FA8052-17-R-0001.pdf
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Attachment 1 Request For Proposal (RFP) FA8052-17-R-0001
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SEE ADDENDUM
(No Collect Calls)b. TELEPHONE NUMBER 8.
5. SOLICITATION NUMBER 6.
AUTHORIZED FOR LOCAL REPRODUCTION
PREVIOUS EDITION IS NOT USABLE
STANDARD FORM 1449 (REV. 2/2012)
Prescribed by GSA – FAR (48 CFR) 53.212
(TYPE OR PRINT)
(SIGNATURE OF CONTRACTING OFFICER)
ADDENDA ARE
26. TOTAL AWARD AMOUNT (For Gov t. Use Only )
23.
CODE 10. THIS ACQUISITION IS
SUCH ADDRESS IN OFFER
17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT
BELOW IS CHECKED
TELEPHONE NO.
FA80529. ISSUED BY
18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a. UNLESS BLOCK
7. FOR SOLICITATION
INFORMATION CALL:
a. NAME
2. CONTRACT NO. 3. AWARD/EFFECTIVE DATE 4. ORDER NUMBER
(TYPE OR PRINT)
30b. NAME AND TITLE OF SIGNER 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER
30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a.UNITED STATES OF AMERICA
27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1. 52.212-4. FAR 52.212-3. 52.212-5 ARE ATTACHED.
25. ACCOUNTING AND APPROPRIATION DATA
1. REQUISITION NUMBER
20.
ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED.
OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, AND 30
SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS
F2M4AK6344A001
ARE NOT ATTACHED
27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA ARE ARE NOT ATTACHED
(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE
SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:
. YOUR OFFER ON SOLICITATION
28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN
% FOR:UNRESTRICTED OR SET ASIDE:
SMALL BUSINESS
17a.CONTRACTOR/ CODE FACILITY
OFFEROR CODE
773 ESS/PK
3515 S. GENERAL MCMULLEN, STE 200
SAN ANTONIO TX 78226-1720
18a. PAYMENT WILL BE MADE BY CODE
RATED ORDER UNDER
DPAS (15 CFR 700)
13a. THIS CONTRACT IS A
13b. RATING
CODE15. DELIVER TO CODE F2M4AK 16. ADMINISTERED BY
12. DISCOUNT TERMS11. DELIVERY FOR FOB DESTINA-
TION UNLESS BLOCK IS
MARKED
SEE SCHEDULE
14. METHOD OF SOLICITATION
RFQ IFB RFP
AFMOA/SGHQ - F2M4AK
MAJOR HOLLY A DINKEL
3515 S. GENERAL MCMULLEN STE 200
SAN ANTONIO TX 78226
TEL: 210-396-9114 FAX:
TEL: 210-395-9800
FAX: 210-395-9864
SERVICE-DISABLED
VETERAN-OWNED
SMALL BUSINESS
8(A)
HUBZONE SMALL
BUSINESS
SIZE STANDARD:
$15,000,000
NAICS:
813920
X
OFFER DATED
29. AWARD OF CONTRACT: REF.
DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY
COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND
TEL:
EMAIL:
31c. DATE SIGNED
SEE SCHEDULE
SCHEDULE OF SUPPLIES/ SERVICESITEM NO. QUANTITY UNIT UNIT PRICE AMOUNT
24.22.21.19.
WOMEN-OWNED SMALL BUSINESS (WOSB)
ELIGIBLE UNDER THE WOMEN-OWNED
SMALL BUSINESS PROGRAM
EDWOSB
30b. NAME AND TITLE OF SIGNER
X
X
FA8052-17-R-0001
SOLICITATION ISSUE DATE
15-Dec-2016
OFFER DUE DATE/LOCAL TIME
10:00 AM 16 Dec 2016
32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE
SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS
(CONTINUED)
ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED: ______________________________________________________
32a. QUANTITY IN COLUMN 21 HAS BEEN
RECEIVED INSPECTED
32b. SIGNATURE OF AUTHORIZED GOVERNMENT
REPRESENTATIVE
32c. DATE 32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT
REPRESENTATIVE
32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32f . TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE
37. CHECK NUMBER
FINALPARTIALCOMPLETE
36. PAYMENT35. AMOUNT VERIFIED
CORRECT FOR
34. VOUCHER NUMBER
FINAL
33. SHIP NUMBER
PARTIAL
38. S/R ACCOUNT NUMBER 39. S/R VOUCHER NUMBER 40. PAID BY
41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT
41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER 41c. DATE
42a. RECEIVED BY (Print)
42b. RECEIVED AT (Location)
42c. DATE REC'D (YY/MM/DD) 42d. TOTAL CONTAINERS
STANDARD FORM 1449 (REV. 2/2012) BACK
Prescribed by GSA – FAR (48 CFR) 53.212
AUTHORIZED FOR LOCAL REPRODUCTION
PREVIOUS EDITION IS NOT USABLE
SEE SCHEDULE
20.
SCHEDULE OF SUPPLIES/ SERVICES
21.
QUANTITY UNIT
22. 23.
UNIT PRICE
24.
AMOUNT
19.
ITEM NO.
FA8052-17-R-0001
Section SF 1449 - CONTINUATION SHEET
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0001 16 Each
Hard-Copy Standards Pub & Update
FFP
Pre-coordination manual of the hospital accreditation standards for the AFMOA
Accreditation Surveys for Inpatient Medical Treatment Facilities requirement IAW
Attachment #1, Performance Work Statement (PWS).
FOB: Destination
NET AMT
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0002 14 Each
Multi-User Site Lic-Update/Amp Tracer
FFP
Pre-coordination electronic version for the hospital accreditation standards for the
AFMOA Accreditation Surveys & AMP-Tracer program for Inpatient Medical
Treatment Facilities requirement IAW Attachment #1, Performance Work
Statement (PWS).
FOB: Destination
NET AMT
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0003 3 Each
Primary Care Medical Home (PCMH)
FFP
PCMH certifications for the AFMOA Accreditation Surveys at Aviano AB, Elmendorf AFB, and Langley AFB for the Inpatient Medical Treatment Facilities requirement IAW Attachment #1, Performance Work Statement (PWS).
FOB: Destination
NET AMT
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0004 Lot
Other Direct Costs (ODCs)
COST
Direct Costs in support of the Educational Program for up to 50 participants in conjunction with the Air Force Chief of Medical Staff (SGH)/Quality Systems
Program Assessment Review (QSPAR) conference IAW Attachment #1, Performance Work Statement (PWS). Not to exceed $9,300.
