HT001125R0036 VCE Vision Care Coordination.pdf

SEE ADDENDUM

(No Collect Calls)

HT001125R0036 03-Apr-2025

b. TELEPHONE NUMBER

(703) 681-8855

8. OFFER DUE DATE/LOCAL TIME

12:00 PM 15 May 2025

5. SOLICITATION NUMBER 6. SOLICITATION ISSUE DATE

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 2/2012)

Prescribed by GSA – FAR (48 CFR) 53.212

(TYPE OR PRINT)

(SIGNATURE OF CONTRACTING OFFICER)

ADDENDA ARE

26. TOTAL AWARD AMOUNT (For Gov t. Use Only )

23.

CODE 10. THIS ACQUISITION IS

SUCH ADDRESS IN OFFER

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT

BELOW IS CHECKED

TELEPHONE NO.

HT00119. ISSUED BY

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a. UNLESS BLOCK

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

AILEEN FLOYD

2. CONTRACT NO. 3. AWARD/EFFECTIVE DATE 4. ORDER NUMBER

(TYPE OR PRINT)

30b. NAME AND TITLE OF SIGNER 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER

30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a.UNITED STATES OF AMERICA

27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1. 52.212-4. FAR 52.212-3. 52.212-5 ARE ATTACHED.

25. ACCOUNTING AND APPROPRIATION DATA

1. REQUISITION NUMBER

20.

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED.

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, AND 30

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

ARE NOT ATTACHED

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA ARE ARE NOT ATTACHED

(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

. YOUR OFFER ON SOLICITATION

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

% FOR:SET ASIDE:UNRESTRICTED OR X

SMALL BUSINESS

17a.CONTRACTOR/ CODE FACILITY

OFFEROR CODE

DHA CONTRACTING OFFICE-(PS-CD) HT0011

7700 ARLINGTON BLVD

FALLS CHURCH VA 22042

18a. PAYMENT WILL BE MADE BY CODE

RATED ORDER UNDER

DPAS (15 CFR 700)

13a. THIS CONTRACT IS A

13b. RATING

CODE15. DELIVER TO CODE HT0089 16. ADMINISTERED BY

12. DISCOUNT TERMS11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

14. METHOD OF SOLICITATION

RFQ IFB RFPX

DIVISION CHIEF VCE

PATTY MORRIS

DOD VA VISION CENTER OF EXCELLENCE

5113 LEESBURG PIKE SKY 4 SUITE 60

FALLS CHURCH VA 22041

TEL: 301.295.7684 FAX:

FAX:

TEL: 703-681-1143

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

X 8(A)

HUBZONE SMALL

BUSINESS

SIZE STANDARD:

$10,000,000

NAICS:

621399

X

OFFER DATED

29. AWARD OF CONTRACT: REF.

DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

EMAIL:

TEL:

31c. DATE SIGNED

SEE SCHEDULE

SCHEDULE OF SUPPLIES/ SERVICESITEM NO. QUANTITY UNIT UNIT PRICE AMOUNT

24.22.21.19.

WOMEN-OWNED SMALL BUSINESS (WOSB)

ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

(CONTINUED)

PAGE 2 OF44

ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED: ______________________________________________________

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED

32b. SIGNATURE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32c. DATE 32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32f . TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

37. CHECK NUMBER

FINALPARTIALCOMPLETE

36. PAYMENT35. AMOUNT VERIFIED

CORRECT FOR

34. VOUCHER NUMBER

FINAL

33. SHIP NUMBER

PARTIAL

38. S/R ACCOUNT NUMBER 39. S/R VOUCHER NUMBER 40. PAID BY

41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT

41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER 41c. DATE

42a. RECEIVED BY (Print)

42b. RECEIVED AT (Location)

42c. DATE REC'D (YY/MM/DD) 42d. TOTAL CONTAINERS

STANDARD FORM 1449 (REV. 2/2012) BACK

Prescribed by GSA – FAR (48 CFR) 53.212

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

SEE SCHEDULE

20.

SCHEDULE OF SUPPLIES/ SERVICES

21.

QUANTITY UNIT

22. 23.

UNIT PRICE

24.

AMOUNT

19.

ITEM NO.

HT001125R0036

Section SF 1449 - CONTINUATION SHEET

COMBINED SYNOPSIS/SOLICITATION

This is a combined synopsis/solicitation for commercial products or commercial services prepared in accordance with the format in FAR Subpart 12.6 and 13.5, as supplemented with additional information included in this notice.

This announcement constitutes the only solicitation; proposals are being requested and a written solicitation will not be issued.

This combined synopsis/solicitation is being issued as a request for proposal (RFP) under solicitation number

HT001125R0036.

The solicitation document and incorporated provisions and clauses are those in effect through FAC 2025-03, Effective January 17, 2025, and DFARS Change January 17, 2025, Effective January 17, 2025.

This is an 8(a) set-aside. Proposals will only be considered from certified 8(a) small businesses. The associated

NAICS code for this procurement is 623199 – Offices of All Other Miscellaneous Health Practitioners. The small business size standard is $10 Million. The assigned SBA Requirement Number for this requirement is

JQ1742390329V.

