Sol_140A2321Q0247.pdf

SEE ADDENDUMIS CHECKED

CODE 18a. PAYMENT WILL BE MADE BY

CODE

FACILITYCODE

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

OFFEROR

A23

Albuquerque NM 87104 Suite 352A 1011 Indian School Rd.

Indian Education Acquisition Office

0009062009 CODE 16. ADMINISTERED BYCODE

X

X

X

624190

SIZE STANDARD:

% FOR:SET ASIDE:UNRESTRICTED ORA23

RFPIFB

10. THIS ACQUISITION ISCODE

RFQ

14. METHOD OF SOLICITATION

13b. RATING

NAICS:

SMALL BUSINESS

04/19/2021 1700 ES

04/12/2021

0000Gertrude Bryant (No collect calls)

INFORMATION CALL:

FOR SOLICITATION 8. OFFER DUE DATE/LOCAL TIMEb. TELEPHONE NUMBER a. NAME

4. ORDER NUMBER3. AWARD/ 6. SOLICITATION

140A2321Q0247

5. SOLICITATION NUMBER

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

1 5 0040529230OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

TELEPHONE NO.

17a. CONTRACTOR/

NEWCOMB NM 87455

US Hwy 491 PO Box 9857

BIE TO'HAALI' COMMUNITY SCHOOL

15. DELIVER TO

Albuquerque NM 87104 Suite 352A 1011 Indian School Rd.

9. ISSUED BY

7.

2. CONTRACT NO.

EFFECTIVE DATE

$12.00

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

ISSUE DATE

DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

11.

SEE SCHEDULEX

12. DISCOUNT TERMS

THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

13a.

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

8(A)

Indian Education Acquisition Office

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

24.

AMOUNT

23.

UNIT PRICE

22.

UNIT

21.

QUANTITY

20.

SCHEDULE OF SUPPLIES/SERVICES

19.

ITEM NO.

Header Text: RECOMPETE FOR DIAGNOSTIC

PSYCHO-EDUCATIONAL SERVICES FOR TOHAALI COMMUNITY

SCHOOL.

POP: 07/01/2021 - 06/30/2022 (BASE YEAR) WITH 4

OPTION YEARS.

Legacy Doc #: IA

00010 DIAGNOSTIC PSYCHO-EDUC.SERV.

BASE: DATE OF AWARD -JUNE 30, 2022

Continued ...

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

HEREIN, IS ACCEPTED AS TO ITEMS:

XX

DATED

Mary Jane Johnson

. YOUR OFFER ON SOLICITATION (BLOCK 5),

INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE SET FORTH

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DELIVER

ARE

ARE

31c. DATE SIGNED

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

31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

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

ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY ADDITIONAL

SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED.

27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA

26. TOTAL AWARD AMOUNT (For Govt. Use Only)

OFFER

STANDARD FORM 1449 (REV. 2/2012)

Prescribed by GSA - FAR (48 CFR) 53.212

ARE NOT ATTACHED.

ARE NOT ATTACHED.

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

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

30a. SIGNATURE OF OFFEROR/CONTRACTOR

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

25. ACCOUNTING AND APPROPRIATION DATA

29. AWARD OF CONTRACT:

REF.

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32c. DATE 32b. SIGNATURE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED:

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED

40. PAID BY39. S/R VOUCHER NUMBER38. S/R ACCOUNT NUMBER

37. CHECK NUMBER

FINALPARTIAL

36. PAYMENT

FINALPARTIAL

35. AMOUNT VERIFIED

CORRECT FOR

34. VOUCHER NUMBER33. SHIP NUMBER

COMPLETE

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

42d. TOTAL CONTAINERS42c. DATE REC'D (YY/MM/DD)

42b. RECEIVED AT (Location)

42a. RECEIVED BY (Print)

41c. DATE41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER

41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT

STANDARD FORM 1449 (REV. 2/2012) BACK

24.

AMOUNT

23.

UNIT PRICE

22.

UNIT

21.

QUANTITY

20.

SCHEDULE OF SUPPLIES/SERVICES

19.

ITEM NO.

