Guam_HD_Ambulatory_Care_Clinic_SF33_and_Content_05262016.pdf

SOLICITATION, OFFER AND AWARD 1. THIS CONTRACT IS A RATED ORDER

UNDER DPAS (15 CFR 700)

RATING PAGE OF PAGES

2. CONTRACT NUMBER 3. SOLICITATION NUMBER 4. TYPE OF SOLICITATION 5. DATE ISSUED 6. REQUISITION/PURCHASE NUMBER

CODE7. ISSUED BY 8. ADDRESS OFFER TO (If other than item 7)

NOTE: In sealed bid solicitations "offer" and "offeror" mean "bid" and "bidder".

SOLICITATION

9. Sealed offers in original and copies for furnishings the supplies or services in the Schedule will be received at the place specified in item 8, or if hand carried, in the depository located in until local time

CAUTION - LATE Submissions, Modifications, and Withdrawals: See Section L, Provision No. 52.214-7 or 52.215-1. All offers are subject to all terms and conditions contained in this solicitation.

10. FOR

INFORMATION

CALL:

A. NAME B. TELEPHONE (NO COLLECT CALLS)

AREA CODE NUMBER EXTENSION

C. E-MAIL ADDRESS

11. TABLE OF CONTENTS

(X) SEC. DESCRIPTION PAGE(S) (X) SEC. PAGE(S)DESCRIPTION

A B C D E F G H

I

J

K

L

M EVALUATION FACTORS FOR AWARD

INSTRUCTIONS, CONDITIONS, AND NOTICES TO OFFERORS

REPRESENTATIONS, CERTIFICATIONS AND OTHER

STATEMENTS OF OFFERORS

PART IV - REPRESENTATIONS AND INSTRUCTIONS

LIST OF ATTACHMENTS

PART III - LIST OF DOCUMENTS, EXHIBITS AND OTHER ATTACH.

CONTRACT CLAUSESSOLICITATION/CONTRACT FORM

SUPPLIES OR SERVICES AND PRICES/COSTS

DESCRIPTION/SPECS./WORK STATEMENT

PACKAGING AND MARKING

INSPECTION AND ACCEPTANCE

DELIVERIES OR PERFORMANCE

CONTRACT ADMINISTRATION DATA

SPECIAL CONTRACT REQUIREMENTS

NOTE: Item 12 does not apply if the solicitation includes the provisions at 52.214-16, Minimum Bid Acceptance Period.

OFFER (Must be fully completed by offeror)

12. In compliance with the above, the undersigned agrees, if this offer is accepted within calendar days (60 calendar days unless a different period is inserted by the offeror) from the date for receipt of offers specified above, to furnish any or all items upon which prices are offered at the set opposite each item, delivered at the designated point(s), within the time specified in the schedule.

13. DISCOUNT FOR PROMPT PAYMENT

(See Section I, Clause No. 52.232-8)

14. ACKNOWLEDGMENT OF AMENDMENTS

(The offeror acknowledges receipt of amendments to the SOLICITATION for offerors and related documents numbered and dated):

10 CALENDAR DAYS (%) 20 CALENDAR DAYS (%) 30 CALENDAR DAYS (%) CALENDAR DAYS(%)

DATEAMENDMENT NO.AMENDMENT NO. DATE

15A. NAME AND

ADDRESS

OF OFFER-

OR

CODE FACILITY 16. NAME AND THE TITLE OF PERSON AUTHORIZED TO SIGN OFFER

(Type or print)

15B. TELEPHONE NUMBER

AREA CODE NUMBER EXTENSION

15C. CHECK IF REMITTANCE ADDRESS IS

DIFFERENT FROM ABOVE - ENTER SUCH

ADDRESS IN SCHEDULE.

17. SIGNATURE 18. OFFER DATE

AWARD (To be completed by Government)

19. ACCEPTED AS TO ITEMS NUMBERED 20. AMOUNT 21. ACCOUNTING AND APPROPRIATION

22. AUTHORITY FOR USING OTHER THAN FULL OPEN COMPETITION:

10 U.S.C. 2304 (c) ( )41 U.S.C. 3304(a)

24. ADMINISTERED BY (If other than Item 7)

26. NAME OF CONTRACTING OFFICER (Type or print)

IMPORTANT - Award will be made on this Form, or on Standard Form 26, or by other authorized official written notice.

AUTHORIZED FOR LOCAL REPRODUCTION

Previous edition is unusable

23. SUBMIT INVOICES TO ADDRESS SHOWN IN

(4 copies unless otherwise specified)

25. PAYMENT WILL BE MADE BY

27. UNITED STATES OF AMERICA

(Signature of Contracting Officer)

28. AWARD DATE

CODE

ITEM

STANDARD FORM 33 (REV. 6/2014)

Prescribed by GSA - FAR (48 CFR) 53.214 (c)

SEALED BID (IFB)

NEGOTIATED (RFP)

(Hour) (Date)

PART I - THE SCHEDULE PART II - CONTRACT CLAUSES

1 57

See Section L for Submission Instructions

NHDP

16-258-SOL-00004

See Section L for Submission Instructions 4:30 CT

Charisse Whitney cwhitney@hrsa.gov

5-6 7-10 11-15 16-20 51-57

37-50

21-27

07/11/2016

225 7563785

06/09/2016

29-36

HRSA/OAMP/NHDP

Office of Acquisition Management and Policy National Hansen's Disease Programs Baton Rouge, LA. 70816

SECTION B – SUPPLIES OR SERVICES AND PRICES/COSTS

B.1 Purpose of Contract

The Health Resources and Services Administration (HRSA) is seeking a contractor to provide HD diagnosis, outpatient treatment, case management, and follow-up of persons diagnosed with HD and screening of their contacts. The number of patients in this service area is 110, with an estimated annual increase of 9 new patients. These patients will require at a minimum 4 outpatient visits annually during each Period of Performance (POP). The patient population with HD in the U.S. is multi-ethnic. It is expected that the contractor be conversant with an accepted multi-cultural approach in the provision of patient care services.

