W9124N-17-R-0001_FBO_Solicitation.pdf

SEE ADDENDUM

(No Collect Calls)

W9124N-17-R-0001 12-Jan-2017

b. TELEPHONE NUMBER

(831) 242-6586

8. OFFER DUE DATE/LOCAL TIME

02:00 PM 10 Feb 2017

5. SOLICITATION NUMBER 6. SOLICITATION ISSUE DATE

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 2/2012)

Prescribed by GSA – FAR (48 CFR) 53.212

(TYPE OR PRINT)

(SIGNATURE OF CONTRACTING OFFICER)

ADDENDA ARE

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

23.

CODE 10. THIS ACQUISITION IS

SUCH ADDRESS IN OFFER

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT

BELOW IS CHECKED

TELEPHONE NO.

W9124N9. ISSUED BY

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

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

LYNDSEY J. KAUTH

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

(TYPE OR PRINT)

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

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

0 27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1. 52.212-4. FAR 52.212-3. 52.212-5 ARE ATTACHED.

25. ACCOUNTING AND APPROPRIATION DATA

1. REQUISITION NUMBER

20.

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED.

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

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

0010860324-0001

ARE NOT ATTACHED

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

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

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

. YOUR OFFER ON SOLICITATION

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

% FOR:SET ASIDE:UNRESTRICTED OR X

SMALL BUSINESSX

17a.CONTRACTOR/ CODE FACILITY

OFFEROR CODE

MICC - PRESIDIO OF MONTEREY

BUILDING 4385 1ST FLOOR

400 GIGLING ROAD

SEASIDE CA 93955-6771

18a. PAYMENT WILL BE MADE BY CODE

RATED ORDER UNDER

DPAS (15 CFR 700)

13a. THIS CONTRACT IS A

13b. RATING

CODE15. DELIVER TO CODE 16. ADMINISTERED BY

SEE SCHEDULE

12. DISCOUNT TERMS11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

14. METHOD OF SOLICITATION

RFQ IFB RFPX

.FAX:

TEL: . SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

8(A)

HUBZONE SMALL

BUSINESS

SIZE STANDARD:

$11,000,000

NAICS:

624190

X

OFFER DATED

29. AWARD OF CONTRACT: REF.

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

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

EMAIL:

TEL:

31c. DATE SIGNED

SEE SCHEDULE

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

24.22.21.19.

WOMEN-OWNED SMALL BUSINESS (WOSB)

ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

(CONTINUED)

PAGE 2 OF67

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

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED

32b. SIGNATURE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

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

REPRESENTATIVE

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

37. CHECK NUMBER

FINALPARTIALCOMPLETE

36. PAYMENT35. AMOUNT VERIFIED

CORRECT FOR

34. VOUCHER NUMBER

FINAL

33. SHIP NUMBER

PARTIAL

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

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

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

42a. RECEIVED BY (Print)

42b. RECEIVED AT (Location)

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

STANDARD FORM 1449 (REV. 2/2012) BACK

Prescribed by GSA – FAR (48 CFR) 53.212

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

SEE SCHEDULE

20.

SCHEDULE OF SUPPLIES/ SERVICES

21.

QUANTITY UNIT

22. 23.

UNIT PRICE

24.

AMOUNT

19.

ITEM NO.

W9124N-17-R-0001

Section SF 1449 - CONTINUATION SHEET

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0001 12 Months Employee Assistance Program (EAP)

FFP

Base Year. Contractor shall provide the necessary supervision, labor/personnel, materials, tools, and equipment to perform and complete all tasks in accordance with the attached Performance Work Statement. Critical incident counseling is included in this CLIN per 5.1.2 of the PWS. Period of Performance 1 April 2017 - 31 March 2018.

FOB: Destination

PURCHASE REQUEST NUMBER: 0010860324-0001

NET AMT

0002 120 Job EAP Additional Counsel

FFP

Base Year. This is a Not-To-Exceed Line Item to be used on an as-needed-basis.

Contractor shall provide the necessary supervision, labor/personnel, materials, tools, and equipment to perform and complete all tasks in accordance with the attached Performance Work Statement for additional sessions as deemed necessary. Invoices shall be submitted only for assessment sessions 4, 5, and 6, per each employee or dependent who has already been provided 3 sessions under CLIN 0001 during the 12 month period prior to these sessions.

Period of performance is from 1 April 2017 - 31 March 2018.

The Contractor shall notify the Government when the CLIN value reaches 75%.

0003 1 Each Contractor Manpower Reporting (CMR)

FFP

CMR - Base Year. Contractor shall report all contractor manpower (including subcontractor manpower) required for performance of this contract. The report must be completed no later than 31 October 2017. Invoicing for this CMR CLIN shall be done after the completion of the CMR report. The Contractor shall provide proof of completion with the invoice.

1001 12 Months OPTION Employee Assistance Program (EAP)

FFP

Option Year 1. Contractor shall provide the necessary supervision, labor/personnel, materials, tools, and equipment to perform and complete all tasks in accordance with the attached Performance Work Critical incident counseling is included in this CLIN per 5.1.2 of the PWS. Period of Performance 1 April 2018 - 31 March 2019.

1002 120 Job OPTION EAP Additional Counsel

FFP

EAP-Option Year 1. This is a Not-To-Exceed Line Item to be used on an as-needed-basis. Contractor shall provide the necessary supervision, labor/personnel, materials, tools, and equipment to perform and complete all tasks in accordance with the attached Performance Work Statement for additional sessions as deemed necessary. Invoices shall be submitted only for assessment sessions 4, 5, and 6, per each employee or dependent who has already been provided 3 sessions under CLIN 0001 during the 12 month period prior to these sessions.

Period of performance is from 1 April 2018 - 31 March 2019.