1 DAY PER MONTH, MAX 8 HOURS

Product/Service Code: R499

Product/Service Description: SUPPORT-

PROFESSIONAL: OTHER

Delivery: 06/30/2022

Period of Performance: 07/01/2021 to 06/30/2022

00011 TRAVEL

Miles round trip x $0.535 x 36 weeks

Base Year: Date of Award to June 30, 2022

Product/Service Code: R401

Product/Service Description: SUPPORT-

PROFESSIONAL: PERSONAL CARE (NON-MEDICAL)

Delivery: 06/30/2022

Period of Performance: 07/01/2021 to 06/30/2022

00012 All Applicable Taxes:

Date of Award to June 30, 2022

Product/Service Code: R401

Product/Service Description: SUPPORT-

PROFESSIONAL: PERSONAL CARE (NON-MEDICAL)

Delivery: 06/30/2022

Period of Performance: 07/01/2021 to 06/30/2022

Continued ...

32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

5 2 of

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

3 5

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

140A2321Q0247

10001 DIAGNOSTIC PSYCHO-EDUC.SERV.

OP YR 1: July 1, 2022 -JUNE 30, 2023

1 DAY PER MONTH, MAX 8 HOURS

(Option Line Item)

07/01/2022

Product/Service Code: R401

Product/Service Description: SUPPORT-

PROFESSIONAL: PERSONAL CARE (NON-MEDICAL)

Period of Performance: 07/01/2022 to 06/30/2023

10002 All Applicable Taxes

OP YR 1: July 1, 2022 - June 30,2023

(Option Line Item)

07/01/2022

Product/Service Code: R401

Product/Service Description: SUPPORT-

PROFESSIONAL: PERSONAL CARE (NON-MEDICAL)

Period of Performance: 07/01/2022 to 06/30/2023

10003 TRAVEL

Miles round trip x $0.535 x 36 weeks

OP YR 1: July 1, 2022 to June 30, 2023

(Option Line Item)

07/01/2022

Product/Service Code: R401

Product/Service Description: SUPPORT-

PROFESSIONAL: PERSONAL CARE (NON-MEDICAL)

Period of Performance: 07/01/2022 to 06/30/2023

20001 DIAGNOSTIC PSYCHO-EDUC.SERV.

OP YR 2: July 1, 2023 -JUNE 30, 2024

1 DAY PER MONTH, MAX 8 HOURS

(Option Line Item)

07/01/2023

Product/Service Code: R401

Product/Service Description: SUPPORT-

PROFESSIONAL: PERSONAL CARE (NON-MEDICAL)

Period of Performance: 07/01/2023 to 06/30/2024

20002 All Applicable Taxes

OP YR 2: July 1, 2023 - June 30,2024

(Option Line Item)

Continued ...

NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)

Sponsored by GSA

FAR (48 CFR) 53.110

4 5

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

140A2321Q0247

07/01/2023

Product/Service Code: R401

Product/Service Description: SUPPORT-

PROFESSIONAL: PERSONAL CARE (NON-MEDICAL)

Period of Performance: 07/01/2023 to 06/30/2024

20003 TRAVEL

Miles round trip x $0.535 x 36 weeks

OP YR 2: July 1, 2023 to June 30, 2024

(Option Line Item)

07/01/2023

Product/Service Code: R401

Product/Service Description: SUPPORT-

PROFESSIONAL: PERSONAL CARE (NON-MEDICAL)

Period of Performance: 07/01/2023 to 06/30/2024

30001 DIAGNOSTIC PSYCHO-EDUC.SERV.

OP YR 3: July 1, 2024 -JUNE 30, 2025

1 DAY PER MONTH, MAX 8 HOURS

(Option Line Item)

07/01/2024

Product/Service Code: R401

Product/Service Description: SUPPORT-

PROFESSIONAL: PERSONAL CARE (NON-MEDICAL)

Period of Performance: 07/01/2024 to 06/30/2025

30002 All Applicable Taxes

OP YR 3: July 1, 2024 - June 30,2025

(Option Line Item)

07/01/2024

Product/Service Code: R401

Product/Service Description: SUPPORT-

PROFESSIONAL: PERSONAL CARE (NON-MEDICAL)

Period of Performance: 07/01/2024 to 06/30/2025

30003 TRAVEL

Miles round trip x $0.535 x 36 weeks

OP YR 3: July 1, 2024 to June 30, 2025

(Option Line Item)

07/01/2024

Product/Service Code: R401

Product/Service Description: SUPPORT-

PROFESSIONAL: PERSONAL CARE (NON-MEDICAL)

Period of Performance: 07/01/2024 to 06/30/2025

Continued ...

NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)

5 5

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

140A2321Q0247

40001 DIAGNOSTIC PSYCHO-EDUC.SERV.

OP YR 4: July 1, 2024 -JUNE 30, 2025

1 DAY PER MONTH, MAX 8 HOURS

(Option Line Item)

07/01/2025

Product/Service Code: R401

Product/Service Description: SUPPORT-

PROFESSIONAL: PERSONAL CARE (NON-MEDICAL)

Period of Performance: 07/01/2025 to 06/30/2026

40002 All Applicable Taxes

OP YR 4: July 1, 2025 - June 30,2026

(Option Line Item)

07/01/2025

Product/Service Code: R401

Product/Service Description: SUPPORT-

PROFESSIONAL: PERSONAL CARE (NON-MEDICAL)

Period of Performance: 07/01/2025 to 06/30/2026

40003 TRAVEL

Miles round trip x $0.535 x 36 weeks

OP YR 4: July 1, 2025 to June 30, 2026

(Option Line Item)

07/01/2025

Product/Service Code: R401

Product/Service Description: SUPPORT-

PROFESSIONAL: PERSONAL CARE (NON-MEDICAL)

Period of Performance: 07/01/2025 to 06/30/2026

NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)

SOLICITATION # 140A2321Q0247 DIAGNOSTIC PSYCHO-EDUCATIONAL SERVICES

THIS ACQUISITION IS FOR 100% NATIVE OWNED SMALL BUSINESS SET ASIDE

UNDER THE BUY INDIAN ACT (25 U.S.C.)

The offeror represents as part of its offer that it [ ] does [ ] does not meet the definition of Indian economic enterprise as defined in 1480.201.

This is a combined synopsis/solicitation for commercial items prepared in accordance with FAR Subpart 12.6, as supplemented with additional information included in this notice. This announcement constitutes the only solicitation; a written solicitation will not be issued.

Solicitation No. 140A2321A0247 herein cited will be procured under FAR Part 12, Acquisition of Commercial Items. Solicitation document and incorporated provisions and clauses are those in effect through Federal Acquisition Circular 2021-05.

This acquisition is OPEN to all Business Sizes. NAICS Code: 624190.

DESCRIPTION: Contractor shall provide Diagnostic Psycho-Educational Services In Accordance With (IAW) the below Statement of Work (SOW).

Period of Performance:

Base Year Date of Award to JUNE 30, 2022 Option Year 1 JULY 1, 2022 to JUNE 30, 2023 Option Year 2 JULY 1, 2023 to JUNE 30, 2024 Option Year 3 JULY 1, 2024 to JUNE 30, 2025 Option Year 4 JULY 1, 2025 to JUNE 30, 2026

QUOTE LINE ITEMS: (Please provide a breakdown of total cost)

BASE YEAR:

1 Services: $_________hour X 8 hours = $_______ per day $ ____________ per day x 36 weeks = $__________________

2. Travel: Mileage: ________miles round trip X $0.535 miles X 36 weeks = $_________

3. All Applicable taxes $ _______________

Total Price for the Base Year = $______________________

OPTION YEAR 1:

1 Services: $_________hour X 8 hours = $_______ per day $ ____________ per day x 36 weeks = $__________________

2. Travel: Mileage: ________miles round trip X $0.535 miles X 36 weeks = $_________

3. All Applicable taxes $ _______________

Total Price for the Option Year 1= $______________________

OPTION YEAR 2:

1 Services: $_________hour X 8 hours = $_______ per day $ ____________ per day x 36 weeks = $__________________

2. Travel: Mileage: ________miles round trip X $0.535 miles X 36 weeks = $_________

3. All Applicable taxes $ _______________

Total Price for the Option Year 2 = $______________________

OPTION YEAR 3:

