W9114F23R0002-0001 BH TBI 19Jan2023 Amendment.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 Solicitation Amendment, 01, is to provide answ ers to questions submitted timely by interested parties, provide updates and revisions to the Solicitation, and include a revised Attachments and Exhibits. See Summary of Changes.

The due date for submission of proposal has been extended to Friday, 03 February 2023, 12:00PM, Central European Time.

1. CONTRACT ID CODE PAGE OF PAGES

J 1 107

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

16C. DATE SIGNED

BY 19-Jan-2023

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 W9114F23R0002

X 9B. DATED (SEE ITEM 11)

15-Dec-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

09-Jan-2023

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:

W9114F23R0002

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

UPDATES AND REVISIONS:

1. Replaced Attachment 3 BH TBI Individual Labor Category Pricing protected.xlsx with Attachment 3 – BH TBI Individual Labor Category Pricing REV1.xlsx, which corrects the data entry into columns H and K;

removes position title for X107 from Nurse Practitioner includes PDHRA to “Reserved”; added “Psychiatric Technician” to X304 and X112, Mental Health Technician and Behavioral Health Technician respectfully.

2. Replaced Exhibit 1 BH TBI PWS HCW Labor Categories Personal and Non Personal Services with Exhibit 1 BH TBI PWS HCW Labor Categories Personal and Non Personal Services REV 1.docx. Revised the Labor Categories under Ancillary Services –Psychiatric Technician to add Behavioral Health and Mental Health Technician.

3. Replaced Exhibit 8 BH TBI PWS HCW Minimum Qualifications with Exhibit 8 BH TBI PWS HCW Minimum Qualifications Services REV 1.docx. Revised the Titles Clinical Psychologist to include Adult;

added Mental Health Technician and Behavioral Health Technician under Psychiatric Technician.

4. Corrected email address from Sarah.f.Taylor.civ@mail.mil to Sarah.f.Taylor.civ@health.mil.

5. Refer to Questions and Answers below for additional changes to solicitation.

Q

FROM Document Pg # Para # Question Answers

1 Exhibit 10 Exhibit 10 N/A N/A The file uploaded and labeled as Exhibit 10 BH TBI PWS Contractor Performance Status Report is a copy of Exhibit 1 BH TBI HCW Labor Categories.

Question: Please provide the correct document for Exhibit 10.

Response: Solicitation revised to include the correct Exhibit 10 titled:

"Exhibit 10 BH TBI PWS Contractor Performance Status Report REV 1".

2 W9114F23R0002

BH

TBI_15DEC22

W9114F23R0002

BH

TBI_15DEC22

106 3.15 The PWS states that SOFA and Logistical Support is not guaranteed. It further states in paragraph 3.25 that, "...The Contractor shall obtain TCSA (by German and Italian authorities) for all HCWs prior to commencement of services under this contract.

The Contractor shall not employ Troop Care providers that have not been accredited to specific positions at specific locations."

Typically, disapproval of TCSA status by German or Italian authorities is based on the position and not individual. If a position is not granted TCSA (and therefore SOFA/logistical support) status, then the individual will have to be hired under the appropriate Host Nation system.

Can the government provide historical data on the proposed positions and if they were granted TCSA status previously?

Refer to: PWS Paragraph 1.4.1. "As used in this contract, positions under “Description of Services” includes services of all direct and non-direct care medical specialties. Only the specialties listed in Exhibit 1 are pre-approved by the DoD Contractor Personnel Office (DOCPER)/host nation authorities."

Historical data, Exhibit

12 BH TBI PWS

Historical Awarded Data, reflects the proposed positions, for Germany and Italy that were granted TCSA status under the current BH/TBI IDIQ contract.

3 W9114F23R0002

BH

TBI_15DEC22

W9114F23R0002

BH

TBI_15DEC22

55 5.5.1. FAR 52.237-7 states "(a) It is expressly agreed and understood that this is a nonpersonal services contract..." Will the Government please confirm that this clause only applies to Task Orders issued for nonpersonal services and would not apply to or be included in Task Orders for personal services?