ESTIMATED COST
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0005 Lot
Travel - Educational Program - QSPAR
COST
CONUS Travel costs shall be in accordance with FAR 31.205-46 (NTE
$2,185.00). Travel costs are to be reimbursed at rates not to exceed the maximum locality per diem rates (the combination of lodging, meals and incidentals) in effect at the time of travel, as set forth in the Federal Travel Regulations, Joint
Travel Regulation and Standard Regulations, Section 925, as applicable. The
Contracting Officer Representative (COR) shall approve travel in accordance with PWS section 2.6. All invoices for travel reimbursement shall be accompanied by supporting receipts. No handling fees or G&A shall be applied to travel.
FOB: Destination
ESTIMATED COST
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0006 1 Each
Education & Training - Audio/Video Conf
FFP
The educational & training program will utilize the Defense Collaboration Services
(DCS) or other compatiable audio/video web conferencing venue. The date(s) for the conference shall be coordinated with the Contracting Officer Representative
(COR) IAW Attachment #1, Performance Work Statement (PWS).
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0007 1 Lot
Off-Cycle Surveys-Perform Accreditation
FFP
Subsequent follow-up, focused or "for cause" surveys concerning the AFMOA
Accreditation Surveys for Inpatient Medical Treatment Facilities requirement IAW
Attachment #1, Performance Work Statement (PWS).
FOB: Destination
NET AMT
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0008 13 Each
Annual Subscription Fees
FFP
Subscription fees will apply towards the following MTFs IAW Attachment #1, Performance Work Statement (PWS) dated 15 September 2016 as follows: Langley
AFB, Travis AFB, Wright-Patterson AFB, Yokota AB, Misawa AB, Eglin AFB, Nellis AFB, Mountain Home AFB, Osan AB, Keesler AFB, Aviano AB, Lakenheath AB, and Elmendorf AFB.
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0009 1 Each
Elmendorf AFB Annual Survey
FFP
In connection with the AFMOA Accreditation Surveys for Inpatient Medical
Treatment Facilities requirement IAW Attachment #1, Performance Work
Statement (PWS).
FOB: Destination
NET AMT
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0010 1 Each
Langley AFB Annual Survey
FFP
In connection with the AFMOA Accreditation Surveys for Inpatient Medical
Treatment Facilities requirement IAW Attachment #1, Performance Work
Statement (PWS).
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0011 1 Each
Aviano AB Annual Survey
FFP
In connection with the AFMOA Accreditation Surveys for Inpatient Medical
Treatment Facilities requirement IAW Attachment #1, Performance Work
Statement (PWS).
FOB: Destination
NET AMT
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
1001 16 Each OPTION Hard-Copy Standards Pub & Update
FFP
Pre-coordination manual of the hospital accreditation standards for the AFMOA
Accreditation Surveys for Inpatient Medical Treatment Facilities requirement IAW
Attachment #1, Performance Work Statement (PWS).
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
1002 14 Each OPTION Multi-User Site Lic-Update/Amp Tracer
FFP
Pre-coordination electronic version for the hospital accreditation standards for the
AFMOA Accreditation Surveys & AMP-Tracer program for Inpatient Medical
Treatment Facilities requirement IAW Attachment #1, Performance Work
Statement (PWS).
FOB: Destination
NET AMT
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
1003 7 Each OPTION Primary Care Medical Home (PCMH)
FFP
PCMH certifications for the AFMOA Accreditation Surveys at Aviano AB, Elmendorf AFB, and Langley AFB for the Inpatient Medical Treatment Facilities requirement IAW Attachment #1, Performance Work Statement (PWS).
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
1004 Lot OPTION Other Direct Costs (ODCs)
COST
Direct Costs in support of the Educational Program for up to 50 participants in conjunction with the Air Force Chief of Medical Staff (SGH)/Quality Systems Program Assessment Review (QSPAR) conference IAW Attachment #1, Performance Work Statement (PWS). Not to exceed $9,579.
FOB: Destination
ESTIMATED COST
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
1005 Lot OPTION Travel - Educational Program - QSPAR
COST
Travel costs shall be in accordance with FAR 31.205-46 (NTE $2,185.00). Travel costs are to be reimbursed at rates not to exceed the maximum locality per diem rates (the combination of lodging, meals and incidentals) in effect at the time of travel, as set forth in the Federal Travel Regulations, Joint Travel Regulation and
Standard Regulations, Section 925, as applicable. The Contracting Officer
Representative (COR) shall approve travel in accordance with PWS section 2.6.
All invoices for travel reimbursement shall be accompanied by supporting receipts. No handling fees or G&A shall be applied to travel.
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
1006 1 Each OPTION Education & Training - Audio/Video Conf
FFP
The educational & training program will utilize the Defense Collaboration Services
(DCS) or other compatiable audio/video web conferencing venue. The date(s) for the conference shall be coordinated with the Contracting Officer Representative
(COR) IAW Attachment #1, Performance Work Statement (PWS).
FOB: Destination
NET AMT
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
1007 1 Lot OPTION Off-Cycle Surveys-Perform Accreditation
FFP
Subsequent follow-up, focused or "for cause" surveys concerning the AFMOA
Accreditation Surveys for Inpatient Medical Treatment Facilities requirement IAW
Attachment #1, Performance Work Statement (PWS).
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
1008 13 Each OPTION Annual Subscription Fees
FFP
Subscription fees will apply towards the following MTFs IAW Attachment #1, Performance Work Statement (PWS) dated 15 September 2016 as follows: Langley
AFB, Travis AFB, Wright-Patterson AFB, Yokota AB, Misawa AB, Eglin AFB, Nellis AFB, Mountain Home AFB, Osan AB, Keesler AFB, Aviano AB, Lakenheath AB, and Elmendorf AFB.
FOB: Destination
NET AMT
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
1009 1 Each OPTION Yokota AB Annual Survey
FFP
In connection with the AFMOA Accreditation Surveys for Inpatient Medical
Treatment Facilities requirement IAW Attachment #1, Performance Work
Statement (PWS).
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
1010 1 Each OPTION Osan AB Annual Survey
FFP
In connection with the AFMOA Accreditation Surveys for Inpatient Medical
Treatment Facilities requirement IAW Attachment #1, Performance Work
Statement (PWS).
FOB: Destination
NET AMT
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
1011 1 Each OPTION Nellis AFB Annual Survey
FFP
In connection with the AFMOA Accreditation Surveys for Inpatient Medical
Treatment Facilities requirement IAW Attachment #1, Performance Work
Statement (PWS).
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
1012 1 Each OPTION Wright-Patterson AFB Annual Survey
FFP
In connection with the AFMOA Accreditation Surveys for Inpatient Medical
Treatment Facilities requirement IAW Attachment #1, Performance Work
Statement (PWS).
FOB: Destination
NET AMT
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
1013 1 Each OPTION Mountain Home AFB Annual Survey
FFP
In connection with the AFMOA Accreditation Surveys for Inpatient Medical
Treatment Facilities requirement IAW Attachment #1, Performance Work
Statement (PWS).
