HT001419R001702.pdf

0011303344

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 amendment is to:

1. Address questions # 35 - 47 that w ere inadvertently missing from amendment 01.

2. To revise answ ers provided to questions # 5, 6 and 7.

3 .To incorporate DOL WD # 2015-4269 rev. 9

4. To provide Attachment 1_Compensation & Price Matrix rev_1. Ensure use of this template revision if you w ill be submitting a proposal.

5. This solicitation's closure has been changed to 10:00 AM 24 Jul 2019. See Summary of Changes.

1. CONTRACT ID CODE PAGE OF PAGES

J 1 63

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

16C. DATE SIGNED

BY 19-Jul-2019

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 HT001419R0017

X 9B. DATED (SEE ITEM 11)

09-Jul-2019

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

19-Jul-2019

CODE

DHA CONTRACTING OFFICE-(NCR-CD) HT0014

8111 GATEHOUSE ROAD

2ND FLOOR

FALLS CHURCH VA 22042

HT0014 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

HT001419R0017

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 30 - BLOCK 14 CONTINUATION PAGE

The following have been modified:

QUESTIONS WITH ANSWERS

Questions received during solicitation with Answers Provided

1. QUESTION: Is this an existing requirement? If so, please provide the current contract number(s) and name(s) of the incumbent contractor(s).

ANSWER: Yes, The information will only be release to the awardee.

2. QUESTION: If this is an existing requirement, for which positions are incumbent HCWs currently performing services?

ANSWER: All the positions are currently filled by the incumbent.

3. QUESTION: Can you identify who the current incumbent company is?

ANSWER: The information will only be release to the awardee.

4. QUESTION: Does this acquisition have a waiver from being competed through the MQS vehicle under Section 727 of the NDAA for FY17 and, if so, does the waiver extend through all four option years of the resultant contract?

ANSWER: Yes.

5. QUESTION: Can the government provide the applicable wage determination for this requirement?

ANSWER: 2015-4269 Revision No.: 9 has been incorporated.

6. QUESTION: In paragraph (c) on pg 83 it states “No escalation may be included for positions deemed to be covered by the SCA”. Does this mean we cannot escalate SCA positions or we may not?

ANSWER: Paragraph (c) on pg 83 has been revised removing the sentence that stated “No escalation may be included for positions deemed to be covered by the SCA”.

7. QUESTION: What is the applicable FAR clause prohibiting contractors from escalating pricing?

ANSWER: See answer to question # 6.

8. QUESTION: Many CORs are declining to respond to PPQs as a result of the influx of similar requests spawned by the DHA MQS contract; we respectfully request the Government allow the submission of completed CPARs in addition to/in lieu of questionnaires to support a PPL.

ANSWER: Yes, this office will accept a proposal submitted with completed CPARs in addition to/in lieu of completed PPQs (Attachment 2 to the Solicitation).

9. QUESTION: It states 1 copy of each volume is required. Is that in addition to the original or is that including the original?

ANSWER: See table on page 86 of the Solicitation.

10. QUESTION: Many CORs decline to provide past performance questionnaires directly to contractors, so we respectfully request the Government allow references to submit questionnaires directly to contracting.

ANSWER: Yes, this office will accept completed PPQs (Attachment 2 to the Solicitation) directly from an offeror’s customer(s) in lieu of being submitted with he offeror’s proposal.

11. QUESTION: On page 83, the instructions for the Technical Information section indicate that the “technical (offeror’s market research) shall not exceed 10 pages”, however the table on page 86 states that the market research is limited to “Eight (8) pages total”. Can the Government clarify if the page limitation for the market research is ten pages or eight pages?

ANSWER: The table on page 86 has been amended to state 10 pages total which now matches page 83.

12. QUESTION: The instructions on the past performance questionnaire indicate that references should complete the questionnaire and return it to Offerors to submit with their proposal. Occasionally, we have encountered references who are uncomfortable sending the questionnaire back to our firm instead of directly to the Government.

Will the Government allow references to submit questionnaires directly to the Government?

ANSWER: See ANSWER to question #8.

13. QUESTION: PWS 1.8.2 references travel to the Annual Pain Care Skills Training events. Will there be a travel

CLIN?

ANSWER: No. As written in PWS 1.8 “…Required travel outside the NCR is also within scope, but these travel-related expenses are to be reimbursed off of a separate (different) contract. The NCRPI POC shall provide guidance to contractors requiring reimbursable travel outside the NCR. He shall inform the contractors requiring reimbursable travel outside the NCR with the information they need to seek and or obtain travel reimbursement.”

14. QUESTION: PWS 4.1.5 references uniforms. Is a uniform other than scrubs required?

ANSWER: An amendment has been made to PWS 4.1.5. providing greater definition.

15. QUESTION: PWS 5.2.9: this section references the Sole Provider Program and the DPR. Please clarify what those are.

ANSWER: An amendment has been made to PWS 5.2.9. identifying these as Risk Mitigation programs

16. QUESTION: PWS 5.2.2.2.4: Will the provider be initiating drug treatment or have limited prescribing authority as part of a collaborative drug therapy?

ANSWER: An amendment has been made to the PWS creating 5.2.36 stating “this position shall be initiating drug treatment and or have limited prescribing authority as part of a collaborative drug therapy.”

17. QUESTION: PWS 5.2.2.2.4: If this is under personal services, the last sentence about Maryland licensure should be removed.