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0001 12 Months Vision Care Coordination Support

FFP

The Contractor shall provide support in accordance with PWS Part 5. The work performed under this CLIN shall be executed on a FFP basis.

FOB: Destination

Q701

NET AMT

0002 1 Job Travel

FFP

The Contractor shall provide support in accordance with PWS 1.8. All travel under this CLIN must be approved in advance and shall not exceed $12,000.00 for this

CLIN.

0003 1 Job

CDRL

FFP

The Contractor shall provide deliverables in accordance with the Contract Data

Requirements List (CDRL), DD Form 1423-1 at Exhibit A located in Part 7, Technical Exhibit 1 of Attachment 1, PWS. This CLIN is not separately priced.

1001 12 Months OPTION Vision Care Coordination Support

FFP

The Contractor shall provide support in accordance with PWS Part 5. The work performed under this CLIN shall be executed on a FFP basis.

1002 1 Job OPTION Travel

FFP

The Contractor shall provide support in accordance with PWS 1.8. All travel under this CLIN must be approved in advance and shall not exceed $12,000.00 for this

CLIN.

1003 1 Job

OPTION CDRL

FFP

The Contractor shall provide deliverables in accordance with the Contract Data

Requirements List (CDRL), DD Form 1423-1 at Exhibit A located in Part 7, Technical Exhibit 1 of Attachment 1, PWS. This CLIN is not separately priced.

2001 12 Months OPTION Vision Care Coordination Support

FFP

The Contractor shall provide support in accordance with PWS Part 5. The work performed under this CLIN shall be executed on a FFP basis.

2002 1 Job OPTION Travel

FFP

The Contractor shall provide support in accordance with PWS 1.8. All travel under this CLIN must be approved in advance and shall not exceed $12,000.00 for this

CLIN.

2003 1 Job

OPTION CDRL

FFP

The Contractor shall provide deliverables in accordance with the Contract Data

Requirements List (CDRL), DD Form 1423-1 at Exhibit A located in Part 7, Technical Exhibit 1 of Attachment 1, PWS. This CLIN is not separately priced.

3001 12 Months OPTION Vision Care Coordination Support

FFP

The Contractor shall provide support in accordance with PWS Part 5. The work performed under this CLIN shall be executed on a FFP basis.

3002 1 Job OPTION Travel

FFP

The Contractor shall provide support in accordance with PWS 1.8. All travel under this CLIN must be approved in advance and shall not exceed $12,000.00 for this

CLIN.

3003 1 Job

OPTION CDRL

FFP

The Contractor shall provide deliverables in accordance with the Contract Data

Requirements List (CDRL), DD Form 1423-1 at Exhibit A located in Part 7, Technical Exhibit 1 of Attachment 1, PWS. This CLIN is not separately priced.

4001 12 Months OPTION Vision Care Coordination Support

FFP

The Contractor shall provide support in accordance with PWS Part 5. The work performed under this CLIN shall be executed on a FFP basis.

4002 1 Job OPTION Travel

FFP

The Contractor shall provide support in accordance with PWS 1.8. All travel under this CLIN must be approved in advance and shall not exceed $12,000.00 for this

CLIN.

4003 1 Job

OPTION CDRL

FFP

The Contractor shall provide deliverables in accordance with the Contract Data

Requirements List (CDRL), DD Form 1423-1 at Exhibit A located in Part 7, Technical Exhibit 1 of Attachment 1, PWS. This CLIN is not separately priced.

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

1001 Destination Government Destination Government

1002 Destination Government Destination Government

1003 Destination Government Destination Government

2001 Destination Government Destination Government

2002 Destination Government Destination Government

2003 Destination Government Destination Government

3001 Destination Government Destination Government

3002 Destination Government Destination Government

3003 Destination Government Destination Government

4001 Destination Government Destination Government

4002 Destination Government Destination Government

4003 Destination Government Destination Government

DELIVERY INFORMATION

CLIN DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

0001 POP 24-SEP-2025 TO

23-SEP-2026

N/A DIVISION CHIEF VCE

PATTY MORRIS

DOD VA VISION CENTER OF

EXCELLENCE

5113 LEESBURG PIKE SKY 4 SUITE 60

FALLS CHURCH VA 22041

301.295.7684

HT0089

0002 POP 24-SEP-2025 TO

N/A (SAME AS PREVIOUS LOCATION)

0003 POP 24-SEP-2025 TO

N/A (SAME AS PREVIOUS LOCATION)

1001 POP 24-SEP-2026 TO

23-SEP-2027

N/A (SAME AS PREVIOUS LOCATION)

1002 POP 24-SEP-2026 TO

N/A (SAME AS PREVIOUS LOCATION)

1003 POP 24-SEP-2026 TO

N/A (SAME AS PREVIOUS LOCATION)

2001 POP 24-SEP-2027 TO

23-SEP-2028

N/A (SAME AS PREVIOUS LOCATION)

