SOLICITATION_W81K0019Q0043_1.22.2019.pdf

SEE ADDENDUM

(No Collect Calls)

W81K0019Q0043 22-Jan-2019

b. TELEPHONE NUMBER

254-287-8900

8. OFFER DUE DATE/LOCAL TIME

10:00 AM 05 Feb 2019

5. SOLICITATION NUMBER 6. SOLICITATION ISSUE DATE

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 2/2012)

Prescribed by GSA – FAR (48 CFR) 53.212

(TYPE OR PRINT)

(SIGNATURE OF CONTRACTING OFFICER)

ADDENDA X ARE

26. TOTAL AWARD AMOUNT (For Gov t. Use Only )

23.

CODE 10. THIS ACQUISITION IS

SUCH ADDRESS IN OFFER

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT

BELOW IS CHECKED

TELEPHONE NO.

W81K009. ISSUED BY

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

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

SHENECQA N. SOARES

2. CONTRACT NO. 3. AWARD/EFFECTIVE DATE 4. ORDER NUMBER

(TYPE OR PRINT)

30b. NAME AND TITLE OF SIGNER 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER

30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a.UNITED STATES OF AMERICA

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

25. ACCOUNTING AND APPROPRIATION DATA

1. REQUISITION NUMBER

20.

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED.

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

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

0011274807

ARE NOT ATTACHED

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA ARE ARE NOT ATTACHED

(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

. YOUR OFFER ON SOLICITATION

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

% FOR:SET ASIDE:UNRESTRICTED OR X

SMALL BUSINESS

17a.CONTRACTOR/ CODE FACILITY

OFFEROR CODE

W40M USA HLTH CONTRACTING ACT

REGIONAL HEALTH CONTRACT OFF CENTRAL

2539 GARDEN AVENUE

JBSA FT SAM HOUSTON TX 78234-0000

18a. PAYMENT WILL BE MADE BY CODE

RATED ORDER UNDER

DPAS (15 CFR 700)

13a. THIS CONTRACT IS A

13b. RATING

CODE15. DELIVER TO CODE W45XTR 16. ADMINISTERED BY

12. DISCOUNT TERMS11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

X SEE SCHEDULE

14. METHOD OF SOLICITATION

RFQ IFB RFPX

W2M5 CARL R DARNALL ARMY MED C

W2M5 CARL R DARNALL ARMY MED C

MEDICAL SUPPLY OFFICER DACH

BLDG 36065 SANTE FE AVE

FORT HOOD TX 76544-5063

TEL: 210-808-2837 FAX:

FAX:

TEL: SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

X 8(A)

HUBZONE SMALL

BUSINESS

SIZE STANDARD:

$38,500,000

NAICS:

622110

X

OFFER DATED

29. AWARD OF CONTRACT: REF.

DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

EMAIL:

TEL:

31c. DATE SIGNED

SEE SCHEDULE

SCHEDULE OF SUPPLIES/ SERVICESITEM NO. QUANTITY UNIT UNIT PRICE AMOUNT

24.22.21.19.

WOMEN-OWNED SMALL BUSINESS (WOSB)

ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

(CONTINUED)

PAGE 2 OF142

ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED: ______________________________________________________

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED

32b. SIGNATURE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32c. DATE 32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32f . TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

37. CHECK NUMBER

FINALPARTIALCOMPLETE

36. PAYMENT35. AMOUNT VERIFIED

CORRECT FOR

34. VOUCHER NUMBER

FINAL

33. SHIP NUMBER

PARTIAL

38. S/R ACCOUNT NUMBER 39. S/R VOUCHER NUMBER 40. PAID BY

41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT

41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER 41c. DATE

42a. RECEIVED BY (Print)

42b. RECEIVED AT (Location)

42c. DATE REC'D (YY/MM/DD) 42d. TOTAL CONTAINERS

STANDARD FORM 1449 (REV. 2/2012) BACK

Prescribed by GSA – FAR (48 CFR) 53.212

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

SEE SCHEDULE

20.

SCHEDULE OF SUPPLIES/ SERVICES

21.

QUANTITY UNIT

22. 23.

UNIT PRICE

24.

AMOUNT

19.

ITEM NO.

W81K0019Q0043

Section SF 1449 - CONTINUATION SHEET

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

FY19 17 FTE PA/NP

FFP

PERSONAL SERVICES OF SEVENTEEN (17) FULL-TIME (FTE) PHYSICIAN

ASSISTANT/ NURSE PRACTITIONERS FOR SEVERAL DIFFERENT

CLINICS AT FORT HOOD, TEXAS. PERIOD OF PERFORMANCE: 1 APRIL

2019 - 30 SEPTEMBER 2019. SUBJECT TO AVAILABILITY OF FY19

FUNDS.

NET AMT

0001AA 2,880 Hours

PA/NP REG HRS SRP 3 FTE

FFP

(REGULAR HOURS) PERSONAL SERVICES OF THREE (3) FTE PHYSICIAN

ASSISTANTS/ NURSE PRACTITIONERS IN ACCORDANCE WITH THE

TERMS AND CONDITIONS OF THE PERFORMANCE WORK STATEMENT

(PWS).

FOB: Destination

PURCHASE REQUEST NUMBER: 0011274807

PSC CD: Q201

0001AB 6,720 Hours

PA/NP REG HRS SHPE 7 FTE

FFP

(REGULAR HOURS) PERSONAL SERVICES OF SEVEN (7) FTE PHYSICIAN

ASSISTANTS/ NURSE PRACTITIONERS IN ACCORDANCE WITH THE

TERMS AND CONDITIONS OF THE PERFORMANCE WORK STATEMENT

(PWS).

FOB: Destination

0001AC 3,840 Hours

PA/NP REG HRS MEB 4 FTE

FFP

(REGULAR HOURS) PERSONAL SERVICES OF FOUR (4) FTE PHYSICIAN

ASSISTANTS/ NURSE PRACTITIONERS IN ACCORDANCE WITH THE

TERMS AND CONDITIONS OF THE PERFORMANCE WORK STATEMENT

(PWS).

FOB: Destination

0001AD 960 Hours

PA/NP REG HRS BARIATRIC 1 FTE

FFP

(REGULAR HOURS) PERSONAL SERVICES OF ONE (1) FTE PHYSICIAN

ASSISTANTS/ NURSE PRACTITIONERS IN ACCORDANCE WITH THE

TERMS AND CONDITIONS OF THE PERFORMANCE WORK STATEMENT

(PWS).

FOB: Destination

0001AE 1,920 Hours

PA/NP REG HRS UCC 2 FTE

FFP

(REGULAR HOURS) PERSONAL SERVICES OF TWO (2) FTE PHYSICIAN

ASSISTANTS/ NURSE PRACTITIONERS IN ACCORDANCE WITH THE

TERMS AND CONDITIONS OF THE PERFORMANCE WORK STATEMENT

(PWS).

FOB: Destination

0001AF 75 Hours

PA/NP EXCESS HOURS SRP 3 FTE

FFP

(EXCESS HOURS) PERSONAL SERVICES OF THREE (3) FTE PHYSICIAN

ASSISTANTS/ NURSE PRACTITIONERS IN ACCORDANCE WITH THE

TERMS AND CONDITIONS OF THE PERFORMANCE WORK STATEMENT

(PWS).

FOB: Destination

0001AG 175 Hours

PA/NP EXCESS HOURS SHPE 7 FTE

FFP

(EXCESS HOURS) PERSONAL SERVICES OF SEVEN (7) FTE PHYSICIAN

ASSISTANTS/ NURSE PRACTITIONERS IN ACCORDANCE WITH THE

TERMS AND CONDITIONS OF THE PERFORMANCE WORK STATEMENT

(PWS).

