Oral_Surgeon_-_FCC_Pollock.pdf

U.S. Department of Justice

Federal Bureau of Prisons Administration Division

Field Acquisition Office Grand Prairie, Texas 75051

May 1, 2013

RE: RFQP05191300012, Oral Surgeon

Federal Correctional Complex (FCC) – Pollock, LA

Dear Quoter:

This solicitation package has been prepared by the Federal Bureau of Prisons, Field Acquisition Office, for the acquisition of Oral Surgeon Services. This solicitation contains all necessary information for submitting a quote for evaluation for performing these services at FCC Pollock, LA.

In submitting quotes, quoters should consider all information provided herein. Please carefully follow all instructions located in the solicitation package concerning the content, format and submission of quotes.

All potential quoters are advised that this solicitation includes the clause at FAR 52.212-4, Contract Terms and Conditions-Commercial Items, which requires all contractors doing business with the Federal Government to be registered in the System for Award Management (SAM) database. Quoters should include their Data Universal Number System (DUNS) number in their quotes. The Contracting Officer will verify registration in the SAM database prior to award by entering the potential awardee's DUNS number into the SAM database.

Failure to complete the registration procedures outlined in this clause may result in elimination from consideration for award.

Sealed quotes shall be received on or before August 8, 2013 at 2:00 pm Central Standard Time.

Quotes shall be submitted in writing to the following address:

U.S. Armed Forces Reserve Complex

346 Marine Forces Drive Grand Prairie, Texas 75051 Attn: Paul Baker, Contract Specialist

Mailed and hand-carried quotes must be delivered to the Contracting Officer at the address listed above no later than the time specified as the deadline for receipt of quotes. The official point of receipt for hand-carried quotes will be at the first floor reception area of the address listed above. Please do not submit quotes to any location other than the one listed above. Quotes received after the deadline for receipt of quotes will be handled in accordance with FAR 52.212-1(f). Faxed quotes will not be accepted.

Please place any questions you may have in writing and fax them to 972-352-4545 or e-mail to pbaker@bop.gov. We will consider all questions received and provide responses where appropriate.

Sincerely, Paul Baker, Contract Specialist

Field Acquisition Office

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

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

1. REQUISITION NUMBER OMB Clearance Control Number:

1103-0018

5. SOLICITATION NUMBER

RFQP05191300012

2. CONTRACT NO. 3. AWARD/EFFECTIVE

DATE

4. ORDER NUMBER 6. SOLICITATION ISSUE

DATE

05/01/2013

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

Paul Baker

b. TELEPHONE NUMBER (No collect calls)

972-352-4559

8. OFFER DUE DATE / LOCAL

TIME

08/08/2013 14:00:00

CODE BFAO

Federal Bureau of Prisons Field Acquisition Office U.S. Armed Forces Reserve Complex 346 Marine Forces Drive Grand Prairie, TX 75051

9. ISSUED BY UNRESTRICTED OR X SET ASIDE:100.00 % FOR

X SMALL BUSINESS

HUBZONE SMALL

BUSINESS

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

WOMEN-OWNED SMALL BUSINESS (WOSB)

ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

8(A)

NAICS: 621210

SIZE STANDARD: D05

10. THE ACQUISITION IS

SEE

SCHEDULE

11. DELIVERY FOR FOB DESTINATION

UNLESS BLOCK IS MARKED

NET 30

12. DISCOUNT TERMS

13a. THIS CONTRACT IS A

RATED ORDER UNDER DPAS

(15 CFR 700)

13b. RATING

X RFQ IFB RFP

14. METHOD OF SOLICITATION

BPOLCODE15. DELIVER TO

Federal Bureau of Prisons USP Pollock 1000 Air Base Road Health Services Department

POLLOCK, LA 71467

CODE BPOL16. ADMINISTERED BY

Federal Bureau of Prisons USP Pollock

PO BOX 1000

Attn: Procurement

POLLOCK, LA 71467

FACILITY

CODE

CODE

TELEPHONE NO.

