QA amendment Amendment one 1103.26.xlsx

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USMMA Medical, Dental, Counseling services
Solicitation number
6923G227R00002
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This file is a Questions and Answers (Q&A) document for RFP 6923G227R000002, addressing 55 clarifications submitted by offerors regarding the U.S. Merchant Marine Academy (USMMA) medical, dental, and counseling services contract.

The contract is a single-award Indefinite Delivery Indefinite Quantity (IDIQ) with a hybrid pricing structure combining Firm-Fixed-Price (FFP) and Time-and-Materials (T&M) task orders. Services are limited to approximately 1,000 USMMA Midshipmen only, excluding faculty and staff except for specified vaccinations. The base period runs from January 28, 2027, through March 31, 2027, followed by four one-year option periods and a six-month extension, totaling 192,335 labor hours at an estimated cost of $30.1 million (base plus four option years only, excluding the extension). Offerors must hold Joint Commission accreditation or equivalent at proposal submission and award. Weekend staffing includes two Physician Assistants, one Registered Nurse, and one Medical Office Assistant, with physician accessibility for supervision; full annual hours of 34,970 must be priced even though services are not provided during federal holidays and academy closure periods, with non-worked hours neither ordered nor invoiced. Key personnel include a minimum of one Clinical Psychologist, with offerors determining the mix of additional mental health staff; a minimum of one on-site Clinical Psychologist is required. The contract encompasses on-site medical and diagnostic lab services (7 days/week, 365 days/year with no volume cap), pharmacy services, dental services, orthopedic team physician coverage for approximately four home football games annually, mental health and counseling services including 24/7 access, and coordination of off-site referrals with remedies for Midshipmen copayments. Professional liability insurance must be $2,000,000 per specialty per occurrence, with a certificate of insurance acceptable at Phase I submission. The acquisition is full and open competition under NAICS code 621399; FAR 52.219-14 (Limitations on Subcontracting) does not apply, and small business offerors are not required to submit a small business subcontracting plan. Phase I proposals must include technical approach (12 pages maximum, not including SF 1449, SAM.gov reports, insurance documentation, or a required quality assurance process and plan of up to 3 pages) and past performance questionnaires; Phase II (price and oral presentation) will be required only for selected offerors. Past performance must demonstrate prime contractor experience covering medical, dental, and counseling services, though joint venture member experience is acceptable. Oral presentations must include proposed key personnel who will perform work under the contract.

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RFP 6923G227R000002 -Questions and Answers
No.ReferenceOfferors QuestionGovernment response
1RFP p. 4, Section BSection B describes this requirement as “an IDIQ contract for campus-wide maintenance services.” Please confirm this should read medical, dental, and counseling services.Corrected with Amendment one. See attached Revised RFP. All changes highlighted in yellow.
2RFP p. 4, Section B; p. 80, M.3Section B states Task Orders may be Firm-Fixed-Price and/or Time-and-Materials, while Section M.3 states a Firm-Fixed-Price IDIQ will be awarded. Please confirm the anticipated Task Order type(s) and whether all items should be priced on a firm-fixed-price basis.See Revised RFP Amendment One. A Hybrid type of IDIQ will be awarded. Take a look at the RFP and the excel spreadsheet Pricing sheet for contract type (FFP and/Or T&M). All changes higlighted in yellow.
3RFP p. 5, Overview; PWS p. 4, Section CThe Overview states care is to be provided to “Midshipmen as well as Staff,” while PWS Section C states services are for an estimated 1,000 Midshipmen. Please confirm the eligible beneficiary population and whether USMMA staff/faculty are included beyond the vaccinations referenced in PWS p. 37.See Revised RFP Amendment One and Updated PWS Amendment One .Section C language is correct. This is only for Midshipmen, not faculty or any USMMA Staff. Staff & faculty are not included for vaccines.
