15-R-0031_Award_Synopsis.doc

Section A - Solicitation/Contract Form

CLAUSES INCORPORATED BY FULL TEXT

FOR YOUR INFORMATION:

The Exhibit Line Item Number (ELIN) Pricing Menu, Attachment #2 to this contract, will be used as a menu from which the U.S. Government will select medical tests. When ordering against this contract the Government will cite the appropriate Contract Line Item Number (CLIN) #s from Section B, Supplies/Services, as well as the ELIN#s from the ELIN Pricing Menu. There is no guarantee that the 98 medical tests per year will be fully utilized during each ordering period. The need for medical test may vary slightly or significantly from year to year since the determination of the number of employees needing professional medical evaluation and testing will be based on government need.

The following addresses and points of contact are provided:

Contract Specialist

Name:

Rachelle Stacy

Phone:

(760) 939- 4234

DSN:

437- 4234

FAX:

(760) 939-8107

Email address: rachelle.stacy@navy.mil

U.S. Postal Service Mailing Address:

COMMANDER

CODE 254300D (R. Stacy – 760-939-4234)

NAVAIRWARCENWPNDIV

429 E. BOWEN RD. MAIL STOP 4015

CHINA LAKE, CA 93555-6108

Direct Delivery Address (UPS, FedEx, etc):

CODE 254300D (R. STACY)

BLDG 982, MAIL STOP 4015

Contracting Officer

Name:

Helen Xiong

Phone:

(760) 939- 5124

DSN:

437- 5124

FAX:

(760) 939-8107

Email address: helen.xiong@navy.mil

U.S. Postal Service Mailing Address:

CODE 254300D (H. Xiong – 760-939-5124)

429 E. BOWEN RD. MAIL STOP 4015

Direct Delivery Address (UPS, FedEx, etc):

CODE 254300D (H. XIONG)

BLDG 982, MAIL STOP 4015

Section B - Supplies or Services and Prices

Labor, Base Year

T&M

The Contractor shall provide medical evaluation services in accordance with Section C of the Performance Work Statement. The required labor categories, unknown medical tests, and travel are as follows:

Labor Category Est. Annual Hours Fully Burden Hourly Rate

Psychologist 180 hours $175/hour

TOTAL: $31,500

Travel $1,881. General and Administrative may be applied to travel cost, however, travel costs are NOT fee bearing.

Various unknown medical tests: $5,450.

LABOR SCHEDULE

Category: Labor

Rate Title: Psychologist

Rate: 175.00

FOB: Destination

PURCHASE REQUEST NUMBER: 1300491560

TOT ESTIMATED PRICE

$38,831.00

CEILING PRICE

CIN: 130049156000002

ACRN AA

$38,831.00

PURCHASE REQUEST NUMBER: 1300491560-0001

Medical Tests, Base Year

FFP

The Contractor shall provide medical tests in accordance with Section C of the Performance Work Statement.

CIN: 130049156000003

ACRN AA

$5,714.00

PURCHASE REQUEST NUMBER: 1300491560-0001

NSP

The Contractor shall provide reports in accordance with Section C of the Performance Work Statement.

T&M

The Contractor shall provide medical evaluation services in accordance with Section C of the Performance Work Statement. The required labor categories, unknown medical tests, and travel are as follows:

Labor Category Est. Annual Hours Fully Burden Hourly Rate

Psychologist 180 hours $181/hour

TOTAL: $32,580

Travel $2561. General and Administrative may be applied to travel cost, however, travel costs are NOT fee bearing.

Various unknown medical tests: $5450.

LABOR SCHEDULE

Category: Labor

Rate Title: Psychologist

Rate: 181.00

$40,591.00

FFP

The Contractor shall provide medical tests in accordance with Section C of the Performance Work Statement.

NSP

The Contractor shall provide reports in accordance with Section C of the Performance Work Statement.

T&M

The Contractor shall provide medical evaluation services in accordance with Section C of the Performance Work Statement. The required labor categories, unknown medical tests, and travel are as follows:

Labor Category Est. Annual Hours Fully Burden Hourly Rate

Psychologist 180 hours $186/hour

TOTAL: $33,480

Travel $3,289. General and Administrative may be applied to travel cost, however, travel costs are NOT fee bearing.

Various unknown medical tests: $5,450.

LABOR SCHEDULE

Category: Labor

Rate Title: Psychologist

Rate: 186.00

$42,219.00

FFP

The Contractor shall provide medical tests in accordance with Section C of the Performance Work Statement.

NSP

The Contractor shall provide reports in accordance with Section C of the Performance Work Statement.