17a. CONTRACTOR/

OFFEROR

BPOLCODE18a. PAYMENT WILL BE MADE BY

Federal Bureau of Prisons USP Pollock

PO BOX 1000

Attn: Accounts Payable

POLLOCK, LA 71467

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN

OFFER

SEE ADDENDUM

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW IS

CHECKED

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

Provide Oral Surgeon services for FCC Pollock (See Section 2)

See Continuation Sheet(s) (Use Reverse and/or Attach Additional Sheets as Necessary)

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

X 27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA X ARE ARE NOT ATTACHED

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. 52.212-5 IS ATTACHED. ADDENDA ARE ARE NOT ATTACHED

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN _____ COPIES TO

ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DELIVER ALL ITEMS SET FORTH

OR OTHERWISE IDENTIFIED ABOVE AND ON ANY ADDITIONAL SHEETS SUBJECT TO THE

TERMS AND CONDITIONS SPECIFIED

29. AWARD OF CONTRACT: REF. __________ OFFER DATED __________.

YOUR OFFER ON SOLICITATION (BLOCK 5) INCLUDING ANY ADDITIONS OR

CHANGES WHICH ARE 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) 30c. DATE SIGNED 31b. NAME OF THE CONTRACTING OFFICER (TYPE OR PRINT)

Paul Baker

31c. DATE SIGNED

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 02/2012)

Prescribed by GSA - FAR (48 CFR) 53.212

RFQP05191300012 Page 1 of 38

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED: _________________________________

32b. SIGNATURE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32c. DATE 32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

PARTIAL FINAL

33. SHIP NUMBER 34. VOUCHER NUMBER 35. AMOUNT VERIFIED

CORRECT FOR

COMPLETE PARTIAL FINAL

36. PAYMENT 37. CHECK NUMBER

38. S/R ACCOUNT NUMBER 39. S/R VOUCHER NUMBER 40. PAID BY

41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT 42a. RECEIVED BY (Print)

41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER 41c. DATE

42b. RECEIVED AT (Location)

42c. DATE REC'D (YY/MM/DD) 42d. TOTAL CONTAINERS

STANDARD FORM 1449 (REV. 2/2012) BACK

RFQP05191300012 Page 2 of 38

Table of Contents

Section Description Page Number

1 Solicitation/Contract Form 2 Commodity or Services Schedule

2.1 Schedule Continued

2.2 Statement of Work

3 Contract Clauses 52.216-18 Ordering (Oct 1995) 52.216-19 Order Limitations (Oct 1995) 52.216-21 Requirements (Oct 1995) 52.217-8 Option to Extend Services (Nov 1999) 52.217-9 Option to Extend the Term of the Contract (Mar 2000) 52.232-19 Availability Of Funds For The Next Fiscal Year (Apr 1984)

52.232-99 PROVIDING ACCELERATED PAYMENT TO SMALL BUSINESS

SUBCONTRACTORS(DEVIATION) (AUG 2012)

52.237-7 Indemnification and Medical Liability Insurance (Jan 1997) 52.252-6 Authorized Deviations in Clauses (Apr 1984) 2852.223-70 Unsafe Conditions Due to the Presence of Hazardous Material (June 1996) 52.21-603-70 Contracting Officer's Representative (COR) (June 2012)

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

2004) 52.24-403-70 Notice of Contractor Personnel Security Requirements (OCT 2005)

52.242-71 EVALUATION OF CONTRACTOR PERFORMANCE UTILIZING CPARS (APR

2011) 52.212--5 Contract Terms and Conditions Required to Implement Statutes or Executive Order--Commercial Items (JAN 2013)

4 List of Attachments

4.1 Special Contract Conditions

5 Solicitation Provisions

5.1 Addendum to FAR 52.212-1, Instructions to Offerors-Commercial Items 52.233-2 Service of Protest (Sept 2006) 2852.233-70 Protests Filed Directly with the Department of Justice (Jan 1998)

52.27-103-71 FAITH-BASED AND COMMUNITY-BASED ORGANIZATIONS (AUG 2005)

5.11 Common Law Employee Provision (Oct 2003)

52.212--3 Offeror Representations and Certifications--Commercial Items (Dec 2012)

5.3 Business Management Questionnaire

RFQP05191300012 Page 3 of 38

Section 2 - Commodity or Services Schedule

SCHEDULE OF SUPPLIES/SERVICES

CONTINUATION SHEET

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0001 Base year, Effective Date of Award (EDOA) through September 30, D0150 Comprehensive Oral Evaluation

