Combined Synopsis and Solicitation - Tech Physicals.pdf

Combined Synopsis and Solicitation Minnesota Army and Air National Guard

Contracting Office Address: Subject/Title: Issue Date:

USP&FO Camp Ripley, 15000 Hwy 115 Little Falls, MN 56345

Physicals for Technician Employees (Tech Physicals)

24 May 2020

DESCRIPTION:

This is a combined synopsis/solicitation for commercial items 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;

proposals are being requested and a written solicitation will not be issued.

This announcement is being issued as REQUEST FOR QUOTE (RFQ) and constitutes the only solicitation; quotes are being requested. This solicitation document and incorporated provisions and clauses are those in effect through the Federal Acquisition Circular, FAC 2021-05.

Solicitation Number: W912LM-21-Q-0014 Closing Response Date: 23 June 2021 Closing Response Time: 10:00 a.m. CST Anticipated Award Date: 30 July 2021 Product or Service Code: Q201

NAICS: 621399

Set-aside Status: 100% Small Business Size Standard: $8M Inspection/Acceptance: Government, 7 days FOB: Destination/Origin

Delivery / Place of Performance:

Camp Ripley (CRTC) Little Falls, MN

AND

Arden Hills Army Trng

(AHATS) Arden Hills, MN

ADMINISTRATIVE POINTS OF CONTACT:

Name: Phone: Email:

Mr. Dan Bart 320-616-6012 daniel.g.bart.mil@mail.mil

Task Order Ombudsman:

Mr. Robert P. Grasso, Chief NGB HQs, 111 S. George Mason Dr., Arlington, VA 22204

(703) 601-4380 / DSN: 329-4380

Email: ng.ncr.ngbarng.mbx.ngb-task-order-ombudsman@mail.mil or robert.p.grasso.civ@mail.mil

LINE ITEMS:

The Minnesota Army and Air National Guard has a requirement for the below line items and anticipates issuing FIRM FIXED PRICE order.

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0001 300 Each Physical Exams

FFP

Physical Exams - Base Year

Full physical examination, to include work and medical history forms. Vital Signs are included in this cost.

Refer to PWS for full details.

Please note that these Quantities are estimated off of historical numbers.

They will need to be adjusted at the end of each fiscal year to represent actual numbers serviced.

FOB: Destination

PSC CD: Q702

NET AMT

0002 300 Each Audiogram

FFP

Audiogram - Base Year

Refer to PWS for full details.

Please note that these Quantities are estimated off of historical numbers.

They will need to be adjusted at the end of each fiscal year to represent actual numbers serviced.

0003 300 Each Vision Acuity Test

FFP

Vision Acuity Test - Base Year

Refer to PWS for full details.

Please note that these Quantities are estimated off of historical numbers.

They will need to be adjusted at the end of each fiscal year to represent actual numbers serviced.

0004 300 Each Blood Chem 1

FFP

Blood Chem Test with CBC, Differential, and UA (Labs) - Base Year

Refer to PWS for full details.

Please note that these Quantities are estimated off of historical numbers.

They will need to be adjusted at the end of each fiscal year to represent actual numbers serviced.

0005 300 Each Blood Chem 2

FFP

Blood Chem Test with CBC, Differential, UA (Labs), and Pb/Zpp - Base Year

Refer to PWS for full details.

Please note that these Quantities are estimated off of historical numbers.

They will need to be adjusted at the end of each fiscal year to represent actual numbers serviced.

0006 300 Each Blood Chem 3

FFP

Blood Chem Test with CBC, Differential, UA (Labs), Pb/Zpp, Cd, & Ch - Base Year

Refer to PWS for full details.

Please note that these Quantities are estimated off of historical numbers.

They will need to be adjusted at the end of each fiscal year to represent actual numbers serviced.

0007 60 Each Respiratory Testing

FFP

Respiratory PFT & Fit Testing (to include Chest X-Ray) - Base Year

Refer to PWS for full details.

Please note that these Quantities are estimated off of historical numbers.

They will need to be adjusted at the end of each fiscal year to represent actual numbers serviced.

0008 300 Each Final Reports DD

FFP

Download into the Defense Occupational and Environmental Readiness System-Hearing Conservation (DOERSHC) will be required - Base Year

Refer to PWS for full details.

These Final Reports include the Doersch Download.

Please note that these Quantities are estimated off of historical numbers.

They will need to be adjusted at the end of each fiscal year to represent actual numbers serviced.

0009 300 Each Clearances

FFP

Heavy Metal and Respiratory Clearances Download to the Defense Occupational and Environmental readiness System-Hearing Conservation - Base Year

Refer to PWS for full details.

Please note that these Quantities are estimated off of historical numbers.

They will need to be adjusted at the end of each fiscal year to represent actual numbers serviced.

0010 300 Each Final Reports

FFP

Final Reports to be sent directly to the Occupational Health Nurse in the format of Two (2) Hard Copies and One (1) electronic - Base Year

Refer to PWS for full details.

Please note that these Quantities are estimated off of historical numbers.

They will need to be adjusted at the end of each fiscal year to represent actual numbers serviced.

0011 1 Each Set-Up & Mileage Little Falls, MN

FFP

Set-Up & Mileage Little Falls, MN - Base Year

This line item is to cover the cost of setting up the medical van at designated locations.

Location 1:

Troop Medical Clinic 15000 Hwy 115 8-81 Camp Ripley, Little Falls, MN

Please note that these Quantities are estimated off of historical numbers.

They will need to be adjusted at the end of each fiscal year to represent actual numbers serviced. Refer to PWS for full details.

0012 1 Each Set-Up & Mileage Twin Cities, MN

FFP

Set-Up & Mileage Twin Cities, MN - Base Year

This line item is to cover the cost of setting up the medical van at designated locations.

Location 2:

Hamline Armory 4843 Hamline Avenue North Arden Hills, MN

Please note that these Quantities are estimated off of historical numbers.

