Amendment_Combined_Synopsis_Solicitation_W81K04-18-Q-0001-0001_FINAL_07JUN18.docx.pdf

W81K04-18-Q-0001-0001

Amendment 0001 -- Combined Synopsis/Solicitation IAW FAR Subpart 12.6 Doctor of Science in Physician Assistant Studies with a Major in Emergency Medicine (DScPAS-EM) Affiliation Services in Support of the U.S. Army Medical Command

Synopsis/Solicitation Number: W81K04-18-Q-0001

The above numbered solicitation is amended as set forth below. The hour and date specified for receipt of quotes IS extended.

Offers must acknowledge receipt of this amendment by signing the last page and submitting a copy with their solicitation response prior to the hour and date specified in the solicitation.

FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR

THE RECEIPT OF QUOTES PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN

REJECTION OF YOUR QUOTE.

AMENDMENT: The purpose of this amendment is to

a. Change the quantity of students from 20 each to 24 each for CLINs 0003, 0005, 0007, 0007, 0009, and 0011 and the Performance Work Statement (PWS).

b. Adjust the overall maximum quantity of the contract from 120 students to 144 students based on the increase in students for each of the class iterations.

c. Adjust the ordering quantities and ordering period from 01-May-2018 to 29-Jun-2018 is the solicitation, and FAR Clauses 52.216-19, 52-216-22, and 252.216-7006, respectively.

d. Include a notice in the Addendum to FAR 52.212-1 as follows: Quoters that have already submitted a timely quote have the option of either submitting a new quote in its entirety; or acknowledging the solicitation amendment increase in students from 20 to 24 per class iteration and submitting only a revised price quote and schedule of services. For those quoters that choose the latter option, the Government will consider your otherwise timely submitted quote for technical and past performance evaluation.

e. Extend the solicitation closing date from 05 June 2018 12:00 PM Central time to 14 June 2018 12:00 PM Central time.

SUMMARY OF CHANGES

SOLICITATION/CONTRACT FORM

The required response date/time has changed from 05-Jun-2018 12:00 PM to 14-Jun-2018 12:00 PM.

The order period start date has changed from 01-May-2018 to 29-Jun-2018.

SUPPLIES OR SERVICES AND PRICES

CLIN 0003

The pricing detail quantity has increased by 4.00 from 20.00 to 24.00.

CLIN 0005

CLIN 0007

CLIN 0009

CLIN 0011

The following have been modified:

ADDENDUM TO 52.212-1

Paragraph 52.212-1(b) is hereby replaced with the following:

(b) Instructions for preparation and Submission of Quotes:

1. To assure timely and equitable evaluation of quote(s), quoter must follow the instructions contained herein.

The quoter shall submit their quote through e-mail. Telegraphic and facsimile responses will NOT be accepted. The entire quote shall be submitted as one (1) file; as an Adobe Acrobat document (.pdf). In addition, the price breakdown information to aide in the price evaluation shall also be submitted as a Microsoft Office Excel document (.exe) and viewable in Microsoft Excel 2013 or earlier. The Font shall be Times New Roman and the Font size shall be no smaller than 10 Points, however the Government will allow a different Font and Font size of no less than 8 Points for graphics and tables. The quote shall have a cover sheet identifying the quoter, primary point of contact, CAGE Code, DUNS number, the solicitation number, and the contents. Quoter is required to meet all solicitation requirements, including terms and conditions, representations and certifications, and those identified as evaluation factors and/or subfactors. Failure to meet a requirement may result in the quote being ineligible for award. Taking exception to any provision in the solicitation may render the quote ineligible for award. All documents submitted in response to this solicitation must be fully responsive to and consistent with the requirements of the solicitation.

2. To be considered, the complete quote must be received not later than the time and date identified on page 2 of the solicitation at the Health Readiness Contracting Office, Attn: Yesenia C. Rodriguez, Contracting Officer, email:

yesenia.c.rodriguez2.civ@mail.mil and Miranda Buntyn, Contract Specialist, miranda.buntyn.civ@mail.mil. Quotes received after the time and date identified in Block 9 will be late and may not be considered for award. The email addresses for the contracting officer and contract specialist are hereby designated by this solicitation as the Government office for the receipt of quotes as referenced in FAR Clause 52.212-1(f). All quotes must be in English.

3. The Government intends to use simplified acquisition procedures in accordance with FAR Subpart 13.5, Simplified Procedures for Certain Commercial Items. The source selection process will be informal. Award will be made using the lowest price, technically acceptable source selection process. The quote must be found technically acceptable and be the lowest price to be eligible for award. Award may be made without discussions with quoters (except communications conducted for the purpose of minor clarification). Therefore, each initial quote should contain the quoter's best terms from a technical and price standpoint. However, the Government reserves the right to conduct discussions if it is later determined by the contracting officer to be necessary. By submitting a quote in response to this solicitation, quoter is agreeing to comply with all terms and conditions contained in the solicitation.

