Question Answer Matrix FINAL 2.0.xlsx

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Aeromedical Case Management Support
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FA664326Q0004
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This file is a Question and Answer Matrix containing 115 official Government responses to industry inquiries regarding the Aeromedical Case Management Support solicitation (FA664326Q0004). The Q&A Matrix serves as a clarification document addressing vendor questions submitted during the question submission period, which closed prior to the original solicitation deadline. The document provides authoritative guidance on solicitation requirements, evaluation criteria, technical specifications, and administrative procedures to ensure a fair and transparent competitive environment.

The Q&A Matrix was finalized in two iterations: Amendment 0001 published 101 responses, and a subsequent administrative update on 10 August 2026 added 14 additional responses from a vendor whose timely questions were not initially received due to technical email transmission issues, bringing the total to 115 official Government answers. This clarification document is essential for all offerors preparing quotations for this Small Business set-aside (100%) RFQ, which requires submission of non-personal Aeromedical Case Management support services by 4:00 PM EDT on 18 August 2026. The Q&A Matrix works in conjunction with the amended Performance Work Statement, updated Pricing Worksheet, and other solicitation attachments issued under Amendment 0001, all of which must be utilized for final submissions.

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Sheet1

FA664326Q0004 - AEROMEDICAL CASE MANAGEMENT SUPPORT

QUESTIONS & ANSWERS

#QUESTIONSUSG ANSWER
CATEGORY 1: Incumbent & Historical Staffing
1Is this requirement presently being performed under contract? If so, please identify the incumbent contractor, contract number, and current period of performance.This is a new commercial services requirement. The support described in the Performance Work Statement (PWS) is currently performed by Government personnel. As this is a Performance-Based Service Acquisition (PBSA), the Government will not be providing an estimated Full-Time Equivalent (FTE) count or labor hour estimate. Offerors are directed to the historical workload data provided in PWS Section 2.5 and are responsible for proposing their own innovative and efficient staffing solution sufficient to meet all performance requirements, including the 15% surge threshold.
2Please provide the incumbent or historical number of FTEs, labor categories, and annual productive labor hours used to perform this requirement, if available.Please see response to Q# 1
3Is this a new requirement (greenfield) or a recompete of an existing contract?Please see response to Q# 1
4If a recompete, please identify the incumbent and confirm whether incumbent pricing or performance data is available to offerors.Please see response to Q# 1
5How many Full-Time Equivalent (FTE) personnel historically staffed this contract?Please see response to Q# 1
6Does the Government have an estimated FTE count or estimated total monthly labor hours for this requirement?Please see response to Q# 1
7If an incumbent contract exists, please provide the incumbent's name, current contract number, current annual value, and the number of contractor FTEs currently performing.Please see response to Q# 1
8Please identify how many reservists (or other military manpower) are supporting this program today, and confirm whether this contract is intended to replace, backfill, or augment that manpower, and whether any of it will remain in place concurrently with contractor performance.Please see response to Q# 1
9Will the Government please provide the most recent incumbent contractor's name and contract number, if applicable.Please see response to Q# 1
10How many FTEs is the Government currently utilizing to fill the requirement?Please see response to Q# 1
11Could the Government please provide the estimated level of effort (e.g., estimated FTEs or labor hours) used in developing the Independent Government Cost Estimate (IGCE) for this requirement?Please see response to Q# 1
12To ensure pricing realism and consistency across all offerors' technical staffing matrices (Standard C), can the Government provide the historical Full-Time Equivalent (FTE) staffing count and key labor categories currently performing aeromedical case management support services at HQ AFRC?Please see response to Q# 1
13Is this requirement currently filled by XXXX LLC or is there another incumbent that the Government could share?Please see response to Q# 1
14Who is the incumbent contractor, and what is the current contract number?Please see response to Q# 1
15Is the effort currently fully staffed?Please see response to Q# 1
16If not, which labor categories have vacancies, and how many positions are vacant in each category?Please see response to Q# 1
17How many labor categories support this effort, and how many staff are assigned to each category?Please see response to Q# 1
18Are all staff full time?Please see response to Q# 1
19If not, how many are part time, what labor categories do they support, and how many hours per week do they work?Please see response to Q# 1
20Please provide the current labor mix for this effort, including the number of employees assigned to each labor category.Please see response to Q# 1
CATEGORY 2: Incumbet Workforce Transition
21Will the Government facilitate incumbent workforce transition or provide incumbent personnel contact information to the successful offeror following award?As stated above, this is a new commercial requirement currently performed by Government personnel. There is no incumbent contractor. The successful offeror will be required to shadow Government staff during the 30-day Phase-In period as described in the PWS. The Government will not facilitate the hiring of any current Government personnel.
22Please confirm whether an incumbent contractor currently performs this requirement, and if so, whether the incumbent will be contractually obligated to support outgoing Phase-Out coordination (SOPs, records, data) with the incoming contractor under §3.6.2.Please see response to Q#21
CATEGORY 3: Pricing & Cost Data Requirements
23This is a commercial-services acquisition conducted under RFO Part 12, with adequate price competition anticipated among small business/WOSB offerors. Under RFO/FAR 15.403-1(b)(3), certified cost or pricing data is not required for commercial services regardless of dollar value, and RFO/FAR 15.402(a) and 15.403-3(a) direct the Government to limit requests for data other than certified cost or pricing data to the minimum necessary to establish price reasonableness — relying on price analysis of competing FFP quotes (RFO/FAR 12.209, 15.404-1(a)(2)-(3), (b)) rather than a cost-analysis-style build-up.
Will the Government reconsider the requirement to submit direct labor rate, fringe/H&W, overhead %, G&A %, and profit/fee % by labor category (plus a narrative of "material pricing assumptions") for the Base Period and all four Option Periods, and confirm that Total FFP price by CLIN — supported only by proposed FTEs and productive hours per labor category for staffing-realism purposes — is sufficient to establish price reasonableness given the anticipated level of competition?The Government has considered the request; however, the requirement to submit the detailed labor rate and pricing buildup remains unchanged.