2.000000 EA $____________ $___________________

0002 D7210 Surgical Extraction 10.000000 EA $____________ $___________________

0003 D7220 Soft Tissue Extraction 1.000000 EA $____________ $___________________

0004 D7230 / D7231 Partial Boney Extraction 14.000000 EA $____________ $___________________

0005 D7240 Full Boney Extraction 25.000000 EA $____________ $___________________

0006 D7241 Full Boney W/ Complication 2.000000 EA $____________ $___________________

0007 D7250 Root Tip Extraction 1.000000 EA $____________ $___________________

0008 D7260 Oroantral Fistula Closure 1.000000 EA $____________ $___________________

0009 D7285 Hard Tissue Biopsy 1.000000 EA $____________ $___________________

0010 D7286 Soft Tissue Biopsy 2.000000 EA $____________ $___________________

0011 D7310 / D7320 Alveoloplasty Per Quad 1.000000 EA $____________ $___________________

0012 D7471 Removal of Lateral Exostosis 1.000000 EA $____________ $___________________

0013 D7472 / D7473 Removal of Tori Per Quad 1.000000 EA $____________ $___________________

0014 D7510 I&D of Abcess Intraoral Soft Tissue 1.000000 EA $____________ $___________________

0015 D7520 I&D of Abcess Extraoral Soft Tissue 1.000000 EA $____________ $___________________

0016 D7530 Removal of Foreign Body 1.000000 EA $____________ $___________________

0017 D7960 Frenectomy 2.000000 EA $____________ $___________________

0018 D7999 Removal of Max & Mand Arch Bars 1.000000 EA $____________ $___________________

0019 Option Year 1, October 1, 2014 through September 30, 2015

D0150 Comprehensive Oral Evaluation

2.000000 EA $____________ $___________________

0020 D7210 Surgical Extraction 10.000000 EA $____________ $___________________

0021 D7220 Soft Tissue Extraction 1.000000 EA $____________ $___________________

0022 D7230 / D7231 Partial Boney Extraction 14.000000 EA $____________ $___________________

0023 D7240 Full Boney Extraction 25.000000 EA $____________ $___________________

0024 D7241 Full Boney W/ Complication 2.000000 EA $____________ $___________________

0025 D7250 Root Tip Extraction 1.000000 EA $____________ $___________________

0026 D7260 Oroantral Fistula Closure 1.000000 EA $____________ $___________________

RFQP05191300012 Page 4 of 38

0027 D7285 Hard Tissue Biopsy 1.000000 EA $____________ $___________________

0028 D7286 Soft Tissue Biopsy 2.000000 EA $____________ $___________________

0029 D7310 / D7320 Alveoloplasty Per Quad 1.000000 EA $____________ $___________________

0030 D7471 Removal of Lateral Exostosis 1.000000 EA $____________ $___________________

0031 D7472 / D7473 Removal of Tori Per Quad 1.000000 EA $____________ $___________________

0032 D7510 I&D of Abcess Intraoral Soft Tissue 1.000000 EA $____________ $___________________

0033 D7520 I&D of Abcess Extraoral Soft Tissue 1.000000 EA $____________ $___________________

0034 D7530 Removal of Foreign Body 1.000000 EA $____________ $___________________

0035 D7960 Frenectomy 2.000000 EA $____________ $___________________

0036 D7999 Removal of Max & Mand Arch Bars 1.000000 EA $____________ $___________________

0037 Option Year 2, October 1, 2015 through September 30, 2016

D0150 Comprehensive Oral Evaluation

2.000000 EA $____________ $___________________

0038 D7210 Surgical Extraction 10.000000 EA $____________ $___________________

0039 D7220 Soft Tissue Extraction 1.000000 EA $____________ $___________________

0040 D7230 / D7231 Partial Boney Extraction 14.000000 EA $____________ $___________________

0041 D7240 Full Boney Extraction 25.000000 EA $____________ $___________________

0042 D7241 Full Boney W/ Complication 2.000000 EA $____________ $___________________

0043 D7250 Root Tip Extraction 1.000000 EA $____________ $___________________

0044 D7260 Oroantral Fistula Closure 1.000000 EA $____________ $___________________

0045 D7285 Hard Tissue Biopsy 1.000000 EA $____________ $___________________

0046 D7286 Soft Tissue Biopsy 2.000000 EA $____________ $___________________

0047 D7310 / D7320 Alveoloplasty Per Quad 1.000000 EA $____________ $___________________

0048 D7471 Removal of Lateral Exostosis 1.000000 EA $____________ $___________________

0049 D7472 / D7473 Removal of Tori Per Quad 1.000000 EA $____________ $___________________

0050 D7510 I&D of Abcess Intraoral Soft Tissue 1.000000 EA $____________ $___________________

0051 D7520 I&D of Abcess Extraoral Soft Tissue 1.000000 EA $____________ $___________________

0052 D7530 Removal of Foreign Body 1.000000 EA $____________ $___________________

