SOLICITATION 12639522Q0200.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

APHIS-MN-126395CODE 16. ADMINISTERED BY

USDA APHIS

250 MARQUETTE AVE

SUITE 410

MINNEAPOLIS MN 55401

CODE

X

X

621111

SIZE STANDARD:

% FOR:SET ASIDE:UNRESTRICTED ORAPHIS-MN-126395

RFPIFB

10. THIS ACQUISITION ISCODE

RFQ

14. METHOD OF SOLICITATION

13b. RATING

NAICS:

SMALL BUSINESS

07/26/2022 1700 ET

06/27/2022

612-336-3364LISA DRAVES

(No collect calls)

INFORMATION CALL:

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

4. ORDER NUMBER3. AWARD/ 6. SOLICITATION

12639522Q0200

5. SOLICITATION NUMBER

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

1 84 OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

TELEPHONE NO.

17a. CONTRACTOR/

15. DELIVER TO

MINNEAPOLIS MN 55401

SUITE410

250 MARQUETTE AVE

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 SCHEDULE

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)

USDA APHIS

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.

Occupational Medical Services, Manhattan, KS

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

HEREIN, IS ACCEPTED AS TO ITEMS:

XX

DATED . 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.

32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

84 2 of

12639522Q0200

PRICING SCHEDULE

Line item quantities below are estimates for evaluation purposes only. Contract and Task Order minimum and maximum amounts are specified in the following clauses: 52.216‐19 “Order Limitations” and 452.216‐73 “Minimum and Maximum Contract Amounts”.

ITEM DESCRIPTION EST. QTY UNIT UNIT PRICE TOTAL

BASE PERIOD (Date of Award through 09/03/2023)

0001 Onsite Mid‐level Provider 52 WK __________ __________

0002 After Hours Mid‐Level Provider Telephonic 52 WK __________ __________ Consultation Line

0003 On‐Call CMA/Physician consultation Line 52 WK __________ __________

0004 Actual CMA/Physician consultation 520 HR __________ __________

0005 Offsite Radiological Test: Posteroanterior (PA) 25 EA __________ __________ (1‐view) Medical test

0006 Offsite Radiological Test: Lateral (LAT)(2‐view) 25 EA __________ __________ medical test

OPTION PERIOD 1 (9/4/2023 – 09/03/2024) EST. QTY UNIT UNIT PRICE TOTAL

1001 Onsite Mid‐level Provider 52 WK __________ __________

1002 After Hours Mid‐Level Provider Telephonic 52 WK __________ __________

1003 On‐Call CMA/Physician consultation Line 52 WK __________ __________

1004 Actual CMA/Physician consultation 520 HR __________ __________

1005 Offsite Radiological Test: Posteroanterior (PA) 25 EA __________ __________

1006 Offsite Radiological Test: Lateral (LAT)(2‐view) 25 EA __________ __________

(CONTINUED)

OPTION PERIOD 2 (9/4/2024 – 09/03/2025) EST. QTY UNIT UNIT PRICE TOTAL

2001 Onsite Mid‐level Provider 52 WK __________ __________

2002 After Hours Mid‐Level Provider Telephonic 52 WK __________ __________

2003 On‐Call CMA/Physician consultation Line 52 WK __________ __________

2004 Actual CMA/Physician consultation 520 HR __________ __________

2005 Offsite Radiological Test: Posteroanterior (PA) 25 EA __________ __________

2006 Offsite Radiological Test: Lateral (LAT)(2‐view) 25 EA __________ __________

OPTION PERIOD 3 (9/4/2025 – 09/03/2026) EST. QTY UNIT UNIT PRICE TOTAL

3001 Onsite Mid‐level Provider 52 WK __________ __________

3002 After Hours Mid‐Level Provider Telephonic 52 WK __________ __________

3003 On‐Call CMA/Physician consultation line 52 WK __________ __________

3004 Actual CMA/Physician consultation 520 HR __________ __________

3005 Offsite Radiological Test: Posteroanterior (PA) 25 EA __________ __________

3006 Offsite Radiological Test: Lateral (LAT)(2‐view) 25 EA __________ __________

(CONTINUED)

OPTION PERIOD 4 (9/4/2026 – 09/03/2027)

4001 Onsite Mid‐level Provider 52 WK __________ __________

4002 After Hours Mid‐Level Provider Telephonic 52 WK __________ __________ Consultation Line

4003 On‐Call CMA/Physician consultation line 52 WK __________ __________ availability

4004 Actual CMA/Physician consultation 520 HR __________ __________

4005 Offsite Radiological Test: Posteroanterior (PA) 25 EA __________ __________

4006 Offsite Radiological Test: Lateral (LAT)(2‐view) 25 EA __________ __________

TOTAL AMOUNT (BASE PERIOD AND OPTION YEARS 1 – 4) __________

INSTRUCTIONS TO QUOTERS:

1. Submit quotes to Lisa Draves at lisa.a.draves@usda.gov by the time specified in the solicitation.

A COMPLETE QUOTE SHALL INCLUDE THE FOLLOWING INFORMATION:

☐ a. Cover page or Standard Form (SF) 1449. Reference the solicitation number and include name, address, point of contact information, and Unique Entity Identifier (SAM.gov) of the Quoter.

