N62645-16-R-0010_Amend_0002.docx

N62645-16-R-0010

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 30 - BLOCK 14 CONTINUATION PAGE

The following have been added by full text:

DETAILS OF CHANGES

DETAILS OF CHANGES

Section C - Descriptions and Specifications

CHANGED FROM:

NOTE 4: The term DTF/MTF refers to the Dental Treatment Facility/Military Treatment Facility or other Federal medical treatment facility at which services are performed.

CHANGED TO:

NOTE 4: The term DTF/MTF refers to the Dental Treatment Facility/Military Treatment Facility or other Federal medical treatment facility at which services are performed. For services provided at non-Navy site, the credentialing and security requirements may differ than those stated herein.

CHANGED FROM:

C.3.1.4. Contractors and HCWs shall ensure that leave requests are submitted with sufficient time in advance to allow the government supervisor to adequately plan for adequate staffing levels. Unless otherwise specified in a Task Order, all accrued leave shall be used within 90 days following the completion of a Task Order if a Logical Follow-on Task Order, as defined in Section H.2., has been issued or within the first 90 days of the exercised option period under a Task Order. If a Logical Follow-on Task Order is not issued or if an option period under a Task Order is not exercised, all unused leave shall be either used by the end of the Task Order or option period of performance or forfeited. If leave is carried over beyond the completion date of the Task Order (i.e. to be used in the subsequent 90 days), the government reserves the right to require the HCW to provide the government supervisor and COR with a schedule for the use of that leave not later than the first workday of the Logical Follow-on Task Order or not later than the first workday of the exercised option period of the Task Order. HCWs shall not presume that their leave schedule has been approved unless notified, in writing, by the government supervisor. The government will make every effort to accommodate all leave requests; however, the Commanding Officer reserves the right to unilaterally deny these leave requests to meet the demand for patient care.

CHANGED TO:

C.3.1.4. Contractors and HCWs shall ensure that leave requests are submitted with sufficient time in advance to allow the government supervisor to adequately plan for adequate staffing levels. Unless otherwise specified in a Task Order, no more than 40 hours of leave shall be carried over to be used within the first 90 days of a Logical Follow-on Task Order, as defined in Section H.2., or within the first 90 days an exercised option period of a Task Order. If a Logical Follow-on Task Order is not issued or if an option period under a Task Order is not exercised, all unused leave shall be either used by the end of the Task Order or option period of performance or forfeited. If leave is carried over beyond the completion date of the Task Order (i.e. to be used in the subsequent 90 days), the government reserves the right to require the HCW to provide the government supervisor and COR with a schedule for the use of that leave not later than the first workday of the Logical Follow-on Task Order or not later than the first workday of the exercised option period of the Task Order. HCWs shall not presume that their leave schedule has been approved unless notified, in writing, by the government supervisor. The government will make every effort to accommodate all leave requests; however, the Commanding Officer reserves the right to unilaterally deny these leave requests to meet the demand for patient care.

REMOVED:

C.3.1.7. At the discretion of the Commanding Officer and subject to the advance approval by the supervisor, COR, and the Contractor, a HCW shall enter a LWOP status upon exhaustion of any leave balance. Unless waived by the Contracting Officer, the Contractor shall replace any HCW who has been on LWOP status for a total of 40 hours per task order. At the discretion of the Commanding Officer, LWOP taken in conjunction with family or medical leave is not subject to this limitation, but must be approved in advance by the Commanding Officer or designee.

C.4.2. If clinical privileges or duties of a HCW have been summarily suspended or are being held in abeyance (per DoD Manual 6025.13 (or latest version)), pending an investigation into questions of professional ethics or conduct, performance under the Task Order may be suspended until clinical privileges are reinstated. No reimbursement shall be made and no other compensation shall accrue to the Contractor for the affected HCW so long as performance is suspended or clinical privileges are held in abeyance. The denial, suspension, limitation, or revocation of clinical privileges based upon practitioner impairment or misconduct will be reported to the appropriate licensing authorities of the state in which the license is held, in accordance with DoD Manual 6025.13.

CHANGED FROM:

C.7.10. CREDENTIALING REQUIREMENTS

C.7.10.1. For all credentialed HCWs: Following award of a Task Order, the contractor shall submit to the COR complete HCW Credentials Record(s) (CR) not fewer than 30 days prior to required performance of duties. The CR, maintained at the MTF, contains specific information with regard to qualifying degrees and licenses, past professional experience and performance, education and training, health status, and current competency (i.e. within 2 years) as compared to specialty-specific criteria regarding eligibility for defined scopes of health care services. For those HCWs who currently have a CR on file, an updated Personal and Professional Information Sheet (PPIS) for Privileged Providers, with notation that a complete up-to-date CR is on file, shall be submitted no less than 15 days prior to required commencement of services. BUMED Instruction 6010.30, Enclosure (6), details the CR requirements. BUMEDINST 6010.30 is available at http://www.med.navy.mil/directives/Pages/ExternalDirectives.aspx. Click BUMED Directives and page to the appropriate instruction number.

