QA1-Final_08122022_1500.pdf

Questions and Answers RFQ 70B03C22Q00000081

Number Reference Questions Answers

1 How many positions are currently being staffed by contracted personnel and may transition to the awarded vendor?

CBP cannot guarantee or estimate the number of personnel willing to continue employment with a new contractor.

2 Is there a need for standby medical (ambulance) at the processing centers or forward medical units, or will we continue to use Local Medical Treatment

Facilities and the 911 system?

No. The Government pays directly for the treatment and transportation of patients referred to Local Medical Treatment

Facilities (in emergency or non-emergency situations).

3 How long after the award of contract will we be expected to execute?

Transition plan will be due 7-10 calendar days after Contract Award. CBP will host a

Post Award Conference for Contractor

Attendance/Participation. At such meeting, PMO, OA and Contractor will discuss deliverables, timelines and expected deadlines.

4 When will the vendor be told the evaluation result and provided with a soft advisory if we can proceed & submit for Phase 2?

See Page 2 of the RFQ:

In Phase One, contractors will be evaluated on their corporate experience. Offerors who believe they are well suited to complete the mission as described in the SOW will submit responses to be evaluated.

These responses will then be evaluated and quoters will be advised by the CO, based on their Phase One evaluation results, whether or not they should proceed to Phase Two of the evaluation process. This will be a soft advisory, providing the contractor the choice of whether or not to proceed to the next phase.

5 What percentage of the required staffing is the incumbent vendor currently providing?

Not relevant to this RFQ.

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6 Is the current incumbent vendor using subcontracted vendors?

Incumbent contractor business arrangements cannot be disclosed.

7 The SOW states that phase one is due on 8-12, in the description of the solicitation it states 8-19.

What is the correct date for submission of Phase

Phase One submissions are due 8-17-2022.

Phase Two submissions are due 8-26-2022.

8 Multiple supplier questions

Can you please confirm whether the due date for

Phase 1 submissions is 8/12/2022 or 8/19/2022?

Phase One submissions are due 8-17-2022.

Phase Two submissions are due 8-26-2022.

9 This solicitation requires offerors to have a

VA/FSS 621i Schedule Contract. Some of thepositions listed on the Pricing Worksheet (e.g., National Security and Background

InvestigationManager, National Human Resource

Manager and National Accounting and Budget

Manager,among others) are administrative positions and are not included on 621i. In order to be incompliance with GSA, will the government consider allowing offerors to utilize pricing onother

GSA MAS schedule contracts?

Offerors may submit any non-621 I pricing as open market pricing.

10 Box #8 on the SF 1449 shows the due date is

8/19/22, however under Additional Information on page 3 of the 1449 the phase one due date is shown as 8/12/22. Please confirm the phase one due date and amend the solicitation to eliminate the inconsistency.

Phase One submissions are due 8-17-2022.

Phase Two submissions are due 8-26-2022.

11 Does the government have a preferred plan/sequence/timeframe for onboarding the T&M personnel for each of the locations as identified in the pricing worksheet for this RFQ

Transition plan will be due 7-10 calendar days after Contract Award. CBP will host a

Post Award Conference for Contractor

Attendance/Participation. At such meeting, PMO, CO and Contractor will discuss deliverables, timelines and expected deadlines.

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70B03C22Q0081-

A03-

RFQ_SOW_0803202

2,

pg. 3 of 97

Will the Government consider a two-week extension to the due dates for Phase 1 and Phase

2? If not, would an extension to Phase 2 be considered after the soft advisory is provided by the Government? With this accelerated response schedule, bidders will have less time to generate an optimal solution to this complex requirement and we highly recommend a reasonable extension to the due date.

Phase One submissions are due 8-17-2022.

Phase Two submissions are due 8-26-2022.

13 70B03C22Q0081-

A03-

RFQ_SOW_0803202

2, Section III.18.A., pg.

Is there a page limitation to Volume 1 - Corporate

Experience?

A maximum of 5 pages for Volume I

A maximum of 25 pages for Volume II

70B03C22Q0081-

A03-

RFQ_SOW_0803202

2, Appendix A

All performance locations are in the southwest region as anticipated. Does the Government anticipate introducing other regions for performance in the future such as the northern border, OCONUS, and ports of entry?

Other locations may be considered and would be added to the contract as a

(supplemental SOW) contract modification.

Ports of Entry (PoE) along the southwest border are already included in the solicitation.

15 The solicitation states the contractor is responsible for obtaining a CLIA certificate for each POC testing location; that request is not in the deliverables in appendix B. Please advise if ther request is valid.

The request is valid, contractors will be responsible for obtaining CLIA waivers or certificates for each POC testing locations.

These are not required at the time the contract is awarded but will need to be established in an expeditious manner.

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16 Please provide a job description for all positions in the request Appendix C, Medical Organization

Chart, shows support staff as RN, LPN, CMA, CNA, CWP,LPC, LCSW, BHA – none of those positions are included in the Pricing Worksheet;

are they already in place or is this something that should be included in the proposal as an addition?

Appendix D, Position Descriptions, has been added to the solicitation.

17 The Pricing Worksheet shows a request for a price for “Medical Unit Set Up”, could you provide a breakdown of those requirements and advise if any of the locations are already existing?

Appendix E, Medical Formulary and

Supplies, has been added to the solicitation.

18 The SOW requests pricing for “Other Direct Costs” which includes b) Materials, Equipment, or Other

Direct Costs; please provide a detailed list of materials and equipment the contractor is expected to provide so pricing can be sought.