The Contractor shall notify the Government when the CLIN value reaches 75%.

1003 1 Each OPTION Contractor Manpower Reporting (CMR)

FFP

CMR - Option Year 1. Contractor shall report all contractor manpower (including subcontractor manpower) required for performance of this contract. The report must be completed no later than 31 October 2018. Invoicing for this CMR CLIN shall be done after the completion of the CMR report. The Contractor shall provide proof of completion with the invoice.

2001 12 Months OPTION Employee Assistance Program (EAP)

FFP

Option Year 2. Contractor shall provide the necessary supervision, labor/personnel, materials, tools, and equipment to perform and complete all tasks in accordance with the attached Performance Work Statement. Critical incident counseling is included in this CLIN per 5.1.2 of the PWS. Period of Performance 1 April 2019 - 31 March 2020.

2002 120 Job OPTION EAP Additional Counsel

FFP

Option Year 2. This is a Not-To-Exceed Line Item to be used on an as-needed-basis. Contractor shall provide the necessary supervision, labor/personnel, materials, tools, and equipment to perform and complete all tasks in accordance with the attached Performance Work Statement for additional sessions as deemed necessary. Invoices shall be submitted only for assessment sessions 4, 5, and 6, per each employee or dependent who has already been provided 3 sessions under CLIN 0001 during the 12 month period prior to these sessions.

Period of performance is from 1 April 2019 - 31 March 2020.

2003 1 Each OPTION Contractor Manpower Reporting (CMR)

FFP

CMR - Option Year 2. Contractor shall report all contractor manpower (including subcontractor manpower) required for performance of this contract. The report must be completed no later than 31 October 2019. Invoicing for this CMR CLIN shall be done after the completion of the CMR report. The Contractor shall provide

3001 12 Months OPTION Employee Assistance Program (EAP)

FFP

Option Year 3. Contractor shall provide the necessary supervision, labor/personnel, materials, tools, and equipment to perform and complete all tasks in accordance with the attached Performance Work Statement. Critical incident counseling is included in this CLIN per 5.1.2 of the PWS. Period of Performance 1 April 2020 - 31 March 2021.

3002 120 Job OPTION EAP Additional Counsel

FFP

Option Year 3. This is a Not-To-Exceed Line Item to be used on an as-needed-basis. Contractor shall provide the necessary supervision, labor/personnel, materials, tools, and equipment to perform and complete all tasks in accordance with the attached Performance Work Statement for additional sessions as deemed necessary. Invoices shall be submitted only for assessment sessions 4, 5, and 6, per each employee or dependent who has already been provided 3 sessions under CLIN 0001 during the 12 month period prior to these sessions.

Period of performance is from 1 April 2020 - 31 March 2021.

3003 1 Each OPTION Contractor Manpower Reporting

FFP

CMR - Option Year 3. Contractor shall report all contractor manpower (including subcontractor manpower) required for performance of this contract. The report must be completed no later than 31 October 2020. Invoicing for this CMR CLIN shall be done after the completion of the CMR report. The Contractor shall provide

4001 12 Months OPTION Employee Assistance Program (EAP)

FFP

Option Year 4. Contractor shall provide the necessary supervision, labor/personnel, materials, tools, and equipment to perform and complete all tasks in accordance with the attached Performance Work Statement. Critical incident counseling is included in this CLIN per 5.1.2 of the PWS. Period of Performance 1 April 2021 - 31 March 2022.

4002 120 Job OPTION EAP Additional Counsel

FFP

Option Year 4. This is a Not-To-Exceed Line Item to be used on an as-needed-basis. Contractor shall provide the necessary supervision, labor/personnel, materials, tools, and equipment to perform and complete all tasks in accordance with the attached Performance Work Statement for additional sessions as deemed necessary. Invoices shall be submitted only for assessment sessions 4, 5, and 6, per each employee or dependent who has already been provided 3 sessions under CLIN 0001 during the 12 month period prior to these sessions.

Period of performance is from 1 April 2021 - 31 March 2022.

4003 1 Each OPTION Contractor Manpower Reporting

FFP

CMR - Option Year 4. Contractor shall report all contractor manpower (including subcontractor manpower) required for performance of this contract. The report must be completed no later than 31 October 2021. Invoicing for this CMR CLIN shall be done after the completion of the CMR report. The Contractor shall provide

4004 1 Each OPTION Contractor Manpower Reporting

FFP

CMR - Option Year 4. Contractor shall report all contractor manpower (including subcontractor manpower) required for performance of this contract. The report must be completed no later than 31 October 2022. Invoicing for this CMR CLIN shall be done after the completion of the CMR report. The Contractor shall provide

ADDITONAL INFORMATION

1. TITLE: Employee Assistance Program (EAP)

2. Period of Performance: Base Year – 1 Apr 2017 – 31 Mar 2018 (Plus 4 Option Years)

3. NAICS Code: 624190 Size Standard: $11.0 M

4. Procurement Set Aside: 100% Small Business Concern

5. Proposals are due in this office by: Friday, 10 Feb 2017, at 2:00 PM Pacific Standard Time.

Documents may be submitted to:

a. Email: Lyndsey.j.kauth.civ@mail.mil

b. Mail or Special Carrier:

MICC – Presidio of Monterey 400 Gigling Rd.

Bldg. 4385, Room 1060 Seaside, CA 93955 Attn: Lyndsey Kauth

Point of Contact for Questions about this Solicitation:

Contract Specialist: Lyndsey Kauth PH: 831-242-6586

6. Prior to a contractor receiving an award as a result of this procurement, you must be registered in the System for Award Management (SAM) Database. Contractors can register by going to the internet website https://www.sam.gov.

