13-R-0004_amendment_0002.doc

N62645-13-R-0004

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 30 - BLOCK 14 CONTINUATION PAGE

The following have been added by full text:

ANSWER ADDITIONAL QUESTIONS

1. Can you please specify if we are to base our proposal pricing off the wage determinations incorporated into the solicitation or based on the most up to date wage determinations?

Answer: The Wage Determinations in Section J, Attachment AJ have been updated. The offeror is required to comply with the current Wage Determination.

2. In the process of filling out the pricing sheet I noticed that there was an inconsistency in LOT F. I noticed that 0002AC has 4176 hours, but the FTE is listed as 1. In the other lots, every instance of 4176 hours was associated with 2 FTEs. 0002AC Licensed Clinical Social Worker (1 Individual) at Naval Hospital Lemoore, CA. Base Period-01 October 2014 through 30 September 2015.

Answer: The pricing sheet has been updated and posted to the Federal Business Opportunities web site (https://www.fbo.gov/) with Amendment 0001 on 28 June.

3. Can the Government provide the SCA classification for each of the positions in Lots A-G?

Answer: The SCA classification for Nurse Practitioner is RN Level III, the classification for Certified Nursing Assistant is Nursing Assistant Level II.

4. QUESTION: Are offerors required to discuss the marketplace only for the 8 primary listed Naval Hospital locations and associated branch clinics or must the discussion also include all the states where performance might be performed, as identified in Section H.1.8.1?

If discussion is required for all the states, can the Government please provide a narrower scope than the entire state?

Answer: Offerors are advised to discuss their knowledge of the marketplaces for all labor bands and locations represented in paragraph H.1.8.1 of the solicitation. This includes all states and territories listed. The government does not intend to reduce the scope as services may be required in any or all of the locations listed during the period of performance of the potential contract.

5. I noticed that a new price sheet with an undated summary sheet has not yet been posted. When can we expect a new price sheet and the responses to the questions and answers?

Answer: See answer to question 2.

6. According to Section L.2.4.5, the Supplemental Pricing should be included in an Excel Spreadsheet provided by the Govt. Neither of the current price sheets (attached) provide an area to include the Supplemental Pricing as outlined below. (Min and Average in Excel Spreadsheet).

L.2.4.5. Pricing (offeror's hourly rates) and supplemental pricing (health care workers' compensation rates) shall be submitted on a spreadsheet. An electronic file will be posted to the Federal Business Opportunities web site (https://www.fbo.gov/) along with the solicitation and any amendments for downloading. The file will be named "Pricing Sheet for N62645-13-R-0004.xlsx". The offeror shall complete the pricing worksheet and supplemental pricing worksheets required on all tabs included in the electronic spreadsheet. Blue boxes designate those fields into which the offeror can enter data. The completed file shall be submitted on the Volume III - Business CD-ROM. The file shall be renamed: [name of offeror] pricing sheet.xlsx. Please note that any reformatting of the pricing spreadsheet or failure to follow the naming conventions provided in this section may cause a serious delay in the evaluation process and may result in rejection of the offeror's proposal.

Please advise how we should address?

Answer: There is a place to add minimum and average rates on each Lot Tab, for each CLIN, on the pricing sheet on Columns F and G.

The following have been deleted:

ANSWERS TO QUESTIONS

SECTION J - LIST OF DOCUMENTS, EXHIBITS AND OTHER ATTACHMENTS

The following have been modified:

ATTACHMENT AJ

WAGE DETERMINATIONS

Wage Determinations may be found at the following website: http://www.wdol.gov/ The following Wage Determination versions are applicable:

Camp Pendleton, CA WD 05-2057 (Rev.-14)

Yuma, AZ

WD 05-2027 (Rev.-17)

Fallon, NV

WD 05-2333 (Rev.-13)

San Diego, CA

WD 05-2057 (Rev.-14)

Lemoore, CA

WD 05-2073 (Rev.-16)

Twentynine Palms, CA WD 05-2053 (Rev.-16)

Port Hueneme, CA WD 05-2071 (Rev.-15)

China Lake, CA

WD 05-2043 (Rev.-16)

Bremerton, WA

WD 05-2559 (Rev.-16)

Oak Harbor

WD 05-2559 (Rev.-16)

Everett, WA

WD 05-2563 (Rev.-15)

SECTION K - REPRESENTATIONS, CERTIFICATIONS AND OTHER STATEMENTS OF OFFERORS

The following have been modified:

SECTION K

K.1. In accordance with FAR 52.204-8, the offeror must complete the Online Representations and Certifications Application (ORCA) to include representation as a Service Disabled Veteran Owned Small Business concern under the North American Industry Classification System (NAICS) code applicable to this solicitation (622110). (Please note that the Online Representations and Certifications Application (ORCA) has been replaced with the System for Award Management (SAM) https://www.sam.gov/portal/public/SAM/)

K.2. In accordance with DFAR 252.209-7995, the offeror must Offeror represents that it is/is not a corporation that has any unpaid Federal tax liability that has been assessed, for which all judicial and administrative remedies have been exhausted or have lapsed, and that is not being paid in a timely manner pursuant to an agreement with the authority responsible for collecting the tax liability, and that it is/is not a corporation that was convicted of a felony criminal violation under a Federal law within the preceding 24 months as of the date of this offer by completing and returning enclosure 1 of this solicitation (Section K).

