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N00183-13-T-0384
Section A - Solicitation/Contract Form
CLAUSES INCORPORATED BY FULL TEXT
VENDOR TO COMPLETE THE FOLLOWING:
TIN:
CAGE:
DUNS:
Vendor Point of Contact:
Vendor Phone:
Vendor Fax:
Vendor E-Mail:
Vendor’s Published or Commercial Price List containing the items specified herein, must accompany this RFQ package when submitted for evaluation.
Naval Medical Center Portsmouth Points of Contact:
Contracting: Melissa Peregrino-White 757-953-4038 E-Mail: melissa.peregrino-white@med.navy.mil
Payment in Arrears (Check One): ___ Monthly ___ Quarterly ___Semi-Annually ___Annually
Note: Vendor will be required to provide billing electronically via the WAWF Electronic Invoicing Method. For additional information, a review of the following web sites may be required: https://wawf.eb.mil http://wawftraining Email: wawf@med.navy.mil
PROMPT PAYMENT: For Prompt Payment Act purposes, this contract is:
Subject to the 7-calendar day constructive acceptance period.
GOVERNMENT RESERVES THE RIGHT TO MAKE AWARD BASED ON AN “ALL OR NONE” EVALUATION AND/OR BASED ON THE “BEST VALUE” PROPOSED FOR THIS REQUIREMENT. VENDORS WITH SUPERIOR PAST PERFORMANCE HISTORY MAY BE GIVEN 1ST CONSIDERATION.
Funds are not presently available for this contract. The Government’s obligation under this contract is contingent upon the availability of appropriated funds from which payment for contract purposes can be made. No legal liability on the part of the Government for any payment may arise until funds are made available to the Contracting Officer for this contract and until the Contractor receives notice of such availability, to be confirmed in writing by the Contracting Officer.
Section B - Supplies or Services and Prices
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
Consultation/Teaching Services for
FFP
Psychology Postdoctoral Fellows and Psychology Staff of the Psychology Department of the Naval Medical Center Portsmouth for Base Year period of performance 01 October 2013 through 30 September 2014. See Section C, Statement of Work, for Minimum Requirements.
FOB: Destination
MILSTRIP: N0018314RQPY003
PURCHASE REQUEST NUMBER: N0018314RQPY003
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
0001AA
| 6 |
| Each |
3 Hour Presentation
See Section C, Statement of Work, for Minimum Requirements.
FOB: Destination
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
0001AB
| 24 |
| Each |
1 Hour Session of Clinical Supervision
See Section C, Statement of Work, for Minimum Requirements.
FOB: Destination
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
0001AC
| 2 |
| Each |
2 Hour Presentations
See Section C, Statement of Work, for Minimum Requirements.
FOB: Destination
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
0001AD
| 8 |
| Each |
Review of Cognitive Therapy Scale
See Section C, Statement of Work, for Minimum Requirements.
FOB: Destination
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
0001AE
| 4 |
| Each |
Review of Case Write-Up
See Section C, Statement of Work, for Minimum Requirements.
FOB: Destination
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
| OPTION |
| Consultation/Teaching Services for |
FFP
Psychology Postdoctoral Fellows and Psychology Staff of the Psychology Department of the Naval Medical Center Portsmouth for Option Year I period of performance 01 October 2014 through 30 September 2015. See Section C, Statement of Work, for Minimum Requirements.
FOB: Destination
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
0002AA
| 6 |
| Each |
| OPTION |
| 3 Hour Presentation |
FFP
See Section C, Statement of Work, for Minimum Requirements.
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
0002AB
| 24 |
| Each |
| OPTION |
| 1 Hour Session of Clinical Supervision |
FFP
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
0002AC
| 2 |
| Each |
| OPTION |
| 2 Hour Presentations |
FFP
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
0002AD
| 8 |
| Each |
| OPTION |
| Review of Cognitive Therapy Scale |
FFP
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
0002AE
| 4 |
| Each |
| OPTION |
| Review of Case Write-Up |
FFP
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
| OPTION |
| Consultation/Teaching Services for |
FFP
Psychology Postdoctoral Fellows and Psychology Staff of the Psychology Department of the Naval Medical Center Portsmouth for Option Year II period of performance 01 October 2015 through 30 September 2016. See Section C, Statement of Work, for Minimum Requirements.
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
0003AA
| 6 |
| Each |
| OPTION |
| 3 Hour Presentation |
FFP
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
0003AB
| 24 |
| Each |
| OPTION |
| 1 Hour Session of Clinical Supervision |
FFP
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
0003AC
| 2 |
| Each |
| OPTION |
| 2 Hour Presentations |
FFP
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
0003AD
| 8 |
| Each |
| OPTION |
| Review of Cognitive Therapy Scale |
FFP
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
0003AE
| 4 |
| Each |
| OPTION |
| Review of Case Write-Up |
FFP
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
| OPTION |
| Consultation/Teaching Services for |
FFP
Psychology Postdoctoral Fellows and Psychology Staff of the Psychology Department of the Naval Medical Center Portsmouth for Option Year III period of performance 01 October 2016 through 30 September 2017. See Section C, Statement of Work, for Minimum Requirements.
