75N92021Q0005.pdf

75N92021Q0005

1. REQUEST NO.

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10. PLEASE FURNISH QUOTATIONS TO

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OR BEFORE CLOSE OF BUSINESS (Date)

2. DATE ISSUED 3. REQUISITION/PURCHASE REQUEST NO. 4. CERT. FOR NAT. DEF.

UNDER BDSA REG. 2

AND/OR DMS REG.1

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IMPORTANT: This is a request for information, and quotations furnished are not offers. If you are unable to quote, please so indicate on this form and return it to the address in Block 5a. This request does not commit the Government to pay any costs incurred in the preparation of the submission of this quotation or to contract for supplies or services. Supplies are of domestic origin unless otherwise indicated by quoter. Any representations and/or certifications attached to this Request for Quotations must be completed by the quoter.

11. SCHEDULE (Include applicable Federal, State and local taxes)

THIS RFQ

REQUEST FOR QUOTATION

(THIS IS NOT AN ORDER)

IS IS NOT A SMALL BUSINESS SET ASIDEX

09/18/2020

1 11

National Heart, Lung, and Blood Institutes Bethesda MD 20892-7511

National Institutes of Health Multiple

301 827-7716John Lear

09/28/2020 0900 ES

FOB DESTINATION

OTHER

(See Schedule)X

ITEM NO.

(a)

SUPPLIES/SERVICES

(b)

QUANTITY

(c)

UNIT

(d)

UNIT PRICE

(e)

AMOUNT

(f)

This is a Request for Quote (RFQ) for a contractor to provide Cardiothoracic Back-Up Coverage to the NHLBI Division of Intramural Research (DIR) in accordance with the information included in this notice.

1 Cardiothoracic Back-Up Coverage

12. DISCOUNT FOR PROMPT PAYMENT

a. 10 CALENDAR DAYS (%) b. 20 CALENDAR DAYS (%) c. 30 CALENDAR DAYS (%) d. CALENDAR DAYS

NUMBER PERCENTAGE

NOTE: Additional provisions and representations

13. NAME AND ADDRESS OF QUOTER

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c. COUNTY

d. CITY e. STATE f. ZIP CODE

14. SIGNATURE OF PERSON AUTHORIZED TO

SIGN QUOTATION

16. SIGNER

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a. NAME OF QUOTER

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15. DATE OF QUOTATION

b. TELEPHONE are are not attached

AUTHORIZED FOR LOCAL REPRODUCTION

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STANDARD FORM 18 (REV. 6-95)

Prescribed by GSA - FAR (48 CFR) 53.215-1(a)

REQUEST FOR QUOTE (RFQ)

(1) Action Type: Combined Synopsis / Solicitation

(2) Date: September 18, 2020

(3) Title: Cardiothoracic Back-Up Coverage

(4) Solicitation Number: 75N92021Q0005

(5) Classification Code: Q523, Medical – Surgical

(6) Contracting Office Address:

6705 Rockledge Drive RKL1, 5th Floor Bethesda, MD 20892

(7) Closing Response Date: September 28, 2020

(8) Contact Point: Jonathan M. Lear, Contracting Officer; john.lear@nih.gov; 301-827-7716

(9) Contract Line Item(s):

a. Line Item 1: Cardiothoracic Back-up Coverage

(10) Description:

(i) This is a combined synopsis/solicitation for commercial medical services prepared in accordance with the format in Subpart 12.6 as supplemented with additional information included in this notice. This announcement constitutes the only solicitation;

quotes are being requested and a written solicitation will not be issued.

(ii) The solicitation number is 75N92021Q0005 and the solicitation is issued as a request for quote (RFQ).

(iii) The solicitation document and the incorporated provisions and clauses are those in effect through Federal Acquisition Circular 2020-07 effective August 31, 2020.

(iv) The associated NAICS code is 622110, General Medical and Surgical Hospitals, and the small business size standard is $41.5M. This acquisition is being conducted in accordance with the procedures of FAR Part 12 and FAR Part 13.

