N62645-13-R-0018-0002.doc

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:

QUESTION/ANSWER

1. Pages 139 and 283-287. Page 139 lists a Clinical Social Worker for San Antonio and an Optician Technician for Pensacola (NOMI), but the detailed work statements on pp. 283-287 do not mention either of these positions. Should they be included as part of this solicitation?

The Optician Technician position has been removed. The Statement of Work for the Licensed Clinical Social Worker, Case Manager under Lot N of Section L has been modified.

2. While reviewing the Lot Pricing Sheets, it appears that on Lot D for most CLINS, the number of FTEs referenced in Column B (Description) does not match the requested hours (OTY) in Column C. For instance, line 10, CLIN 3006AI states that 4 Pharmacy Techs are needed in Option Period 3 with a total number of hours stated as 2,088.

See the most recent Pricing Sheet, which has been updated with this amendment.

The following have been deleted:

QUESTIONS/ANSWERS

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 (Past Performance Information Sheets), excluding a title page 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 title page and table of contents. If Volume II contains more than 10 pages, only the first 10 pages will be evaluated. Cover letters are not required for either volume; any information contained in a cover letter will not 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 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 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. The plan will also address how the offeror will comply with FAR 52.222-46. Specifically, it shall provide evidence that compensation rates will be sufficient enough to provide uninterrupted, high-quality services.

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 Service Disabled Veteran Owned Small Business (SDVOSB) under the applicable NAICS code for this solicitation, 622110. The small business size standard is $35.5 M. (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 DFARS 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-0018.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 three option periods (lots). Lots for this requirement are outlined in the electronic pricing spreadsheet and Enclosures 3-17. Enclosures 3-17, 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 3-17 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 one CD-ROM. Files shall be in Microsoft Office for Windows format (2007), either .docx or .xlsx files as specified herein. Only 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-ROM. One CD-ROM shall be labeled as to the name of the offeror. Offerors who desire to hand deliver their proposal shall submit a request no later than five working days prior to the anticipated submission date via email to: Justin.Robertson@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. 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: Justin Robertson 693 Neiman Street

Fort Detrick, MD 21702

Telephone: (301) 619-9335 L.3.4. The offeror is responsible for ensuring that submitted CD-ROM includes all complete files and is not physically damaged nor contains corrupted files such that it is 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, 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, 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 Justin.Robertson@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 MISCELLANEOUS

L.7.1. Offerors shall not contact any incumbent health care workers during their official duty hours.

L.7.2. 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.7.3. 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 via the award of task orders.

L.8. List of Enclosures:

Enclosure 1–Past Performance Information Sheet

Enclosure 2–Offeror’s Information Form

Enclosure 3–Lot A Statement of Work

Pharmacist

Jacksonville MRI Technologist

Pharmacy Tech

Phlebotomist

Kings Bay Med Asst

Physical Thrpy Asst

Mayport Enclosure 4–Lot B Statement of Work

Med Technologist

Mayport

Ophthalmic Technician

PA/NP

Jacksonville/Mayport/Kings Bay

Enclosure 5–Lot C Statement of Work

Optician Technician

Enclosure 6–Lot D Statement of Work Clinical Pharmacist

Albany Physical Therapist

Mayport/Kings Bay Resp Thrpst, Certified

Enclosure 7–Lot E Statement of Work Substance Abuse Counselor Jacksonville Phys Asst OR FNP

