Solicitation - W81K0026RA040 Professional Appearance.pdf

WOMEN-OWNED SMALL

BUSINESS (WOSB)

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES

1. REQUISITION NUMBER PAGE 1 OF

2. CONTRACT NUMBER 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 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 NUMBER

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

REQUEST

FOR QUOTE

(RFQ)

INVITATION

FOR BID

(IFB)

REQUEST

FOR

PROPOSAL

(RFP)

SEE ADDENDUM

19.

ITEM NUMBER

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 Government 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: REFERENCE 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. 11/2021)

Prescribed by GSA - FAR (48 CFR) 53.212

10. THIS ACQUISITION IS UNRESTRICTED OR

NORTH AMERICAN

INDUSTRY CLASSIFICATION

STANDARD (NAICS):

SIZE STANDARD:

13a. THIS CONTRACT IS A

RATED ORDER UNDER

THE DEFENSE PRIORITIES

AND ALLOCATIONS

SYSTEM - DPAS (15 CFR 700)

SET ASIDE: % FOR:

11. DELIVERY FOR FREE ON

BOARD (FOB) DESTINATION

UNLESS BLOCK IS MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

ARE ARE NOT ATTACHED

ARE ARE NOT ATTACHED

27a. SOLICITATION INCORPORATES BY REFERENCE (FEDERAL ACQUISITION REGULATION) 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)

ECONOMICALLY

DISADVANTAGED

WOMEN-OWNED SMALL

BUSINESS (EDWOSB)

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

(SDVOSB)

HUBZONE SMALL

BUSINESS

SMALL BUSINESS

NOTE: OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, AND 30.

calls)

Solicitation/Contract Form Continuation

Local Nationals’ Occupational Health Examinations Services Contract, Camp Instrument Name:

Darby, Livorno, Italy

Product Service Code : Q403

W81K0026RA040

Continuation of Supplies or Services and Prices/Costs

Additional Information/Notes

Item Supplies/Service Quantity Unit Unit Price

Amount

0001 Product Service Description: 0001 LNs Health Examinations Ordering Period 11/01 /2026 - 10/31/2031 Product Service Code: Q403 North American Industry Classification System (NAICS): 621340 Pricing Arrangement: Firm Fixed Price

2,750 Each

0002 Product Service Description: 0002 ECG Examination and Reporting Ordering Period 11/01/2026 - 10/31/2031 Product Service Code: Q403 North American Industry Classification System (NAICS): 621340 Pricing Arrangement: Firm Fixed Price

250 Each

0003 Product Service Description: 0003 Visual Testing Ordering Period 11/01/2026 - 10/31 /2031 Product Service Code: Q403 North American Industry Classification System (NAICS): 621340 Pricing Arrangement: Firm Fixed Price

750 Each

0004 Product Service Description: 0004 Audio Testing Ordering Period 11/01/2026 - 10/31 /2031 Product Service Code: Q403 North American Industry Classification System (NAICS): 621340 Pricing Arrangement: Firm Fixed Price

2,250 Each

0005 1,500 Each

Product Service Description: 0005 Pulmonary Function Testing (PFT) Ordering Period 11/01/2026 - 10/31/2031 Product Service Code: Q403 North American Industry Classification System (NAICS): 621340 Pricing Arrangement: Firm Fixed Price

0006 Product Service Description: 0006 Specialist Referrals Examinations Ordering Period 11/01/2026 - 10/31/2031 Product Service Code: Q403 North American Industry Classification System (NAICS): 621340 Pricing Arrangement: Firm Fixed Price

100 Each

0007 Product Service Description: 0007 Urinalysis Ordering Period 11/01/2026 - 10 /31/2031 Product Service Code: Q403 North American Industry Classification System (NAICS): 621340 Pricing Arrangement: Firm Fixed Price

2,250 Each

0008 Product Service Description: 0008 Blood Collection Ordering Period 11/01/2026 - 10 /31/2031 Product Service Code: Q403 North American Industry Classification System (NAICS): 621340 Pricing Arrangement: Firm Fixed Price

2,250 Each

0009 Product Service Description: 0009 Work Site Visits Ordering Period 11/01/2026 - 10 /31/2031 Product Service Code: Q403 North American Industry Classification System (NAICS): 621340 Pricing Arrangement: Firm Fixed Price

400 Each

0010 Product Service Description: 0010 Meetings/ Conferences (hr) Ordering Period 11/01/2026 - 10/31/2031 Product Service Code: Q403 North American Industry Classification System (NAICS): 621340 Pricing Arrangement: Firm Fixed Price

20 Each

0011 Product Service Description: 0011 Drug Testing Ordering Period 11/01/2026 - 10/31 /2031 Product Service Code: Q403 North American Industry Classification System (NAICS): 621340 Pricing Arrangement: Firm Fixed Price

2,250 Each

0012 Product Service Description: 0012 Laboratory Referral (Positive Drug) Ordering Period 11/01/2026 - 10/31/2031 Product Service Code: Q403 North American Industry Classification System (NAICS): 621340 Pricing Arrangement: Firm Fixed Price

125 Each

0013 Product Service Description: 0013 Risk Assessment Meetings (hr) Ordering Period 11/01/2026 - 10/31/2031 Product Service Code: Q403 North American Industry Classification System (NAICS): 621340 Pricing Arrangement: Firm Fixed Price

