B08_24Q0037_Combined-Synp-Sol.pdf

US Army Corps of Engineers Fort Worth District

REQUEST FOR QUOTE

Medical Surveillance Services

Sam Rayburn Lake Jasper, TX

W9126G24Q0037

05 April 2024

Section SF 1449 - CONTINUATION SHEET

INSTRUCTIONS TO OFFERORS

Combined Synopsis / Request for Quotes (RFQ)

Solicitation Number: W9126G24Q0037

Solicitation is issued by:

US ARMY CORPS OF ENGINEERS FORT WORTH

819 TAYLOR ST, CT OFC RM 2A17

FORT WORTH TX 76102-0300

PROJECT NAME: Piney Woods Region (PW) Medical Surveillance Services

1. This is a combined synopsis/solicitation for commercial services prepared in accordance with the format in 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.

The U.S. Army Corp of Engineers (USACE), Fort Worth District intends to establish a Single Award, Purchase Order (P) Contract for non-personal serves to perform the services listed below in the description.

1.1 Description of Services: The Contractor shall provide all personnel, equipment, supplies, facilities, transportation, tools, supervision, and any other items necessary to effectively perform medical testing services as defined in the Performance Work Statement (PWS) with the exception of those items specified as government furnished property and services. The Contractor shall perform to the current existing medical standards in this contract.

1.2. Scope: The Contractor shall perform medical testing for employees at Piney Woods Projects. Contractor will provide an on-site mobile unit that can meet the requirements listed in the PWS and provide the medical surveillance with minimal disruption of the workers day.

Work shall be performed in support of the USACE Piney Woods (PW) Region - Designated areas at Sam Rayburn/Town Bluff Projects, Jasper/Woodville, Lake O’ the Pines, Jefferson, Lake Wright Patman, Texarkana, and Jim Chapman Lake, Sulphur Springs, Texas.

Periods of Performance will be one (1) twelve (12) month base period, and two (2) twelve (12) month option periods.

The government reserves the right to limit and/or not respond to any further questions pertaining to this project received after April 18, 2024 at 1:00 PM CDT. Offerors should base their quotes on the information provided in the solicitations and all issued amendments thereto.

All answers to technical inquiries and questions are reviewed by the Contracting Officer prior to the response date.

Answers to technical inquiries may result in amendment(s) to the solicitation. If an amendment is issued, it will be posted on the Government Point of Entry website www.sam.gov.

2. This is a Request for Quote (RFQ) and incorporates FAR provisions and clauses in effect through the Federal Acquisition Circular (FAC) 2024-03 (23 Feb 2024). Solicitation document and incorporated provisions and clauses are those in effect through the Federal Acquisition Regulation (FAR) and Department of Defense FAR Supplement

(DFARS).

a. The provision at 52.212-1, Instructions to Offerors -- Commercial, applies to this acquisition and a statement regarding any addenda to the provision. Offerors are also required to submit a completed copy of the Request for Quotation and a completed copy of the pricing schedule.

b. Offerors include a completed copy of the provision at 52.212-3, Offeror Representations and Certifications- Commercial Items, with its offer.

c. Clause at 52.212-4, Contract Terms and Conditions-Commercial Items, applies to this acquisition and a statement regarding any addenda to the clause.

d. Clause at 52.212-5, Contract Terms and Conditions Required To Implement Statutes or Executive Orders- Commercial Items, applies to this acquisition and a statement regarding which, if any, of the additional FAR clauses cited in the clause are applicable to the acquisition

3. This acquisition is SET ASIDE 100% for Small Business.

4. PSC: Q403 Medical-Evaluation/screening

NAICS CODE: 621111 – Offices of Physicians (except Mental Health Specialists)

SIZE STANDARD: $16M

5. System for Awards Management (SAM): In accordance with FAR 52.204-7(b)(1) An Offeror is required to be registered in SAM when submitting an offer or quotation and shall continue to be registered until time of award, during performance, and through final payment of any contract, basic agreement, basic ordering agreement, or blanket purchasing agreement resulting from this solicitation.

6. Evaluation Information: The Government intends to award a firm fixed price (FFP) Single Award P Contract resulting from this RFQ to the responsible offeror whose offer represents the best value in terms of price, past performance and technical approach and Understanding of the Work IAW 13.106-2(b)&(3).

Quote Content – All quotation documents when printed shall fit on 8 x 11inch paper to include spreadsheets (with the appropriate page breaks). Ensure the quote is submitted in PDF format. In-order to be considered responsive to the RFQ, the prospective offeror’s quote shall consist of the four electronic volumes identified below and include the required information specified below.

The Quote shall consist of the following electronic Volumes:

1) Technical Volume

2) Past Performance Volume

3) Price Volume

4) Submittals Volume

Quotes shall be responsive to and comply with the terms of the combined synopsis solicitation, in order to be eligible to receive an award. All combined synopsis/solicitation requirements shall be addressed in sufficient written detail for the Government to determine if the offeror understands each aspect of the Government’s requirement. The offeror/quoter shall address each task separately and shall sufficient narrative and supporting data for each task.

Lack of sufficient detail shall be considered sufficient cause for the quote to be determined unacceptable. Statements that the quoter understands, can or will comply with all specifications and statements paraphrasing the specifications or parts thereof, or phrases such as “standard procedures will be used” or “well-known techniques will be used” will be considered unacceptable. The Government will reject the proposal if determined to be materially non-responsive or that does not conform to the terms of the combined synopsis/solicitation.

