Solicitation HQ0034-20-R-0211- Questions and Answers_Amendment 0002.pdf

Question/Answer Document

RFP #HQ0034-20-R-0211

# Reference Category Vendor Question Government Response

Solicitation #HQ0034-20-R- 0211, Section SF 1449 -

Continuation Sheet, CLIN 0001 - 0008, pages 3 to 6

Technical

The solicitation uses multiple contract types for the various groups of services (e.g.

occupational health services, independent medical examinations, and independent medical reviews). For example, CLINs X001 and X002 are T&M and CLINs X003 and X005 are Labor Hours (LH). The healthcare industry standard for commercial services from private providers is the use of firm fixed prices. For example, the reimbursement methods for healthcare insurance fixed price per service identified by a CPT Code or HCPCS codes.

Private provider businesses are set up to support these types of payment methods and do not typically have the ability to support the required infrastructure to support government T&M and LH contracts. Request reconsideration of the use of a hybrid contract type as this will provide severe limitations on the ability to recruit/maintain a private provider network for the contract and to provide more offerors the ability to respond and submit a proposal.

Recommendation considered; however, the contract type will remain as a hybrid type contract.

Solicitation #HQ0034-20-R- 0211, Clauses Incorporated by

Reference, FAR Clause 52.222- 41 and 52.222-43, page 9 of 87

Technical

The RFP contains FAR 52.222-41, Service Contract Labor Standards and FAR 52.222-43, Fair Labor Standards Act and Service Contract Labor Standards-Price Adjustment (Multiple Year and Option Contracts). Request removal of these clauses and Attachment 9 as this is a contract to be performed overwhelmingly by physicians and medical professionals, who are not “service employees.”

Since the Act requires the payment of minimum compensation for work performed under the contract, and recordkeeping to prove that such compensation was paid, the compliance burden for the average medical practice would be burdensome. The inclusion of these clauses will make it very difficult to obtain medical practices as subcontractors – especially in addition to the any background requirements.

The physicians themselves are exempt from the Act as “professionals.” 29 C.F.R. § 541.304

(a) & (b). Moreover, some nurses and physician assistants are also exempt. 29 C.F.R. §

541.301(e). Other nurses and medical technicians are apparently covered, and will have to be paid the minimum compensation in the wage determination applicable to their locality. These individuals may work for the prime and/or a subcontractor. In addition, other individuals performing duties on the contract may be exempt as “administrative” workers.

Request removal of FAR clauses 52.222-41 and 52.222-43 from the RFP.

Please see Amendment 0002 for updated the solicitation which removes the clauses.

Solicitation HQ0034-20-R-0211, FAR Clause 52.216-1 "Type of

Contract," page 41 Contract

Recommend a firm fixed type contract type due to the limitations in the ability to recruit/maintain a private provider network for the contract and to provide more offerors the ability to respond and submit a proposal.

Recommendation considered but the contract type will be as contemplated, per page 41, clause 52.216-1 Type of Contract and PWS section 1.6.6.

Solicitation #HQ0034-20-R- 0211, FAR 52.212-1 Addendum

"Instructions to Offeror;"

Section A. Proposal Volumes

Requirement, page 70

Contract

Volume IV, Technical Approach and Capability Volume has a total of 7 pages for the first three sections. These page limits are very restrictive and do not permit the ability to fully address the RFP and PWS requirements. Respectfully request additional page count such as a minimum of 5, preferably 10 pages, per subsection.

Please see Amendment 0002 of the solicitation for the updated page count.

Solicitation #HQ0034-20-R- 0211; FAR 52.212-1 Addendum

"Instructions to Offeror;"

Section A. Proposal Volumes Requirement; Section A.1.6, Contract Please clarify the file types for each proposal file that is required. Are both Adobe (PDF) and

MS Word 2010 or MS Excel 2010 file types required for each file?

Please reference Section A.1.6 of the solicitation for electronic submission of proposals.

Solicitation #HQ0034-20-R- 0211; FAR 52.212-1 Addendum

"Instructions to Offeror;"

Section E. Factor 1 - Technical

Approach and Capability (Volume IV), page 75

Contract

The RFP states there is a 30 calendar day phase-in period. Establishment of a new contract and all associated activities such as background investigations and training typically require longer time periods. Respectfully request extending the phase-in period ot a minimum of 60 calendar days.