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
1014 1 Each OPTION Misawa AB Annual Survey
FFP
In connection with the AFMOA Accreditation Surveys for Inpatient Medical
Treatment Facilities requirement IAW Attachment #1, Performance Work
Statement (PWS).
FOB: Destination
NET AMT
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
1015 1 Each OPTION Eglin AFB Annual Survey
FFP
In connection with the AFMOA Accreditation Surveys for Inpatient Medical
Treatment Facilities requirement IAW Attachment #1, Performance Work
Statement (PWS).
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
2001 16 Each OPTION Hard-Copy Standards Pub & Update
FFP
Pre-coordination manual of the hospital accreditation standards for the AFMOA
Accreditation Surveys for Inpatient Medical Treatment Facilities requirement IAW
Attachment #1, Performance Work Statement (PWS).
FOB: Destination
NET AMT
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
2002 14 Each OPTION Multi-User Site Lic-Update/Amp Tracer
FFP
Pre-coordination electronic version for the hospital accreditation standards for the
AFMOA Accreditation Surveys & AMP-Tracer program for Inpatient Medical
Treatment Facilities requirement IAW Attachment #1, Performance Work
Statement (PWS).
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
2003 3 Each OPTION Primary Care Medical Home (PCMH)
FFP
PCMH certifications for the AFMOA Accreditation Surveys at Aviano AB, Elmendorf AFB, and Langley AFB for the Inpatient Medical Treatment Facilities requirement IAW Attachment #1, Performance Work Statement (PWS).
FOB: Destination
NET AMT
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
2004 Lot OPTION Other Direct Costs (ODCs)
COST
Direct Costs in support of the Educational Program for up to 50 participants in conjunction with the Air Force Chief of Medical Staff (SGH)/Quality Systems Program Assessment Review (QSPAR) conference IAW Attachment #1, Performance Work Statement (PWS). Not to exceed $9,866.37.
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
2005 Lot OPTION Travel - Educational Program - QSPAR
COST
Travel costs shall be in accordance with FAR 31.205-46 (NTE $2,185.00). Travel costs are to be reimbursed at rates not to exceed the maximum locality per diem rates (the combination of lodging, meals and incidentals) in effect at the time of travel, as set forth in the Federal Travel Regulations, Joint Travel Regulation and
Standard Regulations, Section 925, as applicable. The Contracting Officer
Representative (COR) shall approve travel in accordance with PWS section 2.6.
All invoices for travel reimbursement shall be accompanied by supporting receipts. No handling fees or G&A shall be applied to travel.
FOB: Destination
ESTIMATED COST
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
2006 1 Each OPTION Education & Training - Audio/Video Conf
FFP
The educational & training program will utilize the Defense Collaboration Services
(DCS) or other compatiable audio/video web conferencing venue. The date(s) for the conference shall be coordinated with the Contracting Officer Representative
(COR) IAW Attachment #1, Performance Work Statement (PWS).
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
2007 1 Lot OPTION Off-Cycle Surveys-Perform Accreditation
FFP
Subsequent follow-up, focused or "for cause" surveys concerning the AFMOA
Accreditation Surveys for Inpatient Medical Treatment Facilities requirement IAW
Attachment #1, Performance Work Statement (PWS).
FOB: Destination
NET AMT
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
2008 13 Each OPTION Annual Subscription Fees
FFP
Subscription fees will apply towards the following MTFs IAW Attachment #1, Performance Work Statement (PWS) dated 15 September 2016 as follows: Langley
AFB, Travis AFB, Wright-Patterson AFB, Yokota AB, Misawa AB, Eglin AFB, Nellis AFB, Mountain Home AFB, Osan AB, Keesler AFB, Aviano AB, Lakenheath AB, and Elmendorf AFB.
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
2009 1 Each OPTION Travis AFB Annual Survey
FFP
In connection with the AFMOA Accreditation Surveys for Inpatient Medical
Treatment Facilities requirement IAW Attachment #1, Performance Work
Statement (PWS).
FOB: Destination
NET AMT
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
2010 1 Each OPTION Lakenheath AB Annual Survey
FFP
In connection with the AFMOA Accreditation Surveys for Inpatient Medical
Treatment Facilities requirement IAW Attachment #1, Performance Work
Statement (PWS).
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
2011 1 Each OPTION Keesler AFB Annual Survey
FFP
In connection with the AFMOA Accreditation Surveys for Inpatient Medical
Treatment Facilities requirement IAW Attachment #1, Performance Work
Statement (PWS).
FOB: Destination
NET AMT
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
3001 16 Each OPTION Hard-Copy Standards Pub & Update
FFP
Pre-coordination manual of the hospital accreditation standards for the AFMOA
Accreditation Surveys for Inpatient Medical Treatment Facilities requirement IAW
Attachment #1, Performance Work Statement (PWS).
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
3002 14 Each OPTION Multi-User Site Lic-Update/Amp Tracer
FFP
Pre-coordination electronic version for the hospital accreditation standards for the
AFMOA Accreditation Surveys & AMP-Tracer program for Inpatient Medical
Treatment Facilities requirement IAW Attachment #1, Performance Work
Statement (PWS).
FOB: Destination
NET AMT
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
3003 4 Each OPTION Primary Care Medical Home (PCMH)
FFP
PCMH certifications for the AFMOA Accreditation Surveys at Aviano AB, Elmendorf AFB, and Langley AFB for the Inpatient Medical Treatment Facilities requirement IAW Attachment #1, Performance Work Statement (PWS).
FOB: Destination
NET AMT
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
3004 Lot OPTION Other Direct Costs (ODCs)
COST
Direct Costs in support of the Educational Program for up to 50 participants in conjunction with the Air Force Chief of Medical Staff (SGH)/Quality Systems Program Assessment Review (QSPAR) conference IAW Attachment #1, Performance Work Statement (PWS). Not to exceed $10,162.36.
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
3005 Lot OPTION Travel - Educational Program - QSPAR
COST
Travel costs shall be in accordance with FAR 31.205-46 (NTE $2,185.00). Travel costs are to be reimbursed at rates not to exceed the maximum locality per diem rates (the combination of lodging, meals and incidentals) in effect at the time of travel, as set forth in the Federal Travel Regulations, Joint Travel Regulation and
Standard Regulations, Section 925, as applicable. The Contracting Officer
Representative (COR) shall approve travel in accordance with PWS section 2.6.
All invoices for travel reimbursement shall be accompanied by supporting receipts. No handling fees or G&A shall be applied to travel.