7. This acquisition is being conducted under FAR Part 13.5, Simplified Procedures for Certain Commercial Items.

8. This procurement is subject to availability of funds per FAR 52.232-18 – Availability of Funds.

9. Please provide the following information:

a. CAGE Code:

b. DUNS Number:

c. Tax Identification Number:

QUOTE INSTRUCTIONS

1. The Quote: (FAR 2.101) consists of all submitted written information. Submission of documents (specified below) to the Contracting Office designated in Block 9, will constitute the contractor’s concurrence and acceptance of the terms and conditions of the RFQ, Specifications, and the CLIN schedule of supplies and services.

2. Written Documentation: Offerors are cautioned to review FAR Provision 52.212‐1, “Instruction to Offerors‐ Commercial Items,” which contains rules governing timely submission of quotes. All required written documentations will be used to review quotes. Offerors shall submit required documentation by the specified date and time to the location named herein. The Offeror shall submit one (1) copy of their quote documents.

3. The quote shall consist of the solicitation which shall include the following:

3.1. The SF 1449 shall be submitted fully completed, with a signature in Block 30a. A signed copy of all amendments (if any) shall also be included.

3.2. Section B, Supplies or Services and Prices/Costs. Section B shall be fully completed and error‐free. It shall contain prices for all priced Contract Line Item Numbers (CLIN), such as the unit price and total price as required in the schedule. Contractor shall provide a unit price for the Base Period and all Option Years.

3.3. Copy of filled out FAR Clause 52.212‐3 (Offeror Representations and Certifications), or referenced to electronic copy of Representation and Certifications on the SAM (System for Award Management) website at https://www.sam.gov.

4. Quote shall also include:

4.1. RELEVANT EXPERIENCE AND QUALIFICATION:

4.1.1. The Offeror shall submit evidence of experience which indicates that the offeror has the ability to support the type of work called for in the PWS of this solicitation. The following shall be provided as such evidence:

4.1.2. Provide a list of relevant contracts, current or completed within the past five (5) years that best demonstrate the Offeror’s experience within the behavioral/mental health arena as specified in the solicitation.

Include dates, locations, a description of the work, and references. The list should be reflective of at least one (1) but no more than three (3) contracts.

4.1.3. Offeror shall submit evidence of qualifications specified in Section 7.1 ‐ Qualifications of Contractor Personnel in the PWS, with the quote to be considered for award.

BASIS OF AWARD:

Only one award will be made. The Government will make Award to the Lowest Price Technically Acceptable (LPTA) quote. Technical acceptability is a quote which meets the minimum experience and qualifications as specified in Section 4.1.1 through 4.1.3 above.

Evaluation of Options:

As part of price evaluation, the Government will evaluate its option to extend services (see FAR Clause 52.217‐8) by adding six (6) months of the final option period price to the total price. Offerors are required to price the base period and all Option CLINs. Offerors shall not submit a price for the potential six‐month extension of services period. The Government may choose to exercise the Extension of Services at the end of any performance period (base or option periods), utilizing the rates of that performance period.

CONTRACTOR MANPOWER REPORTING (CMR) FOR CONTRACT SERVICES:

The Contractor Manpower Reporting (CMR) system is a business process to collect information for each contract, on the funding source and related financial data, the organization receiving the services, mission/function performed, and labor hours and costs, by the Government Fiscal Year (1 October through 30 September).

Contractors report actual labor hours, dollars, and other information directly from their accounting systems directly into this system, or through their Army Requiring Activity, using their existing timekeeping, personnel, accounting systems as well as information supplied with the contract. Existing financial management and procurement systems do not completely distinguish between goods and services, nor do they identify the specific organization for which the work is being performed. CMR will enable the Army to (1) fully understand the composition of the Army workforce ‐ military, civilian, and contractor, and allow for more informed workforce staffing and funding decisions; (2) provide better oversight of our workforce, avoid duplication of effort, or shifting of in‐house reductions to contract; and (3) better account for and explain our total Army workforce. Contractor labor hours and associated labor costs are to be treated as proprietary information when linked to contractor name and contract number.

The Office of the Assistant Secretary of the Army (Manpower & Reserve Affairs) operates and maintains a secure Army data collection site where the Contractor will report ALL contract manpower (including subcontractor manpower) required for services performed on this contract. The Contractor is required to completely fill in all the information in the Mandatory Reporting System for this contract and will be formatted using the following web address: https://cmra.army.mil

PERFORMANCE WORK STATEMENT

PERFORMANCE WORK STATEMENT

Employee Assistance Program

1. Introduction: The Employee Assistance Program (EAP) is a program which provides counseling, training, resource finding, managerial and supervisory consultation to civilian employees, retirees, their family members, and eligible family members of active duty military members of USAG Presidio of Monterey and the Defense Language Institute (DLI) The program is established to provide limited immediate assistance for civilian employees, retirees and family members with referral for continued service as needed.

2. BACKGROUND: In accordance with agency requirements short-term counseling services are provided to civilian employees, retirees, their family members, and eligible family members of active duty military members.

The EAP Program established for the USAG POM and DLI provides specialized employee assistance and counseling/consultation covering a range of emotional or behavioral problems including, but not limited to, alcoholism, drug abuse, job-related/family stress, financial problems, legal, marital or health problems, parenting and childcare, career change, pre-retirement issues, situational conflict, etc. which may adversely impact work performance or behavior. The EAP also provides consultation and advisement to managers. The provider shall be licensed by the State of California as a psychologist, marriage and family counselor (MFC), licensed clinical social worker (LCSW) or licensed as a practicing psychologist. The Contractor shall specialize in educational consultation, counseling and referral services.

3. SCOPE: The Contractor shall provide specialized Employee Assistance and Counseling/Training Services covering a range of issues that shall include any emotional or behavioral problems including, but not limited to alcoholism, drug abuse, job-related/family stress, financial problems, legal, marital, or health problems, parenting and childcare, career change, pre-retirement issues, situational conflict, etc. which may adversely impact work performance or behavior.

