Pre-Solicitation Conference USMEPCOM Accession Medical Service Slides_12DEC2023.pdf

UNCLASS/FOUOAMERICA’S ARMY:

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Section and OTSG or MEDCOM

Department of the Army

Title of Brief Rank/Name of Briefer

Title of Briefer

Date

Controlled by: USAHCA Controlled by: HRCO CUI Category(ies): OPSEC Distribution/Dissemination Limited Dissemination Control: FEDCON POC: Carlos Ramirez

Pre-Solicitation Conference USMEPCOM Accession Medical Services (Formerly: Fee Basis Providers Services)

W81K04-24-R-0004

12 December 2023

Presented By:

USAHCA / USMEPCOM /

HEALTH READINESS CONTRACTING OFFICE (HRCO)

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CUIMr. Carlos Ramirez, USAHCA Operations, 210.573-2025, carlos.a.ramirez18.civ@health.mil

SCHEDULE

10:00 a.m. – 10:15 a.m. Registration/Welcome/Introductions

10:20 a.m. – 10:50 a.m. Overview of Fee Basis Services

11:00 a.m. – 11:30 a.m. Accession Medical Services Requirement

11:30 a.m. – 12:30 p.m. Solicitation Requirements and Evaluation Procedures

12:30 p.m. – 1:00 p.m. Lunch Break

1:00 p.m. – 3:30 p.m. Break-Out Sessions mailto:carlos.a.ramirez18.civ@health.mil

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• The FBPs facilitates the Government’s ability to provide qualified, professional personnel to perform the following services: medical pre-screening; medical histories; physical examinations; reviews of required medical tests and documents pertaining to consultations and medical histories; assessing applicant medical documentation and rendering their medical opinion on an applicant’s medical qualification for serving in the Armed Forces. These services will be provided to the 66 USMEPCOM Military Entrance Processing Stations (MEPS), to include supporting satellite cities, and remote processing stations (RPS) throughout the continental United States, Alaska, Hawaii, and Puerto Rico.

• Clarifications and Questions related to the RFP

– During pre-solicitation conference, cards will be presented that may be used to submit questions

– The Government will collect questions and provide responses by 19

Dec 2023.

Administrative Announcements

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• To be posted on https://piee.eb.mil/ after conference:

– Briefing Slides

– Sign in sheet

– Official responses to clarifications and questions

• Company and authors’ names excluded

• Unauthorized Activities

– Sidebars with Government Personnel

– Use of Recording Devices

Administrative Announcements Continued https://piee.eb.mil/

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– Chief of Contracting Office – Ms. Jarens D. Banks

– jarens.d.banks.civ@health.mil

– Contracting Officer – Ms. Yvonne Y. Camarce

– yvonne.y.camarce.civ@health.mil

– Contract Specialist – Ms. Maria Fidone

– maria.g.fidone.civ@health.mil

– Contract Specialist – Mr. Carlos Ramirez

– carlos.a.ramirez18.civ@health.mil

Introduction of Government Team mailto:Jarens.d.banks.civ@health.mil mailto:yvonne.y.camarce.civ@health.mil mailto:maria.g.fidone.civ@health.mil

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• HQ US MEPCOM Representatives ‒ COL Kevin Cummings, Command Surgeon

‒ Mr. Alex Palmer, Acquisitions & Contracting Director

‒ Lt Col Steve Tutaj, Acquisitions & Contracting Deputy Director

‒ Mr. Michael Mitsch, Contract Management Branch Chief

‒ Mr. David Davis, Operations and Readiness Division Chief

‒ Dr. Slava Belenkiy, Accession Medicine Branch Chief

‒ Mr. Kelvin Rama, Medical Management Analyst

Introduction of Government Team

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Lt Col Steve E Tutaj Acquisition and Contracting Deputy

Director

HQ USMEPCOM

Overview

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The contractor shall provide personal services being Fee Basis Providers (FBP) and Prescreen Support personnel who shall perform a review of the military service applicant medical histories, perform medical evaluations, and conduct reviews of medical test results and documents, with an end goal of determining whether an applicant for military service meets the medical standards established by Congress and the Military Services at USMEPCOM geographically dispersed facilities located at 67 total locations including Headquarters USMEPCOM, Military Entrance Processing Stations (MEPS) and Remote Processing Stations (RPS) throughout the continental United States, Alaska, Hawaii, and Puerto Rico.

FBPs supplement government providers based on the daily workload of applicants and records reviews processed at each individual MEPS.

