Exhibits_B-E_to_Protest_Redacted.pdf

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

I. CONTRACT ID CODE

J

PAGE OF PAGES

1 I 14

2. AMENDMENT/MODIFICATION NO.

3. EFFECTIVE DATE

03-Jul-2023

4. REQUISITION/PURCHASE REQ. NO, 5. PROJECT NOLIfapplicablc)

6. ISSUED BY CODE HT0015 7. ADMINISTERED BY (Ifothcr than item 6) CODE

See Item 6 DHA CONTRACTING OFFICE-(EMS-CD) HT0015

DHA EMS-CD HT0015

4130 STANLEY ROAD SUITE 208

FORT SAM HOUSTON TX 78234

8. NAME AND ADDRESS OF CONTRACTOR (No., Street, County, State and Zip Code) X 9A AMENDMENT OF SOLICITATION NO. • HT001523R0003 x 9B. DATED (SEE ITEM 11) 15-Nov-2022

10A. MOD. OF CONTRACT/ORDER NO.

10B. DATED (SEE ITEM 13)

CODE FACILITY CODE

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

FX The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of011er n is extended, E Oiler mist acknowledge receipt ofthis amendment prior to the hour and date specified in the solicitation or as amended by one ofthe Ibliowing methods:

(a) By convicting Ileum 8 and 15, and returning 1 copies ofthe anendnient; (b) By acknowledging receipt ofthis amendment on each copy ofthe offer is not extended.

submitted;

or (c) By separate letter or telegramwhich includes a reference to the solicitation and amendtrent numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE

RECEIVED ATTHE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN

REJECTION OF YOUR OFFER. Ifby virtue ofthis enfoldment you desire to change an offer already submitted, such change tiny be nude by tclegramor letter, provided each telegramor letter mikes 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 E is not, ri 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.)

The purpose of this amendment is to:

1. Revise the Addendum to FAR 52.212-1.

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

I 5A. NAME AND TITLE OF SIGNER (Type or print) 16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)

TEL: EMAIL:

15B. CONTRACTOR/OFFEROR 15C. DATE SIGNED 16B. UNITED STATES OF AMERICA

BY

16C. DATE SIGNED

03-Jul-2023 (Signature of Contracting Officer) (Signature of person authorized to sign)

EXCEPTION TO SF 30

APPROVED BY OIRM 11-84

30-105-04 STANDARD FORM 30 (Rev. 10-83) Prescribed by. GSA

Exhibit3B3

HT001523R0003

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 1449 - CONTINUATION SHEET

The following have been modified:

FAR ADDENDUM 52,212-1

Pursuant to FAR 12.302(a), FAR Provision 52.212-1, Instructions to Offerors (ITO) — Commercial Items, is tailored.

The basic provision paragraphs (a), (d), and (0 through (k) of the Addendum to FAR 52.212-1 are not replaced. The basic provision paragraph (e) is deleted for this solicitation. The following paragraphs of specific instructions to offerors for this solicitation replace the basic provision paragraphs (b), (c), and (1):

FAR Provision 52.212-1, Instructions to Offerors - Commercial Items is tailored by addendum as follows:

(b) Submission of Offers

1. General Information

a. The MQS2-NG program will be comprised of Indefinite Delivery/Indefinite Quantity (IDIQ) contracts awarded in two (2) business-size categories: small business and unrestricted. The awarded IDIQs will form vendor pools aligned to support ancillary, dental, medical support, nursing, and physician services' requirements in the five (5) areas of responsibility (AORs) identified in Technical Exhibit 3 of the Performance Work Statement (PWS).

b. The MQS2-NG acquisition consists of the concurrent issuance of two (2) solicitations:

• Solicitation Number HT001523R0003-MQS2-NG Small Business

• Solicitation Number HT001523R0004-MQS2-NG Unrestricted.

c. Offerors may submit one proposal in response to this solicitation. The submission of more than one

(1) proposal in response to this solicitation will render the Offeror non-responsive and ineligible for award. Offerors are eligible for an award in one business size category only. Offerors are NOT required to propose on all AORs for the selected business size category, but may propose to provide services in more than one (1) AOR. All resulting awards will encompass all AORs in which the Offeror was determined to be qualified.

d. The Government has determined it is in the best interest of the Government to restrict Offerors from cross-teaming on more than one (1) proposal submitted in response to this solicitation. Therefore, Offerors shall not participate as a Prime Offeror, subcontractor, teaming member, or member of a joint venture (JV) on more than one (1) offer submitted in response to this solicitation. It is the sole responsibility of the Prime Offeror to ensure that their teaming members, subcontractors and JV members are not teamed with another Offeror. Proposals that identify an entity that is included in more than one (1) Contractor Team Organization (Attachment 1), to include members of a JV, shall be determined non-responsive and ineligible for award. Note: The Government reserves the right to determine at the task order level, at its own discretion and in the best interest of the Government, whether to permit cross-teaming for individual task order issued after IDIQ award.

e. If the Prime Offeror on a proposal is a JV, technical capability and past performance supporting documentation from any of the Prime Offeror's JV members will be treated as the Prime Offeror's

Exhibit B information. The constraints identified in Table 4 apply. This rule does not apply to JVs that are included in an Offeror's proposal as a teaming member or subcontractor to the Prime Offeror.

