FA3047-08-T-C029 Chiropractic Services.rtf

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FA3047-08-T-C029

Section SF 1449 - CONTINUATION SHEET

ITEM NO

SUPPLIES/SERVICES

QUANTITY

UNIT

UNIT PRICE

AMOUNT

3,840 Hours

Chiropractor (2 FTEs)

FFP

Personal Services - The Contractor will provide 2 Full Time Equivalent (FTE) Chiropractors in accordance with the attached Perfromance Work Statement. The Period of Performance for this Contract Line Item Number is from 28-Sep-2008 to 27-Sep-2009.

FOB: Destination

PURCHASE REQUEST NUMBER: F2M4048086A001

SIGNAL CODE: A

NET AMT

QUANTITY

UNIT

UNIT PRICE

AMOUNT

Chiropractor Assistant (2 FTEs)

FFP

Personal Services - The Contractor will provide 2 Full Time Equivalent (FTE) Chiropractic Technicians in accordance with the attached Perfromance Work Statement. The Period of Performance for this Contract Line Item Number is from 28-Sep-2008 to 27-Sep-2009.

FOB: Destination

QUANTITY

UNIT

UNIT PRICE

AMOUNT

OPTION

FFP

Personal Services - The Contractor will provide 2 Full Time Equivalent (FTE) Chiropractors in accordance with the attached Perfromance Work Statement. The Period of Performance for this Contract Line Item Number is from 28-Sep-2009 to 27-Sep-2010.

FOB: Destination

QUANTITY

UNIT

UNIT PRICE

AMOUNT

FFP

Personal Services - The Contractor will provide 2 Full Time Equivalent (FTE) Chiropractic Technicians in accordance with the attached Perfromance Work Statement. The Period of Performance for this Contract Line Item Number is from 28-Sep-2009 to 27-Sep-2010.

FOB: Destination

QUANTITY

UNIT

UNIT PRICE

AMOUNT

FFP

Personal Services - The Contractor will provide 2 Full Time Equivalent (FTE) Chiropractors in accordance with the attached Perfromance Work Statement. The Period of Performance for this Contract Line Item Number is from 28-Sep-2010 to 27-Sep-2011.

FOB: Destination

QUANTITY

UNIT

UNIT PRICE

AMOUNT

FFP

Personal Services - The Contractor will provide 2 Full Time Equivalent (FTE) Chiropractic Technicians in accordance with the attached Perfromance Work Statement. The Period of Performance for this Contract Line Item Number is from 28-Sep-2010 to 27-Sep-2011.

FOB: Destination

QUANTITY

UNIT

UNIT PRICE

AMOUNT

FFP

Personal Services - The Contractor will provide 2 Full Time Equivalent (FTE) Chiropractors in accordance with the attached Perfromance Work Statement. The Period of Performance for this Contract Line Item Number is from 28-Sep-2011 to 27-Sep-2012.

FOB: Destination

QUANTITY

UNIT

UNIT PRICE

AMOUNT

FFP

Personal Services - The Contractor will provide 2 Full Time Equivalent (FTE) Chiropractic Technicians in accordance with the attached Perfromance Work Statement. The Period of Performance for this Contract Line Item Number is from 28-Sep-2011 to 27-Sep-2012.

FOB: Destination

QUANTITY

UNIT

UNIT PRICE

AMOUNT

FFP

Personal Services - The Contractor will provide 2 Full Time Equivalent (FTE) Chiropractors in accordance with the attached Perfromance Work Statement. The Period of Performance for this Contract Line Item Number is from 28-Sep-2012 to 27-Sep-2013.

FOB: Destination

QUANTITY

UNIT

UNIT PRICE

AMOUNT

FFP

Personal Services - The Contractor will provide 2 Full Time Equivalent (FTE) Chiropractic Technicians in accordance with the attached Perfromance Work Statement. The Period of Performance for this Contract Line Item Number is from 28-Sep-2012 to 27-Sep-2013.

FOB: Destination

INSPECTION AND ACCEPTANCE TERMS

Supplies/services will be inspected/accepted at:

CLIN

INSPECT AT

INSPECT BY

ACCEPT AT

ACCEPT BY

Destination Government Destination Government Destination Government Destination Government Destination Government Destination Government Destination Government Destination Government Destination Government Destination Government Destination Government Destination Government Destination Government Destination Government Destination Government Destination Government Destination Government Destination Government Destination Government Destination Government

DELIVERY INFORMATION

CLIN

DELIVERY DATE

QUANTITY

SHIP TO ADDRESS

UIC

POP 28-SEP-2008 TO

27-SEP-2009

N/A

59 MDDG/MSLE F2MTW1

2200 BERQUIST DR

LACKLAND AFB TX 78236

FOB: Destination

F2MTW1

POP 28-SEP-2008 TO

27-SEP-2009

N/A

(SAME AS PREVIOUS LOCATION)

