0002 SF30.pdf

FA5587-12-R-0031

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

15A. NAME AND TITLE OF SIGNER (Type or print)

30-105-04EXCEPTION TO SF 30

APPROVED BY OIRM 11-84

STANDARD FORM 30 (Rev. 10-83)

Prescribed by GSA

FAR (48 CFR) 53.243

The purpose of this amendment is to amend the Physician Assistant education from requiring a Masters Degree, to a Bachelors.

1. CONTRACT ID CODE PAGE OF PAGES

J 1 31

16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)

16C. DATE SIGNED

BY 16-Aug-2012

16B. UNITED STATES OF AMERICA15C. DATE SIGNED15B. CONTRACTOR/OFFEROR

(Signature of Contracting Officer)(Signature of person authorized to sign)

8. NAME AND ADDRESS OF CONTRACTOR (No., Street, County, State and Zip Code) X FA5587-12-R-0031

X 9B. DATED (SEE ITEM 11)

18-Jul-2012

10B. DATED (SEE ITEM 13)

9A. AMENDMENT OF SOLICITATION NO.

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

X The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offer is extended, X is not extended.

Offer must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended by one of the following methods:

(a) By completing Items 8 and 15, and returning copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted;

or (c) By separate letter or telegram which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE

RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN

REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by telegram or letter, provided each telegram or letter makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

12. ACCOUNTING AND APPROPRIATION DATA (If required)

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS.

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE

CONTRACT ORDER NO. IN ITEM 10A.

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, appropriation date, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(B).

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER (Specify type of modification and authority)

E. IMPORTANT: Contractor is not, is required to sign this document and return copies to the issuing office.

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

10A. MOD. OF CONTRACT/ORDER NO.

2. AMENDMENT/MODIFICATION NO. 5. PROJECT NO.(If applicable)

6. ISSUED BY

3. EFFECTIVE DATE

15-Aug-2012

CODE

48 CONS/LGC - FA5587

BLDG 977, RAF LAKENHEATH

BRANDON IP27 9PN

FA5587 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

Page 2 of 31 Pages

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 1449 - CONTINUATION SHEET

The following have been modified:

52.212-1 AND ADDENDUM

52.212-1 INSTRUCTIONS TO OFFERORS--COMMERCIAL ITEMS (FEB 2012)

(a) North American Industry Classification System (NAICS) code and small business size standard. The NAICS code and small business size standard for this acquisition appear in Block 10 of the solicitation cover sheet (SF

1449). However, the small business size standard for a concern which submits an offer in its own name, but which proposes to furnish an item which it did not itself manufacture, is 500 employees.

(b) Submission of offers. Submit signed and dated offers to the office specified in this solicitation at or before the exact time specified in this solicitation. Offers may be submitted on the SF 1449, letterhead stationery, or as otherwise specified in the solicitation. As a minimum, offers must show--

(1) The solicitation number;

(2) The time specified in the solicitation for receipt of offers;

(3) The name, address, and telephone number of the offeror;

(4) A technical description of the items being offered in sufficient detail to evaluate compliance with the requirements in the solicitation. This may include product literature, or other documents, if necessary;

(5) Terms of any express warranty;

(6) Price and any discount terms;

(7) "Remit to" address, if different than mailing address;

(8) A completed copy of the representations and certifications at FAR 52.212-3 (see FAR 52.212-3(b) for those representations and certifications that the offeror shall complete electronically);

(9) Acknowledgment of Solicitation Amendments;

(10) Past performance information, when included as an evaluation factor, to include recent and relevant contracts for the same or similar items and other references (including contract numbers, points of contact with telephone numbers and other relevant information); and

(11) If the offer is not submitted on the SF 1449, include a statement specifying the extent of agreement with all terms, conditions, and provisions included in the solicitation. Offers that fail to furnish required representations or information, or reject the terms and conditions of the solicitation may be excluded from consideration.

(c) Period for acceptance of offers. The offeror agrees to hold the prices in its offer firm for 30 calendar days from the date specified for receipt of offers, unless another time period is specified in an addendum to the solicitation.

(d) Product samples. When required by the solicitation, product samples shall be submitted at or prior to the time specified for receipt of offers. Unless otherwise specified in this solicitation, these samples shall be submitted at no

Page 3 of 31 Pages expense to the Government, and returned at the sender's request and expense, unless they are destroyed during preaward testing.

(e) Multiple offers. Offerors are encouraged to submit multiple offers presenting alternative terms and conditions or commercial items for satisfying the requirements of this solicitation. Each offer submitted will be evaluated separately.

(f) Late submissions, modifications, revisions, and withdrawals of offers:

(1) Offerors are responsible for submitting offers, and any modifications, revisions, or withdrawals, so as to reach the Government office designated in the solicitation by the time specified in the solicitation. If no time is specified in the solicitation, the time for receipt is 4:30 p.m., local time, for the designated Government office on the date that offers or revisions are due.