4RFP p. 5, Overview; PWS p. 35The RFP requires compliance with Joint Commission standards, and PWS p. 35 states DHS shall be considered an ambulatory satellite facility of the contractor’s home facility/program for accreditation and inspection. Is the offeror required to hold Joint Commission (or other) accreditation at the time of proposal or award, or is compliance with Joint Commission standards during performance sufficient?Offerors are required to hold Joint Commission (or other) accreditation at the time of proposal submission and at time of award. The accreditation must be documented in the proposal and clearly identify the percentage of each party involved and tasks of contract performance throughout the term of the IDIQ and its Task Orders.
5RFP p. 5, Overview; PWS p. 33The base period begins January 28, 2027, and PWS p. 33 describes a 60–90 calendar day transition period prior to the contract start date. Please provide the anticipated award date and confirm whether transition activities prior to the start date are separately compensable.Period of Performance includes the transition period of 60 days.Current contract ends on March 31, 2027. See the Attachment - Updated PWS Amendment one.
6RFP pp. 6–12, Section B-1; PWS p. 5, Section EPWS Section E states weekend medical staffing is reduced to one Physician Assistant, one Registered Nurse, and one Medical Office Assistant, while the Section B-1 staffing plan includes Physician-MD weekend hours and two part-time Physician Assistant lines on Saturday/Sunday. Please confirm the weekend staffing to be priced.See the attached Updated PWS Amendment one. Yellow highlighted sections for changes. This should read two, not one Physician Assistants, one registered Nurse one Medical Office Assistant or equivalent. Changed in PWS. Since Physician Assistants require access to an MD for supervision needs, MD week end hours were included for pricing. to account for this. The MD would be accessible but not required to be on site.
7RFP pp. 6–12, Section B-1; PWS pp. 38–40The staffing plan combines “Clinical Psychologist/Social Worker/Counselor” across three lines, while the PWS designates the Clinical Psychologist as Key Personnel and the Mental Health Counselor/Social Worker as non-key. Please confirm the minimum number of Clinical Psychologist positions required and whether offerors may determine the mix for the remaining lines. Please also confirm the “Nutritionist” line corresponds to the Registered Dietitian described in PWS p. 38.Minimum of one Clinical Psychologist. Offerors may determine the mix for the remaining lines. Also confirming the “Nutritionist” line corresponds to the Registered Dietitian described in PWS p. 38. "or Nutritionist" was added to the PWS P.38
8RFP pp. 6–12, Section B-1; PWS p. 31The staffing plan and Attachment 2 calculate hours based on 52 weeks, while PWS p. 31 states services shall not be provided on Federal holidays or during Academy closure periods (e.g., winter recess, semester breaks, and summer leave). Please confirm whether offerors should price the full 34,970 annual hours and how hours not worked during closure periods will be ordered and invoiced.Please note that this section also states except as otherwise determined by the COR, based on Academy needs and The Academy may reduce operational times / hours accordingly for some / all listed on site

medical/health services staff, up to and including eliminating some or all work days and/or hours within the regular Monday through Friday schedule during these periods.. Offerors should price the full 34,970 annual hours in anticipation of being required to work. Hours not worked during closure periods will not be ordered or invoiced for.

9RFP pp. 13–15, Section B-2; Attachment 2, Tabs 2–3Section B-2 and Attachment 2 (Tab 2) list items that have no associated labor hours in Section B-1 (e.g., II. C Orthopedic Team Physician, III.B Contractor Furnished Supplies & Equipment, IV.B Pharmacy Services, IV.C On-Site Diagnostic Lab Services, IV.F 24/7/365 Mental Health Access, and X Offsite Medical/Health Services). Since offerors may not change the hours, please clarify how these items should be priced (e.g., as a monthly unit price on Tab 2, or under “Equipment” / “Any other costs” on Tab 3).Counseling services FY25 historical report, FY25 lab Services report,
10RFP p. 15, Section B-2; Attachment 2, Tab 1The RFP and Attachment 2 state total hours of 192,695 for the base period, four option years, and six-month extension. Five years at 34,970 hours plus 17,485 hours for the six-month extension totals 192,335 hours. Please confirm the correct total.See Attachment -Updated RFP Amendment One and the Attachment 2- Updated Pricing sheet for the correction to 192,335 hours.
