Amendment 0002.pdf

Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods:

(a) By completing items 8 and 15, and returning or (c) By separate letter or telegram which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment your desire to change an offer already submitted, such change may be made by telegram or letter, provided each telegram or letter makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

E. IMPORTANT: Contractor is not, is required to sign this document and return copies to the issuing office.

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT 1. CONTRACT ID CODE

2. AMENDMENT/MODIFICATION NO. 3. EFFECTIVE DATE 4. REQUISITION/PURCHASE REQ. NO. 5. PROJECT NO. (If applicable)

7. ADMINISTERED BY (If other than Item 6) CODE

STANDARD FORM 30 (REV. 10-83)

Prescribed by GSA FAR (48 CFR) 53.243

FACILITY CODE

9A. AMENDMENT OF SOLICITATION

NO.

9B. DATED (SEE ITEM 11)

10A. MODIFICATION OF CONTRACT/ORDER NO.

10B. DATED (SEE ITEM 13)

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers is extended, is not extended.

12. ACCOUNTING AND APPROPRIATION DATA (If required) copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted;

13. THIS ITEM ONLY APPLIES TO MODIFICATION OF CONTRACTS/ORDERS.

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

CHECK ONE A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER NO.

IN ITEM 10A.

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, appropriation date, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER (Specify type of modification and authority)

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

15C. DATE SIGNED

15A. NAME AND TITLE OF SIGNER (Type or print)

16C. DATE SIGNED

16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

PAGE OF PAGES

6. ISSUED BY CODE

8. NAME AND ADDRESS OF CONTRACTOR (No., street, county, State and ZIP Code) (X)

CODE

15B. CONTRACTOR/OFFEROR

(Signature of person authorized to sign)

16B. UNITED STATES OF AMERICA

(Signature of Contracting Officer)

NSN 7540-01-152-8070

Previous edition unusable

70Z02322R11120001 Multi-discipline Healthcare Services AMENDMENT 0002

Item 1: RFP, Section II Continued, Attention to Offer is hereby deleted and replaced with the following:

U.S. Coast Guard (USCG) Office of Procurement and Contracting Formal Contracts Division (CG-9121) invites you to submit a proposal via the Acquisition of Commercial Items (Federal Acquisition Regulation [FAR] Part 12), to provide Multi-discipline Healthcare Services for USCG clinics as outlined in herein.

This requirement is issued as a competitive 8(a) set-aside IAW FAR SUBPART 19.8.

NAICS Code: 621111; Size standard: $12M

The Solicitation no. 70Z02322R11120001 is being issued as a Request for Proposal (RFP). The solicitation document and incorporated provisions and clauses are those in effect through Federal Acquisition Circular 2022-07. The North American Industry Classification System (NAICS) code that applies to this Request for Proposal (RFP) is 621111 (Office of Physicians (except Mental Health Specialists) and its size standard is $12M.

DESCRIPTION: The USCG has a requirement for Multi-discipline Healthcare Services to be performed at various USCG clinics within the United States (CONUS), Outside the United States (OCONUS), and U.S. territories. The requirement is further described in the Performance Work Statement (PWS) in Section IV.

The various clinics are divided into three (3) regions. The USCG intends to award up to three (3), single award Indefinite Delivery Indefinite Quantity (IDIQ) regional contracts. It is anticipated that task orders will be awarded as Firm Fixed Priced orders.

The contract minimum value for each IDIQ contract is $25,000.00. The contract maximum value for each IDIQ contract will be determined at time of award.

The period of performance will be for 60 months ordering periods. The planned start date is 1 June 2023. The price proposal shall be submitted based on the CLIN structure in Attachment 1 - Pricing Spreadsheet.

These services are being solicited under RFP Number 70Z02322R11120001 Any and all questions regarding this solicitation shall be submitted in writing via email to the Contract Specialist, Heather A. Weaver at heather.a.weaver@uscg.mil and the Contracting Officer, Clenton A. Shanks at clenton.a.shanks@uscg.mil.

