RFQ_Amend_17-Q-MG05-0002_DRHA_MHA.pdf

Amendment 0002 FA5205-17-Q-MG05 DRHA/MHA Provider Svs

AMENDMENT No. 0002 To

RFQ No. FA5205-17-Q-MG05 Deployment-related Health Assessment (DRHA)

/Mental Health Assessment (MHA) Provider 28 Jun 2017

Notice to Offeror: This amendment is issued to those offeror(s) that responded to the subject RFQ by the closing date and time set forth in the RFQ Amendment 0001.

This amendment is issued to change the performance period of the Base Period specified in the RFQ due to a possible delay of the Government evaluation of quotation(s) received. The changes to the performance period and the estimated quantity (hours) of affected CLINs are as summarized below. The offeror is required to submit revised price quote by 1630 hrs on 29 Jun 2017 (Japan Time).

a. Performance Period:

Contract Period Start End

Base Period 1 Jul 2017

1 Aug 2017 31 Dec 2017

b. CLIN Estimated Quantity:

(End of Summary)

CLIN Est Qty U/I

1,040

Hours

1,040

Hours

RFQ No. FA5205-17-Q-MG05 Deployment-related Health Assessment (DRHA)

/Mental Health Assessment (MHA) Provider 28 Jun 17

This is a combined synopsis/solicitation for commercial items prepared in accordance with the format in FAR Subpart 12.6, as supplemented with additional information included in this notice. This announcement constitutes only solicitation; proposals are being requested and a written solicitation will not be issued. The solicitation number is Combo FA5205-17-Q-MG05 Deployment-related Health Assessment (DRHA)/ Mental Health Assessment (MHA) Provider; this solicitation is issued as a request for quotation (RFQ). This solicitation document and incorporated provisions and clauses are those in effect through FAC 2005-95, DPN 20161222, and AFAC 2017-0127. This acquisition will be full and open competition.

Please send the response to the below POC not later than 1630 hrs on 29 Jun 2017 (Japan Time).

Capt Roberto A. Guerra, Contracting Officer, roberto.guerra.4@us.af.mil Michiko Yoshizawa, buyer, michiko.yoshizawa.jp@us.af.mil

Offeror Name: POC:

Address:

Email: Phone No.:

CLIN Description Est Qty

Unit of

Issue

Unit Price

Total Price

Base Period One (1) DRHA/MHA Family Nurse Practitioner (FNP) In Accordance With (IAW) the attached Performance Work Statement

(PWS).

864 Hours

Base Period One (1) DRHA/MHA DRHA/MHA Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN) IAW the attached PWS.

864 Hours

Option Period One (1) One (1) DRHA/MHA FNP IAW the attached

PWS.

1,560 Hours

Option Period One (1) One (1) DRHA/MHA DRHA/MHA LPN or LVN IAW the attached PWS.

1,560 Hours

Option Period Two (2) One (1) DRHA/MHA FNP IAW the attached

PWS.

2,080 Hours

Option Period Two (2) One (1) DRHA/MHA DRHA/MHA LPN or LVN IAW the attached PWS.

2,080 Hours

*Estimated quantity of each CLIN is subject to adjustment based on actual number of hours performed as accepted by the Government at the end of each performance period.

Performance Period:

Contract Period Start End

Base Period 1 Aug 2017 31 Dec 2017 Option Period One 1 Jan 2018 30 Sep 2018 Option Period Two 1 Oct 2018 30 Sep 2019

Performance Location: 35th Medical Group, Bldg. 99, Misawa Air Base, Japan

Prompt payment discount terms, if other than NET 30: _______________

CAGE Code: _____________ DUNS#: ________________

System for Award Management (SAM) registration valid until: ________________ In order to do business with the Government above the micro-purchase threshold ($3,500.00), vendors are required to be registered in the SAM database. Lack of registration in the SAM database will cause a vendor to be considered ineligible for a contract award. The contractor is required to confirm on an annual basis that its information in the SAM database is accurate and complete. Registration and confirmation of SAM status can be accomplished at http://www.sam.gov/ (IAW FAR 52.212-1Instructions to Offerors, Para (k)).

