N62645-17-R-0003_0001.docx

N6264517R0003

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:

ANSWERS TO QUESTIONS

1. Ref. C.8.6.3.2. Certified Athletic Trainer (ATC). BACKGROUND: The ATC profession has evolved over the last 15 years--e.g. CAATE, the current educational program accreditation organization, did not exist prior to 2005--so there are ATCs with over a decade of practical experience, but who graduated from a university ATC program before the CAATE existed. QUESTION: Will the Government consider revising the qualification to read, “Possess a Baccalaureate Degree in Athletic Training from a college or university accredited by the Commission on Accreditation of Athletic Training Education (CAATE), UNLESS THE ATC EARNED THEIR BACCALAUREATE DEGREE PRIOR TO 2005, BEFORE CAATE EXISTED.”?

Response: The Government has reviewed the qualifications for a Certified Athletic Trainer as outlined in Section C.8.6.3. and determined that the qualifications will remain as is.

2. Ref. C.8.7.8. Phlebotomist. BACKGROUND: There are additional equivalent certifications for phlebotomists, other than AMT and ASCP. E.g., there is the American Society of Phlebotomy Technicians, which requires a practical exam, written exam, and annual CEUs. In addition, some states require state certification testing that is equivalent to the national ASCP exam, and in those states phlebotomists must possess the mandatory state certification, but will elect not to obtain the equivalent national ASCP certification. QUESTION: Will the Government consider revising the qualification to add “OR C.8.7.8.1.3. A current certification and registration as Certified Phlebotomist from the American Society of Phlebotomy Technicians (ASPT), OR C.8.7.8.1.4. A CURRENT CERTIFICATION FROM THE STATE IN WHICH THE MTF IS LOCATED, IF THE STATE CERTIFICATION IS MANDATORY AND IS EQUIVALENT TO THE NATIONAL ASCP OR AMT CERTIFICATION.”?

Response: The Government has reviewed the qualifications for a Phlebotomist as outlined in Section C.8.7.8. and determined that the qualifications will remain as is.

3. Ref. C.8.5.3.2. Registered Nurse Case Manager. BACKGROUND: Our experience has been that the CCM certification is by far the most common and appropriate certification for RNCMs. The Commission for Case Manager Certification (CCMC) administers exams only three times per year (April, August, and December), and CCMC recently changed its practice in announcing exam results from instantaneous to up to 6 months, which could make obtaining certification within six months of commencing performance difficult if not impracticable, depending upon factors such as employee hire date, possible relocation to accept the position, and required time for exam preparation. QUESTION: Would the Government consider changing the requirement to obtain a listed certification within six months to 12 months?

Response: The Government has reviewed the qualifications for a Registered Nurse Case Manager as outlined in Section C.8.5.3.2. and determined that the qualifications will remain as is. CCM is one of several acceptable certifications; see Section C.8.5.3.1 for more information.

4. Ref. Sec. L, Attach. 1, Considering that many of the CORs responding to past performance questionnaire requests may take vacation around the Thanksgiving holiday, would the Government extend the deadline to receive PPISs from references by 1 week (even if the closing date for offerors' proposal submissions is not extended)?

Response: The due date is extended to 13 December 2016 at 2:00 PM, see attached for a revised copy of the SF 33.

5. Ref. Sec. L, Encls., Does the Government have a required experience level for Clinical Psychologists in SLINs 0002EB, 0002EE, 0002EF, and 0002GB and Pharmacists in 0002HA and 0002HB?

Response: The qualifications for the Clinical Psychologists for SLINs 0002EB, 0002EE, 0002EF, and 0002GB are given in Section C. The qualifications for the Pharmacists for SLINs 0002HA and 0002HB are given in Section C.

6. L.2.3.4., Page Number 172 of 329, Will the Government allow a two-page executive summary to be excluded from the 8-page limitation for the Technical Volume?

Response: There is no requirement to submit an executive summary as part of the Technical Volume. As noted in Section L.2.3.4., a title page and table of contents are excluded from the page limitation.

7. Section L Enclosure 4 – Lot C Statements of Work, Page Number 214 of 329, States “The HCWs shall be scheduled on a flexible basis across department operating hours in the Mental Health Department…On-Call Services. The HCWs will be required to provide on-call services for patient telephone consultation after hours…” Can the Government please provide the Mental Health Department operating hours?

Response: The hours have been added. The frequency for call has also been modified. See attached for a revised copy of the Statement of Work for SLINs 0002CA and 0002CB.

8. Section L Enclosure 6 – Lot E Statements of Work, Page Number 255-260 of 329, Please confirm training costs for SLIN 0002EE & 0002EF are billable to the Government.

Response: Training is considered to be an orientation requirement. As noted in Section C.7.11.3., orientation will be provided to HCWs, as required, during initial regularly scheduled shifts under the task order or as specified in the task order.

9. Section L Enclosure 8 – Lot G Statements of Work, Page Number 309 of 329, Please provide the operating/work hours for SLINs 0004GB and 0004GF.

