W81K04-24-R-0001 9 Feb 2024.pdf

SEE ADDENDUM

(No Collect Calls)

W81K0424R0001 30-Jan-2024

b. TELEPHONE NUMBER

210-221-4226

8. OFFER DUE DATE/LOCAL TIME

04:00 PM 29 Feb 2024

5. SOLICITATION NUMBER 6. SOLICITATION ISSUE DATE

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 2/2012)

Prescribed by GSA – FAR (48 CFR) 53.212

(TYPE OR PRINT)

(SIGNATURE OF CONTRACTING OFFICER)

ADDENDA X ARE

26. TOTAL AWARD AMOUNT (For Gov t. Use Only )

23.

CODE 10. THIS ACQUISITION IS

SUCH ADDRESS IN OFFER

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT

BELOW IS CHECKED

TELEPHONE NO.

W81K049. ISSUED BY

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a. UNLESS BLOCK

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

MARIA G. FIDONE

2. CONTRACT NO. 3. AWARD/EFFECTIVE DATE 4. ORDER NUMBER

(TYPE OR PRINT)

30b. NAME AND TITLE OF SIGNER 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER

30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a.UNITED STATES OF AMERICA

1 27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1. 52.212-4. FAR 52.212-3. 52.212-5 ARE ATTACHED.X

25. ACCOUNTING AND APPROPRIATION DATA

1. REQUISITION NUMBER

20.

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED.

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, AND 30

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

ARE NOT ATTACHED

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA ARE ARE NOT ATTACHED

(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

. YOUR OFFER ON SOLICITATION

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

% FOR:SET ASIDE:UNRESTRICTED ORX

SMALL BUSINESS

17a.CONTRACTOR/ CODE FACILITY

OFFEROR CODE

W40M USA HCA

HEALTH READINESS CONTRACTING OFFICE

2199 STORAGE ST BLDG 4197 STE 68

JBSA FT SAM HOUSTON TX 78234-5074

18a. PAYMENT WILL BE MADE BY CODE

RATED ORDER UNDER

DPAS (15 CFR 700)

13a. THIS CONTRACT IS A

13b. RATING

CODE15. DELIVER TO CODE W52BKS 16. ADMINISTERED BY

12. DISCOUNT TERMS11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

14. METHOD OF SOLICITATION

RFQ IFB RFPX

W37N HQ US MEPCOM

W37N HQ US MEPCOM

2834 GREEN BAY ROAD

NORTH CHICAGO IL 60064-3094

TEL: 847-688-3680 FAX:

FAX:

TEL: (210) 221-5609 SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

8(A)

HUBZONE SMALL

BUSINESS

SIZE STANDARD:

$16,000,000

NAICS:

621111

X

OFFER DATED

29. AWARD OF CONTRACT: REF.

DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

EMAIL:

TEL:

31c. DATE SIGNED

SEE SCHEDULE

SCHEDULE OF SUPPLIES/ SERVICESITEM NO. QUANTITY UNIT UNIT PRICE AMOUNT

24.22.21.19.

WOMEN-OWNED SMALL BUSINESS (WOSB)

ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

(CONTINUED)

PAGE 2 OF170

ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED: ______________________________________________________

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED

32b. SIGNATURE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32c. DATE 32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32f . TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

37. CHECK NUMBER

FINALPARTIALCOMPLETE

36. PAYMENT35. AMOUNT VERIFIED

CORRECT FOR

34. VOUCHER NUMBER

FINAL

33. SHIP NUMBER

PARTIAL

38. S/R ACCOUNT NUMBER 39. S/R VOUCHER NUMBER 40. PAID BY

41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT

41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER 41c. DATE

42a. RECEIVED BY (Print)

42b. RECEIVED AT (Location)

42c. DATE REC'D (YY/MM/DD) 42d. TOTAL CONTAINERS

STANDARD FORM 1449 (REV. 2/2012) BACK

Prescribed by GSA – FAR (48 CFR) 53.212

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

SEE SCHEDULE

20.

SCHEDULE OF SUPPLIES/ SERVICES

21.

QUANTITY UNIT

22. 23.

UNIT PRICE

24.

AMOUNT

19.

ITEM NO.

W81K0424R0001

Section SF 1449 - CONTINUATION SHEET

ITEM NO SUPPLIES/SERVICES MAX

QUANTITY

UNIT UNIT PRICE MAX AMOUNT

0001 3 Months Transition

FFP

The contractor shall have 3 months to phase-in n accordance with PWS paragraph 1.17.1 FOB: Destination

PSC CD: Q201

MAX

NET AMT

UNIT UNIT PRICE MAX AMOUNT

0002 5 Job Network Services (CPT Codes)

FFP

The contractor shall provide nonpersonal in network Medical Referral Services in accordance with the Performance Work Statement (PWS) and exhibit G Required Services and Scheduling and Referral Processing Times throughout the placement of task orders (TOs) for 66 Military Entrance Processing Stations. The CPT codes are the base fee for network referral services established based upon standard Medicare rates relevant to the zip code associated with the locations identified in Exhibit A available at https://www.cms.gov/medicare/physician-fee-schedule/search/. Once established, base fees will remain fixed for the entirety of the task order.

UNIT UNIT PRICE MAX AMOUNT

0003 5 Job Network Services (CPT Codes)

FFP

The contractor shall provide nonpersonal in network Medical Referral Services in accordance with the Performance Work Statement (PWS) and exhibit G Required Services and Scheduling and Referral Processing Times throughout the placement of task orders (TOs) for 66 Military Entrance Processing Stations. The CPT codes are the base fee for network referral services established based upon standard Medicare rates relevant to the zip code associated with the locations identified in Exhibit A available at https://www.cms.gov/medicare/physician-fee-schedule/search/. Once established, base fees will remain fixed for the entirety of the task order.

UNIT UNIT PRICE MAX AMOUNT

0004 5 Job Network Services (CPT Codes)

FFP

The contractor shall provide nonpersonal in network Medical Referral Services in accordance with the Performance Work Statement (PWS) and exhibit G Required Services and Scheduling and Referral Processing Times throughout the placement of task orders (TOs) for 66 Military Entrance Processing Stations. The CPT codes are the base fee for network referral services established based upon standard Medicare rates relevant to the zip code associated with the locations identified in Exhibit A available at https://www.cms.gov/medicare/physician-fee-schedule/search/. Once established, base fees will remain fixed for the entirety of the task order.