Quoters that fail to adhere to the submittal requirements will be determined non-responsive and will be considered ineligible for award. To be eligible to receive an award, the quote submitted in response o the combined synopsis/solicitation shall consist of the contents required in the sub-paragraphs described below:

a. Technical Volume (1 PDF document): Specifications have been defined in the Performance Work Statement (PWS). The vendor shall submit a technical quote that meets or exceeds all specifications identified in the PWS.

The Technical Volume shall not contain any pricing information and shall address the vendor’s understanding of the work. (See FAR Clause 52.212-2 Evaluation – Commercial Items).

Table 1. Technical Acceptable/Unacceptable Ratings

Rating Description Acceptable Proposal meets the requirements of the solicitation.

Unacceptable Proposal does not meet the minimum requirements of the solicitation.

b. Past Performance Volume (1 PDF document): The past performance evaluation results in an assessment of the offeror’s probability of meeting the solicitation requirement. The past performance evaluation considers each offeror’s demonstrated recent and relevant record of performance of supplying the products and services that meet the contract’s requirements. In accordance with FAR 15.305(a)(2), the recency and relevance of the information, source of the information, context of the data, and general trends in contractor’s performance shall be considered.

These shall be combined to establish a performance confidence assessment rating for each offeror, as described in the following paragraphs.

Recency is defined work completed within the past four (4) years.

Relevance is defined as similar work in size and scope.

NAVFAC/USACE Past Performance Questionnaire (PPQ): The quoter is required to submit one (1) PPQ with an overall rating of satisfactory or higher to be considered eligible for award. Additional PPQs submitted for assessment will be discarded and not considered for evaluation. The Contracting Officer may use additional data obtained from any available sources such as the Past Performance Information Retrieval System (PPIRS) and personal knowledge to assess the contractor’s likelihood of success in performing the solicitation’s requirements as indicated by those offerors’ record of past performance.

If for any reason, the contractor does NOT have recent or relevant past performance, the quoter is still required to submit a PPQ with a brief narrative explaining “No Recent or Relevant Past Performance”. In the case of a quoter without a record of recent or relevant past performance or for whom information on past performance is not available or so sparse that no meaningful past performance rating can be reasonably assigned, the offeror may not be evaluated favorably or unfavorably on past performance. Therefore, the quoter shall be determined to have unknown or (“neutral”) past performance. In the context of eligibility, a “Neutral” adjectival rating shall be considered eligible for award. Contractor’s that have proven past performance ratings with an adjectival rating below “Satisfactory” shall not be ineligible to receive consideration for award.

A contractor’s past performance rating may be used at the Contracting Officer’s discretion to make an overall determination of the level of confidence the government has in the contractor’s capability to perform the service.

The Contracting Officer may determine that a “Substantial Confidence” or “Satisfactory Confidence” past performance rating is worth more than a “Neutral Confidence” past performance rating as stated in the evaluation.

While the Government may elect to consider data from other sources, the burden of providing detailed, current, accurate and complete past performance information rests with the Quoter.

Table 2. Past Performance Relevancy Adjectival Rating Rating Description

(E) Exceptional Performance meets contractual requirements and exceeds many to the

Government/Owner’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with few minor problems for which corrective actions taken by the contractor was highly effective.

(VG) Very Good

Performance meets contractual requirements and exceeds many to the Government/Owner’s benefit. The contractual performance of the element or sub-element being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

(S) Satisfactory Performance meets contractual requirements and exceeds many to the Government/Owner’s benefit. The contractual performance of the element or sub-element contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

(M) Marginal Performance meets contractual requirements and exceeds many to the Government/Owner’s benefit. The contractual performance of the element or sub-element being assessed reflects a serious problem for which the contractor has not yet identified corrective actions. The contractor’s proposed actions appear only marginally effective or were not fully implemented.

(U) Unsatisfactory

Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element or sub-element contains serious problem(s) for which the contractor’s corrective actions appear or were ineffective.

(N) Neutral In the case of a quoter without a record of recent or relevant past performance or for whom information on past performance is not available or so sparse that no meaningful past performance rating can be reasonably

Table 3. Past Performance Confidence Adjectival Rating

Adjectival Rating Description Substantial Confidence Based on the offeror's recent/relevant performance record, the Government has a high expectation that the offeror will successfully perform the required effort.

Satisfactory Confidence Based on the offeror's recent/relevant performance record, the Government has a reasonable expectation that the offeror will successfully perform the required effort

Neutral Confidence No recent/relevant performance record is available or the offeror' s performance record is so sparse that no meaningful confidence assessment rating can be reasonably assigned. The offeror may not be evaluated favorably or unfavorably on the factor of past performance.

Limited Confidence Based on the offeror' s recent/relevant performance record, the Government has a low expectation that the offeror will successfully perform the required effort.

No Confidence Based on. the offeror's recent/relevant performance record, the Government has no expectation that the offeror will be able to successfully perform the required effort.

In performing the past performance factor evaluation, evaluators will apply the following relevance levels to assess the relevance of the prior contract effort(s) of offerors.

Table 4. Past Performance Relevancy Ratings

Rating Definition

Very Relevant Present/past performance effort involved essentially the same scope and magnitude of effort and complexities this solicitation requires.

