28_TCRS_Section_L__11_15_16.pdf

SECTION L, INSTRUCTIONS, CONDITIONS, AND NOTICES TO OFFERORS

TCRS HT9402-17-R-0002, Section L Page L1 of L23

1.0 SOLICITATION PROVISIONS:

FAR 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE

(FEB 1998)

This solicitation incorporates one or more solicitation provisions by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. The offeror is cautioned that the listed provisions may include blocks that must be completed by the offeror and submitted with its quotation or offer. In lieu of submitting the full text of those provisions, the offeror may identify the provision by paragraph identifier and provide the appropriate information with its quotation or offer. Also, the full text of a solicitation provision may be accessed electronically at these addresses:

http://farsite.hill.af.mil;

http://www.acquisition.gov/?q=browsefar; or http://www.acq.osd.mil/dpap/dars/dfarspgi/current/index.html.

DoD issuances are available at http://www.dtic.mil/whs/directives.

(End of provision)

FAR 52.204-7 SYSTEM FOR AWARD MANAGEMENT (JUL 2013)

FAR 52.204-16 COMMERCIAL AND GOVERNMENT ENTITY CODE REPORTING

(JUL 15)

FAR 52.211-6 BRAND NAME OR EQUAL (AUG 1999)

FAR 52.211-14 NOTICE OF PRIORITY RATING FOR NATIONAL DEFENSE

EMERGENCY PREPAREDNESS, AND ENERGY PROGRAM USE (APR 2008)

Any contract awarded as a result of this solicitation with DO-C9 rated order certified for national defense, emergency preparedness, and energy program use under the Defense Priorities and Allocations System (DPAS) (15 CFR 700), and the offeror will be required to follow all of the requirements of this regulation.

(End of Provision)

FAR 52.215-1 INSTRUCTIONS TO OFFERORS--COMPETITIVE ACQUISITION (JAN

2004)

FAR 52.215-20 REQUIREMENTS FOR CERTIFIED COST OR PRICING DATA AND

DATA OTHER THAN CERTIFIED COST OR PRICING DATA (OCT 2010)

(a) Submission of certified cost or pricing data is not required.

(b)Offerors shall provide the information described in paragraph 8. Volume IV, Price Proposal (Factor 3), below.

(End of Provision) http://farsite.hill.af.mil/ http://www.acquisition.gov/?q=browsefar http://www.acq.osd.mil/dpap/dars/dfarspgi/current/index.html

TCRS HT9402-17-R-0002, Section L Page L2 of L23

FAR 52.216-1 TYPE OF CONTRACT (APR 1984)

The Government contemplates award of an indefinite-delivery/indefinite quantity (IDIQ) contract with fixed unit prices resulting from this solicitation.

FAR 52.222-24 PREAWARD ON-SITE EQUAL OPPORTUNITY COMPLIANCE

EVALUATION (FEB 1999)

FAR 52.233-2 SERVICE OF PROTEST (SEP 2006)

(a) Protests, as defined in section 33.101 of the Federal Acquisition Regulation, that are filed directly with an agency, and copies of any protests that are filed with the Government Accountability Office (GAO), shall be served on the Contracting Officer (CO) by obtaining written and dated acknowledgment of receipt from the CO, at the address in Block 7 of the Standard Form (SF) 33, Solicitation, Offer and Award.

(b) The copy of any protest shall be received in the office designated above within one day of filing a protest with the GAO.

FAR 52.252-5 AUTHORIZED DEVIATIONS IN PROVISIONS (APR 1984)

The use in this solicitation of any Federal Acquisition Regulation (48 CFR Chapter 1) provision with an authorized deviation is indicated by the addition of “(DEVIATION)” after the date of the provision.

(End of Provision)

DFARS 252.203-7005, REPRESENTATION RELATING TO COMPENSATION OF

FORMER DOD OFFICIALS (NOV 2011)

(a) Definition. “Covered DoD official” is defined in the clause at 252.203-7000, Requirements Relating to Compensation of Former DoD Officials.

(b) By submission of this offer, the offeror represents, to the best of its knowledge and belief, that all covered DoD officials employed by or otherwise receiving compensation from the offeror, and who are expected to undertake activities on behalf of the offeror for any resulting contract, are presently in compliance with all post-employment restrictions covered by 18 USC 207, 41 USC 2101-2107, and 5 CFR parts 2637 and 2641, including Federal Acquisition Regulation 3.104-2.

(End of provision)

DFARS 252.204-7004 ALTERNATE A, SYSTEM FOR AWARD MANAGEMENT (FEB

2014) DFARS 252.204-7008 Compliance with Safeguarding Covered Defense Information Controls (DEVIATION 2016-O0001) (OCT 2015)

DFARS 252.215-7008 ONLY ONE OFFER (OCT 2013)

TCRS HT9402-17-R-0002, Section L Page L3 of L23

DFARS 252.225-7003 REPORT OF INTENDED PERFORMANCE OUTSIDE THE

UNITED STATES AND CANADA—SUBMISSION WITH OFFER (OCT 2015)

DFARS 252.226-7001 UTILIZATION OF INDIAN ORGANIZATIONS, INDIAN-

OWNED ECONOMIC ENTERPRISES, AND NATIVE HAWAIIAN SMALL BUSINESS

CONCERNS (SEP 2004)

DHA PROCEDURES GUIDANCE AND INFORMATION (PGI) 233.103-90, AGENCY

LEVEL PROTESTS NOTICE OF AVAILABILITY OF INDEPENDENT REVIEW (MAY

2012).