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
0004AA
| 6 |
| Each |
| OPTION |
| 3 Hour Presentation |
FFP
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
0004AB
| 24 |
| Each |
| OPTION |
| 1 Hour Session of Clinical Supervision |
FFP
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
0004AC
| 2 |
| Each |
| OPTION |
| 2 Hour Presentations |
FFP
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
0004AD
| 8 |
| Each |
| OPTION |
| Review of Cognitive Therapy Scale |
FFP
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
0004AE
| 4 |
| Each |
| OPTION |
| Review of Case Write-Up |
FFP
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
| OPTION |
| Consultation/Teaching Services for |
FFP
Psychology Postdoctoral Fellows and Psychology Staff of the Psychology Department of the Naval Medical Center Portsmouth for Option Year IV period of performance 01 October 2017 through 30 September 2018. See Section C, Statement of Work, for Minimum Requirements.
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
0005AA
| 6 |
| Each |
| OPTION |
| 3 Hour Presentation |
FFP
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
0005AB
| 24 |
| Each |
| OPTION |
| 1 Hour Session of Clinical Supervision |
FFP
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
0005AC
| 2 |
| Each |
| OPTION |
| 2 Hour Presentations |
FFP
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
0005AD
| 8 |
| Each |
| OPTION |
| Review of Cognitive Therapy Scale |
FFP
NET AMT
| ITEM NO |
| SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
0005AE
| 4 |
| Each |
| OPTION |
| Review of Case Write-Up |
FFP
NET AMT
Section C - Descriptions and Specifications
Statement of Work
Vendor to provide Training/Teaching Services for Psychology Postdoctoral Fellows and Psychology Staff of the Naval Medical Center Portsmouth (NMCP) Psychology Department. Vendor’s price shall be inclusive of all costs including travel, office support (preparation of reports/grade sheets), and insurance. Vendor shall be required to teach classes and provide clinical supervision as scheduled by Department. Vendor shall expect each session to require a minimum of one (1) hour of service, which may include preparation time and which will be provided on-site or at an alternative site within 20 miles of this facility, at the discretion of the Department. Note that classes and clinical supervision services will be scheduled on an as needed basis and will be scheduled by the NMCP Psychology Dept. It is estimated that the following sessions will be required:
6 ea 3-hour presentations 24 ea 1-hour sessions of clinical supervision 2 ea 2-hour presentations 8 ea Review of Cognitive Therapy Scale 4 ea Review of Case Write-up
If mutually agreed by the Government and vendor; two one-hour sessions may be combined into one two-hour sessions. Note that the resulting order will be issued as a not to exceed value with no minimum guarantees. NMCP will provide a list of requested “presentation times” and “clinical supervision times,” prior to start of contract. Vendor shall submit a monthly schedule by the 15th of each month prior to the month of services. NMCP shall provide the names and qualifications (if required) of fellows and staff members to be instructed three (3) business days prior to each scheduled on-site class or off-site service.
Minimum qualifications for Teacher/Instructor Personnel shall be as follows:
· Graduate from a doctoral program in Clinical Psychology accredited by the American Psychological Association
· License to practice Clinical Psychology issued by the State of Virginia
· Minimum of two (2) years of fellowship training in Cognitive Behavioral Therapy (CBT)
· License to practice Clinical Psychology must be maintained current for the entire length of contract
Teachers/instructors shall be required to complete competency evaluations on the fellows’ performance assessed during clinical supervision sessions. Evaluation shall be in a format that tracks progress of students.
· Instructors shall provide a monthly report of all individual clinical supervision efforts. Reports shall include a grading scale to track progress of fellows. Specifically grading will be conducted to gauge the progress on specific skills and techniques related to the delivery of cognitive behavioral therapy.
· The instructors will make recommendations to the Training Director about the retention or advancement or remediation of Psychology Postdoctoral Fellows that attend individual clinical supervision sessions.
· Instruction should be structured to increase the knowledge of each fellow or staff member within the field of Competencies for Cognitive Behavioral Therapy as follows:
· Ability to specify basic concepts of CBT.
· Ability to conceptualize individual cases from a CBT perspective.
· Ability to structure CBT sessions to enhance productivity.
· Ability to describe and implement a CBT model of depression.
· Ability to collect and evaluate automatic thoughts.
· Ability to enhance CBT homework compliance.
· Ability to address issues of treatment termination and relapse prevention using a CBT model.
· Ability to apply mindfulness-based CBT approaches to the treatment of depression.
The Government reserves the right to monitor all classes/performances by vendor. Primary method shall be via audit from NMCP Psychology Training Director, Department Head, and/or Assistant Department Head.
Furlough. Unless otherwise authorized by a defense appropriations bill, contractors shall not be reimbursed by the Government for services not rendered during a Government furlough.
Contractor will be only paid for actual hours worked. Unless otherwise authorized by a defense appropriations bill, contractors will not be reimbursed by the Government for services rendered during a furlough or shut down. Furloughs may include but not limited to temporary closure of facility due to weather conditions, construction in work areas, grants of leave due to Presidential decree (added day of holiday for Christmas or holiday granted due to death of a former President etc), shut down of Government Facilities due to lack of Annual Funding or any other reason. In the event of a Government furlough, the Commanding Officer will determine which contract employees are considered essential employees who must report to work. All other contract employees will be furloughed until the Government shutdown ends or they are contacted by the COR that they have become essential employees.
