Solicitation - W912J726RA001.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)

Section A - Solicitation/Contract Form

IDARNG Dental /Medical ServicesInstrument Name:

Product Service Code : Q999

W912J726RA001

Section B - Supplies or Services & Prices or Costs

Additional Information/Notes

Item Supplies/Service Quanti ty

Unit Unit Price Amount

0001 Dental Exams/Treatment (Gowen) - This is a flat rate monthly charge for exam services for up to 75 exams per month, that includes: dentist fee for exams and x-rays, updating and monitoring Declass per SM, overhead and profit for 12 months.

Product Service Code: Q999

North American Industry Classification System (NAICS):

621399

Project Code: 000

Signal Code: 000

Claimant Program Code: S1

Pricing Arrangement: Firm Fixed Price

12 Month s

0002 Exams/Treatment (SRP/Offsite)- Includes case management fee and estimated Soldiers for Follow-on- Care.

Product Service Code: Q999

North American Industry Classification System (NAICS):

621399

Project Code: 000

1 Operat ing Unit

Signal Code: 000

Claimant Program Code: S1

Pricing Arrangement: Firm Fixed Price

Option Line Item

OPTION YR -Dental Exams /Treatment (Gowen) -This is a flat rate monthly charge for exam services for up to 75 exams per month, that includes: dentist fee for exams and x-rays, updating and monitoring Declass per SM, overhead and profit for 12 months.

Product Service Code: Q999

North American Industry Classification System (NAICS):

621399

Project Code: 000

Signal Code: 000

Claimant Program Code: S1

Pricing Arrangement: Firm Fixed Price

12 Month s

Option Line Item

OPTION YR- Exams/Treatment (SRP/Offsite)-Includes case management fee and estimated Soldiers for Follow-on-Care.

Product Service Code: Q999

North American Industry Classification System (NAICS):

621399

1 Operat ing Unit

Project Code: 000

Signal Code: 000

Claimant Program Code: S1

Pricing Arrangement: Firm Fixed Price

Section C - Description/Specifications/Statement of Work

PERFORMANCE WORK STATEMENT (PWS) FOR

IDARNG Dental /Medical Services

1. General:

1.1. Scope:

1.1.1. The contractor shall provide all personnel, equipment, tools, materials, supervision, and quality control necessary, except as specified in Paragraph 2.0 Government Furnished Equipment, to perform dental services, as defined in this PWS.

1.1.2. The Idaho Army National Guard (IDARNG) is requesting contract services to provide examinations and treatment services in support of individual the Service Member (SM) dental and medical readiness.

1.1.2.1. Contractor will provide a licensed dentist and appropriate dental support staff to provide dental services in the state of Idaho in designated locations.

1.1.2.2. Contractor will provide and furnish all labor and services required to provide a comprehensive dental examination and dental treatment. Contractor will provide services in accordance with OSHA protocols and ensure facility meets appropriate infection control standards before and after Services are complete.

1.1.2.3. Contractor will work with the office of the State Surgeon to case manage SMs that are identified as DRC3 during the contracted examination. Once the proposed treatment plan is approved, Contractor will provide treatment within 60 days. The treatment can be performed in the Gowen Field

Dental Treatment Facility (GFDTF), a dental office located in Idaho or other designated localities as determined by the IDARNG and the contractor. Particular effort should be considered for having the SM utilize the GFDTF if they are or will be in the Boise, Idaho area. The Contractor will case manage a wide variety of dental procedures, to include oral surgery, endodontics (Root Canals), etc. as identified in the approved treatment plan.

1.1.2.4. Contractor will provide flexible dental and medical support at designated pre-coordinated times and locations for the IDARNG and the Medical Detachment for emergent mission requirements that develop.

1.1.3. The contractor shall ensure that IDARNG SMs being managed are returned to DRC2 to facilitate execution of his/her state and federal mission. This will be achieved by identifying those SMs not meeting dental readiness standards, preparing a treatment plan (if SM is identified as a DRC3C, contractor will submit that plan to IDARNG dentist for approval) and ultimately providing dental treatment to ensure that SMs meet dental readiness requirements.

1.1.4. The contracted personnel shall work with the State Surgeon and/or his delegates to ensure proper management of dental assessments and treatments for all IDARNG SMs that present for dental services.

1.1.5. Follow-on treatment requirements will be determined at the time of exam and must be deemed medically necessary to return the SM to DRC 2 and if SM is identified as a DRC3C, contractor will submit the treatment plan to IDARNG dentist or their delegate for approval. Follow-on treatment could include restorative services, endodontic services, periodontal services, prosthodontic services and oral surgery services. Authorized dental services are identified in section 7 of this

PWS.

1.1.6. All SM's documents, to include updated x-rays, will be uploaded to a HIPAA compliant Share

File. Contractor will create an event in DenClass named with the date and location of the event.

IDARNG Dental and Medical NCO's will be added to the event. Personnel can allow the solider to update their 5570 in DenClass or have the SM complete a paper 5570 Health History. When a digital copy is entered it can be printed from DenClass for the Dentist to review and sign. Contractor personnel will then update the SM's information in DenClass. A post event report will be completed in DenClass under the event date and location.