125 Each

0014 Product Service Description: 0014 Risk Assmnt Meetings Alcohol (hr) Ordering Period 11/01/2026 - 10/31/2031 Product Service Code: Q403 North American Industry Classification System (NAICS): 621340 Pricing Arrangement: Firm Fixed Price

90 Each

0015 Product Service Description: 0015 Alcohol Testing Ordering Period 11/01/2026 - 10/31 /2031 Product Service Code: Q403 North American Industry Classification System (NAICS): 621340 Pricing Arrangement: Firm Fixed Price

90 Each

0016 Product Service Description: 0016AA Hepatitis B Titer Ordering Period 11/01 /2026 - 10/31/2031 Product Service Code: Q403 North American Industry Classification System (NAICS): 621340 Pricing Arrangement: Firm Fixed Price

1,250 Each

0017 Product Service Description: 0016AB Hepatitis C Titer (HCV) Ordering Period 11 /01/2026 - 10/31/2031 Product Service Code: Q403 North American Industry Classification System (NAICS): 621340 Pricing Arrangement: Firm Fixed Price

200 Each

0018 Product Service Description: 0016AC Varicella Titer Ordering Period 11/01/2026

- 10/31/2031 Product Service Code: Q403 North American Industry Classification System (NAICS): 621340 Pricing Arrangement: Firm Fixed Price

100 Each

0019 Product Service Description: 0016AD MMR Titer Ordering Period 11/01/2026 - 10/31 /2031 Product Service Code: Q403 North American Industry Classification System (NAICS): 621340 Pricing Arrangement: Firm Fixed Price

100 Each

0020 Product Service Description: 0017 Human Immunodeficiency Virus (HIV) Ordering Period 11/01/2026 - 10/31/2031 Product Service Code: Q403 North American Industry Classification System (NAICS): 621340 Pricing Arrangement: Firm Fixed Price

200 Each

0021 Product Service Description: 0020 Entomologist Screening Ordering Period 11 /01/2026 - 10/31/2031 Product Service Code: Q403 North American Industry Classification System (NAICS): 621340 Pricing Arrangement: Firm Fixed Price

10 Each

0022 Product Service Description: 0021 Chemistry Tests (6 types) Ordering Period 11/01/2026 - 10/31/2031 Product Service Code: Q403 North American Industry Classification System (NAICS): 621340 Pricing Arrangement: Firm Fixed Price

2,250 Each

0023 Product Service Description: 0022 Metal Screening Ordering Period 11/01/2026 - 10 /31/2031 Product Service Code: Q403 North American Industry Classification System (NAICS): 621340 Pricing Arrangement: Firm Fixed Price

90 Each

Continuation of Description

Requirements To provide Health Surveillance Services to all U.S. Army in Europe (USAREUR) Local National (LN) by qualified physicians fully licensed to practice medicine in the Tuscany Region.

Continuation of Deliveries or Performance

0001 2,750 EachQuantity

Address and POC

Period of Performance From 01 Nov 2026 To 31 Oct 2031

0002 250 EachQuantity

Address and POC

Period of Performance From 01 Nov 2026 To 31 Oct 2031

0003 750 EachQuantity

Address and POC

Period of Performance From 01 Nov 2026 To 31 Oct 2031

0004 2,250 EachQuantity

Address and POC

Period of Performance From 01 Nov 2026 To 31 Oct 2031

0005 1,500 EachQuantity

Address and POC

Period of Performance From 01 Nov 2026 To 31 Oct 2031

0006 100 EachQuantity

Address and POC

Period of Performance From 01 Nov 2026 To 31 Oct 2031

0007 2,250 EachQuantity

Address and POC

From 01 Nov 2026 To 31 Oct 2031

0008 2,250 EachQuantity

Address and POC

Period of Performance From 01 Nov 2026 To 31 Oct 2031

0009 400 EachQuantity

Address and POC

Period of Performance From 01 Nov 2026 To 31 Oct 2031

0010 20 EachQuantity

Address and POC

01 Nov 2026 To 31 Oct 2031

0011 2,250 EachQuantity

Address and POC

Period of Performance From 01 Nov 2026 To 31 Oct 2031

0012 125 EachQuantity

Address and POC

Period of Performance From 01 Nov 2026 To 31 Oct 2031

0013 125 EachQuantity

Address and POC

Period of Performance From 01 Nov 2026

To 31 Oct 2031

0014 90 EachQuantity

Address and POC

Period of Performance From 01 Nov 2026 To 31 Oct 2031

0015 90 EachQuantity

Address and POC

Period of Performance From 01 Nov 2026 To 31 Oct 2031

0016 1,250 EachQuantity

Address and POC

Period of Performance From 01 Nov 2026 To 31 Oct 2031

0017 200 EachQuantity

Address and POC

Period of Performance From 01 Nov 2026 To 31 Oct 2031

0018 100 EachQuantity

Address and POC

Period of Performance From 01 Nov 2026 To 31 Oct 2031

0019 100 EachQuantity

Address and POC

Period of Performance From 01 Nov 2026 To 31 Oct 2031

0020 200 EachQuantity

Address and POC

01 Nov 2026 To 31 Oct 2031

0021 10 EachQuantity

Address and POC

Period of Performance From 01 Nov 2026 To 31 Oct 2031

0022 2,250 EachQuantity

Address and POC

Period of Performance From 01 Nov 2026 To 31 Oct 2031

0023 90 EachQuantity

Address and POC

01 Nov 2026 To 31 Oct 2031

Contract Clauses

FAR Clauses Incorporated by Reference

Number Title Effective Date

Alternate Deviation

Variation Effective Date

52.203-3 Gratuities. 1984-04

52.203-6 Restrictions on Subcontractor Sales to the Government.

