Region_6_EAP_Sol_AG-046W-S-16-0002.pdf

SOLICITATION, OFFER AND AWARD 1.THIS CONTRACT IS A RATED ORDER RATING PAGE OF

UNDER DPAS (15 CFR 700) 1 27 PAGES

2. CONTRACT NUMBER

3. SOLICITATION

NUMBER

4. TYPE OF SOLICITATION 5. DATE ISSUED 6. REQUISITION/PURCHASE

AG-046W-S-16-0002

SEALED BID (IFB)

2/5/2016

NUMBER

NEGOTIATED (RFP)

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

Roxanne Anderson Contract Specialist

US Forest Service – Mt Hood Headquarters 16400 Champion Way Sandy, Oregon 97055

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

SOLICITATION

9. Sealed offers in original and 0 copies for furnishing the supplies or services in the Schedule will be received at the place specified in Item 8, or if handcarried, in the depository located in Mt Hood National Forest Supervisors Office until 1:00pm pst local time March 4, 2016

(Hour) (Date) 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.

10. FOR

INFORMATION

A. NAME

B. TELEPHONE NO. (NO COLLECT

CALLS)Area Code/Number/Extension

C. E-MAIL ADDRESS

CALL: Roxanne Anderson (503)668-1730 rdanderson@fs.fed.us

11. TABLE OF CONTENTS

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

PART I - THE SCHEDULE PART II - CONTRACT CLAUSES

x A SOLICITATION/CONTRACT FORM x I CONTRACT CLAUSES x B SUPPLIES OR SERVICES AND PRICES/COSTS PART III - LIST OF DOCUMENTS, EXHIBITS AND OTHER ATTACH.

x C DESCRIPTION/SPECS./WORK/STATEMENT x J LIST OF ATTACHMENTS x D PACKAGING AND MARKING PART IV - REPRESENTATIONS AND INSTRUCTIONS x E INSPECTION AND ACCEPTANCE x x

K REPRESENTATIVES, CERTIFICATIONS AND

x F DELIVERIES OR PERFORMANCE OTHER STATEMENTS OF OFFERORS x G CONTRACT ADMINISTRATION DATA x L INSTRS., CONDS., AND NOTICES TO OFFERORS x H SPECIAL CONTRACT REQUIREMENTS x M EVALUATION FACTORS FOR AWARD

OFFER (Must be fully completed by offeror)

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

12. In compliance with the above, the undersigned agrees, if this offer is accepted within calendar days (60 calendar days unless a different period is inserted 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 designated point(s), within the time specified in the schedule.

13. DISCOUNT FOR PROMPT PAYMENT 10 CALENDAR DAYS 20 CALENDAR DAYS 30 CALENDAR DAYS CALENDAR DAYS

(See Section I, Clause No. 52-232-8) % % % %

14. ACKNOWLEDGMENT OF

AMENDMENTS

AMENDMENT NO. DATE AMENDMENT NO. DATE

(The offeror acknowledges receipt of amendments to the SOLICITATION for offerors and related documents numbered and dated):

15A.

NAME AND

ADDRESS

OF OFFEROR

CODE FACILITY 16. NAME AND TITLE OF PERSON AUTHORIZED TO SIGN

OFFER (Type or Print)

15B. TELEPHONE NO. (Include area code and extension)

15C. CHECK IF REMITTANCE

ADDRESS IS DIFFEREENT FROM

ABOVE – ENTER SUCH ADDRESS IN

SCHEDULE.

17. SIGNATURE

18. OFFER DATE

AWARD (To be completed by Government)

19. ACCEPTED AS TO ITEMS NUMBERED 20. AMOUNT 21. ACCOUNTING AND APPROPRIATION

22. AUTHORITY FOR USING OTHER THAN FULL AND OPEN COMPETITION

23. SUBMIT INVOICES TO ADDRESS SHOWN IN ITEM

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

41 U.S.C. 253(c) ( ) (4 copies unless otherwise specified)

24. ADMINISTERED BY (If other than Item 7) CODE 25. PAYMENT WILL BE MADE BY CODE

26. NAME OF CONTRACTING OFFICER (Type or print) 27. UNITED STATES OF AMERICA 28. AWARD DATE

(Signature of Contracting Officer)

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

AUTHORIZED FOR LOCAL REPRODUCTION STANDARD FORM 33 (REV.9-97)

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

Solicitation Number: AG-046W-S-16-0002

Forest Service, Region 6, EAP Services

PART I—THE SCHEDULE

SECTION B—SUPPLIES OR SERVICES AND PRICES/COSTS SCHEDULE OF ITEMS

ITEM

NO.

SUPPLIES /SERVICES QTY UNIT UNIT

PRICE

TOTAL

AMOUNT

1.

Employee Assistance Program Services as described in the Statement of Work and the

Contractor’s Proposal for employees and their dependents

Estimated number of employees – 4,767

(Base Year – April 1, 2016 thru March 31, 2017)

4,767

Cost for each

Employee/Month

Year Total

2.

Option Year 1 –

April 1, 2017 thru March 31, 2018

3.

Option Year 2 –

April 1, 2018 thru March 31, 2019

4.

Option Year 3 –

April 1, 2019 thru March 31, 2020

5.

Option Year 4 –

April 1, 2020 thru March 31, 2021

Total Item 1 – 5 $_______________

Additional Fees:

Critical Incident Debriefing

Substance Abuse Professional

Employee Orientation

Supervisor/Manager Orientation

Travel – Mileage and Per Diem

**These fees will remain the same during the life of the contract.

$ _________ per hour

$ _________ per hour

$ __________ per hour

$ __________ per hour

Equal to Federal Reimbursement rate at time of service.