1.1.7. Contractor shall provide comprehensive dental readiness services to include:

1.1.8. Periodic Dental Examinations

1.1.8.1. For Periodic Dental Examinations, as established and directed by IDARNG Medical

Detachment and stated in the Performance Objective, contractor shall provide the labor necessary to provide dental screening at designated pre-coordinated locations for the IDARNG and the Medical

Detachment.

1.1.8.2. Clinically indicated digital radiologic studies (to include Panograph, Bitewing, and/or

Periapical per AR 40-66), and oral health education as directed by the DOD Oral Health and

Readiness Classification System.

1.1.8.3. Upon completion of all services, Contractor shall document all examination results and services performed in accordance with Department of Army Policy, Idaho Dental Board, and TB-

MED 250

(Per NGB guidance and State Dentist).

1.1.8.4. Comprehensive Exams Consist of the Following: Note: Personnel will:

Administer blood Pressure Assessment

Ensure Completion of a Health History Questionnaire for Dental Treatment (DA Form 5570), prior to Examination.

1.1.8.4.1. Contractor staff shall review the Questionnaire necessary prior to examination.

1.1.8.4.2. Comprehensive Oral Examination to identify dental readiness of SMs, as shall be indicated by assigning a proper Dental Classification, in accordance with Department of Army

Policy.

1.1.8.4.3. Caries Risk Assessment - Contractor Dentist shall assess and classify SMs as low, moderate, or high risk for caries, as described by the American Dental Association's Special

Supplement. This Assessment will help identify those SMs at risk for future disease.

1.1.8.4.4. Periodontal Assessment - Contractor Dentist shall perform a Periodontal Screening and

Recording (PSR) to determine the need for periodontal treatment.

1.1.8.4.5. Tobacco Risk Assessment - Contractor Dentist shall assess and classify SMs as smokers or users of smokeless tobacco, or both, to identify risks associated with tobacco use.

1.1.8.4.6. Oral Cancer Screening - Contractor Dentist shall perform a thorough oral cancer screening on all SMs as part of the Periodic Dental Examination.

1.1.8.4.7. Current conditions of the SM oral health will be 100% input and submitted by a

Contractor fully trained and experienced Dental Quality Assurance Consultant or Dental Event

Manager with CAC access into DenClass automated system the day of or within 5 business days from the days of exam.

1.1.8.5. Panoramic / BW Digital Radiograph ADA

1.1.8.5.1. A diagnostic digital Panoramic Radiograph shall be taken for SMs as deemed necessary by the examining dentist and as deemed necessary by the IDARNG Medical Detachment and in accordance with Department of Army Policy, AR 40-66, TB MED 250, and ADA.

1.1.8.5.2. A digital copy of a diagnostic Panoramic Radiograph shall be included in every SM's

Military Dental Jacket (if available), as well as digitally uploaded to the DenClass automated storage system.

1.1.8.5.3. A diagnostic set of digital Bitewing / Periapical Radiographs shall be taken for SMs as deemed necessary by the examining dentist and as deemed necessary by the IDARNG Medical Detachment and in accordance with Department of Army Policy 40-66, and ADA. A digital copy of a set of diagnostic Bitewing Radiographs shall be included in every SM's Military Dental Jacket, as well as digitally uploaded to the DenClass automated storage system.

1.1.9. Treatment

1.1.9.1. The Contractor's professional staff (DDS, DMD) shall review and approve DRC3A and

DRC3B

treatment plans in DENCLASS. The State Dental Officer (SDO) shall review, validate, modify if necessary, and approve DRC3C treatment plans in DENCLASS. If there is no SDO or designee onsite, the SDO shall approve the DRC3Cs in DENCLASS from a remote location, and the Contractor shall be able to see the approvals in DENCLASS. Any IV sedation for a non-surgical procedure must be approved on a case-by-case basis by the SDO to maintain appropriate control of this additional procedure.

1.1.9.2. Treatment shall be conducted in a dental facility located in Idaho or other designated localities as determined by the IDARNG and the contractor. The contractor shall, at all times, maintain an adequate work force for the uninterrupted performance of all tasks defined within this

PWS. When hiring personnel, the contractor shall keep in mind that the stability and continuity of the work force are essential to meet the needs of this PWS.

1.1.9.3. Authorized dental services are identified in section 7 of this PWS.

1.1.9.4. Limited Dental Treatment at Gowen Field Dental Treatment Facility (GFDTF):

1.1.9.4.1. The GFDTF has two fully outfitted dental treatment rooms and maintains equipment sterilization capability. This facility can support limited dental treatment.

1.1.9.4.2. Contractor will provide a dentist and appropriate dental support staff to provide

Limited Dental Treatment within the GFDTF in accordance with the Place and Performance of Services section of this PWS.

1.1.9.4.3. Limited Dental Treatment shall be consistent with the mission of providing care for deployment limiting Dental Class 3 conditions to convert those SMs to worldwide deployable Dental

Class 2 status.

