SF 33.doc

Section B - Supplies or Services and Prices

Base/Phase I: July 2009 thru Oct 2009

FFP

As described in Section C - Statement of Work (SOW).

FOB: Destination

NET AMT

0001AA

Dollars, U.S.

Phase I: Tasks and Deliverables

Price includes all tasks listed in the SOW timeline for Phase I.

NET AMT

0001AB

Dollars, U.S.

Reimbursable Travel Expenses

Reimbursable travel expenses are paid in accordance with Joint Travel Regulations.

NET AMT

FFP

OPTION 1

NET AMT

0002AA

Dollars, U.S.

FFP

Price includes all tasks listed in the SOW timeline for Phase II.

NET AMT

0002AB

Dollars, U.S.

Travel Expenses

NET AMT

FFP

OPTION 2

NET AMT

0003AA

Dollars, U.S.

FFP

Price includes all tasks listed in the SOW timeline for Phase III.

NET AMT

0003AB

Dollars, U.S.

FFP

NET AMT

Section C - Descriptions and Specifications

STATEMENT OF WORK

Statement of Work (SOW) for

Office of Continuing Education for Health Professionals, CHE, USUHS

Examine and Evaluate USUHS Application Process for Reaccreditation to the Accreditation Council for Continuing Medical Education (ACCME)

Program Audit and Report, Performance in Practice, Evaluation of Individual Activities and Overall Program, Writing of Manuals and Self Study Report, Training, and Site Visit

July 2009 to July 2011

General Information A. Introduction and Background

1. Background

The Office of Continuing Education for Health Professionals, Continuing Health Education (CHE) Directorate, Uniformed Services University of the Health Sciences is accredited as a provider of Continuing Medical Education by the Accreditation Council for Continuing Medical Education (ACCME). USUHS has been a provider of Continuing Medical Education (CME) credits since 1978, and has been a continuous source of CME credits for USUHS since. After 2006, when the Department of Defense (DoD) reorganization brought USU under TMA, the support of physician education expanded greatly. The Office now serves all of TMA, many other agencies under DoD, as well as sister agencies such as the Department of State and the Department of Health and Human Services. The current period of ACCME approval is July 2004 to July 2011 – an exemplary six year award. In order to be re-approved as a Provider of CME, the office must conduct a process evaluation self study and prepare a comprehensive report of at least 300 pages demonstrating full or exemplary compliance with each of the Areas and Elements dictated by the ACCME (see Appendix A [ACCME Essential Areas & Elements] and Appendix B [Standards for Commercial Support]).

Scope of Work: The office certifies approximately 1300 activities each year for more than 7000 hours of instruction to 5000+ physicians at an annual cost of approximately $700,000. The process consists of a written request for review submitted for approval by USUHS and other Department of Defense education activity directors who plan the education and ensure full compliance with all requirements. The application is submitted, reviewed and approved in a process involving the staff and the Continuing Health Education Committee consisting of more than 20 leading USUHS scientists and physicians. Following the activity conclusion, each activity must also submit a full report and documentation of compliance with all requirements. The staff and Committee endeavor to provide physicians with the information they require to promote the health of the military and their dependents. The educational activities occur in many formats ranging from small weekly meetings to major international conferences. Activities may occur live, on the Internet, or in journal format.

Accreditation: The Accreditation Council for Continuing Medical Education accredits 2,500 providers, who can be grouped as (1) universities, medical schools, and government agencies; (2) local, regional, and national medical societies; and (3) medical education and commercial companies. The current period of approval of USUHS as a CME Provider expires in July 2011; a self study must commence now and the report of changes made and the reapplication must be submitted by December 2010.

Change in emphasis. CME nationwide is moving towards a new paradigm and vast changes are occurring in the system of providing AMA PRA Category 1™ credits to physicians. No longer will CME consist of “talking heads” but rather it must become individualized educational programming that results in a documented improvement in physician competence, performance, and/or the health of the patient population.

Evaluation. The current accreditation requirements require two types of evaluation; an evaluation of the impact of individual educational activities upon physician competence or performance, and an evaluation of the success of the overall program in achieving its objectives and demonstrating compliance with all requirements. The requirements for each individual activity include:

· Performance and documentation of gap analysis and needs assessment

· Development of quantifiable learning objectives

· Proof of a clear planning process based on a gap analysis and linking needs identified with results attained

· Selection of appropriate educational methods and design

· Documentation of identification and resolution of conflicts of interest (including full disclosure of relevant commercial relationships)

· Evaluation to include routine assessment of learner satisfaction with the programs provided plus performance measures such as measuring educational impact upon competence, clinical practice and skills, physician behaviors, patient care, extending life, reducing burdens of illness and disability, and promoting the health of the nation.

B. Purpose and Objectives of the Procurement (Scope)

Overall Project Objectives

Overall project objectives consist of the following:

· CE Program Audit and Report (Preparation)

a. Evaluate the current status of the USUHS CME program in meeting the ACCME’s Essential Areas and their Elements, Criteria 1-16.

b. Identify problems and gaps in the existing program, processes, and documentation.

c. Develop a corrective action plan to resolve any problems and propose enhancements to improve the program.

· Identification and Implementation of Strategies to Bring USUHS into Compliance for Level 3, Criteria 16-22

· Performance in Practice

· Evaluation of Individual Activities and Overall Program

· Writing of Manuals and Self Study Report

a. Provide overall guidance and outline

b. Write selected segments, write, review and rewrite drafts

c. Review and comment on final document.

d. Assist with the identification and incorporation of the required supporting evidence.