☐ b. Acknowledgement of Solicitation Amendments (if applicable)

☐ c. Completed Pricing Schedule (see pages 3 ‐ 5 of the solicitation)

☐ d. Technical Capability Information:

☐ 1) MANAGEMENT PLAN

Quoters shall Include a narrative description to explain how the contractor plans to staff and manage the project. The Management Plan shall, at minimum, address the following:

A clear and detailed description of the personnel and resources that will be used to complete the requirements of this contract

A detailed description of the distribution of work being performed by the quoter and its subcontractors, and lines of authority/supervision

☐ 2) RESUMES

Quoters shall include resumes and supporting documentation, as necessary, to demonstrate all proposed Key Personnel meet ALL of the requirements/qualifications stated in Section 2.1, Contractor Personnel Requirements and Qualifications.

Key Personnel:

Offsite Physician/CMA – Primary Offsite Physician ‐ Alternate 1 Mid‐Level Provider – Primary Mid‐Level Provider ‐ Alternate 1 Mid‐Level Provider ‐ Alternate 2 (optional)

If the names of all non‐key personnel are not known prior to quotation submission, the Quoter may indicate “to be determined” and minimum qualification requirements.

The Contractor shall represent that all key personnel (including “to be determined” key personnel) meet the qualification requirements of the Solicitation and are available to begin work on the estimated start date designated in solicitation (September 2022).

☐ 3) PROJECT EXPERIENCE QUESTIONNAIRE

Submit examples of recent and relevant projects by completing Attachment 1, Project Experience Questionnaire.

A minimum of two (2) and a maximum of five (5) projects total shall be submitted.

Recent experience is defined as work that is ongoing but not less than 50% physically complete or work that was completed by the quoter within the last ten (10 years).

Relevant experience is defined as medical occupational health services and occupational health and medical program consultation

Project examples shall be provided for the company (prime and/or subcontractor(s)) that will perform the work. A letter of commitment is required for a subcontractor’s experience to be evaluated.

☐ e. Representations and Certifications. Complete the representations specified in

Section 6.0 Solicitation Provisions. Quoters must complete annual representations and certifications electronically in the System for Award Management (beta.SAM.gov) no later than the solicitation response date.

☐ 52.204‐24 Representation Regarding Certain Telecommunications

REPRESENTATION REGARDING CERTAIN TELECOMMUNICATIONS AND VIDEO

SURVEILLANCE SERVICES OR EQUIPMENT

☐ 52.209‐7 INFORMATION REGARDING RESPONSIBILITY MATTERS

☐ 52.212‐3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS – COMMERCIAL

PRODUCTS AND COMMERCIAL SERVICES if changes to annual representations and certifications posted electronically at SAM.gov will apply to this solicitation only.

☐ 52.229‐11 TAX ON CERTAIN FOREIGN PROCUREMENTS – NOTICE AND

REPRESENTATION (Jun 2020)

☐ f. Small Business Subcontracting Plan The U.S. Department of Agriculture (USDA), Animal Plant and Health Inspection Service (APHIS), is committed to the participation of Small Businesses, Small Disadvantaged Businesses, Women‐Owned Small Businesses, HUBZone Small Businesses, and Service Disabled Veteran Owned Small Businesses in the performance of work under this solicitation and resulting contract. Your attention is directed to solicitation clauses 52.219‐8 entitled "Utilization of Small Business Concerns," and 52.219‐9 entitled "Small Business Subcontracting Plan" Alt II.

Submission of a Subcontracting Plan in accordance with the above clauses is required for proposals exceeding $700,000.00. The Contracting Officer will review the plan using the following goals to assure that it represents your best efforts to maximize subcontracting opportunities. Award will not be made until the Contracting Officer approves the Subcontracting Plan. The quoters’ s subcontracting plan shall meet or exceed the goals expressed below, in terms of percentages of total planned subcontracting dollars. The accepted plan shall be included in and made part of the resultant contract. The minimum required goals expressed in percent of total planned subcontracting dollars are:

a. Small Business 21.0%

b. Small Disadvantaged Business 5.0%

c. Women‐Owned Small Business 5.0%

d. HUBZone Small Business 3.0%

e. Service‐Disabled Veteran‐Owned Small Business 3.0%

f. Reporting (ISR/ESR through www.esrs.gov) 100%

It is the contractor’s responsibility to propose goals that are achievable.

Adjustments to the above goals may be proposed and may be considered for negotiation by the Contracting Officer. The subcontracting plan will be evaluated in accordance with FAR 19.704 Subcontracting Plan Requirements, which can be accessed at the following website: https://www.acquisition.gov/

Contractors should be aware that failure to meet subcontracting goals in the performance of the contract may negatively impact performance evaluations, see also Clause 52.219‐16 Liquidated Damages – Subcontracting Plan.

2. Organized Site Visit.

An organized site visit has been scheduled on July 13th, 2022 from 9 a.m. – 11 a.m.

Alternate site visits will not be scheduled. Each entity is allowed two participants only.

Participants will meet at: NBAF Visitor Center, 1980 Denison Ave Manhattan, KS 66502.

REGRISTRATION is required. Please contact NBAFOH@usda.gov with your information by July 8th, 2022. Registrations received after July 8th, 2022 will not be considered. Each participant will need to provide a NBAF FORM 36, and NBAF FORM 37 attached and completed with their registration email.

