70RFP321REH000008.pdf
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SEE ADDENDUMIS CHECKED
CODE 18a. PAYMENT WILL BE MADE BY
CODE
FACILITYCODE
17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER
OFFEROR
OPO/FPS/EACCG/HQ/NC
Philadelphia PA 19106
701 Market Street, Suite 3200 Ofc of Procurement Operations - FPS U.S. Dept. of Homeland Security DHS/FPS/East CCG/HQ-Natl Contracts
FPS HQ CODE 16. ADMINISTERED BYCODE
X
621511
SIZE STANDARD:
% FOR:SET ASIDE:UNRESTRICTED OR70RFP3
RFPIFB
10. THIS ACQUISITION ISCODE
RFQ
14. METHOD OF SOLICITATION
13b. RATING
NAICS:
SMALL BUSINESS
08/13/2021 1000 ET
07/30/2021
215-521-3055Fitzia Justice (No collect calls)
INFORMATION CALL:
FOR SOLICITATION 8. OFFER DUE DATE/LOCAL TIMEb. TELEPHONE NUMBERa. NAME
4. ORDER NUMBER3. AWARD/ 6. SOLICITATION
70RFP321REH000008
5. SOLICITATION NUMBER
SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS 1. REQUISITION NUMBER PAGE OF
1 134 192121WPO000P0014OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30
Attn:Fitzia L. Justice
TELEPHONE NO.
17a. CONTRACTOR/
Washington DC 20536 Suite 500 800 North Capital Street NW Department of Homeland Security Federal Protective Service HQ
15. DELIVER TO
Philadelphia PA 19106 701 Market Street, Suite 3200 Federal Protective Service Acq. Division Office of Procurement Operations U.S. Dept. of Homeland Security
9. ISSUED BY
7.
2. CONTRACT NO.
EFFECTIVE DATE
$35.00
18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW
ISSUE DATE
DELIVERY FOR FOB DESTINA-
TION UNLESS BLOCK IS
MARKED
11.
SEE SCHEDULEX
12. DISCOUNT TERMS
THIS CONTRACT IS A
RATED ORDER UNDER
DPAS (15 CFR 700)
13a.
SERVICE-DISABLED
VETERAN-OWNED
SMALL BUSINESS
HUBZONE SMALL
BUSINESS
8(A)
FPS EAST CCG DIV 3 ACQ DIV(70RFP3)
WOMEN-OWNED SMALL BUSINESS
(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED
SMALL BUSINESS PROGRAM
EDWOSB
24.
AMOUNT
23.
UNIT PRICE
22.
UNIT
21.
QUANTITY
20.
SCHEDULE OF SUPPLIES/SERVICES
19.
ITEM NO.
RQMT: Occupational Health & Medical Testing
The Federal Protective Service is issuing a competitive request for proposals (RFP)using FAR Parts 12 and 13.5 to solicit and award an IDIQ contract for the purpose of providing medical testing services for FPS employees.
Services are required in all 50 states,Puerto Rico,US Virgin Islands,Mariana Islands and Guam. All quantities are not to exceed quantities. Included with the RFP are five appendices.
HEREIN, IS ACCEPTED AS TO ITEMS:
XX
DATED
Peter J. Andrews
. YOUR OFFER ON SOLICITATION (BLOCK 5),
INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE SET FORTH
COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DELIVER
ARE
ARE
31c. DATE SIGNED
27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA
31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)
30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (Type or print)
ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY ADDITIONAL
SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED.
27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA
26. TOTAL AWARD AMOUNT (For Govt. Use Only)
OFFER
STANDARD FORM 1449 (REV. 2/2012)
Prescribed by GSA - FAR (48 CFR) 53.212
ARE NOT ATTACHED.
ARE NOT ATTACHED.
AUTHORIZED FOR LOCAL REPRODUCTION
PREVIOUS EDITION IS NOT USABLE
30b. NAME AND TITLE OF SIGNER (Type or print)
30a. SIGNATURE OF OFFEROR/CONTRACTOR
28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN
25. ACCOUNTING AND APPROPRIATION DATA
29. AWARD OF CONTRACT:
REF.