Item 2: Section II Continued, ADDENDUM to 52.212-1 -- Instructions to Offerors-Commercial Items (NOV 2021), Proposal Format is hereby deleted and replaced with the following:

Proposal Format

Written proposals must be formatted using Times New Roman 12 pt, singled spaced with 1-inch margins on all four sides and formatted for standard 8.5” x 11” paper. All pages shall include a ½” header containing: the RFP number; the Offeror’s name; and Volume Title. All pages shall be numbered in the lower right-hand corner in a manner that identifies the volume and page number.

Do not use foldout pages. Graphics, chart and tables shall be presented in no smaller than a 10pt font.

mailto:heather.a.weaver@uscg.mil mailto:clenton.a.shanks@uscg.mil

Schedule of Prices shall be in Microsoft Excel format using only the file provided to the offerors as an attachment; Narrative addressing Professional Compensation shall be provided in PDF or Microsoft Word. Pricing information/data shall not be included in Volume I.

Item 3: Section II Continued, ADDENDUM to 52.212-1 -- Instructions to Offerors-Commercial Items (NOV 2021), Proposal Content is hereby deleted and replaced with the following:

The instructions in this section prescribe the format and approach to be used in the development and presentation of proposal data. They are designed to assure the submission of information essential to the proposal. The instructions permit the inclusion of data or information an offeror deems pertinent.

Proposals must be prepared in accordance with the instructions in this section, providing all required documents and information in the format specified. Failure of a proposal to show compliance with these instructions may be grounds for exclusion of the proposal from further consideration. The proposal shall clearly and concisely describe the offeror's response to the requirements of the solicitation. Offerors shall acknowledge receipt of any/all Amendments to this solicitation by the date and time specified in the amendment(s).

1. The cover of each Volume shall clearly identify the offeror's name, Unique Entity ID (UEI), volume title, RFP number, and RFP title. The cover page will not be included in total page count.

2. Table of Contents which provides enough detail to quickly locate key elements of the applicable volume. The Table of Contents is not included in the total page count.

3. All sections in all volumes shall be tabbed for identification. Each volume shall be written on a stand-alone basis. Cross-referencing within a proposal volume is permitted where its use would conserve space without impairing clarity. Information required for each proposal evaluation factor, which is not found in its designated volume, will be assumed to have been omitted from the proposal.

4. If the offeror submits proposal revisions, during or after discussions, any changed pages that are submitted shall have changed information clearly marked. The date of the revision and revision number shall be reflected on each changed page on the lower right-hand corner.

5. The page limits listed below shall be strictly adhered to. Any pages exceeding the allowed amount shall not be evaluated.

6. The offeror agrees to hold the prices in its offer firm for 180 calendar days from the date specified for receipt of offers, unless another time period is specified in an addendum to the solicitation.

Item 4: Section II Continued, ADDENDUM to 52.212-1 -- Instructions to Offerors-Commercial Items (NOV 2021), Submission Requirements is hereby deleted and replaced with the following:

Submission Requirements Proposals shall be submitted as four (4) separate volumes as identified below. All electronic file names shall include the solicitation number, volume, and offeror’s name. Each volume shall be submitted as a separate document.

Volume 1 – Factor 1 Technical Plan Proposal Management Approach*excluding written transition plan 10 pages Transition Plan 5 pages Staffing Approach 2 pages per resume Technical Approach*part of oral presentation slides Oral presentation Part 1 20 slides – 60 minutes Oral presentation Part 2 50 minutes

Volume 2 - Factor 2 Past Performance References 2 pages per reference

Volume 3 - Factor 3 Price Proposal Attachment 1 Pricing Schedule Professional Compensation Narrative Unlimited pages

Item 5: Section II Continued, ADDENDUM to 52.212-1 -- Instructions to Offerors-Commercial Items (NOV 2021), Factor 1: Technical Plan Proposal: Volume 1 (Written/Oral), Management Approach (written) is hereby deleted and replaced with the following:

Management Approach (Written)

Offerors shall demonstrate in sufficient detail a Management Approach that will successfully accomplish the PWS. Offerors should address the risk associated with implementation of the offeror’s management plan as well as the steps to mitigate this risk and an explanation of whether the techniques and methods identified for risk mitigation have been successfully used by the offeror, and any other relevant information.