2. General Instructions

a. This addendum prescribes the format for proposals and describes the approach for the development and presentation of proposal data. Offerors are instructed to read the entire Request for Proposal (RFP), including all attachments, prior to preparing an offer. The Offeror's proposal shall include all data and information requested herein and shall be submitted in accordance with these instructions.

Proposals submitted in response to this RFP must be responsive to, and consistent with, the requirements set forth in the solicitation. Failure to provide, or omit, any of the identified information and/or documents set forth in this solicitation may result in a determination that the Offeror is non-responsive. Any proposal that modifies, or fails to conform to, the requirements or specifications of the RFP may result in a determination that the Offeror is non-responsive. Offerors who are non-responsive will be ineligible for award. In submitting a proposal, Offerors are agreeing to the terms and conditions as written in the entire solicitation.

b. All required elements of this RFP shall be submitted by the Offeror with their proposal no later than the date/time shown in block 8 of the Standard Form (SF) 1449, Solicitation/ Contract/Order for Commercial Items. The proposal shall be submitted as outlined in paragraph g of this section.

c. The proposal shall be clear, concise, and shall include sufficient detail for effective evaluation to include substantiating the validity of stated claims. Offerors shall assume the Government has no prior knowledge of their experience and will base its evaluation on the information presented in the Offeror's proposal.

d. Questions/Correspondence: Offerors shall submit all questions, clarification requests, and/or concerns regarding this solicitation via email to dha.jbsa.cod-sa.mbx.ems-cd-mqs2ng@hcalth.mil no later than 10:00 a.m. local San Antonio, Texas time on 14 April 2023. Questions shall be submitted via the RFP Question Template (Attachment 9). All responses to questions will be provided via the Government Point of Entry (GPE) (www.sam.gov),. It is the responsibility of the Offeror to monitor the GPE for all information related this solicitation. Offerors shall ensure that the subject line for all email communication identifies the solicitation number, company name, and description of the communication (e.g., HT001523R0003_Acme Solutions_ RFP Question; HT001523R0003_Acme Solutions_ Clarification Request).

e. Electronic File Format: The proposal shall be submitted in a format readable by Microsoft (MS) Office 365. Portable document format (PDF) documents shall be submitted in Adobe Acrobat only. The proposal shall not include any information/data within a PDF formatted document that is copied as an image, except for signatures. When creating PDF files, the Offeror shall create the file to enable text search and copy functions. Completed copies of Attachment 3, Technical Capability Validation Sheet and Attachment 4, Past Performance Questionnaire, provided to the Offeror by a customer that are not enabled for text search and copy functions are acceptable.

It is the sole responsibility of the Offeror to ensure that the electronic files submitted are virus free.

Proposal submissions shall not be locked, encrypted, or otherwise contain barriers to opening. The Self-Scoring Technical Capability Worksheet (Attachment 2) shall be saved in MS Excel format. The Offeror shall not modify, adjust, or change any part of Self- Scoring Technical Capability Worksheet.

Changes to the Self-Scoring Technical Capability Worksheet may deem the proposal non-responsive. The Technical Capability Validation Sheet (Attachment 3), Past Performance Questionnaire (Attachment 4), Subcontractor-Teaming Partner Consent Letter (Attachment 5), Client Authorization Letter (Attachment 6) and the Technology Enabler Validation Sheet (Attachment 8) shall be submitted in PDF format and signed by the primary customer (agency/organization) point of contact (POC).

f. Electronic Submission: Offerors shall submit their entire proposal electronically via the Procurement Integrated Enterprise Environment (PIEE) Solicitation Module at https://piee.eb.mil. The PIEE Solicitation Module is the ONLY electronic commerce method authorized for the submission of proposals in response to this solicitation. Submissions received outside of the PIEE Solicitation Module will NOT be considered. Proposals received after the due date and time specified herein will be considered late.

Note: Offerors are advised that an active Proposal Manager role in the PIEE Solicitation Module is required to submit an offer to a solicitation posted in the PIEE Solicitation Module.

Point of Contact for Vendor Registration/Technical System issues — Email:

clisa.global.servicedesk.mbx.eb-ticket-requestsatiptail.mil or Phone: 866-618-5988.

Offerors are cautioned to log into PIEE Solicitation Module within sufficient time to ensure the electronic proposal package is completely uploaded and time-stamped in the system by the due date and time specified for receipt of proposals.

g. Proposal Organization: Offerors shall prepare the proposal as set forth in Table 3, Proposal Organization as follows:

• Volume I — Administration

• Volume II — Technical Capability

• Volume III— Past Performance

The titles and contents of the volumes shall be as defined in Table 3, all of which shall be within the required page limits and with the number of copies as specified.