POP 28-SEP-2009 TO

27-SEP-2010

N/A

(SAME AS PREVIOUS LOCATION)

POP 28-SEP-2009 TO

27-SEP-2010

N/A

(SAME AS PREVIOUS LOCATION)

POP 28-SEP-2010 TO

27-SEP-2011

N/A

(SAME AS PREVIOUS LOCATION)

POP 28-SEP-2010 TO

27-SEP-2011

N/A

(SAME AS PREVIOUS LOCATION)

POP 28-SEP-2011 TO

27-SEP-2012

N/A

(SAME AS PREVIOUS LOCATION)

POP 28-SEP-2011 TO

27-SEP-2012

N/A

(SAME AS PREVIOUS LOCATION)

POP 28-SEP-2012 TO

27-AUG-2013

N/A

(SAME AS PREVIOUS LOCATION)

POP 28-SEP-2012 TO

27-SEP-2013

N/A

(SAME AS PREVIOUS LOCATION)

CLAUSES INCORPORATED BY REFERENCE

52.204-9 Personal Identity Verification of Contractor Personnel

SEP 2007

52.212-4 Contract Terms and Conditions--Commercial Items

FEB 2007

52.222-50 Combating Trafficking in Persons

AUG 2007

52.232-33 Payment by Electronic Funds Transfer--Central Contractor Registration

OCT 2003

52.237-2 Protection Of Government Buildings, Equipment, And Vegetation

APR 1984

52.249-12 Termination (Personal Services)

APR 1984

252.204-7003 Control Of Government Personnel Work Product

APR 1992

252.204-7004 Alt A Central Contractor Registration (52.204-7) Alternate A

SEP 2007

252.209-7001 Disclosure of Ownership or Control by the Government of a Terrorist Country

OCT 2006

252.212-7000 Offeror Representations and Certifications- Commercial Items

JUN 2005

252.232-7003 Electronic Submission of Payment Requests and Receiving Reports

MAR 2008

CLAUSES INCORPORATED BY FULL TEXT

52.212-1 INSTRUCTIONS TO OFFERORS--COMMERCIAL ITEMS (JUN 2008)

(a) North American Industry Classification System (NAICS) code and small business size standard. The NAICS code and small business size standard for this acquisition appear in Block 10 of the solicitation cover sheet (SF 1449). However, the small business size standard for a concern which submits an offer in its own name, but which proposes to furnish an item which it did not itself manufacture, is 500 employees.

(b) Submission of offers. Submit signed and dated offers to the office specified in this solicitation at or before the exact time specified in this solicitation. Offers may be submitted on the SF 1449, letterhead stationery, or as otherwise specified in the solicitation. As a minimum, offers must show--

(1) The solicitation number;

(2) The time specified in the solicitation for receipt of offers;

(3) The name, address, and telephone number of the offeror;

(4) A technical description of the items being offered in sufficient detail to evaluate compliance with the requirements in the solicitation. This may include product literature, or other documents, if necessary;

(5) Terms of any express warranty;

(6) Price and any discount terms;

(7) "Remit to" address, if different than mailing address;

(8) A completed copy of the representations and certifications at FAR 52.212-3 (see FAR 52.212-3(b) for those representations and certifications that the offeror shall complete electronically);

(9) Acknowledgment of Solicitation Amendments;

(10) Past performance information, when included as an evaluation factor, to include recent and relevant contracts for the same or similar items and other references (including contract numbers, points of contact with telephone numbers and other relevant information); and

(11) If the offer is not submitted on the SF 1449, include a statement specifying the extent of agreement with all terms, conditions, and provisions included in the solicitation. Offers that fail to furnish required representations or information, or reject the terms and conditions of the solicitation may be excluded from consideration.

(c) Period for acceptance of offers. The offeror agrees to hold the prices in its offer firm for 30 calendar days from the date specified for receipt of offers, unless another time period is specified in an addendum to the solicitation.

(d) Product samples. When required by the solicitation, product samples shall be submitted at or prior to the time specified for receipt of offers. Unless otherwise specified in this solicitation, these samples shall be submitted at no expense to the Government, and returned at the sender's request and expense, unless they are destroyed during preaward testing.

(e) Multiple offers. Offerors are encouraged to submit multiple offers presenting alternative terms and conditions or commercial items for satisfying the requirements of this solicitation. Each offer submitted will be evaluated separately.