The Contracting Officer may reject any quote that contains exceptions. Except for any portions of the quote incorporated into the resulting contract by specific reference, the terms and conditions included in the solicitation, including any amendments, shall take precedence over the quote.

4. The following shall be included in the quote submission:

(a.) Cover page. The cover page shall identify the quoter, primary point of contact, CAGE Code, DUNS number, the solicitation number, and the contents. The cover page shall contain the Signature and point of contact information of a corporate officer authorized to negotiate for the company.

(b) Contract Line Items Numbers (CLINs) Table. One completed copy of the CLINs table beginning on page 2 of the solicitation, which includes pricing quoted for each quantity identified at the CLINs, i.e., 0001, 0002, etc. If applicable, the quoter shall annotate “Not Separately Priced” on ITEM NOs that do not include a quoted price. Note:

CLIN 0001 Post Award Conference is calculated by the Government at $1,500.00 and therefore quoters shall annotate CLIN 0001 as “Not Separately Priced” on their quote.

(b.) One completed copy of FAR Provision 52.212-3, Quoter Representations and Certifications – Commercial Items, Alternate I.

(c.) Discount Terms. The quoter shall include a statement of any proposed discount terms for prompt payment or specifically state that discount terms are not being quoted. If discount terms are not quoted, the Government will apply the standard prompt payment terms of Net 30.

(d.) One complete copy of any and all Amendments to the solicitation which contains the Signature of a point of contact authorized to negotiate for the company.

(e.) If the quoter has not completed the annual representations and certifications electronically at the System for Award Management (SAM) website (https://www.sam.gov/sam/) or if their SAM registration does not include the following representations, the quoter shall also submit one completed copy of each of the following:

i. FAR Provision 52.203-2, Certificate Of Independent Price Determination

ii. FAR Provision 52.209-2, Prohibition on Contracting with Inverted Domestic Corporations— Representation

iii. FAR Provision 52.209-7, Information Regarding Responsibility Matters

iv. FAR Provision 52.209-11, Representation by Corporations Regarding Delinquent Tax Liability or a

Felony Conviction under any Federal Law

v. FAR Provision 52.222-22, Previous Contracts and Compliance Reports

vi. FAR Provision 52.222-25, Affirmative Action Compliance

(f.) Quote’s Response to Evaluation Factors, i.e. Technical Narrative, Past Performance Information, and Price Narrative with Supporting Documentation. The quote’s technical narrative shall address elements in Factor 1 and Subfactors 1A through 1E. The technical narrative shall not exceed 20 pages. The Past Performance Information shall include the required information for Factor 2 described below. The Price Narrative and Supporting Documentation shall include the required information for Factor 3 described below. The technical narrative shall be responsive to the following evaluation Factors and Subfactors:

(1) Factor 1: Technical and Management Capability. Subfactors 1A through 1E will be evaluated and result in an overall technical evaluation rating for Factor 1.

Subfactor 1A. Understanding the Requirement. The quoter shall provide an in-depth description of the offeror’s capability of meeting the requirements of the PWS.

Subfactor 1B. Management Capability. The quoter shall provide a summary of their management capability in performing affiliation type requirements.

Subfactor 1C. Accreditation Process. The quoter shall describe the process by which the offeror will evaluate and accredit the DScPAS-EM Program. The description shall include a timeline/milestone chart of the evaluation and accreditation process.

Subfactor 1D. Administrative Functions. The quoter shall submit a summary of their administrative functions as they relate to the requirements of the PWS.

Subfactor 1E. Faculty Appointments. The quoter shall submit a summary of their process for performing faculty appointments as required by the PWS.

(2) Factor 2: Past Performance. The quoter shall submit evidence of past performance for any contract(s) under which same or similar services were performed. For each contract include: name of serviced entity, point of contact and email address, contract number; description of services, contract award date, completion date; whether or not you completed the contract; initial contract value; adjusted contract value; and a statement of why you consider the contract to be relevant past performance. If you have not performed any same or similar contracts, you may furnish any other past performance information which you believe demonstrates your ability to perform the services required by this solicitation. Other past performance information shall include the name of serviced entity, point of contact, email address, description of services, and a statement of why you consider the information provided to be relevant past performance. Quoters shall ensure the accuracy of references provided (names and email address(es)).

The Government will not be responsible for tracking incorrect references. Quoters are reminded that the Government may elect to consider data obtained from other sources, however the burden of providing thorough and complete past performance information rests with the quoter.

(3) Factor 3. Price In addition to the completed copy of the CLINs table beginning on page 2 of the solicitation, the quoter shall provide other than cost or pricing data, which describes in sufficient detail and supports the elements that make up their quote. Examples of price breakdown may include direct labor hours and rates, indirect costs, fringe benefits, etc. This factor will be evaluated to determine the extent to which the total evaluated price is fair and reasonable in terms of the Government’s requirement. To determine price fair and reasonable the Government will use price analysis techniques, such as comparison of quoted prices with the prices of all quoters that meet the minimum Factor 1 requirements of the solicitation, comparison of quoted prices to historical prices paid, comparison of quoted prices with competitive published market prices, comparison of quoted prices with independent Government cost estimates, comparison of quoted prices with prices obtained through market research for the same or similar items, and analysis of data of other than certified cost or pricing data provided by the offeror. Price will not receive an evaluation rating.