Table 3, Proposal Organization

Volume Title 2 Page Limit File Name Format Example

Company_Volume_Tab Cover Letter 3

Tab 1 — Table of Contents3 Cover Letter limited to 2

Tab 2 — Completed/signed SF 1449 and all Amendments (SF 30)

Tab 3 — Completed Contractor pages; Other documents do not have a

AcmeSolutions _VolumeI Tab3

I — Administration

Team Organization Document (Attachment 1) page limit, unless Note: File Name Format for the Cover

Tab 4 — Certifications and identified in Letter (CL) and Table of Contents (ToC):

Representations another

Tab 5 — Contractor Teaming section of AcmeSolutions Volumel CL Arrangement

Tab 6 — Small Business JV this solicitation AcmeSolutions Volumel ToC _ _

Representation Tab 7 — Glossary of Abbreviations and Acronyms Tab 8:

Tab 8 — Organization Change Limited to 5

History Pages Tab 1 — Self-Scoring Technical

Capability Worksheet Tab 1: Limited to electronic AcmeSolutions VolumeII Tab 1 _ _

II — Technical Tab 2 — Scope - Labor segment worksheet File Name Format for Supporting

Capability supporting documentation Tab 2A — Physician Services Tabs 2, 3, 4, 6, Documentation:

Tab 2B — Dental Services 7, 10, 11, 12: Company_VollI Tab_Row Tab 2C — Ancillary Services Limited to ActueSolutions VolumeII Tab2A Row26

Tab 2D — Nursing Services Tab 2.E — Medical Support

Services Tab 3 — Type II Configuration supporting documentation supporting documentation from a CPARS report or a signed

Tab 4 — Magnitude supporting documentation

Technical Capability

Tab 5 — Letter/Line of Credit supporting documentation

Tab 6 — Complexity supporting documentation

Validation Sheet (Attachment 3) saved in pdf format.

Tab 6A — Northeastern AOR Tab 6B — Southeastern AOR

Tab 6C — Southern AOR Tab 6D — Central AOR

Tabs 5, 8, and 9 saved in pdf format Tab 6E — Western AOR

Tab 7 — Market-based experience support documentation Tab 8 — Technology enablers supporting documentation`'

Tab 9 — Organization certification supporting documentation Tab 10 — IDIQ contract experience supporting documentation Tab 11 — FFP contract experience supporting documentation Tab 12— Prime Offeror experience supporting documentation Tab 1 — Past Performance Information Tool (Access database) Tab 2 — Northeastern AOR

Tabs 2A-2E — References 1 — 5 Tab 2-6: AcmeSolutions_VolumeIII_Tab4

III —Past Tab 3 — Southeastern AOR Limited to pdf Performance Tabs 3A-3E — References 1 — 5 format

Tab 4 — Southern AOR Tabs 4A-4E — References 1 — 5

Tab 5 — Central AOR Tabs 5A-5E — References 1 — 5

Tab 6 — Western AOR Tabs 6A-6E — References 1 — 5

0) The PIEE solicitation structure has been updated to include folders for each volume.

(2)Tabs represent separate items under a Volume. Each Tab may be one fi le or multiple files depending on what is required by the Tab.

(3)Not evaluated.

(4)Technology enabler supporting documentation includes a signed Technology Enabler Validation Sheet (Attachment 8).

h. Page Limitations: Proposals shall not contain classified information and must adhere to the page 1 imitations in Table 3. Page limitations shall be treated as maximums. The Government will not read any page exceeding the limitation identified in Table 3, Proposal Organization. Pages in excess of the above limitations will not be considered during evaluation.

i. Page Formatting:

• Page: One face of a sheet of paper containing information

• Paragraph: Separated by at least one blank line

• Page Numbering: Sequentially, by volume

• Font: Times New Roman Font; 12-point minimum font size

• Margins: Top, Bottom, Left, Right shall be 1"

• Page Size: 8.5" x 11"

• Tables graphs and illustrations: 10 point or larger.

• Page layout: Orientation may be portrait or landscape

The following documents are limited to the Government provided format:

• SF1449 and all Amendments

• Contractor Team Organization (Attachment 1)

• Self-Scoring Technical Capability Worksheet (Attachment 2)

• Technical Capability Validation Sheet (Attachment 3)

• Past Performance Questionnaire (Attachment 4)

• Subcontractor-Teaming Partner Consent Letter (Attachment 5)

• Client Authorization Letter (Attachment 6)

• Past Performance Information (PPI) Tool (Attachment 7)

• Technology Enabler Validation Sheet (Attachment 8)

• RFP Question Template (Attachment 9)

j. Cross-referencing: Each volume shall be written on a standalone basis so that its contents may be evaluated with no requirement to cross-reference to other volumes of the proposal. Information required for proposal evaluation which is not found in its designated volume will be assumed to have been omitted from the proposal. Offerors are responsible for the accuracy of their proposals and the Government need not search for information that is not provided in the required volume.

k. Proprietary information shall be clearly marked. Proprietary information submitted in response to this solicitation will be protected from unauthorized disclosure as required by Subsection 27 of the Office of Procurement Policy Act as amended (41 U.S.C. 423), herein after referred to as "the Act", as implemented in the FAR.

1. Digital and/or picture image signatures are acceptable.

3. Proposal Content

a. Volume I — Administrative. The Administrative volume shall include the following:

1. Cover Letter: The cover letter shall be no more than two (2) pages and identify the solicitation number, Offeror's name, address, telephone number, CAGE code, Unique Entity Identifier, and the name, title, email, and telephone number of the Offeror's corporate officer(s) authorized to negotiate with the Government in response to this solicitation.

2. Table of Contents (Tab 1): Include a master table of contents of the entire proposal.

3. Completed SF 1449, Solicitation/Contract/Order for Commercial Items and SF 30 Solicitation/ Modification of Contract Documents (Tab 2): Offerors shall include a signed Page 1 of the SF

1449 and a signed copy of Page 1 of the SF 30 for each amendment, signed by a corporate officer authorized to negotiate for the Offeror.

