FA8053-13-R-0001_TMS.pdf

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RATING PAGE OF PAGES

7. ISSUED BY

(Date)

IMPORTANT - Award will be made on this Form, or on Standard Form 26, or by other authorized official written notice.

Previous Edition is Unusable 33-134 STANDARD FORM 33 (REV. 9-97)

Prescribed by GSA FAR (48 CFR) 53.214(c)

1 86

(If other than Item 7)

15A. NAME 16. NAME AND TITLE OF PERSON AUTHORIZED TO

AND

ADDRESS SIGN OFFER (Type or print)

OF

OFFEROR

AMENDMENT NO. DATE

15B. TELEPHONE NO (Include area code) 17. SIGNATURE15C. CHECK IF REMITTANCE ADDRESS

IS DIFFERENT FROM ABOVE - ENTER

SUCH ADDRESS IN SCHEDULE.

18. OFFER DATE

1. THIS CONTRACT IS A RATED ORDER

UNDER DPAS (15 CFR 700)

2. CONTRACT NO.

FA8053 8. ADDRESS OFFER TO

See Item 7

9. Sealed offers in original and 2 copies for furnishing the supplies or services in the Schedule will be received at the place specified in Item 8, or if handcarried, in the depository located in

CAUTION - LATE Submissions, Modifications, and Withdrawals: See Section L, Provision No. 52.214-7 or 52.215-1. All offers are subject to all terms and conditions contained in this solicitation.

10. FOR INFORMATION

CALL:

A. NAME (NO COLLECT CALLS)

11. TABLE OF CONTENTS

SOLICITATION/ CONTRACT FORM

SUPPLIES OR SERVICES AND PRICES/ COSTS

2 - 5

X I CONTRACT CLAUSES

DESCRIPTION/ SPECS./ WORK STATEMENT X

PACKAGING AND MARKING

6 J LIST OF ATTACHMENTS

INSPECTION AND ACCEPTANCE

DELIVERIES OR PERFORMANCE

8 X K REPRESENTATIONS, CERTIFICATIONS AND

OTHER STATEMENTS OF OFFERORS

CONTRACT ADMINISTRATION DATA X

SPECIAL CONTRACT REQUIREMENTS

OFFER (Must be fully completed by offeror) 9 - 24 X M

L INSTRS., CONDS., AND NOTICES TO OFFERORS

EVALUATION FACTORS FOR AWARD

NOTE: Item 12 does not apply if the solicitation includes the provisions at 52.214-16, Minimum Bid Acceptance Period.

is inserted by the offeror) from the date for receipt of offers specified above, to furnish any or all items upon which prices are offered at the price set opposite each item, delivered at the designated point(s), within the time specified in the schedule.

13. DISCOUNT FOR PROMPT PAYMENT

(See Section I, Clause No. 52.232-8)

14. ACKNOWLEDGMENT OF AMENDMENTS

(The offeror acknowledges receipt of amendments

AMENDMENT NO. DATE

to the SOLICITATION for offerors and related documents numbered and dated):

FACILITY

12. In compliance with the above, the undersigned agrees, if this offer is accepted within calendar days (60 calendar days unless a different period

SOLICITATION, OFFER AND AWARD

X

(X) SEC. DESCRIPTION (X) SEC. DESCRIPTION PAGE(S)

PART I - THE SCHEDULE

26. NAME OF CONTRACTING OFFICER (Type or print) 27. UNITED STATES OF AMERICA 28. AWARD DATE

EMAIL:TEL: (Signature of Contracting Officer)

CODE CODE

B. TELEPHONE (Include area code) C. E-MAIL ADDRESS

AWARD (To be completed by Government)

19. ACCEPTED AS TO ITEMS NUMBERED 20. AMOUNT 21. ACCOUNTING AND APPROPRIATION

22. AUTHORITY FOR USING OTHER THAN FULL AND OPEN COMPETITION:

10 U.S.C. 2304(c)( ) 41 U.S.C. 253(c)( ) (4 copies unless otherwise specified)

23. SUBMIT INVOICES TO ADDRESS SHOWN IN ITEM

24. ADMINISTERED BY (If other than Item 7) CODE 25. PAYMENT WILL BE MADE BY CODE

PART IV - REPRESENTATIO NS AND INSTRUCTIO NS

PART III - LIST O F DO CUMENTS, EXHIBITS AND O THER ATTACHMENTS

25 - 42

PART II - CO NTRACT CLAUSES

773 ESS/PKJ - ESG MEDICAL OL, WPAFB

POC: CAPT JOSHUA NABORS

1940 ALLBROOK DRIVE, SUITE 300

BLDG 1, AREA A

WRIGHT PATTERSON AFB OH 45433

(937) 257-5818

FAX:

TEL:

FAX:

TEL:

NOTE: In sealed bid solicitations "offer" and "offeror" mean "bid" and "bidder".

SOLICITATION

6. REQUISITION/PURCHASE NO.5. DATE ISSUED

08 May 2013

4. TYPE OF SOLICITATION

SEALED BID (IFB)

NEGOTIATED (RFP)

[ X ]

3. SOLICITATION NO.

FA8053-13-R-0001

Section B - Supplies or Services and Prices

ITEM NO SUPPLIES/SERVICES MAX

QUANTITY

UNIT UNIT PRICE MAX AMOUNT

0001 1 Each Clinical Services

FFP

Provide clinical personnel to support Air Force Medical Treatment Facilities (MTFs) throughout the United States and Guam in accordance with the Performance Work Statement (PWS) included in Section C and the performance requirements included in Section J. Task orders will be issued under this contract as outlined in clause H.1, H.2, and H.3. The contract ordering period is five (5) years from the date of contract award. The labor categories included in the contract can be found in Section J, Attachment 4, Position Descriptions.

