CMT QUESTION ANSWER.pdf

QUESTION / ANSWERS

1. It is noted that 52.222-42, statement of equivalent rates, on page 25, states a base compensation level of $21.18. Per the incorporated wage determination, SCA code 12030 – EKG Technician, has a minimum base compensation requirement of $27.43. Can the Government please confirm these HCPs are SCA-covered positions and conformed to SCA code 12030 – EKG Technician?

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

DETERMINATION. IT IS THE RATE OF PAY THAT A GENERAL SCHDULE

EMPLOYEE COULD MAKE.

2. Referencing PWS 1.4, page 51, to increase the candidate pool, will the Government consider non-citizens who are authorized to work in the United States? NO AS STATED IN THE PWS

SECTION 1.4 PAGE 51 OF THE SOLICITATION “ The contractor shall ensure that all

CMTs providing services under this contract shall be United States Citizens; able to read, write, and speak English well enough to effectively communicate with all parties and other health care providers. The CMTs shall be computer literate to ensure patient information is documented in MTF computerized systems”.

3. Referencing PWS 1.14, page 54; PWS 1.16.1, page 55, etc references task orders. Can the

Government please clarify how task orders will be utilized for ordering under this contract? THE

GOVERNMENT WILL ISSUE TASK ORDER FOR AFTER EACH OPTION YEAR TO

FUND THAT PERIOD OF PERFORMANCE OF THE CONTRACT.

4. Referencing PWS 1.16.2, page 55, can the Government confirm the quantity of providers normally required to work on holidays? Total number of CMTs to adequately staff each 8 hour shift is a minimum of five (5) CMTs.

5. Referencing PWS 1.17.2, page 55, can the Government please provide clarity into the frequency or percentage of hours that the contractor should expect to fall into each of the following shift types:

weekday day, weekday evening, weekday night, weekend day, weekend evening, and weekend night? The CMTs currently work (8) hour shifts, but can also work (12) hour shift. The CMTs will support 24 hours per day/ 7 days per week..

6. Referencing PWS 1.17.3 and 4, page 55, can the Government please provide a sample schedule?

Sample schedule attached

7. Referencing PWS 1.17.5, page 55, can the Government confirm average monthly hours for PRN requirements? PRN CMTs are assigned to supplement or backfill full time CMTs. CMTs may be provided the opportunity to work up to 40 hours in a one week period, but will not be guaranteed a specific number of hours. PRN CMTs must work a minimum of two shifts per month to ensure system access and unit competency. Average monthly hours worked by PRN CMTs is 128 hrs.

8. Referencing PWS 1.17.5, page 55, can the Government clarify if Centralized Monitor Room Leader is a Government or Contractor Employee? If this is a contractor employee, can the Government clarify the job duties, requirements, etc of this position? An active duty Office/NCO or GS will always be assigned to the centralized monitor room. Currently we have a Major that is in charge to assist with administration issues/timekeeping/scheduling.

9. Referencing PWS 1.17.6, page 56, how many total HCPs will the Government enable the contractor to credential in order to provide the necessary coverage?

10. Referencing PWS 1.20.1 through 4, page 57, we believe a remote Program Manager will be effective and represent savings for the Government. Will the Government please consider a remote

Contract Program Manager, located in our corporate office, for this requirement? NO

11. Referencing PWS 4.1, page 73 references RN services. Are there RN services additionally needed as part of this requirement? NO

12. Referencing 52.212-1, Volume II, page 80, will the Government consider previously completed

PPQ, reference letters, and/or CPAR in lieu of the described requirement for PPQs? NO

13. Referencing 52.222-2, Factor 3, page 85, it is recommended that the Government also conduct price realism review to ensure compensation submitted is not too low to be able to perform in the current marketplace? 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. Some of those techniques are, but not limited to, comparison of proposed prices received in response to the solicitation and/or comparison of proposed prices with the Independent Government Estimate.

14. Referencing 52.222-2, Factor 3, page 85, with most third party databases and historical information lagging the compensation requirements of the current COVID-19 current marketplace, can the

Government clarify how this will be considered in the IGE and cost reasonableness review? CMTs

FTEs have not changed throughout the pandemic- so changes in cost required. We are currently at 96% fill.

15. There is a second addendum to 52.212-2 beginning on page 92. Can the Government clarify which section is applicable? Both addendum are the same, one on page 81 states the same as the one on page 92.

Page 80 Past Performance Information Sheet – Teaming Partner

• 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, as a prime;

16. Regarding the past performance submission requirement if utilizing a subcontractor or teaming partner, will you accept recent and relevant past performance project experience from the Offeror as a subcontractor in lieu of the current requirement for at least one past performance project experience as a prime? No

17. 1.17.5

Verification that the contractor is not responsible for putting together the schedule for the CMTs

Step 1 – The Government will conduct a compliance review to determine if each Offeror met the submission requirements as outlined in 52.212-1 and Addendum to 52.212-1. If a proposal is found to be non-compliant no further consideration will be afforded to that proposal.

