N62645-13-R-0019_Amendment_0002.doc

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 30 - BLOCK 14 CONTINUATION PAGE

The following have been modified:

ANSWERS TO QUESTIONS

1. In section L.2.4.5.1 it states: “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 3-11….”

It appears that there are only a maximum of 3 option periods for any one lot, not 4. Please explain.

· Section L.2.4.5.1 has been revised.

2. In The Pricing Sheet: in the Instruction Page Tab it states:

“Additional Information: Provide any additional information deemed necessary to explain HCW compensation.” But the only box into which one can enter text is the Blended Rate Explanation box. Should additional information be placed there also?

· The electronic Pricing Sheet has been revised to allow for Additional Information to be place in the box now labeled Blended Rate Explanation / Additional Information (if applicable).

3. In the Pricing Sheet the 3rd Option Periods for Lots A, B, F and I are short-approximately 8 months, yet the number of hours is the same as the preceding 2nd option periods which are full years. Is this intentional?

· The electronic Pricing Sheet has been revised to correct the hours in option period 3 for lots A, B, F and I.

SUMMARY OF CHANGES

Section L.2.4.3.2

Changed to:

L.2.4.3.2. The offeror shall complete and submit DFARS clause 252.209-7997 [Representation by Corporations Regarding an Unpaid Delinquent Tax Liability or a Felony Conviction Under any Federal Law, (Refer to Section K, Enclosure 1)].

Changed from:

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, (Refer to Section K, Enclosure 1)].

Section L.2.4.5.1

Changed from:

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 3-11. Enclosures 3-11, 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.

Changed to:

L.2.4.5.1. Pricing and supplemental pricing for this solicitation represents minimum quantities plus option periods (lots). Lots for this requirement are outlined in the electronic pricing spreadsheet and Enclosures 3-11. Enclosures 3-11, 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.

Section L, Enclosure 3—Lot A Statement of Work

Changed from:

5.1. The contractor shall provide sufficient personnel to cover the schedule given below. The contractor is responsible for scheduling personnel to cover the schedule, for providing the leave benefit for these personnel, for approving leave for these personnel, and for providing any holiday benefit. These personnel will not accrue leave under the task order; individuals on leave, holiday status, or otherwise absent shall be subject to replacement coverage by the contractor in accordance with Section C of the basic contract. The contractor shall maintain sufficient back-up personnel to ensure coverage of the schedule during periods of both scheduled and unscheduled absence. The MTF will not privilege more than 7 ER Physicians.

Changed to:

5.1. The contractor shall provide sufficient personnel to cover the schedule given below. The contractor is responsible for scheduling personnel to cover the schedule, for providing the leave benefit for these personnel, for approving leave for these personnel, and for providing any holiday benefit. These personnel will not accrue leave under the task order; individuals on leave, holiday status, or otherwise absent shall be subject to replacement coverage by the contractor in accordance with Section C of the basic contract. The contractor shall maintain sufficient back-up personnel to ensure coverage of the schedule during periods of both scheduled and unscheduled absence. The MTF will not privilege more than 12 ER Physicians.

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 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 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. 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 small business under the applicable NAICS code for this solicitation, 621111. The small business size standard is $10 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, (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-0019.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 option periods (lots). Lots for this requirement are outlined in the electronic pricing spreadsheet and Enclosures 3-11. Enclosures 3-11, 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 3-11 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: maria.anthony@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: Maria Anthony 693 Neiman Street

Fort Detrick, MD 21702

Telephone: (301) 619-8109 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, 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 maria.anthony@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 a task order.

L.8. List of Enclosures:

Enclosure 1 – Past Performance Information Sheet Enclosure 2 – Offeror’s Information Form

Enclosure 3 – Lot A Statement of Work

Enclosure 4 – Lot B Statement of Work

Enclosure 5 – Lot C Statement of Work

Enclosure 6 – Lot D Statement of Work

Enclosure 7 – Lot E Statement of Work

Enclosure 8 – Lot F Statement of Work

Enclosure 9 – Lot G Statement of Work

Enclosure 10 – Lot H Statement of Work Enclosure 11– Lot I Statement of Work 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 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.