(f) Late submissions, modifications, revisions, and withdrawals of offers:

(1) Offerors are responsible for submitting offers, and any modifications, revisions, or withdrawals, so as to reach the Government office designated in the solicitation by the time specified in the solicitation. If no time is specified in the solicitation, the time for receipt is 4:30 p.m., local time, for the designated Government office on the date that offers or revisions are due.

(2)(i) Any offer, modification, revision, or withdrawal of an offer received at the Government office designated in the solicitation after the exact time specified for receipt of offers is “late” and will not be considered unless it is received before award is made, the Contracting Officer determines that accepting the late offer would not unduly delay the acquisition; and--

(A) If it was transmitted through an electronic commerce method authorized by the solicitation, it was received at the initial point of entry to the Government infrastructure not later than 5:00 p.m. one working day prior to the date specified for receipt of offers; or

(B) There is acceptable evidence to establish that it was received at the Government installation designated for receipt of offers and was under the Government's control prior to the time set for receipt of offers; or

(C) If this solicitation is a request for proposals, it was the only proposal received.

(ii) However, a late modification of an otherwise successful offer, that makes its terms more favorable to the Government, will be considered at any time it is received and may be accepted.

(3) Acceptable evidence to establish the time of receipt at the Government installation includes the time/date stamp of that installation on the offer wrapper, other documentary evidence of receipt maintained by the installation, or oral testimony or statements of Government personnel.

(4) If an emergency or unanticipated event interrupts normal Government processes so that offers cannot be received at the Government office designated for receipt of offers by the exact time specified in the solicitation, and urgent Government requirements preclude amendment of the solicitation or other notice of an extension of the closing date, the time specified for receipt of offers will be deemed to be extended to the same time of day specified in the solicitation on the first work day on which normal Government processes resume.

(5) Offers may be withdrawn by written notice received at any time before the exact time set for receipt of offers. Oral offers in response to oral solicitations may be withdrawn orally. If the solicitation authorizes facsimile offers, offers may be withdrawn via facsimile received at any time before the exact time set for receipt of offers, subject to the conditions specified in the solicitation concerning facsimile offers. An offer may be withdrawn in person by an offeror or its authorized representative if, before the exact time set for receipt of offers, the identity of the person requesting withdrawal is established and the person signs a receipt for the offer.

(g) Contract award (not applicable to Invitation for Bids). The Government intends to evaluate offers and award a contract without discussions with offerors. Therefore, the offeror's initial offer should contain the offeror's best terms from a price and technical standpoint. However, the Government reserves the right to conduct discussions if later determined by the Contracting Officer to be necessary. The Government may reject any or all offers if such action is in the public interest; accept other than the lowest offer; and waive informalities and minor irregularities in offers received.

(h) Multiple awards. The Government may accept any item or group of items of an offer, unless the offeror qualifies the offer by specific limitations. Unless otherwise provided in the Schedule, offers may not be submitted for quantities less than those specified. The Government reserves the right to make an award on any item for a quantity less than the quantity offered, at the unit prices offered, unless the offeror specifies otherwise in the offer.

(i) Availability of requirements documents cited in the solicitation. (1)(i) The GSA Index of Federal Specifications, Standards and Commercial Item Descriptions, FPMR Part 101-29, and copies of specifications, standards, and commercial item descriptions cited in this solicitation may be obtained for a fee by submitting a request to--GSA Federal Supply Service Specifications Section, Suite 8100, 470 East L'Enfant Plaza, SW, Washington, DC 20407, Telephone (202) 619-8925, Facsimile (202) 619-8978.

(ii) If the General Services Administration, Department of Agriculture, or Department of Veterans Affairs issued this solicitation, a single copy of specifications, standards, and commercial item descriptions cited in this solicitation may be obtained free of charge by submitting a request to the addressee in paragraph (i)(1)(i) of this provision. Additional copies will be issued for a fee.

(2) Most unclassified Defense specifications and standards may be downloaded from the following ASSIST websites:

(i) ASSIST (http://assist.daps.dla.mil).

(ii) Quick Search (http://assist.daps.dla.mil/quicksearch).

(iii) ASSISTdocs.com (http://assistdocs.com).

(3) Documents not available from ASSIST may be ordered from the Department of Defense Single Stock Point (DoDSSP) by--

(i) Using the ASSIST Shopping Wizard (http://assist.daps.dla.mil/wizard);

(ii) Phoning the DoDSSP Customer Service Desk (215) 697-2179, Mon-Fri, 0730 to 1600 EST; or

(iii) Ordering from DoDSSP, Building 4, Section D, 700 Robbins Avenue, Philadelphia, PA 19111-5094, Telephone (215) 697-2667/2179, Facsimile (215) 697-1462.

(4) Nongovernment (voluntary) standards must be obtained from the organization responsible for their preparation, publication, or maintenance.