FOB: Destination
ESTIMATED COST
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
3006 1 Each OPTION Education & Training - Audio/Video Conf
FFP
The educational & training program will utilize the Defense Collaboration Services
(DCS) or other compatiable audio/video web conferencing venue. The date(s) for the conference shall be coordinated with the Contracting Officer Representative
(COR) IAW Attachment #1, Performance Work Statement (PWS).
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
3007 1 Lot OPTION Off-Cycle Surveys-Perform Accreditation
FFP
Subsequent follow-up, focused or "for cause" surveys concerning the AFMOA
Accreditation Surveys for Inpatient Medical Treatment Facilities requirement IAW
Attachment #1, Performance Work Statement (PWS).
FOB: Destination
NET AMT
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
3008 13 Each OPTION Annual Subscription Fees
FFP
Subscription fees will apply towards the following MTFs IAW Attachment #1, Performance Work Statement (PWS) as follows: Langley AFB, Travis AFB, Wright-Patterson AFB, Yokota AB, Misawa AB, Eglin AFB, Nellis AFB, Mountain Home AFB, Osan AB, Keesler AFB, Aviano AB, Lakenheath AB, and
Elmendorf AFB.
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
3009 1 Each OPTION Langley AFB Annual Survey
FFP
In connection with the AFMOA Accreditation Surveys for Inpatient Medical
Treatment Facilities requirement IAW Attachment #1, Performance Work
Statement (PWS).
FOB: Destination
NET AMT
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
3010 1 Each OPTION Osan AB Annual Survey
FFP
In connection with the AFMOA Accreditation Surveys for Inpatient Medical
Treatment Facilities requirement IAW Attachment #1, Performance Work
Statement (PWS).
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
3011 1 Each OPTION Elmendorf AFB Annual Survey
FFP
In connection with the AFMOA Accreditation Surveys for Inpatient Medical
Treatment Facilities requirement IAW Attachment #1, Performance Work
Statement (PWS).
FOB: Destination
NET AMT
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
3012 1 Each OPTION Aviano AB Annual Survey
FFP
In connection with the AFMOA Accreditation Surveys for Inpatient Medical
Treatment Facilities requirement IAW Attachment #1, Performance Work
Statement (PWS).
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
4001 16 Each OPTION Hard-Copy Standards Pub & Update
FFP
Pre-coordination manual of the hospital accreditation standards for the AFMOA
Accreditation Surveys for Inpatient Medical Treatment Facilities requirement IAW
Attachment #1, Performance Work Statement (PWS).
FOB: Destination
NET AMT
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
4002 14 Each OPTION Multi-User Site Lic-Update/Amp Tracer
FFP
Pre-coordination electronic version for the hospital accreditation standards for the
AFMOA Accreditation Surveys & AMP-Tracer program for Inpatient Medical
Treatment Facilities requirement IAW Attachment #1, Performance Work
Statement (PWS).
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
4003 6 Each OPTION Primary Care Medical Home (PCMH)
FFP
PCMH certifications for the AFMOA Accreditation Surveys at Aviano AB, Elmendorf AFB, and Langley AFB for the Inpatient Medical Treatment Facilities requirement IAW Attachment #1, Performance Work Statement (PWS).
FOB: Destination
NET AMT
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
4004 Lot OPTION Other Direct Costs (ODCs)
COST
Direct Costs in support of the Educational Program for up to 50 participants in conjunction with the Air Force Chief of Medical Staff (SGH)/Quality Systems Program Assessment Review (QSPAR) conference IAW Attachment #1, Performance Work Statement (PWS). Not to exceed $10,467.46.
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
4005 Lot OPTION Travel - Educational Program - QSPAR
COST
Travel costs shall be in accordance with FAR 31.205-46 (NTE $2,185.00). Travel costs are to be reimbursed at rates not to exceed the maximum locality per diem rates (the combination of lodging, meals and incidentals) in effect at the time of travel, as set forth in the Federal Travel Regulations, Joint Travel Regulation and
Standard Regulations, Section 925, as applicable. The Contracting Officer
Representative (COR) shall approve travel in accordance with PWS section 2.6.
All invoices for travel reimbursement shall be accompanied by supporting receipts. No handling fees or G&A shall be applied to travel.
FOB: Destination
ESTIMATED COST
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
4006 1 Each OPTION Education & Training - Audio/Video Conf
FFP
The educational & training program will utilize the Defense Collaboration Services
(DCS) or other compatiable audio/video web conferencing venue. The date(s) for the conference shall be coordinated with the Contracting Officer Representative
(COR) IAW Attachment #1, Performance Work Statement (PWS).
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
4007 1 Lot OPTION Off-Cycle Surveys-Perform Accreditation
FFP
Subsequent follow-up, focused or "for cause" surveys concerning the AFMOA
Accreditation Surveys for Inpatient Medical Treatment Facilities requirement IAW
Attachment #1, Performance Work Statement (PWS).
FOB: Destination
NET AMT
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
4008 13 Each OPTION Annual Subscription Fees
FFP
Subscription fees will apply towards the following MTFs IAW Attachment #1, Performance Work Statement (PWS) dated 15 September 2016 as follows: Langley
AFB, Travis AFB, Wright-Patterson AFB, Yokota AB, Misawa AB, Eglin AFB, Nellis AFB, Mountain Home AFB, Osan AB, Keesler AFB, Aviano AB, Lakenheath AB, and Elmendorf AFB.
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
4009 1 Each OPTION Yokota AB Annual Survey
FFP
In connection with the AFMOA Accreditation Surveys for Inpatient Medical
Treatment Facilities requirement IAW Attachment #1, Performance Work
Statement (PWS).
FOB: Destination
NET AMT
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
4010 1 Each OPTION Nellis AFB Annual Survey
FFP
In connection with the AFMOA Accreditation Surveys for Inpatient Medical
Treatment Facilities requirement IAW Attachment #1, Performance Work
Statement (PWS).
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
4011 1 Each OPTION Wright-Patterson AFB Annual Survey
FFP
In connection with the AFMOA Accreditation Surveys for Inpatient Medical
Treatment Facilities requirement IAW Attachment #1, Performance Work
Statement (PWS).
FOB: Destination
NET AMT
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
4012 1 Each OPTION Elgin AFB Annual Survey
FFP
In connection with the AFMOA Accreditation Surveys for Inpatient Medical
Treatment Facilities requirement IAW Attachment #1, Performance Work
Statement (PWS).
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
4013 1 Each OPTION Misawa AB Annual Survey
FFP
In connection with the AFMOA Accreditation Surveys for Inpatient Medical
Treatment Facilities requirement IAW Attachment #1, Performance Work
Statement (PWS).
FOB: Destination
NET AMT
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
4014 1 Each OPTION Mountain Home AFB Annual Survey
FFP
In connection with the AFMOA Accreditation Surveys for Inpatient Medical
Treatment Facilities requirement IAW Attachment #1, Performance Work
Statement (PWS).