B.2 Compensation Cost/Price

1. In consideration of the satisfactory performance of the services and tasks detailed in Section J, Attachment A (Statement of Work), the contractor shall be compensated in accordance with the following amounts:

a) Base Period (POP start and end dates to be entered at time of award).

The cost to the Government for full performance of the base period under this contract will be $___________, at $___________ per month.

b) Option Period One (POP start and end dates to be entered at time of award).

The cost to the Government for full performance of Option Period One, if exercised, under this contract will be $___________, at $___________ per month.

c) Option Period Two (POP start and end dates to be entered at time of award).

The cost to the Government for full performance of Option Period Two, if exercised, under this contract will be $___________, at $___________ per month.

d) Option Period Three (POP start and end dates to be entered at time of award).

The cost to the Government for full performance of Option Period Three, if exercised, under this contract will be $___________, at $___________ per month.

e) Option Period Four (POP start and end dates to be entered at time of award).

The cost to the Government for full performance of Option Period Four, if exercised, under this contract will be $___________, at $___________ per month.

2. The total cost for the Base Period and the four options periods is _________________.

16-258-SOL-00004

SECTION C – DESCRIPTION/SPECIFICATIONS/ STATEMENT OF WORK

C.1 Statement of Work

Independently and not as an agent of the Government, the contractor shall furnish all personnel, material, facilities, services, and equipment as needed to perform the Statement of Work set forth in Section J, Attachment A (Statement of Work) attached hereto and made part of this document.

C.2 Incorporation of Contractor’s Proposal

It is understood and agreed that the contractor shall, in meeting the requirements of this contract, perform the work in accordance with the contractors proposal to the HRSA originally dated ______________ and revised ___________, provided however, that to the extent that any clauses of the articles of this contract are in conflict or inconsistent with any clauses of said proposal, the provisions of the articles of this contract shall control and shall supersede the provisions of said proposal; therefore, the contractors proposal is hereby incorporated into the resultant contract.

SECTION D – PACKAGING AND MARKING

PAGE LEFT BLANK INTENTIONALLY

SECTION E – INSPECTION AND ACCEPTANCE

E.1 Inspection and Acceptance

The Contracting Officer Representative (COR), as a duly authorized representative of the Contracting Officer, shall assume the responsibilities for monitoring the contractors performance, evaluating the quality of services provided by the Contractor and performing final inspection and acceptance of all deliverables.

E.2 Quality Assurance

The Federal Government reserves the right to obtain and review working papers from the contractor for the period beginning with the effective date of the contract through its termination.

These reviews shall be conducted at the Federal Government’s discretion at either the contractor’s site or at an appropriate Federal Government facility. When reviewed at a Federal Government facility, the working papers will be sent by the contractor to the Federal Government for review and evaluation by Federal Government personnel. After completion of the review, the Federal Government may hold a conference with the contractor to discuss any issues. The Federal Government may choose to visit contractor or subcontractor site(s) during the audit to assess performance.

The contractor shall maintain an internal quality control program adequate to ensure that the requirements of this contract are met. As with the working paper review, the Federal Government reserves the right to obtain and review all working papers associated with the contractors internal quality control program. These reviews shall be conducted at an appropriate Federal Government facility, the working papers will be sent by the contractor to the Federal Government for review and evaluation by Federal Government personnel. After completion of the review, the Federal Government may hold a conference with the contractor to discuss any issues. The Federal Government may choose to visit contractor or subcontractor site(s) during the review to assess performance.

E.3 52.246-4 Inspection of Services—Fixed Price (AUG 1996)

(a) Definition. “Services,” as used in this clause, includes services performed, workmanship, and material furnished or utilized in the performance of services.

(b) The contractor shall provide and maintain an inspection system acceptable to the Government covering the services under this contract. Complete records of all inspection work performed by the contractor shall be maintained and made available to the Government during contract performance and for as long afterwards as the contract requires.

(c) The Government has the right to inspect and test all services called for by the contract, to the extent practicable at all times and places during the term of the contract. The Government shall perform inspections and tests in a manner that will not unduly delay the work.

(d) If the Government performs inspections or tests on the premises of the contractor or a subcontractor, the contractor shall furnish, and shall require subcontractors to furnish, at no increase in contract price, all reasonable facilities and assistance for the safe and convenient performance of these duties.

(e) If any of the services do not conform with contract requirements, the Government may require the contractor to perform the services again in conformity with contract requirements, at no increase in contract amount. When the defects in services cannot be corrected by re-performance, the Government may—

(1) Require the contractor to take necessary action to ensure that future performance conforms to contract requirements; and

(2) Reduce the contract price to reflect the reduced value of the services performed.

(f) If the contractor fails to promptly perform the services again or to take the necessary action to ensure future performance in conformity with contract requirements, the Government may—

(1) By contract or otherwise, perform the services and charge to the Contractor any cost incurred by the Government that is directly related to the performance of such service; or

(2) Terminate the contract for default.

