Solicitation_18-258-SOL-00003.pdf

18-258-SOL-00003

SOLICITATION, OFFER AND AWARD

4. TYPE OF SOLICITATION2. CONTRACT NUMBER 3. SOLICITATION NUMBER

7. ISSUED BY CODE 8. ADDRESS OFFER TO (If other than Item 7)

ORDER UNDER DPAS (15 CFR 700)

6. REQUISITION/PURCHASE NUMBER

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

NEGOTIATED (RFP)

SEALED BID (IFB)

5. DATE ISSUED

1. THIS CONTRACT IS A RATED RATING PAGE OF PAGES

1 51

C. E-MAIL ADDRESS

EXT.NUMBERAREA CODE

B. TELEPHONE (NO COLLECT CALLS)A. NAME

10. FOR

INFORMATION

CALL:

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.

(Date)(Hour) local timeuntildepository located in copies for furnishing the supplies or services in the Schedule will be received at the place specified in Item 8, or if hand carried, in the

SOLICITATION

9. Sealed offers in original and

PART IV - REPRESENTATIONS AND INSTRUCTIONS

OTHER STATEMENTS OF OFFERORS

EVALUATION FACTORS FOR AWARD

INSTRS., CONDS., AND NOTICES TO OFFERORS

REPRESENTATIONS, CERTIFICATIONS AND

LIST OF ATTACHMENTS

CONTRACT CLAUSES

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

I

J

K

L

M SPECIAL CONTRACT REQUIREMENTS

CONTRACT ADMINISTRATION DATA

DELIVERIES OR PERFORMANCE

INSPECTION AND ACCEPTANCE

PACKAGING AND MARKING

DESCRIPTION/SPECS./WORK STATEMENT

SUPPLIES OR SERVICES AND PRICES/COSTS

SOLICITATION/CONTRACT FORM

PART II - CONTRACT CLAUSESPART I - THE SCHEDULE

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G

F

E

D

C

B

A

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

11. TABLE OF CONTENTS

18. OFFER DATE17. SIGNATURE

SUCH ADDRESS IN SCHEDULE.

IS DIFFERENT FROM ABOVE - ENTER

15C. CHECK IF REMITTANCE ADDRESS

EXT.NUMBERAREA CODE

15B. TELEPHONE NUMBER

(Type or print)AND

ADDRESS

OF

OFFEROR

CODE FACILITY

16. NAME AND TITLE OF PERSON AUTHORIZED TO SIGN OFFER15A. NAME

DATEAMENDMENT NO.DATEAMENDMENT NO.

and related documents numbered and dated):

amendments to the SOLICITATION for offerors

(The offeror acknowledges receipt of

14. ACKNOWLEDGEMENT OF AMENDMENTS

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

(See Section I, Clause No. 52.232.8)

13. DISCOUNT FOR PROMPT PAYMENT

designated point(s), within the time specified in the schedule.

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 price set opposite each item, delivered at the

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

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)

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

28. AWARD DATE

(Signature of Contracting Officer)

27. UNITED STATES OF AMERICA

25. PAYMENT WILL BE MADE BY

26. NAME OF CONTRACTING OFFICER (Type or print)

CODE 24. ADMINISTERED BY (If other than Item 7)

ITEM

(4 copies unless otherwise specified)

23. SUBMIT INVOICES TO ADDRESS SHOWN IN

41 U.S.C. 253 (c) ( 10 U.S.C. 2304 (c) (

22. AUTHORITY FOR USING OTHER THAN FULL AND OPEN COMPETITION:

21. ACCOUNTING AND APPROPRIATION20. AMOUNT19. ACCEPTED AS TO ITEMS NUMBERED

AWARD (To be completed by government)

CODE

04/27/2018 X

OAMP

HHS/HRSA/OO/OAMP

Office of Acquisition Management and Policy 5600 Fishers Lane, Rm 14W26B Rockville MD 20857