Enclosure 1

252.209-7995 REPRESENTATION BY CORPORATIONS REGARDING AN UNPAID DELINQUENT TAX

LIABILITY OR A FELONY CONVICTION UNDER ANY FEDERAL LAW-FISCAL YEAR 2013 APPROPRIATIONS (DEVIATION 2013-00010) (April 2013)

(a) In accordance with sections 8112 and 8113 of Division C and sections 514 and 515 of Division E of the Consolidated and Further Continuing Appropriations Act, 2013, (Pub.L.113-6), none of the funds made available by that Act for DoD (including Military Construction funds) may be used to enter into a contract with any corporation that-

(1) Has any unpaid Federal tax liability that has been assessed, for which all judicial and administrative remedies have been exhausted or have lapsed, and that is not being paid in a timely manner pursuant to an agreement with the authority responsible for collecting the tax liability, where the awarding agency is aware of the unpaid tax liability, unless the agency has considered suspension or debarment of the corporation and made a determination that this further action is not necessary to protect the interests of the Government;

or

(2) Was convicted of a felony criminal violation under any Federal law within the preceding 24 months, where the awarding agency is aware of the conviction, unless the agency has considered suspension or debarment of the corporation and made a determination that this action is not necessary to protect the interests of t he Government.

(b) The Offeror represents that-

(1) It is [ ] is not [ ] a corporation that has any unpaid Federal tax liability that has been assessed, for which all judicial and administrative remedies have been exhausted or have lapsed, and that is not being paid in a timely manner pursuant to an agreement with the authority responsible for collecting the tax liability,

(2) It is [ ] is not [ ] a corporation that was convicted of a felony criminal violation under a Federal law within the preceding 24 months.

(End of provision)

SECTION L - INSTRUCTIONS, CONDITIONS AND NOTICES TO BIDDERS

The following have been modified:

SECTION L

Failure to comply with any of the instructions may result in the proposal being removed from further consideration.

L.1. SUBMISSION OF COST OR PRICING DATA.

L.1.1. It is expected that this contract will be awarded based upon a determination that there is adequate price competition; therefore, the offeror is not required to submit additional cost or price data (beyond that required by Section L.2) or to certify cost or pricing data with its proposal.

L.1.2. If, after receipt of the proposals, the Contracting Officer determines that adequate price competition does not exist in accordance with FAR 15.403-3 and FAR 15.403-4 the offeror shall provide other information requested to be submitted to determine fairness and reasonableness of price, or certified cost or pricing data as requested by the Contracting Officer.

L.2. PROPOSAL CONTENT AND INSTRUCTIONS FOR PREPARATION OF PROPOSALS.

L.2.1. Introduction and Purpose - This section specifies the format and content that offerors shall use in this Request for Proposal (RFP). The intent is not to restrict the offerors in the manner in which they will perform their work but rather to ensure a certain degree of uniformity in the format of the responses for evaluation purposes. Offerors must submit a proposal that is legible and comprehensive enough to provide the basis for a sound evaluation by the Government. Information provided should be precise, factual, and complete. Legibility, clarity, completeness, and responsiveness are important. Proposals shall be in the form prescribed by, and shall contain a response to, each of the areas identified in Section L.2. Any proposal that does not meet the requirements of the solicitation may be determined to be substantially incomplete and may result in rejection of the offeror's entire proposal.

L.2.1.2. The proposal shall be submitted in three separate volumes:

Volume I – Past Performance

Volume II – Technical

Volume III – Business

A complete Volume I - Past Performance; Volume II -Technical; and Volume III - Business; shall be submitted at the same time to the address in Paragraph L.3.3. by the closing time and date referenced in Block 9 of the SF 33. If any one proposal volume is received past the stated closing date specified in this solicitation, the entire proposal will be considered late. No further consideration will be given to any offeror who submits any of these volumes late in accordance with FAR 15.208(b).

L.2.1.3. The Past Performance and Technical volumes (Volumes I and II, respectively) shall be in Microsoft Word for Windows (2007)(.docx) with 1 inch margins all around, Times New Roman font of not less than 10 point font size inclusive of tables, charts, graphs, graphics, etc. Text, tables, charts, graphs, graphics, etc. that are not in compliance will not be considered by the Government in its evaluation. Each page of each document shall have a footer indicating the name of the offeror and “page X of Y.”

L.2.1.4. The total number of the pages submitted for Volume I (Past Performance) shall not exceed 6 pages, excluding a cover letter, title page, table of contents, and consent letters. If Volume I contains more than 6 pages, only the first 6 pages will be evaluated. The total number of the pages submitted for Volume II (Technical) shall not exceed 10 pages, excluding a cover letter, title page, and table of contents. If Volume II contains more than 10 pages, only the first 10 pages will be evaluated.

L.2.2. Volume I: Past Performance. In accordance with electronic submission requirements given in this section, the offeror shall include the following:

L.2.2.1. The offeror shall complete a maximum of six Past Performance Information Sheets (Section L Enclosure 1). Each of the Past Performance Information Sheets shall be completed in its entirety. The Past Performance Information listed on each sheet shall be for clinical medical or dental services. If more than 6 Past Performance Information Sheets are provided, only the first six will be considered. Each Past Performance Information Sheet shall identify no more than one Point of Contact (POC). Each Past Performance Information Sheet may include multiple contracts or one or more task orders under single IDIQ contracts. The same contract may appear on more than one Past Performance Information Sheet if more than one POC exists. If more than one POC is provided for any Past Performance Information Sheet, only the first POC will be considered. Each Past Performance Information Sheet shall not exceed one page. If a Past Performance Information Sheet contains more than one page, only the first page will be considered. Contracts cited must be current, or have ended not more than three years prior to the closing date of the solicitation. If the contract performance ended more than three years prior to the closing date of the solicitation it will be determined not relevant.