(2)(i) Any offer, modification, revision, or withdrawal of an offer received at the Government office designated in the solicitation after the exact time specified for receipt of offers is ―late‖ and will not be considered unless it is received before award is made, the Contracting Officer determines that accepting the late offer would not unduly delay the acquisition; and--

(A) If it was transmitted through an electronic commerce method authorized by the solicitation, it was received at the initial point of entry to the Government infrastructure not later than 5:00 p.m. one working day prior to the date specified for receipt of offers; or

(B) There is acceptable evidence to establish that it was received at the Government installation designated for receipt of offers and was under the Government's control prior to the time set for receipt of offers; or

(C) If this solicitation is a request for proposals, it was the only proposal received.

(ii) However, a late modification of an otherwise successful offer, that makes its terms more favorable to the

Government, will be considered at any time it is received and may be accepted.

(3) Acceptable evidence to establish the time of receipt at the Government installation includes the time/date stamp of that installation on the offer wrapper, other documentary evidence of receipt maintained by the installation, or oral testimony or statements of Government personnel.

(4) If an emergency or unanticipated event interrupts normal Government processes so that offers cannot be received at the Government office designated for receipt of offers by the exact time specified in the solicitation, and urgent

Government requirements preclude amendment of the solicitation or other notice of an extension of the closing date, the time specified for receipt of offers will be deemed to be extended to the same time of day specified in the solicitation on the first work day on which normal Government processes resume.

(5) Offers may be withdrawn by written notice received at any time before the exact time set for receipt of offers.

Oral offers in response to oral solicitations may be withdrawn orally. If the solicitation authorizes facsimile offers, offers may be withdrawn via facsimile received at any time before the exact time set for receipt of offers, subject to the conditions specified in the solicitation concerning facsimile offers. An offer may be withdrawn in person by an offeror or its authorized representative if, before the exact time set for receipt of offers, the identity of the person requesting withdrawal is established and the person signs a receipt for the offer.

(g) Contract award (not applicable to Invitation for Bids). The Government intends to evaluate offers and award a contract without discussions with offerors. Therefore, the offeror's initial offer should contain the offeror's best terms from a price and technical standpoint. However, the Government reserves the right to conduct discussions if later determined by the Contracting Officer to be necessary. The Government may reject any or all offers if such action is in the public interest; accept other than the lowest offer; and waive informalities and minor irregularities in offers received.

Page 4 of 31 Pages

(h) Multiple awards. The Government may accept any item or group of items of an offer, unless the offeror qualifies the offer by specific limitations. Unless otherwise provided in the Schedule, offers may not be submitted for quantities less than those specified. The Government reserves the right to make an award on any item for a quantity less than the quantity offered, at the unit prices offered, unless the offeror specifies otherwise in the offer.

(i) Availability of requirements documents cited in the solicitation. (1)(i) The GSA Index of Federal Specifications, Standards and Commercial Item Descriptions, FPMR Part 101-29, and copies of specifications, standards, and commercial item descriptions cited in this solicitation may be obtained for a fee by submitting a request to--GSA

Federal Supply Service Specifications Section, Suite 8100, 470 East L'Enfant Plaza, SW, Washington, DC

20407, Telephone (202) 619-8925, Facsimile (202) 619-8978.

(ii) If the General Services Administration, Department of Agriculture, or Department of Veterans Affairs issued this solicitation, a single copy of specifications, standards, and commercial item descriptions cited in this solicitation may be obtained free of charge by submitting a request to the addressee in paragraph (i)(1)(i) of this provision.

Additional copies will be issued for a fee.

(2) Most unclassified Defense specifications and standards may be downloaded from the following ASSIST websites:

(i) ASSIST (http://assist.daps.dla.mil).

(ii) Quick Search (http://assist.daps.dla.mil/quicksearch).

(iii) ASSISTdocs.com (http://assistdocs.com).

(3) Documents not available from ASSIST may be ordered from the Department of Defense Single Stock Point

(DoDSSP) by--

(i) Using the ASSIST Shopping Wizard (http://assist.daps.dla.mil/wizard);

(ii) Phoning the DoDSSP Customer Service Desk (215) 697-2179, Mon-Fri, 0730 to 1600 EST; or

(iii) Ordering from DoDSSP, Building 4, Section D, 700 Robbins Avenue, Philadelphia, PA 19111-5094, Telephone

(215) 697-2667/2179, Facsimile (215) 697-1462.

(4) Nongovernment (voluntary) standards must be obtained from the organization responsible for their preparation, publication, or maintenance.

(j) Data Universal Numbering System (DUNS) Number. (Applies to all offers exceeding $3,000, and offers of

$3,000 or less if the solicitation requires the Contractor to be registered in the Central Contractor Registration (CCR) database. The offeror shall enter, in the block with its name and address on the cover page of its offer, the annotation

―DUNS‖ or ―DUNS +4‖ followed by the DUNS or DUNS +4 number that identifies the offeror's name and address.

The DUNS +4 is the DUNS number plus a 4-character suffix that may be assigned at the discretion of the offeror to establish additional CCR records for identifying alternative Electronic Funds Transfer (EFT) accounts (see FAR

Subpart 32.11) for the same concern. If the offeror does not have a DUNS number, it should contact Dun and

Bradstreet directly to obtain one. An offeror within the United States may contact Dun and Bradstreet by calling 1-

866-705-5711 or via the internet at http://fedgov.dnb.com/webform. An offeror located outside the United States must contact the local Dun and Bradstreet office for a DUNS number. The offeror should indicate that it is an offeror for a Government contract when contacting the local Dun and Bradstreet office.

