W9114F22R0002-0001 AMENDMENT 08APR22.pdf

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

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

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

30-105-04EXCEPTION TO SF 30

APPROVED BY OIRM 11-84

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

FAR (48 CFR) 53.243

The purpose of this amendment is to incorporate in the solicitation updates, revisions and provide answ ers to questions received and change the due date for submission of proposals.

See Summary of Changes.

1. CONTRACT ID CODE PAGE OF PAGES

1 97

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

16C. DATE SIGNED

BY 08-Apr-2022

16B. UNITED STATES OF AMERICA15C. DATE SIGNED15B. CONTRACTOR/OFFEROR

(Signature of Contracting Officer)(Signature of person authorized to sign)

8. NAME AND ADDRESS OF CONTRACTOR (No., Street , County, State and Zip Code) X W9114F22R0002

X 9B. DATED (SEE ITEM 11)

17-Mar-2022

10B. DATED (SEE ITEM 13)

9A. AMENDMENT OF SOLICITATION NO.

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

X The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offer X is extended, is not extended.

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

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

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

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

12. ACCOUNTING AND APPROPRIATION DATA (If required)

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

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

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

CONTRACT ORDER NO. IN ITEM 10A.

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

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

D. OTHER (Specify type of modification and authority)

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

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

10A. MOD. OF CONTRACT/ORDER NO.

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

6. ISSUED BY

3. EFFECTIVE DATE

08-Apr-2022

CODE

W40M RHCO USAHCA EUROPE

REGIONAL HEALTH CONTR OFC EUROPE

CMR 402

APO AE 09180

W9114F 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

W9114F22R0002

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 30 - BLOCK 14 CONTINUATION PAGE

The following have been added by full text:

QUESTIONS AND ANSWERS

Question Answers

On Page 433, paragraph (ii) of Factor 2 - Past Performance, the Government states "Performance is defined as at least 24 months of performance within the last three years." Will the Government please clarify whether they are looking for references to have 24 months of performance within the last three years or for the work to have been active within the last three years and have had at least 24 months of total performance? In consideration of this question, please note that requiring 24 months of performance in the most recent 3 year period would mean that any contract ending in FY20 or even as recent as the beginning of FY21 would be deemed not relevant.

While we understand the 3-year recency time period and the importance of reviewing a 24-month period to determine performance success level, the combination of the two, pending interpretation, can greatly impede the ability of capable businesses to pursue this opportunity. We kindly request that the Government allow references where the contracts have ended within the past three years but have had at least a 24 month total period of performance across the contract.

Refer to: Reference RFP Page 433, Paragraph (ii); "Performance is defined as at least 24 months of performance within the last three years."

Will there be small business subcontracting requirements for this solicitation?

Refer to: SF 1449, Page 1 - #10 - This Acqusition is "Unrestricted". There are no small business subcontracting requirements for this solicitation. NOTE: See paragraph

3.24. of the Performance Work Statement.

Reference: PWS 2.1.39 states “BACO-90 is an effective tool to get contractors in theatre to support the US Forces on a temporary basis” and “Period of Performance cannot exceed 90 days over a 12-month period…”. Question: Under ADCMS IV, is BACO-90 considered travel/temporary duty (TDY)?

If yes, are the associated travel and TDY-covered expenses (as specified in the Joint Travel Regulation) billable under the ‘TDY Travel and Per

DIEM CLIN’?

Response: For "BACO-90" part time providers, associated travel and TDY covered expenses are not billable under TDY Travel and Per Diem CLINs. Hourly pricing proposed for Part Time BACO-90 healthcare workers are inclusive of all costs and should be considered in the firm fixed price billable rate. See Updates and Revisions to Amendment 1 of Solicitation.

Reference: RFP Page 430 (52.212-1 Addendum) Technical Capability (Factor 1) states: “If the joint venture does not demonstrate the technical capability for award, submit technical capability of each party to the joint venture but the total submitted by the joint venture shall not exceed the maximum page count under Factor I”. Question: Will the Government please confirm that the technical capability of the members of a Joint Venture can be consolidated and proposed as a single approach for the Joint Venture? Rationale: The page limitation would need to be increased if the Government’s intent is for “each” party to the joint venture to submit their own approach to each of the stated evaluation criteria.

Refer to: 52.212-1 Addendum “If the joint venture does not demonstrate the technical capability for award, submit technical capability of each party to the joint venture but the total submitted by the joint venture shall not exceed the maximum page count under Factor I”. The maximum page count stands as written.

Reference: RFP Page 434 (52.212-1 Addendum) Performance Risk Questionnaire states: “The offeror shall e-mail to the Contracting Office a list of all the POCs who were sent a questionnaire.” Question:

Will the Government please confirm that this list is excluded from page count and provided separately from an offeror’s proposal?

Refer to: 52.212-1 Addendum Section (3) The "POC List" is excluded from any page count and provided separately from an offeror's proposal.

Reference: RFP Page 433 (52.212-1 Addendum) Performance Risk Questionnaire states: “This volume shall not exceed 25 pages excluding Past Performance Questionnaire Forms, Attachment 5 Performance Risk Questionnaire and Contractor Performance Assessment Reporting System (CPARS).” Question: Does this statement indicate/imply that the Government is requesting offerors provide CPARS reports in their proposals?