FBPs use their professional training and judgment to apply medical qualification standards set forth by DOD policy in order to certify that, in their professional opinion, applicants either meet or fail to meet set medical standards. Prescreen Support personnel supplement the government providers and FBPs in review of the military service applicant medical histories.

Overview

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Locations

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The objectives of this contract are to have a contractor provide to USMEPCOM a variable number of services on a permanent and daily basis, dependent upon the location and applicant processing workload. To achieve the objective, the contractor shall provide physicians, nurse practitioners, and other personnel as ordered by the government.

Accession Medical Services

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– Provider/FBP - Medical Doctor (MD) or Doctor of Osteopathy (DO), or Certified Nurse Practitioner (CNP), all of which are contract employees, who conduct enlistment physical medical evaluation screenings at a MEPS

– Permanent Provider/FBP – Full-time contractor employees expected to perform services at the same MEPS every processing day

– Daily Provider/FBP – Part-time workers ordered as needed at the MEPS

– Prescreen Support Personnel – Telework role reviewing medical records and documenting accession medical history of applicants applying for Military Service.

• Must be a physician, nurse practitioner, physician assistant, registered nurse, or licensed practical nurse (Draft UMR 40- 2)

Key Terms

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– Reference Exhibit F for representative Operating Schedule

– Permanent FBP and Prescreen Support services to be ordered every processing day, for a minimum daily workload of 7 hours, up to 10 hours (Para 1.5.4.3)

– Daily FBP and Prescreen Support services to be ordered as needed based on projected workload volume, for a minimum daily workload of 5 hours, up to 10 hours (Para 1.5.4.3)

– DoD Recruiting market conditions may necessitate Saturday processing days added to the operating schedule during the year

• Weekend work premium rate may be proposed

• Recently, most MEPS have been open ~9 Saturdays a year

Duty Days/Hours

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– 120 calendar days to recruit, hire, credential, and train the necessary personnel to begin providing all services at the required volume by the end of the Phase-in period

• Background investigations and Common Access Card (CAC) must also occur prior to training commencement

• For planning purposes, background investigation, CAC issuance, and training coordination/completion in partnership with the government typically takes ~45 calendar days for new FBPs with open schedule availability for training.

Phase-in Period

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– Required FBP and Prescreen Support Pool Sizes, minimum and maximum values in Exhibit A

Task 1 – Establish, Train, Maintain, and Manage Qualified Pools of Personnel (Para 5.1)

– Recruitment

– Qualification/Credentialing Verification and Validation

– Train; contractor provides initial training IAW plan from gov’t

– Progression; required advancement within timeframes

– Maintain; currency in skills and credentialing

– Retention; limit turnover

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– The Contractor shall provide visibility to availability of personnel, reference PWS para 5.2.2.

– Traveling FBP Availability List (Para 5.2.3 & 5.2.13)

• Contractor provides a list of # of FBPs available for travel in future week

• If Government projects a need based on projected government and FBP availability, and applicant processing, may order a # of FBPs to travel

• Government will reimburse JTR-allowable travel expenses (Para 1.12)

– Scheduling and fulfillment of government orders

• See next slide for example timeline

Task 2 – Assign Personnel to Perform Services Required (Para 5.2)

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– Example Timeline for Weekly Orders

– 1700 Weds (Week 0), Government places “routine” orders for services for all of Week 1 (Para 5.2.5)

• Includes Permanent and Daily order needs

– Wed/Thurs (Week 0), Contractor fills “routine” orders (Para 5.2.6)

– “Routine Order Adjustments” – government provides minimum 36-hour notice of a add/removal of order, contractor must respond within 4 business hours. Subject to same fill rate standards. (5.2.7)

– “Short Notice Order Additions” – government provides less than 36-hour notice, contractor must respond within 4 business hours.

Not subject to fill rate standards. (5.2.8)

– All scheduling performed between the government and contractor primarily in government system of record (5.2.14)

• Contractor shall have a backup plan if system is unavailable

Task 2 – Assign Personnel to Perform Services Required (Para 5.2)

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– The contractor shall provide FBPs and Prescreen Support personnel in the quantity requested by the government to qualify applicants for military service by performing the DPC-2, DPC-3, and DP-2 duties ordered, while performing to the established workload standards as described in Technical Exhibit D, Performance Workload and Quantity Measurement;

resulting in all projected and walk-in applicants being processed by the end of the work day, with no hold-over applicant’s remaining at the MEPS, or overdue prescreens due to insufficient Fee Basis Provider and/or Prescreen Support personnel staffing.

