Sol_A15PS00121.pdf

SEE ADDENDUMIS CHECKED

CODE 18a. PAYMENT WILL BE MADE BY

CODE

FACILITYCODE

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER

OFFEROR

A09

Gallup NM 87301 Contracting Office

301 WEST HILL ROOM 346

BIA NAVAJO 00009

CODE 16. ADMINISTERED BYCODE

X

X

X

611110

SIZE STANDARD:

100.00 % FOR:SET ASIDE:UNRESTRICTED ORA09

RFPIFB

10. THIS ACQUISITION ISCODE

RFQ

14. METHOD OF SOLICITATION

13b. RATING

NAICS:

SMALL BUSINESS

01/14/2015 1000 MT

01/13/2015

505-863-8257MARY JANE JOHNSON

(No collect calls)

INFORMATION CALL:

FOR SOLICITATION 8. OFFER DUE DATE/LOCAL TIMEb. TELEPHONE NUMBER a. NAME

4. ORDER NUMBER3. AWARD/ 6. SOLICITATION

A15PS00121

5. SOLICITATION NUMBER

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS 1. REQUISITION NUMBER PAGE OF

1 2 0040188981OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

TELEPHONE NO.

17a. CONTRACTOR/

Multiple Destinations

15. DELIVER TO

Gallup NM 87301 Contracting Office

301 WEST HILL ROOM 346

9. ISSUED BY

7.

2. CONTRACT NO.

EFFECTIVE DATE

$11.0

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW

ISSUE DATE

DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

11.

SEE SCHEDULE

12. DISCOUNT TERMS

THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

13a.

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

8(A)

BIA NAVAJO 00009

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

24.

AMOUNT

23.

UNIT PRICE

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UNIT

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QUANTITY

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SCHEDULE OF SUPPLIES/SERVICES

19.

ITEM NO.

This is set aside for BUY INDIAN small businesses only.

Period of Performance: 01/15/2015 to 06/30/2015

00010 Psychological Services Beclabito Day Sch Requisition No: 0040188981

Delivery: 06/30/2015 FOB: Destination Continued ...

(Use Reverse and/or Attach Additional Sheets as Necessary)

HEREIN, IS ACCEPTED AS TO ITEMS:

XX

DATED

MARY JANE JOHNSON

. YOUR OFFER ON SOLICITATION (BLOCK 5),

INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE SET FORTH

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DELIVER

ARE

ARE

31c. DATE SIGNED

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA

31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (Type or print)

ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY ADDITIONAL

SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED.

27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA

26. TOTAL AWARD AMOUNT (For Govt. Use Only)

OFFER

STANDARD FORM 1449 (REV. 2/2012)

Prescribed by GSA - FAR (48 CFR) 53.212

ARE NOT ATTACHED.

ARE NOT ATTACHED.

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

30b. NAME AND TITLE OF SIGNER (Type or print)

30a. SIGNATURE OF OFFEROR/CONTRACTOR

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

25. ACCOUNTING AND APPROPRIATION DATA

29. AWARD OF CONTRACT:

REF.

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32c. DATE 32b. SIGNATURE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED:

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED

40. PAID BY39. S/R VOUCHER NUMBER38. S/R ACCOUNT NUMBER

37. CHECK NUMBER

FINALPARTIAL

36. PAYMENT

FINALPARTIAL

35. AMOUNT VERIFIED

CORRECT FOR

34. VOUCHER NUMBER33. SHIP NUMBER

COMPLETE

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

42d. TOTAL CONTAINERS42c. DATE REC'D (YY/MM/DD)

42b. RECEIVED AT (Location)

42a. RECEIVED BY (Print)

41c. DATE41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER

41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT

STANDARD FORM 1449 (REV. 2/2012) BACK

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SCHEDULE OF SUPPLIES/SERVICES

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ITEM NO.

Period of Performance: 12/22/2014 to 06/30/2015

32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

2 2 of

The Bureau of Indian Affairs (BIA) is soliciting offers to procure for Psychological Services.