Please see Amendment 0002 for the updated Solicitation and phase-in period.

Attachment 1 - PWS, Section

1.3 - Objectives, Section d, page

Technical Please clarify if the Private provider walk-in care, first and emergency response is located in a government office space. If so, please provide locations.

No, all healthcare would be provided at a contractor facility or via Telehealth.

Attachment 1 - PWS, Section

1.3 - Objectives, Section e, page

Technical Please elaborate the health education and training program. How often is this conducted and is this conducted in person or online?

Please see Amendment 0002 for the updated solicitation and PWS which removes this language.

Attachment 1 - PWS, Section

1.3 - Objectives, Section p, page

Technical Please clarify what the comprehensive reports to employers and employees attending agency meetings entails. Does the contractor attend the agency meetings?

No, the contractor does not attend agency meetings. The report would consist of evaluation needs to include; a DSM 5 diagnosis, prognosis, and a focused discussion regarding the individual’s reliability and judgment in light of his/her psychological condition(s). A review of the current mental status and relevant behavioral observations should be included.

Attachment 1 - PWS, Section

1.6.4 - Hours of Operation, page

Technical Please clarify if the hours of operations is applicable only to the staff that are performing services in a government office space.

Appointments to be within DoD core hours 9:00am-3:00pm, regardless of where services are provided. Services will be performed at the Private Provider office space.

Attachment 1 - PWS, Section

1.6.5 - Place of Performance, Technical

Please clarify the place of performance. The contract type and focus on staffing suggests that all work is performed at a government facility and parts of the PWS clearly require use of a private provider office location (i.e. contractor site). Please provide examples of a "government Private Provider provided office space".

Please see amendment 0002 for the updated PWS which clarifies that the place of performance is at a Private Provider office space or via Telehealth.

Attachment 1 - PWS, Section

1.6.7 - Security Requirements, Contract/Technical

Please clarify the scope of "contractor personnel" who must obtain the outlined security requirements (e.g. NCIC check for CAC, NACI, FBI fingerprint check). Does this apply to all providers, nurses, etc.?

See Amendment 0002 for the updated PWS Section 1.6.7 - Security Requirements.

Attachment 1 - PWS, Section

1.6.8 - Special Qualifications, Contract

Please clarify the scope of "contractor personnel" who must sign a Non-Disclosure Agreement. Does this apply to all providers, nurses, etc.?

Please reference section 1.6.8 - Special Qualifications of the PWS.

Attachment 1 - PWS, Section

1.6.11 - Key Personnel, Program Management Assistant, page 4

Contract The education requirements for the Program Management Assistant – Operations Supervisor is very specific and therefore can limit the pool of potential candidates. Request reconsideration of the field of study for the degrees.

See Amendment 0002 for the updated PWS Section 1.6.11.

Attachment 1 - PWS, Section

1.6.11 - Key Personnel, Physician - Medical Case Review, page 5

Technical Please clarify if the Medical Case Review key personnel is a licensed physician (MD or DO). No, the Medical Case Reviewer is an Administrative position.

Attachment 1 - PWS, Section

4.2 - Facility Clearance, page 11 Contract/Technical

The RFP states that "The Contractor’s employees, performing work in support of this contract shall have been granted up to and including a possible SECRET security clearance from the

Defense Industrial Security Clearance Office." Please clarify how this clearance requirement aligns with the Security Requirements in Section 1.6.7. A SECRET security clearance is more rigorous and requires much more time to acquire than a NACI.

See Amendment 0002 for the updated PWS section 4.2 - Facility Clearance.

Attachment 1 - PWS, Section

4.2 - Facility Clearance, page 11 Contract

Please clarify the scope of "contractor personnel" who must be granted up to and including possible SECRET security clearance. Does this apply to all providers, nurses, etc.?

See Amendment 0002 for updated PWS section 4.2 - Facility Clearance.

Attachment 1 - PWS, Section

4.2 - Facility Clearance, page 11 Contract

Please clarify the requirement for a SECRET facility clearance. What needs to be housed in this facility? For example, are medical records and data servers to be in the cleared facility?

What about contractor personnel who work in contractor locations? Please reconcile with the use of private provider offices who do not meet this requirement.

See Amendment 0002 for updated PWS Section 4.2 - Facility Clearance.

Attachment 1 - PWS, Section

5.1.4, page 12 Contract Please clarify/define what a self-informal supervisory and formal supervisory referral is. Referrals may be requested informally by a Supervisor or in writing.

