RFP_7200AA18R00008_IHS_IDIQ.pdf

Issuance Date: March 29, 2018

Questions Due Date and Time: April 4, 2018, 10:00 a.m. EDT

Closing Date and Time for Past Performance Information: April 11, 2018, 10:00 a.m. EDT

Closing Date and Time for IDIQ Proposal: April 30, 2018, 10:00 a.m. EDT

Subject: Request for Proposals (RFP) No. 7200AA18R00008, USAID Integrated Health

Systems (IHS)

The United States Agency for International Development (USAID), Bureau for Global Health

(GH), Office of Health Systems (OHS) is seeking proposals for health system strengthening services as described in the attached Request for Proposals (RFP). USAID anticipates the award of up to six (6) five-year Indefinite Delivery, Indefinite Quantity Contracts (IDIQs).

Approximately two (2) of the contracts will be set aside for award to small business concerns.

The Agency reserves the right to award more or less awards than anticipated, or to make no award. Task orders will be placed with small businesses in accordance with Section F Ordering procedures.

USAID anticipates that the maximum aggregate ordering limitation for contracts resulting from this RFP will be $500,000,000 with a five-year ordering period. The maximum aggregate dollar value of task orders awarded to all contractors cannot exceed this contract ceiling. This ceiling is not being subdivided among the number of awardees nor is it being multiplied by the number of awardees. There is no guarantee on the number of task orders that the successful contractors will receive or the amount of money beyond the minimum order guarantee set forth in the RFP. The

North American Industry classification System (NAICS) code for this acquisition is 541990. The authorized geographic code is 935.

This procurement will be conducted under full and open competition procedures, pursuant to Part

15 of the Federal Acquisition Regulation (FAR) (48 CFR Chapter 1). Please refer to Section L for information regarding proposal submission requirements. Offerors should take into account the expected delivery time required for proposal transmission and are responsible for ensuring that the proposals are received at USAID by the due date and time as specified on the cover page. Failure to comply with the submission date will deem any submission unacceptable and it will not be reviewed or evaluated. Questions and proposals must be submitted via email only to ihsip@usaid.gov.

Section L of the RFP sets forth all instructions for the preparation and submission of required proposal contents, including critical dates/times for the submission of questions, and the proposal mailto:ihsip@usaid.gov http://www.fedbizopps.gov/

7200AA18R00008

SOLICITATION, OFFER AND AWARD

4. TYPE OF SOLICITATION2. CONTRACT NUMBER 3. SOLICITATION NUMBER

7. ISSUED BY CODE 8. ADDRESS OFFER TO (If other than Item 7)

ORDER UNDER DPAS (15 CFR 700)

6. REQUISITION/PURCHASE NUMBER

NOTE: In sealed bid solicitations "offer" and "offeror" mean "bid" and "bidder".

NEGOTIATED (RFP)

SEALED BID (IFB)

5. DATE ISSUED

1. THIS CONTRACT IS A RATED RATING PAGE OF PAGES

1 257

EXT.NUMBERAREA CODE

B. TELEPHONE (NO COLLECT CALLS)A. NAME

10. FOR

INFORMATION

CALL:

CAUTION: LATE Submissions, Modifications, and Withdrawals: See Section L, Provision No. 52.214-7 or 52.215-1. All offers are subject to all terms and conditions contained in this solicitation.

(Date)(Hour) local timeuntildepository located in copies for furnishing the supplies or services in the Schedule will be received at the place specified in Item 8, or if hand carried, in the

SOLICITATION

9. Sealed offers in original and

PART IV - REPRESENTATIONS AND INSTRUCTIONS

OTHER STATEMENTS OF OFFERORS

EVALUATION FACTORS FOR AWARD

INSTRS., CONDS., AND NOTICES TO OFFERORS

REPRESENTATIONS, CERTIFICATIONS AND

LIST OF ATTACHMENTS

CONTRACT CLAUSES

PART III - LIST OF DOCUMENTS, EXHIBITS AND OTHER ATTACH.

I

J

K

L

M SPECIAL CONTRACT REQUIREMENTS

CONTRACT ADMINISTRATION DATA

DELIVERIES OR PERFORMANCE

INSPECTION AND ACCEPTANCE

PACKAGING AND MARKING

DESCRIPTION/SPECS./WORK STATEMENT

SUPPLIES OR SERVICES AND PRICES/COSTS

SOLICITATION/CONTRACT FORM

PART II - CONTRACT CLAUSESPART I - THE SCHEDULE

H

G

F

E

D

C

B

A

SEC. DESCRIPTION PAGE(S) (X) DESCRIPTION SEC. (X)

11. TABLE OF CONTENTS

18. OFFER DATE17. SIGNATURE

SUCH ADDRESS IN SCHEDULE.

IS DIFFERENT FROM ABOVE - ENTER

15C. CHECK IF REMITTANCE ADDRESS

EXT.NUMBERAREA CODE

15B. TELEPHONE NUMBER

(Type or print)AND

ADDRESS

OF

OFFEROR

CODE FACILITY

16. NAME AND TITLE OF PERSON AUTHORIZED TO SIGN OFFER15A. NAME

DATEAMENDMENT NO.DATEAMENDMENT NO.

and related documents numbered and dated):

amendments to the SOLICITATION for offerors

(The offeror acknowledges receipt of

14. ACKNOWLEDGEMENT OF AMENDMENTS

CALENDAR DAYS (%)30 CALENDAR DAYS (%)20 CALENDAR DAYS (%)10 CALENDAR DAYS (%)

(See Section I, Clause No. 52.232.8)

13. DISCOUNT FOR PROMPT PAYMENT

designated point(s), within the time specified in the schedule.

by the offeror) from the date for receipt of offers specified above, to furnish any or all items upon which prices are offered at the price set opposite each item, delivered at the

12. In compliance with the above, the undersigned agrees, if this offer is accepted within ______________ calendar days (60 calendar days unless a different period is inserted

NOTE: Item 12 does not apply if the solicitation includes the provisions at 52.214-16, Minimum Bid Acceptance Period.

OFFER (Must be fully completed by offeror)

IMPORTANT - Award will be made on this Form, or on Standard Form 26, or by other authorized official written notice.