11Attachment 2, Tabs 1 and 3Tab 1 builds the Total Proposed Hourly Rate from the Hourly Labor Rate, Hourly Benefits Rate, and Hourly Malpractice Rate, while Tab 3 requests fully loaded rates with direct and indirect costs. Please confirm where overhead, G&A, and profit should be reflected on Tab 1.Yes.All proposed rates should be fully loaded and all breakdown information must be clearly identified in the Attachment 1- Pricing Sheet (Phase II).
12RFP p. 56, 52.219-14; p. 70, L.1Section L states this acquisition is not a small business set-aside and is a full and open competition, but FAR 52.219-14, Limitations on Subcontracting, is included. Please confirm whether 52.219-14 applies to this acquisition.FAR 52.219-14 does not apply to this requirement. FAR Part 52.219-14 is deleted. See Attachment -Updated RFP amendment one.
13RFP p. 60; PWS pp. 29, 33, 49The RFP lists Program Manager, Physician, Physician Assistant, Registered Nurse, Clinical Psychologist, Dentist, EMS Supervisor, and Workers Compensation/Insurance Specialist as Key Personnel. PWS p. 29 states all approved contractor personnel are considered Key Personnel, and PWS p. 49 lists a Contract Manager (non-key) rather than a Program Manager. Please confirm (a) which positions are Key Personnel; (b) whether “Program Manager” refers to the Contract Manager; and (c) the required notice period for replacement of Key Personnel (30 days per PWS p. 29 versus 45 days per PWS p. 33).PWS P 29 corrected on PWS. Removed any reference to all approved contract personnel as being key personnel. Any Key personnel are indicated in the on site professional healthcare support services section beginning on p.34. Contract Manager refers to any on site contract management or program manager. 45 days was corrected to 30 days on page 33
14RFP p. 71, L.1.1(e)L.1.1(e) requires a copy of the offeror’s liability insurance of not less than $2,000,000 per specialty per occurrence with the Phase I proposal. Please clarify (a) whether this refers to professional (malpractice) liability, general liability, or both; (b) whether an aggregate limit is required; and (c) whether a certificate or binder demonstrating the offeror will obtain the required coverage upon award is acceptable at proposal submission.Professional liability limits must be no less than $2,000,000 per specialty per occurance.A certificate of insurance of demonstrating that the requireed coverage will be active upon award is acceptable at the time of Phase I proposal submission.
15RFP p. 71, L.1.2(a.1)Please clarify what is meant by “the existing percentage of available staff required per the PWS and the RFP” (e.g., the percentage of proposed personnel currently employed by or committed to the offeror at the time of proposal submission).See RFP section B-Section 1- Proposed Staffing Plan, page 6-12 and Section B-Section 2 price schedule page 13-15 for the base plus four one year options and six months extension.
16RFP pp. 71–72, L.1.1 and L.1.2Please confirm (a) whether the SF 1449, SAM.gov reports, insurance documentation, and Small Business Subcontracting Plan count toward the 12-page limit for Volume I; and (b) any required font size, margins, and page size.See the Attachment - Updated RFP Amendment One. Small business subcontracting Plan, SAM report and the Insurances do not count towards the 12 page. Quality assurance process and plan is also not included towards the 12 page limit.
17PWS p. 4, Section B; PWS p. 59, Section V.BPWS p. 4 states the proposal should include a quality assurance process for off-site referrals and a remedy for Midshipmen financially impacted by co-pays, and PWS p. 59 states the Quality Control Program shall be forwarded with the initial proposal. Please confirm whether these items are to be submitted in Phase I (Volume I) and whether they count toward the 12-page limit.Yes, it must be submitted with Factor one -Technical Approach, Phase I. Offeror must submit Quality assurance process and plan to mitigate risk (total 3 pages based on Government Quality Assurance Surveillance Plan in the PWS, page 7, section 1 with your proposal. Quality assurance process and plan (3 pages) is not included to the total Phase I -Volume I-Factor I- Technical Approach 12 pages. See the Attachment -Updated RFP, Amendment One.