4. APPLICABLE DOCUMENTS:

4.1. United States Code (U.S.C) and Code of Federal Regulations (F.R.) governing confidentiality are available through the North Central Region Educational Laboratory www.ncrel.org/sdrs/areas/issues/envrnmnt/css/cs3lk18.htm

4.2. Public Law 96-180 and 96-181 authorized Federal agencies to provide short term counseling to employees and their family members who have substance abuse problems.

4.3. Privacy Act, 5 U.S.C. 552 a (b).

4.4. Alcohol and Drug Patient Confidentiality Regulation, 42 CFR. Part 2 (Public Law 93-579, as amended) - Governs the Privacy Act.

4.5. Public Law 99-570 (as amended) – requires the establishment of prevention treatment and rehabilitation Programs for Drug Abuse for Federal civilian employees.

4.6. Title5, Code of Federal Regulations (CFR) Part 792 - Drug and Alcohol Free Work Place.

4.7. Executive Order 12564 – requires Federal agencies to establish drug-free Federal workplace programs, including an EAP program. Text found at www.archives.gov/federal-register/codification/executive-order/12564.html.

4.8. Section 201 of Public Law 91-616, - Authority for Federal Alcohol and Drug Abuse Programs.

4.9. Public Law 93-282 – Confidentiality of Client records.

5. TECHNICAL REQUIREMENTS:

5.1. Contractor shall provide up to three (3) one (1) hour professional, confidential, one-on-one diagnostic and referral counseling sessions to employees, retirees, and eligible family members per contract year.

5.1.1. Contractor shall provide up to three (3) additional sessions (sessions 4, 5, and 6) to eligible individuals on an as-needed basis and will invoice only for the additional sessions (session 4, 5, 6). The additional sessions must be included in the monthly utilization report. Fees for any counseling sessions exceeding six (6) will become the financial responsibility of the employee.

5.1.2. Contractor shall provide critical incident counseling in the event of tragedy or crisis to employees as a group or individually. An example of critical incident counseling is violence in the work place. The cost associated with critical incident counseling shall be included in the price of the CLIN titled Employee Assistance Program (EAP) for the base and option years. (CLIN 0001, 1001, 2001, 3001, 4001)

5.1.3. Contractor shall provide up to six (6) counseling sessions for supervisory referrals to identify, clarify, and provide counseling for medical, behavioral, or personal problems of employees who have been identified by the supervisor to have performance and/or conduct problems in their work.

5.1.4. Counseling sessions shall be provided within seventy-two (72) hours for routine referrals.

5.1.5. Emergency referrals shall be provided as quickly as possible based on the immediacy of the situation.

5.1.6. Contractor must identify and evaluate the personal problem(s) or concern(s) and address alternative(s) for resolving problems.

5.1.7. For supervisory or EAP Administrator referrals, Contractor shall provide diagnosis, prognosis, and information regarding whether employee attended counseling sessions.

5.1.8. After counseling employee/retiree/family member, the Contractor shall diagnose the problem, and if appropriate, refer employee to a community treatment resource for rehabilitation or further services. Referral shall be made with employee’s concurrence. The Contractor shall make specific appointments for care. If referral is made to another agency, the Contractor shall follow-up with the employee to ensure quality of treatment, and with the agency to determine continuation of treatment. In the case of supervisory referrals, the Contractor shall provide the EAP Administrator with information verbally and/or in writing, as requested.

5.1.9. Contractor shall provide both a toll free telephone number and a toll free TDD number for Civilian Employees to access Counseling Services twenty-four (24) hour per day, seven (7) days per week. The Contracting Officer Representative (COR) shall also be provided these number. Counseling shall be provided based on self-referral, the supervisory referral or the Army Substance Abuse Program Manager/Alcohol and Drug Control Officer

(ADCO).

5.1.10. Covered employees, retirees, or immediate family members will be determined by the presentation of the employee’s official identification card or by confirmation of eligibility by the Employee Assistance Program Administrator.

5.1.11. The Employee Assistance /Contracting Officer Representative (COR) will be the Alcohol and Drug Control Officer (ADCO).

5.1.12. Contractor consultation facilities shall be within a 25-mile radius of the Defense Language Institute. There is no on-site facility for these services nor will one be made available due to the confidentiality of the services being performed.

5.2. Records.

5.2.1. Records, including any information whether recorded or not, pertaining to the identity, diagnosis, or counseling of any employee, retiree, or family members, which are maintained in connection with the performance of this contract shall be confidential. Regulations governing confidentiality of counseling records shall be in accordance with the provisions set forth in all Privacy Act requirements, and other applicable laws, and shall be subject to the penalties imposed by such laws for disclosure of any information without the employee’s prior knowledge and specific written consent. When disclosure is authorized by the employee, a consent statement shall be signed by the employee.

5.2.2. Contractor record system shall be in accordance with applicable laws and regulations, relating to alcohol abuse, drug abuse, alcohol prevention, treatment, and rehabilitation.

6. DELIVERABLES:

6.1. Contractor shall design and provide 3000 brochures or other written information containing facts about the EAP, its services, areas of coverage, confidentiality of use, eligibility, etc. The ADCO will approve the brochures.

6.2. Contractor shall provide 50 posters advertising the EAP and its offerings. The ADCO will review and approve the posters.

6.3. Contractor shall provide one (1) electronic newsletter monthly for a total of twelve (12) annually containing pertinent articles regarding employees' well-being and facts about the EAP services.