FOB: Destination

0001AH 12.50 Hours

PA/NP EXCESS HOURS BARIATRIC 1 FTE

FFP

(EXCESS HOURS) PERSONAL SERVICES OF ONE (1) FTE PHYSICIAN

ASSISTANTS/ NURSE PRACTITIONERS IN ACCORDANCE WITH THE

TERMS AND CONDITIONS OF THE PERFORMANCE WORK STATEMENT

(PWS).

FOB: Destination

0001AJ 25 Hours

PA/NP EXCESS HOURS UCC 2 FTE

FFP

(EXCESS HOURS) PERSONAL SERVICES OF TWO (2) FTE PHYSICIAN

ASSISTANTS/ NURSE PRACTITIONERS IN ACCORDANCE WITH THE

TERMS AND CONDITIONS OF THE PERFORMANCE WORK STATEMENT

(PWS).

FOB: Destination

0001AK 1 Job

TRAVEL MEB 4 FTE

FFP

TRAVEL MEB FOUR (4) FTE. (NOT TO EXCEED $1000 PER FTE) NOT

SEPARATELY PRICES.

FOB: Destination

0001AL 1 Job

SIGN-ON/RET SRP 3 FTE

FFP

SIGN-ON/RETENTION FOR THREE (3) FTE. NOT TO EXCEED $5,000.00

PER FTE. NOT SEPARATELY PRICED.

FOB: Destination

0001AM 1 Job

SIGN-ON/RET MEB 4 FTE

FFP

SIGN-ON/RETENTION FOR FOUR (4) FTE. NOT TO EXCEED $5,000.00 PER

FTE. NOT SEPARATELY PRICED.

FOB: Destination

0001AN 1 Job

SIGN-ON/RET SHPE 7 FTE

FFP

SIGN-ON/RETENTION FOR SEVEN (7) FTE. NOT TO EXCEED $5,000.00

PER FTE. NOT SEPARATELY PRICED.

FOB: Destination

0001AP 1 Job

SIGN-ON/RET BARIATRIC 1 FTE

FFP

SIGN-ON/RETENTION FOR ONE (1) FTE. NOT TO EXCEED $5,000.00 PER

FTE. NOT SEPARATELY PRICED.

FOB: Destination

0001AQ 1 Job

SIGN-ON/RET UCC 2 FTE

FFP

SIGN-ON/RETENTION FOR TWO (2) FTE. NOT TO EXCEED $5,000.00 PER

FTE. NOT SEPARATELY PRICED.

FOB: Destination

0001AR 1 Each

CMR

FFP

CONTRACT MANPOWER REPORTING (CMR) TO BE PERFORMANCE IN

ACCORDANCE WITH PERFORMANCE WORK STATEMENT (PWS). DUE

OCTOBER 31, 2019.

FOB: Destination

OPTION FY20 17 FTE PA/NP

FFP

PERSONAL SERVICES OF SEVENTEEN (17) FULL-TIME EQUIVALENT

(FTE) PHYSICIAN ASSISTANT/ NURSE PRACTITIONERS FOR SEVERAL

DIFFERENT CLINICS AT FORT HOOD, TEXAS. PERIOD OF

PERFORMANCE: 1 OCTOBER 2019- 30 SEPTEMBER 2020. SUBJECT TO

AVAILABILITY OF FY20 FUNDS.

1001AA 5,760 Hours

OPTION REG HRS SRP 3 FTE

FFP

(REGULAR HOURS) PERSONAL SERVICES OF THREE (3) FTE PHYSICIAN

ASSISTANTS/ NURSE PRACTITIONERS IN ACCORDANCE WITH THE

TERMS AND CONDITIONS OF THE PERFORMANCE WORK STATEMENT

(PWS).

FOB: Destination

1001AB 13,440 Hours

OPTION REG HRS SHPE 7 FTE

FFP

(REGULAR HOURS) PERSONAL SERVICES OF SEVEN (7) FTE PHYSICIAN

ASSISTANTS/ NURSE PRACTITIONERS IN ACCORDANCE WITH THE

TERMS AND CONDITIONS OF THE PERFORMANCE WORK STATEMENT

(PWS).

1001AC 7,680 Hours

OPTION REG HRS MEB 4 FTE

FFP

(REGULAR HOURS) PERSONAL SERVICES OF FOUR (4) FTE PHYSICIAN

ASSISTANTS/ NURSE PRACTITIONERS IN ACCORDANCE WITH THE

TERMS AND CONDITIONS OF THE PERFORMANCE WORK STATEMENT

(PWS).

1001AD 1,920 Hours

OPTION REG HRS BARIATRIC 1 FTE

FFP

(REGULAR HOURS) PERSONAL SERVICES OF ONE (1) FTE PHYSICIAN

ASSISTANTS/ NURSE PRACTITIONERS IN ACCORDANCE WITH THE

TERMS AND CONDITIONS OF THE PERFORMANCE WORK STATEMENT

(PWS).

1001AE 3,840 Hours

OPTION REG HRS UCC 2 FTE

FFP

(REGULAR HOURS) PERSONAL SERVICES OF TWO (2) FTE PHYSICIAN

ASSISTANTS/ NURSE PRACTITIONERS IN ACCORDANCE WITH THE

TERMS AND CONDITIONS OF THE PERFORMANCE WORK STATEMENT

(PWS).

1001AF 150 Hours

OPTION PA/NP EXCESS HOURS SRP 3 FTE

FFP

(EXCESS HOURS) PERSONAL SERVICES OF THREE (3) FTE PHYSICIAN

ASSISTANTS/ NURSE PRACTITIONERS IN ACCORDANCE WITH THE

TERMS AND CONDITIONS OF THE PERFORMANCE WORK STATEMENT

(PWS).

1001AG 350 Hours

OPTION PA/NP EXCESS HOURS SHPE 7 FTE

FFP

(EXCESS HOURS) PERSONAL SERVICES OF SEVEN (7) FTE PHYSICIAN

ASSISTANTS/ NURSE PRACTITIONERS IN ACCORDANCE WITH THE

TERMS AND CONDITIONS OF THE PERFORMANCE WORK STATEMENT

(PWS).

1001AH 25 Hours

OPTION PA/NP EXCESS HOURS BARIATRIC 1 FTE

FFP

(EXCESS HOURS) PERSONAL SERVICES OF ONE (1) FTE PHYSICIAN

ASSISTANTS/ NURSE PRACTITIONERS IN ACCORDANCE WITH THE

TERMS AND CONDITIONS OF THE PERFORMANCE WORK STATEMENT

(PWS).

1001AJ 50 Hours

OPTION PA/NP EXCESS HOURS UCC 2 FTE

FFP

(EXCESS HOURS) PERSONAL SERVICES OF TWO (2) FTE PHYSICIAN

ASSISTANTS/ NURSE PRACTITIONERS IN ACCORDANCE WITH THE

TERMS AND CONDITIONS OF THE PERFORMANCE WORK STATEMENT

(PWS).

1001AK 1 Job

OPTION TRAVEL MEB 4 FTE

FFP

TRAVEL MEB FOUR (4) FTE. (NOT TO EXCEED $1000 PER FTE) NOT

SEPARATELY PRICES.

1001AL 1 Job

OPTION SIGN-ON/RET SRP 3 FTE

FFP

SIGN-ON/RETENTION FOR THREE (3) FTE. NOT TO EXCEED $5,000.00

PER FTE. NOT SEPARATELY PRICED.

1001AM 1 Job

OPTION SIGN-ON/RET MEB 4 FTE

FFP

SIGN-ON/RETENTION FOR FOUR (4) FTE. NOT TO EXCEED $5,000.00 PER

FTE. NOT SEPARATELY PRICED.

