peacecorps.gov Noemi Edwards, Contracting Officer, Email: nedwards@peacecorps.gov

This is a combined synopsis/solicitation for commercial items prepared in accordance with the format in Federal Acquisition Regulation (FAR) subpart 12.6, “Streamlined Procedures for Evaluation and Solicitation for Commercial Items,” as supplemented with additional information included in this notice.

This announcement constitutes the only solicitation; quotations are being requested, and a written solicitation document will not be issued.

Solicitation 1145PC23Q0131 is being issued as a request for quotation (RFQ). The solicitation document and incorporated provisions and clauses are those in effect through Federal Acquisition Circular 2023-02 effective 03/16/2023.

This requirement is being solicited on an unrestricted basis using Simplified Acquisition Procedures per FAR Subpart 13.5 under North American Industrial Classification Code (NAIC) 621999 - All Other Miscellaneous Ambulatory Health Care Services. The Small Business Administration size standard is $20,500,000.00. A firm-fixed price purchase order is anticipated. However, the Government is in no way obligated to make an award, nor to pay any costs incurred by the Contractor in preparing and submitting its quote.

All contractors are reminded that, in FAR 52.205-7, System for Award Management (SAM), they must be registered and active in the www.sam.gov database PRIOR to submission of a quote.

1145PC23Q0131 Amend 003: Attachment 2, Amended RFQ mailto:costronic@peacecorps.gov mailto:nedwards@peacecorps.gov http://www.sam.gov/ https://www.peacecorps.gov/

1.0 SUPPLIES OR SERVICES AND PRICE/COSTS

CLIN Description Qty. Unit Price Total Amount

0001 Tele-SANE Services IAW the PWS (FFP) 1 Lot 0002 Deliverables for CLIN 0001 IAW Sections 2-9 (FFP) Price included in CLIN 0001 (Not Separately priced, or NSP)

NSP

Option

Testimony for cases adjudicated in the United States IAW the PWS, Section 3.5 (FFP) (See Note A)

2 Ea.

0004 Other Direct Cost – Travel and Subsistence (T&M) (See Note B and C)

1 Lot NTE $13,420.00

Option 1

Tele-SANE Services IAW the PWS (FFP) 1 Lot

Option 1

Deliverables for CLIN 0005 IAW Sections 2-9 (FFP) Price included in CLIN 0005 NSP

NSP

Option 1

Testimony for cases adjudicated in the United States IAW the PWS, Section 3.5 (FFP) (See Note A)

2 Ea.

Option 1

Other Direct Cost – Travel and Subsistence (T&M) (See Note B and C)

1 Lot NTE $13,420.00

Option 2

Tele-SANE Services IAW the PWS (FFP) 1 Lot

Option 2

Deliverables for CLIN 0009 IAW Sections 2-9 (FFP) Price included in CLIN 0009 NSP

NSP

Option 2

Testimony for cases adjudicated in the United States IAW the PWS, Section 3.5 (FFP) (See Note A)

2 Ea.

Option 2

Other Direct Cost – Travel and Subsistence (T&M) (See Note B and C)

1 Lot NTE $13,420.00

Option 3

Tele-SANE Services IAW the PWS (FFP) 1 Lot

Option 3

Deliverables for CLIN 0013 IAW Sections 2-9 (FFP) Price included in CLIN 0013 NSP

NSP

Option 3

Testimony for cases adjudicated in the United States IAW the PWS, Section 3.5 (FFP) (See Note A)

2 Ea.

Option 3

Other Direct Cost – Travel and Subsistence (T&M) (See Note B and C)

1 Lot NTE $13,420.00

Option 4

Tele-SANE Services IAW the PWS (FFP) 1 Lot

Option 4

Deliverables for CLIN 0017 IAW Sections 2-9op (FFP) Price included in CLIN 0017 NSP

NSP

Option 4

Testimony for cases adjudicated in the United States IAW the PWS, Section 3.5 (FFP) (See Note A)

2 Ea.

Option 4

Other Direct Cost – Travel and Subsistence (T&M) (See Note B and C)

1 Lot NTE $13,420.00

2.0 PERFORMANCE WORK STATEMENT (PWS)

2.1 BACKGROUND:

1145PC23Q0131 Amend 003: Attachment 2, Amended RFQ

The Peace Corps is an independent executive agency of the federal government established in 1961 by President John F. Kennedy to promote world peace and friendship through the service of American volunteers abroad. The volunteers’ service fulfills the three primary goals established in the founding legislation:

• To help the people of interested countries in meeting their need for trained men and women.