(v) The National Institutes of Health (NIH), National Heart, Lung, and Blood Institute (NHLBI) intends to award an Indefinite Delivery / Indefinite Quantity (ID/IQ) contract for services in accordance with the information attached to this solicitation. See attached Statement of Work for additional contractor requirements.

mailto:john.lear@nih.gov

(vi) Estimated Period of Performance:

The estimated ordering period of performance will be one (1) year from the date of contract award.

(vii) The provision at FAR clause 52.212-1, Instructions to Offerors – Commercial Items, applies to this acquisition.

(viii) The provision at FAR clause 52.212-2, Evaluation – Commercial Items, is applicable.

In accordance with FAR 13.106-2, Evaluation of quotations or offers, a comparative evaluation of all offers received will be conducted. See attached evaluation criteria for additional information.

(ix) FAR clause 52.212-3, Offeror Representations and Certifications – Commercial Items, is applicable. An offeror shall complete only paragraphs (b) of this provision if the offeror has completed the annual representations and certificates electronically via http://www.acquisition.gov. If an offeror has not completed the annual representations and certifications electronically at the System for Award Management (SAM) website, the offeror shall complete only paragraphs (c) through (p) of this provision.

(x) FAR clause at 52.212-4, Contract Terms and Conditions – Commercial Items, applies to this acquisition.

(xi) FAR clause at 52.212-5, Contract Terms and Conditions Required to Implement Statutes or Executive Orders – Commercial Items, applies to this acquisition. Including the following clauses and Prohibitions:

i. 52.209-10, Prohibition on Contracting with Inverted Domestic

Corporations 52.219-28, Post Award Small Business Program Representation

ii. 52.233-3, Protest After Award

iii. 52.233-4, Applicable Law for Breach of Contract Claim

iv. 52.222-3, Convict Labor

v. 52.222-21, Prohibition of Segregated Facilities

vi. 52.222-26, Equal Opportunity

vii. 52.222-36, Equal Opportunity for Workers with Disabilities

viii. 52.222-50 Combating Trafficking in Persons

ix. 52.225-13, Restrictions on Certain Foreign Purchases

x. 52.232-33, Payment by Electronic Funds Transfer—System for Award

Management

xi. 52.223-18, Encouraging Contractor Policies to Ban Text Messaging while

Driving

xii. 52.244-6, Subcontracts for Commercial Items

xiii. 52.2232-39, Unenforceability of Unauthorized Obligations

(xii) Indefinite Delivery / Indefinite Quantity (ID/IQs) http://www.acquisition.gov/

Prices

a. This is an Indefinite Deliver y / Indefinite Quantity (ID/IQ) contract as contemplated by FAR 13.5. The contractor shall be reimbursed by the Government in an amount not less than a total of [to be completed in the award document] (minimum) nor more than a total of [to be completed in the award document] (maximum) for successful performance.

b. The prices set forth in this section will cover the estimated period of [to be completed in the award document].

c. The Government will issue task orders based on the work described in the Statement of Work.

Task Order Procedures

a. All task orders against the ID/IQ are subject to the terms and conditions of the contract. In the event of a conflict between the task order and the contract, the contract shall take precedence. All changes made to the contractor’s ID/IQ will apply to each task order.

b. The task orders issued will be firm fixed-price (FFP).

c. The contractor shall furnish all services in accordance with the specific requirements outlined in the task orders issued.

d. A Request for Task Order Proposal will be sent to the contractor and will include a

SOW/PWS detailing the requirement.

e. The contractor will be instructed to submit a quote based on the requirement.

f. The contractor is encouraged to provide price reductions.

g. The Contracting Officer is the only individual authorized to negotiate costs or prices under an individual task order.

h. Task orders will be issued on the Optional Form (OF) 347. Each individual task order is funded separately. The issuance of the task order by the Contracting Officer authorizes the contractor to begin work.

i. It is the intent of the Government that all task orders be completed within the time frame specified in each order. Any request for an extension beyond the initial period of performance specified in the task order will be granted on a case by case basis. It is not to be assumed that all requests for extension will be granted.

j. Only the Contracting Officer specified herein is authorized to issue task orders under the ID/IQ.

