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36C25018Q9348

PAGE 1 OF

1. REQUISITION NO.

2. CONTRACT NO.

3. AWARD/EFFECTIVE DATE

4. ORDER NO.

5. SOLICITATION NUMBER

6. SOLICITATION ISSUE DATE

a. NAME

b. TELEPHONE NO. (No Collect Calls)

8. OFFER DUE DATE/LOCAL

TIME

9. ISSUED BY

CODE

10. THIS ACQUISITION IS

UNRESTRICTED OR

SET ASIDE:

% FOR:

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:

SIZE STANDARD:

11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

13b. RATING

14. METHOD OF SOLICITATION

RFQ

IFB

RFP

15. DELIVER TO

CODE

16. ADMINISTERED BY

CODE

17a. CONTRACTOR/OFFEROR

CODE

FACILITY CODE

18a. PAYMENT WILL BE MADE BY

CODE

TELEPHONE NO.

DUNS:

DUNS+4:

PHONE:

FAX:

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER 18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW IS CHECKED

SEE ADDENDUM

19.

20.

21.

22.

23.

24.

ITEM NO.

SCHEDULE OF SUPPLIES/SERVICES

QUANTITY

UNIT

UNIT PRICE

AMOUNT

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

25. ACCOUNTING AND APPROPRIATION DATA

26. TOTAL AWARD AMOUNT (For Govt. Use Only) 27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA

ARE

ARE NOT ATTACHED.

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA

ARE

ARE NOT ATTACHED

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN _______________

29. AWARD OF CONTRACT: REF. ___________________________________ OFFER

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

DATED ________________________________. YOUR OFFER ON SOLICITATION

DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY

(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED

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 CONTRACTING OFFICER (TYPE OR PRINT) 31c. DATE SIGNED

AUTHORIZED FOR LOCAL REPRODUCTION

(REV. 2/2012)

PREVIOUS EDITION IS NOT USABLE

Prescribed by GSA - FAR (48 CFR) 53.212

7. FOR SOLICITATION

INFORMATION CALL:

STANDARD FORM 1449

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

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

515-18-3-805-0014 36C25018Q9348 07-25-2018 Olalekan Ismail 317-988-1527 07-31-2018 Department of Veterans Affairs Network Contracting Office 10 8888 Keystone Crossing Suite 1100 Indianapolis IN 46240 X 624310 $11 Million X N/A X Department of Veteran Affairs VA Medical Center 5500 Armstrong Road Battle Creek MI 49037 Department of Veterans Affairs Network Contracting Office 10 8888 Keystone Crossing Suite 1100 Indianapolis IN 46240

Contractor shall submit all invoices electronically to Tungsetn per VAAR 582-232.72

512-242-7300 N/A See CONTINUATION Page All interested Offerors shall submit a quote in accordance with the instructions included herein.

Questions must be submitted in writing to the Contracting Officer at olalekan.ismail@va.gov no later than Jul 27, 2018 See CONTINUATION Page X X Kristina L. Gandy Contracting Officer Table of Contents

SECTION A1
A.1 SF 1449 SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS1
SECTION B - CONTINUATION OF SF 1449 BLOCKS4
B.1 CONTRACT ADMINISTRATION DATA4
B.2 REVIEW REQUIRED REGISTRATION WITH CONTRACTOR PERFORMANCE ASSESSMENT SYSTEM (CPARS)6
B.3 PRICE SCHEDULE:7
B.4 STATEMENT OF WORK10
SECTION C - CONTRACT CLAUSES18
C.1 52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL ITEMS (JAN 2017)18
C.2 52.216-18 ORDERING (OCT 1995)24
C.3 52.216-19 ORDER LIMITATIONS (OCT 1995)24
C.4 52.216-22 INDEFINITE QUANTITY (OCT 1995)25
C.5 52.217-8 OPTION TO EXTEND SERVICES (NOV 1999)25
C.6 52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR 2000)25
C.7 VAAR 852.203-70 COMMERCIAL ADVERTISING (MAY 2018)26
C.8 VAAR 852.215-71 EVALUATION FACTOR COMMITMENTS (DEC 2009)26
C.9 VAAR 852.219-9 VA SMALL BUSINESS SUBCONTRACTING PLAN MINIMUM REQUIREMENTS (DEC 2009)26
C.10 VAAR 852.219-71 VA MENTOR-PROTÉGÉ PROGRAM (DEC 2009)27
C11 VAAR 852.219-75 Subcontracting Commitments Monitoring and Compliance. (JUL 2018)27
C.12 VAAR 852.232-72 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS (NOV 2012)28
C.13 VAAR 852.237-70 CONTRACTOR RESPONSIBILITIES (APR 1984)29
C.14 VAAR 852.271-70 NONDISCRIMINATION IN SERVICES PROVIDED TO BENEFICIARIES (JAN 2008)29
C.15 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)30
C.16 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT STATUTES OR EXECUTIVE ORDERS—COMMERCIAL ITEMS (JAN 2018)30
SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS38
D.1 BUSINESS ASSOCIATE AGREEMENT38
D.2 PASTPERFORMANCE QUESTIONAIRE:42
D.3 WAGE DETERMINATION45
SECTION E - SOLICITATION PROVISIONS56
E.1 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL ITEMS (JAN 2017)56
E.2 52.209-7 INFORMATION REGARDING RESPONSIBILITY MATTERS (JUL 2013)60
E.3 52.233-2 SERVICE OF PROTEST (SEP 2006)61
E.4 VAAR 852.215-70 SERVICE-DISABLED VETERAN-OWNED AND VETERAN-OWNED SMALL BUSINESS EVALUATION FACTORS (JUL 2016)(DEVIATION)61
E.5 VAAR 852.233-70 PROTEST CONTENT/ALTERNATIVE DISPUTE RESOLUTION (JAN 2008)62
E.6 VAAR 852.233-71 ALTERNATE PROTEST PROCEDURE (JAN 1998)62
E.7 VAAR 852.270-1 REPRESENTATIVES OF CONTRACTING OFFICERS (JAN 2008)63
E.8 52.212-2 EVALUATION—COMMERCIAL ITEMS (OCT 2014)63
E.9 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS—COMMERCIAL ITEMS (NOV 2017)64