(k) Central Contractor Registration. Unless exempted by an addendum to this solicitation, by submission of an offer, the offeror acknowledges the requirement that a prospective awardee shall be registered in the CCR database prior to award, during performance and through final payment of any contract resulting from this solicitation. If the Offeror does not become registered in the CCR database in the time prescribed by the Contracting Officer, the Contracting

Officer will proceed to award to the next otherwise successful registered Offeror. Offerors may obtain information

Page 5 of 31 Pages on registration and annual confirmation requirements via the CCR database accessed through https://www.acquisition.gov or by calling 1-888-227-2423 or 269-961-5757.

(l) Debriefing. If a post-award debriefing is given to requesting offerors, the Government shall disclose the following information, if applicable:

(1) The agency's evaluation of the significant weak or deficient factors in the debriefed offeror's offer.

(2) The overall evaluated cost or price and technical rating of the successful and the debriefed offeror and past performance information on the debriefed offeror.

(3) The overall ranking of all offerors, when any ranking was developed by the agency during source selection.

(4) A summary of the rationale for award;

(5) For acquisitions of commercial items, the make and model of the item to be delivered by the successful offeror.

(6) Reasonable responses to relevant questions posed by the debriefed offeror as to whether source-selection procedures set forth in the solicitation, applicable regulations, and other applicable authorities were followed by the agency.

(End of provision)

ADDENDUM TO 52.212-1 -- Instructions to Offerors -- Commercial Items (Feb 2012)

A. To assure timely and equitable evaluation of the proposal, the offeror must follow the instructions contained herein. Offerors are required to meet all solicitation requirements, including terms and conditions, representations and certifications, and technical requirements, in addition to those identified as evaluation factors or subfactors.

Failure to meet a requirement may result in an offer being ineligible for award. All proposals must be based upon

Firm Fixed Prices (FFP), FAR 16.202-1. Offerors must clearly identify any exception to the solicitation terms and conditions and provide complete accompanying rationale.

Complete the necessary fill-ins and certifications in provisions /clauses. The provisions/clauses FAR 52.212-3, 52.209-5, 52.223-3, 252.212-7000 and 252.212-7001 and credentialing attachments shall be returned along with the proposal.

In addition to the factors and subfactors listed below, the offeror shall provide requirements described in

Performance Work Statement (PWS) section 4.6.3 and 4.6.4 for public health clearance and credentialing in-order to begin performance. The proposal shall consist of two (2) separate factors and three (3) subfactors;

FACTOR 1 - TECHNICAL CAPABILITY

SUBFACTOR 1 - Education

SUBFACTOR 2 – Past Experience

SUBFACTOR 3 – Licensure and Certifications

FACTOR 2 – PRICE

B. The contracting officer has determined there is a high probability of adequate price competition in this acquisition. Upon examination of the initial offers, the contracting officer will review this determination and if, in the contracting officer‘s opinion, adequate price competition exists, no additional cost information will be required..

However, if at any time during this competition the contracting officer determines that adequate price competition no longer exists, offerors may be required to submit cost or pricing data. Additionally, an offeror may be asked to https://www.acquisition.gov/

Page 6 of 31 Pages submit information other than cost or pricing data if the contracting officer determines such information is necessary to determine the reasonableness and affordability of the price.

C. Specific Instructions:

Staffing agencies may submit up to three (3) candidates for this proposal. Proposal packages fror a Nurse

Practitioner or a Physician Assistant may be considered.

FACTOR 1 – TECHNICAL CAPABILITY - Limited to no more than 30 pages to include attachments. Any additional pages may not be evaluated or considered as part of the proposal. Submit original and two (2) copies

SUBFACTOR 1 - Education: Submit copies of current and valid education diplomas listed below

Physician Assistant (PA): Copy of a Bachelor‘s Degree of Physician Assistant Studies from a PA educational program accredited by the U.S. Accreditation Review Commission.

Nurse Practitioner: Copy of a Master‘s Degree in Nursing from an accredited institution acceptable to the US

Air Force Surgeon General.

SUBFACTOR 2 – Past Experience: Submit Documentation of name and contact information of recent and relevant contracts or employment with government medical facilities or social work agencies and/or commercial medical facilities.

Physician Assistant (PA): Minimum 24 months of experience as a Physician Assistant within the last 36 months from the closing date of this solicitation.

Nurse Practitioner: Minimum of 6 years nursing experience. Must have 3 years Nurse Practitioner experience and two of those years must be in the last 36 months from the closing date of this solicitation.

Recent is defined as experience acquired within the last three (3) years for Physician Assistant and last nine (9) years for Nurse Practitioner from the closing date of this solicitation. Relevant is defined as past/present performance efforts involved much of the magnitude of effort and/or complexities this solicitation requires such as; experience for case management services as addressed in the PWS. Not

Relevant experience is defined as past/present experience effort that did not involve the magnitude of effort and complexities this solicitation required.

SUBFACTOR 3 – Licensure and Certifications: Submit copies of current and valid lecensure and certificates listed below

Licenses and Certifications for a PA:

- Certification as a Physician Assistant by the National Committee on Certification Physician Assistants

(NCCPA)

- Basic Life Support (BLS) by the American Heart Association.