The proposal shall address the following:

• Employee performance/conduct

• A plan that identifies subcontractor(s)/partner(s) and specifies how the Contractor will manage any subcontractor/partner relationships

• Organizational Chart: The offeror shall provide an Organizational Chart clearly depicting lines of authority with an accompanying description to explain what the roles and functions are for each organizational element. It must be very clear what type of organizational arrangement is being proposed—whether a Joint Venture, Mentor/Protégé, Prime/Sub, or any other affiliation.

It must also be very clear what specific responsibilities are being proposed for each entity in the organizational arrangement as well as which specific elements of the work will be accomplished by each (include percentages).

Mentor/Protégé Agreements are allowable so long as a copy of the approved agreement is included with the proposal (These copies of the agreement will not be included in the page count).

Joint Ventures (JVs) are allowable so long as the agreement is provided with the proposal (The copy of the agreement will not be included in the page count).

Transition Plan – Offeror shall provide written transition/project schedule to reflect a successful transition in 30 days.

Item 6: Section II Continued, ADDENDUM to 52.212-1 -- Instructions to Offerors-Commercial Items (NOV 2021), Factor 2: Past Performance: Volume 2 (Written) is hereby deleted and replaced with the following:

In the past performance volume, the offeror shall furnish information for up to three (3) contracts for the prime offeror and may provide up to three (3) contracts for each member of the partnership/subcontractor proposed on ongoing or completed within the last five (5) years. The references shall be for work of similar size, scope and complexity of that required by the Performance Work Statement (Attachment 3).

References will be evaluated for the prime offeror, major subcontractors or any other affiliations or arrangements proposed. The Government may also use the Contractor Performance Reporting System (CPARS), in addition to other sources, to obtain contractor past performance information and will use the information in assigning a confidence rating. Although the Government will consider data obtained from other sources, the burden of providing thorough and complete past performance information rests with the Offeror.

The past performance of a parent or affiliated/sister company will be attributed to an offeror where the firm's proposal demonstrates that the resources of the parent or affiliated/sister company have affected the performance of the offeror.

In addition, the offeror shall provide references via the Past Performance Questionnaire, Attachment 4 Past Performance Questionnaire.

The contractor shall send a Past Performance Questionnaire, Attachment 4 Past Performance Questionnaire, to the points of contact that are providing the past performance. Only one Past Performance Questionnaire shall be completed per contract.

Each past performance evaluator shall submit a completed Past Performance Questionnaire (PPQ), Attachment 4 Past Performance Questionnaire directly to the Contracting Officer Clenton Shanks, via e-mail at Clenton.A.Shanks@uscg.mil Contract Specialist, Ms. Heather Weaver, via e-mail at Heather.A.Weaver@uscg.mil by 0900 AM ET 24 October 2022. An Offeror shall not complete the Past Performance Questionnaire on behalf of a past performance evaluator nor shall they forward a completed PPQ to the Contract Specialist. (The PPQ shall be forwarded to the Contracting Officer and Contract Specialist from the past performance evaluator’s e-mail address.)

Item 7: Section II Continued, ADDENDUM to 52.212-1 -- Instructions to Offerors-Commercial Items (NOV 2021), Factor 3: Price: Volume 3 (Written) is hereby deleted and replaced with the following:

Price proposals shall consist of a Cover letter, narrative for professional compensation, and the Pricing Spreadsheet attached to this solicitation, Attachment 1 Pricing Schedule.

