Questions_Answers_Anesthesiology Services_5 Jan 2021.pdf

W81K0021R3001 ‐ Questions – Answers 1/5/2021

Anesthesiology Services Non‐Personal Services at William Beaumont Army Medical Center

1. Is this a new requirement? If not, can you provide the vendor name and contract number?

A: Yes, this is a new requirement. The current contract (W81K00‐20‐C‐0005/ Johnson Venture Management) is for 6 CRNAs. The new requirement is for 12 CRNAs and 2 Anesthesiologist.

2. How many incumbents/FTEs are filling the current contract?

A: 6 CRNAs on the current contract (W81K00‐20‐C‐0005).

3. PWS 4.5.13.3 states the contractor shall designate a facility security officer for this contract. Does this person have to be local to the area and/or facility?

A: No, it doesn’t have to be local

4. Regarding PWS 4.6.9 and 4.6.11, Must we designate and credential backup/substitute health care workers in case of need? For shorter periods of absences (1‐10 days), can the remaining contract CRNAs absorb the extra hours since they will be on the same CLIN?

A: No, they cannot absorb the extra hours. All positions must be filled.

5. PWS 4.6.18 states “No Later than three business days after contract award, the contractor shall provide both the Contracting Officer and the COR the name, local telephone number and designation letter of the individual who shall act as the Contractor's designated representative. Since it states “Local Telephone Number”, Can the government clarify if this person has to be local to the area and/or facility? Further, it states that “The Contractor’s representative may be a staff member performing services under this contract.” Which implies that it can be a CRNA or MD/DO, but the paragraph continues by saying “The contract representative will not be reimbursed for time spent performing on‐site administrative duties when he/she is not performing in the capacity of MD/DO” which seems to imply that if the designated representative is indeed a staff member performing services under this contract, that it cannot be one of the CRNAs. Can the government clarify this paragraph?

A: Does not need to be local. The Contractor’s representative may be a staff member performing services under this contract. However, the provider shall not perform administrative duties as project manager while scheduled to provide patient care. The contract representative shall not bill for hours for time spent performing on‐site administrative duties when he/she is not performing in the capacity of MD/DO.

6. Must we re‐credential incumbent HCPs, and will they need to be re‐privileged at the hospital?

A. No, the incumbents won’t have to be re‐credentialed.

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7. PWS 4.12.2 states “The contractor shall provide each contract employee his/her own uniform”, yet

4.14.7 states “Hospital scrubs will be provided for inpatient duties.”. Can the government clarify this contradiction?

A: “Hospital scrubs will be provided for inpatient duties” has been removed from the PWS. PWS revised.

8. PWS PROFESSIONAL QUALIFICATIONS – CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) and PHYSICIAN – ANESTHESIOLOGY state that current certification in Basic Life Support (BLS) is required.

There is no mention of Advanced Cardiac Life Support (ACLS) or Pediatric Advanced Life Support (PALS) certification. Can the government verify if the latter two certifications are also required?

A: ACLS and BLS is required; PALS is optional. PWS revised.

9. Can the government state what types of cases are performed at William Beaumont Army Medical Center?

A: We are a full spectrum OR, we perform heart surgery to include TAVR's, neurosurgery, ortho spine, sports medicine, urology, General Surgery to include large abdominal cases, ENT, Peds ENT, etc.

10. The PWS in Section 4.5.12.4 states that a contractor must maintain a fill rate of 98% for all scheduled hours, however the Performance Objective/Standard chart on pg. 24 of the solicitation states that a contractor must maintain a fill rate of 95% for all scheduled hours. Is the requirement for 98% or 95%?

A: 98% Fill Rate. PWS revised.

11. Can the Government provide additional details regarding expected schedule/shift times?

A: Schedule typically 0600‐1600, anesthesiologist will be required to cover some call, potential nights, we are a 24hr mission so the provider needs to be available to fill gaps within the schedule of our GS and Military Anesthesiologists. They will be put on a rotation like the others for coverage. Not likely to cover much call, only as needed, this provider will most likely only be used for actual coverage during normal duty hours unless the need arises to cover call due to a deployment or illness to one of our other staff.

12. Can the Government provide historical data regarding caseloads/cases?

A: Prior to COVID we were tracking around 18,000 anesthesia encounters per year, @35 OR cases per day, and 100+ deliveries per month.

13. What types of cases will the Anesthesiologists and CRNAs be expected to work?

A: See response to question #9.

