1282A727Q0002_FULL.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

82A7

LAKEWOOD CO 80401

1617 COLE BLVD

USDA FOREST SERVICE

JOB CORPS AQM

4763 CODE 16. ADMINISTERED BYCODE

X

X

X

621111

SIZE STANDARD:

% FOR:SET ASIDE:UNRESTRICTED OR82A7

REQUEST FOR

PROPOSAL

(RFP)

INVITATION

FOR BID (IFB)

10. THIS ACQUISITION ISCODE

REQUEST FOR

QUOTE (RFQ)

14. METHOD OF SOLICITATION

13b. RATING

NORTH AMERICAN INDUSTRY

CLASSIFICATION STANDARD

(NAICS):

SMALL BUSINESS

11/17/2026 1700 ES

10/27/2026

303-275-5393LOUIS LIEB

(No collect calls)

INFORMATION CALL:

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

4. ORDER NUMBER3. AWARD/ 6. SOLICITATION

1282A727Q0002

5. SOLICITATION NUMBER

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

1 19 1177943OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

TELEPHONE NO.

17a. CONTRACTOR/

BRISTOL TN 37620

984 DENTON VALLEY RD

JACOBS CREEK JCC

15. DELIVER TO

LAKEWOOD CO 80401

1617 COLE BLVD

USDA FOREST SERVICE

9. ISSUED BY

7.

2. CONTRACT NO.

EFFECTIVE DATE

$16

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

ISSUE DATE

DELIVERY FOR FREE ON BOARD

(FOB) DESTINATION UNLESS

BLOCK IS MARKED

11.

SEE SCHEDULEX

12. DISCOUNT TERMS THIS CONTRACT IS A RATED

ORDER UNDER THE DEFENSE

PRIORITIES AND ALLOCATIONS

SYSTEM - DPAS (15 CFR 700)

13a.

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

(SDVOSB)

HUBZONE SMALL

BUSINESS

8(A)

JOB CORPS AQM

WOMEN-OWNED SMALL

BUSINESS (WOSB)

ECONOMICALLY DISADVANTAGED

WOMEN-OWNED SMALL

BUSINESS (EDWOSB)

24.

AMOUNT

23.

UNIT PRICE

22.

UNIT

21.

QUANTITY

20.

SCHEDULE OF SUPPLIES/SERVICES

19.

ITEM NO.

Medical Services; Jacobs Creek Job Corps Center;

Bristol, TN

The Contractor shall provide Medical Services to Jacobs Creek JCC in accordance with the Terms and Conditions herein.

This Firm Fixed Price contract is for a Base Year with four (4) one year options which may be exercised at the sole discretion of the Government.

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

HEREIN, IS ACCEPTED AS TO ITEMS:

XX

DATED

GRACE H. WALTON

. 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 (FEDERAL ACQUISITION REGULATION) FAR 52.212-1, 52.212-4. FAR 52.212-3

AND 52.212-5 ARE ATTACHED. ADDENDA

26. TOTAL AWARD AMOUNT (For Government Use Only)

OFFER

STANDARD FORM 1449 (REV. 11/2021)

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: REFERENCE

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. 11/2021) BACK

24.

AMOUNT

23.

UNIT PRICE

22.

UNIT

21.

QUANTITY

20.

SCHEDULE OF SUPPLIES/SERVICES

19.

ITEM NO.

Period of Performance: 01/11/2027 to 01/10/2028

0001 Jacobs Creek JCC Medical Services - BASE 400 HR

Product/Service Code: Q201

Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Delivery: 01/10/2028

1001 Jacobs Creek JCC Medical Services - Option Year 400 HR

One

(Option Line Item)

Product/Service Code: Q201

Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Delivery: 01/10/2029

Period of Performance: 01/11/2028 to 01/10/2029

2001 Jacobs Creek JCC Medical Services - Option Year 400 HR

Two

(Option Line Item)

Product/Service Code: Q201

Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Delivery: 01/10/2030

Period of Performance: 01/11/2029 to 01/10/2030

Continued ...