2020-06

52.203-6 Restrictions on Subcontractor Sales to the Government.

(Alternate I)

2020-06 Alternate I 2021-11

52.203-13 Contractor Code of Business Ethics and Conduct.

2021-11

52.203-19 Prohibition on Requiring Certain Internal Confidentiality Agreements or Statements.

2017-01

52.204-91 Contractor Identification.

(Deviation 2026-O0038)

2026-02

52.209-6 Protecting the Government's Interest When Subcontracting With Contractors Debarred, Suspended, Proposed for Debarment, or Voluntarily Excluded. (Deviation 2026- O0038)

2026-02

52.209-9 Updates of Publicly Available Information Regarding Responsibility Matters.

(Deviation 2026-O0038)

2026-02

52.212-4 Terms and Conditions- Commercial Products and Commercial Services. (Deviation 2026-O0038)

2026-02

52.222-50 Combating Trafficking in Persons. (Deviation 2026-O0038)

2026-02

52.226-8 Encouraging Contractor Policies to Ban Text Messaging While Driving.

2024-05

52.229-12 Tax on Certain Foreign Procurements. (Deviation 2026- O0038)

2021-02

52.232-40 Providing Accelerated Payments to Small Business Subcontractors.

2023-03

52.233-3 Protest after Award. (Deviation 2026-O0038)

2026-02

52.233-4 Applicable Law for Breach of Contract Claim. (Deviation 2026- O0038)

2026-02

DFARS Clauses Incorporated by Reference

Number Title Effective Date

Alternate Deviation

Variation Effective Date

252.203-7000 Requirements Relating to Compensation of Former DoD Officials.

2011-09

252.203-7002 Requirement to Inform 2022-12

Employees of Whistleblower Rights.

252.203-7003 Agency Office of the Inspector General.

2019-08

252.204-7012 Safeguarding Covered Defense Information and Cyber Incident Reporting.

2024-05

252.204-7018 Prohibition on the Acquisition of Covered Defense Telecommunications Equipment or Services.

2023-01

252.205-7000 Provision of Information to Cooperative Agreement Holders.

2024-10

252.225-7012 Preference for Certain Domestic Commodities.

2022-04

252.225-7056 Prohibition Regarding Business Operations with the Maduro Regime.

2023-01

252.225-7060 Prohibition on Certain Procurements from the Xinjiang Uyghur Autonomous Region.

2023-06

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

2023-01

252.232-7003 Electronic Submission of Payment Requests and Receiving Reports.

2018-12

252.232-7010 Levies on Contract Payments. 2006-12

252.243-7002 Requests for Equitable Adjustment.

2022-12

252.247-7023 Transportation of Supplies by Sea.

2024-10

FAR Clauses Incorporated by Full Text

Date

Alternate Deviation

Variation Effective Date

52.219-4 Notice of Price Evaluation Preference for HUBZone Small Business Concerns. (Deviation 2026-O0038)

Notice of Price Evaluation preference for HUBZone Small Business Concerns (Feb 2026) (Deviation 2026-O0038)

(a) Evaluation preference.

(1) Offers will be evaluated by adding a factor of 10 percent to the price of all offers, except-

(i) Offers from HUBZone small business concerns that have not waived the evaluation preference; and

(ii) Otherwise successful offers from small business concerns.

(b) Waiver of evaluation preference. A HUBZone small business concern may choose to waive the evaluation preference. If the concern waives the preference, the factor will be added to its offer for evaluation purposes.

[ ] Offeror chooses to waive the evaluation preference.

(c) Joint venture. A HUBZone joint venture agrees that, in the performance of the contract, at least 40 percent of the aggregate work performed by the joint venture shall be completed by the HUBZone small business parties to the joint venture. Work performed by the HUBZone small business parties to the joint venture must be more than administrative functions.

(End of provision)

DFARS Clauses Incorporated by Full Text

Date

Alternate Deviation

Variation Effective Date

252.232-7006 Wide Area WorkFlow Payment Instructions.

2023-01

WIDE AREA WORKFLOW PAYMENT INSTRUCTIONS (JAN 2023)

(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.

(Contracting Officer: Insert applicable invoice and receiving report document type(s) for fixed price line items that require shipment of a deliverable.)

(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.

(Contracting Officer: Insert either "Invoice 2in1" or the applicable invoice and receiving report document type(s) for fixed price line items for services.)

(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 financing, submit a commercial financing request.

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

[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 ____ Issue By DoDAAC ____ Admin DoDAAC ____ Inspect By DoDAAC ____ Ship To Code ____ Ship From Code ____ Mark For Code ____ Service Approver (DoDAAC) ____

Service Acceptor (DoDAAC) ____ Accept at Other DoDAAC ____ LPO DoDAAC ____ DCAA Auditor DoDAAC ____ Other DoDAAC(s) ____ (*Contracting Officer: Insert applicable DoDAAC information. If multiple ship to/acceptance locations apply, insert "See Schedule" or "Not applicable.")

