Medical Examination Services Solicitation QAs (002).xlsx

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Medical Examination Services
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70US0925R70092450
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This document is a Questions and Answers (Q&A) spreadsheet for the United States Secret Service (USSS) Medical Examination Services Solicitation #70US0925R70092450. The solicitation seeks a vendor to provide comprehensive medical examination services, including physical exams, immunizations, laboratory testing, and specialized medical assessments for USSS employees and applicants. Key details include a two-phase proposal process with oral presentations scheduled for July 14-18, 2025, and the final proposal due on August 8, 2025. The current incumbent is QTC Medical Services, Inc. dba Leidos QTC Health Services, with a contract value of 70US0922C70092175.

The solicitation requires a fixed-price contract with specific requirements for staffing a headquarters health unit, maintaining a network of medical providers, and supporting an upcoming Electronic Medical Records (EMR) system development. Vendors must submit a technical proposal (not exceeding 25 pages), a pricing proposal, a fee schedule, and a subcontracting plan. The contract includes a base year and three option years, with medical examinations to be conducted by licensed physicians, physician assistants, and nurse practitioners. Notable requirements include providing medical services across multiple locations, maintaining HIPAA compliance, and supporting various medical testing and reporting needs for USSS personnel.

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Sheet1

Medical Examination Services
Solicitation #: 70US0925R70092450
Vendor's QuestionsUSSS Responses
Does our written proposal need to be complete before the oral presentations are scheduled?The demo presentation will need to be submited 2-hours before the scheduled demo. The Phase 2 proposals are due August 8, 2025.
What information do we need to submit to be considered for the oral presentation and when is it due?You will need to send an intent e-mail to Theresa.Williams@usss.dhs.gov by 10:00am, July 10, 2025 to inform her that you would like to participate in the solicitation.
How does the government intend to identify/invite offerors to present? What are offerors required to submit to be considered for presentation?See response B6
Please confirm Factors 2, 3, 4, and 5 are to be addressed in a single document within a 25-page limit.The proposal submission shall not exceed 25 single sided pages (excluding

cover page, table of contents, resumes, past performance references, and pricing proposals).

The past performance references are limited to 3-pages per reference. Resume is limited to 3 pages per resume. Pricing proposal has no page limitation.