32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

19 2 of

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

3 19

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

1282A727Q0002

3001 Jacobs Creek JCC Medical Services - Option Year 400 HR

Three

(Option Line Item)

Product/Service Code: Q201

Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Delivery: 01/10/2031

Period of Performance: 01/11/2030 to 01/10/2031

4001 Jacobs Creek JCC Medical Services - Option Year 400 HR

Four

(Option Line Item)

Product/Service Code: Q201

Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Delivery: 01/10/2032

Period of Performance: 01/11/2031 to 01/10/2032

5001 Jacobs Creek JCC Medical Services - Six Month 200 HR

Extension IAW FAR 52.217-8; January 11, 2032 through July 10, 2032

(Option Line Item)

Product/Service Code: Q201

Product/Service Description: MEDICAL- MANAGED

HEALTHCARE

Delivery: 07/10/2032

Period of Performance: 01/11/2032 to 07/10/2032

NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)

Sponsored by GSA

FAR (48 CFR) 53.110

Jacobs Creek JCC Medical Services 1282A727Q0002

Statement of Requirement The Jacobs Creek Job Corps Center has a need for basic health services provided by licensed medical professionals that includes examinations and assessments, treatment, issuance of prescriptions and immunizations, monitoring health conditions, recommending hospitalization, follow-up care, and prevention planning and intervention. The full requirements can be found in the Statement of Work (see Attachment 1).

Location Jacobs Creek Job Corp Center 984 Denton Valley Rd.

Bristol, TN 37620

Schedule of Items

Project Description: Medical Services at Jacobs Creek Job Corp Center

Vendor Name: __________________________________Vendor UEI:___________________

19.

ITEM

NO.

20.

SCHEDULE OF SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT

PRICE

24.

TOTAL AMT

BASE YEAR SERVICES – January 11, 2027 through January 10, 2028

0001 Medical Services Base 400 HR $ $

BASE YEAR SERVICES TOTAL: $

19.

ITEM

NO.

20.

SCHEDULE OF SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT

PRICE

24.

TOTAL AMT

OPTION YEAR ONE SERVICES – January 11, 2028 through January 10, 2029

1001 Medical Services Option Year 1 400 HR $ $

OPTION PERIOD ONE SERVICES TOTAL: $

NO.

20.

SCHEDULE OF SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT

PRICE

24.

TOTAL AMT

OPTION YEAR TWO SERVICES – January 11, 2029 through January 10, 2030

2001 Medical Services Option Year 2 400 HR $ $

OPTION PERIOD TWO SERVICES TOTAL: $

ITEM

NO.

20.

SCHEDULE OF SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT

PRICE

24.

TOTAL AMT

OPTION YEAR TWO SERVICES – January 11, 2030 through January 10, 2031

3001 Medical Services Option Year 3 400 HR $ $

OPTION PERIOD TWO SERVICES TOTAL: $

NO.

20.

SCHEDULE OF SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT

PRICE

24.

TOTAL AMT

OPTION YEAR FOUR SERVICES – January 11, 2031 through January 10, 2032

4001 Medical Services Option Year 4 400 HR $ $

OPTION PERIOD FOUR SERVICES TOTAL: $

NO.

20.

SCHEDULE OF SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT

PRICE

24.

TOTAL AMT

Six Month Extension IAW 52.217-8 January 11, 2032 through July 10, 2032

5001 Medical Services – Six Month Extension 200 HR $ $

-8 IAW 52.217-8 SERVICES TOTAL: $

GRAND TOTAL WITH ALL OPTIONS: $____________________

Federal Acquisition Regulation (FAR) and United States Department of Agriculture Acquisition Regulation (AGAR) Clauses and Provisions The clauses and provisions contained herein are applicable to any order awarded as a result of this solicitation. The terms and conditions set forth herein supersede all other terms and conditions.

Acceptance of the order in accordance with (IAW) FAR 12.201-1(b)(2) constitutes acceptance of all terms and conditions contained herein.

As part of the Revolutionary FAR Overhaul (RFO), system updates may lag policy updates. The System for Award Management (SAM) may continue to require entities to complete representations based on provisions that are not included in this solicitation. Contracting officers will rely on representations from offers based on provisions in the solicitation. Entities are not required to, nor are they able to, update their entity registration to remove these representations in SAM.