(**Contracting Officer: If the contract provides for progress payments or performance-based payments, insert the DoDAAC for the contract administration office assigned the functions under FAR 42.302(a)(13).)

(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.

(Contracting Officer: Insert applicable information or "Not applicable.")

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

(End of clause)

Addendum to 52.212-4, Contract Terms and Conditions - Commercial Products and Commercial Services

Paragraph 52.212-4(w) is hereby added:

(w) The non-FAR Part 12 discretionary FAR and DFARS clauses included herein are incorporated into this contract either by reference or in full text.

If incorporated by reference, see clause 52.252-2 herein for locations where full text can be found.

*** END OF NARRATIVE ***

*** END OF NARRATIVE ***

Addendum to Contract Clauses

FAR Clauses Incorporated by Reference

Number Title Effective Date

Alternate Deviation

Variation Effective Date

52.209-10 Prohibition on Contracting With Inverted Domestic Corporations.

(Deviation 2026-O0038)

2026-02

52.213-4 Terms and Conditions-Simplified Acquisitions (Noncommercial).

(Deviation 2026-O0038)

2026-02

52.240-91 Security Prohibitions and Exclusions. (Deviation 2026- O0038)

2026-02

52.244-6 Subcontracts for Commercial Products and Commercial Services. (Deviation 2026-O0038)

2026-04

DFARS Clauses Incorporated by Reference

Date

Alternate Deviation

Variation Effective Date

252.201-7000 Contracting Officer's Representative.

1991-12

252.232-7008 Assignment of Claims (Overseas).

1997-06

252.233-7001 Choice of Law (Overseas). 1997-06

252.237-7010 Prohibition on Interrogation of Detainees by Contractor Personnel.

2023-01

FAR Clauses Incorporated by Full Text

Date

Alternate Deviation

Variation Effective Date

52.216-18 Ordering. 2020-08

Ordering (Aug 2020)

(a) Any supplies and services to be furnished under this contract shall be ordered by issuance of delivery orders or task orders by the individuals or activities designated in the Schedule.

Such orders may be issued from ____ through ____[insert dates].

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

(c) A delivery order or task order is considered "issued" when-

(1) If sent by mail (includes transmittal by U.S. mail or private delivery service), the Government deposits the order in the mail;

(2) If sent by fax, the Government transmits the order to the Contractor's fax number; or

(3) If sent electronically, the Government either-

(i) Posts a copy of the delivery order or task order to a Government document access system, and notice is sent to the Contractor; or

(ii) Distributes the delivery order or task order via email to the Contractor's email address.

(d) Orders may be issued by methods other than those enumerated in this clause only if authorized in the contract.

52.216-19 Order Limitations. 1995-10

Order Limitations (Oct 1995)

(a) Minimum order. When the Government requires supplies or services covered by this contract in an amount of less than ____[insert dollar figure or quantity], the Government is not obligated to purchase, nor is the Contractor obligated to furnish, those supplies or services under the contract.

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

(1) Any order for a single item in excess of ____[insert dollar figure or quantity];

(2) Any order for a combination of items in excess of ____[insert dollar figure or quantity]; or

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

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

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

52.216-22 Indefinite Quantity. (Deviation 2026-O0038)

Indefinite Quantity (Feb 2026) (Deviation 2026-O0038)

(a) This is an indefinite-quantity contract for the supplies or services specified, and effective for the period stated, in the Schedule. The quantities of supplies and services specified in the Schedule are estimates only and are not purchased by this contract.

(b) Delivery or performance shall be made only as authorized by orders issued in accordance with the Ordering clause. The Contractor shall furnish to the Government, when and if ordered, the supplies or services specified in the Schedule up to and including the quantity designated in the Schedule as the "maximum." The Government shall order at least the quantity of supplies or services designated in the Schedule as the "minimum."

(c) Except for any limitations on quantities in the Order Limitations clause or in the Schedule, there is no limit on the number of orders that may be issued. The Government may issue orders requiring delivery to multiple destinations or performance at multiple locations.

(d) Any order issued during the ordering period of this contract and not completed within that period shall be completed by the Contractor within the time specified in the order, which may include order options to be exercised after the ordering period of this contract but before the end of the period of performance of the order. The contract shall govern the Contractor's and Government's rights and obligations with respect to that order, including options exercised, to the same extent as if the order were completed during the contract's ordering period; provided, that the Contractor shall not be required to make any deliveries under this contract after ____ [insert date].

DFARS Clauses Incorporated by Full Text

Date

Alternate Deviation

Variation Effective Date

252.229-7003 Tax Exemptions (Italy). 2012-03

TAX EXEMPTIONS ( ITALY ) (MAR 2012)

(a) As the Contractor represented in its offer, the contract price, including the prices in subcontracts awarded under this contract, does not include taxes from which the United States Government is exempt.

(b) The United States Government is exempt from payment of Imposta Valore Aggiunto (IVA) tax in accordance with Article 72 of the IVA implementing decree on all supplies and services sold to United States Military Commands in Italy .

(1) The Contractor shall include the following information on invoices submitted to the United States Government:

(i) The contract number.

(ii) The IVA tax exemption claimed pursuant to Article 72 of Decree Law 633, dated October 26, 1972 .

(iii) The following fiscal code(s): ____[Contracting Officer must insert the applicable fiscal code

(s) for military activities within Italy : 80028250241 for Army, 80156020630 for Navy, or 91000190933 for Air Force].