FOB: Destination

SIGNAL CODE: A

MAX

NET AMT

UNIT UNIT PRICE MAX AMOUNT

0002 1 Each Expedited Credentialing

FFP

Expedited Submission of Subsequent Credentialing Documentation IAW H.4.

UNIT UNIT PRICE MAX AMOUNT

0003 UNDEFINED Each Travel

COST

The Contractor, including both Contractor Management Staff and HCWs, shall be required to perform periodic travel within the Continental United States (CONUS) as directed by the Government and approved in advance by the Contracting Officer (CO). The Contractor shall be responsible for obtaining all passenger transportation, lodging, and subsistence. Reimbursement of CONUS travel costs will be in accordance with the Federal Travel Regulations per FAR 31.205-46. The Contractor shall travel using the lowest cost mode transportation commensurate with the mission requirements. When necessary to use air travel, the Contractor shall use the tourist class, economy class, or similar accommodations to the extent they are available and commensurate with the mission requirements. Travel will be reimbursed on a cost reimbursable basis;

no profit or fee will be paid.

MAX COST

UNIT UNIT PRICE MAX AMOUNT

0004 1 Each Post-award Conference

FFP

The post award conference will be conducted within approximately 14 calendar days following contract award and will be held at Wright-Patterson AFB, Ohio.

The Government will establish one eight-hour day between the hours of 8 a.m.

and 5 p.m. for the post award conference. The Government will provide the post award conference dates, format, and agenda within approximately two weeks following contract award. The Government will not pay any additional costs incurred above this amount. Ordering procedures for this CLIN can be found in section H.1.

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Contract Data Requirements List

FFP

Contract Data Requirements List: IAW with DD Form 1423-2, Data Item Numbers A001, A002, and A003. Costs associated with this CLIN are included in CLIN 0001, 0002, . CLIN 0005 is not separately priced.

CONTRACT MINIMUM/MAXIMUM QUANTITY AND CONTRACT VALUE

The minimum quantity and contract value for all orders issued against this contract shall not be less than the minimum quantity and contract value stated in the following table. The maximum quantity and contract value for all orders issued against this contract shall not exceed the maximum quantity and contract value stated in the following table.

MINIMUM

QUANTITY

MINIMUM

AMOUNT

MAXIMUM

QUANTITY

MAXIMUM

AMOUNT

$3,000.00 $45,000,000.00

CLIN DELIVERY/TASK ORDER MINIMUM/MAXIMUM QUANTITY AND CLIN ORDER VALUE

The minimum quantity and order value for the given Delivery/Task Order issued for this CLIN shall not be less than the minimum quantity and order value stated in the following table. The maximum quantity and order value for the given Delivery/Task Order issued for this CLIN shall not exceed the maximum quantity and order value stated in the following table.

CLIN

MINIMUM

QUANTITY

MINIMUM

AMOUNT

MAXIMUM

QUANTITY

MAXIMUM

AMOUNT

Section C - Descriptions and Specifications

PERFORMANCE WORK STATEMENT

Dated 04 April 2013 Found as separate electronic document

Section E - Inspection and Acceptance

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

CLAUSES INCORPORATED BY REFERENCE

52.246-4 Inspection Of Services--Fixed Price AUG 1996 52.246-5 Inspection Of Services Cost-Reimbursement APR 1984

Section F - Deliveries or Performance

DELIVERY INFORMATION

CLIN DELIVERY DATE QUANTITY SHIP TO ADDRESS UIC

0001 5 yrs. ADC 1 AFMSA/SG5M

TAMMY HILDEBRAND

2776 C STREET SUITE 200

WPAFB OH 45433

937-904-5036

F4F4AB

0002 5 yrs. ADC 1 (SAME AS PREVIOUS LOCATION)

0003 5 yrs. ADC (SAME AS PREVIOUS LOCATION)

0004 2 wks. ADC 1 (SAME AS PREVIOUS LOCATION)

0005 N/A N/A N/A N/A

52.242-15 Stop-Work Order AUG 1989 52.242-15 Alt I Stop-Work Order (Aug 1989) - Alternate I APR 1984

Section H - Special Contract Requirements

SPECIAL CONTRACT REQUIREMENTS

SPECIAL CONTRACT CLAUSES

H.1 ORDERING PROCEDURE INFORMATION

Temporary medical staffing will be procured with the award of task orders issued against the basic contract (Indefinite Delivery, Indefinite Quantity, Multiple Award Contract). There are four procedures for the submission of proposals for award of task orders:

a. Initial Task Orders. Each awardee will receive an initial task order for the contract minimum of $3,000.00 to cover the expense of attendance at the post award conference. The post award conference will be conducted within approximately 14 calendar days following contract award and will be held at Wright-Patterson AFB, Ohio. The Government will establish one eight-hour day between the hours of 8 a.m. and 5 p.m. for the post award conference. The Government will provide the post award conference dates, format, and agenda within approximately 14 calendar days of contract award. The Government will not pay any additional costs incurred above this amount.

