Attachment_1_Statement-of-Work.pdf

70Z02324RHSWL0001 Customized Dental Appliances: Statement of Work 3/27/2024

STATEMENT OF WORK

CUSTOMIZED DENTAL LABORATORY SERVICES

AND APPLIANCES FOR COAST GUARD DENTAL

CLINICS

1.0 INTRODUCTION

1.1 Requirement. The United States Coast Guard (USCG) is procuring customized dental services and appliances to support Coast Guard Dental Clinics throughout the United States and Puerto Rico. The purpose of this Statement of Work (SOW) is to describe the needs and outcome anticipated by the Health Safety Work Life Service Center (HSWL SC) for the full and complete deliverance of the required services at the specified locations to ensure consistent and high-quality performance.

1.2 Contractor Responsibility. The dental laboratory shall possess and maintain for the duration of this contract recognition by the American Dental Association, National Association of Dental Laboratories, and the National Board for Certification in Dental Laboratory Technology.

1.3 Procedure Guidance. The dental laboratory shall meet or exceed the industry standards in accordance with established principles, practices, and ethics of the dental laboratory profession. The standards of performance of the dental laboratory provided by the Contractor shall reflect the degree of quality and productivity expected of a reasonably prudent dental laboratory in the state of their practice within the United States.

1.4 Production. The Contractor SHALL NOT outsource and/or subcontract any work orders/dental laboratory prescription, or components of a work order/dental laboratory prescription, submitted by Coast Guard dental providers, outside of the United States.

1.5 Privacy of Individually Identifiable Health Information. The dental laboratory shall ensure strict compliance to the release of Protected Health Information in accordance with the Code of Federal Regulation, Title 45, Public Welfare, Subtitle A, Department of Health and Human Services, Part 164, Security and Privacy (45 CFR 164), and the "Health Insurance Portability and Accountability Act (HIPAA)".

1.6 Communication. The Contractor shall maintain open and professional communication with members of Coast Guard Dental Clinics. Complaints validated by the referring Dental Officer (DO) and the facilities Clinical Administrator (CA) shall be reported in email to the Contracting Officer (KO), Contracting Officers Representative (COR) and the Contractor for action.

2.0 BACKGROUND

2.1 Mission. The estimated volume of customized dental services and appliances requested from Coast Guard clinics range from 500 to 2,000 annually. Coast Guard Dental Officers ensure that over 35,000 active duty and reserve members comply with dental readiness standards and can deploy at a moment's notice. The Contractor/Dental Laboratory will have a professional working relationship with Coast Guard dental providers and will communicate to meet special requests or resolve discrepancies in delivery of final product.

2.2 Place of Performance. The primary place of performance will be at the Contractor’s own facility.

2.3. Hours of Operation. Contractor shall fulfill delivery requirements as specified herein.

2.4. Government Terms and Definitions

2.4.1 Contractor. The term “Contractor” refers to the legal entity that undertakes the legal responsibility to perform this contract, in this case is which may be a Dental Laboratory. The

Prime Contractor shall provide all the customized dental services and appliances for this contract. Subcontractors and other dental laboratories may provide customized services and dental appliances under this contract provided the PRIME contractor adheres to FAR

19.505.

2.4.2 Dental Officer. Dental Officers will be licensed providers commissioned to the US Coast

Guard or the US Public Health Service or other federal agencies.

2.4.3 Clinic Administrator. The Clinic Administrator is a non-clinical position held at a CG clinic and will normally be a Coast Guard non- commissioned or commissioned officer or senior enlisted member with clinic experience. The Clinic Administrator is the functional manager of the clinic.

ACOR Alternate Contracting Officer's Representative CFR Code of Federal Regulations COR Contracting Officer's Representative DO Dental Officer FAR Federal Acquisition Regulation FY Fiscal Year HIPAA Health Insurance Portability and Accountability Act of 1996 HS Health Services Technician KO Contracting Officer MTF Military Treatment Facility

U.S.C. United States Code

3.0. SCOPE

The purpose of the contract is to obtain off-site customized dental laboratory services and appliances to support twenty-nine (29) Coast Guard clinics throughout the United States and Puerto Rico, listed in Attachment 1 – List of Clinics. The Contractor shall ensure that all dental laboratory services and appliances are delivered to the respective USCG facility upon completion of the job(s). Shipping materials and fees for dental laboratory products and services within the Continental of the United States, Puerto Rico, and Alaska will be included in the contract (not separately priced).

