W9128F19Q0097,__EAP.PDF

SEE ADDENDUM

(No Collect Calls)

W9128F19Q0097 13-Jun-2019

b. TELEPHONE NUMBER

402-995-2886

8. OFFER DUE DATE/LOCAL TIME

02:00 PM 20 Jun 2019

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.

W9128F9. ISSUED BY

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

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

DANIEL D MONAHAN

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

W59XQG91503719

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

U.S. ARMY CORPS OF ENGINEERS, OMAHA DIST

CONTRACTING OFFICE

1616 CAPITOL AVENUE

OMAHA NE 68102-4901

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 966573 16. ADMINISTERED BY

12. DISCOUNT TERMS11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

14. METHOD OF SOLICITATION

RFQ IFB RFPX

COE EXECUTIVE OFFICE

STACY DUFAULT

USAED, OMAHA DISTRICTCENWO-EX

1616 CAPITOL AVE

OMAHA NE 68102-4901

TEL: (402)995-2090 FAX:

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 OF37

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.

W9128F19Q0097

Section SF 1449 - CONTINUATION SHEET

PERFORMANCE WORK STATEMENT

CENWO-CT PERFORMANCE WORK STATEMENT (PWS)

Employee Assistance Program

PART 1

GENERAL INFORMATION

1. General: This is a non-personnel services contract to provide the services of a qualified Assessment and Referral Resource Firm for the Employee Assistance Program to the U.S. Army Corps of Engineers, Omaha District (to include Field Offices).

These services will include but not be limited to EAP implementation, intake interviews, problem assessment, short term counseling, referral to treatment agency, follow up to determine rehabilitation rate, record keeping, training for supervisors and when requested provide on a cost reimbursable bases, conducts training for District employees on topics such as workplace violence, suicide prevention and other tailored training that contributes to the overall welfare of the workforce. The Government shall not exercise any supervision or control over the subcontract service providers performing the services herein. Such contract service providers shall be accountable solely to the Contractor who, in turn is responsible to the Government.

1.1 Description of Services/Introduction: The contractor shall provide all personnel, equipment, supplies, facilities, transportation, tools, materials, supervision, and other items and non-personal services necessary to perform Employee Assistance Program (EAP) services to the Army Corps of Engineers, Omaha District to include all Field Offices as defined in this Performance Work Statement except for those items specified as government furnished property and services. The contractor shall perform to the standards in this contract.

1.2 Background: Federal Employee Health Services Programs, 42. U.S.C. provides that Federal agencies shall be responsible for developing and maintaining appropriate prevention, treatment, and rehabilitation programs and services for Federal civilian employees with alcohol or drug related problems. Guidance for implementing these requirements is contained in Title 5 CFR, Part 792. Executive Order 12564 dtd 15 September 1986 established further requirements for Federal agencies and employees in order to obtain a drug-free Federal workplace, Army Regulation 600-85, dtd 28 November 2016, Engineer Regulation 690-1-710, dtd 29 June 2012 state that an EAP will be established to provide assistance to all employees. The range of problems to be covered may include any emotional/behavioral problems including, but not limited to alcoholism, drug abuse, emotional and family stress, financial, legal, and marital problems.

1.3 Objectives:

1.3.1 Employee assistance implementation

1.3.2 Training/program orientation for supervisors, equal employment opportunities and civilian personnel office employees.

Initial intake interview

Problem identification/assessment

Short term counseling/treatment

Referrals

Follow-up to determine rehabilitation rate

Record keeping

Quarterly reports to the Contracting Officer’s Representative.

1.4 Scope: Contractor shall provide:

1.4.1 Problem identification, intake, preventive counseling and referral for treatment, rehabilitation, or any other assistance for federal civilian employees/family members with medical, emotional, financial, or interpersonal problems, alcohol abuse, and drug dependency;

1.4.2 Counseling and referral services to employees/family members at the following locations:

Nebraska – Omaha (801)

Wisconsin – Ft. McCoy, near Tomah (10)

South Dakota – Pickstown (56), Pierre (62), Yankton (69), Rapid City (28) & Chamberlain (41)

North Dakota – Garrison (73)

Montana – Helena (10) and Ft. Peck (47)

Wyoming – Cheyenne (5)

Colorado – Colorado Springs (50), Denver (43) and Littleton (7)

1.4.3 Counseling and referral to employees who; test positive for drugs, face discipline for misconduct or unacceptable performance, are having interpersonal conflicts, are dealing with stress, or attendance issues;

1.4.4 Responses to crisis situations that have a negative impact on emotional wellness in the organization such as violence in the workplace, suicide attempts or threats of suicide, grief counseling upon the death of a co-worker, family member, and loss of job through reduction-in-force (RIF).

1.4.5 The contractor shall perform risk assessment, provide short-term counseling services (up to three one-hour counseling sessions per problem), provide aftercare and follow-up services to program participants to include monitoring progress.