C.7.10.1.1. In the event the contractor submits an incomplete CR, the COR will notify the contractor. Incomplete CRs will be shredded, or may be returned to the contractor if a prepaid means of return was provided when the original package was submitted. Incomplete CRs will not be retained by the COR. Presentation of incomplete CRs by the contractor may be evaluated as part of the performance evaluation on future awards.

C.7.10.2. If, during the Government's evaluation of the CR a negative current clinical competency assessment is determined, it will bring the MTF’s consideration of the HCW’s application for credentials review and privileging to an immediate close. Since meeting credentialing requirements and, as applicable, being granted privileges is required as a condition of employment under this contract, a negative current clinical assessment may result in the issuance of a Task Order termination notice by the Contracting Officer in accordance with FAR clause 52.249-12.

C.7.10.3. Upon receipt of a complete CR, the COR will forward the package to the MTF’s Medical Staff Services Office (MSSO) for credentials review of the individual HCW. The MSSO shall ensure the CR is complete in accordance with BUMEDINST 6010.30 (and subsequent revisions). The Contractor shall not assign an individual to work at the MTF until the HCW’s CR has been approved by the designated Privileging Authority.

C.7.10.4. The contractor is responsible for prime source verification of all licenses and certifications prior to submission of the CR to the COR. The contractor shall provide written documentation from the verifying agency that includes the agency POC, their position and contact information, the agency name, and the date of verification. The contractor shall also include a copy of their outgoing letter to the primary issuing agency requesting written verification. Upon receipt by the contractor, the issuing agency's original letterhead verification response shall be provided to the MTF Medical Services Professional, via the COR. Services shall not be performed until appropriate clinical privileges have been granted, or in the case of clinical support staff, credentials have been approved.

C.7.10.5. The contractor shall ensure that all documentation necessary to keep each individual CR current is submitted to the MSSO, via the COR, for inclusion in each file. The contractor shall maintain a complete credential file for each HCW during the life of this contract. It is emphasized that the file and the documents therein shall be kept current and shall be made available for Government inspection upon request if needed for further credential review.

C.7.10.6. The government reserves the right to transfer to the gaining Contractor the credentials of a HCW who has been granted delineated clinical privileges on a predecessor Contract/Task Order without a new or additional credentialing action. This extension may occur only: a) within the same command; b) when there is no increased clinical competency requirement of the HCW; c) when there is no significant change in the scope of clinical practice of the HCW; d) when there is no gap in performance between the contracts; and e) There has been no documented negative or unsatisfactory performance issues with the HCW.

C.7.10.7. Permanent revocation of clinical privileges and permanent adverse administrative actions due to professional misconduct against licensed or certified practitioners may be reported to the appropriate professional licensure clearinghouse and/or to the licensing authorities of the state in which the services are performed in compliance with SECNAVINST 6401.2. In addition, contract providers are advised that the Department of Defense participates in the national reporting system established under Part B of the Health Care Quality Improvement Act of 1986, Public Law 99 660. Reports, naming individual practitioners, shall be submitted to the National Practitioner Data Bank in accordance with this Act.

C.7.10.8. The privileging authority per BUMEDINST 6010.30 will grant clinical privileges where appropriate to those HCWs requiring privileges to perform services. If a HCW’s employment with the contractor ends for any reason, all clinical privileges and medical staff appointments shall be terminated without recourse to the fair hearing and appeals procedures specified by the medical staff bylaws and DoD Manual 6025.13 and BUMEDINST 6320.67A (and subsequent revisions).

C.7.10.9. For non-credentialed HCWs: The Contractor shall submit a qualifications package to the COR for each HCW who is not required to submit a CR. Prior to Contractor’s HCWs providing services under this contract, the COR will verify the compliance of each HCW with the qualification requirements appropriate to their employment category. For HCWs who do not currently have a qualification package on file at the facility, the contractor shall submit a package to the COR at least 30 days prior to required commencement of services. For those HCWs who currently have a qualification package on file, an updated qualification package shall be submitted no less than 15 days prior to required commencement of services.

C.7.10.10. The Contractor shall continuously maintain a current list of all individuals who have been privileged, credentialed, or approved for service under each task order. The Contractor shall provide a copy of the updated list to the COR monthly, or more often as requested by the COR. In addition, the contractor shall provide a copy of each HCW’s renewal/update of certifications, including but not limited to: flu shots, certifications (BLS, ACLS, PALS, etc.), licenses and/or certifications. In addition, the Contractor shall provide a report of employees' status for reportables such as, but not limited to flu shots, , certifications (BLS, ACLS, PALS, etc.), licenses and/or certification, etc. The report shall be in table format, alphabetical by employee's name, and list status of the reportable items. An updated report shall be provided to the COR not later than the 3rd business day of each month.