UNIT UNIT PRICE MAX AMOUNT

0005 5 Job Network Services (CPT Codes)

FFP

The contractor shall provide nonpersonal in network Medical Referral Services in accordance with the Performance Work Statement (PWS) and exhibit G Required Services and Scheduling and Referral Processing Times throughout the placement of task orders (TOs) for 66 Military Entrance Processing Stations. The CPT codes are the base fee for network referral services established based upon standard Medicare rates relevant to the zip code associated with the locations identified in Exhibit A available at https://www.cms.gov/medicare/physician-fee-schedule/search/. Once established, base fees will remain fixed for the entirety of the task order.

UNIT UNIT PRICE MAX AMOUNT

0006 5 Job Network Services (CPT Codes)

FFP

The contractor shall provide nonpersonal in network Medical Referral Services in accordance with the Performance Work Statement (PWS) and exhibit G Required Services and Scheduling and Referral Processing Times throughout the placement of task orders (TOs) for 66 Military Entrance Processing Stations. The CPT codes are the base fee for network referral services established based upon standard Medicare rates relevant to the zip code associated with the locations identified in Exhibit A available at https://www.cms.gov/medicare/physician-fee-schedule/search/. Once established, base fees will remain fixed for the entirety of the task order.

UNIT UNIT PRICE MAX AMOUNT

0007 5 Job Network Services (CPT Codes)

FFP

The contractor shall provide nonpersonal in network Medical Referral Services in accordance with the Performance Work Statement (PWS) and exhibit G Required Services and Scheduling and Referral Processing Times throughout the placement of task orders (TOs) for 66 Military Entrance Processing Stations. The CPT codes are the base fee for network referral services established based upon standard Medicare rates relevant to the zip code associated with the locations identified in Exhibit A available at https://www.cms.gov/medicare/physician-fee-schedule/search/. Once established, base fees will remain fixed for the entirety of the task order.

UNIT UNIT PRICE MAX AMOUNT

0008 5 Job Network Services (CPT Codes)

FFP

The contractor shall provide nonpersonal in network Medical Referral Services in accordance with the Performance Work Statement (PWS) and exhibit G Required Services and Scheduling and Referral Processing Times throughout the placement of task orders (TOs) for 66 Military Entrance Processing Stations. The CPT codes are the base fee for network referral services established based upon standard Medicare rates relevant to the zip code associated with the locations identified in Exhibit A available at https://www.cms.gov/medicare/physician-fee-schedule/search/. Once established, base fees will remain fixed for the entirety of the task order.

UNIT UNIT PRICE MAX AMOUNT

0009 5 Job Network Services (CPT Codes)

FFP

The contractor shall provide nonpersonal in network Medical Referral Services in accordance with the Performance Work Statement (PWS) and exhibit G Required Services and Scheduling and Referral Processing Times throughout the placement of task orders (TOs) for 66 Military Entrance Processing Stations. The CPT codes are the base fee for network referral services established based upon standard Medicare rates relevant to the zip code associated with the locations identified in Exhibit A available at https://www.cms.gov/medicare/physician-fee-schedule/search/. Once established, base fees will remain fixed for the entirety of the task order.

UNIT UNIT PRICE MAX AMOUNT

0010 5 Job Network Services (CPT Codes)

FFP

The contractor shall provide nonpersonal in network Medical Referral Services in accordance with the Performance Work Statement (PWS) and exhibit G Required Services and Scheduling and Referral Processing Times throughout the placement of task orders (TOs) for 66 Military Entrance Processing Stations. The CPT codes are the base fee for network referral services established based upon standard Medicare rates relevant to the zip code associated with the locations identified in Exhibit A available at https://www.cms.gov/medicare/physician-fee-schedule/search/. Once established, base fees will remain fixed for the entirety of the task order.

UNIT UNIT PRICE MAX AMOUNT

0011 5 Job Network Services (CPT Codes)

FFP

The contractor shall provide nonpersonal in network Medical Referral Services in accordance with the Performance Work Statement (PWS) and exhibit G Required Services and Scheduling and Referral Processing Times throughout the placement of task orders (TOs) for 66 Military Entrance Processing Stations. The CPT codes are the base fee for network referral services established based upon standard Medicare rates relevant to the zip code associated with the locations identified in Exhibit A available at https://www.cms.gov/medicare/physician-fee-schedule/search/. Once established, base fees will remain fixed for the entirety of the task order.

UNIT UNIT PRICE MAX AMOUNT

0012 5 Job Network Services (CPT Codes)

FFP

The contractor shall provide nonpersonal in network Medical Referral Services in accordance with the Performance Work Statement (PWS) and exhibit G Required Services and Scheduling and Referral Processing Times throughout the placement of task orders (TOs) for 66 Military Entrance Processing Stations. The CPT codes are the base fee for network referral services established based upon standard Medicare rates relevant to the zip code associated with the locations identified in Exhibit A available at https://www.cms.gov/medicare/physician-fee-schedule/search/. Once established, base fees will remain fixed for the entirety of the task order.

UNIT UNIT PRICE MAX AMOUNT

0013 5 Job Network Services (CPT Codes)

FFP

The contractor shall provide nonpersonal in network Medical Referral Services in accordance with the Performance Work Statement (PWS) and exhibit G Required Services and Scheduling and Referral Processing Times throughout the placement of task orders (TOs) for 66 Military Entrance Processing Stations. The CPT codes are the base fee for network referral services established based upon standard Medicare rates relevant to the zip code associated with the locations identified in Exhibit A available at https://www.cms.gov/medicare/physician-fee-schedule/search/. Once established, base fees will remain fixed for the entirety of the task order.

UNIT UNIT PRICE MAX AMOUNT

0014 57 Months Network (Administration Fee)

FFP

Administrative Fees for in network Medical Referral Services in accordance with the PWS and exhibit G Required Services and Scheduling and Referral Processing Times throughout the placement of TOs for 66 Military Entrance Processing Stations. Referral to Exhibit N for pricing per ordering period.

UNIT UNIT PRICE MAX AMOUNT

0015 5 Each In-Network Services - Award Fee

FFP

In-Network Services Award Fee. Referernce Exhibit K Award Plan for Instructions and formula.

UNIT UNIT PRICE MAX AMOUNT

0016 5 Each In-Network Services - Network Award Fee

FFP

In-Network Services Award Fee. Reference Exhibit K Award Plan for Instructions and formula.