*NOTE PER AMENDMENT DATED 07 JUNE 2018: Quoters that have already submitted a timely quote have the option of either submitting a new quote in its entirety; or acknowledging the solicitation amendment increase in students from 20 to 24 per class iteration and submitting only a revised price quote and schedule of services. For those quoters that choose the latter option, the Government will consider your otherwise timely submitted quote for technical and past performance evaluation.

Paragraph 52.212-1(m) is hereby added:

(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.

[End of ADDENDUM TO 52.212-1]

MINIMUM/MAXIMUM

The minimum guaranteed amount is $1,500.00 and the maximum amount is 144 students and applies to the full duration of the contract.

PERFORMANCE WORK STATEMENT

PERFORMANCE WORK STATEMENT

University Affiliation Services for the Degree of Doctor of Science in Physician Assistant Studies with a Major in Emergency Medicine (DScPAS-EM)

1. GENERAL. The Army Medical Specialist Corps and Graduate School, Army Medical Department Center and School, Health Readiness Center of Excellence (AMEDDC&S HRCoE) require non-personal, non-severable services of an accredited university to award the Degree of Doctor of Science in Physician Assistant Studies with a Major in Emergency Medicine (DScPAS-EM) for certified Physician Assistants (PA(s)) who successfully complete this specified program of instruction.

1.1. Background. The Army Medical Specialist Corps and Graduate School, AMEDDC&S HRCoE, represented by the Army Physician Assistant Graduate Education Manager (GEM), with assistance from the Emergency Medicine Physician Assistant Residencies Program Manager, will oversee the postgraduate Emergency Medicine Physician Assistant (EMPA) education program. Graduates of the EMPA Residency Program will be trained to provide quality emergency care for patients with a wide variety of illnesses and injuries in the emergency department and on the field of battle.

1.2. Scope of Work. The contractor shall provide university affiliation services as described in this PWS, including all related travel, materials, supplies and facilities, and award the degree of DScPAS-EM to PAs who complete a specified program of instruction.

1.2.1. Transition Period. The contractor shall ensure uninterrupted services by providing the government with services, upon award of the contract, to establish the foundation of the PROGRAM prior to the first class start in June 2019. These services shall include the following: coordination with and assisting the PROGRAM Director and faculty at Fort Sam Houston in curriculum modifications, appointing PROGRAM faculty to the university, updating the university catalog to include PROGRAM faculty, modifying the university calendar to include the Fort Sam Houston academic calendar, modifying the registrar course catalog, using an on-line website to advertise the PROGRAM, approving PROGRAM course electives, formally approving and admitting incoming PROGRAM students, initiating university regional accreditation approval due to substantive changes, university and PROGRAM faculty networking, field education PROGRAM modifications to include revising training agreements, and other administrative duties needed.

1.2.2. The U.S. Army Physician Assistant DScPAS-EM Residency, referred to herein as "the Program," is 88 semester hours in length. It is taught primarily by government personnel under the supervision of the government’s GEM at the AMEDDC&S, Fort Sam Houston, TX. Current training sites include the following locations: San Antonio Military Medical Center, Joint Base San Antonio, TX, Carl R. Darnall Army Medical Center, Fort Hood, TX, Madigan Army Medical Center, Joint Base Lewis-McChord, WA, and William Beaumont Army Medical Center, Fort Bliss, TX. All students are active duty military certified PAs.

1.2.3. The Program consists of 16 didactic sections and 20 clinical rotations (see Exhibit A). This includes:

approximately 4,300 clinical training hours, approximately 740 hours of classroom instruction, lectures, substantive reading assignments, oral boards, written midterm and final exams, monthly procedure practice labs, 16 exams based off didactic reading assignments and evidenced based medicine, and a robust research requirement. The completed research project manuscript must be suitable for submission to an indexed, peer-reviewed journal. In addition, residents are expected to be familiar with and support ongoing research from other residents and faculty within the EMPA residency and the Emergency Medicine Physician residency.

1.2.4. The total Program length is 23 blocks spanning 18 months. Each academic year begins on or about 1 June. The maximum student load is 24 students per academic year.

1.3. Hours and Days of Operation: The contractor is responsible for providing administrative and educational support services between the hours of 8:00 a.m. through 5:00 p.m., Central Standard Time, Monday through Friday except federal holidays, when the contractor is closed, or when the government facility is closed due to emergencies, administrative closings, or similar government-directed closings.

1.3.1. Recognized Holidays

New Year’s Day Martin Luther King's Birthday President’s Day Memorial Day Independence Day Labor Day Columbus Day Veteran's Day Thanksgiving Day Christmas Day

1.3.2. The number of academic credits granted for each course is listed in the Program Curriculum and content maps.

The contractor, in conjunction with the Program Director, shall evaluate current student contact hours to determine equivalent semester hours within 15 calendar days of contract award.

