Amendment 0001.pdf

15BFA024Q00000102/0001

1. CONTRACT ID CODE

I PAGE OF PAGES

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT 1 I 92

2. AMENDMENT/MODIFICATION NUMBER 3. EFFECTIVE DATE 4. REQUISITION/PURCHASE REQUISITION NUMBER

5. PROJECT NUMBER /ffapplksblBJ

0001 09/26/2024

6. ISSUED BY CODE BFAO

Federal Bureau of Prisons

Field Acquisition Office Ben Keim

U.S. Armed Forces Reserve Complex (0) 202-307-3198

346 Marine Forces Drive BKEIM@BOP.GOV

Grand Prairie, TX 75051

8. NAME AND ADDRESS OF CONTRACTOR (Number, street, country, state and ZIP Code)

CODE I FACILITY CODE

7. ADMINISTERED BY (If other than Item 6) CODE I 15B505 Federal Bureau of Prisons

FMC Carswell Federal Bureau of Prisons

FMC Fort Worth J Street

Building 3000 3150 Horton Road

Fort Worth, TX 76127 Fort Worth, TX 76119

(X)

9A. AMENDMENT OF SOLICITATION NUMBER

l 5BF A024O00000102

X 9B. DATED (SEE ITEM 11)

09/02/2024

10A. MODIFICATION OF CONTRACT/ORDER

NUMBER

10B. DATED (SEE ITEM 13)

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

ULl The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers D is extended, [i] is not extended.

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 __ copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted; 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.

12. ACCOUNTING AND APPROPRIATION DATA (If required)

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

--------1 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 date, 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)

E. IMPORTANT: Contractor □ is not, [j is required to sign this document and return _1_ copies to the issuing office.

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

This amendment changes the amounts in 52.237-7- Indemnification and Medical Liability Insurance (Jan 1997), located on page 36 and 37 of the solicitation, to the Following:

The Contractor shall maintain during the term of this contract liability insurance issued by a responsible insurance carrier of not less than the following amount(S) per specialty per occurrence: $200,000/$600,000 aggregate.

All other terms, conditions and line items remain the same.

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.

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

15B. CONTRACTOR/OFFEROR 15C. DATE SIGNED

(Signature of person authorized to sign)

Previous edition unusable

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

Ben Keim

Contracting Officer

16B. UNITED STATES OF AMERICA 16C. DATE SIGNED

By (Signature of Contracting Officer)

STANDARD FORM 30 (REV. 11/2016)

Prescribed by GSA FAR (48 CFR) 53.243

RE: Request for Quote 15BFA024Q00000102 Gender Reassignment Services

U.S. Department of Justice

Federal Bureau of Prisons

Administration Division

Field Acquisition Office Grand Prairie, Texas 75051

Federal Medical Center (FMC) Carswell & Federal Medical Center (FMC) Fort Worth

Dear Quoter:

Attached is a solicitation package prepared by the Federal Bureau of Prisons, Field Acquisition Office, for the provision of Gender Reassignment Services for FMC Carswell and FMC Fort Worth located in Fort Worth, Texas. This package contains all necessary information to submit a quote.

Quoters should consider all information provided herein when submitting quotes. Please carefully follow all instructions located in the solicitation package concerning the content, format and submission of your quotes.

All potential quoters are advised that this solicitation includes the clause at FAR 52.212-4 for Commercial Items. Paragraph (t), System for Award Management (SAM), of this clause requires that all quoters doing business with the Federal Government to be registered in the SAM database. Quoters should include their Unique Entity Identifier (UEI) number in their quote. The Contracting Officer will verify registration in the SAM database prior to award by entering the potential awardees UEI number into the SAM database. Failure to complete the registration procedures outlined in this clause may result in elimination from consideration for award. For the purposes of this solicitations, each quoter's SAM registration should include NAICS code 621111.

If you have questions about the System for Award Management (SAM), Government procurements in general, or need assistance in the preparation of your quote, a local Procurement Technical Assistance Center (PTAC) may be able to help. The Procurement Technical Assistance Program was authorized by Congress in 1985 in an effort to expand the number of businesses capable of participating in the Government marketplace. To locate a PTAC near you, go to http://www.aptac-us.org.

Quotes shall be received on or before the deadline of October 02, 2024, at 2:00pm Central Standard Time. Quotes shall be submitted electronically via email to BKEIM@BOP.GOV and bop-adm-fao-cms-s@bop.gov in pdfformat only and will be deemed received at the time as indicated on the email notification. Faxed and hand delivered quotes will not be accepted. Please submit any questions you may have in writing. Questions may be submitted via email to BKEIM@BOP.GOV.

Sincerely, Ben Keim, Contracting Officer Field Acquisition Office

15BFA024Q00000102 Page 1 of 86

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES

NOTE: OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24AND 30.

1. REQUISITION NUMBER

2. CONTRACT NUMBER 3. AWARD/EFFECTIVE

4. ORDER NUMBER 5. SOLICITATION NUMBER 6. SOLICITATION ISSUE

DATE DATE

15BF A024Q00000 102 09/02/2024

7. FOR SOLICITATION

a. NAME b. TELEPHONE NUMBER (No collect calls) 8. OFFER DUE DATE / LOCAL

TIME

INFORMATION CALL: Ben Keim BKEIM(a}BOP.GOV 10/02/2024 02:00 CT

9. ISSUED BY CODE IBFAO 10. THE ACQUISITION IS 0 UNRESTRICTED OR □ SET ASIDE: %FOR Federal Bureau of Prisons

□ NORTH AMERICAN SMALL BUSINESS

WOMEN-OWNED SMALL Field Acquisition Office BUSINESS (WOSB) INDUSTRY CLASSIFICATION

U.S. Armed Forces Reserve Complex □

HUBZONE SMALL STANDARD (NAICS):

BUSINESS

ECONOMICALLY DISADVANTAGED 621111 346 Marine Forces Drive

SERVICE-DISABLED

WOMEN-OWNED SMALL BUSINESS

Grand Prairie, TX 75051 VETERAN-OWNED

(EDWOSB) SIZE STANDARD:

SMALL BUSINESS □ 8(A) 16 Million

(SDVOSB)

11. DELIVERY FOR FREE ON BOARD 12. DISCOUNT TERMS 13b. RATING (FOB) DESTINATION UNLESS 13a. THIS CONTRACT IS A

BLOCK IS MARKED □ RATED ORDER UNDER THE 14. METHOD OF SOLICITATION

DEFENSE PRIORITIES AND REQUEST

ALLOCATIONS SYSTEM - � REQUEST □ INVITATION □ SEE SCHEDULE FOR QUOTE FOR BID

□ FOR

DPAS (15 CFR 700) (RFQ) (IFB) PROPOSAL

15. DELIVER TO CODE I 15B509

Federal Bureau of Prisons Federal Bureau of Prisons FMC Fort Worth FMC Carswell 3150 HORTON ROAD J Street Fort Worth, TX 76119 Building 3000

Fort Worth, TX 76127

17a. CONTRACTOR/ GODEi I FACILITY I

OFFEROR CODE

TELEPHONE NUMBER

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

OFFER

! 19.