1.4.6 The contractor shall maintain, manage, and secure confidential records in accordance with Federal Employees Health Services Programs, 5 CFR 792, as well as 42 CFR Part 2. The contractor shall have filing systems and equipment which insure compliance with all Department of Defense (DoD) standards related to the protection of confidential and personally identifiable information (PII) and abide by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), Public Law 104-191, which establishes national standards to protect individuals’ medical records and other personal health information and applies to health plans, health care clearinghouses, and those health care providers that conduct certain health care transactions electronically.

1.4.7 The contractor shall provide flyers, brochures, or electronic information for the purpose of publicizing the availability of the EAP throughout the command, in in-house publications (articles addressing but not limited to current mental health issues ranging from any emotional/behavioral problems to include alcoholism, drug abuse, emotional and family stress, financial, legal and marital problems) and for use at regularly scheduled new employee orientation, new supervisors’ training and continuing employee/supervisor training or shall provide other materials deemed necessary by the Omaha District Contracting Officer or Contracting Officer’s Representative..

1.4.8 The contractor shall develop a present annually a training model that demonstrates how its Employee Assistance Program operates. This Training Model shall explain CEAP benefits and the methods of referral. This Training Model, prepared for supervisory personnel, Equal Employment Opportunity (EEO) counselors, and personnel specialists, shall also include an interactive capability to develop and refine student skills in identifying, communicating with and referring employees who have problems which interfere with job performance, attendance, and/or conduct.

1.4.9 The contractor shall provide consultation services requested on an emergency or a routine basis either by management referral or directly by the employee as a self referral.

1.4.10 The contractor shall be qualified to perform risk assessment and referral functions for employees to identify and assess problems and refer employees to appropriate treatment facilities. The services shall include but are not limited to:

1.4.10.1 Conducting intake interviews to identify and assess the problem.

1.4.10.2 Providing a choice of treatment options/facilities that are qualified and have demonstrated the ability to treat the problem within the provisions of the employee’s health insurance plan or ability to pay for treatment.

1.4.10.3 The contractor shall provide short term counseling services within 24 hours of request for service (unless employee requests an appointment time beyond the 24 hours).

a. The contractor shall commence risk assessments within one (1) hour of call from

Omaha District Civilian Personnel Advisory in response to management referral for last chance agreement, proposed suspension, proposed removal, fitness for duty (Risk

Assessments), and threat of violence in the work place, suicide and positive drug test.

b. Oral results from the contractor are due to the Specialist one hour after completion of the risk assessment session.

1.4.11 PERFORMANCE REQUIREMENTS

The contractor must demonstrate sufficient experience providing EAP services. At a minimum, the contractor shall have been involved in EAP assessments, referrals, short term counseling, and the development of follow-up progress reports for a federal or corporate civilian population for problems and/or illnesses such as or caused by stress, marriage, family, financial, children, substance abuse, and other psychological, physical, and emotional situations.

1.4.11.1 RELEVANT EXPERIENCE

a. The key personnel for this contract are the EAP Program Manager with a staff of qualified licensed professionals who are both capable of, and available to, interface and integrate with the Omaha District civilian workforce regarding a variety of EAP-related assignments; e.g., mandatory referrals, grief counseling, group training, presenting briefs.

b. The contractor shall have a staff of qualified licensed professionals who are Counselors with Master Degrees in accordance with Office Personnel Management (OPM) Qualification Standard. The staff shall have the qualifications and demonstrated ability to identify and assess a variety of mental, physical, chemical dependency, and/or emotional problems and provide short-term counseling as required.

c. The contractor shall have facilities and staff, professional and support, to handle workload, record keeping and reporting. The contractor shall operate from its own facilities and provide maximum confidentiality for the employee and employee's records in accordance with and abide by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), Public Law 104-191, which establishes national standards to protect individuals’ medical records and other personal health information and applies to health plans, health care clearinghouses, and those health care providers that conduct certain health care transactions electronically.

The HIPAA Rule requires appropriate safeguards to protect the privacy of personal health information, and sets limits and conditions on the uses and disclosures that may be made of such information without patient authorization. Also the HIPAA rule gives patients rights over their health information, including rights to examine and obtain a copy of their health records, and to request corrections.

d. The contractor and/or staff members shall respond to all request calls from locations listed in the area of coverage identified in Section 2 for assistance under this contract within sixty (60) minutes of receipt of a call between the hours of

0800 and 1700 Monday – Friday and within two (2) hours for after 1700 Monday – Friday and anytime on Saturday and Sunday.

e. The contractor shall provide 24 hour 7 days a week toll free phone line coverage by a mental health counselor.

f. The contractor shall be knowledgeable of and conversant with a broad network of treatment facilities for a variety of problems and maintain a referral roster of resources for areas of coverage.

g. The contractor shall comply with all local, state, and federal regulations and laws that apply to the work being performed under this contract.

h. All financial, statistical, personnel and technical data which is furnished, produced or otherwise available to the contractor during the performance of this contract are considered confidential business information, potentially containing confidential and/or personally identifiable information, and shall not be used for purposes other than performance of work under this contract nor be released by the contractor without prior written consent of the employee and Omaha District Contracting Officer.