Section C - Descriptions and Specifications

PERFORMANCE WORK STATEMENT

PERFORMANCE WORK STATEMENT

FOR

PERSONNEL SECURITY (PERSEC) MEDICAL EVALUATIONS

01 December 2015

1.0 SCOPE

1.1 Background

This requirement is to provide personnel security related medical evaluation services in support of the Naval Air Warfare Center Weapons Division (NAWCWD) Personnel Security (PERSEC) Office and the Department of Defense Central Adjudicative Facility (DODCAF). The services will be provided for civilian employees and military members at NAWCWD China Lake and Point Mugu, CA sites. The China Lake site of the NAWCWD and the Naval Air Weapons Station (NAWS) China Lake are located adjacent to the City of Ridgecrest, approximately 150 miles north of Los Angeles in Southern California’s Mojave Desert. China Lake has various remote sites that are located within a 50 mile radius of the main complex. The Point Mugu site of NAWCWD is located on the Pacific Coast, approximately 53 miles northwest of Los Angles, California. Point Mugu has a remote site located at San Nicholas Island (SNI), off the coast of Southern California.

1.2 General Scope of Work

This contract is to provide professional medical evaluation services through the NAWCWD PERSEC Office for civilian employees and military members at China Lake and Point Mugu, CA. The purpose of this requirement is to determine eligibility of DOD military and civilian personnel, affiliated with the Department of Defense, for access to classified information, Special Sensitive, Critical Sensitive, Non-Critical Sensitive, acceptance or retention in the Armed Forces, assignment or retention in Special Sensitive, Critical Sensitive, Non-Critical Sensitive duties, or other designated duties requiring professional medical evaluations. The contractor shall provide the requested medical evaluation utilizing professional standards, testing, and tools in assessing an employee then provide a written report of their findings to DODCAF via NAWCWD PERSEC. The contractor will not bare the weight of determining the final outcome of evaluation results. Rather, DODCAF will use the evaluation results to determine the employee’s eligibility to access and safeguard information relating to National Security and make final security clearance determination in accordance with DoD personnel security policies and procedures as set forth in the DoD Instruction 5200.2-R.

The PERSEC medical evaluations are necessary in assessing an employee’s eligibility to obtain or maintain access to information related to National Security and DoD Information Technology (IT) systems. Depending on the specific circumstances, an employee may require a medical evaluation to assist in the determination of factors that could affect job performance and/or conduct. The evaluation shall encompass one or more of the following areas but are not limited to: medical, psychological, psychiatric, emotional, sexual conduct, or substance use conditions which could impair his or her judgment, reliability, or trustworthiness.

1.3 Contract Work Environment

It is anticipated that work under this contract will be performed at the contractor’s facility within commuting distance of NAWCWD China Lake and NAWCWD Point Mugu, Ca. Employees must be able to commute to the contractor’s office within the local commuting area of NAWCWD at China Lake and Point Mugu. For the Point Mugu site, employees will be transported to China Lake via Navy provided air shuttle services. For those employees who are unable to utilize the Navy air shuttle, the contractor will be required to travel to Point Mugu and will be reimbursed travel expenses in accordance with Joint Travel Regulation (JTR) Per Diem rates, in addition to their contracted service charges. For San Nicholas Island (SNI), the government will be responsible for transporting the employee when there is a requirement.

2.0 APPLICABLE DOCUMENTS

The following is a list of the required applicable documents for PERSEC operations:

(1) DOD Instruction 5200.2-R

(2) SECNAVINST 5510.30

(3) 5 United States Code (USC), Part 552A (Privacy Act)

3.0 REQUIREMENTS

For the purposes of military service standard and in compliance with DoD personnel security policies and procedures, the Government requires professional medical exam services for NAWCWD civilian employees and military members as stated in the following paragraphs.

3.1 Referrals. The contractor shall provide professional medical exam services as requested. All requests will be made through the NAWCWD 7.4 Security Office at China Lake, CA. The contractor shall not accept requests for an evaluation unless the Contracting Officer Representative (COR) or Technical Point of Contact (TPOC) or Alternative Technical Point of Contact (TPOC) has authorized the evaluation and assigned a billing number.

3.2 Expertise. The contractor shall maintain a comprehensive mental health care operation that includes the expertise sufficient to diagnose or recommend actions as a result of the medical examination.

3.3 Medical Evaluations. A medical examination is required for an employee when potentially disqualifying information regarding behavior, mental, or emotional disorders, or substance abuse is discovered. A medical evaluation is then required to determine whether any medical, psychological, psychiatric, emotional or other condition exists, which could affect the individual’s judgment, mental stability, or reliability.

3.3.1 The contractor shall perform evaluations which will include various psychological tests, e.g. Minnesota Multi-Phasic Personality Inventory, 16 Personality Factor test, and Mental Status examination including history and security related questions. Tests will be requested by DODCAF, COR, TPOC, or ATPOC.* The contractor may administer additional tests upon request and approval by the COR, TPOC, or ATPOC. The contractor shall provide the completed medical evaluation report to the COR, TPOC or ATPOC within two weeks after the employee has been tested. The report shall be submitted to the Government in accordance with Contract Data Requirements List (CDRL) A001.