· File Audit and Submission to ACCME

a. Review the existing file system as well as the activity review and documentation processes currently in place.

b. Design repairs to any problems identified and suggest enhancements.

c. Examine the 15-20 files selected for audit prior to providing them to ACCME.

· Training

a. Provide training/ presentation(s) at CHE Committee meeting(s) and/or at retreat (to be defined).

b. Provide training/ presentation(s) to staff, Activity directors, and/or faculty as required

c. Presentation to upper management, as required

d. Provide an orientation or presentation to the self study task force if required

· Site Visit

a. Conduct a Mock Survey to prepare the staff and leadership for the actual on-site survey.

b. Identify potential areas of difficulty and resolve them.

· Respond to ACCME concerns or problems identified

a. Provide consultation on the response to the ACCME review.

Time Line for the Reaccreditation Process

August 2010

Draft and Review Chapter on Essential Area 3‑Evaluation and Improvement‑(Criteria 11‑15)

September 2010

List of files to be reviewed received from ACCME; preparation and finalization for submission

September 2010

Draft and Review Chapter on Introduction & Prologue

November 30, 2010

Final Draft for Detailed Review and Approval

October 15, 2010

Audit and preparation of attachments & Selected Files Preparation Workdays for self study

July-Sept 2011

Decision by the ACCME Board and response to the Decision

Commitment to Protect Sensitive Information - Contractor Agreement

The Contractor shall guarantee strict confidentiality of the information/data that it is provided by the Government during the performance of the task order. The Contractor and Contractor employees shall not release, publish, or disclose sensitive information to unauthorized personnel, and shall protect such information in accordance with provisions of the following laws and any other pertinent laws and regulations governing the confidentiality of sensitive information:

18 U.S.C. 641 (Criminal Code: Public Money, Property or Records)

18 U.S.C. 1905 (Criminal Code: Disclosure of Confidential Information)

Public Law 96-511 (Paperwork Reduction Act) Government Responsibilities The government (i.e., Office of Continuing Education for Health Professionals, Uniformed Services University) will provide the following:

a. All details relevant to the CME Program process, operations, and functions.

b. Full access to all CME program reports, records, and files.

c. Fulfillment of all responsibilities and obligations in arranging meetings with required personnel; preparation of drafts and reports, and supply of information and access as required.

d. Review of monthly reports and timely processing of invoices.

Reporting Requirements and Deliverables Progress Report/Invoices/Deliverables will be submitted by the 1st of each month to the technical representative.

Deliverables: (as listed in the Time Line for the Reaccreditation Process)

The Progress Report shall include, at a minimum, a list of the work (or portion of the work) performed, dates performed, by whom, and the time and expenses.

Specific tasks include:

· Conduct Private CE Program Audit and Create Full Report

· Design Strategies to Bring USUHS CME Program into Compliance for Level 3 and to repair any problems found in Level 1 and Level 2 Criteria

· Draft and Review Chapter on Essential Area 1 CME Mission (Criterion 1)

· Draft and Review Chapter on Essential Area 2 Educational Planning (Criteria 2 3)

· Draft and Review Chapter on Essential Area 2 Educational Planning (Criteria 4 6)

· Draft and Review Chapter on Essential Area 2 Educational Planning (SCS Independence Criterion 7)

· Review and help prepare list of activities for initial accreditation period due to ACCME together with reaccreditation fee to ACCME

· Draft and Review Chapter on Essential Area 2 Educational Planning (SCS Management of Funds Criterion 8)

· Draft and Review Chapter on Essential Area 2 Educational Planning (SCS Separation of Education and Promotion; orientation to quality Criteria 9 10)

· Draft and Review Chapter on Essential Area 3 Engagement with the Environment (Criteria16 22)

· Draft and Review Chapter on Essential Area 3 Evaluation and Improvement (Criteria 11 15)

· List of files to be reviewed received from ACCME; preparation and finalization for submission

· Draft and Review Chapter on Introduction & Prologue

· Final Draft for Detailed Review and Approval

· Print and mail Self Study and 15 files to ACCME

· Mock Survey

· ACCME Survey

· Audit and preparation of attachments & Selected Files Preparation Workdays for self study

· Decision by the ACCME Board

· Inservice training, Policy and procedure manuals, and SOP manuals

Program Management and Control Requirements:

Meetings between the contractor and the office of Continuing Education for Health Professionals shall be held on an as-needed basis, at the request of either party, to address any questions relative to:

· Individual tasks within programs

· Timing issues, relative to project phasing and priorities

· Technical problems encountered and how they were resolved.

Meetings or conference calls will occur on a monthly basis, at a minimum.

Inspection and Acceptance Requirements:

The government reserves the right to inspect and accept all services provided under this Statement of Work. Invoice payment shall be contingent upon acceptable performance of all required services.

Attachments:

Appendix A: ACCME Essential Areas & Elements

Appendix A: ACCME Essential Areas & Elements Measurement criteria have been developed for each Element in the Essential Areas to measure whether the accredited provider meets the basic level of accreditation. A provider’s documentation of the measurement criteria will be the ACCME’s primary source of information for determining compliance with the Elements.