6.4. Number of self-referred employees (identified by organization and gender).

6.5. Number of management referred employees (identified by organization and gender).

6.6. Types of problems diagnosed and number of employees seen for each.

6.7. Number of times consulted by supervisor. (Identified by organization).

6.8. Number of family members referred. (Identified by employee’s organization).

6.9. Number completing counseling.

6.10. Report shall include any recommendations for improvement of the EAP. The report shall also include any trends, if evident. Names of the employees or other personal identification shall not be used in the Contractor’s reports.

6.11. Client feedback report. Service provider shall provide each client a feedback report to be submitted to ADCO upon completion of service.

6.12. Monthly Utilization Report. The Contractor shall provide a monthly written report to the ADCO. The report shall contain the following information identified by the categories, “Alcohol”, “Drugs”, “Mental Health”, “Family/Marital”, “Unknown/Other.”

6.13. Provision of evaluation feedback form completed by client. Each service provider shall give each client a customer satisfaction survey at completion of course of service. The provider shall encourage the client to complete and return the survey to the ADCO in a pre-addressed and stamped envelope. Per EAP confidentiality requirements, the client cannot be required to sign the survey but may choose to do so.

DELIVERY SCHEDULE

Description Qty Delivery Date Deliver To Brochures 1500

15 April 15 October

ADCO

DHR

Posters 25

May November

ADCO

Coordinator

Newsletters 1 (12 total)

Monthly ADCO

DHR

Utilization Reports of all treatment categories to include an itemized listing of:

a. Self-referrals

b. Management referrals

c. Diagnoses

d. Number of family members

1 Copy Per Month

5th day of each month

ADCO

DHR

Customer Feedback Report

Based on No. of Client

Last Appointment

ADCO

DHR

7. SUPPORTING INFORMATION:

7.1. Qualifications of Contractor Personnel.

7.1.1. Contractor shall be licensed by the State of California as a Psychologist, Marriage and Family Counselor (MFC), Licensed Counselor of Social Work (LCSW) or licensed as a practicing Psychologist. The Contractor shall specialize in educational, consultant, treatment and referral services.

7.1.2. Counselors assigned by the Contractor to provide consultation services shall have a minimum of a Master’s degree in Psychology, Social Work, or Counseling; and two years general experience in Psychology, Social Work, or Counseling.

7.2. PLACE OF PERFORMANCE: Service shall be provided at the contracted provider’s place of business, located within a 25 mile radius of the Presidio of Monterey and DLI.

7.3. PERIOD OF PERFORMANCE: Base period of 1 Apr 2017 through 31 Mar 2018 with 4 Option Years.

7.4. CONTROL PROCEDURES: Review of customer satisfaction surveys. Review of Material Inspection and Receiving Reports (DD Form 250). Review of Utilization Reports.

7.4.1. COR and Contractor shall maintain telephone contact on an as needed basis to discuss contractor’s performance and any other service provision issued.

7.5. Contractor shall not provide the following services:

7.5.1. Clinical treatment.

7.5.2. Maintenance counseling.

7.5.3. Referral of employees to any source from which the Contractor receives payment or other considerations.

7.5.4. Referral to any service in which the Contractor maintains a financial interest.

7.6. Quality Assurance.

7.6.1. Quality assurance shall be determined by using the following criteria:

7.6.2. Responsiveness to the EAP Administrator/COR and employees’ needs, including effective individual consultation sessions as reported by employees and/or supervisor noting improvements by observing employees conduct or performance following referral to EAP.

7.6.3. Timely submission of required reports and quality of reports shall be submitted to ADCO.

7.7. Acronyms/Definitions

7.7.1. Standard Definitions. This Section describes and lists the definitions used both in this Performance Work Statement (PWS) and encountered in day-to-day operations when dealing with Government organizations. This listing is not intended to be all inclusive.

7.7.2. Alcohol Abuse. Use of alcohol to an extent that it has an adverse effect on performance, conduct, discipline, or mission effectiveness, and/or user’s health, behavior, family, or community.

7.7.3. EAP. Employee Assistance Program. A program offering assistance to employees, retirees, their immediate family members, and eligible military family members who have problems involving alcohol/drug abuse, or other personal problems which result in or may contribute to deficiencies in job performance or conduct.

7.7.4. EAP Administrator. An individual designated to explain the provisions of the EAP and refer employees to the Contractor for assessment and counseling services. May also be assigned as the COR.

7.7.5. Drug Abuse. Use of a drug to an extent that it has an adverse effect on performance, conduct, discipline, or mission effectiveness, and/or the user’s health, behavior, family or community. The use of prescription medication in a manner other than prescribed/medically directed for mind altering purposes may also be considered drug abuse.

7.7.6. Employee Assistance Program.

7.7.7. Immediate Family Member. Spouse and any minor children living with the covered civilian employee in a parent/child relationship (including adopted children, etc.). Older parents who are living with the employee as dependents are also considered immediate family members. Eligible family members of active duty military personnel stationed at the Presidio of Monterey.

7.7.8. Rehabilitation. The process of restoring to effective functioning individuals who have been impaired by alcoholism, drug addiction, or other dependencies. Generally, rehabilitation involves individual or group counseling or participation in self-help organizations such as Alcoholics Anonymous.

7.7.9. Self-Referral. The employee contacts the EAP Administrator/ADCO/contractor or the twenty-four (24) hour number of the Contractor and requests counseling.

7.7.10. Supervisory Referral. The employee’s supervisor contacts the EAP Administrator/ADCO/contractor and requests an assessment/services on behalf of the employee.

7.7.11. Treatment. The process of alleviating the physical and psychological effects of substance abuse, including withdrawal symptoms and medical conditions resulting from substance abuse. Treatment is always under medical supervision. It is a prelude to, and should not be confused with rehabilitation.