52.252-2 Clauses Incorporated by Reference Feb 1998 This solicitation incorporates one or more clauses by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. Also the full text of the clause may be accessed electronically at Internet address https://www.acquisition.gov/far-overhaul/far-part-deviation-guide/far-overhaul-part-52

52.203-6 Restrictions on Subcontractor Sales to the Government (Jun 2020) with Alternate I (Nov 2021) of 52.203-6 52.203-17 Contractor Employee Whistleblower Rights (Nov 2023) 52.203-19 Prohibition on Requiring Certain Internal Confidentiality Agreements or Statements (Jan 2017) 52.204-9 Personal Identity Verification of Contractor Personnel Jan 2011 52.204-13 System for Award Management—Maintenance (Nov 2025) 52.209-6 Protecting the Government’s Interest When Subcontracting with Contractors Debarred, Suspended, or Proposed for Debarment (Sep 2025) 52.209-10 Prohibition on Contracting with Inverted Domestic Corporations (Sep 2025) 52.212-4 Terms and Conditions—Commercial Products and Commercial Services (Nov 2025) 52.217-8 Option to Extend Services (Nov 1999): 30 calendar days prior to contract expiration 52.217-9 Option to Extend the Term of the Contract (Mar 2000)

(a) 30 Calendar days prior to contract expiration and 30 days

(c) five years, six months 52.219-8 Utilization of Small Business Concerns (Nov 2025) 52.219-14 Limitations on Subcontracting (Nov 2025) 52.222-3 Convict Labor (June 2003) 52.222-19 Child Labor—Cooperation with Authorities and Remedies (Nov 2025) 52.222-35 Equal Opportunity for Veterans (Nov 2025) 52.222-36 Equal Opportunity for Workers with Disabilities (Nov 2025) 52.222-37 Employment Reports on Veterans (Nov 2025) 52.222-40 Notification of Employee Rights Under the National Labor Relations Act (Dec 2010) 52.222-50 Combating Trafficking in Persons (Nov 2025) 52.222-53 Exemption from Application of the Service Contract Labor Standards to Contracts for

Certain Services-Requirements (Nov 2025) 52.222-54 Employment Eligibility Verification (Nov 2025) 52.222-90 Addressing DEI Discrimination by Federal Contractors (Apr 2026) 52.224-3 Privacy Training (Jan 2017) 52.226-8 Encouraging Contractor Policies to Ban Text Messaging While Driving (May 2024) 52.232-33 Payment by Electronic Funds Transfer— System for Award Management (Oct 2018) 52.232-39 Unenforceability of Unauthorized Obligations (Jun 2013) 52.232-40 Providing Accelerated Payments to Small Business Subcontractors (Mar 2023) 52.233-3 Protest After Award (Sep 2025) 52.233-4 Applicable Law for Breach of Contract Claim (Sep 2025) 52.237-2 Protection of Government Buildings, Equipment, and Vegetation (Apr 1984) 52.237-7 Indemnification and Liability Insurance (Nov 2025): $1 million.

52.240-91 Security Prohibitions and Exclusions (Nov 2025) 52.244-6 Subcontracts for Commercial Products and Commercial Services (Nov 2025)

AGAR Clauses This solicitation incorporates one or more clauses by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text https://www.acquisition.gov/far-overhaul/far-part-deviation-guide/far-overhaul-part-52 available. Also, the full text of the clause may be accessed electronically at Internet address https://www.usda.gov/guidance-documents/acquisition-policy/ocp/usda-agar30-sept-26pdf.

AGAR 452.203-70 Unenforceable Supplier Terms (MAY 2026) AGAR 452.204–70 Modification for Contract Closeout (Apr 2026) AGAR 452.204‑71 Personal Identity Verification and Workforce Integrity of Contractor

Employees (Apr 2026) AGAR 452.236-70 Electronic Submission of Payment Requests (Sep 2026)

Solicitation Information

Award Type

It is anticipated that a Firm-Fixed Price Contract, consisting of one year base period and four one year option years, with a possible six month extension, will be awarded as a result of this solicitation. The total duration of this contract shall not exceed five (5) years and 6 months.

The Government intends to make one award from this solicitation. Therefore, to be considered responsive, contractors must submit pricing for all items.

Evaluation and Basis for Award

The provision at FAR 52.212-2, Evaluation—Commercial Products and Commercial Services is not applicable to this solicitation. In lieu of this provision, quotes will be evaluated in accordance with FAR 12.203 based on the criteria listed below. Award will be made to the offeror representing the best value to the Government

Technical Capability:

All offerors must provide the following minimum information and documentation with their quotations to be considered responsive and have their offers evaluated:

• A completed Quoter’s Questionnaire (see Attachment 2) :

• Proposed Key Personnel o Current resume o Valid Medical license (unrestricted) o Valid DEA license.

o Valid Medical liability insurance coverage of at least $1 million

Nurse Practitioners (NPs) and Physician Assistants (PAs) may be proposed as Key Personnel if they fully comply with all applicable regulations, including having required licenses, insurance coverage, and any required agreements with a physician.

