19AQMM19R0035_v20181231_FINAL.pdf

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24 & 30

1. REQUISITION NUMBER

5. SOLICITATION NUMBER

19AQMM19R0035

2. CONTRACT NO. 3. AWARD/EFFECTIVE DATE 4. ORDER NUMBER 6. SOLICITATION ISSUE

DATE

12/31/2018

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

Alexander D. Warsaw

b. TELEPHONE NUMBER (No collect calls) 703-516-1965

c. EMAIL warsawad@state.gov

8. OFFER DUE DATE / LOCAL

TIME

02/04/2019 08:00:00

CODE LMAQM

OFFICE OF ACQUISITION MANAGEMENT (A/LM/AQM)

PO BOX 9115, ROSSLYN STATION

US DEPARTMENT OF STATE

ARLINGTON, VA 22219

9. ISSUED BY UNRESTRICTED OR X SET ASIDE: % FOR

X SMALL BUSINESS

HUBZONE SMALL

BUSINESS

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

WOMEN-OWNED SMALL BUSINESS (WOSB)

ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

8(A)

NAICS: 621493

SIZE STANDARD:

10. THE ACQUISITION IS

SEE

SCHEDULE

11. DELIVERY FOR FOB DESTINATION

UNLESS BLOCK IS MARKED

12. DISCOUNT TERMS

13a. THIS CONTRACT IS

RATED ORDER UNDER DPAS

13b. RATING

RFQ IFB X RFP

14. METHOD OF SOLICITATION

MED__CODE15. DELIVER TO

OFFICE OF MEDICAL SERVICE (MED)

MED/DMD/OM, SA1, H443, 2401 E ST NW

ATTN: DIR OF OP MEDICINE (MED/DMD/OM)

WASHINGTON, DC 20522-0104

CODE16. ADMINISTERED BY

FACILITY CODECODE

Contact Duns Telephone No.

17a. CONTRACTOR/OFFEROR RMGFOCODE18a. PAYMENT WILL BE MADE BY

GLOBAL FINANCIAL SERVICES CENTER, CHARLESTON,

SOUTH CAROLINA

PO BOX 150008; Fax To: 1-866-483-3436

ATTN: OFFICE OF CLAIMS

CHARLESTON, SC 29415-5008

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

OFFER SEE ADDENDUM

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

CHECKED

19. ITEM NO. 20. SCHEDULE OF SUPPLIES/SERVICES

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

21. QUANTITY 22. UNIT 23. UNIT PRICE 24. AMOUNT

See Line Items Section

25. ACCOUNTING AND APPROPRIATION DATA

See Line Item Detail

26. TOTAL AWARD AMOUNT (For Govt. Use Only)

X 27a. SOLICITATION INCORPORATES BY REFERENCES FAR 52.212-1, 52.212-4, FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA ARE X ARE NOT ATTACHED

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4, 52.212-5 IS ATTACHED. ADDENDA ARE ARE NOT ATTACHED

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

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

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

TERMS AND CONDITIONS SPECIFIED.

29. AWARD OF CONTRACT: REF. OFFER DATED . YOUR OFFER ON

SOLICITATION (BLOCK 5) INCLUDING ANY ADDITIONS OR CHANGES WHICH

ARE SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

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

30b. NAME AND TITLE OF SIGNER (TYPE OR PRINT) 30c. DATE SIGNED 31b. NAME OF THE CONTRACTING OFFICER (TYPE OR PRINT)

Alexander D. Warsaw 31c. DATE SIGNED

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 02/2012)

Prescribed by GSA - FAR (48 CFR) 53.212

19AQMM19R0035

Table of Contents

Section Description Page Number

2 Contract Clauses 3 Solicitation Provisions

Section L Instructions, Conditions and Notices to Offerors or Respondents 4 Evaluation Factors

Section M Evaluation Factors for Award 5 Representations and Certifications

001 Non-Surgical Medical Support Services 1.00 EA

i) This is a firm-fixed price CLIN to be priced per unit. A "unit" is defined as a calendar month of services for a single identifiable person eligible for non-surgical health care services. Costs are inclusive of all fixed and variable overhead costs, all direct and indirect costs, including but not limited to all necessary equipment, supplies, delivery/shipping costs, labor, and any other ancillary costs associated with delivering non-surgical health care services to an agreed upon standard of care in the location specified by the Government.

ii) The Contractor may invoice under this CLIN on a monthly basis beginning as soon as services are rendered, which shall be no later than seven (7) days following contract award.

iii) The Government will provide a list of eligible persons on a monthly basis, and may transfer eligibility to a purchased but undesignated unit of service at any time through written or electronic notification to the selected Contractor.

iv) The Government will identify the quantity or units required under this CLIN to the contractor on a monthly basis, and place task orders for additional units at any time. The Government reserves the right to change the number of units on a monthly basis as needed.

Doc Ref No:

Delivery Date FOB:

002 Surgical Resuscitation Medical Support Services 1.00 EA

i) This is a firm-fixed price CLIN to be priced per unit. A "unit" is defined as a calendar month of services for a single identifiable person eligible for surgical resuscitation health care services. Costs are inclusive of all fixed and variable overhead costs, all direct and indirect costs, including but not limited to all necessary equipment, supplies, delivery/shipping costs, labor, and any other ancillary costs associated with delivering surgical health care services to an agreed upon standard of care in the location specified by the Government.

ii) The Contractor may invoice under this CLIN on a monthly basis beginning as soon as services are rendered, which shall be no later than forty-five (45) days following contract award.

iii) The Government will provide a list of eligible persons on a monthly basis, and may transfer eligibility to a purchased but undesignated unit of service at any time through written or electronic notification to the selected Contractor.

iv) The Government will identify the quantity or units required under this CLIN to the contractor on a monthly basis, and place task orders for additional units at any time. The Government reserves the right to change the number of units on a monthly basis as needed.