2002 POP 24-SEP-2027 TO

N/A (SAME AS PREVIOUS LOCATION)

2003 POP 24-SEP-2027 TO

N/A (SAME AS PREVIOUS LOCATION)

3001 POP 24-SEP-2028 TO

23-SEP-2029

N/A (SAME AS PREVIOUS LOCATION)

3002 POP 24-SEP-2028 TO

N/A (SAME AS PREVIOUS LOCATION)

3003 POP 24-SEP-2028 TO

N/A (SAME AS PREVIOUS LOCATION)

4001 POP 24-SEP-2029 TO

23-SEP-2030

N/A (SAME AS PREVIOUS LOCATION)

4002 POP 24-SEP-2029 TO

N/A (SAME AS PREVIOUS LOCATION)

4003 POP 24-SEP-2029 TO

N/A (SAME AS PREVIOUS LOCATION)

CLAUSES INCORPORATED BY REFERENCE

52.201-1 Acquisition 360: Voluntary Survey SEP 2023

52.202-1 Definitions JUN 2020

52.203-5 Covenant Against Contingent Fees MAY 2014

52.203-7 Anti-Kickback Procedures JUN 2020

52.204-7 System for Award Management NOV 2024

52.204-9 Personal Identity Verification of Contractor Personnel JAN 2011

52.204-10 Reporting Executive Compensation and First-Tier

Subcontract Awards

JUN 2020

52.204-13 System for Award Management Maintenance OCT 2018

52.204-16 Commercial and Government Entity Code Reporting AUG 2020

52.204-17 Ownership or Control of Offeror AUG 2020

52.204-18 Commercial and Government Entity Code Maintenance AUG 2020

52.204-19 Incorporation by Reference of Representations and

Certifications.

DEC 2014

52.204-20 Predecessor of Offeror AUG 2020

52.209-10 Prohibition on Contracting With Inverted Domestic

Corporations

NOV 2015

52.212-3 Offeror Representations and Certifications--Commercial

Products and Commercial Services

MAY 2024

52.212-4 Contract Terms and Conditions--Commercial Products and

Commercial Services

NOV 2023

52.217-5 Evaluation Of Options JUL 1990

52.225-25 Prohibition on Contracting with Entities Engaging in Certain

Activities or Transactions Relating to Iran-- Representation and Certifications.

JUN 2020

52.232-1 Payments APR 1984

52.232-18 Availability Of Funds APR 1984

52.232-23 Assignment Of Claims MAY 2014

52.232-39 Unenforceability of Unauthorized Obligations JUN 2013

52.233-3 Protest After Award AUG 1996

52.233-4 Applicable Law for Breach of Contract Claim OCT 2004

52.242-13 Bankruptcy JUL 1995

52.244-6 Subcontracts for Commercial Products and Commercial

Services

JAN 2025

52.245-1 Government Property SEP 2021

52.245-9 Use And Charges APR 2012

52.247-34 F.O.B. Destination JAN 1991

252.203-7000 Requirements Relating to Compensation of Former DoD

Officials

SEP 2011

252.203-7002 Requirement to Inform Employees of Whistleblower Rights DEC 2022

252.204-7012 Safeguarding Covered Defense Information and Cyber

Incident Reporting

MAY 2024

252.232-7003 Electronic Submission of Payment Requests and Receiving

Reports

DEC 2018

252.232-7010 Levies on Contract Payments DEC 2006

252.244-7000 Subcontracts for Commercial Products or Commercial

Services

NOV 2023

252.245-7003 Contractor Property Management System Administration JAN 2025

252.245-7005 Management and Reporting of Government Property JAN 2024

CLAUSES INCORPORATED BY FULL TEXT

52.204-24 REPRESENTATION REGARDING CERTAIN TELECOMMUNICATIONS AND VIDEO

SURVEILLANCE SERVICES OR EQUIPMENT (NOV 2021)

The Offeror shall not complete the representation at paragraph (d)(1) of this provision if the Offeror has represented that it "does not provide covered telecommunications equipment or services as a part of its offered products or services to the Government in the performance of any contract, subcontract, or other contractual instrument" in paragraph (c)(1) in the provision at 52.204-26, Covered Telecommunications Equipment or Services--

Representation, or in paragraph (v)(2)(i) of the provision at 52.212-3, Offeror Representations and Certifications-

Commercial Products and Commercial Services. The Offeror shall not complete the representation in paragraph

(d)(2) of this provision if the Offeror has represented that it "does not use covered telecommunications equipment or services, or any equipment, system, or service that uses covered telecommunications equipment or services" in paragraph (c)(2) of the provision at 52.204-26, or in paragraph (v)(2)(ii) of the provision at 52.212-3.

(a) Definitions. As used in this provision-

Backhaul, covered telecommunications equipment or services, critical technology, interconnection arrangements, reasonable inquiry, roaming, and substantial or essential component have the meanings provided in the clause

52.204-25, Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or

Equipment.

(b) Prohibition.