The post award conference will be required attendance for up to two contractor management staff. It will focus on the contract terms and conditions. At the request of the awardee, the Contracting Officer may approve additional attendees, at no cost to the Government, if space is available.

b. Sample Task Order (STO). The Government may award requirements on the STO (see Section J, Attachment

8, Table B-1) using prices proposed by awardees. Pricing on the STO will be used to set fully burdened hourly rates for the location-specific labor categories listed on the STO for a period of 90 calendar days after contract award. Awardees proposed firm fixed priced fully burdened hourly rates for duty hours, on-call hours (if identified), and overage hours (if identified) for the task order performance period pricing for each labor category, by location, listed in the STO. Additionally, pricing on selected labor categories listed on the STO will include an additional separate fixed price lump sum Contract Line Item Number (CLIN) for expedited submission of credentials documentation that may be required by the MTF 10 calendar days after task order award in order to accelerate the overall required fill (Section H.4). The Government may award all, some, or none of the STO requirements. Procedures and regulations applying to the award of STO task orders are provided in H.2.

c. Subsequent Task Orders. The Government may order additional services, up to the stated contract maximum value, throughout the period of this contract. Procedures and regulations applying to the award of subsequently awarded task orders are provided in H.3.

d. Expedited Services. In instances where an MTF requires an accelerated fill, an expedited credentialing submission will be requested at the time the Task Order Proposal Request (TOPR) is submitted to contractors.

Procedures and regulations applying to the expedited submission of credentialing documentation are provided in H.4. The prices on the STO in column K for expedited submission of credentialing documentation will apply to subsequent task orders in the event expedited services are used IAW section H.4.

H.2 ORDERING PROCEDURES FOR SAMPLE TASK ORDER (STO)

a. Vendor pricing was evaluated at 12 different locations for various positions using a Sample Task Order (STO).

The various labor categories at the 12 bases listed in Table H.2 below are pre-priced and those prices will be valid for the first 90 calendar days of this contract. The STO represents anticipated requirements at the select AF MTFs below. Ordering Contracting Officers (CO) at the bases listed should review Section J, Attachment 8, Table B-1, to determine if a specific labor category is listed.

Table H.2 Air Force Bases with Pre-priced Labor Categories

AIR FORCE BASES

1. Altus AFB, Altus, OK 2. Hickam AFB, HI

3. Anderson AFB, Guam 4. Keesler AFB, MS

5. Andrews AFB, MD 6. Kirtland AFB, NM

7. Beale AFB, CA 8. Luke AFB, AZ

9. Eielson AFB, AK 10. Mountain Home AFB, ID

11. Ellsworth AFB, SD 12. Scott AFB, IL

b. If the ordering CO decides to use the STO requirements, then the ordering CO will begin the task order process

(see figure H.2) by issuing a Task Order Proposal Request (TOPR) Letter and attachments (hereafter referred to as TOPR package) to the Contractor identified by the Program Management Office (PMO) as the most advantageous to the Government. The ordering CO will initiate the process to award task orders from the STO requirements by sending:

1. A TOPR letter and package directly to the vendor offering the lowest total price for the specified labor category for that specific location. The contractor with the lowest overall price will then have seven calendar days to provide qualifying documentation for a candidate. If the contractor cannot provide a qualified candidate, then the ordering office may go to the next lowest contractor for that position at the specified location in the TOPR.

a) The TOPR letter must include the following additional information:

1) Date

2) Description of services

3) Labor category

4) Quantity required

5) Place of performance

6) Period of performance

7) Work schedule

8) Duty hours (i.e., number of billable hours)

9) On-call hours and specific requirements, if applicable (e.g., response time, duty location, pager)

10) Overage hours and specific requirements, if applicable

11) If position is considered “Mission Essential” (IAW DoDI 1100.22)

12) Whether Criminal History Background Check (CHBC) is required

13) Anticipated Workload (optional)

14) Name and email address of Service Contract Manager (to submit qualifying documentation)

15) Other pertinent data such as planned closures for federal holidays, family days, and goal days.

b) Along with the TOPR letter, the TOPR package will consist of the following documents, at a minimum:

1) Pricing worksheet with the pre-priced fully burdened hourly rates and bare rates for each labor category already input from the STO revealing the total overall price of the potential task order award.

2) Position description for each labor category (Must match STO PDs).

3) Requirements for award including the work schedule, billable hours, and additional requirements must mirror the requirements in the STO. If the MTF changes any of the requirements on the STO, the ordering CO must use the process for subsequent task orders in H.3 rather than award the task order from the STO. However, the ordering CO may decide to award all, some or none of the STO requirements.

2. An email of the TOPR package to the Program Manager at the AFMSCC.

c. The task order process for the STO requirements is a two-step process: Candidate Approval and Task Order Award as shown in the Figure H.2.

Figure H.2 Task Order Process, Sample Task Order

1. Candidate Approval: The Contracting Officer will issue a TOPR to the Contractor identified by the PMO as most advantageous to the Government. The TOPR will require the Contractor to submit preliminary qualifying documentation (IAW Section C 6.1.1 and Section J, Attachment 4 (Position Descriptions)) within seven calendar days of issuance of the TOPR on candidates ready, willing, and able to work at the place of performance.

a) Submission of Preliminary Qualifying Documentation: The Contractor shall submit preliminary qualifying documentation for the Government to validate against preliminary Government minimum requirements (IAW Section C 6.1.1 and Section J, Attachment 4 (Position Descriptions)) of the task order at time of proposal submission. Preliminary qualifying documentation shall be submitted within seven calendar days from the issuance of the TOPR. The Contractor shall validate and provide a contact telephone number for each candidate with the preliminary qualifying documentation. Should the Contractor either fail to meet this seven calendar day requirement or fail to provide a valid contact telephone number, the ordering CO may withdraw all or some of the requirements on the TOPR and send a TOPR to another Contractor whose proposal is the next most advantageous to the Government.