– Conduct

– Performance

– Timeliness

Task 3 – Provide Services to Qualify Applicants for Military (Para 5.3)

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– Prescreen Support Personnel computers for telework

– Equipment Management, Accountability, and Return

Task 4 – Manage, Assign, and Account for Government Furnished Property, Equipment and Information (5.4)

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– Assist with on-boarding/off-boarding

– Scheduling and management services

– Oversight of telework personnel

– Invoicing

– General reporting and meeting support

Task 5 – Support – Administrative, Management, Meetings and Reporting (Para 5.5)

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– Exhibit A – MEPS Information

– Exhibit B – Non-Disclosure Agreement

– Exhibit C – Training Requirements

– Exhibit D – Performance Workload and Quantity Measurement

– Exhibit E – HIPAA Requirement

– Exhibit F – MEPCOM Operating Schedule

Exhibits

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– The Government has unlimited rights to all documents/material produced under this contract.

– Ref Para 1.15

Data Rights

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– Background investigation, CAC issuance, and training coordination/completion in partnership with the government typically takes ~45 calendar days for new FBPs with open schedule availability for training to get to the DPC-2 or DP-2 levels. In ADDITION TO the contractor’s recruiting, qualification review, and hiring processes.

– Daily FBP need is variable from week to week and dependent on day of week and time of month and time of year; and also gov’t manning

• Lower-volume locations may have less frequent utilization of daily FBP but when they are needed, they are still very important to mission

• E.g. Albuquerque, Amarillo, Anchorage, Boise, Butte, El Paso, Fargo, Jackson, Shreveport

• Contractors ability to address variability

• Provider availability to support Saturday openings

– Introduction of MHS Genesis to MEPCOM in March 2022 increased need for computer and electronic medical records competency

– NATIONAL IMPACT: When the MEPS don’t have the # of providers on the floor they need, applicants are delayed in the pipeline, damaging their first experience with DoD, and increasing their likelihood of walking away

Operational Challenges

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Yvonne Y. Camarce Health Readiness Contracting Office

Contracting Officer

Solicitation Terms and Conditions

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• FAR Part 12 Commercial Terms and Standards

• Contract Type:

o Indefinite Delivery Indefinite Quantity (IDIQ), 4 Single Awards

• Period of Performance:

Five Year Ordering Period

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Proposed CLIN Structure 0001 – Phase In (Eastern) Eastern (ES) Pre-Screen 0002 – ES Defined Provider Category (DPC) 1 (Trainee) 0003 – ES DPC 2 (Journeyman) 0004 – ES DPC 3 (Trainer)

MEPS

0005 – ES DPC 1

0006 – ES DPC 2

0007 – ES DPC 3

0008 – ES DPC 4

0009 – Travel

0010 – Phase In (Western) Western (WS) Pre-Screen 0011 – WS DPC 1 (Trainee) 0012 – WS DPC 2 (Journeyman) 0013 – WS DPC 3 (Trainer)

MEPS

0014 – WS DPC 1

0015 – WS DPC 2

0016 – WS DPC 3

0017 – WS DPC 4

0018 – Travel

CLIN Structure

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Quality Assurance Surveillance Plan (QASP)

• A standard of surveillance for monitoring Fee Basis Providers Services

• Contractor performs in accordance with acceptable performance metrics

Quality Assurance Surveillance Plan

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Competitive, Trade-Off Source Selection Procedures

Tradeoff Process, FAR 15.101-1

• A tradeoff source selection approach

• The relative importance of cost or price may vary in relation to other evaluation factors as communicated by the Government to potential offerors in the solicitation per FAR Subpart 15.304(d) and (e).

Best Value FAR 15.101

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Tradeoff Process, FAR 15.101-1

Evaluation Factors

• Factor 1. Technical Capability o Sub-factor 1: Phase In Plan o Sub-factor 2: Management And Technical Approach o Sub-factor 3: Scheduling And Availability Approach

• Factor 2. Performance Risk (Past and or Current Performance)

• Factor 3. Price

Evaluation Factors

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• Factor 1 is significantly more important than Factor 2. Factor 2 is significantly more important than Factor 3. When combined Factors 1 and 2 are significantly more important than Factor 3.