- Advanced Cardiac Life Support (ACLS) by the American Heart Association.

- Pediatric Advanced Cardiac Life Support (PALS) by the American Heart Association.

- Physician Assistant licensure is required. PA licensure shall be active, valid, unrestricted, and current license (with no limitations, stipulations or pending adverse actions). The contractor shall be in good standing, and under no clinical restrictions with the licensure board in any U.S. state or U.S. territory in which the license is held.

Licenses and Certifications for a Nurse Practitioner:

- Certification as a nurse practitioner by the American Nurses Credentialing Center (ANCC) or the

American Academy of Nurse Practitioners (AANP).

- Basic Life Support (BLS) by the American Heart Association.

- Advanced Cardiac Life Support (ACLS) by the American Heart Association.

Page 7 of 31 Pages

- Pediatric Advanced Cardiac Life Support (PALS) by the American Heart Association.

- Nurse Practitioner licensure is required. PA licensure shall be active, valid, unrestricted, and current license (with no limitations, stipulations or pending adverse actions). The contractor shall be in good standing, and under no clinical restrictions with the licensure board in any U.S. state or U.S. territory in which the license is held.

FACTOR 2 – PRICE - Submit original and one (1) copy. Limited to no more than 10 pages.

(a) Complete blocks 12, 17a, and 30a, b, and c of the SF 1449. In doing so, the offeror accedes to the contract terms and conditions as written in the solicitation, with attachments. The solicitation constitutes the model contract.

(b) Insert proposed unit and extended prices in the pricing schedule for each contract line item number

(CLIN). The extended amount must equal the whole currency unit price multiplied by the number of units. The proposal must be submitted for base performance period plus one (1) option year.

(c) Complete the necessary fill-ins and certifications in all provisions. The provisions FAR 52.212-3, 52.209-

5, 252.212-7000, and 252.212-7001, shall be returned along with the proposal.

(d) Price proposals can be submitted in either U.S. Dollars or Great British Pounds.

D. Documents submitted in response to this RFP must be fully responsive to and consistent with the following:

(1) Requirements of the RFP (CLINs & PWS) and government standards and regulations pertaining to the

PWS.

(2) Evaluation Factors for Award in provision 52.212-2, Evaluation—Commercial Items.

(3) Any limitation on the number of proposal pages. Pages exceeding the page limitations set forth in this solicitation provision will not be read or evaluated, and will be removed from the proposal.

E. Format for proposal Factor I shall be as follows:

*NOTE: The requirement for multiple copies does not apply to electronically submitted proposals.

(1) The proposals will be 8 1/2‖ x 11‖ paper, or European equivalent, except for fold-outs used for charts, tables, or diagrams, which may not exceed 11‖ x 17‖, or European equivalent.

(2) A page is defined as one face of a sheet of paper containing information.

(3) Typing shall not be less than 12 pitch.

(4) Elaborate formats, bindings or color presentations are not desired or required.

F. Further changes to the original clause 52.212-1.

(1) Paragraph 52.212-1(c), Period for Acceptance of Offers is tailored as follows: The offeror agrees to hold the prices in its offer firm for 120 calendar days from the date specified for receipt of offers.

(2) Paragraphs 52.212-1(d) and 52.212-1(h) do not apply to this acquisition.

Documents submitted in response to this solicitation must be fully responsive to and consistent with the following:

1. Requirements of the solicitation (Item Numbers) and Performance Work Statement (PWS), and government standards and regulations pertaining to the PWS.

2. Evaluation Factors for Award.

Proposal Format

ELEMENT TITLE SUBMITTAL # OF COPIES*

VOLUME I Technical Proposal 30 pages maximum 3

VOLUME II Price Solicitation Contract Line

Item Number (CLIN)

Pricing Schedule and the

Data and Extended Pricing

Spreadsheet, if necessary.

10 pages maximum

*The requirements for multiple copies do not apply to electronically submitted proposals.

General Information

INFORMATION REGARDING SUBMISSION OF PROPOSAL: Offerors are encouraged to submit their proposal electronically to: charles.hertenstein@lakenheath.af.mil & darian.vomund@lakenheath.af.mil. To prevent alteration, Page 8 of 31 Pages it is encouraged .PDF files are utilized. Per 52.212-1(2)(i)(A), it is the offeror‘s responsibility to ensure the proposal is sent to the correct Government email address. Please note:

Our email system has a 10 MB limit for attachments. Offerors may send their proposal using multiple emails and it is advised that number systems such as ―email 1 of 4‖ are used so that if requested by the offeror, we can confirm receipt. The requirements for multiple copies do not apply to electronically submitted proposals.

Hand carried proposals must be delivered to the contracting office at Building 977, 1 st Floor, RAF Lakenheath, United Kingdom, IP27 9PN or coordinated with the designated Contracting Specialists for pick-up at installation gate. The sealed envelope or package used to submit your proposal must show the time and date specified for receipt, the Solicitation Number, and the name and address of the offeror. Offerors should allow sufficient time to obtain a visitor pass and arrive at the bid depository PRIOR to the time specified for receipt. Late proposals will be processed in accordance with FAR 52.212-1(f) ―Late submission, modifications, revisions, and withdrawals of offers.‖

Proposals may also be mailed to:

48 Contracting Squadron

Unit 5070 Box 270

APO, AE 09461

Or

48 Contracting Squadron

Bldg. 977, Boston Dr.