Essential Area 1. Purpose and Mission

Element 1.1: Mission

The provider must have a written statement of its CME mission, which includes the CME purpose, content areas, target audience, type of activities provided, and expected results of the program.

Element 2.1: Planning Processes The provider must use a planning process(es) that links identified educational needs with a desired result in its provision of all CME activities.

Essential Area 2: Educational planning and evaluation

Element 2.2: Needs Assessment

The provider must use needs assessment data to plan CME activities.

Needs assessment data from multiple sources are consistently used to plan and evaluate activities.

Element 2.3: Purpose and Objectives

The provider must communicate the purpose or objectives of the activity so the learner is informed before participating in the activity.

Purpose or objectives of the activity describe learning outcomes in terms of physician performance or patient health and are consistently communicated to the learner

Element 2.4: Activity Evaluation

The provider must evaluate the effectiveness of its CME activities in meeting identified educational needs.

Educational activities are evaluated consistently for effectiveness in meeting identified educational needs, as measured by practice application and/or health status improvement.

Element 2.5: Program Evaluation

The provider must evaluate the effectiveness of its overall CME program and make improvements to the program.

Innovative and creative mechanism(s) in place to measure the effectiveness of the program with evidence of improvements being made on a regular basis.

Essential Area 3: Administration

Element 3.1: Organizational Framework

The provider must have an organizational framework for the CME unit that provides the necessary resources to support its mission including support by the parent organization, if a parent organization exists.

Organizational framework for the CME unit exists, all components of the Element (resources and support) are present including a process to review and continually improve the organizational framework.

Element 3.2: Business and Management Practices

The provider must operate the business and management policies and procedures of its CME program (as they relate to human resources, financial affairs and legal obligations), so that its obligations and commitments are met.

Innovative and creative business and management policies and procedures (as they relate to human resources, financial affairs and legal obligations) are in place to assist the CME administration in meeting its obligations and commitments.

Element 3.3: Disclosure and Commercial Support

The provider must present CME activities in compliance with the ACCME’s Standards for Commercial Support and related policies for disclosure and commercial support.

Provider

· Consistently discloses required information and relationships; and

· Consistently in control of content; and

· Consistently ensures that promotion and education are separate; and

· Consistently demonstrates appropriate management of funds from commercial supporters. Provider is compliant with all aspects of ACCME’s policies on disclosure and commercial support and has implemented a range of innovative and creative practices.

2006 UPDATED DECISION-MAKING CRITERIA RELEVANT TO THE ESSENTIAL AREAS AND ELEMENTS C 1 1. The provider has a CME mission statement that includes all of the basic components (CME purpose, content areas, target audience, type of activities, expected results) with expected results articulated in terms of changes in competence, performance, or patient outcomes that will be the result of the program.

C 2 2. The provider incorporates into CME activities the educational needs (knowledge, competence, or performance) that underlie the professional practice gaps of their own learners.

C 3 3. The provider generates activities/educational interventions that are designed to change competence, performance, or patient outcomes as described in its mission statement.

C 4 4. The provider generates activities/educational interventions around content that matches the learners’ current or potential scope of professional activities.

C 5 5. The provider chooses educational formats for activities/interventions that are appropriate for the setting, objectives and desired results of the activity.

C 6 6. The provider develops activities/educational interventions in the context of desirable physician attributes (e.g., IOM competencies, ACGME Competencies).

C 7 7. The provider develops activities/educational interventions independent of commercial interests (SCS 1, 2 and 6).

C 8 8. The provider appropriately manages commercial support (if applicable, SCS 3).

C 9 9. The provider maintains a separation of promotion from education (SCS 4).

C 10 The provider actively promotes improvements in health care and NOT proprietary interests of a commercial interest (SCS 5).

11. 11. The provider analyzes changes in learners (competence, performance, or patient outcomes) achieved as a result of the overall program’s activities/educational interventions

12 12. The provider gathers data or information and conducts a program-based analysis on the degree to which the CME mission of the provider has been met through the conduct of CME activities/educational interventions.

13. The provider identifies, plans and implements the needed or desired changes in the overall program (e.g., planners, teachers, infrastructure, methods, resources, facilities, interventions) that are required to improve on ability to meet the CME mission.

14. The provider demonstrates that identified program changes or improvements, that are required to improve on the provider’s ability to meet the CME mission, are underway or completed.

C 15. The provider demonstrates that the impacts of program improvements, that are required to improve on the provider’s ability to meet the CME mission, are measured.

C 16. The provider operates in a manner that integrates CME into the process for improving professional practice.

C 17. The provider utilizes non-education strategies to enhance change as an adjunct to its activities/educational interventions (e.g., reminders, patient feedback).

C 18. The provider identifies factors outside the provider’s control that impact on patient outcomes.

C 19. The provider implements educational strategies to remove, overcome or address barriers to physician change.

C 20. The provider builds bridges with other stakeholders through collaboration and cooperation.

C 21. The provider participates within an institutional or system framework for quality improvement.

C 22. The provider is positioned to influence the scope and content of activities/educational interventions.

[Note: Regarding E 3.3 and C7 to C10 - The ACCME’s policies for disclosure and commercial support are articulated in: (1) The Standards For Commercial Support: Standards to Ensure Independence in CME Activities, as adopted by ACCME in September 2004; and (2) ACCME policies applicable to commercial support and disclosure. All these materials can be found on www.accme.org.]