1400 ET 05/29/2018

JENNIFER M LOHMEIER 301

JLohmeier@hrsa.gov

443-5592

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PAGE(S)

RUSSELL J. GRABILL

AUTHORIZED FOR LOCAL REPRODUCTION

Previous edition is unusable

STANDARD FORM 33 (Rev. 9-97)

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

2-4

8-12 13-20

22-25

27-34

35-47

48-51

Solicitation 18-258-SOL-00003; Title: Ambulatory Care

SECTION B – SUPPLIES OR SERVICES AND PRICES/COSTS

B.1 Purpose of Contract

The Health Resources and Services Administration (HRSA) is seeking contractors to provide outpatient HD services, which includes diagnosing, screening, outpatient treatment, case management, and follow-up care in healthcare settings located throughout the United States. It is expected eight (8) separate contracts to be awarded to Ambulatory Care Clinics, in the states of Arizona, Arkansas, Georgia, Illinois, Massachusetts, Washington, and two clinics located in the State of California. Offerors may choose to bid on any of the states.

B.2 Compensation Cost/Price

B.2.1 In consideration of the satisfactory performance of the services and tasks detailed in Section J, Statement of Work (SOW) (Attachment A), and the contractor shall be compensated in accordance with the following amounts:

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

The cost to the Government for full performance of the Base POP under this contract will be $__________, at $__________ per month. (Firm Fixed Price).

Reimbursement of costs for patient travel in accordance with Task 3 of the SOW will be a not to exceed amount of $__________. (Cost).

Reimbursement of costs for medical co-payments in accordance with Task 4 of the SOW will be a not to exceed amount of $5,000.00. (Cost).

Reimbursement of costs for consultant services in accordance with Task 5 of the SOW will be a not to exceed amount of $ . (Cost).

The total price to the Government for full performance of the Base POP under this contract will be $__________.

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

The cost to the Government for full performance of Option Period One POP under this contract will be $__________, at $__________ per month. (Firm Fixed Price).

The total price to the Government for full performance of Option Period One under this

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

The cost to the Government for full performance of Option Period Two POP under this

The total price to the Government for full performance of Option Period Two under this

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

The cost to the Government for full performance of Option Period Three POP under this

The total price to the Government for full performance of Option Period Three under this

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

The cost to the Government for full performance of Option Period Four POP under this

The total price to the Government for full performance of Option Period Four under this

B.2.2 The total price for the Base POP and the four Option Periods is $__________.

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 contractor’s performance, evaluating the quality of services provided by the Contractor and performing final inspection and acceptance of all deliverables.

The following FAR Clause applies to fixed-price CLINs:

Clause No. Title Date

52.246-4 Inspection of Services – Fixed-Price AUG 1996

The following FAR Clause applies to cost-type CLINs:

52.246-5 Inspection of Services – Cost-Reimbursement APR 1984

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

The Contractor shall provide routine hours of operation, between the hours of 8:00 a.m. to 5:00 p.m., Monday through Friday, that meet the health care needs (routine medication management, treatment of reactions, orthotics, physical examinations, etc.) of the HD population in the service area.

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

F.3 Period of Performance (POP)

The period of performance shall be a base period of twelve (12) months with four (4) 12-month option periods. The option periods may be exercised in accordance with Section I, FAR Clause 52.217-9 “Option to Extend the Term of the Contract (MAR 2000)”. The period of performance under this contract shall commence with the effective date of the contract.

*Note: exact dates will be filled in at time of contract award.

F.4 Place of Performance

The place of performance shall be at contractor’s outpatient healthcare facilities located in the states of Arizona, Arkansas, Georgia, Illinois, Massachusetts, Washington, and two clinics located in the State of California. (Addresses to be specified at time of contract award).

F.5 Schedule of Deliverables

Regardless of format, all digital content or communications materials produced as a deliverable under this contract must conform to applicable Section 508 standards to allow federal employees and members of the public with disabilities to access information that is comparable to information provided to persons without disabilities. Remediation of any materials that do not comply with the applicable requirements as set forth below, shall be the responsibility of the vendor.