SECTION F – DELIVERIES OR PERFORMANCE

F.1 Observance of Federal Holidays

The following Federal Government holidays are established by law (5 U.S.C. 6103):

• New Year's Day (January 1).

• Birthday of Martin Luther King, Jr. (Third Monday in January).

• Washington's Birthday (Third Monday in February).

• Memorial Day (Last Monday in May).

• Independence Day (July 4).

• Labor Day (First Monday in September).

• Columbus Day (Second Monday in October).

• Veterans Day (November 11).

• Thanksgiving Day (Fourth Thursday in November).

• Christmas Day (December 25).

F.2 Core Days and Hours of Operation

Hours of operation should be adequate to support the HD patient population in the service area of the Territory of Guam. The contractor shall provide standard facility and clinic hours as well as provide emergency and after hour provisions.

No services or deliverables shall be provided on Saturdays, Sundays, Federal Government Holidays, or any other day as set forth by Presidential Executive Order, or any other Federal Government closures.

F.3 Period of Performance

The period of performance of this contract shall be for one 12 month base period with four 12 month option periods (specific dates to be specified at time of contract award).

F.4 Place of Performance

Territory of Guam (address to be specified at time of contract award).

F.5 Schedule of Deliverables

Item Quantity Due Date Place to Report

Hansen’s Disease Surveillance Form, Task 7

Varies depending on diagnosis date and patient.

Within 10 business days of confirmed diagnosis of HD

Send to:

National Hansen’s Disease Programs ATTN: COR, HD Ambulatory Care 1770 Physicians Park Drive Baton Rouge, LA. 70806

NHDP Annual Follow Up Form, Task 7

Varies depending on diagnosis date and patient.

All reports performed during the month must be submitted by 5th of the following month.

Send to:

National Hansen’s Disease Programs ATTN: COR, HD Ambulatory Care 1770 Physicians Park Drive Baton Rouge, LA. 70806

Semi-annual Report, Task 7

2 per 12 month period of performance.

First report is due no later than 30 days after first six months of a 12 month period of performance.

Second report is due 1 week prior to the end of the 12th month of a 12 month period of performance.

Send to:

National Hansen’s Disease Programs ATTN: COR, HD Ambulatory Care 1770 Physicians Park Drive Baton Rouge, LA. 70806

Quarterly Hand and Foot Screen, Task 7

4 reports per patient per year.

All reports performed during the month must be submitted by 5th of the following month.

Send to:

National Hansen’s Disease Programs ATTN: COR, HD Ambulatory Care 1770 Physicians Park Drive Baton Rouge, LA. 70806

Periodic Data Report, Task 7

1 to 2 per 12 month period of performance.

Within 5 business days of request by COR.

Send to:

National Hansen’s Disease Programs ATTN: COR, HD Ambulatory Care 1770 Physicians Park Drive Baton Rouge, LA. 70806

Invoices/Vouchers 12 per 12 month period of performance.

Submitted after each month of contract performance.

Send to:

National Hansen’s Disease Programs ATTN: Finance Department 1770 Physicians Park Drive Baton Rouge, LA. 70806

F.6 Submitting Reports and Deliverables

The contractor shall submit reports, and deliverables to the COR.

All reports, deliverables, and invoices shall list the following at the top of the first page:

• Contract number.

• Deliverable item number.

• Deliverable item delivery due date.

• Date of submission.

• All deliverable items are to be separate physical submissions.

• All deliverable items are subject to the review and concurrence of the COR.

F.7 52.242-15 Stop-Work Order (Aug 1989)

(a) The Contracting Officer may, at any time, by written order to the contractor, require the contractor to stop all, or any part, of the work called for by this contract for a period of 90 days after the order is delivered to the contractor, and for any further period to which the parties may agree. The order shall be specifically identified as a stop-work order issued under this clause.

Upon receipt of the order, the contractor shall immediately comply with its terms and take all reasonable steps to minimize the incurrence of costs allocable to the work covered by the order during the period of work stoppage. Within a period of 90 days after a stop-work is delivered to the contractor, or within any extension of that period to which the parties shall have agreed, the Contracting Officer shall either-

(1) Cancel the stop-work order; or

(2) Terminate the work covered by the order as provided in the Default, or the Termination for Convenience of the Government, clause of this contract.

(b) If a stop-work order issued under this clause is canceled or the period of the order or any extension thereof expires, the contractor shall resume work. The Contracting Officer shall make an equitable adjustment in the delivery schedule or contract price, or both, and the contract shall be modified, in writing, accordingly, if-

(1) The stop-work order results in an increase in the time required for, or in the contractor’s cost properly allocable to, the performance of any part of this contract; and

(2) The contractor asserts its right to the adjustment within 30 days after the end of the period of work stoppage; provided, that, if the Contracting Officer decides the facts justify the action, the Contracting Officer may receive and act upon the claim submitted at any time before final payment under this contract.

(c) If a stop-work order is not canceled and the work covered by the order is terminated for the convenience of the Government, the Contracting Officer shall allow reasonable costs resulting from the stop-work order in arriving at the termination settlement.

(d) If a stop-work order is not canceled and the work covered by the order is terminated for default, the Contracting Officer shall allow, by equitable adjustment or otherwise, reasonable costs resulting from the stop-work order.