C.7.10.10.1. Documentation containing HCW PII and/or HIPPA information shall be transmitted via encrypted email or via AMRDEC SAFE, accessible at https://safe.amrdec.army.mil/safe/

C.7.10.11. The contractor shall inform the COR of any terminations of employment within 24 hours of the action.

CHANGED TO:

C.7.10. CREDENTIALED AND NON-CREDENTIALED HCW DOCUMENTATION REQUIREMENTS

C.7.10.1. Credentialed HCWs. The privileging authority per BUMEDINST 6010.30 will grant clinical privileges where appropriate to those HCWs requiring privileges to perform services. If a HCW’s employment with the contractor ends for any reason, all clinical privileges and medical staff appointments shall be terminated without recourse to the fair hearing and appeals procedures specified by the medical staff bylaws and DoD Manual 6025.13 and BUMEDINST 6320.67A (and subsequent revisions).

C.7.10.1.1. Following award of a task order or a modification to add a HCW, the COR shall forward to the contractor the forms and documents necessary for the contractor to develop the Credentials Record(s) (CR), which is used as the basis of a clinical competency determination. The CR, maintained at the MTF, contains specific information with regard to qualifying degrees, licenses, national and/or board certifications, past professional experience and performance, education and training, health status, and clinical competency as compared to specialty-specific criteria regarding eligibility for defined scopes of health care services.

C.7.10.1.1.1. The contractor shall submit a complete CR (to include documentation of current clinical competency) to the COR no fewer than thirty (30) days prior to performance of duties. For those HCWs who currently have a CR on file, an updated Personal and Professional Information Sheet (PPIS) for Privileged Providers, with notation that a complete up-to-date CR is on file, shall be submitted no fewer than fifteen (15) days prior to commencement of services, in accordance with local policies. BUMED Instruction 6010.30, Enclosure (6), details the CR requirements. BUMEDINST 6010.30 is available at http://www.med.navy.mil/directives/Pages/BUMEDInstructions.aspx .

C.7.10.1.2. The contractor is responsible for prime source verification of all licenses, certifications, education, training, employment/professional affiliation history, and any other documentation required by the Medical Staff Services Professionals (MSSP) prior to submission of the CR to the COR. For verifications obtained via phone or written correspondence, the contractor shall provide written documentation from the verifying agency that includes the agency POC, position and contact information, the agency name, and the date of verification. For verifications obtained from a website that complies with The Joint Commission's accreditation standards for primary source verification, the contractor will provide a legible portable document format (.pdf) version of the web-based primary source verification and include the inquiry date and the website Uniform Resource Location (URL) address.

C.7.10.1.3. Upon receipt of a complete CR, the COR will forward the CR to the MTF’s Medical Staff Services Office (MSSO) for credentials review of the individual HCW. The MSSO shall ensure the CR is complete in accordance with (IAW) BUMEDINST 6010.30 (and subsequent revisions). The contractor shall not assign an individual to work at the MTF until the HCW’s CR has been approved by the designated Privileging Authority or other designated authority for Clinical Support Staff HCWs (i.e. registered nurses, dental hygienists, etc.) and shall discontinue the service of an individual who fails to maintain compliance with qualification and credentialing requirements

C.7.10.1.4. If the contractor submits an incomplete CR, the COR will notify the contractor. An incomplete CR will not be processed, and may be returned to the contractor if a prepaid means of return was provided when the original package was submitted; an incomplete CR package will not be retained by the COR. Presentation of incomplete packages by the contractor may be evaluated as part of the performance evaluation on future awards.

C.7.10.1.5. If, during the Government's evaluation of the CR, a negative current clinical competency assessment is determined, it will bring the MTF’s consideration of the HCW’s application for credentials review and privileging to an immediate close. Since meeting credentialing requirements and, as applicable, being granted privileges is required as a condition of employment under this contract, a negative current clinical assessment may result in the issuance of a task order termination notice by the Contracting Officer in accordance with Federal Acquisitoin Regulation (FAR) 52.249-12.

C.7.10.1.6. Throughout the task order, the contractor shall ensure that all documentation necessary to maintain a current CR is submitted to the MSSO via the COR, for inclusion in each file. The contractor shall maintain its own complete credential file for each HCW, which will be made available for Government inspection upon request if needed for further credential review.

C.7.10.1.7. If clinical privileges are suspended or held in abeyance pending an investigation into questions of professional ethics or conduct, performance under this contract may be suspended until clinical privileges are reinstated. No reimbursement shall be made and no other compensation shall accrue to the contractor so long as performance is suspended or clinical privileges are held in abeyance. The denial, suspension, limitation, or revocation of clinical privileges based upon practitioner impairment or misconduct may be reported to the appropriate licensing authorities of the state in which the license is held IAW DoD Manual 6025.13.