This is a combined synopsis/solicitation for commercial items prepared in accordance with the format in FAR 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. Solicitation No. A15PS00121, herein cited is issued as a Request for Quote (RFQ) and will be procured under FAR Part 12, Acquisition of Commercial Items.

Solicitation document and incorporated provisions and clauses are those in effect through Federal Acquisition Circular 2005-78.

This acquisition is for a Native American Owned Small Business Set-Aside under the Buy Indian Act (25 U.S.C). Total Small Business $11.5 Set Aside NAICS Code: 611110.

Scope of Work:

Contractor shall provide all equipment, labor, materials, supervision and incidentals to provide the following equipment:

Statement of Wo rk

PSYCHOLOGICAL SERV ICES

Provide al l travel , supplies, materials and personnel to provide Psychological Services in accordance with the Statement of Work (SOW) for a Bureau of Indian Education School located at Beclabito Day School, Beclabito, New Mexico.

Background : The Bureau of Indian Education , serves as a branch to the State Education Agency (SEA) for several elementary and secondary schools and dormitories serving students located in the states of Arizona , New Mexico, and Utah . The scope of work calls for professional related services to assist Beclabito Day School in implementing the special education and related services as authorized under P.L. I 08-446 Individualized with Disabil ities Education Improvement Act (IDEI A). The purpose for the IDEIA program is to improve academic achievement of students with disabilities and to introduce strict accountabil ity measures holding schools, districts, and states responsible for the academic results of student with disabilities.

Approximately 49 schools will be funded Part B Funds through a formula based process to provide special education and related services for eligible children with disabilities.

POSITION: Licensure Requirement - Licensed Psychologist: The contractor is required to be licensed i n the State of New Mexico , and shall have an active license i n place throughout the life of the contract.

B I E SCHOOL : Becla bito Day Sc h ool LOCATION : Beclabito, New Mexico.

IDENTIFIED STUDENTS : Based upon the need over the past five years at Beclabito Da y School, the total hours anticipated (based upon the students I EP) is 96 hours onsite per year plus preparation time.

OBJ ECTIVES: To ensure the provision of Psychological Services for identified or referred Special Education students attending B IE, Beclabito Day School are met. Services will be provided i n accordance with P.L. I 08-446, the Individuals with Disabil ities Education Act of 2004 as specified in the student IEP.

1. Observes, screens, evaluates students and provides documentation for students referred for therapy services;

2. Assesses and plans treatment for qualifying students;

3. Attends and participates on multi-disciplinary teams to develop Individual Educational Plans (I EP) and makes placement recommendations ;

4. Assist the teacher in modifying classroom activities which promote motor development , prevent secondary problems and will allow each child to participate as much as possible; in collaboration with occupation therapy, assist classroom personnel with activities of daily living such as mobility, toileting and positioning by teaching them appropriate techniques;

5. Develop an individual educational program for physical therapy to fit the special needs of disabled students;

6. Interpret the psychological therapy evaluation , goals, and program plan to parents, provide instruction about appropriate activities at home, about exercises to be performed at home, about method s for meeting activities of daily living, and about equipment needs of the child;

7. Recommend: (a) general equipment for the psychological therapy department and see that it is maintained properly; (b) classroom equipment needs and design modifications to meet individual needs; (c) architectural modifications which will allow children to be more functional ;

8. Document the psychological therapy evaluation and objective recordings of progress on individual children and maintain data related to physical therapy services with those of other disciplines you request ;

9. Provide consultation service and coordinate psychological therapy services with those of other disciplines you request ;

10 . Communicate with the providers of primary medical care of each disabled child receiving psychological therapy prior to and during the school year;

11. Reinforce appropriate levels of function in activities of daily living;

12. Develop good rapport and communication with parents through phone calls, letters and visitations ;

13. Serve on educational committees, e.g., placement, I EP committees;

14. Coordinate and maintain such record keeping as is necessary and includes updates/monitor Native Star for compliance.

15. Comply with all federal mandates, State Board of Education regulations, and BI E policies for service to the disabled ;

16. Maintain clinical service notes and working student file.

RESPONSIBI LITIES OF PSYCHOLOGIST SERVICE PROV IDERS: The service provider is to:

1. Report to a designated time and place for orientation to the organizational structure for service provision and the procedures delineated for providing the above specified services.