L.2.2.2. The offeror may submit past performance that demonstrates prior experience of key personnel. The past performance submission shall identify, by name, the key personnel and clearly identify their previous roles and responsibilities and their proposed roles and responsibilities under the resultant contract. If the submission does not clearly describe the roles and responsibilities of the key personnel and the how the key personnel will contribute to the performance under the resultant contract, it will be determined not relevant.

L.2.2.3. The offeror may submit past performance that demonstrates prior experience by teaming partners (e.g. proposed subcontractor, partner, mentor, protégé, parent company, sister company, etc.) only if they will be performing in support of the contract resulting from this solicitation. Such past performance submissions shall clearly identify the relationship of the teaming partners to the offeror and the how they will contribute to the performance under the resultant contract. If the submission does not clearly describe the relationship of teaming partners to the offeror and the how the teaming partners will contribute to the performance under the resultant contract, it will be determined not relevant. A maximum of three Past Performance Information Sheets shall be for services provided by entities other than the offeror, members of SBA approved Joint Ventures, and key personnel.

L.2.2.4. If Past Performance is submitted for a contract under which the offeror or teaming partner provided services as a subcontractor, partner, mentor, protégé, parent company, sister company, etc., the Past Performance Information Sheet shall clearly describe the corporate relationships among those who provided the services, citing key responsibilities for each, to include identifying the specific services provided (in terms of numbers and types of personnel, locations, etc) and nature of services provided (e.g., recruitment, payroll, benefits administration, etc). If the submission does not clearly detail the specific responsibilities and relationship under a contract, it will be determined not relevant.

L.2.2.5. If a teaming partner is proposed, the offeror shall submit written consent from that teaming partner to disclose their Past Performance information to the contractor. If such consent is not provided as part of the submission, the Past Performance of that teaming partner will be determined not relevant.

L.2.2.6. If neither the offeror nor its teaming partner possesses relevant past performance, the offeror shall submit a statement affirming that it possesses no relevant Past Performance.

L.2.2.7. The Government may contact the POCs listed on the Past Performance Information Sheets. POCs must be either Government personnel (civil service or military) or employees of private sector clients (such as public or private sector dental/medical facilities) with whom it has provided services. Information provided by or for POCs who work directly for the offeror or a teaming partner will be determined not relevant.

L.2.3. Volume II: Technical (Management Plan and Market Research). In accordance with electronic submission requirements given in this section, the offeror shall include the following:

L.2.3.1. The offeror shall discuss the corporate personnel who will be responsible for contract start-up and the ongoing administration of all key functional areas, such as but not limited to recruitment, scheduling, human resources, program management, security, and credentialing. The offeror shall list the name, title, and employer (i.e. offeror or teaming partner) of all key corporate personnel. The plan shall describe the range of responsibilities for each individual and should discuss how the qualifications and experience of each individual will contribute to successful contract operations.

L.2.3.2. The offeror shall discuss their knowledge of the marketplaces represented in the solicitation and detail the sources and methodologies through which they will recruit and retain required health care workers. Further, the offeror shall discuss their knowledge of the marketplaces represented in the solicitation and discuss how marketplace conditions (such as, but not limited to scarce labor categories or remote locations) will impact the ability to recruit and retain required health care workers. Without revealing the prices submitted in response to this solicitation, the offeror shall demonstrate market research and discuss how it has applied the marketplace knowledge in development of the proposal.

L.2.3.3. If a subcontractor has been proposed, the contractor shall specifically address FAR 52.219-14, Limitations on Subcontracting; the offeror’s Technical volume shall clearly detail the nature of the relationship between the parties, (i.e. subcontractor, partner, etc) and shall address the responsibilities of all parties as they will relate to provision of services under the resultant contract.

L.2.3.4. If the offeror is proposing as a mentor/protégé or business relationship other than subcontracting, the offeror’s Technical volume shall clearly detail the nature of the relationship between the parties, (i.e. mentor-protégé, joint venture, etc) and shall address the responsibilities of all parties as they would relate to provision of services under the resultant contract.

L.2.3.5. Offerors are cautioned not to include any pricing or cost information in any portion of the Technical volume. Note that this exclusion does not apply to presentation of the results of the offeror's recruitment market survey or price information for past contracts.

L.2.4. Volume III: Business. In accordance with file submission requirements given in this section, the offeror shall include the following:

L.2.4.1. Standard Form (SF) 33. This form will be provided to the offeror electronically as part of the solicitation package. It shall be appropriately completed, inclusive of the offeror's name, address, and required Commercial and Government Entity (CAGE) codes, signed and dated. The offeror's identity will be determined by the name submitted on the SF 33. It is not necessary to submit the entire solicitation.

NOTE: The blank space contained in Block 12 of the SF 33 should read 365 calendar days.

