N62645-14-R-0038_Amendment_0003.doc

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 30 - BLOCK 14 CONTINUATION PAGE

The following have been modified:

QUESTIONS AND ANSWERS

Question 1: Is this solicitation opened to Service-Disabled Veteran Owned Businesses only OR Service-Disabled Veteran Owned Businesses AND Small Businesses?

Answer 1: Per Section K.1 of the solicitation, “In accordance with FAR 52.204-8, the offeror must complete the Online Representations and Certifications Application (ORCA) to include representation as a Service Disabled Veteran Owned Small Business (SDVOSB)”

Question 2: In response to Amendment 2, where the government has specified what Wage Determinations to be used, will the government please supply the SCA Occupation codes to be used for each position on the solicitation?

Answer 2:

12072 – Licensed Practical Nurse II

12312 – Registered Nurse II

12314 – Registered Nurse III

Question 3: We realize that the deadline has passed for questions on the above solicitation, but we wanted to point out an inconsistency with the hours on the Statement of Work for Lot A (RN Labor and Delivery) and the Pricing Sheet for Lot A. Section 4.4 of the SOW indicates that the contractor shall provide 252 hours per week, Sunday through Saturday. Additionally, the table in Section 4.4 indicates two RNs per shift for each weekend day, but calculates only 48 hours. Shouldn’t the number read 96 hours to cover both Saturday and Sunday? Therefore, the total hours required per week would be 300. Taking into consideration the extra day for leap year, shouldn’t the total hours on the pricing sheet read 15,648?

Answer 3: Please see the revised Statement of Work in Section L, Enclosure 3 – Lot A, Statement of Work for Registered Nurse, Labor & Delivery and the revised pricing sheet will be posted to FBO and shall be submitted in accordance with Section L.

SECTION A - SOLICITATION/CONTRACT FORM

The required response date/time has changed from 02-Jul-2014 02:00 PM to 10-Jul-2014 02:00 PM.

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 (includes price information)

A complete Volume I - Past Performance; Volume II -Technical; and Volume III - Business; shall be submitted at the same time to the electronic mail (e-mail) address in Paragraph L.3.3. by the closing time and date referenced in Block 9 of the SF 33. All three Volumes shall be included as attachments within one e-mail from the offeror. If more than one e-mail is received per offeror, the entire proposal will be not be considered. 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 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 shall be either Government personnel (civil service or military) or employees of private sector medical facilities for which the contractor has provided services. Past Performance Information Sheets that list POCs that work for, or have worked for, the offeror or with a teaming partner(s) directly or indirectly will be determined not relevant.

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

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

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

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

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

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

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

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

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

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

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

L.2.4.3.1. The offeror must be registered in Online Representations and Certifications Application (ORCA) in accordance with Section K, FAR 52.204-8, and DFARS 252.204-7007. The offeror shall verify its ORCA is current, accurate, complete and applicable to this solicitation as of the date of this offer and is incorporated in this offer by reference. The offeror shall also be registered in ORCA as a Service Disabled Veteran Owned Small Business under the applicable NAICS code for this solicitation, 621399. The small business size standard is $7 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 252.209-7994 [REPRESENTATION by corporations regarding an unpaid delinquent tax Liability or a felony conviction under any federal law—FISCAL YEAR 2014 APPROPRIATIONS (DEVIATION 2014-O0004) (OCTOBER 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 N62645-14-R-0038.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 in the e-mailed proposal with the Volume III – Business attachment. 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 two option periods (lots). Lots for this requirement are outlined in the electronic pricing spreadsheet and Enclosures 3-8. Enclosures 3-8, 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 3-8 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. No hard copies of proposals will be accepted.

L.3.2. The Past Performance, Technical, and Business volumes shall be submitted by e-mail only. Please note only 1 e-mail per offeror will be accepted. The e-mailed proposal (to include all volume attachments) shall not be larger than 10 mega bytes and shall be in Microsoft Office for Windows format (2007), either .docx or .xlsx files, as specified herein. If the e-mail is larger than 10 mega bytes, it will not be accepted. Consent letters and forms that require signatures may be submitted as a .pdf file and included with the corresponding volume attachment.