Refer to: 52.212-1 Addendum Section (ii) “This volume shall not exceed 25 pages excluding Past Performance Questionnaire Forms, Attachment 5 Performance Risk Questionnaire and Contractor Performance Assessment Reporting System (CPARS).

Reference: RFP Page 433 (52.212-1 Addendum) Past Performance (Factor 2) states: “Offeror shall submit three but not more than five references for commercial customers, Federal or DoD Agencies, or other military organizations contracts performed or awarded during the past three years from the issue date of this RFP, which are relevant to the efforts required by this solicitation.” Question: If the Government determines that less than 3 of an offeror’s past performance references are considered “relevant” does that immediately disqualify that offeror’s proposal?

Refer to: 52.212-1 Addendum, Section 3, "Volume II Factor 2 – Performance Risk (Present and Past Performance) "Absent any recent and relevant past performance history or when the performance record is so sparse that no meaningful confidence assessment rating can be reasonably assigned, the offeror will be assigned an “unknown confidence rating” and its proposal will not be evaluated either favorably or unfavorably on past performance."

Reference: RFP Page 433 (52.212-1 Addendum) Past Performance (Factor 2) states: “Offeror shall submit three but not more than five references for commercial customers, Federal or DoD Agencies, or other military organizations contracts performed or awarded during the past three years from the issue date of this RFP, which are relevant to the efforts required by this solicitation.” Question: If an offeror submits 5 Past Performance references and the Government’s proposal evaluation team determines that 2 of the 5 references are “very relevant” and the other 3 references are “not relevant”, is that offeror immediately disqualified from further evaluation/award consideration because they did not “submit three” references “which are relevant to the efforts required by this solicitation”?

Refer to 52.212-1 Addendum, Section 3, "Volume II Factor 2 – Performance Risk (Present and Past Performance) "Absent any recent and relevant past performance history or when the performance record is so sparse that no meaningful confidence assessment rating can be reasonably assigned, the offeror will be assigned an “unknown confidence rating” and its proposal will not be evaluated either favorably or unfavorably on past performance."

Question: Will the Government please specify the expected locations associated with the positions on ADCMS IV (in more detail than what Attachment 3 currently provides)? This information was provided under the ADCMS III RFP and was helpful for numerous reasons in preparing pricing and evaluating risk.

Refer to: Exhibit 4 PWS, The Prospective (although not inclusive) Location List. In addition to the SubCLINS in which geographical locations are identified.

Reference: RFP Page 453 (52.212-2 Addendum) Cost and Price Factor states: “Business Systems: The Government will verify the adequacy of the Offeror’s business systems.” Question: Will the Government please elaborate on this requirement? Is this just the Government ensuring that an offeror has an accounting system deemed adequate by DCMA/DCAA? Does this ‘verification’ include cybersecurity considerations (e.g., CMMC)?

Revised to read. 52.212-2 Addendum, Cost and Price Factor 4. Volume III, Factor 3 - Cost and Price Factor paragraph v.“Business Systems: "The Government will verify the adequacy of the Offeror’s business systems.” is deleted.

Reference: Exhibit 1, Page 6. Question: Will the Government please identify if the following positions are considered Personal or Non-Personal Services: Registered Nurse-Medical Service Specialist, Registered Nurse-Telehealth and Registered Nurse-Referral Management?

Revised to read. Exhibit 1, Page 6 is hereby revised to include deliniations between Personal or Non-Personal Services. Refer to the specific CLIN/SUBCLINs as each position is identified whether it is Personal or Non-Personal.

Reference: Exhibit 8. Question: Will the Government please provide the minimum requirements and core duties for a Registered Nurse- Medical Service Specialist and a Registered Nurse- Lactation Consultant?

Refer to: Exhibit 8 PWS - HCW Minimum Requirements. The minimum requirements and core duties for the RN Medical Service Specialist and RN Lactation Consultant are identified under the title of Registered Nurse.

Reference: CLIN 0001BV - Part Time Physician Assistant. Question: Will the Government please provide a paragraph to explain the use of Part Time (PT) Physician Assistants (PA) (e.g., when, where, how often, etc.) in support of the contract? How many simultaneous PT PAs could be expected? Is there any expectation that a PT PA assignment would be followed by another PT PA assignment at the same location?

Response: A part time Physician Assistant would be considered as a "BACO-90" position for a 90 day maximum term in the host Nation given existing work visa regulations. The part time Physician Assistant requirements varies year to year and may be performed during different times of each year for any total period of time as required and as noted in any resultant Task Order.

Reference: Solicitation, Page 369, PWS para

1.5.7.1.2. Question: Will the Government please

revise paragraph 1.5.7.1.2? Rationale: The last sentence of this paragraph is missing letters, making the sentence illegible.

Revised to read: PWS para 1.5.7.1.2. The Government may order more than 480 hours per position, however, under BACO-90, work cannot exceed 90 days within a 12-month period.

Reference: Solicitation, Page 454, Para 4.b.

Question: Will Part Time Physician Assistants receive housing, in-country transportation, and per diem as reimbursable travel costs or should these costs be included in the FFP billable rate under CLINs X001BV?

