89303923REM000008.pdf

89303923REM000008

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

1 160

C. E-MAIL ADDRESS

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

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. 3304 (a) ( 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

02/05/2024 X

893039

Richland Operations Office U.S. Department of Energy Richland Operations Office P.O. Box 550, MSIN H5-20 Richland WA 99352

1500 ET 03/04/2024

Susan M. Hiller 509 Susan.Hiller@rl.doe.gov

376-4484

X

X

X

X

X

X

X

X

X

X

X

X

X

PAGE(S)

Brenda S. Valadez

AUTHORIZED FOR LOCAL REPRODUCTION

Previous edition is unusable

STANDARD FORM 33 (REV. 6/2014)

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

1-3 9-10

10-18 18-21 21-23 23-24 25-41

41-121

122-148

148-157

157-160

12. In compliance with the above, the undersigned agrees, if this offer is accepted within _____0_________ calendar days (60 calendar days unless a different period is inserted

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

2 160

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

89303923REM000008

(A) (B) (C) (D) (E) (F)

Worker's Compensation Third Party Administrator

Period of Performance: 08/01/2024 to 09/30/2029

00001 Transition

Period of Performance: 08/01/2024 to 09/30/2024

00002 Base Year - Claims Processing

Period of Performance: 10/01/2024 to 09/30/2025

00003 Base Year - Records Requests for Energy Employees

Occupational Illness Compensation Program Act

(EEOICPA)

Period of Performance: 10/01/2024 to 09/30/2025

01002 Option Year 1 - Claims Processing

(Option Line Item)

Period of Performance: 10/01/2025 to 09/30/2026

01003 Option Year 1 - Records Requests for Energy

Employees Occupational Illness Compensation

Program Act (EEOICPA)

(Option Line Item)

Period of Performance: 10/01/2025 to 09/30/2026

02002 Option Year 2 - Claims Processing

(Option Line Item)

Period of Performance: 10/01/2026 to 09/30/2027

02003 Option Year 2 - Records Requests for Energy

Employees Occupational Illness Compensation

Program Act (EEOICPA)

(Option Line Item)

Period of Performance: 10/01/2026 to 09/30/2027

03002 Option Year 3 - Claims Processing

(Option Line Item)

Period of Performance: 10/01/2027 to 09/30/2028

03003 Option Year 3 - Records Requests for Energy

Employees Occupational Illness Compensation

Program Act (EEOICPA)

(Option Line Item)

Continued ...

OPTIONAL FORM 336 (4-86)

Sponsored by GSA

FAR (48 CFR) 53.110

NSN 7540-01-152-8067

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

3 160

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

89303923REM000008

(A) (B) (C) (D) (E) (F)

Period of Performance: 10/01/2027 to 09/30/2028

04002 Option Year 4 - Claims Processing

Period of Performance: 10/01/2028 to 09/30/2029

04003 Option Year 4 - Records Requests for Energy

Employees Occupational Illness Compensation

Program Act (EEOICPA)

Period of Performance: 10/01/2028 to 09/30/2029

OPTIONAL FORM 336 (4-86)

Sponsored by GSA

FAR (48 CFR) 53.110

NSN 7540-01-152-8067

Workers’ Compensation Third Party Administrator

Table of Contents

SECTION B

SUPPLIES OR SERVICES AND PRICES/COSTS

B.1 INTRODUCTION

B.2 SERVICES/PRICES

SECTION C

DESCRIPTION/SPECIFICATIONS/STATEMENT OF WORK

C.1 STATEMENT OF WORK

C.2 EXTENT OF OBLIGATION

C.3 INVOICES

SECTION D

PACKAGING AND MARKING

SECTION E

INSPECTION AND ACCEPTANCE

52.246-4 INSPECTION OF SERVICES—FIXED-PRICE. (AUG 1996)

52.246-6 INSPECTION—TIME-AND-MATERIAL AND LABOR-HOUR. (MAY 2001)

E.1 INSPECTION AND ACCEPTANCE

SECTION F

DELIVERIES OR PERFORMANCE

F.1 QUALITY ASSURANCE AND SURVEILLANCE PLAN (QASP)

F.3. QUALITY ASSURANCE PROGRAM

F.4. CONTINUITY OF OPERATIONS PLAN

SECTION G

CONTRACT ADMINISTRATION DATA

G.1 MODIFICATION AUTHORITY

G.2 CORRESPONDENCE PROCEDURES

G.3 ASSIGNMENT

SECTION H

SPECIAL CONTRACT REQUIREMENTS

H.1 REPORTING REQUIREMENTS

H.2 KEY PERSONNEL

H.3 POSITION QUALIFICATIONS

H.4 CONTRACTOR LEGAL MANAGEMENT REQUIREMENTS

Workers’ Compensation Third Party Administrator

H.5 HARDWARE AND SOFTWARE SYSTEM REQUIREMENTS

H.6 ALTERNATIVE DISPUTE RESOLUTION (ADR)

H.7 ORGANIZATIONAL CONFLICT OF INTEREST MANAGEMENT PLAN

H.8 CONFIDENTIALITY OF INFORMATION

H.9 REPRESENTATIONS, CERTIFICATIONS, AND OTHER STATEMENTS OF THE OFFEROR

H.10 LOBBYING RESTRICTION (ENERGY AND WATER DEVELOPMENT AND RELATED AGENCIES

APPROPRIATIONS ACT (2009)

H.11 SECURITY REQUIREMENTS

H.12 REPORTING OF FRAUD, WASTE, ABUSE, CORRUPTION, OR MISMANAGEMENT

H.13 ENVIRONMENTAL LAWS

SECTION I CONTRACT CLAUSES

52.202-1 DEFINITIONS. (JUN 2020)

52.203-3 GRATUITIES. (APR 1984)

52.203-5 COVENANT AGAINST CONTINGENT FEES. (MAY 2014)

52.203-6 RESTRICTIONS ON SUBCONTRACTOR SALES TO THE GOVERNMENT. (JUN 2020)

