HT0011-15-R-0028_Amendment_0002.pdf

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Attached to
Electronic Clinical Reference (ECR) Solution Federal contract opportunity
Solicitation number
HT0011-15-R-0028
Issued by
Defense Health Agency

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Provide answers to submitted Questions Extend Submission date Changes to PWS and CLINs Add/Delete Clauses.

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Redacted_Approved_Tracking_JA17-0026__signed_ECR_LSJ_FINAL.pdf PDF
HT0011-15-R-0028_Amendment_0001.pdf PDF
Solicitation_HT0011-15-R-0028_rev_31_Dec_15.docx DOCX document
Amendment_04.pdf PDF
Pre-solicitation_Notice_ECR.doc DOC document
Pre-solicitation_Notice_ECR.doc DOC document

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AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

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

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

30-105-04EXCEPTION TO SF 30

APPROVED BY OIRM 11-84

STANDARD FORM 30 (Rev. 10-83) Prescribed by GSA

FAR (48 CFR) 53.243

The purpose of this modification is the follow ing:

•Extend the solicitation date from 17 February 2016 to 19 February 2016, 10:00 a.m. Eastern.

•Provide answ ers to submitted questions, •As a result of the submitted questions provide revised solicitation w ith changes to the PWS and solicitation language. (PWS -revise the

CLINs 0001 and 4003, the PoP and the PWS).

•Delete contract clauses as a result of questions.

•Add contract clauses.

•Additional CLINs •Solicitation Amendment 0002 extends the date (see above) and all proposal submissions require a signed copy of Amendment 0002 w ith their proposal.

See summary of changes for specific Amendment 0002 information.

1. CONTRACT ID CODE PAGE OF PAGES

J 1 64

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

16C. DATE SIGNED

BY 11-Feb-2016

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

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

8. NAME AND ADDRESS OF CONTRACTOR (No., Street, County, State and Zip Code) X HT0011-15-R-0028

X 9B. DATED (SEE ITEM 11)

31-Dec-2015

10B. DATED (SEE ITEM 13)

9A. AMENDMENT OF SOLICITATION NO.

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

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

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

(a) By completing Items 8 and 15, and returning 1 copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted;

or (c) By separate letter or telegram which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN

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

12. ACCOUNTING AND APPROPRIATION DATA (If required)

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

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

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

CONTRACT ORDER NO. IN ITEM 10A.

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

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

D. OTHER (Specify type of modification and authority)

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

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

10A. MOD. OF CONTRACT/ORDER NO.

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

6. ISSUED BY

3. EFFECTIVE DATE

11-Feb-2016

CODE

DEFENSE HEALTH AGENCY-COD FC

7700 ARLINGTON BLVD

FALLS CHURCH VA 22042

HT0011 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

HT0011-15-R-0028

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 30 - BLOCK 14 CONTINUATION PAGE

The following have been modified:

EXECUTIVE SUMMARY

1. Introduction: The Defense Health Agency (DHA) - Falls Church, VA, on behalf of the

Military Health System (MHS) Pharmacy Operations Division (POD) has a requirement for Electronic Clinical Reference (ECR) solution.

2. Contracting Strategy: The proposed strategy is to award a Firmed Fixed Price (FFP), contract to the offeror that is determined to represent the Best Value to the Government, utilizing the Trade-off Source Selection methodology. For proposal instructions and submittal information, see Instructions to Offers and Addendum. For the basis of award of a contract, see Evaluation – Commercial Item and Addendum.

3. Contract Type: This will be a five (5) year FFP type contract.

Period of Performance: The period of performance shall be one six (6) months base, four (4) 12-month Option Periods and one six (6) months option. The Periods of Performance read as follows:

Base Period – Date of award + 6 months Option Period I – End of Base Period + 12 months Option Period II – End of Option Period I +12 months Option Period III – End of Option Period II + 12 months Option Period IV – End of Option Period III + 12 months Option Period V – End of Option Period IV + 6 months

4. Extension of Services: The Government has the unilateral right to extend services for a maximum of 6 months in accordance with FAR clause 52.217-8. Include a 6-month option period into price proposal. This 6-month option period should be broken out separately from the CLINS already established in the solicitation, and should be readily identifiable in the Offeror’s proposal. The clause can be utilized in any of the Option Periods.

Actual dates will be filled in all the CLINS/SLINS upon contract award.

Solicitation: Clauses and provisions that are applicable to this solicitation are located in the appropriate sections of this solicitation. In order to have a complete copy, interested parties need to download the entire solicitation, inclusive of all applicable sections, all applicable attachments, and all applicable amendments. The Government reserves the right to cancel the solicitation and not make an award at all. The Government reserves the right to award without discussions.

If conflict exists between this summary, and the provisions of the solicitation, the provisions of the solicitation govern.

GENERAL INFORMATION TO OFFERORS

1. Responses must set forth full, accurate and complete information as required by this solicitation (including attachments) “Fill-ins” Standard Form 1449, and other solicitation documents. Examine the entire solicitation carefully. The penalty for making false statements is prescribed in 18 U.S.C. 1001.

2. Responses must be plainly marked with the Solicitation Number and the date and local time set forth for receipt of proposals in the solicitation document.

3. Information regarding the timeliness of response is addressed in the provision of the solicitation entitled either “Proposal Submission Instructions “or “Instructions to Offerors”.