(a) An interested party filing a protest with Defense Health Agency (DHA) has the option of requesting review by either the CO or an independent review official (IRO), who is a DHA official at a level above the CO. Alternately, an interested party may request an IRO review as an appeal of the CO's protest decision.

(b) Where applicable, an interested party shall clearly state in the protest that IRO review is requested, and shall specify the nature of the independent review sought whether as an alternative to CO review or as an appeal of the CO's decision. Regardless of which review is requested, all protests shall be complete and submitted to the CO within the timeframes specified in FAR 33.1.

Note: In accordance with 4 CFR 21.3(a)(3), any protest filed with the Government Accountability Office (GAO) will be considered by DHA to be timely if it is filed within 10 days of actual or constructive knowledge of DHA’s adverse action on the initial agency–level protest, provided the agency–level protest was filed in accordance with 4 CFR 21.3(a)(1) and (2). Any subsequent DHA appellate review of the initial agency–level protest shall not provide an extension of time to file a protest with the GAO. DHA’s Agency Level Protest process gives a higher level appellate review of the CO’s decision on the initial protest challenge; therefore, this independent review does not extend the GAO’s timeliness requirements for subsequent protest of the initial adverse agency action (FAR 33.103(d)(4) and 4 CFR 21.2(a)(3).

2.0 GENERAL INSTRUCTIONS:

2.1 To assure timely and equitable evaluation of proposals, offerors shall follow the instructions contained in the solicitation. Offerors are required to meet all solicitation requirements, including terms and conditions, representations and certifications. Proposals shall be complete, self-sufficient, and respond directly to the requirements of this solicitation. The Government will not accept alternate proposals or corrections or changes after the deadline for proposal submission.

2.1.2 Each offeror shall comply with the solicitation requirements and submit a clear, concise proposal that includes sufficient detail for the Government’s effective evaluation and validation of offeror’s stated claims. The Government has provided Section L, Exhibit L-5, Solicitation Cross-Reference Table, to assist offerors in proposal preparation. Exhibit L-5 provides a general cross-reference between solicitation sections and is not intended to be a substitute for offerors reading and complying with the solicitation requirements. Offerors are not required to submit Exhibit L-5 as part of their proposal.

TCRS HT9402-17-R-0002, Section L Page L4 of L23

2.1.3 The offeror shall not simply rephrase or restate the Government’s requirements in the proposal. The offeror shall provide sufficient details and convincing rationale that address how the offeror intends to meet the requirements. Offerors shall assume that the Government has no prior knowledge of its facilities, capabilities or experience. The Government will base its evaluation on the information presented, plus any additional past performance information the Government obtains from other sources. The Government will evaluate the proposal using the criteria in Section M, Evaluation Factors for Award.

2.1.4 Electronic Reference Documents. All solicitation documents for this requirement are available on the Federal Business Opportunities (FBO) website at http://www.fbo.gov unless noted otherwise. Potential offerors are encouraged to register on FBO to receive e-mails regarding Government notifications regarding this solicitation on the FBO.gov website.

2.1.5 The CO will determine whether the apparent successful offeror is responsible in accordance with FAR 9.1. If the CO determines an offeror is not responsible under FAR 9.1, the offeror shall not be considered for award.

2.1.5 The Government may reject any or all offers if such action is in the public interest, accept other than the lowest price offer (if not technically acceptable), and waive informalities and minor irregularities in offers received. The Government cautions offerors not to leave solicitation items blank, including the Standard Form (SF) 33 blocks, Section K, Representations, Certifications, and Other Statements of Offerors, or any item requiring the offeror’s response. If an item is not applicable to the offeror, the offeror shall state “not applicable” or “NA.” The CO may determine the offer to be non-responsive and ineligible for contract award if an offeror:

(1) Fails or refuses to assent to any of the terms and conditions of the solicitation;

(2) Proposes additional terms and conditions to this solicitation; or

(3) Fails to submit any of the information required by this solicitation.

2.1.6 Award without Discussions. The offeror is reminded the Government reserves the right to award this effort based on the initial proposal received without discussions. The Government intends to evaluate offers and award a contract without discussions with offerors. Therefore, the offeror’s initial proposal should contain the offeror’s best terms from a price and technical standpoint. If an offeror submits more than one proposal, the Government will not evaluate any proposal from that offeror.

2.1.6.1 If the Government determines that it is necessary to conduct discussions; the CO will establish the competitive range. If the CO decides that an offeror’s proposal should no longer be included in the competitive range, the proposal will be excluded from consideration for award;

and written notice of this decision will be provided to unsuccessful offerors in accordance with FAR 15.503. If it is determined necessary, the CO will notify offerors remaining within the competitive range to schedule discussions.

2.1.7 Sections L and M apply to the solicitation phase only and will not be part of the resulting contract.

http://www.fbo.gov/

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2.1.8 The contract will be updated to reflect actual period of performance dates prior to award.

2.1.9 Competition. The CO has determined there is a high probability of adequate price competition in this acquisition. After receipt of the offers, if the CO determines adequate price competition exists, no additional cost information will be requested, and offerors will not be required to provide certification under FAR 15.406-2. However, if the CO determines adequate price competition no longer exists, the CO may require offerors to submit information to the extent necessary for the CO to determine the reasonableness of the proposed prices.