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14. Can the Past Performance of a Subcontractor be used as Past Performance?

A: Please refer back to “Instructions to Offerors_Evaluation Criteria_9 December 2020_UPDATE.

Performance must have been by the Offeror (not by a subsidiary or sister company) either as the prime contractor or subcontractor. If the Offeror performed as a subcontractor on the reference project, the PPI shall explain what percentage and type of work that was performed by the Offeror as subcontractor.

NOTE: Past performance reference projects performed by a proposed teaming partner or a proposed subcontractor will only be considered if: (1) the Offeror submits at least one recent and relevant past performance project that the Offeror has performed, either as a prime or subcontractor; (2) the teaming partner or subcontractor is identified as a teaming partner or subcontractor in the proposal, and (3) the role and percentage of work proposed to be performed by the teaming partner or subcontractor on the proposed requirement is detailed in the proposal. Items (2) and (3) shall be identified in the administrative volume.

15. Will past performance information on a subcontractor be afforded the same weight as that of a prime contractor?

Past Performance will be evaluated IAW the criteria identified in ADDENDUM TO 52.212‐2.

16. If we are interested in the Anesthesiologist Only portion, could a company bid on one portion?

A: No, offerors shall provide a proposal to support all the PWS requirements.

17. Please clarify the length of time that the Anesthesiologist and the CRNA’s are to work. We see April 2021‐Sept 2021, however what is the time frame for the subsequent years?

A: Please refer back to the Delivery information on the solicitation; W81K00‐21‐R‐3001_8 December 2020.

Base: 01‐APR‐2021 ‐ 30‐SEP‐2021 1st Option: 01‐OCT‐2021 ‐ 30‐SEP‐2022 2nd Option: 01‐OCT‐2022 ‐ 30‐SEP‐2023 3rd Option: 01‐OCT‐2023 ‐ 30‐SEP‐2024 4th Option: 01‐OCT‐2024 ‐ 30‐SEP‐2025 5th Option: 01‐OCT‐2025‐ 31‐MAR‐2026

18. Is the base year the only year in which 6 months is required? After the 6 months, when would the Anesthesiologist or the Certified Registered Nurse Anesthesiologist return to work?

A: See response to question #17

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19. We have MEDCOM past performance at Tripler Army Medical Center. We provided staff there to support the AMC in Hawaii. Would this count as similar services? Please clarify?

A: Please refer back to “Instructions to Offerors_Evaluation Criteria_9 December 2020_UPDATE”. The Offeror shall submit with its proposal evidence of relevant past performance under which YOUR company (the Offeror) provided the same or similar Anesthesia services with similar magnitude and scope in the public and/or private sector. The PPI shall explain what aspects of the task order or contract are deemed relevant to the proposed effort and to what aspects of the proposed effort they relate. This may include a discussion of efforts accomplished by the Offeror to resolve problems encountered on prior task orders or contracts as well as past efforts to identify and manage performance risk. The Offeror is required to clearly demonstrate management actions employed in overcoming problems and the effects of those actions in terms of improvements achieved or problems rectified.

An assessment of the recent past performance information will be made to determine its relevancy. This information will be evaluated to determine how closely the services performed under those contracts relate to the requirements of this requirement and assigned a rating.

20. If an 8(a) offeror includes one or more team members, what percentage of the work must be performed by the offeror? Over what time period?

A: Please refer to FAR 52.219‐14 Limitations on Subcontracting (services) ‐‐ By the end of the base term of the contract and then by the end of each subsequent option period.

21. Will the government undertake a price realism evaluation?

2020_UPDATE”. Price Analysis will be conducted. Proposals will be evaluate for price reasonableness. The proposed price will be evaluated on the bottom line price for the entire effort, inclusive of all options. A price is reasonable if, in its nature and amount, it does not exceed that which would be incurred by a prudent person in the conduct of competitive business. The Government may use various price analysis techniques and procedures to ensure a fair and reasonable price.

22. Will the providers CRNAs and MDs serve as the entire anesthesia staff supporting the WBAMC, or will the provider staff work alongside military providers? Alongside other civilian providers?

A: This provider will be integrated into the team. There is NO supervision requirement for the CRNA's. This provider will sometimes run the board, other times be the consultant available to cover codes in the facility/pre‐ops in the ED/Wards for add on cases etc., and other times running their own anesthetics in an assigned room.

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23. Please provide historical anesthesia volume data. Please describe how COVID affected the operation of the WBAMC.