• To help promote a better understanding of Americans on the part of the peoples served; and

• To help promote a better understanding of other peoples on the part of Americans.

For information about where Peace Corps serves, please visit the Countries page on our website:

https://www.peacecorps.gov/countries/. For more information on the Peace Corps mandate and mission, see the Peace Corps website: https://www.peacecorps.gov/about/history/. The mission of Peace Corps’ Office of Health Services (OHS) is to provide quality medical and mental health services and support to Peace Corps Invitees, Peace Corps Trainees/Volunteers (PCT/PCVs) and Returned Peace Corps Volunteers (RPCVs). Peace Corps has an internal team of on-site doctors and other medical professionals at approximately 58 Peace Corps posts located worldwide.

Medical Officers located at overseas Posts (PCMOs) provide and coordinate needed health care services for PCVs. Volunteers are typically placed in rural environments, often at a considerable distance from the Peace Corps main office and medical unit in-country. In both the major cities and in rural areas, Volunteers often face varying and limiting bandwidths, connectivity, and electricity. The Agency does not issue a mobile phone, laptop, or tablet to Volunteers. Typically, Volunteers bring a device (i.e., mobile phone, laptop, tablet, etc.) from the U.S. or purchase a device in-country. Technological limitations occur variably for each Volunteer at any given time. For example, each region, country, and PCV site may experience intermittent electricity, limited or nonexistent internet access, and/or lack of standardized mobile devices (or no device at all)

The Kate Puzey Peace Corps Volunteer Protection Act of 2011 (Kate Puzey Act, or KPA) was passed into law on November 21, 2011. This Act mandated that “at a volunteer’s discretion, provision of a sexual assault forensic exam in accordance with applicable host country law.”

1145PC23Q0131 Amend 003: Attachment 2, Amended RFQ http://www.peacecorps.gov/countries/ http://www.peacecorps.gov/about/history/

The Office of Health Services wants to ensure that PCMOs provide a competent, trauma informed forensic-medical history and forensic exam by supplementing their training with TeleSANE services.

TeleSANE services -sometimes referred to as TeleSAFE- are an emerging branch of telemedicine that utilizes remote forensic nurse experts to communicate and collaborate with point of care clinicians to provide expert live guidance in evidence collection, intervention and quality control, using digital and telecommunication technology.

The 2011 Sexual Assault Advisory Committee also recommended that the Peace Corps work with an organization to provide TeleSANE services. They noted that “PCMOs do not provide medical forensic services on a daily basis so it is not expected for all of that knowledge to be at the forefront of their mind”.

Given the historically low numbers of SAFE exams conducted by the PCMOs, TeleSANE services will be used to build on the PCMOs skills by providing real-time technical assistance and guidance for the underutilized, yet critical evidence collection skill set needed to support Peace Corps Volunteers/Trainees who request a sexual assault forensic examination- in accordance with applicable host country law.

2.2 SCOPE:

The Peace Corps seeks a contractor to provide Health Insurance Portability and Accountability Act of 1996 (HIPAA) Compliant Tele-SANE services to support PCMOs in conducting Sexual Assault Forensic Exam (SAFE) for PCV/Ts. TeleSANE services include live virtual assistance and consultation with the SAFE exam and other related services. Tele-SANE services shall be available and adequately staffed 24 hours a day on a year- round basis (24/7/365).

2.3 OBJECTIVE:

The objective of this contract is to improve the experience of PCVs who need a SAFE exam and to promote integrity and accuracy of the evidentiary forensic collection for cases that PCMOs can legally conduct or consult on. This objective includes providing a 24-hour Tele-SANE service to assist Peace Corp Medical Officers (PCMOs) during a Sexual Assault Forensic Exam (SAFE), answer consult questions, assist and review forensic documentation, assist with evidence packaging and to provide fact and/or expert testimony.