4. Procurement Information This Procurement is unrestricted The applicable SIC/NAICS codes is: 511210

5. Issuing Office

Defense Health Agency – Falls Church Defense Health Agency-COD FC 7700 Arlington Blvd.

Falls Church, VA 22042

6. Point of Contact for Information:

Name: Aretha Jones Title: Contract Specialist Email: aretha.y.jones.civ@mail.mil Phone: 703-861-5396

Name: Robert LeBlanc Title: Contracting Officer Email: Robert.e.leblanc6.civ@mail.mil Phone: 703-861-1907

SECTION SF 1449 - CONTINUATION SHEET

SUPPLIES OR SERVICES AND PRICES

Global Changes

CLIN 0001 -- CLIN 4003

The unit of issue has changed from Each to Months.

CLIN 0001

The CLIN description has changed from 60 Days Transition Plan to 60 Days Tranistion In Plan.

CLIN 0002

The pricing detail quantity 6.00 has been added.

CLIN 0003

The CLIN description has changed from Navy (E-Pharm Mobile App Supp) to License DHA (E-Pharm Mobile App Supp).

The CLIN extended description has changed from:

E-Pharmacy Mobile Application Support - Includes ECR functionalities and capabilities described in PWS Section 4.1.4, Navy Enterprise maintenance, product maintenance, software version upgrades, and new releases - 100% of Navy Enterprise.

To:

Optional CLIN: E-Pharmacy Mobile Application Support - Includes ECR functionalities and capabilities described in PWS Section 5.1.4, DHA Enterprise maintenance, product maintenance, software version upgrades, and new releases - 100% of DHA Enterprise..

The pricing detail quantity 6.00 has been added.

The option status has changed from No Status to Option.

CLIN 1001

The pricing detail quantity 12.00 has been added.

CLIN 1002

DHA (E-Pharm Mobile App Supp).

The CLIN extended description has changed from:

E-Pharmacy Mobile Application Support - Includes ECR functionalities and capabilities described in PWS Section 4.1.4, Navy Enterprise maintenance, product maintenance, software version upgrades, and new releases - 100% of Navy Enterprise.

To:

Optional CLIN: E-Pharmacy Mobile Application Support - Includes ECR functionalities and capabilities described in PWS Section 5.1.4, DHA Enterprise maintenance, product maintenance, software version upgrades, and new releases - 100% of DHA Enterprise..

CLIN 2001

CLIN 2002

DHA (E-Pharm Mobile App Supp).

The CLIN extended description has changed from:

E-Pharmacy Mobile Application Support - Includes ECR functionalities and capabilities described in PWS Section 4.1.4, Navy Enterprise maintenance, product maintenance, software version upgrades, and new releases - 100% of Navy Enterprise.

To:

Optional CLIN: E-Pharmacy Mobile Application Support - Includes ECR functionalities and capabilities described in PWS Section 5.1.4, DHA Enterprise maintenance, product maintenance, software version upgrades, and new releases - 100% of DHA Enterprise..

CLIN 3001

CLIN 3002

The CLIN description has changed from License - Navy (E-Pharm Mobile App Supp) to License - DHA (E-Pharm Mobile App Supp).

The CLIN extended description has changed from:

E-Pharmacy Mobile Application Support - Includes ECR functionalities and capabilities described in PWS Section 4.1.4, Navy Enterprise maintenance, product maintenance, software version upgrades, and new releases - 100% of Navy Enterprise.

To:

Optional CLIN: E-Pharmacy Mobile Application Support - Includes ECR functionalities and capabilities described in PWS Section 5.1.4, DHA Enterprise maintenance, product maintenance, CLIN 4001

CLIN 4002

The CLIN description has changed from License - Navy (E-Pharm Mobile App Supp) to License - DHA (E-Pharm Mobile App Supp).

The CLIN extended description has changed from:

E-Pharmacy Mobile Application Support - Includes ECR functionalities and capabilities described in PWS Section 4.1.4, Navy Enterprise maintenance, product maintenance, software version upgrades, and new releases - 100% of Navy Enterprise.

To:

Optional CLIN: E-Pharmacy Mobile Application Support - Includes ECR functionalities and capabilities described in PWS Section 5.1.4, DHA Enterprise maintenance, product maintenance, CLIN 4003

This CLIN has been renumbered to CLIN 5004.

The CLIN description has changed from 60 Days Transition Plan to 60 Days Transition Out Plan.

CLIN 0004 is added as follows:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0004 6 Months OPTION Publish MTF Formularies

FFP

Optional CLIN: Includes ECR functionalities and capabilities described in PWS Section 5.1.5, publish MTF formularies to commercial electronic prescribing networks.

FOB: Destination

NET AMT

CLIN 1003 is added as follows:

1003 12 Months OPTION Publish MTF Formularies

FFP

Optional CLIN: Includes ECR functionalities and capabilities described in PWS Section 5.1.5, publish MTF formularies to commercial electronic prescribing

CLIN 2003 is added as follows:

2003 12 Months OPTION Publish MTF Formularies

FFP

Optional CLIN: Includes ECR functionalities and capabilities described in PWS Section 5.1.5, publish MTF formularies to commercial electronic prescribing

CLIN 3003 is added as follows:

3003 12 Months OPTION Publish MTF Formularies

FFP

Optional CLIN: Includes ECR functionalities and capabilities described in PWS Section 5.1.5, publish MTF formularies to commercial electronic prescribing

CLIN 4003 is added as follows:

4003 12 Months OPTION Publish MTF Formularies

FFP

Optional CLIN: Includes ECR functionalities and capabilities described in PWS Section 5.1.5, publish MTF formularies to commercial electronic prescribing

CLIN 5001 is added as follows:

5001 6 Months OPTION Option Year V License – MHS ECR

FFP

MHS Enterprise License; software; interfaces. Includes the ECR functional modules, MHS Enterprise maintenance, product maintenance, software version upgrades, and new releases - 100% of MHS Enterprise.