1.5 Period of Performance: The period of performance shall be for one (1) Base Year of 12 months and four (4) 12-month option years.

1.6 General Information

1.6.1 Quality Control: The Prime contractor shall develop and maintain an effective quality control program to ensure services are performed in accordance with this PWS, within 30 days after contract award. Existing quality documents that meet the requirements of this contract may continue to be used. The Contractor shall also require all subcontractors to possess a quality control program commensurate with the services and supplies to be provided as determined by the Prime. At minimum, the contractor’s quality system shall meet the following key criteria:

a. Establish capable processes to insure the effective and timely delivery of EAP services.

b. Monitor and control critical process variations.

c. Establish mechanisms for feedback concerning the provision of EAP services;

d. Implement a successful root-cause analysis and corrective action system to remediate any failure in the delivery of effective and timely EAP services.

e. Establish procedures for continuous process improvement.

1.6.2 Quality Assurance: The government shall evaluate the contractor’s performance under this contract in accordance with the Quality Assurance Surveillance Plan. This plan is attached as Technical Exhibit #1 and will be applied, quarterly or annually as stated in the plan and the minimum acceptable defect rate is also listed in the plan.

1.6.3 Recognized Holidays: Contractor is required to proved toll free phone line coverage by a mental health counselor on holidays.

New Year’s Day Labor Day Martin Luther King Jr.’s Birthday Columbus Day President’s Day Veteran’s Day Memorial Day Thanksgiving Day Independence Day Christmas Day

1.6.4 Hours of Operation: The contractor is responsible for conducting business, between the hours of 0800 and 1700 Monday – Friday and provide toll free phone line coverage by a mental health counselor on Saturdays, Sundays and holidays.

1.6.5 Place of Performance: The contractor shall operate from its own facilities and provide maximum confidentially for the employee and employee records.

1.6.6 Type of Contract: Firm Fixed Price (FFP) Purchase order

1.6.7 Security Requirements: All work performed under this contract shall be “unclassified.”

1.6.7.1 Physical Security. Contractor personnel required to physically access government facilities and projects for purposes of site visitation, supervisory and quality evaluation, or meeting attendance will comply with the latest security requirements applicable to the government facility/project.

1.6.7.2 Key Control: not applicable.

1.6.8 Special Qualifications: Counselors must be licensed, certified and or accredited.

At least one counselor must be licensed to test for and diagnose alcohol and drug dependency.

1.6.9 Post Award Conference/Periodic Progress Meetings: The Contractor agrees to attend any post award conference convened by the contracting activity or contract administration office in accordance with Federal Acquisition Regulation Subpart 42.5.

The contracting officer, Contracting Officers Representative (COR), and other Government personnel, as appropriate, may meet periodically with the contractor to review the contractor's performance. At these meetings the contracting officer will apprise the contractor of how the government views the contractor's performance and the contractor will apprise the Government of problems, if any, being experienced.

Appropriate action shall be taken to resolve outstanding issues. These meetings shall be at no additional cost to the government.

1.6.10 Contracting Officer Representative (COR): The (COR) will be identified by separate letter. The COR monitors all technical aspects of the contract and assists in contract administration The COR is authorized to perform the following functions:

assure that the Contractor performs the technical requirements of the contract: perform inspections necessary in connection with contract performance: maintain written and oral communications with the Contractor concerning technical aspects of the contract:

issue written interpretations of technical requirements. A letter of designation issued to the COR, a copy of which is sent to the Contractor, states the responsibilities and limitations of the COR, especially with regard to changes in cost or price, estimates or changes in delivery dates. The COR is not authorized to change any of the terms and conditions of the resulting order.

1.6.11 Key Personnel: The follow personnel are considered key personnel by the government: Program Manager/Contract Manager/Alternate Contract Manager. The contractor shall provide a contract manager who shall be responsible for the performance of the work. The name of this person and an alternate who shall act for the contractor when the manager is absent shall be designated in writing to the contracting officer. The contract manager or alternate shall have full authority to act for the contractor on all contract matters relating to daily operation of this contract. The contract manager or alternate shall be available between 9:00 a.m. to 4:30p.m., Monday thru Friday except Federal holidays or when the government facility is closed for administrative reasons.

1.6.12 Identification of Contractor Employees: All contract personnel attending meetings, answering Government telephones, and working in other situations where their contractor status is not obvious to third parties are required to identify themselves as such to avoid creating an impression in the minds of members of the public that they are Government officials. They must also ensure that all documents or reports produced by contractors are suitably marked as contractor products or that contractor participation is appropriately disclosed.

1.6.13 Contractor Travel If travel is required by the government, it will be done on government issued invitational travel orders and the contractor will be authorized travel expenses consistent with the substantive provisions of the Joint Travel Regulation (JTR). All travel requires Government approval/authorization and notification to the

COR.