1001AN 1 Job

OPTION SIGN-ON/RET SHPE 7 FTE

FFP

SIGN-ON/RETENTION FOR SEVEN (7) FTE. NOT TO EXCEED $5,000.00

PER FTE. NOT SEPARATELY PRICED.

1001AP 1 Job

OPTION SIGN-ON/RET BARIATRIC 1 FTE

FFP

SIGN-ON/RETENTION FOR ONE (1) FTE. NOT TO EXCEED $5,000.00 PER

FTE. NOT SEPARATELY PRICED.

1001AQ 1 Job

OPTION SIGN-ON/RET UCC 2 FTE

FFP

SIGN-ON/RETENTION FOR TWO (2) FTE. NOT TO EXCEED $5,000.00 PER

FTE. NOT SEPARATELY PRICED.

1001AR 1 Each

OPTION CMR

FFP

CONTRACT MANPOWER REPORTING (CMR) TO BE PERFORMANCE IN

ACCORDANCE WITH PERFORMANCE WORK STATEMENT (PWS). DUE

OCTOBER 31, 2020.

OPTION FY21 17 FTE PA/NP

FFP

PERSONAL SERVICES OF SEVENTEEN (17) FULL-TIME EQUIVALENT

(FTE) PHYSICIAN ASSISTANT/ NURSE PRACTITIONERS FOR SEVERAL

DIFFERENT CLINICS AT FORT HOOD, TEXAS. PERIOD OF

PERFORMANCE: 1 OCTOBER 2020- 30 SEPTEMBER 2021. SUBJECT TO

AVAILABILITY OF FY21 FUNDS.

2001AA 5,760 Hours

OPTION PA/NP REG HRS SRP 3 FTE

FFP

(REGULAR HOURS) PERSONAL SERVICES OF THREE (3) FTE PHYSICIAN

ASSISTANTS/ NURSE PRACTITIONERS IN ACCORDANCE WITH THE

TERMS AND CONDITIONS OF THE PERFORMANCE WORK STATEMENT

(PWS).

2001AB 13,440 Hours

OPTION PA/NP REG HRS SHPE 7 FTE

FFP

(REGULAR HOURS) PERSONAL SERVICES OF SEVEN (7) FTE PHYSICIAN

ASSISTANTS/ NURSE PRACTITIONERS IN ACCORDANCE WITH THE

TERMS AND CONDITIONS OF THE PERFORMANCE WORK STATEMENT

(PWS).

2001AC 7,680 Hours

OPTION PA/NP REG HRS MEB 4 FTE

FFP

(REGULAR HOURS) PERSONAL SERVICES OF FOUR (4) FTE PHYSICIAN

ASSISTANTS/ NURSE PRACTITIONERS IN ACCORDANCE WITH THE

TERMS AND CONDITIONS OF THE PERFORMANCE WORK STATEMENT

(PWS).

2001AD 1,920 Hours

OPTION PA/NP REG HRS BARIATRIC 1 FTE

FFP

(REGULAR HOURS) PERSONAL SERVICES OF ONE (1) FTE PHYSICIAN

ASSISTANTS/ NURSE PRACTITIONERS IN ACCORDANCE WITH THE

TERMS AND CONDITIONS OF THE PERFORMANCE WORK STATEMENT

(PWS).

2001AE 3,840 Hours

OPTION PA/NP REG HRS UCC 2 FTE

FFP

(REGULAR HOURS) PERSONAL SERVICES OF TWO (2) FTE PHYSICIAN

ASSISTANTS/ NURSE PRACTITIONERS IN ACCORDANCE WITH THE

TERMS AND CONDITIONS OF THE PERFORMANCE WORK STATEMENT

(PWS).

2001AF 150 Hours

OPTION PA/NP EXCESS HOURS SRP 3 FTE

FFP

(EXCESS HOURS) PERSONAL SERVICES OF THREE (3) FTE PHYSICIAN

ASSISTANTS/ NURSE PRACTITIONERS IN ACCORDANCE WITH THE

TERMS AND CONDITIONS OF THE PERFORMANCE WORK STATEMENT

(PWS).

2001AG 350 Hours

OPTION PA/NP EXCESS HOURS SHPE 7 FTE

FFP

(EXCESS HOURS) PERSONAL SERVICES OF SEVEN (7) FTE PHYSICIAN

ASSISTANTS/ NURSE PRACTITIONERS IN ACCORDANCE WITH THE

TERMS AND CONDITIONS OF THE PERFORMANCE WORK STATEMENT

(PWS).

2001AH 25 Hours

OPTION PA/NP EXCESS HOURS BARIATRIC 1 FTE

FFP

(EXCESS HOURS) PERSONAL SERVICES OF ONE (1) FTE PHYSICIAN

ASSISTANTS/ NURSE PRACTITIONERS IN ACCORDANCE WITH THE

TERMS AND CONDITIONS OF THE PERFORMANCE WORK STATEMENT

(PWS).

2001AJ 50 Hours

OPTION PA/NP EXCESS HOURS UCC 2 FTE

FFP

(EXCESS HOURS) PERSONAL SERVICES OF TWO (2) FTE PHYSICIAN

ASSISTANTS/ NURSE PRACTITIONERS IN ACCORDANCE WITH THE

TERMS AND CONDITIONS OF THE PERFORMANCE WORK STATEMENT

(PWS).

2001AK 1 Job

OPTION TRAVEL MEB 4 FTE

FFP

TRAVEL MEB FOUR (4) FTE. (NOT TO EXCEED $1000 PER FTE) NOT

SEPARATELY PRICES.

2001AL 1 Job

OPTION SIGN-ON/RET SRP 3 FTE

FFP

SIGN-ON/RETENTION FOR THREE (3) FTE. NOT TO EXCEED $5,000.00

PER FTE. NOT SEPARATELY PRICED.

2001AM 1 Job

OPTION SIGN-ON/RET MEB 4 FTE

FFP

SIGN-ON/RETENTION FOR FOUR (4) FTE. NOT TO EXCEED $5,000.00 PER

FTE. NOT SEPARATELY PRICED.

2001AN 1 Job

OPTION SIGN-ON/RET SHPE 7 FTE

FFP

SIGN-ON/RETENTION FOR SEVEN (7) FTE. NOT TO EXCEED $5,000.00

PER FTE. NOT SEPARATELY PRICED.

2001AP 1 Job

OPTION SIGN-ON/RET BARIATRIC 1 FTE

FFP

SIGN-ON/RETENTION FOR ONE (1) FTE. NOT TO EXCEED $5,000.00 PER

FTE. NOT SEPARATELY PRICED.

2001AQ 1 Job

OPTION SIGN-ON/RET UCC 2 FTE

FFP

SIGN-ON/RETENTION FOR TWO (2) FTE. NOT TO EXCEED $5,000.00 PER

FTE. NOT SEPARATELY PRICED.

2001AR 1 Each

OPTION CMR

FFP

CONTRACT MANPOWER REPORTING (CMR) TO BE PERFORMANCE IN

ACCORDANCE WITH PERFORMANCE WORK STATEMENT (PWS). DUE

OCTOBER 31, 2021.

OPTION FY22 17 FTE PA/NP

FFP

PERSONAL SERVICES OF SEVENTEEN (17) FULL-TIME EQUIVALENT

(FTE) PHYSICIAN ASSISTANT/ NURSE PRACTITIONERS FOR SEVERAL

DIFFERENT CLINICS AT FORT HOOD, TEXAS. PERIOD OF

PERFORMANCE: 1 OCTOBER 2021- 30 SEPTEMBER 2022. SUBJECT TO

AVAILABILITY OF FY22 FUNDS.