The PMO will provide information to the ordering CO on the Contractor that is the most advantageous to the Government from the contract evaluation of the STO. Failure to provide preliminary qualifying documentation on a candidate, or provide a valid telephone contact number within the seven-day suspense on a TOPR, will be considered in the Government’s evaluation of the Contractor’s performance as outlined in the Services Summary.

b) Government Approval: The Government will review the preliminary qualifying documentation (IAW Section C 6.1.1 and Section J, Attachment 4 (Position Descriptions)) of the contract and contact the candidate via telephone if clarifications regarding the government minimum requirements are needed to determine if the candidate is qualified (i.e., ready), desires the job (i.e., willing), and capable (i.e., able) to work at the location/place of performance. The Government intends to complete the review in a timely manner and call the candidate, if necessary, following receipt of the preliminary qualifying documentation, unless the candidate delays the telephone call. Should the evaluation of the preliminary qualifying documentation result in the disapproval of a candidate because the candidate is not qualified, does not intend to work at the place of performance, or is not capable of working the work schedule at the place of performance, the ordering CO may withdraw all or some of the requirements of the TOPR and send a TOPR to another Contractor whose proposal is the next most advantageous to the Government. The PMO will provide information to the ordering CO on the Contractor that is the most advantageous to the Government from the contract evaluation of the STO.

Failure to provide a qualified candidate who is ready, willing, and able to provide services at the place of performance will be considered in the Government’s evaluation of the Contractor’s performance as outlined in the Services Summary.

c) Should the ordering CO not receive preliminary qualifying documentation on qualified candidates after sending a TOPR to two Contractors, the ordering CO may revalidate the STO requirements with the PMO prior to submitting a TOPR to the next (third) Contractor. The validation process may result in discussions with the MTF and Contractors to determine if the minimum qualifications are valid.

Should those discussions result in validating the requirement, the ordering CO may submit a TOPR to the Contractor who is the next most advantageous to the Government or may re-solicit the STO requirements using the subsequent task order procedures in section H.3. If the ordering CO does not receive preliminary qualifying documentation from the third TOPR after validating the requirement, the ordering CO may consider cancelling the STO requirement.

2. Task Order Award. Upon Government approval of qualified candidates that are ready, willing, and able to perform at the place of performance, the ordering CO will award a task order. The task order will include the following additional information:

a) Invoicing and acceptance instructions [NOTE: The Contractor shall only invoice and be paid for actual hours worked. Actual hours worked do not include absences (i.e., sick leave, vacation, personal days), non-duty days, and hours for continuing medical education. Only the Prime Contractor shall submit the invoice.]

b) Position description

c) Name of the approved candidate

d) Name of the COR/Supervisor

e) Name of Credentials Manager

f) Name of Unit Security Manager

d. After task order award, the Contractor shall submit security and credentialing documentation for the

Government to validate against Qualifying Documents for Subsequent Government Minimum Requirements (IAW Section C, Section 6.1.2 and Section J, Attachment 4 (Position Descriptions)) of the contract. Qualifying Documents for Subsequent Government Minimum Requirements for credentialed HCWs, and additional requirements (if any) established in the task order, must be submitted within 20 calendar days and 10 calendar days if expedited IAW section H.4. Documentation for all non-credentialed HCWs must be submitted within 20 calendar days. Security documentation for all HCWs must be submitted within seven calendar days of the start of performance as required by the TO. Qualifying Documents for Subsequent Government Minimum Requirements shall be submitted to the Government before placement of the HCW as specified in the task order.

H.3 ORDERING PROCEDURES FOR SUBSEQUENT TASK ORDERS

a. Task orders may be used to acquire any direct health care services at MTFs. All contracting offices that support MTFs identified in Section J, Attachment 1 are authorized to place task orders against this contract and are authorized to administer the task orders following award. Contracting offices that support MTFs under Joint-Basing arrangements shall follow the terms and conditions of this contract. This includes applicable DoD Regulations, Manuals, Instructions, Directives and the Air Force Instructions and Manuals referenced in the Performance Work Statement (Section C of this contract). IAW FAR 16.505(b), the ordering CO placing an order for subsequent task orders has broad discretion in setting the terms of competition for the task order.

b. Task orders shall be issued on a firm-fixed price (FFP) basis. The Contract Line Item Number (CLIN) structure on each task order will use:

1. Hours as the UNIT and fully burdened hourly rates for the UNIT PRICE on labor categories. The FFP is the fully burdened hourly rate with hours being adjusted based on actual use on the task order (see H.16c).

2. Lot as the UNIT and total price for the UNIT PRICE on travel.

c. Task Order Competition. Subsequent task orders will use the task order competition process as shown in

Figure H.3.c, Task Order, Subsequent Task Orders. Task order competition includes a task order proposal request (TOPR); proposal submission; proposal evaluation; legal review; and, contract clearance (if required).

The task order competition for subsequent awards is as follows:

1. Task Order Proposal Request (TOPR).

a) The ordering CO will initiate the TOPR process by sending:

1) A TOPR letter and attachments (hereafter referred to as TOPR package) to the TMS contractors.

