Q-A 5.pdf
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- CI Medical Services
- Solicitation number
- 2023H2-25-R-00007-updated
About this file
This document is a Questions and Answers (Q&A) file for Solicitation 2023H2-25-R-00007 for a medical services contract with the IRS. The solicitation covers medical screening, examinations, and support services including applicant screening, incumbent annual screening, fitness for duty exams, medical resources management, and various specialized medical testing such as audiograms, immunizations, and breath alcohol testing. Key details include a proposal due date of 9/3/2025, an extension from the original timeline, and multiple questions from a potential bidder seeking clarification on pricing, CLIN (Contract Line Item Number) structures, travel reimbursement, and specific service requirements.
The Q&A document reveals the government will provide IRS-approved boxes for record storage, allow additional RMOs (Reviewing Medical Officers) to support the program, and confirmed that only two key personnel positions exist: the RMO and Program Manager. Notable clarifications include that certain services like psychological evaluations, repeat audiograms, and specific immunization details will require further discussion, and historical volume data for various medical services was not fully disclosed. The solicitation appears to be a full and open procurement with potential small business subcontracting requirements, covering medical services primarily for IRS personnel across the United States and Puerto Rico.
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Other files
| File | Type | Posted |
|---|---|---|
| Q-A 7.pdf | ||
| SF30 -Amendment 2- 2023H2-25-R-00007 SIGNED BY DV.pdf | ||
| Q-A 4.pdf | ||
| Q-A 3.pdf | ||
| Q-A 2.pdf | ||
| Q-A 1.pdf | ||
| Q-A 8.pdf | ||
| Q-A 6.pdf | ||
| I_01_b SF1449 -CI Medical-FINAL.pdf | ||
| I_01_b SF1449 -CI Medical-FINAL.pdf | ||
| Attachment Q and A.pdf |
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2023H2-25-R-00007 Service Now Company Name Contact Person
Contact Person Email
Please delete the sample question when submitting your response.
Solicitation Document Name Document Section (Name or number) Page Number Question
I_01_b SF1449 -CI Medical-FINAL.pdf Form 1449 1 There is a very short duration from the release of the solicitation to the due date for proposal submission, and it is understood that the Government requires time to respond to Offerors' questions. Offerors also require sufficient time to incorporate the revisions to the solicitation to ensure a compliant submission. Therefore, request an extension of the offer due date to provide a minimum of a one-week extension from the date of the release of the last Amendment. Extension of one (1) week will be granted. New due date for submittions of proposals is 9/3/2025.
I_01_b SF1449 -CI Medical-FINAL.pdf Part I - Line Item Table 3 to 6 Request clarification of the ability to evaluate the total evaluated price where all the quantities are set to a value of one as the projected quantities provide a true representation of an actual incurred price. Recommend that the Government provide values greater than one. See subclin estimate - attachment 1.
I_01_b SF1449 -CI Medical-FINAL.pdf Part I - Line Item Table 3 to 6 The Section IV, PWS Section 4.16 Litigation Support on page 42 identifies Litigation Support as a required service. Request that a separate hourly rate CLIN be added for these services. See subclin estimate - attachment 1.
I_01_b SF1449 -CI Medical-FINAL.pdf Part I - Line Item Table 3 to 6 Request clarification of the composition of CLIN X007, Miscellaneous Program as these services/items are not clearly defined in the Section IV, PWS and therefore the basis for pricing is not provided. See subclin estimate - attachment 1.
I_01_b SF1449 -CI Medical-FINAL.pdf Part I - Line Item Table 3 to 6 Several of the CLINs represent a set of multiple items that have different unit prices, for example immunizations. Request provision of SUBCLINs/Subline item numbers (SLINs) for the majority of the CLINs in order to provide discrete prices for the individual items
(vs. the highest price for all). See subclin estimate - attachment 1.