Response: FAR Clause 52.237-7 only applies to non-personal service positions and does not apply to personal service positions. Refer to Exhibit 1 BH TBI PWS HCW-Labor Categories Personal and Non Personal Services

REV1.

4 W9114F23R0002

BH

TBI_15DEC22

W9114F23R0002

BH

TBI_15DEC22

87 1.6.7.4 and 1.6.7.10

The PWS states, "Transportation shall be authorized and consist of airfare, transportation of household goods (HHG), unaccompanied baggage (UB), shipment of one (1) POV. The Government will reimburse the contactor (and authorized family members) a maximum total of $6,750.00 per diem for relocation expenses (lodging, meals, and incidental expenses, not to exceed $225.00 per day) for up to (thirty (30) calendar days) when the contract employee first arrives in OCONUS, and a maximum of $1,575.00 for up to (seven

(7) calendar days) before the contract employee departs

OCONUS."

Question: The current Per Diem rates provided by the Defense Travel Management Office for CY 2022 in Germany exceeds the $225/day currently authorized. Will the government adjust the NTE amount to reflect?

Refer to: PWS Paragraph 1.6.7.4.

"Transportation shall be authorized and consist of airfare, transportation of household goods (HHG), unaccompanied baggage (UB), shipment of one (1) POV. The Government will reimburse the contactor (and authorized family members) a maximum total of $6,750.00 per diem for relocation expenses (lodging, meals, and incidental expenses, not to exceed $225.00 per day) for up to (thirty (30) calendar days) when the contract employee first arrives in OCONUS, and a maximum of $1,575.00 for up to (seven (7) calendar days) before the contract employee departs OCONUS. The maximum reimbursement for per diem will be based on the actual number of days in temporary lodging at a rate not to exceed of $225.00 per day. Per diem, lodging, and required miscellaneous expenses incurred by the Contractor employee before the Contractor employee arrives in OCONUS or after the Contractor employee repatriates back to CONUS, will not be reimbursed by the Government."

5 Attachment 3 / Exhibit 8

Attachment 3 / Exhibit 8

N/A N/A Will the Government please clarify what the difference is between the "Nurse Practitioner, includes Psychiatric & PDHRA" position under CLIN X104 and the "Nurse Practitioner includes Post Deployment Health Reassessment (PDHRA)" position under CLIN X107? Is the position under CLIN X104 primarily a Psychiatric NP which has a significantly different compensation than an NP-

PDHRA?

Response: There is no difference between the qualifications or pricing for the "Nurse Practitioner, includes Psychiatric & PDHRA" position under X104 and the "Nurse Practitioner includes Post Deployment Health Reassessment (PDHRA) under X107. Therefore Line item number X107, title has been changed from Nurse Practitioner includes Post Deployment Health Reassessment (PDHRA) to "Reserved " and the number of FTE from X107 has been added to X104.

6 Exhibit 8 Exhibit 8 N/A N/A Will the Government please provide the minimum qualification requirements for the following positions which are included in Attachment 3, but which are not included in Exhibit 8? Behavioral Health Technician (Psychiatric Tech) (CLIN X112), Neurologist - Board Certified (CLIN X121), and Mental Health Technician (Psychiatric Tech)

(CLIN X304).

Response: Minimum qualifications for Behavioral Health Technician and Mental Health Technician fall under the title of “Psychiatric Technician”. Titles Behavioral Health Technician and Mental Health Technician have included in Exhibit 8 BH

TBI PWS HCW

Minimum Qualifications REV 1, under the title of Psychiatric Technician.

Minimum qualifications for Neurologist - Board Certified is under "Physician" .

7 Attachment 3 / Exhibit 8

Attachment 3 / Exhibit 8

N/A N/A For the Behavioral Health Technician (Psychiatric Tech) (CLIN X112), should this be a Psychiatric Technician?

Response: Yes, the Behavioral Health Technican is the same as a Psychiatric Technician. Title Psychiatric Technician has been added to Behavioral Health Technician in Attachment 3, X112.

Positions are one in same.