Attachment 1 - PWS, Section

5.1.5, page 12 Contract Please define what an onsite Field Consultant Furnishing Service is. See Amendment 0002 for the updated PWS. This language has been removed.

Attachment 1 - PWS, Section

5.2.3, page 13 Contract

Is the storage of all active medical records including those created by the incumbent contractor physical and/or electronic? What is the volume of each media?

The Government's staff will need access to medical records either original paper sent to the Agency or access to scanned/electronic versions. No data is available for the volume of each media.

Attachment 1 - PWS, Sections 5.1.1, 5.1.2, and 5.1.6, page 12

Contract Please clarify the scope and type of counseling requirement. Does this apply to employees and applicants?

No. Please see Amendment 0002 for the updated PWS Sections 5.1.1, 5.1.2 and 5.1.5.

Attachment 1 - PWS, Section

1.4 - Scope, page 4 Contract Request historical data on the volume and location of services in Canada. Please see Amendment 0002 Attachment 12 - Utilization Report_Amendment 0002.

Attachment 1 - PWS, Section

1.3 - Objectives, Section b, page

Contract Request longer (greater than 25 miles) access requirements for rural/remote areas, such as up to 75 miles.

Recommendation considered, however the requirement will remain as stated in the PWS.

Attachment 1 - PWS, Section

1.3 - Objectives, Section j, page 3; and PWS, Section 5.3 Task 3 -

Independent Medical Examinations (IME), page 19

Technical Please clarify the requirement for board certification for audiologists and functional capacity examinations.

CENTCOM standard for deploying employees is a CAOHC certified Hearing technician to perform the audiogram. An audiologist is not necessary.

Attachment 1 - PWS, Section

1.6.6 - Type of Contract, page 3 Contract

The healthcare industry standard for commercial services from private providers is the use of firm fixed prices. For example, the reimbursement methods for healthcare insurance fixed price per service identified by a CPT Code or HCPCS codes. Private provider businesses are set up to support these types of payment methods and do not typically have the ability to support the required infrastructure to support government T&M and LH contracts. Request reconsideration of the use of a hybrid contract type as this will provide severe limitations on the ability to recruit/maintain a private provider network for the contract. Recommend a firm fixed type contract type to provide more offerors the ability to respond and submit a proposal.

Recommendation considered; however, the contract type will remain as a hybrid type contract.

27 Attachment 3 - PPQ Contract Request a MS Word version of the PPQ attachment for ease of completion by the reference points of contact.

Please see solicitation Amendment 0002 for word version of Attachment 3 PPQ.

Attachment 5 - Conflict of

Interest Contract

Request a MS Word version of the COI attachment for provision of additional lines for some responses as needed.

Please see solicitation Amendment 0002 for word version of Attachment 5 CPI.

29 Attachment 6 - QASP Contract The QASP does not seem to be incorporated, no reference beyond listing as an Attachment and the file is a template, i.e. not completed for this RFP. Please clarify the use and content of the QASP.

Please see solicitation Amendment 0002 for word version of Attachment 6 QASP.

Attachment 7 - Small Business

Participation Commitment Contract Request a MS Word version of the attachment for ease of completion of all required data. Please see solicitation Amendment 0002 for word version of Attachment 7 SBPCD.

Attachment 7 - Small Business

Participation Commitment Contract

The RFP states that "Any modification to the Small Business Participation Commitment Document must be pre-approved by the Contracting Officer prior to implementation." The attachment is a PDF file which does not permit revisions - and this format does not support adherence to the instructions which require additional information and some responses may require additional space. Request a MS Word version of the attachment be provided and permission to provide entries which may require additional space.

Please see solicitation Amendment 0002 for word version of Attachment 7 SBPCD.

Attachment 9 - Wage

Determination Contract

The attachment contains for District of Columbia, Virginia and Maryland and the scope includes nationwide services. Please clarify if additional WDs can be used for contractor locations outside of this WD.

Please see Amendment 0002 for updated Solicitation to include list of other wage determinations needed.

Attachment 10 - Subcontracting

Plan Contract

Request a MS Word version of the attachment for ease of completion and ability to fully respond to each section (provision of additional lines for some responses as needed).

Please see solicitation Amendment 0002 for word version of Attachment 10 SUB Plan.