4. Contractor Team Organization (Attachment 1) (Tab 3): Offerors shall submit an organizational structure using Contractor Team Organization (Attachment 1) for all teaming members and subcontractors used to demonstrate technical capability and past performance.

5. Certifications and Representations (Tab 4): The Offeror shall provide a copy of the Prime Offeror's SAM registration. The SAM registration shall be active and identify the required representations and certifications as listed below. If the Prime Offeror has not completed the annual representations and certifications electronically at the System for Award Management (SAM) website (https://www.sam.gov) or if the Prime Offeror's SAM registration does not include the following representations, the Prime Offeror shall submit one completed copy of each of the following that is not included on their SAM registration:

• FAR Provision 52.203-2, Certificate of Independent Price Determination

• FAR Provision 52.204-17, Ownership or Control of Offeror

• FAR Provision 52.204-24, Representation Regarding Certain Telecommunications and Video Surveillance or Equipment

• FAR Provision 52.204-26, Covered Telecommunications Equipment or Services- Representation

• FAR Provision 52.209-2, Prohibition on Contracting with Inverted Domestic Corporations— Representation

• FAR Provision 52.209-5, Certification Regarding Responsibility Matters

• FAR Provision 52.209-7, Information Regarding Responsibility Matters

• FAR Provision 52.209-11, Representation by Corporations Regarding Delinquent Tax Liability or a Felony Conviction under any Federal Law

• FAR Provision 52.212-3 (Alternate I), Representations and Certifications — Commercial Items

• FAR Provision 52.219-1 (Alternate 1), Small Business Program Representations

• FAR Provision 52.222-22, Previous Contracts and Compliance Reports

• FAR Provision 52.222-25, Affirmative Action Compliance

6. Contractor Teaming Arrangement (Tab 5): Offerors may propose under this solicitation through a Contractor Teaming Arrangement (CTA) as defined in FAR Section 9.601. Offerors shall provide a summary narrative that specifically delineates what each teaming member, subcontractors and/or JV members will do regarding performance on the contract. The CTA narrative shall specify the rights and responsibilities of each partner and shall identify the managing partner.

7. Small Business JV Representation (Tab 6): A small business joint venture offeror must submit, with its offer, the representation required in paragraph (c) of FAR solicitation provision 52.212-3, Offeror Representations and Certifications-Commercial Products and Commercial Services, and paragraph (c) of FAR solicitation provision 52.219-1, Small Business Program Representations, in accordance with 52.204-8(d) and 52.212-3(b) for the following categories:

A. Small business;

B. Service-disabled veteran-owned small business;

C. Women-owned small business (WOSB) under the WOSB Program;

D. Economically disadvantaged women-owned small business under the WOSB Program; or E. Historically underutilized business zone small business.

8. Glossary of Abbreviations and Acronyms (Tab 7): Include a glossary of abbreviations and acronyms used throughout the proposal.

9. Organizational Change History (Tab 8): For each technical capability supporting document and/or past performance reference document that reflects work performed by any entity identified in Attachment 1, where the current business name differs from the business name identified in the supporting documentation or past performance reference, the Offeror shall provide a detailed narrative describing any organizational change(s) that has taken place. Organizational changes include any acquisition, merger, or company reorganization. Offerors shall ensure that the provided narrative clearly identifies the organization and explains the type of organizational change, the change timeline, and impact of the change on the relevance of the past performance reference submitted.

b. Volume II — Technical Capability. The Technical Capability Volume shall include the following:

1. Self-Scoring Technical Capability Worksheet (Attachment 2) (Tab 1): Offerors shall submit a completed Self-Scoring Technical Capability Worksheet, with supporting documentation to substantiate all items claimed.

A. Offerors shall not alter the Self-Scoring Technical Capability Worksheet formatting.

Any Offeror-made change(s) to the formatting of the provided spreadsheet may render the Offeror's proposal as non-responsive.

B. Offerors shall complete the Self-Scoring Technical Capability Worksheet as outlined in the instructions tab in Attachment 2.

2. Technical Capability Supporting Documentation (Tabs 2 — 12). Offerors shall provide supporting documentation for each claimed item within the time frame identified on the Self- Scoring Technical Capability Worksheet (Attachment 2). Offerors shall only submit one supporting document for each claimed item (i.e. one supporting document per row). Offerors cannot combine supporting documents to achieve a higher point value in any row.

A. When required, Offerors shall ensure that all submitted supporting documents are signed by the appropriate party.

B. Supporting documentation shall reflect the experience of the Contractor Team Organization (Attachment 1).

C. Supporting documentation shall address the specific service being provided. Offerors may use the same document(s) to support more than one claimed item on the Self-Scoring Technical Capability Worksheet.

D. Offerors shall name each supporting document in accordance with the file name format identified in Table 3 of this addendum and identify the document name in Column H of each claimed item on the Self-Scoring Technical Capability Worksheet.

E. Offerors shall ensure that the submitted supporting documentation demonstrates performance specific to the claimed item on the Self-Scoring Technical Capability Worksheet (i.e., labor category, location, number of full-time equivalents [FTEs]).

F. Offerors shall ensure that supporting documentation under the scope section in the Self-Scoring Technical Capability Worksheet aligns with the labor categories listed in Technical Exhibit 4 and the Contract Worker Standard Qualifications identified in Technical Exhibit 5.