3001AA 5,760 Hours

OPTION PA/NP REG HRS SRP 3 FTE

FFP

(REGULAR HOURS) PERSONAL SERVICES OF THREE (3) FTE PHYSICIAN

ASSISTANTS/ NURSE PRACTITIONERS IN ACCORDANCE WITH THE

TERMS AND CONDITIONS OF THE PERFORMANCE WORK STATEMENT

(PWS).

3001AB 13,440 Hours

OPTION PA/NP REG HRS SHPE 7 FTE

FFP

(REGULAR HOURS) PERSONAL SERVICES OF SEVEN (7) FTE PHYSICIAN

ASSISTANTS/ NURSE PRACTITIONERS IN ACCORDANCE WITH THE

TERMS AND CONDITIONS OF THE PERFORMANCE WORK STATEMENT

(PWS).

3001AC 7,680 Hours

OPTION PA/NP REG HRS MEB 4 FTE

FFP

(REGULAR HOURS) PERSONAL SERVICES OF FOUR (4) FTE PHYSICIAN

ASSISTANTS/ NURSE PRACTITIONERS IN ACCORDANCE WITH THE

TERMS AND CONDITIONS OF THE PERFORMANCE WORK STATEMENT

(PWS).

3001AD 1,920 Hours

OPTION PA/NP REG HRS BARIATRIC 1 FTE

FFP

(REGULAR HOURS) PERSONAL SERVICES OF ONE (1) FTE PHYSICIAN

ASSISTANTS/ NURSE PRACTITIONERS IN ACCORDANCE WITH THE

TERMS AND CONDITIONS OF THE PERFORMANCE WORK STATEMENT

(PWS).

3001AE 3,840 Hours

OPTION PA/NP REG HRS UCC 2 FTE

FFP

(REGULAR HOURS) PERSONAL SERVICES OF TWO (2) FTE PHYSICIAN

ASSISTANTS/ NURSE PRACTITIONERS IN ACCORDANCE WITH THE

TERMS AND CONDITIONS OF THE PERFORMANCE WORK STATEMENT

(PWS).

3001AF 150 Hours

OPTION PA/NP EXCESS HOURS SRP 3 FTE

FFP

(EXCESS HOURS) PERSONAL SERVICES OF THREE (3) FTE PHYSICIAN

ASSISTANTS/ NURSE PRACTITIONERS IN ACCORDANCE WITH THE

TERMS AND CONDITIONS OF THE PERFORMANCE WORK STATEMENT

(PWS).

3001AG 350 Hours

OPTION PA/NP EXCESS HOURS SHPE 7 FTE

FFP

(EXCESS HOURS) PERSONAL SERVICES OF SEVEN (7) FTE PHYSICIAN

ASSISTANTS/ NURSE PRACTITIONERS IN ACCORDANCE WITH THE

TERMS AND CONDITIONS OF THE PERFORMANCE WORK STATEMENT

(PWS).

3001AH 25 Hours

OPTION PA/NP EXCESS HOURS BARIATRIC 1 FTE

FFP

(EXCESS HOURS) PERSONAL SERVICES OF ONE (1) FTE PHYSICIAN

ASSISTANTS/ NURSE PRACTITIONERS IN ACCORDANCE WITH THE

TERMS AND CONDITIONS OF THE PERFORMANCE WORK STATEMENT

(PWS).

3001AJ 50 Hours

OPTION PA/NP EXCESS HOURS UCC 2 FTE

FFP

(EXCESS HOURS) PERSONAL SERVICES OF TWO (2) FTE PHYSICIAN

ASSISTANTS/ NURSE PRACTITIONERS IN ACCORDANCE WITH THE

TERMS AND CONDITIONS OF THE PERFORMANCE WORK STATEMENT

(PWS).

3001AK 1 Job

OPTION TRAVEL MEB 4 FTE

FFP

TRAVEL MEB FOUR (4) FTE. (NOT TO EXCEED $1000 PER FTE) NOT

SEPARATELY PRICES.

3001AL 1 Job

OPTION SIGN-ON/RET SRP 3 FTE

FFP

SIGN-ON/RETENTION FOR THREE (3) FTE. NOT TO EXCEED $5,000.00

PER FTE. NOT SEPARATELY PRICED.

3001AM 1 Job

OPTION SIGN-ON/RET MEB 4 FTE

FFP

SIGN-ON/RETENTION FOR FOUR (4) FTE. NOT TO EXCEED $5,000.00 PER

FTE. NOT SEPARATELY PRICED.

3001AN 1 Job

OPTION SIGN-ON/RET SHPE 7 FTE

FFP

SIGN-ON/RETENTION FOR SEVEN (7) FTE. NOT TO EXCEED $5,000.00

PER FTE. NOT SEPARATELY PRICED.

3001AP 1 Job

OPTION SIGN-ON/RET BARIATRIC 1 FTE

FFP

SIGN-ON/RETENTION FOR ONE (1) FTE. NOT TO EXCEED $5,000.00 PER

FTE. NOT SEPARATELY PRICED.

3001AQ 1 Job

OPTION SIGN-ON/RET UCC 2 FTE

FFP

SIGN-ON/RETENTION FOR TWO (2) FTE. NOT TO EXCEED $5,000.00 PER

FTE. NOT SEPARATELY PRICED.

3001AR 1 Each

OPTION CMR

FFP

CONTRACT MANPOWER REPORTING (CMR) TO BE PERFORMANCE IN

ACCORDANCE WITH PERFORMANCE WORK STATEMENT (PWS). DUE

OCTOBER 31, 2022.

OPTION FY23 17 FTE PA/NP

FFP

PERSONAL SERVICES OF SEVENTEEN (17) FULL-TIME EQUIVALENT

(FTE) PHYSICIAN ASSISTANT/ NURSE PRACTITIONERS FOR SEVERAL

DIFFERENT CLINICS AT FORT HOOD, TEXAS. PERIOD OF

PERFORMANCE: 1 OCTOBER 2022 - 30 SEPTEMBER 2023. SUBJECT TO

AVAILABILITY OF FY23 FUNDS.

4001AA 5,760 Hours

OPTION PA/NP REG HRS SRP 3 FTE

FFP

(REGULAR HOURS) PERSONAL SERVICES OF THREE (3) FTE PHYSICIAN

ASSISTANTS/ NURSE PRACTITIONERS IN ACCORDANCE WITH THE

TERMS AND CONDITIONS OF THE PERFORMANCE WORK STATEMENT

(PWS).

4001AB 13,440 Hours

OPTION PA/NP REG HRS SHPE 7 FTE

FFP

(REGULAR HOURS) PERSONAL SERVICES OF SEVEN (7) FTE PHYSICIAN

ASSISTANTS/ NURSE PRACTITIONERS IN ACCORDANCE WITH THE

TERMS AND CONDITIONS OF THE PERFORMANCE WORK STATEMENT

(PWS).

4001AC 7,680 Hours

OPTION PA/NP REG HRS MEB 4 FTE

FFP

(REGULAR HOURS) PERSONAL SERVICES OF FOUR (4) FTE PHYSICIAN

ASSISTANTS/ NURSE PRACTITIONERS IN ACCORDANCE WITH THE

TERMS AND CONDITIONS OF THE PERFORMANCE WORK STATEMENT

(PWS).

4001AD 1,920 Hours

OPTION PA/NP REG HRS BARIATRIC 1 FTE

FFP

(REGULAR HOURS) PERSONAL SERVICES OF ONE (1) FTE PHYSICIAN

ASSISTANTS/ NURSE PRACTITIONERS IN ACCORDANCE WITH THE

TERMS AND CONDITIONS OF THE PERFORMANCE WORK STATEMENT

(PWS).