1.4. Identification of Privacy Act. This contract requires the development of a system of records in accordance with the Privacy Act of 1974.

1.4.1. The contractor shall use appropriate administrative, technical, and physical safeguards to protect any and all government data. The contractor shall also ensure the confidentiality, integrity, and availability of government data in compliance with all applicable laws and regulations, including data breach reporting and response requirements, in accordance with DFARS Subpart 224.1 (Protection of Individual Privacy), which incorporates by reference Department of Defense Directive (DoDD) 5400.11, “DoD Privacy Program,” October 29, 2014, and DoD 5400.11- R, “DoD Privacy Program,” May 14, 2007. The contractor shall also comply with federal laws relating to freedom of information and records management.

1.5. Security Requirements. The accountability and decision-making responsibility for any information relevant to students enrolled in the PROGRAM rests with the government. Access to student information is password protected.

Beyond the academic status information, the contractor has no access to any other sensitive information. As part of the requirement for affiliation services, it is stipulated that the contractor be prohibited from sharing any information pertaining to USAGPAN with any third party.

1.6. Safety Requirements: The contractor shall maintain safety and health standards compliant with requirements of the Occupational Safety and Health Administration (OSHA).

1.7. Quality Assurance. The Government will monitor the contractor’s performance under this contract. The Government has the right to perform inspections and performance evaluation at any time. The Contracting Officer’s Representative (COR) shall submit a quarterly surveillance schedule to the Contracting Officer (KO) no later than the 25th of the month following the quarter. If any aspect of the performance is not in conformance with the requirements of the contract, the Contracting Officer (KO) and COR will have the right to issue to the contractor a Contract Discrepancy Report (CDR). The contractor shall explain in writing why performance was not in conformance with the requirements of the contract, how performance will be returned to conformance, and how recurrence of the problem will be prevented in the future. The contractor shall complete and return the CDR to the COR within five workdays after receipt of the CDR. The contractor shall maintain copies of all inspection and evaluation reports.

1.8. POLICY FOR REPORTING INCIDENTS OF SEXUAL ASSAULT AND SEXUAL HARRASSMENT

UNDER SEXUAL ASSAULT PREVENTION AND RESPONSE PROGRAM (SHARP).

1.8.1. The contractor shall comply with OTSG/MEDCOM Policy Memo 16-033, Policy for Reporting Incidents of Sexual Assault and Sexual Harassment under the Sexual Assault Prevention and Response Program (SHARP), 29 Mar

2016.

1.8.2. The contractor shall require all CSPs with knowledge of an incident of sexual assault occurring on a Government facility, to include a Government leased facility, where the contractor is providing services under this contract, to report the incident to the contractor who shall immediately (within 24 hours) report the incident in writing to the government's COR. This reporting policy also applies to sexual assault incidents involving MEDCOM personnel that occur on the contractor’s owned or leased facility under this contract. All incidents shall be reported whether they involve contractor personnel or Government personnel, or other individuals, when the incidents occur on a Government facility or a Government leased facility.

1.8.3. The contractor shall require all CSPs with knowledge of an incident of sexual harassment occurring on a Government facility, to include a Government leased facility, where the contractor is providing services under this contract, to report the incident to the contractor who shall immediately (within 24 hours) report the incident in writing to the government's COR. This reporting policy also applies to sexual harassment incidents involving MEDCOM personnel that occur on the contractor’s owned or leased facility under this contract. All incidents shall be reported whether they involve contractor personnel or Government personnel, or other individuals, when the incidents occur on a Government facility or a Government leased facility

1.9. Post Award Conference. The contractor shall attend a post award conference convened by the contracting activity/contract administration office in accordance with Federal Acquisition Regulation 42.5.

2. DEFINITIONS/ACRONYMS:

2.1. Catalog. Any medium by which the contractor publicly announces terms and conditions for enrollment in the contractor’s institution, including tuition and fees to be charged. This includes “bulletin”, “announcement”, or any similar word the contractor may use.

2.2. Contracting Officer. An individual with authority to enter into, administer, and /or terminate contracts and make related determinations and findings. This individual is the only person with authority to bind the Government.

2.3. Contracting Officer’s Representative. An employee of the U.S. Government appointed by the contracting officer to administer the contract. Such appointment shall be in writing and shall state the scope of authority and limitations.

This individual has authority to provide technical direction to the Contractor as long as that direction is within the scope of the contract, does not constitute a change, and has no funding implications. This individual does NOT have authority to change the terms and conditions of the contract.

2.4. Course. A series of lectures or instructions, and lab periods, relating to one specific representation of subject matter. Usually, a student completes a course in one term and receives a certain number of semester hour’s credit (or equivalent) upon successful completion.

2.5. Curriculum. A series of courses having a unified purpose and belonging to one major academic field, which usually include certain, required courses and elective courses within established criteria. A curriculum usually covers more than one term and leads to a degree or diploma upon successful completion.