L.3.3. Each e-mailed proposal shall have the name of the offeror and the solicitation number in the subject line. Any requests for hand delivery will not be honored. It is the Offeror's responsibility to ensure that proposals are received by the due date and time required. The Government will acknowledge receipt of all proposals. If an acknowledgement is not received, it is the Offeror’s responsibility to follow-up with NMLC to guarantee receipt.

The e-mail address for proposal submission is:

nmlc-matrix@med.navy.mil L.3.4. The offeror is responsible for ensuring that proposals do not 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. and L.3. 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 and L.3 may result in rejection of the offeror's 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 NMLC no later than 10 calendar days after the issue date (Block 5 of SF33) of this solicitation via email to nmlc-matrix@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 Statements of Work

Enclosure 4 – Lot B Statements of Work

Enclosure 5 – Lot C Statements of Work

Enclosure 6 – Lot D Statements of Work

Enclosure 7 – Lot E Statements of Work

Enclosure 8 – Lot F Statements 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

STATEMENT OF WORK

Registered Nurse, Labor & Delivery

Naval Hospital Oak Harbor, WA

1. Site of Service. The contractor shall provide personnel for services in support of Naval Hospital (NH) Oak Harbor in the Labor and Delivery Unit.

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

Registered Nurse* (RN), Labor and Delivery (Coverage)

*Wage Determination

3. Qualifications. The healthcare workers (HCWs) shall possess and maintain the applicable qualification requirements given in Section C of the basic contract. In addition, the HCWs shall:

3.1. Possess either:

a) Baccalaureate Degree in Nursing from an accredited National League of Nurses program and at least two years experience or,

b) Diploma Graduate from an accredited program and at least three years experience or,

c) Associate Degree from an accredited program and at least three years experience.

3.2. Possess a minimum of one year of experience, within the last three years, working on a labor and delivery unit.

3.3. Possess and maintain a current Neonatal Resuscitation Program (NRP) certification.

3.4. Possess and maintain a current Advanced Cardiac Life Support (ACLS) certification.

3.5. Possess and maintain a current Fetal Monitoring-Basic training certification.

3.6. Prior to providing services entailing administration of IV medications under this contract, the HCWs must attend a 2-hour lecture on IV certification. The HCWs must then obtain certifications (e.g., IV, medications and blood administration) in accordance with clinic nursing service and command policy not later than 60 days after commencement of services, including MTF observation of three completed IV sticks during this time.

3.7. Provide two letters of recommendation written within the last two years attesting to the HCW’s clinical skills as a labor and delivery RN. A minimum of one letter must be from a workplace supervisor. The other letter must be from a practicing physician or head nurse/charge nurse/nursing supervisor. Recommendation letters must include: name, title, phone number, date of reference, address and signature of the individual providing the recommendation.

4. Staffing and Scheduling

4.1. To maintain continuity of care, the Contractor shall provide RN coverage services in the Labor and Delivery Unit 48 hours each day, every day of the year. The Commanding Officer will not credential more than 15 individuals.

4.2. The government retains the right to temporarily re-assign HCWs to other clinical areas within the facility as dictated by patient acuity or overall demand for services. Re-assignments will be within the clinical scope of professional nursing care for RNs possessing the qualifications as stated in

Section C of the basic contract including those within the task order.

4.3. The Commanding Officer or designated government representative will supervise the HCWs.

4.4. Tour of Duty. The Contractor shall provide RN services for approximately 300 hours per week, Sunday through Saturday, including the day of observance of federal holidays. The Contractor shall provide two (2) RNs to concurrently render services during all evening shifts and during day shifts on Monday, Friday, Saturday, Sunday, and holidays. The contractor shall provide one RN to render services during the day shifts on Tuesday, Wednesday, and Thursday. The specific schedule shall be provided by the Contractor approximately 4-6 weeks in advance. The government retains the right to assign an RN from the schedule for each shift to function as a team lead to coordinate the assignment of nursing staff to patients within the L&D unit. The table below specifies: the shift types and hours per shift, the days of required services, and the number of RNs the Contractor shall schedule concurrently per shift per day:

4.5. The HCWs shall not accrue leave under the task order: the Contractor is responsible for administering leave and providing replacement coverage in accordance with Section C.3. of the basic contract.