52.203-7 ANTI-KICKBACK PROCEDURES. (JUN 2020)

52.203-8 CANCELLATION, RESCISSION, AND RECOVERY OF FUNDS FOR ILLEGAL OR IMPROPER

ACTIVITY. (MAY 2014)

52.203-10 PRICE OR FEE ADJUSTMENT FOR ILLEGAL OR IMPROPER ACTIVITY. (MAY 2014)

52.203-12 LIMITATION ON PAYMENTS TO INFLUENCE CERTAIN FEDERAL TRANSACTIONS. (JUN

2020)

52.203-13 CONTRACTOR CODE OF BUSINESS ETHICS AND CONDUCT. (NOV 2021)

52.203-16 PREVENTING PERSONAL CONFLICTS OF INTEREST. (JUN 2020)

52.203-17 CONTRACTOR EMPLOYEE WHISTLEBLOWER RIGHTS. (NOV 2023)

52.203-19 PROHIBITION ON REQUIRING CERTAIN INTERNAL CONFIDENTIALITY AGREEMENTS OR

STATEMENTS. (JAN 2017)

52.204-1 APPROVAL OF CONTRACT. (DEC 1989)

52.204-2 SECURITY REQUIREMENTS. (MAR 2021)

52.204-19 INCORPORATION BY REFERENCE OF REPRESENTATIONS AND CERTIFICATIONS. (DEC

2014)

52.204-23 PROHIBITION ON CONTRACTING FOR HARDWARE, SOFTWARE, AND SERVICES

DEVELOPED OR PROVIDED BY KASPERSKY LAB COVERED ENTITIES. (DEC 2023)

52.204-25 PROHIBITION ON CONTRACTING FOR CERTAIN TELECOMMUNICATIONS AND VIDEO

SURVEILLANCE SERVICES OR EQUIPMENT. (NOV 2021)

52.204-27 PROHIBITION ON A BYTEDANCE COVERED APPLICATION. (JUN 2023)

52.209-6 PROTECTING THE GOVERNMENT’S INTEREST WHEN SUBCONTRACTING WITH

CONTRACTORS DEBARRED, SUSPENDED, OR PROPOSED FOR DEBARMENT. (NOV 2021)

52.209-8 [RESERVED]

52.209-9 UPDATES OF PUBLICLY AVAILABLE INFORMATION REGARDING RESPONSIBILITY

Workers’ Compensation Third Party Administrator

MATTERS. (OCT 2018)

52.209-10 PROHIBITION ON CONTRACTING WITH INVERTED DOMESTIC CORPORATIONS. (NOV

2015)

52.215-22 LIMITATIONS ON PASS-THROUGH CHARGES—IDENTIFICATION OF SUBCONTRACT

EFFORT. (OCT 2009)

52.215-23 LIMITATIONS ON PASS-THROUGH CHARGES. (JUN 2020)

52.216-25 CONTRACT DEFINITIZATION. (OCT 2010)

ALTERNATE I (APR 1984)

52.217-2 CANCELLATION UNDER MULTIYEAR CONTRACTS. (OCT 1997)

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

52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT. (MAR 2000)

52.222-3 CONVICT LABOR. (JUN 2003)

52.222-41 SERVICE CONTRACT LABOR STANDARDS. (AUG 2018)

52.222-43 FAIR LABOR STANDARDS ACT AND SERVICE CONTRACT LABOR STANDARDS-PRICE

ADJUSTMENT (MULTIPLE YEAR AND OPTION CONTRACTS). (AUG 2018)

52.222-50 COMBATING TRAFFICKING IN PERSONS. (NOV 2021)

52.223-18 ENCOURAGING CONTRACTOR POLICIES TO BAN TEXT MESSAGING WHILE DRIVING.

(JUN 2020)

52.232-1 PAYMENTS. (APR 1984)

52.232-18 AVAILABILITY OF FUNDS. (APR 1984)

52.232-23 ASSIGNMENT OF CLAIMS. (MAY 2014)

52.232-25 PROMPT PAYMENT. (JAN 2017)

52.232-33 PAYMENT BY ELECTRONIC FUNDS TRANSFER-SYSTEM FOR AWARD MANAGEMENT.

(OCT 2018)

52.232-39 UNENFORCEABILITY OF UNAUTHORIZED OBLIGATIONS. (JUN 2013)

52.232-40 PROVIDING ACCELERATED PAYMENTS TO SMALL BUSINESS SUBCONTRACTORS. (MAR

2023)

52.233-1 DISPUTES. (MAY 2014)

52.233-3 PROTEST AFTER AWARD. (AUG 1996)

52.233-4 APPLICABLE LAW FOR BREACH OF CONTRACT CLAIM. (OCT 2004)

52.242-3 PENALTIES FOR UNALLOWABLE COSTS. (DEC 2022)

52.242-13 BANKRUPTCY. (JUL 1995)

52.243-3 CHANGES—TIME-AND-MATERIALS OR LABOR-HOURS. (SEP 2000)

52.244-6 SUBCONTRACTS FOR COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES. (DEC

2023)

52.246-25 LIMITATION OF LIABILITY—SERVICES. (FEB 1997)

52.249-2 TERMINATION FOR CONVENIENCE OF THE GOVERNMENT (FIXED-PRICE). (APR 2012) ..111

952.203-70 WHISTLEBLOWER PROTECTION FOR CONTRACTOR EMPLOYEES. (DEC 2000)

Workers’ Compensation Third Party Administrator

952.204-70 CLASSIFICATION/DECLASSIFICATION. (SEP 1997)

952.209-8 ORGANIZATIONAL CONFLICTS OF INTEREST-DISCLOSURE. (JUN 1997)

952.209-71 [RESERVED]

952.215-70 KEY PERSONNEL (DEC 2000)

952.233-4 NOTICE OF PROTEST FILE AVAILABILITY (AUG 2009)

952.233-5 AGENCY PROTEST REVIEW. (SEP 1996)

970.5204-1 COUNTERINTELLIGENCE. (DEC 2010)