1.6.14 Other Direct Costs: not applicable

1.6.15 Data Rights: not applicable

1.6.16 Organizational Conflict of Interest: Contractor and subcontractor personnel performing work under this contract may receive, have access to or participate in the development of proprietary or source selection information (e.g., cost or pricing information, budget information or analyses, specifications or work statements, etc.) or perform evaluation services which may create a current or subsequent Organizational Conflict of Interests (OCI) as defined in FAR Subpart 9.5. The Contractor shall notify the Contracting Officer immediately whenever it becomes aware that such access or participation may result in any actual or potential OCI and shall promptly submit a plan to the Contracting Officer to avoid or mitigate any such OCI. The Contractor’s mitigation plan will be determined to be acceptable solely at the discretion of the Contracting Officer and in the event the Contracting Officer unilaterally determines that any such OCI cannot be satisfactorily avoided or mitigated, the Contracting Officer may affect other remedies as he or she deems necessary, including prohibiting the Contractor from participation in subsequent contracted requirements which may be affected by the OCI.

1.6.17 Phase In/Phase Out Period: not applicable.

PART 2

DEFINITIONS & ACRONYMS

2. DEFINITIONS AND ACRONYMS:

2.1. DEFINITIONS:

2.1.1. CONTRACTOR. A supplier or vendor awarded a contract to provide specific supplies or service to the government. The term used in this contract refers to the prime.

2.1.2. CONTRACTING OFFICER. A person with authority to enter into, administer, and or terminate contracts, and make related determinations and findings on behalf of the government. Note: The only individual who can legally bind the government.

2.1.3. CONTRACTING OFFICER'S REPRESENTATIVE (COR). An employee of the U.S. Government appointed by the contracting officer to administer the contract. Such appointment shall be in writing and shall state the scope of authority and limitations.

This individual has authority to provide technical direction to the Contractor as long as that direction is within the scope of the contract, does not constitute a change, and has no funding implications. This individual does NOT have authority to change the terms and conditions of the contract.

2.1.4. DEFECTIVE SERVICE. A service output that does not meet the standard of performance associated with the Performance Work Statement.

2.1.5. DELIVERABLE. Anything that can be physically delivered, but may include non-manufactured things such as meeting minutes or reports.

2.1.6. EMPLOYEE STATUS. Verification of eligibility for service will be by the employee or by confirmation of employment status by SPAWARSYSCEN Pacific

COR.

2.1.7. FAMILY MEMBER. IAW 5 CFR 630.902, family member means the employee’s spouse, or same or opposite sex domestic partner, child, parent, grandparent, grandchild, sister, or brother. Family member also means individuals in the following relationships with the employee’s spouse or domestic partner: child, parent, or grandparent. It also includes those persons in a “step” relationship and any individual related by blood or affinity whose close association with the employee is the equivalent of a family relationship.

2.1.8. IMMEDIATE DEPENDENT. Spouse and any children under the age of 21 living with the covered civilian employee in a parent/child relationship (including adopted children, etc.) or children of any age living with the covered civilian employee in a parent/child relationship that are disabled and incapable of self support.

2.1.9. KEY PERSONNEL. Contractor personnel that are evaluated in a source selection process and that may be required to be used in the performance of a contract by the Key Personnel listed in the PWS. When key personnel are used as an evaluation factor in best value procurement, an offer can be rejected if it does not have a firm commitment from the persons that are listed in the proposal.

2.1.10. PHYSICAL SECURITY. Actions that prevent the loss or damage of Government property.

2.1.11. QUALITY ASSURANCE. The government procedures to verify that services being performed by the Contractor are performed according to acceptable standards.

2.1.12. QUALITY ASSURANCE Surveillance Plan (QASP). An organized written document specifying the surveillance methodology to be used for surveillance of contractor performance.

2.1.13. QUALITY CONTROL. All necessary measures taken by the Contractor to assure that the quality of an end product or service shall meet contract requirements.

2.1.14. SUBCONTRACTOR. One that enters into a contract with a prime contractor.

The Government does not have privity of contract with the subcontractor.

2.1.15. WORK DAY. The number of hours per day the Contractor provides services in accordance with the contract.

2.1.16. WORK WEEK. Monday through Friday, unless specified otherwise.

2.2. ACRONYMS:

AFARS Army Federal Acquisition Regulation Supplement AR Army Regulation CCE Contracting Center of Excellence CFR Code of Federal Regulations COR Contracting Officer Representative DA Department of the Army DFARS Defense Federal Acquisition Regulation Supplement DOD Department of Defense FAR Federal Acquisition Regulation HIPAA Health Insurance Portability and Accountability Act of 1996

KO Contracting Officer OCI Organizational Conflict of Interest POC Point of Contact PRS Performance Requirements Summary PWS Performance Work Statement QA Quality Assurance QAP Quality Assurance Program QASP Quality Assurance Surveillance Plan QC Quality Control QCP Quality Control Program TE Technical Exhibit

PART 3

GOVERNMENT FURNISHED PROPERTY, EQUIPMENT, AND SERVICES

3. GOVERNMENT FURNISHED ITEMS AND SERVICES:

3.1. Services: not applicable

3.2. Facilities: not applicable

3.3. Utilities: not applicable

3.4. Equipment: not applicable

3.5. Materials: not applicable

PART 4

CONTRACTOR FURNISHED ITEMS AND SERVICES

4. CONTRACTOR FURNISHED ITEMS AND RESPONSIBILITIES:

4.1 General: The Contractor shall furnish all supplies, equipment, facilities and services required to perform work under this contract that are not listed under Section 3 of this PWS.

