A-09-03_W81K04-17-R-0004-0003.pdf

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

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

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

30-105-04EXCEPTION TO SF 30

APPROVED BY OIRM 11-84

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

FAR (48 CFR) 53.243

This amendment extends the submission due date for past performance questionnaires to 22 March 2017, 4:00 p.m. CST.

1. CONTRACT ID CODE PAGE OF PAGES

J 1 19

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

16C. DATE SIGNED

BY 08-Mar-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-0004

X 9B. DATED (SEE ITEM 11)

19-Jan-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 is extended, X is not extended.

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

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

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

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

12. ACCOUNTING AND APPROPRIATION DATA (If required)

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

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

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

CONTRACT ORDER NO. IN ITEM 10A.

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

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

D. OTHER (Specify type of modification and authority)

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

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

10A. MOD. OF CONTRACT/ORDER NO.

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

6. ISSUED BY

3. EFFECTIVE DATE

08-Mar-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-0004

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 1449 - CONTINUATION SHEET

The following have been modified:

ADDENDUM TO 52.212-1

Addenda to 52.212-1(b), Submission of Proposals. The paragraph is tailored as follows:

Paragraph (b), the second sentence is deleted and replaced with the following: Instructions for Preparation and Submission of Proposals. Submit proposal to the office indicated in Block 9 of the Standard Form 1449, to arrive no later than the date and time specified in Block 8 of the Standard Form 1449. The submitted proposal shall have a title page identifying the offeror, the solicitation number, and the contents. Written proposals shall be prepared in volumes. Volumes shall be clearly labeled and independent of one another.

Addenda to 52.212-1(c), Period for Acceptance of Proposals. The paragraph is tailored as follows: “The Offeror agrees to hold the prices in its offer firm for 180 calendar days from the date specified for receipt of proposals.”

Addenda to 52.212-1(e), Multiple Proposals. This paragraph is deleted in its entirety.

Addenda to 52.212-1(g), the following paragraph is added to the end of the current paragraph as follows: "After evaluating proposals, if discussions are deemed necessary, the contracting officer 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 contracting officer 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."

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

ORGANIZATIONAL CONFLICT OF INTEREST. For those Offerors planning to engage in a teaming arrangement or to use subcontractors, a conflict of interest may be created if a company is identified as a prime Offeror, teaming partner/subcontractor, or as a member of a Joint Venture on more than one proposal. The US Government’s (USG) strong preference is that each company participates in only one proposal. If the contracting officer concludes during proposal evaluation that a potential conflict of interest exists because one or more companies have participated in more than one proposal as a prime Offeror, teaming partner/subcontractor, or as a member of a Joint Venture, the contracting officer reserves the right to require a conflict of interest mitigation plan from the prime Offerors of those proposals. If an Offeror fails to submit a plan, or submits an inadequate plan, the Offeror may not be considered.

INSTALLATION ACCESS. Effective 1 May 2013, access to Fort Sam Houston (FSH) Main is closed except for pre-vetted and approved credential holders IAW Air Force Federal Acquisition Regulation Supplement 5352.242-9000 (Contractor Access to Air Force Installations); AFI 31-101 (Integrated Defense); AFI 31-113 (Installation Perimeter Access Control); and AFI 31-502 (Defense Biometric Identification Systems (DBIDS) Operations. Therefore, the USG is not responsible for delays at the gate when proposed Offerors are in the process of delivering proposals to the Health Readiness Contracting Office at Bldg 4197 by the due date and time annotated on the Request for Proposal. As Visitor Control Centers become operational, the proposed Offeror must stop by one of the Visitor Control Centers prior to entry to be vetted and issued a pass. The Visitor Control Centers at the FSH Main Entrance through Walters Street and Harry Wurzbach-East off Scott Road. The proposed Offeror must present a valid photo ID at the Visitor Control Center to be vetted and issued a pass. Any proposed Offeror found to have derogatory information during the vetting process will be denied access.

(A) PROPOSAL SUBMISSION

1. INTRODUCTION.

a) The Offeror shall submit a proposal inclusive of all contract line items to the office indicated in block 9 of the Standard Form (SF) 1449, Solicitation/Contract Award. To be considered for evaluation, the proposal must be received no later than the date and time (Central Standard Time) specified in Block 8, SF 1449. The Offeror shall mark the exterior of their package and each CD-R with the solicitation number specified in Block 5, SF 1449 and Volume number. Proposals shall be submitted in the format stated in the “Proposal Table of Contents” listed below in Section 2 “Proposal Files”. Each volume of the Offeror’s proposal shall be submitted in electronic form on a separate CD-R as specified in the table below entitled, “Proposal Table of Contents.” Telegraphic, electronic mail, and facsimile proposals will not be accepted. Files shall not contain classified data. Each paragraph shall be separated by at least one blank line. A standard, 12-point minimum font size applies. Margins: Top, Bottom, Left, Right – 1” Page Size, Width – 8.5” Page Size, Height – 11”. Tables and illustrations may use a reduced font size not less than 8-point and may be landscape.

b) Electronic Files (CD-Rs). Offerors shall submit their proposal on CD-Rs that are clearly labeled with the Offeror’s name, cage code, volume number and volume title. Electronic files shall not contain classified data.