I_01_b SF1449 -CI Medical-FINAL.pdf Part I - Line Item Table 3 to 6 CLIN X004 represents the RMO services on an hourly basis. Should the RMO time spent supporting the Applicant Screening (CLIN X001), Incumbent Annual Screening (CLIN X002), and the Fitness for Duty Exam and/or IME (CLIN X003) be captured as a cost component in those CLINS or should it be captured and billed in CLIN X004? All RMO services should be billed in CLIN X004
I_01_b SF1449 -CI Medical-FINAL.pdf Part I - Line Item Table 3 to 6 CLIN X004 represents the RMO services on an hourly basis. Do RMO Services represent activities outside of the support required for CLINS X001, X002, and X003? Yes, this represents other activities beyond support of CLINS X001, X002, and X003. See subclin estimate - attachment 1.
I_01_b SF1449 -CI Medical-FINAL.pdf Part I - Line Item Table 3 to 6 Request clarification of the composition of CLIN X009, Other Direct Costs as these services/items are not clearly defined in the solicitation and therefore the basis for pricing is not provided. See subclin estimate - attachment 1.
I_01_b SF1449 -CI Medical-FINAL.pdf Part I - Line Item Table 3 to 6 In the description for CLINs X007, X008, and X009, what does the acronym (MSC) stand for? Miscellaneous I_01_b SF1449 -CI Medical-FINAL.pdf Part I - Line Item Table 3 to 6 Unit is defined as “JB,” which would indicate “jumbo” representing the item is priced for large quantities and the quantity values are all set to one (1). It is our assumption that unit prices represent a price for a single quantity of one and not a “lot” of the item. See subclin estimate - attachment 1.
I_01_b SF1449 -CI Medical-FINAL.pdf Part I - Line Item Table 3 to 6 CLIN X002 Incumbent Annual Screening - PWS Section 4.5 page 35 outlines the requirements for obtaining a completed HHQ. It is our assumption that support of this process is included in the CLIN X002 price. Is this assumption correct? If not, please clarify the reimbursement process for these activities (e.g., the HHQ is a deliverable per PWS Section 10 and is priced as a separate item).
See subclin estimate - attachment 1.
List your questions about the solicitation using the format below. All questions of a substantive nature that are submitted will be answered and returned to all vendors for full transparency. Please be clear with your questions and list the solicitation document and section number which your question refers to. If your question does not refer to a particular solicitation section then list it as "general". This is your only chance to ask questions about the solicitation so please be thorough. All questions must be submitted by 8:00 am ET on August 20, 2025, to diana.vitenko2@irs.gov. When emailing Attachment to the designated contacts, prospective bidders shall annotate their submissions as follows: “Question for Service Now Solicitation.”
A Bidder MUST raise any potential assumptions, exceptions, caveats, etc. to the terms and conditions, specifications, and requirements of this solicitation during the Question and Answer phase of the procurement and per the solicitation instructions. A Bidder should note that all clarifications and exceptions including those relating to the terms and conditions of the contract are to be resolved prior to the submission of a bid. Proposals that contain material changes to the terms and conditions, specifications, and requirements set forth throughout this solicitation may be disqualified as non-responsive
I_01_b SF1449 -CI Medical-FINAL.pdf Part I - Line Item Table 3 to 6 Request the addition of two priced items (CLINs/SUBCLINs) to support PWS Section 4.6 Annual Audiogram on page 36 for (1) annual audiogram and (2) Functional Hearing Test as these are required standalone services. See subclin estimate - attachment 1.
I_01_b SF1449 -CI Medical-FINAL.pdf Part I - Line Item Table 3 to 6 Is travel for the Breath Alcohol Technician (reference PWS Section 4.15 on pages 41-42) included in the price for CLIN X006 or invoiced under CLIN X008 for general travel? There should not be any travel charged for the BAT. See subclin estimate - attachment 1.