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

(Continuation from Standard Form 1449, block 18A.)

1. Contract Administration: All contract administration matters will be handled by the following individuals:

a. CONTRACTOR:Name: _____________________________________
Address: ___________________________________
City, State, Zip: ______________________________
Point of Contact: _____________________________
Telephone Number: ___________________________
email: ______________________________________
DUNS: _____________________________________
b. GOVERNMENT:Department of Veterans Affairs
VA MEDICAL CENTER
Attn: OLALEKAN ISMAIL, Contracting Officer (90C)
8888 KEYSTONES CROSSING SUITE 1100
INDIANAPOLIS IN 46240
Phone: 3179881527, Fax: 3179885520
E-Mail: olalekan.ismail@va.gov

2. CONTRACTOR REMITTANCE ADDRESS: All payments by the Government to the contractor will be made in accordance with:

[X] 52.232-33, Payment by Electronic Funds Transfer -

3. INVOICES: Invoices shall be submitted in arrears:

a. Quarterly[ ]
b. Semi-Annually[ ]
c. Other[X] Monthly

4. GOVERNMENT INVOICE ADDRESS: Please note that the Financial Services Center is no longer accepting physical invoices. They must be submitted electronically in accordance with VAAR 852.232-72.

5. SUBMISSION OF OFFER: (Offerors shall complete and return all of the following prior to the date and time specified in Block 8 of SF 1449 in order to be considered for award)

· Blocks 17a, and 30a-c of SF 1449;

· Contract Administration Data in Section B.1;

· Completed Provisions FAR 52.209-5 (Deviation in Addendum FAR 52.212-1)

· Completed Provision FAR 52.209-7 in Addendum FAR 52.212-1

· Representations & Certifications in FAR 52.212-3 (Can be met with completion of System for Award Management (SAM) Reps & Certs). By submission of an offer, the offeror acknowledges the requirement that the prospective awardee shall be registered in the System for Award Management (SAM) database prior to award. Offerors who are not registered in SAM should consider applying for registration immediately. Registration in SAM is a requirement to conduct business with the Federal Government. If the prospective awardee is not registered in SAM within the timeframe specified by the Contracting Officer, the successful offeror may be removed from further consideration for award. Offerors can register in SAM through the System for Award Management (SAM) at https://www.sam.gov.

· TECHNICAL- Information addressing all requirements as stated in the Statement of Work

· PRICE- Completed Price Schedule Section B

· PAST PERFORMANCE- Past Performance References addressing all requirements in Section D.

· VETERANS INVOLVEMENT- Evidence or proof of SDVOSB/VOSB participation as subcontractors as described in VAAR Provision 852.215-70, if applicable.

· Sealed offers will be received at the address specified in Block 9 of SF 1449 or, if hand-carried, to Olalekan Ismail, 8888 KEYSTONES CROSSING SUITE 1100 INDIANAPOLIS IN 46240

6. CONTRACT ADMINISTRATION

The contracting officer is the only person authorized to approve changes or modify any of the requirements under this contract. The Contractor shall communicate with the Contracting Officer on all matters pertaining to contract administration. Only the Contracting Officer is authorized to make commitments or issue changes which will affect price, quantity, delivery or quality of performance of this contract. In the event the contractor effects any such change at the direction of any person other than the contracting officer, the change shall be considered to have been made without authority and no adjustment will be made in the contract price to cover any increase in costs incurred as a result thereof.

7. ACKNOWLEDGMENT OF AMENDMENTS: The offeror acknowledges receipt of amendments to the Solicitation numbered and dated as follows:

AMENDMENT NO DATE

B.2 REVIEW REQUIRED REGISTRATION WITH CONTRACTOR PERFORMANCE ASSESSMENT SYSTEM (CPARS)

As prescribed in Federal Acquisition Regulation (FAR) Part 42.15, the Department of Veterans Affairs (VA) evaluates contractor past performance on all contracts that exceed $150,000, and shares those evaluations with other Federal Government contract specialists and procurement officials. The FAR requires that the contractor be provided an opportunity to comment on past performance evaluations prior to each report closing. To fulfill this requirement VA uses an online database, CPARS, which is maintained by the Naval Sea Logistics Center in Portsmouth, Virginia. CPARS has connectivity with the Past Performance Information Retrieval System (PPIRS) database, which is available to all Federal agencies. PPIRS is the system used to collect and retrieve performance assessment reports used in source selection determinations and completed CPARS report cards transferred to PPIRS. CPARS also includes access to the federal awardee performance and integrity information system (FAPIIS). FAPIIS is a web-enabled application accessed via CPARS for contractor responsibility determination information.