2.6. Distributive Learning. A multi-media method of instructional delivery that includes a mix of Web-based instruction, video conferencing, face-to-face classroom time, distance learning through television or video, or other combinations of electronic and traditional educational models.

2.7. Fees. Those applicable charges directly related to enrollment in the contractor’s institution. Unless specifically allowed in the request for service, fees shall not include any permit charges such as parking and vehicle registration or charges for service of a personal nature such as food, housing, or laundry.

2.8. Term. The period of time into which the contractor divides the academic year for purpose of instruction. This includes “semester", “trimester”, “quarter”, or any similar word that the contractor may use.

2.9. Tuition. The amount of money charged by an educational institution for instruction, including fees.

2.10. Acronyms.

AMEDDC&S Army Medical Department Center & School CHEA Council for Higher Education Accreditation CDR Contract Discrepancy Report COR Contracting Officer’s Representative DFARS Defense Federal Acquisition Regulation Supplement DoD Department of Defense DoDD Department of Defense Directive GPA Grade Point Average GRE Graduate Record Examination HRCoE Health Readiness Center of Excellence IACUC Institutional Animal Care and Use Committee IAW In Accordance With IRB Institutional Review Board KO Contracting Officer MTF Medical Treatment Facility NCE National Certification Examination OSHA Occupational Safety and Health Administration POI Program of Instruction USDoE U.S. Department of Education

3. GOVERNMENT RESPONSIBILITIES: The Government will provide overall governance and management of the DScPAS-EM program through the GEM, and in this capacity will:

3.1. Provide the facilities and resources for student research and training. This includes, but is not limited to, the instructional and training facilities, faculty and staff, curriculum, instruction, supplies, books, and travel costs for Program residents.

3.2. Provide to the contractor, no later than 1 June of each year, the curriculum and other information relative to the Program, to be used in the formulation of the contractor’s graduate school catalog.

3.3. By mutual agreement with the contractor, add or delete curricular subject matter in accordance with the Program and the contractor's graduate curriculum process.

3.4. Screen all applicants and accept students into the Program. The government will ensure all Program students possess the following:

3.4.1. Master’s Degree in Physician Assistant Studies, or equivalent, from an accredited Physician Assistant Program and be certified by the National Commission on Certification of Physician Assistants (NCCPA).

3.4.2. Grade point average of 3.0 (total undergraduate and post-baccalaureate hours).

3.4.3. Letter of recommendation from a supervising physician and mentor physician assistant.

3.4.4. GRE (Graduate Record Examination) scores predictive of success in accordance with the contractor’s graduate school admission standards.

3.5. Provide to the contractor, no later than 30 days prior to the start of the Program, the necessary admission credentials for each individual desiring enrollment in the Program. Credentials will consist of academic transcripts for all completed graduate and undergraduate work, plus the GRE score.

3.6. Provide the number of students enrolled to the contractor within 30 calendar days prior to the start of each class.

3.7. Compile student enrollment documents and forward them to the contractor no later than 30 days after the beginning of each semester.

3.8. Assign student grades and forward them to the contractor no later than 30 days after the end of each semester.

3.9. Withdraw or dismiss residents who are failing to maintain military or academic standards.

3.10. Provide healthcare and assume liability for all Program military or government sponsored residents.

3.11. Ensure Program faculty participate on Program graduate committees. However, Program faculty are not committed to support any contractor projects.

3.12. Review and approve through official Military Institutional Review Board channels all Program research protocols prior to data collection.

3.13. Own the first right to publish Program research findings. The government will list any contractor faculty member who substantially contributes to a research project as an author on abstracts and other publications.

3.13.1. If findings are not published within 3 years of completion of data collection, the contractor may request the right to publish as first author.

3.14. The Government will provide the contractor with pertinent Program information within 14 calendar days after award of the contract to be incorporated into its Graduate School catalog and within 14 calendar days if changes are made to the pertinent Program information previously provided. Any information will be reviewed by the Government Public Affairs Office prior to submission to the contractor and once submitted, shall not be modified without the express consent of the Government.

3.15. The Government will enroll at least 10 but not more than 24 students per enrollment period into the Program.

3.16. The Government will add or delete curricula subject matter in accordance with Program accreditation requirements.

3.17. U.S. Army Medical Command (MEDCOM) Unique Training.

3.17.1. Sexual Harassment/Assault Response and Prevention (SHARP). The contractor shall ensure all contractor service providers receive Sexual Harassment/Assault Response and Prevention (SHARP) training not later than 60 calendar days after the contractor begin performance under this contract.

Training can be obtained either online or in person as offered at the installation where services are being provided. If the contractor locum tenens has an AKO account, they can access online the Team Bound Self Study course through Army Learning Management System (ALMS) at:

http://www.atsc.army.mil/tadlp/delivery/alms.asp

4. CONTRACTOR-FURNISHED ITEMS AND SERVICES. The contractor shall furnish all supplies, equipment, facilities and services required to perform work under this contract, except for those items listed under paragraph 3 of this PWS.