RAF Lakenheath, Bandon, Suffolk IP27 9PN

52.212-2 AND ADDENDUM

52.212-2 EVALUATION--COMMERCIAL ITEMS (JAN 1999)

(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:

FACTOR 1 - TECHNICAL CAPABILITY

Subfactor 1 – Education

Subfactor 2 – Past Experience

Subfactor 3 – Licensure and Certifications

FACTOR 2 - PRICE

(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.

Page 9 of 31 Pages

ADDENDA TO 52.212-2 -- Evaluation -- Commercial Items (Jan 1999)

BASIS FOR CONTRACT AWARD: The award will be made to the vendor whose proposal represents the best value to the government. As allowed by FAR 15.101-2, the Lowest Price Technically Acceptable (LPTA) selection process shall be applied. Award will be made to the vendor who is deemed responsible and responsive that reflects a complete understanding of the Performance Work Statement (PWS) and represents the best value to the Government based on selection of the technically acceptable proposal with the lowest evaluated price for non-cost factors. To be eligible for award, a proposal must meet all technical requirements, conform to all required terms and conditions, and provide all information required. The technical area will be evaluated on an ―acceptable‖ or ―unacceptable‖ basis. Under the LPTA source selection process, trade-offs are not permitted, proposals are evaluated for acceptability but not ranked using the non-cost/price factors, and exchanges with offerors may occur. If the proposal received is determined to be unacceptable, the vendor may be excluded from competition and may not be considered for award.

A. EVALUATION FACTORS FOR AWARD: Two (2) separate evaluation factors will be used to evaluate proposals: Factor 1- Technical Capability and Factor 2 - Price.

FACTOR 1 - TECHNICAL CAPABILITY PROPOSAL:

As a result of the government‘s evaluation of the aforementioned technical sub-factors and all associated elements accordingly, a determination of acceptable or unacceptable will be assigned for this factor of Technical

Acceptability using the following ratings and descriptions:

Technical Acceptable/Unacceptable Ratings

Rating

Description

Acceptable

Proposal clearly meets the minimum requirements of the solicitation as identified in subfactors: Education, Past

Experience and Licensure and Certifications. All sub-factors have passed the evaluation.

Unacceptable

Proposal clearly does not meet the minimum requirements of the solicitation. Each sub-factor must pass the evaluation in order for the technical factor to pass. Failure to address any sub-factor will deem an offer technically unacceptable.

The government will evaluate technical proposals and the below listed sub-factors on a pass/fail-basis, assigning ratings of acceptable, or unacceptable. An unacceptable rating for any of the below sub-factors will result in an unacceptable rating for this Technical Capability primary factor. Accordingly, under the LPTA source selection approach, offerors who receive an unacceptable rating for this factor, may not be considered for award. If any single area receives a rating of unacceptable, the entire plan will be rated as Unacceptable. Technical Acceptability shall be evaluated against the following sub-factors:

SUBFACTOR 1 – Education: This subfactor is met when an offeror thoroughly, completely, and accurately submits copy of provider‘s graduation diploma for:

Physician Assistant (PA): Copy of Bachelor‘s Degree of Physician Assistant Studies from a PA educational program accredited by the U.S. Accreditation Review Commission.

Page 10 of 31 Pages

Nurse Practitioner: Copy of Master‘s Degree in Nursing from an accredited institution acceptable to the

US Air Force Surgeon General.

The 48 th

Medical Group will verify education for validity and currency by contacting the issuing institution(s).

SUBFACTOR 2 - Past Experience: This subfactor will be met when an offeror thoroughly, completely, and accurately submits recent and relevant documentation for:

Past Experience necessary for a PA: Minimum 24 months of experience as a Physician Assistant within the last 36 months from date of close of solicitation.

Past Experience necessary for a Nurse Practitioner: Minimum of 6 years nursing experience. Must have 3 years Nurse Practitioner experience and two of those years must be in the last 36 months from date of close of solicitation.

Recent is defined as experience acquired within the last three (3) years for Physician Assistant and the last nine (9) years for Nurse Practitioner from the closing date of this solicitation. Relevant is defined as past/present performance efforts involved much of the magnitude of effort and/or complexities this solicitation requires such as; experience for case management services as addressed in the PWS. Not

Relevant experience is defined as past/present experience effort that did not involve the magnitude of effort and complexities this solicitation required.

Documentation consists of name and contact information of recent and relevant contracts or employment with government medical facilities or social work agencies and/or commercial medical facilities. The government will contact submitted names to verify offeror‘s past experience.

Medical Group will verify experience for validity and currency by contacting the issuing institution(s).

SUBFACTOR 3 – Licensure and Certifications: This subfactor is met when an offeror thoroughly, completely, and accurately submits copies of all of the following criteria listed in this subfactor.

Licenses and Certifications for a PA:

- Certification as a Physician Assistant by the National Committee on Certification Physician Assistants

(NCCPA)

- Basic Life Support (BLS) by the American Heart Association.

- Advanced Cardiac Life Support (ACLS) by the American Heart Association.