2.2 Organizational Conflicts of Interest (OCI).

2.2.1 Offerors shall comply with FAR 9.5, Organizational and Consultant Conflicts of Interest.

2.2.2 For the purpose of these provisions, the term "offeror" means the offeror, its subsidiaries, affiliates, partners, and marketing consultants, as defined by FAR, Subpart 9.501, or any of its successors or assignees.

2.2.3 In accordance with FAR 9.505, Organization and Consultant Conflicts of Interest, DHA is indicating and advising awareness to all interested offerors that “actual” and “potential” organizational conflicts of interests (OCI) may exist. This is to assist prospective offerors in developing their own business strategies regarding DHA requirements; and in doing so: avoid, mitigate, and neutralize any “actual” and “potential” OCIs. The following paragraphs below are provided for the purpose of identifying, avoiding, and militating against OCIs of this solicitation/award process.

2.2.3.1 Due to the nature of their performance with DHA, it is the position of DHA that the following companies, have an actual or potential organizational conflict of interest, which shall be avoided, neutralized, or mitigated: This list is NOT all inclusive: A-Team Solutions, LLC;

Booz Allen Hamilton (BAH); Cherokee Information Services (CIS), Inc., and its subcontractor ThinkQ; Deloitte Consulting, LLP; Kearney & Company; E.R. Williams, Inc.; Information Technology Solutions & Consulting, LLC (ITSC); Kennell and Associates, Inc.; Lockheed Martin Services, Inc.; and SofTec Solutions, Inc.

2.2.4 All offerors shall represent in writing within the proposal that, to the best of the offeror's knowledge, there are no relevant facts or circumstances concerning any past, present, or potential contracts or financial interest relating to the work to be performed, which could give rise to an organizational conflict of interest, as described in FAR 9.5. In the event an actual or potential organizational conflict of interest exist, the offeror shall submit a mitigation plan to the CO, no later than 15 calendar days prior to the proposal due date, that effectively demonstrates how the Offeror will mitigate any actual or potential organizational conflict of interest while supporting this contract and any other DHA contract. The offeror shall also provide the CO with information of previous or ongoing work that is in any way associated with this solicitation.

2.2.5 The CO will review all mitigation plans to determine whether award to the offeror is consistent with FAR 9.5. If the CO determines that no conflict would arise or that the mitigation plan adequately protects the interest of the Government, the offeror will be eligible for award. If

TCRS HT9402-17-R-0002, Section L Page L6 of L23 the CO determines that the mitigation plan is inadequate, the CO will consider what remedial actions to take, including elimination from the solicitation process, termination of related contract efforts already awarded, or negotiation of the mitigation plan.

2.2.6 The above restrictions shall be included in all subcontracts, teaming arrangements, and other agreements calling for performance of work which is subject to the organizational conflict of interest restrictions identified in these provisions.

2.3. Improper Business Practices and Personal Conflicts of Interest.

2.3.1 Offeror shall comply with FAR 3, Improper Business Practices and Personal Conflicts of Interest, and DFARS 203.

2.3.2 Use of Former DOD/DHA Employees and Uniformed Service Members in Proposal Preparation. (See DFARS 252.203-7005 above for provision)

2.3.2.1 The involvement of a former DOD/DHA employee/member in an offeror’s proposal preparation may give rise to an unfair competitive advantage or the appearance thereof, if the former DoD/DHA employee/ member acquired non-public, competitively useful information in his or her former position. Such knowledge could include proprietary information of competitor’s performance on past or current contracts with similar requirements or source selection sensitive information pertaining to this procurement. Consequently, the Offeror shall notify the CO prior to the involvement in the proposal preparation by a former DOD/DHA employee/member reasonably expected to have had access to such information. Based on the notification, the CO will make a determination whether involvement of the former DOD/DHA employee/member in proposal preparation could create an unfair competitive advantage or appearance thereof. The CO will further determine whether any mitigation measures taken or proposed by the offeror are adequate to alleviate this concern or whether the offeror will be disqualified from the competition. Failure to comply with these procedures may result in the offeror’s disqualification for award.

2.4 Offeror shall use its legal name and not a shortened version that could be confused with a parent company or other corporation. After the first time the offeror states its full legal name in each proposal volume, the offeror may subsequently use an abbreviation or acronym. The offeror shall clearly distinguish information in its proposal that it attributes to itself (the offeror), its parent company, affiliate or subsidiary.

2.5 Offerors shall submit proposals to the CO at the address indicated below. The proposals shall be in electronic and hard copy format (see paragraph 4.0) in the quantities indicated in Table 1.

Hardcopies and discs shall be submitted to:

Mr. Todd Young, Contracting Officer Reference: TCRS Solicitation HT9402-15-R-0003 Defense Health Agency/COD-A 16401 East Centretech Parkway Aurora, CO 80011-9066

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2.5.1 Each disc and hardcopy volume shall be marked as follows:

OFFEROR’S COMPANY NAME, e.g., XYZ Corporation Solicitation Number HT9402-15-R-0003 TRICARE Claims Review Services (TCRS) Contract Volume Number Disc number (e.g., 1 of 3) Date the disc was created Software and version used (See paragraph 4.2. below)

2.5.2 Offerors shall apply all appropriate markings including those prescribed in accordance with FAR Clause 52.215-1(e), Restriction on Disclosure and Use of Data; and FAR 3.104-4, Disclosure, Protection, and Marking of Contractor Bid or Proposal Information and Source Selection Information. Offeror shall also identify any proprietary data that is to be protected in accordance with FAR 2.101.

