36C10X20R0002-0010001.pdf

ATTACHMENT D- PROPOSAL FORMS

Proposal Files for Solicitation 36C10X20R0002

Instructions: Offeror must complete the following information as instructed for Phase II. Page Limitations and character counts are provided within each section.

Phase II- VIT Proposal is the viable VITAL’s opportunity to assemble and present details on its proposed Veteran Integrated Team’s collective capability to deliver on any and all areas within the three functional categories.

Attachment L - Capability Area Criteria has been provided to give prospective firms further evaluation criteria on submitting a response to each capability area.

Solicitation 36C10X20R0002 (IHT) Offeror Name:

Phase II: VETERAN INTEGRATED TEAM (VIT) PROPOSAL

Instructions: Prospective VITAL must submit its Phase II proposal using the forms on the following pages. Provide all requested information.

Offeror shall submit a summary of its VIT using the VIT SUBMISSION- TEAM SUMMARY (COVER PAGE), providing all requested information. Offeror may utilize COVER PAGE CONTINUATION pages as necessary to provide additional subcontractor names, however the format and headers shall not be altered. If the Prime is a Joint Venture, complete first table on COVER PAGE below.

There is no page limit for this Template. Any information other than requested information will not be evaluated. In completing the table below, offeror shall identify “Applicable Functional Category Areas” using the below identification.

Functional Category I: Health System Transformation and Innovation

Functional Category II:

Healthcare Implementation and Operations Support

Functional Category III:

Healthcare Business Enabling Services

1A Program and Project Management

2A Studies and Analysis 3A

1B Business Requirements Development

2B Data Governance 3B

1C Strategic Planning 2C Performance Measurement 3C

1D Program Evaluation 2D Training Development 3D

1E Business Process Reengineering, Improvement and Management

2E Training Delivery 3E

1F Change Management and Transition

2F Policy Research and Development

3F

1G Quality Management 2G Policy Management 3G

1H Strategic Communications and Executive Support

2H Advertising Services 3H

2 Media Buying 3

2J Public Relations Services/Outreach

3J

2K Conference, Events, and Planning Services

3K

2L Healthcare Related Promotional Materials 3L

Medical Supply Chain and Healthcare Logistics Analysis Supply Chain Management

Supply Chain Planning

Inventory Management and Operation

Supply Chain Optimization

Financial Management Modernization

Internal Financial Controls

Management and Operations

Research and Development

Administration Support

Human Resources Support

Procurement Support to Program and Project Management

Information, Privacy and Records Management 2M Video/Film Production

3M Revenue Operations 2N Graphics Design

3N Value Based Healthcare Planning

Offeror Name:

D3A: PHASE II VIT PROPOSAL- TEAM SUMMARY (COVER PAGE)

Name DUNS Number VIP Verified? (Yes or No) Small under 541611?

(Joint Venture)

Managing Venturer/ Protégé Joint Venture Partner

Yes No

Yes No

Yes No

Prime Contractor

(VITAL):

DUNS Number Small under 541611? Name VIP Verified? (Yes or No)

Yes No

If submitting as a Stand Alone VITAL please complete the following table.

Company:

VIT Name

POC Name:

If submitting as a Joint Venture, please complete the following table.

Email: Phone:

Functional Category II: Healthcare Implementation and Operations Support

Functional Category III: Healthcare Business Enabling Services

2A Studies and Analysis 3A

2B Data Governance 3B

2C Performance Measurement 3C

2D Training Development 3D

2E 3E

2F Training Delivery

3F

2G Policy Management 3G

2H Advertising Services 3H

2I 3I

2J

Media Buying

3J

2K 3K

2L Healthcare Related Promotional Materials 3L Information, Privacy and Records

Management 2M Video/Film Production

3M Revenue Operations 2N Graphics Design

3N Value Based Healthcare Planning

Policy Research and Development

Public Relations Services/Outreach

Conference, Events, and Planning Services

2L Healthcare Related Promotional Materials

2M Video/Film Production

2N Graphic Design

3L

Human Resources Support

Procurement Support to P/PM

Information, Privacy and Records Management

Medical Supply Chain & HC Logistics Analysis

Supply Chain Management

Supply Chain Planning

Inventory Management and Operation

Supply Chain Optimization

Financial Management Modernization

Internal Financial Controls 3M

Management & Operations

R&D Administration Support

Value Based

Healthcare Planning

3N

Revenue Operations

Please select capability areas the VITAL may provide:

D3B: CAPABILITY AREA - TEAM SUMMARY Duplicate this page as needed if team includes more than 12 partners with this capability area

VIT Member Name/

POC

DUNS #

Sub NAICS

VITEP

VITSO

Status (e.g. SDVOSB, VOSB, SB, LB, NFP)

If SDVOSB, CVE Verified?