4.2 Secret Facility Clearance: not applicable.

PART 5

SPECIFIC TASKS

5. Specific Tasks:

5.1. Basic Services. See 1.4.1 through 1.4.11.1h above.

5.2. Task Heading. not applicable

5.3. Contractor Manpower Reporting (CMR): Contract Manpower Reporting Clause

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 contractor manpower (including subcontractor manpower) required for performance of this contract. The contractor is required to completely fill in all the information in the format using the following web address:

https://contractormanpower.army.pentagon.mil. The required information includes: (1) Contracting Office, Contracting Officer, Contracting Officer’s Technical Representative;

(2) Contract number, including task and delivery order number; (3) Beginning and ending dates covered by reporting period; (4) Contractor name, address, phone number, e-mail address, identity of contractor employee entering data; (5) Estimated direct labor hours (including subcontractors); (6) Estimated direct labor dollars paid this reporting period (including subcontractors); (7) Total payments (including subcontractors); (8) Predominant Federal Service Code (FSC) reflecting services provided by contractor (and separate predominant FSC for each subcontractor if different); (9) Estimated data collection cost; (10) Organizational title associated with the Unit Identification Code (UIC) for the Army Requiring Activity (the Army Requiring Activity is responsible for providing the contractor with its UIC for the purposes of reporting this information; (11) Locations where contractor and subcontractors perform the work (specified by zip code in the United States and nearest city, country, when in an overseas location, using standardized nomenclature provided on website); (12) Presence of deployment or contingency contract language; and (13) Number of contractor and subcontractor employees deployed in theater this reporting period (by country). As part of its submission, the contractor will also provide the estimated total cost (if any) incurred to comply with this reporting requirement. Reporting period will be the period of performance not to exceed 12 months ending September 30 of each government fiscal year and must be reported by 31 October of each calendar year.

Contractors may use a direct XML data transfer to the database server or fill in the fields on the website. The XML direct transfer is a format for transferring files from a contractor’s systems to the secure website without the need for separate data entries for each required data element at the website. The specific formats for the XML direct transfer may be downloaded from the website. Attachment A (Contract Manpower https://contractormanpower.army.pentagon.mil/

Reporting Worsheet.doc) will be provided to each contractor as part of the applicable solicitation or contract and is considered part of this clause.

a. Quarterly Contract Status report: The contractor shall prepare and forward to the

COR electronically, an EAP report containing the following information on a quarterly basis, ending each year with a summary report. Reports are due within two weeks following the end of the reporting period at least 95% of the time.

1) Total number of new cases.

2) Total number of reopened cases.

3) Number of alcohol cases.

4) Number of other drug cases.

5) Number of emotional and other cases.

6) Number of employees helped by counseling - client, supervisor or counselor reports that the problem was resolved and job performance is at an acceptable level, separate by client, supervisor, and counselor.

7) Number of employees not helped by counseling - the client's problem was not resolved; performance, attendance or conduct is still unacceptable.

8) Number of employees for whom it is too early in the counseling program to judge whether they have been helped - job performance has improved but is not yet at an acceptable level, separate as reported by client, supervisor, counselor.

9) Number of self-referrals - no management action.

10) Number supervisory referrals.

11) Number of nonsupervisory employees who received Counseling and Referral

Service or alcohol/drug training.

12) Number of supervisory employees who received Counseling and Referral

Service or alcohol/drug training.

13) Man-hours expended on Counseling and Referral Service

14) Total number of employee cases.

15) Total number of family member cases

b. Annual status report: Same data as the quarterly report, just ending each year with a summary report: or roll up of the quarterly reports.

PART 6

APPLICABLE PUBLICATIONS

6. Publications:

6.1. The Contractor must abide by all applicable regulations, publications, manuals, and local policies and procedures:

Federal Employee Health Services Programs, 5 CFR, Part 792 Public Law 104-191 (Health Insurance Portability and Accountability Act of 1996) Executive Order 12564, Drug Free Federal Workforce, 15 September 1986

Army Regulation (AR) 600-85, Army Substance Abuse Program, 2 Dec 2009 Engineer Regulation (ER) 690-1-710, 29 June 2012 Privacy Act of 1974

PART 7

ATTACHMENT/TECHNICAL EXHIBIT LISTING

7. Attachment/Technical Exhibit List:

7.1. Attachment 1/Technical Exhibit 1 – Performance Requirements Summary

7.2. Attachment 2/Technical Exhibit 2 – Deliverables Schedule

7.3 Attachment 3/Technical Exhibit 3 – Estimated Workload Data

ATTACHMENT 1 /TECHNICAL EXHIBIT 1

Performance Requirements Summary (PRS) The contractor service requirements are summarized into performance objectives that relate directly to mission essential items. The performance threshold briefly describes the minimum acceptable levels of service required for each requirement. These thresholds are critical to mission success.