The basis of payment will be by a price per employee to be paid on a monthly basis. The estimated number of employees will be adjusted on a monthly basis as fluctuations occur.

Option years are not guaranteed and are dependent on funding availability, and the Government’s decision to continue services.

SECTION C--DESCRIPTION/SPECIFICATIONS/STATEMENT OF WORK

1. LOCATIONS - SEE ATTACHMENT #1

C-1 Scope of Contract

Contractor shall provide an Employee Assistance Program (EAP) for the Pacific Northwest Region, the

Pacific Northwest Research Station, Job Corps Centers located in Oregon and Washington; for those employees and members of immediate families who have career/vocational, physical and mental/emotional, financial/legal issues, anger management, depression, grief, alcohol, family/parenting, marital/relationship and drug related problems that impact or may impact employee conduct and/or work performance.

(a) This professional service encompasses local in-person EAP assessment, referral counseling, and brief treatment – up to three sessions. Actual treatment remains the employee’s responsibility.

The program includes:

1. Program familiarization and orientation. (Section C-3)

2. Evaluation, diagnosis and referral, if necessary. (Section C-4)

3. Management consultation and assistance. (Section C-4)

4. Substance abuse Professional services. (Section C-5)

5. Critical incident Debriefings. (Section C-6)

6. Program materials and literature. (Section C-9)

(c) Pre-Bid Conference and Tour: is not scheduled, contact technical contact on the first page for any needed information.

(d) Start Work: April 1, 2016

(e) Period of Performance:

April 1, 2016 through March 31, 2017 - with the possibility of 4 optional years.

(f) Price Range: Between $25,000 and $100,000.

C-2 Description and Location of Units

A. The Pacific Northwest Region consists of 14 units with an aggregate population of approximately 4123 employees. The locations are as follows:

**SEE ATTACHED**

B. The Pacific Northwest Research Station consists of 13 units with an aggregate population of approximately 303 employees. The locations are as follows:

***SEE ATTACHED***

C. Job Corps Centers consist of an aggregate population of 341 employees. The locations are as follows:

***SEE ATTACHED***

C-3 Program Familiarization & Orientation of Employees to EAP Contractor

A. The Contractor Shall:

Provide, upon request, employee orientation sessions annually for every 250 employees.

Provide, upon request, managerial and supervisory orientation sessions annually for every 500 employees.

C-4 Evaluation, Diagnosis, Referral and Management Consultation and Assistance

A. Upon request of an employee or supervisor, the Contractor shall provide local and in-person

EAP assessment, referral counseling and brief treatment counseling services.

While the short-term counseling, within the provider’s area of competence may be needed, Federal Employees Assistance program regulations and funding are intended primarily for diagnosis and referral. The employee (or third party) is responsible for treatment costs.

B. The Contractor shall make available to employees/supervisors a 24-hour, 7 day week toll free access via the telephone and have the ability to communicate with Forest Service via electronic computer network. The Contractor shall provide TDD/TTY access if the need arises.

C. The Contractor shall provide website for online EAP information and tools.

D. The Contractor shall provide upon request of the employee or supervisor, a female or male counselor, one of which shall be fluent in Spanish. If the employee/supervisor is not comfortable with the assigned counselor, at least an alternative provider shall be substituted.

Interpreters in other languages shall be made available upon request.

E. The Contractor shall provide management consultation and referrals.

F. The Contractor shall provide client follow up and satisfaction surveys.

C-5 Substance Abuse Professional Services

At least one principle or staff counselor shall be a Substance Abuse Professional (SAP) available to counsel employees covered by the commercial driver’s licensing requirements found at 49 CFR Part 382 and related Parts. A SAP is a licensed physician (Medical Doctor or Doctor of Osteopathy); or a licensed or certified psychologist, social worker, employee assistance professional; or an addiction counselor (certified by the NAADAC or by the ICRC/Alcohol and other Drug Abuse). A SAP shall have knowledge of and clinical experience in, the diagnosis and treatment of alcohol and controlled substances-related disorders. The SAP shall provide employee and employer services as described in the U.S. Department of Transportation’s June 1995 publication entitled, “Substance Abuse Professional

Procedures Guidelines for Transportation Workplace Drug and Alcohol Testing Programs”, or any updates thereto.

C-6 Critical Incident Debriefings

The Contracting Officer may order critical incident debriefings, on a fee-for-service basis, due to a given crisis at any of the locations shown in section C-2 and the prices shown in the Schedule. These types of requests are in response to delayed stress reactions in relationship to on the job traumatic incidents.

Typical types of incident services might be requested for:

Loss of life or serious injury to employee/public: by Forest Service personnel in law enforcement using firearms (Note: CI debriefings are mandatory only for law enforcement personnel) involving a co-worker/crew member who played some part.

Suicide of any employee, where other employees are affected, Search and Rescue: with significant (multiple) fatalities/injuries, extended exposure at the scene waiting for emergency services, and/or national media attention, Where employee responding to discovers at the scene that he/she has a significant relationship with victim, Very Close Calls that are particularly life threatening or emotionally upsetting.

Clinicians referred by the Contractor must have the following background knowledge and experience working with individual and/or small groups in the following areas:

Crisis Intervention and Critical Incident Stress Debriefing process, Post Traumatic Stress responses, Stress related physical reactions.