(j) Data Universal Numbering System (DUNS) Number. (Applies to all offers exceeding $3,000, and offers of $3,000 or less if the solicitation requires the Contractor to be registered in the Central Contractor Registration (CCR) database. The offeror shall enter, in the block with its name and address on the cover page of its offer, the annotation “DUNS” or “DUNS +4” followed by the DUNS or DUNS +4 number that identifies the offeror's name and address. The DUNS +4 is the DUNS number plus a 4-character suffix that may be assigned at the discretion of the offeror to establish additional CCR records for identifying alternative Electronic Funds Transfer (EFT) accounts (see FAR Subpart 32.11) for the same concern. If the offeror does not have a DUNS number, it should contact Dun and Bradstreet directly to obtain one. An offeror within the United States may contact Dun and Bradstreet by calling 1-866-705-5711 or via the internet at http://fedgov.dnb.com/webform. An offeror located outside the United States must contact the local Dun and Bradstreet office for a DUNS number. The offeror should indicate that it is an offeror for a Government contract when contacting the local Dun and Bradstreet office.

(k) Central Contractor Registration. Unless exempted by an addendum to this solicitation, by submission of an offer, the offeror acknowledges the requirement that a prospective awardee shall be registered in the CCR database prior to award, during performance and through final payment of any contract resulting from this solicitation. If the Offeror does not become registered in the CCR database in the time prescribed by the Contracting Officer, the Contracting Officer will proceed to award to the next otherwise successful registered Offeror. Offerors may obtain information on registration and annual confirmation requirements via the Internet at http://www.ccr.gov or by calling 1-888-227-2423 or 269-961-5757.

(l) Debriefing. If a post-award debriefing is given to requesting offerors, the Government shall disclose the following information, if applicable:

(1) The agency's evaluation of the significant weak or deficient factors in the debriefed offeror's offer.

(2) The overall evaluated cost or price and technical rating of the successful and the debriefed offeror and past performance information on the debriefed offeror.

(3) The overall ranking of all offerors, when any ranking was developed by the agency during source selection.

(4) A summary of the rationale for award;

(5) For acquisitions of commercial items, the make and model of the item to be delivered by the successful offeror.

(6) Reasonable responses to relevant questions posed by the debriefed offeror as to whether source-selection procedures set forth in the solicitation, applicable regulations, and other applicable authorities were followed by the agency.

(End of provision)

CLAUSES INCORPORATED BY FULL TEXT

52.212-2 EVALUATION--COMMERCIAL ITEMS (JAN 1999)

(a) The Government will award a contract resulting from this solicitation to the responsible offeror whose offer conforming to the solicitation will be most advantageous to the Government, price and other factors considered. The following factors shall be used to evaluate offers:

Price Only. Award will be made to the quote with the lowest overall total price.

(b) Options. The Government will evaluate offers for award purposes by adding the total price for all options to the total price for the basic requirement. The Government may determine that an offer is unacceptable if the option prices are significantly unbalanced. Evaluation of options shall not obligate the Government to exercise the option(s).

(c) A written notice of award or acceptance of an offer, mailed or otherwise furnished to the successful offeror within the time for acceptance specified in the offer, shall result in a binding contract without further action by either party. Before the offer's specified expiration time, the Government may accept an offer (or part of an offer), whether or not there are negotiations after its receipt, unless a written notice of withdrawal is received before award.

(d) Discussions. The Government intends to award without discussions; however the Government reserves the right to conduct discussions if deemed in its best interest

(End of clause)

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 at least 30 days before the contract expires.

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 15 days before the contract expires; provided that the Government gives the Contractor a preliminary written notice of its intent to extend at least 45 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 60 months.

52.219-27 NOTICE OF TOTAL SERVICE-DISABLED VETERAN-OWNED SMALL BUSINESS SET-ASIDE (MAY 2004)

(a) Definition. Service-disabled veteran-owned small business concern--

(1) Means a small business concern--

(i) Not less than 51 percent of which is owned by one or more service-disabled veterans or, in the case of any publicly owned business, not less than 51 percent of the stock of which is owned by one or more service-disabled veterans; and

(ii) The management and daily business operations of which are controlled by one or more service-disabled veterans or, in the case of a service-disabled veteran with permanent and severe disability, the spouse or permanent caregiver of such veteran.

(2) Service-disabled veteran means a veteran, as defined in 38 U.S.C. 101(2), with a disability that is service-connected, as defined in 38 U.S.C. 101(16).

(b) General. (1) Offers are solicited only from service-disabled veteran-owned small business concerns. Offers received from concerns that are not service-disabled veteran-owned small business concerns shall not be considered.

(2) Any award resulting from this solicitation will be made to a service-disabled veteran-owned small business concern.