UNIT UNIT PRICE MAX AMOUNT

0017 5 Job Non-Network Providers - (CPT Codes)

FFP

Non-Network Medical Referral Services provided in accordance with the PWS and exhibit G Required Services and Scheduling and Referral Processing Times throughout the placement of TOs for 66 Military Entrance Processing Stations.

The CPT codes are the base fee for network referral services established based upon standard Medicare rates relevant to the zip code associated with the locations identified in Exhibit A available at https://www.cms.gov/medicare/physician-fee-schedule/search/. Once established, base fees will remain fixed for the entirety of the task order.

UNIT UNIT PRICE MAX AMOUNT

0018 5 Job Non-Network Providers - (CPT Codes)

FFP

Non-Network Medical Referral Services provided in accordance with the PWS and exhibit G Required Services and Scheduling and Referral Processing Times throughout the placement of TOs for 66 Military Entrance Processing Stations.

The CPT codes are the base fee for network referral services established based upon standard Medicare rates relevant to the zip code associated with the locations identified in Exhibit A available at https://www.cms.gov/medicare/physician-fee-schedule/search/. Once established, base fees will remain fixed for the entirety of the task order.

UNIT UNIT PRICE MAX AMOUNT

0019 5 Job Non-Network Providers - (CPT Codes)

FFP

Non-Network Medical Referral Services provided in accordance with the PWS and exhibit G Required Services and Scheduling and Referral Processing Times throughout the placement of TOs for 66 Military Entrance Processing Stations.

The CPT codes are the base fee for network referral services established based upon standard Medicare rates relevant to the zip code associated with the locations identified in Exhibit A available at https://www.cms.gov/medicare/physician-fee-schedule/search/. Once established, base fees will remain fixed for the entirety of the task order.

UNIT UNIT PRICE MAX AMOUNT

0020 5 Job Non-Network Providers - (CPT Codes)

FFP

Non-Network Medical Referral Services provided in accordance with the PWS and exhibit G Required Services and Scheduling and Referral Processing Times throughout the placement of TOs for 66 Military Entrance Processing Stations.

The CPT codes are the base fee for network referral services established based upon standard Medicare rates relevant to the zip code associated with the locations identified in Exhibit A available at https://www.cms.gov/medicare/physician-fee-schedule/search/. Once established, base fees will remain fixed for the entirety of the task order.

UNIT UNIT PRICE MAX AMOUNT

0021 5 Job Non-Network Providers - (CPT Codes)

FFP

Non-Network Medical Referral Services provided in accordance with the PWS and exhibit G Required Services and Scheduling and Referral Processing Times throughout the placement of TOs for 66 Military Entrance Processing Stations.

The CPT codes are the base fee for network referral services established based upon standard Medicare rates relevant to the zip code associated with the locations identified in Exhibit A available at https://www.cms.gov/medicare/physician-fee-schedule/search/. Once established, base fees will remain fixed for the entirety of the task order.

UNIT UNIT PRICE MAX AMOUNT

0022 5 Job Non-Network Providers - (CPT Codes)

FFP

Non-Network Medical Referral Services provided in accordance with the PWS and exhibit G Required Services and Scheduling and Referral Processing Times throughout the placement of TOs for 66 Military Entrance Processing Stations.

The CPT codes are the base fee for network referral services established based upon standard Medicare rates relevant to the zip code associated with the locations identified in Exhibit A available at https://www.cms.gov/medicare/physician-fee-schedule/search/. Once established, base fees will remain fixed for the entirety of the task order.

UNIT UNIT PRICE MAX AMOUNT

0023 5 Job Non-Network Providers - (CPT Codes)

FFP

Non-Network Medical Referral Services provided in accordance with the PWS and exhibit G Required Services and Scheduling and Referral Processing Times throughout the placement of TOs for 66 Military Entrance Processing Stations.

The CPT codes are the base fee for network referral services established based upon standard Medicare rates relevant to the zip code associated with the locations identified in Exhibit A available at https://www.cms.gov/medicare/physician-fee-schedule/search/. Once established, base fees will remain fixed for the entirety of the task order.

UNIT UNIT PRICE MAX AMOUNT

0024 5 Job Non-Network Providers - (CPT Codes)

FFP

Non-Network Medical Referral Services provided in accordance with the PWS and exhibit G Required Services and Scheduling and Referral Processing Times throughout the placement of TOs for 66 Military Entrance Processing Stations.

The CPT codes are the base fee for network referral services established based upon standard Medicare rates relevant to the zip code associated with the locations identified in Exhibit A available at https://www.cms.gov/medicare/physician-fee-schedule/search/. Once established, base fees will remain fixed for the entirety of the task order.

UNIT UNIT PRICE MAX AMOUNT

0025 5 Job Non-Network Providers - (CPT Codes)

FFP

Non-Network Medical Referral Services provided in accordance with the PWS and exhibit G Required Services and Scheduling and Referral Processing Times throughout the placement of TOs for 66 Military Entrance Processing Stations.

The CPT codes are the base fee for network referral services established based upon standard Medicare rates relevant to the zip code associated with the locations identified in Exhibit A available at https://www.cms.gov/medicare/physician-fee-schedule/search/. Once established, base fees will remain fixed for the entirety of the task order.

UNIT UNIT PRICE MAX AMOUNT

0026 5 Job Non-Network Providers - (CPT Codes)

FFP

Non-Network Medical Referral Services provided in accordance with the PWS and exhibit G Required Services and Scheduling and Referral Processing Times throughout the placement of TOs for 66 Military Entrance Processing Stations.

The CPT codes are the base fee for network referral services established based upon standard Medicare rates relevant to the zip code associated with the locations identified in Exhibit A available at https://www.cms.gov/medicare/physician-fee-schedule/search/. Once established, base fees will remain fixed for the entirety of the task order.

UNIT UNIT PRICE MAX AMOUNT

0027 5 Job Non-Network Providers - (CPT Codes)

FFP

Non-Network Medical Referral Services provided in accordance with the PWS and exhibit G Required Services and Scheduling and Referral Processing Times throughout the placement of TOs for 66 Military Entrance Processing Stations.

The CPT codes are the base fee for network referral services established based upon standard Medicare rates relevant to the zip code associated with the locations identified in Exhibit A available at https://www.cms.gov/medicare/physician-fee-schedule/search/. Once established, base fees will remain fixed for the entirety of the task order.