G. Offerors shall provide at least the minimum number of claimed items and no more than the maximum number of supporting documents in the sections of the Self-Scoring Technical Capability Worksheet (Attachment 2) as shown in Table 4.

H. Offerors shall ensure that all supporting documentation complies with the constraints identified in Table 4, Number of Claimed Items and Supporting Documents.

I. In the Scope Section of the Self-Scoring Technical Capability Worksheet (Attachment 2), the supporting documentation shall reflect work performed by the Prime Offeror for the minimum number of claimed items in at least three (3) of the five (5) labor segments.

i. Supporting documentation for any additional labor segments or claimed rows may be provided by other members of the team organization as identified on Attachment 1.

J. If the Prime Offeror is a JV, the partners to the joint venture, in the aggregate, must demonstrate the past performance, experience, business systems, and certifications for the claimed items on the Self-Scoring Technical Capability Worksheet.

Table 4 Number of Claimed Items and Supporting Documents

Section Minimum Number of

Claimed Items

Maximum Number of Supporting Documents

Constraints

Scope - Physician Services Labor

Segment

A minimum of two (2) claimed items

No more than seven (7) supporting documents

If the Prime Offeror selects this labor segment as one (1) of the minimum three (3) labor segments in the Scope Section, the supporting documentation shall reflect work performed by the Prime Offeror for at least two (2) claimed items.

Scope - Nursing Services Labor

Segment

A minimum of two (2) claimed items

No more than eight (8) supporting documents

If the Prime Offeror selects this labor segment as one (1) of the minimum three (3) labor segments in the Scope Section, the supporting documentation shall reflect work performed by the Prime Offeror for at least two (2) claimed items.

Scope - Ancillary Services Labor

Segment

A minimum of three (3) claimed items

No more than nine (9) supporting documents

If the Prime Offeror selects this labor segment as one (1) of the minimum three (3) labor segments in the Scope Section, the supporting documentation shall reflect work performed by the Prime Offeror for at least three (3) claimed items.

Scope - Dental Services Labor Segment

A minimum of one (1) claimed item

No more than five (5) supporting documents

If the Prime Offeror selects this labor segment as one (1) of the minimum three (3) labor segments in the Scope Section, the supporting documentation shall reflect work performed by the Prime Offeror for at least one (1) claimed item.

Scope - Medical Support Services Labor

Segment

A minimum of two (2) claimed items

No more than seven (7) supporting documents

If the Prime Offeror selects this labor segment as one (1) of the minimum three (3) labor segments in the Scope Section, the supporting documentation shall reflect work performed by the Prime Offeror for at least two (2) claimed items.

Type II Configuration Experience

No requirement to claim items in this section

No more than three (3) supporting documents

If the Prime Offeror selects to claim items in this section one (1) supporting document must reflect work performed by the Prime

Offeror.

Magnitude No requirement to claim an item in this section No more than one (1) supporting document

If the Prime Offeror selects to claim items in this section the supporting documentation shall reflect work performed by the Prime Offeror, Letter/Line of Credit No requirement to claim an item in this section No more than one (1) supporting document

If the Prime Offeror selects to claim items in this section supporting document must be issued to the Prime Offeror.

Market-Based Services No requirement to claim items in this section No more than two (2) supporting documents

If the Prime Offeror selects to claim items in this section the supporting documentation shall reflect work performed by the Prime Offeror.

Technology Enablers No requirement to claim items in this section No more than five (5) supporting documents

If the Prime Offeror selects to claim items in this section all supporting documents must be from the Prime

Offeror.

Organizational Certification

No requirement to claim items in this section

No more than two (2) supporting documents

If the Prime Offeror selects to claim items in this section all supporting documents must be from the Prime

Offeror.

ID/IQ Medical Service Contract Experience

No requirement to claim an item in this section

No more than one (1) supporting document

If the Prime Offeror selects to claim items in this section the supporting documentation shall reflect work performed by the Prime Offeror.

Firm Fixed Price Medical Service

Contract Experience

No requirement to claim an item in this section

No more than one (1) supporting document

If the Prime Offeror selects to claim items in this section the supporting documentation shall reflect work performed by the Prime Offeror.

Prime Contractor Medical Service

Contract Experience

No requirement to claim an item in this section

No more than one (1) supporting document

If the Prime Offeror selects to claim items in this section the supporting documentation shall reflect work performed by the Prime Offeror.

Complexity — Northeastern Markets

AOR

No requirement to claim an item unless proposing in this

AOR

No more than eight (8) supporting documents

If proposing in this AOR, the Offeror must claim a minimum of two (2) items. The supporting documentation shall reflect work performed by the Prime Offeror for at least 2 of the claimed items.

Complexity — Southeastern Markets

AOR

No requirement to claim an item unless proposing in this

AOR

No more than six (6) must supporting documents

If proposing in this AOR, the Offeror claim a minimum of two (2) items. The supporting documentation shall reflect work performed by the Prime Offeror for at least 2 of the claimed items.

Complexity — Southern Markets AOR

No requirement to claim an item unless proposing in this

AOR

No more than eight (8) supporting documents

If proposing in this AOR, the Offeror must claim a minimum of two (2) items. The supporting documentation shall reflect work performed by the Prime Offeror for at least 2 of the claimed items.