Appendix E, Medical Formulary and

Supplies, has been added to the solicitation.

If the contractor identifies, at a particular site, additional or off-list items, a request for a pricing change to the CO (via the COR) will be required.

19 Could you advise please of the amount of travel required between stations so a reasonable NTE price can be included in the bid package?

A not-to-exceed travel estimate has been added to the Pricing Worksheet.

20 Does “Sector Travel” include the travel related expenses of deploying personnel to the location?

A not-to-exceed travel estimate has been added to the Pricing Worksheet.

21 Line 23 on the Pricing Worksheet requests a discrete price for “Surge” please provide details of what is included in the requirement.

The "Surge Labor" table has been removed from the Pricing Worksheet. Offeror can edit Worksheet formulas or numbers as appropriate.

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2.0 Scope of Work, 2nd paragraph

Regarding CLIA. Can contractors obtain a CLIA waiver? The tests identified in the requirement are identified on CMS list of CLIA waivered tests.

The request is valid, contractors will be responsible for obtaining CLIA waivers or certificates for each POC testing locations.

These are not required at the time the contract is awarded but will need to be established in an expeditious manner.

2.0 Scope of Work, 2nd paragraph

Are CLIA waivers available for FML pop-up sites? OCMO will determine if FMLs will require

POC testing on a case by case basis.

Contractors will be responsible for obtaining

CLIA waivers or certificates for each testing locations if indicated. These are not required at the time the contract is awarded but will need to be established in an expeditious manner.

2.0 Scope of Work

Does medical logistics support require the

Contractor to provide ambulances, other medical transport vehicles and mobile medical clinics/units?

No

2.0 Scope of Work

Does the government require the contractor, in establishing referrals to local health systems, to establish formal written provider agreements to include third party payment procedures and treatment authorizations? If yes, will the government require the Contractor seek prior approval from CBP for outside community referrals? Will the government pay the medical institution/healthcare providers? If yes, will the government pay based on Medicare/Medicaid rates?

No the Government does not require the contractor to establish any agreements with local health systems. The Government pays directly for the treatment and transportation of patients referred to Local

Medical Treatment Facilities (in emergency or non-emergency situations).

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3.1 Task Category 1:

Medical Services and

Support

Will the government require the Contractor to provide and maintain medical emergency vehicles onsite at the MU’s and FMLs to transport patients to local health care institutions or healthcare providers?

No. The Government pays directly for the treatment and transportation of patients referred to Local Medical Treatment

Facilities (in emergency or non-emergency situations).

3.1 Task Category 1:

Medical Services and

Support

The government states MUs and FMLs will be located in remote locations and may be required to be moved to various locations. Will the government require the Contractor to provide mobile medical clinics/units to support the deployment of our staff to MUs and FMLs at various locations as determined by the government? If no, will the government provide medical clinics with the necessary infrastructure to provide examination and treatment rooms, offices, pharmacy, supply room, biohazardous room, and triage areas?

No, the government will not require the

Contractor to provide mobile medical clinics/units. Yes, the government will provide medical clinics with the necessary infrastructure to provide examination and treatment rooms, offices, pharmacy, supply room, biohazardous room, and triage areas

3.1 Task Category 1:

Medical Services and

Support

The government requires the Contractor to provide appropriate storage, including cold storage, for medications and other applicable medical supplies. To provide the appropriate storage of medications, vaccines, and other medical supplies requires refrigerators and freezers which meet CDC guidelines and requirements. Will the government require the

Contractor to provide these CDC compliant refrigerators and freezers at every MU and FML

Government Furnished Equipment is available, if deemed necessary.

3.1 Task Category 1:

Medical Services and

Support

The government requires the Contractor take custody of non-US prescribed medication. Will the government provide a locked room/location to store, secure and control at MUs and FMLs prescription medication?

Yes, the government provides a locked room/location to store, secure and control at

MUs and FMLs prescription medication.

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3.1 Task Category 1:

Medical Services and

Support

The government requires the Contractor to comply with all Government supplied medical provision standard operating procedures. Does the

Government have an established set of clinical guidelines and nursing protocols which the

Contractor is required to comply?

Yes, the contractor is required to comply with all local, state, and federal applicable regulations. The contractor will be required to develop their own medical quality management program per the SOW.

3.1 Task Category 1:

Medical Services and

Support

This section states that the family medicine model does not require licensed physicians to be at the

MU locations. Please verify that this is the case -that physicians are only to be used for telehealth and supervisory roles and not deployed in the field as are other HCPs.

The family medicine model does not require licensed physicians to be at the MU locations however supervising physicians will need to be available as described in their position descriptions.

3.2 Task Category 2:

Program

Management, Administration and

Expectations

Will the Government furnish the Contractor computer equipment, i.e., laptops to electronically transmit administrative/program management reports? Will the government provide access to the Contractor to electronically transmit PII data through the government’s Internet?

Yes, the Government will furnish the

Contractor computer equipment. Yes, the government will provide access to the

Contractor to electronically transmit PII data.

3.4 Electronic

Medical Record

(EMR) Application

System

The government requires the Contractor to utilize the CBP EMR system to document medical information as directed. Will the government require the Contractor to establish an interface with CBP EMR System with the Contractor’s telehealth/telemedicine platform and electronic medication administration record system?

No, the contractor will utilize the CBP

Electronic Medical Records System and the

CBP Medicine Application.

12.1 – Key Personnel

Please clarify which credentials, if any, the key personnel are required to hold for the various positions.