3.1 The Contractor must provide all phases of complete dental laboratory services and appliances to all locations listed in Enclosure 1 – List of Clinics (of the SOW). The Contractor must ensure that all dental appliances conform to the specific prescription submitted by Coast Guard Dental Providers. Any dental appliance that breaks during processing or is improperly processed shall be remade at no cost to the Coast Guard. Any appliance that does not properly fit a patient shall be considered a Contractor fault and either corrected or remade at no cost to the Coast Guard. In all instances of remakes, the ‘no-cost' requirement is based on the Contractor being at fault in meeting the requirements of the work requested that includes any and all dental laboratory services and/or appliances within scope. If the Contractor disputes the responsibility for non-compliant work product, the contractor may submit the dispute to the COR in writing via electronic mail for a final determination.

3.2 New Requirements. If the Coast Guard requires additional customized dental laboratory services and/or appliances after contract award, the Coast Guard will identify the required item(s) and initiate a change order with the contractor.

3.3 Changes in Requirements. Following award of the contract the Government may initiate a change order with the contactor to accommodate the changing needs of the government.

Change orders may include additions and/or deletions of customized dental laboratory services and appliances or clinical locations identified in Enclosure 1 – List of Clinics. If there is a change in the requirement, the Government will initiate a change order with the contractor.

4.0. APPLICABLE REFERENCES/DOCUMENTS

The Contractor shall be guided by and comply with the following laws, regulations, and directives and shall update their knowledge of the applicable requirements on a continuing basis.

PUBLICATION TITLE

COMDTINSTM6000.1(series) *Coast Guard Medical Manual

COMDTINST M5520.12C Coast Guard Personnel and Security Manual

Code of Federal Regulations

(CFR)

46 CFR Parts 5, 10, 11, 12, 13, 15, 16; 46 U.S.C.

Parts E and F; and Applicable Federal Register

*Centers for Disease Control (CDC) Guidelines for HIV

Management Section 503 of the Rehabilitation Act (29 U.S.C. § 793)

Public Law 87-693, 42 U.S.C.

2651-2653

Federal Medical Care Recovery Act

Public Law 93-579, 5 U.S.C.

§552a

The Privacy Act of 1974

Public Law 101-647m, Section

Public Law 102-190, Section

Public Law 102-190, Section

Public Law 104-191, 42 U.S.C.

Health Insurance Portability and Accountability Act

(HIPAA) of 1996

Public Law 103-355, 10 U.S.C.

42 U.S.C. §1304.1 Crime Control Act of 1990 as amended by Public Law

102-190, Section 1094 Homeland Security Presidential Directive 12 (HSPD-12) *Applicable policy letters and guidance documents

* Copies are available in all Coast Guard clinics

U.S.C. = United States Code

5.0 TECHNICAL REQUIREMENTS

5.1 Responsibility. It is the Contractor’s responsibility to (1) fabricate dental appliances as requested, set forth within the order/prescription request; (2) review documented work order requests received from the Coast Guard Clinics; (3) make recommendations regarding structure, material, and design taking into account the best benefit to the dental patient; and, (4) consult with the Coast Guard Dental Officer (DO) if complications arise in the fabrication and delivery of dental appliances; (5) contact the ordering DO prior to fabrication if the requested appliance cannot be made to the specifications for any reason.

5.2 Pick Up/Delivery. The Contractor shall provide case transport Monday through Friday except for the days of observance of Federal holidays. The Contractor shall provide same day transport of all orders prepared no later than 12:00 pm EST. The Contractor shall provide next day transport of all orders prepared after 12:00 pm EST. The Contractor shall deliver the finished services and/or appliances no later than the delivery dates set forth in the onboarding meeting. Delivery, herein, within the following specified business days from receipt of the case in the laboratory.

Full cast crown 7 days

Porcelain restoration 7 days

Composite restoration 7 days

Implant Case 7 days

Acrylic temporary 7 days

Set up denture 4 days

Process denture 4 days

Bite blocks or custom tray 2 days

Framework denture 7 days

Surgical Splints and stents 4 days

Occlusal Splints/Night Guard 4 days

Athletic mouth guard 7 days

Retainers 7 days

Orthodontic study model 7 days

Reline, hard 2 days

Reline, soft 2 days

Rebase or repair 2 days

5.2.1 Notification of Orders. The process for notifying the Contractor of orders ready to be filled will be coordinated with the Contractor after contract award. Communication methods will be done through a secure online method. Designated Government personnel authorized to initiate orders will be identified at time of contract award.