0053 D7960 Frenectomy 2.000000 EA $____________ $___________________

0054 D7999 Removal of Max & Mand Arch Bars 1.000000 EA $____________ $___________________

0055 Option Year 3, October 1, 2016 through September 30, 2017

D0150 Comprehensive Oral Evaluation

2.000000 EA $____________ $___________________

0056 D7210 Surgical Extraction 10.000000 EA $____________ $___________________

RFQP05191300012 Page 5 of 38

0057 D7220 Soft Tissue Extraction 1.000000 EA $____________ $___________________

0058 D7230 / D7231 Partial Boney Extraction 14.000000 EA $____________ $___________________

0059 D7240 Full Boney Extraction 25.000000 EA $____________ $___________________

0060 D7241 Full Boney W/ Complication 2.000000 EA $____________ $___________________

0061 D7250 Root Tip Extraction 1.000000 EA $____________ $___________________

0062 D7260 Oroantral Fistula Closure 1.000000 EA $____________ $___________________

0063 D7285 Hard Tissue Biopsy 1.000000 EA $____________ $___________________

0064 D7286 Soft Tissue Biopsy 2.000000 EA $____________ $___________________

0065 D7310 / D7320 Alveoloplasty Per Quad 1.000000 EA $____________ $___________________

0066 D7471 Removal of Lateral Exostosis 1.000000 EA $____________ $___________________

0067 D7472 / D7473 Removal of Tori Per Quad 1.000000 EA $____________ $___________________

0068 D7510 I&D of Abcess Intraoral Soft Tissue 1.000000 EA $____________ $___________________

0069 D7520 I&D of Abcess Extraoral Soft Tissue 1.000000 EA $____________ $___________________

0070 D7530 Removal of Foreign Body 1.000000 EA $____________ $___________________

0071 D7960 Frenectomy 2.000000 EA $____________ $___________________

0072 D7999 Removal of Max & Mand Arch Bars 1.000000 EA $____________ $___________________

0073 Option Year 4, October 1, 2017 through September 30, 2018

D0150 Comprehensive Oral Evaluation

2.000000 EA $____________ $___________________

0074 D7210 Surgical Extraction 10.000000 EA $____________ $___________________

0075 D7220 Soft Tissue Extraction 1.000000 EA $____________ $___________________

0076 D7230 / D7231 Partial Boney Extraction 14.000000 EA $____________ $___________________

0077 D7240 Full Boney Extraction 25.000000 EA $____________ $___________________

0078 D7241 Full Boney W/ Complication 2.000000 EA $____________ $___________________

0079 D7250 Root Tip Extraction 1.000000 EA $____________ $___________________

0080 D7260 Oroantral Fistula Closure 1.000000 EA $____________ $___________________

0081 D7285 Hard Tissue Biopsy 1.000000 EA $____________ $___________________

0082 D7286 Soft Tissue Biopsy 2.000000 EA $____________ $___________________

0083 D7310 / D7320 Alveoloplasty Per Quad 1.000000 EA $____________ $___________________

0084 D7471 Removal of Lateral Exostosis 1.000000 EA $____________ $___________________

0085 D7472 / D7473 Removal of Tori Per Quad 1.000000 EA $____________ $___________________

0086 D7510 I&D of Abcess Intraoral Soft Tissue 1.000000 EA $____________ $___________________

0087 D7520 I&D of Abcess Extraoral Soft Tissue 1.000000 EA $____________ $___________________

RFQP05191300012 Page 6 of 38

0088 D7530 Removal of Foreign Body 1.000000 EA $____________ $___________________

0089 D7960 Frenectomy 2.000000 EA $____________ $___________________

0090 D7999 Removal of Max & Mand Arch Bars 1.000000 EA $____________ $___________________

Total Quote for the Base Period plus Four Option Years: ____________________

The Size Standard D05 = $7.0 Million.

2.1 Schedule Continued

Please complete the above information when preparing your quote for the base period and options years. Any resulting contract will be an indefinite delivery/requirements contract. As such, quantities listed are estimates only and are not a representation to an offeror or contractor that the estimated quantities will be required or ordered or that conditions affecting requirements will be stable or normal (FAR 16.503(a)(1)). Quotes will be evaluated for award based solely upon price.

Pursuant to FAR 17.203(b), the Government's evaluation shall be inclusive of options. Pursuant to FAR 17.203 (d), quoters may offer varying prices for options, depending on the quantities actually ordered and the dates when ordered.

NOTE: Award shall be made to the responsive/responsible offeror(s) submitting the lowest TOTAL OFFERED AMOUNT. Rate of remuneration will be based on a each rate. This price will include all overhead, profit, administrative costs, etc., being charged by the Contractor.