UNIT UNIT PRICE MAX AMOUNT

0028 5 Job Non-Network Providers - (CPT Codes)

FFP

Non-Network Medical Referral Services provided in accordance with the PWS and exhibit G Required Services and Scheduling and Referral Processing Times throughout the placement of TOs for 66 Military Entrance Processing Stations.

The CPT codes are the base fee for network referral services established based upon standard Medicare rates relevant to the zip code associated with the locations identified in Exhibit A available at https://www.cms.gov/medicare/physician-fee-schedule/search/. Once established, base fees will remain fixed for the entirety of the task order.

UNIT UNIT PRICE MAX AMOUNT

0029 57 Months Non-Netwtork (Administration Fee)

FFP

Administrative Fees for non-network Medical Referral Services in accordance with the PWS and exhibit G Required Services and Scheduling and Referral Processing Times throughout the placement of TOs for 66 Military Entrance Processing Stations. Referral to Exhibit N for pricing per ordering period.

UNIT UNIT PRICE MAX AMOUNT

0030 41,795 Each No Shows and Late Cancellation Fees

FFP

No Shows and Late Cancellation Fees

UNIT UNIT PRICE MAX AMOUNT

0031 5 Job Overage Network Services

FFP

The contractor shall provide nonpersonal in network Medical Referral Services in accordance with the Performance Work Statement (PWS) and exhibit G Required Services and Scheduling and Referral Processing Times throughout the placement of task orders (TOs) for 66 Military Entrance Processing Stations. The CPT codes are the base fee for network referral services established based upon standard Medicare rates relevant to the zip code associated with the locations identified in Exhibit A available at https://www.cms.gov/medicare/physician-fee-schedule/search/. Once established, base fees will remain fixed for the entirety of the task order.

UNIT UNIT PRICE MAX AMOUNT

0032 5 Job Overage Network Services

FFP

The contractor shall provide nonpersonal in network Medical Referral Services in accordance with the Performance Work Statement (PWS) and exhibit G Required Services and Scheduling and Referral Processing Times throughout the placement of task orders (TOs) for 66 Military Entrance Processing Stations. The CPT codes are the base fee for network referral services established based upon standard Medicare rates relevant to the zip code associated with the locations identified in Exhibit A available at https://www.cms.gov/medicare/physician-fee-schedule/search/. Once established, base fees will remain fixed for the entirety of the task order.

UNIT UNIT PRICE MAX AMOUNT

0033 5 Job Overage Network Services

FFP

The contractor shall provide nonpersonal in network Medical Referral Services in accordance with the Performance Work Statement (PWS) and exhibit G Required Services and Scheduling and Referral Processing Times throughout the placement of task orders (TOs) for 66 Military Entrance Processing Stations. The CPT codes are the base fee for network referral services established based upon standard Medicare rates relevant to the zip code associated with the locations identified in Exhibit A available at https://www.cms.gov/medicare/physician-fee-schedule/search/. Once established, base fees will remain fixed for the entirety of the task order.

UNIT UNIT PRICE MAX AMOUNT

0034 5 Job Overage Network Services

FFP

The contractor shall provide nonpersonal in network Medical Referral Services in accordance with the Performance Work Statement (PWS) and exhibit G Required Services and Scheduling and Referral Processing Times throughout the placement of task orders (TOs) for 66 Military Entrance Processing Stations. The CPT codes are the base fee for network referral services established based upon standard Medicare rates relevant to the zip code associated with the locations identified in Exhibit A available at https://www.cms.gov/medicare/physician-fee-schedule/search/. Once established, base fees will remain fixed for the entirety of the task order.

UNIT UNIT PRICE MAX AMOUNT

0035 5 Job Overage Network Services

FFP

The contractor shall provide nonpersonal in network Medical Referral Services in accordance with the Performance Work Statement (PWS) and exhibit G Required Services and Scheduling and Referral Processing Times throughout the placement of task orders (TOs) for 66 Military Entrance Processing Stations. The CPT codes are the base fee for network referral services established based upon standard Medicare rates relevant to the zip code associated with the locations identified in Exhibit A available at https://www.cms.gov/medicare/physician-fee-schedule/search/. Once established, base fees will remain fixed for the entirety of the task order.

UNIT UNIT PRICE MAX AMOUNT

0036 5 Job Overage Network Services

FFP

The contractor shall provide nonpersonal in network Medical Referral Services in accordance with the Performance Work Statement (PWS) and exhibit G Required Services and Scheduling and Referral Processing Times throughout the placement of task orders (TOs) for 66 Military Entrance Processing Stations. The CPT codes are the base fee for network referral services established based upon standard Medicare rates relevant to the zip code associated with the locations identified in Exhibit A available at https://www.cms.gov/medicare/physician-fee-schedule/search/. Once established, base fees will remain fixed for the entirety of the task order.

UNIT UNIT PRICE MAX AMOUNT

0037 5 Job Overage Network Services

FFP

The contractor shall provide nonpersonal in network Medical Referral Services in accordance with the Performance Work Statement (PWS) and exhibit G Required Services and Scheduling and Referral Processing Times throughout the placement of task orders (TOs) for 66 Military Entrance Processing Stations. The CPT codes are the base fee for network referral services established based upon standard Medicare rates relevant to the zip code associated with the locations identified in Exhibit A available at https://www.cms.gov/medicare/physician-fee-schedule/search/. Once established, base fees will remain fixed for the entirety of the task order.

UNIT UNIT PRICE MAX AMOUNT

0038 5 Job Overage Network Services

FFP

The contractor shall provide nonpersonal in network Medical Referral Services in accordance with the Performance Work Statement (PWS) and exhibit G Required Services and Scheduling and Referral Processing Times throughout the placement of task orders (TOs) for 66 Military Entrance Processing Stations. The CPT codes are the base fee for network referral services established based upon standard Medicare rates relevant to the zip code associated with the locations identified in Exhibit A available at https://www.cms.gov/medicare/physician-fee-schedule/search/. Once established, base fees will remain fixed for the entirety of the task order.

UNIT UNIT PRICE MAX AMOUNT

0039 5 Job Overage Network Services

FFP

The contractor shall provide nonpersonal in network Medical Referral Services in accordance with the Performance Work Statement (PWS) and exhibit G Required Services and Scheduling and Referral Processing Times throughout the placement of task orders (TOs) for 66 Military Entrance Processing Stations. The CPT codes are the base fee for network referral services established based upon standard Medicare rates relevant to the zip code associated with the locations identified in Exhibit A available at https://www.cms.gov/medicare/physician-fee-schedule/search/. Once established, base fees will remain fixed for the entirety of the task order.