Each CD-R shall be made read only and “burned” at a minimum 8x speed. In addition, each CD-R must be made “final.” “Final” is a recording option that renders the CD totally used so that no other data tracks can be added. Do not use compressed file formats. Submissions shall be virus free. Electronic files shall be submitted in a format that is compatible with Microsoft Office 2007 applications. PDF formats are acceptable. Each CD-R shall be submitted in a separate CD package (i.e. die-cut jacket, plastic case, CD sleeve, CD bag) clearly marked with the volume number and volume title and shall be submitted as a set.

(1) Submit price proposals on Attachment 10 Price Matrix must remain in Excel format and all pre-loaded formulas shall remain intact. The USG will not correct errors created due to changes by the Offeror of pre-loaded formulas.

Such errors may render the Offeror’s proposal ineligible for award. The Offeror may submit with their price proposal pricing rationale in Microsoft Word format.

(2) Each volume of the Offeror’s proposal (Business proposal, Technical Quality proposal, Performance Risk proposal (Past and Present Performance), and Price proposal) shall be submitted on a separate CD-R.

c) Additional Restrictions.

(1) Technical Quality Proposal (Volume II) is limited to 50 pages. Page limitations shall be treated as maximums.

If exceeded, the excess pages will not be read or considered in the evaluation of the proposal. If there are more than 45 lines of text on any page, the additional lines will not be evaluated. Headers, footers and page numbers are not included in the line count.

(2) Each page shall be counted except the following:

a. Volume Cover Pages

b. Table of Contents

c. Summary Section

d. Glossaries of Abbreviations and Acronyms

e. Dividers

f. Blank pages

g. Online Representation and Certifications Application (ORCA Information)

h. Attachment 10 entitled “Price Matrix”

i. Consent Letters/Client Authorization Letters

j. Performance Risk Assessment Questionnaires

k. Points of contacts list completing performance risk assessment questionnaires

l. Cross Reference Matrix

(3) Questions and Answers. Offerors may submit questions regarding this solicitation to the attention of Ms. Maria G. Fidone, at e-mail: maria.g.fidone.civ@mail.mil no later than 3 February 2017 at 4:00 pm Central Standard Time after issuance of this solicitation in the format at Attachment 1 entitled “Question and Answer Template.”

(4) Glossary of Abbreviations and Acronyms. Each volume shall contain a glossary of all abbreviations and acronyms used, and with an explanation for each. Glossaries do not count against the page limitations for their respective volumes.

(5) E-mail correspondence. Offeror’s shall ensure that all e-mails identify in the subject the solicitation number referenced and specific title of reference i.e. “W81K04-17-R-0004- Questions”

2. PROPOSAL FILES.

Offerors shall use the “Proposal Table of Contents” below to organize their electronic proposal files. Each volume of the Offeror’s proposal shall be submitted in electronic form on a separate CD-R as specified in the table. Each document shall be saved to the appropriate CD-R as a separate electronic file using the document titles provided in Solicitation Attachment 2 entitled, “Proposal File Naming Convention.”

PROPOSAL TABLE OF CONTENTS

Vol. Document Title Copies Page Limits

I Business Proposal

1. Cover Letter

2. Master Table of Contents

3. Contract Administrative Data

4. Mission Essential Contractor Services Plan

5. SF 1449/SF 30

NOTE: Page 1 of the SF 1449 and all Amendments (SF 30) must be signed by an authorized representative which indicates agreement of a 180-day acceptance period.

5. Representation and Certifications

6. Responsibility Determination

7. Glossary of Abbreviations and Acronyms

1 CD-R containing the Offeror’s complete Volume I, Business Proposal

1 Printed copy of SF1449 and SF30(s) (if applicable) (Page 1 only) with original signature

No Limit

II Technical Quality Proposal

1. Table of Contents

2. Quality Control Plan

3. Management Capabilities

4. Recruitment and Retention

5. Volume Cross Reference Matrix

6. Glossary of Abbreviations and Acronyms

4 CD-Rs each containing the Offeror’s complete Volume II, Technical Proposal

NOTE: 3 CD-Rs must be sanitized, to include the label/cover of the CD-R which should reference the Offeror’s CAGE code instead of the name of the company (See Solicitation Attachment 2)

Vol. Document Title Copies Page Limits

III Performance Risk Proposal

1. Table of Contents

2. Subcontractor Teaming Partner Consent Letter

3. Subcontractor Teaming Partner Table

4. (Performance Assessment Submission 1)

5. (Performance Assessment Submission 2)

6. (Performance Assessment Submission 3)

7. Glossary of Abbreviations and Acronyms

2 CD-Rs containing the Offeror’s complete Volume III, Performance Risk Proposal

2 pages per reference

IV Price Proposal Contractor Price Matrix

2 CD-Rs containing the Offeror’s complete Volume IV, Price Proposal

Shall use Price Matrix:

Attachment 10 (Excel document) and include prices on the SF1449 for the CLIN Pages