ANSWER: As identified on CLIN this is a personal services position. However, as these services will be primarily performed in Maryland, the verbiage will remain as-is.

18. QUESTION: PWS 5.3.1: The duties are for a Medical Coder and not a Medical Clerk, which is a different occupational classification. Similarly, 5.3.2.2.1 should be changed to read “Possess a minimum of one (1) year of full-time medical coding experience.”

ANSWER: An amendment has been made to PWS 5.3.2.2.1. stating “Possess a minimum of one (1) year of full-time experience as a full-time medical clerk.”

19. QUESTION: PWS 5.3.2.2.2, if understood as a prerequisite qualification, is unreasonably restrictive inasmuch as it requires the contractor to hire only HCWs with prior MTF experience even though the MTF provides CHCS and other clinical information system training. In any event, the MTF will be outfitted with MHS Genesis soon. We respectfully suggest this clause be amended to read, “Possess OR OBTAIN NECESSARY knowledge of MHS CLINICAL INFORMATION SYSTEMS, including . . . .”

ANSWER: An amendment has been made to PWS 5.3.2.2.2. stating “Possess or obtain necessary knowledge of medical healthcare clinical information systems, including Composite Health Care System (CHCS) I, Armed Forces Health Longitudinal Technology Application (AHLTA) and Advanced Data Systems (ADS) coding systems in order to enter and retrieve data relevant to patient medical records/charts, to track and monitor procedures, medications, etc., and to produce required reports. Ability to become a CHCS I – AHLTA super user.”

20. QUESTION: PWS 5.5.1.14: Please confirm that the reference to the pain RN providing perioperative/surgical services is correct.

ANSWER: The correct PWS number is 5.5.1.4. Yes this is correct, the RN will provide this service.

21. QUESTION: PWS 5.5.2.1: NLN accreditation is anachronistic in light of the more prevalent accrediting bodies (ACEN, CCNE). We would recommend the last sentence read, “The institution must be accredited by The National League for Nursing Accrediting Commission (NLNAC), Accreditation Commission for Education and Nursing (ACEN), or the Commission on Collegiate Nursing Education (CCNE). In lieu of graduation from an NLNAC, ACEN, or CCNE institution, the RN may be a graduate of an accredited nursing program approved by the appropriate State agency.”

ANSWER: An amendment has been made to PWS 5.5.2.1. stating “Possess a Bachelor degree for Nursing from The National League for Nursing Accrediting Commission (NLNAC).”

22. QUESTION: PWS 5.5.2.4.12 is redundant in light of 5.5.2.3.3 and should be removed.

ANSWER: PWS 5.5.2.4.12 has been amended to remove redundancy with 5.5.2.3.3.

23. QUESTION: PWS 5.6.2.2.1 should be removed as it is covered by 5.6.2.2.3.

ANSWER: An amendment has been made to PWS 5.6.2.2.3. removing any redundancy with 5.6.2.2.1 and

5.6.2.2.2.

24. QUESTION: 5.6.2.2.4 Allows for a license from any state, but if this position is for non-personal services, this line should be removed. Please also confirm that the physician will only see patients at WRNMMC and not at MTFs in Virginia or D.C.

ANSWER: PWS 5.6.2.2.4. has been amended to number 5.6.2.2.3. removing “in any one of the fifty States, the District of Columbia, the Commonwealth of Puerto Rico, Guam or the U.S. Virgin Islands.” And as stated in PWS 5.6.1.7., this position will only be seeing patients at WRNMMC.

25. QUESTION: PWS 5.6.2.2.7: Please clarify whether these credentials are required (material qualification).

ANSWER: The PWS has been amended renumbering PWS 5.6.2.2.7. to 5.6.2.2.6. Yes, the certifications listed are required.

26. QUESTION: PWS 5.7.2.2.2: Is there a current Program Manager of MHS Pain Care Program, and, if so, please confirm that Government ethics rules would require a cooling off period of 1 year before that individual could be placed into the Sr Program Manager role.

ANSWER: Government conflicts of interest guidance for employment do not apply to a contractor presently serving in this position and who may consider being retained in this position (if available).

27. QUESTION: PWS 5.7.2.2.2: Other than the current Program Manager of MHS Pain Care Program, how many previous program managers have there been within the last 5 years?

ANSWER: One

28. QUESTION: PWS 5.7.2.2.2 “Possess experience as a Program Manager of MHS Pain Care Program.” This seems unduly restrictive as there are other less restrictive ways for the agency to meet its requirements.

ANSWER: This is a specialized requirement, thusly necessitating specialized experience.

29. QUESTION: PWS 5.9.2.1: In line with the Pain RN’s qualifications, we would suggest the first sentence read, “Be a graduate of one of the following: Diploma, Associates, Bachelor or Master’s program of Registered Nursing.”

ANSWER: Bachelor Degree required

30. QUESTION: PWS 5.9.2.1: NLN accreditation is anachronistic in light of the more prevalent accrediting bodies (ACEN, CCNE). We would recommend the last sentence read, “The institution must be accredited by The National League for Nursing Accrediting Commission (NLNAC), Accreditation Commission for Education and Nursing (ACEN), or the Commission on Collegiate Nursing Education (CCNE). In lieu of graduation from an NLNAC, ACEN, or CCNE institution, the RN may be a graduate of an accredited nursing program approved by the appropriate State agency.”