UNIT UNIT PRICE MAX AMOUNT

0040 5 Job Overage Network Services

FFP

The contractor shall provide nonpersonal in network Medical Referral Services in accordance with the Performance Work Statement (PWS) and exhibit G Required Services and Scheduling and Referral Processing Times throughout the placement of task orders (TOs) for 66 Military Entrance Processing Stations. The CPT codes are the base fee for network referral services established based upon standard Medicare rates relevant to the zip code associated with the locations identified in Exhibit A available at https://www.cms.gov/medicare/physician-fee-schedule/search/. Once established, base fees will remain fixed for the entirety of the task order.

UNIT UNIT PRICE MAX AMOUNT

0041 5 Job Overage Network Services

FFP

The contractor shall provide nonpersonal in network Medical Referral Services in accordance with the Performance Work Statement (PWS) and exhibit G Required Services and Scheduling and Referral Processing Times throughout the placement of task orders (TOs) for 66 Military Entrance Processing Stations. The CPT codes are the base fee for network referral services established based upon standard Medicare rates relevant to the zip code associated with the locations identified in Exhibit A available at https://www.cms.gov/medicare/physician-fee-schedule/search/. Once established, base fees will remain fixed for the entirety of the task order.

UNIT UNIT PRICE MAX AMOUNT

0042 5 Job Overage Network Services

FFP

The contractor shall provide nonpersonal in network Medical Referral Services in accordance with the Performance Work Statement (PWS) and exhibit G Required Services and Scheduling and Referral Processing Times throughout the placement of task orders (TOs) for 66 Military Entrance Processing Stations. The CPT codes are the base fee for network referral services established based upon standard Medicare rates relevant to the zip code associated with the locations identified in Exhibit A available at https://www.cms.gov/medicare/physician-fee-schedule/search/. Once established, base fees will remain fixed for the entirety of the task order.

UNIT UNIT PRICE MAX AMOUNT

0043 1 Each Post Award Conference

FFP

The contractor shall attend a post award conference in accordance with PWS paragraph 1.7.

INSPECTION AND ACCEPTANCE TERMS

Supplies/services will be inspected/accepted at:

CLIN INSPECT AT INSPECT BY ACCEPT AT ACCEPT BY

0001 W37N HQ US MEPCOM

2834 GREEN BAY ROAD

NORTH CHICAGO IL 60064-3094

Government W37N HQ US MEPCOM

2834 GREEN BAY ROAD

NORTH CHICAGO IL 60064-3094

Government

0002 W37N HQ US MEPCOM

2834 GREEN BAY ROAD

NORTH CHICAGO IL 60064-3094

Government W37N HQ US MEPCOM

2834 GREEN BAY ROAD

NORTH CHICAGO IL 60064-3094

Government

0003 W37N HQ US MEPCOM

2834 GREEN BAY ROAD

NORTH CHICAGO IL 60064-3094

Government W37N HQ US MEPCOM

2834 GREEN BAY ROAD

NORTH CHICAGO IL 60064-3094

Government

0004 W37N HQ US MEPCOM

2834 GREEN BAY ROAD

NORTH CHICAGO IL 60064-3094

Government W37N HQ US MEPCOM

2834 GREEN BAY ROAD

NORTH CHICAGO IL 60064-3094

Government

0005 W37N HQ US MEPCOM

2834 GREEN BAY ROAD

NORTH CHICAGO IL 60064-3094

Government W37N HQ US MEPCOM

2834 GREEN BAY ROAD

NORTH CHICAGO IL 60064-3094

Government

0006 W37N HQ US MEPCOM

2834 GREEN BAY ROAD

NORTH CHICAGO IL 60064-3094

Government W37N HQ US MEPCOM

2834 GREEN BAY ROAD

NORTH CHICAGO IL 60064-3094

Government

0007 W37N HQ US MEPCOM

2834 GREEN BAY ROAD

NORTH CHICAGO IL 60064-3094

Government W37N HQ US MEPCOM

2834 GREEN BAY ROAD

NORTH CHICAGO IL 60064-3094

Government

0008 W37N HQ US MEPCOM

2834 GREEN BAY ROAD

NORTH CHICAGO IL 60064-3094

Government W37N HQ US MEPCOM

2834 GREEN BAY ROAD

NORTH CHICAGO IL 60064-3094

Government

0009 W37N HQ US MEPCOM

2834 GREEN BAY ROAD

NORTH CHICAGO IL 60064-3094

Government W37N HQ US MEPCOM

2834 GREEN BAY ROAD

NORTH CHICAGO IL 60064-3094

Government

0010 W37N HQ US MEPCOM

2834 GREEN BAY ROAD

NORTH CHICAGO IL 60064-3094

Government W37N HQ US MEPCOM

2834 GREEN BAY ROAD

NORTH CHICAGO IL 60064-3094

Government

0011 W37N HQ US MEPCOM

2834 GREEN BAY ROAD

NORTH CHICAGO IL 60064-3094

Government W37N HQ US MEPCOM

2834 GREEN BAY ROAD

NORTH CHICAGO IL 60064-3094

Government

0012 W37N HQ US MEPCOM

2834 GREEN BAY ROAD

NORTH CHICAGO IL 60064-3094

Government W37N HQ US MEPCOM

2834 GREEN BAY ROAD

NORTH CHICAGO IL 60064-3094

Government

0013 W37N HQ US MEPCOM

2834 GREEN BAY ROAD

NORTH CHICAGO IL 60064-3094

Government W37N HQ US MEPCOM

2834 GREEN BAY ROAD

NORTH CHICAGO IL 60064-3094

Government

0014 W37N HQ US MEPCOM

2834 GREEN BAY ROAD

NORTH CHICAGO IL 60064-3094

Government W37N HQ US MEPCOM

2834 GREEN BAY ROAD

NORTH CHICAGO IL 60064-3094

Government

0015 W37N HQ US MEPCOM

2834 GREEN BAY ROAD

NORTH CHICAGO IL 60064-3094

Government W37N HQ US MEPCOM

2834 GREEN BAY ROAD

NORTH CHICAGO IL 60064-3094

Government

0016 W37N HQ US MEPCOM

2834 GREEN BAY ROAD

NORTH CHICAGO IL 60064-3094

Government W37N HQ US MEPCOM

2834 GREEN BAY ROAD

NORTH CHICAGO IL 60064-3094

Government

0017 W37N HQ US MEPCOM

2834 GREEN BAY ROAD

NORTH CHICAGO IL 60064-3094

Government W37N HQ US MEPCOM

2834 GREEN BAY ROAD

NORTH CHICAGO IL 60064-3094

Government

0018 W37N HQ US MEPCOM

2834 GREEN BAY ROAD

NORTH CHICAGO IL 60064-3094

Government W37N HQ US MEPCOM

2834 GREEN BAY ROAD

NORTH CHICAGO IL 60064-3094

Government

0019 W37N HQ US MEPCOM

2834 GREEN BAY ROAD

NORTH CHICAGO IL 60064-3094

Government W37N HQ US MEPCOM

2834 GREEN BAY ROAD

NORTH CHICAGO IL 60064-3094

Government

0020 W37N HQ US MEPCOM

2834 GREEN BAY ROAD

NORTH CHICAGO IL 60064-3094

Government W37N HQ US MEPCOM

2834 GREEN BAY ROAD

NORTH CHICAGO IL 60064-3094

Government

0021 W37N HQ US MEPCOM

2834 GREEN BAY ROAD

NORTH CHICAGO IL 60064-3094

Government W37N HQ US MEPCOM

2834 GREEN BAY ROAD

NORTH CHICAGO IL 60064-3094

Government

0022 W37N HQ US MEPCOM

2834 GREEN BAY ROAD

NORTH CHICAGO IL 60064-3094

Government W37N HQ US MEPCOM

2834 GREEN BAY ROAD

NORTH CHICAGO IL 60064-3094

Government

0023 W37N HQ US MEPCOM

2834 GREEN BAY ROAD

NORTH CHICAGO IL 60064-3094

Government W37N HQ US MEPCOM

2834 GREEN BAY ROAD

NORTH CHICAGO IL 60064-3094

Government

0024 W37N HQ US MEPCOM

2834 GREEN BAY ROAD

NORTH CHICAGO IL 60064-3094

Government W37N HQ US MEPCOM

2834 GREEN BAY ROAD

NORTH CHICAGO IL 60064-3094

Government

0025 W37N HQ US MEPCOM

2834 GREEN BAY ROAD

NORTH CHICAGO IL 60064-3094

Government W37N HQ US MEPCOM

2834 GREEN BAY ROAD

NORTH CHICAGO IL 60064-3094

Government

0026 W37N HQ US MEPCOM

2834 GREEN BAY ROAD

NORTH CHICAGO IL 60064-3094

Government W37N HQ US MEPCOM

2834 GREEN BAY ROAD

NORTH CHICAGO IL 60064-3094

Government

0027 W37N HQ US MEPCOM

2834 GREEN BAY ROAD

NORTH CHICAGO IL 60064-3094

Government W37N HQ US MEPCOM

2834 GREEN BAY ROAD

NORTH CHICAGO IL 60064-3094

Government

0028 W37N HQ US MEPCOM

2834 GREEN BAY ROAD

NORTH CHICAGO IL 60064-3094

Government W37N HQ US MEPCOM

2834 GREEN BAY ROAD

NORTH CHICAGO IL 60064-3094

Government

0029 W37N HQ US MEPCOM

2834 GREEN BAY ROAD

NORTH CHICAGO IL 60064-3094

Government W37N HQ US MEPCOM

2834 GREEN BAY ROAD

NORTH CHICAGO IL 60064-3094

Government

0030 W37N HQ US MEPCOM

2834 GREEN BAY ROAD

NORTH CHICAGO IL 60064-3094

Government W37N HQ US MEPCOM

2834 GREEN BAY ROAD

NORTH CHICAGO IL 60064-3094

Government

0031 W37N HQ US MEPCOM

2834 GREEN BAY ROAD

NORTH CHICAGO IL 60064-3094

Government W37N HQ US MEPCOM

2834 GREEN BAY ROAD

NORTH CHICAGO IL 60064-3094

Government

0032 W37N HQ US MEPCOM

2834 GREEN BAY ROAD

NORTH CHICAGO IL 60064-3094

Government W37N HQ US MEPCOM

2834 GREEN BAY ROAD

NORTH CHICAGO IL 60064-3094

Government

0033 W37N HQ US MEPCOM

2834 GREEN BAY ROAD

NORTH CHICAGO IL 60064-3094

Government W37N HQ US MEPCOM

2834 GREEN BAY ROAD

0034 W37N HQ US MEPCOM

2834 GREEN BAY ROAD

NORTH CHICAGO IL 60064-3094

Government W37N HQ US MEPCOM

2834 GREEN BAY ROAD

NORTH CHICAGO IL 60064-3094

Government

0035 W37N HQ US MEPCOM

2834 GREEN BAY ROAD

NORTH CHICAGO IL 60064-3094

Government W37N HQ US MEPCOM

2834 GREEN BAY ROAD

NORTH CHICAGO IL 60064-3094

Government

0036 W37N HQ US MEPCOM

2834 GREEN BAY ROAD

NORTH CHICAGO IL 60064-3094

Government W37N HQ US MEPCOM

2834 GREEN BAY ROAD

NORTH CHICAGO IL 60064-3094

Government

0037 W37N HQ US MEPCOM

2834 GREEN BAY ROAD

NORTH CHICAGO IL 60064-3094

Government W37N HQ US MEPCOM

2834 GREEN BAY ROAD

NORTH CHICAGO IL 60064-3094

Government

0038 W37N HQ US MEPCOM

2834 GREEN BAY ROAD

NORTH CHICAGO IL 60064-3094

Government W37N HQ US MEPCOM

2834 GREEN BAY ROAD

NORTH CHICAGO IL 60064-3094

Government

0039 W37N HQ US MEPCOM

2834 GREEN BAY ROAD

NORTH CHICAGO IL 60064-3094

Government W37N HQ US MEPCOM

2834 GREEN BAY ROAD

NORTH CHICAGO IL 60064-3094

Government

0040 W37N HQ US MEPCOM

2834 GREEN BAY ROAD

NORTH CHICAGO IL 60064-3094

Government W37N HQ US MEPCOM

2834 GREEN BAY ROAD

NORTH CHICAGO IL 60064-3094

Government

0041 W37N HQ US MEPCOM

2834 GREEN BAY ROAD

NORTH CHICAGO IL 60064-3094

Government W37N HQ US MEPCOM

2834 GREEN BAY ROAD

NORTH CHICAGO IL 60064-3094

Government

0042 W37N HQ US MEPCOM

2834 GREEN BAY ROAD

NORTH CHICAGO IL 60064-3094

Government W37N HQ US MEPCOM

2834 GREEN BAY ROAD

NORTH CHICAGO IL 60064-3094

Government

0043 W37N HQ US MEPCOM

2834 GREEN BAY ROAD

NORTH CHICAGO IL 60064-3094

Government W37N HQ US MEPCOM

2834 GREEN BAY ROAD

DELIVERY INFORMATION

CLIN DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

0001 POP 01-JUN-2024 TO

31-AUG-2024

N/A W37N HQ US MEPCOM

W37N HQ US MEPCOM

2834 GREEN BAY ROAD

NORTH CHICAGO IL 60064-3094

847-688-3680

W52BKS

0002 POP 01-SEP-2024 TO

31-MAY-2029

N/A (SAME AS PREVIOUS LOCATION)