X
32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE
32c. DATE 32b. SIGNATURE OF AUTHORIZED GOVERNMENT REPRESENTATIVE
ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED:
32a. QUANTITY IN COLUMN 21 HAS BEEN
RECEIVED INSPECTED
40. PAID BY39. S/R VOUCHER NUMBER38. S/R ACCOUNT NUMBER
37. CHECK NUMBER
FINALPARTIAL
36. PAYMENT
FINALPARTIAL
35. AMOUNT VERIFIED
CORRECT FOR
34. VOUCHER NUMBER33. SHIP NUMBER
COMPLETE
32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE
42d. TOTAL CONTAINERS42c. DATE REC'D (YY/MM/DD)
42b. RECEIVED AT (Location)
42a. RECEIVED BY (Print)
41c. DATE41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER
41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT
STANDARD FORM 1449 (REV. 2/2012) BACK
24.
AMOUNT
23.
UNIT PRICE
22.
UNIT
21.
QUANTITY
20.
SCHEDULE OF SUPPLIES/SERVICES
19.
ITEM NO.
Appendix I GSA-FPS Medical Standards
Appendix II National Protection & Programs
Directorate Drug Plan
Appendix III 2011 National Agreement
Appendix IV Duty Locations
Appendix V HHS Drug Free Workplace
Period of Performance: 09/26/2021 to 09/25/2026
0001 Pre-Employment Medical Examination includes 250 EA
Scheduling Fees, Ancillary Test
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
FOB: Destination
Period of Performance: 09/26/2021 to 09/25/2022
0002 Pre-Employment Specialty Consultant Examination 285 EA
Includes Scheduling Fees, Ancillary Test
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
FOB: Destination
Period of Performance: 09/26/2021 to 09/25/2022
0003 Exit Medical Examination Includes Scheduling 4 EA
Continued ...
32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE
32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE
134 2 of
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
NAME OF OFFEROR OR CONTRACTOR
3 134
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
70RFP321REH000008
Fees, Ancillary Tests
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
FOB: Destination
Period of Performance: 09/26/2021 to 09/25/2022
0004 Fitness for Duty Medical Examination Includes 13 EA
Scheduling Fees, Ancillary Tests
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
FOB: Destination
Period of Performance: 09/26/2021 to 09/25/2022
0005 Fitness for Duty Medical Examination- Missed 3 EA
Appointment (no show)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
FOB: Destination
Period of Performance: 09/26/2021 to 09/25/2022
0006 Functional Capacity Exam with Report 5 EA
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
FOB: Destination
Period of Performance: 09/26/2021 to 09/05/2022
0007 Functional Capacity Exam -Missed Appointment (No 2 EA
Show)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
FOB: Destination
Period of Performance: 09/26/2021 to 09/25/2022
0008 Independent Medical Evaluation for Psychological 7 EA
Evaluation
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
Sponsored by GSA
FAR (48 CFR) 53.110
4 134
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
70RFP321REH000008
TESTING
FOB: Destination
Period of Performance: 09/26/2021 to 09/25/2022
0009 Independent Medical Evaluation for Psychological 2 EA
Evaluation -Missed Appointment (No Show)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
FOB: Destination
Period of Performance: 09/26/2021 to 09/25/2022
0010 Independent Medical Evaluation for 10 EA
Non-Psychological Exam
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
FOB: Destination
Period of Performance: 09/26/2021 to 09/25/2022
0011 Independent Medical Evaluation for 3 EA
Non-Psychological Exam -Missed Appointment (No
Show)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
FOB: Destination
Period of Performance: 09/26/2021 to 09/25/2022
0012 CDL Medical Examination includes Scheduling Fees, 4 EA
Ancillary Tests, Non-evidential Breath Test
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
FOB: Destination
Period of Performance: 09/26/2021 to 09/25/2022
0013 Hazardous Material Examination includes 5 EA
Scheduling Fees, Ancillary Test
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
5 134
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
70RFP321REH000008
FOB: Destination
Period of Performance: 09/26/2021 to 09/25/2022
0014 Pre-Employment Drug Test Urinalysis Collection 315 EA
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
FOB: Destination
Period of Performance: 09/26/2021 to 09/25/2022
0015 Pre-Employment Drug Test Urinalysis 30 EA
Collection-Missed Appointment(No Show)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
FOB: Destination
Period of Performance: 09/26/2021 to 09/25/2022
0016 Random Drug Test Urinalysis Collection 125 EA
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
FOB: Destination
Period of Performance: 09/26/2021 to 09/25/2022
0017 Post Accident Drug Test Urinalysis Collection 3 EA