A: See response to question #12, however, COVID drastically cut our OR output but we still managed to keep contractors gainfully employed throughout this entire pandemic. No one was laid off.

24. Are all FTEs priced in proposals expected to commence work on the effective date of the contract?

If not, how many FTE CRNAs and MDs are expected to commence work at the start of the contract?

A: All FTEs are expected to commence work at the start of the contract.

25. "4.6.5 In order to provide continuity of operations throughout each day, the number and length of breaks shall be coordinated with the other Anesthesia Board Runner or its representative...". What is the Anesthesia Board Runner or its representative"?

A: The anesthesia board runner is the anesthesiologist or CRNA that is coordinating anesthesia coverage and OR flow for that day, whoever is running the board is also the provider covering call that evening.

26. Is the contractor expected fill rate 95% (p. 24 of RFP) or 98% (4.5.12.4 of PWS; p. 7 of RFP)

A. 98% Fill Rate. PWS Revised

27. What is a typical schedule (work hours and days) for the MDs and CRNAs? Specifically on nights calls, weekend calls.

A: We have a range of 8‐24 hour shifts depending on need. Typically most staff is 0600‐1600, with a few 0600‐1800, we have one CRNA over night to cover the OR and one CRNA over night to cover OB and an anesthesiologist covering call from home. Weekend cover is either a 12 or 24 hour shift in either OR or OB.

28. Are CRNAs required to stay in house at night when they are on call? If not, what is the approximate time they should arrive at hospital at night when called in?

A: CRNA's are in house for the 12 hour night shift coverage. We always have at least 2 in house at all times, 1 for OR and 1 for OB.

29. How many beds in the hospital and how many operating procedures that require anesthesia per year?

A: Prior to COVID we were performing @8‐10 thousand anesthetics/epidurals etc. per year. New Hospital has approximately 110 beds.

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30. Are CRNAs part of the RRT or Code team in the hospital? Do they have to attend rapid responses and codes? Do they have to perform intubations, line placements outside the operating room?

A: CRNA's are part of the code team, not the RRT. Yes the CRNA's intubate and do lines.

As we certify for a Level 2 Trauma hospital, anesthesia providers respond to Level 2 trauma's until otherwise directed. Staffing will reflect the guidelines for a Level 2 Trauma facility at that time of designation.

31. Who is the incumbent contractor and how many CRNAs and MDs are currently staffed as of now?

A: See response to question #1 & #2.

32. How many CRNAs have left from employment in the last 2 years?

A: 2

33. Do you accept Board Eligible Anesthesiology physicians?

A: No, must be board certified. PWS has been revised.

34. Page 3 of the "UPDATE" Instructions to Offerors form states. with regard to relevant past performance, that "[o]fferor shall submit with its proposal evidence of relevant past performance under which YOUR company (the Offeror) provided the same or similar Anesthesia services with similar magnitude and scope in the public and/or private sector. Performance must have been by the Offeror (not by a subsidiary or sister company) either as the prime contractor or subcontractor."

Will the Government please clarify this requirement for proposed key subcontractors on Offeror's proposal? Will the Government accept, for evidence of relevant past performance, same or similar Anesthesia services with similar magnitude and scope for Offeror's proposed key subcontractor(s)?

2020_UPDATE”.

NOTE: Past performance reference projects performed by a proposed teaming partner or a proposed subcontractor will only be considered if: (1) the Offeror submits at least one recent and relevant past performance project that the Offeror has performed, either as a prime or subcontractor; (2) the teaming partner or subcontractor is identified as a teaming partner or subcontractor in the proposal, and (3) the role and percentage of work proposed to be performed by the teaming partner or subcontractor on the proposed requirement is detailed in the proposal. Items (2) and (3) shall be identified in the administrative volume.

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35. Will the past performance for the subcontractor be evaluated equally as if the past performance was submitted by the prime?

Past Performance will be evaluated IAW the criteria identified in ADDENDUM TO 52.212‐2.

36. Regarding Malpractice Insurance, if the CRNAs and Anesthesiologists are hired on a 1099/subcontractor basis, will the INDEMNIFICATION AND MEDICAL LIABILITY INSURANCE clause be met if the individual Health Care Providers (HCPs) provide and maintain their own malpractice insurance of the type and quality specified on page 28 of the solicitation?

A: The contractor is required to ensure that its subcontracts for provisions of health care services, contain the requirements of the clause at 52.237‐7, including the maintenance of medical liability insurance.