0003 POP 01-SEP-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

0004 POP 01-SEP-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

0005 POP 01-SEP-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

0006 POP 01-SEP-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

0007 POP 01-SEP-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

0008 POP 01-SEP-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

0009 POP 01-SEP-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

0010 POP 01-SEP-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

0011 POP 01-SEP-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

0012 POP 01-SEP-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

0013 POP 01-SEP-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

0014 POP 01-SEP-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

0015 POP 01-SEP-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

0016 N/A N/A N/A N/A

0017 POP 01-SEP-2024 TO

31-MAY-2029

N/A W37N HQ US MEPCOM

W37N HQ US MEPCOM

2834 GREEN BAY ROAD

NORTH CHICAGO IL 60064-3094

847-688-3680

0018 POP 01-SEP-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

0019 POP 01-SEP-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

0020 POP 01-SEP-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

0021 POP 01-SEP-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

0022 POP 01-SEP-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

0023 POP 01-SEP-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

0024 POP 01-SEP-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

0025 POP 01-SEP-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

0026 POP 01-SEP-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

0027 POP 01-SEP-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

0028 POP 01-SEP-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

0029 POP 01-SEP-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

0030 POP 01-SEP-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

0031 POP 01-SEP-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

0032 POP 01-SEP-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

0033 POP 01-SEP-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

0034 POP 01-SEP-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

0035 POP 01-SEP-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

0036 POP 01-SEP-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

0037 POP 01-SEP-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

0038 POP 01-SEP-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

0039 POP 01-SEP-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

0040 POP 01-SEP-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

0041 POP 01-SEP-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

0042 POP 01-SEP-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

0043 POP 01-SEP-2024 TO

N/A (SAME AS PREVIOUS LOCATION)

DESCRIPTION OF SERVICES

1. This will result in a single award Indefinite - Delivery Indefinite - Quantity (IDIQ). The IDIQ contract(s) will have a 60 month ordering.

2. The minimum contract guaranteed amount will be $1,500.00. The maximum contract value will be included at time of award for the five-year ordering period.

3. Schedule of Ordering

a. Orders may be placed by a warranted Health Readiness Contracting Office (HRCO) Contracting Officer.

b. Orders against this contract may be placed by mail, facsimile, or through electronic commerce including e-mail IAW terms and conditions of the contract.

CLAUSES INCORPORATED BY REFERENCE

52.212-4 Contract Terms and Conditions--Commercial Products and

Commercial Services

DEC 2022

52.202-1 Definitions JUN 2020 52.203-3 Gratuities APR 1984 52.203-6 Alt I Restrictions On Subcontractor Sales To The Government

(JUN 2020) -- Alternate I

NOV 2021

52.203-12 Limitation On Payments To Influence Certain Federal Transactions

JUN 2020

52.203-17 Contractor Employee Whistleblower Rights and Requirement To Inform Employees of Whistleblower Rights

JUN 2020

52.204-4 Printed or Copied Double-Sided on Postconsumer Fiber Content Paper

MAY 2011

52.204-9 Personal Identity Verification of Contractor Personnel JAN 2011 52.204-10 Reporting Executive Compensation and First-Tier

Subcontract Awards

JUN 2020

52.204-13 System for Award Management Maintenance OCT 2018 52.204-14 Service Contract Reporting Requirements OCT 2016 52.204-18 Commercial and Government Entity Code Maintenance AUG 2020

52.204-23 Prohibition on Contracting for Hardware, Software, and Services Developed or Provided by Kaspersky Lab and Other Covered Entities

NOV 2021

52.204-25 Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment

NOV 2021

52.204-27 Prohibition on a ByteDance Covered Application JUN 2023 52.209-6 Protecting the Government's Interest When Subcontracting

With Contractors Debarred, Suspended, or Proposed for Debarment

NOV 2021

52.209-9 Updates of Publicly Available Information Regarding Responsibility Matters

OCT 2018

52.219-8 Utilization of Small Business Concerns OCT 2022 52.219-9 Small Business Subcontracting Plan OCT 2022 52.219-16 Liquidated Damages-Subcontracting Plan SEP 2021 52.222-3 Convict Labor JUN 2003 52.222-21 Prohibition Of Segregated Facilities APR 2015 52.222-37 Employment Reports on Veterans JUN 2020 52.222-50 Combating Trafficking in Persons NOV 2021 52.222-54 Employment Eligibility Verification MAY 2022 52.223-2 Affirmative Procurement of Biobased Products Under Service and Construction Contracts

SEP 2013

52.223-3 Hazardous Material Identification And Material Safety Data FEB 2021 52.223-5 Pollution Prevention and Right-to-Know Information MAY 2011 52.223-6 Drug-Free Workplace MAY 2001 52.223-10 Waste Reduction Program MAY 2011 52.223-18 Encouraging Contractor Policies To Ban Text Messaging

While Driving

JUN 2020

52.224-1 Privacy Act Notification APR 1984 52.224-2 Privacy Act APR 1984 52.224-3 Privacy Training JAN 2017 52.225-13 Restrictions on Certain Foreign Purchases FEB 2021 52.232-33 Payment by Electronic Funds Transfer--System for Award

Management

OCT 2018

52.232-37 Multiple Payment Arrangements MAY 1999 52.232-39 Unenforceability of Unauthorized Obligations JUN 2013 52.232-40 Providing Accelerated Payments to Small Business

Subcontractors

MAR 2023

52.233-3 Protest After Award AUG 1996 52.233-3 Alt I Protest After Award (Aug 1996) - Alternate I JUN 1985 52.233-4 Applicable Law for Breach of Contract Claim OCT 2004 52.237-2 Protection Of Government Buildings, Equipment, And