Complexity — Central Markets AOR

No requirement to claim an item unless proposing in this

AOR

No more than eleven

(11) supporting documents

If proposing in this AOR, the Offeror must claim a minimum of two (2) i tems. The supporting documentation shall reflect work performed by the Prime Offeror for at least 2 of the claimed items.

Complexity — Western Markets AOR

No requirement to claim an item unless proposing in this

AOR

No more than eight (8) supporting documents

If proposing in this AOR, the Offeror must claim a minimum of two (2) items. The supporting documentation shall reflect work performed by the Prime Offeror for at least 2 of the claimed items.

(3) Supporting documentation for each claimed item shall be submitted as follows:

A. The Offeror shall submit supporting documentation for all claimed items in accordance with the guidance outlined in this section and Attachment 2, Self-Scoring Technical Capability Worksheet. The Offeror shall ensure that all supporting documentation complies with the recency criteria for each section as stated in Attachment 2.

B. To support each claimed item for Scope (Tab 2), Type II Configuration Experience (Tab 3), Magnitude (Tab 4), Complexity (Tab 6), Market-Based Services (Tab 7), IDIQ Experience (Tab 10), Firm Fixed Price (FFP) Experience (Tab 11), and Prime Contractor Experience (Tab 12) sections, Offerors shall provide one (1) of the following items as a single supporting document. Unless otherwise stated in this solicitation, Offerors shall not consolidate requirements for different performance periods on the same contract, task order, or order placed under a master agreement to obtain a higher point value as part of their supporting documentation.

i. For each claimed item Offeror's shall provide a Contractor Performance Assessment Reporting System (CPARS) Evaluation Report or a Technical Capability Validation Sheet (Attachment 3) that has sufficient data to support a claimed item. Offerors may combine multiple task orders under a single contract-level CPARS or Technical Capability Validation Sheet (Attachment 3) when a single customer can validate the work completed under that contract. Offerors may not combine multiple Task Orders under a single contract-level CPARS or a Technical Capability Validation Sheet, when a single customer cannot validate the work completed under that contract.

ii. Offerors must fi ll in Sections 1 through 3 of Attachment 3 and send to the primary customer point of contact (POC) for signature. The Agency/Organization representative signature on the Technical Capability Validation Sheet for a Federal Government contract shall be executed by a Federal Government employee or military service member either within the contracting activity responsible for the administration of the contract or the contracting officer representative (COR) appointed for the contract. The Agency/Organization representative signature on the Technical Capability Validation Sheet for a Non-Federal Government contract shall be executed by an authorized representative within the Non-Federal Government agency identified in the contract.

Technical Capability Validation Sheet(s) for work performed by any entity identified in Attachment 1 of the Offeror's proposal shall not be signed by an individual associated with any entity identified in Attachment 1.

iii. Market-Based Services (Tab 7): To support each claimed item within this section, the Offeror may provide one supporting document for each claimed item. The Offeror is not required to utilize the same supporting document for each claimed item within this section. Unless otherwise identified, the Offeror will identify the 5-day placement period for placing FTEs in the period of performance column on Attachment 3, Technical Capability Validation Sheet.

iv. Magnitude (Tab 4): To support the claimed item for the Magnitude section, Offerors may provide supporting documentation for work performed on multiple Task Orders (from either a single award IDIQ, or a multiple award IDIQ, or requirements contract, or commercial equivalent) via one supporting document.

C. To support each claimed item for Letter/Line of Credit (Tab 5), Technology Enablers (Tab 8), and Organizational Certification (Tab 9) sections, Offerors shall provide the following as supporting documentation.

i. Letter/Line of Credit (Tab 5): Offerors shall provide one (1) current letter/line of credit issued to the Prime Offeror from a commercial bank or financial institution as the supporting document. A letter/line of credit from a factoring company or from a corporate entity associated with the Contract Team Organization identified in Attachment 1 is not acceptable. If the Prime Offeror is a JV, a single Letter/Line of Credit from a member of the JV is acceptable.

ii. Technology Enablers (Tab 8): Offerors shall provide a completed Technology Enabler Validation Sheet (Attachment 8) and an application printout, or invoice, from each application which identifies the application name and the date(s) the application has been in use by the Prime Offeror. For this solicitation,

a. Internally developed software (IDS) includes software that is developed internally by an entity, software that is purchased and then significantly modified by an entity for internal use, or a collection of software systems used by the entity to perform specific functions.

b. Commercially available software includes any computer software that is a product, other than real property, that is of a type customarily used by the general public or by nongovernmental entities for purposes other than governmental purposes and has been sold, leased, or licensed to the general public; or has been offered for sale, lease, or license to the general public used by an entity to perform specific functions.

iii. Organizational Certification Section (Tab 9): Offerors shall provide a current copy of each claimed certification. No other certifications will be acceptable.

c. Volume III — Past Performance. The Past Performance Volume shall include the following:

1. Past Performance References (Tabs 2-6): Offerors shall provide past performance references for each AOR the Offeror intends to compete, as identified in the Offeror's Self-Scoring Technical Capability Worksheet (Attachment 2). Offerors shall submit no more than five (5) separate past performance references for each selected AOR. Offerors may use the same past performance reference in more than one (1) AOR. Offerors shall name each document/element of the past performance volume in accordance with the file name format identified in Table 3. Each past performance reference consists of past performance information using the PPI tool (see Attachment 7 for data required on the past performance tool); Contract Performance Assessment Reporting System (CPARS) performance evaluation, if available; Past Performance Questionnaire (Attachment 4) if required; Subcontractor/Teaming Partner Consent Letter (Attachment 5) if required; and Client Authorization Letter (Attachment 6) if required.