Relevant Present/past performance effort involved similar scope and magnitude of effort and complexities this solicitation requires.

Somewhat Relevant Present/past performance effort involved some of the scope and magnitude of effort and complexities this solicitation requires.

Not Relevant Present/past performance effort involved little or none of the scope and magnitude of effort and complexities this solicitation requires.

c. Price Volume (1 PDF document): A Firm Fixed Price (FFP) shall be submitted for this effort. The vendor will provide pricing for each line item listed in the attached Price Exhibit. Vendor total price quote include Labor Categories, Labor and Labor Rates (See Attached Staff Matrix). The Government will evaluate all aspects of the price proposal for reasonableness. Proposals found to be unreasonable may be rejected on that basis. The

Government will only award the required Purchase Order Contract if a pre-priced list for services that fair and reasonable price can be obtained.

In accordance with FAR Part 29.3 – State and Local Taxes, and per Title 4 of US Code 104-07, the Government is exempt from paying state and local taxes.

d. Submittals Volume (1 PDF document): The Submittals volume shall consist of the Vendor Information

Sheet, provisions at 52.204-24, and 52.204-26, 52.212-3 Dev, 52.219-1, and 52.219-28, NIST information and Representation and Certifications in accordance with the provisions at FAR 52.212-3.

The offeror agrees to hold the prices in its offer firm for 60 calendar days from the date specified for receipt of offers.

Quotes for this solicitation are due no later than (NLT) April 29, 2024, by 1:00 PM CDT.

Electronic copies of each volume shall be submitted directly to the Contract Specialist, Kimberly Logan, kimberly.a.logan@usace.army.mil. It is the Offeror’s responsibility to obtain written confirmation of receipt of all electronic files of the full proposal by the Fort Worth District Contracting office. The Offeror must obtain prior approval from the Contracting Officer (Jamauh D. Winston), jamauh.d.winston@usace.army.mil or the Contract Specialist (Ms. Kimberly Logan) kimberly.a.logan@usace.army.mil to use an alternate submission method.

Offerors are responsible for ensuring electronic copies are virus-free and shall run an anti-virus scan before submission.

Electronic copies of each volume shall be compatible with the following software products: Adobe Acrobat Reader and Microsoft Office 365. Narrative portions of the proposal shall be in Adobe Acrobat portable document file (pdf) searchable text format. The Offeror shall not embed sound or video (e.g., MPEG) files into the proposal files.

Electronic files shall be clearly identified for each volume, section, and item. Electronic files shall be not be larger than 5MB.

7. Submittals:

a. Technical Submittal (Approach and Understanding of Work) (See Clause 52.212-2 Evaluation – Commercial Items), Shall not exceed five (5) pages. Compile the technical submittal and submit as one conformed document.

Label Submittal: Company Name, Technical Quote, Example: ABC, LLC Technical Quote 24Q0037

b. Past Performance NAVFAC/USACE Past Performance Questionnaire (See Clause 52.212-2 Evaluation – Commercial Items). Recent or relevant work is defined as similar work in size and scope within the past four (4) years. If for any reason the contractor does NOT have recent or relevant past performance, the offeror is still required to submit a PPQ with a brief narrative explaining, "No Recent or Relevant Past Performance in block 6 of the PPQ Contractor Information Sheet. The Contracting Officer shall deem an offeror non-responsive if the offeror fails to submit a PPQ. An Offeror that submits a PPQ that is deemed neither recent nor relevant will be treated as “NEUTRAL”. PPQ Submittals shall consist of the Contractor Information Sheet and the Completed Adjectival Rating Sheets. Compile the two (2) PPQs and submit them as one conformed document (2) Label Submittal:

Company Name, PPQ, Example: ABC, LLC PPQ 24Q0037

c. Price / Pre-Priced Bid Schedule. Incomplete bid schedules will be rejected and the quoter will be deemed non- responsive. Vendor may submit the completed Bid Schedule and Staff Matrix as separate Excel files. Label Submittal: Company Name, Price Quote, Example: ABC, LLC PPQ 24Q0037

d. Complete and return the provisions at 52.204-24, and 52.204-26, 52.212-3 Dev, 52.219-1, and 52.219-28.

Compile the Provisions and submit as one conformed document. Label Submittal: Company Name, Submittal Quote, Example ABC, LLC Provisions 24Q0037

e. If applicable, acknowledge and return any amendments with your submittals. Compile the amendments and submit as one conformed document. Label Submittal: Company Name, Submittal Quote, Example ABC, LLC

AMD 0001 – 0004 24Q0037

f. Offerors must submit representation and certifications in accordance with the provisions at FAR 52.212-3 Offeror Representation and Certifications – Commercial Item (Accessible at https://www.acquisition.gov ) or the vendor may verify their Online Representation and Certification Application (ORCA) is updated in SAM by checking “Yes” on the Vendor information sheet. The contract specialist will verify the quoters FAR & DFAR Reports are updated in SAM.GOV prior to determining the quoter responsive. Label Submittal: Company Name, Submittal Quote, Example ABC, LLC Submittals Quote 24Q0037

g. Please NOTE this solicitation requires offerors to enter a National Institute of Standards and Technology (NIST) score in the Supplier Performance Risk System (SPRS) prior to responding to this solicitation. The NIST score is a responsiveness item. Bids/offers from contractors with a NIST score in SPRS will be considered responsive and evaluated/considered. Those without a NIST score in SPRS will be deemed NON-RESPONSIVE and thus not evaluated/considered for award. * If the apparent awardee does not correct the omission by refusing to enter its NIST score within 14 days after the allotted time then it can be safely deemed “not responsive”. Screen Shot of the Offerors NIST/SPRS Assessment. Compile the assessments and submit as one conformed document. Label Submittal: Company Name, Submittal Quote, Example ABC, LLC NIST/SPRS 24Q0037

Reference: 252.204-7019 - Notice of NIST SP 800-171 DoD Assessment Requirements Reference: 252.204-7020 - NIST SP 800-171 DoD Assessment Requirements See the Attached Quick Entry Guide to assists with entering NIST Assessment.