I_01_b SF1449 -CI Medical-FINAL.pdf Part I - Line Item Table 3 to 6 CLIN X008 General Travel – PWS Section 8.0 on page 45 states that the COR must approve travel to be reimbursable in accordance with the Federal Travel Regulations, and travel will be incurred and approved as needed. Therefore, a single unit price per year is difficult to propose. Request that CLIN X008 be identified as a to be determined (TBD) value and not included in the total evaluated price. Alternatively, the Government can provide a not to exceed (NTE) value for CLIN X008. See subclin estimate -attachment 1.
I_01_b SF1449 -CI Medical-FINAL.pdf Part I - Delivery Schedule 7 to 9 Please provide a definition for the acronym ALUS. All U.S I_01_b SF1449 -CI Medical-FINAL.pdf Section I, 3. Place of Performance 13 This paragraph states the place of performance as the United States and Puerto Rico. However, PWS Section 2.0 on page 28 lists the United States, Guam, the Virgin Islands, and Puerto Rico. Please clarify the place of performance. Unites States and Puerto Rico
I_01_b SF1449 -CI Medical-FINAL.pdf Section III 17 Please clarify the number and file format for proposal submission. It is assumed that there are two files, Technical Proposal and Pri l ce P r d opos d d al an hi d t h i hat
S ac b cept t able f ti ile f
Pl ormats include PDF. Is this assumption correct? If not, please clarify. Correct
I_01_b SF1449 -CI Medical-FINAL.pdf II. Evaluation Process
b. Rating Methodology
(4) Technical Evaluation Report
19 Please provide the Technical Evaluation Individual Worksheet referenced as Attachment 1.
I_01_b SF1449 -CI Medical-FINAL.pdf Section III, Factor 2 Staffing Plan 21 The RFP states the staffing plan is evaluated by Task. Request clarification of "Task" as Tasks are not clearly identified or defined in the PWS. Tasks are 4.0-4.16
I_01_b SF1449 -CI Medical-FINAL.pdf Section III, Factor 3 21 Reference first paragraph, first sentence – Please identify the optional tasks as the Part I, Line Item Table does not define any of the CLINs as optional and the PWS does not identify any optional tasks. See subclin estimate - attachment 1.
I_01_b SF1449 -CI Medical-FINAL.pdf Section III, Factor 3 21 Reference first paragraph, last sentence – The RFP states that the Government will evaluate the price proposal though there are no corresponding Price Proposal Instructions to Offerors. The following assumptions are made regarding the Price Proposal and we ask if each of these assumptions are correct, and if not request clarification:
1 – The Price Proposal is submitted as a separate file and has no page count limit. yes 2 – The Price Proposal contains:
a.Completed and signed SF 1449 including the completed Part I, Line Item Table b.Acknowledgement of all Amendments including the completed and signed SF 30 forms if issued c.As required, completed provisions/clauses/representations and certifications from Section V d.Offeror’s assumptions as needed e.Pricing Approach and Notes narrative f.Small Business Subcontracting Plan as needed Correct to all
I_01_b SF1449 -CI Medical-FINAL.pdf VI. Technical Proposal Instructions to Offerors
24 Resumes are excluded from the page count limit, is there a page count limit for each of the resumes? No
I_01_b SF1449 -CI Medical-FINAL.pdf VI. Technical Proposal Instructions to Offerors
24 to 25 Please confirm offerors may elect the format of our choosing, or provide instructions for margins; font and font size for text; and font and font size for graphics, tables, and charts. If cannot confirm, request provision of this information. Confirm you may elect the format of your choosing.
I_01_b SF1449 -CI Medical-FINAL.pdf VI. Technical Proposal Instructions to Offerors
25 to 25 Please confirm that cover pages, tables of contents, and glossaries are excluded from the page count. If cannot confirm, request that these items be excluded from the page count limits. Confirm excluded from the page count.