Section E - Inspection and Acceptance
INSPECTION AND ACCEPTANCE TERMS
Supplies/services will be inspected/accepted at:
| CLIN |
| INSPECT AT |
| INSPECT BY |
| ACCEPT AT |
| ACCEPT BY |
| 0001 |
| Destination |
| Government |
| Destination |
| Government |
| 0001AA |
| Destination |
| Government |
| Destination |
| Government |
| 0001AB |
| Destination |
| Government |
| Destination |
| Government |
| 0001AC |
| Destination |
| Government |
| Destination |
| Government |
| 0001AD |
| Destination |
| Government |
| Destination |
| Government |
| 0001AE |
| Destination |
| Government |
| Destination |
| Government |
| 0002 |
| Destination |
| Government |
| Destination |
| Government |
| 0002AA |
| Destination |
| Government |
| Destination |
| Government |
| 0002AB |
| Destination |
| Government |
| Destination |
| Government |
| 0002AC |
| Destination |
| Government |
| Destination |
| Government |
| 0002AD |
| Destination |
| Government |
| Destination |
| Government |
| 0002AE |
| Destination |
| Government |
| Destination |
| Government |
| 0003 |
| Destination |
| Government |
| Destination |
| Government |
| 0003AA |
| Destination |
| Government |
| Destination |
| Government |
| 0003AB |
| Destination |
| Government |
| Destination |
| Government |
| 0003AC |
| Destination |
| Government |
| Destination |
| Government |
| 0003AD |
| Destination |
| Government |
| Destination |
| Government |
| 0003AE |
| Destination |
| Government |
| Destination |
| Government |
| 0004 |
| Destination |
| Government |
| Destination |
| Government |
| 0004AA |
| Destination |
| Government |
| Destination |
| Government |
| 0004AB |
| Destination |
| Government |
| Destination |
| Government |
| 0004AC |
| Destination |
| Government |
| Destination |
| Government |
| 0004AD |
| Destination |
| Government |
| Destination |
| Government |
| 0004AE |
| Destination |
| Government |
| Destination |
| Government |
| 0005 |
| Destination |
| Government |
| Destination |
| Government |
| 0005AA |
| Destination |
| Government |
| Destination |
| Government |
| 0005AB |
| Destination |
| Government |
| Destination |
| Government |
| 0005AC |
| Destination |
| Government |
| Destination |
| Government |
| 0005AD |
| Destination |
| Government |
| Destination |
| Government |
| 0005AE |
| Destination |
| Government |
| Destination |
| Government |
Section F - Deliveries or Performance
DELIVERY INFORMATION
| CLIN |
| DELIVERY DATE |
| QUANTITY |
| SHIP TO ADDRESS |
| UIC |
| 0001 |
| N/A |
| N/A |
| N/A |
| N/A |
| 0001AA |
| POP 01-OCT-2013 TO |
30-SEP-2014
| N/A |
| NAVAL MEDICAL CENTER |
PSYCHOLOGY DEPARTMENT
620 JOHN PAUL JONES CIRCLE
BLDG 3
PORTSMOUTH VA 23708-2297
757-953-7313
N00183
| 0001AB |
| POP 01-OCT-2013 TO |
30-SEP-2014
| N/A |
| (SAME AS PREVIOUS LOCATION) |
N00183
| 0001AC |
| POP 01-OCT-2013 TO |
30-SEP-2014
| N/A |
| (SAME AS PREVIOUS LOCATION) |
N00183
| 0001AD |
| POP 01-OCT-2013 TO |
30-SEP-2014
| N/A |
| (SAME AS PREVIOUS LOCATION) |
N00183
| 0001AE |
| POP 01-OCT-2013 TO |
30-SEP-2014
| N/A |
| (SAME AS PREVIOUS LOCATION) |
N00183
| 0002 |
| N/A |
| N/A |
| N/A |
| N/A |
| 0002AA |
| POP 01-OCT-2014 TO |
30-SEP-2015
| N/A |
| NAVAL MEDICAL CENTER |
PSYCHOLOGY DEPARTMENT
620 JOHN PAUL JONES CIRCLE
BLDG 3
PORTSMOUTH VA 23708-2297
757-953-7313
N00183
| 0002AB |
| POP 01-OCT-2014 TO |
30-SEP-2015
| N/A |
| (SAME AS PREVIOUS LOCATION) |
N00183
| 0002AC |
| POP 01-OCT-2014 TO |
30-SEP-2015
| N/A |
| (SAME AS PREVIOUS LOCATION) |
N00183
| 0002AD |
| POP 01-OCT-2014 TO |
30-SEP-2015
| N/A |
| (SAME AS PREVIOUS LOCATION) |
N00183
| 0002AE |
| POP 01-OCT-2014 TO |
30-SEP-2015
| N/A |
| (SAME AS PREVIOUS LOCATION) |
N00183
| 0003 |
| N/A |
| N/A |
| N/A |
| N/A |
| 0003AA |
| POP 01-OCT-2015 TO |
30-SEP-2016
| N/A |
| NAVAL MEDICAL CENTER |
PSYCHOLOGY DEPARTMENT
620 JOHN PAUL JONES CIRCLE
BLDG 3
PORTSMOUTH VA 23708-2297
