Solicitation - FA301021R0001.pdf

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Attached to
Cardiovascular Center Staffing Federal contract opportunity
Solicitation number
FA301021R0001
Issued by
Department of the Air Force Air Education and Training Command

About this file

Written by GovTribe AI ·

This is a solicitation for cardiovascular center staffing services to support the 81st Medical Group at Keesler Air Force Base. The contractor shall provide three full-time equivalent technicians for the cardiac catheterization laboratory, two full-time equivalent registered nurses for the cardiology clinic and catheterization laboratory, one full-time equivalent nurse practitioner for cardiology services, one full-time equivalent registered nurse for utilization management and as a team lead, one full-time equivalent medical coder for cardiovascular services, and one full-time equivalent picture archiving and communications system administrator for cardiovascular services. The period of performance is from March 1, 2021 through February 28, 2022, with an option to extend for an additional year.

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Other files for this federal contract opportunity

Other files attached to Cardiovascular Center Staffing, newest first.
File Type Posted
Questions and Answers.pdf PDF
Attachment 2- WD 15 5147 Rev 11 dated 26Jun2020.pdf PDF
Attachment 3- Past Performance List of References.pdf PDF
Attachment 4- Past Performance Questionnaire.pdf PDF
Attachment 1- PWS Cardiology COE 9Nov2020.pdf PDF

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SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

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

1. REQUISITION NUMBER PAGE 1 OF

2. CONTRACT NO. 3. AWARD/EFFECTIVE

DATE

4. ORDER NUMBER 5. SOLICITATION NUMBER 6. SOLICITATION ISSUE

DATE

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME b. TELEPHONE NUMBER (No collect calls)

8. OFFER DUE DATE/

LOCAL TIME

9. ISSUED BY

13b. RATING

14. METHOD OF SOLICITATION

CODE

15. DELIVER TO 16. ADMINISTERED BY CODE

18a. PAYMENT WILL BE MADE BY CODE17a. CONTRACTOR/

OFFEROR

CODE

FACILITY

CODE

CODE

TELEPHONE NO.

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

OFFER

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

BELOW IS CHECKED

RFQ IFB RFP

SEE ADDENDUM

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

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

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

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

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

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

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

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 2/2012)

Prescribed by GSA - FAR (48 CFR) 53.212

10. THIS ACQUISITION IS UNRESTRICTED OR

NAICS:

SIZE STANDARD:

13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

SET ASIDE: % FOR:

11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

ARE ARE NOT ATTACHED

ARE ARE NOT ATTACHED

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

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

8 (A)

EDWOSB

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

SMALL BUSINESS

FA301021R0001

Solicitation/Contract Form

Defense Priorities Allocation System (DPAS) Priority Rating: 17 DEC 2020

Supplies or Services and Prices/Cost

Additional Information/Notes

Item Supplies/Service Quantity Unit Unit Price Amount

Nurse Practitioner - Cardiology (1 FTE) in accordance with (IAW) the attached Performance Work Statement (PWS) dated 9 Nov 2020. Base Period of Performance: 1 Mar 2021 - 28 Feb 2022. Non-Personal Service.

Firm Fixed Price

2,000 Hours

Overage - Provide overage services for 1 FTE Nurse Practitioner- Cardiology IAW the attached PWS dated 9 Nov 2020. Base Period of Performance: 1 Mar 2021 - 28 Feb 2022. Non-Personal Service

Firm Fixed Price

30 Hours

Registered Nurse - Cardiology Clinic /Cardiac Catheterization Laboratory (2 FTE) IAW the attached PWS dated 9 Nov 2020. Base Period of Performance: 1 Mar2021 - 28 Feb 2022. Non-Personal Service.

Firm Fixed Price

4,000 Hours

On-Call - Provide on-call services for 2 FTE Registered Nurse - Cardiology Clinic /Cardiac Catheterization Laboratory IAW the attached PWS dated 9 Nov 2020. Base Period of Performance: 1 Mar 2021 - 28 Feb 2022. Non-Personal Service.

Firm Fixed Price

3,000 Hours

Overage - Provide overage services for 2 FTE Registered Nurse - Cardiology Clinic /Cardiac Catheterization Laboratory IAW the attached PWS dated 9 Nov 2020. Base Period of Performance: 1 Mar 2021 - 28 Feb 2022. Non-Personal Service.

Firm Fixed Price

200 Hours

Registered Nurse - Utilization Manager /Care Coordinator/Team Lead (1 FTE) IAW the attached PWS dated 9 Nov 2020.

Base Period of Performance: 1 Mar 2021 - 28 Feb 2022. Non-Personal Service.

Firm Fixed Price

2,000 Hours

Overage - Provide overage services for 1 FTE Registered Nurse - Utilization Manager/Care Coordinator/Team Lead IAW the attached PWS dated 9 Nov 2020. 24 Hours

Base Period of Performance: 1 Mar 2021 - 28 Feb 2022. Non-Personal Service.

Firm Fixed Price

Technicians - Cardiac Catheterization Laboratory (3 FTE) IAW the attached PWS dated 9 Nov 2020. Base Period of Performance: 1 Mar 2021 - 28 Feb 2022.

Non-Personal Service.

Firm Fixed Price

6,000 Hours

On-Call - Provide on-call services for 3 FTE Technicians - Cardiac Catheterization Laboratory IAW the attached PWS dated 9 Nov 2020. Base Period of Performance: 1 Mar 2021 - 28 Feb 2022. Non-Personal Service.

Firm Fixed Price

4,500 Hours

Overage - Provide overage services for 3 FTE Technicians - Cardiac Catheterization Laboratory IAW the attached PWS dated 9 Nov 2020. Base Period of Performance: 1 Mar 2021 - 28 Feb 2022. Non-Personal Service.

Firm Fixed Price

360 Hours

Picture Archiving and Communications System (PACS) Administrator (1 FTE) IAW the attached PWS dated 9 Nov 2020.

Base Period of Performance: 1 Mar 2021 - 28 Feb 2022. Non-Personal Service.

Firm Fixed Price

2,000 Hours

Overage - Provide overage services for 1 FTE PACS Administrator IAW the attached PWS dated 9 Nov 2020. Base Period of Performance: 1 Mar 2021 - 28 Feb 2022. Non-Personal Service.

Firm Fixed Price

30 Hours

Medical Coder (1 FTE) IAW the attached PWS dated 9 Nov 2020. Base Period of Performance: 1 Mar 2021 - 28 Feb 2022.

Non-Personal Service.

Firm Fixed Price

2,000 Hours

Overage - Provide overage services for 1 FTE Medical Coder IAW the attached PWS dated 9 Nov 2020. Base Period of Performance: 1 Mar 2021 - 28 Feb 2022.

Non-Personal Service.

Firm Fixed Price

12 Hours

Option

Nurse Practitioner - Cardiology (1 FTE) in accordance with (IAW) the attached

Line Item

Performance Work Statement (PWS) dated 9 Nov 2020. Base Period of Performance: 1 Mar 2022 - 28 Feb 2023. Non-Personal Service.

Firm Fixed Price

2,000 Hours

Option Line Item

Overage - Provide overage services for 1 FTE Nurse Practitioner - Cardiology IAW the attached PWS dated 9 Nov 2020. Base Period of Performance: 1 Mar 2022 - 28 Feb 2023. Non-Personal Service.

