Sol_95332A20Q0002.pdf

Federal Business Opportunities (FBO)

SOURCES SOUGHT NOTICE

1. Sources Sought Notice Number: 95332A20Q0002

2. Title: Healthcare Benefits Administration Services

3. Classification Code: R – Professional, administrative, and management support services

4. NAICS Code: 923120 - Administration of Public Health Programs

PSC: AN46

5. Description:

This is a Sources Sought notice. This is NOT a solicitation for proposals, proposal abstracts, or quotations. The purpose of this notice is to obtain information regarding the availability and capability of all qualified sources to perform a potential requirement.

This notice is issued to help determine the availability of qualified companies technically capable of meeting the Government requirement and to determine the method of acquisition. It is not to be construed as a commitment by the Government to issue a solicitation or ultimately award a contract. Responses will not be considered as proposals or quotes. No award will be made as a result of this notice. The Government will NOT be responsible for any costs incurred by the respondents to this notice. This notice is strictly for research and information purposes only.

Background: See attached Work of Statement (SOW)

Purpose and Objectives: See attached Work of Statement (SOW)

Project requirements: See attached Work Statement (SOW)

Anticipated period of performance: See attached Work of Statement (SOW)

Other important considerations: See attached Work of Statement (SOW)

Capability statement /information sought. Respondents must provide, as part of their responses, a capability statement, “white paper,” answers to questions/issues, etc. This may include requests for:

respondents’ opinions about the difficulty and/or feasibility of the potential requirement or proposed acquisition, possible solutions and approaches that may currently exist in the marketplace, and information regarding innovative ideas or concepts;

information regarding respondents’: (a) staff expertise, including their availability, experience, and formal and other training; (b) current in-house capability and capacity to perform the work; (c) prior completed projects of similar nature; (d) corporate experience and management capability; and (e) examples of prior completed Government contracts, references, and other related information;

general information regarding the respondent’s estimate or rough order of magnitude of the effort or time that may be required for completion of the work.

(NOTE: This type of information may only be requested as part of an RFI. However, care must be exercised in requesting such information. Information requested must be: (a) necessary; (b) broad in scope; and (c) used for planning purposes only.

Detailed estimates must not be requested.);

The respondent must also provide their DUNS number, organization name, address, point of contact, and size and type of business (e.g., 8(a), HubZone, etc., pursuant to the applicable NAICS code and any other information that may be helpful in developing or finalizing the acquisition requirements.

One (1) copy of the response is required and must be in Microsoft Word or Adobe PDF format using 11-point or 12-point font, 8-1/2” x 11” paper size, with 1” top, bottom, left and right margins, and with single or double spacing.

The information submitted must be in an outline format that addresses each of the elements of the project requirement and in the capability statement /information sought paragraphs stated herein. A cover page and an executive summary may be included but is not required.

The response is limited to ten (10) page limit. The 10-page limit does not include the cover page, executive summary, or references, if requested.

The response must include the respondents’ technical and administrative points of contact, including names, titles, addresses, telephone and fax numbers, and e-mail addresses.

All responses to this notice must be submitted electronically to the Contract Specialist at DDemissie@cns.gov . Facsimile responses are NOT accepted.

mailto:DDemissie@cns.gov

The response must be submitted to Daniel Getahun Demissie, Contract Specialist, at e-mail address DDemissie@cns.gov. NOTE: The response must place “Capability Statement for Sources Sought Notice Number: 95332A20Q0002” in the subject line of email.

The response must be received on or before Thursday, October 24, 2019, 10:00 AM, Eastern Time.

“Disclaimer and Important Notes: This notice does not obligate the Government to award a contract or otherwise pay for the information provided in response. The Government reserves the right to use information provided by respondents for any purpose deemed necessary and legally appropriate. Any organization responding to this notice should ensure that its response is complete and sufficiently detailed. Information provided will be used to assess tradeoffs and alternatives available for the potential requirement and may lead to the development of a solicitation. Respondents are advised that the Government is under no obligation to acknowledge receipt of the information received or provide feedback to respondents with respect to any information submitted.