Please confirm the offeror is to complete Section II of SF1449 as well as the Fee Schedule for Services spreadsheet.Yes, the offer is required to complete Section II of SF1449 as well as the Fee Schedule for Services spreadsheet.
FAR 52.219-16 is marked as applicable, however, the Subcontracting Plan required in 52.219-9 is not marked as applicable. Please confirm there is not a requirement for a Small Business Plan and that all applicable clauses are marked with an X.A subcontracting Plan is required.
Is the Subcontracting Plan due with the proposal?Yes, the Subcontracting Plan is due with the proposal.
If the Subcontracting Plan is due with the proposal, confirm that the Subcontracting Plan will be exclusive of the 25-page limit?Correct, the subcontracting plan is a separate document.
Is the Subcontracting Plan to be developed using a percentage of total subcontract dollars?The Government will provide the subcontracting checklist.
The RFP does not define a subcontractor, therefore, it is assumed that a Contractor’s Network of Affiliated Providers and Vendors is not classified as a subcontractor. Please confirm the Government does not consider affiliated network providers as subcontractors.The affiliiated Network of Providers are consider subcontractors.
Would the government consider negotiating this requirement to allow sufficient time for documentation collection, quality assurance, and coordination with subcontractors for accurate invoicing.?This is a requirement for the PRIME contractors to negotiate with their subcontractor.
Alternatively, will the government allow a one monthly invoice to be delivered for all exams that are closed and ready for billing for that month?Yes
What CLIN should the Offeror use to capture this cost?The offeror shall submit pricing per the fee schedule. In addition, the cost from the fee schedule should be rolled up to the CLIN schedule in the solicitation per year.
What is the current approved system?The electronic medical record system is yet to be developed.
How would the offeror transfer data from our system to the government’s current system?Please see response B18
Would the government consider adding Hepatitis B (Heplisav) vaccination 2 shot series to the pricing and PWS?Yes, we would consider it.
Will the USSS observe reciprocity of favorable T3 and T5 investigations from other federal agencies?Yes, reciprocity is accepted
Please confirm the risk designation for the positions under this program.If they require IT access/laptop, High Risk Tier 4.
The solicitation shows that the proposals are due Aug 8th while the oral presentation is July 14-18th – please advise how we submit our intent to provide an oral presentation?Please see response B6
Can you please confirm that the oral presentation is scheduled for the second week of July and not after Aug 8th?Oral presentation will be schedule the week of July 14-18, 2025
When will the vendor be notified of the directions and their scheduled date and time for the oral presentation?All vendors will be notified by 5:00pm , July 11, 2025
Are the locations provided in the PWS the only zip codes that will need to have coverage for both employee and applicant services? If not, please provide a list of zip codes where both employee and applicant services were held in the past 12 months.The zip codes provided are for the Field Office and the zip codes for the applicants will be provided at the time of scheduling.
Can you specify the zip codes where Fitness for Duty and Independent Medical Exams (by type, i.e. cardio, ortho) were conducted in the past 12 months?The zip codes is the same for any type of medical examination service as outlined in the solicitation
There are no Independent Medical Exams (IME) on the fee schedule but the requirement to complete them is in the PWS. Can you please explain how pricing is submitted for IME’s?See line item 62 on the Fee Schedule
Will the Medical Standards be provided?Yes, medical standards will be provided once a contract is awarded.
Please confirm if the vendor or USSS renders the medical opinion on exam findings. If the vendor renders the opinion, please provide a copy of the template to report the findings.The USSS Medical Officer will render medical opinion on exam findings.
What are the other clinical services conducted at the HQ health unit?Clinical services at the HQ Health Unit: Applicant and Mandatory Physical Exams (vitals, ECG, audiometry, spirometry, vision screening, physical exam, blood and urine speciment collection), phlebotomy, firsst responder/BLS emergency response for medical emergencies, vaccinations/shots, basic first aid, RN level triage of sick/ill patients, clinical care within the scope of the RN position, travel consultations, pulse oximetry, basic wound care/first aid, blood glucose assessment, EpiPen administration in event of emergency
Can I ask if the solicitation a new requirement set by the government or is this a contract currently being performed that the government is renewing. If this is a renewal, do you have the contract number associated with the old contract?The incubent is QTC Medical Services, Inc. dba Leidos QTC Health Services (LQTC) and the contract number is 70US0922C70092175
USSS is in the process of developing an Electronic Medical Records (EMR)

System. Upon the successfully completion of the EMR system, the awardee of the medical examination services contract; the contractor of the (medical examination services contract) will be required to work closely with EMR contractor to transfer all medical examination documents (i.e. exam reports, lab results, etc.) into the new EMR system. Prior to introduction of the new EMR System, the medical services provider will use the currently approved

system provided by the US Secret Service.No question was provided
Has USSS purchased an EMR that the medical examination services contractor will be required to use?

If yes, what is the name of the EMR?