Firm Fixed Price

30 Hours

Option Line Item

Registered Nurse - Cardiology Clinic /Cardiac Catheterization Laboratory (2 FTE) IAW the attached PWS dated 9 Nov 2020. Base Period of Performance: 1 Mar 2022 - 28 Feb 2023. Non-Personal Service.

Firm Fixed Price

4,000 Hours

Option Line Item

On-Call - Provide on-call services for 2 FTE Registered Nurse - Cardiology Clinic /Cardiac Catheterization Laboratory IAW the attached PWS dated 9 Nov 2020. Base Period of Performance: 1 Mar 2022 - 28 Feb 2023. Non-Personal Service.

Firm Fixed Price

3,000 Hours

Option Line Item

Overage - Provide overage services for 2 FTE Registered Nurse - Cardiology Clinic /Cardiac Catheterization Laboratory IAW the attached PWS dated 9 Nov 2020. Base Period of Performance: 1 Mar 2022 - 28 Feb 2023. Non-Personal Service.

Firm Fixed Price

200 Hours

Option Line Item

Registered Nurse - Utilization Manager /Care Coordinator/Team Lead (1 FTE) IAW the attached PWS dated 9 Nov 2020.

Base Period of Performance: 1 Mar 2022 - 28 Feb 2023. Non-Personal Service.

Firm Fixed Price

2,000 Hours

Option Line Item

Overage - Provide overage services for 1 FTE Registered Nurse - Utilization Manager/Care Coordinator/Team Lead IAW the attached PWS dated 9 Nov 2020.

Base Period of Performance: 1 Mar 2022 - 28 Feb 2023. Non-Personal Service.

Firm Fixed Price

24 Hours

Option Line Item

Technicians - Cardiac Catheterization Laboratory (3 FTE) IAW the attached PWS dated 9 Nov 2020. Base Period of Performance: 1 Mar 2022 - 28 Feb 2023.

Non-Personal Service.

Firm Fixed Price

6,000 Hours

Option Line Item

On-Call - Provide on-call services for 3 FTE Technicians - Cardiac Catheterization Laboratory IAW the attached PWS dated 9 Nov 2020. Base Period of Performance: 1 Mar 2022 - 28 Feb 2023. Non-Personal Service.

Firm Fixed Price

4,500 Hours

Option Line Item

Overage - Provide overage services for 3 FTE Technicians - Cardiac Catheterization Laboratory IAW the attached PWS dated 9 Nov 2020. Base Period of Performance: 1 Mar 2022 - 28 Feb 2023. Non-Personal Service.

Firm Fixed Price

360 Hours

Option Line Item

Picture Archiving and Communications System (PACS) Administrator (1 FTE) IAW the attached PWS dated 9 Nov 2020.

Base Period of Performance: 1 Mar 2022 - 28 Feb 2023. Non-Personal Service.

Firm Fixed Price

2,000 Hours

Option Line Item

Overage - Provide overage services for 1 FTE PACS Administrator IAW the attached PWS dated 9 Nov 2020. Base Period of Performance: 1 Mar 2022 - 28 Feb 2023. Non-Personal Service.

Firm Fixed Price

30 Hours

Option Line Item

Medical Coder (1 FTE) IAW the attached PWS dated 9 Nov 2020. Base Period of Performance: 1 Mar 2022 - 28 Feb 2023.

Non-Personal Service.

Firm Fixed Price

2,000 Hours

Option Line Item

Overage - Provide overage services for 1 FTE Medical Coder IAW the attached PWS dated 9 Nov 2020. Base Period of Performance: 1 Mar 2022 - 28 Feb 2023.

Non-Personal Service.

Firm Fixed Price

12 Hours

Description/Specifications/Statement of Work

Requirements Cardiovascular Center Staffing

Packaging and Marking

Inspection and Acceptance

0001 Inspection and Acceptance Location Both Destination Instructions: N/A

DoDAAC: F2J4PC Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

PROFESSIONAL CONTRACTS MEDICAL

AF BPN NO MILSBILLS PROCESSES

301 FISHER ST RM 1A132 BLDG 468 5TH

KEESLER AFB, MS 39534 5300

UNITED STATES

OfficeCode:

Professional Contracts Medical Telephone: 228-376-5000 Email: usaf.keesler.81-mdg.list.contract-management@mail.mil

0002 Inspection and Acceptance Location Both Destination Instructions: N/A

DoDAAC: F2J4PC Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

PROFESSIONAL CONTRACTS MEDICAL

AF BPN NO MILSBILLS PROCESSES

301 FISHER ST RM 1A132 BLDG 468 5TH

KEESLER AFB, MS 39534 5300

UNITED STATES

OfficeCode:

Professional Contracts Medical Telephone: 228-376-5000 Email: usaf.keesler.81-mdg.list.contract-management@mail.mil

0003 Inspection and Acceptance Location Both Destination Instructions: N/A

DoDAAC: F2J4PC Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

PROFESSIONAL CONTRACTS MEDICAL

AF BPN NO MILSBILLS PROCESSES

301 FISHER ST RM 1A132 BLDG 468 5TH

KEESLER AFB, MS 39534 5300

UNITED STATES

OfficeCode:

Professional Contracts Medical Telephone: 228-376-5000 Email: usaf.keesler.81-mdg.list.contract-management@mail.mil

0004 Inspection and Acceptance Location Both Destination Instructions: N/A

DoDAAC: F2J4PC Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

PROFESSIONAL CONTRACTS MEDICAL

AF BPN NO MILSBILLS PROCESSES

301 FISHER ST RM 1A132 BLDG 468 5TH

KEESLER AFB, MS 39534 5300

UNITED STATES

OfficeCode:

Professional Contracts Medical Telephone: 228-376-5000 Email: usaf.keesler.81-mdg.list.contract-management@mail.mil

0005 Inspection and Acceptance Location Both Destination Instructions: N/A

DoDAAC: F2J4PC Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

PROFESSIONAL CONTRACTS MEDICAL

AF BPN NO MILSBILLS PROCESSES

301 FISHER ST RM 1A132 BLDG 468 5TH

KEESLER AFB, MS 39534 5300

UNITED STATES

OfficeCode:

Professional Contracts Medical Telephone: 228-376-5000 Email: usaf.keesler.81-mdg.list.contract-management@mail.mil

Inspection and Acceptance Location Both Destination Instructions: N/A

DoDAAC: F2J4PC Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

PROFESSIONAL CONTRACTS MEDICAL

AF BPN NO MILSBILLS PROCESSES

301 FISHER ST RM 1A132 BLDG 468 5TH

KEESLER AFB, MS 39534 5300

UNITED STATES

OfficeCode:

Professional Contracts Medical Telephone: 228-376-5000 Email: usaf.keesler.81-mdg.list.contract-management@mail.mil

0007 Inspection and Acceptance Location Both Destination Instructions: N/A

DoDAAC: F2J4PC Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

PROFESSIONAL CONTRACTS MEDICAL

AF BPN NO MILSBILLS PROCESSES

301 FISHER ST RM 1A132 BLDG 468 5TH

KEESLER AFB, MS 39534 5300

UNITED STATES

OfficeCode:

Professional Contracts Medical Telephone: 228-376-5000 Email: usaf.keesler.81-mdg.list.contract-management@mail.mil

0008 Inspection and Acceptance Location Both Destination Instructions: N/A

DoDAAC: F2J4PC Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

PROFESSIONAL CONTRACTS MEDICAL

AF BPN NO MILSBILLS PROCESSES

301 FISHER ST RM 1A132 BLDG 468 5TH

KEESLER AFB, MS 39534 5300

UNITED STATES

OfficeCode:

Professional Contracts Medical Telephone: 228-376-5000 Email: usaf.keesler.81-mdg.list.contract-management@mail.mil

0009 Inspection and Acceptance Location Both Destination Instructions: N/A

DoDAAC: F2J4PC Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

PROFESSIONAL CONTRACTS MEDICAL

AF BPN NO MILSBILLS PROCESSES

301 FISHER ST RM 1A132 BLDG 468 5TH

KEESLER AFB, MS 39534 5300

UNITED STATES

OfficeCode:

Professional Contracts Medical Telephone: 228-376-5000 Email: usaf.keesler.81-mdg.list.contract-management@mail.mil

0010 Inspection and Acceptance Location Both Destination Instructions: N/A

DoDAAC: F2J4PC Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

PROFESSIONAL CONTRACTS MEDICAL

AF BPN NO MILSBILLS PROCESSES

301 FISHER ST RM 1A132 BLDG 468 5TH

KEESLER AFB, MS 39534 5300

UNITED STATES

OfficeCode:

Professional Contracts Medical Telephone: 228-376-5000 Email: usaf.keesler.81-mdg.list.contract-management@mail.mil

0011 Inspection and Acceptance Location Both Destination Instructions: N/A

DoDAAC: F2J4PC Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

PROFESSIONAL CONTRACTS MEDICAL

AF BPN NO MILSBILLS PROCESSES

301 FISHER ST RM 1A132 BLDG 468 5TH

KEESLER AFB, MS 39534 5300

UNITED STATES

OfficeCode:

Professional Contracts Medical Telephone: 228-376-5000 Email: usaf.keesler.81-mdg.list.contract-management@mail.mil

0012 Inspection and Acceptance Location Both Destination Instructions: N/A

DoDAAC: F2J4PC Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

PROFESSIONAL CONTRACTS MEDICAL

AF BPN NO MILSBILLS PROCESSES

301 FISHER ST RM 1A132 BLDG 468 5TH

KEESLER AFB, MS 39534 5300

UNITED STATES

OfficeCode:

Professional Contracts Medical Telephone: 228-376-5000 Email: usaf.keesler.81-mdg.list.contract-management@mail.mil

0013 Inspection and Acceptance Location Both Destination Instructions: N/A

DoDAAC: F2J4PC Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

PROFESSIONAL CONTRACTS MEDICAL

AF BPN NO MILSBILLS PROCESSES

301 FISHER ST RM 1A132 BLDG 468 5TH

KEESLER AFB, MS 39534 5300

UNITED STATES

OfficeCode:

Professional Contracts Medical Telephone: 228-376-5000 Email: usaf.keesler.81-mdg.list.contract-management@mail.mil

0014 Inspection and Acceptance Location Both Destination Instructions: N/A

DoDAAC: F2J4PC Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

PROFESSIONAL CONTRACTS MEDICAL

AF BPN NO MILSBILLS PROCESSES

301 FISHER ST RM 1A132 BLDG 468 5TH

KEESLER AFB, MS 39534 5300

UNITED STATES

OfficeCode:

Professional Contracts Medical Telephone: 228-376-5000 Email: usaf.keesler.81-mdg.list.contract-management@mail.mil

Option Line Item 1001 Inspection and Acceptance Location Both Destination Instructions: N/A

DoDAAC: F2J4PC Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

PROFESSIONAL CONTRACTS MEDICAL

AF BPN NO MILSBILLS PROCESSES

301 FISHER ST RM 1A132 BLDG 468 5TH

KEESLER AFB, MS 39534 5300

UNITED STATES

OfficeCode:

Professional Contracts Medical Telephone: 228-376-5000 Email: usaf.keesler.81-mdg.list.contract-management@mail.mil

Option Line Item 1002 Inspection and Acceptance Location Both Destination Instructions: N/A

DoDAAC: F2J4PC Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

PROFESSIONAL CONTRACTS MEDICAL

AF BPN NO MILSBILLS PROCESSES

301 FISHER ST RM 1A132 BLDG 468 5TH

KEESLER AFB, MS 39534 5300

UNITED STATES

OfficeCode:

Professional Contracts Medical Telephone: 228-376-5000 Email: usaf.keesler.81-mdg.list.contract-management@mail.mil

Option Line Item 1003 Inspection and Acceptance Location Both Destination Instructions: N/A

DoDAAC: F2J4PC Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

PROFESSIONAL CONTRACTS MEDICAL

AF BPN NO MILSBILLS PROCESSES

301 FISHER ST RM 1A132 BLDG 468 5TH

KEESLER AFB, MS 39534 5300

UNITED STATES

OfficeCode:

Professional Contracts Medical Telephone: 228-376-5000 Email: usaf.keesler.81-mdg.list.contract-management@mail.mil

Option Line Item 1004 Inspection and Acceptance Location Both Destination Instructions: N/A

DoDAAC: F2J4PC Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

PROFESSIONAL CONTRACTS MEDICAL

AF BPN NO MILSBILLS PROCESSES

301 FISHER ST RM 1A132 BLDG 468 5TH

KEESLER AFB, MS 39534 5300

UNITED STATES

OfficeCode:

Professional Contracts Medical Telephone: 228-376-5000 Email: usaf.keesler.81-mdg.list.contract-management@mail.mil

Option Line Item 1005

Inspection and Acceptance Location Both Destination Instructions: N/A

DoDAAC: F2J4PC Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

PROFESSIONAL CONTRACTS MEDICAL

AF BPN NO MILSBILLS PROCESSES

301 FISHER ST RM 1A132 BLDG 468 5TH

KEESLER AFB, MS 39534 5300

UNITED STATES

OfficeCode:

Professional Contracts Medical Telephone: 228-376-5000 Email: usaf.keesler.81-mdg.list.contract-management@mail.mil

Option Line Item 1006 Inspection and Acceptance Location Both Destination Instructions: N/A

DoDAAC: F2J4PC Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

PROFESSIONAL CONTRACTS MEDICAL

AF BPN NO MILSBILLS PROCESSES

301 FISHER ST RM 1A132 BLDG 468 5TH

KEESLER AFB, MS 39534 5300

UNITED STATES

OfficeCode:

Professional Contracts Medical Telephone: 228-376-5000 Email: usaf.keesler.81-mdg.list.contract-management@mail.mil

Option Line Item 1007 Inspection and Acceptance Location Both Destination Instructions: N/A

DoDAAC: F2J4PC Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

PROFESSIONAL CONTRACTS MEDICAL

AF BPN NO MILSBILLS PROCESSES

301 FISHER ST RM 1A132 BLDG 468 5TH

KEESLER AFB, MS 39534 5300

Professional Contracts Medical Telephone: 228-376-5000 Email: usaf.keesler.81-mdg.list.contract-management@mail.mil

Option Line Item 1008 Inspection and Acceptance Location Both Destination Instructions: N/A

DoDAAC: F2J4PC Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

PROFESSIONAL CONTRACTS MEDICAL

AF BPN NO MILSBILLS PROCESSES

301 FISHER ST RM 1A132 BLDG 468 5TH

KEESLER AFB, MS 39534 5300

UNITED STATES

OfficeCode:

Professional Contracts Medical Telephone: 228-376-5000 Email: usaf.keesler.81-mdg.list.contract-management@mail.mil

Option Line Item 1009 Inspection and Acceptance Location Both Destination Instructions: N/A