757-953-7313
N00183
| 0003AB |
| POP 01-OCT-2015 TO |
30-SEP-2016
| N/A |
| (SAME AS PREVIOUS LOCATION) |
N00183
| 0003AC |
| POP 01-OCT-2015 TO |
30-SEP-2016
| N/A |
| (SAME AS PREVIOUS LOCATION) |
N00183
| 0003AD |
| POP 01-OCT-2015 TO |
30-SEP-2016
| N/A |
| (SAME AS PREVIOUS LOCATION) |
N00183
| 0003AE |
| POP 01-OCT-2015 TO |
30-SEP-2016
| N/A |
| (SAME AS PREVIOUS LOCATION) |
N00183
| 0004 |
| N/A |
| N/A |
| N/A |
| N/A |
| 0004AA |
| POP 01-OCT-2016 TO |
30-SEP-2017
| N/A |
| NAVAL MEDICAL CENTER |
PSYCHOLOGY DEPARTMENT
620 JOHN PAUL JONES CIRCLE
BLDG 3
PORTSMOUTH VA 23708-2297
757-953-7313
N00183
| 0004AB |
| POP 01-OCT-2016 TO |
30-SEP-2017
| N/A |
| (SAME AS PREVIOUS LOCATION) |
N00183
| 0004AC |
| POP 01-OCT-2016 TO |
30-SEP-2017
| N/A |
| (SAME AS PREVIOUS LOCATION) |
N00183
| 0004AD |
| POP 01-OCT-2016 TO |
30-SEP-2017
| N/A |
| (SAME AS PREVIOUS LOCATION) |
N00183
| 0004AE |
| POP 01-OCT-2016 TO |
30-SEP-2017
| N/A |
| (SAME AS PREVIOUS LOCATION) |
N00183
| 0005 |
| N/A |
| N/A |
| N/A |
| N/A |
| 0005AA |
| POP 01-OCT-2017 TO |
30-SEP-2018
| N/A |
| NAVAL MEDICAL CENTER |
PSYCHOLOGY DEPARTMENT
620 JOHN PAUL JONES CIRCLE
BLDG 3
PORTSMOUTH VA 23708-2297
757-953-7313
N00183
| 0005AB |
| POP 01-OCT-2017 TO |
30-SEP-2018
| N/A |
| (SAME AS PREVIOUS LOCATION) |
N00183
| 0005AC |
| POP 01-OCT-2017 TO |
30-SEP-2018
| N/A |
| (SAME AS PREVIOUS LOCATION) |
N00183
| 0005AD |
| POP 01-OCT-2017 TO |
30-SEP-2018
| N/A |
| (SAME AS PREVIOUS LOCATION) |
N00183
| 0005AE |
| POP 01-OCT-2017 TO |
30-SEP-2018
| N/A |
| (SAME AS PREVIOUS LOCATION) |
N00183
CLAUSES INCORPORATED BY REFERENCE
| 52.242-15 |
| Stop-Work Order |
| AUG 1989 |
Section G - Contract Administration Data
252.232-7006 WIDE AREA WORKFLOW PAYMENT INSTRUCTIONS (MAY 2013)
(a) Definitions. As used in this clause--
Department of Defense Activity Address Code (DoDAAC) is a six position code that uniquely identifies a unit, activity, or organization.
Document type means the type of payment request or receiving report available for creation in Wide Area WorkFlow (WAWF).
Local processing office (LPO) is the office responsible for payment certification when payment certification is done external to the entitlement system.
(b) Electronic invoicing. The WAWF system is the method to electronically process vendor payment requests and receiving reports, as authorized by DFARS 252.232-7003, Electronic Submission of Payment Requests and Receiving Reports.
(c) WAWF access. To access WAWF, the Contractor shall--
(1) Have a designated electronic business point of contact in the System for Award Management at https://www.acquisition.gov; and
(2) Be registered to use WAWF at https://wawf.eb.mil/ following the step-by-step procedures for self-registration available at this Web site.
(d) WAWF training. The Contractor should follow the training instructions of the WAWF Web-Based Training Course and use the Practice Training Site before submitting payment requests through WAWF. Both can be accessed by selecting the “Web Based Training” link on the WAWF home page at https://wawf.eb.mil/.
(e) WAWF methods of document submission. Document submissions may be via Web entry, Electronic Data Interchange, or File Transfer Protocol.
(f) WAWF payment instructions. The Contractor must use the following information when submitting payment requests and receiving reports in WAWF for this contract/order:
(1) Document type. The Contractor shall use the following document type(s).
(Contracting Officer: Insert applicable document type(s). Note: If a “Combo” document type is identified but not supportable by the Contractor's business systems, an “Invoice” (stand-alone) and “Receiving Report” (stand-alone) document type may be used instead.)
(2) Inspection/acceptance location. The Contractor shall select the following inspection/acceptance location(s) in WAWF, as specified by the contracting officer.