SECTION G – CONTRACT ADMINISTRATION DATA

G.1 Designation of Contracting Officer Representative (COR)

The person identified below is hereby designated as the Contracting Officer Representative (COR) for this contract. The responsibility of the COR is to ensure that the Governments technical objectives are met. To this end, the COR will provide necessary information, direction, coordination, etc., within the contractual work description. Issuance of changes which affect the articles, terms, or conditions of this contract will be accomplished through the Contracting Officer who is the only party authorized to bind the Government to contract.

• COR

Mary Dudley National Hansen’s Disease Programs 1770 Physicians Park Drive Baton Rouge, LA 70816 Telephone: 225-756-3718 Email: mdudley@hrsa.gov

G.2 Contracting Officer’s Representative’s Responsibility

Technical Direction – The COR will provide the necessary information, direction, and coordination within the confines of the existing contractual work description in order for the contract to have a successful outcome for the government.

This includes providing technical direction to the contractor to guide the contract effort in order to accomplish the contractual statement of work. This may include providing information to the contractor for assistance in the interpretation of government provided information, specifications or technical portions of the work description, and where required by the contract, review and approval of product deliverables of the contractor to the Government under the contract. Only the Contracting Officer has the authority to make a formal change to the contract.

G.3 Restrictions on the Contracting Officer’s Representative’s Authority

Direction given by the COR to the Contractor must be within the parameters of the Statement of Work as stated in the Contract.

The COR may not issue any direction to the Contractor that:

1. Solicits a proposal, OR

2. Constitutes an assignment of additional work outside the Statement of Work of this

Contract, OR

3. In any manner causes an increase in the total contract cost or the time required for contract performance, OR

4. Changes any of the express terms, conditions, or specifications of the Contract (i.e., changes in the cost or scope of work, instructions to start or stop work, approval of any actions that will result in additional charges to the government).

Issuance of changes that affect the articles, terms, or conditions of this Contract will be accomplished through the Contracting Officer, who is the only party authorized to bind the Government to contract and the only party who can determine if a direction is within the Statement of Work.

G.4 Submission of Invoices and Place of Payment

Invoice/Vouchers

Receiving payment under this contract:

You must be able to accept electronic payments and you must be registered in the System for Award Management (SAM) database (http://www.sam.gov). Your DUNS number and banking information must be current. Keep in mind that you must make changes in SAM if your bank merges with another bank or you change banks. You are responsible for updating the data in the SAM database and for re-registering before your expiration date.

SAM will notify users by e-mail that their file is due to expire beginning 60 days prior to expiration, then 30 days and finally 15 days before expiration.

Submitting Request for Payment:

The contractor shall submit payment requests to the below address using Standard Form 1034, Public Voucher for Purchases and Services Other Than Personal. Supporting documentation necessary to substantiate your request may be submitted along with the SF 1034. Attached for your convenience is a SF 1034.

Mail Invoices To:

Attention: Finance Department

Baton Rouge, LA. 70816

Submit the SF 1034 and all supporting documentation. An electronic copy of the SF1034 in PDF format may be found at www.gsa.gov/portal/forms/download/115462.

Complete the SF 1034 following the directions below:

• In block entitled, Voucher No., enter the number of the voucher.

• In block entitled, U.S. Department, Bureau or Establishment and Location enter:

Contracting Office

Baton Rouge, LA 70816

• In the block entitled, Date Voucher Prepared, enter the date the voucher is prepared.

• In the block entitled, Contract Number and Date, enter the contract number under which reimbursement is claimed and the date the contract was signed. If billing for work done under a task order or BPA call, enter the contract number or Blanket Purchase Agreement number against which the order or call was issued.

If you are simply billing for deliverables under a Purchase Order, leave this block blank and enter the order number in the block entitled, Number and Date of Order.

• In the block entitled, Requisition Number and Date, leave blank.

• In the block entitled, Payee’s Name and Address, enter the name and address as it appears on the contract. In the case of assignment of claims, also supply the remit to address of the organization to which payments are assigned. Enter the DUNS number in this block.

• In the block entitled, Number and Date of Order, enter the number and date of the

Purchase Order, task order or BPA call number.

• In the block entitled, Date of Delivery or Service, if billing monthly, enter the specific month/year that the cost were incurred. If billing for a period other than monthly, enter the beginning and ending dates of the cost incurrence period.

• In the block entitled, Articles or Services, enter a description of the articles or service provided. If additional space is needed, provide in an attachment. Include the signed statement, “I certify that all payments requested are for appropriate purposes and in accordance with the contract.”

• In blocks entitled, Amount and Total, enter the total dollar amount claimed for this billing.

Vouchers without all required information will be denied until the proper information is submitted.

Inquiries:

Regarding payment, contact the Accounts Payable Section:

Attention: Finance Department 1770 Physicians Park Drive Baton Rouge, LA 70816 Telephone: 225-756-3811 Fax: 225-756-3806

Regarding technical issues, inspection and acceptance, call your Contracting Officer Representative (COR).

Regarding suspension or rejection of costs submitted, call your Contract Specialist.

Note: Your respective COR does not have the authority to (1) solicit proposals, (2) modify the stated terms of the award (i.e. change in price, change in scope of work), (3) issue instructions to the contractor to start or stop work, or (4) approve any action that will result in additional charges to the Federal Government. These changes are the sole responsibility of the Contracting Officer. The Federal Government will not be responsible for cost overruns or unauthorized procurements made by the vendor.