*Note: The tests (ELINs 0001, 0002, 0003, and 0004) listed in Attachment 2, ELIN Pricing Menu, in Section J of this contract, will be order at that unit price on a needed basis during a given ordering period.

3.3.2 Once notified by the COR, the contractor will then conduct an evaluation concerning one of the areas as determined and requested by the COR. The applicable medical considerations listed below may be helpful in conducting the evaluation. The factors may not be all inclusive and the contractor need not limit its evaluation or examination to these issues. Any information, which would assist in the adjudication process, would be most helpful.

3.3.3 As the contractor, you will be provided with sensitive detailed information concerning the employee. This information shall not be released to the individual or anyone else, and it may not be copied or retained in the evaluator’s files. Also, be advised that the Government is seeking your medical diagnosis and prognosis with an emphasis on judgment and reliability. The Government is not seeking a medical recommendation as to the individual suitability for employment or security eligibility. It is more important for the contractor to address the following elements which are listed under the section “Types of Evaluations/Evaluation Elements.” Reports need not be lengthy; however, all reports must be:

1) Completed by a qualified examiner psychologist for a psychological/Medical evaluation;

A psychologist, social worker, or physician for a Substance abuse evaluation);

2) Informed by all available information;

3) Complete, including all elements listed below;

4) Internally consistent, with the recommendations following from the evaluation data.

3.4. Types of Evaluations/Evaluation Elements. The applicable considerations listed below are identified as conditions that could raise security concern and requires to be adjudicated in accordance with the adjudication policy guidance in the DOD Instruction 5200.2R, to determine whether a person is eligible for access to classified information, access to DOD IT systems, or assignment to sensitive duties. These factors may not be all inclusive and the contractor need not limit its evaluation or examination to these issues. Any information, which would assist in the adjudication of the case, would be most helpful. The contractor shall conduct an evaluation concerning the areas below.

3.4.1 Mental/emotional Issues. If the issue involves mental/emotional conditions, please provide the following:

1) an outline of the methods used in the evaluation (i.e. psychological testing/clinical interviews);

2) a narrative case history of the subject’s condition;

3) results of any psychological tests;

4) the date of onset of the condition;

5) the subject’s current treatment plan including frequency of psychotherapy, medication and dosage, etc.;

6) the subject’s degree of adherence to the recommended treatment plan (e.g., medication, psychotherapy, Electro-convulsive Therapy (ECT); Transcranial Magnetic Stimulation (TMS), etc.;

7) if the subject’s participation in treatment was voluntary or involuntary;

8) a DSM IV-TR or DSM 5 (Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision or Fifth Edition) diagnosis, if applicable;

9) a prognosis regarding the subject’s condition; (e.g., poor, guarded, fair, good, excellent);

10) whether the subject's condition is under control or in remission;

3.4.1.1 Under the circumstances specified, the contractor shall provide the following information:

If the individual's condition is currently under control or in remission: Indicate the probability of recurrence or exacerbation; and indicate whether ongoing treatment is recommended.

If the subject does not have a formal diagnosis of a disorder: Does the subject’s behavior nonetheless cast doubt on his her judgment, reliability or trustworthiness? These behaviors may include, but are not limited to emotionally unstable, irresponsible, dysfunctional, violent, paranoid, or bizarre behaviors. If so, the contractor shall specify the nature of the subject’s behavior and how it could impair judgment, reliability or trustworthiness.

3.4.1.2 The contractor shall conclude its report with a clear statement addressing whether the subject’s emotional condition could affect his or her judgment or reliability.

3.4.2 Sexual Conduct Issues. If the issue involves sexual conduct issues, the contractor shall provide the following information (in addition to the above):

1) What is the history or extent of the conduct?

2) Is the subject unable to stop his or her behavior?

3) Is the behavior symptomatic of a personality disorder?

4) Is the conduct likely to recur? If so, under what circumstances?

5) Has the subject sought help for his or her condition?

6) If so, did the subject voluntarily seek treatment?

7) Is the individual aware of the seriousness of the conduct?

8) Is there clear demonstration that the individual has no intention of participating in such conduct

9) in the future?

10) Is the subject involved in any continuing treatment to reduce the risk of recurrence (e.g., pharmacotherapy, psychotherapy, SA, relapse prevention programs, etc.)?

11) Can the individual's conduct be a basis for vulnerability to blackmail, pressure, or coercion?

3.4.2.1 If the individual's condition is currently under control or in remission: Indicate the probability of recurrence or exacerbation; and indicate whether ongoing treatment is recommended.

