W9127P-15-P-0098.pdf

SEE ADDENDUM

(No Collect Calls)

X

W9127P-15-Q-0070 24-Aug-2015

b. TELEPHONE NUMBER

340-712-7831

8. OFFER DUE DATE/LOCAL TIME

01:00 PM 09 Sep 2015

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.202-552-7356

W9127P9. ISSUED BY

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

W9127P-15-P-0098 22-Sep-2015

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

GERALDINE VAVAL

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

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

0010654153-0002

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

GERALDINE VAVAL / CONTRACT SPECIALIST

See Schedule $101,000.00

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

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS: SEE SCHEDULE

.09-Sep-2015 YOUR OFFER ON SOLICITATION

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN W9127P-15-Q-0070-0001

% FOR:SET ASIDE:UNRESTRICTED OR X

SMALL BUSINESSX

17a.CONTRACTOR/ CODE 51KY2 FACILITY

OFFEROR CODE

W9127P - USPFO FOR VIRGIN ISLANDS

PURCHASING & CONTRACTING

RURAL ROUTE 2, BOX 9200

KINGSHILL, ST. CROIX VI 00850-9200

SEBA PROFESSIONAL SERVICES LLC

ERHIUVIE ABU

1738 ELTON ROAD SUITE 113

SILVER SPRING MD 20903-1779

096342-USPFO FOR COMPTROLLER

LORINA NESTOR

COMMERCIAL ACCOUNT

RURAL ROUTE 2, BOX 9200

KINGSHILL, ST. CROIX VI 00850

18a. PAYMENT WILL BE MADE BY CODE HQ0670

RATED ORDER UNDER

DPAS (15 CFR 700)

13a. THIS CONTRACT IS A

13b. RATING

CODE

SEE ITEM 9

15. DELIVER TO CODE W585FV 16. ADMINISTERED BY

Net 30 Days

12. DISCOUNT TERMS11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

14. METHOD OF SOLICITATION

RFQ IFB RFPX

W7P4 VIARNG ELEMENT, JF HQ

W7P4 VIARNG ELEMENT, JF HQ

USPFO VIRGIN ISLANDS

RURAL ROUTE 2 BOX 9200

KINGSHILL VI 00850-0000

340-712-7819FAX:

TEL: 340-712-7831/712-7832

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

8(A)

HUBZONE SMALL

BUSINESS

SIZE STANDARD:

$7,000,000

NAICS:

621330

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

X

EMAIL:

340-712-7831TEL:

31c. DATE SIGNED

22-Sep-2015

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 OF9

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.

W9127P-15-P-0098

Section SF 1449 - CONTINUATION SHEET

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0001 1 Job $96,000.00 $96,000.00

SOCIAL WORKER

FFP

NTE 1664 hours during the POP.

Contractor's hourly rate =$ 57.66/per hour.

Contractor will invoice monthly at the end of each month for services performed.

Invoice in accordinace to contract. Contractor will comply with CMRA requirements in accordance with the Statement of Work. Invoice in accordance with contract COR: LTC Jean Collins, Tel: 340-201-9814

FOB: Destination

PURCHASE REQUEST NUMBER: 0010654153-0002

NET AMT $96,000.00

ACRN AA

CIN: GFEBS001065415300001

$96,000.00

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0002 1 Job $5,000.00 $5,000.00

TRAVEL

FFP

TRAVEL

PURCHASE REQUEST NUMBER: 0010654153-0002

NET AMT $5,000.00

ACRN AB

CIN: GFEBS001065415300002

$5,000.00

INSPECTION AND ACCEPTANCE TERMS

Supplies/services will be inspected/accepted at:

CLIN INSPECT AT INSPECT BY ACCEPT AT ACCEPT BY

0001 Destination Government N/A Government

0002 Destination Government N/A Government

DELIVERY INFORMATION

CLIN DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC

0001 POP 26-SEP-2015 TO

15-AUG-2017

N/A W7P4 VIARNG ELEMENT, JF HQ

W7P4 VIARNG ELEMENT, JF HQ

USPFO VIRGIN ISLANDS

RURAL ROUTE 2 BOX 9200

KINGSHILL VI 00850-0000

340-712-7833

W585FV

0002 POP 26-SEP-2015 TO

15-AUG-2017

N/A (SAME AS PREVIOUS LOCATION)