2.6 If an offeror plans to have a representative deliver its proposal, the offeror shall coordinate the delivery with the Contract Specialist (See Block 10 of the SF 33) at least 2 business days prior to the due date/time to ensure timely submission. Proposals shall be received not later than the date/time and at the address stated on the SF 33.

3.0 GENERAL INFORMATION:

3.1 The CO is the official DHA point of contact (POC) for this solicitation. The CO has assigned the Contract Specialist to coordinate with offerors for delivery of proposals and receive solicitation questions.

3.1.1 Offerors are encouraged to review carefully all solicitation documents and to email questions to the Government as early as possible in the proposal preparation phase. If an offeror believes the requirements in these instructions contain an error, omission, ambiguities, or are otherwise unsound, the offeror shall immediately notify the CO in writing with supporting rationale as well as the remedies the offeror is asking the CO to consider related to the omission or error no later than 10 business days after the CO issues the solicitation. Offerors shall submit questions regarding the solicitation or other concerns via email to the Contract Specialist identified in Block 10 of the SF 33. The CO will provide answers to questions to all prospective offerors via the Federal Business Opportunities website in the form of a written solicitation amendment at https://www.fbo.gov. At no time will the Government answer questions regarding the solicitation to a single potential offeror without providing the answer to all potential offerors.

3.1.2 The CO reserves the right not to respond to any questions concerning this solicitation received after the question receipt due date and time above. The CO does not anticipate extending the closing date for receipt of proposals.

4.0 PROPOSAL PREPARATION:

4.1 The offeror’s proposal shall consist of five physically separated volumes, individually titled as indicated below. Each copy of each volume shall be in separate three-ring binders in the https://www.fbo.gov/

TCRS HT9402-17-R-0002, Section L Page L8 of L23 appropriate quantity. The total number of copies includes the original (e.g., 4 copies = original + 3 copies).

TABLE 1, Proposal Volumes

Volume Name Section L Paragraph Reference

Number of Copies Paper/

Electronic I Executed Offer:

Completed, signed SF 33, with Sections B, K and G, OCI Representation and Mitigation Plan if applicable Subcontracting Plan if applicable.

5.0

2.2 5.5

3/2

II Factor 1, Technical Proposal:

Narrative for Subfactors 1-5

6.0 5/2

III Factor 2, Past Performance:

Past Performance Narrative Past Performance Contract Descriptions Organizational Change Roadmap Completed client authorization letter for each client POC Each Subcontractor and Teaming Partner’s Consent

7.0 5/2

IV Factor 3, Price Proposal:

Copy of Section B, Supplies or Services and Prices/Costs Offeror’s Price Proposal Price (Section L Exhibit L-7) Proposal Price narrative including supporting spreadsheets and documents Service Contract Act Wage Determinations or Collective Bargaining Agreements

8.0 3/2

V Financial Data:

Dun and Bradstreet (D&B) Comprehensive Report(s), Audited Financial Statements Statement of projected quarterly cash flow DCMA Form 1620 04-04 Guaranty Agreement for Corporate Guarantor Cost Accounting Standards Board (CASB) Disclosure Statement(s)

9.0 3/2

4.2 The electronic portion of the proposal shall be submitted on virus-free digital video discs or compact discs read-only memory that are compatible with Microsoft Office 2010 applications.

For the original and copies listed above, the documents shall be either in Microsoft Word or Excel format. If this is not possible, then a PDF document in Optical Character Recognition (OCR) format is acceptable for all volumes except for Volume IV, Price Proposal, which shall only be submitted in Word and Excel format (See paragraph 8, Volume IV, Price Proposal (Factor 3, Price), for additional requirements). Each disc shall be labeled as stated in paragraph

2.5.1. In addition, each disc shall be made “final.” “Final” is a recording option that renders the disc totally used so no other data can be added. Do not use compressed file formats. Use separate files to permit rapid location of all portions, including exhibits, annexes, and attachments, if any.

All portions of the electronic documents, including the body of text, tables, charts, and graphs shall be in a format that enables the Government to perform electronic searches of the

TCRS HT9402-17-R-0002, Section L Page L9 of L23 documents. Electronic versions shall be exact duplicates of the paper copy proposals in both content and format and should be “Read Only”.

4.3 Paper copy proposals shall be exact duplicates of the electronic versions in both content and format. Offerors shall submit each copy of each volume in a separate 3-ring binder with the offeror’s name, volume number, volume title, proposal date and solicitation number on the outside front cover and spine. Offerors shall also indicate which set of the volumes is the original and indicate the number of each set of copies (COPY 1 of 3). Narratives are to be single-spaced, Times New Roman, no smaller than 12-point (except for illustrations, organization charts, supporting data exhibits, report listings or labels on process flows as stated below). All paper proposal material shall be submitted on white paper with one-inch (1”) margins on all sides. The font for both electronic and paper submissions shall be Times New Roman, and at least 12-point with single spacing and kerning. However, offerors may use 8-point Times New Roman for illustrations, organization charts, supporting data exhibits, report listings, or levels on process flows. Elaborate brochures or documentation, binding, detailed artwork, or other embellishments shall not be submitted. Proposal Volumes I-III shall be printed double-spaced, double-sided only with non-duplicative, sequential page numbers at the bottom of each page. Offerors shall include the offeror’s name and solicitation number at the bottom of each page. Volumes IV-V shall be printed double-spaced, single-sided. In instances where the paper copy differs from the electronic copy, the original paper volumes prevail.