They will need to be adjusted at the end of each fiscal year to represent actual numbers serviced. Refer to PWS for full details.

1001 300 Each Ordering Period 1 Physical Exams

FFP

Physical Exams - Ordering Period 1

Full physical examination, to include work and medical history forms. Vital Signs are included in this cost.

Refer to PWS for full details.

Please note that these Quantities are estimated off of historical numbers.

They will need to be adjusted at the end of each fiscal year to represent actual numbers serviced.

1002 300 Each Audiogram

FFP

Audiogram - Ordering Period 1

Refer to PWS for full details.

Please note that these Quantities are estimated off of historical numbers.

They will need to be adjusted at the end of each fiscal year to represent actual numbers serviced.

1003 300 Each Vision Acuity Test

FFP

Vision Acuity Test - Ordering Period 1

Refer to PWS for full details.

Please note that these Quantities are estimated off of historical numbers.

They will need to be adjusted at the end of each fiscal year to represent actual numbers serviced.

1004 300 Each Blood Chem 1

FFP

Blood Chem Test with CBC, Differential, and UA (Labs) - Ordering Period 1

Refer to PWS for full details.

Please note that these Quantities are estimated off of historical numbers.

They will need to be adjusted at the end of each fiscal year to represent actual numbers serviced.

1005 300 Each Blood Chem 2

FFP

Blood Chem Test with CBC, Differential, UA (Labs), and Pb/Zpp - Ordering Period 1

Refer to PWS for full details.

Please note that these Quantities are estimated off of historical numbers.

They will need to be adjusted at the end of each fiscal year to represent actual numbers serviced.

1006 300 Each Blood Chem 3

FFP

Blood Chem Test with CBC, Differential, UA (Labs), Pb/Zpp, Cd, & Ch - Ordering Period 1

Refer to PWS for full details.

Please note that these Quantities are estimated off of historical numbers.

They will need to be adjusted at the end of each fiscal year to represent actual numbers serviced.

1007 60 Each Respiratory Testing

FFP

Respiratory PFT & Fit Testing (to include Chest X-Ray) - Ordering Period 1

Refer to PWS for full details.

Please note that these Quantities are estimated off of historical numbers.

They will need to be adjusted at the end of each fiscal year to represent actual numbers serviced.

1008 300 Each Final Reports DD

FFP

Download into the Defense Occupational and Environmental Readiness System-Hearing Conservation (DOERSHC) will be required - Ordering Period 1

Refer to PWS for full details.

These Final Reports include the Doersch Download.

Please note that these Quantities are estimated off of historical numbers.

They will need to be adjusted at the end of each fiscal year to represent actual numbers serviced.

1009 300 Each Clearances

FFP

Heavy Metal and Respiratory Clearances Download to the Defense Occupational and Environmental readiness System-Hearing Conservation - Ordering Period 1

Refer to PWS for full details.

Please note that these Quantities are estimated off of historical numbers.

They will need to be adjusted at the end of each fiscal year to represent actual numbers serviced.

1010 300 Each Final Reports

FFP

Final Reports to be sent directly to the Occupational Health Nurse in the format of Two (2) Hard Copies and One (1) electronic - Ordering Period 1

Refer to PWS for full details.

Please note that these Quantities are estimated off of historical numbers.

They will need to be adjusted at the end of each fiscal year to represent actual numbers serviced.

1011 1 Each Set-Up & Mileage Little Falls, MN

FFP

Set-Up & Mileage Little Falls, MN - Ordering Period 1

This line item is to cover the cost of setting up the medical van at designated locations.

Location 1:

Troop Medical Clinic 15000 Hwy 115 8-81 Camp Ripley, Little Falls, MN

Please note that these Quantities are estimated off of historical numbers.

They will need to be adjusted at the end of each fiscal year to represent actual numbers serviced. Refer to PWS for full details.

1012 1 Each Set-Up & Mileage Twin Cities, MN

FFP

Set-Up & Mileage Twin Cities, MN - Ordering Period 1

This line item is to cover the cost of setting up the medical van at designated locations.

Location 2:

Hamline Armory 4843 Hamline Avenue North Arden Hills, MN

Please note that these Quantities are estimated off of historical numbers.

They will need to be adjusted at the end of each fiscal year to represent actual numbers serviced. Refer to PWS for full details.

2001 300 Each Physical Exams

FFP

Physical Exams - Ordering Period 2

Full physical examination, to include work and medical history forms. Vital Signs are included in this cost.

Refer to PWS for full details.

Please note that these Quantities are estimated off of historical numbers.

They will need to be adjusted at the end of each fiscal year to represent actual numbers serviced.

2002 300 Each Audiogram

FFP

Audiogram - Ordering Period 2

Refer to PWS for full details.

Please note that these Quantities are estimated off of historical numbers.

They will need to be adjusted at the end of each fiscal year to represent actual numbers serviced.

2003 300 Each Vision Acuity Test

FFP

Vision Acuity Test - Ordering Period 2

Refer to PWS for full details.

Please note that these Quantities are estimated off of historical numbers.

They will need to be adjusted at the end of each fiscal year to represent actual numbers serviced.

2004 300 Each Blood Chem 1

FFP

Blood Chem Test with CBC, Differential, and UA (Labs) - Ordering Period 2

Refer to PWS for full details.

Please note that these Quantities are estimated off of historical numbers.

They will need to be adjusted at the end of each fiscal year to represent actual numbers serviced.

2005 300 Each Blood Chem 2

FFP

Blood Chem Test with CBC, Differential, UA (Labs), and Pb/Zpp - Ordering Period 2

Refer to PWS for full details.

Please note that these Quantities are estimated off of historical numbers.

They will need to be adjusted at the end of each fiscal year to represent actual numbers serviced.

2006 300 Each Blood Chem 3

FFP

Blood Chem Test with CBC, Differential, UA (Labs), Pb/Zpp, Cd, & Ch - Ordering Period 2

Refer to PWS for full details.