Each contractor whose contract award is estimated to exceed $150,000 is required to register with CPARS database at the following web address: www.cpars.csd.disa.mil. Help in registering can be obtained by contacting Customer Support Desk @ DSN: 684-1690 or COMM: 207-438-1690. Registration should occur no later than thirty days after contract award, and must be kept current should there be any change to the contractor's registered representative.

For contracts with a period of one year or less, the contracting officer will perform a single evaluation when the contract is complete. For contracts exceeding one year, the contracting officer will evaluate the contractor's performance annually. Interim reports will be filed each year until the last year of the contract, when the final report will be completed. The report shall be assigned in CPARS to the contractor's designated representative for comment. The contractor representative will have sixty days to submit any comments and re-assign the report to the VA contracting officer.

Failure to have a current registration in the CPARS database, or to re-assign the report to the VA contracting officer within those sixty days, will result in the Government's evaluation being placed on file in the database with a statement that the contractor failed to respond.

36C25018Q9348

Page 1 of Page 1 of

B.3 PRICE SCHEDULE:

ITEM INFORMATION

Offeror shall note that all volumes are estimates and in no way are to be interpreted as a guarantee of future volumes. The guaranteed minimum only applies to the Federal Government Fiscal Year in which the contract is awarded.

The guaranteed minimum for the fiscal year in which this contract is awarded is $5,000.00.

The maximum total contract amount, or ceiling amount, shall not exceed $1,200,000.00 over the life of the contract.

ITEM NUMBER
DESCRIPTION OF SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT

5,154.00

UN*

Contractor shall provide Veterans with the life skills training and support necessary to function independently, obtaining and maintaining long-term permanent housing and/or support in order to gain and maintain gainful employment. within the catchment area of the Battle Creek VA Medical Center located at 5500 Armstrong Road, Battle Creek, Michigan.

Contract Period: Base POP Begin: 08-01-2018 POP End: 07-31-2019

Contractor shall provide Veterans with the life skills training and support necessary to function independently, obtaining and maintaining long-term permanent housing and/or support in order to gain and maintain gainful employment. within the catchment area of the Battle Creek VA Medical Center located at 5500 Armstrong Road, Battle Creek, Michigan.

Contract Period: Option 1 POP Begin: 08-01-2019 POP End: 07-31-2020

Contractor shall provide Veterans with the life skills training and support necessary to function independently, obtaining and maintaining long-term permanent housing and/or support in order to gain and maintain gainful employment. within the catchment area of the Battle Creek VA Medical Center located at 5500 Armstrong Road, Battle Creek, Michigan.

Contract Period: Option 2 POP Begin: 08-01-2020 POP End: 07-31-2021

Contractor shall provide Veterans with the life skills training and support necessary to function independently, obtaining and maintaining long-term permanent housing and/or support in order to gain and maintain gainful employment. within the catchment area of the Battle Creek VA Medical Center located at 5500 Armstrong Road, Battle Creek, Michigan.

Contract Period: Option 3 POP Begin: 08-01-2021 POP End: 07-31-2022

Contractor shall provide Veterans with the life skills training and support necessary to function independently, obtaining and maintaining long-term permanent housing and/or support in order to gain and maintain gainful employment. within the catchment area of the Battle Creek VA Medical Center located at 5500 Armstrong Road, Battle Creek, Michigan.

Contract Period: Option 4 POP Begin: 08-01-2022 POP End: 07-31-2023

GRAND TOTAL (Base and All Options if Exercised)
$__________________

Page 1 of

Page 1 of

UN* - Unit prices offered shall be “all inclusive”, meaning that all supplies/services necessary to perform in accordance with the Statement of Work (e.g., labor, material, supervision, traveling, and overhead) are included in the price.

B.4 STATEMENT OF WORK

LIFE SKILLS AND EMPLOYMENT TRAINING SERVICES

Battle Creek VA Medical Center (BCVAMC) requires Contractor to provide Employment and Life Skills Training Services located in Muskegon, Michigan and within the catchment area of the Battle Creek VA Medical Center (BCVAMC) located at 5500 Armstrong Road, Battle Creek, Michigan for the period of one (1) base year, and four (4) option years, exercisable at the Government’s discretion.

The objective of this contract is to enhance life skills, increase literacy, career development, and improve employment readiness towards the goal of gaining and maintaining permanent employment to support long-term stability.

Contractor shall provide Veterans with the life skills training and support necessary to function independently, obtaining and maintaining long-term permanent housing and/or support in order to gain and maintain gainful employment, in addition to providing job coaching, job retention, assistance with employment search, resume assistance, interviewing skills, appropriate work attire, and transition planning. The contract shall provide service to homeless Veterans who are referred by the Battle Creek Homeless Continuum of Care staff.

Only Veterans who are identified as at-risk for homelessness and/or homeless, and/or are residing in a homeless shelter in the 22-county catchment area are eligible to receive services through this contract. Eligibility will be determined on a case-by-case basis when the goal is transition planning and support services other than for employment.