• In accordance with FAR 15.304 (e) (1 ), all non-cost factors, when combined, are significantly more important than Price

• Offerors are cautioned that the awards may not necessarily be made to the lowest-priced offers

Basis of Award

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Instructions to Offerors (FAR 52.212-1)

General Instructions

• Offerors will be required to submit all documentation/ information detailed within the solicitation, including terms and conditions, representations and certifications, and technical requirements

• Failure to submit all required documentation/information may result in a proposal being ineligible for award

• In submitting a proposal, offerors will be agreeing to the terms and conditions as written in the entire solicitation

FAR Provision 52.212-1

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General Instructions continued

• The proposal shall be clear, concise, and shall include sufficient detail for effective evaluation and for substantiating the validity of stated claims

• The proposal shall not simply rephrase or restate the Government's requirements, but rather shall provide convincing rationale methods, processes and procedures to address how the offeror intends to meet these requirements

• Offerors shall assume the Government has no prior knowledge of their facilities and experience, and will base its evaluation on the information presented in the offeror’s proposal

FAR Provision 52.212-1 Continued

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FAR Addendum to 52.212-1 Instructions to Offerors

• Volume I – Administrative Cover Letter Master Table of Contents Contract Administrative Data Completed Signed SF 1449 and all amendments Completed FAR Clauses and Provisions Responsibility Determination Contractor Teaming Arrangement (if applicable) Glossary of Abbreviations and Acronyms

FAR Provision 52.212-1 Volume I

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FAR Addendum to 52.212-1 Instructions to Offerors

• Volume II – Technical Capability Proposal Offerors shall submit one virus free sanitized version and one virus free unsanitized version of the technical proposal.

The Technical Capability Proposal must specifically address the following sub-factors:

• Phase in Plan

• Management and Technical Approach

• Scheduling and Availability Approach

FAR Provision 52.212-1 Volume 2

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FAR Addendum to 52.212-1 Instructions to Offerors

• Volume III – Performance Risk Proposal (Past Performance) Master includes documentation that illustrates the Offeror’s performance on current or past USG or commercial contracts.

Volume III may include, no more than, three Performance

Assessment Submissions (PASs).

Each PAS shall describe work performed under one contract Each PAS shall meet the relevancy and recency Performance must have occurred within the last three years prior but not less than six months of the issuance date on the solicitation.

FAR Provision 52.212-1 Volume 3

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FAR Addendum to 52.212-1 Instructions to Offerors

• Volume IV – Price Proposal Completeness. The government requires complete proposals with respect to price. A complete proposal will include the proposed fixed labor rates for each labor category in schedule B (SF 1449), RFP attachment 7 Price Matrix and compensation plan

Volume IV shall include pricing information that will be used to evaluate an Offeror’s total price

UNDER NO CIRCUMSTANCES should pricing information be included elsewhere in the proposal.

A complete Volume IV shall include the information below:

• The SF 1449 inclusive of all contract line items.

• Compensation plan

• Price Matrix

FAR Provision 52.212-1 Volume 4

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Evaluation of Offers (FAR 52.212-2)

• Evaluation Approach. Each proposal received will be evaluated with the criteria outlined in the solicitation for the purpose of assessing the proposal and the offeror’s ability to perform the prospective contract successfully.

– Technical factors will be assigned an adjectival rating using the combined technical/risk ratings from the DoD Source Selection Procedures dated 20 August 2022

– The Past Performance factor, on the basis of “recent” past performance information, will be assigned a relevancy rating and a performance confidence assessment

FAR Provision 52.212-2

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– The Price factor will be evaluated to establish reasonableness of the otherwise successful offeror’s price and will not receive an evaluation rating

– All proposals shall be subject to evaluation by the Source Selection Team. The overarching evaluation approach for all factors is adequacy of response and feasibility of approach.

FAR Provision 52.212-2 Continued

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Consideration for Award

A rating of no less than “Acceptable” must be achieved on all technical factors and sub-factors under (Factor 1) Technical Quality.

Factor 2 Performance Risk, Past and Present Performance must first meet Recency and Relevancy definitions, to be further evaluated for Quality of Performance. A rating of no less than “Satisfactory Confidence” must be received on Factor 2 Performance Risk. A rating of “Unknown Confidence” will be neither treated favorably or unfavorably and shall be considered for award.

Factor 3 Price proposal must be considered fair and reasonable

• The Government understands competitive pricing for providers is a must to attract and retain them. This will be Full Trade Off and not LPTA.

• The Government Plans to incentivize performance – Fill-Rate

FAR Provision 52.212-2 Continued

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Combined Technical Risk Ratings

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Past Performance Relevancy Ratings

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Performance Confidence Assessments

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• The Government will evaluate price reasonableness for the fixed priced effort

• Adequate price competition pursuant to FAR 15.404-1(b)(2)(i) is anticipated to determine price reasonableness of the Price factor.