HHS guidance regarding accessibility of documents can be found at http://www.hhs.gov/web/section-508/making-files-accessible/index.html.

Schedule of Reports, Invoices, and Deliverables Item Quantity Due Date Place to Report

Hansen’s Disease Surveillance Form, Task 6A

Varies depending on diagnosis date and patient.

Within 10 business days of confirmed diagnosis of HD

Send to:

National Hansen’s Disease Programs per secure email

ATTN: COR, HD

Ambulatory Care 1770 Physicians Park Drive Baton Rouge, LA. 70806

NHDP Annual Follow Up Form, Task 6B

Yearly for patients in the active phase and observation period of treatment.

All reports performed during the month shall be submitted by 10th with the upcoming Bi- Monthly.

Send to:

National Hansen’s Disease Programs

ATTN: COR, HD

Ambulatory Care 1770 Physicians Park Drive Baton Rouge, LA. 70806

Bi-Monthly Report, Task 6C

6 per 12-month period of performance.

First report is due no later within 70 days after the award.

Send to:

National Hansen’s Disease Programs per Secure email

ATTN: COR, HD

Ambulatory Care 1770 Physicians Park Drive Baton Rouge, LA. 70806

Federal Records and Disposition Plan, Task 9 one

Due 30 days following the award of the contract (February 1, 2018)

Send to:

National Hansen’s Disease Programs

ATTN: COR, HD

1770 Physician Park Drive Baton Rouge, LA. 70806 http://www.hhs.gov/web/section-508/making-files-accessible/index.html

Hand and Foot Screen, Task 1C

Performed quarterly and during the active phase of treatment (while taking medications), annually for three years then as needed based on visual inspection or deterioration in screenings such as muscle weakness, decrease in sensation, or decreased function.

reports per patient per year.

All reports performed during the month shall be submitted by 10th with the upcoming Bi- Monthly Report.

Send to:

National Hansen’s Disease Programs per Secure email

ATTN: COR, HD

Ambulatory Care 1770 Physicians Park Drive Baton Rouge, LA. 70806

The following Schedule of Deliverables relates to Task 10 – Baseline Security Requirements, of the Statement of Work (SOW).

Document Section Deliverable Title/Description Due Date Applicable (y/n)

Roster Roster Within 14 days of the effective date of this contract

Contractor Employee Non- Disclosure Agreement (NDA)

Contractor Employee Non- Disclosure Agreement (NDA)

Prior to performing any work on behalf of HHS

Privacy Threshold Analysis (PTA)/ Privacy Impact Assessment (PIA)

Assist in the completion of a PTA/PIA form

Within 30 days after contract award

Training Records Copy of training records for all mandatory training

In conjunction with contract award and annually thereafter or upon request

Document Section Deliverable Title/Description Due Date Applicable (y/n)

Rules of Behavior Signed ROB for all employees Initiation of contract and at least annually thereafter

Incident Response Incident Report (as incidents or breaches occur)

As soon as possible and without reasonable delay and no later than 1 hour of discovery

Incident Response Incident and Breach Response Plan

Upon request from government

Personnel Security Responsibilities

List of Personnel with defined roles and responsibilities

Within 14 days that is before an employee begins working on this contract.

Personnel Security Responsibilities

Off-boarding documentation, equipment and badge when leaving contract

Within two weeks after the Government’s final acceptance of the work under this contract, or in the event of a termination of the contract.

Background Investigation

Onboarding documentation when beginning contract.

Prior to performing any work on behalf of HHS

Certification of Sanitization of Government and Government Activity-Related Files, Information, and Devices.

Form or deliverables required by HRSA.

At contract expiration.

Contract Initiation and Expiration

If the procurement involves a system or cloud service, additional documentation will be required, such as Disposition/Decommission Plan

At contract expiration.