(Contracting Officer: Insert inspection and acceptance locations or “Not applicable”.)
(3) Document routing. The Contractor shall use the information in the Routing Data Table below only to fill in applicable fields in WAWF when creating payment requests and receiving reports in the system.
Routing Data Table* Field Name in WAWF Data to be entered in WAWF
| Pay Official DoDAAC | ____ | ||
| Issue By DoDAAC | ____ | ||
| Admin DoDAAC | ____ | ||
| Inspect By DoDAAC | ____ | ||
| Ship To Code | ____ | ||
| Ship From Code | ____ | ||
| Mark For Code | ____ | ||
| Service Approver (DoDAAC) | ____ | ||
| Service Acceptor (DoDAAC) | ____ | ||
| Accept at Other DoDAAC | ____ | ||
| LPO DoDAAC | ____ | ||
| DCAA Auditor DoDAAC | ____ | ||
| Other DoDAAC(s) | ____ |
(*Contracting Officer: Insert applicable DoDAAC information or “See schedule” if multiple ship to/acceptance locations apply, or “Not applicable.”)
(4) Payment request and supporting documentation. The Contractor shall ensure a payment request includes appropriate contract line item and subline item descriptions of the work performed or supplies delivered, unit price/cost per unit, fee (if applicable), and all relevant back-up documentation, as defined in DFARS Appendix F, (e.g. timesheets) in support of each payment request.
(5) WAWF email notifications. The Contractor shall enter the email address identified below in the “Send Additional Email Notifications” field of WAWF once a document is submitted in the system.
(Contracting Officer: Insert applicable email addresses or “Not applicable.”)
(g) WAWF point of contact. (1) The Contractor may obtain clarification regarding invoicing in WAWF from the following contracting activity's WAWF point of contact.
(Contracting Officer: Insert applicable information or “Not applicable.”)
(2) For technical WAWF help, contact the WAWF helpdesk at 866-618-5988.
(End of clause)
Section H - Special Contract Requirements
N00183-0004 PRIVACY AND SECURITY OF PROTECTED HEALTH INFORMATION
1. Introduction
In accordance with DoD 6025.18-R “Department of Defense Health Information Privacy Regulation,” January 24, 2003, the Business Associate meets the definition of Business Associate. Therefore, a Business Associate Agreement is required to comply with both the Health Insurance Portability and Accountability Act (HIPAA) Privacy and Security regulations. This clause serves as that agreement whereby the Business Associate agrees to abide by all applicable HIPAA Privacy and Security requirements regarding health information as defined in this clause, and in DoD 6025.18-R and DoD 8580.02-R, as amended. Additional requirements will be addressed when implemented.
a. Definitions. As used in this clause generally refer to the Code of Federal Regulations (CFR) definition unless a more specific provision exists in DoD 6025.18-R or DoD 8580.02-R.
(1) HITECH Act shall mean the Health Information Technology for Economic and Clinical Health Act included in the American Recovery and Reinvestment Act of 2009.
(2) Individual has the same meaning as the term “individual” in 45 CFR 160.103 and shall include a person who qualifies as a personal representative in accordance with 45 CFR 164.502(g).
(3) Privacy Rule means the Standards for Privacy of Individually Identifiable Health Information at 45 CFR part 160 and part 164, subparts A and E.
(4) Protected Health Information has the same meaning as the term “protected health information” in 45 CFR 160.103, limited to the information created or received by the Business Associate from or on behalf of the Government pursuant to the Contract.
(5) Electronic Protected Health Information has the same meaning as the term “electronic protected health information” in 45 CFR 160.103.
(6) Required by Law has the same meaning as the term “required by law” in 45 CFR 164.103.
(7) Secretary means the Secretary of the Department of Health and Human Services or his/her designee.
(8) Security Incident will have the same meaning as the term “security incident” in 45 CFR 164.304, limited to the information created or received by Business Associate from or on behalf of Covered Entity.
(9) Security Rule means the Health Insurance Reform: Security Standards at 45 CFR part 160, 162 and part 164, subpart C.
(10) Terms used, but not otherwise defined, in this Clause shall have the same meaning as those terms in 45 CFR 160.103, 160.502, 164.103, 164.304, and 164.501.
b. The Business Associate shall not use or further disclose Protected Health Information other than as permitted or required by the Contract or as Required by Law.
c. The Business Associate shall use appropriate safeguards to maintain the privacy of the Protected Health Information and to prevent use or disclosure of the Protected Health Information other than as provided for by this Contract.
d. The HIPAA Security administrative, physical, and technical safeguards in 45 CFR 164.308, 164.310, and 164.312, and the requirements for policies and procedures and documentation in 45 CFR 164.316 shall apply to Business Associate. The additional requirements of Title XIII of the HITECH Act that relate to the security and that are made applicable with respect to covered entities shall also be applicable to Business Associate. The Business Associate agrees to use administrative, physical, and technical safeguards that reasonably and appropriately protect the confidentiality, integrity, and availability of the electronic protected health information that it creates, receives, maintains, or transmits in the execution of this Contract.