Enclosure 2—Offeror’s Information Form

Provide two points of contact. 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 Emergency Room Physician Services

Emergency Medicine Department (EMD)

NAVHOSP Jacksonville, FL

1. Site of Service. The contractor shall provide Emergency Physician services in the Emergency Room at Naval Hospital Jacksonville, FL.

2. Labor categories. The contractor shall provide services for the following labor category:

Emergency Medicine Physicians (coverage)

3. Qualifications. The health care workers (HCWs) shall adhere to the applicable Physician qualification requirements stated in Section C of the basic contract and shall meet and maintain additional qualifications given below.

3.1. Successful completion of an approved residency training program in Emergency Medicine.

3.2. Possess and maintains current certification in Advanced Cardiac Life Support (ACLS).

3.3. Possess and maintains current certification in Pediatric Advanced Life Support (PALS).

4. Hours of operation. The Emergency Room operates on a twenty-four hour basis, seven days a week, Sunday through Saturday, including on the day of observance of federal holidays. Emergency Medicine Department staffs are considered “essential” personnel in the event of disaster.

5. Staffing and Scheduling:

5.1. The contractor shall provide sufficient personnel to cover the schedule given below. The contractor is responsible for scheduling personnel to cover the schedule, for providing the leave benefit for these personnel, for approving leave for these personnel, and for providing any holiday benefit. These personnel will not accrue leave under the task order; individuals on leave, holiday status, or otherwise absent shall be subject to replacement coverage by the contractor in accordance with Section C of the basic contract. The contractor shall maintain sufficient back-up personnel to ensure coverage of the schedule during periods of both scheduled and unscheduled absence. The MTF will not privilege more than 12 ER Physicians.

5.2. The contractor will be required to cover twelve shifts per week, Sunday though Saturday including holidays. Shifts shall normally occur between the following times: 0600-1800, 1000-2000, 1400-2400, 1600-0200, or 2000-0600. Shifts will generally be for 8.5, 10.5., or 12.5 hours to include an uncompensated 0.5 hour meal break. Total emergency physician coverage shall not exceed 120 hours per week.

5.3. The Commanding Officer or the designated government representative will inform the contractor of the specific schedule to be covered, no later than the 15th of each month. Final changes in schedule are subject to government approval. The contractor shall provide a copy of the 1-month staff schedule for the above table to the COR prior to the 20th of each preceding month. A minimum 72-hour notice of changes to the work schedule is required. The 72-hour notice will be waived for emergency situations such as sudden illness or accident.

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

5.5. Orientation: All HCWs shall comply with Section C of the basic contact for orientation. Each HCW is allotted 44 hours of orientation, which shall be billed separately per Section B (orientation) of the task order; therefore, orientation may be completed concurrently with services being rendered by another HCW. Orientation hours will be completed during normal day operation hours.

6. Duties. As assigned, the HCWs shall perform the applicable Physician duties given in Section C of the basic contract.

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

Enclosure 4—Lot B Statement of Work Psychiatrist (PH-TBI)

Mental Health Department

Naval Hospital Jacksonville, FL

1. The contractor shall provide services in the Mental Health Department at Naval Hospital Jacksonville, FL. This task order is a Psychological Health initiative under the Psychological Health and Traumatic Brain Injury (PH/TBI) 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 the DoD Military Health System, the program seeks to ensure easy, rapid access to PH and TBI care for all beneficiaries and to ensure that the transition across networks of care recognizes the unique care coordination and case management requirements for PH and TBI patients.

1.1. Site of Service. The contractor shall provide personnel for service in support of the Naval Hospital (NH) Jacksonville, FL

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

Psychiatrist (one FTE)

3. Qualifications.

3.1. Psychiatrist. The healthcare worker (HCW) shall possess and maintain the minimum Physician qualification requirements stated in the Section C of the basic contract. In addition, the HCW shall:

3.1.1 Possess board certification in Psychiatry by the American Board of Psychiatry and Neurology or the American Osteopathic Association, -OR-

3.1.2. Possess residency training and not less than 3 years of experience within the last 5 years as a full-time psychiatrist OR, have graduated from a psychiatry residency program within the preceding 12 months.

4. Hours of operation. The Mental Health Department has the normal operating hours of Monday through Sunday between the hours of 0730 and 1630.