7.7.12. Contracting Officer (KO). A person with the authority to enter into, administer, and/or terminate contracts and make related findings. The Contracting Officer is the only individual who has the authority to contractually bind the Government. The Contracting Officer may designate a Government employee to act as his authorized representative. This individual is not be authorized to award, agree to sign any contract or modification thereto, or in any way to obligate the payment of money by the Government.

7.7.13. Contracting Officer’s Representative (COR). Authorized representative of the Contracting Officer designated in writing to perform specific contract administration functions. The COR does not have authority to contractually bind the Government. The COR is also the EAP Administrator.

7.7.14. Customer Comment. A performance assessment method that is used by the Government to evaluate the quality of service provided by the Contractor.

7.8. SECURITY REQUIREMENT:

7.8.1. Contractor shall observe and comply with all installation security and safety regulations.

Performance Requirement Summary

Required Service PWS Paragraph

Standard Acceptable Quality Level

Method of Surveillance

Provide up to 3 hours of professional counseling.

5.1 Provide assessment and

counseling to address challenges for which clients are referred.

Sessions will be documented

100% accurate and complete

Random sampling

IAW regulations governing confidentiality of counseling records set forth in privacy act requirements and other applicable laws.

Provide up to 3 additional sessions on an as needed basis.

5.1.1 Provide counseling to address

challenges for which clients are referred. Sessions will be documented IAW regulations governing confidentiality of counseling records set forth in privacy act requirements and other applicable laws.

100% accurate and complete

Random sampling

Provide critical incident counseling in the event of tragedy or crisis to employees as a group or individually.

5.1.2 Upon request, provide critical

counseling service on a one-on one basis or as a group within an office setting and/or at the Presidio of Monterey.

100% accurate and complete

Random sampling

Provide counseling sessions within 72 hours of routine referral

5.1.4 Clients must have initial session

with 72 hours of referral.

100% timely initial contact

Random Sampling

Provide monthly and as otherwise requested, updates regarding supervisor/administrative referrals.

5.1.7 Provide assessment and

counseling to address challenges for which clients are referred.

Sessions will be documented IAW regulations governing confidentiality of counseling records set forth in privacy act requirements and other applicable laws. For supervisory referrals or EAP Administrator referrals, contractor will provide diagnosis, prognosis and information regarding whether employee attended counseling sessions.

100% accurate and complete

Random sampling

Refer employee to a community treatment resource for rehabilitation or further services.

5.1.8 If appropriate, referral shall be

made with employee’s concurrence. The Contractor will make specific appointments for care when referred to another organization and follow-up with the client to ensure quality of treatment, and with the agency to determine continuation of treatment. In the case of supervisory referrals, the Contractor shall provide the EAP Administrator with information verbally and/or in writing, as requested.

100% timely and accurate

Random

Provide both a toll free and a toll free TDD telephone number.

5.1.9 Toll free numbers will be

provided for eligible members to access Counseling Services twenty-four (24) hour per day, seven (7) days per week. These phone numbers will be included in brochures, posters and all EAP marketing material. The Contracting Officer Representative (COR) shall also be provided these number.

100% timely and accurate

Random sampling

Design and provide 3000 brochures.

6.1 Design and provide 3000

brochures or other written information containing facts about the EAP, its services, areas of coverage, confidentiality of use, eligibility, etc.

100% timely and accurate

100% review.

The ADCO will approve the brochures.

Design and provide 50 posters.

6.2 Design and provide 50 posters

advertising the EAP and its offerings.

100% timely and accurate

100% review.

The ADCO will review and approve the posters.

Provide electronic newsletter monthly.

6.3 Contractor shall provide one (1)

electronic newsletter between the 1st and 5th of each month for a total of twelve (12) during the contract year, containing pertinent articles regarding employees' well-being and facts about the EAP services.

100% timely and accurate

Monthly

Client feedback report. 6.11, 6.13 Contractor shall provide each client a satisfaction survey and envelope addressed to the ADCO at completion of service so that customers can provide feedback directly to the ADCO.

100% timely accurate

Random

Monthly Utilization Report

6.4, 6.5, 6.6, 6.7, 6.8, 6.9

Report to be provided by the 5 of each month will include;

Number of self-referred employees (identified by organization and gender).

Number of management referred employees (identified by organization and gender). Types of problems diagnosed and number of employees seen for

100% timely and accurate

Monthly review each. Number of times consulted by supervisor. (Identified by organization). Number of family members

Monthly Utilization Report.

6.12 The Contractor shall provide a

monthly written report by the 5th of each month. The report shall contain the following information identified by the categories, “Alcohol”, “Drugs”, “Mental Health”, “Family/Marital”, “Unknown/Other”.

100% timely accurate

Monthly review

INSPECTION AND ACCEPTANCE TERMS

Supplies/services will be inspected/accepted at:

CLIN INSPECT AT INSPECT BY ACCEPT AT ACCEPT BY

0001 Destination Government Destination Government 0002 Destination Government Destination Government 0003 Destination Government Destination Government 1001 Destination Government Destination Government 1002 Destination Government Destination Government 1003 Destination Government Destination Government 2001 Destination Government Destination Government 2002 Destination Government Destination Government 2003 Destination Government Destination Government 3001 Destination Government Destination Government 3002 Destination Government Destination Government 3003 Destination Government Destination Government 4001 Destination Government Destination Government 4002 Destination Government Destination Government 4003 Destination Government Destination Government 4004 Destination Government Destination Government

DELIVERY INFORMATION

CLIN DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC

0001 POP 01-APR-2017 TO

31-MAR-2018

N/A PR W6CG USAG PRESIDIO

W6CG USAG PRESIDIO

289 FT MERVINE PLACE

BLDG 235

PRESIDIO OF MONTEREY CA 93944-3402

210-424-8791

W912A8

0002 POP 01-APR-2017 TO

31-MAR-2018

N/A (SAME AS PREVIOUS LOCATION)