Please note that these Quantities are estimated off of historical numbers.

They will need to be adjusted at the end of each fiscal year to represent actual numbers serviced.

2007 60 Each Respiratory Testing

FFP

Respiratory PFT & Fit Testing (to include Chest X-Ray) - Ordering Period 2

Refer to PWS for full details.

Please note that these Quantities are estimated off of historical numbers.

They will need to be adjusted at the end of each fiscal year to represent actual numbers serviced.

2008 300 Each Final Reports DD

FFP

Download into the Defense Occupational and Environmental Readiness System-Hearing Conservation (DOERSHC) will be required - Ordering Period 2

Refer to PWS for full details.

These Final Reports include the Doersch Download.

Please note that these Quantities are estimated off of historical numbers.

They will need to be adjusted at the end of each fiscal year to represent actual numbers serviced.

2009 300 Each Clearances

FFP

Heavy Metal and Respiratory Clearances Download to the Defense Occupational and Environmental readiness System-Hearing Conservation - Ordering Period 2

Refer to PWS for full details.

Please note that these Quantities are estimated off of historical numbers.

They will need to be adjusted at the end of each fiscal year to represent actual numbers serviced.

2010 300 Each Final Reports

FFP

Final Reports to be sent directly to the Occupational Health Nurse in the format of Two (2) Hard Copies and One (1) electronic - Ordering Period 2

Refer to PWS for full details.

Please note that these Quantities are estimated off of historical numbers.

They will need to be adjusted at the end of each fiscal year to represent actual numbers serviced.

2011 1 Each Set-Up & Mileage Little Falls, MN

FFP

Set-Up & Mileage Little Falls, MN - Ordering Period 2

This line item is to cover the cost of setting up the medical van at designated locations.

Location 1:

Troop Medical Clinic 15000 Hwy 115 8-81 Camp Ripley, Little Falls, MN

Please note that these Quantities are estimated off of historical numbers.

They will need to be adjusted at the end of each fiscal year to represent actual numbers serviced. Refer to PWS for full details.

2012 1 Each Set-Up & Mileage Twin Cities, MN

FFP

Set-Up & Mileage Twin Cities, MN - Ordering Period 2

This line item is to cover the cost of setting up the medical van at designated locations.

Location 2:

Hamline Armory 4843 Hamline Avenue North Arden Hills, MN

Please note that these Quantities are estimated off of historical numbers.

They will need to be adjusted at the end of each fiscal year to represent actual numbers serviced. Refer to PWS for full details.

3001 300 Each Physical Exams

FFP

Physical Exams - Ordering Period 3

Full physical examination, to include work and medical history forms. Vital Signs are included in this cost.

Refer to PWS for full details.

Please note that these Quantities are estimated off of historical numbers.

They will need to be adjusted at the end of each fiscal year to represent actual numbers serviced.

3002 300 Each Audiogram

FFP

Audiogram - Ordering Period 3

Refer to PWS for full details.

Please note that these Quantities are estimated off of historical numbers.

They will need to be adjusted at the end of each fiscal year to represent actual numbers serviced.

3003 300 Each Vision Acuity Test

FFP

Vision Acuity Test - Ordering Period 3

Refer to PWS for full details.

Please note that these Quantities are estimated off of historical numbers.

They will need to be adjusted at the end of each fiscal year to represent actual numbers serviced.

3004 300 Each Blood Chem 1

FFP

Blood Chem Test with CBC, Differential, and UA (Labs) - Ordering Period 3

Refer to PWS for full details.

Please note that these Quantities are estimated off of historical numbers.

They will need to be adjusted at the end of each fiscal year to represent actual numbers serviced.

3005 300 Each Blood Chem 2

FFP

Blood Chem Test with CBC, Differential, UA (Labs), and Pb/Zpp - Ordering Period 3

Refer to PWS for full details.

Please note that these Quantities are estimated off of historical numbers.

They will need to be adjusted at the end of each fiscal year to represent actual numbers serviced.

3006 300 Each Blood Chem 3

FFP

Blood Chem Test with CBC, Differential, UA (Labs), Pb/Zpp, Cd, & Ch - Ordering Period 3

Refer to PWS for full details.

Please note that these Quantities are estimated off of historical numbers.

They will need to be adjusted at the end of each fiscal year to represent actual numbers serviced.

3007 60 Each Respiratory Testing

FFP

Respiratory PFT & Fit Testing (to include Chest X-Ray) - Ordering Period 3

Refer to PWS for full details.

Please note that these Quantities are estimated off of historical numbers.

They will need to be adjusted at the end of each fiscal year to represent actual numbers serviced.

3008 300 Each Final Reports DD

FFP

Download into the Defense Occupational and Environmental Readiness System-Hearing Conservation (DOERSHC) will be required - Ordering Period 3

Refer to PWS for full details.

These Final Reports include the Doersch Download.

Please note that these Quantities are estimated off of historical numbers.

They will need to be adjusted at the end of each fiscal year to represent actual numbers serviced.

3009 300 Each Clearances

FFP

Heavy Metal and Respiratory Clearances Download to the Defense Occupational and Environmental readiness System-Hearing Conservation - Ordering Period 3

Refer to PWS for full details.

Please note that these Quantities are estimated off of historical numbers.

They will need to be adjusted at the end of each fiscal year to represent actual numbers serviced.

3010 300 Each Final Reports

FFP

Final Reports to be sent directly to the Occupational Health Nurse in the format of Two (2) Hard Copies and One (1) electronic - Ordering Period 3

Refer to PWS for full details.

Please note that these Quantities are estimated off of historical numbers.

They will need to be adjusted at the end of each fiscal year to represent actual numbers serviced.

3011 1 Each Set-Up & Mileage Little Falls, MN

FFP

Set-Up & Mileage Little Falls, MN - Ordering Period 3

This line item is to cover the cost of setting up the medical van at designated locations.