Contact Help Desk at (866)618-5988 for additional assistance

h. Contractors that failure to adhere to the submittal requirements will be determined non-responsive and will be considered ineligible for award.

9. 52.237-1 SITE VIST

Offerors or quoters are urged and expected to inspect the site where services are to be performed and to satisfy themselves regarding all general and local conditions that may affect the cost of contract performance, to the extent that the information is reasonably obtainable. In no event shall failure to inspect the site constitute grounds for a claim after contract award.

Prospective offerors/quoters are required to contact the Contract Specialist via email to express their interests by 3:00 PM (CST) two business days prior to attending the site visit. Site visit attendees must provide the following information the Solicitation Number, Project Title, Name(s) of Individual(s) who will attend the site visit, Name of Company Represented, Phone Number of Company being represented. All attendees required sign attendance sheet.

Date: April 16, 2024 @ 10:00 a.m. CST

Address: U.S. Army Corps of Engineers

Sam Rayburn Project Office

CT POC: Kimberly Logan Contact Info: 817-319-8296 Email: kimberly.a.logan@usace.army.mil

VENDOR INFORMATION SHEET

Sam Rayburn Medical Surveillance Services

COMPANY NAME

POC

(Last, First Middle)

ADDRESS

(Number & Street) (City, State and Zip)

PHONE NUMBER MOBILE

(Area code and number) (Area code and number)

EMAIL ADDRESS___________________________________________

Unique Identity NUMBER CAGE CODE NUMBER_______________

Vendor’s Online Representation and Certification Application (ORCA) are updated in SAM Yes No

Signature Date

ATTACHMENT 1

NAVFAC/USACE PAST PERFORMANCE QUESTIONAIRE (Form PPQ-0)

CONTRACT INFORMATION (Contractor to complete Blocks 1-4)

1. Contractor Information Firm name: CAGE Code:

Address: DUNS Number:

Phone Number:

Email Address:

Point of Contact: Contact Phone Number:

2. Work Performed as: Prime Contractor Sub Contractor Joint Venture Other (Explain) Percent of Project work performed:

If subcontractor, who was the prime (Name/Phone #):

3. Contract Information Contract Number:

Delivery/Task Order Number (if applicable):

Contract type: Firm Fixed Price Cost Reimbursement Other (please specify):

Contract Title:

Contract Location:

Award Date (mm/dd/yy):

Contract Completion Date (mm/dd/yy):

Actual Completion Date (mm/dd/yy) Explain Differences:

Original Contract Price (Award Amount):

Final contract Price (to include all modifications, if applicable):

Explain Differences:

4. Project Description:

Complexity of Work High Med Routine How is this project relevant to project of submission? (Please provide details such as similar equipment, requirements, conditions, etc.)

CLIENT INFORMATION (Client to complete Blocks 5-8)

5. Client Information Name:

Title:

Phone Number:

Email Address:

6. Describe the client’s role in the project:

7. Date Questionnaire was completed (mm/dd/yy):

8. Client’s Signature:

NOTE: NAVFAC/USACE REQUESTS THAT THE CLIENT COMPLETES THIS QUESTIONNARIE AND

SUBMITS DIRECTLY BACK TO THE OFFEROR. THE OFFEROR WILL SUBMIT THE COMPLETED

QUESTIONNARIE TO USACE WITH THEIR PROPOSAL, AND MAY DUPLICATE THIS

QUESTIONNAIRE FOR FUTURE SUBMISSION ON USACE SOLICITATION. CLIENTS ARE HIGHLY

ENCOURAGED TO SUBMIT QUESTIONNAIRES DIRECTLY TO THE OFFEROR. HOWEVER,

QUESTIONNAIRES MAY BE SUBMITTED DIRECTLY TO USACE. PLEASE CONTACT THE

OFFEROR FOR USACE POC INFORMATION. THE GOVERNMENT RESERVES THE RIGHT TO

VERIFY ANY AND ALL INFORMATION ON THIS FORM.