ITEM NUMBER

20.

SCHEDULE OF SUPPLIES/SERVICES

(RFP)

16. ADMINISTERED BY CODE I 15B505

Federal Bureau of Prisons Federal Bureau of Prisons FMC Carswell FMC Fort Worth J Street 3150 HORTON ROAD Fort Building 3000 Worth, TX76119 Fort Worth, TX 76127

18a. PAYMENT WILL BE MADE BY CODE I 15B505 Federal Bureau of Prisons Federal Bureau of Prisons FMC Carswell FMC Fort Worth J Street 3150 HORTON ROAD Building 3000 Fort Worth, TX 76119 Fort Worth, TX 76127

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

BELOW IS CHECKED □ SEE ADDENDUM

21. 22. 23. 24.

QUANTITY UNIT UNIT PRICE AMOUNT

Gender Reassignment Surgery Services for FMC Carswell and FMC Fort Worth.

Finn Fixed Price

See Continuation Sheet(s) ( Use Reverse and/or Attach Additional Sheets as Necessary)

25. ACCOUNTING AND APPROPRIATION DATA 26. TOTAL AWARD AMOUNT (For Government Use Only) h7i 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

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

□ ARE � ARE NOT ATTACHED

□ ARE □ ARE NOT ATTACHED

G 28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN COPIES TO

ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DELIVER ALL ITEMS SET FORTH

OR OTHERWISE IDENTIFIED ABOVE AND ON ANY ADDITIONAL SHEETS SUBJECT TO THE

TERMS AND CONDITIONS SPECIFIED.

□ 29. AWARD OF CONTRACT: REFERENCE

OFFER DATED . YOUR OFFER ON SOLICITATION (BLOCK

5) INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE SET FORTH

HEREIN, IS ACCEPTED AS TO ITEMS:

30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACT/NG OFFICER)

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

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

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

STANDARD FORM 1449 (REV. 11/2021)

Prescribed by GSA- FAR (48 CFR) 53.212

I

19. 20. 21.

ITEM NUMBER SCHEDULE OF SUPPLIES/SERVICES QUANTITY

32a. QUANTITY IN COLUMN 21 HAS BEEN

22.

UNIT

15BFA024Q00000102 Page 2 of 86

23. 24.

UNIT PRICE AMOUNT

□ RECEIVED □ INSPECTED □ ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED: ___________ _

32b. SIGNATURE OF AUTHORIZED GOVERNMENT 32c. DATE 32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE REPRESENTATIVE

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

33. SHIP NUMBER 34. VOUCHER NUMBER 35. AMOUNT VERIFIED 36. PAYMENT 37. CHECK NUMBER

CORRECT FOR

□coMPLETE □PARTIAL □FINAL

I PARTIAL I IFINAL

38. S/R ACCOUNT NUMBER 39. S/R VOUCHER NUMBER 40. PAID BY

41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT 42a. RECEIVED BY (Print)

41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER 41c. DATE 42b. RECEIVED AT (Location)

42c. DATE REC'D (YYIMMIDD)

42d. TOTAL CONTAINERS

STANDARD FORM 1449 (REV.11/2021) BACK

Section

Table of Contents

Description

15BFA024Q00000102 Page 3 of 86

Page Number

Solicitation/Contract Form

Commodity or Services Schedule

Contract Clauses

2852.212-4 Contract Terms and Conditions, Commercial Items (FAR Deviation) (NOV

2020)

52.204-13 System for Award Management Maintenance (Oct 2018) 52.204-18 Commercial and Government Entity Code Maintenance (Aug 2020)

52.204-19 Incorporation by Reference of Representations and Certifications (Dec 2014)

52.212-4 Contract Terms and Conditions-Commercial Products and Commercial Services

(Nov 2023)

52.224-1 Privacy Act Notification (Apr 1984) 52.224-2 Privacy Act (Apr 1984 )

52.228-5 Insurance-Work on a Government Installation (Jan 1997)

52.232-18 Availability of Funds (Apr 1984)

52.232-40 Providing Accelerated Payments to Small Business Subcontractors (Mar

2023)

52.204-21 Basic Safeguarding of Covered Contractor Information Systems (Nov 2021 )

52.216-18 Ordering (Aug 2020)

52.216-19 Order Limitations (Oct 1995)

52.216-21 Requirements (Oct 1995)

52.217-8 Option to Extend Services (Nov 1999)

52.217-9 Option to Extend the Term of the Contract (Mar 2000)

52.232-19 Availability of Funds for the Next Fiscal Year (Apr 1984)

52.237-7 Indemnification and Medical Liability Insurance (Jan 1997)

52.252-6 Authorized Deviations in Clauses (Nov 2020) 2852.201-70 Contracting Officer's Representative (COR) (NOV 2020)

2852.223-70 Unsafe Conditions Due to the Presence of Hazardous Material (NOV 2020)

BOP 2852.242-71 EVALUATION OF CONTRACTOR PERFORMANCE UTILIZING CPARS

(APR 2011 )

DOJ-01 Whistleblower Information Distribution (Oct 2021 )

DOJ-02 Contractor Privacy Requirements (JAN 2022)

DOJ-03 Personnel Security Requirements For Contractor Employees (Nov 2021 )

DOJ-04 Federal Workplace Responses to Domestic Violence, Sexual Assault, and Stalking

(DEC 2014)

DOJ-05 Security of Department Information and Systems DOJ-05 (OCT 2023)

DOJ-07 Prohibition On Access By Non-U.S. Citizens To DOJ IT Systems (MAR 2002)