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
5001 16 Each
OPTION EVALUATION PURPOSES ONLY
FFP
Pre-coordination manual of the hospital accreditation standards for the AFMOA
Accreditation Surveys for Inpatient Medical Treatment Facilities requirement IAW
Attachment #1, Performance Work Statement (PWS). In accordance with FAR
52.217-8, this CLIN is used to evaluate the offerors pricing of six months. This
CLIN will be removed upon award.
FOB: Destination
NET AMT
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
5002 14 Each
OPTION EVALUATION PURPOSES ONLY
FFP
Pre-coordination electronic version for the hospital accreditation standards for the
AFMOA Accreditation Surveys & AMP-Tracer program for Inpatient Medical
Treatment Facilities requirement IAW Attachment #1, Performance Work
Statement (PWS). In accordance with FAR 52.217-8, this CLIN is used to evaluate the offerors pricing of six months. This CLIN will be removed upon award.
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
5003 2 Each
OPTION EVALUATION PURPOSES ONLY
FFP
PCMH certifications for the AFMOA Accreditation Surveys at Aviano AB, Elmendorf AFB, and Langley AFB for the Inpatient Medical Treatment Facilities.
In accordance with FAR 52.217-8, this CLIN is used to evaluate the offerors pricing of six months. This CLIN will be removed upon award.
FOB: Destination
NET AMT
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
5004 Lot OPTION Other Direct Costs (ODCs)
COST
Direct Costs in support of the Educational Program for up to 50 participants in conjunction with the Air Force Chief of Medical Staff (SGH)/Quality Systems Program Assessment Review (QSPAR) conference IAW Attachment #1, Performance Work Statement (PWS). Not to exceed $10,467.46.
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
5005 Lot OPTION Travel - Educational Program - QSPAR
COST
Travel costs shall be in accordance with FAR 31.205-46 (NTE $2,185.00). Travel costs are to be reimbursed at rates not to exceed the maximum locality per diem rates (the combination of lodging, meals and incidentals) in effect at the time of travel, as set forth in the Federal Travel Regulations, Joint Travel Regulation and
Standard Regulations, Section 925, as applicable. The Contracting Officer
Representative (COR) shall approve travel in accordance with PWS section 2.6.
All invoices for travel reimbursement shall be accompanied by supporting receipts. No handling fees or G&A shall be applied to travel.
FOB: Destination
ESTIMATED COST
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
5006 1 Each
OPTION EVALUATION PURPOSES ONLY
FFP
Education & Training - Audio/Video Conference. The date(s) for the conference shall be coordinated with the Contracting Officer Representative (COR) IAW
Attachment #1, Performance Work Statement (PWS). In accordance with FAR
52.217-8, this CLIN is used to evaluate the offerors pricing of six months. This
CLIN will be removed upon award.
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
5007 1 Each
OPTION EVALUATION PURPOSES ONLY
FFP
Subsequent follow-up, focused or "for cause" surveys concerning the AFMOA
Accreditation Surveys for Inpatient Medical Treatment Facilities requirement IAW
Attachment #1, Performance Work Statement (PWS).
FOB: Destination
NET AMT
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
5008 13 Each
OPTION EVALUATION PURPOSES ONLY
FFP
Annual Subscription fees as follows: Langley AFB, Travis AFB, Wright-Patterson
AFB, Yokota AB, Misawa AB, Eglin AFB, Nellis AFB, Mountain Home AFB, Osan AB, Keesler AFB, Aviano AB, Lakenheath AB, and Elmendorf AFB. In accordance with FAR 52.217-8, this CLIN is used to evaluate the offerors pricing of six months. This CLIN will be removed upon award.
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
5009 1 Each
OPTION EVALUATION PURPOSES ONLY
FFP
Keesler AB Annual Survey. In accordance with FAR 52.217-8, this CLIN is used to evaluate the offerors pricing of six months. This CLIN will be removed upon award.
FOB: Destination
NET AMT
ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
5010 1 Each
OPTION EVALUATION PURPOSES ONLY
FFP
OSAN AB Annual Survey. In accordance with FAR 52.217-8, this CLIN is used to evaluate the offerors pricing of six months. This CLIN will be removed upon award.
FOB: Destination
NET AMT
INSPECTION AND ACCEPTANCE TERMS
Supplies/services will be inspected/accepted at:
CLIN INSPECT AT INSPECT BY ACCEPT AT ACCEPT BY
0001 Destination Government Destination Government
0002 Destination Government Destination Government
0003 Destination Government Destination Government
0004 Destination Government Destination Government
0005 Destination Government Destination Government
0006 Destination Government Destination Government
0007 Destination Government Destination Government
0008 Destination Government Destination Government
0009 Destination Government Destination Government
0010 Destination Government Destination Government
0011 Destination Government Destination Government
1001 Destination Government Destination Government
1002 Destination Government Destination Government
1003 Destination Government Destination Government
1004 Destination Government Destination Government
1005 Destination Government Destination Government
1006 Destination Government Destination Government
1007 Destination Government Destination Government
1008 Destination Government Destination Government
1009 Destination Government Destination Government
1010 Destination Government Destination Government
1011 Destination Government Destination Government