(2)(i) Upon receipt of the invoice, the paying office will include the following certification on one copy of the invoice:

"I certify that this invoice is true and correct and reflects expenditures made in Italy for the Common Defense by the United States Government pursuant to international agreements. The amount to be paid does not include the IVA tax, because this transaction is not subject to the tax in accordance with Article 72 of Decree Law 633, dated October 26, 1972 An authorized United States Government official will sign the copy of the invoice containing this certification.

(ii) The paying office will return the certified copy together with payment to the Contractor. The payment will not include the amount of the IVA tax.

(iii) The Contractor shall retain the certified copy to substantiate non-payment of the IVA tax.

(3) The Contractor may address questions regarding the IVA tax to the Ministry of Finance, IVA Office, Rome (06) 520741.

(c) In addition to the IVA tax, purchases by the United States Forces in Italy are exempt from the following taxes:

(1) Imposta di Fabbricazione (Production Tax for Petroleum Products).

(2) Imposta di Consumo (Consumption Tax for Electrical Power).

(3) Dazi Doganali (Customs Duties).

(4) Tassa di Sbarco e d'Imbarco sulle Merci Transportate per Via Aerea e per Via Maritima (Port Fees).

(5) Tassa de Circolazione sui Veicoli (Vehicle Circulation Tax).

(6) Imposta di Registro (Registration Tax).

(7) Imposta di Bollo (Stamp Tax).

List of Contract Documents, Exhibits, or Attachments

PWS

PERFORMANCE WORK STATEMENT

OCCUPATIONAL MEDICAL EXAMINATIONS AND EVALUATIONS LOCAL NATIONAL

EMPLOYEES IN DARBY, ITALY (USAG)

TABLE OF CONTENTS SECTION TITLE

C-1 General/Scope of Work C-2 Denitions

C-3 Government Furnished Services

C-4 Contractor Furnished Items/Services

C-5 Specic Tasks

C-6 Applicable Regulations, Manuals, Technical Documents, Specications, and Forms.

C-7 Quality Management

C-8 Sexual Assault Prevention and Response Program (SHARP)

C-9 Health Insurance Portability and Accountability Act (HIPAA)

C-10 Exclusion from Participation in Federal Health Care Programs (October 2015) Technical Exhibits Summary

Technical Exhibit 1 Italian Legislative Decree Law 81/2008, November 2020 Technical Exhibit 2 Condition of Employment (COE), November 2018 Technical Exhibit 3 Authorized Government personnel

Technical Exhibit 4 Examinations Monthly Level of effort (LOE) Technical Exhibit 5 U.S. Installation Pass Requirements Technical Exhibit 6 Performance Requirements Summary (PRS) Technical Exhibit 7 U.S. Army Livorno Facilities

SECTION C-1

1. GENERAL

This is a non-personal services contract. The Contractor shall provide certied and credentialed Occupational Health Physician(s) (Medico Competente), medical examination facilities, management and supervision, administration, personnel, transportation, tools, equipment and materials to execute Local National (LN) Employees Occupational Health Services in accordance with the Italian Legislative Decree 81/2008 (Testo Unico sulla Salute e Sicurezza sul Lavoro, D.lgs.

9 Aprile 2008, n. 81 e s.m.i.), revision November 2020 (Technical Exhibit #1), to include all future amendments and supplements, as well as Conditions of Employment for Local National Employees of the U.S. Armed Forces in Italy (COE) effective 1 November 2018, to include all future updates and revisions (Technical

Exhibit #2).

1.1. SCOPE OF WORK: The Contractor shall perform preventive, scheduled occupational medical surveillance examinations and other special occupational medical evaluations of designated Darby Livorno Local National (LN) employees of the U.S. Armed Forces in Italy, in accordance with this Performance Work Statement (PWS) and the estimated monthly Level of Effort (LOE) in Technical Exhibit #4.

1.1.1. Occupational Health Surveillance examinations consist of initial pre-employment, periodic, termination, and ongoing examinations as outlined in Article 41 Sorveglianza Sanitaria, to include all related amendments and supplements, of Italian Legislative Decree 81/2008 (Testo Unico sulla Salute e Sicurezza sul Lavoro, D.lgs. 9 Aprile 2008, n. 81).

1.1.2. The Contractor assumes full accountability for responsibilities and obligations of the Employer's (U.S. Army) compliance with applicable Local National Employee Occupational Health Services Italian Legislative Decree 81/2008 (Testo Unico sulla Salute e Sicurezza sul Lavoro, D.

lgs. 9 Aprile 2008, n. 81), to include future revisions and updates.

1.1.3. The Contractor's Occupational Health Physician (OHP) (Medico Competente) shall perform Risk Assessments of LN employees' worksites and activities in coordination with

U.S. Government personnel to include, at a minimum, the Responsible for Services of Prevention and Protection (RSPP/ASPP) (Addetti e Responsabili del servizio di prevenzione e protezione dai rischi).

1.1.3.1. The Contractor's OHP (Medico Competente) shall participate and perform Risk Assessments and evaluations of LN employees' worksites at a minimum once a year or at different frequency depending on the risk assessment evaluations, in accordance with Article 25 (Obblighi del medico competente) of the Italian Legislativ Decree 81/2008 (Testo Unico sulla Salute e Sicurezza sul Lavoro, D.lgs. 9 Aprile 2008, n. 81).