DOJ-08 Continuing Contract Performance During a Pandemic Influenza or other National

Emergency (OCT 2007) ........................................................................................................... 5 7

52.212-5 Contract Terms and Conditions Required To Implement Statutes or Executive

Orders-Commercial Products and Commercial Services (May 2024 )

List of Attachments

Solicitation Provisions

52.204-7 System for Award Management (Oct 2018)

52.204-16 Commercial and Government Entity Code Reporting (Aug 2020)

52.212-1 Instructions to Offerors-Commercial Products and Commercial Services (Sep

2023)

52.217-5 Evaluation of Options (July 1990)

2852.233-70 Protests Filed Directly with the Department of Justice (NOV 2020)

52.204-24 Representation Regarding Certain Telecommunications and Video Surveillance

Services or Equipment (Nov 2021 ) 52.204-29 Federal Acquisition Supply Chain Security Act Orders-Representation and

Disclosures (Dec 2023)

52.209-7 Information Regarding Responsibility Matters (Oct 2018)

52.209-12 Certification Regarding Tax Matters (Oct 2020)

52.216-1 Type of Contract (Apr 1984)

52.233-2 Service of Protest (Sept 2006)

15BFA024Q00000102 Page 4 of 86

52.212-2 Evaluation-Commercial Products and Commercial Services (Nov 2021)

52.212-3 Offerer Representations and Certifications-Commercial Products and Commercial

Services (May 2024)

15BFA024Q00000102 Page 5 of 86

Section 1 - Commodity or Services Schedule

ITEM NO.

ITEM NO.

ITEM NO.

ITEM NO.

ITEM NO.

ITEM NO.

SCHEDULE OF SUPPLIES/SERVICES

CONTINUATION SHEET

SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE

Male to Female Reassignment Surgery 5 EA $

New Patient Consult

Base Year: Effective Date of Award (EDOA) through 12 months from EDOA.

PSC: Q523

Base Period

SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE

Male to Female Reassignment Surgery 3 EA $

Top Surgery/Breast Augmentation with Implant

Base Year: Effective Date of Award (EDOA) through 12 months from EDOA.

PSC: Q523

Base Period

SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE

Male to Female Reassignment Surgery 1 EA $

Bottom SurgeryNaginoplasty

Base Year: Effective Date of Award (EDOA) through 12 months from EDOA.

PSC: Q523

Base Period

SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE

Male to Female Reassignment Surgery 12 EA $

Laser Hair Removal

Base Year: Effective Date of Award (EDOA) through 12 months from EDOA.

PSC: Q523

Base Period

SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE

Male to Female Reassignment Surgery 1 EA $

Top/Bottom Simultaneous

Base Year: Effective Date of Award (EDOA) through 12 months from EDOA.

PSC: Q523

Base Period

SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE

Female to Male Reassignment Surgery 12 EA $

New Patient Consult

Base Year: Effective Date of Award (EDOA) through 12 months from EDOA.

PSC: Q523

AMOUNT

AMOUNT

AMOUNT

AMOUNT

AMOUNT

AMOUNT

Base Period

ITEM NO. SUPPLIES/SERVICES

0007 Female to Male Reassignment Surgery

Top Surgery/Breast Reconstruction

Base Year: Effective Date of Award (EDOA) through 12 months from EDOA.

PSC: Q523

Base Period

ITEM NO. SUPPLIES/SERVICES

0008 Female to Male Reassignment Surgery

Bottom Surgery/Metoidioplasty or Phalloplasty

Base Year: Effective Date of Award (EDOA) through 12 months from EDOA.

PSC: Q523

Base Period

ITEM NO. SUPPLIES/SERVICES

0009 Female to Male Reassignment Surgery

Hysterectomy

Base Year: Effective Date of Award (EDOA) through 12 months from EDOA.

PSC: Q523

Base Period

ITEM NO. SUPPLIES/SERVICES

0010 Female to Male Reassignment Surgery

Laser Hair Removal

Base Year: Effective Date of Award (EDOA) through 12 months from EDOA.

PSC: Q523

Base Period

ITEM NO. SUPPLIES/SERVICES

0011 Female to Male Reassignment Surgery

Top/Bottom Simultaneous

Base Year: Effective Date of Award (EDOA) through 12 months from EDOA.