(1) Section 889(a)(1)(A) of the John S. McCain National Defense Authorization Act for Fiscal Year 2019 (Pub. L.

115-232) prohibits the head of an executive agency on or after August 13, 2019, from procuring or obtaining, or extending or renewing a contract to procure or obtain, any equipment, system, or service that uses covered telecommunications equipment or services as a substantial or essential component of any system, or as critical technology as part of any system. Nothing in the prohibition shall be construed to--

(i) Prohibit the head of an executive agency from procuring with an entity to provide a service that connects to the facilities of a third-party, such as backhaul, roaming, or interconnection arrangements; or

(ii) Cover telecommunications equipment that cannot route or redirect user data traffic or cannot permit visibility into any user data or packets that such equipment transmits or otherwise handles.

(2) Section 889(a)(1)(B) of the John S. McCain National Defense Authorization Act for Fiscal Year 2019 (Pub. L.

115-232) prohibits the head of an executive agency on or after August 13, 2020, from entering into a contract or extending or renewing a contract with an entity that uses any equipment, system, or service that uses covered telecommunications equipment or services as a substantial or essential component of any system, or as critical technology as part of any system. This prohibition applies to the use of covered telecommunications equipment or services, regardless of whether that use is in performance of work under a Federal contract. Nothing in the prohibition shall be construed to--

(i) Prohibit the head of an executive agency from procuring with an entity to provide a service that connects to the facilities of a third-party, such as backhaul, roaming, or interconnection arrangements; or

(ii) Cover telecommunications equipment that cannot route or redirect user data traffic or cannot permit visibility into any user data or packets that such equipment transmits or otherwise handles.

(c) Procedures. The Offeror shall review the list of excluded parties in the System for Award Management (SAM)

(https://www.sam.gov) for entities excluded from receiving federal awards for "covered telecommunications equipment or services."

(d) Representations. The Offeror represents that--

(1) It [ ___ ] will, [ ___ ] will not provide covered telecommunications equipment or services to the Government in the performance of any contract, subcontract or other contractual instrument resulting from this solicitation. The

Offeror shall provide the additional disclosure information required at paragraph (e)(1) of this section if the Offeror responds "will" in paragraph (d)(1) of this section; and

(2) After conducting a reasonable inquiry, for purposes of this representation, the Offeror represents that--

It [ ___ ] does, [ ___ ] does not use covered telecommunications equipment or services, or use any equipment, system, or service that uses covered telecommunications equipment or services. The Offeror shall provide the additional disclosure information required at paragraph (e)(2) of this section if the Offeror responds "does" in paragraph (d)(2) of this section.

(e) Disclosures.

(1) Disclosure for the representation in paragraph (d)(1) of this provision. If the Offeror has responded "will" in the representation in paragraph (d)(1) of this provision, the Offeror shall provide the following information as part of the offer:

(i) For covered equipment--

(A) The entity that produced the covered telecommunications equipment (include entity name, unique entity identifier, CAGE code, and whether the entity was the original equipment manufacturer (OEM) or a distributor, if known);

(B) A description of all covered telecommunications equipment offered (include brand; model number, such as OEM number, manufacturer part number, or wholesaler number; and item description, as applicable); and

(C) Explanation of the proposed use of covered telecommunications equipment and any factors relevant to determining if such use would be permissible under the prohibition in paragraph (b)(1) of this provision.

(ii) For covered services--

(A) If the service is related to item maintenance: A description of all covered telecommunications services offered

(include on the item being maintained: Brand; model number, such as OEM number, manufacturer part number, or wholesaler number; and item description, as applicable); or

(B) If not associated with maintenance, the Product Service Code (PSC) of the service being provided; and explanation of the proposed use of covered telecommunications services and any factors relevant to determining if such use would be permissible under the prohibition in paragraph (b)(1) of this provision.

(2) Disclosure for the representation in paragraph (d)(2) of this provision. If the Offeror has responded "does" in the representation in paragraph (d)(2) of this provision, the Offeror shall provide the following information as part of the offer:

(i) For covered equipment--

(A) The entity that produced the covered telecommunications equipment (include entity name, unique entity identifier, CAGE code, and whether the entity was the OEM or a distributor, if known);

(B) A description of all covered telecommunications equipment offered (include brand; model number, such as OEM number, manufacturer part number, or wholesaler number; and item description, as applicable); and

(C) Explanation of the proposed use of covered telecommunications equipment and any factors relevant to determining if such use would be permissible under the prohibition in paragraph (b)(2) of this provision.

(ii) For covered services--

(A) If the service is related to item maintenance: A description of all covered telecommunications services offered

(include on the item being maintained: Brand; model number, such as OEM number, manufacturer part number, or wholesaler number; and item description, as applicable); or

(B) If not associated with maintenance, the PSC of the service being provided; and explanation of the proposed use of covered telecommunications services and any factors relevant to determining if such use would be permissible under the prohibition in paragraph (b)(2) of this provision.