3. CONTENT REQUIREMENTS.

a) All information shall be confined to the appropriate volume/section. For example, only information included in the section labeled “Recruitment and Retention” will be evaluated for Recruitment and Retention. If recruitment and/or retention information is included elsewhere in the proposal, it will not be evaluated as part of the Recruitment and Retention sub-factor. The Offeror shall confine submission to essential matters, sufficient to define the proposal and provide adequate basis for evaluation. Offerors are responsible for including sufficient details, in a concise manner, to permit a complete and accurate evaluation of each proposal. Proprietary information shall be clearly marked.

b) Cross-Referencing. Each volume shall be written on a standalone basis so that its contents may be evaluated with no requirement to cross reference to other volumes of the proposal. Cross-referencing within a proposal volume is permitted where its use would conserve space without impairing clarity. Information required for proposal evaluation which is not found in its designated volume will be assumed to have been omitted from the proposal.

Cross-Referencing shall be indicated in Attachment 3 entitled “Proposal Cross Referencing Matrix”. However, sub-factors under Technical Quality Proposals shall not be cross-referenced.

VOLUME I - BUSINESS PROPOSAL

1. COVER LETTER.

The cover letter shall be a no more than 2-page introduction identifying the Offeror (name, address, telephone and fax numbers, email address, cage code, DUNS number, the solicitation, number, and the contents of the proposal).

2. TABLE OF CONTENTS

Volume I – Business Proposal shall contain a Master Table of Contents referencing the contents in all volumes. The Master Table of Contents will not count against the page limitations for their respective volumes.

3. CONTRACT ADMINISTRATION DATA.

The Offeror shall provide with its proposal, points of contact (POCs) for administration of any resulting contract should the Offeror be selected. These POCs shall be available during normal business hours and other than normal business hours. The POC for other than normal business hours will be contacted only in the event of emergencies.

Accordingly, the named individual(s) should possess sufficient corporate authority to effectively deal with emergency situations. The telephone number(s) provided should be functional at all times. If there are different POCs for different conditions, such as weekdays, weekends, holidays, etc., please furnish all and explain as follows:

(a) Offeror’s normal business hours/days.

(b) POCs during normal business hours.

(c) POCs for other than normal business hours.

4. MISSION-ESSENTIAL CONTRACTOR SERVICES PLAN.

The offeror shall submit a written plan describing how the contractor will continue to perform essential contractor services during periods of crisis as required by DFARS Provision 252.237-7024, Notice of Continuation of Essential Contractor Services. In accordance with DFARS Clause 252.237-7023, this plan will be incorporated into the resultant contract.

5. SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS (SF 1449) AND AMENDMENTS (SF

30).

Page 1 SF 1449 with signature of a corporate officer authorized to negotiate for the company in Block 30a, acknowledgement of all amendments, (SF 30) with signature in Block 15B, and agreement of 180 days acceptance period.

6. REPRESENTATIONS AND CERTIFICATIONS.

Offerors shall submit one completed copy of all representations and certifications. If the Offeror has completed the Online Representations and Certifications at the System for Award Management (SAM) https://www.sam.gov/portal/public/SAM, submit a printout of the Representations and Certifications.

7. RESPONSIBILITY DETERMINATION.

To assist in determining Offeror/Contractor responsibility IAW FAR Part 9, the Offeror shall explain how they plan to have or obtain adequate financial resources to support any awarded contract and resultant task orders (TOs). If the Offeror intends to rely on internally available working/operation capital, evidence of availability must be submitted. If the Offeror plans to rely on financial support from other sources, evidence of availability and the maximum lines of credit that may be available must be identified and must be based upon the inclusion of this contract effort. Evidence of external funding must be provided in the form of a dated letter from the external source.

The offeror shall demonstrate financial capability sufficient to cover the proposed price for 60 days of contract performance. Documentation to support the amounts must also be included.

Offerors who fail to provide sufficient information for the USG to make an affirmative responsibility determination may be referred to the Small Business Administration (SBA) for Certificate of Competency consideration USG FAR Part 19.6. To be eligible for award of a contract, the Offeror must receive an affirmative responsibility determination or a Certificate of Competency issued by the SBA.

8. GLOSSARY OF ABREVIATIONS AND ACRONYMS.

Include a glossary of abbreviations and acronyms used throughout the volume.

VOLUME II – TECHNICAL QUALITY PROPOSAL (Factor 1)

Volume II shall include the Technical Quality Proposal and shall be specific and complete. The technical proposal shall not contain cost/pricing information, e.g. Sub-factor 1C, Recruitment and Retention, shall not include salary information. The Offeror shall ensure that the Technical Quality Proposal is legible, clear, and cohesive. The USG will evaluate Offeror‘s responses against the Technical Proposal sub-factors defined in the Addendum to 52.212-2.

Using the instructions provided below, provide as specifically as possible the actual methodology you would use for accomplishing/ satisfying these sub-factors. All the requirements specified in the solicitation are mandatory. By your proposal submission, you are representing that your firm will perform all the requirements specified in the solicitation. The Offeror should ensure that their proposal does not merely reiterate the objectives or reformulate the requirements specified in the solicitation.