18RFP p. 72, L.1.2(e); PWS p. 34PWS p. 34 states proof of malpractice/liability insurance “and cost” shall be provided as part of any offer, while L.1.2(e) states Volume I must not contain any price information. Please confirm that insurance cost should be provided only in Phase II (Volume III).Submit a copy of the Offeror’s liability insurance issued by a responsible insurance carrier of not less than the following amount(s) per specialty per occurrence: $2,000,000.00 USD.’ Beyond this stated amount, no price/cost information should be included in the Phase I offer. See the Attachment Updatedd RFP Amendment one.
19RFP p. 72, L.1.3(a) and (c)L.1.3(a) measures past performance recency from the date of RFP closure, while L.1.3(c) measures it from the date of RFP posting. Please confirm which date governs.Section L.1.3© corrected to RFP closures. See attachment Updated RFP, Amendment One.
20RFP p. 72, L.1.3(c)L.1.3(c) states past performance will only be considered for projects where the offeror was the prime contractor. If the offeror is a joint venture, may the past performance of the joint venture’s members be submitted? Will the Government consider past performance of proposed major subcontractors?Joint venture member can be considered. Government will not consider past Performance of proposed major subcontractor.
21RFP p. 75, M.1.1.2(a); p. 71, L.1.1(g)M.1.1.2(a) states the Small Business Subcontracting Plan will be evaluated for the degree of small business participation, while L.1.1(g) requires the plan only from large businesses. Please clarify how small business participation will be evaluated for an offeror that is a small business under NAICS 621399.This requirement is only for Large business offerors. Small businesses offerors do not submit Small business subcontracting Plan as clearly stated in the RFP.
22RFP p. 80, M.3The Relative Order of Importance lists Factor I (Technical Approach), then Factor II (Past Performance), then Factor IV (Oral Presentation), but also states that all non-price factors are equal in importance. Please clarify the relative importance of the non-price factors.See Attachmment Updated RFP Amendment One, section M.3 Amendment one. All changes are higlighted in yellow.
23RFP p. 70, L.1Section L addresses questions relating to Phase I. Will offerors proceeding to Phase II have an opportunity to submit questions regarding Phase II (Price and Oral Presentation)?No additional questions will be allowed during the phase II.
24PWS pp. 27, 30PWS p. 27 states contract employees will undergo a Government-conducted background check, while PWS p. 30 references obtaining a security clearance that may take 6 weeks (60 to 90 days). Please confirm the required investigation or position sensitivity level and the anticipated processing time.The langauge on p. 27 is correct and the processing time may be 60-90 days. This langauge was added to p. 27. References to security clearances on page 30 are redundent and have been removed from the PWS. See the Attachment 1-Updated PWS amendment one.
25PWS p. 4, Section C; p. 30, Section KTo support staffing and pricing, please provide historical workload data, including annual medical, dental, and counseling visit volumes and the annual number of sea duty, U.S. Coast Guard licensing, and commissioning physical examinations.It is the responsibility of the offeror to propose the staffing and pricing based on the PWS , RFP and the attachment Updated Pricing sheet Amendment one. Ensuring to fill up all tabs per the RFP for Phase II -Factor 3 - Price. Exhibit 1- DHS Counseling/Mental health FY25 historical iinformation provided.
26PWS pp. 44–45The PWS references Part 800 requirements for New York State certified ambulances and states the contractor “provides backup ambulance equipment.” Please confirm whether the contractor is required to provide, staff, or maintain an ambulance or other EMS vehicle, or whether these duties are limited to EMS Supervisor oversight, training, and equipment readiness.These duties are limited to the contractor's EMS Supervisor oversight, training and equipment readiness. Provision of back up ambulance references have been removed. See the Attachment 1- Updated PWS amendment one.
27PWS pp. 51, 54Please provide the estimated number of home football games, wrestling events, and NCAA championship or conference events per year requiring orthopedic team physician coverage.The estimated number of home football games requiring an orthopedic team physician is four. Per RFP, Only 1 initial assessment of the wresting team but no additional orthopedic coverage for wrestling. See Attachment 2- Updated Pricing sheet -quantities of orthopedic coverage (Amendment one).
