Attachment_2_-_Q&A.xlsx
XLSX spreadsheet 18 KB Posted
- Attached to
- Medical Services in Mogadishu, Somalia
- Solicitation number
- 19AQMM19R0035
About this file
Attachment 2, Questions and Answers is released as an excel document. This attachment has been incorporated into the amendment as a pdf document for version control purposes.
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Other files
| File | Type | Posted |
|---|---|---|
| 19AQMM19R0035-A002_SIGNED.pdf | ||
| 19AQMM19R0035-A001.pdf | ||
| Attach._1-Pricing_Spreadsheet_v20181220.xlsx | XLSX spreadsheet | |
| 19AQMM19R0035_v20181231_FINAL.pdf | ||
| Attachment_2_-_Q&A_Template.xlsx | XLSX spreadsheet |
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Questions
| Solicitation Reference (i.e., Section and Page Number) | Technical Question(s) | Technical Answers | Price Question(s) | Price Answers |
| SOO: Page 11; Section 1, Section C - Contract Objectives states "Minimum Threshold – (20) units of O-negative packed red blood cells" AND |
SOO: Page 32; Section 1- Solicitation/Contract Form; H.32 Performance Management; in the Quality Assuarnce Martrix it states: "The Contractor shallprovide all staff, equip-ment, supplies, and facilit-ies necessary to ship, re-ceive, inspect, store, anddispose of at least 20 unitsof packed red blood cells. All blood products shall bescreened for communicablediseases and managed inaccordance with AABB (American Association ofBlood Banks)"
Can you clarify that a mixed blood supply of minimum 10 units o-negative would be an acceptable solution?
| All blood will be Type O. At least 10 units will be Type O, Rh negative. | ||||
| SOO: Page 11; Section 1; Section C; Contract Objectives under Primary Care it states: "with dedicated work space, logistics, and support staff for both a contract medical provider and a Government medical provider" | Can you clarify the responsibility for the Government medical provider by the medical provider? Is it expected to only provide space and/or logistics, or will the chosen medical provider also be clinically and operationally responsible for the Government medical provider as well? | |||
| This is a requirement for work space and shared support from existing ancillary staff. The Contractor will not provide oversight or supervision. | ||||
| SOO: Page 12; Section 1; Deliverables in Proposal and Throughout Execution; point b) states: "Levels of Service By Service Line. Within the medical support requirement, the Government has a requirement for services thatshall 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 CareMedicine, Ground Emergency Medical Transport, Laboratory Services (inclusive of blood bank and diagnostic laboratory testing) andDiagnostic Imaging. For each Service Line, the Performance Work Statement shall detail the level of support provided in satisfactionof the Government’s objectives, including the procedures performed, time-flow analysis, and identified operational constraints im-posed by the geographic location of this requirement." | Nowhere in the Contract Objectives summarised on Page 11: Section 1; Section C or elsewhere in the SOW does it require the provision of dental services. Please can you clarify if this is a requirement. | |||
| The provision of emergency dental care, including, at a minimum, diagnostic imaging, tooth extraction, temporary and permanent fillings, and temporary repair of existing prosthedontic devices. | ||||
| Not addressed in Solicitation | Do all doctors and nurses have to be American licensed? | The Government does not require health care providers be licensed in the United States. The Contractor is required to provide acceptable evidence of medical education, licensure, and current specialty qualification (for physicians) under a recognized national authority, including evidence of prime source verification of credentials provided by provider candidates. To further clarify, medical education shall be deemed acceptable when completed in the United States or through an international medical university accredited by the Educational Commission for Foreign Medical Graduates (www.ecfmg.org). | ||
| Not addressed in Solicitation | Do all doctors have to be board certified? | Physicians must be a graduate of a recognized medical university accredited by the Educational Consortium for Foreign Medical Graduates, licensed by a recognized national authority, and hold current qualifications by a recognized national authority to provide medical services in the specialty contemplated under this contract. | ||
| Section C, Statement of Objective, Deliverables in Proposal and Throughout Execution, Annex D, Pharmaceutical Formulary. | When medications or supplies are used, who covers the reimbursement or cost? | This is a firm fixed price capitated contract for health care services. The Contractor bears all associated costs for services rendered under that Firm Fixed Price for a covered individual. | ||
| Not addressed in Solicitation | Is security provided by the State Department or the medical services provider? | Outside the security measures afforded to all residents of the International Campus, the Contractor is responsible for the safety and security of its personnel. | ||
| Not addressed in Solicitation | Where do medical staff live? Is this provided free of charge? Containerized housing unit? | The Contractor is responsible for making all logistical and life support arrangements necessary to support personnel performing services under this contract. All costs are to be incorporated into the Firm Fixed Unit Price for health care services. | ||
| Section C, Statement of Objective, Contract Objectives, “In achieving the project objectives, Contractor shall: “Secure suitable physical space on the International Compound within the grounds of the Aden Adde International Airport.” | What size area is reserved for the clinic and medical area? Is this space provided by the State Department or does the medical provider have to procure? | The Government shall not provide physical space or any material support to the Contractor performing under this contract. The Contractor, and not the Government, is responsible for secure physical space within the confines of the International Campus on the Aden Adde International Airport. | ||
| Not addressed in Solicitation | Is the medical service provider or State Department providing/coordinating medical casualty evacuation? Is there a third party provider in place? | The Contractor shall provide all medical resuscitative services and ground transportation from the clinical space to a designated ramp on the flight line of the Aden Adde International Airport. The Government shall arrange for air ambulance transport from Mogadishu. | ||