5. Staffing and scheduling.

5.1. The contractor shall provide one individual full-time Psychiatrist. In order to maintain continuity of care, the HCW MUST BE A FULL TIME INDIVIDUAL. The Commanding Officer will not privilege/approve more than one individual for the required position.

5.2. The Commanding Officer or the designated Government representative will supervise the HCW.

5.3. Services shall normally be provided Monday through Friday between the hours of 0730 and 1630 for an 8.5 or 9-hour period, including an uncompensated .5 or 1-hour meal break, respectively. Services will normally not be required on the day of observance of Federal holidays. The HCW shall generally be on duty for 40 hours each week, except during periods of approved leave and holidays. In no instance will the HCW be required to provide services (on-site services plus approved leave and holidays) in excess of 80 hours in a two-week period.

5.4. On-Call Services. The HCW will be required to provide on-call services for patient telephone consultation after hours once every eight weeks, for a period of 7 consecutive days. The on-call duty is rotated with other Psychiatrists in the Mental Health Department

5.5 For the provision of on-call services, the psychologist will be assigned a beeper furnished by the Government. Replacement costs, if these are lost or stolen, shall be borne by the contractor. The HCW shall arrive at the hospital within 30 minutes of receiving a call back request.

5.6. On-call duty is not separately priced under the task order; costs for on-call duty shall be included in the hourly rates provided for on-site service.

5.6. Specific shift hours for each two-week period shall be scheduled by the Department Head or government representative one-month in advance. Any changes in the schedule shall be coordinated between the HCW and the Government.

5.7. Unless providing on call services, the HCW will be credited for 8 hours worked for each holiday (if the HCW is required to provide services on the day of observance of a federally observed holiday the HCW will have a paid compensatory day off).

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

6. Duties. As assigned, the HCW shall perform the applicable Physician duties given in Section C of the basic contract.

6.1. 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.

Enclosure 5—Lot C Statement of Work

Ophthalmology/Optometry Clinic

Naval Hospital Jacksonville, FL

1. Site of Service. The contractor shall provide personnel for service in the Ophthalmology and Optometry

Departments at the Naval Hospital, Jacksonville, FL.

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

Optometrist (1 FTE)

3. Qualifications. The healthcare worker (HCW) shall adhere to the applicable qualification requirements stated in Section C of the basic contract and shall meet and maintain additional qualifications below.

3.1. Possess therapeutic optometry license in a State that allows the treatment and management of glaucoma.

3.2. Possess current certification from the National Board of Examiners in Optometry.

3. 3. Possess a minimum of 12 months experience within the preceding 36 months as an Optometrist in a hospital or treatment facility performing advanced optometry procedures, instrumentation, and techniques as related to the field of optometry, and refractive surgery.

3. 4. Provide three letters of recommendation written within the last two years attesting to the HCW’s clinical skills and abilities. A minimum of one letter must be from a supervisor. Recommendation letters must include: name, title, phone number, date of recommendation, address and signature of the individual providing the recommendation.

4. Staffing and Scheduling

4. 1. The contractor shall provide one individual full-time Optometrist. In order to maintain continuity of care, the HCW MUST BE A FULL TIME INDIVIDUAL. The Commanding Officer will not privilege more than one individual for the required position.

4. 2. The Commanding Officer or the designated government supervisor will supervise the HCW.

4. 3. Services shall be provided Monday through Friday, between the hours of 0700 to 1700 for an 8.5 or 9-hour period, including an uncompensated .5 or 1-hour meal break, respectively. The HCW shall be on duty for 40 hours each week, 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 two-week period. The HCW shall not be required to provide services on the day of observance of Federal holidays. The specific schedule for the HCW for each 2-week period shall be scheduled one month in advance by the supervisor.

4.4. The HCW will be credited 8 hours work for each holiday (if work is required on a holiday, a paid compensatory 8-hour day off will be granted).

4. 5. The HCW will accrue 8 hours of personal leave (annual plus sick) for each 80 hours worked and shall be subject to leave approval in accordance with Section C of the basic contract. The contractor need not provide back-up coverage for the HCW during periods of approved leave or holidays.

4.6. The contractor shall make every effort to minimize turnover and, notwithstanding contractor employee probation policies, shall recruit only HCWs who indicate interest in a long-term commitment under the task order.