A. SERVICES TO BE PROVIDED:

OUTREACH: Contractor shall be responsible to engage in outreach in the community both independently and in collaboration with the Battle Creek VA Medical Center Homeless Continuum of Care staff or Contracting Officer Representative (COR). Contractor shall provide services to a minimum of 50 Veterans with an approved authorization provided by the COR and as determined by the Veteran’s Care Plan of up to twelve (12) sessions. If this rate is not consistently attained a corrective action plan shall be developed by the COR in collaboration with the Contractor.

Contractor will be allocated up to $10,000 dollars in contract funds to meet the requirements for ongoing outreach activities and community engagement to identify Veterans who are residing in local shelters, at risk for homelessness, and/or are homeless in the 22-county catchment area and meet eligibility criteria. The outreach cost will be itemized on the invoice one (1) time per year until the contract term has been satisfied and/or is terminated. Outreach Activities and Community Engagement cost may include but is not limited staffing, travel, materials.

BASIC SERVICES:

Contractor shall provide Life Skills and Employment Training Services at Contractor’s facility. Contractor shall assess and test each Veteran, as necessary, to evaluate needs in the areas of life-skill building, literacy, employment readiness, and case management services necessary to obtain gainful employment and/or housing. After assessment, each Veteran will develop a life-skills plan with Contractor staff and be enrolled in appropriate sessions (as defined below).

Contractor shall furnish each Veteran referred for care under this contract with the following basic services:

a) Telephone Contact: Telephone contacts made to the Veteran around care coordination is permittable. No more than fifty (50) percent of the time spent with the Veteran can be done via telephone contact. The documentation must be specific enough and must describe the reason for the telephone contact.

Telephone contacts made to the Veteran and/or on behalf of the Veteran to support the Veteran’s Disability Application for non-VA disability (SSI, SSD, and/or SSDI). In addition, any telephone contact that is required for follow-up with the Veteran and/or benefits agency to procure disability payments. No more than seventy-five (75) percent of the time spent with the Veteran and/or on the behalf of the Veteran can be via telephone contact Telephone contacts must be billed at no less than fifteen (15) minute intervals and requires a progress note demonstrating that it is tied to the Veteran’s Care Plan and includes the following:

1. Type of Contact

2. Reason for the Contact

3. Start Time

4. End Time

b) Group Activities: Structured group activities as appropriate – examples include social skills training, life skills training, job club, and vocational counseling and physical activities as appropriate. Groups sessions should include but is not limited to topics such as aging population, men’s group, computer skills training, budgeting, and preparation for independent living, i.e. shopping, cleaning, cooking, laundry, paying bills, developing and sustaining positive relationships with family, friends and community supports, and maintaining general safety.

To better meet the needs of the Veterans served, the Contractor shall provide group activities in the community and/or in apartments and/or dwellings where formerly homeless Veterans reside to promote community integration.

c) VA Coordination: Collaboration with the VA Homeless Program staff, who will provide supportive psychosocial services. COR, VA Homeless Program Supervisor and/or staff will meet with the Contractor, Contractor’s Program Manager, and/or staff at agreed upon intervals to ensure appropriate ongoing communication regarding care coordination of Veterans receiving services through the contract, and to ensure effective dialogue and feedback to maximize the benefits to the Veterans. Ongoing communication will also ensure effective and stream-lined communication around the referral process.

COR, Homeless Program Supervisor, Contractor, and/or Contractor’s Program Manager will review Curricula biannually to ensure that is meets the needs of the Veterans being served by the contract.

d) Case Management: Individual case management and/or coaching including on appropriate self-care skills, adaptive coping skills and, as appropriate, vocational rehabilitation counseling, in collaboration with VA Homeless Program and community resources.

e) Life Skills: Assistance to develop life skills that result in responsible living patterns, to maintain an acceptable level of personal hygiene and grooming, and to achieve a more adaptive level of psychosocial functioning, upgraded social skills, and improved personal relationships.

f) Recovery: Support for recovery-oriented care that is provided in an environment conducive to social interaction and the fullest development of the Veteran's rehabilitative potential. Providing assistance to gain and apply knowledge of the recovery process. COR will support the Contractor to provide support services that are Veteran-centric and recovery-oriented. Contractor and/or staff shall comply with the TMS Training on Recovery-Oriented Care provided by the Battle Creek VA Medical Center and certify completion. Contractor and/or staff shall certify completion annually.

g) Transition Planning and Support Services: Contractor staff shall provide assistance with transition planning for every Veteran receiving services through this contract. Veterans needing assistance with transition planning will be identified by the Battle VA Medical Center Homeless Continuum of Care staff and will be determined on a case-by-case basis. The goal of transition planning is to assist the Veteran with support services that result in the Veteran’s ability to demonstrate the skills necessary for maintaining permanent housing.

h) Contract Performance Measures: Contract performance shall be monitored through the following:

a. Enrollment Rate of 85% or greater.

b. Successful Completion Rate for 75% or greater.

In addition, Contractor shall provide a strengths-based treatment and discharge planning reflecting a team assessment consisting of: mental health, health, social and vocational needs with the involvement of the Veteran, the VA Homeless Program staff or COR, and appropriate community resources in resolving problems and setting goals.

Contractor shall create an individual case record for each referred Veteran. Case records shall be maintained in a secure and confidential manner as required by the Confidentiality of Alcohol and Drug Abuse Patient Records (42 CFR part 2) and the Confidentiality of Certain Medical Records (38 USC 7332). Case records and data normally maintained and included in a medical record as a function of compliance with State or community licensing standards will be made available on a need to know basis to appropriate Department of Veterans Affairs’ staff members involved with the treatment planning of the Veterans concerned. Contractor shall comply with applicable requirements of the Confidentiality of Alcohol and Drug Abuse Patient Records (42 CFR Part II) and the Confidentiality of Certain Medical Records (38 USC 7332).