28. AWARD DATE

(Signature of Contracting Officer)

27. UNITED STATES OF AMERICA

25. PAYMENT WILL BE MADE BY

26. NAME OF CONTRACTING OFFICER (Type or print)

CODE 24. ADMINISTERED BY (If other than Item 7)

ITEM

(4 copies unless otherwise specified)

23. SUBMIT INVOICES TO ADDRESS SHOWN IN

41 U.S.C. 253 (c) ( 10 U.S.C. 2304 (c) (

22. AUTHORITY FOR USING OTHER THAN FULL AND OPEN COMPETITION:

21. ACCOUNTING AND APPROPRIATION20. AMOUNT19. ACCEPTED AS TO ITEMS NUMBERED

AWARD (To be completed by government)

CODE

REQ-GH-17-00018703/29/2018

X

M/OAA/GH

Office of Acquisition & Assistance

USAID, M/OAA/GH, SA-44

1300 Pennsylvania Avenue, N.W.

Washington, DC 20523

1000 ET 04/30/2018

Agnes Tusjak

C. E-MAIL ADDRESS

ihsip@usaid.gov

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X

X

X

X

X

X

X

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PAGE(S)

Boryana Boncheva

AUTHORIZED FOR LOCAL REPRODUCTION

Previous edition is unusable

STANDARD FORM 33 (Rev. 9-97)

Prescribed by GSA - FAR (48 CFR) 53.214(c)

Solicitation No: 7200AA18R00008

USAID IHS IDIQ

TABLE OF CONTENTS

PART I - THE SCHEDULE

SECTION A – SOLICITATION/CONTRACT FORM

TABLE OF CONTENTS

SECTION B - SUPPLIES OR SERVICES AND PRICE/COSTS

PURPOSE ...................................................................................................................... 10 B.1

CONTRACT TYPE AND SERVICES .......................................................................... 10 B.2

MINIMUM OBLIGATED AMOUNT .......................................................................... 10 B.3

MAXIMUM CONTRACT CEILING ............................................................................ 10 B.4

FIXED FEE CEILING (COST-PLUS-FIXED-FEE TASK ORDERS ONLY) ............ 10 B.5

LABOR .......................................................................................................................... 11 B.6

LABOR (UNBURDENED CDR) RATE CHANGES ................................................... 16 B.7

INDIRECT COSTS AND ADVANCED UNDERSTANDING ON CEILINGS ......... 17 B.8

SECTION C - STATEMENT OF WORK

TITLE OF ACTIVITY ................................................................................................... 18 C.1

PURPOSE ...................................................................................................................... 18 C.2

BACKGROUND ............................................................................................................ 18 C.3

OBJECTIVES ................................................................................................................ 22 C.4

STATEMENT OF WORK ............................................................................................. 22 C.5

RESULTS ....................................................................................................................... 30 C.6

GENDER EQUALITY AND FEMALE EMPOWERMENT ....................................... 30 C.7

SECTION D - PACKAGING AND MARKING

D.1 AIDAR 752.7009 MARKING (JANUARY 1993)

D.2 BRANDING IMPLEMENTATION PLAN AND MARKING PLAN

SECTION E - INSPECTION AND ACCEPTANCE

E.1 NOTICE LISTING CONTRACT CLAUSES INCORPORATED BY REFERENCE . 33

E.2 INSPECTION AND ACCEPTANCE/RESPONSIBLE OFFICIAL

SECTION F - DELIVERIES OR PERFORMANCE

F.1 NOTICE LISTING CONTRACT CLAUSES INCORPORATED BY REFERENCE . 34

F.2 PERFORMANCE PERIOD

F.3 PLACE OF PERFORMANCE

F.4 PERFORMANCE STANDARDS

F.5 REPORTS AND DELIVERABLES OR OUTPUTS

F.6 ORDERING PROCEDURES

F.7 TASK ORDER ADMINISTRATION

F.8 KEY PERSONNEL AND IDIQ MANAGER

F.9 BUY-IN/FIELD SUPPORT FUNDING FOR TASK ORDERS

SECTION G - CONTRACT ADMINISTRATION DATA

NOTICE LISTING CONTRACT CLAUSES INCORPORATED BY REFERENCE . 52 G.1

CONTRACTING OFFICER .......................................................................................... 52 G.2

CONTRACTING OFFICER’S REPRESENTATIVE (COR) ....................................... 52 G.3

CONTRACTOR’S PRIMARY POINT OF CONTACT ............................................... 53 G.4

PAYING OFFICE .......................................................................................................... 53 G.5

ACCOUNTING AND APPROPRIATION DATA ....................................................... 53 G.6

TECHNICAL DIRECTION/RELATIONSHIP WITH USAID .................................... 53 G.7

SECTION H - SPECIAL CONTRACT REQUIREMENTS

H.1 CONSCIENCE CLAUSE IMPLEMENTATION (FEBRUARY 2012)

H.2 CONDOMS (ACQUISITION) (SEPTEMBER 2014)

H.3 PROHIBITION ON THE PROMOTION OR ADVOCACY OF THE LEGALIZATION

OR PRACTICE OF PROSTITUTION OR SEX TRAFFICKING (SEPTEMBER 2014)

H.4 USAID-FINANCED THIRD-PARTY WEB SITES (AUGUST 2013)

H.5 SUBMISSION OF DATASETS TO THE DEVELOPMENT DATA LIBRARY (DDL)

(OCTOBER 2014)

H.6 ADDITIONAL REQUIREMENTS FOR PERSONNEL COMPENSATION

H.7 AUTHORIZED GEOGRAPHIC CODE

H.8 DEFENSE BASE ACT (DBA) INSURANCE

H.9 LOGISTIC SUPPORT

H.10 EXECUTIVE ORDER ON TERRORISM FINANCING (FEB 2002)

H.11 FOREIGN GOVERNMENT DELEGATIONS TO INTERNATIONAL

CONFERENCES (JAN 2002)

H.12 PROHIBITION OF ASSISTANCE TO DRUG TRAFFICKERS

H.13 ENVIRONMENTAL COMPLIANCE

H.14 COMPLIANCE WITH SECTION 508 OF THE REHABILITATION ACT OF 1973,

AS AMENDED

H.15 ELECTRONIC PAYMENTS SYSTEM

H.16 INFORMATION SYSTEM SECURITY

H.17 RESTRICTIONS AGAINST DISCLOSURE (MAY 2016)