There are three (3) regions an Offeror can propose on; the Offeror shall provide its burdened labor rate for all labor categories at each location on the spreadsheet for the 60 month ordering periods in the regions for which the offeror is proposing in (Attachment 1 Pricing Schedule). The Offeror shall only enter information in the cells that are shaded green. The labor rates shall not include any material, travel or Other Direct Costs (ODCs). This includes options under FAR clause 52.217-8, Option to Extend Services, which applies to this solicitation. Evaluation of options will not obligate the Government to exercise the option(s).

mailto:Clenton.A.Shanks@uscg.mil mailto:Takira.M.Floyd@uscg.mil

These burdened rates will be used for pricing any task orders that may be issued for the duration of any IDIQ contract resulting from this solicitation.

The offeror shall address FAR Provision 52.222-46 -- Evaluation of Compensation for Professional Employees (Feb 1993).

The compensation levels proposed should reflect a clear understanding of work to be performed and should indicate the capability of the proposed compensation structure to obtain and keep suitably qualified personnel to meet mission objectives. The salary rates or ranges must take into account differences in skills, the complexity of various disciplines, and professional job difficulty.

Offerors are cautioned that lowered compensation for essentially the same professional work may indicate lack of sound management judgment and lack of understanding of the requirement.

The Government is concerned with the quality and stability of the work force to be employed on this contract. Professional compensation that is unrealistically low or not in reasonable relationship to the various job categories, since it may impair the Contractor’s ability to attract and retain competent professional service employees, may be viewed as evidence of failure to comprehend the complexity of the contract requirements.

Failure to comply with these provisions may constitute sufficient cause to justify rejection of a proposal.

Item 8: Attachment 3 Performance Work Statement, 2.2 Places of Performance is hereby deleted and replaced with the following:

North Region (14): Baltimore, MD; Boston, MA; Cape Cod, MA; Cape May, NJ; Atlantic City, NJ;

Elizabeth City, NC; New London, CT; Norfolk, VA; Portsmouth, VA; Selfridge, MI; Staten Island, NY; Washington, DC; and Yorktown, VA; Traverse City; MI, Philadelphia, PA

South Region (14): Borinquen, PR; Clearwater, FL; Galveston, TX; Miami Beach, FL; Mobile, AL;

New Orleans, LA; Opa Locka, FL; San Juan, PR; and St. Petersburg, FL; Corpus Christi, TX;

Miami, FL; Savannah, GA; Key West, FL; Jacksonville, FL; Charleston, SC

West Region (16): Alameda, CA; Juneau, AK; Ketchikan, AK; Kodiak, AK; North Bend, OR; Port Angeles, WA; Petaluma, CA; San Pedro, CA; Seattle, WA; and Warrenton (Astoria), OR; Humboldt Bay, CA; Honolulu, HI; Barbers Point, HI; Sacramento, CA; Sitka, AK; San Diego CA Item 9: Attachment 3(b) Dental Assistant Services SOW, 4.0 Professional Services is hereby deleted and replaced with the following:

Professional Services. The Contractor shall perform a full range of comprehensive Dental Assistant/Technician procedures and practices on site, using Government furnished facilities, equipment and supplies to a variety of patients. All aspects of Dental Assistant/Technician service shall be commensurate with the capabilities of the healthcare worker and the Dental Clinic including but not limited to the items listed below and in the PWS.

a. Routine workload will be in response to government demand in the form of Dental Officer prescription and the regularly scheduled dental checkups and maintenance program of all residents. Primary workload is a result of appointments for outpatient and inpatient clients in response to the dental clinic's approved dental treatment schedule.

b. The work environment involves risks typically associated with the performance of clinical dental procedures. The health care worker will maintain the concept of universal precautions.

c. The healthcare worker is responsible for a full range of dental assistant procedures in support of the Dental Office: examinations, delivery of treatment under the "four handed dentistry" format within the personnel and equipment capabilities and limitations imposed by the Dental Assistant Practice Acts, or similar regulations, of the state of the facility.