3.4.2.2 If the subject does not have a formal diagnosis of a disorder: Does the subject’s behavior nonetheless cast doubt on his or her judgment, reliability or trustworthiness? Is the subject’s sexual behavior:

· Compulsive

· Self-destructive

· High-risk

· Reflective of a lack of discretion or judgment

· Of a criminal nature (whether or not the individual has been prosecuted)

3.4.2.3 The contractor shall conclude its report with a clear statement addressing whether the subject’s sexual conduct could affect his or her judgment or reliability.

3.4.3 Substance Abuse. If the issue involves substance abuse, the contractor shall provide the following information (in addition to the above):

1) What is the subject’s current level of alcohol/drug use?

2) Has the individual had substance related work incidents, such as reporting for work/duty in an impaired condition or using substances on the job?

3) Has the individual had substance related non-work incidents, such as driving while under the influence, fighting, child or spouse abuse, disturbing the peace, or other incidents of concern?

4) Has the individual engaged in habitual or binge substance use to the point of impaired judgment?

5) Has the subject failed to follow court orders regarding alcohol education, evaluation, treatment, or abstinence?

6) Has the individual's physical or mental health deteriorated as a result of his or her substance use?

7) Does the subject acknowledge his or her issues of substance use?

8) Under what circumstances is the subject’s substance use likely to recur?

9) Can the individual's substance abuse be a basis for vulnerability to blackmail, pressure, or coercion?

10) Is the subject following treatment recommendations any continuing treatment to reduce the risk of relapse (e.g., pharmacotherapy, psychotherapy, AA, relapse prevention programs, etc.)?

3.4.3.1 If the subject meets criteria for a DSM-5 substance use disorder, the contractor shall identify the severity of the condition (e.g., Mild, Moderate, Severe) and provide the following information:

· What is the subject’s prognosis?

· Has the subject recently shown evidence of substance withdrawal (per DSM 5 criteria)?

· Has the subject relapsed after receiving a prior substance abuse diagnosis or completion of a substance use rehabilitation program?

3.4.3.2 If the subject has shown evidence of excess alcohol consumption - whether or not the behavior met criteria for an alcohol use disorder - the contractor shall provide the following information:

· Has the subject established a pattern of abstinence or responsible use of alcohol?

· Is the subject’s current pattern of alcohol use in accordance with treatment/legal recommendations?

3.4.3.3 If the subject has shown evidence of illegal drug involvement or misuse of a prescription drug - whether or not the behavior met criteria for a substance use disorder - the contractor shall provide the following information:

· Has the subject used any illegal drug or misused any prescription drug after being granted a security clearance?

3.4.3.4 The contractor shall conclude its report with a clear statement addressing whether the subject’s alcohol consumption or drug involvement could affect his or her judgment or reliability.

3.5 Time Frame. The contractor shall initiate evaluation services within five working days (based upon the NAWCWD work schedule) of request.

3.6 Key Personnel/Changes in Staff. The contractor shall notified NAWCWD in writing immediately when there will be a change in staff that impacts this contract. Replacement of key personnel must be approved by the COR and the Contracting Officer.

3.6.1 A requirement of this contract is to maintain stability of personnel proposed in order to provide quality services. The Contractor shall agree to assign only those key personnel whose resumes were approved by the COR and the Contracting Officer and who are necessary to fulfill the requirements of the effort.

3.6.2 If personnel for whatever reason become unavailable for work under the contract for a continuous period exceeding thirty (30) working days, or are expected to devote substantially less effort to the work than indicated in the proposal, the contractor shall propose a substitution to such personnel.

3.6.3 The contractor shall agree that during the term of the contract, no key personnel substitutions or additions will be made unless necessitated by compelling reasons including, but not limited to: an individual’s illness, death, termination of employment, declining an offer of employment (for those individuals proposed as contingent hires), or family friendly leave. In such an event, the contractor must promptly provide the Contracting Officer with a detailed explanation of the circumstances necessitating the proposed substitution and a complete resume for the substitute for approval prior to the substitution or addition of key personnel.

3.6.4 All proposed substitutions shall be submitted, in writing, to the Contracting Officer at least fifteen (15) days (thirty (30) days if a security clearance must be obtained) prior to the proposed substitution. Each request shall provide a detailed explanation of the circumstances necessitating the proposed substitution, a complete resume for the proposed substitute, information regarding the full financial impact of the change, and any other information required by the Contracting Officer to approve or disapprove the proposed substitution. All proposed substitutes (no matter when they are proposed during the performance period) shall have qualifications that meet the education, license, experience and certification requirements in this Performance Work Statement (PWS).

3.6.5 The Contracting Officer will evaluate requests for substitution and addition of personnel and promptly notify the contractor, in writing, of whether the request is approved or disapproved.