37. Regarding FTEs, will the government accept split FTEs? For example, can two CRNAs each work 960 hrs per year?

A: Yes they can split FTE's, the intent of this contract is to provide the coverage. The contractor shall ensure coverage of all scheduled shifts. Note: The only caveat is that all of these providers will have to be credentialed and given clearance which can slow things down once you start stacking on more and more providers.

38. Will malpractice insurance be supplied to the provider or will the placing agency need to supply coverage.

A: Please refer to 2.0 in the PWS.

39. What is requirement for personal background clearances?

A: Submit the request through the WBAMC – Readiness Office.

40. Would you explain the revalidation provider process every 6 months?

A: Reverification of Contractor Eligibility for a Common Access Card (CAC) every 6 months.

41. Unscheduled shift: It says will give 2 weeks’ notice, is government open to extend this notice period?

A: We have a dynamic environment with active duty personnel making up the bulk of the anesthesia staff. We are pulled for missions and other duties requiring coverage. We give 2 weeks’ notice for a change in schedule. This cannot be extended as it ties the hands of the agency.

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42. What are the criteria for Quality Control Plan?

A: The Contractor shall establish and maintain a complete Quality Control Plan (QCP) that shall ensure the requirements of the contract are provided as specified in Section 5 of the PWS.

43. It says Contractor should begin work 90 days after the award, is government open to extend this to be 120 days?

A. No.

44. Do you grant emergency privileges? What is the average credentialing time for a provider?

A. No. Once a COMPLETE Credentialing packet is received, normal processing time is 4‐6 weeks.

45. Is provider to be licensed in Texas? Or can we use out of state licensed provider to perform work?

A: Must have and maintain a current, valid, unrestricted license specific to the position (with no limitations, stipulations or pending adverse actions) in the U.S. jurisdiction within which the HCW is performing at the place of performance (i.e. Texas). All licenses must be unencumbered and remain in effect during the duration of the HCW performance on the contract. PWS has been revised.

46. Is government going to extend date of submission?

A. Yes, please see amendment 1.

47. Why government issuing this RFP?

A: Requirement to provide health care employees in support for the Anesthesia Department for William Beaumont Army Medical Center (WBAMC), Fort Bliss, TX

48. Is 23,040 CRNA Hours include vacation?

A: 23,040 is based on 1,920 hours per FTE

49. Is 3,840 MD hours including vacation?

A: 3,840 is based on 1,920 hours per FTE

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50. Please explain how medical records will be handled, including system requirements and process for releasing records to third party.

A: Medical Records. Maintain outpatient medical records in accordance with (IAW) AR 40‐60.

Medical records will be subject to review by the Medical Care Evaluation Committee, Quality Assurance Committee and designated representatives of the Commander, US Medical Department Activity.

51. Would Contractor enjoy indemnification from malpractice suits?

A: Question is not clear. Please see PWS section 2.2 for Professional Liability

52. Scheduling:

a. What are the minimum number of FTE’s needed daily to operate OR?

A: On a typical pre COVID day, @23 personnel per day.

b. Are there coverage fluctuations expected throughout the year based on combined need of Government and Non‐personnel providers? If yes, how much notice is given for increased coverage requirements?

A: Coverage fluctuations do occur primarily in the summer months as this is the peak PCS season (when military members get orders to move to another base).

c. Is there ever a need for alternative coverage, weekends, on call etc?

A: We may require some alternate coverage on weekends/holidays etc.

d. Will Contractor be eligible to participate in clinical and administrative committees?

A: The contractor WILL NOT be serving in committees or any form of hospital governance.

53. Are MDs and CRNAs interchangeable or are there expectations specific providers will be providing specific services?

A: Please refer to the SPECIFIC TASKS / RESPONSIBILITIES in the PWS for each position.

54. Can the government confirm if there are incumbents currently providing the requested services?

If so, can the government provide a listing of the length of service of the incumbent personnel?

A: See response to question #1 & #2. Once awarded; the COR will work with the contractor regarding the incumbents.

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55. 2.7.7 Contractor HCP shall not be an employee of the United States Government if the employment would create a conflict of interest. The Contractor HCP who is an employee of the Department of Defense, either military or civilian, shall not be employed unless such person seeks and receives approval in accordance with DoD 5500.7‐R and MEDCOM Reg 600‐3. Does this include anyone that is a member of the military Reserves?