ANSWER: PWS 5.9.2.1. has been amended requiring Bachelor Degree from the National League for

Nursing Accrediting Commission (NLNAC)

31. QUESTION: PWS 5.10.2.1.2: Requiring a BS in psychology will unnecessarily shrink the labor pool of LCSWs qualified to perform these services, especially given the Government’s psychotherapy experience requirement in

5.10.2.2.3 and MSW requirement in 5.10.2.1.1. Please clarify which of these is actually required.

ANSWER: PWS 5.10.2.1.1 has been amended to require a Bachelor’s Degree in psychology is required.

32. QUESTION: Attachment 4: Suggest AQL for weighted fill rate, on-time fill, and replenishment be 90% (because 95% with 10.1 FTEs means the AQL functionally is 100%, and that does not accord with the allowable turnover nor market realities that HCWs turnover, PCS, etc.).

ANSWER: ATTACHMENT #4 - PERFORMANCE REQUIREMENT SUMMARY has been amended changing the AQL from > 95% to > 90% for Overall Fill Rate, On-Time Fill, and Replenishment Rate Performance Objectives.

33. QUESTION: What is the average turnaround time at WRNMMC from the point a completed HCW package is presented until a start date is authorized, each for non-privileged and privileged positions?

ANSWER: The turnaround time is approx. 2-3 months due to security check and credentialing.

34. QUESTION: As pertains to ‘HT001419R0017_Attachment 1_Compensation & Price Matrix’, in the last tab “B-PRIC; the “total sum of Costs” calculations was not capturing Option 4 (can we make changes to the total sum of costs)?

ANSWER: “HT001419R0017_Attachment 1_Compensation & Price Matrix rev_1” has been provided with this amendment, which resolves this matter. Additionally, offerors are reminded of cells A4 and A11 in the “Instuctions” TAB, where the offeror is responsible for ensuring “the math is correctly computed”.

35. QUESTION: It is noted in Colum R ‘FAR Clause” of a 6 month extension. The calculation in there is picking up option 3? Can we change it to Option 4?

ANSWER: See ANSWER # 34.

36. QUESTION: Are we to add the FAR 6 month extension into the Total Sum of costs?

ANSWER: See ANSWER # 34.

37. QUESTION: “The current NAICS code affiliated with this RFP is 622110…we believe this NAICS code is an incorrect classification of service…”

ANSWER: The NAICS will remain as solicited. This NAICS has been approved by the SBA for this requirement.

38. QUESTION: Can you please confirm that the maximum number of pages for the Technical Volume is 10 pages? The instructions (page 83, part 1, paragraph d, section e) state a limit of 10 pages and the page limit table (page 86) states a maximum of 8 pages.

ANSWER: See answer to question # 11.

39. QUESTION: Paragraph 5.1.2 on Page 43 states that “proof that offered candidates possess these traits must be provided with each contractor’s proposal”. Given that the solicitation instructions do not provide guidance on this, please advise where such proof should be furnished and whether it is subject to any page restrictions.

ANSWER: This is a post-award action for the successful offeror to submit credentialing infomration for qualified applicants in accordance with ATTACHMENT #1 - SUPPLEMENT TO THE PWS, ATTACHMENT 5 - WRNMMC CHECK LIST FOR NON-PRIVILEGE PROVIDERS and ATTACHMENT 6 - WRNMMC CHECK

LIST FOR PRIVILEGE PROVIDERS.

40. QUESTION: Reference PWS 5.2.2.2.4. Pharmacists are not required to maintain a DEA license, as this is more typically a requirement of providers who write prescriptions for controlled substances (i.e. Medical Doctors and Doctors of Osteopathy). Please consider removing or revising this requirement.

ANSWER: Thank you for your recommendation.

41. QUESTION: Reference PWS 5.5.2.1. Please add the Accreditation Commission for Education in Nursing (ACEN) and the Commission on Collegiate Nursing Education (CCNE) as authorized accrediting bodies as NLN is not the most current accreditation standard.

ANSWER: Thank you for your recommendation. PWS 5.5.2.1. has been amended.

42. QUESTION: Reference PWS 5.5.2.2.2 and 5.5.2.2.3. If a Nurse is certified in BLS, is a separate CPR certification still required?

ANSWER: No. PWS 5.5.2.2.2 has been amended removing CPR certification.

43. QUESTION: Reference PWS 5.6.2.2.7. Please consider adding the Neonatal Resuscitation Program (NRP) as an interchangeable certification with NALS.

ANSWER: Thank you for your recommendation. PWS 5.6.2.2.6. has been amended.

44. QUESTION: Reference PWS 5.8.2.1. Please add the Accreditation Commission for Education in Nursing (ACEN) and the Commission on Collegiate Nursing Education (CCNE) as authorized accrediting bodies as NLN is not the most current accreditation standard.

ANSWER: Thank you for your recommendation. PWS 5.8.2.1. has been amended.

45. QUESTION: Reference PWS 5.8.2.2.2. If a Nurse is certified in BLS, is a separate CPR certification still required?

ANSWER: See answer to question #42.

46. QUESTION: Reference PWS 5.9.2.1. Please add the Accreditation Commission for Education in Nursing (ACEN) and the Commission on Collegiate Nursing Education (CCNE) as authorized accrediting bodies as NLN is not the most current accreditation standard.