Response: The hours have been added, see attached for a revised copy of the Statement of Work for SLINs 0004GB and 0004GF.

10. Pricing Workbook, “Instruction Page” tab, Page Number N/A, Can the Government please elaborate on “Additional Information: Provide any additional information deemed necessary to explain pricing.”? Since offerors are not required to provide proposed minimum and average compensation, it is not clear what additional information would need to be provided.

Response: Offerors have discretion in determining what additional information is necessary to explain pricing, if any.

11. Ref: L.2.3.4 Technical Volume - Would the Govt. please consider increasing the Technical Volume page limit? It appears that 8 pages will not allow bidders to properly address the solicitation requirements that include a Management Plan, Market Research, contract startup plan, incumbent retention, large quantity of contract workers across multiple locations management approach, recruitment and retention plans for three representative disciplines and sites, and addressing the proposed compensation levels for the 7 sample SLINs. Your consideration is greatly appreciated. Thank you.

Response: The page limitation for the Technical Volume is raised from 8 pages to 10 pages, see attached for revisions to Section L.2.3.4.

12. After reviewing the Southeast Medical Services, Multiple Award Task Order Contract solicitation posted on 6 Nov 2016, our firm is interested in supporting this requirement as a subcontractor specifically for the Nurse Anesthesia element. Is it possible to obtain information on the companies that responded to the previous pre solicitation announcement in order provide them proposal information on firm’s capabilities to support the nurse anesthesia element of this endeavor. Any information you can provide would be extremely helpful. Thank you for any assistance possible.

Response: Firms are not required to provide a response to the pre-solicitation notice. Please contact your local U.S. Small Business Administration office for more information on identifying possible teaming partners and other resources for small businesses.

13. Reference: Page 23, C.8.4.5 - Nurse Practitioner, Psychiatric, Comment/Question: In order to meet C.8.4.5.1 & C.8.4.5.2 normally they must hold a Certification as an Adult or Family Psychiatric Mental Health Practitioner by the American Nurses Credentialing Center (ANCC). If this is being requested may we suggest that this language be changed to state so in order not to cause confusion with the expectation?

Response: The Government has reviewed the qualifications for a Nurse Practitioner, Psychiatrist as outlined in Section C.8.4.5. and determined that the qualifications will remain as is.

14. Reference: Page 172, L.2.3.4. The Technical Volume, Question: Would the Government consider increasing the page allowance for the Technical to (12) twelve pages given the complexity of the various requirements and locations. The Navy Eastern Dental MATO had 12 pages as the maximum for the Technical as a reference.

Response: See the response to Question #11.

15. For the Past Performance consent letter from teaming partner PPIs, which volume should that go in? Or should that just be submitted as additional PDF documents for each PPI reference they submit?

Response: Consent letters shall be submitted as part of the Past Performance Volume.

16. Is the Past Performance volume just an excel document, or is there to a written portion also?

Response: In addition to the Past Performance Reference Sheet, and as needed, the items outlined in Sections L.2.2.5. and L.2.2.6. shall be submitted as part of the Past Performance Volume. Completed Past Performance Information Sheets shall be submitted by the customer POCs in accordance with Section L.3.3.

17. Is the Pricing volume just the pricing worksheet/workbook, or is there a written portion also?

Response: The Pricing Volume should consist of the Pricing Workbook. Additional pricing documents or additional tabs in the Pricing Workbook will not be evaluated, see attached for revisions to Section L.2.5.2.

18. Will the rates submitted in the pricing workbook be ceiling rates or is this just sample pricing?

Response: The unit prices in the Pricing Workbook are the hourly rates paid directly to the contractor for providing the service. The requirements contained in the Pricing Workbook are part of the lots, which represent initial quantities to be awarded at the time basic contracts are awarded. These represent real requirements, not sample requriements.

19. We have reviewed each lot. It represents a mix of Allied Health Personnel, nursing and physicians. Our company specializing only physicians. We do not provide nursing or allied health, nor would our corporation team and bill for services that are not part of our core competencies. We discussed this at the recent DHA conference, and at the conference, they did break off physicians from Nursing, from Allied. --- Can our company only respond to the Physician specialties that we can provide, or must we provide all CLINS under each lot in order to be an awardee?

Response: As noted in Section L.2.5.1., the offeror shall submit pricing for each sub line item number (SLIN) of each lot on the electronic pricing spreadsheet. If an offeror does not submit pricing for all CLINs of all lots, the offeror’s entire proposal may be rejected.

20. Can an offeror escalate the contractor bill rate by X% and use that as the starting base rate?

Response: The Government will not provide input regarding offeror pricing.

21. Reference P 1 of Solicitation. Block 9. “Sealed Offers in Original”. Please confirm that all submission files are done via electronic submission and are considered “Original”.

Response: Proposals shall be submitted electronically, see Section L.3. As noted in Section L.3.1., no hard copies of proposals will be accepted. Electronic proposals will be considered “original” as needed to meet the intent of Block 9 on the SF 33.