1.1.9.4.4. Any dental care that requires sedation, either orally supplied (e.g., tablets), inhaled

(e.g., nitrous oxide), or intravenous (IV), is strictly prohibited at the GFDTF.

1.1.9.4.5. Authorized dental services are identified in section 7 of this PWS.

1.1.10. DenClass:

1.1.10.1. The IDARNG shall grant access to DENCLASS to contractor personnel holding a Common Access

Card (CAC). CAC's will be issued as deemed necessary and upon receipt of a favorable NACI clearance.

1.1.10.2. Current conditions of SM's oral health will be documented 100% by contractor personnel, which are fully trained and experienced as Dental Case Managers, within 5 business days of the day of exam.

1.1.11. Sterilization

1.1.11.1. Contractor agrees that all pre and post treatment sterilization services will be provided, as necessary for dental treatment provided. Sterilization equipment and facilities shall be maintained in accordance with applicable federal and State laws and the in accordance with published Standard Operating Procedures.

1.1.12. Housekeeping

1.1.12.1. Contractor agrees that the dental office space at which services are provided shall be maintained in accordance with applicable federal and State laws and in accordance with published

Standard Operating Procedures.

1.2. Period of Performance (PoP):

1.2.1. The Period of Performance shall be one Base Year of 12 months and ONE 12-month option years. Contractor will provide services as indicated on this PWS from 27SEP2026 to 26SEP2027

(Directly from CLIN Structure Document) with ONE possible subsequent option years. Treatment and exams accomplished at the GFDTF will be performed one day per week unless otherwise pre-coordinated by the IDARNG and the contractor. Treatment or other services completed at a contacted dental facility, will be performed, as pre-coordinated, throughout the PoP.

1.3. Quality:

1.3.1. Quality Control (QC): The contractor shall develop and maintain an effective QC Plan (QCP) to ensure services are performed in accordance with this PWS. The contractor shall develop and implement procedures to identify, prevent, and ensure non- recurrence of inadequate services.

The contractor's QCP is the means by which it assures itself that its work complies with the requirements of the contract and competent dental care. As a minimum, the contractor shall develop

QC procedures that address the areas identified in Technical Exhibit 1 of the Quality Assurance

Surveillance Plan (QASP), Performance Requirements Summary. After acceptance of the QCP, the contractor shall obtain the Contracting Officer's (KO) acceptance in writing of any proposed changes to its QCP.

1.3.2. Quality Assurance (QA): The Government will evaluate the contractor's performance under this contract in accordance with the Quality Assurance Surveillance Plan (QASP). This plan is primarily focused on what the Government must do to ensure that the contractor has performed in accordance with the performance standards. It defines how the performance standards will be applied, the frequency of surveillance, and acceptable quality level(s) (defect rate(s)).

1.3.3. Exempt Professional Employees: Contractor employees supporting this requirement are identified as professional employees as professional employees as defined in 29 CFR 541 and are not subject to the requirements of the Service Contract Act of 1965 (FAR Subpart 22.11 Professional

Employee Compensation).

1.4. Recognized Holidays:

1.4.1. Federal Law (5 U.S.C. 6103) establishes the following public holidays which will be recognized for the purpose of this requirement. The following are recognized US holidays. The contractor shall not perform services on these days:

1.4.2. The following are recognized US holidays. Contractor shall not perform services on these days:

New Year's Day: January 1st Martin Luther King, Jr.'s Birthday President's Day

Memorial Day

Independence Day: July 4th Labor Day

Columbus Day Veteran's Day: November 11th

Thanksgiving Day Christmas Day Juneteenth: June 19

1.5. Place and Performance of Services:

1.5.1. Exams and Limited Dental Treatment at GFDTF will be part-time, and be limited to one (1) day per week at the SRP/ PHA facility located in Boise, ID or other designated localities as determined and pre-coordinated by the IDARNG and the contractor. Time in excess of 8 hours per week must be pre-coordinated with the contractor and IDARNG. Contractor shall provide services between the hours of 0800 - 1700 on the pre-coordinated day, currently Thursdays, except on recognized US holidays or when the Government facility/installation is closed due to local or national emergencies, administrative closings, or similar Government-directed facility/installation closings.

1.5.2. Treatment or other services completed at a contacted dental facility will be located in

Idaho or other designated localities as determined by the IDARNG and the contractor.

1.5.3. Authorized dental services are identified in section 7 of this PWS.

1.6. OSHA Safety standards

1.6.1. OSHA Bloodborne Pathogens Standard

Contractor shall ensure the requirements of Occupational Safety and Health Administration

(OSHA)

and applicable State and Federal regulations are met.

1.7. Security Requirements.

1.7.1. Contractor and all associated sub-contractor's employees shall comply with applicable installation, facility and area commander installation/facility access and local security policies and procedures (provided by government representative). The contractor shall also provide all information required for background checks to meet installation access requirements to be accomplished by the installation Security Office. Contractor workforce shall comply with all personal identity verification requirements as directed by DOD, HQDA and/or local policy. Should the Force Protection Condition (FPCON) change, the Government may require changes in contractor security matters or processes. The contractor and its personnel must comply with the requirements of this paragraph in accessing

Controlled Unclassified information (CUI), adherence to physical security requirements and access to Government facilities, records and information systems.