Revised to read -52.212-2 Addendum (iii)

(1) Volume III Cost/Price Para 4.b. The final billable hourly rate should be based on 1,912 hours (exclusive of relocation, travel, and DoDDs Tuition) per year for full time and 480 hours (inclusive of all costs) per 90 days for part time under BACO 90." Hourly pricing for Part Time Physician Assistants are inclusive of all costs and should be considered in the firm fixed price billable rate.

Reference: Solicitation, Page 451, Para 3.b. states:

“The word “contract,” as defined herein, for the purpose of present and past performance submissions under this solicitation, does not include individual delivery orders, task orders, or blanket purchase agreements or basic ordering agreements” Question: Will the Government please consider revising this definition to allow offerors to submit task orders as past performance references?

Rationale: For some of the largest IDIQ contracts (e.g., DHA’s MQS), Government program and contracting offices will not evaluate a contractor’s performance at the IDIQ level (i.e., they will not respond to Past Performance Questionnaires, and they will not complete a CPARS report at the IDIQ level). Many of these programs are structured to capture a contractor’s performance/quality ratings at the task order level.

Refer to: 52.212-2 Addendum, Section 3, Paragraph b, "The word “contract,” as defined herein, for the purpose of present and past performance submissions under this solicitation, does not include individual delivery orders, task orders, or blanket purchase agreements or basic ordering agreements.

Reference: Solicitation, Page 451, Para 3.b. states:

“The word “contract,” as defined herein, for the purpose of present and past performance submissions under this solicitation, does not include individual delivery orders, task orders, or blanket purchase agreements or basic ordering agreements.”

Question: Can an offeror provide a collection of task orders, under a single IDIQ contract, as a single past performance reference? Rationale: For some of the largest and most relevant IDIQ contracts (e.g., DHA’s MQS), Government program and contracting offices will not evaluate a contractor’s performance at the IDIQ level (i.e., they will not respond to Past Performance Questionnaires, and they will not complete a CPARS report at the IDIQ level). Many of these programs are structured to capture a contractor’s performance/quality ratings at the task order level.

Refer to: 52.212-2 Addendum, Section 3, Paragraph b, "The word “contract,” as defined herein, for the purpose of present and past performance submissions under this solicitation, does not include individual delivery orders, task orders, or blanket purchase agreements or basic ordering agreements.

Question: Will the Government be performing cost realism analysis on the compensation plans? If yes, will the Government eliminate offerors from the competition if their prices are unrealistic?

Refer to: 52.212-2 Addendum, Basis for Award, Subfactor 1E, Compensation Plan - A compensation plan, (see Attachment 4- Example Comp_Plan_Composite Rates) will be submitted for each labor category/CLIN established under Schedule B. Each labor category and all elements of the compensation plan will be evaluated against the Government Independent Estimate and current market prices to ensure that the proposed compensation is sufficient to attract and retain quality staffing.

Can United Kingdom Licensed Healthcare Workers be used for ADCMS IV positions?

Refer to Exhibit 8, PWS - HCW Minimum Requirements for Degrees, Education, Certification/Licenses and Experience.

Can the format for Attachment 4 be altered, or is it required to be submitted as provided in the Solicitation?

Refer to: Attachment 4- "Use a format similar to the one below for the compensation plan for the Health Care Workers to break out the base labor rate and fringe benefits on an hourly basis for all positions listed in the CLINS. Also provide the additional information required by the instructions for the Compensation Plan in VOLUME IV – PRICE PROPOSAL in the form narratives in addition to the format below. See FAR Provision 52.222-46.

In Attachment 4, would the Government like to see the LQA and Cost of Living Allowances called out on their own line(s), part of the Fringe rate, or part of the Annual Salary?

See answer to Question 20.

For the Part Time positions, how/where does the Government want the Offeror to include the relocation costs in Attachment 3.

Response: For part time providers, associated travel and TDY (relocation costs) covered expenses are not billable under TDY Travel and Per Diem CLINs. Hourly pricing proposed for Part Time healthcare workers are inclusive of all costs and should be considered in the firm fixed price billable rate. See Updates and Revisions to Amendment 1 of Solicitation.

If the Offeror does not currently have a requirement for DCMA approved Business Systems, how will the Government verify the adequacy of the Offeror's Business Systems?

Revised to read. RFP Page 453 (52.212-2 Addendum) Cost and Price Factor 4.

Volume III, Factor 3 - Cost and Price Factor paragraph v.“Business Systems: "The Government will verify the adequacy of the Offeror’s business systems.” is deleted.

Would the Government be willing to provide an unprotected copy of the pricing workbook, so long as the protected copy is submitted?

Response: No, Attachment 3, will remain protected.

Can the Government provide a projected FTE count by labor category for each location?

Response: Estimated FTE by labor category and geographic location are noted in the respective CLINs/SubCLINs.

Will the Government consider accepting an Exhibit as the pricing schedule for the 1449 instead of needing to fill in 283 pages of Section B? This way the base IDIQ can reference an Attachment for the pricing instead of having all CLINs filled in.

Response: The requirement remains.

Reference (iii) Volume III Cost/Price Factor 3 (1) "The Offeror shall provide a completed Schedule B Supplies or Services and Prices/Costs of the solicitation." NOTE: in order of Precedence: SF1449, Section B pricing, supersedes Attachment 3

Will Key Personnel be required at the IDIQ or Taks Order level? Can the Government please provide an estimate of the number of Key Personnel and the labor categories required?