Jacksonville Clinical Social Worker CM

MRI Tech

Mayport Physical Thrpy Asst

Jacksonville Enclosure 8–Lot F Statement of Work

Pensacola

Clinical Social Worker

Psychiatric Tech/LVN/LPN New Orleans

Psychiatric Tech/LVN/LPN Meridian

Psychiatric Tech/LVN/LPN Pensacola

Physical Thrpy Asst

Pensacola

Physical Thrpy Asst

Millington

Chiro Asst

Enclosure 9–Lot G Statement of Work

Pensacola

Psychiatric Tech/LVN/LPN Gulfport

Enclosure 10–Lot H Statement of Work Clinical Social Worker

Pensacola

Physical Therapist

New Orleans

Ultrasonic Technologist

Millington

Psychiatric Tech/LVN/LPN

Millington

New Orleans Enclosure 11–Lot I Statement of Work

New Orleans

Resp Thrpst, Reg

Athletic Trainer

OR Tech

Gulfport Enclosure 12–Lot J Statement of Work

Rad Technologist

Pensacola

Polysomno Technologist

Psychiatric Tech

Bell Chase Enclosure 13–Lot K Statement of Work

Meridian Enclosure 14–Lot L Statement of Work

Rad Technologist

Enclosure 15–Lot M Statement of Work Clinical Social Worker

Corpus

Physical Therapist

Corpus

Fort Worth

Psychiatric Tech

Kingsville Enclosure 16–Lot N Statement of Work Clinical Social Worker CM

San Antonio

Enclosure 17–Lot O Statement of Work

CMA

Section L, Enclosure 1—Past Performance Information Sheet This enclosure shall be completed in accordance with sections L.2. and L.3. Do not reformat the structure and content of this 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 Optometrist, 2 Family Practice Physicians, 1 Clinical Psychologist 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.

Section L, Enclosure 2—Offeror’s Information Form This enclosure is to be completed in accordance with Section L.2.4.4.

Two points of contact shall be provided. The points of contact shall be officials from the prime contractor’s organization.

Company Name: _____________________________________________

CAGE Code: _____________________

DUNS: _________________________

TIN: ___________________________

Contact 1

Name: ____________________________________

Title:______________________________________

Phone Number: _____________________________

Email Address: _____________________________

Contact 2

Name: ____________________________________

Title:______________________________________

Phone Number: _____________________________

Email Address: _____________________________

Enclosure 3—Lot A Statement of Work Pharmacists

Pharmacy Department

Naval Hospital Jacksonville, FL

1. Site of Service. The contractor shall provide Pharmacy services in support of the Naval Hospital Jacksonville, FL, to include the Satellite Pharmacy and the Naval Air Station Jacksonville Branch Health Clinic located on the facility. The Pharmacists may be required to provide temporary services at Naval Branch Health Clinic (NBHC) Kings Bay, GA, or NBHC Mayport, FL, as an alternate worksite. All sites are within a 50-mile radius. If required to provide services at an alternate worksite, the health care workers (HCWs) shall be given a 2-week advance notice. Additionally, at the mutual agreement of the HCW and the government, the HCW may provide temporary services to one of the NH Jacksonville surrounding clinics located outside a 50-mile radius as an alternate worksite.

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

Pharmacist (four individuals)

3. Qualifications. The HCWs shall possess and maintain the minimum qualifications stated in the Section C of the basic contract. In addition, the HCWs shall possess the following:

3.1. A minimum of 6 months full-time experience as a pharmacist in the preceding 12 months of service.

3.2. Provide three letters of recommendation from practicing providers, pharmacy supervisors or hospital administrators attesting to his/her professional skills, competencies, patient rapport, etc. Reference letters must include name, title, phone number, date of reference, address and signature of the individual providing reference. Letters of reference must have been written within the preceding two years.

4. Staffing and Scheduling.

4.1. The contractor shall provide four individual Pharmacists. To maintain continuity of services, the HCWS MUST BE FULL-TIME INDIVIDUALS. The Commanding Officer will not privilege more than one individual for each of the required positions.

4.2. The HCWs will be supervised by the Commanding Officer or designated government representative.

4.3. Tour of Duty. The Pharmacy Department operates 24 hours a day, 365 days per year. Services shall normally be provided Sunday through Saturday, between the hours of 0600 and 2200. Shifts will generally be scheduled for an 8.5 or 9-hour period, including an uncompensated 0.5 or 1-hour meal break. Up to seven times per task order period, the HCWs may be called upon to cover hours of operation between 2201 and 0559 for an 8.5 to 13 hour period (to include a .5 or 1 hour meal break, depending on shift length). Alternating shift hours may be considered based on workload requirements. Holiday shifts and weekend services may be rotated with other Pharmacists, and it is anticipated the HCWs may work up to every other weekend and provide services for no more than 5 federal holidays. In no instance will a HCW provide services (on-site service plus approved leave and holidays) in excess of 80 hours per 2-week period. The specific schedule for each 2-week period will be provided 1 month in advance by the government supervisor or designated representative. Any changes in the schedule will be coordinated between the HCW and the government.