(c) Agreement. A service-disabled veteran-owned small business concern agrees that in the performance of the contract, in the case of a contract for--

(1) Services (except construction), at least 50 percent of the cost of personnel for contract performance will be spent for employees of the concern or employees of other service-disabled veteran-owned small business concerns;

(2) Supplies (other than acquisition from a nonmanufacturer of the supplies), at least 50 percent of the cost of manufacturing, excluding the cost of materials, will be performed by the concern or other service-disabled veteran-owned small business concerns;

(3) General construction, at least 15 percent of the cost of the contract performance incurred for personnel will be spent on the concern's employees or the employees of other service-disabled veteran-owned small business concerns; or

(4) Construction by special trade contractors, at least 25 percent of the cost of the contract performance incurred for personnel will be spent on the concern's employees or the employees of other service-disabled veteran-owned small business concerns.

(d) A joint venture may be considered a service-disabled veteran owned small business concern if--

(1) At least one member of the joint venture is a service-disabled veteran-owned small business concern, and makes the following representations: That it is a service-disabled veteran-owned small business concern, and that it is a small business concern under the North American Industry Classification Systems (NAICS) code assigned to the procurement;

(2) Each other concern is small under the size standard corresponding to the NAICS code assigned to the procurement; and

(3) The joint venture meets the requirements of paragraph 7 of the explanation of Affiliates in 19.101 of the Federal Acquisition Regulation.

(4) The joint venture meets the requirements of 13 CFR 125.15(b)

(e) Any service-disabled veteran-owned small business concern (nonmanufacturer) must meet the requirements in 19.102(f) of the Federal Acquisition Regulation to receive a benefit under this program.

(End of Clause)

52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

This contract incorporates one or more clauses by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. Also, the full text of a clause may be accessed electronically at this/these address(es):

http://farsite.hill.af.mil

5352.223-9001 HEALTH AND SAFETY ON GOVERNMENT INSTALLATIONS (JUN 1997)

(a) In performing work under this contract on a Government installation, the contractor shall:

(1) Comply with the specific health and safety requirements established by this contract;

(2) Comply with the health and safety rules of the Government installation that concern related activities not directly addressed in this contract;

(3) Take all reasonable steps and precautions to prevent accidents and preserve the health and safety of contractor and Government personnel performing or in any way coming in contact with the performance of this contract; and

(4) Take such additional immediate precautions as the contracting officer may reasonably require for health and safety purposes.

(c) The contracting officer may, by written order, direct Air Force Occupational Safety and Health Standards (AFOSH) and/or health/safety standards as may be required in the performance of this contract and any adjustments resulting from such direction will be in accordance with the Changes clause of this contract.

(d) Any violation of these health and safety rules and requirements, unless promptly corrected as directed by the contracting officer, shall be grounds for termination of this contract in accordance with the Default clause of this contract.

5352.242-9000 Contractor access to Air Force installations.

As prescribed in 5342.490-1, insert a clause substantially the same as the following clause in solicitations and contracts:

CONTRACTOR ACCESS TO AIR FORCE INSTALLATIONS (AUGUST 2007)

(a) The contractor shall obtain base identification and vehicle passes, if required, for all contractor personnel who make frequent visits to or perform work on the Air Force installation(s) cited in the contract. Contractor personnel are required to wear or prominently display installation identification badges or contractor-furnished, contractor identification badges while visiting or performing work on the installation.

(b) The contractor shall submit a written request on company letterhead to the contracting officer listing the following: contract number, location of work site, start and stop dates, and names of employees and subcontractor employees needing access to the base. The letter will also specify the individual(s) authorized to sign for a request for base identification credentials or vehicle passes. The contracting officer will endorse the request and forward it to the issuing base pass and registration office or security police for processing. When reporting to the registration office, the authorized contractor individual(s) should provide a valid driver’s license, current vehicle registration, valid vehicle insurance certificate, and [insert any additional requirements to comply with local security procedures] to obtain a vehicle pass.

(c) During performance of the contract, the contractor shall be responsible for obtaining required identification for newly assigned personnel and for prompt return of credentials and vehicle passes for any employee who no longer requires access to the work site.

(d) When work under this contract requires unescorted entry to controlled or restricted areas, the contractor shall comply with [insert any additional requirements to comply with AFI 31-101, Volume 1, The Air Force Installation Security Program, and AFI 31-501, Personnel Security Program Management,] citing the appropriate paragraphs as applicable.

(e) Upon completion or termination of the contract or expiration of the identification passes, the prime contractor shall ensure that all base identification passes issued to employees and subcontractor employees are returned to the issuing office.

(f) Failure to comply with these requirements may result in withholding of final payment.