1.7.2. Physical Security: The contractor shall safeguard all Government property provided for contractor use. At the close of each work period, Government facilities, equipment and materials shall be secured. All materials and equipment shall be returned to the Contracting Officer's

Representative upon request or at the end of the period of performance.

1.7.3. COMSEC/IT Security: All communications with DoD organizations are subject to communications security (COMSEC) review. All telephone communications networks are continually subject to intercept by unfriendly intelligence organizations. The DOD has authorized the military departments to conduct COMSEC monitoring and recording of telephone calls originating from, or terminating at, DoD organizations. Therefore, the contractor is advised that any time contractor place or receive a call they are subject to COMSEC procedures. The contractor shall ensure wide and frequent dissemination of the above information to all employees dealing with DoD information. The contractor shall abide by all Government regulations concerning the authorized use of the

Government's computer network, including the restriction against using the network to recruit

Government personnel or advertise job openings.

1.7.4. Use of Government Information Systems (IS) and access to Government networks is a revocable privilege, not a right. Users are the foundation of the DoD strategy and their actions affect the most vulnerable portion of the Army Enterprise Infrastructure. Contractor employees shall have a favorable background investigation or hold a security clearance and access approvals commensurate with the level of information processed or available on the system. Contractor employees shall:

1.7.4.1. Comply with the command's Acceptable Use Policy (AUP) for Government owned IS and sign an

AUP prior to or upon account activation.

1.7.4.2. Complete initial and/or annual Information Assurance (IA) training as defined in the IA

Best Business Practices (BBP) training (https://informationassurance.us.army.mil).

1.7.4.3. Mark and safeguard files, output products, and storage media per classification level and disseminate them only to individuals authorized to receive them with a valid need to know.

1.7.4.4. Protect IS and IS peripherals located in their respective areas in accordance with physical security and data protection requirements.

1.7.4.5. Practice safe network and Internet operating principles and take no actions that threaten the integrity of the system or network.

1.7.5. Protection of Personally Identifiable Information (PII).

1.7.5.1. The contractor shall protect all Personally Identifiable Information (PII) encountered in the performance of services in accordance with DFARS

224.103 and DoDD 5400.11, Department of Defense Privacy Program, and DoD 5400.11-R. If a PII breach results from the contractor's violation of the aforementioned policies, the contractor shall bear all notification costs, call-center support costs, and credit monitoring service costs for all individuals who's PII has been compromised.

1.7.5.2. Contractor will ensure personnel have completed the DHA online HIPAA training course and keep a certificate of training on file. The training will be updated on the personnel's birth month in order to stay updated and in compliance with all HIPAA regulations.

1.7.6. Common Access Card (CAC) Requirements:

1.7.6.1. If it is determined necessary for the contractor to access Gowen Field, the contractor's employees shall become familiar with and obey the regulations of the installation; including fire, traffic, safety and security regulations while on the installation. Contractor employees should only enter restricted areas when required to do so and only upon prior approval. All contractor employees shall carry proper identification with them at all times.

1.7.6.2. Unscheduled gate closures by the Security Police may occur at any time, causing all personnel entering or exiting a closed installation to experience a delay. This cannot be predicted or prevented. Contractors are not compensated for unexpected closures or delays. Vehicles operated by contractor personnel are subject to search pursuant to applicable regulations. Any moving violation of any applicable motor vehicle regulation may result in the termination of the contractor employee's installation driving privileges.

1.7.6.3. The Common Access Card (CAC) is the Department of Defense (DOD) Federal Personal Identity

Verification (PIV) credential. In accordance with DOD manual 1000.13, volume 1, initial issuance of a CAC requires at a minimum, the completion of FBI fingerprint check with favorable results reflecting "No Record" and submission of a National Agency Check with Inquiries (NACI) to the

Office of Personnel Management (OPM), or a DoD-determined equivalent investigation. The issuance of a CAC will be based on four criteria; (a) eligibility for a CAC; (b) verification of DoD affiliation from an authoritative data source; (c) completion of background vetting requirements according to the Federal Information Processing Standards Publication 201-1, Personal Identity Verification

(PIV) of Federal Employees and Contractors, March 2006, and DOD Regulation 5200.2-R, Department of

Defense Personnel Security Program, January 1987, and

(d) verification of a claimed identity. CAC eligible personnel must be registered in the Defense

Enrollment Eligibility Reporting System (DEERS) through either an authoritative personnel data feed from the appropriate Service or Agency or MP ICAM (Mission Partner Identity, Credential, and Access

Management) as a replacement to Trusted Associated Sponsorship System (TASS).