4.4 Page limitations shall be treated as maximums. If exceeded, the CO will exclude the excess pages from evaluation. The excess hard copy pages will be destroyed without review, and excess electronic pages will not be reviewed. Table 2 below shows the required documents with page limits and the corresponding paragraph in Section L. If a required document is not listed in Table 2, then it does not have a page limit.

4.4.1 The technical proposal shall not exceed 50 pages inclusive of the exhibits, illustrations, attachments, flow diagrams, data dictionaries, figures, charts, and any other non-narrative documents. The table of contents, index, and tabs separating sections of the volume will not be counted as long as they do not contain proposal content. The offeror may cross-reference information within a proposal volume rather than repeating the information, i.e., a cross-reference to another paragraph within the technical volume. However, the offeror shall not make a cross-reference to another volume.

Table 2, Proposal Page Limits Document Description Page Limit Reference Organizational Chart 3 4.12 Technical Proposal 50 4.4.1, 6.0 Transition-in Overview 10 6.4 Past Performance Narrative 5 7.2.1 Past Performance Proposal Contract Descriptions 4 pages per contract 7.2.2 Organizational Change Roadmap (if applicable) 2 7.8

4.5 The proposal shall not reflect a marketing or sales presentation. Unnecessarily elaborate proposals beyond those sufficient to present a complete and effective response to this solicitation

TCRS HT9402-17-R-0002, Section L Page L10 of L23 are not desired. The proposal shall illustrate the offeror’s capability and clearly demonstrate the organization and methodology that will satisfy the solicitation requirements.

4.6 The proposal may state information on the offeror’s experience (for this purpose, experience refers to what an offeror has done, not how well it was accomplished) in performing the proposed processes and procedures. This information may be considered in the evaluation of specific technical approaches. However, any such information in the technical proposal will not be considered for the purposes of evaluating past performance as described in Section M, paragraph 5.0.

4.7 The price proposal, past performance information, and financial information shall not be addressed in the technical proposal volume, and no part of the technical proposal shall be incorporated by reference in any other proposal volume.

4.8 If the CO issues an Evaluation Notice (EN), the offeror shall follow the instructions in the

EN.

4.9 If the CO requests Final Proposal Revisions (FPR), the offeror shall follow the instructions in the request for FPR.

4.10 An offeror’s proposal will not be incorporated into the awarded contract as a whole.

However, the Government may incorporate portions of the proposal into the resulting contract.

4.11 In accordance with FAR 4.803, Contents of Contract Files, DHA’s Contract Operations Division will retain one copy of all unsuccessful proposals. DHA’s Office of General Counsel (OGC) may retain its copies of proposals. Unless the offeror requests otherwise in writing, the contracting office will destroy the remaining copies of unsuccessful proposals.

4.12 The offeror shall submit its proposed organizational structure in an organizational chart and shall include the prime offeror, the parent entity, affiliates, subsidiaries, teaming partners, and first-tier subcontractors. A first-tier subcontractor has direct responsibility for providing claims review services or performs functions related to claim or medical record reviews.

4.12.1 The offeror shall include company names, addresses and telephone numbers in the organizational chart. The offeror shall disclose a clear description of the organizational relationships in the case of a joint venture or other business structure (e.g., subsidiary relying upon its parent corporation and/or relying on other corporate subsidiaries of its parent). The offeror shall place a copy of the organization chart in the front of each volume. The organization chart will not count toward any volume’s page limit count, so long as the chart does not contain proposal information.

5.0 VOLUME I, EXECUTED OFFER:

5.1 Volume I shall contain the signed original of all documents requiring the offeror’s signature, including the SF 33 and the acknowledgement of any issued amendments to this solicitation.

Use of reproduction of the signed original is authorized in the copies. The offeror shall complete

TCRS HT9402-17-R-0002, Section L Page L11 of L23 and provide Section K, Representations, Certifications, and Other Statements of Offerors, with all representations and certifications, including FAR Provision 52.204-8, Annual Representations and Certifications, in Volume I. An electronic Representations and Certifications Application is available at the System for Award Management (SAM) website (https://www.sam.gov/portal/public/SAM).

5.2 Offerors shall submit a completed Section B, Supplies or Services and Prices/Costs, in both Volumes I and IV. Offerors shall not include price information anywhere else in its proposal.

Offerors are instructed to price the appropriate contract line item numbers (CLINs) in Section B, Supplies or Services and Prices/Costs, as described in paragraph 8.0, Volume IV, Price Proposal, (Factor 3, Price).

5.3 Offerors shall complete, sign, and date Blocks 12 through 18 of the SF 33. Offerors shall provide at least 180 days in Block 12, Minimum Acceptance Period.