970.5204-2 LAWS, REGULATIONS, AND DOE DIRECTIVES. (DEC 2000)

970.5204-3 ACCESS TO AND OWNERSHIP OF RECORDS. (OCT 2014)

SECTION J

LIST OF ATTACHMENTS

SECTION K

REPRESENTATIONS, CERTIFICATIONS, AND OTHER STATEMENTS OF OFFERORS OR

RESPONDENTS

52.203-11 CERTIFICATION AND DISCLOSURE REGARDING PAYMENTS TO INFLUENCE CERTAIN

FEDERAL TRANSACTIONS. (SEP 2007)

52.203-18 PROHIBITION ON CONTRACTING WITH ENTITIES THAT REQUIRE CERTAIN INTERNAL

CONFIDENTIALITY AGREEMENTS OR STATEMENTS—REPRESENTATION. (JAN 2017)

52.204-3 TAXPAYER IDENTIFICATION. (OCT 1998)

52.204-5 WOMEN-OWNED BUSINESS (OTHER THAN SMALL BUSINESS). (OCT 2014)

52.204-17 OWNERSHIP OR CONTROL OF OFFEROR. (AUG 2020)

52.204-20 PREDECESSOR OF OFFEROR. (AUG 2020)

52.204-24 REPRESENTATION REGARDING CERTAIN TELECOMMUNICATIONS AND VIDEO

SURVEILLANCE SERVICES OR EQUIPMENT. (NOV 2021)

52.204-26 COVERED TELECOMMUNICATIONS EQUIPMENT OR SERVICES-REPRESENTATION.

(OCT 2020)

52.204-29 FEDERAL ACQUISITION SUPPLY CHAIN SECURITY ACT ORDERS—REPRESENTATION

AND DISCLOSURES. (DEC 2023)

52.209-2 PROHIBITION ON CONTRACTING WITH INVERTED DOMESTIC CORPORATIONS—

REPRESENTATION. (NOV 2015)

52.209-5 CERTIFICATION REGARDING RESPONSIBILITY MATTERS. (AUG 2020)

52.209-7 INFORMATION REGARDING RESPONSIBILITY MATTERS. (OCT 2018)

52.209-11 REPRESENTATION BY CORPORATIONS REGARDING DELINQUENT TAX LIABILITY OR A

FELONY CONVICTION UNDER ANY FEDERAL LAW. (FEB 2016)

52.209-12 CERTIFICATION REGARDING TAX MATTERS. (OCT 2020)

52.209-13 VIOLATION OF ARMS CONTROL TREATIES OR AGREEMENTS—CERTIFICATION. (NOV

2021)

52.219-1 SMALL BUSINESS PROGRAM REPRESENTATIONS. (SEP 2023)

52.222-22 PREVIOUS CONTRACTS AND COMPLIANCE REPORTS. (FEB 1999)

Workers’ Compensation Third Party Administrator

52.222-25 AFFIRMATIVE ACTION COMPLIANCE. (APRIL 1984)

52.222-38 COMPLIANCE WITH VETERANS' EMPLOYMENT REPORTING REQUIREMENTS. (FEB 2016)

52.225-20 PROHIBITION ON CONDUCTING RESTRICTED BUSINESS OPERATIONS IN SUDAN—

CERTIFICATION. (AUG 2009)

52.225-25 PROHIBITION ON CONTRACTING WITH ENTITIES ENGAGING IN CERTAIN ACTIVITIES

OR TRANSACTIONS RELATING TO IRAN—REPRESENTATION AND CERTIFICATIONS. (JUN 2020)

52.226-3 DISASTER OR EMERGENCY AREA REPRESENTATION. (NOV 2007)

52.227-15 REPRESENTATION OF LIMITED RIGHTS DATA AND RESTRICTED COMPUTER

SOFTWARE. (DEC 2007)

SECTION L

INSTRUCTIONS, CONDITIONS, AND NOTICES TO OFFERORS OR RESPONDENTS

52.204-6 UNIQUE ENTITY IDENTIFIER. (OCT 2016)

52.204-7 SYSTEM FOR AWARD MANAGEMENT. (OCT 2018)

52.207-6 SOLICITATION OF OFFERS FROM SMALL BUSINESS CONCERNS AND SMALL BUSINESS

TEAMING ARRANGEMENTS OR JOINT VENTURES (MULTIPLE-AWARD CONTRACTS). (DEC 2022)

52.216-1 TYPE OF CONTRACT. (APR 1984)

52.216-29 TIME-AND-MATERIALS/LABOR-HOUR PROPOSAL REQUIREMENTS—OTHER THAN

COMMERCIAL ACQUISITION WITH ADEQUATE PRICE COMPETITION. (NOV 2021)

52.216-30 TIME-AND-MATERIALS/LABOR-HOUR PROPOSAL REQUIREMENTS—OTHER THAN

COMMERCIAL ACQUISITION WITHOUT ADEQUATE PRICE COMPETITION. (NOV 2021)

52.222-56 CERTIFICATION REGARDING TRAFFICKING IN PERSONS COMPLIANCE PLAN. (OCT 2020)

52.233-2 SERVICE OF PROTEST. (SEP 2006)

L.1 OFFEROR INSTRUCTIONS

L.2 PRICE FACTOR: VOLUME I

L.3 TECHNICAL FACTOR: VOLUME II

L.4 PAST PERFORMANCE FACTOR: VOLUME III

SECTION M

EVALUATION FACTORS FOR AWARD

52.217-5 EVALUATION OF OPTIONS. (JUL 1990)

M.1 EVALUATION

M.2 EVALUATION FACTORS

M.3 EVALUATION PROCESS

Workers’ Compensation Third Party Administrator

SECTION B

SUPPLIES OR SERVICES AND PRICES/COSTS

B.1 INTRODUCTION

The purpose of the Workers’ Compensation Program at the U.S. Department of Energy Hanford (DOE-Hanford) Site is to provide Workers’ Compensation coverage and benefits to specified Contractor employees in accordance with the Washington Industrial Insurance Act, as codified in the Revised Code of Washington (RCW), Title 51.04.30, Industrial Insurance Coverage for Hanford Workers – Special Agreements, and all other applicable laws and regulations. The DOE-Hanford is a self-insured employer for the purposes of Washington State Industrial Insurance. The program is administered on behalf of DOE-Hanford through a contract with a third-party administrator that processes all claims for which DOE-Hanford is the responsible insurer. This is a firm fixed-price contract for Workers’ Compensation claims administrative services with a fixed hourly rate element for the document support to the Energy Employees Occupational Illness Compensation Program Act (EEOICPA).