- Pediatric Advanced Cardiac Life Support (PALS) by the American Heart Association.

- Physician Assistant licensure. PA licensure shall be active, valid, unrestricted, and current license (with no limitations, stipulations or pending adverse actions). The contractor shall be in good standing, and

Page 11 of 31 Pages under no clinical restrictions with the licensure board in any U.S. state or U.S. territory in which the license is held.

Licenses and Certifications for a Nurse Practitioner:

- Certification as a nurse practitioner by the American Nurses Credentialing Center (ANCC) or the

American Academy of Nurse Practitioners (AANP).

- Basic Life Support (BLS) by the American Heart Association.

- Advanced Cardiac Life Support (ACLS) by the American Heart Association.

- Pediatric Advanced Cardiac Life Support (PALS) by the American Heart Association.

- Nurse Practitioner licensure. PA licensure shall be active, valid, unrestricted, and current license (with no limitations, stipulations or pending adverse actions). The contractor shall be in good standing, and under no clinical restrictions with the licensure board in any U.S. state or U.S. territory in which the license is held.

Medical Group will verify licensure and certifications for validity and currency by contacting the issuing institution(s).

FACTOR 2 - PRICE EVALUATION.

An offeror’s proposed prices will be verified by multiplying the quantities identified for each item number in the price schedule by the proposed unit price to confirm the extended amount for each price schedule item. The extended price, to include option year, for each item will be added together to arrive at a total evaluated price. As this requirement is a “commercial” service that will result in a “firm-fixed-priced” contract, a comparison of offeror’s proposed, competitive prices will satisfy the requirement for price analysis. The price evaluation will be accomplished by conducting price analysis to assess and compare proposed prices and reasonableness of the proposed total evaluated price as defined in FAR 15.404-1 and FAR 15.305.

Firm-fixed-price contract provides for a price that is not subject to any adjustment on the basis of the contractor‘s cost experience in performing the contract. (FAR 16.202-1)

B. AWARD DETERMINATION: As a result of the Government‘s aforementioned evaluation, only those offerors whose proposals are determined to be technically acceptable, and either initially or as a result of discussions, will be considered for award. No trade-offs will be permitted between price, and the non-price factor of technical capability. Upon completion of the Government‗s initial evaluation, Evaluation Notices (ENs) may be issued to offerors within the competitive range, if a competitive range has been established. Once discussions, if conducted, have been concluded, the contracting officer will request a Final Proposal Revision (FPR). Of those offerors found technically acceptable, the award will be made to the lowest priced offeror whose price is determined to be reasonable, realistic, and affordable.

Additional Information for Offerors:

Offerors are cautioned to submit sufficient information and in the format specified in 52.212-1, Instructions to

Offerors—Commercial Items. Offeror‘s may be asked to clarify certain aspects of their proposal (for example, the relevance of past experience information or to resolve minor clerical errors). These communications will not constitute discussions and the contracting officer reserves the right to award a contract without the opportunity for proposal revision. The Government intends to award a contract without discussions with respective offerors.

However, the Government reserves the right to conduct discussions if deemed in its best interest.

(end of provision)

PERFORMANCE WORK STATEMENT

Page 12 of 31 Pages

FOR

PDHRA Nurse Practitioner/Physician’s Assistant

AT

RAF LAKENHEATH, UNITED KINGDOM

PDHRA Nurse Practitioner/Physicians Assistant

Non-Personal Services

1 SCOPE OF WORK. The Government requires one (1) Full Time Equivalent (FTE)

PDHRA, which can be fulfilled by either a Family Health Nurse Practitioner or Physician

Assistant for this contract at the established facilities at the 48th Medical Group, RAF

Lakenheath, England, also referred to as the ―Medical Treatment Facility‖ (MTF) herein.

Performance shall be in accordance with the requirements contained in this Performance Work

Statement (PWS), and standards of the Joint Commission and Health Services Inspection (HSI).

1.1 If the vendor is a US military dependant, please disclose DEROS information. Additionally, prospective vendors shall provide pricing only on those option CLINs in which they will be available to perform in their entirety or specify their availability within the performance period of any CLIN if not available for the entire year.

2 GENERAL CONTRACTOR REQUIREMENTS AND RESPONSIBILITIES

2.1 HOURS OF WORK. The contractor's work schedule will be determined by the flight commander based on the needs of the clinic or floor in which the contractor is to provide the service. The contractor may be required to work more than 8 hrs in a single day or 40 hours in a week and holidays. However, under no circumstances will the contractor earn premium pay. All hours in excess of 40 hours, weekend or night shift hours will be paid at the same hourly rate as regular hours of work. If additional hours are worked, the Government may reduce future scheduled hours to maintain a 40 hour work week average. All hours worked will be recorded accurately on the work schedules. Under no circumstances are the work schedules to reflect hours worked when the contractor was absent or vice versa.

2.1.1 On occasion, services may be required to support an activation or exercise of contingency plans outside the normal duty hours for a crisis declared by the national command authority or overseas combatant commander. Emergency situations (i.e., accident and rescue operations, civil disturbances, natural disasters, military contingency operations, and exercises) may necessitate the contractor provide increased or reduced support as determined by the contracting officer. If necessary, the Government will negotiate an equitable adjustment for the cost of these emergency requirements.