Location 1:

Troop Medical Clinic 15000 Hwy 115 8-81 Camp Ripley, Little Falls, MN

Please note that these Quantities are estimated off of historical numbers.

They will need to be adjusted at the end of each fiscal year to represent actual numbers serviced. Refer to PWS for full details.

3012 1 Each Set-Up & Mileage Twin Cities, MN

FFP

Set-Up & Mileage Twin Cities, MN - Ordering Period 3

This line item is to cover the cost of setting up the medical van at designated locations.

Location 2:

Hamline Armory 4843 Hamline Avenue North Arden Hills, MN

Please note that these Quantities are estimated off of historical numbers.

They will need to be adjusted at the end of each fiscal year to represent actual numbers serviced. Refer to PWS for full details.

4001 300 Each Physical Exams

FFP

Physical Exams - Ordering Period 4

Full physical examination, to include work and medical history forms. Vital Signs are included in this cost.

Refer to PWS for full details.

Please note that these Quantities are estimated off of historical numbers.

They will need to be adjusted at the end of each fiscal year to represent actual numbers serviced.

4002 300 Each Audiogram

FFP

Audiogram - Ordering Period 4

Refer to PWS for full details.

Please note that these Quantities are estimated off of historical numbers.

They will need to be adjusted at the end of each fiscal year to represent actual numbers serviced.

4003 300 Each Vision Acuity Test

FFP

Vision Acuity Test - Ordering Period 4

Refer to PWS for full details.

Please note that these Quantities are estimated off of historical numbers.

They will need to be adjusted at the end of each fiscal year to represent actual numbers serviced.

4004 300 Each Blood Chem 1

FFP

Blood Chem Test with CBC, Differential, and UA (Labs) - Ordering Period 4

Refer to PWS for full details.

Please note that these Quantities are estimated off of historical numbers.

They will need to be adjusted at the end of each fiscal year to represent actual numbers serviced.

4005 300 Each Blood Chem 2

FFP

Blood Chem Test with CBC, Differential, UA (Labs), and Pb/Zpp - Ordering Period 4

Refer to PWS for full details.

Please note that these Quantities are estimated off of historical numbers.

They will need to be adjusted at the end of each fiscal year to represent actual numbers serviced.

4006 300 Each Blood Chem 3

FFP

Blood Chem Test with CBC, Differential, UA (Labs), Pb/Zpp, Cd, & Ch - Ordering Period 4

Refer to PWS for full details.

Please note that these Quantities are estimated off of historical numbers.

They will need to be adjusted at the end of each fiscal year to represent actual numbers serviced.

4007 60 Each Respiratory Testing

FFP

Respiratory PFT & Fit Testing (to include Chest X-Ray) - Ordering Period 4

Refer to PWS for full details.

Please note that these Quantities are estimated off of historical numbers.

They will need to be adjusted at the end of each fiscal year to represent actual numbers serviced.

4008 300 Each Final Reports DD

FFP

Download into the Defense Occupational and Environmental Readiness System-Hearing Conservation (DOERSHC) will be required - Ordering Period 4

Refer to PWS for full details.

These Final Reports include the Doersch Download.

Please note that these Quantities are estimated off of historical numbers.

They will need to be adjusted at the end of each fiscal year to represent actual numbers serviced.

4009 300 Each Clearances

FFP

Heavy Metal and Respiratory Clearances Download to the Defense Occupational and Environmental readiness System-Hearing Conservation - Ordering Period 4

Refer to PWS for full details.

Please note that these Quantities are estimated off of historical numbers.

They will need to be adjusted at the end of each fiscal year to represent actual numbers serviced.

4010 300 Each Final Reports

FFP

Final Reports to be sent directly to the Occupational Health Nurse in the format of Two (2) Hard Copies and One (1) electronic - Ordering Period 4

Refer to PWS for full details.

Please note that these Quantities are estimated off of historical numbers.

They will need to be adjusted at the end of each fiscal year to represent actual numbers serviced.

4011 1 Each Set-Up & Mileage Little Falls, MN

FFP

Set-Up & Mileage Little Falls, MN - Ordering Period 4

This line item is to cover the cost of setting up the medical van at designated locations.

Location 1:

Troop Medical Clinic 15000 Hwy 115 8-81 Camp Ripley, Little Falls, MN

Please note that these Quantities are estimated off of historical numbers.

They will need to be adjusted at the end of each fiscal year to represent actual numbers serviced. Refer to PWS for full details.

4012 1 Each Set-Up & Mileage Twin Cities, MN

FFP

Set-Up & Mileage Twin Cities, MN - Ordering Period 4

This line item is to cover the cost of setting up the medical van at designated locations.

Location 2:

Hamline Armory 4843 Hamline Avenue North Arden Hills, MN

Please note that these Quantities are estimated off of historical numbers.

They will need to be adjusted at the end of each fiscal year to represent actual numbers serviced. Refer to PWS for full details.

DELIVERY INFORMATION

CLIN DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

0001 POP 01-SEP-2021 TO

31-AUG-2022

N/A COR – 2 Locations:

Camp Ripley Training Center (CRTC) Arden Hills Army Training Site (AHATS) See PWS for details.

