A.09.03_Solicitation_Amendment_SF30_0007.pdf

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

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

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

30-105-04EXCEPTION TO SF 30

APPROVED BY OIRM 11-84

STANDARD FORM 30 (Rev. 10-83)

Prescribed by GSA

FAR (48 CFR) 53.243

The purpose of the amendment is to incorporate changes to the solicitation and extend the proposal due date.

1. CONTRACT ID CODE PAGE OF PAGES

S 1 51

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

16C. DATE SIGNED

BY 28-Jun-2017

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

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

8. NAME AND ADDRESS OF CONTRACTOR (No., Street, County, State and Zip Code) X W81K04-17-R-0001

X 9B. DATED (SEE ITEM 11)

18-May-2017

10B. DATED (SEE ITEM 13)

9A. AMENDMENT OF SOLICITATION NO.

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

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

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

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

or (c) By separate letter or telegram which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE

RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN

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

12. ACCOUNTING AND APPROPRIATION DATA (If required)

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

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

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

CONTRACT ORDER NO. IN ITEM 10A.

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

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

D. OTHER (Specify type of modification and authority)

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

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

10A. MOD. OF CONTRACT/ORDER NO.

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

6. ISSUED BY

3. EFFECTIVE DATE

27-Jun-2017

CODE

W40M USA HLTH CONTRACTING ACT

CTR FOR HEALTH CARE CONTR

2199 STORAGE ST BLDG 4197 STE 68

JBSA FT SAM HOUSTON TX 78234-5074

W81K04 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

W81K04-17-R-0001

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 1449 - CONTINUATION SHEET

SOLICITATION/CONTRACT FORM

The required response date/time has changed from 10-Jul-2017 12:00 PM to 18-Jul-2017 12:00 PM.

SUPPLIES OR SERVICES AND PRICES

SUBCLIN 0001AB

The pricing detail quantity has increased by 372,000.00 from 68,000.00 to 440,000.00.

SUBCLIN 0001AC

The pricing detail quantity has decreased by 222,000.00 from 290,000.00 to 68,000.00.

SUBCLIN 0001AD

The pricing detail quantity has decreased by 150,000.00 from 440,000.00 to 290,000.00.

SUBCLIN 0002AB

The pricing detail quantity has increased by 178,000.00 from 33,000.00 to 211,000.00.

SUBCLIN 0002AC

The pricing detail quantity has decreased by 169,000.00 from 202,000.00 to 33,000.00.

SUBCLIN 0002AD

The pricing detail quantity has decreased by 9,000.00 from 211,000.00 to 202,000.00.

SUBCLIN 0003AB

The pricing detail quantity has increased by 23,700.00 from 6,300.00 to 30,000.00.

SUBCLIN 0003AC

The pricing detail quantity has decreased by 26,700.00 from 33,000.00 to 6,300.00.

SUBCLIN 0003AD

The pricing detail quantity has increased by 3,000.00 from 30,000.00 to 33,000.00.

SUBCLIN 0004AA

The pricing detail quantity has decreased by 2,000,000.00 from 24,000,000.00 to 22,000,000.00.

The following have been modified:

ADDENDUM TO 52.212-1

Pursuant to FAR Subpart 12.302(a), FAR Provision 52.212-1, Instructions to Offerors – Commercial Items, is tailored. The basic provision paragraphs (a), (f), and (h) – (k) of FAR Addendum 52.212-1 are not replaced. The basic provision paragraph (e) is deleted for this solicitation. The following paragraphs of specific instructions to offerors for this solicitation replace the basic provision paragraphs (b) through (d), (g), and (l).

FAR Provision 52.212-1, Instructions to Offerors - Commercial Items is tailored by addendum to as follows:

1. General Instructions.

a. This addendum prescribes the format for proposals and describes the approach for the development and presentation of proposal data. The offeror’s proposal shall include all data and information requested herein and shall be submitted in accordance with these instructions. Offerors are required to submit all documentation

/information detailed herein, including terms and conditions, representations and certifications, and technical requirements. Failure to submit all required documentation/information may result in a proposal being ineligible for award. In submitting a proposal, offerors are agreeing to the terms and conditions as written in the entire solicitation.

b. These instructions are designed to ensure the submission of information essential to the understanding and comprehensive evaluation of proposals. The instructions permit the inclusion of any additional data or information an offeror deems pertinent within the stated page limitations. Offerors are cautioned to follow the detailed instructions fully and carefully, as the government reserves the right to make an award based on initial proposals received, without discussion of such proposals. However, if deemed necessary, and at its sole discretion, the government may request additional information from offerors.

c. All required elements of the RFP shall be submitted by the offeror with their proposal no later than the date/time shown in block 8 of the Standard Form (SF) 1449, Solicitation/ Contract/Order for Commercial Items.