8 Attachment 3 / Exhibit 8

Attachment 3 / Exhibit 8

N/A N/A For the Mental Health Technician (Psychiatric Tech) (CLIN X304), should this be a Psychiatric Technician?

Response: Yes, the Mentall Health Technican is the same as a Psychiatric Technician. Title Psychiatric Technician has been added to Mental Health Technician in Attachment 3, X304.

Positions are one in same.

9 Attachment 3 / Exhibit 8

Attachment 3 / Exhibit 8

N/A N/A Will the Government please clarify what the difference is between the "Psychologist, Clinical (Child or Adult) " position under CLIN X307 and the "Psychologist, Clinical (BHC/BHOP) (Child or Adult)" position under

CLIN X308?

Refer to: Exhibit 8 BH

TBI PWS HCW

Minimum Qualifications REV 1 for differences between "Psychologist, Clinical (Child or Adult) " position under CLIN X307 and the "Psychologist, Clinical (BHC/BHOP) (Child or Adult) position under CLIN X308. Exhibit 8 was revised to add "Adult" under Clinical Psychologist - to read Psychologist, Clinical (includes Adult and Child).

10 Subfactor 1E RFP 148 5 The Solicitation instructs that the offeror “shall identify all costs and benefits (itemized) which can be quantified in monetary terms”. If the offeror, in accordance with DCAA approved estimating methodologies, pools all fringe costs, thus negating the ability to “itemize” costs, will it be considered “unacceptable” to identify as “included in Fringe costs”?

This would include the elements of health insurance (i.e., medical, dental, life, vision, AD&D, etc.), statutory costs (i.e., FICA, MC, SUTA, FUTA, Workers Comp, NI, Social taxes).

Refer To: Solicitation Clauses 52.212-1 and 52.212-2 ; Subfactor IE

COMPENSATION

PLAN - "This subfactor evaluates the offeror’s Compensation Plan.

The subfactor is met when the offeror provides: i. A compensation plan, (see Attachment 4- Example Comp_Plan) will be submitted for each labor category established under Individual Labor Category Pricing Sheets.

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. The compensation plan shall identify all costs and benefits (itemized) which can be quantified in monetary terms for payment to the HCW and billable rate payment to Contractor. "

11 Pricing / Attachment 4

General N/A N/A The Solicitation states on page 151 “If proposed personnel receive DOCPER Troop Care status approval, they will be entitled to full Logistics support”. It is possible that an individual may not qualify for SOFA coverage, but still be an acceptable candidate. Not being covered by SOFA means that an individual may be subject to host nation labor taxes, which would not include most of the elements of cost delineated on Attachment 4. Will the Government please advise as

Refer to PWS, 3.12.

Logistical Support and Clause 52.212-1 Addendum paragraph 2.

Proposal Files. f.

Volume III Factor 3 (3) General Information.

"The proposed hourly rates shall be fully burdened and include any costs for doing business whether in Belgium, Germany, Italy, or United Kingdom."

to how to proceed with such possibility.

12 Attachment 4 Attachment 4 N/A N/A With regard to Attachment 4, is the Government mandating the use of 2087 as the fixed basis for the available hours in a man-year (cell B23)?

Refer to: Solicitation Clause 52.212-1 Addendum paragraph 2.

Proposal Files. f.

Volume III Factor 3 (3) General Information.

"When determining the base salary (prior to adding the fringe benefits, etc.), the base salary should be based on 2,087 hours per year.

The final billable hourly rate should be based on 1,912 hours (exclusive of relocation, travel, and DoDEA Tuition) per year for full time and 520 hours (inclusive of all costs) per 90 days for part time."

13 Attachments 3 &

Attachments 3 &

N/A N/A For Attachments 3 and 4, is the Government mandating the use of 1,912 as the fixed basis for a productive/billable man-year for a Full-time Equivalent (FTE) (cells C40:G40 in attachment 4)?

Response: See answer to Question 12.