The Contractor will provide claims processing services for covered site Contractors in accordance with this Statement of Work (SOW), RCW 51, and all other applicable laws and regulations, including Washington Administrative Code (WAC), Title 296, and the Washington State Department of Labor and Industries (L&I) Claims Adjudication Guidelines, as amended or revised.

The Contractor shall furnish all personnel, facilities, equipment, materials, supplies, supervision, transportation, training, and an electronic claims tracking system and records system. Preferably, have an interactive injured workers portal and other items necessary to accomplish the work under this contract.

B.2 SERVICES/PRICES

Transition

CLIN Number Period of Performance Firm Fixed-Price 0001 8/1/2024 - 9/30/2024

Workers’ Compensation Third Party Administrator

CLIN 0002: Claims Processing –

CLIN Number Period of Performance Firm Fixed-Price 0002 - Base Year 10/1/2024 – 9/30/2025 1002 - Option Year 1 10/1/2025 – 9/30/2026 2002 - Option Year 2 10/1/2026 – 9/30/2027 3002 - Option Year 3 10/1/2027 – 9/30/2028 4002 - Option Year 4 10/1/2028 – 9/30/2029

*Option years exercised in accordance with FAR 52.217-9 at the sole discretion of the government.

CLIN 0003: Records Requests for Energy Employees Occupational Illness Compensation Program Act (EEOICPA) - The Contractor shall provide all required labor and materials necessary to compile and forward an electronic copy of individual Workers’ Compensation records case files which have been requested by DOE-Hanford, in accordance with EEOICPA.

CLIN Number Period of Performance Fixed Hourly Rate 0003 - Base Year 10/1/2024 – 9/30/2025 1003 - Option Year 1 10/1/2025 – 9/30/2026 2003 - Option Year 2 10/1/2026 – 9/30/2027 3003 - Option Year 3 10/1/2027 – 9/30/2028 4003 - Option Year 4 10/1/2028 – 9/30/2029

*Option years exercised in accordance with FAR 52.217-9 at the sole discretion of the government.

SECTION C

DESCRIPTION/SPECIFICATIONS/STATEMENT OF WORK

C.1 STATEMENT OF WORK

The Contractor will support the Department of Energy by administering the Workers’ Compensation Third Party Administrator Services. All actions necessary to accomplish the requirements of this contract are part of the fixed-price contract for services. Payments made on behalf of DOE-Hanford are outside of the fixed-price and are authorized for payment using the U.S. Treasury’s Automated Standard Application for Payment (ASAP) regular account.

The Contractor will utilize the ASAP regular account that provides next-day payment services to contracts approved for advance funding for the administration of Workers’ Compensation claims. Examples include claim specific expenses (such as payments for time loss, independent medical examinations, permanent partial disability awards, vocational rehabilitation, etc.), other legal expenses as approved, pension payments, and all other amounts appropriately assessed by L&I, supplemental pension assessments and administrative assessments unless otherwise provided in the MEMORANDUM OF UNDERSTANDING

Workers’ Compensation Third Party Administrator

(MOU), Attachment J.2). The Contractor will not be required to provide funds to cover these payments. If, in the Contractor's judgment, the total amount of payments that will be disbursed from the account within the next 30 days will exceed the total funds available, the Contractor shall notify the Contracting Officer (CO) in writing. In no case will the Contractor issue checks in excess of the funds available.

Contractor will be responsible for the following:

1. Contract Line-Item Number (CLIN) 0001: Transition Requirements/Plan – The Contractor shall complete transition within 60 days from the Notice to Proceed. The awarded Contractor shall finalize necessary arrangements and be prepared to assume performance of claims administration as detailed in this SOW upon completion of the transition period. Prior to the end of the transition period, the Contractor shall submit a declaration to DOE-Hanford indicating readiness to assume responsibility for the execution of the Contract. During the transition period, the predecessor Contractor will be responsible for all contract requirements including delivery of Workers’ Compensation claims administrative services.

2. CLIN 0002: Claims Processing –

For claims processing, the Contractor shall perform the following tasks:

a. Claims Management Services

The Contractor shall:

i. Shall ensure that their claims representatives are Washington State Certified or will obtain Washington State Certification;

ii. Perform the role of designated custodian of the master claims log as required by L&I, and distribute required forms to entities as directed by the Contracting Officer;

iii. Open and establish a claim file upon notice of an industrial injury or occupational disease, and provide notification to the cognizant DOE-Hanford Site Contractor within one business day;

iv. Use the claimant’s assigned DOE-Hanford Site Contractor unique business identifier code at the time of injury;

v. Perform verbal Three-Point Contact by the assigned adjuster in accordance with applicable laws, but no later than within two business days of receipt of claim. Three- Point contact is with the Employee, Employer, and Medical Provider. Evidence of Three-Point Contact must be documented in the claim file;

vi. Provide an information packet to claimant within five business days of receipt of claim, including:

o Notice of claim receipt letter;