2) An email of the TOPR package to the Program Manager at the AFMSCC.

b) The TOPR letter will include, at a minimum, the following information:

1) Date

2) Description of services

3) Labor category

4) Quantity required

5) Place of performance

6) Period of performance

7) Work schedule

8) Duty hours (i.e., number of billable hours)

9) On-call hours and specific requirements, if applicable (e.g., response time, duty location, pager)

10) Overage hours and specific requirements, if applicable

11) If position is considered “Mission Essential” (IAW DoDI 1100.22)

12) Whether Criminal History Background Check (CHBC) is required

13) Anticipated Workload (optional)

14) Relative weights of the evaluation factor(s) used

15) Name and email address of Service Contract Manager (to submit qualifying documentation)

16) Other pertinent data such as planned closures for federal holidays, family days, and goal days.

c) Along with the TOPR letter, the TOPR package will consist of the following documents, at a minimum:

1) Pricing worksheet requesting the fully burdened hourly rates and bare rates for each labor category.

2) Position description for each labor category.

3) Addendum approved by the PMO, as needed, on any position description requiring additional minimum requirements (must be submitted at time of TOPR submission).

Figure H.3.c, Subsequent Task Orders

3. Proposal Submission Process.

a) All Contractors are highly encouraged to submit a proposal for every TOPR under this contract. At a minimum, each Contractor shall propose on 85% of the TOPRs with seven calendar day proposal submission periods during all reporting periods throughout the life of this contract. If a Contractor is below the 85% acceptable quality level on this requirement and not submitting a proposal for a TOPR, a brief written statement as to why the Contractor is unable to provide a proposal shall be submitted to the Program Manager, AFMSCC. Failure to meet the 85% TOPR participation rate in task order competition will be considered in the Government’s evaluation of the Contractor’s performance.

b) Any questions pertaining to the TOPR package shall be submitted to the ordering CO in writing within two calendar days of TOPR issuance date. In the event issues pertaining to a TOPR package cannot be resolved to the satisfaction of the ordering CO, the ordering CO reserves the right to withdraw or cancel the proposed TOPR package. In such event, Contractors will be notified, via letter or email, of the ordering CO's decision, and the decision shall be final and conclusive and shall not be subject to the "Disputes" clause or the "Contract Disputes Act".

c) If no proposals or only one proposal is received, the Government may revalidate the TOPR requirement. The validation process may include discussions with some or all of the Contractors to determine the concerns about the TOPR requirement. Should the requirement be valid, the ordering CO may re-issue the TOPR package. After, the Government revalidates the TOPR requirement and only one proposal is received the ordering CO must follow the procedures at DFARS 215.371. (If the requirement is under the SAT please see DFARS 215.371-4(a)(1)(i))

d) The Contractor’s task order proposal shall be submitted to the ordering CO within 7 calendar days of the TOPR issuance date, unless a longer period is granted by the ordering CO. Ordering Contracting Officers cannot request a proposal submission period shorter than 7 calendar days without prior approval from the PMO Contracting Officer. If the 7th calendar day falls on a weekend, Government holiday, or any other recognized planned closure, the Contractor’s task order proposal shall be due on the first business day following the 7th calendar day. Pricing on task order proposals shall be valid for 90 calendar days after the required submission date. Proposal submission periods approved for less than 7 calendar days will not be counted in the 85% task order participation rate (see H.21b). The Contractor's task order proposal shall include the following information, as well as additional information, requested in the TOPR package:

1) Pricing for each labor category specified in the TOPR package pricing sheet. The price shall include the fully burdened hourly rate and proposed hourly wage rate to be paid to the contracted HCW for duty hours, on-call hours (if requested), and overage hours (if requested). Certified cost or pricing data is not required for individual task orders. Direct labor rates must be consistent with the rates currently being paid in the geographic location where services are to be performed and consistent with the Contractor’s compensation plan.

2) Qualifying Documentation: The Contractor shall submit preliminary qualifying documentation for the Government to validate against preliminary Government minimum requirements (IAW Section C, Section 6.1.1 and Section J, Attachment 4 (Position Descriptions)) of the contract at time of proposal submission. Preliminary Government minimum requirements include name of the candidate, education, experience, licensure, and certification as well as initial background checks.

Preliminary qualifying documentation shall be submitted with the proposal. The Contractor shall validate and provide a telephone contact number for each candidate with the preliminary qualifying documentation. Should the Contractor either fail to meet this requirement or fail to provide a valid contact telephone number, the ordering Contracting Officer may withdraw all or some of the requirements on the Task Order and award the Task Order to another Contractor whose proposal is the next most advantageous to the Government. Failure to provide preliminary qualifying documentation on a candidate, or to include a valid telephone contact number, with the proposal, will be considered in the Government’s evaluation of the Contractor’s performance as outlined in the Services Summary.

3) Contractors are not required to submit past performance information on subsequent task orders in response to a TOPR.