ANSWER: Thank you for your recommendation. PWS 5.9.2.1. has been amended.

47. QUESTION: Reference PWS 5.9.2.2.2 and 5.9.2.2.3. If a Nurse is certified in BLS, is a separate CPR certification still required?

ANSWER: See answer to question #42.

SECTION SF 1449 - CONTINUATION SHEET

SOLICITATION/CONTRACT FORM

The required response date/time has changed from 23-Jul-2019 10:00 AM to 24-Jul-2019 10:00 AM.

The following have been added by full text:

WAGE DETERMINATION 2015-4269

"REGISTER OF WAGE DETERMINATIONS UNDER | U.S. DEPARTMENT OF LABOR

THE SERVICE CONTRACT ACT | EMPLOYMENT STANDARDS ADMINISTRATION

By direction of the Secretary of Labor | WAGE AND HOUR DIVISION

| WASHINGTON D.C. 20210

| Wage Determination No.: 2015-4269 Daniel W. Simms Division of | Revision No.: 9 Director Wage Determinations| Date Of Last Revision: 04/25/2019 Note: Under Executive Order (EO) 13658 an hourly minimum wage of $10.60 for calendar year 2019 applies to all contracts subject to the Service Contract Act for which the contract is awarded (and any solicitation was issued) on or after January 1 2015. If this contract is covered by the EO the contractor must pay all workers in any classification listed on this wage determination at least $10.60 per hour (or the applicable wage rate listed on this wage determination if it is higher) for all hours spent performing on the contract in calendar year 2019. The EO minimum wage rate will be adjusted annually.

Additional information on contractor requirements and worker protections under the EO is available at www.dol.gov/whd/govcontracts.

State: Maryland

Area: Maryland Counties of Frederick Montgomery

**Fringe Benefits Required Follow the Occupational Listing**

OCCUPATION CODE - TITLE FOOTNOTE RATE

12000 - Health Occupations 12010 - Ambulance Driver 22.45 12011 - Breath Alcohol Technician 23.39 12012 - Certified Occupational Therapist Assistant 32.38 12015 - Certified Physical Therapist Assistant 28.52 12020 - Dental Assistant 22.82 12025 - Dental Hygienist 44.75 12030 - EKG Technician 30.44 12035 - Electroneurodiagnostic Technologist 30.44 12040 - Emergency Medical Technician 22.45 12071 - Licensed Practical Nurse I 21.98 12072 - Licensed Practical Nurse II 24.59 12073 - Licensed Practical Nurse III 27.41 12100 - Medical Assistant 17.99 12130 - Medical Laboratory Technician 26.40 12160 - Medical Record Clerk 21.08

12190 - Medical Record Technician 23.60 12195 - Medical Transcriptionist 20.69 12210 - Nuclear Medicine Technologist 40.09 12221 - Nursing Assistant I 12.52 12222 - Nursing Assistant II 14.08 12223 - Nursing Assistant III 15.36 12224 - Nursing Assistant IV 17.24 12235 - Optical Dispenser 22.19 12236 - Optical Technician 21.03 12250 - Pharmacy Technician 18.12 12280 - Phlebotomist 19.00 12305 - Radiologic Technologist 34.88 12311 - Registered Nurse I 27.64 12312 - Registered Nurse II 33.44 12313 - Registered Nurse II Specialist 33.44 12314 - Registered Nurse III 40.13 12315 - Registered Nurse III Anesthetist 40.13 12316 - Registered Nurse IV 48.10 12317 - Scheduler (Drug and Alcohol Testing) 28.97 12320 - Substance Abuse Treatment Counselor 22.81

Note: Executive Order (EO) 13706 Establishing Paid Sick Leave for Federal Contractors applies to all contracts subject to the Service Contract Act for which the contract is awarded (and any solicitation was issued) on or after January 1 2017. If this contract is covered by the EO the contractor must provide employees with 1 hour of paid sick leave for every 30 hours they work up to 56 hours of paid sick leave each year. Employees must be permitted to use paid sick leave for their own illness injury or other health-related needs including preventive care; to assist a family member (or person who is like family to the employee) who is ill injured or has other health-related needs including preventive care; or for reasons resulting from or to assist a family member (or person who is like family to the employee) who is the victim of domestic violence sexual assault or stalking. Additional information on contractor requirements and worker protections under the EO is available at www.dol.gov/whd/govcontracts .

ALL OCCUPATIONS LISTED ABOVE RECEIVE THE FOLLOWING BENEFITS:

HEALTH & WELFARE: $4.48 per hour or $179.20 per week or $776.53 per month

HEALTH & WELFARE EO 13706: $4.18 per hour or $167.20 per week or $724.53 per month*

*This rate is to be used only when compensating employees for performance on an SCA-covered contract also covered by EO 13706 Establishing Paid Sick Leave for Federal Contractors. A contractor may not receive credit toward its SCA obligations for any paid sick leave provided pursuant to EO 13706.

