Attachment 4 Quote Response Guide.docx

ATTACHMENT: 4

NASA Stennis Space Center (SSC) Occupational Health Medical Director and Employee Assistance Program Coordinator (EAP) Support Quote Response Guide General Purpose and Instructions The purpose of these brief instructions is to aid Quoters in responding using the attached quote response guide.

Quoters shall not deviate from the format provided. Quoters shall not exceed page counts as described in Quote Organization Level Table under Instruction to Quoters of Request for Quote (RFQ).

Volume I Executive Quote Instructions The Quoters shall use the attached guide to provide company information and exceptions to Request for Quote requirement. Other sections of Volume I shall be submitted per the Instruction to Quoters.

Volume II Past Performance Gate - Instructions The Quoters shall use the attached guide to provide information to be evaluated for the Past Performance Gate.

Volume III Technical Quote Instructions The Quoters shall use the attached guide to provide information to be evaluated for Criteria 1a – Corporate Experience, Criteria 1b – Key Personnel, and Criteria 1c – Capability and Understanding.

Volume IV Price Quote Template Instructions Quoters shall use the Excel Attachment 4: Price Quote Template for price quote. Offerors shall not deviate from the provided format.

Volume I Executive Quote

Section I Quoters Information The Quoters shall complete the following table for Section I of Volume I. All fields shall be completed (except for Authorized Contract Signee (if different than Primary) and associated fields if the Point of Contract (POC) is the same as the Primary POC).

Contractor Name:

Contractor Address:

Quote Number:

Quote Date:

Quote Validity Date:

(Shall be at least 60 days)

and state the number of Amendments that are being acknowledged ____

Primary Point of Contact (POC):

Primary POC Title:

Primary POC Email:

Primary POC Phone Number:

Authorized Contract Signee (if different than Primary)

Signee Title:

Signee POC Email:

Signee POC Phone Number:

Unique Entity ID Number (UEI):

CAGE code:

Socio-Economic under: 621111

Section II Exceptions to Terms and Conditions ☐ Check the box if no exceptions.

The Quoter shall clearly identify any exception it takes to the RFQ terms and conditions by completing the following table for Section II of Volume I. Each exception shall be specifically related to a specific paragraph and/or specific part of the RFQ to which the exception is taken. The Quoter shall provide rationale in support of the exception and fully explain their impact if any, on the performance, schedule, cost, and specific requirements of the RFQ. Quoters can add rows as needed.

Section III Model Contract

Shall be submitted per Section Instructions to Quoters and subsection Volume I Executive Quote of the RFQ. See section for full instructions.

Volume II – Past Performance Gate Each reference shall be no more than two pages in length.

Reference 1

1. Who performed the work (i.e. Prime, Sub or partners):

2. Government Agency or Commercial Name:

3. Contract Number/Agreement Number:

4. Task Order/Delivery Order/Call Order Number:

9a. Reference/Technical point of contact (name, title, address, telephone no. and email address):

9b. Reference/Contracting point of contact (name, title, address, telephone no. and email address):

10. Location of work (country, state or province, county, city):

11. Current status of contract (choose one):

☐ Ongoing ☐ Complete ☐ Terminated for Convenience ☐ Terminated for Default ☐ Other (explain):

12. Unique Entity ID, CAGE:

13. Provide a summary description of contract work:

14. Describe how the work is relevant as it relates to the performance work statement.

Reference 2

1. Who performed the work (i.e. Prime, Sub or partners):

2. Government Agency or Commercial Name:

3. Contract Number/Agreement Number:

4. Task Order/Delivery Order/Call Order Number:

9a. Reference/Technical point of contact (name, title, address, telephone no. and email address):

9b. Reference/Contracting point of contact (name, title, address, telephone no. and email address):

10. Location of work (country, state or province, county, city):

11. Current status of contract (choose one):

☐ Ongoing ☐ Complete ☐ Terminated for Convenience ☐ Terminated for Default ☐ Other (explain):

12. Unique Entity ID, CAGE:

13. Provide a summary description of contract work:

14. Describe how the work is relevant as it relates to the performance work statement.

Volume III Technical Quote

Section I Criteria 1a – Corporate Experience The Quoters shall complete the following table for Section I of Volume III. All fields shall be completed per the instructions on the first row.