H.18 ELECTRONIC AND INFORMATION TECHNOLOGY ACCESSIBILITY (MAY

2016)

H.19 CLOUD COMPUTING (MAY 2016)

H.20 LANGUAGE REQUIREMENTS

PART II - CONTRACT CLAUSES

SECTION I - CONTRACT CLAUSES

I.1 NOTICE LISTING CONTRACT CLAUSES INCORPORATED BY REFERENCE . 77

I.2 52.204-1 APPROVAL OF CONTRACT (DEC 1989)

I.3 52.216-18 ORDERING (OCT 1995)

I.4 52.216-19 ORDER LIMITATIONS (OCT 1995)

I.5 52.216-22 INDEFINITE QUANTITY (OCT 1995)

I.6 52.217-8 OPTION TO EXTEND SERVICES (NOV 1999)

I.7 52.222-35 EQUAL OPPORTUNITY FOR VETERANS (OCT 2015)

I.8 52.222-36 EQUAL OPPORTUNITY FOR WORKERS WITH DISABILITIES (JUL

2014)

I.9 52.227-23 RIGHTS TO PROPOSAL DATA (TECHNICAL) (JUN 1987)

I.10 52.229-8 TAXES - FOREIGN COST-REIMBURSEMENT CONTRACTS (MAR

1990)

I.11 52.247-67 SUBMISSION OF TRANSPORTATION DOCUMENTS FOR AUDIT

(FEB 2006)

I.12 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

I.13 722.170 EMPLOYMENT OF THIRD COUNTRY NATIONALS (TCN’S) AND

COOPERATING COUNTRY NATIONALS (CCN’S)

I.14 752.209-71 ORGANIZATIONAL CONFLICTS OF INTEREST DISCOVERED

AFTER AWARD (JUN 1993)

I.15 752.229-71 REPORTING OF FOREIGN TAXES (JUL 2007)

I.16 752.245-70 GOVERNMENT PROPERTY—USAID REPORTING REQUIREMENTS

(JUL 1997)

I.17 752.7027 PERSONNEL (DEC 1990)

I.18 752.7032 INTERNATIONAL TRAVEL APPROVAL AND NOTIFICATION

REQUIREMENTS (APR 2014)

I.19 752.7101 VOLUNTARY POPULATION PLANNING ACTIVITIES (JUN 2008)

PART III – LIST OF DOCUMENTS, EXHIBITS AND OTHER ATTACHMENTS

SECTION J – LIST OF ATTACHMENTS

PART IV – REPRESENTATIONS AND INSTRUCTIONS

SECTION K – REPRESENTATIONS, CERTIFICATIONS AND OTHER STATEMENTS

OF THE OFFEROR

K.1 NOTICE LISTING SOLICITATION PROVISIONS INCORPORATED BY

REFERENCE

K.2 52.204-3 TAXPAYER IDENTIFICATION (OCT 1998)

K.3 52.204-8 ANNUAL REPRESENTATIONS AND CERTIFICATIONS (NOV 2017) . 98

K.4 52.209-5 CERTIFICATION REGARDING RESPONSIBILITY MATTERS (OCT

2015)

K.5 52.209-7 INFORMATION REGARDING RESPONSIBILITY MATTERS (JUL 2013)

K.6 52.209-11REPRESENTATION BY CORPORATIONS REGARDING DELINQUENT

TAX LIABILITY OR A FELONY CONVICTION UNDER ANY FEDERAL LAW

(FEB 2016)

K.7 52.209-12 CERTIFICATION REGARDING TAX MATTERS (FEB 2016)

K.8 52.227-15 REPRESENTATION OF LIMITED RIGHTS DATA AND RESTRICTED

COMPUTER SOFTWARE (DEC 2007)

K.9 52.230-1 COST ACCOUNTING STANDARDS NOTICES AND CERTIFICATION

(OCT 2015)

K.10 52.230-7 PROPOSAL DISCLOSURE--COST ACCOUNTING PRACTICE

CHANGES (APR 2005)

K.11 INSURANCE - IMMUNITY FROM TORT LIABILITY

K.12 ADS 302.3.5.16(A)(1) CONSCIENCE CLAUSE IMPLEMENTATION

(ACQUISITION) – SOLICITATION PROVISION (FEBRUARY 2012)

K.13 AUTHORIZED NEGOTIATORS

K.14 SIGNATURE

SECTION L – INSTRUCTIONS, CONDITIONS, AND NOTICES TO OFFERORS OR

RESPONDENTS

NOTICE LISTING SOLICITATION PROVISIONS INCORPORATED BY L.1

REFERENCE

52.216-1 TYPE OF CONTRACT (APR 1984) ........................................................... 113 L.2

52.233-2 SERVICE OF PROTEST (SEP 2006) .......................................................... 113 L.3

GENERAL INSTRUCTIONS ..................................................................................... 114 L.4

DELIVERY INSTRUCTIONS .................................................................................... 116 L.5

INSTRUCTIONS FOR THE PREPARATION OF THE TECHNICAL PROPOSAL 117 L.6

INSTRUCTIONS FOR THE PREPARATION OF THE COST/BUSINESS L.7

PROPOSAL

SECTION M - EVALUATION FACTORS FOR AWARD

M.1 GENERAL INFORMATION

M.2 TECHNICAL EVALUATION FACTORS

M.3 COST/PRICE EVALUATION

M.4 DETERMINATION OF COMPETITIVE RANGE

M.5 SOURCE SELECTION

M.6 CONTRACTING WITH SMALL BUSINESS CONCERNS

M.7 SMALL BUSINESS SET-ASIDE

M.8 CONTRACTING WITH U.S. SMALL BUSINESS CONCERNS IN THE MENTOR-

PROTÉGÉ PROGRAM

ATTACHMENTS

COST/PRICE EVALUATION MATRIX ............................................... 133 ATTACHMENT 1:

INITIAL ENVIRONMENTAL EXAMINATION INFORMATION .... 138 ATTACHMENT 2:

CONTRACTOR PAST PERFORMANCE INFORMATION ................ 178 ATTACHMENT 3:

GENDER ANALYSIS MATRIX AND DEFINITIONS ........................ 180 ATTACHMENT 4:

CERTIFICATION REGARDING TRAFFICKING IN PERSONS ATTACHMENT 5:

COMPLIANCE PLAN

SF LLL - DISCLOSURE OF LOBBYING ACTIVITIES ...................... 183 ATTACHMENT 6:

BRANDING STRATEGY ...................................................................... 186 ATTACHMENT 7:

USAID SMALL BUSINESS SUBCONTRACTING PLAN TEMPLATE ATTACHMENT 8:

(ALSO SEE FEDERAL ACQUISITION REGULATION 19.704 AND 52.219-9) ... 188

DRAFT TASK ORDER 1 – ACHIEVING UNIVERSAL HEALTH ATTACHMENT 9:

COVERAGE REQUEST FOR TASK ORDER PROPOSAL (RFTOP)

SECTION B – SUPPLIES OR SERVICES AND PRICE/COSTS

B.1 PURPOSE

B.2 CONTRACT TYPE AND SERVICES

B.3 ESTIMATED COST, FIXED FEE, AND OBLIGATED AMOUNT

B.4 BUDGET

B.5 INDIRECT COST

B.6 PAYMENT OF FIXED FEE

SECTION C – DESCRIPTION/SPECIFICATIONS/STATEMENT OF WORK

C.1 TITLE OF ACTIVITY

C.2 PURPOSE

C.3 BACKGROUND

C.4 OBJECTIVES

C.5 STATEMENT OF WORK

C.6 EXPECTED RESULTS

C.7 MONITORING, EVALUATION, AND LEARNING

SECTION D – PACKAGING AND MARKING

D.1 BRANDING IMPLEMENTATION PLAN AND MARKING PLAN

SECTION E - INSPECTION AND ACCEPTANCE

E.1 INSPECTION AND ACCEPTANCE

SECTION F – DELIVERIES OR PERFORMANCE

F.1 PERFORMANCE PERIOD

F.2 PLACE OF PERFORMANCE

F.3 KEY PERSONNEL

F.4 REPORTS AND DELIVERABLES

F.5 CONTRACTOR PERFORMANCE MONITORING AND SUPPORT

F.6 TECHNICAL PROFESSIONAL LEVEL OF EFFORT

F.7 AUTHORIZED WORK DAY/WEEK

SECTION G – TASK ORDER ADMINISTRATION DATA

G.1 CONTRACTING OFFICER

G.2 CONTRACTING OFFICER’S REPRESENTATIVE (COR)

G.3 PAYING OFFICE

G.4 ACCOUNTING AND APPROPRIATION DATA

SECTION H – SPECIAL TASK ORDER REQUIREMENTS

H.1 SUBCONTRACTING CONSENT

H.2 GRANTS UNDER CONTRACT (GUCS)

SECTION I – CONTRACT CLAUSES

I.1 NOTICE LISTING CONTRACT CLAUSES INCORPORATED BY REFERENCE 232

SECTION J – LIST OF ATTACHMENTS

SECTION K – REPRESENTATIONS, CERTIFICATIONS AND OTHER STATEMENTS

OF THE OFFEROR

SECTION L – INSTRUCTIONS, CONDITIONS, AND NOTICES TO OFFERORS OR

RESPONDENTS

L.1 NOTICE LISTING SOLICITATION PROVISIONS INCORPORATED BY

REFERENCE

L.2 52.216-1 TYPE OF CONTRACT (APR 1984)

L.3 52.233-2 SERVICE OF PROTEST (SEP 2006)

L.4 GENERAL INSTRUCTIONS

L.5 DELIVERY INSTRUCTIONS

L.6 INSTRUCTIONS FOR THE PREPARATION OF THE TECHNICAL PROPOSAL 238

L.7 INSTRUCTIONS FOR THE PREPARATION OF THE COST/BUSINESS

PROPOSAL

SECTION M - EVALUATION FACTORS FOR AWARD

M.1 GENERAL INFORMATION

M.2 TECHNICAL EVALUATION FACTORS

M.3 COST/PRICE EVALUATION

M.4 DETERMINATION OF COMPETITIVE RANGE

M.5 SOURCE SELECTION

M.6 CONTRACTING WITH SMALL BUSINESS CONCERNS

M.7 CONTRACTING WITH U.S. SMALL BUSINESS CONCERNS IN THE MENTOR-

PROTÉGÉ PROGRAM

TASK ORDER 1 ATTACHMENTS

ATACHMENT 1. LIST OF PRIORITY COUNTRIES

ATACHMENT 2. CERTIFICATION REGARDING TRAFFICKING IN PERSONS

COMPLIANCE PLAN

SECTION B - SUPPLIES OR SERVICES AND PRICE/COSTS

PURPOSE B.1

The purpose of this contract is to provide services that fall within the Statement of Work (SOW) specified in Section C for USAID Integrated Health Systems (IHS). USAID Task Order

Contracting Officers (TOCOs) will order services through the issuance of task orders during the ordering period as specified in Section F of the contract.

CONTRACT TYPE AND SERVICES B.2

This is an Indefinite Delivery, Indefinite Quantity (IDIQ) type contract. The Government will issue task orders that are either Cost-Plus-Fixed-Fee (CPFF) (term or completion), Cost-Plus-

Award-Fee (CPAF), Cost-Plus-Incentive-Fee (CPIF) or any Fixed-Priced type. The Contractor must perform the services set forth in task orders at prices consistent with Section B of this contract.

MINIMUM OBLIGATED AMOUNT B.3

The basic Contract includes an initial obligation of funds in the amount of $25,000 to cover the minimum order guarantee. USAID is required to order and the Contractor is required to furnish the minimum order amount of services.

Following this initial obligation, individual task orders will obligate funds to cover the work required under that task order.

MAXIMUM CONTRACT CEILING B.4

This is a multiple award IDIQ Contract with an overall ceiling price of $500,000,000 for USAID

Integrated Health Systems. The maximum aggregate dollar value of task orders awarded to all contractors must not exceed the contract ceiling. This ceiling is not being subdivided among the number of awardees nor is it being multiplied by the number of awardees.

FIXED FEE CEILING (Cost-Plus-Fixed-Fee Task Orders Only) B.5

NOTE: The ceiling on fixed fee does not apply to Fixed-Priced Task Orders.