VACATION: 2 weeks paid vacation after 1 year of service with a contractor or successor 3 weeks after 5 years and 4 weeks after 15 years. Length of service includes the whole span of continuous service with the present contractor or successor wherever employed and with the predecessor contractors in the performance of similar work at the same Federal facility. (Reg. 29 CFR 4.173)

HOLIDAYS: A minimum of ten paid holidays per year: New Year's Day Martin Luther King Jr.'s Birthday Washington's Birthday Memorial Day Independence Day Labor Day Columbus Day Veterans' Day Thanksgiving Day and Christmas Day. (A contractor may substitute for any of the named holidays another day off with pay in accordance with a plan communicated to the employees involved.) (See 29 CFR 4.174)

** UNIFORM ALLOWANCE **

If employees are required to wear uniforms in the performance of this contract (either by the terms of the Government contract by the employer by the state or local law etc.) the cost of furnishing such uniforms and maintaining (by laundering or dry cleaning) such uniforms is an expense that may not be borne by an employee where such cost reduces the hourly rate below that required by the wage determination. The Department of Labor will accept payment in accordance with the following standards as compliance:

http://www.dol.gov/whd/govcontracts

The contractor or subcontractor is required to furnish all employees with an adequate number of uniforms without cost or to reimburse employees for the actual cost of the uniforms. In addition where uniform cleaning and maintenance is made the responsibility of the employee all contractors and subcontractors subject to this wage determination shall (in the absence of a bona fide collective bargaining agreement providing for a different amount or the furnishing of contrary affirmative proof as to the actual cost) reimburse all employees for such cleaning and maintenance at a rate of $3.35 per week (or $.67 cents per day). However in those instances where the uniforms furnished are made of ""wash and wear"" materials may be routinely washed and dried with other personal garments and do not require any special treatment such as dry cleaning daily washing or commercial laundering in order to meet the cleanliness or appearance standards set by the terms of the Government contract by the contractor by law or by the nature of the work there is no requirement that employees be reimbursed for uniform maintenance costs.

** SERVICE CONTRACT ACT DIRECTORY OF OCCUPATIONS **

The duties of employees under job titles listed are those described in the ""Service Contract Act Directory of Occupations"" Fifth Edition (Revision 1) dated September 2015 unless otherwise indicated.

** REQUEST FOR AUTHORIZATION OF ADDITIONAL CLASSIFICATION AND WAGE RATE Standard Form 1444 (SF-1444) **

Conformance Process:

The contracting officer shall require that any class of service employee which is not listed herein and which is to be employed under the contract (i.e. the work to be performed is not performed by any classification listed in the wage determination) be classified by the contractor so as to provide a reasonable relationship (i.e. appropriate level of skill comparison) between such unlisted classifications and the classifications listed in the wage determination (See 29 CFR 4.6(b)(2)(i)). Such conforming procedures shall be initiated by the contractor prior to the performance of contract work by such unlisted class(es) of employees (See 29 CFR 4.6(b)(2)(ii)). The Wage and Hour Division shall make a final determination of conformed classification wage rate and/or fringe benefits which shall be paid to all employees performing in the classification from the first day of work on which contract work is performed by them in the classification. Failure to pay such unlisted employees the compensation agreed upon by the interested parties and/or fully determined by the Wage and Hour Division retroactive to the date such class of employees commenced contract work shall be a violation of the Act and this contract. (See 29 CFR 4.6(b)(2)(v)). When multiple wage determinations are included in a contract a separate SF-1444 should be prepared for each wage determination to which a class(es) is to be conformed.

The process for preparing a conformance request is as follows:

1) When preparing the bid the contractor identifies the need for a conformed occupation(s) and computes a proposed rate(s).

2) After contract award the contractor prepares a written report listing in order the proposed classification title(s) a Federal grade equivalency (FGE) for each proposed classification(s) job description(s) and rationale for proposed wage rate(s) including information regarding the agreement or disagreement of the authorized representative of the employees involved or where there is no authorized representative the employees themselves. This report should be submitted to the contracting officer no later than 30 days after such unlisted class(es) of employees performs any contract work.

3) The contracting officer reviews the proposed action and promptly submits a report of the action together with the agency's recommendations and pertinent information including the position of the contractor and the employees to the U.S.

Department of Labor Wage and Hour Division for review (See 29 CFR 4.6(b)(2)(ii)).

4) Within 30 days of receipt the Wage and Hour Division approves modifies or disapproves the action via transmittal to the agency contracting officer or notifies the contracting officer that additional time will be required to process the request.

5) The contracting officer transmits the Wage and Hour Division's decision to the contractor.

6) Each affected employee shall be furnished by the contractor with a written copy of such determination or it shall be posted as a part of the wage determination (See 29 CFR 4.6(b)(2)(iii)).

Information required by the Regulations must be submitted on SF-1444 or bond paper.

When preparing a conformance request the ""Service Contract Act Directory of Occupations"" should be used to compare job definitions to ensure that duties requested are not performed by a classification already listed in the wage determination. Remember it is not the job title but the required tasks that determine whether a class is included in an established wage determination.

Conformances may not be used to artificially split combine or subdivide classifications listed in the wage determination (See 29 CFR 4.152(c)(1))."

The following have been modified:

ADDENDUM TO 52.212-1

Paragraph (a) is hereby supplemented with the following:

(b) Submission of Offers. The following supplements this paragraph with respect to the information and documents required for submission in response to this solicitation:

(1). ELECTRONIC OFFERS. All offers in response to this solicitation must be emailed directly to both the Contract Analyst Mr. Ed DuChemin (Information Technology Solutions & Consulting, LLC contractor, directly supporting DHA) at edgar.r.duchemin.ctr@mail.mil and the Contracting Officer, Mrs. Fa'atalivale (Vale) M. Te'o-Lewis at faatalivale.m.teo-lewis.civ@mail.mil. Note: All proposals must arrive by the time specified on page one of the solicitation.