(End of provision)

52.204-26 COVERED TELECOMMUNICATIONS EQUIPMENT OR SERVICES--REPRESENTATION (OCT

2020)

(a) Definitions. As used in this provision, “covered telecommunications equipment or services” and "reasonable inquiry" have the meaning provided in the clause 52.204-25, Prohibition on Contracting for Certain

Telecommunications and Video Surveillance Services or Equipment.

(b) Procedures. The Offeror shall review the list of excluded parties in the System for Award Management (SAM)

(https://www.sam.gov) for entities excluded from receiving federal awards for “covered telecommunications equipment or services”.

(c) Representations.

(1) The Offeror represents that it [ ___ ] does, [ ___ ] does not provide covered telecommunications equipment or services as a part of its offered products or services to the Government in the performance of any contract, subcontract, or other contractual instrument.

(2) After conducting a reasonable inquiry for purposes of this representation, the offeror represents that it [ ___ ] does, [ ___ ] does not use covered telecommunications equipment or services, or any equipment, system, or service that uses covered telecommunications equipment or services.

52.212-1 INSTRUCTIONS TO OFFERORS--COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES

(SEP 2023)

(a) North American Industry Classification System (NAICS) code and small business size standard. The NAICS code(s) and small business size standard(s) for this acquisition appear elsewhere in the solicitation. However, the small business size standard for a concern that submits an offer, other than on a construction or service acquisition, but proposes to furnish an end item that it did not itself manufacture, process, or produce is 500 employees, or 150 employees for information technology value-added resellers under NAICS code 541519, if the acquisition--

(1) Is set aside for small business and has a value above the simplified acquisition threshold;

(2) Uses the HUBZone price evaluation preference regardless of dollar value, unless the offeror waives the price evaluation preference; or

(3) Is an 8(a), HUBZone, service-disabled veteran-owned, economically disadvantaged women-owned, or women-owned small business set-aside or sole-source award regardless of dollar value.

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

(1) The solicitation number;

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

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

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

(5) Terms of any express warranty;

https://www.sam.gov/

(6) Price and any discount terms;

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

(8) A completed copy of the representations and certifications at Federal Acquisition Regulation (FAR) 52.212-3

(see FAR 52.212-3(b) for those representations and certifications that the offeror shall complete electronically);

(9) Acknowledgment of Solicitation Amendments;

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

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

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

(d) Product samples. When required by the solicitation, product samples shall be submitted at or prior to the time specified for receipt of offers. Unless otherwise specified in this solicitation, these samples shall be submitted at no expense to the Government, and returned at the sender's request and expense, unless they are destroyed during preaward testing.

(e) Multiple offers. Offerors are encouraged to submit multiple offers presenting alternative terms and conditions, including alternative line items (provided that the alternative line items are consistent with FAR subpart 4.10), or alternative commercial products or commercial services for satisfying the requirements of this solicitation. Each offer submitted will be evaluated separately.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

(i) Availability of requirements documents cited in the solicitation.

(1)(i) The GSA Index of Federal Specifications, Standards and Commercial Item Descriptions, FPMR Part 101-29, and copies of Federal specifications, standards, and product descriptions can be downloaded from the ASSIST website at https://assist.dla.mil.

(ii) If the General Services Administration, Department of Agriculture, or Department of Veterans Affairs issued this solicitation, a copy of specifications, standards, and commercial item descriptions cited in this solicitation may be obtained from the address in paragraph (i)(1)(i) of this provision.

(2) Most unclassified Defense specifications and standards may be downloaded from the ASSIST website at https://assist.dla.mil.

(3) Defense documents not available from the ASSIST website may be requested from the Defense Standardization

Program Office by--

(i) Using the ASSIST feedback module (https://assist.dla.mil/feedback); or

(ii) Contacting the Defense Standardization Program Office by telephone at 571-767-6688 or email at assisthelp@dla.mil.

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

(j) Unique entity identifier. (Applies to all offers that exceed the micro-purchase threshold, and offers at or below the micro-purchase threshold if the solicitation requires the Contractor to be registered in the System for Award https://assist.dla.mil/ https://assist.dla.mil/ https://assist.dla.mil/feedback mailto:assisthelp@dla.mil

Management (SAM).) The Offeror shall enter, in the block with its name and address on the cover page of its offer, the annotation "Unique Entity Identifier" followed by the unique entity identifier that identifies the Offeror's name and address. The Offeror also shall enter its Electronic Funds Transfer (EFT) indicator, if applicable. The EFT indicator is a four-character suffix to the unique entity identifier. The suffix is assigned at the discretion of the

Offeror to establish additional SAM records for identifying alternative EFT accounts (see FAR subpart 32.11) for the same entity. If the Offeror does not have a unique entity identifier, it should contact the entity designated at www.sam.gov for unique entity identifier establishment directly to obtain one. The Offeror should indicate that it is an offeror for a Government contract when contacting the entity designated at www.sam.gov for establishing the unique entity identifier.

(k) Reserved.