W90HP7

0002 POP 01-SEP-2021 TO

31-AUG-2022

N/A (SAME AS PREVIOUS LOCATION)

0003 POP 01-SEP-2021 TO

N/A (SAME AS PREVIOUS LOCATION)

0004 POP 01-SEP-2021 TO

N/A (SAME AS PREVIOUS LOCATION)

0005 POP 01-SEP-2021 TO

N/A (SAME AS PREVIOUS LOCATION)

0006 POP 01-SEP-2021 TO

N/A (SAME AS PREVIOUS LOCATION)

0007 POP 01-SEP-2021 TO

N/A (SAME AS PREVIOUS LOCATION)

0008 POP 01-SEP-2021 TO

N/A (SAME AS PREVIOUS LOCATION)

0009 POP 01-SEP-2021 TO

N/A (SAME AS PREVIOUS LOCATION)

0010 POP 01-SEP-2021 TO

N/A (SAME AS PREVIOUS LOCATION)

0011 POP 01-SEP-2021 TO

N/A (SAME AS PREVIOUS LOCATION)

0012 POP 01-SEP-2021 TO

N/A (SAME AS PREVIOUS LOCATION)

1001 POP 01-SEP-2022 TO

31-AUG-2023

N/A (SAME AS PREVIOUS LOCATION)

1002 POP 01-SEP-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

1003 POP 01-SEP-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

1004 POP 01-SEP-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

1005 POP 01-SEP-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

1006 POP 01-SEP-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

1007 POP 01-SEP-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

1008 POP 01-SEP-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

1009 POP 01-SEP-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

1010 POP 01-SEP-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

1011 POP 01-SEP-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

1012 POP 01-SEP-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

2001 POP 01-SEP-2023 TO

31-AUG-2024

N/A (SAME AS PREVIOUS LOCATION)

2002 POP 01-SEP-2023 TO

N/A (SAME AS PREVIOUS LOCATION)

2003 POP 01-SEP-2023 TO

N/A (SAME AS PREVIOUS LOCATION)

2004 POP 01-SEP-2023 TO

N/A (SAME AS PREVIOUS LOCATION)

2005 POP 01-SEP-2023 TO

N/A (SAME AS PREVIOUS LOCATION)

2006 POP 01-SEP-2023 TO

N/A (SAME AS PREVIOUS LOCATION)

2007 POP 01-SEP-2023 TO

N/A (SAME AS PREVIOUS LOCATION)

2008 POP 01-SEP-2023 TO

N/A (SAME AS PREVIOUS LOCATION)

2009 POP 01-SEP-2023 TO

N/A (SAME AS PREVIOUS LOCATION)

2010 POP 01-SEP-2023 TO

N/A (SAME AS PREVIOUS LOCATION)

2011 POP 01-SEP-2023 TO

N/A (SAME AS PREVIOUS LOCATION)

2012 POP 01-SEP-2023 TO

N/A (SAME AS PREVIOUS LOCATION)

3001 POP 01-SEP-2024 TO

31-AUG-2025

N/A (SAME AS PREVIOUS LOCATION)

3002 POP 01-SEP-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

3003 POP 01-SEP-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

3004 POP 01-SEP-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

3005 POP 01-SEP-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

3006 POP 01-SEP-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

3007 POP 01-SEP-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

3008 POP 01-SEP-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

3009 POP 01-SEP-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

3010 POP 01-SEP-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

3011 POP 01-SEP-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

3012 POP 01-SEP-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

4001 POP 01-SEP-2025 TO

31-AUG-2026

N/A (SAME AS PREVIOUS LOCATION)

4002 POP 01-SEP-2025 TO

N/A (SAME AS PREVIOUS LOCATION)

4003 POP 01-SEP-2025 TO

N/A (SAME AS PREVIOUS LOCATION)

4004 POP 01-SEP-2025 TO

N/A (SAME AS PREVIOUS LOCATION)

4005 POP 01-SEP-2025 TO

N/A (SAME AS PREVIOUS LOCATION)

4006 POP 01-SEP-2025 TO

N/A (SAME AS PREVIOUS LOCATION)

4007 POP 01-SEP-2025 TO

N/A (SAME AS PREVIOUS LOCATION)

4008 POP 01-SEP-2025 TO

N/A (SAME AS PREVIOUS LOCATION)

4009 POP 01-SEP-2025 TO

N/A (SAME AS PREVIOUS LOCATION)

4010 POP 01-SEP-2025 TO

N/A (SAME AS PREVIOUS LOCATION)

4011 POP 01-SEP-2025 TO

N/A (SAME AS PREVIOUS LOCATION)

4012 POP 01-SEP-2025 TO

N/A (SAME AS PREVIOUS LOCATION)

PREPARING AND SUBMITTING QUOTE:

Response is encouraged to include past performance information: other military, commercial, and civilian companies with whom you have done business. Include country of manufacture for all items. Include feasible delivery dates.

All questions and quotes must be directed to above point of contact. Questions asked within 1 week of solicitation close will be answered at the discretion of the Contracting Office. Emailed quotes are preferred. Late quotes may be rejected at the Contracting Officer’s discretion.

Please make quotes good 60 days or until 31 August 2021.

EVALUATION:

The Government plans to award a Firm Fixed Price (FFP) Indefinite Delivery Indefinite Quantity (IDIQ) contract resulting from this solicitation to the offer conforming to the solicitation which will be most advantageous to the Government.

Quotes will be evaluated using price, technical, and past performance, all being considered equal. All solicitation specifications are not absolute and the Minnesota Army and Air National Guard will consider innovative solutions to this requirement. The award may be made by the Government without discussions.

THE GOVERNMENT INTENDS TO ISSUE ONE (1) CONTRACT BUT RESERVES THE RIGHT TO CONSIDER PARTIAL OR

MULTIPLE AWARDS.

If not already registered in SAM, go to https://sam.gov/SAM/ to register prior to submitting quote. At the time of evaluation of your quote/bid/proposal, your company must have an active status in SAM.gov.

PERFORMANCE WORK STATEMENT (PWS):

PERFORMANCE WORK STATEMENT (PWS)

FOR

OCCUPATIONAL HEALTH

MEDICAL SURVEILLANCE EXAMINATIONS (Technician Physicals)

1.0 General:

1.1 Scope: The Minnesota Army National Guard (MN ARNG) has a requirement for “Non-Personal” Health Care “Services.” The contractor shall provide all personnel, Board Certified Occupational Health Physician(s), equipment, tools, materials, supervision, incidentals, and quality control necessary to conduct the Medical Surveillance Examination / Occupational Health Services, except as specified in Paragraph 3.0 as Government

Furnished, to perform Occupational Health Medical Surveillance Examinations (Technician Physicals) in accordance with the Occupation Safety and Health Association (OSHA) and other regulations, as defined in this PWS.