W585FV

ACCOUNTING AND APPROPRIATION DATA

AA: 021201520152065000011313325A0040151048 6100.0163021001

COST CODE: A18VQ

AMOUNT: $96,000.00

CIN GFEBS001065415300001: $96,000.00

AB: 021201520152065000011313321T0040151048 6100.9000021001

COST CODE: A18VQ

AMOUNT: $5,000.00

CIN GFEBS001065415300002: $5,000.00

CLAUSES INCORPORATED BY REFERENCE

52.204-9 Personal Identity Verification of Contractor Personnel JAN 2011

52.204-10 Reporting Executive Compensation and First-Tier

Subcontract Awards

JUL 2013

52.204-14 Service Contract Reporting Requirements JAN 2014

52.204-16 Commercial and Government Entity Code Reporting JUL 2015

52.204-18 Commercial and Government Entity Code Maintenance JUL 2015

52.209-6 Protecting the Government's Interest When Subcontracting

With Contractors Debarred, Suspended, or Proposed for

Debarment

AUG 2013

52.209-10 Prohibition on Contracting With Inverted Domestic

Corporations

DEC 2014

52.212-4 Contract Terms and Conditions--Commercial Items MAY 2015

52.219-6 Notice Of Total Small Business Set-Aside NOV 2011

52.219-7 Notice of Partial Small Business Set-Aside JUN 2003

52.222-3 Convict Labor JUN 2003

52.222-21 Prohibition Of Segregated Facilities APR 2015

52.222-26 Equal Opportunity APR 2015

52.222-36 Equal Opportunity for Workers with Disabilities JUL 2014

52.222-41 Service Contract Labor Standards MAY 2014

52.222-42 Statement Of Equivalent Rates For Federal Hires MAY 2014

52.222-50 Combating Trafficking in Persons MAR 2015

52.222-55 Minimum Wages Under Executive Order 13658 DEC 2014

52.223-5 Pollution Prevention and Right-to-Know Information MAY 2011

52.223-19 Compliance with Environmental Management Systems MAY 2011

52.232-33 Payment by Electronic Funds Transfer--System for Award

Management

JUL 2013

52.232-39 Unenforceability of Unauthorized Obligations JUN 2013

52.233-3 Protest After Award AUG 1996

52.233-4 Applicable Law for Breach of Contract Claim OCT 2004

52.237-2 Protection Of Government Buildings, Equipment, And

Vegetation

APR 1984

252.201-7000 Contracting Officer's Representative DEC 1991

252.203-7000 Requirements Relating to Compensation of Former DoD

Officials

SEP 2011

252.204-7011 Alternative Line Item Structure SEP 2011

252.204-7012 Safeguarding of Unclassified Controlled Technical

Information

NOV 2013

252.204-7015 Disclosure of Information to Litigation Support Contractors FEB 2014

252.223-7006 Prohibition On Storage, Treatment, and Disposal of Toxic or

Hazardous Materials

SEP 2014

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

CLAUSES INCORPORATED BY FULL TEXT

52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

This contract incorporates one or more clauses by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. Also, the full text of a clause may be accessed electronically at this/these address(es):

http://farsite.hill.af.mil

(End of clause)

52.212-2 EVALUATION--COMMERCIAL ITEMS (OCT 2014)

(a) The Government will award a contract resulting from this solicitation to the responsible offeror whose offer conforming to the solicitation will be most advantageous to the Government, price and other factors considered. The following factors shall be used to evaluate offers:

Technical capability

1. Must have at least a Masters degree in Social Work.

2. Must be a licensed Clinical Social Worker or license eligible in the Virgin Islands IAW 1.6.8

Which states: (a) the contractor is responsible for ensuring that employees possess and maintain current Virgin

Islands Clinical Social Work licensure and appropriate liability insurance for clinical practice and (b) Employees meet the requirements of credentialing Medical Authority for ARNG to serve as an LCSW profiling officer.

3. Contractor will be able to meet the specifications necessary to obtain a Common Access Card (CAC) for Local

Access Network and for identification.

4. Preference will be given to candidates who have the following qualifications:

Active or former member of the United States military.

Strong connections and working relationships with the Virgin Islands health community.

Strong knowledge, training, and experience in health management.

Experience utilizing and maintaining health records and electronic patient programs.

Resident of Virgin Islands who is prepared to work in Virgin Islands and have the ability to travel frequently.

5. Evidence detailing procedures for new hire CAC access. CAC/Identification required before employee starts working.

6. Eligibility of possession of a Secret Clearance or eligibility to obtain a secret clearance within thirty (30) days.

7. Evidence of detailed new hire training plan to meet requirement in Performance Work Statement

8. The successful bidder will provide a list of applicants to include resumes for review.

Past performance:

9. Evidence of a Performance Management plan to improve and maintain customer service performance.

Technical and past performance, when combined, are approximately equal to cost or price.

(b) Reserved.