4.4. If a HCW is required to work on a holiday, an equivalent amount of compensatory time will be scheduled between the government supervisor and the HCW.

4.5. Each HCW will accrue 8 hours of personal leave (annual plus sick) for each 80 hour period of services provided (on-site services plus approved leave and holidays). The HCWs shall be subject to leave approval in accordance with Section C of the basic contract.

5. Duties. As assigned, the HCWs shall perform the applicable duties given in Section C of the basic contract. In addition, the HCWs shall perform the following:

5.1. HCWs may be needed to perform inpatient and outpatient pharmacy functions. Other duties include: understanding of the Tricare Uniform Formulary, formulary and non-formulary medication screening, clinical interventions, appropriateness of therapy, general management of workflow operations, enforcement of polices, involvement in promoting pharmacy related events such as Patient Safety Month, medication adverse event reporting and tracking, technician education and guidance, patient counseling, educational presentations to staff, prescription transfers, medication reconciliation, and clinical pharmacy duties if supplemental privileges have been granted.

5.2. The HCWs shall be responsible for the quality and timeliness of records, reports, and documentation of services provided.

5.3. Provide drug information during ward rounds, staff meetings, and in ambulatory care treatment areas, as well as for the Pharmacy Department and outlying clinics. Evaluate drug literature in order to compare and contrast therapeutic regimens and uses for new and existing products.

5.4. Review provider written orders for appropriate therapy based on diagnosis, age, kinetic calculations, and any protocols established. Have knowledge of pharmacokinetic dosing as it pertains to complex medication regimens including but not limited to vancomycin, aminoglycosides, theophylline, digoxin, phenytoin and warfarin. Pharmacists issued supplemental privileges may develop appropriate treatment plans and monitor results assessing the patient's outcome to the suggested therapy.

5.5. Review hospital corpsman compounded pharmaceuticals (IVs, piggybacks) for appropriate concentrations, diluents, and drug interactions.

5.6. Make evidence-based and cost-effective clinical recommendations to providers using a courteous, proactive approach to effective patient centered care.

5.7. Provide, assess, and review information regarding the general administration of medications, toxicity, interactions, investigational drugs, and bioavailability. Monitor and review drug therapy for rational indications, dosing, adverse drug reactions, IV incompatibilities, and complications of multiple drug therapies in all patient care settings.

5.8. Obtain a complete patient medication history, monitor the patient's response to drug therapy, educate and counsel the patient regarding his/her drug therapy. Counsel patients with special emphasis on therapeutic expectations, potential side effects, and any special education required for thorough understanding of the disease state.

5.9. Design and conduct interdisciplinary educational programs in the areas of drug therapy for physicians, nurses and other health professionals. Provide educational and training programs to staff pharmacists, pharmacy intern students and pharmacy extern students.

5.10. Collaborate on preceptorship duties with the Pharmacy Clinical Coordinator for pharmacy residents/students assigned to the Pharmacy Department.

5.11. Promote the reporting of adverse drug events (ADEs).

5.12. Customer Service Accountability – Contract employees providing services at NH Jacksonville and supporting facilities shall adhere to the Customer Service standards specified in NAVHOSPJAXINST 6320.7F or updated versions. A copy of the instruction will be available upon request or at the time of commencement of services.

6. Travel. Performance of duties may require occasional long distance travel to any of the alternate work site locations outlined in location in paragraph 1, Site of Service. All reimbursable travel must be approved in advance by the Department Head or designated government representative. Reimbursement for allowable travel expenses will be according to Section B and in accordance with Section C.11 of the basic contract.

Pharmacy Technicians

Pharmacy Department

Naval Hospital Jacksonville, FL

1. Site of Service. The contractor shall provide Pharmacy services in support of the Naval Hospital Jacksonville, FL, to include the Satellite Pharmacy and Branch Health Clinic located on Naval Air Station Jacksonville, FL.

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

Pharmacy Technician * (ten individuals)

* Wage Determination position

3. Qualifications. Each health care worker (HCW) shall possess and maintain the minimum qualifications stated in Section C of the basic contract. In addition, each HCW shall possess the following qualifications:

3.1. A minimum of 1 year full-time experience as a Pharmacy Technician within the last 3 years.

3.2. Provide three letters of recommendation from practicing Pharmacists or pharmacy supervisors attesting to his/her professional skills, competencies, patient rapport, etc. Reference letters must include name, title, phone number, date of reference, address and signature of the individual providing reference. Letters of reference must have been written within the preceding one year.