1012 Destination Government Destination Government
1013 Destination Government Destination Government
1014 Destination Government Destination Government
1015 Destination Government Destination Government
2001 Destination Government Destination Government
2002 Destination Government Destination Government
2003 Destination Government Destination Government
2004 Destination Government Destination Government
2005 Destination Government Destination Government
2006 Destination Government Destination Government
2007 Destination Government Destination Government
2008 Destination Government Destination Government
2009 Destination Government Destination Government
2010 Destination Government Destination Government
2011 Destination Government Destination Government
3001 Destination Government Destination Government
3002 Destination Government Destination Government
3003 Destination Government Destination Government
3004 Destination Government Destination Government
3005 Destination Government Destination Government
3006 Destination Government Destination Government
3007 Destination Government Destination Government
3008 Destination Government Destination Government
3009 Destination Government Destination Government
3010 Destination Government Destination Government
3011 Destination Government Destination Government
3012 Destination Government Destination Government
4001 Destination Government Destination Government
4002 Destination Government Destination Government
4003 Destination Government Destination Government
4004 Destination Government Destination Government
4005 Destination Government Destination Government
4006 Destination Government Destination Government
4007 Destination Government Destination Government
4008 Destination Government Destination Government
4009 Destination Government Destination Government
4010 Destination Government Destination Government
4011 Destination Government Destination Government
4012 Destination Government Destination Government
4013 Destination Government Destination Government
4014 Destination Government Destination Government
5001 Destination Government Destination Government
5002 Destination Government Destination Government
5003 Destination Government Destination Government
5004 Destination Government Destination Government
5005 Destination Government Destination Government
5006 Destination Government Destination Government
5007 Destination Government Destination Government
5008 Destination Government Destination Government
5009 Destination Government Destination Government
5010 Destination Government Destination Government
DELIVERY INFORMATION
CLIN DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC
0001 POP 01-JAN-2017 TO
31-DEC-2017
N/A AFMOA/SGHQ - F2M4AK
MAJOR HOLLY A DINKEL
3515 S. GENERAL MCMULLEN STE 200
SAN ANTONIO TX 78226
210-395-9114
FOB: Destination
F2M4AK
0002 POP 01-JAN-2017 TO
31-DEC-2017
N/A (SAME AS PREVIOUS LOCATION)
FOB: Destination
F2M4AK
0003 POP 01-JAN-2017 TO
31-DEC-2017
N/A (SAME AS PREVIOUS LOCATION)
FOB: Destination
F2M4AK
0004 POP 01-JAN-2017 TO
31-DEC-2017
N/A (SAME AS PREVIOUS LOCATION)
FOB: Destination
F2M4AK
0005 POP 01-JAN-2017 TO
31-DEC-2017
N/A (SAME AS PREVIOUS LOCATION)
FOB: Destination
F2M4AK
0006 POP 01-JAN-2017 TO
31-DEC-2017
N/A (SAME AS PREVIOUS LOCATION)
FOB: Destination
F2M4AK
0007 POP 01-JAN-2017 TO
31-DEC-2017
N/A (SAME AS PREVIOUS LOCATION)
FOB: Destination
F2M4AK
0008 POP 01-JAN-2017 TO
31-DEC-2017
N/A (SAME AS PREVIOUS LOCATION)
F2M4AK
0009 POP 01-JAN-2017 TO
31-DEC-2017
N/A (SAME AS PREVIOUS LOCATION)
FOB: Destination
F2M4AK
0010 POP 01-JAN-2017 TO
31-DEC-2017
N/A (SAME AS PREVIOUS LOCATION)
FOB: Destination
F2M4AK
0011 POP 01-JAN-2017 TO
31-DEC-2017
N/A (SAME AS PREVIOUS LOCATION)
FOB: Destination
F2M4AK
1001 POP 01-JAN-2018 TO
31-DEC-2018
N/A (SAME AS PREVIOUS LOCATION)
FOB: Destination
F2M4AK
1002 POP 01-JAN-2018 TO
31-DEC-2018
N/A (SAME AS PREVIOUS LOCATION)
FOB: Destination
F2M4AK
1003 POP 01-JAN-2018 TO
31-DEC-2018
N/A (SAME AS PREVIOUS LOCATION)
FOB: Destination
F2M4AK
1004 POP 01-JAN-2018 TO
31-DEC-2018
N/A (SAME AS PREVIOUS LOCATION)
FOB: Destination
F2M4AK
1005 POP 01-JAN-2018 TO
31-DEC-2018
N/A (SAME AS PREVIOUS LOCATION)
FOB: Destination
F2M4AK
1006 POP 01-JAN-2018 TO
31-DEC-2018
N/A (SAME AS PREVIOUS LOCATION)
FOB: Destination
F2M4AK
1007 POP 01-JAN-2018 TO
31-DEC-2018
N/A (SAME AS PREVIOUS LOCATION)
FOB: Destination
F2M4AK
1008 POP 01-JAN-2018 TO
31-DEC-2018
N/A (SAME AS PREVIOUS LOCATION)
FOB: Destination
F2M4AK
1009 POP 01-JAN-2018 TO
31-DEC-2018
N/A (SAME AS PREVIOUS LOCATION)
FOB: Destination
F2M4AK
1010 POP 01-JAN-2018 TO
31-DEC-2018
N/A (SAME AS PREVIOUS LOCATION)
FOB: Destination
F2M4AK
1011 POP 01-JAN-2018 TO
31-DEC-2018
N/A (SAME AS PREVIOUS LOCATION)
FOB: Destination
F2M4AK
1012 POP 01-JAN-2018 TO
31-DEC-2018
N/A (SAME AS PREVIOUS LOCATION)
FOB: Destination
F2M4AK
1013 POP 01-JAN-2018 TO
31-DEC-2018
N/A (SAME AS PREVIOUS LOCATION)
FOB: Destination
F2M4AK
1014 POP 01-JAN-2018 TO
31-DEC-2018
N/A (SAME AS PREVIOUS LOCATION)
FOB: Destination
F2M4AK
1015 POP 01-JAN-2018 TO
31-DEC-2018
N/A (SAME AS PREVIOUS LOCATION)
2001 POP 01-JAN-2019 TO
31-DEC-2019
N/A (SAME AS PREVIOUS LOCATION)
FOB: Destination
F2M4AK
2002 POP 01-JAN-2019 TO
31-DEC-2019
N/A (SAME AS PREVIOUS LOCATION)
FOB: Destination
F2M4AK
2003 POP 01-JAN-2019 TO
31-DEC-2019
N/A (SAME AS PREVIOUS LOCATION)
FOB: Destination
F2M4AK
2004 POP 01-JAN-2019 TO
31-DEC-2019
N/A (SAME AS PREVIOUS LOCATION)
FOB: Destination
F2M4AK
2005 POP 01-JAN-2019 TO
31-DEC-2019