2.2 Statement of Work

Subject

The Federal Bureau of Prisons, Field Acquisition Office, Grand Prairie, Texas intends to make a single award to an individual or com-pany of an indefinite delivery/requirements type contract with firm-fixed unit prices for the provision of Oral Surgeon Services for the Health Services Department as prescribed in the description of duties listed below to the inmate population of the Federal Correctional Complex (FCC) Pollock, Louisiana. The Government reserves the right to award without discussion and to award as a single award.

Therefore, each initial quote should contain the quoter’s best terms from a cost or price standpoint.

Place of Performance

The services will be performed at the Federal Correctional Complex (FCI), Health Services Department, 1000 Air Base Road, Pollock, LouisianaTexas 71467. The FCC includes the United States Penitentiary (USP). Federal Correctional Institution (FCI), and Federal Prison Camp (FPC). The employees will sign the consultant log, indicating the date of visits to the institution, the time of arrival and departure.

Schedule

The contractor will provide approximately 4 days of service per performance year. The contractor will normally provide 8 hours per day. The days will be, Monday through Friday, excluding Federal Holidays. Work hours will be mutually agreed upon between the Health Services Administrator (HSA) and the contractor. Due to the nature of the correctional setting, delays in performance of work may be expected. Such delays may include, but are not limited to, inclement weather or security related issues.

Attire

The contractor is expected to wear professional clothing while on duty (scrub uniforms are approved). The attire worn shall also be ap-propriate for the correctional environment in which the contract employee will be performing.

Education and Experience

The contractor will provide an Oral Surgeon who possess knowledge, skills, and abilities to perform the services. The Oral Sur-

RFQP05191300012 Page 7 of 38 geon must have a current and valid license to perform within the State of Louisiana.

The contractor must possess and submit with their quotation, evidentiary documentation of their certification. In the case of a com-pany, the qualified individual selected to perform these services on behalf of the contractor must be identified at the time the quotation is submitted.

Failure to submit evidentiary documentation of certifications, licenses, qualifications, or the name of a qualified candidate who will perform these services may result in elimination from consideration for award. The individual selected to perform these services must be able to pass a drug screening and law enforcement agency background check.

The Government will make an award to the responsible quoter whose submission conforms to this solicitation, and is considered most advantageous to the Government, considering pricing factors only.

Methods of Instruction

The services to be provided are professional in nature, and will be commensurate with Joint Commission on Accreditation of Health-care Organizations (JCAHO) standards of Care. The methods utilized will meet medical practices established in the local com-munity. These services, although not directly supervised, will be reviewed periodically be a physician or staff at FCC Pollock. The performance of these services will be monitored by the Contract Officer's Representative (COR). The Clinical Director and/or Bureau of Prisons’s (BOP) Physician(s) will retain professional responsibility for all patients referred to Oral Surgery.

Description of Duties

The contractor will be responsible for providing on-site oral surgeon services for the inmate population. The contractor will evaluate patients referred by consultation and perform oral surgeon services as needed. The contractor will make a legible note, including patient education, for each patient. Each note must provide sufficient details allowing another dentist to assume dental care of the patient based on those notes. All duties shall be performed in accordance with standards and methods generally accepted within the field of Oral Surgeon Services, and compliance with all Federal and State policy and regu-lations. The contractor shall adhere to all standards and regulations associated with the Joint Commission of Accreditation of Health-care Organizations (JCAHO) and American Correctional Association Foundation/Core Standards for Adult Correctional Institutions.

Due to JCAHO regulations, as well as FBOP Health Services policies, history and evaluations shall be completed as scheduled. De-tailed medical record documentation must be maintained. The contractor must have the ability to work with an inmate population from a variety of cultural, regional, racial and ethnic backgrounds.

When it is determined by Health Services staff that it is medically necessary to transport federal inmates off the premises for needed dental, surgical, or emergency care, inmates may be transported to community medical/dental facilities. The con-tractor must make every reasonable effort to provide needed health care services on the premises of FCC, within the limits of his/her expertise.

Patient Management

The contractor will be responsible for receiving patients and explaining procedures to alleviate undue anxiety, submitting reports and evaluations as requested. The contractor will be responsible for following directives and comply with Bureau of Prison’s Health Ser-vices Manual, FCC Pollock institutional mandates and the Health service unit’s policies in the management of all patient encounters.