All visitors, including their packages, hand carried items and vehicles, are subject to inspection upon entry, exit, and at any time while on NBAF property as per 41 CFR 102‐74.370.

Non‐US Citizen Visitors must present a valid passport demonstrating legal entry into the United States.

US citizens born outside of the US must present a valid US issued passport or proof of citizenship (e.g., Naturalized Citizenship Certificate).

All visitors should arrive a minimum of 30 minutes prior to the time set to meet the sponsor at the Visitor Center to allow time for security inspection at Post #1 (Denison Gate). The Security

Guards at Post #1 (Denison Gate) will ensure that the visitor is on the access roster and is approved for access to NBAF and will conduct an inspection of their vehicle. The vehicle inspection will be conducted on any vehicle, including a bus or taxi. Once the visitor has parked, they will then proceed to the Visitor Center.

Upon arrival to the Visitor Center, the visitor must report to the Security Service Desk. The visitor will sign their name, provide the name of their company/agency (if applicable), and sponsor information into the NBAF Visitor Log.

The sponsor and escort must ensure their visitors prominently wear the visitor badge while at

NBAF (except in select agent exclusion areas or when personal safety is at risk). The visitor badge is not permitted to leave NBAF for any reason.

Upon completion of their visit, all short‐term visitors (Mission and Non‐mission related) must return with their escort or sponsor to the Security Service Desk at the Visitor Center where they will turn in their visitor badge.

Prior to departing the Visitor Center NBAF Security will inspect all visitor bags and hand carried items.

Participants will be required to provide proof of a negative COVID 19 PCR or antigen test within 72 hours prior to onsite visit if Riley County is in the high or medium community level category according to CDC: COVID‐19 by County | CDC.

3. All questions must be submitted in writing to Lisa Draves at lisa.a.draves.usda.gov. Submit questions no later than five (5) days prior to the response deadline to ensure adequate time is available to respond and amend the solicitation if necessary. Telephone inquiries will not be honored.

4. A prospective contractor may be requested to provide additional information to assist the

Government in making a responsibility determination (FAR Subpart 9.1).

5. The U.S. Department of Agriculture (USDA) is an agency of the Federal Government and is tax exempt (Tax ID # 41‐069271).

6. Service Contract Wage Determination. Service Contract Wage Determination. The Service

Contract Act applies to this agreement unless the work under this contract is being performed by a person employed in a bona fide executive, administrative or professional capacity as these terms are defined in Part 541 of Title 29 (i.e. 29 CFR § 541.304 ‐ Practice of law or medicine).

The applicable Service Contract Act Wage Determination(s) will be incorporated under the resulting contract. Quoters are responsible for obtaining wage determination information applicable to the location of their proposed facility/location. Service Contract Act Wage Determinations can be accessed at beta.SAM.gov.

Contents

PRICING SCHEDULE

INSTRUCTIONS TO QUOTERS

PERFORMANCE WORK STATEMENT

1.0 General

1.1 Objective

1.2 Place of Performance

1.3 Contract Type

1.4 Period of Performance

1.5 Mission

1.5.1 Agricultural Research Services (ARS)

1.5.2 Animal and Plant Health Inspection Service (APHIS)

1.5.4 NBAF ARS Animal Disease Research Units

1.6 Background

2.0 Scope

2.1 Contractor Personnel Requirements and Qualifications

2.2 Contractor Key Personnel

3.0 Contractor Requirements/Tasks

3.1 Task One: Onsite Mid-Level Provider

3.2 Task Two: After Hours Mid-Level Provider Telephonic Consultation Line

3.3 Task Three: On-Call Competent Medical Authority (CMA)/Physician

3.4 Task Four: Radiography Services

4.0 Other Requirements

4.1 Recognized Federal Holidays

4.2 Invoice Requirements

4.3 Performance Measurements

4.4 Security Requirements

4.5 Disclosure of Sensitive or Proprietary Information

4.6 HIPPA, HITECH, and Privacy Act

4.7 Physical Security

4.8 Government Furnished Equipment, Information, Materials and Services

4.9 Ownership

4.10 Project/Program Manager

4.11 Quality Assurance

4.12 Identification of Contractor Employees

4.13 Supervision

4.14 Post Award Meeting

4.15 Contracting Officer’s Representative (COR)

4.16 Technical Direction

4.17 Deliverables

4.18 Nonpersonal Heath Care Services

4.18.1 Requirements Nonpersonal Health Care Services

4.19 Government Contacts

SECTION 5.0 Contract Clauses SECTION 6.0 Solicitation Provisions

Performance Work Statement

1.0 General

1.1 Objective

The objective of this acquisition is to obtain nonpersonal professional medical services from a qualified Contractor to support the National Bio and Agro‐ Defense Facility (NBAF) in meeting its health, safety, wellness, operational, and regulatory needs.

1.2 Place of Performance

Onsite medical services shall be performed at the NBAF Occupational Health Clinic:

NBAF Occupational Health Clinic National Bio and Agro‐Defense Facility (NBAF) 1980 Denison Ave Manhattan, Kansas 66502

All other services shall be performed at the contractor’s facility, or at the contractor’s remote location as specified.