Refer to Position Descriptions / Appendix D, Position Descriptions, has been added to the solicitation.

35 III.18.A - General

Instructions for the

Preparation and

Submission of

Quotations

Where would the government like for the signed

SF1449 be included? As part of one of the Volume submission or separately as it’s own attachement?

Separate signed SF 1449's for Phase I and

Phase II are required.

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36 Additionally, should SF1149 and any issued amendments be submitted in Phase I, Phase II, or both?

Separate signed SF 1449's for Phase I and

Phase II are required.

37 III.18.A - General

Instructions for the

Preparation and

Submission of

Quotations

What are the font and page limit requirements, if any, for the submission?

A maximum of 5 pages for Volume I

A maximum of 25 pages for Volume II

Fonts: Arial, Times New Roman, Calibri =

10pt to 12pt

38 III.21 – Relative

Importance of

Evaluation Factors

How will Phase I responses be evaluated? Phase One submissions are due 8-17-2022.

Phase Two submissions are due 8-26-2022.

Page 11, Section

II.13(b)(17)

Page 57, SOW 15.1

Large business offerors on the 621I Federal

Supply Schedule are required to maintain a Small

Business Subcontracting Plan at the schedule level. Does CBP require a small business subcontracting plan for the task order in addition to the subcontracting plan at the schedule level, or will the FSS-level plan be acceptable?

Large Business offerors must submit their

FSS-level small business subcontracting plan with their Phase II responses.

Page 13, Section

II.13(c)(1)

Please provide the list of wage determinations and revision numbers presently applicable to this procurement for each service location or confirm that offerors should default to the most current wage determinations applicable to their the 621I

Federal Supply Schedule contract.

Wage Determinations for Texas, Arizona, New Mexico and California are attached to the RFQ.

Page 14, Section

II.13(c)(6)

Please confirm what services/labor categories are exempt from the application of Service Contract

Labor Standards requirements on this solicitation.

Wage Determinations for Texas, Arizona, New Mexico and California are attached to the RFQ.

Page 26, Section

II.30.B

Article II.30 DISCLOSURE OF INFORMATION

Paragraph B refers to "Rights in Data clause". No

Rights in Data clause is included in the solicitation, can the Government please remove this reference?

DISCLOSURE OF INFORMATION (MAR

2003) will remain in the solicitation (and resulting contract) as written.

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43 Page 42, SOW

3.1.28

Please provide a copy of Appendix D. Appendix D, Position Descriptions, has been added to the solicitation.

Page 43, SOW 3.2.2

Please confirm whether the “Facilities Program

Manager” and “Facilities Project Manager” listed in the Pricing Worksheet are equivalent to the

Project Manager and Deputy Project Managers listed in SOW 3.2.2.

Yes, they are equivalent and the Position

Descriptions will be updated to reflect this.

Page 49, SOW 3.4.G

Please specify the meaning of “each area” and confirm the number of areas requiring an EMR

SME? Please define the roles/responsibilities of the EMR SME.

"each area" references a Sector or Field

Office. (definitions, roles and responsibilities to be added)

Page 53, SOW 5.1

When is the comprehensive Transition-In Plan due to the Government?

7-10 Calendar days after award.

During post-award conference meeting, contractor shall present Government with comprehensive plan outlining implementation of personnel at identified medical unit locations.

Page 56, SOW 12.4

SOW 12.4 references OPM position descriptions, and SOW 3.1.28 references position descriptions provided via Appendix D. Can you please confirm/provide the position descriptions mapping to the labor categories defined in SOW 12.1?

Appendix D, Position Descriptions, has been added to the solicitation.

Page 93, Section

III.18.B

Please confirm whether solicitation representations and certifications in Section III should be included in the Volume II submission.

Certifications and representations, if not complete and accurate at www.SAM.gov, must be included with the Phase II submission.

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Page 95, Section

III.19

Please confirm that the evaluation language in this section reflects the Government’s intent to evaluate proposals for best value versus

"technically acceptable”. Sections III.21 and III.22 reflect this understanding but III.19 can be interpreted to allow for “technically acceptable” to serve as a basis for award decision.

The Provision GENERAL EVALUATION

INFORMATION will be corrected to reflect a

Best Value evaluation.

Pricing Worksheet

Please define the Government’s instruction regarding line items stating “Discrete Quote” in the

Total Price columns. Are contractors being asked to provide any pricing information for those line items at this time, or are those to be treated as

Not Separately Priced (NSP) line items?

The "Surge Labor" block has been removed from the Pricing Worksheet. Offeror can edit formulas or numbers as appropriate. A not-to-exceed estimate has been added to the Pricing Worksheet for these items.

Pricing Worksheet

Is the Government amenable to treating the

Supervising Physicians as FFP line items versus

T&M line items?

Offerors are responsible to develop a pricing structure that accurately supports the business approach/solution they develop for this requirement.

Pricing Worksheet

Many line items in the pricing worksheet are specifically written to require “EMT or Paramedic” for medical support personnel, where other parts of the solicitation include labor categories that are also considered medical support personnel (e.g.

SOW 3.1.3 includes LVN/LPNs, EMTs, or CMAs in the definition, SOW 3.1.20 includes Certified

Nursing Assistants in the definition, and the table in SOW 12.1 also includes these positions). Will all categories of “medical support personnel” (to include EMTs, Paramedics, LVN/LPNs, CMAs, and/or CNAs) be considered as acceptable to fill the line items presently noted as “EMT or

Paramedic”?