1.1.3.2. ALLEGATO 3B art 40. The Contractor's OHP (Medico Competente) shall submit, no later than 31 March of the calendar year, to the Italian Safety agency the information through the form called allegato 3B in accordance with Article 40 (Rapporti del medico competente con il Servizio Sanitario Nazionale) medico competente) of the Italian Legislative Decree 81/2008 (Testo Unico sulla Salute e Sicurezza sul Lavoro, D.lgs. 9 Aprile 2008, n. 81).

1.1.4. The Contractor shall utilize a certied and accredited Laboratory for the performance of all laboratory examinations. The external Laboratory performing examinations shall be, at a minimum, accredited by the "Bureau Veritas Certication" or equivalent entity, and shall hold, at a minimum, a

"Quality in Laboratory Medicine ISO 9001:2008 certicate (Qualita in medicina di Laboratorio, certicato ISO 9001:2008).

1.1.4.1. Laboratory results shall be made available in the Physician Statements "Giudizio d'Idoneita alla mansione specica" within one (1) working day from the visit.

1.1.4.2. The Contractor shall notify within one working day the Contracting Officer Representative (COR) identied in Technical Exhibit #3, when results from additional examinations cannot be delivered within the timetable described in (S) 1.1.4.1.

1.2. ADMINISTRATION:

1.2.1. The Contractor shall provide sufficient organizational resources and management controls to ensure that this task is performed efficiently, accurately, on time, and in compliance with the requirements of this PWS and all Applicable Laws and Regulations,

1.2.2. The Contractor shall designate in writing a single Program Manager (PM) to oversee and supervise staff assigned to the performance of this contract. The name of this person, and an alternate or alternates, who shall act for the Contractor when the manager is absent, shall be designated in writing to the Contracting Officer. Both the PM and the alternate shall be able to converse in English and the host nation language to the degree that they understand oral and written communications and express themselves in matters pertaining to their duty.

1.2.2.1. The PM or alternate shall have full authority to act for the Contractor on all contract matters relating to the operation of this contract.

1.2.3. The Contractor shall designate an Occupational Health Surveillance Physician (Medico Competente), accountable for coordination, interpretation and implementation of current and forthcoming Occupational Health Services requirements in the Italian and Toscana Region territory.

1.2.3.1. The Contractor shall designate and sustain, throughout the entire contract period, an Occupational Health Surveillance Physician (Medico Competente) with, at minimum, three (3) uninterrupted years of experience in organizations with 500 or more employees.

1.2.3.2. The PM, its Alternate and the Occupational Health Surveillance Physician (Medico Competente) designation letters shall be provided to the Contracting Officer prior to the contract start date. The Contractor shall notify the Contracting Officer of any changes, in writing, within one workday of the change.

1.2.4. Communication: The Contractor's OHP (Medico Competente) shall meet periodically with the designated U.S. Army RSPP and the Contracting Officer Representative (COR) and/or Technical Representative of the Contracting Officer (TRCO), identied in Technical Exhibit #3, to discuss compliance with Servizio Prevenzione Igiene Sicurezza Ambienti di Lavoro (SPISAL) directives and policies, to address problem areas and to track contract compliance by all parties or as agreed upon by all parties.

1.2.4.1. The COR and/or TRCO will provide an agenda to attendees within one week of the scheduled meeting. The meeting site and time will be conrmed with the agenda. Meetings will be conducted at the Darby Livorno Occupational Health Offices (OHO) in Caserma Darby.

1.2.4.2. Participants in the periodic meetings are, at a minimum: Employer (USAG Vicenza Garrison Commander and/or his Deputy), the Contractor's OHP (Medico Competente), the RSPP and Workers Safety Representatives (RLS Rappresentanti dei Lavoratori per la Sicurezza).

1.2.4.3. Participants to the periodic meetings may extend, among others, from representatives of:

USARAF/SETAF Office of the Staff Judge Advocate; Civilian Personnel Advisory Center; Fire Department and Radiation Safety Officers.

1.2.4.4. Technical Exhibit # 3 is a living document, and the Authorized Government Personnel may be changed by the Government and the Contractor as necessary. Technical Exhibit # 3 revisions, signed by the COR and the Contractor, shall be submitted to the Contracting Officer for Final Approval within ve (5) workdays upon concurrence of the changes.

1.2.5. Language: The Contractor shall provide during the performance of services under this contract, at least one individual who is able to read, write, speak, and understand Italian and English. Without prejudice to the obligation to provide all documentation in

English for contractual purposes, all documents, reports, or communications required by law for the Italian authorities must be produced in Italian according to the required official formats. An English translation of such documents must be provided to the COR.

1.3. KEY PERSONNEL:

1.3.1. The Contractor shall utilize for the performance of this contract only qualied physicians, fully licensed to practice medicine in Italy, with steady current credentials in Occupational Health Surveillance (Medico Competente) in accordance with Article 38 (Titoli e requisiti del medico competente) of the Legislative Decree 81/2008.

1.3.1.1. The PM or its Alternate shall submit copies of licenses and credentials to the Contracting Office, for the Contractor's OHP (Medico Competente) utilized for the performance on this contract.

1.3.1.2. The Contractor's OHP (Medico Competente) shall be registered and maintain registration in the Italy National List of OHPs (Elenco nazionale dei medici competenti) for the entire duration of the contract period of performance.