1.7.6.4. Contractor will ensure Common Access Cards (CACs) are obtained by all contract or subcontract personnel assigned to work on the Government site and by personnel requiring access to a DoD network (and other eligible populations as specified in DTM-08-003 Attachment 3, paragraph

3a.). Contractor shall make all reasonable efforts to ensure Contractor employees meet CAC eligibility standards upon assignment to the contract and shall be held responsible for delays, failure to meet performance requirements, or decreases in efficiency in accordance with the applicable inspection clause. https://nbib.opm.gov/e-qip-background-investigations/

1.7.7. MP ICAM (Mission Partner Identity, Credential, and Access Management):

1.7.7.1. The contractor is responsible for processing applications for Common Access Cards

(CAC)

for every contractor employee who deploys with the military force OR who has need to access any government computer network in accordance with FAR 52.204-9, "Personal Identity Verification of

Contractor Personnel."

1.7.7.2. The contractor is responsible for managing requests for new or renewal CAC cards in sufficient time to ensure that all contractor employees have them when needed to perform work under this contract. The norm is at least ten calendar days advance notice to the Contracting Officer's

Representative (COR).

1.7.7.3. Contractors and their personnel shall use the following procedures to obtain CAC

1.7.7.3.1. Contractors shall provide a listing of personnel who require a CAC to the contracting officer representative. The Government will provide the contractor instruction on how to complete the Contractor Verification System (CVS) application and then notify the contractor when approved.

1.7.7.3.2. The contractor shall process CAC applications through the Mission Partner Affiliation

Sponsor (MPAS), the procedures for which are described below. Although there is no requirement for the contractor to designate a "Corporate Facility Security Officer" (FSO) to serve as its single point of contact, the MP ICAM application process and other CAC and security-related matters, such designation facilitates these processes. If a Corporate FSO is not established, all contractor employees requiring a CAC will be required to process their own applications. The submission process for CAC applications is as follows:

The contractor's FSO or contractor employee shall submit requests for a CAC via email to the designated MPAS. The MPAS for this requirement will be MAJ Wanty or Representative.

The Government will establish a MP ICAM application account for each CAC Request and will provide each contractor employee a user ID and password, via email, to the contractor's FSO or contractor employee. The FSO or contractor employee shall access the MP ICAM account and complete the CAC application (entering/editing contractor information as applicable) at: https:// mpartnerregweb.dmdc.osd.mil/mpartnerregweb/app/. The contractor's FSO or contractor employee shall follow up to ensure that the MPAS is processing the request.

a. The Government will inform the contractor's applicant, via email, of one of the following:

i. Approval.* Upon approval, the information is transferred to the DEERS database and an email notification is sent to the contractor with instructions on obtaining their CAC. The contractor proceeds to a RAPIDS station (RAPIDS Site Locator: http://www.dmdc.osd.mil/rsl/).

ii. Rejection.* The Government, in separate correspondence, will provide reason(s) for rejection.

iii. Return. Additional information or correction to the application required by the contractor employee.

*The contractor shall maintain records of all approved and rejected applications.

1.7.7.4. A CAC cannot be issued without evidence that the FSO has initiated a National Agency Check with Written Inquires (NACI).

1.7.7.5. At the RAPIDS station, the RAPIDS Verification Officer will verify the contractor by SSN and two forms of identification. Identity source Documents must come from the list of acceptable documents included in Form I-9, OMB No. 1615-0047, "Employment Eligibility

Verification." Consistent with applicable law, at least one document from the Form I-9 list shall be a valid (unexpired) State or Federal Government-issued picture identification (ID). The Identity documents will be inspected for authenticity and scanned and stored in the DEERS upon issuance of an ID. The photo ID requirement cannot be waived, consistent with applicable statutory requirements. The Verification Officer will capture primary and alternate fingerprints, picture, and updates to DEERS and will then issue a CAC.

1.7.7.6. Issued CACs shall be for a period of performance not longer than three (3) years or the individual's contract end date (inclusive of any options), whichever is earlier.

1.7.7.7. The contractor shall return issued CAC's to the DEERS office upon departure or dismissal of each contractor employee. Obtain a receipt for each card and provide to the TA

/COR.

1.7.8. HSPD-12 Background Investigation Requirements:

1.7.8.1. The contractor will ensure Common Access Cards (CACs) are obtained by all contract or subcontract personnel assigned to work on the Government site and by personnel requiring access to a DoD network (and other eligible populations as specified in DTM-08-003 Attachment 3, paragraph

3a.) are required to, at a minimum, have received a favorable FBI fingerprint check and must have submitted to the Office of Personnel Management (OPM) a National Agency Check with Inquiries

(NACI)

or equivalent/higher investigation. It is the responsibility of the contractor to ensure that all employees requiring an initial background investigation complete a Personnel Security Investigation

Portal (PSIP) form at the earliest possible date and that this form is forwarded to the COR immediately. The COR will review the form for completeness and accuracy and forward to the

NGB

Personnel Security manager who will initiate the investigation process via the PSIP. Contractor personnel will then receive two e- mail messages; the first will confirm that the request has been received by the Office of Personnel Management, and the second will provide instructions for the completion of the appropriate form via the Electronic Questionnaires for Investigations Processing

(e-QIP) system. Upon completion of the e-QIP questionnaire and submittal of all required documents, including fingerprint card to the security manager, the BI will be initiated.