3.0 PERFORMANCE REQUIREMENTS:

3.1 General Requirements

• The Contractor shall provide trained sexual assault nurse examiners as follows:

o 24/7/365 to provide live virtual assistance with a SAFE exam. See Section 6.0 – Key Personnel for minimum qualifications for sexual assault nurse examiners (SANEs).

• The Contractor shall be available to provide live virtual services within 59 minutes of notification.

• 24/7 TeleSANE support line dedicated to the Peace Corps

HIPAA compliant method to transmit encrypted documentation to Peace Corps photos and documents. The Contractor shall provide all live virtual services via two-way visual HIPAA compliant Zoom.gov platform. The contractor shall comply with Peace Corps’ Zoom.gov settings.

• In the event there are technology/connectivity challenges with the Zoom platform, the

Contractor shall provide services via telephone.

• The Contractor shall discuss the case with the PCMO before engaging with the

PCV/T.

• The Contractor shall provide a written report to the PCMO after each exam via secure encrypted email (or other secure solution).

3.2 Engagement with PCV/T

• The Contractor shall confirm written consent from the PCV/T for the SANE to be present during the exam.

• The Contractor shall obtain an additional verbal consent directly from the PCV/T.

• The Contractor shall obtain an additional verbal consent to be present virtually during the ano-genital exam.

• The Contractor shall explain to PCV/T their purpose and expertise to be present during the exam.

• The Contractor shall answer any questions the PCV/T has during the exam and in the presence of the PCMO or chaperone.

3.3 Live Virtual Services Outlined

The Contractor shall provide live virtual assistance to the PCMO with a sexual assault forensic exam including but not limited to:

• History taking,

• Swabbing,

• Collection of trace evidence,

• Photography of injuries and non-injuries,

• Alternate light source and

• Ano-genital exam

• Documentation of the forensic examination paperwork

• Plan of care

• Follow-up care and patient education

3.4 Debriefs

The Contractor shall provide a debrief session upon conclusion of an exam within two (2) business days using a competency/QA tool-agreed upon by both parties- and general feedback.

The Contractor shall provide live virtual assistance with packaging forensic specimens and clothing as instructed in Technical Guideline 542, which will be provided at time of award, and Peace Corps Manual Section 243, contained in Attachment 1 of this PWS.

The Contractor shall provide a debrief session upon conclusion of a real exam within three (2) two business days using a competency/QA tool-agreed upon by both parties- and general feedback.

3.5 Other Services

The Contractor shall create and maintain records of the TeleSANE exam and suggested treatment plan and send it securely to the PCMO within 12 hours of each exam. All storage of records by the Contractor shall be encrypted at rest.

The Contractor shall be available to provide fact and/or expert testimony for cases adjudicated in the United States upon subpoena.

3.6 Training

The Contractor shall participate in an unannounced quarterly simulation to assess response time, technology and proficiency of procedures.

The Contractor shall provide scheduled mock exam trainings of the TeleSANE services to assess the equipment/supplies, technology and competencies of the health unit and PCMO(s) to 30 of the Peace Corps posts; with an estimated increase of five (5) exams per year due to forecasted reopening of posts.

The Contractor shall provide a debrief session upon conclusion of a mock exam within two (2) business days using a competency/QA tool-agreed upon by both parties- and general feedback.

3.6.1 The Contractor shall provide a minimum of three continuing education credit hours of content, supplies and presenters-related to sexual assault and/or intimate partner violence- to the annual continuing medical education conference. This will be in person or virtual dependent upon the format of the conference (estimated two Continuing Medical Education (CME) sessions per year).

CME Conferences typically occur oversees and require international travel.

For the Base year the CME conference will be taking place in Marrakech, Morocco. The session dates are May 2nd and May 11th.

Arrival date is May 1st and Departure Day is May 12th.

For the following 4 option years the dates and location will be provided to the contractor by the COR when it is confirmed.

3.6.2 The Contractor shall provide three 60 to 90 minute webinar per year-on sexual assault and/or intimate partner violence- to the Peace Corps Medical Officers/SARL/OVA

3.6.3 The Contractor shall provide three 60 to 90 minute training for designated staff and the

Sexual Assault Prevention and Response (SAPR) team.