Additionally; the healthcare worker shall aid in the provision, and within the limitations imposed by the Dental Assistant Practice Acts, or similar regulations, of the State where services provided, of mandated dental surveillance and preventive services and the quality and timeliness of treatment records and reports required to document procedures performed and care provided. The healthcare worker shall refer patients who present with a complaint to staff dentists for evaluation and continuation of care and shall attend multidisciplinary treatment team meetings on behalf of the dental officers.

d. To treat all Active Duty beneficiaries presented for care.

e. Actual healthcare worker clinical activity will be a function of the overall demand for dental assistant services. Healthcare worker productivity is expected to be comparable to that of other dental assistants assigned to the same facility and authorized the same scope of practice.

f. Provide for the examination, treatment, and disposition of patients compatible with the Dental Clinic's operating capacity and equipment.

g. Coordinate with other health care departments and the clinic staff to provide complete care to patients.

h. Provide training to staff for routine dental assistant activities and procedures so that the benefit of routine care can be accrued.

i. Maintain patient records in accordance with external accreditation organizations and established Coast Guard dental records maintenance requirements.

j. Select and arrange instruments and prepare setups for patient treatment.

k. Assist during patient examination and treatment.

l. Assist during administration of anesthesia.

m. Assist in placement and removal or sutures.

n. Instruct in basic oral hygiene care.

o. Prepare restorative and impression materials.

p. Dispose of contaminated waste in accordance with the standard procedures of the

Dental clinic.

q. Load and unload radiographic film cassettes.

r. Expose bitewing, periapical and occlusal film utilizing bisecting angle or paralleling radiographic techniques.

s. Perform digital radiology procedures to include radiograph image management on computer software program

t. The healthcare worker shall maintain his or her operatory to meet the clinic's standards, and may be assigned other duties as directed by the Clinic Administrator.

u. Inventory medicine and drug stocks to ensure adequate supplies and controls.

v. Greets and receives patients and directs them to appropriate care.

w. Receives and screens telephone calls.

x. Files and maintains paper and electronic health records.

y. Files healthcare reports in health records and electronic health records.

z. Maintains Health Record checkout file.

AA Inputs daily patient information into Clinic's electronic healthcare information systems.

BB. Schedules and tracks consultations for specialty care.

CC. Maintains referral log and notifies patients of appointments.

DD. Reviews and verifies patient eligibility for care in accordance with Defense Eligibility Enrollment Reporting System (DEERS) computer system guidelines.

EE. Prepare and submit appropriate documentation as specified in applicable regulations.

FF. Provides immediate evaluation and management of emergent problems as they occur in addition to regular scheduled appointments.

Item 10: Attachment 3(c) Dental Hygienist Services SOW, 4.0 Professional Services is hereby deleted and replaced with the following:

Professional Services. The Contractor shall perform a full range of comprehensive Dental Hygiene procedures and practices on site, using Government furnished facility, equipment and supplies to a variety of patients. All aspects of Dental Hygiene service shall be commensurate with the capabilities of the health care worker and the Dental Clinic including but not limited to the items listed below and in the PWS.

A. Routine workload will be in response to government demand in the form of Dental Officer prescription and the regularly scheduled dental checkups and maintenance program of all residents. Primary workload is a result of appointments for outpatient and inpatient clients in response to the dental clinic's approved dental treatment schedule;

B. The work environment involves risks typically associated with the performance of clinical dental procedures. The health care worker will maintain the concept of universal precautions;

C. The healthcare worker is responsible for a full range of Dental Hygienist procedures in support of the Dental clinic;

D. To treat all Active Duty beneficiaries presented for care;

E. Case consultation with referring Dental Officer;

F. History, detailed examination, testing (to include blood pressure screening), and diagnosis;

G. Performing dental prophylaxis to include ultrasonic and hand scaling, tooth polishing, and oral hygiene instruction;

H. Performing infection control procedures including disinfection and sterilization as appropriate, in addition to using appropriate barrier techniques;