(a) For each cost-reimbursement task order issued under this IDIQ, the TOCO and Contractor agree to negotiate a set dollar amount for fixed fee. In negotiating the fixed dollar amount for fee, the TOCO must consider the policies and factors for establishing fee in FAR 15.404-

4, as well as any applicable USAID policy on establishing a fixed fee amount. In no event, however, may the amount of fixed fee in any individual task order exceed [TBD] percent of the task order’s estimated cost, excluding fee.

This fee ceiling is not applicable to Grants under Contracts (GUCs), if any, or other costs that have a separate fee ceiling established in the contract. The fixed fee ceiling applies to the prime contract and all cost-reimbursement subcontracts.

Fees for CPIF or CPAF task order types will be negotiated by the TOCO at the time of task order award.

(b) The Total Estimated Cost-Plus-Fixed-Fee for each Task Order must be negotiated in accordance with the terms of this contract.

(c) Fixed Fee Payment. For any Task Order issued under this Contract, at the time of each payment of allowable costs to the contractor, the USAID paying office ordinarily pays the contractor a percentage of fixed fees that directly corresponds to the percentage of allowable costs being paid. Two exceptions to paying fixed fee in this manner apply:

(1) If the TOCO determines that this method results in paying a disproportionately higher ratio of fixed fee than the percentage of work that the contractor has completed, then the TOCO may suspend further payment of any fixed fee until the contractor has made sufficient progress to justify further payment, up to the agreed percentage.

(2) Because the clauses entitled “Allowable Cost and Payment” (FAR 52.216-7) and

“Fixed Fee” (FAR 52.216-8) are incorporated into this Contract, the terms and conditions of these clauses apply after total payments of fixed fee reach eighty-five percent (85%) of the total fixed fee.

LABOR B.6

(Only applicable to cost reimbursement type task orders)

(a) The Contracting Officer has determined that a key (full-time) technical manager is not necessary or required to administer the basic IDIQ. Contractors will not be authorized to bill USAID directly for IDIQ management costs under this IDIQ or under task orders.

Contractors must propose a centralized management structure that allows for recovery of

IDIQ management costs as part of its indirect costs.

(b) The work day and work week policies and method of accounting for paid absences including holidays for the contractor must be in accordance with the Contractor’s organizational policies and acceptable accounting procedures, which should be compliant with the applicable cost principles and the terms of this contract.

B.7 (a) Unburdened Ceiling Daily Rates (CDR)

(1) The task order rates must not exceed the ceiling daily rates set forth in the table below.

Each CDR for personnel listed below is “unburdened” and must only include salary costs or consulting rates of the individual providing the services.

The CDR for employees must not include the following:

Payroll costs (fringe benefits, Federal Insurance Contributions Act (FICA), allowances, differentials, etc.);

Indirect Costs applicable to labor; and

Profit or fee, if any.

The CDRs set forth below are fixed for the contract period and is for a productive eight (8) hour day, and apply to all subcontractors set forth in clause 52.244-2 in Section I. If a new subcontractor is proposed for a specific task order on other than a fixed-price basis, the CDRs set forth below will apply, and the subcontract is subject to consent by the TOCO in accordance with FAR Part 44.

Actual salaries for all personnel will be negotiated under task orders and final approval is provided by the TOCO. The ceiling rates presented below do not constitute approval of final salary rates above the Contractor Salary Threshold (CST) (see ADS 302).

(2) The single unburdened ceiling daily rate for each labor category/group below represents the mid-level and senior level rate in each category/grouping. One unburdened ceiling daily rate for each labor category/grouping is included in the contract to provide more flexibility under task orders. If junior-level personnel are required under task orders, they must be proposed at rates below the unburdened ceiling daily rate.

Labor Category Groupings Level Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 Year 7

Task Order Project

Director/Chief of Party

Senior

Mid

Technical Director Senior

Mid

Health Finance Specialist Senior

Mid

Health Governance Specialist Senior

Mid

Quality Improvement

Specialist

Senior

Mid

Health Systems Performance and Sustainability Specialist

Senior

Mid

Monitoring, Evaluation and

Learning Advisor

Senior

Mid

Note 1: The Unburdened Ceiling Daily Rates apply to all task order(s) that are awarded under this contract.

Note 2: The Unburdened Ceiling Daily Rates apply to all labor (the prime contractor, Third

Country Nationals (TCNs), Cooperating Country Nationals (CCNs), and consultant salaries).

CCN and TCN labor are also governed by the local compensation plan limitations as further provided in note 3 below.

Note 3: Locally Hired National Personnel or Other Non-U.S. Expatriate Rates:

All locally hired national personnel and other non-U.S. expatriates must be paid in accordance with AIDAR 722.170.

Salaries for individual locally-hired personnel and other non-U.S. expatriates under this contract must be in accordance with AIDAR 752.7007, Personnel Compensation (July 2007), and should be based upon a combination of factors including the prevailing compensation paid to personnel performing comparable work in the cooperating country as determined by USAID and consideration of the individual’s education, work experience and recent relevant salary history.

Unless otherwise authorized by USAID, the compensation for CCN and TCN labor must not exceed the prevailing compensation paid to personnel performing comparable work in the cooperating country as determined by USAID and must be paid in the currency of the cooperating country. However, TCNs and CCNs who are working in and/or are legal residents of the U.S. at the time they are hired under this Contract must be extended benefits, and be subjected to restrictions on the same basis as U.S. citizens who work in the U.S.

Note 4: The Unburdened Ceiling Daily Rates above do not apply to Fixed-priced Task Orders.

Note 5: The CDR table is not considered a comprehensive list of expertise expected to be engaged on TOs. If the required expertise is not captured within the listed labor categories, no

CDR will apply and rates will be negotiated based on the proposed personnel’s salary history and in accordance with the terms and conditions of the IDIQ and TO.

(3) Definition of labor categories:

Task Order Project Director/Chief of Party

The Task Order Project Director/Chief of Party will serve as the main point of contact for task orders, providing vision, technical direction, leadership, and management for the activities. S/he will serve as the Contractor’s primary representative for all task order related issues, concerns, or problems. S/he will have professional experience in the management of international development activities in/for low and middle-income countries (LMICs), preferably in the area of health system strengthening, and experience working in the field/overseas. The Task Order

Project Director will have experience interacting with government or non-governmental organizations including the private sector, in developing countries and experience working in partnership with U.S. Government agencies, international donors, or other multilateral agencies.