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

5.1. Provide Maternal Infant Unit (MIU) professional nursing care in support of the Naval Hospital Women's Health Service.

5.2. Assist in defining the patient population requiring professional nursing intervention and establishing guidelines to evaluate patients.

5.3. Work directly with selected patients and families to develop a nursing care plan. Collaborate with other health care disciplines to provide total quality patient care.

5.4. Function as care coordinator to assure all aspects of patient care needs are met, to include assessment, intervention and follow-up.

5.5. Obtain and document patient and pertinent family history. Orient new patients and their families as required.

5.6. Receive patient assignments, formulate, document, and implement a nursing care plan for assigned patients and review and update them as required.

5.7. Arrange for ordered diagnostic and therapeutic services as directed.

5.8. Administer immunizations, allergy treatments, oral, parenteral, and IV medications at designated times and in designated manner.

5.9. Chart nursing observations and ensure record is complete with all procedures and test results recorded.

5.10. Maintain required clinic records, patient charts, forms, logs, records, registers, and census reports and collects required statistics.

6. Orientation. In addition to Command and Nursing Orientation, all new HCWs are required to complete unit specific orientation.

STATEMENT OF WORK

Licensed Practical Nurses

Medical Home Port

Naval Hospital Oak Harbor, WA

1. Site of Service. The contractor shall provide personnel for service in support of the Director Medical Services (DMS) at Naval Hospital Oak Harbor, WA. The healthcare workers (HCWs) providing service under this Contract/Task Order (TO), will be supporting the Navy's Medical Home Port program. The objective of this program is to enhance continuity, wellness, and disease management for the patients.

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

Licensed Practical Nurse* (LPN) (four individuals)

* Wage Determination

3. Qualifications. The healthcare workers (HCWs) shall possess and maintain the applicable qualification requirements given in Section C of the basic contract. In addition, the HCWs shall:

3.1. Prior to providing services entailing administration of IV medications under this contract, the HCWs must attend a 2-hour lecture on IV certification. The HCWs must then obtain certifications (e.g., IV, medications and blood administration) in accordance with clinic nursing service and command policy not later than 60 days after commencement of services, including MTF observation of three completed IV sticks during this time.

4. Staffing and Scheduling

4.1. The contractor shall provide four full-time LPNs. 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 Commanding Officer or designated government representative will supervise the HCWs.

4.3. Tour of Duty. Services shall be provided Monday through Friday, excluding the day of observance of Federal holidays, between the hours of 0630 and 1630. The HCWs shall be assigned either an 8.5-hour shift to include an uncompensated .5 hour meal break or a 9-hour shift to include an uncompensated 1 hour meal break. The HCWs shall not exceed 80 hours in a two-week period. The specific schedule for the HCWs for each two-week period will be scheduled one month in advance by the Commanding Officer or designated representative. Any changes in the schedule shall be coordinated between the HCW and the government.

4.4 As part of the HCWs’ normal tour of duty, services will not 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 pay period. 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.

Enclosure 4—Lot B Statement of Work

STATEMENT OF WORK

Registered Nurse Case Managers

Naval Hospital Bremerton, WA

1. Site of Service. The contractor shall provide personnel for services in support of the Naval Hospital, Bremerton, WA.

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

Registered Nurse Case Manager* (RNCM) (three individuals)

*Wage Determination

3. Qualifications. The healthcare workers (HCWs) shall possess and maintain the applicable qualification requirements given in Section C of the basic contract. In addition, the HCWs shall:

3.1. Possess a valid driver’s license and personal vehicle for use under the contract.

3.2. Possess the necessary knowledge, skills, and computer literacy to interpret and apply medical care criteria such as InterQual.

3.3. Provide two letters of recommendation written within the preceding two years from practicing providers, supervisors or program administrators attesting to the HCW’s clinical skills. Recommendation letters must include: name, title, phone number, date of reference, address and signature of the individual providing the recommendation.