PSC: Q523

Base Period

ITEM NO. SUPPLIES/SERVICES

0012 Male to Female Reassignment Surgery

New Patient Consult

Option Year 1 : 12 Months

PSC: Q523

Option Period 1

ITEM NO. SUPPLIES/SERVICES

0013 Male to Female Reassignment Surgery

Top Surgery/Breast Augmentation with Implant

QUANTITY UNIT

8 EA

QUANTITY UNIT

2 EA

QUANTITY UNIT

4 EA

QUANTITY UNIT

24 EA

QUANTITY UNIT

2 EA

QUANTITY UNIT

5 EA

QUANTITY UNIT

3 EA

15BFA024Q00000102 Page 6 of 86

UNIT PRICE AMOUNT

UNIT PRICE AMOUNT

UNIT PRICE AMOUNT

UNIT PRICE AMOUNT

UNIT PRICE AMOUNT

UNIT PRICE AMOUNT

UNIT PRICE AMOUNT

Option Year 1 : 12 Months

PSC: Q523

Option Period 1

ITEM NO. SUPPLIES/SERVICES

0014 Male to Female Reassignment Surgery

Bottom SurgeryNaginoplasty

Option Year 1 : 12 Months

PSC: Q523

Option Period 1

ITEM NO. SUPPLIES/SERVICES

0015 Male to Female Reassignment Surgery

Laser Hair Removal

Option Year 1: 12 Months

PSC: Q523

Option Period 1

ITEM NO. SUPPLIES/SERVICES

0016 Male to Female Reassignment Surgery

Top/Bottom Simultaneous

Option Year 1: 12 Months

PSC: Q523

Option Period 1

ITEM NO. SUPPLIES/SERVICES

0017 Female to Male Reassignment Surgery

New Patient Consult

Option Year 1: 12 Months

PSC: Q523

Option Period 1

ITEM NO. SUPPLIES/SERVICES

0018 Female to Male Reassignment Surgery

Top Surgery/Breast Reconstruction

Option Year 1 : 12 Months

PSC: Q523

Option Period 1

ITEM NO. SUPPLIES/SERVICES

0019 Female to Male Reassignment Surgery

Bottom Surgery/Metoidioplasty or Phalloplasty

Option Year 1 : 12 Months

PSC: Q523

Option Period 1

ITEM NO. SUPPLIES/SERVICES

0020 Female to Male Reassignment Surgery

Hysterectomy

QUANTITY UNIT

1 EA

QUANTITY UNIT

12 EA

QUANTITY UNIT

1 EA

QUANTITY UNIT

12 EA

QUANTITY UNIT

8 EA

QUANTITY UNIT

2 EA

QUANTITY UNIT

4 EA

15BFA024Q00000102 Page 7 of 86

UNIT PRICE AMOUNT

UNIT PRICE AMOUNT

UNIT PRICE AMOUNT

UNIT PRICE AMOUNT

UNIT PRICE AMOUNT

UNIT PRICE AMOUNT

Option Year 1: 12 Months

Option Period 1

ITEM NO. SUPPLIES/SERVICES

0021 Female to Male Reassignment Surgery

Laser Hair Removal

Option Year 1 : 12 Months

PSC: Q523

Option Period 1

ITEM NO. SUPPLIES/SERVICES

0022 Female to Male Reassignment Surgery

Top/Bottom Simultaneous

Option Year 1 : 12 Months

PSC: Q523

Option Period 1

ITEM NO. SUPPLIES/SERVICES

0023 Male to Female Reassignment Surgery

New Patient Consult

Option Year 2: 12 Months

PSC: Q523

Option Period 2

ITEM NO. SUPPLIES/SERVICES

0024 Male to Female Reassignment Surgery

Top Surgery/Breast Augmentation with Implant

Option Year 2: 12 Months

PSC: Q523

Option Period 2

ITEM NO. SUPPLIES/SERVICES

0025 Male to Female Reassignment Surgery

Bottom SurgeryNaginoplasty

Option Year 2: 12 Months

PSC: Q523

Option Period 2

ITEM NO. SUPPLIES/SERVICES

0026 Male to Female Reassignment Surgery

Laser Hair Removal

Option Year 2: 12 Months

PSC: Q523

Option Period 2

ITEM NO. SUPPLIES/SERVICES

0027 Male to Female Reassignment Surgery

Top/Bottom Simultaneous

Option Year 2: 12 Months

QUANTITY UNIT

24 EA

QUANTITY UNIT

2 EA

QUANTITY UNIT

5 EA

QUANTITY UNIT

3 EA

QUANTITY UNIT

1 EA

QUANTITY UNIT

12 EA

QUANTITY UNIT

1 EA

15BFA024Q00000102 Page 8 of 86

UNIT PRICE AMOUNT

UNIT PRICE AMOUNT

UNIT PRICE AMOUNT

UNIT PRICE AMOUNT

UNIT PRICE AMOUNT

UNIT PRICE AMOUNT

Option Period 2

ITEM NO. SUPPLIES/SERVICES

0028 Female to Male Reassignment Surgery

New Patient Consult

Option Year 2: 12 Months

PSC: Q523

Option Period 2

ITEM NO. SUPPLIES/SERVICES

0029 Female to Male Reassignment Surgery

Top Surgery/Breast Reconstruction

Option Year 2: 12 Months

PSC: Q523

Option Period 2

ITEM NO. SUPPLIES/SERVICES

0030 Female to Male Reassignment Surgery

Bottom Surgery/Metoidioplasty or Phalloplasty

Option Year 2: 12 Months

PSC: Q523

Option Period 2

ITEM NO. SUPPLIES/SERVICES

0031 Female to Male Reassignment Surgery

Hysterectomy

Option Year 2: 12 Months

PSC: Q523

Option Period 2

ITEM NO. SUPPLIES/SERVICES

0032 Female to Male Reassignment Surgery

Laser Hair Removal

Option Year 2: 12 Months

PSC: Q523

Option Period 2

ITEM NO. SUPPLIES/SERVICES

0033 Female to Male Reassignment Surgery

Top/Bottom Simultaneous

Option Year 2: 12 Months

PSC: Q523

Option Period 2

ITEM NO. SUPPLIES/SERVICES

0034 Male to Female Reassignment Surgery

New Patient Consult

Option Year 3: 12 Months

QUANTITY UNIT

12 EA

QUANTITY UNIT

8 EA

QUANTITY UNIT

2 EA

QUANTITY UNIT

4 EA

QUANTITY UNIT

24 EA

QUANTITY UNIT

2 EA

QUANTITY UNIT

5 EA

15BFA024Q00000102 Page 9 of 86

UNIT PRICE AMOUNT

UNIT PRICE AMOUNT

UNIT PRICE AMOUNT

UNIT PRICE AMOUNT

UNIT PRICE AMOUNT

UNIT PRICE AMOUNT

Option Period 3

ITEM NO. SUPPLIES/SERVICES

0035 Male to Female Reassignment Surgery

Top Surgery/Breast Augmentation with Implant

Option Year 3: 12 Months

PSC: Q523

Option Period 3

ITEM NO. SUPPLIES/SERVICES

0036 Male to Female Reassignment Surgery

Bottom SurgeryNaginoplasty

Option Year 3: 12 Months

PSC: Q523

Option Period 3

ITEM NO. SUPPLIES/SERVICES

0037 Male to Female Reassignment Surgery

Laser Hair Removal

Option Year 3: 12 Months

PSC: Q523

Option Period 3

ITEM NO. SUPPLIES/SERVICES

0038 Male to Female Reassignment Surgery

Top/Bottom Simultaneous

Option Year 3: 12 Months

PSC: Q523

Option Period 3

ITEM NO. SUPPLIES/SERVICES

0039 Female to Male Reassignment Surgery

New Patient Consult

Option Year 3: 12 Months

PSC: Q523

Option Period 3

ITEM NO. SUPPLIES/SERVICES

0040 Female to Male Reassignment Surgery

Top Surgery/Breast Reconstruction

Option Year 3: 12 Months

PSC: Q523

Option Period 3

ITEM NO. SUPPLIES/SERVICES

0041 Female to Male Reassignment Surgery

Bottom Surgery/Metoidioplasty or Phalloplasty

Option Year 3: 12 Months

QUANTITY UNIT

3 EA

QUANTITY UNIT

1 EA

QUANTITY UNIT

12 EA

QUANTITY UNIT

1 EA

QUANTITY UNIT

12 EA

QUANTITY UNIT

8 EA

QUANTITY UNIT

2 EA

15BFA024Q00000102 Page 10 of 86

UNIT PRICE AMOUNT

UNIT PRICE AMOUNT

UNIT PRICE AMOUNT

UNIT PRICE AMOUNT

UNIT PRICE AMOUNT

UNIT PRICE AMOUNT

Option Period 3