4.0 DELIVERABLES:

Item No.

Deliverable Description Frequency PWS Reference

Deliver to Format Due

1 Live virtual assistance with a SAFE exam

24/7/365 2.2 Peace Corps Clinicians

2 Testimony for cases adjudicated in the United States upon subpoena.

As Needed 2.3.2 COR Testimony By provided due date This will be an optional CLIN to be exercised when needed.

3 Unannounced quarterly simulation

To assess Contractor’s response time, technology and proficiency of procedures.

Quarterly 2.4.1 COR/ PCMOs/ MOs

Virtual Meeting

By provided Due Date

4 Mock exam trainings of the TeleSANE services

To assess the equipment/supplies, technology and competencies of the health unit and PCMO(s) to 30 of the Peace Corps posts; with an estimated increase in five (5) exams per year.

Annually 2.4.2 COR/ PCMOs/ MOs

Virtual training

TBD

5 Continuing education credit hours to the annual continuing medical education conference

Supplies and presenters-related to sexual assault and/or intimate partner violence- to the annual continuing medical education conference (estimated two CME sessions per year)

Annually 2.4.3 COR/ PCMOs/ MOs

In Person or Virtual present-ation

TBD

6 Webinar The Contractor shall provide three 60 to 90 minute webinars per year-on sexual assault and/or intimate partner violence- to the Peace Corps Medical Officers.

Annually 2.4.4 COR/ PCMOs/ MOs

Webinar TBD

7 Live Training Live Training for Designated Staff and SAPR Team

Annually 2.4.5 COR/

SAPR

Team/ Designated Staff

Live Training

TBD

8 Conduct a debrief session for every mock and/or real exam.

A 30 to 60 minute debrief session with Peace Corps competency/QA tool to discuss achievements and any opportunities for improvement.

As needed 2.2.1 &2.4.2.1 Peace Corps Clinicians, Forensic Nurse Specialist

Virtual Meeting

Within two business days of exam.

9 Template for TeleSANE Record

Peace Corps and Vendor will collaborate to create the template for the TeleSANE

Once 2.3 COR/ Forensic Nurse Specialist

Document Within 60 days of award

10 Written Report/ TeleSANE Record

Record provided after each exam utilizing the agreed upon TeleSANE Record Template.

After each exam

3.1 PCMO Document

11 Monthly Meeting Contractor will provide meeting agenda.

Monthly 7.0 COR Word document

24 hours before monthly meeting

5.0 PERFORMANCE REQUIREMENTS SUMMARY (PRS)

The contractor service requirements are summarized into performance objectives that relate directly to mission essential items. The performance threshold briefly describes the minimum acceptable levels of service required for each requirement. These thresholds are critical to mission success.

Service Output Performance Objective

Acceptable Quality Level

(AQL)

Method of Surveillance

24/7/365 Virtual TeleSANE Service

All required service performed within the specified time requirements.

Contractor meets the specified time requirement 95% of the time

Periodic surveillance by the COR or government designee

Engagement with

PCV/T

All required service performed within the specified time requirements.

Contractor meets the specified time requirement 95% of the time

Periodic surveillance by the COR or government designee

Other Services All required service performed within the specified time requirements.

Contractor meets the specified time requirement 95% of the time

Periodic surveillance by the COR or government designee

Training All required service performed within the specified time requirements.

Contractor meets the specified time requirement 95% of the time

Periodic surveillance by the COR or government designee

6.0 Key Personnel

The Contractor shall identify Key Personnel labor categories and tasks to be completed by the designated Key Personnel. The proposed Key Personnel shall have a minimum of 5 years’ experience in the field they are being proposed.

Program Manager: The program manager must be a registered nurse with nursing management experience. Must have reporting experience. Experience with managing telehealth or TeleSANE services.

Experience with budgeting and resource allocation. Cultural sensitivity is a must. The Program Manager shall be 50% dedicated to this contract.