N/A (SAME AS PREVIOUS LOCATION)
FOB: Destination
F2M4AK
2006 POP 01-JAN-2019 TO
31-DEC-2019
N/A (SAME AS PREVIOUS LOCATION)
FOB: Destination
F2M4AK
2007 POP 01-JAN-2019 TO
31-DEC-2019
N/A (SAME AS PREVIOUS LOCATION)
FOB: Destination
F2M4AK
2008 POP 01-JAN-2019 TO
31-DEC-2019
N/A (SAME AS PREVIOUS LOCATION)
FOB: Destination
F2M4AK
2009 POP 01-JAN-2019 TO
31-DEC-2019
N/A (SAME AS PREVIOUS LOCATION)
FOB: Destination
F2M4AK
2010 POP 01-JAN-2019 TO
31-DEC-2019
N/A (SAME AS PREVIOUS LOCATION)
FOB: Destination
F2M4AK
2011 POP 01-JAN-2019 TO
31-DEC-2019
N/A (SAME AS PREVIOUS LOCATION)
FOB: Destination
F2M4AK
3001 POP 01-JAN-2020 TO
31-DEC-2020
N/A (SAME AS PREVIOUS LOCATION)
FOB: Destination
F2M4AK
3002 POP 01-JAN-2020 TO
31-DEC-2020
N/A (SAME AS PREVIOUS LOCATION)
FOB: Destination
F2M4AK
3003 POP 01-JAN-2020 TO
31-DEC-2020
N/A (SAME AS PREVIOUS LOCATION)
FOB: Destination
F2M4AK
3004 POP 01-JAN-2020 TO
31-DEC-2020
N/A (SAME AS PREVIOUS LOCATION)
FOB: Destination
F2M4AK
3005 POP 01-JAN-2020 TO
31-DEC-2020
N/A (SAME AS PREVIOUS LOCATION)
FOB: Destination
F2M4AK
3006 POP 01-JAN-2020 TO
31-DEC-2020
N/A (SAME AS PREVIOUS LOCATION)
FOB: Destination
F2M4AK
3007 POP 01-JAN-2020 TO
31-DEC-2020
N/A (SAME AS PREVIOUS LOCATION)
3008 POP 01-JAN-2020 TO
31-DEC-2020
N/A (SAME AS PREVIOUS LOCATION)
FOB: Destination
F2M4AK
3009 POP 01-JAN-2020 TO
31-DEC-2020
N/A (SAME AS PREVIOUS LOCATION)
FOB: Destination
F2M4AK
3010 POP 01-JAN-2020 TO
31-DEC-2020
N/A (SAME AS PREVIOUS LOCATION)
FOB: Destination
F2M4AK
3011 POP 01-JAN-2020 TO
31-DEC-2020
N/A (SAME AS PREVIOUS LOCATION)
FOB: Destination
F2M4AK
3012 POP 01-JAN-2020 TO
31-DEC-2020
N/A (SAME AS PREVIOUS LOCATION)
FOB: Destination
F2M4AK
4001 POP 01-JAN-2021 TO
31-DEC-2021
N/A (SAME AS PREVIOUS LOCATION)
FOB: Destination
F2M4AK
4002 POP 01-JAN-2021 TO
31-DEC-2021
N/A (SAME AS PREVIOUS LOCATION)
FOB: Destination
F2M4AK
4003 POP 01-JAN-2021 TO
31-DEC-2021
N/A (SAME AS PREVIOUS LOCATION)
FOB: Destination
F2M4AK
4004 POP 01-JAN-2021 TO
31-DEC-2021
N/A (SAME AS PREVIOUS LOCATION)
FOB: Destination
F2M4AK
4005 POP 01-JAN-2021 TO
31-DEC-2021
N/A (SAME AS PREVIOUS LOCATION)
FOB: Destination
F2M4AK
4006 POP 01-JAN-2021 TO
31-DEC-2021
N/A (SAME AS PREVIOUS LOCATION)
FOB: Destination
F2M4AK
4007 POP 01-JAN-2021 TO
31-DEC-2021
N/A (SAME AS PREVIOUS LOCATION)
FOB: Destination
F2M4AK
4008 POP 01-JAN-2021 TO
31-DEC-2021
N/A (SAME AS PREVIOUS LOCATION)
FOB: Destination
F2M4AK
4009 POP 01-JAN-2021 TO
31-DEC-2021
N/A (SAME AS PREVIOUS LOCATION)
FOB: Destination
F2M4AK
4010 POP 01-JAN-2021 TO
31-DEC-2021
N/A (SAME AS PREVIOUS LOCATION)
FOB: Destination
F2M4AK
4011 POP 01-JAN-2021 TO
31-DEC-2021
N/A (SAME AS PREVIOUS LOCATION)
FOB: Destination
F2M4AK
4012 POP 01-JAN-2021 TO
31-DEC-2021
N/A (SAME AS PREVIOUS LOCATION)
FOB: Destination
F2M4AK
4013 POP 01-JAN-2021 TO
31-DEC-2021
N/A (SAME AS PREVIOUS LOCATION)
4014 POP 01-JAN-2021 TO
31-DEC-2021
N/A (SAME AS PREVIOUS LOCATION)
FOB: Destination
F2M4AK
5001 POP 01-JAN-2022 TO
30-JUN-2022
N/A (SAME AS PREVIOUS LOCATION)
FOB: Destination
F2M4AK
5002 POP 01-JAN-2022 TO
30-JUN-2022
N/A (SAME AS PREVIOUS LOCATION)
FOB: Destination
F2M4AK
5003 POP 01-JAN-2022 TO
30-JUN-2022
N/A (SAME AS PREVIOUS LOCATION)
FOB: Destination
F2M4AK
5004 POP 01-JAN-2022 TO
30-JUN-2022
N/A (SAME AS PREVIOUS LOCATION)
FOB: Destination
F2M4AK
5005 POP 01-JAN-2022 TO
30-JUN-2022
N/A (SAME AS PREVIOUS LOCATION)
FOB: Destination
F2M4AK
5006 POP 01-JAN-2022 TO
30-JUN-2022
N/A (SAME AS PREVIOUS LOCATION)
FOB: Destination
F2M4AK
5007 POP 01-JAN-2022 TO
30-JUN-2022
N/A (SAME AS PREVIOUS LOCATION)
FOB: Destination
F2M4AK
5008 POP 01-JAN-2022 TO
30-JUN-2022
N/A (SAME AS PREVIOUS LOCATION)
FOB: Destination
F2M4AK
5009 POP 01-JAN-2022 TO
30-JUN-2022
N/A (SAME AS PREVIOUS LOCATION)
FOB: Destination
F2M4AK
5010 POP 01-JAN-2022 TO
30-JUN-2022
N/A (SAME AS PREVIOUS LOCATION)
FOB: Destination
F2M4AK
CLAUSES INCORPORATED BY REFERENCE
52.202-1 Definitions NOV 2013
52.203-3 Gratuities APR 1984
52.203-11 Certification And Disclosure Regarding Payments To
Influence Certain Federal Transactions
SEP 2007
52.203-12 Limitation On Payments To Influence Certain Federal
Transactions
OCT 2010
52.203-17 Contractor Employee Whistleblower Rights and Requirement
To Inform Employees of Whistleblower Rights
APR 2014
52.204-2 Security Requirements AUG 1996
52.204-9 Personal Identity Verification of Contractor Personnel JAN 2011
52.204-10 Reporting Executive Compensation and First-Tier
Subcontract Awards
OCT 2015
52.204-13 System for Award Management Maintenance JUL 2013
52.204-16 Commercial and Government Entity Code Reporting JUL 2016
52.204-18 Commercial and Government Entity Code Maintenance JUL 2016
52.209-6 Protecting the Government's Interest When Subcontracting
With Contractors Debarred, Suspended, or Proposed for
Debarment
OCT 2015
52.209-7 Information Regarding Responsibility Matters JUL 2013
52.212-4 Contract Terms and Conditions--Commercial Items MAY 2015
52.222-22 Previous Contracts And Compliance Reports FEB 1999
52.222-35 Equal Opportunity for Veterans OCT 2015
52.222-37 Employment Reports on Veterans FEB 2016
52.222-54 Employment Eligibility Verification OCT 2015
52.223-5 Pollution Prevention and Right-to-Know Information MAY 2011
52.223-6 Drug-Free Workplace MAY 2001
52.224-1 Privacy Act Notification APR 1984
52.224-2 Privacy Act APR 1984
52.225-13 Restrictions on Certain Foreign Purchases JUN 2008
52.225-25 Prohibition on Contracting with Entities Engaging in Certain
Activities or Transactions Relating to Iran-- Representation and Certifications.