ITEM NO. SUPPLIES/SERVICES

0042 Female to Male Reassignment Surgery

Hysterectomy

Option Year 3: 12 Months

PSC: Q523

Option Period 3

ITEM NO. SUPPLIES/SERVICES

0043 Female to Male Reassignment Surgery

Laser Hair Removal

Option Year 3: 12 Months

PSC: Q523

Option Period 3

ITEM NO. SUPPLIES/SERVICES

0044 Female to Male Reassignment Surgery

Top/Bottom Simultaneous

Option Year 3: 12 Months

PSC: Q523

Option Period 3

ITEM NO. SUPPLIES/SERVICES

0045 Male to Female Reassignment Surgery

New Patient Consult

Option Year 4: 12 Months

PSC: Q523

Option Period 4

ITEM NO. SUPPLIES/SERVICES

0046 Male to Female Reassignment Surgery

Top Surgery/Breast Augmentation with Implant

Option Year 4: 12 Months

PSC: Q523

Option Period 4

ITEM NO. SUPPLIES/SERVICES

0047 Male to Female Reassignment Surgery

Bottom SurgeryNaginoplasty

Option Year 4: 12 Months

PSC: Q523

Option Period 4

ITEM NO. SUPPLIES/SERVICES

0048 Male to Female Reassignment Surgery

Laser Hair Removal

Option Year 4: 12 Months

QUANTITY UNIT

4 EA

QUANTITY UNIT

24 EA

QUANTITY UNIT

2 EA

QUANTITY UNIT

5 EA

QUANTITY UNIT

3 EA

QUANTITY UNIT

1 EA

QUANTITY UNIT

12 EA

15BFA024Q00000102 Page 11 of 86

UNIT PRICE AMOUNT

UNIT PRICE AMOUNT

UNIT PRICE AMOUNT

UNIT PRICE AMOUNT

UNIT PRICE AMOUNT

UNIT PRICE AMOUNT

Option Period 4

ITEM NO. SUPPLIES/SERVICES

0049 Male to Female Reassignment Surgery

Top/Bottom Simultaneous

Option Year 4: 12 Months

PSC: Q523

Option Period 4

ITEM NO. SUPPLIES/SERVICES

0050 Female to Male Reassignment Surgery

New Patient Consult

Option Year 4: 12 Months

PSC: Q523

Option Period 4

ITEM NO. SUPPLIES/SERVICES

0051 Female to Male Reassignment Surgery

Top Surgery/Breast Reconstruction

Option Year 4: 12 Months

PSC: Q523

Option Period 4

ITEM NO. SUPPLIES/SERVICES

0052 Female to Male Reassignment Surgery

Bottom Surgery/Metoidioplasty or Phalloplasty

Option Year 4: 12 Months

PSC: Q523

Option Period 4

ITEM NO. SUPPLIES/SERVICES

0053 Female to Male Reassignment Surgery

Hysterectomy

Option Year 4: 12 Months

PSC: Q523

Option Period 4

ITEM NO. SUPPLIES/SERVICES

0054 Female to Male Reassignment Surgery

Laser Hair Removal

Option Year 4: 12 Months

PSC: Q523

Option Period 4

ITEM NO. SUPPLIES/SERVICES

0055 Female to Male Reassignment Surgery

Top/Bottom Simultaneous

Option Year 4: 12 Months

QUANTITY UNIT

1 EA

QUANTITY UNIT

12 EA

QUANTITY UNIT

8 EA

QUANTITY UNIT

2 EA

QUANTITY UNIT

4 EA

QUANTITY UNIT

24 EA

QUANTITY UNIT

2 EA

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UNIT PRICE AMOUNT

UNIT PRICE AMOUNT

UNIT PRICE AMOUNT

UNIT PRICE AMOUNT

UNIT PRICE AMOUNT

UNIT PRICE AMOUNT

Option Period 4

ITEM NO. SUPPLIES/SERVICES

0056 Male to Female Reassignment Surgery

New Patient Consult

Option to Extend Services as Authorized by FAR 52-217-8

PSC: Q523

Option Period

ITEM NO. SUPPLIES/SERVICES

0057 Male to Female Reassignment Surgery

Top Surgery/Breast Augmentation with Implant

Option to Extend Services as Authorized by FAR 52-217-8

PSC: Q523

Option Period

ITEM NO. SUPPLIES/SERVICES

0058 Male to Female Reassignment Surgery

Bottom SurgeryNaginoplasty

Option to Extend Services as Authorized by FAR 52-217-8

PSC: Q523

Option Period

ITEM NO. SUPPLIES/SERVICES

0059 Male to Female Reassignment Surgery

Laser Hair Removal

Option to Extend Services as Authorized by FAR 52-217-8

PSC: Q523

Option Period

ITEM NO. SUPPLIES/SERVICES

0060 Male to Female Reassignment Surgery

Top/Bottom Simultaneous

Option to Extend Services as Authorized by FAR 52-217-8

PSC: Q523

Option Period

ITEM NO. SUPPLIES/SERVICES

0061 Female to Male Reassignment Surgery

New Patient Consult

Option to Extend Services as Authorized by FAR 52-217-8

PSC: Q523

Option Period

ITEM NO. SUPPLIES/SERVICES

0062 Female to Male Reassignment Surgery

Top Surgery/Breast Reconstruction

Option to Extend Services as Authorized by FAR 52-217-8

QUANTITY UNIT

5 EA

QUANTITY UNIT

3 EA

QUANTITY UNIT

1 EA

QUANTITY UNIT

12 EA

QUANTITY UNIT

1 EA

QUANTITY UNIT

12 EA

QUANTITY UNIT

8 EA

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UNIT PRICE AMOUNT

UNIT PRICE AMOUNT

UNIT PRICE AMOUNT

UNIT PRICE AMOUNT

UNIT PRICE AMOUNT

UNIT PRICE AMOUNT

Option Period

ITEM NO. SUPPLIES/SERVICES

0063 Female to Male Reassignment Surgery

Bottom Surgery/Metoidioplasty or Phalloplasty

Option to Extend Services as Authorized by FAR 52-217-8

PSC: Q523

Option Period

ITEM NO. SUPPLIES/SERVICES

0064 Female to Male Reassignment Surgery

Hysterectomy

Option to Extend Services as Authorized by FAR 52-217-8

PSC: Q523

Option Period

ITEM NO. SUPPLIES/SERVICES

0065 Female to Male Reassignment Surgery

Laser Hair Removal

Option to Extend Services as Authorized by FAR 52-217-8

PSC: Q523

Option Period

ITEM NO. SUPPLIES/SERVICES

0066 Female to Male Reassignment Surgery

Top/Bottom Simultaneous

Option to Extend Services as Authorized by FAR 52-217-8

PSC: Q523

Option Period

QUANTITY UNIT

2 EA

QUANTITY UNIT

4 EA

QUANTITY UNIT

24 EA

QUANTITY UNIT

2 EA

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UNIT PRICE AMOUNT

UNIT PRICE AMOUNT

UNIT PRICE AMOUNT

Continuation of Standard Form 1449 Overview

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Services are required to be provided in accordance with the Performance Work Statement included in this solicitation.

Section 2.1 - Pricing Methodology

Quoters are required to submit, as part of their quote, a completed copy of Section 2, "Commodity or Services Schedule." The quantity of services to be provided by the Contractor is estimated. These estimates are not a representation to a quoter or contractor that the estimated quantities will be required or ordered, or that conditions affecting requirements will remain stable or normal. Quotes shall be inclusive of all hospital/physician costs, pre/post-op appointments, and any necessary medical equipment/devices prescribed by the contractor such as, but not limited to, dilators and compression garments.