Offerors are responsible to develop a staffing structure that accurately supports the business approach/solution they develop for this requirement.

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Pricing Worksheet

Many of the positions listed in the Labor Category table in SOW 12.1 are not associated with priced line items in the pricing worksheet. Is it a correct understanding that positions not specifically listed in Lines 12-398 are not planned/required positions to start on 9/30/2022, but may be required at some point during the period of performance?

Offerors are responsible to develop a staffing structure that accurately supports the business approach/solution they develop for this requirement. Due to the changing/evolving situation on the southwest border, the Government may require different personnel during the performance of the contract.

Pricing Worksheet

The Key Personnel in section 12.1 do not match those listed in the Surge Labor section of the pricing worksheet. Can the Government please clarify which table is correct?

The "Surge Labor" block has been removed from the Pricing Worksheet. Offeror can edit formulas or numbers as appropriate.

Pricing Worksheet

The formulas on the latest pricing spreadsheet in

Columns O – R are not calculating correctly. Can

Offerors fix the formulas themselves, or would the

Government like to correct and reissue the attachment?

Offeror can edit formulas or numbers as appropriate.

Pricing Worksheet

Is escalation allowed for the option years? If so, is it acceptable to the Government if Offerors adjust formulas themselves to include escalation?

Escalation is allowed per your Schedule contract. Offerors are responsible to develop a competitive pricing structure that accurately supports the business approach/solution they develop for this requirement. Offerors can edit formulas or numbers as appropriate.

Pricing Worksheet

What is the intent of the Surge CLIN in the

Contractor HQ section, and how does the

Government anticipate using it? Currently, it is very difficult to provide a price for that CLIN without specific guidance as to how it will be used.

The "Surge Labor" block has been removed from the Pricing Worksheet. Offeror can edit formulas or numbers as appropriate

Pricing Worksheet

Where should offerors price in the continued sustainment of equipment, materials, and supplies?

A not-to-exceed estimate has been added to the Pricing Worksheet for these items.

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Pricing Worksheet

Is there a reason the Sector Supervising Physician in the Del Rio sector is only 8 hours/day compared to 24 hours/day in all of the other sectors?

The pricing worksheet has been updated to reflect the SOW.

60 On page 54 and 55, the SOW presents a table with a first column entitled “Product Description,” and containing position titles, some of which are indicated as “key personnel.” This table is not introduced in the narrative, so it is unclear whether the non-key positions represent a required list of personnel, or a nominal listing of potential positions. Please clarify the intent of this table.

Table will be amended for clarity and will reflect Key Personnel

61 The table presented on page 55 includes the positions of Facilities Program Manager and

Facilities Project Manager. Please clarify the difference between these two positions in terms of duties and qualifications.

Table will be amended for clarity and will reflect Key Personnel

62 The table presented on page 55 includes the positions of Deputy Medical Director and National

Deputy Medical Director. Please clarify the difference between these two positions in terms of duties and qualifications or confirm that the two positions are one and the same.

Table will be amended for clarity and will reflect Key Personnel

63 The table presented on page 55 includes the positions of Deputy Program Director and National

Deputy Program Director. Please clarify the difference between these two positions in terms of duties and qualifications or confirm that the two positions are one and the same.

Table will be amended for clarity and will reflect Key Personnel

64 Please clarify if the terms “region” and “sector” are equivalent in reference to positions in the SOW and the pricing worksheet.

"Region" and "Sector" are synonymous with one another; may be use interchangeably.

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65 The solicitation on page 94 indicates that key personnel resumes are excluded from the page count, but page count limitations do not appear elsewhere in the document. Please clarify the page count limitations for Volumes I, III and IV.

Maximum of 25 Pages per Volume.

Fonts: Arial, Times New Roman, Calibri =

10pt to 12pt

66 The solicitation included an unnumbered attachment presenting a Past Experience

Reference Information Sheet template. The instructions in the solicitation on page 94 for

Volume IV do not address this sheet. If the sheet is intended to be used as the required format for citations required for Volume IV, please clarify if offerors should revise the template to match items required per page 95 of the solicitation (e.g., contract type). Also please clarify if there is a page limitation for each sheet, or for Volume IV overall.

Maximum of 25 Pages per Volume.

Fonts: Arial, Times New Roman, Calibri =

10pt to 12pt

67 What is the NAICS code for this program? There are two different NAICS codes mentioned in the solicitation. The cover has 561320 $30M and P. 2 has NAICS 621999 $16.5M and page 90 also mentions 621999.

NAICS Code 561320, Size Standard $30M, applies to this requirement. The Solicitation will be amended to clarify this.

68 Are computers and IT infrastructure for the contractor provided by the DHA, Customs and

Border Patrol?

Yes.

69 Is the Prime held to the Small Business goals established for the VA Schedule Contract 621 I, Professional and Allied Healthcare Staffing

Services or are there specific small business goals for this program?

Large Business offerors must submit their

FSS-level small business subcontracting plan with their Phase II responses.

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70 On Page 43, #22 it is stated that “MUs typically require staffing 24/7, requiring the contracted medical staff to be present during the day, evening, weekends, and holidays. During expansion periods, Contractor may be required to activate facilities at a reduced staffing level, as approved by OCMO.” Does activate include infrastructure and utilities and all other logistics and engineering costs of standing up a new

No, activation will not require infrastructure, utililities and logisitcs on the part of the contractor as medical units are established within CBP-maintained facilities.