4. Staffing and Scheduling.

4.1. The contractor shall provide ten individual 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 will be supervised by the Commanding Officer or designated government representative.

4.3. Tour of Duty. The Pharmacy Department operates 24 hours a day, 365 days per year. Shifts are generally scheduled on a flexible basis for an 8.5 to 13 hour period (to include an uncompensated .5 or 1 hour meal break, depending on shift length). Shifts shall generally be scheduled between the hours of 0600 and 1800 Sunday through Saturday. Depending on staffing levels, actual shift times may vary as determined by the Department Head or designated government representative. Weekday, weekend, and holiday services shall be rotated with other Pharmacy Technicians, and it is anticipated that the HCWs may provide services up to every other weekend and no more than 5 federal holidays. The Department Head shall designate one HCW as a “floater” for a seven day period. With 48 hours advanced notice, the floater may be scheduled for occasional evening or night shifts. This advanced notice may be waived at the mutual agreement of the HCW and the government. Each HCW shall be on duty for 80 hours every 2 weeks, except during periods of approved leave and holidays. In no instance will a HCW (including the floater), provide services (on-site services plus approved leave and holidays) in excess of 80 hours per 2-week period. The specific schedule for each 2-week period will be provided 1 month in advance by the government supervisor or designated representative. Any changes in the schedule will be coordinated between the HCW and the government; under no circumstances will HCWs change shifts or schedules without the input and approval of the government.

4.4. If a HCW is required to work on a holiday, an equivalent amount of compensatory time will be scheduled between the government supervisor and the HCW.

4.5. Each HCW will accrue 8 hours of personal leave (annual plus sick) for each 80 hour period of services provided (on-site plus approved leave and holidays). The HCWs shall be subject to leave approval in accordance with Section C of the basic contract.

5. Duties. As assigned, each HCW shall perform the applicable duties given in Section C of the basic contract. In addition, each HCW shall perform the following:

5.1. Adhere to essential policies and procedures, including those relating to proper use of medications and the formulary.

5.2. As prescribed by pharmacists, the HCWs will fill outpatient prescription orders, perform narcotic breakout/vault duties, and inpatient pharmacy duties if needed based on current staffing levels and if HCW has successfully completed the Personnel Qualification Standards (PQS) for these areas.

5.3. Perform extemporaneous compounding and provision of bulk medications, ensuring there are no chemical and/or physical incompatibilities.

5.4. Utilize available medication information reference materials.

5.5. Provide patient medication information and counseling.

5.6. Order medications using the DMLSS system as allowable per Department of Defense policies.

5.7. Educate and orient self and other staff members to the operations and policies of the pharmacy department and clinic.

5.8. Answer telephone call questions from patients or hospital staff on pharmacy related issues.

5.9. Customer Service Accountability – Contract employees providing services at NH Jacksonville and supporting facilities shall adhere to the Customer Service standards specified in NAVHOSPJAXINST 6320.7F or updated versions. A copy of the instruction will be made available upon request or at the time of commencement of services.

Magnetic Resonance Imaging (MRI) Technologist Services

Naval Hospital Jacksonville, FL

1. Site of Service. The contractor shall provide MRI Technologist services at Naval Hospital Jacksonville, FL.

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

MRI Technologist (two individuals)

3. Qualifications. Each health care worker (HCW) shall possess and maintain the minimum qualifications stated in Section C of the basic contract. In addition each HCW shall possess the following qualifications:

3.1. A minimum of 1 year full-time experience as a MRI Technologist within the last 3 years.

3.2. Provide three letters of recommendation from practicing physicians or radiologic supervisors attesting to his/her professional skills, competencies, patient rapport, etc. Reference letters must include name, title, phone number, date of reference, address and signature of the individual providing reference. Letters of reference must have been written within the preceding two years.

4. Staffing and Scheduling.

4.1. The contractor shall provide two individual MRI Technologists. To maintain continuity of services, the HCWS MUST BE FULL-TIME INDIVIDUALS. The Commanding Officer will not approve more than one individual for each required position.