C.7.10.1.8. Permanent revocation of clinical privileges and permanent adverse administrative actions due to professional misconduct against licensed or certified practitioners may be reported to the appropriate professional licensure clearinghouse, and/or the National Practitioner Data Bank, and/or to the licensing authorities of the state in which the license is held in compliance with SECNAVINST 6401.2. The Department of Defense participates in the national reporting system established under Part B of the Health Care Quality Improvement Act of 1986, Public Law 99-660. Reports, naming individual practitioners, may be submitted to the National Practitioner Data Bank in accordance with this Act.

C.7.10.2. Non-credentialed HCWs: The Contractor shall submit a qualifications package to the COR for each non-credentialed HCW. Prior to Contractor HCWs providing services under this contract, the COR will verify the contract compliance of each HCW with the qualification requirements appropriate to their employment category. For HCWs who do not currently have a qualification package on file at the facility, the contractor shall submit a package at least fifteen (15) days prior to commencement of services. For those HCWs who currently have a qualification package on file, an updated qualification package shall be submitted no less than fifteen (15) days prior to commencement of services, in accordance with local policies.

C.7.10.2.1. The contractor is responsible for prime source verification of all licenses, certifications, education, training, employment/professional affiliation history, and any other documentation required by the COR prior to submission of the qualifications package. For verifications obtained via phone or written correspondence, the contractor shall provide written documentation from the verifying agency that includes the agency point of contact (POC), position and contact information, the agency name, and the date of verification. For verifications obtained from a website that complies with The Joint Commission's accreditation standards for primary source verification, the contractor will provide a legible .pdf version of the web-based primary source verification and include the inquiry date and the website URL address.

C.7.10.2.2. If the contractor submits an incomplete qualifications package, the COR will notify the contractor. Incomplete qualifications packages will not be processed, and may be returned to the contractor if a prepaid means of return was provided when the original package was submitted. Incomplete CR packages will not be retained by the COR. Presentation of incomplete packages by the contractor may be evaluated as part of the performance evaluation on future awards.

C.7.10.3. Documentation containing HCW personally identifiable information (PII) and/or the Health Insurance Portability and Accountability Act (HIPAA) information shall be transmitted via encrypted email or via the U.S. Army Aviation and Missile Research Development and Engineering Center (AMRDEC) Safe Access File Exchange (SAFE), accessible at https://safe.amrdec.army.mil/safe.The contractor shall ensure that all HCW PII and/or HIPAA information is marked appropriately and handled in accordance with all applicable rules and regulations.

C.7.10.4. The contractor shall provide a copy of each HCW's renewal/update of certifications, including but not limited to flu shots, certifications (BLS, ACLS, PALS, etc.), licenses and/or certifications. If requested, the Contractor shall provide a report of HCW status for reportables such as, but not limited to flu shots, certifications (BLS, ACLS, PALS, etc.), licenses and/or certification. The report shall be in table format, alphabetical by HCW's name, and list the status of the reportable items. Such reports shall be provided within ten (10) business days of request.

C.7.10.5 The contractor shall inform the COR of any HCW terminations of employment within twenty four (24) hours of the action.

C.8.1.1. Notwithstanding the experience requirements listed below for each labor category, each HCW proposed for a credentialed position must have pertinent clinical experience within the past two years sufficient to demonstrate current clinical competency for the setting and procedures required by the contract and individual Task Order.

C.8.1.2. For all non-credentialed/privileged positions, a requirement of recommendation letters may be specified in the task order.

CHANGED TO:

C.8.1.1. Unless otherwise specified in the Task Order, each HCW for whom a CR is submitted, see Section C.7.10 above, must demonstrate clinical competency within the past two (2) years in the clinical discipline required and as specified by the contract and/or Task Order (e.g., General Dentist, Dental Hygienist, Endodontist, Prosthodontist) BUMED Instruction 6010.30 (or latest version) provides the policy and procedures for determining clinical competency.

C.8.1.2. At a minimum, the HCW must submit two (2) references from peers who have had experience with the applicant's practice within the past two (2) years that attest to the HCW's competence to perform the requested privileges. BUMED Instruction 6010.30 (or latest version) provides the policy and procedures for reference letters.

C.8.1.3. For all non-privileged positions, recommendation letters will be specified in the Task Order.

REMOVED:

C.8.2.4. A requirement for letters of clinical competency may be specified in the task order.

REMOVED:

C.8.3.5. A requirement for letters of clinical competency may be specified in the task order.

REMOVED:

C.8.4.2. A requirement for letters of recommendation may be specified in the task order.

REMOVED:

C.8.6.1.3. A requirement for letters of recommendation may be specified in the task order.

REMOVED:

C.8.6.2.2. A requirement for letters of recommendation may be specified in the task order.

REMOVED:

C.8.7.5. A requirement for letters of clinical competency may be specified in the task order.