BID SCHEDULE

Base Year

Item# Supplies/Materials Estimated Quantity

Unit Unit Price

Estimated Amount

1 Prostate Test (PSA) 28 EA

2 Thyroid 28 EA

3 Hemoglobin A1c 28 EA

4 DOT Medical Certification 28 EA

5 Crane Medical Certification 28 EA

CLIN 0001 Total

Option 1 Period

Quantity

Unit Unit Price

Estimated Amount

1 Prostate Test (PSA) 28 EA

2 Thyroid 28 EA

3 Hemoglobin A1c 28 EA

4 DOT Medical Certification 28 EA

CLIN 1001 Total

Option 2 Period

Quantity

Unit Unit Price

Estimated Amount

1 Prostate Test (PSA) 28 EA 2 Thyroid 28 EA 3 Hemoglobin A1c 28 EA 4 DOT Medical Certification 28 EA

CLIN 2001 Total

Option 3 Period

Quantity

Unit Unit Price

Estimated Amount

1 Prostate Test (PSA) 28 EA 2 Thyroid 28 EA 3 Hemoglobin A1c 28 EA 4 DOT Medical Certification 28 EA 5 Crane Medical Certification 28 EA

CLIN 3001 Total

Option 4 Period

Item# Supplies/Materials Estimated Quantity

Unit Unit Price

Estimated Amount

1 Prostate Test (PSA) 28 EA 2 Thyroid 28 EA 3 Hemoglobin A1c 28 EA 4 DOT Medical Certification 28 EA

CLIN 4001 Total

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0001 1 Job Medical Surveillance Services

FFP

BASE YEAR: Medical surveillance for Piney Woods Region (Sam Rayburn/ Town Bluff Projects, Jasper/Woodville, Lake O’ the Pines, Jefferson, Lake Wright Patman, Texarkana, and Jim Chapman Lake, Sulphur Springs, Texas). The Contractor shall provide all personnel, equipment, supplies, facilities, transportation, tools, supervision, and any other items necessary to effectively perform medical testing services as defined in the Performance Work Statement.

The Contractor shall perform to the current existing medical standards in this contract.

Mail Invoices to:

Sam Rayburn Project Office 7696 RR 255 West Jasper, TX 75951-6400 FOB: Destination

PSC CD: Q403

NET AMT

1001 1 Job OPTION Medical Surveillance Services

FFP

OPTION YEAR 1: Medical surveillance for Piney Woods Region (Sam Rayburn/ Town Bluff Projects, Jasper/Woodville, Lake O’ the Pines, Jefferson, Lake Wright Patman, Texarkana, and Jim Chapman Lake, Sulphur Springs, Texas). The Contractor shall provide all personnel, equipment, supplies, facilities, transportation, tools, supervision, and any other items necessary to effectively perform medical testing services as defined in the Performance Work Statement.

The Contractor shall perform to the current existing medical standards in this contract.

Mail Invoices to:

Sam Rayburn Project Office 7696 RR 255 West Jasper, TX 75951-6400

2001 1 Job OPTION Medical Surveillance Services

FFP

OPTION YEAR 2: Medical surveillance for Piney Woods Region (Sam Rayburn/ Town Bluff Projects, Jasper/Woodville, Lake O’ the Pines, Jefferson, Lake Wright Patman, Texarkana, and Jim Chapman Lake, Sulphur Springs, Texas). The Contractor shall provide all personnel, equipment, supplies, facilities, transportation, tools, supervision, and any other items necessary to effectively perform medical testing services as defined in the Performance Work Statement.

The Contractor shall perform to the current existing medical standards in this contract.

Mail Invoices to:

Sam Rayburn Project Office 7696 RR 255 West Jasper, TX 75951-6400

3001 1 Job OPTION Medical Surveillance Services

FFP

OPTION YEAR 3: Medical surveillance for Piney Woods Region (Sam Rayburn/ Town Bluff Projects, Jasper/Woodville, Lake O’ the Pines, Jefferson, Lake Wright Patman, Texarkana, and Jim Chapman Lake, Sulphur Springs, Texas). The Contractor shall provide all personnel, equipment, supplies, facilities, transportation, tools, supervision, and any other items necessary to effectively perform medical testing services as defined in the Performance Work Statement.

The Contractor shall perform to the current existing medical standards in this contract.

Mail Invoices to:

Sam Rayburn Project Office 7696 RR 255 West Jasper, TX 75951-6400

4001 1 Job OPTION Medical Surveillance Services

FFP

OPTION YEAR 4: Medical surveillance for Piney Woods Region (Sam Rayburn/ Town Bluff Projects, Jasper/Woodville, Lake O’ the Pines, Jefferson, Lake Wright Patman, Texarkana, and Jim Chapman Lake, Sulphur Springs, Texas). The Contractor shall provide all personnel, equipment, supplies, facilities, transportation, tools, supervision, and any other items necessary to effectively perform medical testing services as defined in the Performance Work Statement.

The Contractor shall perform to the current existing medical standards in this contract.

Mail Invoices to:

Sam Rayburn Project Office 7696 RR 255 West Jasper, TX 75951-6400

INSPECTION AND ACCEPTANCE TERMS

Supplies/services will be inspected/accepted at:

CLIN INSPECT AT INSPECT BY ACCEPT AT ACCEPT BY

0001 Destination Government Destination Government 1001 Destination Government Destination Government 2001 Destination Government Destination Government 3001 Destination Government Destination Government 4001 Destination Government Destination Government

DELIVERY INFORMATION

CLIN DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

0001 POP 03-JUN-2024 TO

02-JUN-2025

N/A PINEY WOODS REGIONAL PROJECT

OFFICE

USAED, FORT WORTH

2669 FM 726

JEFFERSON TX 75657

903-665-2336

W9126G

1001 POP 03-JUN-2025 TO

02-JUN-2026

N/A (SAME AS PREVIOUS LOCATION)

2001 POP 03-JUN-2026 TO

02-JUN-2027

N/A (SAME AS PREVIOUS LOCATION)

3001 POP 03-JUN-2027 TO

02-JUN-2028

N/A (SAME AS PREVIOUS LOCATION)

4001 POP 03-JUN-2028 TO

02-JUN-2029

N/A (SAME AS PREVIOUS LOCATION)

CLAUSES INCORPORATED BY REFERENCE

52.204-4 Printed or Copied Double-Sided on Postconsumer Fiber

Content Paper

MAY 2011

52.204-7 System for Award Management OCT 2018 52.204-13 System for Award Management Maintenance OCT 2018 52.204-16 Commercial and Government Entity Code Reporting AUG 2020 52.204-19 Incorporation by Reference of Representations and

Certifications.