(c) A written notice of award or acceptance of an offer, mailed or otherwise furnished to the successful offeror within the time for acceptance specified in the offer, shall result in a binding contract without further action by either party. Before the offer's specified expiration time, the Government may accept an offer (or part of an offer), whether or not there are negotiations after its receipt, unless a written notice of withdrawal is received before award.

(End of provision)

252.232-7006 Wide Area WorkFlow Payment Instructions.

As prescribed in 232.7004(b), use the following clause:

WIDE AREA WORKFLOW PAYMENT INSTRUCTIONS (JUN 2012)

http://www.acq.osd.mil/dpap/dars/dfars/html/current/232_70.htm

(a) Definitions. As used in this clause—

“Department of Defense Activity Address Code (DoDAAC)” is a six position code that uniquely identifies a unit, activity, or organization.

“Document type” means the type of payment request or receiving report available for creation in

Wide Area WorkFlow (WAWF).

“Local processing office (LPO)” is the office responsible for payment certification when payment certification is done external to the entitlement system.

(b) Electronic invoicing. The WAWF system is the method to electronically process vendor payment requests and receiving reports, as authorized by DFARS 252.232-7003, Electronic Submission of

Payment Requests and Receiving Reports.

(c) WAWF access. To access WAWF, the Contractor shall—

(1) Have a designated electronic business point of contact in the Central Contractor Registration at https://www.acquisition.gov; and

(2) Be registered to use WAWF at https://wawf.eb.mil/ following the step-by-step procedures for self-registration available at this web site.

(d) WAWF training. The Contractor should follow the training instructions of the WAWF Web-Based

Training Course and use the Practice Training Site before submitting payment requests through WAWF.

Both can be accessed by selecting the “Web Based Training” link on the WAWF home page at https://wawf.eb.mil/

(e) WAWF methods of document submission. Document submissions may be via web entry, Electronic

Data Interchange, or File Transfer Protocol.

(f) WAWF payment instructions. The Contractor must use the following information when submitting payment requests and receiving reports in WAWF for this contract/order:

(1) Document type. The Contractor shall use the following document type(s).

Vendors shall submit a 2-in-1 Invoice. Units of measure shall match the contract or the invoice will be rejected.

(2) Inspection/acceptance location. The Contractor shall select the following inspection/acceptance location(s) in WAWF, as specified by the contracting officer.

N/A

(3) Document routing. The Contractor shall use the information in the Routing Data Table below only to fill in applicable fields in WAWF when creating payment requests and receiving reports in the system. Routing Data Table* http://www.acq.osd.mil/dpap/dars/dfars/html/current/252232.htm https://www.acquisition.gov/ https://wawf.eb.mil/ https://wawf.eb.mil/

(4) Payment request and supporting documentation. The Contractor shall ensure a payment request includes appropriate contract line item and subline item descriptions of the work performed or supplies delivered, unit price/cost per unit, fee (if applicable), and all relevant back-up documentation, as defined in DFARS Appendix F, (e.g. timesheets) in support of each payment request. If your invoice in WAWF does not match the items and unit of measure as stated in the contract, the invoice may be rejected.

(5) The vendor shall supply a tracking number for shipment, IF APPLICABLE. If no tracking system is used, then the vendor shall provide a ship date and an estimated arrival date.

(6) WAWF email notifications. The Contractor shall enter the e-mail address identified below in the “Send Additional Email Notifications” field of WAWF once a document is submitted in the system.

donna.r.prockledger.mil@mail.mil kendell.r.richmond.mil@mail.mil jean.m.movingcollins.mil@mail.mil

(g) WAWF point of contact.

(1) The Contractor may obtain clarification regarding invoicing in WAWF from the following contracting activity’s WAWF point of contact.

donna.r.prockledger.mil@mail.mil geraldine.p.vaval.mil@mail.mil

(2) For technical WAWF help, contact the WAWF helpdesk at 866-618-5988.

(End of clause)

Field Name in WAWF Data to be entered in WAWF

Pay Official DoDAAC HQ0670

Issue By DoDAAC W9127P

Admin DoDAAC W9127P

Inspect By DoDAAC N/A

Ship To Code N/A

Ship From Code N/A

Mark For Code N/A

Service Approver (DoDAAC) N/A

Service Acceptor (DoDAAC) W585FV

Accept at Other DoDAAC N/A

LPO DoDAAC N/A

DCAA Auditor DoDAAC N/A

Other DoDAAC(s) N/A mailto:donna.r.prockledger.mil@mail.mil mailto:kendell.r.richmond.mil@mail.mil mailto:jean.m.movingcollins.mil@mail.mil mailto:donna.r.prockledger.mil@mail.mil mailto:geraldine.p.vaval.mil@mail.mil