CLIN 5002 is added as follows:

5002 6 Months OPTION License - DHA (E-Pharm Mobile App Supp)

FFP

Optional CLIN: E-Pharmacy Mobile Application Support - Includes ECR functionalities and capabilities described in PWS Section 5.1.4, DHA Enterprise maintenance, product maintenance, software version upgrades, and new releases - 100% of DHA Enterprise.

CLIN 5003 is added as follows:

5003 6 Months OPTION Publish MTF Formularies

FFP

Optional CLIN: Includes ECR functionalities and capabilities described in PWS Section 5.1.5, publish MTF formularies to commercial electronic prescribing

INSPECTION AND ACCEPTANCE

The following Acceptance/Inspection Schedule was added for CLIN 0004:

INSPECT AT INSPECT BY ACCEPT AT ACCEPT BY

N/A N/A N/A Government

The following Acceptance/Inspection Schedule was added for CLIN 1003:

The following Acceptance/Inspection Schedule was added for CLIN 2003:

The following Acceptance/Inspection Schedule was added for CLIN 3003:

The following Acceptance/Inspection Schedule was added for CLIN 4003:

The following Acceptance/Inspection Schedule was added for CLIN 5001:

The following Acceptance/Inspection Schedule was added for CLIN 5002:

The following Acceptance/Inspection Schedule was added for CLIN 5003:

The following have been added by reference:

252.204-7008 Compliance With Safeguarding Covered Defense Information

Controls

DEC 2015

252.204-7012 Safeguarding Covered Defense Information and Cyber Incident Reporting.

DEC 2015

252.227-7015 Technical Data--Commercial Items FEB 2014 252.227-7025 Limitations on the Use or Disclosure of Government-

Furnished Information Marked with Restrictive Legends

MAY 2013

252.227-7037 Validation of Restrictive Markings on Technical Data JUN 2013

The following have been added by full text:

ADDENDUM 52.212-4

(ADDENDUM TO 52.212-4)

Contract Terms and Conditions

52.212-4 CONTRACT TERMS AND CONDITIONS-- COMMERCIAL ITEMS (MAY 2015)

(c) Changes. Changes in the terms and conditions of this contract pursuant to FAR 43.103(a) may be made only by written agreement of the parties. Changes in the terms and conditions of this contract pursuant to FAR 43.103(b) may be made unilaterally by the Government. Administrative changes under FAR 43.103(b)(1) include correcting system and clerical errors and funding related to availability of funds.

(End of Clause)

52.217-7 -- Option for Increased Quantity -- Separately Priced Line Item. (Utilized for Services)

Option for Increased Quantity -- Separately Priced Line Item (Mar 1989)

The Government may require the delivery of the numbered line item [0003, 0004, 1002, 1003, 2002, 2003, 3002, 3003, 4002, 4003, 5002, 5003, 5004], identified in the Schedule as an option item, in the quantity and at the price stated in the Schedule. The Contracting Officer may exercise the option by written notice to the Contractor within 15 days.

(End of Clause)

QUESTIONS AND ANSWERS

Solicitation # HT0011-15-R-0028 Questions and Answers

1. Page 16, Section 4.b. of the solicitation states: “The proposal should fully document and substantiate a cross mapping of your price approach as it equates to the non-price proposal.” Can you please clarify what the government is looking for in regard to crossing mapping of the price approach? Since the RFP requires a fixed-price proposal, is the government looking to just have the pricing volume reference the solution/ solutions being proposed? If the answer to the last question is “No” can you please provide further details on what you are looking for in regards to the cross mapping and how a vendor should respond to be compliant with your request?

Answer: Yes, the pricing volume should reference the solution/solutions being proposed with a detailed (breakdown) of what the solution/solutions contains.

2. Page 18, Factor 2: Past Performance Volume2: the solicitation states: “Only Prime contractors are required to submit past performance references.” If a company is submitting a response with an ECR solution which is created and maintained by manufacture of the ECR, is it the manufacture, the 3rd party reseller, or the both that would submit past performance information? (i.e. a subscription agent submits an ECR created by a third party original manufacturer, but the subscription agents submits the proposal as the Prime Vendor)

Answer: Only a Prime Contractor (the offeror of an ECR solution, whether or not created by another company) shall submit questionnaires. The Government does not require questionnaires from the manufacturer of the ECR solution if an offeror is proposing the use of an ECR solution that is made by another company.

3. Page 18 Price Volume 3 of the solicitation document state: “The Offeror’s shall submit their proposed PRICE as a Firm-Fixed Price (FFP). Your price proposal shall provide a price breakdown by labor categories and rates, other direct costs, etc. (as appropriate to the requirement). Your price proposal will be submitted with a completed Schedule B and Pricing Sheet.

a. Other Direct Costs (if applicable) will be identified under the appropriate CLIN with a price breakdown.”