REMOVED:

C.8.8.5. A requirement for letters of clinical competency may be specified in the task order.

REMOVED:

C.8.9.5. A requirement for letters of clinical competency may be specified in the task order.

REMOVED:

C.8.10.5. A requirement for letters of clinical competency may be specified in the task order.

REMOVED:

C.8.11.5. A requirement for letters of clinical competency may be specified in the task order.

CHANGED FROM:

C.9.15. Participate in the provision of in-service training to clinic staff members. Provide training and/or direction as applicable to supporting Government employees (e.g., hospital corpsmen, students, etc.).

CHANGED TO:

C.9.15. Participate in the provision of in-service training to clinic staff members. Provide training and/or guidance as applicable to supporting Government employees (e.g., hospital corpsmen, students, etc.).

C.9.22. Be officially evaluated at least semi-annually on performance and adherence to requirements of this contract.

C.10.2.1.2. Direct supporting government employees assigned to him or her during the performance of clinical procedures. Such direction and interaction will comply with government and professional clinical standards and accepted protocols. The HCW will be subject to guidelines set forth in the Command's quality assurance and risk management instructions. The HCW shall perform administrative duties that include maintaining statistical records of his or her clinical workload, participating in dental education programs, preparing documentation for boards, and participating in clinical staff quality assurance functions at the prerogative of the Commanding Officer.

CHANGED TO:

C.10.2.1.2. Guide supporting government employees assigned to him or her during the performance of clinical procedures. Such guidance and interaction will comply with government and professional clinical standards and accepted protocols. The HCW will be subject to guidelines set forth in the Command's quality assurance and risk management instructions. The HCW shall perform administrative duties that include maintaining statistical records of his or her clinical workload, participating in dental education programs, preparing documentation for boards, and participating in clinical staff quality assurance functions at the prerogative of the Commanding Officer.

CHANGED FROM:

C.10.2.2.20. Monitor, provide technical direction and assist in training dental technicians involved in direct patient care to perform scaling, prophylaxes, polishing procedures, fluoride applications and oral home care instructions.

This may include preparing and presenting scheduled lectures to staff.

CHANGED TO:

C.10.2.2.20. Monitor, provide technical guidance and assist in training dental technicians involved in direct patient care to perform scaling, prophylaxes, polishing procedures, fluoride applications and oral home care instructions.

This may include preparing and presenting scheduled lectures to staff.

CHANGED FROM:

C.10.5.1.2. Direct supporting personnel assigned to him or her during the performance of clinical procedures. Such direction and interaction will comply with government and professional clinical standards and accepted protocols. The HCW will be subject to guidelines set forth in the Command's quality assurance and risk management instructions. The HCW shall perform administrative duties that include maintaining statistical records of his or her clinical workload, participating in dental education programs, preparing documentation for boards, and participating in clinical staff quality assurance functions at the prerogative of the Commanding Officer.

CHANGED TO:

C.10.5.1.2. Guide supporting personnel assigned to him or her during the performance of clinical procedures. Such guidance and interaction will comply with government and professional clinical standards and accepted protocols. The HCW will be subject to guidelines set forth in the Command's quality assurance and risk management instructions. The HCW shall perform administrative duties that include maintaining statistical records of his or her clinical workload, participating in dental education programs, preparing documentation for boards, and participating in clinical staff quality assurance functions at the prerogative of the Commanding Officer.

CHANGED FROM:

C.10.6.2. Technically direct, perform, or assist in the instruction of, other health care professionals seeing patients within the scope of their clinical privileges or responsibilities.

C.10.6.2. Technically guide, perform, or assist in the instruction of, other health care professionals seeing patients within the scope of their clinical privileges or responsibilities.

252.232-7006 WIDE AREA WORKFLOW PAYMENT INSTRUCTIONS (MAY 2013)

(5) WAWF email notifications. The Contractor shall enter the email address identified below in the “Send Additional Email Notifications” field of WAWF once a document is submitted in the system.

WAWF Acceptor/COR Email Address: See Task Order

CHANGED TO:

(5) WAWF email notifications. The Contractor shall enter the email address identified below in the “Send Additional Email Notifications” field of WAWF once a document is submitted in the system.

WAWF Acceptor/COR Email Address: See Task Order

The contractor shall submit invoices for payment every two weeks.

The Government will process invoices for payment every two weeks.

Section H - Special Contract Requirements

H.2.4. Lot awards may be made on the basis of initial offers without discussions. Offerors are therefore cautioned that their initial offer should contain the offeror’s best terms.

CHANGED FROM:

H.3.7. Proposal Evaluation.

The Contracting Officer has broad discretion in determining which awardee shall receive a Task Order. Every task order will be awarded on a best value basis, with any combination of the following factors being used for evaluation: past performance, pricing, management plan, quality of dental care worker(s), realism, certificate of availability, and timeliness of submission in response to the task order proposal request (TOPR). Depending on the requirement and the discretion of the contracting officer, any of these factors may be evaluated as being equal or having more importance than the other. The evaluation factors will be identified and the weighting of the factors will be specified in the TOPR.