If no, when is the RFP anticipated to come out for the EMR software system separately?No, the USSS has not purchased an EMR. This requirement is being finalized.
Just to confirm, The Medical Examination Services solicitation does not include a requirement for an EMR software system?The medical services solicitation does not include the EMR requirement.
We see there is not requirement to provide an intent to bid however, in the Instructions to Offeror “Demo Presentations will be held during the period of July 14, 2025 thru July 18, 2025. Offeror’s will receive an email of their set time. All demos shall be conducted via Microsoft Teams.” The demo is due before the proposal due date.Please see response B6
How is USSS to know which Contractors will be bidding this RFP, in order to send the notice of Demo, if there is not an intent to bid required and the demo is before proposal submission?Please see response B6
Is the solicitation a new requirement set by the government or is this a contract currently being performed that the government is renewing. If this is a renewal, do you have the contract number associated with the old contract?The incubent is QTC Medical Services, Inc. dba Leidos QTC Health Services (LQTC) and the contract number is 70US0922C70092175
The pricing workbook does not request pricing for the option periods. Please confirm that offerors are able to escalate unit prices annually and show those increases in “Section II: Continuation of SF1449” of the solicitation document.The pricing workbook has been updated to include option years.
Please confirm whether all key personnel (PA/NP, Nurse Manager, Medical Assistant, Staff Nurse, Contract Manager, Assistant Contract Manager) are required to be assigned full-time to the HQ Health Unit, or whether staff rotation is permitted.The USSS is requiring a Nurse Manager and Medical Assistant to be assigned to the HQ Health Unit. Future positions (i.e. Staff Nurse) will be subject to approval.
Is the incumbent staff subject to labor agreements that we should consider for onboarding and transition planning?No
Can the Government share anticipated surge or seasonal fluctuations in exam and immunization volumes beyond the historical data provided?No not at this time.
What amount of advance notice will be provided if staffing levels or shift coverage requirements change outside of standard working hours?Advanced noticed will be provided to the vendor if staffing levels or shift coverage change outside of standard working hours.
May the Government provide samples of completed forms (SSF3300, SSF3300A) to evaluate documentation expectations?This will be provided once the contract is awarded.
Are there anticipated updates to the medical examination protocols or technical testing requirements during the base or option periods?There are no anticipated changes to the medical examination protocols
Regarding the upcoming EMR system, will contractors be expected to interface with the new EMR during the base year or only after its full implementation?Contractor would be require to test during the system implementation.
For laboratory testing, in the event of failed samples or rejected tests, will the contractor bear full cost of repeat testing, or will there be cost-sharing?The Government will bear the cost of failed samples or rejected tests. However, if there are missed items or incomplete items as part the exam the contractor will bear the full cost.
Will the Government provide a list of existing approved laboratory and subcontractor resources, or is the contractor required to build this network entirely?The contractor is required to build this network entirely.
Can the Government provide expected minimum and maximum monthly volumes of exams and immunizations per location to support staff and resource planning?Reference section 2.1 and section 2.5.5 of PWS
Are there specific site challenges, such as security requirements, facility constraints, or parking restrictions at field offices, that we should plan for?No
Please provide historical attendance figures or an outreach event schedule for immunization outreaches at the Rowley Training CenterReference section 2.1 of the PWS
Since no-show or canceled appointments are non-billable, can the Government share historical no-show/cancellation rates?1%
Will there be minimum guaranteed payments for fixed-staffing, or is pricing based solely on completed examinations?Yes - Fixed price for HQ Clinic staff only
Are travel expenses for outreach or surge events reimbursable separately, or should they be included in the firm fixed price?No travel expenses for outreaches or surge events will be reimbursable. All support staff should be local.
Can you confirm whether price adjustments are permitted during the contract period if there are substantial increases in labor or supply costs (e.g., vaccine price changes)?No
Are there existing privacy or security gaps that are expected to be addressed during the phase-in period?No
If the contractor proposes a staff/employee-patient portal, would the contractor be required to carry cyber liability insurance to support that system?This question will not be answered at this time
How will the Government enforce non-performance deductions, and is there a formal appeals process for disputed deductions?Non-performance deductions will be enforced in monthly invoices. No it's no formal appeal process.
What are the timelines and requirements for obtaining personnel security clearances for new contractor staff?The timeline depends on the individual background. Refer to section H of the PWS for requirements.
Beyond the metrics outlined in the PWS, are there any additional key performance indicators (KPIs) that the Government expects the contractor to track?No