1 Services: $_________hour X 8 hours = $_______ per day $ ____________ per day x 36 weeks = $__________________

2. Travel: Mileage: ________miles round trip X $0.535 miles X 36 weeks = $_________

3. All Applicable taxes $ _______________

Total Price for the Option Year 3 = $______________________

OPTION YEAR 4:

1 Services: $_________hour X 8 hours = $_______ per day $ ____________ per day x 36 weeks = $__________________

2. Travel: Mileage: ________miles round trip X $0.535 miles X 36 weeks = $_________

3. All Applicable taxes $ _______________

Total Price for the Option Year 4 = $______________________

Total for Base year with all Option year = $_________

Travel cost incurred for transportation, lodging, meals, and incidental expenses (as defined in the regulation cited in FAR 31.205-46) shall be considered to be reasonable and allowable only to the extent that they do not exceed on a daily basis the maximum per diem rates in effect at the time of travel as set forth in the Federal Travel Regulation.

The consultant will be reimbursed for travel to provide support at a Government site or other site as may be specified and approved by the COTR under this effort. All travel shall be approved, by the COTR, prior to commencement of travel. Consultant shall provide supporting documentation and a detailed breakdown of incurred travel costs with each invoice.

Statement of Work Diagnostic Psycho-Educational Services

Background:

The Bureau of Indian Education, Navajo Nation, serves as a branch of the state education agency (SEA) for several elementary and secondary schools and dormitories serving the Navajo Reservation students located in the states of Arizona, New Mexico and Utah. The statement of work calls for professional related services to assist the targeted Navajo Nation Schools in implementing the special education and related services as authorized under P.L. 108-446 Individualized with Disabilities Education Improvement ACT (IDEA). The purpose of the IDEIA Program is to improve academic achievement of students with disabilities and introduce strict accountability measures to hold schools, districts and states responsible for the academic results of student with disabilities. Exceptional Children Part B funds are distributed to schools on a formula basis to provide special education and related services for eligible children with disabilities.

The School name: Tohaali Community School

Position: Diagnostics Psycho-Educational Services, licensed in the state of New Mexico

Identified Students: Based up the need over the last five years at Tohaali Community School, we anticipate 12 students per year requiring services. The total required based upon the students IEP is 30. We believe that the needs of the students can be met with a contract of 1 day per month that would include time for the assessment and reassessment process maximum of 8 hours per month. The number of days for the Tohaali Community School services may increase or decrease during each year depending on the number of students that require service for each school year.

Objectives: To ensure the provision of Diagnostic Psycho-Educational Services to identified or referred Special Education students attending BIE schools on the Navajo Reservation. Services will be provided in accordance with P.L. 108-446, the Individuals with Disabilities Education Act of 2004 as specified in the student IEP.

1. Observe, screen, evaluate students and provide documentation for students referred by the Child Find Team;

2. Assesses and plans treatment for qualifying students;

3. Attends and participates on multi-disciplinary teams to develop Individual Education Plans

(IEP) and makes placement recommendations;

4. Conducts Diagnostics Psycho-Educational assessment in specified timelines, determining if student meets State of Department of Education criteria and generates written reports according to state guidelines;

5. Provides technical assistance to teachers and serves on multi-disciplinary committees regarding evaluation results, development of goals and objectives, provisions of services.

6. Participates in the multi-disciplinary team regarding instructional accommodations, special services, and behavior management strategies to ensure appropriate educational opportunities are provided to all students;

7. Participates in planning conferences for initial and re-evaluations;

8. Attends placement meetings, manifestation determinations and transfers meetings.

9. Provides technical assistance to teachers, parents, and administrators on test interpretations, curriculum-based assessments.

10. Interacts with teachers, parents and students when conducting assessments, making observations and reviewing evaluations data to facilitate identification, evaluation, eligibility and placement into and out of special education programs.

11. Maintains administrative records and files in compliance with policies, regulations and good administrative practices.

12. Works cooperatively with agencies, organizations, individuals and groups within the community, state, and/or nation.

13. Collects data and analyzes information for report generation, analyzes impact of multiple and extensive programs and makes recommendations for revisions and/or modifications and formulates programmatic procedures and interacts with administrators, teachers, and parents to facilitate identification, evaluations, eligibility and placement into and out of special education programs;

14. Coordinate and maintain such record keeping as is necessary.

15. Comply with all federal mandates, State Board of Education regulations, and BIE policies to the disabled.

16. Maintain clinical service notes and working with student notes.

Responsibilities of all related service providers: The service provider is to:

1. Report to a designated time and place for orientation to the organizational structure for service provision and the procedures delineated for providing the above specified services.