5.2.2 Transportation of supplies shall not be separately priced.

5.3 Product Specifications:

5.3.1 The Contractor shall provide porcelain fused to high noble ceramo-metal crown/bridge with options: metal occlusal surface, crown under partial (survey crown), porcelain labial butt margin, and implant supported crowns and abutments. Metal cutback design for porcelain fused to metal crowns will be provided by prescribing doctor.

5.3.2 Contractor shall identify and provide detailed description of metal alloy components and percentages used in the fabrication of each of the requested prosthesis. Contractor shall identify type of porcelain utilized in the fabrication of each of the requested prosthesis. This information will be included with each returned case for inclusion in the patient record.

5.3.3 The Contractor shall provide processed, flexible partial denture frameworks (Valplast, Flexite or equivalent material) and cast metal frameworks utilizing Nickel free metal such as Cobalt Chromium or equivalent.

5.3.4. Denture teeth set up, and processed acrylic denture base, shall follow prescription requests and will include all interim fabrication steps to completion of definitive prosthesis.

5.3.5. The Contractor shall provide lab fabricated/processed provisional restorations and shall utilize acrylic or composite type materials.

5.3.6. The Contractor shall provide all ceramic restorations with the following options:

Empress-crown/ veneer/inlay/onlay, Procera-crown/veneer/inlay/onlay, LAVA-3M ESPE crown/veneer/inlay/onlay.

5.3.7. All Removable appliances (Dentures, Partials, Flippers, etc.) MUST include Dentsply Portrait IPN teeth, Heraeus Pala Mandia, or the equivalent to be approved by the United States Coast Guard Dental Consultant. Alternate tooth option must be a minimum of three (3) layers.

5.3.8. Zirconia Crown and Bridge Frameworks MUST be Lava or Procera Brand. Substitute brands MUST be approved by the United States Coast Guard Dental Consultant.

5.3.9. Premium Chrome Frameworks must be Dentsply's Vitallium 2000 or Bego's Wironium.

Substitute brands must be approved by the United States Coast Guard Dental Consultant.

5.3.10. Full and Partial Denture Cases. Partial cases can be shipped up to 4-5 times depending on the case. Denture cases can be shipped up to 3-4 times depending on the case. However, the Coast Guard does very few partial and denture cases.

5.3.11. The laboratory shall apply its expertise and experience to identify potential dental prosthetic problems before producing the prosthesis. If the laboratory recognizes potential problems in the requested prosthetic design that will lead to functional and/or aesthetic deficiencies, that can only be overcome by a significant deviation from the original prescription, the contractor shall consult with the Coast Guard Clinic prior to proceeding.

Prostheses that cannot be fabricated without compromising the integrity of any restoration or that place the tooth or remaining teeth in jeopardy of further destruction shall be immediately returned. The Coast Guard Clinic will make every effort to properly screen cases prior to sending to the Contractor.

5.3.12. All prosthesis MUST be fabricated in the United States of America using approved materials and methods in accordance with the FEDERAL ACQUISITION REGULATION

(FAR) CLAUSE 52.225-1, BUY AMERICAN ACT SUPPLIES.

5.4 Packaging. Each individual framework/product shall be delivered in a sealed, see-through plastic envelope with the service ticket attached to the envelope. The service ticket includes the following information: 1) description of prescription; 2) description of service/product; 3) patient's name; and 4) patient's case number. Specific acrylics, alloys and/or porcelains used in prostheses fabrication shall be documented. Packaging shall be of protective quality to ensure that the product is undamaged during handling.

5.5 Quality of Workmanship:

5.5.1. The Coast Guard Clinic designated dentist or dental technician will inspect each fabrication delivered by the contractor to assess the quality of the fabrication. Each prosthesis will be inspected for consistency with original prescription, quality of materials used, fit, finish, aesthetics, patient comfort, and satisfaction.