4.1 Contractor Qualifications.

4.1.1. The contractor must be accredited by one of the six regional accrediting associations recognized by the U.S.

Department of Education (Middle States Association of Colleges and Schools, New England Association of Schools and Colleges, The Higher Learning Commission – North Association of Colleges and Schools, Northwest Commission on Colleges and Universities, Southern Association of Colleges and Schools and Accrediting Commission for Senior Colleges and Universities – Western Association of Schools and Colleges or the Council for Higher Education Accreditation. They must be authorized to confer a Doctor of Science in Physician Assistant Studies with a Major in Emergency Medicine degree. The contractor shall maintain as part of its university system a Doctor of Science in Physician Assistant Studies (DSc-PAS) program that is accredited by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA), and has at a minimum been re-accredited at least once and has maintained continuous accreditation. The university must maintain membership with the Physician Assistant Education Association (PAEA).

4.1.2. The contractor shall be classified as a Doctoral University with Highest Research Activity (R1) or as a Doctoral University with Higher Research Activity (R2) by the Carnegie Classification of Institutions of Higher Education.

4.2. Contractor Responsibilities. The contractor shall provide services and staff on the main campus to support the requirements of Program faculty and students located at the AMEDDC&S, HRCoE, Fort Sam Houston, and associated sites. The contractor shall provide full registration for all students upon receipt of notification of selection by the Program Director. The contractor shall provide qualified personnel competent to manage the technical, educational, and administrative aspects of hosting an off-site graduate program that is designed to award a DScPAS- EM degree to students enrolled in the PROGRAM. These responsibilities include:

4.2.1. Providing all administrative and institution accrediting information

4.2.2. Providing on-line orientation to university and library services to Program faculty and students

4.2.3. Providing faculty appointment letters for Government faculty

4.2.4. Facilitating programmatic changes necessary to maintain accreditation as a doctoral program

4.2.5. Reviewing and accepting the curriculum and educational objectives forwarded by the Government, the curriculum will be provided to the contractor who shall provide input/feedback, if any, to the government no later than 10 days after receipt of the curriculum and educational objectives.

4.2.6. Performing all administrative functions necessary to admit, enroll, process, and graduate students

4.2.7. Allowing student and faculty access to available research lab facilities to conduct Program research

4.2.8. The contractor must have an on-line Blackboard or comparable Learning Management System capable of supporting distance education curriculum and communication platform. The contractor shall provide full access to this system and technology assistance 24 hours a day, 7 days a week to Program faculty and students. The contractor must have SPSS software or equivalent statistical package, Graph Pad Prism, and a reference management system available for on line use by Program faculty and students. The contractor shall provide network access and a PROGRAM webpage highlighting the program-university partnership, program admission cycle and requirements, and general program facts. The contractor shall provide Program faculty and students access to video teleconferencing capabilities and equipment that allows for joint-faculty development and hybrid learning experiences among students on the main campus and off-site campus at Fort Sam Houston. The contractor must ensure full access to above systems capabilities to all Program faculty and students regardless of their location.

4.2.9. The contractor shall maintain the database of all information regarding student enrollment applications for the Program. Prospective students to the Program shall send GRE scores, transcripts, letters of recommendations and other required documents to the contractor. The contractor shall maintain the admission packets on all students until graduation. The PROGRAM Director and designated alternate (Deputy Program Director) shall be granted secure access to this on-line folder for the PROGRAM Admissions Faculty Board or when needed during the year. The on-line folder will be user name and password protected.

5. SPECIFIC TASKS.

5.1. Review and accept the Program curriculum as developed by the government (see Exhibit A).

5.2. Shall delegate responsibility for the governance of the “Program” to the DScPAS-EM Director.

5.3. Offer an established DScPAS-EM degree approved by its internal governing body prior to the start of the contract, and demonstrate by official letter that the Program has been approved by the appropriate institution’s governing body, which is an independent policy-making body capable of reflecting constituent and public interest within governance activities and decisions.

5.4. Maintain standing as a university accredited by one of the six regional accrediting associations (Middle States Association of Colleges and Schools, New England Association of Schools and Colleges, North Central Association of Colleges and Schools, Northwest Association of Schools and Colleges, Southern Association of Colleges and Schools, or Western Association of Schools and Colleges).

5.5. Award letter grades as assigned by the Program faculty. If a grading disparity exists, the government Program Director involved will appoint an additional faculty member to grade the work, and the two most similar scores will be averaged to produce the final grade.

5.6. Treat AMEDDC&S HRCoE courses as traditional resident courses from the contractor’s institution, for the purpose of awarding a DScPAS-EM.

5.7. Ensure the Graduate Dean, or a mutually acceptable representative, makes an annual site visit to the EMPA residency at San Antonio Military Medical Center and with the DScPAS-EM Program Manager at the AMEDDC&S, Joint Base San Antonio, San Antonio TX.

5.7.1. On these site visits (of at least 4 hours each in duration), the contractor shall monitor/review curriculum, lesson material, instructor performance, grading system, administrative procedures, and clinical mentorship performance.