22. Reference: L.2. PROPOSAL CONTENT AND INSTRUCTIONS FOR PREPARATION OF PROPOSALS. Question: Can Volume I Past Performance and Volume III Business be submitted in a PDF file format?

Response: Unless otherwise noted in Section L, documents can be submitted in any format.

23. Reference:L.2.1. Introduction and Purpose, Question: Please confirm that a handwritten copy of a signature is valid for a valid electronic signature on submitted documents.

Response: As noted in Section L.2.1., a proper electronic signature is a scanned copy of a handwritten signature or use of widely accepted electronic signature methods, such as e-signature with certificate functionality in Adobe Acrobat.

24. Reference L.2.2.2.The offeror may submit Past Performance Information Sheets that demonstrate prior experience of key personnel. Question: L.2.2.2. states an offeror submit a “Key Personnel” as the past performance reference. As clarification, is the “Key Personnel” identified as the Past Performance reference or is the contract that they the Key Personnel previously worked on? Can the Key Personnel and References Contract be separate past performances? Can a “Key Personnel” reference be for services performed directly for the government or for another offeror?

Response: A Key Personnel Past Performance Information Sheet should be for the contract that the Key Personnel previously worked on. As noted in Section L.2.2.2., 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. A maximum of three Past Performance Information Sheets (part of the maximum number of sheets identified in L.2.2.1.) shall be for services provided by entities other than the offeror, members of Small Business Administration (SBA) approved Joint Ventures, and key personnel.

25. Reference L.2.3.4. Please confirm that graphic and table fonts must be 10 point or larger.

Response: As noted in Section L.2.3.4, The Technical Volume font shall be Times New Roman not less than 10 point font size. Tables, charts, graphs, and graphics may be in fonts other than Times New Roman font, but shall be not less than 10 point font size.

26. Reference L.3.2. Please confirm that offerors can only submit files via a single email and cannot find multiple files via multiple emails.

Response: As noted in Section L.3.2., only 1 e-mail per offeror will be accepted.

27. Reference: List of Enclosures. Question: Can the government list which parts among the List of Enclosures must be submitted with Volume III-Business to be compliant with the proposal?

Response: Instructions for submitting the Business Volume are noted in Section L.2.4.

28. Reference: Which companies are currently performing under this IDIQ?

Response: The incumbent contractors as are follows:

Southeast (SE) Ancillary MATO

SE Nursing MATO

SE Physician MATO

Carolina Region (CARO) MATO

29. Question: Since most X labor category are typically paid as 1099 independent contractors, would the government prefer us to price the X labor category as employees in the pricing volume?

Response: The Government will not provide input regarding offeror pricing.

30. Question: Who are the incumbent providers on this contract? Does this contract combine other Navy MATO efforts?

Response: See the response to Question #28.

31. Reference Pricing Section B, Question: Does the Government require the offerors to price section B - Supplies or Services and Prices? How does this section tie to the Lot pricing?

Response: Offerors shall not submit pricing for Section B. See the response to Question #17.

32. Reference: Attachment AG. Question: Did the Government forget to include Wage Determination for the San Antonio, TX location?

Response: Attachment AG has been updated to reflect the Wage Determination for San Antonio, TX.

33. C.7.4., Page Number 12, In order to carry out the duties required by the contract, all HCWs will be required to access Navy information technology networks/systems containing sensitive information. Only HCWs who are United States (U.S.) citizens can be granted access to Department of Navy (DON) Information Technology networks/systems and sensitive information (see Section H clause SUP 5252.204-9400 Contractor Unclassified Access to Federally Controlled Facilities, Sensitive Information, Information Technology (IT) Systems or Protected Health Information (July 2013). However, on page 109, Section H clause SUP 5252.204-9400 states that "* Must be either a US citizen or a US permanent resident with a minimum of 3 years legal residency in the United States (as required by The Deputy Secretary of Defense DTM 08-006 or its subsequent DoD instruction". Can the Government please clarify if a Permanent resident may be employed to work on this contract?

Response: The requirement on Page 109 is for physical access to publicly accessible areas, not information technology networks/systems and sensitive information.

34. C.7.9.4, Page Number 14, If the HCW declines vaccination, a signed declination form shall be provided to the Government in accordance with CDC recommendations and MTF policies. Can the Government clarify if this means an employee can decline a vaccination for influenza and remain employed?

Response: Each MTF has their own policy regarding vaccinations. As noted in Section C.7.9.4, if the HCW declines vaccination, a signed declination form shall be provided to the Government in accordance with CDC recommendations and MTF policies.

35. C.8.7.6.2, Page Number 30, Ophthalmic Professional Qualifications - Possess and maintain current certification as a Certified Ophthalmic Assistant, or a Certified Ophthalmic Technician or a Certified Ophthalmic Medical Technologist by the Joint Commission on Allied Health Personnel in Ophthalmology or a formal ophthalmic training program of the United Stated Armed Forces. This position is normally grandfathered/taught on the job. Certifications may not exist. Can the Government please clarify if on-the-job training counts towards job qualifications if no certification exists - for example 2 years on the job or certification?