A: Offeror is advised to consult their legal office and applicable regulations.

56. 4.6.2 states “Contractor shall be required to work 8‐24 hours shifts.” However, 4.6.3 states “Contractor is required to provide services during eight to twelve‐hour shifts per day”. Can the government confirm if shift maximums are 24 hours or 12 hours?

A: 24 hours is the max. This is typically OB coverage on a weekend, don't usually do it during the week but we are flexible.

57. 4.6 – Schedule/Period of Performance: Please advise how far in advance the government will provide a schedule of shifts to be filled by Contractor Anesthesiologist and/or CRNAs?

A: Typically the schedule is out @1‐1 1/2 months in advance.

58. Paragraph C, SPECIFIC TASKS / RESPONSIBILITIES‐ CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA), states “Serve as adjunct clinical instructor/faculty member in the Phase II United States Army Nurse Anesthesia Program. Please confirm if CRNA will require secondary credentialing to meet this task?

A: No, the CRNA will not require anything other than the standard credentialing. The CRNA's part in USAGPAN is as a preceptor in the OR for SRNA's. No different than in a civilian hospital when CRNA students are rotating through. The CRNA's will be given access to a system that will allow them to rate the student's performance and give feedback. It is recommended that Anesthesiologists will also take a part in our Phase 2 United States Army Graduate Program in Anesthesia Nursing (USAGPAN) (Doctoral) Program as well as evaluate the CRNA students if one is assigned to work with them. MDs, DOs, and CRNAs will all work with the USAGPAN CRNA Students unless decided otherwise by departmental leadership.

59. Are there any SCA terms for the CRNAs as they are typically H+W employees?

A: Solicitation has been revised to include SCA clauses and applicable Wage Determination.

60. This is labeled as a non‐personal services contract, please confirm that the HCPs needs to be licensed in the State they are providing services in, in order for Contractors malpractice to cover?

A: Correct. PWS has been revised.

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61. “Offers shall be submitted via e‐mail only.” Would the government consider using DoD SAFE Link for proposal submission?

A. Only electronic (e‐mail) offers will be accepted.

62. “Offerors shall complete and provide the Past Performance Information (PPI) Sheet (Attachment

1) on three (3) task orders or stand‐alone contracts/purchase orders the Offeror will complete or has completed within the past three (3) years from the closing date of this solicitation for a Government or commercial client that the Offeror considers most relevant in demonstrating YOUR company’s (the Offeror’s) ability to perform the proposed effort.” Would the government consider allowing multiple task orders under a single IDIQ be used to show relevancy in addition to two other references, to equal a total of three references?

A: No, each Task Order under an IDIQ is one project. Please refer back to “Instructions to Offerors_Evaluation Criteria_9 December 2020_UPDATE. “Offerors shall complete and provide the Past Performance Information (PPI) Sheet (Attachment 1) on three (3) task orders or stand‐ alone contracts/purchase orders the Offeror will complete or has completed within the past three (3) years from the closing date of this solicitation for a Government or commercial client that the Offeror considers most relevant in demonstrating YOUR company’s (the Offeror’s) ability to perform the proposed effort.”

63. Are these services currently being performed by an incumbent? If so, can you provide the contract number and the number of positions that are currently vacant?

A: See response to question #1 & #2.

64. “4.6.2. The HCP(s) duty schedule will be such as to accommodate the 24/7operations (including Federal Holidays and Government Designated training holidays). To maintain staff privileges at WBAMC, each contract HCP must work an average of four shifts per month during each period of performance (twelve month period).” Is there a maximum number of providers that can be privileged at one time under this contract to meet the above requirement? If incumbered, can you please advise how many contractors are providing services?

A: There is no max number of providers that can be privileged however, all of the providers will have to be credentialed and given clearance which can slow things down once you start stacking on more and more providers. Incumbents: See response to question #1 & #2

65. Vol 4 pricing – is it the expectation that Volume 4 is the attachment 4 with no additional volume requirement? For clarification no Vol 4 is to be submitted in addition to attachment 4?

A: Volume 4 is Attachment 4. No additional volume requirement

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66. Does the government want a cost narrative explanation?

A. Cost narrative explanation not required for Volume IV – Pricing

67. Where should the offeror explain/annotate the HCW is a 1099 contractor? In the instructions to offeror under factor 2 – compensation plan “Any compensation plans that are incomplete, do not show the breakdown of fringe benefits (or explanation if hiring independent contractors), or are not submitted with amounts as hourly (not annual) rates will be rated “unacceptable.”