2. The provider is to make any additional reports or supply data to the BI E which may be required to evaluate and report on the provision of related services.

3. Make appropriate travel arrangements including payment of costs to be paid upon completion of work assignment for scheduled works with the Beclabito Day School, a bureau operated school. Travel costs shall be in accordance with the Federal Travel Regulations and incorporated into the firm fixed price.

4. Provide written reports and other documentation of services i .e. evaluation forms, attendance sheets, etc. for specific services as requested by the BI E (Beclabito Day School).

5. Develop and provide all materials for professional development and technical assistance provided to schools, leadership team , staff, and/or BLE (Beclabito Day School).

Point of Contact: Gloria Hosteen (505) 368-3413, PERIOD OF PERFORMANCE: Base Year from Date of Award to June 30, 2015 Option Year 1: July 1, 2015 to June 30, 2016 Option Year 2: July 1, 2016 to June 30, 2017 Option Year 3: July 1, 2017 to June 30, 2018 Option Year 4: July 1, 2018 to June 30, 2019

SECTION D Performance evaluation will be performed at the end of each school year. The evaluation will be completed at the school by the government representative. This form is the only performance evaluation that will be accepted by the Contracting Officer. The evaluator's signature shall be legible and printed on the form. If the government representative will complete a performance evaluation prior to last day of work, for work the performed under this contract. The government representative will review the performance evaluation with the Contractor, record Contractor comments, and obtain Contractor signature acknowledge in completion of the evaluation. The government evaluator will then give a copy of the evaluation form(s) to the Contractor at the school and submit a copy to the Contracting Officer.

SECTION M FAR 52.212-02: Evaluation -Commercial Items: (a) The Government will award a contract resulting from this solicitation to the responsible offeror whose offer conforming to the solicitation will be most advantageous to the Government, price and other factors considered. The following factors shall be used to evaluate offers:

In the order of importance are the listed evaluation factors:

COST Factor I - Technical Capability Factor II - Management Capability Factor III - Past Performance

M. 1 Contract Award Award will be made on the basis of the lowest evaluated price of proposals meeting the technically acceptability standards. The Government intends to select the Lowest Price Technically Acceptable offer on the basis of initial offers received, without discussions. Offers may be given the opportunity to clarify certain aspects of the proposals (e.g., the relevance of an offeror's past performance information or to resolve minor or clerical errors).

M.2 Evaluation The Government will conduct a lowest price technically acceptable source selection as required under FAR 15.101-2. The Government will evaluate all offers to determine technical acceptability proposal with the lowest evaluated price. Each Factor will be rated either "Acceptable" or "Unacceptable". All Factors must be "Acceptable" in order to be determined as technically acceptable. A proposal with any factors that are rated as "Unacceptable" will not be considered.

M.3 Evaluation Factors Factor I - Technical Capability Factor II - Management Capabilities/Key Personnel Qualification Factor III - Past Performance

FACTOR I - Technical Capability quote for a Speech & Language, will work with student, in accordance with the Statement of Work.

The Technical Capability shall be in as much detail as the offeror considers necessary to fully explain the quoted technical approach. The technical quote should reflect a clear understanding of the nature of the work to be performed. The quote shall assess the offeror's understanding of the Bureau of Indian Affair's goals for the project and an understanding of the Statement of Work (SOW). The quote should include, but not limited to the following: a) Knowledge and understanding of the requirements outlined in the SOW. b) Understanding of general and local condition which can affect the SOW. c) Logical sequence of steps and or specific techniques to accomplish all required work specified in the SOW. d) Capability to produce deliverables in response to the SOW.

FACTOR II - Management Capabilities for a Speech & Language, will work with student, in accordance with the Statement of Work.

Each offeror shall submit a plan consisting of a narrative explanation of their quote on-site approach to project management and coordination; and cost control measures on change orders and how they are quoted and tracked. Each offeror will be required to provide the relevant experience and knowledge of key individual(s) who will be assigned directly to the School.