Section E - Inspection and Acceptance

INSPECTION AND ACCEPTANCE TERMS

Supplies/services will be inspected/accepted at:

Section F - Deliveries or Performance

DELIVERY INFORMATION

31-OCT-2009

31-OCT-2009

31-OCT-2009

30-NOV-2010

30-NOV-2010

30-NOV-2010

30-SEP-2011

30-SEP-2011

30-SEP-2011

Section G - Contract Administration Data

CLAUSES INCORPORATED BY FULL TEXT

USUHS-003 INVOICE AND BILLING INFORMATION

The original invoice shall be submitted to the paying office listed on the contract/order. When the submission address is other than USUHS Contracting a copy of the invoice shall either be submitted to ggermana@usuhs.mil , or faxed to 301-295-1716.

Invoices must “mirror” the item supplies/services description and prices as outlined in the Purchase Order or Contract. If the invoices are not in compliance with these instructions, your payment may be delayed by DFAS.

Invoices for supplies, equipment and other products should not be submitted until shipment has taken place. Invoices must be matched with confirmation of receipt before payment will be made by DFAS.

Invoices for this contract may be submitted as indicated below:

( ) Weekly ( ) Bi-Monthly ( ) Monthly

( X ) As specified below: No more frequently than monthly

USUHS-005 GOVERNMENT CONTRACT ADMINISTRATION

Numerous Government personnel will be involved with the administration and oversight of this contract. The Contracting Officer’s Technical Representative (COTR) is the Contracting Officer’s primary representative to the Contractor and is responsible for specific duties which ensure that the work is performed according to this Statement of Work. The Contract Specialist is the POC and the principal representative and will oversee and administer the contracting aspects of this contract but must coordinate all substantive efforts with the Contracting Officer. The Contracting Officer oversees all contract work and must approve any contractual changes.

The COTR for this contract will be:

Provided at time of award.

The alternate COR for this contract will be:

Provided at time of award.

The Contract Specialist adminstering this contract will be:

Genelle Germana

Phone (301) 295-3868 (-1716 fax)

E-mail: ggermana@usuhs.mil

The Contracting Officer for this contract will be:

Dolores May

Phone: (301) 295-3922 (-1716 fax)

E-mail: dmay@usuhs.mil

Section I - Contract Clauses

CLAUSES INCORPORATED BY REFERENCE

CLAUSES INCORPORATED BY FULL TEXT

52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT STATUTES OR EXECUTIVE ORDERS--COMMERCIAL ITEMS (FEB 2009)

(a) The Contractor shall comply with the following Federal Acquisition Regulation (FAR) clauses, which are incorporated in this contract by reference, to implement provisions of law or Executive orders applicable to acquisitions of commercial items:

(1) 52.222-50, Combating Trafficking in Persons (FEB 2009) (22 U.S.C. 7104(g)).

Alternate I (Aug 2007) of 52.222-50 (22 U.S.C. 7104(g)).

(2) 52.233-3, Protest After Award (AUG 1996) (31 U.S.C. 3553).

(3) 52.233-4, Applicable Law for Breach of Contract Claim (OCT 2004) (Pub. L. 108-77, 108-78).

(b) The Contractor shall comply with the FAR clauses in this paragraph (b) that the Contracting Officer has indicated as being incorporated in this contract by reference to implement provisions of law or Executive orders applicable to acquisitions of commercial items: (Contracting Officer check as appropriate.)

_X__ (1) 52.203-6, Restrictions on Subcontractor Sales to the Government (SEP 2006), with Alternate I (OCT 1995) (41 U.S.C. 253g and 10 U.S.C. 2402).

___ (2) 52.203-13, Contractor Code of Business Ethics and Conduct (DEC 2008)(Pub. L. 110-252, Title VI, Chapter 1 (41 U.S.C. 251 note)).

___ (3) 52.219-3, Notice of HUBZone Small Business Set-Aside (Jan 1999) (15 U.S.C. 657a).

_X__ (4) 52.219-4, Notice of Price Evaluation Preference for HUBZone Small Business Concerns (JUL 2005) (if the offeror elects to waive the preference, it shall so indicate in its offer) (15 U.S.C. 657a).

___ (5) [Reserved].

___ (6)(i) 52.219-6, Notice of Total Small Business Set-Aside (JUNE 2003) (15 U.S.C. 644).

___ (ii) Alternate I (OCT 1995) of 52.219-6.

___ (iii) Alternate II (MAR 2004) of 52.219-6.

___ (7)(i) 52.219-7, Notice of Partial Small Business Set-Aside (JUNE 2003) (15 U.S.C. 644).

___ (ii) Alternate I (OCT 1995) of 52.219-7.

___ (iii) Alternate II (MAR 2004) of 52.219-7.

_X__ (8) 52.219-8, Utilization of Small Business Concerns (MAY 2004) (15 U.S.C. 637 (d)(2) and (3)).

___ (9)(i) 52.219-9, Small Business Subcontracting Plan (APR 2008) (15 U.S.C. 637(d)(4)).

___ (ii) Alternate I (OCT 2001) of 52.219-9 ___ (iii) Alternate II (OCT 2001) of 52.219-9.

_X__ (10) 52.219-14, Limitations on Subcontracting (DEC 1996) (15 U.S.C. 637(a)(14)).