Preferably, s/he will have demonstrated senior-level leadership (e.g., Chief of Party, Project

Director, or Deputy Director) to programs of similar magnitude and complexity to the task order.

Technical Director

The Technical Director will ensure that the project activities are of high quality and adhere to global guidance, policies and best practices on health systems strengthening. S/he also will ensure the adaptation and integration of emerging knowledge and innovative solutions within project activities. S/he will have experience in management or implementation of health system strengthening programs in/for LMICs. S/he will have experience operating within the global

HSS community as a technical expert on diverse matters related to HSS in developing countries.

Health Financing Specialist

The Health Finance Specialist will have overall responsibilities to design, implement, monitor and evaluate of health finance programs. They will use a mix of approaches and strategies to achieve the project purpose and objectives. They will be expected to work collaboratively as part of the core and extended project teams to realize synergies between the project objectives. The

Health Financing Specialist will have experience working in a developing country context;

developing, implementing, managing or evaluating health finance programs; and professional experience interacting with government or non-governmental organizations including the private sector, in developing countries. In addition, the Health Finance Specialist should have experience managing, conducting or translating health systems research for policy or institutional reform.

Health Governance Specialist

The Health Governance Specialist will have overall responsibilities to design, implement, monitor and evaluate health governance programs. They will use a mix of approaches and strategies to apply governance improvement methodologies to the health sector to achieve the project purpose and objectives. They will be expected to work collaboratively as part of the core and extended project teams to realize synergies between the project objectives. The Health

Governance Specialist will professional experience within a developing country context;

professional experience developing, implementing managing or evaluating health governance programs; and professional experience interacting with government or non-governmental organizations in developing countries. In addition, the Health Governance Specialist should have experience working with governance issues in low- or middle-income countries; and managing, conducting or translating health systems research for policy or institutional reform.

Quality Improvement Specialist

The quality improvement specialist will support local quality improvement systems in partner countries to ensure that health systems are delivering safe, effective and equitable care to patients and their families. The quality improvement specialist will need to ensure integration across core areas of health systems, ranging from customer service to staff training to risk management and beyond. This includes supporting effective systems for collection and use of data on improving care, analyzing the different methods that care is delivered and managed, supporting countries to strengthen regulatory environment and compliance with minimum standards of care and monitoring and evaluating the development and results of all improved programs and initiatives to determine their results, then modify as needed. The QI Specialist will work with partner countries to ensure that essential services meets all regulations, reaches appropriate benchmarks, and that patient satisfaction is as high as possible.

Health Systems Performance and Sustainability Specialist

The Health System Performance and Sustainability Specialist will develop, implement and monitor the project’s systems for capacity-building, sustainability and transition from donor assistance. She/he is responsible for strengthening country-level health systems, including those processes and structures that are necessary for sustainable improvements in locally-owned systems. This includes supporting high-quality service delivery systems, strengthening linkages between national and sub-national health care systems, and building robust inclusion of civil society and private sector. S/he will have overall responsibility for ensuring that health system activities are appropriately assessing and addressing performance gaps in the health system, and strengthening the performance of local organizations. The HSPS Specialist will foster relationships with government and non-government partners, including country line ministries, professional associations, regulatory bodies, training institutions and other stakeholders to ensure proposed interventions and technical assistance address current health priorities. S/he will plan, implement and evaluate the creative use of emerging technologies that support efficiency and transition from donor assistance. S/he will have experience in organizational and systems capacity development assistance, working in technical and management capacities in global developing country projects in low resource settings.

Monitoring & Evaluation (M&E) Specialist

The M&E Specialist must have appropriate expertise on M&E related to the use of performance indicators and various research/evaluation methodologies to determine outcomes and impacts throughout the project/program cycle. S/he will have experience in monitoring, evaluation and learning; data management and analysis; health system mapping and/or assessment; and translating data into actionable information. S/he should be familiar with global and regional development indicators/indexes. S/he helps support programs to monitor and evaluate the effectiveness and efficiency of program goals. S/he will provide relevant data to help inform decision-making, and provides technical assistance and training in the development and implementation of systems and programs.

B.7 (b) Minimum Qualifications

In order to perform the statement of work set forth in Section C, the Contractor must provide personnel that meet the minimum education and experience requirements set forth in Table 1:

Minimum Qualifications. These minimum qualifications for mid-level and senior personnel correspond to the Unburdened Ceiling Daily Rates above.

Table 1: Minimum Qualifications

Level

Education Requirement (highest degree obtained should relate to the service area provided)

Direct Relevant Experience

Requirement (experience should relate to the service area provided)

Mid-Level Ph.D. 4 years

JD/All But Dissertation (ABD) 5 years

Language proficiency, relevant regional/national experience, and international development experience requirements will be specified in individual TOs.

B.7 (c) Subcontractor Rates.

The following provides guidance for various subcontracting arrangements:

(i) The Prime subcontracts with an approved subcontractor from the original IDIQ competition

The unburdened CDR’s for the prime contract apply to the subcontractor.

(ii) The Prime contracts with a new subcontractor not yet approved

The unburdened CDR’s for the prime contract apply to the new subcontractor.

(iii) Prime subcontracts with a new subcontractor not yet approved and may or may not have a different cost accounting system that only processes fully burdened rates. Further, subcontractor proposes rates that are “above” the prime IDIQ rates.

The Prime may then include in its TO proposal, (i) the fully burdened rate proposed to the Prime by the Subcontractor, (ii) allocation of the Prime’s indirect costs in accordance with established accounting practices, and (iii) a reasonable profit. If the rates proposed to USAID, inclusive of the Prime’s allocable indirect costs and a reasonable profit are above the Prime’s unburdened

CDRs , the Prime must disclose the amount of the indirect costs, and the amount of the proposed profit that were added to the Subcontractor’s proposed rates. A reasonable profit will be negotiated by the TOCO for the specific TO. The CDRs of the subcontractor must not exceed the prime’s CDRs in the IDIQ contract.

LABOR (UNBURDENED CDR) RATE CHANGES B.7

The labor rates are fixed for all contract years; however, the Contractor may submit a proposal reducing the labor rates and/or indirect rates at any time during the life of this contract. The

Government will review these proposals and determine if the revised rates are realistic and in the best interests of the Government. If the rates are accepted, the Government will modify the contract by incorporating the new rates into the contract.

