A.09.01_Solicitation_W81K00-18-R-0005_Amendment_U0001.pdf

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

15A. NAME AND TITLE OF SIGNER (Type or print)

30-105-04EXCEPTION TO SF 30

APPROVED BY OIRM 11-84

STANDARD FORM 30 (Rev. 10-83) Prescribed by GSA

FAR (48 CFR) 53.243

This amendment is issued as follow s:

1. To provide Vendor questions and Government answ ers.

2. Reference Clause 52.219-18 NOTIFICATION OF COMPETITION LIMITED TO ELIGIBLE 8(A) PARTICIPANTS(JAN 2017)- Paragraph (a) w as removed.

All offerors shall aknow ledge this amendment and return it w ith their offer.

1. CONTRACT ID CODE PAGE OF PAGES

S 1 7

16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)

16C. DATE SIGNED

BY 08-Feb-2018

16B. UNITED STATES OF AMERICA15C. DATE SIGNED15B. CONTRACTOR/OFFEROR

(Signature of Contracting Officer)(Signature of person authorized to sign)

8. NAME AND ADDRESS OF CONTRACTOR (No., Street, County, State and Zip Code) X W81K00-18-R-0005

X 9B. DATED (SEE ITEM 11)

07-Feb-2018

10B. DATED (SEE ITEM 13)

9A. AMENDMENT OF SOLICITATION NO.

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

X The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offer is extended, X is not extended.

Offer must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended by one of the following methods:

(a) By completing Items 8 and 15, and returning 1 copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted;

or (c) By separate letter or telegram which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN

REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by telegram or letter, provided each telegram or letter makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

12. ACCOUNTING AND APPROPRIATION DATA (If required)

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS.

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE

CONTRACT ORDER NO. IN ITEM 10A.

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, appropriation date, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(B).

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER (Specify type of modification and authority)

E. IMPORTANT: Contractor is not, is required to sign this document and return copies to the issuing office.

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

10A. MOD. OF CONTRACT/ORDER NO.

2. AMENDMENT/MODIFICATION NO. 5. PROJECT NO.(If applicable)

6. ISSUED BY

3. EFFECTIVE DATE

08-Feb-2018

CODE

W40M USA HLTH CONTRACTING ACT

REGIONAL HEALTH CONTRACT OFF CENTRAL

2539 GARDEN AVENUE

JBSA FT SAM HOUSTON TX 78234-0000

W81K00 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

W81K00-18-R-0005

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 30 - BLOCK 14 CONTINUATION PAGE

The following have been added by full text:

RESPONSE TO VENDOR QUESTIONS

Responses to Vendors Questions Solicitation W81K00-18-R-0005- Administrative Support Services

1. What is the current contract number?

Response: W81K04-12-D-0004

2. Who was the contract awarded to?

Response: Infused Solutions, LLC

3. What was the amount of the award?

Response: $74,312,573.54

4. Current contractor employee anniversary dates?

Response: Anniversary dates and name will be provided to the winning offeror by contracting.

5. Will current contractor employee have first right of refusal?

Response: Yes

6. We respectfully request that the government reconsider the requirement for Past Performance, i.e., “the Offeror should have managed over 100 full time equivalent positions disbursed across multiple departments/clinics in one requirement in a Federal Government environment”. In this regard, any 8(a) Offeror that may have a contract or contracts with over 100 full time equivalents (FTE) is highly likely to exceed the $7.5 million size standard for NAICS 56110. As such, we respectfully ask the government to eliminate the 100 FTE requirements.

Response: The Present and Past Performance requirement remain as stated in the solicitation. The 100 FTEs is not restrictive being that the current requirement actually supports over 200 FTEs.

Response: The North American Industrial Classification System (NAICS) Code:

561110 is the correct code for this requirement -Office Administration. The corresponding index entries include Medical Office Management, Administrative, Managing Offices of Professionals and etc. was appropriate

7. DRAFT RFP Section 52.237-7 INDEMNIFICATION AND MEDICAL LIABILITY INSURANCE (JAN 1997) is requiring evidence of insurance for “each health care provider who will perform under this contract”. A careful review of the SOW and PWS does not indicate any positions that can be deemed “health care provider”. Given the high cost of medical liability insurance, we ask that the government please clarify this requirement.