4. Staffing and Scheduling

4.1. The contractor shall provide three full-time RNCMs at NH, Bremerton, WA. 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 Commanding Officer or designated government representative will supervise the HCWs.

4.3. Tour of Duty. Services shall normally be provided Monday through Friday between the hours of 0630 and 1730 (6:30am and 5:30pm) for each position. Each HCW shall be assigned either an 8.5-hour shift, to include an uncompensated 30-minute meal break; or assigned an 11-hour shift, to include an uncompensated 60-minute meal break. Services will not normally be required on the day of observance of Federal holidays. The HCWs shall be on duty for approximately 40 hours each week, except during periods of approved leave and holidays. In no instance will the HCWs be required to provide services in excess of 160 hours per 4-week period. The specific schedule for each 2-week period will be scheduled one month in advance by the Commanding Officer or designated representative. Any changes in the schedule shall be coordinated between the HCW and the government.

5. Holidays and Leave.

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

5.2. As part of the HCWs’ normal tour of duty, services will not be required on the day of observance of Federal holidays.

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

7. Travel. If travel is required, reimbursement for allowable travel expenses will be according to Section B of this task order and in accordance with Section C.12 of the basic contract. When using a personal vehicle for work, the HCW shall be compensated for mileage at the prevailing rate. The HCWs shall not transport the patient or the patient’s family in his/her personal or government vehicle without prior approval from the supervisor.

STATEMENT OF WORK

Registered Nurse

Branch Health Clinic Everett, WA

Naval Hospital Bremerton, WA

1. Site of Service. The contractor shall provide personnel for services in support of Naval Hospital, Bremerton in the Primary Care Clinic at the Branch Health Clinic Everett, WA.

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

Registered Nurse,* (RN) Family Practice (one individual)

*Wage Determination

3. Qualifications. The healthcare worker (HCW) shall possess and maintain the applicable qualification requirements given in Section C of the basic contract. In addition, the HCW shall:

3.1. Possess one year of full-time experience as an RN within the last three years in an outpatient environment of comparable size and complexity.

3.2. Prior to providing services entailing administration of IV medications under this contract, the HCW must attend a 2-hour lecture on IV certification. The HCW must then obtain certifications (e.g., IV, medications and blood administration) in accordance with clinic nursing service and command policy not later than 60 days after commencement of services, including MTF observation of three completed IV sticks during this time.

3.3. Provide two letters of recommendation written within the last two years attesting to the HCW’s clinical skills. A minimum of one letter must be from a supervisor. Reference letters must include; name, title, phone number, date of reference, address and signature of the individual providing the recommendation.

4. Staffing and Scheduling.

4.1. The contractor shall provide one full-time Family Practice RN at the BHC Everett. In order 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 Commanding Officer or designated government representative will supervise the HCW.

4.3. Tour of Duty. Services shall normally be provided for an 8.5 hour shift, to include an uncompensated 30 minute meal break between the hours of 0730 and 2100 (7:00 AM to 9:00 PM) Monday through Friday, excluding the observance of Federal holidays. In no instance will the HCW exceed 80 hours (on-site service plus approved leave and holidays) per two-week period. The specific schedule for the HCW for each two-week period will be scheduled one month in advance by the Commanding Officer or designated representative. Any changes in the schedule shall be coordinated between the HCW and the government.

5. Holidays and Leave.

5.1. The HCW will accrue 8 hours of personal leave (annual plus sick) for each 80 hour pay period. The HCW shall be subject to the provisions of leave in accordance with the terms specified in Section C of the basic contract.

5.2 As part of the HCW’s normal tour of duty, services will not be required on the day of observance of Federal holidays.

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

6.1. Make independent nursing practice decisions to plan, organize, develop, and implement methods of providing quality nursing care/nursing service in an ambulatory care setting.

6.2. Maintain liaison with allied health care professionals and community referral services. Coordinates patient health care needs with appropriate referrals as indicated.

6.3. Maintain link with professional organizations and nursing standards relevant to ambulatory care. Implements nursing care in the ambulatory setting using these standards.

6.4. Liaison with appropriate inpatient units as an advocate for continuity of care planning, follow up, and outcome measurement.