MS/MA/MB 6 years

BS/BA 8 years

Less than BS/BA 10 years

Senior-

Level

Ph.D. 8 years

JD/ABD 10 years

MS/MA/MB 12 years

BS/BA 15 years

Less than BS/BA 20 years

INDIRECT COSTS AND ADVANCED UNDERSTANDING ON CEILINGS B.8

[Ceilings are not applicable to Small Businesses or local organizations serving as the prime or a subcontractor. Indirect rates are only applicable to cost reimbursement task orders.]

Pending establishment of revised provisional or final indirect cost rates, allowable indirect costs must be reimbursed on the basis of the following negotiated provisional or predetermined rates and the appropriate bases for prime contractors and their major subcontractors.

Offeror Fringe

Rate

Overhead

Rate %

Overhead

Ceiling

Rate %

G&A

Rate %

G&A Ceiling

Rate %

PRIME (insert name)

Base of Application

Source: (insert)

Period: (insert)

SUBCONTRACTOR(S)

(insert name(s))

Base of Application

Source: (insert)

Period: (insert)

Note 1: Insert additional indirect rates as needed for all primes and major subcontractors in the above table.

Note 2: The un-shaded columns in the indirect cost table are the Contractor’s current approved indirect cost rates.

The Contractor will make no change in its established method of classifying or allocating indirect costs that impacts this contract without the prior written approval of the Contracting

Officer.

Reimbursement for indirect costs must be at final negotiated rates, but not in excess of ceiling rates specified above.

The Government must not be obligated to pay any additional amount associated with indirect costs above the ceiling rates established in the contract. This advance understanding must not change any monetary ceiling, cost limitation, or obligation established in the contract.

Note 3: The above ceilings do not apply to Fixed-Priced Task Orders.

Note 4: Contractors are allowed to recoup indirect costs (OH, G&A, etc.) as other direct costs if it is part of the contractor’s usual accounting procedures, consistent with FAR Part 31 and the contactor’s NICRA.

[END OF SECTION B]

SECTION C - STATEMENT OF WORK

TITLE OF ACTIVITY C.1

USAID Integrated Health Systems (IHS)

PURPOSE C.2

The purpose of this IDIQ is to support USAID’s Bureau for Global Health, as well as USAID

Missions and other Bureaus, in planning and implementing health system strengthening programs with the overall goal of improving health and transitioning capacity to local partners.

This IDIQ will enhance USAID’s ability to implement health programs, globally, through the achievement of improved health systems performance.

BACKGROUND C.3

USAID, as a recognized leader in health systems, continues to prioritize health systems strengthening to most effectively and efficiently help countries meet their health sector goals and targets. USAID’s Office of Health Systems (OHS) works across the Agency’s entire portfolio of global health and is responsible for technical leadership and direction in health systems strengthening. USAID’s approach is to ensure that our investments are supporting sustainable local change, and improving health system performance in a way that supports countries’ transition away from reliance on donor aid and technical assistance.

USAID’s Vision for Health Systems Strengthening (https://www.usaid.gov/what-we-do/global-health/health-systems/usaids-vision-health-systems-strengthening) highlights the importance of health system strengthening (HSS) and provides guidance to achieve four strategic outcomes:

financial protection, essential services, population coverage, and responsiveness. USAID’s

Vision defines a health system as follows: “A health system is defined as consisting of all people, institutions, resources, and activities whose primary purpose is to promote, restore, and maintain health.” Strengthening a health system means initiating activities in the six internationally accepted core HSS functions: human resources for health; health finance; health governance; health information; medical products, vaccines, and technologies; and service delivery. A well-performing health system is one that achieves sustained improvements in health outcomes through continuous improvement of these six inter-related HSS functions. HSS comprises the strategies, responses, and activities that are designed to sustainably improve health system performance. USAID focuses its HSS approach on integrated programs and projects that will help meet USAID’s Global Health goals for Preventing Child and Maternal Deaths, Controlling the HIV/AIDS Epidemic, and Combatting Infectious Disease Threats.

https://www.usaid.gov/what-we-do/global-health/health-systems/usaids-vision-health-systems-strengthening https://www.usaid.gov/what-we-do/global-health/health-systems/usaids-vision-health-systems-strengthening

Figure 1: Framework of USAID’s vision for HSS

The Bureau for Global Health (GH) has a long history of working in HSS, across all areas of health systems, and the Agency is recognized globally for its expertise in systems-thinking.

USAID’s previous HSS work has contributed to dramatic improvements in health outcomes around the world. For example, from 1990 to 2013, the total number of child deaths fell by 48 percent from 12.6 million to 6.3 million. In the last 20 years, nearly 100 million children’s lives have been spared, and the rate at which child mortality is declining continues to accelerate.

Between 2000 and 2013, the number of pneumonia and diarrhea deaths in children under 5 declined by 44 percent and 54 percent, respectively. The total number of maternal deaths decreased globally by 45 percent from 523,000 in 1990 to 289,000 in 2013.

To support these achievements, USAID’s previous health systems projects extended service coverage to vulnerable populations through health insurance, improved the quality of essential health services, enhanced the integrity of health system governance, and increased the efficiency of health financing systems. USAID has advanced health system performance, sustainability, and capacity-building with an eye toward enabling countries to transition from USAID global health assistance. This continues to be a priority as partner countries take increasing financial responsibility for health service provision.

Complementarity to other USAID Programs

Work under this IDIQ will build on previous USAID investments in evidence-based and cross-cutting approaches to health systems strengthening. Strategies to build local capacity are an integral component to advance health systems and achieve priority health goals. Investments in public health education and training, sustainable domestic financing, improved data for decision-making, and strong systems for management and leadership are cornerstones of investment for

USAID. New activities will include a greater focus on prioritization of high-impact interventions, efficiency, and sustainability. Activities under this IDIQ will support consistent adoption and use of systems-thinking approaches throughout GH.

Table 1 describes USAID’s ongoing programs contributing to health systems strengthening.

Activities under this IDIQ will complement these ongoing programs and, importantly, provide a mechanism for an integrated, systems-thinking approach to health systems strengthening in support of GH and country health sector goals.