I_01_b SF1449 -CI Medical-FINAL.pdf Section IV, 1.0 Background 28 Request that the government provide historical usage data such as: number of agents served by region, number of exams provided in a given year, number of applicants and students served by region, etc. to inform and support Offeror's solution and pricing development. No, please see subclin estimate - attachment 1.
I_01_b SF1449 -CI Medical-FINAL.pdf Section IV, 3.1 Medical Resources 29 To support the demonstration/evidence of medical resources request provision of the IRS office locations information including at minimum city, state, and ZIP code. See POD city list attachment 2.
I_01_b SF1449 -CI Medical-FINAL.pdf Section IV, 3.1 Medical Resources 29 What are the locations of the IRS offices from which the 50 mile radius for medical exam facilities are measured? See POD city list attachment 2.
I_01_b SF1449 -CI Medical-FINAL.pdf Section IV, 3.1 Medical Resources 29 Request that the government furnish historical and projected exam/service data with volumes to determine the number, type, and distribution of medical resources required to inform and support Offeror's solution and pricing development. see subclin estimate -attachment 1.
I_01_b SF1449 -CI Medical-FINAL.pdf Section IV, 3.1 Medical Resources ( c )
29 The PWS identifies ophthalmology as a required specialty. Request identification of which services they are to perform. Applicant exams include a vision screening.
I_01_b SF1449 -CI Medical-FINAL.pdf Section IV, 3.2 Central
30 Will the government furnish hard copy medical records and if so when? Current vendor will provide during transition out.
Administration and Records (b) 30 Request information on the volume of hard copy records in order to determine offeror facility requirements. Current vendor will provide during transition out.
This was referenced in error. There will be no Individual worksheet provided.
Administration and Records
30 Will the government provide FRC IRS approved boxes and files to forward separated employees records in Lenexa, KS? Yes, we will reimbuse the cost.
I_01_b SF1449 -CI Medical-FINAL.pdf Section IV, 3.2 Central Administration and Records
30 It is our assumption that a government-issued Authority to Operate (ATO) is not required for any contractor system(s) connecting to IRS systems or storing IRS data. Please confirm an ATO is not required. Contractor will not be connecting to any IRS systems or store data therefore it is not required.
I_01_b SF1449 -CI Medical-FINAL.pdf Section IV, 3.3 Key Personnel 31 to 32 Will the government permit additional RMOs to support the program, under the guidance of the Key Personnel RMO? Yes I_01_b SF1449 -CI Medical-FINAL.pdf Section IV, 3.3 Key Personnel 33 Section 3.3(c) notes "All other personnel must have knowledge and experience in occupational medicine related to law enforcement duties and the processes for a medical clearance program." The inclusion of this statement in the Key Personnel section implies that all personnel are key personnel. Please confirm there are only 2 key personnel positions: the RMO and the Program Manager.
Correct
I_01_b SF1449 -CI Medical-FINAL.pdf Section IV, 4.1 General Examinations/Screening Process
33 Will the government please provide a sample incumbent HHQ? No, propriatary to the current vendor
I_01_b SF1449 -CI Medical-FINAL.pdf Section IV, 4.2 Pre-Placement Medical Clearance Exam Process
33 Is the Pre-Placement Medical Clearance Exam the same as the Applicant Screening for CLIN X001? Yes
I_01_b SF1449 -CI Medical-FINAL.pdf Section IV, 4.0 Examinations and Screening
33 to 42 Paragraph numbers 4.3 and 4.8 are not included in the PWS. Please confirm no paragraphs are missing from the PWS. Clerical error, nothing is missing.