Attachment 11 - Technical

Exhibit 3 - Estimated workload Contract/Technical Request historical data on the volume/workload for the other CLINs. Please see Amendment 0002 Attachment 12 - Utilization Report_Amendment 0002.

Attachment 11 - Technical

Exhibit 3 - Estimated workload Contract

Please clarify the workload content. The level varies from one to five FTE for a nationwide contract which does not appear to be enough capacity - or coverage of all geographic locations.

The workloads and the historical data are estimates. Bidders should use professional knowledge and judgement while developing their proposal.

Attachment 11 - Technical

Exhibit 3 - Estimated workload Contract

Please clarify the workload content. For example there appears to be a disconnect with the Solicitation, page 6 for maximum amount per CLIN 6 for NSC, $4M for 5 years, $800k/year and Attachment 11 states 1,880 hours or one FTE which equates to $425.53 hourly rate.

Please see Amendment 0002 Attachment 12 - Utilization Report_Amendment 0002.

Solicitation HQ0034-20-R-0211, FAR Clause 52.212-1

Addendum "Instructions to Offeror,"Section E. Factor 1 -

Technical Approach and Capability (Vol. IV), Key

Personnel, p. 75 - 76

Contract Which Key personnel are required to have a security clearance and at what security level? Please see Amendment 0002 for the updated PWS.

38 Attachment 4, Personnel matrix Contract Column F - Which Key personnel are required to have a security clearance and at what security level?

Please see Amendment 0002 for the updated PWS Section 1.6.7 - Security Requirements.

Attachment 11, Technical

Exhibit 3, p. 6 Technical

Locations - Is the contract winner expected to take over management, operations and staffing of all existing FOH-managed clinics currently serving 4th Estate?

No. Please see Amendment 0002 for the updated PWS Section 1.6.5 - Place of Performance.

Solicitation HQ0034-20-R-0211, FAR Clause 52.212-1

Addendum "Instructions to Offeror,"Section E. FACTOR 2

– PAST PERFORMANCE

(VOLUME V), pages 76 - 77

Contract

Section states: “PPQs are required for contracts not listed in Past Performance Information Retrieval System (PPIRS)”. PPIRS was officially retired in January 2019, replaced by the Contract Performance Assessment Reporting System (CPARS). Suggest the Government revise the requirement to read: “PPQs are required for contracts not listed in Past Performance Information Retrieval System (PPIRS) or Contract Performance Assessment Reporting System

(CPARS).”

Please see Amendment 0002 for updated Solicitation.

Solicitation HQ0034-20-R-0211, FAR Clause 52.212-1

Addendum "Instructions to Offeror,"Section E. FACTOR 2

– PAST PERFORMANCE

(VOLUME V), pages 76 - 77

Contract Are Past Performance Questionnaires (PPQs) required for contracts with records listed in the

Contract Performance Assessment Reporting System (CPARS)?

No. Please see Amendment 0002 for the updated Solicitation.

Solicitation HQ0034-20-R-0211, FAR Clause 52.212-1

Addendum "Instructions to Offeror,"QUESTIONS AND

RESPONSES TO

SOLICITATION, page 69

Contract Section states: “Questions and Responses will be provided to all Offerors via GSA.” Please clarify how Questions and Responses will be provided to offerors.

Please see Amendment 0002 for the updated Solicitation. Questions and answers will be communicated via beta.SAM's website.

Solicitation HQ0034-20-R-0211, FAR Clause 52.212-1

Addendum "Instructions to Offeror," GENERAL, page 68

Contract

Section states: “The Government anticipates award of a Single Award Indefinite Delivery/Indefinite Quantity (IDIQ) contract along with Task Orders 1, 2, and 3…” Please clarify what the Government means by “Task Orders 1, 2, and 3.” This does not appear to align with the Performance Work Statement (which has 7 named Tasks) nor the pricing worksheet.

Please reference Solicitation HQ0034-20-R-0211 Section ORDERING PROCEDURES.

PWS Section 1.3 - Objectives, Section c, page 1 Technical

"c. Provision of treatments prescribed by a personal physician such as periodic bed rest, blood pressure monitoring, glucose monitoring, and Allery immunotherapy."

Will this be performed by contractor physicians or the private provider network?

Any medical treatment needed beyond medical surveillance, deployabiilty, and fit for duty will be the responsibility of the employee and will be performed by their personal physician not the contractor. The contract will only cover exams and screenings.