Doc Ref No:

Delivery Date FOB:

003 Defense Base Act (DBA) Insurance 1.00 LT

i) This is a Fixed Price with Economic Price Adjustment

19AQMM19R0035

Line Item Summary

Solicitation Number:

19AQMM19R0035

Contract Number: Title: Mogadishu Medical Services Date of Solicitation:

12/31/2018

Line Item No. Description Quantity Unit Unit Price Total Cost

(EPA) CLIN based on actual labor force supporting this contract using rates developed for work in African countries.

ii) The Contractor shall provide a copy of the DBA insurance policy no later than five (5) days after contract award.

Doc Ref No:

Delivery Date FOB:

101 Non-Surgical Medical Support Services 1.00 EA

i) This is a firm-fixed price CLIN to be priced per unit. A "unit" is defined as a calendar month of services for a single identifiable person eligible for non-surgical health care services. Costs are inclusive of all fixed and variable overhead costs, all direct and indirect costs, including but not limited to all necessary equipment, supplies, delivery/shipping costs, labor, and any other ancillary costs associated with delivering non-surgical health care services to an agreed upon standard of care in the location specified by the Government.

ii) The Contractor shall invoice on a monthly basis as part of a consolidated monthly invoice.

iii) The Government will provide a list of eligible persons on a monthly basis, and may transfer eligibility to a purchased but undesignated unit of service at any time through written or electronic notification to the selected Contractor.

iv) The Government will identify the quantity or units required under this CLIN to the contractor on a monthly basis, and place task orders for additional units at any time. The Government reserves the right to change the number of units on a monthly basis as needed.

Doc Ref No:

Delivery Date FOB:

102 Surgical Resuscitation Medical Support Services 1.00 EA

i) This is a firm-fixed price CLIN to be priced per unit. A "unit" is defined as a calendar month of services for a single identifiable person eligible for surgical resuscitation health care services. Costs are inclusive of all fixed and variable overhead costs, all direct and indirect costs, including but not limited to all necessary equipment, supplies, delivery/shipping costs, labor, and any other ancillary costs associated with delivering surgical health care services to an agreed upon standard of care in the location specified by the Government.

ii) The Contractor shall invoice on a monthly basis as part of a consolidated monthly invoice.

iii) The Government will provide a list of eligible persons on a monthly basis, and may transfer eligibility to a purchased but undesignated unit of service at any time through written or electronic notification to the selected Contractor.

iv) The Government will identify the quantity or units required under this CLIN to the contractor on a monthly basis, and place task orders for additional units at any time. The Government reserves the right to change the

19AQMM19R0035

Line Item Summary

Solicitation Number:

19AQMM19R0035

Contract Number: Title: Mogadishu Medical Services Date of Solicitation:

12/31/2018 number of units on a monthly basis as needed.

Doc Ref No:

Delivery Date FOB:

103 Defense Base Act (DBA) Insurance 1.00 LT

i) This is a Fixed Price with Economic Price Adjustment (EPA) CLIN based on actual labor force supporting this contract using rates developed for work in African countries.

Doc Ref No:

Delivery Date FOB:

201 Non-Surgical Medical Support Services 1.00 EA

i) This is a firm-fixed price CLIN to be priced per unit. A "unit" is defined as a calendar month of services for a single identifiable person eligible for non-surgical health care services. Costs are inclusive of all fixed and variable overhead costs, all direct and indirect costs, including but not limited to all necessary equipment, supplies, delivery/shipping costs, labor, and any other ancillary costs associated with delivering non-surgical health care services to an agreed upon standard of care in the location specified by the Government.

ii) The Contractor shall invoice on a monthly basis as part of a consolidated monthly invoice.

iii) The Government will provide a list of eligible persons on a monthly basis, and may transfer eligibility to a purchased but undesignated unit of service at any time through written or electronic notification to the selected Contractor.

iv) The Government will identify the quantity or units required under this CLIN to the contractor on a monthly basis, and place task orders for additional units at any time. The Government reserves the right to change the number of units on a monthly basis as needed.

Doc Ref No:

Delivery Date FOB:

202 Surgical Resuscitation Medical Support Services 1.00 EA

i) This is a firm-fixed price CLIN to be priced per unit. A "unit" is defined as a calendar month of services for a single identifiable person eligible for surgical resuscitation health care services. Costs are inclusive of all fixed and variable overhead costs, all direct and indirect costs, including but not limited to all necessary equipment, supplies, delivery/shipping costs, labor, and any other ancillary costs associated with delivering surgical health care services to an agreed upon standard of care in the location specified by the Government.

ii) The Contractor shall invoice on a monthly basis as part of a consolidated monthly invoice.

iii) The Government will provide a list of eligible persons on a monthly basis, and may transfer eligibility to a purchased but undesignated unit of service at any time through written or electronic notification to the selected Contractor.

iv) The Government will identify the quantity or units required under this CLIN to the contractor on a monthly

19AQMM19R0035

Line Item Summary

Solicitation Number:

19AQMM19R0035

Contract Number: Title: Mogadishu Medical Services Date of Solicitation:

12/31/2018 basis, and place task orders for additional units at any time. The Government reserves the right to change the number of units on a monthly basis as needed.

