RFPP01061700001.pdf

July 27, 2017

U.S. Department of Justice

Federal Bureau of Prisons

Field Acquisition Office

U.S. Armed Forces Reserve Complex Grand Prairie, Texas 7505 1

Re: Request for Proposal, RFPP01061700001 , Dialysis Services Federal Correctional Complex, Butner, North Carolina

Dear Off eror:

Accompanying this cover letter is a solicitation package prepared by the Federal Bureau of Prisons, Field Acquisition Office in Grand Prairie, Texas, for the acquisition of Dialysis Services at Federal Correctional Complex in Butner, North Carolina. The solicitation package includes the following:

Cover Letter Solicitation Attachments

A site visit is scheduled for Thursday, August 31 , 2017, 9:00am. Please meet in the front lobby of the Federal Medical Center, Butner, NC. If you plan to attend, THE TWO (2)

ATTACHED FORMS TO THIS COVER LETTER MUST BE COMPLETED AND

SUBMITTED TO THE CONTRACTING OFFICER BY 2:00PM ON MONDAY,

AUGUST 28, 2017. You may email the completed forms to ddoggett@bop.gov or fax to 972-352-4545. Any forms received after the deadline will not be accepted. NO EXCEPTIONS!!! No questions will be answered during the site visit; therefore, please submit any question from the site visit to the Contracting Officer who will post answers to all questions on the FBO website.

This package contains all the necessary information for submitting a proposal for evaluation. In submitting proposals, offerors should consider all information provided herein. Please carefully follow all instructions located in the solicitation package concerning the content, format, and submission of proposals. Detailed information can be located in Section 5 of the solicitation.

Sealed proposals shall be received on or before the deadline of Thursday, September 21 , 2017, 2:00pm Central Time. Proposals shall be submitted to the following address:

Darren Doggett, Contract Specialist

Field Acquisition Office U.S. Armed Forces Reserve Complex 346 Marine Forces Drive Grand Prairie, Texas 75051

Mailed and hand-carried proposals must be delivered to the Contracting Officer or Contract Specialist at the address shown above no later than the time specified as the deadline for receipt of proposals. The official point of receipt for hand-carried proposals will be in the receptionist' s area of the first floor at the address listed above. PLEASE DO NOT SUBMIT PROPOSALS TO ANY LOCATION OTHER THAN THE ONE LISTED ABOVE. Proposals received after the deadline will processed pursuant to FAR 52.212-l(f).

Please place any questions you may have in writing and fax them to (972) 352-4545 to my attention or email at ddoggett@bop.gov.

If you have any other questions, please feel free to call me at (972) 352-4510.

Sincerely, arren Doggett, Contract Specialist Federal Bureau of Prisons

Enclosure

BP- A0660

JUN 10

U.S. DEPARTMENT OF JUSTICE

NCIC CHECK CDFRM

FEDERAL BUREAU OF PRISONS

AUTHORIZATION FOR RELEASE OF INFORMATION

NCIC (National Crime Information Center) CHECK

I hereby authorize a representative of the Federal Bureau of Prisons to obtain any information on my criminal history background . I understand that this check must be done before I am allowed to enter/serve at any Bureau facility . I also understand that refusal to provide all necessary information may result in 1) denial of entry into a Bureau facility and 2) denial of volunteer/contract status .

1 . Name (Last , First, Middle)

2. Address (Street address) (City , State , County , Zip Code)

3 . Home Telephone Number (Area Code , Number)

4. Aliases/Nickname:

5 . Citizenship (List the country you are a citizen of)

6 . Social Security Number:

7. Date of Birth (Month , day , year)

8a . Sex : 8b . Race :

8c. Height : 8d . Weight :

8e. Color of Eyes : 9f. Color of Hair :

9 . Place of Birth (City , State , County) , (List city , county and country if outside the U. S . A)

10 . The above listed information is true and correct . Applicant ' s Signature lOa. Date

PRIVACY ACT NOTICE

Authority for Collecting Information: E.O . 10450 ; 5 USC 1303-1305; 42 USC 2165 and 2455 ;

22 USC 2585 and 2519 ; and 5 USC 3301

Purposes and Uses : Information provided on this form will be furnished to individuals in order to obtain information regarding activities in connection with an investigation to determine (1) fitness for Federal employment , (2) clearance to perform contractual service for the Federal Government , (3) security clearance or access . The information obtained may be furnished to third parties as necessary in the fulfillment of official responsibilities.

Effects of Non-disclosures : Furnishing the requested information is voluntary , but failure to provide all or of part the information may result in lack of further consideration for employment , clearance or access , or in the termination of your employment .