__ (11) 52.219-16, Liquidated Damages--Subcontracting Plan (JAN 1999) (15 U.S.C. 637(d)(4)(F)(i)).

___ (12)(i) 52.219-23, Notice of Price Evaluation Adjustment for Small Disadvantaged Business Concerns (OCT 2008) (10 U.S.C. 2323) (if the offeror elects to waive the adjustment, it shall so indicate in its offer).

___ (ii) Alternate I (JUNE 2003) of 52.219-23.

___ (13) 52.219-25, Small Disadvantaged Business Participation Program--Disadvantaged Status and Reporting (APR 2008) (Pub. L. 103-355, section 7102, and 10 U.S.C. 2323).

___ (14) 52.219-26, Small Disadvantaged Business Participation Program--Incentive Subcontracting (OCT 2000) (Pub. L. 103-355, section 7102, and 10 U.S.C. 2323).

___ (15) 52.219-27, Notice of Total Service-Disabled Veteran-Owned Small Business Set-Aside (MAY 2004) (U.S.C. 657 f).

_X__ (16) 52.219-28, Post Award Small Business Program Rerepresentation (JUNE 2007) (15 U.S.C. 632(a)(2)).

_X__ (17) 52.222-3, Convict Labor (JUNE 2003) (E.O. 11755).

___ (18) 52.222-19, Child Labor--Cooperation with Authorities and Remedies (FEB 2008) (E.O. 13126).

_X__ (19) 52.222-21, Prohibition of Segregated Facilities (FEB 1999).

_X__ (20) 52.222-26, Equal Opportunity (MAR 2007) (E.O. 11246).

_X__ (21) 52.222-35, Equal Opportunity for Special Disabled Veterans, Veterans of theVietnam Era, and Other Eligible Veterans (SEP 2006) (38 U.S.C. 4212).

_X__ (22) 52.222-36, Affirmative Action for Workers with Disabilities (JUN 1998) (29

U.S.C. 793).

___ (23) 52.222-37, Employment Reports on Special Disabled Veterans, Veterans of the Vietnam Era, and Other Eligible Veterans (SEP 2006) (38 U.S.C. 4212).

_X__ (24) 52.222-39, Notification of Employee Rights Concerning Payment of Union Dues or Fees (DEC 2004) (E.O. 13201).

___ (26) 52.222-54, Employment Eligibility Verification (Jan 2009). (Executive Order 12989). (Not applicable to the acquisition of commercially available off-the-shelf items or certain other types of commercial items as prescribed in 22.1803.) (Not Applicable until May 21, 2009.)

___ (26)(i) 52.223-9, Estimate of Percentage of Recovered Material Content for EPA-Designated Items (MAY 2008) (42 U.S.C. 6962(c)(3)(A)(ii)). (Not applicable to the acquisition of commercially available off-the-shelf items.)

___ (ii) Alternate I (MAY 2008) of 52.223-9 (42 U.S.C. 6962(i)(2)(c)). (Not applicable to the acquisition of commercially available off-the-shelf items.)

___ (27) 52.223-15, Energy Efficiency in Energy-Consuming Products (DEC 2007) (42 U.S.C. 8259b) .

___ (28)(i) 52.223-16, IEEE 1680 Standard for the Environmental Assessment of Personal Computer Products (DEC 2007) (E.O. 13423).

___ (ii) Alternate I (DEC 2007) of 52.223-16.

___ (29) 52.225-1, Buy American Act--Supplies (JUNE 2003) (41 U.S.C. 10a-10d).

___ (30) 52.225-1, Buy American Act--Supplies (FEB 2009) (41 U.S.C. 10a-10d).

___ (31)(i) 52.225-3, Buy American Act--Free Trade Agreements--Israeli Trade Act (FEB 2009) (41 U.S.C. 10a-10d, 19 U.S.C. 3301 note, 19 U.S.C. 2112 note, Pub. L 108-77, 108-78, 108-286, 109-53 and 109-169).

___ (ii) Alternate I (JAN 2004) of 52.225-3.

___ (iii) Alternate II (JAN 2004) of 52.225-3.

___ (32) 52.225-5, Trade Agreements (Nov 2007) (19 U.S.C. 2501, et seq., 19 U.S.C. 3301 note).

_X__ (33) 52.225-13, Restrictions on Certain Foreign Purchases (JUN 2008) (E.O.'s, proclamations, and statutes administered by the Office of Foreign Assets Control of the Department of the Treasury).

___ (34) 52.226-4, Notice of Disaster or Emergency Area Set-Aside (Nov 2007) (42 U.S.C. 5150).

___ (35) 52.226-5, Restrictions on Subcontracting Outside Disaster or Emergency Area (Nov 2007) (42 U.S.C. 5150).

___ (36) 52.232-29, Terms for Financing of Purchases of Commercial Items (FEB 2002) (41 U.S.C. 255(f), 10 U.S.C. 2307(f)).

___ (37) 52.232-30, Installment Payments for Commercial Items (OCT 1995) (41 U.S.C. 255(f), 10 U.S.C. 2307(f)).

_X__ (38) 52.232-33, Payment by Electronic Funds Transfer--Central Contractor Registration (OCT 2003) (31 U.S.C. 3332).

___ (39) 52.232-34, Payment by Electronic Funds Transfer--Other than Central Contractor Registration (MAY 1999) (31 U.S.C. 3332).