It is desirable that the clinician used by the Contractor also be familiar with the U.S. Forest Service

Organization, culture, and personnel since other work related issues often surface when a crisis occurs.

C-7 Quarterly Utilization Reports

The Contractor shall provide quarterly and annual Statistical Reporting, including utilization and feedback to Forests on trends and employee satisfaction with counseling services, submitting reports to the Contracting Officer Representative (COR).

C-8 Program Materials and Literature

The Contractor shall provide an employee promotional brochure annually for each employee.

C-9 Liability

The Contractor shall assume all responsibility for legal and professional liabilities in rendering services, and shall submit evidence of liability insurance.

This includes any and all insurance requirements as set by Federal, State and local agencies, normal to this environment.

C-10 Publication of Data

The Contractor shall not publish or disseminate any data obtained, or information received or developed from work pursuant to this contract without prior written approval of the Contracting Officer.

C-11 Records

The Contractor shall be responsible for maintaining complete, individual case files for every employee referred for assistance. Such case files shall be maintained in accordance with the confidentiality requirements or PL 93-282 and the implementing of Federal Regulations 42 CFR Part 21, and the

Privacy Act of 1974, PL 93-579. All records of the EAP are considered to be under the jurisdiction of the Agency for which the employee works.

Upon completion of the contract or termination, for whatever the reason, all case files shall be destroyed by the Contractor unless otherwise ordered by the Contracting Officer. The Contractor may delay this action if a proposal has been submitted in response to a new procurement request (RFP/RFQ) until such time as a contract has been awarded. The contractor shall provide written statement to the Contracting

Officer certifying that the files have been destroyed.

SECTION D--PACKAGING AND MARKING

{For this Solicitation, there are NO clauses in this Section}

SECTION E--INSPECTION AND ACCEPTANCE

FAR 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

This contract incorporates one or more clauses by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. Also, the full text of a clause may be accessed electronically at this/these address(es): www.arnet.gov/far/

FEDERAL ACQUISITION REGULATION (48 CFR CHAPTER 1) CLAUSES

Clause Number Title Date

52.246-4 INSPECTION OF SERVICES – FIXED PRICE AUG 1996

http://www.arnet.gov/far/

SECTION F--DELIVERIES OR PERFORMANCE

FAR 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

This contract incorporates one or more clauses by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. Also, the full text of a clause may be accessed electronically at this/these address(es): www.arnet.gov/far/

52.242-15 STOP WORK ORDER AUG 1989

52.242-17 GOVERNMENT DELAY OF WORK APR 1984

SECTION G--CONTRACT ADMINISTRATION DATA

AGAR 452.215-73 POST AWARD CONFERENCE (NOV 1996)

List desired location and number of days after award for post award conference.

A post award conference with the successful offeror is required. It will be scheduled prior to starting work on the project. The conference will be held at the Forest Supervisor’s Office in Sandy, Oregon:

Mt. Hood National Forest

Headquarters

16400 Champion Way

Sandy, Oregon 97055

DESIGNATION OF CONTRACTING OFFICER'S REPRESENTATIVE

The Contracting Officer designates the Contracting Officer's Representative(s) (COR). The COR is responsible for administering the performance of work under this contract. In no event, however, will any understanding, agreement, modification, change order, or other matter deviating from the terms of this contract be effective or binding upon the Government unless formalized by proper contractual documents executed by the Contracting

Officer prior to completion of the contract.

The Contracting Officer should be informed as soon as possible of any actions or inactions by the Contractor or the Government which will change the required delivery or completion times stated in the contract, and the contract will be modified accordingly. (This does not apply to individual task assignments which were issued by the COR provided they do not affect the delivery schedule or performance period stated in the contract.)

On all matters that pertain to the contract terms, the Contractor must communicate with the Contracting Officer.

Whenever, in the opinion of the Contractor, the COR requests effort outside the scope of the contract, the

Contractor should so advise the COR. If the COR persists and there still exists a disagreement as to proper contractual coverage, the Contracting Officer should be notified immediately, preferably in writing if time permits. Proceeding with work without proper contractual coverage could result in nonpayment or necessitate submittal of a contract claim.

SECTION H--SPECIAL CONTRACT REQUIREMENTS

AGAR 452.237-74 KEY PERSONNEL (FEB 1988)

(a) The Contractor shall assign to this contract the following key personnel:

(b) During the first ninety (90) days of performance, the Contractor shall make no substitutions of key personnel unless the substitution is necessitated by illness, death, or termination of employment. The Contractor shall notify the Contracting Officer within 15 calendar days after the occurrence of any of these events and provide the information required by paragraph (c) below. After the initial 90-day period, the Contractor shall submit the information required by paragraph (c) to the Contracting Officer at least 15 days prior to making any permanent substitutions.

(c) The Contractor shall provide a detailed explanation of the circumstances necessitating the proposed substitutions, complete resumes for the proposed substitutions, and any additional information requested by the

Contracting Officer. Proposed substitutes should have comparable qualififcations to those of the persons being replaced. The Contracting Officer will notify the Contractor within 15 calendar days after receipt of all required information of the decision on substitutions. The contract will be modified to reflect any approved changes of key personnel.

REQUIRED STATISTICAL INFORMATION

Upon completion of work and prior to submission of the final pay invoice, Contractor shall complete the survey form that is included in the attachments. Final Payment will not be made until the survey form has been submitted to the Contracting Officer.