L.2.4.2. Amendments. Each amendment shall be acknowledged through instructions in Block 11 of the SF 30. Signed copies of the cover page are acceptable. It is not necessary to submit the entire amendment. The solicitation and all amendments will be posted to the Federal Business Opportunities website (FBO) at https://www.fbo.gov/ . It is the offeror’s sole responsibility to periodically check the website for amendments and to ensure that all amendments issued prior to the closing date are acknowledged in accordance with instructions in Block 11 of the Standard Form (SF) 30.

L.2.4.3. Section K - Representations, Certifications and Other Statements of Offerors of this Solicitation.

L.2.4.3.1. The offeror must be registered in Online Representations and Certifications Application (ORCA) in accordance with Section K, FAR 52.204-8, and DFARS 252.204-7007. The offeror shall verify its ORCA is current, accurate, complete and applicable to this solicitation as of the date of this offer and is incorporated in this offer by reference. The offeror shall also be registered in ORCA as a small business under the applicable NAICS code for this solicitation, 622110. The small business size standard is $35.5M. (Please note that the Online Representations and Certifications Application (ORCA) has been replaced with the System for Award Management (SAM) https://www.sam.gov/portal/public/SAM/). No documentation is required to be submitted in response to this paragraph.

L.2.4.3.2. The offeror shall complete and submit Clause 252.209-7995 [REPRESENTATION BY CORPORATIONS REGARDING AN UNPAID DELINQUENT TAX LIABILITY OR A FELONY CONVICTION UNDER ANY FEDERAL LAW-FISCAL YEAR 2013 APPROPRIATIONS (DEVIATION 2013-00010) (April 2013) (Refer to Section K, Enclosure 1)].

L.2.4.4. Offeror’s Information Form located in Section L, Enclosure 2 shall be completed and submitted. The offeror shall fill in every field on the form for it to be considered complete. Please note that all communication regarding this solicitation and proposals will be directed to the designated contacts on the form.

L.2.4.5. Pricing (offeror’s hourly rates) and supplemental pricing (health care workers’ compensation rates) shall be submitted on a spreadsheet. An electronic file will be posted to the Federal Business Opportunities web site (https://www.fbo.gov/) along with the solicitation and any amendments for downloading. The file will be named “Pricing Sheet for N62645-13-R-0004.xlsx”. The offeror shall complete the pricing worksheet and supplemental pricing worksheets required on all tabs included in the electronic spreadsheet. Blue boxes designate those fields into which the offeror can enter data. The completed file shall be submitted on the Volume III – Business CD-ROM. The file shall be renamed: [name of offeror] pricing sheet.xlsx. Please note that any reformatting of the pricing spreadsheet or failure to follow the naming conventions provided in this section may cause a serious delay in the evaluation process and may result in rejection of the offeror's proposal.

L.2.4.5.1. Pricing and supplemental pricing for this solicitation represents minimum quantities plus four option periods (lots). Lots for this requirement are outlined in the electronic pricing spreadsheet and Enclosures 3-9. Enclosures 3-9, located in Section L, contain the statements of work for each lot. The offeror shall submit pricing and supplemental pricing for each lot on the electronic pricing spreadsheet.

L.2.4.5.2. The information contained in enclosures 3-9 is provided to assist in the development of pricing and supplemental pricing for the CLINs. These enclosures shall not be submitted with an offeror’s business volume; it is for informational purposes only. Pricing and supplemental pricing shall be completed in accordance with Section L.2.4.5.

L.3. FILE SUBMISSION.

L.3.1. Only electronic files will be accepted.

L.3.2. The Past Performance, Technical, and Business volumes shall be submitted by mail (or hand delivered as specified in L.3.3. of this solicitation) in electronic format as files on CD-ROMs. Files shall be in Microsoft Office for Windows format (2007), either .docx or .xlsx files as specified herein. Consent letters and forms that require signatures may be submitted as a .pdf file and included with the corresponding volume.

L.3.3. For the mailed or hand delivered CD-ROMs; one set of CD-ROMs shall be submitted. Each CD-ROM shall be labeled as to the name of the offeror and the contents of the CD-ROM. Offerors who desire to hand deliver their proposals shall submit a request no later than five working days prior to the anticipated submission date via email to: Katie.sheckels@med.navy.mil. The contractor shall provide: 1) Name(s) of point of contact; 2) Phone and Fax Number; 3) Email Address; and, 4) Requested Date/Time of Delivery. The contractor can expect confirmation of their request within 3 work days of receipt with concurrence of the requested delivery date/time or an alternate delivery date/time. It is the Offeror’s responsibility to follow-up with NMLC if no confirmation is received within 72 hours. Any late requests for hand delivery will not be honored. The contractor shall be required to make all arrangements for access to the Fort Detrick military installation. It is the Offeror's responsibility to ensure that proposals are delivered by the due date and time required.

The address for proposal submission is:

Naval Medical Logistics Command

ATTN: Katie Sheckels

693 Neiman Street

Fort Detrick, MD 21702

Telephone: (301) 619-3067

L.3.4. The offeror is responsible for ensuring that submitted CD-ROMs include all complete files and are not physically damaged nor contain corrupted files such that they are not readable by the Government.