1.7.8.2. The contractor shall ensure all instructions regarding background investigation processing, including those provided verbally, by e-mail or via a Government system are complied with immediately.

1.7.8.3. The contractor is cautioned that the entire process from submittal of the PSIP form to return of the FBI fingerprint check may routinely take from 2- 6 weeks and shall factor this lead time into its hiring/placement process.

1.7.8.4. The contractor shall make all reasonable efforts to ensure that contractor employees meet

CAC eligibility standards upon assignment to the contract and shall be held responsible for delays, failure to meet performance requirements or decreases in efficiency in accordance with the applicable inspection clause.

1.7.9. Establishing Privileges To Access Systems

1.7.9.1. To establish email account. Applicant is required to request privileges to access systems. Applicants Process: Set up account and use the ADSS military person AKO user name to forward for approval.

1.7.9.2. Health Systems Specialist (HSS)/COR will complete DD Form 2875 if needed and the applicant's position requires specific accesses. HSS/COR will email back for review and applicants digitally sign signature and returned for final signatures.

1. DD Form 2875, AUG 2009 - Access to the TAG KS Network, Provide all certificates.

2. DD Form 2875, AUG 2009 - Access to SIDPERs PISB System (SEE block 27)

1.7.10. New MEDCHART 'Contractor' or Specified Applicant is required to take the Cyber Security

User Portal and continue to maintain annual current access to all computer data bases. See Training

Requirements Below

1.7.11. Activation requests for approval are submitted by the State Surgeon (SS) or the Deputy

State Surgeon (DSS) to one of the three Central Regional Health Command Coordinators noted above for final access approval for MEDCHART and other databases. Access turnaround is usually completed within 4 hours of the request.

1.8. TRAINING REQUIREMENTS

A. Anti-Terrorism - Personally Identifiable Information (PII):

http://iase.disa.mil/eta/piiv2/launchpage.htm

B. HIPAA Training Certificate

(LOGIN to JKO and search catalog for HIPAA in "Title Key Word"):

https://jkodirect.jten.mil/Atlas2/faces/page/desktop/DesktopHome.seam?cid=tab_2&a mp;amp% 3Bta bId=2

C. Cyber Awareness: https://cs.signal.army.mil/

i. Due Annually:

DoD Cyber Awareness Challenge

Take an Exam, View Scores and Print Certificates

D. AUP

i. Due Annually:

View and Sign AUP - This allows you access to all the computer systems. Not updated you will be locked out of everything.

Note: Fort Gordon Data at Rest Validation required only once.

E. AT Level 1 Awareness Training (AT): All contractor employees requiring access to Army

Installations, facilities, and controlled access areas shall complete Level 1 AT within 30 calendar days after contract start date and within 30 calendar days of new employees commencing performance.

The contractor shall submit certificates of completion for each affected contractor and subcontractor employee, to the COR, or to the KO if a COR is not assigned, within 15 calendar days after completion of training Level 1 AT is available at: https://jko.jten.mil.

F. Registration in the Army Training Certification Tracking System (ATCTS): All contractor employees with access to a government information system shall be registered in the ATCTS (Army

Training Certification Tracking System) (https://atc.us.army.mil/iastar/index.php) prior to commencement of services, and shall successfully complete the DOD Information Assurance Awareness

Training prior to use of the Information System and then annually thereafter

(https://ia.signal.army.mil/DoDIAA/).

G. Information Assurance (IA)/Information Technology (IT) Training: All contractor employees shall complete the DoD IA Awareness Training before issuance of network access and annually thereafter.

All contractor employees performing services involving IA/IT functions shall comply with DoD and

Army training requirements in DoDD 8570.01, DoD 8570.01-M and AR 25-2 within six months of the start of contract performance. In accordance with DoD 8570.01-M , DFARS 252.239.7001 and AR 25-2, contractor employees performing services supporting IA/IT functions shall be appropriately certified upon contract award. The baseline certification as stipulated in DoD 8570.01-M shall be completed upon contract award. Contractor will comply and abide by all Government regulations concerning the authorized usage of Government's computer / telenetwork network, restriction usages, policies and procedures.

H. iWATCH Training: The contractor with an area of performance within an Army- controlled installation, facilities or area shall brief all employees on the local iWATCH program. This local developed training will be used to inform employees of the types of behavior to watch for and instruct employees to report suspicious activity to the COR or the KO. This training shall be completed within 30 calendar days of contract award and within 30 calendar days of new employees commencing performance. The contractor shall report completion for each affected contractor employee and subcontractor employee, to the COR, or to the KO if a COR is not assigned, within calendar days after completion of training.

http://www.cyssprogram.com/docs/online-training/iWatch,%20OPSEC%20and%20Information% 20Security%20Awa reness%20Module.pdf

I. OPSEC Training. In accordance with AR 530-1, Operations Security, new contractor employees shall complete Level I OPSEC training within 30 calendar days of their reporting for duty and annually thereafter. The contractor shall submit certificates of completion for each affected contractor employee, to the COR, or to the KO if a COR is not assigned, within 15 calendar days after completion of training. Level 1 OPSEC training is available at http://cdsetrain.dtic.mil/opsec/.OR https://securityawareness.usalearning.gov/opsec/index.htm.