1. TABLE OF CONTENTS.

The Table of Contents shall contain details which delineate the subparagraphs and sections within that volume.

Technical Quality Proposal must specifically address the following sub-factors:

2. SUBFACTOR 1A. QUALITY CONTROL PLAN. The offeror shall provide in narrative format their quality control program and procedures for monitoring performance. At a minimum, the proposal shall:

(a) Describe your company’s procedures for identifying trends, problems and issues.

(b) Explain how your company will monitor overall contract performance with deficiencies identified before the level of service becomes unacceptable.

(c) Describe your company’s approach to process improvement.

(d) Describe your company’s processes and procedures when implementing corrective action and follow-up to determine the success of problem resolution.

(e) Explain your company’s processes for documenting and maintaining accurate records of quality related issues and problems.

(f) Describe your company’s methodologies for ensuring prompt reporting of quality related problems to the USG or as requested.

(g) Discuss how your company will ensure that LVNs and CNAs abide by required standards, rules and procedures throughout the life of the contract.

3. SUB-FACTOR 1B. MANAGEMENT CAPABILITIES. The offeror shall provide in narrative format a detailed plan that demonstrates your understanding of the organization, logistics and management required by this solicitation. At a minimum, the proposal shall:

(a) Describe your management techniques, tools, practices and interfacing with Government personnel to ensure satisfactory performance of all required services throughout the life of the contract.

(b) Describe your procedures for and commitment to timely payment of LVNs and CNAs .

(c) If partnering with another Contractor, state the capacity (to include roles and responsibilities) in which this partner will serve in the management of this contract.

4. SUB-FACTOR 1C. RECRUITMENT AND RETENTION. The offeror shall demonstrate, in narrative format, an understanding of the type of services to be provided and the necessary qualifications of LVNs and CNAs under these contracts.

(a) Explain the methods to be used to recruit qualified LVNs and CNAs listed in this solicitation to include lead-time associated with the use of any advertising media to be used to recruit LVNs and CNAs (newspapers, professional journals, etc.).

(b) Describe how your recruitment and placement plan will maintain full coverage throughout the life of each TO, to include schedule management, staffing schedule, a back-up staffing plan, coverage of unscheduled absences and pool request.

(c) Describe the verification procedures, which will be used to verify information provided by potential LVNs and CNAs (for example qualifications and certifications).

(d) Describe the process your company will use to manage the renewal of LVN and CNA qualifications and certifications throughout the life of the contract.

(e) Describe your company’s retention plan (i.e. incentives, training programs, and other methods) and how it will be used to retain employees and/or subcontractors to achieve contractually established fill rates and maintain a minimum turnover rate of 20%.

The technical quality proposal shall not contain cost/pricing information.

5. PROPOSAL CROSS REFERENCE MATRIX.

The Offeror shall fill in and provide corresponding sections 52.212-1 and 52.212-2 proposal paragraph references in Attachment 3 entitled “Proposal Cross Reference Matrix”. Offeror‘s proposal paragraph number and format shall mirror and cross reference Sections 52.212-1 and 52.212-2, paragraph numbering to the maximum extent practical.

This is only a tool to assist in the proposal development process. The Offeror is ultimately responsible for ensuring all areas are addressed fully and all requested information is completed and submitted IAW Addendum to 52.212-1 and Addendum 52.212-2 of the RFP.

6. GLOSSARY OF ABBREVIATIONS AND ACRONYMS.

Include a glossary of abbreviations and acronyms used throughout the volume.

VOLUME III – PERFORMANCE RISK PROPOSAL (Past Performance) (Factor 2)

Volume III includes documentation that illustrates the Offeror’s performance on current or past USG or commercial contracts. Volume III may include, no more than, three Performance Assessment Submissions (PASs). Each PAS shall meet the relevancy definition in Addendum to 52.212-2 and performance must have occurred within the last three years prior but not less than six months of the issuance date on the solicitation. The three PASs may include work performed by the prime Offeror and major subcontractor(s) stated in the Offeror’s technical proposal to perform on any resultant contract. A complete Volume III shall include all files described below:

1. TABLE OF CONTENTS. The Table of Contents shall contain details which delineate the subparagraphs and sections within that volume.

2. SUBCONTRACTOR/TEAMING PARTNER CONSENT LETTERS. Performance Risk information concerning subcontractors and teaming partners cannot be disclosed to a private party without the subcontractor’s or teaming partner’s consent. Because a prime Offeror/Contractor is a private party, the USG will need that consent before disclosing subcontractor/teaming partner past and present performance information to the prime Offeror during discussions or negotiations. In an effort to assist the USG in assessing your performance risk, Offerors must have each of their subcontractors and teaming partners complete Attachment 4 entitled “Subcontractor/Teaming Partner Consent letter”. A completed consent form should be submitted as part of your Performance Risk (Past Performance) Volume for each Subcontractor/Teaming Partner identified in your Volume III.

a) Teaming Arrangements. If a teaming arrangement is contemplated, provide complete information as to the arrangement, including any relevant and recent past and present performance information on previous teaming arrangements with same partner. Past experience of one team member will be considered past experience of all team members for purposes of evaluation.

b) A major subcontractor is defined as a subcontractor performing more than 25% of the contract effort.