The proposal shall be submitted to the address identified in block 9 of the SF 1449, Solicitation/Contract Order for

Commercial Items. Facsimile offers and offers submitted through Federal Business Opportunities (FBO) are unacceptable. Any offeror that submits an offer that is incomplete, does not comply with requirements stated in the

PWS, or otherwise does not conform to the requirements specified herein may result in the offeror being removed from consideration for award.

d. The proposal shall be clear, concise, and shall include sufficient detail for effective evaluation and for substantiating the validity of stated claims. The proposal shall not simply rephrase or restate the Government's requirements, but rather shall provide convincing rationale to address how the offeror intends to meet these requirements. Offerors shall assume the Government has no prior knowledge of their facilities and experience, and will base its evaluation on the information presented in the offeror’s proposal. Any proposal that modifies, or fails to conform, to the essential requirements or specifications of the RFP may cause the proposal to be judged unacceptable resulting in the offer being removed from consideration for award. Any aspect of the proposal judged to be unacceptable may render the entire proposal unacceptable. If your proposal is determined to be unacceptable, upon completion of proposal evaluations you will be notified promptly of the basis of the determination

e. In accordance with FAR Subpart 4.8, Government Contract Files, the government will retain one copy of all unsuccessful proposals. Unless the offeror requests otherwise, the government will destroy extra copies of such unsuccessful proposals.

f. Period for acceptance of offers. The offeror shall provide a statement that the offeror’s proposal and prices will remain in effect for 120 days after solicitation closing date.

g. Product samples. Elaborate brochures or documentation, binding, detailed artwork, or other embellishments are unnecessary and are not desired.

h. Questions, Clarifications, or Discrepancies. Address all questions, clarificaitons, or concerns regarding this solicitation in writing to the attention of Ms. Kathleen Henderson, Contracting Officer, via e-mail at kathleen.d.henderson2.civ@mail.mil or via fax at 210-221-5402, referencing solicitation number W81K04-17-R-

0001. Questions may be submitted up to 19 June 2017 in the format at Attachment 8, “Question and Answer

Template.” In the event of solicitation discrepancies (e.g., errors, omissions, or is otherwise unclear or unsound), offerors shall immediately notify the Contracting Officer (KO) in writing with supporting rationale. Be advised that all correspondence sent via e-mail shall contain a subject line that reads “W81K04-17-R-0001, Enterprise (Off-Site)

Remote Medical Coding Services.” Note that e-mail filters at Fort Sam Houston designed to filter e-mails without subject lines or with suspicious subject lines or contents (i.e.exe or .zip files); therefore, if this subject line is not included, the e-mail may not get through the e-mail filters. Also be advised that .zip or .exe files are not allowable attachments and may be deleted by the e-mail filters at Fort Sam Houston. If sending packages via e-mail, ensure only .pdf, .doc, or .xls documents are sent. The e-mail filter may delete any other form of attachments.

i. Debriefings. The KO will promptly notify unsuccessful offerors in accordance with procedures outlined in FAR Subpart 15.5, Preaward, Award, and Postaward Notifications, Protests, and Mistakes. Unsuccessful offerors may request and receive a debriefing in accordance with FAR Subpart 15.5.

j. Electronic Offers. The offeror shall submit Volumes I through IV in electronic format on read-only CDs

(CD-Rs) with an indication on each CD of the volume number and title. Use separate files to permit rapid location of all portions, including factors, supplements, exhibits, annexes, and attachments, if any. Each volume shall be on a separate CD. If files are compressed, the necessary decompression program must be included. The offeror’s CDs shall be virus free. The electronic versions of the proposal shall be submitted in a format readable by latest version of Microsoft (MS) Office Word, MS Office Excel, and MS Office Project. The government will accept PDF files for the electronic version.

k. Organization/Number of Copies/Page Limits. The offeror shall prepare the proposal as set forth in the

Proposal Organization Table (Table 1.k. below). The titles and contents of the volumes shall be as defined in this table, all of which shall be within the required page limits and with the number of copies as specified in Table 1.k.

The contents of each proposal volume are described in the Instructions to Offerors (ITO) paragraph as noted in the table below.

Table 1.k. - Proposal Organization

Volume ITO Paragraph

Number Volume Title Copies Page Limit

I 2.a. Administrative 1 Unsanitized CD-R 10*

Section A 2.a.(1) Completed/signed SF1449

Section B 2.a.(2) Acknowledged/signed amendments **See Below

Section C 2.a.(3) Completed Provisions **See Below

Section D 2.a.(4) Statement of Offerors

Section E 2.a.(5) Responsibility Determination

Section F 2.a.(6) Contractor Team Arrangement (if applicable)

II 2.b. Factor 1 – Price 1 Unsanitized CD-R No Limit

III 2.c. Factor 2 – Technical Acceptability 1 Unsanitized CD-R

1 Sanitized CD-R ***80

Section A 2.c.(5)(a)(i) General Requirements, PWS Section 1

Supplement A-1 2.c.(5)(a)(i) Sample Quality Control Plan

Section B 2.c.(5)(a)(ii) Contractor-Furnished Material, Equipment and

Qualifications, PWS Section 4

Supplement B-1 2.c.(5)(a)(ii)(A) Sample Staffing Chart

Supplement B-2 2.c.(5)(a)(ii)(B) Sample Equipment List

Section C 2.c.(5)(a)(iii) Specific Task Requirements, PWS Section 5

Supplement C-1 2.c(5)(a)(iii) Sample Monthly Status Report

IV 2.d. Factor 3 – Past and/or Current Performance 1 Unsanitized CD-R No Limit

*10 Page limitation for Volume I, Administrative includes completed/signed SF 1449, statements of offerors, responsibility determination, and contractor team arrangement (if applicable).