Doc Ref No:

Delivery Date FOB:

203 Defense Base Act (DBA) Insurance 1.00 LT

i) This is a Fixed Price with Economic Price Adjustment (EPA) CLIN based on actual labor force supporting this contract using rates developed for work in African countries.

Doc Ref No:

Delivery Date FOB:

301 Non-Surgical Medical Support Services 1.00 EA

i) This is a firm-fixed price CLIN to be priced per unit. A "unit" is defined as a calendar month of services for a single identifiable person eligible for non-surgical health care services. Costs are inclusive of all fixed and variable overhead costs, all direct and indirect costs, including but not limited to all necessary equipment, supplies, delivery/shipping costs, labor, and any other ancillary costs associated with delivering non-surgical health care services to an agreed upon standard of care in the location specified by the Government.

ii) The Contractor shall invoice on a monthly basis as part of a consolidated monthly invoice.

iii) The Government will provide a list of eligible persons on a monthly basis, and may transfer eligibility to a purchased but undesignated unit of service at any time through written or electronic notification to the selected Contractor.

iv) The Government will identify the quantity or units required under this CLIN to the contractor on a monthly basis, and place task orders for additional units at any time. The Government reserves the right to change the number of units on a monthly basis as needed.

Doc Ref No:

Delivery Date FOB:

302 Surgical Resuscitation Medical Support Services 1.00 EA

i) This is a firm-fixed price CLIN to be priced per unit. A "unit" is defined as a calendar month of services for a single identifiable person eligible for surgical resuscitation health care services. Costs are inclusive of all fixed and variable overhead costs, all direct and indirect costs, including but not limited to all necessary equipment, supplies, delivery/shipping costs, labor, and any other ancillary costs associated with delivering surgical health care services to an agreed upon standard of care in the location specified by the Government.

ii) The Contractor shall invoice on a monthly basis as part of a consolidated monthly invoice.

iii) The Government will provide a list of eligible persons on a monthly basis, and may transfer eligibility to a purchased but undesignated unit of service at any time through written or electronic notification to the selected Contractor.

19AQMM19R0035

Line Item Summary

Solicitation Number:

19AQMM19R0035

Contract Number: Title: Mogadishu Medical Services Date of Solicitation:

12/31/2018

iv) The Government will identify the quantity or units required under this CLIN to the contractor on a monthly basis, and place task orders for additional units at any time. The Government reserves the right to change the number of units on a monthly basis as needed.

Doc Ref No:

Delivery Date FOB:

303 Defense Base Act (DBA) Insurance 1.00 LT

i) This is a Fixed Price with Economic Price Adjustment (EPA) CLIN based on actual labor force supporting this contract using rates developed for work in African countries.

Doc Ref No:

Delivery Date FOB:

401 Non-Surgical Medical Support Services 1.00 EA

i) This is a firm-fixed price CLIN to be priced per unit. A "unit" is defined as a calendar month of services for a single identifiable person eligible for non-surgical health care services. Costs are inclusive of all fixed and variable overhead costs, all direct and indirect costs, including but not limited to all necessary equipment, supplies, delivery/shipping costs, labor, and any other ancillary costs associated with delivering non-surgical health care services to an agreed upon standard of care in the location specified by the Government.

ii) The Contractor shall invoice on a monthly basis as part of a consolidated monthly invoice.

iii) The Government will provide a list of eligible persons on a monthly basis, and may transfer eligibility to a purchased but undesignated unit of service at any time through written or electronic notification to the selected Contractor.

iv) The Government will identify the quantity or units required under this CLIN to the contractor on a monthly basis, and place task orders for additional units at any time. The Government reserves the right to change the number of units on a monthly basis as needed.

Doc Ref No:

Delivery Date FOB:

402 Surgical Resuscitation Medical Support Services 1.00 EA

i) This is a firm-fixed price CLIN to be priced per unit. A "unit" is defined as a calendar month of services for a single identifiable person eligible for surgical resuscitation health care services. Costs are inclusive of all fixed and variable overhead costs, all direct and indirect costs, including but not limited to all necessary equipment, supplies, delivery/shipping costs, labor, and any other ancillary costs associated with delivering surgical health care services to an agreed upon standard of care in the location specified by the Government.

ii) The Contractor shall invoice on a monthly basis as part of a consolidated monthly invoice.

iii) The Government will provide a list of eligible persons on a monthly basis, and may transfer eligibility to a purchased but undesignated unit of service at any time through written or electronic notification to the selected

19AQMM19R0035

Line Item Summary

Solicitation Number:

19AQMM19R0035

Contract Number: Title: Mogadishu Medical Services Date of Solicitation:

12/31/2018

Contractor.

iv) The Government will identify the quantity or units required under this CLIN to the contractor on a monthly basis, and place task orders for additional units at any time. The Government reserves the right to change the number of units on a monthly basis as needed.

Doc Ref No:

Delivery Date FOB:

403 Defense Base Act (DBA) Insurance 1.00 LT

i) This is a Fixed Price with Economic Price Adjustment (EPA) CLIN based on actual labor force supporting this contract using rates developed for work in African countries.