Workers’ Compensation Third Party Administrator o DOE-Hanford Workers’ Compensation Self-Insurance Card – specific information regarding claim number, employer, date of injury, claims adjuster, and the DOE- Hanford Workers’ Compensation Representative;

o Privacy Act Notice (DOE-Hanford specific);

o L&I’s A Guide to Workers’ Compensation Benefits;

o Information regarding the DOE-Hanford Workers’ Compensation website and Customer Feedback Tool;

vii. Regularly review all diaries for active claims and contact claimants within one business day of completion. All required contacts must be documented in the claim file. Diary reviews will be conducted as follows:

o Claims: a minimum of every 30 days;

o Claims with active time loss: a minimum of every 14 days;

viii. Maintain claim files in accordance with RCW 51, and all other applicable laws and regulations, including WAC 296, the L&I Claims Adjudication Guidelines, and DOE- Hanford records disposition schedules. All Workers’ Compensation claim files are property of DOE- Hanford and shall be maintained in a Privacy Act System of Records. Disposition of all records will be at the direction and discretion of DOE- Hanford;

ix. Ensure that all benefit payments are accompanied with an explanation of benefits to the injured worker or payee;

x. Provide electronic banking/direct deposit as requested for claimants and service providers;

xi. Provide one-week advance notice to the Program Manager prior to submitting a recommendation of denial to L&I;

xii. Provide immediate (i.e., within 24 hours) notice to the CO, Program Manager and Counsel of any notice of proposed or requested penalties by L&I;

xiii. Ensure claimant travel is conducted in accordance with L&I and Federal Travel Regulations (FTR). Companion travel will be authorized in accordance with L&I travel regulations and applicable L&I guidance. Any exceptions to L&I and/or FTR must be approved in advance by the Contracting Officer;

xiv. Review all claims and identify, at the earliest possible opportunity, fraudulent conduct by claimants, providers, or others. The Contractor shall be responsible for investigating any indication of fraudulent conduct. The Contractor shall notify the CO of any and all possible fraud;

Workers’ Compensation Third Party Administrator

xv. Provide cost containment programs, such as medical preferred provider organization, and a prescription drug cost containment network;

xvi. Provide legal management and support including reviewing claim files and initiating or defending litigation, pursuant to the Contractor Legal Requirements (H.4) and the submitted Legal Management Plan (F.2); and

xvii. Provide support to a subsequent entity through transition as the outgoing Contractor.

Continue to administer all claims and payments until the CO:

o Advises in writing that all claims have been transferred to and assumed by a subsequent entity.

b. Program Management Requirements

i. Communication: The Contractor shall:

o Have strong written, verbal, interpersonal and responsive communication skills while providing a high level of respectful customer service; and o Provide accurate, factual, and timely communication to, and coordination among the claimant, the attending physician, the covered DOE-Hanford Site Contractor Employer, the DOE-Hanford Occupational Medical Services Provider or Pacific Northwest National Laboratory Occupational Medical Services Provider, and any other entity involved in the management of a claim. Such information shall include information regarding the claimant’s work restrictions, disability status, and other information relating to the claimant’s ability to perform DOE-Hanford Site work.

ii. Customer Service: The Contractor shall:

o Meet with (in person, or online) claimants and appropriately authorized representatives as requested regarding claim specific information;

o Ensure claimant privacy is maintained in sharing any protected personal or personal health information (DOE compatible encryption, such as Entrust);

o Ensure business hours are sufficient to provide services outlined in this SOW and are clearly communicated to the public and included on the DOE-Hanford Workers’ Compensation website;

o Provide a toll-free telephone line for claimants and other stakeholders. The telephone shall be answered by Contractor’s personnel during stated business hours;

o Ensure voice mail is available during non-business hours. The Contractor must respond to voice mail messages within one business day of receipt. Evidence of contact within one business day of receipt must be documented in the claim file; and

Workers’ Compensation Third Party Administrator o Maintain DOE-Hanford Workers’ Compensation Contractor Website, as approved by the

CO;

o The website should include regular communication to the public about significant milestones, contact information for the Contractor-including phone number and email address links. Changes to the website content shall be approved in advance by the CO;

o Update and maintain the content for the DOE-Hanford Workers’ Compensation website and Customer Feedback Tool. This tool must comply with the DOE Website Software Engineering Control Board and Cyber Security. The purpose is to provide information to the workforce and obtain customer feedback;

• Comments received through the Customer Feedback Tool shall be categorized by the Contractor within two business days of receipt. Comment categories are:

o High Impact- Comments which, if substantiated, could lead to significant program outcomes, such as:

▪ Positive or negative change to claim adjudication timeline;

▪ Inappropriate claim allowance/denial recommendation;

▪ Incorrect benefit calculations;

▪ Claim suppression; or

▪ Breach of contract.

o Low Impact- Comments which, if substantiated, are not likely to lead to significant program outcomes;

• The Contractor shall respond to substantiated comments within ten business days of receipt;

• A summary of substantiated comments received, comment responses, the number and nature of any unsubstantiated comments, the status of any changes or improvements made in response to comments, and any trend analysis related to comments received shall be provided to the Contracting Officer on a monthly basis; and

• Individual comments, responses, and any backup documentation shall be made available to the Contracting Officer upon request.

iii. Integration with Other DOE-Hanford Contractors: The Contractor shall:

o Meet with (in person, or online) with DOE-Hanford Site Contractors Workers’ Compensation Representatives (WCRs) at a minimum on a monthly basis;

o Meet with (in person, or online) DOE-Hanford at a minimum of every other week regarding programmatic and claim specific information; and o Meet with (in person, or online) the DOE-Hanford Workers’ Compensation Forum at a

Workers’ Compensation Third Party Administrator minimum monthly basis or as appropriate to encourage communication associated with services and support, resolve issues and concerns, and effectively anticipate emerging issues.