FAR 52.204-9 PERSONAL IDENTITY VERIFICATION OF CONTRACTOR PERSONNEL (SEPT. 2011)

(a) The Contractor shall comply with agency personal identity verification procedures identified in the contract that implement Homeland Security Presidential Directive-12 (HSPD-12), Office of

Management and Budget (OMB) guidance M-05-24, and Federal Information Processing Standards

Publication (FIPS PUB) Number 201.

(b) The Contractor shall account for all forms of Government-provided identification issued to the

Contractor employees in connection with performance under this contract. The Contractor shall return such identification to the issuing agency at the earliest of any of the following, unless otherwise determined by the Government;

(1) When no longer needed for contract performance.

(2) Upon completion of the Contractor employee’s employment.

(3) Upon contract completion or termination.

(c) The Contracting Officer may delay final payment under a contract if the Contractor fails to comply with these requirements.

(d) The Contractor shall insert the substance of clause, including this paragraph (d), in all subcontracts when the subcontractor’s employees are required to have routine physical access to a Federally-controlled facility and/or routine access to a Federally-controlled information system. It shall be the responsibility of the prime Contractor to return such identification to the issuing agency in accordance with the terms set forth in paragraph (b) of this section, unless otherwise approved in writing by the

Contracting Officer.

PART II--CONTRACT CLAUSES

SECTION I--CONTRACT CLAUSES

FAR 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

This contract incorporates one or more clauses by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. Also, the full text of a clause may be accessed electronically at this/these address(es): www.arnet.gov/far/ www.usda.gov/procurement/policy/agar.html

Clause

No

Title Date

52.202-1 DEFINITIONS NOV 2013

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 SEP 2006

52.203-7 ANTI-KICKBACK PROCEDURES MAY 2014

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 OCT 2010

52.204-4 PRINTED OR COPIED DOUBLE- SIDED ON RECYCLED PAPER MAY 2011

52.209-6 PROTECTING THE GOVERNMENT'S INTEREST WHEN SUBCONTRACTING WITH CONTRACTORS

DEBARRED, SUSPENDED, OR PROPOSED FOR DEBARMENT

OCT 2015

52.215-2 AUDIT AND RECORDS -- NEGOTIATION OCT 2010

52.215-8 ORDER OF PRECEDENCE – UNIFORM CONTRACT FORMAT OCT 1997

52.217-8 OPTION TO EXTEND SERVICES NOV 1999

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

52.219-6 NOTICE OF TOTAL SMALL BUSINESS SET-ASIDE NOV 2011

52.219-8 UTILIZATION OF SMALL BUSINESS CONCERNS OCT 2014

52.219-14 LIMITATIONS ON SUBCONTRACTING NOV 2011

52.222-4 CONTRACT WORK HOURS AND SAFETY STANDARDS ACT -- OVERTIME COMPENSATION MAY 2014

52.222-21 PROHIBITION OF SEGREGATED FACILITIES APR 2015

52.222-26 EQUAL OPPORTUNITY APR 2015

52.222-35 EQUAL OPPORTUNITY FOR VETERANS OCT 2015

52.222-36 AFFIRMATIVE ACTION FOR WORKERS WITH DISABILITIES JUL 2014

52.222-37 EMPLOYMENT REPORTS ON VETERANS OCT 2015

52.222-41 SERVICE CONTRACT ACT OF 1965, AS AMENDED MAY 2014

52.222-44 FAIR LABOR STANDARDS ACT AND SERVICE CONTRACT ACT – PRICE ADJUSTMENT MAY 2014

52.223-14 TOXIC CHEMICAL RELEASE REPORTING JUNE 2014

52.225-13 RESTRICTIONS ON CERTAIN FOREIGN PURCHASES JUNE 2008

52.227-1 AUTHORIZATION AND CONSENT DEC 2007

52.227-2 NOTICE AND ASSISTANCE REGARDING PATENT AND COPYRIGHT INFRINGEMENT DEC 2007

52.229-3 FEDERAL, STATE, AND LOCAL TAXES FEB 2013

52.232-1 PAYMENTS APR 1984

52.232-8 DISCOUNTS FOR PROMPT PAYMENT FEB 2002

52.232-9 LIMITATION ON WITHHOLDING OF PAYMENTS APR 1984

52.232-11 EXTRAS APR 1984

52.232-17 INTEREST MAY 2014

52.232-18 AVAILABILITY OF FUNDS APR 1984

52.232-23 ASSIGNMENT OF CLAIMS MAY 2014

http://www.usda.gov/procurement/policy/agar.html

Clause No Title Date

52.232-25 PROMPT PAYMENT JUL 2013

52.232-33 PAYMENT BY ELECTRONIC FUNDS TRANSFER – SYSTEM FOR AWARD MANAGEMENT JUL 2013

52.232-35 DESIGNATION OF OFFICE FOR GOVERNMENT RECEIPT OF ELECTRONIC FUNDS TRANSFER INFORMATION (c) Designated Office: Name: USDA National Finance Center; Telephone No. (800) 421-0323

JUL 2013

52.233-1 DISPUTES – ALTERNATE I (DEC 1991) MAY 2014

52.233-3 PROTEST AFTER AWARD AUG 1996

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

52.242-13 BANKRUPTCY JUL 1995

52.243-1 CHANGES – FIXED PRICE – Alternate II (APR 1984) or Alternate III AUG 1987

52.245-1 GOVERNMENT PROPERTY APR 2012

52.245-2 GOVERNMENT PROPERTY INSTALLATION OPERATION SERVICES APR 2012

52.246-25 LIMITATION OF LIABILITY – SERVICES FEB 1997

52.248-1 VALUE ENGINEERING OCT 2010

52.249-2 TERMINATION FOR CONVENIENCE OF THE GOVERNMENT APR 2012

52.249-8 DEFAULT (Fixed-Price Supply and Service) APR 1984

52.253-1 COMPUTER GENERATED FORMS JAN 1991

AGRICULTURE ACQUISITION REGULATION (48 CFR CHAPTER 4) CLAUSES

452.236-72 USE OF PREMISES NOV 1996

452.237-75 RESTRICTIONS AGAINST DISCLOSURE FEB 1988

PART III--LIST OF DOCUMENTS, EXHIBITS, AND OTHER ATTACHMENTS

SECTION J--LIST OF ATTACHMENTS

The following attachments are made a part of this solicitation and any resultant contract.