3.7 License. Clinicians under this contract are responsible for maintaining a current clinical license to include obtaining continuing education units (CEUs) as required by their discipline and licensing body. Licensing fees and other costs related to maintaining a current license are not the responsibility of the government.

3.8 Roster. The Contractor shall provide a roster of contractor personnel employees under this contract to the COR not later than the contract start date. The roster shall include employee name, social security number, date of birth, place of birth, driver’s license number, position title, security clearance (if applicable), home address and phone numbers. The personnel roster shall be updated and forwarded to the COR as changes occur and within 24 hours of changes of Key Personnel. The updated personnel roster shall be submitted to the Government in accordance with CDRL A002.

3.9 Misconduct. The Contractor shall immediately report to the TPOC information regarding alleged or confirmed misconduct of any contractor staff.

3.10 Individual Credentials File (ICF). The contractor shall establish and maintain an ICF for all contractor personnel. The ICF will contain items such as a copy of pertinent diplomas, current licenses, proof of liability insurance, results of credentials review and privileging and verification of continuing education. The contractor is responsible for ensuring the NAWCWD Security receives a copy of all information placed into the ICF for every individual under the contract.

4.0 LABOR CATEGORY QUALIFICATIONS

The vendor shall submit labor category titles and functional responsibilities for all labor categories proposed under the contract that meet the minimum qualifications listed below.

4.1 Psychologist minimum requirements: Psychologists must have a Ph.D. degree in Psychology, must have been licensed and practicing in the United States of America for the last five years, and be licensed to practice psychology in the State of California.

4.2 Security Clearance Requirements

4.2.1 All position/labor category equivalents require a security/interim secret clearance level within 30 days of contract award.

5.0 RELEASE OF INFORMATION

The contractor shall provide full access to all information regarding the employee and shall disclose and discuss any and all details/findings with the COR, TPOC, ATPOC and DODCAF staff personnel assigned to the case, while protecting this information from all others.

It is important for the subject to be informed about the limits of confidentiality. This is best accomplished by the clinician including a statement in his or her report which indicates that the subject has been informed that the purpose of the evaluation is to determine whether the subject may have a psychological condition or substance use disorder which may reasonably impact his or her reliability and judgment, particularly as these factors may pertain to performing sensitive National Security duties. The evaluation is not being conducted for the subject's clinical benefit; as such, the subject should have no expectation that the information that he or she provides to the examiner will not be shared with those who have a need to know (e.g., NAWCWD Security Department personnel, COR, TPOC, ATPOC and DODCAF).

If the individual requests a copy of any investigative files, or other information provided for your consideration, please refer him/her to their Command Security Manager. Under no circumstances may you release this information to the individual. If the individual requests a copy of your medical evaluation, please follow your facility’s standard procedures for release of that information.

5.1 Consultation. Based on the outcome of the medical evaluation, the contractor shall advise and consult with NAWCWD management to identify problem areas and develop strategies for successful resolution in areas of mental health programs, wellness programs, psychological suitability of personnel, and other related areas as required by the TPOC.

5.2 Testimony. The contractor may be called upon to testify at administrative hearings to provide expert testimony on psychiatric information concerning employees who have been referred for evaluation under this contract. A minimum of one hour billing time may be billed.

5.3 Records/Case Files. All records of PERSEC are under the jurisdiction of the Commander, NAWCWD. Records shall be available to the PERSEC TPOC immediately upon request. All clients’ records shall be submitted to the TPOC on a quarterly basis with any exceptions being addressed to the TPOC. Upon completion or termination of the contract, the contractor shall surrender all records to the PERSEC TPOC within 14 days. Clients’ cases may only be discussed by professional PERSEC staff for case management purposes. Confidentiality of clients shall be protected.

6.0 REPORTS, DATA, AND OTHER DELIVERABLES

6.1 Medical Evaluation Report (CDRL A001)

6.2 Contactor Personnel Roster (CDRL A002)

7.0 TRAVEL

7.1 Local travel to Point Mugu, CA will be required as needed to evaluate NAWCWD employees who cannot travel to China Lake, CA for evaluation.

7.2 The contractor shall obtain approval from the COR prior to going on travel.

8.0 QUALITY SURVEILLANCE AND PERFORMANCE STANDARDS

A Quality Assurance Surveillance Plan (QASP) will be used by the Government to provide surveillance. A copy of the QASP is provided as Attachment 1, in Section J, for informational purposes only.

NOTE: Billing is separate from the required invoice required in Section G for contractor payment. None of the following information is to appear on the invoice submitted to Wide Area Work-Flow (WAWF):

Billing Case Number, Date of Referral, Date of Service, Number of Hours and the Employee Name and/or Event or Activity must be provided. Billing Hours for Security Evaluations will show the actual number of hours required.