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

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

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

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

(4) A summary of the rationale for award;

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

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

ADDENDUM TO FAR 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES (SEP 2023)

(1) Period of Validity. The Offeror agrees to hold the prices in its offer valid and firm for 90 calendar days from the date specified for receipt of offers.

(a) Offer Submission Instructions. Offeror is required to meet all solicitation requirements, including terms and conditions, representations and certifications, and technical requirements. Offeror must clearly identify any exception to the solicitation terms and conditions and provide complete accompanying rationale. Offeror must acknowledge any and all amendments to the solicitation.

The Government does not intend to hold discussions; however, the Government reserves the right to hold discussions, or negotiations, if the Contracting Officer finds it necessary to do so. The Offeror’s initial offer should contain the Offeror’s best terms from a price and technical standpoint. The Government reserves the right to seek information through clarifications or communications with the Offeror. The offer shall not simply rephrase or restate the Government’s requirements but shall provide convincing rationale to address how the Offeror intends to meet the requirements.

1) Points of Contact - Email communication to Points of Contact (POC) for this solicitation should be addressed to:

Leslie Nelson, Contracting Officer (CO), at leslie.s.nelson7.civ@health.mil and http://www.sam.gov/ http://www.sam.gov/ mailto:leslie.s.nelson7.civ@health.mil

Aileen Floyd, Contract Specialist (CS), at aileen.s.floyd.civ@health.mil located in Falls Church, Virginia, USA.

Include the solicitation number, HT001125R0036, in the subject line of all email documents.

2) Questions may be submitted to CO and CS, by email. They shall be received no later than Tuesday,15

April 2025 at 10:00 am Eastern Time. Additional questions will not be accepted after this date and time. The Government reserves the right not to provide a response for any Offeror question/clarification. If the CO determines that a request cites an issue of significant importance, the

Government shall provide a written response to all Offerors. Responses to these questions will be posted no later than Tuesday, 22 April 2025 at 10:00 am Eastern Time.

3) Electronic Submittal: All proposals shall be submitted electronically, via email to Aileen Floyd (CS) aileen.s.floyd.civ@health.mil with a courtesy copy to Leslie Nelson (CO) leslie.s.nelson7.civ@health.mil, no later than Thursday, 15 May 2025 at 12:00 pm Eastern Time.

Modifications, amendments, or withdrawals of proposals should also be made via email. All communications shall be submitted through email to the POC identified above. Hard copies of proposals will not be accepted. Any proposal received after the exact time specified for receipt shall be treated as a late submission in accordance with Federal Acquisition Regulation (FAR) 52.212-1.

(2) Offer Content and Format. An offer shall consist of a Cover Letter and two (2) volumes:

• Volume 1 for material documenting the Offeror’s Technical Capability to meet all requirements of the

Performance Work Statement (PWS)

• Volume 2 for all Price information. Each volume shall be written on a stand-alone basis, so that its contents may be evaluated without cross-referencing.

Volume 1 is limited to thirty-four (34) single-sided pages. Pages should be numbered consecutively throughout the document and not by sections. For any sections of a proposal with a defined page limit, pages exceeding the specified limit will be removed and not forwarded for evaluation.

The following sections are not subject to page limits:

• Cover Letter

• Title Page

• Table of Contents

• Glossaries

• Resumes

• Letters of Commitment for Key Personnel

• Statement regarding Potential Organizational Conflicts of Interest or OCI Mitigation Plan

• Volume 2 - Price

The following volumes are subject to the indicated page limits:

• Volume 1 – Factor 1 - Technical Capability – 34 Pages:

o Subfactor 1: Technical Approach

▪ Narrative - 15 pages

▪ Draft Quality Control Plan -5 pages o Subfactor 2: Staffing Approach

▪ Staffing Plan – 5 Pages

▪ DoD Business Associate Agreement – 9 pages

An offer page is 8.5 inches by 11 inches (portrait format) with 1-inch margins and single-sided. Text shall be single-spaced in Times New Roman font of no less than 12-point font. Tables, graphics, captions, and callouts may use 10-point font. Narrative shall be submitted in MS Word or searchable PDF Format. Detailed pricing information shall mailto:aileen.s.floyd.civ@health.mil mailto:aileen.s.floyd.civ@health.mil mailto:leslie.s.nelson7.civ@health.mil be submitted in tabular format in MS Excel. The Offeror’s company name (no logos), the date, solicitation number, and volume number shall be included on each page of the offer (this information may be included in a header/footer). All pages of the offer volumes shall be numbered, using a uniform numbering system. Page numbers, headers and footers may be outside the page margins and are not bound by the font and point size requirement. Any offer containing proprietary information shall be clearly marked. All pricing information shall be addressed ONLY in the price volume. Each volume shall contain a glossary of all abbreviations and acronyms used, and with an explanation for each. Glossaries do not count against the page limitations for their respective volumes.

(3) Cover Letter Instructions. The cover letter shall reference the solicitation number and identify all enclosures being transmitted as part of the offer. The cover letter shall include the Company Name, Address, Contract and

Government Entity (CAGE) code, and System for Award Management (SAM) / Unique Entity ID (UEI) number.