A. Each past performance reference shall cover work in at least one (1) of the five (5) labor segments. The location of the work performed on the past performance reference does not have to be in the selected AOR.

B. Each past performance reference shall only include work performed on a single contract (including IDIQ), purchase order, or task order.

C. References that reflect work performed under an IDIQ contract or master agreement will be counted as one past performance reference. Offerors may include the work performed on up to five (5) Task Orders against a single IDIQ or master agreement as one past performance reference. The Offeror may submit a CPARS performance evaluation or PPQ when there is no complete performance evaluation available in the Contract Performance Assessment Reporting System for each task order included in the reference. The government will not consider any additional task orders beyond the five (5) Task Order limit for past performance assessment.

D. Offerors shall save each individual past performance reference in the past Performance Information (PPI) tool database (Attachment 7) using the following naming convention:

Prime Offeror Name + RFP Number.accdb (e.g., XYZCompanyHT001523R0003.accdb).

(Note: There are no page numbering, line spacing or font size restrictions on the PPI tool).

E. All past performance references shall be for work performed by the Prime Offeror, the Prime Offeror's teaming member, subcontractor or joint venture partner. A minimum of two

(2) past performance references shall reflect work performed by the Prime Offeror, as either a Prime Contractor or subcontractor for each AOR within which the Offeror is competing. If the Prime Offeror is a .IV, the partners to the joint venture, in the aggregate, must demonstrate the past performance. If past performance information is provided by a subcontractor, teaming member and/or joint venture partner, those arrangements must be identified in Contractor Team Organization (Attachment 1) found in the Administration Volume (Volume I, Tab 3) of the Offeror's proposal.

i. Offerors shall provide a CPAR assessment for each past performance reference that is based on work performed on a Federal Government contract when a complete performance evaluation is available in the Contract Performance Reporting System.

Offerors may provide a PPQ with a CPAR assessment to demonstrate relevancy, scope, and complexity of a past performance reference only.

ii.Offerors shall provide a completed Past Performance Questionnaire (PPQ) for each submitted past performance reference when there is no complete performance evaluation available in the Contract Performance Assessment Reporting System. Offerors may utilize the format provided in Attachment 4 or provide a previously completed PPQ that includes all information required in Attachment 4. If PPQs are provided for work performed by a subcontractor, teaming partner and/or joint venture partner, offerors shall ensure applicable Subcontractor/Teaming Partner Consent Letter and/or Client Authorization Letter are submitted with proposal.

iii. Offerors shall provide a completed Subcontractor/Teaming Partner Consent Letter (Attachment 5), under the tab associated with the AOR, for each past performance reference that reflects work performed by a subcontractor, teaming member, and/or individual member of a joint venture. Only one (1) Subcontractor/Teaming Partner Consent Letter is required per AOR for each subcontractor, teaming member, and/or individual member of a joint venture.

iv. Offerors shall provide a completed Client Authorization Letter (Attachment 6), under the tab associated with the AOR, for each non-Federal Government past performance reference included in the proposal regardless of the number of past performance references submitted for that AOR.

(c) Period of Acceptance of Offers: The offeror agrees to hold the terms in its offer firm for 365 calendar days from the date specified for receipt of offers.

1. Debriefings: The KO will notify unsuccessful offerors in accordance with procedures outlined in FAR Subpart 15.5, Pre-award, Award, and Post-award Notifications, Protests, and Mistakes. Unsuccessful offerors may request and receive a debriefing in accordance with FAR Subpart 15.5.

(End of Summary of Changes)

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

1. CONTRACT ID CODE PAGE OF PAGES

1 I 32

2, AMENDMENT/MODIFICATION NO.

3. EFFECTIVE DATE

31-Mar-2023

4. REQUISITION/PURCHASE REQ. NO. 5. PROJECTNO.(Ifappl cable)

6. ISSUED BY CODE 1-1T0015 7. ADMINISTERED BY (Ifother than m6) CODE

See Item 6 DHA CONTRACTING OFFICE-(EMS-CD) HT0015

DHA EMS-CD HT0015

4130 STANLEY ROAD SUITE 208

FORT SAM HOUSTON TX 78234

8. NAME AND ADDRESS OF CONTRACTOR (No., Street, County, State and Zip Code) X 9A AMENDMENT OF SOLICITATION NO. • HT001523R0003 x 9B. DATED (SEE ITEM 11) 15-Nov-2022

10A. MOD. OF CONTRACT/ORDER NO.

10B. DATED (SEE ITEM 13)

CODE FACILITY CODE

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

X The above numbered solicitation is amended as set forth in Item14. The hour and date specified for receipt ofOffir is extended, Offer must acknowledge receipt ofthis amendment prior to the hour and date specified in the solicitation or as amended by one ofthe following nrthods:

(a) By completing Items 8 and 15, and returning 1 copies ofthe amendment; (b) By acknowledging receipt ofthis arrendnrnt on each copy ofthe ollr x is not extended.

submitted;

or (c) By separate letter or telegramwhich includes a reference to the solicitation and an-eminent 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. Ifby virtue ofthis amendment you desire to change an offer already subnitted, such change may be made by telegramor letter, provided each telegram or letter makes reference to the solicitation and this anendnunt, 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, E 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.)