**Page limitations are exclusive of acknowledged/signed amendments, completed provisions, and legible tables, charts, graphs, and figures (see 1.m. below).

***80 page limitation for Volume III, Technical Acceptability includes: General Requirements, PWS Section 1;

Sample Quality Control Plan (Supplement A-1); Contractor-Furnished Materials, Equipment, and Qualifications, PWS Section 4; Sample Staffing Chart (Supplement B-1); Sample Equipment List (Supplement B-2); Specific Task

Requirements, PWS Section 5; and Sample Monthly Status Report (Supplement C-1).

l. Page Limitations. Page limitations shall be treated as maximums. Pages in excess of the above limitations will be removed and disregarded during the evaluation. When both sides of a sheet display printed material, it shall be counted as two (2) pages. Each page shall be counted except the following: Covers, tab dividers, title pages, glossaries, and table of contents. Also, page limits are not applicable to legible tables, charts, graphs and figures used wherever practical to depict organizations, implementation schedules, plans, etc.

m. Page Size and Format.

(1) Page size shall be 8.5 x 11 inches, not including foldouts. Pages shall be single-spaced. Except for the reproduced sections of the solicitation document, the text shall be New Times Roman and shall be no less than font size 12. Use at least one (1) inch margins on all four sides of the printed page. Pages shall be numbered sequentially by volume.

(2) Legible tables, charts, graphs and figures shall be used wherever practical to depict organizations, implementation schedules, plans, etc. These displays shall be uncomplicated, legible, and shall not exceed 11 by 17 inches in size.

2. Proposal Content

a. Volume I – Administrative. Offerors shall submit one (1) virus-free unsanitized CD-R of the administrative proposal.

(1) Offerors shall include a copy of the completed SF 1449, with an original signature of a corporate officer authorized to negotiate for the company. Include proposed discount terms in Block 12 and the name of the company, address, phone and fax numbers in Block 17a.

(2) Offerors shall include acknowledged and original signed copies of amendments to the solicitation, if applicable.

(3) Offerors shall include COMPLETED provisions.

(4) Statements of Offeror.

(a) Offerors shall include a statement that the offeror and all subcontractors shall be in compliance with the Service Contract Act (SCA) of 1965, as amended. For certain labor categories, the FAR Clause 52.222-42, Statement of Equivalent Rates for Federal Hires, provides the Government’s assessment of the corresponding titles and occupational codes from the SCA Directory of Occupations. The minimum qualification requirements set forth in the PWS allow the Offeror to propose either SCA or non-SCA covered personnel for certain labor categories. The

Government is not making a predetermination of whether or not a particular labor category is SCA; or, if covered, which category from the Directory of Occupations applies. It is the responsibility of the offeror and the subsequent contract awardee to comply with the SCA.

As the place of performance of a contract for services subject to the Act is unknown at the time of this solicitation, the solicitation does not initially contain a wage determination. The contracting agency, upon identification of firms participating in the procurement in response to an initial solicitation, shall obtain a wage determination for each location where the work may be performed as indicated by participating firms. An applicable wage determination must be obtained for each firm participating in the bidding for the location in which it would perform the contract.

The appropriate wage determination shall be incorporated in the resultant contract documents and shall be applicable to all work performed thereunder (regardless of whether the successful contractor subsequently changes the place(s) of contract performance).

(b) Offerors shall include a statement of the offeror’s appointed individual to make contractual decisions, and include the Offeror’s CAGE code, DUNS number, Tax ID number, along with an email address, telephone and facsimile (FAX) number.

(5) Responsibility Determination. To assist in determining offeror/contractor responsibility IAW FAR

Part 9, the offeror shall provide evidence of adequate financial resources or of its ability to obtain required financial resources (see FAR subpart 9.14-1(a)). The offeror is responsible for providing evidence of adequate financial resources for each proposed contract (Atlantic, Central, Pacific, and Europe). Acceptable evidence consists of a commitment or explicit arrangement that will be in existence at the time of contract award(s). Acceptable evidence may include financial statements (balance sheet and income statements for the current period and prior fiscal year) or financial arrangements (resources to be used in support of contract performance such as internally generated funds, outside financing, or a combination of both). Adequate financial resources are defined as the funds available to a business for spending in the form of cash, liquid securities and credit lines necessary to acquire needed facilities, labor, equipment, or materials necessary for the successful completion of the contract(s).

Offerors who fail to provide sufficient information for the Government to make an affirmative responsibility determination may be referred to the Small Business Administration (SBA) for Certificate of Competency. To be eligible for contract award(s), the Offeror must receive an affirmative responsibility determination or a Certificate of

Competency issued by the SBA.