COMMON ACCESS CARDS (CACs) FOR CONTRACTOR PERSONNEL (AUG 2004)

For installation(s)/location(s) cited in this contract, contractors shall ensure Common Access Cards (CACs) are obtained by all contract or subcontract personnel who meet one or both of the following criteria: Require logical access to Department of Defense computer networks and systems in either: the unclassified environment; or the classified environment where authorized by governing security directives. Perform work which requires the use of a CAC for installation entry control or physical access to facilities and buildings. Contractors and their personnel shall use the following procedures to obtain CACs: Contractors shall provide a listing of personnel authorized a CAC to the contracting officer. The contacting officer will provide a copy of the listing to the govrnment representative in the local organization designated to authorize issuance of contractor CACs (i.e., “authorizing official”). Contractor personnel on the listing shall each complete and submit a DD Form 1172-2 or other authorized DoD electronic form to the authorizing official. The authorizing official will verify the applicant’s name against the contractor’s listing and return the DD Form 1172-2 to the contractor personnel. Contractor personnel will proceed to the nearest CAC issuance workstation (usually the local Military Personnel Flight (MPF) with the DD Form 1172-2 and appropriate documentation to support their identification and/or citizenship. The CAC issuance workstation will then issue the CAC. While visiting or performing work on installation(s)/location(s), contractor personnel shall wear or prominently display the CAC as required by the governing local policy. During the performance period of the contract, the contractor shall: Within 7 working days of any changes to the listing of the contract personnel authorized a CAC, provide an updated listing to the contracting officer who will provide the updated listing to the authorizing official; Return CACs in accordance with local policy/directives withing 7 working days of a change in status for contractor personnel who no longer require logical or physical access; Return CACs in accordance with local policy/directives within 7 working days following a CACs expiration date; and Report lost or stolen CACs in accordance with local policy/directives. Within 7 working days following completion/termination of te contarct, the contractor shall return all CACs issued to their personnel to the issuing office or the location specified by local policy/directives. Failure to comply with these requirements may result in witholding of final payment.

ELECTRONIC SUBMISSION OF PAYMENT REQUESTS (JUN 08)

PAYMENT: Contractors shall submit complete invoices to the payment office (Defense Finance Accounting Services – DFAS) identified on the face of this document. ALL INVOICES MUST HAVE A VALID PURCHASE ORDER NUMBER ON THEM.

Submit payment request using one of the following electronic forms:

Wide Area Work Flow-Receipt and Acceptance (WAWF-RA) or the Web Invoicing System (WinS). Information regarding these programs is available on the internet at http://wawf.eb.mil American National Standards Institute (ANSI) X.12 electronic data interchange (EDI) formats. Information regarding EDI formats is available on the internet at http://www.x12.org. EDI Implementation guides are available on the internet at http://www.dfas.mil/ecedi.

Payment questions can be forwarded to the Payment Office’s Customer Telephone Inquiry Number for DFAS Limestone at (207) 328-1676 or toll free at 800-337-0371/800-390-5620 or (866) 392-7091 (fax), or on line at http://www.dfas.mil under Money matters: Vendor Pay Inquire System - Select Non-MOCAS System. Note: When inquiring by contract number, exclude the dashes or the contracting office.

The following codes and information will be required to route your invoice(s) and additional e-mail(s) correctly through WAWF:

Contract Number: XXXXXX-XX-X-XXXX

Delivery Order:

Issue-by DoDDAC: FA3047

Admin DoDAAC: FA3047

Inspected By DoDAAC/BPN:

Ship-to Code/BPN: XXXXXX

Service Acceptor/BPN:

Pay DoDAAC: F67100

Contracting POC’s:

ZAKIYA U. NORRIS, Capt, USAF Contract Administrator Phone: 210-671-6017 e-mail: zakiya.norris@lackland.af.mil

STEVE CARDENAS

Contracting Officer Phone: 210-671-5906 e-mail: steve.cardenas@lackland.af.mil

Customer:

DONALD KOTZ

Medical Contract Services Phone: 210-292-6406 donald.kotz@lackland.af.mil

Contractor:

XXXXXXXXXXX

ADDENDUM TO 52.212-4

(c) Changes. Changes in the terms and conditions of this contract may be made only by written agreement of the parties with the exception of administrative changes, such as changes in the paying office, appropriations data, etc., which may be changed unilaterally by the Government.

Security of Protected Health Information

(a) Definitions. As used in this clause:

Electronic Protected Health Information has the same meaning as the term “electronic protected health information” in 45 CFR 160.103.

Secretary means the Secretary of the Department of Health and Human Services or his/her designee.

Security Rule means the Security Standards for the Protection of Electronic Protected health Information at 45 CFR part 160 and part 164, subpart C.