Refer to: PWS Section 2.1.26; "KEY PERSONNEL: Personnel designated by the contractor who is knowledgeable of the terms and conditions of the contract and authorized to make decision on behalf of the contractor. Key Personnel List to be provided NLT ten (10) business days after contract award. Requirements in the contract flow down to the Task Order Level.

How will the Government be handling the pricing of Labor Categories listed in Exhibit 1 that are not priced as part of the proposal submission?

Response: Labor Categories in Exhibit 1 that are not priced as part of the proposal submission will be negotiated at the task order level.

With CMMC not yet fully codified, and version 2.0 still in rule making phase, will government remove the DFARS 252.204-7021 from the solicitation at this time?

Response: DFARS 252.204-7021 is included and shall serve as the guiding requirement(s).

How will the Government handle HCWs that are accompanied with dependents? Because the LQA and COLA are affected by dependents, should the Offeror assume pricing does not include dependents for the IDIQ pricing?

Response: LQA and COLA, with or without family, are not separately priced in this contract. See answer to question 15.

Would the government consider revising the requirement for past performance references from a minimum of 3 to a minimum of 2? Projects of this size and scope are extremely rare in the federal government – there are very few companies who can provide more than one or two. If the government decides to keep the minimum at 3, will you then allow subcontractors to provide past performance to supplement that of the prime?

Reference RFP Page 451, Section 3, "Volume II Factor 2 – Performance Risk (Present and Past Performance) "Absent any recent and relevant past performance history or when the performance record is so sparse that no meaningful confidence assessment rating can be reasonably assigned, the offeror will be assigned an “unknown confidence rating” and its proposal will not be evaluated either favorably or unfavorably on past performance."

Would the government consider revising the requirement to have both the contracting activity and the technical representative sign each past performance questionnaire? In our experience on similar contracts, the contracting activity and the technical representative have the same performance information available to them. An alternative would be to accept CPARS in lieu of PPQs

Refer to: 52.212-1 Addendum, (3) Performance Risk Assessment Questionnaire, "The offeror shall complete Part I of the Past Performance Questionnaire and e-mail the questionnaire to both the Government contracting activity and technical representative responsible for the past/current contract The POCs shall be instructed to electronically complete Part II of the questionnaire and e-mail the entire questionnaire to the Contracting Office no later than the proposal due date..."

Many clinical services contracts of similar size and scope are awarded under IDIQs with multiple customers at different locations. Would the government consider allowing contractors to bundle several task orders under an IDIQ to show size and scope and then submit the bundle as a single past performance reference?

Refer to 52.212-2 Addendum, Section 3, Volume II Factor 2.Paragraph b, "The word “contract,” as defined herein, for the purpose of present and past performance submissions under this solicitation, does not include individual delivery orders, task orders, or blanket purchase agreements or basic ordering agreements.

Are there currently staffing challenges at any of he required locations? If so, can the Government provide information on which positions and locations?

Response: Potential Offerors may submit a request via the Freedom of Information Act (FOIA) to request access to Federal records.

Does the Government have a preference for where the Contractor Representative (Program Manager) or Alternate Contractor Representative is located?

Refer to: PWS paragraph 1.6.4.1 - The POC shall be an individual who is knowledgeable of the terms and conditions of the contract, authorized to make decisions regarding the contract, and respond within one hour of being contacted by the Government.

SUMMARY OF CHANGES

The purpose of this amendment is to incorporate in the solicitation updates, revisions and provide answers to questions received.

UPDATES AND REVISIONS:

1. Revised: CLINS 0001BE, 0001BF, 1001BE, 1001BF, 2001BE, 2001BF, 3001BE, 3001BF, 4001BE, & 4001BF, replace Pre/Post Deployment Health Assessment (PDHA) and Deployment Related Health Reassessment (DRHR) with Deployment Related Health Assessment (DHRA).

2. Replaced Attachment 3 Individual Labor Category Pricing PW protected.xlsx with Attachment 3 – Individual Labor Category Pricing REV1.xlsx, which corrected the formula for rows 16-18.

3. Replaced Exhibit 1 PWS HCW Labor Categories.docx with Exhibit 1 PWS HCW Labor Categories REV 1.docx. Revised the Labor Categories under Ancillary Services –Physician Assistant DRHA and under Nursing Services, Nurse Practitioner, DRHA. Also identified positions Registered Nurse-Medical Service Specialist, Registered Nurse-Telehealth and Registered Nurse-Referral Management as “Personal Services”.

4. Add to: 52.212-1 Addendum 1, Proposal Submission Requirements, included:

Matthew.R.Elden.civ@mail.mil to: “NOTE: Offeror, a non-authenticated user (Guest), must request, in writing, to either Sarah.F.Taylor.civ@mail.mil, Matthew.R.Elden.civ@mail.mil or Caesar.Trevino.civ@mail.mil access “drop-off” their proposal in DoD Safe.”

5. Revised: 52.212-1 Addendum 1 (iii) VOLUME III Cost/Price –Factor 3 (1) and (3)

From: “The final fully burdened billable hourly rate should be based on 1,912 hours (exclusive of relocation, travel, and DoDDs Tuition) per year for full time and 480 hours (inclusive of relocation costs) per 90 days for part time under the BACO 90.”