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 Stop Work Order

The following FAR Clause applies and is incorporated by reference:

52.242-15 Stop Work Order (Aug 1989), w/ Alt. I (Apr 1984)

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

[Name and contact information will be entered at time of award]

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 (SF) 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.

Mail Invoices To:

National Hansen’s Disease Programs 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:

http://www.gsa.gov/portal/forms/download/115462

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 Evaluation of Contractors Performance

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

The Government will conduct an evaluation of contractor’s 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).

G.6 Key Personnel

The following Key Personnel shall be provided under this contract:

• Project Director or Business Manager

Education and Experience:

The program directory shall have a minimum of three year of specialized experience preparing reports and other written correspondence; diagnosing and resolving administrative problems; and devising new processes for managing the work of an office.

Duties:

The project director shall assists with planning, coordinating and implementing activities associated with administrative management, operations, equipment, space management, logistics, budget, travel and other areas for the performance accountability and management.

The project director shall work collaboratively with the Contracting Officer and COR to ensure work requirements under this contract are fulfilled.

• Physician

The physician shall have a degree in medicine or an equivalent degree resulting from a course of education in medicine with a permanent, full, and unrestricted license to practice medicine in a State, District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States. The physician shall have a minimum of three years of independent practicing experience.

• Shall perform medical screenings, evaluations, and treatment of HD and reactions.

• Shall provide medical oversight and coordinate overall care for the HD patients.

• Shall document care provided in the medical records.

• Shall collaborate with NHDP physicians as needed relating planning and managing medical care for patients.

• Shall refer patients to appropriate health care professionals as clinic judgment dictates and as outlined in the Statement of Work.

• Shall make a reasonable effort to treat HD patients prior to referring to NHDP.

• Registered Nurse

The registered nurse assigned to the contract shall be a graduate of a school of professional nursing approved by the appropriate State-accrediting agency and accredited by one of the following accrediting bodies at the time the program was completed by The Accreditation Commission for Education in Nursing (ACEN) or The Commission on Collegiate Nursing Education (CCNE).

The nurse shall have a minimum of three years of experience as a fulltime nurse.

Licensure:

The registered nurse shall have a current, full, active, and unrestricted registration as a graduate professional nurse in a State, Territory or Commonwealth (i.e., Puerto Rico) of the United States, or the District of Columbia.

• The nurse shall plan and deliver comprehensive healthcare service to individuals, families and communities with HD.

• The nurse shall conduct patient outreach for patients who have not kept clinic appointment or have lapse in their medication regimen.

• The nurse shall provide patient teaching regarding medication side effects, disabilities, stigma, reactions, treatment, and communicability of HD.

• The nurse shall be proactive in coordinating healthcare service with other healthcare professional, as the patient’s condition requires.

• The nurse shall coordinate videoconferencing with the COR of this contract twice per year to present cases seen in their clinics.

Consultative or Referral Labor Categories

• Physical Therapist

The physical therapist shall be a graduate from a degree program in physical therapy from an approved college or university in physical therapy from an approved college or university approved by the Commission and Accreditation in Physical Therapy Education (CAPTE). The CAPTE is the only accreditation agency recognized by the United States Department of Education (USDE) and the Council for Higher Education Accreditation (CHEA) to accredit entry-level physical therapy programs.

The physical therapist shall have a minimum of three years of full time experience.

Current, full, active, and unrestricted license to practice physical therapy in a State, Territory or Commonwealth (i.e., Puerto Rico) of the United States, or in the District of Columbia.

• Screen, assess, and evaluate the functional, physical, and psychological capabilities while considering capabilities, environment, disease and treatment.

• Coordinate and collaborate with interdisciplinary team members regarding the plan of care.

• Manage and monitor and determine the best course of treatment for insensitive neuropathic feet.

• Educate patients on disease process and course of treatment.

• Collaborate and coordinate HD care with other interdisciplinary team members.

• Use orthotics devices as a treatment approach to address insensitive limbs.

• Perform callus and nail trim.

• Perform offloading procedures.