While the Contracting Officer anticipates adequate price competition to determine that the proposed price is fair and reasonable, the detailed breakdown is required to perform a Price Realism and Staffing Realism Analysis. Under the commercial acquisition procedures of RFO Part 12, the Government will utilize this data to:

1) Verify statutory compliance with the Service Contract Act (SCA) (48 CFR Part 22), ensuring that proposed hourly rates and fringe benefits meet or exceed the mandated Department of Labor Wage Determination.

2) Assess the technical viability and realism of the proposed staffing model (FTE count and labor mix) against the historical workload volumes in PWS Section 2.5, mitigating the risk of an underpriced or understaffed proposal that would jeopardize mission execution.

Accordingly, offerors must submit the Pricing Worksheet (Attachment 3) fully completed as instructed.

CATEGORY 4: Excel Pricing Worksheet
24In the Labor Rate Buildup tabs, the fringe column heading permits entry as either a dollar amount or a percentage, while the fully burdened rate formula adds the fringe entry directly to the hourly labor rate. Please confirm that fringe is to be entered as a dollar amount per labor hour.The Pricing Worksheet (Attachment 3) is designed to dynamically accept and calculate fringe benefits entered as either a direct dollar amount per labor hour (e.g., $4.98) or as a percentage of the direct labor rate (e.g., 15.0%).

The formulas built into the spreadsheet will automatically recognize the entry format and correctly apply the subsequent indirect rates (Overhead, G&A) and profit/fee to calculate the final Fully Burdened Hourly Rate. Offerors may utilize whichever entry method aligns with their standard corporate accounting practices.

25 The "Monthly FFP Rate" cells on the CLIN Summary tab (F3:F7) appear to be independent manual-entry fields rather than formulas linked to the "Annual Extended Labor Value" totals. Please confirm whether offerors must manually transcribe these totals into the CLIN Summary tab, or whether a corrected workbook with linked formulas will be issued. Confirmed. Offerors must manually transcribe the calculated totals from the individual Labor Rate Buildup tabs into the corresponding "Monthly FFP Rate" cells on the CLIN Summary tab (Cells F3:F7).

This manual entry is required as an administrative check-and-balance to ensure active reconciliation between the offeror’s granular cost buildup and their high-level proposed Firm-Fixed-Price. The Contracting Officer will utilize this manual transcription to verify that the proposed CLIN pricing perfectly mirrors the underlying basis of estimate and that no formulas were modified or broken during quote preparation.

26 Each period in the Labor Rate Buildup provides four labor-category input rows. If an offeror's proposed staffing approach requires more than four labor categories, how should the additional categories be presented without altering the workbook structure or formulas? The Government will issue an amended Pricing Worksheet (Attachment 3) via Amendment 0001 that expands the number of available labor-category input rows from four (4) to ten (10) for each period of performance.

To ensure the integrity of the evaluation, offerors must not unprotect, alter, or modify the underlying structure, columns, or locked formulas of the worksheet. If an offeror’s proposed labor mix requires more than ten (10) labor categories, they must group similar functional roles (under a single representative labor category with a blended rate) and provide a detailed explanation of the sub-categories within their administrative pricing narrative.

27 The example Productive Hours/FTES on the provided Pricing Worksheet (Attachment 3) reflects 1,920. Based on our current understanding of Holidays, the hours for an FTE would be 1,912. Can the Government confirm that 1,912 hours should be utilized as the basis? The 1,920 productive hours per FTE shown in the Pricing Worksheet (Attachment 3) is provided strictly as an example.

As this is a Firm-Fixed-Price (FFP) commercial service contract, the Government does NOT mandate a specific productive hour baseline for offerors' internal cost-buildup models. Offerors must propose a realistic, commercially standard number of productive hours per FTE that aligns with their corporate accounting practices, standard fringe benefit packages (e.g., paid time off, sick leave, corporate training), and the federal holidays and facility closures established in PWS Section 3.6. Offerors may modify the "Productive Hours / FTE" cell in the Pricing Worksheet to reflect their actual proposed basis of estimate.

28 Using the provided Pricing Worksheet (Attachment 3), we are seeing a different result due to our company's standard accounting practice. Is the Government willing to provide the hidden formulas in Column L of the Labor Rate Buildup sheet so that bidders can determine how to build up the fully burdened rates? Please see the following formula Fully Burdened Hourly Rate=[(Direct Labor Rate+Fringe Rate)×(1+Overhead %)×(1+G&A %)]×(1+Profit/Fee %)

Offerors are advised that this standardized commercial buildup is the baseline model for the Government's price realism evaluation. If an offeror's standard corporate accounting practices utilize a different sequential allocation of indirect rates, they must explain their specific accounting adjustments and variances in their brief administrative pricing narrative.