71 Is there any Government Furnished Equipment for the existing Medical Units or will the Contractor be responsible for suppling all equipment, consumables, and medications?

Government Furnished Equipment will be provided by the government; contractor responsible for providing medical eqipment and supplies, as well as medications (cost to be reimbursed by government)

72 Will the DHS - Customs & Border Protection provide all infectious disease vaccines in addition to the COVID 19 vaccine (3.1 #21)? If not, what are the vaccines required and the anticipated volumes to be priced?

Regarding Infectious Disease Vaccines, government will not provide, would ask contractor to order vaccines and all necessary equipment for administration, then reimburse contractor for cost;

Regarding required vaccines, this is To Be

Determined; PMO will coordinate with contractor regarding appropriate vaccines when required/deemed necessary

73 Does DHS - Customs & Border Protection currently provide Cold Storage (Ultra Cold) for the

COVID 19 vaccine or will the Contractor be required to procure and provide these at each location?

No, Ultra Cold storage is not currently provided by the government; the contractor would be required to procure and provide this type of equipment at each location if and when indicated.

74 Will the Contractor be required to provide additional medical equipment for the Forward

Medical Locations or newly established Medical

Units?

Yes, additional medical equipment will need to be provided by the contractor at each location if and when indicated.

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75 Can you provide us with the “Medical Formulary and Supplies and Supplies List” appendix as indicated in 3.1 #24?

Appendix E, Medical Formulary and

Supplies, will be included in the solicitation.

76 Can you define what DHS - Customs & Border

Protection means by “Public health/infectious disease support”? Is this providing a Public Health individual to perform these functions as outlined in

3.1 #9 in coordination with the CBP OCMO or the utilization of existing medical personnel to provide the CBP OCMO with support?

Contractor will provide PMO with strategic plan outlining notification steps following identification of communicable diseases (i.e.

notificaiton to OCMO, local health offices and National CDC notification steps).

77 Section 3.1 #3 indicated that the “advanced practice providers” shall be paired with support personnel as appropriate (such as LVN/LPNs, EMTs, or CMAs) but the Pricing Worksheet

08032022 only lists EMT or Paramedic labor categories. Are the as LVN/LPNs, EMTs, or CMAs allowed to be utilized as personnel support for the advanced practice providers (Physicians or

Physician Assistants or Nurse Practitioners)?

EMTs and paramedics should be considered the primary line of effort for support staff. Additional labor categories of support staff can be utilized as secondary with approval from OCMO.

78 Is it expected that the Contractor dispense the medications as identified in 3.1 #8 or only to provide a prescription?

Yes, the contractor will be expected to provide medications on the formulary and write presciptions for medications as indicated.

79 On the pricing sheet row “Sector Travel Expenses” the government does not ask for a price but makes a statement “Discrete Quote”. Is the

Government going to give the awardee a fixed amount for this expense or do you want the bidder to provide an expense? Additionally, on Page 63, Section 17.0 Travel, the government speaks to a

Not To Exceed (NTE) amount. What is this

A not-to-exceed estimate for certain elements in the Pricing Worksheet has been added. Offeror can edit formulas or numbers as appropriate.

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80 Similarly, the pricing sheet provides “Medical Unit

Setup” and government does not ask for a price.

Is the Government going to give the awardee a fixed amount for this expense or do you want the bidder to provide an expense? If the bidder has to provide the pricing what are the components of the setup and would they include consumables, medication, equipment, mobilization and supplies.

A not-to-exceed estimate for certain elements in the Pricing Worksheet has been added. Offeror can edit formulas or numbers as appropriate.

81 On the pricing sheet what expenses are included in “surge” for the contractor HQ?

The "Surge Labor" table has been removed from the Pricing Worksheet. Offeror can edit Worksheet formulas or numbers as appropriate.

SF 1449 Additional

Information

States “Pricing; (4a) Time-and-Material (T&M)

Labor; (4b) T&M Materials (if applicable); (4c) Firm

Fixed Price (FPP) Labor (if applicable); (4d) FFP

Materials”. It is not clear where offerors are to propose costs for T&M Materials and FFP materials. Additionally, there are no metrics provided for these items. Please confirm that offerors only need to submit

“Pricing+Worksheet_08032022.xlsx” and do not have to price T&M and FFP materials.

A not-to-exceed estimate has been added to the Pricing Worksheet for these items.

Item 4d had been deleted. All Materials are a predetermined T&M price.

SF 1449 Additional

Information

States “This is a request for quotation (RFQ) for medical screening services issued only to holders of VA Schedule Contract 621 I…” Are offerors required to stay within their unit prices on their published VA Schedule 621 I?

Offerors are responsible to develop a competitive pricing structure that accurately supports the business approach/solution they develop for this requirement. Pricing must reflect their VA Schedule pricing or reflect a discount to their VA Schedule pricing.

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Section II.14(c)

Please confirm if the Service Contract Labor

Standards does or does not apply, as both clauses are selected.

Service Contract Labor Standards Clauses from the VA FSS Contract are apllicable.

Wage Determinations for Texas, Arizona, New Mexico and California are attached to the RFQ.

II.38 Statement of

Work, 2.0 Scope of

Work

“The Contractor shall obtain CLIA certification, for each medical location that performs point of care

(POC) testing.” Can the government please disclose the number of current medical locations that performs POC testing?

To date, all established medical units (78 in total) currently perform Point of Care (POC) testing.