• Podiatrist

Successful completion of at least a Doctor of Podiatric Medicine (D.P.M.) from a school of podiatric medicine accredited by the Council of Podiatric Medical Evaluation in the year in which the degree was granted.

Shall have a minimum of three years of experience working in the field of podiatry.

Applicants shall be currently licensed to practice podiatric medicine in one of the States, the District of Columbia, or Puerto Rico.

• Diagnose foot disorders and determine the best course of treatment for care of insensitive neuropathic feet.

• Perform podiatric procedures as the patient’s condition warrants.

• Educate patients on disease process and course of treatment.

• Collaborate and coordinate HD care with other interdisciplinary team members.

• Order orthotics as a treatment approach to address insensitive limbs Perform callus and nail trim.

• Ophthalmologist

The ophthalmologist shall have a degree in medicine or an equivalent degree resulting from a course of education in medicine.

The ophthalmologist shall have a minimum three years of experience in the field of ophthalmology.

Shall possess a current, full and unrestricted license to practice medicine or surgery in a State, Territory, or Commonwealth of the United States, or in the District of Columbia and be board certified in Ophthalmology.

The ophthalmologist shall perform eye exams, diagnose and treat diseases of the eye, prescribe medications, provide medical management of eye conditions and perform eye surgery.

• Occupational Therapist

The occupational therapist shall possess have a degree program in occupational therapy approved by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations to include interns (supervised fieldwork experience required by the educational institution). The ACOTE is the only accreditation agency recognized by the United States Department of Education (USDE) and the Council for Higher Education Accreditation (CHEA).

The occupational therapist shall have a minimum of three years of full time experience in an acute, chronic, rehabilitative, or outpatient facility.

The occupational therapist shall hold a full and current unrestricted state Occupational Therapist License and possess written documentation that the individual has passed the entry-level certification examination for OTs, which is administered by the National Board for Certification in Occupational Therapy (NBCOT).

• Coordinate and collaborate with interdisciplinary team members regarding the

SECTION H – SPECIAL CONTRACT REQUIREMENTS

PAGE LEFT BLANK INTENTIONALLY

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 http://www.acquisition.gov/far/

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 SEP 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 52.203-11 Certification and Disclosure Regarding Payments to Influence Certain Federal Transactions SEP 2007 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 52.204-4 Printed or Copied Double Sided on Postconsumer MAY 2011 Fiber Content Paper 52.204-7 System for Award Management OCT 2016 52.204-9 Personal Identity Verification of Contractor Personnel JAN 2011 52.204-10 Reporting Executive Compensation and First Tier OCT 2016 Subcontractor Awards 52.204-13 System for Award Management Maintenance OCT 2016 52.204-16 Commercial and Government Entity Code Reporting JUL 2016 52.204-18 Commercial and Government Entity Code Maintenance JUL 2015 52.204-17 Ownership or Control of Offeror JUL 2016 52.204-18 Commercial and Government Entity Code Maintenance JUL 2016 52.204-19 Incorporated by Reference of Representations and Certifications DEC 2014 52.204-20 Predecessor of Offeror JUL 2016 52.209-2 Prohibition on Contracting with Inverted Domestic Corporations-Representation NOV 2015 http://www.acquisition.gov/far/

52.209-5 Certification Regarding Responsibility Matters OCT 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 OCT 2010 Modifications 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, w/ Alt. I. OCT 2009 52.219-9 Small Business Subcontracting Plan (applies to other than Small businesses and contracts exceeding $700K) JAN 2017 52.222-1 Notice to the Government of Labor Disputes FEB 1997 52.222-3 Conflict Labor JUN 2003 52.222-21 Prohibition of Segregated Facilities APR 2015 52.222-26 Equal Opportunity SEP 2016 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 on Veterans FEB 2016 52.222-41 Service Contract Labor Standards MAY 2014 52.222-43 Fair Labor Standards Act and Service Contract Act Labor Standards – Price Adjustment (Multiple Year and Option Contracts) MAY 2014 52.222-50 Combating Trafficking in Persons MAR 2015 52.222-54 Employment Eligibility Verification OCT 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 52.230-3 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 52.232-20 Limitation of Costs 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 JUL 2013 Award Management 52.232-39 Unenforceability of Unauthorized Obligations JUN 2013 52.232-40 Providing Accelerated Payment to Small Business DEC 2013 Subcontractors 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 52.243-2 Changes – Cost Reimbursement 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 APR 2012 (Fixed Price) 52.249-6 Termination (Cost-Reimbursement) MAY 2004 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 52.217-9 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 52.252-6 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/.

