W81K04-17-R-0010_0001_(04212017).doc

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 30 - BLOCK 14 CONTINUATION PAGE

The following have been added by full text:

SUMMARY OF CHANGES

The purpose of this amendment is to document and to make revisions to parts of the solicitation Addendum to 52.212-1 and Attachment 2, Proposal File Naming Convention. Revisions are highlighted in red.

Offerors are cautioned to read this amendment in its entirety.

1. The following changes have been made to the Addendum to 52.212-1:

a. Volume III-PERFORMANCE RISK PROPOSAL (Past and Present Performance) (Factor 2), paragraph 4 (b). Reference Customer Information Sheet has been revised:

FROM: 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 6 entitled “Reference Customer Information Sheet”.

TO: b) Reference Customer Information Sheet. Reference information shall be submitted in the format referenced in Attachment 6 entitled “Reference Customer Information Sheet”.

b. (2.) PROPOSAL FILES, PROPOSAL TABLE OF CONTENTS, Vol II. Technical Quality Proposal, (5.) Volume Cross Reference Matrix has been removed.

c. The order of the TABLE OF ATTACHMENTS has been modified to remove Proposal Cross Reference Matrix.

2. The following changes have been made to Attachment 2, Proposal File Naming Convention:

a. Attachment 2 Proposal File Naming Convention, VOL II has been modified to remove any reference to Company Name under the required Sanitized CD's.

b. Attachment 2 Proposal File Naming Convention, VOL II, Unsanitized has been modified to remove Volume Cross Reference Matrix.

c. Attachment 2 Proposal File Naming Convention, VOL II, Sanitized has been modified to remove Volume Cross Reference Matrix.

3. Attachment 3, Proposal Cross Reference Matrix Chart has been removed.

4. All other terms and conditions remain unchanged.

5. POC: Joe E. Watson, Contract Specialist, 210-221-4005 or Liza J. Esmond, Contracting Officer, 210-295-4622.

SECTION SF 1449 - CONTINUATION SHEET

The following have been modified:

ADDENDUM TO 52.212-1

Addendum to 52.212-1(b), Submission of Offers, is hereby replaced with the following:

Paragraph (b), the second sentence is deleted and replaced with the following: “Proposals must be submitted on the SF 1449 and accompanied by all requested items elsewhere specified in the solicitation.

Paragraph (b) (10) is deleted and replaced by information required to be submitted in Volume III of the proposal.

Addendum 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.”

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

Addendum 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."

INSTALLATION ACCESS. Effective 1 May 2013, access to Joint Base San Antonio- Ft. Sam Houston (JBSA-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 (HRCO) 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 its proposal to the office indicated in block 9 of the Standard Form (SF) 1449, Solicitation/Contract Award. To be considered for evaluation, proposals 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. 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) Each volume of the Offeror’s proposal (Business proposal, Technical Quality proposal, Performance Risk proposal (Past & 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. Consent Letters/Client Authorization Letters

i. Past Performance Risk Assessment Questionnaires

j. Points of contacts list completing past performance questionnaires

(3) Questions and Answers. Offerors may submit questions regarding this solicitation to the attention of Mr. Joe E. Watson, at e-mail: joe.e.watson2.civ@mail.mil, no later than 19 April 2017 at 12:00 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-0010- 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

1. Cover Letter

2. Master Table of Contents

3. Contract Administrative Data

4. 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

1. Table of Contents

2. Personnel

3. Work Processes

4. Quality Control Plan

5. 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 only the offeror’s CAGE code.

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

a) All information shall be confined to the appropriate volume/section. For example, only information included in the section labeled “Quality Control Plan” will be evaluated for Quality Control Plan. If quality control information is included elsewhere in the proposal, it will not be evaluated as part of the Quality Control 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 2 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. 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.

5. 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.

6. 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 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. 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.

7. 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, past performance, or incumbency information, e.g. Sub-factor 1C, Quality Control Plan, shall not include Work Processes 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. SUB-FACTOR 1A. PERSONNEL.