___ (40) 52.232-36, Payment by Third Party (MAY 1999) (31 U.S.C. 3332).

___ (41) 52.239-1, Privacy or Security Safeguards (AUG 1996) (5 U.S.C. 552a).

___ (42)(i) 52.247-64, Preference for Privately Owned U.S.-Flag Commercial Vessels (FEB 2006) (46 U.S.C. Appx 1241(b) and 10 U.S.C. 2631).

____ (ii) Alternate I (APR 2003) of 52.247-64.

(c) The Contractor shall comply with the FAR clauses in this paragraph (c), applicable to commercial services, that the Contracting Officer has indicated as being incorporated in this contract by reference to implement provisions of law or Executive orders applicable to acquisitions of commercial items: (Contracting Officer check as appropriate.)

____ (1) 52.222-41, Service Contract Act of 1965 (Nov 2007) (41 U.S.C. 351, et seq.).

____ (2) 52.222-42, Statement of Equivalent Rates for Federal Hires (MAY 1989) (29 U.S.C. 206 and 41 U.S.C. 351, et seq.).

____ (3) 52.222-43, Fair Labor Standards Act and Service Contract Act--Price Adjustment (Multiple Year and Option Contracts) (NOV 2006) (29 U.S.C. 206 and 41 U.S.C. 351, et seq.).

____ (4) 52.222-44, Fair Labor Standards Act and Service Contract Act--Price Adjustment (February 2002) (29 U.S.C. 206 and 41 U.S.C. 351, et seq.)

____ (5) 52.222-51, Exemption from Application of the Service Contract Act to Contracts for Maintenance, Calibration, or Repair of Certain Equipment--Requirements (Nov 2007) (41 U.S.C. 351, et seq.).

____ (6) 52.222-53, Exemption from Application of the Service Contract Act to Contracts for Certain Services--Requirements (FEB 2009) (41 U.S.C. 351, et seq.).

____ (7) 52.237-11, Accepting and Dispensing of $1 Coin (SEP 2008)(31 U.S.C. 5112(p)(1)).

(d) Comptroller General Examination of Record. The Contractor shall comply with the provisions of this paragraph (d) if this contract was awarded using other than sealed bid, is in excess of the simplified acquisition threshold, and does not contain the clause at 52.215-2, Audit and Records--Negotiation.

(1) The Comptroller General of the United States, or an authorized representative of the Comptroller General, shall have access to and right to examine any of the Contractor's directly pertinent records involving transactions related to this contract.

(2) The Contractor shall make available at its offices at all reasonable times the records, materials, and other evidence for examination, audit, or reproduction, until 3 years after final payment under this contract or for any shorter period specified in FAR Subpart 4.7, Contractor Records Retention, of the other clauses of this contract. If this contract is completely or partially terminated, the records relating to the work terminated shall be made available for 3 years after any resulting final termination settlement. Records relating to appeals under the disputes clause or to litigation or the settlement of claims arising under or relating to this contract shall be made available until such appeals, litigation, or claims are finally resolved.

(3) As used in this clause, records include books, documents, accounting procedures and practices, and other data, regardless of type and regardless of form. This does not require the Contractor to create or maintain any record that the Contractor does not maintain in the ordinary course of business or pursuant to a provision of law.

(e) (1) Notwithstanding the requirements of the clauses in paragraphs (a), (b), (c), and (d) of this clause, the Contractor is not required to flow down any FAR clause, other than those in this paragraph (e)(1)in a subcontract for commercial items. Unless otherwise indicated below, the extent of the flow down shall be as required by the clause—

(i) 52.203-13, Contractor Code of Business Ethics and Conduct (DEC 2008) (Pub. L. 110-252, Title VI, Chapter 1 (41 U.S.C. 251 note).

(ii) 52.219-8, Utilization of Small Business Concerns (May 2004) (15 U.S.C. 637(d)(2) and (3)), in all subcontracts that offer further subcontracting opportunities. If the subcontract (except subcontracts to small business concerns) exceeds $550,000 ($1,000,000 for construction of any public facility), the subcontractor must include 52.219-8 in lower tier subcontracts that offer subcontracting opportunities.

(iii) 52.222-26, Equal Opportunity (MAR 2007) (E.O. 11246).

(iv) 52.222-35, Equal Opportunity for Special Disabled Veterans, Veterans of the Vietnam Era, and Other Eligible Veterans (SEP 2006) (38 U.S.C. 4212).

(v) 52.222-36, Affirmative Action for Workers with Disabilities (June 1998) (29 U.S.C. 793).

(vi) 52.222-39, Notification of Employee Rights Concerning Payment of Union Dues or Fees (DEC 2004) (E.O. 13201).

(vii) 52.222-41, Service Contract Act of 1965 (Nov 2007) (41 U.S.C. 351, et seq.).

(viii) 52.222-50, Combating Trafficking in Persons (FEB 2009) (22 U.S.C. 7104(g)).

Alternate I (AUG 2007) of 52.222-50 (22 U.S.C. 7104(g)).

(ix) 52.222-51, Exemption from Application of the Service Contract Act to Contracts for Maintenance, Calibration, or Repair of Certain Equipment--Requirements (Nov 2007) (41 U.S.C. 351, et seq.).

(x) 52.222-53, Exemption from Application of the Service Contract Act to Contracts for Certain Services--Requirements (FEB 2009) (41 U.S.C. 351, et seq.).

(xi) 52.222-54, Employment Eligibility Verification (Jan 2009). (Not applicable until May 21, 2009.)