Terms used, but not otherwise defined, in this Agreement shall have the same meaning as those terms in 45 CFR 160.103, 164.103, and 164.304.

(b) The Contractor agrees to implement administrative, physical, and technical safeguards that reasonably and appropriately protect the confidentiality, integrity and availability of the Electronic Protected Health Information that it creates, receives, maintains, or transmits on behalf of the Government.

(c) The Contractor agrees to report to the Government any security incident of which it becomes aware.

(d) The Contractor agrees to ensure that any agent, including a subcontractor, to whom it provides Electronic Protected Health Information that it creates, receives, maintains, or transmits on behalf of the Government, agrees to the same restrictions and conditions that apply through this Contract to the Contractor with respect to such information.

Termination

A breach by the Contractor of this clause, may subject the Contractor to termination under any applicable default or termination provision of this Contract.

Miscellaneous

(a) Regulatory References. A reference in this Clause to a section in the Security Rule means the section as in effect or as amended, and for which compliance is required.

(b) Interpretation. Any ambiguity in this Clause shall be resolved in favor of a meaning that permits the Government to comply with the Security Rule.

SECURITY REQUIREMENTS FOR SOLICITATIONS AND CONTRACTS (AUG 08)

1. Base Entry and Vehicle Control Requirements. Contractor shall comply with AFFARS Clause 5352.242-9000, “Contractor access to Air Force installations” which is hereby incorporated by reference if not otherwise included. Contractor personnel shall comply with all on-base traffic laws. Background investigations will be conducted by the government at no additional cost to the contractor on all contractor personnel prior to issuance of any base pass.

2. Government Computer Access Requirements. If this contract requires contractor personnel to have access to government computers, contractor personnel requiring access to government computers shall successfully complete, a National Agency Check with Inquiries (NACI) request, before obtaining access to the computer. These investigations shall be submitted by the government at no additional cost to the contractor. All contractor employees affected by this requirement must have completed an acceptable submission that complies with all directions for completion of the investigation request through the government security office within 30 calendar days of Contract Award or Notice of Award. To begin this process, all affected contractor employees must complete within 15 calendar days after Contract Award or Notice of Award Standard Form 85P worksheet that can be downloaded from http://www.opm.gov/forms/pdf_fill/SF85P.pdf . The contractor shall notify the Quality Assurance Evaluator or Government Inspector when the worksheet is complete. The affected employee will then be scheduled by the government for two or more appointments to complete the security package. If at any point after submission of the security worksheet, disqualifying information is discovered or developed, the government reserves the right to deny computer access. In this instance the Contracting Officer will notify the contractor of the denial. That individual will no longer be allowed to perform duties requiring computer access. After submission of the complete security package through the security office, contractor employees may obtain their “Common Access Card” (CAC) for the duration of their contract, unless disqualifying information is subsequently discovered. In this instance access will be revoked. The NACI adjudication process normally takes 2 to 5 months after submission of the package. Contractor shall comply with AFFARS Clause 5352.242-9001 Common Access Cards (CACs) for Contractor Personnel which is hereby incorporated by reference if not otherwise included. The contractor shall comply with DODD 5200.08R Physical Security Program, (Chapter 3, Section C.3).

3. List of Employees. The contractor shall provide the Contracting Officer a current list of employees within 3 working days after receiving award or Notice of Award. The list shall include employee’s name, date of birth, state driver’s license/state ID number and state of issue, and social security number. Notifications of contractor employee additions and deletions shall be provided with the same information listed above and within 3 working days.

4. Government Data. The Contractor shall manage all data created for Government use or legally controlled by the Government, in support of the functional activity or required by AF publication, IAW with the records management procedures in Air Force Instruction (AFI) 33 - 322, Records Management Program, Air Force Manual (AFMAN) 33-363, Management of Records, AFI 33-364, Records Disposition-Procedures and Responsibilities, and the Air Force Records Disposition Schedule (AF RDS) located at https://www.my.af.mil/gcss-af61a/afrims/afrims/rims.cfm

5. Reporting Requirements. The contractor shall comply with AFI 71-101, Volume 1, Criminal Investigations (Chapter 2, paragraph 2.7) and Volume-2, Protective Service Matters, (Paragraph 1.2). Contractor shall report to Security Forces any information or circumstances which may pose a threat to DOD or contractor personnel, resources, or DOD information.

6. Freedom of Information. The contractor shall not respond to any Freedom of Information Act request or release any information in response to a Freedom of Information request. Any request for information received by the contractor under the Freedom of Information Act will be referred to the Contracting Officer.

7. Physical Security. The contractor shall comply with Force Protection Condition (FPCON) procedures, Random Antiterrorism Measures (RAMS) and local search/identification requirements.