The files shall include:

· Reason (s) for referral.

· All essential identifying data relevant to the Veteran and his/her family including a socio-cultural assessment, weekly progress reports or notes, and documentation of any case management interventions or patient care conferences. The contractor shall provide proper documentation verifying services and case management efforts by all team members including, but not limited to life skills, benefit and employment specialists, and program management staff. There will be an expectation that notes are written professionally in a format that utilizes the clear settings of goals and documents progress towards those goals. Examples include SNAP, SOAP, or SMART goals/notes.

SNAP: Strengths, Needs, Abilities, and Preferences are the foundation of the treatment goals and objectives listed in the Plan of Care (POC). The POC is a road map, the goal of service is the destination, and consistent with the Veteran’s vision of recovery.

Strengths: Refer to characteristics of the Veteran used in the past or present to help them cope with stressful situations.

Needs: Refer to the Veteran’s problems and symptoms and serve as the basis for goal information.

Abilities: Refer to elements in the Veteran’s life, used in the past or present to help them cope with stressful situations.

Preferences: Refer to what the Veteran want in terms of the practical aspects of treatment.

SOAP Format Guideline for Progress Notes:

Subjective: Opinions or feelings, statements (from patient)

Objective: Facts, observable (what the social worker observes: dress, mood, affect, behavior, judgment, insight).

Assessment: A judgment based on an understanding of the situation (social worker’s assessment of the situation.

Plan: Work out in advance how something is to be done or organized (patient’s plan for change).

SMART Goal Setting:

Specific: What does the Veteran want to achieve. Be specific (What exactly does the Veteran want to achieve, where, how, when, with whom, and what are the conditions or limitations.

Measurable: Measurable goals means that the Veteran has identified exactly what it is he/she will see, hear and feel when he/she reaches his/her goal. Defining the physical manifestations of the Veteran’s goal or objective makes it clearer and easier to reach.

Attainable: Can the Veteran achieve the goal. That means investigating whether the goal really is acceptable to the Veteran. The Veteran weighs the effort, time and other costs his/her goal will take against the profits and the other obligations and priorities he/she has in his/her life.

Relevant: Is reaching the goal relevant to the Veteran. The main question is why the Veteran wants to reach this goal, what is the objective behind the goal, and will the goal really achieve it.

Timely: The Veteran sets specific timeframes for achieving the goal. The timeline must be realistic and flexible.

· Final summaries/discharge note on each Veteran who have discharged from services, to include reasons for leaving, the Veteran’s future plans, and follow-up locator information.

· Each Veteran will have an Individual Care Plan (ICP) completed by the Contractor with input from the Veteran and the VA Homeless Continuum Program Manager (or Designee). Therapeutic and rehabilitative services will be stated in the plan of care. Services which the Contractor must be able to furnish or provide shall be detailed in the Quality Assurance Surveillance Plan.

Contractor shall comply with the principles listed in 38 CFR 17.707(b) to provide these services in a manner that is free from religious discrimination.

SUPPLEMENTAL SERVICES: All services shall be provided at no additional charge to the rate listed in the Pricing Schedule.

B. ADDITIONAL CONTRACT REQUIREMENTS:

1) PERSONNEL:

Contractor shall employ sufficient personnel to carry out the policies, responsibilities, and operate the Program requirements.

Contractor shall assign to this contract personnel that by education and training (and, when required, certification or licensure) who are qualified to provide the Basic Services and Supplemental Services required by this Statement of Work (SOW).

Contractor must identify each person functioning as “Key Personnel” under this contract, and provide to the VA a description of the services to be provided by such person, together with a resume summarizing that person’s relevant skills and experience.

During the first ninety (90) calendar days of contract performance, Contractor shall not make substitutions of key personnel unless the substitution is necessitated by illness, death, or termination of employment. Within 14 days after substitutions necessitated by situations described above, Contractor shall provide resumes for the substitute key personnel. For substitutions proposed by Contractor after the initial 90 calendar day period, Contractor shall provide resumes for the substitute personnel, together with any other additional information requested by the Contracting Officer, at least 15 days before the substitution is to occur. The Contracting Officer shall notify Contractor within fifteen (15) calendar days after receipt of all required information if the VA refuses to accept the substitute key personnel. The Battle Creek VA Medical Center reserves the right to refuse or revoke acceptance of key personnel if personal or professional conduct, or lack of required skills or experience, jeopardizes patient care or interferes with the regular and ordinary operation of the facility.

Temporary substitutions of key personnel shall be permitted in accordance with Contractor’s contingency plan. Contractor’s contingency plan to be utilized if personnel leave Contractor’s employment or are unable to continue performance in accordance with the terms and conditions of the resulting contract must be submitted as part of Contractor’s offer.

2) REFERRALS:

Contractor is responsible for verifying the Veteran's eligibility for VA healthcare services. The Battle Creek VA Medical Center is responsible for determining eligibility of Veterans prior to referral to Contractor for services. A written or verbal referral (hard copy, fax or e-mail are acceptable) as authorized by the Contracting Officer Representative (COR) or Battle Creek VA Medical Center Homeless Program staff member shall be provided to Contractor for each Veteran referred for services under the contract.