4001AE 3,840 Hours

OPTION PA/NP REG HRS UCC 2 FTE

FFP

(REGULAR HOURS) PERSONAL SERVICES OF TWO (2) FTE PHYSICIAN

ASSISTANTS/ NURSE PRACTITIONERS IN ACCORDANCE WITH THE

TERMS AND CONDITIONS OF THE PERFORMANCE WORK STATEMENT

(PWS).

4001AF 150 Hours

OPTION PA/NP EXCESS HOURS SRP 3 FTE

FFP

(EXCESS HOURS) PERSONAL SERVICES OF THREE (3) FTE PHYSICIAN

ASSISTANTS/ NURSE PRACTITIONERS IN ACCORDANCE WITH THE

TERMS AND CONDITIONS OF THE PERFORMANCE WORK STATEMENT

(PWS).

4001AG 350 Hours

OPTION PA/NP EXCESS HOURS SHPE 7 FTE

FFP

(EXCESS HOURS) PERSONAL SERVICES OF SEVEN (7) FTE PHYSICIAN

ASSISTANTS/ NURSE PRACTITIONERS IN ACCORDANCE WITH THE

TERMS AND CONDITIONS OF THE PERFORMANCE WORK STATEMENT

(PWS).

4001AH 25 Hours

OPTION PA/NP EXCESS HOURS BARIATRIC 1 FTE

FFP

(EXCESS HOURS) PERSONAL SERVICES OF ONE (1) FTE PHYSICIAN

ASSISTANTS/ NURSE PRACTITIONERS IN ACCORDANCE WITH THE

TERMS AND CONDITIONS OF THE PERFORMANCE WORK STATEMENT

(PWS).

4001AJ 50 Hours

OPTION PA/NP EXCESS HOURS UCC 2 FTE

FFP

(EXCESS HOURS) PERSONAL SERVICES OF TWO (2) FTE PHYSICIAN

ASSISTANTS/ NURSE PRACTITIONERS IN ACCORDANCE WITH THE

TERMS AND CONDITIONS OF THE PERFORMANCE WORK STATEMENT

(PWS).

4001AK 1 Job

OPTION TRAVEL MEB 4 FTE

FFP

TRAVEL MEB FOUR (4) FTE. (NOT TO EXCEED $1000 PER FTE) NOT

SEPARATELY PRICES.

4001AL 1 Job

OPTION SIGN-ON/RET SRP 3 FTE

FFP

SIGN-ON/RETENTION FOR THREE (3) FTE. NOT TO EXCEED $5,000.00

PER FTE. NOT SEPARATELY PRICED.

4001AM 1 Job

OPTION SIGN-ON/RET MEB 4 FTE

FFP

SIGN-ON/RETENTION FOR FOUR (4) FTE. NOT TO EXCEED $5,000.00 PER

FTE. NOT SEPARATELY PRICED.

4001AN 1 Job

OPTION SIGN-ON/RET SHPE 7 FTE

FFP

SIGN-ON/RETENTION FOR SEVEN (7) FTE. NOT TO EXCEED $5,000.00

PER FTE. NOT SEPARATELY PRICED. .

4001AP 1 Job

OPTION SIGN-ON/RET BARIATRIC 1 FTE

FFP

SIGN-ON/RETENTION FOR ONE (1) FTE. NOT TO EXCEED $5,000.00 PER

FTE. NOT SEPARATELY PRICED.

4001AQ 1 Job

OPTION SIGN-ON/RET UCC 2 FTE

FFP

SIGN-ON/RETENTION FOR TWO (2) FTE. NOT TO EXCEED $5,000.00 PER

FTE. NOT SEPARATELY PRICED.

4001AR 1 Each

OPTION CMR

FFP

CONTRACT MANPOWER REPORTING (CMR) TO BE PERFORMANCE IN

ACCORDANCE WITH PERFORMANCE WORK STATEMENT (PWS). DUE

OCTOBER 31, 2023.

INSPECTION AND ACCEPTANCE TERMS

Supplies/services will be inspected/accepted at:

CLIN INSPECT AT INSPECT BY ACCEPT AT ACCEPT BY

0001 N/A N/A N/A N/A 0001AA Destination Government Destination Government 0001AB Destination Government Destination Government 0001AC Destination Government Destination Government 0001AD Destination Government Destination Government 0001AE Destination Government Destination Government 0001AF Destination Government Destination Government 0001AG Destination Government Destination Government 0001AH Destination Government Destination Government 0001AJ Destination Government Destination Government 0001AK Destination Government Destination Government 0001AL Destination Government Destination Government 0001AM Destination Government Destination Government 0001AN Destination Government Destination Government 0001AP Destination Government Destination Government 0001AQ Destination Government Destination Government 0001AR Destination Government Destination Government 1001 N/A N/A N/A N/A 1001AA Destination Government Destination Government 1001AB Destination Government Destination Government 1001AC Destination Government Destination Government 1001AD Destination Government Destination Government 1001AE Destination Government Destination Government 1001AF Destination Government Destination Government 1001AG Destination Government Destination Government 1001AH Destination Government Destination Government 1001AJ Destination Government Destination Government

1001AK Destination Government Destination Government 1001AL Destination Government Destination Government 1001AM Destination Government Destination Government 1001AN Destination Government Destination Government 1001AP Destination Government Destination Government 1001AQ Destination Government Destination Government 1001AR Destination Government Destination Government 2001 N/A N/A N/A N/A 2001AA Destination Government Destination Government 2001AB Destination Government Destination Government 2001AC Destination Government Destination Government 2001AD Destination Government Destination Government 2001AE Destination Government Destination Government 2001AF Destination Government Destination Government 2001AG Destination Government Destination Government 2001AH Destination Government Destination Government 2001AJ Destination Government Destination Government 2001AK Destination Government Destination Government 2001AL Destination Government Destination Government 2001AM Destination Government Destination Government 2001AN Destination Government Destination Government 2001AP Destination Government Destination Government 2001AQ Destination Government Destination Government 2001AR Destination Government Destination Government 3001 N/A N/A N/A N/A 3001AA Destination Government Destination Government 3001AB Destination Government Destination Government 3001AC Destination Government Destination Government 3001AD Destination Government Destination Government 3001AE Destination Government Destination Government 3001AF Destination Government Destination Government 3001AG Destination Government Destination Government 3001AH Destination Government Destination Government 3001AJ Destination Government Destination Government 3001AK Destination Government Destination Government 3001AL Destination Government Destination Government 3001AM Destination Government Destination Government 3001AN Destination Government Destination Government 3001AP Destination Government Destination Government 3001AQ Destination Government Destination Government 3001AR Destination Government Destination Government 4001 N/A N/A N/A N/A 4001AA Destination Government Destination Government 4001AB Destination Government Destination Government 4001AC Destination Government Destination Government 4001AD Destination Government Destination Government 4001AE Destination Government Destination Government 4001AF Destination Government Destination Government 4001AG Destination Government Destination Government 4001AH Destination Government Destination Government 4001AJ Destination Government Destination Government 4001AK Destination Government Destination Government 4001AL Destination Government Destination Government 4001AM Destination Government Destination Government 4001AN Destination Government Destination Government

4001AP Destination Government Destination Government 4001AQ Destination Government Destination Government 4001AR Destination Government Destination Government

DELIVERY INFORMATION

CLIN DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

0001 N/A N/A N/A N/A

0001AA POP 01-APR-2019 TO

30-SEP-2019

N/A W2M5 CARL R DARNALL ARMY MED C

W2M5 CARL R DARNALL ARMY MED C

MEDICAL SUPPLY OFFICER DACH

BLDG 36065 SANTE FE AVE

FORT HOOD TX 76544-5063

210-808-2837

W45XTR

0001AB POP 01-APR-2019 TO

30-SEP-2019

N/A (SAME AS PREVIOUS LOCATION)