A: Attachment 3 was provided as a sample compensation plan worksheet. Offerors shall format, explain, and annotate the attachment according to its proposed plan.

68. Multiple times throughout the PWS “FBCH” is referred to in regard to in‐processing and credentialing, and states Fort Belvoir Community Hospital in the acronym list, can you please advise if this is an error (PWS p. 8, 12, 13, and 17)? If not, is it the expectation to credential and in‐process at Fort Belvoir?

A: Credentialing and the In‐processing will be conducted at William Beaumont Army Medical Center. PWS revised.

69. “The HCP(s) duty schedule will be such as to accommodate the 24/7operations (including Federal Holidays and Government Designated training holidays). To maintain staff privileges at WBAMC, each contract HCP must work an average of four shifts per month during each period of performance (twelve month period). Contractor shall be required to work 8‐24 hours shifts. Contract providers shall not be scheduled to work any shift within a minimum of 8 hours of completing a previous work shift at WBAMC or at any other military or civilian treatment facility.”

PWS p. 8 – is a copy of the schedule matrix available?

A: Please refer to the previous answers regarding the schedule (#s 11, 27 & 57). A matrix isn’t available.

70. “The HCP may be required to work beyond the end of the shift while providing patient care in emergent and extenuating circumstances. The HCP shall remain on duty, if necessary, until the replacement HCP arrives. He/she shall ensure that continuity of care is provided to the patient and Extended Shift Hours will be used for direct patient care only. The contract provider will not receive additional compensation for working beyond his/her shift in order to accomplish administrative tasks.

Note: Extended Shift hours will be billed as regular hours.”

PWS p8 – If an HCW is extended due to patient care, will another schedule shift be reduced to maintain permitted billable hours? The note of extended hours being billed as regular hours, will that be in allowable if more than 40 hours in the week?

A: Overtime is not authorized on the contract. The contractor shall manage their staff to ensure hours per week are not exceeded. There may be instances where the case runs long and no one is available to relieve the provider in the room. The provider will not abandon the patient but

Anesthesiology Services Non‐Personal Services at will wait until relieved and a proper hand off given. This is not the norm however, the contractor will need to adjust as needed.

71. “4.6.8 Unscheduled Shifts. Occasionally the government may ask for coverage of additional shifts to be added for a given month of service. When required, those shifts will be provided to the Contractor approximately two weeks prior to the month to be worked. If the contractor cannot or does not fill any shift‐fills, added on by the government after the contractor meets his submission date, it will not count against the contractor in evaluating performance for that month. These hours will be invoiced under the unscheduled hours.”

“4.10.2 To ensure the Government operations can progress with no or only minimal disruption, the Contractor HCP shall anticipate the possibility of a mobilization or similar emergency and identify the steps it will need to take to rapidly expand its contract capabilities to meet the emergency.”

Will the same apply for 4.10.2, as in 4.6.8? If we are not able to fill extra shifts for mobilizations that those will not count against the fill rate?

A. Needs of the mobilization or similar emergency will be addressed with the contractor at time of event. PWS Section 4.10.2 requires the contractor to “identify the steps it will need to take to rapidly expand its contract capabilities to meet the emergency”.

72. “4.7.7 Hospital scrubs shall be worn while assigned to department duties.

“4.12.2 Uniforms. The contractor shall provide each contract employee his/her own uniform. The contractor shall ensure that, when worn, the uniform is clean and in good repair.”

Can the government please clarify if hospital scrubs will be worn (as stated in 4.7.7) or personal scrubs (as stated in 4.12.2)? There is confusion as to which statement supersedes, as they are contradictory.

A. Please refer to question #7.

73. RE:VOL IV PRICING, Excel Spreadsheet instructions (ITO_Eval Crit pg 4 of 8) which says: The Pricing Worksheet shall be submitted in Microsoft Excel format with all formulas intact. Offerors shall ensure the formulas and totals accurately reflect the pricing data proposed. Provide total pricing for the base period and each option period, as well as a grand total of the entire quote. Comment: the formulas in the spreadsheet are not complete. Is the Offeror free to update the spreadsheet to include formulas so that we will comply with accuracy and completion standards or will the government update and post one to beta.SAM?

A. Updated copy of attachment 4 posted with Amendment 1. Offerors shall ensure the formulas and totals accurately reflect the pricing data proposed.