Patients shall be accorded impartial access to treatment or accommodations that are available or medically indicated, regardless of race, creed, sex, national origin, or religion. Staffing shall be commensurate with the expected needs of the patients and within the scope of services offered. The contractor shall NOT provide information to the inmates(s). If the situation arises where inmate(s) are required to be provided information, the Clinical Director, Health Services Administrator (HSA), or COR shall provide any informa-tion the inmate(s) are to receive. The contractor is required to maintain an open line of communication with the Clinical Director, HSA, and COR.

Inmate Management

Provision of services will require frequent and unsupervised contact with inmates. The contract employee shall not be responsible for the management of any inmates, other than to ensure inmates involved within the contract’s scope of work abide by all rules to ensure their safety and well being. The successful contractor shall attend the Institution Familiarization Orientation program prior to assum-ing institution involvement.

RFQP05191300012 Page 8 of 38

Reimbursement to the contractor for the time spent in the institution orientation or other specific security related training will be at the contract rate, prorated hourly. The contractor may, at ay time, be removed from the institution at the discretion of the CEO. The con-tractor is to constantly aware of security and maintain a professional relationship with inmates at all times. Any violation of the institu-tion rules and regulations are to be brought immediately to the attention of any Government employee employed at the FCC. The con-tractor will be required to provide documentation to COR, or designee, of any infractions of institutional rules and regulations by in-mates for proper action.

Institution Security

The contractor/contract employees shall agree to all regulations prescribed by the FCC for the safety, custody, and conduct of inmates.

The contract employee will be required to operate a system of records as identified for medical treatment documentation, and will re-quire adherence to the Privacy Act of 1974. The contract employee will be required to sign in and out of the institution for accountab-ility purposes. A badge will be issued and worn at all times for proper identification. The contract employee shall attend an orientation program prior to assuming duties at the FCC.

RFQP05191300012 Page 9 of 38

Section 3 - Contract Clauses

Clauses By Reference

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): www.acquisition.gov/far

Clause Title

52.253-1 Computer Generated Forms (Jan 1991)

52.242-13 Bankruptcy (July 1995)

52.237-2 Protection Of Government Buildings, Equipment, And Vegetation (Apr 1984)

52.232-18 Availability Of Funds (Apr 1984)

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

52.224-2 Privacy Act (Apr 1984)

52.224-1 Privacy Act Notification (Apr 1984)

52.223-5 Pollution Prevention and Right-to-Know Information (May 2011)

52.212--4 Contract Terms and Conditions - Commercial Items (Feb 2012)

52.204-9 Personal Identity Verification of Contractor Personnel (Jan 2011)

52.204-4 Printed or Copied Double-Sided on Postconsumer Fiber Content Paper (May 2011)

52.204-13 Central Contractor Registration Maintenance (Dec 2012)

Clauses by Full Text

52.216-18 Ordering (Oct 1995)

(a) Any supplies and services to be furnished under this contract shall be ordered by issuance of delivery orders or task orders by the individuals or activities designated in the Schedule. Such orders may be issued from the first day of the effective performance period through the last day of the effective performance period.

(b) All delivery orders or task orders are subject to the terms and conditions of this contract. In the event of conflict between a delivery order or task order and this contract, the contract shall control.

(c) If mailed, a delivery order or task order is considered "issued" when the Government deposits the order in the mail. Orders may be issued orally, by facsimile, or by electronic commerce methods only if authorized in the Schedule.

(End of clause)

52.216-19 Order Limitations (Oct 1995)

RFQP05191300012 Page 10 of 38

(a) Minimum order. When the Government requires supplies or services covered by this contract in an amount of less than one each, the Government is not obligated to purchase, nor is the Contractor obligated to furnish, those supplies or services under the contract.

(b) Maximum order. The Contractor is not obligated to honor—

(1) Any order for a single item in excess of the estimated quantities identified in the Schedule of Items within the current performance period; or

(2) Any order for a combination of items in excess of estimated quantities identified in the Schedule of Items within the current per-formance period; or

(3) A series of orders from the same ordering office within 30 days that together call for quantities exceeding the limitation in para-graph (b)(1) or (2) of this section.

(c)If this is a requirements contract (i.e., includes the Requirements clause at subsection 52.216-21 of the Federal Acquisition Regula-tion (FAR)), the Government is not required to order a part of any of one requirement from the Contractor if that requirement exceeds the maximum-order limitations in paragraph (b) of this section.