What is the expected process and timeline for replacing or repairing critical equipment or subcontractor resources if they fail during the contract term?Crtical equipment needs replacement ASAP - within 24-48 hours by utilizing loaned equipement from other vendor sites or loaners until equipement can be repaired; for subcontractor staffing (personnel) at the HQ Health Unit - we expect same day to 24 hour replacement from vendors pool of PRN/as needed staff or temporarily reassignment of local staff from another vendor site
If government-owned medical equipment is used at USSS field offices, who is responsible for calibration, preventive maintenance, and repair?Government-owned medical equipment is not used in USSS field offices.
Is there a system file size limit for email attachments for the proposal submission?40 MB limit for email attachments
If needed, it is assumed that the Phase II proposal can be submitted using multiple emails. Is this assumption correct? If not, please clarify how to submit proposals that exceed the total attachment file size limit.Yes separate emails can for sent, see response B63 for file size limit.
It is our assumption that Phase I and Phase II proposal file formats can be in Portable Document Format (PDF) with the exception of the Fee Schedule that will be in MS Excel format. Is this assumption correct? If not, please clarify file format requirements.Correct
How/when will Offerors be notified of their demo presentation set time? Do Offerors need to formally submit an intent to bid in order to be invited to Phase I?See response B6
What is the process to determine which contractors will be invited to participate in the Oral Presentation?See response B6
What is the anticipated length of the Oral Presentation?The presentation will be 60-minutes for presentation and 15-minutes for Q&As.
Will the Oral Presentation be recorded?Yes
How many presenters will be permitted in the Demo/oral presentation? Will the Program Manager and all Key Personnel be expected to present?The Government expects the vendor to bring the required personnel needed for the presentation.
Past Performance references are limited to 3 pages each and are not in the total page count of 25. Is there a maximum number of past performance references permitted?The offeror shall submit 3 past performance references.
It is our assumption that the Oral Presentation material is submitted on the day of the presentation. Is this assumption correct? If not, please clarify when the Oral Presentation material is to be submitted.The Oral Presentation material shall be submitted 2-hours prior to individual presentations.
What is the projected time between notification of the results of the advisory down select to the Phase 2 submission due date of August 8, 2025? Please clarify when down-select will be provided.Notification will be sent to vendors by 5:00pm, July 25, 2024.
It is our assumption that the Phase II submission is comprised of three files, one for Technical Proposal containing Factors 2 through 5 as one PDF file, one for Price Proposal containing Factor 6 as one PDF file, and one fee schedule for Factor 6 as one MS Excel file. Is this assumption correct? If not, please clarify the Phase II proposal submission instructions.Phase II submission shall consist of four files: Technical (Factor 2-3) ; Factor 4 not to exceed ; Factor 5; Factor 6 and Fee schedule
It is our assumption that the Staffing and Recruitment Plan is in regards to the HQ clinic staff and not the Contractor's private provider network. Is this assumption correct? If not, please clarify the scope of this Plan.No. The management approach is the contractor and their team supporting this contract.
The solicitation states that price for the Base and Option Years will be added together to calculate a Total Evaluated Price by which the offeror will be evaluated. The Fee Schedule for Services v4 file only contains one column, i.e., only one year. Request that the Fee Schedule MS Excel file be revised to support proposed pricing for four periods to support the Total Evaluated Price evaluation.This has been updated.
The solicitation states that a list of the subcontractors and their agreement and cost proposal are to be provided in the Price Proposal. Members of an Offeror's private provider network (PPN) are considered subcontractors and their agreements and fee schedules are confidential (i.e., if included would be highly redacted). In addition, the network is comprised of a high number of subcontractors. Request that for PPN subcontractors, a list and only the standard agreement be provided to illustrate the terms and conditions.The Governrment is requesting a list of the subcontractors. Price and cost is not being requested.
The solicitation states that a list of the subcontractors and their agreement and cost proposal are to be provided in the Price Proposal. Cost proposals between the Offeror and subcontractors who are not members of the private provider network are confidential. In addition, this procurement is for a firm fixed price commercial items contract. Request removal of this requirement.See response B77
“Puerto Rico, Alaska and Hawaii are included in section 1.4 Place of Performance / Delivery and listed in the locations table however “excluding Outside Continent of the United States OCONUS is also referenced. Since Puerto Rico, Alaska, and Hawaii are considered OCONUS, can you please clarify what would be considered OCONUS?”Any countries/continents outside of the US terrorities.
Please clarify the list of personnel for the HQ clinic as these two sections are not the same. It is our assumption that the list in Section 1.6 is correct as it matches the CLIN 1 list in the Fee Schedule and aligns with the list of key personnel in Section 1.7. Is this assumption correct? If not, please clarify.Correct - key personnel for the HQ Clinic is listed in section 1.6 and 2.2 of the PWS.