Response: The certifications for an Ophthalmic Technician as indicated in Section C.8.7.6.2. are required and cannot be substituted with on the job training or work experience.

36. L.2.3.1.3., Page Number 171, The solicitation states, “The offeror shall provide a plan for the recruitment and retention of each sample requirement listed below.” Can the Government please clarify that the market factors discussion shall be limited to the three (3) sample requirements?

Response: The plan for the recruitment and retention shall be limited to the sample requirements identified in Section L.2.3.1.3.

37. L.2.3.4., Page Number 172, Technical Volume – We respectfully request that the Government increase the page limitation to 10 pages to allow offerors to provide a comprehensive plan and approach in response to the Management Plan and Market Research requirements.

Response: See the response to Question #11.

38. SECTION L - ENCLOSURE 5 - LOT D; SLIN 0001DC; 4.4, Page Number 235, Radiologist On-Call Services: Pay is typically over $400,000 (annual cap for a personal services). With on-call requirements per the PWS, would the Government consider separately pricing the on-call pay for SLIN 0001DC?

a. Response: As indicated in the Statement of Work for SLIN 0001DC, the HCW’s compensation for on-call services is not separately priced and has been built into the hourly rates.

39. SECTION L - ENCLOSURE 5 - SLIN; 0001DE; 6.2, Page Number 240, The qualifications and experience for the duties listed in section 6.2 (OB and inpatient) most commonly requires a different skill set from that of a Family Practice Physician, resulting in an increase in salary requirements. Additionally, what type of coverage is expected for OB duties, assuming this would be outside of the coverage (staffing & scheduling) listed in section 5.3?

Response: The duties have been modified, see attached for a revised copy of the Statement of Work for SLIN 0001DE.

40. Page 170, Section L.2.2.2 Will the Government accept/consider commercial contracts as relevant past performance from either the Prime or Subcontractor?

Response: Past Performance Information Sheets can be submitted for commercial contracts.

41. Please clarify the form entries needed for the Section L, Attachment 2, Past Performance Reference sheet. The form is not clear on what data goes into each cell, and its function. Are the following assumptions correct? a.) This form is a consolidation of all past performance references that will be submitted, and is not to be submitted for each team member as an individual document. b.) Cell A2 should list the Offeror for THIS solicitation with their cage code in cell B2. c.) Cells A5 through A7 are where each team member that is submitting past performance should be listed. d.) Cells A-E, rows 11-19 should be used to identify individually each team member for this solicitation and their relationship to the prime. e.) Cells A-I, rows 23-29 is a consolidated list of all of the past performances submitted including the prime and each of the team partners.

Response: All assumptions other than c. and e. are correct. Cells A5 through A7 should be the proposed teaming partners for this solicitation. If a Past Performance Information sheet is submitted for someone other than the offeror submitting the proposal, Section I of the Past Performance Information Sheet should describe how the performance is relevant taking into consideration Sections L.2.2.2, L.2.2.3, L.2.2.4, and L.2.2.5 of the solicitation. Cells A-I, Rows 23-29 shall be a consolidated list of all Past Performance Information Sheets that the offeror excepts the Government to receive. See attached for a revision to Section L.2.2.8.

42. Section L, Paragrph 2.1 states: "Offeror’s name is inconsistent throughout the proposal; offeror fails to use a proper electronic signature, e.g., a script type font (a proper electronic signature is a scanned copy of a handwritten signature or use of widely accepted electronic signature methods, such as e-signature with certificate functionality in Adobe Acrobat)". Does this mean that a scanned, handwritten signature is considered as a proper electronic signature for this solicitation or not - wording is unclear?

Response: As noted in Section L.2.1., a proper electronic signature is a scanned copy of a handwritten signature or use of widely accepted electronic signature methods, such as e-signature with certificate functionality in Adobe Acrobat.

43. Section L, Paragraph 2.2 states: "A complete Volume I - Past Performance (excluding Past Performance Information Sheets)". Please identify what other items need to be submitted by the vendor to the Government for past performance besides the Past Performance Reference Sheet. (We understand that our customer will be submitting the Past Performance Information sheet for each of our past performances).

Response: See the response to Question #16.

44. Section L, Paragraph 2.3.1 Management Plan and Market Research. The term "market research" is listed in the title of the above paragraph reference, and is not further defined anywhere in the solicitation documents. The term "market research" is extremely broad. Please identify what type of market research is required and what level of detail is required. If market research raw data is to be included in our proposal, please include an additional page allowance for additional attachments to be added to the technical volume that will accommodate this information.

Response: The subparagraphs of Section L.2.3.1. identify all areas that should be addressed in this portion of Volume II.

45. Section L, Attachment 1, The sheets as provided by the Government do not have numbering X of Y. We are assuming that this is considered acceptable formatting as the document was provided by the Government, please confirm.

Response: Offerors are to assume this attachment is formatted correctly.

46. Section L, Attachment 2. The sheets as provided by the Government do not have numbering X of Y, and are not in Times New Roman 10 point. We are assuming that this is considered acceptable formatting as the document was provided by the Government, please confirm.