DEC 2014

52.204-22 Alternative Line Item Proposal JAN 2017 52.207-1 Notice Of Standard Competition MAY 2006 52.207-2 Notice Of Streamlined Competition MAY 2006 52.212-1 Instructions to Offerors--Commercial Products and

Commercial Services

SEP 2023

52.222-29 Notification Of Visa Denial APR 2015 52.223-6 Drug-Free Workplace MAY 2001 52.232-1 Payments APR 1984 52.232-8 Discounts For Prompt Payment FEB 2002 52.237-1 Site Visit APR 1984 52.249-1 Termination For Convenience Of The Government (Fixed

Price) (Short Form)

APR 1984

252.201-7000 Contracting Officer's Representative DEC 1991 252.203-7000 Requirements Relating to Compensation of Former DoD

Officials

SEP 2011

252.204-7000 Disclosure Of Information OCT 2016 252.204-7008 Compliance With Safeguarding Covered Defense Information

Controls

OCT 2016

252.204-7009 Limitations on the Use or Disclosure of Third-Party Contractor Reported Cyber Incident Information

JAN 2023

252.232-7003 Electronic Submission of Payment Requests and Receiving Reports

DEC 2018

252.244-7001 Contractor Purchasing System Administration MAY 2014

CLAUSES INCORPORATED BY FULL TEXT

52.204-24 REPRESENTATION REGARDING CERTAIN TELECOMMUNICATIONS AND VIDEO

SURVEILLANCE SERVICES OR EQUIPMENT (NOV 2021)

The Offeror shall not complete the representation at paragraph (d)(1) of this provision if the Offeror has represented that it "does not provide covered telecommunications equipment or services as a part of its offered products or services to the Government in the performance of any contract, subcontract, or other contractual instrument" in paragraph (c)(1) in the provision at 52.204-26, Covered Telecommunications Equipment or Services-- Representation, or in paragraph (v)(2)(i) of the provision at 52.212-3, Offeror Representations and Certifications- Commercial Products and Commercial Services. The Offeror shall not complete the representation in paragraph (d)(2) of this provision if the Offeror has represented that it "does not use covered telecommunications equipment or services, or any equipment, system, or service that uses covered telecommunications equipment or services" in paragraph (c)(2) of the provision at 52.204-26, or in paragraph (v)(2)(ii) of the provision at 52.212-3.

(a) Definitions. As used in this provision-

Backhaul, covered telecommunications equipment or services, critical technology, interconnection arrangements, reasonable inquiry, roaming, and substantial or essential component have the meanings provided in the clause 52.204-25, Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment.

(b) Prohibition.

(1) Section 889(a)(1)(A) of the John S. McCain National Defense Authorization Act for Fiscal Year 2019 (Pub. L.

115-232) prohibits the head of an executive agency on or after August 13, 2019, from procuring or obtaining, or extending or renewing a contract to procure or obtain, any equipment, system, or service that uses covered telecommunications equipment or services as a substantial or essential component of any system, or as critical technology as part of any system. Nothing in the prohibition shall be construed to--

(i) Prohibit the head of an executive agency from procuring with an entity to provide a service that connects to the facilities of a third-party, such as backhaul, roaming, or interconnection arrangements; or

(ii) Cover telecommunications equipment that cannot route or redirect user data traffic or cannot permit visibility into any user data or packets that such equipment transmits or otherwise handles.

(2) Section 889(a)(1)(B) of the John S. McCain National Defense Authorization Act for Fiscal Year 2019 (Pub. L.

115-232) prohibits the head of an executive agency on or after August 13, 2020, from entering into a contract or extending or renewing a contract with an entity that uses any equipment, system, or service that uses covered telecommunications equipment or services as a substantial or essential component of any system, or as critical technology as part of any system. This prohibition applies to the use of covered telecommunications equipment or services, regardless of whether that use is in performance of work under a Federal contract. Nothing in the prohibition shall be construed to--

(i) Prohibit the head of an executive agency from procuring with an entity to provide a service that connects to the facilities of a third-party, such as backhaul, roaming, or interconnection arrangements; or

(ii) Cover telecommunications equipment that cannot route or redirect user data traffic or cannot permit visibility into any user data or packets that such equipment transmits or otherwise handles.

(c) Procedures. The Offeror shall review the list of excluded parties in the System for Award Management (SAM) (https://www.sam.gov) for entities excluded from receiving federal awards for "covered telecommunications equipment or services."