Sexual assault nurse examiners. The sexual assault nurse examiners must have a minimum of two years’ experience as a sexual assault nurse, must be certified as a SANE-A or obtain certification within nine months of hire, and must have recent -within last 12 months-training in diversity, equity and inclusion or within three months of hire. In addition, a certificate of completion of training in trauma-informed care-or training that encompasses the topic- is required within three months of hire.

The Contractor shall identify staff for positions designated as “Key Personnel.” The Government deems these positions as critical to the performance of work under this contract. Any proposed substitutes for individuals occupying these positions shall possess qualifications equal to or superior to those of the key personnel being replaced. The inability of the Contractor to provide personnel with equal to or superior qualifications of the key personnel may result in termination of the contract. The CO may at his/her discretion add to or subtract from this list.

All key personnel are subject to the following requirements:

• Replacement is subject to the prior written approval of the Contracting Officer (CO)

• Requests for replacement shall include a detailed y pe containing a description of position duties and qualifications, as well as information about the qualifications of the individual(s) proposed and any security clearance(s) held.

• Contractor proposals to replace the Program Manager off the contract shall be submitted in writing at least thirty (30) days in advance of proposed move, and are subject to the approval of the CO, including approval of proposed replacement.

7.0 Meetings

The Contractor shall be available for monthly meetings with the COR to review reports, discuss general program operation and address any issues or concerns. Meetings may be held via teleconference or video conference. The Contractor is responsible for the meeting agenda. The date and time and method of meetings will be mutually agreed between the Contractor and Government. The Contractor shall be available to communicate on a regular basis via telephone or email, to address any problems that arise in the administration of this contract. The Contractor shall participate in a post-award (contract kick-off) meeting within 10 days after contract award. The post-award meeting will be held at the Contractor’s facility or via teleconference or video conference.

8.0 Travel

Travel will be approved in advance and in writing by the COR. All travel will be reimbursed at cost in accordance with the Federal Travel Regulation. The Contractor must follow the established per diem rates and provide evidence of actual cost with their invoice. Any requirements for travel shall be approved in advance by the COR. Reimbursement for actual (approved) travel costs incurred during the performance of support services shall be in accordance with Part 31 of the Federal Acquisition Regulations and the

Federal Travel Regulations (FTR). Travel requirements under this contract shall be met using the most economical form of transportation available. If economy class transportation is not available, the Contractor must submit to the COR a request for advance approval to utilize higher class travel. All travel should be scheduled sufficiently in advance to be able to take advantage of offered discount rates.

Individual 'travel authorization letters' may be provided to the contractor (for all contractor personnel who are required to travel) which may allow contractor personnel to receive government rates when on long distance travel. The FTR and per diem rates can be accessed at: www.gsa.gov and type "FTR" in the search box. No travel reimbursement will be authorized unless the Contractor provides sufficient written evidence of actual travel costs incurred to include, but not limited to, receipts, ticket stubs, registers, and/or other documentation, as required by the Government.

• International Travel

For international travel needs to support Section 2.4.3, travel shall include airfare for Contractor staff members, international per diems, visas/entry requirements and vaccinations, customs and baggage fees, and ground transportation/car rental for transportation in country. International per diem rates are based on the U.S. State Department, Offices of Allowances “Foreign Per Diem Rates by Location” which can be accessed at: https://aoprals.state.gov/web920/per_diem.asp.

Peace Corps will require two nurses to attend. For planning purposes, plan for travel to Morocco for Fiscal Year 2023. For subsequent option years, locations, and dates to be determined.

9.0 Accessibility under Section 508

Pursuant to Section 508 of the Rehabilitation Act of 1973 (29 U.S.C. 794d) as amended by P.L. 105-220 under Title IV (Rehabilitation Act Amendments of 1998) all Electronic and Information Technology (EIT) developed, procured, maintained and/or used under this contract shall be in compliance with the “Electronic and Information Technology Accessibility Standards” set forth by the Architectural and Transportation Barriers Compliance Board (also referred to as the “Access Board”) in 36 CFR Part 1194.

All deliverables will be Section 508 compliant and will be reviewed for complianceby the government which reserves the right to reject the deliverable(s) until remediation of deficiencies has been successfully completed by the Contractor. The complete text of Section 508 Standards can be accessed at http://www.access-board.gov/ or at http://www.section508.gov.