14 Attachment 3 Attachment 3 N/A N/A For Attachment 3, for each Order Period Total tab, should the values in columns H and K for Standby Hours and Call Back Hours be reversed to be consistent with the column header descriptions, as well the normal duty hour lines?

Response - Attachment 3 BH TBI Individual Labor Category Pricing REV 1, has been revised to correct columns H and K.

15 Factor 3 - Price RFP 151 f.(1) The Solicitation states on page 151 “If proposed personnel receive DOCPER Troop Care status approval, they will be entitled to full Logistics support”. Does this mean that personnel approved to perform work effort, but do not qualify to receive DOCPER Troop Care status, will be denied full Logistics support?

Response: HCWs approved to perform under contract, but do not qualify to receive DOCPER Troop Care status, will not be eligible for full Logistics Support. Refer to: PWS, Part 3 Government Furnished Property, Equipment, and Services.

16 Attachment 4, Subfactor 1E

RFP 148 5 The Solicitation on page 148 states, "In addition to completing the Individual Labor Category Pricing Sheets, the offeror shall also submit a Compensation Plan for each labor category position and for each performance period that sets forth the proposed composite and non-composite base rates and a breakout of any proposed fringe benefits paid to HCW". Do offerors need to provide a compensation plan (i.e., Attachment 4) for the CLINs associated with Call Back and Stand By requirements?

Response: Yes, Offerors need to provide a compensation plan for the CLINS associated with Call Back and Stand By Hour requirements.

17 PWS 1.5.4, page 77 The RFP states, “The QI Program includes risk management, utilization management, privileging, and patient care assessment.”

Question: Can Govt please clarify how utilization management is defined and how the contractor is expected to measure this as it pertains to the QI Program since the SOW does not include a requirement for utilization management?

Refer to: PWS paragraph 1.5.4 Quality Assurance. "The provisions of DHAPM 6025.13, Clinical Quality Management, volumes 3 and 4, or AR 40-68 and/or AFI 44- 119 when the DHAPM is silent, will serve as the basis for the Government’s assessment of the Contractor’s professional competency and performance. The MTF’s Quality Improvement (QI) Program includes risk management, utilization management, privileging, and patient care assessment. "

18 RFP VOLUME II –

PERFORMANCE

RISK (FACTOR

2), Page 149

Regarding the Past Performance contract references that can be included in an Offering, the RFP states, "The three but not more than five contracts may include efforts performed by the prime and any teaming arrangements projected to perform on any resultant contract." Consequently, teaming arrangements with teaming partners/subcontractors is clearly allowable by the Government in proposal offerings for this solicitation.

Question: Can the Government please confirm that in describing an approach to Subfactor 1A Management Approach, Key Point #2 Understanding Uniqueness, which requires an explanation of "how HCW services will be provided without subcontracting", the approach involves any subcontracting outside our offering, that is, outside the teaming arrangements presented in our offering.

Response: FAR Clause

9.601 defines contractor team arrangement as follows: "Contractor team arrangement as used in this subpart, means an arrangement in which-

(1) Two or more companies form a partnership or joint venture to act as a potential prime contractor; or

(2) A potential prime contractor agrees with one or more other companies to have them act as its subcontractors under a specified Government contract or acquisition program.

Definition (1) is applicable to this solicitation as definition 1 is not a prime-subcontractor relationship.

19 RFP Key Point #4, The RFP states that resumes are required as follows: "This shall include resumes of key contractor personnel directly supporting all the different contract requirements but not limited to the Contractor Representative (Program and Project Manager) and Alternate Contractor Representative (Alternate Program and Project Manager) directly supporting these contract requirements in Belgium, Germany, Italy and United Kingdom." Question:

Would you specify which contract roles you require resumes for?

Refer to PWS Paragraph

2.1.32 and 52.212-1 paragraph d. Volume I Technical (3) Subfactor IC Management Capability Key Point #4 Resumes.

20 RFP c. Content Requirements, The RFP states that "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." Question: Please confirm that one "Summary Section" is required for each Volume (i.e., file), including all Subfactors and that a Summary Section is required for Volume IV Administrative. Also, please confirm that these Summary Sections/abstracts are included in the respective Volume page limits, if applicable.