0001AC POP 01-APR-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AD POP 01-APR-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AE POP 01-APR-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AF POP 01-APR-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AG POP 01-APR-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AH POP 01-APR-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AJ POP 01-APR-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AK POP 01-APR-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AL POP 01-APR-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AM POP 01-APR-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AN POP 01-APR-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AP POP 01-APR-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AQ POP 01-APR-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

0001AR 31-OCT-2019 1 (SAME AS PREVIOUS LOCATION)

1001 N/A N/A N/A N/A

1001AA POP 01-OCT-2019 TO

30-SEP-2020

N/A W2M5 CARL R DARNALL ARMY MED C

W2M5 CARL R DARNALL ARMY MED C

MEDICAL SUPPLY OFFICER DACH

BLDG 36065 SANTE FE AVE

FORT HOOD TX 76544-5063

210-808-2837

1001AB POP 01-OCT-2019 TO

30-SEP-2020

N/A (SAME AS PREVIOUS LOCATION)

1001AC POP 01-OCT-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

1001AD POP 01-OCT-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

1001AE POP 01-OCT-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

1001AF POP 01-OCT-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

1001AG POP 01-OCT-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

1001AH POP 01-OCT-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

1001AJ POP 01-OCT-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

1001AK POP 01-OCT-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

1001AL POP 01-OCT-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

1001AM POP 01-OCT-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

1001AN POP 01-OCT-2019 TO

01-SEP-2020

N/A (SAME AS PREVIOUS LOCATION)

1001AP POP 01-OCT-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

1001AQ POP 01-OCT-2019 TO

N/A (SAME AS PREVIOUS LOCATION)

1001AR 31-OCT-2020 1 (SAME AS PREVIOUS LOCATION)

2001 N/A N/A N/A N/A

2001AA POP 01-OCT-2020 TO

30-SEP-2021

N/A W2M5 CARL R DARNALL ARMY MED C

W2M5 CARL R DARNALL ARMY MED C

MEDICAL SUPPLY OFFICER DACH

BLDG 36065 SANTE FE AVE

FORT HOOD TX 76544-5063

210-808-2837

2001AB POP 01-OCT-2020 TO

30-SEP-2021

N/A (SAME AS PREVIOUS LOCATION)

2001AC POP 01-SEP-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

2001AD POP 01-OCT-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

2001AE POP 01-OCT-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

2001AF POP 01-OCT-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

2001AG POP 01-OCT-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

2001AH POP 01-OCT-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

2001AJ POP 01-OCT-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

2001AK POP 01-OCT-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

2001AL POP 01-OCT-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

2001AM POP 01-OCT-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

2001AN POP 01-OCT-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

2001AP POP 01-OCT-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

2001AQ POP 01-OCT-2020 TO

N/A (SAME AS PREVIOUS LOCATION)

2001AR 31-OCT-2021 1 (SAME AS PREVIOUS LOCATION)

3001 N/A N/A N/A N/A

3001AA POP 01-OCT-2021 TO

30-SEP-2022

N/A W2M5 CARL R DARNALL ARMY MED C

W2M5 CARL R DARNALL ARMY MED C

MEDICAL SUPPLY OFFICER DACH

BLDG 36065 SANTE FE AVE

FORT HOOD TX 76544-5063

210-808-2837

3001AB POP 01-OCT-2021 TO

30-SEP-2022

N/A (SAME AS PREVIOUS LOCATION)

3001AC POP 01-OCT-2021 TO

N/A (SAME AS PREVIOUS LOCATION)

3001AD POP 01-OCT-2021 TO

N/A (SAME AS PREVIOUS LOCATION)

3001AE POP 01-OCT-2021 TO

N/A (SAME AS PREVIOUS LOCATION)

3001AF POP 01-OCT-2021 TO

N/A (SAME AS PREVIOUS LOCATION)

3001AG POP 01-OCT-2021 TO

N/A (SAME AS PREVIOUS LOCATION)

3001AH POP 01-OCT-2021 TO

N/A (SAME AS PREVIOUS LOCATION)

3001AJ POP 01-OCT-2021 TO

N/A (SAME AS PREVIOUS LOCATION)

3001AK POP 01-OCT-2021 TO

N/A (SAME AS PREVIOUS LOCATION)

3001AL POP 01-OCT-2021 TO

07-SEP-2022

N/A (SAME AS PREVIOUS LOCATION)

3001AM POP 01-OCT-2021 TO

N/A (SAME AS PREVIOUS LOCATION)

3001AN POP 01-OCT-2021 TO

N/A (SAME AS PREVIOUS LOCATION)

3001AP POP 01-OCT-2021 TO

N/A (SAME AS PREVIOUS LOCATION)

3001AQ POP 01-OCT-2021 TO

N/A (SAME AS PREVIOUS LOCATION)

3001AR 31-OCT-2022 1 (SAME AS PREVIOUS LOCATION)

4001 N/A N/A N/A N/A

4001AA POP 01-OCT-2022 TO

30-SEP-2023

N/A W2M5 CARL R DARNALL ARMY MED C

W2M5 CARL R DARNALL ARMY MED C

MEDICAL SUPPLY OFFICER DACH

BLDG 36065 SANTE FE AVE

FORT HOOD TX 76544-5063

210-808-2837

4001AB POP 01-OCT-2022 TO

30-SEP-2023

N/A (SAME AS PREVIOUS LOCATION)

4001AC POP 01-OCT-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

4001AD POP 01-OCT-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

4001AE POP 01-OCT-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

4001AF POP 01-OCT-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

4001AG POP 01-OCT-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

4001AH POP 01-OCT-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

4001AJ POP 01-OCT-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

4001AK POP 01-OCT-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

4001AL POP 01-OCT-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

4001AM POP 01-OCT-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

4001AN POP 01-OCT-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

4001AP POP 01-OCT-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

4001AQ POP 01-OCT-2022 TO

N/A (SAME AS PREVIOUS LOCATION)

4001AR 31-OCT-2023 1 (SAME AS PREVIOUS LOCATION)

CLAUSES INCORPORATED BY REFERENCE

52.212-4 Contract Terms and Conditions--Commercial Items OCT 2018

52.212-4 ADDENDUM

(w) The non-FAR Part 12 discretionary FAR and DFARS clauses included herein are incorporated into this contract either by reference or in full text. If incorporated by reference, see clause 52.252-2 herein for locations where full text can be found.

(End of Addendum)

CLAUSES INCORPORATED BY REFERENCE

52.203-3 Gratuities APR 1984 52.203-6 Restrictions On Subcontractor Sales To The Government SEP 2006 52.203-12 Limitation On Payments To Influence Certain Federal

Transactions

OCT 2010

52.203-17 Contractor Employee Whistleblower Rights and Requirement To Inform Employees of Whistleblower Rights

APR 2014

52.204-4 Printed or Copied Double-Sided on Postconsumer Fiber Content Paper

MAY 2011

52.204-9 Personal Identity Verification of Contractor Personnel JAN 2011 52.204-10 Reporting Executive Compensation and First-Tier

Subcontract Awards

OCT 2018

52.204-21 Basic Safeguarding of Covered Contractor Information Systems

JUN 2016

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

OCT 2015

52.209-9 Updates of Publicly Available Information Regarding Responsibility Matters

OCT 2018

52.219-8 Utilization of Small Business Concerns OCT 2018 52.219-14 Limitations On Subcontracting JAN 2017 52.222-3 Convict Labor JUN 2003 52.222-21 Prohibition Of Segregated Facilities APR 2015 52.222-26 Equal Opportunity SEP 2016 52.222-35 Equal Opportunity for Veterans OCT 2015 52.222-36 Equal Opportunity for Workers with Disabilities JUL 2014 52.222-37 Employment Reports on Veterans FEB 2016 52.222-41 Service Contract Labor Standards AUG 2018 52.222-43 Fair Labor Standards Act And Service Contract Labor