In regards to the above, I do not see a Schedule B in the solicitation. Can you advise what document this is?

Yes, this is an error. Please utilize the CLIN structure identified in the SF 1449 starting on page 2 of the solicitation.

Additionally, as this is a FFP proposal, what labor categories and rates is the Government looking for and for what purpose?

Answer: We have confirmed the requirement and there are no labor rates; there is a solution. Your submitted price shall provide a breakdown of the proposed solution(s).

4. Page 19, Section 5. Additional Information, c. Contractor Administrative Support, states that ITSC will provide support in in regards to the price evaluation of this solicitation. Can you relay what assistance they will be providing in this regard?

Answer: ITSC will prepare a comparison of each proposed price to fair market value as determined either by market research or adequate price competition. The selection authority may consider these comparisons in determining fair and reasonable pricing and best value.

5. With respect to section 5.1.2.6 of the Performance Work Statements “For client-server/intranet, the software shall run on Windows Server 2008 or later (client-server/intranet).” What are the hardware specifications for the server? Are applications installed on the server? If the answer is “Yes”, is either Windows Terminal Server or Citrix Server utilized? Are applications installed on the client PCs?

Approximately how many clients are running on each server?

Answer: The Government expects that an Offeror’s proposal will identify any minimum requirements for client-server/intranet installation and use of applications. The vendor determines the requirements needed to install and run an application. For example, the Government does not determine the minimum requirements (Windows 7, 8 GB RAM, CD/DVD drive, 16 GB hard disk space, etc.) for Microsoft Office.

6. With respect to section 5.1.2.14 of the Performance Work Statements “For theatre support, the vendor shall provide API for Visual Basics (VB-6) and .NET”, what APIs are expected to be provided? Are these APIs used for integration with the end user application or are they intended to stream line the installation process?

Answer: The requirement was deleted. See the revised PWS for changes.

7. The Request for Proposal is silent on the magnitude of globally logged services, since this solution is a software as a service solution, how will the government evaluate vendors approach to ensure that offerors’ proposal adequately reflects the cost realities necessary to support a technology infrastructure needed to perform in the MHS direct care system?

Answer: The evaluation criteria found within the solicitation starting on page 29 will be used to evaluate submitted proposals.

8. Page 12, 52.212-1 (a) instruction to offers, states that… “however a small business size standard for a concern which submits and offer in its own name, which proposes to furnish an item which it did not itself manufacture, is 500 employees”. How will a small business maintain its small business status, which requires that a small business must do 51% of the effort, when it does not manufacture and cannot maintain a third Party Electronic Clinical Reference Service technical infrastructure or maintain the clinical editorial review personnel? Does the Government plan to evaluate small business concerns differently than Original Electronic Clinical Reference manufacturers?

Answer: The NAICS code is 511210 for size determination under this solicitation. The requirement does not include a manufactured item so the size rule for third party resellers of manufactured items does not apply. The government will not be evaluating proposals for small business utilization and participation.

9. Page 17 sub Factor 1 Technical approach. States, “the technical approach will be evaluated for the degree to which the solution integrates ECR content (e.g. number of mouse clicks to access capabilities defined in the PWS”. Will the government do side-by-side live demonstration comparisons? Will offerors conduct the live demonstrations or will they have to provide training to the people conducting the demonstrations?

Answer: The Government will not conduct live demonstrations; therefore, training to conduct live demonstrations will not be required.

10. Page 23, Price volume 3 states “Price will be evaluated to determine fair and reasonable pricing. The government will not evaluate price, however will conduct price reasonableness.” What price elements will be utilized to conduct price reasonableness? Does price reasonableness include offerors’ historic government price reasonableness (past 10years)? Will the government evaluate the financial well-being of firms submitting offers to avoid unbalanced price approaches and program risk?

Answer: The Government will utilize the process found with in FAR 15.404

11. Page 59, 1.4 Scope. Does the scope also include in-theater and shipboard TMIP as well as USUHS?

Answer: Yes, see Amendment for PWS revisions. The Government expects that the Offeror’s proposal shall encompass all ECR solution users supporting the MHS worldwide, regardless of where the user is working or stationed (e.g. overseas in a theater unit, within the US at USUHS or at sea on a ship).

12. Page 66, 5.1.27 Access is only one dimension of Mobility, is it the Government’s intent to acquire a mobility management support process that provides a 24x7 global support help desk to utilize, install, update and resolve technical issues for DHA clinicians’ who utilize their own personal devices or just access to mobile applications? How will vendor’s mobility management program be evaluated given the magnitude of DHA’s current mobility management program?

Answer: There is not a requirement with paragraph number 5.1.27. The requirement at 5.1.2.7; assuming this the intended reference, is to “provide the capability for users to obtain reference information on Mobile Devices”. Management of the capability is dependent on the solution being proposed by the vendor.

Support requirements are defined in PWS Section 5.1.1.1 “The vendor shall provide technical support 24 hours per day, 7 days a week to resolve user problems accessing and using all of the products provided under this contract.” Evaluate according to the evaluation criteria.

13. Please indicate if this procurement is being conducted as a GSA Acquisition or a DHA fair open Acquisition?

Answer: This requirement is Full and Open; not a GSA Acquisition.

14. Page 66, 5.1.1.16 Is it the intent of the government to access an MTF formulary publishing capability, or is it the government’s intent to acquire a formulary management support process that builds, updates, refines and medically codes local formularies for DHA during the period of performance?