4. Proposal Evaluation Process. The following three evaluation factors, and their relative weights, will be used in awarding a task order award that is most advantageous to the Government:

a) Price: The proposed price on the task order proposal will be evaluated using pricing analysis described in FAR 15.404(b). The following will be used in evaluating prices proposed to ensure the price is fair and reasonable:

a. COMPLETENESS. All price information required by the TOPR has been submitted, to include option to extend services period pricing when applicable.

b. REASONABLENESS. The degree to which the proposed prices compare to the prices a reasonably prudent person would expect to incur for the same or similar services.

c. Option to Extend Services: When the task order is projected to include an option to extend services, the Government will evaluate task order proposals in accordance with FAR 52.217- 5, Evaluation of Options.

b) Past Performance: Performance on previous TMS task orders will be the only past performance record evaluated for task order competition. The past performance assessment for all contractors will be considered as SATISFACTORY for the first five months of performance to allow the Government to build a past performance record on this contract. On month six of the contract, the PMO will establish the past performance records and, thereafter, post a monthly contractor performance report/dashboard on all TMS Contractors for Government use only. The past performance monthly dashboard will consist of the two critical performance objectives from the Services Summary and be used by ordering Contracting Officers for the past performance evaluation factor in the task order process. The AFMSCC, as the PMO, will maintain the monthly past performance dashboard on this contract.

c) Prior Air Force Experience: The Government reserves the right to pay a higher price for a candidate who has prior Air Force experience, who’s credentialing and/or security processing can be expedited, and/or who has experience with Air Force unique health care information systems (i.e., AHLTA and

CHCS). Documentation proving this shall be provided with proposals.

NOTE: If the proposal is within 15% of the lowest priced proposal the ordering CO may decide to make a tradeoff to award to the highest price offeror that is within 15% of the lowest offeror unless specified differently in TOPR package.

d) The three evaluation factors will be evaluated on the following basis:

1) “Prior Air Force experience is equal to Price and Past Performance,” OR

2) “Prior Air Force experience is equal to Past Performance and significantly more important than

Price,” OR

3) “Prior Air Force experience is significantly more important than Price and Past Performance.”

e) If only one proposal is received

d. Task Order Process. After evaluation of proposals, the ordering CO will send the MTF the contractor’s qualifying documentation of whose proposal is the most advantageous to the Government using the evaluation factors specified in H.3.c.3. Subsequent task orders will use the task order process as shown in Figure H.3.d, Subsequent Task Orders. The ordering CO will make the tradeoff decision on whose proposal is the most advantageous using the evaluation factors specified in H.3.c.3 and relative weights of those factors specified in the TOPR package. The task order process on this contract is a two-step process: Candidate Approval and Task Order award.

Figure H.3.d, Task Order Process, Subsequent Task Order

1. Candidate Approval. The ordering CO will not issue a task order award until the Government has approved the candidate and determined that the candidate is ready, willing, and able to work at the place of performance.

a) Candidate Approval: The Government will review the preliminary qualifying documentation (IAW

Section C, Section 6.1.1 and Section J, Attachment 4 (Position Descriptions)) of the contract and contact the candidate via telephone if clarifications regarding the government minimum requirements are needed to determine if the candidate is qualified (i.e., ready), desires the job (i.e., willing), and capable (i.e., able) to work at the location/place of performance to support the expected scheduled hours. The Government intends to complete the review in a timely manner and call if necessary from receipt of the preliminary qualifying documentation, unless the candidate delays the call. Should the evaluation of the preliminary qualifying documentation result in the disapproval of a candidate because the candidate is not qualified, does not intend to work at the place of performance, or is not capable of working the work schedule at the place of performance, the ordering Contracting Officer may withdraw all or some of the requirements on the Task Order and submit to another Contractor whose proposal is the next most advantageous to the Government.

Failure to provide a qualified candidate who is ready, willing, and able to provide services at the place of performance will be considered in the Government’s evaluation of the Contractor’s performance as outlined in the Services Summary.

b) Should the ordering Government disapprove proposed candidates from two contractors at the time of proposal submission, the ordering CO may revalidate the TOPR requirements. The validation process may result in discussions with the MTF and Contractors to determine if the minimum qualifications, to include additional qualifications added as part of the TOPR package are valid.

Should those discussions result in validating the requirement, the ordering CO may submit continue to evaluate the Contractor whose proposal is the next most advantageous to the Government or may re-solicit the TOPR. If the ordering CO does not receive preliminary qualifying documentation from the third Contractor after validating the requirement, the ordering CO may consider cancelling the TOPR.

2) Task Order Award. Upon Government approval of qualified candidates ready, willing, and able to perform at the place of performance, the ordering CO will issue a task order award. The ordering CO shall also send an email of the award to the Program Manager at the AFMSCC. The task order will include additional information:

a) Invoicing and acceptance instructions [NOTE: The Contractor shall only invoice and be paid for actual hours worked. Actual hours worked do not include absences (i.e., sick leave, vacation, personal days), non-duty days, and hours for continuing medical education. Only the Prime Contractor shall submit the invoice.]

b) Position description and addendum (if applicable - must be submitted at time of TOPR submission)

c) Name of the COR/Supervisor

d) Name of Credentials Manager

e) Name of Unit Security Manager

e. After task order award, the Contractor shall submit security and credentialing documentation for the

Government to validate against Qualifying Documents for Subsequent Government Minimum Requirements (IAW Section C, Section 6.1.2 and Section J, Attachment 4 (Position Descriptions)) of the contract.