(6) Contractor Team Arrangements. Offerors may propose under this solicitation through a contractor team arrangement as defined in FAR Subpart 9.601. As such, a contractor team arrangement means an arrangement in which –

(a) Two or more companies form a partnership or joint venture to act as a potential prime contractor; or

(b) A potential prime contractor agrees with one or more other companies to have them act as its subcontractors under a specified Government contract or acquisition program. A major subcontractor is defined as a subcontractor performing more than 25% of the contract effort.

Offerors proposing a contractor team arrangement shall include a statement that fully discloses the contractor team arrangement and company relationships pursuant to FAR Subpart 9.603, Policy.

b. Volume II, Factor 1 – Price. Offerors shall submit one (1) virus-free, unsanitized CD-R.

(1) Pricing information shall be addressed ONLY in Volume II. A proposal will not be evaluated if it contains pricing information outside of Volume II.

(2) The offeror shall submit all unit prices up to two (2) decimal places (example: $158.03). All dollar amounts provided in response to these instructions shall be stated in United States (U.S.) currency.

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(3) The offeror shall verify the accuracy of its prices.

(4) Offerors are to complete the Price Spreadsheet (Attachment 6), instructions are listed on the

"Instruction" tab. Offerors are to enter pricing in the green areas only. Do NOT change the formulas or any other numbers. The determination of relative overall price for each anticipated contract will be established by totaling

CLINs 0001AA - AL, 0002AA - AL, 0003AA - AL, and 0004AA - AL for the entire five-year ordering periods.

The Price Spreadsheet will be incorporated into the resulting contracts as a Price Matrix (Exhibit - X) for each region with unit prices for the five-year ordering period.

(a) CLINs 0001AA - AD, 0002AA - AD, 0003AA - AD, and 0004AA - AD (Medical Record Coding

Services). Offerors shall propose unit prices for each ordering period.

(b) CLINs 0001AE-AJ, 0002AE-AJ, 0003AE-AJ and 0004AE-AJ (Travel). Offerors shall not provide separate pricing for travel as travel is considered incidental to the required services and an estimated amount will be established by the Government in basic IDIQ for each CLIN with maximum ceilings on applicable Task Orders;

however, each CLIN travel amount estimated by the Government will be included in the total evaluated price for each offeror.

(c) CLINs 0001AK, 0002AK, 0003AK and 0004AK (Post Award Conference). Offerors shall not provide separate pricing for post-award conference; however, the post-award conference amount of $1,500 for each

CLIN will be included in the total evaluated price for each offeror.

(d) CLINs 0001AL, 0002AL, 0003AL and 0004AL (Contractor Manpower Reporting). Annual CMR requirements will not be evaluated as a separate price and therefore shall be rendered in the offeror’s price proposal as not separately priced, “NSP” and will be incorporated into resultant contracts as such.

(5) The Contracting Officer has determined there is a high probability of adequate competition on this acquisition. Upon examination of the initial proposals, the Contracting Officer will review this determination and if in the Contracting Officer’s opinion, adequate competition exists no additional price information will be requested.

However, if at any time during this competition the Contracting Officer determines that adequate competition no longer exists; offerors may be required to submit information to the extent necessary for the contracting officer to determine the reasonableness of price.

c. Volume III, Factor 2 - Technical Acceptability. Offerors shall submit one (1) virus-free sanitized CD-R and one (1) virus-free unsanitized CD-R of the technical proposal.

(1) The offeror shall sanitize one (1) virus-free CD-R by excluding any information that would identify their company (i.e., name, address, telephone numbers, employees’ names, etc.). The sanitized Volume III proposal shall contain the Offeror’s Commercial and Government Entity (CAGE) code on the top right corner of each page of each copy for identification purposes. If the offeror does not have a CAGE code for any reason at the time proposals are due, a five (5) character, alphanumeric, code created by the offeror shall be used. The codes used shall be identified in the Administrative section of the proposal.

(2) Volume III shall be organized according to the following outline. The intent of this outline is to give the offeror a general format to facilitate a timely evaluation by the government.

Factor 2 – Technical Acceptability

Section A General Requirements, PWS Section 1

Supplement A-1 Sample Quality Control Plan

Section B Contractor-Furnished Materials, Equipment, and Qualifications, PWS Section 4

Supplement B-1 Sample Staffing Chart

Supplement B-2 Sample Equipment List

Section C Specific Task Requirements, PWS Section 5

Supplement C-1 Sample Monthly Status Report

(3) All technical proposal information shall be confined to the appropriate volume and section. For example, only information included in the section labeled “Section A - General Requirements, PWS Section 1” will be evaluated for General Requirements, PWS Section 1. If General Requirements, PWS Section 1 information is included elsewhere in the proposal (e.g., different volume or section), it will not be evaluated as part of the Section

A – General Requirements, PWS Section 1. The Government will not adapt their evaluation to comply with an offeror’s proposal submission or otherwise go in search of information that an offeror omitted or failed adequately to present. Proprietary information shall be clearly marked.

(4) The technical proposal (Volume III) shall not make reference to price data. The technical proposal will be evaluated strictly on technical approach.