The purpose of this amendment is to:

1. Revise the solicitation to incorporate changes resulting from the Government's responses to RFP questions, See the Suiiiiery of Changes for additional information. Offerors should review the amendment and conformed copy of the solicitation in its entirety.

2. Revise Solicitation Attachments 1 through 9 and Technical Exhibits 1,2,4,8, and 9.

3. Provide Government Response to RFP Questions.

4. Capture extension to proposal deadline executed via Amendment 0007 in the contract writing system

Except as provided herein, all tears and conditions ofthe document referenced in Item9A or I OA, as heretofore changed, remains unchanged and in full force and effect.

15A. NAME AND TITLE OF SIGNER (Type or print) 16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)

TEL: EMAIL:

15B. CONTRACTOR/OFFEROR 15C. DATE SIGNED 16B. UNITED STATES OF AMERICA

BY

16C. DATE SIGNED

31-Mar-2023 (Signature of Contracting Officer) (Signature of person authorized to sign)

EXCEPTION TO SF 30

APPROVED BY OIRM 11-84

30-105-04 STANDARD FORM 30 (Rev. 10-83) Prescribed byGSA

Exhibit3.O

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 1449 - CONTINUATION SHEET

SOLICITATION/CONTRACT FORM

The required response date/time has changed from 31-Mar-2023 12:00 PM to 01-Sep-

2023 12:00 PM.

SUPPLIES OR SERVICES AND PRICES

CLIN 0001

The CLIN extended description has changed from:

Physician Services (Q501-Q502; Q504-Q527): Services provided by primary and specialty care physicians who deliver routine, preventive, and specialty care services to patients.

The Contractor shall recruit, qualify, place, manage and maintain contract workers to support routine staffing, temporary increases in workload, new mission support, reorganization support, short-term and part-time requirements, and workload fluctuations in the following labor segments, if awarded, to meet all schedule, cost and performance requirements and standards outlined in individual Task Orders (TOs). The services include credentialed (privileged and non-privileged) and non-credentialed contract workers in various labor categories (see Technical Exhibit 4). Five-Year Ordering Period: Dates To Be Determined at Time of Award

To:

PHYSICIAN SERVICES—PERSONAL SERVICESReference Exhibit 4, Contract Worker Labor Category Titles.

Product Service Code (PSC) Q201 or Q501-Q502 & Q504-Q527 The Contractor shall recruit, qualify, place, manage and maintain contract workers to support routine staffing, temporary increases in workload, new mission support, reorganization support, short-term and part-time requirements, and workload fluctuations in the following labor segments, if awarded, to meet all schedule, cost and performance requirements and standards outlined in individual Task Orders (TOs). The services include credentialed (privileged and non-privileged) and non-credentialed contract workers in various labor categories (see Technical Exhibit 4). Five-Year Ordering Period: Dates To Be Determined at Time of Award The Contractor shall recruit, qualify, place, manage and maintain contract workers to support routine staffing, temporary increases in workload, new mission support, reorganization support, short-term and part-time requirements, and workload fluctuations in the following labor segments, if awarded, to meet all schedule, cost and performance requirements and standards outlined in individual Task Orders (TOs). The services include credentialed (privileged and non-privileged) and non-credentialed contract workers in various labor categories (see Technical

Exhibit 4). Five-Year

Ordering Period: Dates To Be Determined at Time of Award

CLIN 0002

Exhibit C

The CLIN extended description has changed from:

Physician Services (Q501-Q502; Q504-Q527) Type I or H: Services provided by primary and specialty care physicians who deliver routine, preventive, and specialty care services to patients.

The Contractor shall recruit, qualify, place, manage and maintain contract workers to support routine staffing, temporary increases in workload, new mission support, reorganization support, short-term and part-time requirements, and workload fluctuations in the following labor segments, if awarded, to meet all schedule, cost and performance requirements and standards outlined in individual Task Orders (TOs). The services include credentialed (privileged and non-privileged) and non-credentialed contract workers in various labor categories (see Technical Exhibit 4). Five-Year Ordering Period: Dates To Be Determined at Time of Award

To:

PHYSICIAN SERVICES—NON-PERSONAL SERVICESReference Exhibit 4, Contract Worker Labor Category Titles. Product Service Code (PSC) Q201 or Q501-Q502 & Q504-Q527 The Contractor shall recruit, qualify, place, manage and maintain contract workers to support routine staffing, temporary increases in workload, new mission support, reorganization support, short-term and part-time requirements, and workload fluctuations in the following labor segments, if awarded, to meet all schedule, cost and performance requirements and standards outlined in individual Task Orders (TOs). The services include credentialed (privileged and non-privileged) and non-credentialed contract workers in various labor categories (see Technical Exhibit 4).

Five-Year Ordering Period: Dates To Be Determined at Time of Award

CLIN 0003

The CLIN extended description has changed from:

Dental Services (Q503): Services provided by contract workers who deliver dental care including, but not limited to, general dentists and dental specialists, dental hygienists, dental assistants and dental lab technicians.

The Contractor shall recruit,…