(d) Representations. The Offeror represents that--

(1) It [ ___ ] will, [ ___ ] will not provide covered telecommunications equipment or services to the Government in the performance of any contract, subcontract or other contractual instrument resulting from this solicitation. The Offeror shall provide the additional disclosure information required at paragraph (e)(1) of this section if the Offeror responds "will" in paragraph (d)(1) of this section; and

(2) After conducting a reasonable inquiry, for purposes of this representation, the Offeror represents that--

It [ ___ ] does, [ ___ ] does not use covered telecommunications equipment or services, or use any equipment, system, or service that uses covered telecommunications equipment or services. The Offeror shall provide the additional disclosure information required at paragraph (e)(2) of this section if the Offeror responds "does" in paragraph (d)(2) of this section.

(e) Disclosures.

(1) Disclosure for the representation in paragraph (d)(1) of this provision. If the Offeror has responded "will" in the representation in paragraph (d)(1) of this provision, the Offeror shall provide the following information as part of the offer:

(i) For covered equipment--

(A) The entity that produced the covered telecommunications equipment (include entity name, unique entity identifier, CAGE code, and whether the entity was the original equipment manufacturer (OEM) or a distributor, if known);

(B) A description of all covered telecommunications equipment offered (include brand; model number, such as OEM number, manufacturer part number, or wholesaler number; and item description, as applicable); and

(C) Explanation of the proposed use of covered telecommunications equipment and any factors relevant to determining if such use would be permissible under the prohibition in paragraph (b)(1) of this provision.

(ii) For covered services--

(A) If the service is related to item maintenance: A description of all covered telecommunications services offered (include on the item being maintained: Brand; model number, such as OEM number, manufacturer part number, or wholesaler number; and item description, as applicable); or

(B) If not associated with maintenance, the Product Service Code (PSC) of the service being provided; and explanation of the proposed use of covered telecommunications services and any factors relevant to determining if such use would be permissible under the prohibition in paragraph (b)(1) of this provision.

(2) Disclosure for the representation in paragraph (d)(2) of this provision. If the Offeror has responded "does" in the representation in paragraph (d)(2) of this provision, the Offeror shall provide the following information as part of the offer:

(i) For covered equipment--

(A) The entity that produced the covered telecommunications equipment (include entity name, unique entity identifier, CAGE code, and whether the entity was the OEM or a distributor, if known);

(B) A description of all covered telecommunications equipment offered (include brand; model number, such as OEM number, manufacturer part number, or wholesaler number; and item description, as applicable); and

(C) Explanation of the proposed use of covered telecommunications equipment and any factors relevant to determining if such use would be permissible under the prohibition in paragraph (b)(2) of this provision.

(ii) For covered services--

(A) If the service is related to item maintenance: A description of all covered telecommunications services offered (include on the item being maintained: Brand; model number, such as OEM number, manufacturer part number, or wholesaler number; and item description, as applicable); or

(B) If not associated with maintenance, the PSC of the service being provided; and explanation of the proposed use of covered telecommunications services and any factors relevant to determining if such use would be permissible under the prohibition in paragraph (b)(2) of this provision.

(End of provision)

52.209-2 PROHIBITION ON CONTRACTING WITH INVERTED DOMESTIC CORPORATIONS--

REPRESENTATION (NOV 2015)

(a) Definitions. Inverted domestic corporation and subsidiary have the meaning given in the clause of this contract entitled Prohibition on Contracting with Inverted Domestic Corporations (52.209-10).

(b) Government agencies are not permitted to use appropriated (or otherwise made available) funds for contracts with either an inverted domestic corporation, or a subsidiary of an inverted domestic corporation, unless the exception at 9.108-2(b) applies or the requirement is waived in accordance with the procedures at 9.108-4.

(c) Representation. The Offeror represents that--

(1) It [ ___ ] is, [ ___ ] is not an inverted domestic corporation; and

(2) It [ ___ ] is, [ ___ ] is not a subsidiary of an inverted domestic corporation.

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

FELONY CONVICTION UNDER ANY FEDERAL LAW (FEB 2016)

(a) As required by sections 744 and 745 of Division E of the Consolidated and Further Continuing Appropriations Act, 2015 (Pub. L. 113-235), and similar provisions, if contained in subsequent appropriations acts, the Government will not enter into a contract with any corporation that--

(1) Has any unpaid Federal tax liability that has been assessed, for which all judicial and administrative remedies have been exhausted or have lapsed, and that is not being paid in a timely manner pursuant to an agreement with the authority responsible for collecting the tax liability, where the awarding agency is aware of the unpaid tax liability, unless an agency has considered suspension or debarment of the corporation and made a determination that suspension or debarment is not necessary to protect the interests of the Government; or

(2) Was convicted of a felony criminal violation under any Federal law within the preceding 24 months, where the awarding agency is aware of the conviction, unless an agency has considered suspension or debarment of the corporation and made a determination that this action is not necessary to protect the interests of the Government.

(b) The Offeror represents that--

(1) It is [ ] is not [ ] a corporation that has any unpaid Federal tax liability that has been assessed, for which all judicial and administrative remedies have been exhausted or have lapsed, and that is not being paid in a timely manner pursuant to an agreement with the authority responsible for collecting the tax liability; and

(2) It is [ ] is not [ ] a corporation that was convicted of a felony criminal violation under a Federal law within the preceding 24 months.