52.216-18, Ordering (October 1995), is applicable to this acquisition.

a. Any supplies and services to be furnished under this contract shall be ordered by issuance of delivery orders or task orders by the individuals or activities designated in the Schedule.

b. All delivery orders or task orders are subject to the terms and conditions of this contract. In the event of conflict between a delivery order or task order and this contract, the contract shall control.

c. If mailed, a delivery order or task order is considered "issued" when the Government deposits the order in the mail. Orders may be issued orally, by facsimile, or by electronic commerce methods only if authorized in the

Schedule.

52.216-19, Order Limitation (October 1995), is applicable to this acquisition.

a. Minimum Order. When the Government requires supplies or services covered by this contract in an amount of less [TBD], the Government is not obligated to purchase, nor is the Contractor obligated to furnish, those supplies or services under the contract.

b. Maximum Order. The Contractor is not obligated to honor –

1. Any order for a single item in excess of the total contract value.

2. Any order for a combination of items in excess of the total contract value; or

3. A series of orders from the same ordering office within thirty (30) calendar days that together call for quantities exceeding the limitation in subparagraph (1) or (2) above.

c. If this is a requirements contract (i.e., includes the Requirements clause at subsection 52.216-21 of the Federal Acquisition Regulation (FAR)), the Government is not required to order a part of any one requirement from the Contractor if that requirement exceeds the maximum-order limitations in paragraph (b) above.

d. Notwithstanding paragraphs (b) and (c) above, the Contractor shall honor any order exceeding the maximum order limitations in paragraph (b), unless that order (or orders) is returned to the ordering office within thirty (30) days after issuance, with written notice stating the Contractor's intent not to ship the item (or items) called for and the reasons. Upon receiving this notice, the Government may acquire the supplies or services from another source.

52.216-22, Indefinite Quantity (October 1995)

a. This is an indefinite-quantity contract for the supplies or services specified and effective for the period stated, in the Schedule. The quantities of supplies and services specified in the Schedule are estimates only and are not purchased by this contract.

b. Delivery or performance shall be made only as authorized by orders issued in accordance with the Ordering clause. The Contractor shall furnish to the Government, when and if ordered, the supplies or services specified in the Schedule up to and including the quantity designated in the Schedule as the "maximum." The Government shall order at least the quantity of supplies or services designated in the Schedule as the "minimum."

c. Except for any limitations on quantities in the Order Limitations clause or in the

Schedule, there is no limit on the number of orders that may be issued. The Government may issue orders requiring delivery to multiple destinations or performance at multiple locations.

d. Any order issued during the effective period of this contract and not completed within that period shall be completed by the Contractor within the time specified in the order. The contract shall govern the Contractor's and Government's rights and obligations with respect to that order to the same extent as if the order were completed during the contract's effective period;

provided that the Contractor shall not be required to make any deliveries under this contract after January 31, 2020.

52.216-27, Single or Multiple Awards (October 1995) is incorporated by reference.

(xiii) Quotes shall be submitted via email to Jonathan M. Lear, Contracting Officer at john.lear@nih.gov or through the FedConnect web portal (www.fedconnect.net). The due date for receipt of quotes is 09:00AM EST on September 28, 2020.

Vendors can register with FedConnect at the following address:

https://www.fedconnect.net/FedConnect/default.htm.