Performance Objective Performance Standard Performance Threshold

Method of Surveillance

PRS # 1.

Intake Assessment.

-- Intake counselor(s) available M-F, 0800-1700, excluding Federal holidays.

-- New patient records created prior to first counseling session.

-- Short counseling scheduled within 24 hours unless employee request time beyond 24 hours.

-- Customer random sampling indicate high rate of satisfaction;

customer complaints indicating less than satisfactory service will not exceed .05% of new cases for any given period

No deviation, from standard unless approved by COR.

Customer Feedback.

and random sampling COR keeps a customer complaint log.

PRS # 2

Individual, and family member counseling, crisis situations such as violence in the workplace, grief counseling on the death of a co-worker or loss of job through reduction in force

-- Effective assessment, diagnosis, treatment, referrals, and monitoring of progress; individual case record kept accurate and up to date.

-- 100% observance of strict confidentiality requirements.

-- Contractor provides reports to COR that meet timeliness and content.

-- Major case milestones (e.g.

completion of short term counseling services within 24 hours of request –unless employee request a time beyond 24 hrs..

-- Customer samplings & input indicate a high rate of satisfaction and less than satisfactory services will not exceed .05% of cases for any given period.

No deviation, unless approved by COR.

Customer Feedback.

and random sampling COR keeps a customer complaint log

PRS # 3

Maintained, managed and secure confidential records (Individual case files)

-- Case file initiated and maintained for all clients.

-- All records are maintained in accordance with the confidentiality requirements required by law.

No deviation unless approved by AGR

Random sampling of case files. Customer feedback.

Review complaint logs. Quality control meetings with Civilian Personal Advisory Center specialists who refer clients to counseling

PRS # 4

Materials publicizing the purpose & availability of the EAP, Command wide.

(flyers, brochures, or electronic information, in house publications)

Information available on the purpose and availability at all times and/or a quarterly newsletter is provided by email to the KO or COR.

No deviation unless approved by COR.

Audit of purpose and availably Materials & timeliness of their delivery to

COR

PRS # 5

Development of training for supervisors, equal employment opportunity (EEO) and personnel specialists.

-- No less than one training class each year, scheduled six weeks in advance.

--COR shall receive no more than two valid complaints concerning quality or presentation of training per year.

No deviation unless approved by COR.

Audits of training by COR and government conducted customer survey feedback

ATTACHMENT 2 / TECHNICAL EXHIBIT 2

DELIVERABLES SCHEDULE

Deliverable FREQUENCY # OF COPIES MEDIUM/FORMAT SUBMIT TO

Quarterly and Yearly Reports

Reports are submitted to the COR within two weeks following the end of the reporting period at least 95% of the time.

-- Each report containing statistical or required information is at least 98% accurate

1 copy and it may be an electronic report.

Excel spreadsheet, transmitted via e-mailed to the

COR.

Stacy.J.Dufault@usa ce.army.mil

Flyer, Flyers, brochures or electronic information publicizing the availability of the

EAP

Quarterly One if electronic, one per employee for hard copy.

Hard copy for wallet sized card all else should be electronic.

Stacy.J.Dufault@usa ce.army.mil

Mail hard copy to:

Commander Army Corps of Engineers

ATTN: CENWO-ZS

1616 Capitol Ave Omaha, NE 68102

ATTACHMENT 3 /TECHNICAL EXHIBIT 3

ESTIMATED WORKLOAD DATA

Item Name Estimated Quantity

1 State of Nebraska Omaha employees

2 State of North Dakota Bismarck (18) Riverdale (50), Minot (6), Williston (5) employees

3 State of South Dakota Pickstown (40), Pierre (53), employees mailto:timothy.j.brennan@usace.army.mil mailto:timothy.j.brennan@usace.army.mil

Yankton (40), Rapid City (17) Chamberlain (36)

4 State of Colorado Colorado Springs (50) Denver (16) employees

5 State of Montana Helena (5) Glasgow (40) employees

6 State of Wisconsin Ft. McCoy, near Tomah (10)

7 State of Wyoming Cheyenne (5);

INSTRUCTIONS TO QUOTERS

INSTRUCTIONS TO QUOTERS

Instructions to Quoters

This solicitation is being advertised as a BEST VALUE procurement. See FAR 52.212-2 Addendum; Evaluation—

Commercial Items for specific information to be submitted with your quote.

Contract Type: Firm Fixed Price (FFP)

Submission of Quotations: Submit quotations to the office specified in this solicitation at or before the exact time specified in this solicitation. Only Electronic submissions of quotes will be accepted.