52.212-1 states that the below is to be included--- Is there a technical requirement for this submission? (4) A technical description of the items being offered in sufficient detail to evaluate compliance with the requirements in the solicitation. This may include product literature, or other documents, if necessary; Is a technical required for this solicitation? Please follow the 52.212-1

Addendum on what is required.

18. If so, what volume do you want it to be? Please follow the 52.212-1 Addendum on what is required.

19. Can CPARS be provided in lieu of PPQs? NO Past Performance Questionnaires (PPQs) in accordance with the PPQ Form (Attachment 4). The Offeror will send blank PPQs to

Government agencies and/or private sector companies requesting past performance information on applicable projects. Narratives are required on questionnaires (PPQs) for ratings other than satisfactory. If the narratives do not support the rating or if there is no narrative for a rating higher than satisfactory, the questionnaire rating will be evaluated as satisfactory. Pg 81/125

20. Due to the current remote environment for our Government clients, will the Government consider requiring PPQs by the April 12th proposal due date? It is the responsibility of the Offeror to track and ensure the completion/submission of the PPQs by the proposal due date. Page

81/125

21. Can the Government confirm if current contract has any vacancies? No

22. Can the Government confirm that if a Joint Venture is proposed that past performance presented does not have to be in the name of the Joint Venture? Essentially, can past performance be provided by the managing partner. 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, as a prime; (2) the teaming partner or subcontractor is identified as a teaming partner or subcontractor in the administrative volume of 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.

23. Can you please tell me if this is a new requirement or if there is an incumbent contractor? If the latter, could you please provide the incumbent name and contract number? DILLIGAS CORP /

HT005018D0014

24. CLIN 0001AA has 4,068 hours for Quantity. Should this be 46,080? Yes 46,080.

25. 1.7. The CMTs shall have the required education, training, experience and documented current competence in the required specialty position description. All CMTs must have a minimum of one

(1) year experience as an EKG/Cardiac Monitor Technician prior to employment by the

Contractor.

26. Will the Government accept 1 year of experience as a Telemetry Technician? No

27. 1.11.3. All CMTs under a personal services contract must maintain a current active EKG/Cardiac

Monitor Technician Certificate. Is the government requiring a certificate from a specific certification agency? NO

1.12. Health and Immunization Requirements. All CMTs, to include part-time (PRN) CMTs, performing services under this contract shall comply with the health and immunization requirements identified below at the time of initial request for credentials review and annually thereafter. Documentation shall be submitted by the Contractor with the credentialing or profile packages of their CMTs. The expense for all physical examinations and immunizations to comply with the health requirements shall be borne by the contractor at no additional cost to the government.

28. What are the COVID 19 requirements currently in place at BAMC? CMTs are not required to be

CoVid vaccinated to work at BAMC. If a non-vaccinated CMT is hired, the contractor is responsible for maintaining an exemption to the vaccine and to report a negative covid test on a weekly basis. If a CMT is positive for CoVid 19, BAMC protocol is a 5-day quarantine with a return to work as long as they are asymptomatic for at least 24 hours without medication. (References: EXORD 225-21 FRAGO 15 and FHP guidance 23 rev 3 DoD guidance for CoVid 19 screening testing.)

29. 1.17.4. PRN CMTs are assigned to supplement or backfill full time CMTs. CMTs may be provided the opportunity to work up to 40 hours in a one-week period but will not be guaranteed a specific number of hours. PRN CMTs must work a minimum of two shifts per month to ensure system access and unit competency.

Will the MTF telemetry monitor room leader, or POC designated by BAMC leadership ensure PRN

CMT’s are scheduled not less than 2 shifts per month? Yes, BAMC assigned POC will ensure PRN staff work a minimum of two shifts per month to maintain access and competency.

30. The DHA Medical “Q” Coded Services model has predominantly awarded low FTE task orders

(2018-present). Would the Government consider past performance of 5 years to be considered recent so as to provided single task orders or contracts that demonstrate the same magnitude as this effort? No

31. Is the incumbent still eligible to bid (meaning are they still a certified 8a company?) YES

32. What improvements would the contracting or the program office seek for a new contractor after lessons learned on the expiring contract? The program manager selected to manage this contract needs to be someone that can not only communicate well and comply with reports and updates to the COR, but also needs to maintain good rapport with BAMC leadership and

CMT staff for a successful mission.