5.5.2. Products that are deemed unacceptable will be returned for subsequent adjustments/reworks. Completed adjustments/reworks shall be delivered to the Coast Guard Clinic no later than seven calendar days after the adjustment/rework order arrives at the laboratory. Such adjustments/reworks shall be at no additional cost to the Government as long as no substantive modifications or an alteration of the original prostheses has taken place by the dentist.

5.5.3. Contractor will provide 24-hour turn-around time for minor corrections of shade, contour, and adding interproximal contacts. Such adjustments/reworks shall be at no additional cost to the Government as long as no substantive modifications or an alteration of the original prostheses has taken place by the dentist.

5.6. Fixed Prosthetics Checklist:

1. Restoration matches prescription regarding design and fabrication with respect to current dental lab technology.

2. Shade matches prescription. Characterizations provided when requested.

3. Restoration fits master die without rocking or abrading die. Internal adjustments have not obliterated any grooves or boxes utilized to improve retention.

4. Marginal adaptation is accurate and closed under 6X magnification. Clinically acceptable margins when restoration is on tooth. Margins are not over polished or over contoured.

5. Marginal ridges harmonize with marginal ridges of adjacent teeth.

6. Proximal contacts are correctly contoured and allow shimstock to pull on solid cast and dental floss to lightly snap when evaluating intraorally, unless otherwise requested by dentist

7. Occlusion meets doctor’s prescription. There are no occlusal prematurities in maximum intercuspation or lateral and protrusive excursions. There shall be no centric stops on inclined cusp planes.

8. Tooth anatomy is correct and lifelike, with primary and secondary anatomical features.

9. Restoration harmonizes with adjacent teeth in regard to facial and lingual contours.

Crown is not overbulked in gingival third. Cusp heights and occlusal plane harmonize with adjacent teeth.

10. Restoration polished to high shine and internally microabraded with 50 micron aluminous oxide. Internal shall also be cleaned of any polishing compounds or other materials.

11. Internal metal on porcelain fused to metal crowns shall be free of porcelain opaque, glaze or other debris.

12. All-ceramic crowns and veneers shall be internally etched in accordance with manufacturer’s specifications.

5.7 Removable Prosthetics Checklist:

1. Restoration matches prescription and any surveyed and designed casts that accompany the case. Dentist’s design is followed with no major deviations.

2. Occlusion is correct and follows prescription with respect to occlusal scheme desired (i.e., Lingualized, bilateral balanced, etc.). Correct tooth mold utilized. Denture teeth are not overground and occlusal anatomy is preserved.

3. Function and esthetics must be acceptable and follow prescription. Teeth provided match prescription in mold, shape, and shade. Gingival acrylic shades match prescription with respect to shade and desired pigmentation. There is no acrylic resin flash processed onto teeth.

4. Restoration harmonizes with remaining teeth. Buccal and lingual contours are in line with adjacent teeth. Compensating curve is uniform. Teeth are not set grossly outside the normal arch form. Gingival contours are correct anatomically.

5. Restoration polished to a high shine without damage to teeth and cleaned.

6. Periphery is correct and properly extended to vestibular sulcus established in the master cast. Posterior palatal border not overextended.

5.8 Patient Confidentiality. Contractor access to information protected under the Privacy Act is required under the contract. Contractor employees shall safeguard this information against unauthorized disclosure or dissemination in accordance with the law, Government policy and regulation. The Contractor shall comply with HIPAA privacy and security requirements.

5.9 Additional Requirements:

a. Kick-Off Meeting. The Contractor shall attend a Kick-Off Meeting with the Coast Guard no later than five (5) business days after the date of award. The purpose of the Kick-Off Meeting is to discuss technical and contracting objectives of the contract. The Kick-Off Meeting will be conducted by TEAMS. The Contractor will be notified at time of award with more specific details.

b. Productivity Reports. The Project Manager shall provide a quarterly productivity report to the Contracting Officer, and the COR via electronic mail. This report shall include a summary of all Contractor work performed (completed cases) and assessment of errors and re-fabrication.

c. General Documentation Requirements. The Contractor shall follow FAR 52.212-4 and the USCG supplemental invoice clause for invoicing.

d. Protection of Information. Contractor access to information protected under the Privacy Act is required under this contract. Contractor employees shall safeguard this information against unauthorized disclosure or dissemination in accordance with federal law and HSAR 3052.204-72.