e. The Business Associate shall, at their own expense, take action to mitigate, to the extent practicable, any harmful effect that is known to the Business Associate of a use or disclosure of Protected Health Information by the Business Associate in violation of the requirements of this Clause. These mitigation actions will include as a minimum those listed in the TMA Breach Notification Standard Operating Procedure (SOP), which is available at: http://www.tricare.mil/tmaprivacy/breach.cfm
f. The Business Associate shall report to the Government any security incident involving protected health information of which it becomes aware.
g. The Business Associate shall report to the Government any use or disclosure of the Protected Health Information not provided for by this Contract of which the Business Associate becomes aware.
h. The Business Associate shall ensure that any agent, including a sub Business Associate, to whom it provides Protected Health Information received from, or created or received by the Business Associate, on behalf of the Government, agrees to the same restrictions and conditions that apply through this Contract to the Business Associate with respect to such information.
i. The Business Associate shall ensure that any agent, including a subBusiness Associate, to whom it provides electronic Protected Health Information, agrees to implement reasonable and appropriate safeguards to protect it.
j. The Business Associate shall provide access, at the request of the Government, and in the time and manner reasonably designated by the Government to Protected Health Information in a Designated Record Set, to the Government or, as directed by the Government, to an Individual in order to meet the requirements under 45 CFR 164.524.
k. The Business Associate shall make any amendment(s) to Protected Health Information in a Designated Record Set that the Government directs or agrees to pursuant to 45 CFR 164.526 at the request of the Government, and in the time and manner reasonably designated by the Government.
l. The Business Associate shall make internal practices, books, and records relating to the use and disclosure of Protected Health Information received from, or created or received by the Business Associate, on behalf of the Government, available to the Government, or at the request of the Government to the Secretary, in a time and manner reasonably designated by the Government or the Secretary, for purposes of the Secretary determining the Government’s compliance with the Privacy Rule.
m. The Business Associate shall document such disclosures of Protected Health Information and information related to such disclosures as would be required for the Government to respond to a request by an Individual for an accounting of disclosures of Protected Health Information in accordance with 45 CFR 164.528.
n. The Business Associate shall provide to the Government or an Individual, in time and manner reasonably designated by the Government, information collected in accordance with this Clause of the Contract, to permit the Government to respond to a request by an Individual for an accounting of disclosures of Protected Health Information in accordance with 45 CFR 164.528.
2. General Use and Disclosure Provisions
Except as otherwise limited in this Clause, the Business Associate may use or disclose Protected Health Information on behalf of, or to provide services to, the Government for treatment, payment, or healthcare operations purposes, in accordance with the specific use and disclosure provisions below, if such use or disclosure of Protected Health Information would not violate the HIPAA Privacy Rule, the HIPAA Security Rule, DoD 6025.18-R or DoD 8580.02-R if done by the Government. The additional requirements of Title XIII of the HITECH Act that relate to privacy and that are made applicable with respect to covered entities shall also be applicable to Business Associate.
3. Specific Use and Disclosure Provisions
a. Except as otherwise limited in this Clause, the Business Associate may use Protected Health Information for the proper management and administration of the Business Associate or to carry out the legal responsibilities of the Business Associate.
b. Except as otherwise limited in this Clause, the Business Associate may disclose Protected Health Information for the proper management and administration of the Business Associate, provided that disclosures are required by law, or the Business Associate obtains reasonable assurances from the person to whom the information is disclosed that it will remain confidential and used or further disclosed only as required by law or for the purpose for which it was disclosed to the person, and the person notifies the Business Associate of any instances of which it is aware in which the confidentiality of the information has been breached.
c. Except as otherwise limited in this Clause, the Business Associate may use Protected Health Information to provide Data Aggregation services to the Government as permitted by 45 CFR 164.504(e)(2)(i)(B).
d. Business Associate may use Protected Health Information to report violations of law to appropriate Federal and State authorities, consistent with 45 CFR 164.502(j)(1).
4. Obligations of the Government
Provisions for the Government to Inform the Business Associate of Privacy Practices and Restrictions
a. The Government shall provide the Business Associate with the notice of privacy practices that the Government produces in accordance with 45 CFR 164.520.
b. The Government shall provide the Business Associate with any changes in, or revocation of, permission by Individual to use or disclose Protected Health Information, if such changes affect the Business Associate’s permitted or required uses and disclosures.
c. The Government shall notify the Business Associate of any restriction to the use or disclosure of Protected Health Information that the Government has agreed to in accordance with 45 CFR 164.522.
5. Permissible Requests by the Government
The Government shall not request the Business Associate to use or disclose Protected Health Information in any manner that would not be permissible under the HIPAA Privacy Rule, the HIPAA Security Rule, or any applicable Government regulations (including without limitation, DoD 6025.18-R and DoD 8580.02-R) if done by the Government, except for providing Data Aggregation services to the Government and for management and administrative activities of the Business Associate as otherwise permitted by this clause.
6. Termination
a. Termination. A breach by the Business Associate of this clause, may subject the Business Associate to termination under any applicable default or termination provision of this Contract.
b. Effect of Termination.