33. What was the total contract dollar value spent over what amount of time for the current contract?

$8,262,162.57

34. How long does it usually take to process clearances? 20-30 days

35. What level of facility clearance does the contractor need to hold? The CMT will not hold a “level” of clearance. CMTs are required to receive a favorable suitability from a DoD background check IAW AD2014-05 and BAMC Memorandum No. 604-001

36. Would the government considering adding a technical volume so the source selection committee can adequately evaluate responses due to the complexity of the requirement and ensure the potential awardee will be able to successfully meet the requirements of the contract? NO

37. Will the Government consider allowing offerors to submit a Contractor Performance Assessment

Report instead of a Past Performance Questionnaire? NO

38. In the relevancy definitions, the Government defines Relevant as services involving a “slightly smaller sized full-service team”. Can the Government quantify with a range as to what would be considered a “slightly smaller” team for evaluation purposes? 24-20 FTE

39. Will the program manager need to reside in the San Antonio area or just be available to be in person for the monthly meetings? The program manager does not need to reside in San Antonio, but needs to be accessible/available 24/7 for the CMT staff, COR, for scheduling, and staffing issueS

40. Please provide the current staffing level? 24FTE

41. Please provide the average years of experience of current staff? Formal training program in dysrhythmia recognition and hold a current certification from such a course prior to performing CT/CMT services. The Government will administer a test on recognition and technicians specifically assigned to watch monitors will do so only after successful completion of a formal training course i.e. EKG completion certificate. and an annual recertification to include a dysrhythmia test with 85% or above pass rate. Must have a minimum of one (1) year experience prior to employment by the Contractor.

42. Will the government provide an Overtime CLIN for hours worked beyond 40 in a week? CMTs will be scheduled to work up to 40 hours per 7-day work week on rotating shifts BAMC work week is Sunday through Saturday, including Federal holidays. CMTs will not be scheduled for more than 40 hours in a one work week period.

43. Will the government provide a CLIN for the holidays worked? CMTs will be scheduled to work up to 40 hours per 7-day work week on rotating shifts BAMC work week is Sunday through

Saturday, including Federal holidays. CMTs will not be scheduled for more than 40 hours in a one work week period.

44. Please provide the incumbent contractor and contract number. DILLIGAS CORP /

HT005018D0014

45. On the SF 1449 0001AA Quantity is 4068 Unit Hours but the verbiage indicates the there are 24

FTE Cardiovascular Technicians/Cardiac Monitor Technicians. There seems to be missing a zero in the Unit hours, Will the government please clarify this discrepancy? 46,080.

46. On Past Performance section of the instructions page on the solicitation, there is no indication of time when the PPQ are due back, however the PPQ itself has a date of March 26 as a deadline for the Agencies to return PPQs. Is this correct? No It is the responsibility of the Offeror to track and ensure the completion/submission of the PPQs by the proposal due date. Page 81/125

47. Can the government please allow the agencies until the due date of the solicitation (12 April

2022) to grant us enough time to get our agencies to submit PPQs to your office? It has been difficult to reach our contract representatives especially since many are still working remotely.

PPQ will be due on the proposal due date as stated on page 81/125 of the solicitation.

48. Would it be possible to submit a copy of the CPAR and PPIS, in place of a Past Performance

Questionnaire and PPIS to meet the requirement for past performance (Vol II)? NO

49. Are these numbers included in the 24 FTE CMTs or are these in addition to the 24 FTE?

If so, will the government be providing a line item to bill these PRN to? PRN hours are included in PR CLIN for FTE staff- as they backfill an FTE member when absent.

50. Can the government please provide us with historical counts on the number of PRN CMTs that are generally needed in any given month beyond the 24 CMT’s? Average use is (16) 8-hour shifts per month.

51. How many CMT PRNs should we anticipate in our “pool” of employees? We currently have (8) active PRN CMTs which is adequate support.

52. Will these PRN employees already be cleared through security? Yes, a PRN CMT clears security and in-processes BAMC the same as an FTE CMT.

53. Can the government provide the current incumbent firm? DILLIGAS CORP

54. How long has the incumbent firm held this contract? 5 years

55. Can the government please provide the current price/cost for this incumbent contract to date including base and all option years? 8,262,162.57

56. Can the government provide current fill levels? Are all positions filled? How many positions remain vacant? We are currently 96% filled 23 out of 24 CMTs OH.

57. Can the government provide schedules that current employees are filling and the number of employees that work second and third shift at any given time? Sample schedule attached

58. Is the Wage Determination applicable for this procurement? If so, what is the occupation code or title that this position will be mapped to? Wage Determination can be found on page 113/125.

Occupational code 12030

59. Is a compensation plan narrative required for this solicitation response? Yes Page 81/125