Doc Ref No:

Delivery Date FOB:

501 Non-Surgical Medical Support Services 1.00 EA

i) This is a firm-fixed price CLIN to be priced per unit. A "unit" is defined as a calendar month of services for a single identifiable person eligible for non-surgical health care services. Costs are inclusive of all fixed and variable overhead costs, all direct and indirect costs, including but not limited to all necessary equipment, supplies, delivery/shipping costs, labor, and any other ancillary costs associated with delivering non-surgical health care services to an agreed upon standard of care in the location specified by the Government.

ii) The Contractor shall invoice on a monthly basis as part of a consolidated monthly invoice.

iii) The Government will provide a list of eligible persons on a monthly basis, and may transfer eligibility to a purchased but undesignated unit of service at any time through written or electronic notification to the selected Contractor.

iv) The Government will identify the quantity or units required under this CLIN to the contractor on a monthly basis, and place task orders for additional units at any time. The Government reserves the right to change the number of units on a monthly basis as needed.

Doc Ref No:

Delivery Date FOB:

502 Surgical Resuscitation Medical Support Services 1.00 EA

i) This is a firm-fixed price CLIN to be priced per unit. A "unit" is defined as a calendar month of services for a single identifiable person eligible for surgical resuscitation health care services. Costs are inclusive of all fixed and variable overhead costs, all direct and indirect costs, including but not limited to all necessary equipment, supplies, delivery/shipping costs, labor, and any other ancillary costs associated with delivering surgical health care services to an agreed upon standard of care in the location specified by the Government.

ii) The Contractor shall invoice on a monthly basis as part of a consolidated monthly invoice.

iii) The Government will provide a list of eligible persons on a monthly basis, and may transfer eligibility to a

19AQMM19R0035

Line Item Summary

Solicitation Number:

19AQMM19R0035

Contract Number: Title: Mogadishu Medical Services Date of Solicitation:

12/31/2018 purchased but undesignated unit of service at any time through written or electronic notification to the selected Contractor.

iv) The Government will identify the quantity or units required under this CLIN to the contractor on a monthly basis, and place task orders for additional units at any time. The Government reserves the right to change the number of units on a monthly basis as needed.

Doc Ref No:

Delivery Date FOB:

503 Defense Base Act (DBA) Insurance 1.00 LT

i) This is a Fixed Price with Economic Price Adjustment (EPA) CLIN based on actual labor force supporting this contract using rates developed for work in African countries.

Doc Ref No:

Delivery Date FOB:

Section B SUPPLIES OR SERVICES AND PRICE/COST

Section B – SUPPLIES OR SERVICES AND PRICES/COSTS

B.1 Overview

Since 2011, the Department has taken a responsible approach to diplomatic re-engagement in Somalia, increas-ing the frequency of travel and number of travelers into Somalia while continuously evaluating the security en-vironment and employing the appropriate risk mitigation strategies. After more than 20 years of turmoil, U.S.

foreign policy objectives in Somalia assist in promoting political and economic stability, prevent the use of Somalia as a safe-haven for international terrorism, and alleviate the humanitarian crisis. In 2012, Secretary Clinton made a commitment to consider “a more permanent diplomatic presence in Somalia” as security im-proves. During Secretary Kerry’s May 5, 2015 visit to Mogadishu, he announced that the United States would begin the process of establishing a diplomatic mission in Mogadishu. Since then, the U.S. Department of State has pressed forward, establishing a permanent diplomatic presence on the grounds of the Aden Adde Interna-tional Airport.

The Bureau of Medical Services (MED) is responsible for medical support to nearly 100,000 federal employees, family members, and other eligible persons overseas. Nowhere is the provision of comprehensive medical sup-port more important than a critical threat post like Mogadishu. To meet these responsibilities, a contracted medical service support contract is required.

For the purposes of this contract, the term “medical support services” includes occupational health, urgent care medical services, non-surgical emergency care and resuscitation, damage control surgical care, limited critical care support, ground ambulance services, ancillary laboratory, blood bank, diagnostic imaging capabilities, and coordination of medical evacuation.

In order to meet the primary care, occupational health, and resuscitative needs of the Department’s employees and support contractors, a medical service support infrastructure is needed on the grounds of the International Compound within the Aden Adde International Airport grounds.

B.2 TYPE OF CONTRACT

19AQMM19R0035

Line Item Summary

Solicitation Number:

19AQMM19R0035

Contract Number: Title: Mogadishu Medical Services Date of Solicitation:

12/31/2018

a) This Solicitation contemplates award of single indefinite-delivery, indefinite-quantity (IDIQ) contract, as defined in Federal Acquisition Regulation (FAR) 16.504 (Indefinite-Quantity Contracts).

b) The resultant contracts will be for commercial items.

c) The contract type(s) for an individual task order will be Firm Fixed Price and/or Fixed Price with Eco-nomic Price Adjustment (EPA).

B.3 MINIMUM AND MAXIMUM QUANTITIES UNDER EACH AND ALL TASK ORDERs

a) Within the individual IDIQ contract period of performance (i.e. includes the base period plus option peri-ods plus extensions), the Government agrees to meet the contract minimum of $75,000.00 (inclusive of all dir-ect costs, indirect costs, and profit/fee) per month through the issuance of task order(s). Anytime within the IDIQ contract period of performance, the Government may place a maximum order of 600 individuals or $4,500,000 per individual task order.

b) The maximum quantity for all IDIQ contracts, during the period of performance, including any exten-sion(s), shall be any quantity or combination of supplies and services not exceeding $300,000,000 (inclusive of all direct costs, indirect costs, and profit/fee). The maximum quantity is cumulative among all task orders.