The solicitation states that contractor staff support for the HQ Health Unit may be required to work shift hours, and/or overtime. If this occurs, it is our assumption that the contractor can invoice at 1.5 times the CLIN 1 hourly rate in the Fee Schedule. Is this assumption correct? If not, please clarify how to support shift hours and/or overtime payments to the HQ clinic staff. Alternatively, the Fee Schedule can be revised to propose another set of rates for these situations in CLIN 1 of the Fee Schedule.This is only applicable when the CO approves the request.
It is our assumption that the Offeror proposes the subcontracting goals based on total subcontracted dollars in accordance with the PWS. Is this assumption correct? If not, please clarify.The Government will provide the subcontracting goals.
PWS Section 1.10.3 states the following requirement: “It should be noted that the USSS anticipates that there will be no show and/or canceled appointments during the contract. However, no show and/or canceled appointments are not separately priced and therefore, not billable under this effort. The successful offeror must be sure to include the expected cost, if any, of no show and/or canceled appointments in the price of the services as outlined in the PWS.” What is the expected % of no shows/or canceled appointments in a 12 month period?Please see response B58
Request information on cutover and/or expected period to store documents during the EMR implementation. USSS SAF is the repository of all employee's medical examination records and all records shall be turned over or destroyed at Government's request. However, in 1.11.5, it states that the contractor will be required to work with the EMR contractor to transfer all medical examination documents into the new system. If we are expected to transfer documents to the USSS SAF but also work with EMR contractor to move documents, we need to ensure that we will have clear authority to store documents in our systems.Contractor is expected to receive, review and transfer complete medical examination records to the USSS SAF and also retain a copy of those records until SAF confirms receipt.
Request additional information on the currently approved EMR system provided by the US Secret Service and any interface requirements.The electronic medical records system is yet to be developed.
PWS Section 1.12.5 states, If the examining facility does not perform a required test on an applicant and the applicant is over 50 miles from the contractor facility, arrangements shall be made to conduct the test in a facility in relative proximity to the applicant. What is defined as “relative proximity” to the applicant?"Relative proximity" to the applicant is within 15-25 miles (no further than 25 miles) from the applicant's home or current place of residence
What is defined as "status for contractor sites for USSS areas without medical facilities?"No medical provider for the field office location.
Is there a portal used to submit monthly reports? Email would not be HIPAA-compliant.Data requested for monthly reports includes sensitive personally identifiable information (SPII) which can be securely transmitted in an encrypted email
Request additional information on the portal, such as file format for uploads, file transfer mechanism such as SFTP, web services, etc.The electronic medical record system and data transfer is yet to be developed; however, it is intended to accommodate typical medical examination record formats such as .pdf, .docx, .doc, .txt, .jpg, and .xlsx
The contractor shall upload medical information via a government-provided
staff/employee-patient portal (if available). If a government-provided portal is not available, does the contractor simply transfer to their USSS SAF repository or EMR?The contractor will be expected to store the medical examination records in their data repository and forward copies of each to SAF until the portal is available.
Section 2.2 states, "All USSS physical examinations shall be conducted by a state licensed, board certified or board eligible physician, physician assistant, and nurse practitioner in internal, family practice, preventative, or occupational medicine." However, some of the exams requested would need to be completed by an audiologist, optometrist, or psychologist. Confirm use of these provider types.USSS mandatory and applicant physical exams and the testing done during these exams, do not need to be completed by an audiologist, optometrist, or psychologist. However, there are times when a specific test may be required or requested individually and outside of the mandatory or applicant exam, for example SAF may requested a Fitness for Duty Psychological exam that must be done by a clinical psychologist, board certified in forensic and/or psychology, or a Functional Hearing Test that must be done by a certified auidiologist, or a comprehensive eye exam by a board cerfitied optometrist. When such specific tests are requested, SAF will indicate this specifically and the specalist provider will be expected.
Where does the contractor program manager expect to receive any reports of findings that may have significant impact to the health and safety of others?Unsure of the meaning of this question, but any findings that may have an impact to the heatlh and safety of others that are found by an examining provider should be directly to the contractor program manager who should report to the SAF COR
Confirm that it is the examining provider (not only the examining physician) that can complete stated activities.The examining provider and not just physician may complete the exam elements