*These requirements are defined in ATTACHMENT 1: Performance Work Statement (PWS)

(Yes or No) If yes, list the Federal Agency Name, Contract Number, Order Number, and POC.

If no, type “N/A” If yes, provide a brief synopsis of the work performed to support any “Yes” answers. Responses shall not exceed 400 characters per table row.

If no, type “N/A”

1. Oversight and execution of Occupational Health Services compliant with Federal, State, and NASA requirements (including NASA Procedural Requirements (NPRs)

1800.1 and NPR 1850.1).

2. Credentialing, privileging, and compliance management for all clinic medical personnel.

3. Development and oversight of clinical programs: immunizations, medication management, infection control, Centers for Disease Control and Prevention (CDC) / Occupational Safety and Health Administration (OSHA) compliance (including spirometry and Bloodborne Pathogens (BBP) plan requirements).

4. Delivery of EAP clinical services: assessments, short-term counseling, referrals, utilization reporting, and education/outreach.

5. Compliance with Federal mental health counseling standards, confidentiality requirements (5 Code of Federal Regulations (CFR) 792, 42 CFR Part 2), and state licensure standards.

Section II Criteria 1b – Key Personnel Quoters shall not exceed page limits set forth in Quote Organization Level Table. Quoters shall be mindful of the instruction directly below the Quote Organization Level Table. The Page limitation for the Key Personnel is Two (2) pages. Pages that exceed the page count shall be removed from the submitted quote for evaluation purposes. (NOTE: Do not submit resumes as they will not be reviewed as part of the evaluation process.)

The Quoters shall fully describe the proposed Key Personnel to fill the Medical Director, and the description shall include the following:

1. Identify Key Personnel:

2. Describe the basis for selection of Key Personnel and how the Key Personnel meets the requirements in the Performance Work Statement.

3. Provide a summary of the attributes and qualifications (including education and experience) of Key Personnel.

4. Shall discuss the level of commitment and availability of personnel selected.

Section III Criteria 1c – Capability to Perform and Display Understanding of the Requirements Quoters shall not exceed page limits set forth in Quote Organization Level Table. Quoters shall be mindful of the instruction directly below the Quote Organization Level Table. The Page limitation for capability/understanding is three (3) pages. Pages that exceed the page count shall be removed from the submitted quote for evaluation purposes.

The Quoter shall provide a written narrative in the Quoter Response Guide (no more than Three pages) demonstrating capability to perform and demonstrating understanding the requirements described in the Medical Director and EAP Performance Work Statements.

The Quoter shall submit a written narrative, per the Quoter Response Guide, that is no longer than three pages. This narrative should clearly demonstrate the Quoter’s ability to perform the required work and show an understanding of the responsibilities described in the Medical Director and Employee Assistance Program (EAP) Performance Work Statements.

The narrative shall address the following four areas:

1. Describe your understanding of the overall scope of the Occupational Health Medical Director and EAP Coordinator requirements, including key regulatory frameworks (NPRs, OSHA, CDC, Health Insurance Portability and Accountability Act of 1996 (HIPAA), Privacy Act, 5 CFR 792, 42 CFR Part 2).

2. Explain your company’s approach to performing the major service areas identified in the PWS documents, including clinical programs, compliance, emergency preparedness, and EAP/CISM support.

3. Describe the tools, processes, strategies, communication methods, and quality assurance practices you will use to ensure continuous compliance and high-quality performance.

4. Identify potential performance challenges and provide your mitigation strategies to ensure uninterrupted service delivery for both Medical Director and EAP functions.