***Failure to submit all required credentials for Key Personnel and a completed Quoter’s Questionnaire may result in a quote being removed from further consideration.

https://www.usda.gov/guidance-documents/acquisition-policy/ocp/usda-agar30-sept-26pdf

Price:

The offeror shall provide pricing as requested in the Schedule of Items on pages 4-5 of this Request for Quote, including all option years and the six-month extension.

Additional notes:

• The requirement consists of 400 total annual hours for Medical Services. The Schedule of

Services must include the hourly rate(s) for each position(s) submitted in the quotation; i.e.

Physician, Nurse Practitioner, OR a combination of Physician and Physician Assistant (PA)/Nurse Practitioner (NP), as applicable to the Quote being submitted.

• ***Please ensure the Schedule of Services coordinates with the positions being submitted on the Quote. If combining positions, the hours provided by each must be a fixed amount, that when added, totals 400 hours per year.

For example: Option #1: Physician $0.00 per hour x 400 hours per year.

OR

Option #2: Nurse Practitioner $0.00 per hour x 400 hours per year

OR

Option #3:

Physician $0.00 per hour x 200 hours PA/NP $0.00 per hour x 200 hours

• Total hours for both positions must equal the total 400 hours per year.

The Government will evaluate offers for award purposes by adding the total price for all options to the total price for the basic requirement; however, the evaluation of options does not obligate the Government to exercise option years or the six-month extension.

Past Performance:

The Government may utilize any references provided by the Contractor, along with information available from past contracts/orders with the USDA and any information found using sources such as Federal Government sources or the Contractor Performance Assessment Reporting System (CPARS) to evaluate Past Performance. If Past Performance information is unavailable, offerors will receive a neutral rating.

Evaluation Method:

All quotations will be evaluated to identify the offeror presenting the best value solution based on the stated evaluation criteria:

• Technical Capability

• Past Performance

• Price

Past Performance and Technical Capability when combined are more important than price, therefore an award may not necessarily be made to the lowest priced offeror.

52.252-1 Solicitation Provisions Incorporated by Reference Feb 1998 This solicitation incorporates one or more solicitation provisions by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. The offeror is cautioned that the listed provisions may include blocks that must be completed by the offeror and submitted with its quotation or offer. In lieu of submitting the full text of those provisions, the offeror may identify the provision by paragraph identifier and provide the appropriate information with its quotation or offer. Also, the full text of a solicitation provision may be accessed electronically at this/these address(es): https://www.acquisition.gov/far-overhaul/far-part-deviation-guide/far-overhaul-part-52

52.212-1 Instructions to Offerors - Commercial Products and Commercial Services (Nov 2025)

Notice of award. A written notice of award or acceptance of an offer 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.

Submit a complete offer, by email, to Louis Lieb at Louis.Lieb@usda.gov, so that it is delivered into this inbox by 5:00 PM Eastern Time November 17th, 2026 in in Microsoft Word or Adobe PDF format. Be aware that large attachments may increase the time required to deliver an email. It is the offerors responsibility to confirm receipt of the offer from Louis Lieb.

(End of provision)

FAR 52.212-1 is amended as follows:

Period for acceptance of offers.

The Offeror agrees to hold the prices in its offer firm for 90 calendar days from the date specified for receipt of offers.

Questions Questions shall be submitted via email to Benjamin Nixon at benjamin.nixon@usda.gov and are due no later than November 10, 2026, at 5:00 PM Eastern Time. This will ensure enough time to respond before the solicitation period ends. Please include the solicitation name and number as the subject line of the email.

52.203-18 Prohibition on Contracting with Entities that Require Certain Internal Confidentiality Agreements or Statements-Representation (Jan 2017) 52.209-2 Prohibition on Contracting with Inverted Domestic Corporations - Representation (Sep 2025) 52.209-11 Representation by Corporations Regarding Delinquent Tax Liability or a Felony Conviction under any Federal Law (Sep 2025) 52.240-90 Security Prohibitions and Exclusions Representations and Certifications (Nov 2025)

Applicable FAR Provisions 52.203-11 Certification and Disclosure Regarding Payments to Influence Certain Federal Transactions (Sep 2024) 52.204-7 System for Award Management—Registration (Nov 2025) 52.217-5 Evaluation of Options (Nov 2025) 52.222-52 Exemption from Application of the Service Contract Labor Standards for Certain Services-Certification (Nov 2025) 52.233-2 Service of Protest (Sep 2025) 52.237-1 Site Visits (Apr 1984)

AGAR Provisions This solicitation incorporates one or more provisions by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. Also, the full text of the clause may be accessed electronically at Internet address https://www.usda.gov/guidance-documents/acquisition-policy/ocp/usda-agar30-sept-26pdf.