3. SUBCONTRACTOR/TEAMING PARTNER TABLE. The Offeror shall complete Attachment 5 entitled “Subcontractor/Teaming Partner (S/TP) Table” which describes business arrangements in which the Offeror intends to participate during the performance of any resulting contract/TO. In the table, the Offeror shall use the same designation (i.e. S/TP-A) for each business partner as they use in their sanitized copy of their technical proposal.

4. PERFORMANCE ASSESSMENT INFORMATION. The offeror shall list all performance assessment submissions in the format referenced on the attached excel spreadsheet, Attachment 6, entitled, “Performance Assessment Information”.

5. PERFORMANCE ASSESSMENT SUBMISSION. The Offeror shall submit performance assessment information only for those persons or entities (Offeror, key personnel and prime subcontractors/teaming partners), who will perform on contracts resulting from this solicitation. The Offeror shall submit no more than three (3) performance assessments on their current or past USG or commercial contracts for a single task order, multiple contracts or a combination of task orders to meet the definition of relevancy. The word “contract”, as defined herein, does not mean basic IDIQ contract, for the purpose of past and present performance submissions under this solicitation. If an Offeror submits more than three (3) performance assessments, the USG will evaluate only the first three (3) listed contracts for recency and relevancy. Performance assessments shall meet the relevancy definition in Addendum to 52.212-2 and performance must have occurred within the last three years prior but not less than six months of the issuance date on the solicitation. The total number of performance assessment submissions shall 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 performance assessment. The Offeror shall submit a summary of each performance assessment submission, which shall be limited to two (2) pages for each submission. Each submission shall include the following:

a) Statement of Relevancy: Provide a complete description of the work involved to include dollar value. Include rationale as to why and how the acquisition meets one of the relevancy definitions for this acquisition.

b) Reference Customer Information Sheet. The Offeror shall provide a list of all points of contact (POC) to whom Performance Risk Assessment Questionnaires were provided to by the Contractor for evaluation by the USG.

Reference information shall be submitted in the format referenced in Attachment 7 entitled “Reference Customer Information Sheet”.

c) Performance Risk Assessment Questionnaires (PRAQs). The Offeror shall request completion of Attachment 9 entitled “Performance Risk Assessment Questionnaire (PRAQ)” by those persons who have knowledge of the performance quality provided on the contracts listed above. PRAQs should be completed by a member of the program office, administrative contracting office, end users of the service provided, or any other technical or business advisor who has knowledge of the Contractor’s performance. The USG will use the results of submitted questionnaires as a method to evaluate an Offeror’s past performance. The Offeror shall provide a copy of the attached PRAQs to each POC with a letter the same as or similar to that at Attachment 8 entitled “Sample Questionnaire Cover Letter”. Instruct each source to complete and e-mail the entire questionnaire to Ms. Maria G.

Fidone at e-mail: maria.g.fidone.civ@mail.mil. Completed Performance Risk Assessment Questionnaires (PRAQs) must be received on or before the date and time established for receipt of proposals. Questionnaires received after the date established for receipt of proposals will not be considered.

The Government requires each Offeror to submit completed Volume III requirements no later than 22 March 2017 at 4:00 PM CST. Additionally, questionnaires received after the date and time required for submission of Volume III will be deemed late and will not be considered for evaluation.

6. GLOSSARY OF ABREVIATIONS AND ACRONYMS. A glossary of all abbreviations and acronyms used, and with an explanation for each. Glossaries do not count against the page limitations for their respective volumes.

VOLUME IV – PRICE PROPOSAL (Factor 3)

1. Volume IV shall include pricing information that will be used to evaluate an Offeror’s total price. Volume IV shall include 2 sections: Section 1, the offeror’s proposed prices in the SF1449 inclusive of all contract line items ;

and Section 2, the Offeror’s proposed prices incorporated into Attachment 10 “Price Matrix LVN and CNA

Services”. The proposed labor rates shall be fully burden. The Offeror shall only provide that information essential to document or support the Offeror’s price proposal.

2. 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 cost 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 Offerors’ price proposals. Additionally, all information related to pricing shall be included in Volume IV of the proposal only. UNDER NO CIRCUMSTANCES should pricing information be included elsewhere in the proposal. A complete Volume IV shall include the information below:

Section 1. Completed proposed prices in the SF1449 inclusive of all contract line items.

Section 2. PRICE MATRIX

Price proposals shall include the total amount for the base year and the four ordering periods. Offerors shall ensure proposed rates are complete and accurate. Labor rates shall be a fully burdened and rounded to the nearest cent.

Failure to submit prices for all identified CLINS in Attachment 10 may render a proposal ineligible for award.

a) CONTRACTOR MANPOWER REPORTING (CMR). (See CLINs 0002, 1002, 2002, 3002 and 4002) Offerors shall not provide separate pricing for annual CMR requirements. CMR appears as Not Separately Priced “NSP” on Attachments 10.

b) MINIMUM GUARANTEE. The minimum guaranteed amount is priced by the USG. Awarded contract will include a minimum guaranteed amount of $1,500.00 and shall not be separately priced by the Offeror.