1.3.1.3. The Contractor's OHP (Medico Competente) shall maintain license and credentials in accordance with Article 38 (3) of the Legislative Decree 81/2008 (art. 38 comma 3 D.lgs. 81/2008).

1.3.2. The Contractor shall utilize, for the performance of laboratory examinations, only qualied, credentialed healthcare personnel, physicians and/or nurses.

1.3.2.1. The Contractor shall submit copies of licenses and credentials of healthcare personnel, physicians and/or nurses who will be dedicated to the performance of laboratory examination, to the Contracting Office.

1.3.3. Management of Key Personnel: The selection, assignment, reassignment, transfer, supervision, management, and control of Contractor key personnel in the performance of this contract, shall be the sole responsibility of the Contractor.

1.3.4. The Contractor shall comply with the general intent and specic policies set forth in this PWS and the relevant U.S. and Italian Laws and regulations referenced in (S) 1. of this PWS

1.3.5. Sexual Harassment/Assault Response and Prevention (SHARP). The contractor shall comply with OTSG/MEDCOM Policy Memo 20-047, Sexual Harassment/Assault Response and Prevention Program, 28 August 2020, or superseding DHA or DOD policy once issued and provided to the contractor. The SHARP reporting requirements apply only to knowledge obtained by contractor personnel while performing services under this contract.

1.3.5.1. The contractor shall require all CSPs with knowledge of an incident of sexual assault occurring on a Government facility, to include a Government leased facility, where the contractor is providing services under this contract, to report the incident to the contractor who shall immediately (within 24 hours, after gaining knowledge) report the incident in writing to the Government's COR.

This reporting policy also applies to sexual assault incidents involving MEDCOM personnel that occur on the contractor's owned or leased facility under this contract. All incidents shall be reported whether they involve contractor personnel or Government personnel, or other individuals, when the incidents occur on a Government facility or a Government leased facility.

1.4. SECURITY REQUIREMENTS:

1.4.1. Contractor's personnel may be granted access to U.S. Army worksites and installations for official business, with the appropriate coordination of the Darby Livorno Occupational Health Offices (OHO.

1.4.2. Access and General Protection/Security Policy and Procedures: Contractor and all associated sub-Contractors' personnel (if any) shall comply with applicable installation, facility and area commander installation/facility access and local security policies and procedures (provided by the COR and/or TRCO). The Contractor shall also provide all information required for background checks to meet installation access requirements to be accomplished by installation Provost Marshal Office, Director of Emergency Services or Security Office.

1.4.2.1. Contractor personnel shall comply with all personal identity verication requirements as directed by DOD, HQDA and/or local policy. In addition to the changes otherwise authorized by the changes clause of this contract, should the Force Protection Condition (FPCON) at any individual facility or installation change, the Government may require changes in Contractor security matters or processes.

1.4.2.2. The Contractor must obtain clearance from the COR and/or TRCO pursuant to the Installation Pass requirements for contractors outlined in AR Army Regulation 190-16 entitled Installation Access Control and may be viewed at https://aepubs.army.mil/pdfpubs/AER190-16.pdf . An excerpt from this regulation is provided in Technical Exhibit #5.

1.4.2.3. Physical Security. The Contractor shall be responsible for safeguarding all Government equipment, information and property provided for Contractor use in accordance with Attachment # 1 (LRMC Memorandum 190-5 Security management).

NOTE: Due to the size of Attachment # 1, it is provided as separate le during solicitation and at award.

1.4.2.4. All Contractor personnel shall meet local site requirements for Base Access. All non-US Contractor personnel shall meet any Garrison or USAREUR required AT/Operations Security training and requirements as well as local host country background investigations.

1.4.2.5. Standard. Contractor personnel shall observe and comply with all rules, policies, and regulations prescribed by the installation Command and other federal authorities concerning eating and smoking areas, re, safety, sanitation, security and possession of rearms or other lethal weapons.

1.4.2.6. Contractor personnel entering the Government installation shall abide by all security regulations for the installation which may be in effect during the contract period and shall be subject to such checks as may be deemed necessary to ensure that no violations occur. No employee will be permitted on the installation when such checks reveal that his/her presence would be detrimental to the security of the installation.

1.5. MEDICAL RECORDS AND PRIVACY LAW COMPLIANCE:

1.5.1. The Contractor shall process and store all data necessary for the fulllment of the contract's performance and for the maintaining of all accountability records in protected data processing systems in accordance with Italian Data Protection Authority (DPA) Laws, (Garante per la Protezione dei Dati Personali) as well as Health Insurance Portability and Accountability Act

(HIPAA).

1.5.2. The Contractor obligates its physicians and ancillary staff to maintain strict condentiality in accordance with Italian Laws and Regulations as well as HIPAA.

1.5.3. The Contractor shall deliver to the employer, at the termination of the employment, the medical records in accordance with Article 25 (d) Italian Legislative Decree 81/2008 (Testo Unico sulla Salute e Sicurezza sul Lavoro, D.lgs. 9 Aprile 2008, n. 81).

W81K0026RA040

https://aepubs.army.mil/pdfpubs/AER190-16.pdf

1.5.4. The Contractor shall deliver to the employee, at the termination of the employment, a copy of the medical record and risk assessment in accordance with Article 25 (e) Italian Legislative Decree 81/2008 (Testo Unico sulla Salute e Sicurezza sul Lavoro, D.lgs. 9 Aprile 2008, n. 81).