0003 31-OCT-2017 1 PR W6CG USAG PRESIDIO OF

MONTEREY

PR W6CG USAG PRESIDIO OF

MONTEREY

BLDG 235 289 FT MERVINE PLACE

MONTEREY, CA CA 93944

1001 POP 01-APR-2018 TO

31-MAR-2019

N/A PR W6CG USAG PRESIDIO

W6CG USAG PRESIDIO

289 FT MERVINE PLACE

BLDG 235

PRESIDIO OF MONTEREY CA 93944-3402

210-424-8791

1002 POP 01-APR-2018 TO

31-MAR-2019

N/A (SAME AS PREVIOUS LOCATION)

1003 31-OCT-2018 1 PR W6CG USAG PRESIDIO OF

PR W6CG USAG PRESIDIO OF

MONTEREY

BLDG 235 289 FT MERVINE PLACE

MONTEREY, CA CA 93944

2001 POP 01-APR-2019 TO

31-MAR-2020

N/A PR W6CG USAG PRESIDIO

W6CG USAG PRESIDIO

289 FT MERVINE PLACE

BLDG 235

PRESIDIO OF MONTEREY CA 93944-3402

210-424-8791

2002 POP 01-APR-2019 TO

31-MAR-2020

N/A (SAME AS PREVIOUS LOCATION)

2003 31-OCT-2019 1 PR W6CG USAG PRESIDIO OF

PR W6CG USAG PRESIDIO OF

MONTEREY

BLDG 235 289 FT MERVINE PLACE

MONTEREY, CA CA 93944

3001 POP 01-APR-2020 TO

31-MAR-2021

N/A PR W6CG USAG PRESIDIO

W6CG USAG PRESIDIO

289 FT MERVINE PLACE

BLDG 235

PRESIDIO OF MONTEREY CA 93944-3402

210-424-8791

3002 POP 01-APR-2020 TO

31-MAR-2021

N/A (SAME AS PREVIOUS LOCATION)

3003 31-OCT-2020 1 PR W6CG USAG PRESIDIO OF

PR W6CG USAG PRESIDIO OF

MONTEREY

BLDG 235 289 FT MERVINE PLACE

MONTEREY, CA CA 93944

4001 POP 01-APR-2021 TO

31-MAR-2022

N/A PR W6CG USAG PRESIDIO

W6CG USAG PRESIDIO

289 FT MERVINE PLACE

BLDG 235

PRESIDIO OF MONTEREY CA 93944-3402

210-424-8791

4002 POP 01-APR-2021 TO

31-MAR-2022

N/A (SAME AS PREVIOUS LOCATION)

4003 31-OCT-2021 1 PR W6CG USAG PRESIDIO OF

PR W6CG USAG PRESIDIO OF

MONTEREY

BLDG 235 289 FT MERVINE PLACE

MONTEREY, CA CA 93944

4004 31-OCT-2022 1 (SAME AS PREVIOUS LOCATION)

CLAUSES INCORPORATED BY REFERENCE

52.202-1 Definitions NOV 2013 52.203-3 Gratuities APR 1984 52.203-12 Limitation On Payments To Influence Certain Federal

Transactions

OCT 2010

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

APR 2014

52.204-2 Security Requirements AUG 1996 52.204-4 Printed or Copied Double-Sided on Postconsumer Fiber

Content Paper

MAY 2011

52.204-7 System for Award Management JUL 2013 52.204-13 System for Award Management Maintenance JUL 2013 52.204-16 Commercial and Government Entity Code Reporting JUL 2016 52.204-17 Ownership or Control of Offeror JUL 2016 52.204-18 Commercial and Government Entity Code Maintenance JUL 2016 52.204-19 Incorporation by Reference of Representations and

Certifications.

DEC 2014

52.209-10 Prohibition on Contracting With Inverted Domestic Corporations

NOV 2015

52.212-4 Contract Terms and Conditions--Commercial Items MAY 2015 52.217-5 Evaluation Of Options JUL 1990 52.222-54 Employment Eligibility Verification OCT 2015 52.232-20 Limitation Of Cost APR 1984 52.232-40 Providing Accelerated Payments to Small Business

Subcontractors

DEC 2013

52.233-3 Protest After Award AUG 1996 52.233-4 Applicable Law for Breach of Contract Claim OCT 2004 52.242-13 Bankruptcy JUL 1995 252.201-7000 Contracting Officer's Representative DEC 1991 252.203-7000 Requirements Relating to Compensation of Former DoD

Officials

SEP 2011

252.203-7002 Requirement to Inform Employees of Whistleblower Rights SEP 2013 252.203-7005 Representation Relating to Compensation of Former DoD

Officials

NOV 2011

252.204-7003 Control Of Government Personnel Work Product APR 1992 252.204-7004 Alt A System for Award Management Alternate A FEB 2014 252.204-7008 Compliance With Safeguarding Covered Defense Information

Controls

DEC 2015

252.204-7009 Limitations on the Use or Disclosure of Third-Party Contractor Reported Cyber Incident Information

DEC 2015

252.204-7011 Alternative Line Item Structure SEP 2011 252.204-7012 Safeguarding Covered Defense Information and Cyber

Incident Reporting.