DoDAAC: F2J4PC Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

PROFESSIONAL CONTRACTS MEDICAL

AF BPN NO MILSBILLS PROCESSES

301 FISHER ST RM 1A132 BLDG 468 5TH

KEESLER AFB, MS 39534 5300

UNITED STATES

OfficeCode:

Professional Contracts Medical Telephone: 228-376-5000 Email: usaf.keesler.81-mdg.list.contract-management@mail.mil

Option Line Item 1010 Inspection and Acceptance Location Both Destination Instructions: N/A

Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

PROFESSIONAL CONTRACTS MEDICAL

AF BPN NO MILSBILLS PROCESSES

301 FISHER ST RM 1A132 BLDG 468 5TH

KEESLER AFB, MS 39534 5300

UNITED STATES

OfficeCode:

Professional Contracts Medical Telephone: 228-376-5000 Email: usaf.keesler.81-mdg.list.contract-management@mail.mil

Option Line Item 1011 Inspection and Acceptance Location Both Destination Instructions: N/A

DoDAAC: F2J4PC Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

PROFESSIONAL CONTRACTS MEDICAL

AF BPN NO MILSBILLS PROCESSES

301 FISHER ST RM 1A132 BLDG 468 5TH

KEESLER AFB, MS 39534 5300

UNITED STATES

OfficeCode:

Professional Contracts Medical Telephone: 228-376-5000 Email: usaf.keesler.81-mdg.list.contract-management@mail.mil

Option Line Item 1012 Inspection and Acceptance Location Both Destination Instructions: N/A

DoDAAC: F2J4PC Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

PROFESSIONAL CONTRACTS MEDICAL

AF BPN NO MILSBILLS PROCESSES

301 FISHER ST RM 1A132 BLDG 468 5TH

KEESLER AFB, MS 39534 5300

UNITED STATES

OfficeCode:

Professional Contracts Medical Telephone: 228-376-5000

Option Line Item 1013 Inspection and Acceptance Location Both Destination Instructions: N/A

DoDAAC: F2J4PC Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

PROFESSIONAL CONTRACTS MEDICAL

AF BPN NO MILSBILLS PROCESSES

301 FISHER ST RM 1A132 BLDG 468 5TH

KEESLER AFB, MS 39534 5300

UNITED STATES

OfficeCode:

Professional Contracts Medical Telephone: 228-376-5000 Email: usaf.keesler.81-mdg.list.contract-management@mail.mil

Option Line Item 1014 Inspection and Acceptance Location Both Destination Instructions: N/A

DoDAAC: F2J4PC Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

PROFESSIONAL CONTRACTS MEDICAL

AF BPN NO MILSBILLS PROCESSES

301 FISHER ST RM 1A132 BLDG 468 5TH

KEESLER AFB, MS 39534 5300

UNITED STATES

OfficeCode:

Professional Contracts Medical Telephone: 228-376-5000

Deliveries or Performance

Delivery Schedule Ship To Address

Place of Performance DoDAAC: F2J4PC Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

PROFESSIONAL CONTRACTS MEDICAL

AF BPN NO MILSBILLS PROCESSES

301 FISHER ST RM 1A132 BLDG 468 5TH

KEESLER AFB, MS 39534 5300

UNITED STATES

OfficeCode:

Professional Contracts Medical Telephone: 228-376-5000 Email: usaf.keesler.81-mdg.list.contract-management@mail.mil

Period of Performance From

01 MAR 2021

To

28 FEB 2022

Delivery Schedule Ship To Address

Place of Performance DoDAAC: F2J4PC Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

PROFESSIONAL CONTRACTS MEDICAL

AF BPN NO MILSBILLS PROCESSES

301 FISHER ST RM 1A132 BLDG 468 5TH

KEESLER AFB, MS 39534 5300

UNITED STATES

OfficeCode:

Professional Contracts Medical Telephone: 229-376-5000 Email: usaf.keesler.81-mdg.list.contract-management@mail.mil

Period of Performance From

01 MAR 2021

To

28 FEB 2022

Delivery Schedule Ship To Address

Place of Performance DoDAAC: F2J4PC Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

PROFESSIONAL CONTRACTS MEDICAL

AF BPN NO MILSBILLS PROCESSES

301 FISHER ST RM 1A132 BLDG 468 5TH

KEESLER AFB, MS 39534 5300

UNITED STATES

OfficeCode:

Professional Contracts Medical Telephone: 228-376-5000 Email: usaf.keesler.81-mdg.list.contract-management@mail.mil

Period of Performance From

01 MAR 2021

To

28 FEB 2022

Delivery Schedule Ship To Address

Place of Performance DoDAAC: F2J4PC Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

PROFESSIONAL CONTRACTS MEDICAL

AF BPN NO MILSBILLS PROCESSES

301 FISHER ST RM 1A132 BLDG 468 5TH

KEESLER AFB, MS 39534 5300

UNITED STATES

OfficeCode:

Professional Contracts Medical Telephone: 228-367-5000 Email: usaf.keesler.81-mdg.list.contract-management@mail.mil

Period of Performance From

01 MAR 2021

To

28 FEB 2022

Delivery Schedule Ship To Address

Place of Performance DoDAAC: F2J4PC Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

PROFESSIONAL CONTRACTS MEDICAL

AF BPN NO MILSBILLS PROCESSES

301 FISHER ST RM 1A132 BLDG 468 5TH

KEESLER AFB, MS 39534 5300

UNITED STATES

OfficeCode:

Professional Contracts Medical Telephone: 228-376-5000 Email: usaf.keesler.81-mdg.list.contract-management@mail.mil

Period of Performance From

01 MAR 2021

To

28 FEB 2022

Delivery Schedule Ship To Address

Place of Performance DoDAAC: F2J4PC Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

PROFESSIONAL CONTRACTS MEDICAL

AF BPN NO MILSBILLS PROCESSES

301 FISHER ST RM 1A132 BLDG 468 5TH

KEESLER AFB, MS 39534 5300

UNITED STATES

OfficeCode:

Professional Contracts Medical Email: usaf.keesler.81-mdg.list.contract-management@mail.mil Telephone: 228-376-5000

Period of Performance From

01 MAR 2021

To

28 FEB 2022

Delivery Schedule Ship To Address

Place of Performance DoDAAC: F2J4PC Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

PROFESSIONAL CONTRACTS MEDICAL

AF BPN NO MILSBILLS PROCESSES

301 FISHER ST RM 1A132 BLDG 468 5TH

KEESLER AFB, MS 39534 5300

Professional Contracts Medical Telephone: 228-376-5000 Email: usaf.keesler.81-mdg.list.contract-management@mail.mil

Period of Performance From

01 MAR 2021

To

28 FEB 2022

Delivery Schedule Ship To Address

Place of Performance DoDAAC: F2J4PC Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

PROFESSIONAL CONTRACTS MEDICAL

AF BPN NO MILSBILLS PROCESSES

301 FISHER ST RM 1A132 BLDG 468 5TH

KEESLER AFB, MS 39534 5300

UNITED STATES

OfficeCode:

Professional Contracts Medical Telephone: 228-376-5000 Email: usaf.keesler.81-mdg.list.contract-management@mail.mil

Period of Performance From

01 MAR 2021

To

28 FEB 2022

Delivery Schedule Ship To Address

Place of Performance DoDAAC: F2J4PC Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

PROFESSIONAL CONTRACTS MEDICAL

AF BPN NO MILSBILLS PROCESSES

301 FISHER ST RM 1A132 BLDG 468 5TH

KEESLER AFB, MS 39534 5300

UNITED STATES

OfficeCode:

Professional Contracts Medical Telephone: 228-376-5000 Email: usaf.keesler.81-mdg.list.contract-management@mail.mil

Period of Performance From

01 MAR 2021

To

28 FEB 2022

Delivery Schedule Ship To Address

Place of Performance DoDAAC: F2J4PC Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

PROFESSIONAL CONTRACTS MEDICAL

AF BPN NO MILSBILLS PROCESSES

301 FISHER ST RM 1A132 BLDG 468 5TH

KEESLER AFB, MS 39534 5300

UNITED STATES

OfficeCode:

Professional Contracts Medical Telephone: 228-376-5000 Email: usaf.keesler.81-mdg.list.contract-management@mail.mil

Period of Performance From

01 MAR 2021

To

28 FEB 2022

Delivery Schedule Ship To Address

Place of Performance DoDAAC: F2J4PC Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

PROFESSIONAL CONTRACTS MEDICAL

AF BPN NO MILSBILLS PROCESSES

301 FISHER ST RM 1A132 BLDG 468 5TH

KEESLER AFB, MS 39534 5300

UNITED STATES

OfficeCode:

Professional Contracts Medical Telephone: 228-376-5000 Email: usaf.keesler.81-mdg.list.contract-management@mail.mil

Period of Performance From

01 MAR 2021

To

28 FEB 2022

Delivery Schedule Ship To Address

Place of Performance DoDAAC: F2J4PC Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

PROFESSIONAL CONTRACTS MEDICAL

AF BPN NO MILSBILLS PROCESSES

301 FISHER ST RM 1A132 BLDG 468 5TH

KEESLER AFB, MS 39534 5300

UNITED STATES

OfficeCode:

Professional Contracts Medical Telephone: 228-376-5000 Email: usaf.keesler.81-mdg.list.contract-management@mail.mil

Period of Performance From

01 MAR 2021

To

28 FEB 2022

Delivery Schedule Ship To Address

Place of Performance DoDAAC: F2J4PC Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

PROFESSIONAL CONTRACTS MEDICAL

AF BPN NO MILSBILLS PROCESSES

301 FISHER ST RM 1A132 BLDG 468 5TH

KEESLER AFB, MS 39534 5300

UNITED STATES

OfficeCode:

Professional Contracts Medical Telephone: 228-376-5000 Email: usaf.keesler.81-mdg.list.contract-management@mail.mil

Period of Performance From

01 MAR 2021

To

28 FEB 2022

Delivery Schedule Ship To Address

Place of Performance

Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

PROFESSIONAL CONTRACTS MEDICAL

AF BPN NO MILSBILLS PROCESSES

301 FISHER ST RM 1A132 BLDG 468 5TH

KEESLER AFB, MS 39534 5300

UNITED STATES

OfficeCode:

Professional Contracts Medical Email: usaf.keesler.81-mdg.list.contract-management@mail.mil Telephone: 228-376-5000

Period of Performance From

01 MAR 2021

To

28 FEB 2022

Option Line Item 1001 Delivery Schedule Ship To Address

Place of Performance DoDAAC: F2J4PC Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

PROFESSIONAL CONTRACTS MEDICAL

AF BPN NO MILSBILLS PROCESSES

301 FISHER ST RM 1A132 BLDG 468 5TH

KEESLER AFB, MS 39534 5300

UNITED STATES

OfficeCode:

Professional Contracts Medical Telephone: 228-376-5000 Email: usaf.keesler.81-mdg.list.contract-management@mail.mil

Period of Performance From

01 MAR 2022

To

28 FEB 2023

Option Line Item 1002 Delivery Schedule Ship To Address

Place of Performance DoDAAC: F2J4PC Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

PROFESSIONAL CONTRACTS MEDICAL

AF BPN NO MILSBILLS PROCESSES

301 FISHER ST RM 1A132 BLDG 468 5TH

KEESLER AFB, MS 39534 5300

UNITED STATES

OfficeCode:

Professional Contracts Medical Telephone: 229-376-5000 Email: usaf.keesler.81-mdg.list.contract-management@mail.mil

Period of Performance From

01 MAR 2022

To

28 FEB 2023

Option Line Item 1003 Delivery Schedule Ship To Address

Place of Performance DoDAAC: F2J4PC Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

PROFESSIONAL CONTRACTS MEDICAL

AF BPN NO MILSBILLS PROCESSES

301 FISHER ST RM 1A132 BLDG 468 5TH

KEESLER AFB, MS 39534 5300

UNITED STATES

OfficeCode:

Professional Contracts Medical Telephone: 228-376-5000 Email: usaf.keesler.81-mdg.list.contract-management@mail.mil

Period of Performance From

01 MAR 2022

To

28 FEB 2023

Option Line Item 1004 Delivery Schedule Ship To Address

Place of Performance DoDAAC: F2J4PC Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

PROFESSIONAL CONTRACTS MEDICAL

AF BPN NO MILSBILLS PROCESSES

301 FISHER ST RM 1A132 BLDG 468 5TH

KEESLER AFB, MS 39534 5300

UNITED STATES

OfficeCode:

Professional Contracts Medical Telephone: 228-367-5000

Email: usaf.keesler.81-mdg.list.contract-management@mail.mil

Period of Performance From

01 MAR 2022

To

28 FEB 2023

Option Line Item 1005 Delivery Schedule Ship To Address

Place of Performance DoDAAC: F2J4PC Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

PROFESSIONAL CONTRACTS MEDICAL

AF BPN NO MILSBILLS PROCESSES

301 FISHER ST RM 1A132 BLDG 468 5TH

KEESLER AFB, MS 39534 5300

UNITED STATES

OfficeCode:

Professional Contracts Medical Telephone: 228-376-5000 Email: usaf.keesler.81-mdg.list.contract-management@mail.mil

Period of Performance From

01 MAR 2022

To

28 FEB 2023

Option Line Item 1006 Delivery Schedule Ship To Address

Place of Performance DoDAAC: F2J4PC Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

PROFESSIONAL CONTRACTS MEDICAL

AF BPN NO MILSBILLS PROCESSES

301 FISHER ST RM 1A132 BLDG 468 5TH

KEESLER AFB, MS 39534 5300

UNITED STATES

OfficeCode:

Professional Contracts Medical Email: usaf.keesler.81-mdg.list.contract-management@mail.mil Telephone: 228-376-5000

Period of Performance From

01 MAR 2022

To

28 FEB 2023

Option Line Item 1007 Delivery Schedule Ship To Address

Place of Performance DoDAAC: F2J4PC Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

PROFESSIONAL CONTRACTS MEDICAL

AF BPN NO MILSBILLS PROCESSES

301 FISHER ST RM 1A132 BLDG 468 5TH

KEESLER AFB, MS 39534 5300

UNITED STATES

OfficeCode:

Professional Contracts Medical Telephone: 228-376-5000 Email: usaf.keesler.81-mdg.list.contract-management@mail.mil

Period of Performance From

01 MAR 2022

To

28 FEB 2023

Option Line Item 1008 Delivery Schedule Ship To Address

Place of Performance DoDAAC: F2J4PC Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

PROFESSIONAL CONTRACTS MEDICAL

AF BPN NO MILSBILLS PROCESSES

301 FISHER ST RM 1A132 BLDG 468 5TH

KEESLER AFB, MS 39534 5300

UNITED STATES

OfficeCode:

Professional Contracts Medical Telephone: 228-376-5000 Email: usaf.keesler.81-mdg.list.contract-management@mail.mil