The contractor may allow its personnel to perform work remotely unless otherwise specified.

The Contractor shall furnish its employees with the equipment required to provide secure remote support, if needed.

1.3 Contract Type

This is a firm‐fixed‐price Indefinite‐Delivery Indefinite‐Quantity (IDIQ) type contract. Services will be ordered through the issuance of individual task orders.

Task order prices will be in accordance with the fixed unit prices established in the Pricing Schedule. The unit price shall include all costs associated with furnishing and delivering all materials and for performing all work under the contract in a complete and acceptable manner. The unit price that will be paid for any line item will not be changed based on the quantity actually ordered by the Government. Contract and Task Order minimum and maximum amounts are specified in the following clauses: 52.216‐19 “Order Limitations” and 452.216‐73 “Minimum and Maximum Contract Amounts”. The ultimate contract price for any given contract period will be the sum of the task orders issued during that period.

1.4 Period of Performance

The period of performance for this contract shall include a base period of 12 months and four option periods, each 12 months in duration. The estimated date for contract award is September 2022.

1.5 Mission

The mission of the United States Department of Agriculture (USDA) is to provide leadership on food, agriculture, natural resources, and related issues based on sound public policy, the best available science, and efficient management. This acquisition will provide nonpersonal health care services to support the occupational health care program at the USDA National Bio and Agro‐Defense Facility (NBAF), a new state‐of‐the‐art biosafety level (BSL) 3 and 4 facility, located in Manhattan, KS.

1.5.1 Agricultural Research Services (ARS)

The Agricultural Research Service (ARS) is the U.S. Department of Agriculture's chief scientific research agency. Their job is finding solutions to agricultural problems that affect Americans every day, from field to table. ARS conducts research to develop and transfer solutions to agricultural problems of high national priority and provide information access and dissemination to:

ensure high‐quality, safe food, and other agricultural products assess the nutritional needs of Americans sustain a competitive agricultural economy enhance the natural resource base and the environment, and provides economic opportunities for rural citizens, communities, and society as a whole

1.5.2 Animal and Plant Health Inspection Service (APHIS)

The Animal and Plant Health Inspection Service (APHIS) is a multi‐faceted agency with a broad mission area that includes protecting and promoting U.S. agricultural health, regulating genetically engineered organisms, administering the Animal Welfare Act and carrying out wildlife damage management activities. These efforts support the overall mission of APHIS, which is to protect and promote food, agriculture, natural resources and related issues.

1.5.3 National Bio and Agro‐Defense Facility (NBAF)

The NBAF is operated by two USDA agencies (APHIS and ARS) and houses USDA programs focused on the diagnosis and research into foreign and emerging animal diseases, including two programs previously housed at the Plum Island Animal Disease Center: the APHIS Foreign Animal Disease Diagnostic Laboratory and the ARS Foreign Animal Disease Research Unit (FADRU).

1.5.4 NBAF ARS Animal Disease Research Units

At NBAF, ARS Animal Disease Research Units conduct basic and applied research on selected diseases of economic importance to the U.S. livestock and poultry industries and include the Foreign Animal Disease Research Unit (FADRU), Zoonotic and Emerging Disease Research Unit (ZEDRU) and the Foreign Arthropod Borne Animal Disease Research Unit (FABADRU). The goals of the research mission are to produce knowledge and technology to:

Reduce economic losses from emerging and foreign animal diseases to the livestock industries and associated rural agricultural communities

Prevent suffering and death caused by diseases in agriculturally important livestock.

1.6 Background

The United States Department of Agriculture (USDA), National Bio and Agro‐Defense Facility (NBAF), Safety, Health, and Environmental Management Unit (SHEM) provides biological, chemical, physical, radiological, and ergonomic safety and environmental services including, but not limited to convenient, efficient, and comprehensive occupational health services to nearly 450 workers.

The Occupational Safety and Health Administration (OSHA), under the General Duty Clause, Section 5(a)(1) of the Occupational Safety and Health Act of 1970, requires employers to furnish to each worker employment free from recognized hazards that are causing or are likely to cause death or serious physical harm. The NBAF conducts an occupational health program which provides the necessary framework to comply with the agencies’ obligation to maintain a safe workplace. All employees and NBAF‐associated personnel, including full‐time and part‐ time workers, are either required or encouraged to participate in the occupational health program. The program services are provided at no cost to participants.

The Centers for Disease Control and Prevention (CDC) encourages employers to provide their employees with preventive services, training and tools, and an environment to support healthy behaviors. The NBAF acknowledges the impact that health promotion and wellness policies, programs, practices, and strategies can have in the workplace. The NBAF strives to reduce worker health risks and improve the quality of life of its employees by supporting sensible wellness initiatives.

2.0 Scope

The Contractor shall provide professional medical services to approximately 450 workers, as well as provide medical leadership, direction, guidance, and support to the Occupational Health Clinic (OHC) at the NBAF based in Manhattan, Kansas.

This is a commercial service contract for nonpersonal services. The Government shall not exercise any supervision or control over the contract service providers performing the services specified.