CHANGED TO:

H.3.7. Proposal Evaluation.

The Contracting Officer has broad discretion in determining which awardee shall receive a Task Order. Every task order will be awarded on a best value basis, with any combination of the following factors being used for evaluation: past performance, pricing, management plan, quality of dental care worker(s), realism, certificate of availability, and timeliness of submission in response to the task order proposal request (TOPR). Price reasonableness is not considered an optional evaluation factor and will be evaluated for all TOPRs. Depending on the requirement and the discretion of the contracting officer, any of these factors may be evaluated as being equal or having more importance than the other. The evaluation factors will be identified and the weighting of the factors will be specified in the TOPR.

REMOVED:

H.7. SUBSTITUTION OF PERSONNEL FOR HEALTH CARE WORKERS WHO ACCRUE LEAVE.

H.7.1. Except as provided in this Section (H.7), the contractor agrees to perform this contract using only HCW(s) whose professional qualifications have been determined technically acceptable by the Government to provide services under each specific Task Order.

H.7.2. During Task Order performance, no personnel substitutions shall be made by the contractor without the express consent of the Contracting Officer or in accordance with a procedure specified by the Contracting Officer. All substitution requests will be processed in accordance with Section H.7.

H.7.3. No personnel substitutions shall be permitted during the first 60 days of Task Order performance, unless they are necessitated by an HCW's unexpected illness, injury, death or termination of employment. Should one of these events occur, the contractor shall promptly notify the Contracting Officer and provide the information required in Paragraph H.7.4 below. After the initial 60 day period, all substitution requests shall be submitted, in writing, at least 30 days prior to the planned change of personnel. All such requests must provide the information required by Paragraph H.7.4 below.

H.7.4. All substitution requests must provide a detailed explanation of the circumstances necessitating the proposed replacement of personnel. The contractor shall also demonstrate that the substitute HCW(s) possess professional qualifications that are equal to or higher than the qualifications in Section C.6. The COR will evaluate such requests and promptly notify the contractor of the approval or disapproval thereof.

H.9. LIABILITY INSURANCE.

H.9.1. Before commencing work under a contract, the contractor shall certify to the Contracting Officer in writing that the required insurance has been obtained. The following insurance as referenced in FAR 28.307, is the minimum insurance required:

H.9.1.1. General Liability - Bodily injury liability insurance coverage written on the comprehensive form of policy of at least $500,000 per occurrence.

H.9.1.2. Automobile liability - Automobile liability insurance written on the comprehensive form of policy. The policy shall provide for bodily injury and property damage liability covering the operation of all automobiles used in connection with performing the contract. Policies covering automobiles operated in the United States shall provide coverage of at least $200,000 per person and $500,000 per occurrence for bodily injury and $20,000 per occurrence for property damage. The amount of liability coverage on other policies shall be commensurate with any legal requirements of the locality and sufficient to meet normal and customary claims.

H.9.1.3. Workers’ compensation and employer's liability - Contractors are required to comply with applicable federal and state workers' compensation and occupational disease statutes. If occupational diseases are not compensable under those statutes, they shall be covered under the employer's liability section of the insurance policy, except when contract operations are so commingled with a contractor's commercial operations that it would not be practical to require this coverage. Employer's liability coverage of at least $100,000 shall be required, except in states with exclusive or monopolistic funds that do not permit workers' compensation to be written by private carriers.

CHANGED TO:

H.8. LIABILITY INSURANCE.

H.8.1. Offerors awarded a contract under this solicitation shall, at their own expense, provide and maintain during the entire performance of this contract, at least the minimum insurance coverage required by this Section (H.8.1.1., H.8.1.2., and H.8.1.3.). In addition, awardees shall provide to the Contracting Officer, via email, copies of the required certificate(s) of insurance (COI). Initially, the COI shall be returned along with the signed copy of the contract award. Thereafter, the contractor shall provide updated COI as policies are renewed, updated, or revised. In the event the awardee fails to provide the appropriate insurance documentation, the Contracting Officer shall take appropriate action as permissible under the terms and conditions of the resultant contract. The following insurance, as referenced in FAR 28.307, is the minimum insurance required:

H.8.1.1. General Liability – Bodily injury liability insurance coverage written on the comprehensive form of policy of at least $500,000 per occurrence.

H.8.1.2. Automobile liability – Automobile liability insurance written on the comprehensive form of policy. The policy shall provide for bodily injury and property damage liability covering the operation of all automobiles used in connection with performing the contract. Policies covering automobiles operated in the United States shall provide coverage of at least $200,000 per person and $500,000 per occurrence for bodily injury and $20,000 per occurrence for property damage. The amount of liability coverage on other policies shall be commensurate with any legal requirements of the locality and sufficient to meet normal and customary claims.