L.3.5.The Government is explicitly raising the prescribed file content and submission requirements from what might be argued as a matter of "form", to one that is materially substantive in that it reflects upon the offeror's ability and willingness to follow instructions and fulfill its obligations. Upon receipt of proposals, and prior to actively engaging in proposal evaluation, a compliance review will be conducted to determine if each offeror met the submission requirements for each volume as outlined in sections L.2.4.1, L.2.4.2, L.2.4.3.1, L.2.4.3.2, L.2.4.4, L.2.4.5.1, L.3.2, M.2.3, and M.2.6.1.1. In order to be eligible for award, a proposal must comply in all material respects with the terms and conditions set forth in this solicitation. Failure to properly submit any items listed in sections L.2.4.1, L.2.4.2, L.2.4.3.1, L.2.4.3.2, L.2.4.4, L.2.4.5.1, L.3.2, M.2.3, and M.2.6.1.1 will result in rejection of the offerors’ entire proposal L.4. PROPOSAL EVALUATION. Proposals will be evaluated in accordance with the evaluation criteria as outlined as outlined in Sections H for Lot Awards and M for Contract Awards.

L.5. QUESTIONS. Questions should be presented in writing to the contract specialist no later than 10 calendar days after the issue date (Block 5 of SF33) of this solicitation via email to katie.sheckels@med.navy.mil . Questions should be listed chronologically and reference the corresponding solicitation section and paragraph. NMLC’s responses to questions will be presented in the form of an amendment. The source of the questions will not be disclosed.

L.6. REVIEW OF AGENCY PROTESTS. The contracting activity, NMLC, will process agency protests in accordance with the requirements set forth in FAR 33.103(d).

L.6.1. Pursuant to FAR 33.103(d)(4), an agency protest may be filed directly with the appropriate reviewing authority; or a protester may appeal a decision rendered by a Contracting Officer to the appropriate reviewing authority.

L.6.2. The reviewing authority for the Contracting Officer is the Director of Acquisition Management, NMLC, Code 02, 693 Neiman Street, Fort Detrick, MD 21702-9203. Agency procurement protests should clearly identify the initial adjudicating official, i.e., the, “Contracting Officer” or the, “Reviewing Official”.

L.6.3. Offerors should note this review of the Contracting Officer’s decision will not extend GAO’s timeliness requirements. Therefore, any subsequent protest to GAO must be filed within 10 days of knowledge of initial adverse agency action.

L.7. Offerors shall not contact any incumbent health care workers during their official duty hours.

L.8. The North American Industry Classification System (NAICS) code for this requirement is 622110. This requirement is 100% set-aside for Service Disabled Veteran Owned Small Businesses. The Small Business Administration (SBA) size standard for the NAICS code 622110 is $35.5M.

L.9. In accordance with the Naval Marine Corps Acquisition Regulation Supplement (NMCARS) 5232.903, for Prompt Payment Act purposes, contracts will be subject to the 7 calendar day constructive acceptance period.

L.10. In accordance with FAR 52.232-18, funds are not presently available for the resulting contracts. The Government's obligation under this solicitation 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 the resulting contracts and until the Contractor receives notice of such availability, to be confirmed in writing by the Contracting Officer.

L.11. List of Enclosures:

Enclosure 1 – Past Performance Information Sheet

Enclosure 2 – Offeror’s Information Form

Enclosure 3 – Lot A Enclosure 4 – Lot B Enclosure 5 – Lot C Enclosure 6 – Lot D Enclosure 7 – Lot E Enclosure 8 – Lot F Enclosure 9 – Lot G

Enclosure 1—Past Performance Information Sheet Complete this form in accordance with Sections L.2 and L.3. Do not reformat the structure and content of the form.

1. POC information: name, title, phone number, e-mail address, agency name, and address.

2. Contract Number and Task Order number(s), if applicable.

3. Name of contractor to whom the contract was awarded. Name of contractor who performed services, if different from awardee. Provide the CAGE Code and DUNS numbers of both the awardee and the contractor who performed the service(s).

4. Dates when services were provided.

5. Place(s) of performance.

6. List the number and type of health care workers provided. (i.e., 1 Nurse Practitioner, 2 RNs, 1 Certified Nurse Midwife etc.) Specify if services were full time, part time, temporary, or locum tenens types of services.

7. If this is not the offeror’s contract describe how this past performance is pertinent. (see Section L.2.2.2., L.2.2.3., and L.2.2.4.)

8. The offeror shall provide information on problems encountered on the identified contract(s) and the contractor’s corrective actions.

Enclosure 2—Offeror’s Information Form

Provide two points of contact. The points of contact shall be officials from the prime contractor’s organization. All blanks shall be completed.

Contact 1

Name: ____________________________________

Company Name_____________________________

Title:______________________________________

Phone Number: _____________________________

Email Address: _____________________________

Contact 2

Name: ____________________________________

Company Name______________________________

Title:______________________________________

Phone Number: _____________________________

Email Address: _____________________________

Enclosure 3—Lot A Statement of Work Pharmacy Department Naval Hospital Lemoore, CA

1. Site of Service. The contractor shall provide personnel for services at the Naval Hospital Lemoore, CA and/or Area Branch Medical Clinics that are within 35-miles of the hospital.

2. Labor Category. The contractor shall provide personnel from the following labor category.

Pharmacy Technicians* (3 Individuals) *Wage Determination applies

3. Qualification. The healthcare workers (HCWs) shall possess and maintain the minimum qualifications stated in Section C of the basic contract.

4. Staffing and Scheduling.

4.1. The contractor shall provide three full time Pharmacy Technicians. To maintain continuity of services, the HCWs MUST BE FULL TIME INDIVIDUALS. The Commanding Officer will not approve more than one individual for each of the required positions.