Where appropriate, the Contractor(s) shall indicate whether each product or service is compliant or noncompliant with the accessibility standards at 36 CFR 1194. Further, the quotemust indicate where full details of compliance can be found (e. g., vendor’s website or other exact location).

The following Section 508 Accessibility Standard(s) are applicable to all Information Communication Technology (ICT) products and services.

ICT Includes but is not limited to:

☒ Telecommunications equipment ☒ Websites ☒ Electronic documents

Functional Performance Criteria is the minimally acceptable standards to ensure Section 508 compliance.

This block should also be checked to ensure that the minimally acceptable electronic and information technology (EIT) is proposed.

Functional Performance Criteria ☒ Functional Performance Criteria

1145PC23Q0131 Amend 003: Attachment 2, Amended RFQ http://www.gsa.gov/ http://www.access-board.gov/ http://www.section508.gov/

10.0 DELIVERY REQUIREMENTS

The above items shall be delivered according to the period of performance in Sections 2 and 3 of the Performance Work Statement (PWS). The vendor shall deliver all training as detailed in Section 1.0/ CLIN Structure as follows:

SHIPPED ELECTRONICALLY TO:

Entered at Award

11.0 NOTICE REGARDING LATE DELIVERY

The Contractor shall notify the appointed COR via email as soon as it becomes apparent to each Contractor, that scheduled delivery will be late. The Contractor shall include the notification and rationale for late delivery, the expected date for the delivery and the project impact of the late delivery. The COR will review the new schedule and provide guidance the Contractor. Such notification in no way limits any Government contractual rights or remedies including but not limited to termination.

12.0 PLACE OF PERFORMANCE

The services delivered in this contract shall be performed virtually with the exception of training for Continuing Medical Education (CME) conferences which may be performed either virtually or in-person as directed by the Contracting Officer’s Representative (COR) as well as travel in the event the contractor must provide testimony for cases adjudicated in the United States upon subpoena.

13.0 PERIOD OF PERFORMANCE

The anticipated Period of Performance will consist of one (1) 12-month base period and four (4) 12-month option periods.

SECTION 14 – CONTRACT ADMINISTRATION

14.1 CONTRACT MANAGEMENT

14.1.1 Contract Specialist

Christina Ostronic 1275 First St. NE Washington, DC 20526 Email: costronic@peacecorps.gov

1145PC23Q0131 Amend 003: Attachment 2, Amended RFQ mailto:costronic@peacecorps.gov

14.1.2 Contracting Officer

Noemi Edwards 1275 First St. NE Washington, DC 20526 Email: nedwards@peacecorps.gov

14.1.3 Contracting Officer’s Representative (COR)

Entered at award.

The COR supports and assists the CO in the technical monitoring and administration of this contract. The COR will monitor the Contractor’s technical compliance and progress relative to this contract. Technical direction is defined as direction to the Contractor which fills in details, suggests possible lines of inquiry, or otherwise supplements the scope of work. Technical direction must be confined to the general scope of work of the contract and shall not constitute a new assignment, nor supersede or modify any terms or conditions under the contract. Changes to the contract will be in writing and can only be issued by the CO. The COR is NOT authorized to re-delegate his or her authority.

All correspondence concerning technical matters related to this order shall be addressed to the COR with a copy to the CS. COR will be determined at Contract Award.

14.1.4 Contractor Point of Contact

Entered at award.

14.2 CONTRACTING OFFICER’S AUTHORITY

The Contracting Officer (CO) is the only person authorized to make or approve any changes to any of the requirements of this contract, and, notwithstanding any provisions contained elsewhere in this contract, the said authority remains solely with the Contracting Officer. In the event the Contractor makes any changes at the direction of any person other than the Contracting Officer, the change will be considered to have been made without authority and no adjustment will be made in the contract terms and conditions, including price.