I. Performing extra and intraoral radiography and fluoride treatments;

J. Maintain recall lists and assist in the management of routine Active Duty screenings;

K. Prepare instruments for sterilization following clinic guidelines;

L. Maintain schedules in accordance with the clinic SOP;

M. Actual healthcare worker clinical activity will be a function of the overall demand for

Dental Hygienist services. Healthcare worker productivity is expected to be comparable to that of other Dental Hygienists assigned to the same facility and authorized the same scope of practice;

N. Coordinate with other healthcare departments and the clinic staff to provide complete care to patients;

O. Maintain patient records in accordance with external accreditation organizations and established Coast Guard dental records maintenance requirements;

P. Instruct in basic oral hygiene care;

Q. Dispose of contaminated waste in accordance with the standard procedures of the

Dental clinic;

R. Expose bitewing, periapical and occlusal film utilizing bisecting angle or paralleling radiographic techniques;

S. Assist the Dentist as needed;

T. The healthcare worker shall maintain his or her operatory to meet the clinic's standards, and maybe assigned other duties as directed by the Clinic Administrator;

U. All treatment plan recommendations beyond the capabilities of the clinic will first be referred to the clinic’s Senior Dental Officer or Clinic Administrator before any action is taken by the Contractor;

V. Inventory medicine and drug stocks to ensure adequate supplies and controls;

W. Greets and receives patients and directs them to appropriate care;

X. Receives and screen phone calls;

Y. Files and maintains Healthcare records and electronic health records;

Z. Files healthcare reports in health records and electronic health records;

AA. Maintains Health Record checkout file;

BB. Inputs daily patient information into Clinic health information systems; CC. Schedules and tracks consultations for specialty care;

DD. Maintains referral log and notifies patients of appointments;

EE. Reviews and verifies patient eligibility for care in accordance with Defense Eligibility FF Enrollment Reporting System (DEERS) computer system guidelines;

GG. Prepare and submit appropriate documentation as specified in applicable regulations;

HH. Provides immediate evaluation and management of emergent problems as they occur in addition to regular scheduled appointments;

II. Perform digital radiology procedures to include radiograph image management on computer software program.

Item 11: Attachment 3(g) Optometrist SOW, 2 Qualifications is hereby deleted and replaced with the following:

2. Qualifications. The provider of Optometry service shall possess and maintain for the duration of this agreement:

A. Diploma from an accredited School of Optometry;

B. A current unrestricted active license to practice Optometry from one of the 50 states, District of Columbia, Puerto Rico, Guam, or the U. S. Virgin Islands.

C. A current certification in Basic Cardiac Life Support (BLS) for the Health Care Provider by the American Heart Association (AHA), American Red Cross (ARC), American Safety and Health Institute (ASHI), or the American College of Emergency Physicians (ACEP);

D. A minimum of two (2) years recent experience (immediately preceding the submission of this offer);

E. “No adverse information on file” with the National Practitioners Data Bank (NPDB)

Item 12: Attachment 3(k) Physical Therapist SOW, 2 Qualifications is hereby deleted and replaced with the following:

Qualifications. The provider of Physical Therapy services shall possess and maintain for the duration of this agreement:

A. A diploma from an accredited school of Physical Therapy.

B. A current unrestricted active license to practice Physical Therapy from one of the 50 states, District of Columbia, Puerto Rico, Guam, or the U. S. Virgin Islands;

C. A current certification in the field of Physical Therapy. Preferred orthopedics or sports board certification but not required.

D. “No unfavorable information on file” rating with the National Practitioners

Data Bank (NPDB).

E. A current certification in Basic Cardiac Life Support (BLS) for the Health Care

Provider by the American Heart Association (AHA), American Red Cross (ARC), American Safety and Health Institute (ASHI), or the American College of Emergency Physicians (ACEP).