A Billing Case Number will be assigned when applicable. A Case Number will be assigned when DODCAF or management has requested an evaluation or consulting for intervention. Nature of Work, Number of Hours, Employee Name and/or Event or Activity, Supervisor Name and/or Event or Activity must be provided.

REQUIRED ENTERPRISE-WIDE CONTRACTOR MANPOWER REPORTING APPLICATION (ECMRA) INFORMATION

The contractor shall report contractor labor hours (including subcontractor labor hours) required for performance of services provided under this contract for the [NAMED COMPONENT] via a secure data collection site. Contracted services, excluded from reporting are based on Product Service Codes (PSCs). The excluded PSCs are:

(1) W, Lease/Rental of Equipment;

(2) X, Lease/Rental of Facilities;

(3) Y, Construction of Structures and Facilities;

(4) S, Utilities ONLY;

(5) V, Freight and Shipping ONLY.

The contractor is required to completely fill in all required data fields using the following web address "https://doncmra.nmci.navy.mil".

Reporting inputs will be for the labor executed during the period of performance during each Government fiscal year (FY), which runs October 1 through September 30. While inputs may be reported any time during the FY, all data shall be reported no later than October 31 of each calendar year. Contractors may direct questions to the help desk, linked at "https://doncmra.nmci.navy.mil".

Section E - Inspection and Acceptance

INSPECTION AND ACCEPTANCE TERMS

Supplies/services will be inspected/accepted at:

CLAUSES INCORPORATED BY REFERENCE

Section F - Deliveries or Performance

DELIVERY INFORMATION

30-NOV-2016

DAVID SHIPLEY

1 ADMINISTRATION CIRCLE BLDG 52 MAIL STOP 101

CHINA LAKE CA 93555

760-939-3249

N68936

30-NOV-2016

DAVID SHIPLEY

1 ADMINISTRATION CIRCLE BLDG 52 MAIL STOP 101

CHINA LAKE CA 93555

760-939-3249

N68936

30-NOV-2016

DAVID SHIPLEY

1 ADMINISTRATION CIRCLE BLDG 52 MAIL STOP 101

CHINA LAKE CA 93555

760-939-3249

N68936

30-NOV-2017

N68936

30-NOV-2017

N68936

30-NOV-2017

N68936

30-NOV-2018

N68936

30-NOV-2018

N68936

30-NOV-2018

N68936

Section G - Contract Administration Data

ACCOUNTING AND APPROPRIATION DATA

AA: 97X4930 NH2C 251 77777 0 050120 2F 000000

COST CODE: A00003182872

AMOUNT: $44,545.00

CIN 130049156000002: $38,831.00

CIN 130049156000003: $5,714.00

252.232-7006

WIDE AREA WORKFLOW PAYMENT INSTRUCTIONS (MAY 2013)

(a) Definitions. as used in this clause--

"Department of Defense Activity Address Code (DoDAAC)" is a six position code that uniquely identifies a unit, activity, or organization.

"Document type" means the type of payment request or receiving report available for creation in Wide Area WorkFlow (WAWF).

"Local processing office (LPO)" is the office responsible for payment certification when payment certification is done external to the entitlement system.

(b) Electronic invoicing. The WAWF system is the method to electronically process vendor payment requests and receiving reports, as authorized by DFARS 252.232-7003, Electronic Submission of Payment Requests and Receiving Reports.

(c) WAWF access. To access WAWF, the Contractor shall--

(1) Have a designated electronic business point of contact in the System for Award Management at https://www.acquisition.gov; and

(2) Be registered to use WAWF at https://wawf.eb.mil/ following the step-by-step procedures for self-registration available at this Web site.

(d) WAWF training. The Contractor should follow the training instructions of the WAWF Web-Based Training Course and use the Practice Training Site before submitting payment requests through WAWF. Both can be accessed by selecting the "Web Based Training" link on the WAWF home page at https://wawf.eb.mil/.

(e) WAWF methods of document submission. Document submissions may be via Web entry, Electronic Data Interchange, or File Transfer Protocol.

(f) WAWF payment instructions. The Contractor must use the following information when submitting payment requests and receiving reports in WAWF for this contract/order:

(1) Document type. The Contractor shall use the following document type(s).

_______________________________Combo___________________________________________

(2) Inspection/acceptance location. The Contractor shall select the following inspection/acceptance location(s) in WAWF, as specified by the contracting officer.

______________________________________N/A_____________________________________

(3) Document routing. The Contractor shall use the information in the Routing Data Table below only to fill in applicable fields in WAWF when creating payment requests and receiving reports in the system.