PDF Prescribed by P1280

BP-A0660

JUNIO 10

CHEQUEO DE NCIC CDFRM

DEPARTAMENTO DE JUSTICIA DE EE . UU . AGENCIA FEDERAL DE PRISIONES

**This template is provided to assist Spanish - speaking persons who are not fluent in English to complete the corresponding Bureau form. It is a template only for instructional purposes , and should not be filled in . **

**Este modelo se provee para ayudar a las personas que hablan espanol y ingles para que completen el formulario correspondiente de la Agencia.

que sirve como ejemplo , y no se debe completar . **

AUTORIZACION PARA LA DISTRIBUCION DE INFORMACION

no dominan el Es solo un modelo

CHEQUEO DE NCIC (Centro Nacional de Informaci6n sobre el Crimen)

Por este medio autorizo a un representante de la Agencia Federal de Prisiones a obtener cualquier informaci6n sobre los antecedentes de mi historial criminal. Entiendo que este chequeo debe ser hecho antes de recibir permiso para entrar/servir en cualquier instalaci6n de la Agencia Federal de Prisiones . Tambien entiendo que la negaci6n a proveer toda la informaci6n necesaria puede resultar en 1) la negaci6n de mi entrada a una instalaci6n de la Agencia Federal de Prisiones y 2) la negaci6n de mi clasificaci6n como voluntario/contratista.

1 . Nombre (Apellido , Nombre , Segundo Nombre)

2 . Direcci6n (Numero de Domicilio y Calle) (Ciudad , Estado , Condado , C6digo Postal)

3. Numero de Telefono de Casa (C6digo de Area , Numero) :

4. Alias/Apodos :

5 . Ciudadania (Indique el pais de su ciudadania)

6 . Numero de Seguridad Social :

7 . Fecha de Nacimiento (Mes , dia , ano)

Ba. Sexo : Sb . Raza :

Be. Estatura : 8d . Peso:

Be. Color de Ojos : 9f . Color de Cabello:

9 . Lugar de Nacimiento (Ciudad , Estado , Condado) , (Indique la ciudad , el condado y el pais , si es afuera de EE . UU.)

10 . La informaci6n anteriormente listada es verdadera y correcta .

Firma de Solicitante lOa . Fecha

AVISO SOBRE LA LEY DE PRIVACIDAD

Autoridad para Obtener Informaci6n: E.O . 10450 ; 5 USC 1303-1305; 42 USC 2165 y 2455; 22 USC 2585 y 2519 ; y 5 USC 3301

Objetivos y Usos: La informaci6n provista en este formulario sera entregada a individuos , con el fin de obtener informaci6n en cuanto a actividades como parte de una investigaci6n realizada para determinar (1) la aptitud para obtener empleo Federal , (2) la autorizaci6n para realizar servicio contratado para el Gobierno Federal , (3) la autorizaci6n de seguridad o acceso . La informaci6n obtenida puede ser entregada a terceras partes , como lo sea necesario , para realizar las responsabilidades oficiales .

Efectos de Informaci6n No Divulqada: El proveer la informaci6n solicitada es voluntario , pero la falta de proveer toda o parte de la informaci6n puede resultar en la privaci6n de futura consideraci6n para empleo , para autorizaci6n o acceso , o puede resultar en la terminaci6n de su empleo.

PDF Recommendado por P1 280

NAME:

ADDRESS:

CONTRACTOR PRE-EMPLOYMENT FORM

FCC BUTNER, NC

SOCIAL SECURITY NUMBER:

Do you know or are you related to anyone who is currently an inmate in this or any other correctional institution? Yes No

If yes, please provide names, locations, relationships and describe any current or anticipated contact with the inmate(s).

Are there any criminal charges currently pending against you? Yes --- No ---

If so, please provide charge, date arrested, court dates, docket numbers, and any other pertinent details.

Are you now or have you ever been incarcerated or under correctional supervision (including home detention, probation, work release, etc)? Yes No

CERTIFICATION: I certify that all of the statements made on these pages are true, complete and correct to the best of my knowledge and belief and are made in good faith.

Signature Date

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS 1. REQUISITION NUMBER PAGE 1 OF

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30 50

2. CONTRACT NO. 3. AWARD/EFFECTIVE 4. ORDER NUMBER 5. SOLICITATION NUMBER 6. SOLICITATION ISSUE

DATE DATE

RFPP01061700001 07/27/2017

a. NAME b. TELEPHONE NUMBER (No collect 8. OFFER DUE DATE/

7. FOR SOLICITATION

calls) LOCAL TIME

INFORMATION CALL: 09/21/2017

Darren Doggett 972-352-4510 2:00pm

9. ISSUED BY CODE 10. THIS ACQUISITION IS LJ UNRESTRICTED OR ~SET ASIDE: 100 % FOR:

Federal Bureau of Prisons [8) SMALL BUSINESS

WOMEN-OWNED SMALL BUSINESS ---

D (WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

Field Acquisition Office D HUBZONE SMALL SMALL BUSINESS PROGRAM NAICS:

U.S. Armed Forces Reserve Complex BUSINESS

0EDWOSB 621492

346 Marine Forces Drive D SERVICE-DISABLED

VETERAN-OWNED SIZE STANDARD:

Grand Prairie, TX 75051 SMALL BUSINESS D8 (A) $38.5 million

11. DELIVERY FOR FOB DESTINA- 12. DISCOUNT TERMS 13b. RATING

TION UNLESS BLOCK IS D 13a. THIS CONTRACT IS A

MARKED RA TED ORDER UNDER

DPAS (15 CFR 700) 14. METHOD OF SOLICITATION

D SEE SCHEDULE 0RFQ D1FB [8)RFP

15. DELIVER TO CODE 16. ADMINISTERED BY CODE I

Federal Correctional Complex Old NC Highway 75 Butner, North Carolina 27509 17a. CONTRACTOR/ CODEj I FACILITY 18a. PAYMENT WILL BE MADE BY CODE I

OFFEROR CODE

See Block 15

TELEPHONE NO.