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
FOB: Destination
Period of Performance: 09/26/2021 to 09/25/2022
0018 Reasonable Suspicion Drug Test Urinalysis /Follow 6 EA
Up Drug Test Urine Collection
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
FOB: Destination
Period of Performance: 09/26/2021 to 09/27/2022
0019 Expediting Fee Upon Request of Agency 15 EA
Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
6 134
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
70RFP321REH000008
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
FOB: Destination
Period of Performance: 09/26/2021 to 09/25/2022
0020 Statistician for Random Drug Test 20 EA
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
FOB: Destination
Period of Performance: 09/26/2021 to 09/25/2022
0021 Wellness Annual Screen Level II (Age 40 and Above) 5 EA
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
FOB: Destination
Period of Performance: 09/26/2021 to 09/25/2022
0022 Wellness Annual Screen Level I ( Age Less than 40) 5 EA
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
FOB: Destination
Period of Performance: 09/26/2021 to 09/25/2022
0023 Expert Witness Fee Including Case Preparation and 8 HR
Testimony-billed at hourly rate
Anticipated Award Type: Firm-fixed-price
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2021 to 09/25/2022
0024 Family Medical Leave Act (FMLA) 40 EA
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
FOB: Destination
Period of Performance: 09/26/2021 to 09/25/2022
Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
7 134
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
70RFP321REH000008
0025 10 EA
1001 260 EA
1002 295 EA
1003 4 EA
Reasonable Accommodations Under the American with
Disabilities
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
FOB: Destination
Period of Performance: 09/26/2021 to 09/25/2022
Non-Local Travel
Fixed Indirect Rate Applied to Travel is ______%
Travel NTE Amount: $10,000.00
Anticipated Award Type: Firm-fixed-price Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2021 to 09/25/2022
Pre-Employment Medical Examination includes Scheduling Fees, Ancillary Test
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q301 Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2022 to 09/25/2023
Pre-Employment Specialty Consultant Examination Includes Scheduling Fees, Ancillary Test Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2022 to 09/25/2023
Exit Medical Examination Includes Scheduling Fees, Ancillary Tests
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
Sponsored by GSA
FAR (48 CFR) 53.110
fjustice Cross-Out
8 134
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
70RFP321REH000008
1004 15 EA
1005 3 EA
1006 5 EA
1007 2 EA
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2022 to 09/25/2023
Fitness for Duty Medical Examination Includes Scheduling Fees, Ancillary Tests
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2022 to 09/25/2023
Fitness for Duty Medical Examination- Missed Appointment (no show)
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2022 to 09/25/2023
Functional Capacity Exam with Report Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2022 to 09/25/2023
Functional Capacity Exam -Missed Appointment (No Show)
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
9 134
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
70RFP321REH000008
1008 9 EA
1009 2 EA
1010 12 EA
1011 3 EA
Period of Performance: 09/26/2022 to 09/25/2023
Independent Medical Evaluation for Psychological
Evaluation
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2022 to 09/25/2023
Independent Medical Evaluation for Psychological
Evaluation -Missed Appointment (No Show)
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2022 to 09/25/2023
Independent Medical Evaluation for
Non-Psychological Exam
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2022 to 09/25/2023
Independent Medical Evaluation for
Non-Psychological Exam -Missed Appointment (No
Show)
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2022 to 09/25/2023
Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
10 134
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
70RFP321REH000008
1012 4 EA
1013 5 EA
1014 325 EA
1015 30 EA
1016 140 EA
CDL Medical Examination includes Scheduling Fees, Ancillary Tests, Non-evidential Breath Test
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2022 to 09/25/2023
Hazardous Material Examination includes
Scheduling Fees, Ancillary Test
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2022 to 09/25/2023
Pre-Employment Drug Test Urinalysis Collection
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2022 to 09/25/2023
Pre-Employment Drug Test Urinalysis
Collection-Missed Appointment(No Show)
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2022 to 09/25/2023