F. A minimum of two (2) years recent experience (immediately preceding the submission of this offer).

G. All applicants shall have at least 3 years’ experience working in outpatient orthopedics.

Item 13: Attachment 3(y) Athletic Trainer SOW, 2 Qualifications is hereby deleted and replaced with the following:

Qualifications. The provider of Athletic Trainer service shall possess and maintain for the

A. A completed Bachelors’ Degree in Sport Medicine from an accredited College or

University, with a minimum of two years experience as an Athletic Trainer.

B. A current unrestricted license to practice Athletic Trainer Services in the assigned State.

California applicants will be exempt as this is the only state not requiring a license.

C. Shall maintain current certification as required for membership in the National Athletic Trainers Association (NATA).

D. A current certification in Basic Cardiac Life Support (BLS) for the Health Care Provider by the American Heart Association (AHA), American Red Cross (ARC), American Safety & Health Institute (ASHI) or the American College of Emergency Physicians (ACEP).

E. A minimum of two (2) years of recent (immediately preceding the submission of this offer) professional experience.

F. “No adverse information on file” with the National Practitioners Data Bank (NPDB).

G. The Athletic Trainer shall be physically capable of performing all athletic training services.

Item 14: Attachment 3(w) Paramedic SOW, 1 Scope of Work is hereby deleted and replaced with the following:

1. Scope of Work. The Contractor shall provide personal Paramedic services.

A. The Paramedic shall perform in accordance with established principles, practices and ethics of a Paramedic licensed. The standards of performance for all employees provided by the contractor shall reflect the degree and care, skill and learning expected of a reasonably prudent healthcare provider in the Paramedic profession.

B. The Paramedic will provide professional service to U.S. Coast Guard locations specified in the Performance Work Statement (PWS) (Attachment 3).

Item 15: Attachment 3(w) Paramedic SOW, 2 Qualifications is hereby deleted and replaced with the following:

1. Qualifications. The provider of Paramedic services shall possess and maintain for the

A. A Diploma from a state approved Paramedic School (Associates Degree);

B. A current certificate in the state of performance as a Paramedic;

C. A current certification in Basic Cardiac Life Support (BLS) for the Health Care

Provider by the American Heart Association (AHA), American Red Cross (ARC), American Safety and Health Institute (ASHI), or the American College of Emergency Physicians (ACEP).

D. Current certification in Advanced Cardiac Life Support (ACLS);

E. A minimum of two (2) years recent (immediately preceding the submission of this offer) clinical experience in providing Paramedic services;

F. All contractors must be able to meet requirements (imposed by the state in which they are licensed) of collaborative (to include prescriptive authority) for employment on a federal installation/reservation.

G. “No adverse information on file” with the National Practitioners Data Bank (NPDB).

H. Each paramedic must possess and maintain current authorization to practice for

Cape and Islands EMS system.

Item 16: Attachment 3(w) Paramedic SOW, 3 Credential Review, B Copies of is hereby deleted and replaced with the following:

B. Copies of:

(1) Proof of successful completion of a state authorized Paramedic Program (a “Polaroid” picture is acceptable as a copy);

(2) A current certificate in the state of performance as a Paramedic;

(3) Evidence of immunity to Hepatitis “A” and “B” and evidence of freedom from chronic communicable disease(s) i.e., HIV, TB and Sexual transmitted diseases (within 30 days of start of work);

(4) A current certification in Basic and Advanced Cardiac Life Support;

(5) Proof of insurability against malpractice in the amount of one million

($1,000,000.00) dollars per occurrence;

(6) At least three (3) letters of recommendation from recent employers or professional peers addressing paramedic services;

(7) A record of professional training/courses attended in the past two years;

(8) Previous work references including name of organization, number of years services rendered, name and address of point of contact with telephone number.

See conformed continuation pages.

2703 MARTIN LUTHER KING JR AVE SE

Washington DC 205930001