G.5 Electronic Funds Transfer

The contractor shall designate a financial institution for receipt of electronic funds transfer payments and it shall be reported in Systems for Award Management (SAM) and shall be submitted in writing to the finance office set forth in Section G.4. All data stored in the CCR and ORCA has been transferred to the new Systems for Award Management (SAM) and can be found at www.sam.gov. Contractors are encouraged to periodically review their file for accuracy and are required to re-reregister before their expiration date, which is the same date as their CCR expiration date. SAM will notify users by e-mail that their file is due to expire beginning 60 days prior to expiration, then 30 days and finally 15 days before expiration. Directions on how to navigate SAM can be found on the website’s home page by clicking help in the navigation bar at the top of the webpage.

G.6 Evaluation of Contractors Performance

Interim and final evaluation of contractor performance shall be conducted in accordance with FAR Subpart 42.15. Upon contract completion, a final evaluation of the contractors performance shall be completed by the Government.

The Government will conduct an evaluation of contractors performance based on the completion of the tasks stated in the SOW. HRSA documents contractor performance using the Contractor

Performance Assessment Rating System (CPARS) (www.cpars.gov). The evaluation shall be conducted by the COR and be comprised of an evaluation of contractor performance completed by the Contractor and Federal staff, and a review of progress reports and financial reports (deliverables).

SECTION H – SPECIAL CONTRACT REQUIREMENTS

H.1 Rights in Data

The contractor is prohibited from copyrighting, publishing or disseminating information resulting from work performed under this contract, and/or, using data produced or obtained under this contract, and/or any other information or products provided by the Government, or which the contractor develops, for any purpose other than performance of this contract without prior written approval from the Contracting Officer.

Ownership of Documents, Materials and Records: All documents, materials (including any computer codes) or records provided to the contractor, developed or maintained by the contractor in the performance of this contract are deemed to be property of the Government.

H.2 Limited Use of Data

Performance of this effort may require the contractor to access and use data and information proprietary to a Government agency or Government contractor which is of such a nature that its dissemination or use, other than in performance of this effort, would be adverse to the interests of the Government and/or others.

Contractor and/or contractor personnel shall not divulge or release data or information developed or obtained in performance of this effort, until made public by the Government, except to authorize Government personnel or upon written approval of the Contracting Officer (CO). The contractor shall not use, disclose, or reproduce proprietary data that bears a restrictive legend, other than as required in the performance of this effort. Nothing herein shall preclude the use of any data independently acquired by the contractor without such limitations or prohibit an agreement at no cost to the Government between the contractor and the data owner which provides for greater rights to the contractor.

H.3 Disclosure of Information

Information made available to the contractor by the Federal Government for the performance or administration of this contract shall be used only for those purposes and shall not be used in any other way without the written consent of the Contracting Officer.

The contractor agrees to assume responsibility for protecting the confidentiality of Federal Government records, which are not public information. The contractor and personnel provided by the contractor to whom information may be made available or disclosed shall be notified in writing by the contractor that such information may be disclosed only for a purpose and to the extent authorized herein.

H.4 Confidentiality Agreement Requirement

The contractor shall implement a confidentiality agreement related to all data provided by the Federal Government. All contractor personnel that work with the Federal Government and are provided information and access to databases shall sign such an agreement. A copy of all signed agreements shall be submitted to the COR.

H.5 Homeland Security Presidential Directive-12

To perform the work specified herein the contractor personnel may require access to sensitive data, regular access to HHS-controlled facilities and/or access to HHS information systems, the Federal Government may require that this effort entail a background investigation.

Upon receipt of the Federal Government’s notification of applicable Suitability Background Investigation required, the contractor shall complete and submit required forms within 30 days of the notification. Additional submission instructions can be found at the NCI Information Technology Security Policies, Background Investigation Process: (http://ais.nci.nih.gov/).

The contractor shall submit a roster, by name, position and responsibility, of all personnel working under the contract. The roster shall be submitted to the COR, with a copy to the HRSA Division of Workforce Management and Contracting Officer, within 14 days of the effective date of the contract. Any revisions to the roster as a result of personnel changes shall be submitted within fifteen (15) calendar days of the change. The COR will submit the list to the HRSA Personnel Security Officer for determination of the appropriate level of suitability investigations to be performed.

The contractor should ensure that the personnel whose names they submit have a reasonable chance for approval. While delays in performance caused by successful investigations will be the Federal Government's responsibility, delays associated with rejections will be the contractor's responsibility. Typically, the Federal Government conducts investigations and checks at no cost to the contractor. Multiple investigations for the same position, whether- resulting from rejections or resulting from an employee's move to another position(s) or company, may at the Contracting Officer's discretion, justify reduction(s) in the contract price of no more than the cost of the extra investigation.

H.6 Protection of Personally Identifiable Information (PII)

The contractor shall comply with the Privacy Act clause within the contract, HHSAR 352.224-

70. The Health Resources and Services Administration (HRSA) and its Bureaus/Offices are committed to protecting privacy. As a result, emails containing personally identifiable information (PII) should be sent and received in a secure manner.

PII sent and received internally among HRSA employees (including contractors) must be sent and received in a secure and confidential manner (for example, using encryption to protect data and/or attachments). Encryption helps to ensure that the data is not compromised during transmission. To aid in this effort, we recommend the following options to transmit PII in a secure manner; SecureZip. SecureZip ensures that sensitive data kept in file, folder, or email format is protected while the data is in transit or at rest. It combines Zip compression and encryption to deliver more secure method of transmitting PII via email. If you do not have SecureZip, please contact the HRSA Helpdesk to request a copy of the software to be installed on your computer.