45 General Technical What is the anticipated annual volume of exams to be requested on this contract? Please see Amendment 0002 Attachment 12 - Utilization Report_Amendment 0002.

PWS, Section 1.6.11 - Key

Personnel, Program Management Assistant, page 6

Technical

Section states that the Program Management Assistant – Operations Supervisor requires a Master’s degree in Strategic Leadership. This requirement seems unduly restrictive. Will the

Government accept a Master’s degree in other areas (such as Business Administration, Healthcare Administration, etc.)?

Please see Amendment 0002 for the updated PWS section 1.6.11.

PWS Section 1.6.17 - Phase In/Phase Out Period page 7

Technical PWS Section 1.6.17 states the Phase In period is 60 days. Section E. FACTOR 1 –

TECHNICAL APPROACH AND CAPABILITY of the RFP (page 75) states the Phase-In period is 30 days. Please clarify the length of the Phase-In period.

Please see Amendment 0002 of the solicitation, which identifies a 60 day phase-in period.

Solicitation HQ0034-20-R- 0211; FAR 52.212-2 Evaluation, Section 4) RATING METHODS

Contract

Title of this section is “a. FACTOR 1 – TECHNICAL APPROACH AND CAPABILITY AND FACTOR 2 – MANAGEMENT APPROACH.” However, the next section is “b.

FACTOR 2 PAST PERFORMANCE.” Please clarify if MANAGEMENT APPROACH is a separate Evaluation Factor.

No. Management Approach is conclusive of Factor 1 - Technical Approach and Capability.

Please see Amendment 0002 for the updated Solicitation.

PWS, Section 1.3 - Objectives, Section b, page 1 Technical

Please provide exact addresses for the required locations so offerors can identify facilities within the 25 mile driving distance requirement.

Please see Amendment 0002 for the updated PWS Section 1.3 - Objectives.

PWS, Section 1.3 - Objectives, Section d, page 1 Technical Please clarify the requirements for “emergency response.”

Please see Amendment 0002 for the updated PWS Section 1.3 - Objectives. This language has been removed.

51 PWS Section 5.3.1, page 21 Technical Last section of this paragraph is incomplete. Please complete. Please see Amendment 0002 for the updated PWS Section 5.3.1.

52 PWS Section 5.3.4 page 21 Technical Section states the “private provider physician shall provide a well summarized report.” Is it acceptable that the contractor’s own physician staff provide the report to the Government to ensure quality?

Yes, with a Physician signed endorsement.

53 IT Security Technical Will the DoD / Government require successful contractors to attain a Cybersecurity Maturity

Model Certification (CMMC)?

Yes

54 IT Security Technical IF CMMC is foreseen, what level is required during the period of performance and option years?

CMMC Level 1 should be maintained throughout the life of the requirement.

55 IT Security Technical What health records Data Marking and Labeling is preferred by the DoD? Is the Controlled

Unclassified Information (CUI) protection scheme anticipated?

CUI protection is not anticipated at this time. Reports received from the evaluating physician will be handled in accordance with HIPA.

PWS Section 1.6.7 - Security

Requirements; and Section 4.2 - Facility Clearance

Technical Would the government please clarify the personnel security requirements of this contract? Is the requirement a NACI, Secret Clearance or a combination?

Please see Amendment 0002 for the updated PWS Section 1.6.7 - Security Requirements.

PWS Section 1.6.7 - Security

Requirements page 3 Technical

Would the government please clarify who will require a Security Clearance vs. who will require a NACI under this contract?

Please see Amendment 0002 for the updated PWS Section 1.6.7 - Security Requirements.

PWS Section 1.6.7 - Security

Requirements page 3 Technical Will interim approved clearances be accepted for performance under this contract? Please see Amendment 0002 for the updated PWS Section 1.6.7 - Security Requirements.

PWS Section 1.6.7 - Security

Requirements page 3 Technical What is the projected number of cleared personnel required under this contract? Please see Amendment 0002 for the updated PWS Section 1.6.7 - Security Requirements.

PWS Section 1.6.7 - Security

Requirements page 3 Technical

Will the Government require U.S. Citizenship in order to process personnel for a NACI or will non-US Citizens with legal residency be allowed to process?

Please see Amendment 0002 for the updated PWS Section 1.6.7 - Security Requirements.