Routing Data Table*

Field Name in WAWF

Data to be entered in WAWF

Pay Official DoDAAC:

_HQ0339 __

Issue By DoDAAC:

_N68936 ___

Admin DoDAAC:

_S0303A___

Inspect By DoDAAC:

_N68936___

Ship To Code:

_N68936___

Ship From Code:

N/A

Mark For Code:

Service Approver (DoDAAC):

Service Acceptor (DoDAAC):

Accept at Other DoDAAC:

LPO DoDAAC:

DCAA Auditor DoDAAC:

Other DoDAAC(s):

(4) Payment request and supporting documentation. The Contractor shall ensure a payment request includes appropriate contract line item and subline item descriptions of the work performed or supplies delivered, unit price/cost per unit, fee (if applicable), and all relevant back-up documentation, as defined in DFARS Appendix F, (e.g. timesheets) in support of each payment request.

(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.

rachelle.stacy@navy.mil & dave.shipley@navy.mil

(g) WAWF point of contact. (1) The Contractor may obtain clarification regarding invoicing in WAWF from the following contracting activity's WAWF point of contact. For Navy WAWF questions call DFAS Customer Care 1-800-756-4571 option 6

(2) For technical WAWF help, contact the WAWF helpdesk at 866-618-5988.

5252.201-9501

DESIGNATION OF CONTRACTING OFFICER’S REPRESENTATIVE (COR)(NAVAIR) (SEP 2012)

(a) The Contracting Officer has designated ___To be completed at post award___ as the authorized Contracting Officer’s Representative (COR) to perform the following functions, duties, and/or responsibilities: .

(b) The effective period of the COR designation is.

5252.201-9502 CONTRACTOR'S AUTHORIZED CONTRACT COORDINATOR AND TECHNICAL LIAISON (NAVAIR)(OCT 2005)

(a) The contractor shall state below the name and telephone numbers of the contractor's employees responsible for coordination of contract functions/liaison with the Contracting Officer and/or Contract administrator, and providing technical assistance as required regarding product specifications, functionality, etc.

CONTRACT COORDINATOR:

NAME:

Kevin Seymour

PHONE (BUS):

(760) 446-5515

PHONE (AFTER HOURS): (760) 793-2925

ALTERNATE:

NAME:

Nancy Keating

PHONE (BUS):

(760) 446-5515

PHONE (AFTER HOURS): (760) 793-2925

(b) The contractor shall notify the Contracting Officer and/or Contract Administrator in advance, in writing, of any changes in the above listed personnel.

5252.232-9528

REIMBURSEMENT OF COSTS ASSOCIATED WITH OPNAV SERVICES (NAVAIR)(JUN 2012)

This procurement does not contain the requirement to support the Office of the Chief of Naval Operations (OPNAV). No such requirement is included in the Statement of Work nor shall be contained in any flow down requirements to subcontractors. Since OPNAV service support is not a requirement of the statement of work, the Contracting Officer's Representative (COR) is prohibited from endorsing any such costs/charges. The Government will not pay for such costs as they are outside the scope of this contract.

G-TXT-03

CONTRACTOR ACCESS TO NAVAL AIR WARFARE CENTER WEAPONS DIVISION CHINA LAKE

Contractors requiring access to the Naval Air Warfare Center Weapons Division China Lake are required to enroll with RAPIDGate or obtain a day pass from the Pass and ID Office. The Government will not be responsible for work delays or work stoppages due to failure to comply with these access requirements. Questions should be directed to Tina Todd at (760)939-3154.

Section H - Special Contract Requirements

CLAUSES INCORPORATED BY FULL TEXT

5252.211-9502

GOVERNMENT INSTALLATION WORK SCHEDULE (NAVAIR)(DEC 2014)

(a) The Holidays applicable to this contract are: New Year's Day, Martin Luther King's Birthday, Presidents' Birthday, Memorial Day, Independence Day, Labor Day, Columbus Day, Veteran's Day, Thanksgiving Day, and Christmas Day.

(b) In the event that any of the above holidays occur on a Saturday or Sunday, or alternate Friday, then such holiday shall be observed as they are by the assigned Government employees at the using activity.

(c) The Naval Air Warfare Center Weapons Division works a 4/5/9 work schedule. Therefore alternate Fridays are not a part of the normal workweek for work performed on-site at a Naval Air Warfare Center Weapons Division site. The majority of the Government offices are closed on alternate Fridays.

(d) No deviation in the normal workweek will be permitted without express advance approval by the designated Contracting Officer with coordination of the using departments.