Qualifying Documents for Subsequent Government Minimum Requirements for credentialed HCWs, and additional requirements (if any) established in the task order, must be submitted within 20 calendar days and 10 calendar days if expedited IAW section H.4. Documentation for all non-credentialed HCWs must be submitted within 20 calendar days. Security documentation for all HCWs must be submitted within 7 calendar days of the start of performance as required by the TO. Qualifying Documents for Subsequent Government Minimum Requirements shall be submitted to the Government before placement of the HCW as specified in the task order.

f. Contractor Performance. The Contractor agrees to initiate performance on all awarded task orders using only HCW(s) whose professional qualifications have been determined acceptable by the Government as part of the candidate approval component in the task order process (see paragraph H.3.d.1.a) above.

g. When the Contractor experiences any delays in accomplishing the specific tasks identified in the contract and task order, the Contractor shall notify the ordering CO immediately. The ordering CO will evaluate the situation to determine if an extension of the required date is appropriate due to Government delay. If an extension is not approved, the Government may terminate the task order for default or seek other remedies as appropriate. Non-performing Contractors may receive a negative past performance report which may impact the Contractor’s ability to compete for future task orders on this contract and other Government contracts.

h. All HCW(s) shall physically start work no later than 30 calendar days from task order award unless specified differently in the task order. All HCWs must make an appointment with the Unit Security Manager for the first duty day at the place of performance and must have completed the required security documentation in either e-QIP or the OPM website before that appointment date when provided access to e-QIP or the downloadable form from the OPM website. Under no circumstances will any HCW start work at the place of performance before the appointment with the MTF Unit Security Manager.

i. The weekly work schedule of the total number of billable duty hours, overage hours (if applicable), and on-call hours (if applicable) for each HCW will be established in the task order. The HCW shall provide services for the work schedule as established in the task order.

j. Duty hours are the established hours the HCW is required to work. Duty hours are billable hours to the

Government when performed by the HCW IAW the work schedule.

k. In the instance where the Government supervisor directs the contracted HCW to remain on duty in excess of the scheduled shift due to an unforeseen emergency or to complete patient treatment where lack of continuity of care would otherwise jeopardize patient health, the contracted HCW shall remain on duty. This provision is not intended to apply to the time required to complete routine tasks (e.g., completion of paperwork or routine administrative tasks at the end of a shift) which are to be completed as part of the shift. If the task order includes overage hours, the Government Supervisor may use those overage hours. If the task order does not include overage hours, the Government Supervisor shall adjust the contracted HCW’s work schedule for the additional hours such that the number of duty hours on the task order is not exceeded.

l. Planned closures: The Government will notify the Contractor of anticipated planned closure of the place of performance on the TOPR (e.g., federal holidays, family days or goal days) and will not allow the Contractor to bill the Government if work on the task order cannot be performed during these periods.

m. Unplanned closures: In the event of an unplanned closure of the facility due to natural disasters, military emergency, or severe weather, contracted HCWs will be allowed to account for those hours as billable to the Government if the following two conditions exists: (1) local base policy and base access procedures prevented the HCW from performing duties at the place of performance; and, (2) the contracted HCW was scheduled to work, but unable to work because of the unplanned closure. If any of these conditions do not exist (e.g., the contracted HCW was on leave), the Contractor cannot bill the Government for hours during the unplanned closure.

H.4 EXPEDITED SERVICES FOR TASK ORDERS

If the requesting location deems it imperative that the contractor expedite submission of required credentialing documentation to allow the government additional time to process documentation than in section H.2 and H.3. The local contracting officer may utilize the fixed-price separate lump sum Contract Line Item Number (CLIN) for expedited submission of documentation that may be required by the MTF 10 calendar days after task order award.

The evaluation team will evaluate the contractor-proposed lump sum payment during the sample task order price evaluation process for reasonableness. The rates proposed on the sample task orders will apply for expedited services on all future task orders issued under this contract. When using expedited services the 10 calendar days for submission of credentialing documentation will apply to sections H.2 and H.3. In addition, the ordering CO will use the specified dollar amount in section J, Attachment 8, Table B-1, Column K, Expedited Credential Documentation Lump Sum, for each contractor as a separate fixed-price CLIN to award task orders.

H.5 ADDITIONAL PROCEDURES FOR TASK ORDERS

a. Decentralized Task Orders. The TMS contract is designed for decentralized execution of task orders. Each base contracting office, or higher headquarters, supporting an Air Force affiliated MTF may award and administer task orders on this contract.

b. Contract Clauses. All contract clauses in the IDIQ contract will apply at the task order level. Any unique clauses that may apply to an individual task order may be included as determined by the local ordering CO as long as the clause does not contradict an existing clause in the contract. If there is a difference between a clause in a task order and a clause in the contract, the contract clause shall prevail, IAW FAR Part 52.216-18.

c. Contract Modifications. Modifications to increase or decrease the scope of task orders may be required. If the specified number of hours for a particular labor category is insufficient to complete performance under a task order, the Government may elect to increase the number of hours by written modification. Likewise, if the specified number of hours for a particular labor category is more than necessary to complete performance under a task order, the Government may elect to decrease the number of hours by written modification.

d. Restriction On The Use Of Government-Affiliated Personnel. The Contractor shall not employ any person who is an employee of the United States Government if the employment of that person would create a conflict of interest. The Contractor shall not employ any person who is an employee of the Department of Defense, either military or civilian, unless such person seeks and receives approval in accordance with Title 5, USC, Section 5536, DoD 5500.7-R (1993), as amended, and service directives. The Contractor shall notify the ordering Contracting Officer if a prospective employee is the spouse or family member of a Government employee.