Standards - Price Adjustment (Multiple Year And Option Contracts)

AUG 2018

52.222-50 Combating Trafficking in Persons MAR 2015 52.222-54 Employment Eligibility Verification OCT 2015 52.223-18 Encouraging Contractor Policies To Ban Text Messaging

While Driving

AUG 2011

52.224-1 Privacy Act Notification APR 1984 52.224-2 Privacy Act APR 1984 52.224-3 Privacy Training JAN 2017 52.225-13 Restrictions on Certain Foreign Purchases JUN 2008 52.228-5 Insurance - Work On A Government Installation JAN 1997 52.229-6 Taxes--Foreign Fixed-Price Contracts FEB 2013 52.232-18 Availability Of Funds APR 1984 52.232-33 Payment by Electronic Funds Transfer--System for Award

Management

OCT 2018

52.232-39 Unenforceability of Unauthorized Obligations JUN 2013 52.232-40 Providing Accelerated Payments to Small Business

Subcontractors

DEC 2013

52.233-3 Protest After Award AUG 1996 52.233-4 Applicable Law for Breach of Contract Claim OCT 2004 52.242-13 Bankruptcy JUL 1995 252.203-7000 Requirements Relating to Compensation of Former DoD

Officials

SEP 2011

252.203-7002 Requirement to Inform Employees of Whistleblower Rights SEP 2013 252.204-7000 Disclosure Of Information OCT 2016 252.204-7003 Control Of Government Personnel Work Product APR 1992 252.209-7004 Subcontracting With Firms That Are Owned or Controlled By

The Government of a Country that is a State Sponsor of Terrorism

OCT 2015

252.225-7012 Preference For Certain Domestic Commodities DEC 2017 252.225-7041 Correspondence in English JUN 1997 252.232-7003 Electronic Submission of Payment Requests and Receiving

Reports

JUN 2012

252.232-7010 Levies on Contract Payments DEC 2006 52.203-2 Certificate Of Independent Price Determination APR 1985 52.203-11 Certification And Disclosure Regarding Payments To

Influence Certain Federal Transactions

SEP 2007

52.204-16 Commercial and Government Entity Code Reporting JUL 2016 52.214-34 Submission Of Offers In The English Language APR 1991 52.222-24 Preaward On-Site Equal Opportunity Compliance Evaluation FEB 1999 52.225-25 Prohibition on Contracting with Entities Engaging in Certain

Activities or Transactions Relating to Iran-- Representation and Certifications.

AUG 2018

52.212-1 Instructions to Offerors--Commercial Items OCT 2018

52.212-1 ADDENDUM

ADDENDUM TO FAR 52-212-1

I. GENERAL

A. The Solicitation will be posted to FedBizOpps website.

B. Contract POCs: The Contracting Officer and Contract Specialist are the sole points of contact for this procurement. Questions regarding this solicitation are to be submitted electronically to the Contract Specialist, Shenecqua Soares at shenecqua.n.soares.civ@mail.mil no later than 1:00 pm CST on 25 January 2019. Questions will be addressed on or about 25 January 2019.

II. ADMINISTRATIVE

A. Contractor shall complete and return the following:

1. Pricing for the Base and All Option Years.

2. Compensation Plan(s) for the Base and Option Years. Each plan shall reflect compensation for the base period and option years. A sample compensation plan worksheet is included as an attachment.

(Attachment 1) for Direct Hourly Rates and Excess Hours use one compensation plan worksheet for each skill set, use a separate worksheet for direct hourly rates and separate worksheet for excess hours.

3. Past Performance: List of two references being supplied the for Past Performance Questionnaires to include the POC name and telephone number. (See 52.212-2 for details). (Attachment 2)

B. Quoters shall submit quotes to Regional Health Contracting Office - Central (RHCO-C) to arrive no later than the date and time stated in block 8 of the SF1449. Quotes can be submitted via email to sheneccqua.n.soares.civ@mail.mil. Facsimile offer and electronic (e-mail) offer are also acceptable, provided they meet the requirements listed above. Facsimile offers and electronic (e-mail) offers are the preferred methods for submitting proposals. Offer shall clearly identify each part of their proposal, as described below.

C. The quoter will provide information below regarding points of contact (POCs) for administration of the contract during quoter’s normal business hours and after normal business hours. The POC for other than normal business hours will be contacted only in the event of an emergency. Accordingly, the named individuals should possess sufficient corporate authority to effectively deal with emergency situations and the telephone number provided should be functioning at all times other than normal business hours. If there are different POCs for different conditions, such as weekdays, weekends, holidays, etc., please furnish all and explain.

1. Quoter’s normal business hours/days:

2. POCs during normal business hours: Name(s): Telephone Number(s):

3. POCs during other than normal business hours: Name(s): Telephone Number(s):

D. Submit pricing for all Contract Line Item Numbers (CLINs) and sub-CLINs (as applicable) for the base year and all option years. Provide total pricing for the base year and each option year, as well as a grand total for the price of your entire quote.

E. The offeror shall submit a completed copy of FAR 52.212-3, Representations and Certifications –

Commercial Items. If the offeror has completed the Online Representations and Certifications

Application (ORCA) at https://www.uscontractorregistration.com/ the offeror shall indicate such on the FAR clause. DFARS 252.212-7000, Offeror Representations and Certifications – Commercial Items. All offerors must be registered in the Central Contractor Registration (CCR) prior to award, and lack of registration shall make an offer ineligible for award

Special Delivery Mail

a. Offeror is cautioned that the United States Postal Service (USPS) does not deliver directly to the RHCO-C, Fort Hood Health Contracting Cell. All USPS mail is delivered to a central location at Carl R.

Darnall Army Medical Center. Offer should be sent in sufficient time to ensure arrival at the contracting office by the specified date and time. Offeror should consider the additional time needed for mail distribution when preparing their offers.

b. Offeror may drop-off their proposal at the RHCO-C, Fort Hood Health Contracting Cell prior to the specified due date and time. For directions to the contracting office, contact Shenecqua Soares at shenecqua.n.soares.civ@mail.mil

F. Contractors shall complete and return all information requested in Addendum to 52.212-1 above no later than the date and time stated in block 8 of the SF1449. Quotes received after the deadline will be considered untimely, will not be evaluated and will not be eligible for award.

M. The non-FAR Part 12 discretionary FAR, DFARS, AFARS, and LOCAL provisions included herein are incorporated into this solicitation either by reference or in full text. If incorporated by reference, see provision 52.252-1 herein for locations where full text can be found.

(End of Provision)

CLAUSES INCORPORATED BY FULL TEXT

52.212-2 EVALUATION--COMMERCIAL ITEMS (OCT 2014)

(a) The Government will award a contract resulting from this solicitation to the responsible offeror whose offer conforming to the solicitation will be most advantageous to the Government, price and other factors considered. The following factors shall be used to evaluate offers:

See Addendum to FAR 52.212-2

(b) Options. The Government will evaluate offers for award purposes by adding the total price for all options to the total price for the basic requirement. The Government may determine that an offer is unacceptable if the option prices are significantly unbalanced. Evaluation of options shall not obligate the Government to exercise the option(s).

(c) A written notice of award or acceptance of an offer, mailed or otherwise furnished to the successful offeror within the time for acceptance specified in the offer, shall result in a binding contract without further action by either party. Before the offer's specified expiration time, the Government may accept an offer (or part of an offer), whether or not there are negotiations after its receipt, unless a written notice of withdrawal is received before award.