To “The final fully burdened billable hourly rate should be based on 1,912 hours (exclusive of relocation, travel, and DoDDs Tuition) per year for full time and 480 hours (inclusive of all costs) per 90 days for part time under the BACO 90.”

6. Revised: 52.212-2 Addendum 1 4. Volume III, Factor 3-Cost and Price Factor b.

From: “The final billable hourly rate should be based on 1,912 hours (exclusive of relocation, travel, and DoDDs Tuition) per year for full time and 480 hours (inclusive of relocation costs) per 90 days for part time under BACO 90.

To: “The final billable hourly rate should be based on 1,912 hours (exclusive of relocation, travel, and DoDDs Tuition) per year for full time and 480 hours (inclusive of all costs) per 90 days for part time under

BACO 90.”

7. Added Provisions 252.215-7016 and 252.216-7010.

8. Revised: 52.212-2 Addendum, Cost and Price Factor 4. Volume III, Factor 3 - Cost and Price Factor paragraph v.“Business Systems: "The Government will verify the adequacy of the Offeror’s business systems.” is deleted.

9. Revised: PWS para 1.5.7.1.2, last sentence to be legible. It now reads: “The Government may order more than 480 hours per position, however, under BACO-90, work cannot exceed 90 days within a 12-month period.”

SECTION SF 1449 - CONTINUATION SHEET

SOLICITATION/CONTRACT FORM

The required response date/time has changed from 26-Apr-2022 12:00 PM to 02-May-2022 12:00 PM.

SUPPLIES OR SERVICES AND PRICES

SUBCLIN 0001BE

The CLIN description has changed from Nurse Practitioner- PDHR to Nurse Practitioner- DRHA.

The CLIN extended description has changed from:

The contractor shall provide personal Nurse Practitioner - Post Deployment Health Reassessment services in accordance with the Performance Work Statement and Exhibits with performance within Belgium, Germany and Italy, See Exhibit 4 PWS, Prospective Location List and requirements IAW Exhibit 8, PWS, HCW Minimum Requirements. Specific duty locations will be annotated at the task order level. (1912 hours = 1 FTE)1st Ordering Period: 01 October 2022 - 30 September 2023

To:

The contractor shall provide personal Nurse Practitioner - Deployment Related Health Assessment services in accordance with the Performance Work Statement and Exhibits with performance within Belgium, Germany and Italy, See Exhibit 4 PWS, Prospective Location List and requirements IAW Exhibit 8, PWS, HCW Minimum

Requirements. Specific duty locations will be annotated at the task order level. (1912 hours = 1 FTE)1st Ordering Period: 01 October 2022 - 30 September 2023

SUBCLIN 0001BF

The CLIN description has changed from Physician Assistant - DRHR to Physician Assistant - DRHA.

SUBCLIN 1001BE

The CLIN extended description has changed from:

The contractor shall provide personal Nurse Practitioner - Post Deployment Health Reassessment services in accordance with the Performance Work Statement and Exhibits with performance within Belgium, Germany and Italy, See Exhibit 4 PWS, Prospective Location List and requirements IAW Exhibit 8, PWS, HCW Minimum Requirements. Specific duty locations will be annotated at the task order level. (1912 hours = 1 FTE)2nd Ordering Period -01 October 2023 - 30 September 2024

The contractor shall provide personal Nurse Practitioner - Deployment Related Health Assessment services in accordance with the Performance Work Statement and Exhibits with performance within Belgium, Germany and Italy, See Exhibit 4 PWS, Prospective Location List and requirements IAW Exhibit 8, PWS, HCW Minimum Requirements. Specific duty locations will be annotated at the task order level. (1912 hours = 1 FTE)2nd Ordering Period -01 October 2023 - 30 September 2024

SUBCLIN 1001BF

SUBCLIN 2001BE

The CLIN extended description has changed from:

The contractor shall provide personal Nurse Practitioner - Post Deployment Health Reassessment services in accordance with the Performance Work Statement and Exhibits with performance within Belgium, Germany and Italy, See Exhibit 4 PWS, Prospective Location List and requirements IAW Exhibit 8, PWS, HCW Minimum Requirements. Specific duty locations will be annotated at the task order level. (1912 hours = 1 FTE)3rd Ordering Period -01 October 2024 - 30 September 2025

The contractor shall provide personal Nurse Practitioner - Deployment Related Health Assessment services in accordance with the Performance Work Statement and Exhibits with performance within Belgium, Germany and Italy, See Exhibit 4 PWS, Prospective Location List and requirements IAW Exhibit 8, PWS, HCW Minimum Requirements. Specific duty locations will be annotated at the task order level. (1912 hours = 1 FTE)3rd Ordering

Period -01 October 2024 - 30 September 2025

SUBCLIN 2001BF

SUBCLIN 3001BE

The CLIN extended description has changed from:

The contractor shall provide personal Nurse Practitioner - Post Deployment Health Reassessment services in accordance with the Performance Work Statement and Exhibits with performance within Belgium, Germany and Italy, See Exhibit 4 PWS, Prospective Location List and requirements IAW Exhibit 8, PWS, HCW Minimum Requirements. Specific duty locations will be annotated at the task order level. (1912 hours = 1 FTE)4th Ordering Period -01 October 2025 - 30 September 2026

The contractor shall provide personal Nurse Practitioner - Deployment Related Health Assessment (DRHA) services in accordance with the Performance Work Statement and Exhibits with performance within Belgium, Germany and Italy, See Exhibit 4 PWS, Prospective Location List and requirements IAW Exhibit 8, PWS, HCW Minimum Requirements. Specific duty locations will be annotated at the task order level. (1912 hours = 1 FTE)4th Ordering Period -01 October 2025 - 30 September 2026

SUBCLIN 3001BF

SUBCLIN 4001BE

The CLIN description has changed from Nurse Practitioner- PDHR to Nurse Practitioner- DHRA.