Random Drug Test Urinalysis Collection
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
11 134
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
70RFP321REH000008
1017 3 EA
1018 6 EA
1019 15 EA
1020 20 EA
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2022 to 09/25/2023
Post Accident Drug Test Urinalysis Collection
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2022 to 09/25/2023
Reasonable Suspicion Drug Test Urinalysis /Follow
Up Drug Test Urine Collection
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2022 to 09/27/2023
Expediting Fee Upon Request of Agency
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2022 to 09/25/2023
Statistician for Random Drug Test
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2022 to 09/25/2023
Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
12 134
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
70RFP321REH000008
1021 5 EA
1022 5 EA
1023 10 HR
1024 45 EA
1025 10 EA
Wellness Annual Screen Level II (Age 40 and Above)
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2022 to 09/25/2023
Wellness Annual Screen Level I ( Age Less than 40)
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2022 to 09/25/2023
Expert Witness Fee Including Case Preparation and
Testimony-billed at hourly rate
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2022 to 09/25/2023
Family Medical Leave Act (FMLA)
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2022 to 09/25/2023
Reasonable Accommodations Under the American with
Disabilities
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q301
Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
13 134
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
70RFP321REH000008
2001 275 EA
2002 300 EA
2003 4 EA
Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2022 to 09/25/2023
Non Local Travel
Fixed Indirect Rate Applied to Travel is _____%
Travel NTE Amount: $10,000.00
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2022 to 09/25/2023
Pre-Employment Medical Examination includes Scheduling Fees, Ancillary Test
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2023 to 09/25/2024
Pre-Employment Specialty Consultant Examination Includes Scheduling Fees, Ancillary Test Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2022 to 09/25/2023
Exit Medical Examination Includes Scheduling Fees, Ancillary Tests
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
14 134
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
70RFP321REH000008
2004 15 EA
2005 3 EA
2006 7 EA
2007 2 EA
2008 9 EA
Period of Performance: 09/26/2023 to 09/25/2024
Fitness for Duty Medical Examination Includes
Scheduling Fees, Ancillary Tests
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2023 to 09/25/2024
Fitness for Duty Medical Examination- Missed
Appointment (no show)
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2023 to 09/25/2024
Functional Capacity Exam with Report
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2023 to 09/25/2024
Functional Capacity Exam -Missed Appointment (No
Show)
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2023 to 09/25/2024
Independent Medical Evaluation for Psychological
Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
15 134
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
70RFP321REH000008
2009 2 EA
2010 12 EA
2011 3 EA
2012 4 EA
Evaluation
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2023 to 09/25/2024
Independent Medical Evaluation for Psychological
Evaluation -Missed Appointment (No Show)
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2023 to 09/25/2024
Independent Medical Evaluation for
Non-Psychological Exam
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2023 to 09/25/2024
Independent Medical Evaluation for
Non-Psychological Exam -Missed Appointment (No
Show)
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2023 to 09/25/2024
CDL Medical Examination includes Scheduling Fees, Ancillary Tests, Non-evidential Breath Test
Anticipated Award Type: Firm-fixed-price
Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
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CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
70RFP321REH000008
2013 5 EA
2014 330 EA
2015 32 EA
2016 155 EA
(Option Line Item)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2023 to 09/25/2024
Hazardous Material Examination includes
Scheduling Fees, Ancillary Test
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2023 to 09/25/2024
Pre-Employment Drug Test Urinalysis Collection
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2023 to 09/25/2024
Pre-Employment Drug Test Urinalysis
Collection-Missed Appointment(No Show)
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2023 to 09/25/2024
Random Drug Test Urinalysis Collection
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Continued ...