Table 2 – USAID’s Ongoing Health System Strengthening Programs

Activity Description of complementary interventions

Health Finance and

Governance Project

(HFG)

(www.hfgproject.org)

Advancing country health systems through improved health financing, good governance, public management and operations, and robust measurement of health system performance.

Applying Science to

Strengthen and Improve

Systems Project

(ASSIST)

(www.usaidassist.org), Improving the quality and outcomes of health services by enabling host country providers and managers to apply the science of improvement, and building host country capacity to improve the effectiveness, efficiency, client-centeredness, safety, accessibility, and equity of their health services.

Medicines, Technologies and Pharmaceutical

Services (MTAPS)

Strengthening pharmaceutical sector governance; building capacity in the pharmaceutical sector; improving data for decision-making; and strengthening financing for improved access to medicines

Promoting the Quality of

Medicines Program

(PQM) (www.usp-pqm.org)

Building country capacity to identify and address substandard medicine quality, and to manufacture quality-assured priority essential medicines for health.

The Global Health

Supply Chain Quality

Assurance Project

(GHSC-QA)

Assuring the quality of health commodities procured with USAID funding; providing short-term technical assistance to partner countries and USAID missions, as requested for ongoing QA systems strengthening.

Human Resources for

Health 2030 (HRH 2030)

Supporting countries in developing their fit-for-purpose and fit-to-practice health workforce and in creating sustainable solutions to health workforce challenges, such as recruitment, training, productivity, performance, motivation, and retention.

Coordinating

Implementation Research to Communicate

Learning and Evidence

Project (CIRCLE)

Providing technical, logistical and administrative support to

USAID’s Health Research Program; facilitating and supporting systematic research and research translation to advance Ending

Preventable Child and Maternal Deaths, an AIDS-Free

Generation, and other global health priorities.

http://www.hfgproject.org/ http://www.usaidassist.org/ http://www.usp-pqm.org/ http://www.usp-pqm.org/

Health Evaluation and

Applied Research Project

(HEARD)

Implementation Science Collaborative advancing the achievement of USAID global health and development goals. The project focuses on evaluative and targeted research that accelerates the research-to-use processes in low- and middle-income countries.

Health Policy Plus (HP+) Strengthening and advancing health policy priorities at global, national, and subnational levels; improving enabling environments for equitable and sustainable health services.

Strengthening Health

Outcomes through the

Private Sector (SHOPS)

Plus

Strengthening the provision of private sector health information, products and services at the community level; promoting regulatory change to improve policy climate for the private sector and strengthen public-private engagement, leading to optimized use of resources.

MEASURE Evaluation Strengthening health information systems in low-resource settings, enabling countries to gather, interpret, and use data to make evidence-informed decisions at local, sub-regional, and national levels to maximize health program impact and efficiency.

Maternal and Child

Survival Program

(MCSP)

Supporting increased coverage and utilization of evidence-based, high-quality RMNCH interventions; enhancing the responsiveness of health systems; fostering effective policy, action-oriented learning and accountability for improved outcomes.

Linkages Across the

Continuum of HIV

Services for Key

Populations Affected by

HIV (LINKAGES)

Supporting policy advocacy efforts and capacity strengthening of citizens and civil society to improve the availability and access to HIV services for key populations.

Strengthening High

Impact Interventions for an AIDS-Free

Generation (AIDS Free)

Project

Improving the quality and effectiveness of high-impact, evidence-based HIV interventions; supporting governments and civil society in refining and strengthening program management and policy development capacity for HIV interventions

Partnering to Accelerate

Entrepreneurship

Initiative (PACE)

Catalyzing private-sector investment into early-stage enterprises and identify innovative models or approaches that help entrepreneurs bridge the pioneer gap

OBJECTIVES C.4

The Integrated Health Systems IDIQ will generate measurable results that demonstrate improved health systems. This section discusses the objectives, intermediate results (IRs) and sub-intermediate results (sub-IRs) that will combine to support achievement of the project goals. The list of illustrative activities is suggestive but not comprehensive in nature. (See Table 2: Results

Framework) The percentage of time devoted to each of the four objectives will vary by country context and will likely change over the course of the project. Each country’s health system priorities will determine the scope of work and the appropriate HSS intervention within the IRs.

As such, the Contractor will need to be prepared to adapt to individual and changing partner country health system contexts.

It is expected that successful achievement of work under this IDIQ will work across the objectives described below, in an integrated way, to advance country health systems development so that systems are more locally sustainable and closer to being able to transition from donor support. The four main objectives of this IDIQ are as follows:

(1) Objective 1: Increased financial protection: Reduce financial barriers, through a mix of public and private interventions, so that the cost neither prevents people from accessing essential health services nor causes financial hardship.

(2) Objective 2: Increased coverage to all populations: Ensure equitable access to essential services for poor, underserved, and socially excluded populations, resulting in equitable outcomes.

(3) Objective 3: Increased quality of essential health services: Improve quality of patient-centered services to align with evidence-based guidelines and standards of care.

(4) Objective 4: Improved responsiveness: Ensure that health services meet all clients’ needs, including socially excluded populations, and that clients are satisfied with those services.

STATEMENT OF WORK C.5

(a) General

Contractors under this IDIQ must provide implementation services and technical support for health systems strengthening activities to USAID Missions, the USAID/Washington Global

Health Bureau, and other USAID Bureaus and operating units.

The expected means for achieving the anticipated results under this Integrated Health Systems

(IHS) IDIQ will be through individually awarded task orders. When a task order is placed under this IDIQ, the selected IDIQ contractor must perform the required functions and tasks within the framework of this IDIQ, or as otherwise specified by the task order. Contractor performance will be evaluated against the performance indicators established in each task order and specified in annual work plans.

Tasks orders issued under this IDIQ will define the precise specifications and activity requirements. Activity requirements may include assistance with procurement, training, technical assistance, monitoring, evaluation, and other activities required for effective implementation of health system strengthening activities.

(b) IDIQ Contractors’ Roles

Effective stakeholder engagement is critical to design, implement, and technically assist in any or all elements of health systems strengthening activities, depending on the specific task order requirements. The IDIQ contractors must have the capacity to work in collaboration with host country governments, including Ministries of Health (MOH) and public sector entities, as well as civil society, private sector…