A list of authorized Battle Creek VA Medical Center Homeless Program staff shall be provided to Contractor upon award of the contract. Authorized Homeless Program staff may be added or deleted from the list during the term of the contract at the discretion of VA Contracting Officer. Representative (COR). Contractor shall be provided an updated list of authorized Homeless Program staff whenever such changes are made.

It is understood that Contractor shall not be paid for services provided to a referred Veteran beyond the period authorized in the referral, unless an extension of the authorization is provided in writing to the VA and is approved by the COR.

The initial referral period for a Veteran is determined by the Veteran’s need as determined by the Veteran’s Care Plan may be up to twelve (12) sessions, depending upon the Veterans’ needs as mutually determined by the Veteran, Contractor’s staff, and Contracting Officer Representative (COR). An extension of the referral period up to a total of 24 sessions Ongoing sessions to support the Veteran to get to self-sufficiency and independence is based on the Veteran’s needs as determined by the Veteran’s Care Plan and may be authorized by the COR, based on clinical assessment and provided that funding is available. Treatment periods in excess of twenty-four (24) sessions for individual Veterans must be authorized by the Chief of Staff of the Battle Creek VA Medical Center.

Contractors are encouraged to provide services to special Veteran populations (e.g.: medically compromised Veterans, Veterans with young children, Veterans with sex offender status, seriously mentally ill Veterans, Veterans who have abused drugs or alcohol for many years, and/or Veterans who have been involved with the legal system.

3) ABSENCES AND CANCELLATION:

Management of program dropout will be an element of a Quality Assurance Review of this contract.

The Battle Creek VA Medical Center reserves the right to remove any or all Veterans from services at any time, without additional cost, when it is determined to be in the best interest of the VA and/or the Veteran.

Contractor shall notify the Contracting Officer Representative (COR) immediately of any incidents involving Veterans participating in services. Contractor shall notify the COR by telephone during the hours of 8:00am and 4:30pm. For all incidents that occur after normal business hours, Contractor should notify the Administrator on Duty (AOD). Contractor shall provide the COR with a copy of the incident report within 24 hours. Contractor shall maintain a copy of the incident report in the Veteran’s case record.

4) CONTRACTOR STAFF CONDUCT/COMPLAINTS HANDLING:

Contractor personnel shall be expected to treat referred Veterans with dignity and respect and abide by standards of conduct mirroring those prescribed by current federal personnel regulations. Contractor shall comply with the VA Patient's Bill of Rights as set forth in 38 CFR 17.34a (copy available upon request).

The VA reserves the right to exclude Contractor staff members from providing services to Veterans under this contract based on breaches of conduct, including conduct that jeopardizes patient care or interferes with the regular and ordinary provision of the services. Breaches of conduct include intoxication or debilitation resulting from drug use, theft, patient abuse, dereliction or negligence in performing directed tasks, or other conduct resulting in formal complaints by Veterans or other staff members to designated Government representatives. Contractor and Contracting Officer Representative (COR) shall deal with issues raised concerning contractor personnel conduct. The Contracting Officer shall be the final arbiter on questions of acceptability and in validating complaints.

5) TRANSPORTATION:

Contractor shall assist the Veterans with local transportation for job search and/other related vocational activities. Contractor will be expected to help the Veteran access public transportation, including providing information and instructions necessary to enable Veterans to utilize public transportation. If BCVAMC staff determines that adequate public transportation is not available or appropriate for a Veteran, Contractor shall arrange for alternative transport by car or taxi.

6) BILLING:

Unless specifically excluded in this contract, the rate established will include the services listed in this Statement of Work (SOW) and will also include all services or supplies normally provided other Veterans by the facility without extra charge. Payments made by the Battle Creek VA Medical Center under this contract shall constitute the TOTAL cost of care and services to the homeless Veterans. If a Veteran is admitted to or discharged from services on the same calendar day, payment will not be authorized. Absences of the Veteran from services will not be reimbursed. Contractor shall submit electronic invoices by the 7th of every month.

SECTION C - CONTRACT CLAUSES

C.1 52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL ITEMS (JAN 2017)

(a) Inspection/Acceptance. The Contractor shall only tender for acceptance those items that conform to the requirements of this contract. The Government reserves the right to inspect or test any supplies or services that have been tendered for acceptance. The Government may require repair or replacement of nonconforming supplies or reperformance of nonconforming services at no increase in contract price. If repair/replacement or reperformance will not correct the defects or is not possible, the Government may seek an equitable price reduction or adequate consideration for acceptance of nonconforming supplies or services. The Government must exercise its post-acceptance rights—

(1) Within a reasonable time after the defect was discovered or should have been discovered; and

(2) Before any substantial change occurs in the condition of the item, unless the change is due to the defect in the item.

(b) Assignment. The Contractor or its assignee may assign its rights to receive payment due as a result of performance of this contract to a bank, trust company, or other financing institution, including any Federal lending agency in accordance with the Assignment of Claims Act (31 U.S.C. 3727). However, when a third party makes payment (e.g., use of the Governmentwide commercial purchase card), the Contractor may not assign its rights to receive payment under this contract.

(c) Changes. Changes in the terms and conditions of this contract may be made only by written agreement of the parties.