Solicitation HQ0034-20-R-0211, FAR Clause 52.212-1

Addendum "Instructions to Offeror," Section F. FACTOR 3 -

PRICE FACTOR (VOLUME

VI), page 77

Contract

Section states: "The price template contains thirteen tabs entitled (1) Price Schedule Summary and (2) thru (13) Participating Component Pricing, which must be completed by the offeror as each tab provides a buildup of the total IDIQ value under tab 1 – Price Schedule Summary.”

Please clarify as the Pricing Template provided contains only 5 tabs.

Please see Amendment 0002 of the updated Pricing Template.

62 Attachment 8 - Pricing Template Contract Tab 2 – Time & Materials Service. Please define Line 276: “CLIN X002: Service Type –

“Clarification”.

Please see Amendment 0002 of the updated Pricing Template. Should this term be removed?

63 Attachment 8 - Pricing Template Contract Tab 1 – Price Schedule Summary. Line 68 does not include a “Ceiling Price” calculation for

Year 5. This will result in an inaccurate Total Price in Cell F68. Please correct.

Please see Amendment 0002 of the updated Pricing Template

64 Attachment 8 - Pricing Template Contract CLIN X004 “Outreach Services” is not reflected in the pricing worksheet. Please clarify where offerors should price CLIN X004.

Please see Amendment 0002 of the updated Pricing Template

Solicitation HQ0034-20-R-0211, Clauses Incorporated by Full Test; Attachment 8 - Pricing

Template

Contract

“DELIVERY INFORMATION” on page 7 of the RFQ appears to indicate that the period of performance for all CLINs (except CLIN 0009) is for five years (10-NOV-2020 to 09-NOV-

2025). However, the Pricing Template requires pricing by year (Base Year and 4 option years). Please clarify the period of performance of each CLIN and the CLIN numbering.

Please see Amendment 0002 for the updated solicitation FAR Clause 52.216-18 - Ordering, 52.216-22 - Indefinite Delivery, and ORDERING PROCEDURES.

66 Attachment 8 - Pricing Template Contract Tab 1 – Price Schedule Summary. The “grayed out” cells on this sheet do not contain formulas, and do not appear to pull information from the other sheets. As such, the Totals in Column F will not calculate properly. Please clarify how offerors shall complete Tab 1.

Please see Amendment 0002 of the updated Pricing Template

Solicitation HQ0034-20-R-0211, FAR Clause 52.212-1

Addendum "Instructions to Offeror," Section F. FACTOR 3 -

PRICE FACTOR (VOLUME

VI), page 77; Pricing Template

(Attachment 8)

Contract

Section states: “The Offeror shall also provide pricing in Section SF 1449 – CONTINUATION SHEET of the solicitation.” The CLIN numbers in the SF 1449 do not match the CLIN numbers in Attachment 8. Please clarify how offerors shall complete the SF 1449 Continuation Sheet.

The Offeror should complete Section SF1449 - CONTINUATION SHEET of the solicitation by providing the monthly rate and total price for each CLIN. Attachment 8 - Pricing Template is a breakdown of the total price.

68 PWS Section 5.1.2 page 15 Technical Please clarify what is meant by “personal problems.” Please see Amendment 0002 for the updated PWS Section 5.1.2.

69 PWS Section 5.6.1 page 22 Technical

Please confirm that the administrative and clerical support employees described in the PWS are only for the performance of this instant contract (i.e., Occupational Health Services and

Medical Case Review Services), and NOT the general administrative and secretarial requirements of the DoD.

Yes, the administrative and clerical employees are only for the support of this instant requirement.

Solicitation HQ0034-20-R-0211 FAR Clause 52.212-2

Addendum "Evaluation," Section 3) Evaluation Factors, a.

FACTOR 1 – TECHNICAL

APPROACH & CAPABILITY,

Contract

Section States: “Note. Commitment letters, Resumes for Key Personnel, Personnel matrix, and the Pricing Template under Technical Approach & Capability (Volume III) shall not count against the page limitation.” Please confirm that the Pricing Template is not part of the Technical Approach & Capability Volume and the Pricing Template should not be submitted as part of the Technical Approach & Capability Volume. Please also confirm that Technical

Approach & Capability Volume is Volume IV (per the Instructions to Offerors) and not Volume III.

The pricing template should not be submitted under Technical Approach and Capability, and should be included separately as Volume VI. Please see Amendment 0002 for the updated Solicitation.