Answer: The Government expects an Offeror’s proposal to describe an approach for providing a MTF formulary tool that will support the management and publication of local formularies.

15. Page 67, section 5.1.2.15 of the RFP states “for local installations of software the vendor shall provide a solution that uses a file base (i.e. the ECR reference data is locally stored on the hard drive with the application”. what is the available disk capacity to house the application and supporting data? How will the Government insure that software in de-installed upon expiration of the contract since it is asking that vendors remove safeguards to their intellectual property?

Answer: The vendor determines the requirements needed to install and run an application. For example, the Government does not determine the minimum requirements (Windows 7, 8 GB RAM, CD/DVD drive, 16 GB hard disk space, etc.) for Microsoft Office.

The requirement is in support of offline installation supporting no or low communication sites, which goes back to the scope of the ECR (Question 11). The Government is not requesting development work to modify the vendor’s commercial offering.

16. On page 67, section 5.1.3 Dental Requirements, the current RFP Dental requirement as written has the potential to substantially reduce the dental capabilities currently utilized by DHA Dentistry, which is inconsistent with the stated objectives in Section 1.3. (“to maintain, and if possible, enhance the current capabilities with the MHS direct care system.”) Will the government please specifically define what Electronic Dental clinical references, patient medication safety check tools, alert capabilities, medication categories tools, as well as the integration approach that it intends to acquire? Is the government going evaluate separately a dental specific ECR solution utilizing dental healthcare professionals?

Answer: The requirements in the PWS adequately address the ECR requirements. The proposals will be evaluated according to the evaluation criteria.

17. On pages 17 and 20 in reference to Factor 1, there are several instances where bullets contain the word

“etc” which are confusing. For example the technical approach will be evaluated for “Ease of Access (e.g.

single login, arrangement of content, etc.)” Does the Government have a pre-defined list of evaluation factors for scoring ease of access that it anticipates or considers to be required or standard for this type of service? Is there a tool developed by the Government or used by the Government that defines ease of access and evaluation of this factor?

Answer: The Offeror’s proposal should describe capabilities that relate to ease of access based on the Offeror’s technical approach. Ease of Access is approach dependent. An Offeror with an integrated solution would not have a need for single sign-on; where as an Offeror with separate modules may or may not. An approach with multiple modules and multiple log-ins could meet the requirements, and would have reduced ease of access. The solicitation is amended to delete “etc.” from all bullets that start with “e.g.”

18. In section 5.1.5 there is an optional requirement to publish to Surescripts network. Is this optional for the government to acquire or is it optional for the vendor to propose? If this is an optional requirement, what is the Government’s position if it is not provided in the RFP? Will the lack of a response be reflected negatively in any scoring? The use of optional requirements can lead to an unbalanced scoring approach to the review process. How does the Government intend to handle scoring proposals which do not include optional requirements in order to prevent bias and other conflicts?

Answer: The word “optional” refers to an optional CLIN that can be funded at the Government’s discretion. All items identified in the RFP (including optional CLINs) shall be addressed by the offeror’s proposal and evaluated by the Government. A lack of response to the RFP (including a lack of response to optional CLINs) shall be evaluated according to the evaluation criteria. All optional CLIN(s) are part of the price proposal and the overall price.

19. On pages 5 and 10 of the solicitation, it is our understanding based on the sequencing of the CLINS that

CLIN 0001 is for phase-in transition services, and CLIN 4003 is for phase-out transition services, but the CLIN names for both simply say “60 Day Transition Plan,” without identifying “phase-in” or “phase-out.” Can you please confirm that CLIN 0001 is for the phase-in transition, and CLIN 4003 is for the phase-out transition?

Answer: Yes, these two CLINS are for Transition: CLIN 0001 is Transition In. and CLIN 4003 is Transition Out –

20. On Page 10 of the solicitation document, FAR 52.203-7, Anti-Kickback Procedures should not apply to commercial item prime contracts, per FAR 3.502-3. Pursuant to FAR 3.502-3, FAR 52.203-7, Anti- Kickback Procedures does not apply to commercial item procurements under FAR Part 12. Will this FAR clause be removed from the final Solicitation?

Answer: The clause shall be removed. See Addendum for PWS revisions.

21. Pursuant to FAR 23.1005(a), FAR 52.223-5, Pollution Prevention and Right-to-Know Information, [p. 10] only should be included in solicitations and contracts that provide for performance, in whole or in part, on a Federal facility. Section 1.6.5 of the Solicitation [p. 59] states that the work under the contract will be performed at the contractor’s facility. Will this FAR clause be removed from the final Solicitation?

22. Pursuant to FAR 28.309(a), FAR 52.228-3 Workers’ Compensation Insurance (Defense Base Act), [p. 10] only applies if: (1) The contract will be a public-work contract performed outside the United States; or (2) The contract will be approved or financed under the Foreign Assistance Act of 1961 (Pub. L. 87-195) and is not excluded by 28.305(b)(2). Since this is not a public works contract and it does not appear to be financed under the Foreign Assistance Act of 1961, will this clause be removed from the final Solicitation?

23. Pursuant to FAR 28.310(a), FAR 52.228-5 Insurance—Work on a Government Installation, [p. 10] only applies if the contract will require work on a Government installation, unless only a small amount of work is required on the Government installation (e.g., a few brief visits per month). Section 1.6.5 on page 59 of the Solicitation states that the work under the contract will be performed at the contractor’s facility. Will this FAR clause be removed from the final Solicitation?