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. Diagnose routine optometric and ocular problems through external and internal physical evaluation of the eye and adnexa.

5.2. Detect neuromuscular impairment or anomalies of binocular function.

5.3. Treat common visual disorders through examination, prescription of contact lenses, vision training and pharmacological means.

5.4. Refer patients requiring medical surgery or services to the appropriate medical specialty and health professional.

5.5. Provide emergency eye services including diagnosis and treatment of ophthalmic trauma or pathology on an outpatient basis.

5.6. Provide vision and eye care education and counseling.

5.7. Liaise with and provide advisory eye services to other professional personnel on patients or program problems.

5.8. Act as community educator providing vision education and information.

5.9. Provide pre-op and post-op care of corneal refractive surgery patients to include LASIK, PRK and implantable contact lenses (ICL).

5.10. Assist in processing limited duty boards for Active Duty members.

5.11 Diagnostic Pharmaceutical Use: Provide accurate documentation of specific medication used, dosage and time given. Note any adverse reaction.

5.12. Perform other tests as indicated by case history and/or objective findings.

5.13. Provide a written assessment of all positive findings in accordance with clinic documentation protocols. The diagnosis shall be appropriate for the recorded complaint and/or the clinical findings.

Enclosure 6—Lot D Statement of Work

Immunization/Allergy Clinic

Naval Hospital Pensacola, FL

1. Site of Service. The contractor shall provide personnel for service in the Immunization/Allergy Clinic at Naval Hospital Pensacola, FL.

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

Allergist (Physician) (one individual)

3. Qualifications. The health care worker (HCW) shall adhere to the applicable qualification requirements stated in Section C of the basic contract and shall meet and maintain additional qualifications given below.

3.1. The Physician shall be board certified in Allergy and Immunology by the American Board of Allergy and Immunology (ABAI).

4. Hours of operation. The Immunization/Allergy Clinic operates from 0730 to 1730 Monday through Friday. The clinic is closed on Federal holidays.

5. Staffing and scheduling.

5.1. The contractor shall provide one individual full-time Allergist Physician. The Allergist Physician MUST BE A FULL-TIME INDIVIDUAL. The Commanding Officer will not privilege more than one individual for the Allergist Physician position.

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

5.3. Shifts will generally be scheduled for a 9-hour period Monday through Friday, including an uncompensated 1-hour meal break. Services will normally not be required on the day of observance of Federal holidays. The contractor physician shall be on duty for about 40 hours each week, except during periods of approved leave and holidays. In no instance will the contractor physician be required to provide services (on-site service plus approved leave and holidays) in excess of 160 hours per 4-week period.

5.4. The specific schedule for each 2-week period will be scheduled 1 month in advance by the supervisor or designated representative. Any changes in the schedule shall be coordinated between the health care worker and the Government.

5.5. The HCW will be credited for 8 hours work for each holiday (if services are required on a holiday, the HCW will be given a paid compensatory 8-hour day off).

5.6. The HCW will accrue 10 hours of personal leave (annual plus sick) for each 2-week/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. The contractor need not provide back-up coverage for contractor personnel during periods of approved leave.

6. Duties. As assigned, the health care worker shall perform the applicable duties given in Section C of the basic contract.

Enclosure 7—Lot E Statement of Work Clinical Psychologist Services

Substance Abuse Rehabilitation Program

Psychological Health and Traumatic Brain (PHTBI) program Naval Hospital Pensacola, FL

NBHC Naval Air Station Pensacola, FL (NASP)

1. This task order is a Psychological Health initiative under the Psychological Health and Traumatic Brain Injury (PH and TBI) Substance Abuse Rehabilitation Program (SARP). 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 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.

2. Site of Service. The contractor shall provide personnel for service in the Substance Abuse Rehabilitation Clinic at NBHC Naval Air Station Pensacola, FL (NASP). However, the health care worker may have an occasional need to travel to NBHC Center for Information Dominance (CID) Corry Station, Pensacola, FL) or the Naval Hospital Pensacola, FL facility to accomplish assigned duties. All locations are within 20 miles of each other.

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

Clinical Psychologist (one individual)

4. Qualifications. The health care worker (HCW) shall adhere to the applicable qualification requirements given in Section C of the basic contract.