VITEP

VITSO

VITEP

VITSO

VITEP

VITSO

VITEP

VITSO

VITEP

VITSO

VITEP

VITSO

VITEP

VITSO

VITEP

VITSO

VITEP

VITSO

VITEP

VITSO

VITEP

VITSO

VITEP

VITSO

<VITEP /VITSO DUNS>

<Subcontract NAICS>

<VITEP /VITSO DUNS>

<Subcontract NAICS>

<VITEP /VITSO DUNS>

<Subcontract NAICS>

<VITEP /VITSO DUNS>

<Subcontract NAICS>

<VITEP /VITSO DUNS>

<Subcontract NAICS>

<VITEP /VITSO DUNS>

<Subcontract NAICS>

<VITEP /VITSO DUNS>

<Subcontract NAICS>

<VITEP /VITSO DUNS>

<Subcontract NAICS>

<VITEP /VITSO DUNS>

<Subcontract NAICS>

<VITEP /VITSO DUNS>

<Subcontract NAICS>

<VITEP /VITSO DUNS>

<Subcontract NAICS>

<VITEP /VITSO DUNS>

<Subcontract NAICS>

Yes

If SDVOSB, CVE Verified?

If SDVOSB, CVE Verified?

If SDVOSB, CVE Verified?

If SDVOSB, CVE Verified?

If SDVOSB, CVE Verified?

If SDVOSB, CVE Verified?

If SDVOSB, CVE Verified?

If SDVOSB, CVE Verified?

If SDVOSB, CVE Verified?

If SDVOSB, CVE Verified?

If SDVOSB, CVE Verified?

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

List capability areas to perform (e.g. 1A, 2D, 3H)

Team

VHAPTHDrobeE Highlight

NAICS Code Applicability (Duplicate as needed) PRIME OFFEROR NAME: <Prime Offeror Name>

In the space provided below, provide your partner(s) Name, DUNS, partner status as a Eligible Partner (VITEP) or Subcontractor Only (VITSO), and any applicable NAICS code.

< Insert applicable Partner(s) NAICS here> (5,000 Characters) >

Offeror Name:

CAPABILITY NARRATIVE TEMPLATE

Instructions: Offerors shall submit from the next pages ONE capability form (TECH and PP) for each Capability Area.

For Functional Category I (FC I) capability areas the submission must be from the VITAL. For FCI only, a second capability form from another VIT member may be provided, if needed, to demonstrate more robust capability. However, remember the VITAL must be found capable in all FC I capability areas to serve as VITAL.

For Functional Categories II and III the submission can be from any member of the VIT (to include VITAL) and should represent the strongest submission for the team. Only ONE capability form will be reviewed.

VHAPTHDrobeE Highlight

VHAPTHDrobeE Highlight

D4: CAPABILITY NARRATIVE (TECHNICAL)

Each VIT will submit its strongest example (Capability from 1 team member) for each capability area.

Member Number (from Team Summary Table on Page 4)

Technical Capability and Past Performance Form: Phase II, Part 1 Functional Capability Area: _________

OFFEROR (VITAL) NAME: <Prime Offeror Name>

VIT MEMBER

ADDRESSED BELOW:

<Name of VIT Member>

Relationship to VIT:

VIP Verification:

1. Technical Capability Summary of technical capability for Functional Capability Area (5,000 Characters)

CAPABILITY NARRATIVE (PAST PERFORMANCE)

Member Number (from Team Summary Table on Page 4)

Technical Capability and Past Performance Form: Phase II, Part 1 Functional Capability Area: _________

2. Past Performance COMPANY who performed this work/DUNS:

POSITION ON TEAM:

WORK WAS PERFORMED AS THE: PRIME SUBCONTRACTOR

Total Awarded Price/Cost and Contract Number:

Final or Projected Final Total Price/Cost:

Delivery date/Period of performance (including base and options if applicable):

Contracting Officer’s Name, Email, and Telephone Number:

Program Manager’s Name, Email and Telephone Number North American Industry Classification System (NAICS) Code:

Was a CPARS/PPIRS Completed? : YES NO UNKNOWN

Description of the Requirement (5,000 Characters)

D5: KEY PERSONNEL BIOGRAPHY

All offerors must complete and submit one form for the IDIQ Contract Manager and one for the additional key personnel proposed by the VIT to support the Base IDIQ Contract.

PROPOSED KEY PERSON’S NAME: <Insert Name Here>

KEY PERSONNEL ROLE: IDIQ CONTRACT MANAGER1 OTHER (SPECIFY BELOW)

ROLE (IF NOT IDIQ CONTRACT MANAGER): <Insert Role Here> LETTER OF COMMITMENT?: YES (Please Provide) NO

Education (List up to two relevant degrees and the area of focus) Note: The IDIQ Contract Manager must have a minimum education of a bachelor’s degree in a business or program related field University:

Level/ Type of Degree:

Major/ Field:

Experience (List relevant experience to the role of the key person being proposed) Note: The IDIQ Contract Manager must have a minimum of 10 years of experience managing programs, projects, or contracts of comparable size, scope and complexity to this procurement. The IDIQ Contract Manager shall have experience with government contract oversight.