29 A potential difference could be with the application of Overhead. Is the Government's application of Overhead strictly on direct labor? Please consider allowing the formulas to editable or, at a minimum, readable. The formulas in the primary Pricing Worksheet (Attachment 3) must remain locked and protected to ensure a standardized baseline for the Government's evaluation. The spreadsheet calculates Overhead by applying the proposed Overhead percentage directly to the sum of the Direct Labor Rate and the Fringe/H&W Rate.

However, the Government recognizes that standard corporate cost accounting structures vary. If an offeror's standard corporate accounting practices utilize a different sequential allocation of indirect rates that cannot be accurately represented within the locked template, the offeror may submit an additional, un-locked Standard Corporate Accounting Practices Worksheet (as a separate Excel attachment) alongside their brief pricing narrative.

At a minimum, any separate or alternative pricing submission must include the same baseline rates and data points required in the primary Pricing Worksheet (Attachment 3). Specifically, the separate submission must disclose the:

(1) Proposed Labor Category and corresponding SCA Code mapping; (2) Anticipated number of FTEs and Productive Hours; (3) Raw Direct Labor Rate (Hourly); (4) Fringe/H&W Rate (Hourly); (5) Overhead, G&A, and Profit/Fee percentages; (6)Resulting Fully Burdened Labor Rate (FBLR) for each category across all periods

The offeror must still complete the primary CLIN Summary tab in Attachment 3 to reflect their final proposed monthly Firm-Fixed-Price.

CATEGORY 5: Service Contract Act (SCA) & Wage Rates
30The example row in each Labor Rate Buildup section references occupation code 12190 for Medical Record Technician. Wage Determination 2015-4495 lists Medical Record Technician as occupation code 23190. Please confirm the occupation code the Government expects offerors to use.The Government has reviewed the attached Service Contract Act (SCA) Wage Determination 2015-4495, Revision 31. In accordance with that document, the correct Department of Labor (DOL) occupation code for Medical Record Technician is 12190. The example provided in the Pricing Worksheet (Attachment 3) is therefore correct.

Please note: The reference to code 12190 was provided strictly as a formatting example. Offerors are encouraged to propose and apply whichever labor categories and corresponding SCA occupation codes they determine best suit the duties, responsibilities, and qualifications outlined in the PWS. The Government will not provide a job series or labor category recommendation. Offerors are solely responsible for ensuring their proposed labor categories accurately map to the attached Wage Determination and comply with all SCA requirements.

31 Please confirm that Wage Determination 2015-4495, Revision 31, dated 13 May 2026, is the wage determination that will be incorporated at award. Confirmed. Wage Determination 2015-4495, Revision 31, dated 13 May 2026, is currently incorporated into this solicitation and is anticipated to be the governing wage determination at award.

However, if the Department of Labor (DOL) issues an updated Wage Determination prior to the close of the solicitation or before contract award, the Government will incorporate the updated version via a formal solicitation amendment. Offerors will be given the opportunity to adjust their pricing if necessary.

32 Will the Government provide the applicable equivalent federal wage rates? FAR 52.222-42, Statement of Equivalent Rates for Federal Hires, is included in the solicitation but the table is blank. The Government will populate the table within FAR 52.222-42, Statement of Equivalent Rates for Federal Hires, via Amendment 0001.

For information purposes, the equivalent federal civilian classifications, GS grades, and corresponding 2026 hourly rates for the Rest of U.S. (RUS) locality pay area (applicable to Robins AFB, GA) are as follows:

| Class of Service Employee | Equivalent Federal Grade & Step | 2026 Hourly Equivalent Rate | | Aeromedical Administrative Specialist | GS-05, Step 1 | $19.52 / hour | | Medical Case Manager | GS-06, Step 1 | $21.76 / hour | | Lead Medical Case Manager | GS-07, Step 1 | $24.18 / hour Note: These equivalent federal rates are provided strictly for informational purposes as required by law and do not represent mandated minimum contractor wages, which are solely governed by the attached Department of Labor SCA Wage Determination.

33 Which specific Department of Labor SCA occupational titles are currently in use under the existing contract? As stated in the response to Category 1, this is a new commercial requirement currently performed by Government personnel. There is no existing contract; therefore, there are no prior Department of Labor (DOL) Service Contract Act (SCA) occupational titles in use.

Offerors are solely responsible for reviewing the duties, responsibilities, and qualifications outlined in the PWS and mapping their proposed labor categories to the appropriate SCA occupational titles in the attached Wage Determination (Attachment 4).

34Regarding FAR 52.222-42 Statement of Equivalent Rates for Federal Hires on page 15 of the Solicitation: Is the Government willing to provide/identify the classes of service employees expected to be employed under the contract and state the wages and fringe benefits payable to each?Please see the response to Q# 32
35If the required qualifications exceed the Medical Record Technician classification, will the Government accept an alternate SCA mapping, or does it anticipate an SF-1444 conformance action after award?The Government will accept any viable alternate mapping to existing classifications on the attached Wage Determination (Attachment 4), provided the offeror clearly demonstrates in their technical proposal how the proposed labor category aligns with the duties, responsibilities, and qualifications defined in the PWS.

If an offeror proposes a specialized labor category that cannot be mapped to any existing classification in the attached Wage Determination, the contractor must initiate an SF-1444 Conformance Action after award in accordance with 48 CFR 52.222-41(c). The Government does not anticipate initiating a pre-award conformance action.