SECTION 15 - INVOICE INSTRUCTIONS (APR 2021)

15.1 Minimum requirements for a PROPER INVOICE:

• Complete contract number, including task/delivery/call order number (if applicable);

• Name and address of the Contractor;

• Invoice date and invoice number;

• Description of supplies/products/services provided;

• Quantity of services/supplies provided;

• Period of performance covered by the invoice;

• Unit of issue, as specified in the Contract Line Item Number (CLIN), and/or Schedule of services;

• Unit price and extended total, for each CLIN;

• Invoice total;

• Shipping and payment terms, (as applicable);

• Electronic funds transfer (EFT) account/payment information;

• Signature of the Contractor's authorized representative;

1145PC23Q0131 Amend 003: Attachment 2, Amended RFQ mailto:nedwards@peacecorps.gov

• Contractor's Tax Identification Number (TIN); and

• Any other contract-directed requirements.

In the event that an invoice is “improperly” submitted (e.g. incorrect contract/order number, invoice amount, labor categories, contract rates, CLINs, etc.) it will be rejected as an improper invoice and returned to the contractor. Also, an invoice is considered improper if it is received before the product or service is received, inspected and accepted by the COR.

15.2 Invoice delivery and formatting

• Invoices shall be in PDF format and forwarded via email to GAPdomesticinvoice@peacecorps.gov with a copy to the Contracting Officer’s Representative (COR) and/or Technical Point of Contact (TPOC);

• A separate attachment for each invoice is required;

• The invoice size should be standard 8.5’x11’;

• The representative signing the invoice must also print his/her name, direct phone number and email address on the invoice;

• Bill only for one delivery order per invoice;

• Bill for only one option period per invoice;

• Never bill in excess of the contract obligated amount ; and

• Do not bill for state and local taxes unless authorized by law, policy or the CO.

15.3 Invoice Certification

Upon receipt of the invoices, the COR and/or TPOC will evaluate the invoices for correctness and appropriateness of the charges and will ensure that chargeable items appearing on the invoices have been received, inspected, and accepted by the Peace Corps. In the event that the Peace Corps discovers any discrepancies in the invoice, the COR and/or TPOC will notify the Contracting Officer (CO) and the Contracting Officer and COR and/or TPOC will, in addition to following the requirements of the Prompt Payment Act, take steps necessary to resolve the discrepancies with the Contractor.

15.4 Invoice Payment

For the purposes of this subsection, “invoice payment” is a Government disbursement of moneys to the Contractor under this contract for products and/or services which are received, inspected, and accepted by the Government. Invoices are payable in accordance with the requirements of the Prompt Payment Act.

Payment will be considered as being made on the day of the electronic funds transfer is made. The failure to properly submit invoices may result in a delay in payment.

15.4.1 Applicable to time and material and labor hour contracts The following backup information is required as an attachment to the invoice as shown by category of cost:

(1) Direct Labor - Identify the number of hours (by contractor labor category and total) and the total direct labor hours billed for the period of the invoice.

(2) Subcontracts - Identify the major cost elements for each subcontract.

(3) Other Direct Costs - When the cost for an individual cost (e.g., photocopying, material and supplies, telephone usage) exceeds $1,000 per the invoice period, provide a detailed explanation for that cost category.

(4) Indirect Cost Rates - Identify by cost center, the indirect cost rate, the period, and the cost base to which it is applied.

(5) Contractor Acquired Equipment - Identify by item the quantities, unit prices, and total dollars billed.

(6) Contractor Acquired Software - Identify by item the quantities, unit prices, and total dollars billed.

1145PC23Q0131 Amend 003: Attachment 2, Amended RFQ mailto:GAPdomesticinvoice@peacecorps.gov

(7) Travel - When travel costs exceed $2,000 per invoice period, identify by trip, the number of travelers, the duration of travel, the point of origin, destination, purpose of trip, transportation by unit price, per diem rates on daily basis and total dollars billed. Detailed reporting is not required for local travel.

Any costs requiring advance consent by the Contracting Officer will be considered improper and will be disallowed, if claimed prior to receipt of Contracting Officer consent.

For questions regarding payments, please send an email inquiry, including the contract number and order number (if applicable), the invoice number, billed amount, due date, and date sent via email to Disbursing@peacecorps.gov

15.5 Withholding of Contract Payments

Notwithstanding any other payment provision of this contract, failure of the Contractor to submit required reports when due, or failure to perform or deliver required services/supplies may…