B.4 PRICING

Attachment 1 contains the pricing spreadsheet which includes negotiated all-inclusive unit rates per Firm-Fixed Price (FFP) CLINs along with other FP/EPA arrangements.

Contract services shall be made available to the Government 24 hours per day, 7 days per week in accordance with the contract terms and conditions.

B.5 MULTI-YEAR CONTRACT CANCELLATION CEILING

In accordance with FAR 17.106-1(c), Cancellation procedures and FAR 52.217-2, Cancellation Under Multi- Year Contracts, the cancellation ceiling is $215,300.00.

(end of clause)

Section 1- Solicitation/Contract Form

Section C STATEMENT OF OBJECTIVE (SOO)

Background:

Since 2011, the Department has taken a responsible approach to diplomatic re-engagement in Somalia, increasing the frequency of travel and number of travelers into Somalia while continuously evaluating the security environment and employing the appropriate risk mitigation strategies. After more than 20 years of turmoil, U.S. foreign policy objectives in Somalia assist in promoting political and economic stability, prevent the use of Somalia as a safe-haven for international terrorism, and alleviate the humanitarian crisis. In 2012, Secretary Clinton made a commitment to consider “a more permanent diplomatic presence in Somalia” as security improves.

During Secretary Kerry’s May 5, 2015 visit to Mogadishu, he announced that the United States would begin the process of establish-ing a diplomatic mission in Mogadishu. Since then, the U.S. Department of State has pressed forward, establishing a permanent diplo-matic presence on the grounds of the Aden Adde International Airport.

The Bureau of Medical Services (MED) is responsible for medical support to nearly 100,000 federal employees, family members, and other eligible persons overseas. Nowhere is the provision of comprehensive medical support more important than a critical threat post like Mogadishu. To meet these responsibilities, a contracted medical service support contract is required.

For the purposes of this contract, Role 1 care is defined as the provision of occupational and urgent care medical services, including non-surgical emergency care and resuscitation and ground ambulance services and ancillary laboratory, blood bank, and diagnostic imaging capabilities.

Project Objectives:

In order to meet the primary care, occupational health, and resuscitative needs of the Department’s employees, a medical service sup-port infrastructure is needed on the grounds of the International Campus within the Aden Adde International Airport grounds.

Contract Objectives:

In achieving the project objectives, the Contractor shall:

Secure suitable physical space on the International Compound within the grounds of the Aden Adde International Airport Provide medical support and care to a population up to 600 personnel living and working in support of the U.S. Mission to Somalia.

The COR/ACOR shall provide and update a list of eligible persons, and is the ultimate validating authority for care eligibility. Ser-vices shall include:

Primary Care, with dedicated work space, logistics, and support staff for both a contract medical provider and a Government medical provider Minimum Threshold – 15 patients per day with a maximum wait time of 15 minutes to see a provider Emergency medical care and resuscitation Minimum Threshold – 4 patients simultaneously, 8 patients per day.

Critical Care Medicine Minimum Threshold - 2 patients simultaneously for a maximum of 36 hours Nursing support Minimum Threshold – Maximum nurse-patient ratio of 1:4 in primary care, 1:2 in emergency and critical care, and 2:1 in peri-operative care areas.

Laboratory Support Minimum Threshold – Basic blood chemistry, hematology, blood bank type and screen, and point of care testing for emergency condi-tions (Congestive Heart Failure, Pulmonary Embolism, Myocardial Infarction, Sepsis, and Hypoglycemia) Limited Diagnostic Imaging Minimum Threshold - Portable plain film x-ray and bedside ultrasound Blood Banking Services Minimum Threshold – (20) units of O-negative packed red blood cells Advanced Life Support ground transport Minimum Threshold – Paramedic-level ground transportation within the Mogadishu International Airport perimeter Surgical resuscitative services, including peri-operative care Minimum Threshold – One damage control general surgical case at a time with a 30 minute turn over time and three cases per day Coordinate medical evacuation

Management Objectives:

The management objective is to provide quality medical services to the employees supporting the U.S. Mission to Somalia in Mogadishu. In accomplishing that objective, the following sub-objectives must be realized:

The ultimate contract will balance performance and cost, with unfailing mission reliability and tight adherence to established quality standards.

Contract management will be simplified through award of a Firm Fixed Price contract that is inclusive of all operational costs.

Fixed facilities shall remain in compliance with CECAS requirements for safety and security.

All professional liability shall be borne by the Contractor in accordance with FAR 37.401 The Contractor shall be provided maximum flexibility to innovatively manage the program schedule, performance, risks, warranties, subcontracts, and data to provide medical support that satisfies the Government's requirements, while providing clear government vis-ibility into the program schedule, performance, and risk.

Deliverables in Proposal and Throughout Execution:

In responding to and managing this requirement, the Contractor is required to incorporate a detailed description of the following key program attributes:

In order to determine and evaluate the effectiveness, quality, and safety of both primary care, occupational health, emergency medi-cine, resuscitative surgical care, and critical care services hereafter “medical support”) proposed in response to this solicitation, the of-feror shall submit the following for evaluation of its proposed technical approach to the Government’s requirement:

a) Performance Work Statement. The Offeror shall provide a detailed description of their technical approach to meeting the Govern-ment’s objectives in providing medical support under this service contract. The Performance Work Statement shall provide, in detail, the precise location, hours of operation, staffing, supply chain management, communications, and business processes used by the Of-feror to establish a robust, resilient, and highly reliable medical support capability.