Response: A "Summary Section" is only required for each Volume, including Volume IV, Administrative and are included in the respective Volume page limits, if applicable.

21 RFP 2.1.28, Page 97 Is it required that a contractor's clinical oversight lead is in the applicable country?

Response PWS paragraph 2.1.28. only refers to "Government Supervisor" and not contractor's clinical oversights lead.

22 PWS 1.5.4.2, 1.5.4.3,

Will complaints be reviewed for validity before action is taken? If so, by whom? Can we evaluate the administered surveys for objectivity?

Refer to: PWS paragraphs 1.5.41., 1.5.4.2., 1.5.4.3., 1.5.5, 1.6.3., 1.6.3.1., and 2.1.5.

23 PWS 2.1.19, Page 97 Re: Reappointment. With the Joint Commission recent change to re-privileging/reappointment time frames from 'not to exceed two years to a period not to exceed three years' (November 2022), does the government also acknowledge re-privileging/reappointments to occur on a time frame not to exceed three years? Will the Government revise this requirement to three years consistent with Joint Commission requirements?

Refer to: PWS paragraphs 1.4.2., 5.2.6.3.1., and Part 7 - Applicable Publications "Applicable Publications (Current Editions at time of document preparation): The Contractor shall abide by all applicable regulations, publications and manuals and Host Nation Directives, Laws, etc. Following is a list, but not limited to, the basic publications applicable to the PWS.

The most current version of the publication applies.

Publications not on the internet or MTF policies and procedures can be obtained from the

MTF."

24 PWS 5.2.6.1.2, Page

PWS states provide certified copies of medical training, diplomas, internship, residency, fellowship, if applicable. Question: To avoid duplication of work, if contractor follows Joint Commission standards for verifying education (e.g., AOA, AMA, etc.), will this approach meet this requirement?

Refer to PWS paragraph 5.2.6.1.2.

25 Solicitation 146 par. 5 In Content Requirement, the Government states as follows:

"Each file of the proposal shall consist of a Table of Contents, Summary Section, and the Narrative discussion."

Will the Summary Section for each file be counted towards the page limit?

Response: See answer to Question 20.

26 Solicitation 147 par. 7 In KEY POINT #1 -

STRATEGIC

MANAGEMENT, the Government states as follows:

"This management approach shall also highlight relevant corporate knowledge of host nation country (Belgium, Germany, Italy, Korea, and United Kingdom) employment requirements, i.e., understanding the process for obtaining individual troop care status approval under the Status of Forces Agreement or other host national agreements working in a foreign country, etc."

We respectfully note that the host nation of Korea is not include in Exhibit 3, Ordering Locations or Exhibit 4, Prospective Locations.

Will the Government add relevant locations in Korea to Exhibit 3, Ordering Locations and Exhibit 4, Prospective Locations?

Response: Exact ordering and prospective locations for Korea are unknown at this time.

Note: Exhibit 3 PWS Ordering locations, includes "TBD" and Exhibit 4 states "Prospective (Although Not Inclusive) Location List".

27 Solicitation 147 par. 12 Would the Government please confirm that in Key Point #2 – DETAILED DESCRIPTION the Government intends to state “Provide a detailed description of how the Offeror will provide the full scope of services In Accordance With (IAW) Exhibit 4, Prospective Locations listed in the solicitation” rather than “Provide a detailed description of how the Offeror will provide the full scope of services In Accordance With (IAW) Exhibit 5, Places of Performance listed in the solicitation”?

In this regard, we note that Exhibit 4 is "Prospective Locations", and Exhibit 5 is “Performance Requirements Summary.”

The referenced provision in Key Point #2 appears to be asking for performance locations, which are provided in Exhibit 4, rather than Exhibit 5.

Also, the number of the Exhibit would need to be corrected to “Exhibit 4”, as opposed to “Exhibit 5” as presented above.

Response: Corrected Key Point #2 in both FAR Clauses 52.212-1 and 52.212-2 to reflect Exhibit 4 not Exhibit 5.