6.5. Possess age specific knowledge and competency appropriate to setting population.

6.6. Promote health maintenance and preventive health initiatives in caring for patients in the ambulatory setting.

STATEMENT OF WORK

Certified Nurse Midwife

OB/GYN Clinic

Naval Hospital Bremerton, WA

1. Site of Service. The contractor shall provide personnel in support of Naval Hospital (NH), Bremerton for service in the OB/GYN Clinic.

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

Certified Nurse Midwife* (one individual)

*Wage Determination

3. Qualifications. The healthcare worker (HCW) shall possess and maintain the minimum qualifications stated in Section C of the basic contract. In addition, the HCW shall:

3.1. Possess a minimum of 1 year of full-time experience within the last 3 years as a Certified Nurse Midwife.

3.2. Provide two letters of recommendations written within the preceding two years from practicing providers, supervisors or program administrators attesting to the HCW’s professional skills, competencies patient rapport, training abilities, etc. Recommendation letters must include: name, title, and 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 full-time Certified Nurse Midwife in the OB/GYN Clinic. To maintain continuity of services the Commanding Officer will not approve more than two individuals to share the job requirements for this position.

4.2. The Commanding Officer or designated government representative will supervise the HCW.

4.3. Tour of Duty. Services shall normally be provided for one, 24-hour in-house on-call shift; and two, 8.5-hour shifts (to include an uncompensated 30- minute meal break) per week. The HCW shall be scheduled between Sunday and Saturday, including the day of observance of Federal holidays. The HCW shall not exceed 80 hours in a two-week period. The specific schedule for the HCW for each two-week period will be scheduled one month in advance by the Commanding Officer or designated representative with the exception of the first four weeks of the period of performance. Any changes in the schedule shall be coordinated between the HCW and the government. In-house on-call services are not separately priced.

5. Holidays and Leave.

5.1. The HCW may accrue up to 8 hours of personal leave (annual plus sick) for each 80 hour pay period and shall be subject to leave approval in accordance with Section C of the basic contract. In the event the contractor staffs the position with part-time individuals, no leave will be accrued by any individual who works less than 40 hours during a 2-week invoice period.

5.2. The HCW shall be compensated, as applicable, for federal holidays in accordance with Section C of the basic contract. If work is required on a holiday, the HCW will receive an equal amount of compensatory time to be scheduled between the government supervisor and the HCW.

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

6.1. Consult with other specialists, clinics, or health resources as indicated.

6.2. Order routine screening laboratory tests and radiographic procedures.

6.3. Prescribe and dispense all contraceptive agents exclusive of subcutaneous implanted progestin devices and cervical caps.

6.4. Assess and treat obstetrics patients with acute episodic illness(es) (requires consultation with appropriate medical officer).

6.5. Develop a health promotion and maintenance plan, including disease prevention and health screening to include teaching, counseling, and support.

6.6. Provide antenatal evaluation of fetal well-being by monitoring and interpretation of stress and non-stress tests.

6.7. Diagnose labor and perform admission history and physical examination.

6.8. Manage uncomplicated labor inclusive of pelvic examination, routine admission orders, amniotomy, external and internal monitoring, analgesia using intramuscular and intravenous narcotics and potentiator.

6.9. Assess and manage normal post-partum orders and administration of oxytocic.

6.10. Assess readiness for, and discharge of, patients from the hospital.

6.11. Provide periodic health screening.

6.12. Provide abortion counseling.

6.13. Assess and treat patients with minor gynecologic disorders and sexually transmitted diseases.

6.14. Provide initial routine care of newborn inclusive of aspiration with DeLee and endotracheal tube in case of emergency, assignments of APGAR scores and initial newborn examination in the delivery room.

6.15. Resuscitate newborn by bag and mask, as necessary.

Enclosure 5—Lot C Statement of Work

STATEMENT OF WORK

Registered Nurse Case Managers

Headquarters, Naval Health Clinic Hawaii

Wounded Ill and Injured (WII)

1. Site of Service. The contractor shall provide services in support of the Naval Health Clinic Hawaii (NHCH).

Services shall be provided at the Headquarters (HQ), NHCH Branch Health Clinic (BHC) Makalapa and BHC Kaneohe Bay HI, or associated BHCs/Annexes within a 25-mile radius of the NHCH. No mileage or per diem shall be paid to the contractor for local travel. This task order is for the Wounded, Ill and Injured (WII) initiatives under the WII program.