1.5.5. ALLEGATO 3B art 40. The Contractor's OHP (Medico Competente) shall submit, no later than 31 March of the calendar year, to the Italian Safety agency the information through the form called allegato 3B in accordance with Article 40 (Rapporti del medico competente con il Servizio Sanitario Nazionale) medico competente) of the Italian

Legislative Decree 81/2008 (Testo Unico sulla Salute e Sicurezza sul Lavoro, D.lgs. 9 Aprile 2008,

n. 81).

1.6. QUALITY CONTROL:

1.6.1. In compliance with the contract clause FAR 52.246 entitled "Inspection of Services-Fixed Price", the Contractor shall provide a Quality Control Plan that contains, at a minimum, the items listed in (S) C-1, C-3 and C-5 to the COR and Contracting Officer for acceptance not later than 10 days of the start of the contract. The Contracting Officer will notify the Contractor of acceptance or required modications to the plan before the contract start date. The Contractor shall make appropriate modications and obtain acceptance of the plan by the Contracting Officer.

1.6.2 The plan shall include:

1.6.2.1. A description of the inspection system to cover all services listed on the Performance Requirements Summary (PRS) listed in Technical Exhibit #6. Description shall include specics as to the tasks to be inspected on both a scheduled and unscheduled basis, frequency of inspections, and the title and organizational placement of the inspectors.

1.6.2.2. A description of the methods to be used for identifying and preventing defects in the quality of service performed.

1.6.2.3. A description of the records to be kept to document inspections and corrective or preventive actions taken.

1.6.3. The records of inspections shall be kept and made available to the Government throughout the contract performance period and for the period after contract completion until nal settlement of any claims under this contract.

1.7. HOURS OF OPERATION:

1.7.1. Contractor's Program Manager and his/her alternate who shall be responsible for receiving service calls from the COR and/or TRCO, shall be available ve (5) days a week from 0800 until 1700 each day. In case he/she is not reachable by phone, the Contractor shall take measures to ensure a call back to the COR and/or TRCO, within one (1) hour.

1.7.2. The Contractor shall provide the required services during the normal workweek hours Monday through Friday, exclusive of Italian holidays, U.S. Federal Holidays and officially conceded "bridge days ".

1.7.2.1. The Contractor shall designate, at a minimum, one (1) and/or two (2) days per week to accommodate Health Surveillance Examinations, Tests and Analysis requests.

1.7.2.2. The Contractor is not entitled to cost reimbursement for unused appointment slots for designated days and/or U.S. Army officially conceded days off duty due to official security measures. The OHO and the COR will promptly inform the Contractor Task manager(s) of examinations cancellations and re-scheduling plans.

1.7.2.3. The Contractor shall be available for scheduling appointments every Monday-Friday (except on Italian Holidays, as listed below) from 0800-1200 hrs at a telephone number provided by the Contractor to OHO and the COR. The following are recognized U.S. Federal and Italian holidays:

U.S. Federal Holidays

1st January New Year's Day

3rd Monday in January Martin Luther King Day 3rd Monday in February Washington's Birthday Last Monday in May Memorial Day

4th July Independence Day

1st Monday in September Labor Day 2nd Monday in October Columbus Day 11th November Veteran's Day Thursday November Thanksgivings Day 25th December Christmas Day

Italian Holidays

1 January New Year's Day 6 January Day of Epiphany 25 April Liberation Day

1 May Labor Day

2 June Republic Day

15 August Assumption Day

1 Tuesday in November All Saints' Day National Unity Day 8 December Immaculate Conception

25 December Christmas Day

26 December Saint Stephen's Day

1.7.3. EMERGENCY SERVICES: Services may be required to support an activation or exercise of contingency plans outside the normal duty hours described above. The Contractor's responsibilities for emergency support are specied in Section C-5, (S) 5.1.2.2.

1.8. PLACE OF PERFORMANCE

1.8.1. Place of Performance shall be the Contractor's Examination Facility identied and listed by the Contractor in Technical Exhibit #7 in response to the mandated requirements of the solicitation.

SECTION C-2 DEFINITIONS

2. STANDARD DEFINITIONS:

2.1. Acceptable Quality Level (AQL). AQL is the maximum allowable percentage of deviation from perfect performance for an individual service output.

2.2. Contracting Officer (KO). The individual with the authority to enter into, administer, and/or terminate contracts. The KO is the exclusive Government official authorized to execute changes and authorize deviations or variations from the contract.

2.3. Contract Officer's Representatives (COR): Administrative/technical representative assigned to Public Health Command-Europe (PHC-E) responsible for assisting in administration of the Government's quality assurance portion of the contract. This person is designated in writing by the KO to be responsible for quality assurance, inspection, surveillance documentation and monthly acceptance of Contractor's performance. A copy of the letter of designation will be provided to the Contractor.

2.4. Technical Representative of the Contracting Officer (TRCO): Administrative/technical representative assigned to Public Health Command-Europe (PHC-E) responsible for assisting the COR in administration of the Government's quality assurance portion of the contract. This person is designated in writing by the KO to be responsible for quality assurance, inspection, surveillance documentation and monthly acceptance of Contractor's performance. A copy of the letter of designation will be provided to the Contractor.

2.5. Occupational Medical Surveillance Examination: Preventive or periodic health examination IAW host nation standards performed to anticipate any disease before it occurs…