17b. CHECK IF REMITIANCE IS DIFFERENT AND PUT SUCH ADDRESS IN 18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK

D OFFER BELOW IS CHECKED

D SEE ADDENDUM

19. 20. 21 . 22. 23. 24.

ITEM NO. SCHEDULE OF SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Dialysis and Nephrology Services for the Federal Correctional Complex, Butner, North Carolina

(Use Reverse and/or Attach Additional Sheets as Necessary)

25. ACCOUNTING AND APPROPRIATION DATA 26. TOTAL AWARD AMOUNT (For Govt. Use Only)

[8] 27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATIACHED. ADDENDA

D 27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATIACHED. ADDENDA

[8] ARE D ARE NOT ATIACHED

D ARE D ARE NOT ATIACHED

D 28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN --- D 29. AWARD OF CONTRACT: REF. OFFER

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

DATED . YOUR OFFER ON SOLICITATION

DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY (BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

30b. NAME AND TITLE OF SIGNER (Type or print)

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (Type or print) 31c. DATE SIGNED

Darren Doggett, Contracting Officer

STANDARD FORM 1449 (REV. 212012)

Prescribed by GSA - FAR (48 CFR) 53.212

Section 2 - Commodity or Services Schedule

SCHEDULE OF SUPPLIES/SERVICES

CONTINUATION SHEET

ITEM SUPPLIES/SERVICES QUANTITY UNIT UNIT AMOUNT

NO. PRICE

0001 Dialysis/Nephrology Services for the Federal Correctional 7332.000000 TR Complex located in Butner, North Carolina . Base Year :

Date of Award (EDOA) through 12 months from EDOA

0002 Dialysis/Nephrology Services for the Federal Correctional 7332.000000 TR Complex located in Butner, North Carolina . Opt ion Year 1:

13 months through 24 months from DOA

0003 Dialysis/Nephrology Services for the Federal Correctional 7332.000000 TR Complex located in Butner, North Carolina . Option Year 2:

25 months through 36 months from DOA

0004 Dialysis/Nephrology Services for the Federal Correctional 7332.000000 TR Complex located in Butner, North Carolina . Option Year 3:

37 months through 48 months from DOA

0005 Dialysis/Nephrology Services for the Federal Correctional 7332 .000000 TR Complex located in Butner, North Carolina . Option Year 4:

49 months through 60 months from DOA

0006 Dialysis/Nephrology Services for the Federal Correctional 3666 .000000 TR Complex located in Butner, North Carolina . Six Month Extension Authorized by FAR 52.217-8, Option to Extend Services, if exercised .

CONTRACT PRICING

Overview

Services are required to be provided in accordance with the Performance Work Statement (PWS) included in this , sol icitation/contract . Offerors are required to submit, as a part of their business proposal, a completed copy of the Schedule of Items.

Pricing

Pricing shall be submitted on a per treatment (TR) basis for Dialysis and Nephrology Services. The estimated quantities provided are not a representation to the offeror/contractor that the estimated quantit ies will be required or ordered or that conditions affecting requirements will be stable or normal. The price per treatment shall include all costs for providing Dialysis and Nephrology services in accordance with the PWS to include but not limited to all ind icated supplies, staffing, supervision, and professional fees .

All offerors are hereby advised that the successful offeror's price per treatment for the base year and all option years is public information, in accordance with FAR 15.503(b)(l)(iv). Accordingly, the price per treatment will be released to unsuccessful offerors with the notification of award as well as to the general publ ic when requested . Any party who objects to the release of their own price per treatment, should they be awarded a contract in response to this solicitation, should not submit a proposal in response to the solicitation

Estimated Quantities

Estimated number of treatments for the base year and each option period is detailed below.

7332 treatments per year

Schedule of Items

Base Year - Date of Award (DOA) through twelve (12) months from DOA

7332 treatments per year X $ ________ per treatment = $ __________ _

Option Year 1 -13 through 24 months from DOA

7332 treatments per year X $ ________ per treatment = $ __________ _

Option Year 2 - 25 through 36 months from DOA

7332 treatments per year X $ ________ per treatment=$ __________ _

Option Year 3 - 37 through 48 months from DOA

7332 treatments per year X $ ________ per treatment=$ _ _________ _

Option Year 4 - 49 through 60 months from DOA

7332 treatments per year X $ ________ per treatment=$ _ _________ _

Six Month Extension As Authorized by FAR 52.217-8

NOTE: Proposing a price for the six month extension does not obligate the Government to exercise the option.

3666 treatments per year X $ ________ per treatment = $ __________ _

2-2 PERFORMANCE WORK STATEMENT

I. Background

The Federal Bureau of Prisons (BOP) was established in 1930 to provide more progressive and humane care for Federal inmates, to professional ize the prison service, and to ensure consistent and centralized administration . Today, the BOP is responsible for the custody and care of approximately 189,000 Federal offenders . The Federal prison system is a nationwide system of prisons and detention facilities for the incarceration of inmates who have been sentenced to imprisonment for Federal crimes and the detention of individuals awaiting trial in Federal court. It is the mission of the Federal Bureau of Prisons to protect society by confining offenders in the controlled environments of prisons and community-based facilities that are safe, humane, cost-efficient, and appropriately secure, and that provide work and other self-improvement opportunities to assist offenders in becoming law-abiding citizens.