(5) As the technical proposal will primarily describe how your company clearly meets the minimum solicitation requirements, it shall be specific and complete in every detail. A positive statement to the effect that you will accomplish all requirements per the solicitation is not acceptable. The technical proposal shall not merely offer to perform work in accordance with the solicitation but shall outline the actual methods proposed as specifically as possible. It is the offeror’s responsibility to ensure the completeness of the technical proposal; hence, the government technical review team will evaluate on the basis of the information provided in the technical proposal.

The Government will not assume that an offeror understands, complies, or clearly meets the minimum solicitation requirements unless described and specified in the technical proposal. All requirements specified in the solicitation are mandatory.

(a) Factor 2 - Technical Acceptability. The technical acceptability shall clearly demonstrate how the offeror intends to meet the minimum solicitation requirements. The offeror’s technical approach shall clearly indicate if the offeror is proposing on one, two, three, or all four contracts. As such, the offeror shall provide a technical approach that addresses how it intends to manage one, two, three or four contracts. The technical approach shall include how the offeror intends to meet the specific general requirements (PWS Section 1); the contractor-furnished material, equipment, and qualifications (PWS Section 4); and, the specific task requirements

(PWS Section 5) for one, two, three or four contracts for the performance of enterprise (off-site) remote medical coding services. The offeror shall provide specific narrative details and/or descriptions of its technical approach with actual methods, processes, and procedures that demonstrates the offeror’s compliance and understanding of specific general requirements (PWS Section 1); contractor-furnished material, equipment, and qualifications (PWS

Section 4); and, specific task requirements (PWS Section 5). In addition to the technical approach, the offeror shall submit supplements as supporting documents to the technical approach.

(i) Section A - General Requirements (PWS Section 1). The offeror’s technical approach shall clearly indicate if the offeror is proposing on one, two, three, or all four regional contracts. For each regional contract the offeror proposes, the offeror shall provide a technical approach that addresses how it intends to manage each regional contract. If proposing on two regional contracts, the offeror shall provide a technical approach that address how it intends to manage two regional contracts; If proposing on three regional contracts, the offeror shall provide a technical approach that address how it intends to manage three regional contracts; If proposing on four regional contracts, the offeror shall provide a technical approach that address how it intends to manage four regional contracts.

The offeror also shall provide specific narrative details and/or descriptions of its technical approach with actual methods, processes, and procedures that demonstrate the offeror’s compliance and understanding of the following specific general requirements (PWS Section 1):

PWS 1.2, Scope

PWS 1.4, Key Personnel

PWS 1.5, AVHE/MHS Genesis

PWS 1.7 Access and General Protection/Security Policy and Procedures

PWS 1.8 Information Assurance, Security, and Confidentiality

PWS 1.9 Quality Control

PWS 1.18 Exclusion from Participation in Federal Health Care Programs

PWS 1.19 Non-Defense Health Agency (Non-DHA) Health Insurance Portability and Accountability

Act (HIPAA) Business Associate (BAA) (7 July 2014)

In support of its technical approach, the offeror shall submit Supplement A-1. Supplement A-1 is the offeror’s realistic, sample quality control plan (QCP) that includes specific quality control procedures or methods that demonstrates the offeror’s compliance and understanding of the quality control requirements (PWS 1.9), Attachment

1 - Quality Assurance Surveillance Plan (QASP), and Exhibit A - Performance Requirements Summary (PRS). The sample QCP shall be sufficiently comprehensive as to demonstrate intensive knowledge of quality control procedures in performance of commercial standards identified at PWS 1.9.

(ii) Section B –Contractor-Furnished Material, Equipment and Qualifications (PWS Section 4). The offeror shall provide specific narrative details and/or descriptions of its technical approach with actual methods, processes, and procedures that demonstrates the offeror’s compliance and understanding of contractor-furnished material, equipment, and qualifications (PWS Section 4). The technical approach shall clearly demonstrate how the offeror intends to meet each of the contractor-furnished material, equipment and qualification requirements in PWS

Section 4.

(A) In support of its technical approach, the offeror shall submit Supplement B-1. Supplement B-1 is the offeror’s realistic sample staffing chart for each proposed contract (Atlantic, Central, Pacific, and Europe) based on the workload estimates provided in Attachments 2 – 5. The sample staffing chart shall demonstrate the offeror’s compliance and understanding of the solicitation. The sample staffing chart shall include estimated annual manning

(number of full-time equivalents (FTEs)) for each MTF in each region for each proposed contract. The proposed staffing (FTE) levels shall be based on 1864 productive hours. For example (only Central Region MTFs OP and

APV workload data is used in examples but offeror shall provide annual estimates for each region based on all workload data):