(xii) 52.247-64, Preference for Privately Owned U.S.-Flag Commercial Vessels (FEB 2006) (46 U.S.C. Appx 1241(b) and 10 U.S.C. 2631). Flow down required in accordance with paragraph (d) of FAR clause 52.247-64.

(2) While not required, the contractor May include in its subcontracts for commercial items a minimal number of additional clauses necessary to satisfy its contractual obligations.

(End of clause)

52.217-8 OPTION TO EXTEND SERVICES (NOV 1999)

The Government may require continued performance of any services within the limits and at the rates specified in the contract. These rates may be adjusted only as a result of revisions to prevailing labor rates provided by the Secretary of Labor. The option provision may be exercised more than once, but the total extension of performance hereunder shall not exceed 6 months. The Contracting Officer may exercise the option by written notice to the Contractor within 30 Days.

(End of clause)

52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR 2000)

(a) The Government may extend the term of this contract by written notice to the Contractor within 15 days ; provided that the Government gives the Contractor a preliminary written notice of its intent to extend at least 30 days before the contract expires. The preliminary notice does not commit the Government to an extension.

(b) If the Government exercises this option, the extended contract shall be considered to include this option clause.

(c) The total duration of this contract, including the exercise of any options under this clause, shall not exceed 27 months.

(End of clause)

252.204-7006 BILLING INSTRUCTIONS (OCT 2005)

When submitting a request for payment, the Contractor shall--

(a) Identify the contract line item(s) on the payment request that reasonably reflect contract work performance; and

(b) Separately identify a payment amount for each contract line item included in the payment request.

(End of clause)

252.212-7001 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT STATUTES OR EXECUTIVE ORDERS APPLICABLE TO DEFENSE ACQUISITIONS OF COMMERCIAL ITEMS (JAN 2009)

(a) The Contractor agrees to comply with the following Federal Acquisition Regulation (FAR) clause which, if checked, is included in this contract by reference to implement a provision of law applicable to acquisitions of commercial items or components.

_X__ 52.203-3, Gratuities (APR 1984) (10 U.S.C. 2207).

(b) The Contractor agrees to comply with any clause that is checked on the following list of Defense FAR Supplement clauses which, if checked, is included in this contract by reference to implement provisions of law or Executive orders applicable to acquisitions of commercial items or components.

(1) ___252.203-7000, Requirements Relating to Compensation of Former DoD Officials (JAN 2009) (Section 847 of Pub. L. 110-181).

(2) ___ 252.205-7000, Provision of Information to Cooperative Agreement Holders (DEC 1991) (10 U.S.C. 2416).

(3) ___ 252.219-7003, Small Business Subcontracting Plan (DoD Contracts) (APR 2007) (15 U.S.C. 637).

(4) ___ 252.219-7004, Small Business Subcontracting Plan (Test Program) (AUG 2008) (15 U.S.C. 637 note).

(5) ___ 252.225-7001, Buy American Act and Balance of Payments Program (JAN 2009) (41 U.S.C. 10a-10d, E.O. 10582).

(6) _X__ 252.225-7012, Preference for Certain Domestic Commodities (DEC 2008) (10 U.S.C. 2533a).

(7) _X__ 252.225-7014, Preference for Domestic Specialty Metals (JUN 2005) (10 U.S.C. 2533a).

(8) _X__ 252.225-7015, Restriction on Acquisition of Hand or Measuring Tools (JUN 2005) (10 U.S.C. 2533a).

(9) ___ 252.225-7016, Restriction on Acquisition of Ball and Roller Bearings (MAR 2006) (Section 8065 of Public Law 107-117 and the same restriction in subsequent DoD appropriations acts).

(10) ___ 252.225-7021, Trade Agreements (NOV 2008) (19 U.S.C. 2501-2518 and 19 U.S.C. 3301 note).

(11) ___ 252.225-7027, Restriction on Contingent Fees for Foreign Military Sales (APR 2003) (22 U.S.C. 2779).

(12) ___ 252.225-7028, Exclusionary Policies and Practices of Foreign Governments (APR 2003) (22 U.S.C. 2755).

(13)(i) _X__ 252.225-7036, Buy American Act--Free Trade Agreements--Balance of Payments Program (JAN 2009) (41 U.S.C. 10a-10d and 19 U.S.C. 3301 note).

(ii) ___ Alternate I (OCT 2006) of 252.225-7036.

(14) ___ 252.225-7038, Restriction on Acquisition of Air Circuit Breakers (JUN 2005) (10 U.S.C. 2534(a)(3)).

(15) ___ 252.226-7001, Utilization of Indian Organizations, Indian-Owned Economic Enterprises, and Native Hawaiian Small Business Concerns (SEP 2004) (Section 8021 of Pub. L. 107-248 and similar sections in subsequent DoD appropriations acts).

(16) _X__ 252.227-7015, Technical Data--Commercial Items (NOV 1995) (10 U.S.C. 2320).

(17) _X__ 252.227-7037, Validation of Restrictive Markings on Technical Data (SEP 1999) (10 U.S.C. 2321).

(18) ___ 252.232-7003, Electronic Submission of Payment Requests and Receiving Reports(MAR 2008) (10 U.S.C. 2227).

(19) ___ 252.237-7019, Training for Contractor Personnel Interacting with Detainees (SEP 2006) (Section 1092 of Public Law 108-375).