b) Levels of Service By Service Line. Within the medical support requirement, the Government has a requirement for services that shall be segregated into Service Lines. Service Lines include, but are not limited to, Primary Care, Dental Care, Occupational Health, Urgent/Emergency Medical Care, Surgical Services (inclusive of Pre-Operative, Operative, and Post-Operative Care), Critical Care Medicine, Ground Emergency Medical Transport, Laboratory Services (inclusive of blood bank and diagnostic laboratory testing) and Diagnostic Imaging. For each Service Line, the Performance Work Statement shall detail the level of support provided in satisfaction of the Government’s objectives, including the procedures performed, time-flow analysis, and identified operational constraints im-posed by the geographic location of this requirement.

c) Annex A: Offeror Medical Credentialing and Privileging Process. The Offeror shall provide to the Government the detailed intern-al credentialing process it shall use when evaluating clinical personnel for use on this contract. Clinical personnel include physicians, advanced practice nurses or physician’s assistants, nursing staff, medical technicians, paramedics, laboratory technicians, and radi-ology technicians. The Offeror shall also provide an example of the clinical privileging document is shall use for each clinical discip-line to articulate their respective scope of practice.

d) Annex B: Clinical Quality Assurance and Improvement (CQA&I) Plan. The Offeror shall provide to the Government a copy of the CQA&I plan it will implement in support of this requirement, with specific attention to both the timing of care and the diagnosis-specif-ic care provided as it comports with accepted U.S. standards of care. The CQA&I shall articulate the quality parameters measured, the frequency and method of quality review activities, and a sample report that quantifies performance by quality objective broken out by clinical staff member.

e) Annex C: Blood Supply Management Plan. The Offeror shall detail the source of banked blood, screening procedures, laboratory standards, storage times, shipment methods, and other relevant risk management and mitigation measures necessary to provide a reli-ably safe blood supply for transfusion.

f) Annex D: Pharmaceutical Formulary. The Offeror shall define the formulary of medications kept on hand and necessary for the provision of medical support as defined under this contract.

Section D PACKAGING AND MARKING

D.1 PACKING OF SUPPLIES

Supplies shall be packed for shipment in a manner that will ensure acceptance by common carriers and safe de-livery at destination.

D.2 WARRANTY NOTIFICATION

In accordance with FAR 46.706 (b) (5), the Contractor shall stamp or mark the supplies delivered, or otherwise furnish notice with the supplies, of the existence of a warranty, if any. Sufficient information shall be presented for supply personnel and users to identify warranted supplies. Warranty information shall include the terms and duration of the warranty and the name and telephone number of the Contracting Officer to be notified if the sup-plies are found to be defective.

D.3 PACKING LIST

A packing list or other suitable shipping document shall accompany each shipment and shall include the follow-ing information:

(a) Name and address of consignor;

(b) Name and address of consignee;

(c) Government contract number (and delivery order number, if used);

(d) Government bill of lading number covering the shipment, if any; and

(e) Description of the items shipped, including item number, quantity, number of containers, and package number, if any.

D.4 DATA PACKAGING REQUIREMENTS - If Applicable

All Sensitive But Unclassified (SBU) shall be prepared for shipment in accordance with 12 FAM 540

This contract does not authorize the contractor safeguard (store) or transmit classified information at or from the contractor’s facility. All classified information must be transmitted from US Government facilities in accord-ance with 12 FAM 536.9 Transmitting Classified Information.

(end of clause)

Clause Title

52.246-2 Inspection of Supplies - Fixed-Price (Aug 1996)

52.246-4 Inspection of Services - Fixed-Price (Aug 1996)

Section E INSPECTION AND ACCEPTANCE

E.1 CLAUSES INCORPORATED BY REFERENCE:

In accordance with FAR 52.252-2 Clauses Incorporated by Reference (Feb 1998), the following FAR and DOSAR clauses are by ref-erence, 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 this/these address(es):

FAR: http://farsite.hill.af.mil/ DOSAR: http://farsite.hill.af.mil/archive/DOSAR/2016_Sep_02/601.htm#P3_4

Clause Title

52.246-2 Inspection of Supplies - Fixed Price (Aug 1996) 52.246-4 Inspection of Services - Fixed Priced (Aug 1996) 52.246-16 Responsibility for Supplies (Apr 1984)

E.2 ACCEPTABLE LEVELS OF PERFORMANCE

The Contracting Officer and his/her representatives are responsible for inspection and acceptance of the Contractor’s effort under this contract. The Contractor shall submit quarterly Quality Assurance and Compliance Reports (QACR) showing how it met or failed to meet the performance requirements proposed in the offeror’s Performance Work Statement and agreed upon by both parties prior to award of the contract. If the Contractor failed to meet the acceptable quality level (AQL) for a given performance requirement, it shall submit a detailed narrative as to what actions have been taken to mitigate any future noncompliance.

If the Contractor believes that mitigating circumstances precluded the Contractor from meeting the terms and conditions of the con-tract as it relates to performance or administration of the contract, a request for waiver can be requested. The Contractor shall provide a detailed explanation as to why the circumstances surrounding the contract noncompliance occurred and why this action could not have been prevented. This request must be submitted to the Government within seven (7) calendar days from receipt of notice of non-compliant performance, unless otherwise approved by the Contracting Officer.

The Contractor shall be proactive in identifying simple, measurable, and meaningful performance metrics to be used in performing the requirements of this contract.