Response: Offerors are to assume this attachment is formatted correctly.

47. Section L, Paragraph 2.3.1.1. Section L.2.3.1. and its subparagraphs will be used to assist with the evaluation of FAR 52.222-46, Evaluation of Compensation for Professional Employees. In addition, proposed compensation levels shall be submitted to assist with the evaluation as outlined in FAR 52.222-46 specific to the following Sub Line Item Number (SLINs): Comment, our organization believes that this is compensation level information should be in volume IV Pricing, and not in the Technical Volume. Please change the location of this data.

Response: The Government has taken this comment into consideration and determined that FAR 52.222-46, Evaluation of Compensation for Professional Employees will remain in Volume II Technical.

48. Section L, Paragraph 2.3.2. 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. Comment, our organization believes that this information should be in Volume III, Business, and not included in Volume II, Technical. Please change the location of this data, as this is not a technical element.

Response: The Government has taken this comment into consideration and determined that FAR 52.219-14, Limitations on Subcontracting will remain in Volume II Technical.

49. Section L, Paragraph 2.4. Other than the SF 33 that is identified as being a PDF, the rest of the volume format is not identified. What type of document does the Government wish to have submitted? Can the offeror combine all documents that need to be submitted for Volume III into a single PDF document?

Response: Unless otherwise noted in Section L, documents can be submitted in any format. As noted in Section L.3.2., consent letters and forms that require signatures may be submitted as a .pdf file and included with the corresponding Volume attachment. Compressed or zip file formats will not be accepted.

50. RFP attachments for Section L, Attachments 1 and 2. Please confirm - we are assuming that the files labeled (on FBO) as: 9_-_Section_J_Attachment_1_Past_Performance_Information_Sheet & 9_-_Section_J_Attachment_2_Past_Performance_Reference_Sheet are supposed to be: 9_-_Section_L_Attachment_1_Past_Performance_Information_Sheet & 9_-_Section_L_Attachment_2_Past_Performance_Reference_Sheet Response: This assumption is correct. Renamed copies of both files are attached. The file contents remain unchanged.

51. Section L, Paragraph 2.3.4 states: "The total number of the pages submitted for Volume II (Technical) shall not exceed 8..." We respectfully request that at least 7 additional pages be added to Volume II Technical. There is a very large amount of data requested in the Technical Volume, and 8 pages is not enough to adequately address each of the items in the detail needed.

Response: See the response to Question #11.

52. Section L, Paragraph 2.5 states: "The file will be named “Pricing Workbook for N62645-17-R-0003.xlsx”....The completed file shall be submitted in the e-mailed proposal as Volume IV – Pricing. The file shall be renamed: [name of offeror] pricing workbook.xlsx. Please note that any reformatting of the pricing workbook or pricing sheets 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 entire proposal. The two instructions for file naming contradict each other, please identify which instruction the offeror is to follow to ensure compliance.

Response: The first statement conveys how the file will be named by the Government. For proposal submission purposes, the file shall be renamed: [name of offeror] pricing workbook.xlsx.

53. Section L., Paragraph 2.3.4 states: " Each page of each document shall have a footer indicating the name of the offeror and “page X of Y.” Please confirm the following: Our assumption is that this statement ONLY applies to the Technical Volume, as documents provided by the Government do not meet this requirement. E.g. the Past Performance documents provided and sent to our customers do not have this information, and adding this information to excel document requires a format change which as stated in Section L is not permitted - see question 10 above for the reference.

Response: As this subparagraph falls under Section L.2.3. Volume II, Technical, it applies to the Technical Volume only.

54. L.2.3.3. 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. Qustion: If we have an approved mentor/protégé relationship but are not proposing as a joint venture how do you want us to respond to this requirement?

Response: A mentor-protégé relationship would be considered other than subcontracting. The offeror’s Technical Volume shall clearly detail the nature of the relationship between the parties and shall address the responsibilities of all parties as they would relate to provision of services under the resultant contract.

SECTION A - SOLICITATION/CONTRACT FORM

The required response date/time has changed from 05-Dec-2016 02:00 PM to 13-Dec-2016 02:00 PM.

SECTION J - LIST OF DOCUMENTS, EXHIBITS AND OTHER ATTACHMENTS

The Table of Contents has changed from:

Exhibit/Attachment Table of Contents

to:

Exhibit/Attachment Table of Contents

The following have been modified:

SECTION J TABLE OF CONTENTS

ATTACHMENT AA

List of Acceptable Documents to Establish U.S. Citizenship

Excerpt from SECNAV M-5510.30 of June 2006, Appendix F

4. All documents submitted as evidence of U. S. citizenship must be original documents or certified copies. Uncertified copies are not acceptable. The following documents are acceptable proof of citizenship:

a. The original U. S. birth certificate with a raised seal issued at the time of birth from one of the 50 states, or outlying territories or possessions.

b. A hospital birth certification (clinic and commercial birth center certification is not permitted) with an authenticating raised seal or signature provided all vital information is given.