Contract personnel shall be accountable solely to the Contractor who, in turn, is responsible to the Government. The contractor shall provide medical services in conjunction with other non‐contract providers to include two USDA employed registered nurses. Services shall include the following tasks as summarized below (see Section 2.0, Contractor Requirements/Tasks):

Task 1: Onsite Mid‐Level Provider Perform on‐site occupational medicine examinations and consultation services, 20 productive work hours per week, within the mid‐level’s scope of practice and/or education experience.

Additionally, the mid‐level provider’s services provided shall be in accordance with their collaborative agreement which is required in the State of Kansas.

Task 2: After Hours Mid‐Level Provider Telephonic Consultation Line Provide telephonic medical consultation on an as‐needed basis with availability required during the specified days and times.

Task 3: Competent Medical Authority (CMA)/Physician consultation services

Task 4: Radiography Services Perform Offsite Radiological Test: Posteroanterior (PA) (1‐view) and Radiological Test: Lateral (LAT)(2‐view) medical tests on an as‐needed basis

2.1 Contractor Personnel Requirements and Qualifications

Experienced staff with specialized education and training is required throughout the established performance period. The Contractor shall ensure and certify that the staff, physician(s) and mid‐ level(s), satisfy all of the following requirements and provide copies annually or upon request of licenses and credential documents to the COR. Contractor is responsible for providing its own staff with Occupational Health related services related to job hazards and federal and state regulatory requirements to meet or exceed NBAF staff requirements.

2.1.1 Primary Competent Medical Authority (CMA)/Physcian

a) Doctor of Medicine, Doctor of Osteopathic Medicine, or equivalent degree from a school in the United States or Canada. This degree must have been accredited by the Council on Medical Education of the American Medical Association, Association of American Medical Colleges, Liaison Committee on Medical Education, Commission on Osteopathic College Accreditation of the American Osteopathic Association, or an accrediting body recognized by the U.S. Department of Education at the time the degree was obtained;

b) Current, active, full, and unrestricted license to practice medicine or surgery in the state of Kansas

c) Shall be an occupational medicine physician board‐certified by the American Board of Preventive Medicine in Occupational Medicine.

d) Shall be proficient in written and spoken English.

e) Shall be US Citizen

2.1.2 Alternate Competent Medical Authority (CMA)/Physican

a) Doctor of Medicine, Doctor of Osteopathic Medicine, or equivalent degree from a school in the United States or Canada. This degree must have been accredited by the Council on Medical Education of the American Medical Association, Association of American Medical Colleges, Liaison Committee on Medical Education, Commission on Osteopathic College Accreditation of the American Osteopathic Association, or an accrediting body recognized by the U.S. Department of Education at the time the degree was obtained;

b) Current, active, full, and unrestricted license to practice medicine or surgery in the state of Kansas

c) An occupational medicine physician shall be board‐certified by the American Board of Preventive Medicine in Occupational Medicine or board‐certified by an American Board of Medical Specialties (ABMS) member board in Family Medicine.

The alternate CMA cannot substitute for the CMA for more than a two‐week period at a given time.

d) Shall be proficient in written and spoken English.

e) Shall be US Citizen

2.1.3 Mid‐Level Provider: Advanced Practice Registered Nurse (APRN) or Physician Assistant (PA)

2.1.3.1 APRN

Advanced Practice Registered Nurse (APRN) and legally defined as an APRN who meets the requirements established by the Kansas Nurse Practice Act (Chapter 65, Article 11) KSA 65‐1113 and K.S.A. 65‐1130 et al, and who holds a current license as a Registered Nurse and a license to practice as an APRN in the state of Kansas. An authorization for collaborative practice will be held by and between the collaborating physician and the APRN to meet the requirements in K.A.R. 60‐11‐101

(b) “Authorization for collaborative practice”.*

a) A graduate or higher‐level degree in nursing from an accredited educational program in the area of expertise or specialty. This education must have been accredited by the Commission on Collegiate Nursing Education, Council on Accreditation of Nurse Anesthesia Educational Programs, Accreditation Commission for Midwifery Education or an accrediting body recognized by the U.S. Department of Education at the time the degree was obtained.

Degree from Foreign Nursing School: Official certification from the Commission on Graduates of Foreign Nursing Schools is required for individuals who graduated from foreign nursing schools.

b) Current, active, full, and unrestricted license in the state of Kansas and registration as a graduate professional nurse

c) A nurse practitioner must be licensed or otherwise recognized as a nurse practitioner in the state of Kansas, possess a master's degree from a program accredited by the NLNAC or CCNE, and maintain full and current certification as a nurse practitioner from the American Nurses Association or another nationally recognized certifying body;

d) Shall have and maintain Basic Life Support (BLS) certification.

e) Shall be proficient in written and spoken English.

f) Shall be a current US Citizen

* After Hours Mid‐Level Provider Telephonic Consultation Line provider may possess a current, active, full, and unrestricted telemedicine waiver in lieu of Kansas license requirement. Those who hold a Telemedicine Waiver in Kansas shall be subject to all the rules and regulations pertaining to the practice of the licensed profession in this state and shall be considered a licensee for the purposes of the professional practice acts administered by the KSBHA.

2.1.3.2 Physician Assistant

A person who is licensed in accordance with the provisions of K.S.A. 65‐28a04 and amendments thereto and who provides patient services under the direction and supervision of a supervising physician. K.S.A 65‐28a08. *

a) Graduation from a physician assistant educational program, accredited by the Accreditation Review Committee on Education for the Physician Assistant (ARC‐PA) or its predecessors, at a college, university, or educational institution that is accredited by an accrediting body or organization recognized by the U.S.