Response: Clause 52.237-7 Indemnification and Medical Liability stands as is and as it pertains to the positions listed on the solicitation. The position listed on the requirements does not reference health care providers. Please reference paragraph (a) as it states administrative services and this requirement is for administrative services.

8. Exhibit B, Wage Determination No.: 2015-5253, revision No. 3 dated 08/03/2017 has been updated by Revision No.: 5 (Date of Revision: 01/10/2018), so we request that the government include this updated Wage Determination in the Final RFP.

Response: Please reference the original solicitation (NOT THE DRAFT) with most current WD revision No.: 5 as of date solicitation posted to FBO.

9. The DRAFT RFP includes non-exempt SCA labor categories that are not reflected in the Wage Determination. These include “Education Technician”, “Medical Clerk II” and “Medical Clerk III”. Can the government please clarify these labor categories relative to the SCA labor categories contained in the referenced Wage Determination?

Response: Education Technician – Educational Technologist on the Wage Determination Medical Clerk II and III- General Clerk II and III on the Wage Determination.

10. Would you be able to send attachment 2 in a fillable PDF?

Response: The solicitation itself is a PDF and you should be able to fill in where needed.

You would save the PDF and click on Tools, Click Edit and from there you should be able to edit or add text.

11. Is this new requirement?

Response: This is a follow-on requirement.

12. What is the GS equivalent for each FTE labor category?

Response: See FAR clause 52.222-42

13. Will the government consider an offeror’s Present and Past Performance submission “Acceptable” if the offeror uses another company’s (as a subcontractor/team member) past performance?

Response: Yes, the prime/subcontractor relationship will be evaluated for present and past performance. This prime/subcontractor relationship must be clear to the Government.

14. Is it the government’s intent that an offeror’s Present and Past Performance submission is only “Acceptable” if the offeror managed 100 full time equivalents under a single contract?

Response: Yes. Please reference 52.212-1 in the solicitation.

15. Will the government consider lowering the past performance requirement for offerors to manage over 50 FTEs under a single contract in order to increase fair competition at the $7.5M size standard?

Response: No because current requirement is 100 plus FTEs and this requirement will possibly continue to increase over the years.

16. “For the Government to consider the present and past performance the offeror should have managed over 100 full time equivalent positions disbursed across multiple departments/clinics in one requirement in a Federal Government environment, supporting multiple shift operations (24/7).”

I was wondering if you could confirm whether this requirement was firm or waivable.

Feel free to reach me either through this e-mail address or by calling the number below.

Response: It is firm. Please reference 52.212-1 in the solicitation.

17. Would a JV agreement work to suffice the 100 person requirement?

18. On the new contract do you expect multiple award winners for the IDIQ and or one winner like last time?

Response: One award will be made from this solicitation.

19. Also if we sub with a larger company and we still do 50% of the work, so we are in line with FARS, does that work qualify for the "100 person FTE managed" clause?

Response: Yes. FAR Clause 52.219-4 is referenced in this solicitation and you can read the full text via the website: http://farsite.hill.af.mil/

20. Could you please clarify if the past performance in question needs to be specific to administrative support service positions or if it can include other positions, such as Clinical positions?

Response: Clinical positions over 100 FTEs on the same contract would be considered as relevant past performance.

21. On page 296 of the Solicitation, under the Proposal Submission Instructions for Present and Past Performance (Volume II), it is stipulated in paragraph (b) that “For the Government to consider the past and present performance the offeror should have managed over 100 full time equivalent positions disbursed across multiple departments/clinics in one requirement in a Federal Government environment, supporting multiple shift operations (24/7). “

The stipulation as it stands seems to be unintentionally biased while also appearing to contradict the $7.5 Million size standard criteria established for this 8(a) set-aside procurement. This could lead to an inherent limiting of the pool of potential competitors that possess relevant and credible performance, albeit on much smaller efforts. In addition, an important opportunity to obtain the most innovative and cost-effective management solution for the anticipated support services could be missed as a result.