Complete the following list of attachments:

Title Pages

1. Section C - Locations

2. Section J - Wage Decisions

NOTE: IN COMPLIANCE WITH THE PAPER REDUCTION ACT, SECTIONS K, L, AND M,

WHICH APPLY ONLY TO THE SOLICITATION PHASE, ARE NOT DUPLICATED AFTER

CONTRACT AWARD. HOWEVER, SECTION K WILL BE INCORPORATED BY

REFERENCE INTO THE RESULTING CONTRACT.

PART IV--REPRESENTATIONS AND INSTRUCTIONS

SECTION K--REPRESENTATIONS, CERTIFICATIONS, AND OTHER

STATEMENTS OF OFFERORS OR RESPONDENTS

FAR 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB 1998)

This solicitation incorporates one or more provisions by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. The offeror is cautioned that the listed provisions may include blocks that must be completed by the offeror and submitted with its quotation or offer. In lieu of submitting the full text of those provisions, the offeror may identify the provision by paragraph identifier and provide the appropriate information with its quotation or offer. Also, the full text of a provision may be accessed electronically at this/these address(es): www.arnet.gov/far/

52.204-7 System for Award Management (Jul 2013)

(a) Definitions. As used in this provision—

“Data Universal Numbering System (DUNS) number” means the 9-digit number assigned by Dun and

Bradstreet, Inc. (D&B) to identify unique business entities.

“Data Universal Numbering System+4 (DUNS+4) number” means the DUNS number means the number assigned by D&B plus a 4-character suffix that may be assigned by a business concern. (D&B has no affiliation with this 4-character suffix.) This 4-character suffix may be assigned at the discretion of the business concern to establish additional System for Award Management records for identifying alternative Electronic Funds Transfer (EFT) accounts (see the FAR at Subpart 32.11) for the same concern.

“Registered in the System for Award Management (SAM) database” means that—

(1) The Offeror has entered all mandatory information, including the DUNS number or the

DUNS+4 number, the Contractor and Government Entity (CAGE) code, as well as data required by the Federal Funding Accountability and Transparency Act of 2006 (see Subpart 4.14), into the

SAM database; and

(2) The offeror has completed the Core, Assertions, and Representations and Certification, and

Points of contact sections of the registration in the SAM database;

(3) The Government has validated all mandatory data fields, to include validation of the

Taxpayer Identification Number (TIN) with the Internal Revenue Service (IRS). The Offeror will be required to provide consent for TIN validation to the Government as a part of the SAM registration process.

(4) The Government has marked the record “Active”.

(b)

(1) By submission of an offer, the offeror acknowledges the requirement that a prospective awardee shall be registered in the SAM database prior to award, during performance, and through final payment of any contract, basic agreement, basic ordering agreement, or blanket purchasing agreement resulting from this solicitation.

(2) The offeror shall enter, in the block with its name and address on the cover page of its offer, the annotation “DUNS” or “DUNS+4” followed by the DUNS or DUNS+4 number that identifies the offeror’s name and address exactly as stated in the offer. The DUNS number will be used by the Contracting Officer to verify that the offeror is registered in the SAM database.

(c) If the offeror does not have a DUNS number, it should contact Dun and Bradstreet directly to obtain one.

(1) An offeror may obtain a DUNS number—

(i) Via the internet at http://fedgov.dnb.com/webform or if the offeror does not have internet access, it may call Dun and Bradstreet at 1-866-705-5711 if located within the

United States; or

(ii) If located outside the United States, by contacting the local Dun and Bradstreet office.

The offeror should indicate that it is an offeror for a U.S. Government contract when contacting the local Dun and Bradstreet office.

(2) The offeror should be prepared to provide the following information:

(i) Company legal business name.

(ii) Tradestyle, doing business, or other name by which your entity is commonly recognized.

(iii) Company physical street address, city, state and Zip Code.

(iv) Company mailing address, city, state and Zip Code (if separate from physical).

(v) Company telephone number.

(vi) Date the company was started.

(vii) Number of employees at your location.

(viii) Chief executive officer/key manager.

(ix) Line of business (industry).

(x) Company Headquarters name and address (reporting relationship within your entity).

(d) If the Offeror does not become registered in the SAM database in the time prescribed by the

Contracting Officer, the Contracting Officer will proceed to award to the next otherwise successful registered Offeror.

http://fedgov.dnb.com/webform

(e) Processing time, which normally takes 48 hours, should be taken into consideration when registering.

Offerors who are not registered should consider applying for registration immediately upon receipt of this solicitation.

(f) Offerors may obtain information on registration at https://www.acquisition.gov.