Will individual state vaccine registries need to be updated?Only vaccines that are listed in the PWS need updating/boosters
Will USSS notify contractor of specified country for travel to ensure that all recommended vaccines per CDC can be ordered and administered?Yes
Once the EMR is implemented and historical records are transferred, are there any ongoing requirements to interface with the EMR? If yes, request a description of these requirements.Yes, it is the Government's intent to have the Contractor continue reviewing and uploading medical examination records into the new EMR database.
Is boothless audiology acceptable? Or is a hearing booth mandatory?Boothless audiology is acceptable as long as the equipement meets OSHA requirements per ANSI S3.1-1999 (R2018) Maximum Permissible Ambient Noise Levels (MPANLs) for hearing screening testing.
Confirm that a separate lab location is acceptable. Section states individual shall not be required to travel to multiple locations, except for x-ray.Applicants or employees should have labs done at the site of the examation OR may have them done at a Quest Diagnostics lab site. All other testing (except for X-ray) such as audiometry, vision screening, spirometry, ECG, vitals, etc. must be done at the site of the physical examination.
Confirm the timeframe - "the date of the scheduled travel consult shall be within 48 hours of the referral date". This could be outside of the standard business operating hours stated earlier in the PWS.Reference section section 2.10.2.4 of the PWS
Section 2.2, Examination Services Start, PWS states shall start NLT 30 days from contract award date. It is our assumption that this is business days. Is this correct? If not, please clarify.Correct
FAR 52.219-9 is not check at FAR 52.212-5(b)(21) and the PWS Section 1.8 states that a Subcontracting Plan is required along with submission of ISR and SSE reports. Please clarify the requirement for a Subcontracting Plan.Refer the PWS section 1.8 which outlines what the plan should include.
Request revision to differentiate between a defined FedRAMP solution and a solution in a private cloud environment, which would not require FedRAMP certification.FedRAMP certifcation is mandatory for all executive agency cloud deployments and service models at the Low, Moderate, and High risk impact levels. The solicitaion does not reference "private cloud environments", thus no differentiation can be provided.
It is our assumption that a proposed solution in a private cloud environment, which would meet the ATO standards and achieve the same compliance level, does not require FedRAMP certification. Is this assumption correct? If please clarify.Correct, a non-cloud solution will not require FedRamp certification; however, the Contractor's solution must comply and adhere to the information technology security requirements and management principles as outlined in the perfomance work statement (PWS).
The Fee Schedule file only contains one column for the entry of proposed prices and Offerors need to submit pricing for each of the Base Year and three Option Years. Request update to the Fee Schedule file to contain four columns for entry of proposed prices.Please response B76
The Fee Schedule file does not contain any formulas and it is our assumption that the Offeror can add the formulas. Is this assumption correct? If not, please clarify.Correct
It is our assumption that CLIN 2, Fitness for Duty Exams, Fitness for Duty Exam and CLIN 2, Other Standalone Testing, Independent Medical Examination are the same item and performed by a specialist (PWS Section references 2.2, 2.4.5.1.h, and 2.7). Is this assumption correct? If not, please clarify.Fitness for Duty Exam, Fitness for Duty Exam - need to be completed by aboard cerfitied clinical psychologist; Other Standalone Testing, Independent Medical Examination - need to be completed by a board certifiec/certified specialist appropriate for the specfici standalone testing - for example, if it is a standalone vision test, it must be done by an optometrist or ophthalmologist; if it is a functional hearing test or hearing test - it must be done by an audiologist, etc.
Regarding the Medical Records Transfer Fee (Flat rate), it is our assumption that the flat rate is per medical record file per individual. Is this assumption correct? If not, please clarify.Correct
QASP - Section 6, Examination Process - This entry does not contain a PWS reference. Request that one be provided.The QASP has been updated
QASP - Section 6, Timely Exam Conditions - Request PWS reference be revised to Section 1.12.4 to align with the PWS content.The QASP has been updated
QASP - Section 6, Missed Tests or Examination Components - Request PWS reference be revised to Section 1.12.2 to align with the PWS content.The QASP has been updated
QASP - Section 6, Re-Examinations and Repeat Tests - Request PWS reference be revised to Section 1.12.3 to align with the PWS content.The QASP has been updated
QASP - Section 6, Travel Consults - Request PWS reference be revised to Section 2.10.2.4 to align with the PWS content.The QASP has been updated
QASP - Section 6, Delivery of Medical Exams - Request PWS reference be revised to Section 1.12.1 to align with the PWS content.The QASP has been updated
QASP - Section 6, Staffing Contingency Plan - Request PWS reference be revised to Section 1.12.9 to align with the PWS content.The QASP has been updated
In the Fee Schedule for Services v4, line 69 references “Respirator Fit Testing.” Can the government please clarify if that is quantitative or qualitative fit testing?Quantitative

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