The CLIN extended description has changed from:

The contractor shall provide personal Nurse Practitioner - Post Deployment Health Reassessment services in accordance with the Performance Work Statement and Exhibits with performance within Belgium, Germany and Italy, See Exhibit 4 PWS, Prospective Location List and requirements IAW Exhibit 8, PWS, HCW Minimum Requirements. Specific duty locations will be annotated at the task order level. (1912 hours = 1 FTE)5th Ordering Period -01 October 2026 - 30 September 2027

The contractor shall provide personal Nurse Practitioner - Deployment Related Health Assessment services in accordance with the Performance Work Statement and Exhibits with performance within Belgium, Germany and Italy, See Exhibit 4 PWS, Prospective Location List and requirements IAW Exhibit 8, PWS, HCW Minimum Requirements. Specific duty locations will be annotated at the task order level. (1912 hours = 1 FTE)5th Ordering Period -01 October 2026 - 30 September 2027

SUBCLIN 4001BF

The following have been added by full text:

252.215-7016 NOTIFICATION TO OFFERORS--POSTAWARD DEBRIEFINGS (MAR 2022)

(a) Definition. As used in this provision--

Nontraditional defense contractor means an entity that is not currently performing and has not performed any contract or subcontract for DoD that is subject to full coverage under the cost accounting standards prescribed pursuant to 41 U.S.C. 1502 and the regulations implementing such section, for at least the 1-year period preceding the solicitation of sources by DoD for the procurement (10 U.S.C. 2302(9)).

(b) Postaward debriefing.

(1) Upon timely request, the Government will provide a written or oral postaward debriefing to successful or unsuccessful offerors for contract awards valued at $10 million or more, while protecting the confidential and proprietary information of other offerors. The request is considered timely if received within 3 days of notification of contract award.

(2) When required, the minimum postaward debriefing information will include the following:

(i) For contracts in excess of $10 million and not in excess of $100 million with a small business or nontraditional defense contractor, an option for the small business or nontraditional defense contractor to request disclosure of the agency's written source selection decision document, redacted to protect the confidential and proprietary information of other offerors for the contract award.

(ii) For contracts in excess of $100 million, disclosure of the agency's written source selection decision document, redacted to protect the confidential and proprietary information of other offerors for the contract award.

(3) If a required postaward debriefing is provided--

(i) The debriefed Offeror may submit additional written questions related to the debriefing not later than 2 business days after the date of the debriefing;

(ii) The agency will respond in writing to timely submitted additional questions within 5 business days after receipt by the contracting officer; and

(iii) The postaward debriefing will not be considered to be concluded until the later of--

(A) The date that the postaward debriefing is delivered, orally or in writing; or

(B) If additional written questions related to the debriefing are timely received, the date the agency delivers its written response.

(c) Contract performance. The Government may suspend performance of or terminate the awarded contract upon notice from the Government Accountability Office of a protest filed within the time periods listed in paragraphs (c)(1) through (3) of this provision, whichever is later:

(1) Within 10 days after the date of contract award.

(2) Within 5 days after a debriefing date offered to the protestor under a timely debriefing request in accordance with Federal Acquisition Regulation (FAR) 15.506 unless an earlier debriefing date is negotiated as a result.

(3) Within 5 days after a postaward debriefing under FAR 15.506 is concluded in accordance with Defense Federal Acquisition Regulation Supplement 215.506-70(b).

(End of provision)

252.216-7010 POSTAWARD DEBRIEFINGS FOR TASK ORDERS AND DELIVERY ORDERS (MAR 2022)

(a) Postaward debriefing.

(1) Upon timely request, the Government will provide a written or oral postaward debriefing for task orders or delivery orders valued at $10 million or more to the Contractor, regardless of whether the Contractor's offer for the task order or delivery order was successful or unsuccessful, while protecting the confidential and proprietary information of other contractors. The request is considered timely if received within 3 days of notification of task order or delivery order award.

(2) If a required postaward debriefing is provided--

(i) The debriefed Contractor may submit additional written questions related to the required and provided debriefing within 2 business days after the date of the debriefing;

(ii) The agency will respond in writing to timely submitted additional questions within 5 business days after receipt;

and

(iii) The postaward debriefing will not be considered to be concluded until the later of--

(A) The date that the postaward debriefing is delivered, orally or in writing; or

(B) If additional written questions related to the debriefing are timely received, the date the agency delivers its written response.