CATEGORY 6: Teaming & Subcontractor Experience
36For Standard A (Prior Experience) and Standard B (System Experience), will the Government evaluate the relevant corporate experience of proposed first-tier subcontractors or teaming partners? Will the Government also consider experience that proposed key personnel obtained while employed by another organization? If either is acceptable, should the quotation identify which entity or individual performed each cited project?Yes, the Government will evaluate the relevant corporate Prior Experience (Standard A) and System Experience (Standard B) of proposed first-tier subcontractors or teaming partners, provided the following conditions are met:

(1) A signed, binding Teaming Agreement or formal Letter of Commitment between the prime offeror and the subcontractor/teaming partner must be included in the Technical Volume.

(2) The offeror’s proposal must clearly and explicitly identify which entity (the prime offeror or the subcontractor) performed each cited project in the Prior Experience table and the System Experience narrative.

The Government will not consider the experience of individual key personnel obtained while employed by another organization as evidence of the offeror's corporate experience. The experience cited must belong to the corporate entities (prime or subcontractor) identified in the quotation. Failure to clearly delineate which entity performed the work may result in that experience not being considered during the evaluation.

37 Pursuant to FAR 15.305(a)(2) and SBA regulations (13 CFR § 125.2), will the Government evaluate the prior experience (Standard A) and system expertise (Standard B) of a prime offeror's major subcontractor or corporate affiliate entity, provided a formal Teaming Agreement is submitted? This acquisition is a commercial service procurement conducted under the streamlined procedures of RFO Part 12; therefore, the formal evaluation procedures of FAR Part 15 (including FAR 15.305) do not apply to this requirement.

However, in accordance with Small Business Administration (SBA) regulations under 13 CFR § 125.2, the Government will evaluate the recent and relevant corporate Prior Experience (Standard A) and System Experience (Standard B) of a prime offeror's proposed first-tier subcontractor or corporate affiliate entity, provided:

A signed, binding Teaming Agreement or formal Letter of Commitment between the prime offeror and the proposed subcontractor/affiliate is included in the Technical Volume.

The quotation clearly and explicitly identifies which corporate entity performed each cited project in the required tables and narratives.

Refer to the response to Q# 36 for the specific conditions and formatting required for teaming submissions.

CATEGORY 7: Technical Evaluation - System Experience
38Standard B permits an offeror to demonstrate capability through a detailed crosswalk from equivalent Government or commercial healthcare systems. Please confirm that a quotation supported solely by such a crosswalk, without direct AIMWTS, ECT, or PEPP experience, remains eligible for an Acceptable rating under Standard B.Confirmed. In accordance with the Addendum to RFO 52.212-2, Factor 1, Standard B, a quotation may be rated "Acceptable" for System Experience if it provides a detailed and credible crosswalk demonstrating how the offeror's experience with equivalent government or commercial healthcare systems directly translates to the capability required to perform the functions within the specified Air Force systems.

The Government will evaluate the detail, specificity, and realism of the provided crosswalk to determine if the offeror has demonstrated the minimum capability necessary to successfully perform the requirement. General statements of familiarity without specific, comparative examples will not be considered acceptable.

CATEGORY 8: Evaluation Methodolgy (Best Value vs. LPTA)
39Section 1.0 states that award will be made on a "Best Value" basis, whereas Section 2.0 outlines an Acceptable/Unacceptable technical rating with award to the lowest Total Evaluated Price (TEP).

Will the Government confirm whether this acquisition is conducted strictly under the Lowest Price Technically Acceptable (LPTA) process pursuant to FAR 15.101-2 / FAR 12.6, or whether technical trade-offs above the minimum acceptable threshold will be evaluated? This acquisition is conducted under the streamlined commercial procedures of RFO Part 12. The formal source selection procedures of FAR Part 15 (including FAR 15.101-2) and the legacy procedures of the previous FAR Subpart 12.6 do not apply.

Per the "Evaluation Approach" described in the Addendum to RFO 52.212-2, Section 1.0, the Government will determine best value through a streamlined, two-step process:

(1) First, the Government will evaluate the Technical Capability of all quotations on an Acceptable/Unacceptable basis. Quotations rated "Unacceptable" will be ineligible for award.

(2) Second, among the quotations determined to be "Acceptable," award will be made to the responsible offeror submitting the lowest total evaluated price.

For this acquisition, the Government will not conduct a technical trade-off among acceptable proposals. The best value is anticipated to be the lowest-priced, technically acceptable offer.

40 Standard A requires offerors to submit 1 to 3 relevant projects from the past 3 years.

Will the Government evaluate technical capability and prior experience solely on a binary Pass/Fail basis, or will past performance confidence levels / performance history be evaluated separately under FAR 15.305? This acquisition is a commercial service procurement conducted under the streamlined procedures of RFO Part 12; therefore, the formal evaluation procedures of FAR Part 15 (including FAR 15.305) do not apply to this requirement.

Technical Capability, which includes the evaluation of Prior Experience (Standard A), will be evaluated strictly on a binary Acceptable/Unacceptable basis per the RFQ Addendum to 52.212-2. The Government will not assign confidence levels, score past performance, or evaluate performance history as a separate factor.

In accordance with the Addendum to RFO 52.212-2, Section 3.0, the Contracting Officer will review the Supplier Performance Risk System (SPRS) and CPARS solely to make a mandatory pre-award responsibility determination of the apparent successful, technically acceptable offeror.