Attachment 2, Estimated Workload Data – Outpatient Records

Central Region MTFs Estimated Outpatient Records* Estimated*

Year 1 Staffing/FTEs

JBSA, BAMC 856,523 ______

Fort Hood, CR Darnell, AMC 278,030 ______

Fort Sill, Reynolds, ACH 254,540 ______

Fort Polk, Baynes-Jones ACH 191,755 ______

Fort Bliss, WBAMC 259,034 ______

Fort Carson, Evans ACH 506,803 ______

Fort Leonard Wood, AHC 281,672 ______

Fort Leavenworth, Munson AHC 48,444 ______

Fort Huachuca, AHC 33,673 ______

Fort Riley, Irwin ACH 317,548 ______

Total ______

Attachment 3, Estimated Workload Data – APV

Central Region MTFs Estimated APV Records* Estimated*

Year 1 Staffing/FTEs

JBSA, BAMC 2,800 ______

Fort Hood, CR Darnell, AMC 1,457 ______

Fort Polk, Baynes-Jones ACH 1,363 ______

Fort Bliss, WBAMC 2,986 ______

Fort Carson, Evans ACH 3,622 ______

Fort Leonard Wood, AHC 332 ______

Fort Leavenworth, Munson AHC 173 ______

Fort Riley, Irwin ACH 488 ______

Total ______

*The offeror shall provide a narrative describing the productivity factor, to include methodology, used in basis of estimating staffing/FTEs for each type of medical recording coding service (OP, APV, IPSR, and ED). If FTE is less than a whole number, round it to the nearest tenth (0.1).

(B) In support of its technical approach, the offeror shall submit Supplement B-2. Supplement B-2 is the offeror’s realistic, sample equipment list for each proposed contract. The sample equipment list shall demonstrate the offeror’s compliance and understanding of the solicitation requirements. As a minimum, the offeror shall include a list of proposed materials and equipment sufficient in detail (e.g., quantities, product/brand names, etc.) to demonstrate compliance and understanding of the solicitation requirements in PWS Section 4 for each proposed contract (e.g. Atlantic, Central, Pacific, and Europe).

(iii) Section C – Specific Task Requirements (PWS Section 5). The offeror shall provide specific narrative details and/or descriptions of its technical approach with actual methods, processes, and procedures that demonstrate the offeror’s compliance and understanding of specific task requirements (PWS Section 5). The technical approach shall clearly demonstrate how the offeror intends to meet each of the specific task requirements in PWS Section 5. In support of its technical approach, the offeror shall submit Supplement C-1. Supplement C-1 is the offeror’s realistic, sample monthly status report. The sample monthly status report shall demonstrate the offeror’s compliance and understanding of the solicitation requirements. As a minimum, the offeror shall provide the contractor’s format for meeting PWS 5.2.9 (to include subparagraphs) Monthly Status Report.

d. Volume IV, Factor 3 – Past and/or Current Performance. Offerors shall submit one (1) virus-free, unsanitized CD-R.

(1) The offeror shall submit past and/or current performance information for up to three contracts the offeror considers recent (within the last three years) and relevant in demonstrating acceptable past and/or current performance. The word “contract” is defined as a single contract such as an Indefinite Delivery/Indefinite Quantity

(IDIQ) contract. If an offeror submits more than three contracts, the Government will evaluate only the first three listed contracts for recency and relevancy. The three contracts may include prime and any major subcontractor(s) projected to perform on any resultant contract. Only those subcontractors that meet the definition of a major subcontractor, as defined as performing more than 25% of any resultant contract arising from this solicitation, will be used in the offeror’s past and/or current performance assessment. This volume shall be organized into the following sections:

(a) Section 1 – Contract Descriptions. This section shall include the following information in the following format.

(i) Contractor/Subcontractor place of performance, CAGE Code and DUNS Number. If the work was performed as a subcontractor, also provide the name of the prime contractor and Point of Contact (POC) within the prime contractor organization (name, and current address, e-mail address, and telephone and fax numbers).

(ii) Commercial or Government contracting activity, and current address, Contracting Officer’s name, e-mail address, telephone and fax numbers.

(iii) Commercial or Government’s technical representative/COR and current email address, telephone and fax numbers.

(iv) Contract Number and, in the case of Indefinite Delivery type contracts, GSA contracts, and

Blanket Purchase Agreements.

(v) Contract Type (specific type such as Fixed-Price (FP), Cost Reimbursement (CR), Time & Material

(T&M), etc.). In the case of Indefinite Delivery contracts, indicate specific type (Requirements, Definite Quantity, and Indefinite Quantity) and CLIN structure (FP, CR, T&M, etc.).

(vi) Awarded price/cost.

(vii) Final or projected final price/cost.

(viii) Original delivery schedule, including dates of start and completion or work.

(b) Section 2 – Past and/or Current Performance. Offerors shall provide a specific narrative explanation of each contract listed in Section 1, Contract Descriptions, describing the objectives achieved and detailing how the effort is relevant to the requirement of this RFP. For any contracts that did not/do not meet original schedule or technical performance requirements, provide a brief explanation of the reason(s) for the shortcomings and any corrective action(s) taken to avoid recurrence. The offerors shall indicate if any of the contracts listed were terminated and the type and reasons for the termination. Past and/or current performance information may include data on efforts performed by other divisions, corporate management, and critical subcontractors or teaming arrangements, if such performance is recent and relevant to the requirements of the solicitation. If a contractor teaming arrangement is contemplated, provide complete information as to the arrangement, including any relevant and recent past and/or current performance information on teaming arrangements with the same partner. Provide with the proposal a letter of release from all subcontractors who will perform services under the contract that permits the offeror to submit subcontractor past and/or current performance information as part of the offeror’s proposal.