1.1.1 There are two locations that require this service: Camp Ripley (CRTC) in Little Falls, MN for about 3 days; and then at the Arden Hills Army Training Site (AHATS) in Arden Hills, MN for about 2 days. The estimated total number of personnel to be examined over about 5 days total for both locations is about 300.

For the Base Year Ordering Period, Technician Physicals are ideally to be scheduled between 13-24 September 2021. Additional Ordering Period years will be similar in timeframe but may be subject to change with advance notice of at least 60 days. Contractor is to be located within a 750-mile radius of Minneapolis, MN.

1.1.2 The Government may evaluate the quality of professional and administrative services provided, but retain no control over the medical professional aspects of services rendered, such as testing procedures, etc.

1.2 Background: The purpose of the Occupational Medical Surveillance Examination Program is to provide job-related Medical Surveillance Examinations and Occupational Health Services to the MN ARNG full-time staff (FTS) and/or temporary personnel who are or could potentially be exposed to health hazards in the work environment. Personnel not included under these examinations are state employees, civilian contractors, and part-time traditional Soldiers.

1.3 Period of Performance (PoP): The PoP shall be one (1) Base Year Ordering Period of 12 months and four

(4) additional 12-month Ordering Periods, for a total of five (5) years. The first Ordering Period will be 01 September 2021 through 31 August 2022.

1.4 General Information:

1.4.1 Place and Performance of Services: The contractor shall provide services between the hours of 8:00 a.m. and 4:30 p.m. on Monday through Friday, except on recognized US holidays or when the Government facility/installation is closed due to local or national emergencies, administrative closings, or similar Government-directed facility/installation closings. Performance will be at an armory or building at both CRTC and then at AHATS. The contractor shall at all times maintain an adequate work force for the uninterrupted performance of all tasks defined within this PWS when the Government facility/installation is not closed for the above reasons. When hiring personnel, the contractor shall keep in mind that the stability and continuity of the work force are essential. Teleworking is not authorized.

1.4.1.1 Telework: N/A.

1.4.1.2 Unscheduled gate closures by the Security Police may occur at any time causing all personnel entering or exiting a closed installation to experience a delay. This cannot be predicted or prevented. Contractors are not compensated for unexpected closures or delays. Vehicles operated by contractor personnel are subject to search pursuant to applicable regulations. Any moving violation of any applicable motor vehicle regulation may result in the termination of the contractor employee’s installation driving privileges.

1.4.1.3 The contractor’s employees shall become familiar with and obey the regulations of the installation;

including fire, traffic, safety and security regulations while on the installation. Contractor employees should only enter restricted areas when required to do so and only upon prior approval. All contractor employees shall carry proper identification with them at all times, and shall be subject to such checks as may be deemed necessary. The contractor shall ensure compliance with all regulations and orders of the installation, which may affect performance. The Government reserves the right to direct the removal of an employee for misconduct, security reasons, or any overt evidence of communicable disease. Removal of contractor employees for reasons stated above does not relieve the Contractor from responsibility for total performance of this contract.

1.4.2 Recognized Holidays: The following are recognized United States (US) holidays. The contractor shall not perform services on these days:

1.4.3.1 New Year’s Day: January 1st

1.4.3.2 Martin Luther King, Jr.’s Birthday

1.4.3.3 President’s Day

1.4.3.4 Memorial Day

1.4.3.5 Independence Day: July 4th

1.4.3.6 Labor Day

1.4.3.7 Columbus Day

1.4.3.8 Veteran’s Day: November 11th

1.4.3.9 Thanksgiving Day

1.4.3.10 Christmas Day: December 25th

1.4.3 Quality Control (QC): N/A.

1.4.4 Quality Assurance (QA): The Government will evaluate the contractor’s performance under this contract in accordance with the Quality Assurance Surveillance Plan (QASP). This plan is primarily focused on what the Government will do to ensure that the contractor has performed in accordance with the performance standards. It defines how the performance standards will be applied, the frequency of surveillance, and acceptable quality level(s) or defect rate(s).

1.4.5 Installation Access and Security Requirements. The contractor shall comply with all applicable installation/facility access and local security policies and procedures, which may be obtained from the COR.

The contractor and all associated subcontractor employees shall provide all information required for background checks to meet installation access requirements to be accomplished by installation Provost Marshal Office, Director of Emergency Services, or Security Office. The contractor shall ensure compliance with all personal identity verification requirements as directed by Department of Defense (DoD), Headquarters Department of Army (HQDA) and/or local policy (see PWS 6.0). Should the Force Protection Condition (FPCON) change, the Government may require changes in contractor security matters or processes.

1.4.5.1 Awareness Training (AT) Level 1: All contractor employees, including subcontractor employees, requiring access to Army installations, facilities, and controlled access areas shall complete AT Level 1 training within 30 calendar days after contract start date and within 30 calendar days of new employees commencing performance. The contractor shall submit certificates of completion for each affected contractor and subcontractor employee to the COR within 15 calendar days after completion of training by each employee or subcontractor personnel. AT Level 1 awareness training is available at the following website:

https://jko.jten.mil/courses/atl1/launch.html.

1.4.5.2 iWATCH Training: The contractor and all associated subcontractors with an area of performance within an Army-controlled installation, facilities or area shall brief all employees on the local iWATCH program (training standards provided by the requiring activity Antiterrorism Officer (ATO)). This local developed training shall be used to inform employees of the types of behavior to watch for and instruct employees to report suspicious activity to the COR or the KO.