II.38 Statement of

Work, 3.1 Task

Category 1: Medical

Services and Support

“Forward Medical Locations (FMLs) will be established in forward/remote locations as identified by CBP”. The section further mentions establishing FMLs at temporary processing sites, etc. Is there an expected timeline/performance measure that Offerors would be expected to meet in establishing these “pop-up” locations? (i.e.

within 24hrs of notice? 48 hours? Etc.). This also opens the question of the ability to meet migrant surges. How quickly will Contractors be expected to staff up to meet unplanned surges to meet CBP expectations? Is that the 72 hours specified in subparagraph 16?

Yes, contractor would have 72 hours to shift

BI cleared personnel to areas needing additional personnel. This 72 hours would be the performance measure.

II.38 Statement of

Work, 3.1 Task

Category 1: Medical

Services and Support

Subparagraph 19. This section mentions operating at CBP Forward Operating Bases

(FOBs). Historically, these are fairly austere and remote locations, where agents actually reside for specific lengths of time. Will the medical staff also be housed on site, or will Contractors be expected to provide housing and/or transportation to maintain 24/7 staffing?

There is no housing on site, nor is housing provided by the Government. Any and all housing is the responsibility of the contractor, and off site. Travel is approved and reimbursed in line with the Federal

Travel Regulation (FTR).

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II.38 Statement of

Work, 3.1 Task

Category 1: Medical

Services and Support

Item 12: Please expand on the contractor’s responsibility to refer patients to Local Medical

Treatment Facilities. Who manages transportation, who pays the LMTF, etc.?

The contractor is responsible for referring the detainee to the LMTF as medically indicated; the Government is responsible for transportation and payment

Statement of Work,

3.1 Task Category 1:

Medical Services and

Support

States “The Contractor shall provide all MUs and

FMLs with the necessary equipment, supplies, consumables…” Will the government please provide an inventory list of all equipment, supplies, consumables currently being utilized at the MUs and FMLs?

Appendix E, Medical Formulary and

Supplies, has been added to the solicitation.

90 Statement of Work,

3.2 Task Category 2:

Program

Management, Administration and

Expectations

Medical Formulary and Supplies The term Bill of Materials is herby deleted, and is now known as the Pricing Schedule in the RFQ.

II.38 Statement of

Work, 3.2 Task

Category 2: Program

Management, Administration and

Expectations

Subparagraph 8. “Contractor shall provide completed CBP Background Investigation credentialing packets for all candidates requiring clearance to the government within 7 days from the start date of the new contract.” CBP background checks have historically been slow.

Will CBP be able to grant interim clearance to these employees if CBP cannot complete the background check in time for these employees to

CBP does grant interim clearances, however no rapid vetting is possible under this contract. All contractors working with mirgrants are required to have a CBP BI and Prision Rape Elimination Act (PREA) screening and training (prior to facility access).

Page 18 of 39 8/12/2022, 3:02 PM

Statement of Work,

3.2 Task Category 2:

Program

Management, Administration and

Expectations

States “The Contractor shall manage all DHS

PALMS training requirements by ensuring employees have completed necessary required and ad hoc training and scheduling future training to meet deadline requirements listed next to each required training.” Question – please confirm that all orientation and training will be performed during normal duty hours and all associated costs will be borne by the Government? If not borne by the government, will the Government please provide the average time required to complete DHS

PALMS training.

On average, individual PALMS courses take approximately 1 hour.

II.38 Statement of

Work, 3.2 Task

Category 2: Program

Management, Administration and

Expectations

Subparagraph 27. “The program management support personnel for each area (sector/field office) where the contract is active…”. Does this mean PM support staff will not be required to be physically located at stations, FOBs, and other remote sites - just at sector/field office level?

Office/operating space is tight at these locations because of organizational growth. Will the PM support staff be provided workspace, or will

Contractors be required to provide the space

(trailers, etc.)?

The SOW defines area as Sector/Field

Office to define regions that should be supervised by PMs and DPMs. The

Government expects these personnel to oversee all Medical Units within their assigned area to ensure proper operations and accountability of contracted employees.

The PM support staff will be provided workspace.

94 II.38 Statement of

Work, 3.2 Task

Category 2: Program

Management, Administration and

Expectations

Subparagraph 30. “…CBP requires onsite medical operation program manager (PM) and deputy program managers (DPM)…” By “onsite”, does this mean regionally, or at each operating location to work with “local operational command staff”?

"Onsite" refers to both regional and local command staff.

Page 19 of 39 8/12/2022, 3:02 PM

95 II.38 Statement of

Work, 3.2 Task

Category 2: Program

Management, Administration and

Expectations

Can the government please identify which program management personnel are required to be onsite and which can provide offsite support?

Management staff not assigned to a specific medical unit can provide on-site or off-site management support.

96 II.38 Statement of

Work, 3.2 Task

Category 2: Program

Management, Administration and

Expectations

Item 42: Please confirm what EMR CBP uses. It is a CBP proprietary system

97 II.5.1, Incoming

Transition.

Please clarify the length of the transition-in period. No less than 30 days but no more than 60 days, after contract award.

Statement of Work,

12.4 Position

Descriptions

The position descriptions for all the categories listed in the pricing worksheet/RFQ cannot be found at the OPM link provided. Please provide the positions descriptions/requirements for each position required to support this contract.

Appendix D, Position Descriptions, has been added to the solicitation.

99 III.18 General

Instructions for the

Preparation and

Submission of

Quotations (Oct

2008). B. Volume II

(Phase Two) –

Cost/Price

There is a requirement in the RFQ to show the breakdown of costs for travel and ODCs; however, our understanding of “Discrete Quotes” means that we are not being asked to price travel and

ODCs for this submission. We respectfully request that the Government remove these requirements from the Cost/Price submission.