For award purposes, the Government will evaluate quotes based on the total price of all CLIN s.

2.2 Performance Work Statement

I. Background

The Federal Bureau of Prisons (FBOP) was established in 1930 to provide more progressive and humane care for Federal adults in custody (AICs), to professionalize the prison service, and to ensure consistent and centralized administration. Today, the FBOP is responsible for the custody and care of approximately 158,501 Federal AICs. The Federal prison system is a nationwide system of prisons and detention facilities for the incarceration of AI Cs who have been sentenced to imprisonment for Federal crimes and the detention of individuals awaiting trial in Federal court. It is the mission of the Federal Bureau of Prisons to protect society by confining AICs in the controlled environments of prisons and community-based facilities that are safe, humane, cost efficient, and appropriately secure, and that provide work and other self-improvement opportunities to assist offenders in becoming law-abiding citizens.

As an agency under the Executive Branch of the United States Government, the FBOP receives an annual appropriation of funds to accomplish its assigned mission. The public trust demands that this annual appropriation be prudently managed. Thus, dollars spent to maintain the health of the AIC population, to include Gender Reassignment Surgery (GRS), Male-to-Female, and Female-to Male, must reflect the agency's best efforts to obtain cost-effective health care consistent with community standards.

In meeting the health care needs of a growingly diverse AIC population, the FBOP provides essential medical, dental, and mental health services to Federal AICs with FBOP resources. To encompass both the medical and mental health needs, the FBOP, when defined standards are met by the AIC, will provide GRS. GRS will not only provide the physical needs for the AIC but will include the mental health needs as well throughout the outlined procedure. When an AIC meets the required threshold of being approved for GRS, and those services cannot be provided within prison walls by FBOP resources, referrals are then made to community-based providers. It is the goal of this solicitation to establish a contractual agreement that will provide necessary professional and facility services for both inpatient admissions and outpatient encounters for GRS for AICs incarcerated at the Federal Medical Center (FMC), Carswell, and at the Federal Medical

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Center (FMC), Fort Worth, both located in Fort Worth, Texas, who have been approved for GRS.

The FBOP intends to make a single award to a responsible entity for the provision of Gender Reassignment Surgery services for the Federal Medical Center, Carswell, located in Fort Worth, Texas, and Federal Medical Center, located in Fort Worth, Texas. The specific services will include GRS (male-to-female/female-to-male) top and bottom surgical procedures as thoroughly detailed in the outputs below. The FBOP anticipates male-to-female may include breast augmentation with implants and vaginoplasty or a combination of these surgeries. The FBOP anticipates female-to-male may include breast reconstruction/mastectomy, hysterectomy, metoidioplasty/phalloplasty or a combination of these surgeries. Ancillary services may include laser hair removal at appropriate timed intervals or electrolysis hair removal.

In evaluating offers, Community Based providers shall be located within a 75-mile radius of both FMC Carswell and FMC Fort Worth.

II. Statement of Output

Within this Performance Work Statement (PWS), necessary services are described in terms of output rather than specific task assignments. The FBOP anticipates a single award to the quoter who can provide the best value, considering the diversity of available services and price, among other criteria specified in the solicitation. Therefore, the Government may award any or all line items, may withhold award of any or all line items, or may award to a quoter who proposes less than the full complement of services contained in this solicitation. Quoters are encouraged to submit comprehensive quotes committing to provide all outputs listed in the solicitation. Quoters who propose fewer comprehensive approaches will be evaluated accordingly.

Output #1: Provide inpatient and outpatient facility services which conform to community standards and all local, state, and Federal laws and regulations applicable to the delivery of health care regarding GRS services.

Output #2: Provide professional services which conform to community standards and all local, state, and Federal laws and regulations applicable to the delivery of health care regarding GRS patients.

Output #3: Submit properly priced invoices for each procedure rendered.

Output #4: Manage medical record information in a manner which promotes continuity of care while observing restrictions on the release of information.

Output #5: Maintain open avenues of communication, facilitating the exchange of information between the contract provider, contract facility, and the

Government regarding the contract services.

III. Compliance with Contract Requirements

The Contractor's efforts under this contract shall be monitored to ensure that the required output is achieved. The Government reserves the right to inspect and evaluate in a reasonable manner all services rendered during the performance of this contract.

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The Contractor is responsible for all management and quality control actions necessary to meet the quality standards set forth by this contract. Prior to commencing performance, the Contractor shall develop and submit a quality control plan (QCP) to the Administrative Contracting Officer (ACO).

Once the QCP is approved by the ACO, the Contractor shall utilize the QCP to guide and rigorously document the implementation of the required management and quality control actions to achieve the specified output.