5.10 Contractor-Furnished Property. The Contractor shall furnish all facilities, materials, equipment, supplies, packaging, marking, transportation, and services necessary to fulfill the requirements of the RFQ, except for the Government Furnished Property specified herein.

5.11 Government-Furnished Property. The Government will provide the molds and impressions necessary for the Contractor to fabricate the required customized dental services and appliances listed in the Schedule of Supplies herein, unless specifically stated otherwise.

5.12 Non-Personal Services. It is a matter of policy within the United States Government to rely on the private sector for needed commercial services that must abide by FAR 37.104.

5.12.1 In accordance with federal procurement policies and regulations, no personal services or inherently governmental activities shall be performed under this contract. No contractor employee will be directly supervised by a Government employee. All individual contractor employee assignments, and daily work direction, shall be given by the applicable employee supervisor. If the contractor believes any Government action or communication has been given that would create a personal services relationship and/or result in a contractor performing inherently governmental activities between the Government and any contractor employee, the contractor shall promptly notify the Contracting Officer of this communication, direction or action.

5.12.2 No contractor employee shall portray him or herself as a Government employee, agent, or representative. No contractor employee shall state orally or in writing at any time that he or she is acting on behalf of the Government. In all communications with third parties in connection with this contract, contractor employees shall identify themselves as contractor employees by specifying the name of the company for which they work. In all communications with other Government contractors in connection with this contract, the contractor employee shall state that they have no authority to in any way change requirements and that if the other contractor believes this communication to be direction to change their contract, they should immediately notify the Contracting Officer and not carry out the direction until a clarification has been issued by the Contracting Officer.

6.0 DELIVERABLES

The Contractor shall submit the following deliverables in the format, content, and schedule as outlined in the table below as a Microsoft Word file when applicable. The file format shall be

PC compatible and submitted via email (preferred method) to the Contracting Officer, Contract Specialist, and the COR.

DELIVERABLE / EVENT FREQUENCY DUE BY

Kick-Off Meeting

Once No later than five (5) business days after the date of the award.

Contractor Quality Control

Plan

As revised

Not later than fifteen (15) business days after the date of award.

Dental laboratory services and

Prosthetics

As needed The Contractor shall provide case transport Monday through Friday except for the day of observance of

Federal holidays. The

Contractor shall provide same day transport of all orders prepared no later than

12:00 pm EST. The

Contractor shall provide next day transport of all orders prepared after 12:00 pm

EST. The Contractor shall deliver the finished prostheses no later than the delivery dates set forth in the onboarding meeting. See table in SOW 5.2

Productivity Report

Quarterly Not later than the 5th of every 3rd month for the previous 3 months.

Contract Discrepancy Report As needed Within five (5) days of receipt.

7.0 CONTRACTOR FACILITY/PERSONNEL REQUIREMENTS/QUALIFICATIONS

7.1 The Contractor shall be a full-service laboratory that can integrate the combined treatment needs of the prosthetic patient requiring simultaneous fixed, removable, and implant supported prostheses. The contractor shall be certified by the National Association of Dental Laboratories.

7.2 Management. The Contractor shall manage the total work effort associated with the provision of customized dental appliances in a skillful and professional manner to assure fully adequate and timely delivery of the required items. Included in this function is a full range of management duties including, but not limited to: planning, scheduling, report preparation, establishing and maintaining records and quality control.

7.2.1 The Contractor, or designated qualified personnel, and any substitute(s), shall be able to effectively communicate with all Government and non-Government personnel and shall have full authority to act for the Contractor on all contractual matters relating to the provision of supplies required by the contract; and to receive, accept and sign for any notices, inspection reports and all other correspondence on behalf of the Contractor from the Contracting Officer or COR.

7.2.2 The Contractor, or designated qualified personnel, shall return calls to the COR within twenty four (24) hours of being contacted and shall provide the COR his/her cellular phone and an e-mail address to be reached during normal working hours.

7.3 Qualified Personnel. The dental laboratory shall ensure that all dental appliances fabricated for the Coast Guard are performed by Certified Dental Technicians (CDT), Recognized

Graduates (RG) or technicians in possession of a Dental Laboratory Technology Certificate of

Competency under the Modularization Program of the National Board of Certification in Dental

Laboratory Technology.