• Offerors are to complete the Pricing Spreadsheet (RFP Attachment TBD).

Instructions are listed on the “Instruction” tab.

• Do NOT change the formulas or any other numbers.

• An offeror’s Total Evaluated Price will be established by calculating the sum of the CLINS for each ordering year to arrive at the overall total.

• Post-Award Conference (Minimum Guarantee), CLIN 0025. Offerors shall not provide separate pricing for post-award conference (minimum guaranteed amount) as it is priced by the Government ($1,500).

Price Factor

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• The Government may use any of the following price analysis techniques pursuant to FAR 15.404-1(b) to determine price reasonableness:

– comparison of proposed prices received in response to the solicitation;

– comparison of proposed prices to historical prices paid, whether by the Government or other than the Government, for the same or similar items or services;

– comparison with competitive published price lists or market prices; comparison of proposed prices with independent Government cost estimates;

– comparison of proposed prices with prices obtained through with market research; and/or, analysis of data other than certified cost or pricing data provided by the offeror.

Price Factor Continued

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• Given that FAR Clause 52.217-8 provides the Government may exercise the option to extend services at the rates specified in the contract (i.e., the rates in effect when the Extension of Services option is exercised), for purposes of evaluating the option to extend services, the KO will consider the prices submitted for the base year and each ordering year as binding should the option to extend services be exercised.

FAR Clause 52.217-8

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• DFARS 252.204-7012 Safeguarding Covered Defense Information and Cyber Incident reporting

• Requires implementation of the National Institute of Standards and Technology (NIST) Special Publication 800-171, “Protecting Controlled Unclassified Information in Nonfederal Information Systems and Organizations,” in accordance with DoDI 8582.01 "Security of Unclassified DoD Information on Non-DoD Information Systems

• The contractor shall self-certify compliance to implementing the NIST SP 800-171 security requirements by submitting a signed and completed System Security Plan (or extract thereof) and any applicable Plans of Action items.

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

Information Security

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• The Contracting Officer will conduct a responsibility assessment, in accordance with FAR Part 9.104 of each offeror being considered for award

• The offeror must be otherwise qualified and eligible to receive an award under applicable laws and regulations

Contractor Responsibility

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FACTOR 1 TECHNICAL CAPABILITY. The Technical Capability Proposal must specifically address the following sub-factors:

SUB-FACTOR 1: PHASE IN PLAN The offeror shall provide, in narrative format, a description of their technical approach on how they intend to execute a timely and effective phase-in period within 120 calendar days in order to meet PWS requirements by the contract start date by addressing the following: At a minimum, include the following:

(a) Describe your company’s a detailed plan to recruit a sufficient qualified Fee-Basis Providers (FBPs) and prescreen support personnel at each location to include incumbent personnel in order to meet the minimum pool sizes of the PWS for both Permanent and Daily FPBs.

Describe training provided to FBPs and prescreen providers on MEPCOM requirements of their role (e.g. examination requirements for FBPs, prescreen requirements for Prescreen Support personnel), within the 120-day phase-in period in order to commence full performance of services by the contract start date.

Draft Technical Factors

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SUB-FACTOR 1: PHASE IN PLAN

(b) Describe your company’s understanding of industry standards for the credential processing and include a plan for submitting credential packages to USMEPCOM in time for USMEPCOM to grant privileges to the FBPs to begin work at the Exhibit A locations by the contract start date.

(c) Describe your company’s detailed plan, to include a milestone chart and a sequence of events, to address the start and completion for each event in the 120-day phase-in period (e.g., interviewing, hiring, human resource actions, credentialing, training, assumption of work and Government procedures, etc).

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SUB-FACTOR 2: MANAGEMENT AND TECHNICAL APPROACH.

The offeror shall provide a narrative describing their management and technical approach that addresses their method for accomplishing PWS requirements under the basic contract and resultant task orders.

At a minimum, include the following:

(a) Describe your company’s management approach for retaining FBPs and Prescreen Support personnel at each of the Exhibit A locations meeting the retention standards of the PWS, in order to maintain the required Exhibit A pools of FBPs during the course of contract performance. Your approach should include a plan for retaining newly recruited personnel during their credentialing, background check, and initial training process that may take up to 3-4 months before they start providing paid services under this contract.