Please note that FedConnect is used by multiple federal agencies and therefore

FedConnect assistance will be provided by Compusearch Software Systems, not the NHLBI OA. More information about registration requirements can be found by downloading the FedConnect Ready, Set, Go! Guide at the following address:

https://www.fedconnect.net/fedconnect/Marketing/Documents/FedConnect_Ready_ Set_Go.pdf. For assistance in registering or for other technical questions please call the FedConnect Help Desk at 800-899-6665 or email at support@fedconnect.net.

mailto:john.lear@nih.gov http://www.fedconnect.net/ https://www.fedconnect.net/FedConnect/default.htm https://www.fedconnect.net/fedconnect/Marketing/Documents/FedConnect_Ready_Set_Go.pdf https://www.fedconnect.net/fedconnect/Marketing/Documents/FedConnect_Ready_Set_Go.pdf mailto:support@fedconnect.net

STATEMENT OF WORK

1. Introduction/Overview

1.1 Project title

Cardiothoracic Back-Up Coverage

1.2 Background

The Cardiovascular Intervention Program of the National Heart, Lung, and Blood Institute (NHLBI) of the National Institutes of Health performs seven (7) to fourteen (14) cases annually of Percutaneous Coronary Intervention (PCI) – a form of treatment for stenotic coronary arteries commonly associated with coronary heart disease – on patients in the NIH Clinical Center (CC). Although uncommon, major procedural complications associated with PCI can be life-threatening and require immediate, invasive surgery. Neither the NHLBI nor the CC has a cardiac surgery program capable of responding to such emergencies. For this reason, the CC requires the NHLBI to have an agreement with a local or reginal medical center, which ensures round-the-clock access to a qualified advanced catheterization and cardiothoracic surgery program to perform emergency rescue on NHLBI’s PCI patients.

1.3 Scope

Contractor shall provide round-the-clock catheterization and cardiothoracic surgery back-up coverage for NHLBI patients undergoing PCI treatment at the CC.

1.4 Purpose and objectives

In order to comply with CC policy, the NHLBI requires round-the-clock bailout catheterization and cardiothoracic surgical back-up coverage for its patients undergoing PCI treatment. Should an emergency occur with a patient, the NIH will transport the patient from the CC to Contractor’s facilities where the patient will receive complete medical attention from Contractor’s medical staff, including any emergency surgery necessary to resuscitate the patient.

2. Requirements

2.1 Contractor requirements

Contract shall provide full-time, round-the-clock cardiothoracic surgical back-up coverage for NHLBI’s patients undergoing PCI treatment at the CC. Specifically, Contractor shall ensure a team of qualified medical staff is on-call 24 hours a day, seven days a week, to perform emergency cardiothoracic surgery on NHLBI’s patients at Contractor’s location. The medical staff shall consist of certified physicians including, but not limited to, a cardiothoracic surgeon capable of performing highly complex and invasive surgical and percutaneous procedures necessary to complete medical attention from Contractor’s medical staff including any emergency surgery necessary to resuscitate the patient.

- Applicable percutaneous services include (1) Advanced percutaneous coronary intervention devices, including coronary rotational atherectomy, coronary laser atherectomy, intracoronary ultrasound, coronary optical coherence tomography.

(2) Advanced coronary intervention services, including left main bifurcation stenting, and antegrade and retrograde recanalization of chronic total coronary occlusion. (3) Mechanical circulatory support: Percutaneous left ventricular assist device (LVAD), percutaneous right ventricular assist device (RVAD), both simultaneously, including non-surgical transcaval LVAD. Percutaneous mechanical support must have oxygenator capability (ECMO). (4) Percutaneous large-bore extraction thrombectomy for acute pulmonary thromboembolism.

- Applicable surgical services include (1) Emergency surgical coronary artery bypass grafting after failed percutaneous coronary artery intervention. (2) Emergency surgical repair of cardiac and coronary perforations. (3) Emergency surgical retrieval of embolized cardiac devices and repair of attendant cardiac devices. (4) Emergency surgical pulmonary thromboendarterectomy. (5) Emergency surgical repair of acute valvular insufficiency

2.2 Deliverables/Reporting requirements

The Contractor shall email a written report in PDF format to the Contracting Officer’s Representative (COR) within 48 hours of receiving each case from NIH detailing the events of the case. The report shall contain the following information:

• Current status of the patient;

• Date and time Contractor received the patient from NIH

• Date and time patient was admitted to the treatment/operating room

• Date and time patient was discharged from the medical center

• Contractor’s assessment of the condition of the patient upon receipt of the patient from NIH

• Explanation of all measures taken by the Contractor to resuscitate the patient and the patient’s response to each measure

• Recommendations for the patient’s future medical care (as necessary)

2.3 Schedule

The ordering period of performance for this contract will be for one year from the date of award.