J. TARP Training. In accordance with AR 381-12, Threat Awareness and Reporting Program

(TARP),

contractor employees must receive annual TARP training by a CI agent or other trainer as specified in 2-4b of the AR. This applies to all contractors with security clearances.

Contractor personnel will safeguard all Government property provided for their use. At the close of each work period to include lunch and breaks all items will be locked down and secured.

1.9. Special Qualifications:

1.9.1. Experience

1.9.1.1. Contract employee shall have a minimum of five (5) years practical experience as a

Dentist and have and maintain a valid license to practice Dentistry in the state of Idaho.

1.9.1.2. Contract employee shall have a working knowledge and experience with Microsoft Office

Suite: Excel, Outlook, PowerPoint, and Word.

1.9.1.3. Preference will be given to personnel with working knowledge and experience with military medical systems: MODS: eProfile, MEDPROS; and MEDCHART: DenClass.

1.10. Post Award Conference/Periodic Progress Meetings: The contractor agrees to attend any post award conference convened by the KO in accordance with Federal Acquisition Regulations Subpart

42.5. The KO, Contracting Officer's Representative (COR), and other Government personnel, as appropriate, may meet periodically with the contractor to review the contactor's performance. At these meetings, the KO will apprise the contractor of how the Government views the contractor's performance and the contractor shall apprise the Government of problems, if any, being experienced.

The contractor shall resolve outstanding issues raised by the Government. Contractor attendance at these meetings shall be at no additional cost to the Government.

1.10.1. Contract Manager (CM): The contactor shall designate a CM who shall ensure performance under this contract. The name of this person, and an alternate who shall act for the contractor when the CM is absent, shall be designated in writing to the KO. The CM or alternate shall have full authority to act for the contractor on all contract matters relating to daily operation of this contract. The CM shall work through the COR, (or the KO if a COR is not assigned), to resolve issues, receive technical instructions, and ensure adequate performance of services. The CM shall ensure that contractor employees do not perform any services outside the scope of the contract without an official modification issued by the KO. The CM shall ensure contractor employees understand that services performed outside the scope of the contract are performed wholly at the expense of the contractor.

1.10.2. Identification of Contractor Employees: All contractor personnel attending meetings, answering Government telephones and working in other situations where their contractor status is not obvious to third parties are required to identify themselves as such to avoid creating an impression that they are Government employees. The contractor shall ensure that all documents or reports produced by contractor personnel are suitably marked as contractor products or that contractor participation is appropriately disclosed. The contractor's status as a "contractor" shall be predominantly displayed in all correspondence types (to include signature blocks on e-mail) and dealings with Government or non-Government entities. Contractor personnel shall wear identification badges distinguishing themselves as such. The badges shall have the company name, employee name and the word

"contractor" displayed. The contractor shall retrieve all identification media (including vehicle passes) from their employees who depart employment for any reason. All identification media (i.e., badges and vehicles passes) shall be returned to the KO within 14 days of an employee's departure.

1.10.3. Combating Trafficking in Persons: The United States Government has adopted a zero-tolerance policy regarding trafficking in persons. Contractors and contractor employees shall not engage in any form of trafficking in persons; procure commercial sex acts; or use forced labor in the performance of the contract or during the period of performance of the contract. The Contractor shall notify its employees of the United States Government's zero tolerance policy, the actions that will be taken against employees for violations of this policy. Such actions may include, but are not limited to, removal from the contract, reduction in benefits, or termination of employment.

The contractor shall take appropriate action, up to and including termination, against employees or subcontractors that violate the US Government policy as described at FAR 22.17.

1.10.4. Contractor Travel: There will be no travel associated with this contract.

1.10.5. Data Rights: The Government has unlimited rights to all documents/material produced under this contract. All documents and materials, to include the source codes of any software, produced under this contract shall be Government owned and are the property of the Government with all rights and privileges of ownership/copyright belonging exclusively to the Government. These documents and materials may not be used or sold by the contractor without written permission from the KO. All materials supplied to the Government shall be the sole property of the Government and may not be used for any other purpose. This right does not abrogate any other Government rights.

1.10.6. Organizational Conflicts of Interest (OCI): The contractor and subcontractor personnel performing services under this contract may receive, have access to or participate in the development of proprietary or source selection information (e.g., cost or pricing information, budget information or analyses, specifications or work statements, etc.) or perform evaluation services which may create a current or subsequent OCIs, as defined in FAR Subpart 9.5. The contractor shall notify the KO immediately whenever it becomes aware that such access or participation may result in any actual or potential OCI and shall promptly submit a plan to the KO to avoid or mitigate any such OCI. The contractor's mitigation plan will be determined to be acceptable solely at the discretion of the KO and in the event the KO unilaterally determines that any such OCI cannot be satisfactorily avoided or mitigated, the KO may affect other remedies as he or she deems necessary, including prohibiting the contractor from participation in subsequent contracted requirements which may be affected by the OCI.