CATEGORY 9: Submission Format (Page Limits & Formatting)
41Does the 15-page limit for the Technical Capability Volume exclude the cover page, table of contents, and the required tables and matrices? Please also confirm any required font, font size, page size, and margin specifications.The Technical Capability Volume is limited to 15 pages. To provide flexibility, page counts will be calculated as follows:

EXCLUDED from the 15-page limit: A single Cover Page, a single Table of Contents, the required Prior Experience Table, the required Staffing Matrix, and any signed Teaming Agreements/Letters of Commitment.

INCLUDED in the 15-page limit: All other technical narrative, methodologies, and plans.

Formatting: All pages (included and excluded) must be standard 8.5 x 11 inch paper, with a font size no smaller than 10-point Times New Roman and minimum one (1) inch margins. Pages exceeding the 15-page narrative limit or violating formatting rules may be removed and not evaluated.

42Please confirm the Technical Volume page limit and whether the cover page, table of contents, and any resumes/labor mapping tables are included in or excluded from that count.Please see answer to Q# 41
43Are a Cover Page and Table of Contents excluded from the 15-page limit for the Technical Capability volume?Please see answer to Q# 41
44For the 15-page Technical Capability Volume limit, are the required tables/matrices, cover page, and table of contents counted against the page limit?Please see answer to Q# 41
45What is the page limit for each volume, and what content is included or excluded?Please see answer to Q# 41
CATEGORY 10: Optional Summission Content
46May the quotation include resumes and letters of commitment for proposed key personnel, and if so, do those pages count against the 15-page limit?The solicitation does not require the submission of resumes or Letters of Commitment for proposed key personnel, and such documents will not be evaluated.

In accordance with the Performance-Work Statement (PWS) and the Addendum to RFO 52.212-2, the Government is evaluating the offeror's overall corporate capability and proposed staffing approach, including their methodology for recruiting, retaining, and replacing qualified personnel who meet the PWS qualification standards. The evaluation is not based on specific, pre-identified individuals.

Offerors must focus their Technical Capability Volume on demonstrating their corporate experience and detailing their staffing methodology as required by the Addendum to RFO 52.212-1.

47 Although not required, may bidders submit CPARS and/or Past Performance Questionnaires (PPQs) as evidence of past performance evaluations? No. Offerors must not submit CPARS evaluations or Past Performance Questionnaires (PPQs). Such documents are not required and will not be reviewed or evaluated by the Government.

In accordance with the Addendum to RFO 52.212-2, Section 3.0, Past Performance is not a standalone evaluation factor for this acquisition. The Government will only assess the information provided for Prior Experience (Standard A) on an Acceptable/Unacceptable basis.

The Government will independently query the official Supplier Performance Risk System (SPRS) and Contractor Performance Assessment Reporting System (CPARS) databases to make a mandatory pre-award responsibility determination for the apparent successful offeror only.

CATEGORY 11: PWS Clarification - Workload Case Actions
48PWS 2.5 establishes an estimated baseline of 6,456 actions/month and requires contractors to absorb workload fluctuations up to 15% above baseline within the Firm-Fixed-Price.
Will the Government clarify whether the mandatory 15% surge requirement is evaluated based on the aggregate monthly volume (6,456 actions + 15% = 7,424 actions) or measured individually by WBS task category?This is aggregate monthly.
49Please provide any available historical data on average open cases, completed cases, and backlog.The Government is providing the following historical snapshot regarding recent case volumes and current backlogs for informational purposes to assist offerors in developing their staffing models.

Please note: The Estimated Average Monthly Volume table in PWS Section 2.5 remains the governing baseline for this contract, including the calculation of the 15% surge threshold.

1. Electronic Case Tracking (ECT) Volume (Past 6 Months - Aggregate):

Total Cases in System: 5,222 Completed Cases: 3,200 Currently Open/Active Cases: 3,222

2. Specialized Case Processing (Historical Completions):

Flying Personnel Cases (FLY): 422 cases completed Deployment Clearance Cases (DEPLOY): 168 cases completed (since Dec 2025); 273 cases completed (June 2024 – June 2025)

3. Current Active Backlog (By Case Type):

| Case Type | Previous Month Backlog Volume | Current Month Backlog Volume | | Line of Duty (LOD) Determinations | 502 | 609 | | Fitness for Duty (FFD) / IRILO | 196 | 210 | | Aeromedical Waivers (AeroWx) | 85 | 100 |

Offerors are reminded that in accordance with the Performance-Based Service Acquisition (PBSA) approach of this solicitation, the successful contractor is expected to manage, prioritize, and process this baseline workload and active backlog within their proposed monthly Firm-Fixed-Price.

50Please define "case action" as used in the §2.5 workload table.Case actions include but not limited to: confirming all required data included in case files for HQ AFRC provider adjudication, confirming provider statements match case type and higher level (e.g. PEB) requirements, loading cases into appropriate electronic system of record, completing technician level inputs for front and back end management. Ensure cases are handled in a timely fashion per applicable policy, and for special or high interest cases, per directive.
51Confirm whether a single case may generate multiple countable actions across these categories (e.g., one action at intake/"Next Step" and a second at "Complete").Yes, a single case on a member typically requires multiple "actions" by the technician throughout the life of the case.
CATEGORY 12: PWS Clarification - Surge Requirements
52Please clarify the measurement period and the equitable-adjustment process applicable when workload is sustained above 115 percent of the estimated average monthly volume.The 15% surge threshold represents the maximum aggregate monthly workload the contractor is expected to absorb under the Firm-Fixed-Price (FFP) contract. Because this is a Firm-Fixed-Price contract, the PWS does not contain provisions for price adjustments, and no additional funds will be allocated for workload surges.