4.2. The HCWs shall normally provide services Monday through Friday between the hours of 0730 and 1700 for a 9 hour shift to include an uncompensated 1-hour meal break. In no instance will the HCW be required to provide services (on-site plus approved leave and holidays) in excess of 80 hours per 2-week period. The specific schedule for the HCW for each 2 week period will be scheduled 1 month in advance by the supervisor.

4.3. The HCWs will each accrue 8 hours of personal leave (annual plus sick) for each 80 hour pay period and shall be subject to leave approval in accordance with Section C of the basic contract.

4.4. The HCW will be supervised by the Commanding Officer or designated government representative.

5. Duties. As assigned, the HCW shall perform the specific duties as outlined in Section C of the basic contract.

Pharmacy Department Branch Health Clinic, Fallon, NV

1. Site of Service. The contractor shall provide personnel for services in support of Naval Hospital Lemoore, CA. Services shall be performed at the Branch Health Clinic (BHC), Fallon, NV.

2. Labor Category. The contractor shall provide personnel from the following labor category.

Pharmacy Technician* (2 Individuals)

*Wage Determination applies

3. Qualification. The healthcare workers (HCWs) shall possess and maintain the minimum qualifications stated in Section C of the basic contract.

4. Staffing and Scheduling.

4.1. The contractor shall provide two full time Pharmacy Technicians. To maintain continuity of services, the HCWs MUST BE FULL TIME INDIVIDUALS. The Commanding Officer will not approve more than one individual for each of the required positions.

4.2. The HCWs shall normally provide services Monday through Friday between the hours of 0730 and 1630 for a 9 hour shift to include an uncompensated 1-hour meal break. In no instance will the HCW be required to provide services (on-site plus approved leave and holidays) in excess of 80 hours per 2-week period. The specific schedule for the HCW for each 2 week period will be scheduled 1 month in advance by the supervisor.

4.3. The HCWs will each accrue 8 hours of personal leave (annual plus sick) for each 80 hour pay period and shall be subject to leave approval in accordance with Section C of the basic contract.

4.4. The HCW will be supervised by the Commanding Officer or designated government representative.

5. Duties. As assigned, the HCW shall perform the specific duties as outlined in Section C of the basic contract.

Enclosure 4—Lot B Statement of Work Naval Hospital Lemoore, Ca

1. Site of Service. The contractor shall provide personnel for services at the Naval Hospital Lemoore, CA, and/or, Area Branch Medical Clinics that are within 35-miles of the hospital.

2. Labor Category. The contractor shall provide personnel from the following labor category.

Physician Assistant or Nurse Practitioner* (2 Individuals)

*WAGE DETERMINATION POSITION

3. Qualifications. The health care workers (HCWs) shall each possess and maintain the minimum qualifications stated in Section C of the basic contract and the following:

3.1. Possess outpatient clinical experience of at least 12 months within the 24 months immediately preceding this task order as a Physician Assistant or Nurse Practitioner.

3.2. Provide evidence of successful completion of at least 12 contact hours of continuing education within the preceding two years.

4. Staffing and Scheduling.

4.1. The contractor shall provide two full time Physician Assistants or Nurse Practitioners. The Commanding Officer will not privilege more than one individual for each of the required positions.

4.2. The HCWs shall provide services Monday through Friday from 0600 and 1600 for an 8.5 hour shift to include an uncompensated 30 minute meal break. In no instance will the HCW be required to provide services (on site plus approved leave and holidays) in excess of 80 hours per 2-week period. The specific schedule for each HCW for each 2-week period will be schedule 1 month in advance by the supervisor.

4.3. The HCWs will each accrue 8 hours of personal leave (annual plus sick) for each 80 hour pay period and shall be subject to leave approval in accordance with Section C of the basic contract.

4.4. The HCW will be supervised by the Commanding Officer or designated government representative.

5. Duties. As assigned, the HCW shall perform the specific duties as outlined in Section C of the basic contract.

Naval Hospital Lemoore, Ca

This task order is for the Psychological Health (PH) and Traumatic Brain Injury (TBI) initiatives under the Psychological Health and Traumatic Brain Injury (PHTBI) program. The program seeks to address gaps in the care available for the prevalent injuries among combatants from the global war on terrorism. Through adoption of risk based staffing models and a uniform, best practice standard of care across DOD, the program seeks to ensure easy, rapid access to PH and TBI care for all beneficiaries and to ensure that transition across networks of care recognizes the unique care coordination and case management requirements for PH and TBI patients.

1. Site of Service. The contractor shall provide personnel for services at the Naval Hospital Lemoore, CA, and/or, Area Branch Medical Clinics that are within 35-miles of the hospital.

2. Labor Category. The contractor shall provide personnel from the following labor category.

Physician Assistant or Family Nurse Practitioner* (1 Individual) *Wage Determination Position

3. Qualifications. The health care worker (HCW) shall possess and maintain the minimum qualifications stated in Section C of the basic contract and to include the following:

3.1. Physician Assistant

3.1.1. Possess one (1) year of experience within the last three (3) years as a Physician Assistant in a primary care setting seeing an adult patient population.

3.1.2. Possess current certification in Advanced Cardiac Life Support (ACLS).

3.2. Family Nurse Practitioner

3.2.1. Possess one (1) year of experience within the last three (3) years as a Family Nurse Practitioner in a primary care setting seeing an adult patient population.