28PWS p. 52, Section III.BThe PWS states the contractor will provide supplies and equipment “at cost plus shipping/handling.” Please confirm whether supplies and equipment will be reimbursed at cost plus shipping/handling, or priced as a firm-fixed monthly amount under item III.B.Phase II -Factor III - Price -the offerors will be requested to submit quote for Attachment 2- Updated Pricing sheet -Amendment one, contractor supplies and equipment list (FFP) as a part of the IDIQ which will be utilized for the furture Task Orders under the IDIQ. See the Attached Updated RFP Amendment One.
29PWS pp. 52–53, Section III; p. 64, Section IX.APWS p. 52 states Government-furnished equipment will be connected to the DOT/MARAD network, while PWS p. 53 states the contractor may be required to provide equipment and network access independent of USMMA IT, and PWS p. 64 requires a patient scheduling system accessible via the USMMA network. Please clarify (a) whether offerors should price contractor-furnished IT equipment and network access; (b) whether the contractor is to furnish the system used to maintain Midshipmen medical records; and (c) whether the patient scheduling system is to be contractor-furnished.offerors should price contractor-furnished IT equipment and network access as a part of Attachment 2 -Updated Pricing sheet- tab Supplies and Equipment list (Phase II -Factor III - Price; USMMA has a medical record paper based system. The patient scheduling system will be furnished by the contractor. See attached Updated RFP Amendment One.
30PWS p. 55, Section IV.COn-site diagnostic lab services are to be provided 7 days a week, 365 days a year, with no cap on volume, and billed directly to USMMA. Please provide historical annual laboratory testing volumes and confirm how these services should be priced and invoiced.See Attachment 2- Updated Pricing sheet , tab Laboratory test list posted with Amendment one.
31PWS p. 55, Section IV.BPlease confirm whether the cost of the on-site over-the-counter formulary and non-patient-specific floor stock medications is to be included in the contractor’s price, and provide historical annual usage if available.The on-site over-the-counter formulary and non-patient-specific floor stock medications is to be included in the contractor’s price. Historical annual usage not presently available
32PWS pp. 60–61, Section V.EThe PWS references insurance reimbursements received by the contractor as compensation for medical care provided to Midshipmen. Please clarify whether the contractor is expected to bill Midshipmen’s private insurance or FECA for any services rendered on-site at DHS, or whether all on-site services are covered solely by the contract price.All on-site services are covered solely by the contract price. Contractor does not bill insurances of Midshipmen.
33PWS p. 65, Section XPlease clarify what is to be priced under item X, Offsite Medical/Health Services, and confirm the contractor is not financially responsible for the cost of offsite care billed to Midshipmen’s insurance.Contractor is not responsible financially for the cost of offsite care billed to Midshipmen insurance. Contractor is responsible for coordinating this care per p. 65, section X.Rick
34RFP §B, p. 4, Incumbent/SpendingPlease identify the incumbent contract number and contractor and provide annual obligated amounts for the previous three fiscal years.693JF725C000011 awarded to North Shore University Hospital. Government cannot provide the obligated information on the contract.
35PWS §C, p. 4, Patient Utilizationannual encounters by medical, dental, behavioral health, and emergency services.Based on YTD 2025, Medical approximately 5936, Dental 1500, behavioral health 2110, EMS 500.Rick
36RFP §B, staffing tables; Staffing BaselinePlease provide incumbent staffing by labor category, filled positions, vacancies, actual hours, and overtime.693JF725C000011 awarded to North Shore University Hospital. Government cannot provide the obligated information on the contract.
37RFP §B, staffing tables; Staffing FlexibilitesAre stated staffing hours mandatory minimums, or may offerors propose alternate configurations meeting coverage requirements?Mandatory minimums
38RFP §L.1.4 / staffing tables; Non labor pricingPlease confirm evaluated total hours, including any six-month extension, and reconcile them to annual staffing schedules.Total labor hours in the Attachment -Updated RFP and the Attachment 2- Updated pricing sheet Amendment One includes total hours of 192,335 for the base year with four one year options with six month extension.