<Describe experience relevant to requirements above. Please ensure experience dates clearly tie to required years of experience. Annotate government contract oversight experience by beginning example with “GOV”. If proposing additional key personnel, you may also highlight within this narrative any relevant certifications, etc.> (5,000 Characters)

1 A Letter of Commitment shall also be submitted for the IDIQ Contract Manager to ensure individual proposed will be individual supporting the effort.

CONTRACT MANAGEMENT AND ADMINISTRATION

PRIME OFFEROR NAME: <Prime Offeror Name>

In the space provided below, provide your plan to manage contractor onboarding and training, travel administration, budgeting and invoicing, and general contract executions and administration. Please also address how your proposed VIT above will meet the subcontracting limitations required under this SDVOSB set-aside.

< Detail plan for contract management and administration here> (5,000 Characters)

CONTRACT MANAGEMENT AND ADMINISTRATION-CONTINUATION

PRIME OFFEROR NAME: <Prime Offeror Name> < Continued details of plan for contract management and administration here> (5,000 Characters)

Offeror Name:

TASK ORDER CAPABILITY (NO TEMPLATE)

Instructions: Offerors shall complete and submit as its Task Order Capability Volume, all information required (and in the format required) by E.3

INSTRUCTIONS AND EVALUATION APPROACH, C. PROPOSAL SUBMISSION

INSTRUCTIONS, adhering to the page limitations provided in B. GENERAL

INSTRUCTION.

PRICE TEMPLATES

Instructions: Offerors shall complete and submit as its Phase II Price Volume:

1. Attachment I- VHA IHT LCAT Price Spreadsheet (Provide fully burdened labor rates for all applicable Functional Category Capability Areas for Base and Option Period (all 10 years). Do not alter the spreasheet in any way other than to add labor rates for each category, where indicated. If the templates are altered in any other way, they may not be accepted. Hourly rates must be rounded to two decimal places. PDF files will not be accepted. Do not convert the files to .pdf format.

2. Attachment G- Representative Task Order Pricing Spreadsheet (Complete Sample Task Order LOE LM worksheet by inserting Labor Categories, IDIQ proposed labor rates, Sample Task Order discounted labor rates, and hours by labor category per task area. Additionally, for each LCAT, add VIT member where resource is pulled [note that these could be used for subcontract limitations assessment]--all necessary fields for offeror completion highlighted in yellow).

The second worksheet should auto populate the task order price schedule from the calculated CLIN pricing in worksheet 1.

See RFP Attachments for details.

Offeror Name:

SF 1449, AMENDMENTS, OTHER DOCUMENTS

Instructions: The following shall be submitted as the Phase II Volume:

a. Signed SF 1449 and amendment(s), if any. An authorized official of the VITAL submitting the response shall sign the SF 1449, amendment(s) and all certifications requiring signature;

b. Offeror’s statement(s) as required by paragraph b. of the VAAR Clause, E.2 VAAR 852.209-70 ORGANIZATIONAL CONFLICTS OF INTEREST and any applicable OCI Mitigation Plans;

c. Paragraph b of 52.212-3, Offeror Representations and Certifications must be completed below;

d. Paragraph (a)(4) from 52.212-4 Contract Terms and Conditions – Commercial Items (May 2015) Alternate 1 (May 2014) must be completed below, if applicable.

e. Any proposed terms and conditions and/or assumptions upon which the proposal is predicated.

Offerors are hereby advised that any offeror-imposed terms and conditions and/or assumptions which deviate from the Government’s material terms and conditions established by the solicitation, may render the offeror’s proposal unacceptable, and thus ineligible for award.

Excerpt from FAR 52.212-3 Offeror Representations and Certifications – Commercial Items (DEC 2014)

(b)(1) Annual Representations and Certifications. Any changes provided by the offeror in paragraph (b)(2) of this provision do not automatically change the representations and certifications posted on the SAM website.

(2) The offeror has completed the annual representations and certifications electronically via the SAM website access through http://www.acquisition.gov. After reviewing the SAM database information, the offeror verifies by submission of this offer that the representations and certifications currently posted electronically at FAR 52.212-3, Offeror Representations and Certifications—Commercial Items, have been entered or updated in 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 paragraphs ____________________.

Excerpt from FAR 52.212-4 Contract Terms and Conditions – Commercial Items (May 2015) Alternate 1 (May 2014)

(a)(4) At any time during contract performance, but not later than 6 months (or such other time as may be specified in the contract) after acceptance of the services or materials last delivered under this contract, the Government may require the Contractor to replace or correct services or materials that at time of delivery failed to meet contract requirements. Except as otherwise specified in paragraph (a)(6) of this clause, the cost of replacement or correction shall be determined under paragraph (i) of this clause, but the "hourly rate" for labor hours incurred in the replacement or correction shall be reduced to exclude that portion of the rate attributable to profit. Unless otherwise specified below, the portion of the "hourly rate" attributable to profit shall be 10 percent. The Contractor shall not tender for acceptance materials and services required to be replaced or corrected without disclosing the former requirement for replacement or correction, and, when required, shall disclose the corrective action taken. [Portion of labor rate attributable to profit if other than 10% = _________] http://www.acquisition.gov/

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