1) Describe in detail your company’s organization, key personnel, logistics, and management. Include details regarding your personnel plan for this requirement at embedded/mobile locations and the contractor program office, and ensure that your proposal includes position descriptions, number of personnel, and any cross-reference to positions contained on the Department of Labor wage determination. (See Exhibit H- Required FTEs by location for embedded locations)

2) Describe in detail proposed personnel involved in the effort (by site location), to include maintenance of a support element that will provide continuity to this effort through the life of the contract.

3) Describe in detail experience, knowledge, and capabilities of key personnel related to baseline neurocognitive testing, as well as operation management, system engineering, data management, information assurance, HIPAA Compliance, and in the functional management of neurocognitive tests.

3. SUB-FACTOR 1B. WORK PROCESSES.

1) Describe the techniques, tools and practices your company has in place to ensure the day-to-day performance of technical and administrative work processes necessary to perform baseline neurocognitive testing.

2) Describe the techniques, tools and practices your company has in place to manage scheduling of technical support, the logistics system, support to embedded site and mobile site testing operations.

3) Describe your organization’s technical capabilities and how they would be used to successfully perform on the resultant contract.

4) Describe your organization’s technical capabilities and how they would be used to ensure timely delivery of all required services throughout the life of the resultant contract.

4. SUB-FACTOR 1C. QUALITY CONTROL

1) Describe your company’s independently operated quality control plan and how it ensures the delivery of quality services, for a requirement of this magnitude and scope, through systematic quality control processes and procedures.

2) Describe your company’s quality control procedures for monitoring contract performance and quality for a requirement of this magnitude and scope.

3) Describe your company’s quality control procedures for identifying trends, problems, issues, and deficiencies before the level of services become unacceptable.

4) Describe your company’s quality control procedures and approach to process and quality improvement.

5) Describe your company’s quality control processes and procedures for implementing corrective action and follow-up to determine the success of problem resolution.

6) Describe your company’s quality control processes and procedures for documentation and records maintenance of quality problems and issues.

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

8) Describe your company’s quality control and techniques your companies uses to manage contract employee compliance with required standards, rules, and procedures throughout the life of the contract.

5. GLOSSARY OF ABBREVIATIONS AND ACRONYMS.

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

VOLUME III – PERFORMANCE RISK PROPOSAL (Past and Present 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 describe work performed under one contract (see contract definition below). 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 and Present 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 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 Table” which describes business arrangements in which the Offeror intends to participate during the performance of any resulting contract. In the table, the Offeror shall use the same designation (i.e. STP-1) for each business partner as they use in their sanitized copy of their technical proposal.

4. PERFORMANCE ASSESSMENT SUBMISSION (PAS). The Offeror shall submit PAS information only for those persons or entities (Offeror and prime subcontractors/teaming partners), who will perform on contracts resulting from this solicitation. The Offeror shall submit no more than three performance assessments on their current or past USG or commercial contracts. The word “contract” is defined as a single contract, purchase order, or a TO on an Indefinite Delivery/Indefinite Quantity (IDIQ) contract. The word “contract”, as defined herein, does not mean basic IDIQ contract, for the purpose of past performance submissions under this solicitation. A single performance assessment submission shall only include one contract, TO or purchase order and MAY not include a combination of contracts, purchase orders, or TOs. If an Offeror submits more than three contracts, the USG will evaluate only the three five listed contracts for recency and relevancy. If an Offeror submits multiple contracts, purchase orders or TOs on one performance assessment submission, then that submission will not be evaluated. 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 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. Reference information shall be submitted in the format referenced in Attachment 6 entitled “Reference Customer Information Sheet”.

c) The offeror shall submit with its Performance Risk Proposal, a copy of the PRAQ Cover Letter (Attachment 6) and a copy of the PRAQ (Attachment 7) with only the following sections filled out: Evaluated Contractor's Information, Respondent Information, Full Time Equivalents (FTE's) provided, and contract information. Do not send PRAQ's to references. For Government contracts, a reference is defined as a government person who has knowledge of the quality of performance provided and who is either a member of the program office, administrative contracting office or end used of the service provided. For civilian contracts, a reference is defined as a person who is either a member of the program office, contracting office or end user of the service provided. DO NOT SEND LETTERS OR QUESTIONNAIRES TO RESPONDENTS, the USG will execute this action.