-- Notification: If the aggregate monthly workload exceeds the 15% surge threshold (7,424 actions) in any given month, the contractor must immediately notify the COR and Contracting Officer in writing.

-- Mitigation: Upon receipt of notification and verification of the MSR data, the Government will take immediate mitigating action to manage the excess volume. Mitigating actions may include prioritizing critical case types, temporarily extending processing timelines, or re-allocating Government personnel to absorb the excess workload.

53Will the Government clarify whether the mandatory 15% surge requirement is evaluated based on the aggregate monthly volume (7,424 actions) or measured individually by WBS task category?Aggregate
54Over the past 12–24 months, has actual monthly workload exceeded the estimated average volumes, and if so, how often has it exceeded the 15% surge threshold?The Government does not possess granular historical tracking data regarding the frequency or duration of volume surges over the past 12 to 24 months.

As stated in the response to Category 1, this work is currently performed by Government military personnel, and specific, month-by-month surge analytics are unavailable. Offerors must base their staffing and pricing models strictly on the Estimated Average Monthly Volume (6,456 actions) and the 15% surge parameters established in PWS Section 2.5.

CATEGORY 13: PWS Clarification - Acronyms, System Names, and Internal Drafting Notes
55Please confirm the complete and authoritative list of systems contractor personnel will be required to use.The Government confirms that the complete and authoritative list of systems and resources contractor personnel will be required to access and utilize is as follows:

-- Primary Medical Systems: AIMWTS, ASIMS, ECT, PEPP, MEDXS, JLV, MICT -- Supporting Systems/Databases: AFNET (for shared drives), MILPDS, CIB, SalesForce, MyFSS -- Web-Based Resources: BOMC KX

The Government acknowledges that several of these systems and resources were not explicitly listed in the original PWS as published. Therefore, the Performance Work Statement (PWS) will be formally amended via this solicitation amendment to incorporate these additional requirements into the relevant sections, including Section 2.6 (Personnel Qualifications) and Section 6.4 (Network and System Access).

Offerors must base their final technical and pricing proposals on the forthcoming, amended PWS.

56 Section 6.4 references "ASIMS" as a medical system of record for which access will be provided; this acronym does not appear elsewhere in the PWS and is not defined in Appendix A (which instead defines "AIMWTS"). Please confirm whether "ASIMS" is a typographical error for "AIMWTS," or identifies a separate, distinct system requiring its own definition. ASIMS is not a typographical error. It is a separate and distinct system of record that stands for Aeromedical Services Information Management System.

Contractor personnel will be required to utilize ASIMS in the performance of their duties as outlined in the PWS. Appendix A (Acronyms and Definitions) of the PWS will be formally amended via Amendment 0001 to include the definition and description of ASIMS.

57 "AIMWTS" is defined inconsistently in the PWS — as the "Aeromedical Waiver Management Information System" in §2.2.1 versus the "Aeromedical Information Management Waiver Tracking System" in §2.6.2 and Appendix A. Please confirm the correct full name for the record. The correct full name for the system is the Aeromedical Information Management Waiver Tracking System (AIMWTS).

The inconsistent reference in PWS Section 2.2.1 ("Aeromedical Waiver Management Information System") was an administrative error and will be corrected to reflect the accurate full name via a formal RFQ amendment.

58 Sections 2.6.2–2.6.3 require proficiency with "MICT" (Management Internal Control Toolset), "AMWG" (Aeromedical Waiver Guide), and "MSD" (Medical Standards Directory), none of which appear in the Appendix A Acronyms and Definitions list. Please confirm these definitions and consider adding them to Appendix A by amendment for consistency. The definitions provided in the offeror's question are correct.

--MICT (Management Internal Control Toolset) is an Air Force system of record.

--AMWG (Aeromedical Waiver Guide) and MSD (Medical Standards Directory) are governing medical documents utilized by the Air Force.

The Government will formally add these three definitions to PWS Appendix A (Acronyms and Definitions) via a forthcoming RFQ amendment.

59 PWS §3.11.6.3, This paragraph contains the parenthetical "(Replaced the hazardous “New work added” bullet)," which appears to be an internal drafting/redline note inadvertently left in the released PWS rather than a substantive requirement. Please confirm this language may be disregarded, or issue an amendment removing it. Confirmed. The parenthetical comment in PWS Section 3.11.6.3 is an internal administrative drafting note and must be disregarded.

The parenthetical text will be formally removed from the Performance Work Statement (PWS) via the upcoming RFQ amendment.

CATEGORY 14: Security & Onboarding Process
60Please confirm whether the 30-day phase-in begins on 31 August 2026, and whether the Service Summary performance thresholds apply during the phase-in period or only after the contractor achieves full operational capability.The date of 31 August 2026 is a placeholder date utilized strictly for solicitation planning purposes. The actual 30-day Phase-In period will commence on Day 1 of the contract's Period of Performance, which will be established upon contract award/execution.

The performance thresholds outlined in PWS Section 4.0, Services Summary, do not apply during the 30-day Phase-In period. The purpose of this transition period is to allow the contractor to achieve full operational capability. The Government will initiate formal performance surveillance against the Services Summary metrics on Day 31 of the actual contract Period of Performance.