NOTICE FOR FILING AGENCY PROTESTS

United States Department of Agriculture (USDA) Protest Procedures

The United States Department of Agriculture (USDA) is committed to fair, transparent, and efficient acquisitions. Interested parties with concerns about this solicitation are encouraged to seek resolution through the following USDA procedures.

Tier 1: Contracting Officer Concern Resolution

Submission: Interested parties with concerns about either the solicitation or subsequent award should first submit their concern directly to the Contracting Officer, providing sufficient detail to allow the Contracting Officer to understand and assess the issue.

Process: The Contracting Officer will review the concern, seek clarification as needed, and engage with the interested party to attempt prompt resolution.

Review Timeline: The Contracting Officer will make every effort to provide a response or resolution within 10 business days of receiving the concern.

Effect on Award or Performance: Tier 1 engagement is not considered an official notification of filing an agency protest and does not pause solicitation deadlines, delay award decisions, or suspend contract performance.

https://www.usda.gov/guidance-documents/acquisition-policy/ocp/usda-agar30-sept-26pdf

Next Steps: If the matter cannot be resolved at Tier 1, the interested party may file a written agency protest under Tier 2.

USDA encourages all parties to seek resolution with the Contracting Officer before filing an agency protest.

Tier 2: Agency Protest If concerns cannot be resolved at Tier 1, an interested party may file a written agency protest with either the Contracting Officer or the USDA Independent Review Authority. The decision by the USDA Independent Review Authority is an alternative to a decision by the Contracting Officer. The USDA Independent Review Authority will not consider an appeal of the Contracting Officer’s decision on an agency protest.

The protest must state whether the protester elects review by the Contracting Officer, by the UDSA Independent Review Authority. If no election is stated, the Contracting Officer will decide the protest.

Required Information: Protests shall include the information set forth in FAR 33.104-4 (a)(3).

Failure to submit the required information may result in a delay or dismissal of the protest.

Submission: Agency protests should be submitted electronically to SPE.inquiry@usda.gov and the Contracting Officer.

Timeliness: Protests must be filed within the timeframes specified in FAR 33.104.

Effect on Award or Performance: Contract awards or performance will be suspended during the protest period unless justified in writing for urgent and compelling reasons or determined to be in the best interest of the Government.

Review Timeline: USDA strives to resolve agency-level protests within 35 business days of receipt.

Election of Forum: By filing a protest with USDA, the protesters agree not to file a protest on the same matter with the Government Accountability Office (GAO) or any other external forum while the agency protest is pending. If such a protest is filed externally, the USDA agency protest will be dismissed.

Questions: Questions regarding this notice or protest procedures should be directed to the Contracting Officer identified in this solicitation.

mailto:SPE.inquiry@usda.gov

Statement of Work – Medical Services

Project Medical Services for Jacobs Creek Job Corps Civilian Conservation Center (JCCC)

General Information

1.0 Scope of Work

1.1. The Physician and/or Nurse Practitioner/Physician Assistant shall provide ON-SITE Medical services for all students on Center, in accordance with applicable Federal laws/regulations, OSHA and HIPAA requirements, state and local laws, and guidelines of the American Medical Association. The USDA Forest Service Job Corps Civilian Conservation Centers (JCCCC) provide academic, vocational, and life-learning skills to at risk youth and young adults at 24 Job Corps Centers across the United States (U.S.). As part of this program, youth and young adults at the Centers are provided healthcare services as follows: medical, dental, mental health, and drug & alcohol intervention. Each Forest Service JCCCC has a need for basic health services provided by licensed medical professionals that includes examinations and assessments, treatment, issuance of prescriptions and immunizations, monitoring health conditions, recommending hospitalization, follow-up care, and prevention planning and intervention.

1.2. Medical services must also include analysis and use of the most efficient and cost-effective practice of contemporary, evidence-based health care possible given available time, resources, and personnel. These services will involve coordinating and integrating the medical services program with other health and wellness components/activities on Center and providing medical services to enrollees and established students on Center.