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

Registered Nurse Case Manager* (RNCM) (two individuals)

*Wage Determination

3. Qualifications. The healthcare workers (HCWs) shall possess and maintain the minimum qualifications stated in Section C of the basic contract. Additionally, prior to the provision of services, the HCWs shall:

3.1. Possess and maintain a valid driver’s license and a personal vehicle for use under the contract.

3.2. Provide two letters of recommendation written within the preceding 2 years from nurse supervisors and/or physicians attesting to clinical and professional skills, competencies, patient rapport, training abilities, etc, as related to HCW services. Recommendation letters must include; name, title, phone number, date of reference, address and signature of the individual providing reference.

4. Staffing and Scheduling.

4.1. The contractor shall provide two full-time RNCMs to work at Headquarters, Naval Health Clinic Hawaii. 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 Commanding Officer or designated government representative will supervise the HCWs.

4.3. Tour of Duty. Services shall normally be provided Monday through Friday, excluding the day of observance of Federal holidays, between the hours of 0630 and 1730. Each HCW shall be assigned an 8.5 hour shift to include a 0.5 hour uncompensated meal break. The HCWs shall wear a government issued paging device during their assigned shift and shall respond within 10 minutes of notification. Specific schedules will be prepared approximately 30 days in advance by the Commanding Officer or designated representative. Any changes in the schedule shall be coordinated between the HCW and the government. In no instance will a HCW exceed 80 hours (on-site service plus approved leave and holidays) per in a two-week period.

4.4. The HCWs shall comply with command requirements with regards to Defense Medical Human Resources System-internet (DMHRSi) documentation.

5. Holidays and Leave.

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

5.2. The HCWs shall be compensated as applicable for federal holidays in accordance with Section C of the basic contract.

6. 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:

6.1. Case Management may require at least one site visit within 30 days of beginning case management services to assess the family situation and facilitate development of a plan.

6.2. Participate in multidisciplinary discharge planning (as required via Tripler Army Medical Center) and other professional staff meetings as indicated for complex patient cases and develop a database and knowledge of local community resources.

6.3. Establish a TRICARE Online (TOL) account and be trained to use the Enterprise Wide Referral and

Authorization System (EWRAS) in the performance of duties or new systems used by the MTF to perform duties.

7. Travel. The HCWs may be required to travel to attend off-island conferences and symposia. Reimbursement for allowable travel expenses will be according to Section B of this task order and in accordance with Section C.12 of the basic contract.

STATEMENT OF WORK

Registered Nurse Case Manager

Headquarters, Naval Health Clinic Hawaii

Psychological Health and Traumatic Brain Injury

1. Site of Service. The healthcare worker (HCW) shall provide services in support of the Naval Health Clinic

Hawaii (NHCH). Services shall be provided at the Headquarters (HQ), NHCH, Branch Health Clinic (BHC) Makalapa and BHC Kaneohe Bay HI, or associated BHCs/Annexes within a 25-mile radius of the NHCH. No mileage or per diem shall be paid to the contractor for local travel. This task order is for the Psychological Health and Traumatic Brain Injury Program (PHTBI).

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

Registered Nurse Case Manager* (RNCM) (one individual)

*Wage Determination

3. Qualifications. The healthcare worker (HCW) shall possess and maintain the minimum qualifications stated in Section C of the basic contract. Additionally, prior to the provision of services, the HCWs shall:

3.1. Possess and maintain a valid driver’s license and a personal vehicle for use under the contract.

3.2. Provide two letters of recommendation written within the preceding 2 years from nurse supervisors and/or physicians attesting to the HCW’s clinical and professional skills, competencies, patient rapport, training abilities, etc, as related to HCW services. Recommendation letters must include; name, title, phone number, date of reference, address and signature of the individual providing reference.

4. Staffing and Scheduling.

4.1. The Contractor shall provide 1 full-time RNCM to work in the BHC Makalapa and associated clinics. 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…