Any solicitation resulting from the analysis of information obtained will be announced to the public in Federal Business Opportunities in accordance with the FAR Part 5. However, responses to this notice will not be considered adequate responses to a solicitation.

Confidentiality: No proprietary, classified, confidential, or sensitive information should be included in your response. The Government reserves the right to use any non-proprietary technical information in any resultant solicitation(s).”

mailto:DDemissie@cns.gov

95332A20Q0002

1. REQUEST NO.

5a. ISSUED BY

NAME

a. NAME

c. STREET ADDRESS

d. CITY

10. PLEASE FURNISH QUOTATIONS TO

THE ISSUING OFFICE IN BLOCK 5a ON

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

RATING

6. DELIVERY BY (Date)

7. DELIVERY

9. DESTINATION

a. NAME OF CONSIGNEE

b. STREET ADDRESS

PAGE OF PAGES

5b. FOR INFORMATION CALL: (No collect calls)

TELEPHONE NUMBER

AREA CODE NUMBER

8. TO:

b. COMPANY

e. STATE f. ZIP CODE

c. CITY

d. STATE e. ZIP CODE

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

10/18/2019

1 5

250 E STREET SW

WASHINGON DC DC 20525

CNCS - OPS

Multiple

CNCS - OPS

250 E STREET SW

WASHINGON

DC 20525

202 606-6726Daniel Demissie

10/24/2019 1000 ET

FOB DESTINATION

OTHER

(See Schedule)X

ITEM NO.

(a)

SUPPLIES/SERVICES

(b)

QUANTITY

(c)

UNIT

(d)

UNIT PRICE

(e)

AMOUNT

(f)

The purpose of this SOURCES SOUGHT NOTICE is to obtain information regarding the availability and capability of all qualified sources to perform a potential requirement as set forth into the attached Statement of Work (SOW).

The Government intends to procure contractor services that will administer a healthcare benefits program for the Corporation for National and Community Service (CNCS) in an efficient and timely manner for up to 8,000 AmeriCorps VISTA members and up to 2,200 AmeriCorps NCCC Traditional and FEMA Corps members annually throughout their terms of service.

The response must be submitted to Daniel Getahun Continued ...

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

b. STREET ADDRESS

c. COUNTY

d. CITY e. STATE f. ZIP CODE

14. SIGNATURE OF PERSON AUTHORIZED TO

SIGN QUOTATION

16. SIGNER

a. NAME (Type or print)

c. TITLE (Type or print)

a. NAME OF QUOTER

AREA CODE

NUMBER

15. DATE OF QUOTATION

b. TELEPHONE are are not attached

AUTHORIZED FOR LOCAL REPRODUCTION

Previous edition not usable

STANDARD FORM 18 (REV. 6-95)

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

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

2 5

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

95332A20Q0002

Demissie, Contract Specialist, at email address

DDemissie@cns.gov. NOTE: The response must place

“Capability Statement for Sources Sought Notice

Number: 95332A20Q0002” in the subject line of email.

The response must be received on or before

Thursday, October 24, 2019, 10:00 AM, Eastern Time

NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)

Section 2 - Section 2

2.1 Attachments Table

2.2 Table of Line Items

2.3 Clauses

Section 4 - Section 4

4.1 Provisions

Section 2 - Section 2

2.1 Attachments Table

Attachment Number Title Date

1 STATEMENT OF WORK (SOW) - HEALTHCARE

BENEFITS ADMINISTRATION SERVICES 10/18/2019

2.2 Table of Line Items

Item/Sub Number Description Quantity Unit of

Issue Unit Price Total Item Amount

2.3 Clauses

Incorporated By Reference (IBR) Clauses

Clause Number Clause Title

Full text of the above clauses can be obtained at https://acquisition.gov/browse/index/far

Section 4 - Section 4

4.1 Provisions

Incorporated By Reference (IBR) Provisions

Clause Number Clause Title

Full text of the above clauses can be obtained at https://acquisition.gov/browse/index/far

Full Text Provisions