c. A delayed birth certificate provided it shows the birth record was filed within one year after birth, it bears the registrar's seal and signature, and cites secondary evidence such as a baptismal certificate, certificate of circumcision, affidavits of persons having personal knowledge of the facts of the birth or other official records such as early census, school or insurance.

d. U.S. Passport (current or expired) or U.S. passport issued to individual’s parent in which the individual is included.

e. FS-240 Report of Birth Abroad of a Citizen of the United States of America/Consular Report of Birth.

f. FS-545 Certification of Birth issued by a U.S. Consulate or DS-1350 the Department of State Certification.

g. INS N-550/570 U.S. Immigration and Naturalization Service Naturalization Certificate.

h. INS N-560/561 U.S. Immigration and Naturalization Service Certificate of Citizenship. If the individual does not have a Certificate of Citizenship, the original Certificate of Naturalization of the parent(s) may be accepted if the naturalization occurred while the individual was under 18 years of age (or under 16 years of age before 5 October 1978) and residing permanently in the U.S.

i. Certificate of birth issued by the Canal Zone government indicating U.S citizenship is only acceptable if verified by direct government inquiry to: Vital Records Section, Passport Services, 1111 19th Street NW, Suite 510, Washington, D.C. 20522-1705.

j. DD 372, Verification of Birth is acceptable for military members (officer and enlisted) provided the birth data is listed and verified by the Department of Vital Statistics.

k. DD 1966, Application for Enlistment into the Armed Forces of the United States are acceptable provided the documents sighted are listed and attested to by a recruiting official.

5. If none of the above forms of evidence are obtainable, a notice from the registrar issued by the state with the individual’s name, date of birth, which years were searched for a birth record and that there is no birth certificate on file for the applicant should be presented.

*The registrar's notice must be accompanied by the best combination of the following secondary evidence:

a. Baptismal certificate

b. Census record

c. Certificate of circumcision

d. Early school record

e. Family Bible record

f. Doctor’s record of post-natal care

g. Newspaper files and insurance papers

* NOTE: These documents must be early public records showing the date and place of birth, created within the first five years of life. The individual may also submit an Affidavit of Birth, Form DSP-10A, from an older blood relative, i.e., a parent, aunt, uncle, sibling, who has personal knowledge of the birth. It must be notarized or have the seal and signature of the acceptance agent

ATTACHMENT AB

CONTRACT ADMINISTRATION PLAN (CAP)

Note: This document is for Government use only and does not intend to excuse the awardee from performing the duties and requirements of the contract.

1. Definitions.

1.1 Administrative Contracting Officer (ACO). To the extent that the Procuring Contracting Officer (PCO) has delegated contract administration, the Government official responsible for administering the contract.

1.2 Alternate Contracting Officer’s Representative (ACOR). In the absence of the Contracting Officer’s Representative (COR), the Government official appointed in writing by the PCO/ACO who functions as the technical representative of the PCO/ACO for a specific contract, for a specified period of time.

1.3 Bureau of Medicine and Surgery (BUMED). The Department of the Navy command responsible for all Navy health and dental contracting initiatives.

1.4 Commanding Officer. The medical department officer that has ultimate responsibility for the operation of a Military Treatment Facility (MTF).

1.5 Contracting Officer’s Representative (COR). The Government official appointed in writing by the PCO/ACO who functions as the technical representative of the PCO/ACO.

1.6 Contractor. The offeror identified in block 15A of the Standard Form 33 or block 7 of the Standard Form 26 and its health care workers who are providing services under the contract.

1.7 Health Care Program Analyst. The Naval Medical Logistics Command (NMLC) contract administration advisory resource for the COR/Technical Assistant (TA)/supervisor.

1.8 Military Treatment Facility (MTF). A Department of Defense (DoD) hospital or medical center that may require services under this contract. The abbreviation, “MTF” includes all the Branch Medical Clinics, Medical Administrative Units, Branch Medical Annexes and other subordinate clinical activities specified in this contract. The abbreviation, “MTF” also refers to any military treatment facility within the scope of this contract.

1.9 Naval Medical Logistics Command (NMLC). The Department of the Navy command responsible for implementation of the Bureau of Medicine and Surgery health care contracting initiatives.

1.10. Procuring Contracting Officer (PCO). The Government official within NMLC authorized by warrant to enter into this contract for the Government.

1.11 Supervisor. The Government official whose duty it is to provide day-to-day direction to, and oversight of, contractor personnel, including supervisory functions such as time and attendance.

1.12. Technical Assistant (TA). The MTF representative who may be assigned by the COR to provide technical or administrative assistance to the COR. TAs may be assigned to assist and support the COR but will not be given the authority to provide any technical direction or clarification directly to the Contractor.