(d) Notwithstanding paragraphs (b) and (c) of this section, the Contractor shall honor any order exceeding the maximum order limita-tions in paragraph (b), unless that order (or orders) is returned to the ordering office within 5 days after issuance, with written notice stating the Contractor’s intent not to ship the item (or items) called for and the reasons. Upon receiving this notice, the Government may acquire the supplies or services from another source.

(End of clause)

52.216-21 Requirements (Oct 1995)

(a) This is a requirements contract for the supplies or services specified, and effective for the period stated, in the Schedule. The quantities of supplies or services specified in the Schedule are estimates only and are not purchased by this contract. Except as this contract may otherwise provide, if the Government's requirements do not result in orders in the quantities described as "estimated" or "maximum" in the Schedule, that fact shall not constitute the basis for an equitable price adjustment.

(b) Delivery or performance shall be made only as authorized by orders issued in accordance with the Ordering clause. Subject to any limitations in the Order Limitations clause or elsewhere in this contract, the Contractor shall furnish to the Government all supplies or services specified in the Schedule and called for by orders issued in accordance with the Ordering clause. The Government may issue orders requiring delivery to multiple destinations or performance at multiple locations.

(c) Except as this contract otherwise provides, the Government shall order from the Contractor all the supplies or services specified in the Schedule that are required to be purchased by the Government activity or activities specified in the Schedule.

(d) The Government is not required to purchase from the Contractor requirements in excess of any limit on total orders under this con-tract.

(e) If the Government urgently requires delivery of any quantity of an item before the earliest date that delivery may be specified un-der this contract, and if the Contractor will not accept an order providing for the accelerated delivery, the Government may acquire the urgently required goods or services from another source.

(f) Any order issued during the effective period of this contract and not completed within that period shall be completed by the Con-tractor within the time specified in the order. The contract shall govern the Contractor's and Government's rights and obligations with respect to that order to the same extent as if the order were completed during the contract's effective period; provided, that the Con-tractor shall not be required to make any deliveries under this contract after the last day of the effective performance period.

(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 Of-ficer may exercise the option by written notice to the Contractor prior to the expiration of the current performance period.

(End of clause)

RFQP05191300012 Page 11 of 38

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 prior to the expiration of the current per-formance period; provided that the Government gives the Contractor a preliminary written notice of its intent to extend at least 60 days before the contract expires. The preliminary notice does not commit the Government to an extension.

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

(c) The total duration of this contract, including the exercise of any options under this clause, shall not exceed five (5) years.

(End of clause)

52.232-19 Availability Of Funds For The Next Fiscal Year (Apr 1984)

Funds are not presently available for performance under this contract beyond September 30 of the base year or any option year exer-cised. The Government's obligation for performance of this contract beyond that date is contingent upon the availability of appropri-ated funds from which payment for contract purposes can be made. No legal liability on the part of the Government for any payment may arise for performance under this contract beyond September 30 of the base year or any option year exercised , until funds are made available to the Contracting Officer for performance and until the Contractor receives notice of availability, to be confirmed in writing by the Contracting Officer.

(End of clause)

52.232-99 PROVIDING ACCELERATED PAYMENT TO SMALL BUSINESS SUBCONTRACTORS(DEVIATION) (AUG 2012)

(a) Upon receipt of accelerated payments from the Government, the contractor is required to make accelerated payments to small busi-ness subcontractors to the maximum extent practicable after receipt of a proper invoice and all proper documentation from the small business subcontractor.

(b) Include the substance of this clause, including this paragraph (b), in all subcontracts with small business concerns.

(c) The acceleration of payments under this clause does not provide any new rights under the Prompt Payment Act.

(End of Clause)

52.237-7 Indemnification and Medical Liability Insurance (Jan 1997)

(a) It is expressly agreed and understood that this is a nonpersonal services contract, as defined in Federal Acquisition Regulation (FAR) 37.101, under which the professional services rendered by the Contractor are rendered in its capacity as an independent con-tractor. The Government may evaluate the quality of professional and administrative services provided, but retains no control over professional aspects of the services rendered, including by example, the Contractor's professional medical judgment, diagnosis, or spe-cific medical treatments. The Contractor shall be solely liable for and expressly agrees to indemnify the Government with respect to any liability producing acts or omissions by it or by its employees or agents. The Contractor shall maintain during the term of this con-tract liability insurance issued by a responsible insurance carrier of not less than the following amount(s) per specialty per occurrence:

*$1,000,000.00 if not a participating member of the Louisiana Patients Compensation Fund. If the contractor is a participating mem-ber of the Louisiana Patients Compensation Funds the amount will be $100,000.00..