1.3. The general emphasis of Medical services must be on the early identification and diagnosis of medical problems, basic health care and health promotion, prevention, and education designed to help students overcome barriers to employability as outlined in the Policy and Requirements Handbook (PRH) Chapter 2, Support Student Services, Section 2.3, R4. Health Services at the link below; continuing links to other reference materials are held within that web page.

• https://prh.jobcorps.gov/Pages/Home.aspx

1.4. In addition, contracted personnel shall adhere to any such standards as may be established by the Office of the Director, Job Corps, US Department of Labor (DOL), and the Contractor. The contractor shall be responsible for the direct supervision of contractor’s personnel on the Center. Contractor’s on-Center staff shall coordinate with the Health and Wellness Director and/or Center Director on all matters of program operations and coordination with other Center activities.

2.0 Background:

https://prh.jobcorps.gov/Pages/Home.aspx

Job Corps is a U.S. Department of Labor (DOL), Employment and Training Administration (ETA) program. Job Corps is designed to assist young people who need and can benefit from the wide-range of services provided at a Job Corps center. Services include the following: basic education, High School Diploma (HSD) program; General Educational Development (GED); vocational skills training; residential living program; healthcare; and related support services. The comprehensive combination of training and support services is designed to help each student become a responsible and productive citizen. Student populations range from 100 to over 300 enrollments depending on the Center’s On Board Strength (OBS). Job Corps is a self-paced program: therefore, a student’s length of enrollment varies. Students may remain in the program for up to two years, but the average length of enrollment is approximately eight to nine months.

3.0. Technical Requirements / Tasks

3.1. Task 1 – General

Provision of medical services requires, but is not limited to:

3.1.1. The Physician and/or Nurse Practitioner/Physician Assistant shall provide ON-SITE Medical services for all students on Center, in accordance with applicable Federal laws/regulations, OSHA and HIPAA requirements, state and local laws, and guidelines of the American Medical Association. The provider must possess the ability to work both independently and as a member of a healthcare team to provide optimal services to a population of financially disadvantaged youth, typically ranging from 16 to 24 years in age.

3.1.2. Medical services must also include analysis and use of the most efficient and cost-effective practice of contemporary, evidence-based health care possible given available time, resources, and personnel. These services will involve coordinating and integrating the medical services program with other health and wellness components/activities on Center and providing medical services to enrollees and established students on Center.

3.1.3. The general emphasis of medical services must be on the early identification and diagnosis of medical problems, basic medical care, and medical promotion, prevention, and education as outlined in the Policy and Requirements Handbook (PRH) 2.3 Health Services and included in the required immunization, screenings, and laboratory test list in Exhibit 2-4 (Job Corp Basic Health Care Responsibilities) https://prh.jobcorps.gov/Pages/Home.aspx . Additional information regarding medical services can be located on the Job Corps Support Services website to include a Desk Reference Guide.

https://supportservices.jobcorps.gov/health/Pages/default.aspx.

3.2.Task 2 - Additional Taskings – Contractor Personnel shall:

3.2.1. Possess the ability to work both independently and as a member of a healthcare team to provide optimal services to a population of financially disadvantaged youth, ranging from 16 to 24 years in age.

https://prh.jobcorps.gov/Pages/Home.aspx https://supportservices.jobcorps.gov/health/Pages/default.aspx

3.2.2. Provide supervision to Nurse Practitioner and/or

Physician Assistant, if applicable, to comply with regulations in the state where the center is located.

3.2.3. Promptly review applicant files as requested; conduct an initial physical examination (intake); and develop a medical treatment plan, as applicable.

3.2.4. Record all medical documentation, such as, diagnosis, treatment and management plans, medication, reason of denial into the program (if recommended), each student interaction and etc. on the Student Health Record (SHR) and Job Corps Health and Wellness Program forms in a timely manner.

3.2.5. During regular scheduled hours treat minor conditions

(i.e. respiratory infections, cold and flu symptoms), episodic illness, provide first aid and CPR, and other care within capabilities.

3.2.6. Provide management, written diagnoses, and treatment

plans as part of a chronic care management plan for students with chronic conditions/disabilities.

3.2.7. Provide treatment of acute conditions, education for

health promotion and maintenance of a family planning program.

3.2.8. Provide medication prescriptions for controlled and non-controlled medications.

3.2.9. Collaborate with Substance Abuse Counselor, and

Center Medical Counselor to prescribe medications and Schedule II medications and discuss long-term medication management, as needed.

3.2.10. Participate in Disability Accommodation Committee

(DAC) meetings & file applicant review team meetings during regular scheduled hours, when requested.