3.2.2. Possess current certification in Advanced Cardiac Life Support (ACLS).

4. Staffing and Scheduling.

4.1. The contractor shall provide one full time Physician Assistant or a Family Nurse Practitioner. The Commanding Officer will not credential more than one individual for the required position.

4.2. Shifts shall normally be scheduled Monday through Friday for an 8.5 to 9 hour period between the hours of 0600 and 1800, and are inclusive of a ½ hour or a 1-hour uncompensated meal break, depending on the length of the shift worked. Individual shift hours may occasionally be extended to accommodate travel team requirements or mass screening evolutions, however in no instance will the shift exceed 12 hours in length. The HCW will not be required to provide services (on-site service plus approved leave and holidays) in excess of 80 hours per 2 week period. The specific schedule for each HCW for each 2-week period will be scheduled 1 month in advance by the supervisor.

4.3. Saturday services may be required and shall not exceed twelve (12) shifts per annum. In the event of a Saturday shift, the HCW, will receive an equivalent amount of compensatory time or will not be scheduled an equal amount of time during the week. In either case, the MTF will ensure the HCW’s billable hours will not exceed the 80 hours per 2 week period as delineated in paragraph 4.2.

4.4. The HCW shall accrue 8 hours of personal leave for each 2-week/80 hour period of services provided (on-site service plus approved leave and holidays).

4.5 The HCW will be supervised by the Commanding Officer or designated government representative.

5. Duties. As assigned, the HCWs shall perform the specific duties as outlined in Section C of the basic contract and the following.

5.1. Implement and adhere to MTF policies that assure confidentiality of patient communications. Perform services with a multi-disciplinary approach to the treatment.

5.2. Communicate with family members and significant others in order to further the effectiveness of patient treatment and progress.

5.3. Comply with established MTF and departmental policies, procedures, objectives, quality assurance and safety programs, and environmental and infection control policies.

5.4. HCW shall participate in outreach and marketing of the Deployment Health program and DHC services. The HCW shall liaison with the Line Commanders, screen patients, provide treatment when appropriate, educate returning units on the availability of the service and coordinate follow-on care.

5.5. HCW shall participate in providing educational sessions/briefings for returning deployed Units on deployment related illnesses/conditions and the realities of readjusting to life following deployment.

5.6. Document therapy in accordance with standard MTF policies and procedures on medical records.

5.7. HCW shall become proficient with the use of the Navy and Marine Corps Public Health Center electronic methods of completing the Department of Defense (DD) Forms – An electronic or web-enabled DD Form 2900 (or Standard Form 600, if electronic or web-enabled access is not available) shall be utilized for post deployment health reassessments, an electronic or web-enabled DD Form 2795, shall be utilized for pre-deployment assessments, and electronic or web-enabled DD Form 2796 shall be utilized for post deployment screenings. The HCW shall use the Standard Form (SF) 600 which is the primary form of documentation for medical encounters, and the (SF) 513, which is the primary consultation form.

5.8. The HCW shall document all patient cases.

5.9. HCW shall provide care for eligible patients resulting from the deployment related screenings in accordance with the Deployment Health Clinical Center (DHCC) guidelines located at http://www.pdhealth.mil/. Emphasis will be on the treatment of mental health to include post traumatic stress disorders and other deployment related psychological symptoms. Family member care, related to deployment, may be included in the active duty member’s scheduled sessions.

5.10. HCW shall support deployment related healthcare services, such as but not inclusive of the Periodic Health Assessment, Pre or Post Deployment Health Assessments, Deployment Health Screenings, and assess the results, treat and refer patients for further treatment as appropriate. The DHC contractor HCW shall provide deployment health screening services to all service members either individually or in groups, at the DHC or at the operational command as determined necessary.

5.11. The HCW shall perform Deployment Health screenings, assess the results, treat patients, and refer patients for further treatment as appropriate. An electronic or web-enabled DD Form 2900 (or Standard Form 600 if electronic or web-enabled access is not available) shall be utilized for post deployment health reassessments, an electronic or web-enabled DD Form 2795 shall be utilized for pre-deployment assessments, and an electronic or web-enabled DD Form 2796 shall be utilized for post deployment screenings. Web-enabled Periodic Heath Assessment and/or DoD directed health screenings shall also be utilized.

5.12. The HCW shall work with MTF and other contract medical personnel to schedule initial and follow-on appointments or referrals for service members before they leave the Deployment Health Center or the screening at the operational command.

5.13. The HCW who has a patient that requires an admission to the MTF shall follow MTF specific referral/admission protocols. The HCW will not be privileged for hospital admissions nor will they have after-hour on-call duties. The contract practitioners will not be responsible for obstetrical care of DHC patients.

5.14. The HCWs assigned to the DHC may be utilized for walk-in or other scheduled appointments in support of other MTF clinics only when all other deployment health related commitments have been fulfilled.

6. Travel. The HCW shall adhere to travel requirements as given in Section C of the basic contract.

6.1. Requirements to travel beyond a 35 mile radius of the MTF shall not exceed twelve (12) per annum.

Enclosure 5—Lot C Statement of Work Deployment Health Clinic

Naval Hospital Lemoore, CA

1. Site of Service. The contractor shall provide personnel for services at the Deployment Health Center, Naval Hospital Lemoore, CA.