(d) Disputes. This contract is subject to 41 U.S.C. chapter 71, Contract Disputes. Failure of the parties to this contract to reach agreement on any request for equitable adjustment, claim, appeal or action arising under or relating to this contract shall be a dispute to be resolved in accordance with the clause at FAR 52.233-1, Disputes, which is incorporated herein by reference. The Contractor shall proceed diligently with performance of this contract, pending final resolution of any dispute arising under the contract.

(e) Definitions. The clause at FAR 52.202-1, Definitions, is incorporated herein by reference.

(f) Excusable delays. The Contractor shall be liable for default unless nonperformance is caused by an occurrence beyond the reasonable control of the Contractor and without its fault or negligence such as, acts of God or the public enemy, acts of the Government in either its sovereign or contractual capacity, fires, floods, epidemics, quarantine restrictions, strikes, unusually severe weather, and delays of common carriers. The Contractor shall notify the Contracting Officer in writing as soon as it is reasonably possible after the commencement of any excusable delay, setting forth the full particulars in connection therewith, shall remedy such occurrence with all reasonable dispatch, and shall promptly give written notice to the Contracting Officer of the cessation of such occurrence.

(g) Invoice.

(1) The Contractor shall submit an original invoice and three copies (or electronic invoice, if authorized) to the address designated in the contract to receive invoices. An invoice must include—

(i) Name and address of the Contractor;

(ii) Invoice date and number;

(iii) Contract number, line item number and, if applicable, the order number;

(iv) Description, quantity, unit of measure, unit price and extended price of the items delivered;

(v) Shipping number and date of shipment, including the bill of lading number and weight of shipment if shipped on Government bill of lading;

(vi) Terms of any discount for prompt payment offered;

(vii) Name and address of official to whom payment is to be sent;

(viii) Name, title, and phone number of person to notify in event of defective invoice; and

(ix) Taxpayer Identification Number (TIN). The Contractor shall include its TIN on the invoice only if required elsewhere in this contract.

(x) Electronic funds transfer (EFT) banking information.

(A) The Contractor shall include EFT banking information on the invoice only if required elsewhere in this contract.

(B) If EFT banking information is not required to be on the invoice, in order for the invoice to be a proper invoice, the Contractor shall have submitted correct EFT banking information in accordance with the applicable solicitation provision, contract clause (e.g., 52.232-33, Payment by Electronic Funds Transfer—System for Award Management, or 52.232-34, Payment by Electronic Funds Transfer—Other Than System for Award Management), or applicable agency procedures.

(C) EFT banking information is not required if the Government waived the requirement to pay by EFT.

(2) Invoices will be handled in accordance with the Prompt Payment Act (31 U.S.C. 3903) and Office of Management and Budget (OMB) prompt payment regulations at 5 CFR part 1315.

(h) Patent indemnity. The Contractor shall indemnify the Government and its officers, employees and agents against liability, including costs, for actual or alleged direct or contributory infringement of, or inducement to infringe, any United States or foreign patent, trademark or copyright, arising out of the performance of this contract, provided the Contractor is reasonably notified of such claims and proceedings.

(i) Payment.—

(1) Items accepted. Payment shall be made for items accepted by the Government that have been delivered to the delivery destinations set forth in this contract.

(2) Prompt payment. The Government will make payment in accordance with the Prompt Payment Act (31 U.S.C. 3903) and prompt payment regulations at 5 CFR part 1315.

(3) Electronic Funds Transfer (EFT). If the Government makes payment by EFT, see 52.212-5(b) for the appropriate EFT clause.

(4) Discount. In connection with any discount offered for early payment, time shall be computed from the date of the invoice. For the purpose of computing the discount earned, payment shall be considered to have been made on the date which appears on the payment check or the specified payment date if an electronic funds transfer payment is made.

(5) Overpayments. If the Contractor becomes aware of a duplicate contract financing or invoice payment or that the Government has otherwise overpaid on a contract financing or invoice payment, the Contractor shall—

(i) Remit the overpayment amount to the payment office cited in the contract along with a description of the overpayment including the—

(A) Circumstances of the overpayment (e.g., duplicate payment, erroneous payment, liquidation errors, date(s) of overpayment);

(B) Affected contract number and delivery order number, if applicable;

(C) Affected line item or subline item, if applicable; and

(D) Contractor point of contact.

(ii) Provide a copy of the remittance and supporting documentation to the Contracting Officer.

(6) Interest.

(i) All amounts that become payable by the Contractor to the Government under this contract shall bear simple interest from the date due until paid unless paid within 30 days of becoming due. The interest rate shall be the interest rate established by the Secretary of the Treasury as provided in 41 U.S.C. 7109, which is applicable to the period in which the amount becomes due, as provided in (i)(6)(v) of this clause, and then at the rate applicable for each six-month period as fixed by the Secretary until the amount is paid.

(ii) The Government may issue a demand for payment to the Contractor upon finding a debt is due under the contract.

(iii) Final decisions. The Contracting Officer will issue a final decision as required by 33.211 if—

(A) The Contracting Officer and the Contractor are unable to reach agreement on the existence or amount of a debt within 30 days;

(B) The Contractor fails to liquidate a debt previously demanded by the Contracting Officer within the timeline specified in the demand for payment unless the amounts were not repaid because the Contractor has requested an installment payment agreement; or

(C) The Contractor requests a deferment of collection on a debt previously demanded by the Contracting Officer (see 32.607-2).