IV. Specific Requirements

Output #1: Provide inpatient and outpatient facility services which conform to community standards and all local, state, and Federal laws and regulations applicable to the delivery of health care regarding GRS services.

Throughout the performance of this contract, the Contractor shall not utilize any provider that appears in the List of Excluded Individuals/Entities (LEIE) maintained by the U.S. Department of Health & Human Services.

If quoted, the Contractor shall provide facility services on an as-needed basis in a manner which adheres to community standards of quality and cost-effective medical care. The services required to satisfy Output #1 may include inpatient facility and outpatient facility services. Inpatient visits for GRS services shall require private room accommodations with available space for up to two armed or unarmed guards per inmate. The facility should be located within 75-miles of both FMC's.

Quoters utilizing facilities which maintain accreditation by the Joint Commission shall submit a copy of the current accreditation certificate as part of the quoter's technical solution. If a quoter intends to utilize a facility which is accredited or certified by any other recognized professional accrediting body, the quoter shall submit documentation validating this accreditation or certification as a part of its technical solution.

The quoter's technical solution shall discuss in detail the diversity of services, as well as the proximity of facility providers to both FMC's, that it can provide to achieve Output #1.

Output #2: Provide professional services which conform to community standards and all local, state, and Federal laws and regulations applicable to the delivery of health care regarding GRS services.

Throughout the performance of this contract, the Contractor shall not utilize any provider that appears in the List of Excluded Individuals/Entities (LEIE) maintained by the U.S. Department of Health & Human Services.

Community-Based Services

Professional services resulting from a FBOP referral for GRS (and GRS associated approved procedures) are necessary to be performed in a community-based setting (e.g., hospital facility, surgical center, physician's office, etc.). The Contractor shall provide the services of professional medical staff who have appropriate educational qualification, experience, Ii censure, fellowships, and board certification (where required) for GRS related procedures to achieve Output #2.

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Quoters shall provide a detailed technical plan describing a care plan of how top surgery, bottom surgery, and hair removal will be accomplished, along with a detailed timeline which demonstrates the quoter's understanding of the requirements. This output specifically excludes the provision of radiological interpretations ofFBOP-provided films, images, or other media.

The Contractor shall provide the resume or curriculum vitae (CV) of the physician(s) performing the surgery(ies). This should include the physician's years of experience and number of successful GRS related procedures they have performed. Any disciplinary actions from a medical licensing body in regards to the performing physician(s) must be disclosed within the submittal.

Documentation of adequate medical liability insurance specific to the performing physician(s) must also be submitted (minimum of $500,000.00 per occurrence and $1,500,000.00 aggregate.)

In addition, all facilities in the Dallas/Fort Worth metroplex area in which the performing physician is affiliated should be listed within the submittal.

If requested by the Contracting Officer, the Contractor shall be required to document primary source verification of the credentials for each provider including current license from the appropriate State Board of Medical Examiners, education from professional schools or universities, evidence of completion of internships, fellowships and/or residencies, as appropriate.

The quoter shall provide a technical Preoperative/Postoperative-Surgical Plan/Checklist for each GRS case approved by the FBOP. Every effort should be made to make appointments for GRS services care available within 30 calendar days from the date in which surgery is approved. This practice promotes the safety and security of the federal prisoner, the escorting correctional staff, and the public. The medical urgency of any referral must receive consideration in the scheduling and delivery of professional services.

The quoter must provide a complete description of all services pertaining to GRS procedures listed below.

Physicians, also referred to as surgeons, who perform surgical treatments for Gender Reassignment Surgery shall be fellow trained and/or board-certified physicians. For the purpose of this PWS, the appropriately credentialed physician will be referred to as "physician" or "surgeon".

Physicians who perform surgical treatments for gender dysphoria should be competent in their assessment to assure appropriate criteria are met per The World Professional Associates for Transgender Health (WPATH) "Standards of Care." Furthermore, physicians should educate and provide patients with different surgical techniques available, advantages and disadvantages of each, limitations, and ideal results, as well as any inherent risks and possible complication of each of the various techniques. Physicians should obtain appropriate informed consent from each patient.

Male-to-Female Surgical Procedure(s):.

1. GRS Top Surgery - Breast Augmentation with implant

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Surgeons should provide immediate aftercare and consultation with other physicians serving the patient in the future.

2. GRS Bottom Surgery- Vaginoplasty

Genital surgical procedures for the Male-to-Female patient may include penile inversion vaginoplasty with native tissue graft.

Surgeons should provide immediate aftercare and consultation with other physicians serving the patient in the future.

3. Ancillary Genital Hair Removal

If the provider accurately identifies a need for hair removal based on approved GRS procedures/ techniques, services will be provided for necessary genital hair removal utilizing FDA approved modalities (laser, electrolysis, etc.). The provider will apply these procedures at clinically appropriate intervals and durations to achieve desired hair removal prior to GRS. Also, the provider will manage pain during procedures, and any follow-up care needed with any potential side-effects of adverse reactions.

Female-to-Male Surgical Procedure(s):

1. GRS Top Surgery - Breast Reconstruction/Mastectomy

Surgeons should provide immediate aftercare and consultation with other physicians serving the patient(s) in the future.

2. GRS Bottom Surgery - Metoidioplasty/Phalloplasty, with or without testicular prosthesis

Genital surgical procedures for Female-to-Male patients may include hysterectomy, metoidioplasty/phalloplasty or a combination of these surgeries.

Surgeons should provide immediate aftercare and consultation with other physicians serving the patient in the future.

3. Ancillary Genital Hair Removal

If the provider accurately identifies a need for hair removal based on approved GRS procedures/ techniques, services will be provided for necessary genital hair removal utilizing FDA approved modalities (laser, electrolysis, etc.). The provider will apply these procedures at clinically appropriate intervals and durations to achieve desired hair removal prior to GRS. Also, the provider will manage pain during procedures, and any follow-up care needed with any potential side-effects of adverse reactions.

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The quoter must provide a post-surgical plan for the patient and a schedule of follow-up appointments for the next 12-months.

Any necessary medical equipment/devices prescribed by the contractor such as, but not limited to, dilators or compression garments shall be pre-approved by the Contracting Officer's Representative (COR) and provided by the contractor.