3.2.11. Ensure medical equipment is properly cleaned and

maintained.

3.2.12. On a monthly basis, report to the Center Director and HWD on all health- related matters; including student medical separations, justification and costs of needed special services, health and non-healthcare equipment repair and replacement needs, depletion of medical supplies and medications, and other areas deemed appropriate.

3.2.13. Establish an appropriate medical referral system for

students who require special, or emergent, medical care.

3.2.14. Attend monthly conference calls, webinars, and DOL

training, as available during regular scheduled hours of service.

3.2.15. Ensure patient privacy for all assessments, exams and procedures; maintain, safeguard, and ensure the confidentiality of all required student health records in accordance with the Health Insurance Portability and Accountability Act (HIPAA).

3.2.16. Participate in health and wellness program continuous quality improvement activities and advise and advise and assist the health education instructor in the development and implementation of the Health Education Program during visits and encounters on topics related to health and employability and provide the center with documentation of education in the student health record.

3.2.17. Coordination with other departments/programs on

center, including but not limited to residential, recreation, education, vocation, student government association, and Health Eating and Active Lifestyles (HEALSs), to develop integrated promotion and education services.

3.2.18. Provide medical services in a positive and productive manner to facilitate student willingness to pursue recommended dental treatment plans, medical treatment plans and substance abuse treatment plans; and in such a manner to obtain positive student satisfaction survey results as determined by Job Corps.

3.2.19. Not to engage in any research projects and/or

publications relating to Job Corps health activities without prior written approval from the Job Corps National Office in Golden, CO.

3.2.20. Report adverse student behavior incidents to the HWD

or Contracting Officer’s (CO) Representative (COR) in a timely manner.

3.2.21. Understand that health services shall be subject to

monitoring and review by Job Corps assessment teams, and cooperation and compliance with such teams is required. Participate in DOL and Forest Service assessments, completing requested questionnaires, conferences, and monthly teleconferences in adherence to the PRH requirements.

3.2.22. Provide periodic education to staff as requested on

topics mutually agreed upon.

3.2.23. Comply with all state, federal and Job Corps infection control policies and procedures.

3.2.24. Contractor will work with the center to develop a system to account for all time billed to the center.

4.0. Government Furnished

Adequate workspace, equipment, supplies, and materials as needed to accomplish the work requirements outlined herein, including examination rooms and furniture, assessment equipment, telephone, computer, a fax machine, office supplies, PPE, and similar items. These supplies and property shall be utilized during the performance of this contract only while providing student care.

Contractor shall report to:

Jacobs Creek Job Corp Center 984 Denton Valley Rd.

Bristol, TN 37620

5.0. Deliverables / Schedule

5.1. Deliverables

No deliverables are required for this contract.

5.2 Schedule and Availability

5.2.1. Medical services are required on center (with rare exceptions) on a weekly basis, during days of the week and hours of the day established in coordination with Center personnel. The days and times of services shall be upon mutual agreement between the Contractor and center personnel and must be considered reasonable. A reasonable schedule would be considered providing services one (1) or two (2) days a week, M- F, 8am – 5pm.

5.2.2. Center OBS and the PRH may change at any time; consequently, the quantity of required medical services hours may vary, depending on the needs of the student population. However, any changes to the required hours will be executed via a bilateral modification to the contract.

5.2.3. Key Personnel must provide a current contact number to the Center HWD or COR.

When Key Personnel are unavailable for an extended period of time, as determined by the Contracting Officer, the Contractor will provide an acceptable substitute to provide services.

5.2.4. Contractor will contact the CD or designee 24 hours in advanced for cancellation of services.

For planned absences, the Contractor will coordinate with Center staff and the CO to provide an approved substitute, as well as a current emergency contact number. All substitute personnel will be approved by the national and regional offices prior to work being performed.

5.2.5. Contractor Personnel will not be scheduled to work on the following Government holidays:

• New Year’s Day – January 1

• Martin Luther King Junior’s Birthday – Third Monday in January,

• Presidents Day – third Monday in February,

• Memorial Day – Last Monday in May,

• Juneteenth Day – June 19th,

• Independence Day – July 4,

• Labor Day – First Monday in September.

• Columbus Day – Second Monday in October,

• Veteran’s Day – November 11,

• Thanksgiving Day – fourth Thursday in November

• Christmas Day – December 25

6.0. Travel

Travel is not anticipated or authorized for this statement of work.