61 Please provide the anticipated process and average timeline for interim Tier 1 approval, CAC issuance, NIPRNet access, and access to the required medical systems. Security Process: Upon award, the contractor’s Facility Security Officer (FSO) must immediately submit the required security packages (SF-85) for their personnel via the Government's portal.

Access Timeline: Once the Government’s Personnel Security Office grants a favorable interim Tier 1 approval, the Government will initiate Common Access Card (CAC) and NIPRNet access. This process typically takes 14 to 30 calendar days, dependent on the contractor's timely submission of required paperwork and completion of mandatory training (e.g., DoD Cyber Awareness Challenge).

System Access: Individual medical system provisioning (AIMWTS, ASIMS, ECT, PEPP) typically takes 7 to 10 business days after the contractor has successfully obtained their physical CAC and NIPRNet credentials.

62 Please clarify whether interim access approval is expected to run concurrently with Phase-In so that knowledge transfer is not delayed, and if so, what interim-access mechanism and timeline the Government anticipates. Yes. The Government anticipates that interim network and system access approvals will run concurrently with the 30-day Phase-In period to ensure that knowledge transfer, training, and shadowing are not delayed.

-- The Interim Mechanism: Immediately upon contract award, the Government security office will initiate the interim Tier 1 logical access process.

-- Onboarding Alignment: The Government’s intent is to grant interim unclassified network access to contractor personnel within the first 10 to 15 calendar days of the Phase-In, allowing them to log onto NIPRNet and shadow Government staff on the required medical databases.

--Continuous Performance: The contractor must ensure their proposed personnel submit their security questionnaires within five (5) days of award to prevent any delays in obtaining this critical interim access.

63 The PWS requires Tier 1 (NACI) certification "within 30 days," while an earlier draft referenced 60 days — which timeline governs? The Government clarifies that the 30-day requirement applies to the initiation of the background check and obtaining a favorable interim Tier 1 determination.

--Governing Timeline: Offerors must ensure all personnel submit their complete security packages (SF-85) within five (5) calendar days of contract award to facilitate this process.

--Performance Status: Yes, contractor personnel who have obtained a favorable interim Tier 1 determination will be granted the access sufficient to perform all required PWS duties during the 30-day Phase-In period while the final investigation is pending.

64Will contractor personnel with a favorable interim Tier 1 determination be granted access sufficient to perform (and be billable) during the phase-in?Please see the above answers
65PWS 3.7 mandates that contractor personnel obtain a favorable Tier 1 (T1) investigation within 30 days of contract start. If newly hired personnel have submitted complete SF-85 / e-QIP documentation within 5 days of award.

Will the Government allow personnel to perform under supervised/interim access while Tier 1 background investigations are pending, ensuring full mission capability during the 30-day Phase-In period? The Government will grant interim access. As stated in PWS Section 3.7.2, the 30-day requirement is for the contractor to obtain a favorable interim Tier 1 determination.

-- Process: Provided the contractor submits complete and accurate SF-85/e-QIP documentation within 5 days of award, the Government security office will adjudicate interim access.

-- Performance: Personnel with a favorable interim determination will be granted NIPRNet and system access, allowing them to perform all required duties under supervision during the 30-day Phase-In period while the final background investigation is pending. This is the mechanism that ensures full mission capability can be achieved on Day 31.

66 Will the Government allow personnel to perform under supervised/interim access while Tier 1 background investigations are pending, ensuring full mission capability during the 30-day Phase-In period? Yes. In accordance with PWS Section 3.7, the Government will allow contractor personnel to perform under a favorable interim Tier 1 (NACI) determination.

-- Onboarding Process: Provided the contractor’s Facility Security Officer (FSO) submits complete and accurate SF-85 security packages within five (5) calendar days of contract award, the Government Personnel Security Office will adjudicate interim logical access.

-- Access and Shadowing: Personnel who receive a favorable interim Tier 1 determination will be issued a Common Access Card (CAC) and granted NIPRNet access, allowing them to shadow Government staff and perform all required PWS duties during the 30-day Phase-In period while the final federal investigation is pending.

The final completion of the federal background investigation is not required to begin performance, provided a favorable interim determination is maintained.

67 Will the Government provide Government Furnished Equipment (GFE laptops, VPN access, and CAC readers) for personnel approved for situational telework, or are contractors expected to furnish secure IT hardware? The Government will provide all Government Furnished Equipment (GFE) necessary for the contractor to perform the duties outlined in the PWS for both on-site and authorized telework scenarios.

In accordance with PWS Section 6.3, this includes, but is not limited to:

--A Government-configured laptop for each employee.

--Required peripherals such as docking stations, monitors, and CAC readers.

--Access to the Government's secure Virtual Private Network (VPN) for authorized remote connections to the NIPRNet.

The same GFE laptop issued for on-site work must be used for any approved telework. Contractor- or personally-owned IT hardware is strictly prohibited from being connected to the Government network.

CATEGORY 15: Schedule & Administrative
68PWS 3.7.4 requires a personnel security listing 30 calendar days before the service start date. Please clarify the required post-award submission date.The contractor’s Facility Security Officer (FSO) must submit the initial, complete personnel security listing to the COR and the HQ AFRC Security Office within five (5) calendar days after contract award.

To reiterate the onboarding timeline:

--It is the contractor's responsibility to initiate all background checks and obtain favorable interim Tier 1 determinations for their personnel within the first 30 days of the contract period of performance.