28 Would the Government

Point #5 – QUALITY CONTROL PLAN the Government intends to state, “Describe your company’s quality control program and procedures for monitoring performance, identifying trends/problems/issues, corrective actions and follow-up to determine resolution in relation to the requirements identified within the Performance Requirement Summary (PRS) in the solicitation (Exhibit 5)” rather than “Describe your company’s quality control program and procedures for monitoring performance, identifying trends/problems/issues, corrective actions and follow-up to determine resolution in relation to the requirements identified within the Performance Requirement Summary (PRS) in the solicitation (Exhibit 3)?”

In this regard, we note that Exhibit 3 is “Ordering Locations” in the Solicitation and Exhibit 5 is “Performance Requirements Summary.”

The referenced provision in Key Point #5 appears to be asking for the Performance Requirements Summary, which is provided in Exhibit 5, rather than Exhibit 3.

The number of the Exhibit would need to be corrected to “Exhibit 5”, as opposed to “Exhibit 3” as presented above.

Response: Corrected in 52.212-1 Quality Control Plan to reflect Exhibit 5, PRS.

29 Would the Government

Point #1 – TIME

CONSTRAINTS AND

MITIGATION OF RISK the Government intends to state, “The Transition-In period shall be for the period of 90 calendar days after contract award and include a detailed transition plan inclusive of the coordination with DOCPER and MTF staff to possibly staff the Ordering Locations outlined in Exhibit 4 of the PWS” rather than “The Transition-In period shall be for the period of 90 calendar days after contract award and include a detailed transition plan inclusive of the coordination with DOCPER and MTF staff to possibly staff the Places of Performance outlined in Exhibit 5 of the PWS?”

In this regard, we note that Exhibit 4 is "Prospective Locations", and Exhibit 5 is “Performance Requirements Summary.”

The referenced provision in Key Point #1 appears to be asking for performance locations, which are provided in Exhibit 4, rather than Exhibit 5.

Also, the number of the Exhibit would need to be corrected to “Exhibit 4”, as opposed to “Exhibit 5” as presented above.

Response: corrected to reflect Exhibit 4, not Exhibit 5.

The following have been modified:

CONTRACT ADMINISTRATION

(1) ORDERING

(i) Task orders will be issued in accordance with the terms and conditions of the contract, on a Firm Fixed Price basis against a defined hourly rate per ordering period, by any warranted Contracting Officer with appointed

Ordering Authority (per PWS 1.4.4.1) see Exhbit 1 Labor Categories, Personal and Non Personal, Exhibit 3 PWS Ordering Locations, and Exhibit 8 Minimum Qualifiations.

(ii) Task orders will be issued on the SF 1449, Order for Commercial Items, and be transmitted by mail or through electronic commerce including e-mail in accordance with the terms and conditions of the contract.

(iii) Quantities for all contract line items regardless of pricing schedule are estimated and will be ordered subject to the ordering provisions set forth within. Requirements will be defined at time of actual need and become firm upon issuance of task orders with fixed unit prices.

SECTION SF 1449 - CONTINUATION SHEET

SOLICITATION/CONTRACT FORM

The required response date/time has changed from 31-Jan-2023 12:00 PM to 03-Feb-2023 12:00 PM.

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 five-year ordering period. The maximum program value is less than $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 sarah.f.taylor.civ@health.mil and matthew.r.elden.civ@health.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" option 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 only one identifying name or symbol 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 (Central European Time, CET) 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 1200PM Central European Time (CET) Answers will be posted through an amendment to the solicitation. Submit your questions to sarah.f.taylor.civ@health.mil and matthew.r.elden.civ@health.mil. Questions will not be accepted after the question closing date. See Attachment 1 Contractor Question Sheet.

g. Each paragraph should be single spaced, and shall be separated by at least one blank line.

standard, 12-point minimum font size applies. Arial or New Times Roman fonts are required. Tables and illustrations may use a reduced font size no less than 8-point and may be produced in landscape mode.

h. 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@health.mil and matthew.r.elden.civ@health.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:

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:

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 compensation 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

II Factor 2 –Performance Risk (Past and Present 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 Obligation

Section E Responsibility Determination

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:

Margins – Top, Bottom, Left, Right – 1”

Gutter – 0” From Edge – Header, Footer 0.5” Page Size, Width – 8.5” Page Size, Height – 11”

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 365, or 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:

d. VOLUME I – TECHNICAL CAPABILITY (FACTOR 1). Volume I shall include the Technical Capability Proposal and shall be specific and complete. All the requirements specified in the solicitation are mandatory and by the proposal submission, the offeror is representing their company will perform all the requirements specified in the solicitation. The USG will evaluate the offeror’s responses against the Technical Proposal sub-factors defined in the Addendum to 52.212-2. The offeror shall use the instructions provided below, to provide as specifically and descriptively as possible the actual methodologies, procedures, and approaches your company would use to accomplish/satisfy ALL requirements specified in the sub-factors listed below.

The Offeror shall ensure that the Technical Capability Proposal is legible, clear, concise, and cohesive. The Offeror shall ensure that its proposal does not merely reiterate, restate, rephrase or reformulate the requirements specified herein. It is the Offeror’s responsibility to provide a technical proposal that includes enough description and convincing rationale to substantiate the validity of its stated claims. The government’s evaluation will not include assumptions or use of prior knowledge of the Offeror and will base its evaluation ratings on the accuracy, detail, and merit of the Offerors submitted proposal. For Offerors that are joint ventures, the technical capability proposal shall be of the joint venture. 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 volume shall be organized into the following sections and the Offeror shall provide information to substantiate the following:

(1) SUBFACTOR 1A – MANAGEMENT APPROACH: The offeror shall provide a comprehensive description/plan that clearly communicates how it intends to meet the solicitation requirements. The technical approach shall include specific narrative details and/or descriptions with sufficient detail of actual methods, processes, procedures, etc. to demonstrate compliance and understanding of Performance Work Statement (PWS) requirements and the following:

KEY POINT #1 - METHODS/PROCESSES – Provide a detailed description of actual methods, processes, procedures, etc. to demonstrate compliance and clear communication.

KEY POINT #2 - UNDERSTANDING REQUIREMENT – Provide a detailed description that articulates an understanding of the requirement for providing healthcare workers in an overseas environment and how HCW services will be provided without subcontracting.

KEY POINT #3 - CAPABILITY – Provide a detailed description of Offeror’s capability in meeting the requirements of the PWS.

(2) SUBFACTOR 1B - RECRUITMENT AND RETENTION PLAN: The offeror shall provide a staffing plan that addresses the following:

KEY POINT #1 – STRATEGIC MANAGEMENT – Provide a comprehensive management strategy, inclusive of a market analysis and compensation strategy to be used for recruiting and retaining qualified personnel in accordance with the Performance Work Statement (PWS). This management approach shall also highlight relevant corporate knowledge of host nation country (Belgium, Germany, Italy, Korea, and United Kingdom) employment requirements, i.e., understanding the process for obtaining individual troop care status approval under the Status of Forces Agreement or other host nation agreements working in a foreign country, etc.

KEY POINT #2 - QUALIFIED PERSONNEL - Provide a detailed description that demonstrates a thorough understanding (proven process for) of the processes for recruiting qualified personnel to fill vacancies, risk mitigation plan for filling hard-to-fill remote positions, minimize turnover, and procedures/techniques to retain qualified personnel.

KEY POINT #3 - TRAINING AND EDUCATION – Provide a detailed and comprehensive training and education approach to maintain current licensing for contractor personnel and validate contractor personnel licensure where required (recruiting/retention plan).

(3) SUBFACTOR 1C - MANAGEMENT CAPABILITY AND

EXPERIENCE: The offeror shall provide a management capability and experience plan that addresses the following:

KEY POINT #1 - PLACES OF PERFORMANCE - The Offeror shall clearly describe their experience staffing and managing and how they intend to manage a disperse HCW workforce located at various OCONUS locations to ensure standardization and quality of services. In addition, the Offeror shall provide its approach to ensure uninterrupted services through employee turnover and personnel absence.