(end of clause)

52.242-15 Stop-Work Order (Aug 1989)

52.247-34 F.O.B. Destination (Nov 1991)

Section F DELIVERIES OR PERFORMANCE

F.1 PERIOD OF PERFORMANCE (POP):

*The actual POP will be inserted at contract award*

Base Period: 60 months Option Period 1: 12 months Option Period 2: 12 months Option Period 3: 12 months Option Period 4: 12 months Option Period 5: 12 months

Total POP: 120 Months or ten (10) years

All Option Periods are to be exercised at the sole discretion of the Government.

F.2 PLACE OF PERFORMANCE:

Mogadishu, Somalia; specifically within the International Campus (IC) of the Adde Aden International Airport.

F.3 DELIVERABLES

The Contractor shall provide the following deliverables in the timeframe and format prescribed. The Contracting Officer shall notify the Contractor in writing of any additional deliverables that may arise during contract performance. All delivery times are measured from the effective date of the contract. The table below defines all the relevant Contractor deliverables.

Deliverable Due Date (calendar unless otherwise specified) Program Review Monthly program review presentation format developed and sub-mitted to the COR within 20 business days of contract award Weekly Activity Report Weekly activity report format developed and submitted to the

COR within 20 business days of contract award

Weekly Activity reports shall include the name, time of arrival, and time of discharge for all patients evaluated or treated during the reporting period.

Weekly activity report submitted to COR every Monday (report will cover activity from the preceding week)

Clinical Provider Credentialing Report The Contractor shall maintain and provide a true copy of clinical credentials to the COR for each physician, physician’s assistant, advanced nursing provider, nurses, medical technicians, paramed-ics, laboratory technologists, and radiology technicians.

The clinical credentials of all personnel providing services under this contract are subject to review and approval by the COR prior to beginning performance.

Standard Operating Procedures Copy of clinical and administrative Standard Operating Procedures impacting or affecting the care of patients eligible under this con-tract within 30 days of contract award.

Report of SOP compliance submitted 45 calendar days prior to end of base year and all option years.

Phase-In Deliverables / Requirements The Program Manager is on contract within 5 business days and in country within 30 days of contract award.

Proof(s) of professional liability insurance in the amount of at least $1 million per occurrence and $3 million aggregate for each physician, physician’s assistant, or advanced practice nurse shall be submitted to the CO and COR within 5 business days of contract award, and before entry on duty of any new or replacement clinical staff.

Develop initial reporting and invoicing formats to facilitate effect-ive program and project within 20 business days of contract award

Complete hiring of all staff within 15 calendar days of contract award

Establish full primary, occupational, and emergency medical care services within 7 days of contract award.

Ensure all personnel are trained and operating at full operating capability, including surgical resuscitative and critical care ser-vices, within 45 days of contract award.

Quality Assurance and Compliance Report (QACR) Submit quarterly QACRs showing how the Contractor met or failed to meet the performance requirements listed in each task or-der.

Reporting format submitted to COR for approval within 30 busi-ness days of contract award for review 1st QACR: April 15, 20XX 2nd QACR: July 15, 20XX 3rd QACR: October 15, 20XX 4th QACR: January 15, 20XX

Invoicing Sample invoice submitted to COR within 10 business days follow-ing contract award.

Invoices submitted to DOS within 30 days after the end of the billing month.

Final Invoice A full and accurate inventory, accounting for all lost, stolen or damaged property must be furnished to the COR before final pay-ment is authorized.

Any additional deliverables may be identified in Section C, SOO.

(end of clause)

Section G CONTRACT ADMINISTRATION DATA

G.1 CONTRACT ADMINISTRATION

This contract will be administered as follows:

Contracting Officer (CO) Alexander D. Warsaw Department of State Office of Acquisitions Management

A/OPE/AQM/WWD/RSB

Email: WarsawAD@state.gov

Contracting Officer’s Representative (COR) William Walters, M.D.

Managing Director of Operational Medicine U.S. Department of State Email: WaltersWA2@state.gov

Alternate Contracting Officer’s Representative (ACOR) Marialice Burford de Castillo Management Officer U.S. Mission to Somalia Email: BurfordM@state.gov

Written communications regarding the administration of this contract shall include the contract number in the subject line and be sub-mitted to the CO, COR, and ACOR.

G.2 CONTRACTING OFFICER

The Contracting Officer (CO) has sole authority to modify the terms of this contract. The Contractor is responsible for ensuring that all deviations from contract requirements are approved by the CO in advance. The CO will appoint the usual and customary contract-ing representatives, such as a Contracting Officer’s Representative (COR) and Government Technical Monitors (GTMs) (if applic-able), to help carry out the CO’s responsibilities under this contract.

G.3 CONTRACTING OFFICER’S REPRESENTATIVE

The Contracting Officer has designated two Government employees, by name and position title, to take action for the Contracting Of-ficer under this contract. Each designee has been identified as a Contracting Officer’s Representative (COR) or Alternate Contracting Officer’s Representative (ACOR). Such designation(s) shall specify the scope and limitations of the authority so delegated; provided, that the designee shall not change the terms or conditions of the contract, unless the COR is a warranted Contracting Officer and this authority is delegated in the designation.

The COR is Dr. William A. Walters.

The ACOR is Ms. Marialice Burford de Castillo.

GOVERNMENT TECHNICAL MONITOR (GTM)

A Government Technical Monitor (GTM) may be designated to provide technical monitoring, advice and assistance, in the monitoring and evaluation of the Contractor’s performance.

TECHNICAL DIRECTION

Contract performance shall be subject to technical instructions, whether oral or written, issued by the COR specified in Section G.