(End of Provision)

52.204-8 -- Annual Representations and Certifications (Jan 2016)

(a)

(1) The North American Industry classification System (NAICS) code for this acquisition is

__624190___

(2) The small business size standard is __$11 Million______

(3) The small business size standard for a concern which submits an offer in its own name, other than on a construction or service contract, but which proposes to furnish a product which it did not itself manufacture, is 500 employees.

(b)

(1) If the provision at 52.204-7, System for Award Management, is included in this solicitation, paragraph (d) of this provision applies.

(2) If the provision at 52.204-7 is not included in this solicitation, and the offeror is currently registered in the System for Award Management (SAM), and has completed the Representations and Certifications section of SAM electronically, the offeror may choose to use paragraph (d) of this provision instead of completing the corresponding individual representations and certification in the solicitation. The offeror shall indicate which option applies by checking one of the following boxes:

[_] (i) Paragraph (d) applies.

[_] (ii) Paragraph (d) does not apply and the offeror has completed the individual representations and certifications in the solicitation.

(c)

(1) The following representations or certifications in SAM are applicable to this solicitation as indicated:

(i) 52.203-2, Certificate of Independent Price Determination. This provision applies to solicitations when a firm-fixed-price contract or fixed-price contract with economic price adjustment is contemplated, unless— https://www.acquisition.gov/

(A) The acquisition is to be made under the simplified acquisition procedures in

Part 13;

(B) The solicitation is a request for technical proposals under two-step sealed bidding procedures; or

(C) The solicitation is for utility services for which rates are set by law or regulation.

(ii) 52.203-11, Certification and Disclosure Regarding Payments to Influence Certain

Federal Transactions. This provision applies to solicitations expected to exceed $150,000.

(iii) 52.204-3, Taxpayer Identification. This provision applies to solicitations that do not include the provision at 52.204-7, System for Award Management.

(iv) 52.204-5, Women-Owned Business (Other Than Small Business). This provision applies to solicitations that—

(A) Are not set aside for small business concerns;

(B) Exceed the simplified acquisition threshold; and

(C) Are for contracts that will be performed in the United States or its outlying areas.

(v) 52.209-2, Prohibition on Contracting with Inverted Domestic Corporations—

Representation.

(vi) 52.209-5; Certification Regarding Responsibility Matters. This provision applies to solicitations where the contract value is expected to exceed the simplified acquisition threshold.

(vii) 52.214-14, Place of Performance--Sealed Bidding. This provision applies to invitations for bids except those in which the place of performance is specified by the

Government.

(viii) 52.215-6, Place of Performance. This provision applies to solicitations unless the place of performance is specified by the Government.

(ix) 52.219-1, Small Business Program Representations (Basic & Alternate I). This provision applies to solicitations when the contract will be performed in the United States or its outlying areas.

(A) The basic provision applies when the solicitations are issued by other than

DoD, NASA, and the Coast Guard.

(B) The provision with its Alternate I applies to solicitations issued by DoD, NASA, or the Coast Guard.

(x) 52.219-2, Equal Low Bids. This provision applies to solicitations when contracting by sealed bidding and the contract will be performed in the United States or its outlying areas.

(xi) 52.222-22, Previous Contracts and Compliance Reports. This provision applies to solicitations that include the clause at 52.222-26, Equal Opportunity.

(xii) 52.222-25, Affirmative Action Compliance. This provision applies to solicitations, other than those for construction, when the solicitation includes the clause at 52.222-26, Equal Opportunity.

(xiii) 52.222-38, Compliance with Veterans' Employment Reporting Requirements. This provision applies to solicitations when it is anticipated the contract award will exceed the simplified acquisition threshold and the contract is not for acquisition of commercial items.

(xiv) 52.223-1, Biobased Product Certification. This provision applies to solicitations that require the delivery or specify the use of USDA-designated items; or include the clause at

52.223-2, Affirmative Procurement of Biobased Products Under Service and

Construction Contracts.

(xv) 52.223-4, Recovered Material Certification. This provision applies to solicitations that are for, or specify the use of, EPA- designated items.

(xvi) 52.225-2, Buy American Certificate. This provision applies to solicitations containing the clause at 52.225-1.

(xvii) 52.225-4, Buy American--Free Trade Agreements--Israeli Trade Act Certificate.

(Basic, Alternates I, II, and III.) This provision applies to solicitations containing the clause at 52.225- 3.

(A) If the acquisition value is less than $25,000, the basic provision applies.

(B) If the acquisition value is $25,000 or more but is less than $50,000, the provision with its Alternate I applies.

(C) If the acquisition value is $50,000 or more but is less than $77,533, the provision with its Alternate II applies.

(D) If the acquisition value is $79,507 or more but is less than $100,000, the provision with its Alternate III applies.

(xviii) 52.225-6, Trade Agreements Certificate. This provision applies to solicitations containing the clause at 52.225-5.

(xix) 52.225-20, Prohibition on Conducting Restricted Business Operations in Sudan--

Certification. This provision applies to all solicitations.

(xx) 52.225-25, Prohibition on Contracting with Entities Engaging in Certain Activities or Transactions Relating to Iran—Representation and Certification. This provision applies to all solicitations.

(xxi) 52.226-2, Historically Black College or University and Minority Institution

Representation. This provision applies to solicitations for research, studies, supplies, or services of the type normally acquired from higher educational institutions.

(2) The following representations or certifications are applicable as indicated by the Contracting

Officer:

[Contracting Officer check as appropriate.]

___ (i) 52.204-17, Ownership or Control of Offeror.

___ (ii) 52.222-18, Certification Regarding Knowledge of Child Labor for Listed End

Products.