As an agency under the Executive Branch of the United States Government, the BOP receives an annual appropriation of funds to accomplish its assigned mission. The public trust demands that this annual appropriation be prudently managed.

Thus, dollars spent to maintain the health of the inmate population must reflect the agency's best efforts to obtain cost effective health care consistent with community standards.

In meeting the health care needs of a growing inmate population, the BOP provides essential medical, dental, and mental health services to Federal inmates with BOP resources. When a medical need arises which cannot be provided within prison walls by BOP resources, referrals are then made to community-based providers . It is the goal of this solicitation to establish a contractual agreement that will provide necessary professional and facility services for both inpatient admissions and outpatient encounters.

The Federal Correctional Complex (hereinafter referred to as FCC) located in Butner, NC, intends to make a single award to a responsible entity for the provision of Dialysis and Nephrology Services as set forth in this solicitation/contract. All institutions within the FCC currently house male inmates exclusively. Although not planned, the FCC reserves the right to house female inmates who would require care under any contract awarded . The FCC consists of five facilities : a Low Security Correctional Institution (LSCI), two (2) medium security Federal Correctional Institutions (FCI), a minimum security satellite Federal Prison Camp (FPC), and a Federal Medical Center (FMC) . The FCC will house and provide inpatient and outpatient medical and mental health services to inmates of multiple security levels, including high, medium, low, and minimum security.

The Contractor will be responsible for the provision of Dialysis and Nephrology Services as set forth in this solicitation.

II. Statement of Output

Within this Performance Work Statement (PWS), necessary services are described in terms of output rather than specific task assignments. The BOP desires to make an award to the offeror who can provide the best value, considering the diversity of available services and price, among other criteria specified in Section 5-2.

Output #1 :

Output #2 :

Output #3 :

Output #4:

Provide FCC-based dialysis services which conform to community standards and all local, state, and Federal Laws and regulations applicable to the delivery of healthcare to members of the general public.

Provide FCC-based diagnostic and follow-up evaluations by a Nephrologist which conform to community standards and all local, state and Federal Laws and regulations applicable to the delivery of healthcare to member of the general public.

Manage medical record information in a manner which promotes continuity of care while observing restrictions on the release of information .

Maintain open avenues of communication, facili t ating the exchange of information between the contract provider, and the Government regarding the contract services.

Ill. Compliance with Contract Requirements

The Contractor's efforts under this contract shall be monitored to ensure that the required output is achieved . The Government reserves the right to inspect and evaluate in a reasonable manner all services rendered during the performance of this contract . The Contractor's performance will be measured by the Government utilizing the outcome measure indicators provided in Attachment VIII.

The Contractor is responsible for all management and quality control actions necessary to meet the quality standards set forth by this contract . In addition, the Contractor shall be responsible for all required infection control surveillance, monitoring, and reporting to the institution. Prior to commencing performance, the Contractor shall develop and submit a quality control plan (QCP) for the FCC's approval. Once the QCP is approved by the FCC, the Contractor shall utilize the QCP to guide and rigorously document the implementation of the required management and quality control actions to achieve the specified output.

IV. Specific Requirements

Output #1:

Provide FCC-based dialysis services which conform to community standards and all local, state and Federal laws and regulations applicable to the delivery of health care to members of the general public.

The Contractor shall provide for the complete management, staffing, and operation of the FCC's 12-chair Dialysis Services Unit. Services shall be provided on-site within the Health Services Unit. The FCC Dialysis Services Unit shall receive patients between the hours of 6:00 am and 4:30 pm, Monday through Saturday, including Federal holidays. Throughout the performance of this contract, the Contractor shall not utilize any provider that appears in the List of Excluded Individuals/Entities (LEIE) maintained by the U.S. Department of Health & Human Services.

The Contractor shall provide services to both acute and chronic dialysis patients, including those with communicable and infectious diseases. Hemodialysis treatments will be provided as needed and will normally be provided three times per patient per week. Each patient will be treated according to the treatment plan outlined by the Nephrologist.

The Contractor shall be responsible for the proper handling of biomedical waste and contaminated materials and shall prepare such for disposal according to the policies and procedures issued by the FCC. The contractor shall be certified/accredited by the Community Health Accreditation Program (CHAP) and/or a nationally recognized healthcare accreditation agency. The BOP reserves the right to utilize another medical facility to perform these services in an emergency situation when services cannot be provided at the FCC, e.g. facility emergency, power failure, lack of water, etc.

Staffing. The Contractor shall be responsible for determining the staffing required to operate the FCC Dialysis Services Unit.

The Contractor shall provide the services of medical staff that have appropriate educational qualification, experience, licensure, and certification (where required). When treatments are being provided, the Contractor shall ensure that at least one Registered Nurse is on-site who has received specific training in the management of patients with acute and chronic end stage renal disease. All Contractor staff shall have received specialty training in dialysis operations prior to assuming institution involvement.