For prescriptions to be filled by the FMC pharmacy for GRS inmates, the contract providers shall only prescribe pharmaceutical drugs that are listed in the approved FBOP Formulary. The FBOP F ormulary can be accessed at https://www.bop.gov/resources/pdfs/2022 winter formulary part 1.pdf. Requests for exemptions shall be submitted to the COR, who shall obtain the required approvals. As part of the Discharge Instructions, the issuance of sample medication to any Federal inmate shall be prohibited.

Output #3: Submit properly priced invoices for services rendered.

Overview. Upon completion of each procedure, the Contractor shall prepare and submit proper invoices for services rendered under this contract. For the purpose of this contract, a specific definition for what documentation constitutes an invoice is provided below. A proper invoice shall include the information specified in FAR clause 52.212-4, Contract Terms and Conditions - Commercial Items, paragraph (g). Services shall be invoiced in accordance with the terms and conditions of the contract, including the payment rate structures specified in the contract. The contractor's pricing for services shall be inclusive of all appointments, including pre-operative and post-operative appointments.

Payment by the FMC. The FMC's will pay all invoices directly to the Contractor. The FMC's will provide written notification to the Contractor when an administrative deduction is taken from an invoice payment. Any disagreements regarding the paid amount of any invoice shall be resolved directly with the Contracting Officer.

Output #4: Manage medical record information in a manner which promotes continuity of care while observing restrictions on the release of information.

Upon request, authorized BOP staff shall have access to and obtain copies of GRS AI Cs medical records and evaluation and treatment reports prepared and maintained by the contract facility and/or contract providers. AIC medical records will be subject to review by the FMC's for validation of payment and verification of services rendered. Release of information shall only be made in accordance with community standards, Joint Commission regulations, and the Privacy Act of 1974. Any request(s) for copies of an AICs medical records by the GRS AIC or a third party shall be directed to the COR for processing.

Notwithstanding the above restrictions on the release of information, medical record information shall be provided to the FMC's to enhance GRS AIC surgery recovery as well as continuity of care. For inpatient admissions, a faxed report documenting treatment plans will be submitted to the FMC's Medical Records Department no later than 8 am each day. This form with the requested information will be provided to the Contractor by the FMC's. At the completion of treatment, the Contractor shall provide the FMC with documented discharge instructions, as provided by the attending physician.

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Copies of all labs, x-ray, diagnostic tests, progress notes, etc. shall also accompany the patient or be faxed immediately to the COR. A written report by the attending physician which documents the circumstances of the inpatient treatment, outpatient procedure, or other consultation shall be provided to the COR within ten business days of the inpatient discharge, outpatient procedure, or other consultation. All lab and consultations pending at time of discharge shall be faxed to the COR upon receipt but not later than ten calendar days past discharge.

Output #5: Maintain open avenues of communication, facilitating the exchange of information between the contract physician, contract facility, and the Government regarding the contract services.

The Contractor shall provide a Point of Contact (POC) who shall be responsible for facilitating the Contractor's delivery of GRS services under this contract. The POC shall have sufficient clinical knowledge to enable preliminary technical consultation, with referral to a specialist if necessary.

The Contractor shall designate this individual in writing to the Contracting Officer prior to the start date of the contract. Alternate POC's may be designated; however, the Contractor must identify those times when an alternate shall be the primary POC (i.e., after-hours and weekend referrals).

There shall be an open line of communication between the Contractor, its representatives, and the FMC's to ensure that only those services ordered by the institution for GRS services are provided, unless required for intervention in a life-threatening emergency. In the event of a life-threatening emergency, the Contractor shall contact the COR within a 24-hour time period or the next normal working day.

A contract provider may discuss with the inmate patient only the diagnosis and possible treatment options directly related to the written consultation provided by the FMC's. The contract provider should not guarantee any future treatment to the inmate or discuss future appointment dates. All consultant recommendations should be sent to the FMC's for review by the Primary Care Provider Team (PCPT) and/or Clinical Director (CD). The BOP PCPT and/or CD is under no obligation to follow consultant recommendations.

Lastly, all patient care information and/or treatment plans will be reviewed by the PCPT/CD and the final disposition will be relayed to the inmate in accordance with BOP policies and procedures. In the event further care is approved, the Contractor will be notified by the FMC's. The Contractor shall not perform any treatment/procedures unrelated to the reason for consultation without receiving prior authorization from the FMC's.

(End of Performance Work Statement)

Section 2.3 - Special Contract Conditions

Type of Contract: The Government contemplates the award of an indefinite delivery/requirements type contract with firm-fixed unit prices resulting from this solicitation.

It is anticipated a contract award resulting from this solicitation will be made by November 01, 2024.

The resulting contract will include four 12-month option periods for renewal at the unilateral discretion of the Government. Pursuant to Federal Acquisition Regulation (FAR) 17.203(b), the Government's evaluation shall be inclusive of options. Pursuant to FAR 17 .203( d), offerors may

15BFA024Q00000102 Page 22 of 86 offer varying prices for options, depending on the quantities actually ordered and the dates when ordered. offerors are advised the Government has the unilateral right to exercise option periods in accordance with FAR 43.103(b) and 52.217-9, Option to Extend the Term of the Contract, and 52.217-8, Option to Extend Services, when conditions identified by FAR 37.111 exist.

Non-Personal Services Information: Award of this contract will result in a contractual arrangement only and shall not be construed as a personnel appointment with the BOP. The services shall not constitute an employer/employee relationship. Payments to the contractor shall be based on the provision of an end product or the accomplishment of a specific task. Results to be obtained are within the contractor's own unsupervised determination. The contractor will not be subject to Government supervision, but its efforts will be monitored for quality assurance.

Pursuant to FAR 37.401, the resulting contract shall be a non-personal healthcare services contract, under which the contractor is an independent contractor. The Government may evaluate the quality of professional and administrative services provided, but retains no control over the medical, professional aspects of services rendered ( e.g., professional judgments, diagnosis for specific medical treatment). The contractor shall indemnify the Government for any liability producing act or omission by the contractor, its employees and agents occurring during contract performance. The contractor shall maintain medical liability insurance as required by FAR

52.23 7-7, Indemnification and Medical Liability Insurance. The contractor is required to ensure that its subcontracts for provision of healthcare services contain the requirements of the clause the FAR 52.237-7 including the maintenance of medical liability insurance.

Reviews: The Contracting Officer (CO) or designee is authorized to review by on-site survey, review of records, or by any other reasonable manner, the quality of services…