352.203-70 Anti-Lobbying DEC 2015 352.216-70 Additional Cost Principles DEC 2015 352.222-70 Contractor Cooperation in Equal Employment DEC 2015

Opportunity Investigations 352.224-70 Privacy Act DEC 2015 352.227-70 Publications and Publicity DEC 2015 352.231-70 Salary Rate Limitation DEC 2015

352.237-75 Key Personnel DEC 2015

The key personnel specified in this contract are considered to be essential to work performance.

At least 30 days prior to the contractor voluntarily diverting any of the specified individuals to other programs or contracts the Contractor shall notify the Contracting Officer and shall submit a justification for the diversion or replacement and a request to replace the individual. The request must identify the proposed replacement and provide an explanation of how the replacement's skills, experience, and credentials meet or exceed the requirements of the contract (including, when applicable, Human Subjects Testing requirements). If the employee of the contractor is terminated for cause or separates from the contractor voluntarily with less than thirty days’ notice, the Contractor shall provide the maximum notice practicable under the circumstances.

The Contractor shall not divert, replace, or announce any such change to key personnel without the written consent of the Contracting Officer. The contract will be modified to add or delete key personnel as necessary to reflect the agreement of the parties.

http://www.hhs.gov/regulations/hhsar/

SECTION J – LIST OF ATTACHMENTS

J.1 The following attachments are made part of this solicitation

Attachment Title No. of Pages

A Statement of Work 34

B CPARS Information Sheet 1

C Past Performance Questionnaire 4

D Subcontracting Plan Template 7

E Wage Determinations under the 88 Service Contract Act by Regions

F Cost Proposal Template 5

Appendix Title No. of Pages

A NHDP Annual Follow Up Form 1

B Quality Improvement Activity Report 3

C Manual for the Care of Hansen’s Disease 51

SECTION K – REPRESENTATIONS, CERTIFICATIONS, AND

OTHER STATEMENTS OF OFFERORS

K.1 The Offeror makes the following Representations and Certifications as part of its proposal

RFP No. 18-258-SOL-00003

(Name of organization)

(Signature of authorized individual) (Date)

(Type name of authorized individual)

TIN No.

DUNS No.

Note: The penalty for knowingly and willingly making false statements in offers as prescribed in 18 U.S.C. 1001 is imprisonment of not more than 5 years or, if the offense involves international or domestic terrorism (as defined in section 2331), imprisonment of not more than 8 years, or both. If the matter relates to an offense under chapter 109A, 109B, 110, or 117, or section 1591, then the term of imprisonment imposed under this section shall not be more than 8 years. The Offeror certifies that it has registered at www.sam.gov, as required by FAR 52.204-7 Central Contractor Registration (known now as System for Award Management

(SAM)) (JUL 2013).

K.2 52.204-8 Annual Representations and Certifications (JAN 2017)

(a) (1) The North American Industry classification System (NAICS) code for this acquisition is 621999.

(2) The small business size standard is $15M.

(3) The small business size standard for a concern which submits an offer in its own name, other than on a construction or service contract, but which proposes to furnish a product which it did not itself manufacture, is 500 employees.

(b) (1) If the provision at 52.204-7, System for Award Management, is included in this solicitation, paragraph (d) of this provision applies.