24. Pursuant to FAR 45.107(a)(ii), FAR 52.245-1, Government Property, [p. 11] only applies to fixed-price solicitations and contracts when the Government will provide Government property. The Solicitation does not contemplate the contractor receiving Government property. Will this FAR clause be removed from the final Solicitation?

25. Pursuant to FAR 46.301, FAR 52.246-1, Contractor Inspection Requirements, [p. 11] only applies to contracts at or below the simplified acquisition threshold, which is currently $150,000. Given the anticipated value of the contract is over $150,000, will this FAR clause be removed from the final Solicitation?

26. Regarding DFARS clauses 252.204-7008, Compliance with Safeguarding Covered Defense Information Controls, and 252.204-7012, Safeguarding Covered Defense Information and Cyber Incident Reporting, the RFP references the August 2015 and September 2015 versions of those two clauses. However, new interim versions of those two clauses were issued by DOD on December 30, 2015, and those are the current versions of the clauses that would be applicable to this procurement. Can you please update the references to these two clauses to the “DEC 2015” versions (published at 80 Fed. Reg. 81472)?

Answer: The clause shall be removed and updated. See Addendum for PWS revisions.

27. In Section 1.6.15 of the PWS on page 61 of the Solicitation, the government is requesting an unlimited rights license to all documents/material and data produced under this contract. Further, the government is seeking an unlimited rights license in commercial computer software provided under the contract.

Pursuant to DFARS 227.7202-1, “commercial computer software or commercial computer software documentation shall be acquired under the licenses customarily provided to the public unless such licenses are inconsistent with Federal procurement law or do not otherwise satisfy user needs.” This License Agreement is an anticipated deliverable under the contract. Further, pursuant to DFARS 227.7102- 4(a)(1), DFARS 252.227-7015, Technical Data–Commercial Items, is the only technical data clause that applies to solicitations and contracts, including solicitations and contracts using FAR part 12 procedures for the acquisition of commercial items, when the contractor will be required to deliver technical data pertaining to commercial items, components, or processes. DFARS 252.227-7015 specifies the rights the government receives in such technical data, which is less than unlimited rights. Will this clause 1.6.15 be revised to be consistent with the DFARS requirements pertaining to the rights the government receives in technical data pertaining to a commercial item and commercial computer software?

Answer: The government will exercise its right to keep Section 1.6.15.

28. On pages 11 and 61 of the solicitation, there are several DFARS clauses pertaining to the government’s rights in technical data and computer software that should not apply to FAR Part 12, commercial item contracts for the type of work described in the solicitation. Specifically:

DFARS 252.227-7013, Rights in Technical Data – Noncommercial Items: Pursuant to DFARS 227.7102-4(a)(1), DFARS 252.227-7015, Technical Data–Commercial Items, applies to solicitations and contracts, including solicitations and contracts using FAR part 12 procedures for the acquisition of commercial items, when the contractor will be required to deliver technical data pertaining to commercial items, components, or processes. DFARS 227.7012-4(b) provides that DFARS 252.227-7013, Rights in Technical Data–Noncommercial Items should be used in addition to the clause at 252.227-7015, if the Government will have paid for any portion of the development costs of a commercial item. If the solution offered by an offeror is an existing commercial item for which the government has not paid any portion of the development costs, will this DFARS clause 252.227-7013 be removed from the resulting contract?

Answer: The clause shall be removed. See Addendum for PWS revisions. Added DFARS 252.227-7015

DFARS 252.227-7016, Rights in Bid or Proposal Information: Pursuant to DFARS 227.7103-6(e)(1) and DFARS 227.7203-6 (b), this clause only applies when DFARS clause 252.227-7013, Rights in Technical Data–Noncommercial Items or DFARS clause 252.227-7014, Rights in Noncommercial Computer Software and Noncommercial Computer Software Documentation, respectively, are included in the solicitation and contract. Since the solicitation calls for the purchase of commercial computer software, DFARS clause 252.227-7014 is appropriately not included in the solicitation. As stated above, if DFARS clause 252.227-7013 is removed from the resulting contract, will DFARS 252.227-7019 also be removed from the resulting contract?

Answer: The clause shall be removed. See Addendum for PWS revisions.

DFARS 252.227-7019, Validation of Asserted Restrictions – Computer Software: Pursuant to DFARS 227.7203-6(c), this clause only applies when DFARS clause 252.227-7014, Rights in Noncommercial Computer Software and Noncommercial Computer Software Documentation, is included in the

Solicitation. Since the Solicitation calls for the purchase of commercial computer software, DFARS clause 252.227-7014 is appropriately not included in the Solicitation. Will DFARS 252.227-7019 be removed from the final Solicitation?

Answer: The clause shall be removed. See Addendum for PWS revisions.