2. Responsibilities.

2.1 The Navy's ASSISTANT CHIEF FOR HEALTH CARE OPERATIONS, BUREAU OF MEDICINE AND SURGERY (BUMED Code M3) as Program Manager will:

2.1.1 Establish medical contract policy guidance.

2.1.2 Provide overall direction for the planning, development, and operation of all Navy MTFs.

2.1.3 Monitor the progress and achievement of medical contract within the Navy’s health care delivery system.

2.1.4 Serve as subject matter expert for all technical aspects of medical contracting efforts.

2.2 The PCO, ACQUISITION AND ANALYTICS DIRECTORATE (Code 05), Naval Medical Logistics Command will:

2.2.1 Perform all required pre-award actions including providing information or answering questions that arise during the solicitation period.

2.2.2 Review the Contract Administration Plan (CAP). The PCO will furnish sample COR and TA nomination letters to the MTF in accordance with NAVSUPINST 4205.3 series.

2.2.3 Verify that the individual(s) nominated to act as COR have had the required training and the necessary experience. If the PCO determines that a nominee does not meet experience and training requirements, the PCO will request that the MTF nominate another individual.

2.2.4 Review the CAP prior to incorporation into the solicitation/contract. This review will ensure that all contract administration functions are assigned, suit the specific circumstances of the contract and give due consideration to the type of contract, the place of performance, period of performance, and inspection and acceptance criteria stated in the solicitation/contract.

2.2.5 Include the COR duties contained in this master CAP in the resultant solicitation/contract. Additional duties will be separately delineated within the contract, as appropriate.

2.2.6 Designate the paying office in the contract.

2.2.7 Appoint the COR and ACOR at the time of award of the basic contract.

2.2.8 Coordinate with the ACO to arrange and conduct the post-award conference, if required. Invite necessary attendees. Ensure that the requirements of the contract and the COR’s duties are thoroughly discussed and understood. Ensure that all personnel involved understand current DoD Standards of Conduct policies.

2.2.9 Maintain a list of all CORs under their authority.

2.2.10 Maintain a log of total hours for each Contract Line Item Number (CLIN) to guarantee quantities are not exceeded. Notify the ACO, Health Care Program Analyst (NMLC ACQUISITION AND ANALYTICS DIRECTORATE Code 05) and the MTF when 75% of the quantity of any CLIN has been reached.

NOTE: All parties are specifically reminded that only the Contracting Officer has the authority to modify the terms of the contract. Therefore, in no event will any understanding, agreement, modification, change order, or other matter deviating from the terms of the basic contract between the Contractor and any other person be effective or binding on the Government. When/if, in the opinion of the Contractor, any direction affecting the terms of the basic contract has been given by the COR or any other person, the Contractor shall promptly notify the PCO/ACO.

2.3 The ACO, ACQUISITION AND ANALYTICS DIRECTORATE (Code 05), Naval Medical Logistics Command will:

2.3.1 Perform all required post-award actions including providing information or answering questions that arise as a result of Freedom of Information Act (FOIA) inquiries.

2.3.2 Review the Contract Administration Plan (CAP). The ACO will furnish sample COR and TA nomination letters to the MTF in accordance with NAVSUPINST 4205.3 series.

2.3.3 Verify that the individual(s) nominated to act as COR have had the required training and the necessary experience. If the ACO determines that a nominee does not meet experience and training requirements, the ACO will request that the MTF nominate another individual.

2.3.4 Review the CAP prior to incorporation into the contract. This review will ensure that all contract administration functions are assigned, suit the specific circumstances of the contract and give due consideration to the type of contract, the place of performance, period of performance, and inspection and acceptance criteria stated in the contract.

2.3.5 Appoint the COR and ACOR should any be nominated after the award of the basic contract.

2.3.6 Perform all contract administration duties of an ACO. Regular meetings between the PCO/ACO, the COR or the MTF Commanding Officer (or representative) will be held to discuss the status of and the performance under individual contract. The format and frequency of these meetings will depend upon the size and complexity of the contract.

2.3.7 Evaluate reports of Contractor non-compliance and take appropriate action within 30 days of receipt. Copies of any correspondence regarding the results of such analyses will be provided to the MTF and the COR simultaneously with the action taken. Immediately sign and return acknowledgement of CDR’s to the COR, including a final ACO acknowledgement and recommendation to the COR on how to proceed.

2.3.8 Arrange the post-award conference, if required. Invite necessary attendees. Ensure that the requirements of the contract and the COR’s duties are thoroughly discussed and understood. Ensure that all personnel involved understand current DoD Standards of Conduct policies.

2.3.9 Oversee the performance of CORs under the contract. Prompt action will be taken when COR (or alternate) is not performing properly.

2.3.10 Maintain the official contract file including modifications (and all back-up documentation).

2.3.11 Maintain the accuracy of this Master CAP throughout the life of these contract.

2.3.12 Maintain a list of all CORs under their authority. Periodically review the files and performance of these CORs in accordance with NAVSUPINST 4205.3 series and local policies.

2.3.13 Review the existing annual Contractor performance reports prior to negotiating under this contract. Enter data into the Contractor Performance Assessment Reporting System (CPARS).

2.3.14 Maintain a log of total hours for each Contract Line Item Number (CLIN) to guarantee quantities are not exceeded. Notify the PCO, Health Care Program Analyst (NMLC Code 05) and the MTF when 75% of the quantity of any CLIN has been reached.