Providers performing institution-based services requiring licensure shall maintain active licenses to practice in in their respective fields . The Contractor shall provide all credentials of medical personnel prior to their performance at the FCC;

otherwise the contract medical personnel will not be allowed access to the FCC. All Contractor employees/subcontractors requiring professional licensure shall maintain active licenses, as applicable. If requested by the Contracting Officer, the Contractor shall be required to document primary source verification of the credentials for each employee/subcontractor including, as applicable, current license from the appropriate State Board of Medical Examiners and education from schools or universities. All clinical privileges shall be appropriate to the qualifications of the provider and the resources of the facility where care is provided. Continuation of privileges at the FCC sha ll be at the sole discretion of the FCC.

The Contractor shall ensure that all Contractors' health services staff shall be free of infectious disease. Any individual performing services under this contract that subsequently develops a medical condition which might reasonably be expected to place other workers or patients at risk shall be immediately removed from activities which might reasonably be expected to place other workers or patients at risk. The Contractor shall ensure that its employees/subcontractors are in compliance with preventive, prophylactic and follow-up procedures, as well as infection control and employee health program procedures. Initial and annual proof of CPR certification, Flu vaccination and Tuberculosis skin testing is required. If a positive Tuberculosis skin test is received, initial and annual proof of a negative chest x-ray is required. Proof of Hepatitis B vaccination is also required.

All Contractor personnel performing services under this contract shall have the ability to read, understand, fluently speak and legibly write the English language.

At least two weeks prior to performing services, the Contractor shall submit a bi-weekly work schedule to the COR or designee for reference purposes.

Government provided Equipment/Supplies. The Government will provide space adequate for the dialysis stations, as well as, all specialized equipment and items necessary to perform this output including but not limited to: Hemodialysis machines, Portable hemodialysis machines, backup hemodialysis machines, plumbing fittings to access and utilize FCC Butner's water supply. All equipment provided by the Government shall remain the property of the Government. The Government will provide all maintenance, cleaning and calibration, in accordance with accepted standards, of all equipment.

All troubleshooting, preventive maintenance, and repairs of Government provided equipment will be performed by qualified personnel. All electrical powered equipment which have undergone repair or service which might have affected the integrity of the electrical circuits must receive an electrical safety test before being returned to operation . Electrical safety tests must be performed with test equipment that has been properly calibrated. The FCC will provide the following supplies in support of the Contractor's performance of services : recliners, sterile water, television sets, syringes, needles, intravenous catheters, tubing, and medications. The Government will also provide utilities to include heat, light, electricity, water and ventilation to the Dialysis Services Unit. The Contractor is to notify the COR immediately when there are issues with any equipment provided. ***A list of Government provided equipment is included in Attachment #3 . * **

Prior to introducing any additional equipment and supplies into the correctional environment, the contractor shall request and receive approval from the COR. Such approval is necessary to ensure security and safety and that all biomedica l clearances are properly addressed . All blood transfusion products shall be provided by the Government.

The Contractor shall provide for the complete management, staffing, and operation of the FCC Dialysis Services Department.

The FCC Dialys is Services Department is located within the FMC. The offeror's technical proposal shall discuss in detail the staffing and technical approach for accomplishing Output #1.

Output #2 Provide FCC-based diagnostic and follow up evaluations by a Nephrologist which conform to community standards, and all local, state, and Federal laws and regulations applicable to the delivery of healthcare to members of the general public.

General. The Contractor shall provide a Nephrologist to provide diagnostic and follow up evaluations, recommend treatment, and provide cl inical management of patients on dialysis. The Nephrologist will assume primary responsibility for the operations of the FCC Dialysis Services Un it. In addition, the Nephrologist shall conduct an initial and monthly consult for each patient. Services shall be provided within the Dialysis Services Unit at the FCC.

Staffing. The Nephrologist shall be a graduate of an American Medical Association {AMA) accredited medical school, have completed an AMA approved internship/residency in Nephrology, and possess current State of North Carolina licensure to practice medicine without restrictions.

All physicians performing these services shall apply for clinical privileges at the FCC. Any privileges granted due to the award of this contract shall be contingent upon the continuation of this contract and upon the physician's continued affiliation with the Contractor or any subcontractor. Continuation of privileges at the FCC shall be at the sole discretion of the FCC.

If requested by the Contracting Officer, the Contractor shall be required to document primary source verification of the credentials for each Nephrologist including: current license from the appropriate State Board of Medical Examiners, education from professional schools or universities, evidence of completion of internships and/or residences, as appropriate.

The Contractor shall ensure that the Nephrologist shall be free of infectious diseases. Any individual performing services under this contract that subsequently develops a medical condition which might reasonably be expected to place other workers or patients at risk shall be immediately removed from activities which might reasonably be expected to place other workers or patients at risk . The Contractor shall ensure that its employees/subcontractors are in compliance with preventive, prophylactic, and follow up procedures, as well as infection control and employee health program procedures.

The Nephrologist shall only prescribe pharmaceutical drugs that are listed in the approved BOP Formulary. The BOP Formula ry can be accessed at www.bop.gov/news//PDFs/formulary.pdf. Requests for exemptions shall be submitted to the COR, who shall obta in the required approvals. The issuance of sample medication to any Federal inmate shall be prohibited .

The offeror's technical proposal shall discuss in deta il the staffing and technical approach for accomplishing Output #2.