2. Labor Category. The contractor shall provide personnel from the following labor category.

Certified Medical Assistant (CMA) * or Certified Nursing Assistant (CNA)* (1 Individual)

*Wage Determination Position

3. Qualifications. The health care worker (HCW) shall possess and maintain the minimum qualifications stated in Section C of the basic contract and to include the following:

3.1. Certified Medical Assistant - shall possess and maintain the minimum qualifications stated in Section C and:

3.1.1. Possess certification as a medical assistant by (1) of the following:

a. The American Association of Medical Assistants OR

b. Registration by the American Medical Technologist

3.1.2. Possess one year of clinical experience as a CMA in the last two (2) years.

3.2. Certified Nursing Assistant –

3.2.1. Possess one (1) year of clinical experience in the last two (2) years.

4. Staffing and Scheduling.

4.1. The contractor shall provide one full time HCW. The Commanding Officer will not approve more than one individual for the required position.

4.2. Shifts shall normally be scheduled Monday through Friday for an 8.5 to 9 hour period between the hours of 0600 and 1800, and are inclusive of a ½ hour or a 1-hour uncompensated meal break, depending on the length of the shift worked. Individual shift hours may occasionally be extended to accommodate travel team requirements or mass screening evolutions, however in no instance will the shift exceed 12 hours in length. In no instance will the HCW be required to provide services (on-site plus approved leave and holidays) in excess of 80 hours per 2-week period. The specific schedule for each HCW for each 2-week period will be scheduled 1 month in advance by the supervisor.

4.3. Saturday services may be required and shall not exceed twelve (12) shifts per annum. In the event of a Saturday shift, the HCW, will receive an equivalent amount of compensatory time or will not be scheduled an equal amount of time during the week. In either case, the MTF will ensure the HCW’s billable hours will not exceed the 80 hours per 2 week period as delineated in paragraph 4.2.

4.4. The HCW shall accrue 8 hours of personal leave for each 2-week/80 hour period of services provided (on-site service plus approved leave and holidays).

4.5. The HCW will be supervised by the Commanding Officer or designated government representative.

5. Duties. As assigned, the HCW shall perform the specific duties as outlined in Section C of the basic contract and the following.

5.1. Implement and adhere to MTF policies that assure confidentiality of patient information. Perform services with a multi-disciplinary approach to the treatment.

5.2. Communicate with family members and significant others in order to further the effectiveness of patient treatment and progress.

5.3. Comply with established MTF and departmental policies, procedures, objectives, quality assurance and safety programs, and environmental and infection control policies.

5.4. The HCW shall participate in outreach and marketing of the Deployment Health program and DHC services. The HCW shall liaison with the Line Commanders, screen patients, provide treatment when appropriate, educate returning units on the availability of the service and coordinate follow-on care.

5.5. The HCW shall participate in providing educational sessions/briefings for returning deployed Units on deployment related illnesses/conditions and the realities of readjusting to life following deployment.

5.6. The HCW shall contact Line Commanders and schedule initial screenings in coordination with MTF processes.

5.7. The HCW shall become proficient with the use of the Navy and Marine Corps Public Health Center electronic methods of completing the Department of Defense (DD) Forms – An electronic or web-enabled DD Form 2900 (or Standard Form 600, if electronic or web-enabled access is not available) shall be utilized for post deployment health reassessments, an electronic or web-enabled DD Form 2795, shall be utilized for pre-deployment assessments, and electronic or web-enabled DD Form 2796 shall be utilized for post deployment screenings. The HCW shall use the Standard Form (SF) 600 which is the primary form of documentation for medical encounters, and the (SF) 513, which is the primary consultation form.

5.8.The HCW shall document all patient cases and must ensure that patient encounters and DHC workload is recorded in CHCS/AHLTA using the MEPRS code designated by BUMED, Accounting Guidance, published July 2006 or subsequent revision.

5.9. The HCW shall assist with quality assurance reporting as required.

5.10. The HCW shall provide care for eligible patients resulting from the deployment related screenings in accordance with the Deployment Health Clinical Center (DHCC) guidelines located at http://www.pdhealth.mil/. Emphasis will be on the treatment of mental health to include post traumatic stress disorders and other deployment related psychological symptoms. Family member care, related to deployment, may be included in the active duty member’s scheduled sessions.

5.11. The HCW shall support deployment related healthcare services, such as but not inclusive of the Periodic Health Assessment, Pre or Post Deployment Health Assessments, Deployment Health Screenings, and assess the results, treat and refer patients for further treatment as appropriate. The DHC contractor HCW shall provide deployment health screening services to all service members either individually or in groups, at the DHC or at the operational command as determined necessary.

5.12. The HCW shall work with MTF and other contract medical personnel to schedule initial and follow-on appointments or referrals for service members before they leave the Deployment Health Center or the screening at the operational command.

5.13. The HCW assigned to the DHC may be utilized for walk-in or other scheduled appointments in support of other MTF clinics only when all other deployment health related commitments have been fulfilled.

6. Travel. The HCW shall adhere to travel requirements as given in Section C of the basic contract.

6.1. Requirements to travel beyond a 35 mile radius of the MTF shall not exceed twelve (12) per annum.

Pediatric Clinic

Naval Hospital Lemoore, CA

1. Site of Service. The contractor shall provide personnel for services at Naval Hospital Lemoore, CA and/or Area Branch Medical Clinics that are within 35-miles of the hospital.

2. Labor Category. The contractor shall provide personnel from the following labor category:

C…