(b) Task order or delivery order performance. The Government may suspend performance of or terminate the awarded task order or delivery order upon notice from the Government Accountability Office of a protest filed within the time periods listed in paragraphs (b)(1) through (3) of this clause, whichever is later:

(1) Within 10 days after the date a task order or delivery order is issued, where the value exceeds $25 million (10 U.S.C. 2304c(e)).

(2) Within 5 days after a debriefing date offered to the protestor under a timely debriefing request in accordance with Federal Acquisition Regulation (FAR) 15.506 unless an earlier debriefing date is negotiated as a result.

(3) Within 5 days after a postaward debriefing under FAR 15.506 is concluded in accordance with Defense Federal Acquisition Regulation Supplement 215.506-70(b).

(End of clause)

The following have been modified:

52.212-1 ADDENDUM

PROPOSAL SUBMISSION (FAR 52.212-1 Addendum)

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

Paragraph (b), the second sentence is deleted and replaced with the following: “Proposals must be submitted on the SF 1449 and accompanied by all requested items elsewhere specified in the solicitation. Offerors must be registered in SAM at the time a proposal is submitted and to comply with the Annual Representation and Certification.

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

Paragraph 52.212-1(b) added the following:

General Instructions:

This will be a single award task order (SATOC) (all or none), Indefinite Delivery/Indefinite Quantity (ID/IQ) contract. Offerors proposing less than the entire effort specified herein will be determined to be unacceptable. The contract is intended to be awarded for a 5-year ordering period. The maximum program value is up to $100M over a 5-year ordering period. However, this contract is an IDIQ ordering vehicle and does not guarantee any funds above the minimum contract award amount. Congressional budget year allocations and prioritized requirements may determine future task order awards.

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

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

Addenda to 52.212-1(g), the following paragraph is added to the end of the current paragraph as follows: "After evaluating proposals, if discussions are deemed necessary, the contracting officer may determine that the number of most highly rated proposals that might otherwise be included in the competitive range exceeds the number at which an efficient competition can be conducted. In this event, the contracting officer may limit the number of proposals in the competitive range to the greatest number that will permit an efficient competition among the most highly rated proposals."

Paragraph 52.212-1 (m) is hereby added: (m) The non-FAR Part 12 discretionary FAR and DFARS 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.

Paragraph 52.212-1 (n) is hereby added: (n) Organizational Conflict of Interest. For those offerors planning to engage in a teaming arrangement, a conflict of interest may be created if a company is identified as a prime offeror, teaming partner, or as a member of a Joint Venture on more than one proposal. Each participating company shall only submit one proposal. If the contracting officer concludes during proposal evaluation that a potential conflict of interest exists because one or more companies have participated in more than one proposal as a prime offeror, teaming partner, or as a member of a Joint Venture, the contracting officer reserves the right to require a conflict of interest mitigation plan from the prime offerors of those proposals. If an offeror fails to submit a plan, or submits an inadequate plan, the offeror may not be considered.

1. PROPOSAL SUBMISSION REQUIREMENTS

a. Each volume shall be submitted electronically on https://safe.apps.mil/submittal. NOTE: Offeror, a non-authenticated user (Guest), must request, in writing, to either Sarah.F.Taylor.civ@mail.mil, Matthew.R.Elden.civ@mail.mil or Caesar.Trevino.civ@mail.mil access “drop-off” their proposal in DoD Safe.

Once requested, a 12 digits request code will be sent; which is required to upload proposal into DoD Safe.

Uploaded data into DoD Safe is only held on DoD SAFE for a maximum of 7 days, after which time it is automatically deleted. There is no "undelete" facility available at all. The maximum file size of a package is 8 GB.

Guests (i.e., PIV holders, users with .com and .edu emails) can send files but only if solicited by CAC Users. It is the Offerors responsibility to ensure they have allowed enough time between requesting access to DoD Safe and uploading files to ensure proposal submission by the due date on the proposal. Each volume should include one identifying names or symbols of your company). Any portion of the proposal that is changed (as a result of negotiations or proposal revisions) should be annotated and dated. Each volume shall be clearly labeled with its title and a copy number (e.g., copy 1 of 1).

b. It is the Offeror’s responsibility to request access to DoD Safe and confirm with the Government that the electronic submissions through, https://safe.apps.mil/submittal, are received by the Government before the due date and time.

c. To be considered for evaluation, proposals must be received no later than the date and time (European Central Time) specified in Block 8, SF 1449. Proposals shall be submitted in the format stated in the "Proposal Table of Contents" listed below in Section 2 "Proposal Files". Files shall not contain classified data.

d. Page Limitations. Page limitations shall be treated as maximums.