39PWS §III; Equipment InventoryPlease provide government-furnished equipment inventory and clarify maintenance and replacement responsibility.See Attachment 2- Updated Pricing sheet -Amendment One -Tab Supplies and equipment list
40PWS §IV.B; Pharmacy volumesPlease provide historical prescriptions, delivery frequency, after-hours utilization, and pharmacy-related costs.Prescriptions are insurance based and vary. Government cannot provide datas related to historical presicptions, delivery frequency nor after hour utilization information. Pharmacy costs are the contractor responsibility to estimate.
41PWS §IV.C; Laboratory volumesPlease provide historical lab testing volumes, types, and costs.See question 30 above
42PWS §IV.F; 24/7 mental healthProvide after-hours mental health contacts, crisis interventions, and at-sea utilization.See Exhibit 1- Counseling/Mental health FY25 report for information only.
43PWS §E, p. 5; Weekend coverageDo weekend staffing requirements remain unchanged during academic recesses and sea terms?Week end staffing would be subject to USMMA needs during these times. See page 31 of the Attachment -Updated PWS Amendment One
44PWS §B, p. 4; Off-site referralsPlease provide historical referral volumes, associated costs, and available data on patient copayments.Patient co payments are not monitored by USMMA. About 30% of the YTD 2025, Medical approximately 5936, Dental 1500, behavioral health 2110 would be referrals
45PWS §B, p. 4; Copayment remediesPlease clarify the required remedy for avoidable off-site referral copayments and any limitation on contractor liability.Per page 4, section B, the contractor is to providde a remedy related to co pays suffered by Midshipmen under insurance for any vist that could have been managed onsite USMMA at no cost to the Midshipmen.
46PWS §IV.D; Physical examsPlease provide annual counts of sea-duty, USCG licensing, commissioning and other required physicals.About 30-50% of all encounters involve sea duty clearance, USCG licensing exams & commissioning exams.
47RFP §L.1.1; InsurancePlease clarify professional liability limits and whether umbrella coverage satisfies the requirement.Professional liability limits must be no less than $2,000,000 per specialty per occurance.A certificate of insurance of demonstrating that the requireed coverage will be active upon award is acceptable at the time of Phase I proposal submission.
48RFP §L.1.3; Past PerformancePlease confirm whether qualifying subcontractor experience may supplement the required prime-contract reference.No. Past Performance Questionnaires is one of the mandatory requirements. If an offeror wants to provide a CPARs they may provide as an additional document but not in lieu of the Past Performance Questionnaires.
49RFP §L.1.3; Reference scopeMust the single reference cover every clinical service, or can it demonstrate substantial comparable scope?Past Performance Example must meet medical, dental, counseling etc. per the Attachment -1 UpdatedPWS Amendment One and the Attachment Updated RFP Amendment One.
50RFP §L.1.5; Oral PresentationMust oral presenters be proposed contract personnel, or may supporting corporate leaders participate?During the Oral presentation Government must be able to see the Key Personnel who are going to be assigned under the Task Order to perform the Task Orders under the IDIQ. See the RFP, Phase II Factor IV - Oral Presentation.
51RFP §B, p. 4; IDIQ CeilingDoes the $30.1 million ceiling include any six-month extension and all task-order types?No. it includes base plus four one year options only.
52Attachment 4- Subcontracting PlanIs the small business subcontracting plan evaluated technically or reviewed for compliance only, and are specific goals mandatory?Yes, it will be reviewed for compliance and goals as identified for Large Business offerors only.
53RFP §B / pricing instructions; Order typesPlease reconcile IDIQ FFP/T&M task-order language with the fully burdened rate and fixed-price pricing instructions.See the Attachment Updated RFP Amendment One and the updated Attachment 2- Updated Pricing sheet Amendment One.
54RFP §L.1.3; Past PerformanceWill the Government accept CPARS in lieu of Past performance Questionnaires.No. Past Performance Questionnaires is one of the mandatory requirements. If an offeror wants to provide a CPARs they may provide as an additional document but not in lieu of the Past Performance Questionnaires.
55Attachment 2, pricing worksheet; Pricing worksheet, schedule labor rates tab line 32, 33Please provide a description of the types of waste to be picked up, weight, and frequency of pick upSee attachment 2- Updated Pricing sheet -Amendment One -Phase II-Factor III -Price- Tab Waste Management.

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