Period of Performance From

01 MAR 2022

To

28 FEB 2023

Delivery Schedule Ship To Address

Option Line Item 1009 Place of Performance

DoDAAC: F2J4PC Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

PROFESSIONAL CONTRACTS MEDICAL

AF BPN NO MILSBILLS PROCESSES

301 FISHER ST RM 1A132 BLDG 468 5TH

KEESLER AFB, MS 39534 5300

UNITED STATES

OfficeCode:

Professional Contracts Medical Telephone: 228-376-5000 Email: usaf.keesler.81-mdg.list.contract-management@mail.mil

Period of Performance From

01 MAR 2022

To

28 FEB 2023

Option Line Item 1010 Delivery Schedule Ship To Address

Place of Performance DoDAAC: F2J4PC Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

PROFESSIONAL CONTRACTS MEDICAL

AF BPN NO MILSBILLS PROCESSES

301 FISHER ST RM 1A132 BLDG 468 5TH

KEESLER AFB, MS 39534 5300

UNITED STATES

OfficeCode:

Professional Contracts Medical Telephone: 228-376-5000 Email: usaf.keesler.81-mdg.list.contract-management@mail.mil

Period of Performance From

01 MAR 2022

To

28 FEB 2023

Option Line Item 1011 Delivery Schedule Ship To Address

Place of Performance DoDAAC: F2J4PC Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

PROFESSIONAL CONTRACTS MEDICAL

AF BPN NO MILSBILLS PROCESSES

301 FISHER ST RM 1A132 BLDG 468 5TH

KEESLER AFB, MS 39534 5300

UNITED STATES

OfficeCode:

Professional Contracts Medical Telephone: 228-376-5000 Email: usaf.keesler.81-mdg.list.contract-management@mail.mil

Period of Performance From

01 MAR 2022

To

28 FEB 2023

Option Line Item 1012 Delivery Schedule Ship To Address

Place of Performance DoDAAC: F2J4PC Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

PROFESSIONAL CONTRACTS MEDICAL

AF BPN NO MILSBILLS PROCESSES

301 FISHER ST RM 1A132 BLDG 468 5TH

KEESLER AFB, MS 39534 5300

UNITED STATES

OfficeCode:

Professional Contracts Medical Telephone: 228-376-5000 Email: usaf.keesler.81-mdg.list.contract-management@mail.mil

Period of Performance From

01 MAR 2022

To

28 FEB 2023

Option Line Item 1013 Delivery Schedule Ship To Address

Place of Performance DoDAAC: F2J4PC Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

PROFESSIONAL CONTRACTS MEDICAL

AF BPN NO MILSBILLS PROCESSES

301 FISHER ST RM 1A132 BLDG 468 5TH

KEESLER AFB, MS 39534 5300

Professional Contracts Medical Telephone: 228-376-5000 Email: usaf.keesler.81-mdg.list.contract-management@mail.mil

Period of Performance From

01 MAR 2022

To

28 FEB 2023

Option Line Item 1014 Delivery Schedule Ship To Address

Place of Performance DoDAAC: F2J4PC Cage:

DunsNumber:

Duns4Number:

CountryCode: USA

PROFESSIONAL CONTRACTS MEDICAL

AF BPN NO MILSBILLS PROCESSES

301 FISHER ST RM 1A132 BLDG 468 5TH

KEESLER AFB, MS 39534 5300

UNITED STATES

OfficeCode:

Professional Contracts Medical Email: usaf.keesler.81-mdg.list.contract-management@mail.mil Telephone: 228-376-5000

Period of Performance From

01 MAR 2022

To

28 FEB 2023

Contract Administration Data

DFARS Clauses Incorporated by Reference

Number Title Effective Date 252.201-7000 Contracting Officer's Representative 1991-12 252.232-7003 Electronic Submission of Payment Requests and Receiving Reports. 2018-12

DFARS Clauses Incorporated by Full Text

252.232-7006 Wide Area WorkFlow Payment Instructions. 2018-12

As prescribed in 232.7004(b), use the following clause:

WIDE AREA WORKFLOW PAYMENT INSTRUCTIONS (DEC 2018)

(a) Definitions. As used in this clause—

“Department of Defense Activity Address Code (DoDAAC)” is a six position code that uniquely identifies a unit, activity, or organization.

“Document type” means the type of payment request or receiving report available for creation in Wide Area WorkFlow (WAWF).

“Local processing office (LPO)” is the office responsible for payment certification when payment certification is done external to the entitlement system.

“Payment request” and “receiving report” are defined in the clause at 252.232-7003, Electronic Submission of Payment Requests and Receiving Reports.

(b) Electronic invoicing. The WAWF system provides the method to electronically process vendor payment requests and receiving reports, as authorized by Defense Federal Acquisition Regulation Supplement (DFARS) 252.232-7003, Electronic Submission of Payment Requests and Receiving Reports.

(c) WAWF access. To access WAWF, the Contractor shall—

(1) Have a designated electronic business point of contact in the System for Award Management at https://www.sam.gov; and

(2) Be registered to use WAWF at https://wawf.eb.mil/ following the step-by-step procedures for self-registration available at this web site.

(d) WAWF training. The Contractor should follow the training instructions of the WAWF Web-Based Training Course and use the Practice Training Site before submitting payment requests through WAWF. Both can be accessed by selecting the “Web Based Training” link on the WAWF home page at https://wawf.eb.mil/

(e) WAWF methods of document submission. Document submissions may be via web entry, Electronic Data Interchange, or File Transfer Protocol.

(f) WAWF payment instructions. The Contractor shall use the following information when submitting payment requests and receiving reports in WAWF for this contract or task or delivery order:

(1) Document type. The Contractor shall submit payment requests using the following document type(s):

(i) For cost-type line items, including labor-hour or time-and-materials, submit a cost voucher.

(ii) For fixed price line items—

(A) That require shipment of a deliverable, submit the invoice and receiving report specified by the Contracting Officer.

(B) For services that do not require shipment of a deliverable, submit either the Invoice 2in1, which meets the requirements for the invoice and receiving report, or the applicable invoice and receiving report, as specified by the Contracting Officer.

Combo

(iii) For customary progress payments based on costs incurred, submit a progress payment request.

(iv) For performance based payments, submit a performance based payment request.

(v) For commercial item financing, submit a commercial item financing request.

(2) ) Fast Pay requests are only permitted when Federal Acquisition Regulation (FAR) 52.213-1 is included in the contract.

(f) [Note: The Contractor may use a WAWF “combo” document type to create some combinations of invoice and receiving report in one step.]

(3) Document routing. The Contractor shall use the information in the Routing Data Table below only to fill in applicable fields in WAWF when creating payment requests and receiving reports in the system.

Routing Data Table*

Field Name in WAWF Data to be entered in WAWF Pay Official DoDAAC F87700

Issue By DoDAAC FA3010 Admin DoDAAC FA3010 Inspect By DoDAAC F2J4PC Ship To Code F2J4PC Ship From Code N/A Mark For Code N/A Service Approver (DoDAAC) F2J4PC Service Acceptor (DoDAAC) F2J4PC Accept at Other DoDAAC N/A LPO DoDAAC N/A DCAA Auditor DoDAAC N/A Other DoDAAC(s) N/A

(4) Payment request. The Contractor shall ensure a payment request includes documentation appropriate to the type of payment request in accordance with the payment clause, contract financing clause, or Federal Acquisition Regulation 52.216-7, Allowable Cost and Payment, as applicable.