2. The provider is to make any additional reports or supply data to the LEA or BIE which may be required to evaluate and report on the provisions of related services.

3. Make appropriate travel arrangements including payment of costs to be paid upon completion of work assignment for scheduled work with the Navajo Nation bureau operated schools. Travel cost shall be reimbursed at the actual costs and in accordance with the Federal Travel Regulations.

4. Provide written reports and other documentation of services i.e. evaluation forms, attendance sheets, etc. for specific services as requested by the BIE/ADD (Navajo).

5. Develop and provide all materials for professional development and technical assistance provided to schools, leadership team, staff and BIE/ADD (Navajo).

FAR 52.212-02: Evaluation -Commercial Items:

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

In the order of importance are the listed evaluation factors:

Factor I - Technical Capability Factor II - Management Capability Factor III - Past Performance

In accordance with FAR 15.101-1, Best Value, Tradeoff Process. All non-price factors weight more than cost or price.

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

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

M.1 52.217-05, Evaluation of Options:

Except when it is determined in accordance with FAR 17.206(b) not to be in the Government's best interests, the Government will evaluate offers for award purposes by adding the total price for all options to the total price for the basic requirement.

M.2 Evaluation Factors for Award:

Award will be made on the basis of the best value trade off evaluation meeting the technically acceptable standards of all the non-price factors. The evaluation factors other than cost or price when combined, are significantly more important than cost or price. The Government intends to select the Best Value offer on the basis of initial offers received, without discussions. Offerors may be given the opportunity to clarify certain aspects of quotes (e.g., the relevance of an offeror's information to resolve minor or clerical errors.)

M.3 Evaluation The Government will be utilizing a best value trade off procedures as required under FAR 15.101-

1. The Government will evaluate all offers to determine technical acceptability quote with the evaluated price. Each Non-Price Factor will be rated with adjectives (see M.5 for rating scale).

M.4 Evaluation Factors Factor I - Technical Capability Factor II - Management Capability Factor III - Past Performance

Factor I - Technical Capability quote for a Psycho-Educational Assessment Services, in accordance with the Statement of Work.

The Technical Capability shall be in as much detail as the offeror considers necessary to fully explain the quoted technical approach. The technical quote should reflect a clear understanding of the nature of the work to be performed. The quote shall assess the offeror's understanding of the Bureau of Indian Affair's goals for the project and an understanding of the Statement of Work (SOW). The quote should include, but not limited to the following:

a) Knowledge and understanding of the requirements outlined in the SOW.

b) Understanding of general and local condition which can affect the SOW.

c) Logical sequence of steps and or specific techniques to accomplish all required work specified in the SOW.

d) Capability to produce deliverables in response to the SOW.

Factor II - Management Capabilities for a Psycho-Educational Assessment Services, in accordance with the Statement of Work.

Each offeror shall submit a plan consisting of a narrative explanation of their quote on-site approach to project management and coordination; and cost control measures on change orders and how they are quoted and tracked. Each offeror will be required to provide the relevant experience and knowledge of key individual(s) of the project team who will be assigned directly to the project. This factor will assess the quoted key personnel qualifications. The assessment will consider whether the quote provides an adequate number of appropriately qualified personnel to meet the technical, management and support requirements of the SOW. The Offer should include, but not be limited to the following description:

a) Describe the method and criteria you plan to use to select qualified subcontractors to ensure an appropriate level of experience and expertise for the project.

b) Describe your project schedule and plan indicating where you will start the project and how you plan to proceed to completion of the work as identified in the statement of work. Your projected schedule of the project; shall include steps within each phase and their estimated duration time. Project Schedule should note critical path.

c) Submit a resume, certificates, licenses, along with a letter of commitment for all key personnel.

Factor III - Past Performance for a Psycho-Educational Assessment Services, in accordance with the Statement of Work.

Please provide a list of contracts to include the contract number, POP, point of contact information and the description of the requirement. "Successful past performance on similar projects, to include but not limited to timeliness of performance and customer satisfaction".