NOTE: All parties are specifically reminded that only the Contracting Officer has the authority to modify the terms of the contract. Therefore, in no event will any understanding, agreement, modification, change order, or other matter deviating from the terms of the basic contract between the Contractor and any other person be effective or binding on the Government. When/if, in the opinion of the Contractor, any direction affecting the terms of the basic contract has been given by the COR or any other person, the Contractor shall promptly notify the PCO/ACO.

2.4 The HEALTH CARE PROGRAM ANALYST, ACQUISITION AND ANALYTICS DIRECTORATE (Code 05), Naval Medical Logistics Command will:

2.4.1 Submit a completed and signed CAP Documentation Form with answers to questions that pertain to this acquisition.

2.4.2 Act as the health care contracting technical manager for BUMED. Ensure consistency among health care contract, providing coordination and technical liaison between MTFs, BUMED, CORs, and the PCO/ACO.

2.4.3 Coordinate/develop the procurement technical requirements including a statement of work; draft input to Sections B, H, L and M; potential sources for the procurement and other related documents required for the acquisition.

2.4.4 Monitor and manage reports of Contractor non-compliance, evaluate reports submitted by the individual CORs, and recommend PCO/ACO disposition on all noted discrepancies.

2.4.5 Perform health care trend analyses and provide feedback to the PCO/ACO and CORs.

2.4.6 Provide any other technical assistance to the MTF, PCO/ACO, CORs, and other customers.

2.4.7 Through coordination with the ACO, participate in periodic COR meetings and inspections to discuss status and performance under the contract emphasizing problem identification, problem solving and contract familiarity.

2.4.8 Ensure that the MTF, PCO/ACO, CORs, and BUMED are appropriately informed of related health care issues.

2.4.9 Provide periodic statistical and financial reports to BUMED.

2.5. The COMMANDING OFFICER OF THE MTF will:

2.5.1 Budget and provide funding for the contract.

2.5.2 Nominate (to the PCO/ACO) individual(s) to be appointed as COR (by name, title, organizational code and telephone number). This individual(s) will also be the contract quality assurance monitor and lead technical advisor to the ACO and will be responsible for the technical interface needed during contract performance. An ACOR can be nominated to act in the absence of the COR, when needed, or to provide additional expertise.

NOTE: COR duties cannot be delegated. The COR will be accountable for the actions of ACORS or TAs.

NOTE: Nomination of new CORs as a result of reassignment, termination of employment, etc., will be made in accordance with the procedures outlined herein.

2.5.3 Ensure all individuals nominated as COR or ACOR have the necessary qualifications to satisfactorily perform the required duties and hold a position of responsibility commensurate with the complexity of the contract. All CORs will have graduated from a Naval Supply System Command (NAVSUP) approved/BUMED provided medical COR training course prior to their appointment.

2.5.4 Upon receipt of the contract from the PCO/ACO, forward copies of documents to staff having administrative responsibilities for these contract.

2.5.5 Support and supervise the COR in the performance of their duties. If the Commanding Officer determines that assigned duties are not being performed in a satisfactory manner, immediate corrective action will be taken (including the recommendation to replace the COR if required). The PCO/ACO will be promptly notified of all actions taken. The MTF should consider COR performance in rating all individuals assigned COR functions.

2.5.6 Notify the PCO/ACO in writing of any organizational or personnel changes affecting the CAP.

2.5.7 Ensure that appropriate timely action is taken on all contract related correspondence received from either the PCO/ACO or COR. This includes the timely submission (to the PCO/ACO) of any requests for changes to the statement of work, deviations or waivers. An Independent Government Cost Estimate of the impact on contract price and the availability of additional funding (if required) must accompany all requests for changes to the statement of work/contract. The Contractor’s price quote and the rationale for requesting the change shall accompany any changes proposed by the Contractor. The Contractor’s price quote serves as a budgetary estimate of the cost impact. The MTF will also provide input as to technical acceptability of proposed contract language changes.

2.5.8 The MTF Commanding Officer may appoint a TA to assist the COR in executing routine contract administration, monitoring and, surveillance duties. The appointment of all TAs must be in writing and must include the TA's responsibilities and limitations. A copy of this appointment letter will be provided to the PCO/ACO. Before appointment, the MTF will assure that all TAs have the appropriate training and experience.

2.6 The CONTRACTING OFFICER'S REPRESENTATIVE (COR) will:

2.6.1 Attend both the pre-proposal and post-award conferences, if held.

2.6.2 Attend periodic meetings (as necessary) among the ACO, MTF and Contractor(s) to discuss the performance under the contract.

2.6.3 Avoid issuing any instructions that would constitute a change to the contract. The COR and Contractor shall not enter into any understanding, agreement, modification, or change order deviating from the terms of the contract which shall be effective or binding on the Government. If in the opinion of the Contractor, an effort outside the scope of the contract is requested, the Contractor shall promptly notify the ACO in writing.