Department of Education at the time the degree was obtained.

b) Successful completion of the National Commission on Certification of Physician Assistants (NCCPA) examination; must maintain status as a certified physician assistant, including completion of all requirements for Continuing Medical Education (CME) and re‐certification.

c) Current, active, full, and unrestricted license in the state of Kansas and registration as a physician’s assistant

d) Shall be a current US Citizen

e) Shall have and maintain Basic Life Support (BLS) certification

f) Shall be proficient in written and spoken English.

*After Hours Mid‐Level Provider Telephonic Consultation Line provider may possess an current, active, full, and unrestricted telemedicine waiver in leu of Kansas license requirement. Those who hold a Telemedicine Waiver in Kansas shall be subject to all the rules and regulations pertaining to the practice of the licensed profession in this state and shall be considered a licensee for the purposes of the professional practice acts administered by the KSBHA.

2.2 Contractor Key Personnel

The personnel specified in this section are considered Key Personnel. Before replacing any individual designated as Key Personnel, the Contractor shall notify the Contracting Officer no less than 15 days in advance, submit written justification for the replacement, and provide the name and qualifications of any proposed substitute(s). All proposed substitutes shall possess qualifications equal to or superior to those of the individual being replaced except for the alternate physician who is not required to be an Occupational Health Certified physician. The alternate physician shall be board‐certified by an American Board of Medical Specialties (ABMS) member board in Family Medicine if not certified in

Occupation Health and cannot substitute for the CMA for more than a two‐week period at a given time. The contractor shall not replace Key Personnel without acknowledgement and approval from the Contracting Officer. See 452.237‐74 Key Personnel.

Key Personnel:

Offsite Physician/CMA – Primary: (Name TBD) Offsite Physician ‐ Alternate 1: (Name TBD) Mid‐Level Provider – Primary: (Name TBD) Mid‐Level Provider ‐ Alternate 1: (Name TBD) Mid‐Level Provider ‐ Alternate 2 (optional): (Name TBD)

3.0 Contractor Requirements/Tasks

This section defines the task requirements that the contractor must complete or support during contract performance.

3.1 Task One: Onsite Mid-Level Provider

The contractor shall provide a mid‐level provider and alternate(s) to serve as the on‐site licensed medical provider for NBAF. The mid‐level provider shall come on‐site to the NBAF to provide occupational medicine services and examinations for 20 productive work hours per week.

Scheduled Hours. The scheduled hours must be within the hours of 8:00 a.m. and 4:00 p.m. (CST) Monday‐ Friday excluding Federal Holidays. Services shall be provided on a regular recurring weekly basis throughout the base period and each option period. The actual dates and times for these service hours will be coordinated and scheduled during the post‐award, kick‐off meeting between the USDA COR (or their designated authority) and the Contractor.

Productive hours do not include lunch breaks or travel time required to reach the NBAF occupational health clinic. Scheduled hours or lengths may be adjusted, as mutually agreed upon by the government and contractor, in order to meet the health needs of NBAF. Hours in excess of 20 productive hours per week are not authorized.

3.1.1 Onsite Mid‐Level Provider Absences and Leave

The contractor shall notify the COR when the Mid‐Level Provider is unavailable due to illness or emergency, the contractor shall provide an alternate. See Section 5.2.3 Contractor Key Personnel.

3.1.2 Appointment Coordination

The USDA NBAF Occupational Health Nurse (or their designated authority) will coordinate and schedule the appointments for the Contractor. The Appointments will be scheduled in 30 or 60 minute slots depending on reason for visit and/or type of examination. Contractor shall arrive on‐site to the NBAF in a timely manner to be ready to begin and complete appointments on time. If no appointments are scheduled for the time when the Contractor is on‐site (or between appointments), then the Contractor shall review diagnostic and laboratory results, provide medical recommendations based on current, evidence‐based medical guidelines for consultation requests by the USDA and/or USDA personnel, and/or any other service described in this section.

3.1.3 Other Requirements.

The onsite Mid‐level provider shall maintain a collaborative agreement, as required, to meet the requirements of K.S.A 65‐1130(d)(2) or K.S.A ‐28a08.

3.1.4 Payment for Onsite Mid‐level Provider.

The unit of measurement for payment is per week. Services shall be ordered annually for continuous service throughout the base period and each option period.

3.1.5 Onsite Occupational Examinations

The contractor mid‐level provider shall perform the following onsite occupational examinations specified in this section during scheduled hours:

3.1.6.1 Baseline Examinations (Pre-placement/Pre-Exposure)

USDA supervisors, in collaboration with USDA health and safety personnel, will identify occupational hazards after performing task‐based, job hazard analyses of by their workers and work areas. These occupational hazards are documented in a hazard inventory form that is provided to the USDA‐NBAF medical liaison. Workers with potential exposure to hazardous agents are enrolled in specific occupational medical surveillance programs based on the information provided in a hazard inventory form.

Baseline examinations are conducted before the employee starts work in a position with potential exposure to hazardous agents, providing baseline data that can be compared with subsequent testing to assess for clinically significant changes as well as the employee’s suitability for the job.