(5) Receiving report. The Contractor shall ensure a receiving report meets the requirements of DFARS Appendix F.

(g) WAWF point of contact.

(1) The Contractor may obtain clarification regarding invoicing in WAWF from the following contracting activity’s WAWF point of contact.

usaf.keesler.81-mdg.list.contract-management@mail.mil

(2) Contact the WAWF helpdesk at 866-618-5988, if assistance is needed.

(End of clause)

Special Contract Requirements

Contract Clauses

Reference clause 52.228-5, INSURANCE - WORK ON A GOVERNMENT INSTALLATION

The Contractor shall, at its own expense, procure and thereafter maintain the following kinds of insurance with respect to performance under the contract.

(a) Workers' compensation and employer's liability. Contractors are required to comply with applicable Federal and State workers' compensation and occupational disease statutes. If occupational diseases are not compensable under those statutes, they shall be covered under the employer's liability section of the insurance policy, except when contract operations are so commingled with a contractor's commercial operations that it would not be practical to require this coverage. Employer's liability coverage of at least $100,000 shall be required, except in States with exclusive or monopolistic funds that do not permit workers' compensation to be written by private carriers. (See 28.305(c) for treatment of contracts subject to the Defense Base Act.)

(b) General liability.

(1) The contracting officer shall require bodily injury liability insurance coverage written on the comprehensive form of policy of at least $500,000 per occurrence.

(2) Property damage liability insurance shall be required only in special circumstances as determined by the agency.

(c) Automobile liability. The contracting officer shall require automobile liability insurance written on the comprehensive form of policy. The policy shall provide for bodily injury and property damage liability covering the operation of all automobiles used in connection with performing the contract. Policies covering automobiles operated in the United States shall provide coverage of at least $200,000 per person and $500,000 per occurrence for bodily injury and $20,000 per occurrence for property damage. The amount of liability coverage on other policies shall be commensurate with any legal requirements of the locality and sufficient to meet normal and customary claims.

(d) Aircraft public and passenger liability. When aircraft are used in connection with performing the contract, the contracting officer shall require aircraft public and passenger liability insurance. Coverage shall be at least $200,000 per person and $500,000 per occurrence for bodily injury, other than passenger liability, and $200,000 per occurrence for property damage. Coverage for passenger liability bodily injury shall be at least $200,000 multiplied by the number of seats or passengers, whichever is greater.

(e) Vessel liability. When contract performance involves use of vessels, the contracting officer shall require, as determined by the agency, vessel collision liability and protection and indemnity liability insurance

BACKGROUND CHECKS

The contractor shall forward all background check information to the Hospital Security Manager (upon acceptance of candidate) 30 days prior to on-base performance. The Hospital Security Manager may be reached at 228-376-5018/4918.

Note: Hospital Security will no longer be able to process "walk-ins."

Individuals may schedule an appointment with the security manager by calling 228-376-5018/4918. The average appointment will take about 2 hours. We encourage you to notify professional contracts at 228-376-5000/5002/4695 immediately upon having contact information for new hires. We will contact the new employee to arrange an appointment time, and get them seen by security forces.

FAR Clauses Incorporated by Reference

Number Title Effective Date 52.203-3 Gratuities. 1984-04 52.203-12 Limitation on Payments to Influence Certain Federal Transactions. 2020-06 52.203-19 Prohibition on Requiring Certain Internal Confidentiality Agreements or Statements. 2017-01 52.204-4 Printed or Copied Double-Sided on Postconsumer Fiber Content Paper. 2011-05 52.204-9 Personal Identity Verification of Contractor Personnel. 2011-01 52.204-10 Reporting Executive Compensation and First-Tier Subcontract Awards. 2020-06 52.204-13 System for Award Management Maintenance. 2018-10 52.204-18 Commercial and Government Entity Code Maintenance. 2020-08

52.209-6 Protecting the Government's Interest When Subcontracting with Contractors Debarred, Suspended, or Proposed for Debarment.

2020-06

52.209-9 Updates of Publicly Available Information Regarding Responsibility Matters. 2018-10 52.212-4 Contract Terms and Conditions-Commercial Items. 2018-10 52.219-6 Notice of Total Small Business Set-Aside. 2020-03 52.222-3 Convict Labor. 2003-06 52.222-21 Prohibition of Segregated Facilities. 2015-04 52.222-37 Employment Reports on Veterans. 2020-06 52.222-40 Notification of Employee Rights Under the National Labor Relations Act. 2010-12

52.222-43 Fair Labor Standards Act and Service Contract Labor Standards-Price Adjustment (Multiple Year and Option Contracts).

2018-08

52.222-50 Combating Trafficking in Persons. 2020-10 52.222-54 Employment Eligibility Verification. 2015-10 52.222-55 Minimum Wages Under Executive Order 13658. 2015-12 52.222-62 Paid Sick Leave Under Executive Order 13706. 2017-01 52.223-5 Pollution Prevention and Right-to-Know Information. 2011-05 52.224-1 Privacy Act Notification. 1984-04 52.224-2 Privacy Act. 1984-04 52.225-13 Restrictions on Certain Foreign Purchases. 2008-06 52.228-5 Insurance-Work on a Government Installation. 1997-01 52.232-18 Availability of Funds. 1984-04 52.232-33 Payment by Electronic Funds Transfer-System for Award Management. 2018-10 52.232-40 Providing Accelerated Payments to Small Business Subcontractors. 2013-12 52.237-2 Protection of Government Buildings, Equipment, and Vegetation. 1984-04 52.242-13 Bankruptcy. 1995-07 52.253-1 Computer Generated Forms. 1991-01

DFARS Clauses Incorporated by Reference

Number Title Effective Date 252.203-7000 Requirements Relating to Compensation of Former DoD Officials 2011-09 252.203-7002 Requirement to Inform Employees of Whistleblower Rights. 2013-09 252.204-7000 Disclosure of Information 2016-10 252.204-7003 Control of Government Personnel Work Product. 1992-04 252.204-7004 Antiterrorism Awareness Training for Contractors. 2019-02 252.204-7012 Safeguarding Covered Defense Information and Cyber Incident Reporting. 2019-12 252.204-7015 Notice of Authorized Disclosure of Information for Litigation Support. 2016-05 252.204-7020 NIST SP 800-171 DoD Assessment Requirements. 2020-11 252.205-7000 Provision of Information to Cooperative Agreement Holders 1991-12

252.209-7004 Subcontracting with Firms that are Owned or Controlled by the Government of a Country that is a State Sponsor of Terrorism.

2019-05

252.223-7006 Prohibition on Storage, Treatment, and Disposal of Toxic or Hazardous Materials. 2014-09 252.225-7048 Export-Controlled Items. 2013-06

252.226-7001 Utilization of Indian Organizations, Indian-Owned Economic Enterprises, and Native Hawaiian Small Business Concerns.