Requirement applicable to Output 1 and 2. All contract personnel providing services within the confines of the FCC shall have a complete background investigation conducted in accordance with BOP Program Statement 3000.03, "Human Resource Management Manual." See also "Contract Security/Investigative Requirements" contained within Section 4-1 of this so licitation/contract . All contract providers and other applicable staff who will enter the FCC to perform services on a recurring basis shall be required to attend a four-hour institution orientation course held at the FCC or a mutually acceptable site. A "refresher" orientation must be completed annually. The Contractor's costs for contract staff to attend this train ing shall be the responsibility of the Contractor. The Contracting Officer or COR will be responsible for scheduling training for all applicable contract staff. In performing the services required by this contract, the Contractor and its employees/subcontractors will have contact with inmates. The Contractor will be responsible for the management of inmates other than to ensure that those inmates involved in activities within the Contractor's scope of work shall ab ide by all rules in effect to ensure their safety and well -being. The Contractor shall not supervise or discipline any BOP inmates. The Contractor shall adhere to all regulations prescribed by the FCC for safety, custody, and conduct of inmates.

Output #3: Manage Medical record information in a manner which promotes continuity of care while observing restrictions on the release of information.

In order to comply with Privacy Act restrictions, the Contractor shall establish a system of dialysis records on individual BOP patients. This system of records shall be consistent with BOP patient medical records maintained under the usual and customary standards of the medical profession for the purpose of providing treatment records to the BOP medical file.

The BOP shall provide the Contractor with a copy of the dialysis patients' medical records and any other necessary patient data required to analyze the dialysis needs of the BOP patients. All physicians and other contract clinical staff shall ensure that appropriate documentation is entered into patient medical records which will remain at are the property of FCC Butner.

This shall include pertinent entries on the Standard Form (SF) 600 Chronological History of Patient Care form and the SF-513 Consultation form .

The BOP reserves the right to request the Contractor to review each medical record as deemed necessary. Upon request, authorized BOP staff sha ll have access to and obtain copies of all dialysis medical records and evaluation and treatment reports prepared and maintained by the Contractor. Medical Records will be subject to review by the FCC for validation of payment and verification of services rendered . Release of information shall only be made in accordance with community standards, Joint Commission regulations, and the Privacy Act of 1974. Any request(s) for copies of an inmate's medica l records shall be directed to the COR for processing.

Output #4 Maintain open avenues of communication, facilitating the exchange of information between the contractor and the Government regarding the contract services.

The Contractor shall provide a Point of Contact (POC) who shall be responsible for facilitating the Contractor's delivery of services under this contract. The POC shall have sufficient clinical knowledge to enable preliminary technical consultation .

The Contractor shall designate this individual in writing to the Contracting Officer prior to the start date of the contract.

Alternate POC's may be designated; however, the Contractor must identify those times when an alternate shall be the primary POC.

The Contractor shall submit a quarterly report which includes the following data, at a minimum : list of inmates, inmate numbers, number of corresponding treatments, total consultations (time and number of inmates), any problems experienced during the quarter, and any other applicable data as determined by BOP. A copy of the quarterly report shall be forwarded by the Contractor to the following individuals by the tenth day preceding the end of the reporting quarter: Health Services Administrator, Clinical Director, Dialysis Coordinator, COR and Contracting Officer.

Section 3 - Contract Clauses

52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

Th is 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://www.acquisition.gov/far

Clause Title 52.212-4 Contract Terms and Conditions - - Commercial Items (Jan 2017) 52.224-1 Privacy Act Notification (Apr 1984)

52.224-2 Privacy Act (Apr 1984)

52.228-5 Insurance - Work on a Government Installation (Jan 1997)

52 .232-18 Availability of Funds (Apr 1984) 52 .232-40 Providing Accelerated Payments to Small Business Contractors (December 2013)

52 .242-13 Bankruptcy (Jul 1995)

ADDENDUM TO FAR 52.212-4, Contract Terms and Conditions - - Commercial Items (Jan 2017)

The terms and conditions for the following clauses are hereby incorporated into this solicitation and resulting contract as an addendum to FAR clause 52 .212-4.

Clauses by Full Text

52 .603-70 Contracting Officer's Representative (COR) (June 2012)

(a) Vikki Evans, Assistant Health Services Administrator, FCC Butner, is hereby designated to as the Contracting Officer's Representative (COR) under this contract.

(b) The COR is responsible, as applicable, for : receiving all deliverables, inspecting and accepting the supplies or services provided hereunder in accordance with the terms and conditions of this contract; providing direction to the Contractor which clarifies the contract effort, fills in details or otherwise serves to accomplish the contractual Scope of Work; evaluating performance; and certifying all invoices/vouchers for acceptance of the supplies or services furnished for payment.

(c) The COR does not have the authority to alter the contractor's obligations under the contract, and/or modify any of the expressed terms, conditions, specifications, or cost of the agreement. If as a result of technical discussions it is desirable to alter /change contractual obligations or the Scope of Work, the Contracting Officer shall issue such changes.

2852.223-70 Unsafe Conditions Due to the Presence of Hazardous Material (June 1996)

(a) "Unsafe condition" as used in this clause means the actual or potential exposure of contractor or Government employees to a hazardous material as defined in Federal Standard No. 313, and any revisions thereto during the term of this contract, or any other material or working condition designated by the Contracting Officer's Technical Representative (COTR) as potentially hazardous and requiring safety controls .