The USDA will provide the Contractor with documentation stating the employment position’s functional requirements, environmental factors, and essential duties required of the candidate. The Contractor shall perform pre‐ placement medical examinations with consideration to these functional requirements, environmental factors, and essential duties as stated in the candidate’s position description. The Contractor shall indicate any medical findings that would limit the candidate’s ability to perform the job duties of the position and/or render the candidate a hazard to themselves or others in a physician determination and/or written opinion.

The components of the baseline examinations may include, but are not limited to: review of systems, physical examination, audiometric testing, pulmonary function testing, laboratory testing, vision screening, tuberculosis screening, electrocardiography, chest radiography, and/or other tests as requested by the USDA and/or as recommended by the Contractor to determine suitability of the candidate for the job. The Contractor shall have the capability to review the results of the aforementioned components.

The USDA COR (or their designated authority) will authorize, coordinate, and schedule pre‐placement examination appointments with the Contractor. The Contractor shall complete these appointments, and all the necessary associated medical examination and/or testing, within three (3) scheduled working days from the exam date or as otherwise agreed upon by USDA.

and following applicable Federal, State, and local laws and regulations.

3.1.6.2 Periodic Examinations

Periodic examinations are conducted during employment when potential for exposure to hazardous agents exists. The frequency and extent of periodic examination will vary and depend on the nature of the hazards and other requirements of the specific Occupational Health Medical Surveillance Program.

As with pre‐placement examinations, the components of the periodic examination may include, but are not limited to: review of systems, physical examination, audiometric testing, pulmonary function testing, laboratory testing, vision screening, tuberculosis screening, electrocardiography, chest radiography, and/or other tests as requested by the USDA and/or as recommended by the Contractor to determine continued suitability of the worker for the job. The Contractor shall have the ability to independently perform and review the results of the aforementioned components. The Contractor shall indicate any medical findings that would limit the candidate’s ability to perform the job duties of the position and/or render the candidate a hazard to themselves or others in a physician determination and/or written opinion.

schedule pre‐placement examination appointments with the Contractor. The Contractor shall complete these appointments, and all the requested necessary associated medical examination and/or testing, within three (3) scheduled working days from the exam date or as otherwise agreed upon by USDA. and following applicable Federal, State, and local laws and regulations.

3.1.6.3 Situational Examinations

Situational examinations are conducted when the worker may have been exposed to a hazardous agent after a specific incident, or occasionally for other reasons as recommended by the USDA. Due to the nature of the work performed at the NBAF, it is imperative that the USDA has the ability to consult with the Contractor as needed to obtain specific medical recommendations for workers that have been exposed or potentially exposed to hazardous biological, chemical, physical, or radiological agent(s).

The Contractor shall respond to USDA inquiries regarding worker exposure or potential exposure to hazardous agents within 1 hours of notice during scheduled working hours.

schedule situational examination appointments with the Contractor. The Contractor shall complete these appointments, and all associated medical examination and/or testing, within one (1) scheduled working day after request by the USDA and following applicable Federal, State, and local laws and regulations.

3.1.6.4 Termination Examinations

Termination examinations are conducted when the worker transfers or terminates employment from a position with actual or potential exposure to hazardous agents. The medical information acquired during the termination examination is essential for the purposes of comparison if the worker later develops medical issues that could be attributed to past occupational hazardous exposures.

The Contractor shall perform termination examinations with consideration to the worker’s past medical history, occupational history, and related hazard(s) assessments.

schedule termination examination appointments with the Contractor. The Contractor shall complete these appointments, and all the requested associated medical examination and/or testing, within three (3) scheduled working days from the exam date or as otherwise agreed upon by USDA and following applicable Federal, State, and local laws and regulations.

3.1.6.5 Return to Work Examinations

Return to work examinations are conducted to ensure that workers are able to safely return to the workplace after the worker has missed work for medical reasons or has been medically recommended restricted or modified duty. Generally, these examinations are completed after the worker has been released to return to full duty by their personal healthcare provider.

Return to work examinations should not only assess the physiological status of the worker, but also the psychological, economic, and social effects resulting from the worker’s medical issues.

The USDA COR or (their designated authority) will authorize, coordinate, and schedule pre‐placement examination appointments with the Contractor.

The Contractor shall complete these appointments, and all the requested associated medical examination and/or testing, within three (3) scheduled working days from the exam date or otherwise agreed upon by the USDA and following applicable Federal, State, and local laws and regulations.

3.1.6.6 Specialty Examinations

Due to the specialized work performed at the NBAF, certain USDA workers will need to complete specialty medical examinations tailored to the hazards in their work area. The specific components of these exams will be detailed in the OHMS Medical Matrix. The Contractor shall indicate any medical findings that would limit the candidate’s ability to perform the job duties of the position and/or render the candidate a hazard to themselves or others in a physician determination and/or written opinion.

The USDA COR (or their designated authority will authorize, coordinate, and schedule specialty examination appointments with the Contractor. The Contractor shall complete these appointments, and all the requested associated medical examination and/or testing, within three (3) scheduled working days from the exam date or otherwise agreed upon by the USDA and following applicable Federal, State, and local laws and regulations.