The cover letter shall identify the name, address (if different from the company address), telephone number and e-mail address of the individual authorized to provide clarifications and have communications with the Government.

Cover letters shall state offer validity at least 90 days from the date of submittal and shall provide a statement specifying the extent of agreement with terms, conditions, provisions, and representations and certifications included in the solicitation. Note: All proposal preparation costs will be the sole responsibility of the Offeror. The

Government will not reimburse any firm for their proposal preparation costs.

(a) Cover letters shall indicate receipt of all solicitation amendments by incorporating one copy of each Standard

Form 30 or by listing each solicitation amendment. The Cover Letter shall also provide a statement regarding PD

09-01 ENCLOSURE 2 - ORGANIZATIONAL CONFLICTS OF INTEREST (APRIL 23, 2015) Paragraph L[X]5.

The cover letter may include any other information required for compliance with the solicitation, but not specified for inclusion in a proposal volume. Contents of the cover letter will not be evaluated against the evaluation criteria specified in 52.212-2.

(b) Cover Letter Attachment. Attach the completed FAR and DFARS Provisions identified in the solicitation that are not already included in the company’s SAM Representations and Certifications report. The submitted provisions shall be signed and dated by an official authorized to contractually obligate the Offeror.

(c) The cover letter and cover letter attachment have no page limit.

(4) Proposal Preparation Instructions.

(a) VOLUME 1 – FACTOR 1: TECHNICAL CAPABILITY: Limited to no more than 34 pages. Volume 1 shall specifically address each of the Factor 1: Technical Capability Subfactors listed below:

o Subfactor 1: Technical Approach

▪ Narrative - 15 pages

▪ Draft Quality Control Plan -5 pages

▪ Subfactor 2: Staffing Approach

▪ Staffing Plan – 5 Pages

▪ Key Personnel Resumes - unlimited

▪ DoD Business Associate Agreement – 9 pages

The Government provides a workload estimate in the PWS, PART 7, ATTACHMENT 6, ESTIMATED

WORKLOAD DATA, for the Offeror to understand the general scope of the effort and ascertain an estimated level of effort from the Government’s perspective. This is not to be construed as either mandatory, or necessarily, the best technical approach. The Government is seeking the best level of effort and labor mix your company determines optimizes technical and price considerations to successfully accomplish the mission contained in the PWS. If the

Offeror intends to use any labor categories that are consistent in duties with the level of effort labor categories, but are titled differently, Offeror must cross-map those labor categories to the Government’s PWS and Offeror’s technical and price volumes to ensure the proposal receives a proper evaluation.

1) Subfactor 1: TECHNICAL APPROACH – Required submissions:

• Technical Approach Narrative

The Technical Approach Narrative (not to exceed 15 pages) should describe the capability of your organization to satisfy the most important requirements of this solicitation. The proposal should be prepared simply and economically, providing straightforward, concise delineation of capabilities to satisfactorily perform the contract being sought. The proposal shall not merely offer to perform work in accordance with the requirements documents but shall outline the actual approach as specifically as possible. Repeating the requirements without sufficient elaboration is not acceptable. The Government shall not assume that an Offeror possesses any capability unless specified in the proposal.

The Offeror shall describe its technical approach to perform the following five technical requirements, which the

Government has determined to be most important, as delineated in the PWS.

Task 5.1 – Vision Care Coordination

Task 5.1.2.1 Patient Outreach

Task 5.1.2.7 Referrals and Consultations

Task 5.1.3 – National Vision Care Coordination

Task 5.1.4 – Collection of Health Care Data

• Draft Quality Control Plan

The Offeror shall include as an attachment to the non-price proposal, a draft Quality Control Plan (QCP) which shall not exceed five (5) pages. The Contractor shall develop and maintain an effective Quality Control program to ensure services are performed in accordance with the PWS which the draft QCP will document. The QCP provides a basis for the Contracting Officer Representative (COR) to evaluate the quality of the Contractor’s performance and a proactive way to avoid unacceptable or deficient performance, or to ensure non-recurrence of defective services.

At a minimum, the QCP shall include and document the following:

• A self-inspection plan and an outline of the procedures that the Contractor will use to maintain quality, timeliness, responsiveness, and customer satisfaction in each of the survey program management domains, survey design and development; sampling, web hosting, fielding, data management and analysis; reporting and debriefing.

• Identify and describe the processes, procedures, and metrics for assuring quality in accordance with commercial standards.

• Identify and describe the methods and procedures for the conduct and reporting of periodic and continuous internal audits and inspection necessary to verify compliance with all aspects of the contract.

• Identify and describe Data Quality Validation procedures and processes to ensure data is carefully and rigorously reviewed for accuracy, consistency, and relevance.