A not-to-exceed estimate for certain elements in the Pricing Worksheet has been added. Offeror can edit formulas or numbers as appropriate.

Page 20 of 39 8/12/2022, 3:02 PM

III.20 Cost or Price

Evaluation (MAR

2003)

States “A cost realism evaluation will be performed for all cost reimbursement contract awards. (See FAR 15.305). Cost realism will be a significant factor in the award decision.” Since this is not a cost reimbursement contract and direct labor/compensation is not disclosed, how does the

Government intend to analyze cost realism?

A cost or price realism will not be performed. The clause has been removed from the RFQ. This acquisition falls under

FAR Part 8.

General

Are there page limitations for any section within any of the four Volumes?

A maximum of 5 pages for Volume I

A maximum of 25 pages for Volume II

General

Are there general font requirements for narrative and tables/figures?

Arial, Times New Roman, Calibri = 10pt to

12pt

General

What is the period of validity required for our offers and pricing? 120 days? 180 days?

180 Days.

General

Please provide a version of the RFQ document in

Microsoft Word.

CBP will keep the document as a .PDF.

Statement of Work,

2.0 Scope of Work

States “Provides telehealth/telemedicine/tele-reach back capability as required or directed for forward medical locations and remote medical personnel.” Question – Please confirm that the

Government will provide all telehealth equipment necessary to perform these tasks.

At this time telehealth/telemedicine/tele-reach back capability is limited to basic telephonic equipment. If additional equipment is required a contract modification would be made for procurement.

Statement of Work,

3.1 Task Category 1:

Medical Services and

Support

States “The Contractor shall maintain new Medical

Units, as directed, with appropriate personnel, equipment, and consumables needed to support the unique needs requested location by location.”

Question – Will the Government please provide a list of equipment, medical supplies, and consumables that are required at each MU?

Appendix E, Medical Formulary and

Supplies, has been added to the solicitation.

Page 21 of 39 8/12/2022, 3:02 PM

Statement of Work,

3.1 Task Category 1:

Medical Services and

Support

States “This will ensure the medications and supplies identified in the Medical Formulary and

Supplies and Supplies List in the Appendix are in adequate supply at each designated MU while lessening the risk of waste.” Question – please provide the Medical Formulary and Supplies and

Supplies List.

Appendix E, Medical Formulary and

Supplies, has been added to the solicitation.

Statement of Work,

3.1 Task Category 1:

Medical Services and

Support

States “The Contractor shall be responsible for enacting and administering a cost-efficient strategy for proper disposal of biohazardous waste material in accordance with all state and federal regulation.” Question – please confirm the costs associated with biohazardous waste disposal will be borne by the Government.

Contractor will need to figure these biohazardous waste disposal service costs into ODCs.

N/A

Due to the size and complexity of this procurement, we respectfully request a 1-month extension to the Phase Two due date.

Phase One submissions are due 8-17-2022.

Phase Two submissions are due 8-26-2022.

Pricing+Worksheet_0

8032022.xlsx

Please confirm that offerors are not to price the items with “Discrete Quote” on the pricing worksheet.

The words "Discrete Quote" have been removed from the RFQ. No pricing information required. A not-to-exceed estimate for certain elements have been added.

Page 22 of 39 8/12/2022, 3:02 PM

Pricing+Worksheet_0

8032022.xlsx

Please confirm that offerors are not expected to provide a quote for the following line items labeled

“Discrete Quote”. If quotes are required at this time, please provide metrics or historical data for each of the following items, at each location:

Product Description

Equipment, Materials and Supplies

Surge

Travel

Sector Travel Expenses

Medical Unit Setup

The words "Discrete Quote" have been removed from the RFQ. No pricing information required. A not-to-exceed estimate for certain elements have been added.

Pricing+Worksheet_0

8032022.xlsx

The Sector Supervising Physician at the following locations shows the “Medical Unit Daily Operation

(Hours)” at 24; however, there is only 1 “Shift Per

Day”. Is this an error, or is this position required to be present 24 hours/day?

Location

El Centro Sector

El Paso Sector

Laredo Sector

Rio Grande Valley Sector

San Diego Sector

Tucson Sector

Yuma Sector

Refer to page 48, SOW 3.3.8 - The position of Supervising Physician requires 24/7 on-call availability. This position is not required to be present, on-site, 24/7.

Page 23 of 39 8/12/2022, 3:02 PM

Pricing+Worksheet_0

8032022.xlsx

The following locations/product descriptions show the “Medical Unit Daily Operation (Hours)” at 16 for 3 “Shifts per day”. Please confirm that the

“Shifts per day” should only be 2. If that is not that case, please identify the 3 shifts.

Location Product Description

Presidio POE P or PA or NP

Presidio POE EMT or Paramedic

Santa Teresa POE NP or PA or P

Santa Teresa POE EMT or Paramedic

Tornillo POE NP or PA or P

Tornillo POE EMT or Paramedic

Calexico P, NP or PA

Calexico EMT or Paramedic

Douglas POE P, NP or PA

Douglas POE EMT or Paramedic

San Luis POE P, NP or PA

San Luis POE EMT or Paramedic

Lukeville POE P, NP or PA

Lukeville POE EMT or Paramedic

Sasabe POE P, NP or PA

Sasabe POE EMT or Paramedic

Naco POE P, NP or PA

Naco POE EMT or Paramedic

The following locations have medical units operating at 16 hours: Lukeville POE, Tornillo POE, Calexico POE, Columbus

POE, & Santa Teresa POE

Pricing+Worksheet_0

8032022.xlsx

The Sector Supervising Physician at Del Rio

Sector shows “Medical Unit Daily Operation

(Hours)” at 8; however, there are 3 “Shifts per day”. Please confirm this is an error and there is only 1 “Shift per day”.