The DOE-Hanford Workers’ Compensation Forum will include DOE-Hanford program manager, WCRs, DOE-Hanford Site Union Representatives, DOE-Hanford Workforce Engagement Center Representatives, and other stakeholders. Note the following:

• Meetings are not intended to discuss claim specific information;

• The Contractor will follow up with claimants separately, if requested, to discuss claim specific information; and

• Meeting notes and subsequent actions will be maintained by the Contractor.

c. Financial Management Requirements

The Contractor shall:

i. Establish and utilize a dedicated bank account for all DOE-Hanford related business;

ii. Provide quarterly Banking Reconciliations to DOE-Hanford;

iii. Provide Funds Request ASAP drawdown detail and backup documentation twice a month;

iv. Provide backup documentation for completion of semi-annual Check Assessment;

v. Calculate/review the recommended reserve amount representing the total amount required to resolve all liabilities on a semi-annual basis, and provide notification of substantial reserve amount changes to DOE-Hanford;

vi. Review, authorize, and issue payment as required in accordance with RCW 51, and all other applicable laws and regulations for claim specific expenses, other legal expenses as approved, pension payments, and all other amounts appropriately assessed by L&I, such as supplemental pension assessments and administrative assessments unless otherwise provided in the MOU;

vii. Maintain a list of pensioners and perform variance analysis of quarterly pension payments.

Verify that the pension invoice amount provided by L&I is consistent with the pension list, resolve any discrepancies, and submit payment recommendation with supporting documentation to DOE-Hanford on a quarterly basis:

o Upon DOE approval, Contractor will make payment to L&I;

o Upon payment, Contractor will send formal correspondence to DOE-Hanford containing evidence of payment;

viii. Obtain all information necessary to complete the Quarterly Report for Self-Insured

Workers’ Compensation Third Party Administrator

Business form from the DOE-Hanford Site Contractors covered under the MOU; and

ix. Verify that the amount provided by L&I on the Quarterly Report for Self-Insured Business form matches the amount invoiced for pensions and resolve any discrepancies. Complete the Quarterly Report for Self-Insured Business form, and submit form and supporting documentation to DOE-Hanford for approval:

o Upon approval, Contractor will make payment to L&I;

o Upon payment, Contractor will send formal correspondence to DOE-Hanford containing evidence of payment.

d. Resolving Issues and Process Improvement

The Contractor shall:

i. Document and implement a Quality Assurance Program (QAP) to be approved by the CO.

Upon approval, the QAP will be incorporated in F3. Quality Assurance Program. At a minimum, the QAP shall:

o Establish an organizational structure, functional responsibilities, levels of authority, and interfaces for those managing, performing, and assessing the work;

o Establish process(es) for resolution of problems and/or non-compliance, including any potential conflicts of interest that arise with regard to the handling of any claim(s);

o Establish internal policies and procedures for the claims administration process as related to the DOE-Hanford Workers’ Compensation Program, and review and update as needed; and o Identify the causes of problems and include prevention of recurrence and process improvements as a part of corrective action planning;

ii. Review the QAP as appropriate, at least annually, and submit results to the CO for information. Any changes to the QAP shall be submitted to the CO for approval. Changes shall be approved before implementation by the Contractor unless otherwise directed by the

CO;

iii. Provide response to queries and trend analysis from the Contractor’s electronic claims system as requested by the CO;

iv. Prepare appropriate responses to audits and inquiries of all regulatory agencies, reviews, or investigations, and other CO requests; and

v. Notify and provide advice to the CO on proposed or enacted changes in Workers’ Compensation statutory or regulatory requirements that may affect the DOE-Hanford

Workers’ Compensation Third Party Administrator

Workers’ Compensation Program or the administration of claims, pensions, supplemental pensions, administrative assessment rates, etc.

3. CLIN 0003: Records Requests for Energy Employees Occupational Illness Compensation Program Act (EEOICPA) program - The Contractor shall provide all required labor and materials necessary to compile and forward an electronic copy of individual Workers’ Compensation records case files which have been requested by DOE-Hanford, in accordance with EEOICPA.

Records processing for EEOICPA information requests are as follows:

a. DOE-Hanford will periodically forward a list of EEOICPA claimants to the Contractor via electronic transfer site. The Contractor shall search all files and databases for records pertaining to the listed claimants and notify DOE-Hanford within five business days if the records exist.

b. The Contractor will compile copies of all individual case files. If information is withheld, the Contractor shall indicate the reason for withholding in its transmittal of records.

c. The Contractor shall forward the case files to DOE-Hanford in PDF format within 30 business days from the date of the original request. The Contractor shall provide documentation that a search was conducted for each individual using established criterion along with a written description of the relevant record systems searched and the search criteria used (e.g., name, social security number, etc.).

d. If DOE-Hanford requests documentation in relationship to a notification by the U.S. Department of Labor that an EEOICPA claimant is in a terminal state, the Contractor shall upon receipt of the written notification, provide the requested documents within one business day, unless some extraordinary circumstances preclude that turnaround period.

4. Fines, Penalties and Erroneous Payments o In the event the Contractor is notified that DOE-Hanford will be assessed with a fine or penalty by the State of Washington pursuant to the Revised Code of Washington (RCW) Title 51, or any other entity the Contractor will notify DOE-Hanford within one business day of receiving that notice. If DOE-Hanford determines that the penalty was assessed because of action or inaction on the part of the Contractor that was neither required by the contract nor by Contracting Officer direction, the Contractor shall be liable to DOE-Hanford for the penalty amount.

o The Contractor shall be responsible and held liable for erroneous payments and overpayment caused by the Contractor. The Contractor will also be responsible and held liable if it causes DOE-Hanford to make erroneous payments or overpayments.

o The Contractor shall off-set the amount of fines, penalties and erroneous payments against any amounts due. If there are no outstanding invoices, the Contractor shall reimburse DOE- Hanford for the amount of the penalty. DOE-Hanford will not reimburse the Contractor for fines or penalties imposed against the Contractor.

Workers’ Compensation Third Party Administrator

C.2 EXTENT OF OBLIGATION

The Government will award a firm fixed-price contract for Workers’ Compensation claims administrative services with a fixed hourly rate element for the document support to the EEOICPA.

C.3 INVOICES

An invoice shall be submitted at least monthly or upon expiration of the contract, whichever occurs first, for all deliveries made during a billing period and for which payment has not been received. Invoices shall be submitted in accordance with G.4 DOE-3010 Invoice Billing Instructions.