4.2. The HCWs will be supervised by the Commanding Officer or designated government representative.

4.3. Tour of Duty. Services shall normally be provided Monday through Friday between the hours of 0730 and 2400 and 0800 to 1630 on the day of observance of federal holidays. Shifts are generally scheduled for an 8.5 or 9 hour period including an uncompensated .5 or 1-hour meal break, respectively. Each HCW shall provide services on no more than 5 federal holidays. Each HCW shall be on duty for 80 hours every 2 weeks, except during periods of approved leave and holidays. In no instance will a HCW provide services (on-site service plus approved leave and holidays) in excess of 80 hours per 2-week period. The specific schedule for each 2-week period will be provided 1 month in advance by the government supervisor or designated representative. Any changes in the schedule will be coordinated between the HCW and the government.

4.4. If a HCW is required to work on a holiday, an equivalent amount of compensatory time will be scheduled between the government supervisor and the HCW.

4.5. Each HCW will accrue 8 hours of personal leave (annual plus sick) for each 80 hour period of services provided (on-site services plus approved leave and holidays). The HCWs shall be subject to leave approval in accordance with Section C of the basic contract.

5. Duties. As assigned, the HCWs shall perform the applicable duties given in Section C of the basic contract and the additional duties given below.

5.1. Customer Service Accountability – Contract employees providing services at NH Jacksonville and supporting facilities shall adhere to the Customer Service standards specified in NAVHOSPJAXINST 6320.7F or updated versions. A copy of the instruction will be made available upon request or at the time of commencement of services.

Phlebotomist

Naval Hospital Jacksonville, FL:

Naval Ambulatory Care Center (NACC) Kings Bay, GA

1. Site of Service. The contractor shall provide Phlebotomy services in support of the NACC Kings Bay, GA.

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

Phlebotomist * (one 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. In addition, the HCW shall possess the following qualificiations:

3.1. A minimum of 1 year full-time experience within the last 3 years as a Phlebotomist.

3.2. Provide three letters of recommendation from supervisors, practicing medical technologists or practicing providers attesting to his/her professional skills, competencies, patient rapport, etc. Reference letters must include name, title, phone number, date of reference, address and signature of the individual providing references. Letters of reference must have been written within the preceding two years.

4. Staffing and Scheduling.

4.1. The contractor shall provide one individual Phlebotomist. To maintain continuity of services, the HCW MUST BE A FULL-TIME INDIVIDUAL. The Commanding Officer will not approve more than one individual for the required position.

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

4.3. Tour of Duty. The clinic operates Monday through Wednesday and Friday from 0630 to 1730 and Thursday from 0630 to 1930. The clinic is closed on the day of observance of federal holidays. The HCW shall provide services on a flexible basis across the clinic operating hours for an 8.5 or 9-hour shift, including an uncompensated .5 or 1-hour meal break, respectively. All shifts will be rotated with other phlebotomists. The HCW shall be on duty for 80 hours every 2 weeks, except during periods of approved leave and holidays. In no instance will the HCW 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 2-week period will be provided 1 month in advance by the government supervisor or designated representative. Any changes in the schedule will be coordinated between the HCW and the government.

4.4. Services are not normally required on the day of observance of federal holidays.

4.5. The HCW will accrue 8 hours of personal leave (annual plus sick) for each 80 hour period of services provided (on-site services plus approved leave and holidays). The HCW shall be subject to leave approval in accordance with Section C of the basic contract.

5. Duties. As assigned, the HCW shall perform the applicable duties given in Section C of the basic contract and the additional duties given below.

5.1. Customer Service Accountability – Contract employees providing services at NH Jacksonville and supporting facilities shall adhere to the Customer Service standards specified in NAVHOSPJAXINST 6320.7F or updated versions. A copy of the instruction will be made available upon request or at the time of commencement of services.

Certified Medical Assistants

OB/GYN Clinic

Naval Hospital Jacksonville, FL

1. Site of Service. The contractor shall provide Certified Medical Assistant (CMA) services in the OB/GYN Clinic at Naval Hospital Jacksonville, FL. Depending on the clinical workload, the health care workers (HCWs) may be required to provide services in other clinics located within the MTF.

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

Certified Medical Assistants * (six individuals)

* Wage Determination position

3. Qualifications. Each HCW shall possess and maintain the minimum qualifications stated in Section C of the basic contract. In addition each HCW shall possess the following qualifications:

3.1. A minimum of 1 year of full-time experience in the last 3 years as a CMA in an outpatient family practice or primary care setting.