Send completed quotation to Daniel Monahan daniel.d.monahan@usace.army.mil

Please provide the following information with your quote:

Company’s Name as it appears on SAM:

Company’s Address as it appears on SAM:

CAGE CODE:

DUNS:

TIN:

INFORMATION PERTAINING TO MANDATORY REGISTRATIONS, CODES, NUMBERS &

REPRESENTATIONS & CERTIFICATIONS:

mailto:daniel.d.monahan@usace.army.mil

System for Award Management (SAM):

What is SAM?

The System for Award Management (SAM) is combining federal procurement systems and the Catalog of Federal

Domestic Assistance into one new system. This consolidation is being done in phases. The first phase of SAM includes the functionality from the following systems:

* Central Contractor Registry (SAM)

* Federal Agency Registration (FedReg)

* Online Representations and Certifications Application (ORCA)

* Excluded Parties List System (EPLS)

How will SAM benefit me?

The overarching benefits of SAM include streamlined and integrated processes, elimination of data redundancies, and reduced costs while providing improved capability.

SAM registration is required prior to receiving contract award. If you are not currently registered in SAM, refer to the website at https://www.sam.gov for information and instructions on how to register.

SAM Service Desk:

URL: http://www.FSD.gov

(8am - 8pm Eastern Time)

US Calls: 866-606-8220

International Calls: 334-206-7828

DSN: 809-463-3376

Do not delay returning a quote while processing your SAM entry.

(a) North American Industry Classification System (NAICS) code and small business size standard. The NAICS code and small business size standard for this acquisition appear in Block 10 of the solicitation cover sheet (SF

1449). However, the small business size standard for a concern which submits a quotation in its own name, but which proposes to furnish an item which it did not itself manufacture, is 500 employees.

Quotations may be submitted on the SF 1449, letterhead stationery, or as otherwise specified in the solicitation. As a minimum, offers must show --

(1) The solicitation number;

(2) The time specified in the solicitation for receipt of quotations;

(3) The name, address, and telephone number of the quoter;

(4) A technical description of the items being quoted in sufficient detail to evaluate compliance with the requirements in the solicitation. This may include product literature, or other documents, if necessary;

(5) Terms of any express warranty;

(6) Price and any discount terms;

(7) “Remit to” address, if different than mailing address;

(8) A completed copy of the representations and certifications at FAR 52.212-3 (see FAR 52.212-3( b ) for those representations and certifications that the quoter shall complete electronically);

(9) Acknowledgment of Solicitation Amendments;

(10) Past performance information, when included as an evaluation factor, to include recent and relevant contracts for the same or similar items and other references (including contract numbers, points of contact with telephone numbers and other relevant information); and

(11) If the quotation is not submitted on the SF 1449, include a statement specifying the extent of agreement with all terms, conditions, and provisions included in the solicitation. Quotations that fail to furnish required representations or information, or reject the terms and conditions of the solicitation may be excluded from consideration.

(c) Reserved.

https://www.acquisition.gov/sites/default/files/current/far/html/FormsStandard67.html#wp1189284 https://www.acquisition.gov/sites/default/files/current/far/html/52_212_213.html#wp1179194 https://www.acquisition.gov/sites/default/files/current/far/html/52_212_213.html#wp1179194

(d) Product samples. When required by the solicitation, product samples shall be submitted at or prior to the time specified for receipt of quotations. Unless otherwise specified in this solicitation, these samples shall be submitted at no expense to the Government, and returned at the sender’s request and expense, unless they are destroyed during testing.

(e) Multiple quotations. Quoters are encouraged to submit multiple quotations presenting alternative terms and conditions or commercial items for satisfying the requirements of this solicitation. Each quotation submitted will be evaluated separately.

(f) Late submissions.

(1) Quoters are responsible for submitting quotations so as to reach the Government office designated in the solicitation by the time specified in the solicitation. If no time is specified in the solicitation, the time for receipt is

4:30 p.m., local time, for the designated Government office on the date that quotations are due.

(2) Any quotation received at the Government office designated in the solicitation after the exact time specified for receipt of quotations is late and will not be considered unless it is received before purchase order issuance and the

Contracting Officer determines that accepting the late quotation would not unduly delay the acquisition.

(3) If an emergency or unanticipated event interrupts normal Government processes so that quotations cannot be received at the Government office designated for receipt of quotations by the exact time specified in the solicitation, and urgent Government requirements preclude amendment of the solicitation or other notice of an extension of the closing date, the time specified for receipt of quotations will be deemed to be extended to the same time of day specified in the solicitation on the first work day on which normal Government processes resume.

(g) Issuance of purchase order. Quotations should contain the quoter’s best technical and price terms. The

Contracting Officer may reject any or all quotations. The Contracting Officer may issue a purchase order to other than the quoter with the lowest priced quotation. After the evaluation of quotations, the Contracting Officer may negotiate final terms with one or more quoters of the Government’s choice before issuing any purchase order. The

Contracting Officer will not negotiate with any quoters other than those of the Government’s choice and will not use the formal source selection procedures described in FAR part 15.

(h) Multiple purchase orders. The Government may issue a purchase order for any item or group of items of a quotation, unless the quoter qualifies the quotation by specific limitations. Unless otherwise provided in the

Schedule, quotations may not be submitted for quantities less than those specified. The Government reserves the right to issue a purchase order for a quantity less than the quantity quoted, at the unit prices quoted, unless the quoter specifies otherwise in the quotation.