2019-04

252.232-7010 Levies on Contract Payments. 2006-12 252.237-7010 Prohibition on Interrogation of Detainees by Contractor Personnel. 2013-06 252.243-7001 Pricing of Contract Modifications. 1991-12 252.243-7002 Requests for Equitable Adjustment. 2012-12 252.244-7000 Subcontracts for Commercial Items 2020-10

FAR Clauses Incorporated by Full Text

52.212-5 Contract Terms and Conditions Required to Implement Statutes or Executive Orders-Commercial Items. 2020-

As prescribed in 12.301(b)(4), insert the following clause:

Contract Terms and Conditions Required to Implement Statutes or Executive Orders-Commercial Items (Aug 2020)

(a) The Contractor shall comply with the following Federal Acquisition Regulation (FAR) clauses, which are incorporated in this contract by reference, to implement provisions of law or Executive orders applicable to acquisitions of commercial items:

(1) 52.203-19, Prohibition on Requiring Certain Internal Confidentiality Agreements or Statements (Jan 2017) (section 743 of Division E, Title VII, of the Consolidated and Further Continuing Appropriations Act, 2015 (Pub. L. 113-235) and its successor provisions in subsequent appropriations acts (and as extended in continuing resolutions)).

(2) 52.204-23, Prohibition on Contracting for Hardware, Software, and Services Developed or Provided by Kaspersky Lab and Other Covered Entities (Jul 2018) (Section 1634 of Pub. L. 115-91).

(3) 52.204-25, Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment. (Aug 2020) (Section 889 (a)(1)(A) of Pub. L. 115-232).

(4) 52.209-10, Prohibition on Contracting with Inverted Domestic Corporations (Nov 2015).

(5) 52.233-3, Protest After Award (Aug 1996) (31 U.S.C. 3553).

(6) 52.233-4, Applicable Law for Breach of Contract Claim (Oct 2004) (Public Laws 108-77 and 108-78 ( 19 U.S.C. 3805 note)).

(b) The Contractor shall comply with the FAR clauses in this paragraph (b) that the Contracting Officer has indicated as being incorporated in this contract by reference to implement provisions of law or Executive orders applicable to acquisitions of commercial items:

[Contracting Officer check as appropriate.]

[X] (1) 52.203-6, Restrictions on Subcontractor Sales to the Government (June 2020), with Alternate I (Oct 1995) (41 U.S.C. 4704 and 10 U.S.C.

2402).

[ ] (2) 52.203-13, Contractor Code of Business Ethics and Conduct (Jun 2020) (41 U.S.C. 3509)).

[ ] (3) 52.203-15, Whistleblower Protections under the American Recovery and Reinvestment Act of 2009 (Jun 2010) (Section 1553 of Pub. L. 111- 5). (Applies to contracts funded by the American Recovery and Reinvestment Act of 2009.)

[ ] (4) 52.204-10, Reporting Executive Compensation and First-Tier Subcontract Awards (Jun 2020) (Pub. L. 109-282) ( 31 U.S.C. 6101 note).

[ ] (5) [Reserved].

[ ] (6) 52.204-14, Service Contract Reporting Requirements (Oct 2016) (Pub. L. 111-117, section 743 of Div. C).

[ ] (7) 52.204-15, Service Contract Reporting Requirements for Indefinite-Delivery Contracts (Oct 2016) (Pub. L. 111-117, section 743 of Div. C).

[ ] (8) 52.209-6, Protecting the Government’s Interest When Subcontracting with Contractors Debarred, Suspended, or Proposed for Debarment. (Jun 2020) (31 U.S.C. 6101 note).

[ ] (9) 52.209-9, Updates of Publicly Available Information Regarding Responsibility Matters (Oct 2018) (41 U.S.C. 2313).

[ ] (10) [Reserved].

[ ] (11)

(i) 52.219-3, Notice of HUBZone Set-Aside or Sole-Source Award (Mar 2020) (15 U.S.C. 657a).

[ ] (ii) Alternate I (Mar 2020) of 52.219-3.

[ ] (12)

(i) 52.219-4, Notice of Price Evaluation Preference for HUBZone Small Business Concerns (Mar 2020) (if the offeror elects to waive the preference, it shall so indicate in its offer) (15 U.S.C. 657a).

[ ] (ii) Alternate I (Mar 2020) of 52.219-4.

[ ] (13) [Reserved]

[ ] (14)

(i) 52.219-6, Notice of Total Small Business Set-Aside (Mar 2020) of 52.219-6 (15 U.S.C. 644).

[ ] (ii) Alternate I (Mar 2020) of 52.219-6.

[ ] (15)

(i) 52.219-7, Notice of Partial Small Business Set-Aside (Mar 2020) (15 U.S.C. 644).

[ ] (ii) Alternate I (Mar 2020) of 52.219-7.

[x] (16) 52.219-8, Utilization of Small Business Concerns (Oct 2018) (15 U.S.C. 637(d)(2) and (3)).

[ ] (17)

(i) 52.219-9, Small Business Subcontracting Plan (Jun 2020) (15 U.S.C. 637(d)(4)).

[ ] (ii) Alternate I (Nov 2016) of 52.219-9.

[ ] (iii) Alternate II (Nov 2016) of 52.219-9.

[ ] (iv)Alternate III (Jun 2020) of 52.219-9.

[ ] (v)Alternate IV (Jun 2020) of 52.219-9

[ ] (18)

(i) 52.219-13, Notice of Set-Aside of Orders (Mar 2020) (15 U.S.C. 644(r)).

[ ](ii) Alternate I (Mar 2020) of 52.219-13.

[ ] (19) 52.219-14, Limitations on Subcontracting (Mar 2020) (15 U.S.C. 637(a)(14)).

[ ] (20) 52.219-16, Liquidated Damages-Subcontracting Plan (Jan 1999) (15 U.S.C. 637(d)(4)(F)(i)).

[ ] (21) 52.219-27, Notice of Service-Disabled Veteran-Owned Small Business Set-Aside (Mar 2020) (15 U.S.C. 657f).

[ ] (22)

(i) 52.219-28, Post Award Small Business Program Rerepresentation (May 2020) (15 U.S.C. 632(a)(2)).

[ ](ii) Alternate I (MAR 2020) of 52.219-28.

[ ] (23) 52.219-29, Notice of Set-Aside for, or Sole Source Award to, Economically Disadvantaged Women-Owned Small Business Concerns (Mar 2020) (15 U.S.C. 637(m)).

[ ] (24) 52.219-30, Notice of Set-Aside for, or Sole Source Award to, Women-Owned Small Business Concerns Eligible Under the Women-Owned Small Business Program (Mar2020) (15 U.S.C. 637(m)).

[ ] (25) 52.219-32, Orders Issued Directly Under Small Business Reserves (Mar 2020) (15 U.S.C. 644(r)).

[ ] (26) 52.219-33, Nonmanufacturer Rule (Mar 2020) (15U.S.C. 637(a)(17)).

[ ] (27) 52.222-3, Convict Labor (Jun 2003) (E.O.11755).

[ ] (28) 52.222-19, Child Labor-Cooperation with Authorities and Remedies (Jan2020) (E.O.13126).

[ ] (29) 52.222-21, Prohibition of Segregated Facilities (Apr 2015).

[ ] (30)

(i) 52.222-26, Equal Opportunity (Sep 2016) (E.O.11246).

[ ] (ii) Alternate I (Feb 1999) of 52.222-26.

[x] (31)

(i) 52.222-35, Equal Opportunity for Veterans (Jun 2020) (38 U.S.C. 4212).

[ ] (ii) Alternate I (Jul 2014) of 52.222-35.

[X] (32)

(i) 52.222-36, Equal Opportunity for Workers with Disabilities (Jun 2020) (29 U.S.C. 793).

[ ] (ii) Alternate I (Jul 2014) of 52.222-36.

[ ] (33) 52.222-37, Employment Reports on Veterans (Jun 2020) (38 U.S.C. 4212).

[ ] (34) 52.222-40, Notification of Employee Rights Under the National Labor…

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