This training shall be completed within 30 calendar days of contract award and within 30 calendar days of new employees commencing performance. The contractor shall report completion for each contractor employee and subcontractor employee to the COR, within 15 calendar days after completion of training.

1.4.5.3 Communications Security/Information Technology (COMSEC/IT) Security. All communications with DoD organizations are subject to COMSEC review. All telephone communications networks are continually subject to intercept by unfriendly intelligence organizations. DoD has authorized the military departments to conduct COMSEC monitoring and recording of telephone calls originating from, or terminating at, DoD organizations. Therefore, the contractor is advised that any time contractor personnel place or receive a call they are subject to COMSEC procedures. The contractor shall ensure wide and frequent dissemination of the above information to all employees dealing with DoD information. The contractor shall abide by all Government regulations concerning the authorized use of the Government's computer network, including the restriction against using the network to recruit Government personnel or advertise job openings.

1.4.5.4 Protection of Personally Identifiable Information (PII). The contractor shall protect all PII encountered in the performance of services in accordance with Defense Federal Acquisition Regulation Supplement (DFARS)

224.103 Personally Identifiable Information and Department of Defense Directive (DoDD) 5400.11, Department of Defense Privacy Program, and DoD 5400.11-R. If a PII breach results from the contractor’s violation of the aforementioned policies, the contractor shall bear all notification costs, call-center support costs, and credit monitoring service costs for all individuals whose PII has been compromised.

1.4.5.5 OPSEC Training: In accordance with AR 530-1, Operations Security, new contractor employees shall complete Level I OPSEC training within 30 calendar days of their reporting for duty and annually thereafter.

The contractor shall submit certificates of completion for each contractor employee to the COR within 15 calendar days after completion of training. Level 1 OPSEC training is available at https://securityawareness.usalearning.gov/opsec/index.htm.

1.4.6 Physical Security. The contractor shall safeguard all Government property provided for contractor use. At the close of each work period, Government facilities, equipment and materials shall be secured.

1.4.7 Special Qualifications: The contractor shall provide Board Certified Occupational Health Physician(s) for the performance of this contract. This does not include education or other qualifications for the position in which the contractor employee is performing, dress codes, or other information. (NOTE: The Government does not provide training to contractors. Contractors must ensure that any personnel performing under a contract are fully trained, licensed, certified and qualified to provide services.)

1.4.8 Post Award Conference/Periodic Progress Meetings: The contractor agrees to attend any post award conference convened by the KO in accordance with FAR 42.5. The KO, COR and other Government personnel, as appropriate, may meet periodically with the contractor to review the contactor’s performance. At these meetings, the KO will apprise the contractor of how the Government views the contractor’s performance and the contractor shall apprise the Government of problems, if any, being experienced. The contractor shall resolve outstanding issues raised by the Government. Contractor attendance at these meetings shall be at no additional cost to the Government.

1.4.9 Contract Manager (CM): The contactor shall designate a CM who shall ensure performance under this contract. The name of this person, and an alternate who shall act for the contractor when the CM is absent, shall be designated in writing to the KO. The CM or alternate shall have full authority to act for the contractor on all contract matters relating to daily operation of this contract. The CM shall work through the COR, to resolve issues, receive technical instructions, and ensure adequate performance of services. The CM shall ensure that contractor employees do not perform any services outside the scope of the contract without an official modification issued by the KO. The CM shall ensure contractor employees understand that services performed outside the scope of the contract are performed wholly at the expense of the contractor.

1.4.10 Identification of Contractor Employees: All contractor personnel attending meetings, answering Government telephones and working in other situations where their contractor status is not obvious to third parties are required to identify themselves as such to avoid creating an impression that they are Government employees. The contractor shall ensure that all documents or reports produced by contractor personnel are suitably marked as contractor products or that contractor participation is appropriately disclosed. The contractor’s status as a “contractor” shall be predominantly displayed in all correspondence types (to include signature blocks on e-mail) and dealings with Government or non- Government entities. Contractor personnel shall wear identification badges distinguishing themselves as such. The badges shall have the company name, employee name and the word “contractor” displayed.

1.4.11. Combating Trafficking in Persons: The United States Government has adopted a zero tolerance policy regarding trafficking in persons. Contractors and contractor employees shall not engage in severe forms of trafficking in persons during the period of performance of the contract; procure commercial sex acts during the period of performance of the contract; or use forced labor in the performance of the contract. The Contractor shall notify its employees of the United States Government’s zero tolerance policy, the actions that will be taken against employees for violations of this policy. The contractor shall take appropriate action, up to and including termination, against employees or subcontractors that violate the US Government policy as described at FAR 22.17.

1.4.12 Organizational Conflicts of Interest (OCI): The contractor and subcontractor personnel performing services under this contract may receive, have access to or participate in the development of proprietary or source selection information (e.g., cost or pricing information, budget information or analyses, specifications or work statements, etc.) or perform evaluation services which may create a current or subsequent OCIs, as defined in FAR Subpart 9.5. The contractor shall notify the KO immediately whenever it becomes aware that such access or participation may result in any actual or potential OCI and shall promptly submit a plan to the KO to avoid or mitigate any such OCI. The contractor’s mitigation plan will be determined to be acceptable solely at the discretion of the KO. In the event the KO unilaterally determines that any such OCI cannot be satisfactorily avoided or mitigated, the KO may impose other remedies as he or she deems necessary, including prohibiting the contractor from participation in subsequent contracted requirements which may be affected by the OCI.

2.0 Definitions and Acronyms:

2.1 Definitions:

2.1.1 Contractor: A supplier or vendor awarded a contract to provide specific supplies or service to the Government. The term used in this contract refers to the prime.

2.1.2 Defective Service: A service output that does not meet the standard of performance associated with the

PWS.

2.1.3 Deliverable: Anything that can be physically delivered and includes non-manufactured things such as meeting minutes or reports.