(b) An apparently successful offeror, upon request by the Contracting Officer, shall furnish prior to contract award evidence of its in-surability concerning the medical liability insurance required by paragraph (a) of this clause.

(c) Liability insurance may be on either an occurrences basis or on a claims-made basis. If the policy is on a claims-made basis, an ex-tended reporting endorsement (tail) for a period of not less than 3 years after the end of the contract term must also be provided.

(d) Evidence of insurance documenting the required coverage for each health care provider who will perform under this contract shall be provided to the Contracting Officer prior to the commencement of services under this contract. If the insurance is on a claims-made

RFQP05191300012 Page 12 of 38 basis and evidence of an extended reporting endorsement is not provided prior to the commencement of services, evidence of such en-dorsement shall be provided to the Contracting Officer prior to the expiration of this contract. Final payment under this contract shall be withheld until evidence of the extended reporting endorsement is provided to the Contracting Officer.

(e) The policies evidencing required insurance shall also contain an endorsement to the effect that any cancellation or material change adversely affecting the Government's interest shall not be effective until 30 days after the insurer or the Contractor gives written notice to the Contracting Officer. If, during the performance period of the contract the Contractor changes insurance providers, the Contract-or must provide evidence that the Government will be indemnified to the limits specified in paragraph (a) of this clause, for the entire period of the contract, either under the new policy, or a combination of old and new policies.

(f) The Contractor shall insert the substance of this clause, including this paragraph (f), in all subcontracts under this contract for health care services and shall require such subcontractors to provide evidence of and maintain insurance in accordance with paragraph

(a) of this clause. At least 5 days before the commencement of work by any subcontractor, the Contractor shall furnish to the Contract-ing Officer evidence of such insurance.

(End of clause)

* Contracting Officer insert the dollar value(s) of standard coverage(s) prevailing within the local community as to the specific medic-al specialty, or specialties, concerned, or such higher amount as the Contracting Officer deems necessary to protect the Government's interests.

52.252-6 Authorized Deviations in Clauses (Apr 1984)

(a) The use in this solicitation or contract of any Federal Acquisition Regulation (48 CFR Chapter 1) clause with an authorized devi-ation is indicated by the addition of (DEVIATION) after the date of the clause.

(b) The use in this solicitation or contract of any Justice Acquisition Regulation. (48 CFR 28) clause with an authorized deviation is indicated by the addition of (DEVIATION) after the name of the regulation.

(End of clause)

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 haz-ardous material as defined in Federal Standard No. 313, and any revisions thereto during the term of this contract, or any other materi-al or working condition designated by the Contracting Officer's Technical Representative (COTR) as potentially hazardous and requir-ing 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 pres-ence 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, dis-covers 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 consti-tute 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.

(End of Clause)

52.21-603-70 Contracting Officer's Representative (COR) (June 2012)

RFQP05191300012 Page 13 of 38

(a)Spencer Smith ,Health Services Administrator , FCC Pollock, LA,318-561-5378, is hereby designated 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 provide hereunder in accordance with the terms and conditions of this contract; providing direction to the contractor which clarifies the con-tractor 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 contrac-tual obligations or the Scope of Work, the Contracting Officer shall issue such changes.

52.27-103-72 DOJ CONTRACTOR 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 commit-ment, 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; or3. 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 inform-ation 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.

[End of Clause]

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 (FIPS 201) 1 entitled "Personal Identification Verification (PIV) for Federal Employees and Contractors," Phase I.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 con-tractor employee whose background investigation (BI) 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 I-9, OMB No.

1615-0047, "Employment Eligibility Verification," and at least one document must be a valid State or Federal government-issued pic-ture 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 BI commensurate with the designated risk level associated with the duties of each position.

Outlined below are the minimum BI 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 BI 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) Waiver 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 BI 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 Invest-igation Criminal History Check (i.e., fingerprint check results). e. Badge re-validation will occur once the investigation is completed and favorably adjudicated. If the BI 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 facilities or space for six months or fewer are subject to the identity proofing requirements listed in items 1a. and 1b. above. The pre-appointment waiver re-quirements for short-term contractors are:

RFQP05191300012 Page 14 of 38

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 commensur-ate BI 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 is-suance. 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-I 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 ex-ample, 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 ac-cess.

c. Due to extenuating circumstances, if a component requests unescorted access or DOJ IT system access for an intermittent contract-or, 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 BI meeting HSPD-12 and DOJ's BI 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-I identity proofing process, including initiation and adjudication of the required background investiga-tion, 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-II) 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.

[End of Clause]

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