Would the Government therefore consider deleting the stipulation?

Response: FAR 52.212-1 paragraph (b) no longer reads as stated above; however the stipulation as stated in the solicitation will remain. The 100 FTEs is not biased being that the current requirement actually supports over 200 FTEs.

22. Please clarify if Present and Past Performance References should be included in the Administration Title Page or in a separate volume.

Response: You should submit three separate volumes as follows:

1. Technical and Management Capability (Volume I) _Company Name

2. Present and Past Performance (Volume II) _Company name

3. Price (Volume III) _ Company name

23. Can Factor 2, Past Performance managing 100 FTEs be past performance of our subcontractor or teaming partner?

24. Q - Regarding the paragraph on page 294, it is going to be difficult for an 8(a) to meet the criteria of:

Managed over 100 full time equivalent positions AND Disbursed across multiple Federal Government departments/clinics Do you feel that these requirements will restrict competition?

Response: The Present and Past Performance requirement remain as stated in the solicitation. The 100 FTEs is not restrictive being that the current requirement actually supports over 200 FTEs.

25. Regarding the paragraph on page 306, one sentence states in absence of the above mentioned past performance: "the offeror may not be evaluated favorably or unfavorably on present and past performance" and another sentence states: ""unknown" shall be considered "acceptable."

Please clarify how the offeror will be evaluated if they do not have the reference with both 100 FTEs and multiple Federal Government departments/clinics.

Response: You will be considered neutral.

Please clarify if the Federal Government departments/clinics must be medical departments/clinics.

Response: As stated in the solicitation. “Federal Government departments/clinics”.

SECTION SF 1449 - CONTINUATION SHEET

The following have been modified:

52.219-18 NOTIFICATION OF COMPETITION LIMITED TO ELIGIBLE 8(A) PARTICIPANTS (JAN 2017)

Paragrraph (a) was removed

(b) By submission of its offer, the Offeror represents that it meets all of the criteria set forth in paragraph (a) of this clause.

(c) Any award resulting from this solicitation will be made to the Small Business Administration, which will subcontract performance to the successful 8(a) offeror selected through the evaluation criteria set forth in this solicitation.

(d)(1) Agreement. A small business concern submitting an offer in its own name shall furnish, in performing the contract, only end items manufactured or produced by small business concerns in the United States or its outlying areas. If this procurement is processed under simplified acquisition procedures and the total amount of this contract does not exceed $25,000, a small business concern may furnish the product of any domestic firm. This paragraph does not apply to construction or service contracts.

(2) The insert name of SBA's contractor will notify the Regional Health Contracting Office-Central Contracting Officer in writing immediately upon entering an agreement (either oral or written) to transfer all or part of its stock or other ownership interest to any other party.

(End of clause)

52.222-42 STATEMENT OF EQUIVALENT RATES FOR FEDERAL HIRES (MAY 2014)

In compliance with the Service Contract Labor Standards statute and the regulations of the Secretary of Labor (29 CFR part 4), this clause identifies the classes of service employees expected to be employed under the contract and states the wages and fringe benefits payable to each if they were employed by the contracting agency subject to the provisions of 5 U.S.C. 5341 or 5332.

THIS STATEMENT IS FOR INFORMATION ONLY: IT IS NOT A WAGE DETERMINATION

Employee Class Monetary Wage-Fringe Benefits

Secretary I, Word Processor III, & Medical Clerk II GS-04 Step 4 $13.64 39.8% $19.06 10% = $20.98 Administrative Assistant, Case Management Assistant, Secretary II, & Medical Clerk III GS-06 Step 4 $17.00 39.8% $23.76 10% = $26.14 Education Technician, Medical Records Technician, GS-07 Step 4 $18.90 39.8% $26.42 10%=$29.06 Secretary Clerk III, Project Management Analyst, and Management Program Analyst GS-08 Step 4 $20.93 39.8% $29.26 10% =$32.19

(End of clause)

(End of Summary of Changes)