(1) If this contract has records management requirements, the records subject to the Clause should be handled in accordance with the records management requirements. If this contract does not have records management requirements, the records should be handled in accordance with paragraphs (2) and (3) below
(2) If this contract does not have records management requirements, except as provided in paragraph (3) of this section, upon termination of this Contract, for any reason, the Business Associate shall return or destroy all Protected Health Information received from the Government, or created or received by the Business Associate on behalf of the Government. This provision shall apply to Protected Health Information that agents of the Business Associate may come in contact. The Business Associate shall retain no copies of the Protected Health Information.
(3) If this contract does not have records management provisions and the Business Associate determines that returning or destroying the Protected Health Information is infeasible, the Business Associate shall provide to the Government notification of the conditions that make return or destruction infeasible. Upon mutual agreement of the Government and the Business Associate that return or destruction of Protected Health Information is infeasible, the Business Associate shall extend the protections of this Contract to such Protected Health Information and limit further uses and disclosures of such Protected Health Information to those purposes that make the return or destruction infeasible, for so long as the Business Associate maintains such Protected Health Information.
7. Miscellaneous
a. Regulatory References. A reference in this Clause to a section in DoD 6025.18-R, DoD 8580.02-R, Privacy Rule or Security Rule means the section currently in effect or as amended, and for which compliance is required.
b. Survival. The respective rights and obligations of Business Associate under the “Effect of Termination” provision of this Clause shall survive the termination of this Contract.
c. Interpretation. Any ambiguity in this Clause shall be resolved in favor of a meaning that permits the Government to comply with DoD 6025.18-R, DoD 8580.02-R, the HIPAA Privacy Rule or the HIPAA Security Rule.
N00183-0019 Base Access (NMCP)
Commander, Navy Installations Command (CNIC), has established the Navy Commercial Access Control System (NCACS), a standardized process for granting unescorted access privileges to vendors, contractors, suppliers and service providers not otherwise entitled to the issuance of a Common Access Card (CAC) who seek access to and can provide justification to enter Navy installations and facilities. Vendors visiting Naval Medical Center Portsmouth (NMCP) may obtain daily passes directly from Naval Station Norfolk (NSN) Pass and ID office, located at NSN (Bldg CD-9), 9040 Hampton Blvd, Norfolk, Virginia, 23505, by submitting identification credentials for verification and undergoing a criminal screening/ background check. Alternatively, if the vendor so chooses, it may voluntarily elect to obtain long-term credentials through enrollment, registration, background vetting, screening, issuance of credentials, and electronic validation of credentials at its own cost through one of the designated independent contractor NCACS service providers. Credentials will be issued every five years and access privileges will be reviewed / renewed on an annual basis. The costs incurred to obtain Navy installation access of any kind are not reimbursable, and the price(s) paid for obtaining long-term NCACS credentials will not be approved as a direct cost of this contract. Further information regarding NCACS can be found at http://cnic.navy.mil/CNIC_HQ_Site/index.htm.
N00183-0023 Service Contracts General (Ref NMCARS 5237.102)
The contractor shall report ALL contractor labor hours (including subcontractor labor hours) required for performance of services provided under this contract for the [NAMED COMPONENT] via a secure data collection site. The contractor is required to completely fill in all required data fields using the following web address https://doncmra.nmci.navy.mil .
Reporting inputs will be for the labor executed during the period of performance during each Government fiscal year (FY), which runs October 1 through September 30. While inputs may be reported any time during the FY, all data shall be reported no later than October 31 of each calendar year. Contractors may direct questions to the help desk, linked at https://doncmra.nmci.navy.mil."
INFORMATION ONLY: This document has been designated for posting to the Navy Electronic Commerce Online (NECO) at http://www.neco.navy.mil
Section I - Contract Clauses
| 52.203-3 |
| Gratuities |
| APR 1984 |
| 52.204-10 |
| Reporting Executive Compensation and First-Tier Subcontract Awards |
| JUL 2013 |
| 52.209-10 |
| Prohibition on Contracting With Inverted Domestic Corporations |
| MAY 2012 |
| 52.213-2 |
| Invoices |
| APR 1984 |
| 52.213-3 |
| Notice to Suppliers |
| APR 1984 |
| 52.213-4 |
| Terms and Conditions--Simplified Acquisitions (Other Than Commercial Items) |
| JUL 2013 |
| 52.215-8 |
| Order of Precedence--Uniform Contract Format |
| OCT 1997 |
| 52.217-8 |
| Option To Extend Services |
| NOV 1999 |
| 52.217-9 |
| Option To Extend The Term Of The Contract |
| MAR 2000 |
| 52.222-42 |
| Statement Of Equivalent Rates For Federal Hires |
| MAY 1989 |
| 52.222-49 |
| Service Contract Act -- Place Of Performance Unknown |
| MAY 1989 |
| 52.222-50 |