2.1.2 As directed by the MTF, will be required to attend Government provided additional training in patient care aspects and procedures.

2.2 INDIVIDUAL LOGISTICAL SUPPORT. Individual logistical support is provided under this contract in accordance with FAR 25.802, DFARS 225.802, and the policies and procedures of DoD 4525.6-M and AFI 36-3026. Policies and procedures are subject to change. Examples of support are: DOD Common Access Card (CAC); Commissary (including rationed items); Base

Exchange (including rationed items); MWR Facilities (e.g. chapels, clubs, cinema, fitness center); Military Banking Facilities; Military Postal Service (APO/FPO); Mortuary Services (on reimbursable basis); POV (Privately-Owned Vehicle license); Purchase of POL (Petroleum and

Oil products); Transient Billets or Visiting Officers Quarters (VOQ) on space-available and reimbursable basis when travel is performed on Official Government Orders; Department of

Defense Dependent Schools (DODDS) on a space guaranteed and tuition paying basis; Medical services on a reimbursable basis; Dental care only for emergency conditions on a reimbursable basis; Pet/Firearm Registration and Control and Housing Referral.

2.2.1 Logistical support is not authorized for Local National hires as it is forbidden by the Status of Forces Agreement (SOFA). Local National hires may be authorized a CAC if their duties require access to Government computer programs.

2.3 ABSENCE. Scheduled absences (i.e. leave or holidays) are to be coordinated a minimum of 2 weeks in advance. Notify the Flight Commander or designee immediately of unscheduled absences to allow for planning of service coverage and workload distribution.

2.3.1 The MTF will notify contract personnel in advance of upcoming down days to the greatest extent possible for scheduling purposes. In the event of unplanned closure of the facility due to natural disasters, military emergency, or severe weather, contract employees will not perform duties and the Government will not be charged billable hours.

2.3.2 The contractor is required to provide temporary replacement staff for Contractor personnel absences, scheduled or unscheduled, of more than or equal to 30 calendar days.

2.4 DRESS AND APPEARANCE. Contractor personnel shall present a professional, conservative, and neat appearance. Contractor personnel shall report for duty in a professional manner, in appropriate attire befitting a health care setting, and having complied with socially acceptable standards of personal hygiene expected of health care workers.

2.4.1 While on duty, Contractor personnel shall be neat and clean (free from visible dirt and stains), well groomed and appropriately dressed. The personnel‘s clothing shall fit correctly to provide a professional, modest appearance, in keeping with normally accepted community standards of dress for the work being performed.

2.4.2 Contractor personnel shall display legible MTF-provided identification media on their outer clothing.

2.4.3 Facial hair (including beards, mustaches, and sideburns) shall be controlled (restrained) or trimmed. It shall not interfere with safe work practices, look unkempt, or be unclean.

2.4.4 When required and supplied by the Government, wear special protective clothing and shoe covers. When duties will be performed in specified areas, a disposable protective hood shall be worn to ensure infection control standards are met. These items shall remain the property of the

Government and shall not be removed from the MTF. After use, protective clothing shall be turned in or destroyed as directed by the Chief of Service.

2.5 OFFICE SKILLS. Contractor staff shall possess working knowledge of computers, specifically the internet, Microsoft Word, Microsoft Access, Microsoft Excel, and Windows

Operating System.

2.6 SECURITY.

2.6.1 See Appendix 1 for information regarding Host Agency Checks (HAC) and National

Agency Checks (NAC).

2.6.2 During performance, report any information or circumstances observed that may pose a threat to the security of DoD personnel, contractor personnel, resources, and defense information to the Security Forces. The Flight Commander will brief the contractor upon initial on-base assignment and as required thereafter. Comply with the requirements of Volume 1, AFI 71-101, Criminal Investigations, and paragraph 1.1 of Volume 2, Protective Service Matters.

2.6.3 Adhere to local base procedures for entry to Air Force controlled/restricted areas.

2.6.4 Ensure keys issued by the government are properly safeguarded and not used by unauthorized personnel. Do not duplicate keys issued by the government.

2.6.5 Lost keys shall be reported immediately to the facility manager. The government replaces lost keys or performs re-keying.

3 HEALTHCARE REQUIREMENTS.

3.1 In accordance with Federal Acquisition Regulation 37.401 with regard to Non-Personal

Services for health care services, the following information is provided:

3.1.1 This is a NON-PERSONAL health care services contract, as defined in FAR 37.101, under which the contractor is an independent contractor.

3.1.2 The Government may evaluate the quality of professional and administrative services provided, but retains no control over the medical, professional aspects of services rendered (e.g., professional judgments, diagnosis, for specific medical treatment).

3.1.3 The contractor hereby indemnifies the Government for any liability producing act or omission by the contractor, its employees and agents occurring during contract performance.

3.2 Contractor staff must comply with 48

Medical Group and unit standards of care as well as the healthcare practices of their specific profession. See Appendix 2 for a list of applicable publications and forms; this list is not exhaustive.

3.2.1 Recognize adverse signs and symptoms and react quickly in emergency situations.

3.2.2 Provide patients with the utmost care and undivided attention.

3.2.3 Ensure a safe work environment and employee safe work habits.

3.2.4 Participate in Quality Inspection and Risk Management activities to the extent that falls within the scope of this PWS.