| Section C, Statement of Objective, Contract Objectives, Page 11: “Surgical Resuscitative Services, including peri-operative care. Minimum threshold – One damage control general surgical case at a time with a 30 minute turnaround and three cases per day. | The contract request mentions three surgical cases per day. Are these to be scheduled or elective surgeries? Is there an expectation of general surgical services for routine operative cases? Is there only an expectation of surgical care of trauma? | The Objective is clear as written - the Contractor shall be capable of performing three successive unscheduled damage control surgical resuscitations without resupply. | ||
| Section C, Statement of Objective, Contract Objectives, Page 11: “Laboratory Support. Minimum threshold – Basic blood chemistry, hematology, blood bank type and screen, ….” | For more advanced laboratory services, will State Department facilities be used? This is mainly for routine and primary care labs in non-acute setting. | The Government shall not provide clinical facilities or capabilities supporting performance under this contract. Contractors shall be self supporting and self sufficient. | ||
| Not addressed in Solicitation | Will State Department doctors be over-reading radiology images? Is there a requirement to have images send electronically to State Department physicians? | All clinical records are considered deliverable on demand as proof of acceptable performance under this contract. The Contractor shall not rely upon Government "over-read" of diagnostic imaging, and will instead make all decisions and bear all liability for clinical decisions independently. Any liability associated with clinical decisions made by the Government, and any clinical action directed by the Government, shall be born by the Government. | ||
| Not addressed in Solicitation | Is there a specific electronic medical record being used that we are expected to interface with? How does the State Department want to receive medical records of treatment? | Medical records shall be transmitted in either pdf (written records) or jpeg (clinical and diagnostic images). | ||
| Not addressed in Solicitation | Will the facilities have access to potable water or should water purification plans including storage be made? | The Contractor shall bear all responsibility for physical infrastructure, including physical space and all necessary utilities within the International Campus of the Aden Adde International Airport. | ||
| Section C, Statement of Objective, Contract Objectives, Advanced Life Support ground transport: “Paramedic-level ground transportation within the Mogadishu International Airport perimeter.” “Limited Diagnostic Imaging: Portable plain film x-ray and bedside ultrasound.” | Will the State Department provide equipment, including but not limited to x-ray, ambulance, sterilization equipment, fixtures, et al? | The Government shall not provide physical space or any material support to the Contractor performing under this contract. The Contractor, and not the Government, is responsible for secure physical space within the confines of the International Campus on the Aden Adde International Airport, all logistical support and supply chain management, and all equipment and supplies necessary to perform under this contract under the Firm Fixed Price CLIN structure. | ||
| Proposal Due Date, February 4 | Would you please consider short extension of proposal due date given the complexity to plan in Somalia context? | No extension shall be granted. This requirement was posted through FedBizOps under a Sources Sought notice 19AQMM19R0020 in November, 2018, without significant change in the requirement scope or place of performance. | ||
| Standard Form 1449, 19, Schedule of Supplies/Services, CLIN 0001, et al: “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.” | Is the Offeror to assume an eligible patient panel of 600 for pricing purposes? Will the Offeror have the opportunity to re-price if the State Department increases the number of eligible patients above 600? If not, what is the initial patient panel so that we can determine level of staff, etc.? | In B.2, the Government has established a minimum monthly contract cost of $75,000, inclusive of all costs and fees. There is no established minimum number of units outside that established threshold dollar value, although the anticipated population at risk at the outset of performance is expected to be 25 personnel. In the unlikely event that the Government requires services for more than 600 personnel in a given month, the full range of remedies available to both the Government and the Contractor under the FAR remain available. | ||
| Section B.3 Minimum and Maximum Quantities Under Each and All Task Orders: “…the Government may place a maximum of 600 individuals or $4,500,000 per individual task order.” | ||||
| Section C, Statement of Objective, Contract Objectives, Page 11, first full paragraph: “…Provide medical support and care to a population of up to 600 personnel living and working…” |
&"-,Bold"&16 19AQMM19R0035 Attachment 2 - Questions & Answers &"-,Bold"19AQMM19R0035
Instructions Instructions:
Offerors that wish to ask the Government questions about a solicitation during the designated Question and Answer period, reference Section L in the RFP, shall include questions in the format provided in the Tab entitled "Questions." Offerors shall cite the relevant portion of the RFP, SOO, or identify the attachment in which the qeustion is being asked in Column A, Reference. Offerors shall use the following format for their references: Document (e.g., RFP, SOO, etc.); page number; section, clause, or provision; relevant passage.The question shall be included in Column B, Question, in the same row as the applicable Reference. Offerors must ensure that all parts of each Reference and Question are visible. See Example below.
Offerors shall NOT reference other cells in the spreadsheet, but complete each reference and question as if it were independent of other questions asked.
Offerors shall ask ONE question per row.
EXAMPLE
Reference Technical Questions Price Questions
SOO; Page 7; Section 5.6.1 states: "The Contractor shall plan, design, and conduct operational training for a cadre of host nation training participants." Can the Government clarify how many training participants will constitute a "cadre?" Based on Attachment 1, Pricing Spreadsheet, explain…etc.
&"-,Bold"&16Attachment 2: Quetions and Answers
&"-,Bold"19AQMM19R0035
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