3.1.6.7 Workers’ Compensation Examinations

The Federal Employees' Compensation (FECA) program assists federal civilian employees who have sustained work‐related injuries or disease by providing appropriate monetary and medical benefits and help in returning to work. Monetary benefits include compensation for lost wages and permanent impairment. Medical benefits provided to injured Federal employees include payment for reasonable and necessary medical treatment for work‐related injury or disease. Physical and vocational rehabilitation benefits may also be provided. The program also provides benefits to dependents if a work‐related injury or disease causes death.

The Federal employee is entitled under FECA to select the physician who is to provide treatment. The provider must meet the definition of “physician” under the FECA and must not have been excluded from payment under the program. Physicians employed by or under contract to the agency may examine the Federal employee at the agency’s facility in accordance with OPM regulations. However, the employee’s choice of physician must be honored, and treatment by the Federal employee’s physician must not be delayed for the purpose of obtaining an agency directed medical examination.

The Contractor shall perform workers’ compensation examinations in accordance with FECA, Department of Labor guidelines, and following applicable Federal, State, and local laws and regulations.

3.1.6.8 Simple Exposure Examinations

The FECA does not provide for payment of expenses associated with simple exposure to an infectious disease without the occurrence of a work‐related injury. Similarly, fear of exposure to an infectious agent does not entitle the worker to benefits under the FECA, since no definable injury has occurred.

The Contractor shall perform non‐workers’ compensation exposure examinations while on‐site.

3.1.6 Examination Components, Reporting, and Documentation

The Contractor shall use the appropriate forms provided by USDA to document the findings and results of an examination, unless otherwise specified by the local Occupational Health Plan. The Contractor shall independently perform and review the results. The Contractor shall complete and return these identified forms to the COR (or their designated authority) within two (2) working days from examination date or as otherwise agreed upon by USDA. The Contractor shall use identified electronic health record systems provided by USDA(Cority), unless otherwise specified by the USDA to document the findings and results of an examination, or otherwise explicitly stated by the USDA COR (or their designated authority).

3.2 Task Two: After Hours Mid-Level Provider Telephonic Consultation Line

The Contractor shall provide a mid‐level provider to provide unrestricted telephonic medical consultation services on an as‐needed basis including nights and weekends with minimum availability required:

Sunday 12:00 a.m.‐ Monday 6:00 a.m.

Monday 6:00 p.m. – Tuesday 6:00 a.m.

Tuesday 6:00 p.m. – Wednesday 6:00 a.m.

Wednesday 6:00 p.m. – Thursday 6 a.m.

Thursday 6:00 p.m. – Friday 6:00 a.m.

Friday 6:00 p.m. – Saturday 6:00 a.m.

Saturday 12:00 a.m. – Saturday 11:59 pm

Services shall be provided on a regular recurring weekly basis throughout the base period and each option period, including Federal Holidays. A phone number must be made available to USDA during the post‐award, kick‐off meeting between USDA COR (or their designated authority) and the Vendor.

3.2.1 Payment for After Hours Mid‐Level Provider Consultation Line.

The unit of measurement for payment is per week. Services shall be ordered annually for continuous service throughout the base period and each option period.

3.3 Task Three: On-Call Competent Medical Authority (CMA)/Physician

The Contractor shall provide a physician focused on occupational medicine that shall consult on all aspects of the NBAF Occupational Health Program. The physician (CMA) serves as the medical director for all the medical programs to include but not limited to biological, chemical, and regulatory programs offered at NBAF. Services shall be provided on an as‐ needed basis and include combination of program and medical consultation services.

The contractor Physician (CMA) shall be available on‐call (non‐restricted) from 6:00 a.m. and 6:00 p.m., Monday to Friday (60 hours per week) including Federal Holidays, to provide medical consultation services as requested by the COR (or their designated authority).

The Physician (CMA) shall provide verbal recommendations and/or advice for cases presented under consultation and provide a written statement or opinion to the USDA within 24 hours of consultation or the next business day, or as otherwise mutually agreed upon by both parties. The CMA will have a cell phone available for communication at all times and the number will be provided to the COR during the post award kick‐off meeting.

3.3.1 Program Consultation

The contractor physician (CMA) shall be responsible for maintaining awareness of the hazards present in the facility; assist with creating and updating medical protocols appropriate to job hazards and medical surveillance as needed; assist with creating and updating medical protocols for first aid and emergency management procedures as needed; assist with creating and updating medical protocols for wellness initiatives and activities as needed; responsible for providing standing orders for onsite immunizations, and providing other medical consultation and support services as needed by the USDA.

The Contractor shall periodically review the NBAF Occupational Health Plan and provide medical recommendations on occupational health services, policies, and procedures as requested by the COR or other designated authority. The National Bio and Agro‐ Defense Facility (NBAF) will utilize a basic hazard‐specific OHMS Medical Matrix intended to standardize the components and requirements for the medical surveillance, monitoring, and certification programs conducted on campus. The CMA shall assist as needed with maintaining, directing, and revising the OHMS Medical Matrix including individual program elements, as needed and/or as requested by the USDA.

3.3.2 Medical Consultation

The physician shall work closely with the contractor on‐site mid‐level provider and USDA NBAF employed Registered Nurses to meet the health, safety, wellness, operational, and regulatory needs of the NBAF/USDA.