2. Government Furnished Property, Material, Equipment and Services (GFP/M/E/S):

2.1. The Government will provide the property, material, equipment, and/or services listed below solely for the purpose of performance under this contract:

2.1.1. Contractor understands that the government will supply all equipment and supplies to complete dental screenings, limited dental treatment and equipment sterilization to include dental operatories, sterilization equipment, X-ray machines, computers, internet, sensors, software, lead aprons, dental chairs, dental lights, and limited personnel support. The equipment, instrumentation, anesthetic, and dental materials will be provided by the Government for the authorized dental services that are identified in section 7 of this PWS.

2.1.2. Contractor shall ensure facility meets OSHA protocols and infection control standards before and after services, this includes properly bagging and disposing of waste prior to departure.

3. Contractor Furnished Property, Materials, and Equipment (CFP/M/E):

3.1. General: Except for those items specifically stated to be Government-Furnished in Paragraph

2.0, the contractor shall furnish everything required to perform these services.

3.2. Contractor will upload SMs documents i.e. 5570, SF603, and X-rays to HIPAA compliant Share

File.

3.3. Property: The Contractor will furnish the necessary workspace and supplies for dental treatment which will be performed at the contract employee's private/group practice.

3.4. Contractor will provide the reputable dental offices with personnel to complete dental treatment for DRC3 located nearby area of Boise Idaho or other pre-coordinated locations.

4. Technical Specifications:

4.1. The following technical specifications are provided to demonstrate the task environment in which the services will be delivered. The following specifications are not directives on how the services are to be provided but an example of what traditionally has been required to successfully support the task order objective.

4.2. Contractor will provide dental screenings, classifying all SMs as DRC1-4 in reference to the

SMs diagnose. DRC3 referral treatment plans will be sent to SSO/State Dentist for approval of treatment.

4.3. Abide by Privacy Act and HIPAA regulations and guidelines.

4.4. Contractor employees and contracted employees are HIPAA/PII certified to protect all sensitive information and patient privacy. Most healthcare organizations require annual certification to maintain the strict confidentiality and disclosure requirements Contractor believes in this protection and will strive to have all employees follow PII Security best practices.

4.5. Obtain and maintain access to, and regularly utilize, the following military medical systems:

MODS: eProfile, MEDPROS; and MEDCHART:DenClass.

4.6. Contractor employees currently have and will maintain access to all medical systems accessible by non-DOD networks, to include DENCLASS, and HRR.

4.7. Complete annual Dental Assessments to include reviewing radiographs and panographs, and conducting intra-oral exams in accordance with (IAW) AR 40-501. Upload dental readiness classification (DRC) status and/or necessary related information into DenClass.

4.8. Contractor shall provide dental readiness services to include a periodic oral examination, updating necessary diagnostic radiographs (Panoramic film, Bitewing films, and/or Periapical film), and uploading all records into the DENCLASS system.

4.9. Contractor shall have a contracted local dental office staffed with state licensed Dentists and Dental Assistants to complete the exams.

4.10. Develop and provide treatment plans for DRC 3 SMs detailing required services to raise the

SM's status to at least DRC2 prior to mobilization, utilizing DenClass. Review and approve profiles as required.

4.11. Contractor will provide comprehensive treatment plans for DRC3 SMs in order to convert them to a minimum of a DRC2. Profiles can be drafted for SMs but must be approved by State Surgeons

Office/State Dentist or their designated representative.

4.12. Using CENTCOM MOD 12 and other applicable deployment personnel policy guidance, determine the deployability of SMs and report discrepancies to the State Surgeon and his delegates within 7 days of observing limiting or disqualifying issues.

4.13. Contractor will follow all applicable regulations and policy letters, to include CENTCOM MOD

12 to ensure SMs deployability is a true reflection as shown in MEDPROS/DENCLASS. Any discrepancies will be reported to the SSO or their delegates within 7 days.

4.14. Communicate with Commanders and the State Surgeon and his delegates in the dental readiness decision and disposition making process.

4.15. Contractor will always be available to communicate with the SSO or their delegates to ensure accurate level of dental readiness status, receive disposition of SM's DRC and treatment.

4.16. Contractor Manpower Reporting Application (CMRA):

4.16.1. The contractor shall report ALL contractor labor hours (including subcontractor labor hours) required for performance of services provided under this contract for the National Guard

Bureau or the IDARNG Medical Detachment, Office of the State Surgeon, via a secure data collection site.

4.16.2. The contractor shall completely fill in all required data fields using the following web address: http://www.ecmra.mil/. Reporting inputs shall be for the labor executed during the period of performance during each Government fiscal year (FY), which runs October 1 through September 30.

While inputs may be reported any time during the FY, all data shall be reported no later than

October 31 of each calendar year, beginning with 2018. Contractors may direct questions to the help desk at http://www.ecmra.mil.

5. Applicable Publications:

5.1. Contractor shall abide by all applicable regulations, publications, manuals, and local policies and procedures, mandated by the government, and those that follow:

Medical Record Administration…