(2) The offeror shall provide the past and/or current performance customer reference points of contact

(POCs) for the three contracts. Since the government may obtain past and/or current performance information from sources other than those provided by the offeror, offeror’s are encouraged to provide details on any past performance problems and the corrective actions taken. Additionally, the government may or may not obtain information on all of the offeror’s listed contract references and/or may or may contact all of the identified POCs.

(3) Past and/or current performance shall meet the recency and relevancy definition stated in the

Addendum to FAR Provision 52.212-2, of the solicitation.

(4) An offeror without a record of relevant past and/or current performance or when information on past performance is not available, the offeror’s lack of past performance will be evaluated as having no favorable or unfavorable impact on the evaluation.

4. Discussions.

a. General Information. In accordance with FAR Subpart 15.306(d), discussion sessions with each offeror may be held.

b. Discussion Scheduling. If discussions are conducted, the KO will schedule the discussions sessions, and each offeror will be notified of the time and place at least three (3) business days prior to their discussion session. The KO will provide additional instructions with the notification. The discussion sessions will take place at a facility of the Government’s choosing in the Fort Sam Houston, TX area.

c. Discussions will be highly recommended for this source selection. The primary objective of discussions will be to maximize the Government’s ability to obtain best value, based on the requirement and the evaluation factors set forth in the solicitation.

d. If discussions are conducted, the KO will establish a competitive range based on the ratings of each proposal against all evaluation criteria (see FAR 15.306(c)). The establishment of the competitive range will be formally documented by the Government in a competitive range determination. The KO will only enter discussions, to include discussions to determine technical acceptability, with those offerors determined to be in the competitive range. If discussions are necessary to establish technical acceptability, the KO may conduct discussions with offerors whose proposal(s) are determined to be reasonably capable of being corrected without a major rewrite of the proposal.

e. If discussions are deemed necessary, the KO may determine that the number of most highly rated proposals that might otherwise be included in the competitive range exceeds the number at which an efficient competition can be conducted. In this event, the KO may limit the number of proposals in the competitive range to the greatest number that will permit an efficient competition among the most highly rated proposals.

f. Discussions will be tailored to each offeror’s proposal and will be conducted by the KO with every offeror within the competitive range. The scope and extent of discussions will be a matter of KO’s judgment. As a minimum, during discussions, the KO will indicate to, or discuss with, each offeror in the competitive range the following: (a) significant weaknesses, and (b) any deficiencies that were identified during the evaluation. This will be accomplished through the release of Evaluation Notices (ENs). ENs will be prepared by the source selection evaluation board and reviewed by the KO and Legal Counsel. All ENs will clearly indicate the type of exchange being conducted (e.g. clarification, communication, etc). Any EN addressing a proposal deficiency or significant weakness will clearly indicate that a deficiency/significant weakness exists. The KO will be encouraged to discuss other aspects of the offeror’s proposal that could in the opinion of the KO be altered or explained to enhance materially the proposal’s potential for award. However, the KO will not be required to discuss every area where the proposal could be improved as outlined at FAR 15.306(d) and (e). All discussions will be documented in writing.

End of Addendum to FAR Provision 52.212-1

ADDENDUM TO FAR 52.212-2

In the following paragraphs, pursuant to FAR Subpart 12.301(c), FAR Provision 52.212-2, Evaluation –

Commercial Items, paragraph (a) is replaced in its entirety by addendum as follows:

1. Basis for Award. Acquisition will utilize the lowest-price, technically acceptable (LPTA) source selection techniques in accordance with FAR Subpart 15.101-2, as supplemented, to make best value award decisions.

Technical tradeoffs will not be made and no additional credit will be given for exceeding acceptability. Four regional Indefinite Delivery Indefinite Quantity (IDIQ), Single Award Task Order Contracts (SATOCs) will be awarded (Atlantic, Central, Pacific, and Europe); one offeror may win all four SATOCs. Awards will be made to the acceptable offeror(s) with the lowest evaluated price, technically acceptable, deemed responsible in accordance with the FAR, and whose proposal conforms to the solicitation requirements.

2. Factors to Be Evaluated.

a. Factor 1 – Price. Price reasonableness will be utilized in the evaluation of the Firm Fixed Price Contract

Line Items (CLINs) for each region. CLINs (to include SubClins) are as follows:

CLIN 0001 – Central Region

CLIN 0002 – Pacific Region

CLIN 0003 – Europe Region

CLIN 0004 - Atlantic Region

b. Factor 2 – Technical Acceptability.

c. Factor 3 – Past and/or Current Performance.