I_01_b SF1449 -CI Medical-FINAL.pdf Section IV,4.2 Pre-Placement Medical Clearances Exam Process (f)
34 How many days (business or calendar) does the contractor have to submit the medical clearance recommendation after the applicant has submitted or not submitted post 30 days calendar days? 5 days, see page 46
I_01_b SF1449 -CI Medical-FINAL.pdf Section IV, 4.4 Applicant Pre- Placement/Baseline Exam Components
34 Is QuantiFERON Gold acceptable alternative in the event PPD cannot be given? If considered medically acceptable by the MRO
I_01_b SF1449 -CI Medical-FINAL.pdf Section IV, 4.6 Annual Audiogram 36 What comprises the Incumbent Annual Screening? Is it only the HHQ and an Audiogram? See attachment 1.
I_01_b SF1449 -CI Medical-FINAL.pdf Section IV, 4.6 Annual Audiogram 36 Could you please provide historical data on the volume of Incumbent Annual Screenings performed on a weekly / monthly / annual basis? See attachment 1.
I_01_b SF1449 -CI Medical-FINAL.pdf Section IV, 4.6 Annual Audiogram 36 PWS states that if an incumbent's annual audiogram does not meet the OPM TEA Medical Qualification Standards, the Contractor will schedule the incumbent for a repeat audiogram. To which CLIN should the repeat audiogram be billed? See attachment 1.
I_01_b SF1449 -CI Medical-FINAL.pdf Section IV, 4.6 Annual Audiogram 36 If the Contractor needs to schedule the incumbent for a Functional Hearing Test (FHT), to which CLIN should this be billed? See attachment 1.
I_01_b SF1449 -CI Medical-FINAL.pdf Section IV,4.6 Annual Audiogram and 4.7 Hearing Conservation Program
36 to 37 Please confirm that the annual audiogram and annual audiometric testing must be offered but are only completed if elected by the examinee. Correct
I_01_b SF1449 -CI Medical-FINAL.pdf Section IV, 4.6 Annual Audiogram 36 Please clarify what "if elected" means in the following sentence: "If elected, the RMO will evaluate the audiogram to determine if the incumbent meets the OPM Treasury Enforcement Agent medical qualification standard at:" Does this mean at the request of the IRS? No, it means if the agent requests (elects) an audiogram
I_01_b SF1449 -CI Medical-FINAL.pdf Section IV, 4.6 Annual Audiogram 36 How will the contractor know if an incumbent has previously received a hearing waiver, and what date the waiver was received? IRS will provide waiver list
I_01_b SF1449 -CI Medical-FINAL.pdf Section IV, 4.7e Annual Audiogram 37 What is the timeline requirement to send the Hearing Evaluation Report to Employer form to the incumbent with a copy to the CI Medical Program Manager? Generally 5 days
I_01_b SF1449 -CI Medical-FINAL.pdf Section IV, 4.9 FFDE and/or IME 38 If it is determined that a psychological FFDE is necessary, to which CLIN should this be billed since CLIN 0003 is for a FFDE and/or IME and not a psychological FFDE? See attachment 1.
I_01_b SF1449 -CI Medical-FINAL.pdf Section IV, 4.9 FFDE and/or IME 38 Could you please provide historical data on the volume of FFDE, IME, and psychological FFDE performed on a weekly / monthly / annual basis? See attachment 1.
I_01_b SF1449 -CI Medical-FINAL.pdf Section IV, 4.9 FFDE and/or IME 38 Are only psychologists or psychiatrists the only specialties required for these services? If others may be needed, please provide this list. MRO is expected to recommend the appropriate specialty.
I_01_b SF1449 -CI Medical-FINAL.pdf Section IV, 4.10-4.13 38-40 Are sections 4.10, 4.11, 4.12, and 4.13 expected to be billed under CLIN X004 Reviewing Medical Officer Services? Yes I_01_b SF1449 -CI Medical-FINAL.pdf Section IV, 4.14 Hepatitis B and
Overseas Travel Immunizations 40 Does the administration of the Hepatitis B immunization ALWAYS require a titer blood test? Yes
I_01_b SF1449 -CI Medical-FINAL.pdf Section IV, 4.14 Hepatitis B and Overseas Travel Immunizations
40 - 41 What are the specific Travel Immunizations required? Not specified.