5. Hours of Operation. The Substance Abuse Rehabilitation Clinic operates from 0800 to 1630 Monday through Friday. The clinic is closed on weekends and the day of observance of Federal holidays.

6. Staffing and Scheduling.

6.1. The contractor shall provide one individual full-time Clinical Psychologist. To maintain continuity of services, the health care worker MUST BE A FULL-TIME INDIVIDUAL. The Commanding Officer will not privilege more than one individual for the required position.

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

6.3. Services will normally be required Monday through Friday between the hours of 0600 and 1800. The HCW shall be scheduled across the Substance Abuse Rehabilitation clinic operating hours on a flexible basis. Generally shifts are scheduled for an 8.5-hour period, including an uncompensated .5-hour meal break. At the mutual agreement between the HCW and the Government, the HCW may work an alternate work schedule of four 10.5 to 11-hour shifts per week, including an uncompensated .5 or 1-hour meal break, respectively. Services will not normally be required on the day of observance of Federal holidays. The HCW shall be on duty for approximately 40 hours each week, 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.

6.4. The specific schedule for each 2-week period will be scheduled 1 month in advance by the supervisor. Any changes in the schedule shall be coordinated between the HCW and the Government.

6.5. The HCW will be credited for 8 hours worked for each holiday (if work is required on a holiday, a paid compensatory 8-hour day off will be granted).

6.6. The HCW will accrue 8 hours of personal leave (annual plus sick) for each 2-week/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. The contractor need not provide back-up coverage for contractor personnel during periods of approved leave and holidays.

7. Duties. As assigned, the health care worker shall perform the applicable General Duties given in Section C of the basic contract.

Enclosure 8—Lot F Statement of Work Emergency Room Services

Emergency Room Physician

Naval Hospital Pensacola, FL

1. Site of Service: The contractor shall provide personnel for service in the Emergency Room at Naval Hospital Pensacola, FL.

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

Emergency Room Physician (three individuals)

3. Qualifications. The healthcare workers (HCWs) shall adhere to the qualification requirements applicable to Physicians given in Section C of the basic contract and shall meet and maintain additional qualifications given below.

3.1. Successful completion of a residency training program in emergency medicine, family medicine, internal medicine approved by the American specialty board or the American Osteopathic Association, board certification, and one year of experience as a full-time (at least 1760 hours of practice per year) physician within the last two years in the ER. This experience requirement is waived if an emergency medicine residency was completed within one year prior to submitting credentials to Naval Hospital Pensacola.

3.1.1. A physician who has not completed an American residency program must have passed the written portion of the certification of the American Board of Emergency Medicine not earlier than two years prior to submission of credentials to the Naval Hospital and must present evidence that he or she is currently scheduled for or has applied for the oral portion of the examination.

3.2. Posses current certification in American Heart Association Basic Life Support (BLS) for Healthcare Providers; American Health Association Healthcare Provider Course; American Red Cross CPR (Cardio Pulmonary Resuscitation) for the Professional Rescuer; or equivalent.

3.3. Current certification in Advanced Cardiac Life Support (ACLS).

3.4. Current certification in Advanced Trauma Life Support (ATLS).

3.5. Current certification in Pediatric Advanced Life Support (PALS).

4. Hours of operation. The Emergency Room is open 24-hours per day, 7 days per week, including weekends and holidays.

5. Staffing and scheduling.

5.1. The contractor shall provide three individual full-time Emergency Room Physicians. To maintain continuity of services, a maximum of two Emergency Room Physicians may share one full-time position; however, see Section 5.6. of this task order for applicable provisions for job sharing. The Commanding Officer will not privilege more than two individuals for each of the required positions.

5.2. Services are required 24 hours per day, 7 days per week, including weekends and holidays. A typical 2-week (80-hour) schedule will be five 12.5-hour shifts and two 8.5-hour shifts, including a .5 uncompensated meal break. Shifts are scheduled as follows: 12.5-hour shifts are 0645 to 1915, 1845 to 0715, 0845-2115, 1015 to 2245, and 1145-0015; and 8.5-hour shifts are 1545-0015 and 0845 to 1715. The HCW shall be expected to work 2 or 3 night shifts every two weeks and provide services two weekends out of every month.