(iv) If a demand for payment was previously issued for the debt, the demand for payment included in the final decision shall identify the same due date as the original demand for payment.

(v) Amounts shall be due at the earliest of the following dates:

(A) The date fixed under this contract.

(B) The date of the first written demand for payment, including any demand for payment resulting from a default termination.

(vi) The interest charge shall be computed for the actual number of calendar days involved beginning on the due date and ending on—

(A) The date on which the designated office receives payment from the Contractor;

(B) The date of issuance of a Government check to the Contractor from which an amount otherwise payable has been withheld as a credit against the contract debt; or

(C) The date on which an amount withheld and applied to the contract debt would otherwise have become payable to the Contractor.

(vii) The interest charge made under this clause may be reduced under the procedures prescribed in 32.608-2 of the Federal Acquisition Regulation in effect on the date of this contract.

(j) Risk of loss. Unless the contract specifically provides otherwise, risk of loss or damage to the supplies provided under this contract shall remain with the Contractor until, and shall pass to the Government upon:

(1) Delivery of the supplies to a carrier, if transportation is f.o.b. origin; or

(2) Delivery of the supplies to the Government at the destination specified in the contract, if transportation is f.o.b. destination.

(k) Taxes. The contract price includes all applicable Federal, State, and local taxes and duties.

(l) Termination for the Government's convenience. The Government reserves the right to terminate this contract, or any part hereof, for its sole convenience. In the event of such termination, the Contractor shall immediately stop all work hereunder and shall immediately cause any and all of its suppliers and subcontractors to cease work. Subject to the terms of this contract, the Contractor shall be paid a percentage of the contract price reflecting the percentage of the work performed prior to the notice of termination, plus reasonable charges the Contractor can demonstrate to the satisfaction of the Government using its standard record keeping system, have resulted from the termination. The Contractor shall not be required to comply with the cost accounting standards or contract cost principles for this purpose. This paragraph does not give the Government any right to audit the Contractor's records. The Contractor shall not be paid for any work performed or costs incurred which reasonably could have been avoided.

(m) Termination for cause. The Government may terminate this contract, or any part hereof, for cause in the event of any default by the Contractor, or if the Contractor fails to comply with any contract terms and conditions, or fails to provide the Government, upon request, with adequate assurances of future performance. In the event of termination for cause, the Government shall not be liable to the Contractor for any amount for supplies or services not accepted, and the Contractor shall be liable to the Government for any and all rights and remedies provided by law. If it is determined that the Government improperly terminated this contract for default, such termination shall be deemed a termination for convenience.

(n) Title. Unless specified elsewhere in this contract, title to items furnished under this contract shall pass to the Government upon acceptance, regardless of when or where the Government takes physical possession.

(o) Warranty. The Contractor warrants and implies that the items delivered hereunder are merchantable and fit for use for the particular purpose described in this contract.

(p) Limitation of liability. Except as otherwise provided by an express warranty, the Contractor will not be liable to the Government for consequential damages resulting from any defect or deficiencies in accepted items.

(q) Other compliances. The Contractor shall comply with all applicable Federal, State and local laws, executive orders, rules and regulations applicable to its performance under this contract.

(r) Compliance with laws unique to Government contracts. The Contractor agrees to comply with 31 U.S.C. 1352 relating to limitations on the use of appropriated funds to influence certain Federal contracts; 18 U.S.C. 431 relating to officials not to benefit; 40 U.S.C. chapter 37, Contract Work Hours and Safety Standards; 41 U.S.C. chapter 87, Kickbacks; 41 U.S.C. 4712 and 10 U.S.C. 2409 relating to whistleblower protections; 49 U.S.C. 40118, Fly American; and 41 U.S.C. chapter 21 relating to procurement integrity.

(s) Order of precedence. Any inconsistencies in this solicitation or contract shall be resolved by giving precedence in the following order:

(1) The schedule of supplies/services.

(2) The Assignments, Disputes, Payments, Invoice, Other Compliances, Compliance with Laws Unique to Government Contracts, and Unauthorized Obligations paragraphs of this clause;

(3) The clause at 52.212-5.

(4) Addenda to this solicitation or contract, including any license agreements for computer software.

(5) Solicitation provisions if this is a solicitation.

(6) Other paragraphs of this clause.

(7) The Standard Form 1449.

(8) Other documents, exhibits, and attachments

(9) The specification.

(t) System for Award Management (SAM).

(1) Unless exempted by an addendum to this contract, the Contractor is responsible during performance and through final payment of any contract for the accuracy and completeness of the data within the SAM database, and for any liability resulting from the Government's reliance on inaccurate or incomplete data. To remain registered in the SAM database after the initial registration, the Contractor is required to review and update on an annual basis from the date of initial registration or subsequent updates its information in the SAM database to ensure it is current, accurate and complete. Updating information in the SAM does not alter the terms and conditions of this contract and is not a substitute for a properly executed contractual document.

(2)(i) If a Contractor has legally changed its business name, "doing business as" name, or division name (whichever is shown on the contract), or has transferred the assets used in performing the contract, but has not completed the necessary requirements regarding novation and change-of-name agreements in FAR subpart 42.12, the Contractor shall provide the responsible Contracting Officer a minimum of one business day's written notification of its intention to (A) change the name in the SAM database; (B) comply with the requirements of subpart 42.12; and (C) agree in writing to the timeline and procedures…

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