(2) If the provision at 52.204-7 is not included in this solicitation, and the offeror is currently registered in the System for Award Management (SAM), and has completed the http://www.sam.gov/

Representations and Certifications section of SAM electronically, the offeror may choose to use paragraph (d) of this provision instead of completing the corresponding individual representations and certification in the solicitation. The offeror shall indicate which option applies by checking one of the following boxes:

[_] (i) Paragraph (d) applies.

[_] (ii) Paragraph (d) does not apply and the offeror has completed the individual representations and certifications in the solicitation.

(c) (1) The following representations or certifications in SAM are applicable to this solicitation as indicated:

(i) 52.203-2, Certificate of Independent Price Determination. This provision applies to solicitations when a firm-fixed-price contract or fixed-price contract with economic price adjustment is contemplated, unless—

(A) The acquisition is to be made under the simplified acquisition procedures in Part 13;

(B) The solicitation is a request for technical proposals under two-step sealed bidding procedures; or

(C) The solicitation is for utility services for which rates are set by law or regulation.

(ii) 52.203-11, Certification and Disclosure Regarding Payments to Influence Certain Federal Transactions. This provision applies to solicitations expected to exceed $150,000.

(iii) 52.203-18, Prohibition on Contracting with Entities that Require Certain Internal Confidentiality Agreements or Statements—Representation. This provision applies to all solicitations.

(iv) 52.204-3, Taxpayer Identification. This provision applies to solicitations that do not include the provision at 52.204-7, System for Award Management.

(v) 52.204-5, Women-Owned Business (Other Than Small Business). This provision applies to solicitations that—

(A) Are not set aside for small business concerns;

(B) Exceed the simplified acquisition threshold; and

(C) Are for contracts that will be performed in the United States or its outlying areas.

(vi) 52.209-2, Prohibition on Contracting with Inverted Domestic Corporations— Representation.

(vii) 52.209-5; Certification Regarding Responsibility Matters. This provision applies to solicitations where the contract value is expected to exceed the simplified acquisition threshold.

(viii) 52.209-11, Representation by Corporations Regarding Delinquent Tax Liability or a Felony Conviction under any Federal Law. This provision applies to all solicitations.

(ix) 52.214-14, Place of Performance--Sealed Bidding. This provision applies to invitations for bids except those in which the place of performance is specified by the Government.

(x) 52.215-6, Place of Performance. This provision applies to solicitations unless the place of performance is specified by the Government.

(xi) 52.219-1, Small Business Program Representations (Basic & Alternate I).

This provision applies to solicitations when the contract will be performed in the United States or its outlying areas.

(A) The basic provision applies when the solicitations are issued by other than DoD, NASA, and the Coast Guard.

(B) The provision with its Alternate I applies to solicitations issued by DoD, NASA, or the Coast Guard.

(xii) 52.219-2, Equal Low Bids. This provision applies to solicitations when contracting by sealed bidding and the contract will be performed in the United States or its outlying areas.

(xiii) 52.222-22, Previous Contracts and Compliance Reports. This provision applies to solicitations that include the clause at 52.222-26, Equal Opportunity.

(xiv) 52.222-25, Affirmative Action Compliance. This provision applies to solicitations, other than those for construction, when the solicitation includes the clause at 52.222-26, Equal Opportunity.

(xv) 52.222-38, Compliance with Veterans' Employment Reporting Requirements. This provision applies to solicitations when it is anticipated the contract award will exceed the simplified acquisition threshold and the contract is not for acquisition of commercial items.

(xvi) 52.222-57, Representation Regarding Compliance with Labor Laws (Executive Order 13673). This provision applies to solicitations expected to exceed $50 million which are issued from October 25, 2016 through April 24, 2017, and solicitations expected to exceed $500,000, which are issued after April 24, 2017.

Note to paragraph (c)(1)(xvi): By a court order issued on October 24, 2016, 52.222-57 is enjoined indefinitely as of the date of the order. The enjoined paragraph will become effective immediately if the court terminates the injunction. At that time, DoD, GSA, and NASA will publish a document in the Federal Register advising the public of the termination of the injunction.