2.1.4 Key Personnel: Contractor personnel that are evaluated in a source selection process and that may be required to be used in the performance of a contract by the PWS. When key personnel are used as an evaluation factor in best value procurement, an offer can be rejected if it does not have a firm commitment from the persons that are listed in the proposal.

2.1.5 Physical Security: Actions that prevent the loss or damage of Government property.

2.1.6 Quality Assurance: The Government procedures to verify that services being performed by the Contractor are performed according to acceptable standards.

2.1.7 Quality Assurance Surveillance Plan (QASP): An organized written document specifying the surveillance methodology to be used for surveillance of contractor performance.

2.1.8 Quality Control: All necessary measures taken by the Contractor to ensure that the quality of an end product or service shall meet contract requirements.

2.1.9 Subcontractor: One that enters into a contract with a prime contractor. The Government does not have privity of contract with the subcontractor.

2.2 Acronyms:

AEI Army Enterprise Infostructure

AR Army Regulation

AT/OPSEC Antiterrorism/Operational Security

BI Background Investigation

CM Contract Manager

COR Contracting Officer Representative

DA Department of the Army

DD254 Department of Defense Contract Security Classification Specification

DFARS Defense Federal Acquisition Regulation Supplement

DoD Department of Defense

FAR Federal Acquisition Regulation

GFP/M/E/S Government Furnished Property/Material/Equipment/Services

HQDA Headquarters, Department of the Army

HSPD Homeland Security Presidential Directive

IA Information Assurance

IS Information System(s)

KO Contracting Officer

NGB National Guard Bureau

OCI Organizational Conflict of Interest

PII Personally Identifiable Information

PIPO Phase In/Phase Out

POC Point of Contact

PRS Performance Requirements Summary

PWS Performance Work Statement

QA Quality Assurance

QASP Quality Assurance Surveillance Plan

QC Quality Control

QCP Quality Control Program

SCR Service Contract Reporting

SSN Social Security Number

TE Technical Exhibit

USD(I) Under Secretary of Defense for Intelligence

3.0 Government Furnished Property, Material, Equipment and Services (GFP/M/E/S): The Government will provide the property, material, equipment, and/or services listed below solely for the purpose of performance under this contract: N/A

4.0 Contractor Furnished Property, Materials, and Equipment (CFP/M/E):

4.1 General: Except for those items specifically stated to be Government-Furnished in Paragraph 3.0, the contractor shall furnish everything required to perform these services as indicated in Paragraph 1.1.

5.0 Requirements:

5.1 ORDERING PERIODS, TASK ORDERS, & EXAMINATION SCHEDULING

5.1.1 Ordering Periods and Task Orders: The Contracting Officer (KO) of this contract shall be the only person authorized to issue Task Orders (TO) against this contract. Within 10 days of the next Ordering Period, the Vendor will be issued a yearly estimated TO. The TO will be finalized after each PoP. The TO will be generated based on the estimated number of technician physicals of each billing period. The Government will only pay for the actual technician physicals rendered during each period of performance within that Ordering Period, as the numbers provided on each TO are only estimates.

5.1.2 Ordering Period Dates:

Ordering Period 1 will commence 01 September 2021 and close 31 August 2022.

Ordering Period 2 will commence 01 September 2022 and close 31 August 2023.

Ordering Period 3 will commence 01 September 2023 and close 31 August 2024.

Ordering Period 4 will commence 01 September 2024 and close 31 August 2025.

Ordering Period 5 will commence 01 September 2025 and close 31 August 2026.

5.1.3 Coordination of scheduling shall be a joint effort between the Occupational Health Manager/COR and the Contractor. Technicians will coordinate with the Occupational Health Manager/COR with date ranges for their physicals.

Then the Occupational Health Manager/COR will coordinate with the Contractor.

5.1.4 In the event of Contractor equipment failure, specific testing and / or parts of examinations that are not completed during the testing period shall be completed at a scheduled time mutually convenient for the Contractor, Occupational Health Manager and the Facilities. Unfinished testing / examinations will be completed at no additional cost to the Government. Physicals not completed due to equipment failure shall be done at no cost to the Government. The Contractor shall be directly responsible to cover costs for completing these make-up screenings.

5.2 CONTRACTOR PERFORMANCE

5.2.1 Contractor shall ensure all procedures are conducted in accordance with applicable American Board of Occupational and Environmental Medicine (ABOEM), American Association of Occupational Health Nurses (AAOHN), U.S. Department of Labor, Occupational Safety and Health Administration (OSHA), and the National Institute for Occupational Safety and Health (NIOSH) Standards.

5.2.2 Contractor shall maintain medical liability insurance that is not less than the amount normally prevailing within the area community for which the medical physicals take place.

5.2.3 Contractor shall ensure that scheduled patients will be seen within 15 minutes of their appointment time.

5.2.4 Contractor shall ensure all clinical laboratory services are performed by a laboratory licensed through the U.S. Department of Health and Human Services (DHHS), Health Care Financing Administration pursuant to the terms of the Clinical Laboratories Improvement Act of 1967 (42 U.S.C. 263a) and the College of American Pathologies.

5.2.5 Contractor shall provide a Medical Board eligible or Certified Occupational Medicine Physician to conduct job-related medical surveillance physical examinations and occupational health consultation services.

5.2.6 Contractor shall arrange for the opportunity to consult with an Occupational Health Manager of the MNARNG by telephone to coordinate or resolve issues that might arise before, during, and after the testing period.

5.2.7 Contractor shall perform a comprehensive review and evaluation within 30-days following the conclusion of testing. The Contracting Officer’s Representative will contact and schedule a follow-up review and evaluation meeting to discuss positive and negative aspects of testing.

5.2.8 Contractor will provide vital signs to include height, weight, blood pressure, pulse and respirations.

5.2.9 Contractor will provide a Job Functional Analysis or Kraus-Weber diagnostic test results that include back strength and flexibility. Note any pain or recommended lifting limitations if less than 50 lbs

5.