This factor will assess the quoted key personnel qualifications, provide copies of all certifications. The assessment will consider whether the quote provides an adequate number of appropriately qualified personnel to meet the technical, management and support requirements of the SOW. The Offer should include, but not be limited to the following description:

a) Describe the method and criteria you plan to use to select qualified subcontractors to ensure an appropriate level of experience and expertise for the project. b) Describe your project schedule and plan indicating where you will start the project and how you plan to proceed to completion of the work as identified in the statement of work. Your projected schedule of the project; shall include steps within each phase and their estimated duration time. Project Schedule should note critical path. c) Submit a resume along with a letter of commitment for all key personnel.

FACTOR III - Past Performance for a Speech & Language, will work with student, in accordance with the Statement of Work.

Please provide a list of contracts to include the contract number, POP, point of contact information and the description of the requirement. "Successful past performance on similar projects, to include but not limited to timeliness of performance and customer satisfaction".

PRICE: (Please provide a complete breakdown of your price) All taxes must be included.

Base Year:

1. Psycho-Evaluation Referral & Report for 8 students = $_____ X 8 Referral & Reports =

2. Psychological Services Per student IEP (30 minutes per week) $_____________

3. Mileage: ____ miles round trip per day X $_____/mile = $_____ X ____ days = $_______.

Base Year Total $________

Option Year 1:

1. Psycho-Evaluation Referral & Report for 8 students = $_____ X 8 Referral & Reports =

2. Psychological Services Per student IEP (30 minutes per week) $_____________

3. Mileage: ____ miles round trip per day X $_____/mile = $_____ X ____ days = $_______.

Base Year Total $________

Option Year 2:

1. Psycho-Evaluation Referral & Report for 8 students = $_____ X 8 Referral & Reports =

2. Psychological Services Per student IEP (30 minutes per week) $_____________

3. Mileage: ____ miles round trip per day X $_____/mile = $_____ X ____ days = $_______.

Base Year Total $________

Option Year 3:

1. Psycho-Evaluation Referral & Report for 8 students = $_____ X 8 Referral & Reports =

2. Psychological Services Per student IEP (30 minutes per week) $_____________

3. Mileage: ____ miles round trip per day X $_____/mile = $_____ X ____ days = $_______.

Base Year Total $________

Option Year 4:

1. Psycho-Evaluation Referral & Report for 8 students = $_____ X 8 Referral & Reports =

2. Psychological Services Per student IEP (30 minutes per week) $_____________

3. Mileage: ____ miles round trip per day X $_____/mile = $_____ X ____ days = $_______.

Base Year Total $________

TOTAL $______________

Please Note: *All travel miles calculations must be coincide with Rand Mcnally mileage calculations at www.randmcnally.com.

FEDERAL TRAVEL REGULATIONS: Travel cost incurred for transportation, lodging, meals, and incidental expenses (as defined in the regulation cited in FAR 31.205-46) shall be considered to be reasonable and allowable only to the extent that they do not exceed on a daily basis the maximum per diem rates in effect at the time of travel as set forth in the Federal Travel Regulation.

The consultant will be reimbursed for travel to provide support at a Government site or other site as may be specified and approved by the COTR under this effort. All travel shall be approved, by the COTR, prior to commencement of travel.

Consultant shall provide supporting documentation and a detailed breakdown of incurred travel costs with each invoice.

BACKGROUND INVESTIGATION: In accordance with 25 U.S.C. 3201 (P.L. 101-630), Indian Child Protection and Family Violence Prevention Act; 42 U.S.C. 13041, Crime Control Act of 1990; 441 Departmental Manual, Personnel Security and Suitability Requirements all positions with duties and responsibilities involving regular contact with or control over Indian children are subject to a background investigation and determination of suitability for employment.

Accordingly, all such positions require a favorable screening (applicant and suitability) determination made by the Bureau of Indian Affairs (BIA) Office of Indian Education Programs (OIEP), Personnel Security and Suitability Program; and a favorable background investigation determination conducted by the Office of Personnel Management (OPM).