(xvii) 52.223-1, Biobased Product Certification. This provision applies to solicitations that require the delivery or specify the use of USDA-designated items; or include the clause at 52.223-2, Affirmative Procurement of Biobased Products Under Service and Construction Contracts.

(xviii) 52.223-4, Recovered Material Certification. This provision applies to solicitations that are for, or specify the use of, EPA- designated items.

(xix) 52.223-22, Public Disclosure of Greenhouse Gas Emissions and Reduction Goals—Representation. This provision applies to solicitations that include the clause at 52.204-7.

(xx) 52.225-2, Buy American Certificate. This provision applies to solicitations containing the clause at 52.225-1.

(xxi) 52.225-4, Buy American--Free Trade Agreements--Israeli Trade Act Certificate. (Basic, Alternates I, II, and III.) This provision applies to solicitations containing the clause at 52.225- 3.

(A) If the acquisition value is less than $25,000, the basic provision applies.

(B) If the acquisition value is $25,000 or more but is less than $50,000, the provision with its Alternate I applies.

(C) If the acquisition value is $50,000 or more but is less than $77,533, the provision with its Alternate II applies.

(D) If the acquisition value is $79,507 or more but is less than $100,000, the provision with its Alternate III applies.

(xxii) 52.225-6, Trade Agreements Certificate. This provision applies to solicitations containing the clause at 52.225-5.

(xxiii) 52.225-20, Prohibition on Conducting Restricted Business Operations in Sudan--Certification. This provision applies to all solicitations.

(xxiv) 52.225-25, Prohibition on Contracting with Entities Engaging in Certain Activities or Transactions Relating to Iran—Representation and Certification.

This provision applies to all solicitations.

(xxv) 52.226-2, Historically Black College or University and Minority Institution Representation. This provision applies to solicitations for research, studies, supplies, or services of the type normally acquired from higher educational institutions.

(2) The following representations or certifications are applicable as indicated by the Contracting Officer:

___ (i) 52.204-17, Ownership or Control of Offeror.

___ (ii) 52.204-20, Predecessor of Offeror.

___ (iii) 52.222-18, Certification Regarding Knowledge of Child Labor for Listed End Products.

___ (iv) 52.222-48, Exemption from Application of the Service Contract Labor Standards to Contracts for Maintenance, Calibration, or Repair of Certain Equipment--Certification.

___ (v) 52.222-52 Exemption from Application of the Service Contract Labor Standards to Contracts for Certain Services--Certification.

___ (vi) 52.223-9, with its Alternate I, Estimate of Percentage of Recovered Material Content for EPA-Designated Products (Alternate I only).

___ (vii) 52.227-6, Royalty Information.

___ (A) Basic.

___ (B) Alternate I.

___ (viii) 52.227-15, Representation of Limited Rights Data and Restricted Computer Software.

(d) The offeror has completed the annual representations and certifications electronically via the SAM Web site accessed through https://www.acquisition.gov . After reviewing the SAM database information, the offeror verifies by submission of the offer that the representations and certifications currently posted electronically that apply to this solicitation as indicated in paragraph (c) of this provision have been entered or updated within the last 12 months, are current, accurate, complete, and applicable to this solicitation (including the business size standard applicable to the NAICS code referenced for this solicitation), as of the date of this offer and are incorporated in this offer by reference (see FAR 4.1201); except for the changes https://www.acquisition.gov/ identified below [offeror to insert changes, identifying change by clause number, title, date].

These amended representation(s) and/or certification(s) are also incorporated in this offer and are current, accurate, and complete as of the date of this offer.

FAR Clause Title Date Change

Any changes provided by the offeror are applicable to this solicitation only, and do not result in an update to the representations and certifications posted on SAM. (End of Provision)

K.3 Responsible Official(s) Who Can Negotiate and Receive Notification of an Improper Invoice and Answer Questions…