(i) Availability of requirements documents cited in the solicitation.

(1)(i) The GSA Index of Federal Specifications, Standards and Commercial Item Descriptions, FPMR Part 101-29, and copies of specifications, standards, and commercial item descriptions cited in this solicitation may be obtained for a fee by submitting a request to-

GSA Federal Supply Service Specifications Section

Suite 8100

470 East L’Enfant Plaza, SW

Washington, DC 20407

Telephone (202) 619-8925

Facsimile (202) 619-8978.

(ii) If the General Services Administration, Department of Agriculture, or Department of Veterans Affairs issued this solicitation, a single copy of specifications, standards, and commercial item descriptions cited in this solicitation may be obtained free of charge by submitting a request to the addressee in paragraph (i)(1)(i) of this provision.

Additional copies will be issued for a fee.

(2) Most unclassified Defense specifications and standards may be downloaded from the following ASSIST websites:

(i) ASSIST (https://assist.dla.mil/online/start/).

(ii) Quick Search (http://quicksearch.dla.mil/).

(iii) ASSISTdocs.com (http://assistdocs.com).

(3) Documents not available from ASSIST may be ordered from the Department of Defense Single Stock Point https://assist.dla.mil/online/start/ http://quicksearch.dla.mil/ http://assistdocs.com/

(DoDSSP) by-

(i) Using the ASSIST Shopping Wizard (https://assist.dla.mil/wizard/index.cfm);

(ii) Phoning the DoDSSP Customer Service Desk (215) 697-2179, Mon-Fri, 0730 to 1600 EST; or

(iii) Ordering from DoDSSP, Building 4, Section D, 700 Robbins Avenue, Philadelphia, PA 19111-5094, Telephone

(215) 697-2667/2179, Facsimile (215) 697-1462.

(4) Nongovernment (voluntary) standards must be obtained from the organization responsible for their preparation, publication, or maintenance.

(j) Data Universal Numbering System (DUNS) Number. (Applies to all quotations exceeding $3,000, and quotations of $3,000 or less if the solicitation requires the Contractor to be registered in the System for Award Management

(SAM) database.) The quoter shall enter, in the block with its name and address on the cover page of its quotation, the annotation “DUNS” or “DUNS+4” followed by the DUNS or DUNS+4 number that identifies the quoter’s name and address. The DUNS+4 is the DUNS number plus a 4-character suffix that may be assigned at the discretion of the quoter to establish additional SAM records for identifying alternative Electronic Funds Transfer (EFT) accounts

(see FAR Subpart 32.11) for the same concern. If the quoter does not have a DUNS number, it should contact Dun and Bradstreet directly to obtain one. A quoter within the United States may contact Dun and Bradstreet by calling

1-866-705-5711 or via the internet at http://fedgov.dnb.com/webform. A quoter located outside the United States must contact the local Dun and Bradstreet office for a DUNS number. The quoter should indicate that it is a quoter for a Government contract when contacting the local Dun and Bradstreet office.

(k) System for Award Management. Unless exempted by an addendum to this solicitation, by submission of a quotation, the quoter acknowledges the requirement that a prospective contractor shall be registered in the SAM database prior to purchase order issuance, during performance and through final payment of any contract resulting from this solicitation. If the quoter does not become registered in the SAM database in the time prescribed by the

Contracting Officer, the Contracting Officer will proceed to issue the purchase order to the next otherwise successful registered quoter. Quoters may obtain information on registration and annual confirmation requirements via the

SAM database accessed through https://www.acquisition.gov.

(l) Requests for information. The contracting officer will not notify unsuccessful quoters that responded to this solicitation. Quoters may request information on purchase order(s) resulting from this solicitation from the contracting officer.

(m) Insurance Required (FAR 52.228-5):

In accordance with FAR 28.307-2, “Liability,” the contractor shall procure the following minimum insurance:

Type Amount

Workman’s Compensation and Employer’s Liability Insurance $100,000

General Liability Insurance $1,000,000 per occurrence

And, when automobiles are used in connection with performing the contract:

Automobile Liability Insurance $200,000 per person

Bodily Injury $500,000 per occurrence

Property Damage $ 20,000 per occurrence

And, when aircraft is used in connection with performing the contract:

Aircraft Public and Passenger Liability Insurance $200,000 per person

Bodily Injury (other than passenger injury) $500,000 per occurrence

Property Damage $200,000 per occurrence https://assist.dla.mil/wizard/index.cfm https://www.acquisition.gov/sites/default/files/current/far/html/Subpart%2032_11.html#wp1043964 http://fedgov.dnb.com/webform https://www.acquisition.gov/

Passenger Liability Bodily Injury $200,000 multiplied by the number of seats or passengers, whichever is greater

And, when contract performance involves use of vessels, the Contracting Officer shall require, as determined by the agency, vessel collision liability and protection and indemnity insurance.