7.4 Language Requirements. The Contractor who is communicating directly with the

Government shall be able to clearly speak, read, write, and understand English; and shall be able to fulfill, completely and clearly, the reporting requirements of the contract.

7.5 Conflict of Interest. The Contractor shall not employ any person who is an employee of the

United States Government if that employment would, or would appear to, cause a conflict of interest.

8.0 CONTRACTOR QUALITY CONTROL (QC) REQUIREMENTS

8.1 General. The quality control program is the driver for product quality in this contract. The contractor is required to develop a comprehensive program of inspections and monitoring actions. The first major step to ensuring a "self-correcting" contract is to ensure that the quality control program approved at the beginning of the contract provides the measures needed to lead the contractor to success. Once the quality control program is approved, careful application of the process and standards presented in the remainder of this document will ensure a robust quality assurance program.

8.2 Contractor Quality Control Plan (QCP). The Contractor shall develop, submit, implement and maintain a complete QCP delineating the contractor's Quality Control Program/Inspection

System to monitor and control their provision of supplies, in accordance with Section 6.0, Deliverables, of the Specifications/Requirements to ensure that the requirements of the contract are performed and provided in accordance with the Specifications/Requirements, established standards and with commonly accepted commercial practices. The QCP shall include the following: a) timely and effective corrective action for all deficiencies identified by the

Government addressing the areas identified in the Specifications/Requirements; b) implementation of procedures to identify, prevent, and ensure non-recurrence of defective supplies; c) well defined inspection procedures; d) an action plan for correction of discrepancies; and e), a clear explanation of the management's role in its commitment to quality performance. After initial approval, if the plan is updated or changed, it shall be resubmitted to the Contracting Officer and COR for approval.

8.3 Quality Control (QC) Program/Inspection System. The QC Program/Inspection System shall encompass all functions of the contract and shall establish and explain in detail how the

Contractor shall sustain the quality of providing the required supplies. It must specify areas to be inspected on either a scheduled or unscheduled basis with the title of the individual conducting the inspection. The QC Program/Inspection System shall be designed to keep the Contractor's management and the Coast Guard informed of all issues affecting quality to include timely and effective corrective actions. The QC records shall, in part, consist of checklists of inspections and shall indicate the nature, frequency and number of observations made; the number and type of deficiencies found; and the nature of corrective action taken as appropriate.

8.4 Contents of the QC Program/Inspection System. As a minimum, the contractor shall develop quality control procedures. The inspection system shall include, but is not limited to, the following:

I. Introduction to the Quality Control System:

A. Background and Rationale for the system

B. Objectives in using Quality Control

C. Successes with and updates for the System

II. Quality Control Process for Customized Dental Appliances:

A. Steps and Flow Diagram - Includes checklists used for inspecting contract performance during regularly scheduled/unscheduled inspections/testing; method of documenting and enforcing quality control operations.

B. Inspection Procedure - Includes checklists used by the contractor, identifying the items, frequency, conformance indicators and actions taken if nonconformance found covering all the supply requirements of this contract.

C. Means of Identifying and Resolving Problems - A system for identifying and correcting deficiencies in the quality of supplies before the level of performance becomes unacceptable and/or the Government inspectors point out the deficiencies.

D. Roles and Responsibilities - The name(s) of the individual(s) who will perform the inspection.

III. Specific Quality Control Functions for Customized Dental Appliances:

A. Supervision of Supplies and Delivery Schedule (covering all the requirements of this contract, to include reports, availability of Contractor with the flexibility to realign staff for certain events.

B. Compliance with health and sanitary requirements.

C. A system for identifying and correcting deficiencies in the quality of supplies provided before the level of performance becomes unacceptable and/or the Government inspectors point out the deficiencies.

D. An inspection system that covers all the requirements of the contract. A checklist used in inspecting contract performance during regularly scheduled or unscheduled inspections. The name(s) of the individual(s) who will perform the inspection.

E. A file of all inspections conducted by the Contractor and the corrective action taken. This documentation shall be available to the COR/Contracting Officer during the term of the contract.

IV. Contingencies:

A. Special Events or Emergency Situations

1. Procedures to be used

2. Obtaining additional employees

B. Hurricane and other natural disasters

8.5 Performance Evaluation. The Customized Dental Appliances received along with the

Contractor's performance will be evaluated to determine whether or not they meet the quality requirements of the contract. If the deliverables of the contract are not met, the Contracting

Officer may issue a deficiency report to the Contractor. The Contractor shall respond to the deficiency report within five (5) business days of receipt.