Solicitation HQ0034-20-R-0211 FAR Clause 52.212-1

Addendum "INSTRUCTIONS TO OFFERORS," Section A.

PROPOSAL VOLUME

REQUIREMENTS, page 70

Contract This section does not include the Phase-In Plan (as described in “E. FACTOR 1 –

TECHNICAL APPROACH AND CAPABILITY (VOLUME IV)”). Please clarify where offerors shall describe their Phase-In plan, and the associated page limit (if any).

Please see Amendment 0002 for the updated Solicitation.

PWS Section 1.1 - Description of Services/Introduction, page 1 Technical

Please clarify what is meant by ‘transportation’. Is this transportation of the contractor staff to outreach events or is this actual transportation of the DoD employees to clinics?

This is for transportation of the contractor staff to outreach events.

PWS Section 1.2 - Background, Technical Will interpretation services be needed for OCONUS locations?

OCONUS in the context of this requirement is Alaska and Hawaii, only non US location listed is Canada. If contractor has OCONUS locations in non-English speaking countries yes interpretation services will be needed.

PWS Section 1.3 - Objectives, Section h, page 1 Technical

What Medical Surveillance Programs do you want the Contractors to be able to perform? i.e.

Hearing Conservation; Silica; Lead, etc.

The contractor should be capable of providing medical surveillance programs to include, but not limited to, Hearing, Permit Required Confined Space, Respirator, Ionizing Radiation, Laser, Chemical Surety, Asbestos, Misc. Solvents, MEK, Silica, Miscellaneous dust, Beryllium, Cadmium, Arsenic, Lead, Mercury, Hex Chromium, Benzene, Carbon Monoxide Exposure, Cholinesterase.

PWS Section 1.3 - Objective, Section q, page 2 Technical Will the government pay for travel of Expert Witnesses? Yes, if preapproved by the COR.

PWS Section 1.3 - Objective, Section r, page 2 Technical

Will the staff performing ‘general office work’ work in the DoD office locations or is this staff performing their work in the Contractor’s office locations?

General office work is for staff performing duties at the contractor's office location.

77 PWS Section 5.6.4, page 23 Technical Instead of storage of paper medical records can the records be stored electronically? Yes. And the Government must have access to the electronic records.

PWS Section 1.2 - Background, Technical

Please explain what is meant by “Providers will perform services at a variety of health and wellness service facilities and may also conduct outreach services using mobile vans and outreach staff”? It is not clear what a "health and wellness service facility" is and what type of mobile vans and outreach staff is required?

Please see Amendment 0002 for the updated PWS Section 1.2 - Background. Health and wellness service facility" will be replaced with "Private Provider facility" in the PWS.

Additional language will be inserted to clarify that "Mobile vans and outreach" are in reference to Mobile testing sites.

79 PWS Section 1.4 - Scope, page 3 Technical

Objectives (para t) States: “Utilizes the medical record database....” Please provide details about the medical record database. Is the government going to provide an electronic health record system or a medical exam processing system that the contractor will be required to use or will the contractor have to provide all health record systems?

The contracted Medical Admin and Reviewing Medical Officers (MDs) will need to access Cority a medical software utilized by DCMA Medical Teams. DCMA will provide access and training for these contractor personnel.

PWS Section 1.6.11.1 - Non-

Key Personnel Private Provider Network, page 5

Technical

Please explain the purpose of identifying a comprehensive list of Non-Key personnel. Please provide the job duty of each specified labor category. Request the Government provide a specific Clinic staffing table that indicates how many of each labor category, by location, the contractor is required to fill.

Please see Amendment 0002 for the updated PWS. This section of the PWS has been removed.

PWS Section 1.6.11.1 - Non- Key Personnel Private Provider

Network, AREA NURSE MANAGER, page 5

Technical What does the Government define as an Area? Is there a specific number of Areas that government manages this program by?

Please see Amendment 0002 for the updated PWS. This section of the PWS has been removed.

82 General Contract Is there an incumbent contractor performing this work currently? Is this work currently being performed by Federal Occupational Health?

Yes, several incumbent vendors are performing these services. No, FOH is not currently providing the services under this requirement.

PWS Part 4 - Contractor

Furnished Items and Services, Section 4.3.1, p.11

Technical “All medical and other records, including DOD MIS data.” What is DOD MIS data? MIS is Management Information Systems.