5. 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)

Volume IV shall include pricing information that will be used to evaluate an Offeror’s total price. The offeror shall submit its proposed price by completing the SF 1449, Continuation Sheet, Schedule of Services and Supplies, CLINS 0001, 1001, 2001, 3001 and 4001.

TABLE OF ATTACHMENTS

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.

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.

1 CD-R

Labeled/Marked:

“Solicitation

W81K04-17-R-0010

(Company Name)

Volume I

Business Proposal

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) 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-0010

(Company Name)

Volume II

Technical Quality Proposal VOL II (Company Name) Table of Contents DDMMMYY VOL II (Company Name) Personnel DDMMMYY

VOL II (Company Name) Work Processes DDMMMYY

VOL II (Company Name) Quality Control Plan DDMMMYY

VOL II (Company Name) Glossary of Abbreviations and Acronyms DDMMMYY

3 CD-Rs

[Sanitized]

Labeled/Marked:

“Solicitation

W81K04-17-R-0010

(Offeror’s CAGE Code)

Volume II

Technical Quality Proposal VOL II (CAGE Code) Table of Contents DDMMMYY VOL II (CAGE Code) Personnel DDMMMYY

VOL II (CAGE Code) Work Processes DDMMMYY

VOL II (CAGE Code) Quality Control Plan DDMMMYY

VOL II (CAGE Code) Glossary of Abbreviations and Acronyms DDMMMYY

1 CD-R

Labeled/Marked:

“Solicitation

W81K04-17-R-0010

(Company Name)

Volume III

Performance Risk Proposal 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 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

1 CD-R

Labeled/Marked:

“Solicitation

W81K04-17-R-0010

(Company Name)

Volume IV

Price Proposal VOL IV (Company Name) Price Proposal DDMMMYY

ATTACHMENT 3

RESERVED

ATTACHMENT 4

SAMPLE SUBCONTRACTOR/TEAMING PARTNER CONSENT LETTER

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

Subcontractor/Teaming Partner Consent Form for the Release of Performance Risk (Past and present 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-PA, Request for Proposal (RFP) No. W81K04-17-R-0010 for the acquisition of Neurocognitive Assessment Testing (NCAT) Support Services.

We understand that the Government is placing increased emphasis on past 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

S/TP - A

Subcontractor/Teaming Partner Table Name

Business Relationship

Small Business Designation

Address

POC & Telephone

Percentage of Contract Workload

Location Coverage (list states)

S/TP - B

Subcontractor/Teaming Partner Table Name

Business Relationship

Small Business Designation

Address

POC & Telephone

Percentage of Contract Workload

Location Coverage (list states)

ATTACHMENT 6

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 7

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 Neurocognitive Assessment Testing (NCAT) Support Services under solicitation number W81K04-17-R-0010. In doing so, providing relevant past 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 Mr. Joe E. Watson, 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 Mr. Joe E. Watson not later than (Date to be inserted by offeror, prior to the due date). If you have any questions regarding the NCAT requirement or the completion and submission of the questionnaire, please contact Mr. Joe E. Watson, (Contract Specialist), via phone at (210) 221-4005 or via e-mail at joe.e.watson2.civ@mail.mil.

5.

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

Sincerely, ATTACHMENT 8

PERFORMANCE RISK ASSESSMENT QUESTIONNAIRE

RETURN COMPLETED SURVEY FORM TO:

Health Readiness Contracting Office (HRCO)

Attn: Mr. Joe E. Watson

Solicitation Number: W81K04-17-R-0010

Phone Number: (210) 221-4005E-mail joe.e.watson2.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:

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.

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

Timeliness of Performance/Services

Performance Rating

(1) The Contractor successfully mobilized personnel to alternate sites, if/when required, to include personnel and equipment and successfully executed testing.

(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 CSPs on time to meet the Government needs.

(4) The Contractor demonstrated the ability to retain CSPs to support contract/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) The contractor successfully ensured that all personnel were/are properly trained and technically competent.

Total

Performance Rating Total Divided by total number of questions answered

Overall Rating

Business Relations

Performance Rating

Total

Performance Rating Total Divided by total number of questions answered

Overall Rating

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 Addendum)

(End of Summary of Changes)