SECTION D

PACKAGING AND MARKING

SECTION E

INSPECTION AND ACCEPTANCE

52.246-4 INSPECTION OF SERVICES—FIXED-PRICE. (AUG 1996)

As prescribed in 46.304, insert the following clause:

(a) Definitions. Services, as used in this clause, includes services performed, workmanship, and material furnished or utilized in the performance of services.

(b) The Contractor shall provide and maintain an inspection system acceptable to the Government covering the services under this contract. Complete records of all inspection work performed by the Contractor shall be maintained and made available to the Government during contract performance and for as long afterwards as the contract requires.

(c) The Government has the right to inspect and test all services called for by the contract, to the extent practicable at all times and places during the term of the contract. The Government shall perform inspections and tests in a manner that will not unduly delay the work.

(d) If the Government performs inspections or tests on the premises of the Contractor or a subcontractor, the Contractor shall furnish, and shall require subcontractors to furnish, at no increase in contract price, all reasonable facilities and assistance for the safe and convenient performance of these duties.

Workers’ Compensation Third Party Administrator

(e) If any of the services do not conform with contract requirements, the Government may require the Contractor to perform the services again in conformity with contract requirements, at no increase in contract amount. When the defects in services cannot be corrected by reperformance, the Government may

(1) require the Contractor to take necessary action to ensure that future performance conforms to contract requirements and (2) reduce the contract price to reflect the reduced value of the services performed.

(f) If the Contractor fails to promptly perform the services again or to take the necessary action to ensure future performance in conformity with contract requirements, the Government may (1) by contract or otherwise, perform the services and charge to the Contractor any cost incurred by the Government that is directly related to the performance of such service or (2) terminate the contract for default.

(End of clause)

52.246-6 INSPECTION—TIME-AND-MATERIAL AND LABOR-HOUR. (MAY 2001)

As prescribed in 46.306, insert the following clause:

(a) Definitions. As used in this clause—

Contractor's managerial personnel means any of the Contractor's directors, officers, managers, superintendents, or equivalent representatives who have supervision or direction of—

(1) All or substantially all of the Contractor's business;

(2) All or substantially all of the Contractor's operation at any one plant or separate location where the contract is being performed; or

(3) A separate and complete major industrial operation connected with the performance of this contract.

Materials includes data when the contract does not include the Warranty of Data clause.

(b) The Contractor shall provide and maintain an inspection system acceptable to the Government covering the material, fabricating methods, work, and services under this contract. Complete records of all inspection work performed by the Contractor shall be maintained and made available to the Government during contract performance and for as long afterwards as the contract requires.

(c) The Government has the right to inspect and test all materials furnished and services performed under this contract, to the extent practicable at all places and times, including the period of performance, and in any event before acceptance. The Government may also inspect the plant or plants of the Contractor or any subcontractor engaged in contract performance. The Government shall perform inspections and tests in a manner that will not unduly delay the work.

(d) If the Government performs inspection or test on the premises of the Contractor or a subcontractor, the Contractor shall furnish and shall require subcontractors to furnish all reasonable facilities and assistance for the safe and convenient performance of these duties.

Workers’ Compensation Third Party Administrator

(e) Unless otherwise specified in the contract, the Government shall accept or reject services and materials at the place of delivery as promptly as practicable after delivery, and they shall be presumed accepted 60 days after the date of delivery, unless accepted earlier.

(f) At any time during contract performance, but not later than 6 months (or such other time as may be specified in the contract) after acceptance of the services or materials last delivered under this contract, the Government may require the Contractor to replace or correct services or materials that at time of delivery failed to meet contract requirements. Except as otherwise specified in paragraph (h) below, the cost of replacement or correction shall be determined under the Payments Under Time-and-Materials and Labor- Hour Contracts clause, but the hourly rate for labor hours incurred in the replacement or correction shall be reduced to exclude that portion of the rate attributable to profit. The Contractor shall not tender for acceptance materials and services required to be replaced or corrected without disclosing the former requirement for replacement or correction, and, when required, shall disclose the corrective action taken.

(g)(1) If the Contractor fails to proceed with reasonable promptness to perform required replacement or correction, and if the replacement or correction can be performed within the ceiling price (or the ceiling price as increased by the Government), the Government may—

(i) By contract or otherwise, perform the replacement or correction, charge to the Contractor any increased cost, or deduct such increased cost from any amounts paid or due under this contract; or

(ii) Terminate this contract for default.

(2) Failure to agree to the amount of increased cost to be charged to the Contractor shall be a dispute.

(h) Notwithstanding paragraphs (f) and (g) above, the Government may at any time require the Contractor to remedy by correction or replacement, without cost to the Government, any failure by the Contractor to comply with the requirements of this contract, if the failure is due to (1) fraud, lack of good faith, or willful misconduct on the part of the Contractor's managerial personnel or (2) the conduct of one or more of the Contractor's employees selected or retained by the Contractor after any of the Contractor's managerial personnel has reasonable grounds to believe that the employee is habitually careless or unqualified.

(i) This clause applies in the same manner and to the same extent to corrected or replacement materials or services as to materials and services originally delivered under this contract.

(j) The Contractor has no obligation or liability under this contract to correct or replace materials and services that at time of delivery do not meet contract requirements, except as provided in this clause or as may be otherwise specified in the contract.

(k) Unless otherwise specified in the contract, the Contractor's obligation to correct or replace Government-furnished property shall be governed by the clause pertaining to Government property.

(End of clause)

E.1 INSPECTION AND ACCEPTANCE

Inspection and acceptance of all items under this contract shall be accomplished by the CO or any other

Workers’ Compensation Third Party Administrator duly authorized Government representative identified by the CO. The contractor will be notified in writing or by a copy of the delegation of authority if a different representative in designated.

SECTION F

DELIVERIES OR PERFORMANCE

F.1 QUALITY ASSURANCE AND SURVEILLANCE PLAN (QASP)

Contractor’s self-evaluation of performance shall be submitted monthly, up to ten calendar days after the end of each month being reported along with the contractor’s properly certified invoice, complete with backup and analyses for all work completed in performance of this contract.

a. Performance Requirements Summary (PRS)

The PRS defines services required by this contract. The government performs surveillance to determine if the contractor exceeds, meets or does not meet these standards. The PRS is incorporated within this QASP to include performance standards and incentives. The government shall use these standards to determine contractor performance to Acceptable Quality Levels (AQL) defined below for each performance requirement.

b. Surveillance Methods

DOE’s Contracting Officer shall use the surveillance methods listed below in the administration of this QASP.