___ (iii) 52.222-48, Exemption from Application of the Service Contract Labor Standards to Contracts for Maintenance, Calibration, or Repair of Certain Equipment--Certification.

___ (iv) 52.222-52 Exemption from Application of the Service Contract Labor Standards to Contracts for Certain Services--Certification.

___ (v) 52.223-9, with its Alternate I, Estimate of Percentage of Recovered Material

Content for EPA-Designated Products (Alternate I only).

___ (vi) 52.227-6, Royalty Information.

___ (A) Basic.

___ (B) Alternate I.

___ (vii) 52.227-15, Representation of Limited Rights Data and Restricted Computer

Software.

(d) The offeror has completed the annual representations and certifications electronically via the SAM

Web site accessed through https://www.acquisition.gov . After reviewing the SAM database information, the offeror verifies by submission of the offer that the representations and certifications currently posted electronically that apply to this solicitation as indicated in paragraph (c) of this provision have been entered or updated within the last 12 months, are current, accurate, complete, and applicable to this solicitation (including the business size standard applicable to the NAICS code referenced for this solicitation), as of the date of this offer and are incorporated in this offer by reference

(see FAR 4.1201); except for the changes identified below [offeror to insert changes, identifying change by clause number, title, date]. These amended representation(s) and/or certification(s) are also incorporated in this offer and are current, accurate, and complete as of the date of this offer.

FAR Clause Title Date Change https://www.acquisition.gov/

Any changes provided by the offeror are applicable to this solicitation only, and do not result in an update to the representations and certifications posted on SAM.

(End of Provision)

AGAR 452.219-70 SIZE STANDARD AND NAICS CODE INFORMATION (SEP 2001)

The North American Industrial Classification System Code(s) and business size standard(s) describing the products and/or services to be acquired under this soliciation are listed below:

Contract line item(s): ____ALL________

NAICS code: ___624190_______

Size Standard: ____11 million____

The small business size standard for a concern which submits an offer in its own name, other than on a construction or service contract, but which proposes to furnish a product which it did not itself manufacture, is

500 employees.

SECTION L--INSTRUCTIONS, CONDITIONS, AND NOTICES TO OFFERORS

OR RESPONDENTS

FAR 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB 1998)

This solicitation incorporates one or more provisions by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. The offeror is cautioned that the listed provisions may include blocks that must be completed by the offeror and submitted with its quotation or offer. In lieu of submitting the full text of those provisions, the offeror may identify the provision by paragraph identifier and provide the appropriate information with its quotation or offer. Also, the full text of a provision may be accessed electronically at this/these address(es): www.arnet.gov/far/ or www.usda.gov/procurement/policy/agar.html

52.204-6 DATA UNIVERSAL NUMBERING SYSTEM (DUNS) JUL 2013

52.215-1 INSTRUCTIONS TO OFFERORS – COMPETITIVE ACQUISITION JAN 2004

AGRICULTURE ACQUISITION REGULATION (48 CFR CHAPTER 4) CLAUSES

452.204-70 INQUIRIES FEB 1988

FAR 52.216-1 TYPE OF CONTRACT (APR 1984)

The Government contemplates award of a __Service_______ contract resulting from this solicitation.

FAR 52.233-2 SERVICE OF PROTEST (SEPT 2006)

(a) Protests, as defined in section 33.101 of the Federal Acquisition Regulation, that are filed directly with an agency, and copies of any protests that are filed with the Government

Accountability Office (GAO), shall be served on the Contracting Officer (addressed as follows) by obtaining written and dated acknowledgment of receipt from ______________________.

Mt Hood National Forest Supervisor’s Office, 16400 Champion Way, Sandy, Oregon 97055

Attn: Roxanne Anderson

(b) The copy of any protest shall be received in the office designated above within one day of filing a protest with the GAO.

PROPOSAL INSTRUCTIONS

(a) General Instructions. Proposals submitted in response to this solicitation shall be furnished in the following format with the numbers of copies as specified below:

The Government will evaluate proposals in accordance with Section M evaluation criteria as set forth herein.

(4) Offerors shall submit their proposal(s) in the following format and the quantities specified:

(i) 1 copy of the completed, signed offer (The solicitation package) http://www.usda.gov/procurement/policy/agar.html

(ii) In addition to a successful firm’s response to the solicitation, responses to all Evaluation Factors excepting

Relevant Past Performance will be incorporated into the resulting contract by reference at time of award and retain the full force and effect as all of the other contractual terms and conditions hold therein.

(b) Relevant Past Performance – Offerors shall submit past performance information for their firm and any proposed major subcontractors performing more than 20% of the work. Performance information may be obtained from references provided.

The offeror shall complete the attached “Experience Questionnaire” for all relevant projects completed during the past three years and all contracts and subcontracts in progress. The list should include, but is not limited to, contracts and subcontracts similar in nature and complexity to that required by this solicitation. Include contracts with the Federal Government, agencies of state, and local governments, and commercial customers. Offerors that are newly formed entities, without prior contracts as an entity, should list contracts and subcontracts completed by all personnel deemed vital to successful performance. Firms with no experience in the type of work described may show: similar type projects which demonstrate their ability to perform in a timely manner, experience, and past performance of their employees, or their work as a subcontractor.

Include the following information for each contract/subcontract:

A) Project name

B) Contract number

C) Location

D) Year of completion, or anticipated completion date if in progress

E) Contract administrator's name, phone and facsimile numbers

F) Your crew supervisors and any inspectors who worked on the project

G) Project size

H) Quality of work performed

I) Whether the contract was completed timely

The offeror may provide information on problems encountered on the contracts and subcontracts listed and the corrective actions taken to resolve those problems. The Government may obtain information from existing contract files. Because discussions may not be held, the offeror may refute any problems in the original offer.