7.0. Contractor’s Key Personnel:

7.1. Contractor personnel shall:

7.1.1. Have an active, unrestricted license to practice independently in the state where services will be provided.

7.1.2. Maintain licensing requirements/certification/accreditation and required insurance coverage during the entire performance period with proof being submitted to the CO upon request.

7.1.3. Agree to a criminal background check, and drug testing, as a prerequisite for contract performance, if determined necessary by the CO.

7.1.4. Information obtained through the background check may be used in determining contractor’s qualification for this contract. Information regarding a person’s race, national origin, color, sex, religion, disability, genetic information (including family medical history), or age will not be evaluated or have any impact on the determination of qualifications for this contract.

7.1.5. Government may terminate the contract if the background check is determined to be unacceptable or if any aspect would jeopardize the health and safety of the students. Are responsible for maintaining their own malpractice/professional liability insurance and general liability insurance for each individual and/or company, with each contractor working on students listed as a covered entity.

8.0. Security Requirements

The space, equipment, and supplies used by contractor personnel shall be secured at all times, per Center requirements. The Contractor shall review and be familiar with Center security procedures.

9.0. Data Rights

Student records and all reports generated are property of the US Government.

10.0. Governing Regulations, Handbooks, and References:

The Contractor shall provide Health and Wellness (H&W) services as specified in the following documents:

• Job Corps Federal Regulations (Title 20 Code of Federal Regulations, Part 684 as amended, Job Corps Program under Title TV-B of the Job Training Partnership Act.

• Applicable Technical Assistance Guides (TAG s)

• Job Corps CMHC Desk Reference

• Job Corps Health & Wellness information and Department of Labor PRH:

https://supportservices.jobcorps.gov/health/Pages/default.aspx https://prh.jobcorps.gov/

• Job Corps Support Services:

11.0. INVOICE PROCEEDURES:

• Invoices shall be submitted on a monthly basis between the first and fifteenth of the following month;

• Invoices shall include only those services rendered during the billing period;

• Invoices shall be billed at the rates, and in accordance with the Contract Line Item Numbers

(CLIN), as listed in the Schedule of Items;

• Invoices shall be submitted through the INVOICING PROCESSING PLATFORM (IPP) which can be accessed at: http://www.ipp.gov/index.htm

• IPP Customer Support – 1 (866) 973 – 3131 https://prh.jobcorps.gov/ http://www.ipp.gov/index.htm

ATTACHMENT 2 – QUOTER’S QUESTIONNAIRE

☐ Completed Schedule of Services with proposed pricing for the base year and 4 Option Years.

☐ Quoter confirms the attached Scope of work has been thoroughly reviewed before submitting a quotation.

☐ The registration process at www.SAM.gov has been successfully completed.

☐ Quoter confirms the provision FAR 52.204-26 and FAR 52.212-3, the annual representations and certifications, has been electronically completed at www.SAM.gov. The complete provision can be found at https://www.acquisition.gov/browse/index/far.

☐ Contract Federal Tax ID Number is provided:__________________________ ☐ Contractor SAM Unique Entity ID number is provided: _________________________ ☐ A copy of the applicable State license for each proposed Key Personnel is provided.

☐ A copy of the Drug Enforcement Administration (DEA) registration for each proposed Key Personnel is provided

☐ Proof of Medical Liability Insurance, in accordance with FAR 52.237-7; 52.228-5 and AGAR 452.228-71 is provided.

☐ A resume for each proposed Key Personnel is provided.

☐ All Key Personnel and substitute personnel will consent to a background check.

Contractor’s Point of Contact (POC) Information is provided:

Name: Company:

Position: Email:

Phone: Fax:

☐ The following questions have been answered as provided below:

1. Within the past 5 years have you failed to complete any work awarded to you or been terminated for default or breach of contract? If yes, explain.

2. How will your company provide a qualified substitute, when necessary?

3. Please describe any prior experience in working with disadvantaged young adults, any special training received that would be an advantage to this position, and why you feel your company is best suited to providing care to the students.

☐ The following three (3) professional references of similar past work performance is provided:

• Name: Organization:

• Phone: Email:______________________________________

• Name: Organization:

• Phone: Email:______________________________________

• Name: Organization:

• Phone: Email:

☐ I certify that all of the information provided above is complete, true, and correct to the best of my knowledge.

Sign:______________________________________ Date:_______________________________________ http://www.sam.gov/ http://www.sam.gov/ https://www.acquisition.gov/browse/index/far