8. Key Control. The contractor shall safeguard all keys issued by the government and ensure they are used only by authorized contractor personnel. The contractor shall not duplicate issued keys and shall report lost keys to the contracting officer immediately. The contractor will be charged for lost keys, re-keying, and lock replacement as applicable.

9. Additional Security Requirements. (Include this paragraph only if the contract requires access to classified materials.) If this contract requires access to classified materials the contractor shall comply with DOD 5200.1-R (Chapter C3.4), AFI 31-601 (Chapter 2, para 2.3), AFI 33-202, Computer Security; AFI 33-203, Emission Security (EMSEC) Program, AFI 33-204, Information Protection Awareness, Training, and Education (SATE) Program; applicable AFKAGs, AFIs, and AFSS for Communication Security (COMSEC); and AFI 10-1101, Operations Security (OPSEC) Instructions.

10. Unescorted Entry to Restricted Areas. (Include this paragraph only if the contract requires unescorted entry to restricted areas.) If this contract requires unescorted entry to controlled or restricted areas, the contractor shall comply with AFI 31-101 Volume 1, The Air Force Installation Security Program (Chapter 9), DOD 5200.2-R, Appendix 1, and AFI 31-501, Personnel Security Program Management (Paragraph 3.24). If the performance of this contract requires unescorted entry to a restricted area, personnel must have a favorably adjudicated NAC investigation. All contractor employees affected by this requirement must have completed an acceptable submission that complies with all directions for completion, of the investigation request through the government security office within 30 calendar days of Contract Award or Notice of Award. To begin this process, all affected contractor employees must complete within 15 calendar days after Contract Award or Notice of Award Standard Form 85P worksheet that can be downloaded from http://www.opm.gov/forms/pdf_fill/SF85P.pdf . The contractor shall notify the Quality Assurance Evaluator or Government Inspector when the worksheet is complete. The affected employee will then be scheduled by the government for two or more appointments to complete the security package. If at any point after submission of the security worksheet, disqualifying information is discovered or developed, the government reserves the right to deny entry to restricted areas. In this instance the Contracting Officer will notify the contractor of the denial. That individual will not be allowed to perform duties requiring access too Restricted Areas. Upon receipt of a favorable investigation results and authorization by the appropriate commander, the contractor member will receive an Air Force (AF) Form (Fm) 1199 for access to restricted areas, unless disqualifying information is subsequently discovered. In this instance access will be revoked. The NAC adjudication process normally takes 2 to 5 months after submission of the package.

11. National Agency Check (NAC). (Include this paragraph only if the contract performance period exceeds 180 calendar days.) If the period of performance of the contract is more than 180 days, personnel must have a favorably adjudicated NAC investigation. This requirement also applies to any subcontractors that will be performing in a period in an excess of 180 days. This requirement is independent of computer access requirements and restricted area entry requirements addressed in paragraphs 2 and 10 above. It applies even if computer access or restricted area entry is not required. The NACI required for Computer Access or the NAC required for restricted area unescorted entry will meet the requirements of this paragraph. The contractor shall ensure that its subcontractors comply with this requirement. The government will conduct the NAC at no additional cost to the contractor. All contractor employees affected by this requirement must have completed an acceptable submission that complies with all directions for completion, of the investigation request through the government security office within 30 calendar days of Contract Award or Notice of Award. To begin this process, all affected contractor employees must complete within 15 calendar days after Contract Award or Notice of Award Standard Form 85P worksheet that can be downloaded from http://www.opm.gov/forms/pdf_fill/SF85P.pdf . The contractor shall notify the Quality Assurance Evaluator or Government Inspector when the worksheet is complete. The affected employee will then be scheduled by the government for two or more appointments to complete the security package. If at any point after submission of the security worksheet, disqualifying information is discovered or developed, the government reserves the right to deny entry to the installation. In this instance the Contracting Officer will notify the contractor of the denial. That individual will no longer be allowed entry to the installation.. After submission of the complete security package through the security office, contractor employees may obtain their “Installation Access” ID for the duration of their contract, unless disqualifying information is subsequently discovered. In this instance access will be revoked. The NAC adjudication process normally takes 2 to 5 months after submission of the package.

12. Credentials Turn-In. Upon completion of performance, termination of the contract or termination of performance on this contract by any individual for any reason, the contractor shall turn in all CAC Cards, Base Identification Passes, Restricted Area Badges, and any other documents issued by the government to the Issuing office, Quality Assurance Evaluator, or Project Manager.

DOCUMENT TYPE DESCRIPTION PAGES DATE

Attachment 1 Chiropractic Services 13 22 Aug 08 Performance Work Statement