(2). Offerors may request verification of Government receipt of their proposal, by the time specified in the solicitation, via email to Ed DuChemin at edgar.r.duchemin.ctr@mail.mil.

(c) This acquisition is being conducted utilizing the policies and procedures of Federal Acquisition Regulation (FAR) Part 12 in conjunction with the appropriate parts of FAR Part 15 and 19 for the acquisition of commercial services. The Government intends to award a firm fixed-price personal services contract under the authority of Title 10 U.S.C. Section 1091, DoD Instruction 6025.5. Offerors must propose a firm-fixed price for each Contract Line Item.

(d) The Government intends to award a contract without further communicating with contractors. Consequently, contractors are highly encouraged to submit their best technical, past performance and pricing proposals in their initial submission. However, the Government reserves the right to communicate with any or all contractors submitting a technical, past performance and price proposal, if it is determined advantageous to the Government to do so. This statement is not to be construed to mean that the Government is obligated to communicate with every offeror. An offeror may be eliminated from consideration without further communication if its technical and/or pricing proposals are not among those Offeror’s considered most advantageous to the Government.

(e) Any questions with respect to the solicitation shall be submitted not later than 12 July 2019 @ 12:00 p.m.

(noon) EDT to Mr. Ed DuChemin at edgar.r.duchemin.ctr@mail.mil. Responses to questions will be posted on FedBizOps via RFP amendment.

(f) BASIS FOR AWARD. Award will be made on a best value trade-off basis. The Government will award a contract resulting from this solicitation to the responsible offeror whose proposal conforms to this solicitation’s requirements and is determined to be most advantageous to the Government, price and other factors considered.

mailto:edgar.r.duchemin.ctr@mail.mil mailto:faatalivale.m.teo-lewis.civ@mail.mil mailto:edgar.r.duchemin.ctr@mail.mil mailto:edgar.r.duchemin.ctr@mail.mil

(g) Data Universal Numbering System (DUNS) / CAGE Code. The offeror shall obtain these said Codes and submit them to Contracting Center. Register in the System for Award Management (SAM) https://www.sam.gov/SAM/ and the Online Representations and Certifications, if the offeror is a U.S. business entity. Award cannot and shall not be made to an offeror without these codes.

(h) Proposal Preparation Costs. The Government will not pay any costs incurred in the submission of an offer, in making any necessary studies for the preparation thereof, or for any visit(s) the Contracting Officer may request for the purpose of clarification of the offer.

(i) The offeror is responsible for ensuring that its proposal is complete. The proposal shall be clear, concise, and shall include sufficient detail for effective evaluation and for substantiating the validity of any stated claims. The proposal shall not simply rephrase or restate the Government's requirements, but rather shall provide convincing rationale to address how the offeror intends to perform the requirement. Offerors shall assume that the government has no prior knowledge of their experience and will base its evaluation solely on the information presented in the offeror's proposal.

(j) Protests received at a level higher than the Contracting Officer will be referred to the Contracting Officer. The protestor may request a review by the Contracting Officer or an independent review at a level higher than the Contracting Officer. Requests for appeals or independent review will be addressed to the Contracting Officer for referral to the review authority. Questions on this process will be referred to the cognizant Contracting Officer identified in the solicitation.

(k) The non-FAR Part 12 discretionary Federal Acquisition Regulation (FAR), Defense Federal Acquisition Regulation Supplement (DFARS) and LOCAL (DHA) provisions included herein are incorporated into this solicitation either by reference or in full text. If incorporated by reference, see provision 52.252-2 herein for locations where full text can be found.

(l) The solicitation should be completed, signed and received at this office not later than the date/time specified on page one of the solicitation (Standard Form [SF] 1449). Failure to provide all information requested and in the appropriate format as required may cause your proposal to be rejected and no longer considered for award.

Please note that your proposal must include all of the following information. Submit proposal in three (3) separate parts as follows:

I. Technical: Compensation & Price Matrix

II. Past Performance

III. Price

The following evaluation factors will be used to evaluate each proposal: Technical, Past Performance and Price. The Offeror’s Technical: “Compensation & Price Matrix” (with supporting market research) will be evaluated as either “Acceptable” or “Unacceptable”. If an Offeror’s Technical factor is evaluated and rated as “Unacceptable”, the Offeror will not be eligible for award. Past performance is significantly more important than price. A trade-off analysis between past performance and price will be utilized to determine which proposal represents the best value to the Government. Award may be made to other than the lowest price quotation.

PART I: TECHNICAL INFORMATION: The information provided by the offeror is a significant factor in the Government’s determination of technical acceptability as it pertains to the offeror’s ability to hire qualified personnel as well as to provide continuous service based on a sufficient incentive to retain those qualified personnel.

Offerors are responsible for including sufficient details to permit a complete and accurate evaluation of each proposal. Proprietary information shall be clearly marked. Within the technical portion of the offeror’s proposal, the offeror shall provide: Compensation. See Attachment # 1 to the solicitation entitled “Compensation & Price Matrix”.