H.8.1.3. Workers’ compensation and employer's liability – Awardees are required to comply with applicable federal and state workers' compensation and occupational disease statutes. If occupational diseases are not compensable under those statutes, they shall be covered under the employer's liability section of the insurance policy, except when contract operations are so commingled with a contractor's commercial operations that it would not be practical to require this coverage. Employer's liability coverage of at least $100,000 shall be required, except in states with exclusive or monopolistic funds that do not permit workers' compensation to be written by private carriers.

ADDED:

H.9. INDEMNIFICATION.

H.9.1. The awardee(s) agrees to indemnify and hold the Government harmless from any liability, loss or damage the awardee may suffer as a result of claims, demands, costs or judgments against the awardee and/or the Government arising out of the activities to be carried out by the awardee pursuant to the obligations of this Contract.

H.9.2. The awardee(s) certifies that it acquired and maintained insurance to comply with section H.8. herein. The awardee has and will maintain in force during the term of this Contract adequate insurance to cover its obligations under section H.8. herein and its indemnification obligations hereunder, to include workers’ compensation insurance.

H.9.3. The awardee(s) shall promptly notify the Contracting Officer of any occurrence, action, or claim that might trigger a claim against the Government pursuant to the Contractor’s performance under this Contract; furnish the proof or evidence of any claim, loss, or damage in the form and manner that the Government requires; and, immediately provide copies of all pertinent documents that the awardee receives or has received.

H.9.4. The Government may direct, participate in, and supervise the settlement or defense of the claim or action. The awardee(s) shall comply with the Government's directions and execute any authorizations required.

H.9.5. The awardee(s) shall indemnify the Government if the awardee has an obligation to indemnify a subcontractor under any subcontract at any tier under this Contract.

H.9.6. The rights and obligations of the parties under this clause shall survive the termination, expiration, or completion of this Contract.

CLAUSES INCORPORATED BY REFERENCE

CLAUSES INCORPORATED BY FULL TEXT

52.217-5 EVALUATION OF OPTIONS (JUL 1990)

*This clause applies to task orders only.

Except when it is determined in accordance with FAR 17.206(b) not to be in the Government's best interests, the Government will evaluate offers for award purposes by adding the total price for all options to the total price for the basic requirement. Evaluation of options will not obligate the Government to exercise the option(s).

(End of provision)

Section I – Contract Clauses

CLAUSES INCORPORATED BY REFERENCE

CHANGED TO:

52.222-37 52.244-6

Employment Reports on Veterans Subcontracts for Commercial Items

FEB 2016

JUN 2016

Section J - List of Documents, Exhibits and Other Attachments

ATTACHMENT AB

CONTRACT ADMINISTRATION PLAN (CAP)

CHANGED FROM:

5.2 It is important to maintain a record of all other contacts between the COR and the Contractor which reflect normal clinic operations or the services required in the contract. Examples may include schedule submissions, feedback on Contractor credentialing actions, substitution procedures for health care workers, etc. These examples may or may not be a part of routine surveillance, but the COR’s ability to reconstruct events will be important if the Government rejects the quality or timeliness of contract services.

5.2 It is important to maintain a record of all other contacts between the COR and the Contractor which reflect normal clinic operations or the services required in the contract. Examples may include schedule submissions, feedback on Contractor credentialing actions, etc. These examples may or may not be a part of routine surveillance, but the COR’s ability to reconstruct events will be important if the Government rejects the quality or timeliness of contract services.

8.6 Personnel substitution. The COR will monitor contractor compliance with Section H restricting substitution of approved personnel.

ATTACHMENT AG

WAGE DETERMINATIONS

CHANGED FROM:

CHANGED TO:

Section K - Representations, Certifications and Other Statements of Offerors

CHANGED FROM:

K.1. In accordance with FAR 52.204-8, the offeror must be registered in System for Award Management (SAM), https://www.sam.gov/portal/public/SAM/, as a Small Business concern under the North American Industry Classification System (NAICS) code applicable to this solicitation (621210). (Refer to Section K Enclosure 1)

K.2. In accordance with FAR 52.209-11, the offeror must represent that it is/is not a corporation that has any unpaid Federal tax liability that has been assessed, for which all judicial and administrative remedies have been exhausted or have lapsed, and that is not being paid in a timely manner pursuant to an agreement with the authority responsible for collecting the tax liability, and that it is/is not a corporation that was convicted of a felony criminal violation under a Federal law within the preceding 24 months as of the date of this offer by completing and returning Enclosure 2 of Section K.

CHANGED TO:

K.1. In accordance with FAR 52.204-8, the offeror must be registered in System for Award Management (SAM), https://www.sam.gov/portal/public/SAM/, as a Small Business concern under the North American Industry Classification System (NAICS) code applicable to this solicitation (621210). The offeror shall complete and return Section K Enclosure 1.