KEY POINT #2 - DETAILED DESCRIPTION - Provide a detailed description of how the

Offeror will provide the full scope of services In Accordance With (IAW) Exhibit 4, BH TBI PWS HCW Prospective Location listed in the solicitation. Provide specific management techniques, reports, tools, and practices to ensure appropriate management and oversight necessary to provide quality and timely services IAW the PWS.

KEY POINT #3 - DETAILED PLAN - Provide a detailed plan with specific policies and procedures as to how the Offeror will monitor and ensure responsive and effective communication between the Offeror and the various government personnel. The detailed plan shall also include assurance of timely provision of services covering 24/7 operations and specific metrics or indicators the Offeror will use to monitor and ensure effective customer service and satisfaction in meeting the needs of the Government (e.g., call/email, meetings w/government, response times, resolution times, etc.). Offeror must take into consideration the time zone differences between stateside and all the numerous supported overseas locations and ordering offices and management support during leave and holidays.

KEY POINT #4 – RESUMES – Provide a detailed description of your management capability to ensure the contractor has necessary and qualified management and technical staff to oversee and manage the required minimum qualifications in the PWS to perform the objectives of this solicitation. Documentation shall also include resumes of key contractor personnel directly supporting all the different contract requirements in Belgium, Germany, Italy, and United Kingdom, merely not limited to the Contractor Representative (Program & Project Manager) and Alternate Contractor Representative (Alternate Program and Project Manager) directly supporting these contract requirements. Include experience in providing Program and Project Management support for OCONUS HCW services of similar size and scope, within the last three years, to perform the objectives of this solicitation.

KEY POINT #5 - QUALITY CONTROL PLAN - Describe your company's quality control program and procedures for monitoring performance, identifying trends/problems/issues, corrective actions and follow-up to determine resolution in relation to the requirements identified within the Performance Requirement Summary (PRS) in the solicitation (Exhibit 5).

Explain your methodology for identifying, resolving, and preventing quality assurance problems. Discuss how your quality control plan will assure documentation and reporting of quality related problems, and how your quality control plan will monitor overall contract performance with deficiencies identified before the level of services becomes unsatisfactory and corrective action plan.

(4) SUBFACTOR 1D – TRANSITION-IN PLAN - The Offeror shall provide a Transition-n Plan for all tasks to meet the requirements of the PWS and the following:

KEY POINT #1 – TIME CONSTRAINTS & MITIGATION OF RISK – Provide a detailed description of the approach for recruiting and hiring qualified personnel in a short period of time; milestones; new hire orientation processes; and provide a plan to demonstrate how performance and technical risk will be mitigated. The Transition-In period shall be for the period of 90 calendar days after contract award and include a detailed transition plan inclusive of the coordination with DOCPER and MTF staff to possibly staff the Places of Performance outlined in Exhibit 4 of the PWS.

(5) SUBFACTOR 1E – COMPENSATION PLAN The elements of the compensation plan will be evaluated to ensure that the proposed compensation is sufficient to attract and retain the contract employee through the life of the contract. A compensation plan will be submitted for each labor category, utilized in this requirement using Attachment 4- Example Compensation Plan. In addition to completing the Individual Labor Category Pricing Sheets, the offeror shall also submit a Compensation Plan for each labor category position and for each performance period that sets forth the proposed composite and non-composite base rates and a breakout of any proposed fringe benefits paid to HCW. See Attachment 4 Example Compensation Plan. The Compensation plan spreadsheet shall identify all costs and benefits (itemized) which can be quantified in monetary terms for payment to the HCW and billable rate payment to the Contractor.

For each labor category position in each performance ordering period include but not limited to:

labor rate, total fringe amount and the fringe benefit rate; withholdings; the proposed profit, G&A and other expenses; and the last row of the column should equal the fully burdened rate proposed.

The offeror shall provide detailed narratives that address the following:

A detailed description of the data used to develop the composite base labor rate, i.e., recognized national and regional…