8.6 Performance Evaluation Meeting. The Contractor will be required to meet with the COR the first month of the contract. Thereafter, meetings will be held as often as necessary, as determined by the COR. However, if the contractor requests, a meeting will be held whenever a Contract

Discrepancy Report is issued. The written minutes of these meetings will be prepared by the

COR and shall be signed by the Contractor, and the COR, and whoever else is in attendance.

Should the Contractor not concur with the minutes, the Contractor shall so state any areas of non-concurrence, in writing, to the COR/Contracting Officer within ten (10) calendar days of receipt of the signed minutes.

ENCLOSURE 1 - LIST OF CLINICS

United States Coast Guard (USCG) Customized Dental Appliances

North South West Commanding Officer USCG Yard Health Services Division 2401 Hawkins Road Baltimore, MD 21226-1797

Commanding Officer USCG Air Station Borinquen Health Services Division Aguadilla, PR 00604-9999

Commanding Officer USCG Base Alameda USCG Island Health Services Division Alameda, CA 94501

Commanding Officer USCG Base Boston Health Services Division 427 Commercial Street Boston, MA 02109

Commanding Officer USCG Air Station Clearwater Health Services Division 15100 Rescue Way Clearwater, FL 33762

Commanding Officer USCG Base Ketchikan/Juneau Health Services Division 709 W 9th St Juneau, AK 99801-1807

Commanding Officer USCG Air Station Cape Cod Health Services Division Cape Cod, MA 02542-5020

Commanding Officer USCG Air Station Houston Health Services Division 1178 Ellington Field Houston, TX 77034

Commanding Officer USCG Base Ketchikan Health Services Division 1300 Stedman St Ketchikan, AK 99901-6661

Commanding Officer USCG Training Center Cape May Health Services Division 1 Munro Avenue Cape May, NJ 08204

Commanding Officer USCG Base Miami Health Services Division 100 MacArthur Causeway Miami Beach, FL 33139

Commanding Officer USCG Base Kodiak Health Services Division Rockmore-King Clinic Bldg N-46 PO Box 195002 Kodiak, AK 99619-5002

Commanding Officer USCG Aviation Training Center Elizabeth City Health Services Division Elizabeth City, NC 27909

Commanding Officer USCG Air Station Miami Health Services Division 15000 NW 42nd Avenue Opa Locka, FL 33054

Commanding Officer USCG Sector North Bend Health Services Division 2000 Connecticut Avenue North Bend, OR 97459

Commanding Officer USCG Academy Health Services Division 27 Mohegan Avenue New London, CT 06320-8108

Commanding Officer USCG Aviation Training Center Mobile Health Services Division 8501 Tanner Williams Road Mobile, AL 36608-8322

Commanding Officer USCG TRACEN Petaluma Health Services Division 599 Tomales Road Petaluma, CA 94952

Commanding Officer USCG Base Portsmouth Health Services Division 4000 Coast Guard Blvd Portsmouth, VA 23703-2199

Commanding Officer USCG Base New Orleans Health Services Division 4640 Urquhart Street New Orleans, LA 70117

Commanding Officer USCG Los Angeles Long Beach Base San Pedro Heath Services Division 1001 South Seaside Ave Terminal Island San Pedro, CA 90731

Commanding Officer USCG Air Station Detroit Health Services Division 43401 N Jefferson, Bldg 825 Selfridge ANGB, MI 48045

Commanding Officer USCG Sector San Juan Health Services Division 5 Calle La Puntilla San Juan, PR 00901-1800

Commanding Officer USCG Base Seattle Health Services Division 1519 Alaskan Way South Seattle, WA 98134

Commanding Officer USCG Headquarters Health Services Division 2703 Martin Luther King Jr Ave SE Washington, DC 20593

Commanding Officer USCG Sector St. Petersburg Health Services Division 15100 Rescue Way Clearwater, FL 33762

Commanding Officer USCG Sector Astoria Health Services Division 2185 SE 12th Place Warrenton, OR 97146

Commanding Officer USCG Training Center Health Services Division Craik Clinic Yorktown, VA 23690-5000