3. Evaluation Approach.

a. The Government will initially list proposals from lowest price CLIN to highest price CLIN for for CLINs 0001 - 0004. For example:

CLIN 0001 CLIN 0002 CLIN 0003 CLIN 0004

Lowest Price Offeror A Offeror D Offeror E Offeror B

Second Lowest Price Offeror C Offeror C Offeror D Offeror D

Third Lowest Price Offeror E Offeror A Offeror C Offeror A

b. For each CLIN, the LOWEST priced proposal that meets the minimum award requirements of the solicitation will be the apparent contract awardee of the respective CLIN’s region. The SECOND LOWEST priced proposal that meets the minimum award requirements of the solicitation will become the apparent contract awardee of the respective CLIN’s region ONLY if the LOWEST priced proposal is subsequently found to be ineligible for contract award. The THIRD LOWEST priced proposal that meets the minimum award requirements of the solicitation will become the apparent contract awardee for the respective CLIN’s region ONLY if the LOWEST and

SECOND LOWEST priced proposals are subsequently found to be ineligible for contract award. USING THIS

PROCEDURE, THE GOVERNMENT MIGHT NOT EVALUATE ALL PROPOSALS.

c. If the three (3) lowest and balanced priced proposals for each CLIN meet the minimum requirements listed in the solicitation to be eligible for award, the Government will not evaluate any other proposals. If the technical or past performance ratings for the three (3) proposals make the proposal(s) ineligible for award under the terms of the solicitation, the Government will evaluate the next three (3) lowest priced proposals and continue in that manner until there are three proposals per CLIN that meet the minimum requirements for award under the terms of the solicitation (or until all proposals have been evaluated). If a proposal receives a rating on one selection factor that makes the proposal ineligible for award, the Government will not evaluate any other factors for that offeror.

d. The application of the LPTA technique in the contract award selection and approval process is as follows:

(1) First, the three (3) lowest priced proposals for each CLIN will be analyzed to determine if the prices are unbalanced. Proposals with unbalanced CLIN pricing will be eliminated from further consideration and the next lowest-priced proposal will be submitted for technical evaluation. The lowest, second lowest, and third lowest evaluated priced offer(s) with balanced CLIN pricing will be determined to represent the best value for the

Government and the price evaluation process stops at that point. The Government will then evaluate the non-price selection factors (technical acceptability and past performance) of the three (3) lowest and balanced priced proposals for each of the subject CLINs.

(2) Secondly, the Government will evaluate technical proposals of the three (3) lowest and balanced priced offers for each CLIN on an acceptable/ unacceptable (pass/fail) basis to determine technical acceptability.

Each technical proposal will receive a rating of acceptable or unacceptable. If the non-price ratings for the three (3) lowest priced proposals make the proposal(s) ineligible for award under the terms of the solicitation, the

Government will evaluate the next three (3) lowest priced proposals and continue in that manner until there are three proposals per CLIN that meet the minimum requirements for award under the terms of the solicitation (or until all proposals have been evaluated). If all proposals have been evaluated and rated as unacceptable and discussions are necessary to establish technical acceptability, the PCO may conduct discussions with offerors whose proposal(s) are determined to be reasonably capable of being corrected without a major rewrite of the proposal. Only those three lowest-priced proposals determined technically acceptable, either initially or as a result of exchanges will be considered for award. Technical proposals rated unacceptable will not be considered for award.

(3) Lastly, the Government will evaluate past performance of the three (3) lowest priced, technically acceptable offers for each CLIN on an acceptable/ unacceptable (pass/fail) basis to determine past and/or current performance acceptability.

4. Proposal Evaluation.

a. Factor 1 - Price.

(1) Adequate price competition pursuant to FAR 15.404-1(b)(2)(i) is anticipated to determine price reasonableness of the Price factor. The Government may use any of the following price analysis techniques pursuant to FAR 15.404-1(b) to determine price reasonableness: comparison of proposed prices received in response to the solicitation; comparison of proposed prices to historical prices paid, whether by the Government or other than the Government, for the same or similar items or services; comparison with competitive published price lists or market prices; comparison of proposed prices with independent Government cost estimates; comparison of proposed prices with prices obtained through with market research; and/or, analysis of data other than certified cost or pricing data provided by the offeror.

(2) Offerors shall complete the Price Spreadsheet (Attachment 6) and shall enter pricing in the green areas only. Do NOT change the formulas or any other numbers. The determination of relative overall price for each anticipated contract will be established by totaling CLINs 0001AA - AL, 0002AA - AL, 0003AA - AL, and

0004AA - AL for the entire five-year ordering periods.

(a) CLINs 0001AA-AD, 0002AA-AD, 0003AA-AD, and 0004AA-AD (Medical Record Coding

Services). Offerors shall propose unit prices for each type of medical record coding service for each ordering period.

(b) CLINs 0001AE-AJ, 0002AE-AJ, 0003AE-AJ and 0004AE-AJ (Travel). Offerors shall not provide separate pricing for travel as travel is considered incidental to the required services and an estimated amount will be established by the Government in basic IDIQ for each CLIN with maximum ceilings on applicable Task Orders;

however, each CLIN travel amount estimated by the Government will be included in the total evaluated price for each offeror.

(c) CLINs 0001AK, 0002AK, 0003AK and 0004AK (Post Award Conference). Offerors shall not provide separate pricing for post-award conference; however, the post-award conference amount of…