Evaluation Criteria: Evaluation of offers will be completed in accordance with FAR 13.106-2. The Government will award a contract resulting from this solicitation to the responsible offeror whose offer conforms to the solicitation and represents the best value to the Government. Evaluation Criteria can be found on the addendum to 52.212-1 Instructions to Offerors and addendum to 52.212-2 Evaluation of Commercial Items.

Provisions and Clauses: The following provisions and/or clauses apply to this acquisition. Offerors must comply with all instructions contained herein. Clauses may be accessed electronically in full text through http://farsite.hill.af.mil.

52.203-6 Alt I Restrictions on Subcontractor Sales to the Government 52.204-10 Reporting Executive Compensation and First-Tier Subcontract Awards 52.209-6 Protecting the Government's Interest When Subcontracting with Contractors Debarred, Suspended, or Proposed for Debarment 52.209-10 Prohibition on Contracting with Inverted Domestic Corporations

52.212-1 Instructions to Offerors - Commercial Items 52.212-2 Evaluation - Commercial Items 52.212-4 Contract Terms and Conditions -- Commercial Items 52.212-5 Dev Contract Terms and Conditions Required to Implement Statues or Executive Orders –

Commercial Items (Deviation 2013-O0019) 52.233-3 Protest After Award 52.233-4 Applicable Law for Breach of Contract Claim 52.222-35 Equal Opportunity for Veterans 52.222-36 Equal Opportunity for Workers with Disabilities 52.222-37 Employment Reports on Veterans 52.222-40 Notification of Employee Rights Under the National Labor Relations Act 52.222-50 Combating Trafficking in Persons 52.223-18 Encouraging Contractor Policies to Ban Text Messaging while Driving 52.225-13 Restrictions on Certain Foreign Purchases 52.228-3 Workers Compensation Insurance (Defense Base Act).

52.228-4 Workers Compensation and War-Hazard Insurance Overseas 52.232-33 Payment by Electronic Funds Transfer - System for Award Management 52.232-40 Providing Accelerated Payments to Small Business Subcontractors.

252.203-7000 Requirements Relating to Compensation of Former DoD Officials 252.203-7003 Agency Office of the Inspector General 252.203-7005 Representation Relating to Compensation of Former DoD Officials 252.204-7012 Safeguarding Covered Defense Information and Cyber Incident Reporting 252.204-7015 Notice of Authorized Disclosure of Information for Litigation Support 252.222-7007 Representation Regarding Combating Trafficking in Persons 252.225-7050 Disclosure of Ownership or Control by the Government of a County that is a State Sponsor of

Terrorism 252.232-7003 Electronic Submission of Payment Requests and Receiving Reports 252.232-7006 Wide Area Work Flow Payment Instructions 252.232-7010 Levies on Contract Payments 5352.201-9101 Ombudsman 5352.242-9000 Contractor Access to Air Force Installation

Accounting and Appropriation Data

9770130.1883 2X7 7454 3H5487 010000 571MN 87900F 668800 FB5205 ESP:7C ALD: AA FSR: 001677 PSR: 005943

DSR: CIN: F3D4A17076A0010000AA

9770130.1883 2X7 7454 3H5487 010000 574MD 87900F 668800 FB5205 ESP:7C ALD: AB FSR: 001677 PSR: 005946

DSR: CIN: F3D4A17076A0010000AB

Exhibit/Attachment Atch. No. Description Pages Date

1. Performance-based Work Statement (PWS) FNP 26 21 Apr 2017

2. Performance-based Work Statement (PWS) LPN/LVN 26 21 Apr 2017

3. Addendum to 52.212-1 Instructions to Offerors 4

4. Addendum to 52.212-2 Evaluation of Commercial Items 3