Secure Email File Transfer (SEFT), National Institutes of Health (NIH) Secure Email and File Transfer Service is a service that allows HRSA users to send and receive emails securely on a secure socket layer (SSL)/encrypted connection. Use of this service will help protect the data from loss and compromise during transmission. The link to use SEFT is https://securemail.nih.gov/bds/Login.do. You may need to register with NIH in order to use

SEFT.

Alternately, communications may be faxed to our secure fax at 225-756-3808. If you have any questions, please contact the COR.

The contractor shall ensure the confidentiality of the record under HIPAA as it relates to the release of medical information.

H.7 Confidentiality of Patient Records

The contractor shall retain confidentiality of patient names, patient conditions and other treatment of patient treated at the place of performance. Disclosure of patient information shall only occur with the prior consent of the patient and Federal Government and shall only be made to another provider of healthcare treating the patient or a Federal Government Official with a need to know. If the contractor is unsure regarding disclosure, the COR will provide guidance.

The contractor shall be responsible to apprise all of their contractor personnel who perform services under this contract of their responsibility to maintain confidentiality of patient information as well as other patient rights. HIPPA and the Privacy Act of 1973 shall be adhered to in regards to patient information.

H.8 Non-Discrimination

The contractor shall make no distinctions among patients under this contract on the basis of race, creed, nor national origin. For the purpose of this contract, distinctions on the ground of race, color, creed, or national origin include the following: Denying a patient any service or benefit or availability of a treatment, providing any service to a patient which is different or is provided in a different manner or at a different time from that provided to other patients under this contract;

subjecting a patient to segregation or separate treatment in any matter related to his receipt of any service; restricting a patient in any way in the enjoyment of any advantage or privilege enjoyed by others, The assignment of time for the provision of services on the basis of race, color, creed, or national origin of the patients is prohibited.

H.9 Contractor Furnished

The contractor shall furnish all personnel, material, adequate and accessible facilities, and equipment needed for performance of this contract.

H.10 Government Furnished

The Federal Government shall furnish:

• HD Manual

• Reporting Forms

• SecureZip

• Secure Email File Transfer (SEFT), National Institutes of Health (NIH) Secure Email and

File Transfer Service

• Lower Extremity Amputation Prevention and Treatment of the Neuropathic Foot online course. The online course, “Lower Extremity Amputation Prevention and Treatment of the Neuropathic Foot,” is highly recommended for key personnel identified within this contract and who will be providing services through this contract. This course can be found at http://www.hrsa.gov/hansensdisease/onlinecourseleap.html.

• Semmes-Weinstein Monofilaments

The contractor shall be held liable for loss and damage due to neglect or abuse of Federal Government property by their personnel.

The contractor and their personnel shall take all reasonable precautions, as directed by the Federal Government or in the absence of the Federal Governments direction, in accordance with sound commercial industry standards, to safeguard and protect personnel and Federal Government property.

H.11 Special Authorities and Requirements

This contract is entered into under the authority of USC 2304 and 41 USC 253.

This is a non-personal healthcare service contract as defined in FAR 37.101, under which the contractor is an independent contractor.

The Federal Government may evaluate the quality of professional and administrative services provided, but retain no control over the medical, professional aspects of service rendered (e.g.

professional judgments and diagnosis for specifics medical treatment).

By signature of this contract, the contractor agrees to indemnify the Federal Government for any liability producing act or omission by the contractor, its personnel and agents occurring during contract performance.

By signature of this contract, the contractor agrees to maintain medical liability insurance in a coverage amount not less than the amount normally prevailing within the local community for the medical specialty concerned, and;

By signature of this contract, the contractor agrees to ensure that subcontracts for provisions of healthcare services contain the requirement of the clause at 52.237-7 including maintenance of medical liability insurance.

SECTION I – CONTRACT CLAUSES

I.1 Federal Acquisition Regulation (FAR) Contract Clauses

52.252-2 Clauses Incorporated by Reference (Feb 1998)

This contract 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 a clause may be accessed electronically at www.acquisition.gov/far.

Clause No. Title Date

52.202-1 Definitions NOV 2013 52.203-3 Gratuities APR 1984 52.203-5 Covenant Against Contingent Fees MAY 2014 52.203-6 Restrictions on Subcontractor Sales to the Government SEPT 2006 52.203-7 Anti-Kickback Procedures MAY 2014 52.203-8 Cancellation, Rescissions, and Recover of Funds for Illegal or Improper Activity MAY 2014 52.203-10 Price or Fee Adjustment for Illegal or Improper Activity MAY 2014 52.203-12 Limitation on Payment to Influence Certain Federal Transactions OCT 2010 52.203-13 Contractor Code of Business Ethics and Conduct OCT 2015 52.203-16 Preventing Personal Conflicts of Interest DEC 2011 52.203-17 Contractor Employee Whistleblower Rights and Requirement to Inform Employees of Whistleblower Rights APR 2014 52.204-1 Approval of Contract DEC 1989 52.204-4 Printed or Copied Double Sided on Postconsumer Fiber Content Paper MAY 2011 52.204-7 System for Award Management JUL 2013 52.204-9 Personal Identity Verification of Contractor Personnel JAN 2011 52.204-10 Reporting Executive Compensation and First Tier Subcontractor Awards OCT 2015 52.204-13 System for Award Management Maintenance JUL 2013 52.204-18 Commercial and Government Entity Code Maintenance JUL 2015 52.204-19 Incorporated by Reference of Representations and Certifications DEC 2014 52.207-3 Right of First Refusal of Employment MAY 2006 52.209-2 Prohibition on Contracting with Inverted Domestic Corporations-Representation NOV 2015 52.209-6 Protecting the Government’s Interest When