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SUB-FACTOR 2: MANAGEMENT AND TECHNICAL APPROACH.

(b) Describe your company’s management approach for carrying out the employee-employer responsibilities related to disciplinary issues, competency, accountability of reporting on time based on local schedules, and adherences to PWS required timelines outlines in Exhibit D.

(c) Describe in detail your company’s key personnel and their qualifications and responsibilities to successfully execute this contract.

(d) Describe how your company will accommodate workload variability for daily requests, to ensure the availability of services to meet the order fulfillment percentages of this contract.

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SUB-FACTOR 2: MANAGEMENT AND TECHNICAL APPROACH.

(e) Describe your company’s management approach for maintaining currency of FBP’s medical licenses, Basic Life Support (BLS) recertification, and Common Access Card (CAC) recertification; and provide a plan for scheduling newly hired personnel for Government-provided training.

(f) Describe your company’s plan to create and review the quality of credential packages prior to submission to USMEPCOM, including re-credential packages; and a plan to ensure the quality control of their FBPs, assuring their mental and physical capabilities for successful performance.

(g) Describe your company’s plan to provide oversight of teleworking Prescreen Support personnel IAW standard 5f of the PWS in paragraph 5.5.2.

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SUB-FACTOR 3: SCHEDULING AND AVAILABILITY APPROACH.

The offeror shall provide a narrative describing their scheduling and availability approach addressing their method for accomplishing PWS requirements under the basic contract and resultant task orders. At a minimum, include the following:

(a) Describe your company’s procedures to schedule permanent FBPs and Prescreen Support personnel to work at the Exhibit A locations.

Describe your company’s procedures to schedule daily FBPs and Prescreen Support personnel with only a 36-hour notice across all time zones in the Continental United States, Hawaii, Alaska, and Puerto Rico.

(b) Describe how your company will address scheduling issues that may occur after hours.

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• SUB-FACTOR 3: SCHEDULING AND AVAILABILITY

APPROACH. (c) Describe your company’s plan to manage FBPs so that the contractor can meet the weekly Traveling FBP Availability List requirement of this contract.

• (d) Describe your company’s available solutions for scenarios when a FBP cannot be filled from their local MEPS FBP pool, or the Traveling FBP Availability List, in order to successfully meet the government’s needs.

• (e) Describe your company’s plan to provide visibility into FBP and Prescreen Support personnel availability, and changes to availability, as required by PWS paragraph 5.2.2.

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Challenges:

• What are some of the foreseeable challenges of meeting this requirement to include recruitment and retainment giving the variability

• What other factors does the Government need to consider that will drive up costs

• What is an industry standard to fulfilling similar requirements

• What are the benefits / challenges of breaking requirement into 4 regions?

• Issues with finding personnel that has Electronic Health Records experience? How to overcome this issue?

Additional Requirement Challenges

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• Proposal due date: as stated on solicitation

• Proposals shall be submitted via the Solicitation Module of the

Procurement Integrated Enterprise Environment (PIEE) suite at https://piee.eb.mil/

• All proposals received after the exact time specified for receipt shall be treated as late submissions and will not be considered except under facts and circumstances allowed by the Federal Acquisition Regulation (FAR). For instructions on how to post an offer, please refer to the Posting Offer demo:

https://pieetraining.eb.mil/wbt/sol/Posting_Offer.pdf.

Solicitation Terms and Conditions https://piee.eb.mil/ https://pieetraining.eb.mil/wbt/sol/Posting_Offer.pdf

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• Procuring and Administrative

– Contracting Officer – Ms. Yvonne Y. Camarce

– Contract Specialist – Ms. Maria Fidone

– Contract Specialist – Mr. Carlos Ramirez

Technical Representative

- Contracting Officer Representative – Michael G. Mitsch

Legal Representative

- Mr. Thomas Hineman

Government Representatives

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• Offerors are to read and follow the solicitation and amendments

• Any questions must be submitted in writing to maria.g.fidone.civ@health.mil, carlos.a.ramirez18.civ@health.mil and yvonne.y.camarce.civ@health.mil NLT Tuesday, December

19, 2023, 2:00 P.M. CST

• All Government Responses to the questions received via email only will be posted to the https://piee.eb.mil/.

Questions mailto:maria.g.Fidone.civ@health.mil mailto:Yvonne.y.Camarce.civ@health.mil

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DISCUSSION

Army Medicine is the Nation's premier, expeditionary and globally integrated medical force ready to meet the ever-changing challenges of today and tomorrow.