ATTACHMENTS

TABLE OF ATTACHMENTS

ATTACH DOCUMENT NAME CROSS REFERENCE

NO OF

PAGES

1 Question and Answer Template 52.212-1, Para (A) 1. c. (3) 1

2 Proposal File Naming Convention 52.212-1, Para (A) 2. 2

3 Proposal Cross Reference Matrix 52.212-1 Section (A) 3.b. and VOL II 1

Sample Sub-Contractor/Teaming Partner Consent Letter

52.212-1 VOL III, Para 2 1

5 Subcontractor/Teaming Partner Table 52.212-1 VOL III , Para 3 1

6 Performance Assessment Information 52.212-1 VOL III, Para 4 1

7 Reference Customer Information Sheet 52.212-1 VOL III, Para 5.b. 1

8 Sample Questionnaire Cover Letter 52.212-1 VOL III, Para 5.c. 1

9 Performance Risk Assessment Questionnaire 52.212-1 VOL III , Para 5.c. 3

10 Price Matrix LVN and CNA Services 52.212-1 VOL IV and 52.212-2 VOL IV Excel

Spreadsheet

ATTACHMENT 1

QUESTION AND ANSWER TEMPLATE

Offerors who determine that the technical requirements of this RFP require clarifications in order to permit submittal of a responsive proposal are requested to submit all questions in writing to the maximum extent possible within 15 calendar days of release of the RFP. These questions shall be directed to the KO identified above. The USG will issue RFP Questions and answers on www.fbo.gov and acquisition.army.mil, and amend the RFP if necessary to clarify RFP requirements.

PAGE AND

PARAGRAPH

OFFEROR’S QUESTIONS GOVERNMENT’S RESPONSE

ATTACHMENT 2

PROPOSAL FILE NAMING CONVENTION

The offeror shall mark the exterior of their package and each CD-R with the solicitation number and Volume number specified below. Each document shall be saved to the appropriate CD-R as a separate electronic file using the document title specified below.

PACKAGE AND CD-R

LABEL/MARKING

DOCUMENT TITLES

1 CD-R

Labeled/Marked:

“Solicitation W81K04-17-R-0004

(Company Name) Volume I

Business Proposal (LVN and CNA Services)

VOL I (Company Name) Cover Letter DDMMMYY VOL I (Company Name) Master Table of Contents DDMMMYY VOL I (Company Name) Contract Administrative Data DDMMMYY VOL I (Company Name) Mission Essential Contractor Services Plan

DDMMMYY

VOL I (Company Name) Signed SF 1449 DDMMMYY VOL I (Company Name) Signed SF 30 DDMMMYY * VOL I (Company Name) Representation and Certifications DDMMMYY VOL I (Company Name) Responsibility Determination DDMMMYY VOL I (Company Name) Glossary of Abbreviations and Acronyms DDMMMYY

1 CD-R

[Unsanitized]

Labeled/Marked:

“Solicitation

W81K04-17-R-0004 (Company Name)

Volume II Technical Quality Proposal (LVN and CNA Services)

VOL II (Company Name) Table of Contents DDMMMYY VOL II (Company Name) Quality Control Plan DDMMMYY VOL II (Company Name) Management Capabilities DDMMMYY VOL II (Company Name) Recruitment and Retention DDMMMYY VOL II (Company Name) Volume Cross Reference Matrix DDMMMYY VOL II (Company Name) Glossary of Abbreviations and Acronyms DDMMMYY

PACKAGE AND CD-R

LABEL/MARKING

DOCUMENT TITLES

3 CD-Rs [Sanitized]

Labeled/Marked:

“Solicitation

W81K04-17-R-0004 (Offeror’s CAGE Code)

Volume II Technical Quality Proposal (LVN and CNA Services)

VOL II (CAGE Code) Table of Contents DDMMMYY VOL II (CAGE Code) Quality Control Plan DDMMMYY VOL II (CAGE Code) Management Capabilities DDMMMYY VOL II (CAGE Code) Recruitment and Retention DDMMMYY VOL II (CAGE Code) Volume Cross Reference Matrix DDMMMYY VOL II (CAGE Code) Glossary of Abbreviations and Acronyms DDMMMYY

2 CD-Rs Labeled/Marked:

“Solicitation W81K04-17-R-0004

(Company Name) Volume III

Performance Risk Proposal (LVN and CNA Services)

VOL III (Company Name) Table of Contents DDMMMYY VOL III (Company Name) Subcontractor Teaming Partner Consent Letter

DDMMMYY

VOL III (Company Name) Subcontractor Teaming Partner Table DDMMMYY VOL III (Company Name) Performance Assessment Information DDMMMYY VOL III (Company Name) Performance Assessment Submission 1 DDMMMYY VOL III (Company Name) Performance Assessment Submission 2 DDMMMYY VOL III (Company Name) Performance Assessment Submission 3 DDMMMYY VOL III (Company Name) Glossary of Abbreviations and Acronyms

DDMMMYY

2 CD-Rs Labeled/Marked:

“Solicitation W81K04-17-R-0004

(Company Name) Volume IV

Price Proposal (LVN and CNA Services)

VOL IV (Company Name) SF 1449 DDMMMYY VOL IV (Company Name) Price Matrix DDMMYY

* VOL I Signed SF30 is only if applicable if a solicitation amendment (SF30) was issued

ATTACHMENT 3

PROPOSAL CROSS REFERENCE MATRIX

ADDENDUM TO 52.212-1 ADDENDUM TO 52.212-2 PWS

OFFEROR’S PROPOSAL

PARAGRAPH

REFERENCE(S)

ATTACHMENT 4

SAMPLE SUB-CONTRACTOR/TEAMING PARTNER CONSENT LETTER

(NOTE: This information should be on company letterhead.)