5252.211- 9510

CONTRACTOR EMPLOYEES (NAVAIR)(MAY 2011)

(a) In all situations where contractor personnel status is not obvious, all contractor personnel are required to identify themselves to avoid creating an impression to the public, agency officials, or Congress that such contractor personnel are Government officials. This can occur during meeting attendance, through written (letter or email) correspondence or verbal discussions (in person or telephonic), when making presentations, or in other situations where their contractor status is not obvious to third parties. This list is not exhaustive. Therefore, the contractor employee(s) shall:

(1) Not by word or deed give the impression or appearance of being a Government employee;

(2) Wear appropriate badges visible above the waist that identify them as contractor employees when in Government spaces, at a Government-sponsored event, or an event outside normal work spaces in support of the contract/order;

(3) Clearly identify themselves as contractor employees in telephone conversations and in all formal and informal written and electronic correspondence. Identification shall include the name of the company for whom they work;

(4) Identify themselves by name, their company name, if they are a subcontractor the name of the prime contractor their company is supporting, as well as the Government office they are supporting when participating in meetings, conferences, and other interactions in which all parties are not in daily contact with the individual contractor employee; and

(5) Be able to provide, when asked, the full number of the contract/order under which they are performing, and the name of the Contracting Officer’s Representative.

(b) If wearing a badge is a risk to safety and/or security, then an alternative means of identification maybe utilized if endorsed by the Contracting Officer’s Representative and approved by the Contracting Officer.

(c) The Contracting Officer will make final determination of compliance with regulations with regard to proper identification of contractor employees.

5252.243-9504

AUTHORIZED CHANGES ONLY BY THE CONTRACTING OFFICER (NAVAIR) (JAN 1992)

(a) Except as specified in paragraph (b) below, no order, statement, or conduct of Government personnel who visit the contractor’s facilities or in any other manner communicates with contractor personnel during the performance of this contract shall constitute a change under the “Changes” clause of this contract.

(b) The contractor shall not comply with any order, direction or request of Government personnel unless it is issued in writing and signed by the Contracting Officer, or is pursuant to specific authority otherwise included as a part of this contract.

(c) The Contracting Officer is the only person authorized to approve changes in any of the requirements of this contract and notwithstanding provisions contained elsewhere in this contract, the said authority remains solely the Contracting Officer’s. In the event the contractor effects any change at the direction of any person other than the Contracting Officer, the change will be considered to have been made without authority and no adjustment will be made in the contract price to cover any increase in charges incurred as a result thereof. The address and telephone number of the Contracting Officer is: Helen Xiong, Commander Code 254300D, 429 E. Bowen Rd. Mail Stop 4015, China Lake CA 93555-6108; (760) 939-5124; helen.xiong@navy.mil Section I - Contract Clauses

CLAUSES INCORPORATED BY REFERENCE

52.204-19

INCORPORATION BY REFERENCE OF REPRESENTATIONS AND CERTIFICATIONS (DEC 2014)

The Contractor's representations and certifications, including those completed electronically via the System for Award Management (SAM), are incorporated by reference into the contract.

52.217-8

OPTION TO EXTEND SERVICES (NOV 1999)

The Government may require continued performance of any services within the limits and at the rates specified in the contract. These rates may be adjusted only as a result of revisions to prevailing labor rates provided by the Secretary of Labor. The option provision may be exercised more than once, but the total extension of performance hereunder shall not exceed 6 months. The Contracting Officer may exercise the option by written notice to the Contractor within 14 days prior to contract expirations.

52.217-9

OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR 2000)

(a) The Government may extend the term of this contract by written notice to the Contractor within 1 day provided, that the Government gives the Contractor a preliminary written notice of its intent to extend at least 60 days before the contract expires. The preliminary notice does not commit the Government to an extension.

(b) If the Government exercises this option, the extended contract shall be considered to include this option clause.

(c) The total duration of this contract, including the exercise of any options under this clause, shall not exceed 42 months.

52.219-28

POST-AWARD SMALL BUSINESS PROGRAM REREPRESENTATION (JUL 2013)

(a) Definitions. As used in this clause--

Long-term contract means a contract of more than five years in duration, including options. However, the term does not include contracts that exceed five years in duration because the period of performance has been extended for a cumulative period not to exceed six months under the clause at 52.217-8, Option to Extend Services, or other appropriate authority.

Small business concern means a concern, including its affiliates, that is independently owned and operated, not dominant in the field of operation in which it is bidding on Government contracts, and qualified as a small business under the criteria in 13 CFR part 121 and the size standard in paragraph (c) of this clause. Such a concern is “not dominant in its field of operation” when it does not exercise a controlling or major influence on a national basis in a kind of business activity in which a number of business concerns are primarily engaged. In determining whether dominance exists, consideration shall be given to all appropriate factors, including volume of business, number of employees, financial resources, competitive status or position, ownership or control of materials, processes, patents, license agreements, facilities, sales territory, and nature of business activity.

(b) If the Contractor represented that it was a small business concern prior to award of this contract, the Contractor shall rerepresent its size status according to paragraph (e) of this clause or, if applicable, paragraph (g) of this clause, upon the occurrence of any of the following:

(1) Within 30 days after execution of a novation…