| Combating Trafficking in Persons |
| FEB 2009 |
| 52.223-16 Alt I |
| IEEE 1680 Standard for the Environmental Assessment of Personal Computer Products (Dec 2007) Alternate I |
| DEC 2007 |
| 52.223-18 |
| Encouraging Contractor Policies To Ban Text Messaging While Driving |
| AUG 2011 |
| 52.225-13 |
| Restrictions on Certain Foreign Purchases |
| JUN 2008 |
| 52.232-1 |
| Payments |
| APR 1984 |
| 52.232-8 |
| Discounts For Prompt Payment |
| FEB 2002 |
| 52.232-19 |
| Availability Of Funds For The Next Fiscal Year |
| APR 1984 |
| 52.232-23 Alt I |
| Assignment of Claims (Jan 1986) - Alternate I |
| APR 1984 |
| 52.233-3 |
| Protest After Award |
| AUG 1996 |
| 52.237-2 |
| Protection Of Government Buildings, Equipment, And Vegetation |
| APR 1984 |
| 52.237-3 |
| Continuity Of Services |
| JAN 1991 |
| 52.243-1 |
| Changes--Fixed Price |
| AUG 1987 |
| 52.244-6 |
| Subcontracts for Commercial Items |
| JUL 2013 |
| 52.249-1 |
| Termination For Convenience Of The Government (Fixed Price) (Short Form) |
| APR 1984 |
| 52.249-8 |
| Default (Fixed-Price Supply & Service) |
| APR 1984 |
| 52.252-6 |
| Authorized Deviations In Clauses |
| APR 1984 |
| 252.203-7002 |
| Requirement to Inform Employees of Whistleblower Rights |
| JAN 2009 |
| 252.204-7003 |
| Control Of Government Personnel Work Product |
| APR 1992 |
| 252.204-7004 Alt A |
| Central Contractor Registration Alternate A |
| MAY 2013 |
| 252.204-7006 |
| Billing Instructions |
| OCT 2005 |
| 252.225-7002 |
| Qualifying Country Sources As Subcontractors |
| DEC 2012 |
| 252.232-7001 |
| Disposition Of Payment |
| DEC 1991 |
| 252.233-7001 |
| Choice of Law (Overseas) |
| JUN 1997 |
| 252.239-7001 |
| Information Assurance Contractor Training and Certification |
| JAN 2008 |
| 252.243-7001 |
| Pricing Of Contract Modifications |
| DEC 1991 |
| 252.244-7000 |
| Subcontracts for Commercial Items |
| JUN 2013 |
52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)
This contract incorporates one or more clauses 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. Also, the full text of a clause may be accessed electronically at this/these address(es):
FAR Clauses http://acquisition.gov/comp/far/index.htm
DFAR Clauses http://www.acq.osd.mil/dpap/dars/dfars/index.htm
(End of clause)
Section K - Representations, Certifications and Other Statements of Offerors
52.204-3 TAXPAYER IDENTIFICATION (OCT 1998)
(a) Definitions.
Common parent, as used in this provision, means that corporate entity that owns or controls an affiliated group of corporations that files its Federal income tax returns on a consolidated basis, and of which the offeror is a member.
Taxpayer Identification Number (TIN), as used in this provision, means the number required by the Internal Revenue Service (IRS) to be used by the offeror in reporting income tax and other returns. The TIN may be either a Social Security Number or an Employer Identification Number.
(b) All offerors must submit the information required in paragraphs (d) through (f) of this provision to comply with debt collection requirements of 31 U.S.C. 7701(c) and 3325(d), reporting requirements of 26 U.S.C. 6041, 6041A, and 6050M, and implementing regulations issued by the IRS. If the resulting contract is subject to the payment reporting requirements described in Federal Acquisition Regulation (FAR) 4.904, the failure or refusal by the offeror to furnish the information may result in a 31 percent reduction of payments otherwise due under the contract.
(c) The TIN may be used by the Government to collect and report on any delinquent amounts arising out of the offeror's relationship with the Government (31 U.S.C. 7701(c)(3)). If the resulting contract is subject to the payment reporting requirements described in FAR 4.904, the TIN provided hereunder may be matched with IRS records to verify the accuracy of the offeror's TIN.
(d) Taxpayer Identification Number (TIN).
___ TIN:.--------------------------------------------------------
___ TIN has been applied for.
___ TIN is not required because:
___ Offeror is a nonresident alien, foreign corporation, or foreign partnership that does not have income effectively connected with the conduct of a trade or business in the United States and does not have an office or place of business or a fiscal paying agent in the United States;
___ Offeror is an agency or instrumentality of a foreign government;
___ Offeror is an agency or instrumentality of the Federal Government.
(e) Type of organization.
___ Sole proprietorship;
___ Partnership;
___ Corporate entity (not tax-exempt);
___ Corporate entity (tax-exempt);
___ Government entity (Federal, State, or local);
___ Foreign government;
___ International organization per 26 CFR 1.6049-4;
___ Other--------------------------------------------------------
(f) Common parent.
___ Offeror is not owned or controlled by a common parent as defined in paragraph (a) of this provision.
___ Name and TIN of common parent:
Name-------------------------------------------------------------------
TIN--------------------------------------------------------------------
(End of provision)
Section L - Instructions, Conditions and Notices to Bidders
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 this/these address(es):
FAR Clauses http://acquisition.gov/comp/far/index.htm
DFAR Clauses http://www.acq.osd.mil/dpap/dars/dfars/index.htm
(End of provision
Section M - Evaluation Factors for Award
| 52.217-5 |
| Evaluation Of Options |
| JUL 1990 |
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