2.4 Government responsibilities

The NIH shall be responsible for coordinating the transportation of the patient(s) from the CC to Contractor’s facilities. The NIH shall alert Contractor immediately of its decisions to transport the patient to Contractor’s facilities for emergency medical attention.

The COR and/or his/her Technical Advisors will also hold a meeting (in person or via teleconference) with Contractor’s surgical staff within 24 hours of each emergency performed to: (1) assess the condition of the patient(s); (2) review the measures taken to resuscitate the patient(s); and (3) discuss recommendations for future medical care (as necessary). Follow-up meetings with the COR and/or his/her Technical Advisors will be held as necessary.

3. Additional considerations

3.1 Reimbursement for invasive and surgical procedures with applicable health insurance

• Insured patients; have their health care insurance charged directly by Contractor for applicable medical, surgical, and transportation fees.

3.2 Reimbursement for invasive and surgical procedures WITHOUT applicable health insurance

• All services shall be provided at Medicare rates (See attached CMS proposed rates)

• Excess LOS shall be charged at average daily ICU rate with a 70% discount (i.e., $9,289 minus 70 percent equals a daily rate of $2,786)

• Services provided are limited to emergent cardiac transfers

• Services shall be billed directly to NHLBI

3.3 Reimbursement for emergency medical transportation services

• NIH shall reimburse Contractor for use of ambulance/helicopter transport if needed.

TECHNICAL EVALUATION CRITERIA

“Cardiothoracic Back-Up Coverage”

1. Technical Evaluation Criteria

The back-up center must possess services not available at NIH Clinical Center to rescue and treat patients with advanced cardiovascular disease. The center must offer breadth of service; continuity of service; and geographic and temporal proximity.

1.1. Breadth of service. Services must include all of the following:

- Percutaneous

- Advanced percutaneous coronary intervention devices, including coronary rotational atherectomy, coronary laser atherectomy, intracoronary ultrasound, coronary optical coherence tomography

- Advanced coronary intervention services, including left main bifurcation stenting, and antegrade and retrograde recanalization of chronic total coronary occlusion

- Mechanical circulatory support: Percutaneous left ventricular assist device (LVAD), percutaneous right ventricular assist device (RVAD), both simultaneously, including non-surgical transcaval LVAD. Percutaneous mechanical support must have oxygenator capability (ECMO).

- Percutaneous large-bore extraction thrombectomy for acute pulmonary thromboembolism.

- Surgical

- Emergency surgical coronary artery bypass grafting after failed percutaneous coronary artery intervention.

- Emergency surgical repair of cardiac and coronary perforations

- Emergency surgical retrieval of embolized cardiac devices and repair of attendant cardiac devices

- Emergency surgical pulmonary thromboendarterectomy

- Emergency surgical repair of acute valvular insufficiency

1.2. Continuity of service

- Due to immediate life-threatening nature of applicable medical and surgical problems, services must be available on all days and at all hours

1.3. Geographic and temporal proximity

- Due to immediate life-threatening nature of applicable medical and surgical problems, and due to the low priority public health systems assign to interhospital transfer, the contracted center must have its own advanced cardiac life support (ACLS) transfer/transportation system.

- The center must allow transport by ground and/or air, from the NIH Clinical Center (CC) located in Bethesda Maryland, to the center within 30 minutes from first contact.

1.4. Personnel

- The proposal includes a list of proposed staff to perform the work referenced in the Statement of Work (SOW). Additionally, the proposal demonstrates that the proposed staff is capable and qualified to perform all of the work referenced in the SOW according to applicable local, state and federal licensure laws and regulations. Personnel evaluation includes experience with specified procedures.

1.5. Facilities and Equipment

- The proposal demonstrates that the offeror possesses and has immediate access to all of the equipment and facilities required to perform the work referenced in the SOW.