Complete and submit Appendix II.

APPENDIX II: Past Performance Questionnaire

1. Contract number

2. Contractor's name and address

3. Type of contract

4. Complexity of work

5. Description and location of work (e.g., types of tasks, products, services)

6. Contract dollar value

7. Date of award

8. Contract completion date (including extensions)

9. Type and Extent of Subcontracting

10. If a problem surfaced what was done fix it?

11. A description of the types of personnel (skill and expertise) used and the overall quality of the contractor's team?

12. How was the technical performance or quality of the product or service; schedule; cost control (if applicable); business relations; and management?

13. Were there any particularly significant risks involved in performance services?

14. What was the relationship between the prime and subcontractors? How well did the prime manage the subcontractors? Did the subcontractors perform the bulk of the effort or just add depth on particular technical areas? Why were the subcontractors chosen to work on specific technical areas, what were those areas and why were they accomplished by the subcontractors rather than the prime?

15. Past efforts with the any other agency?

16. The company's strong points?

Award will be made to the most technically acceptable offeror, whose quotation is conforming to the requirements herein, will be most advantageous to the Government, and is fair and reasonable.

BACKGROUND INVESTIGATION: The selected contractor must receive security clearance from the Bureau of Indian Affairs/Education.

In accordance with Multiple Federal Laws and regulations pertains specifically to background checks. The Victims of Child Abuse Act of 1990, 42 U.S.C. § 13041, requires Federal agencies and facilities under contract to complete a criminal history background check. The Indian Child Protection and Family Violence Prevention Act, 25 U.S.C. § 3207, also requires that individuals who work and volunteer with Indian children undergo an investigation of their character. BIA’s criteria and procedures for making determinations of suitability based on an individual’s character or conduct are found in 25 C.F.R. part 63 and in the Bureau of Indian Affairs Manual (BIAM) at part 62.3 OPM’s role for Federal employees is set forth at 5 C.F.R. part 731. Child safety at Indian education facilities continues to be at risk from employees, contractors, and volunteers who have not undergone full background checks.

BACKGROUND INVESTIGATION

In accordance with 25 U.S.C. 3201 (P.L. 101-630), Indian Child Protection and Family Violence Prevention Act; 42 U.S.C. 13041, Crime Control Act of 1990; 441 Departmental Manual, Personnel Security and Suitability Requirements all positions with duties and responsibilities involving regular contact with or control over Indian children are subject to a background investigation and determination of suitability for employment. Accordingly, all such positions require a favorable screening (applicant and suitability) determination made by the Bureau of Indian Affairs (BIA) Office of Indian Education Programs (OIEP), Personnel Security and Suitability Program; and a favorable background investigation determination conducted by the Office of Personnel Management (OPM).

A favorable screening (applicant and suitability) determination must be made by the Bureau of Indian Affairs (BIA) Office of the Indian Education Programs (OIEP), Personnel Security and Suitability Program prior to contract award or made within 60 days of incorporation of this clause into a current/existing contract. Pending completion of a background investigation by OPM, the Contractor who has been granted a favorable screening (applicant and suitability) determination must be within the sight and under the supervision of a Government employee who has had a completed background investigation (42 U.S.C 13041 (3)) during contract performance until a final background investigation determination has been made.

Prior employment with the Federal Government, including BIA, OIEP or the Bureau of Indian Affairs, does not assure that the appropriate screening or investigation was conducted nor does it alleviate or guarantee a favorable screening (applicant and suitability) determination or background investigation.

Prior to an award or during the 60 day period discussed in paragraph two, it is solely the company, individual or contractor's responsibility to contact the BIE, School Human Resources Personnel in order to obtain a complete security package, which includes but is not limited to appropriate investigative forms and/or inquire about their previous investigation; and, obtain a screening (applicant and suitability) determination, and subsequent final background investigation.

If an unfavorable screening (applicant and suitability) determination is made, a purchase order shall not be awarded to the individual who received an unfavorable screening or to the company who has proposed to employ the individual to perform the work. The individual and or the company who proposed to employ this individual may be determined to be non-responsible if an unfavorable screening (applicant and suitability) determinations is made, which will make them ineligible for purchase order award.