5.7.2. The contractor shall provide to the COR at least two weeks advance notice for any site visit.

5.8. Perform student-related services. The contractor shall provide to Program residents the same rights, privileges, and benefits as are afforded to graduate students in residence at the contractor's main campus or other satellite campuses of the contractor. At a minimum, the contractor shall:

5.8.1. Provide student identification cards allowing access to library, bookstore, and other buildings on the main campus as needed.

5.8.2. Provide access to all research-related databases and other library resources normally afforded to residents

5.8.3. Provide admission at student expense to special events sponsored for off-campus programs (e.g. luncheons, athletic events).

5.8.4. Maintain an academic record for each student enrolled in the Program and provide the student a copy of this record at the same interval as students in attendance at the contractor's main campus, or who graduate from the contractor’s main campus.

5.8.5. Grant college graduate credit and a diploma attesting to award of the degree of DScPAS-EM to all Program graduates. Diplomas shall be provided to students in the university’s graduation ceremony in the same manner as diplomas are provided for the university’s other doctoral graduates. The graduate must:

5.8.5.1. Maintain a 3.0 grade point average (on the 4.0 point scale) over the course of the respective Program.

5.8.5.2. Satisfactorily complete the doctoral project as the lead researcher with a final manuscript that is acceptable for publication in a peer reviewed journal.

5.8.5.3. Pass the comprehensive research oral board exam at each instructional site.

5.8.5.4. Pass a comprehensive written examination and oral board examination that is based on the standards set by the American Board of Emergency Medicine.

5.8.6. Provide to the COR, no later than two weeks prior to graduation, one official transcript for each graduating student.

5.8.7. Grant to all Program graduates the same rights, privileges, and benefits as are afforded to contractor's other graduates.

5.8.8. The contractor shall ensure residents in the Program are not charged for anything related to performance under this contract.

5.9. Perform the following faculty-related services:

5.9.1. Appoint up to 80 members of the Program faculty, nominated by the government, for professional status (graduate faculty and/or professorial rank) at the contractor's institution. Appointments shall be effective only during the tenure of the instructor as a member of the Program faculty or the duration of the Program’s affiliation with the contractor’s institution. Appointments shall be made within 60 days of application submission.

5.9.2. Provide an annual report identifying current graduate faculty and faculty assigned professorial rank. The report shall be provided to the COR no later than 31 July of each year.

5.9.3. Extend to Program faculty the same rights, privileges and benefits as are afforded the contractor's graduate faculty. The contractor shall:

5.9.3.1. Provide faculty identification cards.

5.9.3.2. List government Program faculty in the graduate catalog.

5.9.3.3. Provide access to all research-related databases and other sources of information normally afforded to the faculty at the contractor's main campus.

5.9.3.4. Include the government’s faculty in continuing education opportunities and faculty development opportunities offered at the contractor’s campus or through other venues such as on-line.

5.9.3.5. Permit attendance at faculty meetings and membership on appropriate graduate faculty committees.

5.10. Contractor Manpower Reporting (CMR). ACCOUNTING FOR CONTRACT SERVICES-The Office of the Assistant Secretary of the Army (Manpower & Reserve Affairs) operates and maintains a secure Army data collection site where the contractor will report ALL contractor manpower (including subcontractor manpower) required for performance of this contract. The contractor is required to completely fill in all the information in the format using the following web address https://cmra.army.mil/ . The required information includes: (1) Contracting Office, Contracting Officer, Contracting Officer’s Technical Representative; (2) Contract number, including task and delivery order number; (3) Beginning and ending dates covered by reporting period; (4) Contractor name, address, phone number, e-mail address, identity of contractor employee entering data; (5) Estimated direct labor hours (including sub-contractor);

(6) Estimated direct labor dollars paid this reporting period (including sub-contractor); (7) Total payments (including sub-contractor); (8) Predominant Federal Service Code (FSC) reflecting services provided by contractor (and separate predominant FSC for each sub-contractor if different); (9) Organizational title associated with the Unit Identification Code (UIC) for the Army Requiring Activity (the Army Requiring Activity is responsible for providing the contractor with its UIC for the purposes of reporting this information); (10) Locations where contractor and sub-contractors perform the work (specified by zip code in the United States and nearest City, Country, when in an overseas location, using standardized nomenclature provided on website); (11) Presence of deployment or contingency contract language, and, (12) Number of contractor and sub-contractor employees deployed in theater this reporting period (by country).

(13) As part of its submission, the contractor will also provide the estimated total cost (if any) incurred to comply with this reporting requirement. Reporting period will be the period of performance not to exceed 12 months ending September 30 of each government fiscal year and must be reported by 31 October of each calendar year. The contractor shall notify the Contracting Officer’s Representative (COR) by the 5th working day of November whether or not they have completed this report. If the COR is unavailable, the contractor will notify the Contracting Officer.