Subcontracting with Contractors Debarred, Suspended, Or Proposed for Debarment OCT 2015 52.209-9 Updates of Publicly Available Information Regarding Responsibility Matters JUL 2013 52.209-10 Prohibition on Contracting with Inverted Domestic Corporations NOV 2015 52.215-2 Audit and Records-Negotiation OCT 2010 52.215-8 Order of Precedence-Uniform Contract Format OCT 1997 52.215-10 Price Reduction for Defective Cost or Pricing Data AUG 2011 52.215-11 Price Reduction for Defective Certified Cost or Pricing Data Modifications AUG 2011

52.215.12 Subcontractor Certified Cost or Pricing Data OCT 2010

52.215.13 Subcontractor Certified Cost or Pricing Data

Modifications OCT 2010 52.215-15 Pension Adjustments and Asset Reversions OCT 2010 52.215-18 Reversion or Adjustment of Plans for Postretirement Benefits (PRB) Other Than Pensions JUL 2005 52.215-19 Notification of Ownership Changes OCT 1997 52.215-21 Requirements for Cost or Pricing Data or Information Other Than Cost or Pricing Data-Modifications OCT 2010 52.215-22 Limitations On Pass-Through Charges-Identification Of Subcontract Effort OCT 2009 52.215-23 Limitations on Pass-Through Charges Alt 1 OCT 2009 52.219-8 Utilization of Small Business Concerns OCT 2014 52.222-1 Notice to the Government of Labor Disputes FEB 1997 52.222-3 Convict Labor JUN 2003 52.222-21 Prohibition of Segregated Facilities APR 2015 52.222-26 Equal Opportunity APR 2015 52.222-35 Equal Opportunity for Veterans OCT 2015 52.222-36 Equal Opportunity for Workers with Disabilities JUL 2014 52.222-37 Employment Reports Veterans FEB 2016 52.222-50 Combating Trafficking in Persons MAR 2015 52.223-6 Drug-Free Workplace MAY 2001 52.223-18 Encouraging Contractor Policies to Ban Text Messaging While Driving AUG 2011 52.224-1 Privacy Act Notification APR 1984 52.224-2 Privacy Act APR 1984 52.225-13 Restrictions on Certain Foreign Purchases JUN 2008 52.227-14 Rights in Data-General MAY 2014 52.227-17 Rights in Data-Special Works DEC 2007 52.230-2 Cost Accounting Standards OCT 2015 52.230-3 Disclosure and Consistency of Cost Accounting Practices OCT 2015 52.230-6 Administration of Cost Accounting Standards JUN 2010

52.232-17 Interest MAY 2014 52.232-18 Availability of Funds APR 1984 52.232-23 Assignment of Claims MAY 2014 52.232-25 Prompt Payment JUL 2013 52.232-33 Payment by Electronic Funds Transfer-System for Award Management JUL 2013 52.232-39 Unenforceability of Unauthorized Obligations JUN 2013 52.232-40 Providing Accelerated Payment to Small Business Subcontractors DEC 2013 52.233-1 Disputes MAY 2014 52.233-3 Protest After Award-Alternate I (JUN 1985) AUG 1996 52.233-4 Applicable Law for Breach of Contract Claim OCT 2004 52.237-3 Continuity of Services JAN 1991 52.237-7 Indemnification and Medical Liability Insurance JAN 1997 52.239-1 Privacy or Security Safeguards AUG 1996 52.242-1 Notice of Intent to Disallow Costs APR 1984 52.242-4 Certification of Final Indirect Costs JAN 1997 52.242-13 Bankruptcy JUL 1995 52.243-1 Changes-Fixed-Price AUG 1987 52.244-2 Subcontracts OCT 2010 52.244-5 Competition in Subcontracting DEC 1996 52.244-6 Subcontracts for Commercial Items APR 2015 52.246-25 Limitations of Liability-Services FEB 1997 52.249-2 Termination for Convenience of the Government (Fixed Price) APR 2012 52.249-8 Default (Fixed-Price Supply and Service) APR 1984 52.249-14 Excusable Delays APR 1984 52.253-1 Computer Generated Forms JAN 1991

I.1.1 Federal Acquisition Regulation (FAR) Contract Clauses – Full Text

FAR 52.217-8 Option to Extend Services (NOV 1999)

The Government may require continued performance of any services within the limits and at the rates specified in the contract. These rates may be adjusted only as a result of revisions to prevailing labor rates provided by the Secretary of Labor. The option provision may be exercised more than once, but the total extension of performance hereunder shall not exceed 6 months. The Contracting Officer may exercise the option by written notice to the Contractor within 30 days.

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

(a) The Government may extend the term of this contract by written notice to the Contractor within 30 days; provided that the Government gives the Contractor a preliminary written notice of its intent to extend at least 60 days before the contract expires. The preliminary notice does not commit the Government to an extension.

(b) If the Government exercises this option, the extended contract shall be considered to include this option clause.

(c) The total duration of this contract, including the exercise of any options under this clause, shall not exceed 60 months.

FAR 52.243-7 Notification of Changes (APR 1984)

(a) Definitions. “Contracting Officer,” as used in this clause, does not include any representative of the Contracting Officer.

“Specifically Authorized Representative (SAR),” as used in this clause, means any person the Contracting Officer has so designated by written notice (a copy of which shall be provided to the Contractor) which shall refer to this subparagraph and shall be issued to the designated representative before the SAR exercises such authority.