Subcontractor/Teaming Partner Consent Form for the Release of Performance Risk (Past Performance) Information to the Prime Offeror

Dear (Contracting Officer), We are currently participating as a (SUBCONTRACTOR/TEAMING PARTNER) WITH (PRIME OFFEROR OR NAME OF ENTITY PROVIDING PROPOSAL) in responding to the Department of the Army, Health Readiness Contracting Office (HRCO)/MCAA-C, Request for Proposal (RFP) No. W81K04-17-R-0004 for the acquisition of LVN and CNA services.

We understand that the Government is placing increased emphasis on past and present performance in order to obtain best value in source selections. In order to facilitate the performance risk assessment process we are signing this consent form in order to allow you to discuss our past and present performance information with the prime offeror during the source selection process.

(Signature of individual who has the authority to sign for and legally bind the company)

(Title of above individual)

Company Name: __________________________________________

Address: _________________________________________________

CAGE Code: ______________________________________________

Phone Number and Fax Number: ______________________________

ATTACHMENT 5

SUBCONTRACTOR/TEAMING PARTNER (S/TP) TABLE

Provide the required information on the offeror (Prime) below. If the offeror is a Joint Venture, list the name of the Joint Venture in the block next to “Offeror Company Name” and provide the details for the two (2) companies forming the Joint Venture in the fields provided.

Offeror Company Name

Small Business Designation

Address

POC & Telephone

Percentage of Contract Workload

Location Coverage SAMHS

S/TP - A

Subcontractor/Teaming Partner Table Name

Business Relationship

S/TP - B

Subcontractor/Teaming Partner Table Name

Business Relationship

ATTACHMENT 6

PERFORMANCE ASSESSMENT INFORMATION

Contractor Name and Cage Code

Contract No./Task Order No.

No.

FTEs

Start Date End Date

(insert prime name and cage code here)

1 (insert name and cage code of contractor who performed)

2 (insert name and cage code of

3 (insert name and cage code of

ATTACHMENT 7

REFERENCE CUSTOMER INFORMATION SHEET

CUSTOMER INFORMATION

Company Name

Street Address City/State/Zip

POC Information First Name Last Name Email Address Phone Number Fax Number Date Email to POC

CONTRACT INFORMATION

Solicitation Number Contract Number TO Number Dollar Value Period of Performance

CONTRACTING AGENCY INFORMATION (if different than above) Contracting Agency Contracting Officer Street Address City/State/Zip Email Address Phone Number Fax Number

ATTACHMENT 8

SAMPLE QUESTIONNAIRE COVER LETTER

(NOTE: This information should be on company letterhead.)

TO: QUESTIONNAIRE EVALUATOR DATE OF LETTER

AGENCY OR ORGANIZATION NAME

STREET ADDRESS

CITY/STATE/ZIP CODE

FROM: COMPANY NAME (CAGE CODE)

STREET ADDRESS

CITY/STATE/ZIP

SUBJECT: Performance Risk Assessment Questionnaire for (contract title and contract/TO number) concerning contract numbers (contract/TO number(s)).

1. Our company is currently preparing to submit our proposal, in response to the Health Readiness Contracting Office (HRCO) solicitation for License Vocational Nurse and Certified Nurse Assistant services under solicitation number W81K04-17-R-0004. In doing so, providing relevant past and present performance experience is required as part of our proposal submission.

2. We have identified the above referenced contract(s) as relevant to this acquisition and you as our point of contact (POC). As such, we request that you complete the attached Performance Risk Assessment Questionnaire, by providing responses to questions and adding comments regarding our performance.

3. Upon completion, please forward the questionnaire directly to Ms. Maria G. Fidone, via e-mail; his contact information is listed on the questionnaire. DO NOT RETURN THE COMPLETED QUESTIONNAIRE TO US. The information provided by you regarding our performance is considered sensitive and cannot be released to us or submitted to HRCO by us.

4. The completed questionnaire should be received by Ms. Maria G. Fidone not later than (Date to be inserted by offeror, prior to the due date). If you have any questions regarding the License Vocational Nurse and Certified Nurse Assistant requirement or the completion and submission of the questionnaire, please contact Ms. Maria Fidone, (Contract Specialist), via phone at (210) 221-3715 or via e-mail at maria.g.fidone.civ@mail.mil.

5. If you have questions regarding for our company please contact (contractor’s POC and phone number for past and present performance issues). Thank you for your timely response.