5.4 An offeror shall include a cover page in Volume I identifying the offeror’s POC(s) authorized to communicate throughout the solicitation process and who has full authority to bind the company. The offeror shall provide the following POC information: Full name, title, e-mail address, phone number, fax number, and level of authority.

5.5 Small Business Participation/Subcontracting Plan.

5.5.1 Offerors designated as other than small businesses (large businesses) shall include in Volume I a subcontracting plan as required by FAR 19.702, FAR 19.704, FAR 52.219-8, Utilization of Small Business Concerns; FAR 52.219-9, Small Business Subcontracting Plan;

and DFARS 252.219-7003, Small Business Subcontracting Plan (DoD Contracts). Offerors may use the services and/or products of the AbilityOne program (National Industry for the Blind/National Industry for the Severely Handicapped) in meeting its small business subcontracting goals.

5.5.2 The offeror shall propose subcontracting goals to maximize small business participation and evidence of its commitment to implement the proposed small business participation goals below.

• Small Business Subcontracting: 36.7%

• Women-Owned Small Businesses (WOSB): 5%

• Small Disadvantaged Businesses (SDB): 5%

• Veteran-Owned Small Business (VOSB): 3%

• Service-Disabled Veteran-Owned Small Businesses (SDVOSB): 3%

• Historically Underutilized Business Zone (HUBZone) SBs: 3%

5.5.3 Small Business Exception to Subcontracting Plan. In lieu of submitting a subcontracting plan, and in addition to its Section K representations and certifications, a small business offeror shall make an affirmative statement of its small business status, identify the specific small business category(ies), and describe any teaming arrangements the offeror intends to use in support of the offeror’s technical proposal.

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5.6 Contract Administration Data. As required in Section G, Contract Administration Data, paragraph 2.3, the offeror shall provide the offeror’s POC’s name and contact information for contract administration in Volume I.

6.0 VOLUME II, TECHNICAL PROPOSAL (FACTOR 1, TECHNICAL APPROACH):

6.1 The purpose of the Technical Proposal is for the offeror to demonstrate their understanding of the requirement and describe their ability to meet the requirements of the solicitation. The offeror shall explain the proposed management and functional support approaches in the same order as the solicitation. The offeror shall explain risk management/mitigation and quality assurance processes the offeror will use to ensure tasks are performed in accordance with the solicitation. The price/cost proposal, past performance information, and financial information shall not be addressed in the technical proposal volume.

6.1.1 The Technical Proposal shall be clear, concise, and shall include sufficient detail for effective evaluation and for substantiating the validity of offeror’s stated claims.

6.1.2 The offeror shall clearly describe its approach and processes for performing the technical requirements of the solicitation. For example, if the contractor uses continuous process improvement, the offeror shall describe how it implements its continuous process improvement and steps it takes to monitor the effectiveness of such processes.

6.1.3 The offeror’s Technical Proposal shall clearly state how the offeror will comply with the performance requirements identified in the solicitation and describe how the offeror’s staff and management effort shall accomplish all the tasks in the solicitation. If the offeror uses industry best practices or established standards, the offeror shall provide sufficient detail so that the evaluators can validate it as such.

6.2 Subfactor 1, Staffing/Program Management

6.2.1 The offeror shall explain the proposed experience and staffing approach for meeting the requirements of the solicitation and in the same order of the solicitation. The offeror’s proposal shall clearly demonstrate adequate corporate resources, experience and staffing to meet the solicitation requirements. Evidence of supporting subcontractors, consultants, and business partners will be considered.

• The proposal shall provide written information which demonstrates the offeror’s relevant experience performing services contained within the solicitation.

• The offeror shall provide evidence that the organization has current capabilities for assuring performance of the solicitation requirements. Evidence of supporting subcontractors, consultants, and business partners will be considered.

6.2.2 The offeror shall describe its plan and process to ensure it can obtain and maintain an adequate number of staff with the appropriate education, training, experience and/or certification

TCRS HT9402-17-R-0002, Section L Page L13 of L23 credentialing necessary to perform all of the required work and meet the solicitation requirements. The management approach shall describe the offeror’s:

• Approach to resolving key staffing issues such as hiring, retention, replacement, training and obtaining appropriate security clearance.

• Provide its corporate resources, experience and staffing to meet the solicitation requirements

• Clearly describe how the offeror will nominally staff this effort at the end of the 180-day Transition-In period with a brief description of the roles to be filled on the project, the labor categories used to staff them, the number of FTE’s assigned to each role and/or labor category, and the qualifications (education, experience, and certifications) consistent with the solicitation and industry standards.

6.2.3 The offeror shall state the rational for their approach and proposed staffing levels. The offeror shall propose the roles that best suit the performance of the solicitation requirements, using multiple or partial FTEs to staff offeror’s proposed roles based on the solicitation requirements. The proposal shall include relevant work experience, training, education, and certifications in sufficient detail to enable evaluators to determine whether the proposal meets the requirements stated in solicitation Section M, Evaluation Criteria. The offeror shall discuss recruiting, hiring, retention, and replacement processes and goals, as well as staff development and supervision.

6.2.4 The offeror shall provide position descriptions in sufficient detail to demonstrate offeror understands of and ability to meet the requirements described in the solicitation. Furthermore, the offeror will tie the education, experience, certifications, and skills identified to each labor category to the specific tasks in the solicitation. Currency, depth, and breadth of experience shall be noted. At a minimum, each position description shall include the following information:

• Labor Category;

• Name of Company performing (prime, affiliate, subsidiary, consultant or subcontractor);

• Supervisory or Non-supervisory position;

• Years of experience in position.