Technical instructions must be within the general scope of work stated in the contract.

Technical instructions may not be used to:

Assign additional work or reduce work under the contract.

Direct a change as defined in the "Changes" clause of this contract.

Increase or decrease the contract price or estimated contract amount (including fee), as applicable, the level of effort, or the time re-quired for contract performance.

Change any of the terms, conditions or specifications of the contract.

If, in the opinion of the Contractor, any technical instruction calls for effort outside the scope of the contract or is inconsistent with this requirement, the Contractor shall notify the Contracting Officer in writing immediately after the receipt of any such instruction.

The Contractor shall not proceed with the work affected by the technical instruction unless and until the Contractor is notified by the Contracting Officer that the technical instruction is within the scope of this contract or a change order is issued. Nothing in this section shall be construed to excuse the Contractor from performing that portion of the contractual work statement that is not affected by the disputed technical instruction.

G.4 INVOICE AND REPORTING REQUIREMENTS

Invoice submission is only via the Office of Claims’ Commercial Claims Operations fax server, toll-free number: 866-483-3436, or DOSPayments@state.gov, unless otherwise indicated. Each invoice must be transmitted separately. To constitute a proper invoice, the invoice must include the following information and/or attached documentation:

Name and Address of the Contractor Dun and Brad Street Universal Number System (DUNS) Date of invoice Unique Vendor Invoice Number - Our Financial System cannot accept the following characters: @ (at symbol), ~ (Tilde), & (Ampersand), ' (Apostrophe), " (Quotation) and spaces. Please do not include any of these characters as part of your invoice number.

Remittance Contact Information Shipping Terms, Ship to Address Payment Terms

Total Invoice Amount Requisition Number, Contract Number and Order/Award Number, with modification number if applicable.

Order line item number and information (see below instructions)

The name and DUNS of the Contractor on the invoice must match the information indicated on the order/award for proper payment.

IMPORTANT: For proper payment, the invoice must detail products and/or services delivered on a line item basis in direct accord-ance with the corresponding order/award/contract. Each line item must contain the following information:

Description of the services rendered for each line item Line Item Quantity Line Item Unit Price Total Line Item Invoicing Amount Delivery Date Contract Line Item Number (CLIN) Order/Award Line Item Number if invoicing against a task or delivery order or Blanket Please note that many task orders against Department of State contracts may have a separate and unique line item number in addition to the umbrella Contract Line Item Number (CLIN). The order line item number as well as the umbrella award CLIN must be refer-enced at each invoice line item level in such cases.

All payment to domestic claims will be disbursed by electronic funds transfer EFT. Vendors who are registered in the System for Award Management (SAM) database shall verify and re-confirm their financial information in the database prior to invoicing.

Additional correspondence should be addressed to:

Name: U.S. Department of State Global Financial Services Attn: Office of Claims (RM/GFS/F/C) Charleston Financial Service Center

Mailing Address:

Post Office Box 150008 Charleston, SC 29415-5008 Telephone Numbers: 843-202-3761 and Fax 843-746-0749 Official Office Hours: 8:00 am – 5:00 pm

To request Payment Status on a Past Due Invoice contact: Office of Claims Customer Service Email: commercialclaims@state.gov Phone: 877-704-9473 Toll Free

Person to Contact: Supervisor, Vendor Claims Email: GFS-ChiefVC@state.gov Phone: 843-202-3881

G.4.1 EXPANDED INVOICE INSTRUCTIONS

To constitute a proper invoice, the Contractor shall provide the following as an expansion to what is required under Section G.4. The invoice shall contain all information required in Sections G and I.

The invoice shall include a listing of each service according to the CLIN and sub-CLIN (if applicable) structure identified in the con-tract.

The invoice shall list, in part, the following:

Contract's minimum/maximum quantity Billed total for each CLIN Billed total for each Sub-CLIN Contract-year-to-date billed Contract-year-to-date paid by Government Contract cumulative billed (since contract effective date) Contract cumulative paid by Government (since contract effective date) For fixed-price arrangements when payment is made not based on actual costs incurred, the Contractor shall submit the monthly ap-portionment of the awarded fixed-price. The monthly apportionment shall be the awarded fixed-price for the contract period divided by the number of months in the contract period. For example, if the contract period includes a base period of 24 months, the monthly apportionment during the base period shall be the awarded fixed-price for the base period divided by 24 months.

G.5 FINAL INVOICE

The Contractor shall specifically identify the last invoice as the “Final Invoice.” The final invoice shall include the remaining amounts claimed to be due under the contract. It shall include a certification that all subcontractors, suppliers, and consultants have been paid (or will be paid upon Contractor’s receipt of payment), and that all Government Furnished or Contractor Acquired Property has been disposed of in accordance with COR direction.

This includes return of all ID badges, keys, and any other Government furnished property. A full and accurate inventory, accounting for all lost, stolen or damaged property must also be furnished to the COR before final payment is authorized. The final invoice shall include the Contractor’s Release of Claims.

G.6 ORDERING PROCEDURES

In accordance with FAR 52.216.18 “Ordering”, only the Contracting Officer is authorized to issue task orders hereunder.

Orders placed under this contract shall contain the following information:

1. Date of order;

2. Contract number and order number;

3. Item number and description, quantity, unit price and CLIN or SubCLIN number;

4. Delivery or performance date;

5. Place of delivery or performance (including consignee);

6. Total Contract value to include all option periods;

7. Packaging, packing, and shipping instructions, if any;

8. Accounting and…