2) Subfactor 2: Staffing Approach

• STAFFING PLAN, KEY PERSONNEL RESUMES AND DOD BUSINESS ASSOCIATE

AGREEMENT

The Offeror shall include the Staffing Plan which shall not exceed five (5) pages, resumes of Key Personnel, which do not count against the page totals and a signed DoD Business Associate Agreement, which shall not exceed nine

(9) pages. As stated in (4)(a), the Government provides a workload estimate in the PWS, PART 7, ATTACHMENT

6, ESTIMATED WORKLOAD DATA, for the Offeror to understand the general scope of the effort and/or ascertain an approximate or estimated level of effort from the Government’s perspective. This is not to be construed as either mandatory or necessarily the best staffing approach. The Government is seeking the best level of effort and labor mix your company determines optimizes technical and price considerations to accomplish the mission contained in the PWS.

• The Staffing Plan shall provide sufficient detail to evaluate a reasonable, well-thought-out approach and methodology, work plan, and rationale to provide for the acquisition and maintenance of an appropriate mix and balance of educated/trained essential personnel (i.e., recruitment, training, and retention of qualified, experienced staffing) throughout the contract period, beginning when the government issues an award and leading to successful completion of the requirement.

• The Key Personnel Resumes shall be provided for all individuals proposed to fill Key Personnel positions (reference PWS Section 1.12). These resumes shall include a list of relevant training, education, and certifications applicable to the minimum qualifications for each Key Personnel position outlined in PWS 1.12. For individuals proposed as Key Personnel who are not current employees of your company, the Offeror shall provide a signed letter of intent. Proof of employment may be requested prior to beginning work.

o The Government has identified the following Key Personnel positions and minimum qualifications: :

• National Vision Care Coordinator: Five (5) years of clinical experience as a health care coordinator, social worker, case manager, or registered nurse.

• Regional Vision Care Coordinator: Five (5) years of clinical experience as a health care coordinator, social worker, case manager, or registered nurse.

• The Contractor meets the definition of Business Associate, and DHA meets the definition of a covered entity under the HIPAA Rules and the DoD HIPAA Issuances. Therefore, a Business

Associate Agreement (BAA) between the Contractor and DHA is required to comply with the

HIPAA Rules and the DoD HIPAA Issuances. The Offeror is required to submit a signed DoD

BAA at Attachment 3 as part of the proposal submission. If awarded, the BAA shall become incorporated as part of the contract.

(b) VOLUME 2: PRICE: Unlimited.

1) Price shall be submitted by the Offeror separately as Volume 2 and will be analyzed separately from the non-price factors. Volume 2 must provide the breakdown of prices at a level of detail to conduct meaningful price analysis. Additionally, the price proposal shall identify the location where Staff and

Key Personnel will be performing their duties and indicate which positions are telework or remote positions. All pricing information documentation must be included only in Volume 2. Under no circumstances shall any cost or pricing documentation be included elsewhere in the proposal.

2) Complete all the CLINS in the SF1449 Continuation Sheet Schedule, to include all option periods and

FAR 52.217-8 pricing. All priced CLINs shall provide pricing detail on labor rates, hours, and rate buildup.

3) The Offeror shall submit a price narrative (in searchable PDF format) and a pricing spreadsheet (in

Excel format inclusive of formulas). Each offeror’s pricing spreadsheet shall be consistent with the

Government’s Pricing Spreadsheet template at Attachment 4. All proposed prices shall be inclusive of all costs to successfully perform the requirements of this PWS. Labor category and rate information shall be provided as follows:

a) The Government requests all spreadsheets to be provided in Excel format containing formulas that can be manipulated and that have been verified for correct mathematical computations. A zero-dollar figure in the proposal means that the line item shall be provided at no charge to the

Government. The cost/price portion of the proposal should include at a minimum, the following information as applicable:

1. Detailed Breakout - The backup for proposed labor prices should be broken out by appropriate labor category, and CLIN (i.e., CLINs for base year and option periods should be broken out separately).

2. Labor - Provide a spreadsheet including labor categories, labor hours and labor rates by

CLIN, including FAR 52.217-8 Extension of Services. Provide backup in the narrative portion of the price proposal that includes basis of estimates with regards to the labor hours and mix.

All labor rates shall be rounded to the nearest dollar. Provide actual or anticipated place of performance for Staff and Key Personnel positions and/or individuals and indicate which positions are remote or telework, if applicable.

3. Travel Plug Numbers – The Government’s firm fixed price (FFP) travel amount for this requirement is $60,000.00. The FFP travel amounts per CLIN are listed below:

Travel CLINs Firm Fixed Price

0002 $12,000.00

1002 $12,000.00

2002 $12,000.00

3002 $12,000.00

4002 $12,000.00

5002 (Pricing Purposes Only) $6,000.00

4) The negotiated prices will become fixed prices on the contract. In the event the Government extends services under the authority of FAR 52.217-8, "Option to Extend Services", unit pricing for the last option period exercised preceding the extension shall remain in effect. These prices are already determined to have been evaluated at the time of contract award.

5) If applicable, the Offeror shall comply with FAR 52.219-14 Limitations on Subcontracting (Deviation

2021-O0008) should the proposal submission meet the criteria of the provision.

(End of Addendum to 52.212-1)

52.212-2…