OCT 2015
52.229-3 Federal, State And Local Taxes FEB 2013
52.232-1 Payments APR 1984
52.232-17 Interest MAY 2014
52.232-23 Assignment Of Claims MAY 2014
52.233-1 Disputes MAY 2014
52.233-3 Protest After Award AUG 1996
52.233-4 Applicable Law for Breach of Contract Claim OCT 2004
52.237-2 Protection Of Government Buildings, Equipment, And
Vegetation
APR 1984
52.237-3 Continuity Of Services JAN 1991
52.242-13 Bankruptcy JUL 1995
52.246-4 Inspection Of Services--Fixed Price AUG 1996
52.247-34 F.O.B. Destination NOV 1991
252.201-7000 Contracting Officer's Representative DEC 1991
252.203-7002 Requirement to Inform Employees of Whistleblower Rights SEP 2013
252.205-7000 Provision Of Information To Cooperative Agreement Holders DEC 1991
252.209-7004 Subcontracting With Firms That Are Owned or Controlled By
The Government of a Country that is a State Sponsor of
Terrorism
OCT 2015
252.225-7012 Preference For Certain Domestic Commodities FEB 2013
252.243-7001 Pricing Of Contract Modifications DEC 1991
252.243-7002 Requests for Equitable Adjustment DEC 2012
CLAUSES INCORPORATED BY FULL TEXT
52.209-5 CERTIFICATION REGARDING RESPONSIBILITY MATTERS (OCT 2015)
(a)(1) The Offeror certifies, to the best of its knowledge and belief, that-
(i) The Offeror and/or any of its Principals-
(A) Are ( ) are not ( ) presently debarred, suspended, proposed for debarment, or declared ineligible for the award of contracts by any Federal agency;
(B) Have ( ) have not ( ), within a three-year period preceding this offer, been convicted of or had a civil judgment rendered against them for: commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State, or local) contract or subcontract; violation of Federal or
State antitrust statutes relating to the submission of offers; or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, tax evasion, violating Federal criminal tax laws, or receiving stolen property (if offeror checks “have”, the offeror shall also see 52.209-7, if included in this solicitation); and
(C) Are ( ) are not ( ) presently indicted for, or otherwise criminally or civilly charged by a governmental entity with, commission of any of the offenses enumerated in paragraph (a)(1)(i)(B) of this provision.;
and
(D) Have , have not , within a three-year period preceding this offer, been notified of any delinquent
Federal taxes in an amount that exceeds $3,500 for which the liability remains unsatisfied.
(1) Federal taxes are considered delinquent if both of the following criteria apply:
(i) The tax liability is finally determined. The liability is finally determined if it has been assessed. A liability is not finally determined if there is a pending administrative or judicial challenge. In the case of a judicial challenge to the liability, the liability is not finally determined until all judicial appeal rights have been exhausted.
(ii) The taxpayer is delinquent in making payment. A taxpayer is delinquent if the taxpayer has failed to pay the tax liability when full payment was due and required. A taxpayer is not delinquent in cases where enforced collection action is precluded.
(2) Examples. (i) The taxpayer has received a statutory notice of deficiency, under I.R.C. Sec. 6212, which entitles the taxpayer to seek Tax Court review of a proposed tax deficiency. This is not a delinquent tax because it is not a final tax liability. Should the taxpayer seek Tax Court review, this will not be a final tax liability until the taxpayer has exercised all judicial appeal rights.
(ii) The IRS has filed a notice of Federal tax lien with respect to an assessed tax liability, and the taxpayer has been issued a notice under I.R.C. Sec. 6320 entitling the taxpayer to request a hearing with the IRS Office of Appeals contesting the lien filing, and to further appeal to the Tax Court if the IRS determines to sustain the lien filing. In the course of the hearing, the taxpayer is entitled to contest the underlying tax liability because the taxpayer has had no prior opportunity to contest the liability. This is not a delinquent tax because it is not a final tax liability. Should the taxpayer seek tax court review, this will not be a final tax liability until the taxpayer has exercised all judicial appeal rights.
(iii) The taxpayer has entered into an installment agreement pursuant to I.R.C. Sec. 6159. The taxpayer is making timely payments and is in full compliance with the agreement terms. The taxpayer is not delinquent because the taxpayer is not currently required to make full payment.
(iv) The taxpayer has filed for bankruptcy protection. The taxpayer is not delinquent because enforced collection action is stayed under 11 U.S.C. 362 (the Bankruptcy Code).
(ii) The Offeror has ( ) has not ( ), within a three-year period preceding this offer, had one or more contracts terminated for default by any Federal agency.
(2) Principal, for the purposes of this certification, means an officer, director, owner, partner, or a person having primary management or supervisory responsibilities within a business entity (e.g., general manager; plant manager;
head of a division or business segment; and similar positions).
(b) The Offeror shall provide immediate written notice to the Contracting Officer if, at any time prior to contract award, the Offeror learns that its certification was erroneous when submitted or has become erroneous by reason of changed circumstances.
(c) A certification that any of the items in paragraph (a) of this provision exists will not necessarily result in withholding of an award under this solicitation. However, the certification will be considered in connection with a determination of the Offeror's responsibility. Failure of the Offeror to furnish a certification or provide such additional information as requested by the Contracting Officer may render the Offeror nonresponsible.
(d) Nothing contained in the foregoing shall be construed to require establishment of a system of records in order to render, in good faith, the certification required by paragraph (a) of this provision. The knowledge and information of an Offeror is not required to exceed that which is normally possessed by a prudent person in the ordinary course of business dealings.
(e) The certification in paragraph (a) of this provision is a material representation of fact upon which reliance was placed when making award. If it is later determined that the Offeror knowingly rendered an erroneous certification, in addition to other remedies available to the Government, the Contracting Officer may terminate the contract resulting from this solicitation for default.
(End of provision)
PLEASE SEE BELOW ADDENDUM FOR THIS REQUIRMENT
Addenda to 52.212-1 -- Instructions to Offeror’s -- Commercial Items (July 2013)
Addendum to 52.212-1(c), Period for Acceptance of Offers. The paragraph is tailored as follows: “The Offeror agrees to hold the prices in its offer firm for 150 calendar days from the date specified for receipt of offers.”
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