(b) The Occupational Safety and Health Administration (OSHA) is responsible for issuing and administering regulations that require contractors to apprise its employees of all hazards to which they may be exposed in the course of their employment;

proper conditions and precautions for safe use and exposure; and related symptoms and emergency treatment in the event of exposure.

(c) Prior to commencement of work, contractors are required to inspect for and report to the contracting officer or designee the presence of, or suspected presence of, any unsafe condition including asbestos or other hazardous materials or working conditions in areas in which they will be working.

(d) If during the performance of the work under this contract, the contractor or any of its employees, or subcontractor employees, discovers the existence of an unsafe condition, the contractor shall immediately notify the contracting officer, or designee, (with written notice provided not later than three (3) working days thereafter) of the existence of an unsafe condition . Such notice shall include the contractor's recommendations for the protection and the safety of Government, contractor and subcontractor personnel and property that may be exposed to the unsafe condition.

(e) When the Government receives notice of an unsafe condition from the contractor, the parties will agree on a course of action to mitigate the effects of that condition and, if necessary, the contract will be amended. Failure to agree on a course of action will constitute a dispute under the Disputes clause of this contract .

(f) Nothing contained in this clause shall relieve the contractor or subcontractors from complying with applicable Federal, State, and local laws, codes, ordinances and regulations (including the obtaining of licenses and permits) in connection with hazardous material including but not limited to the use, disturbance, or disposal of such material.

52.24-403-70 Notice of Contractor Personnel Security Requirements (OCT 2005)

Compliance with Homeland Security Presidential Directive-12 (HSPD-12) and Federal Information Processing Standard Publication 201(FIPS201) 1 entitled "Personal Identification Verification (PIV) for Federal Employees and Contractors," Phase

1.1. Long-Term Contractor Personnel :

In order to be compliant with HSPD-12/PIV I, the following investigative requirements must be met for each new long-term 2 contractor employee whose background investigation (Bl) process begins on or after October 27, 2005 :

a. Contractor Personnel must present two forms of identification in original form prior to badge issuance (acceptable documents are listed in Form 1-9, OMB No. 1615-0047, "Employment Eligibility Verification," and at least one document must be a valid State or Federal government-issued picture ID);

b. Contractor Personnel must appear in person at least once before a DOJ official who is responsible for checking the identification documents. This identity proofing must be completed sometime during the clearance process but prior to badge issuance and must be documented by the DOJ official ;

c. Contractor Personnel must undergo a Bl commensurate with the designated risk level associated with the duties of each position . Outlined below are the minimum Bl requirements for each risk level :

• High Risk - Background Investigation (5 year scope)

• Moderate Risk - Limited Background Investigation (LBI) or Minimum Background Investigation (MBI)

• Low Risk - National Agency Check with Inquiries (NACI) investigation

d. The pre-appointment Bl waiver requirements for all position sensitivity levels are a:

1) Favorable review of the security questionnaire form;

2) Favorable fingerprint results;

3) Favorable credit report, if required;3

4) Wa iver request memorandum, including both the Office of Personnel Management schedule date and position sensitivity/risk level; and

5) Favorable review of the National Agency Check (NAC) 4 portion of the applicable Bl that is determined by position sensitivity/risk level.

A badge may be issued following approval of the above waiver requirements .

If the NAC is not received within five days of OPM's scheduling date, the badge can be issued based on a favorable review of the Security Questionnaire and the Federal Bureau of Investigation Criminal History Check (i.e., fingerprint check results) .

e. Badge re-validation will occur once the investigation is completed and favorably adjudicated . If the Bl results so justify, badges issued under these procedures will be suspended or revoked .

2. Short-Term Contractor Personnel :

It is the policy of the DOJ that short-term contractors having access to DOJ information systems and/or DOJ 19 facilities or space for six months or fewer are subject to the identity proofing requirements listed in items la. and lb. above.

The pre-appointment waiver requirements for short-term contractors are :

a. Favorable review of the security questionnaire form;

b. Favorable fingerprint results;

c. Favorable credit report, if required; 5 and

d. Waiver request memorandum indicating both the position sensitivity/risk level and the duration of the appointment. The commensurate Bl does not need to be initiated.

A badge may be issued following approval of the above waiver requirements and the badge will expire six months from the date of issuance. This process can only be used once for a short-term contractor in a twelve month period . This will ensure that any consecutive short-term appointments are subject to the full PIV-1 identity proofing process.

For example, if a contractor employee requires daily access for a three or four-week period, this contractor would be cleared according to the above short-term requirements . However, if a second request is submitted for the same contractor employee within a twelve-month period for the purpose of extending the initial contract or for employment under a totally different contract for another three or four-week period, this contractor would now be considered "long-term" and must be cleared according to the long-term requirements as stated in this interim policy.