I_01_b SF1449 -CI Medical-FINAL.pdf Section IV, 4.14 Hepatitis B and Overseas Travel Immunizations
40 - 41 Could you please provide historical data on the number and type of immunizations administered? See attachment 1.
I_01_b SF1449 -CI Medical-FINAL.pdf Section IV, 4.15 Breath Alcohol Testing
41 Could you please provide historical data on the volume of Breath Alcohol Tests administered on a weekly / monthly / annual basis?
See attachment 1.
I_01_b SF1449 -CI Medical-FINAL.pdf Section IV, 8.0 Travel and Per Diem 45 PWS section 8.0 states the government will reimburse travel costs when approved by the COR. If so, what does CLIN 0008 General Travel represent? Given this contract is FFP, what is the unit of measure for CLIN 0008? Travel is not expected, but the CLIN is established in the rare event contract-related travel by Key Personnel may be needed. Funds realignment modifications may be needed to reimburse costs.
I_01_b SF1449 -CI Medical-FINAL.pdf Section IV, 9.0 Transition Services 45 The PWS does not contain requirements for a Phase-In at the start of the contract, which is necessary to establish the proposed solution including testing, secure communications, complete training, etc. Request that a 90-day Phase-In period be required to support adequate time for both Government and Offeror to complete start up activities to ensure operational readiness. In addition, request that a separate CLIN be established for the Phase-In. 4.10, 4.11, 4.12, 4.13 must be able to be performed immediately upon award. There is no CLIN for phase in or phase out.
I_01_b SF1449 -CI Medical-FINAL.pdf Section IV, 9.1 Phase-out 45 Will a Phase-Out CLIN and task order be provided to the Contractor to bill the government for costs associated with fulfilling the Phase-Out requirements? Request that a separate CLIN be established for the Phase-Out. No
I_01_b SF1449 -CI Medical-FINAL.pdf Section IV, Section 12.0 Quality Control Plan
49 Request provision of the QASP to better understand the Government’s surveillance activities and the requirements for the Quality Control Plan. See attachment 3-The Government will prepare and maintain the QASP used for contract surveillance. A draft QASP has been provided with the solicitation for information only to help offerors prepare their Quality Control Plan (QCP). The draft QASP is not binding and the Government may revise the QASP prior to or during performance. Offerors shall not submit a QASP; submit a
QCP
I_01_b SF1449 -CI Medical-FINAL.pdf Section V, FAR 52.212-5(b) 84 Item #18 and #20 are checked, which indicates the procurement is a set-aside and is contrary to the posting and RFP statement that this is a full and open procurement (e.g., Section I, page 12). Request that these two clauses be unchecked. Corrected and unchecked
I_01_b SF1449 -CI Medical-FINAL.pdf Section V, FAR 52.212-5(b) 84 to 85 Item #21 is not checked, which indicates that a small business subcontracting plan is not required and #24 and #29 are checked indicating that one is required. Request clarification on the requirement to submit a small business subcontracting plan with the price proposal and revision of the checked clauses as needed. In addition, should a small business subcontracting plan be required, it is our assumption that the offeror can propose the goals. Is this assumption correct? If not, request clarification and provision of the goals. Item 21 is checked-Subcontracting Plan is required-refer to Instrcutions for Offerors page
I_01_b SF1449 -CI Medical-FINAL.pdf Section V, FAR 52.212-5(b) 86 Item #41 is checked and based on the scope of this requirement (i.e., medical services), request that this clause be removed.
Removed
I_01_b SF1449 -CI Medical-FINAL.pdf Section V, FAR 52.223-10 93 Request that this clause be removed based on the scope of this requirement (i.e., medical services).Removed I_01_b SF1449 -CI Medical-FINAL.pdf Section V, FAR 52.223-2 94 Request that this clause be removed based on the scope of this requirement (i.e., medical services).Removed
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