Vegetation

APR 1984

52.242-13 Bankruptcy JUL 1995 52.242-15 Stop-Work Order AUG 1989 52.242-17 Government Delay Of Work APR 1984 52.244-2 Subcontracts JUN 2020 52.244-6 Subcontracts for Commercial Products and Commercial

Services

JUN 2023

52.246-4 Inspection Of Services--Fixed Price AUG 1996 252.201-7000 Contracting Officer's Representative DEC 1991 252.203-7000 Requirements Relating to Compensation of Former DoD

Officials

SEP 2011

252.203-7002 Requirement to Inform Employees of Whistleblower Rights DEC 2022 252.203-7003 Agency Office of the Inspector General AUG 2019 252.204-7000 Disclosure Of Information OCT 2016

252.204-7003 Control Of Government Personnel Work Product APR 1992 252.204-7004 Antiterrorism Awareness Training for Contractors JAN 2023 252.204-7018 Prohibition on the Acquisition of Covered Defense

Telecommunications Equipment or Services

JAN 2023

252.205-7000 Provision Of Information To Cooperative Agreement Holders JUN 2023 252.209-7004 Subcontracting With Firms That Are Owned or Controlled By

The Government of a Country that is a State Sponsor of Terrorism

MAY 2019

252.219-7003 Small Business Subcontracting Plan (DOD Contracts) DEC 2019 252.225-7012 Preference For Certain Domestic Commodities APR 2022 252.223-7006 Prohibition On Storage, Treatment, and Disposal of Toxic or

Hazardous Materials

SEP 2014

252.225-7048 Export-Controlled Items JUN 2013 252.226-7001 Utilization of Indian Organizations, Indian-Owned Economic

Enterprises, and Native Hawaiian Small Business Concerns

JAN 2023

252.227-7013 Rights in Technical Data--Other Than Commercial Products and Commercial Services

MAR 2023

252.227-7015 Technical Data--Commercial Products and Commercial Services

MAR 2023

252.232-7003 Electronic Submission of Payment Requests and Receiving Reports

DEC 2018

252.232-7010 Levies on Contract Payments DEC 2006 252.243-7001 Pricing Of Contract Modifications DEC 1991 252.243-7002 Requests for Equitable Adjustment DEC 2022

CLAUSES INCORPORATED BY FULL TEXT

52.203-13 CONTRACTOR CODE OF BUSINESS ETHICS AND CONDUCT (NOV 2021)

(a) Definitions. As used in this clause--

Agent means any individual, including a director, an officer, an employee, or an independent Contractor, authorized to act on behalf of the organization.

Full cooperation—

(1) Means disclosure to the Government of the information sufficient for law enforcement to identify the nature and extent of the offense and the individuals responsible for the conduct. It includes providing timely and complete response to Government auditors' and investigators' request for documents and access to employees with information;

(2) Does not foreclose any Contractor rights arising in law, the FAR, or the terms of the contract. It does not require-

(i) A Contractor to waive its attorney-client privilege or the protections afforded by the attorney work product doctrine; or

(ii) Any officer, director, owner, or employee of the Contractor, including a sole proprietor, to waive his or her attorney client privilege or Fifth Amendment rights; and

(3) Does not restrict a Contractor from--

(i) Conducting an internal investigation; or

(ii) Defending a proceeding or dispute arising under the contract or related to a potential or disclosed violation.

Principal means an officer, director, owner, partner, or a person having primary management or supervisory responsibilities within a business entity (e.g., general manager; plant manager; head of a division or business segment; and similar positions).

Subcontract means any contract entered into by a subcontractor to furnish supplies or services for performance of a prime contract or a subcontract.

Subcontractor means any supplier, distributor, vendor, or firm that furnished supplies or services to or for a prime contractor or another subcontractor.

United States means the 50 States, the District of Columbia, and outlying areas.

(b) Code of business ethics and conduct. (1) Within 30 days after contract award, unless the Contracting Officer establishes a longer time period, the Contractor shall--

(i) Have a written code of business ethics and conduct;

(ii) Make a copy of the code available to each employee engaged in performance of the contract.

(2) The Contractor shall--

(i) Exercise due diligence to prevent and detect criminal conduct; and

(ii) Otherwise promote an organizational culture that encourages ethical conduct and a commitment to compliance with the law.

(3)(i) The Contractor shall timely disclose, in writing, to the agency Office of the Inspector General (OIG), with a copy to the Contracting Officer, whenever, in connection with the award, performance, or closeout of this contract or any subcontract thereunder, the Contractor has credible evidence that a principal, employee, agent, or subcontractor of the Contractor has committed--

(A) A violation of Federal criminal law involving fraud, conflict of interest, bribery, or gratuity violations found in Title 18 of the United States Code; or

(B) A violation of the civil False Claims Act (31 U.S.C. 3729-3733).

(ii) The Government, to the extent permitted by law and regulation, will safeguard and treat information obtained pursuant to the Contractor's disclosure as confidential where the information has been marked “confidential” or “proprietary” by the company. To the extent permitted by law and regulation, such information will not be released by the Government to the public pursuant to a Freedom of Information Act request, 5 U.S.C. Section 552, without prior notification to the Contractor. The Government may transfer documents provided by the Contractor to any department or agency within the Executive Branch if the information relates to matters within the organization's jurisdiction.

(iii) If the violation relates to an order against a Governmentwide acquisition contract, a multi-agency contract, a multiple-award schedule contract such as the Federal Supply Schedule, or any other procurement instrument intended for use by multiple agencies, the Contractor shall notify the OIG of the ordering agency and the IG of the agency responsible for the basic contract.

(c) Business ethics awareness and compliance program and internal control system. This paragraph (c) does not apply if the Contractor has represented itself as a small business concern pursuant to the award of this contract or if this contract is for the acquisition of a commercial product or commercial service as defined at FAR 2.101. The

Contractor shall establish the following within 90 days after contract award, unless the Contracting Officer establishes a longer time period:

(1) An ongoing business ethics awareness and compliance program.

(i) This program shall include reasonable steps to communicate periodically and in a practical manner the Contractor's standards and procedures and other aspects of the Contractor's business ethics awareness and compliance program and internal control system, by conducting effective training programs and otherwise disseminating information appropriate to an individual's respective roles and responsibilities.

(ii) The training conducted under this program shall be provided to the Contractor's…