6. Applicable Publications. Following is a list of basic publications applicable to this PWS. The most current version of the publication applies. Current issues of Army publications and links to other service publications can be accessed at http://www.apd.army.mil/. Army publications not on the internet or MTF policies and procedures can be obtained from the COR. DoD publications can be found at www.defenselink.mil/pubs or www.dtic.mil/whs/directives. The Publications have been coded as advisory or mandatory. The Contractor is obligated to follow those coded as mandatory only to the extent that they apply to this contract. Supplements, amendments, or changes to these mandatory publications may be issued during the life of the contract. Advisory publications may be used for information and guidance but are not binding for compliance.

6.1. Advisory publications:

6.1.1. Army Regulation 600-20, Army Command Policy, 06 Nov 2014

6.2. Mandatory publications:

6.2.1. OTSG/MEDCOM Policy Memo 16-033, Sexual Harassment/Assault Response and Prevention (SHARP) Program, 29 Mar 2016

6.2.2. Indebtedness of Military Personnel, Army Regulation 600-15, 09 NOV 1999

6.2.3. DoD Privacy Program, DoDD 5400.11, 29 October 2014.

6.2.4. DoD Privacy Program, DoD 5400.11-R, May 14, 2007.

7. Exhibits/Attachments:

Exhibit A – Curriculum Listing for DScPAS-EM Program Exhibit B – Performance Requirement Summary (PRS) Exhibit C – Service Contract Act (SCA) Wage Determination (WD) Exhibit D – iRAPT Instructions Exhibit E – Exclusion from Participation in Federal Health Care Programs Exhibit F – Tobacco Free Medical Campus (TFMC)

Attachment – Quality Assurance Surveillance Plan (QASP)

52.216-19 ORDER LIMITATIONS (OCT 1995)

(a) Minimum order. When the Government requires supplies or services covered by this contract in an amount of less than $1,500 , the Government is not obligated to purchase, nor is the Contractor obligated to furnish, those supplies or services under the contract.

(b) Maximum order. The Contractor is not obligated to honor -

(1) Any order for a single item in excess of 24;

(2) Any order for a combination of items in excess of 144; or

(3) A series of orders from the same ordering office within 30 days that together call for quantities exceeding the limitation in paragraph (b) (1) or (2) of this section.

(c) If this is a requirements contract (i.e., includes the Requirements clause at subsection 52.216-21 of the Federal Acquisition Regulation (FAR)), the Government is not required to order a part of any one requirement from the Contractor if that requirement exceeds the maximum-order limitations in paragraph (b) of this section.

(d) Notwithstanding paragraphs (b) and (c) of this section, the Contractor shall honor any order exceeding the maximum order limitations in paragraph (b), unless that order (or orders) is returned to the ordering office within 15 days after issuance, with written notice stating the Contractor's intent not to ship the item (or items) called for and the reasons. Upon receiving this notice, the Government may acquire the supplies or services from another source.

(End of clause)

52.216-22 INDEFINITE QUANTITY. (OCT 1995)

(a) This is an indefinite-quantity contract for the supplies or services specified, and effective for the period stated, in the Schedule. The quantities of supplies and services specified in the Schedule are estimates only and are not purchased by this contract.

(b) Delivery or performance shall be made only as authorized by orders issued in accordance with the Ordering clause. The Contractor shall furnish to the Government, when and if ordered, the supplies or services specified in the Schedule up to and including the quantity designated in the Schedule as the "maximum". The Government shall order at least the quantity of supplies or services designated in the Schedule as the "minimum".

(c) Except for any limitations on quantities in the Order Limitations clause or in the Schedule, there is no limit on the number of orders that may be issued. The Government may issue orders requiring delivery to multiple destinations or performance at multiple locations.

(d) Any order issued during the effective period of this contract and not completed within that period shall be completed by the Contractor within the time specified in the order. The contract shall govern the Contractor's and Government's rights and obligations with respect to that order to the same extent as if the order were completed during the contract's effective period; provided, that the Contractor shall not be required to make any deliveries under this contract after 31 October 2024; and 31 October 2025 if FAR Clause 52.217-8 is exercised.

(End of clause)

252.216-7006 ORDERING (MAY 2011)

(a) Any supplies and services to be furnished under this contract shall be ordered by issuance of delivery orders or task orders by the individuals or activities designated in the contract schedule. Such orders may be issued from 29 June 2018 through 30 April 2023; and if FAR Clause 52.217-8 is exercised to its maximum extent, orders may be issued through 31 October 2023.

(b) All delivery orders or task orders are subject to the terms and conditions of this contract. In the event of conflict between a delivery order or task order and this contract, the contract shall control.

(c)(1) If issued electronically, the order is considered ``issued'' when a copy has been posted to the Electronic Document Access system, and notice has been sent to the Contractor.

(2) If mailed or transmitted by facsimile, a delivery order or task order is considered ``issued'' when the Government deposits the order in the mail or transmits by facsimile. Mailing includes transmittal by U.S. mail or private delivery services.

(3) Orders may be issued orally only if authorized in the schedule.

(End of Clause)

(End of Summary of Changes)

[End of Amendment 0001]

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