3.2. Provide three letters of recommendation from practicing physicians, RNs or supervisors attesting to his/her professional skills, competencies, patient rapport, etc. Reference letters must include name, title, phone number, date of reference, address and signature of the individual providing reference. Letters of reference must have been written within the preceding two years.

4. Staffing and Scheduling.

4.1. The contractor shall provide six individual CMAs. To maintain continuity of services, the HCWS MUST BE FULL-TIME INDIVIDUALS. The Commanding Officer will not approve more than one individual for each required position.

4.2. The HCWs will be supervised by the Commanding Officer or designated government representative.

4.3. Tour of Duty. Services shall normally be provided Monday through Friday between the hours of 0700 and 1700. Shifts are generally scheduled for an 8.5 or 9-hour period including an uncompensated .5 or 1-hour meal break, respectively. Each HCW shall be on duty for 80 hours every 2 weeks, except during periods of approved leave and holidays. In no instance will a HCW provide services (on-site service plus approved leave and holidays) in excess of 80 hours per 2-week period. The specific schedule for each 2-week period will be provided 1 month in advance by the government supervisor or designated representative. Any changes in the schedule will be coordinated between the HCW and the government.

4.4. Services will not normally be required on the day of observance of federal holidays.

4.5. Each HCW will accrue 8 hours of personal leave (annual plus sick) for each 80 hour of services provided (on-site services plus approved leave and holidays). The HCWs shall be subject to leave in accordance with Section C of the basic contract.

5. Duties. As assigned, each HCW shall perform the applicable duties given in Section C of the basic contract. In addition, each HCW shall perform the following:

5.1. Successfully complete the MTF provided in-services in IV placement, blood and blood administration, and immunization administration prior to assignment of duties.

5.2. Collect and prepare laboratory specimens, perform basic laboratory tests, draw blood, and start IVs.

5.3. Prepare patients for X-ray.

5.4. Instruct patients about medications; prepare and administer medications as directed by physician and MTF guidelines.

5.5. Notify patients regarding labs and other tests as directed.

5.6. Participate in inventory procedures as directed.

5.7. Coordinate with other departments and clinic staffs to provide complete care to patients.

5.8. Customer Service Accountability – Contract employees providing services at NH Jacksonville and supporting facilities shall adhere to the Customer Service standards specified in NAVHOSPJAXINST 6320.7F or updated versions. A copy of the instruction will be made available upon request or at the time of commencement of services.

Physical Therapy Assistants

Naval Hospital Jacksonville, FL:

Naval Branch Health Clinic (NBHC), Mayport, FL

1. Site of Service. The contractor shall provide Physical Therapist Assistant (PTA) services at NBHC Mayport, FL, NBHC Kings Bay, GA, and Naval Hospital Jacksonville, FL. NBHC Mayport, FL will be the primary site of service location.

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

Physical Therapy Assistant* (two individuals)

*Wage Determination position

3. Qualifications. Each health care worker (HCW) shall possess and maintain the minimum qualifications stated in Section C of the basic contract. In addition each HCW shall possess the following qualifications:

3.1. A minimum of 12 months full-time experience within the preceding 24 months as a Physical Therapy Assistant.

3.2. Provide three letters of recommendation from practicing providers, physical therapy supervisors, physicians or health administrators attesting to his/her professional skills, competencies, patient rapport, etc. Reference letters must include name, title, phone number, date of reference, address and signature of the individual providing reference. Letters of reference must have been written within the preceding two years.

4. Staffing and Scheduling.

4.1. The contractor shall provide two individual Physical Therapy Assistants. To maintain continuity of services, the HCWs MUST BE FULL-TIME INDIVIDUALS. The Commanding Officer will not approve more than one individual for each required position.

4.2. The HCWs will be supervised by the Commanding Officer or designated government representative.

4.3. Hours of Operation. NBHCs Mayport and Kings Bay are currently open Monday through Friday, 0700 – 1630. NH Jacksonville is currently open Monday-Friday, 0600-1730.

4.4. Tour of Duty. Services shall normally be provided Monday through Friday between the hours of 0600 and 1730, depending on the facility and staffing requirements.