ATTACHMENT 9

PERFORMANCE RISK ASSESSMENT QUESTIONNAIRE

RETURN COMPLETED SURVEY FORM TO:

Health Readiness Contracting Office (HRCO) Attn: Ms. Maria G. Fidone Solicitation Number: W81K04-17-R-0004 Phone Number: 210-221-3715 E-mail: maria.g.fidone.civ@mail.mil

A. EVALUATED CONTRACTOR’S INFORMATION:

Company/Organization Name

Cage Code:

Point of Contact (POC):

Title of POC:

Address:

Telephone Number:

Fax Number:

Email

B. RESPONDENT INFORMATION:

Respondent’s Name:

Respondent’s Title

Company/Organization Name

Address:

Telephone Number:

Evaluated Contractor Performed as:

Prime Contractor _______ or Sub Contractor ________

C. FULL TIME EQUIVALENTS (FTEs) PROVIDED:

Please provide the specialty title and number of FTEs provided by the evaluated contractor.

D. CONTRACT INFORMATION:

Contract Title/Description:

Contract Number:

TO Number if Applicable

Status (i.e. On-going, complete):

Contract Amount: total amount of base plus any options

Type of Contract

Performance Period being evaluated

Place of Performance:

Total Number of FTEs

E. RATING INFORMATION:

Choose the number on the scale of 0 to 5 that most accurately describes the Offeror’s performance or situation. If you are unable to rate a question because it was not a requirement or you have no knowledge of the contractor’s performance under the question situation, then you should mark “Not Applicable” and do not include the specific question in the total number of questions answered at the bottom of the applicable section. If the question situation would be considered a part of the required performance under this contract, but the contractor has no experience in the area, then mark “0” and include it in the total number answered at the bottom of the applicable section.

RATING DEFINITION

Exceptional = 5 Performance meets contractual requirements and exceeds many requirements to the government’s benefit. (Risk Level: Very Low)

Very Good = 4 Performance meets contractual requirements and exceeds some to the government’s benefit. (Risk Level: Low)

Satisfactory = 3 Performance meets contractual requirements. (Risk Level: Moderate)

Marginal = 2 Performance does not meet some contractual requirements. The element being assessed reflects a serious problem for which the Contractor has not yet implemented satisfactory corrective action. (Risk Level: High)

Unsatisfactory = 1 Performance does not meet contractual requirements recovery is not likely in a timely manner. Contractor’s corrective actions to date are ineffective (Risk Level:

Very High)

Unknown = 0 The Offeror has little/no relevant past and present performance upon which to base a meaningful performance risk prediction. (Risk Level: Unknown)

F. PERFORMANCE EVALUATION QUESTIONS:

Quality of Services

Performance

Rating

(1) The Contractor provided quality services that adhered to contract requirements, specifications, and standards of professional conduct.

(2) The Contractor provided quality personnel that met or exceeded the required qualifications.

(3) The Contractor demonstrated an overall effective and quality management effort.

(4) The Contractor maintained an effective on-going Quality Control Plan to provide for monitoring, analyzing, and improving quality contract performance.

Performance Rating Total

Performance Rating Total Divided by total number of questions answered

Overall Rating

Recruitment and Retention

(1) The Contractor successfully achieved fill-rates established by the contract.

(2) The labor turnover in key personnel and other labor categories (to include contracted health care providers) was minimal and did not adversely affect Contractor Performance.

(3) The Contractor consistently demonstrated an ability to quickly recruit LVNs and CNAs on time to meet the Government needs.

(4) The Contractor demonstrated the ability to retain LVNs and CNAs to support contract/task order (TO) requirements so that work schedules would not be disrupted.

(5) The Contractor demonstrated the ability to plan for and provide replacement candidates during the life of the contract to include pre-planned absences, unplanned illnesses, or an extended leave of absence.

(6) Credentialing Packages (to include current and complete information) were presented in timely fashion to the applicable facility.

Total

Business Relations

(1) The Contractor cooperated with the Government in providing flexible, proactive and effective solutions to contract issues.

(2) The Contractor maintained an open line of communication so that the Contracting Officer’s Representative (COR) was apprised of technical and cost issues.

(3) The Contractor provided proactive and effective management of its subcontractors.

(4) The Contractor was able to resolve customer complaints quickly and effectively.

Total

G. OTHER:

(1) Would you award this firm another contract? ( ) Yes, ( ) No. If you answered “No” provide an explanation.

(2) Was a cure notice_____; show cause notice_____; suspension of progress payments, and/or______ terminated for default issued to this firm during performance of this contract? If you answered “Yes”, provide an explanation.

(3) Based upon the information you provided and using the definitions provided in the evaluation criteria above, the overall performance rating you would give this Contractor is:

Exceptional ______ Very Good ______ Satisfactory ______ Marginal ______ Unsatisfactory ______ Unknown ______

COMMENTS: (ALL Unsatisfactory, Marginal, Very Good, or Exceptional Ratings require comments to support the same. Failure to provide comments will render questionnaire void and will not be evaluated by the Government):

(End of Summary of Changes)