3.3 HIPAA. All patients shall be assured of their privacy and personal dignity. Follow guidelines for confidentiality and privacy based on the Health Insurance Portability and

Accountability Act (HIPAA). See Appendix 3 for more information.

3.4 RELEASE OF INFORMATION AND RECORDS MANAGEMENT.

3.4.1 Only release medical information obtained during the course of this contract to MTF staff involved in the care and treatment of that individual patient.

3.4.2 Lists and/or names of patients shall not be disclosed or revealed in any way for any use outside the MTF without prior written permission by the Chief of Hospital Services.

3.4.3 Refer all other requests for records to the Outpatient records center.

3.4.4 Prepare all documentation/records to meet or exceed established standards of the MTF, to include, but not limited to, timeliness, accuracy, content and signature. Only MTF and Air Force-approved abbreviations shall be used for documentation of the patient health record. For unapproved abbreviation list see MDGI 44-116, attch 2 and 3.

3.4.5 Generate and manage IAW DoD 5400-7R, DoD Freedom of Information Act Program, Chapter 4; AFI 33-129, Web Management and Internet Use, paragraphs 7.4, 8.2.3, 16 and 17;

and AFI 33-201, Communications Security (COMSEC), Table 1.

3.4.6 Mark IAW instructions identified in DoD 5400-7R paragraph C4.2.1. Safeguard all sensitive data IAW DoD Regulation 5400.7/Air Force Supplement, paragraph C4.4.

3.4.7 When authorized for destruction, shred the records so that the pieces cannot be reconstructed. Degauss or overwrite magnetic tapes or other magnetic media.

3.4.8 Patient lists, no matter how developed are FOUO and shall be marked: ―FOR OFFICIAL

USE ONLY. This document contains information exempt from mandatory disclosure under the

Freedom of Information Act (FOIA), Title 5 U.S.C. 552(b)(2) High and (b)(6) apply.”

4 POSITION QUALIFICATION REQUIREMENTS.

4.1 BACKGROUND: The health and well-being of deployers is the cornerstone of our war-fighting capabilities. For this reason, their health is proactively monitored and managed before, during, and after deployment in support of contingency operations. In accordance with

Department of Defense (DoD) policy, the Air Force administers several Deployment Health

Assessments (DHAs) at specific intervals throughout the deployment cycle. These assessments are:

DD Form 2795, Pre-Deployment Health Assessment

Automated Neuropsychological Assessment Metrics (ANAM) Test

DD Form 2796, Post-Deployment Health Assessment (PDHA)

DD Form 2900, Post-Deployment Health Reassessment (PDHRA)

Four Deployment Resiliency Assessments (DRAs)

DHA activities are required for outside the Continental United States (OCONUS) deployments greater than 30 days with non-fixed U.S. medical treatment facilities.

4.2 PURPOSE: DHAs allow for the early identification and management of deployment-related health concerns that may surface in the months before or after deployment. They are a vital component of the Air Force‘s ability to provide effective care and treatment for members with deployment-related health concerns. There are four key elements of the DHA mission:

4.2.1 Outreach: Reach out to each deployer. This is a positive outreach message that demonstrates the understanding that deployments can impact health, that deployers‘ efforts are respected, and that their quality of life is important.

4.2.2 Early Identification: Early, proactive identification of health concerns facilitates definitive treatment and reduces probability of chronic issues, increased health care costs, and individual distress.

4.2.3 Education: DHAs rely heavily on the delivery of multiple levels of education to multiple audiences in the process, including deployers, leaders, and clinicians. Educating patients about their individual deployment-related health concerns is critical.

4.2.4 Access to Care: Effective education and outreach ensure deployers know the range and avenue for accessing care, receive assistance in finding easy access to timely appointments, and obtain appropriate referral or follow-up care.

4.3 Personnel Qualifications

4.3.1 PDHRA Nurse Practitioner/Physicians Assistant. To fill this position, two types of background and experience are acceptable; Nurse Practitioner or Physicians Assistant. The following sections detail the education, experience and licensure and certifications necessary.

4.4 Education

4.4.1 Physician Assistant (PA). PA must have a Bachelor‘s Degree of Physician Assistant

Studies from a PA educational program accredited by the U.S. Accreditation Review

Commission.

4.4.2 Nurse Practitioner. Nurse Practitioner must hold a Master‘s Degree in Nursing from an accredited institution acceptable to the US Air Force Surgeon General.

4.5 Experience:

4.5.1 Physician Assistant (PA). Minimum 24 months of experience as a Physician Assistant within the last 36 months from date of beginning of performance.

4.5.2 Nurse Practitioner: Minimum of 6 years nursing experience. Must have 3 years Nurse

Practitioner experience and two of those years must be in the last 36 months from date of beginning of performance.

4.6 Licensure and Certifications:

4.6.1 Physician Assistant (PA).

- Certification as a Physician Assistant by the National Committee on Certification Physician

Assistants (NCCPA)

- Basic Life Support (BLS) by the American Heart Association.

- Advanced Cardiac Life Support (ACLS) by the American Heart Association.

- Pediatric Advanced Cardiac Life Support (PALS) by the American Heart Association.

- Physician Assistant licensure is required.