K.2. In accordance with FAR 52.209-11, the offeror must represent that it is/is not a corporation that has any unpaid Federal tax liability that has been assessed, for which all judicial and administrative remedies have been exhausted or have lapsed, and that is not being paid in a timely manner pursuant to an agreement with the authority responsible for collecting the tax liability, and that it is/is not a corporation that was convicted of a felony criminal violation under a Federal law within the preceding 24 months as of the date of this offer by completing and returning Section K Enclosure 2.

K.3. In accordance with FAR 52.204-20, the offeror must represent that it is/is not a successor to a predecessor that held a Federal contract or grant within the last three years. The offeror shall complete and return Section K Enclosure 3.

Section K Enclosure 3 FAR 52.204-20 - Predecessor of Offeror (July 2016).

(a) Definitions. As used in this provision-- “Commercial and Government Entity (CAGE) code” means--

(1) An identifier assigned to entities located in the United States and its outlying areas by the Defense Logistics Agency (DLA) Contractor and Government Entity (CAGE) Branch to identify a commercial or government entity, or

(2) An identifier assigned by a member of the North Atlantic Treaty Organization (NATO) or by the NATO Support and Procurement Agency (NSPA) to entities located outside the United States and its outlying areas that DLA Commercial and Government Entity (CAGE) Branch records and maintains in the CAGE master file. This type of code is known as a NATO CAGE (NCAGE) code.

“Predecessor” means an entity that is replaced by a successor and includes any predecessors of the predecessor.

“Successor” means an entity that has replaced a predecessor by acquiring the assets and carrying out the affairs of the predecessor under a new name (often through acquisition or merger). The term “successor” does not include new offices/divisions of the same company that only changes its name. The extent of the responsibility of the successor for the liabilities of the predecessor may vary, depending on State law and specific circumstances.

(b) The Offeror represents that it [ ] is or [ ] is not a successor to a predecessor that held a Federal contract or grant within the last three years.

(c) If the Offeror has indicated “is” in paragraph (b) of this provision, enter the following information for all predecessors that held a Federal contract or grant within the last three years (if more than one predecessor, list in reverse chronological order):

Predecessor CAGE code: ________ (or mark “Unknown”).

Predecessor legal name: ______________________________.

(Do not use a “doing business as” name).

(End of provision)

ADDED:

CLAUSES INCORPORATED BY REFERENCE

52.204-8 ANNUAL REPRESENTATIONS AND CERTIFICATIONS (DEC 2014)

(a)(1) The North American Industry Classification System (NAICS) code for this acquisition is 621210.

(2) The small business size standard is $7,500,000.

(3) The small business size standard for a concern which submits an offer in its own name, other than on a construction or service contract, but which proposes to furnish a product which it did not itself manufacture, is 500 employees.

(b)(1) If the provision at 52.204-7, System for Award Management, is included in this solicitation, paragraph (d) of this provision applies.

(2) If the provision at 52.204-7 is not included in this solicitation, and the offeror is currently registered in System for Award Management (SAM), and has completed the Representations and Certifications section of SAM electronically, the offeror may choose to use paragraph (d) of this provision instead of completing the corresponding individual representations and certifications in the solicitation. The offeror shall indicate which option applies by checking one of the following boxes:

( ) Paragraph (d) applies.

( ) Paragraph (d) does not apply and the offeror has completed the individual representations and certifications in the solicitation.

(c) (1) The following representations or certifications in SAM are applicable to this solicitation as indicated:

(i) 52.203-2, Certificate of Independent Price Determination. This provision applies to solicitations when a firm-fixed-price contract or fixed-price contract with economic price adjustment is contemplated, unless—

(A) The acquisition is to be made under the simplified acquisition procedures in Part 13;

(B) The solicitation is a request for technical proposals under two-step sealed bidding procedures; or

(C) The solicitation is for utility services for which rates are set by law or regulation.

(ii) 52.203-11, Certification and Disclosure Regarding Payments to Influence Certain Federal Transactions. This provision applies to solicitations expected to exceed $150,000.

(iii) 52.204-3, Taxpayer Identification. This provision applies to solicitations that do not include the provision at 52.204-7, System for Award Management.

(iv) 52.204-5, Women-Owned Business (Other Than Small Business). This provision applies to solicitations that—

(A) Are not set aside for small business concerns;

(B) Exceed the simplified acquisition threshold; and

(C) Are for contracts that will be performed in the United States or its outlying areas.

(v) 52.209-2; Prohibition on Contracting with Inverted Domestic Corporations--Representation.

(vi) 52.209-5; Certification Regarding Responsibility Matters. This provision applies to solicitations where the contract value is expected to exceed the simplified acquisition threshold.

(vii) 52.214-14, Place of Performance--Sealed Bidding. This provision applies to invitations for bids except those in which the place of performance is specified by the Government.

(viii) 52.215-6, Place of Performance.