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CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
70RFP321REH000008
2017 3 EA
2018 7 EA
2019 15 EA
2020 20 EA
2021 5 EA
Period of Performance: 09/26/2023 to 09/25/2024
Post Accident Drug Test Urinalysis Collection
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2023 to 09/25/2024
Reasonable Suspicion Drug Test Urinalysis /Follow
Up Drug Test Urine Collection
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2023 to 09/27/2024
Expediting Fee Upon Request of Agency
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2023 to 09/25/2024
Statistician for Random Drug Test
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2023 to 09/25/2024
Wellness Annual Screen Level II (Age 40 and Above)
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
18 134
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
70RFP321REH000008
2022 5 EA
2023 10 HR
2024 50 EA
2025 10 EA
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2023 to 09/25/2024
Wellness Annual Screen Level I ( Age Less than 40)
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2023 to 09/25/2024
Expert Witness Fee Including Case Preparation and
Testimony-billed at hourly rate
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2023 to 09/25/2024
Family Medical Leave Act (FMLA)
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2023 to 09/25/2024
Reasonable Accommodations Under the American with
Disabilities
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
19 134
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
70RFP321REH000008
3001 300 EA
3002 305 EA
3003 4 EA
Period of Performance: 09/26/2023 to 09/25/2024
Non Local Travel
Fixed Indirect Rate Applied to Travel is ____%
Travel NTE Amount: $10,000.00
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2023 to 09/25/2024
Pre-Employment Medical Examination includes
Scheduling Fees, Ancillary Test
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2024 to 09/25/2025
Pre-Employment Specialty Consultant Examination
Includes Scheduling Fees, Ancillary Test
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2024 to 09/25/2025
Exit Medical Examination Includes Scheduling
Fees, Ancillary Tests
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2024 to 09/25/2025
Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
20 134
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
70RFP321REH000008
3004 15 EA
3005 3 EA
3006 7 EA
3007 2 EA
3008 9 EA
Fitness for Duty Medical Examination Includes
Scheduling Fees, Ancillary Tests
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2024 to 09/25/2025
Fitness for Duty Medical Examination-Missed
Appointment (No Show)
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2024 to 09/25/2025
Functional Capacity Exam with Report
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2024 to 09/25/2025
Functional Capacity Exam -Missed Appointment (No
Show)
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2024 to 09/25/2025
Independent Medical Evaluation for Psychological
Evaluation
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
21 134
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
70RFP321REH000008
3009 2 EA
3010 12 EA
3011 3 EA
3012 4 EA
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2024 to 09/25/2025
Independent Medical Evaluation for Psychological
Evaluation -Missed Appointment (No Show)
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2024 to 09/25/2025
Independent Medical Evaluation for
Non-Psychological Exam
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2024 to 09/25/2025
Independent Medical Evaluation for
Non-Psychological Exam -Missed Appointment (No
Show)
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2024 to 09/25/2025
CDL Medical Examination includes Scheduling Fees, Ancillary Tests, Non-evidential Breath Test
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q301
Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
22 134
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
70RFP321REH000008
3013 5 EA
3014 335 EA
3015 32 EA
3016 160 EA
Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2024 to 09/25/2025
Hazardous Material Examination includes
Scheduling Fees, Ancillary Test
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2024 to 09/25/2025
Pre-Employment Drug Test Urinalysis Collection
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2024 to 09/25/2025
Pre-Employment Drug Test Urinalysis
Collection-Missed Appointment(No Show)
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2024 to 09/25/2025
Random Drug Test Urinalysis Collection
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2024 to 09/25/2025
Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
23 134
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
70RFP321REH000008
3017 3 EA
3018 7 EA
3019 15 EA
3020 20 EA
3021 5 EA
Post Accident Drug Test Urinalysis Collection
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2024 to 09/25/2025
Reasonable Suspicion Drug Test Urinalysis /Follow
Up Drug Test Urine Collection
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2024 to 09/27/2025
Expediting Fee Upon Request of Agency
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2024 to 09/25/2025
Statistician for Random Drug Test
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2024 to 09/25/2025
Wellness Annual Screen Level II (Age 40 and Above)
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
24 134
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
70RFP321REH000008
3022 5 EA
3023 10 HR
3024 55 EA
3025 10 EA
TESTING
Period of Performance: 09/26/2024 to 09/25/2025
Wellness Annual Screen Level I ( Age Less than 40)
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2024 to 09/25/2025
Expert Witness Fees Including Case Preparation and Testimony-Billed at an Hourly Rate
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2024 to 09/25/2025