--Final completion of the federal background investigation is not required to begin performance.

69Will the Government extend the proposal submission deadline by two (2) weeks to Friday, August 21, 2026?See RFQ Amendement 0001, this solicitation has been extended to Tuesday, 18 August 2026 at 4:00 PM Eastern Time
70Given a Base Period start of 31 August 2026, what is the Government's anticipated award date?As previously stated, the date of 31 August 2026 is a tentative placeholder utilized strictly for solicitation planning purposes.

The Government anticipates making a contract award on or about mid-to-late August 2026. The actual contract award date, subsequent performance start date, and 30-day Phase-In period are dependent on the completion of the evaluation process and will shift dynamically based on the actual date of contract execution.

71If award occurs after 31 August 2026, will the Period of Performance and 30-day phase-in shift accordingly?Please see the answer to Q# 70
72The RFQ states quotations are due "07 August 2026, 4:00 PM EST." As August falls under Eastern Daylight Time, please confirm the intended cutoff is 4:00 PM Eastern local time (EDT).Confirmed. The intended quotation submission cutoff is 4:00 PM Eastern Local Time (Eastern Daylight Time / EDT) on 7 August 2026.

Please see the answer to Q# 69 73 Please confirm that the PWS dated 01 July 2026 is the governing document. The Performance Work Statement (PWS) dated 01 July 2026 is being revised to incorporate the additional systems of record identified in the Q&As.

Accordingly, the Performance Work Statement (PWS) (Amended), dated 07 August 2026, attached to this solicitation amendment, is the sole governing requirements document for this acquisition. The 01 July 2026 version and all other previous or draft versions of the PWS are hereby superseded and must not be used.

Offerors must utilize the PWS (Amended), dated 07 August 2026, for the preparation and submission of their final technical and pricing proposals.

74Attachment 1 identifies the submission address as bianncia.glay@us.af.mil, while the SF 1449 and the Addendum to 52.212-1 identify biannica.glay@us.af.mil. Please confirm the correct address.The correct submission email address for all questions and quotations is biannica.glay@us.af.mil.
75Which email address is correct for proposal submission? The SF1449 and the Addendum instructions list the Contracting Officer's email as biannica.glay@us.af.mil, and the RFQ Combo document lists it as bianncia.glay@us.af.mil.The correct submission email address for all questions and quotations is biannica.glay@us.af.mil.
76Will the Government clarify whether offerors shall complete the pricing table under "Supplies or Services & Prices/Costs" on page 3 of "Solicitation FA664326Q0004 (SF 1449)"?No. Offerors must not complete the pricing table for CLINs 0001 through 4001 on the SF 1449.

In accordance with the Addendum to RFO 52.212-1, Section 2.0, offerors must submit all pricing information using the Government-Provided Pricing Worksheet (Attachment 3). Submission of the completed Pricing Worksheet is mandatory and will constitute the Offeror's official and final price proposal.

In the event of a discrepancy between any pricing data entered on the SF 1449 and the final totals calculated in the Pricing Worksheet, the Pricing Worksheet will govern.

Additionally, please see the response to Q# 29 77 For quotations submitted by an unpopulated Joint Venture, please clarify whether the Representations and Certifications requirements apply to the Joint Venture itself, the JV members, or both. For quotations submitted by an unpopulated Joint Venture, the Joint Venture entity itself must maintain an active registration and have completed its own Representations and Certifications in SAM.gov at the time of quotation submission.

In accordance with 48 CFR 4.1102 and Small Business Administration (SBA) regulations:

(1) The Joint Venture must possess its own unique Entity Identifier (UEI) and CAGE code.

(2) The Joint Venture’s SAM.gov profile must reflect the appropriate size status/certification (e.g., Small Business, 8(a), SDVOSB, etc.) applicable to this set-aside.

(3) Individual members of the Joint Venture must also maintain active registrations in SAM.gov, but the primary Representations and Certifications submitted with the quotation must belong to the Joint Venture entity itself.

78 Does this work historically utilize a single blended labor category or are these duties split into distinct roles? As stated in the response to Category 1, this is a new commercial requirement currently performed by Government personnel. There is no historical contract data or prior labor category structure for this effort.

Under the Performance-Based Service Acquisition (PBSA) guidelines of this RFQ, the Government does not dictate the labor structure. Offerors have the complete flexibility to propose either a single blended labor category or distinct, split functional roles, provided their proposed labor mix and FTE count objectively demonstrate the capacity to successfully execute all requirements across the three service areas defined in PWS Section 2.0.

79 Is weekend work or after-hours support required? No. The normal duty hours for this requirement are 0800 to 1600 (EST), Monday through Friday, as established in PWS Section 3.5. Weekend work and after-hours support are not required by the Government.

However, as this is a Firm-Fixed-Price (FFP) contract, the contractor is solely responsible for managing its personnel schedules and workflows to ensure consistent compliance with the Services Summary performance thresholds. Any work performed by the contractor outside of normal duty hours to maintain performance standards must be accomplished via authorized telework and will be performed at no additional cost to the Government. Overtime is not authorized.

80 Is there currently a gap in services and/or has there been a contract gap since on or around 2024? No. There is no gap in services. The aeromedical case management and administrative support duties described in the PWS have been, and currently are, continuously performed by Government military personnel on active/reserve orders.

These military personnel will remain in place and active to ensure uninterrupted mission support until the successful offeror completes the 30-day Phase-In…

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