• Percentage of the position’s time to be dedicated to this contract;

• Minimum education;

• Minimum professional experience;

• Minimum professional certifications, licensure, and/or registrations;

• Description of Tasks Performed and solicitation task reference;

6.2.5 The offeror shall submit its Program Management Plan (PMP) in the format and description required by CDRL AP020. The offeror shall describe it process for integrating the proposed PMP to ensure accuracy and timeliness of services and products delivered, describe its approach for risk management and how risks will be mitigated, and describe its approach for developing a training program and process to ensure the solicitation requirements are met. The CDRL document shall not count against the 50 page limit.

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6.2.6 The offeror’s proposal shall describe the management approach that will lead to the successful accomplishment of the solicitation requirements. The offeror’s management approach shall demonstrate a clear understanding and sound approach to meeting the solicitation requirements. The management approach shall describe the offeror’s:

• Approach to managing the program and projects including management and oversight of staff and subcontractors.

• Approach for managing solicitation tasks and timelines

• Approach for developing and/or maintaining procedural guidelines and desk instructions,

• Approach for acquiring and maintaining required software.

• Approach for accepting, managing, and maintaining compliance review documentation and patient claims history transmitted electronically by purchased care contractors

• Approach for developing and maintaining a Document Management System with a capability to securely receive, store, organize and manage electronically transmitted claims documentation.

• Approach for developing a comprehensive training program which ensures the accurate evaluations of healthcare claims under the TRICARE health benefits program.

• Approach for translating and reviewing healthcare claims submitted in a foreign language.

• Approach for acquiring and maintaining Memorandums of Understanding.

• Provide evidence that the organization has current capabilities for assuring performance of the solicitation requirements.

• Risk management processes.

• Quality assurance processes to meet requirements of the solicitation.

6.2.2 The offeror shall describe its management approach for managing contract operations and all integrated contractor activities. The offeror’s proposal description shall include flow integration, organizational structure, lines of authority, subcontractor management, and performance monitoring and reporting. The offeror shall also describe its reporting interfaces and sharing of personnel between and among business entities for any joint venture or other business structure. The offeror shall describe which contract requirements will be accomplished by each specific subcontractor.

6.3. Subfactor 2, Quality Control.

6.3.1. The offeror shall describe its Internal Quality Management Program (IQMP) and how its IQMP will ensure accuracy and timeliness of services and products delivered. The offeror shall also describe its approach for quality management and quality improvement to meet the solicitation requirements consistent with healthcare standards and best practices.

6.3.2 The offeror shall describe its procedures for conducting internal quality assurance that evaluates staff performance. (CDRLs R090–R150).

6.4 Subfactor 3, Transition-in.

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6.4.1 The offeror shall describe its plan of performance for 180 days of incoming transition activities as described in the solicitation, from award date to full contract operations. The draft transition-in plan must demonstrate a clear, logical and reasonable comprehensive approach that accomplishes the transition activities as described in the solicitation.

6.4.2 The draft plan shall describe procedures, processes and schedules for recruitment, training, assignment of personnel, obtain the appropriate system access including completion of required background checks and security clearance, acquisition, installation and deployment of all facilities, equipment, and systems necessary to meet the solicitation requirements. Additionally, the offeror shall submit its draft transition-in plan in the format and description required by CDRL R010. The plan shall not count against the 50 page limit and is limited to 10 pages.

6.5 Subfactor 4, Compliance Reviews.

6.5.1 The offeror shall described in detail its planned approach for managing and performing compliance reviews from extracting compliance review listings through the second rebuttal review and analysis report process, that ensures the solicitation requirements are met. (CDRLs R011-R015, R160-R220, R230-R290, and R020-R080).

6.6 Subfactor 5, Focus Studies/Medical Record Reviews.

6.6.1 The offeror shall describe its process and procedures for conducting detailed reviews and analysis of focused study topics consistent with the solicitation requirements. (CDRL R330)

6.6.2 The offeror shall describe its approach for conducting medical record reviews to assess the sufficiency of documentation, to determine whether services rendered are a benefit under the TRICARE program and to determine if services rendered match the services billed and paid.

The offer shall describe its process for assigning the appropriately credentialed/certified, experienced and qualified professional to perform the record reviews, consistent with healthcare best practices and industry standards. (CDRL R340)

7.0 VOLUME III, PAST PERFORMANCE INFORMATION (FACTOR 2, PAST

PERFORMANCE):

7.1 Past performance information applies to the prime offeror and its first-tier subcontractors (as described in paragraph 4.12), that will perform five (5) million dollars or more of work for this requirement. As used in this paragraph, “offeror” is inclusive of the prime offeror, teaming partners, and first-tier subcontractors. For the purpose of submitting past performance information, the prime offeror may be an individual company or an entity that is a consortium of entities.

7.1.1 The Government may obtain past performance data from any source, including, but not limited to, the references listed in the proposal, other customers known to the Government, consumer protection organizations, , and persons inside or outside the Government who may have useful and relevant information.