(a) Offerors are directed to fill-in / populate the “Compensation & Price Matrix” that includes employee ‘Base Salary (Hourly)’, employee ‘Fringe Benefits’ and ‘Total Billable Hourly Rate’ for the geographic area of services (Walter Reed National Military Medical Center, Bethesda, MD 20889-5600). If the salary is less than the amount paid in the local area, the offeror must demonstrate that its “Compensation & Price Matrix” is adequate to recruit and retain quality health care providers and ensure uninterrupted performance of services throughout the life of the contract.

(b) The escalation factor or other means for price changes in the Option periods must be addressed in a narrative of the offeror’s market research that should accompany the completed “Compensation & Price Matrix”.

(c) Vendors are notified that the Service Contract Labor Standards Statute applies to all applicable labor categories unless exempted. Vendors are responsible for determining whether employees proposed to work under the contract are covered by the Service Contract Labor Standards Statute or if they are covered by an exemption.

Vendors should explain this determination in their quote and price the task order accordingly.

(d) For evaluation of price the offeror shall complete Tab B of “Attachment 2 Compensation & Price Matrix” and provide any supporting documentation in accordance with FAR 52.222-46 that covers each proposed employee.

The documentation shall include the following items:

a. The proposed unburdened direct labor rate (base compensation) for each employee proposed.

b. The total unburdened cost of the proposed fringe benefits package for each employee proposed, including (1) a list and brief summary of the benefits that make up the fringe package (e.g. vacation time, sick leave, bonus/incentive plans, family leave, insurance); and (2) An itemization of the benefits that require employee contributions and the amount of that contribution as a percentage of the cost of the particular benefit.

c. Supporting information to be submitted with the plan shall include data, such as recognized regional compensation surveys and studies of professional, public, and private organizations used in establishing the total compensation structure.

d. For each labor category proposed, the contractor shall map to the appropriate labor category on salary.com and provide written rationale explaining why that is the appropriate labor category. In addition, the contractor must provide a dated screenshot of the selected labor categories from Salary.com that shows the information used as the basis of the comparison.

e. The technical (offeror’s market research) shall not exceed 10 pages (page count does NOT include the offeror’s completed Compensation Matrix) and must be submitted in Microsoft Word compatible format. The technical information shall include the company’s name, address, individual names, CAGE Code, DUNS number on the first page.

PART II: PAST PERFORMANCE: Offeror is required to submit a past performance listing (PPL) containing relevant federal, state, local government and/or private contracts performed within the past three (3) years, which are similar in scope, type of work, and size (e.g. number of employees by type and anticipated dollar value) to the effort described in this solicitation. See specific information that must be identifed in your PPL in paragraph (a) (2) below.

If the offeror has no relevant past performance, the offeror should state so for this evaluation factor. In addition to this PPL, all offerors must provide a copy of the past performance questionnaire (see Attachment 2 PPQ Template), to each individual / company listed in the offeror’s PPL. The customer completes the PPQ for each reference identifed on the PPL and returns it to the offeror for submission with their Factor II Past Performance proposal.

(a) Offerors shall submit the information requested below as part of their proposal for both the offeror and any proposed subcontractors for subcontracts expected to exceed 25% of the requirement. The document shall be submitted in Microsoft Word compatible format and shall not be more than one page for the prime contractor and one additional page for each major subcontractor.

(1) Offerors shall submit a PPL containing a maximum of three (3) contracts and/or subcontracts completed in the last three years, including contracts and subcontracts currently being performed, which are relevant to this requirement. Contracts are relevant if they are similar in scope, type of work, and size to the effort described in this solicitation.

(2) Include the following information for each contract and subcontract identified in the PPL:

(a) Name of contracting activity.

(b) Contract number.

(c) Contract title.

(d) Contract type.

(e) Brief description of contract or subcontract and relevance to this requirement.

(f) Total contract value.

(g) Period of performance.

(h) Contracting Officer, telephone number and e-mail address, if available.

(i) Program manager/project officer, telephone number and e-mail address, if available.

(j) Administrative Contracting Officer, if different from (h) above, telephone number and e-mail address (if available).

(k) List of subcontracts (if applicable).

(3) Offerors may provide information on problems encountered and corrective actions taken on the identified contracts and subcontracts.

(a) If an offeror has no relevant past performance history, an offeror must affirmatively state that it possesses no relevant past performance history.

(1) Past performance information will be used for both responsibility determinations and as an evaluation factor for award. Completed PPQs received from the offeror will be assessed for the offeror’s performance under existing and prior contracts/subcontracts for services similar in scope, type of work, and size to this requirement. References other than those identified by the offeror may be contacted by the Government and used in the evaluation of the offeror’s past performance.

(2) Any information collected concerning an offeror’s past performance will be maintained in the official contract file.

(3) Offerors with no relevant past performance history or for whom information on past performance is not available, will be evaluated neither favorably nor unfavorably on past performance.

PART III: PRICE: Offerors will submit their proposed CLIN prices as presented in the RFP. Additionally, Offerors must submit a completed TAB B (Price) of “Attachment 1 Compensation & Price Matrix”) with the applicable fully burdened hourly rates (for price analysis purposes).

PART IV: RFP DOCUMENTS: Solicitation, Offer, and Award Documents, Representations and Certifications, and Offeror’s Business Information.

(a) Completed and signed SF 1449, page 1, Blocks 17a., 30 a.- c, of the solicitation. Offeror must also put the total amount of the proposal (to include the summation of all CLINs, base and option periods) into Block 26, page 1 of the SF 1449. The offeror is not required to submit the entire SF 1449. The offeror MUST submit the SF 1449 pages that have been filled out by the offeror.