(20) _X__ 252.243-7002, Requests for Equitable Adjustment (MAR 1998) (10 U.S.C. 2410).0 (21)(i) _X__ 252.247-7023, Transportation of Supplies by Sea (MAY 2002) (10 U.S.C. 2631).

(ii) ___ Alternate I (MAR 2000) of 252.247-7023.

(iii) ___ Alternate II (MAR 2000) of 252.247-7023.

(iv) ___ Alternate III (MAY 2002) of 252.247-7023.

(22) ___ 252.247-7024, Notification of Transportation of Supplies by Sea (MAR 2000) (10 U.S.C. 2631).

(c) In addition to the clauses listed in paragraph (e) of the Contract Terms and Conditions Required to Implement Statutes or Executive Orders--Commercial Items clause of this contract (FAR 52.212-5), the Contractor shall include the terms of the following clauses, if applicable, in subcontracts for commercial items or commercial components, awarded at any tier under this contract:

(1) 252.225-7014, Preference for Domestic Specialty Metals, Alternate I (APR 2003) (10 U.S.C. 2533a).

(2) 252.237-7019, Training for Contractor Personnel Interacting with Detainees (SEP 2006) (Section 1092 of Public Law 108-375).

(3) 252.247-7023, Transportation of Supplies by Sea (MAY 2002) (10 U.S.C. 2631).

(4) 252.247-7024, Notification of Transportation of Supplies by Sea (MAR 2000) (10 U.S.C. 2631).

(End of clause)

Section K - Representations, Certifications and Other Statements of Offerors

CLAUSES INCORPORATED BY REFERENCE

Section L - Instructions, Conditions and Notices to Bidders

CLAUSES INCORPORATED BY REFERENCE

INSTRUCTIONS TO OFFERORS

Proposals must be mailed to:

Genelle Germana

Uniformed Services University of the Health Sciences

Room 1040C Bldg. A

4301 Jones Bridge Road

Bethesda, MD 20814-5119

An electronic copy of the proposal should also be emailed for confirmation to ggermana@usuhs.mil.

Proposals must be received by 12:00p.m. on 15 June 2009.

No other method of submission will be acceptable.

FORMAT

Proposals should be submitted in the following format:

The proposal should be tabbed and include a table of contents (Addressing Factors 1, 2, 3 and 4). The entire proposal package shall not exceed 30 pages. When proposals exceed the page limites, only the stated number of pages will be considered.

· Table of Contents

· Introduction Tab- Any pertinent information should be included, but remember the page limit includes this section

· Factor One Tab – Technical Capabilities

· Factor Two Tab – Key Personnel

· Factor Three tab – Past Performance. If you have no past performance, please address that issue in this section of your proposal. If no references are received and you do not address the absence of past performance references, your proposal may be eliminated.

· Resume tab

· Factor Four Tab – Price should include sufficient detail to allow a determination of a fair and reasonable price. While the other three factors are significantly more important than price, the price will be evaluated and considered in the award decision. Since, the award may be made without discussion, you should submit your very best pricing.

Section M - Evaluation Factors for Award

CLAUSES INCORPORATED BY REFERENCE

EVALUATION FACTORS FO AWARD

(1) Technical Capability

(2) Key Personnel

(3) Past performance

(4) Price Technical factors when combined are more important than price. Award will be based on the best value to the Government.

Factor (1) Technical Capability: Contractors must display a clear understanding of the scope of the work through a comprehensive and responsive offer that displays the expertise, knowledge and experience with all essential ACCME Areas, Criterion and the Standards for Commercial Support

· Provide documentation presenting contractor’s experience with the U.S Government in relation to understanding the unique administrative processes involved in the government Continuing Medical Educations (CME) Programs

· Present examples in which the contractor has provided consultation and program evaluation with a range of CME providers in addition to governmental agencies to include national professional associations, academic medical centers, and medical education companies

· Include a work-plan for implementing the project, for meeting the deadlines for the scheduled deliverables, the method of adjusting to changing circumstances, and the method of tracking the progress of the project.

Factor (2) Key Personnel: Contractors must show a clear understanding of the scope of work through a comprehensive and responsive offer that provides highly competent personnel sufficient to give the Government a reasonable assurance that the contract will be carried out in a highly satisfactory manner.

· Provide a staffing plan of key personnel's professional qualifications, which demonstrate the company's ability to meet functional and technical requirement

· Provide resumes and qualifications for the key personnel listing similar projects completed with approximate dates of performance

Factor (3) Past Performance: Offerors must provide a list of references from the past year who can address the past performance for their company. The list should include at least three references. Projects of similar scope and complexity are desired if available. Randomly selected references will be chosen to contact for information. Offerors must include the following information in their submittal for each reference:

PAST PERFORMANCE REFERENCES – PLEASE COMPLETE WITH ACCURATE INFORMATION

Company Name

Contract Number

Completion Date

Point of Contact (POC)

Title of Point of Contact

Phone Number

Email Address

Value of Award

Contract Type: Fixed Price or Cost?

Description of Work Performed

Note:

It is the responsibility of the offeror to provide accurate contact information.

The POC's may be contacted by phone or email to provide additional information regarding performance.

It is strongly suggested that offerors verify contact info and their availability between 15 June 2009 and 22 June 2009.

Factor (4) Price: Price is a factor considered less important than the combined value of Technical Factors (Technical Experience, Key Personnel and Past Performance). Price will be evaluated considering all options and will include estimated/projected travel expenses.