DFARS 252.227-7020, Rights in Special Works: Pursuant to DFARS 227.7106(a), DFARS clause 252.227-7020, Rights in Special Works, should be included in solicitations and contracts “where the Government has a specific need to control the distribution of works first produced, created, or generated in the performance of a contract and required to be delivered under that contract, including controlling distribution by obtaining an assignment of copyright, or a specific need to obtain indemnity for liabilities that may arise out of the creation, delivery, use, modification, reproduction, release, performance, display, or disclosure of such works.” Examples of such works provided in DFARS 227.7106(d) include “audiovisual works, computer data bases, computer software documentation, scripts, soundtracks, musical compositions, and adaptations; histories of departments, agencies, services or units thereof; surveys of Government establishments; instructional works or guidance to Government officers and employees on the discharge of their official duties; reports, books, studies, surveys or similar documents; collections of data containing information pertaining to individuals that, if disclosed, would violate the right of privacy or publicity of the individuals to whom the information relates; or investigative reports.” The Solicitation does not require that any such works be first produced, created, or generated in the performance of the anticipated contract. As a result, will this DFARS clause be removed from the final Solicitation?

Answer: The clause shall be removed. See Addendum for PWS revisions.

DFARS 252.227-7021, Rights in Data – Existing Works: Pursuant to DFARS 227.7105-2, DFARS clause 252.227-7021, Rights in Data – Existing Works, only applies to solicitations and contracts if existing works will be acquired without modification; and the Government requires the right to reproduce, prepare derivative works, or publicly perform or display the existing works. The Solicitation does not contemplate the government reproducing, preparing derivative works, or publicly performing or displaying the existing works. As a result, will this DFARS clause be removed from the final Solicitation?

Answer: The clause shall be removed. See Addendum for PWS revisions.

DFARS 252.227-7022, Government Rights (Unlimited): Pursuant to DFARS 227.7107-1, DFARS clause 252.227-7022, Government Rights (Unlimited), should only be included in solicitations and contracts for architect-engineer services and for construction involving architect‑engineer services. The Solicitation does not call for these types of services. Will this DFARS clause be removed from the final Solicitation?

Answer: The clause shall be removed. See Addendum for PWS revisions.

DFARS 252.227-7023, Drawings and Data to Become Property of Government: Pursuant to DFARS 227.7107-1, DFARS clause 252.227-7023, Drawings and Data to Become Property of Government, only applies when the purpose of a contract for architect-engineer services, or for construction involving architect-engineer services, is to obtain a unique architectural design of a building, a monument, or construction of similar nature, which for artistic, aesthetic or other special reasons the Government does not want duplicated, the Government may acquire exclusive control of the data pertaining to the design.

The Solicitation does not call for these types of services. Will this DFARS clause be removed from the final Solicitation?

Answer: The clause shall be removed. See Addendum for PWS revisions.

DFARS 252.227-7027, Deferred Ordering of Technical Data or Computer Software: Pursuant to DFARS 227.7103-8, Deferred Order of Technical Data or Computer Software, should only be included in solicitations and contracts if a firm requirement for a particular data item(s) has not been established prior to contract award but there is a potential need for the data. In this type of commercial item procurement, all required data items can be established at the time of contract award. As such, will this DFARS clause be removed from the final Solicitation?

Answer: The clause shall be removed. See Addendum for PWS revisions.

DFARS 252.227-7030, Technical Data – Withholding of Payment: Pursuant to DFARS 227.7103- 6(e)(2), this clause only applies if the solicitation or contract includes DFARS clause 252.227-7013, Rights in Technical Data–Noncommercial Items. As stated above, if the awarded contract does not contain DFARS clause 252.227-7013, will DFARS clause 252.227-7030 also be removed from the contract?

29. The instructions for the price proposal at page 23 of the RFP directs offerors to include pricing for a potential 6-month period that could be invoked by the Government under FAR 52.217-8, but there is no CLIN provided in the Schedule for such an option. Moreover, the RFP instructions indicate that this FAR 52.217-8 “option” period could be invoked in any of the four option years, and the year in which this FAR 52.217-8 “option” is invoked would likely affect the pricing of that “option.” Can you provide clarification regarding how offerors should show the FAR 52.217-8 “option” pricing, especially given that it could be invoked in any of the four option years? If the price would be different depending on which option year the FAR 52.217-8 “option” is invoked, should we provide up to four separate FAR 52.217-8 “option” prices (one for each option year period)? Should we show the pricing as a separate CLIN in each option year of performance? Also, can you please clarify whether and how the proposed pricing for the FAR 52.217-8 “6-month option” period will be factored into the evaluation of offerors’ overall pricing?

Answer: The Government may require continued performance of any services within the limits and at the rates specified in the contract. The government will not provide a separate CLIN for this, however, proposals shall reflect pricing for this option.

30. Is this procurement funded under the American Recovery and Reinvestment Act of 2009? If not, please confirm FAR 52.203-15, Whistleblower Protections Under the American Recovery and Reinvestment Act of 2009, [p. 47] will be removed from the final Solicitation.

31. Pursuant to FAR 23.206, FAR clause 52.223-15, Energy Efficiency in Energy-Consuming Products, [p.

49] only applies to solicitations and contracts when energy-consuming products listed in the ENERGY STAR® Program or FEMP will be— (a) Delivered; (b) Acquired by the contractor for use in performing services at a Federally-controlled facility; (c) Furnished by the contractor for use by the Government; or

(d) Specified in the design of a building or work, or incorporated during its construction, renovation, or maintenance. Since the Solicitation does not require the use of energy-consuming products, will this FAR clause be removed from the final Solicitation?