A favorable screening (applicant and suitability) determination must be made by the Bureau of Indian Affairs (BIA) Office of the Indian Education Programs (OIEP), Personnel Security and Suitability Program prior to contract award or made within 60 days of incorporation of this clause into a current/existing contract. Pending completion of a background investigation by OPM, the Contractor who has been granted a favorable screening (applicant and suitability) determination must be within the sight and under the supervision of a Government employee who has had a completed background investigation (42 U.S.C 13041 (3)) during contract performance until a final background investigation determination has been made.

Prior employment with the Federal Government, including BIA, OIEP or the Bureau of Indian Affairs, does not assure that the appropriate screening or investigation was conducted nor does it alleviate or guarantee a favorable screening (applicant and suitability) determination or background investigation

Prior to an award or during the 60 day period discussed in paragraph two, it is solely the company, individual or contractor's responsibility to contact the BIA, OIEP Personnel Security and Suitability Program at 505-563-5287/5288/5289/5294 in order to obtain a complete security package, which includes but is not limited to appropriate investigative forms and/or inquire about their previous investigation; and, obtain a screening (applicant and suitability) determination, and subsequent final background investigation.

If an unfavorable screening (applicant and suitability) determination is made, a purchase order shall not be awarded to the individual who received an unfavorable screening or to the company who has proposed to employ the individual to perform the work. The individual and or the company who proposed to employ this individual may be determined to be non-responsible if an unfavorable screening (applicant and suitability) determinations is made, which will make them ineligible for purchase order award.

If an unfavorable final background investigation determination is made, the purchase order may be terminated and the employee in question shall not be authorized to provide service to the BIA, OIEP, if the services involve contact with or regular control over Indian children.

Award will be made to the lowest priced offeror, whose quotation is conforming to the requirements herein, will be most advantageous to the Government, and is fair and reasonable.

CONTRACT CLAUSES: The following clauses apply to this acquisition: FAR 52.212-1, Instructions to Offerors Commercial Items; FAR 52.212-3, Offeror Representations and Certifications Commercial Items; FAR 52.212-4, Contract Terms and Conditions Commercial Items; and FAR 52.212-5 Contract Terms and Conditions Required to Implement Statutes or Executive Orders Commercial Items. In paragraph (b) of FAR 52.212-5(b), the Contractor shall comply with the following FAR clauses that the Contracting Officer has indicated as being incorporated in this contract by reference to implement provisions of law or Executive order applicable to acquisitions of commercial items: FAR 52.223-18; FAR 52.225-1; FAR 52.222-3; FAR 52.232-18; FAR 52.216-02; FAR 52.217-6; FAR 52.217-7; Far 52.212-8; FAR 52.219; FAR 52.22-41; and DIAR clauses are herein incorporated as follows:.

1452.226-70; 1452.226-71; 1452.280-4; and 1452.204-70, 52.232-40. The Federal Acquisition Regulations clauses and provisions are available on the Internet at: http://www.arnet.gov/far or may be requested from the Contracting Officer.

Award will be made at a fair and reasonable price to the lowest responsive and responsible offeror whose quote conforming to the requirements herein will be the most advantageous to the Government. Provide DUNS# and Tax ID# with a signed and dated quote, along with a completed copy of FAR Clause 52.212-3, Offeror Representations and Certifications– Commercial Items and DIAR 1452.280-4, Indian Economic Enterprise Representation. The RFQ is due at the Bureau of Indian Affairs, Navajo Regional Office, Division of Acquisition, Attention: Mary Jane Johnson, P. O. Box 1060, Gallup, New Mexico 87305 by, Jaunary 14, 2015, 12:00 PM (Local Time, Gallup, N.M.) Physical address: 301 W. Hill Ave., Room. 346, Gallup, NM 87301. Quotes submitted by facsimile at (505) 863-8382 or by email at maryjane.johnson@bia.gov will be accepted. Any further questions regarding this announcement may be directed to Mary Jane Johnson, Contract Specialist, by fax at (505) 863- 8382.

All contractors submitting quotes must be registered in the SAM.gov, in order to receive contracts and purchase orders from the Federal Government pursuant to FAR Clause 52.204-7.

To register or learn more about the SAM, go to: http://www.SAM.gov.

mailto:maryjane.johnson@bia.gov http://www.sam.gov/