1) Direct Observation - Direct observation shall be performed periodically or up to 100% surveillance.

2) Periodic Inspection - Evaluate performance on a periodic basis. Inspections may be conducted daily, weekly, monthly, quarterly, annually or as needed.

3) Substantiated Complaints - Substantiated complaints from claimants or agency personnel shall be passed to the contractor for correction.

c. Documentation

1) Acceptable Performance – Number of incidents at or below the AQL on the performance standards.

2) Unacceptable Performance – Number of incidents above the AQL on the performance standards.

The Contracting Officer shall inspect to ensure contractor compliance with the appropriate section of the SOW. Acceptable performance could lead to a rating of satisfactory or above in the applicable CPARS category, and/or exercise of option(s).

When unacceptable performance occurs, the Contracting Officer shall prepare a report of all discrepancies and present the discrepancy report to the contractor.

Workers’ Compensation Third Party Administrator

The contractor shall acknowledge receipt of the discrepancy report in writing. The report shall specify if the contractor is required to prepare a corrective action plan which shall document how the contractor will correct the unacceptable performance and avoid a recurrence. The discrepancy report shall also state how long, after receipt, the contractor has to present this corrective action plan to the CO, if required. The government shall review the contractor’s corrective action plan to determine acceptability.

Any discrepancy report will be used during CPARS evaluations and any related contractual actions.

During contract performance, the Contracting Officer shall periodically analyze whether the frequency of surveillance is appropriate for the work being performed and shall meet with the contractor at least annually to assess and discuss performance.

* Please refer to PRS Table page 21 for AQLs and Method of Surveillance

PERFORMANCE REQUIREMENTS SUMMARY

Required Service Performance Standard AQL Method of Surveillance

Communication/ Customer Service

Provide accurate, complete, clear, and timely customer service in the processing of claims in accordance with the requirements set forth in the SOW.

Three incidents per reporting period (Monthly) Periodic

Inspection, Substantiated Complaints

Solicit, gather, categorize, and disposition customer comments received in a timely and accurate manner in accordance with the SOW.

Two incidents per reporting period (Monthly)

Meet with claimants and appropriately authorized representatives as requested

Two incidents per reporting period (Quarterly)

Meet with Contractor Workers’ Compensation Representatives (WCRs) monthly

One incident per reporting period (Annual)

Meet with DOE Hanford, WCRs, Hanford Site Union Representatives, Hanford Workforce Engagement Center Representatives, and other Stakeholders as appropriate monthly.

One incident per reporting period (Annual)

Meetings/ Workshops

Meet with DOE Hanford on a bi-weekly (every other week) basis

One incident per reporting period (Monthly)

Direct Observation, Substantiated Complaints

Payments Make payments and perform accompanied services in accordance with the requirements set forth in the SOW.

One incident per reporting period (Quarterly)

Periodic Inspection, Substantiated Complaints

Workers’ Compensation Third Party Administrator

Quality Assurance

Ensure claim administration is handled in a timely and accurate manner. Maintain claim files in accordance with L&I regulations and DOE Hanford records disposition schedules.

One incident per reporting period (Quarterly)

Periodic Inspection, Substantiated Complaints

Reporting

Provide prompt and accurate monthly, quarterly, bi-annual and annual reports within the prescribed number of business days following the end of the reporting period.

Two incidents per reporting period (Annual)

Direct Observation

F.2. LEGAL MANAGEMENT PLAN

DUE 60 DAYS AFTER CONTRACT AWARD TO BE

INSERTED AFTER CONTRACT AWARD

F.3. QUALITY ASSURANCE PROGRAM

DUE 60 DAYS AFTER CONTRACT AWARD TO BE

INSERTED AFTER CONTRACT AWARD

F.4. CONTINUITY OF OPERATIONS PLAN

DUE 60 DAYS AFTER CONTRACT AWARD TO BE

INSERTED AFTER CONTRACT AWARD

SECTION G

CONTRACT ADMINISTRATION DATA

G.1 MODIFICATION AUTHORITY

Notwithstanding any of the other clauses of this Contract, the CO shall be the only individual authorized to:

(a) Accept nonconforming work,

(b) Waive any requirement of this contract, or modify any term or condition of this contract

G.2 CORRESPONDENCE PROCEDURES

To promote timely and effective administration, correspondence submitted under this Contract shall include the contract number and be subject to the following procedures:

Workers’ Compensation Third Party Administrator

The DOE-Hanford Lead CO is:

U. S. Department of Energy-Hanford Brenda Valadez Contracting Officer Assistant Manager for Procurement, General Support Services, Team Lead 2440 Stevens Center Drive, 2562 Richland, WA 99352 Tel: (509) 376-1636 E-mail: Brenda.Valadez@rl.doe.gov

The DOE-Hanford Contract Officers (CO) Contracting Specialist (CS) is:

U. S. Department of Energy-Hanford Susan Hiller Contracting Officer Assistant Manager for Procurement 2440 Stevens Center Drive, 2560 Richland, WA 99352 Tel: (509) 376-4484 E-mail: susan.hiller@rl.doe.gov

G.3 ASSIGNMENT

DOE-Hanford reserves the right to assign this Contract to any Federal agency or onsite contractor for contract administration. The rights and obligations of the Contractor shall not be adversely affected in any material respect as a result of such assignment. Written notice will be provided to the Contractor if an assignment is made. No claim for additional costs will be considered by reason of any assignment under this provision.

mailto:susan.hiller@rl.doe.gov

Workers’ Compensation Third Party Administrator

SECTION H

SPECIAL CONTRACT REQUIREMENTS

H.1 REPORTING REQUIREMENTS

Reporting…