52.212-2 EVALUATION--COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (NOV 2021)

(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 accordance with FAR 13.106-2(b)&(3). The Government intends to award a firm fixed price (FFP) Single Award Purchase Order Contract resulting from this RFQ to the responsible offeror whose offer represents the best value in terms of price, past performance and technical approach and understanding of the work.

(b) Options. The Government will evaluate offers for award purposes by adding the total price for all options to the total price for the basic requirement. The Government may determine that an offer is unacceptable if the option prices are significantly unbalanced. Evaluation of options shall not obligate the Government to exercise the option(s).

(c) 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.

52.212-4 CONTRACT TERMS AND CONDITIONS -- COMMERCIAL PRODUCTS AND COMMERCIAL

SERVICES (NOV 2023) ALTERNATE I (NOV 2021)

(a) Inspection/Acceptance.

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

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

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

(4) At any time during contract performance, but not later than 6 months (or such other time as may be specified in the contract) after acceptance of the services or materials last delivered under this contract, the Government may require the Contractor to replace or correct services or materials that at time of delivery failed to meet contract requirements. Except as otherwise specified in paragraph (a)(6) of this clause, the cost of replacement or correction shall be determined under paragraph (i) of this clause, but the “hourly rate” for labor hours incurred in the replacement or correction shall be reduced to exclude that portion of the rate attributable to profit. Unless otherwise specified below, the portion of the “hourly rate” attributable to profit shall be 10 percent. The Contractor shall not tender for acceptance materials and services required to be replaced or corrected without disclosing the former requirement for replacement or correction, and, when required, shall disclose the corrective action taken. 10%.

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

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

(B) Terminate this contract for cause.

(ii) Failure to agree to the amount of increased cost to be charged to the Contractor shall be a dispute under the Disputes clause of the contract.

(6) Notwithstanding paragraphs (a)(4) and (5) above, the Government may at any time require the Contractor to remedy by correction or replacement, without cost to the Government, any failure by the Contractor to comply with the requirements of this contract, if the failure is due to—

(i) Fraud, lack of good faith, or willful misconduct on the part of the Contractor's managerial personnel; or

(ii) The conduct of one or more of the Contractor’s employees selected or retained by the Contractor after any of the Contractor’s managerial personnel has reasonable grounds to believe that the employee is habitually careless or unqualified.

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

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

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

(b) Assignment. The Contractor or its assignee may assign its rights to receive payment due as a result of performance of this contract to a bank, trust company, or other financing institution, including any Federal lending agency in accordance with the Assignment of Claims Act (31 U.S.C. 3727). However, when a third party makes payment (e.g., use of the Governmentwide commercial purchase card), the Contractor may not assign its rights to receive payment under this contract.

(c) Changes. Changes in the terms and conditions of this contract may be made only by written agreement of the parties.

(d) Disputes. This contract is subject to 41 U.S.C. chapter 71, Contract Disputes. Failure of the parties to this contract to reach agreement on any request for equitable adjustment, claim, appeal or action arising under or relating to this contract shall be a dispute to be resolved in accordance with the clause at Federal Acquisition Regulation (FAR) 52.233-1, Disputes, which is incorporated herein by reference. The Contractor shall proceed diligently with performance of this contract, pending final resolution of any dispute arising under the contract.

(e) Definitions.

(1) The clause at FAR 52.202-1, Definitions, is incorporated herein by reference. As used in this clause—

(i) Direct materials means those materials that enter directly into the end product, or that are used or consumed directly in connection with the furnishing of the end product or service.

(ii) Hourly rate means the rate(s) prescribed in the contract for payment for labor that meets the labor category qualifications of a labor category specified in the contract that are—

(A) Performed by the contractor;

(B) Performed by the subcontractors; or

(C) Transferred between divisions, subsidiaries, or affiliates of the contractor under a common control.

(iii) Materials means—

(A) Direct materials, including supplies transferred between divisions, subsidiaries, or affiliates of the contractor under a common control;

(B) Subcontracts for supplies and incidental services for which there is not a labor category specified in the contract;

(C) Other direct costs (e.g., incidental services for which there is not a labor category specified in the contract, travel, computer usage charges, etc.);

(D) The following subcontracts for services which are specifically excluded from the hourly rate: N/A (Insert any subcontracts for services to be excluded from the hourly rates prescribed in the schedule); and

(E) Indirect costs specifically provided for in this clause.

(iv) Subcontract means any contract, as defined in FAR Subpart 2.1, entered into with a subcontractor to furnish supplies or services for performance of the prime contract or a subcontract including transfers between divisions, subsidiaries, or affiliates of a contractor or subcontractor. It includes, but is not limited to, purchase orders, and changes and modifications to purchase orders.

(f) Excusable delays. The Contractor shall be liable for default unless nonperformance is caused by an occurrence beyond the reasonable control of the Contractor and without its fault or negligence such as, acts of God or the public enemy, acts of the Government in either its sovereign or contractual capacity, fires, floods, epidemics, quarantine restrictions, strikes, unusually severe weather, and delays of common carriers. The Contractor shall notify the Contracting Officer in writing as soon as it is reasonably possible after the commencement of any excusable delay, setting forth the full particulars in connection therewith, shall remedy such occurrence with all reasonable dispatch, and shall promptly give written notice to the Contracting Officer of the cessation of such occurrence.

(g) Invoice.

(1) The Contractor shall submit an original invoice and three copies (or electronic invoice, if authorized) to the address designated in the contract to…