DEC 2015

252.204-7015 Notice of Authorized Disclosure of Information for Litigation Support

MAY 2016

252.209-7004 Subcontracting With Firms That Are Owned or Controlled By The Government of a Country that is a State Sponsor of Terrorism

OCT 2015

252.215-7008 Only One Offer OCT 2013 252.222-7007 Representation Regarding Combating Trafficking in Persons JAN 2015 252.225-7012 Preference For Certain Domestic Commodities AUG 2016 252.232-7003 Electronic Submission of Payment Requests and Receiving

Reports

JUN 2012

252.232-7010 Levies on Contract Payments DEC 2006 252.237-7010 Prohibition on Interrogation of Detainees by Contractor

Personnel

JUN 2013

252.243-7002 Requests for Equitable Adjustment DEC 2012 252.244-7000 Subcontracts for Commercial Items JUN 2013 252.247-7022 Representation Of Extent Of Transportation Of Supplies By

Sea

AUG 1992

252.247-7023 Transportation of Supplies by Sea APR 2014

CLAUSES INCORPORATED BY FULL TEXT

52.204-8 ANNUAL REPRESENTATIONS AND CERTIFICATIONS (APR 2016)

(a)(1) The North American Industry Classification System (NAICS) code for this acquisition is 624190.

(2) The small business size standard is $11.0

(3) The small business size standard for a concern which submits an offer in its own name, other than on a construction or service contract, but which proposes to furnish a product which it did not itself manufacture, is 500 employees.

(b)(1) If the provision at 52.204-7, System for Award Management, is included in this solicitation, paragraph (d) of this provision applies.

(2) If the provision at 52.204-7 is not included in this solicitation, and the offeror is currently registered in System for Award Management (SAM), and has completed the Representations and Certifications section of SAM electronically, the offeror may choose to use paragraph (d) of this provision instead of completing the corresponding individual representations and certifications in the solicitation. The offeror shall indicate which option applies by checking one of the following boxes:

( ) Paragraph (d) applies.

( ) Paragraph (d) does not apply and the offeror has completed the individual representations and certifications in the solicitation.

(c) (1) The following representations or certifications in SAM are applicable to this solicitation as indicated:

(i) 52.203-2, Certificate of Independent Price Determination. This provision applies to solicitations when a firm-fixed-price contract or fixed-price contract with economic price adjustment is contemplated, unless—

(A) The acquisition is to be made under the simplified acquisition procedures in Part 13;

(B) The solicitation is a request for technical proposals under two-step sealed bidding procedures; or

(C) The solicitation is for utility services for which rates are set by law or regulation.

(ii) 52.203-11, Certification and Disclosure Regarding Payments to Influence Certain Federal Transactions. This provision applies to solicitations expected to exceed $150,000.

(iii) 52.204-3, Taxpayer Identification. This provision applies to solicitations that do not include the provision at 52.204-7, System for Award Management.

(iv) 52.204-5, Women-Owned Business (Other Than Small Business). This provision applies to solicitations that—

(A) Are not set aside for small business concerns;

(B) Exceed the simplified acquisition threshold; and

(C) Are for contracts that will be performed in the United States or its outlying areas.

(v) 52.209-2; Prohibition on Contracting with Inverted Domestic Corporations--Representation.

(vi) 52.209-5; Certification Regarding Responsibility Matters. This provision applies to solicitations where the contract value is expected to exceed the simplified acquisition threshold.

(vii) 52.209-11, Representation by Corporations Regarding elinquent Tax Liability or a Felony Conviction under any Federal Law. This provision applies to all solicitations.

(viii) 52.214-14, Place of Performance--Sealed Bidding. This provision applies to invitations for bids except those in which the place of performance is specified by the Government.

(ix) 52.215-6, Place of Performance. This provision applies to solicitations unless the place of performance is specified by the Government.

(x) 52.219-1, Small Business Program Representations (Basic & Alternate I). This provision applies to solicitations when the contract will be performed in the United States or its outlying areas.

(A) The basic provision applies when the solicitations are issued by other than DoD, NASA, and the Coast Guard.

(B) The provision with its Alternate I applies to solicitations issued by DoD, NASA, or the Coast Guard.

(xi) 52.219-2, Equal Low Bids. This provision applies to solicitations when contracting by sealed bidding and the contract will be performed in the United States or its outlying areas.

(xii) 52.222-22, Previous Contracts and Compliance Reports. This provision applies to solicitations that include the clause at 52.222-26, Equal Opportunity.

(xiii) 52.222-25, Affirmative Action Compliance. This provision applies to solicitations, other than those for construction, when the solicitation includes the clause at 52.222-26, Equal Opportunity.

(xiv) 52.222-38, Compliance with Veterans' Employment Reporting Requirements. This provision applies to solicitations when it is anticipated the contract award will exceed the simplified acquisition threshold and the contract is not for acquisition of commercial items.

(xv) 52.223-1, Biobased Product Certification. This provision applies to solicitations that require the delivery or specify the use of USDA-designated items; or include the clause at 52.223-2, Affirmative Procurement of Biobased Products Under Service and Construction Contracts.

(xvi) 52.223-4, Recovered Material Certification. This provision applies to solicitations that are for, or specify the use of, EPA- designated items.

(xvii) 52.225-2, Buy American Certificate. This provision applies to solicitations containing the clause at 52.225-1.

(xviii) 52.225-4, Buy American--Free Trade Agreements--Israeli Trade Act Certificate. (Basic, Alternates I, II, and III.) This provision applies to solicitations containing the clause at 52.225- 3.

(A) If the acquisition value is less than $25,000, the basic provision applies.

(B) If the acquisition value is $25,000 or more but is less than $50,000, the provision with its Alternate I applies.

(C) If the acquisition value is $50,000 or more but is less than $77,533, the provision with its Alternate II applies.

(D) If the acquisition value is $77,533 or more but is less than $100,000, the provision with its Alternate III applies.

(xix) 52.225-6, Trade Agreements Certificate. This provision applies to solicitations containing the clause at 52.225- 5.

(xx) 52.225-20, Prohibition on Conducting Restricted Business Operations in Sudan--Certification. This provision applies to all solicitations.

(xxi) 52.225-25, Prohibition on Contracting with Entities Engaging in Certain Activities or Transactions Relating to Iran—Representation and…