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7.1.2 Recency. The offeror will submit relevant past performance information for ongoing contracts and contracts that concluded within the last 3 years. The last 3 years is defined as 3 years prior to the date in Block 9 of the SF 33, Solicitation, Offer and Award. The Government may consider the entire period of performance of the contract to include the transition-in and transition-out periods.

7.2 The offeror's Volume III past performance information consists of two sections: Past Performance Narrative and Past Performance Contract Descriptions. The table of contents and tabs separating sections of the volume will not be included in the page count as long as they do not contain proposal content.

7.2.1 Past Performance Narrative. The offeror shall provide a narrative summarizing the past performance that the prime offeror and each proposed first-tier subcontractor have in performing work that is relevant to this solicitation as defined in Section M, paragraph 5.3, Evaluation of Factor 2, Past Performance. The offeror shall clearly describe and explain what aspects of its past performance are deemed relevant to the TCRS solicitation requirements in terms of the scope of services, magnitude of effort, and complexities. Specifically, the offeror shall clearly demonstrate management actions employed to address the scope, magnitude, and complexity of its past performance to include:

(1) Management and staffing of the requirements of the Section C;

(2) Performance measurement and reporting;

(3) Compliance reviews, and

(4) Medical record reviews and focus studies.

7.2.1.1 If an offeror provides past performance information that is not clearly related to the requirements of this solicitation, it shall explain why it believes the information is relevant to this solicitation. The Government shall not be bound by an offeror's assertion that its past performance is relevant to the TCRS requirements.

7.2.1.2 The Past Performance Narrative shall not exceed 5 pages. Any pages in excess of 5 pages will not be considered.

7.2.2 Past Performance Contract Descriptions. The offeror shall provide a maximum of three recent and relevant contracts for itself and for each of its first-tier subcontractors. If the Government determines an offeror has exceeded the maximum, the Government will not evaluate the contracts over the maximum.

7.2.2.1 For indefinite delivery/indefinite quantity (IDIQ) contracts, the following applies:

7.2.2.2 Single award IDIQ: The offeror shall submit the entire IDIQ contract as one past performance contract.

7.2.2.3 For a multiple award task order contract (MATOC) or similar multiple award contract:

Each task order issued shall be treated as one past performance contract.

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7.2.2.4 The offeror shall provide a separate description for each contract not to exceed four pages . The offeror shall not present separate contracts or otherwise combine contracts as a single past performance contract.

7.2.3 The offeror shall provide the specific information below for each contract:

a. Name of the client that will provide the past performance reference and relation to offeror.

The offeror shall include a completed Client Authorization Letter (See Exhibit L-1, Sample Client Authorization Letter) for each contract.

b. Contract number, and offeror’s/first-tier subcontractor’s role (prime, subcontractor, other lower-tier participant).

c. Contract Type: Indicate the contract type based on FAR 16. For example: Fixed price Advisory & Assistance Services, MATOC IDIQ for base year and 3 option years; or CPFF Services for base year and 2 option years.

d. The contact information for the client’s POC who can discuss the offeror’s or first-tier subcontractor’s performance and contract standards/requirements and functions with the Government. The POC should be the same person who completes the Past Performance Questionnaire (See paragraph 7.7) for the offeror. The POC information shall include the POC’s name, title, role on contract, phone number, and mailing and email addresses.

e. Offeror’s role. For example, prime or first- tier subcontractor. DHA will not consider past performance below first-tier subcontractor.

f. The start and end dates of the specific contract. If several consecutive contracts were awarded, the offeror shall include only the contract(s) that falls within the 3-year period of recency. Each contract counts towards the three maximum.

g. Total dollar value of the contract if offeror was prime. For first tier subcontractors state the total contract dollar value and identify the dollar value awarded to the offeror as subcontractor.

h. A clear explanation of the functions performed and what aspects of the contract are deemed relevant to the solicitation requirements and Section C.

i. A clear description of management actions employed in resolving problems, ability to promptly correct performance problems and the effects of those actions, in terms of improvements achieved or problems rectified.

j. If any of the events listed below occurred during the contract period of performance, the offeror shall explain the circumstances and steps it took to mitigate:

• Failure to meet the minimum performance standards in the referenced contract and actions taken to restore performance to an acceptable level.

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• Any data breaches or unauthorized disclosures of Personally Identifiable Information (PII) or Protected Health Information (PHI).

• Contract option period was not exercised and reason.

• Assessment of liquidated damages, penalties, or other reduction against offeror.

• Any contract termination and reason.

• Any de-scoping of work and reason

• Withheld payments.

• A notice to cure, claim or lien against the offeror, or suspension of work due to offeror’s performance, schedule or quality issues.

• Any System for Award Management (SAM) exclusion (FAR 9.404), including name of the agency or other authority taking the action; cause for the action or other statutory or regulatory authority; effect of the action; and termination date for each listing.

7.3 If the past performance contract had small business subcontracting participation goals, and the offeror was the prime contractor for the contract, the offeror shall include the participation percent and dollar targets as required by FAR 19.202-1. The offeror shall state the actual performance percent and dollars in reaching the contract’s Small Business participation targets.

If the offeror did not meet the small business subcontracting goals, the offeror shall explain why and the actions the offeror took to meet the small business subcontracting goals.

7.4 If the offeror or any of its first-tier subcontractors and teaming partners has had any contract terminated for default or cause within the last 3 years preceding submission of the proposal, the offeror shall provide…