3. Intermittent Contractors :

An exception to the above-mentioned short-term requirements would be' intermittent contractors.

a. For purposes of this policy, "intermittent" is defined as those contractor employees needing access to DOJ information systems and/or DOJ facilities or space for a maximum of one day per week, regardless of the duration of the required intermittent access. For example, the water delivery contractor that delivers water one time each week and is working on a one-year contract .

b. Contractors requiring intermittent access should follow the Department's escort policy. Please reference the August 11, 2004, and January 29, 2001, Department Security Officer policy memoranda that conveys the requirements for contractor facility escorted access.

c. Due to extenuating circumstances, if a component requests unescorted access or DOJ IT system access for an intermittent contractor, the same pre-employment background investigation waiver requirements that apply to short-term contractors are required.

d. If an intermittent contractor is approved for unescorted access, the contractor will only be issued a daily badge. The daily badge will be issued upon entrance into a DOJ facility or space and must be returned upon exiting the same facility or space.

e. If an intermittent contractor is approved for unescorted access, the approval will not exceed one year. If the intermittent contractor requires unescorted access beyond one year, the contractor will need to be re-approved each year.

4. An individual transferring from another department or agency shall not be re-adjudicated provided the individual has a current (within the last five years), favorably adjudicated Bl meeting HSPD-12 and DOJ 's Bl requirements .

5. The DOJ's current escorted contractor policy remains unchanged by this acquisition notice.

Notes:

1. FIPS 201 is available at : www.csrc.nist.gov/publications/fips/fips201/FIPS-201-022505.pdf

2. Under HSPD-12, long-term contractors are contractors having access to DOJ information systems and/or DOJ facilities or space for six months or longer. The PIV-1 identity proofing process, including initiation and adjudication of the required background investigati on, is required for all new long-term contractors regardless of whether it is the current practice to issue a badge. The second phase of HSPD-12 implementation (PIV-11) requires badge issuance to all affected long-term contractors.

3. For contractors in position sensitivity/risk levels above level 1, a favorable review of a credit check is required as part of the pre-appointment waiver package.

4. In order to avoid a delay in the hiring process, components should request an Advance NAC Report when initiating investigations to OPM . Per OPM 's instructions, to obtain an Advance NAC Report, a Code" 3" must be placed in block " B" of the " Agency Use Only " section of the investigative form . This report is available for all case types.

5.For contractors in position sensitivity/risk levels above level 1, a favorable review of a credit check is required as part of the pre-appointment waiver package.

52.27-103-72 DOJ RESIDENCY REQUIREMENT BUREAU OF PRISONS (JUNE 2004)

For three of the five years immediately prior to submission of an offer/bid/quote, or prior to performance under a contract or commitment, individuals or Contractor employees providing services must have:

1. Legally resided in the United States (U .S.);

2. worked for the U.S. overseas in a Federal or military capacity; or

3. been a dependent of a Federal or military employee serving overseas.

If the individual is not a U.S. citizen, they must be from a country allied with the U.S. The following website provides current information regarding allied countries : http ://www.opm.gov/employ/html/citizen .htm By signing this contract or commitment document, or by commencing performance, the Contractor agrees to this restriction .

52.218-000 CONTINUING CONTRACT PERFORMANCE DURING A PANDEMIC INFLUENZA OR OTHER NATIONAL EMERGENCY

(May 2008)

During a Pandemic or other emergency we understand that our Contractor workforce will experience the same high levels of absenteeism as our federal employees. Although the Excusable Delays and Termination for Default clauses used in Government contracts list epidemics and quarantine restrictions among the reasons to excuse delays in contract performance, we expect our Contractors to make a reasonable effort to keep performance at an acceptable level during emergency periods.

The Office of Personnel Management (OPM) has provided guidance to federal managers and employees on the kinds of actions to be taken to ensure the continuity of operations during emergency periods. This guidance is also applicable to our contract workforce.

Contractors are expected to have reasonable policies in place for continuing work performance, particularly those performing mission critical services, during a pandemic influenza or other emergency situation .

The types of actions a federal Contractor should reasonably take to help ensure performance are :

1. Encourage employees to get inoculations or follow other preventive measures as advised by the public health service.

2. Cross-train workers as backup for all positions performing critical services. This is particularly important for work such as guard services where telework is not an option .

3. Implement telework to the greatest extent possible in the workgroup so systems are in place to support successful remote work in an emergency.

4. Communicate expectations to all employees regarding their roles and responsibilities in relation to remote work in the event of a pandemic health crisis or other emergency.

5. Establish communication processes to notify employees of activation of this plan .

6. Integrate pandemic health crisis response expectations into telework agreements.

7. With the employee, assess requirements for working at home (supplies and equipment needed for an extended telework period). Security concerns should be considered in making equipment choices; agencies or Contractors may wish to avoid use of employees ' personal computers and provide them with PCs or laptops as appropriate.

8. Determine how all employees who may telework will communicate with one another and with management to accomplish work.

9. Practice telework regularly to ensure effectiveness.

10. Make it clear that in emergency situations, employees must perform all duties assigned by management, even if they are outside usual or customary duties.

11. Identify how time and attendance will be maintained.

It is the Contractor's responsibility to advise the Government Contracting Officer if they anticipate not being able to perform and to work with the Department to fill gaps as necessary. This means direct communication with the Contracting Officer or in his/her absence, another responsible person in the contracting office via telephone or email messages acknowledging the Contractor's notification . The incumbent Contractor is responsible for assisting the Department in estimating the adverse impacts of nonperformance and to work diligently with the Department to develop a strategy for maintaining the continuity of operations.

The Department does reserve the right in such emergency situations to use Federal employees, employees of other agencies, contract support from other existing Contractors, or to enter into new contracts for critical support services.