Pages in excess of the below limitations will be removed and disregarded during the evaluation. When both sides of a sheet display printed material, it shall be counted as two pages. Each page shall be counted except the following:

covers, tab dividers, title pages, glossaries, and table of contents/file index. Also, page limits are applicable to legible tables, charts, graphs and figures used wherever practical to depict organizations, implementation schedules, plans, etc.

e. The offeror’s proposal shall include all data and information requested herein and shall be submitted in accordance with these instructions. Offerors are required to submit all documentation and information detailed herein, including terms and conditions, representations and certifications, and technical requirements. Failure to submit all required documentation and information may result in a proposal being ineligible for award. In submitting a proposal, offerors are agreeing to the terms and conditions as written in the entire solicitation.

f. Deadline for submission of questions is 14 calendar days after solicitation posting date at 1200 Central European Time. Answers will be posted through an amendment to the solicitation. Submit your questions to sarah.f.taylor.civ@mail.mil and caesar.trevino.civ@mail.mil. Questions will not be accepted after the question closing date. See Attachment 1 Contractor Question Sheet.

g. If an offeror believes that the requirements in these instructions (including Exhibits and Attachments) contain an error, omission, or are otherwise unsound, the offeror shall immediately notify sarah.f.taylor.civ@mail.mil and caesar.trevino.civ@mail.mil in writing with supporting rationale. The offeror is reminded that the Government reserves the right to award this contract based on the initial proposal, as received, without discussions.

The following volumes of material shall be submitted –Proposal Table of Contents:

Table 1:

Volume #

Volume Title

Copies

Maximum Page Limit Per Volume

I Factor 1 – Technical Capability

1 electronic copy through https://safe.apps.mil/submittal 50 Does not include pages for

NOTE:

Pages that exceed the required page limitations will not be evaluated. Additional pages over the maximum allowed will be removed or not read and will not be evaluated by the Government. Each volume of the offeror's proposal Factor 1) Technical Capability, Factor 2) Performance Risk (Past and Present Performance), and (Factor 3) Price shall be submitted in separate folders.

Pages with Tables and Exhibits are included in the page count. Pages not included are as follows:

Table of Contents Glossaries of Abbreviations and Acronyms Dividers Blank pages

2. PROPOSAL FILES

a. Format. The submission shall be clearly indexed and logically assembled.

Each volume shall be clearly identified and shall begin at the top of a page. All pages of each volume shall be appropriately numbered and identified by the complete company name, date and Request for Proposal (RFP) number in the header and/or footer. A Table of Contents should be created using the Table of Content feature in MS Word. MS Word (doc) files shall use the following page setup parameters:

compensa tion plans

Section A Subfactor 1A Management Approach

Section B Subfactor 1B Recruitment and Retention

Section C Subfactor 1C Management Capability & Experience

Section D Subfactor 1D Transition-In Plan

Section E Subfactor IE Compensation Plan

1 page each for each position/CLIN

II Factor 2 –Performance Risk Proposal (Present and Past Performance)

1 electronic copy through https://safe.apps.mil/submittal

III Factor 3 Price 1 electronic copy through https://safe.apps.mil/submittal No Limit

IV Administrative 1 electronic copy through https://safe.apps.mil/submittal No Limit

Section A Completed/signed SF1449

Section B Acknowledged/signed amendments

Section C Completed Provisions & Certification and Representation

Section D Statement of Offeror Appointed Individual – Contractual Oblig

Section E Responsibility Determination

Margins – Top, Bottom, Left, Right – 1” Gutter – 0” From Edge – Header, Footer 0.5” Page Size, Width – 8.5” Page Size, Height – 11”

Text – Times New Roman Font - 12

The following additional restrictions apply:

b. File Packaging. All Offerors shall submit Volumes I through IV in electronic format using https://safe.apps.mil/ clearly labeled with the Offeror’s POC, Email, phone number, Commercial and Government Entity (CAGE) Code, Unique Entity Identifier (UEI) replaces Data Universal Numbering System (DUNS), volume number and volume title. Include Attachment 2, Contractor Information Sheet. If files are compressed, the necessary decompression program must be included. The electronic versions of the proposal shall be submitted in a format readable by, at a minimum, Microsoft (MS) Office Word 2007, MS Office Excel 2007, MS Office Project 2007, and MS Office Power Point 2007, as applicable. All applications should be version 2007 or later. The Government will accept .pdf files for the electronic version with the exception of the price proposal, including compensation files (refer to Attachment 4 Example Compensation Plan) (MS Office Excel 2007 or latest compatible version) which requires the formulas to be reviewed by the Government. In addition the price breakdown information to aide in the price evaluation shall also be submitted as a Microsoft Office Excel document (.xlsx) and viewable on Microsoft Excel 2007 or later (refer to Attachment 3, Pricing Sheet).

c. Content Requirement. All information shall be confined to the appropriate volume and section. For example, only information included in the section labeled “Volume I, Subfactor 1A, Management Approach” will be evaluated for Management Approach. If Management Approach information is included elsewhere in the proposal (e.g., different volume or Subfactor), it will not be evaluated as part of the Subfactor 1A – Management Approach. The Government will not adapt its evaluation to comply with an Offeror’s proposal submission or otherwise go in search of information that an Offeror omitted or failed adequately to present.

The Offeror shall confine submissions to essential matters, sufficient to define the proposal in a concise manner, to permit a complete and accurate evaluation of each proposal. Each file of the proposal shall consist of a Table of Contents, Summary Section, and the Narrative discussion. Offeror’s volumes shall include section, paragraph, and page number on each sub-factor page. Page numbers shall be continuous and not restart at the beginning of each subfactor. Sub-factors shall begin at the top of a new page. The Summary Section shall contain a brief abstract of the file. The Offeror shall clearly mark any proprietary information as such. The following shall be included in the Narrative discussion:

(i) VOLUME I – TECHNICAL CAPABILITY (FACTOR 1).