PWS Part 4 - Contractor

Furnished Items and Services, Section 4.3.1, p.11

Technical “Neither the original records, nor copies, will be removed by the contractor.” Please explain what kind of record system is currently being utilized? Are these electronic records or paper records?

Paper files of all test results are stored and managed by the Government. The current contractor has electronic scanned results in a portal for Government access.

PWS Section 5.1 Task 1 -

Program Management Support Services, page 12

Technical

In section 5.1.1 - it states “A dedicated Program Manager to work with DOD/WHS...” appears to indicate the government is referencing the contractor program manager but in paragraphs

5.1.5 and 5.1.6, it stipulates that “the contractor will notify or make recommendations to the ...PM” among other stakeholders e.g. the COR or EAP COR. Please clarify if the PM being referenced in the two paragraphs is a Government PM or the contractor PM.

The PM referenced in this section is the Contractor's PM.

PWS Section 5.4 Task 4 -

Independent Medical Review, Technical Section states “The timeframe for delivery is the same as the IME” however in the IME section a timeframe for delivery isn't provided. Please clarify.

Appointment dates for IMEs should be delivered to the government within two weeks but no later than 30 days after the initial request.

87 PWS Section 5.6.1, pages 15-16 Technical

This paragraph states “Provide administrative and clerical support employees.” There are numerous tasks and responsibilities listed and it also mentions OHC support. Does OHC stand for Occupational Health Clinic? If so, who is running the OHC? How many OHCs are there? Are the admin and clerical staff embedded into the OHC?

The clinics will be apart of the Private Provider Network, in which the contractor is responsible for staffing.

PWS Section 5.7 Task 7 -

National Service Center, page 16 Technical

Does the Government currently operate the National Support Center through a Government contractor or is the Government currently providing this service through FOH?

Please see Amendment 0002 for the updated PWS. This section has been removed from the

PWS.

Attachment 11 - Technical

Exhibit 3 - Estimated workload Technical

Are the locations provided in Attachment 11 the existing clinics currently managed and operated by FOH? Can you provide more details on the exact location address for every FOH clinic? What is the total number of FOH clinics CONUS and OCONUS?

No. FOH ceased to support DoD personnel under this requirement in October 2019. As a result, a list of FOH clinics is not applicable.

PWS Section 1.6.5 - Place of

Performance Technical

Section states: “Place of Performance: The work to be performed under this contract will be performed in a government Private Provider provided office space.” Please define a

"government Private Provider provided office space." Will the place of performance be provided by the Government or by a Private company?

Please see Amendment 0002 for the updated PWS Section 1.6.5 - Place of Performance.

PWS Section 1.6.5 - Place of

Performance Contract Does this contract include the clinic operations at DoD sites? No. Please see Amendment 0002 for updated PWS

Attachment 11 - Technical

Exhibit 3 - Estimated workload Contract

Can government please confirm the estimated work load in attachment 11? Given the amount of locations it would appear that this is underestimated.

Please see Amendment 0002 for the updated estimated workload

93 General Contract Can the Government disclose who is currently providing the provider network services? Yes. QTC is currently providing Private Provider Network Services.

Solicitation HQ0034-20-R-0211 FAR Clause 52.212-1

Addendum "INSTRUCTIONS TO OFFERORS," Section C.

PASS/FAIL, Small Business Participation Commitment

Document Instructions, page 73

Contract 30% SB participation of the total value is high for an unrestricted contract. Would the government consider lowering this threshold?

Recommendation considered; however, the indicated 30% SB participation will remain.

Attachment 9 - Wage

Determination Contract

Wage Determinations were only provided for one location. Can the Government please provide the list of other Wage Determinations needed?

Please see Amendment 0002 for the updated Solicitation which removes the Wage Determination.

PWS Section 1.6.11 - Non-Key

Personnel Contract

The PWS lists nursing positions that are not on the price sheet. Can you please confirm we are not to bid these?

Please see Amendment 0002 for the updated PWS which removes Section 1.6.11 - Non-Key Personnel.

Solicitation HQ0034-20-R-0211 Clauses Incorporated by Full Text, FAR Clause 52.219-1 -

Small Business Program

Contract As the services include positions other than physicians, would the Government consider changing the NAICS to 621999 - All Other Miscellaneous Ambulatory Health Care Services?

Recommendation considered; however, the NAICs code will not be changed.