Family Medical Leave Act (FMLA)
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2024 to 09/25/2025
Reasonable Accommodations Under the American with
Disabilities
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2024 to 09/25/2025
Non Local Travel
Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
25 134
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
70RFP321REH000008
4001 315 EA
4002 325 EA
4003 4 EA
4004 15 EA
Fixed Indirect Rate Applied to Travel is _____%
Travel NTE Amount: $10,000.00
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2024 to 09/25/2025
Pre-Employment Medical Examination includes
Scheduling Fees, Ancillary Test
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2025 to 09/25/2026
Pre-Employment Specialty Consultant Examination
Includes Scheduling Fees, Ancillary Test
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2025 to 09/25/2026
Exit Medical Examination Includes Scheduling
Fees, Ancillary Tests
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2025 to 09/25/2026
Fitness for Duty Medical Examination Includes
Scheduling Fees, Ancillary Tests
Anticipated Award Type: Firm-fixed-price
Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
26 134
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
70RFP321REH000008
4005 3 EA
4006 7 EA
4007 2 EA
4008 9 EA
(Option Line Item)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2025 to 09/25/2026
Fitness for Duty-Missed Appointment (No Shows)
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2025 to 09/26/2026
Functional Capacity Exam with Report
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2025 to 09/26/2026
Functional Capacity Exam -Missed Appointment (No
Show)
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2025 to 09/25/2026
Independent Medical Evaluation for Psychological
Evaluation
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
27 134
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
70RFP321REH000008
4009 2 EA
4010 12 EA
4011 3 EA
4012 4 EA
Period of Performance: 09/26/2026 to 09/25/2025
Independent Medical Evaluation for Psychological
Evaluation -Missed Appointment (No Show)
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2025 to 09/25/2026
Independent Medical Evaluation for
Non-Psychological Exam
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2025 to 09/25/2026
Independent Medical Evaluation for
Non-Psychological Exam -Missed Appointment (No
Show)
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2025 to 09/25/2026
CDL Medical Examination includes Scheduling Fees, Ancillary Tests, Non-evidential Breath Test
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2025 to 09/25/2026
Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
28 134
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
70RFP321REH000008
4013 5 EA
4014 340 EA
4015 35 EA
4016 165 EA
4017 3 EA
Hazardous Material Examination includes
Scheduling Fees, Ancillary Test
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2025 to 09/25/2026
Pre-Employment Drug Test Urinalysis Collection
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2025 to 09/25/2026
Pre-Employment Drug Test Urinalysis
Collection-Missed Appointment(No Show)
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2025 to 09/25/2026
Random Drug Test Urinalysis Collection
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2025 to 09/25/2026
Post Accident Drug Test Urinalysis Collection
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
29 134
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
70RFP321REH000008
4018 7 EA
4019 15 EA
4020 20 EA
4021 5 EA
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2025 to 09/25/2026
Reasonable Suspicion Drug Test Urinalysis /Follow
Up Drug Test Urine Collection
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2025 to 09/27/2026
Expediting Fee Upon Request of Agency
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2025 to 09/25/2026
Statistician for Random Drug Test
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2025 to 09/25/2026
Wellness Annual Screen Level II (Age 40 and Above)
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2025 to 09/25/2026
Continued ...
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
30 134
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
70RFP321REH000008
4022 5 EA
4023 10 HR
4024 55 EA
4025 10 EA
Wellness Annual Screen Level I ( Age Less than 40)
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2025 to 09/25/2026
Expert Witness Fees Including Case Preparation and Testimony-Billed at an Hourly Rate
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2025 to 09/25/2026
Family Medical Leave Act (FMLA)
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2025 to 09/25/2026
Reasonable Accommodations Under the American with
Disabilities
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2025 to 09/25/2026
Non Local Travel
Fixed Indirect Rate Applied to Travel is _____%
Travel NTE Amount: $10,000.00
Anticipated Award Type: Firm-fixed-price
(Option Line Item)
Continued ...
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31 134
CONTINUATION SHEET
REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF
(A) (B) (C) (D) (E) (F)
70RFP321REH000008
Product/Service Code: Q301
Product/Service Description: MEDICAL- LABORATORY
TESTING
Period of Performance: 09/26/2025 to 09/25/2026
NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)
70RFP321REH000008 Page 32 of 134
CONTRACT CLAUSES
FAR 52.212-4 Contract Terms and Conditions—Commercial Items (October
2018)
(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
70RFP321REH000008 Page 33 of 134 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.
70RFP321REH000008 Page 34 of 134
(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
70RFP321REH000008 Page 35 of 134 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…
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