(b) Notice. The primary purpose of this clause is to obtain prompt reporting of Government conduct that the Contractor considers to constitute a change to this contract. Except for changes identified as such in writing and signed by the Contracting Officer, the Contractor shall notify the Administrative Contracting Officer in writing promptly, within ____ (to be negotiated) calendar days from the date that the Contractor identifies any Government conduct (including actions, inactions, and written or oral communications) that the Contractor regards as a change to the contract terms and conditions. On the basis of the most accurate information available to the Contractor, the notice shall state --

(1) The date, nature, and circumstances of the conduct regarded as a change;

(2) The name, function, and activity of each Government individual and Contractor official or employee involved in or knowledgeable about such conduct;

(3) The identification of any documents and the substance of any oral communication involved in such conduct;

(4) In the instance of alleged acceleration of scheduled performance or delivery, the basis upon which it arose;

(5) The particular elements of contract performance for which the Contractor may seek an equitable adjustment under this clause, including --

(i) What contract line items have been or may be affected by the alleged change;

(ii) What labor or materials or both have been or may be added, deleted, or wasted by the alleged change;

(iii) To the extent practicable, what delay and disruption in the manner and sequence of performance and effect on continued performance have been or may be caused by the alleged change;

(iv) What adjustments to contract price, delivery schedule, and other provisions affected by the alleged change are estimated; and

(6) The Contractor’s estimate of the time by which the Government must respond to the Contractor’s notice to minimize cost, delay or disruption of performance.

(c) Continued performance. Following submission of the notice required by paragraph (b) of this clause, the Contractor shall diligently continue performance of this contract to the maximum extent possible in accordance with its terms and conditions as construed by the Contractor, unless the notice reports a direction of the Contracting Officer or a communication from a SAR of the Contracting Officer, in either of which events the Contractor shall continue performance;

provided, however, that if the Contractor regards the direction or communication as a change as described in paragraph (b) of this clause, notice shall be given in the manner provided. All directions, communications, interpretations, orders and similar actions of the SAR shall be reduced to writing promptly and copies furnished to the Contractor and to the Contracting Officer. The Contracting Officer shall promptly countermand any action which exceeds the authority of the SAR.

(d) Government response. The Contracting Officer shall promptly, within _____ (to be negotiated) calendar days after receipt of notice, respond to the notice in writing. In responding, the Contracting Officer shall either --

(1) Confirm that the conduct of which the Contractor gave notice constitutes a change and when necessary direct the mode of further performance;

(2) Countermand any communication regarded as a change;

(3) Deny that the conduct of which the Contractor gave notice constitutes a change and when necessary direct the mode of further performance; or

(4) In the event the Contractor’s notice information is inadequate to make a decision under subparagraphs (d)(1), (2), or (3) of this clause, advise the Contractor what additional information is required, and establish the date by which it should be furnished and the date thereafter by which the Government will respond.

(e) Equitable adjustments.

(1) If the Contracting Officer confirms that Government conduct effected a change as alleged by the Contractor, and the conduct causes an increase or decrease in the Contractor’s cost of, or the time required for, performance of any part of the work under this contract, whether changed or not changed by such conduct, an equitable adjustment shall be made --

(i) In the contract price or delivery schedule or both; and

(ii) In such other provisions of the contract as may be affected.

(2) The contract shall be modified in writing accordingly. In the case of drawings, designs or specifications which are defective and for which the Government is responsible, the equitable adjustment shall include the cost and time extension for delay reasonably incurred by the Contractor in attempting to comply with the defective drawings, designs or specifications before the Contractor identified, or reasonably should have identified, such defect. When the cost of property made obsolete or excess as a result of a change confirmed by the Contracting Officer under this clause is included in the equitable adjustment, the Contracting Officer shall have the right to prescribe the manner of disposition of the property. The equitable adjustment shall not include increased costs or time extensions for delay resulting from the Contractor’s failure to provide notice or to continue performance as provided, respectively, in paragraphs (b) and (c) of this clause.

NOTE: The phrases “contract price” and “cost” wherever they appear in the clause, may be appropriately modified to apply to cost-reimbursement or incentive contracts, or to combinations thereof.

FAR 52.252-6 Authorized Deviations in Clauses (APR 1984)

(a) The use in this solicitation or contract of any Federal Acquisition Regulation (48 CFR Chapter 1) clause with an authorized deviation is indicated by the addition of “(DEVIATION)” after the date of the clause.

(b) The use in this solicitation or contract of any Department of Health and Human Services Acquisition Regulation (HHSAR) (48 CFR Chapter 3) clause with an authorized deviation is indicated by the addition of “(DEVIATION)” after the name of the regulation.

I.2 Department of Health and Human Services Acquisition Regulation (HHSAR) Contract Clauses

This contract 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 a clause may be accessed electronically at www.hhs.gov/regulations/hhsar/.

Clause No. Title Date

352.203-70 Anti-Lobbying DEC 2015

352.216-70 Additional Cost Principles DEC 2015 352.219-70 Mentor-Protégé Program DEC 2015 352.219-71 Mentor-Protégé Program Reporting Requirements DEC 2015 352.222-70 Contractor cooperation in equal employment Opportunity investigations DEC 2015 352.224-70 Privacy Act DEC 2015 352.227-70 Publications and Publicity DEC 2015 352.231-70 Salary Rate Limitation DEC 2015 352.233-71 Litigation and…