Yes, this is an error. The "Daily Hour

Operations" for the position of Supervising

Physician is 24 hours. The supervising physician is expected to provide 24/7 on-call availability. Pricing worksheet has also been corrected.

Page 24 of 39 8/12/2022, 3:02 PM

Pricing+Worksheet_0

8032022.xlsx

Column O “Option Year One Total Price” through

Column R “Option Year Four Total Price” are not calculating correctly. For example, Column O

“Option Year One Total Price” multiplies column J

(Shifts per day) times Column N (no value).

Please advise.

Offeror can edit formulas or numbers as appropriate.

Pricing+Worksheet_0

8032022.xlsx

Shows “Total FTE Count: 1,045 to cover all shifts” and “Total FTE Hours: 2,006,400”; however, the sum of the line items in row 398 shows a “Total

FTE Count” of 1040 and “Yearly Full-Time

Employee (FTE) Hours” of 1,996,800. Please advise.

This is an error and has been corrected in an updated pricing worksheet

Pricing+Worksheet_0

8032022.xlsx

The Contractor HQ location has a line item showing “Program Manager of the Program

Management Office (PMO) with 12 Support Staff

(2 are direct to MQM Support)” for a “Total FTE

Count” of 13. Since there is a pay disparity between the Program Manager and the 12

Support Staff, we respectfully request that the

Government break this line item up into 2 different line items: 1 FTE Program Manager and 12 FTE

This is an error and has been corrected in an updated pricing worksheet

Pricing+Worksheet_0

8032022.xlsx

The blue “Surge Labor” table at the bottom of the worksheet has the following product descriptions that are labeled “Discrete Quotes” elsewhere on the worksheet. We respectfully request that these items be removed, or the Government provide metrics so that offerors can accurately price them.

Product Description

New Medical Unit Sites and Setup

Sector Medical Supplies

Sector Travel Expenses

The "Surge Labor" block has been removed from the Pricing Worksheet. Offeror can edit formulas or numbers as appropriate.

Page 25 of 39 8/12/2022, 3:02 PM

Statement of Work,

17.0 Travel

States “All travel required by the Government outside the local commuting area(s) will be reimbursed to the Contractor in accordance with the Federal Travel Regulations (FTR). The contract will include a NTE travel amount that cannot be exceeded without contract

Yes. The contract will include a NTE travel amount that cannot be exceeded without a contract modification.

III.18 General

Instructions for the

Preparation and

Submission of

Quotations (Oct

2008). B. Volume II

(Phase Two) –

Cost/Price

States “(2) Travel. All travel estimated for the period(s) of performance must be supported by a breakdown of proposed travel as to originations, destinations, estimated durations, purpose of travel, proposed travelers, and cost estimate of each trip. An estimated total for travel shall be shown.” Since travel is unknown and denoted with

“Discrete Quote” on the pricing worksheet, please confirm that offerors do not have to provide this information.

The "Surge Labor" table has been removed from the Pricing Worksheet. The Pricing

Worksheet includes a NTE travel amount.

121 III.18 General

Instructions for the

Preparation and

Submission of

Quotations (Oct

2008). B. Volume II

(Phase Two) –

Cost/Price

States (3) Other Direct Costs (ODC's). This element shall consist of: (a)

Consultants/Subcontractors; (b) Materials, Equipment, or Other Direct Costs”. Since these items are unknown and denoted with “Discrete

Quote” on the pricing worksheet, please confirm that offerors do not have to provide this information.

The "Surge Labor" table has been removed from the Pricing Worksheet. The Pricing

Worksheet includes a NTE travel amount.

II.13 Advisory

Considerations

Regarding e-QIP

With the change of the e-QIP to 3 days for this contract and 24hrs correction response time, what are the considerations for business days, holidays, or technical problems related to applicants responding to the e-QIP?

3 business days (72 hours) to respond to an eQIP invittion and 1 business day (24 hours) to respond to an eQIP invitation or correction.

123 II.37 Safeguarding of

Sensitive Information

Will electronic information be required to be stored on-site in local state hard drives?

No

Page 26 of 39 8/12/2022, 3:02 PM

2.0 Scope of Work

With the short start date for the first period of performance, will there be federal protections and considerations for CLIA waivers to be procured as they will need to be for each individual site where

POC is being performed?

Contractors will be responsible for obtaining

CLIA waivers or certificates for each POC testing location. These are not required at the time the contract is awarded but will need to be established in an expeditious manner.

General

Please provide a list of medical supplies utilized in the facilities

Appendix E, Medical Formulary and

Supplies, has been added to the solicitation.

2.0 Scope of Work

What equipment is required for “enhanced medical monitoring as required or directed for persons in CBP custody”?

At this time we do not anticipate additional equipment will be required for enhanced medical monitoring.

Statement of Work,

3.1 Task Category 1:

Medical Services and

Support

How is housing and lodging coordinated for

FMLs?

There is no housing on site, nor is housing provided by the Government. Any and all housing is the responsibility of the contractor, and is offsite. Travel is approved and reimbursed in line with the Federal

Travel…