Each offeror will be evaluated on their performance under existing and prior contracts of a similar nature.

Performance information will be used as an evaluation factor against which offerors' relative rankings will be compared to assure best value to the Government. The Government will focus on information that demonstrates quality of performance relative to the size and complexity of the procurement under consideration. The

Government may contact references beyond those identified by the offeror to obtain additional information for use in both the responsibility determination and in further evaluation of the offerors's past performance.

Note: If the contractor does not provide past performance information, or indicate a lack of Past Performance with its offer, the Contracting Officer need not pursue further information if it is clear that the offeror’s price is not competitive.

The Office of Management and Budget (OMB) has authorized Federal agencies to collect past performance information under OMB clearance number 9000-0142.

(d) Cost/Price: A firm’s completion and submission of Section B’s Schedule of Items constitutes the fulfillment of the Government’s price proposal requirements under this solicitation.

SECTION M--EVALUATION FACTORS FOR AWARD

EVALUATION CRITERIA

M-1 Preparation of Proposals

Technical Proposals shall be prepared simply and economically, to provide straight-forward, concise presentation. Elaborate brochures or other representations are not required. The Price Proposal must be entered into Section B, Schedule of Items of the packet entitled Solicitation Forms. The entire Return

Solicitation packet must be returned intact, with all appropriate Representations, Certifications and

Acknowledgement portions completed.

A. The technical proposal shall provide the following information:

1. The name and specific qualifications of key personnel who will be assigned responsibilities for performance under the contract.

a. The principal counselor on staff shall hold either a master’s degree in psychology or counseling psychology; be a board eligible or licensed certified psychiatrist and retain active membership in the local branch of American Psychiatric Association, or if a clinical social worker, trained at the master’s or doctorate level and possess certification in the Academy of Certified Social Workers.

b. Any associate counselors or counselor-aides shall be graduate mental health professionals, or graduate students who are regularly supervised on a continuing basis by a qualified mental health professional.

c. At least one principle or staff counselor shall be a Substance Abuse Professional

(SAP) available to counsel employees covered by the commercial driver’s licensing requirements found at 49 CFR Part 382 and related Parts. An SAP is a licensed physician (medical doctor or doctor of Osteopathy), or a non-physician who is certified by the National Association of Alcoholism and Drug Abuse Counselors

Certification Commission that is either a licensed or certified psychologist, social worker, employee assistance professional or addiction counselor. A SAP shall have knowledge of and clinical experience in the diagnosis and treatment of alcohol and controlled substances related disorders. The SAP shall provide employee and employer services in accordance with the most current U.S. Department of

Transportation’s “Substance Abuse Professional Procedures for Transportation

Workplace Drug and Alcohol Testing Programs.”

B. The price proposal shall contain the following: A unit and total price entered on the

Schedule of Items.

C. The confidentiality of information contained in offeror’s proposal will be protected to the extent permitted by law.

M-2 Evaluation Criteria

A. Technical Proposal – The technical proposal will be evaluated and ranked on the basis of the following criteria, which are listed in descending order of importance:

1. Key Personnel – Qualifications of Personnel Performing Evaluation, Casework

Management:

a. General counseling and problem evaluation experience.

b. Specific counseling experience by the Substance Abuse Professionals (SAP).

c. Specific counseling experience with individuals and groups whose members are experiencing mental, emotional, financial and legal problems.

2. Technical Approach:

a. Knowledge of employee counseling services program concepts, policy, and operation.

b. Knowledge of principles of counseling in employee-labor-management situations.

c. Communication plan for publicizing program and disseminating information.

d. Methods for maintaining required confidentiality of client information and problems which may be encountered.

e. Knowledge of needs and any special requirements of the organizations to be served.

f. Knowledge and use of existing area community treatment/rehabilitation resources.

B. Past Performance from the last three years.

C. Price.

M-3 Proposal Evaluation Scoring

A. The various evaluation criteria elements will be scored through the application of the following ratings:

1. Excellent

2. Good

3. Fair

4. Unacceptable

B. Offerors shall submit information sufficient to evaluate their proposals based on criteria listed above. Failure to provide information required in order to evaluate your proposal may result in rejection of your proposal without further discussion. Offerors shall submit their proposal organized in a manner corresponding to the criteria listed above.

C. Award Statement – Award will be made to the offeror whose proposal offers the best value to the Government in terms of technical capability, past performance and price. Technical capability and past performance are approximately equal to price.

D. Contract Award:

The Government intends to award a single contract resulting from this solicitation to the responsible offeror whose proposal represents the best value to the Government after evaluation in accordance with the factors identified in the solicitation.

The Government may reject any or all proposals, and may waive informalities and minor irregularities in the proposals received.

The Government intends to evaluate proposals and award a contract without discussions with offerors. Therefore, the offerors initial proposal should contain the offeror’s best terms from a cost or price and technical standpoint.

A written notice of award or acceptance of an offer, mailed or otherwise furnished to the successful offeror within the time for acceptance specified in the offer, shall result in a binding contract without further action by either party. Before the offer’s specified expiration time, the Government may accept an offer (or part of an offer), whether or not there are negotiations after its receipt, unless a written notice of withdrawal is received before award. The award or awards will incorporate written information provided by the offeror(s) and utilized by the Government as the basis for award selection.