(b) Signed amendments (if any). Only page 1 of the amendment shall be submitted and must be done so in PDF compatible format. The offeror may combine the signed page 1 of the SF 1449 and Amendments into a single PDF file.

(c) Representations and Certifications found at FAR 52. 212-3 Alt 1, 52.209-7 and 52.219-28(g) - MUST be completed. These must be submitted in Microsoft Word compatible format. The Offeror is encouraged to cut-and paste these clauses into a separate Microsoft Word document to reduce file size.

The Offeror should ensure that the appropriate NAICS Code for this procurement is included in the

System for Award Management (https://www.sam.gov/portal/SAM/#1) and in the Representations and Certifications for the company.

(d) A business information document shall be submitted along with the RFP documents. At a minimum, this document must include contact information such as e-mail addresses and telephone numbers for the principals and other information about the business and major subcontractors as applicable. If there are major subcontractors (performing 25% or more of the work), the offeror must state what percentage of the effort the subcontractor(s) will be performing. This document must be in Microsoft Word or Adobe PDF compatible format. At its discretion, the offeror may provide additional information about the company’s history, capabilities, or any other details deemed appropriate. This document must be no more than three (3) pages in length.

(e) Each volume shall be submitted in an electronic format. Any revisions will be clearly marked (as a result of negotiations or proposal revisions). Each file shall be clearly identified (e.g. Volume I – Technical, “Compensation & Price Matrix” (Market Research).

(f) A standard, 12-point minimum font size applies. Arial or New Times Roman fonts are required.

Tables and illustrations may use a reduced font size no less than 8-point and may be landscape.

(g) Page limitations shall be counted as maximums. If exceeded, the excess pages will not be read or considered in the evaluation of the proposal. Each page shall be counted except for the following:

a) Volume Cover Pages

b) Table of Contents

c) Summary of Section

d) Glossaries

e) Blank Pages

A summary of electronic proposal documents to be submitted is as follows:

Volume Volume Title Number of Copies

Electronic Format Maximum Page Limit

I

Technical:

“Compensation & Price Matrix” with supporting Market Research documents.

One Copy Complete / populate all Tabs (A – AD) of

Attachment 1 “Compensation &

Price Matrix”

Provide supporting Market Research documentation to support your proposed labor rates in

Microsoft (MS) Word or PDF format

One completed “Attachment 1 Compensation & Price

Matrix” and provide supporting Market Research documentation Five (5) 8 1/2’ x 11” pages (front and back side). Eight (8) pages total (this does not include the “Attachment 1 Compensation & Price

Matrix”.

II

Past Performance

Microsoft Word and PDF (“Attachment 2

PPQ Templates)

Past Performance Listing (PPL) three (3) 8 ½” x 11” double-sided pages.

“Attachment 2 PPQ Templates” - three completed PPQs.

https://www.sam.gov/portal/SAM/#1

III

Price

Microsoft Word

Provide “UNIT PRICE and “AMOUNT” on the solicitation and populate TAB B of “Attachment 1 Compensation & Price Matrix” all CLINs except for CMR CLINs 0010, 1010, 2010, 3010, 4010 as these are not separately priced (NSP).

IV RFP

documents

1 Microsoft Word or Adobe PDF

No limit, except for the business information document portion which shall not exceed 3 pages.

(End of Addendum to 52.212-1)

ADDENDUM TO 52.212-2

Paragraph (a) is hereby supplemented with the following:

This acquisition is being conducted utilizing the procedures of FAR Parts 8, 12, 19 and pertinent parts of Part 15.

Impartial consideration will be given to all offers received in response to this solicitation. Offers will be reviewed to determine compliance with all requirements of the solicitation, including any attachments and exhibits. Any offer that is not in compliance with the requirements of the solicitation will be unacceptable and ineligible for award.

The evaluation criteria will be applied to all offers in the same manner. Each proposal will be evaluated strictly in accordance with its content and the Government will not assume that performance will include areas not specified in the offeror's proposal.

Please note the following:

a) The Government intends to evaluate proposals and award a contract without discussions with the offerors.

However, pursuant to FAR 52.212-1(g), the Government reserves the right to initiate discussions/negotiations with the offerors. The offeror’s initial proposal should contain the offeror’s best terms from a price and non-price standpoint.

b) Alternate proposals will not be considered; the offerors are limited to a single proposal. Multiple solutions, optional solutions, etc., shall not be provided and may render a quotation unacceptable.

c) The Government intends to make a single award resulting from this RFP.

FACTORS TO BE EVALUATED:

Factor 1 – Technical: Compensation Factor 2 – Past Performance Factor 3 – Price

The Offeror’s proposed Technical: Compensation (for each labor category solicited) will be evaluated as either “Acceptable” or “Unacceptable”. If an Offeror’s compensation plan is “Unacceptable” the Offeror will not be eligible for award.

Past performance is significantly more important than price. A trade-off analysis between past performance and price will be utilized to determine which quotation represents the best value to the Government. Award may be made to other than the lowest price proposal.

1. Factor 1: Technical Factor: “Attachment 1 Compensation & Price Matrix”. The Government will evaluate the proposed Compensation Matrix Tabs A -AD to determine the adequacy of compensation, particularly the hourly wage rate to be paid to health care providers (HCPs) at Walter Reed National Military Medical Center…