Although not necessarily a disqualification, steps may need to be taken to prevent appearances of a conflict of interest, nepotism or other forms of favoritism in the workplace.

e. Contractor Employee Status. The Air Force does not dictate whether individual HCWs provided under this contract would be classified by the Contractor as an “independent contractor” or an “employee” for federal tax purposes. This determination is made solely by the Contractor. If the Contractor’s determination is challenged, this shall be a matter to be resolved between the Contractor, the Internal Revenue Service (IRS), and the HCW(s). The Air Force will not consider any request for equitable adjustment to the contract based upon the Contractor’s receipt of an adverse action by the IRS.

f. Use Of Non-Compete Clauses. The Contractor shall not limit the employment of a HCW by another Contractor beyond the period of performance identified in a task order (to include exercised Option to Extend Services) for which the HCW provides services.

H.6 TASK ORDER PROCEDURES FOR WAGE DETERMINATIONS AND ADJUSTMENTS

a. The Service Contract Act (SCA) of 1965 was enacted to ensure that Government Contractors compensate their blue-collar service workers and some white-collar service workers fairly, but it does not cover bona fide executive, administrative, or professional employees. FAR Part 22 states that a wage determination is “a determination of minimum wages or fringe benefits made under sections 2(a) or 4(c) of the Act (41 U.S.C.

351(a) or 353(c)) applicable to the employment in a given locality of one or more classes of service employees.”

b. The Department of Labor issues Wage Determinations that show the minimum wages to be paid to employees in various classifications. IAW FAR 22.1007, new Wage Determinations must be incorporated into contracts at least annually. For administrative ease, wage determinations for the non-professional positions governed by the Service Contract Act of 1965 will be incorporated at the contract level. However, recognizing that work is associated, performed, and funded only at the task order level, all price adjustments will be performed at the task order level. For the purposes of compliance with the Service Contract Act and 29 CFR 4.4, the task order is considered a “contract,” thereby requiring at least an annual revision of wages. When a task order is issued, the applicable Wage Determinations in effect at the contract level at the time of task order award will apply to the task order; prices negotiated for that task order should be reflective of the current, contract-level Wage Determination and the provisions of FAR 52.222-43. Wage determinations will not be added to the task order, even if a more current version is available when awarding a task order. Upon exercising task order options, and in keeping with FAR 22.1007, the then-current Wage Determination in effect at the contract level will apply;

any change in wages between those in effect at time of task order issuance and those in effect at the time of option exercise will be dealt with IAW FAR 52.222-43. This satisfies the requirements set forth in 29 CFR 4.4.

c. Currently, there are 18 labor category position descriptions in the TMS contract that have a direct link to an existing SCA classification by title as shown in Table H-2.

d. When a Contractor believes an awarded position description has a relationship with an existing classification not currently identified on the TMS contract, the Contractor must match (conform) the position description with the appropriate classification prior to beginning work IAW FAR 52.222-41. For position descriptions that do not have an existing classification, the Contractor must submit an SF 1444, Request for Authorization of Additional Classification and Rate, to the ordering Contracting Officer prior to the required start work date on the task order IAW FAR 22.1019(a).

e. Wage adjustments: As set forth above in paragraph b, wage adjustment requests will occur at the task order level. When exercising the option to extend services, the current Wage Determination incorporated in the contract will apply. Wage determinations will not be placed in a task order. If the wage determinations reflect a minimum wage or health and wellness increase, the Contractor may be due a rate increase to cover that increase in costs. This process is initiated by a request from the Contractor to the ordering CO. The request for a wage adjustment must include relevant supporting documentation, including payroll records. Payroll records are a key component in determining if the Contractor will be due an adjustment. The adjustment amount can vary depending on how benefits are provided. Any adjustment to the fully burdened hourly rates will be based on what the HCW receives in relation to the wage determination as outlined in FAR 52.222-43(d)(1)

Table H.12, Position Description WD Match

SCA Position Titles TMS Position Equivalent Certified Occupational Therapist Assistant Occupational Therapy Technician Certified Physical Therapist Assistant Physical Therapist Assistant Dental Assistant Dental Assistant Dental Hygienist Dental Hygienist EKG Technician Cardiac Monitoring (Telemetry) Technician Electroneurodiagnostic Technologist Electroencephalographic Technologist Emergency Medical Technician Paramedic/Emergency Medical Technician Licensed Practical Nurse Licensed Practical Nurse / Licensed Vocational Nurse Medical Laboratory Technician Medical Laboratory Technician Nuclear Medicine Technologist Diagnostic Imaging Technician - Nuclear Medicine Medical Assistant / Nursing Assistant Certified Medical Technician Optical Technician Optometry Technician Pharmacy Technician Pharmacy Technician Phlebotomist Phlebotomist Radiologic Technologist Diagnostic Imaging Technician Registered Nurse Clinical Nurse Registered Nurse, Specialist Clinical Nurse - Various Positions Registered Nurse, Anesthetist Certified Registered Nurse Anesthetist

Section I - Contract Clauses

52.202-1 Definitions JAN 2012 52.203-5 Covenant Against Contingent Fees APR 1984 52.203-6 Restrictions On Subcontractor Sales To The Government SEP 2006 52.203-7 Anti-Kickback Procedures OCT 2010 52.203-8 Cancellation, Rescission, and Recovery of Funds for Illegal or

Improper Activity

JAN 1997

52.203-10 Price Or Fee Adjustment For Illegal Or Improper Activity JAN 1997 52.203-12 Limitation On Payments To Influence Certain Federal

Transactions

OCT 2010

52.203-13 Contractor Code of Business Ethics and Conduct APR 2010 52.204-4 Printed or Copied Double-Sided on Postconsumer Fiber

Content Paper

MAY 2011

52.204-7 Central Contractor Registration DEC 2012…