Questionnaire for RFI for HECSA-HQUSACE EMS-OSHA Nurse Services.docx

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EMS Operations and Clinical Occupational Health Services
Solicitation number
W912HQ20S0030
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This document contains a market survey for emergency medical and clinical occupational health staffing and services. The Humphreys Engineer Center Support Activity is seeking these services for its locations in Alexandria, Virginia and Washington, D.C. The selected contractor will staff two medical areas, provide vaccination services to covered DoD and HECSA personnel, and provide quarterly CPR/AED certification training as required. The market survey includes a questionnaire to gather information for planning purposes and a draft performance work statement outlining the requirements. It specifies this is a non-personal services contract and the contractor must provide all necessary personnel, equipment, supplies, facilities, transportation, and other non-personal services to perform emergency and non-emergency medical care. This market survey is not a request for proposals and no award will be made based on the responses received. The purpose is to obtain information for preliminary planning regarding meeting the emergency medical and clinical needs of HECSA.

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PWS - EMS 2020.doc DOC document

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Questionnaire for anticipated solicitation for “EMS Operations and Clinical Occupational Health Services”.

1. Contractor Name and address

2. POC – Name, email and phone #

3. CAGE Code - _______________

4. DUNS# ____________________

5. Is your firm a Small Business? Yes_____ No_____

6. University/Non-profitYes_____ No_____
7. Certified 8(a) firm?Yes_____ No_____
8. SDVOSBYes_____ No_____
9. WOSB or EDWOSBYes_____ No_____
10. HUBZoneYes_____ No_____

11. Do you have any comments on the attached Performance Work Statement?

12. Do you believe you understand all the required instructional tasks? Are there any required services that are not clear to you?

13. We have not made a determination whether this will be set-aside for small businesses only. This questionnaire will assist us in making that determination. Approximately how many days do you think you will need to prepare your proposal package?

14. Do you have any recommendations on how we could improve this draft Performance Work Statement?

15. Please attach a Statement of Qualification (SOQ) that summarizes your qualification and experience. In particular, we need to know what similar projects/requirements you have completed over the past three (3) years.

16. Key Personnel: Please attach sample resumes of key personnel that would be working on the project. Key personnel are defined in section 2.5.1 of the PWS

17. NAICS Code: 621999 All Other Miscellaneous Ambulatory Health Care Services: Are you registered in System for Award Management (SAM) under NAICS code 621990?

The POCs for all questions is David A. Kaplan at david.a.kaplan@usace.army.mil or (703) 428-8487 or W. Dale Dewar at email wesley.d.dewar@usace.army.mil or (703) 428-6485.

File details come from the government source that posted it. Updated .