If an unfavorable final background investigation determination is made, the purchase order may be terminated and the employee in question shall not be authorized to provide service to the BIA, OIEP, if the services involve contact with or regular control over Indian children.

CONTRACT CLAUSES: The following clauses apply to this acquisition: FAR 52.212-1, Instructions to Offerors Commercial Items; FAR 52.212-3, Offeror Representations and Certifications Commercial Items; FAR 52.212-4, Contract Terms and Conditions Commercial Items; and FAR 52.212-5 Contract Terms and Conditions Required to Implement Statutes or Executive Orders Commercial Items. In paragraph (b) of FAR 52.212-5(b), the Contractor shall comply with the following FAR clauses that the Contracting Officer has indicated as being incorporated in this contract by reference to implement provisions of law or Executive order applicable to acquisitions of commercial items: FAR 52.2013, Contractor Code of Business Ethics and Conduct; FAR 52.203-15, Whistleblower Protections under the American Recovery and Reinvestment Act of 2009; FAR 52.219-6, Notice of Total Small Business Set-Aside; FAR 52.223-18, Encouraging Contractor Policies to Ban Text Messaging while Driving; FAR 52.222-3, Convict Labor; FAR 52.222-19, Child Labor-Cooperation with Authorities and Remedies; FAR 52.222-21, Prohibition of Segregated Facilities; FAR 52.222-26, Equal Opportunity; FAR 52.222-35, Equal Opportunity for Workers with Disabilities; FAR 52.222-37, Employment Reports on Veterans; FAR FAR 52.222-41, Service Contract Act 1965; FAR 52.223-15, Energy Efficiency in Energy-Consuming Products; FAR 52.211-6, Brand Name of Equal; FAR 52.225-1 Buy American Act-Supplies; FAR, 52.232-34, Payment by Electronic Funds Transfer-System for Award Management; FAR 52.212-5 Contract Terms and Conditions Required to Implement Statutes or Executive Orders Commercial Items of FAR 52.212-5(c), the Contractor shall comply with the following FAR clauses that the Contracting Officer has indicated as being incorporated in this contract by reference to implement provisions of law or Executive order applicable to acquisitions of commercial items:

FAR 52.222-55, Minimum Wages Under Executive Order 13658; FAR 52.232-18, Availability of Funds; FAR 52.216-02, Economic Price Adjustment-Standard Supplies; FAR 52.232-40, Providing Accelerated Payments to Small Business Subcontractors and DIAR clauses are herein incorporated as follows:. DIAR 1452.280-1 Notice of Indian small business economic enterprise set-aside ; DIAR, 1452.280-2; DIAR, 1452.280-3 Subcontracting limitations; DIAR, 1452.280-4 Indian economic enterprise representation; DIAR, 1480.102 Buy Indian Act acquisition regulations; DIAR, 1480.503 Commercial item or simplified acquisitions; DIAR 1480.601 Subcontracting limitations; DIAR, 1452.226-70, Indian Preference; DIAR, 1452.226-71, Indian Preference Program. The Federal Acquisition Regulations clauses and provisions are available on the Internet at: http://www.arnet.gov/far or may be requested from the Contracting Officer.

Award will be made at a fair and reasonable price to the lowest responsive and responsible offeror whose quote conforming to the requirements herein will be the most advantageous to the Government. Provide DUNS# and Tax ID# with a signed and dated quote, along with a completed copy of FAR Clause 52.212-3, Offeror Representations and Certifications - Commercial Items and DIAR 1452.280-4, Indian Economic Enterprise Representation. These two documents (completed 52.212-3 and DIAR 1452.250-4) are required to be considered for award. The RFQ is due at the Bureau of Indian Education, Division of Acquisition, Attention: Gertrude Bryant by, the closing date and time of this annoucement. Quotes submitted by email only to Gertrude.bryant@bia.gov will be accepted. Any further questions regarding this announcement may be directed to Gertrude Bryant, Contract Specialist, by email to Gertrude.bryant@bia.gov.

All contractors submitting quotes must be registered in the SAM.gov, in order to receive contracts and purchase orders from the Federal Government pursuant to FAR Clause 52.204-7.

To register or learn more about the SAM, go to: http://www.SAM.gov.