32. This Solicitation does not require the type of services that are covered by the Service Contract Labor Standards. Please confirm whether the Service Contract Labor Standards apply to the Solicitation and, if not, please confirm that FAR 52.222-41, Service Contract Labor Standards, [ p. 50] will be removed from the final Solicitation. If FAR 52.222-41 is not removed from the Solicitation, please include FAR 52.222- 53, Exemption from Application of the Service Contract Labor Standards to Contracts for Certain Services

– Requirements, in the Solicitation so that offerors may assert an applicable exemption.

33. The solicitation incorporates the Privacy Act on page 52. This only applies when the contractor is maintaining a system of records on individuals on behalf of the government. Since the Solicitation does not seem to require maintaining a system of records on individuals on behalf of the government, will this clause be removed from the Solicitation?

Answer: The government will exercise its right to keep this clause.

34. Section 1.6.7 [p. 60] requires contractor personnel performing work under the contract to have the appropriate level background investigation at the time of proposal submission. The Solicitation does not specify any required background investigation requirements. Please confirm whether there are any background investigation requirements for contractor personnel that are required to be obtained prior to proposal submission?

Answer: The background investigation information has been removed. See Addendum for PWS revisions.

35. Is the contract going to be a fixed-price contract or a fixed-price incentive contract? Pages 70 and 75 of the Solicitation identify various incentives and page 76, paragraphs 7(a) and 7(b) reference reduced payments or reduced fixed fee payments for failure to achieve the identified performance metrics. First, since this is a fixed-price contract, the reference to “fixed fee payments” on page 76 appears to be misplaced. Can you please provide guidance on what type of contract this will be? If this is not intended to be a fixed-price incentive contract, please remove the reference to performance incentives.

Answer: Yes, this is a Firm Fixed Price (FFP) contract. There are no fixed price incentives for the requirement. The reference of Fixed fee payments in the QASP are for monthly FFP payments. The word Incentive found in the PRS makes reference to the different options the Government can utilize.

36. Regarding the NAICS code for this opportunity, the RFP refers to 511210 while the FBO announcement lists it under 511130. Please clarify.

Answer: The correct NAICS code is 511210. FBO amendment 0002 dated 18 November 2015, amended the NAICS

37. Can the Government please provide an anticipated award date?

Answer: The government anticipates an award within the next few months.

38. Administrative instructions on page 16 state that the “Quality Control Plan” is omitted from the page limit.

Is this referring to “Sub-factor 2: Quality Control Approach” referred to on page 17 or is there another “Quality Control Plan.”

Answer: In PWS section 1.6.1 Quality Control makes references the Quality Control Plan which is Deliverable 1. Deliverable 1 “Quality Control Plan” Deliverable 1 under the PWS, is initially due with the proposal.

39. Is Schedule B (CLIN pricing) the items identified on pages 6 through 10 of the solicitation or is there a separate Schedule B that was not provided with the FBO release?

Answer: This is an error and it is the CLIN structure identified in the SF 1449 starting on page 2 of the solicitation.

40. Will the government provide the Pricing Sheet(s) to ensure consistency of submission? It did not appear to be provided with the FBO release.

Answer: Your submitted price shall provide a breakdown of the proposed solution(s).

The following have been modified:

PERFORMANCE STATEMENT OF WORK

Electronic Clinical Reference (ECR) Defense Health Agency (DHA) Pharmacy Operations Division (POD)

PART 1

General Information

1. General: This is a non-personal services contract to provide the Military Health System (MHS) with implementation of an Electronic Clinical Reference (ECR) solution. The Government shall not exercise any supervision or control over the contract service providers performing the services herein. Such contract service providers shall be accountable solely to the Contractor who, in turn, is responsible to the Government.

1.1 Description of Services/Introduction: The Contractor shall provide all personnel, equipment, supplies, facilities, transportation, tools, materials, supervision, and other items necessary to perform electronic clinical reference capabilities as defined in this Performance Work Statement (PWS). The Contractor shall perform to the standards in this contract.

1.2 Background: The Defense Health Agency is the administer of the health care plan for the uniformed services, retirees and their families, and serves more than 9.7 million eligible beneficiaries worldwide. The Military Treatment Facilities (MTFs) are the primary delivery portal for care augmented by a civilian provider network. Within the MTFs across the MHS, the various stakeholders (i.e. Physicians, Pharmacists, Dentists, and Nurses) utilize a single web based ECR solution to support the delivery of healthcare. The ECR is a comprehensive, evidence-based clinical reference tool that provides clinical knowledge, including, but not limited to, drug information, disease information, formulary information, treatment guidelines, and toxicology information.

1.3 Objectives: The objective of this PWS is to provide a single web based ECR solution for the MHS, which will provide the following benefits:

Standardize functionality among the Services Provide continuity and consistency for users Enhance access to evidence-based clinical knowledge for the MHS

The intent is to maintain and, if possible, enhance the current capabilities within the MHS direct care system.

1.4 Scope: This award provides for a MHS implementation of an ECR solution. The users of the ECR will be Service Members (Active Duty, Reservists & National Guard), DoD civilians, DoD contractors, and Public Health Service officers (that are assigned to DoD) in support of the MHS mission.

1.5 Period of Performance: The period of performance shall be one six (6) months base, four (4) 12-month Option Periods and one six (6) months option. The Periods of Performance read as follows:

Base Period – Date of award + 12 months Option Period I – End of Base Period + 12 months Option Period II – End of Option Period I + 12 months Option Period III – End of Option Period II + 12 months Option Period IV – End of Option…

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