(End of provision)

ADDENDUM TO FAR 52.212-2

Award will be made using the Tradeoff source selection process. This process permits tradeoffs among cost or price and non-cost factors and allows the Government to accept other than the lowest priced proposal. Award will be made to the responsible offeror whose proposal conforms to the solicitation and is deemed best value to the Government. Award may be made without discussions with offerors (except communications conducted for the purpose of minor clarification). Therefore, each initial offer should contain the offeror's best terms from a technical and price standpoint. However, the Government reserves the right to conduct discussions if it is later determined by the contracting officer to be necessary.

(a). The Government will award a contract resulting from this solicitation to the responsible offeror whose offer conforms to the solicitation and is the most advantageous to the Government, price and other factors considered.

The following factors shall be used to evaluate offers:

Offerors receiving a rating of “unacceptable” in any of the factors will not be further evaluated.

The following evaluation factors will be used to evaluate each proposal. The relative importance of each factor is as follows: Past Performance, Compensation, and Price are listed in descending order of their importance with Factor 1, (Past Performance) being the most important and Factor 2, (Compensation) is more important than Factor 3, (Price). Factor 1, (Past Performance) and Factor 2, (Compensation) when combined are significantly more important than Factor 3, (Price). However, if the proposals are determined to be essentially equal, price could be the determining factor.

1. Past Performance: Provide two references (i.e., name, title, telephone phone number, and project title/description) who can verify that YOUR company provided recent and relevant services either as the Prime Contractor or Sub-Contractor. "Relevant" is defined as "for the same or similar services". "Recent" is defined as "within the past three years". If your Company does not have relevant past performance as a Prime Contractor or a Sub-Contractor, the Contracting Officer intends to rate your past performance as "Unknown", even if you submit a sub-contractor with relevant past performance. Past Performance must be with MEDCOM, other US Government departments or agencies, state and local governments and/or private sector clients. You may also submit Past Performance for work performed by YOUR company as a subcontractor. Past Performance references may be contacted. Narratives are required on questionnaires for ratings other than satisfactory. If the narratives do not support the rating or if there is no narrative for a rating other than satisfactory, the questionnaire rating will be changed to satisfactory. Offerors are reminded the government may elect to consider any additional past performance information that is available and obtained from other sources, to include the Past Performance Information Retrieval System (“PPIRS”).

The Government may also consider any additional past performance information that is available. Offerors are reminded that, while the Government may elect to consider data obtained from other sources, the burden of providing thorough and complete performance information rests with the Offeror. In the case of a offeror without a record of relevant past performance or for whom information on past performance is not available, the offer will not be evaluated either favorably or unfavorably on past performance and will be assessed an Unknown rating.

DoD Source Selection Performance Confidence Assessment Rating Method in Table 5.

Sources: DoD Source Selection Guide dated: 31 March 2016 Table 5. Performance Confidence Assessments Rating Methods Rating Description

Substantial Confidence Based on the offeror’s recent/relevant performance record, the Government has a high expectation that the offeror will successfully perform the required effort.

Satisfactory Confidence Based on the offeror’s recent/relevant performance record, the Government has a reasonable expectation that the offeror will successfully perform the required effort.

Neutral Confidence No recent/relevant performance record is available or the offeror’s performance record is so sparse that no meaningful confidence assessment rating can be reasonably assigned.

Limited Confidence Based on the offeror’s recent/relevant performance record, the Government has a low expectation that the offeror will successfully perform the required effort.

No Confidence Based on the offeror’s recent/relevant performance record, the Government has no expectation that the offeror will successfully perform the required effort.

2. Compensation Plan : Compensation plans shall be submitted for each specialty reflected in this solicitation. Each plan shall reflect compensation hourly rate and compensation plan worksheet for excess hour rate for the base period and each option period. A sample compensation plan worksheet is included at Attachment 1. The total compensation plan will be evaluated to ensure that the proposed compensation hourly rate and excess hour rates are sufficient to attract and retain quality HCPs. This factor will be rated as either “acceptable” or “not acceptable”. The hourly rate and the excess hour rate must both be found technically acceptable.

Acceptable Rating - Based on Regional Health Contracting Office - Central’s market research, the proposed compensation plan hourly rate and excess hour rate, is sufficient to attract and retain quality HCPs.

Unacceptable Rating – Based on Regional Health Contracting Office - Central’s market research, the proposed compensation hourly rate and excess hour rate, to the HCP is not sufficient to attract and retain quality HCPs

Offerors receiving a rating of “unacceptable” in compensation plan will not be eligible for award.

3. Price: Price will be evaluated using various price analysis techniques and procedures IAW FAR 15.404- 1(b) including, but not limited to, comparison of proposed price received in response to the solicitation with a comparison to the Independent Government Estimate (IGE). Pricing must be found to be fair and reasonable.

(b). Options. The Government will evaluate quotes for award purposes by adding the total price for all options to the total price for the basic requirement. The Government may determine that a offer is unacceptable if the option prices are significantly unbalanced. Evaluation of options shall not obligate the Government to exercise the option(s).

(c). Given that FAR 52.217-8 provides that the Government may exercise the Option to Extend Services at the rates specified in the contract (i.e., the rates in effect when the Extension of Services option is exercised), for purposes of evaluating the Option to Extend Services, the Contracting Officer will consider the prices submitted for the base year and each option year, since those are the binding prices should the Option to Extend be exercised.

(d). The award decision will be based on the best value offered to the Government and not solely on price and price related factors. In making the award decision, the Contracting Officer will consider the evaluated rating of all factors. Ratings of “less than adequate” or “not acceptable” will not be eligible for award. Offerors receiving a rating of “unacceptable” in compensation plan will not be eligible for award.

(End of Provision)

CLAUSES INCORPORATED BY FULL TEXT

52.203-13 CONTRACTOR CODE OF BUSINESS ETHICS AND CONDUCT (OCT 2015)

(a) Definitions. As used in this clause--

Agent means any individual, including a director, an officer, an employee, or an independent Contractor, authorized to act on behalf of the organization.

Full cooperation—

(1) Means disclosure to the Government of the information sufficient for law enforcement to identify the nature and extent of the offense and the individuals responsible for the conduct. It includes providing timely and complete response to Government auditors' and investigators' request for documents and access to employees with information;

(2) Does not foreclose any Contractor rights arising in law, the FAR, or the terms of the contract. It does not require-

(i) A Contractor to waive its attorney-client privilege or the protections afforded by the attorney work product doctrine; or

(ii) Any officer, director, owner, or employee of the Contractor, including a sole proprietor, to waive his or her attorney client privilege or Fifth Amendment rights; and

(3) Does not restrict a Contractor from--

(i) Conducting an internal investigation; or

(ii) Defending a proceeding or dispute arising under the contract or related to a potential or disclosed violation.

Principal means an officer, director, owner, partner, or a person having primary management or supervisory responsibilities within a business entity (e.g., general manager; plant manager; head of a division or business segment; and similar positions).

Subcontract means any contract entered into by a subcontractor to furnish supplies or services for performance of a prime contract or a subcontract.

Subcontractor means any supplier, distributor, vendor, or firm that furnished supplies or services to or for a prime contractor or another subcontractor.

United States means the 50 States, the District of Columbia, and outlying areas.

(b) Code of business ethics and conduct. (1) Within 30 days after contract award, unless the Contracting Officer establishes a longer time period, the Contractor shall--

(i) Have a written code of business ethics and conduct;

(ii) Make a copy of the code available to each employee engaged in performance of the contract.

(2) The Contractor shall--

(i) Exercise due diligence to prevent and detect criminal conduct; and

(ii) Otherwise promote an organizational culture that encourages ethical conduct and a commitment to compliance with the law.

(3)(i) The Contractor shall timely disclose, in writing, to the agency Office of the Inspector…